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12040118COVERSHEET 12040118-D/P EXPIRED 4 RESULTS WAY AGENCY wtI ME _-E _m- _ -E CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 4 RESULTS WAY CONTRACTOR:' i PERMIT NO: 12040118 OWNER'S NAME: ECI TWO RESULTS LLC DATE ISSUED: 04/20/2012 OWNER'S PHONE: 4084901641 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION F License Class ~,y Lic. P 9,/ -56 " BUILDING PERMIT INFO: BLDG ELECT PLUMB I Contractor %D rt ✓-e -f-9611L Date 0- MECH RESIDENTIAL COMMERCIAL 1hereby affirm that 1 am licensed under the provisions of Chapter 9 JOB DESCRIPTION: H.P. BLDG 4 - REVISE DOOR HARDWARE AT BUILDING 44 (commencing with Section 7000) of Division 3 of the Business & Professions TO ALLOW CODE COMPLIANCE EGRESS Code and that my license is in full force and effect. 1 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 Sq. Ft Floor Area: Valuation: $2000 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APN Number: 35720042.4 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally, the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-poi rce regulations per the Cupertino Municipal Code, Section 9.18. y %° Issued by: �.�/✓ / A� Date: Signature te !S— ❑ OWNER-BUILDER DECLARATION RE-ROOFS: 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed. If a roof is the following two reasons: installed without first obtaining an inspection, I agree to remove all new materials for 1, as owner of the property, or my employees with wages as their sole compensation, inspection. will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) Signature of Applicant: Date: I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1 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 HAZARDOUS MATERIALS DISCLOSURE Compensation, as provided for by Section 3700 of the Labor Code, for the 1 have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain I have and will maintain Worker's Compensation Insurance, as provided for by compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Section 3700 of the Labor Code, for the performance of the work for which this Safety Code, Section 25532(x) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District 1 will I certify that in the performance of the work for which this permit is issued, I shall maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health ety Co e, Sections 25505, 25533, and 25534. 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 _ Omo e !% forthwith comply with such provisions or this permit shall be deemed revoked. Date: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct. I agree to comply with all city and county ordinances and state laws relating for which this permit is issued (Sec. 3097, Civ C.) to building construction, and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, Lender's Address costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code, Section 9.18. I understand my plans shall be used as public records. Signature Date Licensed Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DMSION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 - FAX (408) TT7"3333 • buildin cu erlino.o I I NEW CONSTRUCTION ADDITION IY I A LTERATION / TT F� R T7VTCTC)N / T1979PR 7n nn trrnr A T vcv 1k,rrr IE ADDRESS APN4 NAME � STREET ADDRESS QTY. ATE F G% I "•�-� FAX d / CONTACT NAMEr d j