01090029 (2) CITY OF CUPERTINO
BUILDING DIVISION ]PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
7409 PROSPECT RD MAX BROWN CONSTRUCTION 01090029
OWNER'S NAME: APPLICATION SUB DATE
CANGE MING LIU & AIMEI WEI 702 S DANIEL WY 09/07/2001
PHONE: SANITARY NO. CONTROL N0.
(408) 260-1260
C rc zARCHITECTIENGINEER: BUILDING PERMIT INFO
F,._p G BLDG ELECT PLUMB MECH
betr, C3 L.1 IJ I
Twoz LICENSED CONTRACTOR'S DECLARATION Job Description
I hcrtbv affirm that 1 am licensed under
4.- provisionsPioof Chapter (commencing
w ens«bon 70IXanrDivkion3onne Basire,gdrid Profession,code,ae my license
REROOF . (GARAGE)
is in full force end eyy�t.
.�E License Cl... Lic.N t��0�
1 0 c hale y r - Comrai'm
u.O a ARCUFFECT'S DECLARATION
1 understand my plam,hall he used as public records
iWr
I a p C Licensed Ru(egsional
•
> -BUILDER DECLARATION
I hertby affirm In.,I am e,empt fruit, he Contnnor's Live.law tar the
t 3< following rea ogo(Section 7031.5.Business and Por essims Code:Any city or county
$1650
which requites a pcmut to construct.alrer.improve,demolish.or repair any structure
i3m
pirmarma, ohmod,also ..term.thepylic u h pe nitro file.signed statement
hprovisions • ' T)
thin by al . d puommurnt th pro .on ftheC t tors License law(Chapter9 ff �IMr
(commencing with sect 7000) fD is 3 rte Businessfcssi
and Prpona Corte) 3�A'1 '()4�F,.YNa Valuation',"t••(537•
or that he is exempt rhorefrom and the basis had the dlcgeh etempuon.Any violation j
of Section 703 P.5 by any applicant for a pctmiuubjects the applicant to a civil penalty
of not mom than five hundred dollars($500). 3 0 5APN*`1ehQ12 it Occupancy Type
❑1.its owner of the property.or my cmplo,mg.with wages as these sole cumpensatiom
will Bo the wtuki odd the umcmre is not intended or offered for sale 15x.7614.- n
Ruii;um nnd'Professions Code The Contractor's License Law docs not apply to an 6 01 - ROOF TEARI:IL 'Inspection' - •r
own
er of prnl'erty what euilaa or imProves nnereom mul wen ddes sten wank himself 602 — ROOF PLYWOOD NAIL
or through his own employees.provides in.,such improvements are non intended of - -_ __-
comple for role If,however,rh building eI improvementr.ofprey is sola hedwithin arc year of - - - - --—completion menwner.bura into,etnebnmenmprovtngmmh<aidnorhmmm 603 — ROOF BATTENS '` ' � • '
improve for parpnsenrwle.). 604 - ROOF IN-PROGRESS
CI - -------.._ . siv ._ _. contractors_ . . .:. —
with
ca; Ol.asowner oftholp(SmnYamudirm,' ad Poto,gnsClicensedalTha, meare's
smsnse I the Inwards no(SR.71Na,Dusters and dry,who
CodoO The Cmthroor's
License Low dos nut apply man owner of property who halide s improves thereon.
.end who Literate L such Projece with a contractors)licensed.pursuant no the.
_
Contractors License lsw, i
❑l am caempt ander Sec. ' .B&PCfw alta revam
OP'ner n.�„I•• .rRK �.n COMPENSATION
.. IO a. '
, WORKER'S COAIPENSATfON DECLARATION
Y < ” I hertby affirm undo pemhv of perjury one of the following declumiuns:
❑ 1 have and will maimaii n'Candidate of Convent to ul6inaum for Warrior
Compensation, as provided for by Station 37W of the labor Code, far the
_ pufotmance of Ne woh for which tlds pumit is isswA.
