02040030 (2) CITY OF.:CUPERTINO'' -
BUn.Uwc DIVISIONFERMPI CONTRNF
ACTOR IORMATION. ' _...:_ . . _.._..." .
BUILDING ADDRESS. 1..... e:e. .r. . - -. - -
PERMITNO
105'58-.DEODARA'-DR .,-- ..•. . ._' WOODS _ROOFING._ - ). .f.__.._ ..,... ..... ._. ,._.. .0204.0.030. _..__ ...
.. , - . _
_., .. ..
OWNER'S NAME:: APPLICATION SUB DATE
SHARON 'LIU '& EDWARD DENG . 1020 HICKORY CT 04/05/2002
PHONE: SANITARY NO, CONTROL NO.
(831) 637-5576
o ARCH ITECT(ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
h a S I_I t CJ
u z LICENSED CONTRACTOR'S DECLARATION JOb Description
i� a I hereq vRro,ht, isi
I am licensed under provons of Chapter 9(commereing .. P
sit f.; with Section 7000)of Division 3 of the Business unit Podswims Code.and my license REROOF.
OWU
",in rmlrnrcea �a�'4 trace Z T/0 SHAKES, RESHEET 7/16" OSB
m z< Lcense la
0 Dae '/ /G-'3 cmtmclnr
?ypQ ARGHITEC 5DECLARATION ADD CELOTEX PRESIDENTIAL. COMP . SHINGLES .
1 understand my plana shall he used a,public recoMs -
'�Y
J a O O
Licensed Professional
w,q,h OWNER-BUILDER DECLARATION -
hereby affirm that I am exempt from the Contractor's License Law for the
!'Za following reason.(Section 7031.5,Business and Professions Code:Any city or county
p, C whichrequires a permit m construct,alter,improve,demolish,or repair any structure
tui- .pre t,its imenmal- tee . ther m O
such Lifesignedsut t
that hcs'Laes}dy f Mc Pool mons of doCommoners License Law IChp 9- S Ft' Floor Area
mot njwth Sem 7")of Division 3ofthB es dPr f a ) .-: .- Q�. natlOn
.1 hot he is exempt t f d thebasis for the alleged e� pion.Any viola�on 3 s r',' i_e,s --'- S]_0 5 U�
of Section 703156 bean for t subjects the
by 50 1 e pp v. p<nalty - pp ter }� - ,Occupancy Type
nr rent,nom man rvehundred e ran(axon) ,. . - 316"3C��f -l)� ..
r
❑I a fthep pent. y ply 1M1 i. t ' c ape -t - .. .... ... _.... _ ...... _.-.-.. _.. ... ._ __
will do therk- d to structure: - t intended a Be d f o,a 7094"
own imfyWho ca The-Contractor's:a L a t pplyl lf 305 - FRAME Re, wred lnspecttons =''I -
r of his o y Who builds or ,idCd firm
s thereon,and who does such work himself
"woe 307
or throegM1 his own empl yee. p J d th t h- p "Cr" tintended or
offered for vile fl howc er the building oP m s IJ -ttinone--- f .-..-INSULATION
- - -' - � — --_ -
Yc ro ...__. ..__ ..__.
' compeuon,thcownerbudderwill have thebattle.ofpronngthahedid notbuddor 601 - ROOF TEAR OFF
improeforparpomofsale.). _ - -----------.602 - ROOF_ PLYWOOD NAIL
_ . . - - - ... .._...
_ .. ...
❑I asm neinhne property. w.avb g.-mleenaed«mtraet.Oo, 603 - ROOF BATTENS
onswet the project(Sec.7N4 Business d P f.i ens Cade.)The Contractor's
q c .,.
License taw does not appy m an owner of propny who builds or improves tercon. 604 - ROOF' IN-PROGRESS "
.und.who conuvm,lfim s.Ch,P,.jectu won a.commnor(s).licsnsed pursuant to.the-. -
Comn ince License Low. -
.. ,• .• .•. •• PC for this rcason . . 'I�,'i✓•❑ .
