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02010086, 02070014, 02110025CITmLDmc DIVIiSIONNOPERMIT CONTRACTOR INFORMATION: 9UILDIN'G ADDRESS: PERMIT N0. 20568/70 STEVENS CRK W L BUTLER INC 02010086 TIES O OFF ARCHIT CCUENGINEER: U til ¢ w LICENSED CONTRACTOR'S DECLARATION O v i 1 hereby firm that 1 am licensed under f Chapter 9 (coma i N- G y a provisions o p t:we with Section]000)of ran fthe Pus ss dP le,cv'i in, Cade, and my full f end C izca visa 1 3 u „ t ARCHITECT'S DEC ATI ON 1 once land y phosshall be used o public rccards i v3r<^ licensed more:conal 204 FRANKLIN ST (650)361-1270 PPLICATION SUB DATE 01/22/2002 BLDG ELECT PLUMB NECH Job Description TENANT IMPROVEMENT FACAED & LANDSCAPE NALED C 0 9 2002 es u� OW'NCR-BUII.DER DECLARATION 1 hereby affirm that I am exempt from thC Contractor's License Law for the BUILDING F 3 < a, following reason (Section 703 L5. Business and PmfeWcaro Codd Any, city or county ` 6 12 0 0 0 F O i 3 which requires a permit to construct. alter. improve, demolish, or repair any structure,•l Prix t 'us a,,wwm,r.alwoexFor, th pfl cam fn such peauor filatisipmed>mtemem - - -- - -- - - -- - - - - cG/t�,,r /�Cga } '. �2 `: " Valuation thathelicensed parattI then to of the C—nown,Lic I.a. (Chapter9 ttmnnc ng with Section 7000) of Division 3 of the Business and professions Code) or teat fie is exempt thertfmm antl the basis for the tl exempnit Any cts th to l Penalty of section ]831.5 by any applicant for u permit subjects the applicant to a civil pcwlry :ofnor more than five hundred dollars (s50E. 10]ApN1. DATION Occupancy Type D 1, as owner of the property, or my employers with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sea. 7094, ' Business and Professions Cede: The Commission's License Law ds not apply to an 10 3 - UFER Required Inspections' ' ovine r of property Who builds or improves thereon, and weo does such work himself 10 4 - REBAR_ or through his own cmployccs proviJed that such improvements arc not imcndctl or ' oRercdfor sole. IC however, the building of impnmem<nt is suld within one year of - "-"' - .. ' 105 - ANCHORRBGLTS omplaum, the owwwrobuilder will have the burden of proving that he did nut build or improverorparposeofmle.). 106 - SEWER & WATER Di::a owner dr the property, amisaiu.sively contractlug witi licensed commati lis to 2 0 2 - - UNDERFLOOR PLUMBING _ - _ construct the project (sec. Tau. Business and Professions Caere:) The Contmcmrs License Law docs net apply to an owner of property weo Wilds or improves themon. 2 0 3 - UNDERFLOOR MECHANICAL ._and who contracts mr.sace projects with a.contmctods) Beensed.Frmant to the - -- -2 04 - -UNDERFLOOR- 'FRAME - - Contractor's Liccnsc Law.—_-- 01amexempt under See. .s&I- Cforthisreason 205 - UNDERFLOORINSUL'A'TION ' Owner Date 301 - ROUGH PLUMBING - WORKER'S COMPENSATION DECLARATION 302 - TUB & OR SHOWER I hereby affirm wonder pcnaln'of kdary one of the following dedamtons 303 - ROUGH MECHANICAL 0 1 n6ve and will maimafn a Ccrtiacme of Consent m self -home far Workers C.. far ivy Becton 37W of the Labor cone, for me 3 04 - ROUGH ELECTRICAL .1 - - os provided 'perroumai ce of the wore, for which this permit is i ... ea. 3 0 5 - FRAME /1 01 have and u11 'maintain workers Compensation Insamnce, as required by Section 3 06 - HOLDOWNS _ 37W of the Labor Code, fur the performance of the work for which this Permit is 3 0 7 - INSULATION issued. My Workers Compensation Insurance carrier and Policy number arc rol„�NANFROMW)zK Q I 8, EETR - . ")•t30 I�r-t-:E� tay3309=-'• IPT Rs 1NOFFXE IONFROMW KR -S' ORKLA EXTERIOR "' LATH: r I MPLNSATION INSURANCE' ^ or 310 ?