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02100154CITY OF CUPER'I'INO��" ' BUILDING DIVISION PERMIT CONTRACTOR INFORMATION':':' , BUILDING ADDRESS; PERMIT NO, 10400 TORRE AVE NEWS NAME: APPLICATION SUR DATE. CITY OF CUPERTINO LIBRARY 10/22/2002 ONE: SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MFLH 0 0 0 LICENSEDCONTRACTORS DECLARATION I herby affirmI ma tha1am licenced undo of Chapter 9 (commencing Job Description with Senior ]OXXq fDivisinnJof the Business an fessiom Crate, and mylicense is ,.'Onfie inlull )nacanl I. 3 36 3 GN DEMO--EXISTING LIBRARY 1-ianu lava Lic.p Dat Contracts, KAnn a0 SUNROOM/SITE WORK I Called he sed spublic recnm CITY PROPERTY NO FEES understrnd my plans Licensed Prou,sional OWNER-BUILDER DECLARATION I hcrchy al Firm Phar I am exempt from the Contractor's License Law for the Bdlnwing reason. (Section 7031.5, Business and Professions Code: Any city or county which Inquires a pC.1, h, construct, allot improve. demolish, err repair any structure mus, poor m its issuance, also requires the for such permit to flea signed smu mem that he is licensed It.rs.atmthe provisions anheContactorsLicenseLaw(Chapter9 Sq. Ft. Floor Area Valuation (commencing wi lh Section 70X4, of Division 3 of the Ruimess and Professions Cade) err that he is exempt therefrom end the basis for the alleged exemption. Any violation of APN Number y Type Section 7031.5 by any applicant for a permit subjects the applicant to aeivil penally Of not mare man rive hundred i nnala ($500). ❑ 1, as owner of the propsny, or my employees with wages as their sole Compensation, will do the work, and the awcture is not intended or offered for sale (Sec. 7060. Business and Professions Code: The contractors License Law does Out apply Io ea awrmr of Required Inspections property who builds or improves Ihemon, and who doessuch work himself or through his own employ.,, provided that such improvements are nor intended or nBered for safe, If, NO ASSIGNED INSPECTIONS however, the building or improvement is sold within one year of completion, the owner- builder will love the burden of proving mal he did mol build or improve fur purpose of sale.l. I, as owner of the property, am exclusively contracting with licensed contractors to consumer the project (Sec. 7044, Business and Professions Code:)no Contractor's Li. \� Cause law does not apply to an owner of properly who builds or arouses thereon. and who contracts for such pertains with a contractor(s) licensed pursuant to the Convenor's License Law. still lam cacmpl under Sec. , B h P C far rearm net Date WORKER'S COMPENSATION DECLARATION �J I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a Cenificale ofConsem to self-inmm for Worker'sCompen- stano, na provided for by Section 370) of the Lahor Code, for the Performance of the work for which this permit is issued. ❑ I have and will maintain Worker's Contpenamion Insurance, as required by Section 771X1 of the labor Code, for the performance of the work for which this Permit is issued. My Worker's Compensation hasuance carrier and Pu untherem: carry S L'uwoD PIJuH6 CERTIFICATE ERTI J CERTIFI OFB%EMPI'IIN FROM WORKERS' OGeC-r/ 3 coCOMPIiNSATION IN U(tANCE (Mis sect... need not M contplemd if IM permit is for one hundred dollars IS I00) or less ) 1 certify that in the performance of the work for which this permit is issucd, l shall not employ any person in any manner ser as to become subject to the Workers' Compensation Laws of California. Data Applicant NOTICE TO APPI.ICANI': IL after making this Cenifcale of Exemption, you should become subject to IM Worker's Compensation provisions of the Labor Cade, you must forthwith comply with such provisions or this Farm it shall be deemed mwked. CONSTRUCTION LENDING AGENCY 1 batch,.0ium for there is a conslruchum lending agency Int the Performance of the work for which this permit is issucd (See. 3197, Civ, C.) Lender's Name Lenders Address I cenify mat 1 have read this application and sane that the soon information is career. 1 agree In comply with all city and county ordinances and state laws relating 1n building nlnsio cllon, and heraby a id nfi]e Mplexami liveS of Ll City 10 enter upon the above-mentioned praNny far inspection ptirpnus. (We) agree to save, Indemnify and keep IlarmlCsx [be City Of GuNsfin0 against Liabilirics,judgments, costs and expenses which may in any way acme against said City in consequence Of the granting of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE REGULATIONS., Re-roofs Type of Roof �2 ignature of Applican/Commnor w�oam HAZARDOUS MATERIALS DISCLOSURE. Will the applicant or future building wcupam store or hand].