02050113 CI BUILDING f PERO No PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO,
20862 SOLA ST 02050113
'Wkff`'CAROL L APU 7A/ L U/ L b 2
i HONE: SANITARY NO. CONTROL NO.
❑f O O ARCHITECT/ENGINEER: BUILDING PERMIT INFO
Lk"0 CC BLDG ELECT PLUMB MF.CH
is
N%au I:_> I
y i LICENSED CONTRACTORS DECLARATION Job Description
1 hereby affirral Too l am licensed under provisions of Charm,9(eommenc ng REROOF
m�u with Seann 700001f Division 3 ofthe Bu s and Profess non Cod d ylicense
is ,elL�,p� �rr�77 T/O SHAKE TO 30 YR. DIMENSIONAL SHINGLES
O rc a Licenu 5+°° LonM
e o i 0 Dam C 'V
LL O ARC TECT'S DEGf3itRAT10N
1 understand
my plan sed as public records
i M o O Licemed Professional
OWNER-BUILDER DECLARATION
1 hcrehy offirm that 1 u empt from the Contractor's License Law fur the
t?Q following rexsoo.(Secum.7031.5 eBusiness and Pmfcrsi.e Code:Any city or county
Fo which requires Permit to consumer. It 'mprove,demolish,or repair any saumure
ei prior.to l roc,all.re th lPi t far such permt to file a signed loo men, - - -
matheslcertgdpunu;n(wnhePrur- ofdreConuanorsL<enulawlChnpmr9 S Ft: Floor Area-,` �r i Valuation
(comment n8 with Semine]1X 0) f Division 3 of the Busippest and i'mm,,,ens Code) , !s sq' a I"S a f {..i A.l;•R` s
m that So ss exempt the"refrem'and the basis Tarim.11q,tl ciempuod.Any violsaon 3 5 9X13 0 6 5 . 0'0
of Section 7031.5 by any applicant for a Permit subjects the upplkanr ro a civil penalty
.of not mum than five hundred dollars(S5W). APN Number Occupancy Type
❑L as owner of the property,or my employees with anger as their sole compensation, 305 - FRAME
-will'do the work,and the swnure'is not intended r offered for sale tree 7f 4• - 3 07 — IN ULAT -
Business und'Prefeai°m CMe:The Contractors License Law does not apply e an fired Inspections'% " '
ownct of,.,Hy Who bands or itnpro,ox0oreom,and who does such work himself 601 — ROOF TEAR OFF
or through his own employees,provided thin such imlo,rovoments are tint intended or _
offered'Por sale.IC howcver-me boldin ---- - lis rind within one-ear dr—.....__.. _..-. 602 -ROOF- PLYWOOD -NAIL.r___..._.-.�___--_. .
completion:the owner-builder will have the burden of proving dim he did not build or .Hl •.,, n..:
improve far purpose al 603 - ROOF BATTENS
- 604- ROOF-IN-PROGRESS--
0 1lx_- r of the p.mpcny ..exc. elyconnecting withlicensedcontractors -
to Il:',; f
construct the project(Sec 7014 Business and Profession,C del The Connector's �® C r
Licarto Law does not apply r an awal,of pro,art,who bolds or improves thereon.
commons for such projects with a comector(sj licensed puommi t°the
-and who
01 am exec License law. .
- ❑lam cscmpr ands sec. .B&PC for this rerun Asn pY/ �� p 2QQ2 j' .. ::I�,�•,:m;
Owner . 'ninM
e . • - .,
WORKER'S COMPENSATION DECLARATION
I hneby affirm under penalty of perjury ori,of the following declamtimes: BUILDING
01 hove and will maintain a Certificate of Consent to self-insure for Workers
Compensation, as provided for by Section 37W of the Labor CMe• for the
perfa insole of the work for which this permit is issued.,
011....mid will neinium'Worker's Compensation Insurance,as required by Section
37M of the ISbor Cade,for the performance of the work for which this permit is
s ed My Walker,,,C0000pe ton I f ti p�I'iyp he
sr/w Tom/ dh, Valcy rrn: �O / /! U✓ _ ._ .. ... . . . .
