Loading...
29021APPLICANT -TO FILL IN INFORMATION WITHIN RED LINES • USE BALL POINT PEN ONLY CITY OP CUPERTINO BUILDING F.LF.CTRICAI. PERMITNO. 29021 O O Z1 1 BUILUING DIVISION APPLICATIONIPERMIT PLUMBING - MF,CHANICAI. L HIUD.DmG PRO furl n1RNTiVICA7ION !m Iq ARCHIT!? T/F. INEER: LIC NO: S:��� ❑ U1 CONTACT PHONE: C' �U ��I /,/1 7 ' :�j ❑ Consultant Fees Paid by Applicant (Initial) BUILDING PERMIT INFO RI,DG E PI MB MECH omil ❑ LICE SED CONTRACTORS DECLLAARGAnON I hereby affirm that I am licensed under provisions of Chapter 9 (commencing "Z with Section 7000) of Division 3 aflhe Business and Professions Code. and my license is 00 infullforceandeffect., .p, �FUZ�'j License Class 1� Lic.Y )Z NQ� Dmc Comractm B a' ARCHITECTS DECLARATION O Z O Z I onderssand my plans shell he used as public records Q'PY ELECTRIC PERMIT FEE JOB DESCRIPTION RESIDENTIAL: ❑SFDWL ❑KITCHENREMODEL- ❑ADDITION El PLUMBING RE -PIPE ❑MULTI -UNIT ❑STRUCTURAL MODIFICATION 11 INTERIOR ❑CHIMNEY REPAIR IMPROVEMENT ❑ BATH REMODEUREPAIR 0 DEMOLITION ❑ OTHER PERMIT ISSUANCE AI'PLIANCFS-RI'SIDFNf1AL PANE' UP TP2 PS P �.F'. W 2� y {ay Q Sea 0.0 a1 W W� C(commencing 0. �toL {s, pLIQ jj0. r'1❑❑++ Y6 f13.. Licensed Professional OWNER -BUILDER DECLARATION I herchy affirm that 1 em exempt from the Cartoonists License Law for the following reason. (Sevin, 7031.5. Business and Professions Gde: Any cit, ",county which rcquim a Mrmit to cnnstrvct, aper, improve, demolish, nr mpair any swcwm prior to its issuance, also requires the applicant for such permit o file o signed statement that he is licemedpuaoanno the p ... mnmofthe Comracmf's License Law(Chape,9 with Nation 70p0) of Division 3 ofthe Business and Professions Code)or that he is exempt themfrom and the basis for the alleged exemption. Any violation M Section 7031.5 by any applicant for a Prot, subjems lhenpplicam to a civil penalty of not... than five hundred dollms($50m. F] 1, as owner of the property, or my employees with wages an their sole compensation, will do he work,end Nestrvcmre is oat intended oroffered for sale (Sec. 704,1, Business and Pfufessinns Cede: The Cnntmctm's License Law dies not apply m an owner of property who builds m improves thereon, and who does such work himself or NrougM1 his awn employees. Provided that such improvements am not intended or nHered for .sale. IL however, the building or improvement is sold within one year ofcompedonthe rovarr-hailder will have the burden of proving that he did not hm" or improve fm par - pose of sole.). Fl I, as owner of the Property, am exclusively contracting with licensed contractors m construct the project (See. 7016, Business end Professions CadcJ To, Contmctola Li. rise Law does not apply to an owner of property who builds or impoves Ncrenn. and who contracts for such projects with a connamods) licensed pursuant to the Contracmrs License License Low, se exempt under Sec. P C far this reason 201-I PS VE PS SIG . LECT L SPECIAL CI IT TEMP. METER OR COMMERCIAL ❑ NEW BLDG/ADDITION El DEMOLITION NAST ❑FOODSERVICE -Put PR0 E/MrE�NTQ ❑OTHER V � � POWER DEVICPS SWIMMING POOL ELECTRIC U'[LETS - SWITCHES -FIXTURES NEW RESIDENTIAL ELEC SQ FT. SQ. FT. I'LWR AREA ✓ �, 1;,` NOV 21 1995 ESQ, FT TOTAL: QTY. I. RING PERMIT FEF. PERMIT ISSUA ALTER -DRAIN&VENT -WATER LEA) q 1 OZ Z 0 f -s 1[7a-sik4 LLI Q UO i1n t+ Q V (1i L VJ 6 Date fns VALUATION W� %'��"W it tap j�� IIV� let' WORKER'S COMI'PNSATION