00040156 (2) CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR'INFOR X ION: - 00<D4,O1 ,s- /
BUILDING ADDRB.SS: ///777��� - -
(� (�',{^/ SANRARY NO. APPLICATION SUBMMrITAL DATE
OWNER'S NNfALMMKI'R
F /
N/C COOLN
_,S40 ❑
NC �-
ARCHITECUENGINEER BULDMG PERMIT INFO
UCENSED CONTRACTOR'S DBCI I ATION
0 IIW..nY.IrmoaYlImniia, Pm;I cfcb.Pl 9(c T Job Description J //
wilhteuian'1000)dDi '.iom3dmv Bu.iomad Pmfmion.Code.Wmy BcemeLL ��� D�� T
a Y in ruu rIX«Wa a5«�
711:(f
u LLO g D.v AR DECLARATION 00,
(�
.0 Lsaud PMcu1wW
.OWNER-BUB,OFA DEC1ARAlION
C z Q 1 bcfcby.IRcct Thu I.5 acme loom Jn C==ant ol.limy c y c
F o folbwint tmw.(Smlm W3 1.5,Biuwcu rd Plaeniam Code:Airy city w mmry
F$ which r.9ace.pmmb v coema:I,nit«,Improve,aamdi.h,w wpur ury,.v.cmre
HQ
Prix Wit.mwmc,,.lb�Wnemn.p*mtfWmcbP=milerue.,t�_mtmeM - Sq. FL Floor Area - Valuation
thv be LL Ocvtra P.c imt m the Pnviun.a the cc v.cd.l .Iaw(Cbvw9
Inmuem,wiaSxtioeT000)ora.i.iw3aflbcBa.im..dPaf.Ybmcodc)IX ane T APN Number Occu e
thu b<b� O .mei I&bm,fix me.lRste.YmIPIiNA Any vid,Jn d A� , P Y YP
5«Jo.]0713 by m,,,P mfw.pw .ubJn'n the gplfYoe w.civil p. qd
0 O
nuc Jum Bvc bvldrd ddlva(5500). l V
I I;vwnwdlhcpmp.ny,wmywplgeuwiNw.te.vthe'vw4 Requ red Inspections
will do tlxw U
odecc New: L
.vuctvebnw,-_._. a doc1cfw..lc IS«.TOIL,BuCm
W Ptofeulm0 CTIn C®vrlw'.I.liw taI.pply in a mt owrcr d
pcoPemY win build.w i
huoiw.kmo.vw-ddcmNpYlo)c. mis WcowMyJmch vlanpd who doY mr>Nm8 wwk himsewlf oofRcmci fm
R,how,Mbi1dM(IX imNm LLowcmarl
will mK mewdmthat In cLiei.wie«imrc f. e.
'
- .
pwcdYk).'
❑I.Y owmw d the pceperty,. YCIuCmrY coef.Wwith Bcvvd onv.nm v C /
CCmhIXllM pmJclrS«.'IOII.BYUM.tlI11 PNrCY1. U-
CCdt:)Tlle r:wiRYICr.
Luc law dw.ew.pply to m Dain d PropmY who WIIN IX wpravn IhwEm.ud ' t/O
whomlmu,.fw te.h ptopcu wllh.<mirctol(.)liancd puau.m to the Cmv.cuY. ,
Ixmte law. - .
❑1 w natmW ud«S«. .B d:P C fIX thb rta+oa
Oweec
.WOR KFR'SCOMIFNSATIONDEMMTION
Ihmby.rbm adc Pa rydp wn a Ih follu,in,ccc Won: .
J l bve ed will meimtume Ceeubweof caeuol n nR.M�Inc WcM1 .Cw
inion,u pcovidW for by Seal.37[)().f`tin UINx Cmc,fw the,crfmluncn d the
wwk W which IM.permit i.LLvnd.
❑1 hnc mei will m Wb Wahcl. rcqubcd by Slim
M cfthc bw Cada fw the pert a ncht PamJl bimed.
MY P.'mk 6tyF OD
Cvdm Iny No.:
CFAiE9C OMPIEN ATION I N DtOM WOR
I FMS'
COMPENSATION INSURANCE
IThb wiilm irtil be mntpkld Cthe pemilbfwwn hummed"lm(5100)
w kv.l -
lanirrinuinm.Perfomuoeeamewwk rw wghpiclbmlwp�Ii.i,aPN.1.h.11
oa..*Y my paem m 1- _W lhe�mtn(ccch n .
