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11050115CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20730 STEVENS CREEK BLVD OWNER'S NAME: BYER PROPERTIES OWNER'S PHONE: 4156262937 ❑ LICENSED CONTRACTOR'S DEgC_-LARATION tD License Class Lic.# r% L> Contractor )� .(,. '�,—oil C L Cb0M0Cat0J Date �� I I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I 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 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. %' t Signature t �i�''..-.__ Date (f ( t ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. 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 upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. CONTRACTOR: W.L. BUTLER CONSTRUCTION, INC 204 FRANKLIN ST REDWOOD CITY, CA 94063 PERMIT NO: 11050115 DATE ISSUE,D:09/01/2011 PHONE NO: (650) 361-1270 BUILDING PERMIT INFO: BLDG '' ELECT PLUMB MECH r RESIDENTIAL COMMERCIAL r JOB DESCRIPTION: TI TJ MAXX-RENOVATION TO EXISTING COMMERCIAL SHELL BUILDING. INCLUDES 240 LF DEMISING WALL, 2 NEW EXTERIOR WALL OPENINGS, MODIFY 2 EXISTING WALL Sq. Ft Floor Area: I Valuation: $5000000 APN Number: 35908020.20730 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION./ Issued by; _ Date: ' RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Own r authorized . � Date: / CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of Nwrk's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION Signature Date I understand my plans shall be used as public records. Licensed Professional 0 CITY OF CUPERTINO BUILDING PERMIT D'3 BUILDING ADDRESS: 20730 STEVENS CREEK BLVD CONTRACTOR: W.L. BUTLER PERMIT NO: 11050115 CONSTRUCTION, INC OWNER'S NADiE: BYER PROPERTIES OA'NER'S PHONE: 4156262937 ❑ LICENSED CONTRACTOR'S D2ECLARATION License Class IaLic. # Contractor WU WT 6 `- L,'! S Date I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I 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 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date ❑ OWN'ER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 Worker's Compensation laws of California. If, after making this certificate of exemption, I became subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. 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 upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. 204 FRANKLIN ST J DATE ISSUED: 09/01/201 1 REDWOOD CITY, CA 94063 1 PHONE NO: (650) 361-1270 BUILDING PERMIT INFO: BLDG ELECT PLUMB J_- I—I r MECH RESIDENTIAL COMMERCIAL JOB DESCRIPTION: TI TJ MAXX-RENOVATION TO EXISTING COMMERCIAL SHELL BUILDING. INCLUDES 240 LF DEMISING WALL, 2 NEW EXTERIOR WALL OPENINGS, MODIFY 2 EXISTING WALL 9/12/2011- REV#1- REVISE DETAIL WITH REGARDS TO LIGHTWEIGHT CONCRETE ON EXISTING ROOF, ADD NEW FIRE WALL IN LIEU OF FIRE SHUTTER.ENCLOSED FIRE SPRINKLER FIRE ROOM- ISSD 10/3/201 I Sq. Ft Floor Area: I Valuation: $5000000 APN Number: 35908020.20730 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by Z- Date. RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store our• handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Secti 1 5505, 25533, and 5534. Owner or authorized agent: Date: Cb(s �l CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Add ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional Date CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20730 STEVENS CREEK BLVD CONTRACTOR: W.L. BUTLER PERMIT NO: 110501 15 CONSTRUCTION, INC OWNER'S NADIE: BYER PROPERTIES LP 204 FRANKLIN ST DATE ISSUED: 09/01/2011 OWNER'S PHONE: 4156262937 REDWOOD CITY, CA 94063 PHONE NO: (650) 361-1270 ❑ LICENSED CONTRACTOR'S DECLARATION FFI..... BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic. # 3 S S 3S F F Contractor Date 2/ I� 1 t 2- MECH RESIDENTIAL COMMERCIAL I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: TI TJ MAXX-RENOVATION TO EXISTING COMMERCIAL (commencing with Section 7000) of Division 3 of the Business & Professions SHELL Code and that my license is in full force and effect. BUILDING. INCLUDES 240 LF DEMISING WALL, 2 NEW EXTERIOR WALL OPENINGS, MODIFY 2 EXISTING WALL I hereby affirm under penalty of perjury one of the following two declarations: / f�7/` 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 Section 3700 of the Labor Code, for the performance of the work for which this Sq. Ft Floor Area: Valuation: $5050000 permit is issued. APPLICANT CERTIFICATION APN Number: 35908020,20730 Occupancy Type: 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 upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, PERMIT EXPIRES IF WORK IS NOT STARTED costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR with all non -point source regulations per the Cupertino Municipal Code, Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. j Signature Date Z I (I �— r Issued by,-, `�i ��✓` a Date: l ❑ ORINER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of RE -ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is I, as owner of the property, or my employees with wages as their sole compensation, installed without first obtaining an inspection, I agree to remove all new materials for will do the work, and the structure is not intended or offered for sale (See.7044, inspection. Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to Signature of Applicant: Date: construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS INIATERIALS DISCLOSURE performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain Worker's Compensation Insurance, as provided for by California health & Safety Code, Sections 25505, 25533, and 25534. I will maintain Section 3700 of the Labor Code, for the performance of the work for which this compliance with the Cupertino Municipal Code, Chapter 9.12 and the health & permit is issued. Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment o• devices which emit hazardous air I certify that in the performance of the work for which this permit is issued, I shall contaminants as defined by the Bay Area Air Quality Management District I will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Compensation laws of California, If, after making this certificate of exemption, I Health & Safety Code, Sections 25505, 25533, and 25534. become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner pr�uthorized agent: -- .�''� Date: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of work's to building construction, and hereby authorize representatives of this city to enter for which this permit is issued (Sec. 3097, Civ C.) upon the above mentioned property for inspection purposes. (We) agree to save Lender's Name indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence Of the Lender's Address granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Signature Date Licensed Professional a W-Ma CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION , igADDRESS: 20730 stvns crk blvd DATE: 09/12/2011 REVIEWED BY: bobs. APN: BP#: "VALUATION: 1$3,000 ''-PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial Building USE: I PENTAMATION 1GENCOM I PERMIT TYPE: WORK 1 revise detail with regards to lightweight concrete on existingroof, add new fire wall in leu of fire SCOPE shutter. Enclosed fire sprinkler fire room. ;z,,:it. 1`'itts? d„�t_'' 1, •�tt, r < < ..�="tra;:�� �ln��. I'frr�r E ,, NOTE. This estimate does not include fees due to other Depts (h e. Public Works, Sanitary Sewer District, School District, etc.). These fees are based on the nrellminary information available and are onlv an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resohitiorr 11-053 Ejf. W/1/112 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Mise Bldg/Structure or Element of a Building Suppl. PC Fee: (j) Reg. 0 OT 0.0 his $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:G Reg. 0 OT 1 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 (7on,qniction Tax 0 E) Work Without Permit? Q Yes Q No $0.00 Advanced Planning ree: $0.00 Select a Non -Residential Building or Structure t i Strong Motion Fee: 1BSEISnffCO $0.63 0 # $783.00 Revision IREVCOMTz Tenant Improvement Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $1.63 $783.00 TOTALFEE $784.63 Revised: 09/02/2011 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION IOADDRESS: 20730 stvns crk blvd. DATE: 05/13/2011 REVIEWED BY: bobs. N APN: 3 J ,9'-06-7L C1 BP#: "VALUATION: 1$5,000,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: PENTAMATION 1GENCOM PERMIT TYPE: WORK renovation to existing commercial shell bld = includes 2401f demising wall 2 new exterior wall SCOPE J openings, modify 2 existing wall openings, replace 6 roofmounted HVAC units. Seismic upgrades. Mech. Plan Check 0.0 hrs $0.00 Plumb. Plan Check 0.0 hrs $0.00 Eleo• i011 C'}real Mech. Permit Fee: IMPERMIT Plumb. Permit Fee: IPPERMIT Other Mech. Insp. 0.0 hrs $42.00Other PlumbInsp. 0.0 hrs $42.00 r:-�rirc;3 . ,Lj esf�'t h. htv? Fee: p NOTE: These fees are based on the mreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS Fee Resolution 09-051 E '. 7i1/10) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 F 240 1 l.f. Interior Partitions $1,108.00IIPARTICOMM Suppl. PC Fee: 0 Reg. 0 OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 0 # New Door Opening $760.001IDOORSTRUC I Shearwall / Masonry Permit Fee: $0.00 Suppl. Insp. Fee:O Reg. 0 OT 0.0 his $0.00 = # . New Door Opening $506.06 IDOORNONST I Non -Structural PME Unit Fee: $0.00 PME Permit Fee: $84.00 6: # Mechanical (f$756.00 IBCAIRHA Air -Handling (<=10K cfm) < r�rr (f trltitsrr Tm Acoustical Fee: 0 Yes 0 No $0.00 1� # Plumbing 0 ✓ 21.00 IPCSEWER Sewer, Sanitary 0 Work Without Permit? 0 Yes 0 No $0.00 Plaunin Fee: $0.00 Select a Non -Residential 0 Building or Structure i Travel Documentation Fee: ITRAVDOC $42.OQ Strom Motion Fee: IBSEISMICo $1,050.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $200.00' SUBTOTALS: $1,376.00 $3,151.00 TOTAL FEE': 1 $4,527.00 Revised: 04/29/2011 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ADDRESS: DATE: REVIEWED BY: APN: BP#: "VALUATION: 1$50,000 ',PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial Building USE: I PENTAMATION 1GENCOM I PERMIT TYPE: WORK revise trash enclosure location add 1 HVAC unit modifh M.E.Ps SCOPE Mech. Plan Check 0.0 1 hrs $0.00 ":��>r%,. f':'<;,• <7rr;ck tc?c. Ii r, C.'`ch Mech. Permit Fee:1MPERMIT f'(:<r: Other Mech. Insp. 0.0 hrs $44.00 Jr� s t'ia�.+rb 1�ac�. )fi,�, . �'., .,.. 1,r>;f�,E3 h'tso, t-:_. 31 ,. _., �: `<'t': r r:f, ItL4?J 'Fer?: NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.. These fees are based on the prelinina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resohition 11-053 E '. 7/Y 1� FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? Q Yes 0 No $0.00 ® hou $520.('r0"'j ps Plan Check, Hourly ISTPLNCK Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 1= # Mechanical $1,30.001 IBCAIRHA Air -Handling (<=10K cfm) Permit Fee: $0.00 Suppl. Insp. Fee:G Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Per✓mit Fee: $44.00 Administrative Fee: IADMIN $41.00 Q `' Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Stru - re 0 Travel Documentation Fee: ITRAVDOC $44.0 Strong Motion Fee: IBSEISMICO 0 1 $783.00 Revision IREVCOMTI Tenant Im roveme Bldg Stds Commission Fee: 1BCBSC 2. 0 SUBTOTALS: $141.50 $1,433.00 TOTAL'