02090090 TY OF
CI
BUILDING DIVISION
PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
7546 DE FOE DR 02090090
W APPLICATION SUB DATE
R1� TMA HAKIM M AND RASHIDA It 09/16/2002
PHONE: SANITARY NO. CONTROL NO.
Goo ARCHITECTIENGINEER: a BUILDING PERMIT INFO
0 C BLDG ELECT PLUMB MECH
atau r"-"1 O LL C_l
LICENSED CONTRACTOR'S DECLARATION
JobDescri tion
I hereby alBrm that l r 3.ft11m Businer provisions
iliq Prons of ns Code.and(commencing - REROOF P
Fye; wish Seaioncan of Division Jaf the Business on Professions Code,and my license
E:.. , is infullfI an Rfc �p /� ���
�maca Liare el e, �N Lic. S/758 FO0�/I'�1
O a U Dam a Com o ;n u�J
aLLO ARCHITECT'S DELL ON
�r
g understand my pions shall be used as,public records SEP 2 O 2 02
w O O se
Licen )Professional
ERE
OWNER-BUILDER DECLARATION
uai o� I hereby affirm that I am exempt from the Contractor's License Law for the p
1.3 following mason.(Section 7031.5.Business and Professions Cade:Any city or county I LDING $14000
I s G which requires a Permit to construct.alter,improve.demolish,or repair any structure
671
a3� p n 1 ce.rel q elh ppl' tf such pe.it m file a signed swat tint - - - �T�, ,,,p.. __. ..._..__..._.. -.._.
..that best Lensed pursam 19 the provisionsf theContractors License Law(Chapter 9., r,r„a,rt•315�fE$bLtYO'V tf ea t nrSS.1`,� Valuation
(cnumms g,with Sat 7000o)of Division J of the Business and Professon
ts Code) s._'iL YiV.LtY �. .IZ .'14 .
or that he is exempt dmrrtfmW hank the nazis fertile alkged eAmpdun.Any violation - . i
-of Section 4011:5 by any upplicaht fur a,nail subjects foe ir,d cam to a ervil penalty-
iofnatrtmmtham9vehundeddoMall($500). 305APNp'J 0g \:!i NO Occupancy Type
ID 1.as owner might,propmtY or my employees with wages as their sole compensation, 307
wdfgci the work:'ond's Code:no
not intendedora Lawered'does
salehot pp:to an 6 01 — ROOF TEARecoRW Inspections.l”
Business property Who
Cnk:The Commcmi s License Lew does not apply m an
nof igh his ow Who Wildsmovided stt,ruvh andwho veeocs am uch%mls
lf
or 602 - ROOF PLYWOOD NAIL
orftheugh his own employees.provided that such improvements art not intended or
'-pfr Rat 'Te If-however the bddJ j .. .p in is saild vithi.nney mar, 6.03� - ROOF BATTENS � �+� r- pt.:. ..
cd pmdon,tre urposerWle.). a.emebamennfpmvngmathedid tmtWddor 604 - ROOF IN-PROGRESS
improve fou purpose of sale.). '
._
_.._.. _. _ .__ -_.__ .__ _. ... .... ... _... ... ..._._... _. _____ l- .. _:__.
I u f the pepeny contracting with licensed m
consumer the pm3m(See 7044,Business and Professions Code)The Contractor's
,
tt
License Law does not apply to an owner of property who Wetls or improves thereon
._and who.cone¢for.such.pmkas.with.a.commctor(a).liecnsd.PuraLuni tbe. .__ __ .-----.. ....._.__._.....___.__._...____.___.___....__...__.__.�._.,__ `
.. C s t r:License Law .... .. _....__... ..._.._.__..
7 W sho exempt under Se fl) "lit\ `l 'B'&P C for this
R'S COMPEN TION_CLARATION _ t
L
I hemby Rrm der pen !Y of pcD ry of Ne f II g ecdarwmnr'
\ ❑ 1
W4 i d III de rCenif f C .cat If n re for Worker's
i i
Compensation, s p d d fSection-3700
c by 5 e A00 0( theLabe Codc, for the
- - performance df tM1e wmk,for which this pemm is issued.
_ ❑I have End will maintain Worker c Compenv'arlon Insurance;a,required by Section
3700 1 tti'LoWr Cude.for-the krbormance of th'work for which this permit is
iii d MY W rk rs Courape.amim.Insumnc and Put ry mtier sre:
..
