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HomeMy WebLinkAboutB-2016-1169CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1169 19429 STEVENS CREEK BLVD CUPERTINO, CA 95014 (316 20 115) (S B C C INC ) CAMPBELL, CA 95008 OWNER'S NAME: MAIN STREET CUPERTINO AGGREGATOR LLC DATE ISSUED: 01/13/2016 OWNER'S PHONE: PHONE NO: LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: Lic. # 330 q 'iY License.Class l.z Contractor (S B C C INC ) Date I- (3-- 6 X BLDG -ELECT -PLUMB MECH RESH)ENTiAT X COMMERCIAL T 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. JOB DESCRIPTION: Install footing and pedestral for Rotary Club Clock I hereby affirm under penalty of perjury one of the following two declarations: L 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. 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 Sq. Ft Floor Area: Valuation: $10000.00 this permit is issued. APPLICANT CERTIFICATION 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 APN Number: Occupancy Type: ordinances and state laws relating to building construction, and hereby 316 20 115 A-1 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, costs, and PERMIT EXPIRES IF WORK IS NOT STARTED expenses which may accrue against said City in consequence of the WITIIIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal 180 DAYS FR I LED INSPECTION. Code, Section Issued by: 1445 Signature Date 1_13_'/6 Date: OWNER-BUHJ)E.R DECLARATION RE -ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of the All roofs shall be suspected prior to any roofing material being installed. If a roof is following tivo reasons: installed without first obtaining an inspection, I agree to remove all now materials for t. I, as owner of the property, or my employees with wages as their sole inspection, compensation, will do the work, and the structure is not intended or offered for sale (Sce.7044, Business & Professions Code) Signature of Applicant: z. L as owner of the property, am exclusively contracting with licensed Date: contractors to construct the project (Sec,7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1..- 1have _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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the z. I have and will maintain Worker's Compensation Insurance, as provided for California Health & Safety Code, Sections 25505, 25533, and 25534. I will by Section 3700 of the Labor Code, for the performance of the work for which maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the this permit is issued. Health & Safety Code, Section 25532(a) should I store or handle hazardous a. I certify that in the performance of the work for which this permit is Issued, l material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any marmer so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and Worker's Compensation laws of California. If, atter making this certificate of the Health & Safety Code, SRdt-inris 25505, 25533, and 25534. exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall Owner or authorized agent: be deemed revoked. Date: 1-1-:5 APPLICANT CERTIFICATION �Y CONSTRIICTION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit is Issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant ARCHITECT'S DECLARATION understands and will comply with all non -point source regulations per the I understand my plans shall be used as public records. Cupertino Municipal Code, Section 9.18. Licensed Professional Signature Date CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinc(a cupertino.om ❑ NEW CONSTRUCTION ❑ADDITION ❑ ALTER ATION/TI ❑ REVISION/DEFERRED 15 -2A -I1611 ORIGINAL PERMIT N PROECTADDRESS'1/Ig1 �L�V neA ``ii LL.