B-2017-2068 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: • CONTRACTOR: PERMIT NO:B-2017-2068
10080 N WOLFE RD STE SW3-160 CUPERTINO,CA 95014-2516(316 20 086)110050 OPI COMMERCIAL
N WOLFE RD CUPERTINO,CA 95014-2521(316 20 086) BUILDERS INC
SAN JOSE,CA 95.125-
' 3037
OWNER'S NAME: I&G DIRECT REAL ESTATE 27 LP DATE ISSUED: 12/04/2017
OWNER'S PHONE:408-982-8404 PHONE NO:(408)377-4800
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class B Lic.#816254
Contractor OPI COMMERCIAL BUILDERS INC Date 01/31/2019 X BLDG _ELECT _PLUMB
MECH_RESIDENTIAL X COMMERCIAL
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing
with Section 7000)of Division 3 o the Business&Professions Code and that my
license is in full force and,effect. JOB DESCRIPTION:
CAP AND ADD RAILING TO THE EXISTING PLANTER WALLS
I hereby affirm under penalty of perjury one of the following two declarations: AROUND THE BUILDINGS(5).NEW DROUGHT TOLERANT
1. I have and will maintain a certificate of consent to self-insure for Worker's PLANTING AND ADDITIONAL IRRIGATION VALVES WILL BE
Compensation,as provided for by Section 3700 of the Labor Code,for the ADDED TO THE PLANTERS ALONG THE NORTH PARKING LOT
performance of the work for which this permit is issued. ENTRANCE.
-, 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
-" permit is issued. Sq.Ft Floor Area: Valuation:$277450.00
APPLICANT CERTIFICATION .
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 APN Number: Occupancy Type:
and state laws relating to building construction,and hereby authorize 316 20 086
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,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED
may accrue against said City inconsequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the applicant.understands and will comply with all non-point
source regulations per the Cupertino Municipal Cod- :-ction 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
tignature P _, Date 12/4/2017 Issued by:Jasmine Archbold
Date: 12/04/2017
OWNER-BUI 2 ER DECLARATION •
I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFSz
following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is
1. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for
compensation,willdo the work,and the structure is not intended or offered for inspection.
sale.(Sec.7044,Business&Professions Code) •
2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant:
contractors to construct the project(Sec.7044,Business&Professions Code). Date:12/4/2017
' I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
' i. I have and will maintain a Certificate of Consent to self-insure for Worker's
' Compensation,as provided for by Section 3700 of the Labor Code,for the
. - performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE ,
2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the
Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
3. I certify that'in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous
shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous
I. air contaminants as defined by the Bay Area Air Quality Management District I
Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapt• '. 2 and
exemption,I become subjectto the Worker's Compensation provisions of the - the Health&Safety Code,Sections 25505,25533,an. - - 34.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. . er or authorized agent: ,.
APPLICANT CERTIFICATION a e: 12/4/2017
I certify that I have read this application and state that the above information is CONSTRUCTIO ` ENDING AGENCY
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a cons • ction lending agency for the performance
relating to building construction,and hereby authorize representatives of this city of work's for which this permit is';sued(Sec.3097,Civ C.)
to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments,costs,and expenses which may accrue against said City in Lender's Address
consequence of the granting of this permit. Additionally,the applicant understands
and will comply with all non';point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION
Code,Section 9.18. , I understand my plans shall be used as public records.
Signature Date 12/4/2017 Picees
Professionald
.. ' CONSTRUCTION PERMIT APPLICATION •
COMMUNITY DEVELOPMENT DEPARTMENT •'BUILDING DIVISION
�, . 10300 TORRE AVENUE e CUPERTINO,cA 9a45 1. -3255
� .
(408)777-3228• buildingdcupertino.org PEMIT#B-T -i - -z g
cVPERTINO- , • REV#, DEF#
I
❑NEW CONSTRUCTION 0 ADDITION El ALTERATION ❑T.I. ❑MEP ❑RE-ROOF El SWIIvilvi IQ POOL/SPA
PROJECtADORESS APN Y
OWNER NAME _ PHONE F.-MALI
a -Di Oreo P-e6l. t`s-i a7 � .40g rq ?- fol{ v ,r dit.1 /eYv-rzicv cam
STREET ADDRESS L CITY, ATE,,
El CONTRACTOR NAME 0 OWNER-Ruud COMPANY NAME , . LICENSIENUMBER INCENSE TYPE •
ISTREET ADDRESS CITY,STATE,ZIP
id2�o: '-'• 1-ncd 1 - /E t ..S- %� 5q:// r: I - B'S'I 5"` -
E-MAIL PHONE BUS..LIG
00(b)( -
[1 ARCHITECT 0 OWNER ❑OWNER AGENT 0 CONTE Oil AGENT LI ENGINEER 0 DEVELOPER❑TENANT
CONTACT NAME E-MAIL .
