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06070140CC Z C a> 0.0 UC UC OF L Fa U2 CITY OF CUPERTINO ' ' =_77 ° ` BUILDING DIVISION PERMIT ,CON"12A.Cpx1YX�'I�.xfJN, BUILDINOADDRPSS: MEADE CONSTRUCTION GROUP 3?ERMIT NO. 06070140 1Vl 10201 TORRE AV OWNER'S NAME: PERMIT ISSUE DATE SYMANTEC 645 RIVER OAKS PKWY 006 E: SANITARY NO. CONTROL NO, (408)321-6450 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION Job Description hereby "we Jul l am lixnsed provisions provons of Chapter 9 (commencing with SmOm7OW).fDiv BofNe Busincssmd s onsC ,god Ilcersab nrullfaae arc V '• T.I.-2ND AND 3RD FLOOR 27,350' License Cl Lle.g Dare C3DECL RshallWTS OECLkc ON I understand my puss shall W stud u public mcorJs w Leavened Pmrcauoest OW NER-BUILOER DECLARATION I hereby aM m that I son asempl from the Conbanafs License Law for tie following moon. (Section 70315, Business and Pmfeushons Cale: Any city or county _ $980000 which requima a meront In emnJrove demolish, a repair my stm utw, ur, Imp, demoerum tiueum also �;a:�f�ceLai r � CUPEkTINO CITY OF CUPERTINO TENANT IMPROVEMENT PERMIT APPLICATION FORM APN # Date: Building Address: 4 ro Mailing Address (if different from building address): Owner's Name: Phone #: l eco C) Contractor: t Phone #: Fax #: Contractor License #: Cupertino Business License #: Contact: Phone #: �V.5o Fax #: Alternate Contact: Phone #: Fax #: Valuation (cost of project): n �� Job Description (be specific): c- T1 -If Tenant Improvement Includes Re -Roof: Yes ❑ No number of squares Tenant Improvement Includes Structural Yes ❑ No ❑ Type of Construction (Usage Class): Occupancy Type: 1 FR, 1 1F ❑ 11, 111, V-lHR 'J2""'11, 111, 1V V -N ❑ Project Size: Standard ❑ Large❑ Major ❑ Green Building: Attach LIKED Checklist to plans and identify in sheet indes. LIKED Points Achieved: *** For Office Use Only*** Over The Counter ❑ CITY OF CUPERTINO TENANT IMPROVEMENT FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type IATINSP Tenant Improvement B 1ATI 10 C)o Inspection IATIPLNCK Tenant Improvement Plan B Check 1BTIINSP Tenant improvement B 1BTI Inspection 1BTIPLNCK Tenant Improvement Plan B Check IETI1NSP Tenant Improvement B IETI Inspection IETIPLNCK Tenant Improvement Plan B Check 1FTIINSP Tenant Improvement B 1FTI Inspection 1FTIPLNCK Tenant Improvement Plan B Check 1HTIINSP Tenant Improvement B 1HTI Inspection 1HTIPLNCK Tenant Improvement Plan B Check IITIINSP Tenant Improvement B IITI Inspection IITIPLNCK Tenant Improvement Plan B Check 1MTIINSP Tenant Improvement B 1MTI Inspection 1MTIPLNCK Tenant Improvement Plan B Check 1RTIINSP Tenant Improvement B 1RTI Inspection 1RTIPLNCK Tenant Improvement Plan B Check 1 STIINSP Tenant Improvement B 1 STI Inspection 1STIPLNCK Tenant Improvement Plan B Check R 2 of 3 CITY OF CUPERTINO TENANT IMPROVEMENT FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type 1REROOFCOM Re -Roof Commercial B BUS LIC Business License B 3 of 3 ice z nU~ :ZU � � H )tea )yU .LLF- �QH ;erg 3 C C :p0 <m� a Z => =� :2p e~m 0z z C f5+ �:)z UC (L P O f✓ F; v U r— CITE' OF CUPERTINO DIVISION PERMIT�`l[�CT�iR�' BUILDING BUILD T`6AARR,fsSTORRE AVE VNAAMUE: MEADE CONSTRUCTION GROUP PERMIT NO. 08010027 OWNER'S PERMIT ISSUE DATE SYMANTEC 645 RIVER OAKS PKWY 01/07/2008 PHONE: SANITARY NO. CONTROL NO. (408)321-6450 ARC HITECTIENGI NEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 LICENSED CONTRACTOR'S DECLARATION Job Description I hereby affirm I am licensed under provisions of Chapter 9 (commencing with Section 7000) of uom3o(thc Business and Professions Code, and my license is ORIG PERMIT#06070140 EXPD— THIS REPLACS COML TI in full force and effec License las Lie. p - Datc=� Contractor. ARCHITECTS DECL AT O 1 understand my plans shall be used as public records Licensed Professional OWNER -BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractors License Law for the following reason. (Section 703 1.5, 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 Contractor's License Law (Chapter 9 Sq. Ft. Floor Area valuation that he is licensed pursuant to the provisions of the 9 8 0 0 0 0 (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 Ap�,j Number 36941005 Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (6500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, nss Required Inspections (i will do the work. and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The ContractorLicense Law docs not apply to an owner of P 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.