BLD-2021-1184BUILDING PERMIT
CUPERTINO
CITY HALL
10300 Torre Avenue • Cupertino, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS: 10553 MILLER AVE Cupertino
APN: 369 16 023
PERMIT NO: BLD-2021-1 184
OWNER'S NAME:
OWNER'S PHONE: Not Provided
CONTRACTOR: ROOFS BY REVEILLE INC, 545-D 59363 MERIDIAN AVE SAN JOSE
CONTRACTOR PHONE:
DATE ISSUED 6/21/2021 4:45:11 PM
ISSUED BY: JASMINE ARCHBOLD
VALUATION: $25830
JOB DESCRIPTION
RE -ROOF; TEAR -OFF; INSTALL COMP SHINGLES - (26 SQ)
LICENSED CONTRACTOR DECLARATION
9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full
CONTRACTOR:
LICENSED
C39
LICENSED
EXP
07/31/2022
I hereby
force
I hereby
ROOFING
DATE:
and
I have
for
I have
I certify
with
ROOFS BY REVEILLE INC
CLASS:
NO: 1016519
affirm
effect.
affirm
and
which
and
that
that I am licensed under the provisions of Chapter
under penatiy of perjury one of the following
will maintain a certificate of consent to self
this permit is issued.
will maintain Worker's Compensation Insurance,
in the performance of the work for which
laws of California. If, after making this certificate
such provisions or this permit shall be deemed
three declarations:
-insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the
work
as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's
of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith
revoked.
V
issued.
Compensation
comply
HAZARDOUS MATERIALS DISCLOSURE
Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance
I have read the hazardous materials requirements under
the Cupertino Municipal Code, Chapter 9.12 and the
V
with
equipment
Municipal
Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use
as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino
Sections 25505, 25533, and 25534.
or devices which emit hazardous air contaminants
Code, Chapter 9.12 and the Health & Safety Code,
EPA LEAD -SAFE DISCLOSURE
for this project.
Firm Certification No:
An EPA Lead -Safe Certified Renovator will be responsible
Firm Name:
No EPA Lead -Safe Certified Firm is required for this project.
Certified
V
CONSTRUCTION LENDING AGENCY
lending agency for the performance of the work which this permit is issued (Section 3097, Civil Code).
Lender's Address:
I hereby
Yes
affirm
under penalty of perjury that there is a construction
No
V
Lender's
Name:
APPLICATION CERTIFICATION
above information is correct. I agree to comply with all city and county ordinances and state laws relating to building
to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep
costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,
source regulations per the Cupertino Municipal Code, Section 9.18.
I certify
construction,
harmless
the
Signature:
that I have read this application and state that the
and hereby authorize representatives of this city
the City of Cupertino against liabilities, judgements,
applicant understands and will comply with all non -point
Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 365 days after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period
of 365 days after the time the work is commenced.