06020107 CITY OF CUPERTINO
ON
BUILDING DIVISION PER
,CTRAC�TORdINFORON-4
MA a
BUILDING ADDRESS: NOVO CONSTRUCTION PERMIT NO.06020107
O PERI\m ISSUE DATE
ER'S NAME
APPLE COMPUTER 1042 HAMILTON 03 /10/2006
SANITARY NO. CONTROL NO.
PHONE:
(650) 701-1500
BUILDING PEAMR INFO
ARCHMIC"GINEER: BLDO ELECT PLUMB MECH
0 0 0
loZ' LICENSED CONTRACTOR'S DECLARATION Job Description
I hcntbY affom NN 1 am Ikcocd uakr govidw of CTap,d 9(con,ncncing
�iHNSatbn]fIW)afDlviaion Sof lhs Bninev arM Profcsskn Cade.and my littnxu
,< nfull rom a"efra �ej` 7L TI-REPLACE HVAC W/NEW CHILLERS/AIR HANDLERS
'biz Lkeme � � LAB COOLING ONLY/RETROFIT ROOF/SLEEPEDS AS ASSO
".ti Dam �ntn
ARCHf1E d tuduDECLARATION WITH HVAC. ALL MECH EQUIP MUST BE SCREENED FRO
1 undcrwnJ my plata shall he rd u public«cart,
U
lircrncd Pn,fcstional
OotNEOFR DECLARATION
I Icrtby alllrm Net 1 ram
m exemexempt from Ne Conlmnor's licrun Law far tk
–no frllowm,massa(SccJvn]IDIS.Bwl..a.aM Profesdw Calc:MY city IX county
$f,` which m9umm,a pmrnit or
nmuuc6 alcor,improte,dctmJ W.m n:ryir any tuucwrt
_
unniuissusac.ar,ortqura
irolFeaPplieantforurchrmlttofkacrnNsulemenl Valuation
=< I ,he isliccn+W putwantrotkpmvidw a the Caancmr'a txxnx liw(Chi 9 Sq. FL Floor Area $1096000
�o (mbroorming with Sntion]888)of Div on 3 of the Busircu It Profession,Cade)or
y
52 But Ito bt exempt thmefromand dm burls fur die aIoVA caovi Any violation of
S.dm7031.5 by art,+Pplianl fora pemdtwbjeca+Nc appliumlda civil Pemkyof APN Number Occupancy Type
not mmc dan five hundmd dolWa(S58(k -
L a vwnor of de pmputy.ar my emPlrycn w W wage to Ulu ink ttmP�irn,
wmmNeworkanadKxmranti,�tinvmdIXalrwrarwetsee.]Daa.Ba9bl' ' '11 n � Required Inspections
and Pmf adoru Code He CU uran d S l.krux taw doll oro apply to an war or / ,
pmpmoy who lds m imis�dcrtm.+M who docs tuNamt him zif rr through hie (')
n empl,tt,pmvld d Nal such impro.1,I are nut inkndcd orrRmcd for ale-If. I'
K..the bNWingor impmvcment Is sold within oro Ylr a wmpb, o In,mvncr-
bolder will bast de buNm of moving Nat he did rot build IX impmw for W'P=of
ala).
❑L u awrrt of a popcHY.am nGu and c,,,f a pro with Hawed ri r r'. i-
cowbva dk nora�]fk4,Badnward ywh.bo Codi mpme turmr'a Li LV1 U
cwtlaw donna 1b PIYman rw,xrofpraprr(,)lb. dporImprove Contra.or,.
whocmoacu for nth proFIX+wiNacmtranats)Ilattxd Wrnuamthe Crntranrrt
L anx law.
lam nemptumder See ,B&PCfmtborm
Daae
WORKER'S COMPENSATION DECLARATION
1M+eby aul.under pcnthy of P.Joy'mat of tK following dzbdbab c
I naw ofd will maintain a Ccnihcuc of Cowan m xlf-Toot forWWxm1 Compo
aadoo,u povW W fIX by Secdrn 3](p of Jc Isbar Code.ra Ne P�mmarce of do
wvh for vhkh W t permk Ia issued
1 haw and will main.Workers Compensation lo,ou tcc,u mqulrcd by Swu n
37M of the Leben Coda,fm Ne perfarrnatitt a do wok fm wblch wt permit Is tsrved.
My Wo acomrcwdminmaxccarri=and Polirynumbcra
hmicr. 1 ) Polky Na:�---
CEICfIFlC COMPENSATION
I NFROM ORK
COMPENSATION INSURANCE
(Ditaxmlm oeed na h,00pklai if th pemeh L fauns hondntd dollar(51sT)
or Ins.)
