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04060247 CITY OF CUPERTINO HUILDING DIVISION PERMI CONTRAGT�OR`INFQRMA__ Y ; . _•. BUILDINGADDRESS: PERMIT 'b4060247 OWNER'S NAME: PERMIT ISSUE DATE DURECT CORPORA ME: SANITARY NO. CONTROL NO, ARCHITECDENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH rrr,,,--�� 0 fto I� o u00 LICENSEDCONTRAaudit,CTOR DECLARATION JpbDESCTlt3jtNOA 'I2D 1 hcrchy affirm that 1 am ONTRA under provisions of Chaprer'1(commencing �lrIIIAIldr=iW with Section 70M)of Division 3 oldie Busimis and Professions Code,and my license is inrmlmraeamerreot' TI- -1ST FL. CEILING WALL Z�Fi Licenm Class Lie.M z W Dade Comc ARCHITECTS DECARATIONou UI 20 2004 to_ 1 understand my plans shall no hued as public records u. Professional JyU o v,m< OWNER-BUILDER DECLARATION UU UU (\f\�'--/Z/ I M1crchy affirm Nm 1 am exempt from me Contractor License,Law for the x p a following rsa(Scot on 7031.3.Basiness and Professions Code:Any city Or[..my K m which¢,aims a permit to ennswn,alor,improve,demolish,nr repair any structure prior to its issuance.also mquitcs the applicant for such Permit to Tie a signed statement but he is Horsed Pursmnt 1.the Provisions of the Conmaaur's License Law(Chapter 9 Sq. Ft. Floor Area Valuation n (commencing with Section 90(0)of Division 3 of the B usiness and Professions Cook)or 2494 ce 9 that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 9031.5 by any applicant for a permit subjects the applicant to a civil Penalty of APN Number Occupancy Type not mom than five hupdred dollars($500). 1,as none,of the proper.or my employees with wages as their sole compensation, will do the work,and the atmctute is not imendad or offered for sale(Sec.7064.Business and Professions Code:The Contractor's License Law does not apply to an Owner Of - Required Inspections property who builds or improves thereon,and who does such work himself or through his Own employees,pmvided that such improvements are not intended or offered for sale.If, however.the building or improvement is old within one year of completion,the owner- builder will have the bu,deo of proving that he did not build or improve for purpose of sale.). ;h. ownerofthe proper,am exclusively contracting with licensed conttacmr to cn the project(Sec.7066,Business and Profesdom Cade:)The Conuacmr's Li. ew dos not apply to an owner of propcny who builds or impovm thereon,and ntracts for such pmjecu with a contanor(s)Iicenud pursuant m the Contractor ss ptond,Se. ,B&PCfar thZ DaWORKER'S CO 1PENSATION DECLARATIO I hereb firm under penalty of perjury one of Nc following declaratios: ve and will maintain a Ccnifieare of Consent m sclf-more for Workcr'sComper- as provided for by Section 37W of the Labor Code,for the pertmmmm of the work for which this pe.I,is issued. - ❑1 have and will maintain Worker's Compensation Insurance,as required by Section 37W of the labor Code,for the performance of the work for which this Permit is issucc. My Worker's Comperawaim Insumn¢prier and Policy numM1et am: Cattico Polity No.: ' CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (TMssectism need not he completed if the Permit is intone hundred dollars(SIM) nr IcuJ 1 certify that in the performance of the work for which this permit is hood.1 shall net employ any person in any manor sou to become subject o the Workers'Compensation Laws of California.Date Applicant NOTICE TO APPLICANT:IL after making this Ccnificam of Exemption.you should become mbjea to the Worker's Compensation provisions of the labor Code,you must ` .JO forthwith comply with such promi visions or this pert shall be deemed revoked. Z CONSTRUCTION LENDING AGENCY [—ham I hereby affirm that then is a construction lending agency ln,the Performance of (`$ Ne,work fur which this Patron is issued(Sec.3097.ON.C.) to 0 Lender's Name z lender's Address V C) I cenify Nat 1 have mad this