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13080112
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20735 STEVENS CREEK BLVD CONTRACTOR:RT.iN ENTERPRISES INC PERMIT NO: 13080112 OWNER'S NAME: ALLAN LAU DBA MILLENNIUM CONSTRUCTN GRP DATE ISSUED:01/03/2014 OWNER'S PHONE: 4082053496 CONCORD,CA 94519 PHONE NO:(925)676-0119 I LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL SUITA04 iOODLES&COMPANY-COMM.T.I ON License ClassLic.# �6 E5CISTI�^^��,,\\ Contractor (� Date VACANT SPACE 2430 SQ FT I hereby affirm that I am licensed under the provisions of Ch pter 9 1/14/ -REISION#1-(2)ALTERNATE MATERIALS AND (commencing with Section 7000)of Division 3 of the Business&` s 1 HODS, ILIZING THE 2013 PLUMBING CODE FOR Code and that my license is in full force and effect. _G�CJ` ` .L'1' FIXTURE COUNT-ISSD 1/27/2014 1 hereby affirm under penalty of perjury one of the follow' arations: I have and will maintain a certificate of consent to self-insure r 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:$350000 1 have 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:32632054.00 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.1 agree to comply with all city and county ordinances and state laws relating WITH 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 S FR A T 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 J 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-LA 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 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) 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(a)should I store or handle hazardous 1 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 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. 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 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 1 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 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20735 STEVENS CREEK BLVD CONTRACTOR:RTJN ENTERPRISES INC PERMIT NO: 13080112 OWNER'S NAME: ALLAN LAU DBA MILLENNIUM CONSTRUCTN GRP DATE ISSUED:01/03/2014 OWNER'S PHONE: 4082053496 CONCORD,CA 94519 PHONE NO:(925)676-0119 0— SUITE CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL E] ��-- l� SUITE H-NOODLES&COMPANY-COMM.T.I ON License Class Lic.# _ EXISTING VACANT SPACE 2430 SQ FT Contractor � Date � � `�'� I hereby affirm that I am licensed under the provisio s 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 Area: Valuation:$350000 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:32632054.00 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.l agreet comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OFUEAMIT 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 FR ALLED INSPECT N. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the 311 granting of this permit. Additionally,the applicant understands and will comply Issue Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature --- --��� Date L All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection,1 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 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) 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 deelaratious: 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 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 Ir� r permit is issued. Owner or authorized agent. Date: i I certify that in the performance of the work for which this permit is issued,l 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 1 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 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20735 STEVENS CREEK BLVD CONTRACTOR:RTJN ENTERPRISES INC PERMIT NO: 13080112 OWNER'S NAME: ALLAN LAU DBA MILLENNIUM CONSTRUCTN GRP DATE ISSUED:01/03/2014 OW R'S PHONE: 4082053496 CONCORD,CA 94519 PHONE NO:(925)676-0119 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL ❑ MMI H-NOODLES & COMPANY-COMM.T.I ON License Class_ Lic.tt MI EXISTING VACANT SPACE 2430 SQ FT Contractor Date DEF#I -ANCHORS FOR WALK-IN COOLER- ISSUED I hereby affirm that l am licensed under the provisions of Chapter 9 2/28/2014 (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 Area: Valuation:$350000 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:32632054.00 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 WITHIN 180 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 L D 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 Z granting of this permit. Additionally,the applicant understands and will complj sued b with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. (, -ROOFS: Signature _;�"` Date Z-'��-i '1 All roofs shall be inspected p o any rooting 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 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(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 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 `—� + V_ Owner or authorized agent: _� � Dater 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,1 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 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, 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•buildLqfrftcupertino.ora i ❑NE-W CONSTRUCTION ❑ ADDITION ALTERATION/T REVI N/ FERRED GINAL PERMIT# PROJECT ADDRESS ! N# _ c� , OWNER NAME _ p � �� V STREET ADDRESS C-) c CITY,STATE,ZIP FAX CONTACT NAMEf PHONE 41,7,z E MAII t�q re STREET ADDRESS C/ � CITY,STATE, ZIP J/RAej � m !Z sa� I•- F V C ❑ OWNER ❑ OWNER-Bua.DER ❑ OWNER AGENT ❑' CONTRACTOR 11 CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER bid TENANT CONTRACTORNAME LI EN1lI�� LICENSETYPE BUS.LIC# r` COMP AME �^y7 EMAIL FAX /l i lw-i-t .(,+QA4 - V1C .4 v a STREET ADDRESS Z QJ CITY,STATE,ZIP t �. PHONE L � �otCClC A K! 1 ARCHITECT/ENGAEERNRME LICENSE NUMBER BUS.LIC# COMPANY NAME J(�1 l/.11 1 E-MAIL . FAX tea ^�fy t ,A� % t ! L: a" !'t.l C.iz L'Fk•'t'S_C '�'IL �l Z [ :'� -1 L L'1rJ STREET ADDPMS d_. ( y� CITY,STATE,ZIP ! , �/ PHONE , t 1 - DESCRIPTION OF WORK (_1 f ' `3 t a:.'L C go i2u C ti C (I,J o - EXISTING USE PROPOSED USE CONS E #STORIES ;Ze_ Ajn F,4t:4 USE TYPE OCC. SQ.FT. VALUATION(S) EXLSTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA I DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: FIDETACH ❑ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? []NO ADDITION? ❑ PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES TOTAL VALUATION: PLANNnNGAPPL4 ❑NO PLANNING APPROVAL LETTER EICHLERHOME? ❑NO - By my signature below,I certify to each of the following: I am the property owner or autho.015 ag ii o a on the pro owner's have read this application and the information I have provided is correct, I have read the Description of Work and verify is "te. I agree to comply with all applicable local ordinances and state laws relattruction. I authorize representatives of Cupertino to e e above-identified property for inspection purposes. Signature of Applicant/Agent:`\ `�—�—f Date: SUPPLEMENTAL INFORMATION REQUIRED PLAN clMcxT}PE RovTlnc sLtr New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THECOUNTER ❑ BU'LLDING PLAN REVIEW' existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLA-NNnvG PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLicwoRKs 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 ❑. NWOR ❑ snnrlwRY SEWER DISTRIc r submittal of Building Permit application. �' - ❑ ENVIRONMENTAL HEALTH BldgApp 2011.doc revised 06/21/11 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUIL 10300 TORRE AVENUE• CUPERTINO, CA 91014-3255A (408) 777 3228• FAX(408)777-3333• bu' i cu e CUPERTINO ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTE N/ REVISRIGIWN4 PERMIT# PROJECT ADDSS 15 CNt WAPN# ©�� OWNER NAME 1" PHO MAIL is STREET ADDRESSCITY STATE,ZIP FAX CA GOpiTA NAME HO) - , q� TREET DRESS C TY,ST9 .ZIP• FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CO CTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER &NANT CONTRACTOR NAME LICENSER` LICENSE TYPE 1 BUS.LIC# COMP NAME (� mug 140 "660' ri 2!V ST .0-c. CITY,STATE,ZIP PHONE 116 e�NCa Lu. tar !1 �( ' '` - • 6 jt� CHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# N! a tVL4 rJ COMPANY NAME E-MAIL �Mtb C&I QIP UI-.w P13 Cif 'P" .N ,ea AA S REST ADDRESS CITY,S ATE,ZIP O CSG ;o,-w " t v e o�4 6'U - C 001 �� 1'O O IS- DESCRIPTION OF WORK . ^ e EXISTING USE PROPOSE USE CONSTR TYPE #STORIES USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOCDEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA . PORCH AREA DECK A TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY []YES BEING ADDED? ❑NO ADDITION? NO PR.E-APP11Cp N ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES TOTAL VALUATION: PLANNING L# ❑NO PLANNING APPROVAL LETTER EICHLER HONIE? - By my Signature below,I certify to each of the following: I am the pro rty owner or� ed agent t e property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work an n it is accurate. I agree to comply with all applicable local ordinances and state laws relati construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. '! Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED PIAN CHECK T'ITE ROirTING sLIP _New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW r 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 ❑ STANDARD ❑ 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 ❑ MAJOR ❑ SANITARY SEWER ms submittal of Building Permit application. ❑ ENVIRONMENTAL HE I L• /� r`lJ BI'dgApp_2011.doc revises CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING wCYIa7ft I_ 10300 TORRE AVENUE •CUPERTINO, CA 95014-325 DATE CUPERTINO (408)777-3228• FAX(408)777-3333•buildiinq5c ertinoj._M K NEW CONSTRUC-DON ❑ ADDITION ❑ ALTERATION/TT V REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS APN N 2 !� -�reNv i2zrk� R1 LID - OWNER NAME PHONE E-MAIL STREET ADDRESS CITY, STATE,ZIP T;A; CONTACT NAME PHONE E-MAIL _ 1Ir STREET ADDRESS CITY,STATE, ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT O CTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC k COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE ARCRITECT/ENGINEER NAME LICENSE NUMBER BUS,LIC N COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTR TYPE I 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: LJ DETACH ❑ATTACH M 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 ❑YES TOTAL VALUATION: PLANNINGAPPLH [:]NO PLANNING APPROVAL IETTER EICHLERHOME? E]NO By my signature below,I certify to each of the following: I am the property owner or authorized ent 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 state laws relati construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: N__ Date: f — I Y—i l SUPPLEMENTAL INFORMATION 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 DARD ❑ 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 ❑ MAJOR ❑ SANITARY SEWER nlsrRlCT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 20735 Stevens Creek Blvd DATE: 01/06/2014 REVIEWED BY: A. Horn APN: 326-32-054 BP#: 13080112 *VALUATION: Iso *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 1A TI USE: PERMIT TYPE: WORK Two Alternate Materials and Methods. Utilizing the 2013 Plumbing Code for Fixture Counts. Original SCOPE restaurant Tenant Improvement is based on 2010 Plumbing Code. OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE II? CONSTR. s.f. A(Tenant Improvements) II-B,III-B,N,V-B 0 $0.00 $0.00 TOTALS: 0 $O.QQ - $0.00 df 41) hag lfech,Pftw C;he-k Plz�alb.P11w Check Eter,Pkm Check hfech. Per mir Fee: Phimb.Pernrit Fee: Bloc.Permir F ee., 011wr mech.Insp, Othm Phrmh brvp, Orher.Ek,c,Imp, Atech,[Hsi).F'O'V: Phnnb.Asp.Fee: F,'lec..If�p..Fee: NOTE: This estirnate does not include fees due to other Departments{Ee.Planning,Public Works,Fire,Sanitary Sewer District,School Dlstric eta). These es are based on the prelindnar in ormadon available and are only an estimate. Contact the De t or addn I Info, FEE ITEMS Lee Resolution 11-053 Ef.. 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes (E) No $0.00 0 hours Plan Check,Hourly Suppl.PC Fee: 19 Reg. ® OT 0.0 hrs $0.00 $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 SuppI.Insp.Fee-.0 Reg. OT 0 0 hrs $0.00 PRE Unit Fee: $0.00 PME Permit Fee: $0.00 Constmetion Tax, dtninWraiive Fee: Work Without Permit? 0 Yes No $0.00 Advanced Planning Fee: $Q.00 Select a Non-Residential Trewel Doeumentalion Fees: Building or Structure � Strong Motion Fee: $0.00 2 # Alternate Materials and Methods Bldg_Stds Commission Fee: $0.00 $364.00 1ALTMAT .] _C v .�n ; $0.00 $364 00Q �r;� $3$4.00 Revised: 0110 CITY OF CUPERTINO FEE ESTIMATOR— BUILDING DIVISION ADDRESS: 20735 Stevens Creek Blvd DATE: 01/06/2014 REVIEWED BY: A. Hom APN: 326-32-054 BP#: 13080112 "VALUATION: $0 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 1A TI USE: PERMIT TYPE: wORK Two Alternate Materials and Methods. Utilizinq the 2013 Plumbing Code for Fixture Counts. Original SCOPE restaurant Tenant Improvement is based on 2010 Plumbing Code. OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. s.f. A(Tenant Improvements) II-B,III-B,IV,V-B 0 $0.00 $0.00 TOTALS: 0 $0.00 $0.00 MECH,HOURLY 0 Yes (j) No PLUMB,HOURLY 0 Yes Q No ELEC,HOURLY 0 Yes Q No �El NOTE: This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). Thesefees are based on the preliminar information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 E f 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? Yes ) No $0.00 hours Plan Check,Hourly Suppl. PC Fee: ) Reg. 0 OT 0.0 1 hrs $0.00 $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee:(F) Reg. QOT O Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: 1tJt?ttYTYttrwit e Fee: 0 Work Without Pennit? ® Yes (j) No $0.00 G Advanced Planninjz Fee: $0.00 Select a Non-Residential 0 Tref °el Documentalion.Fees; Building or Structure 0 Strong Motion Fee: $0.00 # Alternate Materials and Methods Bldg Stds Commission Fee: $0.00 $364.0+01AL TMATSUBTOTALS: $0.00 $364.0TOTAL FEE: $364.00 Revised: 01/01/2014 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION MDDRESS: 20735 stevens creek blvd DATE: 02/28/2014 REVIEWED BY: melissa PN: 326 32 054 BP#: 13080112 -VALUATION: Iso ;'PERMITTYPE: Building Permit PLAN CHECK TYPE: Alteration /Addition/ Repair PRIMARY Commercial Building PENTAMATION 1GENCOM USE: PERMIT TYPE: WORK DEF# 1 -ANCHORS FOR WALK-IN COOLER - ISSUED 2/28/2014 SCOPE NOTE: This estimate does not include fees due to other Departments(Le.Planning,Public Works, Fire,Sanitary Sewer District,School District, etc.). These ges are based on the preliminar information available and are only an estimate. Contact the De 21 for addn I info. FEE ITEMS (Fee Resolution II-053 Eff 7213) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes Q No $0.00 1 hours Plan Check, Hourly Suppl. PC Fee: E) Reg. () OT 0.0 hrs $0.00 $139.00 1sTPLNCK PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 l�rriui.titrrrtrv� fec Q Work Without Permit? ® Yes No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential 1 rmel I?„xr;�rt rtlutinn Fr�. : Building or Structure Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $139.00 TOTAL FEE: 1 $139.00 Revised: 01/15/2014 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 20735 STEVENS CREEK BL# H DATE: 03/03/2014 REVIEWED BY: MELISSA APN: 326 32 054 BP#: 13080112 'VALUATION: Iso PERMIT TY LAN CHECK TYPE: Alteration /Addition / Repair P Commercial Building PENTAMATION 1GENCOM E: PERMIT TYPE: A WORK DEF # 2 -TRASH ENCLOSURE SCOPE Ll NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . Thesefees 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. 7,-1!13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 1 # Deferred Submittal Suppl. PC Fee: Reg. Q OT 0.0 hrs $0.00 $278.00 1DEFSUBM PME Plan Check: $0.00 Permit Fee: $0.00 Supp]. Insp. Fee:Q Reg. Q OT F-01 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 .It;I1,�inrt; .ri. > f�e Work Without Permit? 0 Yes E) No $0.00 � Advanced Plannint Fee: $0.00 Select a Non-Residential 0 7i-(It el Doc 11 nentuliori Fin's: Building or Structure i StronV Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $278.00 TOTAL FEE: $278.00 Revised: 01/15/2014 CONSTRUCTION PERMIT APPLICATION 94 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•building(a)cupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ® ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECTADDRESS 20735 Stevens Creek Blvd,Suite H APN# 3>>>26-32-054 OWNER NAME HK Investments @ `(/J rebeccalau8 comcast.net STREET ADDRESS P.O.Box 3324 CITY, STATE,ZIP Saratoga,CA 95070 FAX CONTACT NAME Melanie Bagley PHONE 972-396-8409 E-MAIL mbagley@hunterdevelopmentgroup.com STREET ADDRESS 2348 AreZZO Lane CITY,STATE,ZIP Allen,TX 75013 FAX 214-957-6028 ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER IN TENANT CONTRACTOR NAME TBD .�/ LIC S ffiF�R LICENSE TYPE `7 BUS.LIC# OMPANY NAME - E-i L FAX. Tin 6PA 11'1Li(,n;:�.v-4 (��sr6,eoUP /I/C �i��c' C�2ov�, l'� ��S-[a7C,�(� 29 STREET ADDRESS (?8r lJWC, 6,p LS y�� CITY,STATE.ZIP, �_ , ��� � ARCFUTECT/ENGINEER NAME Elizabeth KivIand utER �(J( BUS.Lie A COMPANY NAME Chipman Design Architecture E-MAIL ekivland@chipmandesignarch.com FAX 847-298-6966 STREET ADDRESS 2700 South Rive Road,Suite 400 CITY,STATE,ZIPDesPlaines,IL 60018 PHONE 847-391-0015 DESCRrPTrON OF WORK Interior remodel of former Baja Fresh eating establishment into new fast casual dining establishment. EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES Restaurant-vacant restaurant 1 USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA Same AREA NETAREA 5350,000.00 BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA rPRE-APPLICATION DECK AREA TOTAL DECK/PORCH AREA7GEAREA: DETACH ❑ATiACH TS: IS A SECOND UNIT- YES SECOND STORY YES BEING ADDED? ❑NO ADDITION? [:]NO ❑YES IF YES,PROVIDE COPY OF IS THE BLOC AN ❑YES RECEIV H TOT V AT(TQN:r S []NO PLANNING APPROVAL LETTER EICHLER HOME? []NO `j^/�--- By my signature below,I certify to eac f the following: I am the property owner or authorized ent to act on the property owner's behalf. I have read this application and the information I have ovided is corre I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating* ildin onstr Ion. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: ) SUPPLEMENTAL INFORMATIM REQUIRED PLAN CHECK TYPE ROUTING SLIP _New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THE-couYTERaul DIN C PLAY REVIEW existing building(s). Demolition permit is required prior to issuance of building ' permit for new building. ❑ EXPRESS PLAN G PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure XSTANDARD PURLI[C 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 ❑ MAJORSANT V SEWER DISTRICT submittal of Building Permit application. ENVIRONMENTAL HEALTH BldgApp_201l.doe revised 06/21111 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 20735 SCB suite h DATE: 08/15/2013 REVIEWED BY: Mendez APN: BP#: �� � O �? *VALUATION: 1$350,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 1A TI USE: PERMIT TYPE: WORK suite h- noodles & company- comm. t.i on existing vacant space 2430 sq ft SCOPE OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. s.f. A(Tenant Improvements) II-B,111-B,IV,V-B 2,430 $2,437.20 IATIPLNCK $1,377.80 1ATHNSP TOTALS: 2,430 $2,437.20 $1,377.80 MECH,HOURLY 0 Yes E) No PLUMB,HOURLY Q Yes Q No ELEC, HOURLY © Yes Q Yo l iuil C6> f'lr�tiif�. �� i_�';eIh J'Juc Mao C,hc'ck eek Permit Iec. Plumb. Pe-mit Fie: ? c. Permit Fee Other:klecrh.Insp. Other Plumb Insp. Other Elec.Insp, Ucch.Irup.Fee: Plumb. hisp� Fee. flee_Insp. Fee: NOTE: This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). Thesefees are based on the preliminar information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Erf 7/1/12) FEE QTYIFEE MISC ITEMS Plan Check Fee: $2,437.20 Select a Misc Bldg/Structure Suppl, PC Fee: (F) Reg. 0 OT 0.0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $1,377.80 Suppl. Insp. Fee:Q Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction KEY. Administrative Fee: 0 Work Without Permit? Yes (E) No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential E) Travel Documentation Fees: Building or Structure 0 i Strong Motion Fee: IBSEISAHCO $73.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $14.00 SUBTOTALS: $3,902.50 $0.00 TOTAL FEE: F $3,902.50 Revised: 07/01/2013 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Lal Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS: ' 5 iajJS LU t) PERMIT# OWNER'S NAME: A-L_444A) 1_, .r1 PHONE# c12.- _ '6_26- 611yo, cj : GENERAL CONTRACTOR: 1 L q. (,' �° BUSINESS LICENSE# ADDRESS: 2g q CITY;ZIPCODE: *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 LCt�'�'A\l Owner/Contractor Signature Date Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 C U P S RT I N O Telephone: 408-777-3228 Fac: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: 2- :52;; i�VENj c-k (..U� PERMIT# / 30a/I'Z OWNER'S NAME: j4t1-rVV 4 V PHONE# GENERAL CONTRACTOR: HILLUMVIUM (�oju. BUSINESS LICENSE# ADDRESS:'IM �r� q CITY/ZIPCODE: *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 G Cement Finishing Electrical Excavation 1 ©b-6 q- Fencing Flooring/Carpeting Linoleum /Wood Glass/ Glazing Heating "2-77 Insulation Landscaping Lathing I Masonry Painting/ Wallpaper b L PcIN `2-'7-71 Paving Plastering Plumbing Roofi ng Septic Tank Sheet Rock FAV O P YwACL Tile k�ly� Is: (,t 7 0 Owner/Contractor Signature �� nate ALTERNATE MATERIALS AND METHODS ! MODIFICATION FORM COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333,b iildingAcQpertina.om CUPERTINO ® REQUEST FOR MODIFICATION OF CODE(CBC 104.10) ❑ REQUEST FOR ALTERNATE MATERIAL,DESIGN OR METHOD OF CONSTRUCTION(CBC 104.11,CFC 111.2.4) ADDRess 20735 Stevens Creek Blvd,Ste H AP"� -3Q -06 DATE 01/08/2014 own (Allen Lein Tenerrt Noodles&�Company Store#572 W..„. 2 V B StevensCreek Blvd Suite H t PC# ... » .. Type: » a, .............»..._.. » »..»... ............. Permit#: 13080(t 2. sto 1, .....w.....,w, a,.�.: ries: ,.;.::.,:.. Emal.�Mand@chipmandaao%am.�.com Mand@chipmandaao%am.h.com..Phon �7-?r98-69pr „m A2 restaurant 1 _.. .., e....... ...,,_ ..may.. :,} PLN#:., ,.. . .. y Occupancy:.............. .. ApplIca nt,Jahn Afj�p�m�A . _.__ ....... ..,_ TlfJa" rinGpel °Bpi IDIv..Building......... . Floor Area:.+1-2,-030 �. _ -2,A, 2700 3.River Road,Suite 400,Des Plaines,IL&0018 Permitted » los ogresw so pturne Address,..... ............................................... �. ,..�.. .. ,. ,..., , Job Status: Occ.Loatl: Jchipman chipmandasfgnarch•com 847-298-69Q0 Use of Bldg Email. ,.. .,..,,»�..... .............. .... .................Phana,.,�;.......,.,.. .. ................,.. 