I tt,dry Nei In Na perF.I,of Nc ooh for whlcb do,pc,rIih b issued.I shall not
wplq any perms in any manor m u an became aubjc In ft Wo Ii compm floo
U� of Cahromia.Dam
Applkaw
NOTICE TO APPLICANT:If,adw making Nu Ccnifrom of EacmP'ion.You should
become mbfem b Ne Wmkm'a Compensation Pro W"ma a the labor Ctdc,you muu
.�7, frnbwiBt mmPly with wch provisions or Nu pmmit still he dccmad ntwkcd.
Z 2 CONMGR TION LENDING AGENCY
a— IborebyaRtm Our diem it...it.lendingagenry far Ne l af...of
> the work ren whicb Nis permit u,-di(see w,cN C.)
La 0.0 LtnNr.Name
IL L,bder's Addrea
U Q 1 ardfy Nal l tiw rad Nil applie,dan and rule Nat the above mformadun u
W comca 1agrte mcomply veld all city and comfy oJWnues and Sum hws mladng to
C) Wildingcm,atrrcll n.toand'.od,,nmifyadlortp hammd,Kaaf Nisch upwirupo�Ne
above mcmxxv !property for iwpcctaa pu,pnw..
FW (We)agnte m vw,indemnity and tap harmless the City N .,rd.Lo ititWCi(Y
r/] tial,irlk,.ludgmcnu.eosuamde.Pcnsn watch mer In any w.r.a'uc ag+l^,tnia elty
UZ mconxyucnuear JK ermrng rrNu(emait. Date.3- /(/✓�
.. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:
SOURCER�ct�TIONS. .��
1IkAc-s 5ll�t% Re-roofs
Signature of APplic=IJCom o, Dam T of Roof -
HAZARDOUS MATERIALS DISCLOSURE Type
Wld Nc appduant m foam building=,.,cmc or handle haraNaas maerial
u def"by tK CuPm,nr Mumpal CbJ .Clr I m 9.13,and dat rka1C and Safety
• cmk.Sccton2553$aY! All roofs shall be inspected prior to any roofing material being installed.
oYn No If a roof is installed without first obtaining an inspection,I agree to remove
Will ILC applicant or ruwm building occvpab,ux cqulpmwl or j ma which
emit bn,a ra air mnmmimmta as Oohed by the Bay A¢+Air Quality Man+pcmcnt all new materials for inspection.
DWIKIY
❑Y'ss mit N'u
1 hem rtd the Wardrva numrLda rrquim+npw Rada Chaptm 695 of J,c Califm
ma FkatN&Safety Code.S .15585.35533 oto 25534.1 undmeaad Nntif dr hribNng
d oull have a Kwnl that it's my asps Tillty to nutty the raupa t nr ft
a mm a,tbammpdorto..ofacwdkii. r�{ n� Signature of Applicant Dale
��a All All roof coverings to be Class"B" or better
CITY OF CUPERTINO 7777-771;�k.77777777777777777 77,
BUILDING DIVISION PERMIT RMORMATI
BUILDING ADDRESS: NOVO CONSTRUCTION PERMIT NO.06020107
1047S BANDLEY DR
OWNER'S NAME: PERNG`1715SUBDATE
APPLE COMPUTER 1042 HAMILTON CQUET 03/10/2006
SANITARY NO. CONTROL NO.
(650) 701-1500
ARCHIrECTIENIGINEER: BUILDING PERMITINFO
BLDG ELECT PLUM MECH
1=1 n
LICENSED CONMRACTOWS DECLARATION
I thereby affirm that I son;licensed under provisions of Chapter 9(coommoveog Job Description
with Bandon 1")of Division 3 of the Business and Professions Codc..nd my license is
to full forea.mitireel. ';2910N, TI-REPLACE HVAC W/NEW CHILLERS/AIR HANDLERS
>'g'4 LiDam Contrancher License Lim.o
`)V*( t. LAB COOLING ONLY/RETROFIT ROOF/SLEEPEDS AS ASSO
i7l.
ARCHITECTS DECLARATION WITH HVAC. ALL MECH EQUIP MUST BE SCREENED FRO
I understand my plans shall he used an public records
U
It Licensed Professional
OWNER-BUILDER DECLARATION
I hereby afrion that I am exempt from the Contractor's License Law for ft
0fulloving moron.(Section 7(D L5,Business And Professions Code Any city or county
F 2 which requires a permit to construct,after,Improve,demolish,or repair any structure
z prior no its Issuance,also requires ft applicant for such permit to file a signed statement he Sq.Ft.Floor Area Valuation
that is licensed pursuant to the previsions of the Contractor's License Law(Chapter 9
(ocancrocrocing with Section 7000)of Division 3 of the Business and Professions Curia)or $1096000
that be is exempt therefrom and the basis for the alleged exemption.My vlohni on of
Section 7031.5 by any Applicant for a permit objects the applicant to a civil penalty of APN Number Occupancy Type
Out coord,than live hundred doll.($300).
