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05010120A CITY OF CUP IZTIIR0 .'Ts 3�*A' CTiM17O•R- �EM.$Nii BUILDINGDIVISIONC9r L 4,- BUILDING ADDRESS: PERMI F N00 5 01012 0 001 N DE ANZA BLVD # ' (,no- F.R'SNAME: PERMIT ISSUE DATE UNITED NATIONAL BANK I'l1c,`aU 6o1XlZ(w6- RI). A 01/20/2005 PHONE: n'�y pf ^l� •�/\ att�a/ /�i..KZV/'`t/ l�•/_QQ_ (Yet SANITARY NO. CONTROL NO. ARCHIS-CTIENGINCER: BUILDING PERMIT INFO U•�Dw <: .-sops. v G�Q'(J � BLDG ELECT PLUMB MECII 0 0 0 o f LICENSF,p CONTRACTOR'S DECLARATION Job DeSCTIPIIO❑ 1 hereby affirm that 1 am lianacd under provisions or Chapter 9 (commencing - with Section 7lHAp oI DiAacm 3o1 do Business.. P�ro�fe�ssions Coae.and my licenx is in full force and erre... — TI --RELOCATE NON-BEARING WALL/ADD ATM utt.sa elgaa _ Lie. a Date-. � Contra 1, a RELOCATE OUTLETS (16 ) ARCHITECTS DECLA A ON ��� CONTRACTOR: ROYAL CONSTRUCTION CORP. 1 \ ndcrsanJ my ansshsll ✓xd as public medics Lu— Profcasonal OWNER—BUILDER DECLARATION 1 hereby affirm I am exempt from Nc Cosion; CLaw for the Any city follomy reaso nd and imu Code: c manly reason. (Sana. ]l13 LS demolish.orAny ct sinus ve which myunsur a permit toe alma imprrsu pair any structure which re s ch Perttfie ors the, Nese Law(Chapt [nf that Pionosscensed e. also pursuantto the lhovisio antsof for Contractor's the iSan,with Sq. Ft. Floor Area Valuation iitpSei,iutnaaheprDwinetanf (cimeBusimriuimnxtaw(,Code)rY tram wit Code) and m olal.n r nflna Bnsineas ma on. $24305 ' of I fhit he h exempt mcmf.nm and Inc basis for the alleged exemption. Any vinlalinn of a is exempt Eardrums Any vi - APN Number Occupancy Type Section 7031.5 by any applicant Or a pens it subjects the applicant to a civil penalty of not more elan five hundred Italian (S50(H. ❑ I, as owner of the'nomeny, or my employees witr, wage, as their auto compensation, , Required Inspections , ill do he work, end RO amuclu , is not intended.. offered froml, see. 71144, Business ane Pmo i.na Code: The Contractor's License Law docs not apply to an owner of does m through proves thereon. and who ,mothwoo no of cmvloyccs, vmvidca Nat such improvemena ere not imm�eed m oRemd farmlc.lf. ei- however. in onesuchyear completion. ud owner - g or improve is sold within one year of completion. the is M1uilder . Ne building m den pose of builder will hese the hurtle. of proving Nat he did not Wild or improve for purpose of builder of praying sale.). 1, as owner of the pmpeny, exclusively confessions licensed contractors const mm the project (Sec. ]064, Bus em and Professions ves i . B Ch ds or improves themon, n come teen owner of property who seoldsorimproves Ihemon,and nntrdocsnotapply whocontractsLaw, for such projccu with a comm�or(s) loaned pursuant to the Contraaorx License Law.. 1 am exempt antler Sec. . B & P C for His rcazon ncr Date f1� ��JJ WORKER'S COMPENSATION DECLARATION I hereby aRrm under Penally of perjury me or the fallowing declarations: ❑ 1 have and will maintain a Ceni icatc of Consent to self-insum for Worley sCompch satin, he provided for by Salina 37W Of the labor Code. for the performance of the work for which this Permit is issued. ❑ 1 have and will maintain Wmkcrei Compensation Insurance, as required by Section 37W of NC " W r Coed. For One performance Or the work for which this pemtil is issued. My Workers CompensationClasurance carrier and Policy o m `C'" Cartier: S�6sTIG r (1�t{'� Policy NO: S, CERTIF IC Tse EOF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (rah xnion neva not W cdnPlcmIt Rile permit is fnr one M1une¢a enllars(3100) ones:.) I eeniry Thal in