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02010135
O( u a_z �E �K�: 606( v R: C 5 a. W: : �mF M 4 CITYILD NG DIVIOF SION PERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS: PERMIT NO. 10200 SO DE ANZA HOWARD WRIGHT CONSTRUCTION CO. 02010135 OWNER'S NAME: APPLICyk�nON UB DATE PORTAL SOFTWARE PIER 9, THE EMBARCADERO 01/31/2002 PHONE: // \ --2o3 3 b� V (206)447-7672 SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH fJ CI CJ L-=] LICENSED CONTRACTOR'S DECLARATION Job Description IhercbyaRrm tat I ow.m of dander and mommasrof Cnaprer9lcommxnro, wish Section "10001 of Division ] of Ne Business and Professions CWe�nd mg.license room TENANT IMPROVEMENT -TAKING OUT CAFETERIA canoe t. License Cla Let M PJ JJ � ING IN A SERVER ROOM. ^ �ra Dom - Canlmnor_ S ARCHITECT'S DECI.ARATI N I understand my plans shall h used as public records FEB 2 0 2003 Licensed Professional OWNER -BUILDER DECLARATION 1 hereby affirm Nat 1 am exempt from the Connector's License Law for the following Mason. (Section 7031.5, Business and Professions Code: Any city or county, p' which requ res a Permit to c t ct, alter, tmpmve, derim sh or repair any suucwrt �'���ts,� N poor to its ssumu also req the applicant for such Permit rile a signed smrement - - - - Our hglllicensed pursuant toNpprovisions ofthe ComruclorsLicense Law (Chapter 9 (cammenengpth SWI.6]000) (Division 3 of the Rus nen ail professions Code) 5' Ft Floor'Ar�av ,. !`{, iia"'�; a ]] v` I,t Vis) i. Valuation or mm he's exempt therefrom and the basis for the ollbgea exn boic., Any violation apq' 1 V.M. ' t " t ' k i.7 S.My A no - of Semion 7031.3 by any vpplicam for a permit subjects the nppliuent m a civil peneh of at me don five hundred d.g.(s50o). y' APN Number .. ,.r Occupancy Type ° I, as owner of the property, or my employees with wages as their sole compensation, will -do'the 'wa&; and the'stmewre'is' not Intended or offered for sale (Sac. 7046: Busivcss•and Professions Code: The Connector, License Taw does not apply to an ' - --- - - -- - -"- "' - _, ct -- -'- '-- " -' - _102 10 2 - PIERS Required Inspections t - owner of property Who builds or improves Beacon, and who does such work himself 103 - UFER or throes his own employees. provided that such improvements arc not intended m offered or sole. IL however the building improvement n sold with n one year of 'completion, -.__._..... ..-__ _ __ _ _ - __- 10 4 - REBAR " ' - the will have the burden of prov ng mm he did nm build or e l ore of rudder improve mrptiryoseotsale.). 105 - ANCHOR BOLTS ° L as ownerpr the property, am exclusively =omrwtisi with licensed m _-- '- &'-WATER'i P a '. . •, - Contractor's conswaaw the does (Sec. 704,1. Buries pm ProfetaiobCWe:)TheCommesom, License law does not apply m vn awe of property who builds or improves mcreon, 202 — UNDERFLOOR PLUMBING ' . and who contracts for such,projects with.. cmnictm(O licensed punuant.to the_ _...-., .. _._2 03-'---- UNDERF-LOOR-'-MECHANICAL-"---"`-_.. .......... _....._ _._. _.. Contractors License Law_,. ° I am exempt under Sec. 4 ,B& P C, for this reason .,. .. .. 204 - UNDERFLOOR'''FRAME ill" Owned ` ""Da¢ ..ie. r, '''- 205 - UNDERFLOOR INSULATION WORKER'S COMPENSATION DECLARATION 301 - ROUGH PLUMBING Inereby afrirm undo penalty or p<rj.ry, ane armg ranm.,mg amlaad.na: - 302 - TUB & OR SHOWER ° 1 have and wilt maintain n Certificate of Consent to self -insure for Worker's 3 03 - ROUGH MECHANICAL Compemation, m provided for by Section 37W of the labor Crude, for the performance of the work for which this.pernaliesned.,;.. 