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11110132CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20682 STEVENS CREEK BLVD OWNER'S NAME: BYER PROPERTIES LP OWNER'S PHONE: 4156262937 ❑ LICENSED CONTRACTOR'S DECLARATION License Class— 1 Lic.H !70 3��j Contractor W L gJVL&V_ Date 3 I q 1) z 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. CONTRACTOR: W.L. BUTLER PERMIT NO: It 110132 CONSTRUCTION, INC 204 FRANKLIN ST DATE ISSUED: 03/07/2012 REDWOOD CITY, CA 94063 PHONE NO: (650) 361-1270 BUILDING PERMIT INFO: BLDG f— ELECT J_ PLUMB r— MECH r RESIDENTIAL f COMMERCIAL r JOB DESCRIPTION: CUPERTINO CROSSROADS PAD E (20682 STV CRK) AND PAD F (20750 STV CRK) - GRADING, PREP FOR BUILDING PADS, ASSOCIATED SITE WORK: ROUGH GRADING, SITE 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 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: 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 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 -point source regulations per the Cupertino Municipal Code, Section 9.18.1 Signature ARDDate 2 ❑ OWNER -BUILDER DECLARATION 1 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) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 1 hereby affirm under penalty of perjury one of the following three declarations: 1 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. 1 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. 1 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 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 -point source regulations per the Cupertino Municipal Code, Section 9.18. Valuation: $2800000 APN Number: 35908020.20682 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by.Date: RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Ow nAtSiS�pthorized agent: 1,-L ���� ate• CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of vwrk's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION Signature Date I understand my plans shall be used as public records. CITY OF CUPERTINO BUILDING PERMIA6MSION / ^I BUILDING ADDRESS: 20682 STEVENS CREEK BLVD CONTRACTOR: W.L. BUTLER DATE promyr NO1 CONSTRUCTION, INC OWNER'S NAME: BYER PROPERTIES LP 204 FRANKLIN ST DATE ISSUED: 03/07/2012 OWNER'S PHONE: 4156262937 REDWOOD CITY, CA 94063 PHONE NO: (650) 361-1270 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r— ELECT F PLUMB r License Class Lic. # 3 S S3'$-3 MECH r— RESWENTIAL r COMMERCIAL r Contractor C DOM Date I (Z'WI L 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: 1 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. 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 qon-point source regulations per the Cupertino Municipal Code, Section 9.18. Signature it 5 c — 6 Date i iZlo (1 Z ❑ 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) 1, 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 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 -point source regulations per the Cupertino Municipal Code, Section 9.18. JOB DESCRIPTION: CUPERTINO CROSSROADS PAD E & PAD F (20682 STV CRK & 20750 STV CRK) - GRADING, PREP FOR BUILDING PADS, ASSOCIATED SITE WORK:ROUGH GRADING, SITE rJ(,/1 (),`A<,,& Ct 0, f c�(3 per:..1 l'X p5S w a l k S�X�2 r of at—�.l�s e�s�Z i L�Z� 1::*0YAI Sq. Ft Floor Area.. Valuation: $2800000 APN Number: 35908020.20682 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by^c Date��2 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 have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. l 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 & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized Brent: P�S'a Date: y r_4 12 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of Hork's for which this permit is issued (Sec. 3091, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION Signature Date_ I understand my plans shall be used as public records. CITY OF CUPERTINO BUILDING PERMIT utrttircr Ol BUILDING ADDRESS: 20682 STEVENS CREEK BLVD CONTRACTOR: W.L. BUTLER PERMIT NO: 11110132 CONSTRUCTION, INC OWNER'S NAME: BYER PROPERTIES LP 204 FRANKLIN ST DATE ISSUED: 03/07/2012 OWNER'S PHONE: 4156262937 REDWOOD CITY, CA 94063 PHONE NO: (650) 361-1270 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r- ELECT r PLUMB r— License Class Q Lic.43Ss3S3 Contractor W L B tte-C Cay'S 1 hn '"+;6I Date bY- a7' 1 Z 1 hereby affirm that 1 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. 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 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 -point sour regulati�ps per the Cupertino Municipal Code, Section 9.18. / I Signature Date ❑ OWNER -BUILDER DECLARATION 1 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, wil I 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). 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 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. 