03100202 CITY OP CUP)•;R'I'INO
BUILDING DIVISIONPIJRMIT CONTRACTOR INFORMATIONS fir.
BUILDING ADDRESS: SYL-MAR CONSTRUCTION PERMITNO.O 3100202
10590 N Z10600 TANTAU AVE
ERS NAME: 1310 TULLY RD. # 114 PERMIT ISSUE DATE
EQUITY OFFICE PROPERTIES 10/28/2003
ONE:
(408) 293-7969 SANITARY NO, CONTROL NO.
ARCHITECTIENGINEER: BUILDING PERMIT INFO
BLDG ELECr PLUMB M[CH
Z, LICENSED CONTRACTOR'S DECLARATION O O O O
L I hcmby.from mman
at 1.m licensed ander provisions nr Chapter 9(cnmeing Job Description
V
t wi m Section 7010)of Division 3 of the Busin rad Professions Code,and my license is f HALED
] y
in lull ten. EXTERIOR LANDSCAPE & LTG
FYI? Loan ss LION
s F-° Dam Contractor
fARCHIM7rSDECL ADN JAN 0 8 2004
t 1 undcnt no my plain shall M used es pts lic rtcmds
xw°o Liccnud Professional
Oat I am exempt
room
DECLARATION BUILDING
I 1 hereby reason,(Sce Ihm I am eacmpl Tram the ConlraclCo License Law for thd
°o followinguiresa (Scent ]ensu Business and Pe.ther h.Code:Any city or county
$ which sits iss s in permit re cores the alma improve.h Permit t in repair any avunent $7500r)
-Ziatement
thionnslicenedputrlsuteyuilieuprcapionsortheant for sucCohpermiuuicensle e Law
haptrt,
< (co me cingwd Sectio 7it)the")ofDiviomnfthe the
Littnulaw(Chaprer9 Sq.F[. Floor Area Valuation
(commencing sub's Seedon711007 of oiddon3nnhe Rosiness and professions CaAc)ar 31618035 . 00
at he is exempt therefrom And the pais for the alleged exemption,Any violation of
Section 7031.5 by any applicant for a permit subjeeta the applicant to a civil penalty of APN Number Occupancy
not moNane m an five hundred dollars p y Type
Q 1,As owner of the progeny,or my employees with wages As their sole compensation,
will do the work,end Ne aWau ,is not intended W offered far sato(Sec.7004,Business
and Professions Code:The Contactor.License Law does not apply to an owner of Required Inspections
property who builds or improves Neaten,and who does such work but or through his
own employees,provided that such improvements art not intended or offered for sale.If,
however,the building or improvement is sold within one year of completion,the owner-
builder will have UM burden of proving that he did not build or improve for purpose of
sal..).
1,as owner of one pmpeny,am animively contracting with licensed canuacmrs co
Construct the project(Sec,7004,Business and Professions Cade)The Contractor's Li.
cease law does not apply to an owner of property who builds or improves thereon,and,
who aonm ccs for such projeco with a conwnorts)licensed purnout to the Com actors
License law.
p lam exempt under Sec. ,B&PC for this moon
Dam
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the fallowing declarations:
1 have and will maintain a CeRricate of Consent to self-Insum for WorkersCumpen-
setian,u provided for by Section 3]00 of me Labor Code,for she performance of the
w�30)of
ork for which this permit is issued.
have and will maintain Workeh Compensation Insurance,a xyuirtd by Section
me Labor Code.for the performance of Ne work for which this permit is issued.
WorkrsCmh enation ,m ract.ohoandPo rynumberariC�WPdlo.: _
CERTIFICATE PE EXEMPTION FROM E
COMPENSATION INSURANCE
(This ire inn need not be completed Blue permil is fmanc hundred dollars(HOUr
or less.)
I certify Nal in the performance of the work for which this permit is issued,I shall not
employ any person in any manner at)as to become subject to the Workcri Componsadon
Laws of California.Data
Applicant
NOTICE TO APPLICANT:IL after making this Certificate of Exemption,you should
become subject in the Worker's Compensation provisions of the labor Cade,you most
� ,7,,, forthwith comply with such provisions or this perm it shall he deemed revoked.
