B-2016-2843CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2016-2843
11072 CANYON VISTA DR CUPERTINO, CA 95014-5405 (356 28 033)
SORENSON &
ASSOCIATES
ROOFING INC
BRENTWOOD, CA
94513
OWNER'S NAME: STONE STEVEN F AND KRISTINA S TRUSTEE
DATE ISSUED: 09/30/2016
OWNER'S PHONE: 408-446-3103
PHONE NO: (925) 626-7682
LICENSED CONTRACTOR'S DECLARATION ATION
BUILDING PERMIT INFO:
License Class iQ Lic. #949340
Contractor SORENSON & ASSOCIATES ROOFING INCDate 06/30/2018
X BLDG ELECT _ PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing
_ MECH X RESIDENTIAL _ COMMERCIAL
with Section 7000) of Division 3 of the Business & Professions Code and that my
license is in full force and effect.
JOB DESCRIPTION:
OVERLAY; DURO LAST SINGLE PLY - (22 SQ)
I hereby affirm under penalty of perjury one of the following two declarations:
1. I have and will maintain a certificate of consent to self-insure for Worker's
pensation, as provided for by Section 3700 of the Labor Code, for the
performance oaf the work for which this permit is issued.
,, 4z. ' I h will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
Sq. Ft Floor Area:
Valuation: $14421.00
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above
APN Number:
Occupancy Type:
information is correct. 'I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize
356 28 033
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
PERMIT EXPIRES IF WORK IS NOT STARTED
may accrue against said City in consequence of the granting of this permit.
Additionally, the applicant understands and will comply with all non-point
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
source re u ion&pePthe-Gvp<no Municipal Code, Section 9.18.
180 DAYS FROM LAST CALLED INSPECTION.
`
Sign a Date 9/30/2016
Issued by: Abby Ayodg
O .R-B iH D R D • .. RATION
Date: 09/30/2016
I hereby affirm that I am exempt from the Contractor's License Law for one of the
RE-ROOFS:
following two reasons:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
1. I, as owner of the property, or my employees with wages as their sole
installed without fust obtaining an inspection, I agree to remove all new materials for
compensation, will do the work, and the structure is not intended or offered for
j inspection.
sale (Sec.7044, Business & Professions Code)
2. I, as owner of the property, am exclusively contracting with licensed
Signature ofA plicant:
contractors to construct the project (Sec.7044, Business & Professions Code).
Date: 9/30/201 — —
I hereby affirm under penalty of perjury one of the following three declarations:
AI,I"ROOF COVERINGS TO BE CLASS "A" OR BETTER
t. I have and will maintain a Certificate of Consent to self-insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
HAZARDOUS MATERIALS DISCLOSURE
2. I have and will maintain Worker's Compensation Insurance, as provided for by
I have read the hazardous materials requirements under Chapter 6.95 of the
Section 3700 of the Labor Code, for the performance of the work for which this
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
permit is issued.
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
3. i certify that in the performance of the work for which this permit is issued, I
Health & Safety Code, Section 25532(a) should I store or handle hazardous
shall not employ any person in any manner so as to become subject to the
material. Additionally, should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
Worker's Compensation laws of California. If after making this certificate of
will maintain compliance with the Cupertino Municipal Cade, Chapter 9.12 and
exemption, I become subject to the Worker's Compensation provisions of the
the Health & Safety Code, See ' 25505 25533, and 25534.
Labor Code, I must forthwith comply with such provisions or this permit shall
be deemed revoked. ✓
Owner or authorized gent: '
APPLICANT CERTIFICATION
Date: 9/30/2016
I certify that I have read this application and state that the above information is
CONSTRUCTION LENDING AGENCY
correct. i agree to comply with all city and county ordinances and state laws
I hereby affirm that there is a construction lending agency for the performance
relating to building construction, and hereby authorize representatives of this city
of work's for which this permit is issued (Sec. 3097, Civ C.)
to enter upon the above mentioned property for inspection purposes. (We) agree
Lender's Name
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments, costs, and expenses which may accrue against said City in
Lender's Address
consequence of the granting of this permit. Additionally, the applicant understands
and will comply with all non-point source regulations per the Cupertino Municipal
ARCHITECT'S DECLARATION
Code, Section 9.18.
1 understand my plans shall be used as public records.
Signature Date 9/30/2016
Licensed
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 FAX (408) 777-3333 • building(-cupertino.org
PROJECT ADDRESSAPN #
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OWNERNAME PHONE E-MAIL
tJ
STREET ADDRESS CITY; STAT ZIP FAX
CONTACT NAME PHONE . E-MAIL
STREET ADDRESS CITY, STATE, ZIP
FAX
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME LICENSE NUMBE LICENSE TYPE BUS. LIC. # .
