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B-2016-1160CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19319 STEVENS CREEK BLVD CUPERTINO, CA 95014 (316 20 113) OWNER'S NAME: MAIN STREET CUPERTINO AGGREGATOR LLC OWNER'S PHONE: LICENSED CONTRACTOR'S DECLARATION License Class GENERAL BUILDING CONTRACTOR Lic. #767196 Contractor S C BUILDERS INC Date 08/31/2017 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 I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City inconsequenceof 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/3 29/16 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 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. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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. 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 pennit 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 I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 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 3/29/16 CONTRACTOR: PERMIT NO: B-2016-1160 S C BUILDERS INC SUNNYVALE, CA 94085 DATE ISSUED: 03/29/2016 PHONE NO: (408) 328-0688 BUILDING PERMIT INFO: X BLDG X ELECT —PLUMB MECH RESIDENTIAL X COMMERCIAL JOB DESCRIPTION: Installation of generator and enclosure behind Apple Building 1. Sq. Ft Floor Area: Valuation: $75000.00 APN Number: Occupancy Type. 31620 113 A (Tenant Improvements) PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Sean Hatch RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant:: Date:/3 29/16 'COVERINGS TO BE CLASS "A" OR HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9,12 and the Health & Safety Code, Sections 2 5 5, 25533, and 25534. Owner or authorized agent: C Date: 3/29/16 CONSTRUCTION LENDIN� AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professic CUPERTINO, CONSTRUCTION PERMIT APPLICATION COMYIM 7y ID EVE LOR1k4cNT Dr;anR T h/iEN i . BUILDING DIVISION 10300 T ORRE AVENUE • CUPiERTINO, CA 95014-3255 (400)777-3228. FAX (408) 777-3333 - bUlld'hipa.cuperi1110.0rq ALTE? kT10Wj fi U RE*vuzjcN i r):uERl�.7 ROJECf fS�DPESS � f.Pld m n w=,,129 sAn umth m 10 OIS. GNI—'T PER -1y 11 4 DES010T1014OF WORK - lIJ$iLi 'ttr3�_ Gt N�WtTc�� GIQ(.L&SULr" FS.'3S7 CUSS� PRO>DS-ED CONSTR YPfi E `STORMS j OV.?icRTiA1J� 93o1r 1 = rrR.rL l^ SiPPEi hBDPtSS CE Y, STATc,Zip gA.X CO1fTACT Niuvfs '+ s Mail. i0kc $. (v3� Vc.�o W 4NetsA - CHOW "'46. STREET i AU SS � F dvl at LiteGl CPPS , STA— �, Z P P+G L4t N 0' CA q50 $'i` FAX moi'-:10N'hiR ❑. ON'1+=P.•BLTII.b`�ti ' ❑ 0HT"2i AC --_WT ❑ COA'r.AkcTOR ❑'CO1t-17_+C-101 T ❑ A.Sm,=_CT Q.ir1Gi ❑ D-=\'7L0n2X ❑ a_1,AR"P COkit�AC dRk�A1J^ - I LIC 1hSsh'U12s it LICT$ 7YFo BUS. L 4 CO1.�iPAkY 1�}��c %gL. viz�E�'s I ?h<AfL G��YP'I/ILL��O SG�IA61�i.@.Y,$�`YtL-caw FA.'{ STlMETADDRESsa cr,Y s, �, ,�::� epsa PFidlI- 46� ?fI$ 0 6$8 A- ?I _j cG'rTckaD4FRNAl✓� L1cU.s_>*r�?��R , 3La , 1C COWANY a a•, _' �. ,%9_MA�u B-1✓,. sL FAX STF.PcT I-XiM`^ 55q,� - i til S y CT1, 6TAT'r; ZIP IF',- f s �4�� 41s . �✓�` DES010T1014OF WORK - lIJ$iLi 'ttr3�_ Gt N�WtTc�� GIQ(.L&SULr" FS.'3S7 CUSS� PRO>DS-ED CONSTR YPfi E `STORMS j J � USE I MIE OCC, S¢.FT. I YALUATIOINI (5) R=M VMW FL00% D=t.O TOTAL BATu�t00M ICFfCI•LFAi I OTr .R .— R"1J,ODEL IM40DEL AREA I - � � PORCH AREA DECYA%aA TOTA.1-DECi r?ORQ4A.t1 A j D RACEA.R.h: D�•fC13 {. ©AiTACY I` ( .i. 1 SDN LI.I�CiieisS: j isASECOND mrr 0YS SECOND STORY ❑1c5 k 4 I BMG ADD B? 1Y0}9DITION, ihD Ij I fl+ PR_.3°Pi.ICAT10[:] 13S r 1..S, PRMr1DB COPY Or I is i eZ BLD G AN ❑ 1:S PLf 1+Tl10.4xP>,m ❑1.0 ?LfA'h GF3PR0V}.LI.�t—ir-t IJ ETCHURSOME1 ©vo yc�_,7 t. a�� r Mm W. rte.- _ .'. 3 _ � TTA? VALUATIOM I3•y my sigma re befow, I ce ti j to each ai the ;alio~; ink; I zrn t?,e proper y ot; ru or euhor;zed a_ nt to Pct on zhe properly own : s behalf. I have read this application and the inform atinn I have provided is co, , I ?live read the Description of lWark and verij+ it is accr_rate I aerea to •comply -with all applicable local ordirarces and state lays -10 buil n ca istro . I a-thorize repre— eant_tives'of Duperdno to enter the above -identified prope,,y for inpecdon purposes. Si�nahrcofApplicant/Agent:Oi is jj )Joie _K �._�._��=.� -- =ms's``-•„=�-,:O_L;TL�G -`�� - _ New �C 1f:t1`i �•-x• ina' - - -�_�� ��17 0r .t_t -r.t uLily d:� e1L_.��: Apply s"ar d�moli osr pe rif for MID;4.-h,-- __ 4_ x i,vf� F i D- i _ i r } •�S x25Gk7LE3�DLAGPT�A'� -S CXistiP.S builG.D� S , Dernolit_on it .S r 01�.',.. prior't0 issiiimob 01 bt?ildmig - pe., :it _or nett bu Idi1?g•—�r,�a't�.. COP.'mercizl, Bides; S rov-4da 2CciraDjEi d Hpza dcijs lti- s .rials Dise'los'm DO�, r' ->•= �� - � T form ifany Hszudous Materials GL bring us - -d es _Gert o"fthis Doject,1i SHE Copy Of P)ammning fS.D}ri0Y c3 eller Dr ?\/eetirg i�'ir. ] i�lu_Y iTs Dr -Or i0 sub=::ittal ofBt?ildirgi'e:mit application.=�R Bla'a,!_na_?pll, u'oc revised D6/2]/11 SC .11��ERS r September 29, 2016 City of Cupertino Department of Community Development 10300 Torre Avenue, Cupertino, CA 95014 Attn: Division Manager, Inspection Services RE: Reactivate Building Permit Apple VP04 - 19319 Stevens Creek Boulevard Permit B-2016-1160 To whom it may concern We are requesting that the building permit noted above be re -activated. The reason for the delay to schedule any further inspections was due to approval from the BAAQMD (Bay Area Air Quality Management District) to land the permanent generator, which was granted on August 03, 2016. Consequently, we are now ready to schedule for building final. Please contact me should you have questions regarding this letter. Sincerely, Cesar Bermudez SC BUILDERS, Inc. Cesar Bermudez Project Engineer SC Builders, Inc. Ph. 650-730-0730 cbennudez@scbuildersinc.com