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12080116CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10990 N STELLING RD CONTRACTOR: ELK GROVE BUILDERS PERMIT NO: 12080116
INC
OWNER'S NAME: FRANCHISE REALTY INTERSTATE CORPORA 9918 KENT ST STE 1 DATE ISSUED: 02/08/2013
OWNER'S PHONE: 9259494000
ELK GROVE, CA 95624 PHONE NO: (916) 685-1100
❑ LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIAL
License Class.______ Lic. # ������
MC DONALD'S REBUILD EXISTING (3595 SQFT)WITII A
�N� _ 8 %�
761 SQFT ADDITION. COMMERCIAL TENANT
Contractor r%/ Date
IMPROVEMENT OF
I hereby affirm that I am licensed under the provisions of Chapter 9
STORAGE BASEMENT (1087 SQFT)
(commencing with Section 7000) of Division 3 of the Business & Professions
3/13/2013 - 2ND DEFERRED SUBMITTAL FOR TRELLIS SYSTEMS
Code and that my license is in full force and effect.
W/CALC'S ISSUED 5/8/2013
2/15/2013 -1ST DEFERRED SUBMITTAL, FOR TRUSS CA1LC'S-ISSD4/3012013
I hereby affirm under penalty of perjury one of the following two declarations:
1 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
Sq. Ft Floor Area: Valuation: $650000
performance of the work for which this permit is issued.
1 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
APN Number: 32609051.00 Occupancy Type:
permit is issued.
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. 1 agree to comply with all city and county ordinances and state laws relating
VVITHII+1 180 DAYS 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
180 DAYS F AST LED 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
granting of this permit. A ' ionally he a cant understands and will comply
Issu
with all non -point sou r t Cupertino Municipal Code, Section
9.18.
�^
RE -ROOFS:
Signature Date i? ' _-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)
1, 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
1. 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 compliancjwithithe ' 1 Code, Chapter 9.12and
I have and will maintain Worker's Compensation I surance, as provided for by
the Health & Safety Cod re25 4.
IC!ipnonic
Section 3700 of the Labor Code, for the performance of the work for which this
_
Owner or authorized age Date: 4' o
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
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, 1 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
1 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
CITY OF (CUP EIE TINO BUILDING PERMIT
BUILDING ADDRESS: 10990 N STELLING RD
CONTRACTOR. ELK GROVE BUILDERS
PERMIT NO: 12080116
INC
OWNER'S NAME: FRANCHISE REALTY INTERSTATE CORPORA
9918 KENT ST STE 1
DATE ISSUED: 02/08/2013
OWNER'S PHONE: 9259494000
ELK GROVE, CA 95624
PHONE NO: (916) 685-1100
In LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL IT CONIMERCIAL]
License Class /3 Lie. # e -/5-630c/
MC DONALD'S REBUILD lEXISTING (3595 SQ FT)WITH A
!_
761
A(0-3(
Contractor '4 (k 41&W -41&W-&,11 L-J&'2_S Date —
SQ FT AD DRTION. COMMERCIAL TENANT
I hereby affirm that I am licensed under the provisions of Chapter 9
IMPROVEMENT OF
(commencing with Section 7000) of Division 3 of the Business & Professions
STORAGE BASEMENT (1057 SQIFT)
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
2/15/2013 - IST DEFERRED SUBMITTAL FOR TRUSS CAILC'S-ISSID
I have and will maintain a certificate of consent to self -insure for Worker's
4/30/2013
Compensation, as provided for by Section 3700 of the Labor Code, for the
Sq. Ft Floor Area:
Valuation: $650000
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 this
APN Number: 32609051.00
Occupancy Type:
permit is issued. `
APPLICANT CERTIFICATION \`
I certify that I have read this application and state that the above infoation t
lED
]�llij[ j� EXPIRES j[jH'® IS NOT STARTED
correct I agree to comply with all city and county ordinance relatin
IIANN,IClf3 IN 8® DAYS OF PERMIT ISSUANCE OR
to building construction, and hereby authorize repre is city to t
upon the above mentioned properly for inspectior��� es. (We) agree 1�. v
])80 DA S �1 LAST CALLED �S� C'�I®N.
indemnify and keep harmless the City of Cupertino against liabilities, ju s,
costs, and expenses which may accrue against said City s e of the
granting of this permit. Additionally, the applicant r1J' ds and will comply
Issued by: Date: 3c1 1 ,
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18. .
RE -ROOFS:
Signature Y l DateL/
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, 1 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)
1, 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. 1 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, Sections 25505, 25533, and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
Owner or authorized agent: Date:
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
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
ION
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
CITY OF CUPERTINO BUILDING PERMIT �
BUILDING ADDRESS: 10990 N STELLING RD
OWNER'S NAME: FRANCHISE REALTY INTERSTATE CORPORA
OWNER'S PHONE: 9259494000
❑ LICENSED CONTRACTOR'S DEECLARATION
License.Class Lic. #
Contractor6U 61,0at 34)4_474% .te )0-31--;'0)+
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.
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.
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 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,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupe} 'no Municipal Code, Section
9.18. A A
C
CONTRACTOR: ELK GROVE BUILDERS PERMIT NO: 12080116
INC
9918 KENT ST STE I DATE ISSUED: 02/08/2013
ELK GROVE, CA 95624 PHONE NO: (916) 685-1100
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIALS
MC DONALD'S REBUILD EXISTING (3595 SQFT)WITH A
761
SQFT ADDITION. COMMERCIAL. TENANT
IMPROVEMENT OF
STORAGE BASEMENT (1087 SQFT)
Sq. Ft,Floor Area: H Valuation: $650000
APN Number: 32609051.00 R Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 00 DAYS OF PERMIT ISSUANCE OR
180 DAY M LAST CALLEDINSP TION.
Issued by: Dat 7 7'
RE -ROOFS:
Date02Z-f) - ZC2%,-7 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
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
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)
1, m owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three
declarations:
I have and wiII 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 this
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
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
forthwith comply with such provisions or this permit shall be deemed revoked.
