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13120193 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19333 VALLCO PKWY CONTRACTOR:DEVCON PERMIT NO: 13120193 CONSTRUCTION INC OWNER'S NAME: APPLE INC 690 GIBRALTAR DR DATE ISSUED:04/08/2014 OWNER'S PHONE: 4089961010 MILPITAS,CA 95035 PHONE NO:(408)942-8200 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL APPLE T.I. TO RECONFIGURE (E)OFFICE SPACE ON LicenseClass r! Lia# �jyy/41-�j BOTH Contractor D.,evec✓A LA-;k— Date - ( / FLOORS OF BLDG A & C&2ND FLOOR ONLY ON BLDG B I hereby affirm that I am licensed under the provisions of Chapter 9 REVISION#3-ADDITION OF EXTERIOR STAIRS PER FIRE (commencing with Section 7000)of Division 3 of the Business&Professions DEPT.REQUIREMENTS- ISSD OTC 7/1/2014 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:$10000000 I have and will maintain Worker's Compensation Insurance,as provided for by ction 3700 of the Labor Code,for the performance of the work for which this AYN Number:31620075.00 Occupancy Type: pe mit 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.1 agree to comply with all city and county ordinances and state laws relating WITHIN 180 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 FRbM LA (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: � w Date.q''l with all non-point source re ulations per the Cu ertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date 7 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 l 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. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.I2 and the declarations: Health&Safety Code,Section 25532(a)should l 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 1 have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sectio505, 34. Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Owner or authorized agent: �7 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 Worket'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 1 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: 19333 VALLCO PKWY CONTRACTOR:DEVCON PERMIT NO: 13120193 CONSTRUCTION INC OWNER'S NAME: APPLE INC 690 GIBRALTAR DR DATE ISSUED:04/08/2014 OWNER'S PHONE: 4089961010 MILPITAS,CA 95035 PHONE NO:(408)942-8200 - LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL ❑ r� APPLE T.I.TO RECONFIGURE (E)OFFICE SPACE ON License Class CA (1c- Lic.# �� BOTH FLOORS OF BLDG A& C&2ND FLOOR ONLY ON BLDG B Contractor veer „��_ Date © REV#4-INSTALL 414 S.F. CANOPY AT REAR EQUIPMENT I hereby affirm that I am licensed under the provisions of Chapter 9 YARD BLDG C-ISSUED 7/30/14 (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:510000000 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:31620075.00 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 180 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 DAYS + 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 a nt understands and will comply with all non-point source re io r th pertino Municipal Code,Section IZ RE-ROOFS: Signature - Date fl 1� All roofs shall bei ected 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), 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 Cupert' o Mu33_mcial Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sectio ,25; +'0`5534. �J Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date: / 1 permit is issued. r 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 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 PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION ts 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 CUPERTIhlO (408) 777-3228• FAX(408)777-3333 • building aQQcunertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI REVISION/DEFERRED ORIGII.IAL PERMIT 9 PROJECTADDRESS Iq V 11(6 P\) APN X I 3',Y^ ^O „-7- `v OWNER NAME {L-_ 1/\ C PHONE l��'1ol -J��� E-MAIL �1MC��L STREET