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13120007CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11671 SOUTHSHORE CT I CONTRACTOR: SOLARCrry I PERMIT NO: 13120007 1 I OWNER'S NAME: WONG, SAN AND MA, LIAN 13055 CLEARVIEW WAY I DATE ISSUED: 0110212014 1 OWNER'S PHONE: 4083326155 11 LICENSED CONTRACTOR'S DECLARATIO License Class Lic, # 'Z-4�-7 'ZS Contractor Date/ei 0 -1-(( 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. kereby 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. 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 ertify that I have read this application and state that the above information is rrect. 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -points rce regulations per the Cupertino Municipal Code, Section 9.18. Signature!Date 0 "2- 21 �m OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1, 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 construct the project (sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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. 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. 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature- Date -- SAN MATEO, CA 94402 BUILDING PERMIT INFO: r, MECH' PHONE NO: (650) 638-1028 r r- r -- BLDG ELECT' PLUMB' RESIDENTIAL f- COMMERCIAL JOB DESCRIPTION: INSTALL SOLAR PV SYSTEM ON ROOFTOP 10 PANELS, 2.5 KW Sq. Ft Floor Area: I Valuation: $10000 APN Number: 36653002.00 1 Occupancy Type= PERMIT EXPIRES IFTVORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180✓ DAYS FROM LAST CALLED INSPECTION. Issued by: erl— RE-ROOFS: 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. Signature of Applicant:_ Date. ALL, ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. 06JZJ� �ri,,d agent: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed COMMUNITY DEVELOPMENT . , .TMENT - BUILDING DIVISION ALTERNATIVE ENERGY PERMIT APPLICATION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 dj (408).777-3228 - FAX (408) 777-3333 - building(5-cupertino.org m PROJECT ADDRESS �I k TT �JAPN ry # CP OWNER NAME + � Y PHONE 40 '3 1 ('15 5> d`�ttt✓✓ E-MAIL STREET ADDRESS TY, 5T ATE FAX CONTACT NAME j/ ___.._..__. NAME, PHONEtZI1 E-MAIL " STREET ADDRESS VA CITY, STATE. ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMB— LICENSE NUMBER Igg LIICCIENNSE TYPE � BUS. LIC # COMPANY NAME E-MAIL - '"'IX STREET ADDRES! t yU Y, STATE,�i P14ONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC 1i COMPANY NAME EMAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF SFD Or Duplex ❑ Multi -Family STRUCTURE: ❑ Commercial PROJECT IN WILDLAND URBAN INTERFACE AREA ❑ Yes ❑ NO PROJECT IN FLOOD ZONE ❑ Yes ❑ NO SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FOR SOJAR PANELS: NUMBER OF PANELSIUNITS: 'lV # KILOWATTS: ?,V_5 _5 V; n \I\J l TOTAL VALUATION: t DESCRIPTION OF WORK fo kj RnCETVEI7BY;. 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 t buil 'ng ocnstru ion. uthorize rapr ,at,of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: o Date: 12—` 7 - SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY ® OVER -TETE -COUNTER e. EXPRESS U w x ©'STANDARD. a ❑ -LARGE AJOR PVApp_2012.doc revised 06120112 CITY OF CUPERTINO V!'ZTHZALT40? — 121T1L_HVG 1)IVISI4#11V A'fechPlarCheck b. 11,11unRua ("ux"A Pion Check T Pcr'rn; -1- Permit a Fee: PlmmbPermit Fee: F, A PluwL hisp. 11_�Ie" El&% Fee- Olher;kyckA S�p' Other Plumbinsp, E3_L_ 011wr Elec� My. Ale& fnsp. Fee: NOTE. This estimate does not include fees due to other Departments (t.e. rianningrumic worKs, tire, Sanuary Sewer matrictaf-fluut, ra"taet the 11 mt. far addnl info. FEE ITEMS j�eeRes�olufion 1 �1-053 E �.71111W FEE ATE: 12/0212013 REVIEWED BY: Mendez Plan Check Fee: *VAi ATION: *PERMIT TYPE: Building Permit Alternative Energy System IPHOTOVRES Photovoltaic System PRIMARY SFD or Duplex USE: 0.0 s TAMATION SOLAR -RES TYPE: --A PME Plan Check: i install solar.pv system on rooftop 10 panels, 2.5 kw $0.00 001 =1 1 Permit Fee: A'fechPlarCheck b. 11,11unRua ("ux"A Pion Check T Pcr'rn; -1- Permit a Fee: PlmmbPermit Fee: F, A PluwL hisp. 11_�Ie" El&% Fee- Olher;kyckA S�p' Other Plumbinsp, E3_L_ 011wr Elec� My. Ale& fnsp. Fee: NOTE. This estimate does not include fees due to other Departments (t.e. rianningrumic worKs, tire, Sanuary Sewer matrictaf-fluut, ra"taet the 11 mt. far addnl info. FEE ITEMS j�eeRes�olufion 1 �1-053 E �.71111W FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = # $229.00 Alternative Energy System IPHOTOVRES Photovoltaic System Suppl. PC Fee: (D Reg. 0OT 0.0 s $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee -.0 Reg. 0 OT Q,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 ("onswildion Tax: F Almi,rlihvtrafive J`ee: 0 0 Work Without Permit? 