00040156 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR'INFOR X ION: - 00<D4,O1 ,s- /
BUILDING ADDRB.SS: ///777��� - -
(� (�',{^/ SANRARY NO. APPLICATION SUBMMrITAL DATE
OWNER'S NNfALMMKI'R
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N/C COOLN
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ARCHITECUENGINEER BULDMG PERMIT INFO
UCENSED CONTRACTOR'S DBCI I ATION
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CFAiE9C OMPIEN ATION I N DtOM WOR
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COMPENSATION INSURANCE
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CONM1J(7 TON LENDMG AGENCY
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P" a' 'A :AMU B0.Yf AND WIIJ.COMRT WITH ALLNON-POMT
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5011 ERF' Ln R. -
SigmmedA,l' IICmN.�.Yw '. Due -
cu,A(.GUS MATERIALS DISCLOSURE .
Will Ipm IXN nS occup.ml Y 9.120, chueA m,1 S9i.l Re-roofs'
C defend by Cupatim M ntc p.l Coda,Clupo 9.12 and the Waith vd SCay
caa..s.tJmxss3x1.1T Type of Roof
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Wdl Jn tpplionlw kmrt bmwi eyuiprcm wdcviae.which 'All roofs shall be inspected prior to any roofing material being
mh lvrvdan Jr mnutM�u`Y��dcO by Jn B.YAm Air Ow.liry Mmep«mcal to d. If a roof is Installed without first obtaining an inspection
maoY. lI I a rel: to remove all new materials for inspection. Applicant
I ad huudwutnmiWtepOatewwlderCLpa595dth. un - ".ands and I omply 'th all non point ource regulations.
rami. m&Ser Y Code.Seaiom 25505,21533 utl 25530.1 mdm w Jif
ry eIX, � .talve,uwbbmytcmwmTNiryl n rJn �� 00
d a e uPtiornivuuec d.Cai dDa�.Iry. .
Sign o pplicant Date
owmweullnri oY.
All roof coverings to be Class`B"or better
OFFICE
INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE
' CITY OF CUPERTINO
• BUILDING PERMIT INVOICE OPERATOR: christya
Sec: Tp: Rug: Sub: Blk: Lot:37528019.00
INVOICE DATE. . . . ..: 04/25/2000
REFERENCE ID k ...: 00040156
SITE ADDRESS ..... : 10649 GASCOIGNE DRIVE
SUBDIVISION ...... .
CITY . .. .......... : CUPERTINO
IMPACT AREA ...... . '
OWNER .... . . . . ....: HUGHES
ADDRESS .. . . . . ....:
CITY/STATE/ZIP ...: CUPERTINO, CA 95014
CONTRACTOR .......: DADDARIO, STEVE LIC W 20739
COMPANY . . ........ : RENAISSANCE ROOFING CO INC
ADDRESS . . . . ...... : 2292 LINCOLN AVE
CITY/STATE/ZIP ... : SAN JOSE, CA 95125
TELEPHONE . . . ..... : (400)448-0697
FEE DESCRIPTION CHK TOTAL FEE PAID-TO-DATE BALANCE DUE
BPERMFEE P 97.00 0.00 97.00
BSEISMICRE P 0.50 0.00 0.50
____9] 50 ____________ ______97 50
0.00
' ID ------- DESCRIPTION___-__--- VOICE ID --DESCRIPTION
-------- ------ -------------
05• FRAME 307 INSULATION
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
603 ROOF BATTENS 604 ROOF IN-PROGRESS