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13080032CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19410 HOMESTEAD RD CONTRACTOR: NCM DEMOLITION & PERMIT NO: 13080032 REMEDIATION LP OWNER'S NAME: CAMPUS HOLDING INC 404 BERRY ST DATE ISSUED: 08/06/2013 OWNER'S PHONE: 4087834613 BREA, CA 92821 PHONE NO: (714) 672-3500 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIALD COMMERCIAL . License Class Lic. # 344uf 227,952 S.F. INTERIOR DEMO TO PREPARE FOR FUTURE //���� Ae �i p� > bF�f'�m � �t f Icn � BUILDING DEMO Contractor'&^ fe' O���J 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 Sq. Ft Floor Area: Valuation: $50000 performance of the work for which this permit is issued. 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: 31607044.19410 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 WITHINA80 DAYS 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 DA OM LAST CALLED INSP CTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the 3 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 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 I, 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 Municipal Cod�tapter 9.12 and 1 have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25 5533 d'15534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: %wO 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. Signature Date CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 ` � os CUPERTINO (408) 777-3228 • FAX (408) 777-3333 • building(a1cupertino.org \ 0 ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS HP 43 19410- Homestead Rd. __T_APN# 316 _ 07,- , �j y y, %% c f 10 OWNER NAME Apple Inc. ClitI ✓S 11VIdtA, PHONE (408)783-4613 E-MAIL esandoval@apple.com STREET ADDRESS 1 Infinite Loop CITY, STATE,ZIP Cupertino, Ca. 95014 FAX CONTACT NAME Edith Sandoval PHONE (408)783-4613 E-MAIL esandoval@ apple. com STREET ADDRESS 1 Infinite Loop, MS- 21-1 AC2 CITY, STATE, ZIP Cupertino, Ca. 95014 FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Scott Williams LICENSE NUMBER 34469 F777 E Buslnes BUS, LIC# 34469 COMPANY NAME NCM Demolition and Remediation, LLP E -MAB, SWilliams@ncmgroup.com FAX STREET ADDRESS 6644 Sierra Lane CITY, STATE, ZIP Dublin, Ca. 94568 PHONE (925)307-1500 ARCHITECT/ENGINEER NAME Wolfgang Wagner LICENSENUMBER C27550 BUS. LIC# COMPANY NAME Foster 8t Partners E-MAIL wolfgang_wagner@apple.com FAX STREET ADDRESS 1 Infinite Loop, MS 21 -1 AC2 CITY, STATE, ZIP Cupertino, Ca. 95014 PHONE (408)306-6172 DESCRIPTION OF WORK Demolition of furniture office partitions and computer flooring to allow access to preform abatement work. EXISTING USE PROPOSED USE CONSTR. TYPE #STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA d7 6 BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH []ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY []YESBEING ADDED? ❑NO ADDITION? ❑NO PRE -APPLICATION []YES IF YES, PROVIDE COPY OF IS THE BLDG AN []YE TOTAL VALUATION: PLANNING APPL # []NO PLANNING APPROVAL LETTER EICHLER HOME? By my signature below, I certify to ea he following: I a the property owner or authoriz agent act or roperty owner's behalf. I have read this application and the information I have rovi is correct III e read the Description of Work and verl I Is accurate. I agree to comply with all applicable local ordinances and state laws relating to bul ding c nstru do I dithorize representatives of Cupertino to enter the ab; ' a-ntified property for inspection purposes. V Signature of Applicant/Agent: Date: _ _ SUPPLEMENTAL INFORMATION UQUIRED PLAN CHECK TYPE ROUTING SLIP New SFD