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15100202CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: 15100202 19319 STEVENS CREEK BLVD (316 20 113) (S C BUILDERS INC) SUNNYVALE, CA 94085 OWNER'S NAME: MAIN STREET AGGREGATOR DATE ISSUED: 03/09/2016 OWNER'S PHONE: 6503441500 PHONE NO: SC BLUDERS LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class 5 Lic, 9767_t96 Contractor ( S C BUILDERS INC) Date 03/0912016y BLDG _ELECT _ PLUNIM MECH RESIDENTIAL COMMERCIAL T 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. JOB DESCRIPTION: MAIN STREET -APPLE (OFFICE 2) - T.I. TO BUILD OUT I hereby affirm under penalty of perjury one of the following two declarations: SHELL - FLOOR 2,3,4 AND HALF OF 1 ST FLOOR - 1. I have and will maintain a certificate of consent to self -insure for Worker's 109,276 S.F. 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 Sq. Ft Floor Area: Valuation: 49000000.00 this permit is issued. APPLICANT CERTLFICATION certify that 1 have read this application and state that the above information is correct. I agree to comply with all city and county APN Number: Occupancy Type: ordinances and state laws relating to building construction, and hereby 316 20 113 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 PERMIT EXPIRES IF WORK IS NOT STARTED expenses which may accrue against said City in consequence of the WITHIN 190 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal 180 DAYS FROM LAST CALLED INSPECTION. Code, Se tiGfkir9.18. ��fZ (+ Issued by: PAUL O'SULLIVAN Signature Date 03/09/2016 Date: 03/09/2016 W —OMMR-BUIELD'ER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: All roofs shall he inspected prior to any roofing material being installed. If a roof is following two reasons: installed without first obtaining an inspection, I agree to remove all new materials for 1. I, as owner of the property, or my employees with wages as their sole inspection. compensation, will do the work, and the structure is not intended or offered for sale (See,7044, Business & Professions Code) Signature of Applicant: 2. I, as owner of the property, am exclusively contracting with licensed Date: 03109/201 6 contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATI=RIALS DISCLOSURE performance of the work for whicb this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the 3. I have and will maintain Worker's Compensation Insurance, as provided for California Health & Safety Code, Sections 25505, 25533, and 25534. I will by Section 3700 of the Labor Code, for the performance of the work for which maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the this permit is issued. Health & Safety Code, Section 25532(a) should I store or handle hazardous 3. I certify that in the performance of the work for which this permit is issued, I material, Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the 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 Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Coections 25 5, 25533, and 25534. T Labor Code, I must forthwith complywith such provisions or this permit shall Owner or authorized agent: be deemed revoked. Date: 03/09/2016 APPLICANT CERTIFICATION CONSTRUCT ND AGENCY certify that I have read this application and state that the above information is I hereby affirm that there is a construction lendi agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit Is Issued (Sec. 30 , Civ C.) relating to building construction, and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property far inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant ARCHITECT'S DECLARATION understands and will comply with all non -point source regulations per the I understand my plans shall be used as public records. Cupertino Municipal Code, Section 9.18. Licensed Professional Signature Date 03/09/2016 CITY OF CUPERTINO BUILDING PERMIT 13UILDINGADDPESS: CONTRACTOR: PERMIT NO: 15100202 19319 STEVENS CREEK BLVD (316 20 113) S C BUILDERS INC SUNNYVALE, CA 94085 OWNER'S NAME: MAIN STREET AGGREGATOR OWNER'S PHONE: 408-725-0370 LICENSED COI LT_RACTOR'S DECLARATION License Class GENERAL BUILDING CONTRACTOR Lie. #767196 Contractor S C RUILDERSINC Date 08131!