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12110091CITY OF CUPERTINO BUILDING PERMIT' BUILDING ADDRESS: 19389 STEVENS CREEK BLVD CONTRACTOR: SOUTH BAY' PERMIT NO: 12110091 CONSTRUCTION, INC OWNER'S NAME: MAIN STREET CUPERTINO AGGREGATOR 1711 DELL AVE DATE ISSUED: 05/28/2014 OWNER'S PHONE: 6503441500 CAMPBELL, CA 95008 PHONE NO: (408)379-5500 LICENSED CONTRACTOR'S DECLARATIONF1COMMERCIAL DESCRIPTION: RESIDENTIAL El MAIN STREET-PAD 3 CONSTRUCTION OF A NEW ONE STORY License Class # i RETAIL BUILDING SHELL 1,876 SQ FT _ �L'ie. Contractor )'T - 4 r Date 1 , � REV # I - ADD ROOF WALK PADS TO PLANS (RFI 504), REVISE METAL DOOR COLOR (RFI 531) & MOVE (E) GAS LINE (PER PG&E)(RFI 553) - ISSUED 10/1/15 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. Sq. Ft Floor Area: Valuation: $0 I hereby affirm under 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 APN Number: 31620109.19389 Occupancy Type: 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 EXPIRES IF WORK IS NOT STARTED permit is issued. issued. WITHIN.180 DAYS OF PERMIT ISSUANCE OR APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is 180 DAY CALLED INSPECTION.. 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 Iss Date: 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 RE-ROOFS: a non-point source re . per the Cupertino Municipal Code, Section 9.18. All roofs shall be inspected prior to any roofing material being installed. If a roof is .tions � �� installed without first obtaining an inspection, I agree to remove all new materials for Signature Date �� inspection. Signature of Applicant: Date: 13 OWNER-BUILDER DECLARATION ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIALS DISCLOSURE compensation, will do the work, and the structure is not intended or offered for I have read the hazardous materials requirements under Chapter 6.95 of the sale (Sec.7044, Business & Professions Code) California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain 2. I, as owner of the property, am exclusively contracting with licensed contractors to compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & construct the project (Sec.7044, Business & Professions Code). Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air I hereby affirm under penalty of perjury one of the following three declarations: contaminants as defined by the Bay Area. Air Quality Management District I will 1. I have and will maintain a Certificate of Consent to self-insure for Worker's maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Compensation, as provided for by Section 3700 of the Labor Code, for the Health & Safety Code, Sections 25505, 25533, and 25534. performance of the work for which this permit is issued. 2. I have and will maintain Worker's Compensation Insurance, as provided for by mer or authorized , ent: Date: 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 CONSTRUCTION LENDING AGENCY not employ any person in any manner so as to become subject to the Worker's I hereby affirm that there is a construction lending agency for the performance of work's Compensation laws of Califomia. If, after making this certificate of exemption; I for which this permit is issued (Sec. 3097, Civ C.) become subject to the Worker's Compensation provisions of the Labor Code, I Lender's Name must forthwith comply with such provisions or this permit shall be deemed revoked. Lender's Address ARCHITECT'S DECLARATION APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is I understand my plans shall be used as public records. 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 Licensed Professional 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 CONSTRUCTION PERMIT APPLICATION 1, 'B COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingP_cuperlino.org PION ❑ ADDITION ❑ ALTERATION ! Ti n RF.ViSInN / InFFF.R R FrI nR TC:TN A I PPR WHIT tt 12110091 PROJECTADDRESS Pad. 3 19389 Stevens Creek Blvd Z APN# / 6 Z0 I U C d (.3OWNERNAME Main Street Cupertino Aggregator LLC PHONE (650) 344-1500( E-MAIL STREETADDRESS2882 Sand Hill Rd, Suite 241 CITY, STATE,ZIP Menlo Park, Ca 94025 FAX CONTACT NAME Paul Hansen PHONE (408) 442 -2121E -MAIL p hansen@shcmllc.. Com. STREETADDRESS 2882 San Hill Rd, Suite 241 CITY,STATE, ZIP Menlo Park,. CA 94025 PAX ❑.OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT El CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME Mark Avila LICENSENUMBER B336974 LICENSE TYPE BUS.LIC# 5655 COMPANYNAME South Bay Construction E-MAILmavila@sbci.com FAX (408)379-3256 STREETADDRESS 1711 Dell Avenue CITY,STATE,ZIP Campbell, CA 95008 PHONE (408.) 