02070017- - _ - "-- OFFICE
' CITY OF CUPERTINO
BUILDING DIVISION' PERMIT
CONTRACTOR INFORMATION:
BHEMS
10490RFLORENCE DR
JIM KRAUSE ROOFING
PERMIT N8.2070017
TM6&N TERRY A AND BRENDA J
2310 DIANA AVE
APPLICATJD�61.Sr�tbTJ2002
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11NO.
PHONE:
(408)779-0704
SANITARY CONTROL NO.
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ARCHITECf/ENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
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LICENSED CONTRACTT ORSDECLARATION
Job Description
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1 hereby a01rm that l am licensed under provisions of Chapter 9 (commencing
REROOF
Section 7"nof Divides 3nfthe Buzinesaand Professions Codc,ind my liens,
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in full force tma �r
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T O SHAKE, ADD CLASS
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ARCHITECr'S,DECLARATION
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I understand my plans shall he used as public ¢cords
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SEP 0 9 2002
Licensed rrore,ionm
OWNER -BUILDER DECLARATION
I hereby .(Sten (bot I ant nusin Froin the Cessions Anye Law for the
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following mase.. (section 703 1.5, Business and Professions lit or Any city onoic me
which requireapermit,ocon,theaplicitlotsudcmornitt or.,airanytatemet
BUILDING
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liner, , `. 1 q' ,b am for signed
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1750
Sq. Ft„Floor Area - y
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Valuation
mo Cmarnams Lic
thorn licensed p ammmepro . n3ofthe mcwrau PrW'Ic%Code)
(commencing with Section 7m an fD tlPor, Calc)
i,or bexBusiness ,ns
or he s axe opt ,any l'gm and ,or busts lis ,be alleged exempuun. Any violation
3 2 6 3 S 0 S 5 0,(] "
703 tan v any applicotn for a permit subjects the applicam ,o a civil penalT
of Seca. more
or rat more man five naWred assort (s50nL
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APN Number
Occupancy Type
01.as ois nor of me propciry, or my employee x ith wages as their sole compensation,
305 - FRAME
will do line mk. and the an¢mre is no, intended or ,food fur sale (See. 7044,
307 _
Business and Professions CWc: The Contractor's License Law does no, apply ,o en
fired Inspections '
... ofplopeny Who hada, in im arner, hcrton. and isbe does such work himself
601 — ROOF TEAR OFF
ore no, intended or
or hrough his own employees. building
,but such improvement one year or
offered forcompletion.
sale. If. however. the wavetheurdenof
issaldthat
602 = ROOF PLYWOOD -NAIL--:- - - --- --'-- - -- --
,mpletion. the no,c, ofbuilder will have me burden of proving mat he aid no, build or
proving be did
`mpr,ve ter p,tpna mettle.),
603 — ROOF BATTENS
Q h as owner of ,he pmpeny, am exclusive( c,mmnin
Y ling licensed
604 --ROOF -IN—PROGRESS ------ _— - -
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Csmtonto
c the mojcn (Sec. 761.4, Coder The Convacmr's
and Poriproperty
License —.oBusiness
License law does not apply man owner of property who builds
he b
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and who ,,micens far such Projects with a contractor(,) licensed pummm ,o ,he
seimproves rto the
ComractLicenseLaw..
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❑Temexeaemp,nderSee. ;Bffi PCfir, this reams
Owner Date -
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- WORKERS COMPENSATION DECLARATION
I heteby affirm under pcnahy of In, one of the following declarations
❑ 1 have and will maintain a Cenifcum of Conant to elf -insure for Worker's
Compensation. as provided for by Section 37W of the labor Code, for ,he
performance of the work for which this permit is issued.
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have and will maintain worker's Compcnsmion Imurantt, as required by Section
37IX1 of the Labor Code for the the fo'
performance of work vinch th s permit i,
issued. My or ors Compensation Insurance currier and Poly mumbe,
Cetdci� '.Q._'G,I cy No,
C RTIFICATION OF EXEMPTION FROM WORKERS r
v',V i i I) , it
_... , .., COMPENSATION INSURANCE
(This section need not be completed if the permn is for one hundred dollars
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IS100)or less)
1 cimif, iha, in ,he performance of me work for which this permit is issued,
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shall not employ any person in any manner so as to become subject ,o the Workers
,: _
Compensation Laws of Calih miu. Date
Applicant
NOT ICE TOAPPLICANT If. I, Ang,h.Cnfcme of —Eve.pWoy should
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hecnt h)'tt ,be WorI sC pc -lit p ns of,FeLbor Cod you must
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fonhx'th comply with such p this Permit hall be dttmed rmoked,
t' CONSTRUCTION LENDING AGENCY
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I hereby affirm that mere is a commotion lending agony f,nfie performance
of me work far which this .it is issued (Sec.'3091Co.C.)
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..Lendees ,..... .. ., - ..
liter's Nam' ..- <
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Lender's Address
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f eenify than l Fav read this applivenim and stem ,ha me above informomma is
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ll.idrrect.
1 agree to comply with all city and county ordinances and state laws relating
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to building constmcimn,and hereby'uuthorim reprc,ematives of this city no enter upon
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the above-mentioned property for inspection pumoscx.
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(Wo) agree m Stec, indemnify and keep harmless the City of Culienmo against
liabilities, judgments, cots and expenses which may in any way accrue against said
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Ci,y in mme9ueno, of be'golmir, of,hii permit.
APPLICANT N'ITH
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REGULERSTANDS Ayyy'fff3��tt��kL COA1PLV ALL NO�'PO Tp
SOURCEREGULATIONS.
Issued by: Date
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Sipralmc of Applicrio—o,anm' ,c
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Re -roofs
HAZARDOUS M TERIALS DISCLOSURE -
Will fineapplicant er fur building occupant tete m handle M1a..rdWa maternal
Type of Roof
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defined b y the C penin Municipal Codc Chople 9 13 d the Heam and Safety
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6dc; Section 5532(a)' -
❑ year, Cages' 5�.
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All,roofs shall be Inspected prior to any. roofing material being installed.
miWill the'applicant-rut building occupant seequipment devices .n m
t hzeaN contaminant eefned by the Bay Area AirQstly Maagemem
Diaries❑Y
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If a roof is installed without first obtaining an inspection; I agree to remove
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all new materials for inspection. Applicant understands and will comply with
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all non -point source regulations, -
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I'loom mud the hazbedous mamals regairemena under Chapter 6.95 of me
California Safety Code: Sermons and 25534.1 ma,
building os ant, that itis
have a,enan,, man itis my responsibility to notify the
ity 10 n of
inns building dqn not cants
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occupanto... ,f ,M1c rcquimmcros which mus, be met prior ,o issuance of a Ce fife m of
Occupancy.
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Signature of Applica t Date
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All roof coverings to be Class "B" or better'
U -mal .1 inalminutPlVanim Date
- - _ - "-- OFFICE
CITY OF
CUPEkTINO
Building Division
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: (408) 777-3228
Fax: (408)777-3333
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) Preinspectioit 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/" 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 abovepolicyon reroofing and will comply with this policy.
Homeowners Name:
Address: y90 7/ -0� . ,
117
Reroofing Company Name:
Applicants Signature: Date: G Z
,. Joe Antonucci
(Chief Building Official)
6/25/01