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02120048am, 00 � wF iU _ Z oz F_FC�F� �06U f—LLOri' w S w�00 f—ZQ FFG Oz Z 0 h a>_ aQ oz UV. _O OF U >� 0. C•^ Uz CITY OF CUPERTINOs BUILDINC DIVISION PERMIT 'K«rr CONTRACTOR INFORMATION �._ BUILDING ADDRESS: PACIFIC BANK TECHNOLOGY PERMIT NO, 10260 DE ANZA BLVD 02120048 NER'S NAME' 1526 WEST WINTON AVE APPLICATION SUB DATE WELLS FARGO 12/12/2002 PHONE— 510 7 8 2 _ 8 8 12 SANITARY NO. CONTROL NO. ARCI IITEC7PENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S provisions Of CON I wrmy affirm that I am licensed under provisions of Chapter Y (rommencing Job Description with Section ]ag) of Division 3 of the Busi;sv d Profcssom, Codc.and my licensers in full lmc�ffeei. q License class, MODIFY PARKING LOT I®��,�® ala i Cnnlracusgr�__ ARCHITECTS DCLSA fual..�1 IundcrslanJ my plan:.hallwuscd as public rccnrJ.x`Y"'Wuto JAN 3 0 2003 Licensed Pndessional OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's Liccnsc Law for the BUILDING Billowing reason. (Smfinn 71131.5, Business and Professions Gale: Any city Or county which "does a permit to construct, alte, improve, demnlish, or .,.I, any flmmure poor to its issuance, also re4uacs the applicant for such permit In file a signed statement that he is licensed pursuant it) the provisions nthe contraemrsucetBeLa. (Chapter 9 Sq. Ft. Floor Area $12YUGation (commencing with Section 7O(K)of Division 3 M the Business and Pmlemo ns Code) or that he is exempt therefrom and me basis for Ne alleged exemption. Any violation of Section 7131.5 by any applicant for a permit subjects the applicant o a civil penalty ofb Occupancy Type not more than five hundred dollars ($510). ❑ I. as owner of the property, or my employees with wages as their sole compensation, will do the work, and the smarter, is not intended or offered for safe (Sec.9B44, Business and Pmfessimax Code: The Cm maetia'a License Law does not apply to an Owner of 102 —FeuN qutre - PIERS ed Inspections property who builds or improm thereon, and who does such work himself or through his own employers, provided mal web improvements are not intended Lir offered for sale. If. 103 — UFER however, me building or improvement is sold within one year of completion, the rwner- 104 wnder will have me burden of proving Our he did not wild or improve for pmpose nr — RE BAR "I`') 105 - ANCHOR BOLTS Dl, as owner of the propcny, am exclusively contracting with licensed contractors to 106 - SEWER & WATER construct the project (Sec )(M4, Business and Professions Code:) The Contractors Li- moseLaw does not apply to an owner of property who wilds or improves memon. and 202 - UNDERFLOOR PLUMBING who contracts for such projects with a conmacfor(s) licensed pursuant to the Conammoes Licenselaw. 203 - UNDERFLOOR MECHANICAL ❑ l am exempt under Sec. ,B&PC for this reason 204 - UNDERFLOOR FRAME Dam 205 301 - UNDERFLOOR INSULATION H H - ROUGH PLUMBING Pact WORKER'S COMPENSATION DECLARATION I hereby affirm under Penalty of perjury one of the following declarations: 302 - TUB OR SHOWER I M1avc and will maintain a CcnifcaN of Consent Io elf -insure for Worker's Compcn- wainn, as provided for by Section 3710 of the labm Code, for me pedmerance of the 3 03 - ROUGH MECHANICAL work foe which this .is is issued. 304 - ROUGH ELECTRICAL ❑ 1 have and will maintain Worker's Compensation Insurance, as reached ed by Section 305 - FRAME 3700 of Ne Libor Cndc, for the performance of the work for which this permit is issued. My W0AcI10 IrCIrCn Ing:,some Dreier and Ix, H; n_yRbfra�r:fn s1q Cam` Po'm_ 306 — HOLDOWNS YID _ 307 INSULATION PC I'E OP EXEMPTION O WORKERS' COMPENSATION INSURANCE 308 - SHEETROCK (Thisseefionne,d pollec"mplemd ifine permmismrnnehundreddonarx Ola) 309 — EXTERIOR LATH or Icss.) 310 - INTERIOR LATH 1 certify that in the performance of the work far which this Permit issued, Iarealnm employ any person in any manner sn as m become subject m tw Workeri Compensation 311 - SCRATCH COAT Laws mf Cafi4rmia. Dam 313 - ROOF NAIL Applicant 501 - FINAL ELECTRICAL ENERGY NOTICE TO APPLICANT If. after making this Cedificare of Exemption. you should becom become subject the Worker reCoons or ttionprovi.sihal of me Labor r Code, you mus forthwith comply t with such era Comps or this nomit shall w he Lab revoked. 