14060141 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10200 S DE ANZA BLVD CONTRACTOR:VULCAN PERMIT NO: 14060141
CONSTRUCTION INC
OWNER'S NAME: SEAGATE TECHNOLOGY LLC 346 MATHEW ST DATE ISSUED:06/23/2014
OWNER'S PHONE: 4086581602 SANTA CLARA,CA 95050 PHONE NO:(408)499-6039
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL E]SEAGATE,COMM.T.I TO INTERIOR OFFICE BUILDING
License ClassLic.# 12,1 6 3 7 rs 4781 SQ FT
ContractorC1WuDate Ob 2Y L
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000)of Division 3 of the Business&Professions
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self-insure for Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued. Sq.Ft Floor Area- Valuation:$60000
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:36901035.00 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. 1 agree tocomply with all city and county ordinances and state laws relating WITHIN 1 AYS 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 VROM LAST CALLED INSPETIQN.
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally,the applicant understands and will comply Issued by: Date:
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
RE-ROOFS:
Signature Dated 2 C 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). 1 have read the hazardous materials requirements under Chapter 6.95 of the
California Health&Safety Code,Sections 25505,25533,and 25534. 1 will
I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
declarations: Health&Safety Code,Section 25532(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,Sections 25505 nd 25534.
Section 3700 of the Labor Code,for the performance of the work for which this 2 L
Owner or authorized agent: Date:
permit is issued.
1 certify that in the performance of the work for which this permit is issued,I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If,after making this certificate of exemption,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.
Date
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 ( /
(408) 777-3228• FAX(408)777-3333• buildingQcupertino.org
CUPERTINO 4
❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/D/E�FERRED k ORIGINAL PERMIT#
PROJECT ADDRESS � A���P+++N��w��v/
OWNER NAME L• �, P E-MAIL
to
STREET ADDRESS �A �t/ t 9R CITY, STATE,ZIPS FAX
CONTACT NAME W^I � E-MA
STREET ADDRESS CITY,STATE, ZIP FAX
OWNER ❑ OWNER-BUDDER ❑ OWNERAGENT ❑ COA7RACrOR ❑CON RACTORAGEN'T ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAMEV�.. GaNCr LICENSENUMBER������ LICENSETYPE` BUS.LICrt33y�
COMPANY NAME V 7 E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
ARCHITECT/ENGINEERNAI,IE_5rV6)Iv LICENSE NUMBER C BUS LIC9
COMPANY NAME ,, VV VV E-MAIL FAX
STREET ADDRESS qoeg,
CITY,STATE,ZIP PON&4 . 2Q 3 .q 1
DESCRIPTION OF WORK
f2ocVA N G PC 4 C f-, 2 (L
ES &.)Cw K-Nl rtXa- c�Ji i
EXISTING USE PROPOSED USE CONSTR.TYPE I I STORIES
USE TYPE OCC. SQ.FT. VALUATION(5)
EXISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NEPAREA 1& I
BATHROOM KITCHEN OTHER `
REMODEL AREA REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: EIDETACH
❑ATTACH
k DWELLING UMTS: ISA SECOND UNIT ❑YES SECOND STORY ❑YES
BEINGADDED? NO ADDITION? []NO _--a
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVED BY '�,, ! TOT.gL V U 4
LNT�QN'. -
PLANNING APPL# ❑NO PLAAT' G APPROVAL LETTER EICHLER HOME? ❑NO
By my signature below,I certify to each of the following: I am the property o Amer or authorized agent to act on the property mvner'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 construction. I authorize representatives of Cupertino to enter the above-ide ified pr perty for inspection purposes.
