01110060 (2) CITY OFsUiLDI&,CUPERTiNO
G DIVISION . PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
734' STENDHAL LA CAL-PAC ROOFING SAN MATEO 01110060
NER'S NAME: APPLICATION SUB DATE
IIRSHFIELD EDWARD AND CLAIRE L 2515 S EL CAMINO 11/13/2001
ZONE: (650) 286-0450 SANITARY NO. CONTROL NO.
,5-g g ARCHITECr/ENGINEERr BUILDING PERMIT INFO
W❑ BLDG F.LF.Cf PLUMB MECH
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to
s "s` I'+LICCNSBD COYI'RACTOR SbECLA12AT10NYs'
5' t ',,,} - Job Description:- : I
z o .n eaeb> fBrm'Ihat 1 I se ea_ Ae p Fen Pt 9 a ung REROOF
h w th sea 1000)of D ' 0 3 of th B sine d Professions Cale,and my l vitt.
yy of force d f I. -
ato
r Date
I CHITECT S IIFCL ICDO
1 nademand on,Plant than be used a.public records
z O O
Licensed Professional
i
OWNER I our BUILDER DECLARATION
us 1 messy affirm that I nm exempt From the h"dons is License Law for the
C z IOIIowing reason,ISmrib o)031 5,Business and Profr tiro i Codc:Any CITY m county m $13835
F.max C wM1ich its ii a a permit to enn<pact.aner,improve,demolisM1,or repair any urucwre
adj3$ priunn hx issuance.a"covenmes theap"I" lursuch pannboa file usignW stmemem �` - q
— that he is licensed pursuant ro the show
mf the cnnaacmra License law"v C cr 9 ,,3 Y D. I%6�2��A,rgyt_. .r ., Valuation
prommcncmg whir Section"bd of Divitinn 3 of rhe Businexa and to"
CWel ' L L IY.V'r�.,.. . .
or thai he
is cscmPi therefrom and the basis for the alleged exemption.Any violation
of
Sermon 1031.5 by ariy applicant for a permit s m fro,the
applicant to a civil Penalty'
or not more than Five hundred dollars(s500) 3 O!�PN PiuR:hME `• Occupancy Type
°I,as owner of the p,.Perry.or my employers with wages us their sole compensation, 307 - INSULATION I
'will do the work:and the struaum is not intended or offered for Is(Sec.)wn, 601 — ROOF TEIi&Zlua@Enspections
Rosiness and Professions Code:The Comncmr's License Law does not apply to an
owner or property Wb,builds est improves thereon,and who does such work himself _ 602__- _ROOF_PLYWOOD NAIL _
or through his own employes,provided that such improvements ere not intended or
@red for sale.If.however:me building or improvement is sold within one year of - - - -`
cnmplalon.meowner-bwlderwin have theburdeaofpmvingthm nedidnm build or 603 - ROOF BATTENS
mpmvefin'urpxeortale.). 604 - ROOF IN-PROGRESS
-mexclusively
with licensed contractors w
I°m r owner M 0e property.inn Buinss contracting - -
oaense La a project(Sec.)10 a Business and property
whob ills or impTheroves
Contractor's
License Law docs not apply to an ownercts.w of propene woo hilts or improve rbesethe '
;T :and rhgconmactx fmsech pmjeu`wilh atcomrvemrts)IiccnuJ Pursuant m the
CoaVaet SL MWW, '^r I .: '.. el
a^.h�: Cfonms reeton
❑Irvin exertlpt uml' S« B&P
all Date FINALED
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will Imwimmin a Cenificme of Consent to self-insure for Worker's JAN 1 0 2002
yJ Compenxaion, as provided lot by Section 37M of the Labour Code. for the
'performance of the war A for which this permit is Toted. .
°I have end will maintain Worker's Comp rnabon Insurance.as required by,Section BUILDING
3]00 of the Lahr Code,for the performance of Mor
e wk for which this permit is
usucd'My Worker's Compensation Insurance carrier and Policy number am:,
camera' Pmicy No.�/�03>A/2L- i,. i, �.:� '`4'"a't: , 1.: Vf..I•o ..
(.r". CC�FXEMPTIONFROM WORKERS', - .. - .. ...
- COMPENSATION INSURANCE
" '(This section need'nmt tic cnniplaed if the permit is for one hundred dollars rs' r'tt s h
(S100)or less.) .
