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B-2016-3073CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: 22221 MCCLELLAN RD CUPERTINO, CA 95014-4030 (357 06 018) CONTRACTOR: COBE PERMIT NO: B-2016-3073 CONSTRUCTION INC CAMPBELL, CA 95008 OWNER'S NAME: ( CITY OF CUPERTINO) DATE ISSUED: 12/06/2016 OWNER'S PHONE: 408-777-3354 PHONE NO: (408) 371-3400 LICENSEDCONTRACTOR'S I)EcLAgATIoN BUILDING PERMIT INFO: License Class $ Lic. #835122 Contractor COBE CON TRU TION INCDate 03/31/2018 X_ BLDG —ELECT _PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing — M ECH _ RESIDENTIAL X COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: I hereby affirm under penalty of perjury one of the following two declarations: INSTALL FORGE IN BLACKSMITH SHOP FOR PUBLIC DISPLAYS. 1. I have and will maintain a certificate of consent to self -insure for Worker's INSTALL METAL LINER ALONG WALL; CONNECT FORGE TO EXISTING VENT; CERTIFY EXISTING MOTOR PRIOR TO Compensation, as provided for by Section 3700 of the Labor Code, for the OPERATION. performance of the work for which this permit is issued. z. J I have and will maintain Worker's Compensation Insurance, as provided for by j� Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $5000.00 APPLICANT CERTIFICATION I certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize 357 06 018 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. 'Additionally, the applicant understands and will comply with all non -point WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations per the Cupertino Munici 1 Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature -' Q��Date 12/06/2016 Issue LI AN y OWNERAR3LDERDECLARATION Date: 06/✓30.1 I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1. i, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business .& Professions Code). Date: 12/06/2016 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 AI I ROOF COVERINGS TO BE CLASS "A" OR BETTER Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will permit is issued.. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the 3. 1 certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally, should I use equipment or devices which emit hazardous Worker's Compensation laws of California. If, after making this certificate of 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 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 the Health & Safety Code, 'ons 25505, 33, and 1415344, be deemed revoked. , Owner or authorized agent: APPLICANT CERTIFICATION Date: 12/06/2016 1 certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY ENCY correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is ;a construction lending agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this permit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATIONS Code, Section 9.18. 1 understand my plans shall be used as public records. Signature Date 12/06/2016 Licensed Professional CONSTRUCTION PERMIT APPLICATION' COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingft—cupertino.org 1 r O 3 A201 . ALTERATION I TI PROJECT ADDRESS 22221 McClellan Rd. APN# 357-06-018 OwNERNAME City of Cupertino PHONE (408) 777-3354 E-MAM alexa@cupertino.org STREET ADDRESS 10300 Torre Ave. CITY' STATE,ZIP Cupertino, CA 95014 FAX (408) 777-3333 CONTACT NAME Alex Acenas PHONE (408) 777-3232 E-M`Malexa@cupertino.org STREETADDREss 10300 Torre Ave. CITY, STATE, zIP Cupertino, CA 95014 1 FAX (408) 777-3333 ❑ OWNER 0 OWNER -BUILDER OWNERAGENT 0 CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPERS 0 TENANT CONTRACTORNAME COBE Construction LTCENSENUMBER 835122 LICENSE TYPE B BUS. LIC# cOMPANYNAME COBE Construction EMAIL dan@cobeinc.com. FAX STREET ADD" ss 498 Salmar Ave. CI1,B1,1 Campbell, CA 95008 PHONE (408) 371-3400 ARCIIITECTBNGTNEER NAME N/A LICENSE NUMBER BUS. LIC # COMPANY NAME STREET ADDRESS E-MAIL, CITY, STATE, ZIP FAX PHONE DESCRIPTION OF WORK Install metal liner on inside face of external wall (adjacent to existing