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12060090CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20580 HOMESTEAD RD CONTRACTOR: SOUTH BAY PERMIT NO: 12060090 CONSTRUCTION, INC OWNER'S NAME: CAMPUS PARK ASSOCIATES 1711 DELL AVE DATE ISSUED: 03/06/2013 PHONE: 4084460700 CAMPBELL, CA 95008 PHONE NO: (408)379-5500 ��OWNER'S LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL 20580 & 20590 HOMESTEAD RD-CONSTRUCTION OF 2 License Class Lic. NEW COLD SHELL RETAIL BUILDINGS 55,060 SQFT Contractor —S,->NTV\KAA C{�ti)S`r, Date 3Q REV # 5 - REMOVE VERTICAL SIDEWALL SPRINKLERS I hereby affirm that I am licensed under the provisions of Chapter 9 AT MAJOR # 1 EAST EXTERIOR WALL - ISSUED 1/30/15 (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 Sq. Ft Floor Area: Valuation: $5000000 performance of the work for which this permit is issued. d will maintain Worker's Compensation Insurance, as provided for by k7a.c. 3700 of the Labor Code, for the performance of the work for which this APN Number: 32610063.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 certify that 1 have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS 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 180 DAYS FRO LED 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. Additionally, the applicant understands and will compl at : .30 with all non-point source regulations per the Cupertino Municipal Code, Section 9.18. RE-ROOFS: Signat a 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 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 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(x) 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 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 9.12 and 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 the Health & Safety Code, Secy' s- 0_3, and 25534. Owner or authorized agen Date: 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, [ 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. 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 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-point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date Yl - CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20580 HOMESTEAD RD CONTRACTOR: SOUTH BAY PERMIT NO: 12060090 CONSTRUCTION, INC OWNER'S NAME: CAMPUS PARK ASSOCIATES 1711 DELL AVE DATE ISSUED: 03/06/2013 OWNER'S PHONE: 4084460700 CAMPBELL, CA 95008 PHONE NO: (408)379-5500 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL �, �� 20580 & 20590 HOMESTEAD RD -CONSTRUCTION OF 2 License Class t-7 Lia # -' NEW COLD SHELL RETAIL BUILDINGS 55,060 SQFT Contractor �y�r� j ��, 1 � Y>t `'"`I Date G �0 DEF # 2 - METAL AWNING & CALC'S - ISSUED 9/16/14 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 Sq. Ft Floor Area: Valuation: $5000000 performance of the work for which this permit is issued. rhave and will maintain Worker's Compensation Insurance, as provided for by ion 3700 of the Labor Code, for the performance of the work for which this APN Number: 32610063.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS 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 180 DAYS ED INSPECT ON. indemnify and keep harmless the City of Cupertino against liabilities, judgments, _ costs, and expenses which may accrue against said City in consequence of the - /V( granting of this permit. Additionally, the applicant understands and will comply Date: / with all non- oint.sourw,e regulations per the Cupertino Municipal Code, Section 9.18. ' .5 1 RE -ROOFS: Signatul(_ _j . . Date All roofs shall be inspected prior to any roofing material being installed. if a roof is installed without first obtaining an inspection, l agree to remove all new materials for inspection. ❑ ',OWNFR-BUILDER DECLARATION Signature of Applicant Date: 1 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 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,tfie Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with/the Cuper 'no Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code,S, V do 5505255 3, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized a ent: "' Dater le g permit is issued. - -- I certify that in the performance of the work for which this permit is issued, l 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 l 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. 