Loading...
02040059 CITY OF CUPERTINO . : RIORM BUILDING DMSION PERMIT CONTRACTONFITON � t BUILDING ADDRESS: PERMIT NO. ROOFCO OF SILICON VALLEY 02040059 OWNER'S NAME: APPLICATION SUB DATE SON JINSHU AND KEIBUN 844B EARLE AVE 04/15/2002 . PHONE: SANITARY NO. CONTROL NO. (408) 795-3335 O ARCHITECTIENGINEER: BUILDING PERMITINFO BLDG ELECT PLUMB MECH L—i ID 1 heLICENSED CONTRACTOR'S DECLARATION lob Description ID_ reby.M.that I am licensed under provisions of Cha mr9 knmmencing „t-y wild Section 7000)of Division3ofthe Business yh professional REROOF m y u in full form gnd2Rgc{. & m 6 License CIasJ` .0 h / Lic.M51 csioum 3 ARCHITECT'S DECLARATI011 8 5 1 undcumnm my pWN shall W used u public RATIO ✓ ` /� �p O Licensed Professional / ;Z fY OWNER-BUILDER DECLARATION RATION I thereby.(Seat the I am a=mps rmm the Conuanm's :Any c Law for the C?< following reason. emioI 7030.comm Business and Pro@uiam Code:Any city m county 5 0 0 sF o which requires s Permit to ronswa,olur,improve.demolish,m repair any ervaurt i 3 -which " snce.alsarcguim the ap�licam far wch permiuo fleasignem smmmem. d(y hthsJistnspi puRuantlo thp'phviuonsorthe Conuumts License Lew lChnp¢r9 -- 1<omtxneingynth;$tttion�oaoy oroi.naian3anne safmaraw Prpksriom eoae> _ .k36�`(7 h�' r:�5ai:'t'.1"2Vf'I'til ; Y Valuation or tWt he is`<admpt thaierrom end the basis for the alleged caemPion.Any violation ' -rof Sl no10313 by eny oppllcontfain ;nitaubjcolhcapplice,tact civil pamlry'� s �pN .,_r.... Occupancy Type ,of mat mare then Il-heMred toil.},(ssoll. 3 0 7_- ''� E ❑1..,owner of the property,tar my cmplaycas with wagas as their mle compenmtion, -:win Eo ince sJm and the rix LTi not mcirsdo or llered for'ur(See-TOli.- tBusirieis and Professions Code The Commctor'a License Law dors not apply to 6 O 1 - ROOF TE�A9�D�FInspeCtlOn$_an t`.<`t=T::r owner of property W .Wilds or improves thereon,and who docs such wort himself _orthro ehhso nemployaespm,-dae,Nta<n _,pm.<nKu w iendaeor ,--.. 60.2_.._- •ROOF PLYWOOD NAIL m this fo 1 If Howe er do re Idmg o mpro tis mid- th o a yea of —.-. -.--. _.___" — 'completmn,theowner-Wilder will have the Wmen ofpmving that he did not Wild or 603 - ROOF BATTENS improve for purpose of via.)' 604 - ROOF IN-PROGRESS ,1:: O t:asawner oLdu property,am Business and Profeini withodemed i Contractor's onte oto so JIC�L•:'<i JI:'a'4IT IJ?(' consumer the does n (Sec. to a owner erM Profusions Cade:)The Conten tor, t P:.I,•ds >2f.r; License law macs not apply m an oxmr of prapcny who Wilds or improve thcraon, Csumum ewiceal.for..1. d u.widr•cmuaat '. Clb+.'. .L,,:.i.::, nsed.purvuorm.Ne. (:+- Conuamola Liceue Law.rD�ra or(q.0cc ❑lam aaemt under See:' ' BRPCfarthis Ramn t_O .):::�i:`:P:1❑ :dam ......p.. t. .... _ _ - _ Ovivn I M: .. Dates s ':, WORKER'S COMPENSATION DECLARATION 1 ha eby efimm under permierjury one of the following declarations:-- ❑ 1 here'ondwill`m m�n m fCmiflumc bf C.. d io elf-insum for Worker'. I'I Compensate.,as-provided-forbY'Section"'37W of the LeW, Code:"for'Ne podemook.of Ne work forwhich dtu pcmdt u issueA.f•: ❑I Imve andilltmalnu Worker':Compenaeimn lmissi me.as ha 'phi by SKtion 3700'6f the Labor Code,far Ne performvtc of the work for which this"mrit is issued My Worke7s Compensation Into e tune a B Pol cy wmbcr are — �5 ... .. _- ksLnm da .