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BUILDING DPEsONO
iN PERMIT
CONTRACTOR INFORMATION:
BUILDING ADDRESS:
PERMIT NO,
10381 A ALPINE DR
LINDY ROOFING CO INC
02030137
OWNER'S NAME:
APPLICATION SUB DATE
MICHAEL CHAN
5554 HARVARD DR
03/25/2002
PHONE
(408)269 -2025
SANITARY NO. CONTROL NO.
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ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
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LICENSED CONTRACTOR'S DECLARATION
I hereby aRirm that l am licensed under provisions of Chapter 9 (commencing
Job Description
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whh Sec,in97/)00)af Divi,km3or Ne BUSinrAs ana Pmtessions Cade and my Bcense
r�nf aeft�t
REROOF.
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LiccA =1.Z lloo M ZZ
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T/O SHAKES INSTALL OSIS
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CHITECrSD RATION
& 30 YR. COMPO. SHINGLES.
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I undersund my plans shall be used az public record
jLicensed
a
Professional
OWNER- BUILDER DECLARATION
1 hereby arfrm that I am exempt from the Contractor's License Law for the
following remnn. (Section 7031.5, Business and Pmfessiom Code: Any city or county
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which requires a permit to construct, aller, improve, demolish, or repair any structure
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prior, , c o 9 th pplca"t forsuch Permit d ta¢ment..
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r\P,�_ S - Ft'.F7oor Area 11 <<
? ' yy'y' t {, i.,q y t)i'v [ is 4, I rl
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$ 8 OUgI�aIIOn
,net beu, li,crood it pursua n mO)ofD n of the Co nrusinsL a uW ansC de)
Gomm nc g 'm 5 ti ]000) f D' 'on 3 of the Business f d P fe4 s Code)
m that he is exempt thcrcfmm and the basis for the alleged aempbud Any violation
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-or Section 7031.5 by any applicant for a permit subjects the applicant to a civil Penalty
of not mole than five hundred dollars (SSW),
32 �''�`1'�'91b�T0
'.':'•;: Occupancy Type
❑ 1, as owner of the pmpeny, ur my employees with wages as their sole compensation.
-will do the work. and the structure is not intended an offered for sale (See. 7014,-
'Basiaes:and Professions Code: The ContmenoC, License sew does not apply to an
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305 - FRAME Required Inspections' -
owner of propcny who builds or improves thereon, and who does such work himself
ar through his ow" employees. provided tom such improvements are not intended or
307 — INSULATION
,offered rursale. IL iowdd. tie building or im_ __ _ __n _
g pro
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601 ___ROOF_ TEAR OFF
ofprovnmatbedidoneyeaor
<omplaion, the owner - builder will have the burden of proving Net he did not build or
improve for parpas<arsale.).
602 — ROOF PLYWOOD NAIL
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Lasawner some propcnyam — — -- --
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03- ---ROOF- BATTENS____;
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BuorivelycaProfetngwhCadensTheamnnmsm
License, the does not (see. 7044, owneras and ery, who Cade,) The Contractor's
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an dwho awmn,
604 - ROOF IN-PROGRESS'', '
and who contrac¢ for such pmjecLS wish a con,maags)IicenseJ pursuam to
usfapptyroannwnm ,h- .openYwroo).1u,..ed ooeerntothe-
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0 IamesemptunderSe B& P C for thisonitim
Owner
_ WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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have and will maintain a Ccitificau, of consent to self -insure for W"rkeri
Compensation, as provided for by Section 37W of the labor Code, for the
performance of the work for which this permit is issued..
❑ 1 base and will aims Wok Compensation insurance, required by See on
37W of the "No Cale r the Perf nod f the k for h ch this permit is
is i, ed. My Worker's ;o mpe t Ini nco'e me' d P I'cY be -"
' 1'CIIR_ FICATI l' 'Policy Nuf /C'
r " CER'II OF EXEMPTION FRAM
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".-COMPENSATION
_,, ...,,.. �_ COMPENSATION INSURANCE,"'
,li 'dnem not be completed if
t p permit is for one hundred sonars
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or l
sIW)aness.)
