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03090165 (2) r CI'T'Y OF CUYER'I'INO ^u s �a rq. � yez'-�.ws ," BUILDING DIVI SION PERMIT �,i_ RA CT,QRI,NEORMATIQN BUILDING ADDRESS: ALL SEASONS ROOFING SERVIC 9"""03090165 OWNER'S NAME: - 2640 PACER IN PERMIT ISSUE DATE COMPASS "E' 4089724455 SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH C� ±ore L ICENSED CO NTR ACTOR'S DECLARATION F de 1 hereby from that I am licensed unr prowiaimns sir chapter 9(ommencing lob Description EiE with Section 701))of Division 3 of the Business and PoNkilinm Code,and my license is sor'n in full fmmeao fig ),'a? Liccnr�S.Clus .�r Lic.N pp`® p DOW Y—U Al Convacmr ��E® g�LJg R® 'I j ARCHITECTS DECLARATION I C a 1 understand my plans shall be used az public records o Licensed Professional NOV 2"4 2003 AOVy -'(?03 S OWNER-BUILDER DECLARATION r ay 1 hereby affirm that 1 em exempt from the e Contractor's License Law for me O Ko following mason.(Section 703 L5.Business and Professions Code:Any City or county 10UILDING R]QUANG ZOO E which requires a permit m construct,alter,improve,demolish,or repair any auction, YZY poor(it its issuance,also requires the applicant for such permit m file a signed statement csM that he is licensed pursuant roto provisions of the Contractors License Law(Chapter 9 Sq. Ft. Floor Area Valuation [$­ (commencing with Section 7")of Division 3 of the Business and Professions Costs)or i 3$ that he is exempt thcrtfrom and Be,bmis for the alleged exemption.Any violation of 356028015 . 00 Section 7031.5 by any applicant for a permit subjects the applicant o a civil penalty of APN Number Occupancy Type not more than rive hundred dollars(S500). P Y YP ❑I,u owner of the property,or my employees with wages az their sale cmmpcnhat ire, will do the work and the avuaure is not intended or offered tartaric(sec.7044,Business 3 Ub — FRAM and Professions Code:The Conuacmr's License UseRequired does not apply to an owner of 3 0 7 - INSULATI ON Inspections eo pmpeny who builds or improves thern,aesnd who dosuch work himself or through his ben employees,provided that such improvements are not immndad or offered for a ale.If, 601 — ROOF TEAR OFF however,Nyear of building or improvement is sold within one yof completion,the owner, builder will han the harden of Dmmng mat he did not wild or improve for puryuse or 602 - ROOF PLYWOOD NAIL sale 01.as mono,of the n 603 - ROOF BATTENS ❑ Sec. y,.Business contracting with The comwct theesnot apply to anowneincssandity who uids or pro esnvacmri Lb 604 — ROOF IN-PROGRESS. ante Lawdocsoatapplymu with arofproperty ohm buildsor Improves thereon,art , who me,Law.far such projaca with a contrctor(s)licensed pursuant m the Convenors License Law. ❑lam nempt unties Stt. ,B6PCfmr thismazon Owner Date WORKER'S COMPENSATION DECLARATION 1 wreby.farm under penalty of perjury orc of the following dalam;ore: I haus and will maintain a CeNfieem of Consent o self-insure for Workers Comics. sation,az provided for by Section 3700 of the Labor Code,for the perfm onme of the work for which this permit is issued. ❑1 have and will maintain Wurkcrs Compensation Insurance,as required by Section 3700 of the Labor Cont.for the performance of the work for which this pemri,is issued. - MyWork7Cortlperu 0 Inysnna canicaand Policy numberimi Cartier.c 7J'Jr/K-'RPasv1/ Polity No.: �II.�L CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section sited nut be completed if the permit is formic hundred dollars(SIOB) or less.) 1 Qcd y that in the performance of the work for which this Permit is Wood,I shall Out employ any person in any manner sen as Or become subject o tw Workers'Compensation Laws of California.Date Applicant NOTICE TO APPLICANT:If,atter making this Ccoi licate of Exemption.you should become subject in the Workers Campemation provisions of the Lawr Code,you must wJ z forthwith comply with such provisimm Or this Permit shall Is,deemed..ked. z O CONSTRUCTION LENDING AGENCY PI hereby affirm that there is a construction lending agency for Oc performance of 01> me work for which this permit is issued(Sec.3091,Civ.C.) U.1p Lender's Name ILz fender's Address V 0 1 certify mal I hate read this application and scale that Ocmove information is - CG P correct I agree to comply with all city and county ordinances and sate laws relating to 0V butilding Cmaknoomilinn,and hereby cannot,mpresentatives of this city to enter upon the �( /�.[q,/td//' /�/ ahovefics,judncdpmpcst for wmection purposes F y (We)agree to save,indemnify and keep howls.the City of Cupcnino against p3 Iiabiliva,judgmcnB.cost/and apcmcs which may in anyway seems against said City L) z in mnseyucnee of the granting of this permit. ^ APPLICANT UNDERS NDS AND WILL COMPLY WITH ALL NO POINT Issued by: Date 5 RCEA L S. SJ -` Re-roofs S' orc of an'Convacmr e¢ HAZARDOUS MATERIALS DISCLOSURE Type of Roof dl the applicant car future building Occupant store or handle ha uus material a defined by me Cupertino Municipal Code.Chapter 9.12,and Ore Health and Safety Code,Section 255J2(a)? ❑YesNm All roofs shall be inspected prior to any roofing material being installed. Will the applicant or fwure wilding occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove til hri=cm air conmomprom as defined by tw Bay Ams Air Quality Management all new materials for inspection. Diwict? ❑YesNu I have read the".Wool``materials ret,i¢menu under Chapter 6.95 of the Califor- nia HcalmS Safety CDM,Sccuum 25505.25533 and 25514.1 underscaM thuif dte wilding does no it 'a tenant.Nat it is in,ma, 'bity m nor the acupam or me 07 rmm me stw cenifateofOccupan gnatu Applicant ate o� caner ter am dzm ageat ,m All roof coverings to be Class "B"or better Building Division 10300 Tone Avenue 171. Cupertino,CA 95014-3255 Telephone: (408)777-3228 F= (408)777-3333 CUPERTINO 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 IY"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: Reroofing d Reroofing Company Name: I' e Oki Applicants Signature: Date: 9 z Joe Antonucci (Chief Building Official) 6/15/01 CITY OF CUPERTINO b 3 J REROOF CUPEkTINO PERMIT APPLICATION FORM APN# Date: Building Address: 10 Owner's Name: Phone#: S p 330 Contractor: License #: Contact: Phone#: Oz1 -97/ — 1/`4 " LS- Applicant/Contra r: Fax#: S Ca So.zs �oo� r y0� - 938 z11 7 Building Permit Info: Bldg Elect Plumb Mech • Job Description: Residential: ,e-Q t .-t Commercial: Sq.Ft. Floor Area: $/Sq.Ft.: 1904 66 ^� Architect/Enginee . Valuation: Type of Co traction: Occupancy Group: � do Qty. if A i bl Fee ID Fee Description Fee Group rxBPERMFEE Bldg Permit Fees BUILIDNG BENERGY Energy BUILIDNG BSEISMICRE Seismic Fee Res BUII IDNG BSEISMICOM Seismic Commercial BUILIDNG BPLANCHK Plan Check Fee BUILIDNG BUSLIC Business License BUILIDNG