10030063CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20401 STEVENS CREEK BLVD
CONTRACTOR: MT2 TELECOM, LLP
PERMIT NO: 10030063
OWNER'S NAME: WDV PROPERTIES
3780 COMMERCE DR
DATE ISSUED: 03/10/2010
1ER'S PHONE: 9252886689
W SACRAMENTO, CA 95691
PHONE NO: (916) 376-8555
❑ LICENSED CONTRACTOR'S DECLARATION[_
r
BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class Lic. #
MECH F_ RESIDENTIAL r- COMMERCIAL
Contractor Date
I hereby affirm that I am licensed under the provisions of Chapter 9
JOB DESCRIPTION: INSTALLATION OF A FIBER MODEM BOX INTO AN
(commencing with Section 7000) of Division 3 of the Business & Professions
EXISTING
CELL SITE LEASE AREA
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
Sq. Ft Floor Area:
Valuation: $4000
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
APN Number: 31626094.01
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
upon the above mentioned property for inspection purposes. (We) agree to save
PERMIT EXPIRES IF WORK IS NOT STARTED
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting of this permit. Additionally, the applicant understands and will comply
180 DAYS FROM LAST CALLED INSPECTION.
with all non-point source regulations per the Cupertino Municipal Code, Section
9.18.
Date:-T �
Issued by:v
Signature Date
lv/ OWNER-BUILDER DECLARATION
RE-ROOFS:
I hereby affirm that I am exempt from the Contractor's License Law for one of
All roofs shall be inspected prior to any roofing material being installed. If a roof is
the following two reasons:
installed without first obtaining an inspection, I agree to remove all new materials for
I, as owner of the property, or my employees with wages as their sole compensation,
inspection.
will do the work, and the structure is not intended or offered for sale (Sec.7044,
Business & Professions Code)
Signature of Applicant: Date:
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
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
HAZARDOUS MATERIALS DISCLOSURE
Compensation, as provided for by Section 3700 of the Labor Code, for the
I have read the hazardous materials requirements under Chapter 6.95 of the
performance of the work for which this permit is issued.
California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain
I have and will maintain Worker's Compensation Insurance, as provided for by
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
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
permit is issued.
contaminants as defined by the Bay Area Air Quality Management District I will
I certify that in the performance of the work for which this permit is issued, I shall
n com is a ith the Cupertino Municipal Code, Chapter 9.12 and the
not employ any person in any manner so as to become subject to the Worker's
& ety , Sections 25505, 25533, and 25534.
Compensation laws of California. If, after making this certificate of exemption, I
7ealt
become subject to the Worker's Compensation provisions of the Labor Code, I must
th ri agent:
Date: � U// O
forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
I hereby affirm that there is a construction lending agency for the performance of work's
correct. I agree to comply with all city and county ordinances and state laws relating
for which this permit is issued (Sec. 3097, Civ C.)
to building construction, and hereby authorize representatives of this city to enter
Lender's Name
upon the above mentioned property for inspection purposes. (We) agree to save
mnify and keep harmless the City of Cupertino against liabilities, judgments,
Lender's Address
., and expenses which may accrue against said City in consequence of the
granting o is it io ly, the applicant understands and will comply
ARCHITECT'S DECLARATION
with al on- in rce r i ns per the Cupertino Municipal Code, Section
9.18.
I understand my plans shall be used as public records.
/
Sign ure Date ��
Licensed Professional
6 ITEMS OF 36
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 31626094.01
DATE ISSUED.......: 03/10/2010
RECEIPT #......... BS000009910
REFERENCE ID # ...: 10030063
OPERATOR: patg
COPY # : 1
SITE ADDRESS 20401 STEVENS CREEK BLVD
SUBDIVISION ......
CITY .............. CUPERTINO
IMPACT AREA ......
