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B-2017-0974
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-0974 10441 BANDLEY DR CUPERTINO,CA 95014-1912(326 33 079) S C BUILDERS INC SUNNYVALE,CA 94085 OWNER'S NAME: LV CUPERTINO LLC DATE ISSUED:06/21/2017 OWNER'S PHONE:408-783-3025 PHONE NO:(408)328-0688 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic.#767196 Contractor S C BUILDERS INC Date 08/31/2019 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: APPLE-T.I. 1ST FLOOR-INSTALL DOORS AND INTERIOR I hereby affirm under penalty of perjury one of the following two declarations: PARTITION-(502 SQ) / 1. I have and will maintain a certificate of consent to self-insure for Worker's REV#1 REMOVE(I)CARD READER AND RELOCATE(1)EXIT SIGN Compensation,as provided for by Section 3700 of the Labor Code,for the -9/21/2017 • performance of the work for which this permit is issued. ; • e I have and will maintain Worker's Compensation Insurance,as provided for by V1,+i Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$31250.00 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 APN Number: Occupancy Type: ' and state laws relating to building construction,and hereby authorize 326 33 079 A(Tenant Improvements),B(Tenant Improvements) 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 WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the 7.plicant understands and will comply with all non-point source regulati. s per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. ili natur- -' ✓\ Date 9/21/2017 Issued by:Kim Dunbar - Date:06/21/2017 , I I ♦ kEI-B DER DE . 'aTrak , 'f I hereby aftirm'that I am exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1. 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 compensation,will do the work,and the structure is not intended or offered for inspection. sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am,exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:9/21/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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'. HAZARDOUS MATERIALS DISCLOSURE 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 Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued, maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cup+'tino Munici.al Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,S✓tions 2550 5533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. t O .".uthorized agent: ..., APPLICANT CERTIFICATION 00 9/21/2017 ,. , l I certify that I have read this application and state that the above information is I . Y'UCTION LENDING AGENCY'. correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance e relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, ' judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION _ Code,Section 9.18. I understand my plans shall be used as public records. Licensed Signature Date 9/21/2017 Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION rilik' B 10300 TORRE AVENUE • CUPERTINO,CA 95014-3255 40' s • (408)777-3228 • building@cupertino.org PEMIT#B-2.0 l 1 09 L , GIJPERTlN ^O REV# tet— DEF# ❑ NEW CONSTRUCTION ❑ADDITION ❑ALTERATIONT.I. ❑MEP ❑RE-ROOF ❑SWIMMING POOL/SPA PROJECT 4 • . 1 ' iliQ b cc.--:-(i 04---- APNIf . OWNER NAME ,, P NE E-MAIL PLS ;-�° t-- — � 3��© � � STR T ADDRESS.-- � CITY, STATE,ZIP iv r—.( IT f0O / ®fetVIRACTORNAME 0 OWNER-BUILDER COMPANY NAME LICENSE NUMBER� LICENSE TYPE IS EET ADDRESS STATE, ZIP 9, /O f0M6Sd� Pcii–L.� �9,n��v7(Js'J`� c� r �0 5 E-MAIL _IPHONE 4. / 3 Z� _D 1 BUS.LIC it • yorl� GjL�cjit- ell–S I N1L- �d 1 O ARCHITECT OWNER 0 OWNER AGENT,0 CONTRACTOR AGENT ENGINEER 0 DEVELOPER 0 TENANT CONTACT NAME_- E-MAIL jd-P1f(A- R ' ' STREET ADDRESS CITY,STATE, �� D ^ 'Ali/z3-4---- nt ( 7 -31 .4 /7--- 4 (-�3 ��s� L�- DECRIPTON �G'�rSi � a�l �� 3 -2o, 7_ a, f7� iza co o i Rt1 >No (2. 