2 ; REQUEST: For oods modifications,please elate the applicable code requirement and the extent of rolef desirsd,for akamats requests,state the type of system Submit yAns NfteoenMla &d0on9jibeets gr be obted. n 4. This code modifiction.Is tore nest that under 2013. GPC Cha ter4 we meet the drinkin fountain requirement with the soda machine's abilit to dispense water at will per section 415.2 Drinking Fountains who equ re ere o s consume n oors, water stations s a° a permit e a e I _ o. 3 JUSTIFiCATIOr4NINDINGS OF:EQUIVALENCY: For code moddlcat(ons,applksnt shall demonstrate that l Code ection(sy speoist,IndiAdual reasons exist that make compliance with the strict letter of the ordinance Impractical and ttmt 2018 Callfornia Plumbing Code ChapA equhWarGy la provided.Forapemate requests,applicant shall demonstrate sultsbfftty,strength,effectiveness,fire resistance durebift,safety and sanitation that Is equivalent to the code for a simile u Attach additional sheets if necessary, Under several orevious code ear~ ..the aGoe tance of a restaurant servirg.water at will has been 6C”, bie substitution inilace of installirl" drinkinct fountains. We believe the 2013 CPC sect on, allows for f•e same-exception, and WeWalleive rive merest eco a Pequ rements 7wh the soda fflacnifie serving as a water station. Petltl - � �t6Y tf s nature: r, Posltion:. C.41PP .a. Date:11.16.120.1 The R nest fe: GRANTED DENIED be t.Comments: 714111TI12W OF APPR A - No.of Items: ................ ............ Fee Due,$............n.,..,, .. ,.». Date Paid: ......................... ... Receipt No.: .. .» .. I�,, Processed by:............................ 8u(Id ffl Print•.. l..A.. Are DEPARIVIENT ACTION; After determination,copies to:I applicant, 2)permit ft.~ Ahfor-m 2010.doc revised 06111110 ALTERNATE MATERIALS AND METHODS ! MODIFICATION FORM COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333*buildingAcuoefllno.ara CUPERTINO N 'REQUEST FOR MODIFICATION OF CODE(CBC 104.10) ❑ REQUEST FOR ALTERNATE MATERIAL,DESIGN OR METHOD OF CONSTRUCTION(CBC 104.11,CFC 111.2.4) ToA sections 3 1 ink or. LAddress DREss 20736 Stevens Creek Blvd,Ste H SITE 3 0_ 3!� p�j DATE 01106/2014 ownsr(Allen Lain Tenant Noodles&Company store#572 e.. � 2. V 8 _ .20735 Stevgns Creek Blvd,sults.H ._.......,..H........., ._..� ,. ..... ...�.......- PC#: .. »,... Type: »,..».. _ ..... dasignarch.corn 847-296-6900 Permit#:,13080112, Emeq ,:...,... Phone,._ ,.,,:.,...;..,N...,,. .,, ..�.K�.. ;PLN#: .. .�. �..�,� Occupancy: A2 restaurant DeptJDly,,Building.»u Floor Area: .. ................ ... .... ........... 27x0 S.River Road,Suite 400 Des Pialnos,IL 6001 B Jab Status permlttad....,_� Ooc.Los&: toe.....agrusso apr!� Add �chipmartr�ch'Pmandest®nardt.corrt.„..................84.7-298-6x00 m A Use of Bldg:A?/M........ Email »,.:r.� »a:;:«t;:..Phone .,..,.., 2 ! REQUEST: For rode modifloaWns,please state the applicable code requirement and the extent of retef desired..For alternate requests,state the type of system and dealy methods, Submit glans K nec!w 4o Wkistrats requesL Additional sheets or data may be attached. -Noodles&Company would like tojae-carisIdered uader 2QJ3 California Plu mbIng Cades Chapter 4 as this will be the code in place when the restaurant is under construction and begins its operations. The 2013 Plumbing Code, Chapter 4 will allow fora single water closet for each men's and women's res rooms tor a restaurant space with a p umging occupancy load -5T16ss than 50 persons~ �. JUSTffICATIGNIFiNDINGS QF EQUIVALENCY: For code modl5catlons,appllmnt.ahatdemonafrete that C e actions: '� special,Individuat:ressonsexist that nuke compllancawllh the strict letter of the ordinenee Impractical and that 2013 Callfomla Plumbing Code Chap.4 equivalency is provided, For efaernata requests,appllaant shall damans0ete suGabllKy,strength etTecdveneas,~lire resi�atloe ad at d the' Por'aaim�ar Adadt addtdonal sheets If neceseary. Noodles believes the re isions mads to the 2013 California Plumbing Code Cha pter 4 more accurately reflect the size/fixture quantity of the restrooms needed for the plumbing occupancy of their space. As e 2013 code will become the standard requirements during cons ructlon an he start o air requestsoper-aliK, N!Mies considered e e eupdatedRevIye u _. g standar-d.._ natut enc Date:! bt 2a 9 . The Request Is: WGRANTED ❑ DENIED Dept.Comments. CONDITIONS OF APPROVAL; No.of Items Fee Due:$... ». . Tm. Date Pald: Receipt No.: Processed by: WOW OfHdat:, Print: ,» Q .Date: ;�: lm .. .Date:. DEP T TACT[ON: mH «» t:ap saattb 2)PWIY9tfp4 A10rnl_2010.doc revised 06/11/10 ALTERNATE MATERIALS AND METHODS / MODIFICATION FORM COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildingCo)-cupertino.org CUPERTIND 0 REQUEST FOR MODIFICATION OF CODE(CBC 104.10) ❑ REQUEST FOR ALTERNATE MATERIAL,DESIGN OR METHOD OF CONSTRUCTION(CBC 104.11,CFC 111.2.4) To apply for this request complete sections 1,2.&3 ink or type) SJTE AD DRESS 20735 Stevens Creek Blvd, Ste H AP3N T b2 �t j DATE 01/06/2014 (Allen Lau) Tenant-Noodles&Company Store#572 Owner.......................................................................................................................... .. 