SIRIET ADDRESS / / �� QTY, STATE, ZIP FAX ❑ OWNER ❑ OWNER-BUIIDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONIRACTORAGENT ❑ ARCHT1ECt' ❑ ENGINEER ❑ DEYQAPER XrENANT CONTRACTOR NAME D J LICENSE MkLICENSE TYPE HUS. CIC A COMPANY NAME E /1 %n FAX l S [moi ZM'� STREET ADDRESS QTY, STA L% PHONE ✓ AR CT/ENLICENSE NUMBER HUS. LIC A 0 CQMPANY NAM$ E FAX n C 7 STREET ADDRESS am QIY ST r p / DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTR. TYPE 9 STORIES t- e:] GZZ USE TYPE OCC SQ FT. VALUATION (5) EXISra NEWFLOOR DEMOTu, AREA ARIA i AREA — NET AREA �` BATHROOM K rCIM4 OTHER REMODELAREA REMODELAREA REMODEL AREA PORCH AREADECK AREA TOTAL DECX/PORCH AREA GARAGE AREA: DETACH ATTACH / DWELLING UNCIS ISA SECOND UNIT YES SECOND STORY YES — UZfG ADDED? ❑'NO ADDITION? ❑NO PRE -APPLICATION []YES IF YES, PROVIDE COPY OF S TSE BLDG AN ❑ YES RECE ED Y: TOTJkL VALUATION: FUNNING APFL A ❑NO PLANNING APPROVAL LETTER EICBLER SOME? ❑ NO :S ., By my signature below, I certify to each of the fallowing: I am the property owner or authorized agent to act aa the pWcrty.owner`s behal . f have read this application and the information I have provided is I have read the escription of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buil ' I authorize entatives of Cupertino to eater the abcve-ideredTperty for inspection purposes. Signature of AppliczrWAgentData: 09 1-14-Z V16 SUPPLENENNTAL INFORMATION PLAN CHECK TYPE RGU7WGSLIP New SFD or Multifamly dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building OVXR TBx-courrrXR au> iNGPlantXrVMw permit far new bufIding. ❑ XURFss ❑ PrAmwC. PLAN RxvIzw _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ElSYANDARD C1PUSLICWORKS form if any Hazardous Materials are being'used as part of this project ❑(M ❑ FM ]7F3T _ Copy of Planning Approval Letter or Meeting with Planning prior to El MAJOR C1sANTTARY sEivER submittal of Building Permit application. DLSiIiICT ❑ MWIRONi ,M TAL HEALTH BldgApp ZOl Ldoc revised 06/21/71 5 CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: S H �V PERMIT # Q -d YO l l OWNER'S NAME: P. IPHONE # 5-10 3e0 GENERAL CONTRACTOR: kV %.e res BUSINESS LICENSE # ADDRESS:/- .3-i` Ove, s r• %easR >, '7`<r6'r CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL ONTRA ORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. a- D ! I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile CITY OF CUPERTINO FM -7 FEE ESTIMATOR — BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. eta). These fees are based on the Dreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 711111) ADDRESS: 4 Results Way Phanh. Plum ('ht!( -6 DATE: 04/20/2012 REVIEWED BY: Sean Pluiilb Pei mi, / r APN:'�,35 BP#: /o� L� �/ "VALUATION: 1$2,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARYCommercial USE: Building hrs PENTAMATION 1GENC0 PERMIT TYPE: WORK Revise door hardware at buildinq #4 to allow code compliance egress. SCOPE Permit Fee: Hourly Only? Q Yes 0 No Suppl. Insp. Fee -0 Reg. Q OT 0,0 hrs NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. eta). These fees are based on the Dreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 711111) W01. Man 0J.- _ Phanh. Plum ('ht!( -6 li/cc. !'lar? Check MISC ITEMS Pluiilb Pei mi, / r F.hx. /'ernul ! "c (11r�i'i• lf<•i.