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. a. I have and will maintain Worker's Compensation Insurance, as provided for by fl Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 -paint source regulations per the Cupertino Municipal Code, Section 9.16. Signature Date 03/15/16 ISSUED: 03 10912 0 1 6 NO: (408) 328.0688 BUILDING PERMIT INFO: —BLDG —ELECT —PLUM MECH RESIDENTIAL COMMERCIAL JOB DESCRIPTION: MAIN STREET - APPLE (OFFICE 2) - T.I. TO BUILD OUT SHELL - FLOOR 2,3,4 AND HALF OF I ST FLOOR - 109,276 S.F. Re. tort-#j+�Strpctural-steel.fdi'iii6vable:paiisigns and'stnictival,, j t Yr = x 1 andi�taeor ejCiiipmnt-.on>jirstfloor.tissued;315=1-6�? 4 Sq. Ft Floor Area: I Valuation: $8000000.00 APN Number: Occupancy Type: 31620 113 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN I80 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Sean Hatch 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 prier to any roofing material being installed Ila 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: 03/15/16 I hereby affirm under penalty of perjury one of the following three declarations'.ALI ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 permit is issued. 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 became subject to the Worker's Compensation laws of California. If, after malting 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 CERTiFLCATION 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. Signature Date 03115/16 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.I2 and the Health & Safety Code, Section 25532(a) should I stare 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 Cade, Sectio 505, 25533, and 25534. Owner or authorized agent: Q2�� Date: 03/15/16 CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (See. 3097, Civ C.) tender's Name Lender's Address ARCHITECT'S DECLARATION understand my plans shall be used as public records. Licensed Professional V_L- 1Z, CUPERTINO CONSTRUCTION PERMIT APPLICATION JE;10%eg, COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinclO cugerlino.ora D NEW CONSTRUCTION ❑ ADDITION ALTERATION/7 ❑ REVISION /DEFERRED ORSCHNAL PERMIT ,u. - PRO]ECf aDDRE55 I APR+I � 316O TIM S T J EN -S c.0 Uvp 4 113 A'GD0 140N>: �95� . � l soa OWNERNAMP MA N S -[06L -J CUPe( _(IIV0 A-(ACLF-r( II B -MAIL STREET ADDRESS * p,aZ 5AN O H W- 9D jW c m s � N L8 FAx CONTACT NA)fM VANSSSPt PH B 4oe G144InJ V .cert STREET ADDRESS 1 NFlN+ _ �� r 4'`.. CITY, STATc ZIP UIP�r�+�. So FAX VANE% R OWMM-BUILDER - X0�1.RAGENT ❑ CONTRACTOR ❑ CON-TR.AC OILAGENT ❑ ARCHITECT ❑ E rD� .R. ❑ DLVELAPER ❑ TENANT CONTRACTORNAME LICEd.TSENIAIGER k A 'LET LLCETSETYPE BUS. LIC f 60WANY R TAI+,,c 1 �E SG �y E > ]L TAS L0 SIF 5G a �U116p�RS �NG.0 FAX STREET ADDRESS `) l o 11LOL PSON ?Lftt.E CITY, STATE, ZIP NYJ,�}c.C.0 PHONE 45.ob95°v ARMTrECT/ENGTNEERNA14E 1�aV1� Com^ �ryo LICENSENUMBER15��� BUS,LTC9 CtJbIPANYNATiE STVlDIOS t•�{lL7lF"r*�(�1�P.Er E-MAIL FAX STA.EETaDDRESS A 5; JJQW+4Vq C, -r. STC '"017 Cv CITY' STATE, ° 41 os PHOTIIE Cj DESCRIPTION OF WORK •rk PAri` DD -.T EXISTII.'G USE PROPOSER? USE CONSTR TYPE I STOPIEs p t~iGC Usfi' TYPE OCC, SQ.FT. VALUATION (5) EXISTG AREA NEW FLOOR AREA DEMO AREA TOTAL IdEf AREA I 109! n �, I -- - BATHROOM KITCHEN OTHER REMODFLARFA REMCDEL.AREA REMODEL AREA PORCH AREA PECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: LJ DETACH ❑ ATTACI.'