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15050123CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20525 MARIANI AVE CONTRACTOR: BARRON BUILDERS INC PERMIT NO: 15050123 OWNER'S NAME: 20525 MARIANI DRIVE LP 415 CLYDE AVE STE 105 DATE ISSUED: 05/22/2015 1 OWNER'S PHONE: 4085679900 MOUNTAIN VIEW, CA 94043 PHONE NO: (650) 269-7061 JOB DESCRIPTION: RESIDENTIAL COMMERCIAL LICENSED CONTRACTOR'S DECLARATION SITE DEMOLITION OF EXISTING PHASE 1 FLAT WORK Lie. # 3 AND License Class II jj Contractor gheyeod 6 w -_S Date S =T�Z' Z�J �� SITE LIGHTING. NO TREES TO BE REMOVED. 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 Valuation: $30000 performance of the work for which this permit is issued. Sq. Ft Floor Area:QA 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: 32656001.20525 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating wlr ERM T ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter T ALLED INSPECTION. 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 Issued by: Date: ZZ granting of this permit. Additionally, the applicant understands and will compTy with all non -point source regulations per a Cupertino Municipal Code, Section 918. ` Date) — RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is Signature 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 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER the following two reasons: I, as owner of the property, or my employees with wages as their sole compensation, do the work, and the structure is not intended or offered for sale (Sec.7044, will Business & Professions Code) HAZARDOUS MATERIALS DISCLOSURE I, as owner of the property, am exclusively contracting with licensed contractors to 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 Code, Section 25532(a) should I store or handle hazardous declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's Health & Safety 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 will maintain compliance with the Cupertino Muni 'pal Code, Chapter 9.12 and performance of the work for which this permit is issued. the Health & Safety Code, Sections 25505, 2553 25534. I have and will maintain Worker's Compensation Insurance, as provided for by this Section 3700 of the Labor Code, for the performance of the work for which Owner or authorized agent ate: 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 I hereby affirm that there is a construction lending agency for the performance of become subject to the Worker's Compensation provisions of the Labor Code, I must work's for which this permit is issued (Sec. 3097, Civ C.) forthwith comply with such provisions or this permit shall be deemed revoked. 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 918. Signature Date /505 0`�3 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CJP1*T1N€ (408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ALTERATION / Ti ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS 20525 Mariani Avenue _ APN# 326-56-001 OWNER NAME 20525 Mariani Drive LP c/o Menlo Equities I PHONE 408.567.9900 E-MAIL barshay@menloequities.com STREET ADDRESS 490 California Ave., 4th floor CITY, STATE, ZIPPaloAlto, CA 94306 FAX CONTACT NAME John Noori . PHONE 408.390.5966 1 E-MAILjohn@nterragroup.com STREET ADDRESS 1155 N. First Street, Suite 214 CITY, STATE, ZIP San Jose, CA 95112 1 FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT 0 ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Ernesto Barron LICENSE NUMBER 916366 LICENSE TYPE B BUS. LIC # _ COMPANY NAME Barron Builders E-MAIL ernesto@barronbuilders.com FAX STREET ADDRESS CITY, STATE, ZIP PHONE 415 Clyde Ave, Suite 105 Mountain View, CA 94043 650.964.4493 ARCHITECT/ENGINEERNAME David B. Voorhies -7 LICENSE NUMBER 26429 BUS. LIC# COMPANY NAME Nterra Group E-MAIL dave@nterragroup.com FAX STREET ADDRESS 1155 N. First Street, Suite 214 CITY, STATE, ZIP San Jose, CA 95112 PHONE 408.390.5966 DESCRIPTION OF WORK Site demolition of existing phase 1 flat work and site lighting. Removal of trees excluded. EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES Comm No chnage USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA I AREA AREA I NETAREA REMODEL AREA REMODEL AREA ATTACH # DWELLING UNITS: IS A SECOND UNIT U YES SECOND STORY U YES BEING ADDED? NO ADDITION? []NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES I;! TOTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER TME? ❑ NO By my signature below, I certify to each of the fol owing: am the proVescription or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is ogre t. have read tof Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building conscti n. authorize es of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: 5/13/2015 _ 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. Commercial Bldgs: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. _ Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. BldgApp_20/ l.doc revised 06/21/11 CITY OF CUPERTINO pp p 1vcm7nR A Tnl? _ UTTTT .T)TN(_ D11VIR10N NOTE: This estimate does not include fees aue to otner vepartments (t.e. I turertssg, ��•� •• �• ^�� - -• _ _.. __ --A, — ..f;Mntn_ t-nntart the DeDt for addn'l into. District, etc). lftese fees are oasea on the reur tur 1`L' L' Au" ai ADDRESS: 20525 MARIANI AVE DATE: 05/22/2015 REVIEWED BY: MELISSA 12APN: 326 56 001 BP#: 15050123 "VALUATION: 1$30,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY USE: Commercial Building Plan Check Fee: Hourly Only? ® Yes (F) No PENTAMATION 1GENCOM PERMIT TYPE: woRK APPLE - SITE DEMOLITION OF EXISTING PHASE 1 FLAT WORK AND SITE LIGHTING. NO SCOPE TREES TO BE REMOVED. NOTE: This estimate does not include fees aue to otner vepartments (t.e. I turertssg, ��•� •• �• ^�� - -• _ _.. __ --A, — ..f;Mntn_ t-nntart the DeDt for addn'l into. District, etc). lftese fees are oasea on the reur tur .1•------- --- ------ _. - ---- --- - FEE ITEMS (Fee Resolution 11-053 E . 7ff 11113) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? ® Yes (F) No $0.00 L—` I hours Plan Check, Hourly $286.00 ISTPLNCK Suppl. PC Fee: (E) Reg. ® OT 0.0 firs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? ® Yes (E) No $0.00 $0.00 Suppl. Insp. Feer Reg. ® OT 0,0 firs PME Unit Fee: $0.00 $0.00 PME Permit Fee: ("Olzsll action Tax: all f, ..g I hiiiifi P/oI'i (Ch c c h Uec. Plan Check ilech. I''luri Check Administrative Fee: Alech, I'erwit F'ee: Plumb. 