OCONSTRUCTIONLENDING AGENCY
1 hereby affirm Net there is a construction lending agency Int the performance of
Z 7 the work fur which this permit is issued(Sec.3097,ON,C.)
A D Lender's Name
Zi
7 Z Lender's Add.
;J Q 1 certify than I have reed this application and sate cher the show information
Rising
to -
y U building 1 agate m comply with all city and county oNtnnmo and aam laws r upon t to
IJ buildingconstruction,property
ro and hereby awborimmpmxnativcs of this city to coins upon me
„ LO shove-e,judned pmpc costs
for inspection purposes,
ti
CL. (we)agree to on.indemnify and temp harmless the City of Cupertino against
JzV) in consequent ortheCasbang of this Pe WlltCM1 may i0 anyway aCLNe Against said Clty
in consequence of the graining of lbta Permit, /
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date f�E6
SOURC EGULAWONy 1Q[ ��w//J
Y. nemmo Applican onmc Ir Dam Re-roofs
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or future building occupant store or handle hamus ous material
as dal nod by the Cupertino Municipal,Code.Chapter 9.13,and the Health and Safely
Section 255320)? All roofs shall be inspected prior to an roofing material being
❑Y. Pa p p Y g g installed.
Will the applicant or future building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection, I agree to remove
#"I,w
adous air contaminants as darned by the Bay Arca Air Quality Management all new materials for inspection.
QYns Kle
I have read Ne hanalous materials requirements under Chapter 6.95 of thc Califor-
me Health&Safcty Colic,Sections 255(15,]5533 and 35530.1 understand that if the building
dao not cu rely haw a tenant,that it is my xaWrothility m ninny IM mupam of me
a IWOm�t 'minlasa�t«oracd neata� eye Signature of Applicant Date
Owner ar:athoniscd agent' •,Y Date All roof coverings to be Class"B"or better
CITY OF CUPEwrINO
BUILDINC DIVISION .PER CONTRACTOR�NFOR ONS
BUILDING ADDRESS: SYL-MAR CONSTRUCTION PERMIT N0.03100202
10590 N 10600 TANTAU AVE �f
OWNER'S NAME: 1310 TULLY RD. tt 114 PERMIT ISSUE DATE
EQUITY OFFICE PROPERTIES in /?A /,)nn-1
'HONE: 408 293-7969 SANITARY NO. CONTROL NO.
ARCHITECTIENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
jot LICENSED CONTRACTOR'S DECLARATION Job Description
Iu I hereby affirm the,I em licensed trade,provisions of Chapter 9(commencing
a� with Section 7")of Division 3 ofthe Busineegand Professions Code,and my license is W INALED
in lull to-an feet. EXTERIOR LANDSCAPE & LTGC
iq? Lice CI ss Lk'N
i Date Cunerattor
ARCHITECTS DECL A ON JAN 8 2004
I I end.., rad my plops shall he used see pts lie nomme
is
g Licensed Pmf aioml BUILDING
3 OWNER BUILDER DECLARATION
m 1 hereby affirm that I am exempt Dom,he Contractor's License Law for the
00 following reason.(Section 7031,5,Business and Pmfessinns Coda:Any city m county
5$ which requires a pcneit to cnalmeL alter,improve,demolish,or repair any structure $75000
-Zi pnono its issuance,also requires the applicant for such permit to rile a signed statement
EEss that he is liccnUd pumuint it)ffic provisions of the Contractor's License Law(Chapter 9 Sq.Ft. Floor Area Valuation
!Fct (Commencing with Section 700(h)of Division 3 or the Business and Prorcalnns Code)or
,3R
e33 Nat he is exempt Otonfrom and,M bssu for the alleged exemption.Any viDla,ion of 31618035 . 00
Section 7031.5 by any spplicenlfor a permlt subjects the applicant o a civil penalty of APN Number Occupancy Type
not more than five hundred doll...(55x0).
