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13010087 CITY OF CUPERTINO 11151[ :DING PERMIT BUILDING ADDRESS: 20300 STEVENS CREEK:BLVD CONTRACTOR:DEVCON PERMIT NO:13010087 CONSTRUCTION INC OWNER'S NAME: SVF CUPERTINO CITY CENTER CORP 690 GIBRALTAR DR DATE ISSUED:01/16/2013 OWNER'S PHONE:. 6503205483 MILPITAS,CA 95035 PHONE.NO:(408)942-8200 0LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL El COMMERCIALD License.Class • ' • . Lic.#• • • APPLE-2ND FLOOR EAST WING-COMM.T.1I 1 N SQ FT • �� CONVERT OONIFIEI'>ENC E ROOMS INTO 1LA1::S,AND LABS Contractor �; O� : • Date INTO I hereby affirm that I am licensed under the provision of C Ater 9 STORAGE (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. REVISION#Il-REVISION#1-CHANGE LAYOUT ADD OFFICE I hereby affirm under penalty of perjury one of the following two declarations: SPACE,ADD ROOF TOP MECHANICAL UJNIITS-IlSSIlD OTC 2/12/13 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 1 • performance of the.work for which this:permit is issued. Sq tQor a Valuation:$750000 • l have and will maintain Worker's Compensation Insurance,as provided for by (LMI • Section 3700 of the Labor Code,for the performance of the work for which ' rAPN Number:36901019.00 Occupancy Type: permit is issued. 0 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES uHF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN I So II AC'S OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 150 DAY` IF dOM LAST CALLED INSPECTION. • 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. Additio the applicant understands and will comply Issued by: Date:0/ �4 with all non-point so -- aons •er the Cupertino Municipal Code,Section 9.18: • • V rl / �� RE-ROOFS: Sig,ature • Date l� 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. r OWNE' 4. f'.I ER DEC .RATION Signature of Applicant: Date: I hereby that dam 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 niy 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) . ' • I,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 I store or handle hazardous I have and will maintain&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 Arca Air Quality Management District I performance of the work for which this permit is issued. • will maintain compliance with the Cupertino Municipal Code,Chapter 9.112 and l have,and will maintain Worker's Compensation Insurance,as provided for by the health&Safety Code,S• d 25534. Section 3700,of the Labof.Code,for the performance of the work for which this /02 l permit is issued. Owner or authorized agen : 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 Califomia. 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 . 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, 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-pointe gu ns per the Cupertino Municipal Code,Section Licensed Professional 9.18. . Signature__ • • Date_ _ - CITY OF CUPERTINO ILUJ]LDIING PERMIT BUILDING ADDRESS: 20300 STEVENS CREEK BLVD CONTRACTOR:DEVCON PERMIT NO:13010087 CONSTRUCTION INC OWNER'S NAME: SVF CUPERTINO CITY CENTER CORP 690 GIBRALTAR DR DATE ISSUED:01/16/2013 OWNER'S PHONE: 6503205483 MILPITAS,CA 95035 v PHONE NO:(408)942-8200 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL0 • License Class Lic.# 3 (G2 APPLE-2ND FLOOR EAST WINO-COMM.'LI 1800 SQ FT CONVERT CONFERENCE ROOMS INTO LA I S,AND LABS Contractor• Ifs_,; • • Date 1 ;/ if;/3 INTO I hereby affirm that I am licensed under the provisiols of j apter 9 STORAGE • (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. 