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05090106
CITY OF CUPERTINO BUILDING DIVISION PERMIT TRACTORIw•eNIORMA.TIQN ., BUILDING ADDRESS: SUNSET ROOFING PERMITNO05090106 121577 ROSARIO AV OWNERS NAME: PERMIT ISSUE DAM GEORGETTE MAYDER 1346 THE ALAMEDA, #316 09/15/2005 ONE: SANITARY NO. CONTROL NO. (800) 513-2575 ARCHITECTIENGINSER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTORS DECLARATION I hereby affirm that I am liccasul under provisions of Cloquet 9(commencing Job Description with Section lOW)ofDM&Ion3offtBusinmugP.roff I�oris Code d.,liommati.in full to=and CAULmeg 2 REROOF--TSO SHAKES, , INSTALL COMP. r�. Da HrricrS DECLA*%TIONI umanomfide y plams.lial be used As public aaxwds ,8r Licensed Professional tttllt I hereby AM.Nal DECLARATION that I am exempt from the Contractor.UcA.AA Law for the OCT 1 2005 ZOO following reason.(Section 703 1.5,Business and Pracressions Code:Any city at county which ne,,im a permit in cnessmak after,narrow.dcowlim,or mpair my sumclum $,759-01. poor to its issuance.also requires tlx Applicant for such permit to rile a signed Assonant Nu he is licensed Panamint in the provision nr the C.maimu,"A U...Law(Chapter 9 Sq.Ft.Floor Area 16 (commencing with Section 7")of Division 3 of the Business and Prolicanom Code)or ,at M is exempt themhoom and the basis for the Alleged exemption.Any violation of BUILVAMN Section 7031.5 by any applicant fear.permit subjece,am Applicant M a civil penalty of 3;S?4NYAhb-rUU Occupancy Type A.,a.than fin b..d.d doll.($50B. CI I.nowncrofflas property,ormyemployces with wit,mas metrsolecompenuflon. will da the work.and thestructum 6 not intended or offered for sale(Sec.70",Business d pod adons Code: rmaim Com's License law does,an,apply W an owner of Required Inspections An proponywha,Wilda orimporamu duarcurn,andwini doessuch marichumelfar through his man employees,provided Nal such improvements Am notimended croffenal formic.It. however,the Wilding or hapronanna I.old within am year ofcomplellon,the owner. builder will have do burden of proving,that Ise did not Wild w improve far purpose of sale]. 0 1,ax want of ft propAny,am exclusively contracting with licensed contractors W construct the project Sec,70".Business and Frafiesslans Codi 77e Conteumes Li. cense Law it=not apply an an now of property who Wilds or Improve,damson.and, who contracts for such projecit,with a contrace"I licensed incomes in the Contractors License LAW. 0 famesempitunderSec. ,11,11iCliormismoson Owner Date WORKERS COMPENSATION DECLARATION I hereby Anne,under penalty of perjury am of the following declarations: I have And will mountain a Certificate, fCcusent in self-finuum for Waftes Compen- sma.,As,provided far by Sqd..3700 of me Labor Code.for the ficufarm.of dic wodt for which this ponalt is issued. [3 1 how and will maintain Warlan'sCompamadon lostaranct,asnaluired by Sc A 130700of��rCade,forftpe�m�offt�hforwhichibisMmitisI A. My Worker Unit manearm,�affmiu and Policy numlim are: A'S CA 'a 0,EKSM 0 Polity _' E nter. �11 •OF EXEM ONFROM WTKEIT I;q COMPENSATION INSURANCE mrissoctlart need notal completed if Ile permit is foranchundred dollarat(SIM) or less.) I unity that in the Performance of the work for which this picardt is issued,)shall not employ any pcomen in my mamr an As W became subject to We Workers'Compenssuton Law,of California.Date Applicant NOTICE TO APPLICANT:It,afar rmldnj this Ccdiflclw or Exemption,you should become subject in thad Weaker's Compensation pravisiono of ft Labor Code.you am Z forthwith comply with Such provisions"this Permit shall tic domed macked. 