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03080041CITY OF CUPEW1'INO '^ o $ .- z �. Q Q U 4, h 7in r7- I�NF®I2MATI BUILDING DIVISION PERMITCONTRACTOR BUILDING ADDRESS: PERMIT NOD 3080041 1 333 VA OWNER'S NAME: PERMIT ISSUE DATE HEWLITT PACKARD 08/11/2003 PHONE: SANITARY NO. CONTROL NO. ' ARCHITECrIENGINEER: BUILDING PERMTTINFD BLDG ELECT PLUMB MECH 0 0 0 0 LICENSED CONTRACTOR'S DECLARATION Job Description 1 hereby affirm that 1 am licensed under previsions of Chapter 9 (commencing P with Section 90l%pof Division 3 ofthe Buser ,and Professions Codi. and my license is ren tnmw reit. e REROUTE Y SEWER Lm _ ice Clas pp Da¢ Cwt3c1 NV. 3' S�e:�YSler CONTRACT I g.'AL SYSTEM INC. ARCHITECTS )f}LARATION understand my pians shell be useJ as public mrnrds SEP 112003 Licensed Pmfcssinnel OWNER -BUILDER DECLARATION 1 hereby affirm (Sec that I este exempt from the eca lms s Licensee Low for the reason. (Section Icon 1.5, Business and Code: Any City or county BUILDING improve. demob h. which alter, improve, demolish. fi repair any stmnum which re permit to requires its n vires dis that beor its issuanm, ouO requires thovisiappo s o for such rector License w(Cha mem PUusJmL Sq. Ft. Floor Area Valual}dm000- )atDiviommof ftBuuessandxnselaw(Chodmr9 (cot of Division3 of N Business and Professionilatde)tion or (commencingWith (comma of Nµ he u exempt Ncrtfram and the buts for Ne alleged exemption. Any violation of he mal alleged BC Occupancy Type Section ]031.5 by any applicant for a Permit subjects to applicant re a civil penalty of not more than fire hundred dollars ($500). D I, as owner of the progeny, or my employees with wages as their sole compensation, will do the work, and Ne structure is not intended moffemd fur tali (Sec. ]044. Business and Professions Code: The Conlrvctors License Law docs not apply to an owner or 202 - UNDERFLifd;'s�iSIIG properly who builds m Improve thereon, and who does ouch work himself or Nmugh his ownemployeis,provided thmmch improvemenuars not macadedorortemd(orale. If, 301 — ROUGH PLUMBING wner however, the building or improvement is mid within one year of completion, the Owner- 502 FINAL PLUMBING ENERGY builder will hive the burden of proving Nat be did not build or improv for purpose of builder - sate')' 507 - FINAL PLUMBING D 1, as owner of the progeny, am exclusively contracting with licensed contractors to Conswct the project (Sec. 7044, Business and Professions Code:) The Contractor's Li. cense Law docs not apply to an owner of property who builds or improves themon, and , who contracts for such projects with a conuactor(s) licensed pursuant to the Contractor's ' License Law. D l am exempt under Sec. .B&PC far this reason Owner Date - WORKER'S COMPENSATION DECLARATION I hereby affned under penalty of perjury ane Of the fallowing declmtio ok I have and will maintain a Cenifmme of Consent to add- mm o for Worker's Compere tion, as provided far by Seniors 37W of the Labor Code, for the pcAonnmia, of the ' ore