B-2016-3263CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2016-3263
20230 STEVENS CREEK BLVD CUPERTINO, CA 95014-2210 (369 02 03 1)
DPR CONSTRUCTIO
14
A GENERAL
PARTNERSHIP
REDWOOD CITY, C
94063
OWNER'S NAME: TORRE AVENUE PROPERTIES
DATE ISSUED: 12/13/2016
OWNER'S PHONE: 650-426-1100
PHONE NO: (650) 474-1450
LICENSED ONT A TOR' D T R TION
BUILDING PERM
IT INFO:
License Class B Lic. #253742
Contractor DPR CONSTRUCTION A GENERAL PARTNERSHIP Date 10/31/2018
X BLDG —ELECT
—PLUMB
MECH RESH
ENTIAL X COMMERCIAL
I hereby affirm that I am licensed under theprovisions 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.
JOB DESCRIPTI
N:
1 ST FLOOR; T.L. - I
LEMOVE DOUBLE DOORS; INSTALL (1) 40" WIDE
I hereby affirm under penalty of perjury one of the following two declarations:
DOOR; INSTALL 8
6" PARTITION; INSTALL (1) FAIL SAFE CARD
1. I have and will maintain a certificate of consent to self -insure for Worker's
READER - AMAZC
IN
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
�a I have and will maintain Worker's Compensation Insurance, as provided for by
C/• Section 3700 of the Labor Code, for the performance of the work for which this
Sq. Ft Floor Area:
Valuation: $25000.00
permit is issued.
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
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 E3
PIRES IF WORK IS NOT STARTED
may accrue against said City in consequence of the granting of this permit.
WITHIN 18
DAYS OF PERMIT ISSUANCE OR
Additionally, the applicant understands and will comply with all non -point
source regulatio pe the Cupertino Municipal Code, Section 9.18.
180 DAYS FROM
LAST CALLED INSPECTION.
,r
Signatr6 a ` : Date 12/13/2016
Issued by: A
pride
Date: 12/13/2016
I hereby affirm that I am exempt from the Contractor's License Law for one of the
All roofs shall be inspected
RF. -ROOFS:
prior to any roofing material being installed. If a roof is
following two reasons:
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 (See.7044, Business & Professions Code)
2. I, as owner of the property, am exclusively contracting with licensed
Signature of Applican
:
contractors to construct the project (Sec.7044, Business & Professions Code).
Date: 12/13/2016
I hereby affirm under penalty of perjury one of the following three declarations:
ALL ROO
COVERINGS TO BE CLASS "A" OR BETTER
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.
W
ZARDOUSALS 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 Healtl
& Safety Code, Sections 25505, 25533, and 25534.. I will
maintain compliant
with the Cupertino Municipal Code, Chapter 9.12 and the
permit is issued.
3. I certify that in the performance of the work for which this permit is issued, I
Health & Safety Code,
material. Additions
Section 25532(a) should I store or handle hazardous
y, should I use equipment or devices which emit hazardous
shall not employ any person in any manner so as to become subject to the
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
ons 255 5, 25533, and 25534.
Labor Code, I must forthwith comply with such provisions or this permit shall
li
be deemed revoked.
Owner or authorized
LagenC.
APPLICANT CERTIFICATION
Date: 1 1 1
I certify that I have read this application and state that the above information is
I hereby affirm that Ihere
is a construction lending agency for the performance
correct. I agree to comply with all city and county ordinances and state laws
of work's for which t
is permit is issued (Sec. 3097, Civ C.)
relating to building construction, and hereby authorize representatives of this city
Lender's Name
to enter upon the above mentioned property for inspection purposes. (We) agree
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
ARCHITECT'S DECLARATION
and will comply with all non -point source regulations per the Cupertino Municipal
I understand my plans
shall be used as public records.
Code, Section 9.18.