- INTERIOR 'liATH_____ . -_,__ _- . ___ _,_ Thi, sesrt;n need not be t; nnldedxme permit 311 - SCRATCH COAT ($1 W)L.or less) _ ,�, -^'.1 eeniry Inpt in ane performance pf thework for whari this Isrmit is essaea: I - - - ` 313 - ROOF - NAi L :hmrsnt employ any,p<rso5 in way manner, so a' to Wcome sanj«t to me workers' 5 01 - FINAL ELECTRICAL ' ENERGY Cumpenaaton- of Cubfomia; Uvte Ay twaam - - 502 - FINAL PLUMBING ENERGY- - - - - - --- NOTICETOAPPLICANT: Ifager making this Ccnifcn¢of Exemption. you should 503 - FINAL MECHANICAL ENERGY O becenm unda"ci tothe Worker's Compensainn Provisinna of the Lahnr Code, you must fonhw,hncomplywilnWenprovismnsortnispartnitsnnllWaermearevokm' 504 - FINAL BUILDING. ENERGY._ .... ti """ -CONSTRUCfIONLENDINGAGENCY" 505 - FINAL ELECTRICAL ' a:> Thereby affirm that thelia is a construction lending agency for the performance work for which thisptmnitisissued(Ser.3W7.ay.C.) -GAS TEST ,.., y q Leo, Ibnaers, Nrowe- - I-ende Add _ _506 _ - 507 - FINAL -PLUMBING ; p ,S 508 - FINAL MECHANICAL 1 myth tie amivvrcr ett mon W information ns l g t only mall lr ordinances a.l l 1 telling 509 - FINAL GRADE OC) U t.7 ebCrand to buil and representatives rthis city'. cnter upon robuld' g construction: the f - FINAL PLANNING y' ,.yfebyauthorize nnoWa)a need property led p lye' m U, 'L ran fy and lee harmals.510 (Wc)agrcc to sat in, sm mnifyandkeepharmlcss the wayt'Cupe...im, said liabilities, jad tents. c be eel ffir which may in any way accrue ngeinst said City in copse c f the of this - 514 FINAL PUB IC WORKS g permit APPLICA . UER." AND WILI:COMPLY WITH ALL N N 01 Issued b Date Y S UIcG I- _ifin pPnean n moor '... .. Mae Re -roofs 'T HAZARDOU ATERIAI.S DISCLOSURE ''' Will Nc apylicam or frau wilding occopont smrc or handle hazvdous material ' Type of Roof - - ' es de toed by Ne Cupcnin Mr WI Code. Chapter 9.12. and dir, Health end Safety Code Section 255320W I DYes .�iNq t .. 1 . -,! d , :. ! ) _ All-roofstshall be inspectedpoor to any to, ng.material being installed.. Wil to pplico t for W la' g occupant use equp t a swehn If a roof is installed without first obtaining an inspection, I agree to remove -it h d it a r cpm m pants as def nee by the Bay Arca An Qual ty Management r GI d+ .... all new materials for inspection. Applicant understands and will comply with- .�/ oyes }4 Noall non -point -source regulations. - -. ' � 1 have read the hazardous macr alt rcgmrcmcnn'undcr Chapter 695 of Ne Califumia Heahl�Safely Codc. tions 25905, 25537 and 25574:1 undershnd thus fifth Wilding q{Es not current asjaa tenant, NaPtis my msponsibility�t�ify th4 tot oft r ni us be ran nor to issuance of a C n ere 9r ry: Occu hey. �D l r n o authorized age I ¢ Signature of Applicant Date All roof coverings to be Class "B" or'better OFFICE. ... _. _.. ... _ _ 1,,1 1 I V1 x,., V I _1\I Jul" BUILDING DIVISION. PERMIT BUILDLNG ADDR S: 20568 770 STEVENS CRF~_._ BLVD '19V�R MROPERTI ES PHONE: a O Z tol ARCHITFCT/ENGI.NEER U v~, ¢ n. v `r? LICENSED CONTRACTOR'S DECLARATION O v Z j I hereby affirm that 1 am licensed under pro%tsions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business a Prof es ons Code. a !— ( )y license 1 ism full for �id effect. =L z ¢ License Cla Lic. .....JJ _ r C c C —n—) Contract 7 Al RCHITTCT'S DE ARATION understand my plans shall be used as public records i z p c� Licensed Professional OWNER -BUILDER DECLARATION ! hereby affirm that I am exempt from the Contractor's License Law for the Z ¢ l following re&son. (Section 7031.5. Business and Professions Code, Any city or county N T G, which requires a permit to construct, alter, improve, demolish, or repair any structure Ej prior to its issuance. also requires the applicant for such permit to file a signed statement f