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:) The Contractor's L- eone 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 Contractors License Law. ❑ I am exempt under Sec , B & P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 work for which this permit is issued. ❑ 1 have and will maintain Workers Compensation Insurance, as required by Section 3700 r Code, for the performance of the work for which this permit is issued. My Wor !r/'g/�m/,(peens/3t�ryn Insurance carrier and Policy numb _cr Carie ' /- [' `s--C.-�i� S Policy No.: / CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued. 1 shall not employ any person in any manner so as to become subject to the Workers'Compensaton Laws o(Cali(omia. Date Applicant NOTICE TO APPLICANT: IL after making this Certificate of Exemption, you should become subject to the Workers Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency I'or the performance of the work for which this permit is issued (Sec. 3097, Civ. C.) Lender's Namc , Lender's Address I certify that I have read this application and stale that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction. and hereby authorise representatives of this city to enter upon the ahovc-mcntiuncd property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of Cupertino against Iiabilitics,judgments,costs and expenses which may in any way accrue againstsaid City in consequence of the granting of this peornit- APPLICXP6 UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT Issued by: Date — g SOVRREGULATIONS. Re -roofs Type of Roof " tgnat c of Appl- Contractor Date AZARDO S ATERIALS DISCLOSURE Will the applicant or fut ilding occupant store or handle haiardous material as defined by the Cupertino Municipal Code. Chapter 9.12, and the Health and Safety Code. Section25532(a)?� / All roofs shall be inspected prior to any roofing material being installed. ❑ Yes K0 M 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 defined by the Bay Arca Air Quality Management all new materials for inspection. Disuict? i Cl Yes t�fQti I have read the hazardous materials requirements under Chapter 6.95 of the Califor- nia Health & Safety Code, Sections 25505, 75533 and 25534.1 understand that if the building docs not currently hast a tenant, that it is my responsibility to notify the occupant of the require nu which mustbcm prior toissuance otaCcnificattc)o upanc)'- Signature of Applicant Date k6o= All roof coverings to be Class "B" or better O� O net authoriz d a critDate CITY OF CUPERTINO BUILDING DIVISION PERM BUILDING ADDRESS: 10201 TORRE AV OWNER'S NAME: SYMANTEC PHONE: ARCHI FCr/ENGINEER: Z LICENSED CONTRACTOR'S DECLARATION F' I hereby affirm that I am licenced under provisions of Chapter 9 (commencing U with Section 70()0) of Divi ' 3 0(thc Business and Pr 'ons C��nd y license is w in full force an effett x z License Cl Lic. p p Date Contractor u ARCHITECTS DECLARA ON i a f understand my plans shall be used as public records ` U F" Licensed Professional iy OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractors License Law for the o 0 following reason. (Section 703 1.5, Business and Professions Code: Any city or county which requires a permit to consWcL alter, improve, demolish, or repair any structure c y 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 tits Conuactor's License Law (Chaptcr 9 (commencing with Section 7000) of Division 3 of tits Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violadon of Section 7031.5 by any applicant fora 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 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.