14020161CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: MAIN STREET CUPERTINO
CONTRACTOR: DEVCON
PERMIT NO: 14020161
CONSTRUCTION INC
OWNER'S NAME: MAIN STREET CUPERTINO AGGREGATOR LL
690 GIBRALTAR DR
DATE ISSUED: 02/27/2014
OWNER'S PHONE: 6503441500
MILPITAS, CA 95035
PHONE NO: (408)942-8200
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL
jj �j j
SA
MAIN ST. INSTALL (2) TEMPORARY TRAILERS LOCATED
L ease Class Lic. l♦ ` !
AT
eNLOvt�G�+S' y ,4�brl 144- 2 27�1
Contractor � Date
THE CORNER OF STEVENS CREEK AND TANTAU
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:
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:
Valnation: $60000
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
APN Number: 31620078.00
Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that 1 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
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspeetion purposes. (We) agree to save
180 DAY OM 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
Date 1
granting of this permit. Additionally, the applicant understands and will comply
Issued by: CP
with all non-point source regulations per the Cupertino Munieipal Code, Section
9. l8.
Z _�? `" 14
RE-ROOFS.
S nature Date
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, 1 agree to remove all new materials for
inspection.
❑ OWNER-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 strueture is not intended or offered for sale (Sec.7044,
Business & Professions Code)
I, as owner of the property, am exclusively contracting with lieeused contractors to
HAZARDOUS MATERIALS DISCLOSURE
construct the project (See.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 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 crnit 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 l
performance of the work for which this permit is issued.
will maiutaiu compliance with the Cupertino Municipal Code, Chapter 9.12 and
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
the Health & Safety Code, Sections 25505, 25533, and 25534.
i
2 �� /1
permit is issued.
iitirizedgctat:
o;71-575-PM�� Date:
I certify that in the performance of the work for which this permit is issued, l shall
not employ any person in any manner so as to become subjeet 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
I hereby affirm that there is a construction lending agency for the performanee 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
iudemnify and keep harmless the City of Cupertino against liabilities, judgmcuts,
ARCHITECT'S DECLARATION
eosts, 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
CUPERTINO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildingacupertino.org
❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION! TI ❑ REVISION/ DEFERRED ORIGINAL PERMIT #
PROJECT -ADDRESS O 5r 'tliCl•1 N44q.
APN # 3 /
D y 1;
�j
f r5m I e)
'70
OWNERNAME Main Street Cupertino Aggregator, LLC
PHONE 650-344-1500
E-MAIL`
STREETADDREss 203 Redwood Shores Parkway, Suite 200
CITY, STATE, zip Redwood City, CA, 95070
FAX 650-344-0652
CONTACT NAME Nandy Kumar
PHONE 408-593-6605
E-MAIL nkumar@schmllc.com
STREET ADDRESS 203 Redwood Shores Parkway, Suite 200
CITY, STATE, zip Redwood City, CA, 95070 -Ti';_
❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTORNAME Tony Taormino
LICENSENUMBER 399163
LICENSETYPE BA
BUS.LIC#11068
COMPANYNAME Devcon Construction
E-MAIL TTAORMINO@DEVCON -CONS T. COM
FAX 406-942-8200
STREETADDRESS 690 Gibraltar Drive
CITY,STATE,ZIP Milpitas, CA, 95035
PHONE 408-549-8412
ARCHITECT/ENGINEERNAME Kenneth Rodrigues
LICENSENUMBER C12818
BUS. LIC#
COMPANYNAME Kenneth Rodrigues & Partners Inc.
E-MAIL KENR@KRPARCHITECTS.COM
FAX 650-960-0707
STREETADDRESS 445 North Whisman Road Suite, 200
CITY, STATE, ZIP Mountain View, CA, 94043
PHONE 650-965-0700
r
DESCRIPTION OF WORK
EXISTING USE
PROPOSED USE CONSTR.
TYPE
# STORIES
USE TYPE
OCC.
