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15050021 (2) CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11670 TIMBER SPRING CT CONTRACTOR:AMERICAN HOME PERMIT NO: 15050021 RENEWAL INC OWNER'S NAME: YOUNG STEVEN H AND JEANINE L 310 SHAW RD STE A DATE ISSUED:05/05/2015 OWNER'S PHONE: 4083969280 S SAN FRANCISCO,CA 94080 PHONE NO:(650)553-9054 M�1 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL 0 7k, 22 `� C REMOVE WOOD SIDING AND REPLACE WITH HARDIE L i c e n s C—las,—,B . - ,.— tc.#,.., 1,,`TOJv0_ SIDING (1700 SQ FT). Contractor 'GiZ,2�cq:J:tivA '';FC-%(i r Date •�4*,__` - I hereby affirm that I 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 ee sation,as provided for by Section 3700 of the Labor Code,for the , ance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$30000 nd will maintain Worker'sCompensation Insurance,as provided for by 3700 of the Labor Code,for the performance of the work for which this APN Number:36654092.00 Occupancy Type: APPLICANT CERTIFICATION t I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED c rrree to comply with all city and county ordinances and state laws relating WITIIIN 180 DAYS OF PERMIT ISSUANCE OR t ilding 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 •l� granting of this permit. Additionally,the applicant understands as d-will comply Issued by: d V ate: with all non-point source regulations per the Cupertino Mu 'eipal Code,Section 9 18. RE-ROOFS: Signatule �K' << «a c'ii 5` %rt^s'F..; iIfDtu� `<"�1F N` All roofs shall be inspected prior to any roofing material being installed.If a roof is �: rY installed without first obtaining an inspection,I agree to remove all new materials for inspection. ❑ OWNER-B D ECLARATION Signature of Applicant: Date: I hereby affirm that I a 2pt 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 haz ous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Manageme istrict 1 performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, apter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25-51 and 255 Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized a ent.1 .'. iTw. :':rsa 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 CONSTRUCTIO LADING 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 indemnify 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 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 /_�J__�5 CONSTRUCTION PERMIT APPLICATION is COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•buildinclCa�cupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION777/DEFERRED/// ORIGINAL PERMIT# PROJECT ADDRESS /reYn rn �I `C /� APN# ,.S O WNER NAME JE A ( `� 1�`I`� �J PHO—NE _ � E-MAI(L !J STREET ADDRESS /VI CITY, STATE,ZIP FAX 7 -71 A fjoz 5 F_1AI6 G LcJPa27t,Jv C—A `:1 Sol If CONTACT NAME EILEEN COOK PHONE707-527-7727E-MAILeileen@permltServiceS.com STREET ADDRESS CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR IO CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC# Natal Gutierrez 740587 B C17 COMPANY NAME E-MAIL FAX AMERICAN HOME RENEWAL 650-553-9053 STREET ADDRESS CITY,STATE,ZIP PHONE 310 SHAW ROAD STE A SOUTH SAN FRANCISCO CA 94080 650-553-9054 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK SrOtd I rl 57 EXISTING—USEXISTING-USF, ^ CONSTRffE I #STORIES USE TYPE OCC. SQ.FT. VALUATION($) 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 I GARAGE AREA: U DETACH ❑ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? []NO ADDITION? []NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YESRECEIVE_DZ�V 7T VALUATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? 