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Critic) The Contractor's Li- cense Law docs 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a Certificate of Consent to self-insum for Worker's Compen- sation, 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 Labor Code. for the performance of the work for which this permit is issued. My Worke s pen ad Insuua�nce��aprticr and Policy number are: _OA Cartier: KR Policy No.: CERT A OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (rhis section need not be completed lithe permit is for one hundred dollars ($100) or less) I certify that in the performance of the work for which this permit is issued, t shall not employ any person in any manner so as to become subject to the Wnrker3 Compensation Laws of California. Date Applicant NOTICE TO APPLICANT: If, after making this Ccnificate of Exemption, you should become subject to the Worker's Compensation provisions of the Labor Code, you must Z forthwith comply with such provisions or this permit shall be deemed revoked. s CONSTRUCTION LENDING AGENCY r 4 1 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.) QLenders Name 4 Lender's Address 7Z 0 1 certify that I 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 DU building coTrysoucoon, and hereby 'uthorire mpresentauves of this city to enter upon the about-mcmlpned property for ins coon purposes. y nW. (We)' gm to save, indc nify and kcep4tar%lcss the City of Cupertino against C/l ilitiu Jutl s,�coss a expenses w 'eh may i any way acc against said City �Z u c �equcncc c yyf this pc IL A LISA NDER T 1) ND ILL CO PLY WITH k NT SOU LATIO _(�l �DOUS MALS DISCLOSURE ill a appli tar uture bu di g occupant store O handle hazardous material as deftn y the Cup t Muni ' 1 odc, Chapter 9.12, and the Health and Safety Code, ScMtionz553z(a). M Yes All roofs shall be inspected prior to any roofing material being installed. o Will tits applicant or forum building occupant use cyuipmcnt or devices which If a roof is installed without first obtaining an inspection, I agree to remove emit hazardous r,conwttinanscfined by the Bay Area Air Quality Management I all new materials for inspection. Bistrict? \` 0 Yes^` `l have read heard - atcrials mou' reefs rr,lc 1,r„tdr C'h,nrer 6.95 of the Califor- Idmif the huildine MEADE CONSTRUCTION GIZVJP IIIA"""'06070140 645 RIVE (408)321-6450 PERMIT ISSUE DATE SANITARY NO. CONTROL NO. BUILDING PERMrf INFO BLDG ELECT PLUMB Job Description T.I.-2ND AND 3RD FLOOR 27,350' Sq. Ft. Floor Area Ttt Issued by: Re -roofs Type of Roof Required Inspections Valuation Occupancy Type Date Z ?- oz does n y have a ter reouircmens ich must be Owner or and 25534.1 onsihilityt notify dic cupan of the of a Certif etc NtLri - Signature of Applicant Date All roof coverings to be Class "B" or better IV/ VV/LVV0 13. Ob r A A 4Vd;iL Ib455 10/03/2006 10:46 FAX 408 777 3333 1 CUPERTINO MtAUt UUNJ1KUG1lUN CITY CUPERTINO 10001/001 12001/001 Community Development 10300 Torre Av=ua Cupertino CA 9S014 Telephone (408) 777-3228 Fax (408) 7773333 Building Department Jai ADnztEss: � PERMrr #D(�D`70/�O OWNER'S NAN1T. cr PHONE # 40,f4/S GENERAL CONTRACTOR,p 1 am not using any subcontractors, Signature Date Please check wobbcable subcontractors and eomnlete the following information t5A0 •' . 'Ma S+i`t Excavation AW -" r. '1 - • ■ • Ia�� . I / ��Lr�ali..L wwwao', ;00& ro;A Owner �W& Date ❑ LEED for Commercial Interiors v2.0 Registered Project Checklist Project Name: Project Address: Yes ? No . . sustainab Pointsl Credit 1 1 to 3 OSelect a LEED Certified Building 3 OR Locate the tenant space in a building with following characteristics: 1 to 3 4 sub -credits under EAcl . Credit 1.1 Option 1A 1 1/2 Option A: Reduce lighting power density to 15% below the standard Option 1 B Stormwater Management: Rate and Quantity 1/2 Option B: Reduce lighting power density to 25% below the standard Option 1C Stormwater Management: Treatment 1/2 Credit 1.2 Optimize Energy Performance - Lighting Controls Option 1D Heat Island Reduction: Non -Roof 1/2 to 1 Option 1 E Heat -Island Reduction: Roof 1/2 Option B: Reduce Design Energy Cost Option 1 F Light Pollution Reduction 1/2 imize Energy Performance - Equipment and Appliances Option 1G Water Efficient Irrigation: Reduce by 50% 1/2 Option 1H Water Efficient Irrigation: No Potable Use or No Irrigation 1/2 Credit Enhanced Commissioning Option 11 Innovative Wastewater Technologies 1/2 Energy Use, Measurement & Payment Accountability Option 1.1 Water Use Reduction: 20% Reduction 1/2 Option 1 K Onsite Renewable Energy 1/2 to 1 Option 1 L Other Quantifiable Environmental Performance 1/2 to 3 Credit 2 Development Density and Community Connectivity 1 Credit 3.1 Alternative Transportation: Public Transportation Access 1 (Credit 3.2 Alternative Transportation: Bicycle Storage & Changing Rooms 1 Credit 3.3 Alternative Transportation: Parking Availability 1 Yes ? No Water Efficiency Points Credit 1.1 Water Use Reduction - 20% Reduction Credit 1.2 Water Use Reduction - 30% Reduction Yes ? No . . 