02100206 (2)CITY OF CUPERTINO'f-a
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BUILDING DIVISION PERMIT
CONTRACTOR INFORMATION
But 11OPISAIMBEsSOHN WY
WING'S ROOFING INC
PF.RMI"IN02100206
W99f'HAMPAO F AND JEAN C
561 RUTGERS ST
APPLICATTVYB�TH 2O02
//
510) 4 81- 3 818
SANITARY NO. CONTROL NO.
ARCHI11707ENGINF.ER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
1 hereby had I licensed
Job Description
P
affirm am under provisions ofsCodc.
REROOF
Divisionl of the Business and Prn(cuionsGWe. and my license is
ndmmmensi is
with scone and . t
in full force anJ ellenme
LiccyfniuW�CI s Lic. x
Doler�41 Pf
ARCH IITCPS DECLARATION
I understand my plan shall be used as public records
OWNER-Bwarapt It DECLARrsTION
1 booby alliin that 1 License Law for the
cBumpl Innn the Cnnums
$4150
1. Co
whiching.toss.. (Section 7031.5. Businessunitmpr Professions Code: Any tiny or county
which requires a permit ht construct, .her, improve, demolish, or repair any structure
prior to its issuance, also requires the applicant for such permit to file a signed statement
that he is licensed parsatrtothe prov softheContractor'sLicenseLaw(Chapter9
3*9B18FOMBA@m
Valuation
(commencing with Section It%p) of Division 3 of the Business and Professions Cmc) or
Net M is exempt therefrom and be, basis for Be alleged exemption. Any violation of
N
Occupancy
p y Type
Section 9131.3 by any applicant for a Permit Subjects the applicant to a civil penalty ofPN
not more than five hundred dollars ($580).
3 0 7 - INSULATION
0 I, as owner of the property, or my employees with wages u their sole compensation,
68i— ROOF T
F n
will do be work, and the sanctum is not intended or offered for safe (See. IMA, Business
and Professions Code: The Contrcmr's License Lew docs not apply to an owner of
602 - ROOF P clti�3ns
property who builds or improves thereon, and who does such work himself or through his
Own employees, pmvided that such improvements an no, intended or offered for aide. If.
603 — ROOF BATTENS
however, the building or improvement is sold within one year of completion, the owner.
604 - ROOF IN
builder will have the burden of proving that he did not build or improve for purpose nt
-PROGRESS
sale t
0 1, as owner of the propeny, am exclusively convicting with licensed conuactos to
consumer the project (Sec. I04A, Business and Professions Code:) The Contractor's Li.
cense law does not apply to an owner of property, who builds or improves thereon, and
who commcu for such projects with a contractor(s) licensed puuvanuo the Contractor's
License Law.
0 l am exempt under Sec. ,B&PC for this moon
wart Dar
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
1 have and will maintain a Certificate of Consent o aelGinsure for Wurker'scompen-
utinn, as provided for by Section 3I0tl of the Inbar Cork, for the performance of the
work for which this permit is issued.
0 1 have and will maintain Worker's Compensation Insurance, as required by Retain
3100 of the Labor Code. for Ne performance of the work for which this permit is Issued.
My Worker's Compcns 11n Ins Ice carrier and Policy number am
Cerricr:C PION No�
CERT 'KATE FE%EMPf ERS1
WORKERS
INSURANCE
COMPENSATION INSURANCE.
(This section need not be completed if tie permit is formic hundred dollars ($lip)
or leu")
I cenify not in the Performance of the work fat which this permit is issued, l shall non
employ any person in any manner ss az to become subject o the Workers' Compensation
Laws of Cel ifitmia. Dale
Applicant
NOTICE TO APPLICANT: If. after making this Cenilwide of Eacmption, you should
become suhjcct to the Worker's Compcnxxtion provisions of the Luhor Code, you muff
forthwith comply with such provisions or this Permit shall be deemed revoked:
CONSTRUCTION LENDING AGENCY
1 hereby union Nat there is a corlstmction lending agency far the performance of
the work for which this permit is issued (Sec. 3101, Co, C.)
Lender's Name
Lenders Address
and sum that the above informationtupot it
1 xnflystr that I have mad this applauthorize
correct. I agree to comply with all city and county ordinances and sum lams relating to
Wing construction, and hereby amhon represcnmtivcs of this city m enter upon the
aMve pro
ati Mignses.
p
(We) agree orovyforinsfeai an
(We) agme m save, indemnify and keep harmless 0c City Cupertino against
gnats and expenses which may in any way accuse against said City
r
liabilities, encs
o the his permit.
in ttLICA T of UNDERSTANDS
APPLICANT UNDERSTANDS AND WIL1. COMPLY WI'{ q1,L NON�POINT
Issued by: Date /6 l
SOUK R G Al'10
%YlJ
Re -roofs
Type of Roof
`3,���7�
sognnwren gppbcan cmr Dam
ZARDOUS MATERIALS DISCLOSURE
Will the applicant or future building uceupam store or handle hanodous material
as Orford by the Cupertino Municipal Cask, Chapter 9.12. and the Hohn and Safely
Code, segenn 25532(pl
All roofs shall be inspected to an roofing material bei. Installed.
a ON.
prior
P P Y g g
If a roof is installed without first obtaining an inspection, I agree to remove
Will the applicant or future building occupant use equipment or devices which
emit hvstNous air contaminants m defined by the Bay Area Air Quality Management
all new materials for inspection.
fh&S El No
rl have read Nc humorous materials requirements ander Chapter 6.95 of the Cal for,
Iialnith&rentlyyhave.Sccdnns 235113, 25513 25534 thntif ds
and undcraund building
does Inn currently have e m ant, to it is my resp in.ibiliry b, nndfy the occupant of the
mquircmcn w`hmoaI etpHotoafuvanmor0CcrificaculOccupancy,
Signatu�eofAppli ant Date
All roof coverings to be Class "B" or better
0wacfM,oEmnri.<d g Das
Building Division
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: (408) 777-3228
400f
C U r� �l' I V o F=(408) 777-3333
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
Wand 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 34" 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: —AL(—P- — L D
Address: D I S,7a h n w c. Ca ao +i
Reroofing Company Name: i 9 E `S
1
Applicants Signature: 1 r"ivl 1"' Date: f
Joe Antonucci
(Chief Building Official)
&d5/01