for which this permit is issued. I D I have and will maintain Worker'& Compensation Insurance, as required by Section 3'100 of the labor Code, for the peRormmec of the work for which this Permit is issued. My Workers earn fixed lmm�n¢ curicr�and/yOliey numbenrt: GYM% I TEOF XE VnO RO:S7I CERTIFICATEOF WORKERS' SATIONIONPROM COMPENSATION INSURANCE . (Thu rceinn iced not beeomplcted if tale permit Is fm one modrtddnllars (5111!1) 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 mannerm n m become subject m the Workers' ComPemation _ Laws of California. Data pplicanl - NOTICE TO APPLICANT: If, after making this Cenincate or Exemption, you should become subject to the Walkers Compensation provisions of Ne labor Code, you must forthwith comply with such Provisions or this Permit W deemed ¢voted. CONSTRUCTION LENDING AO AGENCY I hereby aR rte Net there is s i agency for the performance of ed (See. 097, Cing Ne work for which this permit Is issued (Sec. J09], Civ. CJ Name _ Unders Lender's Add¢ss 1 certify that I have read this application and more that Ne about information is torten. I agree to comply with all city and county ordinances and sine laws relating a building construction, and hereby aumadae mpresemalver of this city to enter upon the fA shave-memiuned Property for impaction purposes (We) agree to save, indemnify and keep harmleV the City of Cupertino against Liabilities, judgments, costs and expenses which may in any way accrue against said City consequence of the of this granting Permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL UON-POINT SO RCEREGULATI S, Issued by: Date Re -roofs Type of Roof rj" v — s �— gnature al Applica ir ummr Data AZARDOUS MATERIALS DISCLOSURE Will Neapplicant tar future building Occupant store or handle haaNuus material as defined by theCupertino Municipal Code. Chapter 9,13, and lbe Health and Safety Code. Section 25532(a)? All roofs shall be inspected prior to an roofing material beim Installed. P P Y g g Dy. t�0 If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant nr Loom building occupant use cyuipmcnt or devices which emit haardous air contaminants as dcfinod by the Bay Arca Air Quality Management all new materials for inspection. isuicd DYcs Nu 1 have read Ne hazardous materials requirements under Chapter 6.95 of the Califno nia Health & Safety Code, Sectiu s nM5.25533 and 25534.1 understand that if Ne Wilding . does not Comedy have a tenant. Nat it is an, rmpomihilky m unity the cupmt of the mqu11 immentswhi=h rrWstkmetpriorwissuancca emfi=a raianan=r Signature of Applicant Date All roof coverings to be Class "B" or better weir or ammori.c�aginl Dale OFFICE OF.... UNTY ASSESSOR SANTA L A R A COUNTY, CALIFORNIA ,�. `�.\ �BDRN 2x2 25 DgIVE © xso- 5.9 aet ue AAP at �seae + n 35 DETAIL 'A• I' - loo' RV TT Q L ✓G�/'Dt 'P O �fa2RF2P \ (� [Tia piA. An•n� F U..x° If aP Vvp b 64 ss = .CL.I DETAIL B 29AC. NET DETAIL"B" t tS 62 1' =40 ti BuuoA - ,J - --_ 63 rtxs_ ANXEPST y -P .' S6 AG 67 6.SBAC.NET., Q12 K.HET a AC. 316 20 i w E- 1" = 300' PCL 2 9.24 AC.NET 9a ay PCL 3 797AC NET 7/ (pti P M. 438 -M- 13 / 1 .U' CM 6405943 d'' 74 ? Sv�' Alp Iw gerW� a lA •. 