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12110092CTT OF CUP Elle' NO BBI LWNG P ERMffT BUILDING ADDRESS: 19600 VALLCO PKWY CONTRACTOR: SOUTH BAY PERMIT NO: 12110092 CONSTRUCTION, INC OWNER'S NAME: MAIN STREET CUPERTINO AGGREGATOR LL 1711 DELL AVE DATE ISSUED: 04/10/2014 OWNER'S PHONE: 6503441500 CAMPBELL, CA 95008 PHONE NO: (408)379-5500 ❑/ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL w� MAIN STREET CUPIERTIINO- PARKING GARAGE 458,827 License Class B Lie. #f2 SQ }} Contractor Date �}� l 4)l FT CONSTRUCIION OF A NEW MULTI -STORY OPEN PARKING hereby affirm that 1 am licensed under the provisions of Chapter 9 GARAGE (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: $46667000 performance 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: 31620109.19600 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. 1 agree to comply with all city and county ordinances and state laws relatingWITHIN 180 �� ����, �������� ®� 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 DA ASS' C�il][.L ED UISPIECTIION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Y 1 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. RE -ROOFS: Signatur! Date 1G3 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) 1, 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 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 1 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 Cuper ino Municipal Code, Chapter 9.12 and 1 have and will maintain Worker's Compensation Insurance, as provided for by the health & Safety Code, Sections 2550 , 25533, and 255 Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agen 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 Compensation laws of California. If, after making this certificate of exemption,) CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, l 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 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19500 VALLCO PKWY [CONSTRUCTION, ONTRACTOR: SOUTH BAY I PERMIT NO: 12110092 INC OWNER'S NAME: MAIN STREET CUPERTINO AGGREGATOR 1711 DELL AVE OWNER'S PHONE: 6503441500 LICENSED CONTRACTOR'S DECLARATION ,icense Class Lic. # 3:S r .ontractorv a) u 1 �7s Date hereby affirm that I am licensed under the provisions of Chapter 9 commencing with Section 7000) of Division 3 of the Business & Professions :ode and that my license is in full force and effect. 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 as provided for by Section 3700 of the Labor Code, for the kdamance of the work for which this permit is issued. ave 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 [ 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. Additional) e a li t understands and will comply with all non-poin o Municipal C " e, Sect n 9.18. Signature Date/ ri OWNER -BUILDER DECLARATION [ 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: i. 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. CAMPBELL, CA 95008 DATE ISSUED: 04/10/2014 PHONE NO: (408)379-5500 JOB DESCRIPTION: RESIDENTIAL F1 COMMERCIAL MAIN STREET CUPERTINO-PARKING GARAGE 458,827 SQ FT CONSTRUCION OF A NEW MULTI -STORY OPEN PARKING GARAGE REV # 5 - ADD ROOF WALK PADS TO PLANS (RFI 504)- ISSUED 9/25/15 Sq. Ft Floor Area: APN Number: 31620109.19500 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 Valuation:. $46667000 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAA PERMIT ISSUANCE OR 180ONIIi CALLED INSPECTION. may' Date• _"-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 Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health Safety Code, Sections 25 5, 25533, and 5534. Ow o th r' ge : of �' r� ' Date: 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 MY OF cCUP E][8UNO ]BUIDLMNG P ERMffT