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12060092
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20640 HOMESTEAD RD CONTRACTOR:SOUTH BAY PERMIT NO: 12060092 CONSTRUCTION,INC OWNER'S NAME: FBJ MANAGEMENT 1711 DELL AVE DATE ISSUED:03/05/2013 OWNER'S PHONE: 4084460700 CAMPBELL,CA 95008 PHONE NO:(408)379-5500 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL U COMMERCIAL License Class Lic.# �2i �' 20640,20650,&20660 HOMESTEAD-MICHAEL'S,TJMAX& FEDEX-REMOVAL OF EXISTING FACADE/COVERED Contract Date WALKWAY I hereby affirm that I am licenseKfDivislon3 der the pro . ions o Chapter 9 &CONSTRUCT NEW 4227 SQFT COVERED (commencing with Section 7000) of the Business&Professions FACADE;RESTUCCO 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:$439000 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:32610060.20640 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that 1 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 80 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 OM LAST CALLED INSPE TION. 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. Additional) applicant understands and will comply Issued by: Da with all non-point source regul r the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Si ure 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 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 A a Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the C no Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&S fety Code,Sectio 25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Owner or authorize age 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,1 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 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:_20640 HOMESTEAD RD CONTRACTOR:SOUTH BAY PERMIT NO: 12060092 CONSTRUCTION,INC OWNER'S NAME: FBJ MANAGEMENT 1711 DELL AVE DATE ISSUED:03/05/2013 OWNER'S PHONE: 4084460700 CAMPBELL,CA 95008 PHONE NO:(408)379-5500 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL El COMMERCIAL License Class 12-5 Lic.# -3- �7� 20640,20650,&20660 HOMESTEAD-MICHAEL'S,TJMAX& / /� FEDEX-REMOVAL OF EXISTING FACADE/COVERED Contractor Dat WALKWAY 1 hereby affirm that I am licensed under the prov' ons of Chapter 9 &CONSTRUCT NEW 4227 SQFT COVERED (commencing with Section 7000)of Division 3 of the Business&Professions FACADE;RESTUCCO Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: 5/29/13 20660 ONLY-REVISION#I-REVISE PARAPET WALL I have and will maintain a certificate of consent to self-insure for Worker's BRACING AT BUILDING-ISSD 8/12/2013 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:$464000 ave and will maintain Worker's Compensation Insurance,as provided for by 3700 of the Labor Code,for the performance of the work for which this APN Number:32610060.20640 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 WITHI X80 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 OM LAST CALLED INSP CTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which ma crue against said City in consequence of the granting of this permit. Aoldijn)lly,the applicant understands and will comply Issued b Date: ith all non- int s u cc uadllons per the Cupertino unicipal Code,Section 9.1 . RE-ROOFS: Signatur Da /3 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(x)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 Ba a Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with th ino Municipal Cod Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health Safety Co S ,25533,an Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Owner or authorize gent: f D 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 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20640 HOMESTEAD RD CONTRACTOR:SOUTH BAY PERMIT NO: 12060092 CONSTRUCTION,INC OWNER'S NAME: FBJ MANAGEMENT 1711 DELL AVE DATE ISSUED:03/05/2013 OWNER'S PHONE: 4084460700 CAMPBELL,CA 95008 PHONE NO:(408)379-5500 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL ��AA 20640,20650,&20660 HOMESTEAD-MICHAEL'S,TJMAX& License Class Lie.# 33 wlFEDEX-REMOVAL OF EXISTING FACADE/COVERED ContractorN� CD�Date WALKWAY&CONSTRUCT NEW 4227 SQFT COVERED FACADE;RESTUCCO I hereby affirm that I am licensed under the provisions of Chapter 9 REVISION#4-BLDG 20660 ONLY-INTERIOR DEMO TO (commencing with Section 7000)of Division 3 of the Business&Professions RESTORE PREVIOUS OCCUPANCY BACK TO SHELL. Code and that my license is in full force and effect. CHANGE ALL STOREFRONT GLASS-7/2/14 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:$464000 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 permit is issued. APN Number:32610060.20640 Occupancy Type: APPLICANT CERTIFICATION t 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 F 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 AYS A ED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgmen costs,and expenses which may accrue against said City in consequence of t granting of this permit. Additionally,the applicant understands and will comply e b Date: L-z- i with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. ROOFS: Signature DateAll roofs shall be inspecte for 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) 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 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,Sons 25505,2 5 ,and 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,1 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. 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 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 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20640 HOMESTEAD RD CONTRACTOR:SOUTH BAY PERMIT NO: 12060092 CONSTRUCTION,INC OWNER'S NAME: FBJ MANAGEMENT 1711 DELL AVE DATE ISSUED:03/05/2013 OWNER'S PHONE: 4084460700 CAMPBELL,CA 95008 PHONE NO:(408)379-5500 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL ✓ 20640,20650,&20660 HOMESTEAD-MICHAEL'S,TJMAX& License ClassLic.# �CO�C� FEDEX-REMOVAL OF EXISTING FACADE/COVERED _ y �,�a�S Date "I ._ WALKWAY Contractor &CONSTRUCT NEW 4227 SQFT COVERED I hereby affirm that I am licensed under the provisions o1'Chapter 9 FACADE;RESTUCCO (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. 10/18/2 -RE ION#3-REVISE LOADING DOCK-ISSD 3/5/2014 1 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. Ft Floor Area: Valuation:$464000 ve and will maintain Worker's Compensation Insurance,as provide or tion 3700 of the Labor Code,for the performance of the work for whi is eris issued. APN Number:32610060.20640 Occupancy Type: 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 PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter 1 upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FR LA 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: � j Date. