02090015 CITX OF CUPERTINO
autynn G DIV SION' . PERMIT CONTRACTOR INFORMATION:
BUILDINGADURESS i - t PERMIT NO.
22791/22801 RIDGEWAY -DR 02090015
.OWNE 'S NAME'I APPLICATION UB DA
STSNE13RIDGE OF .CUPERTINO HOA 09�04J2002
/HONE r , , SANITARY NO. ., I CONTROL NO.
W O O j ARCHITECT/ENGINEER 1, is - - } BUILDING PERMIT INFO
iv BLDG ELECT PLUMB MECH
H= t�,;j r:'ail LICENSED CONTRACFOR'S DECLARATION
ZO 8_ - ,I he b firm that I um licensed under provisions of Chas 9 commencin ' JOb De CllptlOn. "
p` pet ( e REROOF (22801/2281122821 RIDGEWAY DR)
Qy L lrs to Section llrce an o t'mn 3 of Business and Professions Code,and my license
C ismfull forcee e y / I '
Lieuse Cles / uca l0 fe {C 11'N E1 LFA®
Det - ' C.ahmaar 11-9 C Vd b°4a G
3 a fn f t ARCHITECTS DECLARA 0
Itunderstand my plans hall be u d a public recur. ,
LicensedP Professional, JUN i. 0 2003 _
o
t: "(r"r f:. OWNER-BUILDER exempt from
_
ut y ✓ � 1 hereby;.firm to 7031 exempt tram she Contractor's License law for the -BUILDING
0 3: fpllowidg.rcason.(Section]031-.5.Business and Professions Code:Any city or county $71 7 9 5 '
Z p wmeh q s p t t nssmcs,aper tmprnve,eemol sh,or mpeir any structure
-
t�3m„ pct tom ' al req ire:Ne appl cam fur ouch Parma Bleaatgn<d statement -- -- - -- - - -- - - - -- - - --
thtm"mm$wdparypmld pfovisionsoftheCont mrsL¢enselaw(CsCod9 4x,1134 4:' 10 19orp11gea�l r <,,TT - Valuation
` (c menta soh Sec4on7 )of Divmmn3of shell iness and Pmfesvoro Code) ,,,k_ , v,,,_ d'yc lA �'. f i.Ak t'''4: !
o 'bathe s emprtn hf and the bus. for the alleged temptiun.Any violation s' '
-orS t 7031:Sny y-ppl'am fora pe-it nhjecm-the ppl am soacivil penalty
�Wno.move tnq�rven a eaouar:(SsgB). 305APN ,':,�� - r., Occupancy Type
O L as owner of the property,ur my employees with wages as sheir sole compensation. 307 INSULATION
_d'do to work;ane'the'sifucmre'is not intendee'br oRered-tarsale-(Sec.”1044; I,,j�:,
e tnexxnndPlar«' era TnecantmmarxLeenxeLawaaexnatapply oran 601 - ROOF TEAReLfi'rWIMInspections
one,
of pmpeny Wh ti Id mproves tM1ereon and who does sucM1 work himself 602 - ROOF : PLYWOOD NAIL _
or through his we"c ply p 'dad thin a<h Imp ve s t tmended or _
t '&mtpld f ale wine tw will
base g.......v coi ns' Id akin nue year of 603 - ROOF BATTENS
,'
improveo n tae Ewe o twiner-holder will have she burden of proving that he did not build or '
(rp.ipose (axle). ` 604 - ROOF IN-PROGRESS `
contractors__
t m 1 as ow a of the p pent' xcsin ly d Propung w th n dContactto -6i
License
i stmct the project(5 7044,Business and Professions Cade,)The improves
Contractor's
and who
Law does not apply t on owner of property who build,to ,norma II cream -
-"_.
