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14080041CITY OF CU PIER'Il INO BUILDING PERMIT BUILDING ADDRESS: 10200 S DE ANZA BLVD CONTRACTOR: VULCAN PERMIT NO: 14080041 CONSTRUCTION INC OWNER'S NAME: SEAGATE TECHNOLOGY LLC 346 MATHEW ST DATE ISSUED: 12/05/2014 OWNER'S PHONE: 4082830100 SANTA CLARA, CA 95050 PHONE NO: (408) 499-6039 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL, E] TENANT IMPROVEMENT (SEAGATE) FIRST FLOOR FOOD License Class 13 Lic. # 01� f� SERVICE AREA SEAGATE CAFE (1050 SQ FT). � `uI Contractor V C. C-0-51- Date oL S III I hereby affirm that 1 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: 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 Sq. Ft Floor Area: Valuation: $200000 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: 36901035.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 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 W1T�1� 1�0 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 150 OAFS 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 / �, / Issued b ��C� Date: granting of this permit. Additionally, the applicant understands and will comply Y �7Y with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. RE -ROOFS: ignature Date 9a S Signature_"" All roofs shall be inspected prior to any rooting 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: hereby affirm that I 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). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will 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 [ 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 the Health & Safety Code, Sections 25505, 25533, and 25534. Owner Date: ja/S /y permit is issued. or authorized agent: 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, 1 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 CITY OF CUPIERT'INO BUILDING PERMIT BUILDING ADDRESS: 10200 S DE ANZA BLVD CONSTRUCTION INC 0:14080041 OWNER'S NAME: SEAGATE TECHNOLOGY LLC 1 346 MATHEW 9%U Ls L DATE ISSUED: 12/05/2014 OWNER'S PHONE: 4082830100 ❑ LICENSED CONTRACTOR'S DECLARATION License Class b Lie. # 93 1, ?LI&XG Contractor If 10 tt°id`%1>6W4, Date �i4i I hereby affirm that 1 am licensed under the provision 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. 1 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 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 ofthis permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. — Signature y Date f9 ❑ OWNER -BUILDER DECLARATION 1 hereby affirm that 1 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 (See.7044, Business & Professions Code). 1 hereby affirm tinder 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. 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, t 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. Signature Date SANTA CLARA, CA 95050 [PHONE NO: (408) 499-6039 JOB DESCRIPTION: RESIDENTIAL COMMERCIAL E] TENANT IMPROVEMENT (SEAGATE) FIRST FLOOR FOOD SERVICE AREA SEAGATE CAFE (1050 SQ FT). DEFERRED SUBMITTAL #1: UPDATED ENERGY COMPLIANCE DOCUMENTATION. ISSUED 12/19/14. Sq. Ft Floor Area: I Valuation: $200000 APN Number: 36901035.00 1 Occupancy Type: PERMIT ]EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM (LAST CALLED INSPECTION. Issued by: 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 Applicant: 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.I2 and the Health & Safety Code, Section 25532(a) should 1 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 Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 2550 _ 34. Owner or authorized agent: Date: CONSTRUCTION LENDING AGENCY 1 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CONSTRUCTION PERMIT APPLICA RRE. COMMUNITY DEVELOPMENT DEPARTMENT • BUILDIwaSION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building aQcupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI REVISION / DEFERRED ORIGINAL PERMIT 4 PROJECT ADDRESS APN 14%�, tJb OWNER NAME PHONE E-MAIL cvt�a, Y02 Z9 3 O (ov STREET ADDRESS CiTY STATE, ZIP FAX f� D1 CONTACT NAME PHONN9. E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX OWNER ❑ OWNER -BUILDER ❑ OIAWER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGEA'T ❑ ARCI-m`ECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBS LICENS PE BUS. LIC k i,/vLCA-J q COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE - G t AvZaA- car f5Z6D 4r Z I L ARCPBTECTIENGTNEER NAME LICENSE NUMBEf5,.yA�� BUS. LIC H ✓Iv f //V COMPANY NAME E-MAIL FAX STREFLA0DDRESS C Y. STATE, 15PHONE 1. DESCRIPTION OF WORK ��� �� �/ •e EXISTING USE PROPOSED USE CONSTR. TYPE I STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODELAREA REMODEL AREA REMODEL AREA PORCH AREA DECKAREA TOTAL DECKJPORCH ARE A GARAGE AREA: DETACH ❑ ATTACH 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 RECEIVED » t 3 -. TOTAL VAL TION: PLANNINGAPPLX ❑NO PLANNING APPROVAL LETTER EICHLERHOME? E] NO Tu_;Ck ,� ( <yi �"J, 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 building const�,,sk_err-�-a+i ize representatives of Cupertino to enter the above-identifi property for inspection purposes. Signature of Applicant/Agent: c -� Date: l SUPPLEMENTAL INFORMATION REQUIRED PLATlCAECKTXP ._ .