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14040165I CI'T'Y OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 10200 S DE ANZA BLVD CONTRACTOR: PERFORMANCE AIR PERMIT NO: 14040165 SERVICE OWNER'S NAME: SEAGATE TECHNOLOGY LLC 350 MATHEW ST DATE ISSUED: 05/15/2014 OWNER'S PHONE: 4088022815 SANTA CLARA, CA 95050 PHONE NO: (408)920 -6170 ❑ LICENSED CONTRACTOR'S DECLARATION License Class �_2 -E) r/� ° Lic.4 33 Contractor N�d,* t A(NC Date s� 1 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 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. 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 in consequence of the granting of this pe mit. Additionally, the applicant understands and will comply with all non -poi source regal bons t Cupertino Municipal Code, Section 9.18. Signature Date C I 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) 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: 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, l 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 JOB DESCRIPTION: RESIDENTIAL [] COMMERCIAL ❑ SEAGATE - REMOVE 3 (E) CHILLER UNITS & REPLACE 2 CHILLER UNITS (ROOF TOP) Sq. Ft Floor Area: Valuation: $240000 APN Number: 36901035.00 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 D S OF PERMIT ISSUANCE OR 180 DAYS FR L ST CALLED INSPECTION. Issued by: Date S' /S - / 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: 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. 1 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, Secti is 25505, 533M25534. Owner or authorized agent: W� " Date: ONSTRUCTIO LENDING 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 Add ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CITE' OF CUPERTINO BUILDING PERMIT INSPECTION CARD BUILDING ADDRESS: 10200 S DE ANZA BLVD CONTRACTOR: PERFORMANCE AIR SERVICE PERN4IT NO: 14040165 OWNER'S NAME: SEAGATE TECHNOLOGY LLC 350 MATHEW ST DATE ISSUED: 05/15/2014 OWN'ER'S PHONE: 4088022815 SANTA CLARA, CA 95050 PHONE NO: (408)920 -6170 iINSPECTIONS DATE INSPECTOR BUILDING PERMIT INTO: BLDG ELECT PLUMB MECH RESIDENTIAL r— COMMERCIAL JOB DESCRIPTION: SEAGATE - REMOVE 3 (E) CHILLER UNITS & REPLACE 2 CHILLER UNITS (ROOF TOP) FOUNDATION /PIERS /H.D.S. I LIFER GROUND PAD /SET BACK -CERT GARAGE SLABS/PREGUNITE POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB UNDERGROUND PLUMBING UNDERGROUND ELECTRICAL DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED UNDERFLOOR PLUMBING M. UNDERFLOOR MECHANICAL WILDLAND URBAN INTERFACE FIRE AREA ERN TO ARRANGE INSPECTION Call 777 -3228 between 7:30 am and 3:30 pm Monday through Friday, at least 24 hours before required inspection. Job address and Permit Numbers are needed when requesting an inspection. CUPERTINO SANITARY DISTRICT Closed circuit video inspection of property line cleanout, point of connection and street lateral required prior to passing FINAL CITY PLUMBING INSPECTION. Call the District (408 - 253 -7071) for an appointment. NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED BUSINESS LICENSES ARE OBTAINED PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. IMPORTANT When a permit has expired, a charge totaling one -half the fees to obtain a new permit must be paid in order to reactivate the permit. If a permit has been expired for more than one year, a charge totaling the full fees to obtain a new permit must be paid to reactivate the permit. ` NOTES: �o`ilea.t �� Qty— �anc�� e.r.eia e!mtc� dA SPECIAL INSPECTIONS Inspector: Date: ROOF INSPECTIONS PRE- INSPECTION: Inspector: Date: TEAR -OFF: Inspector: Date: PLYWOOD: Inspector: Date: BATTENS: Inspector. Date: IN PROGRESS: Inspector: Date: FINAL: Inspector: Date: NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION. OCCUPANCY OF BUILDING NOT PERI4ITTED UNTIL BUILDING FINAL IS SIGNED BY INSPECTOR i UNDERFLOOR ELECTRICAL UNDERFLOOR FRAMING VENTS UNDERFLOOR INSULATION ,PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED. ROOF SHEATHING I ROUGH PLUMBING TUBS &SHOWER PAN ROUGH MECHANICAL ROUGH ELECTRICALMOOL BOND IFRAMING/STAIRS/E. EGRESS INSULATION/VENTILATION COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED EXTERIOR SHEARMOLD DOWN INTERIOR SHEAR/HOLD DOWN SHEETROCK/SHEETROCK SHEAR (EXTERIOR LATH/W- SCREED INTERIOR LATH - - - - .NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED SCRATCH COAT SEWER/WATER T- BAR/MECH/ELECT ABOVE CELL FINALS ELECTRIC METER RELEASE GAS TEST/METER RELEASE GRADE - PUBLIC WORKS FIRE- CALL (408) 378 -4010 PLANNING (408) 777 -3308 SANITARY (408) 253 -7071 ELECTTRICAL MECHANICAL J PLUMBING HANDICAP I ENERGY BUILDING , CERTIFICATE OF OCCUPANCY' CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION 10300 TORRE AVENUE a CUPERTINO, CA 95014 -3255 (408) 777 -3228 a FAX (408) 777 -3333 a buildingPcupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROIECTADDRESS Iorf�O� S`1e 1J �I APN4 OWNER NAME C� NyY� NvWJ"✓� PHO i,�e �/1Z °Z(lli �A'/�e� l�U.i/YW�G q�•CN.v STREETADDRES CITY, STAT�FyZVIP�j q�G�� FAX CONTACT NAME PHONF��0 ?0 31 -�® J L I ��IL �/yyaO[ 7 STREETADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER - BUILDER ❑ OWNER AGENT ❑ CONRACTOR NTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME °��'^ ^ ! ` } LICENSE NUMBER / � 3'S' LICENSE TYPE/' 7 BUS. LIC k � � Z� COMPANY NAME ` I� E MAIL • F �' -[ 20 it q ty � d-�'W C P V � .GW qq Cl l STREET ADDRESS 3SD I q/[ q l f - n- r t1 V ��•J Y" CITY, STATE, ZII� J •( ARCHITECT/ENGINEERNAME LICENSE NUMBER BUS.`LIIC k COMPANY NAME E -MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK � ! • S � ��m`s' V �' °�tl `- ,3 � �� / Z EXISTING USE PROPOSED USE CONSTR TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH ❑ ATTACH 4DWELLINGUNITS: ISASECONDUNIT ❑YES SECONDSTORY ❑YES BEING ADDED? ❑NO ADDITION° ❑NO PRE - APPLICATION ❑ )'ES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES IVED B - �' � TOTAL VALUATION: PLAN11GAPPL11 ❑NO PLANNING APPROVAL LETTER EICHLER HOME° ❑NO .� v 6" By my signature below, I certify to each of the following. I am the property owner or author zed agen ct on the pe v\m is behalf. I have read this application and the information I have rovided is co ect. I have read the Description of Work and verify it is acc ate. gree to comply with all applicable local ordinances and state laws relating to Ilding const ctio . thorize representatives of Cupertino to enter the entifi for inspection purposes. �prroperty Signature of Applicant/Agent: Date: 2 1 SUPPLEMENTAL 0 TION.REQUIRED;; w,. riAvclexTxPE "^ t ,rwz< ry „xouTU.c'si , New SFD or Multifamily dwellings: Apply for demolition permit for ❑ ` existing building(s). Demolition permit is required prior to issuance of building OVER THE-COU NTEA ; Tyr 4BUILDING PLAN REVIEW P 4 permit for new building. E7�PRESS i Ayy ❑ PLAAIYING PliAN RE�9E \V Commercial Bldgs: Provide a completed Hazardous Materials Disclosure F N� 16aX3 I "C { }(l sTANnARDx ' �t ^x { `❑ Puei[cNOiilcs” _ rvl. € _ re: form if any Hazardous Materials are being used as part of this project. _Copy of Planning Approval Letter or Meeting with Planning prior to �s °PDIASOR ❑ submittal of Building Permit application. g r x .•- SANITARY SEwERnISTRrCr` �, v , ❑tENVfRON117ENTAL:HEALTH } . ",,.„ P;. BidgApp_201 Ldoc revised 06/21/11 ;:,e-CA, CITY OF tCUP ERTINO N O / FEE ESTIMATOR OR — BUILDING INN Dff Vff SIO N APPLIANCE / EQUIP TYPE FEE ID QTY UNITS BP FEES Cooling Unit 1MCRAA 2 # $278 TOTALS: $278.00 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 nreliminary information available and are only an estimate. Contact the Dept for addn'l info. FETE ITEMS (Fee Resolution 11 -053 [ff. 711113) ADDRESS: 10200 S DIE ARID BLVD DATE: 0412312014 REVIEWED BY: MELISSA ("1 e"'k APN: 369 01 035 RP #: / (� *VALUATION: $240,000 'PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial Building USE: PENTAMATION FURN /AC PERMIT TYPE: WORK REMOVE 3 E HVAC UNITS & REPLACE 2 ROOF TOP HVAC UNITS SCOPE is APPLIANCE / EQUIP TYPE FEE ID QTY UNITS BP FEES Cooling Unit 1MCRAA 2 # $278 TOTALS: $278.00 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 nreliminary information available and are only an estimate. Contact the Dept for addn'l info. FETE ITEMS (Fee Resolution 11 -053 [ff. 711113) FEE QTY/FE IE MISC ITEMS ("1 e"'k PME Plan Check: $0.00 is PME Unit Fee: $278.00 PME Permit Fee: $47.00 Administrative Fee: 1ADMIN $44.00 Work Without Permit? Yes E) No $0.00 Advun'xx"i Fes: a Travel Documentation Fee: ITRAVDOC $47.00 Strong Motion Fee: 1BSEISMICO $50.40 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $10.00 SUBTOTALS: 1 $476.40 E $0.00 TOTAL FEE: 1 $476.40 Revised: 04/01/2014