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Home My WebLink About14100044 PermitCITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10435 N TANTAU AVE CONTRACTOR: BNBUILDERS/WEBCOR PERMIT NO: 14100044 AJV OWNER'S NAME: CAMPUS HOLDINGS INC 201 REDWOOD SHORES PKWY STE 125 DATE ISSUED: 11/12/2014 OWNER'S PHONE: 4083091730 REDWOOD CITY, CA 94065 PHONE NO: (650) 227-1957 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL O COMMERCIAL AC2; PHASE II- T.I PREP FOR RC -01; INTERIOR DEMO License Class Lie. 9 ONLY FOR PREPARATION OF BUILDING DEMOLITION Contractor Date 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: 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. Sq. Ft Floor Area: Valuation: $75000 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: 31606039.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT E WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 1 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 DAYS F 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 (2.1 Cam/ Issued by: Date: / 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. RE OOFS: 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 DECLARATION 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 COVERINGS 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, usiness & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct 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. 1 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 & Safety Code, Sections 25505, 25533, and 25534. Section 3700 ofthe Labor Code, for the performance of the work for which this Owner or authorized agent: �� Date: ( 12 �l y permit is issued. q rtify that in the performance of the work for which this permit is issued, I shall V not employ any person in any manner so as to become subject to the Worker's CONSTRUCTION LENDING AGENCY 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 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 II CUPERTINO DEMOLITION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinaOcuoertino.org , t� u- PROJF.CTADDRF.SS 10435 Tantau Ave APNB #316-05-056 OWNERNAME Apple, c Inc. PHONE. E-MAIL bernard_baker@apple.com STREET ADDRESS 1 Infinite Loop, MS 21-AC2 CITY, STATE, ZIP Cupertino, CA 95104 FAX CONTACT NAME Bernie Baker PHONE 408-309-1730 E-MAIL bernard_baker@apple.com ADDRESS 1 Infinite Loop, MS21-AC2 CITY, STATE, zu' Cupertino, CA 95014 FAX �S(TREET itY OWNER O OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER O DEVELOPER O TENANT CONTRACTOR NAME Michael Chavez LICENSE NUMBER #990050 j LICF.NSETYPE class E BUS. LICE 35088 COMPANY NAME BNBuilders/Webcor A JV E-MAIL mchavez@bnbwebcor.com FAX STREET ADDRESS 201 Redwood Shores Parkway #125 CITY, STATE, ZIP Redwood City, CA 94065 PHONE 415-306-4128 DESCRIPTION OF WORK Interior Soft Demo to Prepare to future Hard Demo RESIDENTIAL FLOOR AREA S DWELLING UNITS Ili USE OWLS FT. VA 'ATIOC COMMERCIAL 37,000 Sgtt FLOOR AREA U I l TYPE OF CONSTRUCTION m^ taal�tu ra ir�TOR1ES 2 AQMD JOB NUMBER J #: 4J178 RECEIVED BY: TOTAL VALUATION: By my signature below, I certify to each of the following: lam the property owner or authorized agent act on the pr perty owner's behalf. I have read this application and the information I have provided is correct. 1 ve read the Description of Work and verify it 1 t I agree to comply with all applicable local ordinances and state laws relating to building constnic434uthorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: / G SUPPLEMENTAL INFORMATION REQUIRED P4OR.Lth ISSUANCE OF DEMOLITION PERMIT Provide Job Number from Bay Area Air Quality Management District www.baagmd.org @415-749-4762. Provide three copies (Residential) or six copies (Commerical) of a site plan showing protection for any trees 10" in diameter or more at 3' above grade. Provide letter from PG&E (408-725-3325) stating all gas and electric has been disconnected. Provide a letter of inspection, tests, and abatement of any Hazardous Materials. Letter to be initiated by person(s) certified in asbestos, mercury and/or hazardous material examination. Planning Dept clearance to verify building is not considered an historical landmark. Allow 10 business days. Provide letter of clearance of all vermin from a licensed pest control contractor. Applicant shall call the Public Works Department at 408-777-3104 and schedule a "habitable dwelling" inspection. Provide signed Debris Bin and Recyclable Materials form. OFFICE USE ONLY PLAN CHECK TYPE ❑ EXPRESS ❑.. STANDARD ❑ GE ❑ MAJOR DemoApp_2013.doc revised 02/13/13 `��■� CITY OF CUPERTINO I k"vA FEE ESTIMATOR - BUILDING DIVISION ADDRESS n tantau ave DATE: 11/12/2014 REVIEWED BY: Mendez APN: BP#: / *VALUATION: I$75,000 *PERMIT TYPE: Building Permit PLAN CHECK TYP : Tenant Improvement PRIMARY Commercial Buildin USE: g PENTAMATION 1TIPREP PERMIT TYPE: i WORK AC2; PHASE II- T.I PREP FOR RC -01; INTERIOR DEMO ONLY FOR PREPARATION OF BUILDING