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12040079CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11882 SHASTA SPRING CT CONTRACTOR: CD ROOFING PERNI'I NO: 12040079 OWNER'S NAME: YU RAYMOND 2909 WILBUR AVE DAIT ISSUED:04/16/2012 OWNER'S PIoNE: 4083386084 SAN JOSE, CA 95127 PHONE N0: (408)998-6605 LICENSED CON'rRACrOR'S DECLARATION r r /7 (� License c? J '� BUILDING PF,RNII'r INFO: BI.DG F,LF.0-1 PLUMB Class 1 Lic. is IS %4% . r' r r r ,xIF.CII RESIDENTIAL COMMERCIAL Contractor �>ay YJ l2Jl L Date_ /—/ - 14 2 hereby affirm that 1 am licensed under The provisions of Chapter 9 JOBDESCRIPTION: RI: -ROOF 23 SQ- R1'.MOVE AND Rlil'I.ACI$ X%100[)SI IAFI: (commencing with Section 7000) of Division 3 of the Business &Professions INS7 AL1. GRAND CANYON CONI' Code and that my license is in full force and effect. 1 hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the Sq. FI Floor Area: Valuation: S8500 performance orthe work for which this permit is issued- 1 have and will maintain Worker's Compensation Insurance, as provided f'or by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued r— .1 APN Number: 36655023.00 Occupancy Type: I APPLICANT CERTIFICATION I eerily that I have read this application and state dial the above i motion is PERMIT EXPIRES IF WORK IS NOT STARTED correct I agree to comply with all city and county ordinances and suite laws relating to building construction, and hereby authorize representatives of this city to enter WITHIN 180 DAYS. IT ISSUANCE OR upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS ROM LAST CAL ED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply Issued by: Dale: with all non -point source reg is per the Cupertino Municipal Code, Section 9.18, Signature Date Li /G /� RE -ROOFS: All root's shall be inspected prior to any roofing material being installed If a roof is installed without first obtaining an inspectio I agr a to remove all new materials lin inspection. 13OWNER-BUILDERDECLARATION I hereby affirm that l am exempt from the ConlractoPs License Law for one of Signature ol'Applicani: Dtac: L/— the following two reasons: L as owner ol'the property, or my employees with wages as their sole compensation, ALL ROOF COVERIN S TO BE CLASS "A" 012 BF; ITER will du the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 1, as owner of the proper), am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (See 7044. Business & Professions Code). I have read the hazardous materials requirements under Chapter 695 of the California Ilcalth & Safety Code, Sections 25505, 25533, and 25534. twill I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Ilcalth & Safer Code, Section 25532(1) should I store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the labor Code, for the air contaminants as defined by the Bay Area ,Air Quality Management District performance of the work for which this permit is issued. will maintain compliance with the Cupertino )lunicipnl Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Ilealth & Safety Code, Sections 25505, 255 un 5534. Section 3700 o the labor Code, for the performance of the work for which this permit is issued. Owner or authorized agent: Data / G I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's' Compensation laws of California. If, after making this certificate of exemption, I CONS'l RUC- HON LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency lin the pert'ormance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Seo 3097, Civ C.) Lender's Name Lender's Address APPLICANT CERTIF'ICAT'ION I certify that I have read this application and stale dial the above information is correct I agree to comply with all city and county ordinances and stale laws relating to building construction, and hereby authorize representatives or this city to enter upon the above mentioned property for inspection purposes. (We) agree to save and