15020123-voidedCITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 19700 VALLCO PKWY
CONTRACTOR: METHOD
PERMIT NO: 15020123
CONSTRUCTION
OWNER'S NAME: CUPERTINO PROPERTY DEVELOPMENT I
P.O.BOX 2702
DATE ISSUED: 02/19/2015
OWNER'S PHONE: 4082670117
GILROY, CA 95020
PHONE NO: (408)842-0054
❑ LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑
COOPER VINO- OUTDOOR SEATING & 36" HIGH FENCE
License Class_ Lic. # �� 2
AT
(E) SPACE _
Contractor AA �� ��_ Date �-71-
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: $10000
I have and will maintain Worker's Compensation Insurance, as provided for by
APN Number: 31620108.19700
Occupancy Type:
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
PLICANT 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 18 F RMIT 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
ALLED INSPECTION.
180 DAYS17�r�
indemnify and keep harm the City of Cupertino against liabilities, judgments,
costs, and expenses whi ay accrue against said City in consequence of the
Issued by: Date: o!
granting of this permi ditio ally, the applicant understands and will comply
with all non -points rc regu tions per the Cupertino Municipal Code, Section
RE -ROOFS:
9.18.
r`
Signature A Date 'a 0'(S
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,
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 hould I store or handle hazardous
I have and will maintain a Certificate of Consent to self -insure for Worker's
material. Additionally, should I nt or devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants as defined by tAir Quality Management District I
performance of the work for which this permit is issued.
will maintain compliance with thMunicipal Code, Chapter 9.12 and
#BA
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
the Health & Safety Code, Secti533, and 25534.
Date:
Owner or authorized agent:
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
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
if
CUPERTINO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildino d-)cupertino.orq
�S;�
o
❑ NEW CONSTRUCTION ❑ ADDITION X ALTERATION / TI ❑ REVISION / DEFERRED OR]GINAL PERMIT #1
PROJECT ADDRESS /'7 00
r Y
VJ!Lao
APN # � / r —70 I.�
OWNER NAME /I
PHONE e
- E- 4AI ` L•�n
✓ ` ,
STREET ADDRESS
4&-{ 2
CITY, STATE
FAX
t974d)
%
u l
CONTACT NAME
i�l�• %�
PHONE
B a '
n5�
E-MAIL /
C %1C 1�l .0
STREET ADDRESS I
CITY STATE, ZIP
FAX
"
7
BUILDER ❑ OER/AGENT
OWNER ❑ OIAINER--BWI�'
❑ CONTRACTOR ❑ CONTRACTOR AGENT 1p_ RRcHr ECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTO ME
LICEN'SENUMBER
LICENSE TYPE
7
BUS. LIC#
,, c
COMPANY NAME A
E-MAIL
FAX
STREET ADDRESSW
CIW, STATE, ZIP
PHWF
ARCHITECT/ENGINEER NAME
LICENSE -'UMBER
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK
l•V `�^1JY/�
TT//
-v-Ac I tL-•
EXISTING USE PROPOSED USE CO STR TYPE
# STORIES
W fh Y
fh VV
�
/
!
USE
TYPE
OCC.
SQ.FT. VALUATION (S)
FLOOR
AREA
DEMO
AREA
TOTAL
NEi'AREA
AREANEW
AREA
WIA RRA
BATHROOM KITCHEN
OTHER
REMODEL AREA REMODEL AREA
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECKTORCH AREA
GARAGE AREA; CIDETACH
❑ ATTACH
# DWELLING UNTrS:
IS A SECOND UNIT ❑ YES
SECOND STORY ❑ YES
BEING ADDED? []NO
ADDITION? NO
PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑ YES
RECEIVED B� a
TOTAL VALUATION:
PLANNING APPL # ❑ NO PLANNING APPROVAL LETI77
EICHLER HOME? ❑ NO
By my signature below, I certify to each of the fo ing-
I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have provided ' orre
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 t c n.
I authorize representatives of Cupertino to enter the above -ientifiedropertyfor inspection purposes.
Signature ofApplicanUAgent:
Date: i9//5f
SUPPLEMENTAL IN RDA N REQUIRED
PAIi cicx,T �E
;--RotJTlrc sLIP _.
New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
x Tai<cout,TER
uIL n�G PLAN REviEw
permit for new building.
EaPRESS
AN GPLAN REVIEW
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
❑ siANDARD
<] PUBLICW�T2ICS:
form if any Hazardous Materials are being used as part of this project.
"
� � LARGE
FIRE DEPS' �` t
_Copy of Planning Approval Letter or Meeting with Planning prior to
C7 au aoR
❑` SANTTARY SE i ER DISTRICT
submittal of Building PP Permit application.
ENVIRONA3EIVT'AL HEALTFI
BldgApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
FE -0 FEE ESTIMATOR — BUILDING DIVISION
ig,
ADDRESS: 19700 vallco pkwy
DATE: 02/19/2015
REVIEWED BY: Mendez
Mer.,•h. Permit Fee:
APN:
BP#: ISO,-? O f a 3
"VALUATION: $10,000
xPERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building
USE:
I 7
PENTAMATION 1 GENCOM
PERMIT TYPE:
WORK
install sub panel in detached garage
SCOPE
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc.). These fees are based on the ureliminary information available and are only an estimate. Contact the Dept for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 Eff' 7/1!13)
Afech. Plan Check
Phemh. flan CheeG
h1ee..Plan Cheek
Mer.,•h. Permit Fee:
Plumb. Permit Fee:
Flec. Permit Fee:
Other Mech. lrtvt
?rhes Plumb Insp.
Ocher E lcc. InsiLi
I1"(t tnq), 1 'z'
i`iimh, hip, V""':
]JI'(' h1"), Fec
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc.). These fees are based on the ureliminary information available and are only an estimate. Contact the Dept for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 Eff' 7/1!13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee: Hourly Only? 0 Yes Q No
$0.00
0 hours
$143.00
Plan Check, Hourly
1STPLNCx
Suppl. PC Fee: Reg. Q OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee: Hourly Only? 0 Yes Q No
$0.00
Suppl. Insp. Fee -0 Reg. Q OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tax:
A,Iministrative Fee:
E)
Work Without Permit? Yes ID No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
i
1.pi / ,
Strong Motion Fee: IBSEISMICO
$2.80
3.0 hrs
$429.00
Inspections
ISTINSP Inspection, Hourly
Bldg* Stds Commission Fee: IBCBSC
$1.001
SUBTOTALS:
$3.80
$572.00
TOTAL FEE:
1 $575.80
Revised: 02/14/2015
Method
Construetion, Inc.
License #857112
February 19, 2015
City of Cupertino
To Whom It May Concern:
Mark Sylva of Coopervino has authorization to pull a permit for outside seating on behalf
of Method Construction, Inc.
If you have any questions feel free to call our office at the number below.
Thank You,
:1e Nik Method
Executive Secretary
nikole@method-construction.com
P.O. Box 2702 0 Gilroy, CA 95021 • Phone: (408) 842-0054 • Fax: (408) 848-0906