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B-2016-3319CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-3319 20230 STEVENS CREEK BLVD CUPERTINO, CA 95014-2210 (369 02 03 1) DPR CONSTRUCTION 1AGENERAL REDWOOD CITY, CA 94063 OWNER'S NAME: TORRE AVENUE PROPERTIES ISSUED: 12/22/2016 OWNER'S PHONE: 650-426-1100 1 1 PHONE NO: (650) 474-1450 LICENSED CONTRACTOR'S DECLARATION License Class B Lic, #953742 Contractor DPR CONSTRUCTION A GENERAL PARTNERSHIP Date 10 /31/2018 1 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. hereby affirm under penalty of perjury one of the following two 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. 2: -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. APPLICANT ERTIFICATION 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 mentionedproperty 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. BUILDING PERMIT INFO: BLDG —ELECT —PLUMB MECH RESIDENTIAL X COMMERCIAL JOB DESCRIPTION: LAB 230 & 231; T.I. - REMOVE ONE PARTITION; ADD 3 NEW CEILING HEIGHT PARTITIONS; ADD 2 DOORS; RELOCATE OF SUPPLY AND RETURN VENTS TO (E) HVAC SYSTEM - AMAZON REV#1 LAB 230 & 231; T.I - RELOCATE (3) WALLS, HVAC, DUCTS, ELECTRICAL; REPLACE CEILING -ISSUED 2/16/2017 - ADD 4 RECESSED LIGHTS - ISSUED 2/22/2017 Sq. Ft Floor Area: I Valuation: $150000.00 APN Number: Occupancy Type: 369 02 031 1 A (Tenant Improvements) PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Date 2/22/2017 Issued by: AbbXAA ev nde Date: 12/22/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 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). 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. 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. 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, atter 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. 11 APPLICANTCERTIFICATION 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 212212017 RF—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 ofApplieant: Date: 2/22/2017 ALL ROOF COVERINGS TO BE CLASS "A" 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 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 Cuper ino,Municipal Code, Chapter 9.12 and the Health & Safety Code,rSeections 25505, 25533, and 25534. Owner or authorized agent: i z Date: 2/2212017 . 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 Address ARCHITECT'S D • . •ARATION I understand my plans shall be used as public records. Licensed CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 L� CUPERTINO (401) 177-3228 - FAX (408) 777-3333 - buildingcupeno.opq 1 affi 1)�7_ F]NEW CONSTRUCTION n ADDITION RALTERATION /TI X REVISION /DEFERRED ORIGINAL PERMIT #B-2 016-3319 PROJECTADDRESS 20230 Stevens Creek Blvd. APN OWNERNAME Amazon / Lab 126 PHONE (650) 426-1100 STREET ADDRESS 1100 Enterprise Way CITY, STATE, ZIP Sunnyvale, CA 94089 1 FAX CONTACT NAME Ian Cunningham 157-2600 1 E­MAH­ lanC@DPR.com STREETADDRESS 1510 S. Winchester Blvd. CITY, STATE, ZIP San Jose, CA 95014 1 FAX [I OWNER [I owNER_nuMDFR [I OWNERAGENT X CONTRACTOR El CONTRACTOR AGENT 11 ARCHITECT 11 ENGINEER 1:1 DEVELOPER ❑ TENANT CONTRACTORNAME Ian Cunningham LICENSE NUMBER 953749 LTCENSETYPE B BUS. LIC # COMPANY NAME, DPR Construction E-A" IanCCa-)DPR.com FAX sTREETADDRE'8 1510 S. Winchester Blvd. CITY, STATE, ZIP San Jose, CA 95014 PHONE ARCHITECT/ENGINMERNAME Alan Johansen LICENSE NUMBER C-9672 BUS. LIC COMPANYNAMB4 Interior Architects E-MAIL M.Wei@interiorarchitects.COM FAX STREET ADDRE"'2775 Great America PKWY CITY, STATE, ZIP Santa Clara, CA 95054 PHONE (415) 296-5320 DESCRIPTION OF WORK Addition of recessed lights in room-M13i EXISTING USE R 0 PROPOSED USE CONSTR. TYPE 'TY E # STORMS USE TYPE OCC. SQFT. VALUATION EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA AREA i% TA NETAREA KITCHEN RFMODEL�AAREA 0 REMODELARFA 0 0 OTHER T' REMODELAREA PORCH AREA DECK AREA TOTALDECKIPORCH AREA GARAGE AREA: []DETACH 0 [] ATTACH 0 0 DWELLING UNITS: IS A SECOND UNIT LJYES BEI GADDED? KNO I SECOND STORY El� Yf �,S ADDITION? KNO PRE -APPLICATION YES IF YES, PROVIDE COPY OF - IS THE BLDG AN [] YES BY TOTAL VALUATION: JNO PLANNING APPROVAL PLANNINGAPPL# LETTER MCMERHOME? D(NO =:aUW4."