02060110 (2) CITY OF CUPERTINO - '-• +"' #':
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:%
1UJI61g%IQDlakEENLEAF DR LINDY ROOFING CO INC PERMIT NO. 02060110
TMWI�AYMOND L AND HEIDI N TRU 5554 HARVARD DR AtrtCt1jCgnbI 2
Ah
PHONE: (408) 269-2025 SANITARY NO. CONTROL NO.
S�O O ARCHITECT/ENGINEER: BUILDING PERMIT INFO
c p4 BLDG ELECT PLUMB MECH
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Z LICENSED CONTRACTOR'S DECLARATION Job Description
Z a=0 1 mo by uffvm mn l nm licensed under provisions of ChrIn er 9ln:
comnncing REROOF
I
HC action 7ll(10)of llivisioo 3 of the Rysy,ess and Professions CnQe,.Wm,l,cv.
Y or wfull fora and a al,�is J(,
e U 'ns Class
ppm CoW��,or
3 u O t 3 VN' RCHITECT'S tRARATION
y S 1 understand my plans shall be used as public records
u�r
2 atO O Licensed Prof..i...I
XREOWNER-BUILDER DECLARATION
1 hereby affirm that I am exemp,from the Comracmr's License Law,for,he $600 6 O Q
f-?< following reason.(Section 7031.5,Business and Professions Code:Any city w county
i F❑ which requires a Permit to construct,alter,improve,demolish,or repair any structure
toa.if or,o iu issuance.alw«quires the applicant(or such pemduoBlensigrcd neo-ram - _ ._._.._._.-.___ __ ___ __-__
that hniadieewithSauenllq O(1)of Division of the B.Ii. firens°L°wons Cooks)
TT,3�Gy�..GWv,fi l .f Y I Valuation
or thatiWe iiesimSec,iont7,Of10)ofebsisort,e aNgedcR prW Professions Calc) �.111J S\° I- 74,).le, 11401'iG,'�tll
or that We ii'eiempt,heie(mid'tnd,he basis for the ell2gctl eiemptilth.Any violation
-of section 7031.5 by any applicant fart pemdt subject,the mapplicant to a civil Penalty . . Occupancy Type
of our more then e hundred do][.(INTO). 3 ZIIIE PN 1; ,,,
❑1,as owner of the property,Lir my employees with wages as their sole compensation, 3 0 7 — INSULATION 7
"'will'do'@e'wmk�and the'stcti isnotintended or offered for sale(Sao:70Iq- _ ROOF
tIn
Btamesi undPrnfesslons CWe:The Contractor's License Law does not apply m an
owner of pr pony Who Wild, repro es Butternut and who does such work himself 602 ROOF PT
or th 1 i. employees.provided th, h'mproa encs ore not,me x d r
:oRc d,'- r If n' to building rimprovementssoldwB,n'anoyea r _. .603'... _...ROOF...BATTENS
improve for the n fsale)rw 11 have,, burden of prov,ng that he did not Wild or 604 ROOF IN-PROGRESS
pr the oweofuilde
..___.__..____..__...._._..__..ell ca'-_.___........ ..........__._-. _. ._.--.....______'_ .._......_.__... '
o 1,as nwne"Ithc prnpcny,em B.,b iv<ly commcting withIf
a:)no Courrmm lin -- - P- ------ ---'
License,@e project(See.70,4,Business and Profusions Core)The Co ithemo's
License haw,does no, .,d , an r of property who)tic r,mprom,hcman
_and who convects.fors..,.projects 'W a core n rex)LccnsW.P ant.Io Ne.
Commucou',License Law.
❑lam exempt under Sec L' ,B&PCfonhn rcawn
--- o flit.,., ® 2002
.I WOR UR'S COMPENSATION DECLARATION jUj +l
` Ihcrcby affirm under pcnahy of perj:siy,onc of.thafollowing dmlarmions 1
❑ 1 have'and will'maimein a Certifcaie�of Cousin,to staff mare for Work<r', BUILDING
Compensation, as,provided for-by Section 37W or ,he Labor Core; for ,he
performance ofIhe work for which this permit is issued..
