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02110091 CITY OF CUPERTINO � �* I _�,, � Buu.m vc DIVISION PERMIT CONTRACTOR INFORMATION: ( �;, 1, BulT&60&EsRANDY LN SCOTT MCLEOD ROOFING CO. PERMITNO2110091 SCHWAB MARVEL M 113 BEL AYRE DR. IP7pB194Ty2002 OW APPLICAT S LONE: (408) 296-8747 SANITARY NO. CONTROL NO. ARCHITF.Cr/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 OppLICENSED CONTRACTOR'S DECLARATION Job Descri tion w cc� 1 hereby affirm that I am licensed under pmvieiona of Chapter 9(commencing REROOF p ZZ with Section)f)(M�B of_Divis-ion1Sof the Businessand Professions Csxu,end my license is Zog{? License sL�ic.N¢j V / SFS,=QFQCW Da¢�� JJ ARC]IITECrj$ ECLARATION 5�a$< "fUndersland my plans shall be used as public records Wu �t� Licensed Professional H. OWNER-BUILDER DECLARATION z a<f I hereby affirm that I am exempt from the Conuanm's License Law far tbe $5400 a-O following mason.(Section 7031.5,Business and Professions Code:Any city or county S� which requires a permit to construct,alter.improve,demniish,or repair any structure re, prior to its issuance.also requires the applicant for such permit,.file a signed sulentem �x�x< that he is li.mied pursuant to Ne provisiomof the Commune.License Law(Chapter 9 Valuation (commencing with Section7O(g)of Division 3 of the Business and Professions Code)or Wt be 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 penally of PN NWARM Occupancy Type not mom than to.hundred dollars($500). 307 - INSULATION ❑I,es owner of the property,err my employers with wagesss Ncir sole comperwtinn, will do the work,and Nc structure is not intended muttered forsale(Sec.7W,Business and Professions Code:The Contactors License Law docs act apply to an owner of 602 - ROOF P nuc fiEns pmpeny who builds or improves thereon,and who does such work himself or through his Own employees.provided that uch improvements are net Intended or offered forsale.If, 603 - ROOF BATTENS however,the building or improvement is sold within one ycu ofcompletion,the owner- 604 - ROOF IN-PROGRESS builder will hats the burden of proving that he did not Wild or impmas for purpose of sale.). ❑I,a owner of the property.am exclusively contracting with licensed contractors to _t construct the project(Sec.70¢e,Business and Professions Code:)The Comracmr's Li. F -.. cense law does not apply to an owner Of property who Wilds or Improves thereon,and DL ,who omens for such projects with a eont e )licensed pursuant,.Ne Contractnh wQxxlAj e,.exempt under Secw'� _ BSPCfur Nis reasons'"'eOwner ATION X' WORKER'S COMPENSATION DECLARATION .a. I hereby affirm under penalty of perjury one of the,following declarations: 1 have and will maintain a Ceniticue of Consent to sel6imum for Worker's Compete satin,a provided for by Section 3700 of the ISWr Code,our the performance Of Ne work for which this permit is issued. ❑1 hive and will maintain Wofkerx Compensation Insurance.u required by Section 3700 of the LIM,Code,for Ne performance of the work for which this permit is issued. My Worker's Compensation Insurance carrier andP icy number am: Cam NO.. CERTIFICATE OF EXE NFROM WORKERS' OF ION INSURANCE (Thissectlon reed not becompleted if the Permit is for one hundred dollars(SINP) less.) 1 ccnify Nu in the ncc fomaOf the work for which this permit is issued.I Nall not emPloyany Pa any mannipcm tiF` nmc subject,.the Wnrkers'Compenation Lawsof Calif It LI- I - ApPli - Wemna.TO APPLICANT.If,after making this vismaaOf of Exemption,you should become subject y the Worker's Compensation permit of the Lente Code,you must OO forthwith comply with such provisions or this permit shall he deemed revoked. y CONSTRUCTION LENDING AGENCY [-. I hereby affirm Net there is a construction lending agenry fm the