0 Yes (E) No $0.00 Advanced Planning jgej $0.00 Select a Non -Residential Building or Structure 2 E) 0 A 7'Wvel Documentation Fees: Strong Motion. Fee: IBSEISAffCR $1.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SURTO' $2.00 $229-00 TOTAL 00 Revised: 10/01/2013 City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: OWNER'S NAME: �PHONE# BUSINESS LICENSE # um- r dwj'aff -A a (/ZIPCODE: *Our municipal code requires all businesses working in the 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 A BUSINESS LICENSE. I am not using any subcontractors: o (0 �—((q Signature Date Please check applicable subcontractors and complete the following information: Owner / Contractor Signature SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpetin�-- 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 COMMUNITY MANAGEMENT SERVICES, INCORPORATED December 18, 2013 San Wong Lian Ma 11671 Southsbore Court Cupertino, CA 95014-5144 Re: SEVEN SPRINGS OWNERS ASSOCIATIONS 11671 Southshore Court Dear Homeowners: �T 7M, JIA IN 2 2 0 14 BY: Enclosed you will find a copy of your Architecture Application for the installation of solar panels on the roof of your home, with the approval from the Board of Directors, as well as any restrictions or conditions that the Board deemed necessary. Please fill out the final inspection form and return to me once your project is completed. 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, Communi anagernent Services, Inc. 17-t�y b�is Heredig(;Senio'r Association Manager, CLAM SEVEN SPRINGS OWNERS ASSOCIATIONS LR/nm cc: Board of Directors File #4 & #16 b�is Heredig(;Senio'r Association Manager, CLAM SEVEN SPRINGS OWNERS ASSOCIATIONS LR/nm cc: Board of Directors File #4 & #16 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: Address: email; bw\ Home Phone: Work Phone: Description of Proposed Change. Paint Color Change: Please choose from "approved list" (Garage door outer trim should be diamond white or frost) mew Exterior Siding Color & Garage door(s), - saine color, 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 fi-om MornierLifetjle - style "Cedarlite 5784', color "Muirwood" b. GAF Laminated Fiberglass Asphalt - style "Grand Canyon", color "Mission Brown", c. GAF Laminated Fiberglass Asphalt - style "Grand Canyon", color " "Stonewoocr'— d. Decra Stone Coated Steel Rood System- style "Decra Shake", color "Shadowood"— c. 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 this box): Milgard Vinyl Windows - style "Tuscany", color White 5) Adding a roof attic fan, Tubular 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, one roof attic, tip to 26" in width & height –paint to tnatch 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. lasula ed wood, insulated metal w/ wood facing. or "Carriage House" style 3030 windows 303 no window.—.— 1✓(Il ar porCOli Q The request is in compliance witZ Homeowner's Signature: Severn Springs HOA Aichliectural Guidelines: Architectural Control Connuittee/Board: Approvcd.ending— Denied Pending Architectural Control Committee Board: 1.27J 1 cat C pdf ' x cu 0 O U ® JJm cc' -v -A� MIF cu 0 O U L'i CD � Lr) C> 6 � = < Cn < o CJ U) ro cy- L'i C) I ® JJm -A� m j1p 2z 3 M- 9- z All uj �o LU 22, CN A QY < M CC C>0 0 Lr <:z < 0 L'i CD � Lr) C> 6 � = < Cn < o CJ U) ro cy- L'i C) I a Ly _ Lu V Q Ln a M j } � W 0 lei' U) W T W U O � Ll <C } C Z i1 p0 zz W O LO �i'r o� �c7 cv co ti z ®� o w a o m¢ ca Jazo r-G wa= a� r- ¢ca �z ''a3 OZ M �V)t— 11) 4 KZ �-� W taJr W d ~d WJ NN Jm O Z O- CCD X L, I I � p ¢ _ O Z 0 F- L LL � w CC, 0 g Q W G 4 m / \ V! CD � Z CD t Q r-- N� Z N CN T) LAO CDcv o U- r n o F V 1 � p �j i w Cw? 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