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B-2016-1491CITY OF CUPERTINO BUILDING PERMIT BUILDINGAPbRESS: 20525 MARUMAVE CUPERTINO, CA 95014-6201 (326 56 001) NAME: 20525 MARIANI DRIVE LP PHONE: 408-472-1275 License Class CEN RAL ENGINEERING CONIRAC-TOR Lic. #3g9 6 Contractor DEVCON CONSTRl ]rILQN INCORPORATED Date D2/28/20i 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: 1. 1 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. a and will maintain Worker's Compensation Insurance, as provided for by " Won 3700 of the Labor Code, for the performance of the work for which this permit is issued APPLICANTC 17IIiLCATEON 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 ap licant understands and will comply with all non -point source regula' er he Cupertino Municipal Code, Section 9,18. Signature Date 03/30/2016 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 compensation, will do the work, and the structure is not intended or offered for sale (Sce.7044, Business & Professions Code) z 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 1 hereby affirm under penalty of perjury one of the following three declarations: 1. 1 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. 1 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. 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. It; 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. APPY ICANT,QBRTIFi ATIoN 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 03/30/2016 MILPITAS, CA 95035 NO: B-2016-1491' DATE ISSUED. 03/30/2016 PHONE NO: (408) 942-8200 BUILDING PERMIT INFO: X BLDG _ ELECT — PLUMB _ MECH— RESIDENTIAL X COMMERCIAL JOB DESCRIPTION: :.E - CONSTRUCT (I) OUTSIDE ENCLOSURE BUILDING FOR UTILITIES (TYPE 11, S-2, 100 S.F.) Sq. Ft Floor Area: 200 1Valuation; $50000.00 APN Number: Occupancy Type: 326 56 001 S-1 (Moderate -Hazard) PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR. 180 DAYS FROM_LAS&T—C4LLED 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. Signature ofApplicant: Date; 43/30/2016 01A" OR BETTER -RAZARDOUS 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(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air Co. ni nuts, as defined by the Bay Area Air Quality Management District I Will maintain compliance with the Puportino Municipal Code, Chapter 9.12 and the Health & Safety Ctions 25505, 25533, and 534. Owner or authorized agent: U111M Al / Date: 03 Q1!20-16 CONSTRUCTION I END bIG 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, ON C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CONSTRUCTION PERMIT APIPLICATION COMMUNITY DEVELOPMENT DEPARTMD << '3UILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 140M 777-3228 • FAX 14081777-3333 - buildingCa7cunertino or CUPERTINO 1 9 ❑ NEW CONSTRUCTION CIV. ADDITION ❑ ALTERATION/ Ti ❑ REVISION/ DEFERRED ORIGINAL PERMIT # be ?E(t l PROJECT ADDRESS 20525 MARIANI AVENUE :IAPN4 326-56-001 BUS.LIC# (� OWNER NAME APPLE, INC. E-MAIL proseberry@deVcon-const.com PHONE 408.472.1275 E-MAIL matt jorgensen@apple.corrl STREETADDRESS 1 INFINITE LOOP CITY, STATE,zIl, CUPERTINO, CA 95014 LICENSENUMBER C-012739 FAX CONTACT NAME ,TEFF RUSSELL F -MAIL jrussell@fca-arch.com PHONE 615.585.0277 EMAIL jrussell@fca-arch.com STREET ADDRESS 1361 BUSH STREET CITY, STATE, ZIP SF, CA 941t}9 DEMO TAX IEl OWNER 13 OWNER BUILDER ❑ OWNERAGENT El CONTRACTOR 11 CONTRACTOR AGENT M ARCHITECT ❑ ENGINEER 11 DEVELOPER ❑ TENANT CONTRACTORNAME PAULETTE ROSEBERRY LICENSENUMBER 399163 LICENSE TYPE D BUS.LIC# (� COMPANYNAME DEVCON CONSTRUCTION E-MAIL proseberry@deVcon-const.com FAX STREETADDRESS 690 GIBRALTAR DRIVE CrrY,STATE zip MILPITAS, CA 95035 