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B-2016-1209CITY OF CUPERTINO BUILDING PERMIT RESULTS WAY CUPERTINO, CA 95014 (357 20 041) NAME: BVK PBRIMFTER SQUARF RETAIL LLC BT AL PHONE: LICENSED CONTRACTOR''SS7D/EgATI CLARON License Class Lic. # -16 i { (6 5 Contractor ( S C BUILDERS INC ) Date hereby affirm that I am licensed under the provisions of Chapter 9 (commencing ith Section 7000) of Division 3 of the Business & Professions Code and that my cause is to fudl force and effect. hereby affirm under penalty ofperjury one of the following hvo declarations: a. 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 6C—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 slate 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 a against s ity In consequence of the granting of this pen A lional licant understands and will comply with all n -po' o gB s per the Cupertino Municipal Date / /91 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: r. 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) z. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). hereby affirm under penalty of perjury one of the following three declarations: r. I have and will maintain it Certificate of Consent to self -insure for Worker's Compensation, is provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. z. 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. 1 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 Wra her'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. :ONTRACTOR: PERMIT NO:B-2016-1209 S C BUILDBRS INC ) UNNYVALE, CA 94085 DATE; ISSUED: 01/19/2016 PHONE NO: WILDING PERMIT INFO: BLDG _ELECT _PLUMB MECH RESIDENTIAL X COMMERCIAL OB DESCRIPTION: -I of office space (552 SF) q. Ft Floor Area: Valuation: $150000.00 ,PN Number; Occupancy Type: 57 20 041 B ('tenant Improvements) PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. 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. ALL ROOF COVERINGS TO 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 tlue Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should 1 use equipment o ices which emit hazardous air contamhuants as defined by the BayAr• nah n ,anent District will maintain compliance with the Cun Chu ter 9.12 and the Hcnith & Sat'et ns d 255 Owner or authorized agent Date: . 9,11 l /�� 6 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 Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Signature Date CONSTRUCTION PERMIT APPLICATION CONiVUNITP DEVEL OPYEN T DEPART VENT BUILDING DIVISION 10300 T ORRE AVENUE ^ CUPERTINO, CA 85014-3255 GUP°RTIt(O• (4'.08) 777-3228 ^ FAX (408) 777-3333 - buildincecuuerLino.ora ❑ NEW CONSTRUCirON uFJDTON .•LitRAl10N/TI ❑ REVISION/DEFERRED 0 %T G-INAi- ?Fk2,u ; PROieCf FDDP,ESS I f3N� ��:1 r 2C) 4 IAI- I OWNEIR NA) " F` QY� R,-1 V I Pi3oh3 I E.IdSi1 . STREET fDDP.ESS © G( -•r. "T I Cf?7', STRT'c, ZL' I i.e y, C0h1ACT NFS!=l3w,C 4 J1Kxk� STRi:f FDDRESd ^ CiY, ST,ki? T3. iA: .cci%� I0owrcu2 ❑❑ oNm=a AGE-nr co?vi:J,r, oa ❑colerpiucTm A.G=nT ❑ o3.C=CT ❑ Elarn.:.o 7 n _ COh'T✓,Ci OA NF.hT: �QuY MC •`�� \ K4�,5 I LSQTSEhUL SP.�((� / JJ[A,Q I L10E:nSE TY% J� SUS uc. �J I C01✓3F.NY NFA ��i,^� I/�J\� f�� _M� COO ,Ij `d Sava to vzswccx4 YL STREET FDDRSS I MY, STAiq Z'i? S,-)m&.uAQ CA- q108,,� P'Gh'Of6h"OZ�r61/ 8 / Ascr<c raoD<ErRNu _ D4wW S0.�va /yaro — ICErcEh, �sR c-I / 2 J 13L'S. LiC COIJ,PF]2Y Nf.l.<- y I /� ! � 'IUOI/eC g'j vc(-t t'I'CG�CC�-ice I STREET f.DD-aSS JS" OWP SNIk ��g . Ed✓.fiL / tj5lk�jAV,1.p f�t�S7TL— DI G, S T A i'c, ZI? sap f rc ncrste �' o I Pi30 ': -�32'S'3SD 1 DESC' i10?40r WOP."!. �1R k ,W0- G5fP0C/ I �Ark/��-�D��-1J11 � �1 �I "" 0LAL r1`/q ,1� �'t 4,c- wo Use I TYPE I CCC. I Sfl,iT, I V.t.LU.anoh'(t) F] AG I IOUA 00R I /_SSA I ?