02110131CITY OF CUPERTINO
—
BUILDING DIVISION Pg T
.CONTRACTORINFOR� 'ION.-`
BU114INGpNFIINITE LP .
SOUTH BAY CONSTRUCTION CO
r!FN17NT2110131
OWNSUP49RTINO GATEWAY PARTNERS
Ilk
511 DIVISION STREET
APPLICATIITnITY2002
ONE:
"(408)379-0400
SANITARY NO. CONTROL NO.
ARCHITECr(ENGINEE
BUILDING PERMIT INFO
llwo O Lg
BLDG ELECT PLUMB MECH
O O
EDCO ACfOR'S DECLARATIONO
hereby aft oAatlat licenecdun4r previsions of Chapser9(commencing
with Section Division3of Jrc Business and Professions Code, arta my license is
TI CAFETERIA I� � �4ii'SGE BART NEW SMOOTH
in and affect.
NOODLE COLD PAN AT SALAD BAR
icnurert
Datut_C Liccnu Class Coniractor N
j�STATION
Y U r•` „A t`a`i E
ARCHITECT'S DECLARATION
� 1 understand my plans shall W used as public records
JAN 2 2003
3 Lice uJ Professional
OWNER-BUILDER DECLARATION
E 1 hereby affiw that 11. exempt from IW Contractors License law for IW
Profession
Lor county
whichfollowinguireaa ornitn]xsnser Busiter.imd ve.deiolsh.orOpycmysurature
which squirts a rermit w conxwcl. alcor, improve. Jcmo1¢M1, or rtryir any umcwrt
BUILDING
its issuance.
$55000
prior to also requires the applicant for such permit to file a signed summent
that he is licensed pursuant to the previsions of dic Consracars Lame Law (Chapter 9
Sq. Ft. Floor Area Valuation
(commencing with Section 7") M Division 3 of the Business and Nofexamns Code)or
31602108.00
Nat he is exempt therefrom and the basis for the alleged exemption. Any violation of
Section 7031.5 by any applicans for a pewit subjects the applicant a civil penalty of
not than five
APN Number
Occupancy Type
101 — FOUNDATION
❑ 1, owner property, or
01. as wnerofthanercdmearay employees
employers with wages compensation.
.the
o is r Safe (See.
will dothework. anile: structure isnosintendede Law doforsak(S«.ad ad,wnerof
and Pmfeas, Code:Theesdaemon.nd
applymanowneris
102 P12t'
103 - UFER Required Inspections
Wn
wholawdoesor
Wilds or improve thereon, and who docs such wart Nmselfor though his
awn employees, intendedmpleertd .Ir,
104 — RF.'BAR'
however, the improvement is id widmrene
u sold within one year of completion, the comer,
dicco
however, the building or den of proving
builder will have the burden of proving Net he did not Wild or improve for purpose of
105 — ANCHOR BOLTS
ale')'
106 — SEWER & WATER
I,asoweerof Ne (property. am Sec.and contracting with licensed Connuutors to
Business
K.-et swco Ne projen (Sec. ]014, Business end Pmfessioaz Cade:) The Conmudrs Li�
202 — UNDERFLOOR PLUMBING
cense law does not apply In an owner of progeny who Wilds or improses theroan,and
203 — UNDERFLOOR MECHANICAL
who contracts for such projects with a contractor(s) licensed pursuant dre Caroxtor's'
Lkemelaw.
—
204 UNDERFLOOR FRAME
❑I.mexe In r _ .B&Per thi n
205 — UNDERFLOOR INSULATION
Ownc,5 Da. D
301 — ROUGH PLUMBING
O (ER C PENSAUONDECLARAT1ON
302 — TUB & OR SHOWER
1
Inert Irwatderic IyafInrjuryanearthemnowingdoxi aeon:
303 — ROUGH MECHANICAL
❑ 1W end will mainuin a CeWGcate of Conant m self-insum, for WorkeriCompen-
setion, u provided for by Section 37M of the labor Code, for the pcdowm«e of the
304 — ROUGH ELECTRICAL
work Tor which this permit is issued.