APPLICANT CERTIFICATION
I certify that I have read thi's 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,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.I8.
Date
Signature of Applicant: Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. ff will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(a) should I store or handle hazardous
material. Additionally, should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
will maintain compliance with t e Cupertino Munic' al Code, Chapter 9.12.and
the Health & Safmf ode, ScpCt 6nsP0 W5P3 25534.
Owner or autg i"agti�4 ��G � Dater
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Ad
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed
0�,
CONSTRUCTM PERMIT APPLICATION
21 COMMUNITY DEVELOPMENT DEPARTMENT ^BUILDING DIVISION 1LD
10300 TORRE AVENUE ^ CUPERTINO, CA 95014-3255 [a
CtDPEEiTIWO (408) 777-3228 • FAX (408) 777-3333 ^ building(cD.cupertino.org �j Q, ( /�
❑ NEW CONSTRUCTION El ADDITION ❑ ALTERATION / TL © REVISION EFERRE ORIGINAL PERMIT 9Y V®4 1(�
PROJECTADDRESS 10990 N. Stelling Road, Cupertino, CA 95014
APNY. 326-09-051
OWNER NAME McDonald's USA LLC
PHONE (925) 949-4000
E-MAIL Efrain. corona@us.mcd.com
STREETADDRESS 2999 Oak Road, Suite 900
CITY, STATE, ZIP Walnut Creek, CA 94597 FAX (925) 476-0107
CONTACT NAME Stantec Architectural Inc. 1 Hala Ibrahim
PHONE (707) 774-8315
E-MAIL hala.ibrahim@stantec.com
STREET ADDRESS 1383 N. McDowell Blvd., Suite 250
CITY, STATE, ZIP Petaluma, 94945
FAX (707) 765-9908
,C+,�A
❑ OWNER 13OwNr.R-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR 11CONTRACTORAGENT LT ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME Elk Grove Builders Inc
LICENSENUMBER 456304
LICENSEI'YPE B
HUS. LIC4 34062
CONIPANY NAME Elk Grove Builders Inc.
F -MAIL kate@elkgrovebuilders.com
FAX (916) 785 1168
STREET ADDRESS 9918 Kent Street , Suite 1
CITY, STATE, zip Elk Grove, CA 95624
PHONE (916) 685 1100
ARCHIrECTIENGINF,ERNAM E Gary Semling
LICENSENt1MBER C.-21541
Bus.LICB 30639
COMPAN-YN.AME Stantec Architecture Inc. E-MAIL hala.ibrahim@stantec.com
r•AX (707) 765-9908
STREETADDRESS 1383 N. McDowell Blvd.., Suite 250 CITY,STATE,ZIP Petaluma, CA 94945
PHONE (707) 774-8315
DESCRIP'rtONOFWORK Trusses shop drawings and calculations.CUl:1C.�' P(-A/V S -
EXISTING USE
Restaurant
PROPOSED USEpS'rK.'rM,E
Restaurant
ti
# STORIES
2
USE TYPE
Dec.
SQ.ET.
VALUATION (5)
EXISTG
AREA 5,117 SF
NEW FLOOR
AREA
DEMO
AREA 0
TOTAL
NEFARFA 5,443 SF
Resturant VB
A2
4,356
BATHROOM
REMODEL AREA
KITCHEN
REMODEL AREA
OTHER
RFMOUEL AREA
Basement VB
S-2
1,087
PORCH AREA
N/A
DECK AREA
N/A
TOTAL DECK4'ORCH AREA
N/A
GARAGE AREA: DETACH
N/A ❑ ATTACH
X DIYELLING UNITS:
N/A
IS A SECOND UNIT ❑ YES
BEING ADDED? ❑ NO
SECOND STORY ❑YES
ADDITION? ❑ NO
PRE•APPUCATION ❑ YES 1F YES, PROVIDE COPY OF
PLANNING ADPL u []NO PLANNING APPROVAL I.lil-TER
RICHLER HOME? I& NO
ISTIIE BLDG AN ❑ YESW.agact
TOTAL VAIQ,j/70 :
t d/ '7
By my signature below, I certify to each of he following: 1 an the property owner or GuthInperTy owner's behali: I have read this
application and the information I have ro ed is c ect. I h e read the Description of nte. 1 agree to comply with all applicable local
ordinances and state laws relatin , o In cons ion. L u or' e m sentatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent Date: (Z 2 �3
SUPPLEMENTAL FORATIONREQUIRED
New SFD or Multifamily dwellIg : Apply for demolition permit for
existing building(s). Demolition pe t is required prior to issuance of building
permit for new building.
_ Commercial Bldgs: Provide a completed. Hazardous Materials Disclosure
form if any Hazardous Materials are being used as part of this project.
Copy of Planning Approval Letter or Meeting with Planning prior to
submittal of Building Permit application.
