02080051r
L
CITY, OF CUPERTINO ,
euii
CONTRACTOR INFORMATION:
,- oiNc DIVISION .: PERMIT
BUICDrvO ADDRESS: - -
PERMIT NO. -
1'99,8.7' TWILIGHT CT
APACHE ROOFING r
02080051
OWNER'S NAME:-
S. GOGINENI
5829 EL DORI DR
APPLICATION SUB DATE
08/09/2002
PEON E:,,•
(408)363-0205
SANITARY NO. CONTROL NO.
Z ARCHITECT/ENGINEER: '
BUILDING PERMIT INFO
O
❑
BLDG ELECT PLUMB MECH
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LI - 1 —f LJ
i ,� LICENSED CONTRACTOR' S DECLARATION
.. Job Description
I her affirm that l am licensed under provisions of Chapter 9 lcommencing
REROOF/TUBLAR SKYLIGHT
w with5enyyqq of Division 3ofthe BunnessandPmfessions &,.dmyliceme
in fid A
FINALE®
is a
a 7
Licenu�L'Tt Lic. N
u 2
Dam Contractor
ARCH1TECr'SDECLARATION
LA
AUG 1 6 2002
. I unJemmnJ my Plunvhall be Deed as puM1lie rteordx
CLicensed Proli mi.rad
'- OWNER -BUILDER DECLARATION
.1 hereby ;(Sect than 1 License Law for the
exempt from Ne Cosions
B$l��QbNG
Co
7031.5. Business and Professions Code: Any city
1.
followinguiresa
sucounty
O which requires mento ewe, aper, improve, demolish, pair any sw<mm
wrath ser
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priortoitsensetalsorequiresthe the applicant for suchpermittofilessLw(atammem
issuance. uir fie
[ r- 1
(;';'';';' 31 SF10 °P.t6'ft i„; 't '"r
Valuation
-'
- thathehir,wthSestiMent00)of ivmioftnfineBusinesLindPren,sim.Cmr9
Business Code)
or
and ini. An vi
(commc,T4iv a empt thercnorn and t e basis violation
m and the basis for the . Any
or Sectio ii bS the acicant
'
r
t l
--of Section7031.5than byanydred dollforaPermit subjccTs Shc npPlicam S.acivil Penalty
31.5 my ap subjects the
.or not mak than fin Harare; J°nor. ISSnoI. -
3 0 SAPN �tiMIp,�E ,
II;- T'... � Occupancy Type
° I. as owner of the imperry. or my employees with wages as their side cumpen.wown.
-
- - - - •
601 - ROOF TEAREIG&FInspections. '
"will do the work: and the svucuum is not intended or offend for sale (See. ]Ws;
Law docs
Buiioess'and Professions Calc: The Common's License not apply to an
owner of property Who builds or improves thereon, and who does such work himself
602 - ROOF PLYWOOD NAIL
or through his own employees, provided Nat such improvements art not intended of
_ .. 1_
. - -.- _ _
_ _., -BATTENS
offered for sale If ho the buddingimprovement is sold w ohm one year of
6 0 3 - ROOF BATTENS " '
impletion, the owner bu IJ hill bout theburden of proving that he Jed not build or
improve for purpose of sale)
1
604 - ROOF IN -PROGRESS
-
oat m
D 1. zs owner of the am exclusively contracting withCode:)uIm
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Coni
the pealed Isco. Business and professions Calc:)The C
,.
duaorl
nm apply m an owner of property who builds or improves Mertone
iermset ora
License Law
- . vnd,who contracts for such Prolecss witA.a comrador(s),IiccnuJ DursuanT to int
rat
_... . _ _._.__ ... .-. -.. . _.._.....:,_......
Contractors 1amaxeLicense law.
0,1 am exempt under sec:' � BffiPCfonhisremn
'
Owner'- Data -
WORKER'S COMPENSATION DECLARATION
t
Ihereby affirm under penalty of perjury one of The following declarations:
''''
❑ 1 have'anJ will miinmin a Cra ifinm of Consent to self -insure for Worker's
Compensation; as provided for by Section 3]1111 oftheUbe, Code, for the
performanceof the work f h hih.permit . d
SW II i t T Work r. Compensation 1 s n s r q J by Section
730 of the'"bur Cade f the'pada nce f the- work for which this peecTn is
is d My IN C e vauo In u c ind Policy mbc are
po
'Came
N P I ry N
+CBRTIFICATION OF EXEMPr10N FROM WORKERS'
COMPENSATION INSURANCE,' ,,
,,,• _;.,_ .-.---...-. ._:.. .. _.. _ _._. .. .. ,.
