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BUILDING DIVISION PERMIT
2 INFIN
n W NEWS NAME:
ARCHITECT/ENGINEER:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business and Professions Coded my license is
in full force and effect
Licenac Cl s ✓�_ Lic• N
Date Contractor
ARCHLTECTSDECLARATION
I understand my plans shall be used as public records
Licensed Professional
OWNER -BUILDER DECLARATION
1 hereby affirm that 1 am exempt from the Contractor's License Law for the
following mason. (Section 7031.5, Business and Professions Code: Any city or county
which requires a permit to construct. alter. improve, demolish, or repair any structure
prior to its issuance, also requires the applicant for such permit to file a signed statement
that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9
(commencing with Section 7000) of Division 3 of the B usiness and Professions Code) or
that he is exempt therefrom and the basis for the alleged exemption. Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars (5500).
❑ I, as owner of the property, or my employees with wages as their sale compensation,
will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business
and Professions Code: The Contractor's License Law docs not apply to an owner of
property who builds or improves thereon, and who does such work himself or through his
own employees, provided that such improvements are not intended or offered for sale. If.
however, the building or improvement is sold within one year of completion, the owner -
builder will have the burden of proving that he did not build or improve for purpose of
sale.).
[11, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec. 7044. Business and Professions Code:) The Cont actoes U -
cense Law does not apply to an owner of property who builds or improves thereon, and
who contracts for such projects with a comnictor(s) licensed pursuant to the contractor's
License Law.
❑ 1 am exempt under Sec . B tit P C for this reason
owner Date
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ f have and will maintain a Certificate of Consent to self -insult for Worker's Compen-
sation, as provided for by Section 3700 of the Labor Code, for the performance of the
work for which this permit is issued.
❑ I have and will maintain Worker's Compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Worker's Compensation Insurance carrier and Policy number are:
Carrier. Policy No.: -2 C—
CEknFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section need not be completed if the permit is formic hundred dollars ($100)
or less.)
I certifv that in the performance of the work for which this permit is issued. I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California. Date
Applicant
NOTICE TO APPLICANT. If, after making this Certificate of Exemption, you should
become subject to the Worker's Compensation provisions of the Labor Code, you must
forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a concoction lending agency for the performance of
the work for which this permit is issued (Sec. 3097, Civ. C.)
Lender's Name
Lender's Address
I certify that 1 have read this application and state that the above information is
correct I agree to comply with all city and county ordinances and state laws relating to
building construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
(We) agree to save, indemnify and keep harmless the City of Cupertino against
liabilities, judgments, costs and expenses which may in any way accrue against said City
in conseque the granting of this permit.
API IC UNDERSTANDS AND COMPLY WITH ALL NON -POINT
SOUR REGIFLAnONS.
Signa of
scant/Contractor Date
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or future building occupant store or handle hazardous material
as defined by the Cupertino Municipal Code, Chapter 9.12, and the Health and Safety
^.ode, Section 25532(a)?
❑ Yes No
Will the applicant or future building occupant use equipment or devices which
emit hazardous air contaminants as defined by the Bay Area Air Quality Management
District? /I
❑ Yes a
1 have read the hazardous materials requirements under Chapter 6.95 of dee Califor-
niaHealth&S y Scedons25505.255331anf534.1 ndetstandthatiCddd+uucbuilding
does not cu fly have a tenant, that it is pry respbility m notify the occuu t of t¢c
reuutremen which must be met prior to i once ��crtificate of Occu�tiitc /
Owner or
J
INC
408)379-5500
Job Description
COM -L TI DEMO WALL, DEMO CEILING, PROVI) MECHNCL,
ELCTRCL,FIRE SPRNKLR, FIRE ALARM TO 2 NEW
SHIELDED
RMS (526 SQ) ALL WK TO OCCUR ON IST FLR — TEMP
Sq. Ft. Floor
APN
31602106.00
Issued by
Re -roofs
valuation
Required Inspections
Type of F.00f
All roofs shall be inspected prior to any roofing material being installed.
If a roof : s installed without first obtaining an inspection, I agree to remove
all new materials for inspection.
Signa of Applicant Date
All roof coverings to be Class's{" or better
PERMIT NO.
PERMrf ISSUE DATE
S A
2009
CONTROL NO.
BUILDING PERMIT INFO
BLDG
ELECT
PLUMB
Job Description
COM -L TI DEMO WALL, DEMO CEILING, PROVI) MECHNCL,
ELCTRCL,FIRE SPRNKLR, FIRE ALARM TO 2 NEW
SHIELDED
RMS (526 SQ) ALL WK TO OCCUR ON IST FLR — TEMP
Sq. Ft. Floor
APN
31602106.00
Issued by
Re -roofs
valuation
Required Inspections
Type of F.00f
All roofs shall be inspected prior to any roofing material being installed.
