08050073 CITY OF CUPERTINO
BUILDING DIVISION PERMIT 'vCON+TRACTLIR4Nk'O'�I�ATIO�I
BUILDING A9PDRESS: PERMIT NO.
102b1 BUBB RD DPR CONSTRUCTION INC 08050073
'NER'S NAME: FERAOT ISSUE DATE
APPLE COMPUTER 1450 VETERANS BLVD 05/07/2008
PHONE: SANITARY NO. CONTROL NO.
(650) 474-1450
ARCHIrECT/ENGINEER:
BUILDING PERMIT INFO
BLDG EIF.Cf PLUMB MECH
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u O LICENSED CONTRACTOR'S DECLARATION Job Description
u C 1 MmbY affirm Berl 1 am licensed under pmvi dmfs of Chapter 9(munniu cin, P
nASecuon]B(IeBef)HfeoefcM3pmision3ofthcBusixssandProfessionCoM,andmylicenseLL DEMO&REPOUR NON-STRCTRL SLB ON GRD TO CREATE A
,Llq
in
ommClad _Lk.R �gFr`f(w DEPRESSD SLAB
e�Fp Da¢ ARCHffECI'shall S DECLARATION L lt«.
1 underLand my plans ll M used u public records
o
ave
g Licerued Pmfeseonal
h OWNER-BUILDER m CLARA]R)N
Z O F I bomby.IBtm on I am exempt from Ne Caadano Any c Law for the
ZOO following0.. emit u R13L;Buetmss and NORaion COO:Any city Or only
which requires a permit m eotaru0.alcor.improve.demulivh,or repair any amnure '
-ice prinrmiuemmed p.alsomgn the thovisiocanl for wchpermitmfilea Law(Chmmenl
< Ihnhei eingOrMSee .700)ofDisioiuoflhcamBo nor'andPro lsw(sCode)r9 Sq.FL Floor Area Valuation
E�$ Out W utangwith Seem.700y)of Oiubfr the
ad Sed ess.nd Prof minvi Code)of $34000
-. Nn W 7 exempt any ppli and dm burs for the Weged e¢mpdon.Any l Penalty
of
.1. ]Adds by airy applicant for a permit abjeeLL the appgcant sa a evil penalty of Number - Occupancy Type
Imtmme deer Bw,hundred dallara(ssOBk 35720008 . P y YP
❑1,as ownerof the property,or my madcyenwhh wages as Autsalt comp...
will do the work and theswtture is net mounted or aQered for sale(Sec.7W,Business
and Profeaslam Cade:The Conaacmrs Liave Law don not apply m an owner of Required Inspections
property who Wildaorimprows dmrton,and wMdoessuch work hinuelfor Waugh his
owo employees,provided dem such impranemenLL Meet inlerWed no flertd for ale If.
however.the building orimpmvement is sold within one year of cempleuon.the owner.
Wader will haw the WNrn of proving Nal he did wt build or improve for purpose of
ale.).
[:11.u Owner of the properly,w exclusively conuacung with licemed con sneer in
mntmtt the projett(Sec.701a,Business and Profesdam Cade:)The ConteacW's Li-
cease Law don not apply to an owner of property who Wilda or improves theman.and.
who contracts for such projects with a contractor(s)licensed pursuant m the Convanari
Licerue Law.
❑lamexemptundersea ,B6:PCfordom.
Ow Dam
WORKERS COMPENSATION DECLARATION
1 hereby of era under petWty,of perjury arc of dm following dedamdon:
❑I Mve and wBl menuin aCatigamolCOtscnt m x1!-cereus Ter Webers Cempcn
sarion, provided for by Sl]BD of Ne labor Code.for dm performance of Ne
work for
which this permit iss ism issued.
1 haw and will hiainWn Wmince.Compenatlon Insurance,as required by Section
3700 of dm Later Code,for dm Performance,of Ad work forwhich this Permit is isaed '
My Workers Compensation Iranance cancer and Polity numbs am:
Carrier.A/'4 4JA1bn)`G46? Policy No.:
CERTIFICATE OF EXENIMON FROM WORKERS'
COMPFJJ TTIOON'd WLperNII,NNS�UURANCE
�NSd��iuslC�6mot=n4plfthdm9u!one hundred dollars(SIM)
err lm)
1 certify me,in the performance of the work for which this Permit Is issued.l abet not
employ any person in any mamcran as in Wrome abject in the WorkerCompensation
Lawn of Califomia Dam
Applicant
NOTICE TO APPL(CART:If,after making this Cenibcam of Exemption,you should
become subject in On Woher's Compcnkuo,previsions of the later Code,you muss
wJ O forthwith comply with such provision or this Permit shall te deemed rooked.
z 14 CONS71UCOON LENDING AGENCY
(-+�N+ 1 homy affirm dem Acre is a conaaninn lending agency for the perfomnamx of
6i> Ne work for which this permit is issued(Sec.3(197,Civ.C.)
aLenders Name
z fenders Address
U O I certify deal I haw read this application and sum than the above information is
[d. ^. coram.l ages to comply wide all city and county ordinances and some laws relating to
C) rV' Wilding construction.este hereby authorise repteamuni a of this city to enter upon the \
�' W above-menuoned dus.0 for Inspection Puryoxa
CL (We)agree to ave.indemnify and keep harmless the City of Cuperuno agent
Z in COiuex,Judgmc thecoauandtradifting Of OM xwhich may in any w'+Yxrneagaint.uid Cly &azz_
U z MIL
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NO -POINT Issued by: Date
SOURCERE ULADONS.
Re-roofs
algato APPIte'" at
H�OAT.ARD U MAQUALS DISCLOSURE D Type of Roof
Will Ad applicamorfut
for
occupant sere orhandte haasdon mamrisi
a dented by use Cupertino M icipal Code.ChaPmr 9.13,and the Heeth and Safety
.section 25532(.)]
❑yrs Nn All roofs shall be inspected prior to any roofing material being installed.
If a roof is installed without first obtainingan ins ection, agree to remove I
Will the applicant or fume Wilding occupant use equipment or devils which P
chill hoardnus air contaminants an defined by the Bay Area Air Dustily Management all new materials for inspection.
District? /
0Yea QPu
I have real W havdmu materials requirements under Chapser 6.95 of the C.lifur.
nia Hc.lthk Seely Cede.Section 255U5.25533 and 2553/.I understood that ifW Wading
n
doncuntr dy haw a mo ,this it u m respomihiIIImY Imufy discnupan
xt tithe
require whichmesaWmelpoorto' armsofa Cerormamof Ckcupv�y.�
2.Signature of Applicant Date
own oO.In mired.gent d, I All roof coverings to be Class'A!'or better