13080139 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 11853 SHASTA SPRING CT CONTRACTOR:CASTILLO'S ROOFING PERMIT NO: 13080139
OWNER'S NAME: MANTRIPRAGADA SRINIVAS AND SEETHEPA 1703 CATHAY DR DATE ISSUED:08/19/2013
OWNER'S PHONE: 4087189064 SAN JOSE,CA 95122 PHONE NO:(408)251-3565
",_0 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 0 COMMERCIAL
License Class Lic.# RE-ROOF 18 SQ-TEAR OFF WOOD SHAKES,INSTALL
30LB
Con r Date FLET CLASS A
I hereby affir that 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
i 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:$9000
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:36655029.00 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 0 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 D=M 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
Issued by: Date:
granting of this permit. Additionally,the applicant understands and will comply '
with all non-point so rce regulations per the Cupertino Municipal C de,Section
9.18.
RE-ROOFS:
Signa 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. Q
❑ OWNER-BUILDER DECLARATION D 1 f 3
Signature of Applicant: < Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons: ALL ROOF COVE GS 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
constCuct 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& Code,Secti s 25505,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this
Owner or authorized ag t: 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 Ol�
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTINO. (408)777-3228•FAX(408)777-3333•buildin-gacupertino.org
PROJECT ADDRESSAPN 55 0 2—Gt✓0
OWNERNAMESri asR PHO �( 0`y E-MAIL
STREET ADDRESS ^ ITY, STATE,ZI - FAX
CONTACT NAME PHONtk8E-MAIL
r
STREET ADDRESS CITY,STATE,Z FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT CONTRACTOR ❑CONTRACTOR AGENT ❑l FAX
❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAM]f, LICENSE NUMBER LICENSE TYf b� BUS.LIC.#
A
COMPNY NAME E-MAIL FAX
[ FAXE
STREET ADDRESS l� \Lp
CITY,STATE P
ARCHITECT/ENGINEER NAME LICENSE NUM 3ER V BUS.LIC.#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF SFD or Duplex ❑ Multi-Family ROOF AREA: VALUATION: (meq
STRUCTURE: ❑ Commercial
EXISTING ROOF TYPE: ❑BUILT-UP ROOF 11 ASPHALT SHINGLES WOOD SHAKES ❑WOOD SHINGLES ❑OTHER(SPECIFY) -
REMOVE/REPLACE YES .IFNO, PLYWOOD ❑ 'h" ❑ PLYWD ❑ OSB PITCH: 1 ROOF
❑NO #LAYERS: THICKNESS: ❑ 5/8" TYPE: ❑CDX '12 CLASS:
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ASPHALT SHINGLES ❑WOOD SHAKES ❑WOOD SHINGLES ❑OTHER ICC-ES REPORT#
DESCRIPTION OF WORK: _
\A5 J
ti CZ)
' Ud
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 ed is correct. I have read the Description of Work and verify it is accurate. I a ee to co ply with all applicable local
ordinances and state laws relatingto buil g cons tion. I authorize representatives of Cupertino to enter the above-i nt led p inspection purposes.
Signature lic Date:
SUPPLEMENTAL INF RMATION REQUIRED ' �.
_If building is associated with aHome Owner's Association,provide letter
4
of approval from HOA.
Provide Planning approval to verify if there any restrictions.
—Provide copy of Manufacturer's Installation Specifications. -
Provide signed copy of Cupertino's Tear-Off Policy.
ReroofApp_2011.doc revised 0311.6111.
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 11853 Shasta spring ct DATE: 08/19/2013 REVIEWED BY: Mendez
APN: BP#: *VALUATION: $9,000
*PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof
PRIMARY PENTAMATION 1 SFDWLROOF
USE: SFD or Duplex PERMIT TYPE: i
WORK
SCOPE
FEE ID ROOF AREA
s.f.
