01050034 +/ "CITY OF CUPERTINO
BUILDING DIVISIONPERMIT _ 'CONTRACTOR INFORMATION:
SOILDINO ALL •} 1'IiRMIT NO. - 5
W200 .,LUCILLE AV CRR .67 7t_ ROYAL, ROOFING 0i�1�0i7�34' .
"WNER'SNAM`TRAMMELL CROW RES SERVI ::ES 7345 VANDER WAY APPLICATION sY,5iJPli/2001
PHONE.: SANITARY NO. CONTROL NO.
(408) 279-2332•: # „
n O O ARCHITIiC MNGINFER: , 4 BUILDING PBRMI I'114170
F w CC BLDG ELECT PLUMB MECH
16 Z ad 1=J IUJ —1 CI
?N -
O Z N LICIiNSFD CON'TRACTOR'S DECLARATION Job DOSC(IpllOn '
F m�O 1 M1 by fhm th.,t 1 licensed e p of Ch p, 91rn,nm c ng •
w,IS , 7q kintollocall"uor� 3 nlnaB n nI :ed and my renwe , •-„ RE—ROOF REMOVE SHAKES' & INSTALL �1/2" I
�,. 1' 'roc 5 9 " Z CERTAINTEED SHINGLES. CARFtORT
SAHe D, /�� � ARCIIIIFCI';SDICI.ARA1 YaIt an im ill '
t a O.l a •1 undemmnd my plana shall be vied as public records
or, Uanxed Profeaninm l J 2 4 2002 ,
c.°)j o OWNER-BUILDER DECLARATION
=1 hemby affirm the,I ,,I,cooed,,front the Comram„r's Liceac Law for Ihc, '
following mason.(Section 7031.5.Business anA Professions Gde:Any city te conmy
2O which mi. amni,a are, tap c dem h'h par any
pr , n, an I I _ :IL, Ipl ,I - hp a ,I :,g I ons
that
licensed mintrat to tl provisions oft Contractor's License La (Chapter9 Sq:Ft. Floor Area Valuation
nc
(a...marming with Section 70y))of Div„ m.
nn 3 of the liuniww and Professions Code)
or,ha,he is room,,,it...loom und,hc bnsix lin d a Buried esrmp,iun.Any violation
of Section 7031.5 by any applicam for a permit wcbjvvts the applicant ...ivil peIrahy
of not more had role hundred unuars($50ini. APN Number- ;Occupancy pe -
131.as owner of,hb pmpcny.,;,my employees wish..,a,as ttcirsole compensation. -
will do me work,and Ihc:m,cm,e,ls n),Intended or offered for sale(Sec 7144, ,5
Business and Poolnsrinnr Cam;The Cnnooctnr's Llcen.m Law does not apply to an - - ttequlred Inspections
owner of pmpsny Will buiWx on improves thereon•and who does such work himself -
or dmhis.own cmployces.provided that such tmpmvemnm are not hncnged or .. 305 — FRAME -
ofrered 1111 rale.It.hrwavor,the holding or improvement is sold whhin one year of
nmpBaon,me owner-Milder will hasathe barden at pmbiti,den he did nm buildor 307• .— INSLILATIOIJ `-
i,npr11vcfnrpurpnneofsale.). , '•
❑lied mdthe property.am exclusively contracting wird licensed commmorsm - - 601' ROOF ,TEAR-. OFF'.
1 License
Law r bnot awl to a,RusrnaI mid Pmfcv.inns ills or 'fhc es trannra _ l + '
p"l 602 ROOF F-LYlJ00D IJASL .
- License ca docs no,apply,o an oci,w nl a comps who builds s improves thereon.
Co who eomd,as fly worn,mica¢with a cnmmcturts)licensed pursuant m the .603 — ROOF •BATTEN -
Cnmrnca,r'..Lianwu Law.