application and Bute that the above inn ono.quit is ly comet.1 agree to comply with all city and county ommancee and sone laws relating to 0 V building construction,and hereby euthorine mposenmivos of this city to enter upon the r L:3 ahovcmentiumd property for inspection putpoxv (_. (Will agree to rove,indemnify and keep humless the City of Cupertino against F'h liabilities.judgments,costs and expenses which may in any way same against saidCity U z rmiL &Y APP41e NT UNDERSTAn D AtN�WILL COMPLY tVITH ALL NON-POI Issued by:,) Date 50 R EGUL ION /J/1/ re'; Re-roofs .naam of Ap IicmUContnnor Dan HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will applicant or future building Occupant store or handle haiesdous material as defined by the Cupertino Municipal Code.Chapter 9,12,and the Health and Safay, Code.Section 25532(a)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yes 96 Will the applicant or future building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit havardous air contaminants as defined by the Bay Arca Air Quality Management all new materials for inspection. DisuicR ❑Yea k I have mad the heard ns marenals requirements under Chapter 6.95 of the Califur- niaHeaithLSafet Code.Stttom 25505,n5,33mJ?5536.1 unJersund thu if Ne,building does non eurtc have a¢nand Nat it ,esponsihility to notify t e socupam of Ne rcyuimmcnu h' mpatbc atpnOr is,a eeof e.rc.warOc`ap Signature of Applicant Date All roof coverings to be Class"B" or better wn Oeror auih `oda c Due CITY OF CUPERTINO "° -*`� BUILDING DIVISION PERMIT ?CONTRAGTORIINFORMATION -,, BUILDING ADDRESS: PERMIT Nab 4 0 6 0 2 4 7 OWNER'S NAME: PERMIT ISSUE DATE SNE: DURECT CORPORATION SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LOo LICENSED CONTRACTOR'S DECLARATION wF I hns ereby airrm Ihat I am licensed under provisions of m Chapter 9(comencing Job Description Zru wild Section IIKspnf Division 3 O NC Business and Pudiessium Cadc.and my license is in full foree and effect. TI--1ST FL. CEILING WALL & DOOR ,ilji License Class Lie.a ^� Dass Onl Cractar ARCHITECTS DECLARATION I undersand my plans shall be used az public records u. � ;LL PT(egahn a1 OWNER-BUILDER DECLARATION L • I hereby alrfm that 1 am acmpt from the Contractors License Law for she s 00 following mason.(Section 7031S.Business and Porit'om Conk:Any city or county K S ff which reel a Pertnil m cnmwm.elm,,improve,demalirh,ar repair any swctum y—m union,its issuance.also requires the applicant for such Permit to file a signed statement rz<' that he is licensed pursuant to the previslonsof the contractors License law(Chapter9Sq.Ft.Floor Area Valuation 2, (commencing wi lh Section 7FOU)of Division 3 of the Business and Professions Code)ser _ that be of exempt Champion,and dee basis for the alleged exemption.Any violation of $2494 Section 7031.5 by any applicant for a permit subjects the appl¢ant to a civil penalty of APN Number Occupancy Type on mare nthan RK hundred doll.(16500). Pane Y YP ❑Lazowncr of the proprny,car my cmploym with wagesaz they sole compensation, will do Newark end theswnum is not intended ororemd forsele(Sec.7014,Business and Professions Cade:The Conlsacmr's License law does not apply to an owner of Required Inspections property who builds or improves thereon.and who doessuch work himself or through his own emplayea,provided thatsuch improwmanrs artoat inmlded oraRered for sale.If. however.Ne building or improvement is Sold within ane year of completion,the owner, builder will have the burden of proving tot he did not baud or improve for paryose of sale.;. C��HALE DD Owner of the pec.704 am exclusively contracting s withlicensed)TheC conwcross w convectIhi SO coes jot apply ba o Business andit,who Wi CWC:)The Contractors rad Li- cense Law docs not apply to an owner or properly who builds or improves Iompn,and. who contnca for such projccu with