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 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 -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20580 HOMESTEAD RD CONTRACTOR: SOUTH BAY PERMIT NO: 12060090 CONSTRUCTION, INC OWNER'S NAME: CAMPUS PARK ASSOCIATES 1711 DELL AVE DATE ISSUED: 03/06/2013 OWNER'S PHONE: 4084460700 CAMPBELL, CA 95008 PHONE NO: (408)379-5500 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL 20580 & 20590 HOMESTEAD RD-CONSTRUCTION OF 2 Lic se Class V01 Lic. # NEW COLD SHELL RETAIL BUILDINGS 55,060 SQFT Contractor Con�Date EVISION #4- REVISE BUILDING FRAMING FOR WINDOW _2 OPENING, RELOCATE STOREFRONT DOORS - ISSUED I hereby affirm that I am licensed under the provisions of Chapter 9 8/29/14 (commencing with Section 7000) ofDivision 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 Sq. Ft Floor Area: Valuation: $5000000 performance of the work for which this permit is issued. J.havc 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: 32610063.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS 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 180 DAYS FROM 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. Additionally, the applicant understands and will comply Issued by: Date: with all non- of u e regulations per the Cupertino Municipal Code, Section 4 —19.18. % RE-ROOFS: Signature Date_ t 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.I2 and the declarations: Health & Safety Code, Section 25532(x) should I store or handle hazardous 1 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 I performance of the work for which this permit is issued, will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sect'ons 25505, 2 533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent Dateei 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 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. 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, 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.I8. Signature Date CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20580 HOMESTEAD RD CONTRACTOR: SOUTH BAY PERMIT NO: 12060090 CONSTRUCTION, INC OWNER'S NAME: CAMPUS PARK ASSOCIATES 1711 DELL AVE DATE ISSUED: 03/06/2013 OWNER'S PHONE: 4084460700 CAMPBELL, CA 95008 PHONE NO: (408)379-5500 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E] 20580 & 20590 HOMESTEAD RD -CONSTRUCTION OF 2 License Class 1b Lie. #��� NEW COLD SHELL RETAIL BUILDINGS 55,060 SQFT ContractoGQDTIA„D_O Onr,4S;C Date .__ REVISION #2- REVISE ENTRY AT (2) MAJOR BUILDING 1 hereby affirm that 1 am licensed under the provisions of Chapter 9 TO PROVIDE NEW ENTRY TOWER AND STOREFRONT (commencing with Section 7000) of Division 3 of the Business & Professions FOR (1) TENANT, ADD DEMISING WALL, REVISE Code and that my license is in full force and effect. EXTERIOR LIGHTING 2987 SQ FT - ISSUED 3/12/14 1 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: $5000000 performance of the work for which this permit is issued. I t,ave 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: 32610063.00 Occupancy Type: )PI rmit is issued. APPLICANT CERTIFICATION I certify that 1 have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct I agree to comply with all city and county ordinances and state Taws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned properly for inspection purposes. (We) agree to save 180 DAYS FROI L ALLED 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 Y granting of this permit. Additionally, the applicant understands and will comply Issued Date: with all non -point source regulations per the Cupertino Municipal Code, Section RE -ROOFS: 9.18. Signature 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. F1 WNER-BUILDER DECLARATION Signature of Applicant: Date: 1 hereby affirm that 1 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) I, as owner of the property, am exclusively contracting 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. I will 1 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 1 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 I 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 Section 3700 of the Labor Code, for the performance of the work for which this the Health & Safety Code, ScAtio 0 nd 25534. 1 Lt Owner or authorized agent: Date permit is issued. 