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. —7 RE-ROOFS: SignatuJV Date S 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 Si at o Ap ant: I hereby affirm that I am exempt from the Contractor's License Law for one of 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) 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 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,Sect' 2550_, 5533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agen Dater permit is issued. i 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 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20640 HOMESTEAD RD CONTRACTOR:SOUTH BAY PERMIT NO: 12060092 CONSTRUCTION,INC OWNER'S NAME: FBJ MANAGEMENT 1711 DELL AVE DATE ISSUED:03/05/2013 OWNER'S PHONE: 4084460700 CAMPBELL,CA 95008 PHONE NO:(408)379-5500 [� LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL 20640,20650,&20660 HOME STEAD-MICHAEL'S,TJMAX& License Class — Lic.# J� i -1� FEDEX- REMOVAL OF EXISTING FACADE/COVERED �lE Q "� (�;Ia C� Date 7�(�(rl Lf WALKWAY&CONSTRUCT NEW 4227 SQFT COVERED Contractor FACADE;RESTUCCO I hereby affirm that 1 am licensed under the provisions of Chapter 9 DEF# I -SHOP DRAWINGS FOR STOREFRONT/GLAZING- (commencing with Section 7000)of Division 3 of the Business&Professions ISSUED 7/14/14 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:$464000 IQJ 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:32610060.20640 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 W RK IS NOT STARTED correct. 1 agree to comply with all city and county ordinances and state laws relating WITHIN 180 O 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 D ED 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 Date: granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. +uu RE-ROOFS: Signature - �- Date l l 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). 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 ,5505,. 5 . ,and 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,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,1 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 1 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 1 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: 20640 HOMESTEAD RD CONTRACTOR:SOUTH BAY PERMIT NO: 12060092 CONSTRUCTION,INC OWNER'S NAME: FBJ MANAGEMENT 1711 DELL AVE DATE ISSUED:03/05/2013 OWNER'S PHONE: 4084460700 CAMPBELL,CA 95008 PHONE NO:(408)379-5500 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL ❑ 20640,20650,&20660 HOMESTEAD-MICHAEL'S,TJMAX& License Class : Lic.# .�_'>Q'ci FEDEX-REMOVAL OF EXISTING FACADE/COVERED Contractor iDate q1 W WALKWAY &CONSTRUCT NEW 4227 SQFT COVERED I ! FACADE;RESTUCCO I hereby affirm that I am licensed under the provisions of Chapter 9 REVISION#5-RELOCATE ROOF ACCESS LADDER,ADD 2 (commencing with Section 7000)of Division 3 of the Business&Professions (N)WALLS-ISSUED 9/16/14 Code and that my license is in full force and effect. 1 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:5464000 -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:32610060.20640 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 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 granting of this permit. Additionally,the applicant understands and will comply kssudlb�y: Date: with all no -pointsource egulations per the Cupertino Municipal Code,Section -- 9.18. /� s RE-ROOFS: Signature Date ��L/ 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) 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 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(x)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,$e�ti6W25505,255 13,and 25534. t< Section 3700 of the Labor Code,for the performance of the work for which this - e1 Owner or authorized agcg4: - -� 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 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 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 1 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 ,�j 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333•building(a),cupertino.org CUPERTINO �� NEW CONST TI ElCADDITION ALTERATION/Tl REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS 20640, 0650 AND 20660 O ESTEAD ROAD APN# -3 z �-/o_ oco o� OWNERNAME THE SOBRATO ORGANIZATION PHONE408-446-0700 E-MAIL RTRUEMPLER@SOBRATO.COM RICH TRUEMPLER r 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@ARCTECINC.COM STREET ADDRESS 99 ALMADEN BLVD. , SUITE 840 CITY,STATE,ZIP SAN JOSE, CA 95113 FAx 408-496-1121 ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ® CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LTC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECT/ENGINEER NAME JEFF OPAROWSKI, AIA LICENSE NUMBER C-21289 X BUS.LTC# COMPANYNAME ARC TEC INC. E-MAIL JOPAROWSKI@ARCTECINC.COM FAX 408-496-1121 STREET ADDRESS 99 ALMADEN BLVD. CITY,STATE,ZIP SAN JOSE, CA 95113 PHONE 408-496-0676 DESCRIPTION OF WORK FACADE REMODEL OF (3) EXISTING RETAIL BUILDINGS, NO ADDITIONAL FLOOR AREA ADDED. EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES OFFICE USE:)NLY RETAIL RETAIL III-B ONE OCC, TYPE DESCRIPTION SO-FF. VALUATION(S) EXISTG 10,975 NEW FLOOR DEMO TOTAL M AREA AREA AREA NET AREA ,,/ 7�r BATHROOM KITCHEN OTHER REMODEL AREA I REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOT 7CH AREA GARAGE AREA: 11 DETACH �/���/// Vl// ❑ ATTACH n DWFI.1.LNO UNIT'S iT IS A SECOND UNIT ❑Y1.4 54:COND STORY ❑YES IMNCADDED? ❑NO ADDITION? ❑NO PRF-API'I.11-ATION ❑YES IF YES,PROVRJE COPY OF PI,ANNI!RS NAMR RECEIVED BY: TOTL TION: PLANNING APPI,rc ❑ NO I PLANNING APPROVAL.LETTER By my signature below,1 certify to each of the following: 1 am the property owner or authorized agent to act on the property owner's behalf. 1 have ad this application and the information 1 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 build' g c ructionAutborizerepsentatives of Cupertino to enter the above-id e tified property for inspection purposes. Signature of Applicant/Agent: Date: 2 SUPPLEMENTAL I O ATION QUIRED 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 y EXPRESS PLANNING PLAN REVIEW permit for new building. ❑ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure Ids 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 Submittal ofBuilding Permit application. ❑ MAJOR ❑ SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH B1dgApp_2011.doe revised 03/16/11 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228• FAX(408)777-3333• build ingPcupertino.org CUPERTINO ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/T1 Q REVISION/DEFERRED ORIGINAL PERMIT# 12060092 PROJECT ADDRESS 206401 20650, 20660 HOMESTEAD ROAD APN# 326-10-066 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-MAIL JOPAROWSKI@ARCTEC INC.COM STREET ADDRESS 99 ALMADEN BLVD. , SUITE 840 CITY,STATE,ZIP SAN JOSE, CA 95113 FAX 408-496-1121 ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ® ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME RANDY AWALT LICENSE NUMBER 1333 6 974 LICENSE TYPE BUS.LIC# COMPANYNAME SOUTH BAY CONSTRUCTION E-MAIL RAWALT@SBCI.COM FAX (408) 379-3256 STREETADDRESS 1711 DELL AVE. CITY,STATE,ZIP CAMPBELL, CA 95008 PHONE (408)379-5500 ARCHITECT/ENGINEER NAME JEFF OPAROWSKI, AIA LICENSENUMBER C-21289 X BUS.LIC# COMPANYNAME 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 REVISION TO PARAPET WALL BRACING AT THE SHOP BUILDING (FED EX BUILDING AT 20660 HOMESTEAD) EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES OFFICE USEN Y NONE RETAIL V-B ONE OCC. TYPE DESCRIPTION SO.FT. VALUATION M EXISTG NEW FLOOR DEMO TOTAL AREA AREA 5,7 9 0 PkREA NET AREA 5,790 BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKY7A-REAAGE AREA: ❑ DETACH ❑ATTACH ,iDWELLINGAMTS IS A SECOND UNIT TORY ❑YES BEING ADDED? ? ❑NO PRI:-APPLICATION ❑ YES IF YES,PROVIDE COPY OF PLANNF.R'SNAMF RECEIVED TOTALVALUATION: PLANN[NO APPL, ❑ NO PLANNING APPROVALLEITER By my signature below,1 certify to each of the following: 1 am the property owner or authorized a ent ,Act on the property owner's behalf. I have read this application and the information 1 have provided is correct. 1 have re d the Description of Work and vert it is accurate. 1 agree to comply with all applicable local ordinances and state laws relating to building constructio 1 autho a representatives of Cupertino to enter the above-identified pro rty for inspection purposes. Signature of Applicant/Agent: Date: h� � SUPPLEMENTAL VF(OMAT]OKMEQUIRED 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 submittal of Building Permit application. 1-1 MAJOR ❑ SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH BldgApp_201 1,doc revised 03116111 CONSTRUCTION PERMIT APPLICATION �1 U1 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333• building(akupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑X REVISION/DEFERRED ORIGINAL PERMIT# 12060092 PROJECT ADDRESS 20650 HOMESTEAD ROAD APN# 326-10-066 OWNER NAME 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 CONTACT NAME JEFF OPAROWSKI PHONE 408-496-0676 E-MAILJOPAROWSKI@ARCTEC INC.COM STREET ADDRESS 99 ALMADEN BLVD. , SUITE 840 CITY,STATE,ZIP SAN JOSE, CA 95113 FAX 408-496-1121 ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT 91 ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME RANDY AWALT LICENSE NUMBER B3 3 6 974 LICENSE TYPE BUS.LIC# COMPANYNAME SOUTH BAY CONSTRUCTION E-MAIL RAWALT@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# COMPANYNAME 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 FACADE AND STOREFRONT REVISION TO MAJOR 5 BUILDING (FUTURE ROSS BUILDING AT 20650 HOMESTEAD) EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES OVVICE USE:)NLY NONE RETAIL V-B ONE TYPE DESCRIPTION SOXT, VALUATION(S) EXISTG NEW FLOOR DEMO TOTAL AREA 2 5,094 AREA I AREA I NET AREA 25,094 BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODELAREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA:❑ DETACH ElATTACH u DWELLING UNITS- IS A SECOND UNIT ❑YES SF,CONDSTORY ❑YES BEING ADDED? []NO ADDITION? ❑NO PRE-APPLICATION ❑ YES IF YES.PROVIDE COPY OFPI_ANNER'SNAME REL' lyy+/ / TOTAL ALUATION: PLANNING APPI.x ❑ NO PLANNING APPROVAL LEI I �LJ(• By my signature below,I certify to each of the following: 1 am the property owner or authorize agent to act on the property owner's behalf. 1 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 building co strue on. Iautho ze representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: - 6 SUPPLEMENTAL NV0kMAf16N 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 DisclosureSTANDARD ❑ 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 03116111 CONSTRUCTION PERMIT APPLICATION C�� COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISIOND 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 P CUPERTINO (408)777-3228• FAX(408)777-3333• building(�cupertino.org ^ d ❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/Ti ❑% REVISION/DEFERRED ORIGINAL PERMIT# 12060092 PROJECTADDRESS 20650 HOMESTEAD ROAD 7APN# 326-10-066 OWNERNAME THE SOBRATO ORGANIZATION PHONE408-446-0700 E-MAIL RTRUEMPLER@SOBRATO.COM RICH TRUEMPLER STREET ADDRESS 10600 N. DE ANZA BLVD. FACITY,STATE,ZIP CUPERTINO, CA. 95014 x 408-866-6638 CONTACT NAME JEFF OPAROWSKI PHONE 408-496-0676 E-MAIL JOPAROWSKI@ARCTEC INC.COM STREET ADDRESS 99 ALMADEN BLVD. , SUITE 840 CITY,STATE,ZIP SAN JOSE, CA 95113 FAX 408-496-1121 ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ® 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# COMPANYNAME ARC TEC INC. E-MAIL JOPAROWSKI@ARCTECINC.COM FAX 408-496-1121 STREET ADDRESS 99 ALMADEN BLVD. CITY,STATE,ZIP SAN JOSE, CA 95113 PHONE 408-496-0676 DESCRIPTION OF WORK LOADING DOCK AND BUILDING REVISION TO MAJOR 5 BUILDING (FUTURE ROSS BUILDING AT 20650 HOMESTEAD) EXISTING USE PROPOSED USE CONSTR TYPE #STORIES OFFICE USE NLY NONE RETAIL V-B ONE EXISTGNEW FLOOR DEMO TOTAL AREA 25 094 AREA AREA NET AREA 25,094 BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: ❑ DETACH ❑ATTACH n DWELLING UNITS. IS A SECOND DNIT ❑YES SECOND STORY ❑YES BEING ADDED? ❑NO ADDITION? ❑NO PRE-APPLICA'IION ❑YES IF YES.PROVEDE COPY OF PLANNER'S NAbII:' RECE TOTAL VALUATION: PLANNING APPI.N ❑ NO PLANNING APPROVAL LETTER D© 000 By my signature below,1 certify to each of the following: I am the property owner or authorized a9_/-J to act on the property owner's behalf. 1 have read this application and the information 1 have provided is correct. I have read the Description of Work andivykify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to b ild* constru tion. I auth a repr sentatives of Cupertin enter the above-identified �p property for inspection purposes. Signature of Applicant/Agent: Date: /0 v1 6 SUPPLEMENTAIZIT70RMATI N REQUIRED PLAN CHECK TYPE ROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THE-COUNTER vefn BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EX RESS PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure STANDARD PFUBLIC'WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE 0o 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 03116111 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333• buildinqCokupertino.om ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI REVISIO /DEFERRED ORIGINAL PERMIT# 12060092 PROJECT ADDRESS 20660 HOMESTEAD ROAD APN# 326-10-066 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-MAIL JOPAROWS KI @ARCTEC INC.COM STREET ADDRESS 99 ALMADEN BLVD. , SUITE 840 CITY,STATE,ZIP SAN JOSE, CA 95113 FAX 408-496-1121 ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ 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# COMPANYNAME 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 SHELL MODIFICATIONS TO BRING FED EX BUILDING BACK TO SHELL (PREVIOUS FED EX BUILDING AT 20660 HOMESTEAD) EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES OFFICE USE ONLY NONE RETAIL V-B