❑Las ownerofolid pmpeny,or I$ emntende with wages for sale
will Pr the work.end the awdwm is not intended or Law
do forsale(Sec 7044,Owner o$
and Professions Code:The Conuamrs License law dors or apply ff in owner is Required Inspections
Own eny,who builds ser improvesch imps and en who ts awnsuch work himself offered
his
Own employees,the
uipresided provehimpwvld witarenotintendedor moReud for owner.
however,the have
the
of improvement g sold within one yes(or improve
the owner.
builder will love Ne burden of proving that he tlitl no,Mild or improve fur purpose of
sled.
❑1,as Owner of du pmpery,am exclusively connecting with licensed comfatom ID
coawct the pwjcct(Sec.7014,Business and Professions Code:)The Contecmts U.
cane law does not apply to an owner of property who Milds or improves thereon,and
who contracts for such pmjecu with o eontnetor(s)licensed pursuant As the Convector.
License La
[-]I am exempt under Sec. ,B,k P C for this mason
Owner Data
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declaetion e
,]I hew and will maintain a Cenifca¢of Consent to self-insuw for Worker's Cumpem
a.d. ,As provided for by Section 37M of du labor Code.far Ne performance of the
work for which this permit is issued.
I have and will maintain Wwker's Compensation laurance,as required by Section
3 00 of the Labor Code,for the performance of the work for which dei$permit is issued.
My Wr'e Cn� torten;etion n$umeece cartienntl Pagcy numbers O
Certie: �N gN'RT1111 P�114rYe/No.: ~
CERTIFlC OMPE EXEMPTION FROM E WOK
COMPENSATION INSURANCE
(Thr.sectionnand no,bu completed if enc permit is froom hundred dollen($101)
nr lea.)
1 certify that in the perfnwunce of the work for which this permit is issued,I shall nut
employ any person in any manner so es to become subject to the Workere Compensation
laws of California.Dau
Applicant
NOTICE TO APPLICANT.IL after making Nis Cenifcau of Exemption,ynu should
become subject to the Worker's Compensation provisions of the Ichor Cade,you must
�Z forthwith comply with such provisions or this Permit hall be deemed revoked.
OCONSTRUCTION LENDING AGENCY
I hereby eW nn Nat there its consmetinn lending agency ler Ne performance of
Y. y the work for which this permit Is issued(Sec.3097,Civ.C.)
st 0 Lender,Name
3.z Lender's Addwa
Q 1 ccaify that 1 have read this application end auu Net the above inrorma,iun is
y Fcmwa 1 agree no comply with all city and county ordinances and state laws relating to
V building candmmion,and hereby authorize reprucnea,ives of this city m enter upon the
NU above-mentioned property for inspection purposes.
ti (We)agree to ave,imica nify and keep harmless,he City of Cupenino against IL
rex liabiliue.,judgments,costs end eapcnses which may in any way same against aid City /� I i is
,,Z, in consequence of Ne graining ser this permit. V
t"r APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURC EGULATiON,� n
OU lows t 1d'70�r�� Re-roofs
s naLUMO Applicant/ narrow r � � Data
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will Ne applicant or future building occupant stow or handle hazardous material
a defined by the Cupertino Municipal,Code.Chapter 9.12,and the Health and Safety
Code.Section 25532(a)? gyaaaNNNN All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future building occupant use equipmon,or dcvicu which If a roof IS installed without first obtaining an inspection,I agree IO remove
it ha❑zardousYns contaminants
it a dcfncd by the Bay Arca Air Quality Management all new materials for inspection.
District?
❑Yes K.
1 have mad the hanardous materials requirements under Chapter 6.95 or the Califor.
Ara Ha d)to Safety Cade.Sections 25505.25533 and 25334.1 undeeund thin ifthc building
Jou not cu dy hose a sense,,the,it u my wsppnsihili,y m notify the pane of Ne
rqq yI pct hichmuypcme, DrU De Dr.Ce Beata/q ry. Signature of Applicant Date
'� ��A"�' �It All roof coverings to be Class "B" or better
Owner or ameorized" Dmc
CITY OF CUPERTINO
`>_m 1 of 1 PERMIT RECEIPT OPERATOR: conniew
COPY # 3
Sec : Twp: Rng : Sub: Blk: Lot :
APN . . . . . . . . : 31618035 . 00
DATE ISSUED. . . . . . . : 10/28/2003
RECEIPT 4 . . . . . . . . . : 23619
REFERENCE ID # . . . : 03100202
SITE ADDRESS . . . . . : 10590 N /10600 TANTAU AVE
SUBDIVISION . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . .
OWNER EQUITY OFFICE PROPERTIES
ADDRESS . . . . . . . . . . : 10590 N /10600 TANTAU AVE
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : SYL-MAR CORP.
CONTRACTOR . . . . . . . : MITRA SOLEYMANI LIC # 23340
COMPANY . . . . . . . . . . : SYL-MAR CONSTRUCTION
ADDRESS . . . . . . . . . . : 1310 TULLY RD. # 114
CITY/STATE/ZIP . . . : SAN JOSE, CA 95122
TELEPHONE . . . . . . . . : (408) 293-7969
4EE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
-- - --- - --- - - --------- - - ----- ----- ----- ----- ----- - ---- - - - ----- - - ----- - - - --
BPERMFEE VALUATION 75, 000 . 00 650 . 00 0 . 00 650 . 00 0 . 00
BPLANCHK PERMIT FEE 650 . 00 552 . 50 0 . 00 552 . 50 0 . 00
BENERGY PERMIT FEE 650 . 00 195 . 00 0 . 00 195 . 00 0 . 00
BPSPRINK NO OF SPRINKL 3 . 00 12 . 21 0 . 00 12 . 21 0 . 00
PPERMITFEE FLAT RATE 1 . 00 35 . 52 0 . 00 35 . 52 0 . 00
BSEISMICOM VALUATION 75, 000 . 00 15 . 75 0 . 00 15 . 75 0 . 00
ELECTRIC SQUARE FEET 7, 500 . 00 525 . 00 0 . 00 525 . 00 0 . 00
EPERMITFEE FLAT RATE 1 . 00 35 . 52 0 . 00 35 . 52 0 . 00
- ----- ---- ------- - -- ------ -- -- -- - -------
TOTAL PERMIT 2021 . 50 0 . 00 2021 . 50 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
- -- - - - ----------- -- -------- -- ------ ------------
CHECK 2021 . 50 33288
TOTAL RECEIPT 2021 . 50
*CITY OF CUPERTINO
CUP TOF YO PERMIT APPLICATION FORM
APN# 2, D 25 Date: t-0_ 28 _03
Building Addre : 105e-70
_ /O&OD /V,/7ANTAV Mailing Address (if different from building address):
Owner's Name: Phone#:
.VQu177 of-�lc�. PIQUPER��"]J�vsr 408. 346 . 4auo
Contractor: License#:
S L-. m�� 2 O
Contact: DENN� a,RO Phone: $.,zg3.7gr6q Cupertino Business License#:
Fax: 4oi9. 219 -3442
Building Permit Info:
Bldg Elect Plumb ❑ Mech ❑
Job Description: rxmpf6 L,4/vvSC AFF 07C
. Residential El � � ' Commercial
Sq.Ft. Floor Area: N . A . $/Sq.Ft.:
Cost of Project: 75, OZD_ Occupancy Group:
Type of Construction- Please check this box if the project is a
second-story addition: ❑
Quantity Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBLDGFEE Bldg Permits . foot BUILDING
BBOILERI Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> I OOK 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> I OOOA 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
