07060192BUILDING DIVISION PERMIT
S CREEK BLVD
OWNER'S NAME:
WHOLE FOODS MARKET
;NE'.
ARCHITECTIENGINEER:
SUPERIOR ELECTRICAL
1700 W A14AHEIM ST
(800) 993-9099
PERMIT NO.
07060192
PERMIT ISSUE DATE
06/22/2007
SANITARY NO. CONTROL NO.
BLDG
BUILDING PERMIT INFO
LICENSED CONTRACTOR'S DECLARATION Job Description
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Dt rsion 3 of die Business and Professions Code. and my license is INSTALL ?_SETS OF ILLUMINATED WALL LETTERS/
nfull force and effect. �s �. S INSTALL 1 "FLOWER TOP" LOGO ON EXISTING LETTER
License Class Co
Date Contractor
ARCHITECTS DECLARA SET
1 understand my plans shall be used as public records
Licensed Professional
OWNER -BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractors License Law for the
following reason. (Section 7031.5, 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
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
I' t to a civil nalty of
Sq, Ft. Floor Area
Section 7031..5 by any applicant for a permit subjects the app an 3263102C.
not more than five hundred dollars (5500).
0 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.).
0 I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec. 7044. Business and Professions Code:) Tire Contractor's U.
cense 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 Contractors
License taw. B & P C for this reason
0 I am exempt under See
Owner Date
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
L] 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.
0 1 have and will maintain Workers Compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers ompe sat, Insu airier and Policy1.n ber ate:
Carrier. K Policy No.:- `�Z i4 (—
CERTIRCATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section need not be completed if the permit is formic hundred dollars ($100)
or less.)
1 certify that in the performance of the work for which this permit is issued, l 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 must
2 forthwith comply with such provisions or this permit shall be deemed revoked.
Z O CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of
p! r7 the work for which this permit is issued (See. 3097, Civ. C.)
W Q Lender's Name
z Lenders Address
U 0 1 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
O Ubuilding construction. and hereby authorise representatives of this city to enter upon the
above-mentioned property for inspection purposes.
>1 a (Wc) agree to save, indemnify and keep harmless the City of Cupertino against
E 4 uj liabilities, judgments, costs and expenses which may in anyway accrue against said City
„
U Z in consequence of the granting of this permit.
►- APPLICANT UNDER NDS AND WL C MPLY WITH ALL ON -POINT
SOURCE REGULATI UIr
Signature of Applicant/Contractor v 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, Section 25532(a)?
0 Yes o
Will the applicant o future building occupant use equipment or devices which
emit hazardous air contaminants as defined by the Bay Area Air Quality Management
District?
❑Yes AVu
I have read the hazardous materials requirements under Chapter 6.95 of the Califor-
nia Health & Safety Code, Sections 25505, 25533 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(>arri9t onion to i cc C a Ccnificatc of Or¢u��'T—
Owner or authorized agent 6 f+Dfate
'1617
Issued by
Re -roofs
N
$12900
Required Inspections
Occupancy
Type of FLoof
All roofs shall be inspected prior to any roofing material being installed.
If a roof s installed without first obtaining an inspection, I agree to remove
all new materials for inspection.
Signaturc of Applicant Date
All roof coverings to be Class "B" or better
adZ
00
mC
ZUZ (�
< ns
7N
r� Z
F
�U
o�
:ccc
m I�nt
;Z<
c
Ws
CITY OF CUPERTINO n�*I�,�-s*s�
PER
BUILDING DIVISION 1x111
i:. ,
BUIL�)�TESSTEVENS
PERMIT NO.
CREEK BLVD
AQUAMATIC FIRE PROTECTION
8040184
OWNER'S NAME:
PERMIT 1550E DATE
WHOLE FOODS INC
540 GARCIA AVE #A
05/13/2008
PHONE;
SANITARY NO. CONTROL NO.
(925)753-0420
ARCH1lECT(ENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
Job Description
p
1 hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing
with Section 700o)ofDivision3oftheBusinessand Profession&Code, and mylicemeis
REVISION—INSTALL NEW DELUGE SYSTEM 12 HEADS ORIG
in full form and e!ixy ��46 J
License Class Llc. i s�
PERMIT #06090044.
Dam 5k Contractor
ARCHrfECI'S DEC
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 7031.5, Business and Professions Cade: Any city or county
which requires a permit to construct. alter, improve, demolish. or repair any structure
prior m is issuance, also requires the applicant for such permit to file a signed statement
the Contractor's License Law (Chapter 9
Sq. Ft. Floor Area
Valuation
that he is licensed pursuant to the provisions of
Section 7000) Division 3 the Business and Professions Code) or
$5750
(commencing with of of
that he is exempt therefrom and the basis for the alleged exemption. Any violation of
326 19 0 2 0q.64 Number
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 (SYM
❑ L as owner of the property, or my employees with wages as their sole compensation.
e ns
Required Inspections
will do the wort, and the structure is not intended or offered for sale (Sec. 7044, Business
and Professions Code: The Contractorrs s License Law donot apply m an owner of
Q 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 salt 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 tet build or improve for purpose of
sale).
❑ L as owner of the pmpmiy, am exclusively contracting with licensed contractors to
construct the pmject (Sec 7044, Business and Professions Code:) The Contractors Ld-
conse Law dors not apply to an owner of property who builds or improves thereon, and,
who contratxs for such projects with a contractor(s) licensed pursuant to the Conuacmrs
License Law.
❑ 1 am exempt under See. B k P C for this reason
Owner Date
WORKEWS 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 Workers Compee-
sarion, 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 of the Libor Code, for the performance of the work for which this permit is issued
My Workers C aniLon Insurance carrier and Policy number are:
Carrier 5.� Policy No : 2
CE R71FICATE OF EXEMPTION ION FROM WORKEIrZ
COMPENSATION INSURANCE
(This section need not be compacted if the permit is for one hundred dollars (S I00)
or less)
I certify that in the performance of the work for which this permit is issued, I shall nes
employ. any person in any manner so as to become subject to the Workerd 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 must
forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that Were is a construction lending agency for the performance of
the work for which this permit is issued (Ser 3097, Civ. C)
L.emicesName
,
Lender's Address
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 sum laws relating to
building construction, and hereby authorize representatives of this city to enter upon the
above-mendo ed property for inspection purposes.
(We) agree to Save, indemnify and keep harmless the City of Cupertino against
j liabilities judgmeas, toss and expenses which may in cry way accrue against said City
in consequence of the granting of this permiLM'
AP CAUNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT
Issued by: Date
ON
-5'1
/
Re -roofs
Signal= of Appocaffcontnaeto Dam
HAZARDOUS MATERIALS DISCLOSURE
Type of Roof
Will the applicant or future building occupant gore or handle hrandous material
as defined by the Cupertino Murti�pal Code, Chapter 9.12, and the Health and Safety
Code. Scaion25532(a)T
All roofs shall be inspected prior to any roofing material being installed.
❑Ya ElNo
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 harsrdous air contaminants ns as defined by the Bay Area Air Quality Marmsemcm
all new materials for inspection.
District?
[3 Yes No
1 have read the hazardous materials requhcmcnLs under Chapter6.95 of tie Califor-
nia Health k SafctyCode, Sections 25505.25533 and 25534.1 understand that if the building
docs col currently have a tenant that it is my responsibility to notify the occupant of thc
rata must be met prior to issuance of a Certificate of Ocqupanq.
Signature of Applicant Date
/ A
f 42
rr .,
All roof coverings to be Class %� or better
Owner or author'ved a nt Date