1'erma; Fee. hlec_ Permit Fee (3ther ,ilech. Insn. C3ihei Plumb Insp Other /slec. Imp, I,zsp. Fee: P/rar„b. rri,h. Fee: I, lec. Insp, Fee: Advanced Planning Fee: rv__1_ c:-,, a,...:.,.., Q.,..,e, n;.frirt .Crhnnl NOTE: This estimate does not include fees aue to otner vepartments (t.e. I turertssg, ��•� •• �• ^�� - -• _ _.. __ --A, — ..f;Mntn_ t-nntart the DeDt for addn'l into. District, etc). lftese fees are oasea on the reur tur .1•------- --- ------ _. - ---- --- - FEE ITEMS (Fee Resolution 11-053 E . 7ff 11113) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? ® Yes (F) No $0.00 L—` I hours Plan Check, Hourly $286.00 ISTPLNCK Suppl. PC Fee: (E) Reg. ® OT 0.0 firs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? ® Yes (E) No $0.00 $0.00 Suppl. Insp. Feer Reg. ® OT 0,0 firs PME Unit Fee: $0.00 $0.00 PME Permit Fee: ("Olzsll action Tax: Administrative Fee: 0 Work Without Permit? ® Yes (E) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 %ruvel Doebonentalion Fees: � Stroniz Motion Fee: IBSEISMICO $8.40 2.0 firs Inspections $286.00 ISTINSP Inspection, Hourly Bldg Stds Commission Fee: IBCBSC $2.00 rs $10.40 $572.00 gin'", ; TOALEE: $582.40 Revised: 05/07/2015 May 18, 20.15 Gary Chao City of Cupertino 10300 Torre Avenue Cupertino, CA95014. Re: 20525 Maria'M Avenue Dear Gary, RECEivED MAY 2 0 2015 ]BY — -------- — Apple is has submitted` plans for haidscape and landscape work at the above noted address. We are requesting approval to begin, demolition duringthe two week appeal period. None of the work will impact existing trees. Apple fully understands the asks of proceeding with, work prior to receiving all City approvals. We will make any required changes to constTuction if needed. Thank you for your consideration. Yours truly n a] Estate & Development Apple Inc cc: Fred Avery John Noori Apple 1 Infinite Loop MS: 47-2ODC 408,974.1010 phope 408.974.15870 fax www.apple.COM O"i-RERTINO Huiii'ing Departrmnt 0 REVIEVVED H-*oii (-iOIOL QOMPLIANCE Revi.ewc-d By. �- A241W TO—IN LF M EX PHASE I TREES \% 7 ..... . .. . .......... LJ O �j F_ ........... .. ... . 00%,IMUNITY `PMENT DEPARTMEN _D( BUILDING > 7 TO RENNN, TYP .......... BUILD!, CUPERTINCi:::::::::, . . ... ..... .. ^., \': .,\ a ,, /. / ...OVE D PHA ITR I TRIES 0 216 TO RE -N, TYP. This set of plans,(A-1,6 D ILI- OF "SE 1 �EMOUTION M�-3��-I!_cations MUST be kept job site during C11)f1.S"r�jc:,;n. It is unlawful to makpil y N. V 7 .......... changes Z� or altt#(�Ihs on same, or to dell ime . ................ ................... therefrom, without appro.,al from the Building Off! A, The Stamping of Ihis D�an --j.nd specifica,ons SHALL N DT V, ALL EXISTING UTHORIZED I to tn 77 an a oval of the viol atj TREES TO REMAIN UNTIL A be held V, on I z N �A y provi-11 BY CUPERTINO PLANNING DEPARTENT AS NOTED I Y 0 or State e W". U By APPLICATION COMPLETE LETTER FILE # TR -2015-03 DAT L ......... . ... . ...... PERM T 3 .. . ... ......... ............... 3Y,LV"�"' �\ l�/ Nj � F' ', FEET SCALE 1'.20 Z' REVISIONS AND ISSUES i I ') . .......... ... ....... ....... .... .... .... ...... . .... % ..... . ....... .... . 7- L__F .... .. .... 03 . ........... ... . ........ . .. .. .. ... . ... ....... ..................... . . .......................... A ........ ..... A T .moi > . ...... ... ..... .... .... ... ........ . . ........ X - - - - - - - - - - - - - - - - - - - - . . .................... JPFRTHU ............. . ............ ............................... ............ ............ .... ....... .......................... ................... MARIANI AVENUE GENERAL SITE DEMOLITION NOTES PHASE I DEMOLITION NOTES DEMOLITION LE °" 1. CONTRACTOR TO DETAIN AND PAY FOR ALL NECESSARY PERMITS FOR DEMOLITION INCLt:DNG B&hQMD, CONTRACTOR TO NOTIFY ALL REQUIRED 1. CONTRACTOR WILL BE REQUIRED TO COORDINATE WITH THE CLIENT, EXISTING DRAIN INLET AGENCIES PRIOR TO DEMOLITION. USER GROUP OCCUPYING THE BUILDING, AND OTHER CONTRACTORS 2. IF HAZARDOUS MATERIALS ARE ENCOUNTERED AT TIME OF DEMOLITION THE OWNER AND ARCHITECT SHALL BE CONTACTED. THE REMOVAL OF THESE THAT MAY BE ONSITE FOR SITE ACCESS/CLOSURES, PHASING ETC, BQ. Y 2 2015 _314'GRAVEL OR GRAVEL HAZARDOUS MATERIALS SHALL BE PERFORMED BY OTHERS UNDER SEPARATE PERMIT PER APPLICABLE NATIONAL, STATE AND LOCAL ORDINANCES. FIBER ROLLS STRAW FIBER ROUWRAPPED IN FILUEDSANDEAGS EXISTING ASBESTOS REMOVAL IS TO BE PERFORMED BY OTHERS. PRIOR TO DEMOUnON ;.ND REMOVAL OF ANY MATERIALS, THE DEMOLITION 2. SEE BUILDING PERMIT SET SHEETS C -300-C-302 FOR LIMITS AND CONTRACTOR SHALL CHECK FOR THE PRESENCE OF ANY REMAINING ASBESTOS. IF ASBESTOS IS FOUND TO BE PRESENT THEN ADDITIONAL ASBESTOS DEPTH OF PAVEMENT REMOVAL. A TUBULAR BLACK PLASTIC NETTING REMOVAL PROCEDURES SHOULD BE FOLLOWED. DIRECTION WITH ADIAMETIEROFr-10'. STORM INLET 3. A FULLMME SUPERINTENDENT SHALL BE ON SITE DURING DEMOLITION TO OVERSEE ENTIRE OPERATION AM OBSERVE SAFETY PRAC'RCES. CONDUCT 3. REMOVE ALL E)USTING ONStTE PAVEMENT AND BASE SECTIONS. CONSTRUCTION FENCERKWEWE-J).F��[)E COMPLIANCE OF ROW WRAP STRAW WATTLE .-OU-N TO -01. DAMAGE TO EXISTING STRUCTURES TO REMAIN. MATERIAL SHALL BE TESTED BY SOILS ENGINEER AND STOCKPILED MIN 0 AROUND INLET ONSITE IF DETERMINED TO BE SUITABLE FOR RECYCLED USE. FINISHEDGIRMDE 4. IF EXISTING WORK TO REMAIN IS CUT, DAMAGE MAMRED�ING�WPON,RVAIRORREP�CEINMMTOAC��ONASGOMASEXISMD vmm: MFMECONSMMn�WA$$T�TEDATNOFX�WSTTOO�R. 4. REMOVE/ ABANDON EXISTING PIPE, CONDUIT, ETC. ALL PIPE REMOVE EXISTING CURB Rev�-,�:-By�_ LTNUMBER 15-004 STAFF CD 5. REMOVE DEMOUSHED MATERIAL (NOT TO BE REUSED) FROM SITE AS WORK PROGRESSES, DO NOT PERMIT DEBRIS TO ACCUMULATE ON SITE. ABANDONMENTS TO BE APPROVED BY GEOTECHNICAL ENGINEER. - - - - - - - - DATE APR IL 2014 SCALE AS SHOWN 1TMIN PLAN SI -RAW WATTLE 6. NOTIFY THE ARCHITIECTANDTHE OWNERA MINIMUM OF72 HOURS PRIOR TOTHE INTERRLJPn.NOFAW BE VICE. U-RUTIES OR ACCESS. NOTIFY7HE 5. REMOVE ALL PHASE 1 EXISTING ONSITE CURB, SIDEWALK OR OTHER REMOVE EXISTING CONCRETE ARCHITECT AND OWNER IMMEDIATELY UPON DISCOVERY DRAW SUBSURFACE STRUCTURE NOTA PART OF ANY EXISTING BUILDINGS OR SITEWORK. CONCRETE EXCEPT WHERE NOTED. STOCKPILE MATERIAL ONSITE. L-_._- - - -_J SHEETNAME FILTER FABRIC T. PROVIDE NOISE AND DJITABKTEMENTAS REQUIRED TO PREVENT CONTAMINATION -TIME-1. A IULL-TIME HIGH PRESSURE WATER TRUCK FOR FLAT AREAS CATCH -.IN W/FILTER SHALL BE FURNISHED TO CONTROL ALL MST. PHASE I FABRIC UNDER GRATE, 3. BEFORE COMMENCING THE WO IK, VERIFY TH THE OWNER AU_ OBJECTS TO BE REMOVED AND ALL OBJECTS TO BE PRESEROED. THE DRAWING MAY NOT 1. FIBERROLL COMPOSED OF BRO�DEGRADEABUE FIBERS STUFFED INMOA PHOTO� SHOW ALL OBJECTS EXISTING ON THE SITE. WHERE SPECIFIED. PRESERVE IN OPERATING CONDITION ALL ACTIVE U'RUTIES AND SERVICES TRAVERSING SITE DEMOLITION & OR WITHIN THE PROJECT SITE, PROTECT ALL PROPERTY AND APPURTENANCES