02090081 CUP
CI BUILDING ��ISIONNO
DIIVPERMIT CONTRACTOR INFORMATION:
BUILDINGADDRESS: PERMIT NO.
7602 BARNHART PL R-M YOUNG 02090081
J1rASUB DAT7E
�ALLITT 14549 S BASCOM AVE . APPLICATION/13/2002
PHONE: SANITARY NO. CONTROL NO.
7 (408) 358-6977
q�Q Zc ARCHITE TIENGINEER: BUILDING PERMIT INFO
kC BLDG ELECT PLUMB MECH
L.7 L_J
Z = LICENSED CONTRACTOR'S DECLARATION ';aR C-r}fgpll
_ 1 Mrcby aRrm that I am licensed under provisions of Chapter 9(Commencing RER00 F /"t ry
�OZ 1011 with Section 7")of Division 3 of Ne Business and limitations Coils.and my license t
Yfj isin full forte an H y s,l��
s PS a License Lic.N O
O 6 U
Dow Connanor
♦:5 ' ARCHITECT'S DECLARATION .
1 understand my plans shell be used as public records
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Licensed Professional
W OWNEon exempt train
~
LH I hereby.(fent that 11. exempt from the C ssiors is License taw for the
?< following reason.(nasion 7031.3,Business and Rofessions Cade:My city or county
$6000
L] which roPfires a Permit to conslm 1 alter,Improve.demolish,or repair ally structure
63$
print to its issaince.audit,rintiturs,th applcanl for such permit to Gk astgned statement -- - --- ---- - - --
du)ieu hcenjed puhusid to the prnrionns of the Contraclols License Law(Cluster 9 �,r.�p'r� ,per Valuation
(c mrjvnmpg•W4h Secue ]q00) f Division 3 of lits}}ituuand ProbessmoCode) :`'��:1-AIS'Q•6`171G,`S'VgjOr 60atlt-'t�+7a'�" 3'•s�f
or that he n exempt thertroni anE the basis for di alleged ex'emplbh.Any violation
afSection 7031;5 by any applicadafm a Permit subjects the applicant to a civil Penalty
fof not more than five hundred dollars($AID). 3 0 5AEN MU Pfa•.:I :: Occupancy Type
01'..owner.fthe property,In my employee with wages as their too compensation.' 307
s _-.
- INSULATION
ered
-"Busine me work,and the structure The honor Contractor's
intended or a Law foe sale(Secy to sun,'- -' - 6 01 ROOF TEA9le QR3 Inspections'f 1'''L"' +f'
'Buaineai aik,Psofcssiam Code:The Cwlnnoh Licwu Law does nm apply to en', q -
owner of property Who builds or improves thereon,and who does such work himself 602 - ROOF PLYWOOD NAIL
or ro
oHlhugh his own employees.provided that Such improvements see n.l intended or:
-- cad(- ale:IC how<veA the budding pinvement is sold within v 603 ROOF-BATTENS
in bite yeof-'________.. _-_
enmpleti the owneebudder will have the burden of proving thin he did not build or
improve for for paryoa of sal..). 604 - ROOF IN-PROGRESS
License of the doesnotto of g — -..
L = Pro, - -.- iri n rferadi ) CMcaseh Contrmrs to _ ]rLc"'I!
. aM who wdoeu ly �an cwner 1 c t nm wM
Buenas and Professtaru Cod 1 The Cantracur's
pp y p Perry ho bu Ids ansa rovea thereon.
th
..0 Imcto/s L acs wM a cont d ursuant to the J ,9 -Z,a // ._ ._.._ _._.......
conslmct the at fsa ]044 I / `/
f such p )
y nm V
Ipy m pt der a t B&P C,for this anion
Da ^ _,yam
b tier - ..,. o .//.RL ,ef.�Q/,
" 0 R'S C PENS A 1 N/E(lI.ARATION
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thereby affirm nil r penalty of pe)ryl rte of the following deelamt ons:
❑ I have and will aninsid.- r by Seti of3 Carrier,m xlf nuts far Winkere
Compensation. he provided far by Senlam 3](10 of the Inbar Code, for the
'peHorm n e of the work far which this persalt is issued.,
❑1 have ad willawimm.W ke Carrips6irtioni insurance,as requ red by,Section
3710 of the Labor Cade,14 the peer. once of the we&far which'this permit is
.. "s"s e/tl MyW rk f C pc 1 un Inmmnce tamer and l' Ilry num be r. 21 I)t i i {21 +21 1 'pahc No .. �s:- II.J - f..........-..-_...�-
CERTIFICATIONOFEXE ON FROMWORKERS - - f
COMPENSA INSURANCEi'' s ¢
(Th j 'tl n need n 1 he co-pin d f th Pc m t is fo one hundred dollars
(51001 Ic'..)