-h, Ir; (7�her• Plumb 1-vriLi Li Suppl. PC Fee: Q Reg. 0 OT 0.0 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. eta). These fees are based on the Dreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 711111) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? Q Yes Q No $0.00 0 hours $0.00 Plan Check, Hourly Suppl. PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? Q Yes 0 No Suppl. Insp. Fee -0 Reg. Q OT 0,0 hrs $0.00 $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Constroction Tax. lclinirri.�trutive f'ec: Q E) Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee: $0.00 1 hours Inspections $130.00 ISTINSP Inspection, Hourly Q 0 i lr.ivcl0oxmucntation i-ec : Strong Motion Fee: IBSEISMICO $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $1.501 $130.00 TOTAL FEE: $131.50 Revised: 04/01/2012 KEY NOTE5 Q REMOVE (E) HARDWARE FROM (E) PAIR OF DOORS: a. REMOVE (E) INTERIOR CARDREADER, b. REMOVE (E) INTERIOR MAG LOCK, c. REMOVE(E) BREAK GLASS REQUEST TO EXIT DEVICE. . INSTALL (N) HARDWARE TO (E) PAIR OF DOORS: a. NEW CARDREADER ON THE OUTSIDE OF DOOR, b. (N) ELECTRIC LOCKSET W/ FREE EXIT ON THE LOBBY LOBBY INSIDE, SCHLAGE L9010 17A 626 OFFICE c. 1 (N) ELECTRIC HINGEHAGER AB700 ETW-4X652 41101 411Q7 d. (N) AUTOMATIC FLUSH BOLTS, DCI - 942 41102 e. POWER SUPPLY, f. NEW REQUEST TO EXIT SENSOR ON THE INSIDE HP - C U P E RTI N 0 OF THE DOOR. CORR 41105 9 - - -- - - - 41 5 & 6 RESULTS WAY CUPERTINO, CA 95014. 0 LG CONF SM CONF SM CONF OFFICE OFFICE OFFICE OFFICE TELE 41414 41416 41418 41432 41434 41436 41438 MEN ® I COFFEE OFFICE mow 41131 � I 41110 41115 r '�lOME�I MECH 7— VV 4 1 CIRC 41132 41430 -- JAN 10 TO OPEN OFF STOR STOR BLDO.S 41410 41112 41117 MD CONF MD CONF 10.3 — -------F— — __— — — — — —— --— 41447 41445 -- — —— — — — —— — —- Ar ac I I UP COPY I I I OFFICE 6-- — 41425 41427 ELECT IDF OPEN OFF I I I 41222 STAIR ----- ..............__ ... ---.. --- 41454 ELEV EQUIP 41400 ( 41401 OPEN OFF OPEN OFF I 11 41200. 41210 OPEN OFF OFFICE 41450 P ( 41224 STAIR 41205 CIRC 41220 OFFICE I 41226 -- 1289 SF FOR SERVER RM. 12 I 6 5 '' OFFICE KVt: KI OPEN OFF I 41228 413 5 41390 12.7 ■ ■ ■ ■ ■ ■ ■ — — 01 02/04/2012 TM TM ISSUE FOR PERMIT AND CONSTRUCTION OPEN OFF 41300 71 13 WORKRM GAME RM 41241 41236 CAGE 41247 MEN t 41236 RECEIVING; 41247 `COMMUNITY Je.oM'-NT � COPY OPEN OFF 1 a th'S 41382 41250 ( CUPERTINO 'n-ija en iring collstruation. it is unlawful to Mageany OR Building Department h jj `�,� or awes tions on, : v ldi Dffi t 1. WOMEN BREAK RM BREAK AREA 41381 ELECT ne pan NOT F ---I DEC 41383 41237pe j44 REVIEWED F4 C PLIANCE t cyprovisionsOf i' y idin° Or za s a 15 �---� Reviewed By.DAT —u PERNU 140. PATIO UP SHEET NOTES ■ A. DOOR HARDWARE MUST MEET ADA COMPLIANCE WITH FREE EGRESS IN THE ii�'D ARC DIRECTION OF EXIT, REGARDLESS OF OTHER LOCK FUNCTIONS WITH NO SPECIAL KNOWLEDGE. PROVIDE BUILDING STANDARD * c ELECTRIC LOCKSET. LEVER HANDLE SHALL en MEET THE LOCAL ACCESSIBLE rFofi cA►-�F°��` REQUIREMENTS. CABLE ELECTRIC LOCK SET BACK TO SECURITY PANEL FOR CARD READER. BLDG 4 FIRST FLOOR CONSTRUCTION PLAN B. ALL DOORS WITH CARD READERS SHALL HP - CUPERTINO, CA COMPLY WITH ALL REQUIREMENTS OF CBC SECTION 1008.1.4.4. C. LOCKING DOORS SHALL COMPLY WITH CBC 01.8700.010 �� R�`� SECTION 1008.1.9.4 .4411 (UNLOCKING OF THE DOOR IN THE EXIT' . DIRECTION WITH ONE ACTION. I A02-41 BLDG 4 GROUND FLOOR CONSTRUCTION PLAN Scale h> Ref. North i� E 0 21 41 81 16` ��