`r.. - rN,,ROUTIIvGSIIP,.,�_.,,,,,_.. New SFD or Multifamily dwellings: Apply for demolition permit for x µk��` �S4'j OVERTAE-COUNTER f _ 4 BUILDING PLANRD!'IEw existing building(s). Demolition permit is required prior to issuance of building <x X337 nrs r Y r I k_ . permit for new building. I� E.lPRESSrsr'��+a r- ❑PLANT\INGYLAN REVIEW. e 'GV k�S fL t+14 >r Commercial Bldgs: Provide a completed Hazardous Materials Disclosure sTANnnRD xI 3 ❑ ruBLIC!loRxs L _ form if any Hazardous Materials are being used as part of this project. 1s� ❑ L ARGE �`� T � �''K a � r ❑ TIRE DEI T ��,8 ash '' t of Planning Approval Letter or Meeting with Planning prior to -I _Copy submittal of Building Permit application. MASOR *'+ $�� U �� j " +`'�� ❑ SATITARXSER'ER.I)]TWCT .y r '; r �4t•�-� ,r4 ��; � � �, �.�r � 5 f a�� 'r.k,"�,€5 ,n�;.;, ?., ... ti��1� {tic+, , �'�: •*'.❑;r:ENVIR01lT'IEI�T,AI'NEALTA'"I: x f,.. B1dgApp 20/ l.doc revised 06/21/11 CITY OF CUP ERUNO II�i 1 FEE ESTIMATOR - BUI LMNG DIVISION OCCUPANCY TYPE: ADDRESS: 10200 s de anza blvd DATE: 08/06/2014 REVIEWED BY: Mendez PC FEE ID APN: BP#: B (Tenant Improvements) "VALUATION: 1$200,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY USE: Commercial Building $1,134.88 PENTAMATION PERMIT TYPE: 1 B Th WORK sea ate• 1st floor- comm t.i toe cafeteria Suppl. Insp. Fee:Q Reg. Q OT p p 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,III-B,IV,V-B 1,050 $2,139.08 IBTIPLVCK $1,134.88 IBTIINSP t� $1,134.88 Suppl. Insp. Fee:Q Reg. Q OT p p hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? © Yes C) No $0.00 Advanced Planning? Fee: TOTALS: 1,0:5:0=$2,139.08 i r.a,/ l;c,•r.�r�rt!ulhrn FcC's $1,134.88 $56.00 MIECH, HOURLY 0 Yes Eo No IPLlUMB, HOURLY Q Yes Q No EL1EC, HOURLY Q Yes Q No _,r, ="C', (-� ci. !Trail, I'lnn Cbz � 4 Eley. F'lan Check ltr fi Pr, un(I , Pr„;nh P.rnu/ I rG: Vie Permit Fec hrs $0.00 Other lie' . Insp. l,:r ;.�; j.,, Phrurh, r,r,la. /•c•i�' t� 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 available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolulion 11-053 Eff 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,139.08 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: C) Reg. OT 0.0 hrs $0.00 �PPME Plan Check: $0.00 Permit Fee: $1,134.88 Suppl. Insp. Fee:Q Reg. Q OT p p hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? © Yes C) No $0.00 Advanced Planning? Fee: $0.00 Select a Non -Residential E) Building or Structure i r.a,/ l;c,•r.�r�rt!ulhrn FcC's Strom Motion Fee: IBSEISMICO $56.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $8.00 SUBTOTALS: $3,337.96 $0.001 TOTAL FEE: $3,337.96 Revised: 07/10/2014 CITY OF cCUP E1[S' INO NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, eta). These fees are based on the preliminary information available and are onlv an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff.' 7/1.13) FEE P/loith. Part Choc! (.,'h '.4c Plan Check Fee: ADDRESS: 10200 S Deanza Blvd DATE: 12/19/2014 REVIEWED BY: Sean w APN: �P#:TH *VALUATION:$0 : eration / Addition / Repair *PERMIT TYPE: Building Permit PLAN CHECK TYPEAlt PRIMARY Commercial Building $0.00 PENTAMATION 1 GENCO a us $0.00 PERMIT TYPE: WORK rSCOPE Deferred Submittal #1: Updated energycompliance documentation. PME Permit Fee: $0.00 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, eta). These fees are based on the preliminary information available and are onlv an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff.' 7/1.13) FEE P/loith. Part Choc! (.,'h '.4c Plan Check Fee: Yttim%, Pee, GIP<'. PP, z;=F F`c""': Wio JA, . i6,pOther Plurnh hash.El C)titerL:"dec'. /nsp. $0.00 PME Plan Check: $0.00 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, eta). These fees are based on the preliminary information available and are onlv an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff.' 7/1.13) FEE QTY/FEET MISC ITEMS Plan Check Fee: $0.00 1 # Deferred Submittal $286.00 IDEFSUBM Suppl. PC Fee: (E) Reg. 00:T 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:CReg. 0 OT Q Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 1C,/EiiR1Pt7'G1'!Ct I'r_'E" Work Without Permit? 