13060201 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11629 BIRCH SPRING CT CONTRACTOR:AMERICAN HOME PERMIT NO: 13060201
RENEWAL INC
OWNER'S NAME: LI SHEN Y AND SUSAN S 310 SHAW RD STE A DATE ISSUED:07/01/2013
OWNER'S PHONE: 4086254755 S SAN FRANCISCO,CA 94080 PHONE NO:(650)553-9054
C�1C LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIAL❑
License Class C i Lic.# 24 05`- 7 REPLACE(E)WOOD SIDING WITH(N)HARD SIDING
/�
,rr (1750
Contractor AWIc�c.AJ l�owi( FEq_AI.Date / �
7 S.F.),SAME STYLE TO MATCH(E)LOOK.REPLACE 3
I hereby affirm that I am licensed under the provisions of Chapter 9 WINDOW,SAME SIZE&LOCATION
(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:$24500
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:36654079.00 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 DA 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 ;V.0 D OM D INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,Judgments, /
costs,and expenses which may accrue against said City in co nce of the f /
granting of this permit. Additionally,the applicant ds and will comply I Date:
with all non-point source regulations per the mo Municipal Code,Section
9.18.
RE-ROOFS:
Signature Date"7 //3 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.
❑ WNER- ER DECLARATION
Signature of Applicant: Date:
I hereby affir 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(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 a Certificate 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 Code,Sections 25505,25533 and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date: l
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
4 CONSTRUCTION PERMIT APPLICATION O
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ��
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 0
is
GUP>FRTINC3 (408)777-3228•FAX(408)777-3333•build ing(alcupertino.org \
❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROJECT ADDRESS I / C...^� 4 ' G� +� �' APN# -366 S y— O
OWNERNAME �j r PHONE 5 E-MAIL
�2 AJL. Qq 6a 5.L4 7
STREET ADDRESS ff CITY, S TE,ZIP FAX
Lt/Ij5TE; '71.J
CONTACT NAMEPHONE E-MAIL
165c> - 553 , o
STREET ADDRESS CITY,STATE,ZIP FAX
�f-cJ �� (2 s c
❑ OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT XCONTRACTOR CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME LICENSE NUMBER 71.0LICENSE TTYP/E BUS.LIC#
COMPANY N icil-n� PO )2.E,,J&)JAT_. E-MAIL FAX
STREET ADDRES Cyy�Y,STATE,ZIP /PH ONE
�W
the 7• �nl ?A1Ju r CA Nev D M. 50. 96514
Y ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK ( 1 CwA ' I �� r' � / '�/� (0 + ( 1` /
1-1 � ,t1�okJ S - 1,J 10AO S lzC C-_ G 1
EXISTING USE PROPOSED USE CONSTR.TYPE I #STORIES
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 ❑ RECEIVED TOTAL VALUATION:
PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO 2 er-0
By my signature below,I certify to each of the following: I am the property owner or authorized gent to a property owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of'Vork a accurate. I agree to comply with all applicable local
ordinances and state laws relating to building construction. I authorize representatives of er the above-ide tified property for inspection purposes.
Signature of Applicant/Agent: Date: Z
SUPPLE AL INFORM IRED PLAN CHECKTYPE ROUTING SLIP
New SFD or Multifamily dwel ' pply for demolition permit forVER-THE-COUNTERBUILDING PLAN REVIEW
existing building(s). Demolition permit is required prior to issuance of building
permit for new building. ❑ EXPREss ❑ PLANNING PLAN REVIEW
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure '❑ STANDARD ❑- PUBLIC WORKS
form 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_201].doe revised 06/21/11
s
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 11629 BIRCH SPRING CT DATE: 06/25/2013 REVIEWED BY: MELISSA
APN: 366 54 079 BP#: "VALUATION: 1$24,500
FPERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/Repair
PRIMARY SFD or Du lex PENTAMATION 1GENRES
USE: p PERMIT TYPE: A
WORK REPLACE E WOOD SIDING WITH N HARD SIDING 1750 S.F. SAME STYLE TO MATCH E
SCOPE LOOK. REPLACE 3 WINDOW, SAME SIZE & LOCATION
"2AV—
Mech.Plan('Heck Plumb.Plant Check Glec.Plan Check
Fly/11-1-1 Fee: Plumb.Permit Fee: l lec. Permit ree:
CJrher llech.Insp. Other Plumb Insp. Li Other Glec,Insp.
Rech.Insp.I"ae Plumb.InFete: Glee Insp.Fee:
sp.
NOTE:This estimate does not include fees due to other Departments(Le.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 De t or addn'1 in o.
FEE ITEMS (Fee Resolution 11-053 Eff.' 7111122 FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 1 3 1 # Window/Sliding Glass Door
Suppl.PC Fee: (E) Reg. ® OT 0.0 hrs $0.00 $400.00 1 WINREP Replacement
PME Plan Check: $0.001,750 s.£ Siding
Permit Fee: $0.00 $1,200.00 1SIDEOTHER All Other
Suppl. Insp. Fee-0 Reg. ®OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Consir action Tax.