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 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, 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 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION 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 prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 UL 7/1/13) ADDRESS: 20580 homestead rd DATE: 11/15/2013 REVIEWED BY: Mendez APN: BP#: 'VALUATION: Iso *PERMIT TYPE: I Building Permit PLAN CHECK TYPE: New Construction PRIMARY Commercial Building USE: Civil / Religious activities in BQ zone. 0 Yes E) No PENTAMATION 1 GENCOM PERMIT TYPE: WORK truss calcs SCOPE 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 prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 UL 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 1 # $278.00 Deferred Submittal 1DEFSUBM El Suppl. PC Fee: Q Reg. Q OT 0.0 hrs 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 prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 UL 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 1 # $278.00 Deferred Submittal 1DEFSUBM Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee -0 Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: 1BCONSTAXC $0.00 Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure A i ifi('? I�Oc'1tfJlC�rf.CtP'?tttl 1"e'E'.3: Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $278.00 TOTAL FEL: 1 $278.00 Revised: 10/01/2013 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20580 HOMESTEAD RD CONTRACTOR: SOUTH BAY PERMIT NO: 12060090 CONSTRUCTION, INC OWNER'S NAME: CAMPUS PARK ASSOCIATES 1711 DELL AVE DATE ISSUED: 03/06/2013 OWNER'S PHONE: 4084460700 CAMPBELL, CA 95008 PHONE NO: (408)379-5500 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIAL icense Class Lic. #� 20580 & 20590 HOMESTEAD RD -CONSTRUCTION OF 2 NEW COLD SHELL RETAIL BUILDINGS 55,060 SQFT Contract ateREVISION �Chpter #1 -ENTRY AT MAJOR 2 BUILDING TO PROVIDE I hereby affirm that I am licensed under the provisi REVISION #1 -ENTRY AT MAJOR 2 BUILDING TO (commencing with Section 7000) of Division 3 of the Business & Professions PROVIDE NEW ENTRY TOWER AND STOREFRONT FOR 2 Code and that my license is in full force and effect. TENANTS, ADDED NEW EXIT AND ROLL UP DOORS, I hereby affirm under penalty of perjury one of the following two declarations: DELETED DEMISING WALL REVISE LAY OUT - ISSUED I have and will maintain a certificate of consent to self -insure for Worker's 6/20/2013 Compensation, as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $5000000 performance of the work for which this permit is issued. 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 APN Number: 32610063.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR OF to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS + CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may a against said City in consequence of the/ 2 granting of this permit. Ad ' 'o ly, the applicant understands and will comply Issued b a e. CrJ with LLI non -pointsourc tions per the Cup ipal Code, Section 9.18. /� a �� RE -ROOFS: Signature Dat 6=� C/ m 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 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 Ba Air Quality Management District I performance of the work for which this permit is issued. will maintai compliance with the per ' Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health 8J Safety Cod c . n 533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized a Dat . 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 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 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 I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 20580 HOMESTEAD RD I CON TR C T ON, IN BAY I PERMIT NO: 12060090 I OWNER'S NAME: CAMPUS PARK ASSOCIATES 1 1711 DELL AVE 1 DATE ISSUED: 03/06/2013 1 OWNER'S PHONE: 4084460700 1 CAMPBELL, CA 95008 1 PHONE NO- (408)379-5500 1 ❑ LICENSED CONTRACTOR'S DECLARATION License Class Lic. # Contractor tP\k CSNDate_ t(1t fiq 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 provide�LL 'e tion 3700 of the Labor Code, for the performance of the work for 'mMnit is issued. APPLICANT CERTIFICATION 1 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 ofCupertino 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 regulati s per the Cupertino Municipal Code, Section 9.18. Signature Date—� ❑ IL 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 (Sec.7044, Business & Professions Code) 1, 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: 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. 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. 