BUILDING ADDRESS: 19500 VALLCO PKWY CONTRACTOR: SOUTH BAY PERMIT NO: 12110092 CONSTRUCTION, INC OWNER'S NAME: MAIN STREET CUPERTINO AGGREGATOR 1711 DELL AVE DATE ISSUED: 04/10/2014 OWNER'S PHONE: 6503441500 CAMPBELL, CA 95008 PHONE NO: (408)379-5500 Lv7 LICENSED CONTRACTOR'S DECLARATION ,OB DESCRIPTION: RESIDENTIAL COMMERCIAL MAIN STREET CU PIERTINO- PARKING GARAGE 458,827 License Class Lic. # 33� SQ FT OONSTRUCIION OF A NEW MULTI -STORY OPEN Contractor 1 Date K S— Z0 IPAI[81[CING GARAGE 7/13/15 - REVISION # 3 - INSTALL EMERGENCY I hereby affirm that I am licensee er the provisions of Chapter 9 GENERATOR TO POWER ELEVATORS - ISSUED 8/5/15 (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: $46667000 performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this APN Number: 31620109.19500 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WO STA)<$TIEIID correct. I agree to comply with all city and county ordinances and state laws relating �)I� )E�� Jl�® IISS�AI��IE ®� to building construction, and hereby authorize representatives of this city to enter _ upon the above mentioned property for inspection purposes. (We) agree to save ](8® FROM -LAST C SP ECTIION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expense , _ hich may accrue against said City in consequence of the granting of this ertnit. Additionally, the applicant understands and will comply Ss a e: with all non -p per the Cupertino Municipal Code, Section 9.18. RE -ROOFS: ZO Signature Date 1 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 ail 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 1, 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) 1, 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 1 have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should II use equi t or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Area A r Quality Management District I performance of the work for which this permit is issued. will maintain compliance with Cupertino unicipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health &Safety Code, S tions 25505, 2 33, and 25934. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized ag t: Date: permit is issued. I certify that in the performance of the work for which this permit is issued, l 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, 1 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 ir' 177MR T /r'h= tr�Tr TTfTIMRn Tf TF -h . F1c,-, Cl Ca OCCUPANCY TYPE: �L.1L1L R 14j1P �L.u1Cnin1Lidlu FEE IESTTI�I1 ATOR - BUE LADE NSG DEVESEO N l� AIIDIDRESS: Main Street Cupertino DATE: 10/0212012 R1EVIEW]EIID BY: A. Salvador BP FEES APN: BP#: �` � ---- *VALUATION: 1$46,667,000 *PER1UT TYPE: Building Permit PLAN CHECK TYPE: IVew Construction PRIIMARY USE: Commercial Building Civil / Religious activities in BQ zone? Yes � No P]ENTAMATIION P]ERM][T TYPE: 1JS2 WORK New T e I -B Parking Structure S-2 Occupancy) (Garage) - 458,827 s.f. SCOPE 0.0 OCCUPANCY TYPE: TYPE OF CONSTR. F1LR AREA s.f. PC FEES PC FEE IIID BP FEES BP FEE ID S-2 (Low -Hazard) I -All -B 458,827 $15,308.54 1S2PLNCK $194,749.82 IS2INSP Permit Fee: 194,749.82 Suppl. Insp. Feer Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: 1 BCONSTAXC F7 $0.00 Ac{r r 4i�%tFee: G Work Without Permit? Yes (D No $0.00 TOTALS: 458,827 $15,308.54 7'lrr el I�rr,:fa.ar�c atarl`o;t 1'i'a s; $194,749.82 Strong Motion Fee: 1BSEISMICo NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the nreliminary information available and are onlv an estimate. Contact the Dept for addn'l info. IF1ElE I[T]EMS fFee Resolution 11-053 E . 