ADDRESS fCITY, ST-ATE,ZIP FAX ` v1• !7 (/ �� C CONTACT NAME �i PHONE ,` ©©-q1 -5q 5' E-MAIL �Wto+�G Q 0- STREETADDRESS CITY,STATE, ZIP FAX 4Z'W`ER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME '/ I LICENSE NUMBER LICENSE TYPE BL'S.LIC R COMPANY NAME --Y/,+�_ \ �GN E-MAIL �;r w'K I FAX Ot4(J N d-Z v c t v1-iGvt`��• cr STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC k COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK Add 1 tee✓) -1 i/C ev S I C, -- V C, ✓GlI �� l l?VYI� ��D.1 ,n _,,(/,C EXISTING USIE PROPOSED USE CONSTR.TYPE STORIES (1- Z USE TYPE OCC. SQ.FT. VALUATION(£) EXISTG NEW FLOOR DEMO TOTAL 2 AREA 9,U-S'� AREA AREA NET AREA e�� C I -) �'� . C 113 O C,I (--�0 BATHROOM „,,,,,,,���••• KITCHEN ���^^^ OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKTORCH AREA GARAGE AREA: DETACH ❑ATTACH DWELLING UNITS: ISA SECOND UNIT ❑YES SECOND STORY ❑TES ' BEING ADDED! ❑NO ADDITION? ❑NO fly ----- PRE-A-PPLIC.ATiON ❑1'ES----IF YES,PROVIDE-COPY OF -__ _IS-THE BLDGAN__._ ❑YES RECEIVED BY TOTAL VALUATION: PLANNING APPL9 F-]NO PLAN'QIIQG APPROVAL LETTER EICHLER HOME? NO j - - -- ”----- - ---- --- -- �r By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provid�iscot. I have read Description ofWork and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buildinn. I au Ize r resentatives of Cupertino to enter the above entified property for inspection purposes. Signature of Applicant/Agent: Date: .7 f SUPPLEMENTAL IN ORvIATION REQUIRED -rLa cIiECK:r1PE xouTL�G"SLIP New SFD or Multifamily d-wellings: Apply for demolition permit for ,h r O\'ER THEJ. OUNTER ❑.BUIL�IriG PL T�REFTEW existing building(s). Demolition permit is required prior to issuance of building 7 permit for new building. E>�REss ❑ PIANRI�GPLl7�REi7EW _Commercial Bides: Provide a completed Hazardous Materials Disclosure sTA1.nA n PiJBLICti oRxs 1_ x form if an Hazardous Materials are being used as art of this project. tt Y ., P P 1 I] I•ARGFr,� � ❑ FIRE DEPT z _Copy of Planning Approval Letter or Meeting with Planning prior to bIA70R�,- �.SA-I�iTARI SER�RDISTRTCT submittal of Building Permit application. - �:�EA'17R0)\TIENT.4L`HEALTFI'�. :`,. Bld,-App_201 Ldoc revised 06/21/11 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19333 VALLCO PKWY CONTRACTOR:DEVCON PERMIT NO: 13120193 CONSTRUCTION INC OWNER'S NAME: APPLE INC 690 GIBRALTAR DR DATE ISSUED:04/08/2014 OWNER'S PHONE: 4089961010 MILPITAS,CA 95035 PHONE NO:(408)942-8200 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL 0 APPLE T.I.TO RECONFIGURE(E) OFFICE SPACE ON License Class '-A C-7 C- Lic.# �j�r7�� 3 BOTH FLOORS OF BLDG A& C&2ND FLOOR Contractor lkv cx­� 61VA134-r wt c-Date 0_ _t 1 ONLY ON BLDG B I hereby affirm that I am licensed under the provisions of Chapter 9 REVISION#2-ADDED CHILLER TO BLDG A IN ORDER (commencing with Section 7000)of Division 3 of the Business&Professions TO SERVE LAB,MINOR CEILING CHANGE IN 1ST FLOOR Code and that my license is in full force and effect. LAB-ISSUED 6/4/14 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:$10000000 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:31620075.00 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 180 DA 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 ) DA 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 granting of this permit. Additionally,the applicant understands and willcom ssued Date: with all non-poi s egulations per upertino Municipal Code,Sec ion 9.18. RE-ROOFS: Signature Date 6, 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(See 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 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 I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Muuicipa Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Secti ,25533 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: �' Date: f permit is issued. 