12110013 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11777 PING BROOK Cf CONTRACI'OIA:CASTILLO'S ROOFING PERMITNO: 12110013
OWNER'S NAME: MO WILLIAM YENG-HUNG AND DELIA GANG 1703 CATBAY DR DATE ISSUED: 11/022012
OWNER'S PIIONE: 4089968806 SAN JOSE,CA 95122 PI IONENO:(408)251-3565
—❑� LICENS
ED CONTRACfOOR'S DECLARA'T'ION BUILDING PERMIT INFO: BLDG r ELECT IJ PLUMB ❑
License Class I Lie.N / 3v SC
MECH r RESIDENTIAL r COMMERCIAL r
Contac or � Date
hereby affirm[hal I am licensed under the prorisio sof hapter 9 JOB DESCRIPTION:RE-ROOF TEAR OfP WOOD SHAKES,INSTALL N30 LB
(commencing kith Section 7000)of Division 3 of the Business&Professions PELT,
Code and that my license is in full force and effect. INSTALL GAP GRAND CANYON COME'18 SQ CLASS A
hereby affirm under penally of perjury one of the following mo 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 work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the performance of One work forwhich this Sq.FI floor Arco: Valuation:$9500
permit is issued.
AI'1'l.ICA\TCF,R'1'IfICATION APN Number:36604057.00 Occupancy Type:
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 PERMIT EXPIRES IF WORK IS NOT STARTED
indemnify and keep harntlessthe City ofCupertino against liabilities,judgments, WITHIN 18� DAYS OF PERMIT ISSUANCE OR
costs,and expenses which may accme against said City in consequence of the
gaming of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM�ST CALLED INSPECTION..
with all non-point source regulations per the Cupenino Municipal Code,Section
9.18. / J �� L-.
— /// ( � Issued by: f/7` f ,/ Date:
SignSm`'7� ��oY` Date( � � a— �
J
❑ OWNER-BUILDER DECLARATION
REI-ROOFS:
1 hereby alliFm that)am exempt from the Contractor's License Law for one of All roofs shall be inspected prior many roofing material being installed.If a roof is
the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for
I,as owner of the properly,or my employees with wages as their sole compensation, inspection.
will do the work,and the structure is not intended or offered for sale(Sce.7044,
Business&Professions Code) Signature f A fit IL, .L Date:
I,as owner of the properly,am exclusively contracting with licensed contractorsto
construct the project(Sec.7044,Business&Professions Code). ,A 1.1.ROOF CO\'ERINCS'I'O BE CLASS".\"OR Ifli'ITER
hereby affirm under penally of perjury one of the following three
Ideclarations:
have and will
BA'LARDOUS NIATERIA S DISCLOSURE
I have and will maintain a Ceni6cme of Consent to self-insure for R'ocker's
Compensation,as provided for by Section 3700 of the Labor Code,for the 1 have read the hazardous materials requirements under Chapter 6.95 of the
performance of the Work for which this permit is issued. California Health&Safely Code.Sections 25505.25533,and 25534. 1 will maintain
I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cuperlino Municipal Code,Chapter 9.12 and the Health&
Section 3700 of the Labor Code,for the performance of Safely Code.Seclion 25532(a)should I store or handle hazardous material.he work for which this Additionally,should I use equipment or devices which emit hazardous air
permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will
I certify that in the performance of the work forwhich this permit is issued,I shall maintain compliance.with the Cupertino Municipal Code.Chapter 9.12 and the
not employ any person in my manner so as to become subject to the Worker's Ileallh&Safety Code,Sections 25505.2.5.533,and 25534.
Compensation laws of Cali fomia. If,after making this certificate of exemption,I
become subject to the Worker's Compensation provisions of the Labor Code,I nmust Ownen iauthrf mrized agent:
forthwith comply with such provisions or this permit shall be deemed revoked, Dale: ��"
APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY
I cenify that I have read this application and stale that the above information is I hereby affirm that there is a construction lending agency for the performance of sock's
correct.I agree to comply with all city and county ordinances and state Imus relating for which this permit is issued(Sec.3097,Civ C.)
to building construction,and hereby authorize representatives of this city to enter Lender's Name
upon the above mentioned properly for inspection purposes.(We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address
costs,and expenses which may accme against said City in consequence of the
granting of this permit.Additionally,the applicant understands and will comply ARCIII'I'FCI"S DECLARATION
all non-point source regulations per the Cupertino Municipal Code,Section
9.18. 1 Understand my plans shall be used as public records.
