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15120111I CITY OF CUPERTINO BUILDING PERMIT I I BUILDING ADDRESS: 10050 N WOLFE RD I CONTRACTOR: BAY AIR SYSTEMS INC. I PERMIT NO: 15120111 I I OWNER'S NAME: I&G DIRECT REAL ESTATE 27 LP ( 1300 GALAXY WAY STE 9 1 DATE ISSUED: 12/14/2015 1 OWNER'S PHONE:. 4089828433 W LIICENSED CONTRACTOR'S DECLARATION License Class} l C�� Li,. # ��fl q )- Contractor l5 dY it JKAJ ' r Date 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 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 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. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 (See.7044, Business & Professions Code) 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 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. - 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. 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 CONCORD, CA 94520 PHONE NO: (925) 356-3000 JOB DESCRIPTION: RESIDENTIAL COMMERCIAL CUPERTINO FINANCIAL CENTER - (2 BLDG'S) REMOVE & REPLACE 7 UNITS (4 AT BLDG 10050 & 3 AT BLDG 10080), SAME LOCATIONS Sq. Ft Floor Area: I Valuation: $450000 APN Number: 31620086.00 0 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 D Y&O + RMIT ISSUANCE OR 180 DAY _ LIdD INSPECTION. Date: 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 hazardousmaterials 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 1. 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. / Owner or authorized agent_z�: Date: �2 / 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 COMMUNITY DEVELOPMENT DEPARTMENT m BUILDING DIVISION 10300 TORRE AVENUE ® CUPERTINO, CA 95014-3255 CUPEi2TIN0 (408) 777-3228 • FAX (408) 777-3333 ® buildinaO-cuDertino.Ora p / ❑PLUMBING RNMCHANICAL ❑ELECTRICAL nNUSCELLANEOUS PROIECT ADDRESS 10050 North Wolfe Road APN# 316-20-086 OWNERNAME I&G Direct Real Estate 27, LP PHONE(408) 982-8433 E-MgIL mgoudeaux@riverrock.com STREETADDRESS 2107 North First Street CITY, STATE, ZIP San'®5e, CA 95131 FAX CONTACT NAME Bert Morgan PHONE ( 925) 737-9469 E-MAIL bert@bayairsystems.com STREET ADDRESS CITY, STATE; ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT GONTRACTORNAME Bert Morgan LICENSE NUMBER 450929 LICENSE TYPE C4 -C10 -C10 BUS.LIC# cOMPANYNAME Bay Air Systems, Inc. E-MAIL best@bayairsystems.com FAX (925) 356-3004 STREETADDRESS 1360 Galaxy Way, Suite #9 CITY, STATE, ZIP Concord, CA 94520 PHONE (925) 356-3000 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SIT, m DUPLEX ❑ MULTI -FAMILY BUILDING: M COMMERCIAL PROJECT INWILDLAND ❑ YES URBAN INTIMACE AREA ( NO PROJECT IN ❑ YES FLOOD ZONE I@ NO IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO DESCRIPTION OF WORK Replacement of the central air handling units (AHU). Total of seven (7) units. 1 ��c t /a 60 —0 TOTAL VALUATION: $450,000 RECEIVEDBY,-. By my signature below, I certify to each of the following: I am the property owner or authorized agent t roperty owner's behalf. I have read this application and the information I have provided is correct. I ha ead the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building consresentatives of Cupertino to enter the above-ideTVr ins ection purposes. ho- p Date: Signature of Applicant/Agent: SUPPLENWRTAL IN ORMATION REQUIRED a :. ` . of eiuI75E.€ilxLi� w .� OV�R�TBE•�dOJNTLR CI —MR STAND STANDARD =" a CD LARGE iVFAJOR . . CITY OF CUPERTINO FF,F. F.STIMATO-P -'R1FT11.DINC- DIVI.qlnN 191 ADDRESS: 10060 N WOLFE RD FEE DATE: 1211 4/2 01 5 REVIEWED BY: MELISSA APN: 316 20 086 *VALUATION: 1$450,000 'PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE:' Alteration / Addition / Repair PRIMARY Commercial Building USE: $0.00 PENTAMATIO�N PERMIT TYPE: FURN/AC A WORK CUPERTINO FINANCIAL CENTER - REMOVE & REPLACE 7 UNITS (4 AT BLDG 10050 & 3 AT SCOPE BLDG 10080), SAME LOCATIONS Mech. Plan Check 0.0 1 hrs 1—mech. Pen -nit Fee: I $0.00 1 11111,,b. Other Mech. Insp.Lhrs $48.00 L-Oi NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Works, Fire, Sanitary Sewer District, School District. etc.). These ees are based on the nreliminar information available and are onlV an estimate. Contact the Dept for aaan'i info. FEE ITEMS (Fee Resolution 11-053 Tff. 711113) FEE QTY/FEE MISC ITEMS plan Check I"ee,- . S, upwL PC.1 '' L�] PME Plan Check: $0.00 Perlldllf,ee., PME Unit Fee: $1,001.00 PME Permit Fee: $48.00 Administrative Fee: ]ADMIN $45.00 Work Without Permit? 0 Yes C) No $0.00 ,Idvamle�-1 phmning Fee:1.1 Travel Documentation Fee: ITRAVDOC $48.00 Strong Motion Fee: IBSEISMICO $126.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $18.00 A & $1,2 86.00 -JFZ, $1,286.00 Reviseci: luiul/2mb