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06080097z C a> DW. Q cz UO OF U �a UZ CITY OF CUPERTINO '_ BUILDING DIVISION PERMIT z,C01rR"ACTTTTTTRNFORMATIQN BUILDING ADDRESS: MEADE CONSTRUCTION GROUP IT"x'06080097 0200 S DE ANZA BLV 4THFLR R'S NAME: PERMIT ISSUE DATE SYMANTEC CORPORATION 645 RIVER OAKS PKWY 09/28/2006 E; SANITARY NO. CONTROL NO. (408)321-6450 ARCHITECf/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH O O O LICENSED CONTRACTOR'S DECLARATION lob Description P 1 hmm Nu cby affirm 1 un foamed under provisions of Chapter 9 (commencing wiNSecdon7OM)of DivWon3ofthe Buarmas ofusb e,aMmylicrnsets mfnllrmes trd ect T.I. INTERIOR ONLY OFFICE SPACE -4TH FLOOR `Cono'g Da¢ Lie. sur ROOF TOP EQUIP MUST BE SCREENED FROM VIEW ARCHITECTS DECLARATION I understand my plans shall be used u puh11C records Licensed Pmfe mmol OWNER -BUILDER DECLARATION I hereby alEnn that I em "crops from the Conuactoe, Lincoln Law for Ne following recon. (Secdon 703 1.5, Business and Pmfesaons Cole: Any city m county which acquires a permit m cnnurum, alter, improve, demsdtsh, or repair my umttum prior in its issuance, also requires tie applicant for such permit in file a signed statement that he is licensed purse , W the provisions of N, Contractor's Lteeme law (Chapter 9 Sq. Ft. Floor Area V3 ��0000 (commencing with Section 7000) of Division 3 at th, Business and Prohuions Colic) or Nat he m exempt thlrefrom and the buts for the alleged exemption. Any 4lohtion of j1 1},G Occupancy Type Section 7031.5 by any apps um for a permit subject, the appllcmt lo a civil penalty of not mom than IT. hundred dollars (S500), 3 �� 0 U �7er 0 0 ❑ 1, u ,wean a(Ne property. re my wpbym wIN vegan u Ne'v role cempanvJm, Required Inspections , q P wan detheatim" andmtmendnsa he Come and Pmfudons Wild,Coda. The vas dam em.se's License Law tiros not appy ur an owner of Law does notIe(s«.7an,wat of sedwM aressec hmcmlfm through his property enywhopro Improvech webimprovementsart not forme via It. own employees. m,proWded improvements i Intended year however. Ne building a ImprovementIsmid within tem yev afmprovefor Ne owner. pr builder will have the burden of proHng Nn k did ml WIM m Improve far purpose of tale.). ❑ 1, u swan of Ne property am exclusively mnvuting with 0¢nsed conumtan to cmotmct Ne project (Sea 704. Business scM Profession Code:) The Creummfs U. rause Law dean tem apply in an owner of property who builds or improvm Neeson, and, who consumer for such pmje=with a mnuanar(s) licensed Psoases in Ute Communes Llceme L. ❑ 1 un exempt underSec. . B A P C fsrthis reuon I Dam &2 WORKER'S COMPENSATION DECLARATION 1 hereby alarm under penalty of perjury ane of the following dechundons: ve and will maime. a CasdOemof Coconut m self-imnefmWorate.Compea- , as provided for by Section 3700 of Ne labor Code. (or the performance of me 11th. (or which this permit u issued. an and will maintain Worker's Compensation Insurance, u mquired by Section ofthewank for which fair Permit ts immd.arkel rNeLaorCode,f*)T pen tirand Pollry number ales: r.Policy No.: ERTIION FROM W N INSURANCE (Ibis account need ml he complcmd if tie permit is foram, hundred dollars ($100) or less.) I comfy that in the performance of the work for which this Permit is issued, 1 shall rot employ any portion In my mmMrm ar in become mbjCCI to me Werlters' Compensation' Laws a( California. Data Applicant NOTICE TO APPLICANT: If, after making the Cenificam of Faemplion. you should hmome subject