02100162 CI'PY OF CUPERTINO
BUILDING.UNISION PERMIT C0NTRACtOWIINF0RMATI0N:
BuI206,911RESSC0FIELD DR KNIGHT ROOFING CO PERMITN02100162
0wrlgUNGTRD0N M AND SHARON L 42035 OSGOOD RD APPLICA'1'IP0SpVVY,2002
IONS: 5104389077 SANITARY NO./ CONTROL NO.
ARCIIII-ECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
WOO LICENSED CONTRACTOR'S DECLARATION C] O O O
p I hereby Whim that 1 am licensed under provisions of Chapter 9(commencing REROOF lob o
rnaa wnhSection7lMMBofUivisinn3nitheBusinessanJPr�fessi�nsCoJc.unJmylicenscis ALE
f ll force and elftg{�l.
in full
Class 1-59 Lic.tl 7SS
DN�o Date 10.73 Commctmicoai,M _ JAN 0 9 2003
y ARCHITECTS DECLARATI0
gK < I understand my plans shall M used as public recmJs
Otuu
0 itu r Licensedro
Pfessional
u_yOg OWNER-BUILDER DECLARATION BUILDING
gar I hereby affirm that I am exempt from the Contractor's License Law for the
$11200 1
c_n o following reason.(Section 7031.5.Business and Professions Cole:Any city ser county
$fl� which requires a Permit b)construct.alter,improve,demolish.or masse any structure
prior to its issuance,also mquiresthe applicant for such permit to file a signed statement
that he is licenced pursuanuomc provisions of the Commenn's License Low(Chapter 9 35}9H12I0&L&A&G Valuation
n (commencing with Section 70gl0)of Division 3 of the Business and Professions Coded nr
i .. that he is exempt therefrom and me basis for the alleged esemption.Any violation of
Section 7031.5 by any applicant ter a permit xubjccts the ePPlicam m a civil penalty of 3 U APN NF9KTfE Occupancy Type
not more man fin hundred dollars fss n). 3 0 j7 — INSULATION
I,as owner of the property,or my employees with wages as their ante compensation.
will do the work.and the atNclure is not intended or offered for sale(Sec.7140,Business
ns
and Professions code:The conuanors License law does not appy Io an Owner of 602 — ROOF PL n T1 o
property who builds or improves thereon,and whodnes such work himselror through his
osn employees,provided that such improvements are not intended molTemd for ssIt.If. 603 — ROOF BATTENS
however,the building or Improvement is sold within ore year ofcompletion,the owner- 604 — ROOF IN-PROGRESS
builder will basic the burden of proving that he did not build or improve for purpose of
sale.).
❑ 1,as owner of the profteny,am exclusively contacting with licensed mntracmrs to
nnamel the project(See.7000,Business and Professions Coale:)The Contractor's Li-
new law does not apply lot an owner of property who Wilds or improves themon,and
who conoaces for such projects with a tion racturfs)licensed pursuant to the Concentra
License Law.
I am exempt under Sec. B ds P C for this reason
Owner Dal
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a Certificate of Conacnun self-insum for Worker's Compete
when.as provided for by Section 3700 of the labor Code,nor the performance of the
work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance,ss required by Section
370)of me labor Code.for the Po formanm of tic work for which this permit is issued.
My Worker's ieComMosatiion Insurance carrier and Policy number an:
Carrier: S1s� � e
P /,—,t Policy No. Y(e- `� 72-iM—0
CERTIFICATE OF EXEMPTION FROM WORKERS'
C0MPENSATION INSURANCE
GTissection recd nmhecompleted if1M permit isforsme hit drNdollars($100i
Or less.)
1 certify that in the performance of the work for which this permit is i.ssued.I shall not
employ,any person in any manner so as to become Subject o the Workers Compensation
Laws of California.Dam
Applicant
NOTICE TO APPLICANT:If,alter making this CenlBene of Exemption,you should
beco subject to the Worker's Cumpcnsotion provisions of the Labor Code,you must
O 2 forthwith comply wim such provisions or this Permit shall be deemed mvoked.
Z O CONBrRUCTION LENDING AGENCY
[r rNi Ihereby mile.that mere is a construction lcauh ng agency l or the performance of
a 7 the work for which Buis permit is issued(Sec.3197,Ci,C.)
1 Q Lenders Name
� Z LcnectagrAddee
ve re
U O 1 certify that I ban minformation this application and slam that e above infoation is
ry
building, agreto e comply with all city and county ntainanees and stem laws relating to
U
0 U above gcotioned construction, for
inspection
rpoesemativcs of this city nt cnmrupm the
above (We)agree
propene for imnify an keep ha
(We)agme m save,indemnify and kith harmless the city of
racupenin.,against 9�
„UN inconsegjnc of the ratsing(ifthis pemiich may in any way accmc againstxaitl City /
U z A APPLICANT
of the granting Of this permit.
APPLICANT UNDF.R5TANDS AND WILL COMPLY WITH ALL NONPOINT Issued by: Date
SOURCE 11. TIONS.
/ 10'=Joy Rc-roofs
nate.or AppricanUConoacmfDate
HAZARDOUS MATERIALS UISCLOSIll"D Type of Roof
Will the applicant or future building,ecupau store or handle ha'tandous material
as dcfned Ity Tc Cupcnin0 Municipal Cods.Chapter 9.12,and the Health and Safety
Code,proo.2sssz(arf V1N All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
mil harallous air ummminanu as defined by the Bay Arca Air Quality Management all new ma rials for inspection.
Disvin%
El Ye., Win
I ha5ve re ad But hasaedous materials re,imments an&,Chapter 6.95 of the Cattle,-
nia Htalm Scmay Colt.Sections 25Y)5,25533 and 25531.1 undtrstand thatif Buc hadding !U
Jces int curtG n tenant that it is my resptmsibillly to notify the Occupant Of me
myuimmcnts hi m�atbe.1painrbti....ofacembeamofa�eapmbq. Signature of Applicant Dale
v-23" All roof coverings to be Class"B" or better
ncrura lhnri.Jagcnt Dam
M KNIGHT
Nqw
�u4' c9-o0r�c�s,
ROOFING CO.
p
OCT 2 3 2002
By
n1 N
�� • � _ L'FG_Fy��,N
i
'-=ROVED
11 '%11TH THE Cffi Bf,
I CUPr"FTiNC AND " dD�INANCES
� v
)/lTE_ _
ilG11EI/ _ r__ _ 11
s,i( specifications MUST
o !, , ,. fr, • ,t I times and it is un
i
�,iant;es or alte�'tions
on same w,Y.;eo permission from
q;', ,c Cupertino.
:-d sP ecification
NAI i. T mit or to be ac
any provision
0J f�Iaw Svl4I�C.
•`G lbs stj. �fi.
42035 Osgood Road•Fremont,CA 94539•Tel: (510)438-9077 •Fax: (510)438-0604•License#755799
knightroofing.com
I
Building Division
10300 Torre Avenue
Cupertino,CA 95014-3255
` Telephone: (408)777-3228
OFac (408)777-3333
CUPEIINO
Building Deparitment
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.
5I 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 VV'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�^` ��^� LJ
Address: ��si Seo Pc e �c
Reroofing Company Name: A, V<,,,v�VlA L--t�f- VC,
Applicants Signature: Date:1e
,OP -.9
Joe Antonucci
(Chief Building Official)
6/25/01