14100068'L"[
CI'T'Y OF CUP ERTINO BUILDING ING P ERMIT
BUILDING ADDRESS: 19333 VALLCO PKWY
CONTRACTOR: DEVCON
PERMIT NO: 14100068
CONSTRUCTION INC
OWNER'S NAME: CAMPUS HOLDINGS INC
690 GIBRALTAR DR
DATE ISSUED: 10/13/2014
OWNER'S PHONE: 4089745951
MILPITAS, CA 95035
PHONE NO: (408)942 -8200
❑ LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL F] COMMERCIAL
APPLE -1ST FLOOR -COMM. T.I 4,181 SQ FT LAB &
License Class Lic. # �591) (P j
SUPPORT SPACES WITHIN (E) B- OCCUPANCY. ONLY 1ST
{
D �Gv15�_ 1% /y
FLR IS WITHIN A, SOW. SOW INCLUDES INTERIOR
Contractor ,ll ✓t Date
I hereby affirm that 1 am licensed under the provisions of Chapter 9
10/14/14 - DEF # I - DETAILS FOR EQUIPMENT ANCHORAGE, INCLUDING
(commencing with Section 7000) of Division 3 of the Business & Professions
MEP'S & HAZ MAT. ISSUED 11/20/14.
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 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
Sq. Ft Floor Area:
Valuation: $500000
performance of the work for which this permit is issued.
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
APN Number: 31620075.00
Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
PERMIT IT ]Ei X PIRIES IF WORK IS NOT STARTED
correct. l agree to comply with all city and county ordinances and state laws relating
WITHIN 180 DAYS ®� PERMIT ISSUANCE ®R
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
180 DAYS FROM (LAST CALLED INSPECTION.
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
22
Issued by: ZI
� � G Date: 'vD '
with all non -point sou reg ons per the Cu ti unicipal Code, Section
9.18.
71
RE- ROOFS:
Signature Date ;�U I
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.
❑ OWNER- BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm that 1 am exempt from the Contractor's License Law for one of
the following two reasons:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
1, 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)
1, as owner of the property, am exclusively contracting with licensed contractors to
HAZARDOUS MATERIALS DISCLOSURE
construct the project (Sec.7044, Business & Professions Code).
1 have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
1 hereby affirm under penalty of perjury one of the following three
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations:
Health & Safety Code, Section 25532(a) should I store or handle hazardous
I have and will maintain a Certificate of Consent to self - insure for Worker's
material. Additionally, should I use equipment or devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued,
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, Secti 2 50 .33, an
Section 3700 of the Labor Code, for the performance of the work for which this
' ,� / 1
permit is issued.
Owner or authorized agent: Date:
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, [
CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code, I must
I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked.
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
APPLICANT CERTIFICATION
Lender's Address
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,
ARCHITECT'S DECLARATION
costs, and expenses which may accrue against said City in consequence of the
I understand my plans shall be used as public records.
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
Licensed Professional
9.18.
Signature Date
:1�
CITY OF CUPERTINO BUILDING PERMIT I
1 BUILDING ADDRESS: 19333 VALLCO PKWY I CONSTR C ON INC DEVCON I PERMIT NO: 14100068
OWNER'S NAME: CAMPUS HOLDINGS INC 1690 GIBRALTAR DR j DATE ISSUED: 10/13/2014
OWNER'S PHONE: 4089745951
❑ LICENSED CONTRACTOR'S DECLARATION
License Class CA- U% C Lic. # 547q I tp
Contractor PEycopJ 6__.1f_:5T_ Date ! 13 1
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 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 1 have read this application and state that the above information is
correct. 1 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 s cc r tions per t ertino Municipal Code, Section
9.18.
Signature
❑ OWNER - BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
1, 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)
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:
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.
