10120163CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10201 TORRE AVE I CONTRACTOR: DPR CONSTRUCTION INC I PERMIT NO: 10120163 I
OWNER'S NAME: WOODMONT REAL ES"I'ATE MANAGEMENT 11450 VETERANS BLVD I DATE. ISSUED: 03/16/2011 I
O'-"ER'S PHONE: 6505923960
D LICENSED CONTRACTOR'S DECLARATION
License Class Lie. #
Contractor DPB CCk J 7'KjJ14:;Qt1}J Date 311/,JI r
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:
1 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.
2 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
permit is issued.
APPLICANT CERTIFICATION ��bb
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
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 s permit. Additionally, the applicant understands and will comply with
all non -poi Ls uftggtatie++s per_Ihe Cupertino Municipal Cope, Section 9.18.
11 OWNER -BUILDER DECLARATION
:by affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
t 1, 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)
2 1, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code).
1 hereby affirm under penalty of perjury one of the following three declarations:
i. 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.
2. 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
permit is issued.
3 1 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
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
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
—ting of this permit. Additionally, the applicant understands and will comply with
m -point source regulations per the Cupertino Municipal Code, Section 9.18.
Signature Date
REDWOOD CITY, CA 94063
PHONE NO: (650)474-1450
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑
2ND & 3RD FLOOR --- T.I OF 59,745 SQ F'r NEW OFFICES,
CONFERENCE RMS & SMALL R&D LABS ON THE 2ND AND 3RD
FLOORS OF AN EXISTING 3 -STORY BUILDING, NEW HVAC
Sq. Ft Floor Area: I Valuation: $4829000
APN Number: 36941005.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: Date' �'" t6 ' L f
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
Signature of Applicant
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
1 have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
Safety Code, Section 25532(a) should 1 store or handle hazardous material.
Additionally, should 1 use equipment or devices which emit hazardous air
contaminants as defined by the Bay Area Air Quality Management District 1 will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Hc$N & Safety Code, Sections 25505, 25533, and 25534.
agent:
Date: P14 lit
CONSTRUCTION LENDING AGENCY
1 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 Address
ARCHITEa'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professional_
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10201 TORRE AVE CONTRACTOR:DPR CONSTRUCTION INC PERMIT NO: 10120163
OWNER'S NAME: WOODMONT REAL ESTATE MANAGEMENT 1450 VETERANS BLVD DATE ISSUED:03/16/2011
OWNER'S PHONE: 6505923960 REDWOOD CITY,CA 94063 PHONE NO:(650)474-1450
LICENSED CQNTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑
2ND&3RD FLOOR---T.1 OF 59,745 SQ FT NEW OFFICES,
License Class __ _ Lic.# CONFERENCE RMS&SMALL R&D LABS ON THE 2ND AND 3RD
FLOORS OF AN EXISTING 3-STORY BUILDING,NEW HVAC
Contractor Date '� 1
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: Sq,Ft Floor Area: Valuation:$4829000
1. 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. APN Number:36941005.00 Occupancy Type:
2. 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.
PERMIT EXPIRES IF WORK IS NOT STARTED
APPLICANT CERTIFICATION WITHIN 180 DAYS OF PERMIT ISSUANCE OR
I certify that 1 have read this application and state that the above information is
correct. 1 agree to comply with all city and county ordinances and state laws relating 180 DAYS FROM LAST CALLED INSPECTION.
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, Issued by: Date: u
costs,and expenses which may accrue against said City in consequence of the
granting of As permit. Additionally,the applicant understands and will comply with
all non poi
a Cupertino Municipal Co e,Section 9.18. RE-ROOFS:
Signature Date 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. 1,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 HAZARDOUS MATERIALS DISCLOSURE
sale(Sec.7044,Business&Professions Code)
2. 1,as owner of the property,am exclusively contracting with licensed contractors to I have read the hazardous materials requirements under Chapter 6.95 of the
construct the project(Sec.7044,Business&Professions Code). California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain
compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
I hereby affirm under penalty of perjury one of the following three declarations: Safety Code,Section 25532(x)should I store or handle hazardous material.
i. I have and will maintain a Certificate of Consent to self-insure for Worker's Additionally,should 1 use equipment or devices which emit hazardous air
Compensation,as provided for by Section 3700 of the Labor Code,for the contaminants as defined by the Bay Area Air Quality Management District 1 will
maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
performance of the work for which this permit is issued. HaE
tions 25505,25533,and 25534.
2. 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 Ot:
permit is issued. I Dater
3. 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 CONSTRUCTION LENDING AGENCY
Compensation laws of California. If,after making this certificate of exemption,I 1 hereby affirm that there is a construction lending agency for the performance of work's
become subject to the Worker's Compensation provisions of the Labor Code,1 for which this permit is issued(Sec.3097,Civ C.)
must forthwith comply with such provisions or this permit shall be deemed Lender's Name
revoked.