and who Li course
f such,Pmlecm.wiN a cnmratur(s)hcensed.pursuam.to.lhe _..._._.... . ...-_—___� _._.. _-_ _ .. --_ - ..- __
Contractor's pt unde La
Olson' emPt under S<c .ter*-,8&P C for this reason
bhe —1 Date
Ia S WORKERS COMPENSATION DECLARATION - -
1 hereby a affirm under permit f pep ry one aflthe f 11 g de rations '
1
,
'O I ens i A.6will id f Cenii m of 37 .antra If m rc for Wok is
Gator t n as-p kforw(ic this pe non l]ix1 of me'Labor Code, for the J
'pet ae '(thew work forwhch this pe is toed' , _
h d ill orto n Wo k r p pc t o In rice a q reJ by ar tion
]W f sh L bor'C'Calc for theperformance f she work'for which this parma I. _
ix s d My ke atm .< r num
%a Policy y ne/� :
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I,
ITh se t �` e t b om let J if the CE ORKER��I t _ . . r{I
yyI s
m 9 ! CEItTIFICA ION OF HMPTIONERO t?�' z i g ( tI r
A I IN RAN
s' r P pe is f ne hundred dollars
$1001 )
'.d { I claf that n the f nuance of ark f :• - , _.-..,.
IY. Pe co hilt ct to the rased 1
om not empl y rx pc n n an31 munnerlst as t 11c xuh,ect t tae,Workers'
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Co p u n Laws of Cellforma.Dae
s, -------
NOTICETO APPLICANT-.Wold rs Compensation
enmo,o ofExemption,on,you should X I.
I ;become subject to Me Workers Conipensauoh provision bfthe Labor Cnde,you must
Q O - forth nl mplywnh such pm eons o th permit shall be deemeJ ked
lhnl ly,i t 3 ,. . _ ._..... ...n...._..... . ........ .. ......... .. ... ... .__.
f;t CONSTRUCTION LENDING AGENCY - 'r' -i
a ; _:fv wI h by ;film that In a on t la le tiding qg my f the'P'14fo nee
W `y f the ork for which th s p s sissued(S 3097Cis.C) ;r -
--4rs e deName .• '.o -., ,
r7 z LcndersAades I .t `. .. .., d r I Ol1
v
y a( 1
W n r t I agree
to
comply with
thIirs city andds a unty d ordinances and os etolaws rineiaotinng
U to buildart,cmrsh1L1IhmI1d hereby e thorize mpresemadyes ofth Cyoo enter
s
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upon e
ah bn a me t red p p ny f .peer n P tpou ,„ ,,,
F.i y iwe)ag aio s v r demo ft'acid krep harmle. she C ry f C p nmo against -
FI fq
"'I'
I n E Jgmetns cost rid a pgnu h ch m y any y e gn' st at
U ;Cityy nc nuq ant theg t g fth cont -
SOURCAN'I'UNUERSgAN➢S OMPLV IYH ALLN t Tie
_ 5�lURCBREGULATfOYS Issued by Date
r
Mg am<of APPl canVCo tmaorl1. t t ] me :, Re-roofs
la"'
It'-.HAZARDQUS ATERIAL.S DISCLOSURE -
S veil sh applicant rf t rcbuetimg cecup t mcorh ndle hazallous amended. Type of Roof .... ._ _ ..-... .
as d bred by the Cup n no M n c pal Cod Chapter 9 12,end the He Ith d Safety f a > + F d) '
Code O<Yes ?5532(al +t ., it tt I ti ys S. I. Q ..f .,s.. f. e
.All roofs-shall be inspected prior_to.any roofmg.material,being installed -.__
. Iw�m app cent rm a bu is g occupam u e q p t a' which If a roof is instBilled'without first obtainingan ins echon'I a ree to remove '
emth d it Management P g
Dolt es all new materials for inspection Applicant understands and will comply with
onmmmants e, I I y the l Area po met'
all non-point source regulations 11 1 .Y
[ha c read.the hazard..;materials mqu nts under Ch,d 695 f the
Cahf raHta Oh&5 mty C d Sections 25505 25533 and 25534 1 understand that
Ifthe Imildo,doc not rmmdlyhvc arenas Chant isarymsiscroddlityom arty the
a6<upe t f tM1 qm h ch mCi b met p .to is c<of Ce ii t 'f l/ -
i s. -`r5 .. ' M DHc $ignaOFFICE pphcant.. Date ,
L 7, Ow er o autho a em + s i roof coverings to be la
ss B or better �,
' Building Division
` 10300 Torre Avenue
OCIO
Cupertino,CA 95014-3255
Telephone: (408)777-3228
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 of4"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: u� ••,��z
Address: y279/ /2-24p
Reroofing Company Name:
Applicants Signature: Date: q o Z
.�
Joe Antonucci
(Chief Building Official)
6/25/01