Loading...
02070151 CITY ILDIN'G umsRtonNDPERMIT `CONTRACTOR INFORMATION: ., BUILDING ADDRESS: PERMITp 22940 CRICKET HILL RD FOUR SEASONS ROOFING 2070151 S'AFMCK MURRAY E TRUSTEE 645 HORNING ST APPLICAbOd$N Wk7/2002 (408) 278-0330 PHONE: SANITARY N/O.. L 4 `CONTROL NO. ARCHITEC(ENGINEER: - BUILDING PERMIT INFO BLDG ELECT PLUMB MECH ,,FZk l� r_I L:"i u O-= LICENSED CONTRACTOR'S DECLARATION ��fy5b D ;i_qy IherebyaRsnn,hmlamlieensedunder,�9prosisionsofChapm,9(commeneing TEAR OFF CEMWOOD, fNJ`1HLL GAF GRAND SEQUO t: with Sectio 7WO)of Division 3of,,m Busing/s .'Profeulons Code.endmy,license Y�uxedes JJ''Lipt•'l 1 ■�fV.,fq�c.G[n ECT'S DEC 1isr ATION ��' "^!�A��® M:)5l u used es par lic records - , d p O Licensed Professionvl JAN 3 0 2003 OWNER-BUILDER DECLARATION usi$y 1 hereby affirm that 1 em exempt from the Commemr's License Law for the Gfollowing reason.(Section 7071.5.Business and Profession,Cade:Any city a county BUILD $8000 000 which requires a permit,o construct.oIma improve.demolish.a repair any swaua u°6y3$ ING Zrionstssuance,alsorcqui,esthesppheart fa such pcmuno fik a signed statement - - - -- --- -------_ ___ __- _. I' Ndhmnr itpursuant to the plfnseas.(the the Brans,,and PrLaw(ns Code) - 3 •Q�DI' af^,1 t •I Valuation (commencings exempt Section ien00)ofhe basis for the Bait,C end Professions lotion sti l`;v ry �, .�'\f_\ 'r�" o that he is 31.5 by Nnefmm and or basis for the ca,the.cuicant t,Any l Pennon - -• " Of Seanot more than 3 v any handled dollars for v permit mbjens the applicant So a civil Penalty of n.,more N.n evdnanarea dofler 1x3007. 3 0 54PN!1 $ Occupancy Type 01,as owner of the proper,ser my employees with wages as their sole compensation, 307 - INSULATION ;will do,he work.end the structure is nut intendedorofferedfor'sole'(Sea:70N4,- 601 - p�s ��t4� P�r [jpn5' `'a'• Ba,huhsund Pmfex,ions Code:The Combustor's License Law does no,apply to an 6 02 - ROOF PLY V D ifff owner of Wopeny Who builds or improves,hereon,und who does such work himself .r Nmu h his own employees,provided that such improvcmenu a art no,intended ;.reared r wle.IG however,the building or improvement is sold within one year of '--6'0 3 --ROOF—BATTENS'- — " completion.the owner-Wilder will have the burden of proving Net he did am build., " impro,•eforpuryoneoftele.). 604 - ROOF IN-PROGRESS — —" --rexl —contracting — _ _ 1.as of p(Sm.7 ".BusinexclussslydPrefcationslianude Contractor's oasm •!•:LLe+"x.L':,1 ,�Fn -- - ronswe,,he project(Sec.70aan Business prtl arty who Code:)The chemo Ili(C5 License Lew does not apply loan owner of properly who builds a improves t.w.tit, �" " :. :1 ,Commerand.who eonwnv.(or.such..projecu with a contracta(s)IicenuJ.punuenLlodhe. ,. _....._.___... _..._. _....._.___.__...._....._..,._..-.__._.-_.._... _...._..-.,: _......__.. :% Conwetoly License Low.i' ' `Yt't ;rr �• _ ._.._.... ...._.,.._.__... ❑lata exempt under Sect" `^ B&P C for this or ,"'' ...:.li": ade' - ';', WORKER'S COMPENSATION DECLARATION I hereby affirm seeder pen,hY,of perjury doe of dtc following declamations: ❑ 1 have and will'mama in'e Ckftcem of Consent to aelf-insure for Workers Compensation. r-provided fn,-by Seen. 37M of the labor Cade. for the - performenz'e of the work for which this permit is issued., oI m Wo kerom nonan 1 sumnce rc d by S tion an q Code forthe nnvne f the worm r wit ch,h 'titin u P .., Compensation lnurance come a Po number Issued.M Workers _ 3700 of the Labor y er CA �Polcy No .. Z49 Z ♦,. . 