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01060047 (2) 'CITY OF CUPERTINO - BUILDING DIVISION PERMIT - CONTRACTOR INFORMATION:.. BUILDING ADDRESS: - PERMIT NO. 10186 CAMBERLEY LA FOUR SEASONS ROOFING 01060047 OWNER'S NAME: APPLICATION SUB DATE E ANZA OAKS H.O.A. 06/08/2001 PHONE: SANITARY NO. CONTROL NO. G ZQ ARCHITECITENGINEER: BUILDING PERMIT INFO �r BLDG ELECT PLUMB MECH C7 C Z 17 Z LICENSED CONTRACTOR'S DECLARATION Job Description O Z'4 o I hemby affrtn Sha I am licensed under provisions of CM1apmr 9(commencing F4FiJi with Section 7000)of Division 3 of the Business and Profession Code,�upmy license he f t is in full force mri t eg z O 'S "m a ueense las LIe.N REROOF. 3 a U ,Dam �, `5�- �— Gnmwcmr FLLOm ARCHITECT'SDECLARATION T/OFF CEMWOOD & <j 1 understand my plans shall he used as public records ce�> INSTALL 1/211 ' CDX & de-O.O Licensed Pmtop,roul of OWNER-BUILDER DECLARATION I hereby affirm that I din exempt from the Contractor's License Law for the " F Z a following reason.(Section 7031.5,Business and Professions Code:Any city or county .. . ec o which q p rmv to construct aIle,,improve,demolish, p y structure en cc p t ls'ssi onec,9sn reg,....the ,pi,rnfors:ch per -uo fleosft,d,nor nt _ - ... _.._..... ...o.._,......_._.. �3 min 1.. Ip II "m' 1' Ist rn Coo 1 r - L (Chit1 .9 S ht Flow Alfa Valuation l mncingwthSo n7,")of Division 3 ofthe Busln�s ndPofessionCode) 7 ,r 9' S 1s or that he is exempt therefrom and the basis for the alleged ekemption.Any violation of Section 7031.5 by any applicant fora pemrit,ob io is the applicam to a civil penalty of a.,more than five hundred dollars($500). APN Number ': $gffdyancy Type ID Los owner of the property,or my employees with wages as their sole compensation; will do the work;and the stme um is not intended or offered for sale(Sec:7144; Required Ins ectlODS" Business and Professions Code:The Contram Contractor's License Law does not apply an 34242 019 . 0 0 e q P� owner of properly Who builds or improves thereon,and who does such work himself or gh h employees.provided Oat such improvementst i d d eri .off df Ie If,however,the building orimprovempret is sold th. oae year of completion,'Neon b Id ll havethebude he dad a.,bmild an 305 - FRAME i mp o c for p ry f I ) A 3.07. - INSULATION- "DIa Der ofth p pay n continuer th project(S 7044 Business _ ly d Professions f t g Cask:) ad )Tdh Contractor's on tr on vrr'' . - - - . - TEAR OFF ROOF Liceme Law does not apply to an f property h builds � nA emarai suchP Jet. th r t 4s)t .ed p am _ Convince,License L -602 . -ROOF_ PLYWOOD " NAI{ L Glm s B&Perm603 - ROOF BATTENS(,,- Dome, 604 - ROOF IN-PROGRESS - WORKER'S COMPENSATION DECLARATION , I hereby affirm under penalty of p 1 Y o e 0fabe.f(lowing dedare inm:- D 1 have and will'mainiain a'Certificxn,or Censer(to self-insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the _. _. porfan none of the work for which this permit is Issued.. D 1 have mid will maintain Worker's Compensation insura s regaimd by Section :37W of the Labor Crode,for the performance of the work for which his penont is - - i ❑ My W,,kers l p ion Ira' a and Policy b ._.._.. ......., 14wer,c..N �4,' CZy7 7.y3 . C tt P Ivy IONF f CERTIFICATION OF EXLCH IN FROM WORKERS - i'\ • h' u+• - S.�1_... ..1„a s1. f 'COMPENSATION INSURANCE ...._.... _ _ (This saetlan need not Iw co iiplemd f the perms is Por one hundred dollars " ' `" ''' - . : 181 W 1 or Icss.) 1 pertthat competition,of the ink for hPermit r s shall not employ any parson in anmater so as m became sub3ec[m the Workers Compensation Laws of California Dine ' Applicant NOTICETbOthis Certificate of Exemption,youshould becomesujme". he Work,,,Cmm,vm.loupiriolthe Latour Code you most forthwith manly witl h p my thispermit hall Ee deemed mocked. I CONSTRUCTION LENDING AGENCY � ; 1 hereby Ginn th t 1h tot ! n lend'ng'age y fo the perfu r 1. „ n.i .of the wo k forwhich th permius isw d(S 3(197 Civ C 1, d- ❑ -Led Name ... ._.._. .. .:.p, -_. ::.. ._.... ... ._. ... . ........... _ � ,.. -.._ ._._.._. __..__..- .....___._ .... Inl I , V'C) I certify that l have it rh. ppl t d. es b - f a Iran' " c t I g tog, ply iall city tl mratan y d' ons d I 1 s ting : 0 (, t b Id g construction, dhe by cimhereprcsenwty soFth send toes upon �y 700 th b(We'amm�ed propend prifype t n p hainflp. �.Qy (Welg m rilend'fyar,,keph may is way fCupertino against aid Iz I of, 3 dg sins t and pens which m ty in any y - ago t said UZ city y •ne .. (' . :APPLI NTU STAB N�fWILLCOAIPLY VJrr�ALI,�IGN-PIxf Issued by: Date SOU ATIONS !y }f'-CJ �Signpmmof plicantlComracwr Date Re-roofs - HAZARDOUS MATERIALS DIS PP P m st CLOSURE - adelledb the Ci nrno,Municr a1C d Cha ter�o h nJic ialth a "af:d _'�rpe Of ROOF -• - . . - .. ... Wall then Iain aft reh ld dSfry Y P P p 9I dth H hh ,5� .. , code,se fn 25532t ) All roofs shat D yes n + I If a roof is installed without first o Il be.lnspected.pnor_to any.roofing matenaLbemg installed------ Will --_- _ W d.. t,sm t f t,A Id p t eeyupmem in which btalnln9 an ihspectlOn}I agree.t0 remove emit h d s a'r c tam pants as defin<J h the B Are A Il40 Man em D n t all'new materials fo spection._Applicant,understands_and will comply with,. Y Y Y gm all non-point sou regula[lons . I bal read he lno.m5 mate], ret,milem,under Chalice;693 or the Califorpar,Headift&Safe C d 5cium,25505 25533 and 25534 1'understand that -ifb Idrng dce:'n c ntlyh eat i thorn sin) p rb'btym r Ocoupon cup t f t m must be, po t or to ace of_a Certificate of p Signature of Applicant Date owner nr Dain ,neat gent oto All roof coverings to be Class `B" or better . . . ..... ... .._.OFFICE.. _ ....___.. . . . .-. ..