0 Yes E) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 d �1YlYf l F�®Ci(177t'ntLlt/U;9 Fees: Strong Motion Fee: $0.00 Select an Administrative Item Blda Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $286.00 TOTAL]F)EE: $286.00 Revised: 10/01/2014 CITY OF CU PIER'Il INO BUILDING PERMIT BUILDING ADDRESS: 10200 S DE ANZA BLVD CONTRACTOR: VULCAN PERMIT NO: 14080041 CONSTRUCTION INC OWNER'S NAME: SEAGATE TECHNOLOGY LLC 346 MATHEW ST DATE ISSUED: 12/05/2014 OWNER'S PHONE: 4082830100 SANTA CLARA, CA 95050 PHONE NO: (408) 499-6039 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL, E] TENANT IMPROVEMENT (SEAGATE) FIRST FLOOR FOOD License Class 13 Lic. # 01� f� SERVICE AREA SEAGATE CAFE (1050 SQ FT). � `uI Contractor V C. C-0-51- Date oL S III I hereby affirm that 1 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: 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 Sq. Ft Floor Area: Valuation: $200000 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: 36901035.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 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 W1T�1� 1�0 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 150 OAFS 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 / �, / Issued b ��C� Date: granting of this permit. Additionally, the applicant understands and will comply Y �7Y with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. RE -ROOFS: ignature Date 9a S Signature_"" All roofs shall be inspected prior to any rooting 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: hereby affirm that I 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). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will 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 [ 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 the Health & Safety Code, Sections 25505, 25533, and 25534. Owner Date: ja/S /y permit is issued. or authorized agent: 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, 1 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 CITY OF CUPIERT'INO BUILDING PERMIT BUILDING ADDRESS: 10200 S DE ANZA BLVD CONSTRUCTION INC 0:14080041 OWNER'S NAME: SEAGATE TECHNOLOGY LLC 1 346 MATHEW 9%U Ls L DATE ISSUED: 12/05/2014 OWNER'S PHONE: 4082830100 ❑ LICENSED CONTRACTOR'S DECLARATION License Class b Lie. # 93 1, ?LI&XG Contractor If 10 tt°id`%1>6W4, Date �i4i I hereby affirm that 1 am licensed under the provision 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. 1 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 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 ofthis permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. — Signature y Date f9 ❑ OWNER -BUILDER DECLARATION 1 hereby affirm that 1 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 (See.7044, Business & Professions Code). 1 hereby affirm tinder 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. 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, t 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. Signature Date SANTA CLARA, CA 95050 [PHONE NO: (408) 499-6039 JOB DESCRIPTION: RESIDENTIAL COMMERCIAL E] TENANT IMPROVEMENT (SEAGATE) FIRST FLOOR FOOD SERVICE AREA SEAGATE CAFE (1050 SQ FT). DEFERRED SUBMITTAL #1: UPDATED ENERGY COMPLIANCE DOCUMENTATION. ISSUED 12/19/14. Sq. Ft Floor Area: I Valuation: $200000 APN Number: 36901035.00 1 Occupancy Type: PERMIT ]EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM (LAST CALLED INSPECTION. Issued by: 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 Applicant: 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.I2 and the Health & Safety Code, Section 25532(a) should 1 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 Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 2550 _ 34. Owner or authorized agent: Date: CONSTRUCTION LENDING AGENCY 1 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CONSTRUCTION PERMIT APPLICA RRE. COMMUNITY DEVELOPMENT DEPARTMENT • BUILDIwaSION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building aQcupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI REVISION / DEFERRED ORIGINAL PERMIT 4 PROJECT ADDRESS APN 14%�, tJb OWNER NAME PHONE E-MAIL cvt�a, Y02 Z9 3 O (ov STREET ADDRESS CiTY STATE, ZIP FAX f� D1 CONTACT NAME PHONN9. E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX OWNER ❑ OWNER -BUILDER ❑ OIAWER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGEA'T ❑ ARCI-m`ECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBS LICENS PE BUS. LIC k i,/vLCA-J q COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE - G t AvZaA- car f5Z6D 4r Z I L ARCPBTECTIENGTNEER NAME LICENSE NUMBEf5,.yA�� BUS. LIC H ✓Iv f //V COMPANY NAME E-MAIL FAX STREFLA0DDRESS C Y. STATE, 15PHONE 1. DESCRIPTION OF WORK ��� �� �/ •e EXISTING USE PROPOSED USE CONSTR. TYPE I STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODELAREA REMODEL AREA REMODEL AREA PORCH AREA DECKAREA TOTAL DECKJPORCH ARE A GARAGE AREA: DETACH ❑ ATTACH 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 RECEIVED » t 3 -. TOTAL VAL TION: PLANNINGAPPLX ❑NO PLANNING APPROVAL LETTER EICHLERHOME? E] NO Tu_;Ck ,� ( <yi �"J, 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 building const�,,sk_err-�-a+i ize representatives of Cupertino to enter the above-identifi property for inspection purposes. Signature of Applicant/Agent: c -� Date: l SUPPLEMENTAL INFORMATION REQUIRED PLATlCAECKTXP ._ .`r.. - rN,,ROUTIIvGSIIP,.,�_.,,,,,_.. New SFD or Multifamily dwellings: Apply for demolition permit for x µk��` �S4'j OVERTAE-COUNTER f _ 4 BUILDING PLANRD!'IEw existing building(s). Demolition permit is required prior to issuance of building <x X337 nrs r Y r I k_ . permit for new building. I� E.lPRESSrsr'��+a r- ❑PLANT\INGYLAN REVIEW. e 'GV k�S fL t+14 >r Commercial Bldgs: Provide a completed Hazardous Materials Disclosure sTANnnRD xI 3 ❑ ruBLIC!loRxs L _ form if any Hazardous Materials are being used as part of this project. 1s� ❑ L ARGE �`� T � �''K a � r ❑ TIRE DEI T ��,8 ash '' t of Planning Approval Letter or Meeting with Planning prior to -I _Copy submittal of Building Permit application. MASOR *'+ $�� U �� j " +`'�� ❑ SATITARXSER'ER.I)]TWCT .y r '; r �4t•�-� ,r4 ��; � � �, �.�r � 5 f a�� 'r.k,"�,€5 ,n�;.;, ?., ... ti��1� {tic+, , �'�: •*'.❑;r:ENVIR01lT'IEI�T,AI'NEALTA'"I: x f,.. B1dgApp 20/ l.doc revised 06/21/11 CITY OF CUP ERUNO II�i 1 FEE ESTIMATOR - BUI LMNG DIVISION OCCUPANCY TYPE: ADDRESS: 10200 s de anza blvd DATE: 08/06/2014 REVIEWED BY: Mendez PC FEE ID APN: BP#: B (Tenant Improvements) "VALUATION: 1$200,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY USE: Commercial Building $1,134.88 PENTAMATION PERMIT TYPE: 1 B Th WORK sea ate• 1st floor- comm t.i toe cafeteria Suppl. Insp. Fee:Q Reg. Q OT p p 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,III-B,IV,V-B 1,050 $2,139.08 IBTIPLVCK $1,134.88 IBTIINSP t� $1,134.88 Suppl. Insp. Fee:Q Reg. Q OT p p hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? © Yes C) No $0.00 Advanced Planning? Fee: TOTALS: 1,0:5:0=$2,139.08 i r.a,/ l;c,•r.�r�rt!ulhrn FcC's $1,134.88 $56.00 MIECH, HOURLY 0 Yes Eo No IPLlUMB, HOURLY Q Yes Q No EL1EC, HOURLY Q Yes Q No _,r, ="C', (-� ci. !Trail, I'lnn Cbz � 4 Eley. F'lan Check ltr fi Pr, un(I , Pr„;nh P.rnu/ I rG: Vie Permit Fec hrs $0.00 Other lie' . Insp. l,:r ;.�; j.,, Phrurh, r,r,la. /•c•i�' t� 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 available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolulion 11-053 Eff 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,139.08 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: C) Reg. OT 0.0 hrs $0.00 �PPME Plan Check: $0.00 Permit Fee: $1,134.88 Suppl. Insp. Fee:Q Reg. Q OT p p hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? © Yes C) No $0.00 Advanced Planning? Fee: $0.00 Select a Non -Residential E) Building or Structure i r.a,/ l;c,•r.�r�rt!ulhrn FcC's Strom Motion Fee: IBSEISMICO $56.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $8.00 SUBTOTALS: $3,337.96 $0.001 TOTAL FEE: $3,337.96 Revised: 07/10/2014 CITY OF cCUP E1[S' INO NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, eta). These fees are based on the preliminary information available and are onlv an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff.' 7/1.13) FEE P/loith. Part Choc! (.,'h '.4c Plan Check Fee: ADDRESS: 10200 S Deanza Blvd DATE: 12/19/2014 REVIEWED BY: Sean w APN: �P#:TH *VALUATION:$0 : eration / Addition / Repair *PERMIT TYPE: Building Permit PLAN CHECK TYPEAlt PRIMARY Commercial Building $0.00 PENTAMATION 1 GENCO a us $0.00 PERMIT TYPE: WORK rSCOPE Deferred Submittal #1: Updated energycompliance documentation. PME Permit Fee: $0.00 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, eta). These fees are based on the preliminary information available and are onlv an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff.' 7/1.13) FEE P/loith. Part Choc! (.,'h '.4c Plan Check Fee: Yttim%, Pee, GIP<'. PP, z;=F F`c""': Wio JA, . i6,pOther Plurnh hash.El C)titerL:"dec'. /nsp. $0.00 PME Plan Check: $0.00 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, eta). These fees are based on the preliminary information available and are onlv an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff.' 7/1.13) FEE QTY/FEET MISC ITEMS Plan Check Fee: $0.00 1 # Deferred Submittal $286.00 IDEFSUBM Suppl. PC Fee: (E) Reg. 00:T 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:CReg. 0 OT Q Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 1C,/EiiR1Pt7'G1'!Ct I'r_'E" Work Without Permit? 