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15080215A CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11699 OLIVE SPRING CT CONTRACTOR: TBS CONSTRUCTION PERMIT NO: 15080215 INC OWNER'S NAME: ZVIAD JAKHUA 3283 DE LA CRUZ BLVD STE A DATE ISSUED: 08/31/2015 OWNER'S PHONE: 4082578457 SANTA CLARA, CA 95054 PHONE NO: (408) 824-8888 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL F] COMMERCIAL ❑ REMOVE AND REPLACE SIDING AND REPLACE WITH / License Class_ ic. # ` t- HARDI !f Date i> / S PANEL SIDING (2100 SQ FT); REMOVE AND REPLACE (2) Contractor WINDOWS. I hereby affirm t at 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 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 Sq. Ft Floor Area: Valuation: $40000 performance of the work for which this permit is issued. ave 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: 36654098.00 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 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the G Issued by Date: granting of this permit. Additionally, the applicant understands and will comply �� with all non -point source reg ions per the Cupertino Municipal Code, Section 9.18. RE -ROOFS: �9 Signature Date ®O 1 S 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: I 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 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) I, 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. 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, Sections 25505x,25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: S 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. work'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 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 understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingacupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ® ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROTECT ADDRESS`_ c APN # 6(� l e (Q (Q OWNER NAMEPHONE 'Q �OAk1,I&CA, 40 57 E-MAIL -a STREET ADDRESS / CITY, STATE, ZIP FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER-BUrLDER ❑ OWNER AGENT 0 CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT' CONTRACTOR NAME r„ LICENSE NUMBER LICENSE TYPE Q BUS. LIC 4 3��© 3 S L"k t 6 VN �r C 9ID0 COMPANY NAME — E-MAIL `r o� c'� i oohs. FAX 408 ,�z;-}7iq A^ STREET ADDRESS60 32B3 1��. L.a Cr,�2 �1 CITY, STATE, ZIP C lat C PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK y,Y &.1\%I 2WS _ b \(\ r,CM EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH []ATTACH # DWELLING UNITS: IS A SECOND UNrr ❑ YES SECOND STORY []YES BEING ADDED? []NO ADDITION? []NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED TOTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO 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 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 building cons n. 1 authori presentatives of Cupertino t0 enter the above -identified property for inspection purposes. Signature of Applicant/Agent:_ Date: 0 SUPPLEMENTAL INFORMATION REQUIRED PLAN CI ECK T1TE ROUTING SLIP OVER-THE-COUNTER _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building f f BUILDING PLAIN REVIEW permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure El STANDARD ElPUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO is M -i FEE ESTIMATOR - BUILDING DIVISION 191 ADDRESS: 11699 Olive Spring Ct Phtmh. Plan (,'hack DATE: 08/31/2015 REVIEWED BY: Sean Pltlmlz Permit Foc APN: BP#: ,tt8r Photohi->P' Li ___L_ *VALUATION: $40,000 PERMIT TYPE: Building Permit 0.0 PLAN CHECK TYPE: Alteration / Repair PRIMARY USE: SFD or Duplex PME Plan Check: PENTAMATION PERMIT TYPE: 1GENRE WORK Remove and replace siding and replace with Hardi panel siding 2100 sq ft); remove and replace 2 SCOPE windows. Suppl. Insp. Feer Reg. Q OT NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.. These fees are based on the preliminar information available and are onlV an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 E : 7/1/13 zh. Platt Cheek Phtmh. Plan (,'hack Plan CheckI I i9eclt. Permit Fee: Pltlmlz Permit Foc %1(? Permit Fec� :flierMech.Imp, ,tt8r Photohi->P' Li ___L_ .)iiwrElec. htsp_ F-1 L Suppl. PC Fee: (F) Reg. 0 OT 0.0 hrs NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.. These fees are based on the preliminar information available and are onlV an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 E : 7/1/13 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 2, 10 01 s. f. y Siding ISIDEoTHER All Other Suppl. PC Fee: (F) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 2 # $431.00 Window / Sliding Glass Door I WINREP Replacement Permit Fee: $0.00 Suppl. Insp. Feer Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 G Work Without Permit? Yes (F) No $0.00 Advanced Planning Fee. $0.00 Select a Non -Residential Building or Structure 0 i el.�>I l�oc�tsttr�titttrttr /�>��.�:: Strong Motion Fee: IBSEISMICR $5.20 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00 SUBTOTALS: $7.20 $1,,Q3T-0'0 TOTAL FEE: $4 Revised: 07/02/2015 COMMUNITY MANAGEMENT SERVICES, INCORPORATED August 18, 2015 Zviad Jakhua 11699 Olive Spring Court Cupertino, CA 95014-5141 Re: SEVEN SPRINGS OWNERS ASSOCIATIONS 11699 Olive Spring Court Dear Homeowners: Enclosed you will find a copy of your Architecture Application for the residing 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 will be re -siding your unit, Painting, installing new construction double pane windows, and skylights. Please fill 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,,Managemcnt Services, Inc.. Luis Hire3K, Senior Association Manager, CCAM SEVEN SPRINGS OWNERS ASSOCIATIONS LH/nm cc: Board of Directors File #4 & #16 1935 Dry Creek Road, Suite 203 9 Campbell CA 9 95008-3631 9 voice (408) 559-1977 • fax (408) 559-1970 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, windo.% material change, exterior paint color change, addition of a roof attic fan, or garage door, fall into this category. Date: 07 : 14. 