2 V-B PC#: 1 .1........11..................11.... Type, ..................... 20735 Stevens Creek Blvd, H Address........................................_.............Suite..............._...........,.,............ .............,..........., Permit#:.13080112..,..,,....... Stones ... Email,ektvland@chipiitandesignarch:com phone.847-298-6900 A2 restaurant PLN#: Occupancy:.................. Jahn A Chipman Principal p. Building........................ Floor Area:.+/-.22.4.3.0...,...... Applicant. De t/Div........................I.............,...._........................Title...............:.......,.........-........... ... . .. .... .... .,.. Permitted t02 eg ess/3.plumb 2700 S.River Road,Suite 400, Des Plaines,IL 60018 Job Status: ........................... Occ.Load: ....egre:..._.....mb Address.2700 A2/M Email Jchipman@chipmandesig narch:com 847-298-6900 Use of Bldg............................. .............Phone 1111_..1.1.,..1...1......,-111.1...--1-1.1 2 1 REQUEST: For code modifications,please state the applicable code requirement and the extent of relief desired. For alternate requests,state the type of system Proposed and design methods. Submit plans If necessary to Illustrate request Additional sheets or data may be attached. Noodlesike to be considered under 2013 CaliforniaPI bin this will be the code in place when the restaurant is under construction and begins its operations. The 2013 Plumbing Code, Chapter 4 will allow for a single water closet for each men's and women's res rooms ora restaurant space With a p umging occupancy load of less than 50 persons. 3 JUSTIFICATION/FINDINGS OF EQUIVALENCY: For code modifications,applicant shall demonstrate that Code Section(s): special,individual reasons exist that make compliance with the strict letter of the ordinance impractical and that 2013 California Plumbing Code Chap.4 equivalency is provided. For alternate requests,applicant shall demonstrate suitability,strength,effectiveness,fire resWance. gaiety and sartifallan that is mWlairit to the code for a similar use, Attach additional sheets if necessary. Noodles believes the revisions made to the 2013 California Plumbing Code Chapter 4 more accurate) reflect the size/fixture quantity of the restrooms needed for the plumbing occupancy of their space. As the 2013 code will become the standard requirements during construction and the start of their opera I n, Noodles requests to be considered under the new updated plumbing s an ar . Petitioner Reviewed - Si nature: rtion: .. ...LI IQ �..... Date:( la.2o. B :. � - `7th. <! .DateA. 6.. .,. The Request is: 10GRANTEID ❑ DENIED Dept,Comments: CONDITIONS OF APPROVAL: No.of Items: ............................. Fee Due:$.................................. Date Paid: ........................,....... Receipt No.: .............................. Processed by:............................ Building Official:.. .... ..........Print: ....,..._ .G .!"1... Date:QL FireMarshal:........................................................::..................:...........Print: ,............,................,........,...........................................Date:................................... DEPARTMENT ACTION: After determination,copies to.1):applicant, 2)permit file AI[form_2010.doc revised 06/11/10 ALTERNATE MATERIALS AND METHODS / MODIFICATION FORM COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE-CUPERTINO, CA 95014-3255 (408)777-3228• FAX(408)777-3333•buildingCWcugertino.org CUPERTINO 0 REQUEST FOR MODIFICATION OF CODE(CBC 104.10) ❑ REQUEST FOR ALTERNATE MATERIAL,DESIGN OR METHOD OF CONSTRUCTION(CBC 104.11,CFC 111.2.4) Toapply for this request,complete sections 1,2,8 3 ink ori e SITE ADDRESS 20735 Stevens Creek Blvd, Ste H APN DATE 3 01/06/2014 -32 - 05 (Allen Lau) Tenant-Noodles 8 Company Store#572 Owner............................................................................................................................... V Address.20735B PC#: .2 .................................... Type: .................,................... ......................_...................................Stevens Creek Blvd,Suite H ................... Permit#:.13080112 Stories: ...............,................. ekivland@chipmandesignarch.com 847-298-6900 Email..............................................................Phone....... .......................,........... A..restaurant PLN#: ................................... Occupancy:...........,................ John A Chipman Principal Building +1-24 30 Applicant...................................I...................,...........Title.......,,......