04110099. ...
CITY OF CUPERTINO _i�w,tim'�a{ryM'�'�'`'.�s,}k
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. . , BUILDING DIVISION PERMIT
A7,�1[t� ��1\:F Al1.Yll'g.��
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BUILDING ADDRESS: c^ �a�s v
- -'
PERMITNb 4110 0 9 9
20400`
OWNER'S NAME:
PERMITI35UEDATE -
CUPERTINO CITY CENTER ASSO
IAT
E;_
SANITARY NO. CONTROL NO. -
ARCHITECDENGINEER:
BUILDING PERMIT INFO
j LICENS R'S DECLARATION
I hereby affimblhei I am Iimnmd un r ro ons of Chapter 9 (commencing
,.. .. :. - - -- - Job Description
wIN Sa n7 )u(Division Sof thC Buaine a fnahm, Code,endanyfcen.i.
•- -
in fall d.rr 1CI�
i ��i� /'`r
TI-PROJECTOR
LicenugJ2e 4c:,;�
p Data /
CONTRACTOR: ULTIMATE CONT OLr' INC..ARCHIT
Ns
shallgO c.no
/2/-
Lic fired Pmfeasion
GR-BUILDER DECLARATION
p Lhcmh ffi t 1 am exempsfmm Ne Contncmr'i License Lew for the
i follow, action 7117 L5, Business and Pmfexamas Code: Any city Or county
which mquires a Permit to concuralter. improve, demolish, or repair any structure,-
—'
prior to its issuance, ales requires Ncapplicanl for such permit o file a signed nammenl
e that he is licensed pursuant m
n the provisioaf Ne Contrachns License lsw(Chaplar9
.____..
- Sq. Pt_ Floor Area -_,- _
_ „_�.__.:,Valua$(gJ0,0_
3 (commencing with Section 7")of Division 3 of the Businessand PmfessionsCMc)or
Nal best exempt therefrom and the basis for the alleged exemption. Any violation of
_ ..
_. .. _ .
APN Number
Occupancy e
p y Typ
section 7031.5 by any applicant far- a permit subjects the applicant to a civil penally of
not mom than five hundred don® ($500).
. 3 690 10 2 8 . 0 0
. Q 1,as.,of the property, Or my employes with wages as their sole compensation,
_
.- Required Inspections `-
will do lheworkand Nesllllctae is net inkndCd or Offered formic(Sec.7044, Business
and Professions Code: The Comrac(or's Liceve Law does not apply N an Owner Of
-, -. —..- - ". •:.'L. .. .,., ....�
properly who builds orimproves damson. and whodomwchwork himselfor through his
_
Own employees, provided that such improvements arsenal intended oroRered forma, If.
-however. the building or improvement is Old within one year of completion, the mxxr
_ __-`—
builder will have the human of proving that he did act build or improve for purpose of
.in .I.
'
❑ 1, as Owner of the property, am exclusively contracting with licertsed conlracmn to
construct the pmjca (Sec. 7W, Business and Professions Code:) The Contractors U.
came Law Law docs not apply to an owner of property who builds or improves theme, and
who contracts for such projects with a cannachar(a) licensed pursuant w the Contractors.-
License law.
❑ I am exempt under Sec. . B & P C for this moron
Owner Data
WORKER'S COMPENSATION DECLARATION
1 hereby ¢Ilton under pclulty of perjury ore a(Ne @flowing dalam0ons:
❑ I have and will maintain a Certificate of Consent to self-inaum for WorkersCOmper-
snion, m provided for by Section 3710 of the Inbar Code, for Ne performance of the
work for which this permit is Weed. -'
"
❑ 1 have and will maintain Worker's Compensation Insurance, a required by section
of Labor Coda, for the peRormance of the work for which this Parent is Wheel.
�r Co ruetlon/nsurnmecarrierandPolicynumberam-
Pwi,
Fe , a Ponry�a
CERTIFICATE OFE EMPf10N
MWORKERS',
' COMPENSATION INSU$ANCE -
(This acedon need not W completed if the Permit Is far one hundred dollars; ($ 100)
finless.)
,
I certify Not in to Performance of the work for which this permit is issued, I shall not
-
employanypersoninanymannerao as to become subjecuo the Workers'Compemation
- ..
Laws of California. Data
Applicant
NOTICE TO APPLICANT: IL after making this Cer iOmm of Exemption, you should
became subject M the Worker's Compensation provisions of the labor Code, you must
• forthwith comply with such provisions or this Permit shall be deemed mvnkm.