a
1 en f Ih l m the R1 i 2c
-(the wok for which th1 mlit ie'i ed;D 0(�g(41da0 t>�
11 a Pe P P "WA Pada
ih II n 1 mploy any pars. arty,manna/y ae,�1co e�suptscl to the W rkeh': LStutk SCakrPae� ® 9usBeSCobr
CopPlpensabo xof f��f m .,Dptt
�ra?`r/�' !J
E TO ICANT I ager( king flus ,ficale of Exemption,you should
Z saes h) t1 the wofllelC pcn 1 cap tions of the Lahr Cale you must
O Q fonhw th c m 1
p y i,h u h e s ee ti perm 1 hall b de Labor rc okcd
V� sill 1' Ivor CONSTRULTiON LENDINGAGENCY ' " --T- - IU "u
1 h eby aRnm lav there s constriction lead ng agency for the fickbr nonce �• ••
�oflhe .rk forwhlch lh pe d ISicd(Sec-309]Oiv CI .___.
QierdC,aN me.. -• — .1 _. .ra_:. v ............. .. .____ .._ - _ ._...__..._..... _
. ,C,7Qr
r I agree
to e4 have rtad all city
o county
smuances and
state law'"u.n is
'o �.a �corten.l agac to comply with all city and courtly ordinan$cx erW state lows relating
`. ,l.huilding co nswnion;andhembyaulhdiu iepreientviEisdfihiscirymeninto pon
Irj Ithc ubosu-mcntibned progeny for impenion puryoses.
(We)agree to save:indemnify atld Feep harmlcu the Ciiy of Cupertino against
'Fw'V1 liabilities,judgments,Costs anti expenscs whicipmay in any way seems against said
Cuyy I co sequence hhe gr m ng of tai permit. 11,
is PYUCM GUD IS FN DS A.ND PILL COMP LY WI ALL- 'ON:POI\T Ig$Ued by; ADate
/? D,`L
s a fAppljca Ontmclor - In „' Re-roofs
RDO11}} )JIATERIALS DISCLOSURE
Nin ran app' Ior Pomrt'Guilaing accupvduou or handle heiardous maxnil' _ Type Of ROOF �•••�. .-.•-.•_•-•-
iuloanedbyTheCpcnl Muni lP ICCd ChaPrc 912 end the Health and Safety ; ., node i rl' ,y!r l..}Tlr+tile awl 17CF
Code.Seel 7592( 1\t I \ - H ' '' 3 °+l 1 s
ore eeN., All.roofs.shall be inspected prior_to_any roofing material being installed _
WJI,h appbcanl or future Wilting occupant use cnu pment or devices which' If a roof is installed without first obtammg an inspection-tIP agree to.reinove
emit hazdNous air contaminants os defined by the Bay Area Ali Quality Management
District? all new,materials.for,inspection-, Applicant understands and will comply with _
all non=point source regulahons
I have ratl'thei hazard s lnoonala rngm25533 andor 255Chapter.1derstS d Ne
�ifhe builinahlis5 by Cadeave a te7550.52559 anti255341to runif that - /✓/ _ - // / Z _
--ifthedgesnot cusremly haveem ore that tis myresponsibilityt notify the
occupant of Ne requ mems'whuh men be mel prior m, antt f e Certificate of
G
°Cv y �3 'Z Signature of Applica _ - Date
llData
A roo coverings to be Class"B"or better
wnerarrrmhonzeda
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- ..- . .: ..�,.. � -- "• - -OFFICE..- - -_ -----------
•. .. .... ... .. ....... .. --'- -- -.. - .
Building Division
10300 Torre Avenue
CITctino,CA 95014-3255
coo Telephone: (408)777-3228
CUPERTINO Fax: (408)777-3333
Building Depaent
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 1/4"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: nniyrGiz/l/
Address: 19Z
li eroofing Company Name: • l cs,y v of�
Applicants Signature: Date:.
Joe Antonucci
(Chief Building Official)
60/01