502 - FINAL PLUMBING ENERGY CONSTRUCTION LENDING AGENCY 503 - FINAL MECHANICAL ENERGY I hereby affirm that mere is a construction lending agency for the performanecor 504 - FINAL BUILDING ENERGY the f rwhich mrm Nve ix peit is issued (Sec. 3097, Civ. C.7 Lendersder's 505 506 - FINAL ELECTRICAL - GAS TEST Lephr's Address 1 certify Out 1 have read this application and stare that the move infomtmiun is 507 - FINAL PLUMBING collect. I agree to comply with all city and county ordinances and state laws relating 10 building consmmninn, and hereby authorim representatives of his city to enter upon the 5 - FINAL MECHANICAL nbmve-mentioned pmpeny for inspection purposes. (We) agree to save, indemnify and keep harmless the City of Cupertino against 5 9 - FIN liabi lilies. judgments, calls and expenses which may in any way accrue against said City in conn cuerce of me granting of this Permit. 5 N G APPLICANT UNLESS DS AND WILT. COMPLY WITH ALL NON OI Issued bye 1 - WORKS Date I SOURCE RGG S. Re -roofs Type of Roof Date re n 11 ZA DOUS MA LS DISCLOSURE Willtheapplica orfumr ng occupant store or handle harsrduus material as defined by the CurN,mmo unie I Code, Chapter 9.12, and the Health and Safely We. sorties zssula7? - ❑Ycx NO All roofs shall be inspected prior to any roofing material being installed. Will mea applicant Or future buildinguma ant use e PP b P yuipmcnt or devices which If a roof is installed without first obtaining an inspection, I agree to remove g Pe omil ha<ardoux aI, connou as ned by the Bay Area Air Quality M lxmmrr %I`fi Management all new materials for inspection. C3 Yen p Nn 1 have read me hamrdou.x marerialareyuiremenrs under Chapter 6.95 orthe Califor ria Health & Safety Gvk. Sectlmu25N15, 25533 and 25514.1 undeemnd mut ifine wilding roes art currently hav t a it Ls my respmsibility to Dol [be rc upant of me .�ymiremr me mxa.O coracetdBrareOr eOr�ey. I r U Signature of Applicant Date All roof coverings to be Class "B" or better Owne mn,<aagent — Date �-,ED'` CITY OF CUPEKI-IINO Quantity Fee ID Fee Description ]Fee Giroulp BAPPLOTHER Bu'ildirig.•. 7.7 MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH i0 BUILDING Phone Constax — Resi/Mobile BUILDING BELEC1000 7 ELECTRICAL BELEC1001 Elec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A Um rei_�7 B EN ERGY Eneirgy BUR LIDING 1a"IM911 Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BMITIGATR Res. Housing Mit Fee BUILDING I�p New Multi -Family Res MECHANICAL BNEWMULTI New Multi -family Res ELECTRICAL BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING Occupancy Group: Quantity Fee ID Fee Description ]Fee Giroulp BAPPLOTHER Other Appliances 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 B EN ERGY Eneirgy BUR LIDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BMITIGATR Res. Housing Mit Fee BUILDING BMNEWMULTI New Multi -Family Res MECHANICAL BNEWMULTI New Multi -family Res ELECTRICAL BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING 1 of 3 FA X0ix 0 W O U i—n < a ~_z of LuFt 9.�4O � W3W '°5H La C0 xm� t_z< D O�y 0 Z ►. ►w � W , a� UO OU W a U CITY OF CUPERTINO•��ee�}� .. BUILDING DIVISION �' �ll�7�I��.tt Fb l: l 711 JA tib 1N llN: A D n `' BUILDING ADDRESS: PACIFIC BANK TECHNOLOGY PERMIT No. 10260 DE ANZA BLVD 0212004 OWNER'S NAME: 1526 WEST WINTON AVE APPLICATION SUB DATE WELLS FARGO 12/12/2002 PHONE: (510)782-8812 SANITARY NO. CONTROL NO. ARCHITECTIENG[NEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION la f hereby arm that 1 am licensed under provisions of Chapter 9 (commencing Job Description with Section 7000) of Division 3 of the BusiLic.ness d Professions Code, and my license is in full forcea0o(,errect. : Q MODIFY PARKING LOT License Classes ate Contractor &n ARCHITECTS ((��-- ,,_�(( 1 understand my plans shall tic used as public recnrds� V �v "Y W hy9� l { ' Licensed Professional OWNER -BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason. (Section 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 Sq. Ft. Floor Area $12 51CIOation (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty ofb Occupancy Type not more than five hundred dollars ($500). P Y ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of 10 2 — - PIERS equlred Inspections property who builds or improves thereon, and who doessuch work himself or through his own employees, provided that such improvements are not intended oroffered for sale. If, 103 — UFER however, the building or improvement is sold within one year of completion, the owner - 104 builder will have the burden of proving that he did not build or improve for purpose of — RE BAR sale.). 