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01100032 CITY OF CUPERTINO BUILDING DIVISION PERMIM CONTRACTO N- BUILDING ADDRESS: PERMIT NO. 10200 N TANTAU AVE MAI INDUSTRIES INC 01100032 OWNER'S NAME: APPLICATION SUB DATE . COMPAQ COMPUTER CORP. BLDG 16 105 BONAVENTURA DR 10/04/2001 PHONE: SANITARY NO. CONTROLNO, ' (408) 434-9880 OLac C ARCHITEC(ENGINEER: BUILDING PERMIT INFO E w- BLDG ELECT PLUMB MECH ,at r—t u I -I u 8 N i LICENSED CONTRACTOR'S DECLARATION Job Description z_O I hereby aRnt that 1 am licensed under provisions of Cluster 9l commencing p ,�C J with Section 7")of Division Sof the Bminessand Professions Cale.und an,license CONVERT 3 OFFICES TO 2 . is in full fora and effect. i e a License Class Lia.0•' 'Ono Date ITCLAr INALE 1 3 v ARCH [CI"S5 DDECLARATION O 1 understand my plans shall be used os public records s I I g Lov"vad Pmfe„innal SEP 1 8 2002 OWNER BUILDER DECLARN'ION I hereby affirm in.,I rat uempt from the Contractors License law fm the t_ a following reason.(Section 7031.5,Business and Professions Code:Any cry or county $17500 F G which requires a pandit m construct.shin,improve.demolish.or repair any structure e _primbiii,oauanae,nlstrcquires theepOicam far such permit(.fila asigned,tnlencnt e'+� that he iSlicenad pdrsueM mthepn"Amm,ofthe Comm�mor's License Lew lCwNa9 .. C f r Valuation BI III DING (commencing with Section 9(X10)of Division 3 ofthe Business and Profusions Code) t �,I hs �33 �; '?�Y7�1••'ktl•Vj.{�1,��4 ',:`vt' or that he ii exempt isotherm and the basis for the allegal exemption.Any violation -of Section 7031.5 by any applicant for a permit subjects the applicant o a civil penalty .of not mare than five hundred dollars(S%)). 10 CPN NOObNDATION ` '' ' Occupancy Type a 01.as ownerol the prtpen,,tr my employees with wages as their sole compensation, will do the work,and the swetu -is not intended or offered for sale(Sec.VBW, Business and Professions Code:The Contractor's License law does nes apply to an 103 - UFER Required Inspections t' owns r of prapeny Who builds or inp iwai Ihartun,and who does such work himself _ 104 - REBAR _ _ _ __ _ _ or Through his own Wwemployers,provided that such vamenteis sol are non intended or coned for sthe.If.mv ndwuilde Inc Wilding or improvement n swat within one year of 10 5 - ANCHOR BOLTS completion,IM1e owner-builder rill have the Wrden of proving Nm he did not Wild or ' improve for purpose of sale.), 106 - SEWER & WATER ... n .met- -- yswtmedngwitnllcw,eacortmeronta 02 - UNDERFLOOR -PLUMBING---- construct . I -------. ❑l;ere owner at IM1e pmpeny,um exdusivd � the project(Sec.70,14.Business and Pmfessnns Code:)The Contractors 2 03 - UNDERFLOOR MECHANICAL - License Law does non apply m an owner Of pmlam,who bwlds or improves thereon, W who sonuams.fbnsuch pnjecu with a cnntractw(s)licensee pmanant to.the 2 04 - UNDERFLOOR--FRAME - Contractors License law. ❑I oro exempt under Sec. ,B&P C for this reason 205 - UNDERFLOOR' INSULATION owner GOO.. 301 - ROUGH PLUMBING WORKER'S COMPENSATION DECLARATION 302 - TUB & OR SHOWER I nereh, M.order pariah,ofprij.,one of be following deelmotiaas: 3 03 - ROUGH MECHANICAL 0 l have and in maintain a ecraficme of Con.em to self-insure far Workers 3 04 - ROUGH ELECTRICAL Compensation, os provided for by Section 3700 of the labor Code, for the performance of the war,for which bis permit is issuae. 305 - FRAME O I have and will maintain Worker's Cimi,mmma Insurance,as required by Section 3 06 - HOLDOWNS 37M of the Labor Code,for the performance of the work for which this Permit is 3 07 - INSULATION My Workers Compensation Insurance comer end Policy nurober lie: _ PthcyNd,: 308 .-'--SHEETROCK .:,, .. ._.. ' ICEMMCATIONOFE%EMnIONFROMWQRKERS'L "-3O9' <_fuEXTERI'OR'eLATH : .. .: coMPENsnnoNiNsuRAlvcE:`. - - - ---310' INTERIOR' LATH'--",,.-..._ _-- ......._._.._.._...- • (This.section need not be completed if the Permit Is for Dole hundred dollars 3 11 - SCRATCH COAT 151Bo)aneaa.) shoo not employ any person in dry manner st o m become subject '313 ' - ROOF"NA,I L.., • '.. . - s.a Ice py haninberifin nymaorasworkfbewldentost she Workers' 501 - FINAL ELECTRICAL"ENERGY It ere Worker' Compensationlawaofohmrnia.Date 502 - FINAL PLUMBING ENERGY .Applicant . NOTICE TO APPLICANT If,after making this Certificate of Exemption,you should 503 - FINAL MECHANICAL ENERGY O � hecome subject Io the Worker's Compensation provisions of IM1e LUWr Code,you muss ibvnwiaeomply with hw<hprovisions arbisPermit shall bedamedrevoked. -- .504- -. FINAL BUILDING ENERGY CONSTRUCTION LENDING AGENCY - 505 - FINAL ELECTRICAL a-> s I hereby affirm that Bert is a construction Inndmg agency for the performance - Isthe sZwkforrSihichthispe.,Iisi...ed'(Sec.3W7,Civ.C.) 506 GAS TEST A.