The URL can be used to link to this page

061000533 ed !0O izC< ?nz a )WU DUH 9}..j 9ap0 u"rn -ZY BES t. 0z� EZ~" V W? az UC wF �v U2 CITY OF CUPERTINO bU1LDING DIVISION PERMIT BUILDING ADDRESS: MEADE CONSTRUCTION GROUP I JJFMIT NO' 0 610 0 0 5 3 10201 TORRE AV OWNER'S NAME: PERMIT ISSUE DATE SYMANTEC 645 RIVER OAKS PKWY 10/09/2006 SNE: SANITARY NO. CONTROL NO. (408)321-6450 ARCHTTECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 LICENSED CONTRACTOR'S DECLARATION Job Description I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70W) of Division 3 of the Business and Professions Code, and my license is - ej in full force and effect.LL� INSTALL SEWER LINE CLEANOUT License Class # Date kJ l Contractor ARCHITECTS DECLAR T N+ 1 understand my plans shall be used as public records Licensed Professional OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractors License Law for the following mason. (Section 703 1.5, Business and Professions Code: Any city or county $2000 which requires a permit to construct, alter, improve, demolish, or repair any structure Sq. Ft. Floor Area Valuation 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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of r Occupancy Type not more than five hundred dollars (5500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, Required Inspections 9 P 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.). 9-ras owner of the property, am exclusively contracting with licensed contractors to Construct the project (Sec. 7044, Business and Professions Code:) The Contractor's Li- cense Law does not apply to an owner of property who builds or improves thereon, and. who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law. ❑ I am exemp r Se B & P C for this mason / 1 -c, '` Date Owner lel` WORK 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 -insure for Worker's Compcn- sation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain Worker's Compensation Insurance, as required by Section 3710 of the Labor Code, for the performance of the work for which this permit is issued. SAN My Workers Compensation Insurance carrier and Polity number 7aam�-j Carrier: � v W- �� ` ZPolicy No.: �C�Jl7 712— CERTI TE OF EXEMPTION FROM WORKERS' TA Ry� COMPENSATION INSURANCE (This section need not be completed if the permit is far one hundred dollars ($100) orlm.) I certify that in the performance of the work for which this permit is issued. I 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 D forthwith comply with such provisions or this permit shall be deemed revoked. I CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction tending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.) Lender's Name CZ ' Lender's Address j 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 stale laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of Cupertino against j liabilities, judgments, costs and expenses which may in any way accrue against said City in consequence of the granting of this permit. 1 APPLICANT UNDERSTANDS Ar WILL COMPLY WITH ALL NON -POINT Issued by: Date �U SOURCE G LAT[GNS. w0 V ( V wP(� Re -roofs Type of Roof Signature o pplican omractor Date HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal ode. Chapter 9.12, and the Health and Safety Code.Section 25532(a)? All roofs shall be inspected to any roofing material being installed. ❑ Yes o prior 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. District? ❑ Yes 1 have read the hazardous materials requirements undcrChapicr6.95 of the Califor- nia Health & SafctyCode, Sections 25505.25533 and 25534.1 understand that if the building docs not currently have a tenant, that it is my responsibility to notify the occupant of the rcyuire