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03010097 CITY OF CUPERTINOBUILDING DIVISION PERMIT CONi'RACTOWINFORMATIOW 10 BUILDING ADDRESS: JASON QUAN PF.RMITNO. 10201 STERLING BLVD 03010097 OWNER'S NAME: 10201 STERLING BLVD APPLICATION SUB DATE JASON QUAN 01/16/2003 NE: SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH �Op LICENSED CONTRACTOR'S DECLARATION 1 herchy if,.that 1 am licensed under proetsions Of Chapter 9(commencing Job Description Glwi th Sectinn 71010)of Division 3 nMe Business and Professions Code,and my license is y Leese Classdcirca REPLACEMENT-QR M og Z License Class Lis.M z— Dau Contract., q ARCHUHICT'S DECLARATION $ I understand my plans Shall he used as public me us %O�U F a C LiccnSeJ Professional OWNER—BUILDER DECLARATION 1 hereby affirm shoe I um exempt from she Cnnvactnr's License Law for the PIn E pO Billowing reason.(Section 7031.5,Business and Pr fivaions Dido:Any city ar county e'a'�2 which requires a permit to construct,slur,improve,demolish,or repair any structure '^ prior to its issuance,also requires the applicant for such permit to rile a—s—dstaumcm that he is licensed pursuant w tbe previsions of the Contractors Li...Law(Chapter 9 Sy. Ft. Floor Area $48z0I®tion NF (commencing with Section 7000)of Division 3 of the Business and Professions Cork)or 9 fags M"exempt tbertm(roand the bass for the alleged exemption.Any violation of Section 7031.5 by any appHeant fon permit subjects the applicant o a civil penalty of Occupancy Type not more Nan five hundred dollars(SM07. ❑ I.as owner of the property,or my employees with wages as their role compensation, B05 FR A iTE will do the work,and the structure is not intended proffered for sale(Sec.7044,Business and Professions Cade:The Convector's License Law does not apply to an owner of 307 - INSULAffq@ fed Inspections property who builds or improves thereon,and who dms such work himself or through his Own employees,provided that such improvements are not intended or offered for sale.If. 601 — ROOF TEAR OFF however.the building or improvement is Sold within one year of completion,the owner. 602 — ROOF PLYWOOD NAIL builder will have the burden of proving Npurpose Chat M did not Wild or improve for puose of ale.). 603 - ROOF BATTENS ❑I,as owner of to,property,am exclusively contracting with licensed conlracwn to 604 - ROOF IN-PROGRESS conavua the project(Sec.7044,Business and Professions Code:)The Contractors Li- Came law does not apply us an owner of property who Wilds or improves IMmon,and who counts for such prejecu with acmourach,b)licensed Puts uanuo the Comfactur9 nit Law. 1 am exempt under Sec. B P C for this reason O r au RSC ATION DECLARATION IMrt mmunder penalty o(pe,jury arta of the following decimations: 1 have and will maintain a Centfuate of Consent w self-insu¢for Workers Compcm ,,Co.u provided for by Section 3700 of fee labor Code,for she performance or the work for which this permit is!aimed. ❑ I have and will maintain Worker's Compensation Insurance,m required by Section 37110 of du Labor Code,for the performance of tM work for which this amnil is issued. My Worker's Compensation Insurance carrier and Policy number are: Carrier: Policy No, CERTIFICATE OF EKEMP ION FROM WORKERS' COMPENSATION INSURANCE (This Section need nm he completed if the pe,mil is forme hundreddollars($1110) less.) I certify Ihwlrfrnmance of the work for which this permit is issued,I Shall not employ any rs any manner s1 Mc�es1h tto lW Wnrkers'Compensation Laws of11 Ice n•^ ��r ! R ppohcem E TO A Nr making Nis CerdOcaOf of Exemption,you Nnukt a. the Wnrkers Compensation provisions of the Labor Code,you..at OO 0mhwilh comply with such provisions or this permit shall bedccnedmcd revoked. z CONSTRUCTION LENDING AGENCY I hereby affirm Nat there is a cnnslroaion lending agency for the performance or ai the work for which this permit is issued(Sec.3097,Civ.C.) aQ Lender's Name z fender's Address V 0 I Certify Nal I haw read this application and SUM IMI the BWVe information Is E' correct.I agree w comply with all city and county ordinances and sus laws relating to D V Wilding construction,and Mrchy aupr lhOfM memoustives of this city to enter upon the W ahow (We) aned gree to any for inspection mnify an keep ha / LL (Wc)agree t.cast.indemnify and kith hay in a du City of nicupcnit against fp Iiaconsequenc Ofthecrauing expenseswhichmay in any way attwe against said City '`LJ V in t. APPLICAeNT UNDERrSTANDSof rhis AND WILL COMPLY WITH ALL NON-POINT Issued by: Date rairCOnLaminants GULATI S. Re-roofs HACOMT ZARDOUS MATERIALSDISCLOSURE at. Type of Roof a Ne applicant or future Wilding occupant stare or handle harUrdous material y the Cupenina Munici ode.Chapter 9.17.and Ne Health and Safety Code. xss3z(a)7 All roofs shall be inspected prior to any roofing material being installed. s 4 the applicunl nr future h mg Occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove m air cumaminants cfncJ by the Uny Arca Air Quality Management all new materials for inspection. s No Ihaver ,adtheMardous maurialars iremenu uncerCMpurb.95 of OtaCa;in ria Health&Safety Co .Scethmc75th)5,25533am175534.1undcrwndlhvifde Wilding /Z,/ 6 Q does oat currently hale a wwnt,that it is my responsibility to notify IM occupant of use requirements which must he met pri s tssuammnfa Certificate aeapanty. Signa e ofXpplicant D to 0 O orautho1; en - Dau All roof coverings to be Class°B° or better Building Division ' 10300 Tom Avenue Cupertlno,CA 950143255 Telephone: (408)777-3228 CUPEkTINO Pax (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 =d 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. nAPORTANT: 1. Flat roofs must have a minimum of V4"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: �/ O(✓ _ 1 Address: 4 a © l S1AA17 Fxoofing Company Name: Applicants Signature: Date: el /610 ?I � Joe Antonucci �^1 (Chief Building Official) 6/25101