06090153 (2) CITY OF CUPERTINO "*�kst�r +n��"n+ ' '�'^f'f 7 (�'�z con,, , `w r
BUILDING DIVISION
PERMIT
BUILDING ADDRESS: TILDEN ENGINEERING PERMRND.06090153
46 E ESTATES DR
OW NER'S NAME: PERMIT ISSUE DAM
WHEELER ROBERT P O BOX 19249 09/19/2006
ONE: SANITARY NO. CONTROL NO.
(510) 467-0462
ARCHITECIENGINEER: BUILDING PERMIT
BO O PLUMB MUCH
;ao LICENSED CONTRACT'OR'S DECLARATION Job Description
I hereby affirm that 1 am licensed under provisions of Chapter 9(commencing
i< with SectionTIXkB of Division 3 ofthe Besircu and Professions Count.and my license
retrain r REROOF- TEAR OFF, REPLACE WITH PLYWOOD & SHINGL
;'q":_ L;ee las. _?9 crla 21 SQUARES, CLASS A
i:c D.te con DELL
AR mill
DECLARATION f�� I underwn my live slWl W used u public rtrorm
in
nd� Limited Pmfeasianal
y� OWNER.BUIIDER DECLARATION
1 Wrehy M.
that I em exempt from the Contractors License Law for me
p o following reason.(Section 71313,Business and Pmfeuiom Coal:My city of manly
$ which requires a permit to convect,almr,tmpmve,demolish,at repair my structure
�Z(r^ pdorm its ismance.alaomquims the applicant forsueh fcrmitmfilc aligned statement
<
that he isllcensed punuenlusW previsions ofthelConarmur'l Lkene law(Chapter9 Sq.Ft. Floor Area ValDatt�iod 500
i�m (commencing with Schon 7000)of Division 3ofmc Budnmand Prefminns Cadc)ar
$ this he is exempt therefrom and cite basis fm the alleged exemption.Any violation of
Section 70313 by any applicator for a permit subjects dul applicant to a civil penalty of qPN Number Occupancy Type
not come than five hundred dollars(3500). 3 6 924015 . 00
❑1,u mom of the propeny,m my mploym wire wage u dnir wlceompensadon,
will do the walk.and IIID etmeam,is not NlenACA"offered formal,(Sce.TDH,Business Required Inspections
YW Prefeed0as Col.The Gomnemes L;RNe Vw dm sal apply an m awRr of
property rho Wilds or improves thermn,ad who dmauch work himsGrmamugll he
own employees,provided that such improvements are not Intrad oro@led fmaale R,
however.the building or improvement is sold within.e year of compedoa.the manor.
builder win have the handful of proving dull be did not build m improve fm purpose of
man.).
❑1.a owner of am property,am exclusively realizing with licemend conuanors at
consumer the project(Sac.7041.Business and Pmfesdou Cods)The C.mcur's Li-
mine law does not apply u an awm of properly who builds or impmw Nem.,and,
who counters for such projects with a commumar(a)licensed punvm an the Conuazoes
Liceve Law.
❑]am exempt under Sec. .B 6:P C for mil mason
Owner Data
41 WORKER'S COMPENSATION DECLARATION
I hereby afRm under peoulty of ped,ey one of me following dmlam0av:
I haw and will mums a Crntfieom of Covent a aelM1buum for woemescompen-
ssuian,an provided fm by Svuie,n 3700 of the labor Cade,for Ik perform.of the
wart for which this permit is sound.
❑1 have and will mainrsin Workers Cam ban Inclusion.u required by Section
37110 of am labor Code.fm the perfamanre week for which this permit is Issued.
My Workds CompensWon I.nPolicy num
d Policy are:
Carie. Policy�� Policy No.:
ICERCATIK&MON PROM WORKERS'
COMPENSATION INSURANCE
(This seed.need cot ths, I iron pcmtt is f hundreddnllan(SI00)
or Ice.)
1 cenify that In theperformance of du rk for wh' th perch Is iamod,l shall not
employ any person in any manner m bearers j to the Workers'Compensation
Laws of California.Dam a
Applicant
NOTICE TO APPLICANT:If,der making the Certificate or Ea mpsion,ymu mould
become subject an the Workers Compensation provisions of me labor Cdr,you most
O faMwith comply wire such provisi.a m me permit.hall W rumored revoked.
Z CONS RUC ION LENDING AGENCY
E.r I totally affirm that dmrt is a eommaction lending agency for ran,perfamame of
(>r r7 the warle for which the Permit is named(Sec.3097,Civ.C.)
(y 0 Undoes Name
lenders Address .
U6 1 certify that I have lead this application and sum that the above information Is
D. (, cored.I agree to,comply with all city and county ordinances and sou lam relating to
�U building construction.and hereby aumome representatives of this city to enter upon the
W above-mentioned property for impeedon parpoeee.
h C1. (We)agree to eve,indemnify and kelp hamlets the City of Cupertino against
Tag liabilities,judgments,coats and expeoues which may in any way acme against midCity
U Z to cmuct,mnce of me gnndng of mit petal /-
s••i APPLICANT UNDERSTAND ND COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE REGULAT qNS.