�hydy��ous mmerial as defined by the Cuperinn Municipal Code, Chapin 9.12. i n It 0Ith and Safely ,d., Section a 25532(m?P All roofs shall be inspected to any rooting material being installed. ❑ Ye prior If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant ar mart building Occupant use equipment or devices which COOL hazardous air contaminants as defined by the Bay Arca Air Quality Management all new materials for inspection. Distncrl ❑ Yes Wit I have mail the haradouu,mamnals mquirements under Chaplcr 6.95 of the Califor. nia Health A, Safety CoN,Seetiom 25505.25533 and25536. I understand Wlifde building does not currently have a variant, mal it is my responsibility It notify IM MCUPWI of the requirements which must be MCI Prior it) issuance of. canfic.m of OVTCY. Signature Of Applicant Date All roof coverings to be Class I'B'I or better 0wn r t.ulhonmil agent Dal. M edi a,, oz- —, <_1qQ-E, P:3LLC It u.pt ou GC 6G$C 4%I££_1z4i C�d W U CITY OF CUPERTINO •- � ^'�" ")'° ' ' ra' "? � `� PERM eCONTRACTOR INFORMN BUILDING DIVISION .w�V.9.Y �.(�'l.aa ffi'Y a i3«YxDvbb �rseVWx.✓aN+�, xAv`".h'€�� BUILDING ADDRESS: PERMIT N0. 10400 TORRE AVE OWNER'S NAME: APPLICATION SUB DATE CITY OF CUPERTINO LIBRARY 10/22/2002 HONE: SANITARY NO. CONTROL NO. ARCHPIECDBNGINEER: BUILDING PERMIT INFO BLDG ELECT' PLUMB MECH LICENSED CONTRACTOR'S DECLARATION Job Description 1 hereby affirm Nes 1 am licensed under provisions or Chapter 9 (commencing with Section 7") of Divisiun 3 or Ne Business a 9dq`.fessions Code. and my license is .with m7 and t. r�� 3G 3 .. GN DEMO --EXISTING LIBRARY Lkenu Iss LiL.N Dm CammLt n SUNROOM/SITE WORK CITY PROPERTY/ NO FEES ARCHITECTS DEC ATION 1 um.,cu nd my plant shall W used as pun is records Licensed Professional OWNER -BUILDER DECLARATION - Contractor's License law for Nc 1 hereby affirm Net I exempt from the Cantons CW c: Any city or county Code: 70313. Business and o : 1 followwhichingdiresa dcons which Permit improve, ore any structure a sig t Permit to a signed statement alsomuiresWLkaper.Int for such Permits its issuance,requires the ! prier m its tensed , antsof far Contractor', Sq. Ft. Floor Area Valuation om ovisio ontra i(commelicemcdpursuan7")orviiomorof the ft Busiesanittnulaw(Codc)or (commencing Cale) of of Divisionor oRW Business exe endon. I Any vi . Net he u exempt therefrom and dte basis for the alleged exemption. Any violation of it; axe pt therefrom and APN Number yType Section 7031.5 by any applicant fon permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500). I, as owner of Ne property, or my amployees with wages As their sole compensation. Required Inspections will do the work, and the swemm is not intended or offered for sale (Sec. 7044, Business Add Professions Code: The Coaxi License law does not apply to an ownr of Property who builds ar improves toemon, end who does such work himself or through his own employees, provided that uch improvements are not intended or offered for sale. If. NO ASSIGNED INSPECTIONS however, the building or improvement is sold within one year of completion, the owner - Wilder will hove the, burden of proving that W did not build or improve for purpose or sale). I, es owner or the property, em exclusively contracting with licensed convectors to consact the project (Sec. 7044, Business end Professions Code:)no Contractors Li. cense law does not apply in an owner of property who Wilds or improves thereon, and, who contracts for such projects with a commster(s) licensed pursuant m the Contractors License Law. ❑ 1 am exempt under Sec. B & P C for this reason OwnerDate WORKER'S COMPENSATION DECLARATION It1 hereby affirm under penally of perjury one of dm following decorations: I have and will mai a Certificate orConsent to self -Imus for Workers Compete O Q salon, As provided for by Section 37011 of the labor Code. for the performance of the �, I work for which Nis permit is issued. Y ❑ I have and will maintain Workers Compensation Insurance. as required by Sceuon 3700 or he labor Code, for the performance of the work for which this permit is issued. My,Worker's Compensation aInsurance carrier and Pa umber art: /ATEOF Policy o.: S% ERS' 6a ,6 JJJ CERTIFICATE OF EXEMPI'1BBNN FROM WORKERS' Oeeb/ 3 COMPENSATION INSURANCE (This action need not W completed If the permit is for one hundred dollars ISIM) Or Ica.) 1 cenify that in the performance of the work for which this permit is issued, l shell not employ any person in any manner m as to become subject to she Workers' Compensation Laws of California, Dam Applicant NOTICE TO APPLICANT: If, after making Nis Certificate of Exemption, you should become subject to the Workers Compensation provisions of the U Wr Code, you must v forthwith comply with such pmvisions or this permit shall W deemed mvoked. iCONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency nor the performance of a thc work for which this permit is issued (Sec. 3097. Civ. C.) Landers Name Lenders Address N 1 minify Net I have read this application and tum the the aWvc Information$Misng is l agree to complyand with and county ordinances and sgte to , enter r upon buildingcotioned construction, and starchy amhoriareoses. ivcs of Nis citymen¢r upon the building auly U above-mentioned es. ny fin inspectionindemnify to s akeep (Wc) agree m cove, indemnify and keep harmless the City of Cupertino against � inconsegjnceofthecostsang expenses which may in anyway accmc against said City or the granting this Permit. >• n APPLICANT � APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT p Issued by: Date SOURCE REGULATIONS., Re -roofs Roof ignamre of Ap,1,MaOCmuact., are HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future building occupant store or handleh ous mammal Type of m defined by Ne Cupertino Municipal Code. Chapter 9. 