I certify that in the performance of the work for which this permit is issued, 1 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
I certify that 1 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
MILPITAS, CA 95035 1 PHONE NO: (408)942 -8200
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL E]
APPLE- 1ST FLOOR- COMM. T.14,181 SQ FT TO INCLUDE
MODIFICATION
Sq. Ft Floor Area: Valuation: $500000
APN Number: 31620075.00 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: � N AzeeDate: le ' 1�3' /y
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 A
Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
1 have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will
maintain compliance with the'Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(x) 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 Munici Chapter 9.12 and
the Health & Safety Code, Section 25533 5534.
Owner or authorized agent: e:
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 Add
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Profess
K'
CITY OF CU PIERTIN®BUI LADING PERMIT
BUILDING ADDRESS: 19333 VALLCO PKWY
CONTRACTOR: DEVCON
PERMIT NO: 14100068
CONSTRUCTION INC
OWNER'S NAME: CAMPUS HOLDINGS INC
690 GIBRALTAR DR
DATE ISSUED: 10!13/2014
OWNER'S PHONE: 4089745951
MILPITAS, CA 95035
PHONE NO: (408)942 -8200
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑
APPLE -IST FLOOR-COMM. T.14,181 SQ FT LAB &
License Class C� Lie. # 7)Q�i �C� �jj
SUPPORT SPACES WITHIN (E) B- OCCUPANCY. ONLY ISM'
��, Mp pp
� �� �b QQ U (J
FLR IS WITHIN A SOW. SOW INCLUDES INTERIOR
Contractor W(2,, to 1 Qo Date
DEF # 2 - HIGH DENSITY STORAGE RACKS ANCHORAGE DETAILS -
1 hereby affirm that 1 am licensed under the provisions of Chapter 9
ISSUED 11/17/14
(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 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
Sq. Ft Floor Area:
Valuation: $500000
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
APN Number: 31620075.00
Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
PERMIT EXPIRES IF WORK IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating
W�T��� IS® DAYS OF PERMIT ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
180 DAYS ]FRO LIED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
Issue /
granting of this permit. Additionally, the applicant understands and will comply
with all non -point sourc re ations pe ertino Municipal Code, Section
RE- ROOFS:
Signature Date UQ
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.
❑ OWNER- BUILDER DECLARATION
Signature of Applicant: Date:
1 hereby affirm that 1 am exempt from the Contractor's License Law for one of
the following two reasons:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
1, 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)
I, as owner of the property, am exclusively contracting with licensed contractors to
HAZARDOUS MATERIALS DISCLOSURE
construct the project (Sec.7044, Business & Professions Code).
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will
1 hereby affirm under penalty of perjury one of the following three
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations:
Health & Safety Code, Section 25532(a) should 1 store or handle hazardous
I have and will maintain a Certificate of Consent to self - insure for Worker's
material. Additionally, should 1 use equipment or devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued.
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
1 have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, Sect' S, 25533, 4.
Section 3700 of the Labor Code, for the performance of the work for which this
Owner or authorized agent) Date: QQ a
permit is issued.
1 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, 1
CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code, 1 must
I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked.
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
APPLICANT CERTIFICATION
Lender's Address
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 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,
ARCHITECT'S DECLARATION
costs, and expenses which may accrue against said City in consequence of the
1 understand my plans shall be used as public records.
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
Licensed Professional
9.18.
Signature Date
CCUPERTONO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE o CUPERTINO, CA 95014 -3255
(408) 777 -3228 ^FAX (408) 777 -3333 ^ building
(Qcupertino.orq
[I NEW CONSTRUCTION ❑ ADDITION C■] ALTERATION/T1 ❑ REVISION / DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS 19333 Vallco Pkwy
APN N 2, U Q%5 -
OWNERNAMEApple, Inc.
P " °NE408- 974 -5951
E-MAIL emolloy @apple.com
STREET ADDRESS 1 Infinite Loop
'�
CITY, STATE, ZIP Cupertino, CA
FAX
CONTACT NAME Kevin Irwin
P "ONE408- 712 -9856
E- M11kirwin @devcon- const.com
STREETADDRESS690 Gibraltar Dr.