Signature Date Licensed Professional
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�4e Rc .Scycii Seniigs,Homeowners Association
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DclrHortieowncis;
Ericloscd }ou wtll find a copy of our Architecture Application for the reroofing of your.-*home,;ti ithlfic4
approval from the>Board ofcDircctors, as welt ai anv rc iii in for,conditions that the Board"dcemtd;
ncc-essary Accordmgr[o"�oursappl�Yption �ouarc knstallmg ihcGAF Caininatc�FifMiglass%Asphalt»
sryle�`Grand Can}on color Stonewood"._ - - -
Please keep'inrmind [fiat any deviation,from_}rour;approve_dapplication,Nill;regwre }vu to,rbsubmit'your'
applighon for rch icw if you utilize an unapprovcd`matcnal }ou sill be roqul. to rrcmove,and r.placc',thc
material with an aselection , '
The
PPr211. project.'s arclu(cctural'compatibrlrty;�r,Ih the Scvcn SpnngsOt%Ters Associations
complex docs:not:consiitpte,or-imply,,that.tI hcArchi
tem
tal.Commutmi�Board'of-"
Directors dccmi}_ourproJcct as meeting Citty,of CuperUno/County of Santa Claraaeodce The approval is
grvcn;conhngent4upon jou and lorfyour contractor(s)4btitaunng;the,rcgwrizl cons`tntcq_on pcimitsf and
meeting all code requgements,
[f}ouihavc.any_qucshorts,a"Plcaso!doo t+hcsitate:to.con`tac me:,
;.Slriceccly,
-otnmumh;' gement Sc"rvi ;Inc.
r•'`` ?t uiss'Hcii is ScnioilAssociation r, C
M`nagcLAM
Si ven'Springs'komcoivncrs Association'
s.ClUkmj' .i'-.
Bodid''f Diroctors''.
Filcff4�a@;H16` - •
110_!0 !/` lOL. JG(f` __ gip._T' 1/... _ w•.•r. _ __ ___ __ _
• ( C t�
v
r ` rSe en`SpHnio..Ownct's�A'ss ccisition; �
o S Application frit Approval'of%ATchltecturahChange/AddMOW. CATEGORY CtIF ! r.
Category C Mad�ifi cons that are.ectcr or> Sficauans th no.ehsnges toftlu ongtnnht buttdm'g swcturc or'floor plan,AjS roo '
siding window nptrnpl'rhnoge;exterior,pautt color change;addition of a roof attie fan or garagedoor,CeII'into this
category. -'
'i, grl :l� L �� L Reques for, 4ppro4al of Propbseil Changre
PLEASE.L'RiT3T THYFOLLOWING INFORMATION
HomcPhon ' 1� ` Wo`r! Phone _ ematl:.*^� Lcl;�ltgM!?` rrq
7� — l_ _.
Dcsc�riptlon, fProposed Chai ge
t,a c ��' x1 a= t ,
Point Color.Cbange Pkase choose from"approved list"(Gntagc daoi Quin tiimsliiitil!beaiismond:whitc w frost)P
t'.�`,Ml.
1.1��.Fcur:r.r..'Sitllrtg;Gulur•ifcGnrcryeJrxir(s1;Suint,rnfrir,Spcciftedc0!_o�-_�.� ---- -
_'Ttmt color diamond ovhite :of,frost:
&nNs�f'7i�•�'Yon Flitci �^jR'I ,...v,.4..- _.. .. ,j r_.rcc
Front door color diamond whiter frost a.x natuml oak- S orspectficd"approved color. . _ -
t2),Rooliog Material Change(please eb'ceck`a choScc) _
ta'Ughtwngttt Conercte,TSle from;A7omerLifetile. style Cederbte'37804,eolor 'Muiiwood
�. 4' x IfT ,? to .k .r;.•r...r--zc a�••.t ' ,..,� Y-,-.._ _ _ - __.
+:b GAF Lainmatcd'Fi6crglass Aspt�lthsryle';Grand C'n_nyon, color Mtsston Blown.
c GAFLaminated'Fibciglnss•Asphalt style Graru!Ganyon,;color _'Stonewood" ✓- •
"moi-r-'y�-�'r s � 'rwd' .-« sras •+ - , . ,
¢ •;diDee(r�tf�Stone Co�avyted�Stecl Ryo�od Sys�em�srytc'Dycm Shake c�olar;Shadowooil, s —4
'�4rJ.:[♦cF� -'3"^v,u°`7xu�'F r°'�� y m ---.r. -r-- ? 1:"c •* `...
