11060050CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10201 TORRE AVE
ON CS NAME: I & G DIRECT REAL ESTATE 21 LP
CONTRACTOR: VALLI CONSTRUCTION,I PERMIT NO: 11060050
INC
100 ALBRIGHT WAY STE D I DATE ISSUED: 07/11/2011
OWNER'S PHONE: 4086560289 I LOS GATOS, CA 95032 1PHONE NO: (408) 377-5000 I
❑ LICENSED CONTRACTOR'S
,^, DECLARATION
License Class Lic. # _7 W-7 KA
Contractor 'r)1M)ate 11 If
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.
BUILDING PERMIT INFO: BLDG f— ELECT F_ PLUMB f—
MECH F_ RESIDENTIAL f— COMMERCIAL r
JOB DESCRIPTION: INSTALL SPIRAL DUCT WORK FROM THE VENT OF
EXISTING
MECHANICAL EQUIPMENT THROUGH NON RATED
CONSTRUCTION WHICH WILL INCLUDE PIPING OF EXISTING
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. I Sq. Ft Floor Area:
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-pointurce regulations per the Cupertino Municipal Code, Section
9.18.
❑ 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)
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 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
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 Ing construction, and hereby authorize representatives of this city to enter
up a 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.
Signature Date
APN Number: 36941005.MP
Valuation: $82000
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:
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 "afety Code, Sections 25505, 25533, and 25534.
Date:? 1f
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
I understand my plans shall be used as public records.
Licensed Professional
CITY.OF'CUPERTINO.BUILDINGTERIVIIT
BUILDING ADDRESS: 10201 T,ORRE AVE CONTRACTOR:UALLI:CONSTRUCTEON, l?ERIVIIT'NO3 1.106005,0.
INC' e
OWNER'S NAME: l:&G'DIRECT REALfESTATE;2IFLP 100,ALBRIGHT WAY',STE•D ;DATE ISSUED'07/1'1/2011
OWNER'S',PI-IONE- 4086566289 LOS GATOS,CA 95032 PHONENO: 408i 377-5666
❑, LICENSED CONTRACTOR'S'DECLARATION 171
_j,, BUILDING PERMIT INFO: BLDG ELECT PLUMB
Ei_ee_nse_CI_ass - Lic.# /,5`VJt �I
MEGI3 PRESIDENTIAL COMMERCIAL
.Contractor,VhA,,
hereby=affirm thafl am licensed under the,provisions�of;Chapt&^9„ JOB.DESCRIPTIW.INSTALL SPIRAL DUCTWORK FROM THE VENT OF
(' g with Sect�on'7000)of Division 3 ofahe Busines§;&Professions EXISTING
co and th MECHANICAL EQUIPMENT THROUGH NONRATED
Code and that:my license is'-in full force and effect. CONSTRUCTION WHICH WILL,INCLi)DE PIPING OF EXISTING'
hereby atfirnimnder penalty,ofperjury,one of,the following!two`decl'arations:
1 Have and will inaintain.a,certificate o£consentto self-insure.f6eworker's;
Compensation,as,providedfor,by Section 370,ftf the_.Labor'Code;,for the
performance'of the work for which permit is�issue&
Lhave and_will maintain'Worker's;Compensaiion,Insurance,as provi'dedforby
Section"3700 ofthe LaborCode;.for�thd�oerforinaince ofdie;work`forwhich this -
permit is issued. Sq.Ff Floor Area:- V.aluat[oo:$82000
APPLICANT':CERTI FICATION
EX-ertify fhaf'I have"read this;application and sfaie;that.the above information is ,APN Num_ ber-36941005-.MP `Occupancy Typc:
correct.I agree?to-comply with All city and,county,ordinances and'state l'a_ws relating
to build' 't'-'- and hereb}aiithorize'r'epresentatives of this city to enter
upondth&above',mentioned"propertyfo`r'ihspection`purposes. (We)agree to save
in`derrinify'and keep liarrnless the CityAofCupertirio against liabilities;.judgments, PERMITZXPI.RES'.IF WORK IS NOT STARTED
costs 4nd,expenses'which may-accrue agamstsaid,City in,consequence;of`the
granting of this permit. Addiiionally,the applicant,'understands and'.will comply WITIIIN 180:DAYS'OF PERMIT ISSUANCE-OR.
with all non-point_urce regulations,per[Iie Cupertino.Municipal Code,Section 18.0,'DAYS FROM LAST CALLED'INSPECT-ION.