30 5
5 — FRAME
FRAMEHOLDOWNS
0 1 have and will maintain Worker's Compensation Insurance, u
abrequired by section
37W of the labor Code, for the perfowaner of the work for which Niss
Nis permit is Mind.
306 —
My Worker's Compensation Insurance carrier and Pol icy number are:
307 — INSULATION
Carrier: PolicyNo.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
308 — SHEETROCK
COMPENSATION INSURANCE
309 — EXTERIOR LATH
This section need not tic completed ifthc pemtit is Intent,handed dollars(SIM)
310 — INTERIOR LATH
orless.)
311 — SCRATCH COAT
eecnify thatirde in any manneofthe work for which this pew it loissued,IShall out
employ any person in any manner ser az m become subject m the Workers' Compensation
313 — ROOF NAIL
Laws orcalirorni.. Date
'Applicant
501 — FINAL ELECTRICAL ENERGY
NOTICE TO APPLICANT. If. after making this Cenifcac of Exemption, you should
502 — FINAL PLUMBING ENERGY
Wcowithcompyect ledWorker'sCompcouhisponon visihalofdemed Coded. must
liiMwe scnmply with such Caioosor Nis pcwisions Wh«medr Case..
503 — FINAL MECHANICAL ENERGY
CONSTRUCTION LENDING AGENCY
504 — FINAL BUILDING ENERGY
I herchy affirm that there is a construction lending agency for the, performance of
505 — FINAL ELECTRICAL
the work for which this permit is issued (Sea. 3097, Civ. CJ
Lender's Name
506 — GAS TEST
lander: Address
507 — FINAL PLUMBING
I certify that I have read this application and sum that on, Move information is
coven. l agree to comply with all city and county ordinances and state laws reating to
508 — FINAL MECHANICAL
building construction, and hereby auonoda mpreunmives of this city m enter upon the
NAL GRADE
move-mentioned propany for impcction purposes
Mgre Io ave, indemnify andkith
andkeh
de Cityor Cupenst againstIiabiliti(We)gmenls,
Of Cuainesaid
N (]`(s
ju emu and ezpny mayinmy wayty
hymn City
WOF
LI WORK$
of ri in offalrental.APP.0 R sANDWILLCOMPLYWITHAL NO POINT
Issued byDate
�l Z�
4ill
Re-roofs
r enVCo :norateH
ARDOUS MATERIALS DISCLOSURE
Type Cf Roof
applic I or fuwre Wilding occupant soon, or handle hiaudd. rosomel
az defined by the Cupenino Municipal Code. Chapter 9. 12. and the Health and Safety
Code, Section 355324)?
❑tics 0N
All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future building occupant use equipment or devices which
If a roof is installed without first obtaining an inspection, I agree to remove
mit hazardous air cunmminams az defined by the Bay Arca Air Quality Management
District?
all new materials for inspection.
CYcs ON.
I ham read de, ha oirclousmaterials adpommenac under Cleap erti.95ofohe Califon
nix Health &Safety 505.25533 and 25534.1 ntderstarrd Naoifthe Wilding
L that it is my ruporuibdily m ondfy the ace Into of de
t 'ormissuanccafa CnJOcateor up cy.
F2
M
Signature of
le
Date
All roof coverings to be Class "B" or better
Date
Countyof Santa Cl�a REC •
FIVE
Environmental Resources Agency NOV ZOOZ
Department of Environmental Health
• 1555 Berger Drive. Suite 300 By.
San .lose. California 95112-2716
(408) 918-3400 FAX (408) 2988261
WWW.EHinfo.org
November 7, 2002
Pedley & Joy PROJECT NUMBER: SR0808824
Attention: Richard Pedley PROJECT NAME: APPLE COMPUTER -CAFE MAC
25599 Fernhill Dr PROJECT ADDRESS: 4 INFINITE LOOP, CUPERTINO
Los Altos Hills CA 94024
Dear Mr. Pedley,
Plans for the above project have been reviewed and approved by this department, subject to the following
conditions:
• Remodel the existing sneeze guard barriers to comply with no direct line between 54-60 inches
and any open food items (customer service line).
