The URL can be used to link to this page

14040159 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10411 BUBB RD CONTRACTOR:SC BUILDERS INC PERMIT NO: 14040159 OWNER'S NAME: M WEST PROPCO Il LLC 910 THOMPSON PL DATE ISSUED:07/14/2014 OWNER'S PHONE: 4084503854 SUNNYVALE,CA 94085 PHONE NO:(408)328-0688 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL ❑ APPLE TENANT IMPROVEMENT(20330 SQ FT). License Class � Lic.# qLI �Ot<I Contractor ,--OC. Date atOtI Xy I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: 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:52400000 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:35720010.10411 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES ILWORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITH AY 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 F 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 granting of this permit. Additionally,the applicant understands and will comply S' su Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. a,I'1{ ,� 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 1,as owner of the property,or my employees with wages as their sole compensation, will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino MkWicipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 2550,5,=- a34. Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Owner or authorized agent: Date: 1 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 l 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 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 19 ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS -ICA 1 k • 16V b �o►Q APN# 3 wampe OWNER NAME PHONE E-MAIL �/ r1 02-5% '�o.oPso'LL -Ll�. 7 Nc8.4So. $St-i 3otL�.J2��Ku cax► s.c.� STREET ADDRESS c- CITY, STATE,ZIP FAX 335� a�T Suer- Sorb C�.q¢A ,(,�, y CONTACT NAME PHONE E-MAIL Ca 3vaaA VSb, LLa0r1kP(4 450aon•D s�guI� 25J�+G.cor► STREET ADDRESS CITY,STATE, ZIP FAX C1 r 0 T►+o"Psod ice .p� SvA a v4kLZ , C4%54obS' ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCFBTECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS LIC# Ca¢.C,4 � A '1�.1��cb g 40'14 COMPANY NAME E-MAIL FAX Se-15o►tP¢a.S �a1C.. 4$uao►I�Sc.c3ulL ac ccrl STREET ADDRESS CITY,STATE,ZIP PHONE C1107wor►fsoll aArE CA Aao S ' -U( Cl q ItoN !DIL--CAQ (fAialtaN ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS LIC# COMPANY NAME E-MAIL FAX JkuD1DS Aa4%,6j_ V -T-Ac i74 1.Ige�SSUDIoS.Lar1 STREET ADDRESS CITY,STATE,ZIP PHONE 4t05 S p-' freMosca CA DESCRIPTION OF WORK '�jft�Q.I�on- 'CiiPwJ"S �e•�?f2o<'EI�l4►LS SJCWp��4 i1�u.t.. N¢ 1'^£G41At1lGAt '�1.>zCC CAL �.� t n� C,LLS EXISTING USE PROPOSED USECONSTR.TYPE AST0 S I - L1/' jG USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG -f NEW FLOOR DEMO TOTAL AREA _3() AREA AREA NET AREA BATHROOM/ (� KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA 2 PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: JDETACH / I---- ! / ❑ATTACH O DWELLING UNITS: IS A SECOND UNIT ❑YES SECONDSTORY [-]YES BEING ADDED" �'� ADDITION" PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVED Y: TOTAL VALUATION: PLANNINGAPPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME" -enO 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 provided is correct. 1 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 uilding const n. thorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date koCm✓ SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SL>P —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 LANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure STANDARD �F_�IPUBLIC 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 BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 10411 Bubb Road DATE: 04/22/2014 REVIEWED BY: Sean APN: BP#: i "VALUATION: 1$2,400,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 1 B TI USE: PERMIT TYPE: WORK Apple Office Tenant Improvement 20330 sq ft SCOPE OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. s.f. B (Tenant Improvements) II-B,111-B,IV,V-B 20,330 $3,038.74 IBTIPLNCK $9,470.42 IBTIINSP TOTALS: 20,330 $3,038.74 $9,470.42 MECH,HOURLY 0 Yes E) No PLUMB,HOURLY Q Yes Q No ELEC,HOURLY Q Yes Q No NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These ees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info, FEE ITEMS (Fee Resolution 11-053 Eft' ?'1.%13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $3,038.74 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: $9,470.42 Suppl. Insp. Fee-(j) Reg. Q OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? 0 Yes ) No $0.00 G Advanced Planning Fee: $0.00 Select a Non-Residential E) Building or Structure Strong Motion Fee: IBSEISMICO $504.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $96.00 SUBTOTALS: $13,109.16 $0.00 TOTAL FEE: 1 $13,109.16 Revised: 04/01/2014 Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: t) 1 PERMIT# 1Li&t of 5 OWNIER'S NAME: M fig; qj0pCjpr PHONE# $_ CLo8 GENERAL CONTRACTOR: gc, g,,„.acs . BUSINESS LICENSE# ADDRESS: j �, Es +iaaT�� CITY/ZIPCODE: g *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: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/ Carpeting Linoleum/Wood Glass /Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile O o actor Signature ate Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR SUBCONTRACTOR LIST JOB ADDRESS: PERMIT# OWNER'S NAME:,-, PHONE# GENERAL CONTRACTOR: BUSINESS LICENSE# ADDRESS: CITY/ZIPCODE: *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 V-KEC-UT%VF- CASrWORK 302-92- Cement Finishing 43PAA L61 CONC215TE 045 3 31-it Electrical COPF-IZTINO 9LEr-T-41c. 6q--7- Excavation Tsc-HGCS N * 23SI3 Fencing NIA- Flooring/Carpeting 0 S 6 Prx LE-y TA C.- A Z,(04(0 9 Linoleum / Wood N I N Glass / Glazing LkS GLASS SNC. 3 S4 Heating WEST-F-PLN 4LWED 44,80 Insulation MA-6NUPA 01Z'qWXLL * 2„6212 Landscaping -rf-cficorq 023513 Lathing mAr(wum OR-jWkLL IL z5zl?- Masonry N I tx- Painting/ Wallpaper I`AA&Q\JtA ID(Z-4\A;Ar L L 14 7-15212 Paving TFSCHC'0N 1+ 2- 3513 Plastering M Pc6 I\J U AA RY WA-1.L -* 7.S 212, Plumbing DLT- MECH#cNLCAL 2-9099 Roofing S TA-T-S Vi t OC 7-3509 Septic Tank /YIN Sheet Metal Wcgm" XLLI C-0 e! 48O Sheet Rock MAGNUM 0PW#4ALL 25 212. TileZ PREC(StON nLC r vkAtJ(TG: 35501 Owue' ,4oAtiractor Signature -(mate