L q q ` Re-roofs
Signatuleof ApplichoVCo uacsor Dm
H US MATERIALS DISCLOSURE Type of Roof
Will the applicant or fauna Wilding mmpansatam ser handle huaAou material
as defirted by the Calamine,Municipal Cade.Chapter 9.13,and the Health and Safely
Code.Section 35530(a)T All roofs shall be inspected prior to any roofing material being installed.
'Yen Na
OVIII the applicant,m future Wilding relapses use equipment m devim which If a roof is installed without first obtaining an inspection,I agree to remove
Ihaudnus air conuminanu u and by me Bay Area Air Quality Management all new materials for inspection.
District?
❑Yes Na
1 have mad the hasak.s materials requirements under Chapter 6.95 alum Califor-
ols Health&Safcty Cadc,Soldov 25M5,25533 and 75534.1 undimmed thatirme Wilding
dm not eumntly hast•u ane mal it i y mspomihllity,u noul'y,the meupsm of am
reyuirtmenrs which oat mel pilar uanco oft CcnifAmaM6 Signature of Applicant Date
Owncrmam oriud ant —f ])am All roof coverings to be Class°Bo or better
CITY OF CUPERTINO
•em 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 36924015 . 00
DATE ISSUED. . . . . . . : 09/19/2006
RECEIPT # . . . . . . . . . : 36119
REFERENCE ID # . . . : 06090153
SITE ADDRESS . . . . . : 846 E ESTATES DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : WHEELER ROBERT
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : ,
RECEIVED FROM . . . . : KAVOOS FAED
CONTRACTOR . . . . . . . : KOWOOS FAED LIC # 28254
COMPANY . . . . . . . . . . : TILDEN ENGINEERING
ADDRESS . . . . . . . . . . : P 0 BOX 19249
CITY/STATE/ZIP . . . : OAKLAND, CA 94619
TELEPHONE . . . . . . . . : (510) 467-0462
•FEE ID UNIT QUANTITY AMOUNT PD-:TO-DT THIS REC NEW BAL
---------- ------------- ------- --- ---------- ---- ------ ---------- ----------
BPERMFEE VALUATION 4 , 000 . 00 104 . 76 0 . 00 104 . 76 0 . 00
BSEISMICRE VALUATION 3 , 500 . 00 0 . 50 0 . 00 0 . 50 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 105 . 26 0 . 00 105 . 26 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ------------------
CHECK 105 . 26 253
TOTAL RECEIPT 105 . 26
•
Community Development
10300 Torre Avenue
WC1OF Cupertino CA 95014
Telephone(408)777-3228
Fax(408)777-3333
46UPEI�TINO
Building De artment
JOB ADDRESS' PERMIT#
ik46 eF. D o &Y /r-=7
OWNER'S NAME: Zeal PHONE #
GENERAL CONTRACTOR FAX #
I am not using any subcontractors: /j 0
Signature Date
Please check applicable subcontractors and complete the following information
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
• Linoleum / Wood
Glass/ Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/ ontractor Signature Date
Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
• Telephone: (408)777-3228
Fax: (408)777-3333
Building Department
Subject: Re-roofing policy for the City of Cupertino
1. Prior to permit issuance,you must agree to comply with 1997 UBC Standards
and manufacturers specifications on re-roofing.
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 re-roofing
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) Pre-inspection 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 a proper City inspection can be performed.
7. NOTE: If you call for a plywood nail inspection and the job is not ready,
you will be charged a re-inspection fee of$176.18. The re-inspection fee must
be paid before another inspection can be scheduled.
IMPORTANT:
1. Flat roofs must have a minimum of 1/4 " 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 on inspection.
I understand and will comply with the above stated policyoo re-roofing.
Homeowner's Name: DJ�/ 4:(z
Job Site Address: 1(#/�/ _
Roofing Company Name:
Applicant's Signature: Date:
• Greg Casteel
Building Official
Revised 11/2/04
CITY OF CUPERTINO �I
C REROOF
• CUPEkTINO PERMIT APPLICATION FORM
APN# n� / _O' y Date: 6Y
1
Buildin Address:
Owne 's N e: Phone#:
Con tof: License#:
45,
Contact: �D f Vii„ Cupertino BusinLicense #:
v` c Type of Roof Covering: L
Existing: Proposed:
❑ wilt-Up Roof ❑ B ' - p roof
Asphalt Shingles Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other(Specify)
Number of existing coverings ❑ Provide I.C.B.O. Report#
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
• I Have Read,Understand and Will Comply With Cu ertino's Tear Off Polic
Job Description:
Residential gar Comm cial nl �4
Fire Zone: Yes ❑ No Confirmed with Planning Dept. if
there are any restrictions: U
Cost f Project: 00. Type of Construction: ��J Occupancy grou :
Qty, if
Applicable Fee ID Fee Description Fee Group
BPERMFEE Bldg Permit Fees BUILDING
BENERGY Energy BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSEISMICOM Seismic Commercial BUILDING
BPLANCHK Plan Check Fee - BUILDING
BUSLIC Business License BUILDING
•