00060117CITY OF CUPERTINO
HUD.Dwc DIVISION PERMIT CONTRACTOR INFORMATION: -
BUILDING ADDRESS '.' "` .' PERMIT NO.
1 r,'
OWNER'SNIIF:N INFINITE LP/3RD SOUTHBAY' CONSTRUCTIO 4PPLICATIC000g6l17 ,
Paows: APPLE COMPUTER`- - 511;,• DTVI5TON STREET SANnARyI06/16j2WW�''.D';
w AP.CHIT[CI'IF.NGLN[ER:, -' - BUILDING PERMIT INFO
( 408) 379-0400 xl.nc ELECT PLUMB MECIi,
Z tJ H z LICENSED CONI'RACTGR S DECLARATION ' Job DOSCrlptlen
O - J hereby affirm that I ten 1 cem
bwd under provism of Chapter 9 (commencing _ I
r with Section 7000) of Division 3 of the Business and Professions Code, and my license
6 is in full force and effect.
s a LiceLtc
tt gHfrole III
RCInrrCT'SDI:CLARATION N .CONDITIONS' *,
g - I andirstand, y plans: fall Is, uwd ,s public retard,
IV
�a y7
ad Licensed l
OWNIsR BUILDER DECLARATION
I lorchy affirm that I am exempt front the Contioll License Law for the
folhwng me. o. (Sedir, 7I315 Rusines'and lnlesomr, Cods, Any city ar,bany
FFC wflach Icludicl.it 11 3-ul l in......c I:h
ain p ttIep ct t:m y'clam
i
pre, (I) itissuance, I. requires lir applicant f such Permit tile signed statement
6 L -
-
La(Chapter9.Sq. Ft. Floor Area • Valuation
(commencing with Section 70010) of Dmhsan 3 O thr Business and Protesters CoJc) - - .
or that he is exempt therefrom and the basis for the alleged exemption, Any violation '
of Section 7031.5 by any applicant for a permit subject' the applicant o a civil Penally
of bill prom had eve Whateddollar, ON). APN Number OCC 4WAt" '
O 1, as owner ofine property employees with woes as their. sole compensation,
pd the s y emp y g p
will ne me work, and the nwcmrc is notion'samnalcalLi or offered does
rile Sec. Ja a s
Business and shons Code: or
Common's License law Joxsh workhiman 31.602107.&Iquired I nspections
owner of h his o y Who to lees or improves mcmm, and who doxencs m n sort n ed or -
or through his awn employees: provided that such improvements are not intended or
offered for sole. IL bowcvcr, the building nrlmpmromrnl 4, sold whbin one year of
camplelialmader"balderwill hawethe burden ofpravingfall heandnot hold or 1.01" FOUNDATION
improve lin purpose '
' '0 Cas r of the pmpmax am exclusively conducting wilts licensed conuacal m 1.02 — PIERS .
congaunwthe project (Sm. 7R44, Bu,ines, and Prefi x.iona Code:) The Contractor, ,103 — UFE R .
License Law does not apply to to owner of properly who Wild,o, improves thercm. ,
and who commct for such prnjcatn with a eonleanmis) licensed pursuarn m.m� 1.04 — REBAR • '
Caunmorx License Law. .�
0 lam exempt toner Sec. ,B K I.C far tmxrea 105"— ANCHOR'BOLTS'•
Owner Date' 106"— SEWER & WATER
WORKER'S COMPENSATION DECLARATION t
I nonny efforter Pe�ahy of p=ciarr ane dobe rauowhtg aedaratmx: 202 — UNDERFLOOR PLUMBING
Cl I ndwe.aad will, a fore c i ..Clem, re B,r warkm 2Q3 UNDERFLOOR MECHANICALi,
Com lion, as -idI'd (or m ewe, ror mi 2204 — UNDERFLOOR FRAME
01baseI,,, arme ]richt d.ge
205 — UNDERFLOOR INSULATION
3=of he
n t r tt111 I n c e red, li 301- —.'ROUGH PLUMBING
3FN1 of me I. Mn + f al a c f ma Ins all
stood. My wa knr nJI'all nt 60i 1 302,— TLB & OR"SHOWER
'er: �TIFICAT1ONOFENE NFRO 'R s• - ,303 -'ROUGH MECHANICAL
COMPENSATION INSURANCE I _ 304 — ROUGH ELECTRICAL
This section need not ho em plead if the permit is for one I In, ad Iratx ! 30,9,—' FRAME ' +
(SIIHII ar lusx.l
I arlity mm in the perB,nnance at the work for which this permit is issal 1 306, HO(-DOWNS
Shell not employ any peIvan I. any manner .o ox to become sohjem m the Wearri 307 — INSULATION -
Couni'mathon laws of California Date .
