MX-M1100_20160426_181347CUPERTINO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 - buildina5cuoertino.ora_`�1`
I —I NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS 5600 Stevens creek Boulevard, Cupertino C
APN#
a/
OWNER NAME
PHONE
E-MAIL
Tishman Speyer Archstone
sTREETnDDREss P.O. BOX$t7SO a 210
cITY,6ROCAo, Illinois 60680
FAX
CONTACT NAME Luis Quesada
PHONE 408-373-5098
E7ulsbkb@gmaiLcom
STREET ADDRESS
CITY, STATE, ZIP FAX
❑ OWNER ❑ OWNER-BUILDFR ❑ OWNERAGENT O CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑'I'ENAW
CONfRACTORNAME Luis Quesada
ER
LICENAW Cupertino
Le
ti
"' LH4511
tSiS
coMVANYNnnm BKB Construction
lu s%kb@gmaiLcom
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
1820 n Greenville Ave Suite 100
Richradson texas 75081
408-373-5098
ARCIRTECT/ENORJRER NAME
LICENSE NUMBER
BUS. LIC #
Wesley Cullumber
80676
COMPANY NAME
EMAIL
FAX
Cullumber
STREET ADDRESS
CITY, STATE, ZIP
PHONB
5875 Pacific Street Suite E2
Rocklin Ca 95677
510693-7080
DESCRIPTION OF WORK
Like for Like Structural Repairs of Damage walkways Beams
Like for Like Structural repairs of Damage Balcony Beams,
EXISTING USE
PROPOSED USE
CONS. 'en
#SYOmfiS
USE
TYPE
OCC.
SQ.FT.
VALUATION ($)
EXISIG
NEW FLOOR
DEMO
TOTAL
AREA
AREA
AREA
NEI'AREA
DAT RtOOM KITCHEN OTHER
REMODELARRA REMODEL AREA REMODELAREA
PORCH AREA DECKAREA
TOTAL DECKJPORCH AREA GARAGEAREA: DETACH
❑ ATTACH
#DWELLING UNITS:
ISASECONDUNIT OYES
SECONDSTORY OYES
BEING ADDED? ONO
ADDITION? ONO
PRE -APPLICATION OYES IFYRS, PROVIDE COPY OF
ISTHEBLDGAN AYES
RE VEDBY: r
T AL VALUATION:
PLANNINGAPPL# ONO PLANNING APPROVAL LETTER
EICHLERHOME? ONO
Mm e
I �I000
By my signattu'e below, I cerfify to each of the following: I am the property owner or authorized agent td act on the property owner's behalf. i have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to build' nstmction. I an rim representatives of Cupertino to enter the above-identifi for inspection purposes.
Idrproperty
Signature Applicant/Agent: Date: 16(
of
SUPPLY -MEN NFORMATION REQUIRED
PLAN CHECK TYPE
ROUTING SLIP
❑ OVER-THR-COUNTER
❑ RUHABYG PLAN REVHIW
_ New SEE) or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
permit for new building.
❑ EXPRESS
❑ PLANNINGPL JIEVHEw
_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
El STANDARD
❑ PUBLIC WORKS
form if any hazardous Materials me being used as part of this project.
❑ LARGE
❑ ME DEPr
Copy of Planning Approval Letter or Meeting with Planning prior to
❑ MAJOR
❑ SANITARY SEWERDULDUCT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
BldgApp_201 Ldoe revised 06121111