02030088 III OF CUPERTINO '
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT N0,
10740 GkSCOIGNE DR 02030088
OWNER'S NAME: APPLICATION SUB DATE
All JOHN FALKNER 03/19/2002
.HONE: SA 41TARY NO. CONTROL NO.
P OZO ARCHITECF/ENGINEER: BUILDING PERMIT INFO
UF BLDG ELECT PLUMB MECH
5Pi i LICENSED CONTRACTOR'S DECLARATION Job Description
i Z K7, strum h
1 hereby at 1 am licensed under provisions of Chapter 9(commencing
L1[-!3 Si,hSeelinn7W).fDivislun3nnneB.:ire. and Probe....PxCndanndmylicense REROOF. (GARAGE)
in full r e d cffec RJ'
:cc6 License .. L' M 1GY✓t C�S
3 a 0 t: Dae ARCHITECT'S DERA I N f
_ umlersmnd on, plans shell rte vud az public rtmNs
Y
1 i O O Lmenud Professional
„g OWNER-BUILDER DECLARATION
I hereby offirm on I vin exempt from the Lotions Co License Law for the
(_?0 followi......a,(Section 7031.5,Rosiness and Professions Code:Any tiny or county $6000
O which requires n permit w cumvuct,nher,improve,demolish,or repair any structure
a3a `IlaubF¢isPaidpubmint miss
fw ao.M.I.ch e U.P.i w Mate. _ _ _
- di„heencinn w it Stkdinih,hq prmdslonsn 3-Commipas Llcenaelaw(Chapter9 e��,,
•' Vis.. t,�&&11ppD0rr�(��a�ppq`�11 s,--ss Valuation
(commencing[to Isg omitit theieftson and he basis fin b a legea a#Pdmp Pfufaa,si Code) (1'ti, l ir3y��;7 V 4.O�•:`a_`4:t�iD.i ;(s1�
or then he is exempl on,ri vin and the bests for he subject,
th E dement,.Any saolnion
-of Section]BJIvS by any npplicom for a penniuubjeanhe npplicanno a civilTeasley-,
m mare anon five hundred dollars(ss w). 3 0 p PN Nit E i i t:; •.: .o Occupancy Type
❑L m owner of he property,w my employees with wages vs their We t ompcnutinn.
will do the'walk'and the'mri it not intended or nfremd for sale(See:]1114:' -'-- - -' - - "- - - --- - -
'Bodneix aad Proicatlom Code:The Coon.aar's License Law does not apply.an 601 - ROOF TElquiftB$hspections I-,
owner of property Who builds or Improver hc.on.and who does such work himself
or hrough his own employees provided that such impintsements nye unamended or 602 ROOF PLYWOOD NAIL _ __
offered for kola H,however the building r aero i sold-whhin one year of '- -' ""'---"""' ' -""-'"--" ---- — -'-
603 ROOF BATTENS �n
'mmpinrnn me nwoer ria lam will novo me nnmrn nr proving that he std ern ante or C. .r
improve for P.rfawcofsale.). 604 - ROOF IN-PROGRESS
---___- _---------- -- - _...__...._.... - - - ....
C .as owner of,he properiY•em exclusively comracting with licensed comractors10 .,•,I,ai,_; ,.'.rf._
onstrum the pmjea(Sec.71114,Business and Professions Code I The Contractor's
License Law docs not apply to an owner of property who Wilds or improves hereon.
!, and who.commets.fw.such projects with a com.e.r s.lice..d
_ prJ O Po.untt,o.Ne_ ..------__.----
Contractors License Law.
❑ 1
Ia teen order .rAl te=r;R'&PCfor,hit.nsRn w� /�-�.. . ,U ysl'iai
: C. OwnEk•,',' WORKER'S COMPENSATION DECLARATION I ,u FINALEID
I! 1 hereby affum under penalty of perjury one of the following declaration:
6 ❑ I have ind will'tr in,ein is CcnificeidofCori to ctlf-imme for Worker's APR 0 12002
pkv
Corti... .......ided-fix, by Scnion•3701) of the Labor Code, for ,he
performdbci of the work for which this permit is issued.
'z BUILDING
3., CE2'r1 CATION OF,:XEM ION PRQM:W uequ red Seale
111 h e and II stun Worker Compe sato Insurance,
it
37W f the[:.We Code for the per(or,nn f N ork'f hen h perrnu is
cd:My W h s Com pe rano JPS¢,¢me and Polity b-
SGyo y 'I�ary DyJ•t.. : ; cI� IP2 ]C,l ; ti l° sed '�'f°.,t l.'4 i=.z�. l
IU "7,C Co hea ms ..... _. --- _ -- '_ - . ..._
INSURANCE
(Th u ,ineed not Wcnmplci is for one hundred dollars - Jr:
(SI00) rless.) -
. .. ., . .. ..+ t. .. .. ... ..rata
mac_ I comfy that In hppM emenee,P the - kT r whmh h, pento is I...ed 1 -- - -- T -- - -
x ;tau:': IJ ;Y ,t'i:1111 sb
'
'hall -t mploj day pc n m ony,benne s s so baame subJect,d he Workc. '
am al
lawsof Cahforna'De,a.