1 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,[ 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 1 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. Date CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION Of 4A 1B 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX(4D8)777-3333• buildinana c ra CUPERTINO ❑NEW CONSTRUCTION ❑ ADDITION ❑ALTERATION/TI REVISI FERRED ORiOIIN?4L PERMIT 4 PROJECT.ADDRESS 1,1313 OSVNERNA.ME PHO?� (� Q, [j E-MAIL 171'irij-.ccVj'l STREET ADDRESS ! ) CITY, STATE,ZIP ! FAX 12 h Hi G v CONTACT NAME ( PHOT EE-A4A.IL k( Pj''jZ-q�51p k . Qc�l�VU'N-Cr„ GGM STREET ADDRESS 'tw Or— CITY,STATE, ZIP I FAX 13 OWNER ❑ OWNER-BUILDER C3.OWI._RAGE>\`T ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑EHGA*EER ❑ DEVELOPER ❑ TENANT COIN-TRACTOR NAME LICENSE NUVBER 1 LICENSE TYPE BUS.LI3911 Lo-3 C4 C- C m COMPANY NAME ( E-MAIL1y I F.kx � Cd ,� Cw��� N C• V ,wA-C[NS CC S-1TREET ADDRESS CITY,STATE,ZIP PHONE 6-10 C-) _� I �. �I �Iu"), u0�-?12-10 Sip ARCHITECT E N'GI NEER NA_\4E I LICENSE NUMBER BUS.LIC k COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP I PHONE DESCRIPTION OF WORK / 1 f Lnw..Q.-.. .� r+ �V�l cl I K V r . EXISTING USE PROPOSED USE CONSTR.TYPE n STORIES USE TYPE OCC. SQ.FT, VALUATION(5) 11. AREA rxlsTG / NEW / DAREA / NET AREA O TOTAL ' I �0 BATHROOM KITCHEN OTHER REMODEL AREA � REMODEL AREA / REMODEL AREA •��- PORCH ARE.g. DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH / ,r l [3 ATTACH m DR TELLING UNITS: ISA SECOND UNIT []ITS SECOND STORY ❑Y'ES BET.NG ADDED? ❑NO ADDITION? ❑NO --PRE-APPLICATION-{1'FS Its=tS,3ROS%IDE�OP1'_OF _IS�HE BLDG A.N _�1 tS A ED` - TOT.41,Y�4LUATI0NI: PLAN*NINGA.PPL: MNo PL.4\T'I3N1GAPPROVAL LETT ER EICHLERHOME? ❑NO - �c9 By my signature below,I certify to each of the following: I am the property owner or authorized anent act on t rer's behalf, I have read this application and the information I have provided' ect.,, ve read.the Description of Work and v Is accurate. I agree to col with all applicable local ordinances and state Izws relating to buildin OIs ,. i au�kt6rize representatives 6 Cupertino to enter the abovL identifie pro e,ty for' , eciion purposes. Signature of Applicant/Agent: Date: � ` SUPPLEMENTALINFORMATION I& UIRED NTew SFD or dwellings: Apply for demolition permit for 4,3iJII.�I1tcPim eaistin;buil-ding(s). Demolition permit is required prier to issuance of building wg - 4Mle permit for new building. ;O�ri ht ' _Commercial BIdgs: Provide a completed Hazardous Materials Disclosure -iff�I DARDS sLlc oRl s a f form if any Hazardous Materials are being used as part of this project. _Copy of Planning Approval Letter or Meeting with Planning prior to Db1A�70Rr + ^iTARSESSR DISTRICT submittal ofBuilding Permit application. E Q�IROnT4ENTAI B1d&4pp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: DATE: REVIEWED BY: APN: BP#: VALUATION: $100,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION USE: PERMIT TYPE: WORK revision #3 SCOPE NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works, Fire,Sanitary Sewer District,School District,etc. . Theseees are based on the preliminary information available and are onl an estimate. Contact the De t or addn't info. FEE ITEMS (Fee Resolution 11-053 Q' 7%1i131 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure Suppl. PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:) Reg. © OT [j:fl hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? ® Yes Q No $0.00 G Advanced Plannin& Fee: $0.00 Select a Non-Residential G Building or Structure 0 i Strom Motion Fee: IBSEISMICO $21.00 1 # Revisions Bldg Stds Commission Fee: IBCBSC $4.00 $834.00 IREVCOMTI Tenant Improvement SUBTOTALS: $25.00 $834.00 TOTAL FEE: $859.00 Revised: 07/0112014 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19333 VALLCO PKWY CONTRACTOR:DEVCON PERMIT NO: 13120193 CONSTRUCTION INC OWNER'S NAME: APPLE INC 690 GIBRALTAR DR DATE ISSUED:04/08/2014 OWNER'S PHONE: 4089961010 MILPITAS,CA 95035 PHONE NO:(408)942-8200 CZ— LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL ❑ APPLE T.I. TO RECONFIGURE(E)OFFICE SPACE ON License Class CA� G1 L Lic.