PHONE ARCHITECT/ ENGINFFRNAME CHIU LIN TSE-CHAN LICENSENUMBER C-012739 BUS. LIC# COMPANY NAME FONG & CHAN ARCHITECTS F -MAIL jrussell@fca-arch.com FAX STREET ADDRESS 1361 BUSH STREET CITY, STATE, ZIP SF, CA 94109 PHONE 415.931.8600 I DESCRIPTION OF WORK CONSTRUCTION OF EXTERIOR ENCLOSURE SHED FOR LAB UTILITIES EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES SUPPLEIItIEN INFORMATION REQTIIRED PLAN CHECK TYPE ROUTING SLIP EloVER-THE-couNTER I� BUILDING PLAN REVIEW v- Aft LANDSCAPE UTILITY SHED IIB 1 USE TYPE Occ. sQ.rr. VALUATION «} EXISTG NEW FLOOR DEMO TOTAL UTILITY SHED IIB yW' 100 I ARBA AREA 10{1 AREA 100 NET AREA 100�,i a-.1 o I A-'s'essn�t' B1dgApp 2011.doc revised 06121111 S BATHROOM REMODELAREA NIA KITCHEN REMODELAREA N/A OTHER REMODEL AREA N/A PORCHAREA DECK AREA TOTAL DECK/PORCHAREA GARAGE AREA: ❑DETACH N/A N/A N/A N/A ❑ ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ® YES NIA BFINGADDED? ®NO ADDITION? NINO PRAAPPLICATION ®YES IF YES, PROVIDE COPY OF ISTHEBGDGAN ®YES RECEIVED BY: TAI�VALUATiON: PLANNINGAPPL# ®NO PLANNING APPROVAL LETTER EICHLER_HOME? ( NO ='&50,000 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 have provided is correct. 1 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' g construction. I authorize representatives of Cupertino to enter the above -'identified property for inspection purposes. Signature Applicant/Agent: Date: -3/1 �} t° of SUPPLEIItIEN INFORMATION REQTIIRED PLAN CHECK TYPE ROUTING SLIP EloVER-THE-couNTER I� BUILDING PLAN REVIEW v- Aft —New 8FD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building ill permit for new building. Q EXPRESS ® PLANNING PLAN RE, _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 0 STANDARD ❑PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. © LARGE U FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to El MAJOR El SANITARY SEWER DISTRICT submittal of Building Permit application. ElENVIRONAMNTALHEALTH a-.1 o I A-'s'essn�t' B1dgApp 2011.doc revised 06121111 HAZARDOUS MATERIALS CHECKLIST COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O„ BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 {408} 777-3228 + FAX (408)!777-3333 • buildinc0cupertino.oM PURPOSE To minimize possible delays that would result for the Fire Department plan review, please complete the following checklist to determine if an additional level of Hazardous Materials plan review will be required. MARK `YES' IF THE PROPOSED SCOPE OF WORK INCLUDE ANY OF THE FOLLOWING? PLEASE MARK YOUR ANSWER WITH AIV `XIN THE YES OR NO BOX ON THE SIDE BELOW. YES NO 1. Use, dispensing, mixing or storage of flammable or combustible liquids or gases, hazardous materials, etc. 2. Battery back-up rooms or racks. S. Propane tanks. V 4. Gasoline stations with underground tanks. 5. Installation or replacement above ground or underground storage of liquid petroleum products, liquefied petroleum gases, compressed natural gas, explosives or other regulated hazardous materials. 6. Gas rooms for dentist, doctors or veterinarians. 7. Generators with back-up diesel or other fuels. 8. Large refrigeration systems. 9. Fuel cell systems. 10. Commercial pool systems. 11. Chemical Storage areas. 12. Flammable liquid storage. 13. Compressed Gases cF,-4c)&E -fitc/ ' LFu) p& 14. Dry cleaners. 15. Print Shops. 16. Auto Repair and Auto Body Shops. 17. Research and Development. For any additional information regarding this checklist, please contact Hazardous Materials Specialist, Santa Clara County Fire Department, at (408) 378-4010. HAsMat 201 I.doc revised 03107111 CITY OF CUPERTINO Irml Fri F. F.CTIMATnD—'nYTYY "IFXT!