The URL can be used to link to this page

13120131 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10000 TORRE AVE CONTRACTOR:XL CONSTRUCTION PERMIT NO: 13120131 OWNER'S NAME: TORRE AVENUE PROPERTIES 851 BUCKEYE CT DATE ISSUED: 12/17/2013 OWNER'S PHONE: 4089961010 MILPITAS,CA 95035 PHONE NO:(408)240-6000 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIAL License Class O Lie.N APPLE-1ST FLOOR-COMM T.1 TO INCLUDE NON LOAD 7 BEARING PARTITIONS,SOFFIT,MILLWORK AND Contractor (\(� ��f Date FINISHES I hereby affirm that I am licensed under the provisions of Chapter 9 NONSTRUCTURAL (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: 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:$210000 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:36902030.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 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 180LAST CALLED INSPECTION. indemnify and keep harmless the City ofCuperlino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the granting of this perm:. Additionally,the applicant understands and will comply Issued by: Date: with all non-po' s rce regulations per the Cupertino Municipal Code,S tion 9.18. / f RE-ROOFS: Signature Date f 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 1 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). 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will 1 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 I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Cod Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Secti 5505,25533,and 2 Section 3700 of the Labor Code,for the performance of the work for which this 1 .9 permit is issued. Owner or authorized agen i Date: 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,l 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.1 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 CUPERTINO (408)777-3228• FAX(408)777-3333•buildingCa)cupertino.org 131 Zo 13 1 ❑NEW CONSTRUCTION ❑ ADDITION ffALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS n M I Y .`� APN H OWNER NAME PHONE !' C`� E-MAIL 1 STREET ADDRESS CITY, STATE,ZIP 1 n i G FAX i ItJ� Ilii ( vC�' Cv C l Iw C� ��-JJ CONTACT NAMET .w PHONE//oQ-��O^ E-MAIL 1,41/ STREETADDRESSv f/( `,�z�o FAx v o + �(� n�( ��5 � 1�;°'L(f� iG C4 L/7, ( CITY, TATE �lli/�I%rc1 Cr /SG�7:� ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Decri e* /� LICENSE NUMBER j /� �{,l�J� LICENSE TYPE (;.-C(?) BUS.LIC it COMPANY NAME E MAII FAX r, y (� STREET ADDRESS C Ic YC Citi,rL� CITY.STATE,ZIP ` n r PHONE e � ,L��cl ��;� Cry `�<_63� ARCHITECT/ENGE9EER NAME 5 C,l.� 0� LICENSE NUMBER BUS.LIC it p COMPANY NAME �(/ E MAII C/' O STR15t^tN. �(!�.1�j MEET ADDRESS o DESCRIPTION OF WORK Iod `A Pzt-A1401 f �O Jej )J&n *1 ^1114) k ,.�� s VV EXISTaig USE PROPOED USE CON E #STTS O ��isr- S '/ USE TYPE OCC. SQ.FI. VALUATION(S) AR7 al0 �A� � �Aa!D o?!D BATHROOM KITCHEN OTHER REMODEL AREA ` REMODEL AREA \ REMODELAREA\ PORCH AREA DECK AREA TOTAL DECKIPORCH AREA I GARAG AREA: DETACH \ ` 0 ATTACH #DWELLING UNITS: ISA SECOND @RT ❑YES SECOND STORY YES BEING ADDED? WO ADDITION? Q.NO PRE-APPLICATION []YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVED BY: T�CAL VALUATION: PLANNINGAPPL# NO PLANNING APPROVAL LETTER EICHLERROME? WO /b jA ( TION: By my signature below,I 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 state laws relating to b 3 nstIUctioD. I th ntativ f o to enter the above-ide 'fled p erty for inspection purposes. Signature of Applicant/Agent: Date: opt SUPPLEMENTAL INFORMATIO14 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. ❑ F"REss ❑ 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 DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06121111 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 10000 torre ave DATE: 12/17/2013 REVIEWED BY: Mendez APN: BP#: ,2 D/3 / "VALUATION: 1$210,000 'PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 1B TI USE: PERMIT TYPE: WORK a le- 1 st floor- comm t.i to include non load bearingpartitions, soffit millwork and finishes non SCOPE structural OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. s.f. B (Tenant Improvements) II-B,III-B,IV,V-B 210 $2,036.00 IBTIPLNCK $571.00 IBTIINSP TOTALS: 210 $2,036.00 $571.00 MECH,HOURLY 0 Yes (F) No PLUMB, HOURLY 0 Yes Q No ELEC,HOURLY 0 Yes (D No L, 4 Baa ET Ll Inv), F J 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 prelimina information available and are only an estimate. Contact the De J or addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff. 711/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,036.00 Select a Misc Bldg/Structure Suppl. PC Fee: Q Reg. OT 0.0 lus $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $571.00 Suppl. Insp. Fee.S Reg. ® OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 alls1ructl I on Tax: Work Without Permit? C) Yes 0 No $0.00 0 Advanced Planning Fee: $0.00 Select a Non-Residential 0 1.) Building or Structure 0 Strong Motion Fee: IBSEISWCO $44.10 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC 1 $9.00 SUBTOTALS: 1 $2,660.101 $0.00 TOTAL FEE: 1 $2,660.10 Revised: 10/01/2013 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 CU P E RT I N O Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS- �r PERMIT# OWNER'S NAM 1::: PHONE# GENERAL CONT� OR: 'J1 BUSINESS LICENSE. t a .� ADDRESS: " CITY/ZIPCODE: *Our municipal code requires al usinesses 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: s/ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork s ,O T13 Cement Finishing Electrical Qr� ! P(/ r a 9 74 Excavation f Fencing Flooring/Carpeting Ikew, ly"Ov" 5 a.(j ly Linoleum /Wood Glass/ Glazing Heating Insulation Landscaping Lathing Masoniy Painting/Wallpaper S / Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile --- - _— l��z � wner/Contractor Signature, Date