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15050054 (2) CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11660 TIMBER SPRING CT CONTRACTOR:AMERICAN HOME PERMIT NO: 15050054 RENEWAL INC OWNER'S NAME: JIANG MU FEI AND LI CHUN 310 SHAW RD STE A DATE ISSUED:05/11/2015 OWNER'S PHONE: 4088381930 S SAN FRANCISCO,CA 94080 PHONE NO:(650)553-9054 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL REPLACE(E)WOOD SIDING WITH(N)HARDIE FIBER License Class/� Lic.# fi g CEMENT SIDING,LIKE FOR LIKE(1,750 S.F.) /� Contractor ✓��'�` `�D t r f 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 Compensation,as provided for by Section 3700 of the Labor Code,for the A3ect rmance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$30000 e and will maintain Worker's Compensation Insurance,as provided for by n 3700 ofthe Labor Code,for the performance of the work for which this APN Number:36654093.00 Occupancy Type: pert is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXP RK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WIT ERMIT 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 O ,D INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgme costs,and expenses which may accrue against said City in conseque the granting of this permit. Additionally,the applicant underst and will comply Issued by: Date: N with all non-point source regulations per the Cuperti lumccipal Code,Section 918. RE-ROOFS: Sign Lure " Date (( r 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. ❑ OW UILDER DECLARATION Signature of Applicant: Date: I hereby affirm t at 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(Sce.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 1 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,Ch pter'9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,255 . Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date: 73,c�i�'/45 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 CONSTI1TION 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 CONSTRUCTION PERMIT APPLICATION 00 S� COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION im 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•buildinctacupertino.org ❑NEW CONSTRUC TION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS / 16 6 yl �� ��� �1� /' APN# 6 sr r) G� OWNER NAME /�,I u� J 1 PH�—� ,9 3?-I 3 Q E-MAIL V ` STREET A DRESS(_.(-t (` CITY,STATE,ZIP FAX ('p 'T l,h3c� 5 �Ia G C- c 271.)Q G 9 Sol `f CONTACT NAME EILEEN COOK PHONE707-527-7727E-MAILeileen@permltServlces.com STREET ADDRESS CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR 14 CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME .LICENSE NUMBER LICENSE TYPE BUS.LIC# Nataly 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 I PHONE DESCRIPTION OF WORK 1 e? �� 5-F. (�t Ill �2(7I�' �f 131,'12 �Vjr it,J7 I DI AJ l k-- i?-rZ I /' �C-50 c EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES 2,,, USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODELAREA REMODELAREA REMODELAREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: 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 ^RECEI T TAL VALUATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ ^�� wyr�� CIV J 1 CMCJ By my signature below,I certify to each of the following: I am the property owner or authorized age �te t operty owner's behalf. I have re this application and the information I have provided is correct. I have read the Description of W verify iurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I aut representativ upertino to enterabove-identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPEE19MRTAL INFORMATION -PLAN CHECK TYPE ROUTING SLIP _New SFD or Multifamily dwellings: ApplZr:de ' on permit for 'p OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW existing building(s). Demolition permit is re ' prior to issuance of building permit for new building. '❑ EXPRESS ❑ PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS foITrIT 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_1011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 11660 TIMBER SPRING CT DATE: 05/11/2015 REVIEWED BY: MELISSA APN: 366 54 093 BP#: *VALUATION: 1$30,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1GENRE WORK REPLACE E WOOD SIDING WITH N HARDIE FIBER CEMENT SIDING LIKE FOR LIKE (1,750 