performance of the work for which this Permit is issued(See.3097,Civ.C.) 0. Q lender's NO 0 z Lender's Address U 0 I ccnify Nat 1 have mad this application and state that Ne above information is W E' corract.I agree to comply with ell city and county ordinances and sure laws relating to 0 U building conswction,and hereby authoriaa mpmsenutives of this city to enter upon the W above mentioned property for inspection purposes. h (We)agree to ave,indemnify and keep harmless the City of Against s against W liabilities,judgretocos,indemnify Andwhich keepmayinanyw City of eagunvsa achy V7 in consequence of the granting of this permit. F7 APPLICANT UNDERSTANDSAN WILL COMPLY WITH ALN-POINT Issued by: Date SOURCEREE��ULA ONi. � iif- P"C 1 Re-roofs S ic m of Applicanveamracmr Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will Na applicant or future building occupant some or handle hamrdous material As defrrmd by the Calamine,Municipal Cole.Chapter 9.12,end the Health and Safety ,MNLCod,term 15532od? KkNo All roofs shall be inspected prior to any roofing material being installed. Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove mIt haraNnue air contaminants as defined by the Bay Arca Air Quality Management all new materials for inspection. District? ❑Yes Wit Its real the haaNOus materials reyviremen,under Clupter 6.95of Nc Califnr- \ �7 doesioncumenfaty Code,Sections mut 05,itis yrespo1533i.l understand teoccue Wilding ( �f �'L �[ / -C,C_ docs notHealth 81Safet haveutcnann Naini, 33admsibility unnosilyd thatif Wilding ._AJ].V reyti me soh.hmyLh'rfetyrionoissuanceofaCcnifmauuf0.�pyt Ky" ignatureofApplicant Date Owner euthorirsJ agent` (loxia All roof coverings to be Class "B"or better • Building Division 10300 Torre Avenue Cupertino,CA 95014-3255 ` Telephone: (408)777-3228 coo Fax: (408)777-3333 CUPEkTINO Building DepaAment 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 V"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: T"e�� Cc,r-t q" Address: V S s(-) 2 A,vCf/ C'x (.v r a y<S a(c e Reroofing Company Name: sw til`Lc-•4 (?-0 z) � Applicants Signature: y Date: o r Y o Z Joe Antonucci (Chief Building Official) 6/25/01 CITY OF CUPER'I'INO BUILDING DIVISION PERMIT CONTRACTOR INFORMATION: BUILDINGADDRESS: HOT WATER INC PERMITNO. 21056 RED FIR CT 03010182 OWNER'S NAME: 2531 GRACELAND AVE APPLICATION SUB DATE ZIAOTING ANG 01/28/2003 NE: 650 298-8494 SANITARY NO. CONTROLNO. ARCHITECTIENGINLER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH �00 LICENSED CONTRACTOR'S DECLARATION Job RED, u1 1 hereby affirm that I am licensed under provisions of Chapter 9(commencing EUS{ with Section 7") f Division 3 of the Business and Professions Code, dmy license is 66:66 DI eend ✓�/ REPLAC ...WA RozEq4 � � O Z g Contractor o ARCHITECT,.S nECLAR 10 C ndcraund my plans shell he s puhlic records 3 IO- Licensed Professional y.LL O 1 OWNER-BUILDER DECLARATION _ u�<f I hereby affirm shat 1 am exempt from she Contractor's License Law for the s—p O following reason.(Section]101.5,Business and Professions GWe:Any city or county $� which requires a permil to conurun,alcor,improve,demolish,or repair any structure '^ prior to its icsimea.also requires the applicant for such Permit o rile a signed statement q�QxZx< that he is licensed pursuant the previsions of Ne Contractor's license l.ow(Chapter9 Sq. Ft. Floor Area .