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13090133l' CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10001 N DE ANZA BLVD CONTRACTOR: VULCAN PERMIT NO: 13090133 CONSTRUCTION INC OWNER'S NAME: TAMBELLINI DEANZA PROPERTIES 346 MATHEW ST DATE ISSUED: 09/18/2013 OWNER'S PHONE: 4085728457 SANTA CLARA, CA 95050 PHONE NO: (408) 499-6039 JOB DESCRIPTION: RESIDENTIAL COMMERCIAL LICENSED CONTRACTOR'S DECLARATION License Class_ Lic. #_`y 7 �� `6 T.I. PREP - 3,842 S.F. Contractor � t f 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 performanc the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $12350 I and will maintain Worker's Compensation Insurance, as provided for by APN Number: 32634074.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ord'inances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter 1LED INSPECTION. upon the above mentioned property for inspection purposes. (We) agree to saJe.8. indemnify and keep harmless the City of Cupertino against liabilities, judgme costs, and expenses which may accrue against said City in consequence of theDate q granting of this permit. Additionally, the applicant understands and will compwith all non -point source regulations per the Cupertino Municipal Code, Secti - 9.18. "'. RE -ROOFS: Signature Date b ( 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. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(a) should I store or handle hazardous I have and will maintain a Certificate of Consent -to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the for which thisOwner the Health & Safety Code, Sections 255 533, and 25534. Section 3700 of the Labor Code, for the performance of work or authorized age Date• 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 CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertind against liabilities, judgments, costs, and expenses which may accrue against said.City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date 'r✓ CONSTRUCTION PERMIT APPLICATION Cj COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 103007ORRE AVENUE • CUPERTINO, CA 95014-3255 O (408) 777-3228 •FAX (408) 777-3333 • building ftupertino.org CUPERTINO I\ ❑ NEW CONSTRUCTION ❑ ADDITION KALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS/0001 v © • �/V� ♦h 7N # O OWNER NAME I h I ZQ PHONE E-MAIL tv STREET ADDRESS 3 U W rli CPf STATE, ZIP 0o �.) •S .3• Cid •I CONTACT NAME PHONE MAIL V �C-� 40a Fr �a�n 97 0 441-213' if z o c _ la.. --,nN c . Ge --- STREET ADDRESS CITY, STATE, ZIP FAX Ak �' . .54,, (Cv A, 61 SO O ❑ OWNER ❑ OWNER-BUB,DER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME �`� E M L �Qr �l LICENSE NUMBER^, :5T I LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX _ vc,u, 4 - STREET ADDRESS CITY, STATE, ZIP PHONE 34.4 w ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC if 2 - COMPANY NAMESTV It E-MAIL FAX D.