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14060205CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10201 TORRE AVE CONTRACTOR: DPR CONSTRUCTION, A PERMIT NO: 14060205 GENERAL OWNER'S NAME: I & G DIRECT REAL ESTATE 21 LP 1450 VETERANS BLVD DATE ISSUED: 08/05/2014 OWNER'S PRONE: 6505924033 REDWOOD CITY, CA 94063 PHONE NO: (650)474-1450 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ LAB 26- COMM. T.I TO IST AND 2ND FLOOR (3375 SQ r� License Class 1 .J Lic. # FT). i Contractor �ii(�� ���j I�i7U�r31� 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. 1 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: $150000 performance of the work for which this permit is issued. 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: 36941005.00 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. I agree to comply with all city and county ordinances and state laws relating WITHIN YS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS M LAST CALLED INSPE PON. 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 Issued by: Date: with all n- int source regulations per the Cupertino Municipal Code, Section 218. k_�V RE -ROOFS: Signature4.fDate / 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 structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS 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 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(x) should 1 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 emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined b the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance wi a Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, S ctio s 25505, N533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: a Date:% permit is issued. 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, 1 CONSTRUCTION LEN'DIN'G 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 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 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, 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 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10201 TORRE AVE CONTRACTOR: DPR CONSTRUCTION, A PERMIT NO: 14060205 GENERAL OWNER'S NAME: t & G DIRECT REAL ESTATE 21 LP 1450 VETERANS BLVD DATE ISSUED: 08/05/2014 OWNER'S PHONE: 6505924033 REDWOOD CITY, CA 94063 PHONE NO: (650)474-1450 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL 0 License Class J of Lic. �� %�'7 LAB 26 -COMM. T.I TO 1ST AND 2ND FLOOR (3375 SQ FT). Contractor$_ r L�t Date l0 / / 8/28/2014 -REVISION #I- REVISE IST & 2ND FLOOR I hereby affirm that I am licensed under the provisions of Chapter 9 PARTITION LA�'OU AND INSTALL EQUIPMENT FOR (commencing with Section 7000) of Division 3 of the Business & Professions MACH O ND LAB- ISST 10/14/2014 Code and that my license is in full force and effect. 1 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: $150000 performance of the work for which this permit is issued. 1 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: 36941005.00 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. I agree to comply with all city and county ordinances and state laws relating WITHIN 1 AYS OF P RMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS OM LAST CALLED INSPECTIO . 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 Issued by: Date: f with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. RE -ROOFS: Signature Date / 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. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: [ 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 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and [he structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS 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 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 1 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 of the 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 Section 3700 of the Labor Code, for the performance of the work for which this the Health & Safety Code, Sections 25505, 25533, and 25534. Q Owner or authorized agent: Date: l `i J permit is issued. 