the perfu ma.. of the work for which this pronor is issued. I shall nil employ any person in any manner set as m Wcume subject in the Workars' Compensation Laws of California Dam APPlieant NOTICE TO APPLICANT: IL after making this Can Raine of Exemption, you should become subject to the worker's Compensation provisions Of the Ulam Code. you must ' forthwith comply with such promo.: Or this permit shall W deemed revoked. i CONSTRUCTION LENDINGAGENCV 1 horny thi that mere is lending agency for Inc perfurmanee of which ' he work for whim this permit is issued (Sec.3(197, Civ. C.) s ed (Sce.30 tenders Name Under's Address 1 certify that 1 have read this application and slink that the above information is come". 1 me m comply with all city and county ordinances of ane slate laws irg 1. L rupons auNorismoses. live Of this eirymenmr upon lM above abovengcommunist,tioneand for ins ertysave for inspection (we) ,m I. keepho (We) acme m cast, nod as re and keep M1ay in an the City of Cupertino against IiabilitiuilueneOfLhe granting cx penes which may in any way alma againslxoie City / naonxquNT of thegranting of this permit. ' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT Issued by:9 Date OUR EREGULATIONS. C2� 0,(— Re -roofs Type of Roof siglinaturc of Apprnnl/COmmsior li,a¢ HAZARDOUS MATERIALS DISCLOSURE Will the applicant Lir future building occupant store or handle bmareuu, material defined by the Cupenino Municipal, Code. Chapter 9. 12, and the Health and Safety IC, semen 25532h37 All roofs shall be inspected to an roofing material bei. Installed. ❑Yea ❑Nn , prior P P Y S P> If a roof is installed without first obtaining an inspection, I agree to remove Will tina applicant or future building Occupant use ,uipmant or devices which mil he ... dous air ommmtnanm as dermad by the Bay Arca Air Quality Management all new materials for inspection. District? ❑Yes ON. I have mad the hanrdome materials requirements under Chapter G95 of the Califor. his Health K Surety Code, Sections 255)5.25533 and 25534.1 undersand that if Ice Wilding does not currently have a tenant, than it is my responsihit it, les Into 1, fine occupant of he yesit lank: wh hmeal he met pdor to issuance of a Camlcate of Occupancy. T Signature of Applicant Date All roof coverings to be Class "B" or better. 'i Ownaroroulaodv.edideal D,e 0 • Item 1 of 1. CITY OF CUPERTINO 1021.0 owin[8100 iY Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 32634074.00 Ii OPERATOR: conniew COPY # : 3 DATE ISSUED.......: 01/20/2005 RECEIPT #•........: 28332 REFERENCE ID # ...: 05010120 SITE ADDRESS .....: 10001 N DE ANZA BLVD # 101 SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... • OWNER ............: UNITED NATIONAL BANK ADDRESS ..........: CITY/STATE/ZIP ...: GLENDALE CA, CA 91209-1630 RECEIVED FROM ....: HANSON HO CONTRACTOR .......: LIC # COMPANY ..........: ADDRESS ..........: CITY/STATE/ZIP ... TELEPHONE . , FEE ID ---------- UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL BPERMFEE ----------------------- VALUATION 20,000.00 -------- 277.56 ------ 0.00 ---------- 277.56 -- 0.00 BPLANCHK PERMIT FEE 277.56 370.40 0.00 370.40 0.00 BREMRECEPT NO. OUTLETS 16.00 19.20 0.00 19.20 0.00 BREMVENSYS NO UNITS 1.00 10.26 0.00 10.26 0.00 BENERGY PERMIT FEE 277.56 133.23 0.00 133.23 0.00 BSEISMICOM VALUATION 20,000.00 4.20 0.00 4.20 0.00 MPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 0.00 BUSLIC FLAT RATE 1.00 102.00 0.00 102.00 0.00 ELECTRIC SQUARE FEET 420.00 33.60 0.00 33.60 0.00 EPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 0.00 MPERMFEE SQUARE FEET 