in, the Wohcts Compccuation proviaom of the Labor Cram. you muse forthwith comply with such N.,umns or this Permit shall be dmmrA revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that mem it, consuuctimn lending agency far the performance of the work fm which this permit Is indeed (Sae. 3097, Civ. C.) Lender's Name Landels Addeass I eesdfy that I have mad this application zed state d u the above information Is COMCL I agree to comply with all city and county ordinances and sum laws relating m b4consion, and hcrtby avNorim rtprtunutives of Nis city roomer upon thereran, for inspccbnsave, indcmn y and keep hermless the City of Cupertino against liu, miasmic nwwhichmaymmyway ace agalnslas d Cityega rthis 1.AD ND WILL CMPLY WITH LLN N•POINT Issued by: DateSLATION . Re -roofs Type of Roof Signuu of pplian an r ale H ARD UB M ALS DISCLOSURE ill applic turf buil in rcaupamaloremhandle hmallom material deB y tie Cup nl an, e C c. Chapter 9.12, and me Hcalth and Safety .seedenzss3z(a>. All roofs shall be inspected prior to any roofing material being installed. ❑Yee Nu If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or future building occupant use equipment or devices which emit huaNmm ar canumimnu u 0md by the Bay Ama Air Quality Management all new materials for inspection. Di Wcl7 ❑ u than ad hnsrdaus amrialsmqui menu under Chapar 05 urine Caller. of alb&S C 75505,75 30 34.1mdeoland uifthe ilding dace sly a et It reamnsl 'liry lo ratify c Occup 1 of the reyulrerren which must asp ser. crd0'me, Signature of Applicant Date All roof coverings to be Class "B" or better owrer ,e ain4ag rot CITY OF CLiI: IS1O BUILDING nivlsrory pE , ` T'��C�E['�i>.:. �. BUILDING ADDRESS: MEADE CONSTRUCTION GROUP I f&NMIT N0.0 6080097 -0200 S DE ANZA BLV 4 HFLR OWNER'S NAME: PERMIT iom DATE SYMA_NTEC CORPORATION 645 -RIVER OAKS PKWY 09/28/2006 PHONE: SANITARY NO. CONTROLNO I (468)321-6450 ARCHrMCTJENGJNEER: _ BUILDING PERMR' INFO BLDG ELECT PLUMB 1vIECH a 0 0 0 LICENSED CONTRACTORS DECLARATION 1 hereby affirm that I am lirxnsed under provisions or liter 9 (commencing lob Description vithSecdooll a ivision3orthogusinmea Crews e. andmylitcnssis in full IOWA and C eel T.I. INTERIOR ONLY OFFICE SPACE -4TH FLOOR oaten contractor ROOF TOP EQUIP MUST BE SCREENED FROM VIEW ARCHrrecrS DECLARATION I understand my plans shall be used as public records Licensed Professional OWNER -BUILDER DECLARATiON� I hereby affirm that I am exempt from the Conlracla s License Law far the fallowing rcason. (Seeton 711313, Business and Proressions Mahle: Any City or county which requires a m construct, alter, improve, demuriaf,. permit or repair any structure prior to its issuance, also requires the applicant forsuch permit to file a signed ummem that he is licensedpuratianttoftpmvisionsorlhecorWactoesUctnscLaw (Omptcf9 Sq. Ft. FloorArea Val$AM 0 0 0 (commencing with Section 7000) or Division Sof the Businessand Ptm ar ZionsCode) that be is exempt ftlefram and the basis for she af(egrd exemption. Any 'violation of Section 7(1313 by arty applicant for a permit subject& the applicant to a civil penalty of3 than five hundred A J� uTb r Occupancy Type - not mom dollars (SSM6 0 0 ❑ I, as Owner Or the property, armycmp)oyces wirh wages as theirsde compensation, will do the work, and the structure is not intended or offered for ale (See. 7044, Business and Professions Code: The Contractor's Licetuse law does Required Inspections o t apply m an owner of property property who bvildsorimproves thereon. and who doessuch 'I Ower employees, provided char such improvemeats are not lnsended eroflued forsale. If, however, the building or improvement is sold within one year of cempledon, the owner - builder will have the burden of proving that he did not build of improve for purpose of safe.)