LENDING AGENCY
I hereby 1.CONSTRUCTION
n tending agency Por NC Pcrformpncc of
Nu Nen i!woo
than
the work fur which this permit is issued (Sec. 7097, Civ. C.)
' (Seen
lender's Nam.
Lenders Add.
1 certify that I have reed this Application and sine that abate information is
rift't
toilets l agree m core with all city and county ordinances and aclatinn
antl slam laws elating
building
Of e
licensors propend hem thorimrnamI. u6ws of this cirymenmr upon the
property ny rindca if An keep ha.
ehovc- e)) mAdagree
sju agree to on. As ad CA and keep hmmn an the City of Cupertino against
j lie idea encea fits naandea MAY in any way ecrncageimt mid City
/
ewhich
n ICAN eco c ranting of isD WILL
I P (CANT N RSTAN AND WILL COMPLY WITH ALL NON-POINT
Issued by: Date
RC U ON /_/
Ylr
Re-roofs
Type of Roof _
A. na& fAillukunficommeour I Dela
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or future building Occupant tore or handle h madous material
as defined by the Cupertino Municipal Code, Chapter 9.12. and the Health and Safety
code, sown zss3uan- —
-u
All roofs shall be inspected prior to any roofing material being installed.-
Ycsl
If a roof is installed without first obtaining an inspection, I agree to remove
Will Nc applicant or fuwm building occupant cyuipmenl Or devices which
it haeardnua air Car I... m de Cd by ties Bay ma Air Quality Managcmem
all new materials for inspection.
Di h c(7
❑ Yes
I have mad Ne ousmneroismqui ants under Chapter 6.95 or the Califon
cutNGSefesy bd tiaes25505.255 and 25534.1 undcrmand thnifNc Wilding
a
Joel not torte Ona Nat it is yr nsihlli(y w nosily ties axupan( of or
m mctprior to caracenrwam Lp.ape�.�
i Signature of Applicant Dale
All roof coverings to be Class "B" or better -' - '
r arau(hornnd agent Date
NO %, "a'f„
BUILDING DIVISION. - DL`D-` m(�'L11VTR Af-'Y'f1T2.TNF�121V)i1T.,`
l�;�ilbl?M�I.ldli
ITECT/ENGINEER:
LICENSED CONTRA SDECL
I lonlry afnrns that I am licensed a yorowit
mimf7r)(k)nf 104on 3 of NC Rosin and Profe
I INC
408)281-0250 I
4110099
PERMIT ISSUE DATE
Job Description
TI -PROJECTOR
CONTRACTOR:'ULTIMATE CONTROL'; INC." -
5 OWNER-BUILDERDECLARATION
F rthy affirm Nat I am exempt form the Com aaoYs License Law for the
O O folln ng maser. (Section 7(n).5, Business and Professions Code: Any city or county
$ which requires
a permit to e m erect, allot. ImProse, dcmnlish, or minor any ..duns
'mgr^ pnorm its issuance. abu tugmir.Neapplicaot for such Permit to file a aigm
nedlometn
< Nat he is licensed innermost to the p roeboum of the Contractor's Ciccone Law (Chapter 9
MF O (commencing witit Section 7000) of Division 3 of the Bminessand ProRuinon Codd) or
rt3 $ Nat he u ..or Overruns and the bait for the alleged ocamption. Any vIol.don of
Section 7071.5 by any applicant for a Permit subjecu Ne applicant M a Civil penalty of _
not more Nan fl. hundred da1Ws (5500).
-, ❑ I. u owner of tlo property, or my employ= with wages u their rule compensation,
will do Ne work, and the structure Is not intended or offered fodaie (Sec.7044,11"neu
and Porfnssimu Code: The Conuaeme, License Law d= net apply to an owner of
property who builds or improv. themon, and who d= such work himself or Nmugh his
own employ=. provided tat such imptoomoctiu art not intended or offered fm ale, If.
howevet,Ne Wildingor impruvementis Bald within one yerrofcomplction, Neoomer. - --
builder will love the burden of moving Nat he did not build or Improve for purpose of
. ale,).
loor Area -—Valua$*0 0 0
36901028.00
- Required Inspections
My Workers Co/^mi�smeadon Inamantt diner and Policy number am: .
Cartier, fIP'117g d 1 Ug d0Lj,-MicyNm: W kiu 1 (2 �2 3 Z
CER7IPICAM OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
olds section need not M completed if the permit is fmone hundred dollart ($lap
or leu.)
I cenify Net in Ne performance of the work for which this Permit is Soloed, I shall not
employ any person in any insurer an as to become subject to the Workers'Compematlon
Laws of California. Date
Applicant
NOTICE TO APPLICANT: IL after making Nu Certificate of Exemption, you should
become subject to tree Worker's Compensation provisions of Ne labor Code, you mum
.,z forthwith comply with such pruvisions or this Permit shall be deemed mulled.
