02050119 'CITYBUILDING
GDPERTON PERMIT NFCONTRACTOR INFORMATION:
BTTM8DR9
OKES AV GEORGE AND WILLIAM TANG PERMIT NO. 02050119
MtKn' AND WILLIAM TANG A�`�f�l B 2
1 PHONE: SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
m- BLDG ELECT PLUMB MECH
m 3 LICENSED CONTRACTOR'S DECLARATION Job De$CTIpIIOn
i z- i hereby off rm that i am licensed under provision of Chapmr 9(commencing REROOF
wFu9 with Section 00ffiof Division 3ofdo Busincssand Prdmoions Code..4.1 hear.
;yE is in full force and effect. T/0 SHAKE, INSTALL COMPO. SHINGLES
:z e< License Class Lit.p
O n Data Contn
3 u. mor
u.Ie ARCHITECTS DECLARATION
°-oo S 1 undcrsu n l my plans shall he used as public records
3.O2 O Licensed Professional
oc OWNER-BUILDER DECLARATION
1 hereby affirm that 1 am exempt form the Contractor's License Law for the
Z< following reason.(Section 011315,Business and Professions Code:Any city or county
f cc 0 which requires a permit to construct.alter.improve dnnolish,or repair any strvcmm
i3= prior to its issuance.also requires the applicant for such Permit o file a signed statement - - - 0-Q -- - - - -
thatheie,liccnsWpufsuaono the pro,kiomsofdaContinuous License lnw(Chaptor9 S Ft. Floor Area , , -- Valuation
(commencing with Section]000)of Division 3 of the Busipes;and Professions Code) . , .q'
or that he is exempt therefrom and the basis for the allaged exemati d.Any violation - �3 2 6 49 011':0 0''
-ofSmion 7031.5 by any applicant for o permit suli the applicant to a civil Penalty
X1,
of net m..than five hundred dollars($500). APN Number - Occupancy Type
_'X1,asowner othe prop6ny.ormyemployees with wages astheir sale compensation, 305 - FRAME
will do'the work:and the'structure'is not intended or offered for sale(has )ON, _
Busmos and Prnfexsions Code:The Contractors License Law docs not apply to an _L M3 J / fired Inspections 't'
owner of properly Who but Ids nr itnpmves thereof,uad who don such work himself 601 - ROOF TEAR OFF
of though his own employees.provided that such improvements are not intended or,
offered for sale.IL heweeec me building or imdrovemem is sold wimin one year of 602 - ROOF PLYWOOD NAIL
'completion,the owner-builder will have the burden orproving that he did nm build or 603 - ROOF BATTENS
improve for purpose of auto.).
--- ----604-..- --ROOF IN-PROGRESS- -- _
❑Las owner of @e pseeny,am Buinssexclusively d Not ing with licensed Connors to ' -
c
License
the does
n (Sec. to a ow and Professions a,eep The Convenor's t •t
License Low does of apply man owner of property who bolds s improves thereon,
..and wctoes veers far such projau.with a contrectorts)Iicensed.pursvvnt.to.the ___. -._. -. . . _ ....... ..... .. _..: -_...._ . ... . . ...... . . . . .
D I am axe License Law.
❑lam exempt un cr Secy - ''� BB&PCfor this mason
, - F nNPL f��•` ®OwnerJ ? IW KERS M ENSATION D[ LRATION ;t
I hereby affimt under penalty of perjuryone of the following declarations:
AUG 1 OJ 002
❑ 1 have and will'maintain a Carol or Content to self-insure for Worker's /'T l]
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
BUILDING
O 1 baseand will maintain Worker's Compensation Insurance,as iequired by Section
3700 of the Labor Code,for the performance of the work for which this permit is
i.sssued.My Worker's Compensation(mammae armor and Policy number arc:
Com w 1 .'piscy No: : .,. ..
CY.RTIFICATIONOI:SXEMnIONFROMWORKERS t' ( • ` l t I: f' -
._.. COMPENSATION INSURANCE' " .... __.._................ ...