ITEC ARATION I hereby affirm anderpcnally nl'pe'jury one of efollowing de armions: }]lhavcand will ..lot inu Ceadden enfCn ovau sdf-insure for Wa er's Cumpem smion, as provided for by Section 37M M the La r Code, for the pert, man. of the w k for which Nis permit is issued have and will maintain Worker's Comps ation Insurance, u seat by Section 7 of Ne Labor Code, fonhc performanc flhe work for which this pe it is issued. My Workcis Calnpens:IllolllaMLmOeeca er and Policy moun are: Carrier. Policy No.: CERTIFICATE OF EM ION 0 O 2R,' COM . SATION INSUR N (This section need not campleredl0 ,one died dollars ($IIXI) .,less) tern Natio NrN mann 1 which spamitisissoedlshall nil employ any person in ony runner sr' esnb' t mNe Workers'Cmnpen- smion Laws of Calif., A IICW ie. Da BACK FLOW i'ROTE . DEVICE DRAINS- it,RO IiA, COND, STORIES OCC. GROUP TYPE CONSTRUC ION APN P KTUR . - PF.R' 1' GAS -FA. SY 1 -II OIITL S GAS -EA. SYSTEM` QRS( ) GREASRIINDUSTRL WASTE RCEPTOR BULDINGD ISION FEES t GREASE?3'RAP PLANCHECK FEF r SEWI?R-SANITARY-STORM EA. 21N1 FT. ENERGYFEE WATIiR HEATER WNENTMLECTR GRADING AN ol OAPo the Worker' tar mukin II'sC sm, mifthelalourCa you should NOTICE subject become suhjcm m the Worker's mpensmi sof Ne Lutror CnJe, you must ns farthwithcomplywithsublonsi.'n orlhisp nilshmlbedecmedrovoked CONSTRU IONI DINGAGENCY I hereby affmn that there is a was ction lending agency for the performance of the work for which this recruit is issu ce. 3097, Civ. C.) Lender's Name Lender's Address WATER SYSTTiM/IRI?A71NG - WATIiR SERVICE Receipt is NEW RESIDENTIAL PLMB. SQ. FT. _ O" TOTAL: aFLE 1 certify and 1 have read this application end scam that the above im,...0 ion is conecL lagree medmply wird ell city std caunry arJinanen wJ mom laws relntingm building construction, and hereby authorize representatives of this city to enterupon the alnve-mentioned property for inspection purposes.PF,RMIT agree m save, indemnify and keep harmless the City of Cupertino against liabilities,judgments, cosh and expenses which may in any way a.mcngainat avid City in curouqueea of the granting of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT SOU CEREGULATIONS. �Isr QTY. MECHANICAL PERMIT ISSUANCE(We) ALTER OR ADD TO MECH. ^ t PLUMBIN FEE `. AIR HANDLI NO UNIT (TO 1010(0 CFM) MECHANI AI. FEE AIR HANDLING UNIT (OVER IL" CFM) CONSTRII f10NTAX Signature of Appiicam/Commear Dam MATERIALS DISCLOSURE Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code, Chapter 9.12, and the Health and Sudety Code, Semkm 255320)? ❑Yes �No Will the alicant or future building pp g.cupam use cyuipmcm or Devices which r mt Aeznrdnus aicontnddrords as defined by the Ray Arca Air Quality Management UsnnT ❑Yes IVNo I have read the hazardous materialsAIR rtquiremenu under Chapter 6.95 of the Cali.ISSUANCE finnia health & Smdy Cale, Sections 25505, 25533 and 25536.1 understand that if the 1,uilding does not currently have a tenant, that it is my responsibility to notify the oxupom of the inquiemems which must be met prior to issuance of a Certificate of (kcupancy. EJ(HAUST HOOD(W/DUC'D HOI151NG MI ATION FEE HEATING UNIT LTD IOLOW BTU) , HEATING UNIT (OVER 100,000 BTU) PAID I Date Re \ipt N VENTILATION PAN (SINGLE RESID) - BAILER -COMP (3HPOR 100,00(IBTU) TAE: BOILER -COMP (OVER 100,000 BTU) CONDITIONER DATE ISSUED BY; NEW RISIDEIST1AL MECH. SQ, FT. Owner or authonzed agent Date71 TOTAL: OFFICE' .7 1 , ' . i 1 , I 0 Ci 1 FA:O. INSPECTION I FINAL BLDG. 7 77 1 V W= F AAV WJ I L --V W, k m st Lim on Plot ,plan plant Md Lped(icbuon 4d herewnti ESTIMAIED.VALUE OF IMPROYEMENi3 2 A4 JOhn R; PjIBrj: McClellan Rd. 6 PMbNE 2ss- .174 ADDRESS q q PHONE STATE LICENSE BUIlDINO INSPECTION RECORD FLOOR STER BOND BEAMS ATM 1 FA:O. INSPECTION I FINAL BLDG. 7 77 1 V W= F AAV WJ I L --V W, k m , FO 1) NlAlION -7 FLOOR STEEL BOND REAMS FIREWALLS VE BRAtT_ LANDSCAPING FINAL RG. TliEOWNS Misc. • BUILDING DEPARTMENT Certificate 0 Occupancy No. ..177 ......... THIS IS TO CERTIFY that the (description of building or structure). MULTI TENANT #4 (SHELL) ------------- •-----..........• • •----•.... _...... •---..._------------................... •...... _ _... -• -•----............. _..............----••..... VALLCO PARK -----------------------------------------••-- ----------• ---------. •--•-• •------• •----- • -•----------•--• •-------•--------------•----------------------------------•------•-------------. -. Erectedon Lot No ----- ---------------•---------------------- Block No. ---------- --------••-------•-------- •-----------••---- Addition shed Fire Zone ii Street No. __ 19310 Pruneridge Ave. Occ. Group F-2 Owner ...__.. Vallco Park Use Zone __._.'._(Planned Industrial Park) -------•• -••--- .......... ......................................... Frank L. Hope .. Associates Architect-----------------------••-•------...----..._...._....--- •--------------------••----•-•----•--•-••---..........---••---.-..-..-•- ContracFor Johnson & Made Construction C...ompany ................................ .....................•--------•-•-•••-. Building Permit No. .__5;� T5.ik-•-----•---------------Plan No. ....... VAL-...............................................B �as been inspected and the following occupancy thereof is herebyauthorized. /1/ I an 1 kI/ arP . . . al . .. ._ ax. r Loads per sq. Basement ------------------------- •---•--•------•-----•-----• ...................... ..........................._...--------------••-•----- Istfloor...._Offices & Light Manufacturing 1?5 lbs. ...........................•---........------•---•- .......-••--•--••-...-•--..._...-•----...---•.............................................................•---------•----•------------••------ 50 lbs. 2n floor ........................................................ ......................................... ----------------------------------------- ------------------------------------------------------------- 3 rd floor ...................... .....-•---.......--•----•--------------------------------------------------•....... ............................................................. 4thfloor ------------------------------- -..................................... ............................................................. Add floors as necessary------••..............•-----...-------•--=------....---- .....-•----------------------------------------••---...._...----•--••-----._....... _ Roof.................... ° e .................................... W ............................................ i.................................................... City of CUPERTINO ................. March.21________________ I 73_--- `..' - Chief Building Inspector Phis certificate must be posted and permanently maintained in a conspicuous place at or close to the entrance of the building or structure referred to above.