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CONTRACTOR INFORMATION:
C DIIVISIONNO
BUILDING
BUILDING ADDRESS:
PERMIT NO,
7403 STANFORD PT,
JNSJ ROOFING INC
02060138
OWNER'S NAME:
APPLICATION SUB DATE
GREENLY KENNETH J AND PATTI J
299 D BASSETT ST
06/21/2002
PHONE:
SANITARY NO. CONTROL NO.
4082796171
ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
O
BLDG ELECT PLUMB MEC11
i LICENSED CONTRACTOR'S DECLARATION
Job Description
hereby affirm Har I um licenses] intuit provisions of Chapter 9 (commencing
w with Seaon7 fjrryheB,sra Prose. n.Ccdz.mdtry luar,K
is.full`(nrfs
Lieens Lie"
Como
REROOF
SHAKE TO COMP.
H CNITECT'S DECr A
S1 ns]ersn tJ my plans shall be used ax puhbc rccrNs
'
OLicensed Professional
LL OWNER -BUILDER DECLARATION
I hereby mmar that I am exempt from the Conuanoi s License Law for the
< following reason. (Section 7071.5. Business and Professions Code: Any city or county
O which requires a permit to construct, alter, impm.e, demolish, or repair any souaure.
.. prior to us issuance, also myubes the applicant for such permit to file a signed sutera m.
� •4 "�;�'[ .y, Sq. Ft Floor -Areal, ? ,. •'tt ..k,�,
i luation
— thathglgRcensedpar5°ant to thepromvmsofthe C°ntme e, License Lao, (Chapter 9
rynb Secumi,70BB) Division 3 the Business Professions Crile)
(commencing of of and
or that he R exempt therefrom'and the basis for the allCgd eximpiinn. Any violation
or
_i Ya LN
es:�i0.� P I.')p,. i .'r {' a -,.,
i
of Section 7031;5 by any applicant for a Fermi t c.bleetc rhe... Inarn acivil penalty
Occupancy Type.
: or not more than fire hundred dollars WW).
C 1, as owner of the pmpeny.,n my employees with wages as their sale compensation,
'
--305 -
Inspections'-
will do the work. aid the 9mrture is nm intended or offered for sale (Sce. 7911,'
Profcs.%ions Code: The Contractor's License law does to
,Business and and not apply an
307 – INSULATI(�uired
owner of Property Who builds or improves thereon, and who Jens such work himself
„through his own employees .pro.idedthat such improvements are not intended or.
_6O1 -_. ROOF_TEAR_.OFF..' - ---- ---- ---- "--
'offered 'ka--sale. IC however, the Wilding or improvemcm is soldwithin one year of
completion. the owner -builder will have the burden of proving that he did not build or
602 - ROOF PLYWOOD NAIL'
improve for purpose of ale.).
-- . . .
---603..-_ ROOF BATTENS...._.
Chas owner oftheproperty. d contractors
wiNlice:)heContractor',
604 – ROOF IN–PROGRESSconstruct
(See.7amc usinessadProressong
The tmcro
the project (Sec. 7Bla, Business and ontm
,
- ery who Wilds o) va Herron,
Law Docs not apply m an owner of progeny who builds n,
seimpm mi
hadLicensewh for. such. .prolens.widt a.conuanorls7 licensed Pursumn.tn the.
and vector's
_. _. .. _.... ... __ ... -.
kens
tar's License law.
Cl
-
•"Il
❑Iamacmptunder Sec. .B &PCfar this reason
I ..
- Owner Dam
WORKER'S COMPENSATION DECLARATION
1 hereby affi on under penalty of perjury one of the following declarations:
' ❑ 1 hove °ns] will muinmin a Ceniticho, of Conant to self -insure for Worker's
If +�
Compenalum, as provided for by Section 37W of the Labor Code, for Ne
JU e%
4
S r,00
performance of Ne work for which this Permit is Noted.
