The URL can be used to link to this page

14070070-EXPIREDI CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 10460 BUBB RD OWNER'S NAME: M WEST PROPCO X[II LLC OWNER'S PHONE: 4088624575 ❑ LICENSED CONTRACTOR'S DECLARATION License Class Lie. }# 3 le-1 Contractor 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: 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. 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. APPLICANT CERTIFICATION I certify that I 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 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 r gulations p1r th� C (Sije tino Municipal Code, Section 9.18. } i f j Signatur te O q i U A ❑ OWNER- BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: I, 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) 1, 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: 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. 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. 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 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 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. CONTRACTOR: DEVCON PERMIT NO: 14070070 CONSTRUCTION INC 690 GIBRALTAR DR DATE ISSUED: 07/16/2014 MILPITAS, CA 95035 PHONE NO: (408)942 -8200 JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E] APPLE- T.I PREP 49,550 SQ FT Sq. Ft Floor Area: I Valuation: $45000 APN Number: 35720037.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS F ��`F�ALLED INSPECTION. Issued by: Date: 21 � 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 Ap Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 CDde, Chapter 9.12 and the Health &Safety Code, Secti ns 55 , 25533, ai 2 _3 ' 1 J, Owner or authorized agen . Date:_.011 I 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional u ke CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTIAENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPER T INO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • buildingQcupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION S(ALTERATION / TI ❑ REVISION/DEFERRED, ORIGINAL PERl`QIT n PROD- tCT.ADDRE55 1 O V O U (nip. i(J 4PN , V OU'NER NP.ME � P Oh ��. x ^ � � I �91L � I STREET ADDRESS , ,^ f �� CITY, STATE, ZIP ^ FAX CONTACT NAME ^ Qt /� PHOI E E -MAL Q 9w 4O STREET ADDRESS ` ,y 1 / �� / I TAT ZIP G Y 114I&ICA -1 -ZI F?.X+� OIAWER ❑ 01ANT t- BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGEI T ❑ ARCH TECT F- 14G?N'EER ❑ DF.- tTZLOPER ❑ TENANr CONTRA OR . A� � • � I LICENSE A'UMB"R 1 I L10EIdSE T E ` BUS. LiC 9 (' COMP N!N � C Q y) L1 X !X CI ✓ Y W STREET ADDRESS /1 '�kA 1 D/ C i AT P r I P Oh ARCHITcCT/ENGINEER NP ,4E 1 0 C D I I k C) J I e� LICENSE NU1,0ER O O V !/lJC Y�1(A V Y� BUS. LiC COMPAt�YNAME E -MAIL ``_ ��` r� � r m `U 1v� FAX STREET ADDRESS /t ,n V1 Al 15t, TJT „/� J U DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTR TYIF m' STORIES USE TYPE OCC. SQ.FT. I VALUATION (S) EXLSTG NEW FLOOR DEMO TOTAL AREA AREA I AREA NET AREA N OTHER REMODEL REA A REMODEL AREA R= MOD EL AREA I I D O O PORCHAREA DECKAREA T-OTALDECKTORCHAREA GARAGE AREA: DETACH ❑ ATTACH 9 MMLINGUNTITS: IS A S£COND UNIT ❑ YES SECOND STORY ❑YES BEING ADDED? ❑NO ADDITION? ❑NO - - -. nn - - - - - - -- . �'FS -P tOYII)ELOPIOE _ IS�'HE BLDG AN -_ ❑ 1 c5 ' REC>r'I3'ED BY'„ __ .:µ>' - - TO 7AL ION: PUP,.'.'7NGAPPL: ❑NO PL.4?.'NNIGAPPROVALLETTER EICHLERH n4 ? STW- By my signature below, I certify to each ofthe following: I am the property owner or authorized ge t t perry owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to uilding coin ruction. I auth 'ze re es tatives of Cupertino to enter th identifiied property for inspection purposes. Je�above- Signature icant/Agent: Date: of App! SUPPLEMENTA . rFORMATION QUIRED A ! caEC T�PE� _ „rt RoLiimc �L3P New SFD or Multifamily dwellings: Apply for demolition permit for MIN� �T existing building(s). Demolition permit is required prior to issuance of building OVERTF' 1lCOUl\TERv,B7JIIDIAGP]ATPEYSEPJ permit for new building. fliiESS r _T PT :NI�I�GPLi.III =T2EiLE�S' S ?fir Bldgs: Provide a completed Hazardous Materials Disclosure STDARD N7 ruBLlwoRRS _Commercial form if any Hazardous Mat rials are being used as part of this project. *. s t ng Copy of Planning Approval Letter or Meeting With Planning prior to _ submittal of Building Permit a PP lication. JO atr x �i ERr, - .T.zc:E�\IROATIEIQT11iHEA TIi. Bldg 9pp_2011.doc revised 05121/11 DAM FM__7, CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 10460 bubb rd DATE: 07/16/2014 REVIEWED BY: Mendez MISC ITEMS APN: BP #: / D 1 'VALUATION: 1$45,000 PERMIT TYPE: Building Permit $0.00 PLAN CHECK TYPE: Tenant Improvement PRIMARY USE: Commercial Building PENTAMATION PERMIT TYPE: 1TIPRES; WORK a le- t.i prep 49 550 sq ft $0.00 SCOPE NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.. These fees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l in o. FEE ITEMS (Fee Resolution 11 -053 Eff "1!13) FEE QTY /FEE MISC ITEMS Plan Check Fee: $0.00 0 # $417.00 Tenant Improvement Prep ITIPREP Suppl. PC Fee: (j) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning, Fee: $0.00 Select a Non - Residential Building or Structure G 0 Strong Motion Fee: IBSEISMICO $12.60 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00 SUBTOTALS: $14.60 $417.00 TOTAL FEE: 1 $431.60 Revised: 07/10/2014