1 hereby affirm under penalty of perjury one of the following two declarations: 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. Sq.Ft Floor Area: Valuation:$750000 • I have and will maintain Worker's Compensation Insurance,as provided for by • Section 3700 of the Labor Code,for the performance of the work for which this APN Number:36901019.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT MIRES S IIIF WOIRX IS NOT STARTED correct.I agree.to comply with all city and county ordinances and state laws relating WITHIN 11$( DAYS OF PERMIT ISSUANCE ORto building,construction,and hereby authorize representatives of this city to enter upon the above mentioned property.forr inspection purposes. (We)agree to save 180 DAYS FRO 1 I a '"'•61'LED JINSlPJE `TIO o • indemnify and keep harmless the City of Cupertino against liabilities,judgments, _ • costs,and expenses which may accrue against said City in consequence of the d :D� granting of this permit. Additionally,the applicant understands and will comply Issued by: _....--7-1/ 11111111,--" Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature _—� Date /4, ��: 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. 0 1" ER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that.11 am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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) . I,as owner of the property,am exclusivelicontracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. II 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 I 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 a 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 22555-0-5,,25533,and 25534. / Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent:'y1� 1111PDater �c�, permit is issued. • ---•111•110'`— / I certify that in the performance of the work for which this permit is issued,I shall 4/1111110 `AIIIII1b. 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 I certify that I have read this application and state that the above information is correct.Lagree 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 • ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, • • costs,and expenses whicktnay 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 • w. ,If, CONSTTR�UCT ON9 PE!MllT APPLLBCATIIO�J a COMMUNITY DEVELOPMENT DEPARTMENT.BUILDING DIVISION ED t.;: 10300 TORRE AVENUE.CLIPERTINO,CA 95014-3255 CUPERVIN (408)777-3228. FAX(408)777-3333.building[ cupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI IX REVISION/DEFERRED ORIGINAL PERMIT# 130199C PROJECT ADDRESS o®3ao s�eva v os al &d° APN# OWNER NAME Aleph p nQ PHONEv (/ °z U c�-a7"�?2 EMAIL STREET ADDRESS o. Ao e o/ CITY,STATE,ZIP C /J FAX 0 ten, Aid 60 r 4) �r CONTACT NAMEp �, I ' ONE E-MAIL v STREET ADDRESS Vo laOr CITY, T T ,ZIP ®� AX ' ❑OWNER 0 OWNER-BUILDER 0 OWNER AGENT �NTRACTOR 0 CONTRACTOR AGENT 0 ARCHITECT 0 ENGINEER 0 DEVELOPER 0 TENANT CONTRACTOR NAME V•��G� I Q LICEN NBE R LICENSE TYPE BUS.LIC# COMPANY NAME E-MAIL, v FAX ave04 4� e Ir'/C��aa4� � doMPg77.ro ve- , STREET ADDRESS a ,S • E,�P J P *NE 690 �oh rca �� CITY�/d '< L„ 9rb3c .r. .,34.3s°Z d ARCHITEC,l R Ni. ♦ // LICENSE NUMBER e Q iS�// BUS.LIC# tal-I COMPANY NAMEL E-MAIL l/7.or L/r A �aC�1.MA �I�n -' a VI' a o / STREETADDS SS/S/,_7o �� C _TATE ZIP /��✓(� allIMI /[ /� /p � PHONE 6gbo` , 06g©. t k 7 � 00 �O!o ♦ o o p`�' 0 LJ LS o DESCRIPTION OF WORK JJ 'eyace a -lam r/a &la a a</II `lea '4 % / aleeClecf.1 e 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: 0 DETACH ❑ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES / BEING ADDED? ❑NO ADDITION? ❑NO / /. PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES ,R.ECEIV 4)BY -/ I TOTA 46i4ATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO ,,,,_ �..