Lender's Address
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is ARCHITECT'S DECLARATION
correct.1 agree to comply with all city and county ordinances and state laws relating I understand my plans shall be used as public records.
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes.(We)agree to save Licensed Professional
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 9.18.
Signature Date
CITY OF
e
CITY OF CUPERTINO
TENANT IMPROVEMENT
CUPERTINO PERMIT APPLICATION FORM
101W ) U3
APN# ,, 4+ 3 6., O Date:
l W 12/22/10
Building Address: 10201 TORRE AVE. 2n& It
Mailing Address (if different from building address):
Tenant V (If tenant please provide a letter from the building owner approving the tenant improvement.)
. Building Owner ❑
Are Hazardous Materials being used as part of this project? Yes 0 No
Tenant/Building Owner's Name: Phone#: 650-592-3960
PMCF PROPERTIES LLC(OWNER)/WOODMONT REAL ESTATE(AGENT)
Contractor: DPR CONSTRUCTION Phone#: 408-370-2322
Fax#: 408-716-2972
Cupertino Business License: State Contractor License#: 599846
Contact: DEREK JENSEN Phone#: 650-333-8412
Fax/e-mail: 408-716-2972
Landscape Ordinance Compliance:
Landscape area in sq. ft. (includes all irrigated areas):
If 2,500 sq. ft. or less,compliance with the Landscape Water-Efficiency Checklist is required.
If more than 2,500 sq. ft.,a complete Landscape Project Submittal is required.
Compliance Method: ❑ Plant Type ❑ Water Budget
Job Description(be specific):
59,745 SF OF NEW OFFICES, CONFERENCE ROOMS, AND SMALL R&D LABS ON THE 2ND
AND 3RD FLOORS OF AN EXISTING 3-STORY BUILDING. NEW HVAC AND ELECTRICAL
DISTRIBUTION ON EACH FLOOR. RESTROOM CORES, STAIRWELLS, AND ELEVATORS
REMAIN UNCHANGED, OTHER THAN ADA UPGRADES AS REQUIRED BY CODE.
Tenant Improvement Includes Re-Roof: Yes ❑ No If yes, number of squares
Tenant Improvement Includes Structural Yes ❑ No
Type of Construction(Usag71V*111
IIA Occupancy Type: B
1-A, 1-B ❑ II/III/V-A B, IV-HT, V-B ❑ Valuation: 4,829,000
Project Size: Counter F1 Express Standard Large ❑ Major ❑
Green Building: Please complete Leed for commercial interiors checklist &attach it to the application
or if applicable,include in plans& sheet index
LEED Points Achieved
*** For Office Use Only*** Revised 12-06-10
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
C U P E RT I N O Fax: 408-777-3333
CONTRACTOR/ SUBCONTRACTOR LIST
JOB ADDRESS: PERMIT# O� ,
OWNER'S NAME: /KPHONE# 6 - Z- 3.1 G
GENERAL CONTRACTOR Gn BUSINESS LICENSE#
ADDRESS: pt4 3LNXg&anM= CITY/ZIPCODE:
*Our municipal code requires all businesses working in the city to have a City of Cupertino 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:
V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical E G L
Excavation
Fencing
Flooring/ Carpeting
Linoleum/Wood
Glass/Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting/Wallpaper
Paving
Plastering
Plumbing S
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
( �
wn ractor Signature Date
1
TEMPORARY CERTIFICATE OF OCCUPANCY FORM
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPER'fINO (408)777-3228• FAX(408)777-3333• buildingna cupertino.oro
APN �/ /') BP#: DATE: )I PROJECT
1'�q <w W5-N /o) O/ 3.17,`/ VALUATION:
SITE
ADDRESS: 1 02-0 O tL&C rjVL5'
OWNER'S NAME: PHONE#:
FAX#:
MAILING ADDRESS (if different from site address):
CONTRACTOR: PHONE#:
1
b FAX#:
CONTACT: BW14 s PHONE#: 071
FAX#:
TEMPORARY CERTIFICATE OF OCCUPANCY INFORMATION
BOND TYPE: ❑ SURETY BOND AMOUNT (1%VALUATION CODE
❑ CHECK ❑ CASH BOND OF BOND: 1K min-10K BONDS)max) $ EDITION:Ityl P
SPRINKLER QfYES SPRINKLERS>KYES TCO EXPIRATION
REQD?: ❑NO INSTALLED?: [INO DATE(30 DAYS): 1� ' TCO FEE: $253.00 [1TEMPOCCj
DESCRIPTION OF BUILDING USE AND AREA(S) FOR THIS CERTIFICATE:
USE TYPE OF FLOOR OCC LEVEL COMMENT
CONSTR AREA LOAD
(� Z wn L (9N LL►
CONDITIONS OF COMPLETION (attach additional sheets if necessary):
cor•--p"1-nr Pvrw~ 101rn7 KO-Sr 3-t7 1 . DO N 07 035
The undersigned covenant and agree as a condition to the approval of the above request for temporary occupancy to have the building or
buildings complete and in compliance with all building codes,ordinances and regulations eeady for inspection prior to the expiration
date specified. If this Temporary Certificate of Occupancy expires,the total amount oft nd may be forfeited and the non-compliance
may result in ane or ment acti
Owner ................. Contractor
Sign
Si nature: .. ... : .... .......Date: .... . ........ Si nature:
.. ............. . ...........................Date: .; t8 Za l l
This temporary certificate ensures that all fire protection and life safety systems have been d6pr6leted, inspected,successfully tested and
approved for the spific area of the build' specified above to provide a reasonable degree of safety to the occupants from fire and -
similar emer encie i
Building Official:....... . .... .. .Print:....... ..... ... . ............. !h: ru!.1. .. ..........Date:........ . .. .........