CITY, STATE,ZIPMilpitas, CA 95035
FAx408- 262 -2342
❑ OWNER ❑ OWNER - BUILDER ❑ OWNER AGENT 9 CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCFBTECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME Kevi n Irwin
LICENSE NUMBER 399163
LICENSE TYPE CA GC
BUS. LIC N 11068
COMPANYNAMEDevcon Construction, Inc.
E-MAIL kirwin @devcon- const.Ciom
FAx408- 262 -2342
STREET ADDRESS 690 Gibraltar Dr.
CITY, STATE, ZIP Milpitas, CA 95035
PHONE408- 942 -8200
ARCHMCT/ENGINEER NAME Kathryn Greenberg
LICENSE NUMBER
BUS. LIC#
COMPANY NAME Studios Architecture
E- MAILkgreenberg @studios.com
FAX
STREETADDRESS405 Howard St, Suite 588
CITY, STATE, ZIP San Francisco, CA
PHONE415- 398 -7575
DESCRIPTION OF WORK
Tenant improvements to lab & support spaces within (E) B- occupancy. Only 1 st floor of building A is within SOW.
SOW includes interior modifications & addition of rooftop mechanical unit. All lab equipment to be deferred submittal #1.
EXISTING USE
PROPOSED USE CONSTR.
TYPE
N STORIES
20
USE
TYPE
OCC.
SQ.FT.
VALUATION ($)
11 -B
E�AG41,980
NEW AFLOOR 0
DEMO 0
TOTAL 41 ,980
Lab /Support Space
11 -13
B
4,181
$500,000
BATHROOM
REMODEL AREA 0
KITCHEN
REMODEL AREA 0
OTHER
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA
GARAGE AREA: U DETACH
❑ ATTACH
N DWELLING UNITS:
IS A SECOND UNIT ❑ YES
SECOND STORY ❑ YES
BEING ADDED? NO
ADDITION? []NO
PRE - APPLICATION []YES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑ YES
Y:
IVE
TOTAL VALUATION:
PLANNING APPL N []NO PLANNING APPROVAL LETTER
EICHLER HOME? [] NO
r
$500.000
By my signature below, l certify to each of the following: 1 am the property owner or authorized agent to ac on the property own 's behalf. 1 have read this
application and the information I have pr vided is correct. I have read the Description of Work and verify it is ee to comply with all applicable local
ordinances and state laws relating t�.buil onstruction. I aut ntatives of Cupertino to enter the above - identified property for inspection purposes.
Signature of Applicant/Agent: Date: 10/13/2014
SUPPLEMENTAL INFORMATION RE RED
PLAN CHECK TYPE
ROUTING SLIP
❑ OVER - THE COUNTER
El 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
❑ 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
2011.doc revised 06121111
C,MRERTIN®
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT o BUILDING DIVISIO
10300 TORRE AVENUE - CUPERTINO, CA 95014 -3255
(408) 777 -3228 o FAX (408) 777 -3333 o building Ca cupertino.org
❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI C■1 REVISION / DEFERRED ORIGINAL PERMIT # 141060'00
PROJECT ADDRESS 19333 Vallco Pkwy
AP "" / - Z-O - p ,� �S—
OWNERNAMEApple, Inc.
PHONE408- 974 -5951
E- MAILemolloy @apple.com
STREET ADDRESS 1 In-finite
inite Loop
/'+ A
CITY, STATE, ZIP Cupertino, C
FAX
CONTACT NAME Kevin Irwin
PHONE408- 712 -9856
I E-MA`Lkirwin @devcon- const.com
STREETADDREss690 Gibraltar Dr.
CITY, STATE, ZTPMilpitas, CA 95035
FAx408- 262 -2342
❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT 0 CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME Kevi n Irwin
LICENSE NUMBER 399163
LICENSE TYPE CA GC
BUS. LIC # 11068
COMPANY NAMEDevcon Construction, Inc.
E- MAILkirwin @devcon- const.com
FAx408- 262 -2342
STREETADDRESS690 Gibraltar Dr.