'ZO CONSTRUCTION LENDING AGENCY
[r I mushy affirm Oat them is a construction lending agency for ft erformanue of
L7!m ► the wore fur which this permit is issued (Sec. 3097. Cir, C.)
handers Name
Lenders Addrtu
V Q
❑ 1, as owner of the property, em exclusively commcung wW Imen is contractors to
construct the project (Sec. 7W. Business and Professions Code:) rho Con"Clorh LI-
F
comma l agrte tq, reply with W city a wurny oNlnends and situ rtlating m
es
tome raw docs not apply an owner of prupeny who builds or improvhe thereon, and
wneconuactorty, when it
Law du
C)
building eons scion and hereby suNon rtpremnuuvrs of Nis city toenmr upon Ne
,
punumpro Cerson,toM1
whoa:
fprauchlyinawith
projects
a1Mvc-map on m ny (or impaction urpo.3
W.) me i ave, indemnify tl keep hannim the City of Cupertino against
liabi' es dgme ,costsandexpen which may in my wry scone against said City
III
C)
License Law.
Issued by:
D
❑ 1 mo eacmpi under Sec. . B k P C for this moon
-
Owner Date
/
Re -roofs
WORKER'S COMPENSATION DECLARATION
mtu UContrammr Dau
HAZARDOUS MATERIALS DISCLOSURE
Type of Roof
1 hereby sal. under penury of perjury one of the following deelantiom:
. dctined by the Cupertino Municipal Code. Chapter 9.12, and Ne Health and Safety
'1 haws and will maintain aCenifinm of Concerto self-imum for Wahers Compen-
/
All roofs shall be inspected prior to any roofing material being installed.
.don, as pruvltle t for by Section 3700 of the labor Code. for Ne perf.m ani of the
-
work for which this permit is issued.
mit halms air conuminenu u nod by the 0.1 1. Air Quality Management
0 1 haw: and will maintain Worker's Compensation humorous, . rcquimd by Section
V y
3700.f the labor Code. for the pe formsn. often work for which thin permit Is lamed.
/ ❑Ycsn YNu
/
My Workers Co/^mi�smeadon Inamantt diner and Policy number am: .
Cartier, fIP'117g d 1 Ug d0Lj,-MicyNm: W kiu 1 (2 �2 3 Z
CER7IPICAM OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
olds section need not M completed if the permit is fmone hundred dollart ($lap
or leu.)
I cenify Net in Ne performance of the work for which this Permit is Soloed, I shall not
employ any person in any insurer an as to become subject to the Workers'Compematlon
Laws of California. Date
Applicant
NOTICE TO APPLICANT: IL after making Nu Certificate of Exemption, you should
become subject to tree Worker's Compensation provisions of Ne labor Code, you mum
.,z forthwith comply with such pruvisions or this Permit shall be deemed mulled.
'ZO CONSTRUCTION LENDING AGENCY
[r I mushy affirm Oat them is a construction lending agency for ft erformanue of
L7!m ► the wore fur which this permit is issued (Sec. 3097. Cir, C.)
handers Name
Lenders Addrtu
V Q
1 certify, Nm 1 read Was '.don end situ Net the ebose intonation is
lows
F
comma l agrte tq, reply with W city a wurny oNlnends and situ rtlating m
C)
building eons scion and hereby suNon rtpremnuuvrs of Nis city toenmr upon Ne
,
r 4
VI
a1Mvc-map on m ny (or impaction urpo.3
W.) me i ave, indemnify tl keep hannim the City of Cupertino against
liabi' es dgme ,costsandexpen which may in my wry scone against said City
III
C)
in rice ocipantingaf N' Permit.
ANT ERSTANDS ND WILL COMPLY WITH ALL NON -POINT
Issued by:
D
O E TIONS. 1 (�
IL_-�S �/
Re -roofs
mtu UContrammr Dau
HAZARDOUS MATERIALS DISCLOSURE
Type of Roof
WIII dte applicant or future building occupanutom or handle haardous material
. dctined by the Cupertino Municipal Code. Chapter 9.12, and Ne Health and Safety
Code, Section 25532(x)?
�Yet �Na
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
ill Nc applicansortm uiWing occupant aao equipment m devi= which
wilts
mit halms air conuminenu u nod by the 0.1 1. Air Quality Management
all new materials for inspection.
