13020115 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11628 BIRCH SPRANG CT CONTRACTOR:CASTILLO'S ROOFING PERMIT NO:13020115
OWNER'S NAME: BIN LIU 1703 CATHAY DR DATE ISSUED:02/21/2013
OWNER'S PHONE: - SAN JOSE,CA 95122 PHONE NO:(408)251-3565
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL - -
License Class G°3 1 i.# ,3 J G RE-ROOF 18 SQ REMOVE AND REPLACE,CLASS A
Contract .Date O� 3 -
I hereby affirm th t I am licensed under the provision of Chapter 9
(commencing with Section 7000)of DMsion 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 tci self-insure for Worker's
Compensation,as providedfor by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$9500
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:36654074.00 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
career.I agree to comply with all city and county ordinances and state laws relating WITHIN 00 DAYS OF PERMIT ISSUANCE OR
to building concoction,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
Date:
granting of this permit. Additionally,the applicant understands and will comply Issued by:
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
RE-ROOFS:
Signature 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.
❑ OWNER-BUILDER DECLARATTON
Signature of App Date:
I hereby affirm that I amexempt from thesContractor's License Law for one of
the following two reasons: ALL ROOF OVERINGS TO BE CLASS"A"OR BETTER
1,as owner of the property,.or my employees with wages as their sole compensation,
will do the work,.and the structure is not imendedor 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(See.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(x)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 -
perforinancc 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 505,25533,and 25534.
Section 3700of the Labor Code;for the performance of the work for which this Owner or authorized Age,? 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 provisionsorthis 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 concoction,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
A*
REROOF PERMIT APPLICATION
its] COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION
10300 TORRE AVENUE-CUPERTINO,CA 95014-3255
CUPERTINO (408)777-3228•FAX(408)777-3333•buildinaaaeuoertino.orct
PROJECT ADDRESS 11 (402K rrAI APN#
OWNER NAME'7:61
STREET ADDRESS •lCITV, TATE.ZIP �� �/TI FAX 02 n e V V
CONTACT NAMEr IDt / PRONE ♦ �� E-MAH,
STREET ADDRESS 7D ` J CITY,ST Zff q-6_J2'7 FAX
❑OWNER ❑ OWN//Ia.Bt1HDEK ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTAICPO_RAGENr ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANf
CONTRACTORNAM1@�S}j 1I=S ♦ LICENSENMIDER lJ.Mj IC4 LICENSETYPE� BUS.L"ICC..#/�
COaffANYNAtv1E , j I (' E-MAIL keagillTeV�� .. �(UjA FAX LLM
STREETADDRESS CITY,STATE,ZIP
^��/rl
ARCRITECDENGINEER NAME LICENSENUNMER BUS.LIC.#
COMPANYNAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF SFD or Duplex ❑ Multi-Family. ROOF AREA: VALUATION:
C] /�
STRUCTURE: COnunercial J �t�b - T
/ .I
EXISTING ROOF TYPE: ❑BUILT-UPROOF ❑ASPHALTSHNGLES XWOOD SHAKES ❑WOODSHNGLES ❑OTHER(SPECffY)
REMOVE/REPLACE IFNO, PLYWOOD 11 'h' ❑ PLYWD ❑OSB PITCH: C ROOF
❑ N #L 11B" TYPE. 11DX sL'12 A ' A
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER TCC-ES REPORT#
DESCRIPTION OF WORK: IF
S� i d ♦n
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 hav provi is correct. I have read the Description of Work and verify it is accurate. I agree to comply withal[applicable local
ordinances and state laws rel b g cion. I authorize representatives of Cupertino to enter the above-ide ified pro rty for inspection purposes.
Signature ofApplica t/Agent Date: �-
SUPPLEMENTAL ORMATION REQUIRED �
OFFICE 1 ONLY
_If building is associated with a Home Owners Association,provide letter PLAN CHECK TTTR ROUTING SLIP
of approval from HOA. OVER-TH UNTER 13UMDING PLAN REVIEW
_Provide Planning approval to verify if there any restrictions. O EXPRESS ❑ PLANNNG PLAN REVIEW
_Provide copy of Manufacturers Installation Specifications. 11 STANDARD ❑ FtRE DEFT
Provide signed copy of Cupertinds Tear-Off Policy. ❑ OTHM
ReroofApp_2011.doc revised 03/16111
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 11628:birch spring ct DATE: 0212112013 REVIEWED BY: mendez
APN: BP#: *VALUATION: $9,500
*PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY SFD or Duplex PENTAMATION 1SFDWLROOF
USE: PERMIT TYPE:
WORK
SCOPE
FEE ID ROOF AREA
s.f.
1REROOFFRES 1,800
(���1t71'riiC'.�IIYix'' L�-� - .,.
Xlech.Plan Check Plumb.Plan Check Elea Plan Check
h4<ch. Permit Fee: Plumb.Permit Fee: Ele.c. Permit Fee.'