PLAN CHECK TYPE
ROUTING SLIP
El OYER -THE -COUNTER
❑ EXPRESS
STANDARD
❑ LARGE
❑ NIAJOR
11BUILDING PLAfi REt IENY
❑ PL .VNING PL.lN Rn'IEN'
❑ PCBI.IC eTORIs
❑ FLRE DEPT
❑ 54SITARY SF:R ER DISTRICT'
❑ EVYIRON.NIL%'rALHEALTH
SldgApp_20/ I.doc revised 06121111
¢,�
CONSTRUCTION PERMIT APPILBCATIOH
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildingc@cupertino.org
CUPEIRTINO
❑NEWCUNSTRLICIION ❑ ADDITION ❑AIJERATIONI Tl © REVISION, LFLRR'' ORIGINAL PERMITk
PRu3ECI ANIIII. 10990 N. Stelling Road, Cupertino, CA 95014
ANN = A- 9-051
0WNLR%A%IE McDonald's USA LLC
r[IUNE (925) 949-4000
I
E-N L Efrain. corona@us.mcd.com
STReE I ,\I)I,REss 2999 Oak Road, Suite 900
_
ctTv. ST,TE. zip Walnut Creek, CA 94597I FAX (925) 476-0107
Co-N. T3cr n 1%w Stantec Architectural Inc. / Hala Ibrahim PI[li\1 (707) 774-8315
E-nl,n hala,ibrahim@stantec.com
s,iRl:rl Nm)ra:ys 1383 N. McDowell Blvd., Suite 250
crr\'.STATE. z[P Petaluma, 94945
I111 (707) 765-9908
,CA
❑ oAttiHR ❑ Uu•v}11-HUILOLR ❑ OWNERAGCNdT ❑ co,., I-RAC'rOR ❑ MN I RACTr7R AC W1 i ARCHrruci ❑ UNCI TER ❑ DEVELOPER ❑ IENANT
CnNrRAC'rORSA10E Elk Grove Builders Inc
LICENSENUMBER 456304
1I0.1"SE, I NTE B
13t IS LIC- 34062
CUAIP.A\.S N A\1F Elk Grove Builders Inc.
E-":. I- kate@elkgrovebuilders.com
FAX (916) 785 1168
rRFETADDRESS 9918 Kent Street , Suite 1
CITY,STATE.zII' Elk Grove, CA 95624
PIIONE (916) 685 1100
ARCHnI'C'UrNGINEERNAME GarySemling
LICE✓S17\1UMBER C-21541
Hus.l-IC= 30639
COMPANY NAMt Stantec Architecture Inc.
E-.%Lvi. hala.ibrahim@stantec.com
I-Ax (707) 765-9908
sTRLFr:wDRI:SS 1383 N McDowell Blvd.., Suite 250 I
cn'•%cr.ArE.z[P Petaluma, CA 94945
PFIor.F. (707) 774-8315
DESCRIPITOA pF 11 OR
2x8 alum. terllis system shop drawings with structural calculations
EXIs I IFC, CSF
PROPOSED CSE
TYPE
`1B
=$'r 01(i E's
Restaurant
Restaurant
g,FV.
2
use nPE
occ.
s1in.
v:\LL:\no.Is1
I, NIS TG NL••.tl FLOOR
5,117 SF ARF\
ULMO
0
'FOrAL
\}rARFA 5,443 SF
Resturant VB
A2
4,356
AREA
�
:�.A
BAIill(ounl
UNI011H, AREA
KII(HEN vrlicK
RE\MDCL ARCA PENIGllELAREA
Basement VB
S-2
1,087
--- --
Pi!RCH ARE^. DECE<: RFA TOTAI, UF('K'PO [tC[1 1REA GAR IGE:\REA: [>[rACti
I
N/A N/A N/A N/A ❑ AIIACH
=Dll'FUJN6t\II): "----. IS,\SECo-Nli' llIA[]YL•J SEC'01U S"1'bHY ❑1"ES
NIA nEINGAD4FD? ❑�D :1UUITION7 ❑RC)
nT171.1I1AIl11TinN
PRE.IYPIJI'A111IN ❑YFs I'FYFS,,PROVIDECOVYOF51'll}.HIU\V `
1.PI
EnVAI IME!
±\NINU %ITI ❑NtPLAb:IV; APPC
By my Signawrc holow, I ecl7ity to each of the Folloevine: Ian the property owner e1- ant prize t to act on rha Ioperiy vner's beli;df. I haroe read this
application and the iofornlatina I have mo) ed is c ect. It, c read the Description of eA'ork and verity it is Accu are. I free to comply with all applicable local
ordinances and state laws relalinR o bu, I con: n' ion. I t u 10.1-1' e retyesenumves off-upcl1110 to enter the above- identified property fur ulspecuon purposes.
`;ienatureol'ApphcanU.4'el)l: Date:3_..--- `
SUPPLEMENTAL- ITFfRATION KEQl1fRED
Pt\rtE:r l; nvr'.
R01 TI\G SLIP
❑ l7 ER•illFfO[\:FR
a 8L1L01\I, PLC\RF:YIENaststing
NewSFDorMultifamilydwullhl)'IO['(ICllipll[IOnI)Cn1111 Dr
building(s). Demolition peyulrcd prior to issuance vl'building
ricriml for ne\, bw IL inL,
LJ F.\PRESti
PL t1\1\(, PL1\ RF\;LN
_ Commercial Bidgs: Pruv[de a C0111t)ICICLI HazardOLIS Materials Dlselusut"0
E.1 lrA\OARU
J M91- , NORKS
Corin lFall)' 1-111AIIILIUL[S Materials are being used ns 1-Jart ofthis pro(ecL.
[ LRf.}-�-�
}IRF DfFJ'
Copy of Planning Approval L-e[tcr or Meeting v%ith Planning priul-tn
- -
�
-- \I AJ(1R
U 5a\I1'4RY \h\SFR D15TR!( T
SLlbrnitLal Cif Ruil ing Pcrtllit application.