AIcon su . . - - - .... ___..... _.
'z z inghsC'nificau of Exemption,Ybu should
fonhwih com sl h hooch lrov o s oat ri p leans 8f e, Lnb r Code y u m 1
TICEi.APPLICANPIf efnerm k
1 a
0 p Y p nhia pe t shell be Deemed ked
' ' s `CONSTRUCTION LENDMG AGENCY " � ;. ' 'I '•, '
a.it I h rthy iffnn he,here, a coniwn,on lend g agency for he pert em xoce
ofthe rkf h<hh pc t Is'ed(S 309]OV G! ' � '
O v
.1 certify,hm 1 have read his application and nese hat the:hove infurmiis
Po
[s:.f'� bbirin:I agrm w.comply wih all ciry ane.rounry ordinanc<a end sure laws miniso ng
�_f, is building conn.nion;anA himtiy'emhorim rtpmumetives of his ciry mercer upon
�a r� ,he above-mrntioned property for inspection puryoseg..
[.a1 L (Wc)ogrte'm se e d mnify and keep harml ss hE Cuy of Cupen ejt
r VJ liebilu¢a 1 dg ma.mss rid eagpcnscs wpht h m y any waga est said:_Z
APPLICANT UNDERSTp AN WIL COMP WITH ALL NO`xf-PO(NT''d
? "soLypILAEG�TION' 1 /9 Issued by: D t
^ �'an
oore o Pr HAZARDOUS MATERIALS DISCLOSURE , Re-roofs
c4 W II N!a beam (umre bu Idi oc a
not shh or by die hazartlous e,eel _
rP s p Type of Roof .
n de(n d yy h C pert o Mumc p ICM Chapin 912 e d the H Ih ed Safety
-
Cedc
qI, n All roofs shall be inspected prior to any roofing matenal_bemg installed.
n Wllh nPplcantw(s - Wading - pa tuuequpm , dev�eeapnih µIf a roof is ih3thlled;without first obtaining P g an'ins inspection; I'a ree'.t6`remove
❑Yes Il 'n, N t , Bemem
all new materials for inspection Applicant understands and will comply with
'1.a✓ ten o s co win r., ss em y BayA aAu Qual,y Afa a
all non-point source -
I ha erreaA the hazardous ma¢dals recon menti under Chap.r
undbid 6.95
Cali(o.ie Heolh&Selny CaAe.Scaions 25505:25533 a,W 25534.Ponderser '
-.ifsfie Wilding doeanot i'umntlY hoveamnvm:hon it it mYre}ponsibiliry to in the "'""""" "-'-"-'---" - - -------'-' -------_--- ---- -- - --- - ---- -
occupant of Me gmm
reens which must be met prior ir,it Isunnee 1.of a Cara"Ita of t` s
Signature of Applicant Date
�o - 7
_. .
th aas or t o ; All roof coverings to be Class `B or better
F.: u :
Building Division
10300 Tone Avenue
• Cupertino,CA 95014-3255
Telephone: (408)777-3228
aC10F Fax: (408)777-3333
CUPEkTINO
Building Department
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/"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: l rJ {yy1 ✓'
Address: /b 744
Reroofing Company Name: ! r AAOW' '.^de�-1-1'014 S,e.jl�te,e S
T
Applicants Signature: �G Date:
Joe Antonucci
(Chief Building Official)
6/25/01
Building Division
10300 Torre Avenue
CaCupertino,CA 95014-3255
Telephone: (408)777-3228 •
CITY OF Fax: (408)777-3333
CUPEI�TINO
Building Department
RER®®F 'TEAR ®FF POLICY
revised 6/25/01
1. You must schedule an inspection for the tear off the day before the date you
wish the inspection to be made.The procedure is to call the Building Division
(777-3228)between the hours of 8:00am and 4:00 p.m. for next day inspection.
2. When the roof is torn off,the nails removed or driven in, and all of the dry- •
rotted wood has been replaced, then you must call the City Building Division.
An inspector will be there within one hour.There are special hours for this
service: between 8:00 a.m. and 11:00 a.m. and between 1:00 and 3:00 p.m.
3. If you call for the tear-off inspection and the job is not ready there will be a
re-inspection fee of$100.00 charged,which must be paid before another
inspection is made.
Joe Antonucci
(Chief Building Official)