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B-2016-3320CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2016-3320 20230 STEVENS CREEK BLVD CUPERTINO, CA 95014-2210 (369 02 031) 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: (650) 474-1450 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lie. #953749 Contractor DPR CONSTRUCTION A GENERAL PARTNERSHIP Date 10/31/2018 X BLDG —ELECT —PLUMB MECH RESIDENTIAL X COMMERCIAL 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. JOB DESCRIPTION: AMAZON - LABS 124,125,126; T.I. - REMOVE (1) PARTITION; ADD I hereby affirm under penalty of perjury one of the following two declarations: (1) PARTITION AND DOOR; INSTALL MILLWORK; ADD (7) 1. I have and will maintain a certificate of consent to self -insure for Worker's ELECTRICAL RECEPTACLES Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. have Worker's Compensation Insurance, as for by REV #1 - INFILLING 2 (E) DOORS - ISSUED 1/19/2017 z!�I and will maintain provided REV #2 - (1) RECEPTACLES (3) -ISSUED 2/2/2017 i Section 3700 of the Labor Code, for the performance of the work for which this REV #3 - ROOM 126 - REMOVE 2 DOORS FROM SCOPE OF WORK - permit is issued. ISSUED 2/28/2017 APPLICANT CERTIFICATION REV #4 - ROOM 125 - REVISION TO LEAVE (E) DOOR AND I certify that I have read this application and state that the above REMOVE THE PROPOSED ELECTRICAL AT DOOR - ISSUED information is correct. I agree to comply with all city and county ordinances 3/6/2017 and state laws relating to building construction, and hereby authorize Sq. Ft Floor Area: Valuation: $100000.00 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 APN Number: Occupancy • ' evements) may accrue against said City in consequence of the granting of this permit. 36902031 A (Tenant Improvements) Additionally, the applicant understands and will comply with all non -point source regulati er the Cu ertino Municipal Code, Section 9.18. r /7 PERMIT EXPIRES IF WORK IS: NOT STARTED Signatu- _ Date3/6/2017 WITHIN 180 DAYS OF PERMIT ISSUANCE OR OWNER -BUILDER DECL ION 180 DAYS FROM LAST CALLED INSPECTION. I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: Issued by: Abby A�ende 1. I, as owner of the property, or my employees with wages as their sole Date: 12/22/2016 compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code)FRS 2. I, as owner of the property, am exclusively contracting with licensed All roofs shall be inspected prior to any roofing material being installed. If a roof is contractors to construct the project (Sec,7044, Business & Professions Code). installed without first obtaining an inspection, I agree to remove all new materials for inspection. I hereby affirm under penalty of perjury one of the following three declarations: 1. I have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the Signature ofApplicant: performance of the work for which this permit is issued. Date: 3/6/2017 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 ALL ROOF COVERINGS -TO BE CLASS "A" OR BETTER permit is issued. a. I certify that in the performance of the work for which this permit is issued, I HAZARDOUS MATERIALS DISCLOSURE shall not employ any person in any manner so as to become subject to the I have read the hazardous materials requirements under Chapter 6.95 of the Worker's Compensation laws of California. If, after making this certificate of California Health & Safety Code, Sections 25505, 25533, and 25534. I will exemption, I become subject to the Worker's Compensation provisions of the maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Labor Code, I must forthwith comply with such provisions or this permit shall Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous be deemed revoked. air contaminants as defined by the Bay Area Air Quality Management District I APPLICANT CERTIFICATION will maintain compliance with the Cu ertino Municipal Code, Chapter 9.12 and I certify that I have read this application and state that the above information is the Health & Safety Co , Sec 'ons 255 5, 25533, and 25534. 