12050071 CITY OF CUPERTINO BUILDING PERMIT
III IILDING ADDRESS: 11803 TRINITY SPRING CT CONTRACTOR:PRINCIPLE ROOFING. PERMIT NO: 12050071
INC
OWNE.R'SNAME: LEE.IIYUK-JUN AND HYO JUNG 10160 STERN AVE DATE ISSI IED:05/072012
OWNER'S PHONE: 4088264624 CUPERTINO.CA 95014 PHONE:NO:(408)898-7298
❑ LICENSED CONTRACTOR'S DECLARATION 3OBDESCRIPTION: RESIDENTIALLJ COMMF,RCLU.LJ
License Class '/ I,ic.q
y RE-ROOF 19 SQ- REMOVE WOOD SHAKE AND INSTALL
����/
NEW
Contractor Date COMP SHINGLE,CLASS A
I hereby affirm that 1 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 force and effect.
I hereby affirm under penally 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
performance of the work for whichthis permit is issued. Sq.Ft Floor Area: Valuation:$0
1 have and will maintain Workers Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the performance of the work for which this APN Number:36653030.00 Occupancy Type:
permit is issued,
APPLICANT CERTIFICATION
I cenify thin I have read this application and stale that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROM LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses whidh may acerae against said City in consequence of the )slued b /�%f7/✓ ��'%G�i Dale: J ' /'7
-/
granting of tris permit. Additionally,the applicant understands and will comply y'
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
y RE:ROOFS:
Signature Date CIZ All roofs shall be inspected prior to any roofing material being installed If a roof is
installed without first obtaining an inspection,I agree to remove all new materials for
inspection.
❑ OWNER-BUILDER DECLARATION
Signature of Applicant: Date:
1 hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
L as owner of the property,or my employees with wages as their sole compensation,
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Business& Professions Code)
1,as owner of the property,am exclu9vely contracting with licensed contractors to IIAZARDOUS MATERIALS DISCLOSURE:
construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California Ileallh&Safely Cade,Sections 25505,25533,and 25534. 1 will
I hereby affirm under penally of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
declarations: Ilealth&Safety Code,Section 25532(a)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 Section3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District l
performance of the work for whichthis permit is issued. will maintain compliance with the CuperlinoMunicipof Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Ilealth&Safety Code,Sections 22550^5,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Dale: CoZ
permit is issued.
I cenify that in the performance of the work for which this permit is issued,I shall
not employ any person many manner so as to become subject to the Worker's
Connpensation Taws of California. IC after making this certificate of exemption,I CONSTRUCTION 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 for the perfnnumce of
forthwith comply with such provisions or this permit shall be deemed revoked. w'ork's for which this permit is issued(Sec.3097.Civ C-)
Lender's Name
APPLICANT CERTIFICATION Lender's Address
I certify that I have read this application and state that the above information is
correct.I agree to comply with all city and county ordinances and state laws relating
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes.(We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, ARCIII'ff:(T'S DECLARATION
costs,and expenses which may accme against said City in consequence of the I understand my plans shall be used as public records.
grinning of this permit.Additionally,the applicant understands and will comply
withall nun-point source regulations per the Cupertino Municipal Code,Section Licensed Protissional
9,18.
Signature Date
REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O.. BUILDING OFFICIAL
COPE RTINO 10300 TORRE AVENUE-CUPERTINO, CA 95014-3255
(408)777-3228- FAX(408)777-3333-buildiniciRcuoertino.ora
PROJECT ADDRES APN n
113'3 Ttzirvt`f- S r;r.. G.-
ON'NERNAME )�� i IJ �INa��- PHONE E-MAIL
STREETADDRESS / CITU,STATEZIP FAX
'
PJ S r: L n,tJ)'v art of "t
CONTRACTOR NAME LICENSE NUMBE& LIC TYPE BUS-LIC.a
Dc-i2C-rk- Le-t '
COMPANY NAME SIM GI n , E-MAIL FAX
STREETADDRESS
CnY.STATE,ZI �v ^d I/ PIII " L
G I UNDERSTAND AND AGREE TO THE FOLLOWING: o d
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.
For Tear-Off and Nailing Inspections, you must also call on the day of the inspection only after that
phase of the work is completed. The building inspector will be available within one hour. Progress
and Final Inspections will be given a two hour window.
3. Tear-Ott'Inspection is required. Any and all dry-rotted wood shall be replaced prior to this inspection.
Unless new plywood roof sheathing is proposed throughout, all the nails/fasteners shall be either
completely knocked-down or removed prior to this inspection.