OWNER WDV PROPERTIES
ADDRESS ..........: 920 W FREMONT AVE
CITY/STATE/ZIP ...: SUNNYVALE, CA 94087-3020
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
1BSEISMICO 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
METHOD OF PAYMENT
AMOUNT
REFERENCE
--------------------
NUMBER
----------------- ---------------
CHECK
1,522.83
#323
---------------
TOTAL RECEIPT
1,522.83
CITY OF CUPERTINO
CITYCUPEI�TINO GENERAL BUILDING
PERMIT APPLICATION FORM
APN #
1 (-J--� Lcq. V1
Date:
3 �a
Building Address:
20 ATE 0 E,'V S
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' Name: :
Phon #:
D Piz
-
Contractor:
Phone:
M 2— T M r
Fax:
Contractor License #: V2,706q
Cupertino Business License #:
Contact:
0t4 A.8 G42, sa-t ]E--
Phone:
Fax:
Residential ❑ Commercial
Job Description:
Building Permit Info:
Bldg KL-- Elect Lam---- - Plumb ['— Mech
Type of Construction (Usage Class):
Occupancy Type:
1-A, 1-B ❑ IUIII/V-A ❑ IUIII B, IV -HT, V -B
Valuation: ®�
Square Footage:
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
.o
Revised 07/14/09
ha�
CITY OF
CUPERTINO
CITY OF CUPERTINO
GENERAL BUILDING APPLICATION
FEE SCHEDULE
Quantity/Sf
Fee ID
Fee Description
Fee
Group
Permit Type
1GENRES or
1GENCOM
1 STUCOAP
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
I EPERMITFEE
Electrical Permit Fee
E
I MPERMITFEE
Mechanical Permit Fee
M
IPPERMITFEE
Plumbing Permit Fee
P
I ELCPLNCK
Stand Alone Electric Pln Ck (hourly)
E
I MECPLNCK
Stand Alone Mechanical Pln Ck (hrly)
M
IPLMBLNCK
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
IBCBSC
Cal Bldg Standards Commission Fee
B
ALL PERMIT
TYPES
IBSEISMICR
Seismic Residential
B
1BSEISMICO
Seismic Commercial
B
ITRAVDOC
Travel & Documentation
B
IBUSLIC
Business License
B
`("I g l,�j
5 of 5
M T
3780 Commerce Drive
West Sacramento, CA 95691
916-376-8585 N PE 0 � ORDI OF
AN ES
License ODES AND
C n _)D
beh0P"' —
�,w1ul to
mus
T
tttnes nd Aerations
SITE ID: SF04552a
WORK ORDER #: 731020
SITE NAME: SF552
ADDRESS: 20401 Stevens Creek Blvd
CITY: Cupertino
STATE: CA
ZIP CODE 95014
BV
WALKED BY: MT2 TELECOM, L.P. I.�
T MOBILE PM: TERRY BUCK 916-420-3566
AT&T CONTACT: NESTER PEREZ 408-310-8566
• NOTES:
• T -Mobile / MT2. Telecom will provide a clear path for the new fiber optic cable from the (E)
wireless facility to the ATT MPOE as determined from field visit.
• 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 specified
• SOW:
• Meet Point — AT&T will meet at (E) 3'x5' Splice Box located on concrete pad 10' east.
• Install 20' of 1 W conduit from (E) Telco Box to (N) UAM.
• Install 370' of %" Mule Tape from Meet Point through MPOE to (E) Telco Box continuing to (N)
UAM.
• H -Frame - UAM: New Wall Mount for UAM (30' of P1000 Unistrut & connectors).
• CAT5: (2) runs of 20' each, (2) runs of 40' each (120' total) in 20' of new 1 '/<" conduit.
• Power: (1) run 20' each of Red and Black #14 in 15' of new 1/2" conduit.
• Ground: (1) run of 2546 Ground in 15' of new 1/2" conduit to MGB adjacent to cabinet.
• Note: GC will make all necessary digital labeling to newly installed lines and conduits.