# 9"/0 5 BOTH Contractor (0,44 Date FLOORS OF BLDG A&C &2ND FLOOR ONLY ON BLDG B �j�J[,rjM, '1 1 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. 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:$10000000 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:31620075.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certifv that I 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 1OF 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,=DS LAST CALLED INSPEC�T�N. indemnify and keep harmless the City of Cupertino against liabilities,judgments, r 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: 1 with all non-point source regu ations p upertino 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: 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) 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. 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 Cupertino Municipal Code,Chapter 9.12 and 1 have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: 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 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, 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 PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 \ CUPERT1NO (408)777-3228•FAX(408)777-3333•building(a cupertino.orcl ❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# 312 oaq 3 PROJECT ADDRESS 195;33 9 5�2 j/� APN# Zo 0 OWNER NAME A �,e, Jfi PHONE oe) — 1010 E-MAIL STREET ADDRESS �, CITY, STATE,ZIP r ^�I FAX CONTACT NAME (I Vi rl l PHONE 802)-+0 • -2245 E-MAIL '�µ�.I,f `, 1�tY�"•�� STREET ADDRESS 1 '�. F• CITY,STATE, ZIP ` ) FAX C. I 4Y �{1 •1 WNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME vi r �rV I ki LICENSE NUMBER 3+qri r 3 LICENSE TYPE_ �G BUS.LIC# `I o(o o ]2- STREET COMPANY NAME S�CVCCi✓1 �Y1�7�►'(/(J'�C�j'I �C_ E-MAIL Y , rWI V� (�evar,-ccA,,, a,m FAX ;J`6-Vii(_g-23' ADDRESS • I ✓ .Yrs CITY,STATE,ZIP 1 I; [ r_35 PHONE' q,�GvlO�r� J�6 ARCIBTECT GINEER NAME fA IVB LICENSE NUMBER J� BUS.LIC If COMPANY NAME +E-MAIL'Se, FAX -_4v4 ,,STREET ADDRESS STATE,ZIPn �" _t�� PHONE �� DESCRIPTION OF WORK ^� (I e w t �u s �� �r r � �✓ � `s -� l�1 �,r~ _o �f I [ i `ICC v` C' I i 1 lM C's C{� �- 5i Jk v rd�W-S oil` � ✓�tGtl�-r �'/!.rLl TL EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES b 1 !1 —3 B i /► 3 11 - g 2 USE TYPE OCC. SQ.FT. VALUATION($) EXISTG /T NEW FLOOR `'t DEMO TOTAL II AREA 22,Q{iG AREA Q AREA Q NET AREA 232,&{5 BATHROOM J KITCHEN OTHER REMODEL AREA © REMODEL AREA REMODEL AREA O PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: LJDETACH d 0 O []ATTACH #DWELLING UNITS. IS A SECOND UNIT ❑YES SECOND STORY []YES 0 BEING ADDED? iC 0 ADDITION? �NO PRE-APPLICATION El YES IF YES,PROVIDE COPY OF IS IS THE BLDG AN ❑YES TOTAL VALUATION: PLANNING ADPL# aN0 PLANNING APPROVAL LEVER IS THE B HOME? l YE By my signature below,I certify to each of the following: I am the property owner or authorized ag ct on the owner's behalf. I have read this application and the information I have provided is correct. 