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15050053CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19349 STEVENS CREEK BLVD CONTRACTOR:' l PERMIT NO: 15050053 OWNER'S NAME: MAIN STREET CUPERTINO AGGREGATOR ( DATE ISSUED: 09/16/2015 I OWNFWS PHONE: 3034464993 ' , 1 PHONE NO: LU LICENSED CONTRACTOR'S DECLARATION ot License Class_ Lie. # —I D 03 13_ Contractor 1 ate I hereby affirm that I am licensed under the provisions o 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 ander penalty of perjury one of the following two declarations: t. I have and will maintain a certificate of consent to self -insure for Worker's OSe mpensation, as provided for by Section 3700 of the Labor Code, for the rformance of the work for which this permit is issued. ave and will maintain Worker's Compensation Insurance; as provided for by ction 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 199:: 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. d iti nally, the pplicant understands and will comply with all non -point so a la o p ino Municipal Code, Section 9.18. Signature Date _46 / 05 ❑ 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: 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. 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. s. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any mariner 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 ❑ TD AMERITRADE - T.I. TO BUILD OUT SHELL (5,510 S.F.) (MAIN STREET SHOP 1) Sq. Ft Floor Area: Valuation: $551000 APN Number: 31620109.19349 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 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. i will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(x) 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 Cupertin Municipal ode, Chapter 9.12 and the Health & Safety Code, Sections 2595, �33Rq� 53A Owner or authorized agent: 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 Professional A6CONSTRUCTION IT APPLICATION U COMMUNITY DEVELOPMENT DEPARTMENT . BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 a building@,ggpertino.cro PROJECT ADDRESS A 19349 Stevens Creek Blvd. ES OWNER NAME q..;� STREETADDRESS (1001 17th St Unit -8100 CONTACT NAME Aaron Jagiel STREET ADDRESS 999 18th St. Suite 3000 .lIVN / " lJ REVISION /DEFERRED ORIGINAL RIGINALPERMT # APN # L . lc)G. PHONE 303.446.4993 E-MAIL CITY, STATE, ZIP Denver, CO 80202 FAX PHONE 312.260.7073 E-MAIL a'a iel burnhamnationwide.cor CITY, STATE, ZIP Denver, CO 80202 FAX 312.407.7915 DOWNER 0 OWNER-BLUDER 101 OWNERA(;Rw ❑ rnwrroAr— 1-1...,. ...................:._._ 1-1 - uhsLruruUN ur WORK First time buildout of new shell s ace. Scope to include new partitions, ceiling, finishes, millwork, structural and MEP. EXISTING USE ---------------- n w,.u.x,i .� nivvuvncx u 1JhVhLUrhX u 'TENANT CONTRACTOR NAME T 1 LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECUENGINEERNAME John Pohling LICENSENUMBER C-24945 BUS. LIC# COMPANY NAME. Hurkes Harris EMAIL ddorn hhdainc.com FAX STREET ADDRESS 1620 Fifth Ave Suite 100 CITY, STATE, ZIP San Diego, CA 92101 PHON(19) 702-0380 x122 uhsLruruUN ur WORK First time buildout of new shell s ace. Scope to include new partitions, ceiling, finishes, millwork, structural and MEP. EXISTING USE PROPOSED USE CONSTR. TYPE #STORIES Office Office V -g 1 USE TYPE OCC. SQ.FT. VALUATIONS) EXISTG NEWFLOOR DEMO TOTAL AREA 5 510 AREA 5 510 AREA -__ NETAREA5,510 Office V -B B 5,510 $551,000.00 BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA - TOTAL DECK/PORCH AREA GARAGE AREA: 0 DETACH _ I ATTACH #DWELLINGUNITS: IS A SECOND UNIT EYES SECOND STORY BEING ADDED? ONO ADDITION? .OYES ONO _ PRE -APPLICATION YES IF YES, PROVIDE COPY OF ISTHEBLDGAN DY -. $.