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02010132L CITY OF CUPERTINO - BUILDING DIVISION PERMIT CONTRACTOR INFORMATION: BUILDIN ADDRESS: PERMIT NO. 208',�,� STEVENS-CREEK BLVD SILICON VALLEY CONSTRUCTON��P� 02010132 VOLCKMKMANN & ASSOCIATES 1851 ALMADEN RD 011/31/20UB 02 PHONE: SANITARY NO. CONTROL NO. I (408)266-0900 ARCHITECT/ENGINEER: BUILDINO PERMIT INFO BLDG ELECT PLUMB MECH r 11 [:_.:I I___j Q LICENSED CONTRACTOR'S DECLARATION Job Description I hereby afrm that l em licensed under provisions of Chapter 9(commencing TENANT IMPROVEMENT with Section "1") of Division 3 of the Business end Professions Code, end my license in ran rQyc and eHecl. •at 52q 6`1 S L'ccn e f Lic. CL q Chan c.Commat •. o, public 7 1 underslond my plans shall be used m public rtcards Ld 1 �, I j Licensed Professional I R 7' les, OWNER -BUILDER DECLARATION �- ! n I hereby affirm that I am exempt from the Contractor's License law for the following maven. (Section 7031.5, Business and Professions Code: Any city or county, $8000 poor requires a pentyl re construct, aper, improve, demolish, file repair any structure 1 -� $ bathe its 'eam"'upalso ena"he the ovisio cant for such permit to fileeugned slalemem "�' - -- --- ' bathe liansM punironl to Bx proyisiom of the Cmhe"a s License Taw (Chapter' Or az- Valuation (commemm�g wnh Seniqn 1000) of Division J of the Qu irmsa and Pmfp;tions Code) 'a.. v..'� a .C. S : .'.IY [ t s_3'�l m Ihai be 1s eaempi domfrum end the Isere for Ih< alleged exempgoA. Any violation --of smdan'1011.5 by m y applicant for a panni( subjects the epplicam he e civil peind s of m,scroahan eve hunrim, did.(55W)' 101AeNPiJp�ATION �":;•„':. ':. Occupancy Type 0 Las owner of the property, or my employees with wages as their sole compenmtim, ' -vel ti do Ne wProf ssi n$ Comcmre C not intended e eofferedLaw foes not Sce. 7060;- ”- ---' - - -" -' - �Buiinus end Profesaoons Code: The Conrracmr'r License law does not aDPIY to an 103 - UFER Required Inspections - owner of property Who builds or improves thereon, and who does such work himself 104 - REBAR _ or IM1rough his own employees, provided that such improvements arc not intended or _____ oBemdfor sthe owhdwevidethe building ornmen of proving ovnsold he one year of 105 - ANCHOR BOLTS t .1 ` completion, the owns -builder will have the burden of proving that he did not build or improve for purpose of sale.). 106 - SEWER & WATER q i c of project (Sperry 44, Business ly Ir i Professions C :) no Comciatato "' '2 0 2 -----UNDERFLOOR "'PLUMBING' ' ,lir , -- License the oesns(Sec ]006, Buser sr end ProfessonsCade)Thevestncmr's 203 - UNDERFLOOR MECHANICAL l-': -• License Law does not apply men owner of property who builds or improves thereon, . Cand oruscate, License Law. such projars with e.comreerorts) liceascd parsuanrm.the. -2 04- ---- UNDERFLOOR- FRAME---- ConvOcm/s License law. .. ... _.___ _ .___ ❑ l amexempt under sec: ;' Is" ,B PC for this rtamn 205 - UNDERFLOOR'hIINSUL'ATION owour' "' ale 301 - ROUGH PLUMBING ' CORKER'S COMPENSATIONDECLARATION _ 302 - TUB & OR SHOWER I-''c IhertbyeRrmundecpeneltyofperjuryone,orlhefallawingdeclomsions: 303 - ROUGH MECHANICAL 0 1 have and will maintain u cerificmn of Consent to self -insure for worker's 304 ROUGH ELECTRICAL Compensation, as provided far by -Section 37M of the labor Code, for the 'perfammnrebrina work for which this perm it not 305 - FRAME ❑ 1 have and will maintain Worker's Corepenemion Insurance, as milli M by Scction 306 - HOLDOWNS Doo of the Labor Code, for the perfgmouncgof the cork For which this'perma is 307 - INSULATION issuid My WotkeYa Compensation -Insumn« carrier and Palm y _ , 'I - - 308'-.,'S]J.EETROCK- ..,... /areas.' Teck t Iti is 1".i Pol cy�Jr/� " 113 Gty UN 9 Doty 7K o u; r.,CERTTpICAT10NOF,E%E MOIONFROMWORKERS ��4 s. t i 309.'