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B-2018-1727CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE i CUPERTINO, CA 95014-3255 (408) 777-3228 • building@cupertino.org PEMIT #B - O I 0 Z'i CUPERTINO I REV# DEF# ❑ NEW CONSTRUCTION ❑ ADDITION ❑X ALTERATION ❑ T.I. ❑ MEP ❑ RE -ROOF ❑ SWIMMING POOL/SPA PROJECT ADDRESS 1 APN # 12200 Vallco Parkway 130 OWNER NAME PHONE E-MAIL Cupertino Property Development, LLC STREET ADDRESS CITY, STATE, ZIP 1 19620 Stevens Creek Blvd #200 Cupertino, CA 95014 ❑ CONTRACTOR NAME [3OWNER-BUILDER COMPANY NAME LICENSE NUMBER LICENSE TYPE STREET ADDRESS CITY, STATE, ZIP E-MAIL PHONE BUS. LIC # ❑ ARCHITECT ❑ OWNER © OWNER AGENT ❑ CONTRACTOR AGENT[] ENGINEER ❑ DEVELOPER ❑ TENANT CONTACT NAME E-MAIL Christian Cataldo / Muriel Tie murielt@metropohsny.com STREET ADDRESS CITY, STATE, ZIP PHONE 22 Cortlandt Street 10th Floor New York, NY 10007 1646-406-9927 DESCRIPTON Fihnz for new HSBC Bank Branch ❑SINGLE-FAMILY/DUPLEX ❑MULTI -FAMILY ❑ INDUSTRIAL [!]COMMERCIAL USE TYPE OCC SQ.FT. VALUATION ($) EXISTING USE I EXISTING SF NEW FLOOR SF I PORCH SF DECK SF 1 DEMO SF STORIES # TOTAL NET SF 2,190 2,190 6 REMODEL REMODEL KITCHEN REMODEL OTHR GARAGE ❑ ATTACHED 1A 1A B 2,190 BATHROOM SF SF SF SF ❑ DETACHED EXISING ❑ YES FIRE SPRINKLERS [3 NO EICHLER ❑ YES ® NO SECOND STORY ADDITION ® O 1A lA DWELLING SECONDDWELLING []YES ❑ATTACHED❑DETACHED OTHER UNn"S # UNIT ADDITON: ❑ NO S F 1A 1A POOLS ❑ FIBERGLASS ❑ VINYL -LINED ❑ GUNITE ❑ PREFABRICATED 1A 1A POOL - SF SPA - SF I SPA ATTACHED ❑ YES ❑x NO I TOTAL - SF E EIVED BY: T TO�,AJ, A UA�TIONN: Commercial or Multi -Family Buildings with Public Swimming Pools requires Department of Environmental Heath approval c�/1`SG/ RE -ROOF EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ TILE OTHER (SPECIFY) 1A REMOVE /REPLACE ❑X NO IF NO PLYWOOD [I 'A" ❑ 3/8" PLYWOOD TYPE: PITCH: ROOF CLASS DYES I # OF LAYERS THICKNESS [15/8" OTHER E] OSB ❑ CDX OTHER -12 A PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑ WOOD SHAKES ❑WOOD SHINGLES ❑ OTHER *Provide a signed copy of the Cupertino's Tear -Off Policy SF #of SQUARES By my signature below I certify to each of the following: I am the property owner or authorized agent to act on the 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 relatin to building construction. I authorize representatives of Cupertino to enter the above -identified propertyr ' pection purposes. I ow edge and authorize all information co tame on this application form to be made available for public re rcl Signature of Applicant/Agent: Date: V SUPPLEMENTAL INFORMATION REQUIRED Llding *New SFD/Second Dwelling Units/Multifamily Dwellings: A Demolition permit is required prior to issuance of a permit for all new construction. *Commercial Buildings: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. *Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. *HOA -Provide a letter of approval from the Home Owner's Association B1dgApp_2017.doc revised 08101117