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03030140 CITY OF CUPERTINOa+ t•n�n§'"cf'a':SSn.-r"' " BUILDING DIVISION PERMIT !�C©NTRAC°pTOR INFOR ATIQ *, n serw5f 0u11"DINOADDRESS: ROOF GUARDROOFING CO PERMITNO. - OWNER'S NAME: -40 740 W .SAN CARLOS NE: SANITARY OL NO. (408) 293-9519 ARCHITECT/ENGINEER: BUILDING PERMITINFO BLDG ELECT PLUMB MECH u0 p LICENSED CONTRACTOR'S DECLARATION hcrehy effnm that 1 em licensed under provisions of Chapter 9(commencing Job DCSClIpt100 MIwill Section 700(1)of Division 3 of the Bud ' nd Professions Code.end my license is ap Z 1.full tau "`<- sic..s REROOF ��NA LE ' CoS nl r - ARCHfiF.Cl' D TION D gtaf� q '] I undcnd mnay plashall homed u c records APR .O u 2003 7 c Licensed Prof..mal - OW NERmDECLARATION do RATIO BUILDER DECLARN BUILDING ^y 1 bunchy affnm that I exempt from Contractors License Law for the `o O following mason.(Suction 7(815,Business and Pr.faadons Code:Any city or county which gqulres a Pamir to construct,slot.Improve.demolish.or repair my structure prior to its Inmate.Also requires the applicant for such permit no file edgned statement �Q themhe1,Burned pursuant to the pmvlsions of the Caatgat.r's Lmamc Loa pChmwT 9 Sq. Ft.Floor Area IV ion (commencing with Section 7")of Division 3 of the Business and Professions Code)or Nat he Is exempt Montrone and the bub far the alleged exemption.Any vloledon of Section 7031.5 by Any applicant for a permit subjects the applicant in a civil penalty of ,,�A yy�r..t7,�7,.,, {.,. Occupancy •7 P not more dun five hundred dollars(5500). 3 8'O'J C V'TTY 0 0 e ❑I,aowna of the progeny,or my employee with wagesu Heir cele ampenudon, will do thcwurk,end the structure is not intended oranered formic(Sec.7044.Business 305 — FRAME and Profusion,Cade:The Conuerure,License Law does not apply to in owner of Required Inspections , propenywho build,or improves thereon and who dmuuchwmkhimselfor through his , 307 - INSULATION ' own employees.provided that such improvements are notmtended oroaered for sale.If, 601 — ROOF TEAR OFF however.the building or improvement b said within one year of wmpledow on,Ne ner. builderwill haw to burdm of proving that he did not bund or Improve for purpose of 602 — ROOF PLYWOOD NAIL tile.). ❑1.as owner of the progeny,am exclusively contacting with licensed commuting to 603 ROOF BATTENS' construct the project(Sao.70".Business and Profession Code:)The Convector's U. 604 ROOF IN-PROGRESS cense Law does not apply o an owner of property who builds ar Improvm thereon.and, who contracts for such projects with a contracmr(s)licensed punumt1.the Convenor's - License La- 1 Am exempt under Ses. .B&P C for this naso. Owner - Data ., WORKER'S COMPENSATION DECLARATION, , _ I hereby trim under Penalty of perjury we of Ne following declarations: haw and will maintain a CeNOate ofConsenl to sel6Luuse for Worker's Compen. - ton, As provided for by Sado.3700 of the Labor Code,for the pedarmana of Ne work for which this Parrott is nowd. ' ❑1 ban and will maintain Worker's Compensation Insurance,as required by Secdnn 37WofthelJbeCodo.for the pe dormers 'ofthe work(.'which this remit is Issued. - WorkersCamr, don lmmZcc ca b,romd Poliryn cr, II 'der. w✓! PoIIL CERTIFICATE OF FX P110N PRD OR RS COMPENSATION INSURANCE - O his section need not be completed if the permit Is far one hundred dollars(SIM) - nr tat) 1 certify that In the performance of the work for which this permit is issued,I shall not • - - employ any patten In any manerm as u become subjxt to the Workers Compensnlon Laws of Celifareie.Dag Applicant NOTICE TO APPLICANT.If,after making this Certificate of Exemption,you ghoul; become subject to the Warkerl Compensation provisions of the Labor Code,you mud �O forthwith comply with such pmvishow or this Permit mall be deemed revoked. Z CONSTRUCTION LENDING AGENCY [-. l hereby aabm Net them is a coalroNon lending agency forthe performance of LL' the work for which this Permit Is issued(Sec.3097.Civ.C.) Q Lenders Name z Lender's Addmu t.1 Q 1 mnlfy that 1 have read this application and sore Na the above Information is 14!' conal,l gnx to comply with all City and county ordinances and amu laws mining to O rV' building construction.and hereby authorize ropruemnlws of this city to color upon Ne Ii7 shove-mentioned property for imprudent rutposeL G (We)agree to sew,indemnify and keep harmless the City of Cupertino against o-y cn liabilities,judgments,casts and expense which may In any way accrue against said City C)7 In consequence of the granting of this Permit. - F7 APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date ' YW2� OU CE ULATIONS. 0 Re-roofs goer rc of pplice `lor OUS MATERIALS DISCLOSURE 'Dao HAZARDType of Roof Will the applicant or future building occupant norc ser hendlc haraNum melodd As defined by the Cupenin.Municipal Code,Chapter 9.17,and the Heinle and Safety Code,Section 7ss37(.)7 ❑Yes p�J/,I All roofs shall be inspected prior to any roofing material being installed. - Will the applicant or ff((future building occupant use equipment at devices which If a roof is installed without first obtaining an inspection,I agree to remove II haatdnus Air contendis Jcfin d by the Bay Area Air Quality Management all new materials for inspection. wict7 ❑Yes No I hew rod the haiNous maorials,equimmenuunderGNpor GYS of the Glifnry \ nb Health&SdetyCodc,Sredom 75505.25533 and 75534.1 un�Nn ifdn building \7i ,Q does not eurrendy ham a renm4 Net it b my responsi ffily in nota do we pmt ref Jo uirema whichmunMmelpnono'smax.facrofuoaf Os up y. $IgnatU sof ppllca0t ate z OwuthonrnJ rat Dam All roof coverings to be Class "B" or better Community Development Department Building Division City of Cupertino 10300 Torre Avenue CITY OF Telephone: (408)777-3228 C U P E kT 1# ' Fax: (408)777-3333 O Building, Department Subject: Re-roofing policy for the City of Cupertino 1. Prior to permit issuance,you must agree to comply with 1997 UBC Standards and'manufacturers specifications on re-roofing. 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 re-roofing 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) Pre-inspection 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 a proper City inspection can be performed. IMPORTANT: 1. Flat roofs must have a minimum of Y4"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 on inspection. I understand and will comply with the above stated policy on re-roofing. Homeowner's Name: Job Site Address: 1014O2 V A-dL Ct" 4V - Roofing Company Name: A plicanYs Signature: Date: Greg eel Building Official Revised 1/30/03 , Prinrod nn GnrvNad oa.,e.