❑1 have and will maintain Worker's Compcnsotiun Insurance,ai r<quimd by Section
370(1 of the Labor Court,Rod the performance of the work far which this perms is
issued A sC (X r��.t}Insunw<m and Pol y mnc rt
Cone Pol'y Nu a f
4.11, ':tCERTIFICAT10N OI LXEMI'1'ION FROM,WORKL,+RS;1, `^
' 11 "' :", COMPGNSATION INSURANCE`.
t J
t
rinii'iecuinneed not be comleied Role pertain is for one hundred dollars 4.t" :,I'
($100)0)1<as.l „• . .. r ,., .
' 1 ttNty teal in the petfommntt of the work firm.high Ihis permit l'.d.l .4.�t rt„r;;' ,
shallaiwl cmpltrY any peraon in any manner go as to become subject to the•Workeri 4.1 �i!..i'(s:y
cumpcnmtion taws”(C.Iifnmia.Dam`
. Applicant.I,. , ,.1 . : _ .. _. ... .. .1 .. .
NOTICE TG APPLICANT:If.after making this Certificate of Campaign.you aboard
became subjecuo the Worker',Compamane.Provisions'of Inc Labor Cade you mon
O 0 ftmhwith comply with such provisions or lhi,Permit shall he deemed revoked.
CONSTRUCTION LENDING AGENCY !
l hcrebv'in irm tM1a lladm is a c...mot ion leading grawy for the penonuance
�''n'�r M rhe work fa whicM1 this pemtin is i.cwed(Sec.3097,Civ.C.) ' I
y e bcndcrsNdme•
� .L Lender's AJdms t
U-0 (certify has Ihavereadthisvpplicmion and sac Ihauhe,bon information is a '
fig, E• contact.1 g t comply with II city and c my N a
ne d lar la relaing
O rJ to bu'Id' g .hia,limi.andh by mumpresentativeiofbut ty to enter upon
the ba e r sed p pert f inspection purposes.
F=Q. (Wa) g w gave.indemnify and keep h Issdid fC pen no against
hliabilities,judgments. r d expenses which may to any y c against said
V y.� City n corse wench of ye gra t ng f tti s pe n -
ygP'LSOURCAR UNI]LN AND,' LL COM
WITH ALL NONPOINT�" Issued by: Date
f?'P herr— f ''.., 0/
Si atdrc of ApplicanVConuom '.Dam Re-roofs
" HAZAR S MATERIALS.DISCLOSURE •',i"
wuthe PPbemt �tba'Idng orrit,don a,.or nmme Ingroadmisino I Type of Roof. . ...._._ .. _ . . .
as defined by the Cupertino Municipal Code Chapter 9.12.ad the Health and Safety
-
Code Stavon 255311v)+ I I { -t c 1 4 - Y • 'l•s' ' S I r:`'v
oYas " All roofs shall.be inspected prior to.any,roofing,material being installed. .
I wn theVpfc ! f t re ld' g p t veequipment a a. which If a roof is insialled without first obtaining an mspectiori','Iiagree'to remove
croDisuiar atreudiand n4..as defined by lh'Bay A¢aArQual 4.y Maangemem
em t
n men' rcgntremen • : all new materials for inspection. Applicant understands and will comply with
°Y ;•; all non-poini'source regulations...,,,,
ti I h rad the hazamou,humanals t un tier Chapter 6.95 of the
Cadifightfir Hearn&Safety Calc'Sections 8505 25533 d 353,t 1 understnM tha
if the building doe etc tlyM1ve etc t hit ., repo,.bll,t rfy the
we pato f 4.h rcy meets w m he et p 1 is e T Cenif me'o(
°" p ry �•--� O/ Sig ature of Applical - _. .._. _ _ Date .
Ow tlmrisd
age,
g t l' Date roof coverings to be Class "B"or better
f OFFICE ._.
Building Division
•) 10300 Torre Avenue
• Dam Cupertino,CA 95014-3255
Vl
Telephone: (408)777-3228
CITY OF Fax: (408)777-3333
CUPE.kTINO
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/a" 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:
Address: !/�fc>/�
Reroofing Company Name:
Applicants Signature: Date: q-7. 0/
Joe Antonucci
(Chief Building Official)
6/25/01