The URL can be used to link to this page

15090029I CITY OF CUPERTINO BUILDING PERMIT I IBUILDING ADDRESS: 10460 BUBB RD I CONSTRUCTION INC CON I PERMIT NO: 15090029 I OWNER'S NAME: M WEST PROPCO XIII LLC 1690 GIBRALTAR DR I DATE ISSUED: 09/03/2015 1 I OWNER'S PHONE: 4087806599 ' MILPITAS, CA 95035 I PHONE NO: (408)942-8200 LICENSED CONTRACTOR'S DECLARATION License Class % Lic.#�� 1 (y Contractor V g J ac 4- Date r 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: 1. 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. 2. 1 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 permit. Ad["*onally, the applicant understands and will comply with all non -point source re s per upert Municipal Code, Section 9.18. SignatureZ—/— Date_ ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: t. 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) 2. 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: t. 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. 2. 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. 3. 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 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. Signature Date JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ APPLE - T.I. RECONFIGURE (E) OFFICE SPACE FOR (N) TTS SOUND LAB (236 S.F.) Sq. Ft Floor Area: I Valuation: $170000 APN Number: 35720037.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DA RMIT ISSUANCE OR 180 DA OM L CALLED INSPECTION. Date: 2L3 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. 1 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 Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Ow Date: 7 �� 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 Professional CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingacupertino.org U NEW CONSTRUCTION U ADDITION ®, ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS p j1 to �� 0 bu �� APN # 35 "( `20 — 3 / . ( /' l OWNER NAME A� l VVii i N G ' Ir X � `1 (i NE '+ % J .� �Q E-MAIL John �, n _ y {,( }'1 YJ F�'�l` W . STREET ADDRESS ��, p CITY, , Z It 0� Y FAX (/ ' f CONTACT NAME JO N Do 0 P50— km ) 386 - F -MAIL STREET ADDRESS CITY, STATE, ZIP (T l l FAX VH P ITT— W a 1-= 0-fi J O ❑ OWNER ❑ OWNER -BUILDER ,❑ OWNER AGENT ❑ CONTRACTOR 11 CONTRACTOR AGENT❑ ARCHITECT 1:1 ENGINEER 1:1 DEVELOPER El TENANT CONTRACTOR NAME ?AV IV WiT E / LICNUMBER LICENSE TYPE BUS. LIC # COMPANY NAME�� ' SE -MAIL FAX N STREET ADDRESS CITY, STATE, ZIP PHO 2 --YY z ARCHITECT/ENGINEER NAME ll) U" LICENSE NUMBER �B/US. LIC # COMPANY NAME � �, •1 I N G E-MAIL rr � \ G�p FAX ►/ STREET ADDRESS 'S�(� /- ! CITY, STATE, ZIP PHONE DESCRIPTION OF WORK T r�N`- 1Y 1 f Kx47V 1'-r11,I (&N F (� R) 1%, � 40 7i- S D L 1 Q0 (A%Ij 1 jJ xtil =Xi S� IN( A 1 (() S `O 1 V 6C t STn k1r__ • V EXISTING IJSE PROPOSED USE I CONSTR TYPE k STORIES \ i N� Y USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL ` AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTALDECK/PORCH AREA GARAGE AREA: DETACH I []ATTACH I k DWELLING UNITS: 1S A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? ❑NO ADDITION? []NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES CEI VED BY. - TOTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHL-- HOR-E? ❑ NO _ _ i �/' 0 ? (have By my signature below, I certify to each of the following: I am the property owner r autho ' to act o e prop wmer's behalf I read this application and the information I have ovided is correct. I have read the Descr' io ork and verify i Is accurate gree to comply with all applicable local ordinances and state laws relating to b ]ding constructi/on. I authorize representa ryes of Cupertino to enter the abov - entified property for inspection purposes. Signature of Applicant/Agent: i/t� —e�� `� Date: 6 �1 SUPPLEMENTAL INFORMATION REQUIRED PL,�IrcxEECICTYPE RovTuvcsLrP Q BUILDING REVIEW _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building OVER -THE COUNTER .• PLAN permit for new building. ❑ EXPRESS PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ sTAND4RD �. PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑- LARGE: FRE DEP _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ ❑ SANTLARY DISTRICT submittal of Building Permit application. MAJOR . SEWER ❑.,ENVIRONMENTAL HEALTH 2 7 3 f` &O BIdgApp_2011.doc revised 06/21/11 l� l CITY OF CUPERTINO MM -7, FEE ESTIMATOR - BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 10460 BUBB RD DATE: 09/03/2015 REVIEWED BY: MELISSA PC FEE ID APN: 357 20 037 BP#: `VALUATION: 1$170,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: g 1BTIPLNCK PENTAMATION PERMIT TYPE: 1 B T� WORK APPLE - T.I. RECONFIGURE E OFFICE SPACE FOR N TTS SOUND LAB 236 S.F. SCOPE 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 236 $2,097.00 1BTIPLNCK $588.00 IBTIINSP l:lc'C. 1n S17 1i'c': PME Plan Check: $0.00 Permit Fee: $588.00 Suppl. Insp. Fee -.0 Reg. Q OT0 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 TOTALS: 236 $2,097.00 Uon:�truction Tux. $588.00 MECH, HOURLY 0 Yes O No PLUMB, HOURLY Q Yes Q No ELEC, HOURLY Q Yes Q No ,tech. Plan Check Pltwlh. Plug? ('ih FT f:ic'" Pian l `heck Ltech. Permit Fee Phonh. Permit Fe c:. Fle< Pe unit Fee- Ocher .ilcch. hrsp. Other F'liwmh tesla. Urhe lJc(. 