I ONE OCC, TYPE DESCRIPTION so, VALUATION(S) EXISTG NEW FLOOR DEMO TOTAL AREA 5'7 9 AREA AREA NET AREA 5,790 BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA:❑ DETACH ❑ATTACH I DWELLING UMTS. 1S A SECOND UNIT ❑YES SECONDS"ORY ❑YES BEING ADDED? ❑NO ADDITION? ❑NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF PLANNERS NAME EIV TOTAL VALUATION: PLANNING APPI,H ❑NO PLANNING APPROVAL LEITER D By my signature below,I certify to each of the following: I am the property owner or authorized agent to act othe 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 building co struction. t autho. representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: SUPPLEMENTAL MFOKMATION 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 submittal of Building Permit application. El MAJOR 13 SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH B1dgApp_2011.doc revised 03116111 CONSTRUCTION PERMIT APPLICATION Is COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•building a�cupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/Tl ❑X REVISION/DEFERRED ORIGINAL PERMIT# 12 060092 PROJECTADDREss 20660 HOMESTEAD ROAD 7API# 326-10-066 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 CONTACT NAME JEFF OPAROWSKI PHONE 408-496-0676 E-MAILJOPAROWS KI@ARCTEC INC.COM STREET ADDRESS 99 ALMADEN BLVD., SUITE 840 CITY,STATE, ZIP SAN JOSE, CA 95113 FAX 408-496-1121 ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ® ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME LARRY PATERSON LICENSE NUMBER B336974 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/ENGINEER NAME JEFF OPAROWSKI, AIA LICENSE NUMBER C-21289 BUS.LIC# COMPANYNAME ARC TEC INC. E-MAIL JOPAROWSKI@ARCTECINC.COM FAX 408-496-1121 STREET ADDRESS 99 ALMADEN BLVD. CITY,STATE,ZIP SAN JOSE, CA 95113 PHONE 408-496-0676 DESCRIPTION OF WORK CONSTRUCT (2) NEW INTERIOR WALLS FOR RELOCATED ROOF ACCESS LADDER AND ELECTRICAL PANEL IN MAJOR 5 (ROSS) . EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES OFFICE USE N Y NONE RETAIL V-B ONE OCC. TYPE DESCRIPTION SO.FT, VALUATION 61 EXISTG NEW FLOOR DEMO TOTAL AREA 2 8,094 AREA AREA NET AREA 28,094 BATHROOM KITCHEN OTHER REMODELAREA REMODEL AREA REMODELAREA 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 PLANNER'S NAME' RE TOTALVALUATION: PLANNING APPI.# ❑NO PLANNR Yi APPROVAL LETTER By my signature below,I certify to each of the following: I am the property owner or authorized agent ac erty owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and very rt is accurate. I agree to comply with all applicable local ordinances and state laws relating to buil ' g co ct. I authLe. representatives of Cupertino III enter the above-A tified property for inspection purposes. Signature of Applicant/Agent: Date: 9 jZr l/+ SUPPLEMENAL"ORMA110N 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 El MAJOR El SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 03116111 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333• buildingacupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI REVISIONEFERRE ORIGINAL PERMIT# 2 b C1 PROJECT ADDRESS �^ APN# ` / — O r �l OWNER NAME iC.Y#'-NT PHONE E-MAIL v STREET ADDRESS CITY, STATE,ZIP FAX O acs ra. �L 11 1� C'v t-3 'l C-1A CONTACT NAME. PHONE F7MAIL STREET ADDRESS CITY,STA E,ZIP FAX �vq - ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC# 5 3N_""1 3 OMPANY NAME E-MAIL FAX V—g—k-,-n NA V,, STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECTi INEER NAME LICENSE NUMBER BUS LIC# A i ' AM Nia COMPANY NAME E-MAIL FAX lA 12-c TE C I, STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTR.TYPE I it STORIES USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKTORCH 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 Vy: - TOTAL VALUATION: PLANNING APPL# []NO PLANNING APPROVAL LETTER EICHLER HOME? By my signature below,I certify to each of the following: I am the property o a ct operty owner's behalf. read this application and the information I have provided is correct. I have read the Description of Wor Is accurate. I agree to comply with all app ble local ordinances and state laws relatin to I ding constructio authorize representatives of pertino to enter the above-identi lejd r perty for inspection p oses. Signature of Applicant/Agent: Date- SUPPLEMENTkL INFORMATIO UIRED RE Q 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. D Expava Commercial Bldgs: Provide a completed Hazardous Materials Disclosure CI MWWWOO D PtuL form if any Hazardous Materials are being used as part of this project. 0 t sib 0 . Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. BldgApp 2011.doc revised 06/21/11 CITY OF CUPERTINO WFEE ESTIMATOR- BUILDING DIVISION ADDRESS: 20640 HOMES"rEAD RD DATE: 0 711 412014 REVIEWED BY: MELISSA APN: 326 10 060 BP#: 12060092 VALUATION: $0 °PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 1 GENCO i USE: PERMIT TYPE: WORK DEF# 1 - SHOP DRAWINGS FOR STOREFRONT/GLAZING - ISSUED 7/14/14 SCOPE 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 fees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 7,'T"13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.001= # Deferred Submittal Suppl. PC Fee: (F) Reg. Q OT 0.0 hrs $0.00 $286.00 1DEFSUBM PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Permit? © Yes (j) No $0.00 7 E) Advanced Planning Fee: $0.00 Select a Non-Residential G Building or Structure Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $286.00 TOTAL FEE: T $286.00 Revised: 07/10/2014 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 20640 Homestead Road DATE: 06/15/2012 7REVIEWED BY: Sean APN: BP#: 0 600 ,9- *VALUATION: 1$439,000 rPERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration /Addition/ Repair PRIMARY Commercial Building PENTAMATION 1GENCOM USE: PERMIT TYPE: WORK Removal of existing facade/covered walkway and construction new 4227 sq ft covered facade; restucco SCOPE existing facade (10975 sq ft) and reroof with membrane roofing (51950 sq ft). 7- F-1 El El NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,eta). Theseees are based on the prelimina information available and are only an estimate. Contact the Dept/or addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff. 7/L/II FEEQTY/FEE MISC ITEMS Plan Check Fee: $0.00 = # Covered Porch Suppl. PC Fee: (F) Reg. 0 OT 0,0 hrs $0.00 $2,742.00 ICOVPORCH PME Plan Check: $0.00 51,950 s.