01090024 (2)I
'CITY
of c DIVISiONSINOPERMIT CONTRACTOR INFORMATION:
BUILDING,ADDRESS PERMIT NO.
7538 DELA FARGE DR R E ROOFING & CONSTRUCTION INCO1090024
OWNER'S NAME: APPLICATION SUB DATE
JONATHAN & ANNIE WU 108 OAKLAND PL 09/06/2001
is
HONE: (408) 925-9995 SANITARY NO. CONTROL NO.
5,-,. ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
L1
i
LICENSED CONrRACfOR'SDECLARATION Job Description
0 1 bercby affirm that I am licensed under provisions of Chapter 9(commencing
„rq
vith Section 7")of Dis ision 3 of the Business and professions Code,and my ficents RE-ROOF
is in full rc < forceae c1.7LittnssCass q-lR -T Z�y q cit
Lic.p 1 l I
0n1,
Dme Con
t a O a: n ARCHITECuCLA
g 1 unJerzand_plaru shall C usese D d ds
irep O Licensed Professional
m�- OWNER-BUILDER DECLARATION'u, 1 hereby alirm that I am exempt from the Contractors License row fur the
F z a fullowlug reason.(Section 7031.5.Business and Prom,ions Cade:Any city or county $16423
u pr
E O whichreqesis
uirapermit construct,alter, m
Improve, orpairany structurestructureior t I e.W. .q th ppl nl fur such pcnnil to file is sigarea
n - (co M1a I n scrip is i 1 I )h pro of the Conrxols L W (Chapter 9
.�k.. Valuation
(commencing withS ,i ]WO) Divisionf3of Urc Business eProfessionscadej (.:i-!\ r t 3�����9[:�'@Pf3`s 1. ..e._r?' `
or Sectio is 31.5 b thercGbm nod the back far alleged c]empuw,Any violation
-ar Seca.,crura]O3L5 by any hundred
ddlsson fora permit wbjms Ne applieanno a civil penalty 3 0� N �LV'If.2k E ` ..
rarnat mort Nan',i.e wnarce ammm ISsooy P r '�1 Occupancy Type
❑Las nwner of the property,or my employees with wages as Nei,sue compensation. - !'
-
will❑o Ihe'wmk.andl rwrotanurt is car intended or Water for sale(Sec.TO4s;' '
f BnSimi- arta Professions Code:The Contractors License row does not apply to an - 601 - ROOF TERNu0RRnspectiohs' .1'A1I
awrmr of pmpeny Who builds or impmvc,them..,and row does such work himself 602 - ROOF PLYWOOD _NAIL _ _
cr througgh his own employees,provided Nat such improvements am not intended or
-oRemdf _. .-_ - .-_ -- _. .'.__--......... ..
sale.If,however,,rte building or improve rov n,ala he and one year of 6 0 3 - ROOF BATTENS :;o---- ---
xdtpletro�.Neawneo-wildcrwiunavelnewrdenarpm.ingNalrteaidnotwasm •:���,;,� .c. .
impmvemrpupo'eafwle.). 604 - ROOF IN-PROGRESS
❑1:as owner of rhe property, t.Burin verycontracting with 14em¢d so isacwrs w -
c swn Loutheon,.1(See. 1. Business and Professions Code)The Carom rear. t .,I 11 1
_ aid-wh aw unw .f apply m r owner,th promar who wilds se mpmves Nto the I - '
onvactoronvxrse La such ryojttls wiNncommmons7 licenud.punuam ao the ..._.-. ____._- ...._____....-...... .-_._- __.
and whose .._._.._._ .-_ ...__.._.-____
C Last .. --
❑lam aempt under Seri `s "" -;B&PCfor this mason IWs i)c.- ill-J.'D
"WORKER S COMPENSATION DECLARATION
' 1M1ertby tiffimu der pe ally of per) yoAc of the following declrions:-
Cr I have
rnintand'rill provided
o -by Section
ofConsent of
Labor
for Worker's
Comsmancon; r provided farby Section 3]00 of Ne wwr Code, for the
'pafwmm,ec of the work for which this pumit is issurd... s
1 have and wtll'mStnu n W A Compensation Insurance,as required by Section
3 of rbe Labor Code far the reffamsence of the wort,fine which This permit is
isoi1 Y CERTIFlCmpe sot I. mn d Policy be
.. C ,u. ..