Dim c17
/ ❑Ycsn YNu
d=
nracvu'E�;or IC/ r U`/ g Si natureofApplicant Date
Duca - --All roof coverings to be Class "B" or better
CITY OF CUPERTINO
Nll
7z7_71&17 s �'' '-
N
BUILDING DIVISION PER
CNUUCT®RANF,O,,
BUILDING ADD F$
Syz
PERMIT NIb 4110099
f'
20400-WW
OWNER'S NAME:
PERMIT ISSUE DATE
CUPERTINO CITY CENTER ASSO
IAT
PHONE:
-
SANITARY NO. CONTROL NO. '
ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
...
BLDG,.. ..ELECT PLUMB MECH
LICEN FDCI�NTR'S DECLARATION
Job Description
I hereby efrom.mm`lem ll¢nacd un r ro cions of Chapter 9(commencing
w1th5« n] )of Dlvixlan3ofthc BurDfcssion Cndc.andmylimmou;
In mnrp dnrr«t���6
TI-PROJECTOR
Liccn fo��-,�'Z
CONTRACTOR: ULTIMATE CONTROL, INC.
J N
-adrdAmmd 1 xA.11 lintlel, mda
_.
Licensed Pmfcssion
R- BUILDER DECLARATION
far the
I berth fR t 11. exempt from the Cedions
'
oLima.: c city o
rollover moon 7031.5, Business and Profesxium Code: Any citydcounty
which requires a permit to convect, alter, Improve, demolish, nr repair any .nrunum
_
pd., to its iuuanro, elm requires lhe.ppliaern far such Permit o fim a aigncd sn¢mcnl
that he is mmrsed pursuant to the pmvistnm of the Connectors License Law (Chapter 9
Sq. Ft, Floor Area
Valua$gmc).0
(commencing with Smite,700) of Division 3 of me Business and PrOfessinna Code)or
,
that he is exempt therefrom and the beau for the alleged exemption. Any violadon of
APN Number
Occupancy e
P y Typ
section 7031.5 by any applimnt for a permit subjects Ne applicant to a civil penally of
oat mare cavo five hundred dollars (s500).
36901028.00
❑ I. as owner of lie property, or my employees with wages as their sole compensation,
- Required Inspections -
will do the wad. and the sound. I. no, intended or offered Waste (Sm.]044, Business
and' Prafeum Liana Law Code: The Curti LiaLaw does not apply to in owner of
e q
nosed who areasuch wad himselredthrough his
nowenywhces. providedwuch improvements intendedproffered for
suchhimps
mid wivartnest
or owner.
havev«. Ne Euilding or impmvemrntis sold within ore year of completion. N<awxr-
however. the pr
-
I ����
builder will have the burden of proving Nat he did not Wild or Improw for purpose of
a.lc.).
Cl 1. an owner or the property, am exclusively convecting with liamed contractors to
construct the project (Sec, ]044, Business and Profession Cade:) The Contractor's Li.
0 -
DEC 2004
ccnae law dam not apply 0 an owner or property who Wilda or improves Merton, and
who contracts for such projects with a convactods) licensed pursuant to the Comuctors
0 l em exempt antler Sec . R& P C for this reason
Owner
BUIL®Ilii
Owner
WORKER'S COMPENSATION DECLARATION
1 hereby On= under Penalty or perjury one of the following dechuratiovs:
1 haw trod will mainuin aCrnifimte or Cement m self-imam for WarkehCompcn-
cation, as provided for by Section 3100 of Ne Iat r Code, for the Performance of the
wad for which this permit is issued.
❑ 1 have and will maintain Workers Compensation Insurance, as required by Section
37W of tW LaWrCade, far Ne perrormance of the wort for which Nis permit is issued.
yWor a Cn �ensauon/Insunrnaamerand Policy number are:
G /y rete` L-(!t Policyvfa'o !) ry l
CERTIFICATEOF EMPDONPR MWGRKERS'
COMPENSATION INSURANCE
(TMs aecuan need not W completed lithe permit Is foronc hundrtd dollars ($Rg)
.
pr lass.)
,
1 cenify that in the performance or the work per which this permit is issued. l shall not
employ any person in My mannoses as ru become subject t0 the Workers Gampensat100
Laws of CaRfomia. Date
Applicant
-NOTICE TO APPLICANT. If, after making this Certificate or Exemption, you should
become subject to the Worker's Compendiums provisions of did Lahnr Code. you must
forthwith comply with such Provision d this Permitshall W d«mcd revoked.
CONSTRUCTION LENDING AGENCY
1 hereby affirm Net Vert is a coruwcunn lending agency far the p orormeao of
the week for which this permit is issued (Sec. 3097, Civ. C.)