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 Owner or authorized age to enter upon the above mentioned property for inspection purposes. (We) agree Date: 3/6/2017 to save indemnify and keep harmless the City of Cupertino against liabilities, CON CTION LEN14G AGENCY judgments, costs, and expenses which may accrue against said City in this Additionally, the applicant understands I hereby affirm that there is a construction lending agency for the performance consequence of the granting of permit. of work's for which this permit is issued (Sec. 3097, Civ C.) and will comply with all non -point source regulations per the Cupertino Municipal Lender's Name Code, Section 9.18. Lender's Address Signature Date 3/6/2017 CONSTRUCTION PERMIT APPLICATION -�_e j COMMUNITY DEVELOPMENT DEPARTMENT ® BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, OA 95014-3255 (408) 7773228 • FAX (408) 777-3333 . buildin. .cupertino.orq ❑ NEW CONSTRUCTION ❑ ADDITION ® ALTERATION / TI El,-kEVISION /DEFERRED ORIGINAL PERMIT # B-2016-3320 PROJECT ADDRESS 20230 Stevens Creek Blvd. APN# OWNERNAME Amazon / Lab 126 PHONE (650) 426-1100 E-MAIL STREET ADDRESS 1100 Enterprise Way CITY, STATE, ZIP Sunnyvale, CA 94089 FAX CONTACT NAME Henry Martinez PHONE 415 521-8418 E-MAIL henry@asquaredps.com STREET ADDRESS 1100 Enterprise Way CITY, STATE, ZIP Sunnyvale, CA 94089 FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT IQ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Ian Cunningham LICENSE NUMBER 953749 LICENSE TYPE B BUS. LIC # COMPANY NAME DPR Construction E-MAIL IanC@DPR.com FAX STREETADDRESS 1510 S. Winchester Blvd. CITY, STATE, ZIP San Jose, CA 95014 PHONE ARCHITECT/ENGINEER NAME Alan Johansen C-9672 LICENSE NUMBER BUS. LIC # COMPANY NAME Interior Architects E-MAIL m.Wei@interiorarchitects.com FAX STREET ADDRESS 2775 Great America PKWY CITY, STATE, ZIP Santa Clara, CA 95054 PHONE 415 296-5320 DESCRIPTION OF WORK 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 0 KITCHEN REMODEL AREA 0 OTHER REMODEL AREA ' PORCH AREA DECK AREA TOTAL DECKTORCH AREA GARAGE AREA: LJDETACH 0 0 0 0 ❑ ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? PQNO ADDITION? 04 NO PRE -APPLICATION YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED BY: TOTAL VALUATION: PLANNING APPL # PQNO PLANNING APPROVAL LETTER EICHLER HOME? Pq NO $1,000 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 ovided 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�buig constructio I authorize representatives of Cupertino to enter theabo e -identified property for inspection purposes. Date: 7 A Signature of Applicant/Agen : _ SUPPLEMENTAL INFORMAtIO1 REQUIRED PLAN CHECK TYPE ROUTING SLIP ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW New SFD or Multifamily dwellings: Appl 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 ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous. Materials are being used as part of this project. ❑ LARGE 0 FIRE DEPT Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp 201 Ldoc revised 06/21/11 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-3320 20230 STEVENS CREEK BLVD CUPERTINO, CA 95014-2210 (369 02 031) DPR CONSTRUCTION A GENERAL PARTNERSHIP REDWOOD CITY, CA 94063 OWNER'S NAME: TORRE AVENUE PROPERTIES DATE ISSUED: 12/22/2016 OWNER'S PHONE: 415-918-0972 PHONE NO: (650) 474-1450 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lia #953749 Contractor DPR CONSTRUCTION A GENERAL PARTNERSHIP Date 10/31/2018 X BLDG _ELECT —PLUMB — MECH RESIDENTIAL X COMMERCIAL 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. JOB DESCRIPTION: APT 124,125,126; T.I. - REMOVE (1) PARTITION; ADD (1) I hereby affirm under penalty of perjury one of the following two declarations: PARTITION AND DOOR; INSTALL MILLWORK; ADD (7) m. I have and will maintain a certificate of consent to self -insure for Worker's ELECTRICAL RECEPTACLES Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. REV #1 - INFILLING 