9.18._
Signatue 1 Datej-I' Issued by: Date:;
❑ OWNEWBUILDER DECLARATION
hereby"amrm.that Ilam ezeropt from`tlie,Contra'ctor'sTicense Law,forone of RE;ROOFS:,
theYollowingstwo reasons: All roofs shaIl'be inspected,prior t6 any roofing material beng;installedAf a toof:i's
bias ownerof thei property,or my;employees,withrwages as°theiraol'e,compensation,, ,installed Without;firsttolitaining an,inspection,,I agree to remove,all new materi'als'for
wil[do the work and the structure>is�not intended,oroffered f6rrsale'(Sec.7044, inspection.
Bd-siness&;Professions Code) J
[,as owner,ofthe property,am,exclusivelycontracting wit licensed contractors,'to SignatureWApplicapt Date.
construct'the'project,(Sec.7644;,Business&,Professions'Code).
hereby'affirm under°penal".of" er"ur ,oge;of the;followin three ALL ROOF COVERINGSIO"BE+CLASS,"A"OR BETTER
ty. P J Y g
d'eclarat'ions:, -
I have�and will maintain a Certificate+of Consenfto selfiiisure.f6FW6rker's HAZARDOUS:MATERIALS"DISCLOSURE
Compensation,as provided for'by Seciion,3700 of the Labor,C_ode;,for4h_e
performance ofthe;woik•foi which this permit is issued. Thave read ihe,hazardous materials requirements under_°Chapter'6'95 of the
L'_haye and will maintain'Worker;'sCompensation Insurance;,as;provided for by _ ty' 11„maintain”
California Health&rSafe Code;Seetions.25505;�25533,and'25534. I`wi
compliance with thek6liertin-o Municipal Code,Chapter-9 12;and,the Health&.
Section 3�Z00 of the Labor Code;for,ttie performance of.t-he'Work_for which,this Safety.Code;iSeett6',M532(a);shouldl"stoic or handle hazardous_material.
Icerti that in.thes erformance,of,the•wo�k for which this permit is issued;I.shall contai in'aln,should I u byth Ba----'Ar'
Y frea�Air Quaht IVlana Cement Di§M
ermrt,is issued,
P y y P p p _ contam�naots asadefioed b ahe Ba A �pal,Gode,Chaptedous ai
which emit hazar
. y J P P r ev�ces } g ctl will
P Health n compliance the,Cu eriino,Vlurii i
r9:12.and the:
Compensation IawsSofFCalifornian Ifrafter�makmg this certfca a of;exemetion;I' mamtai afety Code;Sections;25505,25533,:and;25534.
,become subjectto`the•Workers Compensation provislons.ofthe Labor Code,Lrnust
;forthwith cornply with such provisions or this permit shall',be,deemed:revoked. O„ "r' t r"a agent
Date:? '11
APPLICANT�'CERTIFICATION CON RU.CTIONIENDING AGENCY
Icerti that I.hai&ieadthis,a` lication,'and'state that the4bove,mfomtation;i's
fY Pp
correct 6 agree4o comply-with all city and county,ordmances and,state Iaws,relaiing I liereby.affirm.that;ther'e isla`consfruction,l'ending agency forthe performance of'µoik's,
to,building,consttuction,;and,lierebyauthorize,representatives ofthis.city`to'enter forwhrch this permit is,issued,(Sec..,3,09:7,Civ C�)
Upon the above mentioned'propgrty for inspection purposes:'(We)Iagree to.save, Lender,'s_Name
indemmfygand keep,harmless;the City ofCuperdno!agamstrliab li ies,judgiifCnts,
costs and expenses which may,accrue..agamst=said'city in consequence of:tfie Lender'sAddress
granting,of this permit.Additionally,the applicant; nderstands^and}will comply'
With all non=point'sourceregulations per,tlie;Cupeitino Municipal Code;,Secfion
9.18. ARCIiITECT'S'DECLARATION
1 undersfand;my plans shall be used as public,records.
