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15070016CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 19645 STEVENS CREEK BLVD OWNER'S NAME: PORTAL PLAZA LP CONTRACTOR: RMIT NO: 15070016 �iNS ��z�Gi roN I DATE ISSUED: 07/02/2015 OWNER'S PHONE: 6502839252 1 , I PHONE NO:1/A ❑ LICENSED CONTRACTOR'S DECLARATION License Class Y Lic. # IS�V 4 2_ / 0 Date Irl 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. %f Signature Date ° D �J ❑ OWNER -BUILDER DECLARATION I 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 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. Signature. Date JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ REPAIR THE SEWER DRAIN LINES TO GREASE TRAP AND SEWER FROM SUSHI BAR AND KITCHEN AREA. Sq. Ft Floor Area: Valuation: $5000 APN Number: 31620083.19645 1 Occupanc}T} pe: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: _ � /lily Date: 7 C� 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 compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505 55 3, and 25534. Owner or authorized agent: Date: 0 I C 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 :07 • GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(alcupertino.org M��/C� PLUMBING ❑ MECHANICAL ❑ ELECTRICAL I-1 A4ISCELLANEOUS PROJECT ADDRESS I� AP R / 2 OWNBRNAMEL PHONE% „ *� � O 2 Z�2 E-MAIL 1 Z7 r �! i a Ma 1 1` STREET .ADDRESS �)Q�Q I v ✓1 CITY, STATE, ZIP,�y�,,, omt CA j r f -7r7 1�'�/Z'!�'I+ /�T FAX CONTACT NAME Cho PHONE �� E-MAIL STREETADDRESS j „ / n eve �❑ CITY, STATE, ZIP FAX ❑ OWIN'ER ❑ o)x xER-BUILDER OWNER AGENT lJ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Ch O LICENSE NU1,413ER 012-0 LICENSE TYPE R BUS. LIC COMPANY NAME 17 Cov n 5�oh C Cp(� 5 vt EMAIL1 o 6_1 2� �a 1 I `1/' -^ FAX STREET ADDRESS /j�Q%Yu CL l CITY, STATE, ZIP0� y r/� �J l/ `/? `/ PHONE ARCHITECT/ENGI N`'EEERNAME LICENSE NUMBER BUS. LIC R COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or DUPLEX ❑ MULTI-FANULY PROJECT IN WILDLAND ❑ YES BUILDING: COMMERCIAL URBAN' INTERFACE AREA NO PROJECT IN ❑ YES FLOOD ZONE NO IS THE BLDG AN ❑ YES EICHLER HOME? NO DESCrRIIPTION OF WORK Ise i I� (E) c >e dy-a i ti TOTAL VALUATION: Q ab RECEIVED Bl rr� �' x By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. SignatureofApplicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED ,orICE,c sEorLi OVER TIIE COUI�TERzN:.. z � y ❑ . ST'ANDARD s � MEPMiscApp_2011.doc revised 06/21/11 rm-M CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION APPLIANCE / EQUIP TYPE ADDRESS: 19645 STEVENS CREEK BLVD DATE: 07/02/2015 REVIEWED BY: SEAN UNITS APN: BP#: *VALUATION: 1$5,000 *PERMIT TYPE: Plumbing Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial Building USE: # PENTAMATION 1 CPSS I PERMIT TYPE: WORK Repair the sewer drain lines to grease trap and sewer from sushi bar and kitchen area. SCOPE �itpp[ Insp Fee APPLIANCE / EQUIP TYPE FEE ID Plumb. Plan Check 0.0 1 hrs $0.00 QTY UNITS BP FEES Fric Permir Fee - Sewer, Building 1 PCSEWER 1 # $25 Sewer, Sanitary 1 PCSEWER �itpp[ Insp Fee 1 # $25 PME Unit Fee: $50.00 PME Permit Fee: $334.00 "onstruction Tttx: Administrative Fee: IADMIN $45.00 Work Without Permit? © Yes 0 No $0.00 TOTALS: Travel Documentation Fee: ITRA VDOC $50.00 Strong Motion Fee: 1BSEISMICO NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resolution 11-033 Eft'7/1,13) Mech. Plart Check Plumb. Plan Check 0.0 1 hrs $0.00 Elec. flan Check Mech. Perniii Fee- Plumb. Permit Fee: IPPERMIT Fric Permir Fee - Other Mech. Insp. Other Plumb Insp. 2.0 hrs $48.00 .ihlech. Insp. Pee: Plumb. Insp. Fee: 1PLMBINSP $286.00 $0.00 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resolution 11-033 Eft'7/1,13) FEE QTY/FEE MISC ITEMS ='1cm Check Fee: PME Plan Check: $0.00 .�'i>trnit ht; �itpp[ Insp Fee PME Unit Fee: $50.00 PME Permit Fee: $334.00 "onstruction Tttx: Administrative Fee: IADMIN $45.00 Work Without Permit? © Yes 0 No $0.00 Travel Documentation Fee: ITRA VDOC $48.00 Strong Motion Fee: 1BSEISMICO $1.40 Select an Administrative Item Bldg* Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $479.40 $0.00 TOTAL FEE: $479.40 Revised: 07/01/2015 • REPAIR (E) PIPES/DRAINS FOR SUSHI BAR SINK AREA v N CD '`------ COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION - CUPERTINO --------------- 1------------------------------------------------------A P P R'0�1-E-Q ! This set of plans and specifications N1UST be kept at the t/------------\' job site during construction. It is unlawful!to make any changes or alterations on same, or to deviate therefrom, without approval from the Building Official. The Stamping of this plan and specifications SHALL NOT the -violation of any provi ions of any Cit rdin< ^r State Law. BY_-------�`-'-��-N Fri DATE PERMIT # ( �1 CUSTOMER \ \\ Ff.. SEATING SUSHI BAR • FLOOR PLAN: N.T.S Vkf g aaS�d3 CEIVED I JUL 02 2015 (e)C.0 Connnect to (e) G.T OFFICE COPY • REPAIR (E) PIPES/DRAINS FOR PREP SINK AREA T 31i L— I I (e) mop sink (e) hand sink , • FLOOR PLAN: N.T.S 22 Hand sink Elevation: Utility