forge) and associated work EXISTING USE PROPOSED USE - - -- CONSTR. TYPE 1 11 STORIES - - blacksmith shop same V 1 USE TYPE OCC. SQ.FT. VALUATION (S) AREA 529 sf A I oOR 529 sf DEMO na TOTAL 529 sf REMODELAREA na I. REMODELAREA na I REmoDEL AREA na na na na na ❑ATTACH # DWELLING UNITS: - IS A SECOND UNIT ❑ YES. .SECOND STORY []YES - na BEINGADDED? - O ADDITION? VIO , PRE -APPLICATION YES IF YES, PROVIDE COPY OF IS THE BLDG AN[]YES TOTAL VALUATION: PLANNING ADPL # NO PLANNING APPROVAL TETTER EICHLER HOME? O ,�• _ r $5,000 By my signature below, I certify to each of the following: I am the property owner or autho i agent to act on the pxofe er's behalf. I have rea .this application and the information I have provided is correct. I have read the Description of Work and verify it is acc . agree to comply with all applicable local ordinances and state laws relating to building constlnctinn I anthnli— representatives of Cupertino to enter the above -identified property for inspection purposes. ,y Signature of Applicant/Agent:J . Date: 11-8-2016 SUPPLEMENTAL INFORMATION REQUIRED k AN CIiErii� Rnua�IN :sI � ,, •,.,,, — New SFD or Multifamily dwellings: Apply for demolition permit for ❑ © TiILD3NUPiAIv32Pv1Ew existing building(s). Demolition permit is required prior to issuance of building off-THE-CouP7TEK permit for new building. ❑.' FTsRESS l Pi A%TTIIPT xiN, ItEvmw... _Commercial Bldgs; Provide a completed Hazardous Materials Disclosure ❑,' STAND stn '° ❑ =°LIo oma ��.: form if any Hazardous Materials are being used as part of this project. ©oEy, ©zE nEPT Copy of Planning Approval Letter or Meeting with Planning prior to " 'SAMVkYSEWF9iIh}iR CT submittal of Building Permit application. BldgApp 2011.doc revised 06121111 I � \ ® I I \\ O • (E) / BARN 222216 SHED \ / II�� \ 22226E HOSE LENGTH. 55 E) PARKING\--(E)FIRE HVDRAN ROAD / • I I IRE �/ (E) EA E MILK -BARN ,1 , • �\, ' % I 22226E .I a t y 1W / / \ SAFE D4SIERSAL AREA I po \\\ a T (� (E)DRHJKINGFOUNTAIN I //,. / e. 1. .� • (E) 1-6 1 (E)GATHERINGAFEA 2 < EEC ©HELM ' ' • \ 1 PARKING 1 \ (E)SAFE'DISPE. . / 2 \ BLDG AREA SIGNAGE /' / 226D\.y (E)LATH (1' M 1 E /`\ /`\ '' '' u • / • TRUC // \ HOSE LENGTH: 165' __22 / � BIKE RACK � 1. �,' - �.. HOSE LENGTH. 2E) • r 2 % I HOSE LENGTH: TBG \ '\\'\\'��� z6 6 // 11 \ HOSE LENGTH: 156' • E T AC NCE E I -. „'� _�' 4 BLA�FCSMIT SIGN GE��SHOP /. SIDEWALK AT PUBLIC AREA OF WORK RIGHTOFWAY22 UOl� 6"HIGH 11 I ( °BLDG ns 1 11 (� (E) AT E, ISTING BLDGS 1 1 1 NATURE \ E MUSEUM U I RANCH 222268 9y m HOUSE- rA — mAY �/ MAIN ENTRANCE TO � i� / 22226A �'A • THE FACILITY FOR / KEY: ACCES IBLE USE ACCESS RABLE BODIED USE \\\ \ g C ---------- — FIRE HOSE �v�vv • / • _ 11 ACCESSIBLE PATH OF TRAVEL (ALL \/ PATHS LESS THAN 5% SLOPE) �\ \ (E) FIRE HYDRANT HYDROSEEDED AREA \ \ —' / / � Op Ri r _ _�----- --- _ �� -- — — — — — — — / n L) ___ — - -- — i _ __ / � 0 6 6 +6 32K CUPEftTIN0 n 0., O O L O ,C, -/i 01 \ bit"}.s'Ta ED Ly N STAMP DRAWINGTITLEI SITE PLAN DATE: 9/26/2016 DRAWN BY: CHECKED BY: SC ALE' AS NOTED PROJECT x TBEF, 5306 Site Plan stela O _ - AO 8A CEMENT BOARD WITH METAL PLATE LINER. PLATE TO REPLACE METAL HOOD ON(E) FORGE WITH A(N) MIN. 20 GA. SHT. MATCH EXISTING DECOR METAL, PRE -FABRICATED HALF HOOD BY CENTAUR OR EO., CONNECT (N) HOOD TO (E) DBL -WALL FLUE USING DBL -WALL STOVE PIPE AND/OR STOVE ADAPTER WITH DAMPER, BV DURAVENT OR EO. INSTALL (N) HOOD, PIPE AND FITTINGS PER MFR'S INSTRUCTIONS INSTALL SCREEN TYPE SPARK ARRESTOR _!-( CAP ON EXIST, , Blacksmith Shoo Floor Plan RETAIN (E) WO WORKBENCH (E) FORG __0 z I(E) (E) WD C L STATION FIRE EXTINGUISHER BE UPGRAOEOTO (E)EMERGENCY LGHT TO 21.20 -KC (E) FIRE SPRINKLER RISER,SPD O / I I � I (E)ELECTRICAL PANEL RETAIN (E) W1 WORKBENCH —L --- (E) 1/4' (E)1/4' STEEL PLATE OVER WDFLOORAT AREA OF (E) METAL COVERING RETAIN (E) W1 WORKBENCH (E) PULL STATION / �o �l (E) FIRE EXTINGUISHER N J) 0 1 2 11, s— COBETION "12 -lel Bu 1 s 1.1 2 En9lneers CUPERTINO V) w^ I� r�rF� C ^^ O I� �aa�j V O r, W N 2 FLOOR PLAN i6 Al