-N "1x7YQTd-vxT OCCUPANCY TYPE: IADDR SS: 20525 MARIANI DR DATE: 03/08120'16 REVIEWED BY: ABBY APN: 326 56 001 BPA: VALUATION: $50,000 "PERMIT TYPE: Building Permit ', PLAN CHECK TYPE: New Construction PRIMARY USE:Commercial Buildingzone? IReligious activities =riivBi�' PENTAMATION 0,0 ? Q Yes No PERMIT TYPE: 1S2 WORK APPLE - CONSTRUCT N OUTSIDE ENCLOSURE SHED FOR LAB UTILITIES TYPE lI S-2 100 SCOPIC S. F.) OCCUPANCY TYPE: TYPE OF CONSTR. IaLR AREA (s.£) PC FEES PC FEE ID BP TEES BP PEE ID S-2 (Low -Hazard) IE-B,lII-B,IV,V-B 0,0 $0,00 $0,00 $0.00 $0.00 Permit Fee: Hourly Only? Q Yes (B No $0.00 Suppl. Lisp. Fee:(D Reg. Q OT Rolhrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Ce7L?StiU.Cl.IUtI �'ax: IBC0N.7T'1xCEl TOTALS: 0 $0.00 _- $0.00 -77 777777777-7777 -7 11Ic tt (`ti2C Plumb- Flail i'heck. Elew..Non ;t•.fech. h-rmilI-Fe: 1'ftr.?lfb• 1'erl➢2i€ t7f�cr: 141<a:. f3et?stfll°e': 01Y':lT• :f'(eeh. '1h;;P. 01her Numb Irsix 0€her f e'...tmvF : f4>c;7. fru '- 1''•"F': Thumb. Jnsp. F'. : ?:ecc. hi:p Fee: --PuGucudcudateicas aue to offler vell(irtmellis (l.e. i'la?1ning, Public WoYllB, fire, Saniitil;y .Seiner District, School --- - ------------- 17LI E ITEMS LEce 1?avohirlorl LL -()5 j_ a 7111/13 •--r �---••••-•--•- •r•••�•••�..+ SEE wr.r. v. v QTY/FE] vas,. ,wc ww..,�Lec. a.v,LuswL LaLG LG Jd lull [[td[dId L Lld il. MISC ITEMS Plan Cheap Tee: hourly Only? Q Yes (j) No $0.005 hours Plan Check, Hourly $715.001S2'PLNCK Supp!. PC Fee: (j) Reg. Q OT 0,0 hrs $0,00 PME Plait Check: $0.00 Permit Fee: Hourly Only? Q Yes (B No $0.00 Suppl. Lisp. Fee:(D Reg. Q OT Rolhrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Ce7L?StiU.Cl.IUtI �'ax: IBC0N.7T'1xCEl $0.00 ithr i1niy1rofivie Q Work Without Permit? C) Yes 9 No -0 $0.00 Advanaec P1aijpji Fee: $0.00 Select a Non -Residential Building or Structure ®: Q Q =Y. 1.Docur��c:r eaflon.re 4 Strong Motion Fee: 1BSEISMIC0 $14.00 5.0 hrs Inspections $715.00 IS1, Inspection, Hourly Tildes S c s Commission Fee; IBCBSC $2.00 _�-,.:--:.�-,:�::-,_..:.:�;:-<.�;;-:;::-::--_:-_:_:.�_-;�.:.___�;_:����:___:•_ $16.0{i $1,430.00...............:.....;-:,T�}�A;��`'.�!;-� $1,446.00 Revised: 0110112016 u5/I/dLulb IU:Lj (hAX) F.UU11UU1 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U PlY RT I N C Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIS' ._i luur municipal code requires all businesscs working in the city to have a City of Cupertino business license, NO BUILDING FINAL OR FINAL OCCUPANCY INSPicCTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I t►m not using any subcontractors: Signatur6 Date Please cheek applicable subcontractors and complete the following information: JOB ADDRESS: 20525 Marconi Drive, Cupeitino, GA PERMIT # 2016-1481 BUSINESS NAME BUSINESS LICENSE # OWNER'S NAME: Apple, Inc. PHONE # 408M42-8200 Cabinets & Millwork GENERAL CONTRACTOR: Deveon Construction, Inc, BUSINESS LICENSE # 11068 X Cement Finishing ADDRESS: 69Q Gibraltar Drive CITY/ZIPCODE: Milli tes; OR 95035 19945 � luur municipal code requires all businesscs working in the city to have a City of Cupertino business license, NO BUILDING FINAL OR FINAL OCCUPANCY INSPicCTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I t►m not using any subcontractors: Signatur6 Date Please cheek applicable subcontractors and complete the following information: 4J,A 6,&,, DY -11-16 Owner / Con etor Signature Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork X Cement Finishing Joseph J. Albanese, Inc. 19945 � X Electrical Redwood Electric Group 21108 Excavation Fencing Flooring / Carpeting Lit,oleum Wood Glass / Grazing X Heating ACCO Engineered Systems Insulation Landscaping Lathing Masonry