This approval shall expire by limitation and will become null and. void if the construction, reconstruction,
alteration, or other work authorized by this approval is not commenced within 180 days from the date of
approval.
Please present two (2) copies of the plans to your local building official for the required permit application
and approval. Please retain the third copy on the job site. A FOOD FACILITY CONSTRUCTION CARD
will be attached to the job copy and must be posted with the other building permits.
• Please be advised that you are responsible to contact this office to arrange a construction inspection
before rough plumbing signoff, installation of equipment, and again upon completion of the project.
Absolutely no food storage or food preparation will be allowed onsite until this department issues you your
Permit to Operate. This permit will be issued upon the successful conclusion of our final construction
inspection. You will also be asked to submit a performance test of the mechanical exhaust system,
If one is present, and verification of garbage collection before the issuance of the Permit to
Operate.
C�
This food establishment will be required to have either the owner or an employee successfully pass an
approved and accredited food safety certification examination. This certification must be obtained within
sixty (60) days after your Permit to Operate is obtained. Contact this department for more information.
If you have any further questions or would like to call for an inspection appointment, please contact the
undersigned at (408) 918-3400, between 8:00 a.m. and 9:30 a.m., Monday through Friday.
Very t�yours,
Frank O'Sullivan, REHS
Senior Environmental Health Specialist
Plan Review and Construction Unit
cc: City of Cupertino Building Department
Board of Supervisors: Donald F. Gage, Blanca Alvarado. Pete McHugh, James T Beall. Jr.. Liz KniSS
County Executive: Richard Wittenberg
4
J, amm-m
CITY OF
CUPEIZTINO
CITY OF CUPERTINA1
PERMIT APPLICATION FORM
APN #
Fee Description
Fee Group
Date:
Other Appliances
MECHANICAL
BCONSTAX
Construction Tax
Building Address
BCONSTAX
-gC-ONSTAXBQ
Ind/OfFCOmm/ uasi
BUILDING
,
Con. Tax for BQ Zone
Owner's Na
BCONSTAXH
Hotel and Motel
Phone #:
e
Constax RResi/Mobile
BUILDING
,
Contractor:
ELECTRICAL
1001
License
Contact
00
Elec Svcs 600V <= 200A
Phone #:
App 1carrUG ontr, cr:
Ener
BUILDING
GYADD
Ener Add Multi
BUILDING
=B'
Elect
Plumb ech
Job Description: �-(�(i Z �tcv Yuen �e 4oa— pek)
Residential: Ci'"a
�tj N000re
Caro 1pvv 6� 541-A0,gat, Commercial:
Sq...: Floor Area:
BUILDING
MULTI
$/Sq.Ft.: ff
MECHANICAL
ULTI
New Multi-famil Res
'
Architect/Engineer:
�
ELECTRICAL
Valuation: F�
Type of Constnrctio
MECHANICAL
BNUCOMMP
Occupancy Group:
QuantitV Fee ID
Fee Description
Fee Group
BAPPLOTHER
Other Appliances
MECHANICAL
BCONSTAX
Construction Tax
BUILDING
BCONSTAX
-gC-ONSTAXBQ
Ind/OfFCOmm/ uasi
BUILDING
Con. Tax for BQ Zone
BUILDING
BCONSTAXH
Hotel and Motel
BUILDING
BCONSTAXR
Constax RResi/Mobile
BUILDING
1000
Elec 600V <= 1000A
ELECTRICAL
1001
Elec 600V > 1000A
ELECTRICAL
00
Elec Svcs 600V <= 200A
ELECTRICAL
GY
Ener
BUILDING
GYADD
Ener Add Multi
BUILDING
TIGA
M
Investi ation fee
BUILDING
ATC
Comm. Housin Mit. Fee
BUILDING
ATR
Res. Housin Mit Fee
BUILDING
MULTI
New Multi -Family Res
MECHANICAL
ULTI
New Multi-famil Res
ELECTRICAL
I MENew
Comm Electric
ELECTRICAL
MMM
New Comm Mechanical
MECHANICAL
BNUCOMMP
New Comm Plumb
I PLUMBING
1 of 3
CITY OF CUPER'PINO
BUILDING DIVISION PERMIT
CON'I�RACT�RINFORMATION:'
, ,.