0 CONSTRUCTION LENDING AGENCY 1 lumby.1firm thus,ft.Us commuctinn lending.mbacy lot ft performance of > the work for which this permit is issued(Sm.3097.Civ.C.) Lernmex Namc z Lenders Address U 0 1 cardify,that I have mad this Application And sum,thin the Above irfoommma is earned.I at=to comply with At city and county ordinances and sum[am relating W building construction,and hereby Autumn,mphounnatives of this city in cnw upon the .1hon-anninamed property far inspection purposes. fy (WA)alime to save,Indemnify and limp harmless be City of Cupertino against U I.crAcquience of the guesting of this permit. ,,n liabilidesjudgmems.eau And expecte,which may in my my seems:agaim Add City APPLICANT UNDERSTAN OMPLY WITH ALL NON-P/11NT Issued by: Date SOUR QVIGRIVATIO Re-roofs 4Q&z; t1f IssiumlyfiaCpPliclNuccomein mir I [? HAZARCHORIWATERIALS DISCLOSUR� Type of Roof Will the applicant or future building occupant store or handle haaardous material as defincil by ft Caperton Municipal Code.Chapter 9.12,and the Hm]ub and Safety odi:,Section 25532(.)? C]yas 2SS32(-)' 0 No All roofs shall be inspected prior to any roofing material being installed. So ft ppla"Ad m fir on An c--[..nl Ad to C has An cLY it 11. Code. Will the applicant or rutoo,building occupant use equipment or devices which If a roof is installed without first obtaini n inspection,I agree to remQyc 'It - it haeudous air coomminards As defined by ft Bay Am Air Quality Mln&,CmCOI all new materials for inspection. strict? 0 ye, C]N. I have mad ft humandota mathatalsmruntancrus undcrChpAx6.95 arm,Cattle, mAHc;dlm&SAlALYC0dC.SCcd 25505 25533 land duadde build. As dy an A am ' - and of a. does no,currently haw a booms,that It is my map. 111;yWw"Ary,ft occupant L enu,which mum be met miortaAaFZC ,Contric.it,of Pmcy, I Date 4L ignature_cTA_T*m*- .a, All coverings to be Class "B"or better 4 roff � Community Development 10300 Torre Avenue I Cupertino CA 95014 Telephone(408)777-3228 CITY 0, Fax(408)777-3333 �UPEkTINO Building Department JOB ADDRESS: PERMIT# OWNER'S NAME: p PHONE 2 3 —© GENERAL CONTRACTOR: FjSX# I am not using any subcontractors:--- 1-7 Si ate Please check applicable subcontractors and com le a following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting . Linoleum/ Wood Glass/ Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile . Owner/Contractor Signature Date Community Development Department Building Division City of Cupertino 10300 Torre Avenue CITY l n OF Telephone: (408)777-3228 Fax: (408)777-3333 UPEI�TINO 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. 7. NOTE: If you call for a plywood nail inspection and the job is not ready, you will be charged a re-inspection fee of$176.18. The re-inspection fee must be paid before another inspection can be scheduled. IMPORTANT: 1. Flat roofs must have a minimum of 1/4 " per foot slope and demonstrate that there is no ponding. 21. 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.( Homeowners Name: ©/, V' e, o/ Job Site Address: EQ A Roofing Company Name: ? Applicant's Signature: Date: Greg Casteel Building Official Revised 11/2/04 Printed on Recycled Paper �-- CITY OF CUPERTINO b a 1 v ks REROOF CU PEI�TINO PERMIT APPLICATION FORM APN# � � Q 0 2�r Datefp�` Buildin Address: / 7 7 fJ Del qz> C O'Tner's Name: Phone#: o� �° QI 73 ^©(S 3 Contract r Pho #:- License#: Contact: Phone#• Cupertino l3usifiess License #: Type of Roof Covering: Existing: Proposed: ❑ Built-Up RoofBuilt-Up roof C3 Asphalt Shingles ❑ Asphalt Shingles Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other(Specify) ❑ Other(Specify) Number of existing coverings ❑ Provide I.C.B.O.Report# To be Removed ❑ Provide Mfgr. Installation Specs. All I Have Read, Understand and Will Comply With Cu ertino's Tear Off Policy: Job Description: Residential— Commercial _❑ , Fire Zone: Yes ❑ No Confirmed with Planning Det. if there are anrestrictions: IJ Cost of Project: (!5--> T e of Co truction: Occupancy group: Qty. if Applicable Fee ID Fee Description Fee Group BPERMFEE Bldg Permit Fees BUILDING BENERGY Energy BUILDING BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM Seismic Commercial BUILDING BPLANCHK Plan Check Fee BUILDING BUSLIC Business License BUILDING