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15060146R CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22221 MCCLELLAN RD CONTRACTOR: GREEN GROWTH PERMIT NO: 15060146 INDUSTRIES INC OWNER'S NAME: CITY OF CUPERTINO P O BOX 1275 DATE ISSUED: 07/30/2015 OWNER'S PHONE: 4087773354 PLEASANTON, CA 94566 PHONE NO: (925) 484-0830 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL E] MCCLELLAN RANCH PEDESTRIAN, PARKING, AND P r License Class A, —'C"17 Lic. # LANDSCAPE Contractor AI&W (a&z,c,JIV rNb. Date --7 /S- IMPROVEMENTS. 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 Sq. Ft Floor Area: Valuation: $0 rfonnance of the work for which this permit is issued. have and will maintain Worker's Compensation Insurance, as provided for by 8ection 3700 of the Labor Code, for the performance of the work for which this APN Number: 35706018.00 Occupancy Type: 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 ordinances and state laws relating ' WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Issued by: Date: granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section RE -ROOFS: 9.18. �] s� �g Signature Date / 7� 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 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) 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 Health & Safety Code, Sections 25 and 25534. Section 3700 of the Labor Code, for the performance of the work for which this�® Owner or authorized agent: 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 Cupertino 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 CONSTRUCTION PERMIT APPLICATION 94 COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 Ct1PERTINC3 (408) 777-3228 • FAX (408) 777-3333 • buildin-ga-cupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ALTERATION / TI I I �-7 RF.VTSTON / T)F.FF.RRF.D 0RTI;TNAT. PFRMTT ii PROJECT ADDRESS 2 0221I ■Y Cleilem APN # J� I 1 OWNER N ® Vri V% t 3 5 E LI .,I 't I ! I a f itLO • 7 Y1, PHONE 08. ^ 1 / e• - 7o. STRE O $ES00 Qtr/ A%J• C Y, STATEN `h+ 9� cl Q r �{r� I p &n �r C CT E •� 5 �/�/ �I� 1,AL�_ ST E� ESOS' `� , o rI CITY, STATE, ZIP ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTI N F W Q ' 1&4 1 ' rr ` •�. �. EXISTING USE PROPOSED USE CONSTR TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODELAREA REMODELAREA REMODELAREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: ODETACH ❑ ATTACH I # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? ONO ADDITION? ONO PRE -APPLICATION ❑ YES - IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES ',' OEFED TOTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO x rr xsd t , 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 e read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating t building construction. a horize representatives of Cupertino to enter the above -id tified pro erty for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION R QUIRED Al COYER Ti1F.,'CUUi�t`.IxER ,v ` $UTL,bII�IC. PLAN RI''iYIE`W xN . — New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building' permit for new building. ExPx ss� 4 iir K' CI PLANNIIr PI3AkY I2YII W r Commercial Bldgs: S5 CI ©'PiIBG _ Provide a completed Hazardous Materials Disclosure SAIVUARv wprtlrS form if any Hazardous Materials are being used as part of this projects '� €r* � Copy of Planning Approval Letter or Meeting with Planning to g❑ LARGi; © 1'Tf2E`'AEP'1' �,�„ ����, r [ prior ©SANIriRYSE1LDS1tiCx T1, submittal of Building Permit application. .MATGIt _ < � � z _�:'' .Q_=L'ir7VTR{DNbIw;N'Ia��HI;AT�TH, > BldgApp_2011.doc revised 06121111 �'l n CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION 3 22221 McClellan Rd DATE: 06/23/2015 REVIEWED BY: Sean INIADDRESS: APN: BP#: 150601y *VALUATION: Iso *PERMIT TYPE: Building PermitPLAN CHECK TYPE: Alteration /Addition /Repair PRIMARY Commercial Building USE: g Civil / Religious activities in BQ zone? O Yes (F) No PENTAMATION 1 GENCOM PERMIT TYPE: A WORK McClellan Ranch pedestrian, parking, and landscape improvements. SCOPE Supp/. Insp. Fee:Q Reg. 0 OT0,0 3 Mech. Plan Check Plumb. Plan Check Elec. Plan Check A4ech. Permit Fee: Plumb. Permit Fee: Elec. Permit Fee: Other rllech. Insp. Other- Plrrmb Insp. Other Elec. Lisp. Mech. Insp. Fee: Plunih. Insp. Fee. Elec. Insp. 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 vreliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes (D No $0.00 hours Plan Check, Hourly $0.00 Suppl. PC Fee: (F) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes Q No $0.00 Supp/. Insp. Fee:Q Reg. 0 OT0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: 1BCoxsTAxC $0.00 Administrative Fee: 0 Work Without Permit? 