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CITY OF CUPERTINO
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BUILDING DIVISION PERNUT
CONT"C"TQR I1�Fk'O A`LTQ.N
BUILD NG ADDRESS:
I INFINITE LOOP
ROSENDI'd ELE^.TRIC INC.
PERMIT NO.
08030098
ER'S NAME:
PERMIT ISSUE DATE
APPLE COMPUTER
880 MABURY RD
05/14/2008
PHONE:
SANITARY NO. CONTROL NO.
(408)286-2800
t
ARCHITEC (ENGINEER:
s BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
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LICENSED CONTRACTOR'S DECLARATION
Chapter 9
Job Description
1 hereby J lnut Nat 1 sm licensed under pmvisiom of (commencing
with Section 70'q)af Division 3 oftc Business and Prafessiom Cade, and my licenceu
COMM'L TI, INSTL NEW UPS IN DATA CENTER
in full forte and elkct
O
licenselav Lle.N
Dow Conlracur
ARCHrTECYS DECLARATION
1 understand my plans shall4 used as public records
,
Licensed Pmfct onal
OWNER -BUILDER DECLARATION
,
I hereby aRrm that I am caempt from the ComrsoM f, License L.S. for the
following maser. (Section 703 1.5, Business and Pmfessiom Code: Any city or county
which inquire, a permit to commons, alter. improve, knouliish, or repair any structure
Aria an its issuamm e. also mqunes f applicant for Such permit to rusk asigned statement
he is [Warned to the of the Conmcmrs Lieces Law (Chapter 9
Sq. Ft. Floor Area
Valuation
that pursuant provisiom
lcommoarng with Seed. 7000) of Division 3 of the But .and Profearom Cade) a
$52000
that he is exempt therefrom and the baso for the alleged menpdm. Any violation of
Sedan 7031.5 by my applicant for a Permit Subjects the applicant to a civil porosity of
Apr�t Number
OGGU anC
P yT'Pe
un . hundred dolArat SYM
Art mom dft
31602106Y11'
❑ 1. u owrcs of tk property, a mY wplaym with wags m Nek sok mnpewter,
win do the work and meswmum u not rounded aoRemd lorsge (Sec.70N, B"Acts
and Pmremim. cine: Tic cava ctoes License law dao act apply m an awrcr of
Required Inspections
progeny who Wi Ida or im proves thetmn, and who does such work himself a through hu
onen,pmWded recndedaoRornd fa sale B,
provebimprowmenuamne
bonaewaeer. oldwithinore year of mmowefo, the
.
Wildw,thebuildingarimprovementg
ase of
butte wdR have the tester o[ proving that K did eat htik a Mpmve for purpose of
sakJ.
. "
owner of the property am exclusively contracting with licensed convenor m
comtroct the Myna (Sec. 7064. Business and Pmfca mit Code:) The Com memes U.
or • Law does ata apply m an owner of property who builds or improves themon, and
who contracts forsuch pmjecu with, conuanor(s) Ikemed pursuant to the Contra sees
Li.rte law.
❑ I am eacmpt under 5 . B & P C lmr die mason
Dam
WORKERS COMPENSATION DECLARATION
1 hereby affirm under pc,W ty of perjury me of the following decWuiorc
Q 1 haveand will maintain a Cewnu of Consentto self -imam fawmkers Compen-
sumer, as provided for by Section 3700 of do Labe Code. sem the peeformance of the
wok for which this permit is issued
❑ I have and will hSi main Workd, CompemAion Imuran., as rryuimd by Section
3700 ofthe labor Codc, for the per(ormuce of Oc work fawhicb tots permit u issued.
'
My Worker" Compemadon Iruuren..nier and Pmicy number are:
Cassi..Trj&MK-i 7n9. policy Ne.VWR9NSN
S{
CERDFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(rhk.uNer w:W nabs canpkrcd if the Permit If Intone hunted dollars, (5100)
or less.)
I cermy met in the performance of the wok for which this Permit is Amed, I shall am
cnsPl0Y any Person in any maucr so m m become Subject to the workers'Compar adoo
Laws of Caltrnmia Date
Applicant
NOTICE TO APPLICANT: If, after making this Ccniftmu of Eacmption. you Should
become Subject at We WorkeYs Compensation provisions of thc tabu, Cade. you must
fu invith comply with such pmvieiam a Nu pemmit spurn he doomed revoked.
CONSrRucn0N LENDING AGENCY
1 hereby affirm Nat there u a comtrucdon lending agency for the Pcrfannan¢ of
the work In, which this Permit k issued (Sm 3097, Civ. C.)
I rwlcea Name
Lenders Adders,
I certify that I have read this applkaler tad sou that the Slow iN Asona A
comma. 1 agmc m comply with all city and county ordinances and sok laws relating m
Wilding construction. arm hereby authorise mpreaenutws ofmts city m enter, upon me
_
apo S-mentimtd property for inspection PA ssfei
(We) agree to Lw, indemnify and lamp parka the City of Cupmome a tet
liabilities, jndgments, cans and cAmmWs which may in any way Sartre agums aid City
in camegmoce of the granting of this XMIL
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT
Issued by: Date — /�/�Q"
50'E R2TLATI N u
a i ��� 05
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Re -roofs
5429 ase Applh.ndConu,mor Date
HAZARDOUS MATERIALS DISCLOSURE
Type of Roof
Will the applicant or future building occupant stere or handle hAmm ore material
as defined by ft Cupertino Municipal Code. Chapter 9.13, and tic Health and Safety
. senior 255324)7
❑ Yus V(Nm
All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future building occupant tea equipment or devices which
If a roof is installed without first obtaining an inspection, I agree to remove
asr canumhmnos a dcrincd by tie Bay Area Air Quality Managmhnt
all new materials for inspection.
DumtrillooAdnm
QY. ?(No
I haw mad the heardmuxmaterigs regtiumew under Chapmr6.95 ofthe Califor-
niaHmlmA, Safety Code, Se vau25505.25533 md25534.I uMenuM thaif the building
does rat t,nmcmy have a muni dm it k my raSnAm,lity m.6ty de occupant of me
requiremc whkhmuPhcmep'ar taw .a f,Cmercateaf()c.P cy.
g ��cs�- 4'-17010
Signature of Applicant Date
,dein
Dwner A'Ad6>edegem Dam I
All roof coverings to be Class 'W or better