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1309011614
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11523 SEVEN SPRINGS IN
CONTRACTOR: CASTILLO'S ROOFING
PERMIT NO: 13090116
OWNER'S NAME: WANG SKIN -SEN M AND MING C
1703 CATHAY DR
DATE ISSUED: 09/16/2013
OWNER'S PHONE:
SAN JOSE, CA 95122
PHONE NO: (408)251-3565
JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIALE]
ICENSED CONTRACTOR'S DECLARATION
✓" `�`/ �✓� f
RE -ROOF 16 SQ- TEAR OFF OLD WOODSHAKES, 30LB
License Class Lic. #
9-19-
FELT
Contractor Date
CLASS A
I hereby affirm t at I am licensed under the provisions of Chapter 9
(commencing with Section 7000) of Division 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: $8900
I have and will maintain Worker's Compensation Insurance, as provided for by
APN Number: 36652014.00
Occupancy Type:
Section 3700 of the Labor Code, for the performance of the work for which this
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 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 M LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
against said City in consequence of the
costs, and expenses which may accrue
Issued by: Date:
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.
_
[(��
RE -ROOFS:
SignatureJ__'z2 Date
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 Z/Date:
Applicant: Date:
❑ OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
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. 1 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, ec ' s 2550 25533, and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
Owner or authorized a nt: 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 sous to become subject to the Worker's
CONSTRUCTION LENDING AGENCY
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
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 cityand 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
CUPERTINO.
REROOF PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
(408) 777-3228 - FAX (408) 777-3333 • building(Mcuner8no.org
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PROJECT ADDRESS 15 Z3 Sej,u•, S 2-!j
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OWNERNAME (
PHONE
E-MAII
STREET ADDRESS 1 I SZ-
C , STATE, ZiP '.
FAX
CONTACT NAME + I I Q S
PHONE`'I
EMAIL
STREET ADDRESS ,
CITY, STATE,
❑ OWNER ❑ OWNEMWI DER ❑ owNERAGWr
CToR ❑ CONRAcrORAawr - ❑ ARCBrIECT ❑ ENGmaR ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME /� `
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LICENSE NUMBER ��
LICENSE TYPr
(�
BUS. LIC. #
COMPANY NAME
E-MAU,
FAX
STREET ADDRESS
CITY,STATEC2.
P ✓ %f5/•�5
pL
ARCHrTECT/ENGINEE!'RNAME
LICENSE NUMBER
B S- LIC. #
COMPANY NAME
EMAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF SFD or Duplex ❑ Multi -Family
ROOFAREA:
VALUATION.
STRUCTURE: ❑ Commercialr—
EXISTING ROOF TYPE: . ❑ BUII.T-UP ROOF ❑ ASPHALT SHINGLESWOOD
SHAKES ❑ WOOD SH NGLES ❑ OTHER (SPECIFY)
REMOVE/REPLACE YES
. WNO % )
PLYWOOD
❑ I6 ❑ _
PLYWD 11OSB
PITCH
ROOF
13 No
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THI
E03 15/r
TYPE: ❑ CDX
: i 2
CLAS A
PROPOSED ROOF TYPE: ❑ BUILT-UP ROOF ZASPHALTSHINMM
❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER
ICGES REPORT #
DESCRIPTION OF WORK vf
meO
S/1
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 provid s correct I have read
the Description of Work and verify it is accurate. I agree to comfy with all applicable local
ordinances and state laws relating to it ' co
presentatives of Cupertino to enter the abov n " ed p o f mspection purposes.
Signature of Applicant/ %
Date: t�Y/
SUPPLEMENTAL INFO TION REQUIRED-
b? ' NLii
If building is associated with a Home Owner's Association,
provide letter-�
ov>�tc'R I Ip-��
p�
_
of approval from HOA.
_ Provide Planning approval to verify if there any restrictions.
_ Provide copy of Manufacturer's Installation Specifications.[
s =
_ Provide signed copy of Cupertino's Tear-OffPolicy.
ReroofApp 2011.doc revised 03116/11
a
4
CUPERTINO
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
(408) 777-3228 • FAX (408) 777-3333 • building0cupertino.ora
PROJECT' ADDRESS y�.�
OWNERNAME PIN-, �c / E-MAIL
, 2.0 -1c"
STREET ADDRESS
CITY, STATE 21P t
CONTRACTOR NAME Lt NUMBFAt L`�x
5
IdCENSE TYPE%JZq BUS. LdC. #
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COMPANY NAME c' �'�w A�4r
(�
FAX
E-MAIL ����7((% L •
STREET ADDRESS / �Jj
, `
CITY STATE, W Wr` T PHONE
I UNDERSTAND AND AGREE TO 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 7:30-2:34pm (Friday) to schedule
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.
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 T/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 dete tors are required -to be installed in accordance with Sections R314 and R315 of
the 2010 California Residential Code. rL' /
Signature of Applieant/Ag Date:
RerooJPolfgLM2.doe revised 1017/12
Seven Springs Owners Association
Application for Approval of Architectural Change/Addition WW
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: 7
Request for Approv-al of Proposed Change
PLEASE PRINT THE FOLLOWING INFC?RMATidI�' .'' t t.• ->
�. v'.� �tll 4
Name: `, : `l ; € .. /
Address: "
Home Phone: �Work
Phone:�
l: t
Description of Proposed ChanLfe:
� A ,l d iw J�-L P l A"
Paint Color Change: Please choose from "approved list" (Garage door outer trim should be diamond white or frost)'vie'
•, 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 MomerLifetile - style "Cedarlite 5780", color ` Muirwood"_
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)
oofs3) 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
S) Adding a roof attic fan, Tubular Skylight, or satellite dish
Please attach information regarding the proposed change. Application must include dimension, color ofthe proposed fan and its
location on the roof. Please include detailed drawings, specifications, and product brochures if available.
Tubular skylight up to l4" diameter, one roof attic 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 . wood facing; or "Carriage House" style 303C windows 303 no window
Homeowner's Signature:... _ -_. 1:: _ _ _ .The request is in compliance with
Seven Springs HOA Architectural Guidelines: http://seeven-spr n{ gs.org/filestarcliiiectuat-guidelines.pdf
Architectural Control CommitteeBoard: Approved `' . Pending
Denied Pending
Architectural Control Committee Board: Signature _ r- t ._ _.� _Date: —
1.27.11 cat C
COMMUNITY MANAGEMENT SERVICES, INCORPORATED
August 6, 2013
Shein Wang
Sen Wang
21821 Dolores Avenue
Cupertino, CA 95014-2801
Re: SEVEN SPRINGS OWNERS ASSOCIATIONS
11523 Seven Springs Lane
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 Canyon", color "Stonewood". Please fill out and return the included final completion form which
will begin the completion 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 contractor(s) obtaining the required construction permits and
meeting all code requirements, if any.
Sincerely,
Community Matiagement:Seiw ices, Inc.
r,
i
Lois -€ lereeiia_ Senior Association Manager, CCAM
SEVEN SPRINGS OWNERS ASSOCIATIONS
LH/nm
cc: Board of Directors
File #4 & # 16
1935 Dry Creek Road, Suite 203 • Campbell CA . 95008-3631 . voice (408) 559-1977 • fax (408) 559-1970