02070184` BUILDING DIVISION V PERMIT
BUILDING ADDRE iS: ' .
22600 ALPINE DR
OWNER'S NAME:
PATRICK HO
PHONE:
Z H _ LICENSED that I a CONTRACTOR'S DECLARATION
O i - I Lion 7 affirm thin I am limned other previsions of Chapter 9 (commencing
E,HC with Section 7000)of Division 3of the Business VVPtafcxsions Code, and my license
�xs is.n rnu ra ere e<B err_ /' �^+
ecp w u Liccnu Cla Y Lic. « S f f
a 60 at2 le /L Comrac
si ARCHITECT'S DECLA
Lis
1 understand my plans shall be usN asp oMx
ut Lice
O O nsed Professional
o y OWNER - BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for the
r a following mum, (Section 7031.5. Business and Professions Code: Any city cr county
H O which requires a permit to controvert alter, improve. demolish, or minor my structure
to .prior to its issuare, also requites the appliczm for such peons, m file zsi,noot stamirm.
Nat be is limned Wouantto she previsions of the Contractors License Law (Chapter 9
(comt6encitig with Section.7000) of Division 3 of the Business and Professions Codes
or that he ii exempt themfions sm! the basis for the alleged exemption. Any violation
- of Senion9031.5 by any applicant for a permit subjms the applicant to a civil penalty
of not more than five hundred dollars (55001.
Q I, as owner of the property, or my employees with wages u their sole compensation,
wilt do the work, and the swcturc is not intended' or offered for sale (Sec. 7044,
•Business and Professions Cade: The Cmuschav License Law does not apply to an
owner of Property who builds Or improves thereon, and who does such work himself
.1 through his own employees, provided that such improvements ate not intended or
effeied for cle. If however, the Wilding - or'improvement is sold within one liar of
completion, the owner Wilder will have the burden of proving that he did not build or
improve for purpose of sclef.
1, as owner of the Property, am "elusively contracting with licensed commicton to
consumer the project (Sec. TIGJ, Business and Profusion Code:1 The Contractor a
aF
License law does not apply m an owns of piopanY who Wilds ar improves thereon.
.. and who convects me.such.pmieca with a.com uchms).licenved.pumuant to.the.
- Contnemrs License Law. f C' 11 a,
_ El am exempt under Sect/ �; R'& P C for this reason
Ow +..: •:Date.
'WORKERS COMPENSATION DECLARATION
._..:I hertbY affirm under penallY,of Perjury one 9L the . following dedamtianr...
❑ 1 have and will tmmmin a Cerificae'of Consent to self-insure for Worker's
Compensation: n provided for by Section 3700 of the labor Code, for the
performance of the work for which this permit is issued_ t
❑ I hevdand will' maiiton Wakes f Compedsation hisudnce, u required by Sort on
3700 of the "We Code, foe the per(ormanm of due wrialk for'which this pc,",.,a
issued MY�WgrkeryCompcys?t on tontine, ranter and Polici'mundaer am
COMPENSATION INSURANCE r -'
(Tb se i n need nor be eompld d f the permit is far one hundred dollars
(5100) rless.) a ... .: .. :. •• . .:. .,
the Workens
CONTRACTOR INFORMATION:
J. TOLENTINO
284 BURNING TREE DR
(408)578 -4141
REROOF
02070184
APPLICATION SUB DATE
07/29/2002
SANITARY NO. CONTROL NO.
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
I'.- -. CJ I —1 LL
Job Description
$12100
, • e •'Iry occupancy type
rni - R(lr)F TAI aRenmiv ;ud insnectinns".':t'. +,:..
AUG 0 7 2002
BUILDING
..:Applicant :. . .. ...... :. . .....
APPLICANT If. after Wf etc youshoul0
- - -' -` - -'. - -'
5 '�
become subject m the Workers Canipen
Com,,m ion Provisions tit Who Cone. yao must
mLa r
Tonh
z O
In reply with such provrtions o this Permit h 11 be de mod! oked.
r t t s all
._. _
.`.-CONSTRUCTION LENDING AGENCY
I thereby ffnn that h rc- . commichim lending ag y for trar perform ce is
... .. _ ....... .......__ ...._ _ _ .... _ ..,1, - - — ... ..
r
aaQ
Of work bel which this per t fs,i,umd (511'3097 Civ. C)
Led t.'
'
Na _. ,.. ... ,. ;
.. . ., _. .. _.... ..,.. .. _......_ ... ... ..... ...... ... ..._ ..__...
Lend . Add s
I tern fy that 1 have read this app lwat on and state that the is
is.F
i C)
above information
connect 1 agree in comply with all city and county ordinances and state laws missing
Wilding
V
ire construction: and hcrcby r m umoc mpreumztivu of this city to enter upon
m
he above-menrioncd propenY for inspection puryous.
(We) agree m save: indemnify and keep harralcsi the Ciry of Cdperino against
W
V _Z
liabilities, judgments, ever, and expenses which may in any way accme against said
'n
con of the grmting of th petmn - `
;APPL U 'RSTANDS AND O'ILL COMPL}
vi LNO lions VT"
sou L RI f .ai u r %
Issued by Da
7/29/,0 L
Stu; r pp con. ° —y D'i?-
HAZARDOUS MATE LS DISCLOSUREc
Re -roofs
t II the ppl cam f t m W'Id' sec p tare o handle hazard mat
as d f d by th C pert n Mun ip N Chapter 9 12 d the Health d Safety ty'
T e Of Roof
YP "" '," ` ' " "' •� ...
Codes t n253321a1
OY N
..
Will the
s.
All roofs shall bli inspected prior,to any roof3ng.matenal being instal ed
applicant , ntfuture W by r Occupant Ann equipment o devices which
so m, h d contaminants ncd by the B y hie A Q zl ry M' s whi t
Distinct? 1.
❑r1a N
If a to Is installed without first obtaining an lnspechon'1 agree [o iemove
all _new materials for inspection Applicant_ understands and will comply with
I have lead the ardour serials rca
grem under Chapter 6.95 of the
a] orf point sours eg bons tic
t if;
ore Calif & So i ty Cod Section 5505 25533 and 8534 1 understand that
-tithe Wlld'
, o-
or ly sewm e, t l s my b'I ty m notify the -
"- - - - _ ...... A
. ,�
ich to
'oc t e ire t h'ch must be t p m rcs h,a Cen'fcme of
cut s
E c
ig tur . of Applicant ate
rmrhon ,,agent ;.,Ipi. . Dae
All roof coverings to be Class `B" or better
„',.
.. _ .; ;`'. :.. -. :. OFFICE -.._.. ... .. .._ -- - -- .. .. ...... _. .. ..
7
CITY OF
CUPERTINO
Building Division
10300 Tom 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 V" 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:
Address:
� -206 0
Reroofing Company ame: Ll 4Z106
Applicants Si gna Date: 2 /01._
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.
6.
If plywood is installed, a plywood nail inspection is required.
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 V" 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:
Address:
� -206 0
Reroofing Company ame: Ll 4Z106
Applicants Si gna Date: 2 /01._
Joe Antonucci
(Chief Building Official)
6/25/01