B-2017-1004CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-1004
10802 NORTHFIELD SQ CUPERTINO, CA 95014-0557 (316 37 034) ALLIANCE
CONSTRUCTION
CAMPBELL, CA 95008
OWNER'S NAME: BUSIJA VEDRAN
OWNER'S PHONE: 408-966-2309
101 lei a 1
License Class a Lic. #782711
Contractor ALLIANCE CONSTRUCTION Date 08/31/2018
I hereby affirm 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:
1. 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
permit is issued.
APPLICANT CERTIFICATION
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 indemnify and keep harmless the
City of Cupertino against liabilities, judgments, costs, and expenses which
may accrue against said City in consequence of the granting of this permit.
Additionally, the applicant understands and will comply with all non -point
source regulationA perAe PUpertino Municipal Code, Section 9.18.
. W Date
W
O ./►I t S 11 t DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons:
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)
2. I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations:
t. 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.
z. 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
permit is issued.
3. 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 become subject to the Worker's Compensation provisions of the
Labor Code, I must forthwith comply with such provisions or this permit shall
be deemed revoked.
APPLICANT CERTIFICATION
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 indemnify and keep harmless the City of Cupertino against liabilities,
judgments, costs, and expenses which may accrue against said City in
consequence of the 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.
Signature Date 6/26/2017
DATE ISSUED: 06/26/2017
PHONE NO: (408) 374-2100
BUILDING PERMIT INFO:
X BLDG —ELECT —PLUMB
_ MECH X RESIDENTIAL _ COMMERCIAL
JOB DESCRIPTION:
DECK REPAIR (122 S.F.)
Sq. Ft Floor Area: I Valuation: $5000.00
APN Number: Occupancy Type:
31637 034
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: Abby Avende
Date: 06/26/2017
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without fust obtaining an inspection, I agree to remove all new materials for
inspection.
Signature of Applicant:
Date: 6/26/2017
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(a) should I store or handle hazardous
material. Additionally, should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
the Health & Safety Code, S ctie n 25 05, 25533, and 25534.
Owner or authorized agent:
Date: 6/26/2017
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance
of work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed
Professional
CUPERTINO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.org
4
❑ NEW CONSTRUCTION ❑ ADDITION []ALTERATION / TI ❑ REVISION/ DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS 10802 Northfield Sq.
APN9 316-37-034
OWNER NAME
Vedran Busida
PHONE
408-966-2309
E-MAIL
Vedran.Busija@LW.com
STREET ADDRESS
CITY, STATE, ZIP
FAX
10802 Northfield Sq.
Cupertino, CA 95014-0557
CONTACT NAME Ryan Coleman
PHONE 408-374-2100
E-MAIL ryan@allianceconstructs.com
STREET ADDRESS 2118 Saverlo Ct.
CITY, STATE, ZIP Campbell, CA 95008
FAX 408-374-2100
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ® CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
LICENSE NUMBER
LICENSE TYPE
BUS. LIC # 4031 q -5 -
Ryan Coleman
782711
B
499-ffi3-
COMPANY NAME
E-MAIL
FAX
Alliance Construction
ryan@allianceconstructs.com
408-374-2100
STREET ADDRESS
CITY, STATE, ZIP
PHONE
2118 Saverio Ct.
Campbell, CA 95008
408-374-2100
ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK Remove and replace existing deck structure incl. framing supports, decking surface, railing.
EXISTING USE
PROPOSED USE CONSTR.
TYPE#STORIES
P(R1C)
VB
2
USE
TYPE
OCC.
SQ.FT.
VALUATION (S)
EXISTG
NEW FLOOR
DEMO
TOTAL
AREA 1062 SF
AREA 0
AREA 122 SF
NET AREA
BATHROOM
KITCHEN
OTHER
REMODEL AREA
REMODEL AREA
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA
GARAGE AREA: DETACH
27 SF
122 SF
1 149 SF
[]ATTACH
# DWELLING UNITS:
IS A SECOND UNIT ❑ YES
SECOND STORY C] YES
1
BEING ADDED? IgNO
ADDITION? RNO
PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑a YES
RECEIVED BY:
TOT, ALUATTION:
PLANNING APPL # NO PLANNING APPROVAL LETTER
❑
EICHLER HOME? 1R NO
I �-
001
By my signature below, I certify to each of the following: I am the property owner or authorized agent to het on thV property owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relatinpoo building constru tion. I authorize representatives of Cupertino to enter the above-identi Ped property for inspection purposes.
