10050082 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11632 SEVEN SPRINGS DR COP TRACTOR:PRINCIPLE ROOFING& PERMIT NO: 10050082
OWNER'S NAME: JIM TAN 1016 STERN AVE DATE ISSUED:05/10/2010
XR'S PHONE: 4088812894 CUPERTINO,CA 95014 PHONE NO:(408)898-7298
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class Lie.#_ _ __�1 6,3��''
����/(� MECH f— RESIDENTIAL COMMERCIAL
Contractor '' Date
I hereby affirm that I am licensed under the provisions of Chapter 9 JOE DESCRIPTION:RE-ROOF REMV EXISTING WOOD SHAKE&INSTALL
(commencing with Section 7000)of Division 3 of the Business&Professions LIFE LIME ASPHALT SHINGLES CLASS A 23SQ(GRAND
Code and that my license is in full force and effect. CAN YON MISSION BROWN)
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
Section 3700 of the Labor Code,for the performance of the work for which this Sq.I t Floor Area: Valuation:$9500
permit is issued.
APPLICANT CERTIFICATION APN Number:36654013.00 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
upon the above mentioned property for inspection purposes. (We)agree to save PERMIT EXPIRES IF WORK IS NOT STARTED
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the 'WITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting of this permit. Additionally,the applicant understands and will comply 1.80 DA�S FROM LA CALLED INSPECTION.
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18. C�"�/ J��'✓�
Signature Date 0f O ld Issued by: Date:
L-1 OWNER-BUILDER DECLARATION
RE-ROOFS:
I hereby affirm that I am exempt from the Contractor's License Law for one of All rc ofs shall be inspected prior to any roofing material being installed.If a roof is
the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for
I,as owner of the property,or my employees with wages as their sole compensation, inspe tion.
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Business&Professions Code) Signature of Applicant: Date: 6-5-1�,-YIC'
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:
1 have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE
Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.95 of the
performance of the work for which this permit is issued. Calif)rnia Health&Safety Code,Sections 25505,25533,and 25534. I will maintain
I have and will maintain Worker's Compensation Insurance,as provided for by comr liance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material.
Addi ionally,should I use equipment or devices which emit hazardous air
permit is issued. contaminants as defined b the Ba Area Air
y y Quality Management District I will
I certify that in the performance of the work for which this permit is issued,I shall main min compliance with the Cupertino Municipal Code,Chapter 9.12 and the
not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534.
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 Owns or authorized agent:
forthwith comply with such provisions or this permit shall be deemed revoked. Date: CT//,P/lU
APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY
I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's
correct. I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.)
to building construction,and hereby authorize representatives of this city to enter Lend:r's Name
upon the above mentioned property for inspection purposes.(We)agree to save
mnify and keep harmless the City of Cupertino against liabilities,judgments, Lend!r's Address
,and expenses which may accrue against said City in consequence of the
granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18. I undf rstand my plans shall be used as public records.
Signature Date Licensed Professional
CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 36654013 . 00
DATE ISSUED. . . . . . . : 05/10/2010
RECEIPT # . . . . . . . . . : BS000010355
REFERENCE ID # . . . : 10050082
SITE ADDRESS . . . . . : 11632 SEVEN SPRINGS DR
SUBDIVISION . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . :
OWNER JIM T.kN
ADDRESS 11632 SEVEN SPRINGS DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : DERECK LOI
CONTRACTOR . . . . . . . : DEREC:C LOI LIC # 27564
COMPANY PRINCIPLE ROOFING &
ADDRESS . . . . . . . . . . : 10160 STERN AVE
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
TELEPHONE . . . . . . . . : (408) 898-7298
FEE ID UNIT QUANTITY AM013NT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---- ------ ---------- ---------- ----------
1BCBSC VALUATION 9, 500 . 00 1. 00 0 . 00 1 . 00 0 . 00
1BSEISMICR VALUATION 9, 500 . 00 1 . 00 0 . 00 1 . 00 0 . 00
1REROOFRES SQ FEET 23 . 00 299. 00 0 . 00 299. 00 0 . 00
----------- ---------- ---------- ----------
TOTAL PERMIT :301 . 00 0 . 00 301 . 00 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- ---------------------
CREDIT CARD 301. 00 V'-SA
---------------
TOTAL RECEIPT 301 . 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
CITY OF
CITY OF CUPERTINO
REROOF
CUPERTINO PERMIT APPLICATION
APN# Date:
Building Address:
1 l&3Z 5 E✓6+V s�✓�,�� {o,�',
Owner's Name: w► -7-,J-f✓ Phone #:
HOA: Yes [ No ❑ If Yes, provide letter from HOA
Contractor: Phone #:
Z— Fax#:
Cupertino Business License #: Contractor License #:
Type of Rooi'Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ ,Asphalt Shingles a/Asphalt Shingles
Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other (Specify)
Number of existing coverings ❑ Provide I.C.C.E.S. Report#
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description:
itlo /q-
Residential Commercial
Green Building: Please complete relevant portion of the Confirmed with-Planning Dept. if
Green Building Checklist & attach it to the application or if there are any restrictions: ❑
applicable, include in plan set & the sheet index.
