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10030060CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10110 CALIFORNIA OAK WAY I CONTRACTOR: MT2 TELECOM, LLP PERMIT NO: 10030060 OWNER'S NAME: UNION PACIFIC RAILROAD !ER'S PHONE: 4025445000 ❑ LICENSED CONTRACTOR'S DECLARATION License Class Lic. # Contractor 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 OWNER -BUILDER DECLARATION 1 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) 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. 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 mL 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 »reify and keep harmless the City of Cupertino against liabilities, judgments, d expenses which may accrue against said City in consequence of the granting o it. dit , the applicant understands and will comply with all on- p nt ere I t n per the Cupertino Municipal Code, Section 9.18. ca" .-�P Date 3/r 0 / V 3780 COMMERCE DR W SACRAMENTO, CA 95691 DATE ISSUED: 03/10/2010 PHONE NO: (916) 376-8555 BUILDING PERMIT INFO: BLDG F ELECT F PLUMB r MECH r— RESIDENTIAL I— COMMERCIAL JOB DESCRIPTION: INSTALLATION OF FIBER MODEM BOX INTO AN EXISTING CELL SITE LEASE AREA Sq. Ft Floor Area: I Valuation: $4000 APN Number: 34263001.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued byl_ Date: /0_7e� 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 co ncewith the Cupertino Municipal Code, Chapter 9.12 and the ea ety e, Sections 25505, 25533,d55 4. O nth agent: (0 / b 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 I understand my plans shall be used as public records. Licensed Professional 6_71) 01, CITY OF CUPERTINO 6 ITEMS OF 36 PERMIT RECEIPT OPERATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 34263001.00 DATE ISSUED.......: 03/10/2010 RECEIPT #......... BS000009910 REFERENCE ID # ...: 10030060 SITE ADDRESS .....: 10110 CALIFORNIA OAK WAY SUBDIVISION ...... CITY CUPERTINO IMPACT AREA ...... OWNER UNION PACIFIC RAILROAD ADDRESS 10110 CALIFORNIA OAK WAY CITY/STATE/ZIP ...: CUPERTINO, CA 95014 RECEIVED FROM CHAD D CHRISTIE CONTRACTOR JON MORENO LIC # 31419 COMPANY MT2 TELECOM, LLP ADDRESS 3780 COMMERCE DR CITY/STATE/ZIP ...: W SACRAMENTO, CA 95691 TELEPHONE (916) 376-8555 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC ---------- NEW BAL ----- ---------- 1BCBSC ------------- VALUATION ---------- 4,000.00 ---------- 1.00 ---------- 0.00 1.00 0.00 lBSEISMICO VALUATION 4,000.00 0.84 0.00 0.84 0.00 1EPERMITFE FLAT RATE 1.00 42.00 0.00 42.00 0.00 1MECHINSP HOUR 1.00 126.00 0.00 126.00 0.00 1MPERMITFE FLAT RATE 1.00 42.00 0.00 42.00 0.00 1TRAVDOC FLAT RATE 1.00 42.00 0.00 42.00 ---------- 0.00 ---------- TOTAL PERMIT ---------- 253.84 ---------- 0.00 253.84 0.00 CITY OF CUPEI�TINO CITY OF CUPERTINO GENERAL BUILDING PERMIT APPLICATION FORM .1 ()b 3 ©(-) Cr v APN # Date: Building Address: CA[-- I Fe, 2Nr i4 OAK- ".4 Mailing Address (if different from building address): Are Hazardous Materials being used as part of this project? Yes ❑ No ❑� HOA: (Exterior work only) Yes ❑ No ❑ If yes, provide letter from HOA Owner's Name: M► Kers M� Phone #: IJA" (o ,aA C t - rac Conttor: ftTr'2' P. Phone: Fax: Contractor License #: C1Z70C:F1 Cupertino