keep harmless the City of Cupertino against liabilities, judgments. ;AR(:1II'fEC'1"S DECLARATION costs, and expenses which may accrue against said City in consequence of the I understand my plans shalt be used as public records. granting oflhis permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date 3 ITEMS OF 3 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 36655023.00 DATE ISSUED.......: 04/16/2012 RECEIPT 4.........: BS000016545 REFERENCE ID # ...: 12040079 SITE ADDRESS .....: 11882 SHASTA SPRING CT SUBDIVISION ....... CITY CUPERTINO IMPACT AREA ....... OPERATOR: SylviaM COPY # : 1 METHOD OF PAYMENT ---------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 323.85 --------------- 323.85 VOICE ID DESCRIPTION -------- ---------------------------- 309 EXTERIOR LATH 601 ROOF TEAR OFF REFERENCE NUMBER -------------------- visa VOICE ID DESCRIPTION -------- ---------------------------- 311 SCRATCH COAT 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS 605 FINAL REROOF OWNER ............: YU RAYMOND ADDRESS ..........: 11882 SHASTA SPRING CT CITY/STATE/ZIP ... : CUPERTINO, CA 95014-5107 RECEIVED FROM ....: CHARLIE DUONG CONTRACTOR .......: CHARLIE DUONG LIC # 28245 COMPANY ..........: CD ROOFING ADDRESS ..........: 2909 WILBUR AVE CITY/STATE/ZIP ...: SAN JOSE, CA 95127 TELEPHONE ........: (408)898-6605 FEE ID ---------- UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL 1BCBSC ----------------------- VALUATION 8,500.00 -------------------- 1.00 0.00 ---------- 1.00 ---------- 0.00 1BSEISMICR VALUATION 8,500.00 0.85 0.00 0.85 0.00 1REROOFRES.SQ FEET 23.00 322.00 0.00 322.00 0.00 TOTAL PERMIT 323.85 0.00 323.85 0.00 METHOD OF PAYMENT ---------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 323.85 --------------- 323.85 VOICE ID DESCRIPTION -------- ---------------------------- 309 EXTERIOR LATH 601 ROOF TEAR OFF REFERENCE NUMBER -------------------- visa VOICE ID DESCRIPTION -------- ---------------------------- 311 SCRATCH COAT 602 ROOF PLYWOOD NAIL 604 ROOF IN -PROGRESS 605 FINAL REROOF CITY OF CUPERTINO FEE ESTIMATOR -BUILDING DIVISION 1AADDRESS: 11882 Shasta Spring DATE: 04/13/2012 APN: BPH: REVIEWED BY: Sean 'VALUATION: $8,500 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY SFD or Duplex USE: lilac. Permit Fre: PENTAMATION 1SFDWLROOF PERMIT TYPE: WORK I Remove and replace wood shakes and install Grand Canyon composition 2300 sq ft SCOPE Phm,b. hegl. Fee: FEE ID ROOFAREA s.f. iREROOFFRES 2,300 i` .1 le, Ilam Check Phimb. Plana Chock Elco. Plan Check M"':h. l'; rmil Pee: /'hind. Pennir Pea: lilac. Permit Fre: Usher He, h. Ine'p. Other Plumb In VI). Chher Elec. Insp. dlcch. b,.,p. Fee: Phm,b. hegl. Fee: filer. Inv'. Gee: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These fees are based on the oreliminarv, information available and are only an estimate Contact the Dent for addn 7 info. FEE ITEMS (Fec Resolution 11-053 EO' 7/1/11) FEE QTY/FEE MISC ITEMS Phin Check Fee: .Supp/. PC Fee l'lumb.!a•/c•ch. /Ii lee Permit Fee: $322.00 Supp/. Insp Fee l'luut hid•Irrlr./Li l cc Plumb. /jIlech./Flee Perwil Fee C'unslowlion Tax. ;Idlnini.cirutive sic: Work Without Permit? 0 Yes 0 No $0.00 Advanced Plaiming fees: � Travel Docrunelnaiion Fees: Strong, -Motion Fee: /BSEISMICR $0.85 Select an Administrative Item 131de Sids Commission Fee: IBCBSC $1.00 SUBTOTALS: 1 $323.85 $0.00 TOTAL FEE: F $323.85 Revised: 04/01/2012 CUPERTINO REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, P.E., C:B.O., BUILDING OFFICIAL 10300 TORRE AVENUE - CUP.ERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333-.buildina(a)cuoertino.ora PROJECT ADDRESS Il S?K C}, c TH ��a 1,,/(- APN u OWNER .`'AME SIN r'r u PHONE _ /JC;1K-.��"-i6)'_ E-MAIL _r STREETADDRESS _ CITY. STATE. ZIP ` FAX CONTRACTOR NAME LICE,ISENUMBER LICENSE TYPE BUS, LIC -0 COMPANY NAME y-� E AIL �/ FAX _ -D - STREETADDRESS ' CITY,STATE. ZIP f -7 PHONE !v; 1 UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re -roof project shall comply with all applicable provisions of the 2010 California Codes. 