13040068 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11733 WESTSHORE CT. CONTRACTOR:CASTILLO'S ROOFING PERMIT NO:13040068
OWNER'S NAME:.SHUKUN CHIN 1703 CATHAY DR DATE ISSUED:04/08/2013
OWNER'S PHONE: 4087255654 SAN JOSE,CA 95122 PHONE NO:(408)251-3565
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIAL
License Class Lic.t, `75� RE-ROOF 16 SQ-TEAR OFF SHAKE,INSTALL 30LB FELT,
�/3 INSTALL GAF GRAND CANYON COMP CLASS A(HOA.
Contractor � Date _ LETTER
I hereby affirm th t I am licensed under the provisions:of Chapter 9 IN FILE)
(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 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
performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$8000
I have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the performance of the work for which this APN Number:36653016.00 Occupancy Type:
permit is issued.
APPLICANT:CERTIFICATION
I certify that I have read this application and state 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 DAY F M LAST CALLED INSP C ION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue againstsaid City in consequence of the ('�
granting of this permit. Additionally,the applicant understands and will comply Issued by: Date:
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18. ol
RE-ROOFS:
Srgnatur Date 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 Applic Date:
I hereby affirm thatI am exempt from the Contractor's License Law for one of
the following two reasons: ALL ROOF VERINGS TO BE CLASS"A"OR BETTER
1,as owner of the property,or my employees with wages as their sole compensation,
will do the:work,and the structure isnot intendel offered for sale(Sec.7044,
Business&Professions Code)
I,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE
construct the project(Sec.704.4,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California Health&Safety Code,Sections 25505,25533,and 25534. I will
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: Health&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 Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,,Se ns O5,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this �3
Permit is issued: Owner or authorized age •- Date..
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 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 performance of
forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(See.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 ARCHITECT'S DECLARATION
indemnify and keep harmless the City.of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records.
granting of this permit.Additionally,the applicant undbrstands and will comply
with all hon-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9.18.,
Date
Signature
IT APPLICATION
REROOF PERM �(Q
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CQ 95014-3255
(408)777-3228•FAX(408)777-3333•buildinaCacupertinG.org_
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PROJECT ADDRESS: -7 �> ', Je /n-e
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El OWNER ❑ OWNER-BUIIAER 13 OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER DEVELOPER ❑TENANT
❑
LICENSENUMBER LICENSET � BUS.LIC.#
CONTRACTOR NAME / • 60
S _
E-MAIL FAX
COMPANY NAME
STREET ADDRESS CITY,STATE,ZIP
l /� 9,5�i�� PHOS /_-
BUS.LIC.#
ARCHrrECT/ENGINEER NAME
LICENSE NUMBER L
FAX
COMPANY NAME
EMAIL
STREET ADDRESS
CITY,STATE,ZIP PHONE
SFD or Duplex' ❑ Multi-Family . ROOF AREA: VALUATION: ` rv,
USE OF . ; /Uj
STRUCTURE: . ❑ Commercial .. .
E=TING ROOF PE: ❑BUILT-UP ROOF: ❑ASPHALT SHINGLES WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY)
TY
REMOVE/REPLACE; YES IF NO. PLYWOOD ❑ w ❑ - PLYWD ❑OSB PITCH: ROOF
❑NO #LAYERS: THICKNESS: ❑5/8 TYPE: ❑COX �'12 CLASS: L1
ICC-ES REPORT#
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER
DESCRIPTION OF WORK b• � /
By my signature below,I certify to each 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 information I have provi d 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 i g cons tion. I authorize representatives of Cupertino to enter the above-ide 'f dprop � pection purposes...
Date:
Signature of Applicant/Agen
U(
SUPPLEMENTAL INF TION REQUIRED
If building is associated with a Home Owner's Association,provide letter -
_o.
of approval from HOA.
Provide Planning approval to verify if there any restrictions.
Provide copy of Manufacturer's Installation Specifications.
Provide signed copy of Cupertino's Tear-Off Policy.
