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12110083CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19:319 STEVENS CREEK BLVD CONTRACTOR: DEVCON PERMIT NO: 12110083 CONSTRUCTION INC OWNER'S NAME: MAIN STREET CUPERTINO AGGREGATOR 690 GIBRALTAR DR DATE ISSUED: 04/08/2014 OWNER'S PHONE: MILPITAS, CA 95035 PHONE NO: (408)942-8200 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ I [ MAIN STREET OFFICE BLDG 2 -CONSTRUCT OF A NEW FOUR STORY BUILDING SHELL 129,898 SQ FT License Class Lic. # ` v Contractor �OVI.' S 1� Date REV # 2 - RFI'S - ISSUED 10/22/15 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: Sq. Ft Floor Area: Valuation: $18048000 1. 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. 2. 1 have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 31620109.19319 Occupancy Type: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLiICANT CERTIFICATION PERMIT EXPIRES IF WORK IS NOT STARTED I certify that I have read this application and state that the above information is WITHIN 180 DAYS OF PERMIT ISSUANCE OR correct. I agree to comply with $11 city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter 180 DAYS�M_LA"ED INSPECTION. upon the above mentioned property for inspection purposes. (We) agree to save — - indemnify and keep harmless thg City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of theI dr by Date — 7 2 granting of this permit. Additionally, the applicant understands and will comply—w—' all non -point source regulations' per the Cupertino Municipal Code, Section SignaturDate lU Z Z -1 s RE -ROOFS: roofs shall be ins nor to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for ❑ OWNER-BUI! ,DER DECLARATION inspection. I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: t. 1, as owner of the property, o my employees with wages as their sole ALL ROOF COVERINGS TO BE CLASS A OR BETTER compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & 13rofessions Code) HAZARDOUS MATERIALS DISCLOSURE 2. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7094, 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. 1 will maintain I hereby affirm under penalty: of perjury one of the following three declarations: compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & 1. I have and will maintain a Certificate of Consent to self -insure for Worker's Safety Code, Section 25532(x) should I store or handle hazardous material. Compensation, as provided fbr by Section 3700 of the Labor Code, for the Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will performance of the work for which this permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the 2. I have and will maintain Worker's Compensation Insurance, as provided for by Health & Safety Code, Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Owner or author nt: te: s. 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 I hereby affirm that there is a construction lending agency for the performance of work's must forthwith comply with such provisions or this permit shall be deemed for which this permit is issued (Sec. 3097, Civ C.) revoked. Lender's Name Lender's Address APPLICANT CERTIFICATION 1 certify that I have read this apIlication and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating ARCHITECT'S DECLARATION to building construction, and hereby authorize representatives of this city to enter I understand my plans shall be used as public records. upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, Licensed Professional 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 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19319 STEVENS CREEK BLVD CONTRACTOR: DEVCON PERMIT NO: 12110083 CONSTRUCTION INC OWNER'S NAME: MAIN STREET CUPERTINO AGGREGATOR LL 690 GIBRALTAR DR DATE ISSUED: 04/08/2014 OWNER'S PHONE: MILPITAS, CA 95035 PHONE NO: (408)942-8200 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL E] MAIN STREET OFFICE BLDG 2 -CONSTRUCT OF A NEW License Class/n_Lic.#/ 3 y l6 3 FOUR STORY BUILDING SHELL 129,898 SQ FT Contractor PI�Oi2 16014''1, Date ^� —+� 10 r REVISION #1 -MINOR MODIFICATION TO I hereby affirm that I am licensed under the provisions of Chapter 9 RESTROOMS & SHOWER ROOMS - ISSUED 6/4/2015 (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: $18048000 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: 31620109.19319 Occupancy Type: permit is issued. APP ICANT 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 180S 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�(`1/ ej �' �� granting of this permit. Additionally, the applicant understands and will comply Issued by: Date: �✓ with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. 