SCOPE DEMOLITION Or/w, Phrmh Inc-- Utcer L,,. , /_/c<_ /tilt'. h; NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public works, tire, . annary .ewer unstrict, ocaam D's t ' t t tee Revised: 10/01/2014 OWNER -BUILDER DISCLOSURE FORM lov3 CUPERTINO COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinci0cuoertino.oro Dear Property Owner(s): An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at: SITE ADDRESS APN BP# /cY///lU0o o R NAME OWNER ADDRESS 1 .r+ rt Loo ( AC 2 DESCRIPTION OFWORK: We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. and initial each statement below to signify you understand or verify this information.) Wr1: I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner - Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowners insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my '' insurance rru'coverage for injuries to workers on my property. V -c2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. E!l�. I understand as an "Owner -Builder' I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. �4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. �5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. W6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. L7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. OwnerBuilderForm_2010.doc revised 04/14/10 understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. . I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the site address listed above. .JM.i. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. CONSTRUCTION LENDING AGENCY (DIRECTIONS: Please complete the following construction lending agency information.) I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Lender Name: Lender Address: Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued to verity the property owner's signature. Property Owner's Signature: Date: t I i Z -------------------------------------------- -------------------------------------------------- ---- (NOTE: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder). AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: Ow nerBuiiderForm_2010-doc revised 04/14/10 CO'X)SEc. I sHEE, I NO. FIRE DEPARTMENT SANTA CLARA COUNTY 14700 Winchester Blvd., Los Gatos, CA 95030-18 18 (408) 378-4010 (phone) • (408) 378-9342 (fax) PLAN SCOPE OF WORK: CONTROL NUMBER PERMIT NUMBER it/(Iv +'t' PLAN CHECK No. 11 'Jr Existing fire sprinkler & fire alarm systems shill be modified as necessary. Submit 3 sets of drawings, completed permit application & fees to the Santa Clara County Fire Dept. for approval prior to altering system. CFC 901.4 portions of the building shall be within 75 feet of a fre extinguisher having a minimum rating o12- 0 -BC. CFC 906 Commercial cooking equipment shall be provided with a Class K portable f ue extinguisher located within 30 feet of the equipment and in the path of exit travel. CFC 904 Egress doors shall be readily openable from the esitss side without special knowledge or efor t & shall not require tight `rasping, tight pinching or twisting of the wrist to operate. Key operated locking devices are permitted when readily distinguishable as locked and signed THIS DOOR TO REMAIN UNLOCKED WHEN BUILDING IS OCCUPIED. CBC IooS.I:S Means of egress shall be illuminated at all times with 90 minute backup where 2 or more exits are - required. CBC 1006.3 Exits shall be marked by illuminated exit signs. Signs shall be illuminated at all times and have 90 minutes of emergency bzP-vc Contractor shall fltytH!ijn ntrig rslies and restore or repair as necessary.. Penetrations in rated walls/ceilings shall be protected bylisted fife rated assemblies (dampers, doors, caulking, fire stopping, etc.) CFC 703 ht shall provide a labeled emergency access key for placement in the building emergency access key CFC 5(96 , 1 2 • /I J 0/ O+ Xit)& So; i'jina fermi - ,4 iii S i /rr1 P, This plan check does not permit the use, storage or dispensing of hazardous materials, oneratiors or waste. Tenant shall provide a completed HMIS to the fire departments hazardous materials specialist for review and comment. A CLOSURE PERMIT is required prior to terminating the storage hazardous r e of, h azo �rdoJ, materials at a permitted storage facility. Demolition of any facility/storage area that previously stored hazardous materials shall not be approved prior to obtaining a CLOSURE PERMIT. JA.PPROVED. OKAY to issue building r permit subject to compliance with above items. Jul- IS '91 SPECS r.E5q ?S CONSi, DESC.'Ie. 6Y DATE .it S. 0 I 1 D SC.�! 07t 0C 10.C. LO D ( FzE=. I /V-2. I I + NAME OF EkC 7 I LOCATION C- N 9 Li rn C) O SD a( m O D O m Om Om D O O� O �D �D $ u. o.. Z O 13 v o O Mc ------------- M Pt O 0 acm r fC .� La 0n Oi Om ti0 OZ N , Z mI a' a srJi O 0F ill pw- 11. s 8 & m a 'z LIl V a$ £ 4 5 °ym v s a• gCrir �r s _Hi 0 II 0 oil O oil n coil O iIIocootll cm O m z 7�J m m g" om N O oDlm z� zo (7 Q; II �7 yO N ca s _.: ONl + 41 CLI