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13080096CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: MAIN STREET CUPERTINO CONTRACTOR: DEVCON PERMIT NO: 13080096 CONSTRUCTION INC OWNER'S NAME: 500 FORBES LLC 690 GIBRALTAR DR DATE ISSUED. 12/12/2013 O'VER'S PHONE: 6503441500 MILPITAS, CA 95035 PHONE NO: (408)942-8200 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class Li_cl. # 1 �� NIA IN STREET- UTILITY INFRASTRUCTURE ConUactor -1 Date 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 Sq. Ft Floor Area: Valuation: $7700000 performance of the work for which this permit is issued. have and will maintain Worker's Compensation Insurance, as provided for by �96ction 3700 of the Labor Code, for the performance of the work for which this APN Number: 31620078.00 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. 1 agree to comply with all city and county ordinances and state laws relating WI g0 DAYS OF PERMIT ISSUANCE OR to building construelion, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DA OM AST 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 by: Date: �2 3 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. RE -ROOFS: igtta ur - 4 t - I9ate ( � i d 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. ❑ WNER-BUILDER DECLARATION Signature of Applicant: Date: I 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 I, 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 IUAZARDOUS 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 I hereby affirm under peuaity 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 selPinstire 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 ofthe 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, Sections 25505, 255332 and 25534. Section 3700 of the Labor Code, for the performance of the_work for which this , ' '� '" O n 6jr a Ilior'zed a ent:D permit is issued. 1 certiry 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 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must 1 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 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 u CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT •BUILDING DIVISION 1�3'y 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 • FAX (408) 777-3333 • b0ding(M-gypertlno.4ra�51& 'ap0 IX NEW troNSTRUC110N ❑ ADDMON ❑ ALTERATION / n ❑ PJWlS10N / Da MUU D ORIGINAL PERMIT # PROIECrADDRESS Finch Avenue and Stevens Creek Blvd "PNS- -20--085,Tfl78; 079 O"tERNA1,1EMain Street Cupertino Aggegator,LLC PEONE 660.344.1500 &NAIL nkumar@shcmllc.com s'r=AmPms 203 Redwood Shores Parkway c1l,r, sTAT11,z1P Redwood Shores CA 94065 CONrACrNAMR Nandy Kumar PHONE 408.593.6605 E4'1WL nkumar@shcmllc.com STREET ADDRESS CITY, STATE, ZIP FAX ❑ owNER ❑ owNsR_auLLDER X owNERAOENT 13 CONTRACTOR ❑ DONIRACTORAoENT E3ARCHrrF.LT E3tHIomm C3DEvELOPER 10Tawa CTOR N -SR G7r Vc- LICENSE LICENSE BUS. LIC N COMPANYNAMEfin?kl&IS ' ?J C. & Y - COST. FAX 2 -2XI 2 sTyyzr Aefll CI1Y, STA A y �S_ PHONE n �� ,yk.6jo Z, 7)R Srx 1 JS S U 4 L ARWTECTlENGWEERNAME C LICPSISENUMBER BUS. LIC i COMPANY NAME &MAIL. FAX ST PtEET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK q r, a]v9 dAVA- o IV EXISTWOUSE MPOSEDUSE CONSTRTYPE ffSTORMS USE TYPE OCC. SQ_rT. VALUATION (S) EXLSTO NEW FLOOR DEMO TOTAL AREA AREA AREA NEr ARVA BATHROOM K MHEN OTHER RFMODELAREA REMGIELAREA RMAOD&,ARP.A PORCIIAREA DECKAREA TOTALDECYS QRCHAREA GARAGEAREA: I HDETACU ATTACH I IPDWEtUNG UNrr3; IS A SECOND IMT YES SEGO: D MRY OYES nEINGADDEDr NO AD13MONT ❑NO PRE-A"WATION ❑YES IF YES. PROVIDE COPY OF PLAHNIdG ADPL 7 []NO PLAMIIDIO APPROVAL LErrER IS THE itmGAN ❑YES EICJIQ.ER ROMI?7 ND j� TOTAL VALUATION: ❑ � By my signature below, l certify to eac of the following: I am the property owner or sntholized agent to act an The property owner a behalf. I have read this application and The information I Tovided is correct. [b read the Description of Work and verify it is accurate. 