men vl_ .a
"C ERTfE1CATI0N�1'CXEMPTI FROM WORKERS ,f IS Pts' t d s f\
" l"�(Thsuct on need non he aimpleicd fth Aconin vs fnronc hundred Hullers s' .4P cl .s. l U 1:1' s;s rl'
($10(h ur lose)
"Jrifymt theper ami f!h' kf iich rM1 Perms-r iaved'1' (, 14, o
all riot employ any person in any mairmaso as to become subject to the Workers' -
Compensation laws of California:Dame
APPLICANT-boli aafter makingp,m.ti a Certificate of of the you shouldma '
bowmen complo thelsuchprvisins or
provisionsll mix Luber Call,You most
Q O forthwith comply with such provisions or this permit shall be deemed revoked. '
Zr ..... _.. .. . . _. ..... ._ .__.. ..._.. -..._ .. __ .. - --._
"r " '%CONSTRUCTION LENDING AGENCY p'
1 hereby ortion that there is a construction lending agency for the 'erfomoance' a'rs
of
W spa rhe work for whichthis permit is issued'(Ic ,T Civ.C.)
rider's
Neer L�
�64
=)I,'L Lender Address —
V s I rtfy thin IM1v mail this city
ads . drat ince, bat information s V
fy F., ct ren I g tp comply th hereby city and it n d'nemes end nate Taws rclat ng
Q V 1."builds,goonmrmand PrpertyoimpaBodmrepoem.,,ives ofthis city a.
W the abovomentioned propend for inspection p hamle ,
�,W (W6agmeto.wvmin and
expyandk hih May in
say were
Cupenin°against
W liabilities,judgments,costs arM expenses roach they in any way acerve ageinsr said
C:7.z city in aonscqucnsre of he groes gsermi: t. f
^OLr ,' UNDP ONSNDgS ANI WILL LIMPLY wTTH ALL NON POINT'I " ]sSUed by: ! Dale
1 •odHAZAR re building aka m stititUrelosiore �v RB-TOOTS /
Signature re llthcgl, HAZARD MATERIALS DISCLOSURE
pP g pan re orhadln da material Type of Roof_ . ... ..—. .-;. . ..__ _
s def cal y m Cupen o Mu t ITC d< Charter 9 12 and theHealth d Safety r
Code5 m on 255321 11 i 1 's '
All roofs shallm
be spected_pnor[o,any roofing material being installed.... . ... ....
Will'hppl u,m f 'Id gocap m :< q a ro see case ssmcn' If a roof is insialled without first obtaining an inspection, I agree to remove
r husstdousarlaminations M defined by rh Boy A Ai O ty M g mem
Disrd all new materials for inspection. Applicant understands,and will comply with
l(t1 oY t - " "' - all non-point source regulations.',
RJ' 1 1 have read the h m 1 rc
mrdous'nari, yuorcmena under Chapter 6915'of he
califomie Hcall, Safety Code.Sections 25505.35533 and 35534.1 understand that
Rds,building does not Cursemly have aonanr.that it ismy respoosibilhv ion°rifythe "' "-' - "'- - ----
'"Ta t or me milso emenrs which must Is, it prior to issuance of a Certificate of
°cCu 5 Gai/'� • ignature of Applicant Dale
-: Zj All Too overings to be Class "B"orbetter'
O e o mhodeed agent _ em
OFFICE..
Building Division
10300 Torre Avenue
6 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 1/4"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 Nam§/ &eel
Adds: ZO f1G ?i SCt/c:�g �Gtoiiri
Reroofing Companyi'0me:
Applicants Signat�: ate: 1'-Z0-!Q2--/
Joe Antonucci
(Chief Building Official)
6/25/01