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13120158 (2)CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19550 VALLCO PKWY CONTRACTOR: SOUTH BAY PERMIT NO: 13120158 CONSTRUCTION, INC OWNER'S NAME: MAIN STREET CUPERTINO AGGREGATOR 1711 DELL AVE DATE ISSUED: 09/21/2015 OWNER'S PHONE: CAMPBELL, CA 95008 PHONE NO: (408)379-5500 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ MAIN STREET - (LOFT) CONSTRUCT UNDERGROUND PARKING p License Class 9 Lic. # F>y FOR FUTURE APARTMENT SPACE 93,869 SQFT & SHELL FOR ContractorCADate RETAIL SPACE 10,081 SQFT 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: t. I have and will maintain a certificate of consent to self -insure for Worker's Sq. Ft Floor Area: Valuation: $7500000 Compensation, as provided for by Section 3700 of the Labor Code, for the APN Number: 31620085.19550 Occupancy Type: performance of the work for which this permit is issued. 2. 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. PERMIT EXPIRES IF WORK IS NOT STARTED APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is WITHIN 180 DAYS OF PEIOR 1IT ISSUANCE OR correct. I agree to comply with all city and county ordinances and state laws relating 180 T—CALLED INSPECTION. to building construction, and hereby authorize representatives of this city to enter --1--'� upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, y; _ /_�- -� Date: costs, and expen ich may accrue against said City in consequence of the granting of thi permit. Additionally, the applicant understands and will comply with all non-poin source reg lations per the Cupertino Municipal Code, Section 9.18. Signature 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. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER t. I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIALS DISCLOSURE compensation, will do the work, and the structure is not intended or offered for sale (See.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed contractors to I have read the hazardous materials requirements under Chapter 6.95 of the construct the project (Sec.7044, Business & Professions Code). California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & I hereby affirm under penalty of perjury one of the following three declarations: Safety Code, Section 25532(a) should I store or handle hazardous material. t. I have and will maintain a Certificate of Consent to self -insure for Worker's Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will Compensation, as provided for by Section 3700 of the Labor Code, for the maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the performance of the work for which this permit is issued. Health & Safe b , Sections 25505, 25533, and 25534. 2. 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 Owner or thori permit is issued. Date: l 3. 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 CONSTRUCTION LENDING AGENCY Compensation laws of California. If, after making this certificate of exemption, I I hereby affirm that there is a construction lending agency for the performance of work's become subject to the Worker's Compensation provisions of the Labor Code, I for which this permit is issued (Sec. 3097, Civ C.) must forthwith comply with such provisions or this permit shall be deemed Lender's Name revoked. Lender's Address APPLICANT CERTIFICATION I -certify that I have read this application and state that the above information is ARCHITECT'S DECLARATION correct. I agree to comply with all city and county ordinances and state laws relating I understand my plans shall be used as public records. to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save Licensed Professional 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 k CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 \7 CUPERTINO (408) 777-3228 - FAX (408) 777-3333 • buildinga-cupertino.org \�\� FE NEW CONSTRI ICTi(7N F— ADnmoN 1-1 ALTERATION / TI 171 REVISION /DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS Stevens Creek Blvd. & Finch APN#316-20-085; Tract 10172 OWNERNAME Main Street Cupertino Aggregator, LLC PHONE 650.344.1500 E-MAIL nkumar@shcmllc.com STREETADDREsS203 Redwood Shores Pkwy, Suite 200 CITY, STATE,ZIP Redwood Shores, CA 94065 FA`650.344.0652 CONTACTNAMENandy Kumar PHONE 408.593.6605 E-MAIL nkumar@shcmllc.com 1 STREETADDREss 203 Redwood Shores Pkwy, .Suite 200 CITY, STATE, ZIP Redwood City, CA 94065 FAX OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR P CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME To Be Determined LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEERNAME Rocky Shen LICENSE NUMBER C-32291 BUS. LIC# COMPANY NAME DNA Design And Architecture E-MAILrocky@dnadesignandarchitecture.com FAX STREET ADDRESS 14511 Franklin Ave, Suite 145 CITY, STATE,ZIPTustin, CA 92780 PHONE 714.389.1890 DESCRIPTION OF WORK New mixed-use building with 120 residential dwelling units over Retail / Amenities, over two levels of Subterranean Parking (occurring below a concrete podium). EXISTING USE n/a PROPOSED USECONSTR. R -2/S-2 VA TYPE & IA # STORIES 4o/2 USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG AREA NEW FLOOR AREA 269,430 DEMO AREA n/a TOTAL NET AREA Residential & VA R-2 163,405 n/a Amenities BATHROOM REMODELAREA n/a KITCHEN REMODELAREA n/a OTHER REMODELAREA Leasing Office VA B 2,075 PORCH AREA DECKAREA TOTALDECK/PORCHAREA GARAGE AREA: DETACH .Retail Suites & - - IA M 10,081 n/a n/a n/a �ATiACH- -Service Oorrid r-- - �. # DWELLING UNITS: IS A SECOND UNIT ❑ YES BEING ADDED? ANO SECOND STORY ❑ YES' ADDITION? ENO �✓' IA S-2 93,869; n/a t PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES ITEC IVEI,Iy` W1 ✓4 ,4 �'� �`+ � �. TOTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? 0 NO r� " x: g .. By my signature below, I certify to each of the following: I am the property owner or authorized agent to ac e property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to onstruction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Date: 12.12.20 13 Signature of Applicant/Agent: SUPPLEMENTAL INFORMATION REQUIRED �LaN;cHEcrY:r� `_,,fir ; Izonvc s m 4x., New SFD or Multifamily dwellings: Apply for demolition permit fors� 7 i] Duai7PLAiV Stu wz�� ` JacoIJN _ A� y T iR existing building(s). Demolition permit is required prior to issuance of buildingQ Q {i1 permit for new building. i_i s P M1YSr PLAN }?IEW 4 Materials Disclosure r n _ Commercial Bldgs: Provide a completed Hazardous ' $wNrcWW r form if any Hazardous Materials are being used as part of this project. QG�FuI nEPmw4�,$ Sb. �YY4� o'4f � tox _ Copy of Planning Approval Letter or Meeting with Planning prior © ITAgYSEVR DISTRICT+ ❑rAxx �� YE submittal of Building Permit application. r s i„ .ENS?;(ROlV]VI"ENTAI:�HEALTH s` BldgApp 2011.doc revised 06/21/11 CITY OF CUPERTINO W -NOW FF.F. 1PQ.T1rMATn'1Q — RITII,DING DIVISION OCCUPANCY TYPE: Main St- Parking Structure DATE: 12/16/2013 REVIEWED BY: Sylvia iwADDRESS: tl APN: BP#: S *VALUATION: $7,500,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY USE: Commercial Building Civil / Religious activities in BQ zone? 0 Yes (E)No PENTAMATION I PERMIT TYPE:. 1Si WORK. CONSTRUCT UNDERGROUND PARKING FOR FUTURE APARTMENT/ RETAIL SPACE 93 869 SQ SCOPE FT OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID S-2 (Low -Hazard) I -A,1-13 93,869 $12,913.82 1S2PLNCK $62,884.94 1S2INSP Pr`ritnz>. / .rfj, r°'r'e: l i.;°c'. hiso. 1'�ce: Suppl. Insp. Fee. -(j) Reg. Q OT O,Q S D' trict School $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXC $0.00 E) Work Without Permit? 0 Yes Q) No $0.00 TOTALS: 93,869 $12,913.82 y }7' gg li�Ldt%E'lI..�Cicunic:ntarion S`ff.'es $62,884.94 r � ,. ,fi f f rrf. �r Yi n i r ,/ r yJ+y C �. s} �°�` /•^ X S �'sf C � � � N F: h ..k <.£)� qq +"jn Phtyvb. 1'1at, i.i:t'<'K Ele£:. Plan (.'te£.:k. i6.IG"i'PE. Pel -}.ii Fee: Plbirnb, Pe P'iil t"L;e: PemS i7 Lee: f.3t{ir.'t-'It'{'r' I O. Other P!ienib M,54?, 11r er'Y Itt<<'. Its>sF?. . PME Plan Check: $0.00 /avp. 1--<: , Pr`ritnz>. / .rfj, r°'r'e: l i.;°c'. hiso. 1'�ce: Suppl. Insp. Fee. -(j) Reg. Q OT O,Q S D' trict School NOTE: This estimate does not include fees due to other Departments Ctie. Planning, Public Works, Fire, Sanitary ewer is , ti 'lable and are onl an estimate. Contact the De t or addn'l in o. District, etc.). These Lees are based on the relunuza FEE ITEMS flee Resolution I1-053 E . 7�f 11/13) uz Drina on avai FEE QTY/FEE IVIISC ITEMS Plan Check Fee: $12,913.82 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: (E) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $62,884.94 Suppl. Insp. Fee. -(j) Reg. Q OT O,Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXC $0.00 E) Work Without Permit? 0 Yes Q) No $0.00 Advanced Planning Fee. IPLLONGC $26,283.32 Select a Non -Residential E) Building or Structure y }7' gg li�Ldt%E'lI..�Cicunic:ntarion S`ff.'es Strong Motion Fee: IBSEISMICO $1,575.00 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $300.00 IS uBTOTaI�s 103,9 5 7.08 $0-001',.. TAL FEE $103,957 08 Revised: 10101/2013