B-2016-1219 RFI #10CONSTRUCTION PERMIT APPLICATION 0
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildino(ftuoertino.orG Main Retail
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B
C—In IUPERTINO I
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I NEW CONSTRUCTION ADDITION ALTERATION / TI IX REVISION / DEFERRED ORIGINAL PERMIT g 15040206
PROJECT ADDRESS 19499 Stevens Creek Blvd
APNN j (� 2
OWN13RNAME Sand Hill Const Management
PHONE
E-MAIL nkumar@shcmllc.com
STREET ADDRESS 2822 Sand Hill Rd, Ste 241
CITY' STATE, ZIP Menlo Park 94025
FAX
CONTACT NAME Nandy Kumar
PHONE 650-344-1500
E-MAIL nkumar@shcmllc.com
STREET ADDRESS 2822 Sand Hill Rd, Ste 241
CITY, STATE, ZIP Menlo Park, 94025
FAX
DOWNER ❑ OWNER -BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME Summer Olson -Todd
LICENSENUMBER 336974
I
LICENSE TYPE B
U
BUS. LIC% 5655
COMPANYNAME South Ba Construction
Y
E-MAIL
solsontodd@sbci.com
FAX
STREET ADDRESS 1711 Dell Ave
CITY, STATE, ZIP Campbell, CA 95008
PHONE 408-379-5500
ARCHITECT/ENGINEER NAME Cliff Chang
LICENSE NUMBER
BUS, LICA
COMPANYNAME Chang Architecture
E-MAIL cliff@changarchitecture.coni
FAX
STREET ADDRESS 251 Park Road, #900
CITY' STATE, ZIP Burlingame, 94010
PHONE
DESCRIPTION OF WORK RFI's for Main Retail Permit #15040206 (RFI#10 for clarification for Planning review)
EXISTINGUSE PROPOSED USE
CONSTR.TYPE
#STORIES
I
USE
TYPE
OCC.
SQ.FT.
VALUATION ($)
EXISTO
NEW FLOOR
DEMO
TOTAL
AREA
AREA
AREA
NETAREA
BATHROOM
KITCHEN OTHER
Rl- ODEL AREA
REMODELAREA REMODEL AREA
PORCH AREA
DECKAREA TOTAL DECKA'ORCH AREA
OARAOEAREA: ❑DETACH
❑ ATTACH
0 DWELLING UNITS:
ISASECOND UNIT ❑YES
SECOND STORY L] YES
BEING ADDED? []NO
ADDITION? ❑NO
PRE -APPLICATION []YES IF YES, PROVIDE COPY OF I
IS THE BLDG AN E] YES
'TOTACVALUA9{ON:
PLANNINCAPPLN ❑NO PLANNING APPROVAL LETTER
EICIILERIIOMEs
By my signature below, I certify to each of the following: 1 out the property owner or authorized 9Wto act on the plro owner's behalf I have read this
application and the information I have provided is correct. I'have read the Deaoriyption of Work and verify it is acc . I agree to comply with all applicable local
' ronstrnctyo/1,I',liuth
ordinances and slate laws relating to buil g a res" otives of Cupertino to enter , ove-identified property for inspection purposes.
�1
Signature of Applicant/Agent: Date: 1/19/16
SUPPLEMENTAL INFORMATION REQUIRED
PLAN CHECK TYPE
ROUTING SLIP
❑ OVER41RE-COUNTER
❑ BUILDING PLAN REVIEW
_ New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
permit for new building.
❑ EXPRESS
❑ PLANNING PLAN REVIEW
_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
El STANDARD
El PUBLIC WORKS
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.
MAJOR
SANITARY SEWER DISTRICT
❑ ENVIRONMENTAL HEALTH
BldgApp_2011.doe revised 06121111
SOUTH BAY
CONSTRUCTION
A REPUTATION BUILT ON TRUST.
Date:
Submitted To:
Contact Person:
Phone/Email:
Respond By:
Reference:
Originated From:
Subject:
Nov 13, 2015
Chang Architecture
251 Park Road #900
Burlingame, CA 94010
RFI # 10
#2921 MSC Main Retail 119499 Stevens Creek Blvd , Cupertino
City Dept. Review Req. by: B / F /@/ S / W / None
Clifford Chang
650-340-9415 / cliff@changarchitecture.com
November 18, 2015 Direct Response To: Summer/ solsontodd@sbci.com
Main Retail Cost Impact: TBD
Ciarra Schedule Impact: No
IPE size clarification
Question:
Please confirm that 1x6 shiplap IPE is acceptable per details in lieu of 2x6 tongue and groove
Response:
By: Company: i � / r Date:
TI