B-2017-0459CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2017-0459
20230 STEVENS CREEK BLVD CUPERTINO, CA 95014-2210 (369 02 03 1)
DPR CONSTRUCTION
A GENERAL
PARTNERSHIP
REDWOOD CITY, CA
94063
OWNER'S NAME: TORRE AVENUE PROPERTIES
DATE ISSUED: 05/12/2017
OWNER'S PHONE: 650-426-1100
PHONE NO: (650) 474-1450
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class a Lic. #953749
Contractor DPR CONSTRUCTION A GENERAL PARTNERSHIP Date 10/31/2018
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) of Division 3 of the Business & Professions Code and that my
license is in full force and effect.
JOB DESCRIPTION:
AMAZON/LAB 126 - 2ND FLR; TI TO RECONFIGURE TO ENCLOSE
I hereby affirm under penalty of perjury one of the following two declarations:
AREA (300 S.F.)
1. 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.
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: $150000.00
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above
Number:
Occupancy Type:
information is correct. I agree to comply with all city and county ordinances
369 02 031
3 69
A (Tenant Improvements),( (Tenant Improvements),(
and state laws relating to building construction, and hereby authorize
(Tenant Improvements),A (Tenant Improvements),A
representatives of this city to enter upon the above mentioned property for
(Tenant Improvements),A (Tenant Improvements),A
inspection purposes. (We) agree to save indemnify and keep harmless the
(Tenant Improvements),A (Tenant Improvements),A
City of Cupertino against liabilities, judgments, costs, and expenses which
(Tenant Improvements),A (Tenant Improvements) A
may accrue against said City in consequence of the granting of this permit.
(Tenant Improvements),A (Tenant Improvements)
Additionally, the applicant understands and will comply with all non -point
source regulations per the upertino Municipal Code, Section 9.18.
PERMIT EXPIRES IF WORK IS NOT STARTED
Signatur , Date 5/12/2017
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons:
Issued by: Abby Avende
1. I, as owner of the property, or my employees with wages as their sole
Date: 05/12/2017
compensation, will do the work, and the structure is not intended or offered for
sale (Sec.7044, Business & Professions Code)
RF ROOFS•
z. I, as owner of the property, am exclusively contracting with licensed
All roofs shall be inspected prior to any roofing material being installed. If a roof is
contractors to construct the project (Sec.7044, Business & Professions Code).
installed without first obtaining an inspection, I agree to remove all new materials for
I hereby affirm under penalty of perjury one of the following three declarations:
inspection.
1. 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
Signature ofApplicant:
performance of the work for which this permit is issued.
Date: 5/12/2017
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
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
permit is issued.
3. I certify that in the performance of the work for which this permit is issued, I
HAZARDOUS MATERIALS DISCLOSURE
shall not employ any person in any manner so as to become subject to the
I have read the hazardous materials requirements under Chapter 6.95 of the
Worker's Compensation laws of California. If, after making this certificate of
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
exemption, I become subject to the Worker's Compensation provisions of the
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Labor Code, I must forthwith comply with such provisions or this permit shall
Health & Safety Code, Section 25532(a) should I store or handle hazardous
be deemed revoked.
material. Additionally, should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
APPLICANT CERTIFICATION
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
I certify that I have read this application and state that the above information is
the Health & Safety Coction 5505, 25533, and 25534.
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
Owner or authorized agent
to save indemnify and keep harmless the City of Cupertino against liabilities,
Date: 5/12/2017
judgments, costs, and expenses which may accrue against said City in
consequence of the granting of this permit. Additionally, the applicant understands
CON TRUCTION L�41NG AGENCY
I hereby affirm that there is a construction lending agency for the performance
and will comply with all non -point source regulations per the Cupertino Municipal
of work's for which this permit is issued (Sec. 3097, Civ C.)
Code, Section 9.18.