' --• Jackson Derler jderler@hmhca.com ' `
STREET ADDRESS CITY,STATE,ZIP PHONE. ` '
1570 Oakland Road San Jose,CA,95131 . , " 408-487-2200 ,
DECRIPTON '
This project includes:capping and adding railing to the existing planter walls around the buildings Of . . 0
10050 and 10080 North Wolfe Road. New drought tolerant planting and additional irrigation valves'will-be ,
added to the'planters along the North parking lot entrance.
❑SINGLE-FAMILY/DUPLEX '❑MULTI-FAMILY 0 INDUSTRIAL 0 COMMERCIAL '
EXISTING USE EXISTING'SF :NEW FLOOR SE PORCH SF DECK DEMO SF STORIES?~- TOTAL NETS!, '
U$E TYPE OCC SQ:FT. VALUATION(),
. REMODEL REMODEL KITCHEN REMODELOTHR GARAGE ATFACIlED I
BATHROOM SF SF SF ,SF . 0 DETACHED
-
EXISINGCI YES EICHLER:❑,,YES „_ .:SECOND STORY ADDITION. ❑YE9 -
FIRE SPRINKLERS 0 NO 0 NO 0 No
DWELLING ISECONDDWELLING ❑YES ❑,ATTACHED❑DETACHED OTHER
UNITS/ UNIT ADDITON: 0`NO` S F,
POOLSI 0 FIBERGLASS ❑VINYL-LINED 'O,GUNITE ❑PREFABRICATED
POOL-SE SPA-SF I SPA ATTACHED❑YES 0 NO I TOTAL-SF
1ftE€EIVED BY: T i:\ //�(/ ir tr VAL T a I. "
Commercial or Mulll!-Fanili EnilifuEs wills Public Szoipoui:Q Pools requires Deparl,nenl of Environmental Heath auproval )� - � 7JO!' r e ly
RE-ROOF EXISTING ROOF TYPE: ❑BUILT UP'ROOF❑ASPHALT SHINGLES in WOOD SHAKES 0 WOOD SHINGLES 0 TILE OTHER(SPECIFY)
REMOVE/REPLACE 0 NO IF NO PLYWOOD•❑1/2 ❑3e8' PLYWOOD TYPE: • PITCH: ROOF'CLASS
El Yir'1.k OF LAYERS .THICKNESS'D 5/8" OTHER , ❑osE p CDx OTHER :12) A
PROPOSED ROOF TYPE:❑BUILT-UP ROOF DASPHALTShIINGLES 0 WOOD SHAKES❑WOOD SHINGLES 0 OTHER •-
*Provide a;signed copy of the Cupertino's Tear-Off Policy ,SI: /ol SQUARES
By my signature.b'elow 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 ordina s es and state Iaws relating to building construction. I authorize represettat,ives of Cupertino to
f �� , r on s application form
enter the above Identified proper for g '
to be made available kir public:•co-o � r � '
Signature of ApplicantlAgent: ` 1�dhon I"a ow c1 eotrinahon contauie
tt,� ' .J"51- + `- �~Lam.
SUPPLEMENTAL INTORMATION R'QUI �. V *v 11
�n� / P ►rte
0 *New SFO/Second Dwelling Units/M tifami y Dwellings:A I3el l.e444. r e r I pnof to uance oY a ub i mg permit for all nett/construction '
*Commercial Buildings; Provide a .mpleted Hazardous Materials Disclosure o m.if any Hazardous Materials are.being used as part of this project.
*Copy of Planning Approval Lette Or Meeting with Planning prior to submittal of Building Permit application.
*HOA-Provide a letter of-approval from the Home Owner's Association .
' Bldgilpp_2017.doc revised(18(01/1,7