I CITY, STATE, ZIP Milpitas, CA 95035
P "ONF408- 942 -8200
ARCHITECT/ENGINEER NAME Kathryn Greenberg
LICENSE NUMBER
BUS. LIC#
COMPANY NAME Studios Architecture
EMAIL kreenberg@studios.com
FAX
STREETADDREss405 Howard St, Suite 588
CITY, STATE, ZIP San Francisco, CA
P "ONE415- 398 -7575
DESCRIPTION OF WORK
Deferred submittal #1 for lab equipment anchorage, hazmat & MEP support systems.
EXISTING USE
B
PROPOSED USE CONSTR.
B
TYPE
I # STORIES
2
USE
TYPE
OCC.
SQ.FT.
VALUATION ($)
11-13
E - ^G 41, 980
� FLOOR 0
DEMO 0
TOTAL AREA 41,980
Lab /Support Space
11 -13
B
4,181
$500,000
BATHROOM
REMODEL AREA 0
KITCHEN
REMODEL AREA(0
OTHER
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA
GARAGE AREA: DETACH
❑ ATTACH
# DWELLING UNITS:
IS A SECOND UNrT ❑ YES
SECOND STORY []YES
BEING ADDED? []NO
ADDITION° ❑ NO
<✓
IF YES, PROVIDE PDE COPY OF
ISTMEBLDGAN ❑ YES
PLANNING APPO# ❑ NO LETTER
EICHLER HOME"
����—+IQX6�L_VALUATION:
$SOd. CD, 00
By my signature below, I certify to each of the following: I am the property owner or au ed age the prop e owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verl it is accurst agree to comply with al I applicable local
ordinances and state laws relating to building c [ruction I a e representatives of Cupertino to & t ve- identified property for inspection purposes.
Signature of Applicant/Agent: Date: 10/13/2014
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
❑ PLANNING PLAN REVIEW
_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
-ZJ!1r3kNDARD
❑ PUBLIC WORKS
form if any Hazardous Materials are being used as part of this project.
r ❑��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_201 Ldoc revised 06121111
CUPERTINO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT . BUILDING DIVISI01
10300 TORRE AVENUE ^ CUPERTINO, CA 95014 -3255
(408) 777 -3228 • FAX (408) 777 -3333 • building a cupei1ino.org
❑ NEW CONSTRUCTION ❑ ADDITION
❑ ALTERATION/TI XL REVISION /DEFERRED ORIGINAL PERMIT #
7 / COQ V
PROJECT ADDRESS 8 1 3 -3 VA fie.0
01 7
7APN
OWNER NAME •/� raj ®� j�
(/
PHONE BJ I — • q7q • �G a
`T r-j 7 `
E -MAIL
STREET ADDRESS
CITY, STATE, ZIP
FAX
CONTACT NAME
8��0�
PHONE ywde'�12e�`�v
E -MAIL k;�yir► re��n—
vv%
J�7
IG• ` Sl•
Q T
STREET ADDRESS ��•
CITY, STATE, ZIP , j
FAX
❑ OWNER ❑ OWNER - BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME k
o�
LICENSE NUMBER
TYPE
BUS. LIC k
�
G
u `
COMPANY NAME
E -MAIL . a
FAX
e� e
� � V
STREET ADDRESS � b�
CITY, STATE, ZIP i ^
C.
PHONE /� �[�
�Iw
•
• •�
ARCHITECT /ENGINEER NAME
LICENSE NUMBER
BUS. LIC ht
COMPANY NAME
E -MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK a ® o
�� �
dl tt 1a'M, � S 4 W'1 •
EXISTING USE
PROPOSED USE CONSTR.
TYPE
# STORIES
USE
TYPE
OCC,
SQ.FT.