Signature Date
[;icensed:-Professional,
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
1'0300 TORRE AVENUE•CUPERTINO;.CA 95014-3255
(408)777-3228'• FAX.(408)777-3333.• building(Wcupertino.om
CUPERTINO
❑NEW'CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION./DEFERRED ORIGINAL PERMIT#
PRIirri,ADDRE APN'_k
JcAbl -I.
OW R N�nnc; .• `.r.';- H NE E-MAIL
CT.R FFT'AfIIIR.FCC_��,•/ (..�'1.,.: ('`dV�%V�iCf ,��.1 ,Jae:� ('I'VVT . -•,^ —. - - FAX
1S$ vh <_<' '�_ ''tr(.,S/�- � �_ Len N'x'4!17 C�4 '5
.CONTACT NAMEPHON E-M IL e�e- Q 0Q Co. 'or-n
t e . ? ,C-.- C'.� &o '7ga "1 C6 o��is�, u�b G CS .
IT EET'ADDRFSS_ �ITY,,STATE..ZIP FAX
C I 1Tctc � �C-u o 64 1501H y 40 - 7-
.,'OWNER' ❑ OWNER-BUILDER ❑'OWNERAGENT ❑ CONTRACTOR ,❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR=NAME LICENSE NUMBER 'LICENSE T- 'BUS.LIC
'C MPANY.NA'E E-'MAIL FAX
1;l i a w _tl ion cii<Drn.. ecri1 C4c� `M
"STREET,ADDRESS CITY,STA E,ZIP HONE
CCG �El ri' =F c:i (:, A, '• p�� �� .�i & 3 7
ARCHITECT/ENGINE NAME - LICENSE.NUMBER' - BUSI LIC#
-'COMPANY NAME E-MAIL FAX "
STREET,ADDRESS CITY,STATE,ZIP _ PHONE
DESCRIPTION ORWORK
Vr - - -
M—4�S- i 6 i 4)64 ►'1 i -tin' t, a crus
'EXISTING USE PROPOSMUSE CONSTR,TYPE M STORIES - - OFFICEAJSE'ONLY.R
OCC, TYPE DESCRIPTIONT ES FT.•-• VALUATION$'
EX ISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NET.AREA ° U :'mac-•r1�`�
BATHROOM KITCHEN, OTHER 1,
_ __
REMODEL AREA J REMODEL AREA - REMODEL-,AREA - '
PORCH'AREA DECK AREA TOTAL:DECK/PORCIT AREA .GARAGE-AREA`;❑ DETACH
❑ ATTACH
E.i -
.NDWFCIiING,UMTS: IS•A'SECOND UNIT. ❑AYE§ SECOND STORY ❑'YEs, -
BEINC;ADDED'.' ❑•NO ADDITION°- ENO-
,
IRF!A0PIICAT16N ❑—fts IP'YLS;PRoygr COPY:CIG PLANMiR'S NAMH `REGEIVED;BY. � //^' � T ALUATION"� `
ELANNINC API L'b ❑ Np I PANNING AI PROVAL LEI iFR ��'_- �_ �J
By my signature below,1'cetifyfo each offhelfollowing`. I am,the property owneror authorized agenfrto actonahe:property owner's'beh'alf: I have read lhis
applicatlon and',tlieainformation I'have p td d i ct. l have read the�Desuiption of Work and'lvefi'fy itis accurate- I agree to comply.with.�all�applicable local
ordinances and state laws;relating o b ild' gi onstrucf It I'authonzelrepresentativespf Guper`t nosto,`enterthesaboye-identified property-for inspectioWpurpdses.
SignatureiofA`pphc`andA'ge t Date:
SUPPLEMENTAL INFQRIGI-ATION'REQr-P
ei AN CHecK.T.ti PEr_ RouTivGselP:
New SFD or Multifamily dwellings: Apply for'demolt for' f
❑ OVER-THE COUNTER --BCr UILDINGpPLANI EV1EW
existing•,building(s), Demolition permit is,required priorto issuance of building
permit for new budding: Exp pRE$$ ❑:'P,LANM1INGjPLAN REVIEW'
Con�tnercial:.Bldgs: Provide•.a�cornpleted,Hazardous Materials Disclosure "sTn�uARD:"` • ;❑ PUBLIC,
WORKs'
form'ifany Hazardous Materials are being used -t-
q.
