10120125I CITY OF CUPERTINO BUILDING PERMIT I
BUILDING ADDRESS: 10080 N WOLFE RD STE SW3-350
OWNER'S NAME: CUPERTINO FINANCIAL CTR PARTS LLC
OWNER'S PHONE: 4085679900
❑ LICENSED CONTRACTOR'S DECLARATION
License Class Lic. # 7 ?D G Date 7�
✓
Contractor _/� (✓' /
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 f -Date
❑ OWNER -BUILDER DECLARATION
1 hereby affirm that I am exempt from (he 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,
wil I do the work, and the structure is not intended or offered for sale (Sec.7044,
Business & Professions Code)
1, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code).
1 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: APPLIED CONSTRUCTION PERMIT NO: 10120125
TECH
1230 OAKMEAD PKWY DATE ISSUED: 03/03/2011
SUNNYVALE, CA 94085 PHONE NO: (408)252-9990
BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r
MECH r RESIDENTIAL r COMMERCIAL r
JOB DESCRIPTION: COMM'L TI- DRYWALL,DOORS,PAINT;INTERIOR
EXPANSION
OF ONE SERVER ROOM(I071SQFT);EXTERIOR,BUILD A ROOF
PLATFORM W/ROOF SCREEN & INSTALL 20 TON CHILLER
Sq. Ft Floor Area: I Valuation: $150000
APN Number: 31620086.3350 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. 1 will maintain
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
Safety Code, Section 25532(s) should 1 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 1 will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Sections 25505, 25533, and 25534.
Owner horize "ant:
4 Date:
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 Address
ARCHITECT'S DECLARATION
Date
I understand my plans shall be used as public records.
I CITY OF CUPERTINO BUILDING PERMIT _...,ct� 4,- In ✓ UJ-0 I
BUILDING ADDRESS: 10080 N WOLFE RD STE SW3-350
OWNER'S NAME: CUPERTINO FINANCIAL CTR PARTS LLC
OWNER'S PHONE: 4085679900
❑ LICENSED CONTRACTOR'S DECLARATION
License Class_ Lic. #
Contractort'' A5 ko J07 6CM5� I Date 12 �i f 20 Z
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 th Cupertino Municipal Code, Section
Sign. /� //)�
Signature ��' I �C( Date ' i
❑ 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)
1, 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.
1 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: APPLIED glAtIOTT NO: 10120125
CONSTRUCTION TECH pp►�
1230 OAKMEAD PKWY DATE ISSUED:03/03/2011
SUNNYVALE, CA 94085 PHONE NO: (408)252-9990
JOB DESCRIPTION: RESIDENTIAL u COMMERCIAL
COMM'L TI- DRYWALL,DOORS,PAINT;INTERIOR
EXPANSION
OF ONE SERVER ROOM(1071SQFT);EXTERIOR,BUILD A
ROOF
PLATFORM W/ROOF SCREEN & INSTALL 20 TON
CHILLER
5/17/2011 - DEFR'D#1 - 880SQFT SERVER ROOM ANCHORAGE-
ISSD 8/5/2011
Sq. Ft Floor Area: I Valuation: $150000
APN Number: 31620086.3350 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by:
Date:
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
Signature of Applicant:
Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(a) should I store or handle hazardous
material. Additionally, should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Yanagement District I
will maintain compliance with the Cupertino unicip ode, Chapter 9.12 and
the Health & Safety Code, Sections 2 05,116 a 5534.
Owner or authorized agent Date: Q$ OS�f1
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
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professional
Signature,
Date
Fm_�
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
imiADDRESS:
10080 n. wolfe rd.
DATE: 05/17/2011
REVIEWED BY: bobs.
APN:
BP#: 10120125
*VALUATION: j$10,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building
USE:
PENTAMATION 1DS
PERMIT TYPE:
WORK 1880
sci ft server room anchorage.
SCOPE
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
s.f.