VALUATION ($)
EXISTG
NEW FLOOR
DEMO
TOTAL
AREA
AREA
AREA
NET AREA
BATHROOM
KITCHEN
OTHER
REMODEL AREA
REMODEL AREA
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA
GARAGE AREA: LJ DETACH
❑ ATTACH
4 DWELLING UNITS:
IS A SECOND UNIT ❑ YES
SECOND STORY ❑YES
BEING ADDED? ONO
ADDITION? ONO
PRE- APPLICATION ❑ YES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑ YES
REC - - _
TOTAL VALUATION:
PLANNING APPL k ❑ NO PLANNING APPROVAL LETTER
EICHLER HOME? ❑ NO
By my signature below, I certify to each of the following: I am the property owner or authorized agent to rope owne £ I have read this
application and the information I have provided is correct. I have read the Description of Work and verify agree to comply wit all applicable local
ordinances and state laws relating to bu' truction. I authon sentatives of Cupertino to enti ntifi pro erty for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTA41, INFORMATION IRED
PLAN CHECK TYPE
ROUTING St IP
❑
El 'BUILDING PLAN
New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
OVER_THE- COUNTER
REVIEW
permit for new building.
❑+ EXPRESS
PLANNING PLAN REVIEW
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
❑ STANDARD E
D 'PUBLIC WORKS
form if any Hazardous Materials are being used as part of this project.
❑
LARGE
. FIRE Derr'_'
_ Copy of Planning Approval Letter or Meeting with Planning prior to
❑ MAJOR
❑ 'SANITARY 8 WEIR DISTRICT
submittal of Building Permit application.
'
c NVIRONIvIENTAIHEALTH'
t E
BldgApp_2011.doc revised 06121111
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
..
ADDRESS: 19333 VALLCO PKWY
DATE: 10/13/2014
REVIEWED BY: MENDEZ
PC FEE ID
APN:
BP #: r�jOQ��
*VALUATION: 1$500,000
*]PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY
USE: Commercial Building
1BTIPLNCK
PENTAMATION
PERMIT TYPE: 1 B T�
WORD
APPLE- 1ST FLOOR- COMM. T.I 4,181 SQ FT TO INCLUDE MODIFICATION
SCOPE
Suppl. Insp. Fee: Reg. Q OT
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
s.f.
PC FEES
PC FEE ID
BP FEES
BP FEE ID
B (Tenant Improvements)
II- B,III- B,IV,V -B
4,181
$2,420.44
1BTIPLNCK
$3,596.76
1BTIINSP
L:lec. Insp. Fee:
$3,596.76
Suppl. Insp. Fee: Reg. Q OT
Q,Q
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
ousit uclion Tax:
1.11 ?tiuiu,��-trr� I';re:
Q
Work Without Permit? 0 Yes No
$0.00
Advanced Planning Fee:
TOTALS:
4,181
$2,420.44
$3,596.76
$140.00
MECH, HOURLY 0 Yes 0 No
PLUMB, HOURLY Q Yes 0 No
ELEC, HOURLY 0 Yes (D No
n. i'1,117 (�`r.'�`h
Phu;1h- PLnr1 (11CC',
Ple,. Plan Check
Per1ui! h!e:
1'!111116 Per-mit Fec.
Flec. Permit Fee:
"T /OY11.
(Ai1cr PLtnrib /mr,
Other Elec. Insp.
