12070131CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 2 RESULTS WAY CONTRACTOR: XL CONSTRUCTION PERMIT NO: 12070131
OWNER'S NAME: ECI TWO RESULTS LLC 851 BUCKEYE CT DATE ISSUED: 07/17/2012
OWNER'S PHONE: 4084911641 MILPITAS, CA 95035 PHONE NO: (408) 240-6000
LICENSED CONTRACTOR'S DECLARATION
License Class SLic. # (/� 2 �lr8 o
Contractor SCC_ ( U6�r44QXok!"Date -11IT J/L_
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
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
permit is issued.
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 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,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, thA applicant understands and will comply
with all non -point o e regula s p e Cupertino Municipal Code, Section
9.18.
Signature Date 20(y__
❑ OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
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
construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three
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.
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
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, I
become subject to the Worker's Compensation provisions of the Labor Code, I must
forthwith comply with such provisions or this permit shall be deemed revoked.
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 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,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
BUILDING PERMIT INFO: BLDG r ELECT r— PLUMB I—
MECH r RESIDENTIAL r COMMERCIAL f—
JOB DESCWTION: APPLE - FLOOR 1 & 2 - T.I. PREP DEMOLITION OF
INTERIOR WALLS, FLOORING AND CEILING - 38,487
SQFT
Sq. Ft Floor Area: I Valuation: $180000
kPN Number: 35720042.2 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by:, Date: -;71/1;r -.
RE -ROOFS:
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.
Signature of Applicant: Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
Safety Code, Section 25532(a) should I store or handle hazardous material.
Additionally, should I use equipment or devices which emit hazardous air
contaminants as defined by the Bay Area Air Quality Management District I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Cod Secti s 25505, 25533, and 25534.
Own authorize age
Dater
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of work's
for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Signature Date I Licensed Professional
CUPERTINO
C�)�Cw -An'
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildingCcl_cupertino.org
-I l c� J C)1 :) I
[:]NEW CONSTRUCTION ❑ ADDITION ® ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT #
IM]
PROJECTADDRESS 2 Results Way 7� I 2—
`
7APN# 357 20 042 *2—
OWNERNAME ECI TWO RESULTS LLC
PH )� L4 6 / ' LI
LE -MAIL
STREET ADDRESSI 3 0 1 S HOREWAY RD S TE 250
CITY, STATE, zIP B e l m_lo(n t CA 94002
FAX
CONTACT NAME Marco Innocenti
PHONE 408 . 240 . 60007
000
E-MAIL
minnocenti@xlconst.com
STREETADDRESS 8551 Buckeye Court
CITY,STATE,ZIP Milpitas, CA 95035
FAX 408.240.6001
❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT El CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME Marco Innocenti
LICENSE NUMBER 6 4 7 4 8 0
77 TYPE B
BUS. LIC # 21836
COMPANYNAME XL Construction
E-MAIL minnocenti@xlconst.com
FAX 408.240.6001
STREETADDRESS 851 Buckeye Court
CITY, STATE, ZIP Milpitas, CA 95035
PHONE408.240.6000
ARCHITECT/ENGINEERNAME David Sahalvaro
LICENSE NUMBER C-015925
BUS. LIC#
COMPANYNAME Studios Arch
E-`crossman@studiosarch. COM1,
415 . 398 . 3829
STREET ADDRESS 4 0 5 Howard St Suite 588
CITY, STTE, ZIP
San Francisco, CA 94105
PHONE 415 . 398 . 7575
DESCRIPTION OF WORK
TI Prep: Demolition of interior walls, flooring, and ceilings.
EXISTING USE
Business Group B
PROPOSED USE CONSTR.
Business Group B III
TYPE
NR
# STORIES
2
USE
TYPE
OCC.
SQ.FT.