SQ.FT.
VALUATION ($)
EXISTG
NEW FLOOR
DEMO
TOTAL
AREA
AREA
AREA
NET AREA
BATHROOM
KITCHEN
OTHER
REMODELAREA
REMODEL AREA
REMODELAREA
PORCH AREA
DECK AETCO)TALDECKIPORCHAREA
GARAGE AREA: DETACH
❑ATTACH
9DWELLINGUNITS:
NDUNIT ❑YES
SECONDSTORY ❑YES
DED? []NO
ADDITION? []NO
PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑ YES
RECEJVE
TO` -'V44 = •
PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER
EICHLER HOME? [:]NO
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on die property owner's behalf. I have read this
application and the information I have provided is cotrect. 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 bt ilt in constru I auporize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signe 1 II _ I:; — .
SUPPLEMENTAL INFORMATION REQUIRED
PLAN CHECK 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 -THE COUNTER UILDING PLAN REVIEW
;
permit for new building.
❑ EXPRESS ❑ PLANNING PLAN REVIEW
_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
ID STANDARD El PUBLIC WORKS
Form if any Hazardous Materials are being used as part of this project.
�
LARGE 'DEPT
—Copy of Planning Approval Letter or Meeting with Planning prior to
MAJOR ElSANITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIRONmrNTALHEALTII
B1dgApp 1011.doc revised 06121111
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
NOTE: This estimate does not include fees Clue to other Departments (i.e. Planning, Public Works, Fire, Sanitary Suver District, School
District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn't info.
FEE ITEMS (Pee Resolution 11-053 Efl..' 7/1/13)
ADDRESS: 10300 BUBB RD
1'I1unh, plur7 ChecA
DATE: 02/2712014
REVIEWED BY: MENDEZ
Ffm1b, Pc+nril Fe[::
APN:
BP#: �/oaZO
*VALUATION: $60,000
*PERMIT TYPE: Building Permit
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PLAN CHECK TYPE: Tenant Improvement
PRIMARY .
USE: Commercial Building7
7
PENTAMATION
PERMIT TYPE: 1 GENCOM�
WORK MAIN ST. INSTALL 2 TEMPORARY TRAILERS LOCATED AT THE CORNER OF STEVENS CREEK
SCOPE AND. TANTAU
NOTE: This estimate does not include fees Clue to other Departments (i.e. Planning, Public Works, Fire, Sanitary Suver District, School
District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn't info.
FEE ITEMS (Pee Resolution 11-053 Efl..' 7/1/13)
Xfvch, flan Check
1'I1unh, plur7 ChecA
Elco. Plan Check
blech perinil F,r
Ffm1b, Pc+nril Fe[::
laev Pcrmir Pee:
Chkcr �trch. 1ns7.
Ocher Plumb ImpLi
01her rive Insp.Lj
,Nrch hish. pore
Plumh fwvp, ree
Elec Insp Pee -
NOTE: This estimate does not include fees Clue to other Departments (i.e. Planning, Public Works, Fire, Sanitary Suver District, School
District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn't info.
