B-2016-1737CITY OF CUPERTINO BIDING PERMIT
BUILDING ADDRESS; CONTRACTOR:
PERMIT NO: B-2016-1737
11 RESULT$ WAY CUPERTINO, CA 95014-5924 (357 20 041) BARRON
BUILDERS
INC
MOUNTAIN VIEW, CA
94043
OWNER'S NAME: BVK PERIMETER SQUARE RETAIL LLC ET AL
DATE ISSUED: 04/13/2016
OWNER'S PHONE- 408-996-1010
PHONE NO: (650) 9644493
LIC .b ED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class GENERAL BUILDING CONTRACTOR Lic. #-56
Contractor BARRON BUILDERS INC Date 0713112017
X BLDG _ELECT _PLUMB
MECH _ RESIDENTIAL X COMMERCIAL
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing
with Section 7000) ofDivision 3 of the Business & Professions Code and that my
JOB DESCRIP'T'ION:
license is in full force and effect.
{"GROUND FLR, NORTH-EAST CORNER - T.I. TO CREATE 6 (N)
I hereby affirm under penalty of perjury one of the following two declarations:
OFFICES (APPLE)
t. I have and will maintain a certificate of consent to self-insane for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
Ck
performance of the work for which this permit is issued.
2. 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
Sq. Ft Floor Area:
Valuation: $180000.00
permit is issued.
APPI rCANT CER'T'IFICATION
certify that I have read this application and state that the above
APN Number:
Occupancy Type:
information is correct. I agree to comply with all city and county ordinances
55720041
B (Tenautlmprovements)
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
PERMIT EXPIRES IF WORD IS NOT STARTED
may accrue against said City In consequence of the granting of this permit.
WITHIN 1$0 DAYS OF PERMIT ISSUANCE OR
Additionally, the applicant understands and will comply with all non-point
source regulations per the Cupertino Municipal Code, Section 9.18.
180 DAYS FROM LAST C INSPECTION.
Signature 4,;4 Date 04/93/2016
Issued by: ME
Date: 0 1 2 1
OWNER IMDF'RDECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of ti:e
Res
All roofs shall be inspected prior to any roofing material being installed. If a roof is
following two reasons:
t. I, as owner of the property, or my employees with wages as their sole
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
compensation, will do the work, and the structure is not intended or offered for
sale (See.7044, Business & Professions Code)
2, I, as owner of the property, am exclusively contracting with licensed
Signature of Applicant:
the (Sec.7044, Business & Professions Code).
Date: 04!13!2016
contractors to construct project
I hereby affirm under penalty of perjury one of the following three declarations:
ALL ROOF COVERINGS TO BE CLASS "A" OR BET'T'ER
s, 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
HAZARDOUS MATERIALS DISCLOSI ISE
performance of the work for which this permit is issued.
2. I have and will maintain Worker's Compensation Insurance, as provided for by
I have read the hazardous materials requirements under Chapter 6.95 of the
Health & Safety Code, Sections 25505, 25533, and 25534. I will
Section 3700 ofthe labor Code, for the performance of the work for which this
California
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
permit is issued.
health & Safety Code, Section 25532(a) should I store or handle hazardous
s, I certify that in the performance of the work for which this permit is issued, I
material, Additionally, should I use equipment or devises which emit hazardous
shall net 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
air contaminants as defined by the Bay Area Air Quality Management District I
will maintain compliance with the Cupertino municipal Code, Chapter 9.12 and
exemption, I become subject to the Worker's Compensation provisions of the
the Health & Safety Code, Sections 25505, 25533, and 25534.
Labor Code, I must forthwith comply with such provisions or this permit shall
be doomed revoked.
owner or authorized agent: °"L—
APPLICANT C ERTIFICATLON
Date: 04/13/291 6
v!nwLTnGGr;TION LENDING" AGENCY
I certify that i have read this application and state that the above information is
I hereby affirm that there Is a construction lending agency for the performance
correct. I agree to comply with all city and county ordinances and state laws
of work's for which this permit is issued (Sec. 3097, Civ C.)
relating to building construction, and hereby authorize representatives of this city
Lender's Name
to enter upon the above mentioned property for inspection purposes, (We) agree
to save Indemnify and keep harmless the City of Cupertino against liabilities,
Lender's Address
judgments, costs, and expenses which may accrue against said City in
consequence of the granting of this permit. Additionally, the applicant understands
Ai•CE TFCTIS DFCLA pR UJI&
and will comply with all non-point source regulations per the Cupertino Municipal
I understand my plans shall be used as public records.
Code, Section 9.18.
Licensed
Signature Date 04/13/2096
Professional
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT o BUILDING DIVISION
10300 TORRE AVENUE ° CUPERTINO, CA 95014-3255' B.
CUPERTIN® (408) 777-3228 s FAX (408) 777-3333 , bulldinaCa cupertino,orcl � � 0
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existing building s . Denlolirion permit is required prior to issuance of buildilTg:.
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DWELLING UNITS: IS A SECON [?SIT' [] YES
SECO':D STORY
YES
BELIGADDBD? 0 N
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rRE :APPLicArio*. p YEs IF YES, PROVIDE COPY OF
APPROVAL LETTER
IS THi: BLDGA \
ETCHLER HOME?
