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09080116 - DEF1CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19800 VALLCO PKWY CONTRACTOR: LAYTON PERMIT NO: 09080116 CONSTRUCTION OWNER'S NAME: CUPERTINO PROPERTY DEVELOPMENT 9090 S SANDY PKWY DATE ISSUED: 08/14/2012 OWNER'S PHONE: 4083431088 SANDY, UT 84070 PHONE NO: (949) 429-6740 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL F] COMMERCIAL (� ROSE BOWL-MIXED USE RESIDENTIAL/RETAIL 476,016 License Class J Lie. # q 5 �. S g SQFT-INCLUDES 204 APARTMENTS, COMMON AREAS Contractor a9 1A .f.Date e)[O ted FLRS 1-6 (383,913 11/27/12- DEFERRED #1- FABRICATION & INSTALLATION I hereby affirm that I am licensed under the provisions of Chapter 9 OF METAL STAIRS 1 THRU 7 - ISSUED 6/6/14 (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: $46000000 0 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. APN Number: 31620037.38CONDOS Occupancy Type: 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 to building construction, and hereby authorize representatives of this city to enter WITHIN 180 DAY �iolI UANCE OR upon the above mentioned property for inspection purposes. (We) agree to save 180 DA M D 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 A granting of this permit. Additionally, the applicant understands and will com ssued Date: Z with all non-point source regulations per the Cupertino Municipal Code, Section 9 18. RE-ROOFS: Signature Date 6 bl 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 ❑ OWNER-BUILDER DECLARATION inspection. I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: 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(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, Section 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this p is issued. Owner or authorized agent: �_ Date: �/A permit t 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. Signature Date C®NSTRUCTPON PERMIT APPLICAT@ON COMMUNITY DEVELOPMENT DEPARTMENT o BUILDING DIVISION E210300 TORRE AVENUE o CUPERTI O 014-3255 C U P E RT I N O (408) 777-3228 - FAX (408) 777-3333 - buildin cu ertino.or ❑ NEW CONSTRUCTION ❑ ADDITION❑ALTERATION/ TI LJ�REVISION /DEFERRED ORIGINAL PERMIT # 090.80_-_1.16 PROJECrADDRI:Sy 19800 Vallco Parkway Cupertino, CA 95014 APN# uWNI It N'`'"'' Cupertino Property Development 1 LLC PHONE 408-343-1088 echan kcrdevelo ment.com E-MAIL @ p STREET ADDRESS 19620 Stevens Creek Blvd. Suite 200 CITY, STATE, ZIP Cupertino, CA 95014 FAX 408-343-1089 CONTACT NAME Douglas Schmoldt STREETADDRESS 19800 Vallco Parkway PHONE 702-664-5617 I E-MAILdschmoldtCaDlaytorlconstrLictlon.cotrl CITY,STATE, ZIP Cupertino, CA 95014 I FAX 408-777-8639 ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME Juan Romero LICENSE NUMBER ##844531 LICENSETYPE C51 BUS. LIC# COMPANY NAME UMO Steel Inc. STREET ADDRESS 31801 Hayman St. ARCHITECT/ENGINEER NAME Michael Stanton COMPANY NAME Stanton Architecture STREETADDRESS 555 De Haro St. Suite 300 E-MAIL Johnny@umosteelinc.com FAx 510-429-1545 CITY, STATE, zIP Hayward, CA 94544 PHONE 510-755-4855 LICENSE NUMBER I BUS. LIC # E-MAIL mstantongstantonarchitecture.com FAx 415-865-9608 CITY, STATE, ZIP San Francisco, CA 94107 PHONE 4.15-865-9600 DESCRIPTION OF WORK Fabrication & Installation of Metal Stairs 1 Through 7 for the Rosebowl Mixed Use Project. EXISTING USE PROPOSED USE CONSTR. TYPE I # STORIES 7 USE TYPE OCC. SQ.FT. VALUATION EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH []ATTACH IS A SECOND UNIT ❑YES SECONDSTORY ❑YES BEING ADDED" ❑NO ADDITION? ❑NO PRE -APPLICATION (]YF.S IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO RECEIVE B n - TOTAL VALUQ�rT'� my signature below, 1 certify to each of the tidluwing: I am the property owner or authorized ag t to act on the property owner's behalf. I have read this application application and the information 1 have provided is correct. I- lave-r5ad tlf Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buihiing!ailrurtion = }.luihor ize representatives of Cupertino to the Signature of Applicant/Agent. ` '.rte J enter above -identified property for inspection purposes. 11/27/12 , ----'J Date: SUPPLEMENTAL INFORMATION REQUIRED z _ New SFD or Multifamily/dwellings: Apply for demolition permit for PLAN CHECK TYPE ROUTING SLIP existing building(s). Demolition permit is required prior to issuance of building ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW permit for new building. ❑ E .REBS ❑ PLANNING PLAN REVIEW _ CommeIcial Bldgs: Provide a completed Hazardous Materials Disclosure ,. form if any Hazardous Materials are being used as part of this STANDARD ❑ PUBLIC WORKS project. _ Copy Of Planning Approval Lettcr or Meeting With Planning to ❑ LARGE ❑ FIRE DEPT prior Submittal of Building Permit application. ❑ MAJOR ❑ SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11