DEPARTMENT ACTION: fter determination, copies to:1)applicant, 2)permit file
TempOccForm_2010.doc revised 05/24/10
TEMPORARY CERTIFICATE OF OCCUPANCY FORM
• COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
GUPERTINO (408)777-3228• FAX(408)777-3333•building(a1cupertino.oro
APN BP#: DATE: PROJECT
�0� �,cl O�'ZQ 3 2 2of VALUATION:
SITE
ADDRESS: /020
OWNER'S NAME: PHONE#:
1—,4g FAX#:
MAILING ADDRESS(if different from site address):
CONTRACTOR: PHONE#: p
FAX#:
CONTACT: PHONE#:
FAX#:
TEMPORARY CERTIFICATE OF OCCUPANCY INFORMATION
BOND TYPE: ❑ SURETY BOND AMOUNT (1%VALUATION �� .70 CODE
❑ CHECK ElCASH BOND OF BOND: 1Kmin-10Kmax) , (BLDBONDSJ EDITION: 20 O
Ov �K�
SPRINKLER jkr'ES SPRINKLERS WYES TCO EXPIRATION
REQD?: [:1NO INSTALLED?: ❑ NO I DATE (30 DAYS): TCO FEE: $255,00 [1TEMPOCCJ
DESCRIPTION OF BUILDING USE AND AREA(S) FOR THIS CERTIFICATE:
USE TYPE OF FLOOR OCC LEVEL COMMENT
CONSTR AREA LOAD
101
CONDITIONS OF COMPLETION (attach additional sheets if necessary):
/LIt'.S'rfXWi17 bOQl2 0I0MrA /y�`./�l GI!/J rJS/els• OP4SYOir
7- D ^/Z .
The undersigned covenant and agree as a condition to the approval of the above request for temporary occupancy to have the building or
buildings complete and in compliance with all building codes,ordinances and regulations a5qeady for inspection prior to the expiration
date specified. If this Temporary Certificate of Occupancy expires,the total amount of th d may be forfeited and the non-compliance
may result in an enforcement action.
Owner Contractor
Signature: .........................................................Date:......................... Signature:... . . ....... .... ...........................Date:.
41
This temporary certificate ensures that all fire protection and life safety systems have been pleted,inspected,successfully tested and
approved for the sp cific area of the building specified above to provide a reasonable degree of safety to the occupants from fire and
similar emer enci
Bidiun O 'p
.............Print: .r ....... .........fi < .......... 3 . �
DEPARTMENT ACTION: After determination, copies to: 1)applicant, 2)permit file
TempOccForm_2010.doc revised 05/24/10
L
#-% WO,ODMONTR �
December 9, 2010
Larry Squarcia
Senior Building Inspector
City of Cupertino
10300 Torre Avenue
Cupertino,CA 95014-3255
RE:Torre Plaza, 10201 Torre Ave.in Cupertino CA, 95014
Dear Mr.Squarcia,
This letter is to confirm that the Building owners of Torre Plaza, 10201 Torre Ave. in Cupertino
CA,95014 are aware and have given Lab126 permission to demolish interiors of the building.
If you have any questions, please contact me anytime.
Sincerely,
Woodmont Real Estate Services
Robert M. Rouse, CPM
President and Managing Agent
Cc: Mark Grieco
Scott Pritchett,WIRES
Christopher Holden, Prudential
Qac
49,
2zp�o Z�
2001 Winward Way,Suite 100 1 San Mateo,CA 94404 •
Tel:650.592.39601 Fax:650.591.4033 1 www.wres.com