13090007 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10883 S BLANEY AVE CONTRACTOR:TOMMY WOO PERMITNO: 13090007
OWNER'S NAME: PACIFIC RIM PARK LLC 38858 SALMON TER DATE ISSUED:09/03/2013
OWNER'S PHONE: 6262162457 FREMONT,CA 94536 PHONE NO:(510)368-6988
❑n LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIAL
License Class ?-C) Lic.# �S— ?D BEIJING ROAST DUCK-T.I PREP INTERIOR
DEMOLITION
Contractor �- _L/, W ov Date 3^�� TO PREPARE FOR COMM. T.I PERMIT 3080 SQ FT #
1 hereby affirm that I am licensed under the provisions of Chapter 9 13060197
(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:
1 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:$2000
1 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:36934052.10883 Occupancy Type:
permit 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. I agree to comply with all city and county ordinances and state laws relating WITHIN 80 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 DAYS FROM LAST CALLED INSPE T N.
indemnify and keep harmless the City of Cupertino against liabilities,judgments, f
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:
PZ12
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
RE-ROOFS:
Signature —2 fi!/U/` Date9-7-43 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 am 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,
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
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 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 1
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 25505,25533,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 i
not employ any person in any manner so as to become subject to the Worker's I
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 1 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 ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
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
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 10883 s blaney ave DATE: 09/03/2013 REVIEWED BY: Mendez
APN: BP#: C)O *VALUATION: 1$2,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building PENTAMATION 1TIPREP
USE: PERMIT TYPE:
WORK beiiing roast duck-t.i prep interior demolition to prepare for comm. t.i permit # 13060197
SCOPE
El Li
NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,eta). Thesefees are based on the prelimina information available and are only an estimate. Contact the Detor addn'1 in o.
FEE ITEMS (Fee Resolution 11-053 Eff 7/U121 FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 1 # Tenant Improvement Prep
Suppl.PC Fee: Q Reg. Q OT 0,0 f hrs $0.00 $405.00 1TIPREP
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee-.0 Reg. OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
?: of U ltt7nL'?7 i
Work Without Permit? 0 Yes (E) No $0.00
Advanced Planning Fee: $0.00 Select a Non-Residential 0
Tttr;�>t 1 hrcrrlrcr7;rriir>r! !`r.:s_ Building or Structure
Strong,Motion Fee: 1BSEISMICO $0.50 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC $1.00
SUBTOTALS: $1.50 $405.00 TOTAL FEE: 1 $406.50
Revised: 07/01/2013
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERI-INO, CA 95014-3255 D
CUPERTIN4ELI (408)777-3228•FAX(408)777-3333•buildinq(a_)cupertino.org ��
❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROJECT ADDRESS ffj ? �/ -y APN#
-17A
OWNERNAMEff_/V„�j PHONE pA�U/ ` E-MAIL /v Q
STREET ADDRESS /�r� )w�J /✓� �e CITY, STATE,ZIP— 1 ^�) FAX
17
CONTACT NAME L m d PHONE ('r^j_) l/ r E-MAIL
STREET ADDRESS ON CITY,STATE, ZIP {� ! FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT re"TRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME Vln LICENSE NUMBER 7� LICENTYPE j� BUS.LI /�f
COMPANY NAMEIC U Ll E-MAIL FAX (�/d
STREET ADDRESS 0�3 c1 ON CITY,STATE,ZIP PHON U �b/1 �✓Zl
Jr
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC V O
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK
EXISTING USE PROPOSED USE CONSTR.TYPE 1 #STORIES
USE TYPE OCC. SQ.FT. VALUATION($)
EXISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NET AREA
BATHROOM KITCHEN OTHER
REMODEL AREA REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH
❑ATTACH
#DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES
BEING ADDED? []NO ADDITION? []NO
PRE-APPLICATION []YES IF YES,PROVIDE COPY OF IS THE BLDG AN C]YES RE ED, TOTAI„�N:
PLANNING APPL# []NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO TOW
By my signature below,I certify to each of the fallowing: I am the property owner or authorized nt 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 verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building construction. I authorize representatives of Cupe Ino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL INFORMATION REQUIRED
PLA:N_qJ1ECkTYPZ1ROUTING SLIP
_New SED or Multifamily dwellings: Apply for demolition permit for ovEx THE coUNiEx ❑ sutLDrrtc riaN IZEviEw y
existing building(s). Demolition permit is required prior to issuance of buildinga
permit for new building. BEs , ❑�PratNrnrtGrLAlvit> Ew
J t 1 5 ,fix F
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure Cl_ sTANDAIin ❑ PUBLIC WORKS
form if any Hazardous Materials are being used as part of this project, i �
❑� LARGE' [� ��nEPT!
