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14110095CITY OF CUPERTINO BUILDING PERMIT 1 BUILDING ADDRESS: 20330 STEVENS CREEK BLVD 1 CONTRA TOR: ACCO ENGINEERED I PERMIT NO: 14110095 ST I OWNER'S NAME: SVF CUPERTINO CITY CENTER CORPORATI 16265 SAN FERNANDO RD I DATE ISSUED: 11/18/2014 1 OWNER'S PHONE: 4089749575 LICENSED CONTRACTOR'S DECLARATION License Class�- Lic. # nt Coractor ° �� 16, Date it ft 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. 1 hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Piave 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 1 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 oL he` granting of this perm t. Add itionally"{he applicant understands and will comply with all non-poin ource regulations per the Cupertino Municipal Code, Section 9.18. �j Signature Date ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California If, after making this certificate of exemption, i become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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, GLENDALE, CA 91201 PHONE NO: (818)244-6571 JOB DESCRIPTION: RESIDENTIAL COMMERCIAL REMOVE (E) BOILER & INSTALL (N) BOILER, SAME LOCATION Sq. Ft Floor Area: I Valuation: $184000 APN Number: 36901020.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAY RMIT ISSUANCE OR 180 DAY M LA ALLED INSPECTION. by: Date: ' RE -ROOFS: Al I roofs shall be inspected prior to any rooting 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: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 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 1 use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the ertino Municipal Code, Chapter 9.I2 and the Health &Safety Code, Seeti s' 5505, ,�3, and 25534. Owner or authorized agent: "" ` Date: 1( l CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Add ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed CUPERTINO GENERAL PERMIT APPLICATION` 00 ('11cf 5 E P COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION O� 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 + 1 O (408) 777-3228 • FAX (408) 777-3333 • building(@cupertino.M ` ` Isc ❑PLUMBING ®MECHANICAL ❑ELECTRICAL []MISCELLANEOUS PROIECTADDRESS 20330 STEVENS CREEK BLVD, CUPERTINO, CA 945014 APN# — 0/ V i( OWNER NAME l ` PHON � � �. E-MAIL " u tr- ' STREET ADDRESSi�i� @/� U CITY, STATE, ZIP FAX 0 Gi , CONTACT NAME CONMIN CHENG PHONE 510-346-4300 E-MAIL CCHENG@ACCOES . COM STREETADDRESS 1133 ALADDIN AVE CITY, STATE, ZIP SAN LEANDRO, CA 94577 FAX 510-347-1313 ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT IX CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME CONMIN CHENG LICENSE NUMBER 12 0 6 9 674, ICF,NSETYPE A, B, C10 BUS. LIC# C20,C36,C38 COMPANY NAME ACCO ENGINEERED SYSTEMS E-MAIL CCHENG@ACCOES . COM FAX 510-347-1313 STREETADDRESS 1133 ALADDIN AVE CITY, STATE, ZIP SAN LEANDRO, CA 9457 7 PHONE 510-346-4300 ARCHITECT/ENGINEF.R NAME CRAIG R I S T ROW LICENSE NUMBER MO 3 0 8 2 8 BUS. LIC # COMPANYNAMF ACCO ENGINEERED SYSTEMS E-MAIL CRISTOW@ACCOES . COM 1"510-347-1313 STREET ADDRESS 1133 ALADDIN AVE CITY, STATE, ZIP SAN LEANDRO, CA 94 577 PHONE 510-346-4300 USE OF ❑ SFD or DUPLEX ❑ MULTI -FAMILY PROJECT IN WILDLAND ❑ YES PROJECT IN ❑ YES IS THE BLDG AN ❑ YES BUILDING: IN COMMERCIAL URBAN INTERFACE AREA NO FLOOD ZONE 0 N;O;,�� EICHLER HOME? NO DESCRIPTION OF WORK tt5,W EXISTING BOILER, INSTALL NEW BOILER. r" " w TOTAL VALUATION: 18 4, 0 0 0 0 0 By my signature below, I certify to each of the following: I am e property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have pro*(Id (Id is correct. I I e read the Description of Work and verify it is accurate. I agree to comply with all applicable local PX ordinances and state laws relating to bu constru ion a _ authonze representatives of Cupertino to enter the above -Iden fled p perty for inspection purposes. � .,_ Signature of Applicant/Agent: „� .- � �. Date: �' �„ SUPPLEMENTAL IN ATION REQUIRED OFFICE USE ONLY w ❑ OVER-THE-COUNTER a ❑ EXPRESS �W �+ ❑ STANI)ARI) C3 ❑ LARGE MAJOR MEPMiscApp_2011.doe revised 06121111 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION APPLIANCE / EQUIP TYPE ADDRESS: 20330 STEVENS CREEK BLVD DATE: 11/18/2014 REVIEWED BY: MELISSA UNITS APN: 369 01 020 BP#: '� `VALUATION: $184,000 PERMIT TYPE: Mechanical Permit PLA4 CHECK TYPE: Alteration / Addition / Repair PRIMARY USE: Commercial Building PENTAMATION PERMIT TYPE: 1 CMB WORK REMOVE E BOILER & INSTALL N BOILER SAME LOCATION SCOPE APPLIANCE / EQUIP TYPE FEE ID QTYIFEE QTY UNITS BP FEES Boiler/Comp. <=50hp 1BBOILER(4) 1 # $179 PME Unit Fee: $179.00 PME Permit Fee: $48.00 Administrative Fee: I,4DM/N $45.00 Work Without Permit? 0 Yes 0 No TOTALS: $179.00 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.)- These fees are hosed on the nrelinunary information available and are onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff x/1/13) FEE QTYIFEE MISC ITEMS PME Plan Check: $0.00 PME Unit Fee: $179.00 PME Permit Fee: $48.00 Administrative Fee: I,4DM/N $45.00 Work Without Permit? 0 Yes 0 No $0.00 Travel Documentation Fee: ITRA VDOC $48.00 Stron�Z M'otion Fee: 1BSEISM/CO $51.52 Select an Administrative Item Bldg, Stds Commission Fee: 1BCBSC $8.00 SUBTOTALS: $379.52 $0.00 TOTAL FEE: 1 $379.52 Revised: 10/01/2014 Al APPLE CITY CENTER EAST AND WEST 20330 STEVENS CREEK BLVD. CUPERTINO, CA 945014 ACCO JOB *815761 en ine s systems 1133 ALADDIN AVENUE SAN LEANDRO, CALIFORNIA, OFFIGE (6a Dj 34W300 PA%(590)341-1313 MAWING SCtEDIA.E LOG z; R DWG NO DRAWM T9T7.E AE»o AW 01 tttlE 2 M4NDA OF( NFASURE3 .EM1ERk NOtE3 A0002 EW NEN( S:NFOUIE PO ER SAU OA9 ' & PkU � f'Ex-W ANO Cf MO U5I • ACi 1 SCOPE OF WOW 6f M0 (E) B01t£R .N' (N) L. ANO NMP ISSUED FOR PLAN CHECK 111972014 systems III 1133 AUDOIN AVENUE SAN LEANDRO, DALIEDRNIA 946/7 (fitV) J46-6300 ACRD £NDINEERED SY9£EM91NC. 1' KEY PLAN 0:'Pt— D Project APPLE CENTER2 20330 S—ENS CRIE - CUPERflNO, CA 9 1^ f' 15 -0 TINA COVER SHEET, DRAWING INDEX, 8, SYMBOLLEGEND C. CHENG G RISTOW wm C. CHENG R ADAMS 815761 noounts eye.. 1 ((�� (/��//�� NONE ACy,yy It• I& •14 O III �-11111' MAWING SCtEDIA.E LOG z; R DWG NO DRAWM T9T7.E AE»o AW 01 tttlE 2 M4NDA OF( NFASURE3 .EM1ERk NOtE3 A0002 EW NEN( S:NFOUIE PO ER SAU OA9 ' & PkU � f'Ex-W ANO Cf MO U5I • ACi 1 SCOPE OF WOW 6f M0 (E) B01t£R .N' (N) L. ANO NMP ISSUED FOR PLAN CHECK 111972014 systems III 1133 AUDOIN AVENUE SAN LEANDRO, DALIEDRNIA 946/7 (fitV) J46-6300 ACRD £NDINEERED SY9£EM91NC. 1' KEY PLAN 0:'Pt— D Project APPLE CENTER2 20330 S—ENS CRIE - CUPERflNO, CA 9 1^ f' 15 -0 TINA COVER SHEET, DRAWING INDEX, 8, SYMBOLLEGEND C. CHENG G RISTOW wm C. CHENG R ADAMS 815761 noounts eye.. 1 ((�� (/��//�� NONE ACy,yy 1 Ogg A U0, y ;Ijkldh M Kill W01111 11 1, 11 11 h yq"' j'!g 11 h U 01 x oil I WIN 0 is 10 it OWN 11« IM 1 Vi do P Ygn E -E 51¥fias� 7� Ron! HIM All m Will v i 11 MIA lid mill 1 ill 3`F au hi 11 MIN M -1H ph nfll 1 Rug MEN N' 1 too ilmhqu ke 11111marylumill 1 HUI minnum tit j 1 Ed! 1, r WIN!! RUN,. I WHIM Hud. mumu! t a 8 9S CCCCCC ¢q CCCCCC ¢q O Y��UU � o Oz tJ SSE a �U w� a pOp CITY OF CUPERTINO BUILDING PERMIT INSPECTION CARD BUILDING ADDRESS. 20330 STEVENS CREEK BLVD CONTRACTOR. ACCO ENGINEERED PERMIT NO: 14110095 SYSTEMS OWNER'S NAME. SVF CUPERTINO CITY CENTER 6265 SAN' FERNANDO RD DATE ISSUED: 11/18/2014 CORPORATI OWNER'S PHONE 4089749575 GLENDALE, CA 91201 PHONE NO- (818)244-6571 ' UFER GROUND j PAD/SET BACK -CERT 1 GARAGE SLABS/PREGUNITE POUR NO CONCRETE UNTIL AB( UNDERGROUND/SLAB F UNDERGROUND PLUMBING , UNDERGROUND ELECTRICAL , DO NOT POUR FLOOR UNTIL AB UNDERFLOOR PLUMBING UNDERFLOOR MECHANICAL UNDERFLOOR ELECTRICAL UTIDERFLOOR FRAMING VENTS UNDERFLOOR INSULATION PLACE NO SUBFLOOR UNTIL AB ROOF SHEATHING ROUGH PLUMBING II TUBS & SHOWER PAN i ROUGH MECHANICAL i ROUGH ELECTRICAL/POOL BOND FRAMING/STAIRS/E. EGRESS INSULATION/VENTILATION COVER NO WORK UNTIL ABOVE EXTERIOR SHEAR/HOLD DOWN INTERIOR SHEARMOLD DOWN ,SHEETROCK/SHEETROCKSHEAR EXTERIOR LATH/W—SCREED INTERIOR MH NO TAPE OR PLASTER UNTIL AE SCRATCH COAT �f __-EWER/WATER j T—BAR/MECH/ELECT ABOVE CELL FINALS ELECTRIC METER RELEASE GAS TEST/METER RELEASE i GRADE PUBLIC WORKS j FIRE — CALL (408) 3784010 �- 1 PLANNING (408) 777-3308 i SANITARY (108) 253-7071 a ELECTTRICAL MECHANICAL h PLUMBING HANDICAP L-NERGY BUILDING I I CERTIFICATE OF OCCUPANCY •6If-.7 - !r 1 is .S BUILDING PERMIT INFO: BLDG r— ELECT r PLUMB f— MECH r RESIDENTIAL f— COMMERCIAL F JOB DESCRIPTION REMOVE (E) BOILER & INSTALL (N) BOILER, SAME WILDLAND URBAN INTERFACE FIRE AREA F- ER# TO ARRANGE INSPECTION Call 777-3228 between 7:30 am and 3:30 pm Monday through Friday, at least 24 hours before required inspection. Job address and Permit Numbers are needed when requesting an inspection. CUPERTINO SANITARY DISTRICT Closed circuit video inspection of property line cleanout, point of connection and street lateral required prior to passing FINAL CITY PLUMBING INSPECTION. Call the District (408-253-7071) for an appointment. NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED BUSINESS LICENSES ARE OBTAINED PERMIT'EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. IMPORTANT When a permit has expired, a charge totaling one-half the fees to obtain a new permit must be paid in order to reactivate the permit. If a permit has been expired for more than one year, a charge totaling the full fees to obtain a new permit must be paid to reactivate the permit. NOTES. SPECIAL INSPECTIONS Inspector - Date: ROOF INSPECTIONS PRE -INSPECTION: Inspector: Date: TEAR -OFF- Inspector Date: PLYWOOD- Inspector: Date: BATTENS. Inspector: Date: IN PROGRESS. Inspector: Date: FINAL. Inspector Date: NOTE. OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION. OCCUPANCY OF BUILDING NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY