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03030049 Crr 0OF CUPERTINO ,: " �' rM4ex I[�U�iTG ®R1U�tMta[�1�0^1�1 BUILDING DIVISION PERMIT s �} PERMIT NO. , BUILDING ADDRESS: WINTER ROOFING INC / PERMrr LssuE DOI 0 3 0 0 4 9 OWNERS NAME: 151 WYANDOTTE DR BRENDA SANITARY ND. 03 12 t008NO P 4083638052 BUILDING PERMIT INFO ARCHITECT/ENOINBER: - BLDO ELECT PLO 0 LICENSE5CONnlAC70R's DECLARATION Job Description I bomby affirm that 1 em licoased under Prowls°".,of Cluplcr 9(commencing with Sa0a70(D)ofDlvlson3ofds Busnev WPmfuslmu Cedo.WmYlicaucia In fullfarce ends O REROOF Uoenm Gla^ Lie. p Dem REMOVE WOOD SHAKES INSTALL .1/2 OSB & 30 YR. CO j s doll b use DECLARATION (I 1 understood my P�shall w used u Public march Uncured Professional - OWNam ER-BUILDER DECLARATIONeConorur MAY 0 6 2003 I hereby,(S o that 11.,Busho from the C schres Code:License law for the i o following Tanen.(Sadat 7(01.5•Bua art adrom,de oli h.oA.y.IlYan m aunty $ which rqulrta a permit m emarocl,alte0 wpmw,demolish,m repair any amcwm Valuation prior m is Issuance, sequlma the aPpliant fonahpermiuo file ulgncd mtemal Sq.Ft.Floor Area BUILD NG C9 Ihathe isllaused purmant to the pmvWoe of the Cauacmrs Uanre I--(Chapter 9 g./ L tV�A -$ (commencing with Section 7000)of Division 3 of the Business and Pmhettinna Code)or Ir_ Smoot,703°15 by wry app lam ten a pemlthe basis il s the allehe applicant to, ai I.Mily ai APN Number OCQUiType not mom thu sew hundred dollars(5300} will doln,a;kfodom`°pa mma,isyamN dedneoffeeddfr«weismiw eP9shat�' Required Inspections and Professions Code:The Communes Liam Law does mt apply in an owner of 305 - — FRAME proNnywhobuild.,arlmpmW Ihertnn,and who d0at workblmselfor through his own employee.Provided oulsuch lmprowmenu an,unintended cautioned forele,if. 307 — INSULATION howem.the building or Improvement Is°old within ane)evaf completion-the owner. builder will haw the burden of proving that he did not build al ImProw for Purpose of 601 - ROOF TEAR OFF .10.). 602 - ROOF PLYWOOD NAIL Coammwct the pmtjectt(Se�"04d gW uIeue ser sion$codEmend )The con`uacmutau 603 — ROOF BATTENS come law data at apply m as mann ofPropeny who wild+a hopronsft..W, 604 — ROOF IN—PROGRESS who Monaco,for such pmjm,witha conomatel(s)llcon.,ed pursuant m tis Contranota _ License Law. ,Bd:PCtm dd.,mato" 0 I amenempt mdv Sa. Data WORKER'SCOMPENSATION DECLARATION I hereby air=under penalty of perjury,arc of the following dalvWou: wend will nen mal.,CatiOmm of Comm,to alGlnmm for Workers Comp--- - etlon,u provida fm by Sadoe 370D at the labor Code,fm the peffmnanrn of tis work Mch this permit la Ivued. 1 hew W will malmaln Workers Compensation Iuurame,u required by Section 3700 of the laborCed1.Inn We raAwmaoec of am wnh for which this Permit Is Issued. MYWorkers CompauWml sea and Polity number Sm: Col. Policy NosD G KElls" _ G OF PITON FROM WORKER COMPENSATION INSURANCE ' (This anlmmadentbo MmPhused if to permit Isfalooehundrd dollar(SIM) or les) I artily that in the p aimom nee of the walk for which this Permit is issued.I Shall not employ any person in any manner m as to became object 10 the Workcrs•CompemWan Laws of California.Dam Applicant NOTICE TO APPUCANr IL.,fur making thin Cenincas of EacmPdon,you should , wcame aubjat m Iso Worker&Compensation provisionsof the lahm endo.Yau mall - .7Z forthwith comply withsuch provisions or this Permits hall be deemed ranked. CONSTRUCTION LENDING AGENCY (=r I hamhyaflirm that dem in col"uuvion Sending agomy fm tie Performance of , the work for which this stook IS Wad(See.3097.Civ,C) U7 Q Lender's Nana Lender's Addru Z U Cz I cenlfy that I haw read this application and sum that the Sbow mfomWon m k.. cone".l &=10 comply with all city and county ondhrmr.,and mm laws mulmg 100 buildiRommngMured propend herby authalb<rP0SSL Wvu of ibis city rocmm�o agathe °now-mentioned topeny Tal Imnify an Purposes st haretrom City.f Cupertino dCity �y Ilabllidu,judgneno,.eowadupenw which may in any boy vas galnn WdCity C) In cmuqu ofthe granting.!thhpe t. APPLIC UNDERSTAND AND LL COMPLY WITH ALL NON-POINT Issued by: ate SOUR UL ONS _ - fl Re-roofs Sit c App)an nu o Das 'Type of Roof HAZARDOUS MATERIALS DISCLOSURE Wllltheapplicam or future wlldi g oavpmt sour or handle haeNous mv^.<al Rand by the Cupertino M.ohip ado.Chapter 9.12.and the Health and Safety Satien25531(.)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yea u Will the applicant or forum buillong occupant use equipment m deviw which If a roof is installed without first obtaining an inspection,I agree to remove It herardnus air c.numineno,v nc0 by the Bay Area Air Quality Managcount all new m serials for inspection huic0 ❑Yes I have red the maAmmsmamrhhmquirmeno,under Chiper6.95 arse coif." nit Hellb@ ssetyCma.Sect 25505.25533W 25334.1 mderund thsttftie wilding S J dao, monody haw•len 4 serf it h MY mapomibllhy m notify tw acoupml of the Date requ eau which et Issuance of a Ccnificam ofOeMpency. SI atl eo Ap Ic8 t All roof coverings to be Class"B"or better or h 'v enl Dem Community Development Department Building Division _ . d City of Cupertino 10300 Torre Avenue CITY OFI Telephone: (408)777-3228 C U QE�T1N0 Fax: (408)777-3333 Building Department Subject: Re-roofing policy for the City of Cupertino 1. Prior to permit issuance,you must agree to comply with 1997 UBC Standards and manufacturers specifications on re-roofing. 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 re-roofing 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) Pre-inspection 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 a proper City inspection can be performed. IMPORTANT: 1. Flat roofs must have a minimum of Y4"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 on inspection. I understand and will comply with the above stated policy on re-roofing. Homeowner's Name: fPLL== =' �{- i:�TA- Job Site Address: Roofing Company Name: H [u=y G A plicant's Signatu Date: Greg eel Building Official Revised 1/30/03 Printed on Recycled Paper