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14110139-DP
I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 20395 PACIFICA DR 1 CONSTRUCTION CONTRACTOR: MARVIN DAVIS I PERMIT NO: 14110139 I OWNER'S NAME: PACIFICA SUITS OWNERS ASSOCIATION 1 1450 KOLL CIR I DATE ISSUED: 11/25/2014 1 OWNER'S PHONE: 4082553212 1 SAN JOSE, CA 95112 9 PHONE NO: (408)975 -0200 31 LICENSED CONTRACTOR'S DECLARATION License Class Lic. # 4-(3 4 Z� Contractor Date' 1 hereby affir hat I am licensed under the provisions of Chapter 9 (commencin ith Section 7000) of Division 3 of the Business & Professions Code and th• 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 maintaii 'orker's Compensation Insurance, as provided for by Section 3700 of the L e, for the performance of the work for which this permit is issued. vi 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. ditionally, the applicant understands and will comply with all non -point s e rtions per the Cupertino Municipal Code, Section 9.18, Signature I Date l l -7 l(- 4 n I 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) 1, 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, 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 I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signatu Date JOB DESCRIPTION: RESIDENTIAL [] COMMERCIAL ADA UPGRADES TO RESTROOMS 1812 SQ FT Sq. Ft Floor Area: I Valuation: $75000 APN Number: 36940999.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 1 0 DAYS _OF PERMIT ISSUANCE OR 180 DAYS FROM BAST CALLED INSPECTION. Issued by: i Date: RE- ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of App Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District 1 will maintain compliance with the Cu ino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 2;V, 25533, and 25534. Owner or authorized agent: Date: I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Add ARCHITECT'S DECLARATION 1 understand my plans shall be used as public records. Licensed Profess �yt.I9sf • CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION \® 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • building 0cupertino.org L NEW CONSTRUCTION L ADDITION L ALTERATION / TI L REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS APN Cl l V OWNER NAME mwr— � 2rlM V..� PHONE 0e,> _ _ Lit E -MAIL L/ � �;� STREET ADDRESS CITY, STATE, ZIP FAX TYPE OCC. SQ.FT. VALUATION ($) CONTACT NAME NEW FLOOR PHONE 4ZA- 2- S- 3 zt Z E -MAIL STREET ADDRESS 315 CITY, STATE, ZIP 11 k4 FAX - +;� - AREA �� AREA ❑ OWNER ❑ OWNER- BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTgA,CTOR NAME s 'Df is LIC. til LICENS NUMBS ti 3 Z o LICENSE YPE BUS. LIC k COMP AIY NAMg 1 aV l t T A { DYL 11161 E -MAIL ukov FAX STREET ADDRESS 4 1\ Gar� S-�v l �4 CITY, STATE / A �Z r �� PHONE Q -I ARCHITECT/ENGINEER NAME REMODEL AREA LICENSE NUMBER BUS. LIC # C ❑ PuHLICwoucs G — -123c� ❑ COMPANY NAME E -MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE 5t- s Vim-. Q DESCRIPTION OF W r is vt,� I EXISTING USE PROPOSED USE CONSTR TYPE # STORIES l BEING ADDED? ❑NO ADDITION? []NO I USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL PRE - APPLICATION []YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES TOTAL VALUATION: AREA AREA AREA NET AREA application and the information I have provided is cor et. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local �j V- 5 B Z SUPPLEMENTAL 0 ATION REQUIRED BATHROOM KITCHEN I OTHER BmLD>rG PinN REVIEW . New SFD or Multifamily dwelling . Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building REMODEL AREA REMODEL AREA REMODEL AREA _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑;STANDARD ❑ PuHLICwoucs form if any Hazardous Materials are being used as part of this project.° ❑ ATTACH # DWELLING UNITS: IS ASECOND UNIT E] YES SECONDSTORY ❑YES l BEING ADDED? ❑NO ADDITION? []NO 1 PRE - APPLICATION []YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES TOTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HONIE? ❑ NO I� s By my Signature below, I certify to each of the following: I am the property owner or authorized agent tb -do crtt6 property owner's behalf. I have read this application and the information I have provided is cor et. 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 buii1dinj cons authorize representatives of Cupertino to enter the above - identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL 0 ATION REQUIRED PLANCHECKTXTP ROUTING SLIP, OVER THE couxrER BmLD>rG PinN REVIEW . New SFD or Multifamily dwelling . Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. t ©'EXPRESS;. ` ❑ PinN \)TGrLAN REViEw _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑;STANDARD ❑ PuHLICwoucs form if any Hazardous Materials are being used as part of this project.° ❑ { `k ? LARGE,;' FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ SANITARY, sv<ER Di3TRCCT submittal of Building Permit application. - - ❑ . ENVIRONMENTAL HEALTH BldgApp_201 1. doc Devised 06121/11 F-M--7 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 20395 Pacifica dr TYPE OF CONSTR. DATE: 11/25/2014 REVIEWED BY: Mendez APN: BP #: D "VALUATION: 1$75,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: IB7IPLNCK $1,730.24 PENTAMATION 1B TI PERMIT TYPE: A WORK ada upgrades to restrooms 1812 sq ft PME Plan Check: SCOPE $0.00 OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) II- B,111- B,IV,V -B 1,812 $2,218.84 IB7IPLNCK $1,730.24 IB77INSP hrs $0.00 PME Plan Check: $0.00 Permit Fee: $1,730.24 Suppl. Insp. Fee:Q Reg. 0 OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 TOTALS: 1,812 $2,218.84 $0.00 $1,730.24 MECH, HOURLY 0 Yes G No PLUMB, HOURLY Q Yes Q No ELEC, HOURLY Q Yes Q No 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 preliminary information availahle and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resolution 11 -053 Ef: 7/ 'I,-13) FEE QTY /FEE MISC ITEMS Plan Check Fee: $2,218.84 Select a Misc Bldg /Structure or Element of a Building Suppl. PC Fee: Q Reg. Q OTT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $1,730.24 