2. and N and Safety CMe, Section 25532(-)7 Yea 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 Will the applicant or mum building occupant sou equipment or device which 'mit hazardous air mmamirmw as defined by the Bay Area Air Quality Management all new materials for inspection. District? r] Yes Wo 1 halm mad the haardousmaterials requirements under Chapter 6.95 of the Califor- di. fiction & Safety Code, Secuons 25505,25533 vu125534. 1 un&m.d thm if the building does nm currently have a tenant. but it is my responsibility to notify the occupant it he requirements which mum he =I prior m issuance of Ccrancate oroagency. Signature of Applicant Date All roof coverings to be Class "B" or better own r reuNo udagem Dam JAN -16-2003 09:32 MARK THOMAS CUP 4062535173 P.01i01 CUPERTM SANITARY DISTRICT V 2006 Yens Creek Blvd., Bldg. C , DER: Cupertino, California 95014 V CIiB: (408) 253-7071 CV: _ File: _ • "ON-SITE REQUIREMENTS -OVER THE COUNTER REVW" a o s,� Date: 19KvAg ) File: CuSD -MOP Building Dcpt-Cupertino Community Duvelopmcnt Department - Building City of Cupertino 10300 Torte Ave. Cupertino, CA 95014-3202 Re: Subject: " I gp' 1 X' - . t/I I U Il PIAN Name: Mfr�rzT%io C�V!c (x6N Address: �TQM/1 ll VfVf% bJ APN: V 3 Control/Plan CkNo: ((527 Permit No: 02.1 UQ' 54 The Cupertin Sanitary District has reviewed the plans for the subject project: No additional conditionshequircmenis by the District. ❑ Sanitary sewer is available and the existing building is connected to sanitary sewer, sec conditions/requirements listed below, 0 Sanitary sewer is (not) available, see conditionsirequirements listed below. • to Sanitary sewer is not provided by the District, please contact the City of Sunnyvale (408) 730-7510. The following Conditions/Requirements are made: O Install new Property Line cleanout or locate and raise to grade an existing property line cleanout. Cleanout shall be ilte same diameter as the street portion of the service lateral (Minimum gravity lateral is 4" diameter). ❑ Video Inspection of the existing Cleanout, Point of Connection and Street Lateral is required prior to passing The City of Cupertino Final Plumbing. Owner to call District 48 hours prior to video inspection to schedule a District Inspector. I1 Inspection of Street Portion of Sanitary Sewer Lateral by the District, Please Do Not Inspect any onsite construction prior to clearance in writing by the District. 0 Owner to have a Civil Engineer fix the lowest finished Moor elevation, with plumbing, to the rim of the next upstream manhole. If the lowest floor with plumbing is less than one (l') foot above the rim a Sewage Pump may be required. 0 Cupertino Sanitary District Fees or Permits are required for the subject improvements please do not issue any building permits. 0 Plans shall be reviewed by the Industrial Waste Division of the San Jose /Santa Clara Water Pollution Control Plant, Phone 945-5121 for questions and to schedule a plan review appointment. Please Do Not Issue permits until pretreatment recommendations have been forwarded to you by the District. 0 Verify existence and serviceability of an misting backflow proteetivc device. ❑ Break areas authorized minor electrical appliances only. (No commercial disposal or commercial dishwasher installations.) • 0 Other:............................................................. ........... ............................ ...... ...... ....... .... .............. ......._................ ............ .. Storm water from surface of roof drains, other general surface runoff water or condensate from ally residential I1VAC equipment shall not be discharged to the sanitary sewer. NOTE: Contact CuSD for "OF13-SITF REQU MENTS" TOTAL P.01 m ama CITY OF . CU PEI,TINO C a • i CITY OF CUPERTINO DEMO PERMIT APPLICATION FORM APN# 3/ Q 3 033 Date:VD/2Z�0 Building Address: 100 oo TOCK e 64ENLj2 Cu T 1 ro C 'ISo 14 Owner's N e: C, ITY of Ctj T i p o Phone #: z)e- -7 -7,7--33s4- Contractor: License #: Contact: Phone #: 4[05-259 -7 Applicant/Contractor: C ITy 04 C�Q2 BSEISMICRE ildin$ rmit Info: Bld Ie Plumb Mech Description: LemGL,nyr OF &-PS IAC+ Residential: Commercial: uSjNt,,.,p%A Sr7E W.