❑1 have and will uranium Worker',Comp idol o Insurance'es required by Section
37M of the Labor'Conde,for,he performance of'de work'!r which this Hermit is
suey workers
C rep g aeon Insurance crrlero dPllcy uretic'
Z'e^ .,.:
^ " /P.kM 'Policy No 'f
t '
I [CATION OF P.XEMON FROM,WOR ERSCON "I \ f I ^I C°qq
,.. �.... COMPENSPTIATION INSURANCE'. ', f ( ,• �.M 1..b1 w Lyis,5➢ f �' s
(lI o: .L-, 'F.:..; - Ul. l _._ ..__._._.
'1°"a f131'a a b need no,he s complemd if the Permit for one hundred dollars it �% l,, l til
(5100)cor less)
- _.-
'.s Ittarntthat`s,cram I.
mom Ne ora Ya wnlchlh, pemu,is,ismd 1
itis(( m employ ogy'perw n oery manner w es td berome gubjcc,,o,he Workers
Cam ' lion laws dfC l'('mid'Dete` '
NOnarisa APPLICANres If,iflaCdrrmnl ti ,h 'C<mhcamof Exempto youehould
Z tirsome subject,n,he Worketa Compensation provisions df the labor Code,you most
,
Q 0fodhwh,'camPly witti such provisions or mil pertni,shell be dttmed rcvaked.
Z „y _t .. .__ _ _ __ - .. _. .._. . _-_.._ __.__ _ ..-... ._..._. ._..... _
' t ' " ;'CONSTRUCTION LENDING AGENCY I
1
a +! 1 h mar elTch that Nerc, a o ire,o leading agency( I0 Performance
W :r aft, ora fdrwhmh thspenn, 'slued(Sc30970 Cj
(•t. Lander N ,a w ...__ _ ._. ._ ..____
�I, 1 can fy,hat 1 fa rc d Ih s epphcau n a d ,m,he,the ab fomartian is
fA (may c6nect 1 ug a Io epmPly, IIh pll oily Wnd county ordinances and nam laws mitring
Q-f, to nuilding consubclion;mntl hercny authorize ieprcseme,ives,!tris city n,cnmrupnn
y r� the echo a me a sed propcny f r nspectio purpox
EL.+, Q:1 Iw) gree, se dem fy dk pharml ache C,y fC penino against
-W Habil, 1 dgme ,s,c , and expo s s h h m y n any y cine gat n said
61 � Cly m nseq once of Nc 6mm ng f,h s pemmt '
souacA ecN BsrANDslc at mor , �Issued by:
Date
77'H ALL NON POWT
PP lir ��
..._Re-roofs
HA7A OUS MATERIALS DISCLOSURE
vers m' r t (umrc bu la a.n, nandm hvallons mmmel I e.of Roof.
udefimed byN Cpelnn M , e1CW Chapte 912 lib InaN hh and Safety
•JP
GCde$e.t10n Z5 3210/ f: I l I L aY I.' l j =�L y. 7AY1• 'v`, I.
_A-ll.roofs shall_be- inspected poor to any roofing material,being.ins tailed.
which
rpev,.tsut: If a roof is ins`talled'without first obtaining Pection, Iiag an ins ree.to`remove
limn huaNaus air comem:nants su/defined by the Bey Area Mr Quildy Managch
e
all new materials for inspection Applicant understands and will comply with _
. all non-point source regulations
1.. ..r:[ t tic
rte a um of the ui m n¢ h: h moa, mm n r so issuance of a C hificne o
ehuom Health,�o°fcurrentdenec ebglenam�he�53J andes5oJ41b,lundio n,anflh
rc J thin
„ . I P fY the
?toOP I he rca gthe'M1azallous memnals r wrement5 under Che ler 695
p C Y Y P Y
,Rheb.Ido ao<am Signature ofA cant _ Date
g1 _ .._ - ..,...... _ . ._. _._... _.. .__ .. _ _.. ...._.._... ....._.._
net r
amnuda o, All roof coverings to be Class "B" or better "
.OFFICE --.
1
i 1 Building Division
10300 Torre Avenue
• Cupertino,CA 95014-3255
Telephone: (408)777-3228
CITY Of 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/a"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 Name4 Pa, (7,/
Ad&rVs: O (o 9 3
Reroofing Company Nam L
Applicants Signa e: Dant
Joe Antonucci
(Chief Building Official)
6/25/01