• --�-- - - .- TALVALUATION: PLANNING APPL # NO PLANNING APPROVAL LETTER EICHLER HOME? 51 -000.00 By my signature below, I certify to each of the go-rizgt. : I am the property o or authorized agent to act on th roperty o ' ehalf. I have rea$'this application and the information I have pr ide I have read the Description of Work and verify it is acc ree to comply with all applicable local ordinances and state laws relating to b uction. I authorize representatives of Cupertino to enter the aboveliden 'fied property for inspection purposes. Signature of ApplicantlAgent: Date: /G1 15 SUPPLEMEN AL RMATION REQUIRED _ New STD 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. 0 OVER -TRE -COUNTER EXPRESS STANDARD LARGE 0 MAJOR ❑ BUILDING PLAN REVIEW 0 PLANNING PLAN REvmw 0 PUBLIC WORKS ❑ FIRE DEPT 0 SANITARY SEWER DISTRICT BldgApp 2011.docrevised 06121111 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION STEVENSADDRESS: 19349 STCREEK BLVD DATE: 06/11/2016 REVIEWED BY: MELISSA log. 19, APN: 31620109.19349 BP#: SHELL 12110085 *VALUATION: 1$551,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION USE. 1BTI PERMIT TYPE: WORK LTD AMERITRADE - T.I. TO BUILD OUT SHELL (5,510 S.F. SCOPE I OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA (S-0 PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) 11-B,111-B,1V,V-B 5,510 $2,471.12 IBTIPLNCK $4,744.48 1BTUNSP $0.00 PME Plan Check: $0.00 Permit Fee: $4,744.48 Suppl. Insp. Fee.19 Reg. 0 OTFo-, o- I hrs $0.00 PME Unit Fee: $0.00 PME Permit fee: $0.00 TOTALS: F 5,510 $2,471.12 C017struction Tax: $4,744.48 8 illech. I'k.in (.heck I I I P11110- 111an (7heel"i :1 1 1 Elec. Plan Ch-ck I;Wech, Permit Fee: Plumb. Permit Fee: 1171ec. Permit Fee: Offer Hech. Imp, Other PIUMb 1rup. Other L-Jec. Inst:. -1.1ech. hLvx Fee: Phmib� hisp, Fee: LICC. lnsp. Fee: NOTE. This estimate does not includefees due to other Departments (i. a Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the prelimilua information available and are only an estimate. Contact the Dept for addh 7 into. FEE ITEMS (Fee Resolution 11-053 Eff 7111131 FEE QTYIFEE MISC ITEMS Plan Check Fee: $2,471.12 Select a Misc Bldg/Structure or Element of a Building I Suppl. PC Fee: Reg. OT (j) 0 " 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $4,744.48 Suppl. Insp. Fee.19 Reg. 0 OTFo-, o- I hrs $0.00 PME Unit Fee: $0.00 PME Permit fee: $0.00 C017struction Tax: Adininisircitive F'ee: 0 G) Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure G OA TrOvel Documenlatiori 1,­ees-, Strong Motion Fee: IBSEISMICO $154.28 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $23.00 -,Sv $7,392.88 $0.00 $7,392.88 Revised: 04/01/2UIt) FOR UTILITY RELEASE s a At -T Ate, RE,, OV,0 TOR R C' k)pEATft40 ' x PURPOSE �� l.lprt`tlprrtl trst tlr a <'il ie ccr�smIetiart there <�re cases �ltcr� :�� ��� ; electric lf1` 11 are lie acstdo - rcg1testerl to e nJ ased prier' to 1h issuance of tlt� cert �fte : occka� . t i t to lute final budding �c°to rile C,i v �)f Cilpertino is allowingtit 1�tiiiti.e� t� b� released . Ct € �rlt��tci this form at; irk �. "` °� . tr ertino. gr4➢ itade .a " t ld til€ t t r° t t efc�t 7 C`ornplete file fi)rni and obtain signatures fronn both e ®mined the s a. rlaif Mali or hand deliver the original signed l`otm to: C'u, of Cupert€no Budding Division 't ,p y�0e7.'