08050232CITY OF CUPERTINO
BUILDING DIVISION PERT
I.CQRVLI
,4,t?L\�,R�G�QRI ,
BUILDING ADDRESS:
PERMIT NO.
2 I:NI�I:NITE LOOP
DPR'CONSTRUCTION INC
08050232
R'S NAME:
PERMIT ISSUE DATE
APPLE COMPUTER
1450 VETERANS BLVD
08/06/2008
PHONE:
SANITARY NO. CONTROL NO.
(650)474-1450
ARCHITECIYENGINEFA
BUILDING PERMT INFO
BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
Job Description
1 bercby &farm dual 1 am 11¢aed under provisions of Chapter 9 (mm amen,
with Section 70rK))of Division 3 oflha Business aed Pmfeadom Cade. and my licessc is
T.I.REMODEL OF(E)INDUSTRIAL DESIGN
in full rose and cffcq.
License l Lm.x
STUDIO, INCLUDES
Doe Cuenca, -
ARCHITECI'SDECLA ATION
STRUCTURL, ELECTRICAL, MECHANICAL & PLUMBING.
1 dnde,rand my plants shall be used as public records
Licensed Professional
OWNER-BUILDER DECLARATION
1 heeby affirm that I am exempt from Ne Contractors License law for the
following ... (Section 711313, Business and Precemm Cade: Any city or no,,
which inquires a pcnmit to cmnsuuc4 alar, improve, demalish, ser repair my mucto.
prier to its Woman. also inquires the applicant (arsuch permit to file a signed alBamenl
' mekalicensed toriUcnuaLaw(Chapter9
Sq. Ft. Floor Area
Valuation
ponumltodep.A.ions.fOnCmu
'
(comncrcingwitsScuon70M)a,Division3a(thcBusiness and PrefcssiomCom) a,
$1000000
that M is a amps tMuefrom and the beau for the alleged exemption Any violation of
Number
QB
Occupancy Type
Sermon 70313 by cry applicant far a permit subjeces duce applicant, in a civil penally ofN
next more Nan five hundred d.IWa ($5M).
31602106.
Penc y
Lo awm ofInd en withwages Neesole mmpmuunces
men is Outnsor
manunsocialsacredaacta(Sec.to an
will do thcwark,&ode:
Required Inspections
he CradamHnundede
owner
and Professiam Cade: The Camrcart. License law data rot apply a rt awsur ser
erywho Wiprovi impmms themon.an d. sachwdeftosselrmNmugh his
awn eats fos malem-
Own not ear
ofdmplamn.
es',theWiprovidedthalsochimprovementsare
Wades, Nebuiltbor the owocr-
nat Weld of mprove
.
urmProwmmluhat heforon.
builder will low dm buNm of paving that he did nm Wild or improve (ser purpose of
❑ 1. as owner of the proper% am exelumwly contracting with licensed mnactars in
.-
mnumct the pmjem (Sec. 70", Business and Professions Cade:) The Cmtnear's U.
come law doe not &ppb to as vanes of property who builds or improves thereon. and,
who comment forsucW projects wisha eonwaor(s) licensed Pursuant an she Contractors
License law,
Ian caemptamm Bee ,B&PCfm Nlanessm
Dau
or WORMS COMPENSATION DECLARATION
1 hereby affim under Penalty of perjury a. of the following decimations:
❑ Iha.eand will maimainacutifiauarcamcalaself-Wre.I.Warime.Compen-
cum. as provided for by Section 3700 of the Vedr code. rex the famommanse of Ne
woh for which this pant, is issued.
❑ 1 haw and will maintain Worker's Compensation Insurance. as required by Section
3700 of the labor Cade, for the pRormmee of she work for which this Permit is issund.
My Workers Compensation Insurance card T�FOI icy number art:
LJ C_IS' LS
EOF E)r
CERTIFICATE
CE0.TIFl TIONy OMWO
EXEMPTION FROM WORMS'
CO PE
COMPENSATION INSURANCE
(Thu scum sued Out be comPlcud lime Permit is rose. hundred dollen e$ I W)
or lent)
1 ¢oily Net in the prfmm&oce of Ne work far which this pemit is issued. 1 shall not
employ any person In my manner an a5 to become subject to the Workers'L-amPCNadon
Laws of California. Dae
Applicant
NOTICE To APPLICANT: If. after making this Certificate of Exemption, yin should
become subject to the Wa rim's Compensation provisions of me labor Codc, you most
forthwith comply wit inch powismato or this Permit shall In Aecmed rowked.
CONSTRUCTION LENDING AGENCY
1 hereby same that there i& a roes m. Icnding agecy far the performance of
the .,it fur which this pctmit m issued (So-. 3097, Ci, C.)
Lenders Name
Lender's Address
I ¢tify that 1 haw red this applicaion aha state dual the show info.&non is
correct. I agree in comply with 41 city and county ordinances and sum laws reuung to
Wilding com uctian, and hereby mmonx represemews of this city to cont upon the
above-mentioned Property for inspection purposes
inu
(We) agree to saw, mnlfy and k.p harmless dC any of Caperllme agaccal
liabilities,judgments, cots and cpensa which may in my way amus Malo said Cil,
in consequence of she granting of this Pemdl.
APeeLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT
Issued by: Date �G 6
SqURq
Re-roofs �—
Type of Roof
—
\\ �i)bIto
Sgnuu Appban omrDOU Data
HAZARDOUS MATERIALS DISCLOSURE
Will the do future
CO acupmlrore or handle h
and
n CuPcm
Municipal
owned by Um Cupenim Municiryl Coo. Chapmr 9.11 aha the Ha1N and Safel,
dem Seely
season 255324)?
❑Ya J01QTNo
All roofs shall be inspected prior to any roofing material being installed.
Will the applicant ser future building occupant sex equipment o devices which
If a roof is installed without first obtaining an inspection, I agree to remove
emit hu ardour air couumimnts as defi.d by the Bay Ara Air Quality Management
all new materials for inspection.
P
District?
❑Y �No
I have real she hvardoru--Her requlcmcnts unlerChapter6.95 ofthe Califor-
nuHce &Safely Cade. Sections US05. 15533 aml LISM. I uMerrald Nrtirthe building
doer .l,vareml, have a emeL Na it is my mrp mum illly an oney de 0.TYp on or dm
cq emtswhlen..I AtpdarmiarnmdcOra certificatearOeaanry.
Signature of Applicant Date
1� /ng
Owner or auNan sd,prnt �JD u'
All roof coverings ro be Class't "
g ; or better