420.00 33.60 0.00 33.60 0.00 TOTAL PERMIT 1060.79 0.00 1060.79 0.00 METHOD OF ----------------- PAYMENT AMOUNT NUMBER OTHER ------------ 1060.79 ------------------ VISA TOTAL RECEIPT 1060.79 • a C o • DIRE DEPARTMENT COUNTY NUMBER SANTA CLARA CO 14700 Winchester Blvd., Los Gatos, CA 95030-1818 (408) 378-4010 (phone) • (408) 378-9342 (fax) PERMIT NUMBER PLAN CHECK No. PLAN 1f EVR EVJ COMMENTS CODE/SEC. SHEET NO. (nN�c-r Tit"""'• D nIs ,. .. n w,_, "-e—d The following CHECKED items apply to this project: 1 Existing fire sprinkler system shall be modified as necessary. A licensed C-16 fire protection contractor shall submit to the fire department, three sets of shop drawings, a completed pen application and applicable fees for review and approval, prior to performing work. UFC 101 Existing fire alarm system shall be modified as necessary to accommodate new construction. A licensed fire alarm contractor shall submit to the fire department, 3 sets of shop drawings, a completed permit application, and applicable fees, prior to performing their work. UFC 100 Z Tenant shall have access to a minimum of -L, 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 equipment. 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 turn to operate are not acceptable. UFC 121 Exit Illumination: Provide illuminated exit signs. UFC 1212 Contractor shall field verify the integrity of existing rated construction/assemblies and restore y¢ ' repair as necessary as part of this work. Penetrations in rated walls/ceilings shall be protec by listed fire rated assemblies (dampers, doors, caulking, fire stopping material etc.). UFC 1 At time of final inspection, the tenant shall provide to the fire department a labeled emergent A�� m access key for placement in the building fire department key box. UFC 902.4 rl t sr This plan check does not permit the use, storage or dispensing of hazardous materials, operatic or waste. The tenant shall provide a completed HMIS to the fire department's hazardous fa�� materials specialist for review and comment. Furthermore, a CLOSURE PERMIT is required p to terminating the storage of hazardous materials at a permitted storage facility. Demolition 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 CV- ❑ ❑ to ❑ CONST. DESCRIP. BY /'/ ^ ,� U-a!C'.3i DATE PAGE I wW Vitt �' Z�—� ( OF ( SEC./FLOOR OCC � OCC. LOAD AREA ARCH/ENG/CONTRACTOR/OWNER �( , y� A- NAME OF FACILITY a�6,% io2.✓1� LOCATION l�c'� i N �e an4A /'LQ A California Fire Protection District seruing Santa Clara County and the communities of Campbell, Cupertino, Los Altos, Los Altos Hills, Los Gatos, Monte Sereno, Morgan Hill, and Saratoga nit U g or ted 111 y ns 'ior of CITY OF CU PERTINO CITY OF CUPERTIN• PERMIT APPLICATION FORM ;9S o/�/21 APN # 3 2� 3 T U / Date: 2b 2�S Building Address: Mailing Address (if different from building address): 1000( SUite-10 Cd war0o CA Owner's Name: P one #: UNIT€'O0ATi01JAL- (&26 )4 -S7 -9S -t5 5 CL•h. F<hobUA Contractor: ROYAL CV4-Mcn cf4 .Co2-E> License #: 4447000 Contact: Phone: f Cupertino Business License#: A41)IS ko Fax:x)35rb Boiler> 500K to IM Btu Building Permit Info: Bldg LGJ Elect IM Plumb ❑ Mech ❑ Job Description: P-eU F,' ;i, 3oi •f• bF N00-13C�At2I1 Ys Ta Ort— *u- Ce. t CwT Residential ❑ ADD b AT S70M- FPoOT Commercial IJ Sq.Ft. Floor Area: + {zp5•F. WVoWE- WM,L S/Sq.Ft.: 3 cl 15 S. E. OTkL Mani V,s o tj BCONSTAX Cost of Project: Occupancy Group: [� V 7,0 (ODO �. Ind/Off/Comm/Quasi ype of Construction: F tSo 1-G21 Nb W/rtC Please check this box if the project is a Con. Tax for BQ Zone second -story addition: ❑ Project