07120020CITY OF CUPERTINO
BUILDING DIVISION PERMIT��L'RY4.TA`�+-
BUILQn9p,aQU'M'J TANTAU AVE #TA02
SOUTH BAY CONSTRUCTION CO
ND.
PERMIT 07120020
F;'S NAME.
INC
TT PERMISSUE DATE
APPLE COMPUTER
170 KNOWLES DR
01/22/2008
PHONE:
SANITARY NO. CONTROL NO.
ARCHIECffENGINEER:1.
BUILDING PERMIT INFO
COMML TI , MIIVR BO EO PLUMB MEOCH
LICENSED CONTRACT'OR'S DECLARATION
- '
Description
1 neraby amod mat I mP licensed under previsions of Chapter 9 faammaneing
-.—.. Job
with Section TKRI)af Di sion3ofshe BudneasrWPmfeeoWCandmyt.mew is
in full tome and cRea � � 9 � 7•
LWense CI
raw De¢ Convector
DECLARATION
ARCHDMCPS
1 understand my plans shall W used a public mends
Licensed Professional
OWNER-BUILDER DECLARATION
I hereby affirm mat I am exempt farm the Conlnnars License Law for the
following mason. (Section 1031.5, Business and Profession Code: Any city at county
which tequire a Permit to construct, eller, improw, damolLa, or repair any structure
poor w its issuance. also require the applicant for such Permit W file a signed statement
Wa he is licensed pursuant to dlo provisional of the Conmcwr's License LaW(GePmr 9
Sq. Ft. Floor Area
Valuation
(commencing wish Sudan 1000) of Division 3 of the Business and Professions Cale) or
1 that k as attempt therefore and tide basis far the alleged eaemption. Any vlolatian of
APN Number
Occupancy Type
Section 7031.5 by any applicant for a permit abjccu the applicant 112 civil penalty of
Pat mom than It. hurWred dollen (55001.
I, u ownv of the property, or my employee with min n theirsaW aompensedon.
Required Inspections
will do the Wad. Nd the muchum BMt intended or offered farade(Sm. 10N, Business
and Poredons Code: The Conaasears Liana Law does not apply ine an owner or
9 P
property who builds mimprom thsmon. and weddonswch work hisrselfor Waugh his
own employees, provided that such impronmenm am not intended oro0ered fordo. If.
howenc the Wilding or improvement is sold within., year electrification, the owner.
builder will haw the Wrdem of proving that he did not MW or improve for purpose of
saWJ.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to
convect ma project (Sec. 1041. Business and Profesian: Code:) The contractors Lt.
cave Law does not apply W an owner of property who Wilds or impom thereon, and
who cosmonaut for such pmjecu wire a commcmr(s) licensed pursuant in the Contractor's
License Law.
❑ I am comp, under See ,B&PC for this moan
Date
Poor
WORKER'S COMPENSTnON DECLARATION
1 hereby a fire under penalty of perjury ane of the following daluatious:
❑ I ham and will maintain a CeriOa¢af Cansen, W self-WumfnrwmkeraCompen-
satlon, as provided for by Section 3100 of dlo Latus Code, forme Md... of she
work for which this permit is arced.
1 ban Nd will maintain Warkera Compensation Insurance, a required by section
37(10.(me Labor Cotle, forthe pedartnance of the work far which this permit la issued.
'
My Workers Cmnpnwdatt(�nsu artier and Policy number tie:
Came , his v Policy No.: D 7i I adz—I3
CER CATS UP EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
India section need not W meoplemd if the permit is foram hundred dollars (SIM)
or less.)
I Certify that in the Performance of the work for which this permit is issued. I shall not
employ any person 10 MY mennce 0 u W lloamo mbjat W the Workers' Compensation
Laws of Caltfomic Dam
Applicant
NOTICE TO APPLICANT: IL after making this Certificate of Eaamptim, you should
become subject W the Worker, Compensation Provisions of the Labor Code, you moat
foMwith comply with such provisions or this permit shall he deemed revoked.
CONSTRUCTION LENDING AGENCY
that them is lending agency for ted performance of
I herebywhich
sed(Sm..construction0
ware for wmcn mica vmm0 h issued (sex. 3891, cm. ca
'
La
Lenders Name
1<ndera Aeam•.
1 I coolly that I ban and this application and sum that the above information is
correct 1 agree W comply with all city and county ordinances and sale law, mining W
Wilding conmuotion, and hereby radiative mpmeenutim of this city w color upon also
mmm-ammi... d properly for inspection purposes.
(W i) agree to saw. indemnify Nd leacp hamdleas the City .f Cupertino agdel
j liabilities, judgments, cam and expenses which may in any my accrue againsldd City
is co uence of the granli o this permit
' AP 1 Nr UNDERST AND WI COMPLY WITH ALL ON-PoINT
�q
Issued by: Date
5 UR
K7`
Re-roofs
Type of Roof
-R,EGULA.T7�0+
�LLL�T "W�L.�'" 1 69
Sig m of ApplicanYComsetor Dam
HAZARDOUS MATERIALS DISCLOSURE
Will We applicant or to,=building mcupeoustore or handle heerdous material
as dafvned by the Cupertino Municipal Code, Chapter 9.11, and the Health and Safety
de, Section2553Xq?
All roofs shall be inspected prior to any roofing material being installed.
❑rex KN'
If a roof is installed without first obtaining an inspection, I agree to remove
Will me applicant or future Wilding rampant use equipment or devices which
emit humadnua airconlamionnm u defined by IN Bay Area Air Quality Management
all new materials for inspection.
