01090022 1 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO,
10340 WUNDERLICH DR. TENG-I WANG 01090022
OWNER'S NAME: APPLICATION SUB DATE
TENG-I WANG 09/05/2001
;.PHONE: SANITARY NO. CONTROL NO.
MOO ARCHITF,Cr/ENGINEER: BUILDING PERMIT INFO
0— BLDG ELECT PLUMB MECH
ed
IJ LJ I_J L:.I
N z LICENSED CONTRACT'OR'S DECLARATION
: I hnrehy strum mat I ar11 reused aer pmaiamtt,of Chapter 9(eommmeing Job Description
'„t_W xionSection70IIOWDivioler3nfucBavims,andPmfeWor,Code,andmylicense REROOF. (PARTIAL) �p
is in full farce and effect.
F'9�A L Enasistal
o LL v Limned Class Lie.p u d SG
Dole Comrarm
3 ARCHITEm'SDECLARATION
u.0< I understand my plans shall he used as public records AUG 1 2 2002
ir,
I p O Licensed Professional
OWNER-BUILDER DECLARATION
n o a I hereby affirm Nat I am exempt tram the Conuamr's License WIN tar the 1 1'1 P',�
t U Z following reason.(Section 7031.5.Business and Professions Coda:Any city or county ilY KG
Z m e which requires a Namur to consuun,alcor,improve,demolish,or repair ane structure
63rd _prior to its issuance,also requires the applicum for such penniter file a signed romman- - _ - - -- -- --- - - -
OfdIle iSlicansed pnnnnnnmhe prosisiolInfthe Cammcon's License Ww lCkpmr 9 v L3 91F?0 hoyr.6 d • '4 ( Valuation
(commencing with Section 7")of Division 3 of the Business and Professions Coi ! " f
or that he is exempt therefrom and the basis for the alleged etemption.Any violation
ornot f 7031.5 iv any apphmm fora permit subjecss the opplicam to a civil penohy
at mom man me cornered amwr,lgdoel. 305p`P-N O4FAP$E Occupancy Type
❑1,u owner ofthe pmp<ny,or my cmployen wiN xvga oz their sole compemmian,
will-do the won,and the somemre is nor intended or offered for sale 7044,- 601 - ROOF TEPR2 dh8�'Ins actions
Business and Professions Code:The Commcmr s License Law does not apply to an q p
r of adpcoy Who hull&,or improves with d,=rend,and she doe, work himself 602 - ROOF IL
_PLYWOOD NA _
owihugh his own employees.pravidcd mte
at such mador,ennu am ad,intended ser
In lerod far ole.B,traveler.the building or impmvemeet L.sold within one year of .. . ... 663 — ROOF BATTENS
completion,the ownerbuilder will have the harden ofpr°ving that he did not build or
re mvefmpurpneeafsale.), 604 - ROOF IN-PROGRESS
1,as owner of the pra lenv,ren exclusively condacting with licensed cuntractors io
anstrvn the project(Sec.7014,Bmirress and Pmfenmos Cade:)The Contractor's
-' License Use does not apply to an comer of propany who builds or improves thereon.
m,
. d.who contracts for such prujecle with a conracmns).licensed pursuant to the -
rr. met nr's License Low.,
0Common,
_._. _.. .__.. ......____ .�.._ . . _ _. _. ..
1 lamcamonu See. Z n, `--' .B&PCfonhis season 1 '
Owner. )ate EC
OIiKER'S COD) ENSATI DECLARATION
1 herehy affirm under penalty of perjury ode of the following dttl....ons:
° I have and will maintain a Cenilicaie of Consent ti,self-insure for Workers
tk.. Corcelonian, as provided for by Semon 37W of the Labor Code. for the
pertormancc of the woA for which this pumit is issued. r
°1 have and willmaintain Worker's Compensation Insumncc,as required by Section
3700 of the labor Code,lot the perfamnmeu of the work for which this Permit is
_ issued.My Wl orker's Coal ma tion Imurenm carrier and Policy number are:' -
Cnm -' I. Policy Nt ". t . -'(l ; .,. ,s
CERTIFICATION OFEKEMPFION FROM,WORKFRS'I
CO
MPENSATION INSURANCE -.r.. .. —..._... - ... _ - ............----_....-... __. .... .._._......... ..- . ...._
•(This sectmn nacd not be eampleled if the perrnil is for one handled donate
($100)or less.) ..