Other hfech. Insp. Other Plumb Insp. Other E•lee.Insp.
.tdeck.Insp. Fee: Plumb. Insp,Fee: Elec.Insp. Fee.'
NOTE:This estimate does not include fees due to other Departments(I.a Planning,Public Works,Fire,Sanitary Sewer District,School
District etc). Thesefees are based on themgmina information available and are only an estimate. Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11-053 E . 7/1/12) FEE QTY/FEE MISC ITEMS
Plan Check Fee:
Supp I. PC Fce
Plumb./Meeh./Elec
Penmit Fee: $270.00
Suppl. Insp Fee
Plum h.Allech.Ir,lee
Pluinh.lMecli.lElee Permit Fee: .
Coniinletion Tac.'
Administrative Fee:
Work Without Permit? O Yes 0 No $0.00
Advanced Planning Fees:
Trm,el Documentation Fees:
Strong Motion Fee: 1BSEISMICR $0.95 Select an Administrative Item
Blde Stds Commission Fee: IBCBSC $1.00
$271.951 $0.00 z. 'r'' TOTAL"F�EE;1 $271.95
Revised: 01/01/2013
Seven.Springs Owners-Association
ApplicationTorA'pproval 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: CL II1q/.Zvl Request for Approval of Proposed Change '
PLEASE PRINT THE FOLLOWINGTNFORMATION /
Name:— ll1�}� f!(yti) —1 L �Addresgs:_--� � G <—:7 1�t rG h �a r I I'1C��t Cu�J,r(j ho
Home Phone: TD ll h�� '1 �G Work Phone:; 'i'oS,y -l��y�<f-]�' email: To Ri)r/ L/((e' Ow Ai t t,: ;t•)
Description of Proposed Change:
Paint Color Change:Please choose from"approved list"(Garage door outer trim should be diamond white or frost)
Mete Exterior Siding Color&Garage door(s)-.same color,specified color
Trim color:diamond white_orfrost
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 MonierLifatile-:style"Cedarlite5780",color"Muirwood'• i
b.GAF Laminated Fiberglass Asphalt -style"Grand Canyon",color"Mission Brown" T
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 aCity'ofCuperlinoPllimit accompanying this application for all wood shingle roofs.
3)Siding Material Change(Please check one choice) .
New Siding Material:Hardiplank Cedar
mill.(wood grain finishS 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 di mension,color of the proposed fan and its
-location on the roof.Please include detailed drawings,specifications,and product brochures if available.
Tubular skylighl lip to/4"diameter.one roof attic fan tip 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'paneieaclioss),144(4penels"across). Style withwindowsor Style no windows
b.Insulated wood,'insulated metal w/wood facing or"Carriage House"style 303C windows .303 no window
Homeowner's Signature:�d -•_ 'The request is in compliance with
Seven Springs HOA Architectural Guidelines: httpJ/seven-springs.org/files/aichitectual-gbidelines.pdf
tiiiii iii4iiiiiiViiiiiiiii#iiiiiti#,iiiiii iii M{i
Architectural Control CommitteeBoardi i ppproved_Iding
Denied_Pending'
Archileclurdl Control Committee Board:Signature: i Date:
1.27.11 cut C
i
i
REROOF TEAR-OFF POLICY 3�
COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISION
ALBERT SALVADOR, P.E.,C.B.O., BUILDING OFFICIAL
CU PERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)7773228•FAX(408)777-3333-buildino0cuoertino.ora
PROB:C7 ADDRESS I I • APNW (0✓9' crl .
OWNER NANCE P"09/0f_
HO %(O-&!O 47(02E-MAIL
STREET ADDRESS CCITY-S TE,ZIP FAX
CONTRACrORNANX /P LICENSE NUMBER L/IC�ENSE TYP BUS.LIC.0
COMPANYNANM E-MAIL /1�],./��Y ] LOW FAX
STREET ADDRESS - CITY,STATE,Z J 7 , 1✓ • �� PHO ���
kAt
I UNDERSTAND AND AGREE TO THE FOLLOWING:
1. The re-roof project shall comply with ali 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 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/d'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 Sectio R314 nd R315 of
the 2010 California Residentil COCJF.
Signature ofApplicant/A Date: v
Reroo)Tolicy_2012.doc revised 10/7/12
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,L-IST
JOB ADDRESS:JJWM NCA C • PERMIT#
OWNER'S NAME: 1:31n L i V &I I PHONE#
GENERAL CONTRACTOR: CAS4 (oS BUSINESS'LICENSE:#
ADDRESS: 110CITY/ZIPCODE:
*Our municipal code requires all buftnesses working in the city to have a City of Cupertin siness license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECT 9.N(S).WILL.BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A',CIT`7 OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete-the foltowinwinformation
j/ SUBCONTRACTOR BUSINESS NAME USINESS 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
Owner/Contractor Signature +-.>_ Date
' 3