. m DWELLING UNITS: 15 A $ECOTp IINrr Q YES S£COND STORY []YES BEINGADDEDP E] NO AMMON? ❑NO $rDGarcoo PRE -APPLICATION ❑ YES ¢' YES, FROMM COPY OF PLANNINGAPPL�- PLANATAGAPPROVAL L_E= I5 THE BLDG AN ❑ YES EICHLERHOASET OTAL VALUATION; L]NO ❑ts'O By my signature below, I certify to each cf the follo%wing: I am the property owner or authorized agent to act on the property 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 iocal ordinances and state Iaws relating to building o strucjn. I authorize representatives of Cupertino to enter the abov-identified property for inspection purposes. Si_naturecfApplicandAgcnt: Date: 10 [u" uts SUPPLEMENTAL MPOR.MATION REQUIREDY— ' New SFJ] or Multifamily d%vellings: Apply for demolition permit for �co i� � � i�� pL�iri��,- eaistina buildings . Demolition permit is re uired prior to issuance of building = b() P 4 _ �Et Wen. - permit for new building• xPss L}'P ' Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ae tva,-ew•�� ,•a r` h*'f a`?c _ rrn£��Rn ILzv>�xS - 1 s foT-m if any Hazardous Materials are being used as part of this project. � �' , _ Copy of Planning Approval Letter or Meeting with Planning prior to , M 1-1y3�7it7q� 0-- NO submittal of Building Permit application. - SATP DI - iTA7skY sE s S • `4 � �-`�r'..��'n�,E.,.e��:;.s'?�`�'� i�'.'� �7�Iy'YIROI�`M$1�I;4L iiEAliTlis ? �° BIdg,4pp_20II. doc revised 06/21/11 CONSTRUCTION PERMIT APPLICATION COMMUNITY 10300 ORRE AVENUE -CUP R7WO, CA 95014 -ENT DEPARTMENT - 3255 5 991ON O# (408) 777-3228 • FAX (408) 777-3333 • building(?1cupertino.org ❑ NFW CONTSTRUCTION ❑ ADDITION ❑ ALTERATION 1 TI REVISIO ORIGINAL PER?vIIT 4 15'100= PROJECT ADDRESS lot31L I � v �_ t �2 %w APN r lw OA'NERNAME PHD)\TI E-MAIL AlN Sqg*-& 1 EtzTWo L{ $. ZS n �1 -�Ckto t -L -C a STRE .ADDRESS CITY, STATE, ZIP FAX 50 0 VA;-�-t-o �', GU fro 5'a 1+ CONTACT NAME PHONE E-MAIL C�TLIS+UU�EZ (756 . J-30. o STREET ADDRESS CITY, STATE, ZIP sursNWALe FF ❑ O1,WNER ❑ OWNTER-BUILDER ❑ OwNTRAGENrr XCONTRACTOR ❑ CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LIC SE"LICEN TYPE BUS. LIC # g G U I �-D `�� }l � � COMPANY NAME E-MAIL sch�; l dcrx t�� FAX u I LpW- _berw+d .CAA STREET ADDRESS .CITY, STATE, ZIP PHONE O 0 b rJ rwi&E %rJNY0 ti 4011 0 • 0 . C) ARCHITECTIENGLNEER NAME LICENSE NUMBER BUS. LSC R 55EuoicrA ru,k c T CO ANY NAME VI f-1 C049% VlArJ E-MAIL S IAN s"iu- . "PA FAX STREET ADDRESS CITY, STATE, ZIP ��r7 PHONE #- u1�t�P ui7E c 1c .�"�2-• r�►a83 DESCRIPTION OF WORK D S�T�eL Ates r �Ls 5-�,C !_ 17�}1L,& � tG,� p CA -L•5 F0 'As ii Let, a PDX . `C ly L� LS yz_ tL,33 u -&T DN 6P- f3rtf EXISTING USE PROPOSEDUSE CONSTRTI-PE 4STORIES USE TYPE OCC. SQ.FT. VALUATION (5) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NT -T AREA 5 r Oo o BATHROOM KITCHEN OTHER REMODEL.AREA REMODELAREA REMODELAREA PORCH AREA ➢ECK P.REA TOTAL DECK/PORCH AREA GARAGE AREA: LJ DETACH ❑ ATTACH t, DWELLING UNITS: ISA SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? ❑NO ADDITION? E] 1"o PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ -I-ES i RECEIVE ", �' '; �� ;, `d; TOTAL VALUATION: PLANFNUNGAPPL T ❑ No PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO "➢"' ; ' 9 < t �'4 By my signature below, I certify to each of the following: I am the property owner or amhorized agent to act on the property owner's behalf. I have read this application and the information I have provide4 is correct. I have read the Description of Work and verify it is accurate. I agree to comply �vitl1 all applicable local ordinances and state laws relating to i1diM nstruction. I authorize representatives of Cupertino to enter the above -identified property, for inspection purposes. i Signature of Applicant/Agent:--L Date: 03 `tm (0 SUPPLEMENTAL IN'FORMTION REQUIRED EL�I��1IECItI7PEa -�+ 4sw�^,t' i", OA EI2 THE CO [i\xER *3 xT s SUILDI\ G Pi AR