4Y ' PCL.2 �' i 19 6.00 K. PCL.3 Q 76 j 6.455 AC. F j N F 576 -M- 31/32 _,,tea, +m•me �n wu = .pEN¢ E ST E - ASSESSOR /� mP b m®eml pupmn a/i ed utle R A T C°52 Sec 327 1 I QUG' Z $ Z00 R°P Ye MCI -2002 • taml I __P.M 325-M-tlB ,• VALLCOa I e33.kea /990-9/ 4.38 AG We 37 JO- nu7 3 Px L3 .31]IGNET 13KNET w t WNEATON ORIV -_ i SEARS I -- 1°5 ia PM. 596-M-44 i L_ J J- Aa »•� APP. REO. F w FCL I ELEV 11 p r I3J,01) 50. FT. so. 63 1.1 4 AC. • 5222 AC RM KNU P .PCL 4 a SA �» SMW 122N BOOK uo STEVENS CREEK BLVD AC. 316 20 i w E- 1" = 300' PCL 2 9.24 AC.NET 9a ay PCL 3 797AC NET 7/ (pti P M. 438 -M- 13 / 1 .U' CM 6405943 d'' 74 ? Sv�' Alp Iw gerW� a lA •. 4Y ' PCL.2 �' i 19 6.00 K. PCL.3 Q 76 j 6.455 AC. F j N F 576 -M- 31/32 _,,tea, +m•me �n wu = .pEN¢ E ST E - ASSESSOR /� mP b m®eml pupmn a/i ed utle R A T C°52 Sec 327 1 I QUG' Z $ Z00 R°P Ye MCI -2002 • MITY0 CUPEkTINO r` L_ ATY OF CUPERTINO REPIPE/SEWERSIMAIN SERVICE PERMIT APPLICATION FORM APN # Plumbing Permit Issuance PLUMBING BPREPIPE Date: PLUMBING BPERMFEE Bldg: Permit Fees BUILDING BPFIXTURE Pbl . Fixture PLUMBING Building Address: Main Water Service PLUMBING BPSEWER Sewers qj V/ -:)t-60 BPSEWAGE Sewaize Disposal PLUMBING BUSLIC Owner's Name: G Phone #: Contractor: Phone: License #: Contact: Phone: Cupertino Business License #: 7/i .Buil Permit Info: 1 d Elect ❑ Plumb Job Description:L' 41 C� ) Residential ❑ Commercial Cost ofsect: ` 5c'CGG ac'. • Qty. if Annlica�. Fee ID Fee Description Fee Groun PPERMTI'FEE Plumbing Permit Issuance PLUMBING BPREPIPE Re i e of Fixtures PLUMBING BPERMFEE Bldg: Permit Fees BUILDING BPFIXTURE Pbl . Fixture PLUMBING BPWSVCS Main Water Service PLUMBING BPSEWER Sewers PLUMBING BPSEWAGE Sewaize Disposal PLUMBING BUSLIC Business License G ,HEWLETT PACKARD BUILDING 91 VALCO PARK SITE SANITARY LINE RE -ROUT PROJECT SUSA flffll!Tl EJL@)PW hr,FWO V LSD, IN ACCORDANCE VATH,THE CITY OR PIPING SYMBOLS DAT•= C —SD — SD STORM DRAIN SIGNED, N S — S SANITARY DRAINTIr2 Sat Of .ii.l L.1'' .• •..�oQons MUST _CW_ CW COLD WATER <<pPFFOTRR BLE) D, G'^ I aL I,II iimas and it is un —HW — HW FI� L��TEROPOTAovylul to msilc u,4 :.ij, 83 or alterations " m same NShaut written permission Prom SECTION NO.lw�Tinp Carp;., Cily of Cupertino, SECTION REFERENCE SHEET NO. n - ?"i,l ilii •, Dda,^! IP 7r "-Ftr .11 Ition5 DETAIL NO. ,UrIrI, f141 Iii' 1Jd to pRmrl Ur io ho or, DETAIL REFERENCE 9BIltp4 j of the Violation of any proYlalom, SHEET NO. if ono Qtv Ordinance OC State Levi. \ KEY NOTE REFERENCE TAG �EOUIPMENT ABBREVIATION \lt—h. EQUIPMENT DATA , _• EQUIPMENT NUMBER (1-99% J 1J i M _ CONDENSER WATER PUMP EXAMPLE ~� UNIT 2 u PROJECT SCOPE OF WORK THIS PROJECT IS FOR THE PURPOSE OF REROUTING AN EXISTING SANITARY BRIAN LINE SERVINING A SINGLE BREAK ROOM SINK THAT WAS INADVERTANTLY ROUTED TO A STORM DRAIN. THE NEW WORK WILL