`1-` XTERI'OR �LATH�' ' ,,, COMPENSATION INSURANCE "' it s „...,,_._.. _. P;..,..-Tpmiliarar:....._.^.,.,._... 310=._II�.TERIOR--LATH_.._.-__---_•-i-_--;.•.:---....�_-..<. 'Cnois'm'clion-neednotbecomleteditth< one hundred dollars 311 _`.SCRATCH COAT 313-=— ='ROOF -NASI L- . " —'-- l L rl fyIhOt In In< perfallllantt of In alk far Wn Ch In 9 DCfm111919sYed 1 , shall not crop a, penin in any manner so ox to become subject to the Workers501 - FINAL ELECTRI CAL' ENERGY' cain4eneauon Lawn rCalibrate'Du ... .... ... ....._502 -..,FINAL- . PLUMBING.... ENERGY--.. . _.: APpi cru .,. ... ... _ NOTICETO APPLICANT:Ifafter making ch is CeniGcair of Exempitry.'ahoald 503 - FINAL MECHANI CAL'`ENERGY become subjecna lha Worker's Co. prow,...( the Ldxn Cade, you muss foanwithcomply 'asotEprovisianaarmiaperrinsnanbedeemedmvoked. _ _ - 50,4 - .FINAL, BUILDING _ENERGY °'•'^r CONSTRUCTION LENDING AGENCY SOS - FINAL ELECTRICAL,,, " ' 1 hereby aBlrse that dmm is a b nswnson lending agency for she perfortmance :' ofthe work for which this permit issued See, '3091, C C.) 506 - GAS TEST Leader'. Nmrnc� LanaerpAade ., 507_ FINAL -PLUMBING 508 - FINAL MECHANICA !' '' I candy thatI lave mad this appl nation and emle that the aboveinformation is r c rrtcT 1 agree to,comply with all city and county ordinances. and stem lows minting 509 - FINAL GRADE into building consbucuon. and hereby amodhaampmsenlatives of this city,. enmrupon 510 - FINAL PLANNING the above-mentioned property for inspemion purposes., (We)agree msove; indemnify and keep halmicsss the City of Cupertino against 514 - FINAL UB C WORKS 0 liabilities, judgments, coats a� expelues•which me) in my way accme against said Cry consequencearinegimting,aflni pc t. �s e 3� v APPLICAVCWDERS TpNUS'AM1D WILL COMPLY'' ALL NON -POINT URCE REGULATIONS .w:. 11 1�aI�B Issued by: Dat '✓S'gnammGfApebram/Cantrraaa,mr�.,,' .:-,n�T;1 Re -roofs •, „ HAZARDOUS MATERIALS DIsCLQ5URE '' 'Will she applcm or fumrebldlg occupant mnea handle hLard ins mamml Typeof Roof .....,.._.._ _.. ,, --r --„ ....-..._......_. a,defined by the: Ce Prothro, Municipal Code Chapter 9.12 and do, Health and :Safety .. - , Cod req on 235311 Ct y �' ^j1 ( •''lip. t.y .) ie.'+ t �r i • O Yes Y P} 4 f] N { t•�t All roofs,shall be,inspected prior to any roofing material being installed I wan me applicant o future building pant meequipment a devices inch If a roof is installed without first obtaining an inspection; I agree to remove _ r h dole air contaminants u def d by the Bay Art Air Quality Management o slrirl all new materials for inspection. Applicant understands and will comply with all non -point source ora' - ,', q o p eragulahone.. I huve� rind she hemrdous m tmriale requirements order Chapter 6.95 of the California is Health & Safety Code. Sections 35505. 25533 and 25534: I, understand that " If the building does Dol comedy have a mount, that it is my. responsibility m notify the "'"" '' - ""' -' - - - - ---• - becupmt of the mi orcroods which must be met prior m Issuance ora Cenificam of _ � , , _ • - - Signature of _Applicant _ Dale S wnerorm horiae, ,.at but "-..._..OFFICE._.. ._ ..