facility Backsplash to 4$" County of Santa Clara Department of Environmental Health Consumer Protection Division 1555 Berger Drive, Suite 300 San Jose, CA 95112-2716 (408)918-3400 FAX (408)258-5891 www.EHinfo.org December 8, 2015 153 Corner Stone Construction Attention: Yobel Kim 40959 Cruz Court Fremont, CA 94539 Dear Mr. Kim: PROJECT NUMBER: SR0847309 PROJECT NAME: AZUMA MOP SINK PROJECT ADDRESS: 19645 STEVENS CREEK BLVD. CUPERTINO The drawings for the above noted remodeling project have been reviewed and approved by this department, subject to the following conditions: 1. Provide a mop hanger. positioned so that mops drip into the janitorial sink. 2. Provide an approved wainscot (i.e. FRP, Stainless Steel, Ceramic Tile), a minimum of 4' high behind the janitorial sink. 3. Hot water must be at a minimum of 120° F at all fixtures, except for hand sinks with a minimum of 100° F. 4. All existing equipment, facilities or finishes that will remain shall be evaluated and approved on a case-by- case basis during on-site construction inspections. Equipment or finishes not found to be in compliance will not be accepted. 5. All construction must be completed according to the approved plan. Contact our office for review and approval for any changes to the approved drawings, including structural and/or equipment changes. This approval shall expire by limitation and will become null and void if the construction, reconstruction, alteration, or other work authorized by this approval is not commenced within 180 days from the date of approval. Please retain one copy of the approved drawings on the job site. A FOOD FACILITY CONSTRUCTION CARD has been attached to the job copy and must be posted with the other building permits. Present at least two (2) copies of the drawings to your local building official for the required permit application and approval. Any change to the drawings as a result of reviews by other jurisdictions must be brought to the attention of this department as soon as possible to avoid construction delays. Please be advised that you are responsible to contact this office to arrange a construction inspection before rough plumbing signoff, installation of equipment, and upon completion of the project. You willalso be asked to submit a mechanical exhaust system performance test, if such a system is present, before we can finalize the project. The original submittal fee(s) includes up to two (2) inspections. Additional fees may apply to any further inspections or site visits. In the event the project is not ready for a scheduled inspection, please provide at least 24 hours advance notice to avoid additional charges for canceled inspections/missed appointments. The Final Inspection for the project cannot take place until the balance for all Plan Check -related work is PAID IN FULL. Failure to meet this/these requirement/s will result in the cancellation of the Final Inspection. Please note: Rescheduling will be subject to availability. All food handlers are required to obtain a food handler card within thirty (30) days of hire (with certain exceptions). Contact this Department for more information. Board of Supervisors: Cindy Chavez, Mike Wasserman, Dave Cortese, Iden Yeager, S. Joseph Simitian County Executive: Jeffrey V. Smith If you have any further questions or would like to call for an inspection appointment, please contact the Department at (408) 918-3400, between 8:00 a.m. and 5:00 p.m., Monday through Friday. Very truly yours, Katherine B. Avila, REHS Senior Environmental Health Specialist Plan Review and Construction Unit - cc: City of Cupertino Building Department Owner County of Santa Clara Department of Environmental Health Consumer Protection Division 1555 Berger.Drive, Suite 300 San Jose, CA 95112-2716 (408)918-3400 FAX (408)258-5891 www.EHinfo.org 30'_��Oj July 30, 2015 153 Corner Stone Construction PROJECT NUMBER: SR0847309 Attention: Yobel Kim PROJECT NAME: AZUMA MOP SINK 40959 Cruz Court PROJECT ADDRESS: 19645 STEVENS CREEK BLVD. Fremont, CA 94539 CUPERTINO 00F.MaNIN M, We have received drawings for the above project. We are unable to complete the review of the drawings until the following information is provided: 1. Provide a plumbing drawing to show the water heater location and all hot and cold lines, waste lines and floor sinks. This plumbing drawing should be drawn to a scale of 1/4 inch equals 1 foot. 2. Provide a cut sheet for the mop sink and mop sink faucet. A floor -mounted basin, without legs, is recommended. If floor mats are to be used, the mop sink must be large enough to accommodate those mats for cleaning. This sink must be provided with hot and cold running water through a mixing faucet equipped with an integral vacuum breaker. Plastic or fiberglass laundry tubs are not approved. Provide a mop hanger positioned so that mops drip into the janitorial sink. 3. Provide an approved wainscot (i.e. FRP, Stainless Steel, Ceramic Tile), a minimum of 4' high behind all sinks. 