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B-2017-1100CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 20823 STEVENS CREEK BLVD STE 100 CUPERTINO, CA 95014-2109 (326 32 053) CONTRACTOR: PERMIT NO: B-2017-1100 DEVCON CONSTRUCTION INCORPORATED MILPITAS, CA 95035 I OWNER'S NAME: STEVENS CREEK OFFICE CENTER ASSOCITATES I I DATE ISSUED: 07/11/2017 OWNER'S PHONE: 408-942-8200 1 1 PHONE NO: (408) 942-8200 License Class GENERAL ENGINEERING CONTRACTOR Lic. #3991ti3 Contractor DEVCON CONSTRUCTION INCORPORATED Date 02/28/2019 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: t. 1 have and will maintain a certificate of consent to self -insure for Worker's �mpensation, 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 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 r the Cupertino Municipal Code, Section 9.18. Signature Date 7/11/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 1, 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) 2. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). PERMIT INFO: BLDG —ELECT —PLUMB MECH _ RESIDENTIAL $ COMMERCIAL JOB DESCRIPTION: APPLE - SUITE 100; T.I. - REMOVAL OF 2 EXTERIOR DOORS AND REPLACE WITH PAIRED GLASS DOORS AND ADD (3) PAIRED INTERIOR DOORS Sq. Ft Floor Area: I Valuation: $80000.00 APN Number: Occupancy Type: 326 32 053 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. by: Abby Ayende RE -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 Apt Date: 7/11/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF 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. z. 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 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, 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 Date 7/11/2017 "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 Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sectio 505, 25533, and 25534. Owner or authorized agent: Date: 7111/2917 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 Professional CUPERTINO F-1 XMI11 rnXTCTV T lb -2o too CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408)1777-3228 • FAX ((408) 777-3333 • building(ftupertino.org 1 I I A nnrrnN IX I AT TF.R ATInN / TT 7 RF.VISTnN /DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS 20823 Stevens Creek �, ; �� APN# 326-32-053 OWNER NAME (Tenant) Apple, My �c Ij/ i1 �.Q 7 - PHONE (in� �(� , Q) �}�7E-MAIL STREET ADDRESS % (l -Z C C' , +++ CITY, STATE, ZIP ( ,A^ D� D (��j (U w, [/ FAX CONTACT NAME Terry Fullerton PHONE (408) 942-8 60 E-MAIL tfullerton@devcon-const.com STREETADDREss 690 Gibraltar Drive CITY,sTATE, zip Milpitas CA 95035 FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ® CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME Devcon Construction LICENSENUMBER 399163 LICENSE TYPE B BUS. LIC# COMPANY NAME Devcon Construction E-MAILsramirez@devcon-const.com FAX STREET ADDRESS 690 Gibraltar Drive CITY,STATE,ZIP Milpitas CA 95035 PHONE (408) 942-2800 ARCHITECT/ENGINEERNAME Brent Downing LICENSE NUMBER BUS. LIC# COMPANYNAME Devcon Construction E-MAIL bdowning@devcon-const.com FAX STREETADDRESs 690 Gibraltar Dr cITY,sTATE,zm Milpitas CA 95035 PHONE (408) 942-8200 DESCRIPTION OF WORK Removal of 2 exterior door and replace with Paired glass doors & addition of 3 paired interior doors. EXISTING USE B PROPOSED USE CONSTR. B TYPE # STORIES 1 USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG AREA 3440 NEW FLOOR AREA 0 DEMO AREA 0 TOTAL NET AREA 3440 Office IIIB B 100 $80,000 BATHROOM REMODEL AREA 0 KITCHEN REMODEL AREA 0 OTHER REMODEL AREA 0 PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA:[DETACH' ❑ ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES BEING ADDED? 12NO SECOND STORY ❑ YES ADDITION? PS]NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF PLANNING APPL # []NO PLANNING APPROVAL LETTER IS THE BLDG AN ❑ YES EICHLER HOME? ® NO BY: (" L44, TTO'�t1L. VALUATION: t��Y 30.0m By my signature below, I certify to each of the following: I am the property owner or authorized agent 0 act on e property owner's behalf. I have read this application and the information 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 ordinances and state laws relating to building c tion. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent:q , r -. _ Date: 7/11/17 SUPPLEMENTAL INFORMATION REQUIRED _ 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. _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. _ Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. PLAN CHECK TYPE ROUTING SLIP ❑ OVER-THE-COUNTER ❑ ExPREss ❑ STANDARD ❑ LARGE El MAJOR ❑ BUILDING PLAN REVIEW ❑ PLANNING PLAN REVIEW ❑ PUBLIC WORKS ❑ FIRE DEPT ❑ SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH BldgApp_201 1. doc revised 06/21111