COMPANY NAME E-MAIL FAX
is rcyl t'L. IC O €
STREET ADDRESS
CITY, STATE, ZIP
PHONE
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ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC. #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF ❑ SFD or Duplex
fig' .Iti-F.ily
ROOF AREA:
VALUATION:
STRUCTURE: ❑ Commercial
Z
; ,
A'-
EXISTING ROOF TYPE:/111BUILT-UP ROOF
❑ ASPHALT SHINGLES
❑ WOOD SHAKES ❑ WOOD SHINGLES
❑ OTHER (SPECIFY)
REMOVE /REPLACE El YES
IF NO,
PLYWOOD
0 w, ❑
PLYWD ❑aOSB
PITCH:
NO
# LAYERS:
THICKNESS:
_
El 5/8',
TYPE: Xa rzCDX
,IROOF
Lam— :12
CLASS: A
PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF
❑ ASPHALT SHINGLES
❑ WOOD SHAKES ❑ WOOD
SHINGLES
❑ OTHERQ TkP✓¢
ICC -ES REPORT
.�
DESCRIPTION OF WORK:
--
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to buildaffig cons I authorize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature ofApph t/Agent: I Date: el ".10 -If,
_ If building is associated with a Home Owner's Association, provide letter
of approval from HOA.
Provide Planning approval to verify if there any restrictions.
Provide copy of Manufacturer's Installation Specifications.
Provide signed copy of Cupertino's Tear -Off Policy.
ReroofApp_201 Ldoc revised 03/16111
REROOF TEAR -OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 FAX (408) 777-3333 • building(a.cupertino.org
PROJECT ADDRESS
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[APN #
jl
OWNERNAME. .g
E-MAIL
JPHO/pN)�E
STREET ADDRESS
CITY, STATE, ZIP
FAX
072- /I_et it yom l
i
CONTRACTOR NAME
LICEENS MBEER
LIZSE TYPE
BUS. LIC. #
11 19 3 Iq
COMPANY NAME —
E-MAIL
FAX
!%jQr�q5131A ZitA c8a
STREET ADDRESS
ITY, STATE, ZIP
Caril
PHONE
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A412 It
I UNDERSTAND AND AGREE TO THE FOLLOWING:
I . The re -roof project shall comply with all applicable provisions of the 2013 California Codes.
2. An inspection request can be scheduled up to one business day before the requested inspection date.
Please schedule inspections online or call (408) 777-3228 from 7:30-3:30pm (Mon-Thurs) or 7:30-
2:30pm (Friday) to schedule inspection. For Tear -Off and Nailing Inspections, you must also call on the
day of the inspection only after that phase of the work is completed. The building inspector will be
available within one hour. The hours for this service are: 7:30-10:30am and 12:30-3:30 (Mon-Thurs)
and 7:30-10:30am and 12:30-2:30 (Friday). Final Inspections will be given a two hour window.
3. Tear -Off Inspection is required. Any and all dry -rotted wood shall be; replaced prior to this inspection.
Unless new plywood roof sheathing is proposed throughout, all the nails/fasteners shall be either
completely knocked -down or removed prior to this inspection.
4. If plywood is installed, a plywood Nailing Inspection is required.
5. Roofing shall not be applied without first obtaining all prior inspection and written approvals from the
building inspector. Any roofing which is applied without first obtaining:, an approved inspection will
require the removal of all new material down to the sheathing so a proper inspection can be performed.
6. A Final Inspection and approval shall be obtained from the building inspector when the re -roofing is
completed. To receive a final sign -off, the following items will be verified:
a. Flat roofs shall have a minimum of I/" per foot of slope and demonstrate there is no ponding.
b. Listings from approved testing agencies for all pre -manufactured products used shall be
available on-site to review at the time of the inspection.
c. Proper spark arrestor installation, vents painted, gutter/downspouts installed, debris removed.
7. NOTE: If you call for a tear -off or plywood nailing inspection and the work is not complete, you will be
charged a re -inspection fee. The re -inspection fee shall be paid before another inspection can be
scheduled.
By my signing below, I certify each of the following is true: I am the property owner or authorized agent to act on the
property owner's behalf. I understand and agree to comply with the re -roof policy stated above. I also understand that
smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections R314 and R315 of
the 9.013 Cnlifnrnin Rec�._�►1ia1
of
Date: q _30 1 L
ReroofPo1icy2014.doc revised 01115114
CUPERTINO
Owner N
COMMUNITY DEVELOPMENT DEPARTMENT ® BUILDING DIVISION
10300 TORRE AVENUE - CUPERTINO, OA 950143255
(408) 777-3228 ® FAX (408) 777-3333 ®bui(ding�ino.ora
k ".�dAA -S*" At -4 __ Permit No.