1 Fundamental Commissioning Prereq rereq 2 Minimum Energy Performance rereq 3 CFC Reduction in HVAC&R Equipment ' NOTE for EAc1: All LEED for Commercial Interiors projects registered after June 261h, 2007 are required to achieve at least two (2) points under EAc1 from achieving any combination of the 4 sub -credits under EAcl . Credit 1.1 O timize Energy Performance - Lighting Power Option A: Reduce lighting power density to 15% below the standard Option B: Reduce lighting power density to 25% below the standard Option C: Reduce lighting power density to 35% below the standard Credit 1.2 Optimize Energy Performance - Lighting Controls Credit 1.3 O timize Energy Performance - HVAC Option A: Equipment Efficiency and Zoning & Controls Option B: Reduce Design Energy Cost Credit 1.4 imize Energy Performance - Equipment and Appliances 190% 70% of ENERGY STAR eligible equipment is ENERGY STAR rated of ENERGY STAR eligible equipment is ENERGY STAR rated Credit Enhanced Commissioning Credit 3 Energy Use, Measurement & Payment Accountability ]Case A: Projects with area less than 75% of total building area Case B: Projects with area 75% or more of total building area Required Required Required Projects may earn 2 points 1 to 3 1 2 3 1 1 to 2 1 to 2 1 to 2 1 to 2 1 2 1 1 to 2 1 to 2 2 Yes ? No Yes ? No Prereq 1 Storage and Collection of Recyclables Required Credit 1.1 Tenant Space, Long Term Commitment 1 Credit 1.2 Building Reuse, Maintain 40% of Interior Non -Structural Components 1 Credit 1.3 Building Reuse, Maintain 60% of Interior Non -Structural Components 1 Credit 2.1 Construction Waste Management, Divert 50% From Landfill 1 Credit 2.2 Construction Waste Management, Divert 75% From Landfill 1 Credit 3.1 Resource Reuse, 5% 1 Credit 3.2 Resource Reuse, 10% 1 Credit 3.3 Resource Reuse, 30% Furniture and Furnishings 1 Credit 4.1 Recycled Content, 10% (post -consumer + 1/2 pre -consumer) 1 Credit 4.2 Recycled Content, 20% (post -consumer + 1/2 pre -consumer) 1 Credit 5.1 Regional Materials, 20% Manufactured Regionally 1 Credit 5.2 Regional Materials, 10% Extracted and Manufactured Regionally 1 Credit 6 Rapidly Renewable Materials 1 Credit 7 Certified Wood 1 Prereq 1 Minimum IAQ Performance Required Prereq 2 Environmental Tobacco Smoke (ETS) Control Required Credit 1 Outside Air Delivery Monitoring 1 Credit 2 Increased Ventilation 1 Credit 3.1 Construction IAQ Management Plan, During Construction 1 Credit 3.2 Construction IAQ Management Plan, Before Occupancy 1 Credit 4.1 Low -Emitting Materials, Adhesives and Sealants 1 Credit 4.2 Low -Emitting Materials, Paints and Coatings 1 Credit 4.3 Low -Emitting Materials, Carpet Systems 1 Credit 4.4 Low -Emitting Materials, Composite Wood and Laminate Adhesives 1 Credit 4.5 Low -Emitting Materials, Systems Furniture and Seating 1 Credit 5 Indoor Chemical and Pollutant Source Control 1 Credit 6.1 Controllability of Systems, Lighting 1 Credit 6.2 Controllability of Systems, Temperature and Ventilation 1 Credit 7.1 Thermal Comfort - Compliance 1 Credit 7.2 Thermal Comfort - Monitoring 1 Credit 8.1 Daylight & Views - Daylight 75% of Spaces 1 Credit 8.2 Daylight &Views - Daylight 90% of Spaces 1 Credit 8.3 Daylight &Views -Views for 90% of Seated Spaces 1 -Innovation & Design Process 5 Points, Yes ? No ProjectMMM • (pre -certification Points Certified: 21 to 26 points, Silver: 27 to 31 points, Gold: 32 to 41 points, Platinum: 42 to 57 points Credit 1.1 Innovation in Design: Provide Specific Title Credit 1.2 Innovation in Design: Provide Specific Title Credit 1.3 Innovation in Design: Provide Specific Title Credit 1.4 Innovation in Design: Provide Specific Title Credit 2 LEEDTM Accredited Professional Yes ? No ProjectMMM • (pre -certification Points Certified: 21 to 26 points, Silver: 27 to 31 points, Gold: 32 to 41 points, Platinum: 42 to 57 points 101201 TORRE AVE