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05050057e« uO0 <oo nOZ ]aU `0 _og o`o =fie —Fc 0� zC yG U C V. OF F� U U'< 4 CITY OF CUPERTINO zt/"'^ s-�71e%-,^, BUILDING DIVISION 1`441T 1 CONTRACTOR`INF.O BUILDING ADDRESS:PERMIT SOUTH BAY CONSTRUCTION CO NO. NC 05050057 'OWNER'S NAME: PERMIT ISSUE DATE ONE: SANITARY c NTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 LICENSED CONTRACTOR'S DECLARATION Job Description I hereby affirm that I am licensed under provixmns of Chapter 9 (commencing with Section 7UM))trf Division Sof NC Buam and Pmfessitrm Codc,and my license is n fullanderrea e Licp TI --B NEW 'OFFICES (INTER.) License . License Cl�I _ Dam Contractor ARCHITECTS DECLARATION 1 understand my plans shall rte tried as public records LisnuJ Pnhfcssinnel OWNER -BUILDER DECLARATION 1 hereby al Gfm that I uampl be GOOlrns C s Law for the Any s an : C Only ]8315. Bussmr. and following Tama 1 Code: Any city sernextum / dconoli or any swcture which etch t improve, do a permit re cu wthe slme i t for such Permit t e a signedr trio!mitsissuance,alsontgoitre the applicant for such Mems'm Gees im issu FL Floor Area Law (Chapter mathmincingwidpursuant Jim ndrnuvwsCmde)r9 Sq. a n tion7(mepm.iaions sion of Code) or (commencing with Section TIDO) Or Division 3 of the Business and... Any Nat he u exempt Ncrclrom and Nc basis for be alleged exemption. Any vinlmion of 3 2A.pT,F, i10p1tlM 0 LfFI3 :Y1`lY"�' Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more Non five hundred dollars (S5p0). 0 1, as owner of the property, or my employees with wages as their mic compensation, Required Inspections will do the work. and the structure Is not intended or offend for sale (Sec. 104x, Business and Professions Code: The Conwctori License Law dors not apply r an owner of propeny who builds or improves thereon. and who does such work himself or through his own employees, provided that such improvements ane not intended are offered for sale. It. however, Ne building or improv rm nt is said within one year of completion, thc owner - builder will have Una burden of proving that he did not build or improve for purpose of sale, I 0 I, as awsar of the property, am c.Cl.aiv.ly contracting with licensed eoriu emrs to construct Ne project (Sec. 711M. Business and Professions Code:) The Co rnef is Li- cense Law docs not apply m an owner of p.,ny who builds m improves Ncmon, and . who contracts for such projects with a contractor(s) licensed pursuant M the COMractm's License Law. 0 1 am exempt under Sec. B & P C for this reason Owner Dare — WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of to following declarations: - 0 I have and will maintain a Cenigcam of Consent to self insum for Workmen Compen- sation, as provided for by Section 37N of Ne Labor Code, for the performance of the work for which his permit is issued. 0 1 have and will maintain Worker's Compcttsation Insurance, as ruluird by Section 3700 of the labor Com. for the psRamemcc, of the work for which this permit is issued. My Worker's Compe�9y,.mn Insurance earticrand Policy nu h m: Cartier. C �s% Policy NO.: CERTIFICATE OF EXEMPTION FROM WORKERS' ' COMPENSATION INSURANCE (This sectima need not hecomplemd if flue permit is forrome h ommol dollars (SILO) nr less.) I cenify thm in the performance of the work for which this permit is issued. 1 shall nut ` employ any contort in any manner so as to become subject o the Workers Compensation Laws of California. Data Applicant NOTICE TO APPLICANT: Ir, after making Nis Cenificate of Exemption, you should ecome subject an the Worker's QOmperean lOn provisions of the Labor Codc. you most forthwith comply with such provisions or this Permit shall be deemed mvnked. CONSTRUCTION LENDING AGENCY I horny affirm that there is a construction lending agency for the performance of ' the work for which this pcnnit is issued (Sec. 3097, Civ. C.) Lendees Name Lenders Address 1 cenify that 1 have read Nis application and sate Nat the all infommmon is ' correct, I agree to comply with all city and county ordinances and state laws relating to building consuuelion. and hereby autharire represenmtives Of this city to enter upon the I above mentioned property for inspcedon purposes. _ (We) agree m save, indemnify and keep harmless the City Of Cupertino against j liabilities,judgments, costs and expenses which may in any way accme against mid City k ' in e_on gtion a of the graming of this permit. P (CANT UNDERSTANDS III��yaaWILL COMPLY WITH ALL ON OINT Issued by: Date SO CE REGULATIONS. /�f / f �—Ac� ( I 0 Re -roofs r marc or Applicant/Commacor Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building Occupant store or handle havallous mmerial as defined by IN, Cupertino Municipal Code. Chapter 9.12. and