01100021 i
CITY OF
BUILDING DIIVISIONNOPERMIT CONTRACTOR INFORMATION:
BUILD ri ADDRESS: PERMIT NO,
20182 RODRIGUES AV MARTINEZ ROOFING INC 01100021
OWNER'S NAME: APPLICATION SUB DATE
TONY FONG 4640 TAMPICO WAY 10/03/2001
PHONE: (408) 269-8901 SANITARY NO. CONTROL NO.
q Q Oz ARCHITECrIENGINEER: BUILDING PERMIT INFO
kL"Ic FF BLDG ELECT PLUMB MECH
u`t L I
-5 v=Z LICENSED CONTRACTOR'S DECLARATION Job Description
Z—G hereby u�rm that 1 am Iicm1M under provisions of Chapter 9(commencing REBOOT .
mC wit ution]fl(g7 of Division3of the Business mdP fessiom Code,end my license
is i full force a effe
Sas � L,,d,,Clcss °l m/ 71�J2 REMOVE SHAKE, INSTALL 50 YR. COMP
u a.tai RCHITU=S DECYiorfinu
O g understand my plans shall he used as public records 1a
J
weaved Professional
3 o OWNER-BUILDER DECLARATION
m 1 hammy a(Smt on 1 1. exempt from the Conlon Cos Littnu law for the
C Z< allowing season.(Section]831.5,Business and improve.
de ora Code:Any city st wunry
O prbraregalrtsa pC,rrlll InLOn5WC1.Eller,Ira Forsuh,strsh,or RpaV my structure
° 2 -pan heishowexcce,dmdid the thallsso.fthe CchpemiuolbadgnMetammm.• - - - - f
- - ----- -(commencing
cingwdpurction7 a of Division
o Cmaac,dsLittnuLa.
onsCad) S Ft. epr t1. , Valuation --
(commencing with Section 08)of Divisisv 3 of the Businessex and ion.A.,vi Codd f-l4 t-+'v::eq•: _}. ..S L iTf, }a a
or Net he isexempt13 bmy ppli'aut ar..this for the alleged mister m Any violation I 111111
of Salon than iv anydreddmtfora peemi,wbjaa the applicantto scivil penalty
of not mom then five hundred dollars(5500). APN mb Occupancy Type
01,as owner of,hs property,ser my cmployaa with wages as their ole compensation, 1
Bus ne the woonfies i the mouods:The
C not intended or offered for salt(gel.toga, 307 - INSULATII*uired Inspections will
d ss and emfeuions Code:The Comtente i License law dao not apply to m
owner of property Who builds or impmvu thereon,and who don much work himself 601 - ROOF TEAR OFF _
or dn damn his own employees.provided that such improvements arc not intended or
offeree for vale.If,however,the wilding a impmvcrosnt is gold within one year of 602 - ROOF PLYWOOD NAIL'
compinion,the owner-builder will have the burden of proving that he did not build or
improve for purpose of vale.} 603 - ROOF BATTENS
604 - ROOF IN-PROGRESS "
c L m owner of the property,erns B.ximavdy contracting with oceosM contractors n. .
titans the dower(Ser. ,. Bu novo addProfessionswho b Code:)The Ctmtnaoly j •l
License Inco does not apply m m ower th property who builds or improves thereon, i
and who Conamers for such projects with a cantmetods)licensed pursuant m the
Contractors License Law.
El l am exempt under Sec, ,B&PCfor this mason "-'i'sl�f.
Owner Dam
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of pepury one of the following decWnicas:
0 1 have end will mairmin a Cenifiate a Conunl to self-insure fa Wmkda
Compensation, as providM for by Session 37W of the labra Code. for the
.} Performance of du work for which this permit is inuM.
0I have nd will maintain Worker's Compensation Imur thee,n required by Sectuat
37M the labor Code. of the for tmantt wmrk is
for which this pc.I,
Issue M rvC _ nus the petfo
Cue Polity No.G_<P v.ja.. .,.
E FICATIONOFE%EMFOUNFROMWORKELRS'� ' I'^r'•- :i i a. 1rc1.�.rti )�t�
COMPENSATION INSURANCE'
\ L•k.
' I fThik station need not be completed if the pemd,is for one hundred dollen
(EI80)or lesvJ, '
.. f .. .
1 certify that in the ers&in any mann the work fm which this permit a orke I
shall not employ any person in any manner so as to become aubjecl to the Workers
Comon Lawes of Califomie.Date
Applicant
NOTICE TO AP.the Work:If,filer makmict.p maskers a the
Ltaede.y should
nam
became subject,o the Worked Compenmian provisi shall the Iawr Cade,you mml
00 forthwith comply with much previsions or this permit shell be domed moked. -
GGG2777
CONSTRUCTION LENDING AGENCY
,y 1 hereby aRmn that theme iv a conwuSec. lending v.C.) for the pMamantt
of the work for watch this permit is issued(Sec.309].Civ.CJ
A+ Q Lender's Name
5 Z Le,Mer's Address
I ccnify Nat I have reed this application my sate dm the above,laws mixing is
f7a F t oWild I acts to comply with all city and representatives
and vara laws relating
Q (, the Wse-meing ns avedprmdherebyauthudsreposes.,veer of this city to enter upon
y )g] thea.ave-memionM pmptny for inspection laspurposes.,
Ft'n� t4. fR���A
el agree to ave,indemnify xexkap harmless in the City of Cupertino against
stagainstid
h liajudgmemv,coag end expeaes whim may in my way carve egeim,mid
snsequence of the gm,ning of Nis permit. / -y
NT UN ANp$AND WILL COMPLY WITH ALL NON-POINT
oINs. , Issued by: Date
of1mco,tangg _ Data Re-roofs -
HA us MATERI t E I
-: / Wil the'ipplianl o r funtie building occupant atom or handle haamdms material Type of Roof
I a defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety
Code,Section 25532(e)7, Y ) ,., �. : ,s. itb ^, +1 •s .t. ..i, ..,
❑Yea ' ' ,;"'o'No'• :': �f`;: !. All roofs shall be�inspected aprior to any roofing material being installed.
Will the applicant or futurt building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agreeto'remove
emit berardous air commoners n defined by the Bay Area Air Quality Management
D;amLt] all new materials for inspection. Applicant understands and will comply with
0Ya ON. all,n oint source regulations.
1 we need the heardous materials tequimmaa under Chapter 6.95 of the
Ce I.Health&Safety Code,Section 25505.25533 and 2553x..1 undetamM then
e wilding docs not currently have a tenth,,that it is my responsibility to snuffy the
pent of 'roman which mus,be at ptia to iawance of a candlente of
9faf/Uo3oazure-o App ' nt Date
,nod:M agent Date /•� of coverings to be Class"B"or better
OFFICE
Building Division
10300 Torre Avenue
Cupertino,CA 95014-3255
Telephone: (408)777-3228
CITY OF Fax: (408)777-3333
•CUPEkTINO
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.
IMPORTANT:
1. Flat roofs must have a minimum of V4"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: O� Q ' /
Address: 172- T\00 C- Cd( 2--) Ok r
Reroofing Company Name:
Applicants Signatu Date: O -d '0 11
r
Joe Antonucci
(Chief Building Official)
6/25/01