02070095 CITY OF CUPERTINO - .. I t". -' I
BUILDING DIVISION PERMIT CONTRACTOWINFORMATIONc ` '
BUILDINGADDRESS: PERMITN .
10544 JOHNSON AVE WINTER ROOFING INC 82070095
OWN WEE 151 WYANDOTTE DR APPLICAT�s�sy�DgTg2002
HONE: 4083638052 SANITARYUNO/./ lb/ CONTROL NO.
i.
PO OO ARCHITECTIENGINEER: BUILDING PERMIT INFO
&U F BLDG ELECT PLUMB MECH
a i U C=1 L."i I I
s. 2 LICENSED CONTRACTOR'S DECLARATION
z In 1 hereby affirm thin 1 um licenuREROOF
a under provisions of Chapter 9(commencing Job Description
yr svnhgevion 7000Jor0i.ision3ot Na Business end Profasxlans lace.ana mY littnx
Lceforce nn c
innse C x i Lie. JAS-205'e 7-
Oct V n. =� _
Dam CAf
a O 5 DECLARATION ARCHITECT'S DECVlRATION
T g 1 undmmntl my plans shall be used as public records
ta
as O O Licensed Professional
OWNER-BUILDER DECLARATION
C
1 hereby affirm that 1 nm .cmpt from the Conlratai License Law for the
< $3400
C? fallowing reason.(Section 7031.5,Business and Professions Cale:Any city or county
P O which requires a permit to construct.alter,improve.demolish,or repair my structure
3$ ,riot its issmacis.lso requitcsthe Applicant foreuch permit,.fiev signed statement
that he is licensed puismns 10 the provisions of the Contractor's Licenu Law lChapter 9 .. ,ah_;,,3 Mp 2''8,U&6r_4•Fh-.• r 7'V Valuation
(commencing-with Section 7000)of Division 3 of the Business and professions Code) t„ 1, v �. :.. a\
L '_r i. _t2 'J J.3.r>..
of Se be is csempi theieftom end the basis for the subject,
th d exemption.Any violation
-of not me than venydreddollrorvpermitubjmstheapplicantmecivilpenalry-
mr.rmarctnaaRven.ntlreaeml.rsrssrJo). 30%PNDh1>id7AE4E :.Nrrn Occupancy Type
❑1,as owner of the property or my employees with wages as their sole compensation, 307 - INSULATION
will.do the work:bnd the nrucane is not iomnded`or oRcoad for'sale""(Se6.7M,-' - rwrflOns
Business And'professions Code:The Contractor's License Low does not Apply t.an 6 02 - ROOF PL '1 L
owner of property Who builds or improves thereon,and who does such work himself
r through his own employees.provided that such improvements arc not intended or _ _
p is _ .. _._.603. - ROOF-BATTENS----
emphatic., - -
'�em sea for sof IL ha id the building or improvement ,t
PP�eeof A.]')�wdl have the burden of pronng that he did ata Wild or 604 - ROOF IN-PROGRESS `
improve for u
..___.,...__. ropeprop._._ licensed._..______. ._contra_.____
v ❑Ltrmvner of the property.Am exclusively Committing With W:)Tho Common to
comwe the prosect Iapp ]to a ownBu6er o and profess ons Coder The approves
daemon,
License Lew tin not apply man owner of progeny who bolds or improves thereon ,It ® - "-
.nnd who.conwns for,wch.prosau.wiN a commnor(s)la:ensed.pursuml mthe .. . .,_ prop..... _. .__.__._ L ._.
Caw 1 License Lo _.
B&
IDIe mptunder Sec PCfor this motion C)In I.:'•.' f' 'I'
OA. t. - Dale .n,I 2 4 20b2
WORKER'S COMPENSATION DECLARATION
Ihertby afOrm undo pe,ulry of perjury oheoflthafolkavm,darlaraf... BUILDING
❑ 1 hi4e'iodi wilt mafnuin a•Conificme of Conxcnt to ulr nsum fm Worker's
Ci mpanenion.-u;provided for by Section 3700 of Ne-Lebor Cot far he
performance of the work for which this permit is issued.
�Fhai,ana will milnmin W rkA'I Compensation lniura`nce as m6iied by Section
3700 of the lata Cale for the perronna c .f the work for which this permit is
slued My ers Co.pe uudn Insurance cuNe d Ponumber ve t.t'
.... Work. . i Policy., ..
