11070138 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11543 COUNTRY SPRING CT CONTRACTOR:KEVIN SULLIVAN PERMIT NO: 11070138
ROOFING
OWNER'S NAME: ZHANG QING AND YANG XUEMEI 1696 VALLEY OAKS DR DATE ISSUED:07/19/2011
( R'S PHONE: 4088873660 GILROY,CA 95020 PHONE NO:(408)842-1057
Id LICENSED CONTRACTOR'S DECLARATIONf—
v-7 i
BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class Lic.# ba? L "
p MECH RESIDENTIAL COMMERCIAL
Contractor �p��/ Date (
I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:RE-ROOF REMOVE SHAKES,INSTALL NEW 30LB FELT&
(commencing with Section 7000)of Division 3 of the Business&Professions LIFETIME ASPHALT SHINGLES CLASS A 23SQ
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.
I have and will maintain Worker's Compensation Insurance,as provided for by Sq.Ft Floor Area: Valuation:$12000
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued.
APPLICANT CERTIFICATION APN Number:36651048.00 Occupancy Type:
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 PERMIT EXPIRES IF WORK IS NOT STARTED
upon the above mentioned property for inspection purposes. (We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR
costs,and expenses which may accrue against said City in consequence of the 180 DAY FROM LAST CALLED INSPECTION.
granting of this permit. Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section 0
9.18• (1 Issued by: l Date:
Signat Date � -C I�
L OWNER-BUILDER DECLARATION RE-ROOFS:
All roofs shall be inspected prior to any roofing material being installed.If a roof is
I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for
the following two reasons: inspection.
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, Signatur of Applicant: 4 ------E 31C"
Business&Professions Code) lit
I,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
I hereby affirm under penalty of perjury one of the following three
declarations: HAZARDOUS MATERIALS DISCLOSURE
I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the
Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain
performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should I store or handle hazardous material.
Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air
contaminants as defined by the Bay Area Air Quality Management District I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
I certify that in the performance of the work for which this permit is issued,I shall Health&Safety Code,Sections 25505,25533,and 25534.
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 Owner o• uthorized agent:
become subject to the Worker's Compensation provisions of the Labor Code,I must
I. -
forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of work's
I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.)
correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address
i -*mify and keep harmless the City of Cupertino against liabilities,judgments,
and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION
E._,ting of this permit.Additionally,the applicant understands and will comply
win'.all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records.
9.18.
Licensed Professional
Signature Date
CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36651048 . 00
DATE ISSUED. . . . . . . : 07/19/2011
RECEIPT #. . . . . . . . . : BS000014103
REFERENCE ID # . . . : 11070138
SITE ADDRESS . . . . . : 11543 COUNTRY SPRING CT
SUBDIVISION . . . . . . :
CITY . . . . . . . . . . . . . . CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : ZHANG QING AND YANG XUEMEI
ADDRESS . . . . . . . . . . : 11543 COUNTRY SPRING CT
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : KEVIN E SULLIVAN
CONTRACTOR . . . . . . . : KEVIN E. SULLIVAN LIC # 23810
COMPANY . . . . . . . . . . : KEVIN SULLIVAN ROOFING
ADDRESS . . . . . . . . . . : 1696 VALLEY OAKS DR
CITY/STATE/ZIP . . . : GILROY, CA 95020
TELEPHONE . . . . . . . . : (408) 842-1057
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BCBSC VALUATION 12, 000. 00 1. 00 0. 00 1. 00 0. 00
1BSEISMICR VALUATION 12, 000. 00 1.20 0. 00 1.20 0. 00
1REROOFRES SQ FEET 23 . 00 322 . 00 0. 00 322 . 00 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 324 .20 0. 00 324 .20 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 324 .20 VISA
---------------
TOTAL RECEIPT 324 .20
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
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 11543 country spring ct. DATE: 07/19/2011 REVIEWED BY: bobs.
APN: BP#: "VALUATION: 1$12,000
PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY SFD or Duplex PENTAMATION 1 SFDWLROOF
USE: PERMIT TYPE:
WORK remove existing shake install new asphalt shingles
SCOPE
FEE ID ROOF AREA
s.f.