Signature of App icant/Agent: Date:
SUPPLEMENTAL INFORMATION REQUIRED PiA*cHEcxryTiPE RouTu.csilP
New SFD or Multifamily dwellings: Apply for demolition permit for � oNERrHE COUNTER D Buu DmGPI Ar RE��Ew
existing building(s). Demolition permit is required prior to issuance of building
permit for new building. aPREss r fl PLANNINQPLAnREVIEW
_Commercial Bldgs : Provide a completed Hazardous Materials Disclosure ❑ sTALDARD ❑ "PusLlcwoRxs
form if any Hazardous Materials are being used as part of this project,
�4RGE ❑ FIRE DEPT
_Copy of Planning Approval Letter or Meeting with Planning prior to rt
114P 70R ❑ SAI�ITARS'SER�RDISTRICT'
submittal of Building Permit application.
-' .�y'ENV1I20N1i4ENTAL�IIEALTIi.=;'
BIdgApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR- BUILDING DIVISION
ADDRESS: 10200 s de anza blvd DATE: 06/23/2014 REVIEWED BY: Mendez
APN: BP#: 'VALUATION: 1$60,000
-PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building PENTAMATION 1 B TI
USE: PERMIT TYPE:
WORK sea ate comm. t.i to interior office building 4781 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,III-B,IV,V-B 0 $0.00 $0.00
TOTALS: 0 $0.00 $0.00
MECH,HOURLY 0 Yes (D No PLUMB,HOURLY Q Yes Q No ELEC,HOURLY 0 Yes )No
Li I
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 : 7,1/13) FEE QTY/FEE MISC ITEMS
Plan Check Fee: Hourly Only? 0 Yes Q No $0.00 2 hours Plan Check,Hourly
Suppl. PC Fee: (j) Reg. 0 OT 0.0 hrs $0.00 $278.00 1sTPLNCK
PME Plan Check: $0.00
Permit Fee: Hourly Only? ()Yes Q No $0.00
Suppl. Insp. Fee-(j) Reg. 0 OT Q,Q hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
T7
0
Work Without Permit? Q Yes ) No $0.00 E)
Advanced Planning Fee: $0.00 Select a Non-Residential E)
Building or Structure
i
Strom Motion Fee: 1BSEISMICo $12.60 15.0 hrs Inspections
Bldg Stds Commission Fee: IBCBSC $3.00 $2,085.00 1STINSp Inspection,Hourly
SUBTOTALS: $15.60 $2,363.00 TOTAL FEE: 1 $2,378.60
Revised: 10/01/2013
fb,0
STUDIO
`ERRED #_..� OG
�-�, 3
� ^,l�Ni T �;EVELOPMENi ARTME�T BUILDING DIVISION - CUPE RTINO
I APPROVED z
t et of plans 2ed specifications be kept a i
site during C -,traction . It is un 3.: t I to make r
� i4,14
ges or alterations on same or to devit�
I �~
t nr from, withc�,a approval from 't�e tiding Offi
UL
r
I 'tamping c"?s plan and speclfic,,'Ins SHALL ket
teld to permiI ur to be an appy uv f the viol
L;f a ly provisions of any City Cirdinante or State �\
TG
€0
IT # f vy
Cig-----� € g Z
�3� G
I l
t 3 ''
f Q
I �
v-
nI
Floor Plan Key Notes
2 EY TN� ;�=� � x . OFFICE COPY 'I'
3, :._J 57NC, ACrl.....-..l..s+..�s....- -J!NK— j.
® 3
Ln
CUPERTINO Z <
Building Department F OpU
CAV'15- MG DOOF,
tia� w
! V. _a ER, Ar'CCZ55-i._ ✓iv'S t+.v�., p..,r i ,:.,3`rt.:�; -.i.o...?°', a ,G 6a"f ,rte, ' 1 —
G. .�+v$G2'°� rf ii3.S. u v r-,CD'�i •�i�, T J N V '.X15 i N'S Rf..J t?,0 M5,Ai� C0 Dff � r' � lJ
ctirCtR (� )DE COMPLIAN ,lf 4, � AND,
r � i
t- Eeviewed By _-544 r. /;A1 �� °v i COUNTFK Flf?, Gid. d , l
�e t