01050042n
CITY OF CUPF,RTINO `�
nmt,DINC DIVISION.
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CONTcRACTQR;INFORMATION
PERMIT,-
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UUILDINGADURHSS: ,...
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PERMIT NO.
20,272 CARTWRIGHT WY
R. E 'ROOFING,, - -tf
09050042 .
OWNER'S NAME:. -
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APPLICATION SUIT DATE.
I_EE-`SEN L AND CHI—MING
:^,_OAt LFlnln 'GI_._'05ZO3/2001.
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PHONE:•
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SANITARY NO. CONTROLNO, -
-957
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ARCHITECIIENGINEER:,
(. BUILDING PERMIT. INFO ,
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BLDG .ELECTPLUMB' MECII ,
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LICENSEDCONTRACTORSDLCLARAl10N
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z;. REMOVE. 1. LAYER OFEXI+STING• WOOD SHAKEI
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a ARCHILFCJ S DFCI AR T
IN—STALL NEW 30 # ASTEN FELT 8' NEW WOOD
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OWNER BUILDER DFCI ARATIONy.
1hereby flou1 C LuamwL forme
as
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effir. am a.ma,ur the t I
hollowing aps,ion Section 7031B d Proficai Coale Any air, or county
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wh h ts a a I R p J h p y Damen
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pr tI e.
� I.requirestheapplicant for such pto file. sg cd Immem
lath IcJp It rh p fth C t tL' W (Chaplm9_
Sq. F't.,i'IOOr Area -
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p umrnragwith Section 7007 of Division 3 of the Businessand Professions Code)
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or that he is exempt merefmin and the basis fonhe alleged esan oman Any vmaram
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^ of Semion703l5bytinyapplicantforaperniitsnbjemsthvappliconlm a..... penally
" molt more mad Five handled dollars ($504
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.• APN Number
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❑I erofine pmpeny urn, employees with xogae a theirteeompeoLlion,
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wsill n m k im:t t ': I JErwr : a,,plytoaa
H d Professions Col Th Contractors; License L I t
- ?1.Pt4$0]0,R@t iredInspections -
owner of property Who builds or improves thereon, and whodoes such work ]itnaell'
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othrough his awn employees. provided that such improverricalsars, not intended or s
offians] fim,ale. If, lowevin, the brildingo, improvement i,,.Id dh one yaar n1
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the owne holder will have the burden ofprov gthathedidnotb�lder
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approve r pm' r I)
'307 .INSULAIIOhI`..
❑I fm v typcJ g t
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rcC:nc I de)
ROOF,TEAR
constrainfor c'
, tIthe dp 3' t t (spec. pmr : lm
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�mercx)
..601.•-OFF t .,.611,
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h t r such pixe,wd licensed p snarl r m
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Liam
Cl ComeSlaexmptunderB, aPCnnthis reason
60_3 , ROOF; BATTENS. D�
Duna'' ante
6Q4—.. ROOF IN—PROGRE5S"'Ii
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'WORKER'S COMPENSATION DECLARATION
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Ih by ft J p Ily fp � y flh f II gJ 'I I
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❑ 1 have d will maintain . Cend t f C 'm m ach-imand for Worker's
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C pe : f a provided for by Section 3700 1 the Labor Inde; far the
pr f re of thework fur wh Nn th s � r n t Iv'ssueA:
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❑ I huvo antl will nmimain Worker's Compensation Insurance, as required by Section
.3700 ordep Lulmr Cade. for the pa fmannw of the work for which this permit is
is11:I MMyy{�W kk C p t n Insurance carzmr/and
anPolicy number am
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cL.1/1J.L_ Paley No. 7 11 �1%V Old
- - CERTII AHO OU EXEMPTION FROM WORKERS
CO INSURANCE
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(This section need not he eounpleral If the permit is for lane hundred' dollar,
(SI W)rr less)
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Ivilfy that io the perfornumce of (lie work for whichthis permit is issued, 1
a
_ shall not employ tiny person to any munncr so asto beaimmiuhlem ro dm Woken:
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. Compensation Laws of California Dam,-
Applicant,
NOTICL TO APPLICANT Il.addromkingthi'CnTcal,fExe m ynsholld t
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ibe .uhiecno heWorker'sC naPe a rip .- sof the lnbrrC de ydumust
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m di comply with such pmvesiprsorllhospeit shall be dee red revoked f
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CONSTRUCrIONLENDINGAGLNCY
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lhomby aRm 11 td ereaaconvWU'nn lwJ ng ag ey forthe pertTnamed
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of the workC which this pmmit is issued (Set. 3099, Civ. C.)•
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Landre'a Land.Name,
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Lmdp,rAddod,
1 denhyda, 1 I uvo rcud his oppl ton and sure that the above informalinn Is
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correct. 1 agreeto comply w th all city' tY d' d slate laws relut ng
lab ll' a f Jh by m - nice, ordinances and
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g p canHoer upon
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m h nemioned pmpeny forinspecti purposes. _ -
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(We) agree ve indemnify dkeep h I theCtyot Cupernog u
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R5`j 't d p .c. 1 h aY vny way accrue aga n.t d
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Lac C S II CWITHALLN
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Issued by, '• '�V/1 Date ^ _
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Signaam a n hrnndamtmrmr Date
Re-roofs x. -
MATERIALS DISCLOSURE
W'llm ppllc t ft reMuld ig rmcupum sora arkndle h,ulN us nermlal
Type of Roof
as defined by theCupertino Muy a pol Code Chapter 9 12. d the Health and Safety-
..Cod Section 255i2(a)' \
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--All roofs shall be inspected prior to any, roofing,matenal being installed.
Will die applicant armors, building occupant use equipmentardeviceewhich
If.a roof is installed without first obtaining an inspection, I agree to remove ..
emir ba ora ata wr aenlmnman . a. defined by the Bay Area Air Quality Management
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all new materials for inspection. Applicant understands and will comply with
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non-point'source regulations. -_
I have rand thehazardous mat a I: requirements d Chaps 6.9 f the
Calf Harlon &SattyCJ Sections 25511525A3 4255341 d nJ lhm
holdgdnremt currentlyfacda� tmtt. y p .'b'I'tyI 'frm
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I Hent st be et pr or m i,mamce of a an
R of
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nature of pp icant ' Date
•Ovivi-mmm - ,,• ,a.e
' -All roof coverings-to be Class B orbetter-
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,OFFICE ' a. ..
Building Division
aYO
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: (408) 777-3228
Fax: (408) 777-3333
CUPERTINO
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.
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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.
We understand the above policy on reroofing and will comply with this policy.
Homeowners. Name:
Address: �7 h /L1 ti Lp 11
Reroofing Company Name: CQy ra I Wo
Applicants
Joe Antonucci
• (Chief Building. Official)
6/13/00 ..