11090165 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20425 STEVENS CREEK BLVD CONTRACTOR:DPR CONSTRUCTION INC PERMIT NO: 11090165
OWNER'S NAME: WESTWOOD COMPANY-CUPERTINO LLC 1450 VETERANS BLVD DATE ISSUED:09/22/2011
O"' 'TsR'S PHONE: 4157103063 REDWOOD CITY,CA 94063 PHONE NO:(650)474-1450
C] LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT lIYFO: BLDG ELECT PLUMB
License Class
Li`cL# 019 S /(P MECH RESIDENTIAL COMMERCIAL '
Contractor �Q- �.pYtS�u t @yam Date "'1 �Z o
hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: APPLE-TI PREP COMMERCIAL TENANT
(commencing with Section 7000)of Division 3 of the Business&Professions 1MPROVEMENT(2737SQF"f)-NON-STRl1CTURAL
Code and that my license is in full force and effect.
1 hereby affirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self-insure for Worker's
Compensation,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 provided for by Sq.Ft Floor Area: Valuation:$100000
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued.
APN Number:31626094.20425 Occupancy Type:
APPLICANT CERTIFICATION
I 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 building construction,and hereby authorize representatives of this city to enter PERMIT EXPIRES IF WORK IS NOT STARTED
upon the above mentioned property for inspection purposes. (We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR
costs,and expenses which may accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION.
granting of this permit. Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section c-
9.18. Issued b , ::'2 Date;/", t.2 t_
Signature 14AkJ11 Qa4b' Date A(-Z;alI 1
C OWNER-BUILDER DECLARATION RE-ROOFS:
All roofs shall be inspected prior to any roofing material being installed.If a roof is
1 hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for
the following two reasons: inspection.
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, Signature of Applicant: Date:
Business&Professions Code)
I,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1 hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the
Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain
performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should I store or handle hazardous material.
Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air
contaminants as defined by the Bay Area Air Quality Management District I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
I certify that in the performance of the work for which this permit is issued,I shall Health&Safety Code,Sections 25505,25533,and 25534.
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If,after making this certificate of exemption,I OIvper�ort anthoriz d agent
become subject to the Worker's Compensation provisions of the Labor Code,I must V,_Q A4` Date: 7,2-
forthwith
Zforthwith comply with such provisions or this permit shall be deemed revoked. U
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION 1 hereby affirm that there is a construction lending agency for the performance of work's
I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.)
correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION
g' g of this permit.Additionally,the applicant understands and will comply —
w i non-point source regulations per the Cupertino Municipal Code.Section 1 understand my plans shall be used as public records.
9.18,
Licensed Professional
Signature Date
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
�APN:
DRESS: 20425 stvns crk blvd DATE: 09/22/2011 REVIEWED BY:
I
BP#: "VALUATION: j$100,000
'PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial BuildingPENTAMATION 1TIPREP
USE: PERMIT TYPE:
WORK U. prep comm. offices ace non structural.
SCOPE
i
)- '
Lj
-----------------
NOTE. This estimate does not include fees due to other Depts(i.e.Public Works,Sanitary Sewer District,School District,etc.).
Theseees are based on the preliminaryinform tion available and are onlyan estimate. Contact the De t or addn'Z info.
FEE ITEMS (Fee Resahrtiort 11-053 E(f. 7/1%11) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 = # Tenant Improvement Prep
Suppl.PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 $380.00 1TIPItEP
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl.Insp.Fee-.0 Reg. 0 OT0.0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
,'rtilfif"ri i't t'r 7�t1'r' r'v t'. 0
Work Without Permit? 0 Yes 0 No $0.00
Advanced Planning Fee $0.00 Select a Non-Residential 0
Building or Structure 0
Strong Motion Fee: 1BSEISMICO $21.00 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC $4.00
SUBTOTALS $25.001 $380.00 TOTAL FEE: $405.00
Revised: 09/02/2011
i
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION i
ADDRESS: 10328 brittany ct. DATE: 09/22/2011 REVIEWED BY: bobs.