that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (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 of not more than five hundred dollars (5500). ❑ 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 Contractor's License Law does not apply to an owner of property Who builds or improves thereon. and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:) The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a conlractor(s) licensed pursuant to the _ Contractor's License Law. I� ❑ 1 am exempt under Sec . B & P C for this reason 1 Owner Date WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a Certificate of Consent to self -insure for Worker's _ Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. ❑ 1 have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the or Code, or the performance of the work for which this Perm issued. M ' 'er's Com _Batton Insurance carrier and Polis/}" number are: (' Jl LC/Irrier o tc ' /ZO ' 0— ✓�Cl CERTIFICATION OF EXE\1 FROM WORKERS' 5 C COMPENSATION NSURANCE (this section need not be completed if the permit is for one hundred dollars a (5100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Applicant NOTICE TO APPLICANT: If. after making this Certificate of Exemption, you should Z become subject to the Workers Compensation provisions of the Labor Code, you must 2, forthwith comply with such provisions or this permit shall be deemed revoked. .�. ( CONSTRUCTION LENDING AGENCY I hereby arm that there is a consuucuon lendin_ agency for the performance LTi d of the waffirmork for which this permit is issued (Sec. 3097. Civ. C.) ^,, l Lender's Name Lender's Address U 0 I certify that I have read this application and state that the above information is k+ �. correct. 1 agree to comply with all city and county ordinances and state laws relating 0 U to building construction, and hereby authorize reprssemauves of this city to enter upon (� the above-mentioned property for inspection purposes. Q. (We) agree to sa ,indemnify and keep harmless the City of Cupertino against C!] liabilities, judgme c sts and ex ws which may in any way accru against said U Z City in consequ c o the granting (this crtnn. (/f� A!'P!,ICA\ WT� CO^\IP'LY WfTH ALL JIIJ�p N r ��SO) RCE RE 'S SCJ HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Muni pal Code. Chapter 9.12. and the Health and Safety Code. Section 25532(a)? ❑ Yes N' \rill the applicant or rare b ilding occupant use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District' Cl Yes 1 have readO-ements hadrals requirements under Chapter 6.95 of the California Health//fell Be.CodSecyyy ns 25505. 25533 and 25534. I understand that if the but dcurrently hattenant, that it is my responsibility to notify tjme occupant of th which ust be mer prior to issuance of a CertificV6 of agent CONTRACTOR INFORMATION CAL -NEON SIGN 1577 ALMADEN RD SIGN. (11 NOS.) PERMIT NO. 02070014 APPLICATIQNIjBOD�T� 2 0 0 2 SANTTARYUUNO. // CONTROL NO BUILDING PERMIT INFO BLDG ELECT PLUMB MECH L:... :.:I I.. -.:I C— . j L_ - I Job Description Sq. Ft. Floor Area Valuation 35908005.00 101 103 104 105 304 505 514 Re -roofs Type of Roof N Number - FOUNDATION - UFER Required Inspections - REBAR - ANCHOR BOLTS - ROUGH ELECTRICAL - FINAL ELECTRICAL - FINAL PUBLIC WORKS Occupancy Type Date All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Applicant understands and will comply with all non -point source regulations. of Applicant Date All roof coverings to be Class "B" or better OFFICE anyof CUPEkTINO CITY OF CUPERTI? - -► SIGN PERMIT APPLICATION FORM 0 � " 7C -D � � APN #��q 0 t---02,Date: BUILIDNG BPERNIFEE 6 Building Address: 20 � --?