379-5500 ARCHITECT/ENGINEER NAME Ken Rodrigues LICENSE NUMBER C12, 818 BUS. LIC # COMPANY NAME Kenneth Rodrigues & Partners, INCE-MAILkenr@krharchitects..COm FAX (650)960-0707 STREET ADDRESS 445 N Whisman Rd Suite 200 ; '- CITY, STATE,ZIPMOuntain View, CA 94043 PHONE (650) 965-0700 DESCRIPTION OF WORK 1.) Add walking pads to roof -mounted equipment, Sheet A4.2 -- RFI #504. 2.) Revise wood -clad doors on south elevation to metal doors and add paint color P12 -Pebble Rock -to doors, Sheet A5.3-- RFI #531. 3.) Move gas lines per Sheet P2.2 -- RFI #553. EXISTING USE PROPOSED USE CONSTR. TYPE - # STORIES 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 TOTAL DECK/PORCH AREA GARAGE AREA: ODETACH ❑ ATTACH # DWELLING UNITS IS A SECOND UNIT ❑ YES SECOND STORY OYES BEING ADDED? ONO ADDITION? ONO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES p. g:. '.', i TOTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO By my signature below, I certify to each of the following: I am the property own r aut I e a e ac a prop owner's behalf. I have read this application and the information I have provided is correct. I have read the Descriptio ork an yo comply with all applicable local ordinances and state laws relating o bui 'ng co traction. I authorize representatives of Cupertino to enter the above -identified p erry for inspection purposes. Signature of Applicant/Agent 1AA Date: SUPPLEMENTAL INFORMATION REQUIRED YLAPFf HECK 1pE . ,. ROUTING SLIP g, -o6yg TIIE-G6LINTER L0 BVILDING PLANREVIEW _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. d EXPRESS; n _I'LA" NGI"LANREVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure $TAi$fIAJII , ; '_ D YtBPQwORRs form if any Hazardous Materials are being used as part of this project.PoE project. DEPS' _ Copy of Planning Approval Letter or Meeting with Planning prior to 0 MOOR L� SANITARY SEWER DISTRICT. submittal of Building Permit application. WN VMONMENTAL HEALTH BldgApp 2011.doc revised 06121111 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 19389 STEVENS CREEK BLVD DATE: 08128/2015 11 al REVIEWED BY: MELISSA QTY/FEE APN: 31620109.19389 BP#:12110091 MISC ITEMS *VALUATION: Iso *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial Building USE: Civil / Religious activities Suppl. PC Fee: 0 Reg. 0 OT PENTAMATION 1 GENCOM hrs $0.00 in BQ zone? Yes No PERMIT TYPE: A WORK REV # 1 - ADD ROOF WALK PADS TO PLANS RFI 504),REVISE METAL DOOR COLOR RFI 531 SCOPE & MOVE (E) GAS LINE (PER PG&E)(RFI 553) Fo,0 Aleela. Plena Cale::'; 1'1..m1;. Nan £Beek Z:ee. 111an 'heck tech. Permit 1 -tee: Other (tech Insp. Aterh, Imp. Fee: 1'111,ta2bP e7'17?ir 17ee: Other Pluntt> lau a7. 1-7ec. 1 et u..r. Fe -e: C 1hel' Eke, 111sp. Elec. Insp. Fee: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, !~tire, Sanitary Fewer utsaracr, 3cn001 f'nntart tho vont far addn'l info. v wc•rv., •.•...• • a••v.sv •.vv .s•r v.wv.r �.r .. v.. .....•.. ••..�. FEE ITEMS (Fee Resolution 11-053 ff. 7/1/13) .. ... .__�._.. __ FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes No $0.00 2 hours Plan Check, Hourly $286.00 ISTPLNCK Suppl. PC Fee: 0 Reg. 0 OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. 0 OT Fo,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXC $0.00 AdminiSf'P' file P-ee. 0 E) Work Without Permit? 