1 ha d the Description of Work and verify it is a I agree to comply with al I applicable local ordinances and state laws relating to buil structi0 orize representatives of Cupertino to enter the a ve-ideJntified p operty for inspection purposes. Signature of Applicant/Agent: Date: ( 2 /�o 3 SUPPLEMENTAL INFORMATION 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_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 19333 VALLCO PKWY DATE: 12/23/2013 REVIEWED BY: MELISSA APN: 316 20 076 BP#: 13120093(TI PREP) 'VALUATION: 1$10,000,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building ___[PERMITTYIE: 1B TI USE: PERMIT TYPE: WORK APPLE T.I. TO RECONFIGLIRE E OFFICE SPACE ON BOTH FLOORS OF BLDG A & C &2ND SCOPE FLOOR ONLY ON BLDG B 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 232,045 $25,580.42 IBTIPLNCK $90,890.36 1BTHNSP TOTALS: 232,045 $25,580.42 $90,890.36 'MEC,H,HOURLY Q Yes Q No PLUMB,HOURLY Q Yes (F) No ELEC,HOURLY 0 Yes Q lvo ()tll i f ch, Li El , �7t,,, 1 r.. ,.art r'r�c;z I cc NOTE.This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,eta). Thesefees are based on the prelimina information available and are only an estimate. Contact the Dept/or addn'1 info, FEE ITEMS (Fee Resolution 11-053 a.' 7/1/131 FEE QTY/FEE MISC ITEMS Plan Check Fee: $25,580.42 Select a Misc Bldg/Structure Suppl. PC Fee: Q Reg. Q OT0.0 1 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $90,890.36 Suppl. Insp. Feer Reg. Q OT [0701hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 t.li1L�IPttl ttOt? J;.Y: 0 Work Without Permit? 0 Yes 0 No $0.00 E) Advanced Planning Fee: $0.00 Select a Non-Residential Building or Structure Strong Motion Fee: IBSEISMICO $2,100.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $400.00 SUBTOTALS' 18,970.78 $0.00 TOTAL IFEEi: $118,970.78 Revised: 10/01/2013 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 19333 vallco pkwy DATE: 07/30/2014 REVIEWED BY: melissa APA N: 316 20 076 BP#: 13120193 VALUATION: Iso 'PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial Building PENTAMATION 1GENCOM USE: PERMIT TYPE: WORK REV#4 - INSTALL 414 S.F. CANOPY AT REAR EQUIPMENT YARD BLDG C - ISSUED 7/30/14 SCOPE 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 preliminary information available and are only an estimate. Contact the Detor addn'l in o. FEE ITEMS (Pee Resolution 11-053 P'711:'131 FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes Q No $0.00 1 hours Plan Check, Hourly Suppl. PC Fee: (F) Reg. 0 OT0.0 hrs $0.00 $143.00 ISTPLNCK PME Plan Check: $0.00 Permit Fee: Hourly Only? ®Yes Q No $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? 0 Yes (j) No $0.00 G Advanced Plannin-1 Fee: $0.00 Select a Non-Residential E) Building or Structure i Strom. Motion Fee: $0.00 1.0 hrs Inspections Bldg Stds Commission Fee; $0.00 $143.00 ISTINSP Inspection, Hourly SUBTOTALS: $0.00 $286.00 TOTAL FEE: $286.00 Revised: 0 711 012 01 4 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19333 VALLCO PKWY CONTRACTOR:DEVCON PERMIT NO: 13120193 CONSTRUCTION INC OWNER'S NAME: APPLE INC 690 GIBRALTAR DR DATE ISSUED:04/08/2014 OWNER'S PHONE: 4089961010 MILPITAS,CA 95035 PHONE NO:(408)942-8200 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL ❑ APPLE T.I. TO RECONFIGURE (E)OFFICE SPACE ON License Class C"1C-7C- Lic.# BOTH r FLOORS OF BLDG A & C&2ND FLOOR ONLY ON BLDG B Contractor �wLc n f,s Date 23 REV# 1 -REMOVE ALT. MAT/METH. FOR 2013 CBC I hereby affirm that I am licensed tinder the provisions of Chapter 9 OCCUPANCY WIDTH& REVERT BACK TO 2010 CBC (commencing with Section 7000)of Division 3 of the Business&Professions REQ'S&REVISE EGRESS PLANS. ADD FUTURE DEF. SUB. Code and that my license is in full force and effect. FOR(N)EXT.STAIR @,BLDG B-ISSUED 4/23/14 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:$10000000 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:31620075.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 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 180 DAYS 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 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 granting of this permit. Additionally,the applicant understands and will comply Issued Date: with all non-point source regulations per the itino Municipal Code,Section 9.18. �2 Ry r ROOFS: Signature - y- '--- Date �J All roofs shall be ins ted prior to any rooting 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) I,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. 