4/tf G1) 041–r 5t44, • ❑SINGLE-FAMILY/DUPLEX 0 MULTI-FAMILY ❑INDUSTRIAL ❑COMMERCIAL I EXISTING USE EXISTING SF NEW FLOOR SF PORCH SF DECK SF DEMO SF STORIES It TOTAL NET SF USE TYPE OCC SQ.FT. VALUATION($) i REMODEL REMODEL KITCHEN REMODEL OTHR GARAGE 0 ATTACHED BATHROOM SF ;SF SF SF 0 DETACHED . FIRE SPRINKLERS 0 NO YES EICHLER 0 YESOSECOND STORY ADDIION ONO DWELLING SECOND DWELLING 0 YES 0 ATTACHED 0 DETACHED OTHER • UNITS tl UNIT ADDITON: 0 NO S F • POOLSI ❑FIBERGLASS. ❑VINYL-LINED ❑GUNITE 0 PREFABRICATED POOL-SF SPA-SF I SPA ATTACHED❑YES 0 NO I TOTAL-SF ' REC VED BY: TOTAL VALUATION: , Commercial or Multi-Family Buildings with Public Swithming Pools requires Department of Environmental Heath approval '1tV�p� ^A t ` /� RE-ROOFI EXISTING ROOF TYPE: ❑BUILT-UP ROOF❑ASPHALT SHINGLES❑WOOD SHAKES❑WOOD SHINGLES TILE OTHER(SPECIFY) ,"'C /"� REMOVE/REPLACE I]NO; IF NO PLYWOOD „ 1:13/8" PLYWOOD TYPE: PITCH: ROOF CLASS DYES. it OF LAYERS THICKNESS El 5/8" OTHER ❑OSB El CDX OTHER •12 A PROPOSED ROOF TYPE:❑BUILT-UP ROOF'❑ASPHALT SHINGLES 0 WOOD SHAKES❑WOOD SHINGLES ❑OTHER *Provide a signed copyof the Cupertino's Tear-Off Policy SF sof SQUARES 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'.uformation 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 ordina,ces and state laws relating to building construction. I authorize representatives of Cupertino to enter the above-identified property'for'r‘pection pose acknowledge and authorize all information contained on this application form to be made available for public reek-s Signature'cif Applicant%Agent: ....-1...,\. Date: 970-//2 D77 SUPPLEMENTAL INFORMATIO. :REQUIRED / *New SFD/Second Dwelling Units/Multifamily Dwellings:A Demolition permit is required prior to issuance of a building permit for all new construction. *Commercial Buildings: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. *Copy of Planning Approval Letter orMeeting with Planning prior to submittal of Building Permit application. *HOA-Provide a letter of!approval from the Home Owner's Association i BldgApp_2017.doc revised 08/01/17 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0974 10441 BANDLEY DR CUPERTINO, CA 95014-1912 (326 33 079) S C BUILDERS INC SUNNYVALE, CA 94085 OWNER'S NAME: LV CUPERTINO LLC I (DATE ISSUED: 06/21/2017 1 OWNER'S PHONE: 408-783-3025 License Class a Lie. #767196 Contractor S C BUILDERS INC Date 08/31/2017 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: 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. 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 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 pK the Cupertino Municipal Code, Section 9.18. Signature Date 06-21-2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 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. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 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. i. 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. 3. 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, I 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 PHONE NO: (408) 328-0688 BUILDING PERMIT INFO: X BLDG —ELECT —PLUMB _ MECH _ RESIDENTIAL X COMMERCLAL JOB DESCRIPTION: APPLE - T.I. 1 ST FLOOR - INSTALL DOORS AND INTERIOR PARTITION - (502 SQ) Sq. Ft Floor Area: Valuation: $31250.00 APN Number: Occupancy Type: 326 33 079 B (Tenant Improvements) PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Kim Dunbar Date: 06/21/2017 RF -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: 06-21-2017 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I 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 I will maintain compliance with the Cup tino Mun' ipal Code, Chapter 9.12 and the Health & Safety Code, rections 25 , 25 ,and 25534. Owner or authorized agentZ-4-_--,_, Date: 06-21-2017 IF CONSTRUCTION LENDING AGENCY I 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 Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Date 06-21-2017 Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 • FAX(408)777-3333 • building(okupertino.ora 3,201 0 cf ❑ NEW CONSTRUCTION ❑ ADDITION IJS I ALTERATION / Ti I—I REVISION / DEFERRED ORT NAT. PFRIMIT # jj PROJECT ADDRESS 10441 Bandley Drive APN# 32 . 