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B-2016-2469CITY OF CUPERTINO BUILDING PERMIT! BUILDING ADDRESS: 20230 STEVENS CREEK BLVD CUPERTINO, CA 95014-2210 (369 02 031) ONTRACTOR: PERMIT NO: B-2016-2469 PR CONSTRUCTION GENERAL REDWOOD CITY, CA 94063 OWNER'S NAME: TORRE AVENUE PROPERTIES I I DATE ISSUED: 08/15/2016 I I OWNER'S PHONE: I I PHONE NO: (650) 474-1450 I License Class _QENERAL ENGINEERING CONTRACTOR Lic. #953749 Contractor DPR CONSTRUCTION A GENERAL PARTNERSHIP Date 10/31/2018 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: a. 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. 2. 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 permit is issued. APPLICANT CERTIFICATION 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 reg [at' er the C rtino Municipal Code, Section 9,18. J Signature Date I hereby affirm that I am exeW from the Contractor's License Law for one of the following two reasons: x. 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) 2. I, 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. 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. z. 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 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, 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 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 PERMIT INFO: BLDG —ELECT —PLUMB MECH _ RESIDENTIAL X COMMERCIAL JOB DESCRIPTION: ROOM 152 & 152A 1 ST FLOOR;TI, - OFFICE -AMAZON REV # 3 - PLAN SHEET CAPTURE FOR EXISTING DOUBLE DOOR - ISSUED 11/7/2016 REV # 2 - ADD (1) 20 AMP CIRCUIT FOR SECURITY RM MDF # 152A -ISSUED 11/1/16 REV # 1 - (8/22/16)ADD PARTITION WALL TO RM 152 TO CREATE RM 171 (ELECTRICAL RM) -ISSUED 8/25/16 TI PREP B-2016-2484 Ft Floor Area: ' I Valuation: $200000.00 APN Number Occupancy Type: 369 02 031 1 A (Tenant Improvements),B (Tenant Improvements) PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby Ayende Date: 08%_-5AN6 & 11(`°`x• I l U 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 of Applicant: ALL ROOF COVERINGS TO BE CLASS "A" OR 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 M532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defiued'by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Cod f"ons 25 O5, 25533, and 25534. {; Owner or authorized agen / Date: I N LXL AGENCY MINI hereby affirm that there is a construction I Ding 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. CUPER T INO- I V,-Nk, MWIZT 11('T-In\T CONSTRUCTION PERWTAPPLICA►ION COt,liMUNI TY DEVELO•PI.0ENT DEPARTMiiENT • BUILDiNG DIVISION 10300 T ORRE AVENUE CUPERTINO, CA 95014-3255 (408) 777-3228 • F?.X, (408) 777-3333 • buildinona cuDerlino.org I 5T]i)TTTOI\T 17 dT TFC d-ri 11A1 ; i'T IV1 D1:-\7'CMMI ni =r=D=7r nD T=.1'. e., „- 1,. ,,f f..'i 1111 C PIdgi�D;P_2011.dOC r•el,Lsed 06121111 PROJECT ADDRESS ai'A p r Q O\\"\=R?tAh. l_ PHO?v� /� y E-I.ikIL ST KESS I CITY; STA7E: ZTP4 FAX G CON1.:CT \.°.',:.P, F T+/i=�TL 5 1 yL I 1 OI iii-r�1r�.i Ct�u- �u c Led- X60-()- ST^�� T.z?DRESSt 6-�endkSc CITY;_CT.�Unnoj gC (FAQ V`�C1 C 1 ` V , Co\mcl)T-hiPACTORAG---7 ❑ tP:C=CT ❑ TGT'1l ❑ DEVELOPER ❑ A T CONTRACTOR? Q hS LICi `SE?\L9JnER an C onn m. a 137q LICD,�S TYPE BUS. LIC r C0h4P-.ICY? -hfE - +�-TL a FAX STREET: DDRESS 1 (31v1 CITY, STATE; ZiP PHONE 1Y1C�1 r � G losc, CA 9 0 L _RCaiiECT,t�Ctj�'��eR>\A��rE (�� (y �^ p LICtT\j���(� R/� y�y 0\()Q (S e() 1. ( \ , �1` L/J i I BUS. LIC CO\P W. N.'J,,M r 0C a � c cs s Exi=T A . w C uQ,sn+Cr CjmmkC-Fsb�� FAX -- STREET ADDRESSCI T7 (12-t 1� � Y, E, TP �P' C O . LicS p w t < �- 2DEscRpTlox oP ', ePx Mo Sjaef:- CQ QTuCe , _. i L�Acjl urt J _ ( Q r-_ X50 a,06a -FXIS:L'.GUSE PRO?OS'cDUSEI CONSTRPPE -STORIES I iii I liSE IZ PE I OCC. SQ.FT. VALL':A'IION (S) EXIFSTG "EW FLOOR DD -400 IOTA I j I e R A A A PP1 4 I KETAREA I 1 BATHPOO § OTHER IR-FODET- REA. 1KITCHEN REE40DELAKE-A F0,40DELAREA PORCY--LA.... DECICAREA TOTA>_D=_CKTORCH.,J,�EA GARAGEPREA: El DETACH ❑ATTACH I. D\kTiL GL 775: JSASECOND LtiIT ❑Y S SECOND STORY El YES I BELNGADDED?I]I,:0 ADDITION? ❑?