1 agree to comply with all applicable local ordinances and state laws re]atin ui g canStp . I., orize representatives of C opertine to enterthe above-Idpntifie property For inspection purposes. Signature of App]itaatlAgmt r 1 - Date: SUPPLEMENTAL. INFORMATION PXQUMD PLAN CHF"TYPE ROUTING SLIP ❑ _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building ovER-T uNTklt U" G PLANARVIE0 permit for new building. ❑ >ea" s LAPrRBVTcw p00 _ Commercial Rldgs: Provide a completed Hazardous Materials Disclosure TANnAtIn ]�_P wol form if any Hazardous Materials are being used as part of this project ;-�FTRXWrTJ ❑GE LAR _ Copy of Planning Approval Letter or Meeting with Planning prior to OF ❑ submittal of Building Permit application IwuoltSAIQITARY SBWI I)ISIMCT ❑ UMRONMENTAL HEALTH B1dgApp 201 Ldoc reyised 06121111 CITY OF CUPERTINO II FEE ESTIMATOR - BUILDING DIVISION 6; UmooCe 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 orelitninary information available and are onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolulion 11-0.5.3 Eft..' %/1/1.3) ADDRESS: MAIN STREET DATE: 12/16/2013 REVIEWEDIJ : SUEW Wech. Peornil F6'c: APN: RP#: "VALUATION: 1$7,700,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY USE: Commercial Building Civil I Religious activities zone? Q Yes in BQ Q No PENTAMATION PERMIT TYPE: 1 GEIVCOM � WORK UTILITY INFRASTRUCTURE SCOPE Suppl. Insp. Fee:Q Reg. Q OT 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 orelitninary information available and are onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolulion 11-0.5.3 Eft..' %/1/1.3) ;Meeh, Plan Cherrk Plunrb. Platt (Turk f=lee. flan Check Wech. Peornil F6'c: Pliamb. Prrmh Per.- hlr;; Peruiu Frey —L— C)hier r 9eclt. hr,5p. orhel f lrumh b1sp. O!iwi, I'sl; r' hap. Ll Alech. Mt]). Free,; Mail). Inop. Ait{. fslcc. ftksh. 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 orelitninary information available and are onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolulion 11-0.5.3 Eft..' %/1/1.3) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? Q Yes Q No $0.00 ® hours Plan Check, Hourly $1,112.00 ISTPLNCK Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME PIan Check: $0.00 Permit Fee: Hourly Only? (")Yes Q No $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXC $0.00 .1dminixtraliva Fee: Q Q Work Without Permit? Q Yes 0 No $0.00 Advanced Planning Fee: $0.00 ® hours Inspections Q $834.00 ISTINSP Inspection, Hourly 0 Travel Doc inneralation Fces: Strong Motion Fee: IBSEISMICO $1,617.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $308.00 SUBTOTALS: $1,925.001$1,946.00 TOTAL.FEE:' $3,871.00 Revised: 10/0112013 INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE PERMIT INVOICE OPERATOR: suety Sec: Twp: Rng: Sub: Blk: Lot: APN 31620078.00 INVOICE DATE......: 12/16/2013 REFERENCE ID # ...: 13080096 SITE ADDRESS .....: MAIN STREET CUPERTINO SUBDIVISION ....... CITY .............. CUPERTINO IMPACT AREA ....... OWNER 500 FORBES LLC ADDRESS 203 REDWOOD SHORES PKWY STE 200 CITY/STATE/ZIP REDWOOD CITY, CA 94065 CONTRACTOR FILIZETTI, GARY LIC # 11068 COMPANY DEVCON CONSTRUCTION INC ADDRESS ..........: 690 GIBRALTAR DR CITY/STATE/ZIP ...: MILPITAS, CA 95035 TELEPHONE ........: (408)942-8200 FEE DESCRIPTION DUE FOR AMOUNT DUE PAID BALANCE CAL BLDG STAND COMMISSION F PRINTING PERMIT 308.00 308.00 0.00 SEISMIC COMMERCIAL PRINTING PERMIT 1617.00 1617.00 0.00 STANDARD INSPECTION PRINTING PERMIT 634.00 834.00 0.00 STANDARD PLAN CHECK FEE APPLICATION 1112.00 1112.00 0.00 ---------- ---------- 3871.00 ---------- 3871.00 0.00 Main Street Cupertino Aggregator LLC 203 Redwood Shores Pkwy, Ste. 204 Redwood City, CA 94065 (T) 650-344-1500 (F) 650-344-0652 August 8, 2013 Mr. Gary Chao City of Cupertino, Planning Department 10300 Torre Avenue Cupertino, CA 95014 Dear Gary, Per your request, this letter serves as written acknowledgement by Main Street Cupertino Aggregator, LLC ("Owner") that owner assumes all risks and liabilities as a result of installing utilities across parcel lines prior to the recordation of the Final Map and associated easements. Additionally, Owner acknowledges that construction on the site will commence prior to Design Review Committee ("DRC") approval of the Architecture and Site Approval applications. owner acknowledges that