err wnit It of a Certificate of Occupan Signature of Applicant Date All roof coverings to be Class "B" or better Ow r Jr authori-vcd agent Date " Em " CITY OF '7UPEkTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESS: 102-0 l PERMIT # bbl b 6 a s' OWNER'S NAME: PHONE # GENERAL CONTRACTOR: �1�� C��`y ��. ,-� �' FAX # I am not using any subcontractors: Signature Please check applicable subcontractors and complete the following information: Date Owner/ Contractor Signature Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/ Contractor Signature Date ;m 1 of 1 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 36941005.00 DATE ISSUED.......: 10/09/2006 RECEIPT #......... 36357 REFERENCE ID # ...: 06100053 SITE ADDRESS .....: 10201 TORRE AV SUBDIVISION ....... CITY .............. CUPERTINO IMPACT AREA ...... OWNER SYMANTEC ADDRESS .. ....... CITY/STATE/ZIP ...: , OPERATOR: amyw COPY # : 2 RECEIVED FROM ....: DAVID FELLER CONTRACTOR .......: TIM TEMPEL LIC # 27856 COMPANY ..........: MEADE CONSTRUCTION GROUP INC ADDRESS ..........: 645 RIVER OAKS PKWY CITY/STATE/ZIP ...: SAN JOSE, CA 95134 TELEPHONE ........: (408)321-6450 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ----------------------- BPERMFEE VALUATION ---------- 2,000.00 -------------------- 83.16 0.00 -------------------- 83.16 0.00 BPSEWER SEWER SYSTEM 1.00 21.58 0.00 21.58 0.00 PPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 0.00 TOTAL PERMIT ---------- ---------- 143.11 0.00 ---------- ---------- 143.11 0.00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ OTHER 143.11 ------------------ AMEX TOTAL RECEIPT 143.11 VOICE ID DESCRIPTION VOICE -------- ID ---------------------------- DESCRIPTION -------- ---------------------------- ------------------------------------ 106 SEWER & WATER -------- 202 ---------------------------- UNDERFLOOR PLUMBING 301 ROUGH PLUMBING 507 FINAL PLUMBING CITY OF CUPERTINO REPIPE/BENE :./MAIN SERVICE CUPEkTINO PERMIT APPLICATION FORM / t Date. Building Address: / l ^, 0 z 6) Ue- Owner's Name: Phone #: Contractor: 1 Phone: License #: Contact: — Phone: Cupertino Business License #: Alc Building Permit Info: Bldg ED-' Elect ❑ Plumb Job Description: �u�C� Cti Residential ❑ Commercial ❑- Cost of Project:\ Qty. if Qty. f Fee ID Fee Description Fee Group ,ppliBPERMFEE Bldg. Permit Fees BUILDING BPGAS f PPERMITFEE BPREPIPE Gas Piping System Fee Plumbing Permit Issuance Repi e of Fixtures PLUMBING PLUMBING PLUMBING BPFIXTURE Pblg. Fixture PLUMBING BPWSVCS Main Water Service PLUMBING BPSEWER Sewers PLUMBING BPSEWAGE Sewage Disposal PLUMBING BUSLIC Business License BUILDING OCT -26-2006 14:17 MARK THOMAS CUP DISTRICT MANAGER -ENGINEER MARK THOMAS & COMPANY. INC. DAVID E. ROSS DISTRICT COUNSEL ATKINSON • FARASYN, LLP. KAROLD S. TOPPEL City of Cupertino Attn.: Building Department 10300 Torre Ave. Cupertino, CA 95014-3202 46 �C 1 M 2F ��f'�Bl15iIEQ'��f e 20683 STeVI:NS CREEK BOULEVARD. SUITE 104 CUPERTINO. CALIFORNIA 95414,2154 (408) 253.7071 PHONE • (408) 253!5173 FAX WWW.CUpertinosaniterydistrict.com 4082535173 P.01i01 BOARD OF DIRECTORS STEPHEN C. ANDREWS WILLIAM A. BOSWORTH JOHN M. GATTO CURTIS B. HARRISON WENDEI.-L. H. KERR, JR. File: CuSD -- MOP Building Dept. — Cupertino Subject: Tenant Improvement (Install sewer line c/o) Name: Symantec Address: 10201 Torre Avenue APN: 36941-005 Permit No.06100053 N'o additional conditions✓requirements by the District Inspectr: George Santos/ Tony Soares.......0.- .. .................... Date: ... 10-26-2006.00.00 ............. Sanitarff Sewer Location; cc. Property Owner SUPPLYING SANITARY SEWERAGE SERVICES FOR: CITY Or CUPERTINO, PORTIONS OF THE CITIES OF SARATOGA, SUNNYVALE, LOS ALTOS AND SURROUNDING UNINCORPORATED AREAS TOTAL P.01