Suppl. Insp. Fee:Q Reg. 0 OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 E) Work Without Permit? © Yes (j) No $0.00 Advanced Planning F ee. — $0.00 Select allon- Residential Building or Structure E) 0 i Strong Motion Fee: IBSEISMICO $21.00 Select an Administrative Item Bldg Stds Commission Fee: tBCBSC $3.00 SUBTOTALS: $3,973.08 $0.00 TOTAL FEE: $3,973.08 Revised: 10101/2014 PACIFICA SUITES TI 20395 PACIFICA DRIVE CUPERTINO, CA 95014 0 Pb mmk& � kFICE COPY TITLE 24 ENERGY REPORT INDOOR LIGHTING FRI ENERGY CONSULTANTS, LLC TITLE 24 ENERGY CONSULTANTS 21 N. HARRISON AVE. SUITE 210 CAMPBELL, CA. 95008 408 - 866 -1620 FAX: 408 - 866 -6832 EMAIL: info @friconsulting.com *P �r t asa RE.�'!E4v' . pti)[-< COCiE` OMPUANCE 1'eI— 144 Peviewed By up E 4ya, ��QeAt �ji� i�.� nq oep�,-3.rtmnent Nov 25 2014 RE.�'!E4v' . pti)[-< COCiE` OMPUANCE 1'eI— 144 Peviewed By BUILDING ENERGY ANALYSIS REPORT PROJECT: Pacifica Suites TI 20395 Pacifica Drive Cupertino, CA 95014 Project Designer: Shirley Lo Design 656 Kingsley Avenue Palo Alto, CA 94301 650 - 325 -7230 Report Prepared by: Nicholas L Bignardi NR08 -12 -3847 FRI Energy Consultants, LLC 21 N. Harrison Ave, Suite 210 Campbell, CA 95008 408 - 866 -1620 Job Number: 0140789 Date: 11/10/2014 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2013 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC — www.energysoft.com. TABLE OF CONTENTS I Cover Page Table of Contents Form LTI -01 -E Indoor Lighting Form LTI -02 -E Lighting Controls Form LTI -03 -E Indoor Lighting Power Allowance EnergyPro 6.3 by EnergySoft Job Number: ID: 0140789 User Number: 1315 2 3 9 13 a, u c CL E O U c w v .N m c O z m 0 N ro fC Ln al Lu W m v c oa S m j m Q U G uu ra N 41 a as v 0 C 4, O 0 0 O c±' L C O 0 _0 al O O 4A 4..1 u a1 — u° _ Q F- d 00 ® ❑ O io N 4' 4 C u 3 3 v m Q 2pO ai "O a U a a o 0 N N p w n C 7 a) CU d 00 N a-1 O 'E �^ CU C V1 O c +c+ c � +' .2 ra U +' H � J U H J bO c - "O � E O = U Q Q d U ❑ 9 ❑ 9 U O N O W- — L u a° z ea z v7 � J U O O uo c a u I p v =3 N m N m � O m c CU 41 m Q +� u O U a) n O O 3 E Q O O Q O U1 Z W Z O U O LL a o � C c ® ❑ ❑ ❑ a, Q c 0 + '+O U +' "O C O u aj c c c U C O C O u c f0 7 m E CL Cr a' C d a IA c = O u N H ^ U O cu 41 L. c O O O m E IA U (9 m ❑ a W a, u c CL E O U c w v .N m c O z m 0 N ro fC Ln al Lu W m v c oa S m j m Q U G 41 O N 41 as 0 0 0 0 E CL E 4A V u° u d b0 � c +�+ N (D m O 4' v ova 3 3 v m Q 2pO U a a o 0 w p w n C 7 d O N a-1 O 'E �^ O c � 1° VO -' +' H � J U H J J ei E C d o d U U 0 U N N W- — a° z ea z � J C 7 O tO v � � 7 c r O Q O a j C c O d Q U u aj c en f0 7 CL Cr cC C E o 0 O v y + v OU p qj 0 d q Y + + u v E Q b0 d tom 4 1 N a m c „a, ` My to w z u O -C aLL aU na° o d Y _ UO W O O W s c O Z a.1 O O u U E c y+ � c f0 1 I H J J J W M W E v U Z U O c U C U tw O W L _ R LL ` Z m Z b0 Z N 7 V �;, Q d Q J c a (U m c C -a r, 3 � a O C = 3 d u C U @ tkO a N N ai C a+ = d 00 J E :3 O O U J c O y � C u O 3 u W O v L c C U a) Y C I Q � o o E c as c °' 3 a, _ O r ro O ar to E -O c d 1.1 r1 N u Q Y u C L u n u 0 ?