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,Ic'rt fym t'h the perf' < fib ork for which m en t is sued 1
ihall'not ploy any, say mznnc m u to become sublcct to the Workers'
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Compc sauod Laws of Calf a "Dam
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�Narn:E TO APPLICANT. 1 , op. i
ion, Y U should
mta Ccn=o
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.mj=,dg .fof Labor
ymvisionsofth<Lnbm Cade, you must
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lamb comply -11h 11 inchPrCompensation
fonhwim <omp1Y with iuch Provisions ar this permit shall be dttmed revoked.
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CONSTRUCTION LENDING AGENCY '
'I lending a en.c Tor th e rdem"an" c e '
at there-�
cs:.
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in, the work for which tht Permit is issued 7W] C .0 )
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"Le nder z Nnmo e ._ .
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Leader's , Add '. r
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mat 1 have read ms and amm thin th above information is
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[ti
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c omit a agree to comply with all city aril cneloWsedinances and state laws
city and state
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inner upon
mid city men¢r neon
the a-
abi memitmnton,andhertbyamction purposes. .sof
piaperry for inspection purposes.
the ebdve-memree
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agree to indemnify and keep harmless the t°. s Cupertino
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es, j ntsave,
in cs, judgmems, costa and expenses which may in any way, ettrvc against said
ay st sad
City
City b< sequence of the, g m g of mid pcmdt
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AP LICANT UNDER. NDS AND WI LY WITH'ALL NON POINT
s DIacE ?,;all s�f
Issued by: Date 1)
ry�
i`.net `aayt
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a fA pop o �i4 f
AZARDOU MATERIALS DISCLOSURE -
Re -roofs
wll the nppl cant of f bu Idi'g amp nt state ,handle haunt mat al.
Type of Roof
u
y pemna Municipal Cale Chapter 9.12. and me H W and 5
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Cade .$enon 5532(,), 4 I J y
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t .( +,n i e) "=d s. es,� _ .,,1 I:•,
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roofs shall be inspected, to
r,w II me ppf t future building « pant, equipment o a when
oM1 ant t u t asd f' dby the Bay AirQ Quality ag ni6u
_ prior arty roofng,matenal being installed.
If a roof Is Installed without first obtaining an inspection;'I- agree to' remove
Untrue,? _
all new materials for inspection Applicant understands and will cons 1 with
- `all 'non p y,.
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-point source regulatiolis
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't' I M1 rename. haIDrdou m Is Aerial cnu under Chapter 6.95 of me
Glifomu Health& Safety Code, Sections 25505, 25533 ant 15534. 1 understand that
-;iffy building does not currently have a tenant. that it is my responsibility toimufy,tlx
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occupent of me re uiremen¢ which must bit m Isiuence'df, a Ceniinn!e of
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capatofth .. -
_Signature of Applicant Date
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Il roof coverings to be Class "B" or better
Owner or an h . Date...,
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CITY OF
CUPEkT]N0
Building Division
10300 Torre Avenue
Cupertino, CA 95014 -3255
Telephone: (408) 777 -3228
Fax: (408) 777 -3333
Building Department
Subject: Reroofing policy for the City of Cupertino.
Joe Antonucci
(Chief Building Official)
6/25/01
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: r1,r,l / /71: i, l
Address: //> _?7 iy/ Ae2;
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Reroofing Company Name:
��L,n
Applicants Signature: — �T� __Date:
Joe Antonucci
(Chief Building Official)
6/25/01
arA
CITY OF
CUPEkTINO
Building Division
10300 Torre Avenue
Cupertino, 8)777 -3255
(4
Telephone: (408) 777 -3228
Fax: (408) 777 -3333
Building Department
RER® ®F TEAR OFF 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)
J