15080123K
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10000 TORRE AVE
CONTRACTOR: SC BUILDERS INC
PERMIT NO: 15080123
OWNER'S NAME: TORRE AVENUE PROPERTIES
910 THOMPSON PL
DATE ISSUED: 08/17/2015
OWNER'S PHONE: 4089961010
SUNNYVALE, CA 94085
PHONE NO: (408)328-0688
Zkl LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL E]
`1b'�
APPLE T.I. - 1ST FLR, EAST WING, COVERT (E) OFFICE
License Class .� Lie. # i�ln
TO CONFERENCE ROOM & CORRIDOR WORK (320 S.F.)
C
Contractor 1, 1&3%UPe'L.S �Mlf. Date 8l 1®I lyo
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: $70000
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.
APN Number: 36902030.00
Occupancy Type:
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
to building construction, and hereby authorize representatives of this city to enter
WIT SOF PERMIT ISSUANCE OR
upon the above mentioned property for inspection purposes. (We) agree to save
T 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
g
granting of this permit. Additionally, the applicant understands and will comply
Issu y: te:
with all non-point source regulations per the Cupertino Municipal Code, Section,
9.18.
Signature Date11 1
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.
❑ OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
Signature of Applicant: Date:
the following two reasons:
I, as owner of the property, or my employees with wages as their sole compensation,
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
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 ' al Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, Sectlew0 , 25 nd 5534.
Section 3700 of the Labor Code, for the performance of the work for which this
Owner or authorized agent: Date: l
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
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
ARCHITECT'S DECLARATION
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
CUPERTINO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildingaacupertino.ora Fol
❑ NEW CONSTRUCTION ❑ ADDITION M ALTERATION / TI ❑ REVISIO
B
Z3
BIdgApp_2011.doc revised 06/21/11
N / DEFERRER UAlUINAL, Yh1CMi1 #
PROJECT ADDRESS
tODac7 -Totem• �Y �V�
APN # 9
)V (/ V
OWNER NAME 4 4 / fy
E-MAII
3) /6 - U
STREET ADDRESS14�- (���I "-A;oJffKf
J
IT S�T Cd��
J (
FAX
CONTACT NAME
�i �v�.0i�
PHONE
y0�-�•
E-MAIL
Ove
d(>1� 4G13J►1•pEr�lai. •C7mMt
STREET ADDRESS
6I10•�I
CITY, STATE, ZIP
�Vt�1S
FAX
¢���Ct7 (.�
�AL"tyClAq40W
❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
6"4
LICENSE NUMBER
LICENSE TYPE
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
$v%MV-.
S%)MOP sDSL�ut`i3E�fdL.cmr�l
STREET ADDRESS
'Oki® iiaOr~M00 AALC-
-7
CITY, STATE, ZIP
5400 Caq'408-T
PHONE
Ioso-I*%,%.C11 � �}
ARCHITECT/ENGINEER NAME
LICENSENUMBER
BUS. LIC #
c�vb-a
G ®t t i
COMPANY NAME
IACnAS�Lq®��
E-MAIL
I-1GC1.Gar"1
FAX
STREET ADDRESS
clu Nl�t. �ifl �t
CITY, STATE, ZIP
SnWp SoS%CA 4WI13
PHONE
lw
DESCRIPTION OF WORK
�O C.QL F0 (L 50roLL! 2ZAS;Z T F%,V,. C®1)V4LFC&T02.) Or 91cic'tm C.0>02Q )LSA •
'SYst, . iarL� '$,Zs®R— A�.� `SI is �1-+4�a i �A t�®d SIL lila 'SCA Tri 'N 1�@I.o l,.W 1�• S I,t I "4�• oa
EXISTING USE
PROPOSED USE
CONSTR. TYPE
# STORIES
__7
USE TYPE OCC.
SQ,FT.