_c,77C� �, BUILIDNG Owner's Name: n C � fl.,� �� � e� IS I'-' Seismic Commercial Phone #: 9915 _i ba - Contractor: P V5 ELECTRICAL License #: 3 &5,6165 Contact: 7 J_ S� Rmdl Sings, Marquee Phone #: Applicant/Contractor: uil Permit Info: BUSLIC Bld Elect Plumb Mech J Description: 0 0', Residential: ammercial: Sq.Ft. Floor Area: $J Ft.: Architect/Engineer: Valuation: Type of Construction: _ Occupancy broup .T Qty. if Annlicabfe Fee ID Fee Descrintion Fee Group BENERGY Energy BUILIDNG BPERNIFEE Bldg Permit Fees BUILIDNG BPLANCHK Plan Check Fee BUILIDNG BSEISMICOM Seismic Commercial BUILIDNG EPERMITFEE Elect Permit Issuance ELECTRICAL BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Rmdl Sings, Marquee ELECTRICAL BUSLIC Business License BUILIDNG 0 C CITY OF CUPEkTINO 6 CITY OF CUPERTINO PERMIT APPLICATION FORM 07-4 ry � AP # O � -.11 r Date: Building Addres Owner's Name: Ttro Phone #: ,5, - & Contractor: License #: Contact: Phone #: Applicant/Contractor: Fax #: Buildinermit Info: Bldg Elect Plumb Mech Job scription:RLerdial: adential: Sq.Ft. Floor Area: $ q.Ft.: Architect/Engineer: Valuation: Type of Construction: c pancy roup: (' / ./J J Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BCONSTAX Construction Tax BUILDING BCO]VSTAX 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 BENERGY Energy BUILDING 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 BNUCONff" New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING ko k�0e ;arvc�-� T -k- Wst,�� / IS—e D 1 of 3 aceZ OO ce P <ZU G Z ZO -Z �-0 aNYFLq K c a rr aOaV W3tr t - I iO< iyY'a WpO aaa�c W�N ~Za iF0 a3= CITY OF CUPERTINO BUILDING DIVISION PI TIT 7 �y' CON'T'RACTOR INFO) MONi BUIL216cE?,6f8970 STEVENS CRK W L BUTLER INC PER MITNc62110025 Owq�YFAkAE:PROPERTIES 204 FRANKLIN ST APPLICATI(11N15fjBf gy2002 `-' PHONE: (650)361-1270 SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION I hereby allivn that 1 am licensed under provisions of Chapter 9 (commencing CrV �{Tf� �j��IQ(1 with Section 7000) of Division 3 of the Business and Professions Code. and my license is REVISION --IN I1V .7 L� ONLY in full force and effect. EXTER. LIGHT REVISIONS, NO NEW PERMIT ISS License class Lie. a Date Contractor ORIG. #02010086 ARCHITECTS DECLARATION I understand my plans shall he used as public records O Licensed Professional OWNER -BUILDER DECLARATION 1 hereby affirm that I am exempt from the Conuactor's License Law for the j following reason. (Section 7031.5. Business and Professions Code: Any city or county `which requires a permit to conswct, alter. improve. demolish, or repair any "cturc 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 $ 2 OWOtion (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 ePO Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil pepalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended oroffercd forsale (Sec. 7044. Business Professions Code: The Contractor's License Law does to an owner of — equlred Inspections and not apply 10 2 - PIERS property who builds or improves thereon, and who docs such work himself or through his own employees. provided that such improvements are not intended or offered for sale. If, 1 03 — U FER however, the building or improvement is sold within one year of completion, the owner- 1 O 4 — RE BAR builder will have the burden of proving that he did not build or improve for purpose of sale') 105 - ANCHOR BOLTS ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to 10 6 - SEWER & WATER consuuct the project (Sec. 7044, Business and Professions Code:) The Contractor's Li- cense Law does not apply to an owner of property who builds or improves thereon, and . 