7/1/11) FEE 1'innYb. Plan MSC ffTIEMS tIe :1t..Perrrut I cc. FPt?yrarl;, E,,`ec. Per•,n,; fee: FbelWec'it. frop. t7ta'icrl'.'Y±trip iPYS1. �inc�rL=iec. Irsf. ;$lechr. /[sp. 1.ce:I�iYi�2%>. IrY t'an, I`f'e. Ehe. fnsi). Vee: 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 nreliminary information available and are onlv an estimate. Contact the Dept for addn'l info. IF1ElE I[T]EMS fFee Resolution 11-053 E . 7/1/11) FEE QTY/FEE MSC ffTIEMS Plan Check Fee: $15,308.54 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. C) OT 0.0 h r s $0.00 PME Plan Check: $0.00 Permit Fee: 194,749.82 Suppl. Insp. Feer Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: 1 BCONSTAXC F7 $0.00 Ac{r r 4i�%tFee: G Work Without Permit? Yes (D No $0.00 Advanced Planning Fee: 1PLLONGC $119,295.02 Select a Non -Residential D Building or Structure 0 7'lrr el I�rr,:fa.ar�c atarl`o;t 1'i'a s; Strong Motion Fee: 1BSEISMICo $9,800.07 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1,867.00 SLrBT®TA]L 41,020.45 $0.00 TOTAL[ FEE:$341,020.45 Revised: 10/01/2012 #"TrnT1M7 A'TTrl .f"1Tr TWh . Trb 1"TrT\Trrn NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fine, 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 Eff. 711113) �. iL JL ]L %LyX A— LL.iA 111d"A ll1V 9.Y FEE IESTMATOR — BUI L.WN G IIDffVlSffGN 21 ADDRESS: 19500 VALLCO PKWY DATE: 07/13/2015 REVIEWED BY: MELISSA Plan Check Fee: APN: 31620109.19500 DP#: 12110092 *VALUATION: Iso *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial Building Civil / Religious activities PIENTAMATI®N USE. in BQ zone? Yes (2) No PERMIT TYPE: � 1 hrs $0.00 WORK 7/13/15 - REVISION # 3 - INSTALL EMERGENCY GENERATOR TO POWER ELEVATORS SCOPE PME Permit Fee: NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fine, 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 Eff. 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 .iir'C..I1 '? ;iz, Ft Suppl. PC Fee: (D Reg. () OT .J Inv", inS . "' .P .. tJ; t;?7i1. l•.";;'J Fr't.': NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fine, 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 Eff. 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: (D Reg. () OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee. -E) Reg. Q OT 1 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXC $0.00 0 8 Work Without Permit? ® Yes) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 G f I"a�'P/..<.,){1Cf1/P Cid2X'c'7tlii? Pe.'c; Strong Motion Fee: $0.00 1 # Revisions $859.00 112EVCONrIVEW Commercial New Bldg Stds Commission Fee: $0.00 'SUBTOTALS: $0.00 $859.00 TOTAL FEE: $859.00 Revised: 07/02/2015 CITY OF CUPERTINO FF.F FNTIMATOR — RITILDINr DIVISION ADDRESS: 19500 VALLCO PKWY DATE: 08/28/2015 MAPN: 31620109.19500 BP#.12110092 REVIEWED BY: MELISSA *VALUATION: Iso =PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial Buildin USE: g Civil / Religious activities in BQ zone? Yes No PENTAMATION 1GENCOM PERMIT TYPE: i WORK REV # 5 - ADD ROOF WALK PADS TO PLANS RFI 504 SCOPE $0.00 ]V"TF• Thic octirynio dnoc not in, -Inde fees due to other DeDartinents ae. Planning, Public Works, Fire, Sanitary Sewer District, School h 1' ormation available and are oniv an estimate. Contact the Dept tor aaan'z zn o. Dzstrzcr, ezc.- . These ees are based on t e re zmzna FEE ITEMS (Fee Resolution 11-053 E . 7111131 zn FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes E.) No $0.00 2 hours Plan Check, Hourly $286.00 1STPLNCK Suppl. PC Fee: 0 Reg. 0OT 0.0 hrs $0.00 PME Plan Check: --: $0.00 Permit Fee: Suppl. Insp. Fee: Reg. OT 0,0 hrs $0.00 $0.00 PME Unit Fee: PME Permit Fee: $0.00 $0.00 Construction Tax: IBCONSTAXC .- chninisirative Fee: $0.00 Work Without Permit? 0 Yes (E) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure � l't°r�V?Z.13c3e;ttr;jeYttrttzr�tll`f?��.5': Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: s17BTOAL-V $0.00 $0.00 $286.00 Tc4TiL> $286.00 Kevisea: uiiuciGulu