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B-2016-2980CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-2980 20590 HOMESTEAD RD CUPERTINO, CA 95014-6302 (326 10 066) CRAFTSMEN COLLECTIVE CONSTRUCTION SACRAMENTO, CA 95826 OWNER'S NAME: SOBRATO INTERESTS 1 ETAL DATE ISSUED: 06/16/2017 OWNER'S PHONE: 408-446-0700 1 1 PHONE NO: (916) 803-6870 i LICENSED CONTRACTOR'S DECLARATION License Class 5 Lic. #960264 Contractor CRAFTSMEN COLLECTIVE CONSTRUCTION Date 04/30/2019 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 complywith 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 appli ant understands, and will comply with all non -point source regulati s p r the Cupeitin Municipal Code, Section 9.18. Signatur Date 08/21/2017 OWNER -BUILDER DECLARATION I hereby affirm that Iam exempt from the Contractor's License Law for one of the following two reasons: 2. 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: 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. 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. 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,1 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 1 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 08/21/2017 PERMIT INFO: BLDG —ELECT —PLUMB MECH _ RESIDENTIAL X COMMERCIAL JOB DESCRIPTION: FIRST FLOOR; T.I. (9,994 S.F) - PET CLUB REV #1 - DROP DOWN CEILING FOR -TWO BATHROOMS, OFFICE AND EXIT CORRIDOR; EXTERIOR STUCCO -ISSUED 8/21/2017 Sq. Ft Floor Area: I Valuation: $40000.00 APN Number: Occupancy Type: 326 10 066 A (Tenant Improvements),M (Tenant Improvements) 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: 06/16/2017 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: 08/21/2017 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 Cupertuntcipal Cofigyfiapter 9.12 and the Health & Safety Code, ee ' ns 25505, 255 , 25534. i Owner or authorized agent: Date: 08/21/2017 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 CONSTRUCTION. PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BU � 10300 TORRE AVENUE • CUPERTINO, CA 95014-(408) 777-3228 • FAX (408) 777-3333 • building cuDertino.or i I B CUPERTfhiC' ❑ NE\V CONSTRUCTION ❑ .ADDITION ❑ ALTERATION / TI REVISI /DEFERRED ORIGINAL PERMIT # PROJECT .ADDRESS Z fU • _ �� �� `� AP 2 '• /ln OIR N 4E I P � Yy� a�-d'fJ I E--124IL (� J V F�j %� [7S IS STREET ADDP.ESS CITY, STATE, ZIP r FAX / d , & a atm dpi �� T CONTAJT NAME PHO\E E-KA,11- STREE 4SS CITY T TE ZIP c 0D.DREr iz(11�9194 ek sir c, �mry FAX ❑ OWNER ❑LO'A`NER-BUILDER ❑• ORRN'ERAGENT V CONTRACTOR ❑ COITR4CTORAGENT ❑ ARCHITECT ❑ ENGLNEER 13DE\tLOPER ❑ TENANT CONT%c ACTOR NAMEuLICENS NUT. R , LICENSE TYPE �� y BUS. LIC &dZ(o �v A�3A �Y NAME C01 -194F C 1.194 "y j-MPv 0 ULL-' .71 0ONs �, E-MP.IL C �r�rv��uE Y✓��fo FAX � rr tr Jv" S F T ADDRESS ���as z� P 1v L��' .vi2cr CI TAT ZIP ,gra=vro Gdf /`,s �sv P O �E �o� �£s-7 -0 ARCHITTN`'LICENSNLAMERNR44 BUS. LIC COl\4PA1\TY N.4A4E � � E-hZ4IL. FAX XOM(-, C, t C� ', C,yr iS ®GAi✓y J ��6 f�1SCfi,JCL 9r fi LUI gam! �� STREFT ADDRESS !