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02090061 CITY gut OFC UnPERTTINO CONTRACTOR INFORMATION: PERMIT BUILDING ADDRESS: PERMIT NO. 884 FERNGROVE DR ABLE ROOFING INC. 02090061 W AME: APPLICATION SUB DATE W1W ALAN L AND CLAUDIA M 1420—B CONCORD AVE 09/10/2002 ( PHONE: (925) 689-8558 SANITARY NO, CONTROLNO. t MOO ARCHITECT/ENGINEER: a BUILDING PERMIT INFO E02 - BLDG ELECT PLUMB MECH a W 5 = LICENSED CONTRACTOR'S DECLARATION'H Job Description thereby Bofthin1am licensedunder pros provisionsChapter Code,and RER00F (FOAM) �yfP�j with Senion]hBll)of Division lof the Businezs and Prof ensiuns Code.and my license rc m f, iii full fpprce end d7 c\L, r � 0 m a Liccnu,Qlan foa E. C t, Dal/q�JJ Canlmrtor NOV 'I 0g x/ ION Iuncersla ypl HaIIECf'S D� A cords N © 1 2002 gg�yi to 6 p 0 LiccnsM Prula a - / OWNLEER DECLARATION BUILDING w..-' 1 eI a1Bm,Ihm am rating,arating,from me Contractor's License Law for me 1.3x following reason.(Section 7031.5,Buclnoa and Profcaiona Code:Any city or county $16000 E F d which requires a permit to construct,alter,improve,demolish,or repair any structure 63Q Runs ton issmaw,e.also rt9 m pplicam for such peril fifesigned minimal ,hat he is fircrand purswm to the pd ns of the ContractorsinnLicense La (Chaps r 9 trn m x rapt die u ]Ix U) I o is c,3 onhp alleged and ons coon I .+, i;1'"'; 3 3.7c �t0 l�or a p•v f Valuation or mai hes 1.5 b mdrefmm and the bans for the alleges exemption Any violation n` a � `' -of Seai me th t. by any applicant for a pemul suM1jttts the oPpham to a civil prnahy-h n4nnt mere-man nw nunarca dollars ta5(ro). I 305Al2NOccupancy Type ❑1,as owner of the property,or my employees with wages as their sole compensation, willine Elieand Professions fssioand ns sre:Thesnot'intended'ese offered Law sale apply to an' 601 - ROOF TEA&gGffitBInspections'"`'"•`" -owner of and Professions Code:The Canmcmro .and w Law docs not apply m an ` or through of his rtyow em wuas or improves thereon.and ane•such wort int n ed or, 60 2 - ROOF PLYWOOD_NAIL or through his own employees.provided that rsuch improvements arewi not intended year or, offered f- .l If,fiowcvcr the building "' p" i,s sold within one year oft -_--��`-_6_03____�- -' ROOF BATTENS " • ' co,npin an the owner budder will have the burden of proving that he did not build or • improve for purpose of le.I 604 — ROOF IN—PROGRESS ae nwnprnnnp .._ _. ----. .. ___... ----- 111. .. profit 7 am exclusively a comracnng with licensed Contractors m I h ,i cdnswn me pridoes n (Sec.]BW owner o and property who Code)The Ces thrown. Cit 0 _(�� - - License Law toes era apply loan owner of propenes who builds or improves roto the -r. _ Commerce, Liven for such.p.,I...e.wma.commctar(s)licrosed.pursuam to the .._.._.. .._. ... .._._. . . .._.. .._.. __..._.__ . .... _.._....__. ....__. .....__ ,,. P...:, . . :."'...• :,..