e Class A -Ir R r�danntt Roofing K21Cm using pressureA'tremcd.eedarwoodshingles with fire Me ant fiberglass cap sheet
;tmderlsy N haven G`!tY ofC_apc no Pemit acccompaiiymg This apphcaiion f'or alS wood'sliingle roofs:
•we -writ
:3)Sng\1y`atenalgCh¢nge(Please,check one chotce)t
Ne
'AY'„'- ...-
New Stdmg.Matenal .Hatdtplank CcdLartnttl(wood gamfinish)r_ _ - orHardtplanb Smooth Ftmsh--�:
=Which sides arc you arc changing m�tettaS7;(frotit ;:ti�ca�cy.^k.��a�� .lets- _ rtght r . )
teF
�4)�Ytndow�\1aterial'and Desigachas,ge�(Btease check tilts box),rMlgard,VtnySl,W tndow's="stylc_'Tuscan'y„color•Whiie=__,
5)Addfn a of nttie fan;Tubular Skylight;or salelllt dl h+c
7j g#•tf "� `o-4 .�
Please attach mformatton regardmgihe proposed change:npphention mustincl'ude dimension;color of the proposed fail on�its'
�Iocanonpponthe tvnf Blresc mdudc'dctntled'diavnngs spec''ihcotions;anil producrbrochurcs tf available. -
4 F �.'•� ulxp 1'•t.hT�. MS✓-~tea r � ✓r�14-[ N,1�. M .-J�FA .._.f6,
:Tuoular�al9r`ltgh!tqr rO�I4�YllfOnreteriane roafarUc fmt ap to�6..m width&�hergh!=pnuu ro mulch moj.
5)^ r g doors a)ezcrc(�!rgiiirir c!e rot aces xta�roc 1 pset not raised L�aatecs¢mc sp lcforw_indows
....•amu-a*>~' 1te”'-•��-�`d>2-+,. ��-•. .' -n -- .r-•.;� n _ ... .
no:wtndoa's r wuh windows( PSam -no dccomutc dcstgti;ngpattcros no grids)
:b)^InFula,,redwood'tnutntcd'mctn'1 /w�ooilfacingor CetTiabeHotse�st�}Ie303C:uindows 303'no,winaow
2 5
l' t q
-Homrnwnci's Signntorc: n ,..�......... - _. - ,•— - ;The requesrts to compliance withl•
• � - �ar'i]- r - � -. _,.v_is-.s•.'
SevenSpnngs HOA Archuet ttiral Guidelines hup!lseven spnngs orE,/nlcs/archttectual=gwdehnes pdf
w.. _mss.. �t• �4 .fF}"i.5.•�h 5�lY'.••srJ..�.. c.r_. ._...,..,... ... ...�. .:_._ . ._
Arctiitt tiirel CohtioLCoatinittcc/Bonra.F Approvedr_Wendin
ti Lam' '-Srh ,n.r. •:c V.
?Architectuiel Control Coimmiltce Board Signntu a �/s/ -` - r Date ZveS
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CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 11777 pinebrook ct. DATE: 11/02/2012 REVIEWED BY: larrys
APN: BP#: 'VALUATION: 1$9,500
*PERMITTYPE: Minor Building Permit PLAN CII ECK TYPE: Re-roof
PRIMARY SFD or Duplex PENTADfATtON 1SFDWLROOF
USE: PERp11T T)'PE:
WORK tear off wood shakes install 30 felt of grand canyon con
SCOPE
FEEID ROOF AREA
s.f.
1REROOFFRES 1,800
Alech.Plan Check Phunb. Plan Check flee. Plan Check
Mech. Permit Fee: Plumh. Permit Fee: Elec. Permit Fele:
Odrer M ch. Insp. Ocher Plumb Insp. Other Elea.Insp. Ll I
dlech. blip.Fre: Plumb. lasp. Fee: Elcc Insp. Fee:
NOTE: This estimate does not include jeer clue to other Departments(i.e. Planning, Public Works, Fire,Sanitary Server District,School
District,etc). These feev are based oa the prelitninan information available and are onli,an estimate. Contact the Dept for atldn'1 info.
