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02100071CITY OF CUPERTINO CITY OF CUPERTINO, 7 PERMIT APPLICATION FORM APN #' Date: 91,Z 00 L `Building Address: d,o�(:)-3 _QTC-Je7w (��kzz5y_ lluvc) Owner's'Name.- Phone 9- V �16 8 - V Contractor: . License % 6 kj— Contact: Phone 'hT - Z_ 0z Applicant/Contractor: Fax Buil dngluernut Info: Bldg Elect Plumb Mec Job C' X ription: kl.� sidential: Commercial: Sq.Ft. Floor Area: $/Sq.Ft.: Architect/Engineer: fA D 12- Valuati Ok4Jxj, Constax — Resi/Mobil& C. Type of Construction: Oc ancy 9— b 1 of 3 —01 Fee Description I!BAPPLOTHER --,Other Appli ances alimiii mumu ; •Ind/Qff/Co Twp Tp�Quasi Con. Tax for B one 'Hotel and Motel Constax — Resi/Mobil& Elec 600V <-- 1000A BELEC1001 Elec 600V > I OOOA BELEC200 Elec Svcs 600V <= 200A fra.m.- Energy Add Multi BINVESTIGA I BMITIGATC I Res. Housin�M� Fe ON I New Multi -Family Res New Multi -family Res New Comm Electric New Comm Mechanical 1 of 3 CITY OF CUPERTINO BUILDING DIVISION PERMIT t BuIC OFsSTEVENS CREEK BLVD HOWARD WRIGHT CONSTRUCTIONPBM.N02100071 Ow6Y$ TEC (SUITE 101) PIER 9, THE EMBARCADERO # 1PSuCATTVY10�9TY 2 0 0 2 PHONE: SANITARY NO, CONTROL NO. ARCHITEC (ENGINEER: BUILDING PERMIT INFO B® E® PLUMB MECH LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing TENANT I MPROVEMN'T'crlptlon with section 7000) of Division 3 of the Rusin es ijd Professions Code, and my jj$ense is in full force and eff f ' 5, r''? License CI Lic. # DateIbt Contractor �- ARCH ITcCT'S DS RATION -p I understan my plans shall be used as lic records Licensed Professional OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the 3 5 ®� following reason. (Section 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter9 3Tq91Ci1F12&)9A&@ Valuation (commencing with Section 7000) ofDivision 3 of the Business and Professions Code) or that he is exempt therefrom and thc' basis for the alleged exemption. Any violation of ISTNRNW1 DATIUN Occupancy Type p y yp Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 102 _ PIERS 0 I, as owner of the property, or my employees with wages as their sole compensation, Required Inspections will do the work, and the structure is not intended or offered for sate (Sec. 7044, Business The Contractor's License Law does and Professions Code: not apply to an owner of 104 — REBAR property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, 105 — ANCHOR BOLTS however, the building or improvement is sold within one year of completion, the owner- 10 5 — SEWER & WATER builder will have the burden of proving that he did not build or improve for purpose of sale.). 202 — UNDERFLOOR PLUMBING 0 1, as owner of the property, am exclusively contracting with licensed contractors to 203 — UNDERFLOOR ME CHAN I CAL construct the project (Sec. 7044, Business and Professions Code:) The Contractor's Li- cense law does not apply to an owner of property who builds or improves thereon, and , 204 — UNDERFLOOR FRAME who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's 205 — UNDERFLOORINSULATION License Law. Q I am exempt under Sec. , B & P C for this reason 301 — ROUGH PLUMBING Owner Date 302 — TUB & OR SHOWER WORKER'S COMPENSATION DECLARATION 303 — ROUGH MECHANICAL I hereby affirm under penalty of perjury one of the following declarations: 304 — ROUGH ELECTRICAL 0 I have and will maintain a Certificate of Consent to self -insure far Workers Compen- sation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 306 — HOLDOWNS ❑ I have and will maintain Workers Compensation Insurance, as required by Section 307 — INSULATION 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Worket's(Compensatt Insurance carrier'a"n"d�'P,�(lacy+n�umberare: t 30$ — SHEETROCK Carrer:��tit �piicyNo.W e�3"il ®li 309 — EXTERIOR LATH CERT(( ATE OF COMPENSATION INSURANCE PTION FROM ORKERS' 310 — INTERIOR LATH section need not he completed if the permit is for one hundred dollars ($100) 311 SCRATCH COAT or less.) 313 — ROOF NAIL I certify that in the performance of the work for which this permit is issued, I shall not 501 — FINAL ELECTRICAL ENERGY employ any person in any mannerso as to become subject to the Workers' Compensation Laws of California. Date 502 - F I NAL PLUMBING ENERGY Applicant 503 — F I NAL ME CHAN I CAL ENERGY — NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Worker's Compensation provisions of the Labor Code, you must 504 — F I NAL BUILDING ENERGY forthwith comply with such provisions or this permit shall be deemed revoked. 505 - FINAL ELECTRICAL CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of 506 — CTAS TEST the work for which this permit is issued (See. 3097, Civ. C.) 507 — F I NAL PLUMBING Lenders Name 508 — F I NAL MECHAN I CAL Lender's Address I certify that I have read this application and state that the above information is 509 — F I NAL GRADE correct. I agree to comply with all city and county ordinances and state laws relating to 5 F I NAL PLANNING building construction, and hereby authorize representatives of this city to enterupon the above-mentioned property for inspection purposes. 514 V4 F I NAen PUBLIC WORKS (We) agree to save, indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs and expenses which may in any way accrue against said City in consequence of the granting of this permit. Ckw (M7 APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT Issued by: Date OURCEREGUL Re -roofs Type Of Roof S ° v Signature of tactor to HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code, Chapter 9,12, and the Health and Safety Code, Section 25532(a)? Yes All roofs shall be inspected prior to any roofing material being installed. Q If a roof Is Installed without first obtaining an Inspection, I agree to remove Will the applicant or future building occupant use equipment or devices which emit hazardous air contamina:!!4LA0ocd by the Bay Area Air Quality Management all new materials for inspection. District? C] Yes p No I have read the hazardous materials requirements underChapter695 of the Califor- niaHealth & Safety Code, Sections 25505, 25533 and 25534.1 understand that if the building does not currently have a tenant, that it is my responsihilityton dfy the wpant of the rcgTmmentswhich a prior to issuanceofaCerificate p cy, Signature of Applicant Date All roof coverings to be Class "B" Or better Owner or auth gentase I21031X4111-illEliii1 F CERTIFICATIONMECHANICAL TITLE 24 PRESCRIPTIVE APPROACH 10/7102 TONY ESQUIBEL AIR CONDITIONING 681-2226 CERTIFICATE OF COMPLIANCE (Part I of 2) MECH - ll� 'WIT, T-1111 11:06 M&M0141 N PROJECT ADDRESS 20300 STEVEN CREEK BLVD, CUPERTINO CA PROJECT DESIGNER -MECHANICAL TELEPHONE AIR CONDITIONING COMPANY, INC. (926) 681-2226 DOCUMENTATION AUTHOR TELEPHONE TONY