- ❑ 1, as owner of the property, am exclusively eommaLng wi licensed Contractors (a construct the project (Sec. 7044, Business and Professions Code:) The Contractor's U- ccnse law does not apply to an owner or property who builds orimproves thereon, and, who contracts for such projects with asontracmr(s)Uct=d pursuant to the Contractor& License Law, ❑ 12m exempt under Sea. B & P C for this reason OwnerDate W ORKEAS COMPENSATION DECLARATION 1 hereby afrhrm under penalty of perjury orhe of the roll 1wing declzratione 0 Chateand will Maintain aCerLWcataofCanscnttoseif-ins rerarWorkeeaCompen- sation, as provided for by Section 3700 of the Labor Cade, f r the performance of the . work rorwbich this permit is issued. - . have and will maintain Workers Compesssation ]nsvran¢¢ as rcgvired by Section of are Labor Cade, f r the pcffonnanee of the work for- ich this p emit is Issued My Worker pan at Insur_an carrier and Policy mnm6ei arc: An l Carrier. Policy Na.: — V ERTI ATE OF EXEMPTION FROM W R ERS' COMPENSATION INSURANCE (rhissection need nothecomplcicdirthepermit isfar no hundred dollam(S100) or less.) 1 certify that in the prrformanee of the work for which this rinh is issued. I &hall not r employ anypeison in any mannerso as to become subject to the Warkcrs' Compensation . Laws or California. Date _ Applicant + NOTICE TO APPLICANT: If, after making this CeniGcate r Exemptan, you should become subject to the WOrkcrs Campertsadon provisions of the Labor Coda, you must forthwith comply with such provisions or this permit shall be deamed revoked. CONSTRUCTION LENDING AGENCY I hereby afTtrm that There is a construction lending age cy for the performance or the work for which this permit is is&ucd (Sec. 3047, Civ. C") I LendersNnmc Lendds Address t certify chat I have head this application and state khat the above informatlan is correct. I agree ro comply with all city and county,ordinances and state laws relating to buildingcons c[fun, and herebyavtharirereprescntativesafthis e,rymenrcrvpnnLha above -mend Propcnyforinspcc'oaPurposs. (We) a re o save, interact' y and keep harmless tihq City ar Cupcnino against li •ties,judg asisaadc ascswhichmayinanyvhyacc cagainstsaid City In n uence the n n rUhis pe u. J APP N . D ND WILL C MPLY WITH r N H-PO1Nr Issued by; Date r 2 SOURC GULATION . Re -roofs Signmur or pplicana ntrac or ate H ARD US M [ALS DISCLO I RE Type of Roof ill appli tart urebuil in oceupanlstorecrhandle hayardousmaterial as dean y rhe C rfr un' ' a C dc, Chapkr 9.12, Md du Health and Safely coda, Sctden25s3z(a)" ❑Yu No All roofs shall be inspected prior to any roofing material being installed. a roof is installed without first obtaining an inspection, I agree to remove WII rbc appl rdOt or furOx building occupaOt tato1"=1 ar rkvlces whichIf WcJ2 the aplilkant or Futun: bul)ding Q=P,?rA am 0, dtvim -hkb emit h&ardous air conraminanrs as fined by Iho Bay Arca Air Quality Management all new materials for inspection. District? " ❑ a Ihave ad hazardous atedatarequircmesrtsuridc Chapier6.95OftheCaliror- nf cahb&S Co Sec' 25505,25_ San 34"lu dcrsmnd at the ulNmg tats ty non at it lcsponsi ilfty to notify c Occup t of the — _ — rcgalrcmcn