+ Sq.Ft. Floor Area: $/Sq.Ft.: 37 oaa Sir BUILIDNG Architect/Engineer: SHW119B9 (Ll'ei s/ (e�T SF 9403 Valuation: 1 H iLUot-J Type of Construction: % Occupancy Group: l7Q oLnlotJ -TJ Qty._ if �ca Apble Fee ID Fee Descrintion Fee Groun BPERMFEE Bldg Permit Fees BUILIDNG BSEISMICOM Seismic Commercial BUILIDNG \ BSEISMICRE Bldg Permit Fees BUILIDNG BPLANCHK Plan Check Fee BUILIDNG BUSLIC Business License BUILIDNG cvl� • • City of Cupertino ' aITYOF 10300 Torre Avenue D U M Cupertino, CA 95014 CUPEkTINO (408) 777-3251 FAX (408) 777-3333 From: Community Development Department M E M O R A N D U M To: Building Department From: Aarti Shrivastava Date: November 7, 2002 Phone: (408) 777-3277 Re: Building Permit# 020100154 Email: Aartis()cupertino.org 10400 Torre Ave COMMENTS: Dept. Planning has reviewed the abovementioned building permit application. The plans cannot be approved at this time due to the following: Tree Protection : Per the City Council approval of Use Permit U-2002-07, the following shall be indicated on the plans: The following mprotected trees shall have 6 -foot high chain-link fencing around the dripline: a. The entire Redwood Grove to the south of the existing library. • b. Trees to the north of the plaza improvements along the City Hall frontage. c. Trees to north of parking lot improvements. The submittal would have to be revised to reflect the above comments. If the app scant has questions or comments, they may contact me at (408) 777-3277 or by email at aartis ancupertino.org. Thank you. 0 • PROJECT NAME: mD kal y ' CONTROL�p \ STREET ADDRESS: �D �/ D %�Q APN: (REQUIRED) J /-3/-633 DEVELOPERIOWNER: IJ7`IUj/� %7?C(� % INCREASE IN VALUE: TELEPHONE NUMBER: (lpQi�3o?y-5 >'U6 The following checked items are required by the Public Works Department. . Contact Jason Chou at (408) 777-3237 regarding this checklist. Agreement forPublic Work s Improvements Faithful Performance Bond & Labor and Material Bond (2 Bonds) Quit Claim Deed for Underground Water Rights Grant of Real Property for Roadway, Sidewalk, Utility or Other Purposes Copy of Grant Deed or Current Title Report �. Storm Drain Fee (Acct # 215-407, Check & inspection Fee $350 �/(/� �>/ Public Works rks Plan P (Acct #110-4531) Park Fee (Acet #280-408, Encroachment Permit Fee (Acct# 110-4532) Encroachment Bond " _ (Acct# 110-2211) Engineering Calculations for Retaining Wall Soils Report ($179)Acct# 110-4542) Streetlight Underground all Overhead Utility Lines Along Frontage and/or Service Tract Map Parcel Map Street Improvements or other Improvements • On -Site: Grading Plan Prepared by Registered Civil Engineer. (Acct #110-4533) Grading Permit (Residential) I x . Grading Permit (Commercial) (Acct #110-4534) Grading Bond (Acct #110-2211) Public Works Plan Check Comments: Fees Due: Please submit Public Works Fees Contact Nancy Lee (408) 777-3249 regarding encroachment permit for work in the, right of way. (Streetlight, sidewalk, curb & gutter, driveway approach, street tree) Fee: Bond: Best Management Practices Sheet Other: . Add these grading notes to site plan. 1) Civil Engineer or Soils Engineer to review all grading and submit a final report to the City prior to occupancy. 2) Compaction reports and pad elevation certification is required on all building pad work. 3) Contact Public Works, 777-3104, for drainage and final grade inspection, which includes drain lines and roof drains/down spouts. 4) Contractor is responsible for dust control and insuring the area adjacent to the work is left in a clean condition. 5) The contractor shall review std. Detail 6.4 on tree protection prior to accomplishing any work or removing any trees. 6) All giading shall be done in accordance with the Soils Report prepared by dated file no. installation )-All storm line with slope less than 2% shall be certified by a Civil Engineer. 7 7) All on-site sanitary sewer lines and laterals shall be subject to building department approval prior to installation. 9) Utilize Best Management Practices (BMP's), as required by the State Water Resources Control Board, for ANY activity, which disturbs soil. 10) A work schedule of grading and Erosion & Sediment Control Plan shall be provided to the City Engineer by August 15, 2002. No hillside grading shall be performed between October 1, 2002 to April 15, 2003. 11) All roof drains and/or down outs shall be drained sheet flow 2% away from the building and maybe collected by drainage inlet connected to lic s orm drain facility. If and only if the drainage is in the hillside area can the water be directly connected to the blic sto drain. 1't Submittal �— Approve t A roved Engineering Staff Sign re Da r� 2nd Submittal Engineering Staff Signature Date 3 r Submittal Engineering Staff Signature Date ` Approved/Not Approved Approved/Not Approved STRAW ROLLS MUST BE PLACED ALONG SLOPE CONTOURS SPACING DEFE NDSON SOIL ri"FE' AND • -��. LIVE \�' \ (1.2m) l ALUACENT ROLLS SHALL 77GHTLY A`1B'UT_�� SED/MENT, ORGAMC MATTER AND NATIVE SEEDS ARE , C4PTURED BEH/ND THE ROLLS =5" (75-125mm) NOTE.