L1mer ` EXEMPTION IO
SATI NS WOR '3' _f''�`. i .L } t r. ,. 4...a. .r v•.'v.
r FROM.
_
COMPENSATION INSU_RANGE`.'':'
I'Jf°''fibiiioriioriact nm be completed if o -
p permit is for one hundred natters l}CCI:(iill7'.:4 'I "R:
15100)miasJ '
shall sol employ anperson to any man .••,_, ..'
1 ttm(y Nei in the perfum,ence of the 9 t for whish tbt ct up d i Issued:ker I
, 3
Com rtun slaws "0 o mWroine tea to Nn.Wmkerv'
O pOT ppY .(Cel Pmie'Dem
A N CE
N ICE TO APPLICANT If.NngN Cem@eu the
Labor
o y should
become mbsan the Wo ke r Compressionoipm k sh.11 domprm Code,you must
-
forth Neo I -with such provisions or this perm 1 shell W d rand revok d
zrw -. ... . _. ._. ._ . . ... _ ._..prop _.__ T...... prop .. - _- - - _ papa ------
CONSTRUCTION
. .
. 1
CONSTRUCTION LENDING AGENCY `i
I hereby sfrmi that there is A con'swntan lend'n egancy for the per(ohat.a
VS
of Ne work for h hlhrs perm.is iuo.A(S.. ']-7l. C) .,.•i, „s.
W .Londe Name --. b.. _ . .__..... ... ...._...__.
iipp
z Lend FAAddnrs •:.I -... ._..... ...._. ._, .... . _ ... prop _... -.. ... .-...-_._
I cert(y Net I h e mad di pplicat o and state that the above information is ,
OE.I irorrta I gree to comply with all city'nW county ordinances and state laws relating
C) io Wildngmnswcl on and hereby kuthonxe rtprcunuuves of Nu city to interrupt,
,y W the abs a me a sed property for inspection p rposes.
g,i p. (We)egiee i.sa a mdenmi(y end lap hesMea the Cly or CJpeni ai againn
FI V] liobiliva.judgmenu,cos. rad expenses wy ch may in eny y ttrue against uid
(,) ZI City m cAypr race of the pentmg of Nis 'CO
A L CMT 'DCI,ST DSA L COMPLY N'ITN ALL NONPOINTI" C
sD ce � s -O Issued by: Date
of PPI,c t/ ARDOUS MATERIALS DISCLOSIfR i 1. IDau';I', Re roofs
-' Wil thespplicentoriLhatWld gacuputstom i d1l hvndousmond Type of
u d t Ne Cupertino Mudd Code Chapter 9 12 eM Ne HW N W Safety
Cotle oras 255J2G) i ( �e i.. �Lse;tUl'
uvea i y r No 71d t t , �.,., - _.Al]roOfs.Sball.be mspected.prior-to any,roofing,material-being installed.,_.,._,
AMLWII Ne eppbeant f t Watling sap t xe qa parearamd t e which If a roof Is liisfalled:without first obtainingan�ins ection"I agree:to remove
math endo..sur contaminants is deft y the Bay Arca Art Qindh MAna Qemant
p
Diana. -
f; ana a", new materials, f or inspection...Applicant understands and will comply with
yt ' " t '. . to t , �: all no int source'ieglattons„ ' .__....
1 h ve radthe nazardo Burials agvrcments ueda'Cn.,1,,6.95 of the
Cebfomia HeeliA Safety Cale;Semiom 25505.25533 and 25534.1 understand that
if it.Wil I. d umbun 1 hbvcataed at it is no
my responsibility rolify Ne
ac'upvnt or quimmcbti'xbic mutt met poor to issuance If a Cenifli of
0� a S• igng ore_ o A_ pplicant Date
r' or I. tae v Al] roof coverings to be Class B ' orbelfBr' .
...,..OFFICE_,.,.- - - -..._ __ .. . . ...__. .. .....__. ... . ............
Building Division
10300 Torre Avenue
Cupertino,CA 95014-3255
Telephone: (408)777-3228
CI 0 Fax: (408)777-3333
CUPEI�TINO
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 withoutfirst 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.
L .
Homeowners Name: LI J'l.5_ 111;eI
Address: /b AV,
Reroofing Company Name: L,4 to .e �L
Applicants Signature: _ Date: 7-ZZ--0
Joe Antonucci
(Chief Building Official)
6125/01