n 1�_,':
P111,;1h. /)I,/). Fce
L:lec. Insp. Fee:
NOTE: This estimate does not include fees Clue to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc.). These lees Pre based on the Preliminary information available and are only an estimate. Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11 -053 Fff 711113)
FEE
QTY /FEE
MISC ITEMS
Plan Check Fee:
$2,420.44
Select a Mise Bldg /Structure
or Element of a Building
Suppl. PC Fee: (F) Reg. Q OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$3,596.76
Suppl. Insp. Fee: Reg. Q OT
Q,Q
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
ousit uclion Tax:
1.11 ?tiuiu,��-trr� I';re:
Q
Work Without Permit? 0 Yes No
$0.00
Advanced Planning Fee:
$0.00
Select allon- Residential
Building or Structure 0
'Ir11t,t 1)ncunl.�tttutinn F'ec's:
Stron,Motion Fee: 1BSE1SMICO
$140.00
Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC
$20.00
SUBTOTALS:
$6,177.20
$0.00 TOTAL FEE:
1 $6,177.20
Revised: 08/20/2014
FEE ESTIMATOR — BUILDING DIVISION
SI ON
v
ADDRESS: 99333 VALLCO PKWY DATE: 1019412014
REVIEWED BY: MELISSA
M[I<SC ITEMS
APN: 316 20 075
BP #: 14100068
"VALUATION: Iso
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration I Addition I Repair
PRIMARY
USE: Commercial Building
$0.00
PENTAMATION
PERMIT TYPE: 1GENC0 d
WORD
10/14/14 - DEF # 1 - DETAILS FOR EQUIPMENT ANCHORAGE INCLUDING MEP'S & HAZ MAT
SCOPE
$0.00
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc.). These fees are based on tl:e areliminary information available and are only an estimate. Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11 -053 Eff 711113)
FEE
QTY/FEE
M[I<SC ITEMS
Plan Check Fee: hourly Only? () Yes Q No
$0.00
hours Plan Check, Hourly
$286.00 ISTPLNCK
Suppl. PC Fee: D Reg. ® OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
1 # Deferred Submittal
$286.00 iDEFSUBM
Permit Fee:
$0.00
Suppl. Insp. Fee -( Reg. C OT 0 0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Work Without Permit? Yes E) No
$0.00
Advanced Pla.nninL Fee:
$0.00
Select a Non - Residential Q
Building or Structure 0
Strong Motion Fee:
$0.00
Select an Administrative Item
Bldp, Stds Commission Fee:
$0.00
SUBTOTALS:
j $0.001
$572.00
TOTAL FEE:
$572.00
Revised: 08120/2014
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
iaADDRESS:
19333 VALLCO PKWY
DATE: 11/1712014
REVIEWED BY: MELISSA
iJ,r /r Permit Fee:
APN: 316 20 075
BP #: 14100068
*VALUATION: Iso
°PERMITTYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building
USE:
Plumb. lrrsp. Fe".
PENTAMATION
PERMIT TYPE:
WORK
DEF # 2 - HIGH DENSITY STORAGE RACKS ANCHORAGE DETAILS - ISSUED 11/17/14
SCOPE
Suppl. Insp. Fee:Q Reg. Q OT 0 0
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc.). These fees are based on the vreliminarv, information available and are onlv an estimate. Contact the Dent for addn'l info.
FEE ITEMS (lee Resolution 11 -053 Ef 7/1.%13)
FEE
P /mId'. PkrnChrc�
Iilec. Plan Check
iJ,r /r Permit Fee:
1'b!mh. Permir Fc'e:
/;lcc. Permit Fee.,
h v'
01he,• Plumb lrup
Otber Llec. Insp.
i!.'rlr :;.. ,. heC:
Plumb. lrrsp. Fe".
l;lec. Insp. Fee:
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc.). These fees are based on the vreliminarv, information available and are onlv an estimate. Contact the Dent for addn'l info.
FEE ITEMS (lee Resolution 11 -053 Ef 7/1.%13)
FEE
QTY /FEE
MISC ITEMS
Plan Check Fee:
$0.00
Select a Misc Bldg /Structure
or Element of a Building
Suppl. PC Fee: Q Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee:Q Reg. Q OT 0 0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
:.w!srrt /rlttJrt 1rrx:
E)
Work Without Permit? Yes (D No
$0.00
Advanced Planning Fee.
-Residential Select a Non G
Building or Structure
A
Strong Motion Fee:
$0.00
Select an Administrative Item
Bldg* Stds Commission Fee:
$0.00
SUBTOTALS:
$0.00
$0.00 TOTAL FEE:
$0.00
Revised: 10/01/2014
qi
P"�, %
CUPS TT ND
CONTRACTOR / SUBCONTRACTOR LIST
Building Department
City Of Cupertino
10300 Torre Aver] U0
Cupertino, CA 95014-3 25 57
Telephone: 408- 777 -3228
Fax: 408-777-3333
JOB ADDRESS: 19333 Vallco Pkwy
PERMIT # 14100068
BUSINESS NAME
OWNER'S NAME: Apple
PHONE #408 -519 -8401
-�
UENERAL CONTRACTOR: Devcon Construction
BUSINESS LICENSE # 11068
ADDRESS:690 Gibraltar Dr.