�0 PR_ Pni 1CA'I N' 17 `=S. Y TS PROVIDE COPY OF � — IS THE BLDG LN ❑ 1-S . IZCEt + FD 31 - ~ TOT -.L VALUATION: T DT . _ PP_ 1 1 . ..�:.'\'\L'\G=., RO\'.S__I7'liHt EICHLERHO,,;E. �.?�•0 , own_, or antbonzed :Sy =L �: name belov. , I c .. fi to each of the folio,, L �: . aIa be prop= j - �P. F ` j h a__ n+ ,o act oaIThe pro . , � ow mer s behai . I h ve . ead s application and h anio ,a ion I 1 ur i 'ed is Cor.= h , e read 4} Desc ption of \� o l and v A is accurate.I a -m to comply -with all aool•cable local I crd maces and s.a la,as , 1a. ng : b_ild �nuhorze r,.iD: sed z i, es of CLae: irI o er. -,r li)- above-ide-nttifed p_opertj, fol inspection purposes. �C�O,n,ShslGlon. �/ 5i Leof :IiplicanVAgent. Date: -!V7 SL^rPLE'`RFI\T:1L I?NF011,2: REQU I -D ,_ PT 4\ CfiECI� TIPE. �. 1 ,.P.OLTI�G �LIP�. •:> . COL''\TER 1 T � BLiLDI\G P7..' -i'\ REt ECS $ }fi, `.5 11 e r r l r.. r — Ne -,v tD or MI_l Ii:l) d„ e__,- s: p? or ee ,o,ii on ys_,.Zit for u a'cDemolition ..u'll� 35 _-Qui-ed �r1or to ISs, ante o bL Ilei_.g _ Permit!-Ornom,', b!IIding. � 1PRE S j PLS \L\GPL�RPE\IE1i ComIne-c-'al 'Bldgs: Provide a complete3 Haz_cr'ou-zz Iter-I_l_ D;sc1C-_re cT Oz�j I p LIC,'OF2i c iCi._il,IanyHazarG0_-.j,'2—::iGIJ.,ci l,:q�_c3e ,._1 c _,. - CI T ' RGE _ _ FI E DEPT Copy 0f Piamling Approval Letter or l,f een ?g, i a Planing prior t0 _ LA70R S� R sub ittfll of B lding Permit application. IT R1 SEi�E D1�TRICT -.5 EI\lTPO'�'�_EhT PIdgi�D;P_2011.dOC r•el,Lsed 06121111 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-2469 20230 STEVENS CREEK BLVD CUPERTINO, CA 95014-2210 (369 02 03 1) DPR CONSTRUCTION A GENERAL PARTNERSHIP REDWOOD CITY, CA 94063 OWNER'S NAME: TORRE AVENUE PROPERTIES DATE ISSUED: 08/15/2016 OWNER'S PHONE: 650-426-1100 PHONE NO: (650) 474-1450 LICENSED CONTRACTOR'S DECLARATION E BUILDING PERMIT INFO: License Class B Lic. #253742 Contractor DPR CONSTRUCTION A GENERALPARTNERSHIP Date 10/3172018 X BLDG —ELECT —PLUMB hhereby affirm. that I am licensed under the provisions of Chapter 9 (commencing MECH RESIDENTIAL X COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: ROOM 152 & 152A 1 ST FLOOR T.I. - OFFICE -AMAZON I hereby affirm under penalty of perjury one of the following two declarations: REV # 2 - ADD N 20 AMP CIRCUIT FOR SECURITY RM MDF # 152A 1. I have and will maintain a certificate of consent to self-insure for Worker's - ISSUED 11/1/16 Compensation, as provided for by Section 3700 of the Labor Code, for the REV # 1 - (8/22/16)ADD PARTITION WALL TO RM 152 TO CREATE performance of the work for which this permit is issued. RM 171 (ELECTRICAL RM) -ISSUED 8/25/16 2. I have and will maintain Worker's Compensation Insurance; as provided for by TI PREP B-2016-2484 'Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $200000.00 APPLICANT CERTIFICATION 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 APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 369 02 031 A (Tenant Improvements),B (Tenant Improvements) 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signatur ' Date 11/01/2016 Issued by: MELISSA NAM Date OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is n. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 11/01/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER. i. 