S
°I am exempt under Sce. B&P e nn Ibis reason 604 — .ROOF IN—PROGRESS
owner` nail: -
WORKER'SCOMPENSATION DECLARAT[ON - - - -
IL, byaflin der pe rdty oflarrjuaryone nl,hef II w y Ie I ani, x: v . r • - '
° 1 time and will mu morn a Con fe:ac of Cowrit o sell-n:ore for Worker',
Cn,n nrwrn, n po..dad for h '�Sechon 3700 r,1 ,he'Lubar Code, for ,he
ma - -
penornce of the work for which this permit is issued. '
nd will molnahi Wr,lkri s CnnIN,...non[a.mare,as required by Section
1 sato laof,ahe IaMa Code•for the perfonurime of the work(,it which this permit i. _ v
,.My Worker's Con,pcnamion Inxu,all cask,trod Polrcy,wmber are
Carrier. e.;n Policy Nn'
C13L(L
,Q P,YLOO�i 7 t
CEIi I'IPICACOMPEpSAI ONlNSURANM WORK + _ ' . _
' rDNPEN$AIIDN INSORANCIi - •• '
(This wec,i,;n need no,he onoodamd irthe m not is fu,one hundred jor...
I'enny dna,in dw pcffn„roma of Lha work to which this per,.dt is issued,I - -
,hall nm employ toy pars at any manner ,,as m become subject to the WorkeY _
Co,apemurinn laws o(r:drfamia Data
APPlicant .
NOTICE To APPLICAM':If,than making this Ceniticam of Exemption,you should
hecmne subject to the Workers Cnmpansmion pmvi.inns oflhe Labor Code,you,nust
Q .fn Ilovah comply with such po visrnns nr,his pI,and shall be deemed revoked.
i :CONSTRUCTION LENDING AGFNCI'
a ' I hereby miinn,ha,man is it construction lending'gency for tire perfonnonce
,y of ffne wmi,fur which Nie i nnnit is issued(Sea.301 Civ.C.) -
0
Lender's� Name
z Lender's AJAocas _ -
V'� Icanif,mal l have road this up"Inallnn and Into lhm,hu abnvc iofnr,nation W
correct.I agree to comply with all city into county ordinances and state laws relating ' +
C.1 .to building cr,pmmctlon,and totally authorize miumsentatisev id this city to cn¢r u,no
W ,h h , l mlially I'll 111,041a P 1
1e,•, 0. 1.(We)agree to awo,ind fyad ken handav,dinCtydCupenm, na
Vi limilaic,jolmnam,crosd p n as which nor,in any way awn a agam:t amid
City in ryem..,fdlfloating of[his pe ,. i• _
APPLICANT UNDFRSANDS AND WILL COMPLY WITHAL ICH
nT Issuedb _ Date
SOURC REGULATIO � O' Y'
T� 'sr re ofA,Iicanucammc - Data Re-roofs .
HAZAIIiIJUS.MATHRIALS DISCLOS RH - .•
Will,he applicant or Who haildrng occunial"I'm ur l,undle hunoNrmnmlcrl"I Type of Roof « .
m dstinad by the Coplanar,Municipal Cove.Chapter 9.12.and the Heath and Safety -
°Y I All roofs shall be'inspected prior to any roofing material being installed '
WIhm ... wady Ares p , u Management
' en�,r rd cadre, tam .nlsasJ�.p,i Jty,heBayAreaAirQ ItyManag nt 'If a roof is installed without first obtaining an inspection, 1 agree to remove
District? rd/ - all new materials for inspection.. Applicant understands and will comply with
°Y "o - all non-point source regulations.
I have read the hazardous mamrials requirements under Chrha,.695 of the
ifth imnirllcudh,@9afny Cadc;Sec,ions 25511.5,25533 and 25534.-I undcmmul ma,
.ifctinal of
exnimimm,whicheast To.teats is,I) respmsihtoCa iftam of
c t"oti of me rcquircmnnt which must M met prior In iw.uanee of n Ceniroan,c of
�J T7 l3 6 I 9�gnature of Appli Date
oyyrr of „n,br;aed ages = Dore - All roof coverings'to be Class "B•'or.better`
OFFICE • . y
+/ "CITY OF CUPERTINO
BUILDING DIVISIONPERMIT _ 'CONTRACTOR INFORMATION:
SOILDINO ALL •} 1'IiRMIT NO. - 5
W200 .,LUCILLE AV CRR .67 7t_ ROYAL, ROOFING 0i�1�0i7�34' .
