02090087 (2) CI BUILDINGUOPERTON PERMIT CONTRACTOR INFORMATION:
B 1 G DRESS: PERMIT NO.
3 9 TANTAU AV ECONOMY ROOFING 020900087
09XTNr"SURINDER PAUL 2988 NEAL AVE . APPLICA09 /ON S13A/ 2002
PHONE: (408) 615-7200 SANITARY NO. CONTROL NO.
0
BUILDING PERMIT INFO❑O❑z ARCHRECDENCINEER: BLDG ELECT PLUMB MECH
a d W r_I IJ CJ L:
baa
Z I y_ LICENSED CONTRACTOR'S DECLARATION Job Description
G z H G 1 hereby aRrm Na 1 i m licensed un r pmviaons of Crop 9(commencing REROOF
pytw wish Section 7000)of Division3 orthe ess JRafcssions Cade.atdmylicense
<Yf; tato( ore n Btt [rUl�!� LF-93
Liccnsc
w 3 u ate ARCHITECT'S D Tact kAT10N� T
z�O 1 undersmnd my plans shall be used a pubbc rcmNs OCT
C 1 O
i
to i Ac Licensed Professional
OWNER-BUILDER DECLARATION
1 hereby air'.that 1 am exempt form the Comouctor's License Law for the BUILDING
pfLDIAI(�
(:2 following reason.(Section 7031.5.Business and Professions Code:Any city or county N V t V G $4700
ISG which requircs ri permit m construct,alar,improve,demollah,or repair an strvnure
as prior m its issuance.also requires the applicant for such Permit m Ne a signed statement- - Valuation
is. dist he if licensed pursuhm to(Ice provisions of the Cormacmer License Law(Chapter 9 _ .��a, p.��� ,A
(emir etch,withSection7000}ofDivision3oftheBusincnondPmfessi...Code) "+� 1 � M13sY?VaY yV�at{1'ir:s I(.) t:
or that he is aempi dinefibm and the basis for the alliged eximytoe.Any violation "
-of Section 7036.5 by any applieaht turn permit subjects the applicant run civil penalty-
ornot more than rive hundred dogat.fs5an. 305AP-NNppt4E ^'n"I Occupancy Type
°1,a%owner oftheproperty.ormremployms%imwages astheir wile=ampen,atwn, 307 - INSULATION
11Ls
'will'do'the warli and'the'nmetum isnot intendedoroffered for sale(See.76w:- 6 01 - ROOF TE.-X{� gaXO'gr'IDS ee[ioll$;m'.I t: U'.
'Buiinesa'aAd'Professions Code:The Contractor's License Law does not apply to en q p
comerof,roperty Who Wilds.,impmv<s chert..,and who doessuch work himself 602 - ROOF PLYWOOD NAIL
or through his own employees.provide)that such improvemrnn are not intended or _ __ _
_.._.__._ _.__-.-__ _ --_.....__-_-.
-;gompetioraale: woer,beb«,the bb'avegeburdenofpro�nShathedixan�uildor 603._.-. .ROOF--BATTENS ... -:' s'iTUs
mrove tri,the owner-bui1Jer will have the burden of proving thin he did not buil)or
improve for Pmpga=otsalp.). 604 - ROOF IN-PROGRESS
_ - --- ----- ------ em _.. ......_.__... ---------- -- --------"--'....------------ ------
with — ------—
Ol;asotherofilepIapeny,o Business
PrxtiagnChcensM wnommOoro
icewa the project(Sec. to a Business arid Professions Cadea The Contin reon. L,y, .�,^(� •;1.r't 1
License Law docs not apply to an owner of popery who Wilds or impmvrs Merton,
with a.contmcmrts).liccnud pursuant to We
._and wM1o.comrncts.foe such.porjccts _. . __. -.._._..._-----_---------------
Contractor
..__..___._._.___ __-___..-_-_..--_..__—._....._.....-.._____..-....._.._.-...
Contractor's License Law.,.
❑lam exempt un der Sec &PC for this reason joh
Owner.:;. -.. ^.,..,..n Date.'
` WORKER'S COMPENSATION DECLARATION
1 hereby aftinn under penalty of,irtiry.one of the following declination,
_t ❑ 1 have'und'will maintain a CeniR<aie'nf Conscm to self-insure for Worker's
_1P _ Comp=mmion as provided for by Section 3700 of the Labor Code, for the
perpomtance of the work for ich this pcmtit is issued..