* Lnaer'sNantd 507 FINAL PLUMBING U O I denify that l have read this application mad state that the wit information is 508 - FINAL MECHANICAL cimem.1 agree m comply with all city and scum,mdinawis and state laws relating 509 - FINAL GRADE =.0 to Wilding constriction.and hereby authorize representatives of this city In enter upon 510 - FINAL PLANNING y, ;4 the,above-mentioned poapeny for imps ection purpose •, ,L.Ge (Wa)aimemsaveindemnifyandkccphwnlcsslneCityofCupcninoogainsl 514 - FINAL PUB IC WORKS h liabilities.judgments,costs and expenses which may in any way¢crag against said V.Z City inconsequence of the granting of this permit,' l' APPLICANT UNDERSTANDS'AND WILL COMPLY WITH ALL NON-POINT SOURCE REGULATIONS. ' ' Issued by: Date Signature of A',licam/Camrnnoo "'Date Re-roofs HAZARDOUS'MATERIALS DISCLOSURE Will the applicant or roue Wilding occupant.tore or handle hausall material Type of Roof, as def red by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety , ( . '• >': iCode,Section M32ht) K' ' : 'e-yesOres .. , 3°- ,',.• .. .',. ...All roofs shall be inspected.prior to.any,roofing material,being installed, .. ..._ . Will the applicant or lumm building occupant use equipment or devices which If a roof is installedwithout first obtaining an inspection,I agree to remove 1 Institutionsair ammunitions uninants as defined by the Bay Arca Air Quality Management I a"? all new materials for inspection. Applicant understands and will comply with � 1y' 1. Ores D' '.. ,r - all non-point source regulations. J I have read the hamidous mmerwis requirements under Chapter 695'm the California Health&Safety Code.Sections 25505.25533 and 25530.1 understand that d(thein,docs not commonly have a tenant,that it is my msponsibility to notify the occupant of the requirements which must be mil pinto to issuance of a Cenifiutu of Occupancy. Signature of Applicant - _ Date .. owner orantWdzsa agent . Data All roof coverings to be Class "B" or,better •''a ' ' - ' OFFICE .- �P CyARA c0Gy FIRE APARTMENT • T SANTA ltAMDA COUNTY CONTROL NUMBER 14700 Winchester Blvd., Los GatosCA 95030-1818 PERMIT NUMBER (408) 378-4010(phone) • (408) 378-9342(fax) PLAN CHECK No. M9 cote PLAN REVIEW COMMENTS CODE/SEC. SHEET NO. 0 1:�91 CLS The following CHECKED items apply to this project: t 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 permit application and applicable fees for review and approval,prior to performing work. UFC 1001 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 1001 Tenant shall have access to a minimum of.2A10BC minimum rated fire extinguisher(s), y Iodated within 75 feet travel distance. UFC 100f Tenant shall have access to one Class "K" type fire extinguisher, within 30 feet of commercial cooking equipment. Post sign near"Y"extinguisher noting commercial fire protection system • should be activated prior to using the portable fire extinguisher. UFC 1002 Exit doors shall be openable from the inside.without the use of any special knowledge or effort. Thumb-tum dead bolts that require more than 1/4 turn to operate are not acceptable.UFC 1207 Exit Illumination: Provide illuminated exit signs. UFC 1212 rp Contractor shall field verify the integrity of existing rated construction/assemblies and restore or �✓� repair as necessary as part of this work. Penetrations in rated walls/ceilings shall be protected A by listed fire rated assemblies (dampers, doors, caulking, fire stopping material etc.). UFC 1111 CC:' At time of final inspection, the tenant shall provide to the fire department a labeled emergency �a,. a access key for placement in the building fire department key box. UFC 902.4 This plan check does not permit the use,storage or dispensing of hazardous materials,operations or waste. The tenant shall provide a completed HMIS to the fire department's hazardous materials specialist for review and comment. APPROVED FOR BUILDING PERMIT ISSUANCE subject to compliance with the above checked comments prior to final inspection. JURIS PLANS SPECS NEW REMODEL AS CONST.DESCRIP. B'Y- U // 11AA DATE PAGE �C( P ❑ ❑ ❑ WEiLc AI DaI�L IO y OI OF > SEC./FLOOR OCC OCC.LOAD AREA ARCHIENG/CONTRACTOR/OWNER •f 22 3 s n �2t7onl �L Me— NAME OF FACILITY LOCATION CCM 11A G' C k2�1� (o 102©6 A) -I 1W i Au ,41/ A California fire protection District serving Santa Clam County and the communities of Campbell, Cupertino, Los Altos, Los Altos Hills,Los Gatos,Monte Sereno,Morgan Hill, and Saratoga I' &Y OF CUPERTINO ej/ 2- C11YOF PERMIT APPLICATION FORM CUPEkTiNO APN# Date: �� �a Oct24� Building Address - . Owner's Name: Phone #: oirn ,P' Z 3z.111 Con actor: I A License #: Contact: Phone #: Ap licant/Contractor: Building Permit Info: ]dg lett Plumb Mech o escription: coova✓f. 3 ooe:Ces kmt- 2 Residential: Commercial: Sq.Ft. Floor Area:. „ $/Sq.Ft.: V :. o Architect/Engineer: Valuation: C-►O�azp Type of Construction: Occupancy Group: e Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBLDGFEE Bldg Permits . foot BUILDING BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M 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> 1000A ELECTRICAL BELEC200 Elec Svcs 600V<=200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING r BINVESTIGA Investigation fee BUILDING BMITIGATC Comm. Housin Mit. Fee BUILDING Iof3 Z72 .5f