15070219CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 18880 HOMESTEAD RD
CONTRACTOR: T. MARSHALL
PERMIT NO: 15070219
ASSOCIATES, LTD.
OWNER'S NAME: CUPERTINO OFFICE PARTNERS LLC
7042-B COMMERCE CIR
DATE ISSUED: 08/07/2015
OWNER'S PHONE: 5103316719
PLEASANTON, CA 94588
PHONE NO: (925) 734-9999
19 LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
License Class Lic. # �p t ,, Ll Li l.s
APPLE - PARKING STRUCTURE - ADD 5 (N) EV CHARING
STATIONS (48KW) TO SERVICE 20 SPACES. ADD (N) 600
Contractor �• (�1+4-vCSE'ftUu Date 6
�c x�`S
AMP PANEL & (N) TRANSFORMER
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: $52000
erformance of the. work for which this permit is issued.
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: 31609037.18880
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 D YS FROM LAST CALLED INSPE T N.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
Date:
granting of this permit. Additionally, the applicant understands and will comply
Issued by:
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
RE -ROOFS:
Signature Date z f
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. 1 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 25505, 25533,, and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
Owner or authorized agent: l /�f Date:�l S
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
CONSTRUCTION LENDING AGENCY
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
CVPER,T#NQ
ALTERNATIVE ENERGY PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT o BUILDING DIVISION
10300 TORRE AVENUE o CUPERTINO, CA 95014-3255
(408) 777-3228 - FAX (408) 777-3333 • building&cupertino.org _5_0 �L 2— , ^
PROJECT ADDRESS 18880 Homestead Road, Cupertino, CA 95104
APN # I O Q 3
OWNER NAME Apple-lee�� f1 _ _
PHONE (510) 331-6719
E-MAIL favery@apple.com
STREET ADDRESS 1 Infinite Loop zioi T",,,&4 -i16
",,, &4" I16ITY,
2-7-6
STATE I $`gip-
FAX None
CONTACT NAME Fred Avery
PHONE (510) 331-6719
E-MAIL favery@apple.com
STREET ADDRESS 1 Infinite Loop
CITY, STATE, ZIP Cupertino, CA 95014
FAX None
��
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT 11 CONTRACTOR 11 CONTRACTOR AGENT 11 ARCHITECT ZNGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAMEg
LICENSE NUMBER
LICENSE TYPE
BUS. LIC #
COMPANY NAM ,n 7 �} ` / �a -{— n
IIV W't 91.7J�-1 eC Y.
E-MAIL _� �� q
"'C� C� t�`L �. j �:_� /!'���� T Y� �( r+� LL.a C�l'.sl
FAX (�
STREET ADDRES
T� 2- t 3 C�sr�r _LCC c
CITY, STATE, ZIP
�' ifs e e.)YZ-s
PH NE _
ARCHITECT/ENGINEER NAME Bill Beaman
LICENSE NUMBER 53930
BUS. LIC # N/A
COMPANY NAME AECOM
E-MAIL bill.beaman@aecom.com
FAX (510) 874-3268
STREET ADDRESS 1333 Broadway, Suite 800
CITY, STATE, ZIP Oakland, CA 94612
PHONE (510) 874-3164
USE OF ❑ SFD. or Duplex ❑ Multi -Family
STRUCTURE: ❑ Commercial
PROJECT IN WILDLAND
URBAN INTERFACE AREA ❑ Yes ONO
PROJECT IN
FLOOD ZONE ❑ Yes ENO
❑ SOLAR PANELS
12 ELECTRIC VEHICLE CHARGING STATION
FO SOLAR WATER HEATING
❑ OTHER:
FOR SOLAR PANELS. NUMBER OF PANELS/UNITS: KILOWATTS (COMMERCIAL ONLY): 0- I
a Q k
TOTAL VALUATIONW�
<- c�
DESCRIPTION OF WORK
ProvideEVCharging Stations for 20 Spaces�rf7i�
D' P
By my signature below, I certify to each of the following: I am the property owner or authorized_dgW to act on the property o r 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 toilt onstruction. I uthorize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent: AlA//fP_�� �f1---�- Date:
SUPPLEMENTAL INFORMATION REQUIRED
N/A❑
OFFICE USE ONLY
OVER-THE-COUNTER
a
F
❑ EXPRESS
U
❑ STANDARD
U
U
a❑
LARGE
a
❑ MAJOR
PVApp_2011.doc revised 03/16/11
,nI CITY OF CUPERTINO
IF FEE ESTIMATOR — BUILDING DIVISION
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 nreliminary information available and are only an estimate. Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Elf.' 7/1/13)
ADDRESS: 18880 HOMESTEAD RD
DATE: 07/30/2015
REVIEWED BY: MELISSA
;Lleclr. 11errui! Fere:
APN: 316 09 037
BP#:
"VALUATION: $52,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Addition / Repair
PRIMARY Commercial Building
USE:
Civil / Religious activities
in BQ zone? Q Yes (D No
PENTAMATION 1 GENCOM
PERMIT TYPE: A
WORK
APPLE - ADD 5 N EV CHARING STATIONS (48kffl TO SERVICE 20 SPACES. ADD N 600 AMP
SCOPE
PANEL & (N) TRANSFORMER
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 nreliminary information available and are only an estimate. Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Elf.' 7/1/13)
Hecb. Plan Check
I'lrunh. Plana Cr',er/;
Elec. Plan Check 0.0 hrs $0.00
;Lleclr. 11errui! Fere:
Plumb. Permit Fee:
Elec. Permit Fee: IEPERMIT
Orher :1 /ech. Insp.
Orl,er Plumb lnsp.ED--t-
Other Elea Insp. 0.0 hrs $48.00
Arhech. Insp. Fee:
Phuub. lu,p. Fee:
e:
1Ti c. Insp. Fee:
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 nreliminary information available and are only an estimate. Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Elf.' 7/1/13)
FEE
QTY/FEE.
MISC ITEMS
Plan Check Fee: Hourly Only? () Yes (j) No
$0.00
hours Plan Check, Hourly
$286.00 ISTPLNCK
Suppl. PC Fee: (E) Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
=# Alternative Energy System
$545.00 I CHRGSTA EV Charging Station
Permit Fee: Hourly Only? 0 Yes Q No
$0.00
Suppl. Insp. Fee -(F) Reg. Q OT
0,0
hrs
$0.00
0 Electrical
$179.00 IBREMPOWER Transformers
PME Unit Fee:
$0.00
PME Permit Fee:
$48.00
F666 amps Electrical
$72,00 IBELEC1000 Services
Construction Tax: IBCONSTAXC
$0.00
Administrative Fee: ]ADMIN
$45.00
0
E)
Work Without Permit? 0 Yes (E) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential G
Building or Structure 0
Travel Documentation Fee: ITRAVDOC
$48.00
Strong Motion Fee: 1BSEISMICO
$14.56
2.0 hrs Inspections
$286.00 ISTINSP Inspection, Hourly
Bldg Stds Commission Fee: IBCBSC
$3.00
=-SUBTOTAL:
$158.56
$1,368.00 4 TOTAL FEl+i
$1,526.56
Revised: 07/02/2015