��., t\51811\?lE\I 11 II}. 1111-11
Bldg App 201 Ldoc rinsed 06,'! 11
11
COO �J �T6�UC OO � PEFdP AF''P CA OO N
COMMUNITY DEVELOPMENT DEPARTMENT e BUILDING DIVISION
10300 TORRE AVENUE o CUPERTINO, CA 95014-3255
(408) 777-3228 o FAX (408) 777-3333 o building@cuoertino.org
❑ NEW CONSTRUCTION ❑ ADDITION D AL-mRA7I0N / Ti ® REVISION / DEFERRED ORIGINAL PERMIT a 12080116
PROJMADDRESS 10990N. Stelling Road, Cupertino, CA 95014
' Ne 32MM52, 326-09-069
OWNER NAME Bay 18, LLC Eric Huang 6 Margaret YeUng
Oakmont Investments, LLC
/�(� E-MAIL
PHONE LL
l
STREET ADDRESS,
CITY, STATE. ZIP o
FAX t, 2-5-3 S-67-1
CONTACr NAME Stantec Architectural Inc. / Hala Ibrahim
PHONE (707) 774-8315
E-MAILhala.ibrahim@stantec.com
srRF.ar ADDREss 1383 N. McDowell Blvd., Suite 250
crrY.srATE, zip Petaluma, CCA 94945
FAX (707) 765-9908
OWNER CI OWNER -BUILDER 13 OWNER AGENT 13 CONTRACTOR ❑CONTRACTOR AGENT a ARCHITECT ❑ ENGINEER 11 DEVELOPER EI TENANT
CONTRACTORNAME Elk Grove Builders Inc 1JCI:NNSENUMBER 456304
LICENSETYPE B
HUS. LIC 0 34062
COMPANYNAME Elk Grove Builders Inc.
F-mAII. trate@elkgrovebuilders-com
FAX (916) 7851168
STREET ADDRESS 9918 Kent Street, Suite 1
crly,sTATE,ZIP Elk Grove, CA 95624
PRONE (916) 6851100
ARCEUTECr/ENGINEERNAME Gary Semling
LICENSENUMBER C-21541
Bus.uca 30639
coMPANY NAME Stantec Architecture Inc.
Erman, hala.ibrahim@stantec.00m
FAx (707) 765-9908
srREeT ADDRESS 1383 N. McDowell Blvd.., Suite 250
ctrY, STATE, zip Petaluma, CA 94945
PHONE (707) 774-8315
DFSCRIPTIONOFWORK Addition of ADA pedestrian walkway and landscape revisions deferred submittal
EXISTING USE
PROPOSED USE -
TEL TYPE
d STORIES
Restaurant
Restaurant
2
USE TYPE
00C. SQ.FT.
VALUATION ($)
EXISrG
AREA 5,443 SF
NEV FLOOR
AREA
DEMO
AREA 0
TOTAL
NETAREA
Resturant VB
AZ 4,356
OOM
REMMOODFFLAREA
KITCHEN
REMODEL AREA
OTHER
REMODEL AREA
Basement VB
S-2 1,087
PORCH AREA
DECK AREA TOTALDECKIPORCH AREA
GARAGEAREA: DETACH
N/A
NIA N/A
N/A ATTACH
d DWELLING UNn'S:
IS A SECOND UNIT OYES
SECOND STORY YES
N/A
BRING AD I QNO
ADDMON? 13NO
PRE-AFPUCATION [I YES IF YES, PROVIDE COPY OF IS THE BLDG AN YES TOTAL VALUATION:
PLANNING ADPL@ [!NO PLANNINGAPPROYALItTIER EICHIB.R HOFAItY RNO .<
By my signature below, I certify to each of the following: 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 is correct. I have read the Description of Work and verify it is accurate. I agree to comply withal] applicable local
ordinances and state laws relating to building construction. I authorize representatives ofCupeWno to enter the abovei¢erEled property for inspection purposes.
Signature of Applicant/Agent. Date: �/J (/ % l / 7,0 i
SUPPLEMENTAL INFORMATION REQUIRED
New ew SFA or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
permit for new building.
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
_
form if any Hazardous Materials are being used as part of this project
_ Copy of Planning Approval Letter or Meeting with Planning prior to
Y
ub
smittal of Building Permit application.
z T
x•
B1dg,4pp 201 Ldoc revised 06121111
ci'o f-o�' 1�-� -
CONSTRUCTION PERMIT APPLICATION
[a COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE a CUPERTINO, CA 95014-3255
CUPERTINO (408) 777-3228 • FAX (408) 777-3333 • buildinaifcuDertino.ora
7zc--.>R (-)ir�
❑ NEW CONSTRUCTION ® ADDITION ALTERATION i Ti ❑ REVISION I DEFERRED ORIGINAL PERMIT II
:j
PROTECT ADDRESS 10990 N. Stelling Road, Cupertino, CA 95014
Am & 326-09-051
OWNERNAME McDonald's USA LLC on eks-,— GLI
PHONE (925) 9494000
EwAtL Efrain.corona@us.med.com
sT=ADDRESS 2999 Oak Road, $ ate 900
4rry, STATE, ZIP Walnut Creek, CA 94597
PAx (925) 476-0107
OONTAcr NAME Stantec Architectural Inc. I Hala Ibrahim
PHONE (707) 774-8315 E-mA[LhWa.ibrahim@stanter.com
STREET ADOREss 1383 N. McDowell Blvd., Suite 250
cm. srATP mP ,Petaluma, CA 94945
FAX (707) 765.9908
❑ owmm ❑ owNffiAUnDFA ❑ owmw AGENT ❑ comACrOR ❑ oDNntAcTOR Aama Cy, AitwrmCr ❑ EwmNEER ❑ DBvnoPaR ❑ Tamm
0ONmcTOR NAME TBD
LICENSE NUMBER -T
LICENSE TYPE
BUS. LIC tl
COMPANY NAME
B.MAIL
FAX
STREET ADDRESS
CITY. STATE. 21P
PHONE
ARCKnIlCTEENGRIEERNAME Gary Semling
Licam NUMBER C-21541
m)S.ucs 30639
compAwYNma Stantec Architecture Inc.