_ $15,000 By my signature below, I certify to each of the following: I am the property owner or authorized agent tact on the property owner's behalf. I have read this application and the information I ovided is correct. I h read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating o bui ing construction. I 4thorize representatives of Cupertino to enter the above -identified property for inspection purposes. Date:01/_-2-1 C 72 Signature of Applicant/Age. SUPPLEMENTAL INFORMATION ED PLAN CHECK TYPE ROUTING SLIP M OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW New SFD or multifamily dwellings: Apply for demolition permit for ex_isting building(s). Demolition permit is required prior to issuance of building permit for new building. El EXPRESS El PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 0 STANDARD' n PUBLIC WORKS form. if any Hazardous Materials are being used as part of this project. El LARGE 0 MZE DEPT —CO -0y of Planning Approval Letter or Meeting with Planning prior to El MAJOR EI SANITARY SFWFRJ)ISTRICT submittal of Building Permit application. ENVIRONMENTAL HEALTH BIdgApp_2011.doc revised 06121111 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-3319 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: 12/22/2016 OWNER'S PHONE: 650-426-1100 PHONE NO: (6$0) 474-1450 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class 5 Lic. #953749 Contractor DPR CONSTRUCTION A GENERAL PARTNERSHIP Date 10/31/2018 X BLDG —ELECT —PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing — MECl3 — 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: LAB 230 & 231; T.I. - REMOVE ONE PARTITION; ADD 3 NEW I hereby affirm under penalty of perjury one of the following two declarations: CEILING HEIGHT PARTITIONS; ADD 2 DOORS; RELOCATE OF 1. I have and will maintain a certificate of consent to self-insure for Worker's SUPPLY AND RETURN VENTS TO .(E) HVAC SYSTEM - AMAZON Compensation, as provided for by Section 3700 of the Labor Code, for the REV#1 LAB 230 & 231 • T.I - RELOCATE (3) WALLS, HVAC, DUCTS, performance of the work for which this permit is issued. ELECTRICAL; REPLACE CEILING -ISSUED 2/16/2017 . 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. Sq. Ft Floor Area: Valuation: $150000.00 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) 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. Additionally, the applicant understands and will comply with all non-point WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations per the Cuperti unicipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECJION. Signature CA r P--Date 2/16/2017 Issued by Abby A gnde Date: 12/22/201616 RE-ROOFS: OWNER-BUILDER DECLARATION I hereby that I from the Contractor's License Law for the affirm amxem�pt one of following two reasons: All roofs shall be inspected prior to any roofing materialbeing installed. If a roof is t. 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: 2/16/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER t. 