ReroofApp_2011.doc revised 03/16/11
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
. ADDRESS: 11733 westshore ct DATE: 04/08/20137] REVIEWED BY: Mendez
APN: BP#: "VALUATION: $8,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair
PRIMARY PENTAMATION 1 SFDWLROOF
USE: SFD or Duplex PERMIT TYPE:
WORK re-roof 16 sq-tear off shake install 301b felt install gaf grand canyon comp class a hoa letter in file
SCOPE
,sy
t
Nfech.Plan Check Ph:mb. Plan Check Elec.Plan Check
Jklech.Permit Pee: Plumb.Permit Fee: Elec. Permit Fee:
FA1,,h1n.',j,
Insp. OtherPlumb Insp. Other Elec.Insp.
Fee:
Plumb. Insp.Fee: Elee.Imps.Fee.:
NOTE.This estimate does not include fees due to other Departments.(Le.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc). These fees are based on the prefindna information available and are only an estimate. Contact the Dept fior addn It info.
FEE ITEMS (Fee Resolution 11-053 E . 711112) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 1,600 s.£ Re-roof
Supp/.PC Fee: E) Reg. .® OT E0il hrs $0.00 $240.00 1REROOFRES
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl.Insp.Feer Reg. 0 OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Construction :Tax:
Administrative Fee:
Work Without Permit? 0 Yes (E) No $0.00
Advanced Planning Fee: $0.00 Select a Non-Residential
Building or Structure
Travel Documentation Fees:
Strong Motion Fee: 1BSEISMICR $0.80 Select an Administrative Item
Bldg_Stds Commission Fee: 1BCBSC $1.00
OW
$1.801 $240.00 l $241.80
Revised: 04/01/2013
REROOF TEAR-OFF POLICY
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•buildinga-cupertino.orp
[PROJECT ADDRESS3- . r. Ie Y ' APN#
OWNER NAME t✓l `J PHONE yFj &MAIL
STREET ADDRESS 3OgY, STAT ,ZIP / ,� 9�� FAX
CONTRACTORNAME I� [ LICENSE NUMBER LICENSE FE, BUS.LIC.#
COMPANY NAME (' Q ` J E-MAIL FAX
STREET ADDRESS D L CITY,STATE,ZIP
I 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 one business day before the requested inspection date.
Please call (408) 777-3228 from 7:30-3:30pm(Mon-Thurs) or 7:30-2:30pm(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 hispection 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 I/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.
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: I am the property owner or authorized agent to act on the
property owner's behalf. I understand and agree to comply with the re-roof policy stated above. I also understand that
smoke detectors and carbon monoxide detecto required to be installed in accordance with Sections 8314 and 8315 of
the 2010 California i Code
Signature of Applicant/Ag 'f Date:
ReroofPolicy_2012.doc revised 10/7/12
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,exterior paint color change,addition of a roof attic fan,or garage door,fall into this category.
Date: + / .� / �� Request for Approval of Proposed Change
PLEASE PRINT THE FOLLOWING INFORMATION
Name: ��Y t,.� tiv�
h ,�V� r Address: t 1r V('i,S '� � �._ , Y ,
HomePhone: 7 fir' 6 email:
Work Phone: i 6k F.
Description of Proposed Change: -'
_ Paint ColorChonge:Pbeamehoose from"approved list"(Garage door outer trim should be diamond white or frost) _
New Exterior Siding Color&Garage door(s)-same calor,specified color
Trim color:diamond white or frost
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"Muirwood"
b.GAF Laminated Fiberglass Asphalt-style"Grand Canyon",color"Mission Brown"
c.GAF Laminated Fiberglass Asphalt-style"Grand Canyon",color""Stonewood" V
d.Decra Stone Coated Steel Rood System-style"Decry Shake",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) or Hardiplank Smooth Finish
Which sides are you are changing material?(front.back left right
4)Window Material and Design change:(Please check's box): Milgard Vinyl Windows-style"Tuscany",color White
5)Adding a roof attic fan,Tabular Skylight,or satellite dish
Please attach information regarding the proposed change.Application must include dimension,color of the proposed fan and its
location on the roof.Please include detailed drawings,specifications,and product brochures if available.
Tubular skylight up to 14"diameter,gm roof attic fan up to 26"in width&height–paint to match 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: - The request is in compliance with
Seven Springs HOA Archi Guidelines: //seven-springs.org/files/arehitectual-guidelines.pdf
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Architectural Control Committee/Board: Approved Pending
Denied Pending / J
Architectural Control Committee Board:Signature:
IV
1.27.11 cat C