14050016 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20580 HOMESTEAD RD CONTRACTOR:SOUTH BAY PERMIT NO: 14050016
CONSTRUCTION,INC
OWNER'S NAME: THE SOBRATO ORGANIZATION 1711 DELL AVE DATE ISSUED:07/02/2014
OWNER'S PHONE: 4084460700 CAMPBELL,CA 95008 PHONE NO:(408)379-5500
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL ❑
�o ULTA T.I.-NEW DEMISING WALL,NEW STRUCTUAL
License Class �
Lic.# WALL
REINFORCING FOR(N) OPENING(S)& (N)ROOF TOP
Contractor Date I HVAC
I hereby affirm that I am lice.\, under the provisions of Chapter 9 UNITS
(commencing with Section 7000)of Division 3 of the Business&Professions
Code and that my license is in full force and effect.
hereby affirm under penalty of perjury one of the following two declarations:
1 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. Sq.Ft Floor Area: Valuation:$110000
1 have and will maintain Worker's Compensation Insurance,as provided for by
ection 3700 of the Labor Code,for the performance of the work for which this
APN Number:32610066.20580 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that l 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 WITHIN 180 DA R T 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 DAY � LLED 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 s /
granting of this permit. Additionally,the applicant understands and will comp ' ed Date:
with all non oin 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:
1 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 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. 1 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 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 perti o Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sec ' s 25505, 5 and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this
Owner or authorized agent: Date Z
permit is issued.
I certify that in the performance of the work for which this permit is issued,1 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 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
W
CONSTRUCTION PERMIT APPLICATION r U
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION "
ig 10300 TORRE AVENUE•CUPERTINO CA 95014-3255
(408)777-3228• FAX(408)777-3333•building(okupertino.org
CUPERTINO
❑NEW CONSTRUCTION ❑ ADDITION ® ALTERATION/Tl ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROIECTADDREss 20580 HOMESTEAD ROAD APN# 326-10-066 Z 0 5$0
OWNERNAME THE SOBRATO ORGANIZATION PHONE408-446-0700 E-MAIL RTRUEMPLER@SOBRATO.COM
RICH TRUEMPLER
STREET ADDRESS 10600 N. DE ANZA BLVD. CITY,STATE,ZIP CUPERTINO, CA. 95014 FAX 408-866-6638
CONTACTNAME JEFF OPAROWSKI PHONE 408-496-0676 E-MAILJOPAROWSKI@ARCTE C INC.COM
_7STREET ADDRESS 99 ALMADEN BLVD. , SUITE 840 CITY,STATE,ZIP SAN JOSE, CA 95113 FAx 408-496-1121
❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT M ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME LARRY PATERSON LICENSE NUMBER B3 3 6 9 74 LICENSE TYPE BUS.LIC#
COMPANYNAME SOUTH BAY CONSTRUCTION E-MAIL LPATERSON@SBCI.COM FAX (408) 379-3256
STREETADDRESS 1711 DELL AVE. CITY,STATE,ZIP CAMPBELL, CA 95008 PHONE (408)379-5500
ARCHITECT/ENGINEERNAME JEFF OPAROWSKI, AIA LICENSENUMBER C-21289 BUS.LIC#
COMPANY NAME ARC TEC INC. E-MAIL JOPAROWSKI @ARCTEC INC.COM FAX 408-496-1121
STREET ADDRESS 99 ALMADEN BLVD. CITY,STATE,ZIP SAN JOSE, CA 95113 PHONE 408-496-0676
DESCRIPTION OF WORK
NEW DEMISING WALL, EXTERIOR WALL FURRING, STRUCTURAL WALL REINFORCING FOR NEW DOOR
OPENINGS, NEW HVAC UNITS FOR ULTA.
v�7
EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES OFFICE USE NLY
NONE RETAIL II-B ONE OCC, TYPE DESCRIPTION SOXT. VALUATION
EXISTG NEW FLOOR DEMO TOTAL
12,682 12,682
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
#DWELLING UMTS: IS A SECOND UNIT []YES SECOND STORY ❑YES
BEING ADDED? ❑NO ADDITION? ❑NO
PRPAPPLLCArION ❑ YES IF YRS,PROVIDE COPY ON PLANNER'S NAME REC DBY; TOTAL VALUATION:
PLANNING APPLE ❑ NO PLANNING APPROVAL LETTER
By my signature below,I certify to each of the following: 1 am the property owner or atith agent to ilEf'o e property owner's behalf. 1 have read this
application and the information I have provided is correct. I have read the Description o ork and verify il Is accurate. 1 agree to comply with all applicable local
ordinances and state laws relating to building onstruction 1 authorize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENIARNFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP
New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW
existing building(s). Demolition permit is required prior to issuance of building
❑ EXPRESS El PLAN REVIEW
permit for new building.