ESQUIBEL (926) 681-2226 ENERAL INFORMATION DATE OF PLANS BUILDING CONDITIONED FLOOR AREA 10/7/02 1 1,000 SQ. FT. BUILDING TYPE X NONRESIDENTIAL El HIGH RISE RESIDENTIAL DATE 10/7/02 1:1 HOTEUMOTEL GUEST ROOM PHASE OF CONSTRUCTION NEW CONSTRUCTION ADDITION UA ALTERATION UNCONDITIONED (file affidavit) r-.71 METHOD OF MECHANICAL COMPLIANCE uPRESCRIPTIVE PERFORMANCE PROOF OF ENVELOPE COMPLIANCE IjE9:4 I ZU10 * ZIV EATELOPECIRIMPLIANCEATTACMED STATEMENT OF COMPLIANCE This Certificate of Compliance lists the building features and performance specifications need to comply with Title 24, Parts I and 6 of the California Code of Regulations. This cerificate applies only to buiding mechanical requirements. The documentation preparer hereby certifies that the documentation is accurate and complete. The Principal Mechanical Designer hereby certifies that the �� sed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. The proposed buiding has been designed to meet the mechanical requirements contained in the applicable parts of Sections 110 through 115, 120 through 125, 140 through 142, 144, and 145 Please check one: I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am licensed in the State of California as a civil engineer or mechanical engineer, or I am a licensed architect. El I affirm that I am eligible under the exemption to Division 3 of the business and Professions Code by Section 5537.2 or 6737.3 to sign this document as the person responsible for its preparation; and that I am a licensed contractor performing this work. E] I affirm that I am eligible under the exemption to Division 3 of the business and Professions Code to sign this document because it pertains to a structure or type of work described pursuant to business and Professions Code section 5537, 5538, and 6737.1. (These sections of the Business and Professions Code are printed in full in the Nonresidential Manual) Indicate location on plans of Note Block for Mandatory Measures AC0.1 For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential Manual published by the California Energy Commission. MECH-1: Required on plans for all submittals. Part 2 may be incorporated in schedules on plans. MECH-2: Required for all submittals; but may be incorporated in schedules on plans. MECH-3: Required for all submittals unless required ventilation rates and airflows are shown on plans, see Section 4.3.4. MECH-4: Required for all prescriptive submittals. MECH-5: Optional. Performance use only for mechanical distribution summary, Nonresidential Compliance Form January 2001 CERTIFICATE COMPLIANCE (Parto PROJECT NAME DATE « ■. SYMANTEC I ST FLOOR SYSTEM NAME TIME CONTROL SETBACK CONTROL ISOLATION ZONES HEAT PUMP THERMOSTAT? ELECTRIC HEAT? FAN CONTROL VAV MINIMUM POSITION CONTROL? SIMULTANEOUS HEAT/ COOL? HEAT AND COOL SUPPLY RESET? VENTILATION OUTDOOR DAMPER CONTROL? ECONOMIZER TYPE DESIGN AIR CFM (MECH-3, COLUMN H) HEATING EQUIPMENT TYPE HIGH EFFICIENCY? IF YES ENTER EFF. # MAKE AND MODEL NUMBER COOLING EQUIPMENT TYPE HIGH EFFICIENCY? IF YES ENTER EFF. # MAKE AND MODEL NUMBER PIPE INSULATION REQUIRED? PIPE/DUCT INSULATION PROTECTED? HEATING DUCT LOCATION R -VALUE COOLING DUCT LOCATION R -VALUE VERIFIED SEALED DUCTS IN 1oFAN FLOW CEILING/ROOF SPACE HEAT PUMP THERMOSTAT? MECHANICAL SYSTEMS (E) HVAC NIA IF NIA CODE TABLES: Enter code from table below into columns above. TIME CONTROL SETBACK I ISOLATION IELECTRIC HEAT? I V MINIMUM POSITION CONTROL? AULTANEOUS HEATICOOL? AT AND COOL SUPPLY RESET? 