FEE ITEMS (Pee Resolution 11-053 Efl..' 7/1/13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
#
$834.00
Temporary Structures
IT'EMPST'R
Suppl. PC Fee: Q Reg. Q OT
0.0
1 hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee:Q Reg. Q OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
1
L
C'onSt rubor Torr:
Adiniaistrrnive I'ee -
Q
G
Work Without Permit? O Yes G) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
E)
O
i
7; a+'c 1 Doculr7entwin,a pores':
Strone Motion Fee: IBSEISMICO
$12.60
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$3.00
SUBTOTALS:
$15.60
$834.00
TOTAL.FEE:
$849.60
Revised: 01/15/2014
Mobile Modular Management Corporation External Floor Ian
- 5700 Las Positas Road p
mobile Livermore, CA 94551 Building Size: 12 X 42
Q d L (925) 606-9000 Fax: (925) 453-3201 Number of Floors: 1
roarPMIM OurCnrrun,'tmC-nf www. Mobile ModularRents.com A#:
Building Information:
Manufacturer: Modtech
SN#: 50589
E -Code: 518436
Yard Location:
Exterior Information:
Roof Load: 20
Floor Load: 50 PSF
Wind Rating: 22.6
Height: 13'8"
Width: 11' 11"
Interior Information:
Interior Finish: VWG,HampGry
Flooring: Tile,118
Flooring Color: Sanddrift
HVAC Return:
Accessories Information:
Accy,Security Screen,Std Size,Existing: 4
Actual Layout
Towbar: 3' Bolted
Axles: 3
Occupancy: B2
Exterior Finish: T-1-11 8"
Exterior Color: Came]/Mesa
Ceiling Type: Random Fiss
Ceiling Height: 94"
Max Span: NIA
Accy,Security Door Bar,w/Box,ExisUng: 2
Dimensions are nominal.
HVAC Volts: 220
Power Panel: 125
Roof Type: Stand Seam
Window Type: Horizontal
Door Type: SgI,RLC
Plumbing Information:
Urinals: 0 Water Heater: NIA
Toilets:0 Showers:0
Sinks: 0
REVIEWED FOR UODE COMPLIANCE
Reviewed By jle$111 /SAT'{
Printed: 02-19-2014 10:43AM Page i of 1
CUPERTINO
tri�`5F'7 �yy
Building Department
ELI 12
FLS 2 7 2014
REVIEWED FOR UODE COMPLIANCE
Reviewed By jle$111 /SAT'{
Printed: 02-19-2014 10:43AM Page i of 1
Motile Modular Management Corporation External Floor Ian
5700 Las Positas Road p
Mobile ;'` Livermore, CA 94551 Building Size: 12 X 60
mo
dular (925) 606-9000 Fax: (925) 453-3201 Number of Floors: 1
loor Proud- Otrr U117m;1merr! www.MobileModuiarRenta.coiii A#:
Actual Layout
�r
_ I1 � IIIIj�IIII
Building Information:
Manufacturer: Walden Strut
SIJ#: WS1126010266
E -Code: 514267
Yard Location:
Exterior Information:
Roof Load: 20
Floor Load: 50 PSF
Wind Rating: 17.4
Height: 13' 7"
Width: 12' 1"
Interior Information:
Interior Finish: Panel,AlmGrs
Flooring: Tile,1l8
Flooring Color. Sanddrift
HVAC Return:
Accessories Information:
Towbar: 3' Bolted
Axles: 3
Occupancy: 132
Exterior Finish: Smart Panel
Exterior Color: Camel/Mesa
Ceiling Type: Random Fiss
Ceiling Height: 95"
Max Span: NIA
HE.
T.
Dimensions are nominal.
HVAC Volts: 220
Power Panel: 125
Roof Type: Rolled
Window Type: Horizontal
Door Type: Sgl,RLC
Plumbing Information:
Urinals: 0 Water Heater: NIA
Toilets:0 Showers:0
Sinks: 0
f CuPERrINo
Building Department
�'