* sQEN71PICACOMPEN COMPENSATION
EXEMPTION WORKERS!'' ',. 1 11 P '.,Bt_� :c 35. A11�:'"i'Sl1 b a l '.,,,4•.
°
-n � "�"°"`COMPENSATION INSURANCE
et 'ITh rsentiin need non In ctimplusJ if the pe runt is for one hundred callan •t•U�' .1':,,1 t ' + ICli�;l,l i"
(M W)or less.)
i... �' ..,m. . .. „ .. ...''j, -
....a ., . . „ .�
I _
Wn
1Ic rt FS,'that the perfo cc hh okf It htIt pertnt si dl fL,11 ' I } -'td liwk '+ -❑ _ - __ - -
CllPc is t°v LYp'wsyy ar, , V�14 r Y o b)e t t 'he,W kc'.
.'NOTICE�OAP PLIC\ If M king da%C of t fE Exemption,yo sho Id'
Obee Nom' d' WO ke C 'll t p of the Labor Cml y .t •\ r - •'. it
forth uh c ply' Ith u,h p 'ons thisPeru,,,shot[be de J rc k d
i'' ' '' 's CONSTRUCTION LENDING'AGENC111
.ai v` 1 berebY ffnn thath on t ct n I d ng agency f the penitentiaries, ,.v L.! .I >,i s ,
of th lk'f hich th i,1,6cd(S 3097 Civ C 1
'd.❑ Lender Name t
t .e v p :ot J_ _. .._...
O!U ;colon.Igconmcomply nd huall nuthand coumy ordinances of
seta laws mining
O-W .th WildingconimaAum,nyumbyautcomierepeienutivcs of this city to enter upon
}.tr] the We t neo'P panyro ' .pct
P +P^e
ti l4 (s.) grc to an ?e expenses
i h atlas tarry way
fC pe against
g ni
Z lit b os. q ce aI. J<pcnsc which may any y e gai t said' 11//
V.Z city m co req once f the granting f this pemat
:APPLIC'A`.T.UM)ERSTAYDS AND WILL COMPLY WITH ILL NON-POI`fl'°`
SOUIssued by; Date
RC R OUL r(ONS + q ��;,\
.1
7 a1we fAPphc, tlC n wry l ';'::1 - Da, i.
-HAZARDOUS'h1ATERIALS DISCLOSURE t' Re roofs
' W II the
applicant future building on p anstore' li al narnJb i t m .'Type of.Roof. -
-asd fnW bYth CupetminM e@m Cod Chapter 9.12. ad the H IN ad Safety �;,u -._, _,,,_� ,_„,+,• �,,,�,� - .
cm Ov4 ,SSRIaI aN r. xl 1 .. itD rso r +. '}•'''1 As 1tn' r , $' P( *t+ I s;.r, `.;.r-.: or
All roofs shall be inspected prior.to any roofing.materia] being installed.___,•_
W 11 theapplicant much,building' occ P t q pment a rich If a roof is installed without first obtainingan-ins ecnon; P a ree'to.remove
D t t A Quality Management
. P g
❑re all new materials for inspection. Applicant understands and will comply with
all non-point source regulations ,
o nano me
' L. .t .
f
11 d she h Mous canals q e re undo Chapte.695 of th
Cal foe Health&Safety C sde Section, 5505 25533 and 25534 1 mulcmumad that
- -fifth WWho,due:n t currently v am m that it Y Po sbltYt-notify the
oan
0ca'' at f the qtr met which mu t W et p' cm issuance f Certificate f
4�
an
_ -' t naturant Date _
9lie�GL. .:, .._o _. _
� ow ernraath ri All roof coverings to be Class B'
.; g 4,1, . , 'Das g or setter
... -_. . OFFICE .___... ...- .— .. .. ..- . .. ._ .__.. . __._.. .. ..
Building Division
10300 Torre Avenue
Cupertino,CA 95014-3255
Telephone: (408)777-3228
CITY O 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
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 4"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: Po/< r-1 r" S , in o Ic
Address: 7 5 W fiee-Foe V ,
Reroofing Company Name
Applicants Signature: ADate: 116 (�Z
Joe Antonucci
(Chief Building Official)
6/25101