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 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 5505 5533 an 4. Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. �� 2 I Owner or authorized agent: Date: 3 `f 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,t must l 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 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 PERMIT APPLICATION 12 COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE• CUPERTINO, CA 95D14-3255 To B CUPERTlNO (408)777-3228• FAX (408)777-3333• buildingQcupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI REVISION/DEFERRED ORIGINAL PERMIT k i 3 + 2 6 1 C 3 PROJECT ADDRESS 1(,i 1 2 1 0/� I'`G APN# I ' _ (,^9—! OWNER NAME PHONE E-MAIL b 409) STREET ADDRESS r ii CITY, STATE,ZIP � FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS �N-�� � CITY,STATE, ZIP CA- FAX I �" .OWNER ❑ OWNER-BU[LLDER 13OWNER AGENT 13CONTRACTOR ❑CONTRACTOR AGENT 11ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME + LICENSE NUMBER ��C LICENSE TYPE BUS.LIC k +✓� C ( CnU COMPANY NAME E-MAIL �,wb� �VCziA :TSF�m PAT i g -1l2-g8 j(v ✓LCA �; STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECT ENGINEER NAMEit-T LICENSE NUMBER BUS.LIC# Uo►�s COMPANY NAME C yt,.(� E-MAIL G We r y��j�/� S�tl►t%S- LC FAX STREET ADDRESS CITY,STATE,ZIP PHONE �65���;�.c� �} SW;� �Li'�Pj �� t-rc C .: c DESCRIPTION OF WORK ( - { - talLt CIGt;! G.v44 ✓t✓"C"ad EXISTINGUSE 76; POSED USE CONSTR TYPE TORIES �t'y _t r 4 `m1 le% -1_ SFLOORUSE TYPE OCC. SQ.FT. VALUATION($) EXISTG i NEW DEMO "",,�� TOTAL AREA ';�, Y Z AREA AREA p NET AREA 13c,0-b BATHROOM KITCHEN / OTHER REMODEL AREA REMODEL AREA REMODEL.AREA PORCH AREA DECK AREATOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ATTACH k DWELLING UNITS: IS A SECOND UNIT OYES SECOND STORY OYES BEING ADDED? ❑NO ADDITION? ONO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES .REC BY,z TOTAL VALUATION: PLANNINGAPPL# ONO PLANTING APPROVAL LETTER EICHLERHOME? 0N By my signature below,I certify to each of the following: I am the property owner or au Ize t to act o operty oNaier's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and veri accurate. I agree to comply with all applicable local ordinances and state laws relating to buildillk construction. la presentatives of Cupertino to enter the above-identified p pe for inspection purposes. Signature of Applicant/Agent: _ Date: -I '� SUPPLEMENTAL INFORMATION REQUIRED PLANcicxTYrE ; •Rouirnc site New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building ovER THE CotINTER ❑ BUILDING PLAN REviEw permit for new building. ❑;;EaPRESS ❑ PLANI,VINGPLAN RENREW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ g p STANDARD ❑ PUBLICIAORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE` El FIRE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to submittal Of Building Permit application. ❑'nIAJOIt ,'; ❑ SANITARYSENERDISTPJCT ' •❑ ENVIRONMENTAL:HEALTH, BIdgApp_2011.doc revised 06/21/11 v CONSTRUCTION PERMIT APPLICATION ' COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228• FAX(408) 777-3333• building c(D.cupertino.orr ' �,�Z6( q3 ❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI M REVISION/DEFERRED ORIGINAL PERMIT q 3 ,/ U # PROJECT ADDRESS 33 • AU-CO 1 KA 1/ APN# OWNER NAME >f�`�rl)�o 3+ G. PHONE Ljob„1^1�4�_ wj9'OCtiIE-MAIL STREET ADDRESS CITY, STATE,ZIP FAX -7 CONTACT NAME 4 1 n/t lO•y�o f PHONE j4(,6-q7q .��PAvfJ.-� E-MAIL li`m IIC-f C as���L.� G4C*1 STREET ADDRESS j i_ F10 i. t- �P. CITY,STATE,-ZIIP V&-�n�1d_f, r-+ /L FAX 'ANWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT N❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME �'.pViIJ �tzwt4 LICENSE NUMBER�9�1�3 LICENSSETTY E BUS LIC# 11O(xb COMPANY NAME �KKV(xt +b( _Ijs.