02030047 FBUILDING
UPERTINO -
DIVISION PERMIT CONTRACTOR INFORMATION:
S: PERMIT NO.
LLYHEAD LA KEITH ROOFING CO INC 02030047
APPLICATION SUB DATE
� WU CHUN-SUNG AND SU-TEN S 920 LINCOLN AVE 03/12/2002
( PHONE: SANITARY NO. CONTROL NO.
(408) 295-8616
ed ed-O ZO ARCHITEC-DENGINEER: BUILDING PERMIT INFO
act
iter BLDG ELECT PLUMB MECH
yad _I I--'I LJ L-1
i LICENSED CONTRACTOR'S DECLARATION
5 Job Description
I hereby affirm ivi I am licensed under provisionsProfs of Chapter. (commencing
'yt_ withSeoion7ID') fDoosonJoftheBusinessendPmlessiomCale,endmyliecnu REROOF (COMP. )
Y u in full force and p/-
O y u License Clas Lic,p V
.a o y Datc Contracmr
ARCHITECT'S DECLAR
I unaenland An,plans shall W used as Public retards
16 o O Licensed Professiowl
i i OWNER-BUILDER DECLARATION
1 hereby affirm rhes 1 am exempt from the Cmarictiar,License law for the
following mason.(Section 7031.5.Business and Professions Cale:Any city or county $5700
E F O which requires a permit to construct,alter,improve,demolish,or repair any swrc
cm
i 3�, pace rets ssu . .._ .._.... .__..... .... ... ._. .
elzo requ sNe opplicent for such Permnto nleangned notemem
Nes bei l¢nsed pueuenito Ne Pm cions of the Conwood License law(Chapmr9g gc'a15,,p,I' 'T•^;`„ Valuation
(comme c g NSeeaon]000)of Divisonlof the Butrncu And Professions Code) (-t jT\ t 4"3: 'L �Y'P`-•,brba!'{:'
or Nat he B Cxemptherefrom-f and the basis for she alleged cAemption.Any violation
-of Section 703 L5 by any applicmn for a permit subjects the applicam to a civil pchay,-
!of notmomthan five hundred dollars(5500). 30, Nlit e 'E. 'rf+'.t.':." Occupancy Type
°1,as owner of,hC property,or my employees wall wages it,bell sale compensation,
-will do the work,and the officiate is not'imended'or offered for sale(Sec,-7w - - - - -
Bnomils'o rd Poofcasions Code:The Convachri License Law does nor apply to an 601 - ROOF TE4RFA*Wnspections' " t
owner of property Who builds or improves thereon,and who does such work hi mself 602 - ROOF PLYWOOD NAIL
or through his own employees.provided that such improvements are not intended or
offered fo7saIE 11,however,the bitiIditi'_ . .- ...a. ..___ . -. _._-.._.__._-.._.___-._.__.___..-__
gob if of prong that
hi dIf id not uild or 603 - ROOF BATTENS
completion,the owner-builder will have the burden of proving that he Jia not hu or
improve ter parpeseof sale.). 604 - ROOF IN-PROGRESS
... . . _ tree .. .. — --, .---- - - .
OI ac n project
pope. el a co Potting w to licensed Contractor's
m
eine t t thep eject(s c 7044 Business and Professions Cade)'Rte Convenor's 1,;, t apt
I,
and-whLicenseo
Low docs not apply man owns of propcny who) ce se mpn:sumthereon,
"
_and who.contracts for.such prmeCs.wiN.e wnrecmrls)LeenseJ.pumuont mthe
ElContractorsIaxeL cense L
❑lam exempt underse t't�O��T_,B&PCI nMle, sreuson
tiw t .,'u '
WORKERS COMPENSATION DECLARATION
lhcrebyaffirmuiidelpenoitycfpij6qneofNefullowmgdeclarations: F11\p
1:11 have and will fountain tlGenlfic'Ale of Consent to sel6msure for Worker's r - "LED
Compensation, as:provided for by Section 3700 of theLabor Code, for the
_ _ aNar;naneeafNewaak�arwh�entn„ ,,e,miti,,,atieN . :.
ve and'will mainuiri Worker's CoinpenEmion insurance,'as requited by Section MAR 1 9 2002
_3700
7 of the L bor Code far the perfienonca ofdaci orklf r which this pe rat:s
issued ainerM� eCo t I.PuarIaienYccN tar onJ Policy e
C
,BUILDING:.. . ._. ...... . ._. ._.,
q'•,,:CERTIPICATION OF EXEMPTION FROM WORKERS } r.