" '(Thio senior need nrn be rompincd if the permit is for one M1undmt dollars '•t•It •I . .• -, .. ) ••
III ter lncc) t
'I certify th t in the psdonniance ppff the work f which tb.pe ns iuued,i - - - - - - --
shall i employ Y Pers n yq�{nq s a to hoc me. M1)ect to the W,orkcrs'
✓✓ p
Cnmpe i Lgw�l of C l f S��>'I f'2
ApN lC/ - -. ._ ____-.
'NOT APPLICA If h ki g th C n tic t f Exe pt y should ••
bac ,I notheW k C pc at provisions of theLabor Code you must
Q 0 fonhsdnh comply with such provts o is or this penin shall ho deemed rc oked.
1
t" En a CONSTRUCTION LENDING AGENCY'l herehYaffirm thm there is aconnrunim lending agency for the perfrrFnance
.rw of the work forhi
wch this m m uis issued(Sec.309]:Civ.C.) _
Londe N - - _. - _ .- ..- -. .. ._.__
ps Londe Add o I
I a n f5 that I have mad this application d state that the above information is
Ise t.. ea but 1 g e to rnon,a th II<ut ntl tY d es a d.to I luting
-W thbuldmgconstmcfon ,a,,for
mp movesof th eerytoenrer upon
r.C. the uhu(We)is Tee 16 save.ny fnr Irxspe d keep
p harmle.,,
C.O. (We)6grce rix. co ad hisfy a,,pdoxx who hamay i.the way r ere,Cupertino.l against
aid(p liabilities,judgments.f the and expenses which may in any way accrue agemn said
U ^ Ciry in consequence of the NDSgoading D thisWH permit.
_
APPLICANT UNUERSTANDSANDN'ILCCOMPI-YN'IfH�AILNONPOINT Issuedb r Dale
SOIRCE GULATI 'S.'.' =I. Y
- oamrc of APP mdo otnr or - - " '•Dam'
',HAZARDOUS MATER(ALS DISCLOSURE,j';' Re roofs
L '
C Will the'PPlicant' future bolding occupant store' 'r handle bidordous material - Type Of ROOF
as def nrul by the Capco o Municipal Code Chapter 9.12.and the Health and Safe,Y ,
ode.section 25532(a) f(
Cl yes .. .. No ,I. tT v • .
° �r' -f _.--.All roofs shall be inspected prior.to-any_roofing material-being,installed.
•,
Will the applicant or future Wilding occupemuseequipment or devices which If a roof is installed•without first obtaining an inspection; I'agree to remove
em t Islaz
ardour air contaminants as defncd by the Bay Area A' Q ahty Management
DisnlmY all new materials for inspection. Applicant understands and will comply-with
❑ve: all non-point souice regulations.,
Ihave read the h.n d nbteri 1. q u c t� d Ch pt 6.95*of the
C.hpwni.Health&Safety Coda,Sections 25505 25531 and 255341 ndon,und that
tfshbultl g❑ ore
arequirements 'h h h actor must ant th tl mYrc poo bl'tyt notifythe'- /����_ • ' - /v -�/ZI/d
c p t f thebma e pn r s e' f C nifica¢of X ///111 ✓/
O` "n`y
t
lgnatureApplica Date
_ .,, )-/2- So
� D -- . . . ._.. _- -. .. ..
owner or anuorreda ant
Data , All roof coverings to be Class"B"or better
,v.,.,..
OFFICE r - ._ ._ . _. _ .. _- . . . .- ..
• Y
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.
--'i 1) Preinspection and/or tear off approval.
2) In progress inspection approval.
3) Final inspection approval.
--j 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/a"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: G E OR(a E TAk4 _ & W i L L I AM TAAJ6 .
Address: 10670 STy kES AVE - C i4PE9V AIO, CA . 9 SDIµ .
Reroofing Company Name:
Applicants Signature: �"'` Date: S�/
Joe Antonucci
(Chief Building Official)
6/25/01