ee M W rk C q e� e/
C m - Polity EXEMPTION FROML OR V RSVn 0 tt)) 1 t -
_ ATI OFCOMPENSATION
INSURANCE WORKERS' C t,r n l ♦I�. �♦ l ! 4I- its,
trace COMPENSATION INSURANCE
'' 'I k(Th roti dnoi bec^mpleted if the permlis for one hundred dollars MIN i'1 " t •>:) tr' . .1:1; ----_-
SI ) )
+ I nfY lhl nthe pert rtn C fN rk'f "ch th perm r' wed'I' ••tris .',crf N .•' .-•-` •-' _..__ .,, .
hell t pl y'ny pc o y mummer to become b)ecno the'W then'
I CamperrI it. Ladk of Cabfmna
.Dam
-'Applicant ,:..:. .. n,..v. ..: ......... . ..._..- .._
NOTICETOAPPLICANT If ❑r ak' gNtCm'fc t
O Z benh
Zmch rh b)eerl Woke Confirmation,Pro sa of
wtim Codex
_Ny alt rap ,relh pc t hllbedi drt ked
. - . _ -. ____-. ... .... .. ...... .. .... ._
.F ^ tl' 1 r'COYSTRUCf10N LENDNG AGENCY I ,' 4 "'t t' .
to Ihertby ffrm Nath cat swa nl d gagencYf N<pert rttwnce s,C.
�7 unit oAfo tich Mt permr s .su'd lSc 309] Cv.CJ - '" '
f�aer Adtlrcs ' ' '
len
UO
s ,:-,I enify 1ha 1 hav d th pplicau nand uac rhenh bosc nfartnanon is
aL (.. <errin L g a o pIY N II 'iy J c ry ren arM Ser 1 celming
U _t build' g .r t n tlh rtby emh i rtp sett rrh 'ymr,upon
�1 th aF d p pe,Y f pec, n P ryo es.
[-: 0. IW ) g rade nlf) dkeep hartnles.N City fC pcn'nn Atrat
W 1 b'I;' 3dg i cal rq pc,nses wh h y' enY way sin usaid' oo,_�
U Z q t ^c ^DGR$TA.W^�ng DTWILL COMPLY 0.'RHALL Nq Y.�q15T
sof E n ts.�� 1,1;. `11�101Issued by: Date - d�
of Appl cam/Go t ,.' DoleReroofsHAZARDOUS AfATER1ALS DISCLOSURE --
,1soW II the applYa l o f 1 w Id g oc pant sro ar hanele haraNwts t mmof Roof..
Ocfin d by the C put Mu I Code Ch q 9 12 and the H alth d Safety -Type.of -
Gode,Section 255320x) `F �'
1 tore :7 f, M1t I frl, x9^ ' ! r i. A.('B•' a .fl
roofs shall.be mspected.prior to any roofing.material being installed..-
wnm ircom t rot n igngrc a nl a eq pmemo device.,whih' If roof is installed Without first obtaining an mspechon Pagree to remove
mlw d co tam m a tlefined by ln<B yArteA r Qu ItyM n g mem
;Mn!
ne atenals for�burregu6la inspection Applicant understands and will comply withtp
-_
6Y
" r F . I, all non- s .,q
I
have read Ne hazardousversals niqu mcnm der CImp,v 695 of,, 1`
.Cal Tom a H rah&S'tery Cade Sections 25505 25533 and 2!1 I u^dust rad Nati ewlengdoenot n0yhve mv^m rh , t y spo tyt na'fy
cAll
t ,h q eme t h ch must rte m r p r m'Isiuence of Cen f me of
Signature of A_ pplicant
Owner o trium - . * Dare All roof coverings to be Class "B" or better
14 _... .. _ . ..
L.
t li`,l c. l - -.. .,--•: .I ....._ . OFFICE- - - - - -
-
\ Building Division
10300 Tone Avenue
Cupertino,CA 95014-3255
• w Telephone: (408)777-3228
CITY OF Fax: (408)777-3333
CUPEI�TINO
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 pFogress 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/" 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.
1 k ^^ � l /
Homeowners Name: �b Nnl A)\/ S .Ate I.1 li✓ V V U
`1 '2I /
Address: �' L-A (A RC,-'pL-' �IZ. t✓I.CPt�u t +Ju.� �`��I I
Reroofing Company Name: L To c>(I tv 5 CO 4 S T-P-u GT I,fN r�
Applican `� �Signature i Date: b I
l � �
Joe Antonucci
(Chief Building Official)
6/25/01