❑lam exempt under See, ,B& _ •
Owner" Data
l' WORKER'S COMPENSATION DECLARATION
IhmbY ffirmon de,Penalty fpeprY one ofIh frolkoviiiirief tions,-
J ❑ 1
pi d II i m n ce Cen f f t t s f Worker's ���
Comp<n t Provided d 6Y Section33 7W f he IoM Cod forte 200��
J s performamnof the work fo bah this pc 1 zsucd.. - '
)CZh d '11 andominiWormer Comp station Ensurend,m restored by Section
.7W of he Lab .Cm f he Petr arc 1'm k r which m' _�UILDIN�j
MY 's Co pc i Insunnc< anppG Pfu�l cY be are�pen t
Cart cm- hyNo.�Os�Od .._-- ._..
i-CERTIFlGGM iUN OFEXEMPTION FROM WORKERS
➢1 COMPENSATION INSURANCE"
'sh m sectioneed ,bc m teAft
- P p t_ for h d d Jallars t .,'. ;' '•.'.:I t\ i 'Jl. .I'u '
nfy that'dth pcf ofth kf which perot sintl1'
shill t employ any pc y a t'become bl a[?,the Work - 1. .. 1.1 i
Compen.t ed Laws of California Dmenn .
Applicant ..
NOTICETOm to the ANTr ft kmgthis Cid.m, ,h Leber
youshould
as;
Mcmrtesobjdctm the such ponims 0,t his pcennit nsll the IvMr Code,L must
Q Q lonh N Comply h such provisions or this permit shall be dtt d rtrakM.
t..
CONSTRUCTION LENDING AGENCY
' 1 herebymonk
hickffirm that th rc is a co a ci 71 C agency f the perfomm c<' _t I
s.e oft n k rris .h this-permit is issued(S 7097,Civ.C.) - '
Q Lend Add e. .. .,., _.. .
U0 _ .
:- t Certify that I have mad ibis application and state that b information is
ks.f" correct.1 agree to comply wit all city and county ordinances and state laws mlaing i
t,.1 m building conswnion:ane hereby amhorize rc,opmootives of this city to enter upon
the above-mentioned property for inspection purposes.
a iWe)Sprm to la indemnify and keep hornless, the City of Cdperinoageimst
Z) ,
. liabilities,judgments,costs and expenses which may in any way accrue again d - •'
U Z Cityconsequence oft gent g of this Permit. sen-
'APPLICANT UNMERSTANDS LCOMP \1'RHIALL NON-
SOURCE REGULATIDns Issued by: Date
_ c
ssnam rnpPl., mac t -
HAZARDOUS Ndi ERIALS DISCLOSURE -" :
Re-roofs '
NAI the applicant n None M(ding occulard aura Lir n5ndle h zallou. mai 6a1 Type of Roof
hs defined by the CupennMIJ YesI�icipal Code Chpa 912.and the Health end Safety yp - - - -- -
Code Sect on 255J21a1° l5 vn '"',•• m s `' d t'• 1 '- '_'
- -so
AIllroofs shall,be.tnspected.prior-to-any roofing material being installed. _
zaill dto rptc t too.i b g p t ec. p t device,emwhich If a roof is installed without first obtainin an ins ection, I agree.tolremove
lh ll contaminants definedb)t<BoyAma9 Quality g p
Di"rte' •, r N , - all new materials for inspection..Applicant understands and will comply with:
441,40, .1 d ore t py is
all non=point source regulations. "
t
1 h c d th h a d mate i Is q rcme «and Chapin 6.95,of to "
611,1`0 in Health&Safety Code a Sections mount.
2itis a ad 25534.I tl .tams thin
if theta ld gd notcurrently h a mnant chat it Y expo bltyt try the
LO.nc,
t f to endsh h must h t p to laoa c f Certificate of J Q:
y
,- � Signature of Appl' ant Dale
r authorized a '." _ _" . ._ . ...ge dAll roof coverings to be Class "B"or better' '-
t
. .... .., . .. ..... : ..: T . _... OFFICE
Building Division
r 10300 Torre Avenue
Cupertino,CA 95014-3255
Telephone: (408)777-3228
S\ CITY OF Fax: (408)777-3333
UPEkTINO
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
i 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: J�/�Gt�l/u
Address: X03 7 o L l e o - L/
Reroofing Company Name:
Applicants Signature: le Date: � S o Z
Joe Antonucci
(Chief Building Official)
6/25/01