X Painting / Wallpaper Pyt°amid Painting Paving Plastering X Plumbing ACCO Engineered: Systems. f Roofing Septic Tank Sheet Metal X Sheet Rock Magnum Drywall 25212 Tile 4J,A 6,&,, DY -11-16 Owner / Con etor Signature Date Testing Engineers, Inc. Quality Assurance Services Materials Consulting Since 1954 Regular Concrete Compression Test Report Project No.: 62853 Client: APP -)8/7 Sample No.: 242406 / Page 1 of 1 Project Name: Report Date: 04/28/16 20525 Mariani Avenue ' Sample Date: 03/31/16 MA01.1 FA & ET Labs Time Sampled: 0245PM Cupertino, CA Ss I Date Received : 04/05/16 Permit # 2016-1491 Inspector: J. Fernandez, TEI Supplier: Central Concrete Specimens ast (ASTM C-31) : 5 Mix: 3F5EG9E1 Air Te rature (ASTM C-1064) : 72 deg F Ticket No.: 18193441 Ix ure Temperature (ASTM C-1064) : 68 deg F Slump (ASTM C-143) : 3 inches Location: Piers north of line Al between 2 and 3.1. Capping Specimens _ ASTM C-617 STM C-1231 Date Tested 04/07/16 04/28/16 04/28/16 04/28/16 HOLD ID Number 1A 113 1C 1D 1E Mark Sample Dimension, Inches Diameter 4.01 4.01 4.01 4.01 Length 8 8 8 8 Area, sq. inches 12.63 12.63 12.63 12.63 Ultimate Load, lbs 29000 53000 59000 53000 Ultimate Str., psi 2300 4200 4670 4200 Average, Str., psi 4360 Age Tested, Days 7 28 28 28 HOLD Fracture Type 1 1 1 1 Dry Unit Weight, pcf Specified Strength, psi 3000 3000 3000 SPECIMENS NOT SCHEDULED FOR TESTING WILL BE DISCARDED AF R 28 DAYS OLD The Material—.rl— WAS WAS NOT The Material Tested MET DID NOT MEET THE SAMPLED AND TESTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE BLDG. DEPT. OR DSA APPROVED DOCUMENTS. REQUIREMENTS OF THE BLDG. DEPT. OR DSA APPROVED DOCUMENTS. Remarks: Samples Tested in General Conformance with AST' 1 cc. City of Cupertino 1 cc. Apple Computer Inc. 1 cc. Devcon Construction The results presented in this report relate only to the item(s) tested. This report can be reproduced only in its entirety unless written permission from TEI is obtained. Corporate Office - 2811 Teagarden Street, San Leandro, California 94577 - (510) 835-3142 - Fax (510) 834-3777 TESTING ENGINEERS, INC. May 12, 2016 City of Cupertino Building Inspection Department 10300 Torre Avenue Cupertino, California 95014 Subject: FINAL REPORT 'A05f5 Project: . 4;4:x-'Vlariani Avenue MA 01.1 FA & ET Labs Cupertino, California Gentlemen: Quality Assurance Services Materials Consulting Since 1954 TEI PrgJe� No—. 62853 Permit No. 2016-1491 In accordance with Section 1704 of the California Building Code, we have provided special inspection of- - Placement of tie -downs and reinforcing steel for concrete and non -shrink grout. - Placement of concrete and non -shrink grout. - Sampling and laboratory compression testing for concrete and non -shrink grout. - Structural field post -welding. These inspections were performed by personnel under the general supervision of a Registered Civil Engineer in the State of California. Based upon our inspections performed and our substantiating reports, the inspected work requiring special inspection was, to the best of our knowledge, in conformance with the approved plans and specifications, the applicable workmanship provisions of this Code, and any changes by the Engineer of Record. Details of our work on this project are the progress of construction. .A TESTING ENGINEERS, bA .34132 Terry L. gland, P. V1 CE CE # 34132, Exp. /30/17Q� GAIL cc: Apple Computer Inc. / M. Jorgensen Devcon Construction / R. Rutledge in our testing and inspection reports that were submitted during Corporate Office - 2811 Teagarden Street - San Leandro, California 94577 - (510) 835-3142 - FAX (510) 834-3777 www.Testing-Engineers.com