13030159 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10200 S DE ANZA BLVD CONTRACTOR:VULCAN PERMIT NO:13030159
CONSTRUCTION INC
OWNER'S NAME: SEAGATE TECHNOLOGY LLC 346 MATHEW ST DATE ISSUED:03/28/2013
OWNER'S PHONE: 4086581602 SANTA CLARA,CA 95050 PHONE NO:(408)499-6039
'Er_- LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL El COMMERCIAL0
License Class Lie.# - ` FIRST FLOOR SEAGATE TI-LAB MODIFICATIONS-
REMOVE SOME WALLS,ADD NEW OFICES AND
Contractor V ° Date /7 ADD EXIT DOOR TO EXIT HALLWAY
I hereby affirm that I am licensed under the provisions of Chapter 9 ^ REVISION#1-RECONFIGURE(E)BOARDROOM FLOOR
(commencing with Section 7000)of Division 3 of the Business&Professions PLAN AND INTERIOR ELEVATIONS-ISSUED 6/26/2013
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. Sq.Ft Floor Area: Valuation:$299374
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 APN Number:36901035.00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I 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 180 DA INSPECTION.
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 Iss Date: c�
with all non-point source regulations per dic cupertino Municipal Code,Section C
9.18. -
RE-ROOFS:
Signature Date& 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
I 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
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 HAZARDOUS MATERIALS DISCLOSURE
construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California Health&Safety Code,Sections 25505,25533,and 25534. I will
I 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(a)should I store or handle hazardous
I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I 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 Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Owner or authorized agent `' 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. It after making this certificate of exemption,I 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.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 ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
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
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 10200 S DE ANZA BLVD DATE: 06/26/2013 REVIEWED BY: MELISSA
APN: 369 01 035 BP#: O ill] I _�:ZVALUATION: Iso
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair
PRIMARY SFD or Duplex PENTAMATION 1 GENRE
USE: PERMIT TYPE:
WORK REVISION # 1 - RECONFIGURE E BOARDROOM FLOOR PLAN & INTERIOR ELEVATIONS
SCOPE
Llech.Plan Check Phw7b. Plan Check c"lec.Plan Chock
Mech.}'ermit F"ee: Plrn�h.Permit;`ae: Elec.Permit Fee:
011-ler:Wec72_Insp. (Jure.Phinzh b2sp. E171- Ocher Elec.Insp.
Jkch./rtsp.Fc:e: phimb. h7sp. Fee: 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 ees are based on the prelimina information available and are only an estimate, Contact the Dept./or addn'l info,
FEE ITEMS (Fee Resolution 11-053 E . 711112) FEE QTY/FEE MISC ITEMS
Plan Check Fee: Hourly Only? 0 Yes ) No $0.00 0 hours Plan Check,Hourly
Suppl.PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 $133.00 1STPLNCK
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp.Fee-(F) Reg. 0 OT0.0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Ii lz -iil/ �,,,,-111 vL 1l e,�. 0
Work Without Permit? 0 Yes Q• No $0.00 E)
Advanced Planning Fee: $0.00 Select a Non-Residential E)
Travel Docum.en."aifcrr 1 cs: Building or Structure 0
i
Stroniz Motion Fee: $0.00 Select an Administrative Item
Bldg Stds Commission Fee: $0.00
SUBTOTALS: 1 $0.00 $133.00 TOTAL FEE:T $133.00
Revised: 04/29/2013
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 10200 S. De Anza Blvd DATE: 03/28/2013 REVIEWED BY: Sean
APN: BP#: "VALUATION: 1$299,374
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement
PRIMARY PENTAMATION
USE: Commercial Building PERMIT TYPE: 1 B T®
WORK First Floor Seagate Tenant Improvement 5067 sq ft).
SCOPE
OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID
CONSTR. s.f.