3H EFFICIENCY? CT TAPE ALLOWED? IE INSULATION REQUIRED? i S: Prog. Switch H: Heating ECONOMIZER Enter number of !: Inlet Vanes O: Occupancy Sensor C: Cooling Enter design outdoor air Isolation Zones. P: Variable Pitch M: Manuarrimer B: Both M: Out. Air Measure V. VFD Note: This shall be no D: Demand Control 0: Other N: Natural MECH-3. C: Curve VENTILATION OUTDOOR DAMPER ECONOMIZER O.A. CFM B: Air Balance A: Auto A: Air Enter design outdoor air C: Outside Air Cert. G: Gravity W. Water CFM. M: Out. Air Measure N: Not Required Note: This shall be no D: Demand Control less than Column H on N: Natural MECH-3. Nonresidential Compliance Form January 2001 PUMPS Equip-m-ent, Name uipment Type 7 7a TZeCZ- Efriciency IFT1 ILI M 11 System Name System Type Distribution Type Aux. Output kW Eift--- ciency Pump Control External R -Val EXISTING HVAC Drive Eff. Motor CFM BHP Eff. Drive Eff. EXISTING HVAC 'SUMMARY L SYSTEMS RATINGS 7 7a TZeCZ- Efriciency IFT1 ILI M 11 System Name System Type Distribution Type Aux. Output kW Eift--- ciency Output Sensible External R -Val EXISTING HVAC Drive Eff. Motor CFM BHP Eff. Drive Eff. EXISTING HVAC L SYSTEMS RATINGS 110ENfRAL FAN SUMMARY HEATING COOLING System Name System Type Qty. Aux. Output kW Eift--- ciency Output Sensible Effi. Economizer ciency Type EXISTING HVAC Drive Eff. Motor CFM BHP Eff. Drive Eff. EXISTING HVAC 110ENfRAL FAN SUMMARY Nonresidential Compliance Form January 2001 SUPPLY FAN RETURN FAN System Name Fan Type Motor Location CFM BHP Motor Eff. Drive Eff. Motor CFM BHP Eff. Drive Eff. EXISTING HVAC Nonresidential Compliance Form January 2001 MECHANICAL EQUIPMENT SUMMARY (Part 2 of 2) MECH- 2 PROJECT NAME DATE SYMANTEC 1ST FLOOR 1017102 VAV SUMMARY VAV BASEBOARD Zone Name System Type Qty. Min. CFM Ratio Reheat? Type Delta T Flow Ratio CFM _FAN BHP Motor Eff. Drive Eff. Type Output DD-1 VAV 1 MECH-3 N/A N/A N/A DD-2 VAV 1 MECH-3 NIA N/A N/A DD-3 VAV 1 MECH-3 N/A NIA NIA CO-1 VAV 1 MECH-3 N/A N/A NIA CO-2 VAV 1 MECH-3 NIA N/A NIA CO-3 VAV 1 MECH-3 N/A N/A NIA EXHAUST FAN SUMMARY EXHAUST FAN EXHAUST FAN Room Name Qty. CFM BHP Motor Drive Eff. Eff. Room Name Qty. CFM BHP Motor Drive Eff. Eff. Nonresidential Compliance Form January 2001 MECHANICAL ..A VENTILATION PROJECTSymante _ 2 MECHANICAL © ] (; Minimum Ventilation Rate per Section §121, Table 1-F. E Based on Expected Number of Occupants or at least 50% of Chapter 10 1997 UBC occupant density. Must be greater than or equal to W, or use Transfer Air. Design outdoor air includes ventilation from supply air system & exhaust fans which at design conditions. Must be less than or equal to (H-1), and, for VAV, greater than or equal to (H -J). Nonresidential Compliance Form November 1998 AREA BASIS OCCUPANCY BASIS REQ'D O.A. (MAX OF D OR G) DESIGN OUTDOOR AIR CFM VAV MIN. CFM TRANSFER AIR CFM ZONE/ SYSTEM GOND. AREA (SF) CFM PER SF MIN. CFM (B x C) NO. OF PEOPLE CFM PER PERSON MIN. CFM (E x F) DD -1 325 0.15 49 4 15 60 60 60 DD -2 370 0.15 56 4 15 60 60 60 DD -3 400 0.15 60 4 15 60 60 60 CO -1 910 0.15 137 10 15 150 150 150 CO -2 910 0.15 137 10 15 150 150 150 CO -3 695 0.15 104 7 15 105 105 110 TOTALS (FOR MECH-4) 39 5585 (; Minimum Ventilation Rate per Section §121, Table 1-F. E