02070072 (2) CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILD WG ADDRESS: PERMIT N0.
801/803 MILLER AVE T D ROOFING 02070072
OWNER'S NAME: APPLICATION,SUB DATE
.- r COSTANDI EDWARD AND NINA ETA 3540 MARGATE AVE . 07/12/2002
' THONG: (408) 89 -8872 SANITARY NO. CONTROL NO.
pWpW rc Z ARCHMiC(ENGINEER: BUILDING PERMIT INFO
g w FO BELECT PLUME MECH
<<�a s LLDG I= f—_t I::_]
z 5 y i LICENSED CONrRACm D p lob Description
G Z I hemby aR Nat 1 oro licen do sof Chepta. (rommeoc F
with Sectio 7000)of Divii a ad Is hour Cada and tp Iicen
Wo isinfull an�"e a !{ I b. MOVE COMP. , INSTALL 30 YR. COMP.
3 cont r u,
A s D ATIO
1 understand my plan e used a itil Yec=
S }
6�p O Licensed Professional �s `
OWNS BO�ISP.R ECLARATION
w m I hereby affirm that I a i-2kempt from the Convector's License Law for the
following reason.(Swim 7031.5,Business and Professions Cade:Any city or county
F O which requires a Permit o construct,alter.improve.demolish,car repair any swcture•
3$•,prior m ins issuance,also requims Ne applicant for such permit m file a.ig«d m emm,
than he is li«nied pursuant to the provisions of she Commetols License law(Chapwm 9 p S F[ Floo{,Area Valuation
(commencing wish Section 7000)of Division Jof the Business and Professions Code) 5.0[? 44'F�hs?lq L`<.�3o t. x'11;�1�"�:`S ''s'
or that he R eaempw therefrnni and the basis for the allege)eveis latm Any violation
"mf Section 703 L5 by any applicons fur.permit subjects the applicant to a civil penalty
or o .mme(him five handmd dothtrs 65W). APN Number Occupancy Type
CI 1,as owner of the pmpeny,or my emplayeos with wages as their sole compensation. 3 05 — FRAME
will do thework;and Professions
structure is not intended Lice a Lawcand for sale(sec. to an 3 0 7 - INSULATIONuired Inspections,
'
Business and professions Code:The roses am ,ad w Lew does not apply to elf
owne
r of property Who builds 9r improves thereon,and who nts such work himself 6 01 - ROOF TEAR OFF
or through his awn employes,provided that such improvements oro not intended a _ _,___
'.BRemdfor sale:ILhiwuildethe Wilding mimpWbf prove sold within one year of 602- - ROOF PLYWOOD`NAIli-- '
c pony'aon.Ne owner-W ildcr will have eche burden of proving that he did not Wild a
improve ter parposc nr sale.). 603 - ROOF BATTENS
'
.... - — _..-with licensed conwnon to
- ._ __ _.__ —__
❑Lmpwnernfdepropnv.amesewvetyennmdns604 - ROOF IN=PROGRESS__ _. r, r
conswnlhe firs t(Sec.704x.Business and Professions Code:)The Contractor's
License Low d«s now apply to an owner of property who build.or improves Chanson, "
and who,comructs for,such projects with a enotractor(s)licensed pursuant to me . ... .. ..... .. .. . ... ..... .._ ..... __...__.....,.__.......___.... __._.._._.... ._ ........___..... ..
Contractor's License Law.
_ p l am cramps under Sec. ,B@ P C for this reason t/l'l:i:f.'�
Owner Data
WORKER'S COMPENSATION DECLARATION
!� tI hereby arrant under penalty of perjury one of Ne following declarations:
p 1 have and will'mainain Is Candles..1 Coaxial ro self-insum for Worker's
Compensation, as provided for by Section 37W of the Labor Code, fm she
performance of the work for which this permit is issued.
