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01070131 CITY OF CUPERTINO nuu.DING DIVISION PERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS: PERMIT NO. 7694 ORANGE BLOSSOM DR WINTER ROOFING INC 01070131 OWNER'S NAME: APPLICATION SUB DATE TAI HSING H AND HUA K 151 WYANDOTTE DR 07/26/2001 • PHONE: SANITARY NO. CONTROL NO. 4083638052 o r o ARCHITEC rENGINEER: BUILDING PERMIT INFO E00 BLDG ELECT PLUMB MECH Nib CJ G_1 I-Li I.J a LICENSED CONTRACTOR'S DECLARATION �5„? Job Description O z_ 1 hereby offrm Division 1 am licensed under provisions of n,Chapter Code.teiand any I ee og REROOF. F,yFw wild Scctiun7W01 of Divisinn}tithe Business andProfe.vsiens Codc and myli<cnse ¢y orteande eI — Q REMOVE WOOD/SHAKES & `c e z¢ Licen¢Clens Lic.q x°a.w a. °a” IDUC"hr TILE 1/2 OSB & LIGHTWEIGHT I r a 0 .I-i CHITECuse DECLARA u I-- 1 understand my plans shall be used as public records as wa p Licensed Professional >oLL OWNER-BUILDER DECLARATION 1 thereby of ost that 1 am exempt fwm he Cansmaor's Licence Law for rhe F?Q following reawn.(Section 7031.5.Business and Professions Code:Any airy or county. p which requires a permit to condoner,alter,improve,demnlisn,or repair any structure d 3� ,pri.,wiu iaw.mac,alsorequnis rhe.,fica pursuer perrnitwBkaaigndsummcru - - - 'hat he is licensed ptavuuaro to the provisions of the Conoorcuor's License Law(Chapter 9 $ Ft. Floor Area . - }[sluation (commencing with Sectiga 70(1)of Division 3 nfine Business and&of«cions Cods) -:) .- _9'1 L. (•. c.:'.�.'k a?i •�: $89H or that he is cicmpt mkrefmm'rind the basis for the alleged esempdoa.Any violation of Section 703 ES by arty applicant for a pemti, ,,bjeaa rhe upplic:wl m n civil penalty. d of not wore than five hundred d°Bart a5oo). 3661"YIm�b -:• :<;dr ' Occupancy Type ❑1,us owner of the property,or my employees with wages as Meir sole psmpen.wdon. will'do the work,-rand'the nmcwrc Iv nbfimended or'offered par'sale'(See.70D.- - --" - -- -- Busin,ss'andPridcs.si°ns Code:The Conrmctor's License Law does not apply to an 305 - FRAME Required Inspections,;•`t'-•k wmcr of pmpeny Who Wilds or impwvcs thereon,and who does such wnfk hlnt.sell or through his own employers,provided that such impmw vearents e not intended or 307 - INSULATION offered for'sale:'If,However.the buildinjcirlongRmvcmcw is sold w,01i7 one jcar of ---- --------ROOF-----'-'---�—'-—?---�'-"--- ----- -- --_----- - ompIr rhe,owner-Wilder wenhasetheburdenof that he did not build or 601 - TEAR OFF c lull, Proving •improve for parhhae hr.mel 602 - ROOF PLYWOOD NAIL ol:a.owner one<p(Sec.7ante.ewessadmraeemgwmres:)ThcC.olwrcrn 603 ------ROOF--.BATTENS.- 1 . . . License the hes n Isco.]roan Busier. and eny who Chdea The Chntmao n. Ii i„ v. .. .. ., , ur Lad . n°tapply man owner fp perry nnWilds cemPwvesmenton. 