Adininistrative.F'ee:
Work Without Permit? ®Yes (E) No $0.00 (F)
Advanced Planning Fee: $0.00 Select a Non-Residential 0
Building or Structure
Travel Documentation Fees: �
Strong Motion Fee: IBSEISBIICR $2.45 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
a _ $3.45 $1,600.00 ,. `m � $1,603.45
Revised: 04/29/2013
Building Department
City Of Cupertino
10300 Torre Avenue
"Cupertino,CA 95014-3255
Telephone: 408-777-3228
C O P E RT I N O Fax: 408-777-3333
CONTRACTOR/SUBCONTRACTOR LIST
JOB ADDRESS: bZ. f C4 tjC PERMIT# ` a
OWNER'S NAME: 5tfelj L PHONE# -62-
GENERAL
2-GENERAL CONTRACTOR: BUSINESS LICENSE-#
ADDRESS: O t R,: _ CITY/ZIPCODE: t c.�5 c(q
*Our municipal code requires all businesses working in the city to have a City of C-ppertino business license.74OgO
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:
hat Date
Please check applicable subcontractors ete the following information _
j/ 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
F- Tile
i
Owner/Contractor Signature Date
COMMUNITY MANAGEMENT SERVICES, INCORPORATED
March 26,2013
i,
Shen Li 1
Susan Li
11629 Birch Spring Court
Cupertino,CA 95014-5138
1
Re: SEVEN SPRINGS OWNERS ASSOCIATIONS
11629 Birch Spring Court
Dear Homeowners:
Enclosed you will find a copy of your Architecture Application for the residing of your horne, 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 will be residing with the "Hardiplank Select Cedarmill"
(Wood Grain Finish)with the ColorPlus Technolog in the Monterey Taupe.Please fill out and return the
Jacludedrflul wiittieh wol'hWn the c : Ietinn,process.
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 uontractor(s) obtaining the required construction permits w d j
meeting all code requirements,if any.
Sincerely,
Communagement Services,Inc.
uis Here ta,Senior Association Manager,CLAM
SEVEN SPRINGS OWNERS ASSOCIATIONS
LH/nm
cc: Board of Directors
File#4&#'l 6
1935 Dry Creels Roars,Suite 203.Campbell CA•95008-3631 +voice(408)558-1977•fax(408)559-1970
Seven Springs Owners Association
Application for Approval of Architectural Change/Addition
CATEGORY C
Category Cr-Modifications that.are exterior modifications tivith no changes to the original building;sartac>uarax ur floor plan.All roofing,
siding,windoty material change„exterior paint color change,addition of rot,,)f attic fan.or garage door. lall into this tate-Lw y,
Dace. , .'.. Request for Approval of Proposed Change
PLEASE aF PRINT THE FOLLOWING INFORMATION
Name: f* $ :address:
I lome Phone: 0/9'Y Work Phone: �em,:ttl
_v
Description of PChange: e .. .
p" Proposed r t,o, �� €' , ' /"
Paint Color Change:e:Plena choose from"approved list"(Garage door outer trim should be diamond white or host a
',dm-4 bar e,°xl r€r re §t rarz £«P$r„spc(-if id ze'P1far ffi wg d �! _" "f d
! � �awhite V^�or tot__..._...
rim a � 13
lrrnecfclofiaaandvhifrost natural oak ar " tied"a prcv'vd Color 16.raVAM�0
2)Roofing Material Change(please check one choice)
a.t.ightwtight Concrete Tile from MonicriAl'etile-style"C:cdarl tc 5780".color"llui"vood
b.GAt' 1,a minatel hih glass asphalt-style-Grand Canyon-,color"Mission El own
c.GAF Laminated Fiberglass.asphalt style"(:hand Canyon".color-"Stonewood.............
d.Decraa Stone Coated SteclRoodSystem-style-„tlecra Shake”,color Shadcat o0d•
c Class"A"F=ire Retardant Roofing System using pressured trc rted cellar ti ood:shingles with Fire rc:tar am lihergl.a,�s cap sheet
underlay.Aced to have a City orC'upertmo Permit.accompanying this application t6r all wood shinEgle moots.
3);siding Material Change(Please check one choice)
Ncc%Siding Material:lFardipiank Cedarmill iwood grain finish) far l3ardipizaark inauoth i"in sh
til hich sides are you are changing material?(front ,)C-back ..1.1,ght X
4)Window Mate"and Design eltatta e:(Please check this boxl, Milgard Vinyl Window%s-slyly:"iusc:aany''. £af�+r%Vhit .__� �._...
5)adding a rtaat'att a Axa,`l'ubulaar Skyli lot,or satellite dish
Please attach int`iPmation regarding,the proposed change.Application must include dimension,color of the proposed Van and its
location on the roof.Plea include detailed drasvitsggs,specitiaacions.and product brochures if available.
I`:at ula,s?zaffighl up to 14"diameter,fart roof rat4c f an up to 26"in width&heighr.---1wim to match rogl'
b)Garage doors:a.Rcccsscd,skvod panel,not raised in center:same stulc for win Jows t'PLA I N"-cion dec otutiz c)
Style 84 t8 panels across.6416 panels across).43(a panels aciviss). Styletit ith"indows or Ste lc naw Lvindl,
1), nMllaLed ,aeaf>ii,irasulatcd metal w=sioz?d facia or"Carriage llouse"sY�lc 3ta,lC`Es�nndo�s, t?s inns ccindsa�,�. _.
�' � g 7
Fisanroccawn4rs �agnatare, .m "floe regtiett is in con ipI ancc:xv�ith
Seven SpringHOA Architectural Guidelines:http:�°"nevem-sprin_t:,org'files:arc:hite;ctuai-gui(lelines.pzil'
�#.x w'v X.W%K:ua9#b arm?sit#PPAt�%tt�tlt%i8d�k*AMM%kaz#�$d�XRd�6k$#tl._d+w�k-N+k4&##$«.i.w Ak is a'aB=:N&�##��#raga w:affiM:a ms�3am#&a
\rchitectural C`cantrol Crommittec F3faard:
Approved_ Pending
Denicd _,. .Pending.
Architectural Control Committee Bogard:Signature: Datc
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Building Department
F JUN 2 5 2013
r REVIEWED FOR CODE COMPLIANCE
Reviewed By: