The URL can be used to link to this page

12050180CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20610 STEVENS CREEK BLVD OWNER'S NAME: BYER PROPERTIES LP OWNER'S PHONE: 4156262937 ❑ LICENSED CONTRACTOR'S DECLARATION License Class is Lic. # 1 � L7.2, Contractor (-4 Date I 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: JM STITT CONSTRUCTION, PERMIT NO: 12050180 INC 3165 PALISADES DR DATE ISSUED: 07/23/2012 CORONA, CA 92880 PHONE NO: (951) 271-3440 BUILDING PERMIT INFO: BLDG r ELECT r- PLUMB I— MECHr RESIDENTIAL r COMMERCIAL JOB DESCRIPTION: PIER 1 - COMMERCIAL TENANT IMPROVEMENT(10,360 SQFT).REMOVE AND REPLACE EXTERIOR WALL SIGN WITH 42 INCH HIGH WHITE LED CHANNEL LETTERS; 9/20/2012 - REV#1 - REVISE THE LOCATION OF THE TRASH ENCLOSURE- 10/19/2012 -REV#1 ISS'D I 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 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 regulation;,per the Cupertino Municipal Code, Section 9.18. Signature— - `, Date ji,r i 4v ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: I, 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) I, 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. Valuation: $210000 APN Number: 35908020.20610 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: ° "9 -� Date: �=� RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section,$,25505, 25533, and 25534. r Date:12, CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of Nwrk's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION Signature. Date I understand my plans shall be used as public records. Licensed Professional CITY OF CUPERTINO BUILDING PERMIT CONTRACTOR: PERMIT NO: 12050180 BUILDING ADDRESS: 20610 STEVENS CREEK BLVD {�DATE ISSUED: 07/23/2012 p OWNER'S NAME: BYER PROPERTIES LP s fK_ ti., � 's p� , J �� t �1 � OWNER'S PHONE: 4156262937 1, g P 1 PHONENO: ❑ LICENSED CONTRACTOR'S DECLARATION License Class j�y 7 ' Contractor / Date t I hereby�rm that I am license "der the provisions of Chapter 9 (commeing 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: 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 himay acenne against said City in consequence of the granting of this pe it. Addition the appCcant understands and will comply with all non -point ounce re gulatiper the�upertino Municipal Code, Section 9.18. Date L� .. (.—Z— ❑OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons; I, 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) I, 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. BUILDING PERMIT INFO: BLDG _ ELECT r PLUMB MECH r RESIDENTIAL r COMMERCIAL r JOB DESCRIPTION: PIER 1 - COMMERCIAL TENANT IMPROVEMENT(10,360 SQFT).REMOVE AND REPLACE EXTERIOR WALL SIGN WITH 42 INCH HIGH WHITE LED CHANNEL LETTERS; Sq. Ft Floor Area: Valuation: $210000 APN Number: 35908020.20610 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: �� s r% Date: 7 ' 3 '% 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 comUliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safgty Code, Sectiopi 2005, 25533, and 25534. Owner or nthorized agent: �"`"� �� _ Date: ) —23, f,-J_ CONSTRUCTION LENDING AGENCY I hekby 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Signature Date I Licensed Professional ��,�,,,,,��, CITY OF CUPERTINO rw-_— l�I FFF ESTIMATOR — BUILDING DIVISION 191 ADDRESS: 20610 Stevens Creek Blvd DATE: 09/20/2012 REVIEWED BY: Sean APN: BP#: *VALUATION: $0 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial BuildingPENTAMATION 1GENCOM USE: PERMIT TYPE: WORK Revision #1: Revise the location of the trash enclosure. SCOPE A-fech. Wan C97eek Plumb. Mai Cheep Elec. Plan Cheok l,fech. Permit Fee: Phrrnh. Pefinit Fee: flee. Pe-mit Fee: Other Alech. Insp. Other Plumb 111,sp. Other Elec, Insp. Lj Meek lasp. Fee: Plnrub. hisp. Fee: Elec, Insp. Fee: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, tire, sanitary sewer District, acnoot ef' 1 Th—v foav nrn hncod nn the nroliminary infnrmation available and are only an estimate. Contact the Dept for addn7 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 1� hours Plan Check, Hourly $133.00 ISTPLIVCK Suppl. PC Fee: e) Reg. 0 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 Cottstritclion Tox., F ,4dinhiisirattve Pee: G Work Without Permit? ® Yes No $0.00 Advanced Plannin& Fee: $0.00 I L I hours Inspections $266.00 ISTINSP Inspection, Hourly Travel Dacurnettlat7ntt Fee,: Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $399.00 TOTAL FEE: $399.00 Revised: 07/01 /2012 CITY OF CUPERTINO [q,-.a FEE ESTIMATOR — BUILDING DIVISION igADDRESS: 20610 stevens creek blvd DATE: REVIEWED BY: APN: 359-08-021 BP#: "VALUATION: j$110,000 ,'PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial Building PENTAMATION 1A T® USE: PERMIT TYPE: WORK Installation of interior racks into an existing Pier 1 Imports building SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID A (Tenant Improvements) II-B,III-B,IV,V-B 0 $0.00 $0.00 TOTALS: 0 $0.00 $0.00 MECH, HOURLY 0 Yes 0 No PLUMB, HOURLY 0 Yes Q No ELEC, HOURLY 0 Yes Q No h NOTE: This estimate does not include fees tlite to other Departments (i.e. Planning, Public ZVorks, Fire, Sanitary Sewer District, School Wwri/'f Ph- I. ThvvP fwv an, howl nu the nroliminam infni'ntahnn availnhlo and nry nith an pohnatP. f /1/1tapt th,, nant Mr nilihi'l infer_ FEE ITEMS (Fee Resolution 11-053 E . 7/l/l1) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Stiacture or Element of a Building Suppl. PC Fee: Reg. 0 OT 0.0 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 0 Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning Fee: $0.00 F459 I 1.£ $751.00 Storage Racks 1SRACKS>8 Over 8' High 0 0 Strong Motion Fee: IBSEIsWCO $23.10 Select an Administrative Item �j Bldg Stds Commission Fee: IBCBSC $5.00 SUBTOTALS: $28.10 $751.00 TOTAL FEE: $779.10 Revised: 04/01 /2012