0 Yes E) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 d �1YlYf l F�®Ci(177t'ntLlt/U;9 Fees: Strong Motion Fee: $0.00 Select an Administrative Item Blda Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $286.00 TOTAL]F)EE: $286.00 Revised: 10/01/2014 F [BUIiiLDIIIJAG ENIERGY ANALYS11S REPORT u Seagate 10200 S. De Anza Blvd Cupertino, CA 95014 prro�ect Designer: Studio G Architects, Inc. 90 Railway Ave Campbell, CA 95008 408-2830100 Report Prepared by: DQE Nicholas L Bignardi NR08-12-3847 FRB Energy Consultants, LLC 21 N. Harrison Ave, Suite 210 Campbell, CA 95008 408-866-1620 i Job dumber: NOV a @ 2014 BY Qu"dir,9 0epartmen4 DEC 19 2m RFVI1z: n,?ED FOR 6UDP COMPLIANICLz , RevreweCy By: o�m.rool%��9��� Copy 12/16/2014 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. Ener Pro 6.3 by Ener Soft User Number: 1315 ID: 0140902 TABLE OF CONTENTS Cover Page 1 Table of Contents 2 Nonresidential Performance Title 24 Forms 3 EnergyPro 6.3 by EnergySofl Job Number. ID: 0140902 User Number: 1315 PERFORMANCE CERTIFICATE OF COMPLIANCE (Part 1 of 3) PERF-1 C Project Name Date Seagate 12/16/2014 Project Address Climate Zone Total Cond. Floor Area Addition Floor Area 10200 S. De Anza Blvd Cupertino CA Climate Zone 04 2,900 n/a GENERAL INFORMATION Building Type: m Nonresidential 0 High-Rise Residential [3 Hotel/Motel Guest Room 13 Relocatable - indicate O specific climate zone [3 all climates Phase of Construction: [3 New Construction 0 Addition [3 Alteration STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6' of the California Code of Regulations. This certificate applies only to a Building using the performance compliance approach. The documentation author hereby certifies that the documentation is accurate and complete, Documentation Author Name Nicholas L Bignardi NR08-12-3847 Signature xal;i Company FRI Energy Consultants, LLC Date 12116/2014 Address 21 N. Harrison Ave, Suite 210 Phone 408-866-1620 City/State/Zip Campbell, CA 95008 rhe Principal Designer hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. The proposed building has been designed to meet the energy efficiency requirements contained in sections 110.0, 116.0 through 118.0, and 140.0 through 149.0 of Title 24, Part 6. Please check one: ENV. LTG. MECH. hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to ® ® ® sign this document as the person responsible for its preparation; and that I am licensed in the State of California as a civil engineer, mechanical engineer, electrical engineer, or I am a licensed architect. I affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by section ® ® ® 5537.2 or 6737.3 to sign this document as the person responsible for its preparation; and that I am a licensed contractor performing this work. I affirm that I am eligible under Division 3 of the Business and Professions Code to sign this document ® M ® because it pertains to a structure or type of work described as exempt pursuant to Business and Professions Code Sections 5537, 5538 and 6737.1. Principal Envelope Designer Name Signature Company Envelope Compliance Not In The Scope Of This Document Date Address License # City/State/Zip Phone (Principal Mechanical Designer Name Signature Company Performance Air Services Date Address 350 Mathews Street License # City/State/Zip Santa Clara, CA 95050 Phone 408-920-6170 Principal Lighting Designer Name Signature Company Lighting Compliance Not In The Scope Of This Submittal Date Address License # City/State/Zip Phone INSTRUCTIONS TO APPLICANT COMPLIANCE & WORKSHEETS (check box if worksheets are included) ® ENV-01 Certificate of Compliance. Required on plans. 0 MCH-01 Certificate of Compliance. Required on plans. ® LTI-01 Certificate of Compliance. Required on plans. m MCH-02 HVAC Air/Water Side Requirements. ® LTI-02 Lighting Controls Credit Worksheet. m MCH-03 Mechanical Ventilation and Reheat. ® LTI-03 Indoor Lighting Power Allowance. m MCH-08 Mechanical Equipment Details. EnergyPro 6.3 by EnergySoft User Number: 1315 RunCode: 2014-12-16715:26:05 ID: 0140902 Page 3 of 10 PERFORMANCE CERTRCATS OF COMPUANCE (Part 2 of 3) PERF-iC Project Name Date Seaaate 12/16/2014 ANNUAL TDV ENERGY USE SUMMARY kBtu/sgft- r Standard Proposed Compliance Energy Component Design Design Margin Space Heating Space Cooling Indoor Fans Heat Rejection Pumps & Misc. Domestic Hot Water Lighting Receptacle Process Process Lighting TOTALS 0.00 0.02 -0.01 80.77 110.72 -29.95 103.82 61.42 42.