Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
14020163
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20300 STEVENS CREEK BLVD CONTRACTOR:DEVCON PERMIT NO: 14020163 CONSTRUCTION INC OWNER'S NAME: SVF CUPERTINO CITY CENTER CORP 690 GIBRALTAR DR DATE ISSUED:02/27/2014 OWNER'S PHONE: 4086666614 MILPITAS.CA 95035 PHONE NO:(408)942-8200 i! `° LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL [—] APPLE-T.I. MODIFY WEST WING,4TH FLR TO CONVERT License Class +M` C/ Lic. Ito 3 2 STORAGE ROOMS TO LABS &ADD(N) LAB AREA Contractor Dto tR,N J%nr, Dat ': ZZ 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 Arca: Valuation:$40000 R{cave and will maintain Worker's Compensation Insurance,as provided for by ction 3700 of the Labor Code,for the performance of the work for which this APN Number.36901019.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating THIN 180 DAY T ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAY VI 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: Date: Z Z with all non-point source regulations per tl ertino Municipal Code,Section 9.18. 2E-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 I hereby affirm that I ant 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, wil I do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) 1,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(See.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. 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 Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Munici 1 Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the licalth&Safety Code,Sections 25. ,255 25534. Section 3700 of die Labor Code,for die performance of the work for which this Owner or authorized agent Dat permit is issued. e 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,) 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, ARCIIITECI"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 9.1 B, Signature Date CONSTRUCTION PERMITAPPLICATION RM COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 v Lo VVV CUP>=RTINO (408) 777-3228• FAX(408)777-3333•buildingpcuoertino.org ❑NEW CONSTRUCTION ❑ ADDITION 0'�LTBRATION/Tl ❑ REVISION/DEFERRED ORIGINAL PERMIT 9 PROJECT-ADDRPSS, 2 Of,� C 4 • APN 01 !C 61 —a OwNERNAME O �V 1 G GF+ PH ., tit p�/�(( r E Yt�OV{ �' STREET'ADDRESS I� 11 14 �D CIIY, STATE,ZIP v� FAX CONTACT NAME N i 17 wJ b`IN e)t` w I PHONE / E-MATT. STREETADDRESS Com, A � •N. b6 (V Fa OWNER ❑ OwNER•SUnDER YJ OWNERAGENr ❑ CONTRACTOR 11 CONTRA AGFSrT ❑ At[CI-MCT ENGDJEER ❑ DEVEtOP£R ❑ 7"6SJANT CONTRACTOR NAME LICENSE NMI13FR LICENSE TYPE BUS.LIC N COMPANY NAME �F V E MA r I FAX STREET ADDRESS G CITY,STATE,ZIP PHONE. ARCHITECrIENGINEERNAME' ' r IICENSENUMBT BUS.LIC 4 COMPANY NAME f G E-MAIL A.SL&W%anfk FAX STREET ADDRESS Y, CITY,STATE,Z[P [ P ONE DEscRTPTioN of watuc M G b 1F I G nV N O u W r'S -N d u D h- GaNv� 2 STI). F_. . ROM IN ANV:) fm 6 ASOCAAfp- $AEC0 r= lFIC EXISTING USE PROPOSED SE CONSTR TYPE It STORIES K_:^ USE TYPE OCC, SQ.FT, VALUATION(5) EXISTG NEW ILOOR DEMO TOTAL AREA AREA AREA NET AREA D ry o BATHROOM KITCHEN OTHER v REMODEL AREA REMODEL AREA REMODEL AREA 2�(�' 3 !2 -0 PORCH AREA DECK AREA TOTALDECK/PORCH AREA GARAGE AREA: DETACH ,( ]' ATTACH NDWELLINGUNITS: IS A SECOND UNIT []YES SECOND STORY ❑YES SEIPiGADDED! 51NO ADDrr10NT 0 PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES :• ABY-""' ., `'rt TOTAL VALUATION: PLANNrNG APPL,l ❑NO PLANNING APPROVAL LETIER EICHLER HOW? ANO D 0 D By my signature below.I certify to each of the following: I am the property owner or a gent to n the er's behalf. I hav read this application and the information I have provided is correct. I have read the Description of ork and verify accurate. I agree to comply with all applicable local ordinances and state laws relating to buil ' o coon. i ntatives of Cupertino to enter the above-identified p operty for inspection purposes. Signature of Applicant/AgenC Date: .2 27f SUPPLEMENTAL INFORMATION REQUIRED z '' x �•-ter r L y _New SFD or Multifamily dwellings: Apply for demolition permit for .x � OVER THP COUNTER �sBt]ILD�GPLANREVIEW' existing building(s). Demolition permit is required prior to issuance of building s . permit for new building. RxPRE$S S ETA P`IIANNING`PL-kN{REVIEW -` Commercial Bldgs: Provide a completed Hazatdotis Materials DisclosuresTATmARD PVBL C_ORlts if Form an Hazardous aerials are being useas art of this project. . y HdMtbg d II p I _Copy Of Planning Approval Letter or Meeting with Planning prior t0 -y©, pR .