202 — UNDERFLOOR PLUMBING who contracts for such projects with a conuactor(s) licensed pursuant to the Contractor's License Law. 203 - UNDERFLOOR MECHANICAL ❑ 1 am exempt under Sec. , B & P C for this reason 204 - UNDERFLOOR FRAME Owner Date 205 - UNDERFLOOR INSULATION WORKER'S COMPENSATION DECLARATION 301 — ROUGH PLUMBING I hereby affirm under penalty of perjury one of the following declarations: i 302 — TUB & OR SHOWER E]I have and wi l l maintain a Certi ficate of Consent to self- insure for Worker's Compen- 3O3 ROUGH MECHANICAL cation, as provided for by Section 3700 of the Labor Code. for the performan$c of the — work for which this permit is issued. 304 - ROUGH ELECTRICAL ❑ I have and will maintain Workers Compensation Insurance. as required bylsection 3 0 5 - FRAME 3700 of the Labor Code, for the performance of the work for which this permit ilk issued. My Workers Compensation Insurance carrier and Policy number am: 306 — HOLDOWNS Cartier: Policy No.: 307 - INSULATION CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE 308 - SHEETROCK (This section need not be completed if the permit is forone hundred dollars ($I00) 309 - EXTERIOR LAQ or leas.) - 310 - INTERIOR LATH I certify that in the performance of the work for which this permit is issued. I #hall not 311 - SCRATCH COAT employ any person in any manner so as to become subject to the Workers' Compensation Laws or California. Date 313 - ROOF NAIL Applicant NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should 501 - FINAL ELECTRICAL ENERGY become subject to the Worker's Compensation provisions of the Labor Code, you must 5 0 2 - FINAL PLUMB �I NG ENERGY forthwith comply with such provisions or this permit shall be deemed revoked. 503 - FINAL MECHANICAL ENERGY CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of 504 - FINAL BUILDING ENERGY the work for which this permit is issued (Sec. 3097, Civ. C.) Lenders Name 5 0 5 - 506 - FINAL ELECTRICAL GAS TEST Lender's Address 1 certify that 1 have read this application and state that the above information is 507 - FINAL PLUMBING correct. 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 FINAL MECHANICAL ahove-mentioned property for inspection purposes. O 9 FIN E (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 in consequence of the granting of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT Issued by51 WORKS Date SOURCE REGULATIONS. Re -roofs Type of Roof Signature of ApplicanUConuactor Date HAZARDOUS 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 Safety Code. Scction25532(a)? All roofs shall be inspected prior to anyoofing material being installed. C]Yes ❑ No Will the applicant or future building occupant use equipment or dcvirks which If a roof is installed without first obtaini g an inspection, I agree to remove emit hazardous air contaminants as defined by the Bay Arca Air Quality Management all new materials for inspection. District? C] Yes E] No I have read the hazardous materials requirements under Chapter 6.95 of the Califor- nia Health & Safety Code. Sccuons 25505.2,5533 and 25534.1 understand that if the building does not currently have a tenant, that it is my responsibility to notify the occupant of the requirements which must be met prior to issuapce of a Certificate of Occupancy. i Signature of Applicant Date All roof coverings to be Class "B" or better Owncrorauthorizcdagcm Dade CUPEkT1NO CITY OF CUPERTINO PERMIT APPLICATION FORD `) k) i APN #o Fee Description Date. Building`,lddress: 20 . - o MECHANICAL Owner's Name: �5 Phone #: I S • (o2.