Valuation: 1-
I Have-Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
Signature
Revised 02/05/09
CITY OF
CITY OF CUPI:RTINO
.12 REROO F
CUPERTINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1REROOFCOM Re-roof Commercial B 1COMMLROOF
1BCBSC Cal Bldg Standards B ALL PERMIT TYPES
Commission Fee
1BSEISMICO Seismic Commerz,ial B
1RER00FRES Re-roof Residential B 1SFDWLR00F
1BCBSC Cal Bldg Standards B ALL PERMIT TYPES
Commission Fee
1BSEISMICRE Seismic Residential B
1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF
1BCBSC Cal Bldg Standards B ALL PERMIT TYPES
Commission Fee
1BSEISMICRE Seismic Residen-:ial B
1BUSLIC Business License B
REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDIIJG OFFICIAL
CUPERTINO 10300 TORRE AVENUE- CUPERTINO, CA 95014-3255
(408)777-3228- FAX(408)777-3333 - builc ing((Dcupertino.ong
PROJECT ADDRESS APN#
OWNER NAME PHONE E-MAIL
114 TA-1-1 (Lai'j 911
STREET ADDRESS CITY, STATE,:;IP FAX
CONTRACTOR NAME- LICENSE NUMBER LICENSE TYPE BUS.LIC.#
G 2
COMPANY NAME E-MAIL FAX
STREETAD R SS CITY,STATE,Z[P PHONE
I UNDERSTAND AND AGR:E TO THE FOLLOWING:
1. The re-roof project shall comply with all applicable )rovisions of the 2007 California Building Code.
2. An inspection request shall be scheduled the day before the inspection date. Please call (408)777-
3228 between 7:30 - 3:30pm (Mon-Fri) to schedule the next day inspection.
3. After the roof is torn off and the nails/fasteners haN a been removed and all the dry-rotted wood has
been replaced, you must call for a roof inspection. A building inspector will be available with one hour.
There are special hours for the service: 7:30 — 10:30am and 1:00 —3:30pm (Mon—Thurs);
7:30 — 10:30am and 1:00 —2:30pm (Friday).
4. If plywood is installed, a plywood nailing inspection is required.
5. New roof coverings shall not be applied without first obtaining all inspection and written approvals from
the building inspector. Any roofing which is appliec.without first obtaining an approved inspection will
require the removal of all new material down to the ,heathing 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 followin€ item will be verified:
a. Flat roofs shall have a minimum of 1/" per foot of slope and demonstrate there is no ponding.
b. A listing from an approved testing agency shall be al,ailable on-site to review at the time of the
inspection.
c. Proper spark arrestor installation.
7. NOTE: If you call for a plywood nailing inspection end the job is not ready, you will be charged to a re-
inspection fee of$126.00. The re-inspection fee shall be paid before another inspection can be
scheduled.
Thy my signature below, I certify to each of the following: I am the property owner or authorized agent to act on
.te property owner's behalf. I understand and agree to comply with the re-roof policy stated above.
Signature of Applicant/Agent: Date:
ReroofPolicy_2010.doc revised 04//4110
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COMMUNITY MANAGEMENT SERVICES, INCORPORATED
Nov smber 3,2009
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Jim Tan& Sai Sai Huang
1133 Idlewood Drive
San,Tose, CA 95121-2723
i
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Re: Seve a Springs Homeowners Association
11632 Seven Springs Drive
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 ar y restrictions or conditions that the .Board deemed
necessary. According to your application you are installing The GAF Laminated Fiberglass Asphalt — I
style"Grand Canyon", color"Mission Brown". '
Please keep in mind that any deviation from your apf roved 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 Architoctural Committee and/or the Association Board of i.
.Directors deem your project as meeting City of Cuper>ino/County of Santa Clara codes. The approval is
given contingent upon you and /or your contractor(.,) obtaining the required construction permits and
meeting all code requirements, if any.
Sincerely,
f
I
Community Management Services,Inc.
i
Luis f leredia,Senior Association Manager
Seven Springs Homeowners Association
LHlkmj
cc: Board of Directors j
File 44
f
1935 Dry Creek Road, Suite 203 Campbell CA , 95008-3631 n voice (408) 559-1977 fax (408) 559-1970