01090067 (2) CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
7595 RAINBOW DR LINDY ROOFING CO INC 01090067
OWNER'S NAME: APPLICATION SUB DATE
WARLIN TIMOTHY C AND CHERI R 5554 HARVARD DR 09/18/2001
PHONE: SANITARY NO. CONTROL NO.
(408) 269-2025
cz ARClin ECTIENGINEER: BUILDING PERMIT INFO
w BLDG ELECT PLUMB MECH
UW
N Z LICENSED CONTRACTOR'S DECLARATION Job Description
>2_a 1 hereby affirm Thar 1 am licensed under provisions of Chaprcr r, commencing P
,:C withsecrion]000)ofDivision3of,heBusinessendPro(eszi°nsCode.andmylicenu RE—ROOF
-sis in full form and "
n.
[p d J Liana Lic.N I (197 3 n y Dam _s Centric
or_(yq
. < ARCIII'fECI"S DECLARATION
- 1 and...Toad my plans shnll be used m public records
ods
SO O Licensed Professional
OWNER-BUILDER DECLARATION
u '.2 o, 1 hereby nfr a that I tan exempt from the Cunt r..1or's License Law[.,,he
t¢< fallowing mason.(Section]construct,
Business and Professions Code:Any city or county $8755
p
whichtry peter,mc wr 1¢r, mfarsud Formur pnanyswnurt
3= print u uancadmrzquue the pionso for Corrosionu Be. Law(Ch punt_ _ ._ _ _ _ _ _ _ _._ _ _ __ .__ ..___ - _ ------_
rhe lies licensed prusuehno the provisions of the Contn[ru/s r law(Chapter 9 - -- -
ten ngwnnse[r aD4D) rheiann3ormeeuape gJrcei,Anionacpae) Ve ryt'";3�2• ��e P$`: attA:'t',•,c„D: I Valuation
or Sear be is 3L5 bT my rep m ion the basis for The alleged exemption.Any violation I
of Seniors]031.5 iv a u dred door fora permit subjects the applicant m e civil penalty
of not mare than five hundred a°nam(ss00). 3 0 E kFN I�;t E Occupancy Type
❑I,as owner of the propeny,or my employees with wages as their sole compensation, I
will do the work and the smrnure'is-not intended or offered for sale(Sec.7044.
Business and Professions Code:The Contractor's License Low docs no,apply to an 601 — ROOF TEARqutrlInspections'
oriter of pmI rity Who builds or improve thereon,and who does such work himself
through his wan employees.ploys.provided,ha,such improv<meirs are nn intended 602 — ROOF PLYWOOD NAIL
-offeree for sale.If.however.the Wildingmoment is sold within wM -r
er imp Y`u° 603 - ROOF BATTENS completion,the owner-Wilder will have the burden of proving the he did no,build or
impn'vefurpurposewfm1c.). 604 - ROOF IN-PROGRESS
131.
L in owner of Sec PrStec.7 am Bruirmvely contracting with licensed e C01Tcontractom m - -- -_. .. ._ ..... _ .. f
dic
. ' - ❑Isom exempt does
no(Stec.]0a4,Business aro property
whProfessional Code:)The Comnccon. •„ -
and
e w dm no,apply men owner of property who builds wor seimproves tto Thr,
continuer
u[
x�,License
for.such Prolan with.¢commcmgs7 licensed pununm.w rhe. ... _._ .. .. ._ . ._ .. ... .. ... ... .. .. _... . . ..
ndnhoc
' i Co amexe License Law. ,
' amps under Sec. � .B&P C for rwsnn _I '•' l ••1 - '
Doe
" WORKER'S COMPENSATION DECLARATION
\ ' 1 hereby affirm under pear,of perjury ane of the following dednmti°ns: 1`
❑ 1 have and will mainuin a Ccnificate of Conant to sel6insure for Worker's
Comperr..too, as provided for by Section 37M of she tabor Code, for she /
perfowana of the work for which this permit is issued,
❑1 have and will mainiain Worker's Compensation Insurance,as requited by Section
3710 of the Lntror'Co le,for the p<rformame of the work for which this Permit is
Issued My Workers ComllenvauMn Irsm
unc cam d Poll,Snumber f,
f�1CC PICATI0n,tEMPTION�M NOR � k ,�'aa' S :`�� .. i l. .-:'y\Z t,lvl.s,�`r ^. Q tl�O,r 1,
COMPENSATION INSURANCE' .,-_._-___ _
_._.._..______._..,.._...�-�. ..._..._. .._...._. _ _.__.._ -__._.. _..