%77'3L48 i"Ifl;lfre Attn: Utility Release Request form 408-777-3333 fay 1(,13W Torre Ave. Cupertino.CA 9501 l�uildir �etzt�etti�te ���> claedule a Gas Meter Release inspection (9403) and/or F-lectric Meter Release inspectiott (� 404). PIA p , _ , rate a 150 +) is required prior to car at the sante tune ol`tlie ��� Meter l��l � gas Test inspection ( lrlspectl£? Thi iFlltNt 'T C7►1'+t (Please ec�nnplefe Elle tc�llcav�lir�p iirtsOr'll<ttiot� ABLDG PERMITPN F 1 i- r FAX 4, tULI G A00RESS (if different from site addressYl FAX FAX mgt€est the t-'ITY 10 tolease ITTY ulnfue5 prior 10 of)lafninq a final Inspection approval for the Wildir€ l fijIJy the'tit iupi[its of frove into the resAer€ce until th Y Weave all of flies r quii d final sign -o arta the city has issued a t �rt'sf€cats Cit Niuebuil€ing- h .... Dole,a; tr qtr P Aou �_ 1 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19349 STEVENS CREEK BLVD CONTRACTOR: BUILTECH PERMIT NO: 15050053 CONSTRUCTION INC — OWNER'S NAME: MAIN STREET CUPERTINO AGGREGATOR 1834 WALDEN OFFICE SQUARE STE 350 DATE ISSUED: 09/16/2015 OWNER'S PHONE: 3034464993 SCHAUMBURG, IL 60173 PHONE NO: (847) 895-3700 �j LI SED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ c . TD AMERITRADE- T I TO BUILD OUT SHELL (5,510 S F MAIN STREET SHOP License Class Li } ?� ll - Of7JAN10AL _ I. Contraoto " _- _' I = ate + '� !'IZE 1SIOlV l lIENIS L.Wv SYSTEM -TJ Gf ='t', I§sued l,Of15t2015 I hereby afli m 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 foree and effect. I hereby affirm under penalty of perjury one of the following two declarations: Sq. Ft Floor Area: Valuation: $551000 i. I h ve andNM maintain a certificate of consent to self -insure for Worker's as provided for by Section 3700 of the Labor Code, for the rnsation, ce of the work for which this permit is issued. APN Number: 3t620109.19349 OccupaneyType: will maintain Worker's Compensation Insurance, as provided for by 700 of the Labor Code, for the performance of the work for which this permit is issued. ' PERMIT EXPIRES IF WORK IS NOT STARTED APPLICANT CERTIFICATIONWITHIN 180 DAYS OF PERMIT ISSUANCE OR 1 certify that f have read this application and state that theeabove information is corrcet, I agree to comply with all city and county ordinances and state laws relating 180 DAYS FROM LAST CALLED INSPE. to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save d7a�5_- indemnify and keep harmless the City of Cupertino against liabilities, judgments, Issued by: Date:costs, and expenses hi ay accrue a inst said City in consequence of the granting of this it Ad ional applicant understands and will comply with all non -point gu Cu o Municipal Code, Section 9.I S. ',T RE -ROOFS: All roofs shall be inspected to an roofing material being installed. If a roof is Signature a _, t4' -• Date prior p p y g g 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 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 HAZARDOUS MATERIALS DISCLOSURE sale (See.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed contractors to I have read the hazardous materials requirements under Chapter 6.95 of the construct the project (Sec.7044, Business & Professions Code), California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & I hereby affirm under penalty of perjury one of the following three declarations; Safety Code, Section 25532(a) should I store or haudle hazardous material. i. I have and will maintain a Certificate of Consent to self -insure for Worker's Additionally, should I use equipment or devices which emit hazardous air Compensation, as provided for by Section 3700 of the Labor Cade, for the contaminants as defined by the Bay Area Air Quality Management District I tivill maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the performance of the work for which this permit is issued, health & Safety Code, Seetions 25505, 25533, and 25534. 