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01090007 -'CITY OF CUPERTINO `•.•iioFi .DING DIVISION - PERMIT CONTRACTOR INFORMATION: , BUILDING ADDRESS PERMIT NO. . - 1309 ASTER LA 01090007 .. OWNER'S NAME: APPLICATION SOB DATE LU SUSAN L AND LEO K PHONE: - SANITARY NO. CONTROL N0. i ... - O es zO ARCHITECTIENGINEER: BUILDING PERMIT INFO. u— G ELECT PLUMB MECH Z 6 6° 7 Z ', LICENSED CONTRACTORS DECLARATION lob Desc Cion Zor '? I h by of no that lam licensed d provisions of Ch pte 9(c4m n acing . ' ' _ t ]BOB)nrD 3 nn<R 3rd PPprc,, e,ane my r<e sc RE ROOF, c, cla,ccras,xi to �"'b$, �--I "comracal d r' LL O ARC ITECT'S DECLARATION n' 1 undersand myplans shall be used es ps blit¢cobs •Licensed Pmfessianal - - 0 o:LL _ OWNER-BUILDER DECLARATION' w^— ng not affirm e. 1 am exempt from be Cannacmr's License Law for the z a ,:ramwmg reawm ts<rdnd 7031. Business and Prafesslod:Cl Any city or county $19500 E F;C which requires a p rm t to construct,alter,improve,Raul or repairany structure �3 ..pr t t al . eq ,m_ ppl rant r....ch,rain fl 'g d tat t - .. .. _ . .... _ m(c tnmeeSlo n'g,waithp,Sne Iaonnn]INtn1B)porf.DsitvunsnfJinoef cthnentLjmuestrnnes Lned P.rPLfen ssiIocnas Cptod9) ;+ _f d B'3 I [1§ r;, k9 _Va_l.u._a.t.i.o.n - or mm he s kmnpt therefrom odd the ba:. f ,the alleged ase pti a.Any violation " of act oe thiSiv anydredamforapermit subjects the applicammacivil penalty rut.5ntinnremanE.ennnareaamlam(ssod). 305APN1"�M 1:: ,. .. '. :: Occupancy Type ❑Los owner or the yrupeny,or my employees with w5ges as weir sole camprnsation, •j - '-W ll i d •irk,..it IN-t l- -. l"inotraded or Ii f-Ine(Sev.o., Bannice,card Proffeda -Code The Central License Law does ind apply to as 601 - ROOF TEP&gxljFj Iti'speetions' I ,', owner f property Who b 'Id ,pane the o and who does such work h a if onhr hh nwnc play Provided that h' p t e ut intended 1,, 602 ROOF_ PLYWOOD NAIL - - -' -- _ offered the swa m ll avetheding � p �' old he did nue rear or - 603 - ROOF BATTENS campml nd,the nwdet bt mer will nose the burden nr proving that he die not nand or ... " .. . im revemrparno'lld ole.). 604 - ROOF IN-PROGRESS In ed _. pl o e fmppny5 ass IY I eg ICa she t I t .._ on, let theprince,n(S ]M4 Business d P f " ns Code)r, C t t aLicenseho contracts Lavedlel 1 apply n rte ofp pay h b Id p esth k Contractors '- hoc t t -f s h p )c[ w th t I«al lee ed p re amt th - T ❑1con critrap, oder Sec B&P C f this teas n a :Owner ti v ,_ WORKER 5 COMPENSATION DECLARATION 7� u;l Ihareby. annuandelpn9ally of poij !Y oncof thefollowing declarations; ❑ I I ve'and twill my nioin a'Corti Rcne of Ion{em oto'adbinsure for Workers "Compensation, as,pro.idled for by Section"3700of be Labor Code. far the perfonndna'bf the work for whack this permit,is Issued.t. :❑I and will ra i n War kecs Compen t o Insurance,' 'as required by Section -3 4f the Ltnur Code,for the perfsjntunce of the wol for which this permit is wed My W k erCompe t I mote tante d P tl y t tier rt:a '. ,. � ..sass. ....- 4 tr s r CERTIFICATION OF E%EMPTION FRDM.WORKERS - Y - �- ".: ------- _.,,_ rs aemiun need not be co,itpleted if the permit is for one hand (Th ted dollars /3..` ♦ ... a ... 1. _. OrT, ��� i?i 1 nfYm it m Perf rm fm rk far wh hm p is :_- local 1. .-. ... •_ v ,. b .� ,....,..... -•,•• ... sh II n t e ply 'y pc n a Y tel' �orr i at©theA4cirkers Co p s5t on iyi.i fC u� // � !NOTICE T6 APPLI ANT.(f armr make 6tb5Cemfcaie fb empt o,;you'shnuld; il4', ., bean h)eci,b theta kf Co peas! pr - nsbfthe Labor Cotle you muss' Q 'Z forth Ih -mply with uch P s or th s pe t hall be deemed revoked. ' CONSTRUCTION LENDING AGENCY - .' Q I h by ff In.,the< s construction lend y g agency fortti pert rr f•4 �' . Led sN ': . . . W r of the k far which th s t sso ( cd Sec 309]CivCl ' UIZ Leader s Add , j A t W c 1 n'fybar lh eredth application t n ndauto thnh bo,eina,relc is [� w I:1 g t ply with ereby al a dnearlyprAe d es and sante laws e L poo V. `the Idhgcomtmpi and hereby peh zertpreienmt Jes of Illitymencer upon' the b osiionetl pr Pe ob of and nppbanr 1. _. , '. . y.;li,t (We)agree ins ve, ndemnify and keep ban the City' fC pono against a " ' IA liab 1 i )augments I antl a pease which any any y all against said V City n q entt of lheg m gof mt p t % - /�� to ;AP CANT UNDERSTANDSA HILL COMPLY MATH ALL NON-POINT�'� ! � s Rc R r TI r Issued by: - Date . SIS of ApplicandCr t actor `: "' Date. Re-roofs ❑Y HAZARDOUS MATERIALS DISCIABURE t ' odes , 25 p to m or IL[uro b Ild dg orcupam t o h nate hazaNn s m t 'I'}rpe Of R f„ ;, Cupert M P I Code Chapt 9 12 a d th Heahh d$f ty W II Ih by ps def d by the ¢" All roofs shall be inspected prior to.any rooftng.matenal.being installed. W II th ppl c I r f t b Id, g occ pato v e q p t r devices which' ' n ---ed to ardous airc4mammants es defned M1y the Buy Area Av Qualt)Mamgemem� If is installed with'ou[first obtaining an'mspecnon 'I''agree to remove all new materials for,inspection. Applicant understands and will comply with D P nt he'z. y t . nr to 5.534 n al] nonnon p rte regal ions l '1 El Yes No f � I ha a read the hazardous m I oats quiremenrv.'oder Chapter695' f The, � " Cahe a ang lthdo s n tet Cad l Sections23505 ,It 11 and 25534 1 understand that ' )heb gdce.note nentlyh �n t Ih t t s y po bltyt bufy the cu stbe Lp s fa CertiBc mot, - 'd �QYI�e� ' D ° � rte'l�yl Signature of Applicant Date r ': / .. . own t anrartful g t Da,e All roof coverings to be Class B" or Better -. . OFFICE I R Building Division 6`410300 Tone 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/"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: CFO q SVS/ t- C 0 Address: 1?0�, r4S 1�2. G tV Reroofing Company Name: �V M — ` �20f r✓G Applicants Signature: i 'y Date: O� 0Ylzoal Joe Antonucci (Chief Building Official) 6/25/01