E-MAIL ha la.ibrahim@stantec.com
PAR (707) 765-9908
srREETADDREss1383 N. McDowell Blvd.., Suite 250
crrv,srAmE zw Petaluma, CA 94945
P'Hom (707) 774-8315
DESCRIPTION OF WORK Demolish e)dsdng walls $ rebuild now walls + 761 sq. ft. addition. New kitchen, restrooms, sidewalks, landscape.
Relocation of (e) grease interceptor and gas meter.
EMTM U M
Restaurant
PROPOSED USETYPL'
Restaurant
s STORIES
2
USE rmr OCC.
SQ.FT.
VALUATION (S)
EXISTWARPp yA�HwA lb1 SF
DAREEAA 0
NNBrARFA 5,443 SF
Restaurant VB A2
BATHROOM
RC1rODELAREA
KITCWN
RPMGDH.a.4PA
OTHER
RFAtODII.ARFA
Basement VB S-2
1,08/7JJ
PGRCir ARPA
WANAN/A
DEMARP.A
I WrALV=fflORQI AREA OARAGEARM; DErl"
NIA ATrACII
. A
7/
#DWELIJNGUNrM
LSAsacoND1RUr ❑YES
svcoNDsmY ❑VES
NIA
RZINGADDI[D! []NO
AMWIOM []NO
PReaPPuraTloN ❑Yo IFYFS,P_ROVmECOPYOP
ISTMBLOGAN ❑Ys
y
TOTALVALUATION,
PLANNMAPPLY ❑NO PLAKMOAPPROVALLEITIM
®CIn.HR IIOMBP ®NO
.:.
By my signahue below, I certify to oath of the f Akrwin& i am the property owner or mAborized agdnt tD act on the puopaty owmes bdmlf. I have this
appy and the infommtion 1 have pro read dre DescriptionvifWork and verify it is noarate. I agee to comply with an applicable local
ordinances and slate laws relating to . I rgnesentatives of Cupertmo to enter the above pIoperty for inion proposes.
S4p3ture of Appfi=11Agent Date: It Z
SUPPU%ff N TAL ]INFORMATION REQUIRED
New SFD or Muhifamr dwellings: 1 for demolition it for
-1y J3s� APPY 1'�
existing bui ag(s). Demolition permit is required prior to issuance of building
k 4 y
C
permit for new building
I #
_ Commercial Bldgs: Provide s completed Hazardous Materials Disclosure
form if Hazardous Materials being 9ris
_ :
any are used as part of pmject
-
2
_ Copy of Planning Approval Letter or Meeting with Planning prior W
-
t y
submittal of Building Permit application:
WgApp Z011.docreviwd06121/11
CI'T'Y OF CUPERTINO
FEE EST'IMAT'OR — BUILDING DIVISION
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id'Cfi. r��`i"e.•�2f T7BC:: 1' r?n'b. 11'eriDlll{"E' ?
.. ie, I
.r
Ej ET_�_EJ
,, j. j<j'tC'r".i:. �.... 1P1:Sf"
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
Aictrirt_ otc L Thaca fooc ara hacod fn
nn tha nrolirninnry inrmatinn avaHahlo l
and nro nnly an ow mato_ Y .nntart tho Dont for midn'I 1Hf2
FEE ITEMS (Fee Resolution 11-053 E(f. 7/1/12)
ADDRESS: 10990 N STELLING RD DATE: 03/13/2013
REVIEWED BY: MELISSA
MISC ITEMS
APN: 326 09 051
EP#:
*VALUATION: Iso
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building
USE:
$0.00
PENTAMATION 1GENCOM
]PERMIT TYPE:
wORK
DEFERRED SUBMITTAL FOR TRUSS CALC'S
SCOPE
$0.00
'hw
id'Cfi. r��`i"e.•�2f T7BC:: 1' r?n'b. 11'eriDlll{"E' ?
.. ie, I
.r
Ej ET_�_EJ
,, j. j<j'tC'r".i:. �.... 1P1:Sf"
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
Aictrirt_ otc L Thaca fooc ara hacod fn
nn tha nrolirninnry inrmatinn avaHahlo l
and nro nnly an ow mato_ Y .nntart tho Dont for midn'I 1Hf2
FEE ITEMS (Fee Resolution 11-053 E(f. 7/1/12)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee: Hourly Only? 0 Yes Q No
$0.00
hours Plan Check, Hourly
$266.00 ISTPLNCx
Suppl. PC Fee: ) Reg. Q OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee -.0 Reg. C) OT
Q,Q hrs
$0.00
PME Unit Fee:
$0.00
PME Pen -nit Fee:
$0.00
0
E)
Work Without Pennit? Yes No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential E)
Building or Structure 0
Strong Motion Fee:
$0.00
Select an Administrative Item
Bldg Stds Commission Fee:
$0.00
-; SUBTOTALS:
$0.00
$266.00
TOTAL FEE:
$266.00
Revised. 01/01/2013
,f-IlTrVTRT AATrl r4Tr TThTr1Ubrrr TrT1\TAT
OCCUPANCY TYPE:
Y.11 ll il NJ/JL` %_ 0J il 1LRv il ill �1.Y
FEE ESTIMATOR — BUILDING ] DUVISIGN
IFLR AREA
s.4
ADDRESS: 10990 N. Stelling Road
DATE: 08/10/2012 REVIEWED BY: Sean
IBP (FEES
APN:
BP#:
II-B,III-B,IV,V-B
*VALUATION: 1$650,000
'PERMIT TYPE: Building Permit
PLAN CHECK TYP1E: Alteration /Addition/ Repair
PRIMARY
Commercial Building
IA2INSP
PENTAMATION
USE:
Suppl. Insp. Fee:Q Reg. C OT
PERMIT TYPE:1A2
WORK Rebuild existing McDonalds 3595 sq ft
with a 761 sq ft addition. Tenant Improvement of storage
SCOPE basement (1087 sq ft).