REQ IEI�! a z 7�eSFD or Multifamily dwellings: Apply for demolition permit for T1i r existing building s). Demolition permit is required prior to issuance of building tPermifor newbuild ing PI A]S REQ zLA\\ZlG ;t"xrb1,"t e'Lr4 IEt6'; �,Y�g"'fl"„`'"g CommercialBldgs: Provide a completed hazardous Materials Disclosure ❑ STANDaIRD€ � �_ � � t Ep[iBLIc3v oxl.s � � { _ g form if any hazardous Matel7als are beim used as part of this project. � 's+_©bARG Ep.0-'ifa li P �F'IRE DEPTIv Copy of Planning Approval Letter or Meeting with Planning prior to PP o anna _ submittal of Building Pelmit application. � x 0 sA�IT: R� sE«ERDlsxiucT �'" , :❑ E\� IRO\ ♦2ENI AL HEALTH < :�r BldgApp_3011.doc revised 06/31111 CITY OF CUPERTINO 15100&w. I►Y.I FEE ESTIMATOR - BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 19319 Stevens Crk Blvd DATE: 10/26/2015 REVIEWED BY: PAUL_ �yPC FEE ID APN: 316 20 113 BP#: *VALUATION: 1$8,000,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY USE: Commercial BuildingT r TIPLNCK PENTAMATION PERMIT TYPE: 1 B TA WORK Main Street - Apple Office 2 - T.I. to build out Shell - Floor 2,3,4 and Half of 1st Floor - 109,276 S.f. SCOPE 0,0 OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA _�a s.f.P 144;i. EES �yPC FEE ID BP FEES BP FEE ID B (Tenant improvements) 11-B,111-B,IV,V-B 109,27654y;' ' $12,408.55 r TIPLNCK $44,082.69 1BT11NEP Blec. Imp. Fee: Suppl. Insp. Fee @ Reg. 0 OT 0,0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Causlruction Tax-: Administrative Fee: Q Work Without Permit? Yes Q No $0,00 Advanced Planning Fee: TOTALS: 109,276 $12,408.55 $44,082.69 $2,240.00 MECH, HOURLY Q Yes Q No PLUMB, HOURLY 0 Yes (D No ELEC, HOURLY 0 Yes Q No Atech, Flan Check PhImb. Plan Check P.3ec•. I'lan Check rttech. 1'enuit Fere: 1 ijmb. Pe:rmil Fee: FIeC Pernur Fee Orher r11ec•h. Insp.E17- Orlrer Plumb ImpE1__L_ 011ier Elec. Insp. illech. hasp, lice Phimb. hcsp. Fee: Blec. Imp. Fee: NOTE. This estimate does not include fees due to other Departments (Ie. Planning, Public Works, Fire, Sanitary Server District, School District. etc.). These fees are based on the prelindnary information available and are only an estimate" Contact the Dept for addn'l into. FEE ITEMS 6 ee Resolution 11-053 C . 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $12,408.55 Select a Mise Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 PME PIan Check: $0,00 Permit Fee: $44,082.69 Suppl. Insp. Fee @ Reg. 0 OT 0,0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Causlruction Tax-: Administrative Fee: Q Work Without Permit? Yes Q No $0,00 Advanced Planning Fee: $0,00 Select a Non -Residential Q Building or Structure o Trcnwl Documentation Fees: Strong Motion Fee: IBSEISMICO $2,240.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $320.00 SUBTOTALS: 59,051.24 $0.00 TOTAL FEE: 1 $59,051.24 Revised: 1010112015 CUPERTINO -Ij �n GSd-9Wa - 735-6 CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95011-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: N S PERMIT # 1 1 5 I 6c) z-02- o2OWNER'S OWNER'SNAME: PHONE # D 2 GENERAL CONTRACTOR: �l.�tt, A1C , BUSINESS LICENSE # -,?40-7-A ADDRESS: 0 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 INSPECTIONS) 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 Please check applicable subcontractors and complete the following information: Date V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork M S ��t1 33 35 Cement Finishing Electrical s 2— j -7 �- Excavation Fencing Flooring /Carpeting X 9 - Linoleum / Wood Glass / Glazing[ j� Heating Insulation ] 3 y�- Landscaping Lathing Masonry Painting/ Wallpaper AeAV4V '64kA, aS Paving Plastering Plumbing I1 w o, Roofing p Septic Tank Sheet Metal I e .l/ - 2 (o p Sheet Rock MMKIUM070? f� Tile LAN-gA tL..F 25 l 2 L�- Owner / 03� 2a[ (0 Date ! Q