02030048 CITY OF CUPERTINO CONTRACTOR INFORMATION:
BUILDING DIVISION PERMIT
PERMIT NO
23211E @SADIAn£'ALDE AVE . SILICON VALLEY CONSTRUCTI')N 02030048
APPLICATION SUB DATE
14ARAAN4ST 1851 ALMADEN RD )3/12/2002
PHONE:
(408) 266-0900 SANITARY NO. CONTROL NO
BUILDING PERMIT INTO
ARCHITECT/ENGINEER
BLDG ELECT PLUMB MEC11
O L 1 L-_1
S:HK LICENSED CONTRACTOR'S DECLARATION Job Description
,Z-0 I h reby alum that 1 am❑ceased under p vtsmns of Chap«r 9(commencmg REROOF (CONFERENCE BLDG)
m'- wnh SeQ op 9000)of Division 3 of the Bmire and Professions Code,and my license
F full lbrcemaefrectA / � i /non
i z rc se Licens_eCluus Lm,x
O c Contains,
13 i v f Ar—hall stlo DEC RA u
1 understand my plans.hall be used as public«cords
I O O Licensed Pmf romal
OWNER-BUILDER DECLARATION
I hereby affnn Oa 1 am hemp,form the Contractor's License Law for the
t z< fmlewtng reason.(Section 20315,Business and Pmressmas Code Any city or county $4185
4 x p xh,ch,,nor,A Pcrmn m conzwn,aher.,mpro.e.dcmohsh,.«Pon any-- _
�3 .prwno nx rsxvan<e.also requirtstheapplmam for such perean to file a agited snmmem y �„ - - - --- --- -
phatbus bcemedpmmant",heproms mns OfneContractor,License Law(Couple,9 Y' ` [.3421,9f6fIO"rea • l ra Valuation
(cornmermg wnh Section7")of Drvi son 3 of Ne Buamesp and Professions Code) 53,4 (,, - _-_ - g,� t!rIs g.i.�M1�,r-
or ttiai he is exempt therefrom and the burs for the allcsed ex<mptmal Any violation
of Section 70315 by any applicant for a period subjects the applicant o a civil penal,,
onto,more that five handned dollars(SIM) 305 -A�F�YItiILber � . Occupancy Type
O1,as owner of the property,or m3 employees with wages as their sole compensation. 307 - INSULATInN
win do he work.-and the'munme Ia not intended or offend for sale(See-70,14; 601 — ROOF TEAR Rp tl$ed Inspections
euoidss and Note".Code The Coav L,
actors rc."Law doe n
s nos apply so i
owner ofpmpeny Who builds or improves thereon.and who does such work himself 602 — ROOF PLYWOOD NAIL
or mrophhi s own employees provided that such improsemem,me not intended or _.---__ _ .. -._.__._..._-.___._.__. -
- ,offered g or i p -` yearn 6 0 3 ROOF BATTENS
r sole.If,however,the buildin rovcmem rs sold:vimi one "f s J .-
comprefo.turposer-builderwillhavethehuMenofpromngshotM1edidnotbaldor 604 - ROOF IN-PROGRESSi _
Improve for Purpose of sale.)
_ ._. -cons -_ _,._
„consas Ownerurtec WSec.lam cxdusrvtlycomracongns licensed
a� Ise the ro)en(Sec.7044,Business and Professions Code)The ces mention, ....
a em exempt does not apply to an owner wish property who W lids or improves mto'he U
_... ..
License Lam ncss.forsucn pro3ens weth x<ontactor(s)licensed parsuam Inaba
construct�s L¢en¢Isw„ . .. .. '
w
omrector
❑1 ondc_r Sec. " ,B&P C for this rtuon
- - Owner
iDete " y
WORKER'S COMPENSATION DECLARATION
1 he«by.limn m,der,malty of perjury one of he fotlowmg dcelaanons
Ll 1 have and will maintain a Cenmcale of Conlon to sill-insn«In,Workers O
\\
CO.,.."... . 'molded for by scn,an 31M of the Lahor Cade, ror the
peAornvnce of be work for whrob,his pemnns issued.
❑1 have and will'mmn,ain Worker's Compensation Insurance,as required by Section
37W of the Labor Code.for the performance or the work for winch this,permit is
number are.
issued My Workers Compensation non Incur a9 .me^and Polio,., •„_ ,mi
On .,.. . ...., a
5 'lift -.
ilp, ,ICAT1ONOFEXEMPf1ONFROM WORKERS'fS114 hJ1'7 �Vr y: l )4:sue`_ 1:11\ I.'11
COMPENSATION INSURANCE a""
....._ .This . .,-I- ,; .., ..