Applicant - - - 308 SHEETROCK - -
NOTICETOAPPLICANI Ir ft n k lig thi C o f atoffu n.....a You should -
z become stblaltothe W k C Ilpe.t ull,Ish'Cde."' I '309 —` EXTERIOR LATH
O fanhw h u, oply with such pr iii s: or this Permit t shall he deemed revoked -I.
z C 310 — INTERIOR LATH
F 4 CONSTRUCTION LENDING AGENCY - r
,�; Ibell affirm manhe. is a comwniob lending agenry forthe perimname 311 — SCRATCH COAT
of the work for which 'his Fail is issued (Sec 3097, Co. C.)
aw p Leaders Name _ •313 ROOF, NAIL
p 7
LeaderIs 1Imil, 501 "= FINAL' ELECTRICAL ENERGY
I cagily to comply mad allcit and cones umlemmmedstat maws beton is 502 — FINAL PLUMBING ENERGY
OIi rj mtren. I agree to comply with all co mi remy onlheives and sole taws relining z_
W tin he.1adingconstruction.aticoand ipen, Ihyauection urposenmtives of this city memer upon
W me aba(We'Ilmnedpra nyrmmxpeetmnpagm.es. 503 _ FINRL MECHRNICRL ENERGY'
y el. grccto soe'nl nt T)atidk pl I: .m C'ia at
ug said
�.
a h:mrr on Ib te, It fico en v ny y w„xt.:dn 04'' FINAL ;,Bl1ILDING ENERGY,
City t Ice RS gam (this Ikon t. ..
APPLI LGULATIOTA ND WILL COMPLY WITH ALL NON-POIo Issued by: 505•;_' FINAL ELECTRICAL Date
Sigi a ApplicanalCour r Re-roofs _ .
HA9 OUS MATERIALS DISCLOSURE 507 'FINAL PLUMBING
olnta,tpprm rnlrailcar,accnpaal>,IallIIInmllellnzamaae'rnd Type ofRoof508 FINAL' MECHANICAL
t us defined by Ie Cupnhnn Manxipol Cate, Chapter 9.12, and the Health and Safely - ”'
Code, Section 25532(a)? q
❑Yes ID No All roofs shale,;(ns ec yI� t¢+!g'(y�, v�imaterial being installed.
wuI n,c apphm,aorfuture building,Knarvm!nw equipment or de,icex which If a roof is inS a�Ce'd wi[f dt I�tol5f5ifi7 tlltii3 ec[ion, I agree to remove,
emit ?"Iamaus a'r conmminunls as defined by lire Bay Arca Air Qmlity Managcmcni , •
i DI-,loot^ all new mater�ltiorinsffe�i�G1.=A�+�knIG`nd�l � fii#tl15and will comply with
❑Yes ❑No
tall non-point source regulations.
I have read me hazardous materials requirements ower Chapter 6.95 of the '
California Healm&Safety ONE, Sections 25585, 25573 and 2551J.1 understand that
if the building does no mormully hive a mnnnL that 11 is my responsibility to mail, the
.� . aceupant of the red
which most he tier prior as issuance of a Ceni+icme of -
Ocesynncy. t'
Signature of Applicant Date
Owner or aummized agent - ume v .• All roof coverings,to be Class "B" or better
OFFICE