11874No. 704
Trrtt*
Tug of Tuprrfino
Building BiUi,6ion
This certificate issued pursuant to the requirements of Section 307 of the
Uniform Building Code certifying that at the time of issuance this structure ►ays
in compliance with the va-ionis ordinances of the city irgulating building
construction or use. For the following:
Use Classification OFFICES (TENANT IMPROVEMENTS) PHASE I Bldg. Permit No
11874
Group B-2 Type Construction II 1 Hr. Use Zone PLANNED DEVELOPMENT
Owner of Building APPLE COMPUTER (TENANT) Address 20330 STEVENS CREEK BLVD., CUPERTINO, CA
Building Address 20330 STEVENS CREEK BLVD
Locality CUPERTINO, CALIF. 95014
By: JOE ANTONUCCI
Date: JANUARY 28, 1987 m --a
POST IN A CONSPICUOUS PLACE
G
10
POST THI ARD,NEAR FRONTOF,BUILDING '-J•1�JlO
'Cl OF CUPERTINO
INSPECTION DIVISION
JOB INSPECTION RECORD
JOB ADDRESS I LOT#
OWNER CONTRACTOR
pTNUMBER 1.
PERMIT EXPIRATION
-
PERMITEXPIRESIF WORK
S NOT STARTED WITHIN
180 DAYS OF PERMIT ISSU-
NCE OR 180 DAYS FROM
AST CALLED INSPECTION.
INSPECT N DATE INSPECTOR
INSPECT RECORD
FOUNDATION -
�L-IQ -fib I s7 A_ -(r WeCCS"-84*0,
1^
LIFER
PREGUNITE
`~j,�p�ly
- PE RMI T VALI DA'T ION
y
ISSUANCE DATE
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND/SLAB
PLUMBING
ELECTRICAL
MECHANICAL
-
BLDG.
ELECT. I
PLG. MECH,
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
BUILDING PERMIT
INFORMATION
WOOD FLOOR
VALUATION
SIFT.
PLUMBING - )
MECHANICAII
ELECTRICAL
PERMIT TO
FRAMING
INSULATION
-
'
'STORIES
TYPE CONSTR.
-
OCC. GROUP-
RES, UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
IjeD
ROOF
L (
FL'PoUme EAST 1N9i
O, FT, FLOOR AREA
TOTAL ACREAGE
DIAPHRAGM
%
O APPLICANT TO FILL IN INFORMATION WITHIN RED LINES.- USE FALL POINT PEN ONLY
_Ir
PERMIT NUMBER
UI LD1 NG PROJECT I DENTI F ION
- APPLICATION& IMMIT
BUILDING - ELECTRICAL- PLUMBING - MECHANICAL
11874
n.nINO
AO W 355
.iO3 ,D 1�1`1t
OWNER'S
NAME
C t`` )
PHONE
QTY. ELECTRIC PERMIT FEE
PLAN CHECK VALIDATION
cioR's t
NAME _
NAME _
UTLETS-SWITCHES-RECEP 10.00/1.00
LIGHTING FIXTURES. 10.00/1.00
q„ 0W\ LIC. NO. ptb 1)5
DATE OF APPLICATION
CONTRconTRAcrOR's -
AS ^
1Q Qtr C ePHONE
APPLIANCES- RESIDENTIAL 4.00
PANELS 10.00
ARCHITECT
OR
ENGINEER
OS uc, no. CII0
PANELS OVER 200 AMP) 20.00
PLAN CHECK FEE P.C. NO.
SIGNS TRANS. 3.00
ARCH.ORENG.
AG�RESS
SQ VZFE Sr zIP \\
$PE❑IAL DIRCl11TS.DD
PERMIT VALIDATION
TEMP. METER OR POLE INS. 20.00
ADDRESS
ADDRESS
MOTORS SEE FEE SCH.
SERVICE CHANGE - 20.00
1,,Q pp •G
LICENSED CONTRACTORS D17CLARATION
I hereby affirm that I am licensed under provisions of Chapter 9
(rommencing whir Section 7000) of Division 3 of the Business and
Professions Codey�d my license is in full force aAd�f'ecL
License Class B Lie. Number $ �1
` ISSUANCE DATE
BLDG PLG. MECH.
❑
Dale Cornrac tar
C"
-
BUILDING PERMIT
NE - IL)ER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License
Law forthe l'ollowingreason.(Sec. 7031.5, Busmaysand Professions
Code: Any city or county which requires a permit to construct, alter,'7
Improve, demolish, or repair any Structure, prior to Its Issuance, also
requires the applicant for such permit to file a Signed statement that
he is licensed pursuant to the provisions oflhe Contractor's LicenseN
Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he is exempt therefrom and
INFORMATION
MISC. - REFER TO ORD
. Q��Gp.�2
i
SIFT.
PERMIT ISSUANCE 10.601 -VALUATION
ELEC. CONTR. LIC, NO.
ELEC.