, .. . _ . .. .. .: ....._. ..--- --............._.. ... .. ._ _... --__ _ __ . .
'• I cattily that in the periormance of rhe work for which this permit ix issue
shall not employ any person in any nner so as to become subject m the"'mko
edmp<ntatmn Caws of California.bwale
Aplitiodo
NO'FICETO APPLICANT'.If,niter making chis Ccnircmc of Excmprion,you should
become subject to the Workeri Compensation pmvisions of rhe W liar CW e,you'mu,t
Q forthwith comply with such provisions or this Permit shall be dmmed revoked.
Z -
4 • ' 'CONSTRUCTION LENDING'AGENCY
a ' "'It broadly affirm that there is a consrmctlon lending agency for the performance
of the som, or allied this permit•Is issued(Site3097.Civ.CJ
:"-= "Lender's Name
15
1 cenify than 1 have read tbir application and stare that the above information is
Ia..F correct.I agree to cumP1)with all ciry and county,ordinances and sore laws relating
0-V
to building construction,add hereby autnonte representatives of this city to enter area
_ me abave.mGnnnnr,d property for inspection purposes„ .. st
��.r y (We) ,mco Suva:Indemnify acid keep harmless the Ciry of Cupertino
apaito
L V) liabilities.judgments,costs and expenses xhich.may in any way seeme against said
V.Z City in consequence of the granting of this permit.
'APPLICANT UNDERSTANDS AND"'ILL COMPLY WITH ALL NON-POINT Issued b Date S 0/
SOURCE LATIONS.'! s_ia a•w v:
Si&tpt re o lip am/Cmum,mor ate Re-roofs Ovz /P /a y
HAZARDOUS MAT IALS.DISCLOSURE
ii,,I he applicant or future building occupant store lir handle mesdames material Type of Roof -
._ . ai defined by the Cdpenina Municipal Gale.Chapter 9,12,and the Health and Safety r r
Code.Section 25532Io1^,•:y. :.N _, ,d— t ' '
. ave, , . .�Nu All roofs shall be inspected prior to any roofing matenal.being installed.._ ._._...
Will the apprmm or come badams nttapam a..agmpment or ae.rm,wm=n If a roof is installed without first obtaining ark'inspection,Pagree to remove
emit hmordo.,air mmemirmnu os defined by the Bay Area Air Quality Management
Dismall _ , ..all.new materials for inspection. Applicant understands and will comply with
all non-point source regulations. .
I'have read he horadnus malarial,«quhemats under Chapel 6.95 of the
California Health gdoes Safety Code.Sections 25505:25533 and 25534.1 understand that
illbuildingof
a mcunently hoveamnunt.that it is my ezpomibilitymnotilythe �.�f illi' }/' .1
Occupant of the rtquirements which must be met prior to issuance of a Certificate of
se
� �� � �� . Signa[ e of Applicant Date
Owner-roar ,ea agent _ Date All roof coverings to be Class"B"or better
:.: t•r ^:... ... . . OFFICE .
Building Division
10300 Torre Avenue
'aY Cupertino,CA 95014-3255
fin.,,• 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 Name: TLr-'V 4 - 7-
Address: /034/
` ZAddress: `D3g ° h4tND C-2G/cy -Pe
Reroofing Company Name: (Ax
Applicants Signature:
Date: �D
Joe Antonucci
(Chief Building Official)
6/25/01