• "� `+LV ` APE ,.� ` bEMAIL OWNER NAME - �� —ISbO Cwu1,C..cc* S �gWgo.J- fir, rf `W- G`T CI Y, STATE, ZIP O e nqPm �[, C TACT NAM O O 0 E�A WIF F STREET ADDAE CITY, STATE, ZIP FAX OWNER ❑ OWNER -BIB USE ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME. �L% (I LICENSE NUMBER ?/Q�./�I J10 I 7 LICENSE TYPE jJ BUS. LICA ,J6 COMPANYNAME Ca E-MAIL eart FAX STREET ADDRESSI II C -",Z� PHONE s- ARCHITECT/ENGINEER NAME LICE NSENUMBER BUS. LIC A COMPANYNAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK - St EXISTING USE PROPOSED USE CONSTR, TYPE #STORIES USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODELAREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKTORCH AREA GARAGE AREA: DETACH ATTACH # DWELLING UNITS: ISA SECOND UNIT ❑YES SECONDSTORY ❑YES BEING ADDED? ONO ADDITION? [:IND PRE -APPLICATION El YES M YES, PROVIDE COPY OF PLANNING APPL# []NO PLANNING APPROVAL LETTER ISTHEBLDGAN El YES EICHLERIIOMIO ONO RECEIVED AbVALUATION: 000 By my signature below, I certify to each of the followingg: I am the property owner or authorized agent to act on the prope ner's behalf I have read this application and the information I hav rove led is -�6t. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relalin o buil ' c s cction. I authorize representatives of Cupertino to enter the aboye-ijentificd property for inspection purposes. SignatureofApplicant/Age : Date: 6 SUPPLEMENTAL INFORMATION REQUIRED PLAN cxxcx TYPE ROUTING SLIP ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ ExPREss ❑ PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure El STANDARD El PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. ❑ MAJOR ❑ SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School Dlearirt. eno ). Thece Fae_c are laased on the nreliminary information available and are onlv an estimate. Contact the Dent for addu'l info. FEE ITEMS (l=ee Resolution ILO -53 Eff. 711113) 1ADDRESS: 19429 DATE: 01/08/2016 REVIEWED BY: Phuong if ^Y Arte i Foe: APN; BP#: "VALUATION: $10,000 *PERMIT TYPE: Building Permit PLANCHECKTYPE: Tenant Improvement PRIMARY USE: Commercial Building Alec", liixf, I ee, PENTAMATION PERMIT TYPE: 1GENCOMd WORK Install N Site Clock in front of Marriott Hotel SCOPE 1 0,0 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School Dlearirt. eno ). Thece Fae_c are laased on the nreliminary information available and are onlv an estimate. Contact the Dent for addu'l info. FEE ITEMS (l=ee Resolution ILO -53 Eff. 711113) lweeh. Tlcra f reek .'btrrtf> Plan che'c6. 1-lec. 1'f In Check if ^Y Arte i Foe: Ph,wh Perrreil sec, a_ Ye rxia i, ac C)t?.zT .�'/Pi jr, %i]_S,n, i)t?Fa:' l'itUtfiJ /2SI2 t)171P➢ i/zC. J,.'sp_ $0.00 1'hwa)I. klspL PeE Alec", liixf, I ee, NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School Dlearirt. eno ). Thece Fae_c are laased on the nreliminary information available and are onlv an estimate. Contact the Dent for addu'l info. FEE ITEMS (l=ee Resolution ILO -53 Eff. 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? C) Yes (E) No $0.00 = hours Plan Check, Hourly $286.00 1S7PLNCB Suppl. PC Fee: 0 Reg. 0 OT 1 0.0 1 Ins $0.00 PME Plan Cheek: $0.00 Permit Fee: Hourly Only? 0 Yes Q No $0.00 Suppl. Insp. Fee:Q Reg. Q OT 1 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0"ttsirm"FitM 74v: .r (h)7,,hliwralwc Work Without Permit? C) Yes (E) No $0.00 Advanced Planning Fee: $0.00 hours Inspections $286.00 ls'IrosP inspection, Hourly 0 lr aetl'3ocutnatrra tion s: Shona Motionlpe; IBSEISMIC0 $2.80 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS; $3.80 $572.00 = TOTAL FE'E; $575.80 Revised: 01/01/2016 .