• 1. STRAW ROLL /NSMLLA77ON REQUIRES THE o A�RENCH,T 3N5"S(75R�25mAm) DEEP, DUG ON KING OF ME ROLL 1N CONTOUR. RUNOFF MUST NOT BE ALLOWED TO RUN UNDER OR AROUND ROLL. O FILE: SMROLL CITY OF CUPERTINO APPROT049 STANDARD DETAILS CITY ENGINR 1 " X 1 " STAKE (25 x 25mm) 10" 01A. -250mm) NOT T ----O SCALE STRAW ROLLS DAT -� 8-18 1: oink, C db FIRE DI • RTMENT l t 52 7 SANTA CLARA COUNTY CONTROL NUMBER 14700 Winchester Blvd., Los Gatos, CA 95030-1818 d Z 1 O O I S y (408) 378-4010 (phone) • (408) 378-9342 (fax) PERMIT NUMBER PLAN CHECK No. PLAN REVIEW COMMENTS CODE/SEC. SHEET NO. - '//� 4� (1 � )r�,�n,,,,q y(•ryf � �yK„O• ' p� TN4 „efjCJ2/ , 4(J41�& .,4�4"`�" JURIS eU10 PLANS SPECS NEW REMODEL AS Ix ❑ Ll❑ L1v CONST. DESCRIP. BY / f /f de�4 DATE /o -23-02 PAGE OF f SEC./FLOOR OCC OCC. LOAD AREA .ARCH/ENG/CONTRACTOR/OWNER SHUjm AME OF FACILITY C'uPeRTIN° 409Z#(2v �eHD LOCATION /Oyu io22e rev A California Fire Protection District serving Santa Clara County and the communities of Campbeil, Cupertino, Los Altos, Los Altos Hills, Los Gatos, Monte Sereno, Morgan Hill, and Saratoga SANTA CLARA COUNTY BOARD OF DIRECTORS DISTRICT MANAGER -ENGINEER 20065 STEVENS CREEK BOULEVARD, BLDG. C CURTIS B. HARRISON, PRESIDENT CUPERTINO, CA 95014-2350 JOHN M. GATTO, SECRETARY MARK THOMAS$CO. INC. PHONE (408) 253-7071 • FAX (408) 253-5173 DR. JOSEPH F. BROWN DISTRICT COUNSEL WILLIAM A. BOSWORTH ATKINSON •FARASYN, LLP WENDELL H. KERR, JR. November 5, 2002 Community Development Department Building City of Cupertino 10300 Tone Ave. Cupertino, CA 95014-3202 File: CuSD —MOP Building Dept. — Cupertino Subject: Demolition Name: Cupertino Civic Center Address: 10400 Tone Avenue APN: 369-31-033 Control/PlanCk No. 11527 Permit No. 02100154 The Cupertino Sanitary District has reviewed the plans for the subject project: ■ -Sanitary sewer is available and the existing building is connected to sanitary sewer, see conditions/requirements listed below. •The following Conditions/Requirements are made: tl7 , Other: Sanitary sewer to be plugged at point of connection at the Property Line — Remove - Cleanout. -- _ Storm water from surface or roof drains, other general surface runoff water or condensate from any residential HVAC equipment shall not be discharged to the sanitary sewer. NOTE: Contact CuSD for f°OFF-SITE REQUIREMENTS" Yours very truly, MARK THOMAS & CO. INC. District Manager -Engineer FOU ti LAA_41VA&Mti/ By Chien Vu CVV:cm cc: Jason Chou, Assistant Civil Engineer, City of Cupertino -Public Works SUPPLYING SANITARY SEWERAGE SERVICES FOR: CITY OP CIIPERTINO, PORTIONS OF THE CITIES OF SAP.ATOGA, SUNNYI'.V_E AND LOS ALTOS ASD SUTtROUNDING UN2NCORPORATED AREAS FIRE DEPARTMENT SANTA CLARA COUNTY -14700 Winchester Blvd., Los Gatos, CA 95030-1818 (408) 378-4010 (phone) • (408) 378-9342 (fax) PLAN REVIEW COMMENTS CONTROL NUMBER 021601!; l PERMIT NUMBER PLAN CHECK No CODE/SEC. SHEET NO. _U _ �srtLl�.es�wY.vi-k�C�J� VVVV . n.a u' 4 Qk,4(-(e JURIIS y CUP PLANS SPECS NEW REMODEL AS P ❑ ❑ ❑ CONST. DESCRIP �//j/ (/d..t �4L DATE �y 7 PAGE �OF� SEC./FLOOR OCC OCC. LOAD AREA ARCH/EIJ /QONTRACTOR/OWNER NAME OF FACILITY LOCATION TIYo o V A Callfornla Ire Protection District serving Santa Clara County and the communities of Campbell, Cupertino, Los Altos, Los Altos Hills, Los Gatos, Monte Sereno, Morgan Hill, and Saratoga 12419/2002 THU 13:51 FAX 408 298 6356 IQ 002 SANTA CLARA COUNTY °o� 408-792-5010 VECTOR CONTROL DISTRICT 1.800-675-1155 �7 J 976 Lenten Ave. C Technician's # / �y San Jose, CA 95126n'�� www.sccvector.org . Technician N vi r !'1 onrna� . RODENT HOMnnE//& YARD INSPECTION FORM SR# )—�LI 3� Address: IV 7GV �C/i�Yt. ✓ Chitty: Al Owner O Tenant O Previous Visit: r b(]11 ATTRACTANTS FOUND: O Pet food/birdseed O Fruit O Nuts O Citrus O Uncovered garbage cans O Inseccs(snail & slugs) O Vegetable garden O Harborage O Other ENTRY & ACCESS POINTS TO BUILDLINGS NEEDING REPAIR: O Vent screens, attic & foundation O Holes in roof O Pet doors O Open doors &. windows O Chimney O Fences O Trees O Patio cover O Crawl space opening O Unfinished construction O Pipes, cables &wiring entering walls & foundation O Under/around garage doors(s) O Over -lapping roof lines O Other —E o ANIMAL DAMAGE TO: O Lawns O Gardens O Flower beds O Roof O Vent screens OF ons rM Sidewalks O Heating ducts O Insulation O Wiring O Plumbing O Other f Z U • THE FOLLOWING IS NEEDED FOR YOUR PRO Pimney TO MINIMIZE OR ELIMINATE RODENT CO Weather stripping around garage and house doors O Remove any crashtO Keep sheds tightly closed O Seal where pipes/wiresO Keep crawl space covers in good condition and secured O Spark arrester needed O Seal all openings where roof -lines overlap O Replace and/or reinforce all vent screens O Harvest all ripe fruits, citrus and nuts from trees and off ground O Ivy or other plants chinned and/or removed O Keep all garbage cans covered and secured O Keep all doors and window closed after sunset O Keep all pet doors closed and secured O Take all pet food and containers inside by sunset O Cut back all trees, bushes and shrubs approx. 24.36 inches from roof O Store all firewood approx. 18" above the ground and 12'.' away from any structure Comments: %yt_.fJr'L>� ?