- k ©,SarTARY S1�vER DlsrRrer ` y N = z submittal of Building Permit application. I fir, 4- T • i} !..s,�:..a..,....�' .....Ii+1,...r..L.-'�.s".��3,�EriVIROIV'14�NTALFiiEAY:TIi�-.:�.....: B1dg4pp 2011.dac revised 06121111 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 20300 STEVENS CREEK BLVD DATE: 02/27/2044 REVIEWED BY: MELISSA APN: 369 01 019 BP1#: 'VALUATION: 1$40,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY PENTAMATION USE: Commercial Building [PERMIT TYPE: 48Th WORK APPLE -T.I. MODIFY WEST WING 4TH FLR TO CONVERT 2 STORAGE ROOMS TO LABS & ADD SCOPE (N) LAB AREA OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. (s.f. 8 (Tenant Improvements) II-B,III-B,IV,V-B 250 $2,036.00 IBTIPLNCK $574.00 1BT11NSP TOTALS: 250 $2,036.00 $571.00 MECH,HOURLY 0 Yes (j) No PLUMB,HOURLY 0 Yes 0 No ELEC,HOURLY 0 Yes Q No 1.1'c,11. l''lQr!CTti(k 11Itunh. Plan ChevA f'ler. 1'I0r7(;hCd ,Ll-h 1'ermil Fee: r'lrrmh. !'omni(I"ve: LiGr pt rmir Fee' Colli. tleL h. tnsp O(lrer Phrmh ImpLj Other Floc.Insp. ET_L_ 'U"(41 hup.Fae Phauh Fee: F.lec,Insp. lyre: NOTE. This estimate does not ineluele fees(lire to other Departments(i.e.Planning,Public (Forks,Fire,Sanitary Server District,School District, etc-). Thesefees are based on the prefindnairjr information available and ore only an estimate. Contact the De 1 or addn'l info. FEE ITEMS (Fee Resolulion 11-033 Eff. 7/1113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,036.00 Select a Misc Bldg/Structure Suppl. PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $571.00 Suppl. Insp. Fee-.(D Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tox. A(lininhararive T-ee: 0 Work Without Permit? 0 Yes Q No $0.00 0 Advanced Planning Fee: $0.00 Select a Non-Residential Q Ti-ovvI Dverunenlaiion 1ws. Building or Structure 0 Strong Motion Fee: IBSE1SM1CO $8.40 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00 SUBTOTALS: $2,617.40 $0.00 TOTAL PEE: $2,617.40 Revised: 01115/2014 Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 Telephone:408-777-3228 C U P E RT I N O Fax:408-777-3333 CONTRACTOR/SUBCONTRACTOR LIST JOB ADDRESS: 2-0400 Mlycl PERMIT# 1&10Z O 1 (p OWNER'S NAME: La- G--r— PHONE# U,) '5 GENERAL CONTRACTOR: w �, BUSINESS LICENSE# ADDRESS: 40 .b / ,P CITY/ZIPCODE: ' ,� C *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 Owner/rontractor Signature Date APR 14 '14 09:14 FROW DEVCON CONSTRUCTION INC. 4082622342 T-233 P.01/01 F-543 i Building Department l Ak N P Ci Of Cn ertino 1 10300 Torre Avenue nf e n, -3255 % &Awn ` V!d -57?. 57? 0 73 Telephone:408-777-3228 C U PERT I N O Fax:408-777-3333 CONTRACTOR/SUBCONTRACTOR LIST JOB ADDRESS: Apple CC1 -4th Floor PERMIT tt 1402016.3 OWNER'S NAME:APPIe,Inc. pHoNE# 408-942-9200 GENERAL CONTRACTOR: Devon Construction,Inc. BUSINESS LICENSE It 11068 ADDRESS; 690 Gibraltar Drive CITY/ZIPCODE: Milpitas,CA 95095 ,"Our municipal code requires all businesses%vnrking 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. 1 am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: ✓ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE# Cabinets&Millwork Mission Hell Manufacturing, Inc. Cement Finishing X Electrical RedwoodElectric Group 21106 Excavation Fencing X Flooring/Carpeting R.E.Cuddle Co. 1429 Linoleum/Wood X Glass/Glazing Grand Prix Glass X Heating United Mechanical, Inc. 27361 Insulation Landscaping Lathing Masonry X Painting/Wallpaper C&O Painting, Inc. 501 Paving Plastering Plumbing Roofing Scplic Tank Sheet Metal X Sheet Rock Magnum Drywall 25212 Ti lc w,' �� 1' caner/Contr&tYr Signature Date