B-2018-1640 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2018-1640
19540 VALLCO PKWY STE 130 CUPERTINO,CA 95014(316 20 119) Rockwall Construction
Co
4345 Lowell St H
Cupertino,CA 95014
OWNER'S NAME: DATE ISSUED:02/15/2019
OWNER'S PHONE: PHONE NO:909-972-8216
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class B Lic.#777138
Contractor Rockwall Construction Co Date 04/30/2020 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:
IPPUDO T.I.-(2,257 S.F.)
I hereby affirm under penalty of perjury one of the following two declarations: REV#1 -RELOCATE KITCHEN EQUIPMENT.REORIENT THE
1. I have and will maintain a certificate of consent to self-insure for Worker's RESTROOM,MANAGERS ROOM AND STORAGE AREA. REVISE
Compensation,as provided for by Section 3700 of the Labor Code,for the DINING AREA SEATING TO TO BAR SEATING. REVISE
performance of the work for which this permit is issued. ELECTRICAL PLANS TO INCLUDE RELOCATED POWER OUTLET
if2 I have and will maintain Worker's Compensation Insurance,as provided for by AND LIGHTING FIXTURES. REVISE PLUMBING PLANS TO
ktSection 3700 of the Labor Code,for the performance of the work for which this INCLUDE RELOCATED WASTE AND CW/HW SUPPLY. REVISE
permit is issued. MECHANICAL PLANS TO INCLUDE RELOCATED DUCT WORK
APPLICANT CERTIFICATION AND MUA UNI
certify that I have read this application and state that the above Sq.Ft Floor Area: Valuation:$300000.00
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 APN Number: Occupancy Type:
inspection purposes. (We)agree to save indemnify and keep harmless the 31620 119 A(Tenant Improvements)
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 applic understandsAnd will comply with all non-point
source ,Section 9.18. PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Signature f`, �- Date 6-28-2019 180 DAYS FROM LAST CALLED INSPECTION.
C ION.
OWNER-BUILDER DECLARATION Issued by:Haley McKee
I hereby affirm that I am exempt from the Contractor's License Law for one of the Date:02/15/2019
following two reasons:
1. I,as owner of the property,or my employees with wages as their sole RE-ROOFS:
compensation,will do the work,and the structure is not intended or offered for All roofs shall be inspected prior to any roofing material being installed.If a roof is
sale(Sec.7044,Business&Professions Code) installed without first obtaining an inspection,I agree to remove all new materials for
2. I,as owner of the property,am exclusively contracting with licensed. inspection.
contractors to construct the project(Sec.7044,Business&Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations: Signature of Applicant:
1. I have and will maintain a Certificate of Consent to self-insure for Worker's Date:6-28-2019
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued. ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
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 HAZARDOUS MATERIALS DISCLOSURE
permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the
3. I certify that in the performance of the work for which this permit is issued,I California Health&Safety Code,Sections 25505,25533,and 25534. I will
shall not employ any person in any manner so as to become subject to the maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
Worker's Compensation laws of California. If,after making this certificate of Health&Safety Code,Section 25532(a)should I store or handle hazardous
exemption,I become subject to the Worker's Compensation provisions of the material. Additionally,should I use equipment or devices which emit hazardous
Labor Code,I must forthwith comply with such provisions or this permit shall air contaminants as defined by the Bay Area Air Quality Management District I
be deemed revoked. will maintain compliance with the Cupertino Municipal
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
Owner or authorized agen -� --�
correct. I agree to comply with all city and county ordinances and state lawsDate:6-28-2019
relating to building construction,and hereby authorize representatives of this city CONSTRUCTION LENDING AGENCY
to enter upon the above mentioned property for inspection purposes. (We)agree I hereby affirm that there is a construction lending agency for the performance
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments,costs,and expenses which may accrue against said City in of work's for which this permit is issued(Sec.3097,Civ C.)
consequence of the granting of this permit. Additionally,the applicant understands Lender's Name
and will comply with all non-point source regulations per the Cupertino Municipal Lender's Address
Code,Section 9.18.
ARCHITECT'S DECLARATION
Signature Date 6-28-2019 1 understand my plans shall be used as public records.