=DCI enGinize n5 Seattle Portland Spokane San Diego 0) Austin Irvine San Francisco Anchorage Structural Calculations An Main Street Cupertino Clock Footing 3 CUPERrIIV0 Cupertino, CA HUlldlrlp t)t9pertment REVIEWED FOR CODE COIVIPLIANC Reviewedey; �a 6C1 Job Number 15081-0143 November 6, 201 §�t; rl t r .r' , ;'OPMENT DEPARTMENT ISION - ODPERTINO APPROVED yet f pr1 ''Sal i ;pec h;;afions M w 5 s e r4r UST be kept at the ,r or nor cions Itis uma'. -orlo make any on sar tib, 6j4� of om, ,tiir approval from n, to deviate tamprn9 s plan an Building Official. d perm 01S SHALL NOT an "s •- anv of the violation 3D Ib State Law. Prepared for: Sand Hill Construction Management 2882 Sand Hill Road, Ste. 241 Menlo Park, CA 94025 One Post Street, Suite 1050 pSan Francisca CA 94104 (415) 781-1505 1S e r v i c e inn o vat I o n V a l u e 5/8" 0 ANCHOR BOLTS (Fy = 36 ksl MIN) 44 RECTANGULAR r� HOOPS @ 8" OC ! -- CLOCK ASSEMBLY & CONN TO FTG BY OTHERS T/FTG " - t „--_--_� =—F?3/4" CHAMFER PER ARCH o M ! ! (1) 94 AT EA CORNER OF PLINTH i! #4 CIRCULAR HOOPS 0 4"OC _z SECTION A ALONG ANCHOR DEPTH " m #4 SPIRAL TIES ® 4" PITCH MAY BE USED IN LIEU OF HOOPS N SIDEWALK TISIDEWALK BY OTHERS AS OCCURS ................... ................-.....I (6) #5 VERT -IIII II. #4 CIRCULAR HOOPS 0 12"OC, TYP #4 SPIRAL TIES ® 12" PITCH SECTION B MAY BE USED IN LIEU OF HOOPS z � CONC FTG SECTION A HOOPS SHALL < HAVE 28' LAP VERT REINF q�f� %^•(j M SECTION B CONIC FTG Sketch # SCALE: N.T.S. SSK-001 Project Name: Project #: By: Date: Main Street Cupertino - Rotary Clock Footing 15081-0143 JWB 11/06/15 Field Sketch: a- n G nn n e R5 CONCRETE PILE FOOTING One Post Street, Suite 1060 1 San Francisco, CA 194104 AND PLINTH (415) 781-1505 DOProject No. Sheet No. Eft s FEE RS Project Date CU��,ho,o �'h�„a r;4ff•,:+ � (���� f-tr_�., II/6//5 Subject BY ,�' �,,, r, .,�i t F � d .. - � efly C f C !, � 3.� J m f,✓ c �� � CJ.LInp Sr•>5 t✓f � lb o,SZW 2o�il, i.0 (r...— erv�.lse_l At, . rF, 3R11ti So�4��li f. -llv.r„L.le �ec.rn< Prry„r-e.; .f k �oofa5f Pw 55:.A, prlr-54 .,mac (�-0f 9t ri rrla ft�.!'� ___ a r APEr ied,-.; e„� - �•�R�f�j+ �N,36{-��ri )�2� 4— 1 f nl, .+ || 2 j ZO 2 / % \ /| gig §� ■� [& z F $ L - ƒ^ \\ \ ! § ( 2 Z \ e ° ) - § ) :_Z) - - ) ___mom_ E%\!:! ! • :�:::5 Ln D ---------�------- - - �--- ,-l�--���- . �_:-_. _ - - - IJ 27§§k » §: - 2f \ \ }k2 10 _ @ \\\ \ \ \\\ �� \° \ \ SMALI. 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[0.56 M] REAR ILLUMINATION FACE WITH "SPADE" HANDS. ALUMINUM POST WEATHER PROOF FINISH COLORS OPTIONS AVAILABLE "ACCESS PANEL" - REMOVABLE TWO SIDE FOR ACCESS FOR MOUNTING POST (BY GEN. CONT'R.) AND-ELEC "HOOK -UP" - (BY ELEC. CONT'R.). *ALL PANELS HAVE TAMPER -PROOF SCREWS AS REQ'D W/ TOOL BY VERDIN. VERDIN DESIGN GROUP THE VERDIN COMPANY CORPORATE HEADQUARTERS 444 READING ROAD CINCINNATI, OHIO 46202 1-800-543-0488 sales@verdin.cam W .verdin.cam THIS DESIGN CONCEPT IS THE EXCLUSIVE PROPEM OF V m A O m 'A➢y0 r p O y D m m p 0 u o➢ in Z in ry 4:� A y ocom A W - c_Z W \D0�A� mocp NKGm� jyW m ommW{O* .7 {oo "Om {z m�0` j oy{mmm➢ mno 0mz,O mm*z m m r�mmomn fD ? m A 2 Ia- ~~ Z Q O m Z D m Z O m F O fml VCy A00 0� W O O O m Om 0O'k O W m X00 A Z m C Z III 3~ Or ti m O W ro u O�� m O Z O ti D➢ V _ VlA r -O O mm ul p�DOWx .'A mm N�=.'A UI .'Ami x -'A v ZTIA A nmm -I 3 C UI p >xmmoo Z_cnm { y D �U1Z00� A AA2LZl i o mm Cp mvl bm'v� �a v Z o m p A TIOcn2p y ap m n m A -, m �rA➢ZA v .. 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