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05090062 CITY OF CUPERTINO BUILDING DIVISION PERMIT CU,NTI2'ACTQRINO, ATT�ONr, BUILDING ADDRESS: TNT ROOFING CO pERMITND.05090062 OWNER'S NAME: PERMIT ISSUE DATE OWE 21 0 RAN .70.qP. AITR #1 09/09/2005 NE: SANITARY NO. CONTROL NO. (408) 277-0800 ARCHITEL VENGINEER: BUILDING PERMIT INFO BLDG ELECTO PLUM lMECH � o p LICENSED CONTRACTOR'S DECLARATION y� 1 Wrathy affirm mat 1 ate BamW under provisions of Chapter 9(commencing Job Description with Section 7000)ofDivision]of the Business and Profeumen Code,and my license la c 'Llf Hf... eanderre ' 2 REROOF-T/O TAR, GRAVEL/ E7 L��tl P,rR�tf ,} all Dam ComueCL yp{ ARCHITECTS DECLARATIO II I understand my plans MII be used as public ranrd, Gr z7 3u LicensedProwtownel tO OWNER-BUILDER DECLARATION SEP l 1 hereby affirm that I am a enpl from the Contramors license law for IW 02 following mason.(SecOan 7131.5,Business and Professions Code:Any city or county pp tItt which requires a permit to construct,altar,improve,demolish,or repair any structure Bt Ip t u r -A9 3 5 ,'t y prior W its issuance.also requires RM applicant for such perea l to Rlc a tisw statement < Nat he is licensed pursoant to the P.vi,lo.of the Canuacme.liec..Low(Chapter 9 Sq.Ft. Floor Area ) Va a ion Met W s tourailhharefon7fand of bans pr war al Business exemption. Any vi Gaon of — Sec io u campy themrrom and the buts it de alleged nemant in Any violation of .1 enc a than by any red doll for•permit subjects de applicant m•dull penally ser Occupancy Type not mom than Ba hundred dollen(S500I. P Y YP ❑I.a awmr of Ne pmpeny,er my nmplryees wiW w gn u thetr wle compenadon, will do thears k and ds atmetum lo nal!mended er.twous forsale(Sec.10ss,Bu,iws and Prolamin.Cade:The Conuutor's Llama Law does an,apply in an owner of Required Inspections property who Wildsa improwa thereon,endwhodoe.mch work himself or through his own employees.provided that such improvements aw,nal intended uonered fosmle.If. however.the Wilding or improvement Is mid within one year of compicoon.the owner. builder will have the burden of proving mal he did nu Wild or Improve for purpose of ale.). ❑1,as owner of the property,am euludvcly contracting with licensed contractors;to construct the project(Sec.7061,Business and Proressien Cade:)The Comranar's U. tone Taw don not apply to an owner of property who builds or improves therein,and. who contracts for such pmjeca with a contractor(s)licensed pursuant in de Contractors License Law. ❑Imeemeeptundu See .BkPCfMMis n 130100 ns Dow WORKER'S COMPENSATION DECLARATION I hereby alarm under penalty of perjury one of the following dedandon: 1 hew end will maintain a Certificate of Consent to self-lou a for WukeY.Compen. est,u provided for by Section 3700 of the labor Code,for the performance of the rk for which this permit is issued. 1 have and will maintain Wmkns Compensation Iaurana,u required by Section of ate labor Code,for the performance of the work for which this permit i,bound. y Workers Compensation Inatome carier and Poliry nmber am:rder. F�,.rn PolicyNo.: '2 CERIFlCATE OF EKFMMON FROM WORKERS' COMPENSATION INSURANCE Clha section need amt W comple ed lithe permidswrom hundred dollars(5100) or less.) I certify that In the performance of the work per which this permit Is issued,I shall not employ anypenon in my mannerm u to become subject to de Worien'Compenadon Laws of California.Dau Applicant NOTICE TO APPLICANT.If.after making this Cenifmam of Exemption,you should become subject m the Workers Compensation prevision,of the tabor Code.you muss .JO forthwith comply with such provision or this permit shall be deemed revoked. Z y(A CONSTRUCTION LENDING AGENCY w [.r !bur which that them lsaronymctinn lending agency for the performance of the work far which m4 permit is issued(See.3097.Civ.C.) 1 Q Lenders Name ] z Lenders Address !)Q I cenify that I haw read this application and sue that ted above information is correct.I ogee in comply snob all city and county ordwana,and sloe law misting in building construction,and hereby authodee reposentstivn of this city to ever upon the W above-mentioned property Ion inspection purposes gy (We)none in taw,indemnify and keep harmless de City of Cupertino against t„y liabilities judgments.costs and expense,which may In any my seems against mid City )7 in emrsequeue of the growling of this permit. �i APPLICANT UNDERSTANDS AND LL COMPLY WITH ALL NON-POINT Issued by: Date SO REGULAT'T �/� d eP�+rQ '21 � Re-roofs Signature of APPli VConitKtar m / HAZARDOUS MATERIALS DISCLOSURE Type of Roof V�atle applicant or(alum Wilding eccupwl score or handle haurdou material u defined by the Cupertino Municipal Cade.Chapter 9.I,and de Health and Safety code, 0 en)s7:(a)? All roofs shall be inspected prior to any roofing material being installed. ❑Yo, Nu Will the applicam or futon buildin{aaupem um equipment u device which If a roof is installed without first obtaining an inspection,I agree to remove .colt hazardous air contaminants u defined by the Bay Area Air Quality Management all new materials for inspection. Igoe'? r' ❑Ya yh No /J I haw read thedc,Sw6 smatariala requiremcns underCWperdweadwoeWilding •/`� � nu rel co SRIylema lSam4 thm i x.)577 sod mibN.l m nodi i th=up building G darn wt riscmly how a ane thn I my rcapanihilitym nobly the oaupant of the - m namenu witch Wmeypna aft CeniRcae ofjke Sign r fApplicant Dale caner era sale ant /L/�•' Y DataAll roof coverings to be Class"B"or better Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 �UPEkTINO Building Department JOB ADDRESS: PERMIT # /© l6 S 664 Ora o 6�- OWNER'S NAME: PHONE # GENERAL CONTRACTO AX # I am not using any subcontractors: Signature bate Please check applicable subcontracto and complete the 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 w City of Cupertino 10300 Torre Avenue CI OF Telephone: (408)777-3228 *UPEkTINO Fax: (408)777-3333 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. 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: oL �ZAIV Job Site Address: 5v15R UNG 'kVA 6 Q t Roofing Company Name: T/�T RIPPKIlV6 �© ' Applicants Signature: Date: Greg Casteel Building Official Revised 11/2/04 Printed on Recycled Paper CITY OF CUPERTINO '2- J 0:al- REROOF - REROOF _ CUPikTINO PERMIT APPLICATION FORM APN# 3 Date: C7, ®O Building Address: Owner's Name: IVAI- A?o L! C--> #: Contractor: IPhone#: 2�7— License #: I� 7 XC0Fr 6 c ©Soo $s z Contact: Phone#: Cupertino Business License#: A-4 4: 2 77—e 00 Type of Roof Covering: Existing: Proposed: X Built-Up Roof )k Built-Up roof ❑ 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. I Have Read, Understand and Will Comply With Cu ertino's Tear Off Policy: ❑ Job Description: 7,�h K jq�F 7-A ,18 G Rq�E� �3 S� Z cry Residential Commercial ❑ Fire Zone: Yes E3 No Confirmed with Planning Dept. if there are anrestrictions: E st of Project: Type of Construction: Occupancy group: S� 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