Address 1/0 ? Z C/t� yr t 1 �f'�I�1 r�cvlh'� I
1. Is your real property a registered historical site?
0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
t No Go to Question 2.
2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its
plumbing, installation of water=conserving plumbing fixtures is not technically feasible?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply.
❑ The licensed plumber's certification has been provided to the Building Division.
Skip the rest of the form and sign bottom of form.
No Go to Question 3.
3. Is water service permanently disconnected for your building?
V❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
1 _ N0 Go to Question 4.
4. Is your real property built and available for use or occupancy on or before January 1, 1994?
❑ No My real property is built and available for use or occupancy after January 1, 1994.
Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
} Yes My real property is built and available for use or occupancy on or before January 1, 1994.
Civil Code Sections 1101.1 through 1101.8 apply. Check one'of the three following statements and sign
bottom of form..
5. Please check ONE of the -following:
lvly property is a single-family residential real property. See Civil Code Section 1101.4.
On and after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing fixtures
to be replaced with water -conserving plumbing fixtures throughout the building. On or before January 1, 2017, all non-
compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless of whether
property undergoes alterations or improvements).
❑ My property is a multifamily residential real property. See Civil Code Section 1101.5.
On and after January 1, 2014, specified building alterations or improvements shall require non- compliant
plumbing fixtures to be replaced with water -conserving plumbing fixtures.
On or before January. 1, 2019, all non-compliant plumbing fixtures shall be replaced with water -
conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or
improvements).
❑ My property is a commercial real property. See Civil Code Section 1101.5.
On and after January 1, 2014, specified building alterations or improvements shall require non- compliant
plumbing fixtures to be replaced with water -conserving plumbing fixtures.
On or before January 1, 2019; all non-compliant plumbing fixtures shall. be replaced with water- conserving
plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements).
I, as the owner or owner's agent of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be
replaced prior to date specified above with water -conserving plumbing fixtures in accordance with Civil Code Sections 1101.1
through 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's
installation requirements,. and that the water -conserving plumbing fixtures comply with the requirements as indicated in the
table on the following. naive.
Owner or Owner Agent's Signature _ i/r.5 f � D'ate_ .! /1- _7 7 ®l1�
Upon completing and signing this. Certificate, please return it to the Building Division in order to final, vour bniIdina nermi t
SB407 2015.doc revised 08126115
CUPE TING
Baa 3 �I v 2 Z 41,L
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building a().cupertino.oro
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PURPOSE
This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for
inspections are required.
GENERAL INFORMATION
Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon
Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds
$1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon
Monoxide Alarms be installed in the following locations:
AREA
SMOKE ALARM
CO ALARM
Outside of each separate sleeping area in the immediate vicinity of the
bedroom(s)
X
X
On every level of a dwelling unit including basements
X
X
Within each sleeping room
X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that
do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with
CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal.
Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated.
hi existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do
not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl
space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for
alarms which must be connected to the building wiring.
Asowner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been
Installed iii accordance with Ll Le manufacbar e s instructions and in compliance with the California Building
aizd Califoriva Residential Codes. The alarms have been tested and are operational, as of the date signed
below.
I have read and agree to comply withh the terms and conditions of this
........... i... -C...........................
.................'� 1/ '23 /0
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Smoke ai2d CO form.doe revised 03118114
Rrrr
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Warranty-,
IN
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DURO-LAST
SUPREME,
LTERMS and CONDITIONS
P
Pt,
r"DurrL-0- grants tips Ncontaining
No -Dollar ('WDL") Warranty to the owner C'Ownei�)�of a building a
i
Duro-Last Roofmg System ("Duro-Last Systenf)-installed.by a Duro-Last authorized Dealer/Contra:ctor C'Contraclof sub to
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the conditions and limitations contained herein.
Duro Last's obligation during the P through the 1.511:year ,shall be to repair any IeA in the Duro-Last System caused by any defect in
a' component of theworkmanship the � dontra&toi, but only as the workmanship relates'-tothe installa-
Duro-Last System. or by the workn
tion of the Duro-Last. System - itself and not as it relates t . o other work,p6iformod,if any. Duro-Last's obligation includes at. Dur6-Last s
includes furnishing of labor to
discretion, either the repair or replacement of part or all of the Duro-Last System and also the or cost
repair the Duro-Last System provided the following conditions are met:
A.Duro-Last and Contractor have been,paid in full for the Duro-Last System, its installation and any outstanding invoices issued
$y bu xo-L.gst that arise after the installation;.