�... ,...,., moron _ Alam stem luntler See:' B&'PCfarmis -� .. r. .!a ! .OW'rlEf" 'I,LI. ,. :I:Dalt .: ... , 'WORKER'S CONIPENSATION DECLARATION thereby affirm undvrjr,.!IIy of pc J res one of the following d rnims: ❑ 1 have and'will ottimairt'li,citouncatc,itif Consent to scif-ircum for Worker's _ Compenwl oa, as prondcd for by-Sectmn 3700 of the Laker Cade, for the 'performance of the work for which min pcor it is issued. :.." ❑1 have and will'maintain worker's Compensation Insurance:as required by Section -- 3700 of Laker Code,for he performance of he work for which thin ad/ p µ(m ,is sr a MyW k 's C c - Pull CERTIFlCAn M OF A NS FROM WORKERS I 1. \ I ' COMPENSATION I.. INCE _ _ ��h ')a,I.iea,on need„bt ere aumplcmJ if me permi,is f one hundred dollars { 1 '�' I,I`"' - r � SI(M)or I�r,)P o1 rtthat th µd m, 'fth o ort fo h th Rearm, issued.I 1 x ' all t employ Yµ5 any man a�m become' bl t iu me Workers] (. ,hi .!q Co 7 Laws ofC 11 'a.Dale" "" '' +',NOTICE TO APPLICA inker,aper making min Cenifcm fth Eac,n,Clid you,you could. 'Belfas s comply workersCini,peasenion'pinvindicate sic nsnfihe Laker newske . man O Q fonhwim comply with such provisions it is permit shall be deemed revoke). Z _ _... ... _ _. .. .. .------- CONSTRUCTION . .CONSTRUCIION LENDING AGENCY .: t • .r a' s. 'L dell Name dim that cd lS J09YC agency C) th ped t n..�. -. .� .__... . ._ ._ ._,.. .. __ _. ._. .. _..._.. . Y afro work for which this I ss "D Z � . 1 a1 agrees thin1neread m'city and county Ihmthe ke information is liU 1.bm1t i g 1.ifi.,ly with 11 ity end co Iy V ante. and stI laws retro ng c. O U Iob 'IJ g Jucuo rty by ,cart "p : (rives fih_' ly to enter upon ,�,(]� ;the ake(A'e)i to pmµnyfmhif)and Snip hamee.__ eWej5gnuns.costindemnifyand keeph may,in an woof CmejI,io against (O lith I h y dg ams,cost, d µ see which y' any y e again"said U.Z city - „cSpf meg l g f m, µ t ,. aPPLIC - BL pS O WILLCOMtLYWITHAI..c�l)N.� soy cP q IG Issued by Date - . :. re ndCun mem( .. :. .,.. .;Datc Re-roofs HAZARDOUS MATERIALS DISCLOSURE' - WII lhepplcat It n 'Id' g< porn h handle naam m I _ Type of Ro4a—.a.d f d b)line Cuµn M c pal Cad Chapt 9 13 and the H lth nd Safety cad Sttl oh 25532(11 E ' �, dr ' ❑Y 4a, ff, y'PN t r,. . ^ 11 51� 3 :I i ' i1 .:dq: All roofs shall be inspected pnor.to.any.roofing material being installed. -. • WII me airs tar Tut re WJd ng oc< p t equ p t e<ipp. n n If a roof is installe'dwithout first obtammg an inspection;,I agreeui.remove emth bus air so 1.esdfi ymeByAreaA Quality Management Dish toyall new materials for inspection. Applicant understands and will comply with- all non-point-sen' r regulations.., 1 h rrascida"Earandous material q re c t. nil Ch pl 695, f the c 3553) understand mat difamidH P Y m mu"be t not Y m notif me if the bmtd ere does ml t Code hSectiotenam Omar iSn mea`an aofd Comfier f '• ✓/ _f� 8 yr r t5 ,. t.. °c ' ` '. _ _Sig _ire ofApplican[ t rnerocal „ Date All roof coverings to be Class"B"or better' OFFICE .. .. _. I Building Division 10300 Torre Avenue t Cupertino,CA 95014-3255 Telephone: (408)777-3228 CITY 0 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. a) Spark arrester installation. 5. If plywood is installed,a plywood nail inspection is required. . i 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 2/4"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 ow�n reroofing and will comply with this policy. IL Homeowners Name: A/1- AalK Address: _ �$y f-eepi r4oL'i 01:5 Reroofing Company Name: GG !t Applicants Signature: Date: Joee Antonucci (Chief Building Official) 6/25/01