1 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 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 -point source regulations per the Cupertino Municipal Code, Section 9.18. MECH r RESIDENTIAL r COMMERCIAL r— JOB DESCRIPTION: CUPERTINO CROSSROADS PAD E & PAD F (20682 STV CRK & 20750 STV CRK) - GRADING, PREP FOR BUILDING / PADS, ASSOCIATED SITE WORK: ROUGH GRADING, SITE [ �- &h /f Z Sq. Ft Floor Area: Valuation: $2800000 APN Number: 35908020.20682 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: _" ; /V- ,�.qTG Date: G"- 7 %� RE -ROOFS: All roofs shall be inspected prior to any roofing material berg installed. I f 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 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 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 & Safety Code, Sections 25505, 25533, and 25534. Owner or aut d a ent: te: CONSTRUCTION LENDING AGENCY 1 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 Ad ARCHITECT'S DECLARATION Date I understand my plans shall be used as public records. CITY OF CUPERTINO FM-7' FEE ESTIMATOR - BUILDING DIVISION 1AADDRESS: 20682 Stevens Creek Blvd DATE: 08/07/2012 REVIEWED BY: Sean APN: 359-08-020 BP#: 11110132 *VALUATI.ON: Iso I *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE:PERMIT PENTAMATION 1DS TYPE: WORK Deferred Submittal #1: Structural for proposed water fountain. SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID Deferred Submittal (Not R-3) II-B,III-B,IV,V-B 0 $0.00 $0.00 TOTALS: 1 0 $0.00 1$0.00 MECH, HOURLY Yes 0 No PLUMB, HOURLY Q Yes Q No ELEC, HOURLY Q Yes Q No -�_ Chtxk Non/ _ Pluu ('lw? 1, "., : • lie 4+ 7 . 01hry t'hfmh lilrrE3--[-- Ufliev' hY r.. In .El 7-- ;r h. 1 I "'he b. li�.,p. Vc� ,'.-1'( . In.sp, Fce. NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). Thesefees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff' 7/1/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes Q No $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes Q No $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Consinfetion Tc7a-: Adlnirzistrative Fee: 1 hours Plan Check, Hourly $133.00 1 ISTPLNCK 1 O Work Without Permit? 0 Yes (E) No $0.00 Advanced Planning —Fee. $0.00 2 hours Inspections $266.00 ISTINSP Inspection, Hourly 0 i Travv/ Dotmnentwion Fue.y. Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $399.00 TOTAL FEE: 1 $399.00 Revised: 07/01/2012 CITY OF CUPERTINO irml FEE ESTIMATOR - BUILDING DIVISION ADDRESS-- 4 0 Stevens Creek Blvd. DATE: 10/13/2011 REVIEWED BY: A. Salvador APN: 359-08g6-Q� BP#: 'j� 'VALUATION: 1$2,800,000 *PERMIT TYPE: Building Permit -PLAN CHECK TYPE: New Construction PRIMARY USE: Commercial Building Civil / Religious activities in gQ zone? 0 Yes Q No PENTAMATION 1 GENCOM PERMIT TYPE: WORK Gradinq, buildina pads,associated site worl': Rough Grading, site work site utilitiespaving, hardsca SCOPE I and preparation of finished pads. [Under separate permit: Core & Shell, Tenant Improvement, Alech. Plan (.'heck Plumb. Plan C.'hed- 1 lc r., .l'lun Check Al rc:h.1'ervuil Fee: !'hint];. Pcerntie Kw� - Flei . 1'carrwi Fr.< : Other .Mech. Insp. p2::j Ocher Plumb lisp. Other Elev. lisp. Li ilech. Insp. Fep Phrarb. Insp. Fee: Elea. lisp. lee: NOTE. This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Dictriet o10-?. 77Aece fepc aro hacod an tho nroib"I"M n informallan avau"hle and are aaly an o_cdow1f rantact the Dent for addn'I Info. FEE ITEMS ]Fee Resolution 11-053 ff. 7/1/11) FEE QTY/FEE NIISC ITEMS Plan Check Fee: Hourly Only? Q Yes 0 No $0.00 4 hours Plan Check, Hourly $520.00 ISTPLNCx Suppl. PC Fee: E) Reg. 0 OT 0.0 I hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? ® Yes (j) No $0.00 Suppl. Insp. Feele Reg. © OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Constr. Tax: 1BCONSTAxC $0.00 Acbnlnislrali v<� .Fcc: Q Work Without Permit? © Yes 6) No $0.00 Advanced Planning Fee: $0.00 6 hours Inspections $780.00 ISTINSP Inspection, Hourly Q O Travel Documentation Fees., Strong Motion Fee: IBSEISMICO $588.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $112.00 1CJBrI'a;.. $700.00 $1,300 00 ::: :._FE._ $2,000.00 Revised: 10/01 /2011 ww���'�� CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS:-AOM stvns crk blvd. DATE: 03/21/2012 REVIEWED BY: bobs. APN: a 1 $T l6 11110-tiz 1 *VALUATION: Iso *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial Building PENTAMATION 1GENCOM USE: PERMIT TYPE: WORK revise crosswalksplanting, round sign lights, and fencing around protective tree. SCOPE NOTE. This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc). These fees are haled on the nrelimnary information availahle and are nnly an estimate_ Contact the Dent foraddn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 711,/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes 0 No $0.00 F-T-1 hours Plan Check, Hourly $260.00 ISTPLNCK Suppl. PC Fee: Q Reg. 0 OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 [.'rrllver 'lilts' Lax" i(Inlii7f:Si7'e7tlYe' CC 0 Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure Q 0 i 7>,,}-r 11;x,crrn r?i rliryrc f-- Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $260.001 TOTAL FEE: $260.00 Revised: 1 /19/2012 @F- CITY OF CUPERTINO l FEE ESTIMATOR - BUILDING DIVISION iaADDRESS: stvns crk blvd DATE: 02/29/2012 REVIEWED BY: APN: Bi'#: "VALUATION: Iso PERMIT TYPE: Building Permit PRIMARY USE: Sign PENTAMATION PERMIT TYPE: 1 CEAPS WORK install 5 illuminated monument signs. SCOPE SIGN TYPE FEE ID QTY SIGN FEE Other Sign 1SIGNOTHER 5 $1,635 TOTALS: $1,635.00 # Branch Circuits 1 $44.00 IESIGN Elec. Permit Fee: IEPERMIT LiOther Elec. [nsp. 0.0 $44.00 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District; School District. etc.). These fees are based on the nreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (l ee Resolution 11-053 Eff 7'1/11) FEE QTY/FEE MISC ITEMS Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 Permit Fee: $1,635.00 SuppL Insp. Fee:) Reg. Q OT TO.0 hrs $0.00 PME Unit Fee: $44.00 PME Permit Fee: $44.00 Work Without Permit? © Yes (F) No $0.00 Sign Master Plan: Q Yes (F) No $0.00 Travel Documentation Fee: ITRAVDOC $44.00 Strong, Motion. Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $1,767.00 $0.00 TOTAL FEE: 1 $1,767.00 Revised: 1 /19/2012