£ Re-roof Permit Fee: $0.00 $3,456.00 IREROOFCOM Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 10,975 s.f. Restucco PME Unit Fee: $0.00 $1,348.00 ISTUCOAPP PME Permit Fee: $0.00 Work Without Permit? Yes No $0.00 0 Advanced Planning Fee: $0.00 Select a Non-Residential E) Building or Structure Strong Motion Fee: IBSEISMICO $92.19 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $18.001 1 SUBTOTALS: $110.191$7,546.001 TOTAL FEE: I $7,656.19 Revised: 06/05/2012 CITY OF CUPERTINO FEE ESTIMATOR— BUILDING DIVISION ADDRESS: 20650 Homestead Rd DATE: 08/12/2013 REVIEWED BY: Mendez APN: BP#: Z,2 `VALUATION: 1$25,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY SFD or Duplex PENTAMATION USE: PERMIT TYPE: WORK 8/12/2013- REVISION #2- REVISE FACADE AND STOREFRONT SCOPE El Lj 1 7,v 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 addn'l info. FEE ITEMS(Fee Resolution 11-053 Eff 711%12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure Suppl. PC Fee: (j) Reg. 0 OT0,0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee-.0 Reg. Q OT ro7o hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 #new Construction Tax: 1BCONSTAXR 0 units $0.00 Work Without Permit? 0 Yes (j) No $0.00 E) Advanced Planning Fee: $0.00 Select a Non-Residential E) Building or Structure Strong Motion Fee: IBSEISMICR $2.50 1 # Revisions Bldg Stds Commission Fee: 1BCBSC $1.00 $834.00 1REVCOMNEW Commercial New SUBTOTALS $3.50 $834.00 TOTAL FEET' $837.50 Revised: 07/01/2013 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 20576 homestead rd DATE: 05/29/2013 REVIEWED BY: MENDEZ APN: BP#: 'VALUATION: 1$25,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION USE: PERMIT TYPE: WORK REVISION #1- REVISE PARAPET WALL BRACING AT SHOP BUILDING SCOPE cl'r, Ir• L. LJ h", P, �•,. Y:'C-: 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 addn'l info. FEE ITEMS (Fee Resolution II-053 Eff 711112) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure Suppl. PC Fee: 0 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-0 Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? 0 Yes (F) No $0.00 E) Advanced Planning Fee: $0.00 Select a Non-Residential 0 7ravcl Fil,, Building or Structure 0 Strong Motion Fee: 1BSEISMICO $5.25 F-1-1 # Revisions Bldg Stds Commission Fee: 1BCBSC $1.00 $799.00 /REVCOMTI Tenant Improvement SUBTOTALS $6.25 $799.00 ' TOTAL FEE:` $805.25 Revised: 04/29/2013 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 20640 HOMESTEAD RD DATE: 08/28/2014 REVIEWED BY: MELISSA APN: 326 10 060 BP#: ,VALUATION: 1$50,000 RPERMITTYPE: Building Permit PLAN CHECK TYPE: Alteration /Addition/ Repair PRIMARY Commercial Building PENTAMATION USE: PERMIT TYPE: WORK 8/28/14 - REVISION # 5- RELOCATE ROOF ACCESS LADDER ADD 2 N WALLS SCOPE Ll Li 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 11-053 Ef/' 71:"13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure Suppl. PC Fee: 0 Reg. Q OT 0.0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:E) Reg. 0 OTT-0.01 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? 0 Yes ) No $0.00 G Advanced Plammn(4 Fee: $0.00 Select allon-Residential G Building or Structure 0 i Std Motion Fee: 1BSE1SM1CO $14.00 1 # Revisions Bldg;Stds Commission Fee: 1BCBSC $2.00 $859.00 1REVCOMT[ Tenant Improvement SUBTOTALS: $16.00 $859.00 TOTAL FEE: $875.00 Revised: 08/20/2014 M&-dty- 4) 5, CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 20640 Homestead Road DATE: 06/15/2012 REVIEWED BY: Sean APN: BP#: , L7 c7 'VALUATION: $439,000 -PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration /Addition / Repair PRIMARY PENTAMATION USE: Commercial Building PERMIT TYPE: 1 GENCO i WORK Removal of existing facade/covered walkway and construction new 4227 sq ft covered facade; restucco SCOPE existing facade (10975 sq ft) and reroof with membrane roofing (51950 sq ft). Lj Lj _L__ 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 prelimina information available and are only an estimate. Contact the De t or addn'1 info. FEE ITEMS (Fee Resolution 11-053 Ejf 7%1%71) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 3 # Covered Porch Suppl. PC Fee: E) Reg. Q OT 0.0 hrs $0.00 $2,742.00 1COVPORCH PME Plan Check: $0.00 51,950 s.f. Re-roof Permit Fee: $0.00 $3,456.00 IREROOFCOM Suppl. Insp. Feel@ Reg. Q OT 0.0 hrs $0.00 10,975 s.f. Restucco PME Unit Fee: $0.00 $1,348.00 1S7VCOAPP PME Permit Fee: $0.00 Work Without Permit? ® Yes Q No $0.00 E) Advanced PlanniR F,ee: $0.00 Select a Non-Residential E) Building or Structure i Strom Motion Fee: 1BSEISMICo $92.19 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $18.00 SUBTOTALS: $110.191$7,546.001 TOTAL FEE: 1 $7,656.19 Revised: 06/05/2012 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 20640 HOMESTEAD RD DATE: 04/01/2014 REVIEWED BY: MELISSA APN: 326 10 060 BP#: "VALUATION: Iso ,;,PERMIT TYPE:TYPE: Building Permit PLAN CHECK TYPE: Alteration /Addition/ Repair PRIMARY Commercial Building PENTAMATION USE: PERMIT TYPE: WORK 4/1/14 - REV#4 - BLDG 20660 ONLY- INTERIOR DEMO TO RESTORE PREVIOUS OCCUPANCY SCOPE BACK TO SHELL. CHANGE ALL STOREFRONT GLASS )10 Li 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 (lee Resolution 11-053 Eff 7il%l31 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 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:(j) Reg. ® 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 Planning Fee: $0.00 Select a Non-Residential 0 Building or Structure 0 i Strong Motion Fee: $0.00 = # Revisions Bldg Stds Commission Fee: $0.00 $834.00 IREVCOMTI I Tenant Improvement SUBTOTALS: $0.00 $834.00 TOTAL FEE: 1 $834.00 Revised: 01/15/2014 Building Department i City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone:408-777-3228 C O P E RT I N O Fax:408-777-3333 CONTRACTOR/SUBCONTRACTOR LIST JOB ADDRESS:20640/20650/20660 Homestead Road PERMIT#12060092 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 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 NA NA Cement Finishing Noah Concrete Corporation 29578 Electrical Capital Valley Electric 34273 Excavation Blue Top Construction 35161 Fencing Pacificzer��- See receipt#1 Flooring/ Carpeting McGinness Flooring 34750 Linoleum/Wood McGinness Flooring 34750 Glass /Glazing USA All Glass See receipt#2 Heating The Trillo Company 29816 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 NA Sheet Metal The Trillo Company 29816 Sheet Rock South Bay Interiors 25499 Tile y Fischer Tile and Stone 35157 10/9/14 -- owner Contrac 5 Date PROJECT DATA - COMMERCIAL COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228• FAX(408)777-3333•building(cDcupertino.org CUPERTINO PROJECTADDRESS 20640, 20650 and 20660 HOMESTEAD ROAD APN# 326-10-051,060,063 OWNERNAME THE SOBRATO ORGANIZATION PHONE 408-446-0700 E-MAIL RTRUEMPLER@SOBRATO.COM RICH TRUEMPLER STREET ADDRESS 10600 N. DE ANZA BLVD. CITY, STATE,ZIP CUPERTINO, CA 95014 FAX 408-866-6638 APPLICANT NAME ARC TEC INC. PHONEE-MAIL JEFF OPAROWSKI, AIA 408-496-1076 JOPAROWSKI@ARCTECINC.COM STREETADDRESS 99 ALMADEN BLVD. CITY,STATE, ZIP CUPEETINO, CA 95014 FAX 408-496-1121 ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ® ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT TENANT CONTACT NAME PHONE E-MAIL BUSINESS NAME FAX DESCRIPTION OF WORK FACADE REMODEL OF (3)EXISTING RETAIL BUILDINGS, NO ADDITIONAL FLOOR AREA ADDED. EXISTING USE(S): RETAIL PROPOSED USE(S): RETAIL