2015 Request for Approval of Proposed Change PLEASE PRINT THE FOLLOWING INFORMATION Name: ZVIAD JAKHUA Address. —11699 Olive Spring, Cupertino Home Phone: 408-257-8457 Work Phone: email: permit U@zyis. com Description of Proposed Change: 1) Paint Color Change: Please choose from "approved list" (Garage door,sQuter tr m Slinshould be iamond white or Fro t) New Exte'rioi- Siding Color n f uruge dour(s) - same color, specified color C:0 OluS JH g (Monterey Taupe) Trim color: Arctic white t_ or frost _ Front door color: diamond white _ frost _ natural oak ^ or specified "approved cohir" 2) Roofing Material Change (please check one choice) a. Lightweight Concrete Tile from MonierLifetile - sir, le "Cedurlite 578(1". color '`Muin.oud"' b. GAF Laminated Fiberglass Asphalt - style '-Grand C'am on color "Mission Bro.rn' c. GAF Laminated Fiberglass Asphalt - silt le --Grand Canton'. color j "Stimettood" d. Decra Stone Coated Steel Rood System- ,a le --Decra Shake"'. color " Shadonood" 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) Siding Material: Hardiplank Cedarmill (wood grain finish) or Hardiplank Smooth Finish _X_ Which sides are you are changing material' (front _\_ back _X—left _X_ right _X_) 4) Window Material and Design change: (Please check this box): Nvvw Plygem VinO Skyiiall W indmx - color White *Must include manufacture also Include cut sheet for type and style of windows. Retrofit _ New Constr. _X_ 3) Adding a roof attic fan, Tubular Sk) light, ,fir Conditioner (location of Condenser), and 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. f uhubir 4t-lighi tip it) 14 " diameter, one r ooj attic /irn tip to 26 " in vvidth & he ighr paint to march roof 6) Garage doors: u Reversed .flood panel. not raised in center same st%le for a indoor s ("PLAIN' – non decorative) Style 84 (8 panels across. 64 (6 panels across). 44 (4 panels across). Style _ with windows or Style ! no windows h In.ulatrd t.00d. insulator metal .r• ..aod facing or'-C'amage House" st%le 3030: teindov s _303 no window _ 14Qnror 4Z%•clnm- .Adding cnlnr nnok to the ronf of home. (Requires drawing indicatingpit placement of panels and photo for type of panel to be installed) Homeowner's Signature: I he request is in compliance ..ith Sea Springs HOA Architectural Guidelines: http://seven-springs.orWftles/architectual-guidelincs.pdf Architectural Control Committec!Board: Approved Pending Denied ___ __ Pending Architectural Control Committee Board: Signature: 1:27.11 cat C CUPERTINO Owner Name Address WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 8) 777-3 28 •FAX (408) 777-3333 • building(a)cupertino.org Permit No. Oda J 1 Is your real property a registered historical site? ❑ ) es Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. DY'N'o Go to Question 2. 2 Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its " plumbing, installation of water -conserving plumbing fixtures is not technically feasible? Yye Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. Go to Question 3. Is wat service permanently disconnected for your building? ❑ es Civil Code Sections 1101.1 pp through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. g No Go to Question 4.- Is : Is your real property built and available for use or occupancy on or before January 1, 1994? ❑No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign bottom of form.. 5,, Pleai<e check ONE of the following: My property is a single- residential real property. See Civil Code Section 1101.4. On and after January 1, 2014, building alterations or improvements shall require all nodO ' �y p u bi f ix res to be replaced with water -conserving plumbing fixtures throughout the building. On or be r Y'201 , all non- compliant plumbing fixtures shall be replaced with water -conserving plumbing f 'es regar less of whether property undergoes alterations or improvements). ❑ My property is a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water - conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). ❑ My property is a commercial real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). I, as the owner or owner's agent of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with water -conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's :installation requirements, and that the water -conserving plumbing fixtures comply with the requirements as indicated in the table on the Owner or Owner Agent's Signature: W' _—" " - " Date: Upon completing and signing this Certificate, return it to the Building Division in order to final your building permit. SB407 2015.doc revised 08/26/15 BUILDING PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS `CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015. doe revised 08/26/15 Non-Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 _ 2013 CPC Ch. 4 /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Multi -Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 0.5 gallons/flush Gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. Faucets —. Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gall -ons per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 psi Faucets —' ;Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen per -minute _ 60 psi @ 60 psi psi Faucets _ = May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi, and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable, aerators or reduction. other means may be used to achieve reduction. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015. doe revised 08/26/15 CUPERTIISIO COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(abcupertino.orct PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon. Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On eves level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke al, all eamply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal.. ! ,v, Power Supply: In dwelling units with no commercial power supply, alarm(s) ma e solely ry operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. I have read and agree to comply with the terms and conditions of this statement Owner or Owne . nt's)_Name: 11 wUiCdi natured -^,. ......... .................................................................................. bate �1 C111'tf ' or Name: i - CjSPcJ Si' nat- ure..................................... ..... ........................................, Dade _��........( AN Smoke and CO fonn.doc revised 03/18/14