TOTAL
PERMIT TO
GTY. PLUMBING PERMIT FEE
STORIES
TYPE CONSTR.
the basis for the alleged exemption. Any violation of Section 7031.$
by any applicant for a permit subjects the applicant to a civil penalty
of not more than five hundred dollars ($500).):
ALTER-DRAIN-WATER,IEA.) 5.00
O 1, as owner of the property, or my employees with wages as
their sole compensation, will do the work, and the structure is not
BACK FLOW PROTECT. DEVICE 4.00
OCC. GROUP
RES. UNITS
DRAINS -FLOOR, ROOF, AREA, COND. 5.00
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and who does such work
himself or through his own employees, provided that such improve
mems are not intended or offered for sale. If, however, the building
FIXTURES - PER TRAP 5.00
SO. FT. FLOOR AREA
TOTAL ACREAGE
GAS-EA.SYSTEM•11NC.40UTLETS 8.00
or improvement is sold within one year of completion, the owner-
builder will have the burden of proving that he did not build or im-
prove for purpose of sale.).INDUSTRIAL
131, as owner of the property, am exclusively contracting with
GAS - EA. SYSTEM -OVER 4 IEA.) 2.00
BUILDING USE
RES IND CON PB Other
❑ ❑ ❑ ❑ ❑
WASTE INTER. 30.00
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code: The Contractor's License Law does not apply
to an owner of property who builds or improves thereon, and who
LAWN SPRINKLERS • 1 INC 5 V.B. 6.00
ASSESSORS PARCEL NO.
LAWN SPRINKLERS - OVER 5 (EA.) 1.00
contracts for such projects with a contractor(s) licensed pursuant to
the Contractor's License Law.
SEWER-SANITARYV-STORM EA. 200ft/10.00
TRACT NO.
PARCEL NO.
❑ lam exempt under Sac.-, B.&P.C. for this
reason
WATER HEATER W/VENT 6.00
Owner Data
WATER SYSTEM 5.00
ACC. DATE
ACC. FILE NO.
WATER TREATING EQUIP. 5.00
WORKERS'COMPENSATION DECLARATION
I hereby affirm that I have d certificate ofconsent to self -insure,
or a certificate of Workers' Compensation Insurance, or a certified
ZONING
ENG. SITE NO.
copy thereof (Sec. 3800, Lab. C.). �^
,,fA�
Policy No. Company A 1J ( 4 10 � t
❑ Certified copy is hereby furnished.
Certifie
d p��sqntdo Is filed with the city inspection division.
FIRE SPR INK
V ❑ N ❑
ENERGY T-24
V N ❑ ❑
MISC. - REFER TO ORD.
CF.RTWICNI'F-OF EXEMPTION FROM WORKERS'
PERMIT ISSUANCE 10.00
FLOOD ZONE
A.L.U.C.
PLG. CONTR. LIC. NO.
PLG.
TOTAL
COMPENSATION INSURANCE'
('Phis section need not be completed if the permit is for one
Y ❑' N ❑
Y ❑ N ❑
handled dollars (E 100) or less.)
I certify that in the performance of the work for which this per-
mil is issued, 1 shall not employ any person in any munnerso as to
QTY. MECHANICAL PERMIT FEE
FEE SUMMARY
BUILDING
o_3 6�
become subject to the Workeri Compensation Laws of California./
Dale - Applicant
ALTER OR ADD TO MECH. 5.00
NOTICE TO APPLICANT: If, after making this Certificate of Ex-
emption, you should become subject to the Workers' Compensation
APPLIANCE 5.00
PLAN CHECK
provisions of the Labor Cade, you most forthwith comply with
such provisions or this permit shall be deemed revoked.
FEE
AIR HANDLING UNIT (TO l0=C.F.N1.) 4.00
AIR HANDLING UNIT (OVER 10=C.EM.) 6.00
SEISMIC FEE
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for
EXHAUST HOOD (WITH DUCT) 5.00
the 3097, performance of the work for which this permit is issued (Sec.
MICROFILM
HEATING UNIT (TO 100,000 B.T.U.) 8.00
HEATING UNIT (OVER 100,000 B.T.U.) 9.50
ELECTRIC
Lender's NamAddress
Lender's Address
I certify that I have read this application and state that Ilse above
VENTILATION FAN (SINGLE) 4.00
information is correct. I agree to comply with all city and county
ordinances and state laws relating to building construction, and
PLUMBING
BOILER- COMP 13 H.P. or 100,000 B.T.U.) 6.00
BOILER -COMP (Over 100,000 BTUl SEE FEE SCH.
MECHANICAL
hereby authorize representatives of this city enter upon ilio
hipurposes. es
above-mentioned property for inspection
MISC. - REFER TO ORD.
(We) agree to save, indemnify and keep harmless the City of
Cupertino against liabilities, judgments, costs and expenses which
may in any way ccrue against said City in consequence of the
gramin his cr L
PERMIT ISSUANCE 10.00
CONST. TAX
MECH. CONT. LIC. NO. MECH.
TOTAL
TOTAL
Signature of Applicant/Contractor Data
OFFICE COPY