Licensed
Signature Date 12/13/2016
COMMUNITY DEVELOPMENT DEPARTMENT . BUILDING
10300 TORE AVENUE , CUPERTINO, CA 95014-3255
CUP RTINC} (408) 7773228 . FAX (408) 7773333/• bb�uilding a@cupertinac
FNF.WC0NCTRITCTTC)N F-1 AT)T)TTTC)M n ATTPT?ATTn-KTV-PT 1I—I DUATTOrn'k IT
1') -Lo t(o 5L
ID
— � T—TnT n
PROJECT ADDRESS 20230 Stevens Creek Blvd. APN#
< 02 X31
OWNER NAME Amazon / Lab 126
PHONE (650) 426-110=9408
STREET ADDRESS
1100 Enter rise Wa
CITY, STATE, ZIP
Sunnyvale,
CONTACT NAME Henryartinez
Y
PHONE .415 521-841
E-MAILhen@as uared s.com
STREET ADDRESS
1100 Enterprise Way
CITY, STATE, ZIP
Sunnyvale,
CA 94089
FAX
❑ OWNER ❑ OWNER -BUILDER D( OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑
ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME Ian Cunningham
TLICENSE NUMBER 953749
77
I
LIC
ENSE TYPE B
BUS. LIC # ✓ l 02
COMPANY NAME
DPR Construction
E-MAIL
ianc@DPR.com
FAX
STREET ADDRESS
1510 S. Winchester Blvd..
, CITYSTATE, ZIP
San Jose,
A 95014
PHONE
ARCHITECTIENGMEER NAME Alan Johansen
LICENSE NUMBER C-9672
BUS. LIC#
COMPANYNAME Interior Architects
E-MAIL
m.wei interiorarch
tects.com
FAX
STREETADDREss2775 Great America PKWY
CITY, STATE, ZIP Santa Clara,
CA 95054
PHONE 415 296-5320
DESCRIPTION OF WORK Removal of Double Doors (Frames Will Remain). Installation
of (1) 40" Wide Door.
Installation of 8'6" Tall Parition (1.8" Below Existing Acoustical Ceiling Sys
em). Installation of (1) Fail Safe Card
Reader
EXISTING USE
- PROPOSED USE CONSTR.
TYPE
# STORIES
-
USE
TYPE
OCC.
SQ.FT.
VALUATION ($)
AREA
AREA
NEW FLOOR
AREA
DEMO
AREA
E
TOTAL
NET AREA
OFF ((„ IE
BATHROOM
REMODEL AREA 0.
KITCHEN
REMODEL AREA 0
OTHER -
REMODEL AREA
-
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA
GARAGE AREA: DETACH
0.
0-
O
0 ❑ATTACH
# DWELLING UNITS
IS A SECOND UNIT []YES
SECOND STORY ❑ YES
BEING ADDED? KNO
ADDITION? D4NQ
'
PRE-APPLICATIONYES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑ YES[R;E�fVEPItY,'.
, - TOTAL VALUATION:
PLANNINGAPPL# DQNO PLANNING APPROVAL LETTER
EICHLERHOME? �NO
.p25,000
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 ha rovided is correct. I ave read the Description of Work and verify it is
accurate. I agree to comply with all applicable local
ordinances and state laws relating t bu Iding construction. Aauthorize representatives of Cupertino to enter thy
above -identified property for inspection purposes.
Signature of Applicant/Agent: Date:'
12/12/2016
INFORMATION QUIREI�
-CMSUPPLEMENTAL
P>i�
I. za.
f" El,
�aln rEliT
�;, IIIIIr iN rL I REQ
_ 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.
Q EeR>rss
1 kLNr1�t$,I,ALTLEIE4
a .
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
Q< STANIIA'I'ta
f❑ iPiBLrt W,O,i Ts S
form if any Hazardous Materials are being used as part of this project.
Q;
❑. EIRIZDEp
LARGE
g .'
Copy of Planning Approval Letter or Meeting with Planning prior to
i d MA OR
= '
❑' `SAWA—WERDISTRIC
submittal of Building Permit application.
Q ENVIRII701EXT,AYLHEALTH
BldgApp_201 Ldoc revised 06/21/11