FEE ITEMS (Fee Resolution 11-053 EfI 7/1/12) FEE QTY/FEE MISC ITEMS
Plzen Chock Fee:
Supp/. PC Fee
Plumb./Atech./Clec
Permit Fee: $270.00
SuppL /nsp Fee
Plumb.111ech./Glee
Plumh./d•lech./Glee Pe rmil Fee:
C•onsuwction Tats:
Administrative Fee:
Work Without Permit? Yes Q No $0.00
Advanced Phmning Fees:
Travel Docmnentalion Fees:
Strong Motion Fee: IBSEISAHCR $0.95 Select an Administrative Item
Blde Stds Commission Fee: 1BCBSC $1.00
SUBTOTALS: $271.95 $0.00 TOTAL FEE: $271.95
Revised: 10/01/2012
2A 10 0 3
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE •CUPERTINO,CA 95014-3255
CUPERTINO (408)777-3228• FAX(408)777-3333•building(cDcuoertino.org
PROJECTADDRESS APN Y 5;7
r _ l/
OWNER NAME C PHONE(�/1 E-MAIL
STREET ADDRESS 1 \ \ \� CITY, 'ITATG ZIP \
` Q 1 FAX
`
CONTACT NAME ` 11J PHONE�I E-MAIL
i I J
STREET ADDRESS ` u CITY,STATE, ZIP 95 _ x
13 OWNER . ❑ OwNEREr
Il-BIN.nER ❑ OWNERAGr CONDUCTOR ❑CONTRAC OR AGENT ARCHRECr ❑ENGIN'FER ❑ DEVELOPER ❑TENANT
CONTMCTOR NAFff Y ! I 1 �t� , LICFTSENUMBER1MI11LJj♦ LICFNSETNT`C BUS.LIC.Y
!��
COMPANY NAME + E-MAIL FAX
STREET ADDRESSi i4n X U CfrY,ST ,I IP n .c.—
ITE
ARCHCAING[N'EER N AME LICENSENUA�ER l "'' BUS.LIQC./Y �!/•�
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE of ,dSFD or Duplex ❑ Multi-Family ROOF AREA: Q VALUATION: �1
STRUCTURE: ❑ Commercial
EXISTING ROOF TYPE:
❑BUILT-UP ROOF ❑ASPHALT SHINGLES •rte WOOD SHARES ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE/REPLACE Jc+YES I IF NO. PLYWOOD ❑ K ❑ PLYwD ❑ OSB PITCH: ROOF
❑ Y LAYERSA ❑ SA' TvPF [3D CLASS) A
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHARES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT Y
DESCRIPTION OF WORK'
� � r
n Gl
By my signature Wow,I certify to each ofthe 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 1ve 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 state laws relating to b tng c ction. I au resentatives of Cupertino to enter the al oye-i entiB d ropcny for inspection purposes.
Signature of m: Date:
SUPPLEMENTAL IN ORMATION REQUIRED _ OFFICKUSEONL-Y _ l
_If building is associated with'a Home Owners Association,provide letter - PUN'CHECK TYPE ROUTING SLIP
of approval from 110A. ❑ OYER-TIIF.-COUNTER ❑ BUILDING PLAN RE:YIE\\'
_Provide Planning approval to verify if there any restrictions. ❑ EXPRESS ❑ PLANNING PLAN'REVIEW,
_Provide copy of Manufacturers Installation Specifications. ❑'.STAN'DARD ❑ FIRE Derr
Provide signed copy of Cupenino's Tear-Off Policy. ❑ OTHER:
ReroojApp_2011.doc revised 03//6/11
REROOF TEAR-OFF POLICY
G COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
ALBERT SALVADOR, P.E.,C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTINO (408)777-3228• FAX(408)777-3333• buildina(av)cuoerino.org
PROJECT ADDRESS ' _ _ 1 I APN#
OWN. NAME PHONFgQ E-MAIL
STREETADDRESS 1 �/'� ll..��llZ�� 0`�J I(,� , `I FAX
CONTRACTOR NAME LICENSE NUMRER LICENSET'P , BUS.LIC.9
COMPANY NAME E-MAILI A�1 FAX
STREET ADDRESS I -71)
1 j �. CrrY.STATE.ZIP 7, n \ n , ^(� PHONE 97 35-�
I UNDERSTAND AND AGREE TO IE FOLLOWING:
t. The re-roof project shall comply with all applicable provisions of the 2010 California Codes.
2. An inspection request can be scheduled up to one business day before the requested inspection date.
Please call (408) 777-3228 from 7:30-330pm (Mon-Thurs) or 7:30-2:30pn1 (Friday) to schedule
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.
Final Inspections will be given a two hour window.
3. Tear-Off 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. 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'A" 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.
7. 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. 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: 1 am the property owner or authorized 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 required to be installed in accordance with Sectio s R314 and R31 of
the 2010 California Residential Code.
Signature of Applicant/A Date: /
' RerooJPo1icy_1011.doc revised 1017112