03030055 (2) ;OWNF)'R'S
TY OF CUPERTINO
UILDING DIVISION PERMIT �v+ .R, C'�0'RIN 'OA' UN _
mOADDRESS: WINTER ROOFING INC PERMIT NO.
19950
NAME: 151 WYANDOTTE DR reaerr Lssu
MA
BRENDA CT. HOA
E: 4083638052 SANITARY NO. 12 C NTROL NO.
ARCHITFCnEN01NEBR: BUILDING PERMIT INFO
BIRO ELECTPLUMB MECH
OG LICENSED COWMACIOR'SDECLARATION Job DescriP tion
1 hereby allirm that 1.m licensed under provision of Chapter 9(rommmeing
with Section 7000)ofDiveior 7 of the Business and Profwium Code,and my license is
in run forte and"If 7� D REROOF
Llfullto a ' j.1�—Lic.p
_Gnlr.a+DELLAm REMOVE WOOD SHAKES, Ii�'tL�Wg ,& 30 YR.- CO
CHITELTe or
1 understand my plant Stull be used u records
d'
LlandProfeW°real APR 2 9 2003
OWNER—BUILDER DECLARATION
F 1 hen n,affiant that I am exempt from lite Contractor'Limnµ•Law for the
.p o following meson.(Section 7031.5,Business and Profession Code:Any city or romny
a which mqulma a pump to comeracL alar,Impmw,demolish,Or repair any structure
Prior m lis Issuance,also requires the.pplicam for such permit to Ne.signal sraement
that he is licensed pursuant to the provisions nc
of the Cantmrn s uceLaw(Chamer 9 Sq.Ft.Floor Area Valuation
C.$ (commencing with Section 400)of Divldon 3 of the Business and prolessions Codc)or ,
3 met he is exempt c oncerrom and the but,for the alleged evmpnom My violation of
Section 7071.5 by any applicant for a permit mr jece the applicant 10 a civil penally of APN Number Occupancy Type
not mem then five hundred dollars(5500).
01,u owner of the Property,or my employees with"gun thekwk compeuation, 36943008 . 00
wnldotlmwmkmdth.mei mismunundedaronemdmr'au(Sa.7044,Bu'heu Required Inspections
and Predications Code:The Contnsmr'a Liaise law does not apply m an owner of q P
propcnywhobuild'm lmprowalMcOmAnd whodOeseuchworkhimulrmduough his 305 — FRAME
Own employem,provided that Such Improvements ane not Intended reoffered for SOL If. 307 — INSULATION
however,the building or improvement is sold within oa Yen ofoompletlon,mm—I-
builder w 11 brow the burden of proving that a did Out build or Improve for purpose of 601 - ROOF TEAR OFF ..
ate.).
602 ROOF PLYWOOD NAIL '
❑1,as owner or de property are exclusively contracting with Ikeved ronmemn to
construct the project(Sec.7044.Buslmss and profession'Code:)The Currummes Lt- 603 — ROOF BATTENS '
cera law does not pply to an nwmc of property who bulla or improve themon.and, 604 — ROOF IN—PROGRESS
who contracts for such pmjcm with a cool setor(s)licensed Pursuant On the ContrectoM1
Llan Law.
❑l am exempt under Sec. .B h P C ren this moon
I
er DateWORKER'S COMPENSATIONDECLARATION1 hereby affirm under penalty of perjury rete of the following dedwtlons:
haw and will mainWn a Cmificam of Connt 10 self-Inm far WalkersComper-
n,u pmvided for by Section 7700 or the labor Code•for the performance of the
for which this permit is issued.
and will maintain Worker's Compewtion Imran'•u required by Section
f Ne labor Code.ren Ne performance of the work for which this permit It load.
Workltt: 'Polity No.:GbG�
IPI A 0 EXEMP110N FROM WORKER
COMPENSATION INSURANCE
(This section need not be completed lithe permit s foronc hundred dollars(SIM)
or lwJ
_- 1 certify that In the perfomana or the work for which this permit is issued.I Nall not
employ any person in any manncr sat as to become subject se the Workers,Compensation .
Laws of California.Date
Applicant
NOTICE To APPLICANT:If.after making this Ccnincae of Esemption,you thrum
become subject ea the Workers Compc.tim provisions of the Ialton Code,you mum
,J ZO forthwith b
with comply with such provisions or this permit shope deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby�on let Wert is accutruulon lending agency fordo performance of
g4 the work for which this Permit Is issued(Sec.7097,Civ.C.)
W Q IarWcr'Name
z Landers Add..
U 1 cerdry that 1 have read misapplication and We that the show Information is
U. comm.I agree to comply with all city and county ordinances and mm t,ws miming to
0 building e)agrel n.se e hereby saw,
d mpmsenutiws of rob coy menmrupnnme
W .boyo-mentioned property for Inspection purposes.
(We)agree m ww,indemnify and hap haynl City iv Cupertino admin
.yy Ihbllities.ludgmene,costs end expenses which mryl yvny aa7m against mid city
U In coAPPLu1CCA naUN Eof the RSTAND Aof tAs W t PLY WITH ALL NON-POINT Issued by: Date
h L
SOUR d. ON .
Re-roofs
Sign re f plies Com Im ' DN TyPe Of ROOF
f AZARDOUS MA •RI ALS DISCLOSURE
Vlll the applicant car future Wilding occupant none orhsndlc harWom mamrial
IS nod by tle Cupenlno Municipal ode.Chepmr 9.13.and the Hcalm antl S.fc1y
I
d..Section 75537(.)7 All roofs shall be inspected prior to any roofing material being installed."
OYU 3+•U
IWill the applicant or future bei g Occupant use rqulpmenl of devices which If a roof is installed without firs obtaining an inspection,I agree to remove
it hamm�u.air ceotaminanm ncd by the Bay Area Air Quality Management all new aterials for inspecti
amict7❑Yes ❑No
le reWthehaurdmsmemnat,mqul nuunderChanmrA95orderGlimr-
Hcal SeielyCode SOctiou25SU5. 57 175534.1wdcnwdmuiftlabulkh.9s rely hew a enam poulbilily m mtiry me occupant am rets which to been o I angora Cceillemo fOccupan Si afore of Applica Date
ar.ntharirma.g `'o,m � All roof coverings to be Class"B"or better -
Community Development Department
' Building Division
City of Cupertino
10300 Torre Avenue
CITY OF Telephone: (408)777-3228
CUP[kT I N n Fax: (408)777-3333
Building Department
Subject: Re-roofing policy for the City of Cupertino
1. Prior to permit issuance,you must agree to comply with 1997 UBC Standards
and manufacturers specifications on re-roofing.
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 re-roofing
is completed. x
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) Pre-inspection 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 a proper City inspection can be performed.
IMPORTANT:
1. Flat roofs must have a minimum of Y4" 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 on inspection.
I understand and will comply with the above stated policy on re-roofing.
Homeowner's Name:
Job Site Address:
/yrs a�►1 da GJ�
Roofing Compan me: it
A plicant's Signatu Date:
Greg eel
Building Official
Revised 1/30/03
Printed on Recycled Paper