105 — ANCHOR BOLTS ❑ 1, as owner of the prolxrty, am exclusively contracting with licensed contractors to 10 6 — SEWER & WATER construct the project (Sec. 7044, Business and Professions Code:) The Contractor's Li- cense law does not apply to an owner of property who builds or improves thereon, and 202 — UNDERFLOOR PLUMBING who contracts for such projects with a contractor(s) licensed pursuant to the Contractors License law. 203 — UNDERFLOOR MECHANICAL ❑ 1 am exempt under Sec. , B At P C for this reason 204 — UNDERFLOOR FRAME Owner Date 205 301 — UNDERFLOOR INSULATION — ROUGH PLUMBING WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 302 — TUB & OR SHOWER ❑ ]have and will maintain a Certificate of Consent to self -insure for Workers Compen- sation, as provided for by Section 3700 of the Labor Code, for the performance of the 303 — ROUGH MECHANICAL work for which this permit is issued. 304 — ROUGH ELECTRICAL ❑ 1 have and will maintain Workers Compensation Insurance, as required by Section 305 — FRAME 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers Pompensatiorlininurance, carrier and Policy n r Carrie Polity L7 1w", 306 — HOLDOWNS F CY TEPTION WOTA WORKERS' 307 — INSULATION COMPENSATION INSURANCE 308 — SHEETROCK (Thissection need not be completed ifthe permit isforonc hundred dollars(SI00) 309 — EXTERIOR LATH or lea.) 310 — INTERIOR LATH 1 certify that in the performance of the work for which this permit is issued, 1 shall not 311 — SCRATCH COAT employ any person in any manner so as to become subject to the Workers Compensation Laws of California. Date Applicant 313 501 — ROOF NAIL - F I NAL ELECTRICAL ENERGY 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 must forthwith comply with such provisions or this permit shall be deemed revoked. 502 — FINAL PLUMBING ENERGY 503 — FINAL MECHANICAL ENERGY CONSTRUCTION LENDING AGENCY I hereby affirm that there is aconstruction lending agency for the performance of 504 — F I NAL BUILDING ENERGY the work for which this permit is issued (Sec. 3097, Civ. C.) 505 — FINAL ELECTRICAL s Name Lender' 506 — GAS TEST Lender's Address 1 certify that 1 have read this application and stare that the above information is 507 — FINAL PLUMBING corecL I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the 5 — F I NAL MECHANICAL above-mentioned property for inspection purposes. 5 9— F I N (We) agree to save, indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs and expenses which may in any way accrue against said City 5 N G P in consequence of the granting of this permit_ APPLICANT UNDERS WITH ALL NON- OI Issued b) 1 — WORKS Date I �ANDWILLOMPLY SOURCE REG S. �1 Re -roofs Type of Roof re o H 2A DOUS MA LS DISCLOSURE Dare Will Ute applic or futu ng occupant store or handle hazardous material as defined by the Cupertino unit" I Codc, Chapter 9.12, and the Health and Safety Code, Sector 25532(e)? All roofs shall be inspected to any roofing material being installed. ❑ Yes No prior If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or future building occupant use equipment or devices which emit hazardous air contaminants as tied by the Bay Arca Air Quality Management all new materials for inspection. District? ❑ Yes No I have mad the hazardous materials requirements under Chapter 6.95 of thc Califor- nia Health & Safely Code, Sections 25505, 25533 and 25534.1 understand that if the building does not curenty It it is my responsibility to no' the oc upant of the uireme lite wh a ofaceritcatcof cup Il Signature of Applicant Date All roof coverings to be Class "B" or better Owne onred agent Date I NOU-26-2002 14:29 6AP CIGNMlY5 (®tF9RF: PURIM aOWIRM. iii_ �Iu,Jli MW 5TEEI, MiWM MAP WITH PVC, 4APE OVEMM M. APPROVED IN ACCORDANCE WITH TiE CITY OC�11�111 CUPERTINO CODV AN�OSAi� j ' DX This set ofWdns an;u til ti rn'e •.�.. it is l n be kept on the job ai "1 times and lawful to make any changes or al'teratic is on same without Witten permission fr rr+ the building Dept., City of Cupertino. i The stampmg of ths plan and specific SHALL NOT be he d to pe mit or to I CLR aaproval of the violation of any prop: Lr; at any City U,dinance or State Laws. P. 02/02 Ali �i /r','4 Lz • �1� I I& RON-SHRINK (9nm CONCRETE 6MP FOOTIM WHPPIMV9 57—JW79 TO 09 V'r, n 5590 FSI MIfiilP°ilMir AT 29 PAYS 5TERL ELBOM T® W-47 Mme 4-D* 0WAPP. 60) p� 5'll AT 9? Typ. rd_ T��''�k�L �►I� POLE �� TAI DECiqoT To 0 TOTAL P.02