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 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 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 CERTIFICA"TION Lender's Address 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 ARCHITECT'S DECLARATION ' indemnify and keep harmless the City of Cupertino against liabilities, judgments, 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 ail non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ia ADDRESS: 10201 TORRE AVE DATE: 0912612014 REVIEWED BY: MELISSA APN: 369 41 005 BP#: 14060205 *VALUATION: Iso }PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial Building USE: Suppl. PC Fee: (F) Reg. Q OT PENTAMATION PERMIT TYPE: WORK 9/26/14 - REV # 2 -ADD ADDITIONAL OUTLET RECEPTACLES AT VARIOUS LOCATIONS & SCOPE REMOVE (E) LIGHTING FIXTURES NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These Pees are based on the preliminary information available and are only an estimate- Contact the Dept for addn 7 info. FEE ITEMS (Fee Resolulion 11-053 Eff 711%73) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Id Suppl. PC Fee: (F) Reg. Q OT 0.0 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 <?iruslr�litic F." r,. 0 Work Without Permit? 0 Yes No $0.000 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure O i lrwvl F(Y.5 Strong Motion Fee: $0.00 1 # $859.00 Revisions /REVCO:WTI I Tenant Improvement Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $859.00 TOTAL FSE, $859.00 Revised: 08/20/2014 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10201 TORRE AVE CONTRACTOR: DPR CONSTRUCTION, A PERMIT NO: 14060205 GENERAL OWNER'S NAME: l & G DIRECT REAL ESTATE 21 LP 1450 VETERANS BLVD DATE ISSUED: 08/05/2014 OWNER'S P14ON'E: 6505924033 REDWOOD CITY, CA 94063 PHONE NO: (650)474-1450 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL F] License Class____ Lic. N 9/26/14 - REV N 2 - ADD ADDITIONAL OUTLET RECEPTACLES AT Contractor DPlee6l, DateVARIOUS LOCATIONS & REMOVE (E) LIGHTING FIXTURES- ISSD 10/14/2014 1 hereby affirm that I am licensed under the provisions of Cha er 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. 1 hereby affirm under penalty of perjury one the following declarations: Ihave and will maintain a certificate of consent too Wo self -insure for Wor �YYV// �-— ON Compensation, as provided for by Section 3700 of the Labor Code, fo Sq. Ft Floor Area: Valuation: $150000 performance of the work for which this permit is issued. 1 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: 36941005.00 Occupant}' Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRE ORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 YS OF ERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FRO 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 / Z, granting of this permit. Additionally, the applicant understands and will comply Issued by: Date: with all non -point source regulations per the Cupertino Municipal Code, Section RE -ROOFS: 9.18. / Signature Date % 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. ❑ 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 t, 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) 1. as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS 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 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 1 store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should 1 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 of the 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, W5533,4nd 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Dater'��/// permit is issued. / 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 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 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 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 constriction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of die 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 DIVISIO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingna,cupertino.org ❑ NEW CONSTRUCTION d ADDITION ❑ ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT 4-WO(DOWS PROJECT .ADDRESS 0 7.0 1.�-0r00e APN d 36� (�/ r 005 OWN NAME r Q PHONE E-MAIL ton STREET ADDRESS 02.01 To•r0. Ave--*_ CITY, ATE, ZIP Q �bl taper+?