CORRECT THIS SITUATION AND CONNECT THE SANITARY LINE TO AN EXISTING SANITAY LINE ON THE SITE. DELTA T ENGINEERINGITLELE: LEGEND & INDEX 4883 SALLY DRIVE SAN JOSE CA. 95124 PHONE: (408) 284-1298 E-MAIL DELTAT®MSN.COM SAN DRAIN REROUT VALCO PARK BUILDING 91 "ENGINEERMG TNATMAKES A DIFFERENCE" _ r CUPERTINO CALIFORNIA SK- A WING INDEX •LEGEND ; F=TITLE 6'INDEX VACINITY MAP PARTIAL SITE PLAN- DEMO PSK -3 PARTIAL SITE PLAN NEW PSK -4 PARTIAL SITE PLAN NEW I flffll!Tl EJL@)PW hr,FWO V LSD, IN ACCORDANCE VATH,THE CITY OR PIPING SYMBOLS DAT•= C —SD — SD STORM DRAIN SIGNED, N S — S SANITARY DRAINTIr2 Sat Of .ii.l L.1'' .• •..�oQons MUST _CW_ CW COLD WATER <<pPFFOTRR BLE) D, G'^ I aL I,II iimas and it is un —HW — HW FI� L��TEROPOTAovylul to msilc u,4 :.ij, 83 or alterations " m same NShaut written permission Prom SECTION NO.lw�Tinp Carp;., Cily of Cupertino, SECTION REFERENCE SHEET NO. n - ?"i,l ilii •, Dda,^! IP 7r "-Ftr .11 Ition5 DETAIL NO. ,UrIrI, f141 Iii' 1Jd to pRmrl Ur io ho or, DETAIL REFERENCE 9BIltp4 j of the Violation of any proYlalom, SHEET NO. if ono Qtv Ordinance OC State Levi. \ KEY NOTE REFERENCE TAG �EOUIPMENT ABBREVIATION \lt—h. EQUIPMENT DATA , _• EQUIPMENT NUMBER (1-99% J 1J i M _ CONDENSER WATER PUMP EXAMPLE ~� UNIT 2 u PROJECT SCOPE OF WORK THIS PROJECT IS FOR THE PURPOSE OF REROUTING AN EXISTING SANITARY BRIAN LINE SERVINING A SINGLE BREAK ROOM SINK THAT WAS INADVERTANTLY ROUTED TO A STORM DRAIN. THE NEW WORK WILL CORRECT THIS SITUATION AND CONNECT THE SANITARY LINE TO AN EXISTING SANITAY LINE ON THE SITE. DELTA T ENGINEERINGITLELE: LEGEND & INDEX 4883 SALLY DRIVE SAN JOSE CA. 95124 PHONE: (408) 284-1298 E-MAIL DELTAT®MSN.COM SAN DRAIN REROUT VALCO PARK BUILDING 91 "ENGINEERMG TNATMAKES A DIFFERENCE" _ r CUPERTINO CALIFORNIA SK- li �7F C� ! o�! �Op, ;�z HOMESTEAD 54D_ V I CL i uW. 3 1 'pF'RO P0.V,1fiRW5E AV E R Q PROJECT SITE Slip N qI z VALLC9' F Q, PK WY •:-• R� H w �. 'd .SrEVEra5 .CR@6K� = 4 f F ECFIVF]D w )AUG 1 1 2003 - a _ DELTA T ENGINEERINGTITLE: VAC I N IN MAP 4883 SALLY DRIVE SAN JOSE CA, 85124 PHONE: (408) 284-1288 E-MAIL DELTAT®MSN.COM SAN DRAIN REROUT VALCO PARK BUILDING 91 -"ENGINEER/NG THAT MAKES A DIFFERENCE" _ CUPERTINO CLLIFONoo_: 6�L6-�"'+�'M'�� nvlronmen a — s.. m,....: w.r.�w a. ..e - +mw PSK -1 =."P° :'• 1 nc ems — — — — — WU i Oyw Yp DELTA T ENGINEERINGTITLE: 4883 SALLY DRIVE PARTIAL SITE PLAN -DEMO SAN JOSE CA. 95124 PHONE: (408) 264-1296 PROJECT TITLE: WNER: HEWLETT PACKARD E-MAIL DELTAT®MSN.COM SAN DRAIN REROUT VALCO PARK BUILDING 91 -'ENGINEERING THAT MAKES A DIFFERENCE" ni inr�rain nei irnouiA ystems II nc. diuw b w SANTA DCL SK- AL DELTA T ENGINEERINGTITLE: 4883 SALLY DRIVE PARTIAL SITE PLAN - NEW - SAN JOSE CA. 95124 PHONE: (408)264-1298 PROJECT TITLE: WNER: HEWLETT PACKARD E-MAIL DELTAT®MSN.COM SAN DRAIN REROUT VALCO PARK BUILDING 91 -"ENGINEERING THAT MAKES A DIFFERENCE" _ CUPERTINO CALIFORNIA „L-. ;4--m - I nc. SK- RESTORE SLAB, PAVEMENT OR LAWN DISTURBED BY NEW TRENCH TO MATCH EXISTING 