1REROOFFRES 2,300
Ll
NOTE. Thesefees are based on the preliminary information available and are only an estimate. Contact the De t or addh7 info.
FEE ITEMS (Fee Resolulion 11-053 l ff.' '1.-"11) FEE QTY/FEE MISC ITEMS
Permit Fee: $322.00
Work Without Permit? 0 Yes (D No $0.00
i
Strong Motion Fee: IBSEISMICR $1.20 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC $1.00
SUBTOTALS: $324.20 $0.00 TOTAL FEE: $324.20
Revised: 07/04/2011
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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. 0 Request for Approval of Proposed Change
PLEASE PRINT/1THE FOLLOWING INFORMATION
Name:��A ��1�1 Address: 1/94 3
Home Phone: Af-aZ366D Work Phone: email: 1 X_9-7(P�/goo
Description of Proposed Change:
Paint Color Change:Please choose from"approved list"(Garage door outer trim should be diamond white or frost)
Vei+'lirteriur Siding f'nlnr rC (.;rtraxw du(Pr(s)-.5ame color,specified color
i
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 from MonierLifetile-style"Cedarlite 5780",color"Muirwood"
i
b.GAF Laminated Fiberglass Asphalt-style"Grand Canyon",color"Mission Brown"��
c.GAF Laminated Fiberglass Asphalt-style"Grand Canyon",color""Stonewood"
d.Decra Stone Coated Steel Rood System-style"Decry 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)
New Siding Material:Hardiplank Cedarmill(wood grain finish) or l lardiplank 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 i
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 roofattic fan up to 26"in width&height-paint to match 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.Insulated wood,insulated metal w/wood facing or"Carriage House"style 303C windows 303 no window
Homeowner's Signature: The request is in compliance with
Seven Springs HOA Architectur Guidelines: http://seven-springs.org/files/architectLial-gtiideliiies.pdf
i
Architectural Control Committee/Board: Approved_Pending
Denied Pending—�—-
Architectural Control Committee Board: Signature. �ito Date:-
1.27.11
ate 1.27.1t cat C•
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COMMUNITY MANAGEMENT SERVICES,INCORPORATED
July 14,2011
Qing Zhang&Xuemei Yang
11673 Westshore Court
Cupertino,CA 95014
Re- Seven Springs Homeowners Association
11543 Country Spring Court
Dear Homeowners:
Enclosed you will find a copy of your Architecture Application 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
style'Virand Canyon!', color"Mission Brown", as well as Milgard Vinyl Windows— Style "Tuscany"in
"Wbite"at your home.
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 contractors) obtaining the required construction permits and
meeting all code,requirements, if any.
If you have any questions,please don't hesitate to contact me.
Sincerely,
Inc.
Co Management ces,
Luis Heredia,Senior Association Manager,CCAM
Seven Springs Homeowners Association
LH/kmi
cc: Board of Directors
File 44
1935 Dry Creek Road, Suite 203 Campbell CA s 95008-3631 la voice (408) 559-1977 a fax (408) 659-1970
REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
CUPERTINO 10300 TORRE AVENUE -CUPERTINO, CA 95014-3255
(408)777-3228- FAX(408)777-3333•building(cDcupertino.org
PROJECT ADDRESS � j y A
OWNER NAME (� PH E-MAIL
XA
ST AD RES CITY STATE IP FAX
CONTRAC,T0R N LICENSE NUMBERLICENSE TYP BUS.LIC.#
COMPAN NAM E-MA', og e, � - FAX
i
ST TAD RES$
I UNDERSTAND AND AGREE TO THE FOLLOWING: VJ
1. The re-roof project shall comply with all applicable provisions of the 2010 California Codes.
2. An inspection request can be scheduled up to the day before the inspection date. Please call (408)777-
3228 from 7:30 - 3:30pm (Mon-Thurs) or 7:30 - 2:30pm (Friday) to schedule the next day inspection.
For Tear-Off and Nailing Inspections, you must also call on the day of the inspection only after that
phase of the work is completed. The building inspector will be available within one hour. Progress
and Final Inspections will be given a two hour window.
