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CI TY OF
MSIONSINO
CONTRACTOR INFORMATION:
BUILDING DPERMIT
BUILDING ADDRESS:
PERMIT NO.
20061 SUISUN DR
CALIFORNIA SECURITY ROOFING
02090114
i�'�NM4 AFLATOONI
90 UMBARGER RD
APPLICATION SUB D9TE
09/18/2002
IPHONE:
(408)363-6400
SANITARY NO. CONTROL NO,
ZO ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
iof Cs Code, and
I hon 7000Br Nai l am licensed under and Profitlicense
w wird Section ]BBB) fDivision3af N<Bu end Pmfcssionx Code, vnd my license
Jobcrlptlon
REROO F rlSG� V
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undcmund my plans sh use rccorJs
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Licensed Professional
OWNER -BUILDER DECLARATION
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1 hereby affirm that I am exempt from the Conoamr's License Law for the
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a following reason. lSection 7031.5. Business and Professions Code: Any city or count
$8500
which member a perm t to construct.Iter, improve, demolish, P y s vuaure
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e� .prim to t , also requiresth ppLwnt for such parout to file a signed staturrecat.
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Valuation
- that be is liciessidponsurnina to the pirsovirsonsoftheConunctors License La(Chaptery
Sectio 7000Xf Division J Burse d Professors Code)
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or Nat he is exempt thercrsom and the hasis for the alleged exionpdoh. Any violation
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-of Sectiom]03 1.5 by any applic sht for o peril subjects the applicant o a civil penalty
AP
n Occupancy Type
iof.WE marc than five hundred ang.(5500).
305 1IP>:T
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°I, as owner of Ne property, or my employees with wages as their sole compensation,
307 - INSULAT N
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601 - ROOF TEARe4�i'rFd Inspectionsl. ` ".II 1!!
-will do me'worIL Tuna Ne'stmcmre i5 not rmendeJ Lr offered far 'sale (Sec 7841;--
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Bu ss eArd Professions Codc: The Commucmr's License law does not apply to an
owner of property Who builds or impraves thereon, and who does such work himself
602 - ROOF PLYWOOD NAIL
or through his n employees provided that such improvements not intended or
-: Bm Rf- lelrh a builang or improvement s sold within one Yed ar
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..'_.._......603 -..-.ROOF BATTENS - \ \`.: - v.1 f ifo
competion the owner Wilder will have the burden of moving that he did not Wild or
improve for purpose of ale.).
604 - ROOF IN -PROGRESS'
O,1ownerof Ne property. am eselusvely committing with licensed commnors to
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onssruset the project (Sec. 7841, Business and Professions C^dc:) The Contractor's
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License Law does not apply to an owner of pmpery who builds or improves hereon,
._.and.who contracts. for. such projects -with. a.contructur(s).licensed pursuant. W. Ne.
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Committees License Low..,.
r ❑lam exempt under Scc.' .B&PC for Nis mason
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Ovner+" •. ' Iba Date l•. .• . • ,. .
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-' WORKERS COMPENSATION DECLARATION
I"" thereby abrin underpcoalt of perjury,ongcorthe follow ingdecmmtions:-
❑ I nave aria will mmamin'sa Ccnircate'ol`Comenno self -insole for Wmim s
Compensation, as provided for by Section J'/W of the Labor Code, far he
performance of the wurk,for which Nis permit is i.ssucd. \
° 1 have and will iriaialan Workers C.impcniutio,i Insurance. as regdimd by Section
3]00 fth L hor Code, I due p }for c at the work f which this'pet k
- ,ss ed My Work rape, sato Insurance came and P I y mbar
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1 {']CERTIFICATION OF. EXEMPT] OMWORKERS,,
COMPENSATION SURANCF
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n11. fThrau:i,df he perms is for arc handed! dollar,
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IS llgl ar las.l ,
Ioerdfythvtn th pert cat th< ork'( Itch N. perm u. i<. d;1�••�-
i is .ill': uastD:,If:(,i
lihull not employ coy ', . many mu m r iu a, T, hero\ bject �o Nc W slats'
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Cn penal n Cow's of California, Dile
Affluent
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NOTICETO APPLICANT If. mmr mukt gih. CcArcme fE5 option, ymutgould
become subject to the Wbrker.% Curnpenisron provisions of the Labor Code. you must
.� fnnhwink comply with inch 'provisions or this permit shall this, darned mocked._
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,: ' -. �:'•' CUNSTkUCp1ON LENDING AGENCY
t '•' t is A.
• 1 hereby aRr that there is e cbneuucimn lending dgency for the pfsforence
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tie work far which this Permit is ionted (Sec: 309). Civ. C.)
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:a _.Lendds Name-^-"v..�;e:�_..... ,n .... _.
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�! I certify that 1 have read this application and state that above inforasion is
"unci. I agree to comply with all city': rid county ordinances and side laws relating
building contraction. and hereby authorize mpreanmove.a'of this city to emerupon
j&Ihe dovico reritu ned property (a, o"itinn purposes.,.... _. _..
Y (We)'agme to savaindemaify and keep hatmlcss the City of Cupenino against
n Iiubiliticti"Tdgmenis, m .rid. concave, which may in any way, uccme against said
Z_ City In coauqu Nag ung fth pc u.' .. ..
b'LDv-'ESO;SNDS WILL 'COS TH ALL YgV�POI
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[sued by; Date
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Re -roofs
- ofapvucanUContractor. ,') " . r.. Date ...'
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., building . n u I
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ortOeU Eieff�
Type of..Roof ._.... __.. _ _ .:,_... .... ...... ....... ...
th53)'fa)rnoAlu red Cud CM1 9 12 d Nc H IN and Safety.
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°YylI=2ARDOUS
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All roofs shall be. inspected prior to..any.roofing.material being installed.,.. ......... _
;,1 R II rite ppf s' qto rut m W le g p tpx eq p t m ce. xMch
If a roof is installed without first obtaining an inspecoon 1, agree to remove
ennit 6imahms air contaminant, d lfeiby the BiiyArc AitQ alit Management
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all new materials for inspection Applicant understands and will comply With
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all non -point source regulations iii,.. I F,;\,
,,-may.
't.' Inose mad he WaafdouS materials mquirermal, under Clumer.6.95 of the
C hf H a]in & S.fcl,,C.dc. Secdo 25505.25537 dd 25533 1 understand that
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res
JNeWIJ,doet TOO mutant, that iii my ponsibrhrym notifythe
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pat f qu ms which mass, be t prior to uarrce r S Cerr(case of
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azure of Ap�ca. Date
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.Sign,
s to be Class "B" or better
suer or, outhonxd agem Dde..
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.. OFFICE ..__. ... . ... .... ... .. ..
Building Division
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: (408)777-3228
Fax: (408) 777-3333
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 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:
Address:
Reroofing Company Name:
Applicants Signature: Date:5;—
9 P ---9 zokw�
Joe Antonucci
(Chief Building Official)
6125/01