Loading...
15070220CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20330 STEVENS CREEK BLVD CONTRACTOR: SC BUILDERS INC PERMIT NO: 15070220 OWNER'S NAME: SVP CUPERTINO CITY CENTER CORPORATI 910 THOMPSON PL DATE ISSUED: 07/30/2015 OWNW PHONE: 4089745951 SUNNYVALE, CA 94085 PHONE NO: (408)328-0688 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL License Class t' Lic. # �� /^ APPLE TI (CITY CENTER 2 - 3RD AND 4TH FLOOR) - RECONFIGURE OFFICES, CONFERENCE ROOMS, LABS Contractor 72V,•Date 3O 0 / INCLUDING MECHANICAL AND ELECTRICAL CHANGES (2858 I hereby affirm that I am licensed under the provision 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: $327000 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 APN Number: 36901020.00 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 FROM LAST CALLED INSP CT ON. 180Wilt? indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of theI t granting of this perm't. Additio ally, the applicant understands and will comply Issued by: T r r Date: with all non -point urce reg ti ns per a Cupertino Municipal Code, Section 9.18. �� 3 b p RE -ROOFS: Signatu Date 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 th upertin unici al Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by for the Health & Safety Code, Sec ' s 25505, 5 33, d 25534. 1 Section 3700 of the Labor Code, for the performance of the work which this Owner or authorized ag 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 CUPERTIINO CONSTRUCTION PERMIT APPLICATION 150q -00 - COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 ^ building(ftupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION E&ALTERATIONM ❑ REVISION/ DEFERRED ORIGINAL PERMIT # PROJECT 17-® 0 �r�L/,Dm AN # 50 0 IjWEG / i�) c^ ®f . y V— ' E-MAIL STREET ADD ltt9 t N' L+A°'�/o� CITY, STATE, ZIP ^ FAX d► J7�r� CO A AN/A[vIE V —1®�! 9v / `♦�°��( ��� JA LP'•�- STREET AD SS d� ' N Ire l,�®�' CITY, TATE ZIP ILI- c9 IeA i /Ill s I FAX ❑ OWNER ❑ OWNER -BUILDER OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CO]�$A� R�NAME(� -,y o Li UMBER ire � � LICENSE�CPE 1j BUS_LIC# 7 4- �,�, COMPANY NAME �c a�Ic 0{0� /NC E-MAIL STo� ,Se�ucc.9� t� FAX .�Oe+� STREET ADDRESS /® or+a �n1 1r. c CITY, STATE, ZIP r� N/✓t' �''�� P H o O ARCHITECT/ENGrNEER NAME LICENSE NUMBER BUS. LIC # co,A LOA Ns N COME -MAIL a1 ' —0e /f1� L �occs Jrn /LA STREET DRESS STATE, ZJP P O FP DESCRIPTION OF WORK - Nov hey,EXISTING USE USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG AREA NEW FLOOR AREA - DEMO AREA TOTAL NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA I GARAGE AREA: DETACH []ATTACH DWELLING UNITS: ISASECONDUS ❑YES SECONDSTORY []YES BEING ADDED? ❑ NO ADDITION? ❑ NO .' PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES _- VED$Y - •_ - ' TOTAL VALUATION: PLANNING APPL # []NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO t ( Z� By my signature below, I certify to each a loll g: am the property owner or authori d agent to act on th6 property owner's behalf. I have read this application and the information I ha provi ed ' co ect. 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 build' g ns ctio . I ze representatives of Cupertino to enter the abovaified property for inspection purposes. ✓✓�� Signature of Applicant/Agent: Date: '— SUPPLEMEN L INFORMATION REQUIRED PLAxfcHt cis;TYPE ROWING SLIP . . LA,OVER TH> �oUNrEH ❑ BU_ I[ DINGpLANRicvt>1v.. _ 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. EXPRESS ❑ PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ WORKS form if any Hazardous Materials are being used as part of this project. LARGR'`. Fn�E nErr _ Copy of Planning Approval Letter or Meeting with Planning prior to nIAaOR LJ. SANITARY.SEWERDISTRICPermit submittal of Building Permit application. ❑ T Nt{IRONMENTAL HEALTH, B1dgApp_M1.d6c revised 06/21/11 Im seta CITY OF CUPERTINOOCq6 000 , FEE ESTIMATOR - BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 20330 Stevens Creek Blvd DATE: 07/30/2015 REVIEWED BY: PAUL PC FEE ID APN: 369 01 020 BP#: *VALUATION: 1$327,000 'PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY USE: Commercial Building $3,166.46 PENTAMATION PERMIT TYPE: 1 B TI WORK Apple TI (City Center 2 - 3rd and 4th Floor - Reconfigure offices conference rooms labs including SCOPE mechanical and electrical changes (2858 S.Q OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) II-A,111-A,V-A 2,858 $2,954.12 IBTIPLNCK $3,166.46 IBTIINSP /:lea /nsp. Fee: $3,166.46 Suppl. Insp. Feer Reg. O OTT -0, 0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: Achninistrat1Ve Fee: 0 0 Work Without Permit? 