02090016 •� -CITY OF CUPERTINO
B[IILDIooNeeG DIVISION PERMIT CONTRACTOR INFORMATION:
B1�2961/ 71/81/91 RIDGEWAY DR LL PERMIT 02090016
T'MMIDGE OF CUPERTINO HOA 7' L' f 41f'L0K w�q)vg APPLICA8?Jl6QAfF2002
r PHONE: j ,O M S00o • s;—,e SANITARY`lNO.. 4// CONTROL NO.
0 0 ARCHITECf/ENGINEER: 010 a, /)"/s s/{/� /,sf(f,1 BUILDING PERMIT INFO
"' 1-.J✓ �1 `"l /� BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
Z , 1 hereby flirt that 1 am licensed under provisions of Chapter 9 commeyncin /• Job Description
Z� with Section 10.10ja Division3of the Buxinev and iP fessions Code,od my l'ante REROOppp Fr;
<Y Z is mmas force xtq t 4/�"�`
o V Liccnae Class Lic.N
Dam Contractor 74
w 3 w ARCHITECTS DECLARATION
h C g t� 1 understand my plans shall be used as public records
OLand Professional
icc OWNER-BUILDER DECLARATION t
u� to 1 hereby affirrin that 1 am exempt from the Contractor's License Law for the
Z< (B ng reason,ISxti n 7031 5 Business em Pmfessiom Code Any city or county y5`7 7 5
F O which rtqutms a permit to sronnwct aheq improve,demolish,or rtpmr any strucwrt
Be .pito 0 n o ince,also
q
spa, g� �A a��
thatfil n Ine "d Pin tinjmth p. vislom of the Contrxmrs Lceme law(Chepmr9 -,y ., )) 3'sW1 &010�ItPV•sr q '4 r Val` tion
tc at"cmg with Sect ion 70110)of Oinston3af the Busyness and Profess ons Cue) t, 1 \ t ,:tv- 1s�aa lZ:�l+�•3IV 7_
or at
hes
exempi l ercfroin ontl the haus for the alleged citempuun.Any violauon
-of Section 16715 by m,vpplicam for n permit subjects the epplimm to a civil penalty
,of nor mom than five hundred dol a.(s500). 3 0 5APIN NRAO E n,,:�u ^ , Occupancy Type
01,to awnarcd ft,raparty.or toy emplo,oxes with wages ces their scile compensation. 307 - INSULATION
,;will do the wark..and the structure is ma intended or'of@red-for'wle'(Sm:1644: 601 - ROOF TEAjIx,'e Inspections""`
'Business ond'Nafessions Code:The Contractor License Law does not apply to an q p '
ownerof property Who build.or improves thereon,end who does such work himself 602 - ROOF PLYWOOD NAIL
or through his own employees.pmvidetl ftl such ncRowermnm accent intended or __ _ _ _ _ _- -----
_____ __
oR and for sale.If,'M1 r the building or improvement is sold with n one yea?df- ""' -"" 6 O 3 ROOF-BATTENS �-� � ._- - --�-'
completion,me owner W Ider will have the buNen of Prov ng mat he did not Wild or v x' �'
improve for purpos ofsale). 604 - ROOF IN-PROGRESS
z ❑1»owner o(dm propenY•em exclusively contracting with licensed contractors to ..
construct the Project(Sec.1041,Business and Professions Coci The Cminctor s ,d W_
License law does not apply to an owner of property who builds or improves thereon. -
`'Y _ mid.whamntrects.(or.such Pro1ect..wim.a mnrxt
o(sl.liened pursumt.m.the. _
Conwcmr;License Lew.__ _
-[; } -- ❑lam exemptunderB&PC for thisre, a»n .Irl "Isla q:
_ Owuer- Date '
WORKER'S COMPENSATION DECLARATION
r`•`` I hereby aRrm under penalty of perjury one of me!allowing
lure ..:
❑ 1 hav'�iml will maintain a Cenificam of Consent io selGinsum for Worker's
Compeiumion, x provided for by Section 3700 a( the labor Code, for the
Prfomm (thew rk f limb thio perm iris issued ,.
e iter w 11 main Worker p Compeniut on Ire ranee req red by S-t n
11W of th L Iror'Cul for the Performance of thework f which chis permit I,
ssmd My Wo ' nsvt b 1 s nee am r P hry number arc:
Carlin miry No Z' t`s i !•n 1 A L,i h'{�7 i I h•" . ` f
i,. _I• E IFICATI OF EMPTIONFROMWORKERS{ ) \+ I - •>,�- 1 '•d
... COMPENSATION INSURANCE''"` sf__`.____,-_________-______
..r. .:m,. ..... .. -
p•,•• ,
i r sliThii union need not be completed if the Permit is for one hundred dollars 1
(SI W)m less.)
shall
i ir cost f that n the perforrmnce of the work for which this permit e W I •1 1, {t.1 sh 11 h t employ any person in any manner so a to'hcdome subject to the Workers
Compensation Lows of California.Date
.APPliamt.