■ SITE INFO:
FROM (E) TELCO BOX PROVIDE 1/2" I
MULE TAPE IN (E) 2" CONDUIT TO
MPOE ROOM, CONTINUING IN (E) 4"
CONDUIT TO 3'x5' AT&T SPLICE BOX
(MEET POINT) ±330'-0" FROM SITE
1-1/4" CONDUIT FROM (E) TELCO BOX
TO (N) UAM W/ 1/2" MULE TAPE
I
(2) CAT -5 CABLES PER
CAB/BTS IN (E) CONDUIT
I
I
PROPOSED CIENA BOX (AT&T INSTALL), I
UAM BOX PER CONTRACT (AT&T IN ON
LEFT & T—MOBILE OUT ON WALL 1) #6 GROUND
MOUNT P1000 UNISTRUT PEDESTAL--\ I IN 1/2" CONDUIT
•e'
(E) BTS
(E) GAS METERS
`� (E) BTS
(1) RUN EACH OF RED
AND BLACK
#14 IN 1/2"
CONDUIT
'�_`y%
(E) POWER (E) TELCO BOX
1-1/4" CONDUIT FROM (N)
UAM TO (E) TELCO BOX FOR
CAT -5 DISTRIBUTION
SCALE: 1/4' = 1'-0'
SF04552A
A JACE
T ■ .Mobile-
SF552 HWY 85 & 5TH
°
20401 STEVENS CREEK BLVD
DATE: T� k—J
1755 CREEKSIDE OAKS DRIVE
TE CA
CUPERTINO, CA 95014
SACRAMEENNTO, 95833
RHONE: (916) 343—agOO
i._
FAX (916) 643—a910
REVIllib B 'Yyq
SITE LAYOUT
,MARPWZ JR.
SW*
3780 COMMERCE DR
W SACRAMENTO, CA 95691
2 (916) 376-8585
REVISION:
A -a
!
MT MWCOK L.P.
CN 3911 CABINET
ON 3911 MOUNTING BRACKETS
FASTENED TO SUPPORT
BRACKETS W/ A -20 SCREWS
HORIZONTAL SUPPORT BRACKET
VERTICAL SUPPORT BRACKET
GALV UNISTRUT PIOOt TYP
CONDUIT SPACERS
UAW CABINET MOUNTED TO SUPPORT
BRACKETS W/ A-20 SCREWS
UAW W/ MOUNTING BRACKET TYP
WN
UNISTRUT P2072SO 1
POST BASE OR EDUIV I
I
Ph* SMPSOR WEDGE ALL I
W/ 2T YN EMBEDMENT I
I I
ZA- WN .t
FRONT VIEW SIDE VIEW
CN3911 & LAM H -FRAME MOUNTING DETAIL
1 ,._6. _
7(16.1•)-1
T0P VIEW
� (6..•)
O (17.2 )
FRONT VIEW SIDE VIEW
CCN 3911 DETAIL
J ,•_1•
I I
I
I
LJ
J• n
HORIZONTAL UWSIRUT SHARD
BE BETWEEN 13• t 23• WANT
I
1
I I
(10• IS PREFERRED)
NOh
WOWING CLEARANCES ABOUT ELECTRICAL EQUIPMENT BE PF11 ABT 11016(E.
LENGTH AS REOUNED
CONDUIT SPACERS
UAW CABINET MOUNTED TO SUPPORT
BRACKETS W/ A-20 SCREWS
UAW W/ MOUNTING BRACKET TYP
WN
UNISTRUT P2072SO 1
POST BASE OR EDUIV I
I
Ph* SMPSOR WEDGE ALL I
W/ 2T YN EMBEDMENT I
I I
ZA- WN .t
FRONT VIEW SIDE VIEW
CN3911 & LAM H -FRAME MOUNTING DETAIL
1 ,._6. _
7(16.1•)-1
T0P VIEW
� (6..•)
O (17.2 )
FRONT VIEW SIDE VIEW
CCN 3911 DETAIL
J ,•_1•
(16.2•) --,/
I I
I
I
LJ
J• n
LJ
J
Y--WIB•�
TOP VIEW
I I
FUTILITY H -FRAME DETAIL
NOh
WOWING CLEARANCES ABOUT ELECTRICAL EQUIPMENT BE PF11 ABT 11016(E.