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 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 25505,255?, a d 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. j� `Owe or authorized agent: / ,• APPLICANT CERTIFICATION Date: 2/16/2017 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 CON TRUCTION LENDING NCY, I hereby affirm that there is a construction 1,ending agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this permit is issued (Seq. 30197, 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.. Signature Date 2/16/2017 Licensed . CONSTRUCTION PERMIT APPLICATION 0 COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING REVISION 0300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 • FAX (408) 777-3333 • building0cupertino.oEg ❑NEWCONSTR.ucnoN Q ADDITION i ! ALTRRATTO-9/TT W RT1VTCTnV/T1VPPRRm, nurr_rnrer n.D.,rrTu8+2�'i�`f+ 'IQ PROIECTADDRBSS 20230 Stevens Creek Blvd. APNA QZ OWNER NAME Amazon / Lab 126 PHONE (650) 426+1100 EMAIL 1 STREETADDRBSS 1100 Enterprise Way CITY, STATE, ZIP Sunnyvale, CA 94089 FAX CONTACT NAME Ian Cunningham 9 PHONE(408)857-2600 E.MAII, tanC@DPR.com STREET ADDRESS 1510 S. Winchester Blvd. CITY, STATE, ZIP San Jose, CA 95014 FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT yti CONTRACTOR ❑ CONfRACTORAGBNT ElARCHITECT fl ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME Ian Cunningham LICENSEMMBBP 953749 LICENSE TYPE B BUS. LIC# COMPANYNAME DPR Construction EMAIL IanC@DPR.Com rA" STREET ADDRESS 1510 S. WinchesterBlvd. CITY, STATR,Z`P San Jose, CA 95014 PHONE ARCHITECTIENGINEERNAMEAlan Johansen LICENSENUMBER C+9672 G BUS.LIC# COMPANYNAME Interior Architects E-MATL m.Wel@Interiorarchitects.com FAX STREETADDRBss2775 Great America PKWY CITY, STATE, ZIP Santa Clara, CA 95054 PEO1 E 415 296_5320 DESCRIPTION OF WORK Removal of one ceiling. Revision to (1) hard lid ceiling Patition alignment revisions. Wall detail change. HVAC/Elec. adjustments BXISTING USE PROPOSED USE CONSTR. TYPE fl;TORIES I USE TYPE OCC. SQ.FT. VALUATION (S) EXISTO NEW FLOOR DEMO TOTAL AREA ARBA AREA NBTARBA BATHROOM/� MCHEN REMODEL AREA 0 REMODBLAREA OTHER REMODEL AREA PORCHAREA D=AREA TOTALDECWORCHAREA GARAGE AREA: DBTACH 0 A I V V 0 0 ❑ ATTACH SDWEELLINGUNIT& IS A SECOND UNIT YES SECOND STORY []YES BEINGADDED? �No ADDITION? KNO PRE-APPLICATIONYES IF YES, PROVIDE COPY OF PLANNING APPL # �NO PLANNING APPROVAL. LETTER LS THE BLDG AN 13 YES EICHLER HOMF,? NO 11E B TOTAL VALUATION: JK > .p150y000 By my signature below, I certify to each of the £ollowin : I am the property owner or authorized agent to act on the property owner's behalf, I have road this application, and the information I have rovided is come I have read the Description of Work and verify it is accurate. I agree to comply wish all applicable local ordinances and state laws relating o buiidin conte ct' I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: -Data: 02/13/17 SUPPLEMENTAL INFORMA, rI N LTiRLD PLAN CHECK TYPE ROUTING SLD? ❑ OVER- TIE -COUNTER ❑ BUH,DINGPLANREVIEW _ New SFD or Multifamily dwellings: ?(C11 y for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. I] EXPRESS ❑- PLANNINGPLANREvREW _ Commercial Bldgs: Provide a completed hazardous Materials Disclosure 11 STANDARD ElPTJBLIC WORKS - form if any Hazardous Materials -are being used as part of this project. ® LARGE .❑ FIREDEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR 11 $ANTTARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doe revised 06121111 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20230 STEVENS CREEK BLVD CUPERTINO, CA 95014-2210 (369 02 031) CONTRACTOR: I PERMIT NO: B-2016-3319 DPR CONSTRUCTION A GENERAL REDWOOD CITY, CA 94063 OWNER'S NAME: TORRE AVENUE PROPERTIES I I DATE ISSUED: 12/22/2016 I OWNER'S PHONE: 650-426-1100 I I PHONE NO: (650) 474-1450 I License Class Ja Lie. #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: 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. 