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 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, 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. Date JOB DESCRIPTION: RESIDENTIAL F� COMMERCIAL ❑ 20580 & 20590 HOMESTEAD RD -CONSTRUCTION OF 2 NEW COLD SHELL RETAIL BUILDINGS 55,060 SQFT NW64JPW-DEFER D #1 -TRUSS CALCS- ISSD 3/14/2014 Ft Floor Area: I Valuation: $5000000 APN Number: 32610063.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FR LED INSPECTION. Date: f RE -ROOFS: All roofs shall bei ted prior to any roofing material being installed. if a roof is installed witho 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 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 contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the �ertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Se 3, and 25534. Owner or authorized gent- Dater 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 CITY OF CUPERTINO FM_7 FEE ESTIMATOR - BUILDING DIVISION 1AADDRESS: 20580 homestead rd DATE: 11/25/2013 REVIEWED BY: Mendez APN: BP#: 'VALUATION: 1$160,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial BuildingT USE: 0.0 PENTAMATION PERMIT TYPE: WORK revision #2- revise entry at 2 manor building to provide new entry tower and storefront for 1 tenant SCOPE add demising wall, revise exterior lighting 2987 sq ft L . tui. Li NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etch These fees are based an the nreliminary information available and are only an estimate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 Eff 7/1.113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: (j)Reg. OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee -0 Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 tlY?S/1'flC`l1Url l cLt: Work Without Permit? 0 Yes Q No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure E) 7r<:;crl 1>,ncrrul;e rt�alifrt /",`,,= Strom Motion Fee: IBSEISMICO $33.60 1 # $834.00 Revisions 1REVCOMNEW Commercial New Bldg Stds Commission Fee: IBCBSC $7.001 SUBTOTALS $40.60 $834.00 TOTAL FEE: $874.60 Revised: 10/01/2013 CITY OF CUPERTINO Fm -S FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 20580 FEE DATE: REVIEWED BY: APN: BP#: 'VALUATION: 1$18,000 `PERMIT TYPE: Building Permit $0.00 PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: Suppl. PC Fee: 0 Reg. 0 OT PENTAMATION PERMIT TYPE: WORK revision #4 PME Plan Check: SCOPE $0.00 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 estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 7;1:731 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 G Work Without Permit? 0 Yes (2) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure E) i Strom Motion Fee: 1BSE1SM1CO $3.78 1 # $834.00 Revisions 1REVCOMNEW Commercial New Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $4.78 $834.00 TOTAL FEE: 1 $838.7$ Revised: 07/01/2014 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20580 HOMESTEAD RD CONTRACTOR: SOUTH BAY PERMIT NO: 12060090 CONSTRUCTION, INC OWNER'S NAME: CAMPUS PARK ASSOCIATES 1711 DELL AVE DATE ISSUED: 03/06/2013 OWNER'S PHONE: 4084460700 CAMPBELL, CA 95008 PHONE NO: (408)379-5500 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ r ��1 20580 & 20590 HOMESTEAD RD-CONSTRUCTION OF 2 License Class Lic. 4 I NEW COLD SHELL RETAIL BUILDINGS 55,060 SQFT REVISION 0- REVISE ENTRY AT MAJOR I BUILDING TO Contractor ��� Date Z 4 PROVIDE NEW FACADE ANDS STOREFRONT - ISSUED I hereby affirm that I am lid nsed under the provisions of Chapter 9 5/22/14 (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: 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: $5000000 tilerformance of the work for which this permit is issued. ave and will maintain Worker's Compensation Insurance, as provided for by uon 3700 of the Labor Code, for the performance of the work for which this permit is issued. APN Number: 32610063.00 Occupancy Type: APPLICANT CERTIFICATION 1 certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DA IT 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 LAS LLED 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. Additionally, the applicant understands and will comp) sued by: Date: with alln n- rce regulations per the Cupertino Municipal Code, Section 9.18. I f ROOFS: Signatu Date l L All roofs shall be inspected prior to anyny 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: 1 hereby affirm that 1 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) 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 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 I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and 1 have and will maintain Worker's Compensation Insurance, as provided for by the Health &Safety Code, etions 2 5534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent. Dater permit is issued. 