-... ._. .._._....... ...._.. ... .. All roof coverings to be Class `aB" or better'' at CITY OF CUPERTINO - BUILDING DIVISION PERMIT CONTRACTOR INFORMATION: BUILDIN ADDRESS: PERMIT NO. 208',�,� STEVENS-CREEK BLVD SILICON VALLEY CONSTRUCTON��P� 02010132 VOLCKMKMANN & ASSOCIATES 1851 ALMADEN RD 011/31/20UB 02 PHONE: SANITARY NO. CONTROL NO. I (408)266-0900 ARCHITECT/ENGINEER: BUILDINO PERMIT INFO BLDG ELECT PLUMB MECH r 11 [:_.:I I___j Q LICENSED CONTRACTOR'S DECLARATION Job Description I hereby afrm that l em licensed under provisions of Chapter 9(commencing TENANT IMPROVEMENT with Section "1") of Division 3 of the Business end Professions Code, end my license in ran rQyc and eHecl. •at 52q 6`1 S L'ccn e f Lic. CL q Chan c.Commat •. o, public 7 1 underslond my plans shall be used m public rtcards Ld 1 �, I j Licensed Professional I R 7' les, OWNER -BUILDER DECLARATION �- ! n I hereby affirm that I am exempt from the Contractor's License law for the following maven. (Section 7031.5, Business and Professions Code: Any city or county, $8000 poor requires a pentyl re construct, aper, improve, demolish, file repair any structure 1 -� $ bathe its 'eam"'upalso ena"he the ovisio cant for such permit to fileeugned slalemem "�' - -- --- ' bathe liansM punironl to Bx proyisiom of the Cmhe"a s License Taw (Chapter' Or az- Valuation (commemm�g wnh Seniqn 1000) of Division J of the Qu irmsa and Pmfp;tions Code) 'a.. v..'� a .C. S : .'.IY [ t s_3'�l m Ihai be 1s eaempi domfrum end the Isere for Ih< alleged exempgoA. Any violation --of smdan'1011.5 by m y applicant for a panni( subjects the epplicam he e civil peind s of m,scroahan eve hunrim, did.(55W)' 101AeNPiJp�ATION �":;•„':. ':. Occupancy Type 0 Las owner of the property, or my employees with wages as their sole compenmtim, ' -vel ti do Ne wProf ssi n$ Comcmre C not intended e eofferedLaw foes not Sce. 7060;- ”- ---' - - -" -' - �Buiinus end Profesaoons Code: The Conrracmr'r License law does not aDPIY to an 103 - UFER Required Inspections - owner of property Who builds or improves thereon, and who does such work himself 104 - REBAR _ or IM1rough his own employees, provided that such improvements arc not intended or _____ oBemdfor sthe owhdwevidethe building ornmen of proving ovnsold he one year of 105 - ANCHOR BOLTS t .1 ` completion, the owns -builder will have the burden of proving that he did not build or improve for purpose of sale.). 106 - SEWER & WATER q i c of project (Sperry 44, Business ly Ir i Professions C :) no Comciatato "' '2 0 2 -----UNDERFLOOR "'PLUMBING' ' ,lir , -- License the oesns(Sec ]006, Buser sr end ProfessonsCade)Thevestncmr's 203 - UNDERFLOOR MECHANICAL l-': -• License Law does not apply men owner of property who builds or improves thereon, . Cand oruscate, License Law. such projars with e.comreerorts) liceascd parsuanrm.the. -2 04- ---- UNDERFLOOR- FRAME---- ConvOcm/s License law. .. ... _.___ _ .___ ❑ l amexempt under sec: ;' Is" ,B PC for this rtamn 205 - UNDERFLOOR'hIINSUL'ATION owour' "' ale 301 - ROUGH PLUMBING ' CORKER'S COMPENSATIONDECLARATION _ 302 - TUB & OR SHOWER I-''c IhertbyeRrmundecpeneltyofperjuryone,orlhefallawingdeclomsions: 303 - ROUGH MECHANICAL 0 1 have and will maintain u cerificmn of Consent to self -insure for worker's 304 ROUGH ELECTRICAL Compensation, as provided far by -Section 37M of the labor Code, for the 'perfammnrebrina work for which this perm it not 305 - FRAME ❑ 1 have and will maintain Worker's Corepenemion Insurance, as milli M by Scction 306 - HOLDOWNS Doo of the Labor Code, for the perfgmouncgof the cork For which this'perma is 307 - INSULATION issuid My WotkeYa Compensation -Insumn« carrier and Palm y _ , 'I - - 308'-.,'S]J.EETROCK- ..,... /areas.' Teck t Iti is 1".i Pol cy�Jr/� " 113 Gty UN 9 Doty 7K o u; r.,CERTTpICAT10NOF,E%E MOIONFROMWORKERS ��4 s. t i 309.'