B-2017-0629 CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTINO �408)777-3228•FAX(408)777-3333•buildinq(a�cupertino.orq
❑NEW CQhSI-RL'C'fI[]N ❑ ADDITION ALTERATION/TI ❑ RL:VIS30N 1�EF£RR[D ORIGINAL PERMIT#
PROJECT ADDRESS 1 9333 V8IIC0 PBfICWa�/ ^P"# 316-20-075
OWNERNAME Apple Inc. c/o Eileen Molloy PHONE 408-974-5951 E-MAIL emOIIO a le.com
Y@ PP
STREETADDRESS,� IC1fIflltE LOOp, mailstop 18-DDC C[TY, STATE,ZIP FAX
corrrncT NnME Bryan Carrera, Nterra Group PxoNE408.610.9958 E-MAI`bryan@nterragroup.com
STREET ADDRESS CITY,STA"CE, ZIP FAX
1155 N. First Street, Suite 214 San Jose, CA 95112
❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENC ❑ CONTRACTOR ❑CONTRACTORAGENT ❑ ARCHITEC'C �ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTORNAME Christine Minert LICENSENUMBER 916366 L[CENSETYPE B BUS LIC#
COMPANYNAME Barron Builders E-MAIL cminert@barronbuilders.com F�
STREET ADDRESS C1TY,STATE,ZIP PHONE
415 Clyde Ave, Suite 105 Mountain View, CA 94043 650.964.4493
ARCHITECT/ENGINEER NAME L[CENSE NUMBER BUS L1C#
Matt Benas
coMrar,vNnME Mobile Modular Rents E-MAIL Matt.Benas@mobilemodular.com FAx
STREE"C ADDRESS 5700 L8S POSItBS ROaCj c�TY,s-rnre,ziP Livermore, CA 94551 PHONE 925.453.3122
oescxirrroN oF woxK Installation and operation of temporary modular building and necessary sitework, including flatwork
upgrades for accessibility, underground utility connections and site lighting attached to modular building. The project will
require (1) parking lot light pole and (2)trees to be removed for the period of time the modular building is in use.
tX151 lNG USE PROPOSED USE CONSTR TYPE #STORIES
USE rYPE OCC SQ.FT VALUATION(�)
EXISTG NPW FLOOR DEMO TOTAL
AREA AREA AREA NET AREA
BATHROOM KITC[-�N U I tltl(
REMODEL AREA REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA TOTAL DECK/PORCH AREA CiA1tAGr.4ktt.A: U Ut I ACH
�ATTACH
#DWELLINGUNITS: ISASECONDUNIT QYES SECONDSTORY �YES
BEINGADDED? QNO ADDITIONY '�]NO
PRf-APPLICAT[ON �YES �'YES,PROVIDE COPY OF IS THE BLDG AN �YES RECEIVED BY: TOTAL VALUATION�
PLANNINGAPPL# �NO PLANNINGAPPROVALLETI'ER EICHLERHOME? �NO 300,000
By my signature below,I certify to each ' ' I lo�ti ing: m the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information 1 ro�•i is COrrec I have read the Description of Work and verify it is accurate I agree to comply with all applicable local
ordinances and state laws re1� � g to b ild �� �onstruct n I au orrr.e represerttatives of Cupertino to enter the above-identified property for inspection purposes.
SignatureofApplicanUAgent: � Date: 4/18/17
SUPPLEMENT11}._ .���ORMATION REQUIRED pLANCHECKTYPE ROUTINCSLIP
New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-TH�COUNTER ❑ BO[LDING PLAN REVIEW
existing building(s). Demolition permit is required prior to issuance of building
permit for new building. ❑ Exv�ss ❑ PLANNING PLAN REVIEW
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ sT.vwaxn ❑ eusL�c wox[cs
form if any Hazardous Materials are being used as part of this project. O Lutce ❑ FIRE DEPT
Copy of Planning Approval Letter or Meeting with Planning prior to ❑ �ox ❑ SAIVITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIItONMENTALHEALTH
BldgApp_2011.doc revised 06/21/11