Business License #: Contact: Phone: Fax: Residential ❑ Commercial Job Description: I >J `FrAL-1--4-T i o v.1 b A- r i AZrZ— Kc Building Permit Info: Bldg ❑ Elect ❑ Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: I -A, 1-B ❑ IUIII/V-A ❑ IUIII B, IV -HT, V -B ❑ Valuation: Square Footage: a OD Project Size: Express ❑ Standard ❑ Large ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it to the application or if applicable, include in plan set & the sheet index. Points Achieved: For help, contact Build it Green at www.b Revised 07/14/09 SIIFRU�� CITY OF CUPERT1NO CITY OF CUPERTINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1GENCOM 1STUCOAP Stucco Applications (up to 400 sf) additional stucco application B 1 WINREP Replacement windows/sliding glass door (ea 8 windows) B 1 WINMEWSTR New Window -structural shear wall/masonry (includes plan ck fee) B 1 EPERMITFEE Electrical Permit Fee E 1 MPERMITFEE Mechanical Permit Fee M 1 PPERMITFEE Plumbing Permit Fee P 1 ELCPLNCK Stand Alone Electric Pln Ck (hourly) E 1 MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M 1 PLMBLNCK Stand Alone Plumbing Pln Ck (hrly) P 1 STPLNCK-(3 Hr Min when not over counter) Standard Plan Check (when no E/M/P) hourly -stand alone B 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICR Seismic Residential _ B 1BSEISMICO Seismic Commercial B 1 TRAVDOC Travel & Documentation B 1BUSLIC Business License B 5 of 5 SITE ID: SITE NAME: MT --1- ADDRESS: APFIR� ,VED CITY/STATE: 3780 Commerce DrbMRDAN I w'ITH THE CITY OF CU�WTJi;�p�(,�ES AND ORDINANCES WALKED BY: West Sacramento, DA JJ�Sbb``- 916-376-8585 °'4TE-- �- T MOBILE PM: License .#927 SIGNE 1���set of plans and specifications MUST AT&T CONTACT: be kept on the lob at all ti it is SF151002A WO#733513 BA5002 10110 CALIFORNIA OAK WAY CUPERTINO, CA 95014 MT2 TELECOM, L.P. TERRY BUCK 916-420-3497 KEITH WALTERS 408-348-1542 lease area as shown in attached photos and site sketch. • T -Mobile / MT2 Telecom will coordinate and manage the construction of the fiber path, equipment installation and all other necessary conduit routing within the lease area. • ATT will terminate the fiber optic cable at the FTP and their MPOE • All bends to conduits need to be at least 18" unless specifieP, c ETV V FD • SOW: a ,t�itj • Meet point: Commencing at a 3'x 5' box 900' from site, install 930' of 1/2" mule tape and 630' of innerduct. From last 24" x 36" box before site ins]BY 4f fNl " conduit to (N) Telco Box at site. • FDP to UAM: 15' of 1 %" conduit with %" mule tape. • New 22" x 20" x 10" Telco Box on (N) H -Frame (20' of P1000 Unistrut & connectors) • H -Frame - CIENA: Extension of (E) H -frame for Ciena (15' of P1000 Unistrut & connectors) grafted to existing frame legs with the addition of a slab mounted post. • CAT5: (2) runs of 30' and (2) runs of 15' each (120' total) in 35 ' of new 1 conduit. • Power: (1) run of Black and White #10 of 30' each in 20' of new 1/2" conduit. • Ground: (1) run of 15' #6 Ground in 10' of new %" conduit to MGB adjacent to cabinet. • Note: GC will make all necessary digital labeling to newly installed lines and conduits. ations -NOTES: from rtino. • T -Mobile / MT2. Telecom will provide a clear path for