ITlrin section need nd h comPleTed if the permit is for arse hundred dollars ' ' i C 11;'�”
(SI00)or la s) 1
1"terrify Net m th'perfo a ce of Th rk'f which th peim t' icmed I t'� t•s. . . .
hell not employ any person rn arty manner so as io breathe mblen To Ne Worked' t•' '• r
Compciasesion laws of California.Dare
.
NOTICE
Applicant -- - provisionsydumuss
NOTICE TOAPo the Worker's
R making th.Ccnif of
pu yyoumulst
bac bled y the W k p Compensation nsor - lt re L be C&k
Q O
forthwith c ply with such provisions or N s pcmut shell bed d revoked.
y `••" - '.- ••CONSTRUCTION LENDING AGENCY' •`;, .r• __ . . _ _____ .. _. .... __
aiQ 1hereby
nchithem s construction lendinggto t
of the k tihdim . toed(Sec 309],CvC)a, Lnd .N yperfurm
rt.
G I certify dan 1 have rod this applicam and smte that the above information is '
fa.-E.r coiren.I agree to comply with all city and county,ordinances and state laws relating
to building con.ametion.and hereby todooriie representatives of this city to enter upon
the above-memioned property for inspection purposes. _
iQ.s (We)agree mi rave,indemnify and keep harmless the City of Cupertino against
toliabilities,judgmcnu,costs end cnpcnus which may m any way accrue against ssid
UlZ City in consequence of The gmnring of Nispennit. _ - ' �j )
APPLIC UNDE TANDSANDWI Y WITH ALL NON.
POINT'' ISSlley•
db Date
SOU GUL 0`
Signaure of Appl mmcher . 'Da¢ Re-roofs
ZARDOUS A'fER1ALSDISCLOSURE
v'lifheappl[a t r T Wilding pa t it whandleha�s material Type of Roof
esef neoMunicipal
dby Js i
Cupertino M ncipal Cod Ch pT 9.12,a rd the Health and Safetyyp
Caen Section 25532u?, ., { (F * ' ' ''•{:'. ' ,,I rN.' {.Urex.{ .�
.'oyes ': e ..
" _All roofs shall be.inspected prior.to any roofing.material.being.installed. _
Will the applicam or future Wilding occupant aa<nopmem or device,which If a roof is installed without first obtaining an inspection',I agree`t0 remove
emit haaaraous air contaminants as defined by the Bar Aral Air Quality Management
D....rien .-. all new materials for inspection., Applicant understands,and will comply with
oyes luNw - all non-point source regulations'. pt,.
"1 have
read he haaardous Icterics ompro mems under Chapkr'6.95 ithe t
California Health&Safety Code;Sections 25505,M33 and 25536.1 understand That t L
if the building does not currently have a tenant,that it is myr pansibiliy to nmifyrhe (/1
occupant of rhe re pRo mems x hich most he at prior r ssua I;e of a Cint fro ate o!
Signature of plican .. Date
Done m r;aed reg t- r'; ,; , Dare All roof coverings to be Class "B"orbetter
._ ..{~ { OFFICE
t :.. _ .. .. ...
Building Division
10300 Torre Avenue
Cupertino,CA 95014-3255
Telephone: (408)777-3228
CITY OF Fax: (408)777-3333
OCUPEkTINO
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 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: iti
Address: "1C' 9&4 a/
Reroofing Company Name: L �rr�lS �%.aTl�•
Applicants Signature: Date:
Joe Antonucci
(Chief Building Official)
6/25/01