TO REMAIN DEGIRADEABLE OPEN WEAVE NETTING. UNDERGROUND LINES. CONDUITS AND VAULTS SHALL BE REMOVED UNLESS OTHERWISE NOTED. ALL ASPHALT S ILL BE REMOVED AND STOCKPILED EROSION CONTROL PLAN 9. ALL SIDEEROSION BY REDUCING SLOPE GRADIENT. IT INCREASING INFILTRATION3/P GRAVEL ONSITE. ALL CONCRETE SIHAU. BE CRUSHED TO 31� (CLASS 11 BASE ROCK) AND STOCKPILED ON SITE IF DESIRED TO BE RE-UTUZEDAS BACKFILL W"E COPY' 2. RBERR0U_ER SION BARRIER TRAPS SEDIMENT AND REDUCES SHEETAND HILL OFFIC' RATES AM BY PRODUCING A FAVORABLE ENVIRONMENT FOR PLANT A MATERIAL. SHEET NUMBER FILLED§;ANQW§A ESTABLISHMENT.ID. BACKFILL AM COMPACT EXISTING UNDERGROUND UTILITIES, TRENCHES, VAULT, AND FOOTINGS PER THE SOILS ENGINEERSPECIFICkTION$ USING ON 3. FIBER ROLL INSTALLATION REQUIRES THE PLACEMENT AND SECURE STAKING OF SITE MATERIALS. THE SOILS ENGINEER SHALL PROVIDE ON SITE INSPECTION WRING THIS OPERATI ON. THE FIBER ROLL IN A TRENCH T -S DEEP, DUG ON CONTOUR. RUNOFF MUST NOT PROFILE BE ALLOWED TO RUN UNDER OR AROUND FIBER ROU.. 11. ANY MONITORING WELLS SHALL REMAIN IN PLACE AND SHALL BE PROTECTED. CIVIL ENGINEER SHALL MARK KNOWN WELLS AT TIME OF PROPERTY -1 STAKING.IF ADDITIONAL WELLS ME DISCOVEREDAT TIME OF DEMOLITION, THE OWNER AND ARCHITECT SHALL BE NOTIFIED IMMEDIATELY. FFIBER ROLL EROSION BARRIER DRAIN INLET PROTECTION 2. ASAPPLICABLE AND UNLESS OTHERWISE NOTED REMOVE ALL FOOTINGS ANDATTACHEDAPPURTENANCES MOVE OR BELOW GROUND. 4 ❑❑ I tl SIZE: 20 VD. DEBRIS BIN . .......... ...:i. . .x x..:.....X... ..:...::.;. N-9058.1286 N ' ' I7E•3531.1171 '+ .•.. qT 1276 - g1B"N ' a 5 a,. \ \oar i� •-. \ 1 \ lZj �2` 14 BARRON ?30 BUILDERS LOGISTICS PLAN _- KEY / LEGEND 1 PHASE 1 - BUILDING & BUS 1 ISLAND PARKING AVAILABLE: 249 PHASE 1A - 3 DAYS OF WORK OVER HOLIDAY WEEKEND i I ■ PHASE 2 - INTERIOR PARKING PARKING AVAILABLE: 222 nz972j 3615.6779 PHASE 3 - PERIMETER PARKING PARKING AVAILABLE: 249 X— PHASE 1 - FENCE LINE I X PHASE 2 - FENCE LINE X— PHASE 3 - FENCE LINE TEMPORARY LIGHTS I POWER SNOW FENCE AT CORNER WORK TO REDIRECT PEDESTRIANS PLYWOOD RAMP PORTA POTTY & WASH STATION m 2L x t.x.................. .� �....,...... �... OD'00•E ir— — -->•- B g�g ..... ..... �... .. .. .... . .... .. 9s .. .... . ...: .. ma �� gLyS ......X:...:.:X..:.. x x...,�m. X....X �X...r. .. ...X.. ...X.;....� .X . X.. x.a.tmu N9TWWE 94.49N N90.000ON19 .. x........X.........X........X........X......."X.'XX•' xx ...........X. X.............�� X 16ar R,dOa, Ei61 e - ` s �,`/�,,�,41,,,�I� star �Z,w 4 .!...,.- 7 �76ar_ --_. rfaawwscnae6w�u ti ENTRANCE � ,aar w & EXIT 4 C �I i i MA01 4.5 �'. s,' � s J.' i •1 REVIEWED CUR ,i Building PHASE 1 LOGISTICS PLAN ISSUED 03.16.15 MAO 1 �06 lt5) ta = M. = � City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 CONTRACTOR / SU13CONTRACTOR LIST JOB ADDRESS: _2 &SQ,S- M A U, A -IJ I PERMIT # OWNER'S NAME: PHONE# GENERAL CONTRACTOR: BUSINESS LICENSE # ADDRESS: CITY/ZIPCODE: XOarr municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED ACITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Siguature Date Please check applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation k" Fencing Flooring Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Axall I'Vi a Lathing Masonry Painting Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner / Contractor Signature M Im