If a roof : s installed without first obtaining an inspection, I agree to remove
all new materials for inspection.
Signa of Applicant Date
All roof coverings to be Class's{" or better
Installation Instructions for TITANIUMTM 11DL-30
TITANIUM'"UDL , AROV
www.arcat.com
REMM 1119011111' 111111111111113RCHf{Ed_ItlHAL SPEC IW At1ONS
[ SPANISH ] - [ FRENCH ] - [ PDF VERSION ]
TECHNICAL BULLETIN: Modified installation instructions for metal roofing panels.
(USE NO STAPLES)
TITANIUMTM UDL-30 must be installed above properly ventilated spaces (follow ALL building codes applicable
to your geographical regions and structure type) as it is considered a vapor barrier (.06 perms). The use of a
rosin paper slip -sheet is not required underneath metal roofing systems. The use of straight edge cutting knives
is recommended. TITANIUMTM UDL-30 is laid out horizontally (parallel) to the eave with the printed side up,
and with the 4 inch (101 mm) horizontal laps and 6 inch (152mm) vertical laps. Follow the codes for low slopes
as defined as 2:12 to 4:12 and steep slopes greater than 4:12 applications. TITANIUMTM UDL-30 must be
attached to the structural roof deck material using pla3tic cap roofing nails having a minimum 1" (25mm)
diameter plastic cap (USE NO STAPLES: use of staples to penetrate TITANIUMTM UDL-30 will void warrantyl
Anchoring to be installed at a minimum as per^` u-ffa(. markings, space cm) on center in the vertical and
horizontal laps, and at 12" (30cm) on center along the center of the roll in the field as marked. If the application
of UDL and the final roofing material occur on the sarie day, then the option to use every other printed
anchoring placement is acceptable. All anchoring devices must be flush, 90 degrees to the roof deck, tight with
the underlayment surface and the structural roof deck . For extended exposure (months) and or high wind (ANY
signs of product up lifting), double the lap widths as a minimum. Options: fold the overlay laps forming a "J"
channel configuration before nailing; using a compatible sealant between the laps, or using a peel and stick
tape is highly recommended.
For batten secured installations, use only adequate IE ngth nails or screws to secure battens to the structural
roof deck material, and the use o cap nai s is only relli red to secure TI I "" UDL-30 and prevent blow-
off until the batten system is installed. Do not install battens directly over any cap nails. If this occurs, remove
cap nail, patch the hole, then install cap outside batten field and continue. Where seams and joints require
sealant or adhesive, use a high quality, low solvent a:;bestos free, plastic roofing cement meeting ASTM D-
4586 Type 1 (Asbestos Free) Federal Spec SS -153 hype 1 (Asbestos Free) such as Karnak, Henry, DAP, MB,
Geocel or equivalent. The use of butyl rubber, uretha ie, and EDPM based caulk or tape sealant can also be
used. Depending on roof pitch and surface conditionE blocking may be required to support materials on the
roof.
TITANIUMTM UDL-30 is not designed for indefinite outdoor exposure. Final roofing should be installed within 6
months.
We support the NRCA guidelines (minus - staples) • lvww.nrca.net
June 26, 2009
Job site: 1609 James Town Drive, Cupertino, CA 9514
Attn: Steve Hunter, Maximum Roof Care
Dear Steve,
Subject: TITANIUMTM UDL-30 Underlayment
InterWrap Inc.
32923 Mission Way
Mission, BC Canada V2V 6E4
Office: 604.820.5400
Fax: 604.820.5420
www.interwrap.com/titanium
L9�D6(DO 7c/
Prior to the acceptance of staples to fasten TITANIUNITM UDL-30 underlayment the following conditions must be
met:
• The battens were installed during the installation of the Titanium UDL 30
• There has been no excessive wear and tear or foot traffic directly the Titanium UDL 30 causing tears
around the fasteners
• No more then the recommended number of s:aples were used as indicated by our fastener pattern
• There are no staples within a min of 8 inches of the valleys
• A thorough inspection of the covered roof deck must be completed and any tears, cuts or additional
penetrations (especially around the stapled a 'eas) to the underlayment must be repaired and covered to
avoid any leaks with a qualified roofing sealing compound (an asphalt or urethane based compound)
• The battens were fastened by shank nails, shank staples or screws, penetrating 100% of the roofing
deck
If the above listed conditions are met then InterWrap :approves the use of the staples for the installation of
Titanium UDL 30 for this specific job site listed above.
Regards,
FIL
Martin Vido
Technical Representative
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