`f F.PZA F I I 2-1140MLF_^ti-A I F7.103DSL FAA I R1dODELA ,,A PORCH AREA DECKFAA TOT. -'I DECK.?OF CifAA G-3 GZTS k. I ❑nThCi ELLDJCUSTi S; ISASECONDU Fr ❑YES SECOND ETC KY ❑1-S SEMG ADDED? EDh0 I ADDITION? [) `O ?PJFlPTIICALON ❑Y--S I. PROVIDE COPY OF IS THE BLDG FH ❑IFS Yc 7 ] -" TOI,.er,sI UATInN: ?LF!.4.iNG ii'2Lk UNo PLF.hT�GF?P, P OVF.L cucR E1CY. G'R SOUi's^ �k0 ram. -''-) ` -- /VUi; t/l OD By my sienzti*e blow, I ceriiy i t, ping: I am the propery o\;,er or zuihorized zee,-:t to act n -he prole; ,y owner's behalf. I heed reed this EDD;catien and the inimmztion a e 1 c re . I hive read the Description of \h%ork end verity it is aecur tee. I aeree to comply ;with all applicable local erdinences and state taws reh..r.__ [ idin. ction I v- ._.. epreser;adves Di Cuperinc to enter the above-i!!d entL7ed orope;ty for inspection pe?eses. Suture oiAepliczntFAgent: Dztel 1• )%`{V SLrPLFN�NTALT'PORh4ATi0N1LQUI�.D New-SFD or Multifamily dnrellines: Apply for demolition -0.=it for existing buileing(s). D-nnolition pc, -pit is -eeuir-d prior to i'SU�,.CD of building pe-:it for new building. _ Con, ercial i3l M Provide a co, :plated I-i=z;dous 1✓-lariats Disdosu-e *E"or-n if _ny Hz-zudous IyEte-ials <e being used as par of this project. Copy of Planning Approval Leger or 2\iccting with Pl_=iB, prior to subminal of BuildL,; Pe=it application. -"&off, D_201 ].doe revised 06121111 `? r SA TA CLAIR . COUNTS' CONIROLNUMtE 14700 Winchester Blvd.,_Ias C�iosCA_4.�03.0.1818. .._.__ . - ---- -------__..----__---_- (A06) 378-4010 (phone) _ (408) 376-9342 (fax)=RI✓,ITNUh+^cER rou �r E =ar; t ?LAN CHECK No. PLAN REvIEvu COMMENTS I S OrEOrtfORK; e-to •Q4�-'`-yA-C + Exictina fire sprinkler — fire alarm systems shall be modified �s necessary'. Sub„ it 3 sets e drz\,'in;s, a Completed p2imlt appllcatlo-') & f--s i0 tha Santa CIE,: Count Fire Dept, for =p f0\+^1 +y ^ , )' - p c prior i0 cliei lil? / system. CFC 90 L, .II p0it'ionS of 111E b�?1ld ing shall bE wltilm %� i^E:.i Of 2 ili e Ektll wisher havin; 2 Tini n'7ll,7! fdlAo Gi >_- A10-BC, CFC 906 Commercial cooking equipm Ent Shall be provided With a Class !i pOj 2blE f1T2 extinguisher loezrsd V1iuSln 30 fbm of the eOLiprnernt and in the path of exit Llavel. CFC 004 {�� Egress doors shall be reed lly Openable from the Egr ass side veith0Ui special knowledge or effort t✓ shall not 'EgLlic i1S}lt mSpIn E, tight pinching or i�i'1s ilnir Of the 1i'i IS t0 Operate, Key oper2ied locking devices a, --- readily distinguishable as locked and signed THIS DOOR TO R ?�fjAiN LwLOC_ ED \WHEN BUILDi;IG IS OCCUPIED, CBC 1008.1.E TM4Bans Of cgrESS steal e V. ds'r�, '11 fines with 00 minute back up v,here 2 Or more e$lts are required. CBC 1006, r Exits shall be marked b illuminated Exit sig s. Ions sh hl�p y o E ' aged a '11 r1IDes and ha\+e 0:0 IDlnuiE: oT'e,m,ergencybackup po 'E;, CBC 1011 Contractor shall field Verify the integrity of Existing Cated COnstiu CilonlagsEml7 lES end restore or repair as necessary, , enetrtions in rated walls/ceilings shall be protected by listed fire rated assemblies (dampers, doors, caulking, fire stopping, etc.) CFC 703 Tenant shall provide a labeled emergency access key for placement in the building em,=rgency access key box, CFC 506` .o n v9P f-N, to en ca. c F e fry c l his plop check does not peimli t,iE LS e, stOCa ce Oi dlsp•ensing or hazardous material>-, oiler atl0ns or 1i'aS ie, Tenant shal l prov lde a Completed HINES to the fire e-par%I enVs hazSdOus !%Sidi ia.lc Sp Ecl%IISi f0i review =nd cOmmer!t. . CLOSU F PERA!IT is required piloT to terminating the storage Or zard l a oL,a maieiia,_ at a permitted storage raCllity• Dem Oliiloil ofany faclla)+i'sierage area thatpreViously stored hazai does o` e ap(b�yr(v �prfor to PbtE ilalningQ_Z a CLOSURE PRIi'I1T• APPROVE OKAY to igglicl buil_ding perrmit su'D CCt to co lia = r;it J P c ;, 1 gbotiz ;iz s. JURIS ?LA!Js S.==CS IEVJ R MODS CONSi. QESCGJ?. BY DATE �i y I ED I SPr �k VALt yl es� �] � (� J` CA" D03 occ D,.. LCAD AREA _L ArC; dallG!COIJir=•.C7CR/OVi LSE° rt.'.l,/._ o. = C!LI r LOCATION -. Cclij cr.^.ic Fire ire L=c:ion 9isL�ct se .ice^ Sc n'a Clcr. Cc' r'y cr.d .'he car,-urt;ties et Cam pbef7, Cuperar,o, Lcs,:!.'os, +ems .:lees f-fiHs, L.s Gc:cr, Afo,:e S=_r=_no, Ffcr, `;ill, and Sa.cUga ..