Lenders Name
Lenders Address
I unity that I hese read this application it nes¢ that the show information u
conca 1 agree to was with all city and county ordinances and state laws retailing to
Wilding
... maiNnn. and hem Norine representatives of this city to enter upon the
.hove-rienu'uned propeny for Inpec as purpos..t
/(We) agree to caw, indemnif and keep hvmmas the City of Cupmarso against
,
1/
I I him. judgments osu and as sex which may in any way acme against mid City
cp dequcnec co 4 e Tuning of is permit
,
PPLICANT N RSTAN AND WILL COMPLY WITH ALL NON-POINT
Issued by: Date
R U ON as/
Re-roofs
Type of Roof
rte re afA li ntlCanuecmr Data
HAZARDOUS MATERIALS DISCLOSURE
will the applicant or future Wilding accuparrumre or handle haandoue material
u defined by the Cupertino Municipal Code. Chapter 9.12, and the Health and Safety
cwe.s«danzss3z(a)±.---
All roofs shall be inspected to any roofing material being installed.
❑Yes= �Nu
prior
'
If a roof is installed without first obtaining an inspection, I agree to remove
Will the epplicam m fuwrt building amupam equipment at devices which
emit haurdnes air conuminanu as defined by the Bay me Air Quality Management
all new materials for inspection.
DisuietT
❑Yes o
I havcsad the he nusma¢rialsrequi emsundrChapter 6.95ofthe Callfor-
10HCOIN6SafCI,gdd aerns25505,255 and Z534.1thdcrsmndthatifthc Wilding
docs not currcyly'hv s ani, Net it isy Panihility w nodl'y Ne «cupam nr Nc
uimmen &Ric met prior uu c of a Ccrdficau-sfpccup q
�� /tip
-
i Signature of Applicant Date
i J\
All roof coverings to be Class "B" or better
-
r or aumo red agent Date
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Facilities Planning
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Son Co. 95113
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SCION CAPITAL - AV CONF. RM.
20400 STEVENS CREEK BLVD.
SUITE 840, CUPERTINO, CA
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DIAGONAL BRACING
BEYOND
2 - SUPERSTRUT
A12005, BOLT TO LIFT
(E) SUSP. CEIL
PROJECTOR LIFT
1
10'+/-
3' 0'+/-
3'
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1-3
2 - SUPERSTRUT
A12005, GROSS
BRACING
4 - 1/2' ALL THREAD
22"
2 SUPERSTRUT A12005
DIACONAL BRACING,
LIF SEE SIDE VIEW
ELEVATION
LIFT BOX
1 1/20=1'-0°
•
m
W -T
3'
NO ATT CNMENTS
RIPLINE
4". PLAN
{ SIDES (TYRI 1 TO BE REPT
/ AN
40" 10V
EXISTING GROUND 2.0'
I %i ROCK OR EOUAL I
12� DIA.
TTP. POST
NOTES ILEVATIONtZ-�-
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I. THE DEVELOPER SHALL INSTALL T�MEVICES \\`l
PRIOR TO THE START OF GRADING �pl�.,.�i�/�`LEA�1 IG �T✓'
2. THE CITY RESERVES THE RIGHT UE A,ST((" NOTICE IF/��
THE "TREE PROTECTION" DEVIC NOT INS OR IF THE
DEVICES ARE NOT MAINTAINED LY.O 11
\!
3. SEE THE PROJECT GRADING PLAN FOR SPECI ES THAT RUI E
PROTECTION. ALL SPECIMEN TREES REQUIRE P TION UNLES
OTHERWISE NOTED.
4. NO EXCAVATIONS WITHIN THE "TREE PROTECTION AREA" ARE ALLOWED
UNLESS UNDER. THE SUPERVISION OF A REGISTERED TREE SERVICE COMPANY.
3. ANY FILLING WITHIN THE "TREE PROTECTION AREA" SHALL BE DONE IN
ACCORDANCE .WITH A DETAILED IMPROVEMENT PLAN APPROVED BY THE CITY.
G. NO TRIMMING, CUTTING,OR PRUNING OF DESIGNATED TREES CAN OCCUR
WITHOUT A REGISTERED TREE SERVICE COMPANY.
7. CONSULT ORDINANCE 778 OF THE CITY OF CUPERTINO FOR PERMIT
REQUIREMENTS AND EXCEPTIONS.
S. TEMPORARY CHAIN LINK FENCING IS AN ACCEPTABLE SUBSTITUTE TO
THE WOOD CONSTRUCTION.
TREE PROTECTION STANDARDS
CITY OF CUPERTINO- 6-4
STANDARD ' DETAILS APPROVED BY :
CI E IN DATE