�a STREET ADDRES O A� CITY, STATE Z, IP � p r� PHO J'ilf Ci>FF- IQ.E� ` J � S • ZS'3 -0 ob DESCRIPTION OF WORK , - g ^ USE TYPE OCC. I SQ.FT. VALUATION ( ) EXISTG NEW FLOOR DEMO TOTAL r/ AREA AREA AREA NET AREA '7�`YI/ BATHROOM KITCHEN OTHER REMODEL AREA REMODEL.AREA REMODEL AREA PORCH AREA I DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH M ATTACH # DWELLING UNITS: ISASECONDUNff OYES BEING ADDED? []NO SScuNDSIUXT UInb ADDITION? []NO PRE -APPLICATION [I YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES - - ', _ TOTAL VALUATION: PLANNING APPL # E] NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ N _ 2 3£ J v By my signature below, I certify to each of the fo wing: I am the property owner or authori agent to et on roperty owner's behalf. I have read this application and the information I have p I ed i ec . I have read the Description of Work and verify I Is accurate. I agree to comply with all applicable local ordinances and state laws relating to di gco i representatives of Cupertino to enter the abovL-identified property for inspection purposes. Signature ofApplicant/Agent: Date: 5l SUPPLEMENTALORMATION REQUIRED _ New SFD or Multifamily dwI lings:- Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building` permit for new building. Commercial Bldgs: Provide a completed Hazardous Materials Disclosure _ form if any Hazardous Materials are beingsed as part of this projects' Copy of Planning Approval Letter or meeting with Planning prior to _ submittal of Building Permit application. BldgApp_201 Ldoc revised 06/21/11 CJ r'OM WN CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION imADDRESS: 10001 N DE bNZA BLVD DATE: 09/17/2013 REVIEWED BY: MELISSA Permit Fee: APN: 326 34 074 BP#: *VALUATION: 1$12,350 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement __TPP PRIMARY Commercial Building USE: PME Unit Fee: PERMIT TYPE: 1TIPREP WORKT.I. PREP - 3,842 S.F. SCOPE $0.00 ,fe::h, p Plwpb. PhdS £.`i1e£:A /yfzorr,.. €)rra�s I"rr�"r• Irrsn. L J � €) i".� z> ,�;. � J lye(A hvilp. Ft,: I P"ra,rt Ie s/3 Fee: NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These,fees are based on the prelimina i4formation availahle and are only an estimate. Contact the De t or addn l info. FEE ITEMS (Fee Resolution 11-053 Ef 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 # Tenant Improvement Prep Suppl. PC Fee: (F) Reg. 0 OT"0.0 hrs $0.00 $405.001 1TIPREP PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee -.(F) Reg. ®OT0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Pen -nit? 0 Yes (E) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential E) Building or Structure 0 Strong Motion Fee: IBSEISMICO $2.59 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 ,. �BO IV $3.59 $405.00 , TOTAL FEE: ` $408.59. Revised: 08/01/2013 FIRE DEPARTMENT SANTA CLARA COUNTY CONTROL NUMBER 14700 Winchester Blvd., Los Gatos, CA 95030-1818 (408) 378-4010 (phone) • (408) 378-9342 (fax) PERMIT NUMBER PLAN CHECK No. PLt N R VIEW CQIMMENTS SCOPE OF WORK: `&j 6 7.Z Ja CODE/SEC. SHEET NO. � � ^, pxisting Bre sprinkler. & fire alarm systems shall be modified as necessary. Submit 3 sets of drawings, a ompleted permit application & fees to the Santa Clara County Fire Dept. for approval prior to altering system. CFC 901.4 11 portions of the building shall be within 75 feet of a Bre extinguisher having a minimum rating of 2- :10-13C. CFC 906 Commercial cooking equipment shall be provided with a Class K portable Bre extinguisher located within 30 feet of the equipment and in the path of exit travel. CFC 904 Egress doors shall be readil ol,enable