11 —[� RE -ROOFS: Signatures '`� 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 1, as owner of the property, of 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 T, 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 I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Owner or authorized agent: Dater 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. 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 perfonnance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19319 STEVENS CREEK BLVD CONTRACTOR: DEVCON PERMIT NO: 12110083 CONSTRUCTION INC OWNER'S NAME: MAIN STREET CUPERTINO AGGREGATOR LL 690 GIBRALTAR DR DATE ISSUED: 04/08/2014 OWNER'S PHONE: MILPITAS, CA 95035 PHONE NO: (408)942-8200 P4 LICENSED' CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL E] cl MAIN STREET OFFICE BLDG 2 -CONSTRUCT OF A NEW License Class_ Lie. # 3 1 16 3 FOUR __ //_�_� ch `� 1Nba[e 4-2-'f _14 �pltf STORY BUILDING SHELL 129,898 SQ FT Contractor {/nn`G�l(Lt>y 77N �1 I hereby affirm that I am liy+ensed under the provisions of Chapter 9 DEFERRED #1 CURTAIN WALL, SHOP DRAWINGS AND (commencing with Section 1000) of Division 3 of the Business & Professions STRUCTRUAL CALCS, AMERICAN STEEL & STAIR, RAILS Code and that my license is ,in full force and effect. AND FRAMING PLAN- ISSD 9/29/2014 I hereby affirm under penalty of perjury one of the following two declarations: 1 have and will maintain a cedtificate of consent to self -insure for Worker's Compensation, as provided fqr by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $18048000 performance of the work for which this permit is issued. 1 have and will maintain Wor!Cer's Compensation Insurance, as provided for by Section 3700 of the Labor Cdde, for the performance of the work for which this APN Number: 31620109.19319 Occupancy Type: permit is issued. I APP ICANT CERTIFICATION I certify that I have read this pplication 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 WIT ©F 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 YS FROM LAST CALLED INSPECTION. indemnify and keep harmlessithe City of Cupertino against liabilities, judgments, costs, and expenses which m4y accrue against said City in consequence of the granting of this permit. Addi(ionally, the applicant understands and will comply Issue by: Date: [[ C with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. �. RE -ROOFS: Signature ---�-"— 6ate 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 -Bk ILDER DECLARATION Signature of Applicant: Date: hereby affirm that I am elempt 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, of 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 Coda) 1, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.70d4, 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 ] 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 C0rtificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided fbr 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 the Health & Safety Code, Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: « e: 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, 1 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19319 STEVENS CREEK BLVD CONTRACTOR: DEVCON PERMIT NO: 12110083 CONSTRUCTION INC OWNER'S NAME: MAIN STREET CUPERTINO AGGREGATOR LL 690 GIBRALTAR DR DATE ISSUED: 04/08/2014 OWNER'S PHONE: MILPITAS, CA 95035 PHONE NO: (408)942-8200 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ MAIN STREET OFFICE BLDG 2 -CONSTRUCT OF A NEW d License Class Lic. # FOUR U �VC�n �—� I'f " STORY BUILDING SHELL 129,898 SQ FT Contractor Date I hereby affirm that I am IiCensed under the provisions of Chapter 9 7/9/2014- DEFERRED #2- TRUSS CALLS- ISSD OTC 9/28/2014 (commencing with Section 1,000) of Division 3 of the Business & Professions Code and that my license is; 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 fdr by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $18048000 performance of the work for which this permit is issued. have and will maintain Worker's Compensation Insurance, as provided for by ection 3700 of the Labor Code, for the performance of the work for which this APN Number: 31620109.19319 Occupancy