Lender's Name
Lender's Address
Signature Date 5/12/2017
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
CUPERTINO I (408) 777-3228 • FAX (408) 777-3333 - buildin-gecunertino.orci
fl,- Z al - USS 9
❑ NEW CONSTRUCTION ❑ ADDITION ® ALTERATION / TI ❑ RMSION / DEFERRED ORIGINAL PERMIT #
PRO'ECTADDRESS 20230 Stevens Creek Blvd.
APN#
OWNERNAMB Amazon / Lab 126trro- ,� ej
PHONE (650) 426-1100
E-MAE,
STREBT ADDRESS b N - %"� i
CrrY, STATE, ZIP s Al
FAX
1100 nter rise Way Ify
e"4089
CONTACT NAME Henry Martinez
PHONE 415 521-8418
13--MAM henry@asquaredps.com
STREETADDRESS 1100 Enterprise Way
CITY, STATE, ZIPSunnyvale, CA 94089
FAX
❑ OWNER 11 pr
OWNER -BUILDER WI OWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGPNT ❑ ARCHITECT ❑ ENUMER ❑ DEVELOPER ❑ TENANT
CONTRACTORNAMEIaR Cunningham LICENSE NUMBER
LICENSE TXPE B
BUS. LIC # ,-3i - o Z
i
COMPANY NAME
DPR Construction
E•MAM
anc@DPR.com
ianc@DPR.com
FAX
STREET ADDRESS 1510 S. Winchester Blvd.
CITY, STATE, ZIP San Jose, CA 95014
PHONE
ARCHPTECIENOMMRNAME Alan Johansen
LICENSE NUMBER C-9672
BUS. LIC#
C°MPANYNAllm Interior Architects
E-MAIL
m.wei@interiorarchitects.com
FAX
STREETADDREss 2775 Great America PKWY
Cuy• STATE,ZiP Santa Clara, CA 95054
PHONE(415) 296-5320
DESCRIPTION OF WORK
PARTIAL FLOOR TENANT IMPROVEMENT INCLUDING: SELECTIVE DEMOLITION
PARTITIONS, CASEWORK, LIGHTING FIXTURES, ELECTRICAL, AND MECHANICAL
EXISTING USE
PROPOSED USE CONSTR.TYPE
11 STORIES
USE TYPE OCC.
SQ.FT,
VALUATION ($)
EXISTG
AREA
NEW FLOOR
AREA
DEMO
AREA
TOTAL
NETAREA
., 130-0
BATHROOM
REMODELARBA 0
KITCHENaTIIDR
EM
RODELAREA 0
IiEMODELAREA
PORCHAREA
DRCKAREA
TOTALDECKRORCHARS
GARAGE AREA: DETACH
A
I 0
0
0 [3 ATTACH
I
#DWEELLINGUNITS: ISA 7ECONDUNITYES
SECONDSTORY []YESBEING
ADDED? JNo
ADDITION? NO
PRE -APPLICATION YES IF YES, PROVIDE COPY OF
IS THE BLOC AN ❑ YES
D - TOTAL VAL `PION
PLANNING ADPL # �NO PLANN NG APPROVAL LETTER
EICHLER ROME? �' NO
��;�-�
$150,`000
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 rovided is correct. I have read the Description of work and verify it is accurate. I agree to comply with all applicable local
ordinances and slate laws relating o bur ing constructs . I authorize representatives of Cupertino to enter the above -identified properly for inspection purposes.
Signature of Applicant/Agent: Date: 03/21/2017
SUPPLEMENTAL INFORMAnU REQUIRED
PLANC]EIECKTYPE
RODTWGsiIP
Q] OVMR-THFNOourrrgx
a❑rBUHsDIN� RIrAN�REVIFIY✓
^New SFA 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 REvmw
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
-m
ElSTAMARD
p mBLrcwoRKs.
for 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
C11 MAJOR❑
SANITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENMONAIENTAL HEALTH
BldgApp 2011.doc revised 06121111