or Multifamily dwell' gs: Apply for demolition permit for ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW existing building(s). Demolition pe Is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ElSTANDARD ElPUBLIC 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 A CITY OF CUPERTINO Im FEE ESTIMATOR - BUILDING DIVISION im,ADDRESS: 19410 HOMESTEAD RD DATE: 08/06/2013 REVIEWED BY: MELISSA APN: 316 07 044 BP#: / "Yoo 3 a- "VALUATION: 1$50,000 *PERMIT TYPE: Building Permit Other :Meeh. Imp. PLAN CHECK TYPE: Tenant Improvement __JCommercial PRIMARY Building USE: PENTAMATION PERMIT TYPE: 1TIPRE A WORK 227 952 S.F INTERIOR DEMO TO PREPARE FOR FUTURE BUILDING DEMO SCOPE PME Plan Check: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District_ etc 1. These fees are horsed on the nreliminary information available and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resolution 11-053 Eff /7/1/12) FEE Plumb, Plan Check Elec. Plan Check Plumb. Permit) ire: Elec. Permit Fee: Other :Meeh. Imp. Other Plumb Inst. Other Elec. Insp. Suppl. PC Fee: 0 Reg. 0 OT FO.0 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District_ etc 1. These fees are horsed on the nreliminary information available and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resolution 11-053 Eff /7/1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.001= # $405.00 Tenant Improvement Prep 1TIPREP Suppl. PC Fee: 0 Reg. 0 OT FO.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee -.0 Reg. Q OT0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: lldininistrative h'ne 1 G Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee. $0.00 Select a Non -Residential Building or Structure O i Travel Documentation Fees: Strong Motion Fee: IBSEISMICO $10.50 Select an Administrative Item Bld T Stds Commission Fee: IBCBSC $2.00 SUBTOTALS: $12.50 $405.00 TOTAL FEE: 1 $417.50 Revised: 07/01/2013 Survey Notes I Address 1. Benchmark: BM -134 Santa Clara Valley Water District HP 42 Benchmark, Brass Disk on northern headwall at the northeast - ------------- Unavailable I I corner of the bridge at Calabazas Creek and Interstate 280. Vii, Elevation: 172.92 feet, Datum: NAVD 1988. , /• 2. A.P.N.: 316-06-033, 316-06-039, 316-06-045, 316-06-046, _- 316-06-048, 316-06-049, 316-06-050, 316-06-051, 316-06-052, t� 316-07-044, 316-07-045 and 316-07-046. {r�.E 3. Flood Zone Note: 1 4. Flood Zone "X", Areas of 0.2% annual chance flood; areas of 1 % --- -- 19091 Pruneridge Ave annual chance flood areas of protected levees from 1% annual HP 46T chance flood. Per Flood Insurance Rate Map Community No. 26,160 060339 0209 H dated May 18, 2009. (On -Site) lJ 5. Flood Zone "AO", Areas of the 1 % annual flood (100 -year flood), HP 48 also know as the base flood, is the flood that has a 1 % chance of Unavailable being equaled or exceeded in any given year; Flood depths of 1 10501 N.Tantau Ave to 3 feet (usually sheet flow on sloping terrain); average depths ! determined. For areas of alluvial fan flooding, velocities also ; determined. Per Flood Insurance Rate Map Community No. 110600 Ridgeview Ct 060339 0209 H dated May 18, 2009. (Within North Tantau RC 05 Avenue from Pruneridge Avenue south to Calabazas Creek) /I - `J 6. Flood Zone "AE", Areas of the 1% annual flood (100 -year flood), 19320 Pruneridge Ave also know as the base flood, is the flood that has a 1 % chance of --- RC 07 being equaled or exceeded in any given year; Base Flood 40,180 elevations determined. Per Flood Insurance Rate Map ....__ .._......... ............................... ....... 