"WNER'SNAM`TRAMMELL CROW RES SERVI ::ES 7345 VANDER WAY APPLICATION sY,5iJPli/2001
PHONE.: SANITARY NO. CONTROL NO.
(408) 279-2332•: # „
n O O ARCHITIiC MNGINFER: , 4 BUILDING PBRMI I'114170
F w CC BLDG ELECT PLUMB MECH
16 Z ad 1=J IUJ —1 CI
?N -
O Z N LICIiNSFD CON'TRACTOR'S DECLARATION Job DOSC(IpllOn '
F m�O 1 M1 by fhm th.,t 1 licensed e p of Ch p, 91rn,nm c ng •
w,IS , 7q kintollocall"uor� 3 nlnaB n nI :ed and my renwe , •-„ RE—ROOF REMOVE SHAKES' & INSTALL �1/2" I
�,. 1' 'roc 5 9 " Z CERTAINTEED SHINGLES. CARFtORT
SAHe D, /�� � ARCIIIIFCI';SDICI.ARA1 YaIt an im ill '
t a O.l a •1 undemmnd my plana shall be vied as public records
or, Uanxed Profeaninm l J 2 4 2002 ,
c.°)j o OWNER-BUILDER DECLARATION
=1 hemby affirm the,I ,,I,cooed,,front the Comram„r's Liceac Law for Ihc, '
following mason.(Section 7031.5.Business anA Professions Gde:Any city te conmy
2O which mi. amni,a are, tap c dem h'h par any
pr , n, an I I _ :IL, Ipl ,I - hp a ,I :,g I ons
that
licensed mintrat to tl provisions oft Contractor's License La (Chapter9 Sq:Ft. Floor Area Valuation
nc
(a...marming with Section 70y))of Div„ m.
nn 3 of the liuniww and Professions Code)
or,ha,he is room,,,it...loom und,hc bnsix lin d a Buried esrmp,iun.Any violation
of Section 7031.5 by any applicam for a permit wcbjvvts the applicant ...ivil peIrahy
of not more had role hundred unuars($50ini. APN Number- ;Occupancy pe -
131.as owner of,hb pmpcny.,;,my employees wish..,a,as ttcirsole compensation. -
will do me work,and Ihc:m,cm,e,ls n),Intended or offered for sale(Sec 7144, ,5
Business and Poolnsrinnr Cam;The Cnnooctnr's Llcen.m Law does not apply to an - - ttequlred Inspections
owner of pmpsny Will buiWx on improves thereon•and who does such work himself -
or dmhis.own cmployces.provided that such tmpmvemnm are not hncnged or .. 305 — FRAME -
ofrered 1111 rale.It.hrwavor,the holding or improvement is sold whhin one year of
nmpBaon,me owner-Milder will hasathe barden at pmbiti,den he did nm buildor 307• .— INSLILATIOIJ `-
i,npr11vcfnrpurpnneofsale.). , '•
❑lied mdthe property.am exclusively contracting wird licensed commmorsm - - 601' ROOF ,TEAR-. OFF'.
1 License
Law r bnot awl to a,RusrnaI mid Pmfcv.inns ills or 'fhc es trannra _ l + '
p"l 602 ROOF F-LYlJ00D IJASL .
- License ca docs no,apply,o an oci,w nl a comps who builds s improves thereon.
Co who eomd,as fly worn,mica¢with a cnmmcturts)licensed pursuant m the .603 — ROOF •BATTEN -
Cnmrnca,r'..Lianwu Law.