51Y O J � / _30 CX moi\L� 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 J 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 construction. I a sentatives of Cupertino to enter the aboveidentifiedproperty for inspection purposes. Signature of Applicant/Agent: Date: S Z 5 ll,--5 SUPPL AL INFORMATION PLAN CHECK TYPE ROUTING SLIP New SED or Multifamily dwellings: Appy for demolition permit for OVER-THE-COUNTER BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure . STANDARD ❑ PUBLIC 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 06121111 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 11670 timber spring ct DATE: 05/05/2015 REVIEWED BY: SEan APN: BP#: *VALUATION: 1$30,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY SFD or Duplex PENTAMATION 1GENRE USE: PERMIT TYPE: WORK Remove wood siding and replace with Hardie Siding 1700 sq ft). SCOPE Nfech. Plan Check Plumb.Plan Check Elec.flan Check Lfecf�. Perruit Fee: Plumb. Permit Fee: Is'tec. Permit Fee: Other Hech. Imp. Other Plumb Imp. Other Glec.Imp. <tdech.Insp. Fe Plumb, Iusp. Fee: Elec.Insp.Pae: NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). Thesefees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 1,700 s.f. Siding Supp/.PC Fee: Reg. Q OT 0.0 hrs $0.00 $1,291.00 ISIDEOTHER All Other PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee:Q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction 'Tax: Administrative Fee: 0 Work Without Permit? 0 Yes 0 No $0.00 E) Advanced Planning Fee: $0.00. Select a Non-Residential 7i avel Documentation fees: Building or Structure i Strong Motion Fee: IBSEISMICR $3.90 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00 TOTAL FEE:,: $5.901$1,291.00[,, TOTAL FEE:: $1,296.90 Revised: 04/01/2015 Seven Springs Owners Association p ■ ' Application for Approval of Architectural Change/Addition CATH+GOI;LY 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: _U 'i` _. Request for Approval of Proposed Change PLEASE PRINT THE FOLLOWING INFORMATION Name: t:t.�i'la t L` ��( t i lk t Address: �� t`l> n L. A�• �`� Home Phone: sUr�ork Phone: ' —� ` email' `5e":t ,✓ 9 Ut, ley., Description of Proposed Change: 1)Paint Color Change:Please choose from"approved list"(Garage door outer trim should be diamond white or frost) ( J Sidimr Coior Cli Gaf—,'1ge.door'(3J-surne color,specified color{; rt�`a. �'- - .f:,�.ls� tilr( 'E i2�L.(v'lc%c "frim color.-cliajR,9 v white's or frostFroat door color:diamond whit- .frost .. . nat1ral oak or specified"approved color„ - - V 2)Roofing Material Change(please check one choice) .�, a.Lightweight Concrete Tile from MonierLifetile-style"Cedarlite 5780".color"Mun'wood" } d ' c; `i3, c�-I`�'°�°'i�t, n' i;l;�L b.GAF.Laminated.Fiberglass Asphalt-style"Grand Canyon",color"Mission Brown" c. GAF Laminated Fiberglass Asphalt-style"Grand Canyon",color""Stonewood"_ d.Decca Stone Coated Steel Rood System-style"Decca 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) Siding Material:Hardiplank Cedarmill(-mood grain finish)A or Hardiplank Smooth Finish_ Which sides are you are changing material?(frontes back:�_lei3 -N,right��-) 4)Window Material and Design change:(Please check this boa):Vinyl Windows-color White "Must include manufacture also htclude cut sheet for type and style of windows.Retrofit__New Constr. 5)Adding a roof attic fan,Tubular Skylight,Air 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. Tubidar,skylight tip to 14"diameter, one rogf attic,fan trip to 26"in ividth&height-paint to match rogf 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 h,Insulated wood; insulated metal w/wood facing or"Carriage House"style 303C windows_K 303 no window_ 7)Solar System:Adding solar panels to the roof of home. (Requires drawing indicating placement of panels and photo for type of panel to be installed)— *4.A4:'Y.i:zt:si:d:ki:iCr.%>:>:%ae Homeowner's Signature: ��)i+t�°-�,___. (: ....-----,,.,_ _.--• The request is in compliance with Seven Springs HOA Arc`•'ectural G.6-id rzfities:http://seven-springs.org/files/aichitectual-guiclelines.pdf Architectural Control Committee/Board: Approved Pending _ rr�= Denied Pending Architectural Control Committee Board:Signature** ate: Lf . 1 27.11 cat C f