BLD-2025-1184_SignedPermit.pdf ITY OF
BUILDING PERMIT
CITY HALL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
PHONE 408-777-3228
CUPERTINO WWW.CUPERTINO.ORG
BUILDING ADDRESS: 10300 TORRE AVE
APN: 369 31 033
PERMIT NO: BLD-2025-1184
OWNER'S NAME: CUPERTINO CITY OF
OWNER'S PHONE:
CONTRACTOR: LIGHTWAVE CONSTRUCTION INC
CONTRACTOR PHONE:
DATE ISSUED: May 16. 2025
ISSUED BY:ONLINE
VALUATION: o
JOB DESCRIPTION: RE -ROOF; ASPHALT SHINGLES (0 SF); CLASS A ROOFING
LICENSED CONTRACTOR'S DECLARATION:
CONTRACTOR: LIGHTWAVE CONSTRUCTION INC LICENSED CLASS: ENGINEER N LICENSED NO: 1003659 EXP DATE: 05/31/2027
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I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions
Code and that my license is in full force and effect.
I hereby affirm
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under penalty of perjury one of the following three declarations:
I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit is issued.
❑
❑
I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to
become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to
the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be
deemed revoked.
HAZARDOUS MATERIALS DISCLOSURE
M
I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or
handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area
Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code,
Sections 25505, 25533, and 25534.
EPA
LEAD -SAFE DISCLOSURE
❑
An EPA Lead -Safe Certified Renovator will be responsible for this project.
Certified Firm Name: Firm Certification No:
✓
No EPA Lead -Safe Certified Firm is required for this project.
CONSTRUCTION LENDING AGENCY
I hereby affirm
(Section AV7,
Lender's Name:
under
Civil
Yes
Code).
El
penalty of perjury that there is a construction lending agency for the performance of the work which this permit is issued
No
Lender's Address:
APPLICATION CERTIFICATION
I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state
laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection
purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgements, costs, and expenses which may
accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point
source regulations per the Cupertino Municipal Code, Section 9.18.
Signature
Date May 16, 2025
EVERY PERMIT ISSUED SHALL BECOME INVALID UNLESS THE WORK ON THE SITE AUTHORIZED BY SUCH PERMIT IS COMMENCED WITHIN 365 DAYS AFTER ITS ISSUANCE,
OR IF THE WORK AUTHORIZED ON THE SITE BY SUCH PERMIT IS SUSPENDED OR ABANDONED FOR A PERIOD OF 365 DAYS AFTER THE TIME THE WORK IS COMMENCED.
REROOF / TEAR -OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING
DIVISION • 10300 TORRE AVENUE • CUPERTINO, CA 95014
(408) 777-3228 • permitcenter@cupertino.gov
PROJECT ADDRESS: 10300 TORRE AVE
CONTRACTOR NAME: LIGHTWAVE CONSTRUCTION INC
I UNDERSTAND AND AGREE TO THE FOLLOWING:
1. The re -roof project shall comply with all applicable provisions of the California Building Codes and Cupertino Municipal Code.
*NOTE: PV/Solar removed from the existing roof to install new roofing will require a separate permit for re -installation of PV/Solar
panels/system.
2. Inspections can be scheduled online (www.cupertino.org/aca) or by calling (408) 777-3228 between 7:30am-3:30pm (Mon-Thurs)
or 7:30am-2:30pm (Friday). Roof Tear -Off, Roof Plywood Nail, and Roof Batten inspections are "On Call" inspections. You
must first schedule an inspection for your requested date and then call us after the phase of work is completed and you
are at site ready for the inspection. We will then dispatch the inspector to the jobsite typically within one hour. The hours for
this On Call service are: 7:30-10:30am and 1:00-3:30pm (Mon-Thurs) and 7:30-10:30am and 12:30-2:30 (Friday).
The Final Building inspections are not performed on call and once scheduled for a requested date, the requester will receive an
email with the 2-hour time frame on the morning of the inspection.
3. For all reroof inspections, safe ladder access to roof is to be provided per CAL OSHA requirements
(https://www.dir.ca.gov/dosh/etools/08-001/regs.htm). Ladder side rails must extend to at least 3 ft. above the landing (roof
surface) unless handholds are provided. The ladder shall be so placed as to prevent slipping, or it shall be tied, blocked, held,
or otherwise secured to prevent slipping.
4. A Roof Tear -Off inspection is required. All dry -rotted wood shall be replaced prior to this inspection. All nails/fasteners
shall be completely removed or knocked down prior to this inspection.
5. A Roof Plywood Nail inspection is required if new solid sheathing is installed. If solid sheathing is present on the existing
roof at time of Roof Tear -Off inspection, a Roof Plywood Nail inspection will not be required.
6. A Roof Batten inspection is required for the installation of tile or metal shingles when required by the manufacturer's
installation instructions.
7. No underlayment or roofing shall be applied without first obtaining all required inspection/s and documented approvals
from the building inspector. Failure to obtain inspection approvals will result in removal of all materials to sheathing to
perform required inspections and a re -inspection fee will be charged. The re -inspection fee shall be paid prior to scheduling
another inspection.
8. A Final Building inspection shall be obtained from the building inspector when the reroofing is completed. To receive final
sign -off, the following items will be required and verified:
a. Flat roofs shall have a minimum of 1/4' per foot of slope and shall demonstrate no ponding.
b. Listings from approved testing agencies for all pre -manufactured products used shall be available on -site to review at time of
the inspection. Note: Verification of class "A" fire rating may be requested by building inspector.
c. Spark arrestor installation, double wall flues have not been cut and 1" min. clearance to roof sheathing, plastic vents are
painted
with water based synthetic latex paint, gutters/downspouts installed, and verification of NO PV/Solar previously installed
and/or the required PV/Solar permit for re -installation. All construction debris is to be removed.
NOTE: City of Cupertino does NOT allow copper roofing or copper architectural materials.
I certify each of the following is true: I am the property owner or authorized agent to act on the property owner's behalf. I
understand and agree to comply with the reroof policy stated above. I understand that smoke detectors and carbon monoxide
detectors are required to be installed in accordance with Sections R314 and R315 of the California Residential Code for Final Building
sign off.
Signature of Owner/Agent:
Date: May 16, 2025
REVISED 02/2024