03010087 (2) crPY OF CUPEIrrINO -
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: ABOVE ALL ROOFING PERM[r No.
10239 S FOOTHILL BLVD 03010087
OWNER'S NAME:: 700 NORTHRUP .ST APPLICATION SUR DATE
CHENG GARY F AND YAO HSIN-SH N 01/15/2003
41 HONE: (408) 292-4188 SANITARY NO. CONTROL NO.
ARCIIITBCTIENGINECR: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
�Oo LICENSED CONTRACTOR'S DF.CLARAI'ION
e U F 1 hereby anirm thar 1 am Hamm]under pn,iM res ort Chapter 9 beommcocing Job Description
<i with Senion7oBlpofIis it
in north Bus and Prf s Code.and my license is
tomo nrroe d Tee. I�> 714`35 REROOF
LKCotzoq= ucen. cla.,.
F°�t-upi Date - eomme _ �C 11 tis T/O COMP. r INSTALL 40YR. COMP .
ARCHITECTS OrCLARATION r� �A
y a
oT understand my plans shall W used as public mcnrds A®O tl�d{fes LE
d �u
vi 3 U.I- Licensed pro lessinns)
y.u.Oj OWNER-BUILDER DECLARATION O 2009
I hereby affirm that 1 am exempt from the Contractor's License Law for the FEB U J
00 following reason.(Section 7031.5.Business and Professions Code:Any city or county
°i K 2 E' which requiresta permit to consumer.alter,improve,demolish,or repair any structure
_7y prions its issuance.also requires the applicant forsuch Permit o file asigncd statement
< Nal he is licensed tomi anuotheprovisionsoflWConua<wr'sLitems,Taw(Chapter9 BUILUIROt. Floor Area Valuation
sp (commencing with Section 7000)of Division 3 of the Business and Profeuions Code)or
i $
Out he is exempt therefrom and Ne basis for the alleged exemption.Any violation of $6500
Section 7131.5 by any applicant for apamrit subjects the applicant to a civil penalty of APN Number Occupancy Type
nut more than five hundred dnnam($50). 342 14078 . 00
C]1.as owner of the pmperty,or my employees with wages as their sale compensation.
will do the work,and the structure is not intended or offered for sale(Sec.7044.Business
and Professions Code:The Contractor's License Taw does not apply to an owner of 305 - FRAME Required Inspections
property who builds m improves thereon,and who docs such work himself M through his
own employees,provided Nat such imprownents are not intended or offered for We.If. 307 — INSULATION
however,the building or improvement is sold within one year of completion.the owner-
buiWer will haw the burden of proving Nat he did not Wild or improve for purpose of 601 — ROOF TEAR OFF
sale')' 602 — ROOF PLYWOOD NAIL
❑1,as mvner of the proper,am exclusively connecting with licensed contractors to 603 — ROOF BATTENS
constect the project(Sec.70,14.Business and Professions CMe:)The Contractors Li
area Law does not apply to an owner of properly who Wilds or improvca them9n.and 604 — ROOF IN—PROGRESS
who conumeu for such projects with a conuacmgs)licensed pursuant to the Contractor's
License Law.
❑1 am exempt under Sec. B B P C for this reason
Owner Date
Ah WORKER'S COMPENSATION DECLARATION
COMPENSATION
11b�y affirm under penalty of perjury one of the following declarations:
I hove anJ ill maintain a Certificate of Comenun self-insure for Worker'sCo of en-
etion,as provided for by Section 3701 of the IOW,Code.for the performance of the
work for which this Permit is issued.
❑1 have and will maintain Worker's Compensation Insurance,at required by Section
371()of the Labor Cole.for the performance of the work for which this permit is issued.
My Wnrke;kjcmnscnsatiyglnsuWrricr and Pulley yp,�IZ 2
CAa�crccL�JJ1i77UU��ka„�1111''�-11CC�/ Policy Nn.: /
W CERTIFICATGOFE%EMPr10yy kr WORKERS'
COMPENSAf ION INSYIkANCE
nr Icss.)mus secli,m need not by completed if the Permit is for one hundred dollars(S 101)
I ccnify that in the Performance of the work for which this permit is issued.1 shall non
employ any Kwn in any manner so as u,become Subject o the Workmf Compensation
Laws err California.Data
Applicant
NOTICE TO APPLICANT:II:after making this Cent licale of Exemption,you should
Warne subject to the Worker's Compensation provisions of the Labor Gde,you must
OO forthwith compneemrevo
comply with such provisions UI perm it shall W carried ked.
Z N CONSTRUCTION LENDING AGENCY
[-+ I hereby anirm Nat there is a construction lending agency for the palormane,of
G' the work for which'his permit is issued(Sm.3097.Civ.C.)
Ir4
0 Lcndos texa
ame
Under reify
Z Lcndm' Add
(�Q 1 1 ccnify Nat I have mad this application and some That the about information is
la, F correct.l agree to comply with all city and county Ordinances andxmte laws relating to
Q U building construction,and hereby authonte neprescnlatims of Nis city to enter upon the
abnvctms.judgad properly lin inspection purposes.
F1
(We) of
of this and keep harmless lW City of Cupertino against
to liabiliti(We)greee to case,iand eapensand kelt mayinany way st dieCaccmea,srmno id City
U z in consequence of the granting of this Permit.
r-, APPLICANT UN I:RSTANUS AND WILL COMPLY WI'1'll ALL NON P INT Issued by: Date
SOURCE REG .(TIONS, r
aturc err ApplicanVCOmmctor /Da1e 0 Re-roofs
I"CARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or future Wilding owupam store or handle haeNous material
az dcfincd by the CupcninO Municipal Code.Chapter 9.12.and the Health and Safety
Curie.Section 25532(e)7 r�,
❑Yea u All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection, I agree to remove
mit haeardous air emomoommi as dclined by the Bay Area Air Quality Management all new materials for inspection.
Distria7 „
❑Yes
T have sari the haxallous malenalsmquimments underCWpter 6,95 offm Califur.
niceties”&snotce cement
etyIY Codc,have
tenant,Oat
i 2MYnisfand 25534.1 to mmuM thaillW Wilding
dean r m curtcn ly hove a tenant tha a is MY resry,reiCerti ic notify the resultant tyry, of Ne
reyvimmcn F MUM be t ssuancc aCcniBcam of Q:cuP y.—
� �� U Sig&afureofApplicant ate
m aamuria.m agent D„p All roof coverings to be Class "B”or better
Building Division
10300 Toga Avenue
&CITYO
Cupertino,CA 950143255
Telephone: (408)777-3228
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 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 musthave a minimum of V"per foot slope and demonstrate that
there is no ponding.
2. An LC.B.O.report is required to be on thel job site at the time of inspection.
We understand the above policy on reroofing and will comply with this policy.
Homeowners Name: /Lt r��I a
i
Address: •I 023 S . 1`o^^r'' 1.i CJ
Reroofing Company Name: l O<-
1l 112�xJ�;
Applicants Signature: ,�� ` Date l /Sld
Joe Antonucci
(Chief Building Official)
6/25101