� l�rr.LF%rL'L�"•. /'�a PROPERTY OWNER/TENAT PLEASE NOTE: After all entrances are sealed shut, any rodents left inside the structure is should be trapped with a snap trap. Traps should be baited with oatmeal, walnut meat, or peanut butter CAUTION: Do not use any rat poisons Inside structures THE ABOVE CONDITI IS HAVE BEEN FULLY EXPLAINED TO ME SIGNATURE (Owneritenant): �� G —{� DATE: -7 Z 195657 REV 0102 12/19/2002 THU 13:51 FAX 908 298 6356 A Fax From... Santa Clara County Vector Control District 918 Lenten Avenue, San Jose, U 95128 408.-70`6©1041.800.815.1155 ♦ FeX408-298.8958 MESSAGE: 0 FAX A 0 FROM: • NO. OF PAGES [INCLUDING COYER SHEER:_ DU IS 2002 I * A vector is any undomesticated animal or insect that can transmit disease to man 16001 • LI • � F A City of Cupertino - Plan Check Transmittal Permit# Project Address Owner Description 2 Control# 11527 Plancheck# 2 FileDate 110/22/02 02100154 DEMO LIBRARY 10400 TORRE AVE CITY OF CUPERTINO 1/15/03 AAR'R Plan Check Status (attach comments and return to Building with plan set) Plan Dept check# Date Due Date Staff Comment Date Approval? GREG 2 1/8/03 1/15/03 Planning 2 1/8/03 1/15/03 AAR'R Public Works 2 1/8/03 1/15/03 Jason Fire 2 1/8/03 1/15/03 WES Sanitary 2 1/8/03 1/15/03 CHIEN Assessor 2 1/8/03 1/15/03 Housing Mitigation Fee Amount Heart of the City Specific Plan Fee Amount • City of Cupertino Plan Check Transmittal Permit# Project Address Owner Description 02100154 Control# 11527 Plancheck# 2 FileDate 10/22/02 DEMO LIBRARY 10400 TORRE AVE CITY OF CUPERTINO GREG Plan Check Status (attach comments and return to Building with plan set) Dept Plan check# Date Due Date Staff Comment Date Approval? GREG 2 1/8/03 1/15/03 Planning 2 1/8/03 1/15/03 AARII Public Works 2 1/8/03 1/15/03 Jason 2 Fire 2 1/8/03 1/15/03 WES 1/8/03 66 Sanitary Housing Mitigation Fee Amount Heart of the City Specific Plan Fee Amount 0 2 1/8/03 1/15/03 CHIEN Assessor 2 1/8/03 1/15/03 Housing Mitigation Fee Amount Heart of the City Specific Plan Fee Amount 0 • PROJECTNAME: ��✓rQrS� STREET ADDRESS: /D T,sze /;'(� DEVELOPER/OWNER: 3"Xtojl) %2?l(/t 4'— TELEPHONE NUMBER: CONTROL #: ' /�J�� 7 APN: (REQUIRED) 3o�.9-3/-033 % INCREASE IN VALUE: The following checked items are required by the Public Works Department. Contact Jason Chou at (408) 777-3237 regarding this checklist. Agreement for Public Works Improvements Faithful Performance Bond & Labor and Material Bond (2 Bonds) Quit Claim Deed for Underground Water Rights Grant of Real Property for Roadway, Sidewalk, Utility or Other Purposes Copy of Grant Deed or Current Title Report Storm Drain Fee (Acct # 215-407, Public Works Plan Check & Inspection Fee $350 (Acct #1104531) Park Fee (Acct #280-408, (/(/0 -Fz� Encroachment Permit Fee (Acct# 110-4532) Encroachment Bond (Acct# 110-2211) Engineering Calculations for Retaining Wall Soils Report ($179)(Acct# 110-4542) Streetlight Underground all Overhead Utility Lines Along Frontage and/or Service Tract Map Parcel Map Street Improvements or other Improvements On -Site: Grading Plan Prepared by Registered Civil Engineer Grading Permit (Residential) (Acct #1104533) 0 Grading Permit (Commercial) (Acct #110-4534) Grading Bond (Acct 0110-2211) Public Works Plan Check Comments: Fees Due: Please submit public Works Fees Contact Nancy Lee (408) 777-3249 regarding encroachment permit for work in the right of way. (Streetlight, sidewalk, curb & gutter, driveway approach, street tree) Fee: Bond: Best Management Practices Sheet Other: Add these grading notes to site plan. 1) Civil Engineer or Soils Engineer to review all grading and submit a final report to the City prior to occupancy. 2) Compaction reports and pad elevation certification is required on all buil� ch includes drain lies end roof drains/down ad work. 3) Contact Public Works, 777-3104, for drainage and final gra inspection, spouts. . sp Contractor is responsible for dust control and insuring the area adjacent to the work is left in a clean condition. 5) The contractor shall review std. Detail 6-4 on tree protection prior to accomplishing any date or removing any trees. 6) All grading shall be done i accordance with the Soils Report prepared by file no. 7) All storm lie installation with slope less than 2% shall be certified by a Civil Engineer. 8) All on-site sanitary sewer lines and laterals shall be subject to building department approval prior to installation. 9) Utilize Best Management Practices (BMP's), as required by the State Water Resources Control Board, for ANY activity, which disturbs soil, 10) A work schedule of grading and Erosion & Sediment Control Plan shall bEngineer b August 15, e provided to the City Engin Y g 2002. No hillside grading shall be performed between October 1, 2002 to April 15, 2003' 11) All roof drains and/or down outs shall be drained sheet flow 2% away from the building and maybe collected by drainage inlet connected to lic s orm drain facility. If and only if the drainage is i the hillside area can the water be directly connected to thep6blic sto drain. Approve t A roved °r Submittal ;ngineering St re Da `Z Cpprove Approved end Submittal Date e . onatrrre Approved/Not Approved 3rd Submittal Date . Engineering Staff Signature • x J A] 'A City