'NOTICE TO APPLICANT.If,after maxmiun rC provisions
of at e Labordon, ,you mind •^,
bncdme subject the with
Coot this
lit M.hall theLaborCircle,you must
0 O (nh Ito __ with, -provisions r this perm t hall bed d reoked
CONSTRUCTION LENDING AGENfk'
1 hereby`nlBno that there is a combustion trading agency for the perfohmnce
woti'Lader NNmme ..,. _. _u...... ... .... .. .... ..... ... ... ..... _ .. .
Lenders Address-
tt
I comfy.that I have read this application and state that above mforroMmi is
wa:F correct.I agree to comply with all city.and county ordinances end slate laws relating
0<V to Wilding consuaction:am hereby euthorire'repmsentativcs of this city to munition
,+�'(� the above-mentioned property for,inspection purposes.,, ,., -. -,
E., p.' (Wel Agree in a mdemntfyand keep harmlcsSme Cty orcupaninb 6gain,,
Rn (A liab 1 t it judgments costs and expenses which may In my ay.cane against said
V..� City in c nsequence of the granting ort It -
APPLIIt pcNDERSTAN)SAN ILL C(MPL,''W s1LNbN Issued b i
_ 50URCE REGULATIONS.' L �D Y Date
Signutu e(ApplicenuCamndor .Dam Re
-roofs
r - HAZARDOUS,MA RIALS DISCLOSURE
Wdl thf opph;1 or future buil) g occupant atom or handle hwaNws memrial .Type Of ROOF- - - -• -
-- •as defined by the Cupen m Municipal Code Chapter 9.12.and theHealth and Safety .. r 1 i• -- x - 7 -
Cricket.
ode Scct,on 35532(.) l�t ? 1 4 t s I - J r . : s t s•`.!'• i . t ti .
All roofs shall be inspected prior.io any,roofing material.bemg installed.,-.. .. .
Will the applies.,or lot..Wildin8«mpan,arc egaipmmi or devices which If a roof is installed without first obtaining an inspection; I'agiee to remove
emit haiaedous coir contaminants ass defined by the Bay Area Air Quality Management
District? �� all new materials for inspection. Applicant understands,.and will comply with.
I oYea "r-
all non-point souiceregulations ,--i -, r+,+,v•'
I have rend the heraMous material.requirement.under Chapter 6.95 of the
Cali(omia Health&Safety Cade.Sectimx25505.25533 and 25534.1 understand thio
i(fhe puildf,does nM ctrently have a tenmt.that it is my mspansibility to notify the
_ Oox pnm of the re menu r ich must be met prior to issuance of a Ce ificae of •+ !!!
" "" Signature of plica¢[ Date
e.. . .1 ._ ... ... _.
Owner riot n>,ee,agent,• Bad,. All roof coverings to be Class `B" or,better
::.
OFFICE. .._ _
' Building Division '
10300 Tone Avenue
' Cupertino,CA 95014-3255
Telephone: (408)777-3228
• C' 1OC��INO Pax: (408)777-3333
Building Department
Subject: Reroofing policy for the City of Cupertino.
1. Prior to permit issuance,you must agree to comply with 1997 UBC Standards
and manufactures specifications on reroofing..
2. New roof coverings shall not be applied without first obtaining all inspection
and written approval from the building inspector.A final inspection and
approval shall be obtained from the building inspector when the reroofing is
completed.
3. All roofs shall be inspected prior to any roofing installation.
4. To receive a final sign off from the City the following steps are required.
1) Preinspection and/or tear off approval.
2) In progress inspection approval.
3) Final inspection approval.
a) Spark arrester installation
• 5. If plywood is installed,a plywood nail inspection is required.
6. Any roofing which is applied without first obtaining an inspection,will
require the removal of all new material down to the sheathing so that the
proper City inspection can be performed.
IWORTANT:
1. Flat roofs must have a minimum of 1/n."per foot slope and demonstrate that
there is no ponding.
2. An I.C.B.O.report is required to be on the job site at the time of inspection
We understand the above policy on reroofing and will comply with this policy.
Homeowners Name: ,zgo
Address: Z29loI Z 7t � q/ q �
Reroofing Company Name: C- �.+I✓T�i,
Applicants Signature: Date: q o Z-
J .
9 oe Antonucci
(Chief Building Official)
6=01