02060048 (2) CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDB4G ADDRESS: PERMIT NO.
10188 RIDGEWAY DR FOUR SEASONS ROOFING 02060046
OWNER'S NAME: APPLICATION SUB DATE
GRASSE '.CHARLES L JR AND CHRIST 645 HORNING ST 06/10/2002
PHONE: SANITARY NO. CONTROL NO.
(408) 278-0330
O;'ARCHITECGENGINEER: - BUILDING PERMIT INFO
on BLDG ELECT PLUMB MECH
Z H 2 LICENSED CONTRACTOR'S DECLARATION Job Description
O Z I herehy at5rm that 1 stat licensed under provlsiens of Chap..9(commencing
F_'fit with Section 71H10laromiai Jofihe Businessand Professions Code,and myli<ense REROOF
�to is in full force end r=13 t7 R7 n Z /O � ���
s'W�. License Clms" Lic.N f
3 Dam �n 2 commnar ���
1 O� t, ARCHITECT'S DECLARATI
t—„i g. Iunders[and my plan shell be used a public records p 3 2003
�'O o'' Liccnsed Professional- - JAN ,
a' OWNER-BUILDER DECLARATION
1 hereby affirm that 1 am exempt from the Contractor's License Law for the q,
C?< following neon.(Section 7031.5,Business and Professions Code:Any city or county' u'�D'/�G $8000
E F G which requires a permit m consmad,Wmr,improve demolish,or repair stay structure
$ primm its issuance,also requires the applicant ostrich Permit file a signed satte at - - -
a.3— that pC is licensed Pursuance that provisions of the Contractors License Law(Chapter 9 ,Cyy, F �p�p rrA�r a u^ Valuation
(commencing with Section,7000)of Division 3 of the sincss and PrPfessions Cade) x 'r�'1� Ct3,Y'Z4�tJ�CIV il'i.ss !>,I Ii_I�L+.' '
,;"bar
he is exempt iheiefroon ad the basis for the all oil ekemption.Any violation
of Section 7071-.5 by any applican�for v permit sobjec a she applicant m u civil penalty
tof no,more than Ove hundred dol ars(8500). 3 0 SAPN I''FZAI�� '+^ .•i -i Occupancy Type
°1,as owner or the property,or my employees with wages as their sole compensation.
9iWile the work,and the structure is not intended or offered for sole(See,7044; - s'
usmeis and Professions Code.The Conuactar's License Law does not apply to an 601 - ROOF TEF�Eq�lnspeetions!i' `.per of property Who buidds be improves thereon and who does such work himself
qthrough n awn employees.provided tM1m such improvements t intended or 6 0 2,. - ROOF. .PLYWOOD NAIL ., - . .._..._._. _
,,or
for sale0lL'ha er the building
•cumpleiion,the owne lase IJ will have e burden of proving that he did not year or 603 - ROOF BATTENS I
iibpmve for purpose of sale.). 604 - ROOF IN-PROGRESS
f]iieownerafthe_ta- .. .. _ .. .... ., .__. .... _..._... __._ _ _.. ... _.. ._ ..__....__ .._.....
amexclusivel contractin -
p pony y g with licensed c Condors to .., .
construct the project(Sec.71.a Business and Professions ild,a, The Contractor's
License Law does Ira apply man owner h propcny who builds nr improves thnnm,
,andwhor's Lice forsuch.projccta.wiih.a coniracmd9.liccnud.pursuam m.the -_...... _..(....._.. . ._ _ -
Contractors exempt
eLaw;,
i, ❑lin.exemptunder Sec.' "'`"'''" B A,P C far this reason
owralo . `Uvie
-j WORKER'S COMPENSATION DECLARATION
1 hereby affirm under Penalty of pepuryon f the following declarations:
Q 1 h' will inairmin a Cumificme or 6omeal is If n....for Worker's
Compensation, as provided for by Section 3700 of he Labor Code, for the
pefformarami of the work forhuh chis perm t , W.i
❑1 have land will rodrdain Worker's Compensation Inioren<e,hi required by Section -
37M of the labor Code,far the performance of the work for which this permit is
twat d.My Worker's ComPey,.tion Insurance co lar and Policy number are:
!b(.Y Pol cY Na
CERTIFICATION OFFAEMPTION FROM WORKERS" )Sri
COMPENSATION INSURANCE'i^ 'e' I'
(Thu union nccJ not be completed if the permit is for ane hundred Dollars �' t ''• t is
f8IM)or less.)t
d I cen fy that in er pert a e f m as t for subject
ct ti e iss ed 1 4 Lily ,
toll not employ any Person m any ma so as to become sub3en m the Workers'
manner
compensation
'ion Laws n(Colil'nrnia.Date -
- Applicant„ ,. .I .. .. _.. ...._._. _. .. _..