t , FE 2 2914 q4 ��'f
REVIEWED FOR CODE COMPLIANCE
Reviewed By. J..-1914 T
Printed: 02-19-2014 03:19PM Page 1 of 1
STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
REGISTRATION CARD
Commercial Modular Decal No. CCF3920
Manufacturer ID/Name
920098 WALDEN STRUCTURES, INC.
Trade Name
WSI
Model
CUSTOM12X60
DOM
0212511998
AFS
061901,998
RY
1998
Exp. Date
Jun 30, 2014
Seria? Number
Labellinsignia Number
Weight
Length
Width
SPC
SCC
Exempt
Use
Type
WSI126010266
105969
17,000
60'
12'
ADL
01
B2
ILT
Issued
Total Fees Paid
Sep 13, 2013
$39.DD
Addressee
MOBILE MODULAR MANAGEMENT CORP
5700 LAS POSITAS RD
LIVERMORE, CA 94551
Registered Owner(s)
MOBILE MODULAR MANAGEMENT CORP
5700 LAS POSITAS RD
LIVERMORE, CA 94551
Situs Address
5700 LAS POSITAS RD
LIVERMORE, CA 94550
***1}IG*%*r%*Kw'i:*u*ie4 sf il'I�16**i***{*%******is ix*•i.k***'k,ik***h A•*i.'
ATTENTION OWNER:
THIS IS THE REGISTRATION CARD I,OR THE UNIT
DESCRIBED ABOVE. PLEASE KEEP THIS CARD IN A SAFE
PLACE WITHIN THE UNIT.
INSTRUCTIONS FOR RENEWAL:
REGISTRATION FOR THIS UNIT EXPIRES ON THE DATE
INDICATED ABOVE M THE BOX LABELED "Exp. Date".
THERE ARE SUBSTANTIAL PENAL'T'IES .FOR
DELINQUENCY. IF YOU DO NOT RECEIVE A RENEWAL
NOTICE WITHIN ID DAYS PRIOR TO THE EXPIRATION
DATE, CONTACT H.C.D. FOR RENEWAL INSTRUCTIONS.
_ , c1 Nr-
"UPERTINO
Building Dppar-bnent
L`�x ., "=' �E3 2 7 2014
REVIF- vED FOR CODE COMPLIANCE
Reviewed By.
IMPORTANT
THE OWNER INFORMATION SHOWN ABOVE MAY NOT RE, FLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF )HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT.
DIN: 7631144 R 09132013 - 258
STATE OF OALIFORMA - DEPARTMENT OF HOUSEIIG AND COMMUNITY ]DEVELOPMENT
REGISTRATION CARD
Commercial Modular Decal No: CCL1937
Manufacturer ID/Name
1088659 MODTECH HOLDINGS INC
Trade Name
MOI)TECH INC
Model
MDT
DOM
08124!2004
DFS
09/18/2008
RY
2008
Exp. Dale
Sep 30, 2014
Serial Number
Labelflnsignia Number
Weight
Length
Width
SPC
SCC
Exempt
Use
Type
50589
137893
12,096
47
12'
ADW
01
132
ILT
Issued
Total Fees Paid
Oct 01, 2013
561.04
Addressee
MOBILE MODULAR MGMT CORP
5700 LAS POSITAS RD
LIVERMORE, CA 94551
Registered Owner(s)
MOBILE MODULAR MGMT CORP
57f10 LAS POSITAS RD
LIVERMORE, CA 94551
Shus Address
5700 LAS POSITAS RD
LIVERMORE, CA 94551
*****Rif**f************rt+tx*r*A$**********J;*******r*h*******
ATTENTION OWNER:
THIS IS THE REGISTRATION CARD FOR THE UNIT
DESCRIBED ABOVE. PLEASE KEEP THIS CARD IN A SAFE
PLACE WITHIN THE UNIT.
INSTRUCTIONS FOR RENEWAL-
itLEGISTRATION FOR THIS UNIT EXPIRES ON THE DATE
INDICATED ABOVE IN THE BOY LABELED "Exp. Date".
THERE ARE SUBSTANTIAL PENALTIES FOR
— DELINQUENCY. IF YOU DO NOT RECEIVE A RENEWAL
—_ NOTICE WITHIN 10 DAYS PRIOR TO THE EXPIRIkTION
DATE, CONTACT H.C.D. FOR RENEWAL INSTRUCTIONS.
IMPORTANT
OUS1NG �.,.
a e
p
El 13
�G� OCA
DR`l '
IIF CUPERTINO
r[ Buiidmg Department
FLS Z 1 c $�
REVIEWEr F=OR CODE OOMPLIANCE
Revfevieu By- Z,Al�
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT.
IDTN: 7731264 R 10012013- 573