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03060009 (2) CITY OF CUPERTINO �'"' e ° M� BUILDING DIVISION PERMIT CONTRACTORINF" ATION F ID'.� BUILDING ADDRESS: FOUR SEASONS ROOFING PE1MIT1g003060009 10162 FIRWOOD DR OWNER'S NAME: 645 HORNING ST PERhBT IssHBDgTE,2/2003 E ANZA OAKS HOA b )NE: (408) 278-0330 SANITARY NO. CONTROL NO. ARCH=/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH ITIS "w O 1 hereby grim LICENSED `Ilii¢ensedd unndder o DECLARATION Chapter 9(commencing I Job Deseripti(F-0 -Ale L E IU with Section 7")of Division 3 of ths Business and Professions Cox.and my Imam,is ^gid in full fora and effect REROOF �n ort, �' co , JUL 0 3 2003 lI tf' ARCNfTECI'S DECLARATION Or d� I undersand my plana slWl be used u Public¢cords ;;„ LicensedPmfessionel BUILDING OWNER-BUILDER DECLARATION i P I Wrthy alrnn that I am exempt from the Contractor's Lt¢nm law for the a a O following recon.(Second 703 1.5,Business and Pmfusium Code:Any city or county _ which requires a pmmit to coewcL alms Improve.demolish,or rtpah any structure prior in is issuance.also require the applicant for such Permit to 0l aasigneduarmumt iso that lan is licensed pursuant to the noviscom of the Contractor's Ljmw Law Chapter 9 Sq. Ft.Floor Area $4Wb1®tion >: R (commencing with Section 70M)of Division 3 of the Business and Professions Code)or `y that he u exempt 0crefmm and the hair for the alleged courptior.My violation of Schon 7031.5 by arty applicant for n permit subjects the,applicant to a civil penalty of 3 440&54i not mace than five hundred dollars(nook Gro 0 Occupancy Type ❑I,as owner of the property,or my employees with wage;as their sols compensatioan. will do the work and theawcture is net intended or offered for sae(Ses.7014,Business 205 — add Professions, x:coThe Contractor's Licame law does not apply to an owner of 307 — INS ULA 1 11./1Vny.,H,j{1,je d Inspections property who builds or improves thereon,end who dos such work himself or through his own employ=,provided thatsuch improvements are not intended oroffeded portals,If, 601 — ROOF TEAR OFF however,the building or improvement is sold within on year of completion.the owner. Wilder will oto WNcn of proving that did not Wild orimprove for puryose of 602 - ROOF PLYWOOD NAIL .In 1. 603 - ROOF BATTENS ❑1,as owner of the pmpcny,am exduivdy contracting with licensed antrutors to construct the project(Sec.7044,Business and Profusions Code:)The Contractor's Li. 604 — ROOF IN—PROGRESS moue law does not apply to an owner of property who Wilds or improv thereon,and, who conmem for such projects with a cottonwoods)licensed pursuant to the Contractor's License Law. ❑lamuemptunxrsm. ,BkPCf.dhmmuon Owner Dam WORKER'S COMPENSATION DECLARATION I hereby affirm unxr penalty of perjury one of the following leclarations: 1 have and will mainaid a Certificate afCm som to self-insurt fa Worker's Cumpen- sstion,in provided for by Section 37W of the Iabm Code,for the performance of the work for which this permit is issued. - 1 have and will mainuin Worker's Compensation Inman a,as required by Sccuon 700 of the labor Code,for the performance of the work for which this Permit is issued. My Worker' Cam sso00 In nn�e caMcr and Policy n/u�p�Wrare: Cartier. 7%r Policy No.: �`� CEN CATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (7T(s section nced natheeomp cted if the Permit is foronc hundred dollars(SIM) or less) I unify that in the performance of the work for which this Permit is issued.I shall not employ any perso ymaymrsgakipbjecHdthe Wohca Comperuanon Laws of Cai'f fe—I. Applicant NOTICE TO APPLICANT71f.after making this Certificate of Exemption,you should become subject to the Woher's Compensation provisions a(the LaWr Coke.you mum .J Z foMwith comply with such romancers or this Permit shall W deemed mated. Z O CONSTRUCTION LENDING AGENCY [-... 