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B-2016-2476CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18880 HOMESTEAD RD CUPERTINO, CA 95014-0721 (316 09 037) NAME: CUPERTINO OFFICE PARTNERS LLC OWNER'S PHONE: 917-566-0765 LICENSED ONTRACTOR'S DECIARAnom License Class B Lic. #791022 Contractor NOVO CONSTRI JQTION INCDate 02/28/2017 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. 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. CS 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 regulations per the Cupertino Municipal Code, Section 9.18. Signature y Date 10/25/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: r. 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. 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. 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 1 have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 3. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. 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 cERUFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date 10/25/2016 CONTRACTOR: (PERMIT NO: B-2016-2476 UUNS RUCTION INC MENLO PARK, CA 94025 DATE ISSUED-: 09/07/2016 (650)701-1500 BUILDING PERMIT INFO: BLDG —ELECT _ PLUMB MECH _ RESIDENTIAL X COMMERCIAL JOB DESCRIPTION: 1 st FLR, PATIO; T.I. (1,280 S.F.) - APPLE REV # 1 - REVISE ELECTRICAL SHEETS TO REFLECT VOLTAGE CHANGE - ISSUED 10/25/16 Sq. Ft Floor Area: I Valuation: $50000.00 APN Number: Occupancy Type: 316 09 037 A (Tenant Improvements),A (Tenant Improvements),A (Tenant Improvements),A (Tenant Improvements),A (Tenant Improvements),A (Tenant Improvements),A (Tenant Improvements),A (Tenant Improvements),A (Tenant Improvements),A (Tenant Improvements),A (Tenant Improvements) PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. ,WFLL SSS N, Issued by: * - Date r69i'®D2H:6 1012.1' / Z 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: Date: 10/25/2016 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. 1 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 Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized agent ,.- Date: 10/25/2016 CONSTRUCTION LENDING AGENCV I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (See. 3097, Civ C.) Lender's Name Lender's Address CUP ERT INO- NE:W CONSTRUCTION PROJECT ADDRESS OY NER MLbIr. CONS T RUCTICN PERMIT APPLICATION COMMUNITY DEVELOPMiENT DEPARTMENT • BUILDING DIVLSION 10300 T OrRRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildino(a)cuDetno org �Dy ADDITION El ALTERATION i TI �%ISIO /DEFERRED ORIGINAL PER MIT 1 ryry016 q-7& r/u C_ PHONE AIL STREET ADDRESS 1 Z 1 n � o(� � 1 � ��a CITY; STATE, ZIP ( /� C TiC LJ!y� 1 176-0)LI r43 CO IACT KA2,1E , p I X7%7-5�r G -0765- STREET ADDRESS CI OATS ❑ OVI?. -BL DER LY7 0\�,'?T' tkGE?�T ❑ CO?,7R4CTOR ❑ CONTP:AGEFF ❑ APCH_�CT ❑ - - ACTOR - I:NGLt:�.ER ❑. DEVELOPER ❑ TENANT CONi'LACTOP.NA,fE LICENSE jj LICENSE TYPE 13 WI/©t?°� I I BUS. LICN- cdla4yy XA-,4E I ALE L l � N V6��11CJ1�U�e d� FAX STR CQY"\ T ADDRESS 0� O �t I CITY; STATE i t: ZIP A 1 � 1Q Par ��, PHONE f "� `� Cyt ' 650_386°--Z75 .ARC'r',ITECT/ENGINEERNA,:E I LICENSE L7, 3=R COIPA?;Y ?�Ah4E STREET ADDRESS DESCP,PTION OF WORK EXISTG NEW FLOOR I D0,40 AREA AP.EA AREA BATI-2,00M Y1TCFEN R----,$oDFLARE 4 I REMODEL AREA PORMAR>Ek I DECK ARRA I TOTA :)FFK:Pn� E•ki=.Ii_ I CITY, STATE, -TIP srL sr1r~� t�5QeCk TOTAL NETAEA OTrFR REMMEL AREA USE BL,S. LIC FAX PHONE Q TYPE I OCC. I SQ.FT: VALUATION (S) I. I. _ Li ATTACH Dt3ELL.LNG UNITS: IS A SECOND L'NIT ❑.-ITS SECOND STORY ❑ Y, --S - - - BELN•GADDED?j�NO ADDITION? 01;O I I I PRE 2'LiC.AT1 \ E] YES g�.cC PROVII'�ECOPYOF I IS THEBLDG.LN 0.\OEICHLER HO ❑ PT tom.'?. L'�G.'3PitOV.kL LEiTcHOME?- iRECEiZE .� __ - - r lOT-.L VALUATION: 7 , ti I By my signature below, I ce -tiiy to each of the follo\; ing: I am the Prop ry owner or authorized gent to e P1 wner s behalf I have read I this application and the information I have provided is correct. I have read the Description of'Work and verify ;t is accurate. Ia— e to w i`Ib all auplicable local ordinances and state laws relating to building consauction. I auu}IOTize repreSentatiVCS of Ctper ino to enter the above -identified propert), foI 'ection Signature of:ApPiicznt%APent: proposes. Date: I(, SUPPLEMENTAL INFORMATION REQUIRED PLA �LHECi, TiPE POLTI�G CLIP Ne%v SFD or Multl ainilV dwellings: Appl\ for demolition p unit for 'c r: -_ • �Q building a' 1 , e_�i u;_ b it m_ts) D _nolitlon permit is reg.u,,, d pr or Io ;Ss? a i OrbuildlDC 0\£RTP COLTER- SL3I DI\G PLS REi ER per, „t for new build h � P LA\LNGPL�� RE1 IE\\ Comm c--C;al Bld_gS, Providea coilp1 +ted Hazardous Materials Disclosure I-1 ST4 ➢ RD 1c. PUBLIC L for -mm fr any 'r_'czaHou. NiFterIals are being tiSed