The URL can be used to link to this page

05090112 (2)/ CITY OF CUPERTINO BUILDING DIVISION PERMITCONTRACTOR INFORMATION, , BUILDING ADDRESS: TNT ROOFING CO PERMIT N005090112 10227 BEA" DR OWNER'S NAME: PERMIT ISSUE DATE NICHOLAS SKSLORDILIS 210 SAN JOSE AVE . 19 09/16/2005 ONE: SANITARY NO. CONTROL NO. (408) 277-0800 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 uo0 LICENSED CONIRACmR'S DECLARATION usF 1 hereby affirm thn I am ho med umlcr provisions of Chapter 9(commencing Job Description i u`j with Section 7000)of Division 3 of NC Business and ProressionS Code,and my license is inmRmrteabassnae ee S6/1 - Z REROOF-T�O TAR GRAVELrT��BIIA�ICK WXTAR CAPSHEET °,moo Dam Contra 'Y—n 00 rAa/i 1(LIf=J/j7t ARCHITECTS DECLARATION ay a< [understand my plans shall W used as public rtcnNs 9 _;„ Licensed pmfe Seconal 02;_2005 5 OWNER-BUILDER DECLARATION 00 I hereby Mason.(nrm Nal 1 1. exempt from the Conmaetoos Liccnc Law for the (''� (I ipo followwhichin9reaisform'On](DLSuc,,a1Business atdove.dmnmh,in Any mor mttrY � �� 9t1\\ fl f/ _ 8485 3 which rt circ a t to<mm�ucl alcor,ins rove,demeluh,m repair an stmcmm �zi prior m its issuance,also squires the applicant for such permilto file a signed Statement V`yJ g�LJ f < Nal he is licensed puwmrmthe provisiomofthe ContractiriLimnmLaw(Chapter 9 Sq.F[. Floor Area U U V�hiation 1Fe (commencing with Section 700(0)of Division 3 of NC B usiness and Professions Code,)tar TIRE Nat he is exempt therefrom and the buds for the alleged exemption.Any=of section 7031.5 by cry applicant for a permit subjects On applicant to is civil penalty of not mom Nan Ove hundred doll..($500). r Occupancy Type D 1,as owner of the property,or my cmploycce with wages m their sole compensation, will do the work and tW structure is not intended or offered for safe(Sac.]Oda,Business and Pronasions Code:me Commerce,Lice.law doa not apply in an on,of Required Inspections property who builds or improves Nercon,and who doessuch work himself or through his Own employ=,provided that such improvements att not intended proffered for sale.If, however,Ne building or improvement is sold within one year of completion,the owner- builder MR have the burden of proving that he did not Wild or improve fpr i urposo of sale.). D 1.as owner of the property,am exclusively contracting with licensed contractors to consumer the project(Sec.7064.Business and Professions Cade:)The ConOacwes Li. come Caw docs not applyort an owner of property who Wilds or Improves thereon,and. who contacts for such projects with a conuzmm(a)licensed pursuant to the Conl aetoes License Law. D l am emotion under Sec. ,B&P C for this ream. Owner Data WORKERS COMPENSATION DECLARATION 1 hemby aRred under penalty of perjury one of the following declarations: I have and will maintain a Certifeam of Consent to self-insure for Workers Compcn- 703Z ion,u providW fm by Section 3700 0!the IaWr GOM.for Ne pcAormanm of the for which this permit is issued. have and will maintain Workers Compensation Insurance,u required by Section of the labor Code,for the performance ofNe work for which this permit is issued. yWorker's Compernatoon Inoartier end Polity number amrtier: S'r�iT��u/tl� PofcyN..: CAN040A 1-zov CERTIFICATE OF EXEMP ION FROM WORKERS' COMPENSATION INSURANCE (Thh ancurm bleed net W completed lithe pormlt Is intone hundred dollars($IBB) Or Ic55J I certify that in the performance of the work for which this permit is iuued,I shall not employ any person in any member for as in become subject o the