(s • Z 'i Contractor: Boiler <=100,000 Btu License #: � 0,35 12 Contact: • >a►� Phone #: rJ o • S5s' A licant/Contractor: BBOILE123 Boiler> 500K to 1M Btu dinmit g PerInfo: ld Elect Plumb Mech 'Job escription: Residential: 1 LIAo t L AV -e 0 S C,,4 424 1 Commerci Sq.Ft. Floor Area: BCONSTAX. Construction Tax Architect/Engmeer: ,4sse . Valuation: , GOo. ao Type of Construction: Occupancy Group: rt k'j Quantity Fee ID Fee Description Fee Group BAPPLOTHEP, Other Appliances MECHANICAL BBLDGFLE Bldg Permit sq. foot BUILDING BBOII�EtI Boiler <=100,000 Btu MECHANICAL BB0ILFR2 Boiler > 100K to 500K Btu MECHANICAL BBOILE123 Boiler> 500K to 1M Btu MECHANICAL BBOILE114 Boiler > 1M to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 1.75M Btu MECAL BCONSTAX. Construction Tax BUILDING BCONSTAX Ind/Off/Comm/ i BUILDING BCONSTAXBQ Con. Tax for BQ Zone' BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax — R.esi/Mobile BUILDING BELEC1000 Elec 600V <=1000A ELECTRICAL- BELEC1001 Elec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <— 200A ELECTRICAL BENERGVY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BI=ING BMTTIGATC Comm. Housing Mit. Fee BUILDING I of 3 CITY OF CUPERTINO BUILDING DIVISION PERM] CONTRACTOR IN BUILDfNG ADDRESS: 20568/70 STEVENS CRK OWNER'S NAME: BYER PROPERTIES PHONE: CD C� Z ARCHITECT/ENGINEER: 0— P Z w —PZw �- P, Z LICENSED CONTRACTOR'S DECLARATION ZI hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing u) with Section 7 ) of Division f the Bus) ss and Pr fessions Code, and my license --t ism full f and e z< Lice e C i c. N O a U Contra OrF.t I ARCHITECT'S DEC ATION < 1 unde � tand y plans shall be used as public records vt .0 Licensed Professional X o OWNER -BUILDER DECLARATION zea = 1 hereby affirm that 1 am exempt from the Contractor's License Law for the _Z >' following reason. (Section 7031.5. Business and Professions Code: Any city or county F a which requires a permit to construct, alter, improve. demolish. or repair any structure LU prior to its issuance, also requires the applicant for such permit to file a signed statement a 3 — that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (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 of not more than five hundred dollars ($500). ❑ I, 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 Contractor's License Law does not apply to an owner of property Who builds or improves thereon, and who does such work himself orthrough his own employees. provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:) The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law. ❑ 1 am exempt under Sec. , B & P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Worker's Compensation Insurance carrier and Policy number are: rrie Poh`, fib.: D N OF EXEMYf70N FROM W f RS' h1PENSATION INSURANCE (chis section need not be completed if the permit is for one hundred dollars (SI00) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date 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 most forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.) Lenders Name Lender's Address I certify that 1 have read this application and state that the above information is correct. 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 above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of Cupertino against liabilities, )zed tots. costs an expenses which may in any way accrue against said City in conseP�nce of tht g of this permit. APPLICAN3 IJfs'DER AND HILL COMPLY X1TrH ALL NO.IPOIN''Y " HAZARDOUYMATERIALSDISCLOSURE — Will the applicant or furuWbuilding occupant store or handle hazardous material as defined by the Cupertino Mutiticipal Code, Chapter 9.12. and the Health and Safety Code. Section 25532(a)? ❑ Yes Ao Will the applicant or future building occupant use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District? • S N / ❑ Yes o 1 have read the hazardous materials requirements under Chapter 6.95 of the califom)a Heal Safery Code, ect)ons 25505. 25533 and 25534. 