the plans and Improvements will be subject to the DRC approval and if applicable will make necessary changes to comply at Owner's expense. Main Street Cupertino Aggregator LLC MOSAIC ASSOCI SLLC 1690 San Pablo Avenue, Suite D. Pinole, CA 94564.510.964.0394 August 12, 2013 Kevin Dare Sand Hill Property Company kdare(a,shPco.com Re: Preconstruction Survey for Burrowing Owls and Nesting Birds, Including Raptors Main Street Cupertino Project, Cupertino, CA Dear Kevin: On August 11, 2013, an initial site visit was performed at the approximately 17.5 -acre Main Street Cupertino Project site at Stevens Creek Boulevard, Finch Avenue and Vallco Parkway in Cupertino. A habitat assessment and preconstruction survey for burrowing owls and nesting birds, including raptors, was conducted by Debra Chromczak as required by Mitigation Measure MM BIO -1.4 of the Mitigation Monitoring and Reporting Program (City of Cupertino, January 2009 revised March 2012). The survey area included the project site and surrounding habitat extending 500 feet from the project boundary. See Figure 1 for biological references. Habitat Assessment The site contains marginal, mowed grassland habitat with suitable ground squirrel burrows (3 - inch diameter or greater) with the highest burrow density in Parcel 1, west of Finch Avenue. An abundance of trees and shrubs provide nesting and evening roosting opportunities for migrating and resident songbirds and raptors. Small fossorial rodents, a source of prey for raptors, are present on site. The site is surrounded by a commercial and industrial urban landscape. Burrowing Owl Survey A diurnal walk-through transect survey was conducted to identify active burrowing owl burrows and the presence of burrowing owls. Due to burrow availability, the first of four focused dusk surveys was conducted from 19:10 to 21:20. No burrowing owls or active owl burrows were observed within the survey area during the transect survey or the focused dusk survey. Nesting Bird and Raptor Survey All trees, shrubs, and downed vegetative debris within the survey area were inspected for nesting birds and raptors. Six nest locations were observed: one nest within the project boundary and five nests within the 500 -ft buffer adjacent to the project site. Three large stick nests north of Vallco Parkway were observed and determined to be inactive, historic nest locations. Further Main Street Cupertino Project Mosaic Associates Preconstruction Survey - 8/11/13 Debra Chromczak observations are required to evaluate nest status on the remaining three nests: two large stick nests located east of Tantau Avenue and one grass/bark nest in a palm north of Stevens Creek Boulevard within the project site. Species Observed Within the Project Site Birds: Red-tailed hawk - adult foraging over Parcel 3 American kestrel - female calling/foraging from snag American crow Turkey vulture Mourning dove - pair flushed from snag Killdeer Black phoebe Bewick's wren House finch - female & juvenile by north creek Bushtit Rock pigeon Mammals: California ground squirrel Western gray squirrel 2 Striped skunk carcasses Domestic dog Reptiles: Fence lizard Additional Site Visits Three additional site visits are required to conduct three burrowing owl focused dusk surveys. Dusk surveys will be conducted on August 18, 20, and 25. Prior to starting the dusk surveys, the three identified nests will be observed to evaluate nest status. An active nest is defined as a nest containing eggs or young that have not fledged. If an active nest is observed, a protective buffer will be installed to protect the nest until the young fledge. Construction activities can proceed outside the buffer. A biologist will need to monitor the nest for negative impacts to nesting success and to determine when the young have fledged so work may proceed. Fortunately, we arc approaching the end of the breeding season for most avian species reducing the potential for an active nest. On August 26, a final report will be submitted upon completion of the last survey. Sincerely, Vr I "� N 6 W6- 1 L' Debra Chromczak Senior Biologist Mosaic Associates