'NOTICE aj APPLICANT:the WoT:IL afurmaking this CcniEum of Labor iodyoushould . . .. •i
Mnemesubjectm the Worker's Cuions or this Permit shall the Labor Cale,you mesa
Q Q Poi----comply with such provisions or this permit shall be deemed revoked.
V� 'r CONSTRUCTION LENDING AGENCY' '
Phrtby flims that Were is o construction lead'ng agency'for the performance kr
W,r
a. the.work for which thii erpnu is issued(S 3097 C,,C.)
Oeder s Name , .a . , ,._ _ __ -
_ _ .. _^
---
;D.Z ._._._
Led Addr.s r I I )..
U t a t fy ih t 1 have re.d,hi,application and late thindue bo e'nf rrnmion is
fa4 F+ "Gem 1 x,.p,complywithhe II sty 5 d cparty N and res laws enter
ng
�.V to lase Id e- oned pr'and hereby s ection up a em t tie f thisray i enur upon
F_ D� the abo(Wed agree
property for and
dipurposes.
F_
L (Wel an ins a id fy vndkeep haeml silheCty [C pcnino against /
V1 Ilnb I t es) dy ¢, t J xpense which may',,any y cc again t said
U Z Cit co �8
APPLICANT \DEPT AIDt,ng f•.II.LeCOMPLYWITFi�LLI N-POINT �s
souxc�ul uNs .-o Issued by: Date
signature ofAPp,nadcomnnort: - • •- •. . .pale Re-roofs
W II Yea applicant or future blding occupant t ie at dl h undo
Co�fSatb theC?O no MunicipalCode Cha 91_,and the Health nes material =Type of.Roof ._ ..-.i_... �... ..,.,,. ,..... ..,,
HAZARDOUS MATERIALS DISCLOSURE
PP P ,and Safety " t .1' .:.
� f„. 7 i�....t 1.91 \'.+ ; l i ..`.4.'x''a: s
°v s ioofs,shall be.inspected,pnor to_any.roofing material being.installed.,,.,,
Will the applicam or fuwrt building oecupam esu equipmen[or devices which If a roof is installed without first obtaining an inspection'[ agree to remove
emth d lair conic au. s.)dined by the Bay Area Ar Quality Mtosilcnmm
Dism i , . . all new materials r inspection. Applicant understands and will comply with Ely.t..' - �- _ _ u :.... , _ .. _ _ .. .
all non-'point s e regulations , • ,
:a I have read th hd a do s materials req 'mem ander Chaptei'fi.95 of the
.California Health&Safety Code Sections 25505 5533 ad 25534.1 understand that.
g y c m
that n u my responsibility to and ry the' — ”" - ""- . -- i"
'.if[he lase ldi does no neral ha
lite p t Lthe rn a rs w ' ni ss be map syto issuantt o Cen teem of
I'
Si natur of A licant Date
e _ ..,. . g . . .. . PP.
ow for as odzeA agen� Date All roof coverings to be Class"B" or better
...OFFICE. .. _.. _._.. -. .,... ._ .. . .. ... ....
/T
u Building Division
10300 Torre Avenue
.e' Cupertino,CA 95014-3255
Telephone: (408)777-3228
CITY OF Fax: (408)777-3333
CUPEkTiNO
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
y 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 VV 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: 2)p A;Al 2,.
Address: _
Reroofing Company Name: "1 v� S e` -savjS
Applicants Signature: —Date:--C–/0
Joe Antonucci
(Chief Building Official)
6/25/01