12090263 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRIiSS: 11570 UPLAND WAY CON'IRACI'OR:TBS CONSTRUCTION INC PERMIT NO: 12090263
OWNER'S NA\I E: WU TIEN-YUE AND I[WANG LAN-FEN TRUST 3283 DE LA CRUZ BLVD SITA DATE ISSUED: 10/012012
OWNER'S PDONE: 4087773688 SANTA CLARA,CA 9505.1 PRONE NO:(408{824-8888
—V LICENSED CONTRACI'OR'S DECLARATION
O � � BUILDING PERMIT INFO: BLDG I` ELECT r PPLUMB(_
Licensc.Class f'� - - Lie.q _
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�� / DIECII (_ RESIDENTIAL Cl COMMERCIAL r
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Contractor tl�yYl��CUYA�,OVA Date 1 o/sI,l I
JOB DESCRIPTION:REMOVEAND REPLACE35 WINDOWS AND 3 DOORS,
1 hereby affirm that I am licensed under the provisions of Chapter 9 REPLACE I EXISTING SKYLIGHT 1VITIi NEW(NO FRAMING)
(commencing with Section 7000)of Division 3 of the RusinCcs& Professions
Code and that nry license is in full force and effect.
hereby affirm under penalty of perjury one of the following tsvo 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
perfommnce of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance,as provided for by Sy.Fl Flour Arca: Valuation:&76000
Section 3700 of the Labor Code,for the perfomtaixc of the work for which this
permit is issued.
AI'N Number:36651003.00 Occupancy Type:
APPI,ICANt'CER'I'IFIC,%'r10N
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 Slate laws relating
to building construction,and hereby authorize representatives of this city to enter PERMIT EXPIRES IF WORK IS NOT STARTED
upon the above mentioned property for inspection purposes. (We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments. WITHIN 1 DAYS OF PERMIT ISSUANCE OR
costs,and expenses which may.accme against said City in consequence of the 1801 IP
OM LAST CALLED INSPECTION.
granting of this permit. Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section IL
9.18. -]1 Issued by: J ,Z Date:
' Signature 'I'!Sk ��me
❑ OWNER-BUILDER DECLARATION RE-ROOFS:
All roofs shall be inspected prior to any roofing material being installed.If a roof is
hereby affirm that I am exempt from the Contractor's License LmW for one of installed without first obtaining an inspection,1 agree to remove all new materials for
the following two reasons: inspection.
1,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, Signature of Applicant: Dale:
Business&Professions Code)
1,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec.7044,Business R Professions Code). ALL ROOF COVERINGS TO BF CLASS"A"OR REITER
1 hereby affirm under penalty of perjury one of the follmving three
declarations: DA7.ARDOIIS JIATERIAIS DISCLOSURE
I have and will maintain a Certificate of Consent to self insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the
Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533.and 25534. 1 will maintain
perfommnce of the work for which this permit is issued. compliance with the Cupertino Nlunicipal Code.Chapter 9.12 and the Ilealth&
I have and Will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should I store or handle hazatrdous material.
Section 3700 of the Labor Code,for the performance of the work for which this Additionally, should I use equipment or devices which emit hwardous air
permit is issued. contaminants as defined by the Bay Area Air Qualily Management District I will
maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
I certify that in the performance of the work for which this permit is issued,I shall Health&Safety Code.Sections 25505,25533,and 25534.
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of Cali foria. If.after makingthis certificate ofexemption,I Ownerorauthaed it, flV r
become subject to the Worker's Compensation provisions of the Labor Code,I must
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forthwith comply with such provisions or this permit shall he deemed revoked.
CONSTRUCTION LENDING AGENCY
APPLICANT CER'I'IFIC.VI'If1,N I hereby affirm that there is a construction lending agency for the performance o(work's
I certify that I have read this application mid state thin the above information is for which this permit is issued(Sec.3097,Civ C-)
correct.I agree to comply with all city and county ordinances mid slate laws relating Lender's Name
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION
granting of this permit Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records,
9.18.
Licensed Professional
Signature Date
CONSTRUCTION PERMIT APPLICATION �
COMMUNITY DEVELOPMENT DEPARTMENT r BUILDING DIVISION �2�
10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 Qq
CUPERTINO (408) 777-3228 r FAX (408) 777-3333• buildinq(a)cuoertino.org
❑NEW CONSTRUCTION El ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PIiRNIIT9
I'RUIECT:ADUftl:S56 IIS7o k 1NkNJ 1 1 ANN � r o C , Od 3
-O GR NAAIE 'QV\ WLk 1 61 W *•-PIIONEItO� 7 360 JGAIAIL J
STREET-ADDRF•_S. O ( ,pI\�� I. -C`IT5'.'.SC�\TE�,ZQ f�-PO ,t qrV 11 I FAX
CONTACT NAME. l'l �„J PHONE l./O't EE-MAIL `r
STREET ADDRESS CITY.STATE. ZIP FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑FNGCIEER ❑ DEVELOPER ❑ TENANT
-CONTRACTORNAAIE LICENSE NUMBER LICENSE TYPE BUS.LIC# 3(�3
c -- mLk ; �a 17 - 9038 J
COMPANY NAME E-AIAIL FAX
c•rs-L 5 Cons4r( tkcC \OY1 \'(%r-
STREET ADDRESS CITY.STATE.ZIP PHONE
ARCHITECT/ENGINEERNAME LICENSE NUAIBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY•STATE•ZIP PHONE
DESCRIPTION OF WORK
1>S W�hA-0tuS
5InN-(\1 k L'iiVIN Lfn e W , J u-hi .
