HomeMy WebLinkAbout15070130 JobCardCITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10670 N TANTAU AVE
CONTRACTOR: BNBUILDERS/WEBCOR
PERMIT NO: 15070130
AJV
OWNER'S NAME: APPLE INC
201 REDWOOD SHORES PKWY STE 125
DATE ISSUED: 07222015
OWNER'S PHONE: 4087838319
REDWOOD CITY, CA 94065
PHONE NO: (650) 227-1957
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
AC2 PHASE II: TANTAU 5- INTERIOR SOFT DEMO TO
q
License Class N / 41 Of75c CV
PREPARE FOR FUTURE HARD DEMO.
//� �)Lic.
'T Contractor 4 Q I hd€LCc'." Date2A
I hereby affirm that Lam 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
Sq. Ft Floor Area:
Valuation: $41000
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
APN Number: 31609019.00
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 180 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
0 DA S FROM L LED 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
granting of this permit. Additionally, the applicant understands and will comply
Issue Date:
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
�f
S
RE -ROOFS:
Signature L 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 lam 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,
Business & 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. 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(n) 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
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 of the Labor Code, for the performance of the work for which this
Owner or authorized agent: Date:�0 C_
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
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
ARCHITECT'S DECLARATION
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.
SignatureDate
DEMOLITION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
CUPERTINO (408) 777-3228 • FAX (408)777-3333' building &cuoertino.orp /52 70/3o
D
PROJECT ADDRESS
10670 N. Tantau Avenue
AN# 316-09-019
OWNERNAAfE Campus Holdings, Inc.
PHONE 408-783-8319
EMAIL bernardbaker@apple.com
STREET ADDRESS
1 Infinite Loop, M521-AC2
CITY, STATE, ZIP
Cupertino, CA 95014
FAX
CONTACT NAME
Bernard Baker
PHONE 408-783-8319
E-MAIL
Bernard_baker@a le.com
STREETADDRESS
1 Infinite Loop, MS21-1AC2
CITY, STATE, z"
Cupertino, CA 95014
FAX
I OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT O ENGINEER O DEVELOPER O TENANT
CONTRACTORNAME Neil Howry
LICENSENUMBER
LICENSETYPE
BUS_LIC9
990050
COMPANYNAME BNBT/vvA� ebcorAJV
E-MAIL neil.howry@bnbtbuilders.com
FAX
STREET ADDRESS 201 Redwood Shores Parkway#12
CITY. STATE, ZIP
PHONEI
Redwood City. CA 945
650-393-9786
DESCRIPTION OF WORK
Tantau 5 -Interior Soft Demo to prepare for future Hard Demo
RESIDENTIAL
R DWELLING
OFFICE
tSR
ONLY
VAL
FLOOR AREA
UNITS
COMMERCIAL
23,800
/J �r/�
FLOOR AREA
C//
TYPE OF CONSTRUCTION metal stud
S STORIES
AQMD JOB ER
RECEIVED BY
T0�/VALUAION
J #: 4N073 & 4N074
OX)
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 remthis
application and the information I have provided is coned. 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.
Signature of Applicant/Agent: Date: 7/10/2015
SUPPLEMENTAL INFORMATION REQUIRED PRIOR TO ISSUANCE OF DEMOLITION PERMIT
oi1TICE USE ONLY
PL&- CHECK TYPE
— Provide Job Number from Bay Area Air Quality Management District wvvw.baaamd.org @415-749-4762.
U EXPRESS
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.
STANDARD
Provide letter from PG&E (408-725-3325) stating all gas and electric has been disconnected.
D LARGE
Provide a letter of inspection, tests, and abatement of any Hazardous Materials. Letter to be initiated by person(s)
Ru.JOR
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.
DemoApp 2013.doc revised 02/13/13
CODEfEC. I SHEET I NO.
FIRE DEPARTMENT
SANTA CLARA COUNTY
CONTROL NUMBER
14700 Winchester Blvd., Los Gatos, CA 95030-1818 1 s O -lot. Z$
(408) 378-4010 (phone) • (408) 378-9342 (fax) PERMIT NUMBER
15o 7o/3O
PLAN CHECK No.
PLAN REVIEW COMMENTS
S
SCOPE OF WORK: DI , eyl t Cnn
Existing tire sprinkler & tire alarm systems shall be modified as necessary. Submit 3 sets of drawings, a
completed permit application & fees to the Santa Clara County Fire Dept. for approval prior to altering
system. CFC 901.4
11 portions of the building shall be within 75 feet of a fire extinguisher having a minimum rating 0f2-
:10 -BC. CFC 906
mmercial cooking equipment shall be provided with a Class K portable fire extinguisher located within
feet of the equipment and in the path of exit travel. CFC 904
Egress doors shall be readily openable from the egress side without special knowledge or effort & shall not
require tight grasping, 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 1008.1:5
Means of egress shall be illuminated at all times with 90 minute back up 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 backup power. CBC 1011
Contractor shall field verify the integrity of existing rated construction/assemblies and restore or repair as
necessary. Penetrations in rated walls/ceilings shall be protected by listed fire rated assemblies (dampers,
doors, caulking, fire stopping, etc.) CFC 703
Tenant shall provide a labeled emergency access key for placement in the building emergency access key
box. CFC 506
This plan check does not permit the use, storage or dispensing of hazardous materials, operations or waste.
Tenant shall provide a completed HMIS to the fire department's hazardous materials specialist for review
and comment. A CLOSURE PERMIT is required prior to terminating the storage of hazardous materials
at a permitted storage facility. Demolition of any facility/storage area that previously stored hazardous
mate ' hall not be approved prior to obtaining a CLOSURE PERMIT.
PPROVED: O V to issue building permit subject to compliance with above items.
JURIS PUNS SPEC NEW REMODEL .S CO T. DESCRIR BY DATE PAGE
cuPI of
SEC./FL 0DR
NAME OF FACILITY
A -p P I2.
OTC OCC. LOAD AflEA APCHItE�NG/CdNTP..ACTOi JOWNER -
' N
LOCATION
10700 d 10-7to
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A California Fire Protection District serving Santa Clara County and the cur... -unities of
Campbell, Cu.ertino, Los Altos, Los Altos Frills, Los Gatos, Monte Sereno, Morgan Hill, and Saratoga