> SIL �--4.Al C CITY STATE, ZIP X175 T��� Ci 73�-, of PHO.'E DESCRIPTION OF WORK — a o F�lc� aim eL ciT ����a� C-kt-6--eic S�-vcco /A4 Clc>r �2r2rr� ri EXISTING USE ROPOSED'USE CONSTR. TYPE r STORIES i USE TYPE I OCC. SQ FT. VALUATION (S) EAREAG 'AOOR TOTAL '-------- I I AREDEMA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA - RF.MODELAREA REMODELAREA PORCH AREA DECK AREA TOTAL DECK,PORCH AREA GARAGE AREA: ❑ DETACH ❑ ATTACH D)WELLLNG UNITS: ISA SECOND U IT ❑ YES SECOND STORY ❑ YES BELNG ADDED? ❑ NO ADDITION? ❑ NO PRF.APPLICATION' ❑ YES IF YES, PROVIDE COPY OF I IS THE BLDG AN ❑ ITS TOTAL V.4LliATlO':Q: PL-A-\NLNGAPPL= ❑NO' PL4N"YING.4PPROVALLETTER I EICHLERHOME? NO By my signature below, I certify to each of the following: I alu 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 orrect. I have read the Descri ti of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to bus] ' constriction. I authorize represe " es of Cupertino to enter the above -identified property for inspection purposes. Signature Applicant/Agent: of Date: SUPPLEME_ T. 'FORMATION REQUIRED PLi\,CHECi�TiPEZ.�;.r.. -' �.: - s..ROUTINGSLIP I X r . � Ot ER THF �TERh E ❑ BUILDING PL4 RE\TETT New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building COU :., ti permit for new building. C7E�PREss , PL4'� �INGPL4T� RE\ IE1i Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ ST4 form If any Hazardous Materials are being used as part of this prosect. LARGE + , Copy of Planning Approval Lettef or Meeting with Planning prior to FIRE DEPT h submittal of Building Permit application.14JOR r y S4�ITAR1 SE\i ERDISTRICT r h k .EN\TRO\7 SE\TAI'HEAL9'I� .,. B1dgApp 2011.doC rel,ised 06/21/11 ), t1ev CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-2980 20590 HOMESTEAD RD CUPERTINO, CA 95014-6302 (326 10 066) CRAFTSMEN COLLECTIVE CONSTRUCTION SACRAMENTO, CA 95826 OWNER'S NAME: SOBRATO INTERESTS I ETAL DATE ISSUED: 06/16/2017 OWNER'S PHONE: 510-595-8120 PHONE NO: (916) 803-6870 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class 5 Lic. #960264 Contractor CRAFTSMEN COLLECTIVE CONSTRUCTION Date 04/30/2019 X BLDG —ELECT —PLUMB MECH RESIDENTIAL XCOMMERCIAL 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. JOB DESCRIPTION: FIRST FLOOR; T.I. (9,994 S.F) - PET CLUB 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. 2. 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 Sq. Ft Floor Area: Valuation: $40000.00 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 APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 326 10066 A (Tenant Improvements),M (Tenant Improvements) 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. Signature �ltc Date 6/16/2017 Issued by: Abby Ayende OWNER -BUILDER DECLARATION Date: 06/16/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the RR -ROOFS - following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1. 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 compensation, will do the work, and the structure is not intended or offered for inspection. sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 6/16/201 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER r. 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 z. 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 3. 