2 (E) DOORS - ISSUED 1/19/2017 2. I have and will maintain Worker's Compensation Insurance, as provided for by REV #2 - (1) RECEPTACLES (3) -ISSUED 2/2/2017 Section 3700 of the Labor Code, for the performance of the work for which this REV #3 - APT 126 - REMOVE 2 DOORS FROM SCOPE OF WORK - permit is issued. ISSUED 2/28/2017 Sq. Ft Floor Area: Valuation: $100000.00 APPLICANT CERTIFICATION 1 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 representatives of this city to enter upon the above mentioned property for 369 02 031 A (Tenant Improvements) 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. PERMIT EXPIRES IF WORK IS NOT STARTED Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 02/28-2017 Issued by: Abby Aygnde OWNER -BUILDER DECLARATION Date: 12/22/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: RF ROOFS: 1. I, as owner of the property, or my employees with wages as their sole All roofs shall be inspected prior to any roofing material being installed. If a roof is compensation, will do the work, and the structure is not intended or offered for installed without first obtaining an inspection, I agree to remove all new materials for sale (Sec.7044, Business & Professions Code) inspection. 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code)., Signature of Applicant: I hereby affirm under penalty of perjury one of the following three declarations: Date: 02/28-2017 m. 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 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER performance of the work for which this permit is issued. 2. I have and will maintain Worker's Compensation Insurance, as provided for by HAZARDOUS MATERIALS DISCLOSURE Section 3700 of the Labor Code, for the performance of the work for which this I have read the hazardous materials requirements under Chapter 6.95 of the permit is issued. California Health & Safety Code, Sections 25505, 25533, and 25534. I will s. I certify that in the performance of the work for which this permit is issued, I maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the shall not employ any person in any manner so as to become subject to the Health & Safety Code, Section 25532(a) should I store or handle hazardous Worker's Compensation laws of California. If, after making this certificate of material. Additionally, should I use equipment or devices which emit hazardous exemption, I become subject to the Worker's Compensation provisions of the air contaminants as defined by the Bay Area Air Quality Management District I Labor Code, I must forthwith comply with such provisions or this permit shall will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 5533, and 25534. be deemed revoked. CERTIFICATION APPLICANT Owner or authorized agent:/ I certify that I have read this application and state that the above information is Date: 02/28-2017 correct. I agree to comply with all city and county ordinances and state laws CONSTRUCTION LENDING AGENCY relating to building construction, and hereby authorize representatives of this city I hereby affirm that there is a construction lending agency for the performance to enter upon the above mentioned property for inspection purposes. (We) agree of work's for which this permit is issued (Sec. 3097, Civ C.) to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Name judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands Lender's Address and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Signature Date 02/28-2017 CONSTRUCTION PERMIT APP06VI&ON #,� COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.org I, ❑ NEW CONSTRUCTION ❑ ADDITION 419 e.