Duro System has been Duro-Last ,QualityAssurance
B. The Last S approved"by.Duro-Last following inspectibifby vq ailMotized
M. C
Technical Representative ("Duro-Last QA Tech Rep").,this No -Dollar Limit Warranty has been signed by a Duro-Last QA
Tech Re? or Quality Assurance Manager, and the contractor confirms that the Duro-Last System was installed in accordance
L
with Duro-Last's specifications and Written installation requirements.
if, -L M discovery' of any leak, failure, or other alleged Duro-Last System
C. The Owner has ratified_ Duro -Last within I days of
defect.: Owner must notify Duro-Last by calling the Duro-Last Quality Assurance Degattment at 1-866-284-9424, by
e -mailing wg@duro-last.com, or by certified mail, return receipt requested;'
D. The Owner allows Duro-Last's QA Tech Rep(s), and/or Duro-Last Contractor(s) access to the roof including', if necessary, the
...........
removal and replacement by Owner at Owner's expense any and all obstructions, including but not limited to: rooftop gardens,
earth, soil, pavers, ballast, decks, patio and walking surface materials, photovoltaic system, and other overburden; and
Contractor
'E.buro2Lag option, either Duro-Lasi's QATepliRe _p(s), or an authorized
makes the repair.
H. LIMITATIONS and EXCLUSIONS
-. 9
A. This No -Dollar Limit Warranty does not apply to a Duro-Last System installed on a single-family residence.
ging from defects in the design or construction of the building or roof assembly -
B. Duro-Last not be liable for damages arising
I Vf-,
shall
Duro-Last be liable for any other products aside from the Duro-Last System.
nor shall
C. Duro-Last is not liable for any Duro-Last System defect or failure nor for subsequent damages arising from Acts of God or
causes outside Duro-Last's control including, but not limited to:
1) Damage caused by fire, lightning, hurricane, gate, hail, tornado, flood, earthquake, animals, insects; or
or failure to use reasonable care, whether on the
2) Damage caused by accident, vandalism, intentional act, negligence
part of the Owriet'or"another' Or
3) Damage caused by any unauthorized modification to the Duro-Last System including, but not limited to: damag
to or
g,
caused by unauthorized components used in installation or repair, by additional equipment or structures added
made a part of the roof, by traffic, or by chemicals not normally found in nature or the like; or
4) Interior condensation and/or moisture entering the Duro-Last System through walls, copings, structural defects, HVAC
ff
systems, or any part of the building structure, including from adjacent buildings.
D.Duro-Last does not Warrant the watertightness of metal products that are located outside of the termination of the Duro-Last
�menbrare.
E. Duro-Last does not warrant against color change and/or pattern change and/or print change in the Duro-Last System.
or other damages relating to the presence of
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F. Duro-Last shall hiiv6 no liability underany theory of law for any claims, repairs,
nsb f"gi,, bacteria, spores, mycotoxins, or the like on or in the Duro-Last System or in the
A.
building or in the air or water serving the building.hered.
G.This No -Dollar Limit Warranty passes to future Owners of the building for the full 15 pears
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IIJbis No -Dollar Limit Warranty must be signed by a Duro-Last QA Tech Rep or Quality Assurance Manager. Coverage under
-the terms of this No -Dollar Limit Warranty 1begins on the Effective Date. The Eff6ctive Date is determined by Duro-Last.4.10-
Failure of the Owner or Contractor to sign'this NO -Dollar Limit Warranty does not alter the Effective Date
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I. This No -Dollar Limit Warranty shall be governed by the law s of the State of Michigan without regard to principles of conflicts
Court for the County of Saginaw, State of Micbigan,orthe United
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oflaw. Duro-Last and Owner hereby agree that the Circuit
Michigan in Bay City, shall have the exclusive jurisdiction t
States Federal District -,Court for the Eastern District of Mich
determine any and all disputes, or claims relating to this No -Dollar Limit Warranty and do hereby submit themselves to the
sole personal jurisdiction of those Courts.
J. No claim, suit, or other proceed oft of or related to the� Duro-Last producMorthese term, including- without
.0siq
limitation this No -Dollar Limit Warranty, may be brought by the Owner or anyone else after one (1) yearfrom the date it
accrues.
K.Duro-Last does not waive any rights under this No -Dollar Limit Warranty by refraining from exercising its rights i full inane
or more instances.