'+� :LARGE, ° - L-7_'FIRE DEPT: i
Copy Of Planning Approval Letter;or.Meeting,with Planning prior to I� '
,.0 MAJOR=: —J ''SANITARY''SEW ER DISTRICT' .
- submittal of Building,•Permit application. ;
❑�'`ENVIRONMENTAL•HEACTH
B1dgApp 201"1'.doc revised 03/16111
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION `
ADDRESS: 1020.1 lorre aVe. DATE 05/26%2011 REYIEWaED BY: bob s.
APN: BP#: -VALUATION;, j$62,000
"PERMIT TYPE: Mechanical Permit PLAN,CH_ECK TYPE:. Alteration /-Addition / Repair
PRIMARY PENTAMXTION
Commercial Building 1 CMAP7
USE: PERMITT,YPE:.
WORK{ install spiral duct'vork:frbn the vent;of existing;mechanical equipment'throuh'non rated construction
SCOPE, which will'i'ncluWe piping:of existing equipment
APPLIANCE./EQUIP TYPE FEE IDQTY UNITS: BP`FEES
Ventilation System 1_BREMVENS 1 # $95
TOTALS: $95 00
3 � a 3
Is
Nlecti.'Plan Check2°.0 hr_s $252:00
IM`ECPLNC' Mech._Permit Fee::IMPERNIIT a;._•..°' C, _ .
Other Mech.Insp: 0.0 ;firs $42.00
!
NOTE. Thesefees are,based,,on the ielimanary'in orniation available&nd.are only an estimate: Contact the,De t or'addn'l;in o.
FEE ITEMS (Fee Resolution 0-057O) FEE QTYIFEE MISC ITEMS
PME P1an..Check: $252:00
PME Uniffee: $95'.0,0
RME Permit Fee: $42:00
Work Without-Permit?, . 0 Yes E) No 30.0Q,
Travel Documentation Fee: iTRA fo6C. $42.00'
e
IBSEISMI - -
Stcorig.NlotYon.Eoe:. .. � '' - ^� „CO. $1.7.22 '- Select an Administrative Item
Bfid'g"Stds Conimission'He: IBCBSC' $4.00.
3 r, SUBTOTAtiS ' $452:22 $0.00 fr; TOTALFEE ? $452:22
ME, Revised: 04/2012011
� WESTERN ALLIED
MECHANICAL,'I_N'C. 1180 O'Brien briye;,*Menlo Park,CA 94025
650,'326=0750,,* FA. -4946.
July 6, 201JUL
.1 2011
Valli Construction
1.00 Albright Way;Suite D
Los Gatos, CA 95032 COMMUNITY DEVELOPMENT'DEPARTMENT
BUILDING`DIVISION..-CUPERTINO.
Attention: Lillian;Ramey PROVE®
K���It- d specifications MUST be kept.at the
Subject: RESPONSE T.O PLAN CHEC L�
LAB 126 VENTING jo s 6 u.,ng construction. Itis unlawful to make any
changdWor alterations on.same;,or•to deviate
W,A:1VI'..JOB #10112Ltherefrom,without approval from the Building Official.
The.staMping of this plan.and,specifications SHALL NOT
Dear Lillian: deheld to permit or to be an approval of the violation
o _y°provi8l el�any.City Ordinance or State Law.
This jetter=is.a response to,the.plan check comments'fro ;t er_t>no for Pertriit
#11"060050 dated 2011-06-28.
Comment: Please comply with`comment 5 reques?Ea _`'
Louvers are.'not visible in photographs provided. °Note-that 201`0 C-MC 506.9.2
requifes tninirnum 3.feet dis,taace form;exterior wall, etc.
Response: The referenced`pa r of the code,deals,specifically with.'exhaust outlets":. The
ductwork,sho:wn on!tli'e plans is agravity type-venting s_ysteni.with no associated'
ex/iaus"t fan„and,t/ierefore, we believe jt isnot,exhaust. It is.also not product_
conveying as it is only.venting Nitrogen,, which constitutes 78% of the,air in our,
atniosphere. We,do not b.e'lieve�this par(of the code applies to this project. .
Should you have any questions, or`i'f l can be of further assistance;please1eel free to call.
Sincerel'y,.
Lisa Oneto
Project .Manager
000&SE.N0�826782
' t