S-2 (Low -Hazard)
OCCUPANCY TYPE:
TYPE OF
CONSTR.
IFLR AREA
s.4
PC FEES
PC FEE ID
IBP (FEES
IBP FEE ID
A-2
II-B,III-B,IV,V-B
4,356
$5,852.89
IA2PLNCK
$6,332.05
IA2INSP
ilex, Iriip. Fee:
$15,905.05
Suppl. Insp. Fee:Q Reg. C OT
Q p
hrs
$0.00
S-2 (Low -Hazard)
II-B,IiI-B,IV,V-B
1,087
$7,358.00
IS2PLNCK
$9,573.00
IS2INSP
,1din inistra!I've f .'e:
0
E)
Work Without Permit? 0 Yes E) No
$0.00
TOTALS:
5,443
$13,210.89
Travel Docivnentution Fres:
1 $15,905.05
Strong_ Motion. Fee: IBSEISMICO
MECH, HOURLY 0 Yes 0 No
PLUMB, HOURLY :' 0 Yes Q No
ELEC, HOURLY Q Yes (D No
"fech. Mon (_.heck
Phw)b. Mari Cllec%
Plan Check
klecfr. Pearr�it 1'c>i>..'
Phlm!). Perrrrit Fee;
Elec. permit Fee:
other :Vech. IrisP,Ll
Otho- Plumb lnstr.
other Etec. Insp.
.l ieci:. Insp. Fee:
Plumb. Inch. Fee:
ilex, Iriip. Fee:
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 nreliminarv, information available and are only an estimate. Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11-053 L . 711111)
FEE
QTY/FEE
Iar1[ISC ITEMS
Plan Check Fee:
$13,210.89
Select a Misc Bldg/Structure
or Element of a Building
Suppl. PC Fee: 0 Reg. OT
Q.Q
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$15,905.05
Suppl. Insp. Fee:Q Reg. C OT
Q p
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
con,(ruction .Tits:
,1din inistra!I've f .'e:
0
E)
Work Without Permit? 0 Yes E) No
$0.00
Advanced PlMajq Fee: IPLLONGC
$1,415.18
Select a Non -Residential 0
Building or Structure 0
d
Travel Docivnentution Fres:
Strong_ Motion. Fee: IBSEISMICO
$136.50
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$26.00
SUBTOTALS:
30,693.62$0.00
TOTAL FEE:
$30,693.62
`� � -E 9 Revised: 07/01/2012
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
L U P E RT 11 N O Fax: 408-777-3333
CONTRACTOR / SUBCONTRACTOR LEST
JOB ADDRESS: �j?pFqN liqtei ✓
PERMIT # 1 ZOtt J I (�
OWNER'S NAME: 10 q G
BUSINESS LICENSE #
PHONE #
GENERAL CONTRACTOR: 1 Y— 4� -- j 1
BUSINESS LICENSE # i� L
ADDRESS: qqO N ' S hi e-
CITY/ZIPCODE: 1 KCl' JZC> Je,
*Our municipal code requires all businesses working in the city to have a City of Cupertino business 9aeense. �
NO BUILDING FINAL OR FINAL OCCUPANCY IINSPIECTIION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPIERTINO
BUSINESS LICENSE.
II am not using any subcontractors:
Signature
?lease check applicable subcontractors and complete the fo011®wing information:
Date
V
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
/v /A
V
Cement Finishing
/MP -i- GiZg67le_ 80aJST.G-rtaV
314 23(0
Electrical
10., M RN E 1 E'C r 1c-
34141
Excavation
r1 1 11
q d `4 b
k
Fencing
0
/V/A
Flooring / Carpeting
WA
M /'4
Linoleum / Wood
IV A
/V /ft
v'
Glass / Glazing
,✓
Heating
69&712ad
34 2-q&
v/
Insulation
To, -Xe AmftejG.;�
2-2-1
Landscaping
3y 22q
Lathing
3Y Z ZZ
Masonry
d
3`I06Z
Painting / Wallpaper
,
T111 71 X -
✓
Paving
&
a 2-55
✓
Plastering
Z Z-
Plumbing
g
34 Z 7-3
✓
Roofing
G�Y
342 -?-1
X
Septic Tank
/V /A
Sheet Metal
c�ec-fA
3 L7L ZZ 1
✓
Sheet Rock
&O&LL Nl
3 7— 2- 7—
Tile
VU11, '! t -e-
3-3q j
qw(ner / Contractor Sign
03 -?-7- ?,o13
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
OR CERTIFICATE OF COMPLETION
e
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
CUPERTINO I ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildino(d�cupertino.org
r0AAPI PTG A QFPAAATP APPI WATIOM F(W FACW RI ITT r)W('-
PRO1L'CI'ADDRISS 1Q,1610 �• AI�IiU '
I .
