10030062 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 21760 STEVENS CREEK BLVD CONTRACTOR:MT2 TELECOM,LLP PERMIT NO: 10030062
OWNER'S NAME: BUDGET SELF STORAGE 3780 COMMERCE DR DATE ISSUED:03/10/2010
4ER'S PHONE: 7075451900 W SACRAMENTO,CA 95691 PHONE NO:(916)376-8555
❑ LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class Lic.#
MECH r- RESIDENTIAL r- COMMERCIAL
Contractor Date
I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:INSTALLATION OF FIBER MODEM BOX INTO AN
(commencing with Section 7000)of Division 3 of the Business&Professions EXISTING
Code and that my license is in full force and effect. CELL SITE LEASE AREA
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 Sq.Ft Floor Area: Valuation:$4000
permit is issued.
APPLICANT CERTIFICATION APN Number:35717082.00 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 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. .
Issued by; Dated lG���
Signature Date
LtJ� 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
1,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(See.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: HAZARDOUS MATERIALS DISCLOSURE
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 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&
Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material.
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 Jea
' com I nce with 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 a ety e, ections 25505,25533,and 25534.
Compensation laws of California. If,after making this certificate of exemption,Ibecome subject to the Worker's Compensation provisions of the Labor Code,I mus r tho ent:
Date:
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(See.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
nify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address
and expenses whi m accrue against said City in consequence of the
granting of Ad
ti Ily,the applicant understands and will comply ARCHITECT'S DECLARATION
with all n i t ree eg t ns per the Cupertino Municipal Code,Section
9.18. I understand my plans shall be used as public records.
Signat r Date 15 Licensed Professional
CITY OF CUPERTINO
6 ITEMS OF 36 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN 35717082 . 00
DATE ISSUED. . . . . . . : 03/10/2010
RECEIPT #. . . . . . . . . : BS000009910
REFERENCE ID # . . . : 10030062
SITE ADDRESS 21760 STEVENS CREEK BLVD
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . .
OWNER BUDGET SELF STORAGE
ADDRESS 21760 STEVENS CREEK BLVD
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 0 . 00 1 . 00 0 . 00 1. 00 0 . 00
1BSEISMICO VALUATION 0 . 00 0 . 63 0 . 00 0 . 63 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 . 63 0 . 00 253 . 63 0 . 00
r
CITY OF CUPERTINO
CUPEk INO GENERAL BUILDING
PERMIT APPLICATION FORM
I bo
APN# 3 Date:
Building Address:
2- o
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
Own is Name: 5Ae—A4-V w I L-I—:::-y Phone#:
Contractor: Phone:
o Fax:
Contractor License#:
Cupertino Business License#:
Contact: Phone:q 1jL
0-F-448 Fax:
Residential ❑ Commercial
Job Description:
Building Permit Info:
Bldg Elect C4-- 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:
it Op
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.builditgreen.org
Revised 07/14/09
` CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
CUPER,TtNO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1STUCOAP Stucco Applications (up to 400 so B
additional stucco application
1 WINREP Replacement windows/sliding glass B
door (ea 8 windows)
1 WINMEWSTR New Window-structural shear B
wall/masonry (includes plan ck fee)
1 EPERMITFEE Electrical Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
1PPERMITFEE 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 Standard Plan Check (when no E/M/P) B
when not over counter) hourly-stand alone
1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT
TYPES
1BSEISMICR Seismic Residential B
1BSEISMICO Seismic Commercial B
/ 1TRAVDOC Travel &Documentation B
1BUSLIC Business License B
5 of 5
SITE ID: SF14973a
WORK ORDER#: 733466
SITE NAME: SF973
MT2 ADDRESS: 21760 Stevens Creek
3780 Commerce Drive CITY: Cupertino
West Sacramento, CA 95691 STATE: CA
916-376-8585 ZIP CODE 95014
License #927009 WALKED BY: MT2 TELECOM,L.P.
APs'-WWITH
ED
ORD ANC't- ITTHE CITY OF T MOBILE PM: TERRY BUCK 916-420-3566
S AND ORDINANCES
AT&T CONTACT: NESTER PEREZ 408-310-8566
_ NOTES:
R ificahons MUST • T-Mobile/MT2.Telecom will provide a clear path for the new fiber optic cable from the(E)
sand spaC.