0 Yes 0 No $0.00 TOTALS: 2,858 $2,954.12 '. $3,166.46 Strong Motion Fee: IBSEISMICO MECIi, HOURLY Yes '.. N'o PLUMB, HOUR LY:..' ' Yes No, ELEC, HOURLY ile :1t..Plctn Clrerk 1'Irtrrth. Plan ("!:cele Ele.c. Plan Cheek ,Llech. Permit Fee: 1ILIlYL1J. PCr.1nit Fee: Elec. P onitFee: Oflwr Mech. .lnsp.. Other Ph-anlb .11al), Other 1:Iee. hup. $0.00 Phinsh. ln,rp. Fee: /:lea /nsp. Fee: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School nictrirt. Ph- )_ Thoce fooa aro hacpd an the nrpliminary informatinn available and are only an estimate. Contact the Dept_%or addn'l in FEE ITEMS (Fee Resolution .11-053 E . 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,954.12 Select a Misc Bldg/Structure or Element of a Building L Suppl. PC Fee: 0 Reg. O OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $3,166.46 Suppl. Insp. Feer Reg. O OTT -0, 0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: Achninistrat1Ve Fee: 0 0 Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential E) Building or Structure O :1 i uvirl I�i�crrrt7E ntittintr .I c .i': Strong Motion Fee: IBSEISMICO $91.56 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $14.00 SUBTOTALS_; $6 226.14r $0.00 ` TOTAL FEE - -- -- - _ $6,226.14 Revised: 07/02/2015 . CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20330 STEVENS CREEK BLVD I CONTRACTOR: SC BUILDERS INC PERMIT NO: 15070220 0 OWNER'S NAME: SVF CUPERTIIJO CITY CENTER CORPORATI 1910 THOMPSON PL I DATE ISSUED: 07/30/2015 1 PHONE: 4089745951 Lff LICENSED CONTRACTOR'S DECLARATION License Class Lic. 4 ! u 7 / P c� Coniractor 72 V r ` t> Date 5 I hereby affirm that I am licensed under the provision 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 perm t. Additio ally, the applicant understands and will comply with all non - point urce reg t ns per a Cupertino Municipal Code, Section 9.18. 1-- Signatu { Date � 3 O L6 I t) ❑ 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) I, 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, l 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. Date SUNNYVALE, CA 94085 1 PHONE NO: (408)328 -0688 JOB DESCRIPTION: RESIDENTIAL [-] COMMERCIAL E] APPLE TI (CITY CENTER 2 - 3RD AND 4TH FLOOR) - RECONFIGURE OFFICES, CONFERENCE ROOMS, LABS INCLUDING MECHANICAL AND ELECTRICAL CHANGES (2858 Sq. Ft Floor Area: I Valuation: $327000 APN Number: 36901020.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 I;110 FROM LAST CALLED INSP CT ON. Issued by: ✓ (JUA N Tt' y Date: a`�'✓ 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 B y Area it Quality Management District 1 will maintain compliance with th upertin unici al Code, Chapter 9.12 and the Health & Safety Code, Sec ' s25505, 533, ?_25534. Owner or authorized ag "� Date: r 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed D c. I I° � r� t i � �•> C ONSTRUC T110N PEG°3NU QppUCATM 15aq'0 - COMMUNITY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION 10300 TORRE AVENUE o CUPERTINO, CA 95014 -3255 (408) 777 -3228 o FAX (408) 777 -3333 ^ building Pcupertino.org F] NEW CONSTRUCTION ❑ ADDITION LXALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT D�`'2g�ESS y� p p APN # O U w{ G E -MAIL STREET ADDRES "q� F'e aJ e �� L ®� CITY, STATE, ZIP ^ �✓ �J3 i i n�8 FFAX CO A flNA1vIE 1! '1 *N&-774-5?Jrl / Q q, E-MAIL , V W hlh LrICOAA STREET ppRE�' SSA /�/ /!� e CI�, TA�T�Z'' / FAX ❑ OWNER ❑ OWNER - BUILDER XOWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT '.. C011AACT RRNNAME� / �� L,I�ETjISE� UMBER JQ� LICENSE BUS. LIC #, 0 7 COMPANY NAME �j EE -MAIL FAX STREET ADDRESS /® 7;W- q�' CITY, STATE, ZIP r tiNeV �/' Cry�� PHO 2)� 3x.