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B-2017-0736 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-0736 1505 S DE ANZA BLVD CUPERTINO,CA 95014-5321(366 10 121) BRAZIL . CONSTRUCTION INC SCOTTS VALLEY,CA 95066 • OWNER'S NAME: COOPER WILLIAM A TRUSTEE&ET AL DATE ISSUED: 10/17/2017 OWNER'S PHONE:408-691-9511 PHONE NO:(831)440-9500 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: • License Class B Lic.#851555 Contractor BRAZIL CONSTRUCTION INC Date 11/30/2017 X BLDG _ELECT _PLUMB MECH_RESIDENTIAL X COMMERCIAL 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. JOB DESCRIPTION: T.I.KELLEY MOORE PAINTS-1ST FLOOR;REPLACE ENTRANCE ' I hereby affirm under penalty of perjury one of the following two declarations: DOOR WITH AUTOMATIC DOOR i. 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. a I have and will maintain Worker's Compensation Insurance,as provided for by • lj Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$14000.00 • • APPLICANT CERTIFICATION I certify that I,haveread this application and state that the above information is correct.I agree to comply with all city and county ordinances APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 366 10 121 A(Tenant Improvements) 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,posts,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence Of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,i!the applicant understands and will comply with all non-point source regulations per the•Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signatur- �� ` Date 10-17--2017 Issued by:Kim Dunbar Date: 10/17/2017 OWNER- +' LDER DECLARATION I hereby affirm,tt atI am exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for compensation;will do the work,and the structure is not intended or offered for inspection. sale(Sec.7044,Business&Professions Code) 2. I,as owner-of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date: I0-17--2017 • I hereby affii•m:under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1. I liave 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. HAZARDOUS MATERIALS DISCLOSURE 2. I ha*and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the ' Section 3700 of the Labor Code,for,the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,[ Health&Safety Code,Section 25532(a)should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and exemption;1 become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534. Labor'Code,I must forthwith comply with such provisions or this permit shall . ; ' • be deemed revoked. t" Owner or authorized agent APPLICANT CERTIFICATION Date:10-17--2017 I certify that I have read this application and state that the above information is CONSTRU ON LENDING AGENCY correct.I agree•to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon they above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify;and keep,harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the,granting of this permit. Additionally,the applicant understands and will comply with',all,non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18.,, I understand my plans shall be used as public records. Signature . . Date 10-17--2017 Licensed Professional \ ,ti \' •, CONSTRUCTION PERMIT APPLICATION ' '',- COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION :: ',-.4,11?- 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 • GUPERTINO (408)777-3228 • FAX(408)777-3333•building(a�cupertino.orq 2J.--'20)t'1-,—'0' 1=1NEW CONSTRUCTION ID ADDITION /.�r ALTERATION/TI 0 REVISION/DEFERRED ORIGINAL PERMIT N _______ " _ PROJECT-ADDRESS APN LI 2/ (_ 1 0.-- 12 l t 0 C. IX--. . 