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. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the 3. 1 certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle, hazardous shall not employ any person in any manner so as to become subject to the material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Co e, ctions 2550 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent:: APPLICANT CERTIFICATION Date: 11/01/2016 -' certify that I have read this application and state that the above information is CONSTRUCTION LENDIN GEN Y correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction, and hereby authorize` representatives of this city of work's for which'this permit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection purposes, (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code, Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 11/01/2016 CONSTRUCTION PERNUT APPLICATION ^� COMMUNI IY DEVELOPh4ENT DEPART h/TENT • BUILDING DIVISIO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPER. i INO (408) 777-3228 • FAX(408) 777-3333 • buildina(c1-�cuoertino.ora ❑ NE7V CONSTRUCTION El -- ADDITION ,J ALTERATIO]\T i TI R REVISION / DEFERRED OP.IGI'0 I P' B1dg1pp_2011.doc revised 06121/11 - PROJECT ADDRESS p pN r 36-2 - 0 -Z-- 03 0«�ERI�A7\r P30ht t_ F _ 1 SAIL a-50 —. Aw„ lid STREETADI DRESS I `CITY, STATE: I FA.X � � CO TAC P HIAL ,r -2-1 STR1EET." FSS i I CITY, STATE, ZIP FAY, \cam Ott^ ❑ Oi',-BliLDER ❑ 0N�". ERAGENT CONTRACTOR ❑ CONiRACTORAGEN ❑ ARCHTTT�ZCT ❑ EM'QETR ❑ ❑ DE�%LOP ,ANT CONTP,ACTORNA-ha-LICETSE?Z]JBER ^��( LICENSE TYPE 13tiS. LIC 1,33 3 3 01ILL' XWME E-RiLTL�f' FAX s iy � �-7 }� 4 -�7 to • 2-'1 STREETAd)DRESS I CITY, STA TE. ZIP PHO\7F ARCF1TECTr>\GIIi`EERN.AA4E LICENSEI\7-iMBER BUS LIC - 2Z'06 COvT NYI; bEz 1�� L +��'`�.r f�cv��ii•��`L.l�G�,CC.S'C.12(iCS`;'� ,Cs'©1�� ��9•�_ �J STREET ADD ' S CITY, STATE, 711' gyp{ PHO\ IDESCP.PTIoN, OF WORT EXISTING L'SE PROPOSED USE I CONSTR STORIES - USE TYPE I OCC. , SQ.F T. VALUATION (S) FXISTG NEW FLOOR DE6IO TOTAL - - - - - AREA I F.P.EA AREA I\TFl?.P.EA BATI-ROOM I:T!'CHEN OTHER P----NIODELAREA /` P.EMODELAREA 0 RZMODELAREA P02 Co-': _REA DECK AREA - TOTAAL DECK•TTORRCH AREA G!•3,AGE AREA: ❑ DETACH ` U \ k)/ q jA ❑ ATTACH I k) MVELLLNG UQTS: IS A SECOND UNIT ❑ YES SECO\D STORY ❑ YES BELNGADDED?NO I .ADDITION? 0 PP.E ,PPLICAT] N ❑ 1 ES L `ES PROVIDE COPY OF IS THE BLDGA-N 1 ES 1 ED $Y TOTAL VALUATION: SFO PLAMNZ. \GAPPROVALLETTER I EICHLERHO.ME? ON By inp si iz urs belovr, I ce.ti } to each of the folia\, ne: I zrn the property oym ner or zuthorize ag to z ` n e _ lf. I have read his application and the information I have provided is correct. I have read the Description of \T�'orl nd veM L rc accurate. I col�ply Nvi' Iicable local ordinances and state laws relating o uildlna conssr on. I authorize representatives of Cogen' o toen`= ve Ideatifred property for inspection uses. Signatme, ofApplicantiAQent• Date: i ! /o 0120 .d SUPPLEI`ZENT.4L INFORM ION REQUIRED w. r: PLAN CHECK TIPE<�.ROLTIAG FLIP.`C, .._.. ;- T � � O\ ER TIF COL TER � BLiLDI\G PLA RESSE� Nnv SFD or .Mula ainily d� ell:r.gs Apply for demolition p unit for ,. _•. ,c rj i' a� p c -_ r_= �- "„ t I oL d .Tor o Issuance o bL lding \ porr]it for new building. � E1PREcS � PLA \L GPLA \REQ IE\i ` CO]rn-,-�C;al Bldgs: Provide 2 completed I2Zar60u Materials �C]Os-LTe - cTAN RD .. nLBLIC \:ORKS - or]] if an;r Haz2rdOLIS 2V!Ft.