LENGTH AS REOUNED
CABINET
I
I 1 E"MENT CABINET
MEAGTED
S MINIM M CLEARANCE. MEASURED
JO NA MINIMUM SH INCHES
FROM BUIL Y mE CLEARANCE, 36
REFS
SIDE VIEW
UAM DETAIL
4 1._,•
I 1
I I
I
POST LENGTH AS REQUIRED
FROM THE GROUND TO A PONT a fJf'. 1■IfiD DOORS SHALL IYK11 NI DEGREES IEIILNIY.
U PONT OF EDDOOS 90 DE MINIMUM.
CABINET
MOUNTING
DETAILS
VE1S FASTENED TO SUPPORT
KETS W/ JI -20 SCREWS TYP
J'-0' (8' MAX)
ICAL SUPPORT BRACKET
END CAP fOR
PPE TAP
UNISTRUT PIOOI TYP
STEEL UNISTRUT
STRAPP/N 20 DR
ISSUE STATUS-
EOLAV AS OCCURS NF
DALE OESC2WPRQi BY
01 -IB -10 EXI�IT
GAIV MS. T
- - -
- - -
WIT SPACERS
P1001 TYP
DRAMN BY: K. SAAISO
—
CHECKED BY: L HOUGHTBY
8
MAX
APPROVID BT:
DAIS 6/10
';' ',I'
55¢e
OW GALV STD
PIPE POST TYP
a.
of •
�qW
5�1!
t
GRADE OR SLAB
_,ALL
3EE
9F
(16.2•) --,/
I I
I
I
LJ
J• n
LJ
J
Y--WIB•�
TOP VIEW
I I
FUTILITY H -FRAME DETAIL
I I Of BOLT, SPRING
LENGTH AS REOUNED
I I NUT, W WASHER
I
I
I 1 E"MENT CABINET
FRONT VIEW
SIDE VIEW
UAM DETAIL
4 1._,•
"LII._iIlli aIIIF ,� RAgEa�
I I y
PPE POST E00TING Of.. 9 {3till
I I
I L
I r
I I
I
I
LJ
J• n
LJ
J
Y--WIB•�
FRONT VIEW
I I
FUTILITY H -FRAME DETAIL
I I Of BOLT, SPRING
LENGTH AS REOUNED
SIDE VIEW
3v'
a)
0
■
■
SHWTnLE:
H—FRAME
MOUNTING DETAILS
sr*0WAeM
1 OF 3
VERTICAL MOUNTING BRACKET
PROVIDED BY CABINET
77 MAN ACTURFR
ISTRUT
U■P1000 IOP
I I
k BOTTOM YIN
I I Of BOLT, SPRING
LENGTH AS REOUNED
I I NUT, W WASHER
I
I
I 1 E"MENT CABINET
I 1 � PEA PLAN
PER
1 I
UWSTRUT PI000 H -FRAME
I 1
I I
I
POST LENGTH AS REQUIRED
I
I I
I I
I I
I I
I I
I 1
CABINET
I I
I I
MOUNTING DETAIL
3v'
a)
0
■
■
SHWTnLE:
H—FRAME
MOUNTING DETAILS
sr*0WAeM
1 OF 3
CITY OF
UPEkTINO
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax (408) 777-3333
Building Department
JOB ADDRESS:
PERMIT #
0 o
BUSINESS LICENSE #
OWNER'S NAME:
PHONE # 1 4 2?
GENERAL CONTRACTOR: T�' — c "'L
FAX #
I am not using any subcontractors: 3)10)11-0
Signature Daie
'Dip— -UpA, �,,,,i;��HtA �„t,��„+,�a�+�r� ar,�l rnmnlete the following information:
1 1GLI0G
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