_Copy of Planning Approval Letter or Meeting with Planning prior to `
❑' MAJOA` ❑ SANITARXSEWERDISTRICT
submittal of Building Permit application.
� ❑.=ENVIRONINENI'AL HEALfiH,-
BldgApp_2011.doc revised 06/21/11
GENERAL NOTES
1). ALL WORKS SHALL COMPLY WITH THE CURRENT CALIF. BUILDING REVISIONS
CODES AND ALL CURRENT LOCAL GOVERNING CODES, REGULATIONS
AND ORDINANCES. By
2). CONTRACTOR SHALL BE LICENSED, FULLY INSURED AND EXPERIENCED
IN LOCAL CONSTRUCTION PRACTICE, CODES AND REGULATIONS.
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3). CONTRACTOR SHALL VERIFY ALL SITE CONDITIONS AND DIMENSIONS _ 881-10"
PRIOR TO COMMENCEMENT OF WORK. NO WORK SHALL BE STARTED
UNTIL ALL QUESTIONS AND DISCREPANCIES ARE RESOLVED.
4). CONTRACTOR SHALL EXAMINE ALL RELEVANT PLANS, SPECIFICATIONS
AND OTHER CONSTRUCTION DOCUMENTS PRIOR TO COMMENCEMENT
OF WORK. ANY OMISSIONS OR DISCREPANCIES IN ANY PART OF THE az^
CONSTRUCTION DOCUMENTS SHALL BE REPORTED TO OWNER PRIOR
TO COMMENCEMENT OF WORK. SCALE SHALL NOT BE USED FOR
DETERMINING EXACT DIMENSIONS. 00
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5). WORK SHALL BE DONE IN ACCORDANCE WITH PLANS STAMPED BY
DEPARTMENT OF BUILDING INSPECTION. OWNER SHALL BE INFORMED
IMMEDIATELY IF DIFFERENT SOLUTION IS NECESSARY. FAILURE TO DO SO THE RESTROOM
SHALL PUT ENTIRE RESPONSIBILITY ONTO CONTRACTOR. TO BE REMOVED
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6). CONTRACTOR SHALL BE SOLELY RESPONSIBLE FOR SAFETY OF PEOPLE
AND PROPERTY ON THE PROJECT SITE, CONTRACTOR SHALL CAREFULLY
CHECK THE STABILITY OF TALL EXISTING ELEMENTS PRIOR TO CONSTRUCTION.
ALL WORK SHALL BE DONE IN ACCORDANCE WITH CALOSHA REQUIREMENTS.
ALL POWER EQUIPMENT SHALL BE OPERATED ONLY UNDER THE APROVAL OF
THE GOVERNING AGENCIES. FIRE EXTINGUISHER SHALL BE PROVIDED AND o)
MAINTAINED DURING CONSTRUCTION.
7). CONTRACTOR SHALL BE RESPONSIBLE FOR REPAIRING AT HIS/HER OWN 6' HIGH PARTITION WALL
VTHE PART O N WALL
EXPENSE.ANY DAMAGE TO ANY PUBLIC OR PRIVATE PROPERTY THAT IS co g
CAUSED BY HIS/HER WORK. O BE RE VED
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8. ALL MATERIALS, FIXTURES, EQUIPMENT SHALL BE NEWAND UNUSED.
NO SUBSTITUTION SHALL BE MAKE WITHOUT OWNER'S AUTHORIZATION.
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ITEMS WHICH ARE NOT SPECIFIED BY TYPE OR MANUFACTURES SHALL
gor.
BE OF AVERAGE QUALITY UNLESS APROVED BY OWNER. z U z
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PROJECT DATA
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6' HIGH PAR ON WALL (—
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1). PROJECT ADDRESS: 10883 S BLANEY AVE CUPERTINO CA °'
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2). OCCUPANCY GROUP: A-2
3). BUILDING TYPE: VB M
CV
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4). TOTAL AREA: 2,867 SQ. FT.