`1-` XTERI'OR �LATH�' ' ,,, COMPENSATION INSURANCE "' it s „...,,_._.. _. P;..,..-Tpmiliarar:....._.^.,.,._... 310=._II�.TERIOR--LATH_.._.-__---_•-i-_--;.•.:---....�_-..<. 'Cnois'm'clion-neednotbecomleteditth< one hundred dollars 311 _`.SCRATCH COAT 313-=— ='ROOF -NASI L- . " —'-- l L rl fyIhOt In In< perfallllantt of In alk far Wn Ch In 9 DCfm111919sYed 1 , shall not crop a, penin in any manner so ox to become subject to the Workers501 - FINAL ELECTRI CAL' ENERGY' cain4eneauon Lawn rCalibrate'Du ... .... ... ....._502 -..,FINAL- . PLUMBING.... ENERGY--.. . _.: APpi cru .,. ... ... _ NOTICETO APPLICANT:Ifafter making ch is CeniGcair of Exempitry.'ahoald 503 - FINAL MECHANI CAL'`ENERGY become subjecna lha Worker's Co. prow,...( the Ldxn Cade, you muss foanwithcomply 'asotEprovisianaarmiaperrinsnanbedeemedmvoked. _ _ - 50,4 - .FINAL, BUILDING _ENERGY °'•'^r CONSTRUCTION LENDING AGENCY SOS - FINAL ELECTRICAL,,, " ' 1 hereby aBlrse that dmm is a b nswnson lending agency for she perfortmance :' ofthe work for which this permit issued See, '3091, C C.) 506 - GAS TEST Leader'. Nmrnc� LanaerpAade ., 507_ FINAL -PLUMBING 508 - FINAL MECHANICA !' '' I candy thatI lave mad this appl nation and emle that the aboveinformation is r c rrtcT 1 agree to,comply with all city and county ordinances. and stem lows minting 509 - FINAL GRADE into building consbucuon. and hereby amodhaampmsenlatives of this city,. enmrupon 510 - FINAL PLANNING the above-mentioned property for inspemion purposes., (We)agree msove; indemnify and keep halmicsss the City of Cupertino against 514 - FINAL UB C WORKS 0 liabilities, judgments, coats a� expelues•which me) in my way accme against said Cry consequencearinegimting,aflni pc t. �s e 3� v APPLICAVCWDERS TpNUS'AM1D WILL COMPLY'' ALL NON -POINT URCE REGULATIONS .w:. 11 1�aI�B Issued by: Dat '✓S'gnammGfApebram/Cantrraaa,mr�.,,' .:-,n�T;1 Re -roofs •, „ HAZARDOUS MATERIALS DIsCLQ5URE '' 'Will she applcm or fumrebldlg occupant mnea handle hLard ins mamml Typeof Roof .....,.._.._ _.. ,, --r --„ ....-..._......_. a,defined by the: Ce Prothro, Municipal Code Chapter 9.12 and do, Health and :Safety .. - , Cod req on 235311 Ct y �' ^j1 ( •''lip. t.y .) ie.'+ t �r i • O Yes Y P} 4 f] N { t•�t All roofs,shall be,inspected prior to any roofing material being installed I wan me applicant o future building pant meequipment a devices inch If a roof is installed without first obtaining an inspection; I agree to remove _ r h dole air contaminants u def d by the Bay Art Air Quality Management o slrirl all new materials for inspection. Applicant understands and will comply with all non -point source ora' - ,', q o p eragulahone.. I huve� rind she hemrdous m tmriale requirements order Chapter 6.95 of the California is Health & Safety Code. Sections 35505. 25533 and 25534: I, understand that " If the building does Dol comedy have a mount, that it is my. responsibility m notify the "'"" '' - ""' -' - - - - ---• - becupmt of the mi orcroods which must be met prior m Issuance ora Cenificam of _ � , , _ • - - Signature of _Applicant _ Dale S wnerorm horiae, ,.at but "-..._..OFFICE._.. ._ ..-... ._. .._._....... ...._.. ... ..