B-2018-0392 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2018-0392
20750 STEVENS CREEK BLVD CUPERTINO,CA 95014-2149(359 08 029) MORRAR'S ROUGH
CARPENTRY
TRACY,CA 95376
OWNER'S NAME:BYER PROPERTIES LP DATE ISSUED:05/03/2018
OWNER'S PHONE: PHONE NO:(
LICENSED T CT DECLARATION BUILDING PERMIT INFO:
License Class B Lic.#958907
Contractor MORRAR'S ROUGH CARPENTRY Date 0313112019 X BLDG_ELECT_PLUMB
I hereby af'lirm that 1 nm licensed tinderthe provisions of Chapter 9 m
(comencing MECH_RESIDENTIAL X COMMERCIAL
with Section 7000)of Division 3 of the Business&Professions Code and that any
license is in full force and effect. JOB DESCRIPTION:
DISH N DASH T.I.(3367 SF)
I hereby affirm under penalty of perjury one of the following two declarations:
n. 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 Por by
Section 3700 critic Labor Code,for the performance ofthe work for which this
permit is issued. Sq.Ft Floor Area: Valuation:$130000.00
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 359 08 029 A(Tenant Improvements)
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 WORI{IS NOT STARTED
may accrue against said City in consequence 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 ill Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
Signature Date 05/03/2018 Issued by:Jasmine Archbold
Date:05/03/2018
OWNER-BUILD ECLARATI
I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS,
following two reasons: All root's shall be inspected prior to any roofing material being installed If a roof is
1. 1,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,l agree to remove all new materials for
compensation,will do the work,and the stmcmre is not intended or offered fol. inspection.
sale(Sec.7044,Business&Professions Code)
z. I,as owner of the property,am exclusively contracting with licensed Signature ofAppliaanl:
contractors to construct the project(Sec.7044,Business&Prof—imus Code). Date:05/03/2018
1 hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
r. 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
I, I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous nmterials requirements initial-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 25534.1 will
per it is issued. m aintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
s, I certify(flat in die performance of the work for which this permit is issued,I Health&Safety Cade,Section 25532(a)should 1 stare 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
contaminants as derived by the Be),Area Air Quality Management District 1
Worker's Compensation laws of California.If,alter making this certificate of w
illmaintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
exemption,I bccmne subject to the Worker's Compensation provisions of the the Health&Safety Code,Section-05505,25533,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. Owner or T' authorized agent: _
APPLICANCERTIFICA'IJON Date:0 510 31201 8
I certify that I have read this application and state that the above Information is CONSTRUCTION I G AGENCY
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a consirKtion lending agency for the performance
relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(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 ARCHIT'ECT'S DECLARATIory
Code,Section 9.18. 1 understand my plans shall be used as public records.
Signature Date 2502a018 372 0 1 8 Licensed
Professional
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2018-0392
20750 STEVENS CREEK BLVD CUPERTINO,CA 95014-2149(359 08 029) MORRATS ROUGH
CARPENTRY
TRACY,CA 95376
OWNER'S NAME:BYER PROPERTIES LP DATE ISSUED:05/03/2018
OWNER'S PHONE: PHONE NO:(
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class 0 Lic.#958907
Contractor MORRAR'S ROUGH CARPENTRY Date 03/31/2019 X BLDG_ELECT_PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing —MECH_RESIDENTIAL X COMMERCIAL
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is in full force and effect. JOB DESCRIPTION:
DISH N DASH T.I.(3367 SF)
I hereby affirm under penalty of perjury one of the following two declarations: REV#1-STORM WATER CONTROL PLAN-ISSUED 05/14/2018
1. I have and will maintain a certificate of consent to self-insure for Worker's REV#2-PER INSPECTOR'S CORRECTION NOTICE:RECEPTACLES
Compensation,as provided for by Section 3700 of the Labor Code,for the UNDER HOOD ARE NOW LABELED TO PANEL(E)-ISSUED
performance of the work for which this permit is issued. 5/25/2018
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: Valuatiom$130000.00
APPLICANT CERTIRICATION
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 35908 029 A(Tenant Improvements)
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 C In consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the applies n rstands and will comply with all non-point
source regulations per P pertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
Signature Date 5/2512018 Issued by:ABBY AYENDE
OWNERIJIDate:05/03/2018
I hereby affirm that I am exempt from the Contractor's License Law for one of like RE-ROOFS:
following two reasons: All roofs shall be Inspected prior to any roo£mg material being installed,If a roof is
1. I,as owner of the property,or my employees with wages as their sale installed without first obtaining an inspection,I agree to remove all new materials for
compensation,will do the work,and the structure is not intended or offered for inspection,
sale(See.7044,Business&Professions Code)
z._ I,m owner of the property,am exclusively contracting with licensed Signature of Applicant:
contractors to construct die project(Sec.7044,Business&Professions Code). Date:5/25/2018
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1. 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
z. 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 25534.1 will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
s. I certify that in•the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(x)should I store or handle hazardous
shall not employ any person in any manner so as to became subject to the material.Additionally,should I use equipment or devices which emit hazardous
air contamluants as defined by the Bay Arca Air QualityM agement District I
Worker's Compensation laws of California.If,after making this certificate of will maintain compliance with the Cuperdno Mu Opal
de,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25 5,2 33,and 25534.