5). OCCUPANCY LOAD: 80
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6). FORMER USAGE: LIBRARY p
7). PROPOSE BUSINESS: RESTAURANT W Z
8). AUTO SPRINKLER: NO CL
ACCESSIBLE PARKING: YES V
9). � w
10). ELECTRICAL POWER: 120v/208v 200 AMP.
• • �
11). CODE EDITIONS: w Zg
CALIFORNIA FIRE CODE, 2010 CFC ~ 0
CALIFORNIA BUILDING CODE, 2010 CBC DEMOLITION FLOOR PLAN � � �
CALIFORNIAPLUMBING CODE 2010 CPC y �j
f. .` U Co
po °°
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CALIFORNIA MECHANICAL CODE, 2010 CMC ' SJ � o
CALIFORNIA ELECTRICAL CODE, 2010 CEC SCALE: 1/4"=1 1-011 oo Z
ENERGY CODE, 2010 T 24 p.
CALIFORNIA GREEN BUILDING STANDARDS CODE 2010 CGBSC
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ALONG WITH CITY ORDINANCES AND ANY OTHER APPLICABLE -- m
LOCAL AND STATE LAWS AND REGULATIONS.
CUPERTINQ DEMOLITION PLAN
THE CONSTRUCTION SHALL MEET ALL THE STANDARD Building Department
AND TO MEET THE LOCAL BUILDING CODE&ZONING ORDINANCES. ''
SEP 9 3 201
GENERAL FIRE SAFETY NOTES: REVIEWED FOR CODE COMPLIANCE
Reviewed By:
1 .
C`
FRONT DOOR REQUIREMENT: LO i Vwv,.�-- rn
THE FRONT DOOR SHALL HAVE A 10" SMOOTH UNINTERRUPTED SURFACE and
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ADD NOTE ON TOP OF THE DOOR, STATING"THIS DOOR TO REMAIN UNLOCKED ; , CNIA-
WHEN BUILDING IS OCCUPIED"WITH 1" MIN. LETTER HEIGHT. (CBC 11336.2.6) cr.,,,'r F' -y P Y ^
c l llii C t a v! t _rt E ItdO 4` . ra l It
—D
2). EXIT DOORS
EXIT DOOR SHALL SWING TO THE DIRECTION OF TRAVEL &TO HAVE AN APPROVED Thiry 7°'r, '�� j;` , �s tr��si be Supt�� ��
PANIC HARDWARE DEVICE AND WITH THE POSTED EXIT SIGN. DEAD BOLTS OR SURFACE rn�_ s �i t y
ar,
MOUNTED LATCHES ARE NOT ALLOWED. INSTALL EMERGENCY POWER FOR LIGHTED G a: ter to v J!~:�
t ,. . ,�, �r ��cu��� ��rov�:' „a;�� the Buiie9+nc Designed by: T.W
71
EXIT AS REQUIRED. (SEE 1006.1 ILLAMINVTION REQUIRED, 1006.21LLVMINATION LEVEL, � t ;� �; rrc;~i aligns S!1,At ItiO
; c
c
1006.3 ILLUMINATION EMERGENCY POWER.)
. � r� �u& r oval�s� �virgin Date : JUN 21 , 2013
Jr Y mance Or Side
3). ACCESSIBLE SIGNS:
ATI ACCESSIBLE YMBOL IN THE FRONT DOOR AREA. r�, � �• �-"" scale : AS SHOWN
INSTALL THE INTERN ON ALS V 3 -
4). STREET ADDRESS: " ' !
�'� � � ���. Drawn : W.P.D.
INSTALL STREET ADDRESS NUMBER NOT LESS THAT 6" HIGH ON A CONTRASTING
BACK GROUND AND BE PLAINLY VISIBLE FROM THE STREET OR ROAD FRONTING THE
Job
PROPERTY
5). DINING ROOM OCCUPANCY: SHEET
EACH DINING ROOM SHALL HAVE AN OCCUPANCY SIGN TO SHOW THE MAXIMUM SEATING.
6). LOCK BOX FOR FIRE MARSHAL:
A KNOX LOCK BOX IS REQUIRED BY FIRE DEPARTMENT. THE EXISTING LOCK BOX
LOCATION MAY BE INDICATED ON THE PLAN. CFC 506.1 0
OF SHEETS