Signature of Applicant/Agent: li ii Date: �j4; �2f I %
T�
SUPPLEMENTAt INFORMATION REQUIRED
PLAN CHECK TYPE
ROUTING SUP
❑ OVER -THE COUNTER
❑ BUILDING PLAN REVIEW
New SFD or Multifamily dwellings: Apply for demolition permit for
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
ElSTANDARD
ElPUBLIC 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 I. doe revised 06121/11
May 11, 2017
Northpoint Homeowners Association 10880 Northpoint Way, Cupertino, CA 95015
Donovan Lazaro Planning Intern
City of Cupertino Community Development
10300 Torre Avenue, Cupertino, CA 95014
RE: 10802 Northfield, Cupertino, CA 95014
Dear Mr. Lazaro,
The Northpoint HOA Board of Directors has reviewed and accepted the proposed architectural plan
submitted by Vedran Busija the owner of 10802 Northglen Square to repair the balcony.
If you have any questions or concerns regarding this approval, please contact the onsite manager at the
information below.
On behalf of the Northpoint HOA,
Zayra Yves, General Manager
Northpoint HOA
10880 Northpoint Way
Cupertino, CA 95014
Office: 408-996-3734
Fax: 408-996-0226
email: manager@northpointhoa.com
10800 Northpoint Way, Cupertino, CA 95015
manaLeru northpuinthoaxom
SMOKE / CARBON MONOXIDE ALARMS
VOWNER CERTIFICATE OF COMPLIANCE
." .„ COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
CUPERTMO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildinq(a7cupertino.orq
PERMIT°CANNOT BE FINALED UNTIL THIS CERTIFICATE HAS BEEN
COMPLETED,SIGNED,AND RETURNED TO THF BUI DING°DIVISION
PURPOSE
This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2016 CRC Section R314,R315,2016 CBC Sections 420 6 and 907.2.11.2 where no interior access
for inspections are required.
GENERAL INFORMATION
Existing single-family and multi-family dwellings shall be provided with Smoke Alarms and Carbon
Monoxide alarms. When the valuation of additions, alterations,or repairs to existing dwelling units exceeds
$1000 00, CRC Section R314,R315, and CBC Sections 907.2.11.5 and 420 6 require that Smoke Alarms and/or
' Carbon Monoxide_Alarms_be_installed_in the following-.locations ---- ----_
I AREA SMOKE ALARM CO ALARM '''-
Outside of each separate sleeping area in the immediate vicinity of the X X
bedroom(s)—(Smoke alarms shall not be located within 3 feet of bathroom door)
( On every level of a dwelling unit including basements and habitable attics X X 1
Within each sleeping room _ _ X ---------
Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning appliances and that
do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with
CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal.
Power Supply In dwelling units with no commercial power supply, alarm(s)may be solely battery operated.
In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do
not result in the removal of wall and ceiling finishes or there is no access by means of attic,basement or crawl
space.Refer to CRC Section R314 and CBC Sections 907.2.114 and 420.6.2.An electrical permit is required for
j alarms which must be connected to the building wiring.
As owner of the above-referenced property,I hereby certify that the alarm(s)referenced above has/have been
installed in accordance with the manufacturer's instructions and in compliance with the California Building
and California Residential Codes. The alarms specified below have been tested and are operational, as of the
date signed below �g
Address.F., 0V /v�/<7�/`, S / �faA/f 5�0�' Permit No. 0 i— I,C®4
Specify Number of Alarms #Smoke Alarms1 3 I #Carbbn Monoxide Detectro s 7-1
_ I have read and agree to comply with the terms and conditions of this statement
Owner(or Owner Agent's)Name:
Signaturemaire..-. ...1 Date.... -r
ta
Conctor Name. /�'
gTCOv 1L_ Signa' Lic.#3`.'� ..1.k. Date: ./ .7..'/
Tom -
Smoke and CO form.doc revised 01/10/2017
I
WATER-CONSERVING PLUMBING FIXTURES
WA OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
p ERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
�.�, (408)777-3228•FAX(408)777-3333•buildinq(a�cupertino.orq
Owner Name MOM./ Permit N o. 17-31" t ' (0.0(4
Addressr� t27K(Z/ L) S�je
1. Is your real property a registered historical site?
Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.No Go to Question 2.