PC FEES
PC FEE ID
BP FEES
BP FEE ID
Deferred Submittal (Not R-3)
II-B,III-B,Iv,v-B
0
$0.00
$0.00
TOTALS:
1 0
$0.00
$0.00
MECH, HOURLY ()Yes (E) No
PLUMB, HOURLY Q Yes Q No
ELEC, HOURLY Q Yes Q No
r
ti,j..,
,,,e•. ,
�'
>Ll
NOTE: These fees are based on the Preliminary information available and are onlv an estimate. Contact the Dent for addn 7 info.
FEE ITEMS (Fee Resolution 09-051 Eff' 711110)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee: Hourly Only? Q Yes
O No
$0.00
® hours
$504.00
Plan Check, Hourly
ISTPGNCK
Suppl. PC Fee: E) Reg. 0 OT
rcolhrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee.e Reg. 0 OT
0.0 1
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
(. (>iItE7'itc'tf!siF 1(:,i
Acoustical Fee: 0 Yes (F) No
$0.00
0
Work Without Permit? 0 Yes 0 No
$0.00
Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
E)
0
i
F I as c' �7C�C11111t:f7FGft.+(�±! 1 E, �.
Strong Motion Fee: IBSEISMICO
$2.10
2.0 J hrs
$252.00
Inspections
IINSPMIS Standard Inspections
Bldg; Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS:
$3.10
$756.00
TOTAL FEE:
$759.10
Revised: 04/29/2011
CITY OF CUPERTINO
IM-7, FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: p
DATE:
REVIEWED BY:
APN:
BP#:
EVALUATION: 1$150,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building
USE: g
TOl �L
FLOOR .�RF,a:
PENTAMATION 1 B TI
PERMIT TYPE:
WORK
U. commercial offices ace expand one server room build roof platform, install 20 ton chiller,
SCOPE
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
s.f.
PC FEES
PC FEE ID
BP FEES
BP FEE ID
B (Tenant Improvements)
II-B,III-B,IV,V-B
1,071
$1,893.28
IBTIPLNCK
$1,004.08
IBTIINSP
TOTALS:
1,071
1 $1,893.28
1
1 $1,004.08
MECH, HOURLY 0 'lees Q No
PLUMB, HOURLY 0 Yes Q No
ELEC, :HOURLY Q Yes Q do
Mech. Plan Check 0.0 hrs $0.00
f>hrurh. P(crn �ierk
Plan Ch<<ck
Mech. Permit Fee: IMPERMIT
Pomit r-Cc.
Gtzx. P�wnw Fc'
Other Mech. Insp. 0.0 hrs $42.00
1
Oilier Numb i;l :
Li
0/"I, r [-.A'<. Ire r
HCCh. Ilt.�h. ANC
IF1sl1. I' F'i'.:
I;ICc. Insp. FCC.
NOTE. These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addh7 info.
FEE ITEMS (Fee Resolution 09-051 Eff 7/1/10)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$1,893.28
4 hours
$504.00
Plan Check,
ISTPLNCK
Hourly
Suppl. PC Fee: 0 Reg. 0 OT
0.0
1 hrs
$0.00
PME Plan Check:
$0.00
0 #
$126.00
Mechanical
IMCRAA
Cooling Unit
Permit Fee:
$1,004.08
Suppl. Insp. Fee10 Reg.
0 OT
0.0
1 hrs
$0.00
0 s.f. Re -roof
$348.00 IREROOFCOM
PME Unit Fee:
$0.00
PME Permit Fee:
$42.00
Constl action Tar
Acoustical Fee:
0 Yes (E) No
$0.00
0
0
Work Without Permit? 0 Yes E) No
-°$0.00
Planninp- Fee:
PLLONGRNGC
$0.00
0
0
i
Travel Documentation Fee: ITRAVDOC
$42.00
Strong Motion Fee:
1BSEISMICO
$31.50
LLO hrs
$252.00
IINSPMIS
Inspections
Standard Inspections
Bldg; Stds Commission Fee: IBCBSC
$6.00
SUBTOTALS:
$3,018.86
$1,230.00
TOTAL FEE:
1 $4,248.86
Revised: 12/07/2010