- By my signature below,I certify to each of the following: I am the property owner or authorized'ag�i/to act on the property owner's bell I have read this application and the information I have provided is correct. I have read the Description of Work and( fY it is accurate. I agree to comply with aII applicable IocaI ordinances and state laws relating to buildin_• .. ion. I authorize representatives of Cupertino to enter the above-iden' ed property for inspection purposes. Signature of Applicant/Agent: Date: ).r-13 SUPPLEMENT• ., •• ATION %i c IRED • . : ,_ PLAN CHECK TYPE ;.., ROUTING SLIP New SFD or Multifamily.-_' . O : Apply for demo Itlon permit for V' f �� VER-THE-COUNTER �.0`Bi ll DING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building • permit for new building- -Q•.EXPRESS 111,.PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ' 1=1":STANDARD.r. .❑:PUBLIC,WORKs, form if any Hazardous Materials are being used as part of this project. ❑•LARGE, 0,FIRE DEPT Copy of Planning Approval Letter or Meeting with Planning prior to p', I• MAJOR 0 SANITARY SEWER DISTRICT submittal of Building Permit application. - ❑,ENVIRONMENTAL HEALTH' BldgApp_2011.doc revised 06/21/11 '11Iff CONSTR CTI]ON PERfifi111T APPLDCATOON �� :I.*-..:.-.. COMMUNITY DEVELOPMENT DEPARTMENT^BUILDING DIVISION bfp 1, 1.94, 10300 TORRE AVENUE e CUPERTINO, CA 95014-3255 u` CUPERTINO (408) 777-3228• FAX (408)777-3333^buildinci cupertino.orq `� ❑NEW CONSTRUCTION ❑ ADDITION et /TI ❑ REVISION/DEFERRED ORIGINAL PERMIT/! PROJECT ADDRESS O,/ /V nn 9k J APN# 1 61 o® 61„,1 o OWNER NAME / ����� 774P1 PHONE��a pj a� e �ql E-MAIL STREET ADDRESS CITY, ATE,ZIP 7 J FAX oft le® - . . a_r --,x6 e4 rb�00L/ CONTACT NAMED® n PHONE E M CO D SV° 'y> W J 9.! LQ ca,, , STREET ADDRESS CITY,STATE, ZIPrimi ❑OWNER 0 OWNER-BUILDER 0 OWNER AGENT 0 CONTRACTOR 0 CONTRACTOR AGENT 0 ARCHITECT 0 ENGINEER 0 DEVELOPER 0 TENANT CONTRACTOR NAMELICENS o ^ M I LICENSE TYPE BUS.LIC# yolk, La.aRbe ,--,, y T COMPANY NAME E-MAIL, r FAX �r2®ri Com.b�a t ' C'S,Vet# ` d'dCOn— (bvi .i_fooL STREET ADDRESS n .7 ` p o / A ��e CITY,STA' ,ZIP, b• 96-635" PHONE 3 o�9.1 f O o �I Q - L' � /r ARCHI 1 G I ER NA, g'ntA. SM.PISA,, LICENSE NUMBER BUS.LIC# COMPANY NAME i E-MAIL , IAA_IAA_ :rir—,fir' . fi•, L A:yLtr Q._A\lL �k_ P +Le.\,1w ca..\-oc f , C -.t. illM= STREET ADDRESS liaili PHONE DESCRIPTION OF WORK ai I_< 4-'..Y.CLA.� toste : 4Ea :4,1:0 -144,i-f- 1 I,6 P,1 g 'E.)'le' LA* 4.,# �.:o ix v w.r A !1.itv `' S. l'--r--- C- is ,`e4eC. EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES t USE TYPE OCC. SQ.FT. VALUATION(5) ARNEWFLOOR DEMOTOTAL all-_ AREA EA to 0 AREA ® AREA P 8D 6 NET AREA 1 p[® ®D..........''....... BATHROOM KITCHEN l OTHER --- REMODEL AREA ....... m 'REMODEL AREA REMODEL AREA � PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: I DETACH --_ 0 ATTACH #DWELLING UMTS: ADDE ❑NOS SECONDS?ORY ❑NOS BEING / ' --- ADDED? 