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TOTAL VALUATION:
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PLANTIi+G APDL
NO PLANNING
By my signature below, I certify to each of the follo-wing; I ame �z�er
thty (Y'wner ar ieTi2n agent t atah the pial
application and the information I have provided is comet. I have read the Description of worl n erify it is Becural
ordinances and state laws relating w building construction. I authorize representatii es o£ , e3i amigo
Signature of ApplicanUAgent: C�--� Dale: .4 t
SUPPLEMENTAL 4L I;1FORh4A7I0N RBQLTIAED
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I\Tew SFTD or A4ultifamily dwellings: Apply for demolition permit forC1�
ai=ER 40 CO' '! Rz
existing building s . Denlolirion permit is required prior to issuance of buildilTg:.
for
.E'aR£s5
perrnitnewbuilding.
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
_
forum if any Hazardous ltfaterials are being used as pari of this project.011
Copy of Plarming Approval Letter or Meeting with Planning prior to-
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subnait-tal of Building Permit application.--
ner arr. I nave reau uns
to ly tvjtlr all applicable local
property. zpection purposes.
B1d&4pp_?011.doc revised 06121111
Test, Adjust & Balance Report
PROJECT: Apple RW11
ADDRESS: 11 Results Way
Cupertino, CA 95014
ARCHITECT: Not Listed
ENGINEER: Silicon Valley Mechanical
GENERAL CONTRACTOR: Barron Builders
HVAC CONTRACTOR: Silicon Valley Mechanical
LEAD BALANCE TECHNICIAN: Scott McClung
DATE: 6/7/2016
SiliconValley
S Mechanical
2115 Ringwood Ave. San Jose, CA 95131
AIR SYMBOL SHEET
DATE:
6/7/2016
PROJECT: Apple RW11 PAGE: 1
SiliconValley
S%ml
Mechanical
2115 Ringwood Ave. San Jose, CA 95131
GENERAL NOTES
DATE: 6/7/2016
PROJECT: Apple RW11 PAGE: Z
SiliconValley
s m,n
Mechanical
2115 Ringwood Ave. San Jose, CA 95131
VAV DISTRIBUTION REPORT
PROJECT:
Apple RW11
DATE:
6/7/2016
SYSTEM:
E Supply air
PAGE:
3
.;....SAERRVEAEScS >::;,p11A
•::•:
FINAL =>: i ; : • ::•:...;.. .. , : :: .
.:.--AX'CLGMAXXMTGYPE
169
1 CD
10
DNA
DNA
DNA
DNA
240
240
215
185
81
69
130
115
255
220
170 2 CD 10
TOTAL
150
240
480
400
150
245
475
RHVAV 2-6
171
1 CD
10
DNA
DNA
240
190
72
115
230
172
2 CD
10
DNA
DNA
240
215
78
135
255
RHVAV 2-A
TOTAL
150
240
480
405
150
250
485
173
1 1 CD 1
10
1 DNA
DNA
230
200
68
115
225
174
2 CD
10
DNA
DNA
230
150
74
125
245
RHVAV 2-B
TOTAL
140
230
460
350
152
240
470
REMARKS:
TESTING ENGINEERS, IN
2811 Teagarden St. 510-835-3142 a ®1 10-834-3777 fax
San Leandro, CA 94577 800-660-3142 r, i
PROJECT # 63088
PROJECT:
11 Results Way
Cupertino, CA
DATE
HOURS
Permit # B-2016-1737
4/21/16
8 shift
INSPECTOR C. Mingoia
San Leandro • San Jose -
INSPECTION REPORRT Week Ending: 4/22/16
TYPE OF INSPECTIQ :_
Epoxied Anchors
PLACE OF INSPECTION:
Jobsite
4/22/16
Reported to Tim Scott of Barron Builders at the jobsite as requested.
4/21/16
Witnessed the drilling of holes of proper diameter and depth. Observed the cleaning of holes. No anchors installed this
dated, no epoxy.
The preceding work was, to the best of my knowledge, in compliance with approved job plans and specifications, including
revisions by engineer, and Drawings S1, S2 and S3, Details 9 and 10, dated 4/4/16.
4/22/16
Inspected predrilled holes for proper diameter and depth. Observed the cleaning of holes and the injection of Hilti HY 200
epoxy (exp. 3/17). Witnessed the proper insertion of thirty-two (32) 5/8" diameter Allthread anchors, 6" in length, embedded
3?/2"at mil track;_ seyenteen (17) 5/s" diameter,-Allthread anchors, l8"_iwlength, embedded 4" atmil_track:and eig-ht.(8)_5/8"_ -- _
diameter Allthread anchors, 6" in length, embedded 3-1/2" for Simpson =0 at 5" slab.
Verified nine (9) additional holes and all others cleaned and drilled on 4/27/16.
The preceding work was, to the best of my knowledge, in compliance with approved job plans and specifications, including
revisions by engineer, and Drawings S1, S2 and S3, Details 9 and 10, dated 4/4/16.
APIMCEIVED
,JUN 16 2016
BY
7Ad-
1cc: Barron Builders/E. Barron
City of Cupertino/Bldg. Inspection Dept.
Reviewed by:j
`bavid �iippero
Special Inspection Division Manager
The results presented in this report relate only to the item(s) tested/inspected and
may be reproduced only in its entirety unless written pemussion from TO is obtained.
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