�- doge ARC CT/ENGINEER NAME r LICENSE NUMBER BUS. LIC # 'W, rY X)' /t o c4 �E-MAIL IRS A IJ STRIiET DRESS I - ` .5 /SIR Nom+ Y, S'IATE, Z� D� �` % n�o / �tJ 7• ADC Cfj (ate DESCRIPTION OF WORK 00J i tja9�(�DIN7 A) c�y� EXISTING USE EXISTING PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OTC. SQ.FT. VALUATION ($) A AREA REA FLOOR AREA DEMO AREA TOTAL NET AREA rG \ o BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECIUPORCH AREA GARAGE AREA: EIDETACH ❑ ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECONDSTORY OYES ' BEING ADDED? ONO ADDITION? ONO ' PRE - APPLICATION ❑ YES IF YES, PROVIDE COPY OF Is THE BLDG AN ❑ ves VEA BY: TOTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO 3 27 p t p By my signature below, I certify to each pfA a fill ' g: am the property owner or authori d agent to act on the property owner's behalf. I have read this application and the information pr ed ' co ect. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local t.' ordinances and state laws relatin d' g ns ctio I ize representatives of Cupertino to enter the abovified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMEN L INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition permit for XOVER.TRF-COUNTER ❑ BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW — Commercial BIdgs: Provide a completed Hazardous Materials Disclosure El STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER submittal of Building Permit application. DISTRICT ❑ ENVIRONMENTAL HEALTH B1dgApp_201 Ldoc revised 06 /21/11 OM NJ CITY OF CUPERTINO )© FEE ESTIMATOR— BUILDING DIVISION L%� A 20330 Stevens Creek Blvd DATE: 07/30/2015 REVIEWED BY: PAUL N: 369 01 020 BP #: "VALUATION: $327,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIIMARY Commercial Building PENTAMATION 113 TI USE: PERMIT TYPE: WORK Apple TI (City Center 2 - 3rd and 4th Floor - Reconfigure offices conference rooms labs including SCOPE mechanical and electrical changes (2858 S.f.) OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) II- A,111-A,V -A 2,858 $2,954.12 1BTIPLNCK $3,166.46 1BTIINSP l:lec. Insp. Fee: Suppl. Insp. Fee.-(F) Reg. 0 OT Fo ,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Consiruciion Tux: El Acliriinislrutii,e Fee: 0 0 Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non - Residential 0 Building or Structure Q i TOTALS: 1 2,858 $2,954.12 $91.56 $3,166.46 Bldg Stds Commission Fee: 1BCBSC I MECH, HOURLY 0 Yes E) No PLUMB, HOURLY Q Yes E) No ELEC, HOURLY Q Yes Q No .i"c"Jl. Plt,n Check Nwnh. Plan C711eck FT Flee. Plari Check 1 /ech. Permit l-ee: Phimb. Pcrniit Fee., 1 1'ermit Fee: Other .1r1CCL htsp. Other l'hunb b p. 01her l:lec. Map. E17- 'tech. his). Faze: Plvmb. Insp. Fite: l:lec. Insp. Fee: NUI : 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 haled on tho nroliminary informatinn availahlo and nro nnh an octimato Cnntari tho hPnt Mr addn'1 info FEE ITEMS (Fee Resolution 11 -053 ff 711113) FEE QTY /FEE MISC ITEMS Plan Check Fee: $2,954.12 Select a Mise Bldg/Structure or Element of a Building Suppl. PC Fee: (j) Reg. 0 OT 0,0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $3,166.46 Suppl. Insp. Fee.-(F) Reg. 0 OT Fo ,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Consiruciion Tux: El Acliriinislrutii,e Fee: 0 0 Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non - Residential 0 Building or Structure Q i 7'Tavel Documentation Fees: Strong Motion Fee: /BSEISMICO $91.56 ✓ Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $14.00 SUBTOTALS: $6,226.14 $0.00 TOTAL FEE: $6,226.14 Revised: 07/02/2015 Building Department CG City Of Cupertino 10300 Tone Avenue Cupertino, CA 95014 -3255 Telephone: 408- 777 -3228 C U P IE RT 1] N D Fax: 408- 777 -3333 CONTRACTOR SUBCONTRACTOR LEST JOB ADDRESS: 2.03-3D S4-.z,,j S Cme-�, -j� PERMIT # BUSINESS LICENSE # OWNER'S NAME: Af p&95 Cabinets & Millwork PHONE # 6°-e� -7 SS GENERAL CONTRACTOR: 5C C , BUSINESS LICENSE # qO7 ADDRESS: ©--� son l- CITY /ZIPCODE: June t CA TIDT6 *our municipall code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING ]FINAL OR FINAL OCCUPANCY INSPECTION(S) Wff>(.,L BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITE' OF CUlPlERTINO BUS1[NIESS LICENSE. I am not using any subcontractors: Signature ]Please check appHcablle subcontractors and comptete the ffolltowing infformation: Date d SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating L-t czf l 61C 0-7 Insulation Landscaping Lathing Masonry Painting / Wallpaper v� , c_� 4 A� CD% Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock I V-, 5-r,4, a--v< )N-Tcg-w aS 2G°7 -z-'1. Tile ®wne / Contractor Signature Date