Alia szaq OSI
DATE 12'
OWNERNAME p/1 _6. Nma t U�p L�
_ 1
PHONE 01Mltit/ I 1-"\1AIL
V `
STRF.E'r ADDRESS /� /a /� /A D 4 gO� /'� Ly Qo
Ir�I`O
CITY• STATE, %IP e '! FAX
mlm47c�� r'A i1n]
CONTRAC'roR NAMEc•,r'l I"I�V
lS V aV �VI(��I �j#L
I'lIONE I l(a 05 l iz
V I:MAIL e Rwebvi
STRtiI:I'.4 DDRfSS I
i
C:I'r1'• S'fAT F. %I I' vlK ( le'W^A q�
FAX IIM
MAIL CERTIFICATE TO: (Please allow up to 10 business days for deliver :
CONTACTNANIE n ^� e PHONE �I�• • f ' L -Ka �c 19,It p KA `� ll� S'
STRUTADDRES• V r(� CIFV. STATI:.ZIP l• rA. Vv
�� S e1 Z glln �5' 1
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT SUBMIT ISSUE DATE. INSPECTOR SCOPE.
NUMBER DATE: DATE FINALLD _
l 20 2.6- 13 . 0. I SejA4. I d—.exi �1`AA G 0 S (3-90 5 cp 7 (o
e.s., a ih L" s e (toB�SF
3
OCCUPANCY DATA:
USE OCCUPANCY TYPE: FLOOR AREA OCCUPANT LOAD
1 tv s� d
I Dol 41
'- A
35To S
I
1 5
4
I4o
BUILDING DATA:
k STORIES
BELOW GRADE
q STORIES OVERALL
ABOVE GRADE FLOOR AREA
N1AX OCCUPANT
LOAD
FIRE SPRINKLERS
REQUIRED (VES OR NO)
FIRE SPRINKLERS
PROVIDED (YES OR NO
I
1 5
No
I4o
k PARKING
REQUIRED
a S' I'ANDARDICOMPACT
PARKING PROVIDED
# ACCESSIBLE
PARKING PROVIDED
NOTE: ArrACLI A COPY OF TME SIGNED
INSPECTION CARD TO THIS APPLICATION.
- OFFICE USE ONLY (To be completed by inspector of re ord) -
SPECIAL STIPULATIONS OR CONDITIONS:
CnJrJ App!rcaNan.duc re is u! 05,07112
0
F
CITE' OF CUPERTINO BUILDING PERMIT INSPI,;CTION CARL)
RU11-DING ADDRESS: 10990 N STELLING RD
CONTIR c:'ruu: Pl_K GROVE BUIL)ERS
INC
PERNII'TNO: 12090116
OWNER'S NAME: FRANCHISE REALTY INTERSTATE
CORPORA
9918 KENT ST STI. 1
DATE ISSLIBD: 02/08/2013
OWNER'S PFIONE:9259494000
ELK GROVE, CA 95624
I'IIONENO: (916)685-1100
INSt ECCIOPIS "" s n DAjE ',H 771
'SPEC."1' _
^—
B111LDING PERMIT INFO: BLDG � ELECT f PLUMB r NIECII r
RESIDENTIAL. f - CONINIERCIAL r
JOB DESCRIPTION: MC DONALD'S REBUILD EXISTING (3595
SQFT)WITH A 761
SQFT ADDITION. COMMERCIAL. TENANT IMPROVEMENT OF
STORAGE BASEMENT (1087 SC'FT)
FOuNnAI'IDN1pILRSM DR g Z )
UFERGftDUND-Z. 'J
PAD/SETBACK-CERT
(jARAGF_SLABS/ KEOUN1TE
POUR NO CONCRET&UNTTL;ABON+ HAS BEEN:'SICNED
UNDERGROUND/SLAB
UNnFRGkoumn PLUNWING
UNDERGROUND ELECTRICAL z ')3
DO'NOT POLIWFLOOR UNTIt>",ASOVEItAS•BEEN SIGNED
UNDERFLOOR PLUMBING
UNDERFLOOR MECHANICAL
WILDLAND URBAN INTERFACE FIRE AREA r ER4
TO ARR!iNGE INSPECTION
Call 777-3228 between 7:30 am and 3:,30 pm Monday through Friday, at least 24 hours
before required inspection. ,lob atsldress and Permit Numbers are needed when
requesting an inspection.
CUPERTINC� SANITARY DISTRICT
Closed circuit video inspection of property line clennout, point of connection
and street lateral required priFor to passing FINAL CITY PLUMBING
INSPECTION. Call the District (408-253-7071) for an appointment.
NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED
BUSINESS LI( ENSES ARE OBTAINED
1
PERMIT EXPIRES IF WORK IS NOTSTARTED WITHIN 180 DAYS OF PERMIT
ISSUANCE OR 180 DAPS FROM LAST CALLED INSPECTION.
IMPORTANT
When a permit has expired, a churge totaling one-half the fees to obtain a new permit
must be paid in order to reactivate the permit. If a permit has been expired for more
than one year, a charge totaling thst full fees to obtain a new permit must be paid
to reactivate the permit.
�}y
W a^b.l A Ce°'I��vy� ;Ot1IL�I
NOTES Y X14
�� L C'�c::l'C r�r.. t�.1 i, `:,' j-f-a�-� ;�:.�(��-:� �•••i���:':-�
SPECIAL INSPECTIONS Inspector: Date:
ROOF INSPECTIONS
PRE-INSPCCT•IOW Inspector �,- Date:
rFAR-OFF: Inspector Date:
PLYWOOD: Inspector:--__,_—.-- _ Date: _-------___-..
BATTENS: Inspector: _ Date' _
IN PROGRESS: Inspector __. Date:
- ---
•IN ALInspector: _ Date:_—
OTE: OSIIA APPROVED ACCESS TO ROOF SIIALL BE PROVIDED FOR INSPECTION.