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2018-1640
19540 VALLCO PKWY STE 130 CUPERTINO,CA 95014(316 20 119) ROCKWALL
CONSTRUCTION
COMPANY
ONTARIO,CA 91761
OWNER'S NAME: DATE ISSUED:02/15/2019
OWNER'S PHONE: PHONE NO:(909)972-8216
LICENSED CONTRACTOR'S DECLA.R.ATION BUILDING PERMIT INFO:
License Class B Lic.#777138
Contractor ROCKWALL CONSTRUCTION COMPANY Date 04/30/2.020 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:
IPPUDO T.I.-(2,257 S.F.)
I hereby affirm under penalty of perjury one of the following two declarations:
permit is issued.
Sq.Ft Floor Area: Valuation:$300000.00
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 316 20 119 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 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 the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
Sgnatur �` Date 2/15/19 Issued by:Haley McKee
Date:02/15/2019
OWNER-BUILDER DECLARATION
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.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,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)
2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant:
contractors to construct the project(Sec.7044,Business&Professions Code). Date:2/15/19
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
2. 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. I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
3. 1 certify that 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
material. Additionally,should I use equipment or devices which emit hazardous
shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I
Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety
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 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. I understand my plans shall be used as public records.
Signature Date 2/15/19 Licensed
Professional
BUILDING PERMIT
CUPERTINO
CITY HALL
10300 Torre Avenue • Cupertino, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS:
OWNER'S NAME: Not provided
OWNER'S PHONE: Not Provided
CONTRACTOR:
ROCKWALL CONSTRUCTION COMPANY, 4345 E LOWELL STREET SUITE H ONTARIO
CONTRACTOR PHONE:
DATE ISSUED 11 /25/2019 3:06:01 PM
ISSUED BY: HALEYM
VALUATION: $300000
JOB DESCRIPTION
REORIENT THE RESTROOM, MANAGERS ROOM AND STORAGE AREA. REVISE DINING AREA SEATING TO TO BAR
OUTLET AND LIGHTING FIXTURES. REVISE PLUMBING PLANS TO INCLUDE RELOCATED WASTE AND CW/HW
WORK AND MUA UNI-ISSUED 6-28-2019 DEF # 1 - FIRE DEPARTMENTS FURNITURE SHOP DRAWINGS , MFG DATA
9-30-2019 REV #2 - ADD A WATER LINE - ISSUED 11/25/19
IPPUDO T.I. - (2,257 S.F.) REV # 1 - RELOCATE KITCHEN EQUIPMENT.
SEATING. REVISE ELECTRICAL PLANS TO INCLUDE RELOCATED POWER
SUPPLY. REVISE MECHANICAL PLANS TO INCLUDE RELOCATED DUCT
AND LISTING SHEETS INCLUDING CLASSIFICATION OF THE FINISHES -ISSUED
LICENSED CONTRACTOR DECLARATION
9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full
CONTRACTOR:
ROCKWALL
LICENSED
B GENERAL
LICENSED
777138
EXP
04/30/2020
I hereby
force
I hereby
CONSTRUCTION
CLASS:
BUILDING
NO:
DATE:
affirm
and effect.
affirm
I have and
for which
I have and
I certify that
with
COMPANY
CONTRACTOR
that I am licensed under the provisions of Chapter
under penatiy of perjury one of the following three
will maintain a certificate of consent to self -insure
this permit is issued.
will maintain Worker's Compensation Insurance, as
in the performance of the work for which this permit
laws of California. If, after making this certificate of
such provisions or this permit shall be deemed revoked.
declarations:
for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the
work
provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
is issued, I shall not employ any person in any manner so as to become subject to the Worker's
exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith
V
issued.
Compensation
comply
HAZARDOUS MATERIALS DISCLOSURE
6.95 of the California Health & Safety Code, Sections 25505. 25533, and 25534. I will maintain compliance
I have read the hazardous materials requirements under Chapter
the Cupertino Municipal Code, Chapter 9.12 and the Health
V
with
equipment
Municipal
& Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use
defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino
25505, 25533, and 25534.
this project.
Firm Certification No:
or devices which emit hazardous air contaminants as
Code, Chapter 9.12 and the Health & Safety Code, Sections
An EPA Lead -Safe Certified Renovator will be responsible for
Firm Name:
No EPA Lead -Safe Certified Firm is required for this project.
Certified
v
CONSTRUCTION LENDING AGENCY
lending agency for the performance of the work which this permit is issued (Section 3097, Civil Code).
Lender's Address:
I hereby
Yes
affirm
under penalty of perjury that there is a construction
No
V
Lender's
Name:
APPLICATION CERTIFICATION
:
ar