which must etp its oafs Coirlar ap Signature of Applicant Date owner au od�cdag t Al roof coverings to be Class "B" or better ., ._z CITY OF CUPERTINO CITY OF CUPERTINO b� PERMIT APPLICATION FORM GGT7 APN # � q -01 -OU Fee Description Fee Group T5is-ID(o Building Address.: SALNS. MECHANICAL Mailing Address (if di feren from building address): 4-11 Pic r- Ois Name' MECHANICAL BBOILER2 Phone #: 6;5a z �( 6,�4 � - Cowea � Boiler > 500K to 1M Btu License #: or dot: Phone: Fax: 46k - 32 k -&qD Y i -bn Cupertino Business License#: Permit Inf : Bldg Elect 1gr MECHANICAL Plumb ❑ Mech Job Des ription:`TT �nr.��L' �� Residential ❑ `��Cj (� 1 pn ommercial T ! Sq.Ft. Floor Area: _ _ Ind./Off/Comm/Quasi BUILDING Sq.Ft.: Cost of Project: 4maDOccupancy BUILDING BCONSTAXH Hotel and Motel Group: 3 Type of Construction:Please ' -FT J2? Constax — Resi/Mobile BUILDING check this box if the project is a second -story addition: ❑ Project Size: Standard E' Large ❑ Major ❑ BELEC1001 Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler <= 100,000 Btu MECHANICAL BBOILER2 Boiler > I OOK to 500K Btu MECHANICAL BBOMER3 Boiler > 500K to 1M Btu MECHANICAL BBOMER4 Boiler > 1M to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind./Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax — Resi/Mobile BUILDING BELEC 1000 Elec 600V <= l OOOA ELECTRICAL BELEC1001 Elec 600V > IOOOA ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 1 of 3 CITY of CUPEkTINO CITY OF CUPERTINO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCONSB4 New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING 13PRACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit'Fees BUILDING - BPFIXTURE Pblg Fixture PLU1 BING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING 'BPREPIPE Re i e Of Fixtures; , .,�-PLUMBING BPSEWAGE Sewage Disposal ` ' ` ' PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinkler/Backflo PLUMBING BPSTORM Stonr/Rain Water " —PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain & Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER Water HeaterlVent PLUMBING _BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit > 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace > I OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BRENIINHOOD Installation of Hood MECHANICAL BREMMISC Misc. Apparatus ELECTRICAL BREMNRAPP Rem Non -Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL 13REMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL 2 of 3 CITY OF CUPEkTINO CITY OF CUPERTINO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECTAL Special Inspection BUILDING BSWIM Swimming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING Sib ELECTRIC Electrical sq foot ELECTRICAL j EPERMITFEE Elec Permit Issuance ELECTRICAL -7 s-oa MPERMFEE Mechanical sq. foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERNUTFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING PLLONGRNGC Planning LR Comme/ Multi-Fam PLANNING PLLONGRNGR Planning Long Range Residential PLANNING ZADDCHG Address Change BUILDING 3 of 3 Community DGveiopmcnt r , 10300 Tb= Avenue (� Cttperdno CA 95014 - T (408) 777-3229 F= (408) 777-3333 Building'Department 10j— ! low FM 9LUM Wo &Fv I= owl I ane not using any subcontractors,. ' U[ ` ; Sigrxattu�`- Da Please check avDhcable subcontractors and comblete the following information `K5- • �O, : a . 1 .r. 1 X11 LT MoSITIM. ..■ 11..MAIM er/ on czar Signat=yd Da 800/60018 NoIIOnNISNOO 3GY3n 99tr9L3880p xvi 88 81 8000/go/OL