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 equipment or 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, Se ons 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent ,_— APPLICANT CERTIFICATION Date: 6/16/2017 1 certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction, and hereby authorize representatives of this city 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. 1 understand my plans shall be used as public records. Licensed Signature Date 6/16/2017 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMEN1' DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO � (408) 777-3228 - FAX (408) 777-3333 • b�uiil�ding@cuperdno.org 'z r^ � 2-17 9 [:1 NEW CONSTRUCTION El ADDITION L!d X ALTERATIO f'�❑ REVISION/ DEFERRED ,OVRIOINAL PERMIT #1206077.1206078 PROJECT ADDRESS, 20590 Homestead Road, Cupertino, CA 95014 APN ri �� o owNER NAME: Pet Club StOres 5® b his PHONE: 510.595,8120 I E MAS STREET ADDRESS: 353 5 Hollis Street CITY, STATE, zip: Oakland, CA 94608 PAx: 510.595.8028 CONTACT NAME,, °� !/I I�jr PHONE !} ��� �` f; EMAP_ aj �"r. �G � tVI/ YI [� ! � ICg fF STREET ADDRESS I I -% 4f f`-� lJl CITY, STATBVZIP�__FAX 7%ler ❑ OWNER [] OwNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT Cl ENGINEER © DEVELOPER ❑ TENANT CONTRACTOR NAME At�E�f ,V LICENSENUMBERR LICENSE TYPE Q BUS. LIC tI 4/17 3 2I<Z COMPANY NAME CQ4 )rj c -I y dm.Ltx Tf t& U- t E-MAIL kq r;0 Mu"f t Oua STREETADDRESS d'VO (, j� rJ !// eke3 [Q tZ CITY. STATE, Z1P S/Kp/yJ �/�/rQ � cq FS b'� PHONE % �-CJ -0 ARCHTTECT/ENOINEER NAME: John C. Lee Architects/Planners, Inc. LICENSE NUMBER C-6896 I BUS. LIC B COMPANYNAME E-MAIL archjcl©gmail.com FAX STREET ADDRESS 711 San Miguel Ln, Foster City, CA 94404 CITY, STATE, ZIP PHONE ¢,50-34i-6663 DESCRIPTION OF WORK:'rhe existing building is a new building shell. Pet Club is the tenant building a retail store. New partitions for two toilets and 108 sf office; general lighting, data & power; mechanical and plumbing for toilets and general sales space. There are 4', 7' and 10' ]sigh racking for merchandise. There will be separate permits for signage and Automatic Fire sprinkler and alarm system, EXISTING USE PROPOSED USE CONSTR, TYPII N STORIES new Retail 3-1 Hour one USE TYPE OCC. SQ.FT, VALUATION ($) EXISTG NEWFLOOR DEMO TG'CALNEI' 9 994sf AREA 9,994 sf AREA: 0 Alean:9,99 4sf p� ,9946 BATIIROOM REMODEL AREA KITCHEN REMODEL AREA 13 I OTHER REMODEL AREA CI PORCHAREA DECK AREA TOTAL DECKNORCH AREA GARAGEAREA" DRTAcu ATTACH #DWELLING UNITS: ISA SECOND UNIT YES SECOND STORY -�JYE BEING ADDED? NO ADDITION? C3N0 3 PRR-APPLICATTON YES IF YES, PROVIDE COPY OF ISTREBLOGAN YES RSC lj� TO AL VALUATION: PI ANN1NO APPL M NO PLANNING APPROVALLBTTER EIGULER HOME? NO By my signature below, I certify to each of to owing: I am the property owner or authorized agent to act oA the property owner's behalf. I h e read this application and the information I have pro ide correct. I have rea - e Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to bui ti .1 e e ntatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Appli=i /Agent: —V Date; October 24, 2016 SUPPLE NTAL I i'ON REQUIRE PLAN CHFCK TYPE ROUTING SLIP New SFD or Multifamil