the new fiber optic cable from d ations the (E) wireless facility to the ATT MPOE as determined from field visit. vi an ATT will route a new fiber optic cable to the new DMARC located in the T -Mobile lease area as shown in attached photos and site sketch. • T -Mobile / MT2 Telecom will coordinate and manage the construction of the fiber path, equipment installation and all other necessary conduit routing within the lease area. • ATT will terminate the fiber optic cable at the FTP and their MPOE • All bends to conduits need to be at least 18" unless specifieP, c ETV V FD • SOW: a ,t�itj • Meet point: Commencing at a 3'x 5' box 900' from site, install 930' of 1/2" mule tape and 630' of innerduct. From last 24" x 36" box before site ins]BY 4f fNl " conduit to (N) Telco Box at site. • FDP to UAM: 15' of 1 %" conduit with %" mule tape. • New 22" x 20" x 10" Telco Box on (N) H -Frame (20' of P1000 Unistrut & connectors) • H -Frame - CIENA: Extension of (E) H -frame for Ciena (15' of P1000 Unistrut & connectors) grafted to existing frame legs with the addition of a slab mounted post. • CAT5: (2) runs of 30' and (2) runs of 15' each (120' total) in 35 ' of new 1 conduit. • Power: (1) run of Black and White #10 of 30' each in 20' of new 1/2" conduit. • Ground: (1) run of 15' #6 Ground in 10' of new %" conduit to MGB adjacent to cabinet. • Note: GC will make all necessary digital labeling to newly installed lines and conduits. Vj: 7 A - L kA L t� SCALE 3/8' V-0' <! r v-. - -T---Mobile- 1, IL Ct. 556:2 C 71 B SITE LAYOUT 14- n C4 J,Wp, A-0 MT'macom,L.P. I r T" '0' Hjx' S F Vj: 7 A - L kA L t� SCALE 3/8' V-0' <! r v-. - -T---Mobile- 1, IL Ct. 556:2 SITE LAYOUT 14- n C4 J,Wp, A-0 MT'macom,L.P. CN JWII CA CN 3911MOONING BR/ FASTEWED TO SO BRACKETS W/ Y -20 S HORIZONTAL SUPPORT BF VERTICAL SUPPORT OF GALV UNISTRUT RID HORIZONTAL UI BE BETWEEN 1; (1B' IS P UAM CABINET MOUNTED TO SL BRACKETS W/ Y-20 UAW W/ MOUNTING BRACK UNISTRUT P' POST BASE OF C FRONT VIEW SIDE VIEW CN3911 & UAM H -FRAME MOUNTING DETAIL r (161•) -7 TOP VIEW (69.) I�FTIII1I�'II � TOP VIEW (64) G z2') FRONT VIEW SIDE VIEW CN 3911 3 L=1. DETAIL — XETS W/ Y50 SC ICAL SUPPORT BRA UNISTRUT P1001 I (16 2') TOP VIEW (69.) I�FTIII1I�'II � FRONT VIEW SIDE VIEW UAM DETAIL 016'—? FRONT VIEW UTILITY H -FRAME DETAIL 2 Y.= . STEEL UNIST STRAP P/N P1120 EOUIV AS OCCURS T FOOTING UNISTRUT P1000 TOP k BOTTOM MIN LENGTH AS REQUIRED UNISTRUT P1000 H -FRAME POST LENGTH AS REQUIRED SIDE VIEW VERTICAL MOUfj PRONDED BY fir - MANUFACTURER Or BOLT, SPRING NUT, & WASHER -FRAME CABINET MOUNTING DETAIL CABINET MOUNTING DETAILS ISSUE STATUS Al DATE I DESCRIPTI(k!I BY 2-03-09 EXHIBIT DRAWN BY: K. SANSO CHECKED BY: L. NOUGHIBY APPROVED BY: - DATE: 12/03/09 a. q�q dray .® 4 �, a'iE fid oma; a, %s er3 s aY¢i =�w ass r' B•=i SHEETME: H -FRAME MOUNTING DETAILS SHEET NUMBER: 1 OF 2 I'M ; CITY OF XPEkTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESS: PERMIT # � OWNER'S NAME: LA-tq .. PHONE #? / �, -3 4 -/ v GENERAL CONTRACTOR: FAX # 1 Y I am not using any subcontractors: —�' -3 b C o Signature j5ate Plonca rhPrk annlirah1P a,ihrnntrartnrS and mmnlete the following information: 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