of Cupertino Plan Check Transmittal Permit# Project Address Owner Description Plan check# Control#F 11527 Plancheck# I 1 FileDate 10/22/02 02100154 DEMO LIBRARY 10400 TORRE AVE CITY OF CUPERTINO 10/22/02 Plan Check Status (attach comments and return to Building with Plan set) Dept Plan check# Date Due Date Staff Comment Date Approval? Building 1 10/22/02 11/5/02 1 10/22/02 Planning Fire 1 10/22/02 11/5/02 Sanity 1 10/22/02 11/5/02 O 1 10/22/02 11/5/02 Housing Mitigation Fee Amount Heart of the City 1 10/22/02 11/5/02 Public Works 1 10/22/02 11/5/02 Fire 1 10/22/02 11/5/02 Sanity 1 10/22/02 11/5/02 Assessor 1 10/22/02 11/5/02 Specific Plan Fee Amount roam'wk'N-4 FIRE DEPARTMENT SANTA CLARA COUNTY 14700 Winchester Blvd., Los Gatos, CA 95030-1818 (408) 378-4010 (phone) • (408) 378-9342 (fax) PLAN REVIEW COMMENTS i /1527 CONTROL NUMBER 0Z /oo1sy PERMIT NUMBER I PLAN CHECK No CODE/SEC. SHEET NO. R pfC �—L'Gv.,titvaU / i�►n �Ot" A>� 6t.�t�.eth�,c�q J JURIS SUP PLANS SPECS NEW REMODEL AS IF ❑ ❑ 11 ❑�OF CONST. DESCRIP. BY DATE PAGE SEC./FLOOR OCC OCC. LOAD AREA ARCH/ENG/CONTRACTOR/OWNER S t -f NAME OF FACILITY Cv�e(LTluo i/&zo-&Y �4MO LOCATION /DS/Gb 7oiZR� 4V A California Fire Protection District serving Santa Clara County and the communities of Campbell, Cupertino, Los Altos, Los Altos Hills, Los Gatos, Monte Sereno, Morgan Hill, and Saratoga C� • City of Cupertino i Plan Check Transmittal • 9 Permit# Project Address Owner Description 02100154 Control# 11527 Plancheck# 1 FileDate 10/22/02 DEMO LIBRARY 10400 TORRE AVE CITY OF CUPERTINO 10/22/02 Plan Check Status (attach comments and return to Building with pian set) Plan Dept check# Date Due Date Staff Comment Date Approval? Building 1 10/22/02 11/5/02 Planning 1 10/22/02 11/5/02 Public Works 1 10/22/02 11/5/02 v o • • oz. Fire 1 10/22/02 11/5/02 Sanitary 1 10/22/02 11/5/02 Assessor 1 10/22/02 11/5/02 190 Housing Mitigation Fee Amount Heart of the City Specific Plan Fee Amount • City of Cupertino Plan Check Transmittal • Ll Permit# Project Address Owner Description 02100154 Control# 11527 Plancheck# 1 FileDate 10/22/02 DEMO LIBRARY 10400 TORRE AVE CITY OF CUPERTINO 10/22/02 11/5/02 Plan Check Status (attach comments and return to Building with plan set) Dept Plan check# Date Due Date Staff Comment Date Approval? 1 10/22/02 11/5/02 13 Planrlin 1 10/22/02 11/5/02 I/ YD LI Public Works 1 10/22/02 11/5/02 Fire 1 10/22/02 11/5/02 r Sanitary 1 10/22/02 11/5/02 ,A sesso Housing Mitigation Fee Amount Heart of the City Specific Plan Fee Amount 0 r 1 10/22/02 11/5/02 Housing Mitigation Fee Amount Heart of the City Specific Plan Fee Amount 0 Community Development Department — Building City of Cupertino 10300 Torre Ave. Cupertino, CA 95014-3202 Subjecf: Demolition -- -- — — -- -- — 1�IA�aA��Y�Di�aTrR�il,���'si..._. Cupertino Civic Center Address: 10400 Torre Avenue SANTA A COUNTY BOARD OF DIRECTORS Control/Plan DISTRICT MANAGER -ENGINEER 20065 STEVENS CREEK BOULEVARD, BLDG. C CURTISS. HARRISON, PRESIDENT • MARK THOMAS$ CO. INC. CUPERTINO, CA 95014.2350 PHONE (408) 253-7071 • FAX (408) 253-5173 JOHN M. OATTO, SECRETARY DR JOSEPH F. BROWN DISTRICT COUNSEL WILLIAM A. BOSWORTH WENDELL H. KERB, JR. ATKINSON •FARASYN, LLP November 5, 2002 File: CuSD — MOP Building Dept. — Cupertino Community Development Department — Building City of Cupertino 10300 Torre Ave. Cupertino, CA 95014-3202 Subjecf: Demolition -- -- — — -- -- — Name: Cupertino Civic Center Address: 10400 Torre Avenue APN: 369-31-033 Control/Plan Ck No. 11527 Permit No. 02100154 The Cupertino Sanitary District has reviewed the plans for the subject project: • Sanitary sewer is available and the existing building is connected to sanitary sewer, see • conditions/requirements listed below. The following Conditions/Requirements are made: Other. Sanitary sewer to be plugged at point of connection at the Property Line — Remove Cleanout. Storm water from surface or roof drains, other general surface runoff water or condensate from any residential HVAC equipment shall not be discharged to the sanitary sewer. NOTE: Contact CuSD for "OFF-SITE REQUIREMENTS" Yours very truly, MARK THOMAS & CO. INC. District Manager -Engineer Pini/ W(, wvi ++ /1 By Chien Vu CVV:cm • cc: Jason Chou, Assistant Civil Engineer, City of Cupertino -Public Works SUPPLYING SANITARY SEWERAGE SERVICES FOR: CITY OF CUPERDNO, MR DONS OF THE CRIBS OF SARAOOG,-, SUNNYV AI.R AND IAS ALTOS AND SURROUNDRMG U CORPORATED AREAS . CITY OF-CUPERTINO - y�`+ ` �+ s ` " >u z' � �1� :,.-.• - "'µ ' '? BUILDING DIVISION -PERMIT 5 "v =T" •''j "'-:� �r, •" _ - BUILDING ADDRESS: SWINERTON .BUILDERS PERMIT NO. 4060086. OWNER'S NAME: - - _ ., PERMITLSSUEDATE- CITY OF CU2ERTIN0/T.TBRARY 1995 I-ATTIRET-1400M PT) SANITARY OL NO. ' ARCHITEC (ENGINEER: BUILDING PERMIT INFO - BLDO ELECT PLUMB MECH - rI LICENSED CONTRACTOR'S DECLARATION '_. _..::JObDesCrlpt100=-��--•--- - - 1 hereby affirm that l am liwmcd under provisions of Chapter 9 (commencing wi Section7011U)of DiA&ion3ofthe Businessars Professions Code,andmyliccnwia -- .. .