02070204 (2)11
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CITY OF C UPERTINO
CONTRACTOR INFORMATION:
BUILDING DIVISION PERMIT
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BUIL61NO ADDRESS:
PERMIT No.
'10156.CAMBERLEY LA
FOUR SEASONS ROOFING
02070204
OWNER'S NAME:
Date
APPLICATION SUB DATE
IGRAY RICHARD -J AND'SHERYLANNi
645 HORNING ST
07/30/2002
PHONE:
SANITARY NO. CONTROL NO.
(408)278-0330.
ARCHITECTIENGINEER,
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
I thently.flum that I am licesmadmuch, providenctof Chapter 9 (commercials
Job Description
Pit
subsection 7").f Division 3 of th, Bmine.ord Epofessions CW
. Nil r d if attgod my license
is canef"yE
REROOF 'YAL Moto
a .
I , Do It., CmdI
,..Ayo.II.CT'SDECLARAT
occasional my plans shell be used as public records
JAN 9 2003
Licensed Professional
OWNER -BUILDER DECLARATION
hot I mantotumpt from the Cataract.,% License Lan, for the
rialloss;babsco,by'.1finara
g reason. (Ses,ficart 7031.5; Business and Professions Coast Any city or country
$8000
which requires a permit to construct, alter, improve, dcarolish, or repair my structure
.Poor to its issuance. alsorespubes the applicart (or such poratit no file a signed statement
thlathe I I d Contractor's License Law (Clutpoert!)
. � s, otenjo Paquin, 19 line proudsoom of the cascade,
• (emarracraIng with S iaun,'�OI(()) of Division 3 of the Business " Frlsosi I
or that he is citimpt therefrom and the basis for the alleged c�empooso. Any violation
k �ear,,
Valuation
of Section 9031.5 by any applicant for a permit subjece, the applicant to a civil penalty
�imf not ... flum five hundred dollars ($50(n.
305 APNAW*g
I". -o I Occupancy Type
[31. , ss mv;r,.fthe P.,erty, mmy employees with wages. their sale cron . 'rossoW,
-407 - TNqTTT.ATTC)M
601 - ROOF TEARef(DIsid Insliectioris-,
'will Ii work: sual the sartarture is a. boarded or offered! for .1. (S.77W,
,+ Business and Professions Code: The Corumeat License Law does not apply to an
,concrofforoproy.Whou Wii& or Improves Ramona, and who does Such WFIC Not
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602 - ROOF PLYWOOD NAIL
or through his own employees. provided that such Improvements are not intended
-offered roFtwile lChowevar. be Wilding .1 improvement is -sold Ivilhint one-year of
'completion,
63 R 0 0-'F- _B'_A_T_____
TENS
the camer-Wilcler will have the burden of proving that he did not Wild a
improve for par,prosta of We.).
604 ROOF IN -PROGRESS
a
��t:!!j 1111, 1 N71 %ilj i%"�
,eimstract'the mcdoct (Sco. 7pat Business and Professions Code) The Conant
ha bunds se int
an manner
and tabt, toomoracts far such lampoons with a commenclorho licensed pursuant to the
_------------ ...... .
Contractors License Low.
. - 1, 1.; 1 1 t i-, ' Bk 0 1 cIounin, under See:
:oh Dc "n 11),:on
Clint Data
",WORKER'S
COMPENSATION DECLARATION
11herebyaffirmunde penalty of Perjury one of the following declarationan
11 1 lbis%e miditwili'aratiolois 'Is Urnfican, of Cimaturn to scIf-imuse for Worker's
as provided far by Section 37(Kt the Lainar Code. for the
performonce of the work for which this permit is issued.
'performance ,
" -., . I I 1 11
I have'and will mdrat1ri Worker's Conturpereation bmmmnci,ac1r�quimdVI
371)(111.1"dic-Labosr I for. the psc.Irca of the ..ik for which this permit is
issued, My Wor Cc 'nom on Inctuancercarrier and It number ort/•:
Is
me, Pon, lsn:&t�2�lsl�rg Z7
Va1z:L6on
CERTIFICATION OFEXEMPTIOK FROM WORIKERsi-i,
—COMPENSATIONINSURAN&I'll,:' 'r
4V; I!."
I
I r -tion rad not t;ecmadplrbed tithe main is future hundred do][.
ii,plincv TyWC
dl�,h th. I
-i- m 1 to Me perfurrource of the . far av It at psonnout cionsued. I
- , cam y ��
shall not am loj any person so to become subject to Workers'
any riuiruder, a, the
CODikn$ifiLLA%sofCalifomia'.Dite:- "' ' I ' . ' I
_.'anum, . I I . � . 1 .1 .. .
I... _ .... ... .
NOTICE TO APPLICANT-. If, after malting this Cerfificate of Exemption. you should
tacrione untfatt to the wouloot Coriparonation providoI 6f thetabor Code You must
fdhhwidncorrfil�'witli such provisions or this Permit shall be domed terminal.
II C i"'CONSTRUCTION LENDING AGENCY
I herebyaffirm that Ron, I. a comminution lending agency for ihe konnance
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or the work for which this permit is issued (S.'3W7, Co. C.)
Laindei'i N..6'
Lerhlcr'studdressT- �
,tle
l(tenify that 1havil read this application mu"tete that ftnotirfammaim th,
alinctuncernply,with all city oxinmudy,onfirtant and lot. howsrehoun,
to building construction, and hereby mahnnoe npreacriontuse. of this city to enter upon
Ae. alwom-rounthared puriatury for instinct Purpose,
(W1)'ij.. to ave, inchiarl fy ad been harnales; Ithe City of CupundW.grorat
Ir am crestal ad cap,. which may in any way accou, against said
C, Ity.1a I.Ans ne of he gj norgofthi,parrah.
re
APp 'C N T,
SOUR -7",c
T T") T11DS AND WILL COMPLY. TH
[ON
Issued by Date
at
Re roofs
SilWApplicumUmaveto r fw Don
'6IkL6sui6I 'r
' KAZARDOU9'MATERIALS - i I
Will dicappli4anfor-futur, Wilding one uport store or handle material
"ju
T�pc.of Roof__
defined by the Cupt Municipal Code. Chapter 9.13. and the Health anal Safety
C61c'Stnetio.25532(tol 1
7
All roofs shall,b6 inspected prior.to.any�.ro'cyfing material -being installed. -.-
Will the a, Rotor, building ..,.at .0 aciniprocat a, devices which
'crothaoircrouitiuccurtanno . ..
If a roof is installed without first obtaining an-inspectidil-Ilagree'tJ remove
a ant;0itatche
Dulno? fl�rsdl by the Bay Arco Air Quality Men .. age . Won
—0yest I IT , 'I- _ _
all new materials for 1 Applicant understands and will comply it
I
'-fegulation'si,
7f�ON. ,I �:"-, "
" I . . I All �
all'tiori-point'so
lav ,feed 71
I 17and under Chapter 6.93 of IliEeldo
a' he
dal
mi. Health CL ce as 505,25533W125534.1undicamandthat
ifthelmildingdoe
re ed
g
iittup.m
a as
of the h h ult he met fa�or to issuance of a Certificate of
oe•
Occupenm/
Date
roof coverings to be Class "B" or. better
sed ,ni
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Signature of Applicant
_
Owner tau
Date
All
OFFICE
CL
Building Division
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: (408) 777-3228
F= (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 V" 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:
Address: I 0 / S
Reroofing Company Name:
Applicants Signature:
is q—Joe Antonucci
(Chief Building Official)
6125/01