OCCUPANCY(S): M OCCUPANT TYPE OF PARCEL III-B 15.07 ACRES LOAD: CONSTRUCTION AREA: AREA OF 10 , 975 S F FLOOR(S) HAZARDOUS Y O REMODEL SPACE: OF REMODEL SPACE: MATERIALS? FIRE © N wul Y N FLOOD Y N SIESMIC Y N SPRINKLERS: AREA: AREA: AREA: NUMBER OF CHILDREN<2 YRS OLD: LEARNING CENTERS AND EDUCATIONAL OPERATIONS: 24 HOURS CARE. Y N NUMBER OF STUDENTS>=2 YRS OLD UP TO 121°GRADE: NUMBER OF ADULT CLIENTS: Governing Codes: 2010 California Building Code(based on the 2009 International Building Code) 2010 California Residential Code(based on the 2009 International Residential Code) 2010 California Plumbing Code(based on the 2009 Uniform Plumbing Code) 2010 California Mechanical Code(based on the 2009 Uniform Mechanical Code) 2010 California Electrical Code(based on the 2009 International Electrical Code) 2010 California Energy Code 2010 California Green Building Standards Code Cupertino Municipal Code ProjectData-CommerciaL doe revised 03/01/11 2010 CALOREEN NON-RESIDENTIAL OHECKLI:ST-- MANDATORY ITEMS COM MUNI IY I&VELLWENT DEPARTMFNT`Rkill,DING DIVISICIN CUPERT1140 &:BERT 5ALVADOR,P.E ,C_B.O.. BURDING OFFICIAL 14:140 TORRE AVENUE-CUPERT(NO,CA B5014-3155 ;4081 77T-N,?$•FV j400)777-�3N• AI�CuOR�t PURPOSE: The rwn-residential provisions of the 2010 CaIGman Code outline planning,desiipra and development methods that include environmentally responslble 04o -!on,bulMing design,Dull-dirng siting and development to protect.restore and anhanoo the envilronmer tal quality of they sloe and mapaat the integrity of adjacent pr9psrties;establishes the means of con5ervyng water used Indoors, oluldwm and in wastew ate r conveyance; oudin"r*%o4in6 of achieving material conssnratkan and rea4vr9@ ef(kiermy, and outlines means of redurdng the quantity of air contsminants, Project Name. MAJOR REMODEL Pmjed Address: 20640 20650, 20660 OMESTEAD RD Project DesctipV*n, EXISTING BUILDINGSEL 1. The Owner or the Owners agarlit shall employ a licensed profe$elanal oxPerienced with the 2010 California Green Buitlrling Standards Codes to Yertfy and assure that aM required work described harnin is Properly Planned and implgmgn{W in the projKt, 2. The Iiomsed prefllsslonal, in collaboration +Nigh the ownelr and tho demon professional shall Inlliai Wumn 2 of thi6 checklist,sign and date Boadom 1 • Daslgn Varifloetian at the end of this cteC.lcNsl and have iha che*41 printed on the appwed plans for the project. 3. Prior to final inspaation by ft Buil ling Departmenk the lktans4d profee&oinal shall complele Cglumrt ?} and sign and date Section 2�Implttnentantlon Verifkatkm at the end of th is checklist and submit the cornpletad form to the Building Inspector. Ciiumn 2 Column 3 MANDATORY FEATURE OR MEASURE "act VerliflWion Ftegul CHAPTER NONRESIDENTIAL MANDATORY s • 69neral Requrirments Tho prOwl meets all foe re0uiremnis of Divi5iorrs 5A through wn. � ❑ Divisl-on 5. 1 PLANNINGAND DESIGN Planning and Design•sate Development 5.106.1 Storm water pollution prev+ niW plan,For gr,oJects ar one acre or lass,develop a Storm Waier Pallupson Prevention flan(SW PPP,that has been ,' designed,specft wits site, conforming to the 5181e Slwm water RPDES � ❑ Construction Permt or local orckwmw,wheievet is stricter,as is requi-ed for projects over on a acre. The plan should caver prarentivn of soil ions by storm water nin-off andinr wand erm%on of sedirrrenialion andlorof dusdparticulalo rnatter air pollution FEWC 1 :119 C nr�ir+is A'rxu-kor C�1et�:1�s�rinr�e,vscd Afi?�:`�1 9-11MA Bicycle parking and changing roonns. Comply with Sections � Q 5.106.4.1 erd 5.100.4.2.or meet local ordinance,vrhichew is sir*M r. 5.106,44.1 SW.Trm bicycle parking.Ff the proje1 is anticipated to generate yit;bor traffic, pJovide permanenvly anchored 44�-,yCle ,$r IMIn 200 lest of the, viaitor3'entrance,reachi y vlsitfie to pes.serss bW for 5 percent of vlshor ncotor¢ed vehicle parking oepaaty,wish a mini 2..fpr spas uW for lourKwry 4r clearivrz, routeuroat or fed seratce, medical D dental alb, Istlyerratary of beauty salon or barber chap ® ❑ pn4 ovo to CQMV V M M than 144 gelrday, 0.343,1,2 Ext:trae eonsUrnRtion.Any building within a pros W of space wllltln a build)ng that Is projected to cordLime mare than 1,0uo PI16By 5,303-2 24 p"Gont amAnye. A schedule d plata Ding tixturc3 end fixture ® ❑ Fittings Ilial will reduce the ovmll use of patabM water wthih ft buidlq by 24 pts eft shall be provided. (Calculate savings by Water Use VYtarfct hcot*) 5.303,2,1 Mulllpte showerhesds seMng ton*shower,When tmingle shawar Faximes are syervW by more Mn one Sl'6tjL oMesd, the combined llcw rate of all the showwh+:ads albeit viol taueetd the rnauimWm flcow rabe5 ❑ specified in the 20 peroenl reduction dolumn eoniained in Table 6.303.2.3 or the tstu wer&hall be deel9nec,1114 o inl� allow ono ahtrm dyad to b®in aperation et a lime. 5.393,4 YYemmWor reduction.Each building shall reduce I*generation of wastwruatorbyr one of ft ftiolltrwirg methods As appllcabge 1.The installation of trwalar•con3st mrng fixtuott 0 ❑ 2-Utilizing non-potable wal,er systems. ® ❑ 5.3D3.6 Plumbino fbdurva and flltingrs-Plumbing fixtures{watar closets and urinals)and fatttingrs(feuosts and showerrioeds)shall comply wilh the n6qu4vrnants listed for each type in ltert►s listed In Table 5 30 3A, As spp4i�*bl4 1.Watat 06t6ta(tbiler s, —flushorneber type 2.We*clarets(toilets)—tank type ® Q 3.Urinals 4.Public taverory faucets ® ❑ 5.Publ lc metering self-dosing f au(zis [] S.RasAemhal bethr8brn levat y tie&faucet ® ❑ 7 Resiftntial kltChen faucets ❑ 11_Rem�dential shower heads [] Q. Single shower riwkoes eery ed by mere than atwe shnwaitAnd ® ❑ Outdaer Ws#ar Use 5.304.1 Wat w budget.A water budget shall be developed for Inndscape � ❑ i rri gat im Use. 5.304.2 MAO"potable Wiltar use.For new wager service, separale melers or submete+s shall be installed for indoor and outdoor potable water use tiny Utndluaped aress bclwatm 1.000 square feet and 5,1700 square feet, i 5.304.3 Irr4ation design. In new nonmsidenlial projects with between 1,000 and 2,500 squire feel of I@nsdsicepsd area(the IwwoI at which the MLO As applicable I 13applens�,iratarl ir�rigaiion controllers and sensors which incl�e Ipt fpitlpyong criteria and meet mariut'arcturer's rtacarnmerxtatimt I Ma�C:i 4f9 f:� 'xaYr ,U�n-,4cr L'ka.k:est.dnr r,rcw>•r�e1:?''7J SM4 3.1 Irrigation controNers.Rvanatic Irrigaton system ootttrollers installed at the time of final iropection shah comply aA#i the Plowing: 1. bonirollera=shall l*war-4r s*0 moistue-basad avntra0era that auia madcailly adjust irrigoWn In rtVwvse to changec in plants' nmde as w[3altt mrmutions change. 