Worker'Compensation Laws of California.Do. Applicant NOTICE TO APPLICANT:If.after making this CeniOcate of Exemption,you should become subject to the Worker's Compensation provisions of the Labor Code,you must .Jz forthwith comply with such provisions or this permit shallto,declared invoked. zCONSTRUCTION LENDING AGENCY ;--1 � IWmby affirm that them is a eomwctirn lending agency lm the performance of !Yi the work for which this permit is Wood(Sec.3099,Civ.C.) - U3 QCortices Name, z Loodim.Address U O 1 sonify dila I have rad this application and sum that the about information is Li. t" correct.I agree to comply with all city and county ordinances and sum laws relating m OV construction.ilding coction.and hereby authorire sphexenutiv ofthis city to now upon the r Uabove-mentioned properly for inspection purposes C. (We)agree to Save,indemnify and keep harmleu the City of Cupertino against nF'i V] liebilitiesjudgments,casts and expcnscs which may in anyway¢cone against sold City V z in consequence of the granting of this permit. ^ APPL NT UNDTIGA)e AND WI(aL COMPLY WITH ALL NON-POINT Issued by: Dale (g�6 EDD ��6G�UL�dl� g',�(o� S� Re-roofs ��- SigmmrcpfApplic UCpnBacmr - Dm HAZARDOUS MATERIALS DISCLOSURE Type of Roof 11 the applicant tar Boom building Occupantarorc or ki hacallous material u deemed y the Cupertino Municipal Code,Chapter 9.12.and the Health and Safety ole DYe525532(a)? htNp All roofs shall be inspected prior to any roofing material being installed. T If a roof is installed without first obtaining an inspection,I agree to remove Will the applicant or future Wilding Occupant use equipment or devices which g nil havardno,air cot inane u defined by the Bay Arta Air Quality Management all new materials for inspection. Disuict7 ��tf Dyes BNO I have reef he lwardousmabdal5 requirements under Chapter 6.95 of Nlifm- e,Cx meHcolN&SaretyCode,Secmns 255(15,25533 and25534.1 understand that if Ne,Wilding Jose oat currtnty hoc a mnanL Nm it u rc5povi hility to notify tar comfort of We mems whknam met pdorwi ora Certificate of Deco er' ignatureof/Applicant Dat ownm cora ho".cJ egem am � All 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 �UPEf�TINO Building De artment JOB ADDRESS: PERMIT # /P -227 9� _R AVV Di—. S—U `L OWNER'S NAME: /G p PHONE # GENERAL CONTRACTOR: Q FAX # I am not using any subcontractors: ignature Dlate Please check applicable subcontractors 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 ®R Community Development Department Building Division City of Cupertino 10300 Torre Avenue CITY OF Telephone: (408) 777-3228 U P E IST I N® 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: / Y rIA ox ,-, 5, Job Site Address: _ 1/�2 2 'F/+X/,>D/v Roofing Company Name: h 00 C ie 0 Applicant's Signature: Date: ©f Greg Casteel Building Official Revised 11/2/04 Printed on Recycled Paper CITY OF CUPERTINO am REROOF v S� /12- CITY OF CUPERTINO PERMIT APPLICATION FORM APN# 2 �, 3 2 Z� Dater �� S Building Address: D 2 21 Bf R eW Owner's Name: Phone#: Contractor: / Phone#: License #: 'T fi / ,ter l0 2 7>- Co tact: Phone #: Cupertino Business License #: goo GreeN sf! tf97-33?7 Type of Roof Covering: Existing: Proposed: f� Built-Up Roof V 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: 0- Job Description: / n Residential Commercial ❑ _ Fire Zone: Yes ❑ No ® Confirmed with Planning Det. if there are any restrictions: LJ Cost of Project: Type of Construction: Occupancy group: S,e 0 Rte.- Rvo 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 i.- 3 zq