RUH41NuZANInINITE LP
SOUTH BAY
CONSTRUCTION CO
T-NCN102110131
"OURBRTINO GATEWAY PARTNERS
511 DIVISION STREET
APPLICAlll�TI%M'Yr2002
/
PHONE
4O8 379-0400
SANITARY NO. CONTROL NO.
ARCHITELTIENGINEE :
BUILDING PERMIT INFO
cCLAyw
BLDG ELECT PLUMB MECH
0 0 0 0
LENIiEU CONEFEACTOR'S DECLARATION
Inemny arrr ,hall am licensed under provisions of Chapter 9(commencing
with Section May, of Division 3 of the Business and Pmfeaelonv Code, and ray license is
TI/CAFETERIA 9W19949?&GE BAR, NEW SMOOTH
inm°l"reeandeffect.
NOODLE STATION. COLD PAN AT SALAD BAR
: License Class Lic.0
Dale Contractor
ARCHITECTS DECLARATION
1 understand my plans shall be used as public records
JAN 0 2 2003
LicensedProresxi,mal
OWNER-BUILDER DECLARATION
ON
,
1 bemby affirm Ilia, 1 ,Bump from Coul License Law far Ili"
Ne Cssions
1.
following reason (Section ]031.5,t,,Business and Professions ha
an Any city ns county
c
which requires permit ennswr. h, or
improve, demolish, or any etruaum
1ILDIN 5 5 O O O
n re pp mash
pdr u) its issuance, alsoant It,
pro applicant or such Prmh m Tense Law Cha mm,
Cnmmnssnimnu LawlC
(Chapter
that os,encing
Sq. Ft.
Floor Area Valuation
(commencing with Section MOO) Divinn,mthe
Professions udr)ar
exempt Section Code) of
forn 3 o
3
he is
. that he u exempt therefrom
li and the basis
and the Weis alleged
the allege) An
Any violation of
it knttexemption.
any imntrorapemnil subjects Ne applicant to acivil penal) of
applicant
p
Out rShemove that five
Out tore that Eve huntlrctl dollars ($500). y
APN Number
Occupancy Type
101
- FOUNDATION
❑ Latowner Nc pmpeny, nr myemntende wages theirrole compensation,
will Jo the work, and the structure is not intended or offered for sale (Sec. 70,14, Business
, for
and Profersions Code: The Conuacer's License Law doses not apply to an owner of
103
- UFER Required Inspections
properly who builds or improves thereon. and whodoes such work himselfor through his
Own employees. provided that such improvements are not intended oroffercd for sale. If.
104
— REBAR'
however. lie building or improvement is sold within one year of completion, the owner-
builder will have the burden Of proving that he did not build or improve for purpose of
105
— ANCHOR BOLTS
sate')'
106
- SEWER & WATER
I, as Owner of the properly. am exclusively contracting with licensed contractors to
co swm the project (See 71Hde:) 4, Business and Professions CoThe Cmdracmr's Li
202
— UNDERFLOOR PLUMBING
cense Law does not apply to an owner of progeny who builds or improves thereon.and
203
— UNDERFLOOR MECHANICAL
who connotes for such projects with a contraclor(s) licensed pursuant to the Contractor's
License Law.