L
' C I have and will maintain Woke Compensation Insurance s required by Section
97W of the L bor Code, for the perrorm f thework forwhich this permit is
- I ... ed My W keesC do t I sit - �Pr
tne4.-(l 7 -
OF�
CERTIFICATION EXEMPTION FROM WOkKERS
SUS T1 W6OMPLN ATI N INSURANCE
, -
- t(Thrs secuon tied nJlbe. cmtl d the acs tits is f r one hundred dollars
r -
ISIBBIorless.)
cunm of he work far which thie'permis is issues]. 1
1 certify that in the prhma
"all nut employ any person in any manner so as to become subject to he Workers'
Compensation lawn of California. Date -
-Applicant ..
-. _. ._.. _. ... __.. _...._ .._...__.-.- _..._ _. ___• .,.._ _. .....
NOTICETOAPI'LICANT:If,oliennaking Nh Cmificmc of Exemptyou-should
become xubjecl to the Worker's Compensation provision.%of the Labor Code, you must
foonwirh comply with such p snymons or this permit shall be decried revoked.
v " ' CONSTRUCTION LENDING AGENCY'' '
1 hereby affimr that there is a nmsouction lending agency for the performance
'
or the work for which this permit Is Issued (Ste. 7097. Civ. C.)
] 'nder'i Nano _. .. ..:..._ .. .... .._.. _
Lcnba'.c Address
p I citify that I hate read this epdiattim and state goodie above information is
correct. I agree to comply with all city and county urdaunces and state laws relating
j ro building convection, and hereby authorize representative% of this to enter upon
the above-namioned property for i nspection purpose..
y (a) ii,rae m demo fy sad keep h stela, the City f Cupertino a rust
hid
AA liabilities.) dgment a sz J . pens which may in any - y oat
L Cy -in ny.q h granting ni to .,
APC �T L:Ii� tAV(153ND L'co CO3IPL I Lit �v' In�
[sued by: r` Dat
Re -roofs .
�- s t t Apphra tfc t ter air ..
HAZAR OUS MATERIALS UISCLO URE
- W'll thePPI¢ t future Milting a uP t.t tic° ndl hath lmm tori I.
_ .Type Of Roof.. ..- _. ... _ ..� .. -.. -, . _ ,, ... -. _........
dsf mtl by �h Cuperi t Municipal Cd Chapter9.1 d theHealth and Safety
Cd -S
t
,. '.,+"A�/r.
ton 2553?lT-sl�/ tx1`e
t7Y.. T. s f
tYyi l?' ,Q"'7'.
roofs shall be' inspected prtor to any roofing,material.being installed.
/rN
- will thauppl� t ,rrnlurc.bmlargoccupant usecomponent.1device,wnch
_All
If a roof is installed 'thous first obtaining an inspeion, 11 agree t I remove
emit hazardous air contaminants as dclind by the 3, Arrngir Quality Management
Di%trier -
all new m rials f i pection. A licant. uncle t ods and will amp with
�YO6 - N0 " '
all"non- t sour r ulations.
1 have read the hazardous materials requirements under Chaprcr 695 of the
California Health& Su fey Cu de. Se on,c 25505, 15577 and 25134 an 4rstand that
' Udine building, esm1amantly h, a mote. that it is respoP i mnotify e
roeupam ort requlrcmrms whi nus be ton psi° Issuance f ('<niftva u
_ _
°rupanc �x
S_i n Lure plicant Date
er r t tie it .,an /J
_ _ _ _
All r f coverings to be Class "B" or better' -
OFFICE
i
�CITY OF
CUPEkTINO
0
r]
Building Division
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: (408) 777-3228
Fax: (408) 777-3333
Building Department
Subject: Reroofing policy for the City of Cupertino.
1. Prior to permit issuance, you must agree to comply with 1997 UBC Standards
and manufactures specifications on reroofing.
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 reroofing 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) Preinspection 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 that the
proper City inspection can be performed.
IMPORTANT:
1. Flat roofs must have a minimum of 1/a" 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 of inspection.
We understand the above policy on reroofing and will comply with this policy.
Homeowners Name / /' t� n
Addrvs:
Reroofing Company
'05 c ST�l tveA P1)9 -r0 -c
Applicants Signature:
J�
,,akzr
Joe Antonucci
(Chief Building Official)
6/25/01