}`yft][.QIIOn aF$ (commencing with Section tIXXO nl Division3ol the Busitmss anJ Professions C9de)nr Beat he is exempt Bacchant and Be basis for Be,alleged exemption.Any violation of Section 9031.5 by any applicant for a permit subjects the applicant to a civil penally of e Occupancy Type not more than fire hundred dollars($500). ❑ Ido the work,the proproatur myemplended orowagemthei(vele compensiness will do the work,and the svucwmie not intended orofferedforsale(Sec.9044,Bminev 502 — and Profcomes Code:The Comracams License law does not apply to an owner of 506 - GAS Tquire nspec Ions property who builds or improves thereon,and who does such work himself or through his own employee.provided But such improvements are not intended or offered for sales If. 507 — FINAL PLUMBING however,the building or improvement is sold within one year of completion,lie owner- builder will have the burden of proving that he did not(mild or improve for purpose of sale I. ❑1.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.9044.Business and Prefmsiom Code:)The Contractor's Li- crew law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a conbemor(s)licensed pursuant o the Convector's License law. El I am exempt under See. B&P C for this reason Owner Data WORKER'S COMPENSATION DECLARATION 1 hereby spiced under penalty of perjury ane of the following declarations: have and will maintain a Certificate of Criminal nns self-insure m far Worker's Copre e ren,as provided for by Section 370X1 of the labor Code,for the performance of the work for which this permit is issued. 1 have and will maintain Workers Compensation Insurance,m required by Section 39(X1 of the Labor Code,for the permarroace of tha'�rk fm which this pevnit is iswed. M Worke`�'g�Q/nim. satin ulsance�g/�rticr ant is numMr �� Cartier:J-I�s / r�tstfY PoI No I S CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thisscomm need nos he completed if the permit is fortune hundred dollars(5101) bl less.) I certify that in she performance of Ne work for which this permit is issued.I shall not employ any perwn in any manner to m to become subject o the Workers'Compensation Laws of California.Date Applicant NOTICE TO APPLICANT:If,after making this Cenificaw of Exemption.you should become subject to the Worker's Compensation previsions of the Lahm Code,you mum OO forthwith comply with such provisions or this permit shall he deemed revoked. zCONSTRUCTION LENDING AGENCY 14 (—i I hereby affirm Nat there is a construction lending agency lou the Performance of ;� the work for which this permit is issued(Sec.3099,Civ.C.) aQ lender's Namc z Lcadres Address U Q 1 certify that I have read this application and state that the above information is I. F correct.I agree to comply with all city sod county ordinances and state laws relating to Q alownglmournai m and hereby euthonm ponar, mives of this city to enter upon the W shove (Wa)agree Property far indem indemnify an keep hs. (We)¢gree m save,indemnify and kith hay in an the City of Cupertino s against fag liabilities,judgmentsecosts and g expesseawhich mayinany way acetue against said City V A APPLICANT 9f DERST ng of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL N N-P T Issued by: Date RE LATICES. �h Re-roofs Signamer of ApplicanuConoacusr On HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applies urfuwre building ocrupans more or handle hazardous material as defined by the Cor inn pal Code,Chapter 912,and the Health and Safe,, nde.seeannzss3xar! ❑ Yes All roofs shall be inspected prior to any roofing material being installed. Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection, I agree to remove hermdoue air contaminant es defined by the Bay Area Air Quality Management all new materials for inspection. act, 0 No Ihavc maJ NclumNnus matrialsmyuiremems under Chap 695 of the Califoo- is IN&Safely CoXk,Swuom$583,25511 end25514.1 un@rs mifdm hui ding . (all have a Rnan4 Not it is my respnnsibilily slily tq�npant the ucryCys w�yIt must M met prior w issuance of a Cenfld% Cul4gG' Signature of Applicant Date Owner nr anthnrized agent (� D r All roof coverings to be Class "B"or better