_..........._.................... Oept./Div..Buil........................ Floor Area:..,....:....,.............. , Permitted 102 egress/30 plumb 2700 S.River Road,Suite 400,Des Plaines, IL 60018 Job Status: .............�...,.<.....,,. Occ.Load: ............................. Address.2700 _........ chi man chi mandesi narch.com 847-298-6900 Use of Bldg:P2..M................. Email.....P.................P..............9............................Phone.....,...............,,...........,........... 2 REQUEST: For code modifications,please state the applicable code requirement and the extent of relief desired. For alternate requests,state the type of system proposed and design methods, Submit plans if necessary to illustrate request. Addltlonal sheets or data may be attached. Previous code modifictioni n 2013 CalifoniaPlumbing h r 4. This code modifiction is to re uest that under 2013 CPC Chapter 4 we meet the drinking fountain requirement with the soda machine's ability to dispense water at will per section 415.2 Drinking Fountains Where Required. ere food is c6nsumed indoors, water stations shall e permitted o e substituted for drinking fountains.' We contend a soda mane me Is a water station. 3 JUSTIFICATION/FINDINGS OF EQUIVALENCY: For code modifications,applicant shall demonstrate that Code Section(s): special,Individual reasons exist that make compliance with the strict letter of the ordinance impractical and that 2013 California Plumbing Code Chap.4 equivalency Is provided. For alternate requests,applicant shall demonstrate suitability,strength,effectiveness,fire resistance,durability,safety and sanitation that is equivalent to the code for a similar use. Attach additional sheets if necessary. Under several previous code years, the acceptance of a restaurant serving water at will has been acceptable substitution in place of installing drinking fountains. We believe the 2013 CPC section, 415.2 allows for the same exception, and we believe we meet the code requirements with the soda machine serving as a water station. Petitioner 13evi ed Sign ... Position:.0 z(k c;4PP—Lr.....Date:1.6 2019 B The Request Is: trGRANTED ❑ DENIED Dept.Comments: OvA CONDITIONS OF APPROVAL: No.of Items: .... .._............. Fee Due:$......................» .e..... Date Paid: ......................,....,..... Receipt No.: .............................. Processed by:... .................. Building Officia ..._._. ...,,,,..._..........Print: ... ................. ..... ........... .....Date:..Q' .�... ...... 1 FireMarshal:.................................... .............. .............-._Print..................................___..._.... .....<.........._..,.._....,Date:...._ DEPARTMENT ACTION: After determination,copies to:1)applicant, 2)permit file Aliform 2010.doc revised 06/11/10 PROJECT DATA - COMMERCIAL Is COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•building Qcupertino.org PROJECTADDRESs20735 Stevens Creek Blvd, Suite H I APN'326-32-054 OWNER NAME HK Investments PHONE E-MAIL STREET ADDRESS P.O. BOX 3324 CITY, STATE,ZIP Saratoga, CA 95070 FAX CONTACT NAME Melanie Bagley PHONE972-396-8409 E-MAn mbagley@hunterdevelopmentgroup.com STREETADDRESS2348 Arezzo Lane CITY,STATE, Z[PAllen, TX 75013 FAX214-291-5597 ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ®TENANT TENANT CONTACT NAME Noodles & Company PHONE E-MAIL E-MAIL mbagley@hunlerdevelopmentgorup.com BUSINESS NAME Noodles & Company FAX214-291-5597 BUILDING OR TENANT SPACE DIMENSIONS DESCRIPTION OF WORK Tenant improvement of former restaurant use (previously Baja Fresh) to new restaurant concept, Noodles & Company. EXISTING USE(S) restaurant - vacant PROPOSED USE(S) restaurant OCCUPANCY(S): OCCUPANT99 interior TYPEOF II-� LOAD: 77 CONSTRUCTION AREA OF FLOOR(S) HAZARDOUS REMODEL SPACE.2430 OF REMODEL SPACE:2430 MATERIALS? Y FIRE N WUI Y FLOOD Y lv SIESMIC Y O SPRINKLERS: AREA: AREA: AREA: NUMBER OF CHILDREN<2 YRS OLD: NUMBER OF STUDENTS>=2 YRS OLD UP TO 12"'GRADE: LEARNING CENTERS AND EDUCATIONAL OPERATIONS: 24 HOURS CARE? Y O NUMBER OF ADULT CLIENTS: NUMBER OF EMPLOYEES: TOTAL OCCUPANTS: Governing Codes: 2010 California Building Code(based on the 2009 International Building Code) 2010 California Residential Code(based on the 2009 International Residential Code) 2010 California Plumbing Code(based on the 2009 Uniform Plumbing Code) 2010 California Mechanical Code(based on the 2009 Uniform Mechanical Code) 2010 California Electrical Code(based on the 2009 International Electrical Code) 2010 California Energy Code 2010 California Green Building Standards Code Cupertino Municipal Code ProjeccDaca-Commercial.doc revised 12/01111