B-2017-1775 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1775
10730 LA RODA DR CUPERTINO,CA 95014-4444(369 34 041) CAPITAL BUILDERS
MORGAN HILL,CA
95037
OWNER'S NAME: LAPOINTE ARDELLA J TRUSTEE DATE ISSUED: 10/16/2017
OWNER'S PHONE:408-316-0276 PHONE NO:(408)779-0704
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class CC=39 Lic.#981778 X BLDG _ELECT _PLUMB
Contractor CAPITAL BUILDERS Date 03/31/2019
MECH X RESIDENTIAL COMMERCIAL
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 forceand effect. - JOB DESCRIPTION:
TEAR-OFF;RE-ROOF;INSTALL OSB;COMP SHINGLES-(33 SQ)
I hereby affirm under penalty of perjury one of the following two declarations: ,1
t. 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.
I have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the performanceof the work for which this
, permit is issued. Sq.Ft Floor Area: Valuation:$19000.001
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 APN Number: Occupancy Type: ,
and state laws relating to building construction,and hereby authorize 369 34 041
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 PERMIT EXPIRES IF'WORK IS NOT STARTED
may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the applicant understands and will comply with all non point
source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
I
Signatur:f ,f( C Date 10-16-20107 Issued by:Kim Dunbar
I/� " C Date: 10/16/2017
OW R-B LDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS:•
following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is
i. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for
inspection.,
compensation,will do the work,and the structure is not intended or offered for �-J 'J�
sale(Sec.7044,Business&Professions Code)
2. I,as owner of the property,am exclusively contracting with licensed Signature of Applic.". l
contractors to construct the project(Sec.7044,Business&Professions Code). Date: 10-16-20117;
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
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. HAZARDOUS MATERIALS DISCLOSURE
2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the
Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will
permit is issued. • maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
a. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous
shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipmeniior devices which emit hazardous
air contaminants as defined by the Bay Area.Air Quality Management District I .
Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25 33,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. Owner or authorized age `�
APPLICANT CERTIFICATION Date: 10-16-20107 it �
I certify that I have read this application and state that the above information is CONST,1CTION LENDING AGENCY
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is : construction lending agency for the performance
relating to building construction,and hereby authorize representatives of thiscity of work's for which this permit is issued(Sec.3097,Civ C.)
to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments,costs,and expenses which may accrue against said City in Lender's Address
consequence of the granting of this permit. Additionally,the applicant understands .
and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION
Code,Section 9.18. I understand my plans shall be used as public,records.
Signature Date 10-16-20107 Piceessd
Professional
CONSTRUCTION PERMIT APPLICATION
\/`ik/ COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
11,0019 10300 TORRE AVENUE • CUPERTINO,CA 95014-3255
Ss.,9ss
ZOl - l
(408)777-3228 • building@cupertino.org PEMIT#B-
CUPERTINO REV# DEF#
El NEW CONSTRUCTION ❑ADDITION ❑ALTERATION El T.I. ❑MEP ❑X RE-ROOF ❑SWIMMING POOL/SPA
PROJECT ADDRESS I APN#3 `E,a 3 LI` Q l !
I �j
10730 La Roda Drive ( `�
OWNER NAME PHONE E-MAIL
Ardella La Pointe 408-316-0276 dnewhaus@interrealestate.com
STR}±I ADDRESS STATE,
I,0—r3 t L.a,ttZta t)Q .J . • o NUMBER,(A .
NTRACTOR NAME 0 OWNER-BUILDER COMPANYNNAME
OLICENSE LICENSE TYPE
1 I pill_ 3 i C�put �� s qg t 7 C-3�1
11:77040STREET ADDRL S CITY,STATE,ZIP ^�
? . . Mo CIAA 1l , CA. 3
B^-� PHONE BU LIC#
alli,, i I.A p, ( 1 408-779-0704 �Q 'rD
0 ARCHITECT ❑OWNER 0 OWN AGENT:1 CONTRACTOR AGENT 0 ENGINEER 0 DEVELOPER 0 TENANT
CONTACT NAME E-MAIL
Jamie Glass cbuilders84@gmail.com
STREET ADDRESS CITY,STATE,ZIP PHONE
2040 San Pedro Ave ' Morgan Hill,CA.95037 408-779;0704
DECRIPTON I
Remove existing shake roof and install new solid sheathing and Landmark T.L.luxury asphalt shingles as per
manufacturer's specifications.