204
—UNDERFLOOR FRAME
❑lamex t r ,BurPcr Int Can
205
— UNDERFLOOR INSULATION
(�� wyleDam!/ OZ
301
— ROUGH PLUMBING
O (ER C PENSATION DECLARATION
302
— TUB & OR SHOWER
Iheren a11im,IneerPe By Of perjury one of the following
303
— ROUGH MECHANICAL
❑ I hate and will maintain a Certificate of Conecm to self-insure for Worker's ComPen-
sation, as provided for by Section 3700 of the Labor Code. for the performance of the
3 04
- ROUGH ELECTRICAL
work for whim this perm, is issued.
3 0 5
5
- FRAME
0 I have and will maintain Workers Compensation Insurance, az
of required by Section
37W the Labor Code, for the performance of the work for which this Permit is issued.
3 0
— HOLDOWNS
My Worker's Compensation Insurance carrier and Rdicy number am:
307
— INSULATION
Carrie` Policy NO:
308
— SHEETROCK
CERTIEI COMPENSATION INSURANCE WORKERS'
309
— EXTERIOR LATH
This union need not be cnmplemd if the permit is for one hundred dollars lS 1g
310
— INTERIOR LATH
roles"
311
— SCRATCH COAT
in the performance Of the work for which this thePerot W is issued. 1 shall not
e trolly ply any
employ any gemma in any manner so as m hcmmc subject III the Workers' Compensation
313 —
ROOF NAIL
LawsCalifornia. Date
Applicaeant
501 —
FINAL ELECTRICAL ENERGY
NOTICE TO APPLICANT It. ofNr making this Certificate of Exemption. you should
502 —
FINAL PLUMBING ENERGY
became womply the Werker'searox"mhisperon visionl of the Labor Code. you muse
forthwith "Imply with such provisions ns this permit shell be deemed Invoked.
503 —
FINAL MECHANICAL ENERGY
CONSTRUCTION LENDING AGENCY
504 -
FINAL BUILDING ENERGY
I hereby affirm that there is a constol lending agency tit the Perlinnarm of
505 —
FINAL ELECTRICAL
the work for which has permil is issued (Set. 3097, Civ C.)
Under's Name
506 —
507 —
GAS TEST
FINAL PLUMBING
render's Address
1 certify that 1 have read Nis application and state that ,he above imorma,ion,,
correct 1 agree to comply with all city and county ordinances and stale laws relating l9
508 —
FINAL MECHANICAL
building contusion, and hereby amhorim mVrcsemadws of his city to enter upon the
5
FINAL GRADE
ahovomentloned property for inspection purposes.
(W,) agree II save, indemnify and keep harmless ,Lac City of Cupertino againa
10
FIN G
Iiabilities,judgments, costs and expenses which may in any way acerae against said City
in consequence in
5
N LI WORKS'
of t gre Oflhispermit.
U R S AND WILL COMPLY WITH AL NO POINT
Issued by:
SOUR
Date
Date
It 2� y
Re-roofs
Type of Roof
a,a P Iean/Cu actor me
H ' ARDOUS MATERIALS DISCLOSURE
iu the apNlea IOr From, building occupant store or handle harardom material
as defined by the Cupertino Municipal Code. Chapter 9.12, and the Health and Safety
c. Section 25532nd?
❑Yes ON.
All roofs shall be inspected
prior to any roofing material being installed.
Will thea secant r future bonding Occupant taw" Or ell which
III' 6 p
If a roof is installed without first obtainingan inspection, I agree to remove
emit haeuNnus air ttmtaminunls as ddincJ by Nc Bay Arca Air Quality Management
a Air Qu
Dinrir7
all new materials for inspection.
p Yes ON.
1 have mall the hamNous mamrlulirequiremcros under Chapter 695 of the Califtu-
niaHealNSSolely(�(NC,i}YIf nx25N)5.25533md25534.1undem=dJ atifthchuilding
ITC I rl fv fI. I th at it i 5myrewarviMlltymmanyme , man)Of the
,ff Irtnissuanalracerdr"a1,Ir no
Signature of Applicant Date
1��2!/OZ
All roof coverings to be Class "B" or better
O th rise) .,ce Date