304 - ROUGH ELECTRICAL ° 1 have and will maintain Wo&er's Compensation Insurance. as required by Section 3 05 - FRAME 3700 of me labor Code, for roe perfprnunce or the work for which this Permit is 3 06 - HOLDOWNS i d My W &er' Compensation Insurance earlier and Policy be am: . _307 Policy NtiWC'ZLL/n 4L1'ZO)h ——-INSULATION, ......»._... ........ ..••_.. 'CERT CATION OF EXEMPTION FROM WORKERS",_%�..30'.S' t �. ISSHEETROCK� �t r'• .;' COMPENSATION INSURANCE _ ' _- ., ... .. ,. --., .,, • - -, '(Thiumion need not be complmed (the permit sfor one hundred dollars 310 - INTERIOR LATH '" - (5�00) rl t " I" ori Cl that n the peri f thew k f his permit s t. coed I 'xh II t 'in -3-11 :----SCRATCH 'COAT-: m ft employ y D Y ) the Workers an manner R les n subject e t to any Mo cpp n.atmnl.awnrcdfmfa:Ome .. A W he m t 313 - ROOF NAIL ... _. __. ...__ ., ... . SO L. ELECTRI.CAL_ENERGY... o g -i-r-- p NOTICETO APPLICANT.If vfnr makm ms'Ceditremn of Exem ton you should become sohjecu the Workers Compensation provisions otthc LoMrCWe, you must 502 - FINAL PLUMBING ENERGY` 1 forthwith comply wit. such provisions or this prom shall be dee mea revoked. 503_,,,, -FINAL MECHANICAL ENERGY MNMMU71ON'LENDING AGENCY ) ._ 504 - FINAL BUILDING ENERGY.;;_' 1 hereby affirm that there is a construction lending agency for ma performance of me work for whichlbisPermitisirstied(Sec,3W7,Co.C.) 505 - FINAL ELECTRICAL Lender's Name ---•_..___-... . _: ._.. .�. _...... Lenders Address - • ,�. . .__.. ........ ......-._. _. .._ ___.— _..._._.. .-. _.__...__ ---GAS 506 - � GAS -TEST . , 1 certif that 1 have read this appliciumn and sane th.o the obove information is 507 - FINAL PLUMBING ' correct 1 agree to comply with all city and county ordinances and nam laws miming 508 - FINAL MECHANICAL to building construction, and hereby aummiie represcvta.i4s of this city to imcr upon the ab v t red Property f nope t n pit poses. 509 — FINAL GRADE „ (We) greet we dem lfyad kap hmml�snhcCty fCpemno against I b lra x jrdg nem costa J .pactwhich.may In a y ay a riga st aid 510 - FINAL.PL NG g. City con y rice ofthc ant n of thispermit, TPri IOAN'I UNDERSrA $ AND WILL COMQLY WITH NON OINT` /r' I �14 I� F NA WORKS Issued Date SOURCE I• ,ULATI „ : _ y S gn t rcaLApplican onnactor, - ateRe-roofs ` / -HAZARDOUS MATERIALS DISCLOSURE �, Will the vppl for (urvre buil) gacupant �uwen Wendt n.,aNpa: metertal .,Type.of, Roof - .. ..... •-•-- ._ - ...-............. ...._ as darned bythCupertino Municipal Code. Chapter91and the Health andSfry 'We, W n25571ah. t { 4 -i+� c..l' DY f i .-i All roofs, shall be inspected prior to_any roofing material being installed Will me apple t iti�me build in,cup ruse equipmentor devices nen if a roof is installed'without first obtaining an'inspection; I'agree to'remove e t h Nous air contaminants as defined by the Boy Arca Ad Quality Management ' Dinrtm all new materials for inspection. Applicant understands and will comply with - °Yn - .. - all non -point source re ulattons:, P g i.l Baia• .. I have Mail me homin.s trounials requiremems u d r Chapter 6.95 of the Calironna Heahb & Safety Cade: Sectiuns 25505, 25533 and 25534. 1 understand mat t be Wilding AoeS not eu sty nqh t have monis my responsibility he ry tan the ro "Cortaro pont Yf the be h'rotor b mmpsono nen tie [e Co aleof of cat Oc c - Signature of Applicant Date 7� �T'�, All roof coverings to be Class `B" or better own rntu.morr, nt ., .:.�. .. ..,,.:.,..'. .