S
°I am exempt under Sce. B&P e nn Ibis reason 604 — .ROOF IN—PROGRESS
owner` nail: -
WORKER'SCOMPENSATION DECLARAT[ON - - - -
IL, byaflin der pe rdty oflarrjuaryone nl,hef II w y Ie I ani, x: v . r • - '
° 1 time and will mu morn a Con fe:ac of Cowrit o sell-n:ore for Worker',
Cn,n nrwrn, n po..dad for h '�Sechon 3700 r,1 ,he'Lubar Code, for ,he
ma - -
penornce of the work for which this permit is issued. '
nd will molnahi Wr,lkri s CnnIN,...non[a.mare,as required by Section
1 sato laof,ahe IaMa Code•for the perfonurime of the work(,it which this permit i. _ v
,.My Worker's Con,pcnamion Inxu,all cask,trod Polrcy,wmber are
Carrier. e.;n Policy Nn'
C13L(L
,Q P,YLOO�i 7 t
CEIi I'IPICACOMPEpSAI ONlNSURANM WORK + _ ' . _
' rDNPEN$AIIDN INSORANCIi - •• '
(This wec,i,;n need no,he onoodamd irthe m not is fu,one hundred jor...
I'enny dna,in dw pcffn„roma of Lha work to which this per,.dt is issued,I - -
,hall nm employ toy pars at any manner ,,as m become subject to the WorkeY _
Co,apemurinn laws o(r:drfamia Data
APPlicant .
NOTICE To APPLICAM':If,than making this Ceniticam of Exemption,you should
hecmne subject to the Workers Cnmpansmion pmvi.inns oflhe Labor Code,you,nust
Q .fn Ilovah comply with such po visrnns nr,his pI,and shall be deemed revoked.
i :CONSTRUCTION LENDING AGFNCI'
a ' I hereby miinn,ha,man is it construction lending'gency for tire perfonnonce
,y of ffne wmi,fur which Nie i nnnit is issued(Sea.301 Civ.C.) -
0
Lender's� Name
z Lender's AJAocas _ -
V'� Icanif,mal l have road this up"Inallnn and Into lhm,hu abnvc iofnr,nation W
correct.I agree to comply with all city into county ordinances and state laws relating ' +
C.1 .to building cr,pmmctlon,and totally authorize miumsentatisev id this city to cn¢r u,no
W ,h h , l mlially I'll 111,041a P 1
1e,•, 0. 1.(We)agree to awo,ind fyad ken handav,dinCtydCupenm, na
Vi limilaic,jolmnam,crosd p n as which nor,in any way awn a agam:t amid
City in ryem..,fdlfloating of[his pe ,. i• _
APPLICANT UNDFRSANDS AND WILL COMPLY WITHAL ICH
nT Issuedb _ Date
SOURC REGULATIO � O' Y'
T� 'sr re ofA,Iicanucammc - Data Re-roofs .
HAZAIIiIJUS.MATHRIALS DISCLOS RH - .•
Will,he applicant or Who haildrng occunial"I'm ur l,undle hunoNrmnmlcrl"I Type of Roof « .
m dstinad by the Coplanar,Municipal Cove.Chapter 9.12.and the Heath and Safety -
°Y I All roofs shall be'inspected prior to any roofing material being installed '
WIhm ... wady Ares p , u Management
' en�,r rd cadre, tam .nlsasJ�.p,i Jty,heBayAreaAirQ ItyManag nt 'If a roof is installed without first obtaining an inspection, 1 agree to remove
District? rd/ - all new materials for inspection.. Applicant understands and will comply with
°Y "o - all non-point source regulations.
I have read the hazardous mamrials requirements under Chrha,.695 of the
ifth imnirllcudh,@9afny Cadc;Sec,ions 25511.5,25533 and 25534.-I undcmmul ma,
.ifctinal of
exnimimm,whicheast To.teats is,I) respmsihtoCa iftam of
c t"oti of me rcquircmnnt which must M met prior In iw.uanee of n Ceniroan,c of
�J T7 l3 6 I 9�gnature of Appli Date
oyyrr of „n,br;aed ages = Dore - All roof coverings'to be Class "B•'or.better`
OFFICE • . y