the Health and Safety w ee, yCat z25532a)70rs ^ ;tr All roofs shall be inspected prior to any roofing material being installed. Y If a roof is installed without first obtaining an inspection, I agree to remove Will the applicamor future building xcupamuu equipment OrJcviccs which emit haiardoes air contaminants as defined by the Bay Arca Air Quality Management all new materials for Inspection. Diutell OYcs ILNu /3� ardus mamrials myuimmentsunder Chapter 6.95 of the Cal Ifor I have mad Ne hvo nia HcaIN &,Sai[coy Code, Sections 25505.25533 and 25x34.1 undcrLand hal if the Wolding �Lq�✓'" S d f cnj,, nave a awns, that it is my rc p�msthmty m mmly hhe Occupant mNe _�%'' 1 e S mqur cots d(hh en must be metPontt issaan ra cerdaca rOxcu ane . 7f Si ature of Applicant Date �� a� Lk y All roof coverings to be Class "B" or better own thno dog Date 08/09/2005 11:27 4089185761 AIR SYSTEMS INC 0 air systems inc. TEST AND AIR BALANCE REPORT APPLE BANDLEY 03 10460 BANDLEY DRIVE CUPERTINO, CA DATE: AIR BALANCE SUPERVISOR: AIR BALANCE TECHNICIAN: PROJECT MANAGER: CONTRACTOR: AIR SYSTEMS, INC. JOB NUMBER: 6/16/2005 RANDY CLARK ALAN WHITMAN RANDY CLARK SONNY TRAN RICHARD BARBARIA PAGE 02 AIR SYSTEMS, INC. 940 REMILLARD COURT SAN JOSE, CA 95122 5283-35 n L.J OB/09/2005 11:27 AK BTUH CC/ HC/RHC CED/CEG CFM CRD /CRG CSD/CSR DNL EA ESP FO FPM GPM HP/BHP HEPA L1, L2, L3 LSD MBH NA NP OA OSA PSI / PSIG PD RA RH RPM RND TF SA SP SWE SWR SWS VD VLF VP 4089185761 AIR SYSTEMS INC ABBREVIATIONS PAGE 03 Area x Constant British Thermal Units Per Hour Cooling Coil / Heating Coil / Reheat Coil Ceiling Exhaust Diffuser / Ceiling Exhaust Grill Cubic Feet Per Minute Ceiling Return Diffuser/ Ceiling Return Grill Ceiling Supply Diffuser / Ceiling Supply Register Data Not Listed Exhaust Air External Static Pressure Full Open (Damper or Valve) Feet Per Minute Gallons Per Minute Horsepower / Brake Horsepower High Efficiency Particulate Air (Filter) Motor Lead Linear Slot Diffuser BTUH x1000 Not Applicable Nameplate Outside Air Pounds Per Square inch / Gauge Pressure Drop Return Air Relative Humidity Revolutions Per Minute Round Thermafuser Supply Air Static Pressure Sidewall Exhaust Sidewall Return Sidewall Supply Volume Damper Vertical Laminar Flow Velocity Pressure • 08/09/2005 11:27 4069185761 AIR SYSTEMS INC PAGE 04 VAV1 1/l/�\\\ /� 1, II air sYsfema Inc. 940 Remillard Court. San Jess, CA 95122 VAV AIR DISTRIBUTION REPORT PROJECT: APPLE COMPUTER BANDLEY 93 SYSTEM: CATS:B✓76/Z006 �- �gILFi/a,al�y��.T�l kl:� ^-ia' '1�'-• aaaaaaa�tll:I9� KCMAKKb: PAGE 01 OF 01 C� 4 SON— CITY OF CUPEkTINO ® CITY OF CUPERTI1* PERMIT APPLICATION FORM APN #Date: 326 - 33 - los ts 5/to (05- Building Building Address: Mailing Address (if different from building address): o OR,2 Owner's Name: Phone #: PP12. Cmnovre,v- 408-`17Y-Lf/l/ Contractor: License #: >c4 ✓STf+uc R`orJ 61i3"-7� Contact: Phone: 4,06 -Cogo% Cupertino Business License#: c ,. 0 Fax: -11 S_T- 56-557 Building Permit Info: Bldg Elect Plumb ❑ Mech X_ Job Description: 8 Jw✓ oc.e„S orTZ , Residential ❑ Commercial JX Sq.Ft. Floor Area: $/Sq.Ft.: I ZZS S F+ Cost of Project: Occupanc Group: �tooU BCONSTAXBQ Type of Construct n: d V14 Please check this box if the project is a h► sqa second -story addition: ❑ Project Size: Standard Large ❑ - Major ❑ BCONSTAXR Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler <= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler> IM to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax - Resi/Mobile BUILDING BELEC1000 Elec 600V <= 1000A ELECTRICAL BELEC1001 Elec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 1 of 3 r i` r L_ IC11-TY-0 CUPERTINO i CITY OF CUPERTL ) PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pblg Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinkler/Backflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain & Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit > 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace > I OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Mise Apparatus ELECTRICAL BREMNRAPP Rem Non -Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Re air/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL 2of3 Fn :IBa. 11; o CUPEkTINO (*Y OF CUPERTINO • PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Seismic Commercial . BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Inspection BUILDING BSWIM - Swimming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING L2 ELECTRIC Electrical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL Z MPERMFEE Mechanicals . foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING PLLONGRNGC Planning LR Comme/ Multi-Fam PLANNING PLLONGRNGR Planning Long Range Residential PLANNING ZADDCHG Address Change BUILDING 3 of 3 r b