4-., :[ >i4 vol rol• .._.._..... -_.._..t.. lbr is ._ ppsw R TION OF E%EMPTION OM WOR --'COMPENSATION INSURANCE not he'completed if the permit is fa One humred dollars t•• t "• t -` r `ii::h(i9 i!Cy -'j�A' ($100)a leu,) S . .1 cmtf y min Ne n in any m the rk for ca h Nq ct to the issued I +;(t;, -• S• S �R'1 d' P -- _j'; shell not employ ono person m any atander so as m become subject m the Worker' - S Compensation laws of California.Date O fampun forthwith with Worker's ork is Ci � 8 y oar shout . . .. . .. _. ._ .. ,..... . .. .__, . . .. . .. OTICE 10"PLICANT I v(ur malting this Cemill of xe ti.n:y d , Z 3 ore nmt is Permit Provisions Of She Labor Code,you must ' yoked. 'l � 0 ..._ .__.. .. SN.YY tons or this rmu s eem rt -'t :'CONSTRUCTION LENDING AGENCY. - _�--� � s • 1 hertb elTrm Shat Nerc Is a conswn on leidtn a en fa She pufamance of Ne work fa itch thspermu issued"a' Civ.C)yy u r 1 ohm"' ds a Ndid ame - Le V 0 1 I ccnify Nm I have read Nis applicnion and vele Net Ne above informnio.iv ' W, coiieci.l etrte to-- )viN ell riry end county.,dimmer and rasa laws relating O° to building ronsudction,'end hertliyeuNorize rep 1ran-Of this any.0 cnur upon [� 'he abo a memianed propnry fee inspeata purposes , ps ' (We)egrcelo as e,Indemnify antl ka?hvrml st�theCty ofC penin.ejunst W IiabSOocs N dymems,costa and expenua wit ch may m any, ay arue ageingi aaiE C) City m donsequcnce of Ne grmudg of this perm t " •' ) APPLICANT'UNDERSTA,WS DWILL COMPLY WITHALL NON':POfNT uRtEREco�s Issued by: t Date 3gmmm of ppbcomlConmcmr. ^` Dam. — Re-roofs '' HAZARDOUSMA7ERLALS OISGLOSURE ..u' 'arcWt , ll di epphcara re n fututmWtng acupan,shoe or hudle hvNw at mu deif R f u defined by Ne Cope.[..Mutual sCode Chea 9 Z and the Health and Safety - �'Pe o 00 Cala Omition Yu 25532(q)°� , a.- 1 t f 7S .Ye , t i'."`),- : !'• l ,; .All roofs shall be inspected prior to any roofing.material_being.installed.,,,._...,._.. is WIII Na eppli o future,building aa...at u equ proem Or d.0m,which If a roof is installed without first obtainingan'ins ectioh;I a ree to'remove emit h`tzardous mar commitments u'definedb the Ba Arc.Ali ana'emeadDismP g by Quality M g ❑vex , ' ' all new materials_for inspection. Applicant understands and will comply with, v p all non-point source regulations. reed'thbasardaus rosaries gartmenu undo Chapter 6.95 of toe Cal fore a Heebb'&Sal Coma Sections 25NO3 25533 end 25534 1 under,snd that _ ` _ _ .t ifNeWldng don rMcrrendy have a mmm that its my respombly notifY!he 'Y � CmY " ... — Z"1` OZ.\ ampum of the requiremenu which mutt be tan pram' ante of•Cenificete of 5es•AO ..j.. 1 x-24-0 -_ nature ofApplican[- _ - _ - .- ._ . - ate wmr or authorized agent Dara' All roof coverings to be Class B' r better OFFICE Building Division 10300 Torn Avenue <1 Cupertino,CA 95014-3255 Telephone: (408)777-3228 CI 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/a"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: Q Q t\ZA ©*5� Address: Reroofing Company Name: Applicants Signature: QQ4"'-O- &NEO--S Cb^ Date: —Z(4 — 02 jJoe Antonucci (Chief Building Official) 6/25/01