0N ADDITION? ONO Mil PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES 'J if TOTAL VALUATION: PLANNING APPL# ONO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO it-� , Z ►. $@ 0e.D By my signature below,I certify to each of the following: I am the property owner or authorized ./nt to act on the property owner's be alf. I have read this application and the information I have provided is correct. I have read the Description of Work an. verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building co •.'.•.n. I�a representatives of Cupertino to enter the above-i aentifies property for inspection purposes. Signature of Applicant/Agent: - ,.NIL_ Date: 0 `� -i SUPPLEMENTAL P'•-aI' r° ION REQU '1. PLAN CHECK TNPE , ROUTING SLIP New SFD or Multifamily •••- Ings: Apply for demolition permit for _ .( p_..`vR existing building(s). Demolition permit is required prior to issuance of building TBE-COUNTERBVDING PLAN REVIEW permit for new building. 0 EXPRESS - ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 0 STANDARD , . ❑:PUBLIC„WORES form if any Hazardous Materials are being used as part of this project. ❑ LARGE - FIRE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. 0 MAJOR d 0=SANITARY SEWER DISTRICT - -❑ ENVIRONMENTAL HEALTH - . BldgApp_2011.doc revised 06/21/11 tl CITY OF (CUIFERTINO .0\ s 0 y FEE ESTIMAT '� —8UIILf NG DIIVIISIIOI�I . v-- \ 4, ADDRESS: 20300 SCB DATE: 0111612013 REVIEWED Y: i 4,:"°r,,. APN: BP#: / 3O)DO f 7 *VALUATION: $750,000 xPERMIT TYPE: •Building,Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY " PENTAMi ATIION Commercial Building 1B TI USE: PERMIT TYPE: , WORK Apple-2nd floor East wing-comm. T.I 1800 sq ft convert conference rooms into labs, and labs into . ' SCOPE storage • . TYPE OF FLR AREA OCCUPANCY TYPE: PC FEES PC FEE ID rP FEES BP FEE ID CONSTR. (s.ff.) B.(Tenant Improvements) II-B,III-B,IV,V-B 1,800 $2,049.35 IBTIPLNCK $1,534.04 IBTIINSP 1 TOTALS: 1,800 $2,049.35 $1,534.04 MECH,HOURLY ' 0 Yes 0 No PLUMB,HOURLY 0 Yes 0 No ELEC9 HOURLY 6 Yes e N. • Me d,.'Plan Check.• �� Plumb. Plan Check Elea. Plan Check Mech. Perini!Fee: Plumb.1 ermi!Fee: Elec. Permit Fee: .Other hlech,•Imp. • 1 Oilier Plumb Insp. Other Elec.Insp. Mech.Insp. Fee: Plumb. Insp.Fee: Elec.Insp.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 ees are based on the s relimina in ormation available and are only an estimate. Contact the Decor addn'I info. • FEE ITEM(Fee Resolution 11-053 Eff. 7/1/12) (FEE QTLY/FELE MISC ITEMS . Plan Check.Fee: . $2,049.35 Select a Misc Bldg/Structure Suppl.PC Fee:, 0 Reg. 0 OT 0.0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: • ' $1,534.04 Suppl.Insp.Feer Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: • f $0.00 • Construction Tax: ' Administrative Fee: O Work Without Permit? 0 Yes 0 No $0.00 e Advanced Planning Fee: $0.00 Select a Non-Residential e Travel Documentation Fees` Building or Structure • Strong Motion Fee: . IBSEISMICO $157.50 Select an Administrative Item Bldg Stds Commission.Fee: JBCBSC $30.00 • • SUBTOTALS: 1 $3,770.89 $0.00 TOTAL FEE: $3,770.89 Revised: 10/01/2012 14 CH'Y OF CITE r'NIO r f FEE (ESTIMATOR- I:,IUI LIDNNG ADDRESS: 20300 SCB DATE: 02/12/2013 REVIEWED BY: Mendez L (F,51""f• APN: IBP#: 1301087 *VALUATION: $0 "PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PIENTAI�ilAT1<®� 1GENCOM USE: PE r(will['TYPE: WORK REVISION#1- CHANGE LAYOUT ADD OFFICE SPACE, ADD ROOF TOP MECHANICAL UNITS SCOPE Mech. Nth Cr:?ck I'':n;./ Plan Check Elec. Nan(heel Med,..C'..'