z.3�i�
1 of 3 �
R- *CITY OF CUPERTINCO
CITY0 PERMIT APPLICATION FORM '
CUPEkTINO
-quantity Fee ID Fee Description Fee GroupI
BMITIGATR Res. Housing Mit Fee BUILDING
BMNEWMULTI New Multi-Family Res MECHANICAL
BMNEWSF&2F New Sf&2F Res Bldgs MECHANICAL
BNEWMULTI Multifamily Res ELECTRICAL
BNUCOMME New Comm Electric ELECTRICAL
BNUCOMMM New Comm Mechanical MECHANICAL
BNUCOMMP New Comm Plumb PLUMBING
BNUMULTI New Multifamily Res PLUMBING
BOVERTIME Inspection Overtime BUILDING
BPBACKFLOW Atmospheric Vacuum PLUMBING
BPCESSPOOL Cesspool PLUMBING
BPERMFEE Bldg Permit Fees BUILDING
BPFIXTURE Pblg Fixture PLUMBING
BPGAS Gas Piping System Fee PLUMBING
BPINTERCEP Ind Waste Interceptor PLUMBING
BPLANCHK Plan Check Fee BUILDING
BPLANCKADD Plan Check Add Multi BUILDING
BPLANCKREP Plan Check Repeat Fee BUILDING i
BPREPIPE Re i eOfFixtures PLUMBING
BPSEWAGE Sewage Disposal PLUMBING
BPSEWER Sewers PLUMBING
BPSPRINK Lawn S rinklerBackflo PLUMBING
BPSTORM Storm/Rain Water PLUMBING
BPTRAP Kitchen Trap PLUMBING
BPVENT Alt of Drain &Vent PLUMBING
BPWATER Install/Alter Water Pie PLUMBING
BPWHEATER Water HeaterNent PLUMBING
BPWSVCS Main Water Service PLUMBING
BREINSPECT Reinspection.Fee BUILDING
BREMACOVER A/C Unit> 10,000 cfm MECHANICAL
' BREMAMIAN A/C Units <= 10,000 cfm MECHANICAL
BREMAPPLI Appliance Install MECHANICAL
BREMBUSWAY Remodel Busways ELECTRICAL
BREMFIXT Lighting Fixtures ELECTRICAL
BREMFURN Relocation of Furnace MECHANICAL
BREMFURNOV Relo Furnace> I OK btu MECHANICAL
BREMHEAT Heater Installation MECHANICAL
BREMINHOOD Installation of Hood MECHANICAL
BREMMISC Misc Apparatus ELECTRICAL
BREMNRAPP Rem Non-Res Appliance ELECTRICAL
BREMPOLE Pole/Platform Fixture ELECTRICAL
BREMPOWER Power Device/Apparatus ELECTRICAL
2 of 3
fJ
arliyo
ATY OF CUPERTINO
CU NO PERMIT APPLICATION FORM
Quantity Fee ID Fee Description Fee Grou •
BREMRECEPT Rc t1,.Switch & Outlets ELECTRICAL
BREMRELOCA Relocation of Hood MECHANICAL
BREMREPALT -Repair/Alter Heating MECHANICAL
BREMRESAPP Remodel Res Appliance ELECTRICAL
BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL
BREMSIGNS Remodel Signs, Marquee ELECTRICAL
BREMTHEATR Theatrical Lighting Fix ELECTRICAL
BREMVENFAN Vent Fan Single Duct MECHANICAL
BREMVENSYS Ventilation Systems MECHANICAL
BSCBLVD Scb Specific Plan BUILDING
BSEISMICOM Seismic Commercial BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSPECIAL Special Inspection BUILDING
BSWIM Swimming Pool BUILDING
BTEMP Temporary Power ELECTRICAL
BTEMPPERM Temporary Bldg Permit BUILDING
BTEMPSVCS Temp Dist Svcs ELECTRICAL
BUSLIC Business License BUILDING
ELECTRIC Electrical sq foot ELECTRICAL
EPERMITFEE Elec Permit Issuance ELECTRICAL
MPERMFEE Mechanicals . foot MECHANICAL
MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbing Permit Issuance PLUMBING
PPLBG Plumbing Fee sq foot PLUMBING
ZADDCHG Address Chane BUILDING
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