EXISTING USE PROPOSED USE CONSTR.TYPE 4STORIES
USE TYPE OCC. SQ.FT. VALUATION(S)
ESISTG I NEW FLOOR DE\IO TOTAL
AREA A0.G AREA NET AREA
BATHROOM I KITCHEN OTHER
REMODEL AREA REMODEL AREA REMODELAREA
PORCH AREA DECK AREA TOTAL DECK ORCH AREA GAR,GEAREA: DETACH
O ATTACH
#DWELLING UNITS: ISA SECOND UNIT ❑YTS SF.f.O SUSTORA' 01TS
BEING AIII1 f:D'. ONO AI)jo S' ONO
'PRE-APPLICATION OYES IFYIS,PROVIDECOPYOF ISTHEILDGAN 0YE$ RECEIVED BYI (NOTAL\!AtU`ATION:
PLANNINGAPPL# ONO PLANNING APPROVAL LETTER EICULFR 110,NIF." pNo ��45,-
By nay signature below,I certify to tach of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the infomtation I have provided is correct. I have read the Description of Work and verify it is accurate I"agree to comply with all applicable local
ordinances and stole I:nvs relating to building construction authorize r presenmticcs afCupenino to enter the aboVep'idfieenv for inspection purposes.
SienamreofApplicmll/AgenC (tts--z Date:?
f'v� r
SUITLE\1EN9-AL INFORMATION REQUIRED I A;e CIIF:CKTYPE • RouTINU SiLIF
New SFD or Multifamily dwellings: Apply for demolition permit for ,OAT7R=1IIE-COUNT ER BUIDINC PIAN REVIEW
esisling building(s). Demolition pemtii is required prior to issuance of buildin
permit for new building. ❑ EXPRESS - ❑ PLANNING PLAN RENT LW
_Commercial Bldgs: 1'rovide a completed Hazardous(Materials Disclosure ❑- STANDARD Ell PUBLICNVORBS
(ol'It1 if any Hazardous INlaterials arc being used as part of this project.
❑ LARGE ❑ FIRE DEPT
_Copy of Planning Approval Letter or Meeting With Planning prior to
submitral of Building Permit application. ❑ ahgliu- .. ❑ SA\p'1'PARY SEWER DISI'RICI'
❑ evA•1Ror+M T:u'r,A 1.ur:Ai.T'u
RldgApp_201 Ldoc revised 0621/11
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COMMUNITY MANAGEMENT SERVICES, INCORPORATED
August 30, 2012
Tien Yue Wu
Lan Fen OCT
11570 Upland Way
Cupertino, CA 95014-5104
Re: SEVEN SPRINGS OWNERS ASSOCIATIONS
11570 Upland Way
Dear Homeowners:
Enclosed you will find a copy of your Architecture Application for the installation of new windows at
your home, with the approval from the Board of Directors, as well as any restrictions or conditions that
the Board deemed necessary. The board is requesting the windows to be "white and not have any grids".
Please 511 out and return the included final completion form which will begin the completion process.
Please keep in mind that any deviation from your approved application will require you to resubmit your
application for review. If you 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.
Sincerely,
Community lanagemen[ Services Inc. FICE 1
=reia,
OPSuis Senior Association Manager, CCAJA
SEVEN SPRINGS OWNERS ASSOCIATIONS
LH/sp
cc: Board of Directors
File 94 &916
1935 Dry Creek Road, Suite 203 • Campbell CA • 95008-3631 • voice (408) 559-1977 • fax(408)559-1970
Seven Springs Owners Association
Application for Approval of Architectural Cha nOIe/Addi(ion
C.4TBGORY C
Category C-\todilications that are exterior modifications with no changes to the original building stntetw'e or door plan.All«wiin2.
siding.\cindow•material change.esterid Haim color change.addition of a roof auic fan.or Lampe door. tall into this category.
Date: 08;17''01>_ Request for Approval of Prnposed Chance
PLEAS ii PRINT• -FI II:: POI.I_Ol{:1NG INPORt\•lA IInN
Name: 'Tien Wu Address: 11570 Coland Wrs
Home Phone: 409-777-5888 Work Phone: 4US-768-9104 email: •hien.\1'ufn-aseus.e'um
Description of Proposed Chang.
Paint Color Change: Please choose h•om"a Ppro\'ed list"(Garage doorouier trim should he diamond white or fro:1)
\e••il_:'rr,'inr'S'hh,wl'nl:n'6 (A;ra;:,•rin:,,ea)-.runa•rnlnr. specified color :one Color.\'o C-lium.
frim color:diamond whit; Sor frost
Prom door color:diamond white \ frost_natural oak d or specified"approved color
4) Windw,Material and Design change:(Please check This bor): 1,I)'Ge I \'incl \\indn Ik_,tele-I'rnSe rig. ?Ild. color \t Int.
I lomeow'ner's S1gnaILIN: . The feyui•st 15 in compliance iii,
Seven >prin fiOA Arciti(• rat Guidelines: http:Z seven-springs.ore'tiles'architectual-guidelines.pdi
................... �...................................
Architectural ContrA'Fommittee/Hoard: Apprrosed/Pendim,
Denied__Pending ;f 'j f•�_{T_��(' r_� __/ A/ .!r
Architcrtoral Control C;ommmee Board: SignawrII'yU�� � �� �7 W1,,/ .,$ �Z
�.I-W_�L/_l�J`Y`� Date: ���
1,2-,11 cat C