2. Does your real property have a licensed plumber certifying that,due to the age or configuration of the property or its
plumbing,installation of water-conserving plumbing fixtures is not technically feasible?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply.
❑ The licensed plumber's certification has been provided to the Building Division.
Skip the rest of the form and sign bottom of form.
o Go to Question 3.
3. Is water service permanently disconnected for your building?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
No Go to Question 4.
4. Is your real property built and available for use or occupancy on or before January 1, 1994?
❑ No My real property is built and available for use or occupancy after January 1, 1994.
n Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
•ET—Yes My real property isbuilt and available for use or occupancy on or before January 1, 1994.
Civil Code Sections.1101.1 through 1101.8 apply. Check one of the three following statements and sign
bottom of form..
5. 1Pl a se check ONE of the following:
4.4 My property is a single-family residential real property. See Civil Code Section 1101.4.
On and after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing fixtures
to be replaced with water-conserving plumbing fixtures throughout the building.On or before January 1,2017,all non-
compliant plumbing fixtures shall be replaced with water-conserving plumbing fixtures (regardless of whether
property undergoes alterations or improvements).
El My property is a multifamily residential real property. See Civil Code Section 1101.5.
On and after January 1,2014, specified building alterations or improvements shall require non-compliant
plumbing fixtures to be replaced with water-conserving plumbing fixtures.
On or before January 1,2019,all non-compliant plumbing fixtures shall be replaced with water-
conserving plumbing fixtures throughout the building(regardless of whether property undergoes alterations or
improvements).
❑ My property is a commercial real property. See Civil Code Section 1101.5.
On and after January 1,2014,specified building alterations or improvements shall require non-compliant
plumbing fixtures to be replaced with water-conserving plumbing fixtures.
On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving
plumbing fixtures throughout the building(regardless of whether property undergoes alterations or improvements).
I,as the owner or owner's agent of this property,certify under penalty of perjury that non-compliant plumbing fixtures will be
replaced prior to date specified above with water-conserving plumbing fixtures in accordance with Civil Code Sections 1101.1
through 1101.8,the current California Plumbing Code and California Green Building Standards Code,and manufacturer's
{ installation requirements,and that the water-consery g plumbing fixtures comply with the requirements as indicated in the
table on the following page.
Owner or Owner-Agent's Sig ure , -Date:-,4194111
Upon completing and signing this .iz tate,pl return it to the Building Division in order to final your building permit.
SB407 2015.doc revised 01/05/17
PROJECT INFO, INDEX TO DRAWINGS,SITE PLANREVISIONS BY
Date: 05/25/17
Scale: Noted
Drawn: CW
Job
Sheet
A-BUSIJA RESIDENCE
10802 NORTHFIELD SQ. CUPERTINO, CA 95014 (408) 966-23091.0
Deck Replacement Area
Assessor/Vicinity Map
Abby Ayende
06/26/17
06/26/17
B-2017-1004
Abby Ayende
DECK REPLACEMENTPLANS AND ELEVATIONSREVISIONS BY
Date: 05/25/17
Scale: Noted
Drawn: CW
Job
Sheet
BUSIJA RESIDENCE10802 NORTHFIELD SQ. CUPERTINO, CA 95014 (408) 966-2309
A-2.0
GENERAL NOTES:
1) REPLACEMENT DECK STRUCTURE TO MATCH STYLE AND DESIGN OF
EXISTING DECK
2) ALL STRUCTURAL WOOD COMPONENTS TO BE PRESSURE TREATED
HEM-FIR OR NATURAL REDWOOD / CEDAR
3) ALL DECKING AND RAILING COMPONENTS TO BE REDWOOD OR CEDAR
4) ALL CONNECTIONS TO BE GALVANIZED STEEL FASTENERS AND
SIMPSON STRONG-TIE CONNECTORS
5) OPTIONAL: TUBULAR STEEL PICKETS AT 4' OC TO ENHANCE RAILING
IMPACT RATING
Abby Ayende
06/26/17