" "'( "sccuon need not be completed if the permit is for one hundred dollars
,(SI00)m less
"I enap, thanm the ra any race
imins,he work fnh tors e,to t e issued.l ];, o,;-r,me:;,,� _, I.
Shill not employ any'person In'any manner so as"Berman btto sub)ec,to the Workers' -
"COmpcnsaaon Laws of California 0 '
NOTTCht<omply LiCsuch provisions ormisfits
I ^NOTICE TO APPLICANT If,afar melon t ' ,you should
Z tiecomc sub'ut m me M'odeR Com soon piovinonx anhe Ubor Code,you must '
permit shall be deemed revoked
'� 0
CONSTRUCTION LENDING AGENCY' ,
s 7 t '1 hcreby.Rm,ha,hen isaconstrvcuon IcndmB agency for the performance'
G37 .,. or mc'work far which,his'coon is sued(Sec 3092,Ov C) -
Q 'Lender's Nart"tit �. ,.,. +_ ..n i.u,.,,.. .-i ,_o.,.at_u,ot_
Z Lender's Address -"
V 1 cemfy mat 1 have rtad this city anduon and orate that the above mformamn Telling
.0 Fc 'toboldh agree io enmply with ell aut and mumy,ordinances and sate laws er pon
.0 C.J due above-m enswnm¢andhe«byauthoriurrposesuves of any to enter upon
>, r,� t,the abo(We) otc to property rra fly and keep purposes ,
(We)ngrants save, andexpeand which in an Cnyofemenmoagmnd
W .Inb,lioes,3udgmens,costs one expenses wbch may m any way acetic against cold
C� Z Cray in consequence of the granting of this permit.;' o
APPLICANT UNDERS YDS AND WILL COMPLY WITH'ALL NOV-POINT' Issued t /J /cf � Date-U 11 r,3 mev 1¢emor DOUbmldm E� � yi _
g ERA eCupcmno Municipal COde,Cram tm-
- „udem«or p,licar/C. actor v "" :' are _
-.- Soaa P, HA7ARDOUS MATERIALS DISCLOSURE; "" Re-roofs
.•Code meal
„ ti °
' .,.bomb p Safety
,.Ty _ - � -• r
will °° -,;. Pe of Roofi
occupant store o hand) bawd mu - -.
9.12 and Heahh.nd5
Section 255321 ) � l 1•, i. � . . - ..
I ❑vest '" All roofs shall be inspected prior to.any,roofing material being installed..-
,
ifWR th applicant u t or future re le g oc<pat se q p e t p a vice, hi<n If a roof is installed without first obtaining an inspection, I agree to remove
n he aril s 4"o6mamments is definid by the Bay Area A Q al ry Mang ent
D her+ t all new materials for inspection. Applicant understands and-will comply with
oY l�N. ' all non-point source regulations:
`4,� t % I,hive read dm haradOas mu«nah fequinarmat Once Ctiap«r 6 •of Ne
�,dmeiminHalth A Safety currently Sections 25505,25533 and 255341 understand that
C 'de.se .... .. .._" ..sons .. _ _
g catenanLmator to tononateOf ---" - '
i
oaxupam of the rtgwremcns,whtehmmm Mme,,priono issmntt of a Gentlest¢of
71:�" N Signature_o_fApplicant Date _
All roof coverings o e s B better '
'. Dwl oraat nneeaagent:_ in s t b Class ",or
-
n:. , ..
OFFICE
Building Division
10300 Tone Avenue
Cupertino,CA 95014-3255
Telephone: (408)777-3228
CITY OF Fax: (408)777-3333
CUPS T1NO
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 V"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: 22683 Cvr,,A ' 4 Cs. �s01LA
Reroofing Company Name: Cr r 1,a
Applicants Signature: i/U Date: 3 1
Joe Antonucci
(Chief Building Official)
6/25/01
Building Division
10300 Torre Avenue
S/14 Cupertino,CA 95014=3255
7
Telephone: (408)777-3228
CITY OF Fax: (408)777-3333
CUPEkTINO
Building Department
RER®®F TEAR OFF POLICY
revised 6/25/01
1. You must schedule an inspection for the tear off the day before the date you
wish the inspection to be made. The procedure is to call the Building Division
(777-3228)between the hours of 8:00am and 4:00 p.m. for next day inspection.
2. When the roof is torn off, the nails removed or driven in,and all of the dry-
rotted wood has been replaced,then you must call the City Building Division.
An inspector will be there within one hour. There are special hours for this
service: between 8:00 a.m. and 11:00 a.m. and between 1:00 and 3:00 p.m.
3. If you call for the tear-off inspection and the job is not ready there will be a
re-inspection fee of$100.00 charged,which must be vaid before another
inspection is made.
Joe Antonucci
(Chief Building Official)