❑1 have and will maintain Worker's Compensation Insurance,as required by Section
3100 of the Labor Code,for the performance of the work for which this permit is
is ucd,My orker's C pc tion Insuanac canner and Policy nunakrarc,
j= I "Pobcy No.: l OR S f 1 5 b ♦ / t S
V fi. CERTIFIC ION OF EKLMP AOM WORKERS'r - .n� t I+, 3.SV kdil. el i�'Clfa�rA.:\AI��.t!%
COMPENSATION INSURANCE s'
mai section need not W completed it the pcard,is for on hundred dollars
(S I W)or lssJ
1 crop( thaw in the rn any ma of she wad for which Chi.
Y P permit is issued,)
shall not employ any person in any manner so as to become subject to the Workers'
Comicant nn Laws of California.Date
Appl.
,NOTICEIf,after
-
NOTICETOAPPLICANT ka,vComp sits this
ovisio sof of Labor Co,you should as,
becamesubjectcomfy the Worker's isois or tics provisions of theLabor Coda.you muss
z O
forthwith comply with such pmvi.+inns or this permit shall be deemed revoked.
P;4 CONSTRUCTION LENDING AGENCY
I hereby affim thaw them .a construction lending agency for the PerformanceW.s of she work for which his permit is issued(Sec.3097.Civ C.)
Its.
-Lendere Name -
. U;0 Lander'.Add
V 0 1 cert agree
that 1 have mad this city
and a and sum thin she above information is
comm 1 gree to comply with all city.nJ county ordinances of
sate low.relating
' {) the above condoned n:andhfin outiomreposenmtives of this city menmr upon
(� the above igme to propalny for inspection p hanmis.
s.Ge: (War agme m,ave,cost indemnify exile and keep h maI,in the City y a Cupertino against
against
Vl liabilities,judgments,i costs and expenses which may in any why accnm ugnins said f
' C,1'spa City inconsequence of the painting of this permit/ /' I
APPLIC AT IDERSTANGS AND WILL COMPLY WIT ALL N-POINT !
souRc e OD- � ����02 Issued by:
Date
Signatu o A icon on c .Date
pp HAZA Ug,l1ATERIALSDISCLOSURE Re-roofs
Will the appii imt m re Wilding cempant sac or handle harmdous material _ Type Of.ROOE....
u definied by the CapeNPn Mwrei,t,Cit Chapter 9.12,sad the Health and Safety - .'
cat 2553'_(.5^ •!1•' s t �'moi i 0, tial'•• .�•. j-� - .. .!.
'OYes-.-- i -%!'t Otho {'; •i f ' [qtr V i i'ti s � Y. 'f`ki I
All roofs shall be inspected.priorlo.any_roofing material-being installed.
• Will he p,haam or room braiding«capam use IsFidpariant or de=ices whim If a roof is installed without first obtaining an inspection; I agree:to remove
emi,l 1 sair cop n m. sdee mad by the Bay A,- it Quality Management
Dema^ all new materials for inspection., Applicant understands and will comply With
pY"' all non=poi is ur a regulations, .'
I have read the hemarems materials requirements under Chapter 6.95 of the
California Health&Safety Code,Sections 25505,25533 and 25574.1 undenand that // /
ifthe building does notcunently have a tenant.that it is my responsibility to notify eche -- '"- '-"' " ' 0 Z
«cupam of a req ircmena whish moa be ion prior to issu rice of a enifca¢of '
rip a`y' Signature of Applicant Date
.. 7� L O Z . ... . . .. ._ _ ..
wneror aumMo,M agent Dote All roo coverings to be Class"B" or better
.i.- _. OFFICE"
t,
Building Division
10300 Torre Avenue
Cupertino,CA 95014-3255
Telephone: (408)777-3228
CITY OF Fax: (408)777-3333
CUPEPTINO
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 V"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 policyreroofing on reroong and will comply with this policy.
Homeowners Name: 0,0 4 D-k kt H 044 d Ct c1
Address: oc'o 1 - `6b 3 IT i It et' ��,, A J
e
Reroofing Company Name: T D �crzrh it q
Applicants Signature: 9 Date: (2 Z--
Joe Antonucci
(Chief Building Official)
6/25/01