1)7ac>. ;i•le(Ii. fav). Pec: P111)01. hup. VOt': l:lc'C. 1n S17 1i'c': 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 Dreliminary information available and are onlv an estimate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 Ef. 7/1113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,097.00 Select a Misc Bldg/Structure or Element of a Building Su 1. PC Fee: Re OT PP � g• � 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $588.00 Suppl. Insp. Fee -.0 Reg. Q OT0 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Uon:�truction Tux. .01nirfistrcrtiv(? FC eC. Q E) Work Without Permit? Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 1'1'i1NPl T)(K"ltrncztttlatlrrn T'ec>.i: Strong Motion Fee: IBSEISMICO $47.60 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $7.00 SUBTOTALS: 1 $2,739.60 $0.00 TOTAL FEE: 1 $2,739.60 Revised: 07/02/2015 CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: 10460 Bubb Rd. ............... PERMIT # 15090029 BUSINESS NAME OWNER'S NAME:Apple PHONE #408-942-8200 Cabinets & Millwork GENERAL CONTRACTOR:Devcon Construction BUSINESS LICENSE # 11068 X ADDR.ESS:690 Gibraltar Dr. CITY/ZIPCODE: Milpitas/95035 19945 *Our 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 A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Please check applicable subcontractors and complete the following information: Date t/ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # X Cabinets & Millwork Mission Bell 01333 O655 X Cement Finishing JJ Albanese .. ............................ 19945 X Electrical Redwood Electric Group 21108 Excavation Fencing X Flooring / Carpeting DFS 28664 Linoleum / Wood X Glass / Glazing Walters & Wolf 25601 X Heating Silicon Valley Mechanical 26079 Insulation. Landscaping Lathing Masonry X Painting / Wallpaper C&O 501260 Paving Plastering X Plumbing Castro Plumbing 25296 X Roofing Statewide Roofing 23509 Septic Tank Sheet Metal X Sheet Rock Magnum Drywall 25212 X Tile Della Maggiore Tile 25838 Owner / Contractor Signature 11/30/15 Date STATEMENT OF SPECIAL INSPECTIONS, 2013 CBC COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(bcupertino.org SITE ADDRESS 10460 Bubb Road, Cupertino CA APN S' Z(� _ v3 ei I- 106 Owner.,4R/2 na....�/V C...................................................................... r-�. Contractor......n UC N .................................................................... Address ........ 1........ I.......I.................................. ...... Address... !Ie.....a..tar24. r. ..... .... D.a,.......................... City/St............Zip...........................Phone..................... City/St..A.`:0.7�n................... Zip ................... Phone ......... ............... Applicant......................................................................................................... SW Structural, Inc. Engineer/ Architect .... ......................................................................... Address........................................................ :.................................................. Address. 1.7582.San.Benito Wa....................... I........................... City/St.............. ............................... Zip ........................... Phone ..................... City/St..... Monte Sereno:. C! `....Zip..95030.. Phone 408: 399:0623 PROJECT DESCRIPTION: Apple Bubb 12 - TTS Sound Lab This "STATEMENT OF SPECIAL INSPECTIONS" is submitted in fulfillment of the requirements of CBC Sections 1704 and 1705. This form is structured after and used by permission from the Structural Engineer Association of Northern California's (SEAONC) mode statement of Special Inspections. Also, included with this form is the following: ❑ "LIST OF SPECIAL INSPECTION AGENCIES (page 2). A list of testing agencies and other special inspectors that will be retained to conduct the tests and inspections for this project ❑ "SCHEDULE OF SPECIAL INSPECTION" (page 3 — 6). The Schedule of Special Inspections summarizes the Special Inspections and tests required. Special Inspectors will refer to the approved plans and specifications for detailed special inspection requirements. Any additional tests and inspections required by the approved plans and specifications shall also be performed. Special Inspections and Testing will be performed in accordance with the approved plans and specifications, this statement and CBC Sections 1704, 1705, 1706, 1707, and 1708. Interim reports will be submitted to the Building Official and the Registered Design Professional in Responsible Charge in accordance with CBC Section 1704.1.2. A Final Report of Special Inspections documenting required Special Inspections, testing and correction of any discrepancies noted in the inspections shall be submitted prior to issuance of a Certificate of Use and Occupancy (Section 1704.1.2). The Final Report will document: • Required special inspections. • Correction of discrepancies noted in inspections. The Owner recognizes his or her obligation to ensure that the construction complies with the approved permit documents and to implement this program of special inspections. In partial fulfillment of these obligations, the Owner will retain and directly pay for the Special Inspections as required in CBC Section 1704.1. This plan has been developed with the understanding that the Building Official will: • Review and approve the qualifications of the Special Inspectors who will perform the inspections. • Monitor special inspection activities on the job site to assure that the Special Inspectors are qualified and are performing their duties as called for in this Statement of Special Inspection. • Review submitted inspection reports. •. Perform inspections as required by the local building code. 1 have read and agree to comp!y comp!with the terms and conditions of this statement Prepared By: Project V .Engineer 0 Architect Registered Design Professional in Charge Si nature S4212Exp ........................................ Lic.#....................................... 6/30/16 Date:.......................... Owner Name: Owner's Authorization Signature .........:................................................................................................ Date:./!.'..S Inspection Agency / Inspector Name: Si nature ....... .... ... ..k-E1AZx----..... Lic.#....................................... G�, Date:... (�L.. f ........ Building Offi ial or de gnee: Signature.................................................................................................................... Date:.......................... SpecinbrspecrionFornz_2012.doc revised 09/06//2 LIST OF SPECIAL INSPECTION AGENCIES APPROVAL OF SPECIAL INSPECTORS: Each special inspection agency, testing facility, and special inspector shall be recognized by the Building Official prior to performing any duties. Special Inspection agency's listed on this form must be pre -approved and listed on Cupertino's approved Special Inspector's list. Special inspectors shall carry approved identification when performing the functions of a special inspector. Identification cards shall follow the criteria set by the California Council of Testing and Inspection Agencies. No personnel changes shall be made without first obtaining the approval of the Building Official. Any unauthorized personnel changes may result in a "Stop Work Order' and possible permit revocation. To be pre- approved by the City of Cupertino, refer to the SPECIAL INSPECTION CRITERIA handout. Please allow two weeks to complete the application process. The following are the testing and special inspection agencies that will be retained to conduct tests and inspection on this project: EXPERTISE FIRM / INSPECTOR INFORMATION * 1. Special Inspection (except for Firm ........................ h ......................................... Addr......................................................... 11........................... geotechnical) City.......................................................................................................... State .......................Zip ...................... Telephone...................................... Fax ............................................ Email......................................................... 2. Material Testing Firm ........ ......... ........... `r..r/ .t.^!.N..... Addr...... RPc...L...... TG}.Gi,�c � r.....5-r../............�. City ...... 0,,. V1, ...r/..1it /C..................................................................... State ....... (�l..... ZIP ... pyo....... TeIephone`h3�..773.1.Y.L.Fax... (Q..(3 ?....... Email......................................................... 3. Geotechnical Inspections Firm.....................................................................Addr......................................................................................... City.......................................................................................................... State .......................Zip ...................... Telephone...................................... Fax ............................................ Email......................................................... 4. Other: Firm.....................................................................Addr......................................................................................... City.......................................................................................................... State .......................Zip ...................... Telephone...................................... Fax ............................................ Email......................................................... *All agencies specified on this form must be pre -approved and listed on the City of Cupertino's Approved Special Inspectors List. SEISMIC REQUIREMENTS (Section 1705.3.6) Description of seismic -force -resisting system and designated seismic systems subject to special inspections as per Section 1705.3: Seismic anchorage of sound booth. The extent of the seismic -force -resisting system is defined in more detail in the construction documents. Description of main wind -force -resisting system and designated wind resisting components subject to special inspections in accordance with Section 1705.4.2: The extent of the main wind -force -resisting system and wind resisting components is defined in more detail in the construction documents. SpeciainspectionForm_2012.doc revised 09/06/12