3 �0 OWNERNAME Apple Inc. PHDNE408.783.3025 E-ranchartechahar@apple.com STREET ADDRESS 1 Infinite Loop CITY, STATE, ZIP Cupertino, 95014 FAX CONTACT NAME Roger Anchartechahar PHONE 650.421.1832 E-ranchartechahar@apple.com STREET ADDRESS 1 Infinite Loop CITY, STATE, ZIP Cupertino, 95014 FAX ❑ OWNER ❑ OWNER -BUILDER X❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME Michael Soik LICENSENUMBER 767196 LICENSE TYPE B BUS.LIC# 24074 COMPANY NAME SC Builders Inc. t, E-MAIL msoik@scbuildersinc.com FAX STREETADDRESS 910 Thompson Place CITY,STATE,ZIP Sunnyvale, 94085 PHONE 408/326-0688 ARCHITECT/ENGINEER NAME Sophia Tyra LICENSE NUMBER BUS. LIC# COMPANYNAME AP+I Design E-MAIL styra@apidesign.com FAX STREETADDRESS 117 Easy Street CITY,STATE,ZIP Mt. View, CA 94043 PHONE 650.254.1444 DESCRIPTION OF WORK Minor tenant improvements to approx. 502 square feet in existing suite. Adding doors and interior partition. EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG AREA NEW FLOOR AREA DEMO AREA TOTAL NET AREA V -B B 502 $31,250.00 BATHROOM KITCHEN OTHER REMODELAREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: U 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 PLANNING APPL # []NO PLANNING APPROVAL LETTER IS THE BLDG AN ❑ YES EICHLER HOME? [3 NO R Y;TOTAL / VALUATION: 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 pro ded is corryqt. I have read the escription of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to b mg constru ti n. la orize resentatives of Cupertino to enter the above-entifie property for inspection purposes. 6 Signature of Applicant/Agent: Date: Li SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW New SFD 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 REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form 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 submittal of Building Permit application. El MAJOR SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 ',\‘ I/// Building Department •4•00ftkv' _,7/- City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 Telephone:408-777-3228 CUPERTINO Fax 408-777-3333 CONTRACTOR/SUBCONTRACTOR LIST JOB ADDRESS:10441 Bandley Dr PERMIT#B-2017-0974 OWNER'S NAME Apple Computer PHONE#650.280.5188 CVS coil SO _ GENERAL CONTRACTOR:SC Builders Inc BUSINESS LICENSE#24074 ADDRESS:910 Thompson Place CITY/ZIPCODE:94085 _ *Our municipal code requires all businesses ivorking in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: ' Signature Date Please check applicable subcontractors and complete the following information: .._,.. 12 SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE# Cabinets&Millwork , Cement Finishing nIIIIIII.Mill ' 1111 Electrical Cupertino Electric 697 00 1 3 1111 Excavation Fencing 4.. -.- Flooring/Carpeting RE Cuddle 1429 A 006' i •MI Linoleum/Wood 11.1111111.111111111 NO Glass/Glazing Quality Glass 25958 III Heating Insulation IIILandscaping Lathing .., Masonry Painting/Wallpaper Burdick Painting 26007AM dt III Paving 11111111111111111111111111 Plastering IIIIIIIIIIIIIM i Plumbing III Roofing aIMIIMIIMEII III Septic Tank t IIIIETMIIIIMIIIIIIM IIIMIMMIMIIIINIIIMIIIIIIN 111 Sheet Rock Stark Interiors 26722 1400 i „.„_.... MillrAlgr-", isrAtror:ZOIP-AEFr4r ° ..-. -ArAdaleirA" SIC alf/ 10.17.17 Owner/ "atractor Signature Date