%o CA -1 4 FAX CONTACT NAOL,�• P ON n E-MAIL IAIDIK -°nez.. STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONT ACTOR NAME 'E LICENSE NU E �`� LIC 'S T PE J fD BUS. LIC b t e robr:t, gvo COMPANY NAME t Cr o�'1t�Cri ri4 E -? JAIL Mt+ r44 -e. Z' GI Cor -el E C.ir. c. FAX STREET R SS `' eta o�230, } S#r4A+ CI TATE, ZIP - aL C�d�� A q sora PHO 09"886 .--?Wd ARCHITECT/ENGMIEER NAME LICENSE NUMBER BUS. LIC N COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK / J � . dd : &- qd � + in L J d w eer 44 j/1<Zi �i •�� % � Gc�C�'i a hS. EXISTING USE PROPOSED USE / CONSTR TYPE 11 STORIES a-Ef E1�6 USE TYPE OCC, SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET ARL -A BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA DETACH GARAGE AREA: DETACH 'E ❑ ATTACH IS A SECOND UNrr ❑ YES SECOND STORY [:]YES 777�� BEING ADDED? ❑NO ADDITION.' FRE-APPLICATION ❑YES IF YES, PROVIDE COPY OF IS THE BLDG AN RECEIV Y: TOTAL VALUA N: PLANNING APPL R ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? By my signature below, I certify to each of the following: I am the property owner or arize o e property owner's behalf. I have ad this application and the information I have provided is correct. I have read the Descriptio or and verifFlflis accurate. I agree to comply with all applicable local ordinances and state laws relating"b 'Iding construction. I auth5paSrepreSentatives of Cupertino to enter the above -identified property for inspection purposes, Signature of Applicant/Agent: Date: Q / Z t A f'4 SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP ❑ OVER -TILE -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. ❑ EXPRE'SS ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure TANDARD El PUBLICWORKS 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 ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL ITEALTH BldgApp_201 1. doe revised 06/21/11 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISIONUZ 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTlNO (408) 777-3228 • FAX (408) 777-3333 • building aDcupertino.orq ❑ NEW CONSTRUCTION ❑ ADDITION Eff ALTERATION / T1 ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS 1 D 2 Q ! I V gf p bJQtV'F 7W " � f, APN d 21 jl_ � 1H UUS t OWNERNAME WLJ0 pM orrr R� F—SSTP4 PHONE 6 5Q, Q 4' 033 El -MAIL STREETADDRESS 26FO j WIN VV41Pb WAY CITY, STATE ZIP SA -N MTA-r&o ' r` FAX �9ArH � CONTACT NAME SN47'1 DESK PA -NDS PHONE 6 50, (V,215.41 V,2 5 'G'1 V �@ i S� n rioraro STREET ADDRESS G'LY'D� E SVi Zf� �5 CITY, STATE, ZIP M JHN1 VI j CA 0i 3 F.AX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT 'ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME IMJ;,t VNJSM LICENSE NUNIBER -7 LICENSETYPE BUS, LIC COMPANY NAME t)FK 11 � U�O tNC E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP r,/ L fj7`1 Cf J� PHONE ARCHITECTIENGINEER NAME A L JQ Rival LICENSE NUMBER BUS. LIC H COMPANY NAME rNT (� �!� + r 'u�� 1)4C Ih E-MAIL FAX STREET ADDRESS O 0 .SA -M SoM E2 STS g �1 r—Lk CITY, STATE, ZIP SAN -P / ( 5ZO , CA PHONE rr r DESCRIPTION OF WORK jNGLVD(N(5 Ste, R_C Tt YF_ p_F fGlo L177oN , Pit-R7"ardN l.�GTK141 LS I l-IIJL+�' F/N f SK Pf,a1 LIF*� STY . EXI.STJNG USEpp�� E)UG14CSS 0 PROPOSED USE CONST TYPE Ej(,ISI/1iSS 11 A ?STORIES a USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG r}p AREA 84�33.5 NEW FLOOR AREA DEMO AREA TOTAL NET AREA 3.31 S BATHROOMKITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH y ❑ ATTACH -%-ES LING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY .... rPRE-APPLICATIONT BEING ADDED? []NO ADDITION?^ []NO ❑ YES IF YES, PROVIDE COPY of IS THE BLDG AN ❑ YES G : > - TOT,�L /.ALUATION: NG APPL b ❑ NO PLANNING APPROVAL LETTER EICHLER HOME!,' ❑ NO .. fi 1 rD Q Q By my signature below, I certify to each of the fol lowing: I am the property owner or authorized agentact on the property om is behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify Itis -accurate. I agree to mply with all applicable local ordinances and state laws relating to buildi con trUctlOn I authorize representatives Of Cupertino to enter the above©ntlprro f r inspection purposes. 