The URL can be used to link to this page

14040109 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10100 N TANTAU AVE CONTRACTOR:NOVO CONSTRUCTION PERMIT NO: 14040109 OWNER'S NAME: CUPERTINO GATEWAY PARTNERS LLC 1460 O'BRIEN DR DATE ISSUED:05/14/2014 OWNER'S PHONE: 4153854476 MENLO PARK,CA 94025 PHONE NO:(650)701-1500 ❑ �/'� LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL ❑ T APPLE T.I. TO RECONFIGURE(E)LAB AREA WITH(N) License Class—--)->!,,— Lic.# � �0a a FLOW HOOD Contractor n1aV0 Cis-E,1 Date �'�� 6/30/2014-REVISION#1-ALTERNATE MATERIAL AND MATERIALS-TO I hereby affirm that I am licensed under the provisi0 s of Chapter 9 USE A DRY CHEMICAL FIRE SUPPRESSION SYSTEM--ISSD 7/16/2014 (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 performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$75000 ve 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:31619061.10100 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMITE IRES IF WORK IS NOT STARTED correct.l agree to comply with all city and county ordinances and state laws relating WITHIN 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 DAY LAST LAST 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 Pe Cupertino Municipal Code,Section 9.18. i>/ *41 RE-ROOFS: Signature .li � `-_ 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 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). 1 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 1 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 1 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 25505533,arl25534. {y Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: _Date: permit is issued. ' L 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 LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,I must f 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 1 have read this application and state that the above information is correct. 1 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. - Date CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10100 N TANTAU AVE CONTRACTOR:NOVO CONSTRUCTION PERMIT NO: 14040109 OWNER'S NAME: CUPERTINO GATEWAY PARTNERS LLC 1460 O'BRIEN DR DATE ISSUED:05/14/2014 OWNER'S PHONE: 4153854476 MENLO PARK,CA 94025 PHONE NO:(650)701-1500 ❑14AO LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL ❑ _ APPLE T.I. TO RECONFIGURE(E) LAB AREA WITH(N) License Class__ Lic.#ff FLOW HOOD Contractor M O V r� Cor S��H e.i,11r Date 5 f �y 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 performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$75000 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 APN Number:31619061.10100 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 , to building construction,and hereby authorize representatives of this city to enter WITHIN tfO DAYS OF PERMIT ISSUANCE OR upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS'FR/QM LAST 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 /� L �� granting of this permit. Additionally,the applicant understands and will comply Issued by: � Date: with all non-point source regulations per,)he Cupertino Municipal Code,Section lig 9.18. r ' G / �� RE-ROOFS: Signature s _�.,- ,%` Date J 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 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) 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 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 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 25534. Section 3700 of the Labor Code,for the performance of the work for which this .� �7 permit is issued. Owner or authorized agent: =vim Date: 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,1 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 `D CONSTRUCTION PERMIT APPLICATION O COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•building o)cugertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS O DV 0-1801611 ` 1 1 71PN# 3 1 0 _ 1� _ 6,�( ! (O 1 OWNER NAME Q l WAS► r CV,). PIN- 3�� if E-MAIL t C 33 STREET ADDRESSCITY, STATE,ZIP FAX U t it rf I - an SAW rgAtIcITC,0 G4 4 i 1 t CONTACT NAME PHON E-MAIL 1JIt, 7�t�-F o8 S�-8383. AJI r ,AJ 6y POLoyN. cows STREET ADDRESS DRESS �� W CITY,STATE,ZIP �� FAX r� ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT 2� ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME ) l 0. r LICENSE NUMBERLICENSE TYPE ia BUS.LIC#o2 3 COMPANY NAME G E-MAIL FAX NOVO ComTkIlcTloo 0 W ot-SY@ kWej 0 ST24G I oN. om STREET ADDRESS CITY,STATE,ZIP PHON l L= Lo R q10,25, 6 v 0 ARCHITECT/ENGINEER NAME STEL E LICENSE NUMBER BUS.LIC# COMPANYN ME E-MAIL FAX 1 L ("ff C'TS K@ 1WT (-:Y POL CYQ.OotA STREET ADDRESS CITY,STATZIP HO E E L e SAN056 a 5/a `IS-7-8363 DESCRIPTION OF WORK -ZEW /6r1#PE LAR Rg C CS Ow O EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES �/ /IR LQR V,8 I USE TYPE OCC. SQ.FT. VALUATION(S) AREA c•F'� NEW FLOOR DEMO TOTAL V n �� -75 Oov AREA AREA AREA NET AREA �I•JC BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: 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 IS THE BLDG AN []YES CEIVED TOTAL VALUATION: PLANNING APDL# []NO PLANNING APPROVAL LETTER EICHLER HOME? ❑N d By my signature below,I certify to each of the following: I am the property owner or autho' agent n the property owner's behalf. I have reaa this application and the information I have provided is correct. I have re d the Description of Work and verify itis accurate. 