� e job at all times and it is wireless facility to the ATT MPOE as determined from field visit.
fe kept" changes or alterations
��IaWfUt td a any rrnission from . ATT will route a new fiber optic cable to the new DMARC located in the T-Mobile lease area as
SetTle written Ci of Cupertino. shown in attached photos and site sketch.
rtment, y
t Bu pa lan and s ffications
of this p fid{
e St mlit Or`o be an• T-Mobile/MT2 Telecom will coordinate and manage the construction of the fiber path,
SHALL be held to Pe ovisions equipment installation and all other necessary conduit routing within the lease area.
approval the violation of any p
Of any y Ordinance or State Law ATT will terminate the fiber optic cable at the FTP and their MPOE
ti • All bends to conduits need to be at least 18"unless specified
• SOW:
• Meet Point—AT&T will meet at(E)36"x 48"AT&T pull box.
ii ��
Rod and Rope''/z'mule tape±300'in(E)4"conduit from Meet Point to MPOE`. 1 20 (J
Mount FDp in existing Plywood backboard in MPOE.
• Install 80'of%"Mule Tape from MPOE to(N)Ciena Box in Telco Room in(E)conduit.
• H-Frame-CIENA:Wall Mount(5'of P1000 Unistrut&connectors).
• CATS:(2)runs of 20'each,(2)runs of 30'each(130'total)in 40'of new 1 '/,"conduit.
Power:(1)run each of Red and Black#10-25'in 20'of new'/2"conduit.
• Ground:(1)run of 20'#6 Ground in 15'of new 112"conduit to MGB adjacent to cabinet.
• Note: GC will make all necessary digital labeling to newly installed lines and conduits.
i
I 1 ;ti 1, i.
X.
SCALE 3/8'
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MIAYOUT
A-0 MT mucom, LR
1�>
ND,E CABINET
(E)POLE WORKING CLEARANCES ABOUT ELECTRICAL EQUIPMENT SHALL BE MAINTAINED PER ART 11026(A)DEDICATED
SPACE SHALL BE 30 INCHES MINIMUM SIDE CLEARANCE.36 INCHES MINIMUM FRONT CLEARANCE.MEASURED MOUNTING
(E)WALL--------
FROM THE GROUND TO A POINT OF 6 A'.HINGED DOORS SHALL OPEN 90 DEGREES MINIMUM.
ALL CABINET HARDWARE N v STRUCTURE
SUPPORT DETAILS
CABINET MOUNTING BRACKETS FASTENED W/Y-20 STRUCTURE PROVIDED W17N
CN 3911 CABINET FASTENED TO WALL W/(7) MACHINE SCREWS CIENA POLE MOUNT KIT
A-DR/12 SCREWS TYP \
CIENA BAND CLAMP TYP
L J 'r—(161•)
ON 3911 CABINET ISSUE STATUS
W/MOUNTING DATE DESCRIPTION BY
BRACKETS NO 01-16-10 EXHIBIT -
CN 3911 CABINET
MOUNTED TO WALL W/ TOP VIEW
A'DR 112 SCREWS CONDUIT SPACERS - -
CONDUIT SPACERS —
� l CONDUIT SPACERS ^ (177.) DRAWN BY: K.SANSD
`J CHECKED BY: L.HOUGHTBY
_ _ 1 _1 APPROVED BY: -
UAN CABINET
DATE: 01/16/10
MOUNTED WALL W/X-
OR f12 SCREWS
UAW W/MOUNTING JAM W/MOUNTING BRACKETS TV/ gy
BRACKET IMGTYP �-,�CN 3911 DETAIL $IT
� @i3
as£
(16.2•)
2-0i MIN
TOP VIEW t-� M :g���
gds 6
(94
FRONT VIEW SIDE VIEW
SIDE VIEW FRONT VIEW SIDE VIEW °
CN3911 & UAM WALL MOUNTING DETAIL CN3911 & UAM POLE MOUNTING DETAIL 4 ,'V, AIL
cAses
CABINET MOUNTING BRACKETS FASTENED
TO WALL W/(7)A'X3'SCREWS TYP
n■
VERTICAL MOUNTING BRACKET =�
UNISTRUT TOP A'.BOTTOM MINPRONOED BY MANUFACTURER \
LENGTH AS REWIRED------- /� CABINET MOUNTING BRACKETS PROVIDED
OW BOLT,SPRING NUT,k WASHER BY MANUFACTURER O
x 3.75'SMPSW WEDGE ALL W/�'HE%
NUT,DRILL.BLOW OUT DUST,h EMBED 2'MIN \ EQUIPMENT CABINET
INSTALL PER MANUFACTURER SPECS \ PER PLAN
2)ANCHORS PER UNISTRUT MIN \ ■ 2�
( � �EWIPMENT CABINET WOOD OR METAL STUD WALL W/
PER PLAN � ■ ty�
22LL5555 F
1MAX EXTERIOR FINISH
CONCRETE WALL - � ■
�I_ b
SHEETTWILE
WALL & POLE
MOUNTING DETAILS
CONCRETE WALL CABINET MOUNTING DETAIL WALL MOUNTING DETAIL �� SEETNLWER:
- - --