The URL can be used to link to this page

15030099CITY OF CUP ERTINO BUILDING NG P ERMIIT BUILDING ADDRESS: 20300 STEVENS CREEK BLVD CONTRACTOR: DEVCON PERMIT NO: 15030099 CONSTRUCTION INC OWNER'S NAME: SVF CUPERTINO CITY CENTER CORP 690 GIBRALTAR DR DATE ISSUED: 03/16/2015 OWNER'S PHONE: 4087384444 MILPITAS, CA 95035 PHONE NO: (408)942-8200 Cl LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDEN'T'IAL E] COIV MERCIAL E] APPLE; 2ND FLOOR (EAST WING COMM. T.1 532 SQ FT TO License Class_ Lic. # 371/43 INCLUDE MODIFICATION OF (]E) SPACE, SELECTVIE &—V" CEILING DEMO ADDEDWALL,DOORS & CEILING W/ Contractor /I _ "/7J / Date 19,S 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 ompensation, as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $58500 performance of the work for which this permit is issued. 1 have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this APN Number: 36901019.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 certify that I have read this application and state that the above information is PIERMRT EXPIRES IF WORK RS NOT STARTED EIlD correct. I agree to comply with all city and county ordinances and state laws relating �I(�)L)� ll�0 DAYS OF I�IE][8IyI11�' 1«��JAIY�IE ®I[$ 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 IF ASS' CALLED 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 Date: / !S granting of this permit. Additionally, the applicant understands and will comply Issued by: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. / RE -ROOFS: Signature Date .31� 1J 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 BET'T'ER 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. T 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 T 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 Section 3700 the Labor Code, for the of the work for which this the Health & Safety Code, Sections 25505, 25533, and 25534. of performance 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 ARCHITECT'S DECLARA'T'ION 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 CUPERTINO CONSTRUCTION PERMIT APPLICATION ck COMMUNITY DEVELOPMENT DEPARTMENT e BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 " (408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.org 1� ❑ NEW CONSTRUCTION ❑ ADDITION ® ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS 20300 Stevens Creek Blvd APN# 369-01-019 OWNERNAME Apple Inc PHONE 408-738-4444 E-MAIL STREET ADDRESS 1 Infinite Loop CITY, STATE, ZIP Cupertino CA 95032 FAX CONTACT NAME Terry Fullerton PHONE 408-519-8383 E-MAIL tfullerton@devcon-const.com STREET ADDRESS 690 Gibraltar Drive CITY, STATE, ZIP Milpitas, CA, 95035 FAX408-946-5513 1 ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT lal CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME DEVCON Construction LICENSE NUMBE ,399163 F77� BUS. LIC # COMPANY NAMEDEVCON Construction E-MAIL tfullerton@devcon-const.com FAX408-946-7713 STREET ADDRESS 690 Gibraltar Drive CITY, STATE, ZIP Milpitas, CA 95035 PHONE 408-519-8372 ARCHITECT/ENGINEER NAME Brent Downing LICENSE NUMBER C-32444 BUS. LIC# COMPANY NAME DEVCON Construction E-MAIL bdowning@devcon-const.com FAX 408-942-7713 STREET ADDRESS 690 Gibraltar Drive CITY, STATE, ZIP Milpitas, CA, 95035 PHONE408-942-8200 DESCRIPTION OF WORK Modification to an existing space, Selective ceiling demo added walls, door & ceilings with associated Electrical and Mechanical. EXISTING USE PROPOSED USE CONST,. TYPE #STORIES B B IIA 4 USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG AREA NEW FLOOR AREA DEMO AREA TOTAL NET AREA Lab B 532 58,500,00 BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECKT--1-N1G` TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ ATTACH # DWELLING UNITS:A COND UNIT ❑ YES SECOND STORY []YES ADDED? []NO ADDITION? []NO PRE -APPLICATION OYES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED B TOTAL VALUATION: PLANNING APPL # []NO PLANNING APPROVAL LETTER EICHLER HOME? []NO 5W r�� - By my signature below, I certify to each of the following: I am the property owner or authorized agent to ac properly 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 with all applicable local ordinances and state laws relating to b ing construction I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. 