10100141 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11693 SEVEN SPRINGS DR CONTRACTOR:T85 T613B PERMIT NO: 10100141
'IWNER'S NAME: MR.&MRS.JOO O DATE ISSUED: 10/19/2010
OWNER'S PHONE: 4088227663 PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION OB DESCRIPTION: RESIDENTIAL 11 COMMERCIAL
EI
License Class C3 Lic.# f)A L Q q RE-ROOF 18 SQUARES,TEAR OFF EXISTING WOOD
��`t� , ';HAKE,
Contractor .. � _Date (0 c) 0 ;iOLB FELT PAPER,INSTALL 40YR COMP SHINGLES
I hereby affirm that I am licensed under the provisions of Chapter 9 CLASS
(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. q.Ft Floor Area: Valuation:$18000
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
permit is issued. APPLICANT CERTIFICATION
E,PN Number:36651063.00 Occupancy Type:
r` K
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 DA M L ST CALLED INSPE TION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the �0
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.
RE-ROOFS:
" gnature Date da / �"o f.11 roofs shall be inspected prior to any roofing material being installed.If a roof is
i istalled without first obtaining an inspection,I agree to remove all new materials for
i ispection.
❑ OWNER-BUILDER DECLARATION _
S ignature of Applicant: Date: k0 � ZO 1 O
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons: ALL ROOF OVERI S TO BE CLASS"A"OR BETTER
I,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 exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE
construct the project(Sec.7044,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. 1 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. v+ill maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by tlae Health&Safety Code,Sectio 2556A,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this
C 1wner or authorized agent: Date:
permit is issued.
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. v.ork's for which this permit is issued(Sec.3097,Civ C.)
L ender'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
n the above mentioned property for inspection purposes.(We)agree to save
:mnify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION
costs,and expenses which may accrue against said City in consequence of the I .mderstand my plans shall be used as public records.
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section L censed Professional
9.18.
Signature Date
i
i
t
COMMUNITY MANAGEMENT SERVIC�S,INCORPORATED
October 19,2010
Ki Hyun&Kyung Don Joo,Trustees
11693 Seven Springs Dr
Cupertino,CA 95014-5128
Re: Seve i Springs Homeowners Association
11693 Seven Springs Drive
Dear Homeowners:
Enclosed you will find a copy of your Architecture A pplication 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"Grand Canyon",color"Stonewood".
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 ma terial you will be required to remove and replace the
material with an approved selection.
The approval of your project's architectural compatilpility with the Seven Springs Owners' Association's
complex does not constitute or imply, that the Archi-.ectural 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 don't hesitate to coni act me.
Sincerely,
Coma riunity went 'ces,Inc.
Luis Iicredia,Senior Association Manager
Sever Springs Homeowners Association
LH/lQnj
cc: Board of Directors
File#4
1935 Dry Creek Road, Suite 203 Campbell CA ,- 95003-3631 a voice (408) 559-1977 a fax (408) 559-1970
REROOF TEAR-OFF POLI1�Y
COMMUNITY DEVELOPMENT DEPARTM=NT•BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILD NG OFFICIAL
CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228•FAX(408)777-3333•building(cDcupertino.org
PROJECT ADDRESS / APN#
OWNER NAME /v , PHONE E-MAIL
STREET ADDRESS Y CITY, STATE,ZIP FAX
C o
CONTRACTOR NAME _ LICENSE NUMBER I LICENSE TYPE BUS.LIC.#
v ,,/�I��/�•
,349
COMPANY NAME E-MAIL FAX
ro cos o . �47 22_-9/63
STREET AD RESS 0 CITY,STATE, PHONE
I UNDERSTAND AND AGREE TO THE FOLLOWING:
1. The re-roof project shall comply with all applicable provisions of the 2007 California Building Code.
2. You must schedule all needed inspections a minimum of one day before the requested inspection date.
Please schedule inspections online or call (408)777-3228 between 7:30-3:30 (Mon-Fri).
3. Tear-off roof inspection is required. Please call for tear-off inspection after the roof is torn off and all
the nails/fasteners have been removed. Any and i 11 dry-rotted wood shall be replaced prior to this
inspection. A building inspector will be available within one hour.
There are special hours for this service: 7:30 — 10:30am and 1:00—3:30pm (Mon—Thurs);
7:30 — 10:30am and 1:00—2:30pm (Friday).
4. If plywood is installed, a plywood nailing inspectic n is required.
5. In-Progress roof inspection is required. Call for-n in-progress roof inspection to verify building is
weather tight after installation of approximately 250/i of the roofing material.
6. New roof coverings shall not be applied without firs I obtaining all inspections and written approvals
from the building inspector. Any roofing which is aiplied 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.
7. A final inspection and approval shall be obtained frc m the building inspector when the re-roofing is
complete. To receive a final sign-off, the following items will be verified:
a. Flat roofs shall have a minimum of/4"per foot :)f slope and must 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.
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 authorized agent to act
on the property owner's behalf I erstand an agree to comply with the re-roof policy stated above.
Signature of Applicant/Agent: Date:
ReroofPolicy_2010.doc revised 05/17/10
CITY OF CUPERTINO
FEE ESTIMATOR- BUILDING DIVISION
ADDRESS: DATE: REVIEWED BY:
APN: BP#: *VALUATION: 1$18,000
R*PERMITTYPE: Minor Building Permit PLAN C HECK TYPE: Re-roof
PRIMARY SFD or Duplex 101,i! PENTAMATION 1 SFDWLROOF
USE: V/ 411:1 ;1 PERMIT TYPE:
WORK
SCOPE
FEE ID ROOF AP EA
s.f.
1 REROOFFRES 1,80(,
r
'III t`i't'. 1,It I•rc-i mi,, Fc,
LlOthCr tra 7, t)trr'I`i'r rJtt tJ Li l'. (ltitr>t I5 C('C,Ins r.
Inv), N'(
NOTE. Thesefees are based on the preliminary information avah able and are only an estimate. Contact the De t or addn'1 info.
FEE ITEMS(Fee Resohition 09-05I a. 7.1110,) FEE QTY/FEE MISC ITEMS
Plop C'hc� A Fc'c'.,
S1i1 pl. PC 1',_>4F 'A
P/�llllh: tfia�h.`Elcc: [,/,/;I Chec.-
Permit Fee: $234.00
1'hll llr. 1f�c l.. f_Ict'crlrinit Fc'ce_
C`t�i;5t7't?t'%trot' 1'cl.t
1C.I3II)tl i."Lfl t'it'1'i s'tt �'E'e.':
Work Without Permit? 0 Yes E) No $0.0(
r
7i c�t 1_}c3c r;t1t��7f�rfirx2 +eras'=
I
Strong Motion Fee: IBSEISMICR $1.8( Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.0(�
SUBTOTALS: $236.80 $0.00 TOTAL FEE-.T $236.80
Revised: 9/29/2010
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
C O P E RT I N O Fax: 408-777-3333
CONTRACTOR/ SUBCONTRACTOR LIST
of Of
JOB ADDRESS: bqj P MIT#
OWNER'S NAME: jM@VWMN :N• ` Nl? # Z�--
GENERAL CONTRACTOR: % fj!;p ^r-t,, Co BUSINESS LICENSE #
ADDRESS: tdoa $ CITY/ZIPCODE: /2
*Our municipal code requires all businesses working in th 2 city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE. <
ZZ�� ���I am not using any subcontractors. d .ZO b
S' atureIV D to
Please check applicable subcontractor and com ete the following information:
V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring / Carpeting
Linoleum /Wood
Glass /Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting/Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/Contractor Signature Date
CITY OF CLrPERTINO
4 ITEMS OF 4 PERMIT I.ECEIPT OPERATOR: SylviaM
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36651063 . 00
DATE ISSUED. . . . . . . : 10/1S /2010
RECEIPT # . . . . . . . . . : BSO00011788
REFERENCE ID # . . . : 1O1OC141
SITE ADDRESS . . . . . : 1169= SEVEN SPRINGS DR
SUBDIVISION . . . . . .
CITY . . . . . . . . . . . . . . CUPEI.TINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . . MR. S MRS. JOO
ADDRESS . . . . . . . . . . : 1169: SEVEN SPRINGS DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : ROI ROOFING & CONST
CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096
COMPANY . . . . . . . . . . : TBD - TO BE DETERMINED
ADDRESS . . . . . . . . . .
CITY/STATE/ZIP . . . : ,
TELEPHONE . . . . . . . . :
FEE ID UNIT QUANTITY AMCUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BCBSC VALUATION 18, 000 . 00 1 . 00 0 . 00 1 . 00 0. 00
1BSEISMICR VALUATION 18, 000 . 00 1 . 80 0 . 00 1 . 80 0. 00
1BUSLIC FLAT RATE 1 . 00 114 . 00 0 . 00 114 . 00 0 . 00
1REROOFRES SQ FEET 18 . 00 234 . 00 0 .00 234 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 350 . 80 0 . 00 350 . 80 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 350. 80 'vISA
---------------
TOTAL RECEIPT 350. 80
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
PLOT 1F'C,ANS
CITY OF CHECKED BY
CITY OF CU.PERTINO )ATE
REROOFL2
CUPERTINO PERMIT APPLICATION
APN# Date:
Building ddress:
it ewevt s r�n
Owner's Name: r 4 M r C500 Phone #:
HOA: Yes No ❑ If yes, provide letter from HOA 416--
Contractor:
15—Contractor: Phone #: 2L--176(,3
P,Dc CC Fax#:
Cupertino Business License #: Contractor License #:
O /
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
Asphalt Shingles X Asphalt Shingles
Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other (Specify) ❑ Other (Specify)
Number of existing coverings ❑ Provide I.C.C.E.S. Report#
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description T- o g
a& A
Residential Commercial ❑
Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if
Green Building Checklist & attach it to the application or if there are any restrictions: ❑
applicable, include in plan set & the sheet index.
Valuation:
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
Sigipie
Revised 02/05/09