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS
fo_rm 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
B1dgApp_2011.doc revised 03/16/11
CITY OF CUPERTINO
FEE ESTIMATOR- BUILDING DIVISION
ADDRESS: 20580 HOMESTEAD RD DATE: 05/01/2014 REVIEWED BY: MEI-ISSA
APN: 326 10 066 BP#: *VALUATION: 1$110,000
°PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building7 PENTAMATION 1 B TI
USE: PERMIT TYPE:
WORK LILTA T.I. - NEW DEMISING WALL NEW STRUCTUAL WALL REINFORCING FOR N OPENING(S)
SCOPE & (N) ROOF TOP HVAC UNITS
OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID
CONSTR. s.f.
B (Tenant Improvements) II-B,111-B,IV,V-B 12,682 $2,766.42 IBTIPLNCK $7,354.42 IBTIINSP
TOTALS: 12,682 $2,766.42 $7,354.42
MECH,HOURLY 0 Yes E) No PLUMB,HOURLY 0 Yes Q No ELEC,HOURLY Q Yes Q No
F-1 Ll
NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works, Fire,Sanitary Sewer District,School
District,etc . These ees are based on the prelimina information available and are only an estimate. Contact the Dept./or addn'l info.
FEE ITEMS (Fee Resohilion 11-053 E{f 17,V1_i� FEE QTY/FEE MISC ITEMS
Plan Check Fee: $2,766.42 Select a Misc Bldg/Structure
Suppl. PC Fee: ) Reg. 0 OT 0.0hrs $0.00 or Element of a Building
PME Plan Check: $0.00
Permit Fee: $7,354.42
Suppl. Insp. Fee-.(j) Reg. Q OT 0.0 1 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
0
Work Without Permit? 0 Yes (F) No $0.00 G
Advanced Planning Fee: $0.00 Select a Non-Residential
Building or Structure
Strong,Motion Fee: IBSEISMICO $23.10 Select an Administrative Item
Bldi;Stds Commission Fee: IBCBSC $5.00
SUBTOTALS: $10,148.94 $0.00 TOTAL FEE: 1 $10,148.94
Revised: 04/01/2014
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino,CA 95014-3255
C O P E RT I N O Telephone: 408-777-3228
Fax:408-777-3333
CONTRACTOR SUBCONTRACTOR LIST
JOB ADDRESS:20580 Homestead Road PERMIT#14050016
OWNER'S NAME:Sobrato Organization PHONE#
GENERAL CONTRACTOR:South Bay Construction BUSINESS LICENSE#5655
ADDRESS:1711 Dell Ave CITY/ZIPCODE:Campbell,CA 95008
*Our municipal code requires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) 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:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets & Millwork NA NA
Cement Finishing Noah Concrete Corporation 29578
Electrical Capital Valley Electric 34273
Excavation Blue Top Construction 35161
Fencing PacifioSeeuritq-FerrcirTg- `'8 tpt —a��S �o
Flooring/Carpeting McGinness Flooring 34750
Linoleum/Wood McGinness Flooring 34750
Glass/Glazing USA All Glass See rprni^+*_
Heating The Trillo Company 9816
Insulation Central California Insulation 557
Landscaping Jim Roberts Company 28615
Lathing Ageless Plastering 35164
Masonry McCurley and Day 35159
Painting/Wallpaper NJ Kann Painting 35160
Paving Blue Top Construction 35161
Plastering Ageless Plastering 35164
Plumbing Master Craft Plumbing 35162
Roofing Statewide Roofing 23509
Septic Tank NA IVA
Sheet Metal The Trillo Company 29816
Sheet Rock South Bay Interiors 25499
Tile Fischer Tile and Stone 35157
10/9/14
*—;--owner Signature Date
CITY OF CU PERTI NO BUSINESS LICENSE
UPERTINO FINANCE DEPARTMENT • CUPERTINO, CALIFORNIA TAX CERTIFICATE
I'll
• • i moil • •' •f f� a
BUS. LOCATION= 2939 ACADEMY WAY
RSHIP 25556
OLETA LAMBERT
12/31/2014
BUSINESS AS PACIFIC NEON EXPIRATION DATE
2939 ACADEMY WAY
SACRAMENTO CA 95815 214"�
SENSE MUST BE POSTED IN A CONSPICUOUS PLACE ON THE PREMISES OR VEHICLE. DIRECTOR OF ADMINISTRATIVE SERVICES
TI
I TI_j F' JE, J[\j Jam, J� Es
Kristina Kleven
From: Rochelle <rtaylor@usaaglass.com>
Sent: Wednesday, March 12, 2014 2:21 PM
To: Kristina Kleven
Subject: FW: New Business License Application (#4260) Received
Kristina ,
Per your request.
Rac.l-vp l Tay t o cr
416-564-6800
From: bl@cupertino.org[mailto:bl@cupertino.org]
Sent: Wednesday, March 12, 2014 12:55 PM
To: rtaylor@usaaglass.com
Subject: New Business License Application (#4260) Received
Thank you! The information you provided has been forwarded to the Finance Department.
Your Business License payment to City of Cupertino was successful.
If your business is located outside City of Cupertino, your Business License will be mailed to you within 3-5
business days.
If your business is located within City of Cupertino, your Business License will be mailed to you within 5-10
business days. For further information please call (408) 777-3221.
1