2 Weaew,baa id wntrollw5 without into jraI rain aensom cx ftmmur4osfvn:sysIsms that account for local rainfaf6 shall have e separate wined or wireless rein sensortarhich connercls or cornnnun"Les with the controller(s). Soil moisture-bpgiW cpr1sQik-rs era r1G1 roquirod to have rain sensor input. Weather Resiatance.and Moisture Mans pmat 5,407r.1 WomMer prsobwetion.Provide a west1her-rie8Alant exlemi wall and f+oundaWn tarrvelope as required by Csttl!tOrrtial,taw U#V Gude Section 1-4032 and CaGlbmia En&rgyCode SWion ISO.M-SMOSM fee iratallaUon inainuctions or local ardinanoe, Mich ever Is more stringent.' 5A073 Mai oll control Employ moisturecornrol measorfg by tit;foltowing methods: 5,407,2:1 Sprinklers.Prevent irrigation spray on structures, 5.407.2.2 EritrJes and openingla.Des!an exltwiof entries std openings to prevent water intrusion into buildings;, Gora&ucdm Waabe RedtK ion. Disposal artd R*cyding 3.d0a,1 ConttvoVonwatto diversion. Establish a construction waste n m*n"@rnepnl pied v meet IoKV ordirrarrA,whi.hover ie more stringent. LJ S.40111.2 Conatruedarr wa to matmgemerA plan-Submit plan t*t Ihvs section to enforoament eutriarity. 5-4083.1 Documentation-Provos downenlallon-of the waste management plan that rrretTlS tiro req virernents HAW A$er Wn 5,400.2 Items 1 thrui 4 and the platy Is accessible to the e>•nroraemant authaft. 6.448.2.2Isokned jebsfts. The enfelitimg ageneyrmay makaex- mptiom to the regWrement's of lhic ooGftn when jottsitea are located in areas bevond 1f haul bour%dooi4t 61 the diversion facility. 3-Af*A Construction waste.Reay*p anchor salvage low rouse a minimum of ® ❑ 50 percent of nonhaaarOvs construction and demolition debrir;or meat Natal 9no;oona<, v triGhever is mare tWhgenl. Eatcook ns; 1 Ex tavo d s6ill and land-clearing detx-is. 2. Altemale wawa redurcticn methods developed by working vritlt local agencies if diversion or recyc a faditAes capaHe n1 romphanm%%vb this item do not exist. 5.409A Excavated soil and land clearing debris.100 peroent of trees, stumps,rocks and agsodated yagetation and mile reeuttio�g prietmeily Wr-I lane ® Q daring shall Ce reused ar recVcled_ tote4rig calG)~Avrti-1?o Ck.-Ali tdric.Tr4myL877,'1f OLOWIng MWntanalct and ApmtWn 5.410.1 Relayrding btyr o4oupatnts, Provide ready accessible area,that 5ew the entire building and arra identified f6r 1hs depoaitinor slorige end aallecii&N of nonhani-dous matarials for recyc1lirl g. .410.2 m F i I i uwe feet S Gant IsoFoaing. ea new� tl�g�U.000 � and over, Wilding wn innissioni oq for all building systarrt's coverer,by T24. Part 6. vooses s*ste!ma a M h�r*wablle energy systems shall be Inciudedl(n the design and conaoructidn prooesims.ttf the building pr*iot.Commiswining req ul rermeelts t hhII irti d As item s listed in Section 5.410.2. 5.410.21 Owner's Pnajjeet Re-quiranu nft(OPR}.Doaur *MM before the dlasign phase of the project begins M OPR shall include iternS listed in Samson 5-410.4. 5.410.22 Basin of DWgin(HOD).A"Wo dxplanation of how the design of,tae bulling systems meets Me OM shell be completed et the design phase of tf►P building prajecl;and u Obleld periodically to corner the s-yslems listed In Se0on 0,41 OZZ, 5.4103,3 Commissionirry plan.A oDmmissioning plan desming how Me project Wil be emivOftwed shall be stsrtad during fttie deo n phase of ® ❑ the buolding proJeci and shlall include items listed in 5ec41on 5.410-2.3 $,4102,4 functional performeno lusting shall dernonstrale,Vm warred irlstalla0on slid overalion of each compemnf:syswm erel sVstem•to- system intortce In accordance with the approved plans end siesifrGatians. 6.414,24 09calntstlted4n and training.A 5ysterns manual and sy;aiams operstions tralnmg are r4quinad. ® �] 5A10.2.5.1 Systems manual. The systems manual shall t*dielivered to tris budding orwner or representatiwe and facilities oper;4pr btrp;} iplI ❑ include the items Wad in Section 5_410.2.5.1. $,410.15.2$ystoms operations trairdng.The tralrrng or tho a pprQp m ma IMtlrlanoe staff for each equipment type antb'or system p shall Include items listed in Section 5.d1b_2.�5�_ fist SA10.2.6 Commissioning report.A comp1@4 re"rl 4f cornmRsigning proocm activitpes undertaken through the demon,construction and reporting rwommendstions for poet-opniliV019+1 ph*"*of thu budding project shell be completed and provided to the ownw or rapresentativa.. k1.41PA Testing and adjusting.Testing and edj!p"mg pf Wsmerns Shall be required for buildings less than 10,D30 srauefe feel. 5.410A.2 Sys.tern®.DeweloD a written plan of proceeures for tee.?ing and edusting systems. Sy*;erns 19 In mnq!v4od for tosting and adjusting stlall include,as applrnahle to the project, the syslerns listed in Section ❑ 5.496.4.3 Pro"duMs.Parfo-n testi nq and adjusting V0i;@44r@t in aG.5-ordance wit'1 industry bes:practices pend applicable national slsr►dards on each sysiern. z El 5_410.4.3.1 HVAC balancing.Refore.a npw*pK&-,can-?lllvnhq system serving sa building or spaw is wretW for normal us4,the system �hauld b,� bo4sn4�- n aQwil i il;a witf i the pr9ed urea deft nod by national standards listed in Section 5,410.3.3.1. A'n¢c'ntv t'rriC�rrrr.�t4an-R.rr C.4: klxt�l,:re.;+,e•�led'�'.;1 i i SAI CA.4 Asporlin$.After completion of twAng.odf 4oling lid laalarKirtg, proMdo a chaff ropart of to sting signed by the individual nnix;n OM fest parforrnisig(hese services. 5.410AS Opn- tion and mainitanpago mopuof,Provide ft building owner with detailed operating and maintenance Inshictions and copies orf 9uarantiesMrarrsnbes(ow eaGri system prior to fine irrspect+on- SAO,4.9.1 lnspect6ma and reports.include a copy of*!t in"4,clior. verifications and reports roquired byr'the errforoing agency, Ffrepltet;,e>i. 5.503.1 Install only a direct-vent se-aled<)OMislion gas or sealed wood- IGI burring fireplace.w a sealed woodslove and refer to residential regnlramwis f� in the Celifbrr>ve Energy Code,Mile 24, Part 0,Subchapter 7,Suction 150, 5,503.1.1 Wpcldstovas_Woot'sloves shall compOyrwith US EPA Phase II emission limits. Pollutant Control 3.304.3 C&mr1ng of duct oponlW and profteNon def rr►ir-hanical equip mnl during oomtruollprt-At the 11me of rough inzitallahon or during storage on the canstruct«on site and u M final aim ftp of the heating and cooling equipment,all dual arrd ortlt'er rotted air distribution component ® ❑ openings ahell be covered with tape, ptelstle,,gaeet mtal or o4hw meftdr. aocreptable,to the enforcing scgem y tin redt"" tint of dum trr debris which may collect hn tt>+e syste m. i 4,$444 Plnish metorial polltet nit control. Findah maWriala octad comely with Sec ons 5.504.+4.1 through 5.504.4.4. 5.504.4.1 Adhrslvf,soaiants,caulks.Adhesivm ane eealsnls kjaed ort Vit projeLt Oiall rriewt the requiremerrla of thet awing sl:@nd�rti$, 1.pdthesKms,adhesive bonding primers,adhoviwo pirim-trp, wlantts, sealant primers and caulks shall ewnpdy with local or regmono lair potlulior corrirol or air quality management district rul"whent applicabN or ® ❑ SCAOMd ) Rule 1168 VOC limits, as stinum In T'atsles 5,x+04.4.1 and 5.604.42. 