�iV? �3po� U. 11 ❑ ALTERATION / TI REVISION / DEFERRED ORIGINAL PERMIT # D 2/Z© PROJECT ADDRESS �7 2 D Cr po Qjv SPN# 'NAME ao, La bS I Z, PHONE D j j 17_=61! C� � ICU 1� 1J -f C V yn STREET ADDRESS 2 , � 5 Q 5 �<,U,� S C 1 $ Q �L l VAI J / CITY„ -STATE, ZIP � � � � � � L FAX CONTACT NAME kR,In PHONE E-MAIL �tl SZ, [ �evl� STREET ADDRESS ¢l /ti�� ►p o �(me( Q UVo CITY, STATE, ZIP - �7vll�jh�vGCI� FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME I l t }- (.ov 5> ] LICENSE NUMGB► LICENSE TYPE BUS. LIC # • ✓i fir V_ % rt I ` "W l b COMPANY NAME 1) P L �� E-MAIL i^ C{ YVj % FAX � STREET ADDRESS I (jJ jL&C �� CITY, STATE, ZIPS© L t� ! PHONE ARCHITFCT/ENGINEER NAMI f t4 � LICENSE NUMBER — n (r BUS. LIC # COMPANY NAME �n („� E-MAIL t FAX STREET ADDRESS 2 �ulE CITY, STATE, ZIP { j� 6+ C�1 YHO NEj�-��� ( }32 DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTR TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXLSTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM REMODEL AREA KITCHEN REMODEL AREA OTHER REMODEL AREA PORCH ARE b DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH ❑ ATTACH ® # DWELLING UNITS: IS A SECOND UNIT YES SECOND STORY ❑YES BEING ADDED? O ADDITION? N0 _ PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF PLANNING ADPL# (RTO PLANNING APPROVAL LETTER IS THE BLDG AN ES EICHLER HOME? ENO ED TO AL VALUATION: i�ry oc” lthis 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 application and the information I have provided is correct. III ead the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I a orize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agen : x Date: 2--Z? —` / a' SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP ❑ OVER-THE-COUNTER © BUILDING 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 ❑- PLANNINCPLAN 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 ° ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH - BldgApp_2011.doc revised 06/21111 I = i CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: i PERMIT NO: B-2016-3320 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: (650) 474-1450 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic. #953749 Contractor DPR CONSTRUCTION A GENERAL PARTNERSHIP Date 10/31/2018 X BLDG _ ELECT _PLUMB MECH RESIDENTIAL X COMMERCIAL 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. JOB DESCRIPTION: APT 124,125,126; T.I. - REMOVE (1) PARTITION; ADD (1) I hereby affirm under penalty of perjury one of the following two declarations: PARTITION AND DOOR; INSTALL MILLWORK; ADD (7) 1. I have and will maintain a certificate of consent to self -insure for Worker's ELECTRICAL RECEPTACLES Compensation, as provided for by Section 3700 of the Labor Code, for the (� performance of the work for which this permit is issued. REV #1 - INFILLING 2 (E) DOORS - ISSUED 1/19/2017 -1 z/ I have and will maintain Worker's Compensation Insurance, as provided for by Y REV #2 - (N) RECEPTACLES (3) -ISSUED 2/2/2017 Section 3700 of the Labor Code, for the performance of the work for which this Sq. Ft Floor Area: Valuation: $100000.00 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 "N 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. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. ul&--q&Date 02/02/2017 --Signature�J" Issued by: AbbyAvende 111112ATION Date: 12/22/2016, OWNER -BUILDER I hereby affirm that I am exempt from the Contractor's License Law for.one of the R&ROOFS: All roofs shall be inspected 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 (Sec.7044, Business & Professions Code) i. 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: 02/02/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF 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. 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 maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the permit is issued. Health & Safety Code, Section 25532(a) should I store or handle hazardous 3. I certify that in the performance of the work for which this permit is issued, I material. Additionally, 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 & Safety Code, Sections 255 , 25533, and 2 Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: CL` V LX APPLICANT CERTIFICATION Date: 02/02/2017. I certify that I have read this application and state that the above information is I hereby affirm that there CONSTRUCTION 