01090042 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
I BUILDING ADDRESS. PERMIT NO.
7554 WATERFORD DR JIM KRAUSE ROOFING 01090042
OWNER'S NAME APPLICATION SUB DATE
MOUNS ALBERT L AND JUDITH C 2310 DIANA AVE 09/10/2001
PHONE: (408) 779-0704 ROL SANITARY NO. CONTN0.
q o zo ARCHITECT/ENGINEER: BUILDING PERMIT INFO
<U BLDG ELECT PLUMB MECH
RC1 L=1 I I I l
LICENSED CONTRACTOR'S DECLARATION
;zy I hereby affirm thm 1 am licensed under previsions of Chapter 9(commencing Job Description
,n 1-u with Section 7")of Division Sof the Businessmd Pmfessiom Codc.and my license REROOF
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is in cffe' 34 Lek S/ T/O 2 ROOFS, RESHEET 1/2 CDX,
i3°LLQ irate c„mmcmr 30 YRS . FELT. ADD 40 YR. COMP SHINGLES .
ARCHITECT'S DECLARATION
°g I undmswnd n,y plans mall w used os pfbli rccom
Licensed Professional FI MA LE D
_ OWNER-BUILDER DECLARATION
I Hereby affirm thm Pin m ex empt from the Contractor's License law for the
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5-0 R,llowingreasw. emits ]IDLS. offer.improve,
Professions Code:
epairay structure z Piz 1 req Permit t construct. Iter.wpmvc demolish pm d ... SEP-
pp
mm poor t a1.c q Inc PPlisam La such pennnt fk geed statemem- - - - - _.-- SGL.1--8-.2001-
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Nato al edpbrs„ 11 thcvmsdansartheContmnor L u (chnpter9 , I.,, S Ft:FloorArea uation -
(m g ithSect ,'nxxlj ro as,w3oftheBuane ndProfessionsCWc) s LJti, . .. q', ti,Fl ) �.. ;>,lj,.�j Jf?'i • I $lOBIVi�
or Net he is exempt therefrom and the Vass for the"1hiell demption.Any violation
of Socian]031.5 by any applicant for a permit subjmss the npplicanna a evil poselty R1 III n1bir,
of a., me he,five hundred dollars(S5an. 3 6 6AW'b?11?ItSO 1 h upancy Type
°1,as owner of the m.Peny.nr my employees woh w'uges av their sole mmpensmion. 1
- will do he wort:;and the stroctum is not intended or offered for sale ISce.]BMF
.business and'Professions Csmc:The Cnmramors License Law docs not apply to ria 305 - FRAME Required inspections:',' •'
owner of progeny Who builds or improves thereon,and w ho dcacs such work himself 307 - INSULATION _
or through his own employees,provided that such improvements are not intended or
offeied for sale.If,however.the building or improvement is sold within one year of 601 - ROOF TEAR _- OFF "1 ,�„ , .
completion,the owner builder will have the burden of proving that he did not build or t
improve ferpurpnseofsnle.). 602 - ROOF PLYWOOD NAIL
603 - ROOF BATTENS
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I.as owner of the property,no exclmivel, um.tirg with licensedn ca,am to
. - e oranmt the Project(see.row.Business gad Profecsiem Code:)Toe CanrsetWx 604 - ROOF IN-PROGRESS
License Law docs not apply to an nvoc,of progeny who wilds or improves thereon.
and who contracts for such projects-with a cmnmctmos)licensed pursuant to the
Conuenols License law.
°I am exempt under See' t•' .B&PC fonhis reason J ).':r�,lt!lvt'
WORKER'S COMPENSATION DECLARATION
1 hereby from under penalty of perjury one of the following drelaromm:
❑ 1 have and will maintain a'Canificate of Consent to selGinsurc for Workers
Compensation, as Provided for by Section 37M of the Labor Code, for the
perfomtwcr of the work(or udtich this permit is iaud. ,
have and will maimhln Worker's Conrpcsi uiioo Insumnce,as required by Section
JIBO of the labor Code.for the performarnx of the work for which this Permit is
Co 4'ork ex Ompe-a ion Inum rid Pdl y M1r arc: _
C1 dM WCERTIFICATION OI ..•.« __ .. _ ____ _..
yN ^r%'1 9 ?"I':
Mic lON FROM WORKERS - - t '
COMMSATONNSURANCE-�"_:'.''l _
1 Tit",e,iod need net be completed if the permit is for one hundred dollars " '",
_ . ... ...• .. _ _. L
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cnO'fAy thea in thpeI1dmoh:more'
f gth
k for whch th Permit is issued.'
ahillWorkers'of employ i nY anstbreathbj tlh`
Ccon,sk.tion lAw,of CPhfomDam
A licant
z bcc b ntucW.,Ic .0P« pmWide..on.,
forthwith complywitM1 uchpromons m this ,shall bed md revokes.
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i2:;',!1 I t �ti. a•.f1n,•'.
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." ' " CONSTRUCTION LENDING AGENCY s
1 hro by uffirm chat then is o conmmnimn lending agency for the pet Prue
of the werkYor which this permit is isxwd(Sec.30x1 Civ.C.)
L-Q Lender's Name
finder's Address"
"V lcerify that'•have resdthis application and smtethm the above information is
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W'[.. i.I agree to comply with all city and county eminences ford state laws relating
O.f� m Wildingeonsiruction.and hereby authorise representatives of this eitytoemer upon
the.bone-memiopd progeny for inspection purposes
F y (We)egmc!tosave•indemnify and keep harmless the City of Cupertino agaimt
In liabilities,judgments.emu and expenses which may in any way accrue against said
t�h City in comcqurnce nfine ruling of,h.s permit. '
APPLICANT UNDERST S WILL COMP 'WITH ALLNON- INT Issued by: Date
SOURCE REGULATI 9�0 1 y•
SignmurtofAMlican convmtor Date Re-roofs
HAZARf�U 1ATERIALS DISCLOSURE,
. Will the ititinaat V,trice wilding occpani store or handid nammous materia. Type of Roofas defined by the Cupertino Municipal Code,Chapter 9IA and Ne Health and Sefitty
Code.Sccuoa Z55321e1. •,fife
°Ye 17� " '' ' ' All roofs shall.be inspected prior to any,roofing material being.installed._
°wecon applicant or finfinear bolding accupam use egmpnenwr devicea which If a roof is insialle' d without first obtaining an'inspectiolij agree tdremove
emit haaardous air mntam,nam,as defined by the Bay Arca Air Quality Management.
Diad. all new materials for inspection. Applicant understands and will comply with
t °Y 'C..' "9 ` all non-point source regulations',, ,,. ,,:.,,,,,i-
"� 1 have red the ha antums.material, q mems u d Chapter'fi 95 of the
cshf6unm Helth&Sart,Code.'S b 25505-25533 and 25534-I mckermsed that _ Q
if thiw.W,led g doe_not dy h te t thm't .my mspon'b l ty t notify thr
occupant of the qai rots which ntid be con prior to issuance of a Ceniftcme of
Occupancy..-
Signature of Applicant Date
ownerar natnnd=<d.gt - r' 6 wt� All roof coverings to be Class"B"or better' ,
jr . : . OFFICE
Building Division
10300 Torre Avenue
Cupertino,CA 95014-3255
Telephone: (408)777-3228
OCITY 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/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:
Address: 15 S4 ti 6t
�
Reroofing Company Name. —
Applicants Signature: Date: 9 / O o
Joe Antonucci
(Chief Building Official)
6/25/01