--ials are being used as pa, t oI tl],S p=oject. v ❑ j � RGE � FIP.E Copy of Planning Approval Letter or Meetin,; with Planning prior to. � _ � DEPT _ r ` submittal of B.rrlding Pen]]rt application. L1JOR SA \ITARl SEA �RDicTRICT c-< EI\'\IRO\"hiE'�TAL B1dg1pp_2011.doc revised 06121/11 CITY OF CUPERTINO BUILDING PERMIT _ 1. BUILDING ADDRESS: 20230 STEVENS CREEK BLVD CUPERTINO, CA 95014-2210 (369 02 03 1) CONTRACTOR: DPR CONSTRUCTION PERMIT NO: 13-2016-2469 A GENERAL PARTNERSHIP REDWOOD CITY, CA 94063 OWNER'S NAME: TORRE AVENUE PROPERTIES DATE ISSUED: 08/15/2016 OWNER'S PHONE: 415-521-8418 PHONE NO: (650) 474-1450 LICENSED CON17R TOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic. #953749. Contractor DPR CONSTRUCTION A GENERAL PARTNERSHIP Date 10/31/2016 X BLDG —ELECT PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commenemg — MECH _ RESIDENTIAL X COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: ROOM 152 & 152A IST FLOOR;T.I. - OFFICE -AMAZON' I hereby affirm under penalty of perjury one of the following two declarations: i. I have and will maintain a certificate of consent to self -insure for Worker's. REV # 1 - 8/22/16 ADD PARTITION WALL TO RM 152 TO CREATE- Compensation, as provided for by Section 3700 of the Labor Code, for the ; RM 171 (ELECTRICAL RM) -ISSUED 8/25/16 _ performance of the work for which thig 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, Sq. Ft Floor Area: Valuation: $200000.00 APPLICANT CERTIFICATION 1 certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize 369 02 031 A (Tenant Improvements),B (Tenant Improvements) 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 PERMIT EXPIRES IF WORK IS NOT STARTED this permit. may accrue against said City in consequence the granting all Additionally, the applicant understands and willl comply with all non -point WITffiN 180 DAYS OF PERMIT ISSUANCE OR source regulatio er he Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signatur Date 08/25/2016 Issued by:� S OWNER -B iii D R D . R TION Date: 0&/Z.5/2016 f I hereby affirm that I am exempt from the Contractor's License Law for one of the FS-ROOFS: RE-ROOFS- following following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is i. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale (See.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed Signature ofApplicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 08/25/2016 I hereby affirm under penalty of perjury one of the following three declarations: m. I have and will maintain a Certificate of Consent to self -insure for Worker's ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER _ Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California health & Safety Code, Sections 25505, 25533, and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the a. 1 certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally, should I use equipment or devices which emit hazardous Worker's Compensation laws of California. If, after making this certificate of air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code 'ons 255 5, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall o be deemed revoked. Owner or authorized agen ` APPLICANT CERTIFICATION 7 Date: 08/25/2016 I certify that I have read this application and state that the above information is CONSTRUCMONLEND AGENCY correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction I riding agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this permit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal ARCMTECT'q DECLARATION Code, Section 9.18. 