(]SINGLE-FAMILY/DUPLEX ❑MULTI-FAMILY 0 INDUSTRIAL 0 COMMERCIAL I
EXISTING USE EXISTING SF NEW FLOOR SFI PORCH SF DECK SF DEMO SF STORIES# TOTAL NET SF USE TYPE OCC :SQ FT. VALUATION($)
,I
REMODEL REMODEL KITCHEN REMODEL OTHR GARAGE ❑ATTAQ3BD i i
BATHROOM SF SF SF SF 0 DETACHED
-
EXISING
0 YES
FIRE SPRINKLERS 0 NO EICHLEA 00 p SECOND STORY ADDITION0 O
DWELLING SECOND DWELLING 0 YES 0 ATTACHED 0 DETACHED OTHER
UNITS# UNIT ADDITON: 0 NO S F 7/16
POOLS! ❑FIBERGLASS- 0 VINYL-LINED 0 GUNITE ❑PREFABRICATED
POOL-SF SPA-SF SPA ATTACHED❑YES 0 NO TOTAL-SF _ V
RE BAF' AcL VALUATION: 1
Commercial or Multi-Family Buildings with Public Swimming Pools requires Department of Environmental Heath approval �/2��/�, IO
/ 'VOD
RE-ROOF EXISTING ROOF TYPE: ❑BUILT-UP ROOF❑ASPHALT SHINGLES❑X WOOD SHAKES❑WOOD SHINGLES❑TILE OTHER(SPECIFY)
REMOVE/REPLACE 0 NO IF NO PLYWOOD ❑1" ❑3/8" PLYWOOD TYPE: PITCH:
El YES I #OF LAYERS 1 THICKNESS❑5/8 OTHER 7/16 Noss ❑CDx OTHER PPITCH:4 .12 ROOF A CLASS
PROPOSED ROOF TYPE:❑BUILT-UP ROOF ❑x ASPHALT SHINGLES 0 WOOD SHAKES❑WOOD SHINGLES 0 OTHER
*Provide a signed copy of the Cupertino's Tear-Off Policy SF #of SQUARES 33
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 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 relating to building construction. I authorize representatives of Cupertino to
enter the above-identified property for inspection purposes. I acknowledge and authorize all information contained on this application form
to be made available for public record.
Signature of Applicant/Agent:Jamie Glass . "„A1 Date:10/13/2017
SUPPLEMENTAL INFORMATION REQUIRED
*New SFD/Second;Dwelling Units/Multifamily Dwellings:A Demolition permit is required prior to issuance of a building permit for all new construction.
*Commercial Buildings: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project.
*Copyof Planning`Approval Letter or Meeting with Planning prior to submittal of Building Permit application.
*HOA=Provide a letter of approval from the Home Owner's Association
BldgApp 2017 doc revised 08/01/17
\� REROOF TEAR-OFF POLICY
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
�5t.rys� ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
CUPERTINO10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228•FAX(408)777-3333•building(a)cupertino.orq
PROJECT ADDRESS APN#
10730 La Roda Drive Cupertino
OWNER NAME PHONE E-MAIL
Ardella La Pointe 408-316-0276 dnewhaus@interrealestate.com
STREET ADDRESS CITY, STATE,ZIP FAX
10730 La Roda Drive Cupertino, CA 95014
CONTRACTORNAME LICENSE NUMBER LICENSE TYPE BUS.LIC.#
Philip Alosi 981778 . C-39
COMPANY NAME E-MAIL Capital Builders cbuilders84@gmail.com ' FAX
408-779-8807
STREET ADDRESS CITY,STATE,ZIP PHONE
2040 San Pedro Ave Morgan Hill, CA 95037 408-779-0704
I UNDERSTAND AND AGREE TO THE FOLLOWING:
1. The re-roof project shall comply with all applicable provisions Of the 2016 California Codes.
2. An inspection request can;be scheduled up to one business day;before the requested inspection date.
To schedule inspectionscall(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 irispector will be out to the
job site within one;hour. The hours for this service are: 7:3010'''30am and 12:30-3:30 (Mon-Thurs)
and 7:30-10:30am and 12:30-2:30 (Friday). 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, a 1the 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-roofmg is
completed. To receive a final sign-off,the following items will be verified:
a. Flat roofs shall have a minimum of 1/4"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 detectors are required to be installed in accordance with Sections R314 and R315 of
the 2016 California Residential Code.
Signature of Applicant/Agent: i /eC1,dd- Date: 10/10/2017
ReroofPolicy_2014.doc revised 06/01/7
ry�b` �O�FIN C�mB
4100 ACCREDITED s¢Ear " Y
CAPITAL BUILDE fir88$s BUSINESS t,..ri;s: FR71Feo PAGE 1 OF
1
ROOFING CONTRACTOR CSLB#981778
2040 SAN PEDRO AVENUE MORGAN HH,CA.95037
EMAIL:CBUILDERS84AGMAIL.COM
OFFICE(408)779-0704 FAX(408)779-8807
January 01,2017
This letter hereby authorizes Kandice Alosi and/or Jamie Glass,on behalf of Philip A.Alosi dba Capital
Builders CLSB#981778 Exp:03/31/2019,to sign for any/and all building permits and licenses required by my
company.
Sincerely,
IA
{!
Philip A.Alosi
Capital Builders-Owner
L Fi
SMOKE / CARBON MONOXIDE ALARMS : ��
OWNER CERTIFICATE OF COMPLIANCE
0.% 195 fr-
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
� O 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
C (408)777-3228•FAX(408)777-3333•buildinq(a cupertino.org
.PERMIT CANNOT BE +7NALED UNTIL:THIS CERTIFICATE CHAS BEEN _
1ViPLETED SIGNED ANDSZETUvEll TO THE BUII.DINO DitSION
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.
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
Within each sleeping room X
Carbon Monoxide alamts 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
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
Address 4 0`1' L.�. 2„d`& -j r C-�\ � f Permit No. 'B--' 11- 111(
Specify Number of Alarms #Smoke Alarms I 3 ' #Carbon Monoxide Detectors. ( 2 ,
s, -c *r
I have read and agree to comply with the terms and conditions of this statement
Owner(or Owner Agent's)Name: )
A,r. e,i L P��n Signature ...y ,... Date: lc,I�1i1.
(
CfkiP
tor Name: /�C/ 4( " ,
Signature Lic.# ..6.. .1. Date: !b 'Z®/1.)4I5 g
Smoke and COform.doc revised 01/10/2017
ta
Jmtegrand
Structural Engineering Ft Design 11,1/4
• l
October 20,2017
City of Cupertino
Building Division
10300 Torre Ave.
Cupertino,CA 95014
Project Address: 10590 La Roda Rd.,Cupertino, CA 95014
Subject: Structural field changes
Our office, as the project engineer of record, had reviewed the following structural items per the
request of the general contractor:
O Clarification only - holdown HDU2 anchor on gridline 1/E.4 does not require an
underpinned footing. Epoxy anchor shall be installed per detail 12/S3.1 as shown on
approved plans.
❑ Crawlspace access opening maybe provided on gridline A.
❑ At Type "B" shear walls, mudsills and framing members receiving edge nailing from
abutting panels shall be 3x members, or double 2x members interstitched with (2)-
16d@12"o.c.
If you have any question, or if we may be provide further assistance, please do not hesitate to
contact our office at 510-299-7520.
Sincerely, 11,f""'P%„
` Rp ESSIpyq!
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Lisa Tse, S.E.,LEED AP . �, ,
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Integrand, Inc. ` * ,y1 •$ q+
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