aconmactor(s)licenxdpursuanuo the Contractors OCT 2 0 2004 Lice z O1 a In and rSe. .B&PCfor Ni reayp 11 f1 111111 O o WORKER'S C01A DECLARADTI D II II II D 1 hereb mm under penalty of perjury one of Ne fallowing declarations: V IIIS I have and will mamusin a Cera fiate of Cmuenuo self-insure for Worker's Compen- sation,as provided for by Section 37M of the labor Code,for the Performance of the work for which Shia permit is issued. rl I have and will maintain Worker's Compensation Insurance,az required by Section 37M ofthe Labor Code.for the performance of the work for which this Permit is issued. My Workers Compensation Insurance carrier and Policy number am: Carrier. Polity No.: , CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the parmil is fortme hundred dollars(SIM) or less.) I CCMfy Nat in the performance o(Ihe work for which this Permit is issued,1 shall net employ any person in any manner an az m become subject to the Workers Compensation Laws of California.Dam Applicant NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should become subject to the Worker's Compensation provisions of the Labor Code,you mut .Jz foMwith comply with such provisions or this permit shall W deemed revoked. z O CONSTRUCTION LENDING AGENCY [-+ Ihereby affirm deal deem is a consuucdnn rending agency for NC performance Of Ca the work for which this permit as issued(Sec.3097.Civ.C.) aQ Lenders Namc 7 z Landers Aderrss U 0 1 certify that I have mad this application and tam Net Ne above information is E-' correct.I agree to comply with all city and county ordinances and soak laws relating to V building construction.and hereby gonOrive representatives of this City OF enter uPnn the LAmove-mentioned ruffianlyposes y for impaction puo C, (We)agree to save,indemnify and keep harmless Ne City of Cupertino against H Tq liabilities.judgments,costs and expenses which may in any way me..against said City V z in can nee of the grand? this permit. '^ APP NT UNDERST D AND WILL COMPLY WITH ALL NON-POI Issued by: Date s0 GUL ION . / Re-roofs naam orA iCd HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will applicant Of future building Occupant store or handle havnrdous material az defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety Cuda,Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed. Yea Will the applicant or future building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove iI havardous air comeminanu az defined by the Bay Area Air Quality Management all new materials for inspection. Disuiel? ❑Yes I have read dee orardousmamrials requirements under Chapter 6.95 of She Caline, nu HcalNRSafet Code,Seedons"505.25 3 and255XIindcrmead Shmifdc Wilding does nil cunt haves tenses that it.' x omibility m noufy the arcupont of the require ants h must he 1pior issou sof eNTicateof0ecup Signa tureofApplicant Date owner ar.pth `eda @ Date All roof coverings to be Class "B" or better C EIRE DEPARTMENT CONTROL NUMBER � SANTA CI.ARA COUNTY �14700 Winchester Blvd., Los Gatos, CA 95030-1818(408) 378-4010 (phone) • (408))378-9342 (fax) PER T NUMBER PLAN CHECK No. REVIEW COMMENTS CODE/SEC. SHEET NO. Th<(011 iwtn C 'CKE �items apply to this rojecr Exi otovg+fi�espiinkler system shall be modified asQgece a y. A Iicensed�,C-16 fire protection contractor shall submit to the fire departmV. sets of shop drawings, a completed permit application and applicable fees fdr revi_,an ,,a, proval, prior to performing work. UFC 1001 Existing fire alarm system shall be modifi dF.as'necessary to accommodate new construction.A licensed fire alarm contractor shall shbmi t to the fire department, 3 sets of shop drawings, a completed permit application, and applicable fees, prior to performing their work. UFC 1001 Tenant shall have access to a minimum of_, 2A10BC minimum rated fire extinguisher(s). Travel distance to nearest extinguisher shall not exceed 