6- COMPACT BACKFILL 'o 4��j�� BACKFILL Cole SELECTED .D ��IIIII�-■��9 ONES4 SELECTED SAND300 bow BASE 12- k -12r -Y AUG 1 1 2003 NEW PIPE BELOW EXISTING PAVING DETAIL N.T.S. 7 DELTA T ENGINEERINGTITLE: 4883 SALLY DRIVE PIPE TRENCHING D ETAI L - SAN JOSE CA. 95124 PHONE: (408) 264-1296 PROJECT TITLE: OWNER: HEWLETT PACKARD E-MAILDELTATCMSN.COM SAN DRAIN REROUT VALCO PARK BUILDING 91 -"ENGINEERING THAT MAKES A DIFFERENCE" _ CUPERTINO CALIFORNIA . � t=� 'DEL A j CLIENT H1771 DAIE rFNPWAI DATA 1 SHEET NO: nvlronmental — — — wu"w.wwpw.grmws stems PSK- °:. I TIC. — — — — — °"e.e"wi.r°ip'i:" .'":.ems`. r'�C'iir w.a 35 D C UZ L — — — .o�a.ca. OF CUPERTINO ,:a:, ms rare BUILDING DIVISION PERMIT CONTRAC1n12INFORMATIQN FCITY DING ADDRESS: - PERMIT NOO3080041 333 VALLCO R'S NAME: PERMIT ISSUE DATE HEWLITT PACKARD 08/11/2003 ONE: SANITARY NO. CONTROL NO. ARCHI'IELT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION Job Description 1 hereby affirm that 1 em licensed underderprovisions of Chapter Y (commencing � P .with Section 91%48 of Division 3 of the Busine .a and Profess..., Code, and my license is in mu come AI feet. REROUTE (E) SANITY SEWER _ 7 Liccn Clara llss Damcont wv, s sr c7✓s /nom CONTRACTOR: ENVIRONMENTAL SYSTEM INC. `� s sARCHITECTS DECLARATION ,�i\undcrstanJ my planhall he used as Publicrtenms G ■ INALED Licensed Professional OWNER -BUILDER DECLARATION [gY 1 ag SEP 1 hereby affirm that I am exempt from the Contractor's License Low for the � LOo� fallowing reason. (Section 7I31.5, Business and Pmfessioas Code: Any city or mum, which requires a remit to construct, alter, improve, demolish, or repair any nrucrere prior to its issuance, also mr,does the applicant for such Permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Low (Chapter 9 Sq. Ft. Floor Area ING ValuaO000 (commencing with Section 7") of Division 3 of the Business and Pmfessiens Cada)au that he is exempt therefrom and the basis for the alleged exemption. Any violation of Occupancy P Y Type Section 7031.5 by any applicant for a permitsubjecu the applicant to a civil Penalty ofBr not more Nan five hundred dollar, T$500). 1, m owner of the pmpeny, or my cmploy,es with wage As their sole compensation, dPEMboffIG will do the work, and the suucton is not intended or offend forale (Sec. 7094. Bulinus and Professions Code: The Commuter. License Law docs not apply to in owner of 202 - UNDERFRL property who builds or improves thereon, and who does such work himself orthrongb his own employees, provided thmauch improvemenuare notmended moffered formic, If, _ 301 — ROUGH PLUMBING however. the building rr improvement is sold within ane year of completion, fee owner. builder will have the burden of proving that he did not build or improve for puryote of 502 - FINAL PLUMBING ENERGY 507 - FINAL PLUMBING ❑ 1, as owner of the progeny, am exclusively counting with licensed contact.. to constatt the project (See. 7044, Business and Professions Code:) The Contractor's Li. cense Law docs not