Loading...
12030102CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 20450 STEVENS CREEK BLVD OWNER'S NAME: CUPERTINO CITY CENTER BUILDINGS OWNER'S PHONE: 4088730121 LICENSED CONTRACTOR'S DECLARATION License Class sso � " Lie. q \ l � Contractor J T Q_ C Z)N 1�i�T GO Date Z_ I hereby affirm that 1 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 MErm 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 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 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 Z l point source regulatims per the Cupertino Municipal Code, Section Date ❑ OWNER -BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: 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) I, 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 permil 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. certify that in the performance of the work for which this permit is issued, 1 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 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 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, 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. CONTRACTOR: DPR CONSTRUCTION, A I PERMIT NO: 12030102 GENERAL 1450 VETERANS BLVD I DATE ISSUED: 04/11/2012 BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r MECH r RESIDENTIAL r COMMERCIAL r JOB DESCRIPTION: STE 126 - COMM T.I - INTERIOR 2374SQFT PARTl10N WALLS AND FINISHES(RECEPTION LOBBY,SMALL CONF ROOMS AND SHIPPING AND RECEIVING AREA,NEW FINISHES Sq. Ft Floor Area: I Valuation: $209369 APN Number: 36901027.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued Dater 2 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 1 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 1 store or handle hazardous material. Additionally, should 1 use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintaiy`compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health 4k 91f0y-CQde, Sections 25505, 25533, and 25534. sTTT 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 Address ARCHITECT'S DECLARATION l understand my plans shall be used as public records. Date I Licensed Professional CITY OF CUPERTINO Fm-7- FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 20450 stvns crk blvd ste 126 DATE: 07/31/2012 REVIEWED BY: bobs. APN: BP#: 12030102 -VALUATION: Iso PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial Building USE: PENTAMATION 1 GENCOM PERMIT TYPE: WORK revise scope of work: No demo of wall at reception area no demo of flooring repainting, new area if SCOPE work clouded. Plumb. Plum Cliec6' Bet. flan (h: ck 1deCil. Peron! Fce: 1Y11mh, Pev mil Fee I i, r Pcomf 1. b" , ET-t- Urher ,'.', c My, 1/,ch lmp, h e Pluruh. bup. J•ee: Llcc. Imp Fee, NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, eta). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resolution 11-053 E , 711111) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes 0 No $0.00 F-27 hours Plan Check, Hourly $266.00 /STPLNCK Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee-0 Reg. Q OT F0.07 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 i. (Instruction 1i1.r: "1 /ililr�l7i ,111l'c' /-ec: 0 0 Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning. Fee: $0.00 Select a Non -Residential 0 Building or Structure i I I-,n cl Docum ntution h arc.;: Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $266.00 TOTAL FEE: $266.00 Revised: 07/01/2012 CITY OF CUPERTINO Fm'—ff FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 20450 Stevens creek blvd DATE: 03/19/2012 REVIEWED BY: APN•M1 a BP#: 3v�� o� -VALUATION: $209,369 _&� ,-PERMITTYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: PENTAMATION 16 TI PERMIT TYPE: WORK interior TI 2374 sq ftpartition walls and finishes. on the 1st floor suite m126 SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) I-A,I-B 2,374 $3,133.02 IBTIPLNCK $2,914.47 IBTIINSP TOTALS: 2,374 $3,133.02 $2,914.47 MECH, HOURLY Yes Q No PLUMB, HOURLY © Yes Q No ELEC, HOURLY © Yes Q No Li LJ NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the prelinrnary information available and are only an estinuue Contact the Dept for addn'1 info. FEE ITEMS (Fee Resolution H-053 Eff 7'1;;11) FEE QTY/FEE MISC ITEMS Plan Check Fee: $3,133.02 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $2,914.47 Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 0 Work Without Permit? O Yes No $0.00 Advanced Plannine Fee: $0.00 Select a Non -Residential Building or Structure O 4 Strong Motion Fee: IBSEISMICO $43.97 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $9.00 SUBTOTALS: $6,100.46 $0.00 TOTAL FEE: $6,100.46 Revised: 1/19/2012