1REROOFFRES 1,800
11%Wim
�j
Mech. flan(,heck Plumb.Plum(heck F_lec,Plan Check
Pueh.PerinitFee: IPlumb.Permitfee: l ec.Permit Fee:
Other Mech.Insp. Other Plumb Insp. Li Other Ele(..Insp.
11lech.Insp.Fee: Plumb.Insp.Fee: Elec.Insp.Fee:
NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc). These fees are based on therelimfna information available and are only an estimate. Contact the Dept for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 E . 711112) FEE QTY/FEE MISC ITEMS
Plan Check Fee:
S'uppl. PC..:Fee
Plumb.;iVech.E,lec
Permit Fee: $288.00
Suhpl. Irrsp Fee
Plum b.iVlech./Flee•
P1umb.1I,Wech.1L1ec Permit Fee:
Construction Tax:
Administrative Fee:
Work Without Permit? Yes (j) No $0.00
Advanced Planning Fees:
71,0v l Documentation Fees:
Strong Motion Fee: 1BSEISMICR $0.90 Select an Administrative Item
Bldg:Stds Commission Fee: 1BCBSC $1.00
— 3 $289.9
b $289.90 $0.00 0
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
CUPERTINd
(408)777-3228•'FAX(408)777-3333•buildingna.cupertino.org
PROJECT ADDRESS �5 6L L. APN#
OWNER NAME . PHONE / ( ` (� 077 EMAIL
STREET ADDRESS CITY,S E,ZIP T FAX
CONTRACTOR NAME P CENSE NUMBER LICENSE TYPE 3 BUS.LIC.#
COMPANY NAME (� E-MAIL FAX
STREET ADDRESS I t •
CITY,STATE,Zn' I HONE
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 7:30-2:30pm(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 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 ee to comply with the re-roof policy stated above. I also understand that
smoke detectors and carbon monoxid ecto a required to be installed in accordance with Sect'ons R314 and R315 of
the 2010 California Res' e.
Signature of gent: `' Date:
ReroofPolicy_2012.doc revised 10/7/12
COMMUNITY MANAGEMENT SERVICES, INCORPORATED
August 15,2013
Srinivas Mantripragada
Anuradha Seethepalli
11853 Shasta Spring Court
Cupertino, CA 95014-5107
Re: SEVEN SPRINGS OWNERS ASSOCIATIONS
11853 Shasta Spring Court
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,
Comintutity,YVana-,ement Services, Inc.
; > '
suis 1 l4j-,edia Senior Association Manager,CCAM
SEVEN SPRINGS OWNERS ASSOCIATIONS
LH/nm
cc: Board of Directors
File#4
1935 Dry Creek Road,Suite 203•Campbell CA•95008-3631 •voice(408)559-1977 fax(408)559-1970
i
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: W /- 13 Request for Approval of Proposed Change
PLEASE PRINT THE FOLLOWING INFORMATION CUP04'11>,i (5
Name: JI N_I_U 1'tS M f}N 1(�I{'!�f)-/�t D1}Address: . 1 $5.3_._�Yl A S s lIJ G� t-T ' - LI3 �1 ''I 4f
Home Phone: J'( 7 ' Work Phone: 7 i 1-0(0 email: i7
Description of Proposed Change:
Paint Color Change:Please choose from"approved list"(Garage door outer trim should be diamond white or frost)
,specified color
Trim color:diamond white or frost
Front door color:diamond white frost natural oak--or specified"approved color
( 2)Rooting Material Changelplease check one choice)
a.Lightweight Concrete Tile from MonierLifetite-style"Cedarlite 5780",color"Muirwood"
b.GAF Laminated Fiberglass Asphalt-style"Grand Canyon",color"Mission Brown"
GAF Laminated Fiberglass Asphalt-style"Grand Canyon' color""Stonewood"
d.Decra Stone Coated'Steel Rood System-style"Decca 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)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 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/architectual-guidelines.pdf
Architectural Control Committee/Board: Approved ' Pending__
Denied Pending
Architectural Control Committee Board:Sig = t_ r' 1.Date:
1.27.11 cat C
I