OVER: CONTINUED ON BACK
THIS NO -DOLLAR LIMIT WARRANTY AND: THE RESPONSIBILITIES AND REMEDIES STATED HEREIN ARE
EXPRESSLY AGREED TO OWNER AND DURO-LAST AND- CONSTITUTE THE SOLE WARRANTY AND REME-
DIES OF THE OWNER FORR ANY AND
DEFECT OR FAILURE OF THE DURO-LAST SYSTEM, WHETHER
MEMBRANE, ACCESSORIES, OR CONTRACTOR WORKMANSH W.
'I`IT4:'RE A,RE IVO WARP"NTZS'OF AIM CHANTABIMY.OF- FI I"NESS Ff)R A PAIgTICULAR PUURPOSE (EII` Rikk EXPkkSg
OR IMPLIED IN FACT, LAW OR CUSTOM) THAT EXTEND BEYOND THE EXPRESS TERMS STATED IN.THIS.NO DOLLAR
LIMIT WARRANTY TO THE FULL EXTENT DISCLAIMER IS PERMITTED BY LAW. OWNER AND DURO-LAST TOGETH-
ER JOINTLY DISCLAIM ANY OTHER OR FURTHER WARRANTIES EXCEPT THOSE INCLUDED IN THIS DOCUMENT. IN
ANY EVENT, ANY IMPLIED WARRANTY THAT MAY ARISE BY LAW IS LIMITED IN DURATION TO THE TERM HEREIN. s
THE REPAIR,OR REPLACEMENT PROVIDED. HEREIN IS EXCLUSIVE AND IN LIEU OF ALL OTHER REMEDIES. ALL
CLAIMS FOR NEGLIGENCE AND FOR FAILURE- OF ESSENTIAL PURPOSE ARE EXPRESSLY WAIVED, _
RELEASED AND EXCLUDED.
OWNER AND DURO-LAST BOTH -ACKNOWLEDGE AND AGREE THAT THIS NO -DOLLAR LIMIT WARRANTY COVERS
CONSEQUENTIAL DAMAGES DERIVED FROM LEAKS CAUSED BY DEFECTS WARRANTFOAGA$_ AiN$T ABOVE. THERE FIo
TuESE_TERMS...OWxER ACK OiY�GE& THE LAWTAT& AZ—, .
WAIVERS, DECLARES THAT THEY RAVE BEEPw KEAD i11vD UNDERSTOOD,AND AGREES TO BK SO BOUND. ANY FAY
MENT FOR THE DURO-LAST SYSTEM OR REGISTRATION OF THE WARRANTY WITH DURO-LAST SIGNIFIES THAT
THE OWNER HAS VOLUNTARILY AND KNOWINGLY CONSENTED TO ALL TERMS.
The Contractor is not an agent of Duro-Last and does not have authority to bind Duro-Last: If -any Contractor or sales representative made any
statements about Duro-Last, its products; services, obligations, or warranties, those statements cannot be relied upon by'Ownet or any other
party and cannot be attributed to -Duro -Last. Furthermore, no person may change or modify any terms or conditions of this No -Dollar Limit
Warranty, unless in writing and signed by the authorized representative of the Owner and by a Duro-Last officer or by the Dura -Last Quality
Assurance Manager.
SOME STATES DO NOT ALLOW I IMITATiOiVS ON HOW LONG AN, IN WA€iIZAN! Y LAS iS, SO SVCI) A L i A -
TION MAI' NOT APPLY TO Yt1�J. TINS WARRANTY GIVES YOU SPECIFIC LEGAL, RIGHTS, AND YOU MAY ALSO HAVE
OTHER RIGHTS THAT VARY FRO1vI STATE TO STATE. If any provision or individual "term herein is invalid or unenforceable under
any applicable law, the provision or term `will be ineffective to that`extent and for the duration of the illegality, but the remaining provisions
and terms will be unaffected,
DURO L ASTI ; INC.
J�J� tY10TTej�. t7riYe .
Saginaw, MI 48601
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Duro-Last, Duro-Fleece Plus
Supreme 15 -Year NDL 4!2/15
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a $Ui�P;i fY �1S URAN s p
SShffiattire �-or st QA Tech Rep or QA Manager '
Name of Building V
.Signature o, weer
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Address of Building
- Owner (printed) e,
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City&_Building
Signatue of Caiifractor'
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Building Designation
.,
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Eftect&gDate <
Contractor (printed)'
Square Footage
Serial No.
arranty No.
Duro-Last, Duro-Fleece Plus
Supreme 15 -Year NDL 4!2/15