Size: Standard S,r Large ❑ Major ❑ Hotel and Motel 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 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 <= 1000A ELECTRICAL BELEC1001 Elec 600V > 1 OOOA ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 1 of 3 7 OF O CUPERTINO • CITY OF CUPERTINP 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 rinklerBackflo PLUMBING lop 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 Fumace MECHANICAL BREMFURNOV Relo Furnace > I 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 BREMR.EPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL 2 of 3 tgla✓��1 CITY OF CUPERTINO gITY OF CUPERTINO 9 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 Ternp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING 2 ELECTRIC Electfical 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 Change BUILDING • 3of3 04/05/2005 12:31 11680 Goldring Rd., Suite A Arcadia, Ca 91006 628 358-6688 626 358-8333 fax Fac NO. 348 D01 MP, 13i�t2aj 13Ra-6c;2, u+4& i�sr�orZ To; 07 /� 1y�C} (f7 �j y From: Fera OiS Pages: ... Phone; Date: 415- v S— V iV�IC'+>NlTu(J ja- #.�wN 1\ . Re: 1000 17G AWAZ BWY> LUT ( 0 cc: �iMfj �` O.SD(Dl ZO O Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle yon v ig; y VZ ur sTE� To P,:u ow u p wmA "Dle--r/ Z &n- ?rl�l�lG COIF% CF -TftC—.. kit rbirAt.3 e -C R�orzT Coueu�Tz~h ray T1e swLcvlu(�- ouruC-p-'l5 MC Vb-►27nAuC-} 0 04/05/2005 12:31 AIR BALANCE REPORT W;'gAll Temperature Service Air Conditioning Inc. 1957 Grosvenor Dr. 4 San Jose, CA 95132 (408) 926-2718 (408) 272-8311 fax N0.348 P02 JOB NAME: 10001 N. De Anna SHEET #- 1 CALCULATED BY: James L JOB #: SERVED AREA: 1st Floor Bank I UNIT: 03/09/2005 16:35 N0.189 D01 ROYAL CONSTRUCTION CORPORATION 11680 GokWng Road, Strite A, Atcufia, CA 91006 Tel (626) 358.6688 Pax (626) 3550880 End myakonst@mmcom FAX TRAN SMI TTA L To. City of Cupertino, CA From: Hanson Ho, A.I.A., Architect Attn : Mr. Jeny Brager, Building Inspector Phone: (826) 358-6688 Phone: Fax: (626) 358-0880 • Fax: (408) 777-3333 Pages: 2 (including cover page) Re: United National Bank Date: March 9, 2005 10001 N. De Anza Blvd., Suite 101, Cupertino, CA Permit # 05010120 ❑ Urgent For Review ❑ Please Comment X Please Reply ❑ Please Recycle • Comments: Dear Mr. Brager, As per our telephone conversation this morning. I am sending this memo to confirm that the 18" dimension on the hinge side of passage door to Room 104 is not a mandatory requirement and is changed to t 12". Should you have any questions, please call me at (626) 616.5687. Thank you. Sincerely, ® I I arison Ho, A.I.A. l t�dR V1 20p5 Architect �� 03/09/2005 • 16:35 NO. 189 ROYAL CONSi'RUCTION CORPORATION 11680 Goldring Road, Suite A, Arcadia, CA 91006 Tel (626) 358.6688 Pax (626) 35&11880 Ems royaloonst@�oosmcorn FAX TRANSMITTAL To: City of Cupertino, CA From: Hanson Ho, A.I.A., Architect Attn : Mr. Jerry Brager, Building Inspector Phone : (626) 358-6688 Phone: Fax: (626)358-0880 Fax (408) 777-3333 Pages: 2 (inducting cover page) Re: United National Bank Date: March 9, 2005 10001 N. De Anza Blvd., Suite 101, Cupertino, CA Permit # 05010120 ❑ Urgent For Review ❑ Please Comment X Please Reply ❑ Please Recycle • Comments: Dear Mr. Brager, As per our telephone conversation this morning, I am sending this memo to confirm that the 18" dimension on.the hinge side of passage door to Room 104 is not a mandatory requirement and is changed to t 12". Should you have any questions, please call me at (626) 616-5687. Thank you. Sincerely, Hanson Ho, A.I.A. 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