SCOPE S.F.) .Ikch. Pion Check Phwib. f lure Checli Elec.Pl an Check i6le111. Permil Fee Plumb.Permit Fee: lzlec. Pernzir fee: Other Hech. Insp. Lj Other Plumb Iris[). Li other 1>7ec•.Insp. 4ech. Irish.Fee: Phznib. hist. Fee: Islec.InS19.fee: NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). These ees are based on the prelimina information available and are only an estimate Contact the Dept./or addn'1 info. FEE ITEMS (Fee Resolution 11-053 Eff. 711/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 1,750 s.f. Siding Suppl.PC Fee: Q Reg. 0 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 Tory: Administrative Fee: Q Work Without Permit? 0 Yes 0 No $0.00 E) Advanced Planning Fee: $0.00 Select a Non-Residential E) Treivel Documentation Fees: Building or Structure 0 i Strong Motion.Fee: IBSEISMICR $3.90 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $2.00 SUBTOTALS: $5.901$1,291.001, TOTAL FEE: I $1,296.90 Revised: 04/01/2015 S"even Springs C9wneas Association AppU6ti6n for.pprowai'of Archliectairal Chat**Addition q CATEGORY C Category C-'Modifications that are exterior modifications with,no changes to the:original"building structure or floor plan.All rooting, silting,tivindowrrtafer al change:exterior paint color change,.additioai,of a roof attic fan,or garage dour,fall into this category. Date: f_,I! 86/5--Request for Approval of Proposed Change PLEAS`T;PRINT THE FOLLOWING INFORIMATION -� Namc C� ee.y�< /`f % i Address: �.�'�,�0 1 t a"L beaC S i�t p yo g ";888 .3:85'3; I3oinc.Phone:�OEj' S�� ot9'� 1 ?tivne�� entail `' lyescrtptson"oi Proposed Changes Jt= =:elw�itill C��`�t 1),Paint Color Change:"Please choose from"approved list"(Garage door outer Erin should be diamond white or frost) New Otte icer Sidi=t Cohn, trope a*�f3rr#rrM.si-_rtartrc c-vlzw,specified color Trim color.diamond white_err frost Front door color;diamond white_frost—natural oak �or specified"approved color.... .. _..._. .. 2)^1Znofing�3ateraal,Chaatgc"ipiease;ch,ck orae choice) a,tiglitwei�hlConcrete-Tile;froniIwl nierYifetile-"styli"Cedarlite 7£SO" ro,or'`Muirwooii" b.GAA Laminated Fiberglass Asphalt-style"Grand Canyon",color"MissiorcBrown"— e.GAV Laminated Fiberglass Asphalt-style"Grand Canyon",color­'Stonewood I" d.Decra Stone Coated Steel Rood System-style"Decra Shake",calor"Shadmood " --­ C. e.Class"A".hire Retardant:Rooling"System using,pressured treater!cedar wood shinoles with fire retardant fiberglass cap sheet underlay.Ne.ed;to:ltave,a•City of.Cuperttno Per it accomp�ttying khis applicatinti;for all tivnod shingle roofs. . �)Siding Material Change(Please check one ch oac ) Siting Matera�tl Harrhplank C cal trtnill(wncad•gram..finish)�or 13ardiplank Smooth.Finish 7( /e1r4?moi!w �xisT%may GoCo2 j Which sides:tre visa are cJiangint material?(front Hack left right--�) N b^/0 o 4)Window Material.and Design change:(Please check this box):Vinyl Windmvti-color NVhIite," NAV AITo Be/q Q `Must include manufacture also Include 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 theproposedchange Application must include.dimension,color of the proposed fan and its location on the root Please include detailed drawings,specifications,and product brochures of"ay. iilablc, TubaelnP.chvlight up,lo 14''t1(trnteier,0r7c r oii lwlic fcan,gp.N,26 in width e@;hrl ghl-pa im'to snatch ro(y' G)Garage doors: a.Recessed wood',Pancl,not raised in center same style for windows("PLAIN"-non decorative) Style 84(8;ptanels across,64(6 panels across),44(4 panels across).Style,-„_with windows or Style �no windows b Insulated wood insulatedmetal w!wood facing or Carriage House' style 303C windows 303 no window 7)Solar System;Adding solar paaicls to the a:roo$of home. ' (Requiresdrawing indicating placement of panels and_plroto for type'of panel to be installed) _ �:*:k>araY-f-=#-kk�'k.:`r:m�'�=k:k-krk>Frf:af:k,;c=k :km>kM�H+M%afi?htk>N�;:xkYf st sk k:at=BYi>kYF+k�s9.'.:�cY+r4:ga�#Yf•:k:k:k:Y.:."::k2t:a`.tkrN:i��%'r•:RvY�>k=k:t=k FiR9:��.s?:X l Ile>IT1COWriCr's Signature: /' � The request is in eornpliance with Sevin Springs HOA Architectural Guidelines:htip://seven-slrrings.org/I:deslan hltccuiai-guitielines,prit' Architectural.Control Cominitic�ell3oard: Approved v 1"'ending Denied Pending, t' cUc57�p�'�� ©� Architectural Control Committee Board:Signature: i� bate: 1.27.11 cat C