3 Signature of Applicant/Agent: ' Date: (f0 SUPPLEMENTAL INFORMA ION REQUIRED PLA.NCHECKTYPE ROUTLNcsLEP [, ovER-Txr<covxTER ❑ BUILDING PLAN REV7sw New SFD or Multifamily dNvellines: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. [ F. I ..r.as ❑ PLANNING PLANREVIEN Commercial Bldgs: Provide a completed Hazardous Materials Disclosure s1 STANDA11a) ❑ uBi to «�oRxs _ 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 tor ❑ . submittal of Building Permit application. ��ajnt` . SAiI1AR\ cEwER;>isTRICT ;-J' ENVIRONMENTAL HEALTH B1dgApp 2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION r ig' SS: 10201 TORRE AVE FAN DATE: 06/30/2014 REVIEWED BY: MENDEZ PC FEE ID BP FEES BP#: VALUATION: $150,000 YPERMIT TYPE: Building PermitPLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: IBTIPLNCK PENTAMATION 1 B TI PERMIT TYPE: A WORK COMM. T.I TO 1 ST AIVD 2ND FLOOR 3375 SQFT SCOPE $0.00 OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.L PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) II-B,III-B,IV,V-B 3,375 $2,322.04 IBTIPLNCK $2,855.36 1BTIINSP hrs $0.00 PME Plan Check: $0.00 Permit Fee: $2,855.36 Suppl. Insp. Fee:Q Reg. 0 OT F0.0 hrs $0.00 PME Unit Fee: $0.00 TOTALS: 3,375 $2,322.04 $0.00 $2,855.36 MECH, HOURLY ()Yes E) No PLUMB, HOURLY 0 Yes 0 No ELEC, HOURLY 0 Yes 0 No QTY/FEE E3_L_ it C F-71 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 preliminary information available and are only an estimate. Contact the Dept for addn 7 info. FEE ITEMS (Fee Resolution 11-053 Eff' 7il'13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,322.04 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. 0 OT0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $2,855.36 Suppl. Insp. Fee:Q Reg. 0 OT F0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Conslrl'ction ialttif�r,ir;�ti.,., i•r G Work Without Permit? 0 Yes 0 No $0.00 Advanced Plarmin Fee: $0.00 Select a Non -Residential Building or Structure E) 0 A Strong Motion Fee: 1BSEISMIC0 $31.50 Select an Administrative Item 1 Bldg Stds Commission Fee: IBCBSC $6.001 SUBTOTALS: $5,214.90 $0.00 TOTAL FEE: $5,214.90 Revised: 04/01/2014 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinq aacupertino.orq w&)W5' ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI t'F REVISION / DEFERRED ORIGINAL PERMIT t1 PROJECT ADDRESS Q�/ l Are— ' C. �(Y e APN N OWNERNAME 6 P jn �, j�28q `J (� E-MAIL STREET ADDRESS , CITY, STATE, ZIP FAX CONTACT NAME �� PHONE 7v� E -MAI STREET ADDRESS CITY: STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNB.R AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME ^M LICENSE NUMBER LICENSETYPE BUS. LIC k� COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC N COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE) DESCRIPTION OF WORK ��y,�j� I�J-"- O'�/l �'�/ •- / 1.(/l7(7 �� t �LU�/CC�nll f rB��I 7QJ j Ie141 EXISTING USE PROPOSED USE CONSTR. TYPE 0STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ATTACH 4 DWELLING UNITS: IS A SECOND UNIT [3 YES SECOND STORY ❑ YES BEING ADDED? C]NO ADDITION? ❑ NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES .RbWVgp BY.; '"`s a -$.a'•• OTq��]�VALUATION: PLANNING APPL R ❑ 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 the grope is beh If. I have read this application and the information I have provided is corr ct. 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 t ui di constru n. I authorize representatives of Cupertino to enter the above -i entified property for inspection purposes. Signature of Applicant Agent: Date: SUPPLEMENTAL TNIFOI&RtATION REQUIRED PLAN CHECK TYPE ROUTING SLIP ❑ OVER-THE-coUNTER :TiBU LDING 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 DE P7 Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_201l.doc revised 0612//// CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION NOTE: This estimate floes not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Wwrirt. etr_ ). These fees are ha.ced an the nreliminary information ovailahle and are only an estimate_ Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 E ' 7/1!13) ADDRESS: 10201 torre ave DATE: 08/28/2014 REVIEWED BY: MENDEZ APN: BP #: `VALUATION: 1$50,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: PENTAMATION PERMIT TYPE: A WORKrevision #1- revise 1 & 2nd floor partitions, interior demo e ceiling, finishes.. SCOPE PME Plan Check: NOTE: This estimate floes not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Wwrirt. etr_ ). These fees are ha.ced an the nreliminary information ovailahle and are only an estimate_ Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 