3. Tear-Off Inspection is required. Any and all dry-rotted wood shall be replaced prior to this inspection.
Unless new plywood roof sheathing is proposed throughout, all the nails/fasteners shall be either
completely knocked-down or removed prior to this inspection.
4. If plywood is installed, a plywood Nailing Inspection is required.
5. Roofing shall not be applied without first obtaining all prior inspection and written approvals from the
building inspector. Any roofing which is applied 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.
6. Progress Inspection is required when approximately 50% of roof covering is installed.
7. A Final Inspection and approval shall be obtained from the building inspector when the re-roofing is
completed. To receive a final sign-off, the following items will be verified:
a. Flat roofs shall have a minimum of 1/" per foot of slope and 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, vents painted, gutter/downspouts installed, debris removed.
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 understand and agree to comply with the re-roof policy stated above. I also understand that
smoke detectors and carbon monoxide detectors are required to be installed in accordance with Sections R314 and R315 of
the 2010 California Residential Code.
Signature of Applicant/Agent: Date: C
XeroofPo1icv_2011.doc revised 02/16/11
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
C U P E RT I N O Fax: 408-777-3333
CONTRACTOR/ SUBCONTRACTOR LIST
JOB ADDRESS: VJ -r, PERMIT#
OWNER'S NAME: PHONE# 9-9'7-3s
GENERAL CONTRACTOR: BUSINESS LICENSE#
ADDRESS: !j 66 � p �/� . CITY/ZIPCODE: -JZ
*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
BUSINESS LICENSE.
I am not using any subcontractors: -
Signature Date
Please check applicable subcontractors and complete the following information:
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
lr l
Owner/Contractor Signature Date
07 � r $
REROOF PERMIT APPLICATION ptAN
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION v*cjcl iD a
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 UAft 7 1°I
CUPERTINO (408)777-3228• FAX(408)777-3333•buildinclacupertino.org ~ �l�
11►INC EA
PROJECT ADDRESS � C�/f- _ 4 y ��. APN ' )).Are_
OWNER NAME PFONE
STREET ADDRESS CT CITY, STATE_ ZIP l (tf FAX
APPLICANT NAME PHO r E
STREET ADDRESS M6
�lJ - f�
13 OWNER 11OWNER-BUILDER ❑ OWNER AGENT Q eONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRA OR NAME !� LICENSE �ER LICEN TYPE BUS.LIC.#
COMPANY NAME E-MAILFAX
STREET DRES '7� CITY,ST ,ZIP
J (iJ
ARCHITBCT/ENGINEER NAME LICENSE NUMBER BUS.LIC.#
COMPANY NAME E-MAIL, FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF FD or Duplex ❑ Multi-Family ROOF AREA: ��pp�� VALUATIION:
STRUCTURE: ❑ Commercial � Jay 6 $ ` Z—L,
EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES &ZOODSHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE/REPLACE QOKS IF NO, CKNESS
{ YWO h" ❑ PLYWD ❑ OSB PITCH: ROOF
E) THI
NO #LAYERS: 1 : El 5/8- TYPE: ❑ CDX :12 CLASS: A
PROPOSED ROOF TYPE: ❑BUILT-UP ROOFIfd�SPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT#
DESCRIPTIO OF WORK: ��j ,� � ye-
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 toQconstryatire . I authorize,representatives of Cupertino tc enter the above-i entified property for inspection purposes.
Signature of Applicant/Agenr -g Date:
SUPPLEMENTAL INFORMATION REQUIRED ; _ � � ' 10 m �
If building is associated with a Home Owner's Association,provide letter 1'>Axt C> czc xrE - 'k `ttouTuvr�sL7P ,`
of a royal from HOA. v�sz�ctlz�av>�x�
IIILbING PLAN R$VIER
PPS
_Provide Planning approval to verify if there any restrictions. [] �zPsS ❑ PLANNING "V-E 6
3 ;
_Provide copy of Manufacturer's Installation Specifications. )] srAxnATzn ❑ D'
rovide signed copy of Cupertino's Tear-Off Policy. ❑''oTBER `
3
ReroofApp_2011.doc revised 03/02/11