-....__ ._. ,,-. - _•-,. _- - in full fares and CIFCCL REVISION --SITE WORK:_.. License Class Lic. N Dam Connector NO NEW PERMIT ISSUED/ORIG. #03020069 ARCHITECTS DECLARATION I understand my plans shall W used as puhlie receNs REVISION --#03100054/'#040'50147--`-`- Licensed Professional OWNER -BUILDER DECLARATION 1 hereby affirm License Law for the 1 em exempt (rum Nr Candons following manure. on ](131.3,Bmioamand o demob Code: Any city or county ' permit oc ennsste, alwq improve, demolish, any atmmum which inquires permit ve. fie a sir priormslts enserua1N1uttothetanes NC O thConractouch r'lafieLaw(Chainlenl Issuance, that of the License law(Chaplv9 dpueuion700c Sq. Ft. Floor Area.... - .., .5-.. •.Valuation eenuacmh (commencingof Division3 oftheegeBusiness Cnde)or eaeawith Seniors ofProvisionsDivision alleged exemption. Any violation Of that and baso for umpton. Any Nn he is campy therefrom and APN Number - v Occupancy Type ' be Semon 7031.5 by airy applicant for a pemtit subjects the applicant m a civil penally of to, ' no mom Nan Bve hundmd tlolsrs ($500). t ,m Owner of Ne pmprny, .'my employees with wagesu their sale compensation. Required Inspections I do the wank, and the structure is not intended or offered (orad. (Sec. 706q Business e profeuiorts Cade: The Contractors License law does not apply m an owner of -_,. propanywho builds or improves Nemon, and who does such work himselfor through his-- ownemplayces,provided tho.chimpromments are notimmndedoraffamd forsde.If. ----- .-- however, are building or improvement is sold within oro year ofcompledon, the owner- builder will have the burden of proving that h, did rwt Wild or improve for purpose of ark.). 1, as owner of the property, am exclusively connecting with licensed contractors to construct the project (Sec. 7W, Business and Professions Co ls:) The Comment's Li- - cems, Law does not apply to an owner of procor, who Wilds or improves themun.and , -- •- - who contracts for such projects with a eomnctor(0 licensed pursuant to lW conaamo's Lane. Law. _ .................�_..... ...-_ . ❑lam exam'Pilot Sec. / ,B&PC for this n Owner `�-� Dam .. WORKE COMPENSATION DECLARATION I hammy MIT. under Purely of pato, one of Ne following declarations:- amandwillmaintainaCenlOcamofConsenttoself-insum for Worker's Compete on, u provided for by Section 3700 of the Labor Cade, for the Performance of the - work for which this permit is issued. - ❑ I have and will maintain Workers Compensation Insurance, as required by Section 3700 of the Labor Code. for the performance of are work for which this Permit is issued, - My Worker's Compensation Insurance carrier and Policy number am: Cartier. Policy Na,: CERTIFICATE OF EXEMPTION FROM WORKERS' - COMPENSATION INSURANCE (This section need not W complmcd Ads, permitis faros, hundred dolhe(5100) ._ or less.) I certify that in the performance of the work for which Ibis permit is issued. I shall not employ any person in any manner an as to ccome subject to the Workers'Compensation ' Laws of California, Dam Applicant - NOTICE TO APPLICANT: If. this Certificate Exemption, you shuns CMen ..making becomeh re Compensation provisions of Ne Labor Code, you moat ro the W m forthwith comply with such previsions or this Permit shall W deemed revoked. comp en CONSTRUCTION LENDING AGENCY I berehy affirm that Nee is a construction lending agency for the performance of , the work for which this permit is issued (See 3097, Civ. C.)- Under's Namc Lender's Address I certify that 1 ham read this application and show that the above information is - Correct. l agree to comply with all city and county on finances and show laws misting to building construction, and hereby authorise representatives of this city to enter upon the show -mentioned property for inspection PmFOWL (We) agree to sato, indemnify and keep harmless the City of Cupcnino against liabilities, judgments, casts aneexpenme which may in any way seems against mid City in consequence of the granting of this permit. APPLICA NDERSTANDS AND WILL COMPLY WITH ALL NON -POINT _ Issued by: Date - SOU ULATIONS. Re -roofs Type of Roof _ q/ Signorina of Applicant Comracmr Dam HAZARDQ 5 MATERIALS DISCLOSURE Will the eppliem, ar futuic building occupmi stare or handle hamrdous material u define( by the Cupenino Municipal Cade, Chapter 9.13, and the Health and Safety Code, Section zssu(a)7 OdLYn No '�Wili 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 the applicant Oratom Wilding Occupant use equipment or devices which 1 hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. Olde *Yes �No - I have mad the hamrdaus materials requirements undcrChap or 6.95 Of an Califor- ninHealth & Safety Cade, Sections 25505,25533 and 35536.1 understand that tribe Wilding does not currently haw a wnam. that it u my responsibility m nouly the occupant of the mqutmme hichasonI Ip'OrwismanmofaCcnifiuwofQcup ,r. Signature of Applicant Date - All roof coverings to be Class "B" or better ., w r athadaecdagent Data