1 understand my plans shall be used as public records. Signature Date 08/25/2016 Licensed CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 FAX (408) 777-3333 • building(a�cupertino.orp ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ;& REVISION I DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS GU v APN n OWNER NAME 1 j 1.06 N G (, (o'�S PHONE ^,,_p AkIr. w IM E-MAIL STREET ADDRESS, CITY, STATE, ZIP �I''� .. S FAX CONTACT NAME PH %• � y E-MAIL r STREET ADDR�SF _ • CITY, STATE, ZIP FAX ❑. OWNER ❑ OWNER-BUIIAER AlOWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENAI-Tr CONTRACTOR NAME--' LICENSE NUMBER %5 Lin LICENSE TYPE BUS. LIC 4 COMPANY NAME Lws E-MAIL ,(� sC1 FAX STREET ADDRESS �V CITY, STATE, ZIP �1 �, PHONE ARCHITECT/ENGINEERNAmA- LICENSE NUZVIBERC BUS. LIC COMPANY NAM E -NLA IL ]� n1.1+i I Ji 1 :cam ipy-LS5, I � cls CA, 4115:61A 1AI 7% 53Za DESCRIPTION OF\YORK EXISTING USE PROPOSED USE CONSTR. TYPE ;1r STORIES USE TYPE OCC.. SQ.FT. VALUATION ($) EXISTG NEW FLOOR. DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN REMODEL AREA REMODEL AREA a OTHER REMODEL AREA PORCH AREA DECK AREA TOTAL DECKTORCH AREA - GARAGE AREA: DETACH - - - /'�! 0 `•J oc E] ATTACH DWELLING UNITS: ISA SECOND UNvIT ❑ YES SECOND STORY YES - - BEING ADDED? �NO ADDITION? NO - PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF ` 1S THE BLDG AN ❑ YES RECEIVEDBY ?. -i TOTAL VALUATION: PLANNING APPL # :RNO PLANNING APPROVAL LETTER EICHLERHOME? YNO ti By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the p operty wner's behalf. I have read this application and the information I have provideda have read the Description of \3Tork and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating lding coauthorize representatives of Cupertino to enter the above -i fi property for inspection purposes. Signature ofApplicanVAgen Date: ty 6 SUPPLEMENTAL INFORMATi O V REQUIRED New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition pen -nit is required prior to issuance of building permit for new building. _ Commercial BldgS: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used, as part of this project. Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. BldgBpp_2011.doe revised 06121111 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-2469 20230 STEVENS CREEK BLVD CUPERTINO, CA 95014-2210 (369 02 03 1) DPR CONSTRUCTION A GENERAL PARTNERSHIP REDWOOD CITY, CA 94063 OWNER'S NAME: TORRE AVENUE PROPERTIES DATE ISSUED: 08/15/2016 OWNER'S PHONE: 650-426-1100 PHONE NO: (650) 474-1450 LICENSED CONTRACTOR'S DE LARATION BUILDING PERMIT INFO: " License Class B Lic. #253-7-42 Contractor DPR CONSTRUCTION A GENERAL PARTNERSHIP Date 10/31/2016 X BLDG —ELECT -PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing _ MECH _ RESIDENTIAL X COMMERCIA L with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: ROOM .152 & 152A 1ST FLOOR;T.I. - OFFICE -AMAZON I hereby affirm under penalty of perjury one of the following two declarations: i. 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. z. I have and will maintain Worker's Compensation Insurance, as provided for by !fl Section 3700 of the Labor Code, for the performance of the work for which this r permit is issued. Sq. Ft Floor Area: Valuation: $200000.00 APPLICANT CERTIFICATION, certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 369 02 031 B (Tenant Improvements) representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 1$Q DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point source regulations pier the upertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Sig tur Date 18/ 5/2016 Issued by: AbbyAyende ✓ OWN -BUUTILDERDE-L.L. Date: 08/15/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant; contractors to construct the project (Sec.7044, Business & Professions Code). Date: 8/15/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER i. 