Based on Expected Number of Occupants or at least 50% of Chapter 10 1997 UBC occupant density. Must be greater than or equal to W, or use Transfer Air. Design outdoor air includes ventilation from supply air system & exhaust fans which at design conditions. Must be less than or equal to (H-1), and, for VAV, greater than or equal to (H -J). Nonresidential Compliance Form November 1998 ciec, OO �aaa.. 0z 24 a XV< w r�0 air 0 X'm �+ w—ro FZQ �F❑ a�$ Oz z0 h a> d Q �z UO U Fa J CITY OF CUPEW11NO*"a BUILDING DIVISION PERMIT' CONTRACTOWINFORMATION: ra.. "`iCM0&00FSSTEVENS CREEK BLVD HOWARD WRIGHT CONSTRUCTIO PptMiv02100071 2o3oo 'SklM4,i TEC (SUITE 101) PIER 9, THE EMBARCADERO # 3p3-LIcATIPg9SYU9TY2002 'iONE(206)447-7672 SANT"IARY NO. CONTROL NO. ARCHITIiCHENGINEER: BUILDING PERMIT INFO RLDG ELECT PLUMB MECII 0 0 0 0 LICENSED CONTRACT'OR'S UISCLARN'ION hereby affirm that 1 am licensed under provisions of Chapter 9 (commenting TENANT I MPROV EIR RT cription Se71XX1) of Uivisinn 3 nl the Businc.s1J rrnressions ;(^c�nA nyy�[enaC in wimI ction in full c C and Cff / _Ing—I�—� U (� DateCnnlr�aclOr�l .J' �� fl 4 ^`^v'r"•® "(Ip��(� nuclllrecrs D':�,f Rn'noN I anJe;,uS my" plans shall M1c used a,` �hl'ic menrdx NOV /� �" 20 02 License Id Professional UW NFR-BUILDER DECLARATION 1 hereby affirm Inas 1 am exempt from the Contractor's License Law for the following reason,(Section 9031.5, Business and Professions Code: Any city or county C BUILDING $35000 which osin a parch to construct, alter, improve, demnlem. ext .,at, any rlroacho pro,, to ifsission r, alsorelluires the applicant for such perminn fileasigned statement 3Y*9la1F0dU9 AafD Valuation that he is licensed pursuant to the provisions of IM Contractor's License law (Chapter 9. (commencing with Section 71xxB of Division S of the Business and Professions Code) or tbut he isomm it therefrom and the basis for thc alleged exemption. Any violation of I UAPNN Occupancy Type Salon 7031.5 by any appiwam for a pelma subjects the applicant to a civil penalty of no, nom than ore hundred donars(SN0). 102 - PIERS " ❑ h a, owner of the propcny, or my employees with wages as their sole compensation, TJF13R 03 104 - REBAR Required Inspections will Jo me work, and the su temp, is not intended or offered for sale (Sec. 70,W. Business and Pnfessions Code: The Contractor's License Law does not apply to an owner of property who (wilds or impro es themon. and who deessuch work himself ur though his Own employees, provided that such improvement arc not Intended or offered forsale. If. 105 — ANCHOR BOLTS hoever. the building or improvement it mild within one year of completion. the owner" 106 - SEWER & WATER builder win nave Inc burden of paving that he did not build or improve for purpose of male.). 202 - UNDERFLOOR PLUMBING ❑Laxrofthe property, ancwhosivayenmmetingWith licensed convanorsem 203 - UNDERFLOOR MECHANICAL couuct the project (Sec. 7044. Business and Professions Coda:)The Contractor's Li- ns censelawdoesnolapplytoenownerofpropcnywhoWddnorimprovesdareun.and 204 - UNDERFLOOR FRAME who contracts for such projecu with a cmtracw(s) licensed pursuant to the Comrrenr'm' 205 - UNDERFLOOR INSULATION License Law. l l am exempt under Sec. ,B&P C for this reaznn 301 - ROUGH PLUMBING water Date 302 - TUB & OR SHOWER WORKER'S COMPENSATION DECLARATION 303 - ROUGH MECHANICAL I hereby alum under penalty of purjuy One of the following declarations: 304 - ROUGH ELECTRICAL [have and will maintain a Cenilicam of Consent no self-imum for Worker's Comber. 