-inii Fee: Phenh.Pei mit Pee: Ete::..l'ermit Fee: Other;Wed,. h?.,•f,, C)thw Mirth fo.cn. �.J Other Lite.Crap. btec;,.Ji'op„Fee: 'hash.Inc. hasp. 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 preliminary information available and are only an estimates Contact the Deet for addn'1 info. FELE ITEIM[S[Fee Resolution 11-053 Eft: 7/1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes 0 No $0.00 2 hours Plan Check,Hourly Supp%.PC Fee: e. 0 Reg. OT [0.0 hrs $0.00 $266.00 1STPLNCK PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes 0 No $0.00 Supp%.Insp:Fee:O Reg. 0 OT 0,0 hrs $0.00 • PME Unit Fee: $0.00 PME Permit Fee: $0:00 Construction Tei{: ALlin.hiiStra(ive Fee; 0 Work Without Permit? 0 Yes No $0.00 0 Advanced Planning Fee:. $0.00 I 3 hours Inspections 0 Travel Docurrienurtioi'c c'es: $399.00 1STINSP Inspection,Hourly 0 Strong Motion Fee:. • $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $665.00 TOTAL]FELE: $665.00 Revised: 01/01/2013 HAZARDOUS MATERIALS CHECKLIST COMMUNITY DciELOPMENT DEPARTMENT• BUILDING DIVISION �SS.,QJr ALBERT SALVADOR, P.E.,C.B.O., BUILDING OFFICIAL CUPERTINO10300 TORRE AVENUE^CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333 a buildincl cupertino.orq 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 AN 'X' IN THE YES OR NO BOX ON THE SIDE YES NO BELOW. 1. Use, dispensing, mixing or storage of flammable or combustible liquids or gases, . hazardous materials, etc. 2. Battery back-up rooms or racks. tr./ / Gti ,'tg � 1 3. Propane tanks. 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. 14 11. Chemical Storage areas. 12. Flammable liquid storage. *.. �. 'N 1 13. Compressed Gases. jp, \\ ,t, 14. Dry cleaners. 44, 15. Print Shops. 16. Auto Repair and Auto Body Shops. 7, Research and Development. 'For any additional information regarding this checklist, please contact Hazardous Materials Specialist, Santa Clara County Fire Department, at(408)378-4010. HasMa[ 2011.doc revised 03/07/11 ,.. . , 4. TèstandBail,, 0 , A ' "Your r AC ' a e ® �a es You s oval 1686 Second Street Livermore,CA 94550 Test, Adjust & Balance Report /4*:'' if 361 °° r 7 PROJECT: Apple CC1.2E F41 ADDRESS: 20300 Stevens Creek Blvd. 4'' Cupertino, CA 3 . 1) /3 ARCHITECT: Hayes Group ENGINEER: United Mechanical,Inc. GENERAL CONTRACTOR: Devcon HVAC CONTRACTOR: United Mechanical,Inc. LEAD BALANCE TECHNICIAN: Stephen Perry DATE: 3/14/2013 000.astMandeva„ ,ee Your HVAC-erformance =rofessjonal- 1686 Second Street Livermore,CA 94550 AIR SYMBOL SHEET PROJECT: Apple CC1.2E DATE: 3/14/2013 ADDRESS: 20300 Stevens Creek Blvd. Cupertino,CA PAGE: 1 CFM Cubic Feet Per Minute FPM Feet Per Minute RPM Revolutions Per Minute HP Horse Power BHP Brake Horse Power FLA Full Load Amps SF Service Factor "W.G. Inches of Water gauge SP Static Pressure TSP Total Static Pressure ESP External Static Pressure AP Differential Pressure AT Differential Temperature °F Degree Fahrenheit °C Degree Celcius CD Ceiling Diffuser CS Ceiling Supply CR Ceiling Return WS Wall Suppy WR Wall Return CE Ceiling Exhaust WE Wall Exhaust EDS Exposed Duct Supply ODUCT Open Duct DSOX Duct Sox LSD Linear Slot Diffuser HEPA High Efficiency Particulate Air Filter FP-HEPA Fan Powered-High Efficiency Particulate Air Filter DNA Data Not Available DNL Data Not Listed NA Not Applicable LOA Lack of Access NI Not Installed QOM itegand -Your• AG '-e..Mlanc.e.ProfeSSionar 1686 Second Street Livermore,CA 94550 GENERAL NOTES PROJECT: Apple CC1.2E DATE: 3/14/2013 ADDRESS: 20300 Stevens Creek Blvd. Cupertino,CA PAGE: 2 1 Unless otherwise noted, indicated CFM(Cubic Feet per Minute) is a standard condition. 