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14080201 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20700 STEVENS CREEK BLVD CONTRACTOR:TEAM ONE GENERAL PERMIT NO: 14080201 CONSTRUCTION OWNER'S NAME: BYER PROPERTIES LP 2303 AMERICAN AVE DATE ISSUED:09/02/2014 OWNER'S PHONE: 4084930616 HAYWARD,CA 94545 PHONE NO:(5 10)697-8909 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL License Class_ Lie.# 6 TENANT IMPROVEMENT(PHOTO STUDIO)(760 SQ FT). Contractorlt" Date 0 1k- 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: 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. Sq.Ft Floor Area: Valuation:$25000 I have and will maintain Worker's Compensation Insurance,as provided for by %>cction 3700 of the Labor Code,for the performance of the work for which this APN Number:35908028.20700 Occupancy Type: permit is issued. APPLICANT CERTIFICATION _ I certify that I have read this application and state that the above information is PERM EXP IRES`IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 0 DAYS 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 DA "�"`T 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 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 9.18. RE-ROOFS: Signature Date zq 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 I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: 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) I,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 1 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 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 25505,2553 and 2 34. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: 'Q 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,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 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, ARCHITECT'S DECLARATION 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 - CONSTRUCTION PERI'01T APPL[CAT[ON COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE• CUPER T INO, CA 95014-3255 (408) 777-322B - FAX(408)777-3333• buildina(a cuDertino.org CUPERTINO ❑NEW CONSTRUCTION ❑ ADDITION dAL7ER4TT0N/TI ❑ REVISION/DEFERRcD ORIGII,r.4L PERMIT PR07 ?.DD'nFSS 47MVOtr=- 4Z-- e_7U1 OWNER N?.ME �(ttv P ti0 E 1, % Off/ ,�• E-N,A L "e 'l �,(�,� STREE'"iADT DRESS •`] l CIY, STATE,Z11? (L71 JL �F.A` 1 Q c0 r.CT PuF 1�7q,�� -r�/�` Px01\m4og'1S'S1 r2r7&t STP TADDRESS CITY, ZIP FAX D 2 qq eoWNER 13 OIT--R-BUILDER 0AWERAGEN7 1:1 CON7PACrOR 0-CON'3?4CTORAGEN7 WrICTCT ❑ENGDITER ❑ DFVELOPE.n ❑ rXA_N*r C0N7AAC7OR NAME I LICENSE NUI:BER LICENSE TYPE BUS.LIC COMPANY NAIVE E-MAA FA ST BEET ADDRESS CITY,STATE,ZIP PHONE ARCIUIECTFENGINZERNA F � ` LICENSE NUMBER BUS.LIC: COMPANY NAME ` u ^ ^ ATE-MAIL}�_'C A �n �I a�a/ __a FAX O STREET ADDRES Wil �f! I CITY,STATE,ZIP � V �� o �✓I I PHONE Q DESCRIPTION OF WORK 1G `� ^ v ' A i `L +W C k) L) E Su LL EYCSi1?` D PROPOS'- USE Col.;TF T�L' PE STORMS USE TYPE OCC. SQ.FT. VALUATION(S) EXIST�`� NEW FL00 DE1,40 OTAL AREA / O AREA AREA � � At f AREA (21 V V ✓ SSS (� v o BA REMODEL AR.A REMODEL AREA RD✓ODEL AREA POR AOTALDECI:/PORCHAREA GARAGE.4REA: DETACH r DArS.LIh'G rNIT YES SECO' BEING ADDED. A DITION" ❑NO �R?'-A-PPLiedAON -�'€5 nIAY TOTAL VALUATION: PL'um\ ES GA-°Pn _ n EICHL£R50. RM 2 ops By my signature belo-,v,I certify to each of the following: I am the property mvner or authorized agent tolInt on the 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 buil ing Q:stLuciioa- ize representatives of Cupe:,ino to enter the above-identified pmperyY for inspection purposes. Signature of Appl icant/Agcnt: , Date: SUPPLEMENTAL TNFO. TION UIRED R_ - Q - '�New SFD or?\Qultifamily dwellings: Apply for demolition permit for �© o«�coul.TEiz � mg:'Bu�L\oPL�rEk�u�� existing buildirg(s). Demolition permit is required prior to issuance of building ", _ s permit for new building. E.1PR S y t SLgNRIIGPLiFES1Ei3'w . _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure i sr nAzzD a SUB lc�{olus aa� form if any Hazardous Materials are being used as part of this project. _Copy cf Planning Approval Letter or Meeting with Planning prior to I11A70R� ❑ �ANIT�RISEIRDISTRICI� submittal ofBuildinZ Permit application. � X 55 s v =r `� - xE:Qi'IROT�"I�4EI`T.AI.HEAITFi_-_��s. B1d&4pp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION WPERMIT DDRESS: 20700 stevens creek blvd DATE: 08/19/2014 REVIEWED BY: larrys PN: BP#: ®� *VALUATION: $25,000 PE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY 7PENTAMATIONUSE: Commercial Building MIT TYPE: 1 B TI WORK new tennant improvement for new photo s udio. new ceiling height and walls for studios relocate SCOPE existing air registers and light fixtures,add additional registers, and air ducts, new floor/wall finishes. OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. s.f. B (Tenant Improvements) II-B,III-B,IV,V-B 760 $2,123.30 IBTIPLNCK $929.80 IBTIINSP TOTALS: 760 $2,123.30 $929.80 MECH,HOURLY Q Yes (j) No PLUMB, HOURLY Q Yes Q No ELEC,HOURLY Q Yes Q No 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 De t or addn'l info. FEE ITEMS (Fee Resolution II-053 E�"/ 71,13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,123.30 Select a Misc Bldg/Structure Suppl. PC Fee: Q Reg. © OT O.Q hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $929.80 Suppl. Insp. Fee:Q Reg. Q OT 1 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 T_T_ 0 Work Without Permit? 0 Yes (2) No $0.00 E) Advanced Plannin Fee: $0.00 Select a Non-Residential G Building or Structure 0 Strom, Motion Fee: IBSEISMICO $7.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $3,061.10 $0.00 TOTAL FEE: f $3,061.10 Revised: 07/1012014