BLD-2022-0690 JobCard.pdfCITY OF CUPERTINO - BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
PHONE 408-777-3228 • WWW.CUPERTINO.ORG/ACCELA
JOB CARD
THIS CARD MUST BE POSTED AT A LOCATION VISIBLE FROM THE STREET FRONTAGE ON SITE OF THE STRUCTURE
BEING PERMITTED AND IS NOT TO BE REMOVED UNTIL BUILDING FINAL.
A HARD -COPY OF THE APPROVED PLANS AND DOCUMENTS SHALL BE KEPT AT THE SITE OF WORK.
Permit No: BLD-2022-0690 Issued Date: 08/19/2022
Building Address: 10440 BUBB RD Cupertino
Job Description:
Contractor: HATHAWAY DINWIDDIE CONSTRUCTION
COMPANY
APPLE BUBB 07 PATIO - T.I. (1609 SF) ; CONVERT (E) LOADING DOCK TO A PATIO, (FENCING, LIGHTING, SEATING, EXTEND
PATIO PLATFORM TO CONNECT ENTRY VESTIBULES, NEW STAIRS, AND BIKE RACK)
EVERY PERMIT ISSUED SHALL BECOME INVALID UNLESS THE WORK ON THE SITE AUTHORIZED BY SUCH PERMIT IS COMMENCED WITHIN 12 MONTHS AFTER ITS ISSUANCE, OR IF THE
WORK AUTHORIZED ON THE SITE BY SUCH PERMIT IS SUSPENDED OR ABANDONED FOR A PERIOD OF 12 MONTHS AFTER THE TIME THE WORK IS COMMENCED.
*PLEASE REFER TO QR CODE FOR ANY REVISIONS OR UPDATED INFORMATION
HasMat_2011.doc revised 03/07/11
PURPOSE
To minimize possible delays that would result for the Fire Department plan review, please complete the
following checklist to determine if an additional level of Hazardous Materials plan review will be
required.
MARK YES IF THE PROPOSED SCOPE OF WORK INCLUDE ANY OF THE FOLLOWING?
PLEASE MARK YOUR ANSWER WITH AN X IN THE YES OR NO BOX ON THE SIDE
BELOW.
YES NO
1 . Use, dispensing, mixing or storage of flammable or combustible liquids or gases,
hazardous materials, etc.
2. Battery back-up rooms or racks.
3. Propane tanks.
4. Gasoline stations with underground tanks.
5. Installation or replacement above ground or underground storage of liquid petroleum
products, liquefied petroleum gases, compressed natural gas, explosives or other
regulated hazardous materials.
6. Gas rooms for dentist, doctors or veterinarians.
7. Generators with back-up diesel or other fuels.
8. Large refrigeration systems.
9. Fuel cell systems.
10. Commercial pool systems.
11. Chemical Storage areas.
12. Flammable liquid storage.
13. Compressed Gases.
14. Dry cleaners.
15. Print Shops.
16. Auto Repair and Auto Body Shops.
17. Research and Development.
For any additional information regarding this checklist, please contact Hazardous Materials Specialist, Santa
Clara County Fire Department, at (408) 378-4010.
HAZARDOUS MATERIALS CHECKLIST
COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE CUPERTINO, CA 95014-3255
(408) 777-3228 FAX (408) 777-3333 building@cupertino.org
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X X
Arnold Hom
08/09/22
BldgApp_2017.doc revised 01/01/21
APN #
OWNER NAME PHONE E-MAIL
STREET ADDRESS CITY, STATE, ZIP
CONTACT NAME
CITY, STATE, ZIP
OWNER
OWNER-BUILDER
OWNER AGENT CONTRACTOR AGENT ENGINEER DEVELOPER TENANT
CONTRACTOR NAME LICENSE NUMBER LICENSE TYPECOMPANY NAME
E-MAIL
STREET ADDRESS CITY, STATE, ZIP PHONE
STORIES # USE TYPE OCC SQ.FT. VALUATION ($) NEW FLOOR SF DEMO SF TOTAL NET SF
REMODEL KITCHEN
SF
REMODEL OTHR
PORCH SF DECK SF
ATTACHEDDWELLING
UNITS #
YESEICHLERNO
RECEIVED BY:
TOTAL VALUATION:
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 relating to building construction. I authorize representatives of Cupertino to
enter the above-identified property for inspection purposes. I acknowledge and authorize all information contained on this application form
to be made available for public record.
Signature of Applicant/Agent: _____________________________________________________ Date:_______________________
SUPPLEMENTAL INFORMATION REQUIRED
*New SFD/Second Dwelling Units/Multifamily Dwellings: A Demolition permit is required prior to issuance of a building 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.
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • permitcenter@cupertino.org
B
EXISTING ROOF TYPE: BUILT-UP ROOF ASPHALT SHINGLES WOOD SHAKES WOOD SHINGLES OTHER (SPECIFY) ___________________
NO
YES
REMOVE /REPLACE IF NO
# OF LAYERS________
PLYWOOD ½” PLYWOOD TYPE:
THICKNESS CDX OTHER____________
PITCH:
_____ :12 ROOF CLASS
A
RE-ROOF
WOOD SHINGLES OTHER _____________
*HOA-Provide a letter of approval from the Home Owner's Association
SF __________ #of SQUARES ___________
NEW CONSTRUCTION ADDITION
EXISING
FIRE SPRINKLERS
YES
NO
SINGLE-FAMILY/DUPLEX MULTI-FAMILY INDUSTRIAL COMMERCIAL
SECOND STORY ADDITION
VINYL-LINED FIBERGLASS GUNITE PREFABRICATED
Commercial or Multi-Family Buildings with Public Swimming Pools requires Department of Environmental Heath approval
POOL - SF _______ SPA - SF _______
ALTERATION T.I. MEP
DESCRIPTON
DETACHED
YES
NO
SF
SECOND DWELLING
UNIT ADDITON:
YES
NO
DETACHED
POOLS
TILE
OTHER__________ OSB
OTHER
STREET ADDRESS
PROJECT ADDRESS
E-MAIL PHONE BUS. LIC #
ARCHITECT
ATTACHED
S F ____________
TOTAL - SF __________SPA ATTACHED YES NO
EXISTING USE EXISTING SF
GARAGE
SF
REMODEL
BATHROOM SF
5/8”
WOOD SHAKES PROPOSED ROOF TYPE: BUILT-UP ROOF ASPHALT SHINGLES
*Provide a signed copy of the Cupertino’s Tear-Off Policy
3/8”
RE-ROOF
PERMIT #B - __________ - __________
SWIMMING POOL/SPA
DEF # ______
10440 Bubb Rd, Cupertino, CA 95014 357-20-036
David Kang 201.320.9850 kang_david@apple.com
One Apple Park Way Cupertino, CA 95104
Nina Grimm Hathaway Dinwiddie Construction Co. 729664 A & B
565 Laurelwood Road Santa Clara, CA 95054
grimmn@hdcco.com 408.450.5563 062671
David Whitney david@davidwhitneyarch.com
2185 The Alameda, Ste. 100 San Jose, CA 95126 408.627.9123
Tenant improvement for existing exterior loading dock space. Scope of work is to convert to patio area by providing new
fences, lightings, seating area, extending patio platform to connect entry vestibules, adding new stair and bike racks.
There is no Haz. Mat. and no change in use or occupancy.
B, F-1 19,341 N/A N/A 1 0
N/A N/a N/A N/A B 1,609 450,000.00
$450,000.00
04.13.2022
REV # ______
Arnold Hom
08/09/22