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. HAZARDOUS MATERIALS 'DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will permit is issued, maintain compliance" with the Cupertino Municipal Code, Chapter 9.12. and the s. I certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino nicipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Cod Sec stto 255_ 5, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall y be deemed revoked. Owner or authorized agent APPLICANT CERTIFICATION Date: 8/15/2016 (, I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this permit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address 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 ARCHITECT'S DECLARATION Code, Section 9.18. I understand my plans shall be used as public records. Licensed Signature Date 8115/2016 COMMUNITY DEVELOPMENT DEPARTMENT ® BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 6 buildinq@cupertino.org cupertino.ora ❑ NEW CONSTRUCTION ❑ ADDITION ® ALTERATI'ON / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # t PROJECT ADDRESS 20230 Stevens Creek Blvd. APN# J"' Mob OWNER NAME Amazon / Lab 126 PHONE (650) 426-1�10� 0 E-MAIL STREET ADDRESS 1100 Enterprise WaySunnyvale, CITY, STATE, ZIP CA 94089 FAX CONTACT NAME Henry Martinez PHONE 415 521-8418 E-MAIL henry@asquaredps.com STREET ADDRESS 1100 Enterprise Way CITY, STATE, ZIP Sunnyvale, CA 94089 FAX ❑ OWNER ❑ OWNER -BUILDER OWNER AGENT . ❑ CONTRACTOR ❑ CONTRACTOR AGENT E ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Ian Cunningham LIC ENSENUMBER 953749 LICENSE TYPE B BUS.LIC# 1 COMPANY NAME DPR Construction E-MAIL lane@DPR.com FAX STREET ADDRESS 1501 S. Winchester Blvd. CITY, STATE, ZIP San Jose, CA 95014 PHONE ARCHITECT/ENGINEER NAME Alan Johansen LICENSE NUMBER C-9672 BUS. LIC # COMPANY NAMEE-MAIL Interior Architects m.wei@interiorarchitects.com FAX STREET ADDRESS 2775 Great America PKWY CITY, STATE, ZIP Santa Clara, CA 95054 PHONE 415 296-5320 . DESCRIPTION OFWORK Demolition of Existing Partitions In Room 152 & 152A Construction of New Partitions Electrical Improvements, Relocation of Existing HVAC, Paint, & Carpet (Removal & Installation) IF 7- ;-/ � two 5-� EXISTING USE - PROPOSED USE CONSTR. TYPE #STORIES - - USE TYPE OCC. SQ:FT. VALUATION ($) EXISTG - AREA NEW FLOOR AREA DEMO AREA TOTAL NET AREA v BATHROOM REMODEL AREA 0 KITCHEN REMODEL AREA 0 OTHER REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH - - 0. O. 0 0. ❑ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑YES SECONDSTORY ❑YES BEING ADDED? D(NO ADDITION? XNO PRE-APPCATION YES IF YES, PROVIDE COPY OF LI IS THE BLDG AN .❑ YES r , ' "- TqOTwAL PLANNING APPL # �NO PLANNING APPROVAL LETTER EICHLER HOME? )QNO /V�ALUATION: "!�6/ /'7 /00 By my signature below, I certify to each of the following: I am the property owner or authorized agent to act ori the property owner's behalf. I have read this application and the information I have rovided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relatin o b lding Q truction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature ofApplicant/Agen Date: SUPPLEMENTAL INFOAYATION REQUIRED I?�ECI�`=� .1totITIN`��1.Ee , uF? iEiz R 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. ss�tvi`TtrI Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ST RIIiW�rt form if any Hazardous Materials are being used as part of this project. GARCY Ii �iRi btT , _ Copy of Planning Approval Letter or Meeting with Planning prior to MAtQ 'SISIAii 5�viEE1DXSTLC> submittal of Building Permit application. . ENViR(IMWIC TAT HEST I<& BldgApp_201 Ldoe revised 06121111