02080155CITY OF CUPERTINO
CONTRACTOR INFORMATION:
BUILDING DIVISION PERMIT
BUILDINGADDRESS:
PERMIT NO.
10705 GRAPNEL PL
OLD COUNTRY ROOFING
02080155
Mlk AN SUBRAMANIAN
125-B GROBRIC CT
ATIONSU DATE
APPLIc08/27/2002
1 PHONE:
f
(707)864-5557
SANITARY NO. CONTROL NO.
Z ARCHITECDENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
_
Q LICENSEDCONTRACTOR's DECLARATION
Ob Description
I hereby affirm that l am licensed under provisions of Chapter 9(commencing
'L�
REROOF ��„�a�B11
y with Section 7000) f Division J ofthe Ba.m.ssaml Professions Code,md my license
]< is in full force and eifttL. / t
` tD a 3
G D
J Licenx lana Lic.0 _
Date '� Connector
ARCHITECT'S DECLARATIONOl4
( q
( 2'3 2002
5 1 understand my pl... hall be used as public records
BUILDING
DLicensed Professional
OWNER -BUILDER DECLARATION
1 battery M. that 1 am Bump from the Consmcmr's License Taw for the
following reason. (Section 7031.5. Business and Professions Code: Any city or county
$8000
O which requires a permit to construct, alma improve, demolish, or repair any structure
-prior onscensedx,suregotren applicant for sue permato deseLaw(Chapteem
- thullhe'iSliCcnscJpura,uhtJo'thejupJisionsofthe ContmctoivLiccnulaw(Chaptcr91
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f r fv {m0(0ea, -,;�-,,.,,
'§�t"
Valuation
(Corn nocingtwi)h Sec{iqn 5f hof Division3of the Busircas ontl Pm(essions Code),
342!��, „y
I.. rt .i 4'al, ,r'\t AJ:1
or that 'he'is'eien ist therefrom m(J the basis for Ne alleged excmptlun.'Any violation
..of Section 7031:5 by any applicant for a Permit subjects the applicant a civil Penalty
•oR,not mote than Rw'hundrcd dollars (SSW). j
305 APN i �y}r
•'i:ia.n'f `,�. Occupancy e
P Y�'P
❑Los owner of thepropeny,o my employees wird wages os theinole compensation,(
.. D,.1.,
601 - ROOF TEARec(I]8O Inspections'°='L
-wilt do the'wmk;'and' the structure is non intended- car affected! for sale'(Sce.-70JSj
1 Buiincis and Pibfessions Cale: The Contractor's License law does not apply to an:
owner of property Who builds or improves thereon, and who does such work himself
6.0 2 ROOF PLYWOOD NAIL
or through his own employm, provided that such improvements am not intended or
-Bffued for sale: If. however. the building onmpov<mem is sold withiti'onc year -&z-of
_- _ ...-.._._
6 0 3 - ROOF BATTENS
' completion, the owner -builder will have the burden of poring that he did not build or
improve ter purpose of sale.).
604 - ROOF IN -PROGRESS
colo. rof the p m contracting with licensed contractors m
Sec. 7 an
the paled (Sec 7t o4 Business and Profemio s Axle I The Contractor's
BusinsMusess
�� i f (, ,,;• ).
-
icewa
License Law ares not apply m on owner of progeny who builds or improves thereon,
,_Contwho commcnse CCta_With. a crntmctorte),IicenuJ.Pursuant.to.Nei
.____ _.... _._..___. _...___.._ __..._.. _._____.___..._._ _..___._.__.__ ......—...___,_.._.___.___
Law.,.,, I.
C mmcmr's License Lew.,.l`0 t,, .; ,•i _,,,,.: r: f; "�'
❑Ia ecmpt under ec. B&PCfonhis season
1 '
.DO 1.'G'nCl'1j:0bfl
'Owner t: d✓n', .• °Dnie', •! c,. ., iJ,,:vb
_
WORKER'S COMPENSATION DECLARATION_
'1 hereby afR Ja pe by of pe 1 ry of thofnllowing declarations:- -
° 1 hure•nnd will unihiom'u Cfniricate'af Consenr'to mlf-imum for Worker's
;Compensation,-aa-pr.vidad rnrby Sectlon-37W of the - Labor Code. (or the
'pe famance of the work rurwhieh alis permil is issued. 1,
'av<'nd Cvill mm t n Wr kerb C mpenaatfon 0lsdrance reyoiied b'y Secilbn
q7 oLthe 15bor Cod for ttie perfa cat of the wo k'f which Nis pe ii is
isetlCCMY.WCorker Cat(p`cnmu nln umn ecain/er and Policy npumbererero'
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.. .0 methJH
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.1�.41..ar.. cf:. .��t l'z, r.., issf.: �t_,,\7
aQ'•�)-jCERTINICAfION'OFEXEMPfION FROM WORKERi�,';•�'r�, ,,c�
section need not he completed if the permit a for one hundred dollars
• �' ` t -' n r. Or't ., t)p,' 'j' .l i %)r'
� y.
0. �1 c nify that the P rf a of th du k f which Ili s pe t li seed I
shall t cam loy any fat son In y mourner r become ublem 1 th Workers
-
'C mpenuvon Laws fCa f rata Date � d"]"_2
�,
:Applicant :: '. 1 �� 1 -
__ ------ _ _ .. .._. _ _. ._ .._ ..._ __ _. .. ..
;! NOTICETOAPPLICAN ,omrmW CnlfcuetEcnpuon.you hula
+\ _.. '�II':: �•
-become iubje t to the Workers ComrMt on provisions of the labor Code: yo ,aamr
a
� 'forthwith comply -with welt provisions or this permit shall be named revokes. ,
, e,
3 s, Illnl . nk.9ix CONSTRUCTION LENDING AGENCY
rk.. _'bO r' 1<t!11 •v
_
T hereby whish that fa'esnnmSec. lendings. f the performance
r. ,, P L•. ;; s -:3
eI C.)
iof th-wokfar 'which this permti ,,its (Sec. CIi.a 1
--Led a N rtrc
_......_.... _._._ ._ _ __. __ ....._.. _ _ ..._ _.. _.__.
"',t"
der',
�LendersAJdre er, + "
LJ • 1, 5: it+:IOP 1/'n[--
1 n fy that I hue rod thr on is
aeon ad st m that the sob a maws
//v/
re
t mnem I gre m•gorpply with al airy and county ordinances s nil state lows eruung
ity.
it Id g authonze eprc-e_ntati esnhhn coy to enter upon
t comm�inwn end he ch�
rthe bo t niJ P pony l ^pact P 7u ..
(Ne)agree't sae indemnify and kap humleas the City of Cupsnino against
7 liabilities, judgments. cot d e peasea which may any y rue against said
;GItY in,. nu9 < !th pp t g o(thl p<rmu -
^ 'APPCIC, J, ERSTANDSA. WILLCONPLYWIT(�ALi:.q&,GPOi, Tff"
souRCE - hj: Io s. �.r .� I� -.1,. Al' --i!
oJ�
Issued by; Date
��
st n to eofA k tfco t nater .': Dam
P
Re -roofs
tg HAZARDOUS b1 ATCRIAL$DisCLOSURC
a.Will Ne aPPI rfut rthltiWngar pain rcoµandlchuzunl us nreten 1.}
Type_Of-ROOF
its tlefned by the Cupenmo M c pal CWe Cbapter 9 12 t d th He Ith and Safety
.t
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Cod , Section 2551 v1 t
4 i r f
t' 1''�
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❑Ye..jy l{ o\t t r'
All.roofs-shallbe mspected.prior.tar any. roofing material.being installed.. __..._.
.a, Jy I th. Ppm. .! futurebuildinga p ruseequipmenti erre which
If a roof is inst'alle'd'witbout first obtaining an inspection;'I-agree ii :.f6 nove
e t hoard airecamm nems as defned by the B y Arc' A Q al ty Management
'D=tnet J dR+-
,all new materials for inspection. Applicant understands and will comply -with. -
_°Yall'non-
to
non -point source re ulations.,
P g .c.. - u .f: ,1,,
E-r e,):''
have read th-hnzamo s matenals regmremems sonde Ch pati 6.95 of Ne
, Cul Tom a Health & Safety Cod , Secti s 25505.25533 rad 255.14 b undo, d that
-fthe bd lJ tete etlyhaveutnmthmrtis
ngdoesn my responbilty tonhfthe
xcupom f the requ remF t nl hm st he met pit yin ssuonce t. Cenlfc i L
-Oce ane '' '•
P 1
-
Signature of Applicant Date
her ro razed ago 4r n
All roof coverings to be. Class B or better'
,0 1 ,,,,'Date
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'1
ffluoi
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.
I. 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 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: S cA 6,-T n Km r-�4j / eq iy
Address: / 0 �-OS G r--?, (I-
Reroofing Company Name: 0L� C_ 0 A .n/ -F-" 0C) f --,"VG
Applicants Signature: Date:
Joe Antonucci
(Chief Building Official)
6/25/01
F- a7- Ja