4. If plywood is installed, a plywood Nailing Inspection is required.
5. Roofing shall not be applied without first obtaining all prior inspection and written approvals from the
building inspector. Any roofing which is applied without first obtaining an approved inspection will
require the removal of all new material down to the sheathing so a proper inspection can be performed.
6. Progress Inspection is required when approximately 50% of roof covering is installed.
7. A Final Inspection and approval shall be obtained from the building inspector when the re-roofing is
completed. To receive a final sign-off, the following items will be verified:
a. Flat roofs shall have a minimum of/4" per foot of slope and demonstrate there is no ponding.
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 a tear-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 following is true: I am the property owner or authnrized agent to act on the
property owner's behalf. 1 understand and agree to comply with the re-roof policy stated above. I also understand that
smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections R314 and 11315 of
the 2010 California Residential Code.
Signature of Applicant./Agent: - Date:
Rerun/Pnlir;c_1ll l Lrloc reri.ved!I�/l h/I I
COMMUNITY MANAGEMENT SERVICES, INCORPORATED
April 23, 2012
Xin Wang MAY 01 2012
`the Yang
11803 Trinity Spring Court
Cupertino, CA 95014
Re: SEVEN SPRINGS OWNERS ASSOCIATIONS
11803'1'rinity Spring Court
Dear Ilomcowners:
Enclosed you will find a copy of your Architecture Application for the re-roofing of your home, with the
approval from the Board of Directors,as well as any restrictions or conditions that the Board deemed
necessary. According to your application you are installing The GAF Laminated Fiberglass Asphalt'?style
"(irand Canyon", color"Mission Brown".
Please keep in mind that any deviation from your approved application will require you to resubmit your
application for review. Ifyou utilize an unapproved material you will be required to remove and replace the
material with an approved selection.
The approval of your project's architectural compatibility with the Seven Springs Owners' Association's
complex does not constitute or imply,that the Architectural Committee and/or the Association Board of
Directors deem your project as meeting City of Cupertino/County of Santa Clara codes.The approval is
given contingent upon you and/or your contractor(s)obtaining the required construction permits and
meeting all code requirements, if any.
If you have any questions,please do not hesitate to contact me.
Sincerely,
(:onununity'management Services, Inc.
ts I leredia. Semi r Association Manager,((:AN1
j
Sr
WEN SPRINGS OWNERS ASSOCIATIONS
LI-1/sp
cc: Board of Directors
File 94&416
1935 Dry Creek Road. Suite 203 9 Campbell CA 9 95008-3631 •voice(408)559-1977.fax(408)559-1970
CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: SylviaM
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN 36653030 .00
DATE ISSUED. . . . . . . : 05/07/2012
RECEIPT #. . . . . . . . . : BS000016734
REFERENCE ID # . . . 12050071
SITE ADDRESS . . . . . : 11803 TRINITY SPRING CT
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . .. : LEE HYUK-JUN AND HYO JUNG
ADDRESS 11803 TRINITY SPRING CT
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : PRINCIPLE ROOF
CONTRACTOR . . . . . . . : DERECK LOI LIC # 27564
COMPANY . . . . . . . . . . : PRINCIPLE ROOFING, INC
ADDRESS . . . . . . . . . . : 10160 STERN AVE
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
TELEPHONE . . . . . . . . : (408) .898-7298
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BCBSC VALUATION 0.00 1.00 0.00 1 .00 0 .00
1BSEISMICR VALUATION 0 .00 0 .50 0.-00 0.50 0. 00
1REROOFRES SQ FEET 19. 00 266 . 00 0.00 266 .00 0..00
---------- ---------- ---------- ----------
TOTAL PERMIT 267.50 0. 00 267 .50 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 267.50 me
---------------
TOTAL RECEIPT 267.50
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
309 EXTERIOR LATH 311 SCRATCH COAT
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
CITY OF CUPERTINO
FEE'ESTIMATOR - BUILDING DIVISION
ADDRESS: 11803 Trinity Spring Ct DATE: 05/04/2012 REVIEWED BY: Sean
APN: BP#: 'VALUATION: $9,000
*PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00F
USE: PERMIT TYPE:
WORK Remove wood shake and install new composition shingle.
SCOPE
FEEID ROOFAREA
s.f.