75 feet. UFC 1002 Tenant shall have access to one Class "K" type fire extinguisher, within 30 feet of commercial cooking equipments Post sign near"IC"extinguisher noting commercial fire protection system should be activated prior to using the portable fire extinguisher. UFC 1005 Exit doors shall be openable from the inside without the use of any special knowledge or effort. Thumb-turn dead bolts that require more than 1/4 tum to operate are not acceptable. UPC 1207 Exit Illumination: Provide illuminated exit signs. UFC 1212 i Contractor shall field verify the integrity of existing rated construction/assemblies and restore or repair as necessary as part of this work. Penetrations in rated walls/ceilings shall be protected by listed fire rated assemblies (dampers, doors, caulking, fire stopping material etc.). UFC 1111 At time of final inspection, the tenant shall provide to the fire department a labeled emergency access key for placement in the building fire department key box. UFC 902.4 This plan check does not permit the use, storage or dispensing of hazardous materials, operations or waste. The tenant shall provide a completed HMIS to the fire department's hazardous materials specialist for review and comment. Furthermore, a CLOSURE PERMIT is required prior • to terminating the storage of hazardous materials at a permitted storage facility. Demolition of any facility/storage area that previously stored hazardous materials shall not be approved prior to obtaining a CLOSURE PERMIT. APPROVED FOR BUILDING PERMIT ISSUANCE subject to compliance with the above checked comments prior to final inspection. JURIS PLANS SPECS NEW REMODEL AS CONST.D`ESCRIP. BY DATE 1� PAGE C .. � ❑ / ' GC Y� 2 OF SEC./FLO ROCC OCG LOAD ARkA ARCH/ENG/CONTRACTOR/OWNER 7 -76 NAME FACILITY LOCATION Ob �< A California Fire Protection District serving Santa Clara County and the communities of Campbell, Cupertino, Los Altos, Los Altos Hills, Los Gatos,Monte Sereno, Morgan Hill,and Saratoga 1(7g,-v,�5,` CITY OF CUPERTINO (• CUPERTINO CITYOF PERMIT APPLICATION FORM `( � 6 ° 2�7 PN # 3 Date: S 7 zo r z � Building Address: Mailing Address (if different from building address): �O2(oD �7v[aja , Owner's Name: Phone #: g/oL�- 7' / L7Re Z� - - Contractor: License #: Tap Contact: nn . Phone: Cupertino Business License#: Gl S6e4-wood. Fax: Building Permit Info: Bldg Elect ❑ Plumb ❑ Mech ❑ . Job Description: (t) ftoe k, alm, Residential ❑C64 Commercial 54) Sq.Ft. Floor Area: $/Sq.Ft.: FD Cost of Project: � Occupancy Group: Type of Construction: Please check this boTiff the project is a IJ - Nv l( w le second-story addition: ❑ 'roject Size: Standard Lar e ❑ Ma or ❑ ' Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> I OOK to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to IM Btu MECHANICAL BBOILER4 Boiler> 1M 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 <= IOOOA ELECTRICAL BELEC1001 Elec 600V > IOOOA ELECTRICAL BELE 200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 1 of CITY OF CUPERTINO '� aTYOF PERMIT APPLICATION FORM CUPERTINO 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 Pb1g 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 Re eat 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 ofFumace MECHANICAL BREMFURNOV Relo Fumace> l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc 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 Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL w 2 of 3 36:ffl- } WCITY OF CUPERTIN(�o CITY OF PERMIT APPLICATION FORM CUPERTINO Quantity Fee ID Fee Description Fee Group BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREAIVENFAN 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 BS WIM Swimming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanical sq. foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING ZADDCHG Address Chane BUILDING • .2 y 3 of 3