.ulm laws of GlCwniL Dilb Cl
bcc T c T c.W the
T m.tiat lhb Ccctifio.c d En.nWlim,Yao.hwM
b®tn obrmy it Wwtrm cro 1. d tbelabor Cod..ya m.0
foMwnh wraPly with-ch povWou«mi.pwJtJW[be dwlsdlevoked.
CONM1J(7 TON LENDMG AGENCY
O Q Ibcchy.Rbm Jw lbne i..mmuucllov Iidimt V ncY fw Inc pexfwm.«ed
Z tb< fw wmi.b thi.Pcmw b i.aad l5«.WI.Cw.C.)
1<oh/.Nutn
ladcrl Addrtu
fs7 G 1c fy Thu I bve red Thu"Owatian md.mc Jut IIx b e ,morlm I. ..
C5more,I.gee Im cwnPly with ell city YN rnumy adlmuv rod uu.h.nam.".
Z ba0dry ewmWalmv,.d M1ae6y wlYdlie apce..ml.JvY dlN.city n.tl.r upm Ne .
V O .bout=nvii FePar•Y fIX vup¢tion palpow. -
fi Fw (We g«nYue,mil ex fyvIdkeepnayin mJny d inww . Cay '
O V litlililin W fthhP b'nh rtoYin my w.Y rcne.i.imv a.id City
1p ry e d 'W . of N p.mJl.
P" a' 'A :AMU B0.Yf AND WIIJ.COMRT WITH ALLNON-POMT
U Z
5011 ERF' Ln R. -
SigmmedA,l' IICmN.�.Yw '. Due -
cu,A(.GUS MATERIALS DISCLOSURE .
Will Ipm IXN nS occup.ml Y 9.120, chueA m,1 S9i.l Re-roofs'
C defend by Cupatim M ntc p.l Coda,Clupo 9.12 and the Waith vd SCay
caa..s.tJmxss3x1.1T Type of Roof
❑Yv ❑
Wdl Jn tpplionlw kmrt bmwi eyuiprcm wdcviae.which 'All roofs shall be inspected prior to any roofing material being
mh lvrvdan Jr mnutM�u`Y��dcO by Jn B.YAm Air Owsih,Mmep«mcal to d. If a roof is Installed without first obtaining an inspection
maoY. lI I a rel: to remove all new materials for inspection. Applicant
I ad huudwutnmiWtepOatewwlderCLpa595dth. un - ".ands and I omply 'th all non point ource regulations.
rami. m&Ser Y Code.Seaiom 25505,21533 utl 25530.1 mdm w Jif
ry eIX, � .talve,uwbbmytcmwmTNiryl n rJn �� 00
d a e uPtiornivuuec d.Cai dDa�.Iry. .
Sign o pplicant Date
owmweullnri oY.
All roof coverings to be Class`B"or better
OFFICE
INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE
' CITY OF CUPERTINO
• BUILDING PERMIT INVOICE OPERATOR: christya
Sec: Tp: Rug: Sub: Blk: Lot:37528019.00
INVOICE DATE. . . . ..: 04/25/2000
REFERENCE ID k ...: 00040156
SITE ADDRESS ..... : 10649 GASCOIGNE DRIVE
SUBDIVISION ...... .
CITY . .. .......... : CUPERTINO
IMPACT AREA ...... . '
OWNER .... . . . . ....: HUGHES
ADDRESS .. . . . . ....:
CITY/STATE/ZIP ...: CUPERTINO, CA 95014
CONTRACTOR .......: DADDARIO, STEVE LIC W 20739
COMPANY . . ........ : RENAISSANCE ROOFING CO INC
ADDRESS . . . . ...... : 2292 LINCOLN AVE
CITY/STATE/ZIP ... : SAN JOSE, CA 95125
TELEPHONE . . . ..... : (400)448-0697
FEE DESCRIPTION CHK TOTAL FEE PAID-TO-DATE BALANCE DUE
BPERMFEE P 97.00 0.00 97.00
BSEISMICRE P 0.50 0.00 0.50
____9] 50 ____________ ______97 50
0.00
' ID ------- DESCRIPTION___-__--- VOICE ID --DESCRIPTION
-------- ------ -------------
05• FRAME 307 INSULATION
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
603 ROOF BATTENS 604 ROOF IN-PROGRESS