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 forwhich this OwnfV at c permit is issued. t Date: "A� ''f*' 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 CONSTRUCTION LENDING AGCY 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 work's become subject to the Worker's Compensation provisions of the Labor Cade, 1 for which this permit is issued (Sec. 3097, Civ C.) must forthwith comply with such provisions or this permit shall be deemed Lender's Name revoked. Lender's Address APPLICANT CERTIFICATION I certify that 1 have read this application and state that the above information is ARCHITECT'S DECLARATION correct. 1 agree to comply with all city and county ordinances and state laws relating 1 understand my plans shall be used as public records. to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save Licensed Professional 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 -paint source regulations per the Cupertino Municipal Code, Section 9.18, Signature Date CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 950143255 (408) 777-3228 • FAX (408) 777-3333 • building(ftueertinoL ❑ NEW CONSTRUCTION ❑ ADDITION [XALTERATION / TI ❑ REVISION/ DEFERRED ORIGINAL PERMIT # PROIECTADDRESS 19349 Creek Blvd. APN# 3(6 zo g3 y 5 /Stevens ONRYERNAMEl#A'�, PHONE 303.446.4993``` STREETADDRESS 1001 17th St Unit R100 CITY, STATE,zIP Denver, CO 80202 FAX CONTACT NAME Aaron Jagiel PHOS 312.260.7073 a a�ielburntlamnationwide.com STREETADDRESS 999 18th St. Suite 3000 CITY, STATE, ZIP Denver, CO 80202 FAX 312.407.7915 ❑ OWNER 1:1OWNER•BUILDER X OWNERAGENT ❑ CONTRACTOR ❑ CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME VV t LICENSE NUMBER LICENSE TYPE BUS- Lich[ COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEERNAME John Pohling LICENSE NUMBER C-24945 BUSS-LIChI COMPANY NAME Hurkes Harris E-MAIL ddorn hhdainc.com FAX STREETADDRESS 1620 Fifth Ave Suite 100 CITY, STATE, ZIP San Diego, CA 92101 PHON�19) 702-0380 x122 DESCRIPTION OF WORK First time buildout of new shells ace. Scope to include new partitions, ceiling, finishes, millwork, structural and MEP. EXISTING USE PROPOSED USE CONSTR.TYPE I # STORIES Office Office V -B 1 USE TYPE OCC. SQ.FT. VALUATION{$) EXISTG AREA 5,510 NEW PLOOR AREA 5,510 DEMO AREA --- TOTAL NZTA' A5,510 Office V -B B 5,510 $551,000,00 BATHROOM KITCHEN OTHER REMODELAREA REMODELAREA REMODELAREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: U DETACH ATTACH # DWEi.LING UMTS: IS A SECOND UNIT ❑ YES SECOND STORY OYES BEINGADDED" E]NO ADDITION? ❑NO PRE -APPLICATION []YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ E TAL VALUATION: PLANNINGAPPL# ❑NO PLANNING APPROVAL LETTER EICHLERHOME? - 51,000.00 By my signature below, I certify to each of the f wing: I am the property v r authorized agent to act an th a' a ehalf. I have reis - application and the information I have pr I'd i correct. I have read the Description of Work and verify it is acc ce to comply with all applicable local ordinances and state laws relating to b n struction. I authorize representatives ofCupertino to enter the aboveiden 'fled property for inspection purposes. Signature of Applicant(Agent. Date: SUPPLEMEN AL RMATION REQUIRED PLAN CHECK TYPE ROUTWGSLIP' _ New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW. existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLAN -N"' qG PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD - ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LAAGE. ❑ FIRE DEPT , _ Copy of Planning Approval Letter or Meeting with Planning prior t0 ❑ MAJOR ❑ SANITARYSEWERDISTRICT submittal of Building Permit application. ©- ENVIRONMENTAL HEALTH - BIdgApp_2011.doc revised 06/21/11 ulx CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (40B) 777-3333 - building cI(),.cunertino.oro ❑ NEW CONSTRUCTION ❑ ADDITION . ❑ ALTsP_kTiON i Ti ❑ REVISION 1 DEFERRFD ORIGINAL PERMIT PRosEcr ADDRFss it GnK 13No I f j, l` o'eJ�J fflR� OWiQERN ,� E - G : 6- cI7 A s c E fl s �T k - C C, v�3 FAX A . qP104YA,t� LV 9 J F`IL - 831 -q3-12 STREET ADDRESS CITY, STAT[, Z'3 FAX OIAWER R OWNER-BUIL.DM ❑ OV17.cR AGENT A CONTRACTOR ❑ CONTRACTOR AGENT' ❑ ARMETECr ❑ ENGINEER ❑ DEVELOPER ❑ r.NANT COQ OR U ,• Eff Coj1 " FA? / / 915- P69"7 � ¢[LYcF3l"iltl E 1� rte' CENS 30J' 0 + I C)3 Alai S k>%% TATE,$A l DW 1� ~�✓O< 039 ST AME 5!�9* n o l J Lr 1 J D(� '< 1' t►- i EXISMG USE PROPOSED USE CONSTR-TYPE I A' STORIES USE TYPE OCC. SQ -FT. VALUATION (S) F-=1+'EW FLOOR DEMO TO AREA AREA AREA •- BATHIIOOM REMODELAREA KITCF N OTHER MfODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: LJDETACH O ATr'ACH s DH'ELLINGUNrrS: IS A S£C:OND URF © YES SECOND STORY �1 r5 BEING ADDED- [:]NO ADDMON? ©NO F PLA_NNINGAPPLO- QNOS PLANNING APPROVAL IFYFS. PROVIDE COPY aLETTER I ISTEIEBLDGAN E) YES EI'CHLERNOh E? [:I 0 f�.-'+ b ", �-_-,� TOTIiL V TION; By my signature below, l certify to each of full ing: the roperty o authorize agent to act on the property owner's behalf. I have fiad this application and the information I have pr ' ed' me . I ' t' o Fork and verily it is accurate. I a¢ree to comply with Rl1 applicable local ordinances and state laws relating- to g struct' au — It a to ' ,es upertino to enter the able; !Ptiti•jfie� 6WOJ IWC90.Mlan purposes. SignatureefAppHr=t/Agent: Dater _ SUPPLEMENTAL INFORMATION REQUIRED r'sR7�3lCCK�3�E _4;_i01ICySLIP. - A�� yr 5s�` O�RTH)rCOTiItTER s, ` ti 'C�BL?ILD>TGPL ItEV1ER ML New SFD or Multifamily dwellings: Apply for demolition permit for -Q existing building(s). Demolition permit is required prior to issuance of building- permit for new building. �i_i u EkRSLE$ ii f re .PI-Alti'iti�G ,dN YKI ' Commercial Bldes: Provide a completed Hazardous Materials Disclosure (� st�,it�1� ��tt&�c _ farm if any Hazardous Materials are being used as part of this project. r � .� # _ Copy of Planning Approval Letter or Meeting with Planning prior to f s� �ATrt submittal of Building Permit application. 0 ?aRk �_ Fr R� zENY R ISSTRILT ` ROD nvTRol,t, �iLµ AL T$tg B1dg,1pp_2011.doc revised 06111111 CITY OF CUPERTINO rm_� FEE ESTIMATOR - BUILDING DIVISION OCCUPANCY TYPE: 19349 STEVENS CREEK BLVD DATE: 05/11/2015 REVIEWED BY: MELISSA IlaADDRESS: APN: 31620109.19349 BP#: SHELL 12110085 *VALUATION: $551,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY USE: Commercial Building IBTIPLNCK PENTAMATION PERMIT TYPE: 1 B'T� WORK AMERITRADE - T.I. TO BUILD OUT SHELL (5,510 S.F. [ID SCOPE Suppl. Insp. Feels Reg. O OT OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.#: PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) II-B,III-B,IV,V-B 5,510 $2,471.12 IBTIPLNCK $4,744.48 IBTIINSP Elec. frump, Fee.- ee. $4,744.48 Suppl. Insp. Feels Reg. O OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax, Administrative Fee: 0 Work Without Permit? Yes 0 No $0.00 TOTALS: 1 5,510 $2,471.12 Travel Doeaameralaliori Fees: $4,744.48 Strong Motion Fee: IBSEISMICO MECH, HOURLY O: Yes '0 No NOTE. PLUMB, HOURLY Q Yes „Noy EHEC HOURLY O'`es, Q,Not l ceh. Plan Check Phnnb. Plan CIM6— Elec. Plan Check bleclr. Peraril Fee: Plumb. Permit ree: Flea Pernrir Fee: Other Alerh. Irap, Other Plumb Imp.Ll Other Elec. lnsp. ,Vlech. Insp. Pipe: Plumb. hap. Pee: Elec. frump, Fee.