1REROOFFRES 1,900
,llech. Plan Check Phuuh.Plein Check Elee. Plan Check
:Mv:h. Permit Fee: Pbunh. Permit Fee: I lilec.Permit Fre:
Oiber Ile,h. /n.sj, Other Plumb Insp. Li I Other Elce.Loup. Li I
.I Loch. hip. F,rc..- Plumb. bap. Fee:. Bloc,Insp. Fre.
NOTE: This estimate does not includejeesdue to other Departments(Le.Planning,Public Works, Fire,Sanitary Sewer District,School
District,eta). Thesefees are based on the prelimina information available and are only an estimate Contact file De 1 or addn'1 info.
FEE ITEMS(Fcc Resolution 11-653 Elf 7/1/11) FEE QTY/FEE MISC ITEMS
Plan Check Feu:
Suppl. PC Fee
/'/rnnb.hl le•ch.;L'/c•c
Permit Fee: $266.00
Supp/ lisp Feu
Phiinb.;h/ecll./Vev
1'ltrmb./�b1eclr./lilec Permit Fee:
Canso uefion Tay.
it dinini.strutive Few
Work Without Permit? O Yes 0 No $0.00
,I dvow ed Plutming Fees':
Tatra!Doaumenlation Fees: A
Strong Motion Fee. IBSEISMICR $0.90 Select an Administrative Item
Oldc Stds Commission Fee: IBCBSC $1.00
;j'':• SUBTOTALS: 1 $267.90 $0.00 TOTAL FEE: $267.90
Revised: 04/01/2012
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO.CA 95014-3255
CUPERTINO (408)777-3228•FAX(408)777-3333•buildingftuoertinO.OM
o'5
PROJECT ADDRESS ' p<'3 c APN q L 0 ]1
OWNERNAME � �J4�) I' "1 PjIO �d �� _�r'2_1 1 E-MAIL �lJ
STREET(AI)D CrrY,`STATE,2rP FAX
11 l ) I
CONTACT NAME r ` l 8 - E-MAIL
cto
STREET ADDRESS �/ CRY,STATE, ZIP FAX
11 OWNER 11OWNER-BUILDER 11 OWNER AGENT I� COM/RAROR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTORNAM.E�A�-^^NN.- C LICENSENUMBE` LICENS TITE BUS.LIC.0
COMPANYNAME IIII� S �F+)' E-MAIL O / FAX
STREET.CDDRES CRY,STATE.ZIP PHONE
( 'I"�1$'" /)r✓fir c) / (/ y 91 �
ARCHITELTIENGINEER NAME LICENSE NUMBER BUS.LIC,N
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF FD or Duplex ❑ Multi-Family, ROOF AREA: VALUATION:
STRUCTURE. ❑ Commercial 1 19 zo i U Uo
EXISTING ROOF TYPE. ❑BUILT-UP ROOF ❑ASPHALT SHINGLES Q4D SHAKES ❑WOODSHINGLES ❑OTHER(SPECIFY)
REMOVE/REPLACE WYES I IF NO, PLYWOOD ❑ l5" ❑ PLYWD ❑USB PITCH; ROOF'
❑ NO M LAYERS ' -K 13 <B" TSP E' ❑ DY -12 LASC A
PROPOSED ROOF TYPE ❑BUILT-UP ROOF ASPHALT SHING.�LEESSl❑WOOD SHAK.EESS ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT
DESCRIPTION OF WOW: M y✓-J /dd0 S yrr� r �/✓�F+LL CL//� /�r�j� / /
By my signature below.1 certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. 1 have read this
application and the information 1 have provided is correct I have read the Description of Work and verify it is accurate. 1 agree to comply With all applicable local
ordinances and slate lawn relating to building , nsnuction. I Bothorize representatives of Cupemno to enter the above-ide ufred/properly for inspection purposes.
Signature of Applieam/Agenr. Date:
SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY
If building is associated with a Home Owners Association,provide letter PLAN CHECK TYPE -ROUTING SLIP
of approval from HOA. OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW
_Provide Planning approval to verify if there any res RM
PLANS ❑ EYPRM CIPIANNING PLAN REVIEW
'"Provide copy of Alanufacturer's Installation Specifics, l Bx ❑ STANDARD ❑ FIRE DEPT
Y Provide signed copy of Cupertino's Tear-Off Policy. 7 �� ❑: OTHER:
DATE
PLAFMG DEPT.
eta..-a/r' Reroojdpp_201/.doc revised 03'16111
DATE
RT.nd]. n!,'ITT -