00080091 CITY OF'CUPERTINO
Buu.DwcnIVISION, PERMIT CONTRACTOR INFORMATION:
'
"'al
U UJANG ADDRESS: ' - I'EItM11'NO.
OW'NF. 'S NAME: APPLICATIO
822 CANDLEWOOD DR LOS'.GATOS ROOFING `N � r09]
[ONE: - -
SANITARYN (1
TI.]CLARONE MICHAEL4..d,ry
AI_TON �a 1.77]:1 . SMITH' AVE' ' �18/14����f�
O O ARCIIII'ECT/ENGINEEW, A ''. I' - BUILDING PERMIT IN[
b� .. .(408)358"1233 HLDG •CLEM -PLUMB .MLCII
hall _LICFNSEU CONTRAMOR S DECLARATIIerebyaffrmdttl r nsed 1 p shay, fC - _Job,Description .t-w woh Section 711(k)of D neon 3 of the Hu and Pmfiv,,i nssY2- s m let]force and effeCeramic r
���t /// ---illpto It
p ccns=Cty 1 -
F LL < .3.TLCr'S DECLAR
s
1mweraundmypinn.ahanheuseda,phh ecoms TEAR OFF COMPOSITION, INSTALL 30 YR. SF
ip o Licenxed I'nnensional -
• OWNER BUILDI R DI CI ARAI'ION ,. . -
I healthy n ft (I t I'an,even't hiso fin,C t :Liceirse Law in la
` Fp lillrxitk rcoru.(Sec
i 70.315 H,iu JP lesion,Code.Any ety oicuny
Sas❑ whit gmrc perm„ a -niter loprove.demolish, pa any sat nue -
cea. Pr, , t-'.. citrc the'pplt it r. permit- 'fl file asigned sla nen F .
mato licensed promote l he pmict,ior,of)h Contract...License ra (Chapter 9 Sy. RL Floor Area Valuation
leommmneingwth Section 700th,of Division Sof the business and Transitions Code) '
onhm he i,a cram themfmm and the basis En the misled earouldo n.Any violation S
of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty
of no,tare it;..five hundred dolens(55(10). _ - APN Nnnber Occup �cy4w8e
❑L as oursrofthe pmpeny,ormyemployces with wages as theirsole emhl na mioa 'a
will do the work,and the structure is not intended he offered for sale(Sec.70,14,
Business and Pmfcsdons Code:The Contmcmr's License raw does not apply to an ', q Ulred Inspections '
orpmpeny Who milds or improve%thereon.and who does such work himself 36919031. �tb p
a�l l gh hemployees.p t (h h p ens onto.,1 model or .
n1'Ic t sele Ir ,1 rnth buildiong p covenantal',sold will....t m you I
` ..clion, I - b 'IJr ,Illtvtul hse„ 'mdidtat b
fp 'ny(hill he uillI,.p ehp,pt,seorssdel .. - 305 — FRAME... .
❑I,as wlacr of me property,an,escminifly eontmedng with licensed emolemollient,crs it, 307 — INSULATION ' ,
construct the pmjem-(See.7044.Business and Pmmuiuns Code:)The Conlmmor's 601 — ROOF TEAR OFF
License U,does no(apply m an owner of property who builds m improves thereon, '
and who contracts for such projects with a ontmelims)licensed posuunt as the
cummemrsEleen.eLos 602'— ROOF PLYWOOD NAIL
❑lame,=tnptunder see, B&pefar,his rea ,n 603 — ROOF. BATTENS
sure` ENS .604: - ROOF IN—PROGRESS
NORKFR 5 COMPENSATION DECLARATION ARATION '
lI herebyn nder penalty of p ryry one of the following dcl r :
❑
I hove allot will fC (I t I ( of I.
Coell n' f W rk
n pe t ap. i d f by Section l7(al I' ma LonCod
su a or d performance(it the work l'r which tInk lm h is vesed..
1 have and will mainmin Worker's Compo sadon In.wmnce,as required by Section -
3 1 of dm Lubar Cole,or'he pedornmenc of the .,it rnr,which thin permit is '
d h1 N'ork is t is in Insu arrel mer nd Pulicyruamot e: - /•
Cavmser+_L I'obey EXEMPTION
_ a� C..��1�� ••
CERTIFICATION OF COMPENSATION
PROM WO S' -
COSIPENSATION INSURANCE
IT his section need not he completod if elm of is for one hundred dollar
IS I W I or lcssJ ,
I trinity tam in the ammonance o1'the work for which this permit Is issued,I .,
shell nut innaty any perm.in any harrier ee in It,become aubjoct m the W..ker,� s
Cnmpoamtinn Laws of Cnli[ornlu.Dueu - .o ,
' APPlic:u,t .. ,. .,
NOTICE TOAPPLICAN'1':ILufmrmnking(n;n Ccnilicmeof Eaemptim,1m, it, Id
Z we oma suhjcct mtha Workers Cnmpensuunn prnvis ons of thel.awr Code,ynutnot -
0 O limbwi(h comply witn such prnvivinns or Wi+permit shall be deemed revoked.
�.