apply to an owner of properly who builds or improves thereon, and , who contracts fur such projects with a contractor(s) licensed punuant to in Contractor's License Law. ❑ l am A.m., under Sec. . B At P C for this noon Data WORKER'S COMPENSATION DECLARATION 1 hereby M. under Penalty of perjury ane of the following decleatiom: I have and will maintain a Cenifieam bicameral to artf-insum for Worker'sCumpen- snion. a provided for by Section 37M 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 37M of the Labor Code, for the performance of the work for which this permit is issued, My Worker's Compensation Insurance canter andel licy num her am: .EJlrcy No, S 7I CX2I CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE , (This seed.. aced not xeiondead if the Permit u rmone hundred dmlan (3100) - m less.) 1 cenify Nat in the performance of Ne work for which this permit is imbed. I shall not - employanypersoninanymannersoambeeomesubjecttotheWoderfCompensation Lawsof California. Data Applicant - NOTICE TO APPLICANT: IL after making this Certifies¢ of Exemption, you should become subject to the Workers Compcmation provisions of the Labor Code, you must forthwith comply with such provisinna or this Permit shall be deemed invoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that them its construction lending agcuy for do, Performance of the work for which this permit is issued (Sec. 3097, Civ. C.) Lender'a Name 1<rders Address I certify Net I have read Nis application and sure that the be. information is correct. l agree to comply with all city and county eminences and sun, laws relating to building consuaction, and hereby euthorin reprennutivoa of Nie city to enter upon the ahave-mentioned property for inspection purposes, (we) agree to ave, indemnify and keep hamdess the City of Cupertino against liabilities, judgments, costs and expenses which may in any way accmc against said City to consequence of the granting of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALLyyy N -POINT Issued by: Date SO RCE REGULATI S. Re -roofs Type of Roof green of Applics tractor Dam AZARDOUS MATERIALS DISCLOSURE Will the applicant rr future building occupant atom or handle hazardous material defined by the Cupertino Municipal Cod,, Chapter 9.12, and the Hearin and Safety ,. Section zss3zwn �a All roofs shall be ins ected rior to an roofin material bei. Installed. ❑Yes P P Y g g 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 it, ha>amous air contaminants a defined by the Bay Area Air Quality Management all new materials for inspection. W11110 ❑Yes Nn 1 have soul the hmamous materials nquircmcms under Chapter 6.95 or the Califon rein Hca1Nffi Stdcty Cndc, Sections 25x8515577 and25534. i undcaland Nuif the building docs nm currently hove a ¢pant thm it is my nspunaflibity m nndly the o;cuPant of Ne fornat cnuwh sbemetpdonnissuancco ,norma (ampan,y. Signature of Applicant Date All roof coverings to be Class "B" or better wncr tar awhori' gent Dat,