Labor Code,I most forthwith comply with such provisions or this permit shall
be deemed revoked. Owner or authorized agent:
APPLICANT CERTIFICATION Date:5/25L2018
I certify that I have read this application and state that the above Information is CONSTRUC ION
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance
relating to building construction,and hereby authorize representatives of thls city of work's for which this permit is issued(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. 1 understand my plans shall be used as public records.
Signature Date 5/25/2018 Licensed
Professional
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMITNO:B-2018-0392
20750 STEVENS CREEK BLVD CUPERTINO,CA 95014-2149(359 08 029) MORRAR'S ROUGH
CARPENTRY
TRACY,CA 95376
OWNER'S NAME:BYER PROPERTIES LP DATE ISSUED;05/03/2018
OWNER'S PHONE: PHONE NO:(
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class CC--5 88 Lic.#958907
Contractor MORRAR'S ROUGH CARPENTRY Date 03/31/2019 X BLDG—ELECT—PLUMB
1 hereby affirm that 1 am licensed under the provisions of Chapter 9(commencing X MECH RESIDENTIAL X COMMERCIAL
with Section 7000)of Division 3 of the Business&Professions Code and that my
Become is in full force and effect. JOB DESCRIPTION:
DISH N DASH T.I.(3367 SF)
I hereby affirm under penalty of perjury one of the following two declarations: REV#1-STORM WATER CONTROL PLAN-ISSUED 05/14/2018
r. I have and will maintain a certificate of consent to self-insure for Worker's REV#2-PER INSPECTOR'S CORRECTION NOTICE:RECEPTACLES
Compensation,as provided for by Section 3700 of the Labor Code,For the UNDER HOOD ARE NOW LABELED TO PANEL(E)-ISSUED
performance of the work for which this permit is issued. 5/25/2018
have and will maintain Worker's Compensation Insurance,as provided for by REV#3-REPLACE MAKE-UP AIR-LIKE FOR LIKE-ISSUED
Section 3700 of the Labor Code,for the performance of the work for which this 06/21/2018
permit is issued. Sq.Ft Floor Area: Valuation:$130000.00
APPLICANT CERTIFICATION
I certify that I have read this application and slate 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 359 08 029 A(Tenant Improvements)
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,casts,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED
may accrue against said City in consequence of the granting of this permit.
Additionally,the applicant understands and will comply with all non-point WITHIN 180 DAYS OF PERMIT ISSUANCE OR
source regulations per ti ¢ertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
Signature
I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS:
following two reasons: All roofs shall be inspected prior to any roofing material being installed.Ho roof is
1. 1,as owner ofthe property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for
compensation,will do the work,and the structure is not intended or offered for inspection.
sale(Sec.7044,Business&Professions Code)
z, f,as owner of the property,am exclusively contracting with licensed Signature of Applicant:
contractors to construct the project(Sec.7044,Business&Professions Code). Date:06/21/2018
1 hereby affirm under penalty of perjury one of the following three declarations:
1. I have and will maintain a Certificate of Consent to self-insure for Worker's ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
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
z. 1 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 25534.1 will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
3. I certify drat 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
Worker's Compensation laws of California.If,after making this certificate of air commith mets as defined by the Bay Area At,-Quality Management District I
exemption,I become%object to the Worker's Compensation provisions of the will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
Labor Code,I=at forthwith comply with such r this t shall the health&Safety Cod,Sections 505, 5533,and 25534.
p y wi provisions o permit
be deemed revoked.
Owner or authorized agent:
APPLICANT CERTIFICATION Date:0 6/2112 01 8
I certify that I have read this application and state that the above information is CONST UCTI DIN.A-111111
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a const tion lending agency for the performance
relating to building construction,and hereby authorize representatives of this city of work's for which this permit is Issued(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. 1 understand my plans shall be used as public records.
Signature Date 06/21/2018 Licensed
Professional