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 regulationspr the Cup rtino Municipal Code, Section 9.18. Signatur Date 12/22/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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: t. 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. 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 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. U 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. Date 12/22/2016 BUILDING PERMIT INFO: X BLDG —ELECT -PLUMB MECH _ RESIDENTIAL X COMMERCIAL JOB DESCRIPTION: LAB 230 & 231; T.I. - REMOVE ONE PARTITION; ADD 3 NEW CEILING HEIGHT PARTITIONS; ADD 2 DOORS; RELOCATE OF SUPPLY AND RETURN VENTS TO (E) HVAC SYSTEM -AMAZON Sq. Ft Floor Area: I Valuation: $150000.00 "N Number: Occupancy Type: 369 02 031 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abl2y Ayendg 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: I Date: 12/22/2016 l AT 7 DAAL' !�l1�7CD71V!`_C TA DTi rQ A CC It A If 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, with, 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, c o 25505 25533, and 25534. .s Owner or authorized agent: v^ Date: 12/22/2016 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 Address ARCBTI`ECT'S DECLARATION I understand my plans shall be used as public records. Licensed CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 CUP Ri IND (408) 777-3228 - FAX ((4108) 777-3333 - buildli—ng(o)cupertino.org I ' NPW (YINSTRT MTTrINT 17 I A T.nrT rTn1,T I Z I A T TUo A TTnr i err I I t i— PROJECT ADDRESS 20230 Stevens Creek Blvd. APN# 02— MI OWNER NAMEPHONE Amazon / Lab 126 (650) 426-1100 E-MAIL STREET ADDRESS 1100 Enterprise Way, CITY, STATEZIP Sunnyvale, CA 94089 FAX CONTACT NAME Ian Cunningham PHONE(408) 857-2600 E-MAIL lanC@DPR.com STREET ADDRESS 1510 S. Winchester Blvd. CITY, STATE, ZIP San Jose, CA 95014 FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT It CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Ian Cunningham LICENSE NUMBER 953749 7 LICENSE TYPE B BUS.LIC# COMPANY NAME DPR Construction E-MAIL IanC@DPR.com FAX STREET ADDRESS 1510 S. Winchester Blvd. CITYSTATE, Jose, CA 95014 PHONE ARCA TECT/ENGINEERNAME Alan Johansen LICENSE NUMBER C-9672 BUS. LIC# COMPANY NAME Interior Architects E-MAIL m.wei@interiorarchitects.com FAX STREETADDREss2775 Great America.PKWY CITY, STATE, ZIP Santa Clara, CA 95054 PHONE 415 296-5320 DESCRIPTION OF WORK Removal of one partition. Addition of 3 new ceiCing height partitions. Adding two doors Relocation of supply and return vents to existing HVAC system. LcAp X: 1Q 4 EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM REMODEL AREA O KITCHENOTHER REMODEL AREA O REMODEL AREA PORCH AREA REA DECK AREA TOTAL DECK AREA GARAGE AREA: DETACH _ 0 0 0 0 ❑ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑YES BEING ADDED? KNO ADDITION? O(NO fe❑ PRE -APPLICATION YES IF YES, PROVIDE COPY OF IS THE BLDG AN YES RE y; - TOTAL VALUATION: PLANNING APPL # NO PLANNING APPROVAL LETTER EICHLER HOME? )(NO - $mt%� $150,000 By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on thte 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 relating to b i ding construction. authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: �/ �1 SUPPLEMENTAL INFORMATION REQ IRED PLAN CHECKTYPE ROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THE-COUNTER BUILDING PLAN REVIEW 1�>to,-A 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 ❑ sTANDARD ❑l rewopmssy form if any Hazardous Materials are being used as part of this project. 11 LARGE PPur'B I FII2E DEPT Copy of Planning Approval Letter or Meeting with Planning prior to ❑ mum ❑ SANITARYSEwER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06121111