1 herehy of ine that there is•coeuuuction lending agency for the Performance of 1e the wish for which the permit is Wood(Sec.J ,Civ.C.) 14 0 lanxr's N. =Z Lou&,.Md. U 0 1 anify that 1 have mad this application aid sum Nat the aWw information is LL F cortcek 1 agree to comply with all city and county misnomer and sum laws relating to 0U building construction.and hereby utharn reproudutiv of this city to enter upon the 1 above-menudgm property for inspection purposes. (We)agree to saw,indemnify and keep harmless the City of Cupertino against i,lZ incoiuu,judgmentsecawing expenses which may in any way accrue againstseid City U z A PLIC uencs of the granting of this Permit. ^' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:S4(0Date SOURCE REGULATIONS. Segnmurcof ApplscanUContractor Date Re-roofs HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applim n or future Wilding occupant store or handle hansohms material a xfined by the Cupertino Municipal Cade,Chapter 9.12,and the Health and Safety «tm,satianzss3z(a)7 ❑Te All roofs shall be inspected prior to any roofing material being installed. / If a roof is installed without first obtaining an inspection,I Will the applicant or future Wilding arupam esu equipment or xvim which g agree to remove P it heurdoe air contaminants as turned by the Bay Area Air Quality Management all new materials for inspecti District' [3 Yes C. , ��J/1� Ihavc rtcty Cmmardres materials requirements un uChapmr6.95 ffia,fthc Califon W sQJ (/'�`-' m.Health sty GCM,SCmfae 25 .25533 and 25aJ1.l understand thuifthc building docs not c once y how a is m4 y respomibdo,to sent,the mxetom of the nequircme w ch mumW usuanccofa CutificamafOccupancy. Signature of AppliLvantt Date Owurm uthomcdage p,m } .; All roof coverings to be Class "B"or better BuOding Division 10300 Tome Avenue oc Cgmfmo,CA 95014-3255 L Telephone: (408)777-3222 • CUPERTINC� Fax (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 Wand 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: L. Flat roofs musthave a minimum of VL,,.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: ��' �.t ? ( )c k- c Address: Reroofing Company ND •J' �S ©'LS �''j . Applicants Signature: Date• Q- Joe Antonucci (Chief Building Official) 6/25/01 �CG, CITY OF CUPERTINO CITY of REROOF jPERTINO PERMIT APPLICATION FORM �APN # 1 3 i Q Date: a 03 Building Address: ro[�a c Owner's Name: ) �s i „ Phone #: Contractor.FPh ne #. D� acJ✓- SC�So•tS t{o� d7� 0.3,3 License #: `T.,7a,��� Contact: Phone gov #: Cuperrirno Business License i Type of Roof Covering: Existing: Proposed: C1 Built-Up Roof Wood Shingles ?j❑ Built-Up roof ❑ Wood ❑ Asphalt Shingles Shakes ❑ Wood Shakes ❑ Wood Shingles L' Other(Specify) CQ'A l/r?9 ❑ Wood Shingles Number of existing coverings ❑ Other(Specify) i ❑ To be Removed ❑ Provide I.C.B.O. Report# ❑ Provide Mfgr. Installation Specs. • I Have Read, Understand and Will Com 1 With Cu ertino's Teaz Off Policy: 'Job Description: j (ff"L rFire dential Commercial ❑ � Zone: Yes ❑ No Confirmed with Planning De t. if Cost of Project: Type o ns do there are an restricts s: Lf Occupancy group: Qty, if A li ab Fee ID Fee Description don Fee Grou Bld Permit Fees BUILDING BENERGY Ener BSEISMICRE Seismic Fee Res BUILDING BSEISMICOM BUILDING Seismic Commercial BUILDING BPLANCHK Plan Check Fee BUSLIC Business License BUILDING BUILDING • � z2Jz/