--OFFICE. _. ... FEB z 6 2003 CITY OF CUPEkT1N© February 11, 2003 MANAGER PORTAL SOFTWARE 10200 S. De Anza Blvd Cupertino, CA. 95014 10300 Tunro :I cruor a. ('a(ilura,a '')jtlN me (408) , -%J> M' (4081 T�3333 LDING DIVISION SUBJECT: Permit: #02010135/ Tenant Impv. Needs final inspection/ Fire finaled but no building final on record Dear Manager: Our records indicate that the above listed permit is due to expire on March 04, 2003. If due to circumstances beyond your control, you have been unable to schedule an • inspection, you may submit a letter to the City of Cupertino Building Official requesting a one-time extension for his review. Please state in the letter the reasons for your request If no extension is granted and no inspection is called before the expiration date, this permit will be voided and the permit application discarded. After this point, you will need to submit new plans for plan review and pay permit and plan check fees to be issued a new permit. • If your records show that the permit card was signed and released by an inspector as being complete and final, please notify this office at your earliest convenience. We will update our computer files and close your permit, and we apologize for any inconvenience this matter may have caused: Thank you for your attention to this matter. Sincerely, CITY OF CUPERTINO Christy Akatiff, Administrative Clerk Pnm'rl nu ,Ra"yclod Pegner 6 BUILDING DIIVIICJOF SIONN®I'IEIIdNIII'fl' C;ONTRACTOR1N'FORNIATION: BUILDING ADDRESS. 1 PERMIT NO. oN rn-n�oioiss WNER'S NAME: APPLICATION SUB DATE SHONE: r' ' SANITARY NO. CONTROL NO. •ARCHITELT/ENGINEER: PHONE# - TWMANT _ BUILDING PERMIT INFO BLDG ELECT PLUMB MECH L I I D F i "n fMS!`ECCiON.S IJATE INSPEC. TO ARRANGE INSPECTION CALL 777-3228 MONDAY - FRIDAY 24 HOURS BEFORE REQUIRED INSPECTION. JOB ADDRESS AND PERMIT #ARE NEEDED WHEN PHONING. RESIDENTIAL_ COMMERCIAL_ OTHER_ JOB DESCRIPTION RESIDFNTIAL: ❑ SFDWL ❑ KITCHEN REMODE p ADDITION ❑ PLUMBING RE -PIPE ❑MULTI -UNIT ❑STRUCTURAL MODIFICATION ❑ INTERIOR ❑ CHIMNEY REPAIR IMPROVEMENT ❑ SWIMMING POOLS Cl BATH REhIODEUREPAIR ❑ DEh1OLIT10N ❑OTHER' . , .. .... . FOUNDATION/PIERS/H.D.S. –� F'Js a UFERGROUND PAD/SETBACK-CERT GARAGE SLABS/PREGUNITE HAZARDOUS FIRE AREA G YES I(yee- Ivndermoml that vclussA roo(axscmhly is requimd._ .0N..O Initial-. # n 5 a p� R N z < .. jMk POUR NO CON.Cl2ETF. PiNTTL ABOVE HAS BEEN SI(iNND UNDERGROUND/SLAB PLUMBING _ ... ELECTRICAL DONCH' POUR. FLOUR UhrITLASOVE HAS SHMN IG EYISTING ROOF COVERING Number of existing coverings To be mmoscd To be retained Cl NEW BLDG/ADDITION ❑ DEMOLITION C] TENANT ❑ FOODSERVICE IMPROVEMENT. ❑ OTHER PLUMBING MECHANICAL ELECTRICAL FRAMING VENTS INSULATION TYPE OF ROOF COVERING EXISTING: PROPOSED: Built -Up Rnof ❑ Built -Up Roof ❑ Asphalt Shingles ........ ... ❑ Asphalt Shingles . . ❑ Wood Shakes ❑ Wood Shakes 13 Wood Shingles ❑ Wood Shingles ❑ other (specify) ❑ Othei(Specify) Provide I.C.B.O. Repan No. ._ Provide Mfgr. Installation Specs. PLACE No SUBFUJOR UNTIL ABOVE HAS BEEN SIGNED ROOF SHEATH/DIAPHRAM I PLUMBING 2_7,102 –❑ ' TUBS & SHOWER PAN MECHANICAL ELECTRICAUPOOL BOND MPFFRAMING/STAIRS/P. EGRESS INSULATION/VENTILATION COVERNO WORK U\TIL ABOVE HAS BEEN SIGNED EXTERIAL SHEAR/HOLD DOWN - INTERIOR SHEAR/HOLD DOWN INSPECTION SPECIAL INSPECTION REQUIRED ❑ DATE INSP SHEETROCK/SHEETROCK SHEAR EXTERIOR LAT,H/W-SCREED r-- �— g f SHOWER LATH _. ...,,, - ; ' z Q -'� z .O � 10'11\I'1> UR PL:\51'IiR U\"1'IL .\E40VB H:\5 BEEN SIIINIED ��� /' ' . SCRATCH COAT SEWER(WATER TEMPORARY APPROVALS. �7N -.00CUPANCY FIN \LS Czr,J% .PLANNING '777-3308 GAS TEST. ....7�2�� : GRADE (HIV, 777-7354) . FIRE' .HANDICAP" ..ELECTRICAL L q ! l �/1 'y-J.•C�-. LV W a rA - PLUMBING MECHANICAL ENERGY VISUAL FINAL ONLY , . BUILDING . 0CCQRNNC7-'CIF BVILDD(G IS Nt TI: PER' .' _NI1L.BUILP.Imif I.VAL'IS SIGNED IIT RCILpi1G; '- INSPFCFOR, - CERTIFICATE OF OCCUPANCY ❑ I PRE -INSPECTION: PLYWOOD: IN -PROGRESS L. INSP. "' DATE INSP. DATE INSP. TEAR OFF INSPECTION: BATTENS: FINAL: DATE INSP. DATE INSP. DATE - INSP. DATE VOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION Haat IrnalT^. a/rrnlr_ n.�nv