3O5 — FRAME satim , u provided fur by Section 37X1 of the tabor Code, for the performance of the work for which this Permit is issued. 3 06 - HOLDOWNS 1 have and will maintain Worker's Compensation Insurance, as required by Section 3 07 - INSULATION 3710 of NC La10r Code, for Ne performance of Ne work for which this permit is issued. CMy -wnpe1mfompcn/sari Insurance casnc Eand c7,Eey number are canier. P rNOMWOR{(�(16DUt1 ( 308 - °f 309 - SHEEXTERIOCKR EXTERIOR LATH CIiR'1'I ICATEOFEXEMPTION FROM WORKERS' COMPENSA'r10NINSURANCE 310 — INTERIOR LATH ("This scconn need our he completed if the permit ix for one hundred Jnllars (3110) 311 - SCRATCH COAT it, less.) 313 - ROOF NAIL Itrinity that in heperformanceorthe workfor Which this pen,ilirissued. Ishall nn 501 - FINAL ELECTRICAL ENERGY employ any personn any manner at as In became subject to the Workers Compensation Laws of cmllnmial Date 502 - FINAL PLUMBING ENERGY Applicant 503 - FINAL MECHANICAL ENERGY NOTICE TO APPLICANT. 1,after making this Cenilicam of Exemption. you should become subject to the Workers Compensation provisions of the labor Code. you must 504 - FINAL BUILDING ENERGY forthwith comply with such povlslnns or this permit shall be deemed revoked. 505 - FINAL ELECTRICAL CONSfRUCTIONLENDING AGENCY 506 - GAS TEST 1 hereby affirm thin there is a construction lending agency for the perlirzmanec of the work for which this permit is issued (Sec. 3097, Cls. C.) 507 - FINAL PLUMBING Lender's Name 508 - FINAL MECHANICAL tether's Address 1 ecWfy that I have read this application and slate that the above information it andand rude lawmrupon to Centel. lagmc to comply all ciyaml pland 50 9 - 5 FINAL GRADE ,n FINAL PLANNING building consetoco iiainolderws Upon the representatives Of hereby auty repnsenuinancesthis hereby above mentioned propertyfor inspection pumn (We) agree h, save, indemnify and keep harmless Inc City of Cupertino against 14 FIN PUBLIC WORKS liabilities,judgments.coss and expenses which may in any way rectum against said City in consequence of the granting of This permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT Issued by: al\✓/ Date OURCEREGUL " Re -roofs Type of Roof Signature of kppGmuon, v to I IAZARDOUSMATERIALSDISCLOSU RE Will the applicant or future building occupant store or handle hanarduus material defined by the Cupertino Municipal Code, Chapter 9.12, and the Health and Safety ode. Sotdon 255310), All roofs shall be inspected prior to any roofing material being installed. p Yes If a roof is installed without first obtaining an inspection, I agree to remove Will the applicam of future building Occupant use equipment of devices which ,.It hxsmdnu, aircamaninmr, as it i by the Bay Arca Air Quality Management all new materials for inspection. District! ❑Yes ON. 1 have read me hmoNuus materials requirements under Chapter 6,9.5 of the Califor- nia Health & Sandy Cat. Secthmx 25515, 25533 and 25534.1 understand that if the Wilding does not currently hale a tenant that i1 is my mspnsihiliy m any Ibe 'capon, of the regoi mcntrwh;cn n prima,:susecenfactiniente p cy Signature of Applicant Dale tS All roof coverings to be Class "B" or better OwnCn or aul gent aM