01060009 CITY
I BUILDING DPEsioNNOPERMIT CONTRACTOR INFORMATION:. .
BUILDING ADDRESS: PERMIT NO.
7585 DE FOE DR WESTSHORE ROOFING CO 01060009
OWNER'S NAME: APPLICATION SUB DATE
WANG ROGER 5869 WINFIELD BLV 06/01/2001
PHONE: SANITARY NO. CONTROL NO.
(408) 629-2100
G ZQ ARCHITECT/ENGINEER: BUILDING PERMIT INFO
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LICENSED CONTRACTOR'S DECLARATION
z�"� I Heron mon mm L am licensed anger ofChapter ter 9(commencing Job Description
G 12!RLicano,c]
� y a provisions o p g
�,— with fall force an of Divtsion3 the Businessa dP� sCed admylicense
6 qqm fall force �etfecl.13 ^J p REROOF.
yLicense Class Co tr /n n/
3e. Dine Contractor
ARCHITECT'S DECLARATION TEAR OFF WOOD ROOF.
y understand my plans shall b used public records INSTALL DURL I TE MONI ER SLATE .
to de w
p Professional
OWNER-BUILDER m the Contractor's
Ll I hereby alum that I am exempt from the Contractor's License Law for the
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'Q following mason.(Section 70315,Business and Professions Cade.Any city orcounty
f x❑ which requires a permit to construct,alter improve demolish,or rep y structure
t:ceaim 'prior toits issuance, 1 q _ the applicant for such polar to file asignedsmmmenD
Inat hbtlicensed p at to me'provisions afthe Contract License L (Chapter9 S Ft Floor•Area ii s Valuation
(commencing.,inSevon 7000)of Division 3 of the Businessand Profession.Code) .,,q'u ..v , f,5,
or that he Is exam t finuf roan and the basis for the alleged ezem tion.An "-
P P Y violation
of Section 703 f.5 by any applicant for a permit subjects the applicant to a civil penalty
'of not more than five hundred dollars 13500). . APN Number ,+r$'1 4(b"ancy Type
°I,as owner of the property,ad my employees with wages as their sole compensation,
Will do the work,and be imentroi,not intended or offered for sale(Sec.7pJ
Business and Professions Cede:The Contractor's License Law does not apply to an
35925019 . 00 Required Inspections
owner of property Who builds or improves damned,and who does such work himself
or through his mploye s provided thr such improvements am not intended or
offered fle It however the building imp vemenl issold within nine year of
completion,thel ilder will have the human of proving that he did not bit Id or 3 055 — FRAMEimprove
f p pnseofslf. 3.07.....-... INSULATION_.
°I .owner of je pro e.7 am Bus ly t I g Ih l' Thcoaacto t i
construct the project(Sec.7n 4 Business and Professions code)The Catamount;eo 6 01 - ROOF TEAR OFF
and who
Law does net apply m an owner of property who bit lass mp thereon,
dwnocontmas.ror Saari.proleeta wimaaommaa s),I Ganged.parsaantm be
_ . . 60.2_ .=_ROOF...PLYWOOD_.NAIL.
Contmcmr's License Law.
❑lam,examptand=rsee. ` e&Perar.mixre,.na 603 - ROOF BATTENS.. „
owner " Data - - 604 - ROOF IN-PROGRESS
WORKER'S COMPENSATION DECLARATION
_ -I hereby affirm under,penatry of perjury.one of the following declarations:
° I have and will maintaina'Certificate of Consent to self-insure for Worker's
Compensation, as provided for by Section 37W of the Labor Cade, for the
armancenfffiawnrk., 1'' rnthisp miosis,W. FINALED
°1 have and will mamiuin Worker's Compensation Insurance,as required by Section
i. d ft BLucia,Code far the performanceaof three woturner rk
for which this p itis
.. 3700 of ty. putore hVl
ad
Center CERTIFICATION OF EXEMPTION FROM WORKERS'A s�. t ' - ,i� i�.st. �I. - � cIr �.(I
., COMPENSATION INSURANCE ..a..
(Th s section retail be completed If the permit is for one hundred dollars ` "•I -
IE10d m less.)
I employ
that the perfottny m f the walk for wh ch this pemlit a sued I' t+
shall t marina
L ws person in any m s to Heroine subjen to the Workers'
Compensation Laws of California.Oam" -
Q 'NOAPPLICANT:If. o ' of Exempion,PolishuW'
become sub) the Walker Compensation np..fsdso Lunor Code you trust
forthwith coin IY w h such nhPe Shull betd d ..
+ +
revoked.
.V0 t , - CONSTRUCTION LENDING
END..I.N,.G-AG
ENCY' it
I h by'a t here enomination1 dog e y
battle Pcrnranc•e k for wh h th mis heated(S 3097 Cie.C
Leader N .. _ - .ii .
.. .. .. .. . ...... ...... ._...."._. .. . . . . . ". _ .._
Lou,
'I
_av -_. .. ___._ . .... . . ._..... .. ,..._..... . ... ... _ .. . ..._
der Address
ir, Iccrtfy.Ihallhave dn',im,liami.cmdt[ thtin be information is
acturect I agree to comply with all city and county ordinances J state laws relating
to budding constnimion,and hereby authorize representatives ofthls city to enter ripen
-the b f Jproperty for inspectionpurpose'.
A(W) get scemdo keepdl Cy ofCugamin
liabilities,judgments, I ti pewhich may in any ymage at said
City ommquenc of the graining of this pemt
- '
•APPLICANT UNDERSTANDS'AND WILL COMPLY WITH ALLNON-POINT'
Issued by: Da[
SOURCE REGULATIONS "4.i
- $gman,of A,pIiamWComm`m'L '- Date Re-roofs
n HAZARDOUS MATERIALS DISCLOSURE'Will i 'a„p) atfIblag ocpn :innal
ue aep --Type of Roof -. _ .... .. .... _. _ r.. ... _
a d f ed by the Caperfirm Municipal Code,Chapter 9.12,and the Health and Safety
Code.Section 2551 (1
°t °N All roofs.shall be inspected priorro.any.roofing.material being installed... . _ ..
,. ,,,Will the applicant or future building eaupam are.equipment device,which If a roof is installed"without first obtaining an inspection,'I'agree toremovet h Mous tar I ums as defined by the Bay Are Au Quality Man merit
District? - ,. y g`1 . „all new materials for.inspection.,Applicant understands and will corn ly_with•_
0yes r' 0N. all non-point source regulations,. -
1 have read the'hare,
ideas materials requirements under Chapter 6.95 of the t
California Health&Safety C do Sections 25 05 25533 a d 25534.1 madmizand that
flhe a W aoequ emcurrentlywhich
t m that .my p ofla ernotify the --
occ pem of the requirements which m st b eopr or to s uantt+f a Cen E ate of;
Occupancy., Signature of Applicant Date
'Owner or,auth reed a gem' r - Date All roof coverings to be Class `B"or better
._ .. - .
' " . . .. .. i OFFICE- ... .. . . ..,. . _. -.., _ . . "_ . . . . .