-a.. Vt ity No `�Ii�'��6 JO yG �. r. tiry - a t ' _ ` .(st {� t i t'ri's ClCdt it ^ . • " ERTIFlCATION OF PIONFR M'�WORKEM$1- �• 1 '• a,Y. t • • - r. , ..t a .. .. -_.L..,.__..,COMPFNS,AnON.WSU - :hT:• (IDsu<t on need rwsWslo pinI if the permit is fm one hundred donna Is 100)o Ica) _ ` ..,II at ntheminany ee of Ne 'workaY xMch NB rote sided"'I J - shall t mploY,onY.f Calif any marine .mato bacome'mD)cu to the 1Worken' Goppm peon V s o,,Cal Tome Dam" .NOTICE TO lZWW.If 06ntruNp mTcee[he a ',� 'a 'd; ro ''„p-•., .making puomayou zhould Z become subject y wit Worker's Comyansadon prov it she of the labor Cod,you muss 0 fdNiwiN tom w mi sbch'provisions or this permit shell W dammed revoked. i Ph rq °111 t''tCONSfRUCTION LENOMG AGENCY' - ` ' 7Lr'X7 E” _ :�I hrrebY aRmi Chet Otani consuacuon IervJ y ajeney for tW ij:perfomuim c. L s w'a' o(ihe work farwhich this peanuts L'eissued(Sec.3097 Cis. -C) .ye..�..t.�. .w. ._ .... GQ ..... _ _..,_._..... ., ..._. ._.. . ....._ _ .. ._-.._.._ ., .......__- .._ __. ;D-Z Lend aAddrcss - - U O .,11 1 1 , _. p . y I cert fy that 1 he,a read this'application and rmm the the oW c information is Ll,:[. correct 1 greet comply with 11 ty and county ordinances and state laws mleting fJ totheWilding out ei un and h for tct.. posenmt Ks of ilhicrymc tar upon >a La the aW a mem d pmpeny f ify an keep p harshh,. _ - ___._ FCC.! (We)ejree iii leve lndcmnifyand kcephanneyi.Ne`Ciiyof Cupertinorut h liabil t ryd ta,costa d expe s s xh qh m y ny way crve egain,rseid U Z Gty anis rt e gmntin8 of th pc t ' A Oq't' DSANpN ]yfOMPLYN'ITHALL�ONPOL�Tk' r Date ° L ce R 'Lir y l�h -2� Issued by: g rvrt ofA Pl can nuema - r) 1 m Re-roofs HAURb0U5 MATERIALS QISCLfpSURE ;�xsnthe.ppl¢vramtmaWud.ni pmteneo<nuMlen.ataaa.no a . Type of Roof .. _ ---. . ..--- -•.-.. .. . _..-_.. u deli ed by lh Cupen n M clpal Cod Chapwr 9 1?u:d Ne H<Wh d Safety 1-r. -- Code _All roofs shall be inspected pnor,to,any roofing material being.installed.__ rl''.1 WJI the pplinnto.f we Wilding oc<upaf u 9uipmentod res which emit havrdo s conuMnmrs e d fated by dR Bey Art Au Qual ry hlavIf.roof Is installed without fust obtaining anins Bon Ta ieetoI�r^e-m- Dtabte t ove element_ ._ all new materials for inspection. Applicant understands and.wil] comply with v .�'.r, all•non-point source regulations; C.E ant of the gthrhu Haus mat els re u prima and 2e Chapter ti 95 of Ne t 2pomi I vndo iii d the poico ]the Wld dee of cunen0 havc`selc that mifmmccstbtllt;_hm Ytha Cehfom a Health&Safety'Cade Secuons 25505 355]7 and \, f Y Y !!a ti mmcnu loch usi W m tuarm of s tfcam of t .�t-Gv_. -SignatureofApplicant_ ... pate,-_. � e v nam q age t . ;y .,.,,, _ m.:. All roof coverings to be Class'rB"or better ...... ._OFFICE.-'"' i