CONSTRUCTION LENDING AGENCY
a � 1 hereby alfrm Nm there i I a nm miction lending agency for the perform antt r ,
r� owhich this permit is IszucJ(Sm.3(197,Civ.C.)
S Q lendial xvrk for er's Name
VLenJcr'a AJdress .. _ .
G•0 certify that have od this application n dot that the h ' Inn lion to
F.e come. 1.greto concid, th.11 city and county ordihonces and state laws rclut ng
building construction,andhereby rumoriA,representatives of the city toe ter upon
ab t li Ipman,I p ce f hP I : t
(We) glacch.o 1 d..ttIA la tle:theCity fCupert -gnitut
Iti h Ilohll t judgments.cot d apt res who.1,arty in any w y e ego net sold
CitV APP in lace ofmc;PP
fit, ` .,
2x AL1, 3INr Issued by. Date
not rc nrapp teanecun /r✓ D Re-roofs
HAZADISCIASURE - - -
Will meapplicant orfuture wildingoeeupealstoremhandle nrmadit..Hot Type of Roof
as defined by the Cupertino Municipal Calc,Chapter 9,12,and the Health and Safety
Cole.Section 25532001,- '
Cl Yet ve All roofs shall'be inspected prior to any roofing material being installed.
wiu me apphenntnrr ore naiidmg reenpant use
equipment or aevmes which If a roof is,installed without first obtainingan ins ection,.I agree to remove
nit h r a t two(' d t J by(h B y An A Q I ty Han gunem IT
nstrl' all new materials for nspe ion, Applicant Understands and-will comply with
17Yes N all no r p int source r •rut I -
1 1 a J the L d t cels ti , nn under Ch p( fi 95 of the. — r
Californial to&sof Cule.See(ons 2550 25533 and 255341 nnderna„dd„(
d the mi ng res no,currerdyhave it tnyrcsponsibilitymnmify the
cepa oh requirement se -ch a L I.issuance of a Ce ificm f a VV
Glen wncr - - t
8 Ignature of Applicant Date
or aummiaed agent D.e All roof coverings to be Class:`B•• or better
CITY OF'CUPERTINO
Buu.DwcnIVISION, PERMIT CONTRACTOR INFORMATION:
'
"'al
U UJANG ADDRESS: ' - I'EItM11'NO.
OW'NF. 'S NAME: APPLICATIO
822 CANDLEWOOD DR LOS'.GATOS ROOFING `N � r09]
[ONE: - -
SANITARYN (1
TI.]CLARONE MICHAEL4..d,ry
AI_TON �a 1.77]:1 . SMITH' AVE' ' �18/14����f�
O O ARCIIII'ECT/ENGINEEW, A ''. I' - BUILDING PERMIT IN[
b� .. .(408)358"1233 HLDG •CLEM -PLUMB .MLCII
hall _LICFNSEU CONTRAMOR S DECLARATIIerebyaffrmdttl r nsed 1 p shay, fC - _Job,Description .t-w woh Section 711(k)of D neon 3 of the Hu and Pmfiv,,i nssY2- s m let]force and effeCeramic r
���t /// ---illpto It
p ccns=Cty 1 -
F LL < .3.TLCr'S DECLAR
s
1mweraundmypinn.ahanheuseda,phh ecoms TEAR OFF COMPOSITION, INSTALL 30 YR. SF
ip o Licenxed I'nnensional -
• OWNER BUILDI R DI CI ARAI'ION ,. . -
I healthy n ft (I t I'an,even't hiso fin,C t :Liceirse Law in la
` Fp lillrxitk rcoru.(Sec
i 70.315 H,iu JP lesion,Code.Any ety oicuny
Sas❑ whit gmrc perm„ a -niter loprove.demolish, pa any sat nue -
cea. Pr, , t-'.. citrc the'pplt it r. permit- 'fl file asigned sla nen F .
mato licensed promote l he pmict,ior,of)h Contract...License ra (Chapter 9 Sy. RL Floor Area Valuation
leommmneingwth Section 700th,of Division Sof the business and Transitions Code) '
onhm he i,a cram themfmm and the basis En the misled earouldo n.Any violation S
of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty
of no,tare it;..five hundred dolens(55(10). _ - APN Nnnber Occup �cy4w8e
❑L as oursrofthe pmpeny,ormyemployces with wages as theirsole emhl na mioa 'a
will do the work,and the structure is not intended he offered for sale(Sec.70,14,
Business and Pmfcsdons Code:The Contmcmr's License raw does not apply to an ', q Ulred Inspections '
orpmpeny Who milds or improve%thereon.and who does such work himself 36919031. �tb p
a�l l gh hemployees.p t (h h p ens onto.,1 model or .
n1'Ic t sele Ir ,1 rnth buildiong p covenantal',sold will....t m you I
` ..clion, I - b 'IJr ,Illtvtul hse„ 'mdidtat b
fp 'ny(hill he uillI,.p ehp,pt,seorssdel .. - 305 — FRAME... .