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 this 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 02/02/2017 CUPERTINO CONSTRUCTION PERMIT APPLIC COMMUNITY DEVELOPMENT DEPARTMENT • BUILDINGIMIVISIPON 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building9cupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ALTERATION / TI .KJ RF,ViSI0)1 /`DF.FF.RRF.n ORIGINAL PERMIT # v l0 ` � lJ PROJECT ADDRESS C r�\-� APN# I „G°y 0 �— ^C) OWNER NAME U VL F✓ o ) v 110 E-MAII STREET ADDRESS p , jo CITc S'� E,, ZI U r F J^I PA qV �-E�-MAIL FAX 1 CONTACT NAME 1 i 1 PHONE U STREET ADI Ij S b n..r- _ r , �, C �l JJ 1` �1tJ CIg, S� AT)a IP Wo % f� /� (Z 9 l/ YiI V S Z `i (f ` FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT ACTOR ❑ CONT CTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMEj B �c� an CmCOMPANY LICENSE NUMBER �/�� LICENSE TYPE BUS. LIC # NAME Con S�(() ^ E-MAIL /i a1 ,^, , FAX STREET ADDRESS i r^ i c) �° I IiDV i.CITY,96K e c 440 Vn PHONE ARCHITECT/ENGINEER NAME ( 0 I ZIl I I H1� +B LICENSE NUMBER G l `1 `-� (J� BUS. LIC # COMPANY NAME B^ 4 o cI 4 � n tc t I. ^ V � ,� 5 EMAIL � i 4j (j (Nc c h ikcl J e?AX tPf STREET ADDR SS C Y, Sl ' ZIP � J � +` /`1� V 1 11Ji `�� ` � I J t " DESCRIPTION OF WORK Lec �a am 0 , EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG AREA NEW FLOOR AREA DEMO AREA TOTAL NET AREA BATHROOM///'^1t�,,� KITCHEN REMODEL AREA V REMODEL AREA OTHER REMODEL AREA PORCH AREADECK AREA TOTAL DECKNORCH AREA GARAG 51: DETACH (�❑ ATTACH #DWELLING UNITS: ISA SECOND UNIT YEs BEINGADDED?O SECOND STORY ❑ YES ADDITION? "6e1�Q0 PLANNINGPROVIDE APPROVCOPY PLANNING APPLO# OYES AL ETTER EICHLER HOME? >Q 1Q\ OS r'` B TS /� VALUATION: J lJ () a 0 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 relating to buildin construction. a tho presentafives of Cupertino to enter the above -i enfified[properly for inspection purposes. J"j7 Signature of Applicant/Agent: Date: /171 CCij 1 SUPPLEMENTAL INFO AT ON REQUMED PLAN CHECK TYPE ROUTING SLIP ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW _ New SFD or Multifamily dwellings: A I 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 ❑ 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 ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH ,B1dgApp_2011.doc revised 06121/11 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-3320 20230 STEVENS CREEK BLVD CUPERTINO, CA 95014-2210 (369 02 03 1) DPR CONSTRUCTION AGENERAL PARTNERSHIP REDWOOD CITY, CA 94063 OWNER'S NAME: TORRE AVENUE PROPERTIES DATE ISSUED: 12/22/2016 OWNER'S PHONE: 650426-1100 PHONE NO: (650) 474-1450 LJCENSF,D CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class GENERAL ENGINEERING CONTRACTOR Lie. #952442 Contractor DPR CONSTRUCTION A GENERAL PARTNERSHIP Date 10/31/2018 BLDG _ELECT _PLUMEB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing MECH — RESIDENTIAL X COMNIERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: APT 124,125,126; T.I. - REMOVE (1) PARTITION; ADD (1) I hereby affirm under penalty of perjury one of the following two declarations: PARTITION AND DOOR; INSTALL MILLWORK; ADD (7) 1. 1 have and will maintain a certificate of consent to self -insure for Worker's ELECTRICAL RECEPTACLES Compensation, as provided for by Section 3700 of the Labor Code, for the -,performance of the work for which this permit is issued. REV #1 - INFILLING 2 (E) DOORS - ISSUED 1/19/2017 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 Sq. Ft Floor Area: Valuation: $100000.00 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 AFN 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. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point source regulations per the CyRertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. 'Signature Date 1/19/2017 Issued by: Ahlq&Qnde OWNER-BUILDERDELLION Date: 12a2/291 k I hereby affirm that I am exempt from the Contractor's License Law for one of the RF, -ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1. 1, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale (Sec.7044, Business & Professions Code) 2. 1, as owner of the property; am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sce.7044, Business & Professions Code). Date: 1/19/2017 1 hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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. HAZARDOUS MATERIALS DISCLOSURE 2. 1 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. 1 will permit is issued maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the 3. 1 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 material. Additionally, 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 & Safety Code, Sections 25505,2 33, a d 25534 Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent:witu APPLICANT CERTIFICATION Date: 1/19/2017 V 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 C STRUCTION U AGENCY I i ( I hereby affirm that there is a construction I di g agency for the performance ti t relating to building construction, and hereby authorize representatives of this city , of work's for which this permit is issued (Se 3 67, 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, 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 DECI, RATION and will comply with all non -point source regulations per the Cupertino Municipal ARC M-ECT'S I understand my plans shall be used as public records. Code, Section 9.18. Licensed Signature Date 1119/2017 CONSTRUCTION PERMIT APPLICATION COMMUNITY. DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - building(a)_cupertino.orp PT 1W F-1 A T1T1fTTnXT F Al C' Al- ­ ORIGINAL PERMrr #7 L'33Q C BldgApp_2011. doe revised 06121111 C PROTECT ADDRESS - 2(Lya3C) 54-evfOS CMeK Rik N# OWNERNAME - pn. A�MQZC)0 I Lab ciwqao o0ol E -MAR, STREET ADDRESS t1QD �0�erQpj& Uja�l 7IP - Cl�us iink; CA Q� FAX CONTACT NAME I ktoN M-w-6ae-,z.. PHON(� I h) tQ I I� LA I nE, STREET S IlhEc4co_(_�Se uiau� FAX Co CA qL(q%q , 11 OWNER 0 OWNER -BUILDER 0 OWNER AGENT )4 ONTRACTC CONT LOR AGENT 0 ARCHITECT 11 ENGINEER 0 DEVELOPER ❑ TENANT CONTRACTOR NAME tC,() CU LICENSEOU�D LIC. ENSE TYPE BITS. LIC # COMPANY NAME C) PA E-MAIL to ,()C A) d()C. C, FAX STREET ADDRESS � r W, S "SwN T E zIP CQ01 PHONE (.)10 . ()C� I oSel CA ARCIRTECT/ENGINEER4 2CAo ACA)mseo LI E NUMBEL - BUS. LIC # COMPANYNAME tteA to( E -Mt 'k Jon STREET ADDRESSaqq�-)WW STATE, Z `�a(w tara, CA q s oSL4 I't .1rq115')A-�6ao DESCRIPTION OF WORK _M0\(k na (1 (0 VWD doo C101 9_? EXISTING USE PROPOSED USE CONSTR. TYPE 0 STORIES I USE TYPE OCC. SQFT, VALUATION MSTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN REMODEL AREA REMODEL AREA OTHER REMODEL AREA PORCHARE6 DECK AREA TOTALDECKIPORCHAREA I GAR4QEAREA: 0 DETACH E] ATTACH () it DWELLING UNITS: D� IS A SECOND T 0 YES ,�r, SECOND STORY FIYES BEING ADDED? Ko Do, ? ADDITION? 5WO PRE -APPLICATION ElYES IF YES, PROVIDE COPY OF PLANNING APPL # N�� PLANNING APPROVAL LETTER IS THE BLDG AN n YES EICHLER HOME?;<O RECEIVED BY, TjjJJTAL VALUATION: 1 1() 00 0c) I 1 () 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 relatt b .1 ling truction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. P . cons r)A1 M� Signature ofApplicant/Agent: Date: 10 SUPPLEMENTAL INFOATION REQUIRED PLAN CIIECK TYPE ROUTING SLIP ❑ OVER-THE-COUNTER El BUILDING PLAN REVIEW New SFD or Multifamily dwellin.T y for demolition permit for gs_ P existing building(s). Demolition permit is required prior to issuance of building permit for now building. El EXPRESS El PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure El STANDARD El PUBLIC NvoRKs form if any Hazardous Materials are being used as part of this project. El 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. ❑ ENVIRONW­NTAL HEALTH BldgApp_2011. doe revised 06121111 C CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-3320 20230 STEVENS CREEK BLVD CUPERTINO, CA 95014-2210 (369 02 031) DPR CONSTRUCTION A GENERAL PARTNERSHIP 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 1111 Lei WO 41 ORN 11"ET"111 1143 1 .. BUILDING PERMIT INFO: License Class B Lie. #053749 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 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. 