02040118 CITY IDFNG opv s[ONNOPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
751 STENDHAL LA CAL-PAC ROOFING SAN MATED 02040118
OWNER'S NAME: APPLICATION SUB DATE
WEISS RONALD J AND MARLENE S T 2515 S EL CAMINO 04/22/2002
PHONE: SANITARY NO. CONTROL NO.
7_116 (650) 286-0450
ARCHITECTIENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MF.CH
LJ I—l J l hereby afrrmFiha EDmlicensed ONTRACnd rpr DECoW Qf Cha ter 9(comencreias Job Description
withSatioa]WO)ofDivision3ofineBasin�yandPmfessio gip« an my ' REROOF
Podforce an g. vuyx cls ` �J" Li= « INSTALL DURO-LAST OVER EXISTING FOAM
y Cnnv
ARCHITECT'S DEC
1 unaersmnd my plans shall be uxd asp a,records
i �
3 6 p O Licensed Professional
OWNER BUILDER DECLARATION
6-
m 1 hereby afnmn that 1 exempt from Ne Comractor'e License Law for the
?C following mason.(Section]031.1.0.RosinProfessions
ess and Code:Any city orounty
c
which requires n permitfrit roe conwm,alter,improve,demolish,or repair any swcmrc
prior m.lice eciptalso requires the applicant for such Compactors n file a License
Lawdsaumem _.-_. _ _.___..__... _
e - mat Teiklicenadpb{soon;t9 thePiovivonsofthe Contracm(sLicenseLew(Chepmr9 r .S F[:�yloor,Area ovation
(cammrncing with Seedon7")of Division S of the Businessagqd 77rofeuion's Code) `.(fl"e'AIZ!:k9'1I.ILi. l.:a'\t?t;ll Irf_t_1`
ce that he is exempt theinflom and me basis for the alleged mean tloft.Any violation
-of Section 7031:5 byatry applicant her.pandit subjects the.,heanno a civil penalty
.four more man Eve hundred dollars 15500). A umber Occupancy Type
❑1,as owner of the property,or my employees with wages as their sole compenation,
-will-do the work!and'the'stractor,is not intended or oflcrcd'for sale(Sao:]()44,-
306 FRAME
Business and Professions Cade:The Cmd.ter'a License Law does not apply to an 307 - INSULAT f�effired Inspections
owner of property Who builds or improves thereon,and who does such work himself
or through his awn employee:.provided mat such improvements ere not intended or. .- _.. _. 6 O 1_.-__RQOF_TEAR._OFF -
-.
offered ale. wer mellbant p of prmnis ram within noty Wild of 602 - ROOF PLYWOOD NAIL
completion.the owner budder will have the burden of proving that he did not build or •
improve fift"mposeof sale.). 603 — ROOF BATTENS
--------- -
cti
r ,; gLauctthegnfthe p(Sec.7044,Business
ci�Business and Professions
Code:)
Tb conmanorsro _04 - RO N-PROGRESS
construct the project(Sec.]1W4,Business dna Professions Ctdc:)The Convactor'a r p'�,{
License Law docs not apply to an owner of property who builds or improves thereon,
-• .-and_whocontracts.for soch.prolecu with.a.contrmmr(s).liccnsed-pursuant in the_
- .._..__ - .....o.. _
Contractors License law.
- ❑1 am caempt order Su. ,B'6:P C for this reason -
- Owner Data
WORKER'S COMPENSATION DECLARATION t
Thereby storm underpenally al'pnjmy one of the following declautions: .� a
❑ 1 have and will maintain a Certificate of Consent to self insure for Worker's 1
Compensation, as provided for by Section 3700 of the Labor Code, for the
- pertomance of the work for which mix permit ix issued. •
❑1 have and will maintain Worker's Compensation Insurance,as inquired by Section
C
3700 of the Labor Code.for the performance of the work for which mu m pert
isiue My Wa kcr's Compensation Insurance c e il o
nf y n mbar are:
ION Of .Pol cy No - r. r ,�• e r{ +a n
CERTIFICATIONOFETIONI S OM,WORKERSk t1- { I.St . " t'. a.� Y.Y al.y'.,i,} s• \;
COMPENSATION INSURANCE' _ _
_._-. ... . .___.,. _ ._._..-_-.
(Thii section need am be romplcted if the permit is for one hundred dollen _,J:
,(SIM)to less.) .
'-'1 minify thnyn the performance,of work for thispermit roue! I
all not employ any Person m any ma the
so as to become subject to WorkersCom an Laws of California.Date
Applicant
"
NT
NOTICE To APP LICAorkers Compenter sation
this Ccminso oeLabor rods.rim
should
Obecomesubject y it Workers Colon,or tiara provisionofthe Labor Cade.d, must
foM tth c reply with men p 'ons or th pc 1 mNl be deemed revoked,
4 CONSTRUCTION LENDING AGENCY
u_�0. 'of the walk far which
1 hereby met ureic' n woe on le d' g agency f th'performance
hich m s pe t tied Sec,309] Civ.C)
:�.Q 'Lends Nemec"... _ .-: •.. ,+ � ;�... ,
7.z Lender's Address"'
1 lenity that 1 have mad this city
and co and sate ren the above information relating is
r3s U torrent.l agree to comply with alleb city oho counry;odi tiv es and aura laws enter
upon
C.r, dicabove-mentimmiogand he rebymmoctoplarcs"natives of meicity menter upon
-Lrd she above-mcmioned pr pen or inspection pvryoses.,,
L (We)agree id sm, emnify and lya)harmless the City of Canonici,against
Gw (A liabilities,judgments y end expcmye_ Ech may in any wayaccrue against said
6,1 City'in cons ue sy fate granfin9 P pecom '
AP Lf �sDERSNANDSA ILLC&PLYW9T LL NON-POINT' Issued by: I Dille
C-Bille"iftlK ofApplicanU onr ar t- ' ata Re-roofs
HAZAR OUS MATERIALS DISCLOSURE
V&'
II th caMlicannorfunim hildingoccapantsioneorhanalle lateragoot material Type Of.Roof
-us declined by the C.Inertim.Misariciptil Code,Chapter 9.12,end the Health ad Safety
-
Code,Secton25532(e)] '� s , ' ,) 1 s`• - oYJ'tlf 5(s / r:v''tCr. '
[7r` _a-�1I(^�C. _ , f t _ _ All roofs shall be,inspected prior to any roofing,material being Installed.
W II die 0 I'cant ar future Wilding occu t use
pP g wn woe preen!at degas which If a roof is installed w' tat firs[obtain' an'inspection;I agree[o remove
emit hazvao s airoonutmnanu u defined by the Bay Area Aa Quality Management
Disn to �d`�'.','�� all new materials i pection. Ap I nt understands,and.will comply with
..1 - -
°y" alCnon=point's" egulations;
1 have rend the duos materials rt menti'under Chapur 6.95'otthe
CdtPomte Hbalth&S t ode;Scetions 2 ,25533 and 23574.I undersand that
ifthe building does randy have at .that it is my impossibility to notify the " '- • - _ "' r- 2.
occupant of the renter which ma prior a issuance of a Certificate of
Occulassawnature of Applicant Date
t 2
rmad agent Dan, All roof coverings to be Class"B" or better
- --OFFICE . . _. - . . .. .. _ ...
' r
Building Division
r 10300 Torre Avenue
W 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 Y"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/Jreroofing and will comply with this policy.
Homeowners Name: D�QY�X /� vC2J l
Address:
Reroofing Company Name:
Applicants Signature: LC9ES2Date: ^ �—02,
Joe Antonucci
(Chief Building Official)
6/25/01