_ �h„ 'and ill mu ti n W rk Cumpe i I' ratite requirM by Sm on
1700 oath,Lauri Cate f 0e Performa ce f rho:voik for hich This permu is
1-c
A.My W k rs C -Pc s t yp Iniura ce ca d Ynl cy umber are:
Camel a v "'� _N .5h1-0) 00.11r 11,
la 'y;'iGEkTIPICAI'ION OF 10Y FROM WORKBRS rI 6,� + is \1 i r \ sI Ism. +'la" c�Jt-•:
t ;Imiil,sictlon need not be completed if the Perrot is psmie hundred doll... s "'1"l1'' -'I"s"T\•� :Cn,'.:C:CY Ta;Ii'
(SIM) I w.) ;
� Y 1'fnfy lhfih th<Perf rirtancc old rk fo hi hth a ts,tssucdl r�..il'.cl d:".1;'�;p if�'I`v� ^''t
shall
not"'...
ot employ any perznn'm any man r _vs iu become b) t m the'Workers
Co pert t Lows-of
-APP( t
NOTICE TO AP..ICAYP If after mak ng the Cen(core f Earmpt on you ho W' c ^ss '0 •p. -s r'
be Il eo the kcr.C pen.t p hf th L A rCal,yri ' t
Q Q forth tl ply id h p o th s pc m t hall bed d ked _- -_
,- _ .__ _.,,__ ._._-.- ,___ _ ..__ ____ _.__.._,. _ —... - _.
('s"CONSTRUCTION LENDING AGENCY "
v,
E" "• 1 Ainitry affirm that theretsii'consmiciion IeM n8 as y
Nm ti h th.pc t . sou J(Sec 3091 1.. - .
a-.�, _Code AdJ 's P,qIt;h Ic- h�fl?,I
QI c nify that 1 have read this application d sato that the aboose information is
toe+ E' correct I agree to comply with all city and county ordinance and state laws relating
to Wilding construction.and hcrcbyautheiriLe repm4ntmivec ordiii city to emerupon
wp abovcmemloned proper,for inspection purryrscs.,,, ,,,, ,•
(We) g to aindemnify and k ph I ssthe City fC pcniva g nm
(n li,ibilai.,IUJg ems cost,and e pensc which mayin any way gain.t aid _
t„)'y C ty q 'c hh g in g hh P t
A 'VTURDERST )SANDWIL LYWITHALL oN- T Issuedb Date
" 1 LERtGULN j G Y2
sign to rAPP!roerose D u, - Re-roofs
a HA2 ATERIALS OISCLOS
W Illhe pPlis m r public W.1dinB c P t tore or hon h d m to ul .Typo Of-ROOF- - - - - ' � T'-' '•��-'-' •' '`• "'^
as def d by th Cup n Mun copal Calc Ch pt Y 13,onJ th H IN d S f ry
Cod Sct m85o2( 1 r Ts ' 4 e,f'h71 r.Y„f, -�� i 7.?.
' '. q. All roofs ss 1.be.inspected prior to.any roofing material being installed____
wlltn applicnot orI.um1.rcbuild gMediumsusecq P t d< eei M1ah If a roof is installed without first obtaining an'inspection- [agree to remove
ennt lb.,aodim,tti,comarrinant,as defined by the Bay Area Air Quality M nagement
DDyes ''� ” all non- oint source regupclattons_- ` I Ter[t , rid will comply-with-all new materials for inspection. Applicant understands a
b
1 have read the b.zarelcius nottem.1,2 505,2 nix do Ch pte 6 st d the ��!!
California y Health s Safety CMe a a 25505 Zit is y responsibility 2553+ 1 yt m rid that
occupant Wtngcmg6 tc nc dyh vt t m chmit smYoft it the ( V
�
occupant of Iheregd cmcros wh ch.rm:i be t poor m i.s f a dear bf,
gnature of Applica Da e
R /-5 Q2 — — .._.
4 aatnar�aeaagent - Darr roof coverings to be Class B or'better
v
OFFICE _
i
r:
Building Division
10300 Torte Avenue
+ Cupertino,CA 95014-3255
` Telephone: (408)777-3228
CUPEI�TINO Fax: (408)777-3333
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. x
a) Spark arrester installation-
5.
nstallation5. 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 YV 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: _ r0.ti - a vs
Address: d 7 S a h/-ka c, ,q✓c
. Reroofing Company Name: __�GGNoMV �oo�l'✓cJ
Applicants Signature: y1 / Date:
.9
Joe Antonucci
(Chief Building Official)
6/25/01