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14040172 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20660 HOMESTEAD RD CONTRACTOR:SOUTH BAY PERMIT NO: 14040172 CONSTRUCTION,INC OWNER'S NAME: SOBRATO INTERESTS 1 ETAL 1711 DELL AVE DATE ISSUED:07/02/2014 OWNER'S PHONE: 4084460700 CAMPBELL;CA 95008 PHONE NO:(408)379-5500 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL E] FED EX T.I. -NEW DEMISING WALL,RESTROOMS, License Class_ Lic.# 33 �� RELOCATE HVAC SYSTEM Contractor ate r I hereby affirm that I am licensd under the provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. 1 hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$65000 ,([ 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 APN Number:32610066.20660 Occupancy Type: P it is issued. APPLICANT CERTIFICATION 1 certify that 1 have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. 1 agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAY ERMIT 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 M CALLED INSPECTIO indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the !1 granting of th perm . dditionally,the applicant understands and will comply Date: with all non-p nt urce regulations per the Cupertino Municipal Code,Section 9.18. 1 7RE-ROOFS: Signature Date __1) Z 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 DECL ION Signature of Applicant: Date: 1 hereby affirm that 1 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 1 store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should 1 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 wit th Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,S do s 25505,25 3 ,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,I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date CONSTRUCTION PERMIT APPLICATION �\ COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•building(aDcupertino.org \ ❑NEW CONSTRUCTION ❑ ADDITION ® ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROIECTADDRESS 20660 HOMESTEAD ROAD APN# 326-10-066 . Z0660 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@ARCTECINC.COM STREET ADDRESS 99 ALMADEN BLVD. , SUITE 840 CITY,STATE,ZIP SAN JOSE, CA 95113 FF408-496-1121 ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT El 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/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 NEW DEMISING WALL, RESTROOMS AND RELOCATED HVAC UNITS FOR FED EX OFFICE. EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES OFFICE USE 3NLY NONE RETAIL V-B ONE OCC. TYPE D CRIPTION SO.FT. VALUATION EXISTG NEW FLOOR DEMO TOTAL 5,790 AREA 5'7 9 AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: ❑ DETACH ❑ ATTACH I DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEINGADDED? ❑NO ADDITION? ❑NO PRE-APPLICAIrON ❑YES IF YES,PROVIDE COPY OF PLANNER S NAME REC TOTAL VALUATION: PLANNING APP7.k ❑NO PLANNING APPROVAL LETTER 6904 DOD 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. 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 Iaws relating to b 7d g cons ction. 1 auth ze representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of App]icant/Agent: L Date: SUPPLE MEN L FORMA ION 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 El STANDARD 13 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. ❑ MAJOR ❑ SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH B1dgApp_201 Ldoc revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 20660 HOMESTEAD RD DATE: 04/24/2014 REVIEWED BY: MELISSA APN: 326 10 066 BP#: "VALUATION: $65,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 1B TI USE: PERMIT TYPE: WORK FED EX T.I. - NEW DEMISIIVG WALL RESTROOMS RELOCATE HVAC SYSTEM 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 5,790 $2,406.28 IBTIPLNCK $4,765.52 IBTIINSP TOTALS: 5,790 $2,406.28 $4,765.52 MECH,HOURLY 0 Yes 0 No PLUMB,HOURLY 0 Yes 0 No ELEC,HOURLY 0 Yes 0 No 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'l info. FEE ITEMS (Fee Resolution 11-053 Eff 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,406.28 Select a Mise Bldg/Structure Suppl. PC Fee: (D Reg. 0 OT 1 0.0 1 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $4,765.52 Suppl. Insp. Fee:) Reg. 0 OT O.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? 0 Yes (j) No $0.00 ) Advanced Planning Fee. $0.00 Select a Non-Residential 0 Building or Structure 0 Stronp- Motion Fee: IBSEISMICO $13.65 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $3.001 1 SUBTOTALS: $7,188.45 $0.00 TOTAL FEE: 1 $7,188.45 Revised: 04/01/2014 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RTI N O Fax: 408-777-3333 CONTRACTOR/SUBCONTRACTOR LIST JOB ADDRESS:20660 Homestead Road PERMIT#14040172 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 Pacific.Sec �et►�g- Flooring/Carpeting McGinness Flooring 34750 Linoleum/ Wood McGinness Flooring 34750 Glass/Glazing USA All Glass Rao raGoipt-#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 IVlaster Craft Plumbing 35162 Roofing Statewide Roofing 23509 Septic Tank NA NA Sheet Metal -rhe Trillo Company 29816 Sheet Rock South Bay Interiors 25499 Tile Fischer Tile and Stone 35157 i 10/9/14 wner/Contra or Signature Date