as paiLL of 1111=. p-0ject. - \x ORi S - ❑ r 4RGE '_ rIRE DEPT Copy of Planning Approval Letter or ?Meeting \\lith Plannina prior to st bnmittal of Building Permit application. F fl L�dOR S�IT9R1 SE\ERDfSTRICT _ B1dg1pp_2011.doc remised 06/21/11 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-2476 18880 HOMESTEAD RD CUPERTINO, CA 95014-0721 (316 09 037) NOVO CONSTRUCTION INC MENLO PARK, CA 94025 OWNER'S NAME: CUPERTINO OFFICE PARTNERS LLC DATE ISSUED: 09/07/2016 OWNER'S PHONE: 917-566-0765 PHONE NO: (650) 701-1500 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic. #791022 Contractor NOVO CONSTRUCTION INC Date 02/28/2017 X BLDG _ELECT _PLUMB I hereby 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: lstFLR, PATIO; T.I. (1,280 S.F.) -APPLE 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. f 2. I have and will maintain Worker's Compensation Insurance, as provided for by CJ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation:. $50000.00 APPLICANT CERTIFICATION certify that I have read this application and state that the above Imat ' l s 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 316 09 037 A (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. Signature Date 09/07/2016 Issued by: Kim Dunbar OWNER -BUILDER DECLARATION Date: 09/07/2016 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 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 (Sec.7044, Business & Professions Code) 2. 1, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date:.09/07/2016 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. f 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 3. 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 Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Sections 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall bel deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date: 09/07/2016 1 -certify that it 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 CONSTRUCTION LENDING AGENCY 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 09/07/2016 Professional CUP"ERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 + FAX (408) 777-3333 • buildinq�a cupertino.orq ❑ NEW CONSTRUCTION ❑ ADDITION FV_fALTFRATTnW/TT 7 RF.VTCTn-hI1T1RTiEPPED ORM-PITAT DVDnrtT'Ptr PROJECT ADDREss 18880 Homestead Road APN#t OWNER NAME V> i o Apple Inc, SLC PHONE917-566-0765 rrMAIL Victoria_ng@apple.com _ STREET ADDRESS 9. 1 Infinite Loop, MS 119 -DDC CITY, STATE, ZIP Cupertino, CA, 95014 FAX CONTACT .NAME Victoria Ng PHONE. 917-566-0765 E-MAIL victoria–ng@apple.com STREET ADDRESS 1 Infinite Lbop, MS 119 -DDG , CITYSTATE, ZIP Cupertino, CA, 95014 FAX N OWNER ❑ OWNER-EUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT 0 .ARCHITECT ❑ ENGINEER ❑. DEVELOPER ❑ TENANT CONTRACTOR NAME Nathan Dudley LICENSE NUMBER LICENSE TYPE BUS. LIC # 791022 B 23891 COMPANY NAME Nova E-MAIL ndudley@novoconstructlon.com FAX STREET ADDRESS 1460 O'Brien Drive CITY, STATE, ZIP Menlo Park, CA, 94025 PHONE 650.690.1660 ARCI-IITECT/ENGINBER NAME Tracy Wong LICENSE NUMBER C-25234 EUS, LIC B 24164 COMPANY NAME DES Architects + Engineers E-MAIL twong@des-ae.com FAX STREET ADDRESS 399 Bradford St CITY, STATE, ZIP Redwood City, CA; 94063 1 PHONE 650.364.6453 DESCRIPTION OF WORK J Installation of a new outdoor pizza oven. 1--e— EXISTTNG USE - PROPOSED USE CONSTR. TYPE # STORIES E B/A2/A3 B/A2/A3 III -B USE 2 TYPE OCC, SQ.FT. VALUATION ($l EXISTG NEW FLOOR DEMO TOTAL AREA 100,084 AREA. no change AREA 1,280 NETARFA 100,084 A2 III -B $50,000.00 BATHROOM, KITCHEN -OTHER REMODEL AREA 0 REMODELAREA 600 REMODELAREA 680 PORCH AREA DECK AREA - TOTAL DECK/PORCH AREA GARAGE AREA: DDETACH 0 d 0 N/A DXITACII I N Di4ELLING UNITS: IS A SECOND UNIT Q Es BEING ADDED? SECOND STORY ❑ ES ADDITION? DYES NIA 2NO PRE-APPLICATION DYES 1F YES, PROVIDE COPY OF - PLANNING APPLii ffNO IS THE BLDG AN ❑ YES ]RE TOTAL VALUATION: PLANNING APPROVAL LETTER EICHLER HOME? EgNo $50,000.00 By Illy signature below, I certify to each of the following, I am the property wner or a 1--s behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is aced ee to c b-vvitbLI an�lieable local ordinances and state laws relating to Ildilding cons ruction. I authorize representatives of Cupertino tognterti a above -identified property for inspection purposes - Signature of Applicant/Agent: Date: �p SUPPLEMENTAAIO&HILOTARED PLAN CHECK TYPE ROUTING SLIP Q OVER -THE COUNTER ❑ BUMDING 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. ❑ ECPRESS ❑ PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 11 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 E) nlA OR it SANITARY SE\VER DISTRICT' submittal of Building Permit application. © ENVHtONMENTAL HEALTH RldgApp_20I Ldoc revised 06121111