1 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. I£ after making this certificate of exemption, I CONSTRU TION 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 ofthis 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 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 20580 HOMESTEAD RD DATE: 10/28/2014 REVIEWED BY: MELISSA MISC ITEMS APN: 32610 063 BP#: 12060090 2 hours Plan Check, Hourly $286.00 1STPLNCx 'VALUATION: Iso PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building7 PME Plan Check: LPENTAMATIONUSE: MIT TYPE: 1GENCO i WORK 10/28/14 - REV # 5 - REMOVE VERTICAL SIDEWALL SPRINKLERS AT MAJOR # 1 EAST SCOPE EXTERIOR WALL 1 hrs 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 estimate. Contact the Dept for addn'l info. FEE ITEMS ,Lee Resolution 11-053 E(7i1%13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? Q Yes Q No $0.00 2 hours Plan Check, Hourly $286.00 1STPLNCx Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00- 0 Work Without Permit? 0 Yes Q No $0.00 Advanced Planning I'ee: $0.00 Select a Non -Residential E) Building or Structure 0 Strom Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $286.00 TOTAL FEE; $286.00 Revised: 08/20/2014 CITY OF CUPERTINO FEW FEE ESTIMATOR - BUILDING DIVISION imADDRESS: 20580 & 20590 HOMESTEAD RD DATE: 03/13/2013 REVIEWED BY: MENDEZ APN: ---TB-P#: 12060090 *VALUATION: 1$100,000 %PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: FO.0 PENTAMATION I PERMIT TYPE: WORK REVISION #1- TO ENTRY AT MAJOR 2 BUILDING TO PROVIDE NEW ENTRY TOWER AND SCOPE STOREFRONT FOR 2 TENANTS, ADDED NEW EXIT AND ROLL UP DOORS, DELETED p NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School Dietrirt otr 1 Thorn fooc aro hacod nn tho nroliminary infnrmatian avaiiahio and aro nniv an owimato_ Contact the Dont for addn'l infix FEE ITEMS (Fee Resolution 11-053 Eff 7,1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: 0 Reg. Q OT FO.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:E) Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 cIdmigi,. lizinq,e 1., Work Without Permit? Q Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 1'1^0 J l)Fxat! tclrf,cl!"r�r, Strong Motion Fee: IBSEISMICO$21.00 F 1 # $799.00 Revisions 1REVCOMTI Tenant Improvement. .` Bldg Stds Commission Fee: IBCBSC $4.00 SUBTOTALS: $25.00 $799.00TOTALYEE: $824.00 Revised: 01/01/2013 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20580 HOMESTEAD RD CONTRACTOR: SOUTH BAY PERMIT NO: 12060090 CONSTRUCTION, INC OWNER'S NAME: CAMPUS PARK ASSOCIATES 1711 DELL AVE DATE ISSUED: 03/06/2013 OWNER'S PHONE: 4084460700 CAMPBELL, CA 95008 PHONE NO: (408)379-5500 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL in COMMERCIAL License Class Lic. # 20580 & 20590 HOMESTEAD RD-CONSTRUCTION OF 2 NEW Contractor Date COLD SHELL RETAIL BUILDINGS 55,060 SQFT 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 Sq. Ft Floor Area: Valuation: $5000000 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 APN Number: 32610063.00 Occupancy Typc: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS 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 180 DA ROM 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. Additionally, the applicant understands and will comply Issued by: Date l . with all non-point source tions per the Cupertino Municipal Code, Section 9.18. RE-ROOFS: Signature atAll roofs shall be inspected prior to any roofing material being installed. If a roof is Z#74� 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 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 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(x) 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 I performance of the work for which this permit is issued. with the Cu ino Municipal Code, Chapter 9.12 and will maintain compLag I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safe , Sectio 5, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized Da 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 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 