B-2016-1604 COE�STRUCTfON PERMIT APPL[CATfON
� COMMUNITY DEVELOPMENT DEPARTMENT• BUIL�ING DIVISION
, �
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 „df
(408) 777•3228 • FAX(408)777-3333 • buildinq(�a cupertino.org �-a���_`��
CiJPERTINO
❑ Iv-EW CONSTRliCTION ❑ .4DDITION �TERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT�
PROIECCADDRESS �a��'7� S S�Q,Ul S Ct�K �D�V I �N n .J� D L O��
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OWNERI:AME p�r � �.�n0 (JLG I PHONE F.-MAIL
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57REET.4DDRESS 13'j �Q�� C .� CITY{S'(ATE�� U�d� ' ^ rA �,a1,C I FAX
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❑OK'NER ❑ ONT'EA�SUILDER ❑ ONT�EAAGEM ❑ CONTRACTOR ❑CONTItACTOAAGEI.'T � AACHITECC ❑ENGA'EHR ❑ DEVELOPER ❑ '[EttPJ2T
CONT1tACT0AH.4T4E LICENSEtJUNiBER LICENSETYPE HUS.LIC,".
CONR'ATY NAME E-hW L FAX
S7REETADDRESS CI7Y,ST.4TE,ZIP PHONE
.4ACI317'�CIJ INEEA�.�E�`�GJS ��� LICENSENU�4BER C— a-� S 6 p BL'S.�IC� —
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COMPAn'Y1.AME `��x���T�� �` , E-n4hIL FAX
5'fREETADDAESS ��� �4rs�4`� �S� � r CITY,STATEZIP PHOhL �
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DESCRIP770TOF1;'OkK ����� ��,�reS I��nIS�-S 4�-'��.� 5��'�OuChCS iwS�dR,Ta + .
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�d4�-e -�ik-I�rcS r -F(� hu.�r l�es a.+- ��� �e,lac�a��cs J.s-�_ �w���_ '
EK1ST71.GUSE PROPOSEDL'SE WNSTR.Tl'PE rSTOR�S .
OSE TTPE OCQ SQ.FT. VALU.qIlON(SJ
EXISI'G kE�1'FLODR DEMO 'I07AL � �� �� � �
AAEA AREA AAEA h'ET.4RE.4
BATHAOOM KITCHEN OTHER
RET60DELARE.4 REMODELAREA REMODEL.4REA
PORCHARE.4 llECKAREA 'IOT.4LDECKIPOACH.4AEA GAP4GEAREA: �ET.4CH
�A]TACH
'.DVfELLING�TITS: 15.45EC0`<Dl�\iT ❑1'ES SECO\�STORY ❑YES I
HEIVGADDED? �NO .4DDITIOR? �NO
PRE4PPLIC.4TID1J ❑YES �1"ES,PROVIDECOPYOF 1STHESLDGAV ❑pE5 � prEDSY - :'' T07ALVALUA710N:
PLAnTR.G.4PP4� �NO PLANIJII�GAPPROVALLE'ITER EiCHLERHOn1E? �1:�0 i � �. s�s F,,. � � �S�
By my sicnature below,I certify toeach of the follo��,�ine: I am tl�e properfy o���ner or aut6orized a�ent t act oi� e property o�aner's be6alf I have read this
�� application and the infomiation I have provided is correct. I ha��e read the Description of @�ork and verify it is acwrate. I a`rzee ro comply witU all applicable local
ordinances a��d state la���s relating to 6uildi � nst� ctian. I aut rize representatives of Cupertino to enter the above-identified propeYy for inspectiov pmposes.