604 - ROOF IN-PROGRESS -and h c r crrc h-p 3c r .x m t mrd)Hcenscd Pursuant w the 0 empr nderStt .B&PCfnr mi:<rwson J'Ji3 `�isOl4 JIl O - - --WORKER 5 COMPENSATION DECLARATION i. I hemby ffitmJrpc Ity 1pel Y of maf;l owingd 1 uo ❑ 1 have d will actirrainfio Ceniticatic of Cntwnr to nell-insurc for Worker s Croinperacau.n. as pm 'ded for by Sce,ioni of the Labor Codc, for me 'perfnrntunce of rhe work for which alis perstia is issued., - _ `. 01 have and will nuinuin Wdrker's Chmperisaiiuri In umnce.0i requimd by Section oftlic'Uhno bun My WCnI f the perform n f the k f H this peon i s s pc In upon can er�a d^P ky number rc: " Cara of yNo '(ND00 J,�� CERpCa f,, i'I t•'I •itC.O . ws•2 U IFIL 10 OPEKEMPr1ONFROM�LItWORK S s. i s u V X.3 0 s COMPENSATION INSURANCE•;,'•moo•-rte s-hr. — ---_ ___ _—_..--_ _____ ___. — — _ ---_—_. . a (Thrs section need not be cmiapincd f me Permit is for ore hundred dollars irt. +'.I^i .r• 1)C'C 141 P)^` 131001rn1esx.) t Icmfythrm rhe k,;W ccfah Wpa hchm pc t d I .�_,.z.,,«. ...•. _...„.,.- . .� -`'VI -{ I7 `'Yt. sem II n t mploy any pe o dy my li wen by t t he W rksol - - C pc i n La s of Cai f fn'a.Dae :N(MCE TO APPLICANT B ftparkingrhk CertificatefL pmn you.should, 'i-s'' 1,• ' 'become subject to the Worker v Coankr sa on provd dons of the Labor Coda,you mutt' 0 O forthwith comply with wich'provision.s or this pernat shall he record!revoked. Zr .----_._.__.-._,._-__._---- ..----.----....,_..__-._.___..__ ..-..,..—.- _.__..._......._..._.__.. ___..___.__._._..-_. '� s•l' ^ r-C6NSTRUC7nON LENDING AGENCY 7Manework Ihcrehy ffimlh talo rte ib dens uF yf nhep rein 'n 'I • e � wsekf Fathm pe t .rtsu dlSec'1tl37 Cil Cl D Z 'Lad :Addrcs "I certify that I,have mad this application and state that the above information is fY acorrect;1 agree to comply,with all city and worry ordinances and swm laws o loin, � w rhea ldngcon.wieuonady fori5whourar, true fah. tyt mvrupnn � . �''3 / .'„ A. ;the aW a < i •dP ccryf inspection parry. .. _ , A. IW1greem ;!ad csfsand keeph astheC cy ay fcpen no ago nit VI ,li b i t j g cpp u c s J �cna h Y any y againw ver d U Z Cry q nfc Int yrmn fall 'r 2— APPLU! r UNDER D - W vE4MH.Y WITH ALL NONf�P01;5T• Issued by:UR Date (O y.1r"1U,Wzaod2c53 DamRe-rOOfs ZARDOUS'MATERIALS DISCLOSURE . .il'mo applicant or(worse'buldinga npanf,ete hard) h:nnlooa k ..Type of Roof_bym Cupcnn M n ICod chaptr9,l drh Halrh and Salry'(01 r i F i - ; °Ye __.All too shall be inspected.prior to.any-ioofing.material being.installed. 1 - - Worm pplcamorlumrcb Ing p err equipment devices which Ifatoo is installed'withoutfirstobtainingan'inspec[Iori''I'agr8e'to'i'emove train h d c num n nr a'deB d n5 theB y Arc A Q I'ty Sf nage t tint all ne materials for inspecti Applicant understands and will-comply with 'qr Ely.—lq 1 '"°: 1 1 ' ' �' all n hint source ie ulati ni P B h d the bosaudor,6.ncnhiv cars der Clu,n,i 695 or he aC If mlhN Int&gafay Code S t m OS 255]7 and S53J landmund ban, - _ ""il mel bulla dhcs'n 1< are nlyhm -t m malls mYtcp seer-t rifyJhe- iaaepam rfie'rcqulrcmini tP;ted me f d CpmRm of o re of Ap li g Date of n ,Date All roof coverings to be Class`B”or better` 'l .r a. r _ .. OFFICE - - -- -- ' -- �Y.T • �.. ., , . Ifr' '_ - • _ 1�-, _ ..I'r 'Int