1 understand that if the building snot current] avga tenant, that it is my responsibility ton ify th occupant of Vquvemen ust be met prior to issuance of a CFnjfcate cf 3a W L BUTLER INC PERMIT NO. 02010086 APPLICATION SUB DATE 204 FRANKLIN ST 01/22/2002 (650)361-1270 SANITARY NO. CONTROL NO. BUILDING PERMIT INFO BLDG ELECT PLUMB MECH L _�3 E= _i__J u Job Description TENANT IMPROVEMENT FACAED & LANDSCAPE $1200000 3 �9.( 6�' r,br:6a , I Valuation 101r' -L'70'tMAT ION 103 - UFER Required Inspections 104 - REBAR 105 - ANCHOR BOLTS 106 - SEWER & WATER 202 - UNDERFLOOR PLUMBING 203 - UNDERFLOOR MECHANICAL 204 - UNDERFLOOR FRAME 205 - UNDERFLOOR INSULATION 301 - ROUGH PLUMBING 302 - TUB & OR SHOWER 303 - ROUGH MECHANICAL 304 - ROUGH ELECTRICAL 305 - FRAME 306 - HOLDOWNS 307 - INSULATION 30.8 7-,SHEETROCK 309 - EXTERIOR LATH 310- - 'INTERIOR LATH - 311 - SCRATCH COAT 313 - ROOF NAIL 501 - FINAL ELECTRICAL ENERGY 502 - FINAL PLUMBING ENERGY 503 - FINAL MECHANICAL ENERGY 504 - FINAL BUILDING ENERGYI, 505 - FINAL ELECTRICAL 506 - GAS TEST 507 - FINAL PLUMBING 508 - FINAL MECHANICAL 509 - FINAL GRADE 510 - FINAL PLANNING 514 - FINAL_PUBTJC WORKS Issued by: , t Date Re -roofs Type of Roof V! f M All roofs shall be inspected. prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Applicant understands and will comply with all non -point source regulations. Signature of Applicant Date All roof coverings to be Class "B" or better n1=1:Ir.F Tabor Engineering Architectural Consultants, Inc. dba T.E.A.C. Consulting Engineers A California Corporation 3160 Crow Canyon Place, Suite 105 San Ramon, California 94583 925/275-0110 275-0126 (FAX) A Woman -Owned Business Enterprise Bruce Donahue City of Cupertino Building Department 10300 Torre Avenue Cupertino, CA 95014-3202 408-777-3228 408-777-3223 (F) Re: 3rd Structural plan check comments Control # 10751 April 19, 2002 Permit # 2010086 New Detached Facade Construction 20568-70 Stevens Creek 1 u Cupertino, CA p, �i��'�+���� Dear Bruce Donahue: �; a dl� go The following is our response to th�,5� tan comm dated April 17, 2002, for the above -referenced project. Revisions t ulations have been clouded and are designated as Revision 3. Our co tttn c . re to the -`original plan check comments by the City of CupertiM, Structural Comments: M� Item N1: See revised detail 6'4 Refer to the attached supp�'emental calculations, pages I through 8A. Items N2: To avoid any bend ittg/buckling on the 3/8" thick-gh et plate, 3/8" thick shear tabs have been add8d Af;the.=side of the TS, beams. Refer to the revised detail 4/SD.2. This type of vertical diagonal brace and its connection are correct. Refer to calculations, pages 9A -13A for wing plate. Item 10: Refer to detail 10/SD.3 for rear side uplift. Item 6: See attached supplemental calculations, pages 14A -15A. There is no need to meet the L/r requirement, based upon the exception provided for in section 2213.8.5 of the 1997 U.B.C. See supplemental calculations, page 16A. See supplemental calculations, pages 17A-I8A for the single angle and continuous truss chord. 3`d Structural plan check comments Control # 10751 Permit # 2010086 New Detached Facade Construction 20568-70 Stevens Creek Cupertino, CA Page 2 of 2 Structural Comments: (cont.) Item N3: There is no need for interior sleeve spacers, considering that the wing plate on each side of the TS beam will distribute the horizontal pressure/forces equally to the side wall of the TS beam. Please call our office if you have any questions or need additional ;clarification. Sincerely, George Ghiragosian Project Manager KDO1 S3R-L3 CC: Todd Poliskin Kahn Design Associates 1250 Addison Street #206 Berkeley, CA 94702 510/841-1225 (F) Attachments: Supplemental calculations 4.