B (Tenant Improvements) II-B,111-B,IV,V-B 5,067 $2,281.56 IBTIPLNCK $4,030.83 IBTIINSP
TOTALS: 5,067 $2,281.56 $4,030.83
MECH,HOURLY 0 Yes (F) No PLUMB,HOURLY Q Yes Q No ELEC,HOURLY ® Yes .Q No
hfech.Plan Check Phrt;tb,Plan Check T Elec..Plan Chock
�Llech.Perrrrit I ee: Plumh.Permit Fee: IEec_Perrnir Fee:
Orher Alech.Insp. 0--L- Other-Plumb Insp. Oche,Elea.Insp.
hlecfi.hasp.FCC-' Plumb. Insp.Tee: Elec.Insp.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 Dept_)*addn'l info,
FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/12) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $2,281.56 Select a Misc Bldg/Structure
Suppl.PC Fee: (j) Reg. OT 0.0 hrs $0.00 or Element of a Building
PME Plan Check: $0.00
Permit Fee: $4,030.83
Suppl. Insp.Fee:Q Reg. Q OT 0,0 hrs $0.00
PME Unit Feer $0.00
PME Permit Fee: $0.00
Constrzrciion Tax: T-r
'I dministrative Fee:
Work Without Permit? 0 Yes (j) No $0.00 E)
Advanced Planning Fee: $0.00 Select a Non-Residential G
Building or Structure 0
Trcnell�ocztnentatie;7 gees: �
Strong Motion Fee: IBSEISMICO $62.87 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC $12.00
SUBTOTALS: 1 $6,387.261 $0.00 TOTAL FEE: $6,387.26
Revised: 01/01/2013
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10200 S DE ANZA BLVD CONTRACTOR:VULCAN CONSTRUCTION PERMIT NO: 13030159
INC
OWNER'S NAME: SEAGATE TECHNOLOGY LLC 346 MATHEW ST DATE ISSUED:03/28/2013
OWNER'S PHONE: 4086581602 SANTA CLARA,CA 95050 PHONE NO:(408)499-6039
L� LICENSED CONTRACTOR'S DECLARATION
c BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class Lic.# / Z [ ✓ 's 7
/ MECH RESIDENTIAL COMMERCIAL
ContractorVC(LCAIJ C&J�.XK,Date(r 2 7.013
I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:FIRST FLOOR SEAGATE TI-LAB MODIFICATIONS-
(commencing with Section 7000)of Division 3 of the Business&Professions REMOVE
Code and that my license is in full force and effect. SOME WALLS,ADD NEW OFICES AND ADD EXIT DOOR TO
EXIT HALLWAY
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. Sq.Ft Floor Area: Valuation:$299374
- APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is APN Number:36901035.00 Occupancy Type:
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, PERMIT EXPIRES IF WORD IS NOT STARTED
costs,and expenses which may accrue against said City in consequence of the
ranting of this permit. Additionally,the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR
with all non-point source regulations per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION.
9.18. �
Signature --- / Date 3 Z / Issued by: � s `�' j �/, Date:
❑ OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of RE-ROOFS:
the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is
1,as owner of the property,or my employees with wages as their sole compensation, installed without first obtaining an inspection,I agree to remove all new materials for
will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection.
Business&Professions Code)
1,as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant: Date:
construct the project(Sec.7044,Business&Professions Code).
I hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE
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 read the hazardous materials requirements under Chapter 6.95 of the
I have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain
Section 3700 of the Labor Code,for theerformance of the work for which this compliance with the Cupertino Municipal Code,Chapter 9.12 and the health&
p Safety Code,Section 25532(a)should I store or handle hazardous material.
permit is issued. Additionally,should I use equipment or devices which emit hazardous air
I certify that in the performance of the work for which this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District I will
not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
Compensation laws of California. If,after making this certificate of exemption,I Health&Safety Code,Sections 25505,25533,and 25534.
become subject to the Worker's Compensation provisions of the Labor Code,I must
O
forthwith comply with such provisions or this permit shall be deemed revoked. r'.ed ent:j
� �Date:
L
APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY
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 I hereby affirm that there is a construction lending agency for the performance of work's
to building construction,and hereby authorize representatives of this city to enter L for which this permit is issued(Sec.3097,Civ C.)
upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the Lender's Address
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section ARCHITECT'S DECLARATION
9.18.
I understand my plans shall be used as public records.
Signature Date
Licensed Professional