0 Yes No $0.00 Advanced. Planning Fee:. $0.00 Select a Non -Residential Building or Structure 0 /rt vel.D{)C;ui1?E?itd(,ttion I`t't;s: Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 i7BTQTA: $0.00 $286.0 TTATS FEET 7$286.000 RCviblz - v77vc�cy iu NU IT CITY OF CUP ERTINO BUILDING PERMIT BUILDING ADDRESS: 19389 STEVENS CREEK BLVD CONTRACTOR: SOUTH BAY PERMIT NO: 121 10091 CONSTRUCTION, INC OWNER'S NAME: MAIN STREET CUPERTINO AGGREGATOR LL 1711 DELL AVE DATE ISSUED: 05/28/2014 OWNER'S PHONE: 6503441500 CAMPBELL, CA 95008 PHONE NO: (408)379-5500 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL E] MAIN STREET- PAID 3 CONSTRUCTION OF A NEW ONE License Class __F:�> Lic. #�r'� T 1 STORY RETAIL. BUILDING SHELL 1,576 SQ FT r, Contracto � Date 1 hereby affirm that I am licensed u ider 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. 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: $0 performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by tion 3700 of the Labor Code, for the performance of the work for which this APN Number: 31620109.19389 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is ED PERMIT jEX?IR ES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating to building hereby this to �� DABS ®F PERMIT ISSUANCE ®� construction, and authorize representatives of city enter upon the above mentioned property for inspection purposes. (We) agree to save ISO DAYS/F M[ (LAST GALLED IlNS]PIE indemnify and keep harmless the City of Cupertino against liabilities, judgments, / costs, and expenses which may accrue against said City in consequence of the / 11 granting of this permit. Additionally, the applicant understands and will comply Issued by: G Date: v with all non -point source regulations per the Cupertino Municipal Code, Section % 9.18. RE -ROOFS: Signatur - Date 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 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. I 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 1 store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I 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 1 performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 2k534. S Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Owner or authorized ager Date: 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 CONSTRUCTION LENDING AGENCY 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 1 certify that I have read this application and state that the above information is correct. 1 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, ARCHITECT'S DECLARATION 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 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION 10300 TORRE AVENUE ^ CUPERTINO, CA 95014-3255 (408) 777-3228 ^ FAX (408) 777-3333 ^ buildina(ZDcupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ c REVISION / DEFERRED PROJECT ADDRESS APN N Lo O\VNER NAME 566E6K 1 ifS PHOI&5b - -1-4 • 1S E-MAIL STREETI��tNU Shores P -0 ;J, oj zoo CITY, ST ZI FAX wooj C 1 CA qqU)S' • .3`l • Dom? CONTACT NAME en h ( L< a P�iiY1e►'S PHONE4IL (p50— �IC05-D�OU nr DKA rCh?4eCA .CQM STREE7 ADDRESS '`ISN 1Nhtsa-Kn l s�t,4e- 2-00 CITY, STATE, ZIP View CA 9K01 FAX so t o, 04-6-7 ❑ OWNER ❑ OWNER -BUILDER ❑ OR'NERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGmER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC R COMPANYNAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC 9 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE n DESCRIPTIONOFWORT. 1 Q I Pad UL� 3 rnae nil a new one mor re � w�-1�I^ I r� shell EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE I OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA RENIODEL AREA PORCHAREA DECKT11E,G OTALDECK/PORCHARFA GARAGEAREA: DETACH I []ATTACH N DW ELLING UNITS:S A SECONID UNIT ❑YES SECOND STORY ❑ YES ADDED?❑NO ADDITION? [:]NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YESRECEIVED BY ---`. y, TOTAL VALUATION: PLAIJTTAGAPPL� ONO PLANNING4PPROVALLETTER EICHLERHO��? ❑NOc;N' s�'�i..�'t_ a a .,a`_ By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I ha, provided is correct. lhavej ad the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relatin bui ding constructigg,I auth rize representatives of Cupertino to enter the above-ideof ed roperty for inspection purposes. Signature of Applicant/Agent: Date: 1 SUPPLEMENTAL rNTFORMATION REQUIRED Px cAecl. t� , xoviiiresLTTi� a,�E „�_ tom .. _ New SFD or Multifamily dwellings: APP]Y for demolition for � x r gs g"w,�t- �❑� OWER T�>3 �COU)\TER � `� ❑' ` BUIL�DII<GPL47� RE\'IE\V � existinog buildinag(s). Demolition permit is required prior to issuance of bl.ildin� gpgv � ,,,i'� permit for new building.vsp 16 ❑9,FXPPESS' x t � PL AAI�IRGPL41�I2E\IEN Commercial Bldgs: Provide a completed Hazardous Materials Disclosure❑ M,�=x��,.. sT�a��NDARD' X❑ PUBLICR _ form if any Hazardous Materials are being used as part of this project.