VALUATION (S)
EXISTG
NEW FLOOR
DEMO 381487
TOTAL
AREA 38,4871
AREA
AREA
NET AREA
BATHROOM
N/A
KITCHEN
AREA N/A
OTHER
REMODEL AREA N/ A
REMODEL AREA
REMODEL
PORCH AREA
DECK AREA
TOTAL DECKTORCH AREA
GARAG EA: DETACH
AR
N/A
N/A
N/A
I ❑ATTACH
#DWELLING UNrISN/A
A SECOND UNIT
BEING
SECONDSTORY
ADDED'. M NOS
ADDITION NO
PRE-APPLICATION ❑YES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑ YES
RECEIVED BY:
TOTAL VALUATION:
PLANNING APPL # MNO PLANNING APPROVAL LETTER
EICHLER HOME? NO
$180, 000
By my signature below, I certify to each of the following: I the pro owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I hav r ided is correct. I ve read escription of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating t u mg construction. authorize resentatives of Cupertino to enter the above-identifie proDerty forr inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMEN AL INFORMATIO QUI DLAN
CHECK TYPE—-
ROUTING SLIP
❑ OVER-THE-COUNTER
BUILDING PLAN REVIEW
_ New SFD or Multifamily dwellings: Apply for demolition permit for
44
existing building(s). Demolition permit is required prior to issuance of buil
permit for new building.
SS
❑ 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 06/21/11
FM--,7
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc.). These fees are based on the nreliminary information available and are onlv an estimate Contact the Dent far addn'l info.
FEE ITEMS (Fee Resolution 11-053 E : 7iUll)
ADDRESS: 2 RESULTS WAY
DATE: 07/17/2012
REVIEWED BY: SYLVIA
E__
APN:
BP#:
`VALUATION: $180,000
'PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY
USE: Commercial Building
I
PENTAMATION
PERMIT TYPE: 1TIPRE
WORK I
APPLE- FLOOR 1 & 2 T.I PREP DEMOLITION OF INTERIOR WALL FLOORING AND CEILING
SCOPE 138,487
SQ FT
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc.). These fees are based on the nreliminary information available and are onlv an estimate Contact the Dent far addn'l info.
FEE ITEMS (Fee Resolution 11-053 E : 7iUll)
,itech:
Plumb. Plan CheeA
MISC ITEMS
E__
Plan:
x
Other ,lteLh. Insp.El--t-
Other Plumb Insp.E]__L_
Other lYec. Insp. El
a Lech. Insp. Fee:
I
I Elec. Insp. Fee:
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc.). These fees are based on the nreliminary information available and are onlv an estimate Contact the Dent far addn'l info.
FEE ITEMS (Fee Resolution 11-053 E : 7iUll)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
#
$388.00
Tenant Improvement Prep
ITIPREP
Suppl. PC Fee: 0 Reg. ® OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee:Q Reg. ® OT
Q.Q
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tar:
4
0
Work Without Permit? Yes 0 No
$0.00
Advanced PlanningFee:
$0.00
Select a Non -Residential
Building or Structure
7'11ctvel Documentation Fees:
Strong. Motion Fee: IBSEISMICO
$37.80
Select an Administrative Item
1
Bldg Stds Commission Fee: IBCBSC
$8.001
SUBTOTALS:
$45.801
$388.001
TOTAL FEE:
1 $433.80
Revised: 07/01/2012
CUPERTINO
CONTRACTOR / SUBCONTRACTOR LIST
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
JOB ADDRESS:2 Results Way
PERMIT # 12070131
OWNER'S NAME:ECI TWO RESULTS LLC
PHONE #408-240-6000
GENERAL CONTRACTOR: XL Construction
BUSINESS LICENSE #21836
ADDRESS:851 Buckeye Court
CITY/ZIPCODE:Milpitas, CA 95035
*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
Please check applicable subcontractors and complete the following information:
Date
r-
5/28/13
Owner / Contractor Signatwfe Date
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
X
Cabinets & Millwork
Mission Bell Casework
25336
X
Cement Finishing
r ley
X
Electrical
Redwood Electric Group
21108
Excavation
Fencing
X
Flooring / Carpeting
R.E. Cuddie
1429 ✓
Linoleum / Wood
X
Glass / Glazing
Silicon Valley Glass
26943 ✓
x
Heating
Unite Mechanical
27361
X
Insulation
Accurate Firestop
34279 t/
X
Landscaping
Jensen Corporation
9697
Lathing
Masonry
X
Painting / Wallpaper
Pyramid Painting
25999
Paving
Plastering
X
Plumbing
United Mechanical
27361
x
Roofing
Statewide Roofing
23509
Septic Tank
X
Sheet Metal
United Mechanical
27361
X
Sheet Rock
Bayside Interiors
25898
x
Tile
Rinaldi Tile
27336 v
r-
5/28/13
Owner / Contractor Signatwfe Date