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 182.30 182.30 0.00 181.78 181.78 0.00 0.00 0.00 0.00 0.00 0.001 0.00 548.68 536.24 12.44 Heating Cooling Fans Heat Rej Pumps DHW Lighting Receptacle Process Process Ltg Percent better than Standard 2.3% 2.3 % excludin rocess UDLOOMO COMPLOCES GENERAL INFORMATION Building Orientation (NKK 315 deg Conditioned Floor Area 2900 sqft. Number of Stories 1 Unconditioned Floor Area 0 sqft, Number of Systems 1 Conditioned Footprint Area 2,900 sqft. Number of Zones 1 Natural Gas Available On Site Yes Front Elevation Left Elevation Rear Elevation Right Elevation Total Roof Orientation Gross Area (NKK 0 (NE) 0 (SE) 0 (S K9 0 0 2,900 sqft. sqft. sqft. sqft. sqft. sqft. Glazino Area 0 0 0 0 0 0 sqft. sqft. sqft. sqft. sqft. sqft. Glazino Ratio 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% Standard Proposed Prescriptive Values for Prescriptive Lighting Power Density 1.600 W/sgft. 1.600 W/sgft. Comparison only. See LTI-01 for allowed LPD. I Remarks: EneMg Pro 6.3 by EnergySoft User Number: 1315 RunCode: 2014-12-16T15:26:05 ID: 0140902 Page 4 of 10 PERFORMANCE C EeRT[IRCATE OF CO PIL ANCEE Pari 3 of 3) PERF -1 C Project Name Seagate Date 12/16/2014 ZONE INFORMATION System Name Zone Name Occupancy Type Floor Area s ft. Inst. LPD W/sf 1 Ctrl. Allowed LPD Credits Area Tailored W/Sf 2 W/Sf 3 (W/S4 Proc. Loads W/sf Carrier 40RUS Cafe Kitchen, Food Preparation 2,900 `1.600 Notes: 1. See LTI-01 2. See LTI-02 3. See LTI-03 4. See LTI-04 items marked with asterisk see LTI-01 b others b others Items above require special documentation IEXCEETIONAL CONDITIONS COMPLIANCE CHECKLIST The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justifications, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. The exceptional features listed in this performance approach application have specifically been reviewed. Adequate written justification and documentation for their use have been provided by the applicant. 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Uai 0 °¢ �v ����_ o ❑❑❑❑❑❑ 0 U ` ° u+ v U N U 0 L + ° E E 0 h a v c m o y O 3 a c o rr V V1 0 Y v a V y o O e Z m a w O 2 o x O Q YO n a we ar o o c c v3 o N 0 v a o a c = v" 12❑❑❑❑❑ CL U eD c c = v in L u OW LL o w o cd °i o o Q 01 =_ al Y O H a1a a) W a Y c "1 0 o� W U w p v 2 : v CLCL = c Q Cl ate+ u a .p OC u a° c v u Qj c :3 .- > 7 O L y C CC O Z r. = Q w coo 3 m �' o a c Q we v° •° u�i c CA U o +•.., O u C~ m N c ) O O _ w V L' y Ncu Q QJ O c N C a CU •M W QJ •� VI v d Q C Q 3 .Q CL °• > O Imo- O C v to a° 5 c w rr O (� v .Q E 0 U Y c Q) v 0 z C CL E O V C nj .N v c O z m 0 N N v c c c C Gj EF own c C LU On c a m a V v N •N C i O a N CL = ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ C3 ti N V w �O c N O T E (Ij x N Q O Y G W � v u C, -t:3 0 3 G p c mm p a G C3 a co y �� = ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ U N 0 U O cc V u O O y L `0 N N Y Y C O Q u °' Cj 1YI1 O Quj Yl a N C 05 7a C ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Oj L ate.. u n Gl U L N N d a a 0 °i p c 0 7 �v �'r c '� O v h cL v w a, C ° v N .. j O O p v o v v a Vl a) w Uac m w o Ln, w~ E zN ° T ❑ 13 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 0 n L V Ov 'R oa oa j Y = v o N N y 7 Qj E c G u N ,19, •o N N C U Q N V Qp N y N uo a °, o o °i ti a v v v aEj v v Y ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ [30 C N Y m u O N T ::%-� j 7j L O to C3 IE O E jYij InE O u N 3 cj i s Y G u O y Y p � N o2S •0 j �� `Eo o6 aO u UMm upr cr u 0 -ra � ��v"'j c uO — W CL m v=u � ❑ 13 13 13 13 11 13 13 13w O N O 2 N O #a� O c O p• r nj c m O N a t� 0 X _ -t3 N v a.. 0 c c 3 � d u v a° � c -- w Q c o x In o E= o a 0 0 C3 a +' u a N.