==r{ "i4'�5 Z'S:5.`^�` �« \'t y �` -- cx s ❑� ORItiS 4"''aa„-� 1. 'i C Planning Letter Meeting Planning LAt2GEf �.nfs x x DFIRE DEPT�ks �r _ Copy of Approval or With prior to ❑ hZAtJOR�fi �''� v ` DSAT�7TARYSE\\ERTISTRICT submittal of Building Permit application.f}r BIdgApp_2011.doc revised 06/21/11 PROJECT T DATA - COHMIERCIIAL F'oq'4�" COMMUNITY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION 10300 TORRE AVENUE a CUPERTINO, C95014-3255 CUPERTINO (408) 777-3228 e FAX (408) 777-3333 ^ building_otcupertino.org PROJECT ADDRESS Northwest Corner of Tantau Ave and Stevens Creek Blvd. APN # 316-20-078, 316-20-079, 316-20-085 OWNERNAME 500 Forbes LLC PHONE 650-344-1500 E-MAIL STREET ADDRESS 203 Redwood Shores Parkway, Suite 200 CITY, STATE, ZIP Redwood City CA 94065 FAX 650-344-0652 CONTACT NAME Kenneth Rodrigues & Partners, Inc PHONE (650) 965-0700 E-MAILkenr@krparchitects.com STREET ADDRESS 445 N. Whisman Road, Suite 200 CITY, STATE, ZIP Mountain View, CA 94043 FAX (650) 960-0707 ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT TENANT CONTACT NAME PHONE E-MAIL BUSINESS NAME FAX BUILDING OR TENANT SPACE DIMENSIONS Main Street Cupertino Pad3: 1,876SF DESCRIPTION OF WORK Construction of a new one story retail building shell. EXISTINGUSE(S): pone ��!!11 PROPOSEDUSE(S): Retail f OCCUPANCY(S): M OCCUPANT LOAD: I TYPE OF CONSTRUCTIONV-13 AREA OF REMODEL SPACE: FLOOR(S) OF REMODEL SPACE: ------ HAZARDOUS MATERIALS? Y FUZE N SPRINKLERS: WUI y ®FLOOD AREA : y ® AREA: SIESMIC Y N AREA: LEARNING CENTERS AND EDUCATIONAL OPERATIONS: 24 HOURS CARE? Y ® NUMBER OF CHILDREN < 2 YRS OLD: NUMBER OF STUDENTS >= 2 YRS OLD UP TO 12"I GRADE: NUMBER OF ADULT CLIENTS: NUMBER OF EMPLOYEES: TOTAL OCCUPANTS: Governing Codes: 2010 California Building Code (based on the 2009 International Building Code) 2010 California Residential Code (based on the 2009 International Residential Code) 2010 California Plumbing Code (based on the 2009 Uniform Plumbing Code) 2010 California Mechanical Code (based on the 2009 Uniform Mechanical Code) 2010 California Electrical Code (based on the 2009 International Electrical Code) 2010 California Energy Code 2010 California Green Building Standards Code Cupertino Municipal Code ProjectData-CommerciaLdoc revised 12/01/11 C�U�JG�(�63`d'UR7� uiilding Department��,////// City Of Cupertino 10300 Torre Avenue Cupertino, CA 950] 4-3255 Telephone: 408-777-3228 :Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS: 19389 Stevens Creek Blvd - Pad 3 P.EIW.[T # 12110091 OWNER'S NAME: Sand Hill Management P .HONE # _ GENERAL CONIRACTOR:South Bay Construction BUSINESS LICENSE #5655 ADDRESS: 1711 Dell Ave CITY/ZIPCODE: Campbell, CA 95008 *Our uaauaaicipal code requires all businesses working in the city to have a City of Cupertino business license. NO ,'BURL)<DING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GIETkIERAL CONTRACTOR AMID ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CIJ]PEKVINO BUSINESS LICENSE. I ani not using any subcontractors: Signature IPleme check applicable subcontractors and complete the following information: Date V SUBCONT'RAC'FOIR BUSINESS NAME BUSINESS LICENSE #] Cabinets & Millwork X Cement Finishing Teeheon 23513 X Electrical. Redwood Electric Group 21108 X .Excavation Doyle's 35611 Fencing Flooring / Carpeting Linoleum / Wood X Glass / Glazing Classic Glass 25840 X Heating The Trillo Company 29816 X Insulation Central California Insulation 557 Landscaping i X Lathing Cen Cal Plastering 33021 X Masonry American Tile & Brick Veneer 35158 X Painting / Wallpaper G&G Painting 34391 Paving X Plastering Cen Cal Plastering 33021 X Plumbing Fresno Plumbing & Heating 32000 X Roofing Statewide Roofing 23509 Septic Tank X Sheet Metal The Trillo Company 29816 X Sheet Rock South Bay Interiors 25499 'ri 1 e Owner / Contractor Signature 5/12/15 Date