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 Mh_s ar�_ I M/x-3� x 2, r7mX7 !'11r !'1rrnT, i1Ti1kTl1 OCCUPANCY TYPE: t.11 1 Vr %_Url'ill1111V FEE ESTIMATOR - BUILDING DIVISION FLR AREA s.f. PC FEES ADDRESS: 20580/90 Homestead Road DATE: 06/15/2012 REVIEWED BY: Sean BP FEE ID APN: I BP#: "VALUATION: 1$5,000,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction 1OSINSP PRIMARY Commercial Building Civil / Religious activities PENTAMATION 1 SHELLBLD USE: $0.00 in BQ zone? 0 Yes G No PERMIT TYPE: $0.00 WORK Construction of 55,060 sq ft retail building - shell only. 1r SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID Shell Bldgs II-B,111-B,IV,v-B 55,060 $13,364.26 IOSPLNCK $24,811.53 1OSINSP Permit Fee: $24,811.53 Suppl. Insp. Fee:Q Reg. 0 OT 1 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: 1BcoAsTAxc $139,852.4, 0 E) Work Without Permit? 0 Yes Q No $0.00 TOTALS: 55,060 $13,364.26 $24,811.53 Strong; Motion Fee: 1BSEISMICO 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 estimate. Contact the Dept for addn'l info. FEE ITEMSlee 2esolulion 11-053 Eff 7:'/!11) FEE QTY/FEE MISC ITEMS Plan Check Fee: $13,364.26 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q) Reg. 0 OT 0,0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $24,811.53 Suppl. Insp. Fee:Q Reg. 0 OT 1 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: 1BcoAsTAxc $139,852.4, 0 E) Work Without Permit? 0 Yes Q No $0.00 Advanced Planning Fee: PLLONGRNGC $14,315.60 Select a Non -Residential Q Building or Structure 0 Strong; Motion Fee: 1BSEISMICO $1,050.00 Select an Administrative Item 1 BW Stds Commission Fee: 1BCBSC $200.001 SUBTOTALS: 193,593.79 $0.001 TOTAL FEE: $193,593.79 Revised: 06/05/2012 CITY OF CUPERTINO FM_7 FEE ESTIMATOR - BUILDING DIVISION kaADDRESS: 20580/90 Homestead Road DATE: 06/15/2012 REVIEWED BY: Sean PC FEE ID APN: BP#: *VALUATION: j$5,000,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY USE Commercial Building Civil / Religious activities in B zone? Yes Q � Q No PENTAMATION PERMIT TYPE: 1 SHELLBLDG WORK Construction of 55,060 sq ft retail building - shell only. SCOPE Suppl. Insp. Fee Q Reg. Q OT OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID Shell Bldgs II-B,111-B,IV,V-B 55,060 $13,364.26 10SPLNCK $24,811.53 1OSINSP Permit Fee: $24,811.53 Suppl. Insp. Fee Q Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONST4XCT7-- $139,852.4, E) Work Without Permit? Yes E) No $0.00 TOTALS: 55,060 $13,364.26 $24,811.53 Strong Motion Fee: IBSEISMICO NOTE: This estimate does not include fees due to other Departments (i. e. Planning, Public Works, Fire, Sanitary Sewer District, School Metrirt otr_ L Thoco Fooc aro hacod an tho nroliminary iniarmatinn availahlo and are nnly an o.ctimate_ Cantart tho Dent tar addn'I inin_ FEE ITEMS Fee Resolution11-053 E : 7/1 /11) FEE QTY/FEE MISC ITEMS Plan Check Fee: $13,364.26 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: (F)Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $24,811.53 Suppl. Insp. Fee Q Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONST4XCT7-- $139,852.4, E) Work Without Permit? Yes E) No $0.00 Advanced Planning_Lee. PLLONGRNGC $14,315.60 Select a Non -Residential Q Building or Structure Strong Motion Fee: IBSEISMICO $1,050.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $200.00 SUBTOTALS: 193,593.79 $0.00 TOTAL FEE: $193,593.79 Revised: 06/05/2012 CITY OF CUPERTINO Dm___7 FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 20580 HOMESTEAD RD DATE: 08/04/2014 REVIEWED BY: MELISSA APN: 32610 063 BP#: -VALUATION: Iso PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial BuildingF1GENCOM USE: Deferred Submittal IDEFSUBNI PENTAMATION PERMIT TYPE: � WORK 8/4/14 -DEF # 2 - METAL AWNING & CALC'S SCOPE $0.00 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 prelimina information available and are onIV an estimate. Contact the Dept or addn'l info. FEE ITEMS (Fee Resolution II -053 Eff: 7,'L%I3)FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 1 1 # $286.00 Deferred Submittal IDEFSUBNI Suppl. PC Fee: 0 Reg. © OT FO.OThrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT F0.0Thrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 1 1 0 E) Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning fee: $0.00 Select a Non -Residential Building or Structure G 0 Strom Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.001 $286.00 TOTAL FEE: $286.00 Revised: 07/10/2014