2_Aerosol adhesiYV!p trod intollor larva sizes of adhesives and sealant or cauakiN compotunds (int units of product.lues packaging,which do not weigh more than ane pound and do riot corrals!of mora than 16 ftulo atri'*t?s)Shall Comply with 5lalowiide VO C standsres and other ® ❑ requirements, including prohibitions on use of certain tome opm"usKis, of California Ccide of Roquiagons. Title 17, oommersing wilt);See lion 944507. 3.W4.4.3 Paints and a atlings.Arclhitecturel paints and wsr1lings mall comply witfi Table 6.544.4.3 unless mQry vidn9cmi Tool srn.its apply. S-UW-4.11 Aerosol pairrtp #n4 iciotil ng& Aerolsal paints and walings shall meet the Product-Welgfibad WR Limits for ROC in Section 945$2(aYA)and utter raquirements, incJuding pmhihlign!�Kn un of ® ^ certain toxic compounds and ozone depleting su6stanc s (COIR,aIle 17 4-J Section 045217 of seq). F'a�e ik of 10 d`r.,1G,xrn Xuw Rrs C litrrl fisr.rfur rcoi�.vl�t1.�.?+1'-! 8.;304_4.3-2 Vel n.Verification CBrtlep ern d:atwn of compliance wilfi Na sad an shall be provideci at the rggVq%9f thtr errforcetig agency. ® ❑ SMA-4 4 Carpal ey*",o,All oarpot ir>olaltvd it the WIdirrg inlerior shall wrest the testing and product requrirementx atone of the standerde listod in Section � K6 4.4 4, 5.50-4AA.I Carpet cushtan.All carpet cuVhipn Install00 in V1tr builaitng Intemr shall most the requirernents of the Carpet and Rug Institute Orem Label prWam. 5.504.4.4.2 Carpet adhesive.All r;@,Wt edhtlarve hail meet the requirements orf Table RU.4 1, ® ❑ 5.504A.5 Composite wood products. Marawood plywood,parliclebcard and mqd 4vrn tin-illy fitterbasrd Gomposete Ymod pr¢duats used vn the interior or externa r of the building shell me=et the regLiiraments for ® ❑ 1 formaidesnyde as spercibed in Table 5.5014.4. 5.504.4.5.2 Docurn antaticn. Verification of comphanim with thlg secton ® ❑ shall be provided as mquested by the ernforeIN agency.VoeimerttoWn shall include at lease one ethe failowiny: As appli:43blei 1.Prod=aertirt tions and 5peciicati©ns 2.Chain of cus lady certifi cations ® ❑ 3.Other rnetrtods acceplaW to the enforcing agency ❑ 5.04.4.4 RpplilenI fkwl rig syststrre.Comply with the VOC-omission lirni=ls detrwd In the 2008 CNRS criteria and Weed on ft Low-emitting � ❑ Maiesials List(or PrQ dw A*91siry)or=*AW under the FIMSaxe program of the Resiber4 FW Covering Institute. 5.54+1.5.3 fllt>ers_In rnechanlcally►luted bullftgs.provide regulatiy occupied areas of the building wlst Sir 11Vation trio dia for outside and ® ❑ relum air prior to o=penCy ftt provides at least a MERV of& 3.W4.7 Enirkentmerital tobwco smoke(ETS)con>teot.Prohibit smoking within 25 feel of IxillcHrig a rknes,outdoor air intakes and operable wine$owe +where otR°Itfoor areas are Providfe d for smocking orad in buildings:or as enforced by ordinan es.requlalions or policies of arry city, county,ofty and co-unty, K ❑ California Community College,campus of the Calibornlsa State Universllyr der campus of the University of California. wf id-aver sae more stringent, Indoor Moiisium and Radon Cointrod 5.30S.1 Indow moisture esrs Wol.BtAdiN&shall meed oe exceed the ff��tt pnavi94a ns of Cah(arnm Hurling(;We, CCR.Tille3 N.Part Z.Sectons 1203 and Ch$pler 14.1.' Air Quality and ExMuat 5.506.1 Outside air delivery, ror m&;haniir.allyr or naturally ventiIs10 soaces In quilQpn9s;,moot the minirnunk ragUir irrerft of Section 121 of the Gafilornia Energy Clado CCR. Tyner 7,4..Part 6 and 1Chrapier A of CCH Title 4 or th& apptieediv cam, Whioheye,is mrvre istringeni.' Yage T of 9 l:•fdPK rra'1'3-4IJk"T?-:7 1 3.$44.2�D#AQ a dicAide(OQZ)rrKwd . poli-bui dlrtga equ 1pfvid with dernsnd eomroll verWatlon, CO2 sensors and wantilston conVols shelf be WooI%d and installed in apccrtdarm whir the requirements of ilhe latest edition of the Call"a Enerl y Coda, CCR,Tide 24, Part 6.Sedert 121(x.).' Ermirenmentet Coaftrt 5.507.4 Acoustical controt_Employ Wilding assembJas and components wldi STC values determined in am*rdancae WM ASTM E 90 and,'ASTM E 413, 5307A,11 Exterior make trarormlasion.Wall and floor-ceding Q"entl)iias working up the buil"g envelope shall kava an STC of st least 50 ar►d exteriurwindows shall have a ml nim urn M cf 30 for airy of the bkoldi►ip Iocadona Itslead in Hems 1 through 3 in Section 5-508.6.1. 5.307A2 Interior sound.Wall and floor-cedng assembIles separating ienani spaoes and tenant spaces and P4Wc PIs*s11e1 tim an STC of a t I easel 40. i Outdoor Mir QualRy 5.5051 Ozone depletion end global warming roductims. InstalIEFfionB of HVAC. reftbtbrtiun arrd fire suppression equipment shall wmplymidh Sectiions 8.508.1.1 and 5.506.1.2. As applicable 5,306.1A GFGa. Install HVAC and rcfr>tger0on equipment that does not ecntain CFCs.' 510®.'1.2 Malaria. install fire suppreaaim"Ui ril that does not conkain Redone. 1.Thme messume are rurreo[1y rcgyi-9d cI vMvr v in walute 4r in regul®Gdn, Page F n t 9 .0 nd{..rrn y'msv-kra CA'Rfj IL•..r f-bac mMY.'e4()ALI741 -- -- ----- — -- - --- -- --- -- ----- ---- - - -- --- - - 1 e i CALIGREEN SIGNATURE DECLARATIONS ftled Name, MAJOR REMODEL Probe Addr+ass: -2_-0640, 20650 20660 HOMESTEAD RD Pr'ojerct Desai : EXISTING BUILDINGS FACADE RE ODEU SECTION 1 -DESIGN VERIFICATION I Complete all lines of Section'1-"design Verificaition'and submit the c wnplet-ed checklist(Q11kjrmrLS 1 aro 2)wrae the plans and building parmit appdc$tion to the Bullding D"rtnen-t The omor and design prodmiowl respcnsibit for om plience with CrGGreen Slanderog hrm we vi sad the plans and certify Cal the i$ems ehecked above are hereby irtoorpcxated into the pwjeGt p4na and-Al ho implanted into the project in aco dantce with tate requirements set forth in the 2010 California Green Woding Standards Code as adapted by the Cly of Cupertino_ owrHw's 5ic3na14rq Data I Owe t'a (plo no Pnnl) i4 lir Signab:rr,6 - — Daft CRAIG lJes.pn fPraf'essiorrel'a Warne {Please Cf $ianature of Ur er ae ProfesOgnp I Gs lGroman oompWoe (aa to CRAIG ALIVELEH (408) 4%-0676 Mame of Lowme Pruft% ial mpormMme for Cal0foor u;nn pWnm(Fla we Print) Ph€lne CRAIGA®A CTECW aW Ent�i Mdrav*far L iaanm PrOt akmal reaporolbbs for GMGreak computtnoe SECTION 2- I M PLE M ENTA non VERIPMATION Complete, sign and subrnit the cQmpmed oheekllsi, Including coumn J�Wether wirlh all original sagnehires ori Section 2 yo the Building!Department pri ar to Building Deportment final iris"chon. I hove inspected the work and hsUe reed suffeesent dectsnentation to verify and tmrtify thof ttrwe prc'�*et identified above was oonst=%ed in ac7corda wqh this Greren Building Checklist and in avzwdar ca with the r"Uri ments of the 20110 Calibmin Grp en BLAdlrK)Stanear'es Cade as adopted by ih a City of Cupertino. %fist ure of L"nse Pro#es B.onar fess pooamwe icor Cal G reen cwnpkanca Nawm of Uceqe Pr9fes5imoneI res9mraitle Oar CiilW"n compianm(Ploase Porn) Phcne __ Enwail Address for License#'rotessi3nal resparasibic icrc C*Green cornplkanoe Ys>Rc 9 of 9 Cdi..;Iern on-ft ew elo r.re.i,8 ed 1)A"':J J