dwelt gs: Apply for demolition permit for existing building(s). Demolition p it is required prior to issuance of building ❑ OVER-THE-COUNTER %0�111ILDING PLAN REVIEW permit for new building. O VXPRFS4 ;/P,.ANNING PLAN RP.VIPW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. IEPT ❑ LARGE Vr� 9 Copy of Planning Approval Letter or Meeting with Planning prior to MAJOR rSA1Nff.TARYSEWER submittal of Building Permit application. DISTRICT D ENVIRONMENTAL TIEALTH BldgApp 201 L doe revised 06/21/11 0 -�)(0-a��o .> CLARA C �� �, °�� FIRE DEPARTMENT INSPECTION NOTICE �`' 4' �.4 SANTA CLARA COUNTY 1° 1 IEST,g„1110, 14700 Winchester Blvd., Los Gatos,CA 95032-1818 ❑ Annual - Cycle COURTESV65ERVICE (408)378-4010(phone)•(408)378-9342(fax) ❑ Reinspection L CO LA(,, Q Construction PC # ❑ Final Page f of Street# Street Name&Suffix Suite# City Occ. Date: o9 1 Wl j�1 7 f-e�`! j r Class 916-' 1" Occupancy Occ. Phone -5 tut Load: r+ 5 " Issued by v� `( M 4 5O ' 5 Issued to r" a i it...e. I el t&j,e 514- ITEM# ' f, )ignature 'II 3 i 3 o.frt . K 2 4.2.714 2 7 4 s'e c k,..) //7/7 1 a 4) 2 4 17' - I .5,÷ ke91-1:"' 5- — e'`' ,,,,,,,iii6 iq I 4, . 3 , A , ,,,,,t, ,, ,,, 0(7,,, -,,„ / ( _.„4„ .....„, ,-. , ,,,2, ,-, „if , a„1","0 ,..),_ / , • riii /7, , ,/, ,, d rpv( -e-- ger Ar-e i_P /9 E.) r 1 4.) -f 1.7 4, r _04 g Al /` s,- r jre;-/ ( w Gr r3 '/- a/2cef' FORM#20 777777'. Building Department Ca.): Of Cup, .inn 10300 Torte ` erne /..0;;.,04.4N,0. ; C.,tpa n) +,,<s.950 l 4-12,';5 • Tdepholf.. 408-"''"7 3';"i CUPERTIN Fax. {)$ ';. 33 _ CONTRACTOR I SUBCONTRACTOR LIST i iU3 ADDRESS 20590 Homestead Rd.Cupertino,CA 95014 �_-- PERMIT r B-2016-2980 44 s OWNER S NAME.Sobrato Holdings LLC !PHONE 46502016870 - i GENERAL CONTRACTOR Craftsmen Collective Construction i BUSINESS LICENSEa 403282 S /al 4, i ADDRESS.8905 La Riviera Dr _ _ i t'{lT •/7,1P ODF.Sacramento,95826 'Our municipal code requires ail businesses working in the city to hove a City of Cupertino business license NO BOLDING >i<INA.L. OR FINAL OCC t.r:i''A:NC\ INSPECTION(S) WILL RE SC.H:EDULI D 'UNTIL THE GENERAL R' I.., (:0 i TRACTOR OR A' 'D ALL SI.BC0N1'R.A;C:;TORS HAW- OBTAINED A Ct`.R OF C UPER INCt BUSINESS LICENSE. SE., I alai not using any subcontractors: - __ -_ ........ .__. ,_-- __ --_ _..._.. ___-_ Signature Date Please cheek applicable subcontractors and complete the following information V l SUBCONTRACTOR I ._w. BUS.I:NIE.+�SS'N.A.MI» _. .W_ BUSINESS LICENSE f Cabinets t t�' 11 .t1}'6t2T14 -____ i -- Ccrrir tttiri.isl ?iig __ _. ___. x .Electrical t�-ical i AD-Bright Electric Co 403371 Excavation 098' Fencing .. .. _ _. _ ._ } r.—,. ._ .. _ I.boring i Carpeting 1 Linoleum/Wood 4 'G!aGlasP zg ___ x heating Davco Tab Mechanical Inc. i 403373 7 / Insulation # i L ._ . __.___ _.._ _1— .. ..;_ __._. ______ I Lands 9ping 5 j -.- ..._..._ ._.._.. .............._._ .,_., . . ..,,,..... ._..__.-_ 157 I._atl�.ing 1Masonry , I • Painting r Wallpaper F _._i Paving _ _ _ — _ _ _._.. _ Plastering x Plumbing _ __ Davco Tab Mechanical Inc. 403373 Og Roofing ; 1 Septicirk i r. - ._ _._.� _.. Sheet Mi tal , Sheet Rock . _, a s? J y, �i - 11/28/20 7 7 Owner 1 Contractor Signature Date l P