3/16/15 Signature of Applicant/Agent:— Date: SUPPLEMENTAL INFORMATION REQUIRED PL CHECK TYPE R%TING SLIP n 2 - New SFD or Multifamily dwellings: Apply for demolition permit forOVER-THE _ existing building(s). Demolition permit is required prior to issuance of buildinv COUNTER ILDING PLAN REVIEW permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW N Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 1:1STANDARD 1:1PUBLIC WORKS fo_rm if any Hazardous Materials are being used as part of this project. 13 ❑ LARGE F PT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. r ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21111 FM-7, CITY OF �CUPEI�'�M FEE ESTIMATOR - BUILDING DIWSION OCCUPANCY TYPE: ADDRESS: 20300 scb DATE: 03/96/2096 REVIEWED BY: Mendez PC FEES APN: RP#: *VALUATION: $58,500 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY USE: Commercial Building $2,112.78 PENTAMATION PERMIIT TYPE: 1 B TI woRK a leL 1st floor• comm. t.i 532 sq ft to include modification of e space, selective ceiling demo added SCOPE wall, doors & ceiling w/ associated e,m OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE IIID ISP FETES ISP FEE ED B (Tenant Improvements) II-B.111-B,IV,V-B 532 $2,112.78 IBTIPLNCK $793.08 IBTIINSP $793.08 Suppl. Insp. Fee -.0 Reg. OT Q Q hrs $0.00 PME Unit Fee: PME Permit Fee: $0.00 $0.00 Construction Tax: Administrative Fee: 0 Select a Non -Residential Building or Structure d Work Without Permit? C) Yes (D No Advanced Planning Fee: $0.00 $0.00 Travel Documeniaiion Fees: Strong Motion Fee: IBSEISMICO $16.38 TOTALS: 532 $2,112.78 SUBTOTALS: $713.08 $0.00 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc). These fees are based on the Dreliminary information available and are only an estimate. Contact the Deat for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff. 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,112.78 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: E) Reg. ® OT 10.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $793.08 Suppl. Insp. Fee -.0 Reg. OT Q Q hrs $0.00 PME Unit Fee: PME Permit Fee: $0.00 $0.00 Construction Tax: Administrative Fee: 0 Select a Non -Residential Building or Structure d Work Without Permit? C) Yes (D No Advanced Planning Fee: $0.00 $0.00 Travel Documeniaiion Fees: Strong Motion Fee: IBSEISMICO $16.38 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $3.00 SUBTOTALS: $2,925.24 $0.00 TOTAL FEE: [�$2,925.2,41 Revised: 02/14/2015 CMPERTONO CONTRACTOR / SUBCONTRACTOR LEST Building Depan-tment City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: 2,0-30c) � PERMIT # D ,x'03®® 9 OWNER'S NAME: AW je, PHONE # `j(M 'V9 8 ?-CO GENERAL CONTRACTOR: Vewwyl BUSINESS LICENSE # ADDRESS: ®rte. CITY/ZIPCODE: *Our municipal code requires all businesses working In the city to have a City of Cauperfino business 01cense. NO BUILDING FINAL OR FINAL OCCU?ANCY INS? ECTI<ON(S) WILL BE SCHEDULED >(JI`1'1<'>IL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A C><')('lY OF CU? EIRTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable sulbcontiractoirs and complete the following nnffairmation: V SUBCONTRACTOR ]($UMNIESS NAME Il USRN]ESS LRCIENSIE # Cabinets & Millwork Cement Finishing Electrical ed vjmd Efe'e- 4�5'0� Excavation Fencing Flooring/ Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper ® PO4 Paving Plastering Plumbing Roofing Septic Tank Sheet Metal n `4-ed�1i� , v/ Sheet Rock VIU M Z) Tile Owner / ?/rz bs Date CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: 2-OSoo 5 S PERMIT # j 5'6,30 O `) OWNER'S NAME: )p, PHONE # '/08 IYZ 8 240 GENERAL CONTRACTOR: BUSINESS LICENSE # ADDRESS:,Oej p Co1®✓vim CITY/ZIPCODE: Wjl50-55 *Our municipal code requires all businesses working in the city to have a City of Cuperfino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: Owner / tractor Signature 3 //- 7 b -5, - Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing V Electrical ,e Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper �, 0 Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock aA V1 0 m RTM W Tile Owner / tractor Signature 3 //- 7 b -5, - Date