13070094 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11603 BRIDGE PARK CT CONTRACTOR:CASTILLO'S ROOFING PERMIT NO: 13070094
OWNER'S NAME: MARVIN TEXEIRA 1703 CATHAY DR DATE ISSUED:07/15/2013
OWNER'S PHONE: 4082556681 SAN JOSE,CA 95122 PHONE NO:(408)251-3565
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIAL❑
License Class ") / Lic.# RE-ROOF 18 SQ-TEAR OFF SHAKE,INSTALL 30LB FELT
INSTALL GAF CLASS A
Contract Date
I hereby a -rm t t 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
performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$9900
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 APN Number:36652058.00 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 DAY OM 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 ^�
granting of this permit. Additionally,the applicant understands and will comply Issued by: Date:Q'
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
ROOFS:
S '�f�' Date � �S All roofs shall be inspected prior to anyny roofing material being installed.If roof is
installed without first obtaining an inspection,I agree to remove all new materials for
inspection.
❑ OWNER-BUILDER DECLARATION
Signature of Applirm�: Date:2 zW/;3
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons: ALL ROOF CO RINGS 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)
1,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 aCertificate 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 Codekctiions�25505,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this
Owner or authorized ages Date:
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
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION h�
10300 TORRE AVENUE-CUPERTINO, CA 95014-3255
{408)777-3228•FAX(408)777-3333•buildinga-cupertino.org \3
CUPERTINO:
PROJECT ADDRESS APN#rks�l
OWNER NAME i PHO _ EMAIL
I -a
STREET ADDRESS CITY,ST E,ZIP ./f L FAX
CONTACT NAME I PHO E-MAIL
STREET ADDRESS CWO
TE ZIP (� e 0^
l'1 1
[]'OWNER ❑ OWNER-BUHMER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME / LICENSE NUMBER LICENSE TYPE n BUS.LIC.#
COMPANY NAME : EMAIL FAX
STREET ADDRESS CITY,STATE,ZI PHO ./L/i (/
�Vi
ARCHITECT/ENGINEERNAME LICENSE NUMBER ' BUS.LIC.
COMPANY NAME EMAIL FAX
STREET ADDRESS - CITY,STATE,ZIP PHONE
USE OF XSFD or Duplex ❑ Multi-Family ROOF AREA: (X� VALUATION:
STRUCTURE: ❑ Commercial 3 U y
EXISTING ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES XWOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY)
REMOVE/REPLACE, YES IFNO, PLYWOOD 11 '%- ❑ PLYWD ❑OSB
PITCH: ROOF
El NOI.#LAYERS: THICKNESS: 115/8" TYPE: ❑ CDX :12
CLASS:
ICC-ES REPORT#
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES 13
WOOD SHAKES ❑WOOD SHINGLES OTHER
DESCRIPTION OF WORK'^-�
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 provi d 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 relatin' to buildi cons ctI . I`dn e o to enter the above enti, d property for inspection purposes.
Signature of Applicant/A Date: I (�
SUPPLEMENTAL INFO TION REQUIRED
If building is associated with a Home Owner's Association,provide letter
ro..
of.approval from HOA.
Provide Planning approval to verify if there any restrictions. xrl% x AI!i
Provide copy of Manufacturer's Installation Specifications.
�f
_Provide signed copy of Cupertino's Tear-Off Policy.
ReroofApp_2011.doc revised 03/16/11
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: DATE: 07/15/2013 REVIEWED BY: Mendez
APN: BP#: *VALUATION: 1$9,900
*PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY SFD or Duplex PENTAMATION 1SFDWLR00
USE: PERMIT TYPE:
WORK
SCOPE
FEE ID ROOF AREA
s.f.
1REROOFFRES 1,800
� r
:tech.Plan Check Phimb,Plart Check Elec..Plan Check
Tech. PermitFee: Phtmb.Permit Fee: 1;71ec.Permit Fee:
Other Meeh.Insp. other Plumh lrtsp. Other Elec,Inrp, Li
1.Mech. Insp. Fere: Plumb. Ittsl3.Fee: Elec.Insp,Fee:
NOTE:This estimate doesnot include fees due to other Departments(Le.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 I info,
FEE ITEMS (Fee Resolution 11-053 Eff 7/1/121 FEE QTY/FEE MISC ITEMS
Plan Cheek Fee:
tiSuppl. PC:.Fee
Plumh.1111ech./Elec
Permit Fee: $288.00
.5upp1. Insp Fie
Plumb./Meeh./Islec
Plumh.IiWech.lElec Permit Fee:
Constr-ttction :Tax:
Administrative Fee:
Work Without Permit? Yes 0 No $0.00
Advanced Planning Tees:
Gravel Documentation 1,ees: �
Strong Motion Fee: 1BSEISMICR $0.99 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC $1.00
$289.99 $0.00 $289.99
. _
Revised: 07/01/2013
REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUP RTINO
(408)777-3228•FAX(408)777-3333•buildingaacupertino.org
PROJECT ADDRESS ' park
APN 4
OWNER NAME PHONE - I E-MAII
STREET ADDRESS \ ATE,ZIP p ' FAX
J
CONTRACTOR NAME L 1 LICENSE NUMBER LICENSE 4 BUS.LIC.#
COMPANY NAME E MAII FAX
STREET ADDRESS 1 CTT TATE,ZIP C`� PHO
I UNDERSTAND AND AGRE O THE FOLLOWING:
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 one business day before the requested inspection date.
Please call(408) 777-3228 from 7:30-3:30pm(Mon-Thurs) or 7:30-2:30pm(Friday)to schedule
inspection. For Tear-Off and Nailing Inspections,you must also call on the day of the inspection only
after thatphase:of the work is completed. The building inspector will be available within one hour.
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. 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 I/4"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.
7. 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. 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=esi�dentialSignature of ApplicanDate: I
ReroofPolicy_2012.doc revised 10/7/12
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 INFORMATIONS
Name: Address:
Home Phone:'�� S—6,&?/ Work Phone: email: A�Q Llz4 6 -p e V A—fir /W/,
Description of Proposed Change:
Paint Color Change: Please choose from"approved list"(Garage door outer trim should be diamond white or frost)
New Exterior Siding Co/or& Garage door(s)-saine co/or,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 from MonierLifetile-style"Cedarlite 5780",color"Muirwood"
b. GAF Laminated Fiberglass Asphalt-style"Grand Canyon",color"Mission Brown"' 1/'
c. GAF Laminated Fiberglass Asphalt-style"Grand Canyon",color""Stonewood"
d.Decra Stone Coated Steel Rood System-style"Decra 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 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 fan up to 26"in width&height—paint to match roof
6) G arage 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 Architectural Guidelines: http://seven-springs.org/files/arcbitectual-guidelines.pdf
Architectural Control Committee/Board: Approved � Pending
Denied Pending
Architectural Control Committee Board: Signa Date: 7 3
1.27.11 cat C