7. x.0440 -4, O- ✓/��e `� rArrilin CeopOWNER ME�t4 MILLie F114K K .. P g^�o�i1' -I S(( E-MAIL 4TREETADDRESS CITY,STATE,ZIP - . ' I FAX ,�e SE-, Gtxrarz.411120P fey . rY',QN 0 1 e" C TAC_yN h/�1E r PHONE E-MAIL rr��Ye�� t�T 6' °I l L� �S- s2 Y co STREET AD•RESSCITY,STATE,ZIP FAX 0 OWNER ❑ OWNER-BUILDER 0 OWNER AGENT 0 CONTRACTOR 0 CONTRACTOR • CONTRRACTOR AGENT ARCHITECT 0 ENGINEER C] DEVELOPER 0 TENANT CON �R " k,S- . adZ�LCou�stZ «t� LICENSE NU EJ ( S S5, LICENSE TYPE Q 1_51 C-61:7 c-z5 BUS.Lgo30lo COMPANY NAPI E-MAIL FAX tA2t,_ GoyS� ca..-1t 'p-sc 51242_1C CoNS c,(.C'fi-31--) . STREET ADDRESS CITY STATE,ZIP PHONE R'CASA '4-1 Sic.' i Yogi-Lelt C(4, c�Cc. (a'�b'-G7o—c o ARR iI�TFC 1'/EN(iiNEER NAME LICENSE NUMBER G,_n p 4....rj 7 I BUS,LIC II .cr 04 .OMPAN",,NAME • E-MAIL �i f FAX ..•... ' ''ue_ 5o.r:n .. -0 •►•:21 _ ^ :.i_ Ai t_ :. _,..Cou STREETADDREf CI Y, TATE,ZIP PHO NE 12s ie+ Sp a �z 4(24a _ �4 's � g -Qty SS G 5 26 DESCRIPTION•F WORK {� � 071-...:, -.• - _.: (.4 _ L)i-.,-r -_ U th. - _ -- .U/.il ��A c_ • 1i�- " (-4 .1A3 Ems'INGUSE ' • PROPOSED USE CONSUL TYPE It STORIES -e'��// L USE TYPE OCC. SQ.FT, VALUATION(S) EXISTG NEW F OOR DEMO TOTAL AREA)f\,n AREA AREA NETAREA b� ! 11 t t q i_/ 1-tf, ctyD B.A•rHR�M ' CHEN OTHER '� / 1 1 V ` I`!/fGK7 4 REMODEL AREA REMODEL AREA REMODEL AREA • PORCH AREA ' DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: 0 DETACH 0 ATTACH 5.OWELLINCUNITS: IS A SECOND UNIT El YES SECOND STORY DYES BEING ADDED? ❑NO ADDITION° 0 N PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF ISTHE BLDG AN 0 YES R DTOTAL VALUATION: PLANNING APILII ('NO PLANNING APPROVAL LETTER EICHLERHOME? ❑No ,.(/,/, / t. - 1 - By my signature below.l 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. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and slate laws relating to building construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of ApplicantiAgent: �� Date: S 4 1 • ago(-} . SUPPLEMENTAL INFORMATION REQUIRED ;'P,I;yAt'LCI3t..ciC'T:Y•eR •, ' • ROUTING SLIP New SI'D Or Multifamily dwellings: Apply for demolition permit for u�. OVER=Tt•1)-COUWA. C3 pUILD1NG PLA existing building(s). Demolition permit is required prior to issuance of building f permit for new building. _: :EXPR>;SS': . .: 0- PLANNING PLAN Rt:ViEN _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ?,i :.T,NINA ier.,.,__,:.:_•.:,, :,.:la.PlBL,te.wp>tles f'or'm il'any Hazardous Materials are being used as part of this project, '"�,`-' �-e-_ - �__ '" ri'` ' - • •' _Copy of Planning Approval Letter or Meeting with Planning prior to ;; fix §. €- y. :.2,r.;:.;-.••, .:•;,,--rlffibi•... ;--: . . 'D-.0):ift tn�.SE)i•ER DISTlitcr submittal of Building Permit application. . s: t �:ii...._ .. -,,...i..L-.`.:I::N:VJR9NIN A4EALT}I dldgApp_2011.doc revised WG/21/I I SOLUTION GROUP ARCHITECTURE BRIAN CHANGB.D. SUBMITTAL C-29431 Renewal Date BRIAN CHANGLICENSEDARCHITEC TSTATEO F CALI FOR N IA12/31/2017 1" = 30'-0" x x x Phuong Devries 05/24/17 05/24/17 B-2017-0736 Abby Ayende 7' S/W Replace existing storefront door and windows with (1)-Stanley Dura Glide 2OOO automatic single slide right hand door (SX-O configuration), Size: 7'-0" X 7'-8" Header top X 8'-5" Transom top DOOR ACTIVATION - Two-way traffic Stanley X-Zone motion sensor controls. DOOR SAFETY - Stanley X-Zone safety sensor w/doorway holding beams. DŝĐƌŽƉƌŽĐĞƐƐŽƌ control box ǁͬƐĂĨĞƚǇ search circuitry. Electro-mechanical operator, 7/d HP DC motor (requires 120VAC, 5 amps min.). Narrow stile door panels w/70" bottom rails. Emergency breakaway sliding door panels. 1" Clear insulated SolarBan 70xl 'ůĂƐƐ ŝŶ ĚŽŽƌƐ ĂŶĚ ƚƌĂŶƐŽŵƐ͘ ;/Ϳ ϮΗ /ŶƚĞƌŵĞĚŝĂƚĞ ŚŽƌŝǌŽŶƚĂů ŵƵŶƚŝŶ ƉĞƌ ĚŽŽƌ ƉĂŶĞů͘ ϰ ϭͬϮΗ ǆ ϭͲϯͬϰΗ ũĂŵďƐ͘ ůĂƌŵ ĐŽŶƚĂĐƚƐ͕ ŽŽƌ WŽƐŝƚŝŽŶ ^ǁŝƚĐŚ͘ ZŽƚĂƌǇ &ƵŶĐƚŝŽŶ ^ǁŝƚĐŚ͘ Aluminum finish shall be Clear Anodized to match (E) ƐƚŽƌĞĨƌŽŶƚ͘ ŽŶƚŝŶƵŽƵƐ ƚŚƌĞƐŚŽůĚ ƵŶĚĞƌ ƐŝĚĞůŝŶĞƐ ĂŶĚ ƚŚƌŽƵŐŚ ŽƉĞŶŝŶŐ͕ ĚŽƵďůĞ ďĞǀĞů ϲ͞ ǆ /ͬϮ͘͞ WƌŽǀŝĚĞ international symbol of accessibility sign. SOLUTION GROUP ARCHITECTURE BRIAN CHANG B.D. SUBMITTAL 1/8"=1'-0" C-29431 Renewal Date BRIAN CHANG L I C E N S E D A R C H I T E C T S T A T E O F C A L I F O R N I A 12/31/2017 1/4"=1'-0" Phuong Devries 05/24/17