0 Yes (D No $0.00 Advanced Planning Fee. $0.00 ® hours Inspections E) $572.00 ISTINSP Inspection, Hourly 0 Travel Documentation Fees: Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 p y� SVBTOT„ALS > $0.00 $572.00['-' ; $572.00 Revised: 05/07/2015 ____ CITY OF CUPF izTTD-).N.ADDRESS: 22221 Ib1CCLELLAN RD OWNERS NAME: CITYY OF CUPERTINO O;, NI: PHONE : 4087773354 FOUNDATIONiPERS H.D.S. i'P Cr SET BACK -CERT UNDERGROUND PLUMBING LTN'DERGROUND ELECTRICAL UNDERFLOOR MECHANICAL. UND6kFL:YiR ELECTRICAL UNDERFLC/0R Fi(AMING uVEI, ROOT SF.E_,TNriVG Z'jCHI-_1 P l.Ijr,IB1NG :7.;FS & S1iuWFR PAN i UCH i'l.i C tRit 1L/POt)L BOI:i` Fie i.. GRESS u tiSJLAT.0\: V,: NTILATION :X7 ERMR SOEAR!BOLD DOWD ,-✓F IURNSNLAR4!OLD DO WIN SIIEETROCkiSHP.'. R0,' K SHE/ SCRNTCH COAT ECTRIC RIC MF CER :.EI ZASE Gies E— i!M rr Z R11 A E �J _113i It WORKS 'RF' - CAI.i. (408):'18 40 10 1' n.VT INC (47 ;777•3308 S-II-II•fARY (4t1S) 23?-%071�� F: U!LJItdil . J BUILDING PERMIT INSPECTION CARD _ CONTRACTOR: GREEN GROWTH PERMIT NO: 1.�GE(1146 (NDUSTRIES INC _ P O BOX 1275 DATE ISSU ': 07%30%2015 PI.,E.ASANTON, CA 94566 w PHONE Ivo (925) 484-0830tl�� BUILDING PERMIT INFO: BLDG EI,EC'1' - PLUMB IlCECII.w RESIDENTIAL r COMMERCIAL r - JOB DESCRIPTION: MCCLELLAN RANCH PEDESTRIAN, PARKING, AND 1ANDS'CAPE _ 74,6 R WILDLAND URBAN INTERFACE FIRE AILEA � ERN TO ARRANGE INSPECTION 1 . ` Call 777-3228 between 7:30 am and 3:30 pm Monday through Friday, at least 24 hours before required inspection. Job address and Permit Numbers are needed when requesting an inspection. CUPERTINO SANITARY DISTRICT I Closed circuit video inspection of property line cleanout, point of connection i and street lateral required prior to passing FINAL CIT`)' PLUMBING INSPECTION. _,all the Di:Arict (408-253-7071) for an appointment. i � BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED BUSINESS LICENSES ARE OBTAINED I i PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 20 DAYS OF PERMIT � ISSUANCE OR 180 DAYS FROM L AST CALLED INSPECTION. d IMPORI.ANT When a permiChas expired, a charge totaling one-half the fees to obtain a new permr- must be paid in order to reactivate the permit. If a permit has been expired for rncre than one year, a charge totaling the full f !�s to oitilmao must be paid x,. to reactivate Ie ject YTa CIP Pro # Zvf bs — 8 [ j NOTES: File l Section # _ SPECIAL INISPECTIONS Inspector: Date: ROOF INSPECTIONS 1 PRE: INSPECTION: Inspector: — — Date: TEAR-OFP: Inspector: _--_._—_...... i PLYWOOD: inspect is — Date: i � BATTENS: inspector: _------`— --- Date: -__---- - ------ — IN PROGRESS Inspector: Date: --� FINAL: 'nspector:---__---------- i NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE P;20,'II)FI) FOR IN.SPE( TION. J* OCCUPANCY OF BUILDING NOT PERiNETTED UNTIE: BTITLDLVG E INAL., IS SCC..NED P' u �e ENGINEERING • CONSTRUCTION MANAGEMENT • INSPECTION • PLAN CHECK Project Name: McLellan Ranch Nature Preserve Date and Time: 12/9/15 Morning Project Address: 22221 Mcclellan rd, Permit Number: N/A Weather: Sunny Cupertino, CA 95194 • PHONE (9'16) 965-0010 FAx (916) 965-0013 Inspector Name: Scott Wungluck, CASp #560 Inspector Accompanied by: Carmen Lynaugh, • PHONE (702) 726-4140 • City of Cupertino Type of Inspection: Accessibility Consultation Area of Inspection: Pathways, Ramp, & Stairs Description: City owned property. Mcclellan Ranch Nature Preserve. Standard Used: California Building Code Chapter I IB, 2010 ADA Results: see below After inspecting the pathways, ramp, and stairs, the only correction that needed to be made is: 1. Lower the restroom tactile sign to 48" minimum and 60" maximum above finished floor measured from the baseline of the highest line of raised characters (CBC I IB -703.4). Also, after researching the parking signs I have found that one sign at the parking area does comply because it is visible from all disabled parking areas. END Sincerely, Scott Wungluck, CASp #560 Combination Building Inspector 4LEAF, Inc. 925-462-5959 office 925-462-5958 fax 925-580-4063 cell 21 10 RHEEM DRIVE, SUITE A PLEASANTON, CA 94588 • PHONE (925) 462-5959 • FAX (925) 462-5958 8896 NORTH WINDING WAY • FAIR OAKS, CA 95628 • PHONE (9'16) 965-0010 FAx (916) 965-0013 125 E RENO AVE. SUITE_ 3 • LAS VEGAS NV 89119 • PHONE (702) 726-4140 • FAx (702) 726-4143 1201 PACIFIC AVE, STE. 600 ® TACOMA. WA 98402 • PHONE (253) 203.3366 o FAX (253) 203-3101 35 SPAULDING ST. 1 `'T FLOOR • EVERETT, MA 02149 • PHONE (61 7) 381-4615 • FAX (6 17) 38 1 -4621