E ' 7/1!13) FEE QTYIFEE MISC ITEMS Plan Check Fee: Ll I-- $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: NOTE: This estimate floes not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Wwrirt. etr_ ). These fees are ha.ced an the nreliminary information ovailahle and are only an estimate_ Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 E ' 7/1!13) FEE QTYIFEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OTO .0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Ur�_1 (1LN.'il')n 1ti_i'. E) Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure G A frn� i 1>rurr�nrttt 1riu�! /�,'s Strong Motion Fee: IRSEISMICO $14.00 F-1-7 # $859.00 Revisions IREVCOMTI Tenant Improvement Bldg* Stds Commission Fee: IRCRSC $2.00 SUBTOTALS: $16.00 $859.00 TOTAL FEE: 1 $875.00 Revised: 0812012014 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildino cu ertino.or ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT tt PROJECT ADDRESS APN H 2OY OWNER NAME PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX CONTACT ME NQ PHONF� �` _ j / E-MAIL 15 0 STREET ADDRESS CITY, STATE ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWKER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT --7CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC 4 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC N COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTR TYPE I STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA=GARAGEREA: DETACH ATTACH DWELLR4G UNRTS: IS A SECOND UNIT ❑ YES SECOND STORY YES BEING ADDED? E] No ADDITION? E]NO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVED $Yc= TOTAL j;ALUATION: PLAN'N7NG APPL k DNO PLANNING APPROVAL LETTER EICHLER HOME? E] NO / By my signature below, I certify to each of the followingI am the property owner or authorized agent to act onrcperry owner's behalf. I have read,this application and the information 1 have pr ided is correct. 1 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 b di gcoristftieVn. I authorize representatives of Cupertino to enter the above-Ide tlfied pro erty for inspection purposes Signature of Applicant/Agent Date: SUPPLE -NITAL INFORMATION R-QUIRED PLAN CHECK TYPE ROUTING SLIP 0 o,'Ea T fR-CoaNTER L4-"Il1711—DING PJ AN 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 RLYILW.-? - _ Commercial Bldas: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ 'PueitCWORKS form if any Hazardous Materials are being used as part of this project. ❑., IRIRE LARGE I DEPT' _ Copy Of Planning Approval Letter or Meeting with Planning prior to ❑ > IA.JOR ' ❑ SANITARY SEWER I)ISTIt]eT submittal of Building Permit application. ' ❑,.ENVIRONMENTAL HEALTH - BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FM ---,7 FEE ESTIMATOR - BUILDING DIVISION ig ADDRESS: 10201 torre ave FLR AREA s.f. DATE: 1212212014 REVIEWED BY: Mendez BP FEES APN: BP#: II-B,III-B,IV,V-B "VALUATION: Iso `PERMIT TYPE: Building Permit Select a Misc Bldg/Structure or Element of a Building PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE. 0.0 PENTAMATION 1A TI PERMIT TYPE: WORK revision #4- as built set of drawing for fire approval. SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID A (Tenant Improvements) II-B,III-B,IV,V-B 0 $0.00 Select a Misc Bldg/Structure or Element of a Building $0.00 Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee -.0 Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: TOTALS: 0 $0.00 $0.00 MECH, HOURLY 0 Yes (D No PLUMB, HOURLY Q Yes Q No ELEC, HOURLY Q Yes Q No QTY/FEE MISC ITEMS Plan Check Fee: F)Iher l'lurnfl lrn"j­Ll $0.00 Select a Misc Bldg/Structure or Element of a Building 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 preliminary information available and are only an estimate Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Ef. 71 !l!l3) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee -.0 Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 '011.1"OWC-tiW7 1 CLf. A(lalillistrative 1"C"c; 0 E) Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning, Fee: $0.00 Select a Non -Residential Building or Structure 0 A Strong Motion Fee_ $0.00 1 # $859.00 Revisions 1REVC0jVT1 Tenant Improvement Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $859.00 TOTAL FEE: F $859.00 Revised: 10/01/2014