� Y 5 C E 0 = a° u �a H U 0 O W } C L H U O C +' W a 7 C ar U m i m O U u d0 J O W W w L L O O a al U J C J w W y� rz W W W W W ° '73 0 0 0 0 0 H H H H H J J J J J dr i U U U U U Z O Z z z z Z W O Q Z W 1n Z u 010 Q y Z Z 3 ` � L O c Z o i ~ Cl) (n (n O J o �L } } } a, u c CL E O U c w v .N m c O z m 0 N ro fC Ln al Lu W m v c oa S m j m Q U 41 N 41 as 0 0 0 0 CL 4A V + u d b0 � c +�+ N (D m O 4' v ova 3 3 C m Q 2pO U a a o 0 -0 w p w n C 7 d N a-1 O 'E O cc O � VO -' +' H � J U H J J ei C d d U U 0 W- = R a° z ea z � J C 7 O tO 41 � � 7 O Q O c d u c en f0 �, CL m E o 0 v p 0 + + u b0 d tom 4 1 N a m E „a, ` My to w 3 3 u -C aLL aU na° o d J _ UO W O O W s c O t O O '� c O E c y+ � c f0 1 I H J J J o 1 U J 00 J N W E v U Z U O c U 0 O tw O W L _ R C ` Z m Z b0 Z N 7 V �;, d Q J c a (U m 3 -a r, 3 � a o = 3 d u c a tkO a Q C a+ = d 00 J O O J M � � C O 3 O u O c Q � O as c E r E -O 7 O r1 N m CA u a, u c CL E O U c w v .N m c O z m 0 N ro fC Ln al Lu W m v c oa S m j m Q U H -a 4a 0 Q O VI 'O 4a io N C } J Z O I Q) .2 a 3 - E 0 avo O m U c a L W CA M J O Q) J OU _ U Q Z Q) c O c O u c .a 3 O Q VI a) qq- In 10 � C 4- } Z O a) .Q E O u a) 00 CL a`r 3 W. 0 M 0 m Y J Ltw U J � Z O r- 0 c O U ui lC) a, m `O o o `O o o `o E O aui u u u u u u Cl In _0 c m _c -O v _c _0 v _c v v In CL O LL ❑ C1 Ln C1 In C1 In C1 In C1 In C1 LA 4- li>-, C _c C c c _C C v _0 'O "O "O "O "O > G) N D) N G) a) aJ L LL LL LL LL LL LL L N U c � Ou L � CL v Y 3 ,n u N vi 4- o In Y u o Y v U In A) Q O c O U m m O 0 0 4- L 4, O ` 0 a+ > C 00 c a c p, In N t w > O m a) O m "OO m m o N o0 v aEi v a) u c o �. 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L N > N O E 0 Q 00 J c O oa C C o oa _ fa +� a a C 0 d U L N 0 U (j O OO U m -0 0 O u +' L ++ u C E a 0. a E C a a to ,+-„ 00 C oa L-0 (O a 76 (p "O vi O C L U L _ a M m H a�-i N d0 — in ? — C m c a +' j C L L 0 U 0 4- 0 U +' C t u i w m o o a C a C a t7 m o E a :n M m m oC m u _b O Z ` o r m 0 N a c 7 CO J H Z O V Z 1- 2 J I Z s2 �J i� O 'O c0 c 3 0 0 v s 0 C O tA aJ O tiu m CL s H vi v u m CL N v c O c O u c N U c Q M a � N v p = W O Z *' O C H O p U Z O 0 3 Z O a1 v N � W E U +� Q c n- OJ N E 0 w u Z o O a a) 4- p " Z f° O °- u a) tA Q 0 v 0 N W C oa c m U Fail ❑❑❑❑❑❑❑ Field Inspector O _ a, a w Pass D D D D D D D w aj ' t: ✓ if Acceptance U ° o N Test Required Z J H o U U w a a Control U W a Credit 2 a, ° � U m (K x L) 0 0 � w ri o a c Z U O PAF c a ± c c ° o E Watts of Wa v E > E > c p o IIA LL Controlled Y U U " a Z a Lighting ° ) Q E g W_ M w §140.6(d) 3 ° c o -a v Q s m a O w ° `^ X — §140.6(a)2 � o Q Z w Q w O ar Y to c� = o w x §130.1(e) a o a g O D ° E? h Q a aJ U i C N o o c E a°, c� §130.1(d) o a `� o ±' If U U o aj c u. §130.1(c) LL U U C3 ~0 0 Q o ui §130.0(b) J Y vi U° ° ° + In 'o o §130.1(a) LU °c o U OF- �n c J O O , O 2 ' a > v H U xe o c v=i a '. a, a 3 Z O w ` i + �-+ Ln -Q U Z p v -° w M a N Zt10 p ; L w LOO) p (` an U V) a C7 N d0 ? 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