4. All existing equipment, facilities or finishes that will remain shall be evaluated and approved on a case-by-case basis during on-site construction inspections. Equipment or finishes not found to be in compliance will not be accepted. Until the information requested is received, the drawings are considered to be disapproved. The original submittal fee(s) includes the review of one (1) revision and two (2) inspections. If additional revisions or site visits are required, supplemental fees will apply. Applications for which no approval is granted within 180 days following the date of application shall expire by limitation, and drawings and other data submitted for review may thereafter be returned to the applicant or destroyed by this department. This department may extend this period for an additional 60 days upon written request by the applicant showing that circumstances beyond the control of the applicant prevented further activity. In the former case, the applicant must resubmit plans and pay new plan check fee(s). If we can be of further assistance, please call the undersigned at (408) 918-3457, between 8:00 a.m. and 9:30 a.m., Monday through Thursday. Very truly yours, Katherine B. Avila, REHS Senior Environmental Health Specialist Plan Review and Construction Unit cc: City of Cupertino Building Department Owner Board of Supervisors: Cindy Chavez, Mike Wasserman, Dave Cortese, Ken Yeager, S. Joseph Simitian County Executive: Jeffrey V. Smith County of Santa Clara Department of Environmental Health Consumer Protection Division 1555 Berger Drive, Suite 300 San Jose, CA 95112-2716 (408)918-3400 FAX (408)258-5891 wwww.EHinfo.org d June 17, 2016 R. ADD PROJECT NUMBER: SR085( Attention: Jimmy Chang PROJECT NAME: AZUMA P.O. Box 9375 PROJECT ADDRESS: 19645.1 San Jose, CA 95157 CUPERI Dear Mr. Chang: The drawings for the above noted remodeling project have been reviewed and approved to the following conditions: I. The proposal to install top set stainless steel cove base over quarry tile is not app except the walk-in cooler. The proposal to install new quarry tile is approved pr base is installed that is continuous and flush with the floor, or that the stainless grouted to the quarry tile flooring. To "key -in", the floor is saw cut at the wall/floc coved base is inserted and grouted in so as to be flush, integral, and continuous 2. Note: The owner of this facility was previously notified in writing o requirement to key -in stainless steel cove base to the quarry tile th installed along the cook line, service area, and prep areas. This approval shall expire by limitation and will become null and void if the construction, n other work authorized by this approval is not commenced within 180 days from the date o Please retain one copy of the approved drawings on the job site. A FOOD FACILI7YCG been attached to the job copy and must be posted with the other building permits. TYPreC the drawings to your local building official for the required permit application and apps drawings as a result of reviews by other jurisdictions must be brought to the attei as soon as possible to avoid construction delays. ESE CUISINE S CREEK BLVD this department, subject lved in the areas proposed tided that quarry tile cove Leel base be keyed -in and juncture and an approved ith the floor surface. 1-22-16 of the above t had been previously alteration, or approval.. WINUC7TON CARD has at least two (2) copies of cal. Any change to the :ion of this department Please be advised that you are responsible to contact this office to arrange a constructior inspection before rough plumbing signoff, installation of equipment, and upon completion of the project. You wffli 11so be asked to submit a mechanical exhaust system performance test, if such a system is present, bey 17re we can finalize the project. The original submittal fee(s) includes up to two (2) inspections. Additional fees may y further apply to an inspections or site visits. In the event the project is not ready for a scheduled inspection, lease provide n least er 24 hours advance notice to avoid additional charges for canceled inspections/missed appointments. The Final Inspection for the project cannot take place until the balance for all Plan Check -r elated work is PAID IN FULL. Failure to meet this requirement will result in the cancellation of the Final Inspection. Dlease note: Rescheduling will be subject to availability. All food handlers are required to obtain a food handler card within thirty (30) days of hire with certain exceptions). Contact this Department for more information. If you have any further questions or would like to call for an inspection appointment, at (408) 918-3400, between 8:00 a.m. and 5:00 p.m., Monday through Friday. Very truly yours, Kane Bethea, REHS Senior Environmental Health Specialist Plan Review,and Construction Unit contact the Department Board of Supervisors: Cindy Chavez, Mike Wasserman, Dave Cortese, Ken Yeager, S. Joseph Simitisn County Executive: Jeffrey V. Smith