from the egress side without speciaisknowledge or effort & shall not equire tight grasping, tight iinchin or twisti o e W= t operated locking devices are permitted when readily distin a si e O REMAIN UNLOCKED WHEN BUILDING IS OCCUI 0 Yeanof egress shall be illuminated at all times with 90 minute back up where 2 or more exits are eauirsed. CBC 1006.3 xits shall be marked by illuminated exit signs. Signs shall be illuminated at all times and have 90 minutes of emergency backup power. CBC 1011 ontractor shall field verify the integrity of existing rated construction/assemblies and restore or repair as ecessary. Penetrations in rated walls/ceilings shall be protected by listed fire rated assemblies (dampers, doors, caulking, fire stopping, etc.) CFC 703 Tenant shall provide a labeled emergency access key for placement in the building emergency access key box. CFC 506 `1 / 4 jo This plan check does not permit the use, storage or dispensing of hazardous materials, operations or waste. Tenant shall provide a completed HMIS to the Bre department's hazardous materials specialist for review and comment. A CLOSURE PERMIT is required prior to terminating the storage of hazardous materials at a permitted storage facility. Demolition of any facility/storage area that previously stored hazardous mateVals shall not be approved prior to obtaining a CLOSURE PERMIT. gPROVED: OKAY to issue building permit subject to compliance with above items. JURIS PLANS SPECS NEW REMODEL AS CONST. DESCRIP. BY C DATE PAGE q-,— I pqAdJ3 J— SEC./FLOOR OCC OCC. LOAD AREA ARCH/ENG/CONTRACTOR/OWNER ✓did NAME: OF FACILITY LOCATION geag oo�'� N� All, A California Fire Protection District serving Santa Clara County and the communities of Campbell, Cupertino, Los Altos, Los Altos Hills, Los Gatos, Monte Sereno, Morgan Hill, and Saratoga 4 5 B Q Q "'19 Q o 1 2 I 2 ARCHIT=cT,, II II �_T1 I I I I �-L- ' II II I I O II II L — — — — / I 70 —'— ==4 II S \ I II I 1 4 13 W 4 13 I \�1 / \ 413 --,L1 _I—�� � r� I II I� `----,--I _j TYP r I ly I I I 1 �r 3 — LL====__----- J T 1 ��II \JIT II I III„ PROIECTADORE55 10001 N. DE ANZA BOULE\, SUITE 100 a CUPERTINO, CA 950 TENANT IM ROVEM TSf• Seagate' ®r, Seagate _;47'f 1 C Buil REVIEWED FOR COD - I 1 ewed By CY N t7m GENERAL NOTES KEY NOTES INDICATED BY ON THE PLAN. LEGEND u vN•d IJiAJIV ' t�UT'T_T'S I IINU A. REFER TO SHEET AD. I FOR GENERAL NOTES AND ABBREVIATIONS. 1 . NO WORK IN THIS AREA. EXISTING CONDITIONS TO REMAIN. DEMOLITION C d �; ,u PPNee..��� B. COMPLYANCIOR WTDINGMACONDITIONS AGEMENTRE REQENTATI NT5 Of THE BUILDING REPRESENTATIVE AND/OR BUILDING MANAGEMENT REPRESENTATIVE WTIO RESPECT TO DEMOLITION, 2. 5TAITION. ENCLOSURE TO REMAIN. MAINTAINI-HOURFIRE EXISTIGTHROUGHOU EXISTING WALL TO REMAIN. - This ,,L CONTROL OF NOISE, REFUSE AND GENERAL DISRUPTION TO CONTINUING OCCUPANCY RATING THROUGHOUT CONSTRUCTION. CONSTRUCTION. C r.n-. C ('� sot Of fans and specific--tion.s MUST be kept at the AND OPERATION OF THE BURRING. 