08100032 CITY OF CUPERTINO a,�n�9,� # 7__.�,.-- x.� "b'I*&,7777w,�-�t °'
BUILDING DIVISION PGRMITOVA
BUILDING ADDRESS: PERMIT NO.
10721 WUNDERLICH DR EASTMAN ROOFING & 08100032
OWNER'S NAME: Mlibur ISSUE DATE
ma MARK CONOVER 10/06/2008
NE: (408) 971-9000 SANITARY NO. CONTROL NO.
ARCHTIECnENGTNEEA:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
�0z LICENSED CONTRACTORS DECLARATION
U
1 hemby Nims that I ane licensed under provisions of Chapicr 9(commencing lob Description
_=yNiNSectian]q1U)ofDMaine3oftheBusinessandPmfessionsCode.andmyliccnseis RE–RF T/0 EXT RF& INSTL NEW PL & NEW SHNGLS
full forte and effect.
,q? Licesmha�us Lia.• U 17 . 5SQ CLS A, BSL RENWED #22140 1006208
nt- Dse convenor
e ' _ARCHITECTS DEC 1
U 1 undersuoJ my plans shall W used u public records .
kA
mmd� Liccued Professional
OWNER-BUILDER DECLARATION
no I hereby.(Sero that 1 1. ucmpt from the fesnions Co License law for tW
0 0 whichfollow.:moon.permit
i ]0313.Business and Professions Code:Any city .county
$ which mqui sa a permit re mires ft ouer.W for such
h Kradmemhot m e pair hay avumum
_Z prfeab itsissuance.purshout wThe ftapplicantfor Contrarmn'SLicmmLaedaabmcm
thuWis Bccroedpurnunt btW of Division 3 WCanuactofaniamc lawsCode)9 Sq.Ft. Floor Area Valuation
e 5 g (nmTmcnc acro th Satin t and Th Division theof a Businescru d on.An predications Code)or $16504
— that io G eaL5 b Nemfrom and The arms for the vllcgcd caempuen.Any viola lty of
Sanson]031.5 by any applicant fm a permit habjccta Ne appliwmt b a civil penalty ofNumber - Occupancy Type
rot mart thar fico hundred 0alWs(2500). 37529001 '�(� p y YP
01.uo oflWpmpcny,mmyeroploywwithwagesu Noirhalesompe don,
will do the wmlc and the swcture G net imm�ded eaeRerttl tarsale(Sou.]01a,Businrss
and Professions The s CodCharacters I.ibeue Law deo nut apply had awrcr of Required Inspections
own ertywW buildsaimphat such
uImprovements
duesouchwhat dreafea Uuouymhu
own however.
employees.providedNalsuchimphawnentaartnot intended dreamed for sale.9.
howtleor the building or Wpmwmnnt inGhat thin as year of completI.,.fon.r
acep.of
Wilder will haw time Wndrb of proring Nos W did not Glib ea imphaw fa pugox of
sale.).
0 I,u Owner of The property.am e.cluively contracting with Iia:uW contractors TO
commucl the project(Sec.70sa,Business and Professions Code:)The Contrvcbra Li-
ceme law ductnot apply b an hew of properly who Wilds Or Improves thereon,and.
who contracts for such prolem with a comerchor(s)licensed pununt to tW Contractors
Line.law.
0 lamctemptunderSee .Bh PC fm Nu mason -
Owner Dae
WORKER'S COMPENSATION DECLARATION
I hereby air=under penalty of perjuy one of The following demaratiens:
I have and will mountain aCutificte of Consent to self-insum far Worthen'.Gunnison-
Won.as provided for by Section 37W of the Labor Code,for the Performance of tW
weak for which this permit is issued. .
0 I have and will maintain Wrotham Compensation Issuance,u required by Section
3700 of the labor Code,for the performaace of ace wort for which this permit I.ivued.
My Wodmes Compensation hwrmanoriv and Policy number
Cartier.11D II&C
DII&C �iriY Policy No.: O O (J
CERTI11 OF MON FROMWORKERS'v
COMPENSATION INSURANCE
Oho nation need not In,completed if Ne permit is for.hundred dollar nlW)
or leu)
I cerdfy that in the performance of the work for which This permit is issued I slWl net
employany,com in any nue tsou in become subject in ft Wasters Compensation
laws of cAlif..i..Dab
Applicant
NOTICE TO APPLICANT:If,after mating This Ceniaom of Esomption,you shout
become subject in the Wortela Compensation provisions of thO labor Code,you muss
,JO forthwith comply with such provisions Or Nu Permit 511211 be d¢med revoked.
CONsr BucnON LENDING AGENCY
'T+ I hereby affirm Na Nem Gaconaruction lending agency for the,pmimmarec of
CL the work for which this permit is issued(Sec.3097,Civ.C.)
Landers Name ,
z Lunettes Address
U Q 1 certify that 1 have rad this application and sub thou dm:Ww information is
ty !' coned.I agme b comply withall city and county oNiunma and stale Iowa telating b
5L^J Wilding construction.soul Thereby automation representatives Orion,city b mTv upon Ne
W above-mentioned property for inspection purposes-
TWO)agree to save,indemnify and gap harmless the City of Cupertino+smut
0,1 Iiebilide..udgmenu.caro and espeuct which may to any way amus aguut said City
Uz in canxqueme Of the swung of this Tacit.
.. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:9 Date
SOUR ULATIONS.
Ck 1, L` 12�Z 10 6 Re-roofs
Siymuure of APpllctnrContracomm ane
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will ace applicant our future Wilding occupant sort or handle locations material
u dtfined by ace Cupertino Municipal Code.Chapter 9.17,and db Health and Safely
Code,Section 25532(.)] ...rrr All roofs shall be inspected prior to any roofing material being installed.
GYns NNo
Will the applicant or
Toronto aeupam be equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
OIL hanudnu air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. -
Disuict7
0Yu ON.
I have mal the hvallousmveAals requirements under Chapterd.95oftie Califar-
dos anlNAently Code,ScWoT,Und It myresp33 125534.1 to manly
and the occthc Wilding
does rot currently have•.-.....L Oat It u 55 eapoMNi.Im ratify the Oaophat of Nc
mqJ'r�nu whichmustWmelporto ois Cour, ofO=pwm,, p
(1��]/ Signature of Applicant Date
owndroraauihammol�nT e "`— i. Lr�ln�. All roof coverings to be Class'%¢"or better
CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: pdtg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
'APN . . . . . . . . . 37529001 . 00
DATE ISSUED. . . . . . . : 10/06/2008
RECEIPT # . . . . . . . . . : BS000006286
REFERENCE ID # . . . : 08100032
SITE ADDRESS . . . . . : 10721 WUNDERLICH DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . .. MARK CONOVER
ADDRESS . . . . . . . . . . : 10721 WUNDERLICH DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : EASTMAN ROOFING & W
CONTRACTOR . . . . . . . : JAMES EASTMAN LIC # 22140
COMPANY . . . . . . . . . . : EASTMAN ROOFING & WATERPROOFIN
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : SAN JOSE, CA 95126
TELEPHONE . . . . . . . . : (408) 971-9000
• FEE ID, UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
--- --- ---------- ------- -------- ------ ---------
1BSEISMICR VALUATION 16, 504 . 00 1.70 0 . 00 1 . 70 0 . 00
1BUSLIC FLAT RATE 1 . 00 110. 00 0 . 00 110 . 00 0 . 00
1REROOFRES SQ FEET 16 . 00 208. 00 0 . 00 208 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 319 . 70 0 . 00 319 . 70 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 319 . 70 #35087
---------------
TOTAL RECEIPT 319 . 70
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ------------- --------- -------- ----- ----------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
O
_„„ _ Community Development
10300 Torre Avenue
IN Cupertino Cupertino CA 95014
� Telephone(408) 777-3228
CITY OF Fax(408)777-3333
gCUPERTINO
.'- Building Department
JOB ADDRESS: PERMIT #
OWNER'S NAME: 7&A V L cz)ylO PHONE # — 51 V 3 j
GENERAL CONTRACTOR: -„ FAX #
4'pp a W,*— rO o 0-
I am not using any subcontractors: � I ►s -�ir 0 a
Signature Date
Please check applicable subcontractors and complete the following information:
60 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
0
Owner/Contractor 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 2007 IBC Standards
and manufacturers specifications on re-roofing.All roofs are Class "A"per Cupertino
municipal code 16.04.080.
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 policy on re-roofing.
Homeowner's Name: '/7&1'Jk L0 mb1 -e_s'
Job Site Address: o� y .� Q �Yt-
Roofing Company Name: L —`}4 y,-e v^�� (Xy n4l 3 v'k4
Applicant's Signature: VVt4r71 "t, - Date: • b 0 r�
Greg Casteel '
Building Official
Revised 07/30/08
U �/ ovo 2
-� CITY OF CUPERTINO
E�dk- REROOF
01 OF
•CUPERTINO PERMIT APPLICATION
APN #
,29 C) u / , Date: 1016
22�
Buildin Address: (�
Owners Name: Phone #:
Contractor: � (� Phone #: 9�) 90d fl
f6 o W�GWI J�t�o�� (,�fl Q�r 1f Fax #: q--p
Cupertino Business License #: av7 i q J Contractor License #:
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof .0---Built-Up roof
❑ Asphalt Shingles ,Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other (Specify) ❑ Other(Specify)
Number of existing covenn s ❑ Provide I.C.B.O. Report#
XTo be Removed �6 ❑ Provide Mfgr. Installation Specs.
Job Description:
n -_2
Residential CommercialYN
❑
Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if
Green Building Checklist & attach it to the application or if there are any restrictions: ❑
applicable, include in plan set & the sheet index.
Valuation:
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
.Signature
Revised 6/16/08
CITY OF CUPERTINO
REROOF
CUPEI,TINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1REROOFCOM Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
IREROOFRES Re-roof Residential B 1SFDWLROOF
1BSEISMICRE Seismic Residential B
1RER00FMRES Re-roofMulti-FamilyB 1MFDWLROOF
1BSEISMICRE Seismic Residential B
1BUSLIC Business License B
Revised 6/16/08