1 certify y a in the p in ar pnce a the a,,to b which this permit a issued,1�hall -
Cron not employ any f in any manner so as to become subject m the Workers
,
Compensation Laws of CaliforniaCulif :Date' '' '
Applicant
NOTICE TO APPLICANT If.after Compenking this Certificate o of Exemption.younoshould
rsi `
.z 0firearm, object ucompto that such pr Colons orchis pmvHshallfthetabor Codemock you must
(onhwitti comply with such provision.(. this permit shall h deemed rcvoksd.
CONSRON'LENDINGAGENCY `
' 1 hereby SRrtn thin rhircisis i ennswaiun lending agency for the performance
-
Q
U OI c es fY that 1 have mad this ppl cati4 J state that the alsa,c information is
IY [� cmr lct i gr t mply with all cry d< ty andmance,and t 1 lasing
0 U r buildngc .t uon.and hemhy thorize representatives Ofthis City( r upon
>, the ahc mention,rd pro pcnyfor n.petionPurposes.
F. y IWc) Eton a ode 'fy anJ keeph tint m<Ciry fC pen o gains(
h bilis j Jgr t on d e wh en may n any way accrue against said
O ^ City in comic un of @c Brom thi>pcnnn. - f
=iICA. DERSTAND NO WILL COMPLY WFTN LL NON-PTI
OUR - U DEERS, _ -0� Issued by: Dale
re of Applican✓Commctor "' - - Dae Re-roofs
y HAZARDOUS MATERIALS DISCLOSURE '•
"Will the applicant or future building occupant stom or handle bamdous mmenel ._Type of Roof _.. - - - ____ ...
as defined by the C penin M I Code Chapter 9.12.and the Health and Safety
r . ...
cdlL''Set sell 23532(a)?, No, :,;; •'� 5' ,' .All roofs shall be ins ected.pnouo an roofin morello] beim m
❑Y. .,' P Y g. g. stalled..
twill the applicant oNuturc building occupant use equipment or devices which If a roof is installed Without first obtaining an inspection;I agree to remove
pit h andou. contaminant red by theBay A Air QuPI ry Management
islnm v all new materials inspecti Applicant understands and.will comply,with
Jilt ❑Yall non-points ce regul oI ha a m dlthe h hrdousmammals egmrcmcros under Chapter 6.95 d thCult , is Health&S cry Code.Scdr s 25505.15533 and 35534.1 understand thinhep iddin8 does euncntlYh court.that it is my responsibility to notify rhe �/ Q/
01ccup6tn of Finer mems w ch mi be met pnm 1.itwana of a Cenirate or
°cq"p'"`Y' ' n, •, r - - azure of Applicant Date
prop anaeadge f .pm� All roof coverings to be Class"B"or better
-u
OFFICE .. . . .
STEVEN A. ARNOLD - Civil Ener, Inc. .
1885 THE ALAMEDA,SUITE 130-,SAN JOSE,CALIFORNIA 95126•TELEPHONE(408)557-9005 FACSIMILE(408)557-9075
•
December 18, 2001 D
Edward Hirshfield ��D
734 Stendhal Lane ilp7�
Cupertino, CA 95014
rS -'o
Mr. Hirshfield:
On the 13th of December 2001, I made an on-site inspection
of your single family residential building site located at
734 Stendhal Lane, Cupertino, California . The purpose of my
inspection was to evaluate the existing roof surface and to
determine whether or not the existing roof sheathing shows
signs of dry rot .
• EXISTING BUILDING SITE
Your residence located at 734 Stendhal Lane, Cupertino,
California, is a single family "Eichler" style residence .
The subject residence is approximately 40 years old. A flat
roof provides the roof cover, while wood sheathing, �ro is ee
D
the wall cover.
DEC 2 0 2001
SITE OBSERVATIONS By
During my inspection of your residence, I noted the
following:
1 . The existing membrane roof "hot mop roof" has separated
• from the wood decking in several areas .
STRUCTURAL DESIGN • LAND SURVEYING • BUILDING INSPECTION .
GENERAL CIVIL ENGINEERING SERVICES
• -2- Hirshfield
2 . There are several areas on the existing roof where the
gravel has been displaced and the asphalt underlay is
exposed.
3. A review of the under portion of the ceiling revealed
no evidence of any current or past leaks .
Before the new roof is applied on top of the existing roof
sheathing, the two areas where the existing membrane roof
has bubbled and detached from the original roof sheathing
• should be checked. If dry rot exists in these areas,
replace the wood sheathing.
Should you have any questions, please feel free to contact
me at (408) 557-9005 .
Res submitted,
Qp,OFESS/ON
A. gR0
OCM
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viWer
CIVI - �P
9�OF CANE