2. An inspection request can be scheduled up to the day before the inspection date. Please call (408)777- 3228 from 7:30 - 3:30pm (Mon-Thurs) or 7:30 - 2:30pm (Friday) to schedule.the next day inspection. t I { r, !. �,. ," For Tear; Off and Nailing Inspections; you must also call on the day.bf the inspection only, after that phase of the work is.completed.I,The building inspector,W'ill be available within one hour. Progress and -Final' Inspect ons wi11 be given attwo hour window. 3. 1 ff Tear-OInspection Is'reuulred. Any and all�dry-rotted wood shall be replaced prior -to this inspection. Unless new prlyw�d roofsh`eathing is proposed throughout jail tbe;gails/fasteners.shall-be eithern Frc_� completely knoclfed-down or removed prior to this inspection. %. -.�::f(-)cJ i,f%�'-CiR° yiL1C_ I .�� 4. If plywood is installed, a plywood Nailing Inspection is required. 5.. Roofing shall not be a ed without first obtaining all prior inspection and written approvals from the ' building inspector. At1 foofing_which is�applicdrwithout first obtaining an approved inspection will require the removal of all. new material down to the sheathing so a proper inspection can be performed. r I ., I" 0c. -I( t Lki L 6. Progress Inspection is required when pproximately 50% of roof covering is installed. �r. 7. A Fin�l Inspection and approval shall be jobtained from the building inspector. when the re -roofing is completed. To receive a final sign -off, the following items will be verified: k a.Flat roofs,shall have a minimum of Y<" per foot of slope and,demonstrate there is no ponding. 1 A b. Listings"from approved testing agencies for all pre -manufactured products used shall be available on-site to review at the time of the inspection. c. Proper spark arrestor installation, vents painted, gutter/downspouts installed, debris removed. 8. NOTE: If you call for atear-off or plywood nailing inspection and the work is not complete, you will be charged a re-inspection•fee of $126.00. The re -inspection fee shall be paid before another inspection can be scheduled. , By my signing below, I certify each of the followitieis true: I am the property owner or authorized agent to act on the property owners behalf. 1 understand and agree to comply with the re -roof policy stated above. 1 also understand that smoke detectors and carbon monoxide detectors are required to be installedin accordance with Sections R314 and R315 of the 2010 Califomia Residential Code. Signature of Applicant/Agent: '/ '� Date: Z — /7 1 Z— f Seven Springs Owners Association Application. for Approval of Architectural Change/Addition CATEGORY C Category C - Modifications that are exterior modifications with no changes to the original building structure or floor plan. All roofing, siding, window material change, ezterioi paint color change, addition of a roof attic fan, or garage door, fall into this category. Date: C-ya /09 / 9X12 Request for Approval of Proposed Change PLEASE PRINT THE FOLLOWING INFORMATION Name: Sly-PK-wHAit JDW'A{1QAddress: kkgR2 SAAStV A CEJ � Qs�11�tUi Home Phone: Work Phone:email: Shirk Ham• (ZyDARAjJ Description of Proposed Change:' Lift u' fA. Paint Color Change: Please choose from "approved list" (Garage door outer trim should be diamond white or frost) \ New F_rrerior Siding Color .& Garage door(s) -some color, specified color s k), Trim color: diamond white I/or frost j Front door color: diamond white. frost : natural oak � or specified "approved color 2) Roofing Material Change (please check'one choice), a. Lightweight Concrete Tile from MonierLifetile - style "Cedarlite 5780", color "Muir wood•• b. GAF Laminated Fiberglass Asphalt - style "Grand Canyon", color "Mission Brown" c. GAF Laminated Fiberglass Asphalt - style "Grand Canyon", color " "Stonewood" d. Decra Stone Coated Steel RoodSystem- style "DecriShake", color "Shadowood" e. Class "A" Fire Retardant Roofing System using pressured treated cedar wood shingles with fire retardant fiberglass cap sheet underlay. Need to have a City of Cupertino Permit accompanying this application for all wood shingle roofs. 