Type: permit is issued. APP ICANT CERTIFICATION 1 certify that I have read this 4pplication 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 to building construction, and hereby authorize representatives of this city to enter WITHIN I AYS OF PERMIT ISSUANCE OR upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS*AOM LAST CALLED INSP TION. indemnify and keep harmlessthe City of Cupertino against liabilities,judgments, costs, and expenses which may accrue against said City in consequence of the V 1-17 granting of this permit. Additionally, the applicant understands and will comply Issued by: A& Date: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. ��/�� �T RE -ROOFS: Signature V, Date o/ 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: 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, ori 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, arp 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 hereby affirm under penalky 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(a) should I store or handle hazardous I have and will maintain a Ce4ificatc of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided foo 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 the Health & Safety Code, Sections 255(05,,22555333, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this / " Owner or authorized agent: V \ Date: 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. If, after making this certificate of exemption, I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, 1 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 1 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, 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 BUILDING PERMIT BUILDING ADDRESS: 19319 STEVENS CREEK BLVD CONTRACTOR: DEVCON PERMIT NO: 12110083 CONSTRUCTION INC OWNER'S NAME: MAIN STREET CUPERTINO AGGREGATOR LL 690 GIBRALTAR DR DATE ISSUED: 04/08/2014 OWNER'S PHONE: MILPITAS, CA 95035 PHONE NO: (408)942-8200 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ MAIN STREET OFFICE BLDG 2- CONSTRUCT OF A NEW License Class_ Lia # FOUR STORY BUILDING SHELL ContractorDE;LYJ7,/ G� n�(Date 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 fok by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $18048000 performance of the work for Which this permit is issued. have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Cope, for the performance of the work for which this APN Number: 31620109.19319 Occupancy Type: permit is issued. i APP ICANT 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 N WITHIN/00 � DAYS OF PERMIT ISSUANCE OR to building construction, and ereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS OM LAST CALLED INSPEC/�N. indemnify and keep harmless the City of Cupertino against liabilities, judgments, 7� costs, and expenses which mad 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-point source regtlati s per the Cupertino Municipal Code, Section 9.18. j4o-� RE-ROOFS: 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. ❑ OWNER-B7fIILDER 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 (Sea7044, Business & Professions Code) 1, as owner of the property, arbt 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 I hereby affirm under penal] y 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 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 upertino M icipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, t' s 2550512553 , and 4. Section 3700 of the labor Code, for the performance of the work for which this Owner or authorized ag Date: C112 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, 1 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 CONSTRUCTION PERMIT APPLICATION Z COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISIO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 C-UPERTINO (408) 777-3228 • FAX (408) 777-3333 • building(okupertino.org ❑ NEW CONSTRU TION ❑ ADDITION ❑ ALTERATION/TI X❑ REVISION /DEFERRED ORIGINAL PERMIT # 12110083 PROJECT .ADDRESS 19319 Stevens Creek. Boulevard 7APN7� r /' Z I �1 �, l ,7 3 i t'E-MAIL v OWNERNAME Sand Hill Construction Management LLC PHONE (650) 344-1500 STREETADDRESS 288 Sand Hill Road, Suite 241 CITY, STATE, ZIP Menlo Park, CA, 94025 FAX CONTACT NAME Nandy Kumar PHONE (408) 593-6605 E-MAIL NKUMAR@SHCMLLC.COM STREET ADDRESS 2882 Sand Hill Road, Suite 241 i CITY,STATE, ZIP Menlo Park, CA, 94025 FAX El OWNER ❑ OWNER-$UILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Tomara Cleveland LICENSE NUMBER 399163 LICENSE TYPE B BUS. LIC # COMPANY NAME DevpOn Construction Inc. E-MAIL TCLEVELAND@DEVCON-CONST.COM FAX (408) 262-2342 STREET ADDRESS 690 Oibraltar Drive CITY,STATE.ZIP Milpitas, CA, 95035 PHONE (408) 964-5565 ARCHITECT/ENGINEER NAME Kevin Jones LICENSE NUMBER BUS. LIC # COMPANY NAME Kenneth Rodriguez and Partners, Inc. E-MAIL KEVINJ@KRPARCHITECTS.COM FAX (650) 960-0707 STREET ADDRESS 445 North Whisman Road, Suite 200 CITY, STATE, ZIP Mountain View, CA, 94043 PHONE (650) 965-0700 DESCRIPTION OF WORK ! RFI's for Shell Construction Office #2. I EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG AREA NEW FLOOR ARIA i DEMO AREA TOTAL NET AREA BATHROOM REMODEL AREA KITCHEN REMODEL AREA OTHER REMODEL AREA PORCH AREA PECK AR. A y TOTAL DECK PORCH AREA GARAGE AREA: LJ DETACH []ATTACH #DWELLING UNITS: IS A SECOND UNIT []YES BEING ADDED? []NO SECOND STORY []YES ADDITION? []NO PRE -APPLICATION []YES IF YES, PROVIDE COPY OF PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO RECE TOTAL. VALUATION: By my signature below, I certify to each of the following: 1 am the property o or authorized agent to ac e property owner's behalf. I have read this application and the information I have provided is correct. I have re scription of Work and verity it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building cons ion. of resentatives of Cupertino to enter the above- entifie property fo> nspection purposes. Signature of ApplicantiAgent Date: e IS SUPPLEMENTAL INFORMATION REQUIRED 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. 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. PLAN CHECK TYPE ROUTING SLIP ❑ OVER -TILE -COUNTER ❑ EXPRESS ❑ STANDARD ❑ LARGE ❑ MAJOR ❑ BUILDING PLAN REVIEW ❑ PLANNING PLAN REVIEW ❑ PUBLIC WORKS ❑ FIRE DEPT ❑ SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH B1dgApp 2011.doc revised 06/21/11 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTfNO (408) 777-3228 • FAX (408) 777-3333 • buildin cu erti Ar ❑ NEW CONSTRUCTION [:1 ADDITION El ALTERATION / TIREVISIONV/FERRED ORIGINAL PERMIT #_ 47110e)e3 PROJECT ADDRESS APN # OWNER NAME PH NE �S • .3yY•/SG( E-MAIL ,.,�. S D C STATE, ZIP FAX CONTACT NAMEtel) > PONE E-MAIL qK -07Tx .31 STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER.%UD.DER ❑ Oq'NER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBERLICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEERNAME gw LICENSE NUMBER I BUS. LIC COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK j r ,\) r�.;�AZ7lw^1/� ,Ic, 21 EXISTING USE PROPOSED USE CONSTR TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK WA TOTALDECK/POkCH AREA GARAGE AREA: LJDETACH ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? ONO ADDITION? ONO PRE -APPLICATION 0 YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEI V BY: TOTAL VALUATION: PLANNING ADPL # . ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO ) , By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the informationhave prod 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 relati o b Ildi c nstruclion. I authorize reprgseptaiivpof Cupertino to enter the above -identified propert for inspection purposes. Signature of Applicant/Agent: 1-6� �� 'r VT� Date: SUPPLEMENTAL INFORMATION REQUALED PL cI>EcxTYPE OUTWG SLIP. ❑ OVER-THE-COUNTERBUILIING 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 ❑ -'STAND'ARD ❑ .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 El nlAJox ❑ SANITARY sEN►TR DISTRICT submittal of Building Permit application. ❑ Eik'VIRONMENTAL HF,ALTH B1dgApp_2011.doc revised 06/21/11 �n {p.l F` \ CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION f I 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 I obi CUPERTINO (408) 777-3228 • FAX (408) 777-3333 • buildingCcDcupertino.org `2 ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI WREVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRES fy S Cre & Finch APN 4 OWNERNAME Main Street Cupertino Aggregator, LLC PHONE 650-344-1500 E-MAIL STREET ADDRESS 203 Rledwood Shores Parkway, Suite 200 CITY, STATE, zip Redwood City, CA, 95070 FAX 650-344-0652 CONTACT NAME Nandy Kumar -7I PHONE 408-593-6605 EMAIL nkumar@schmllc.com STREET ADDRESS 203 Rjedwood Shores Parkway, Suite 200 CITY, STATE, zip Redwood City, CA, 95070 FAX ❑ OWNER ❑ OWNER-�UILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME T(�ny Taormino LICENSE NUMBER 399163 LICENSE TYPE BA BUS. LIC" 11068 COMPANYNAME Devdon Construction E -MALL TTAORMINOCIDEVCON-CONST.COM FAX 408-942-8200 STREETADDRESS 690 :Gibraltar Drive CITY,STATE,ZIP Milpitas, CA, 95035 PHONE 408-549-8412 ARCHITECT/ENGINEERNAiME Ethan A. Charpentier LICENSENUMBER C72890 BUS. LIC# COMPANYNAME Larson Engineering, Inc. i E'. -MAIL FAX 651-481-9201 STREETADDRESS 3524 Labore Road CITY,STATF.,ZIP White Bear Lake, MN 55110 PHONE 651-481-9120 DESCRIPTION OF WORK Walters and Wolf - Office 1 and 2 Curtain wall, shop drawings and, structural calculations. rA/j Cf kJ - y - EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION (S) F.XISTG NEW FLOOR DEMO TOTAL. AREA AR LA AREA NET AREA BATHROOM i KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH DECK AREA TOTAL DECKIT'ORCH ARE,4 GARAGE AREA: DETACH ❑ ATTACH _7_AREAJ # DWELLING UNITS: I - ' OND UNIT [:]YESSECOND STORY -DYES BEING ADDED? []NO ADDITION? []NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED BY: PLANNING APPLE [:]NO PLANNING APPROVAL LETTER EICHLER HOAIE? ❑ NO By my signature below, I certify to each of the following: I am the property owner Or authorized ag at -t ton the ro ertvner'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 accurate. I agree to comply with all applicable local ordinances and state laws relating to build* n cons n. 1 thorize representatives of Cupertino to enter the abproperty for inspection purposes. boovve-identifie/d Signature Applicant/Agent:Date: G - f of SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW New SFD or Multifamily dwellings: Apply for demolition pennit for existing building(s). Demolition permit is required prior to issuance of building permit for new buildirig. ❑ EXPRESS ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS forni 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 t0 ❑ MAJOR ❑ SANITARY SEINER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH Bl(> App 20ll.doe rerised 06/21/11 CVPERTINQ ❑ NEW CONSTRUCTION CONSTRUCTION PERMIT APPLICATION Y COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 91 Ov� (408) 777-3228 • FAX (408) 777-3333 • building cDcupertino.orq ❑ ADDTITON ❑ ALTERATION / TI It REVISION /DEFERRED ORIGINAL PERMIT N PROJECT ADDRESS ' Q2 ' 1 APN # OWNER NAME Main S__t((rreeOt Cupertino Aggregator, LLC PHONE 650-344-1500 E-MAM STREET ADDRESS 203 Redwood Shores Parkway, Suite 200 i CITY, STATE, zip Redwood City, CA, 95070 FAX 650-344-0652 CON -TACT NAME Nandy kumar PHONE 408-593-6605 E-MAIL nkumar@schmllc.com STREET ADDRESS 203 Redwood Shores Parkway, Suite 200 CITY, STATE, zip Redwood City, CA, 95070 FAX i OWNER ❑ OWNER -BOLDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Toriy Taormino LICENSE NUMBER 399163 LICENSE TYPE BA BUS. LIC N 11068 coMPANYNAME DeVCGri Construction E-MAIL TTAORMINO@DEVCON-CONST.COM FAX 408-942-8200 sTREETADDREss 690 Gibraltar Drive crrY,STATF ZIP Milpitas, CA, 95035 PHONE 408-549-8412 ARCHTTECT/ENGINEER NAME Thomas A. Castle LICENSE NUMBER 4063 BUS. LIC q comrPANY NAME Ficcaderlti Waggoner & Castle Structural Engineers E-MAIL FAX 925 - 280-0096 sTREET ADDREss 3100 Oak Road Suite 390 CITY, STATE, ZIP Walnut Creek, CA, 94597 PHONE 925-280-0098 DESCRIPTION OFWORK 'Raymond: Roof Truss Shop Drawings, Product Data, Calculations, Certificates EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW lLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ATTACH I N DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? []NO ADDITION? []NO PRE -APPLICATION YES IF YES, PROVIDE COPY OF IS THE BLDG AN YES RECEIVED BY: TOTA ATION: PLANNING APPL N NO PLANNING APPROVAL LETTER EICHLER HOME? NO By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner'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 accurate. I agree to comply with all applicable local ordinances and state laws rotating to building co do authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROITMG SUP 11OVER-THE COUNTER �/ '[J BUILDING PLAN REVIEW New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Ddmolition permit is required prior to issuance ofbuilding permit for new building;,❑�EXPRtSS ❑ PLANNING PLAN REVIEW Commercial Bldgs:! Provide a completed Hazardous Materials Disclosure , � sTANDARD ❑ 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 El MAJOR El SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06121111 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION J 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingecuoertino.org ❑ NEW CONSTRUC71ON ❑ ADDITION ❑ ALTERATION/T1 ❑ REVISION / DEFERRED ORIGINAL PERMIT n PROJECT ADDRESS APN q Z o O rj O'WNERNAME -M�A�IL OE PHO11&5-b- 3 +4 66 r bfs LAX— STREETADDRESS --A 2-0j kecv ,0b C1Sl CITY, SU 'V6LJ �l%J! FAX CONTACT NAME �� PHONE gwr)-v--0v 1L KenrDKr )ecl� en h � r �r a ne�'S L,O,SO- rch STRE q`IS N V`,Jh, f(KII � S �t,-�e 71� CI NAA-'&ATY, STATE, IPVIZN% CA (I q0 O F�Ja� ❑ OWNER ❑ OWNER-BCN DER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME � � LICENSE NUMBER LICENSE TYPE BUS. LIC 4 COMPANY NAME s E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME 1 E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK�_ Gly 0;;7 � i EXISTING USE PROPOSED USE CONSTR TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG A'EWiFLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA ` REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: LJDE7ACH ❑ AT7ACH I DNIVELLING UNITS IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? []NO ADDITION? []NO PRE -APPLICATION M YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED BY . , z„.r'' r 3 � ;_ TOTAL VALUATION: NO PLANNINGPPROVAL LETTER PLANNING APPL F []NO.4 EICHLER HOME. ❑ NO By my signature below, I certify to each of the following: I am the property owner or authorized aeent to act on the property mvner's behalf. I have read this application and the information I ha rovided is correct. I ve read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relatingtilTons tion. I uthorize representatives of Cupertino to enter the abov entifi d property for inspection purposes. 1-' Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION QUIRED New SFD or Multifamily dwellings: Apply for demolition permit for 0 BUILDINGPL4N existing building(s). Demolition permit is required prior to issuance of building O\�R THE COLI,TER RE\ IER permit for new building. SF' ❑ EREss PL. N G P4M. REPIEtiV ag Commercial Bldgs; Provide a completed Hazardous Materials Disclosure p sT4iYI1AJ2D ❑ PUBLICS\ORILS _ form if any Hazardous Materials are being used as part of this project. �� LARGE ❑ FII2EDEPT x�� Copy of Planning Approval Letter or Meeting with Planning prior to _ submittal of Building Permit application. 0 nLaaoR sANIT4RYSERERDISTRJCT F -:a. `�,•.EI�-VIRO!vTiENTAI:HEAI,TH B1dgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO lwj FEE ESTIMATOR — BUILDING DIVISION NOTE: This estim#te does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Distrirt_ etc.). Thede fees are based on the nreliminary information available and are onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (F�e Resolution 11-053 Eff. 711113) ADDRESS: 19319 SCB DATE: 08/13/2015 REVIEWED BY: MELISSA Plan Check Fee: I Hourly Only? Q Yes (F) No APN: BP#: 12110083 *VALUATION; Iso *PERMIT TYPE:I Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: PME Plan Checkl PENTAMATION 1GENCOM PERMIT TYPE: WORK REV #;2 - RFI'S SCOPE Suppl. Insp. Fee -.0 Reg. Q OT NOTE: This estim#te does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Distrirt_ etc.). Thede fees are based on the nreliminary information available and are onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (F�e Resolution 11-053 Eff. 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: I Hourly Only? Q Yes (F) No $0.00 hours Plan Check, Hourly $715.00 1STPLNCK Suppl. PC Fee: Reg. OT 0.0 hrs $0.00 PME Plan Checkl $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 Work Without Pen -nit? 0 Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure Strong Motion Fee: $0.00 Select an Administrative Item Bldiz Stds Commission Fee: 1 $0.00 SUBTOTALS: $0.00 $715.00 TOTAL FEE: $715.00 Revised: 07/02/2015 :�t� CITY OF CUPERTINO Pep Fm_� FEE ESTIMATOR - BUILDING DIVISION 1AADDRESS: 19319 SCB QTY/FEE DATE: 04/24/2015 REVIEWED BY: SEAN Plan Check Fee: APN: BP#: 'VALUATION: Iso *PERMIT TYPE: Building Permit Suppl. PC Fee: E) Reg. OT PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY USE: Commercial Building $0.00 Civil / Religious activities in BQ zone? 0 Yes 0 No PENTAMATION PERMIT TYPE: WORK /�l 7 S SCOPE al Suppl. Insp. Fee:Q Reg. OT NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc. ). Thkse fees are based on the nreliminary information available and are only an estimate Contact the Dent for addn'1 info. FEE ITEMS (Aee Resolution 11-053 Eff. 