' COMPENSATION INSURANCE' ° d
p ..,
It
'tit ll fl'h s moron need not tie compleietl dNe permit is for one hundrctl tlollart s{ ” ' .' ` `, _,;,I- _ --- _._...--_--
1$1W)or ls'.1
,1 Centfy th i mJhe per in any moss df the week for hint his pend t nsuednsl
at.,]11 not employ Any person m any rrunncr eco is so bedtime iub)eo m the Workeu '
App, a, '*n laws of Calif.mice'Data
- APPlicdnt.•" ....�.�.-.. s ...:. tete tete ,,tete. . ..,..
NOTICE TOAPPLICANT:If,C6 making this Certificate of indootiodyoustmuld
Q Onccomcsubjccly it ,uChfsCompenuiion provisions of the latior Code,you muss
faMwith comply wiN xuch provisions or his permit shall be feemW rerokAd.
_-
„uj -�, riCONSTRUCTION'LENDING AGENCY' 1 h rtbY ITrtn N t Nete is a construction lending agency for the perfomiAncc
r of N2 work for whmh Nts permii is issueJ'(Sec'J09];Civ.C y;lo Enrollee's Name's ._ ) t,
s..u::___
:;);zLe1nder'sC ;.
.Addri
. .. . ,. ,. Ti•..,.o.
U 0 1 cenify that I hive read this aIlplGnt nand xtme that the above information is r
W.-l.;. Corte I agree to comply with all city And county ordinances and state laws mining
�.0 to Wilding con.wnoion;arid herebyimmersion nctpresemmives of Nis city to enter upon
the above-mentioned Pmpeny,for inspection purposes.,_, r2,1L
(W'e)Agree io save,indemnify end keep harmlers Ne Chy'ofCupenhio-fn liabilities,jodgmenH,costa and expenses whichmay,in tiny way eecmeagdnst said �
U,Z Ciryin cons uence or the granting of this permit: '
APPLI UNDERST DS ANDWILLCOMPLYWITHAI)N'ON' INT" Issued by: DBIe
Stl RE dLs,' 5� r - .../
U l l/Z'
Blg!frrtf ppl cost otter Re-roofs
,: RDOUS MATERIALS DISCLOSURE
_ Wtll N applicant or i rete It itd rig cripart store orhandle herallous mmen 1 Type of Roof__.
as tlenn d by N Cuperu M mctpal Code Ch n 9 12 u d th R 1N and Sac ty ' ' f
Code S coon 255321a1 F a- Y I '-' t "� r •4 ,. I
emish rdaus mrmnNmmenZLL-tsfinell 6 �l 1i n i- fk 13Y tI �.F3
°Yat _All roofs shall_be respected poor to,any roofing,matenal being.Installed_
,. WJlth Applicant fnturcb long pant qa equipment d es which If a roof is installed,without first obtainingan ins eco On Ice reC IO remove
tl by,be Bd Arc A Q Iify Man geN m p g
11 °'atrel _ - all new materials for inspection Applicant understands and will comply with
°Y , n °" all'non-point source're.gulatdons
h e read he'hzaidcaurahte ials rtquvemems and Chapmr 695'oTthe
Calif m a Realm&Saf ry Code,SCC as 75505,25533 and 253341 understand that
fNeb ld not curremlyh aummi bar tism responsibility Ythe .... .._. _ _._ ... .. ._.
y s alt t omit
OSPD t egaIoc m ust 62 Ter Pn t' an e , A Cent¢ate f o -
y G t Signature of Applicant Date
... v _. .
Signa _ _. .... .. ..__,. - _ ..
'. Ow Jag I Dole All roof coverings to be Class `B or better r
.L.. ... ....-OFFICE...
'r
} , Building Division
Torte Avenue
i Cupertinono,,CA 95014-3255
Telephone: (408)777-3228
CITY OF Fax: (408)777-3333
CUPEkT1N0
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 1/a"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: l
Address: S7� I
Reroofing Company N
Applicants Sign e: _ Date /z67i
Joe Antonucci
(Chief Building Official)
6/25/01
Building Division ,
10300 Torre Avenue
t L' Cupertino,CA 95014-3255
Telephone: (408)777-3228
CITY OF Fax: (408)777-3333
CUPEkTINO
Building Department
RER®®F 'FEAR ®FF 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 tom 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 paid before another
inspection is made.
Joe Antonucci
(Chief Building Official)
Y