10400 Ridgeview Ct Community No. 060339 0209 H dated May 18, 2009. (Within the RC 08B banks of Calabazas Creek). ..... . 7. Basis of Bearings: The bearing of North 49006'2011 West taken on :10480 - 10500 Ridgeview Ct the monument line of Pruneridge Avenue as shown on that Cafeteria certain Parcel Map filed for record on October 1, 1976 in Book �' 380 of Maps at Page 49, Santa Clara County Records was taken l as the Basis of all Bearings shown hereon. I_ 8. This map was prepared using computer assisted, -; photogrammetric methods by HJW GeoSpatial, Inc., in Oakland California. In areas of dense vegetation, accuracy of contours may deviate from accepted accuracy standards. The date of, 1 Photography was February 9, 2011 as Job No. 8502-026. Existing Buildings I Building No. I Address Square Feet HP 42 ;11000 Wolfe Rd - ------------- Unavailable I I HP 43 .... 19410 - 19420 Homestead Rd Unavailable HP 43C ! No Address Unavailable - HP 44 — 19111 Pruneridge Ave ......... .­­ Unavailable _.......... HP 45 ... ......... .10955 Tantau Ave ......... ...............I 1,448,026 HP 46 --- -- 19091 Pruneridge Ave --- ------------ Unavailable HP 46T 19055 Pruneridge Ave 26,160 HP 47 19447 Pruneridge Ave Unavailable HP 48 19483 Homestead Rd Unavailable RC 02 10501 N.Tantau Ave 100,800 ......__.....__....._.........._...._ RC 03 19050 Pruneridge Ave .............................................. Unavailable I RC 04 110600 Ridgeview Ct 110,684 RC 05 :10555 Ridgeview Ct 139,285 RC 06 19320 Pruneridge Ave 40,180 { --- RC 07 ------------ -- - - 19310 Pruneridge Ave 40,180 .. .. ....._...... _- - -. RC 08A ....__ .._......... ............................... ....... 10400 Ridgeview Ct 116,830 RC 08B 10450 Ridgeview Ct116,830 - ._.__.._.... ._..__._ .._._.__._ ..... . RC 09 :10480 - 10500 Ridgeview Ct . Unavailable Cafeteria ........................... No Address _......__.................................. Unavailable �-1q Property Line @� Adjacent Property Line®_ Centerline Building Line Building Overhang - Curb Concrete Fence -- z Retaining Wall . ..... Edge Of Pavement -- --- _-----.----. Building Designation HP 10 01 DEMOLITION PLAN D 0' 400' 800' 1600' e Ave TY C!)IELCPIIIIENT DEPARTMENT BUILDING D ISiON - CUPERTINO APPROVED This set of plans and specifications MUST be kept at the jot stt; dtu ng construction. It is unlawful to make any Changes or alterations on same, or to deviate thcrefrom, without approval from the Building Official. The stamping of this plan and specifications SHALL NOT be held to permit or to be an approval of the violation of an r via ns of any City Ordinance or State Law. BY f DATA � 3 PERMIT NO. 3o80o3a Rev.I Date I Reason For Issue Key Foster + Partners Rewlrsdax2HoslarRaW Ia Xim"Sw1T 4AN T 1­44MG-r(390455 IF 444(001 TM 11M ©Foster}Partners 2010 ARU P Arup North America Ltd. 560 Wei Street, Suite 700 San Francixo, CA 94105 USA Tel (415) 957 9445 Fax (415) 957 9096 www nP.win OLIN LANDSCAPE ARCHITECTURE AND URBAN DESIGN PUBLIC LEDGER BUILDING,SUITE 1123 150 SOUTH INDEPENDENCE MALL WEST PHILADELPHIA, PA 19106 TEL 215.440.0030 / FAX 215,440 0041 W W W.THFOt INSTUDIO.COM OLIN PARTNERSHIP, LTD. kw KIER & WRIGHT 3350 Scott Boulevard, Building 22 }I Santa Clara, California 95054 1 Phone: (408) 727 6665 Fax: (408).727 5647 wwM1v:kienvrightcom 0 Kier &Wright, 2011 www. alta pla n n i ng. co m 2560 9M Street, Suite 212 Berkeley, CA 94710 p.510.540.5008 f:510.540.5039 ARC, Ilk ;I1 - j' EX R = DATE J ��92 C27551� Fpr CAL\FD Client Apple Inc. Project Apple Campus 2 Title DEMOLITION PLAN Project No. Date Scale@Arch E1 A11020-1 05/22/2013 1"=200' Number Revision 00