1 agree to comply with all applicable local ordinances and state laws relating nstruction. �aur epresentatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: L L SUPPLEM TAL INFOYAATION 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 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 ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH B1dgApp_201 Ldoc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 10100 N TANTAU AVE DATE: 04/17/2014 REVIEWED BY: MELISSA APN: 316 19 061 BP#: `VALUATION: 1$75,000 PERMIT TYPE: Building PermitPLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 1B TI USE: PERMIT TYPE: WORK APPLE T.I. TO RECONFIGURE E LAB AREA WITH N FLOW HOOD SCOPE 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 275 $2,036.00 IBTIPLNCK $571.00 IBTIIVSP TOTALS: 275 $2,036.00 $571.00 MECH,HOURLY 0 Yes (j) No PLUMB,HOURLY Q Yes (F) No ELEC,HOURLY Q Yes Q No E17- 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 for addn'1 info. FEE ITEMS(Fee Resolution 11-053 Eff 7,,11`13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,036.00 Select a Misc Bldg/Structure Suppl. PC Fee: Q Ptg. 0 OT0,0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $571.00 Suppl. Insp. Fee:Q 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 (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential E) Building or Structure 0 Strong Motion Fee: IBSEISMICO $15.75 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $3.00 SUBTOTALS: 1 $2,625.751 $0.00 TOTAL FEE: $2,625.75 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: /;,� q� Af `— PERMIT# q0 Y U ( 4 OWNER'S NAME: Ap ,&r— PHONE# Co . GENERAL CONTRACTOR: ,A/olo CV►-s Tr BUSIlVESS LICENSE# 2S8f ADDRESS: lip () CITY/ZIPCODE: M P jyoz *Our municipal code requires all businesses working 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: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum/Wood Glass/ Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Py r P Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock MAG y n u— 02/ Tile 41-/7- l41 Owner "Con Signature Date ALTERNATE MATERIALS AND METHODS / MODIFICATION FORM COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 Is (408)777-3228• FAX(408)777-3333•building6Dcupertino.orq CUPERTINO ❑ REQUEST FOR MODIFICATION OF CODE(CBC 104.10) ❑ REQUEST FOR ALTERNATE MATERIAL,DESIGN OR METHOD OF CONSTRUCTION (CBC 104.11,CFC 111.2.4) To apply for,this request,complete sections 1,2,&3(ink ortype) SITE ADDRESSI� I OO JJ a �p, APN DATE Owner. !. ..I�.....) ................................. ......................................................... PC#: ..................................... Type: ...... Address....,.....yl�.�t�.l ........ D 0 ................... .... ................... .. ....................... Permit#: ..�.y..4.�...�............ Stories: .....I............................. Email..Plle.v+...... .........Phone.. �.��'..�.81J'.�.73� , PLN#: / p ................................... Occupancy:...U.7.R.............. 'I-".or, Dept./Div................................ Floor Area:............................. Applicant.l��!Rv!^...!�t.�Ct...... ............................Title... 4..... rl!�0. . . Address... ........tl��.. ... f Job Status: ............................ Occ.Load: ............................. ........ ... rt. . ......................................................................... Email.fJ$44 .. . �� W9U7 S�!�^ r►1 ,(� ' G . GD......... Use of Bldg:............................ ......... ... hone.............. 2 REQUEST: For code modifications,please state the applicable code requirement and the extent of relief desired. For altemate requests,state the type of system proposed and design methods. Submit plans if necessary to illustrate request. Additional sheets or data may be attached. LAM O2 . ' I I L,-,e s 3 JUSTIFICATION/FINDINGS OF EQUIVALENCY: For code modifications,applicant shall demonstrate that Code Section(s): special,individual reasons exist that make compliance with the strict letter of the ordinance Impractical and that G� g equivalency is provided. For alternate requests,applicant shall demonstrate suitability,strength,effectiveness,fire G1 �03�l of IQy 8 resistance,durability,safety and sanitation that is equivalent to the code for a similar use. Attach additional sheets if necessary. Z34 v/Yl N Petitioners B : ........, . :...7.�1ll..'.�...T[[. ...Reviewed Si nature: /�f ......................Date The Request is: ❑ GRANTED ❑ DENIED I Dept.Comments: CONDITIONS OF APPROVAL: No.of Items: .................................... FeeDue:$........................................ Date Paid: ........................................ Receipt No.: .................................... Processed by: .................................. BuildingOfficial:.......................................... ............Print:....................................................................................Date:................................... FireMarshal:................................................................................Print: .........................................................................Date:................................... DEPARTMENT ACTION: After determination,copies to:1)applicant, 2)permit file Altform 2010.doc revised 04/06/10