Signatureof,9pplicanVAgenC_ Date: )� 'LZ/��p
SUPPLEMENTALR�FO QATIONREQUIRED , ,._pLq�cxEch�rs,,,,n �*'�':�;�r . _Fourncsiir`: ; -
IQe�s�SFD or n4ultifamily d«•ellin�s: Apply for demolition permit for "''� - K � F � '� -`
0 O\ER TYE COL1'I£R Y �-� BUILI]Z\G PL4\RE1IE\i
er:istin�buildine(s). Demolition pe�mit is required prior to issvance of bUildina ��� -- h '' - �. il — � : -
4 '.+-, h � I -- �`'
pennitforne���buildin�. tL7 atmicEss '"'�_-� � _,. . P�.�.��Licri�.*.nE�iE�s s�_
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Conm�ercial Bldgs: Provide a completed Hazardous Materials Disclosure D�sT�i�nuan�` � } � F �"��rustie�wahs ,�;
fonn if any Hazzrdous Materials are Ueuig�sed as part�of tl�is project. '� a--: ? � '`
1��L4FGE -�FIREDEPr s _
Copy of Plaimin�Approval Letter or Meetin�ti�ith Plannine prior ro `'�` �� ` '� ` r - �
—' ` ❑ T'Li]OR �� -�V24Si15EqERDIS�'RIC7 �
subinittal of Building Permif application. � ',�� ., ;:
iJre ��-❑t E\i'IRO\17E�TAL fiE.�LTH ,
Bldg,yyy_?011.doc revised 06/?Ull
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 20745 Stevens Creek Blvd DAT�: 03/22/2016 R�VIEW�D BY: PAUL
APN: 326 32 055 BP#: B-2016-1604 *VALUATION: $332,257
*r��uT'rxr�: Building Permit rLaiv caEcxTYrE: Tenant Improvement
PRIMARY PENTAMATION
uS�: CommercialBuilding p��ITT�r�: 1MTI
WORK TARGET-T.I. REPLACE E FIXTURES AND FINISHES AT INTERIOR STARBUCKS• UPDATE ,
SCOPE WALL GRAPHICS AND FLOOR FINISHES WITH SOME MINOR DEMOLITION AT ELECTRONIC 0
OCCUPANCY TYP�: TYPE OF FLR AR�A PC F�ES PC F��ID BP FE�S BP T�E ID
CONSTR. (s.f.
M (Tenant Improvements) II-B,III-B,IV,V-B 3,424 $3,286.85 IM7'IPLNCK $2,954.50 1M777NSP
TOTALS: 3,424 $3,286.85 $2,954.50
MECH,HOURLY � Yes � No PLiIMB,HOURLY � Yes � No ELEC,HOURLY � Yes Q No
tYfedt.P/en t:keclz 7'lvnnb:Plas Che��l,- EI��<•.F'lun Cdzzek
tidecla.I�orntilFee: Pkinzb. Pertnil Fce: Elec Parntlti'e�>.'
[laher hiech.lrtsp. OFher P(unvAhrsp. O�her L's/«•Jrt�µ
Aiz��•h.lnslz Fee: Plurnh-(nsp,f"ee: GZ�>r.Irisp.Fea:
NOTE:This estGnnde does n�ot iraclurde fees due ta odter Depm•tneerats(i.e.P[rnuting,Peeb!!c Worlcs,Fire,Sanitnry Seiver Disdric[,School
Dtsdrict,etc.). Tlaese ees m^e based on Uee reliininar in or�ieatinn avaAable nnr[are onl aia esttrv�ate. Con[act the De t or adrin'l in o.
FEE ITEMS (FeeResolution 11-053 E . 7/I/73� FEE QTYT�E MISC ITEMS
Plan Check Fee: $3,286.85 Select a Misc Bldg/Structure
Suppl. PC Fee: � Reg. � OT 0.0 hrs $0.00 or Element of a Building
PME Plan Check: $0.00
Peimit Fee: $2,954.50
Suppl. Insp.Fee:� Reg. Q OT �,� hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Cor�sd7��ch'on Tas:
,��clrnirrisfiative f��e: �
Work Without Pennit? � Yes � No $0.00 �
Advanced Plannine Fee: $0.00 Select a Non-Residential �
2S�c7veT Doez�tnerztcrPionFees: Building or Structure �
Strone Motion Pee: ZaSErSn��Co $93.03 Select an Administrative Item
Blde Stds Commission Fee: 1aCssC $14.00
susTOTaLs: $6,348.38 $0.00 TOTaL r��: $6,348.38
Revised: 01101l2016