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 ofthe work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by I 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 urAerstands and will comply with all non -point source regulations pakpe quertino Municipal Code, Section 9.18. MECH _ RESIDENTIAL X COMMERCIAL JOB DESCRIPTION: APT 124,125,126; T.I. - REMOVE (1) PARTITION; ADD (1) PARTITION AND DOOR; INSTALL MILLWORK; ADD (7) ELECTRICAL RECEPTACLES Sq. Ft Floor Area: I Valuation: $100000.00 "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. Sighature L/ " (� _ Date 12122/2016 Issued by: Abby A ey nde C% 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. 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: 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. 3. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT 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 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. Cam- MR41 �Ji7[:i RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: 12/22/2016 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. 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 Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Codee^hons 25 , 25533, and 25534. Owner or authorized agent: Date: 12/22/2016 CONS CTION LE G AGENCY 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 DECLARATION understand my plans shall be used as public records. Licensed s COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingCakupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ® ALTERATION / TI ❑. REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS 20230 Stevens Creek Blvd. APN# VA O�•-(j3' OWNERNAME Amazon / Lab 126 PHONE (650) 426-1100 E-MA11- STREET ADDRESS 1100 Enterprise Wa CITY, STATE, ZIP _T Sunnyvale, CA 94089 FAX CONTACT NAME Henry Martinez PHONE 415 521-8418 E-MAIL henr @as uared s.com STREET ADDRESS 1'100 Enterprise WaySunnyvale, CITY, STATE, ZIP CA 94089 FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT �Q CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Ian Cunningham LICENSE NUMBER 953749 LICENSE TYPE B BUS.LIC# ✓ COMPANY NAME DPR Construction F -MAIL IanC@DPR.com FAX STREET ADDRESS 1510 S. Winchester Blvd. CITY, STATE, ZIP San Jose, CA 95014 PHONE ARCHITECTIENGINEERNAME Alan Johansen LICENSE NUMBER C-9672 BUS. LIC# COMPANY NAME Interior Architects Em.wei interiorarchitects.com FAX STREET ADDRESS 2775 Great America PKWY CITY, STATE, ZIP Santa Clara, CA 95054 PHONE 415 296-5320 DESCRIPTION OF WORK Removal of one partition. Addition of one partition & door. Installation of millwork. Addition of electrical receptacles. Q , t (_P 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 0 KITCHEN REMODEL AREA 0 OTHER REMODEL AREA PORCHAREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: E]DETACH 0 O 0 0 ❑ ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY []YES BEING ADDED? KNO ADDITION? RjNO s❑ " PRE -APPLICATION YES IF YES, PROVIDE COPY OF PLANNINGAPPL# MNO PLANNING APPROVAL LETTER IS TIM BLDG AN YES EICHI RHOME? O(NO RE IVSD BY: - �. TOTAL VALUATION: $100,000 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 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 t lding construction. I a thorize representatives of Cupertino to enter the above-identifiedpropertyfor inspection purposes. Signature of Applicant/Agent: Date: i Z 2 Z / Com•+ a'® SUPPLEMENTAL INFORMATION 1 QUIRED rLAN,CHECK,TYPE ROUTING'SLIP ❑ o-THECOUNTER suILDING PLAN REVIEW ,+�;4� 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 REvww Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD❑ P LIC WORKS _ form if any Hazardous Materials are being used as part of this project. '� ❑ LARGE FIRE DErT Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISCRICT submittal of Building Permit application. ❑ ENvIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11'