� °=N v N c0 ❑ ❑ ❑ ❑ ❑ ❑ 11 13 El or E m o OM cCo V y L p1 Y on = n) W Cj p -p -ID f0 C) 2 c Q y a N u u -O 3 O.0 a° u p• v Z c :mQ h 0 p w� (�' U u 7 t0 O= N c nC O Y O Y = d Z L N N 10 3 S. w U) O Qj 0 O Y C~ cot d N O LL Z N u I 3tto .0 �c «• ~ c Q Gj O c C H W N O 0 o N ;c CLQj a� W � �o a 0 L H .' u H v v ° a 4 'O a•> i C Na Nu -c C M'G- T O. G L O F F NJ W= O (� C CL E O V C nj .N v c O z m 0 N N v c c c C Gj EF own c C LU On c a m a V STATE OF CALIFORNIA HVAC SYSTEM REQUIREMENTS, CEC-NRCC-MCH-02-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-MCH-02-E HVAC Dry System Requirements (Page 1 of 3) Project Name: Seagate Date Prepared: 12/16/2014 Equipment Tags and System Description' Carrier 40RUS MANDATORY MEASURES Heating Equipment Efficiency3 Cooling Equipment Efficiency3 HVAC or Heat Pump Thermostats Furnace Standby Loss Control Low leakage AHUs Ventilation Demand Control Ventilations Occupant Sensor Ventilation Contro16 Shutoff and Reset Controls' Outdoor Air and Exhaust Damper Control Isolation Zones Automatic Demand Shed Controls Economizer FDD Duct Insulation PRESCRIPTIVE MEASURES T-24 Sections Reference to the Requirements in the Contract Documentsz 110.1 or 110.2(a) SEE PLANS 110.1 or 110.2(a) SEE PLANS 110.2(b), 110.2(c) SEE PLANS 110.2(d) SEE PLANS 110.2(f) SEE PLANS 120.1(b) SEE PLANS 120.1(c)4 SEE PLANS 120.1(c)S, 120.2(e)3 SEE PLANS 120.2(e) SEE PLANS 120.2(f) SEE PLANS 120.2(g) SEE PLANS 120.2(h) SEE PLANS 120.2(i) SEE PLANS 120.4 SEE PLANS Equipment is sized in conformance with 140.4(a & b) y 140.4(a&b) Supply Fan Pressure Control 140.4(c) SEE PLANS Simultaneous Heat/Cool$ 140.4(d) SEE PLANS Economizer 140.4(e) SEE PLANS Heat and Cool Air Supply Reset 140.4(f) SEE PLANS Electric Resistance Heating9 140.4(8) SEE PLANS Duct Leakage Sealing and Testing.10 140.4(1) SEE PLANS Notes: 1. Provide equipment tags (e.g. AHU 1 to 10) and system description (e.g. Single Duct VAV reheat) as appropriate. Multiple units with common requirements can be grouped together. 2. Provide references to plans (i.e. Drawing Sheet Numbers) and/or specifications (including Section name/number and relevant paragraphs) where each requirement is specified. Enter "N/A" if the requirement is not applicable to this system. 3. The referenced plans and specifications must include all of the following information: equipment tag, equipment nominal capacity, Title 24 minimum efficiency requirements, and actual rated equipment efficiencies. Where multiple efficiency requirements are applicable (e.g. full- and part -load) include all. Where appliance standards apply (110.1), identify where equipment is required to be listed per Title 201601 et seq. 4. Identify where the ventilation requirements are documented for each central HVAC system. Include references to both central unit schedules and sequences of operation. If one or more space is naturally ventilated identify where this is documented in the plans and specifications. Multiple zone central air systems must also provide a MCH -03-E form. 5. If one or more space has demand controlled ventilation identify where it is specified including the sensor specifications and the sequence of operation. 6. If one or more space has occupant sensor ventilation control identify where it is specified including the sensor specifications and the sequence of operation 7. If the system is DDC identify the sequences for the system start/stop, optimal start, setback (if required) and setup (if required). For all systems identify the specification for the thermostats and time clocks (if applicable). 8. Identify where the heating, cooling and deadband airflows are scheduled for this system. Include a reference to the specification of the zone controls. Provide a MCH -03-E form. 9. Enter N/A if there is no electric heating. If the system has electric heating indicate which exception to 140.4(g) applies. 10. If duct leakage sealing and testing is required, a MCH -04-A form must be submitted. CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2014 v c CL E O U 76r N v `c O Z m 0 N ut c m V c a w m c w ttoc E m u ~ COM -PLIES c v 0 y (larger of M or R, N/A for NON- O v m x u , DDC) CL (CFM) 3 m - m ¢ O v t � > E (20% DDC, N/A , u > a NON -DDC) c (CFM)a E y c 3 0 C E 0 7 V p OV c p c COM -PLIES? w J c 0 0 m v o U > MAXIMUM REHEAT fl- c O Om > d CFM (MAX OF M E E E > L E OR O) u, 0 m c Gl O a � U � aL•p `O N PRIMARYCOOLING U w N c N a E c E m VC v AIR N v E p O (50% DDC 30% 3 m '" E o O > NON-DDC)'vO j U mO U v 0 p m c > (CFM) Z L V v " 0_ 3 c p C 0 Q - CL Y m c 3 > ° UO Z COM -PLIES } cO Q o j c U O z u L a y REQ'D VENT z_ AIRFLOW E U L O� 0 H (MAX OF I OR L) M M y t m c woo E (CFM)—CL C] w Q j p- n CL U O T w> OV o `+ m off° Um Y E L V c u, O w C Y E o CFM BY OCCU- lf') � c MIN L r N C ,n ut PANT 0. O C NN m ° N^ c,m On L v ON O 0 y N 6 cm, E E m C] m m E v v 0 t O- Z Y 00 W L v a j O U L' v 00 E uCFM PER PERSON c o o C m p N E L o 0 0 p u 0 v° 3 v v v o ° c Z o v v V _0 yL, 'v6 Y av+ W C° O E N c0 � v w c NUM. OF PEOPLE r y V v N oE.oC ='Z 'L 0 C `p tO C -0 C O m p- O s