:I (This.,cubo'need mm be cnmpLSN it the perm, is faro.. hundred dollop
(c100)m les s.)
cenify�ihat in Slit pedoecmnce of the work for which this wan a issuN,'
'hall not employ any pars.. in my mummer w az to become'cubjat m the Wnrken'
Pc
IIT
,....
ApelT _
_ _ _. .... .. __. ......... . .. ........ _ ...
g enc fE emption. You should
ftemtakinohrs"rub
NOTICE TO APPLICANT after
mpens T n pn visions of the Labor Cale, you moss
z became ubl -uo the Workers e Compensation
forthwithcomply with. ch p v cions or tbi permit shall be dame, mvo'ed,
ti " CONSTRUCTION LENDING AGENCY,
h Ihkfo firm this there lending ,enc f' The dormant.
e yu 8 6 Y m pe
c..rd_(S
',Rhe
` " `
.moi is i.
wirtkdor which this permit is i,uued (Sec. J(Y3], Civ. C.) ,r,._
„ ; .,.- , ,,. _, • • ,,,_, - - .,, ,- __. .
..
^� 'Lender's Niece._...__..._�_ ..; ..-.._ ,...r.. r....
._. ..._ _.. _.. ._ .-.._
Z'LenJer'i A,Jnsx
_ -I certify 1 application andstate that The ;ewe information is
rtat thiscity
to c adordinances and state laws relati
c'obuild 1 acne m comply with all city and
ply
ermine
I) 'm builJingcenswnlom,.,fihereby ;nhorize repro of lois cirymcnmrupon
r� ,the above-nwntmnal ur,mcnmoivcs
,.
sawcny rnainswaionpurposes. uo st
and ep Cup rt,at.,, aid
y (Wc)agrtttosavets
annnify
may in way
casts and expenses welch may in any way neem. again. said
which
z Nnscsk
in conn
z APPLJ cAb r UNDER the granting of Nis permit. ' -
City consequence of
MPPLICA.\7UWERSTAVDC .' WILL COMPLY 'ITH ALL'N T
_ SOURCE REGULATIONS. ., 9 0
vll
f`
Issued b Dale
y
;Signnum of ApplicanUconi '.t:r nate .
Re -roofs
'HAZARDOUS ATERIALS DISCLOSURE
1
wn iM1e pph _tort building ocavwm n or h-STdle harwmu, mncdal
. Type of Roof .,_ ...._... ..... ... ..• .. •. .. - .. ....
as der, by the Copied o M wl Cade Chapter 9.12. d drHealth and Safety
c, , r I, •-
tl T
Its.
.Cale Sect on .SSTtla1r :r r -'Y 'n
°Y "
•• f 1 .. r 1 I
All roofs shall be, inspected.pnor to. any roofing material being installed , .
W'IId ppl eta rub buil; c pot use ir p t pcv¢eawhich
If a roof is in without firs[ obtaining an inspection, I agree to. remove
emit ha rd us air c t ntmute as JeB J h5 theBay Art Air Quality Man ,samara
'D t ,t?
all new materials for inspection. Applicant understands and will comply with
all not --point source`regulations. L,
t
read -6.95
,
1 haw The hazardouscome rials regmmmmntr, under Chapter of the
Cat fore a HealN & 5 f ry Cal S ctmns 25505, 25533 end 255'4[ I ode mod than
..
if She building does not currently have a tenant. that, iemyrr_sponnbld Tn nooify,the
p mof
cap �t or the t n mpxt rte met pT;ar m T. ;once a1 ertl ay
a
^,
Signature of Ap [cant ate .,
Z�O
_ ,-Date-
.._. __ - -
All roof coverings to be Class "B" or better
All
owme a as n ret Date
agent
....,..... .:... OFFICE.. .. _ , .... ... . .
I
CITY OF
CUPEkTINO
Building Division
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: (408) 777-3228
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
IMPORTANT:
1. Flat roofs must have a minimum of 1/4" 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: S G O�
Address:
Reroofing Company N
Applicants Signature:
Joe Antonucci
(Chief Building Official)
6/25/01
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 1/4" 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: S G O�
Address:
Reroofing Company N
Applicants Signature:
Joe Antonucci
(Chief Building Official)
6/25/01