0 1,ascomer orthe property,oranymapboyces with votgessasulairsoiccompsensandon.
will da the work and the aMoore is notionooded reoffered fistrand.(Sm.7044.Business Required Inspections
and Professions Code:The Contractor's Liam Law does ant Apply to an Owner of
property who build,or improoreeflacroon,and who does such work himself or through his
caron employees.provided that such improvement are not Intended reoffered forte.if,
however,the building Or improvement Is mid within man you of com pledon.the moner.
builder will have Ow burden of proving that he did Out build or Improve for purpose of
sale.).
0 1.As awnm a use properly.Am exclusively onnanstrig,with licensed cuourrostom no
construct the project(Sm.7GAl4.Business and Poxfousalf.s.Cade:)Tha Contractor's U-
-Law dons not apply to an answer of prepanny.whe barkis or improv themon,and,
who contracts for such projam with a centracloo(s)licensed pursuant to the conuamm's
Lksuest Law.
0'...,itundkrSec _.B&PClearlhd.
onoux" Data
WORKER'S COMPENSATION DECLARATION
I hereby xUlm,under penalty of pedicry ane.fsix following declared.
ZAnd will mudmAj..C.,uhumA,.fConsent Ad self-Insure ficarWorkeelCompen,
povidad far by Section 3700 of the Labor Crust,for the perforroanace of the
wort for which this permit Is issued.
0 1 have and will mainusin Worker's Compensation insurance.As required by Section
3700 of due Later Code.for the performance of the work for which this permit is headed.
My Work;(s Compubsuddon Inaturshosse limier or ad Policy numb"Are:
Cartier. "I"y No.: 12 —
bs
CHIY*C4FICATE1RFHEM1Xj&PONPEOMW BIKERS
COMPENSATION INSURANCE
(This soclicat need not thecompleted little,partall In Future hundred Mim($100)
or less.)
I certify that In the performance,of the work for which 013 permit is issued.111,411301
employ any person in any mantuor so a At become subject to the Workers'Compensation
Laws Of Callhomia.Data
Applicant
NOTICE TO APPLICANT'.If.after making this Cenifleate of Enumption.you should
become vubject W Out Worker's compensation prcvlamus or the LAW,Coca.You tams
OPortinvich comply with such provisions or Ida permit 0.11 he deemed revoked.
z4 CONSTRUCTION LENDING AGENCY
"
I hereby afflom Out,ft.1,a consuraction lending agency for ft perfurname or
ai> the work for which this permit 6 issued(so.3097.Co.C.)
Larxicrs
Lender's Add.
U Q I cerdfy that I have read this application and sum that ft above inficamz6on is
I,. torten I itipme to comply with all city And county ordinances And Scene haws mild"t w
C) Wilding construction,and thereby Authorize representatives of this city W tuflor upon the
above-mentioned Property for impaction Purposes
(We).&=to save,jachronify and keep bacreleas the City of Cupertino agairen
liabilhica.judgments,cm W earnest which may to any way scene:again said City
in consequence Of ft trountial Of this Permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date 73- 161_c�le
SOURCE R§MtnONS. �n , �S
_]16W Re-roofs
Signature of Applicam'Convoctor Data
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or future Wilding occupant store or IceMI.hacankms..Mrw
an defined by ft Cupertino Municipal Code.Chapter 9.12.And the Hcaltio and Safety
Cod..Seoul..B532(.)7All roofs shall be inspected prior to any roofing material being installed.
[3 Yes X No
lkh,—Will the Applicant or future building Occupant use caluilocclit or devices which If a roof is installed without first obtaining an inspection,I agree to remove
wc,"Andhous air contaminants 0 defined by the Day Area Air Quality Management all new materials for inspection.
t?
DY's you
I have read the loardows maurral,rutulmmons underChApmr 6,95 of the Califor.
nia Fical"Safety Cmle,Sections 25505,25533 And 25534.1 understood that If the building
docs ter my hawatenant that it6MYMSPDM]bilityWn�fyftMCUTWtDfthe
toxic Melwm"ugbcmct issuance or a Certificate Signature of Applicant Date
Owner—or
MQ tioAl E %%Dam All roof coverings to be Class"B"or better
Ambushed agent -