VALUATION ($)
EXISTG
AREA
NEW FLOOR
AREA
DEMO
AREA
TOTAL
NET AREA
1�8
BATHROOM
KITCHEN
OTHER
REMODEL. AREA
REMODEL AREA
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA GARAGE AREA: DETACH
I
[]ATTACH ATTACH
I
# DWELLING UNITS:
IS A SECOND UNIT YES
SECOND STORY ❑ YES
BEING ADDED? ❑ NO
ADDITION? []NO
PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF
PLANNING APPL # 13 NO PLANNING APPROVAL LETTER
IS THE BLDG AN ❑ YES
EICHLER HOME? ❑ N
TOTAL VALUATION:
0Q f]
By my signature below, I certify to each of the following: I am the property owner ora rized ag on t eriy owner half. I have read this
application and the information I have provided is correct. I have read the Description of Work and veri curate. I agree to comply ' h all applicable local
ordinances and state laws relating to building c c ' n. I thorize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent: Date: kali 0WT t t , 2®15 -
SUPPLEMENTAL INFORMATION REQUIRED
„'
' -
_ New SFD or Multifamily dwellings: Apply for demolition permit for
s
❑ suuvnvcP2ANREVIEWttzg
existing building(s). Demolition permit is required prior to issuance of buildingpermit
giPvo
for new building.
Ess x
❑ ri a,NNnvc rLAxtEVIEw
_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
❑ sTANDAiD
❑ TUBI Icwo h'
form if any Hazardous Materials are being used as part of this project.
❑ > ARGIy
0
_ Copy of Planning Approval Letter or Meeting with Planning prior to
❑
❑
submittal of Building Permit application.
.MAJOR
SAIVITSEWER DISTRI
N. A1iY CT
=ENVIR.ONIVIENTAL�iEALTH..;`r
. _, ,:.. n .. _ ;:=..,. r.
r❑., �,:
BIdgApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
OCCUPANCY TYPE:
ADDRESS: 10000 TORRE AVE
DATE: 08/17/2015
REVIEWED BY: MELISSA
ON
APN: 369 02 030
BP#: Da
*VALUATION: 1$70,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY
USE: Commercial Building
IBTIPLNCK
PENTAMATION
PERMIT TYPE: 1 B TA
WORK
T.I. - IST FLR EAST WING COVERT E OFFICE TO CONFERENCE ROOM & CORRIDOR
SCOPE
LAPPLE
K (320 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-B,III-B,IV,V-B
320
$2,102.26
IBTIPLNCK
$656.36
IBTIINSP
Elec. Insp. Fee:
$0.00
Permit Fee:
$656.36
Suppl. Insp. Feer Reg. Q OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
(:otrsiruction Tax:
TOTALS:
320
$2,102.26
dmirustrative Fee:
$656.36
MEC -4i HOURLY Yes. _,;
Ca _ N0-1)LUMB
'HOURLY Yes --. No
ELEC, HOiTRLy, : Yes.
,Wch. Plan Check
Plrrzsb. Plcrn Check
EYee..Pl zn O'heclr
,1.Iec'h. Nrwil fete:
Phrnzb. Permit Fee.
'Flec. Perrzit Fee:
(.'cher Hech. frrsh•
Other Plumb 1»s/zLj
Other L:k>c. Insp.
;Lleclz. hasp. f ce.
Phrmb. hzsp. 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 oreliminary information available and are only an estimate. Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Eff 711/13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$2,102.26
Select a Misc 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:
$656.36
Suppl. Insp. Feer Reg. Q OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
(:otrsiruction Tax:
dmirustrative Fee:
0
E)
Work Without Permit? 0 Yes Q No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
0
0
i
Travel I:krrtunenlaliom Dees:
Strong Motion Fee: IBSEISMICO
$19.60
Select an Administrative Item
Bldg Stds Commission .Fee: IBCBSC
$3.00
SUBTOTALS:
$2,781.22
$0.00 -' TOTAL FEE :
$2,781.22
Revised: 07/02/2015
Apple ,
SCSI Bizz Lic # 24074
Cupertino Contractor 1 Subcontractor List
SC E31i L_ ERS
`
Trade
Business Name
Business License #
Millwork
Cement Finishing
Demolition
Doors
Walters & Wolf Interiors
25601
Electrical
Cupertino Electric
697
Excavation
Fencing
Fire Protection
Sure Fire Protection Co. Inc.
20756
Flooring/ Carpeting
RE Cuddle
1429
Linoleum / Wood
Glass / Glazing
Insulation
Landscaping
Lathing
Masonry
Painting/ Wallpaper
Canterbury Contractor's Inc.
25647
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock/ Drywall
Magnum Drywall
_ 0�
Tile
Mechanical
�-3