3. REMOVE EXISTING PLYWOOD FLOORING AS REQUIRED. ___- EXISTING NON-STRUCTURAL GYP. DO. METAL STUD - { job Site dring construction. It is unlawful to 71 C. FIRE SPRINKLER CONSTRUCTION. TO REMAIN. PROTECT AMC) MAINTAIN THROUGHOUT CONSTRUCTION. THROUGHOUT 4. EXISTING COLUMNS TO REMAIN. WALL TO BE DEMOLISHED. x!'e <:�rry 7 char es Or alt 9 atit.ti !J On same, Or to daviul D. ALL EXISTING FIRE ALARM, SECURITY ALARM, AND ENERGY MANAGEMENT SYSTEMS A5500ATED WIRING TO REMAIN. PROTECT AND MAINTAIN IN OPERATION 5. REMOVE EXISTING STOREFRONT DDORSAND PREPARE OPENING FOR NEW 51OUFROMI'GLASS EXISTING DOOR 6 FRAME TO BE REMAIN. therefrom, without approval from the Building Official. THROUGHOUT CONSTRUCTION. G. REMOVE PORTION OF (E) WALL SHOWN DASHED UP TO i9' -O" A.F.F., PREPARE OPENING FOR NEW 347 x 9'-O' DOOR, SEE DOOR SCHEDULE A2.5. The Stamping I p� g of this and E. ALL EXISTING FACILITIES TOP.EMAINUNLESSOTHERWISENOTED TOBEP,EMOVED. j� EXISTING DOOR TO BE plan specifications HALL NOT S F. REFER TO DEMOLITION REFLECTED CEILING PLAN FOR ADDITIONAL SCOPE OF LIMITED 7. SCRUB EXISTING CONCRETE FLOOR AND PREPARE FOR NEW FINISH, SEE SHEET A2.4. REMOVED. � ( {., be held 7 •°'rf1lt Ort ;�rOVaI Of the V1UIatIUn DEMOLITION WORK REQUIRED, B. DURING CONSTRUCTION, PROTECT EXISTING DOORS, FRAMES AND STOREFRONTS TO REMAIN. o G. UPON REMOVAL OF EXISTING FINISHES A5 INDICATED, PREPARE SUBSTRATE TO PREP FOR NEW FIN15H PER MEW PLAN. . I HOUR FIRE -RATED CORRIDORS AND STAIR +� On ance or State Law. RECEIVE SCHEDULED FINISH MATERIALS AS PER MANUFACTURERS 9. REMOVE ALL PLUMBING FUTURES. FLOORING AND ACCE55ORIE5 ENTIRELY. PREP FOR NEW ENCLOSURES. RECOMMENDATIONS. RESTROOMS IN NEW LOCATIONS PER NEW PLAN. BY H. THE DF51GN INTENT 15 TO PRESERVE THE INTEGRITY OF THE EXISTING STRUCTURAL SYSTEM. IF PLYWOOD, CONCRETE, OR STRUCTURAL STEEL 15 ENCOUNTERED DURINGC 10. REMOVE EXISTING DOOR AND FRAME ENTIRELY, TYP. F/771 AREA NOT IN SCOPE OF WORK. I DEMOLITION NOTIFY ARCHITECT BEFORE PROCEEDING. 1 1 . REMOVE EXISTING INTERIOR NON-BEARING PARTITIONS. TYP. DATE �� 12. REMOVE EXISTING DOOR AND 51DEUTE ENTIRELY. TYP. [gyp � PERMIT PERMIT NO. / 13. REMOVE FURRING AROUND EXISTING COLUMN. VULCAN CONSTRUCTION PERTINO 930NINTIAL 'yam E� �R� T\ COMP s�� 1/ 15 a of `AN STAMP ALL DESIGNS, DRAWNGS AND WRITTEN MATERIALS NDICATED HEREINARE THE WORKAND PROPERTY OFSTUD ARCHITECTS. THIS DOCUMENTIMY NOTSE DUPLICATED, REUSEDOR DISCLOSED BY. ANY METHOD WITHOUT TH E WRITTEN CONSENTOF STUDID:G CRECTS.ALLRIGHTSRESERVED. REVISIONS DATE DESCRIPTION 0124203 DESIGNMEETING 08.192013 100%CO 08212015 SUILLING DEPARTMENT SUBMITRAL ..__.. I .__.._ ....-.-__ DATE Ox302013 SCALE -- -. _- - PROJECT 1) DRAWN BY... _ __. SDNIDSY: D DATE DEMOLITION FLO SHEETRTLE - SHEETNO. By_- A D . \ SFprn 17 2013 7//j Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR /SUBCONTRACTOR LIST JOB ADDRESS: QQ Zai- ?%it, PERMIT OWNER'S NAME: PHONE # GENERAL CONTRACTOR: k! Lt -Lc+ -j G,J S BUSINESS ,LICENSE #.� ADDRESS: CITY/ZIPCODE��+-.� 6 *Our municipal code requires all businesses working in the city to have a City of Cupertino,business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL BE ,SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A. CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following'infoxmation: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing )I- Electrical ; .-- Excavation Flooring / Carpeting Linoleum / Wood ` Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile �� r. 4 I Owner / Con actor Sig re Date