v C m O O MIN CFM BY AREA V m m m -c v C O Av c° D. a > '� a=+ U mIn 3 E w c ° U O li'i ° d ° O_ v _O ,t_ m NN 0 7ru v +' � 4 ¢ 7 O c U O o cc MIN CFM PER AREA 0C •cam m +L-' y Y - L C L G1 c p c a Z C c a ,F m 3 ; O m 0 U O '� CONDI-TIONED Ov+ E+ U _° m-0 O O m U v o m l7 AREA ri c c m L v E ci w Za,_ 2, -a CL E E `p N L 3° a m n • a2 m C E E TRANSFER on C m m w w w ° ° % a` •v o0 0` 0 o` AIRFLOW ,,, v L v p y YN Q C C Z (CFM) aL > aL c F C m on CL ocn 0o 0 v i 0 v U v v U C v c p _ Y C] -a v U O 7a m p r p a+ •p- CNTRL TYPE DDC •� v-4 mm c L 0 L O z L N L N 3 v p L-0 C O E c o E C DESIGN PRIMARY j 'm 'Mc 3 N0 y O r 3 0• 3 0 W O HEATING AIRFLOW c m Z' 0 v v L o U r 0 U L (CFM) v n�0Ovw,t=a m=amt CL 3 Cf DESIGN PRIMARY CL a C � m x 3 m� 3 ons 3 O O c S U cc w y c v c v C O DEAD -BAND c 3 c c O O t- O E C-5 E '� W �+ AIRFLOW (CFM) U d° u V'''i w= c U O c O c O E m E c E C E cg :2 DESIGN PRIMARY = w z v m w m w_0 v m H m 7 v C C E O C E O C V H N Q> E E E E E '^ m COOLING AIRFLOW a m m e w 7 N O a 0 0 a 0 (CFM) v m _m N m E E .- O C E O C E O 3U •x Q N v v v v C c Vvi ut •� VVI X N a m m m C It: 2mrr�o2�oi� ¢ ¢ ZONE/SYSTEM/ j O > m U D w ii 2 Z O a Ci z vi I- VAV BOX TAG (� _LL I I v c CL E O U 76r N v `c O Z m 0 N ut c m V c a w m c w ttoc E m u LUN 6� �° �y o n�� /yJ L46 r N mT m no a' c U c000 m W C F L'' c c o m 7 � Q s mZ 3 O W W N e- r Z Q 2 Z � all IL 2 m LL U o c 0 o m a m rxW IL _ c m 0 co (V a m o J o - p t7 W o 6 o O a 'a Z O N p O V 2 m (o IL C7 2 O O Z N O O LL O. O LL W y a O 7 OTl C 0 � N O W c — LL U m C C N l0 C d ' U O ~ � O W tp N 7 h C t7 2cc O OCL m W m N OC 2 7 Q N C .0 m CL O N F W a V W N E a V0 O W Z C O a 7 N_ O d O. Jn'CL F -E � 2 c 3 H m LU cc 0 to eM- ® LU 'LLQ h W J Z m w w Q ° dr 2 Q LL 3 cc W E ) O Z D cn m E U U W m Q m w Z N m N W Z E W J E _J } N N N �. y o E Q O .d+ N Q J CO > J Cl) Cl) cd m W W m m LL o ¢ ¢ Z a� Z ) d� U D U v U v W X CODS T RUC T ION-PERM11T APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 ^ FAX (408) 777-3333 • buildino(a)cuoertino.orG ❑ A'Etr% CONSTRUCTION ❑ ADDITION ® ALTERATION / T I ❑ REV-iSION / DEFFRRtD ORIGINAL PERMIT r PROIECTADDRESS ) ��] OO S . ire (\ AYN9 OWNER NAME. PHONE S g— j M j n I E-MAIL �j (j STMET ADDRESS C7 y, STATE, ZIP I FAX CONTACT NA1,E PHO�t t E-MAILr a 2 gE-M�J S e ov, E e s- 6 k-� O, 6 e c, C STREET.SDDRESS CITY, STATE. ZIP FAX ❑ O'AgZR ❑ Ou^YEt-BTJMDM ❑ ORR cR AGENT ❑ CONTRACTOR ❑ CO?TR4CTOR AGZK ❑ ARCI ECT ❑ ENGLN= ❑ DEVELOPER ❑ TENAA'I CON'MACTORNAMOP ` I LICENSENU),�MBR�d r17 LICENSE YPE S l7 I BUS. LIC e s•- ,� t-o� COMI�.ANY N.AA,E E-WiltiIL \ LV1 I -1.L(.% FA-% U IL-a 0k l�U��CanCoc+gTcJLTSon'I.� ,f o STREET ADDRESS C1 T Y, STATE, ZIP P?-i0Nc O�i-?� irS�ibl ARCHTTECTGrTEER 1'ATQ I LICENSE NUMBER I BUS. LIC rt COMPANY NAt,T' E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP I PHONE DESCRIPTION OF WORK oV► EXISTING USE PROPOSED USE CONSTR ME R STORIES a 1 e JNnV USE TYPE OCC. SQ.FT. I VALUATION (5) G FLOOR DE'2\70 TOTAL AREA,OSV AREA AREA YET AREA BATHROOM I:iTCHE'N OTHER REMODEL AREA g OD _LREMODELAREA OJI PORCiR AREA DECK AREA TOTAL DBMFORCH AREA GARAGE AREA: DETACH Ar ❑ ATTACH I *!D'ALLING UNITS: IS A SECOND UNIT [l YES SECOND STORY ❑ YES VIA_A_ BEENG ADDED? E1240 ADDITION? []NO RE DF F7 ISTHE BLDG 4N F7'M _EJ -1 Bi' .t� +"' - 707AI, \%ALU.AI70N: PLANNTINGAPPL9 01\10 PLA>\1,2NLETTI EICF.LERHOME? ❑NO90 r— By my signature below, I certify to each of the following: 1 am the property owner or authorized a nt to act oy e property o �mer's behalf, I have read this application and the information 1 have provided is correct. I have read the Description of Work an riry it is accu te. 1 agree to comply with all applicable local Ordinances and state laws relating to buil " Q colstruction. 1 authorize representatives of Cupertino to enter ve-ide/ntifCie�d property for inspection purposes. Signature of Applicant/A.gent: Date: 94 7 SUPPLEMENTAL rNTFORMATION REQUIRED Q "_ `' �'";� PL}�.'z CFtiCK TIPE> �;,"�+-"�ROIIi'L�G,sLIP � ; ate -0 � .r�.? L���now G BUII�TiiGP1REiTEW# New SFD or Multifamily cl-wellings: Apply for demolition permit for existing existing building(s). Demolition is issuance building permit required prior to of t��.' f Mu permit for new building. `iw Commercial Bldgs: Provide a completed Hazardous Materials Disclosure g� rA nARD } �uBL7c olt s fo_rm if any Hazardous Materials are being used as part of this project,fio , &� _Copy of Planning Approval Letter or Meeting with Planning prior to Q submittal of Building Permit application. fAJflIRS`SExiERDISTRTCTcs B1dgApp_2011.doc revised 06.21/11