-' f.N IG E-MAIL L`,Y VLCA-toA 51'L(•jm FAX U STREET ADDRESS �_�'},� G7' rAW��k� CITY,STATE,ZI`P ��1NSI t-l-T PHONE qq.,-71Z-g85CI ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS LIC 9 COMPANY NAME E-MAIL FAX STREET ADDRESS A CITY,STATE,ZIP t PHONE DESCRIPTION OF WORK I1 1 G�'I1� � L k `N Grb y it -ad�� J� i r I L6. WA-Cr cAAe, �n g— tf, t, {-'bar i VST wv- 1 .6 61t.5 lR1,M01L EXISTING USEPROPOSED USE CONSTR TYPE #STORIES Q l� �b „[` � 1 1A6 12 USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA 00, QOo BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA 'DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ATTACH #DWELLING UNITS. ISASECOND UNIT ❑YES SECONDSTORY YES BEING ADDED? ❑NO ADDITION? ❑NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVED TOTAL VALUA PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO By my signature below,I certify to each of the following: I am the property owner or authorize7agent%t&ectlorn 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 verity it is accurate. I agree to comply with all applicable local ordinances and state laws relating to b i construe authorize representatives of Cupertino to enter the above-i entt, ed pr e for inspection purposes. Signature of Applicant/Agent Date: SUPPLEMENTAL INFORMATION REQUIRED P cHECKTYPE OUTING SLIP New SFD Or Multifamily dwellings: Apply for demolition permit for OVER-THE-COUNTERBUILDING 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 ❑ P CWORKS form if any Hazardous Materials are being used as part of this project. El LARGE FIRE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. ❑ MAJOR ❑ SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 19333 vallco pkwy DATE: 05/28/2014 REVIEWED BY: Mendez APN: BP#: "VALUATION: 1$10,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION USE: PERMIT TYPE: WORK REVISION #2-ADDED CHILLER TO BLDG AIN ORDER TO SERVE LAB MINOR CEILING SCOPE CHANGE IN 1ST FLOOR LAB- ISSD OTC 5/28/2014 Ll Ll NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). Theseees are based on the preliminar information available and are only an estimate. Contact the Dept-for addn7 info. FEE ITEMS (F-ee Resolution 11-053Ef. 7%11131 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure Suppl. PC Fee: E) Reg. 0 OT 0.0 hrs $0.00 or Element of a Building 14 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? 0 Yes No $0.00 0 Advanced Planning I-ee: $0.00 Select allon-Residential 0 Building or Structure 0 i Strom Motion Fee: IBSEISAIIICO $2.10 1 # Revisions BldgSids Commission Fee: IBCBSC $1.00 $834.00 IREVCOAdT1 Tenant Improvement SUBTOTALS: $3.10 $834.00 TOTAL FEE: $837.10 Revised: 04/01/2014 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 19333 VALLCO PKWY DATE: 04/23/2014 REVIEWED BY: MELISSA APN: 316 20 076 BP#: 13120193 VALUATION: Iso %PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration /Addition/ Repair PRIMARY Commercial Building PENTAMATION USE: PERMIT TYPE: WORK REV# 1 - REMOVE ALT. MAT/NIETH. FOR 2013 CBC OCCUPANCY WIDTH & REVERT BACK TO SCOPE 2010 CBC REQ'S & REVISE EGRESS PLANS. ADD FUTURE DEF. SUB. FOR (N) EXT. STAIR 0 El Lj NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . Thesefees are based on the prelimina information available and are only an estimate. Contact the De t or addh7 info. FEE ITEMS (Fee Resolution 11-053 Eff %%1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure Suppl. PC Fee: (F) Reg. 0 OT 0.0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:(F) Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? C) Yes (F) No $0.00 Advanced Plannin& Fee: $0.00 Select a Non-Residential E) Building or Structure Strong Motion Fee: $0.00 1 # Revisions Bldg Stds Commission Fee: $0.00 $834.00 1REVCOMTI Tenant Improvement SUBTOTALS: $0.00 $834.00 TOTAL FEES $834.00 Revised: 04/01/2014