- ee. NOTE: This estimate does not includefees due to other Departments (i. e. Planning, Public Works, Fire, Sanitary Sewer District, School District. eta). These tees are based on the nreliminarv, information available and are only an estimate. Contact the Dent for addn 7 info. FEE ITEMS (Fee Resolution 11-053 a.' 711/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,471.12 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. O OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $4,744.48 Suppl. Insp. Feels Reg. O OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax, Administrative Fee: 0 Work Without Permit? Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential 0 Building or Structure (� Travel Doeaameralaliori Fees: Strong Motion Fee: IBSEISMICO $154.28 Select an Administrative Item Bldg Stds Commission. Fee: 1BCBSC $23.00 ' SUBTOTALS• $7,392,88 $0.00 FEE: " " TOTAL - $7,392.88 Revised: 04/01/2015 CITY OF CUPERTINO IRVE FEE ESTIMATOR — BUILDING DIVISION ikADDRESS: 19349 Stevens Creek Blvd DATE: 10115/2015 REVIEWED BY: PAUL -a APN: 31620109.19349 BP#:�� "VALUATION: Iso PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration /Addition /Repair PRIMARY USE: Commercial Building Civil 1 Religious activities in BQ zone? ® Yes E) No PENTAMATION PERMIT TYPE: 1GENCOM WORK Revision #1 -Revise Mechanical System for T.I. SCOPE $0.00 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 nreliminary information available and are only an estimate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-0 3 E'ff. 711/132 11eck. Plus [.heck !'lamb, Pilm Check h7ec. Man C."heck Wech. Perndl Vee: Plumb. Pernd! Fee: Elac. Per rrri! Fee: Other allech. Other Phinth lrNp.Ll Other EIec. h:spL-1 I Meeh. loop. Fee; Plumb. Insp• lie: fslec. 1nsp. Fee: 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 nreliminary information available and are only an estimate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-0 3 E'ff. 711/132 FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? C) Yes (j) No $0.00 1-7 hours PIan Check, Hourly $143.00 1STPLNCK Suppl. PC Fee: (D Reg. ® OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feer Reg. 0 OT Jo 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: 1BC0NSTAXC $0.00 Ac%ninistrative Fee: Q Work Without Permit? © Yes Q No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential O Building or Structure O YI (r gel Doemnenialion Fees: Strong Motion Fee. $0.00 Select an Administrative Item BIdg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $143.00 TOTAL FEE: �{ 4 Revised: /01/2015 Building Department City Of Cupertino 10300 TotTe Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS: 19349 Stevens Creek Blvd PERMIT # 15050053 OWNER'S NAME:TD Ame4trade PHONE # 646-831-2372 GENERAL CONTRACTOR:Builtech Construction ADDRESS:1834 Walden Office Square, Suite 350 . BUSINESS LICENSE #36694 CITY/ZIPCODE:Schaumburg, IL 60173 *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 ✓ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & MiIlwork Cement Finishing X Electrical NEP Electric 35833 Excavation Fencing X Flooring / Carpeting S&G Carpet Outlet, Inc. 35590 Linoleum / Wood X Glass / Glazing Classic Glass 25840 X Heating Tril 'cal 29816 Insulation Landscaping Lathing Masomy X Painting/ Wallpaper G&G Painting, Inc. 34391 Paving Plastering X Plumbing AM Plumbing 36060 Roofing Septic Tank Sheet Metal X Sheet Rock MTD Drywall, Inc. 27108 Tile 'M Owner / Contractor Signature PV v Date r X00