0CCC.IP.4NCY OF BUILDING NO"T PERN4rI"rF.D UNTIL HI.IILDINC FINAL IS SfCIYED B1•
UNDLRFLOOR ELECTRICAL „_.,
i
UNDERFLOOR FRAMING VENTS
_
;UNDERFLOOR INSULATION
Yt:ACE`NOSIJBFC;OOWU\TfLABOVE;ItASBEEN.SIGNEU
ROOF SHEATHING
ROUGH PLUMBING Z(_
TUBS & SHOWER PAN
ROUGH MECHANICAL - _ !
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CO'6'FR NO:;\YORK;UNTPL ABON`EI 1S:BEEIV SIGNED-., --------• J
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,AS TEST/ME ER RELEASE �® 1
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GRADE- RKS kf
PIRL - CALL (403) 378-010- -
P1,ANNING (408) 777.3308
I 13 ( r�.5
SANITARY (409) 253-7011-
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CITY OF CUPERTINO BUILDING PERMIT INSPE(CTION CARD
BUILDING ADDRESS: 10990 N STELLING RD
CONTRACTOR: SUPERIOR
ELECTRICAL ADVERTISING
PERMIT NO: 13010090
OWNER'S NAME: FRANCHISE REALTY INTERSTATE
CORPORA
1700 W ANAHEIM ST
DATE Issum 03/28/2013
OWNER'S PHONE : 9254660681
ITWICRO r ;x fes " DATVt--h `a i;a 2)NSP
LONG BEACH, CA 90813 PtiONE NO: (800) 995-9099
BUILDING PER UT INFO: BLDG r L;LECI r PLUMB r NIECII r
RESIDENTIAL COMMERCL4L r
JOB DESCRIPTION: (MCDONALDS' INSTALL (N) MONUMENT SIGN
(1)
UILDING SIGN (1) , CANOPY, MENU BOARD, CLEARANCE
POLE, DIRECTIONAL SIGNS (4�) , PRESELL BOARD (1) ,
FOUNDATION/PIERSIH.DS.
LIFER GROUND
PADISETBACK-CERT
GARAGE SLABSMREGUNITE
POUR NOQ II'AABOV.E )3A3 BEEN SICNEDt* �s;
'... UNDERGROUND/SLAB
UNDFRGROUNDPLIMTING
UNDERGROUND ELECTRICAL
DO;NOT.'�P.'.OURiF1MR1UNTILIiABOYEll4SrB6FId,SIG1�D:;
UNDERFLOOR PLUMBING
UNDERFLOOR MECHANICAL
WILDLAND URBAN INTERFACE FIRE AREA r ERq
TO ARRAFIGE INSPECTION
Call 777-3228 between 7:30 am and 3:3() pm Monday through Friday, at least 24 hours
before required inspection. Job address and Permit Numbers are needed when
requesting an inspection.
Cl1PF.RTINO SANITAR!' DISTRICT
Closed circuit video inspection of property line cleanout, point of connection
and street lateral required prior; to passing FINAL CITY PLUMBING
INSPECTION. Call the District (408-253-7071) for an appointment.
'
NO BUILDING FINALS INSI,'ECTIONS UNTIL ALL REQUIRED
BUSINESS LICENSES ARE OBTAINED
a
PERMIT EXPIRES IF WORK IS NO7�STARTED WITHIN 180 DAYS OF PERMIT
ISSUANCE OR 180 DAYS FfIOM LAST CALLED INSPECTION,
;
1.
IMIcORTANT
When a permit has expired, a charge V�italing on - alf the fees to obtain a new permit
must be paid in order to reactivate thepermit. If a permit has been expired for more
than one year, a charge totaling the hill fees to obtain a new permit must be paid
to reactivate the permit.
NOTES:
SPECLIL INSPECTIONS Inspector:— Date:
ROOF INSPECTIONS
PRE-INSPECTION: Inspector: _,- Date.___
TEAR-OFF: Inspector. _ Date:
PLYWOOD Inspector. Dare
Inspector: Date- f _
IN PROGRESS. Inspector: Date
IN
FINAL: Inspector:... _____ Dale: _
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION.
• OCCUPANCY OF BUILDING NOT PF.RMrriED ITNTH- BUILDING FINAL IS SIGNED BY
INSPECTOR '
UNDERFLOOR ELECTRICAL
UNDERFLOOR FRAAtTNG VENTS
UNDERFLOOR INSULATION
PLACE N0TU"B Ri 6 FLAS OXEN SICNr.D';S'-i:':a,2
ROOF SHEATHING
ROUGHPLUMRNG
TABS & SHOWER PAN
ROUGH MECHANICAL
ROUGH ELECTRICAL'POOL BOND
FRAMJNGISTAIRS/F.. EGRESS
INS ULATIONNENTILATION
COVER NQjWORX-VN- -ABOVE BEEN SIGNEDI(0;� ,y ice¢ �
EXTERIOR SHEAR HOLD DOWN
INTERIOR SHEAWHOLD DOWN
SHEETROCKISHEETROCK SHEAR
EXTERIOR LATH WSCREED
INTERIOR LATH
NOT OR PLASTL'R(JN9WABOVEHASBBEIYSIGNEOI:
SCRATCH COAT
SEWF.R'WATER
T-BARRECKELECT ABOVE CEIL
FINALS":�J'�>;tt;.�,� �)i�.r,.rY+4mx'm'+� x„ +r-g t I y . �.z�. %•r •:i�'�i2'
ELECTRIC METER RELEASE
GAS TESTNETER RELEASE
GRADE-PUBLIC WORKS
FIRE -CALL (409) 3784010
PLANNING (408) 777-3308
SANITARY (408) 253.7071
ELECTTRICAL �— '431
MECtigIJICAL
Pt.f AtBMG
HAND(CAP
ENERGY
BUILDING
CrKTIFICAFt OF OCCUPANCY °