❑I,as wlacr of me property,an,escminifly eontmedng with licensed emolemollient,crs it, 307 — INSULATION ' ,
construct the pmjem-(See.7044.Business and Pmmuiuns Code:)The Conlmmor's 601 — ROOF TEAR OFF
License U,does no(apply m an owner of property who builds m improves thereon, '
and who contracts for such projects with a ontmelims)licensed posuunt as the
cummemrsEleen.eLos 602'— ROOF PLYWOOD NAIL
❑lame,=tnptunder see, B&pefar,his rea ,n 603 — ROOF. BATTENS
sure` ENS .604: - ROOF IN—PROGRESS
NORKFR 5 COMPENSATION DECLARATION ARATION '
lI herebyn nder penalty of p ryry one of the following dcl r :
❑
I hove allot will fC (I t I ( of I.
Coell n' f W rk
n pe t ap. i d f by Section l7(al I' ma LonCod
su a or d performance(it the work l'r which tInk lm h is vesed..
1 have and will mainmin Worker's Compo sadon In.wmnce,as required by Section -
3 1 of dm Lubar Cole,or'he pedornmenc of the .,it rnr,which thin permit is '
d h1 N'ork is t is in Insu arrel mer nd Pulicyruamot e: - /•
Cavmser+_L I'obey EXEMPTION
_ a� C..��1�� ••
CERTIFICATION OF COMPENSATION
PROM WO S' -
COSIPENSATION INSURANCE
IT his section need not he completod if elm of is for one hundred dollar
IS I W I or lcssJ ,
I trinity tam in the ammonance o1'the work for which this permit Is issued,I .,
shell nut innaty any perm.in any harrier ee in It,become aubjoct m the W..ker,� s
Cnmpoamtinn Laws of Cnli[ornlu.Dueu - .o ,
' APPlic:u,t .. ,. .,
NOTICE TOAPPLICAN'1':ILufmrmnking(n;n Ccnilicmeof Eaemptim,1m, it, Id
Z we oma suhjcct mtha Workers Cnmpensuunn prnvis ons of thel.awr Code,ynutnot -
0 O limbwi(h comply witn such prnvivinns or Wi+permit shall be deemed revoked.
�.
CONSTRUCTION LENDING AGENCY
a � 1 hereby alfrm Nm there i I a nm miction lending agency for the perform antt r ,
r� owhich this permit is IszucJ(Sm.3(197,Civ.C.)
S Q lendial xvrk for er's Name
VLenJcr'a AJdress .. _ .
G•0 certify that have od this application n dot that the h ' Inn lion to
F.e come. 1.greto concid, th.11 city and county ordihonces and state laws rclut ng
building construction,andhereby rumoriA,representatives of the city toe ter upon
ab t li Ipman,I p ce f hP I : t
(We) glacch.o 1 d..ttIA la tle:theCity fCupert -gnitut
Iti h Ilohll t judgments.cot d apt res who.1,arty in any w y e ego net sold
CitV APP in lace ofmc;PP
fit, ` .,
2x AL1, 3INr Issued by. Date
not rc nrapp teanecun /r✓ D Re-roofs
HAZADISCIASURE - - -
Will meapplicant orfuture wildingoeeupealstoremhandle nrmadit..Hot Type of Roof
as defined by the Cupertino Municipal Calc,Chapter 9,12,and the Health and Safety
Cole.Section 25532001,- '
Cl Yet ve All roofs shall'be inspected prior to any roofing material being installed.
wiu me apphenntnrr ore naiidmg reenpant use
equipment or aevmes which If a roof is,installed without first obtainingan ins ection,.I agree to remove
nit h r a t two(' d t J by(h B y An A Q I ty Han gunem IT
nstrl' all new materials for nspe ion, Applicant Understands and-will comply with
17Yes N all no r p int source r •rut I -
1 1 a J the L d t cels ti , nn under Ch p( fi 95 of the. — r
Californial to&sof Cule.See(ons 2550 25533 and 255341 nnderna„dd„(
d the mi ng res no,currerdyhave it tnyrcsponsibilitymnmify the
cepa oh requirement se -ch a L I.issuance of a Ce ificm f a VV
Glen wncr - - t
8 Ignature of Applicant Date
or aummiaed agent D.e All roof coverings to be Class:`B•• or better