APN: BP#: YVALUATION: 1$22,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition
PRIMARY SFD or Duplex 2nd Unit? Yes �No PENTAMATION 1 R3SFDADD
USE: OTC? 0 Yes (F)No PERMIT TYPE:
WORK sfd add kitchen and porch, remodel kitchen.
SCOPE
OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID
CONSTR. s.f.
R-3 (Custom) II-B,111-B,IV,V-B 80 $994.00 IADDPLCK $963.00 IADDINSP
i
TOTALS: 80 $994.00 $963.00
MECH,HOURLY 0 Yes Q No PLUMB,HOURLY 0 Yes Q No ELEC,HOURLY Q Yes (j)No
1m Cfl�
"e on, <<..
t. 1:
El
I/? t r n_P, ter?:
NOTE: This estimate does not include fees due to other Depts(i.e.Public Works,Sanitary Sewer District,School District,etc.).
Theseees are based on the preliminaryin ormation available and are onlyan estimate. Contact the De t or addn'1 info,
FEE ITEMS (I ee Resolution 11-053 ECJ.' 7,1111) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $994.00 Select a Misc Bldg/Structure
Suppl.PC Fee: (j) Reg. 0 OT 0.0 hrs $0.00 or Element of a Building
PME Plan Check: $0.00
Permit Fee: $963.00
Suppl.Insp.Feer Reg. 0 OTF-01hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
WIC
Work Without Permit? Q Yes Q No $0.00 G
Advanced Planning Fee: PLLONGRNGR $10.40 Select a Non-Residential
Building or Structure 0
Strong Motion Fee: IBSEISMICR $2.20 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $1,970.601 $0.001 TOTAL FEE: 1 $1,970.60
Revised: 09/02/2011
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 10328 brittany ct. DATE: 09/22/2011 REVIEWED BY: bobs.
r
APN: BP#: "VALUATION: 1$22,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition
PRIMARY SFD or Duplex 2nd Unit? Yes , No PENTAMATION 1 R3SFDADD
USE: OTC. 0 Yes E)No PERMIT TYPE:
WORK I sfd add kitchen and porch, remodel kitchen.
SCOPE
OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID
CONSTR. s.f.
R-3 (Custom) II-B,111-B,IV,V-B 80 $994.00 IADDPLCK $963.00 IADDINSP
TOTALS: 80 $994.00 $963.00
MECH,HOURLY Yes 0 No PLUMB,HOURLY 0 Yes 0 No ELEC,HOURLY C) Yes 0 No
7 ,'ri T'(21itt�%,i''(1 i testi$: �fis C°7'itY 1.2g'
�7YIr r :°a-t'ir last, t)loo, Ttrtfrr;it_;j:. ET
1fr tat L',r lrtlt3,
NOTE: This estimate does not include fees due to other Depts(i.e.Public Works,Sanitary Sewer District,School District,etc.).
Theseees are based on the preliminaryin ormation available and are onlyan estimate. Contact the De t or addn'l in o.
FEE ITEMS(Fee Resolution 11-053 Eff. 711/11) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $994.00 = # Deck/Deck Railing
Suppl.PC Fee: 0 Reg. 0 OTF-0-07his $0.00 $457.00 IDECKWOOD Deck(wood)
PME Plan Check: $0.00
Permit Fee: $963.00
Suppl.Insp.Fee:O Reg. 0 OT 0.0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
,'Ecffttp"i is it"r.7fdlrC' i';.'f': 0
Work Without Permit? 0 Yes 0 No $0.00 0
Advanced Planning_Fe_e_ PLLONGRNGR $10.40 Select a Non-Residential 0
Y Building or Structure 0
Strong Motion Fee: IBSEISMICR $2.20 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
SUBTOTALS:,; $1,970.60 $457.00 TOTALFEE: 1 $2,427.60
Revised: 09/02/2011