2 Where no number is indicated under Effective Area or FPM (Feet per Minute)column,test readings were measured with a Air Flow Hood which reads direct CFM. 3 Unless otherwise noted, all sizes are measured in inches. 00oas11Baian� "Igotir-T2 erformance -rofessio ar 1686 Second Street Livermore,CA 94550 AIR APPARATUS REPORT PROJECT: Apple CC1.2E DATE: 3/14/2013 SYSTEM: FC 2.3 PAGE: 3 EQUIPMENT:DAT,4 ; , ,,, ..FC-2.3_• LOCATION OPEN AREA CEILING SERVICE LAB GALAXY 2033 MANUFACTURER DAIKIN MODEL NUMBER FXMQ96MVJU SERIAL NUMBER A000693 FAN DATA DESIGN TESTED DESIGN TESTED TOTAL AIR CFM 2540 2685 RETURN AIR CFM DNA NM OUTSIDE AIR CFM DNA NA _ RPM DNA NM _ ESP"W.G. 0.43 0.53 DISCHARGE SP"W.G. DNA 0.41 SUCTION SP"W.G. DNA 0.12 COIL AP"W.G. DNA 0.19 FILTER AP"W.G. DNA 0.22 MOTOR'D9TA NAMEPLATE TESTED NAMEPLATE TESTED • MOTOR MFG/FRAME DNA(1) e tz',,sfal 1Kii.i y.?,r t 941i f fi HORSEPOWER DNA(1) a ���Is �>€'I'�s��'n� � fit- -��� RPM DNA(1) LOW SPEED VOLTAGE/PHASE DNA(1) 209 AMPERAGE/SF DNA(1) 8.1 NO.BELT/SIZE _ DIRECT DRIVE MOTOR SHEAVE x BORE DIRECT DRIVE FAN SHEAVE x BORE DIRECT DRIVE NO.FILTER/TYPE/SIZE 2/PLEATED/20 x 24 x 1 REMARKS: (1)Fan nameplate was not accessible. ooasta_nda/an Ace -Your._VAC '•elformance =rofgSsional- 1686 Second Street Livermore,CA 94550 AIR DISTRIBUTION REPORT PROJECT: Apple CC1.2E DATE: 3/14/2013 SYSTEM: FC 2.3 PAGE: 4 AREA OUTLET/INLET DESIGN PRELIMINARY PRELIMINARY FINAL _ NOTE SERVED O. H TYPE SIZE CFM CFM CFM CFM 2033 1 MCD 18 DNA 1100 945 2033 2 MCD 18 DNA 1060 905 2033 3 MCD 18 DNA 975 835 FC 2.3 TOTAL 2540 3135 2685 (1) REMARKS: (1)Preliminary total was measured with the fan motor on high speed. Coast Mand Galan ice ( ) Your-HVAC=ertor age ,,ofesslonai- 1686 Second Street Livermore,CA 94550 VAV DISTRIBUTION REPORT PROJECT: Apple CC1.2E DATE: 3/14/2013 SYSTEM: Existing AC PAGE: 5 , AREA OUTLET I INLET , DESIGN 1 PRE FINAL NOTE , SERVED L „NO._ .TYPE. ,1. SIZE MIN CLG MIN HTG MAX CLG 1,MAX CLG MIN CLG MIN HTG MAX CLG 2005 1 CD 14 475 92 490 2005 2 CD 14 475 77 430 VAV 2.3A TOTAL 170 NA 950 169 NA 920 2006 1 CD 14 475 84 495 2006 2 CD 14 475 77 460 VAV 2.4A TOTAL 170 NA 950 161 NA 955 2007 1 CD 14 475 100 480 2007 2 CD 14 475 87 430 VAV 2.5A TOTAL 170 NA 950 187 NA 910 2033 1 MCD 14 DNA 420 1615 2033 2 MCD 14 DNA 500 1650 VAV 2.33 TOTAL 955 NA 3185 920 NA 3265 REMARKS: . Coast WandSalan ve ( ) Your-HVAC Performance '-.ofessionai- 1686 Second Street Livermore,CA 94550 VAV DISTRIBUTION REPORT PROJECT: Apple CC1.2E DATE: 3/14/2013 SYSTEM: Existing AC PAGE: 6 AREA OUTLET/INLET DESIGNPRE . FINAL NOTE SERVED, NOYPE. TSIZE 1 MIN CLG 1 MIN HTG 1 MAX CLG III MAX CLG MIN CLG 1 MIN HTG MAX CLG 2004 1 MCD _ 18 1150 83 1110 2004 2 MCD 18 1150 24 1235 2004 3 MCD 18 1150 41 1100 2004 4 MCD 18 1150 66 1120 VAV 2.35 TOTAL 150 NA 4600 214 NA 4565 REMARKS: itsall nye -Your-MVAC Performance'rOfesstonai- 1686 Second Street Livermore,CA 94550 JOHNSON CONTROLS DDC VAV DATA REPORT PROJECT: Apple CC1.2E DATE: 3/14/2013 SYSTEM: Existing AC PAGE: 7 UNIT=S a i , ;SIZE./AREA, ;Hi, ;iADDRESS FLOW GAIN DPP, NOTE VAV 2.3A 10/0.55 58 3.253 0.45 VAV 2.4A 10/0.55 60 2.945 0.47 VAV 2.5A 10/0.55 101 3.336 0.20 VAV 2.33 16/1.40 100 2.441 0.22 VAV 2.35 24x16/266 x16 87 2.607 0.61 REMARKS: