HomeMy WebLinkAboutBLD-2020-1385Permit.pdfBUILDING PERMIT
CUPERTINO
CITY HALL
10300 Torre Avenue • Cupertino, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS: 10768 JUNIPER CT Cupertino
APN: 342 57 050
PERMIT NO: BLD-2020-1385
OWNER'S NAME: BERGE ROGER A AND LESLIE C TRUSTEE
OWNER'S PHONE: Not Provided
CONTRACTOR: KENT ROOFING COMPANY INC, 1670 LITTLE ORCHARD ST SAN JOSE
CONTRACTOR PHONE: 4089714042
DATE ISSUED 9/2/2020 9:27:45 AM
ISSUED BY:
VALUATION: $2800.00
JOB DESCRIPTION
plywood install synthetic felt All new metal flashing Certainteed landmark pro composition shingles to
Removal of approximately 42 squares of wood shake Already has
manufacture specs and local codes
LICENSED CONTRACTOR INFORMATION
CONTRACTOR: KENT ROOFING COMPANY INC
LICENSED CLASS: C39 ROOFING
LICENSED NO: 957398
EXP DATE: 05/31/2021
I hereby
force
I hereby
affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full
and effect.
affirm under penatiy of perjury one of the following three
I have and will maintain a certificate of consent to self -insure
for which this permit is issued.
I have and will maintain Worker's Compensation Insurance,
I certify that in the performance of the work for which this permit
laws of California. If, after making this certificate of
with such provisions or this permit shall be deemed revoked.
and agree that I am electronically signing and filing
that I have the option of filing a paper copy of this application
declarations:
for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the
1
as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
is issued, I shall not employ any person in any manner so as to become subject to the Worker's
exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith
this application and that checking the box below has the same legal effect as manual signature. I also
with a manual signature but have chosen instead to file this application electronically.
work
2
issued.
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Compensation
comply
I understand
understand