3) Siding Material Change (Please check one choice) New Siding Material: Hardiplank 'Cedarmill,(wood grain finish) V/ or Hardiplank Smooth Finish Which sides are you are changing material? (front _ back ., left right '/) O vt) •Orf-Ve, u �/' `� °'t' �' I� 4) Window Material and Design change: (Please check this box): Milgard Vinyl Windows - style luscany", color lite o CJA A� e- 5) Adding a roof attic fan, Tubular. Skylight, or satellite dish Please attach information regarding the proposed change. Application must include dimension, color of the proposed fan and itsj location on the roof. Please include detailed drawings, specifications, and product brochures if available. Tubular skylight up to 14'• diameter, one roof attic fan up to 26" in width & height —paint to march roof 6) Garage doors: a. Recessed wood panel, not raised in center same style for windows ("PLAIN" — non decorative) Style 84 (8 panels across, 64 (6 panels across), 44 (4 panels across). Style with windows or Style no windows b. Insulated wood, insulated metal w% wood facing or.'"Carriage House" style 303C windows 303 no window Homeowner's Signature: 1�1�OCQI� The request is in compliance with Seven Springs HOA Architectural Guidelines: http://seven-springs.org/files/architectual-guidelines.pdf ii 444 iiii!!H!4#q!}t!M!!!f!}}!}}}}!}}btlibltbtbtt RtttRbbti R#ttt#4!444!}!}!}!}!}IIIb Architectural Control Committee/Board: ApprovedPending Denied Pending Architectural Control Ce 1.27.1 1 cat C c(� REROOF PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO. CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building0cupertino.orD -�muNcl �(,� k►�,Sl��s �1�� oZU�Gv `7 PROJECT ADDRESS OWNERNAME& PRONE E-MAIL STREET ADDRESSCfCY, STAT�ZP' t9 G' C T r` FAX APPLICANT NAME PHONE �O STREET ADD S cea Pw CnY, STATE, I 4 ` FAX o si t2o ❑ OWNER ❑ OWNER -BUDDER ❑ OWNERAGENT ❑ coN croR ❑ CONTRAC DR AGENT ❑ ARCInTECr ❑ ENGPTFFFR ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME WCJ7JSE NUhMER LICENSE TYPE Bus. 11C.0 COMPANY NAME 6 FAX STREET ADDRESS CTTY, STATE, ZrP PHONE ARCHTTBCTIENGPIEEII NAME LICENSE NUhIBEA BUS. LTC Y COMPANY NAME E4AAIL FAX d h STREET ADDRESS AR CITY, STATE ZIP PHONE USE OF V SFD or Duplex ❑ Multi -Family, ROOF AREA: 7 VALUATfDN: STRUCTURE: ❑ Commercial y C-G� EXISTING ROOF TYPE: ❑ BUTLT-tP ROOF ❑ ASPHALT SHD1mFS000 s;:1 ❑ WOOD SFENM ec ❑ onim (SPECffY) REMOVEIREPLACE ❑ IF NO. PLYWOOD `❑ u" ❑ PLYWD I�TSB P=ROOF []No Y L7 " TYPE ❑ Cox =4 :12CLASS- A PROPOSED ROOF TYPES ❑ BUILT -TP ROOF T ST NM ES ❑ WOOD SHAKES ❑ WOOD SIENGLFS ❑ 07TR:R ICC -ES REPORT 9 DESCRIPTION OF WORK- p _ By my signature below, I certify to each of the following: I am the perry owner or authorized agent to act on the property owners behalf. I have read this application and the information I have provided u .O:. I he, the and verify it is accurate. I agree to comply with all applicable IoW ordinances and state laws relating to buildin othoria natives oC enino tc enter the above-iid/dentified for inspecti\on purposes. /pmpem Signature ofApplicanVAgent Date: SUPPLEMENTALWFORMATIO If building is associated with a Home Owner's Association, provide letter ��'��'aT - �s �otmNo�s1•rt�;t�- _ of oval from HOA. approval .xaTa°`�-'9 xL7uoveR-r>�,� Provide Planning approval to verify if there my restrictions. "''�- -',ty te•r _ Provide copy of Manufactt='s Installation Specifications.A` .�-,; a 3 ,`� "c Q'�'- x� y -"E �� r vY �'"� _ Provide signed copy of Cupertino's Tear -Off Policy.- ❑�to7Bsa�-�"�`��g-�, ti� ReroofApp_2011.doe revised 03/02/11 n �-i