CITY /ZTPCODE: Milpitas, CA 95035
*Our municipal code requires all businesses working in the city to have a City of Cupertino business license,
NO BUILDING FINAL OR (FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL 'ri
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS 0-➢AYE, OBTAINED A CITE' OF CUP1ER'ITTNO
BUSINESS LICENSE.
I am not using any subcontmetors: -- ----------...... --
Signature Date
Please check applicable subcontrneters and complete the following information:
V
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
X
Cabinets & Millwork
Design Workshops
32803
Cement Finishing
X
Electrical
REG
21108
.Excavation
._ —. --
Fencing
X
Flooring / Carpeting
RE Cuddie
1429
Linoleum / Wood
X
Glass / Glazing
Grand Prix
25611
X
Heating
ACCO
8822
Insulation
Landscaping
Lathing
.Masonry
X
Painting / Wallpaper
C &O
501260
Paving
Plastering
X
Plumbing
UMI Plumbing
27361
X
Roofing
Statewide Roofing
23509
Septic Tank
Sheet Metal
X
Sheet Rock
Magnum Drywall
25212
Tile
Digitally signed by Ashley Michelmra
cn= Micelin o= Deon ClIOn, ou, Ashley M i c h e I m o re em ail =emichal mre ®ffivco ncnsLCOm, c=US
Dale: 2015.05.04 13:55:15.07'00'
Owner / CoWractor Signature
05-04-15
Date
DEVCON CONSTRUCTION
INCORPORATED
�(Cj� 690 Gibraltar Drive
T Milpitas, CA 95035
v ' Phone- (408) 942 -9200
� `e. LIC. (408) 262-2342
1/ LIC. #399163
SubCkttra�,Transmittal
DEV -T001, PT /F y Each Nulnber;DE 5 05)p
Chsilo 7- i�-N
Apple VP02 -Union Station &I Medimac Project # 14-495 G'relr0 s Or y,SG' JC �� wCA✓ C�t�struction �0 T
19333 Vallco Parkway Tel: Fax: The S �) iyit/ erati n /t /S 110/14
Cupertino, CA 95014 be /,� t�„� 0/, 0 , c5 u0/ 1 ,ter oe ko�t a f rh
Transmitted To: Kathryn Greenberg Transmitt,�da4; ftvin In 04,7/7 ( jr0m ���' Or meKe P
STUDIOS ARCHITECTURE C Y Aro�ivc6'nktltlgn� t��' tp de `�nY
405 Howard Street, Suite 488 Oq T 6 O�G1I6r to �t3e ' e� /�c� /,o Ullding .l'�te
San Francisco, CA Tel: 415 - 398 -7575 94105 PFR�/ I itas, 42- $pro�at ofl Seyg4(� /
Fa . 8 -26 - 42 p'0 /atiOnT
Submittal Package No Description �aGp; to v
14 - 10 00 00 - 0 SF Space Solutions - HD Storage 11/2Q14
Sub Item Ac i
Items Qty Section Item # Rev Type Description Notes NET RN RNR RR RJ
01 1 019 0 Shop Drawings HD Storage Deferred
Submittal
Reviewer's Comments: NET =No Exceptions Taken
RN= Revise as noted
RNR= Revise as noted,
resubmit for record
RR= Revise and resubmit
RJ= Rejected
Reviewer's Signature Date:
Cc: Company Name Contact Name
APPLE, INC. Eileen Molloy
Devcon Construction Darcy Narduzzi
-. STUDIOS ARQIURORTING, Chris Wemer
Building l�co mt;
rks
10V 17 MIA
R5-VIEWED rOR CCD� COMPLIANCE
Reviewed STtta O
architecture
ArnoN:
f��rvu3sGu
no C07,?0C'FiQd
a.cr.vA,�e: nF]U- wog -NCw s<o:e acaan HO 13331.01MS
sor,� ^'L NO 14 -10 00 00 - 0 Dp1E 59/33/2014 a" Ufhryn G....6 r
Signature
Reference Number: 015
Phone /Einail
408-974-5951/emolloy@apple.com
408-519-8321/dnarduzzi@Devcon-const.com
415- 732 - 5336 /cwerner@studios.com
CEVEMN
a,c -00 11 Reviewed
•_ •
•�
Submittal has been reviewed in our capacity as
Contractor, and is in compliance with the Contract
Documents to the best of our knowledge.