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: E) Reg. OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: 1BCONSTUC $0.00 O G Work Without Permit? Yes E) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure E) Strong Motion Fee: $0.00 0 # $0.00IREVCOMNEW Revisions Commercial New Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $0.00 TOTAL FEE: $0.00 Revised: 04/01/2015 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 19319 SCB FEE DATE: 07/08/2014 REVIEWED BY: Mendez APN: I[ BP#:a 3 "VALUATION: Iso PERMIT TYPE; Building Permit 2 # $572.00 PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: Supp/. PC Fee: Reg. Q OT __T PENTAMATION 1GENCOM PERMIT TYPE: WORK Deferr d #1 curtain wall shop drawings and structrual calcs american steel & stair, rails and framing SCOPE plan 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 (I'ce Resolution 11-0153 Eff 71,73) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 2 # $572.00 Deferred Submittal IDEFSUBM Supp/. PC Fee: Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Permit? ()Yes (j) No $0.00 Advanced Planrd!ig (l=ee: $0.00 Select a Non -Residential Building or Structure � 0 Strony, Motion Fee: $0.00 Select an Administrative Item Bldj; Stds Commission Fee: $0.00 SUBTOTALS: 1 $0.00 $572.00 TOTAL FEE: $572.00 Revised: 07/07/2014 CITY OFUPERTINO FEE ESTIMATOR CBUI DING DIVISION OCCUPANCY! TYPE: ADDRESS: Main Street Cupertino DATE: 10/02/2012 REVIEWED BY: A. Salvador SM APN: BP#: 0083 *VALUATION:$18,048,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY Commercial BuildingCivil USE: / Religious activities in BQ zone? 0 Yes (D No PENTAMATION 1 SHELLBLDG PERMIT TYPE: WORK New T `e II -B Office B Occupancy) Shell Bldg Office 2 -129,898 s.f. SCOPE OCCUPANCY! TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID Shell Bldgs II-B,III-B,IV,V-B 129,898 $32,136.26 IOSPLNCK $59,664.07 1OSINSP $0.00 Permit Fee: $59,664.07 Suppl. Insp. Fee:(D Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXC $353,322.56 TOTALS: 129,898 $32,136.26 '' $59,664.07 Work Without Permit? 0 Yes ie) No $0.00 le, "k J. NOTE: This estimatq does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School ni.ctrirt_ etc )_ A~ roov are hated an the nrelinainary informatinn availahle and are nnly an estimate. Contact the Dent for addn 7 info. FEE ITEMS (Fee resolution 11-053 E . 7� FEE QTY/FEE MISC ITEMS Plan Check Fee: $32,136.26 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: (F)Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: j $0.00 Permit Fee: $59,664.07 Suppl. Insp. Fee:(D Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXC $353,322.56 0 Work Without Permit? 0 Yes ie) No $0.00 Advanced Planning Fee: IPLLONGC $33,773.48 Select a Non -Residential Building or Structure G Strong Motion Fee: IBSEISMICo $3,790.08 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $722.00 SUBTOTALS 83,408.45 $0.00 TOTAL FEE: $483,408.45 Revised: 10/01/2012 CITY OF CUPERTINO Iwo FEE ESTIMATOR - BUILDING DIVISION i i ED NOTE. This estim to does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School nistrirt_ etr.l_ Thvae fees are hated an the nreliminary information availahle and are nnlv an estimate_ rnntart the nent far addn'l info. FEE ITEMS (Ede Resolution 11-053 Eff 711113) ADDRESS: 19319 SCB DATE: 07/09/2014 REVIEWED BY: Mendez Plan Check Fee: f APN: BP#: 12110083 *VALUATION: Iso *PERMIT TYPE:; Building Permit PLAN CHECK TYPE: New Construction PRIMARY Conk mercial Building USE: Civil / Religious activities in BQ zone? Q Yes G No PENTAMATION 1 GENCO PERMIT TYPE: WORK Officej- Truss Calcs SCOPE Suppl. Insp. Fee:Q Reg. Q OT i i ED NOTE. This estim to does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School nistrirt_ etr.l_ Thvae fees are hated an the nreliminary information availahle and are nnlv an estimate_ rnntart the nent far addn'l info. FEE ITEMS (Ede Resolution 11-053 Eff 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: f $0.00 = # Deferred Submittal $572.00 IDEFSUBM Suppl. PC Fee: (E) Reg. 0 OT FO.OThrs $0.00 PME Plan Check f $0.00 Pen -nit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT F0,01 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax; 1BCONSTAXC71- $0.00 0 Work Without Permit? 0 Yes No $0.00 Advanced Planni4g Fee. $0.00 Select a Non -Residential G Building or Structure 0 Strong Motion Fei: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $572.00 TOTAL FEE: $572.00 Revised: 07/08/2014