DCI Job #: 14 -495
Apple WOZA1 USA Mao /Mae - 0140. SF Spaaa Salallana -ND Slorepa Syl —ptll
Submittal:
By Kevin Irwin on Nov 10, 2084
Copies
Ined Date
1045 Sansome St., Ste. 304
,_ � o_ ` J San Francisco, 39 -9999
��J'�)'J � 0: 415 - 391 -9999
Aufhdrr'xed Montad jistrib¢j6ov F:415- 391 -9990
GC License: 979675
ENPLANQT11ON OF ATTACH v� EHTS
Page 1: Weight Load Calculations. I used 90 Ibs per shelf, which is a high number,
considering the one carriage and one shelf on the other three carriages will
probably be less than % of that, at most.
Page 2: Shows the three rail locations that are all seismic anti -tip rails.
Page 3: Diagram of the rails we are using (bottom left). We use Hilti KBTZ Sleeve
Anchors every 12" 0/C on each side of the sub -rail. Minimum 3" embedment.
Page 4: Better picture of the sub -rail and steel rail insert.
Page 5: Location of the seismic brackets within each carriage at each rail location.
Load Computation
Distributor: I JMacktinger
0 Project: SFSS - JPM140027
e System : I #A
Total System Width :
216"
Total Linear Storage :
.5049"
Rail Length:
215'
Storage Surface:
1779 square feet
Bearing Length :
179"
Total Shelves:
1108
Typical Max Load
190 lb/shelf
2
42"
54"
37.5%
Load per Square Foot of Floor:
168 lb
Dead Load:
15,710 lb
66"
51"
Live Load:
19,720 lb
5,465 lb
366 lb /foot
Total Load:
115,430 lb
Rail #
Pos.
Bearing Width
% System Weight
Bearing Rail Length
Load (lb)
Linear (lbifoot)
1
18"
39"
27.1°
179"
4,179 lb
280lb1foot
2
42"
54"
37.5%
179"
5,786 lb
388 lb /foot
3
66"
51"
35.4%
179"
5,465 lb
366 lb /foot
Max Linear Load : 388 lb/foot Weight information are estimated by Montel and may not correspond
exactly to the final system. Please use them only as guidelines.
SA MARKUP:SYSTEM NOT TO EXCEED 18" MIN CLEARANCE
ERE UIRED BELOW CEILING FOR FIRE SPRINKLERS. VENDOR
TO VERIFY OF HEIGHT OF STORAGE SYSTEM DOES NOT
[EXCEED 71 - 011
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[tie Intrllt,crlt t ea nt spafc
Sub -Rail & Rail
Aluminum Sub -Rail:
• Acts as barrier between the
concrete and the hardened steel
rail;
• Prevents rust in a corrosive
concrete environment.
Built-in Anti -Tip into Aluminum Sub-
. Rail:
Provides stability;
Provides safety for systems with
a high height -to -width ratio;
0
Built -in anti -tip meeting the most
severe seismic regulations;
Meets UBC requirements.
Note: Anti -Tip Sub -Rail Dimensions:
Width: 5.47 inches (139 mm) Height: 1
inch (25.4 mm)
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