District?
Oyu ANNy
Than retry thehwrdrms memd5,2553requirement, of
Gilding
atifthe
1255M..1mderstard.95
nu oW&rently cede, Sced 25t Wilding
iti my mrd2mility to marode up
of currently ban • m t it u my msansibilitY W notify she upant.f the
req. au which mum ormismson iticaleofCa .racy
Signature of Applicant Date
a. a
All roof coverings to be Class "B" or better
Owner orwdiarimd agent Date
CITY OF CUPERTINO
BUILDING DIVISION PERMIT��L'RY4.TA`�+-
BUILQn9p,aQU'M'J TANTAU AVE #TA02
SOUTH BAY CONSTRUCTION CO
ND.
PERMIT 07120020
F;'S NAME.
INC
TT PERMISSUE DATE
APPLE COMPUTER
170 KNOWLES DR
01/22/2008
PHONE:
SANITARY NO. CONTROL NO.
ARCHIECffENGINEER:1.
BUILDING PERMIT INFO
COMML TI , MIIVR BO EO PLUMB MEOCH
LICENSED CONTRACT'OR'S DECLARATION
- '
Description
1 neraby amod mat I mP licensed under previsions of Chapter 9 faammaneing
-.—.. Job
with Section TKRI)af Di sion3ofshe BudneasrWPmfeeoWCandmyt.mew is
in full tome and cRea � � 9 � 7•
LWense CI
raw De¢ Convector
DECLARATION
ARCHDMCPS
1 understand my plans shall W used a public mends
Licensed Professional
OWNER-BUILDER DECLARATION
I hereby affirm mat I am exempt farm the Conlnnars License Law for the
following mason. (Section 1031.5, Business and Profession Code: Any city at county
which tequire a Permit to construct, eller, improw, damolLa, or repair any structure
poor w its issuance. also require the applicant for such Permit W file a signed statement
Wa he is licensed pursuant to dlo provisional of the Conmcwr's License LaW(GePmr 9
Sq. Ft. Floor Area
Valuation
(commencing wish Sudan 1000) of Division 3 of the Business and Professions Cale) or
1 that k as attempt therefore and tide basis far the alleged eaemption. Any vlolatian of
APN Number
Occupancy Type
Section 7031.5 by any applicant for a permit abjccu the applicant 112 civil penalty of
Pat mom than It. hurWred dollen (55001.
I, u ownv of the property, or my employee with min n theirsaW aompensedon.
Required Inspections
will do the Wad. Nd the muchum BMt intended or offered farade(Sm. 10N, Business
and Poredons Code: The Conaasears Liana Law does not apply ine an owner or
9 P
property who builds mimprom thsmon. and weddonswch work hisrselfor Waugh his
own employees, provided that such impronmenm am not intended oro0ered fordo. If.
howenc the Wilding or improvement is sold within., year electrification, the owner.
builder will haw the Wrdem of proving that he did not MW or improve for purpose of
saWJ.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to
convect ma project (Sec. 1041. Business and Profesian: Code:) The contractors Lt.
cave Law does not apply W an owner of property who Wilds or impom thereon, and
who cosmonaut for such pmjecu wire a commcmr(s) licensed pursuant in the Contractor's
License Law.
❑ I am comp, under See ,B&PC for this moan
Date
Poor
WORKER'S COMPENSTnON DECLARATION
1 hereby a fire under penalty of perjury ane of the following daluatious:
❑ I ham and will maintain a CeriOa¢af Cansen, W self-WumfnrwmkeraCompen-
satlon, as provided for by Section 3100 of dlo Latus Code, forme Md... of she
work for which this permit is arced.
1 ban Nd will maintain Warkera Compensation Insurance, a required by section
37(10.(me Labor Cotle, forthe pedartnance of the work far which this permit la issued.
'
My Workers Cmnpnwdatt(�nsu artier and Policy number tie:
Came , his v Policy No.: D 7i I adz—I3
CER CATS UP EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
India section need not W meoplemd if the permit is foram hundred dollars (SIM)
or less.)
I Certify that in the Performance of the work for which this permit is issued. I shall not
employ any person 10 MY mennce 0 u W lloamo mbjat W the Workers' Compensation
Laws of Caltfomic Dam
Applicant
NOTICE TO APPLICANT: IL after making this Certificate of Eaamptim, you should
become subject W the Worker, Compensation Provisions of the Labor Code, you moat
foMwith comply with such provisions or this permit shall he deemed revoked.
CONSTRUCTION LENDING AGENCY
that them is lending agency for ted performance of
I herebywhich
sed(Sm..construction0
ware for wmcn mica vmm0 h issued (sex. 3891, cm. ca
'
La
Lenders Name
1<ndera Aeam•.
1 I coolly that I ban and this application and sum that the above information is
correct 1 agree W comply with all city and county ordinances and sale law, mining W
Wilding conmuotion, and hereby radiative mpmeenutim of this city w color upon also
mmm-ammi... d properly for inspection purposes.
(W i) agree to saw. indemnify Nd leacp hamdleas the City .f Cupertino agdel
j liabilities, judgments, cam and expenses which may in any my accrue againsldd City
is co uence of the granli o this permit
' AP 1 Nr UNDERST AND WI COMPLY WITH ALL ON-PoINT
�q
Issued by: Date
5 UR
K7`
Re-roofs
Type of Roof
-R,EGULA.T7�0+
�LLL�T "W�L.�'" 1 69
Sig m of ApplicanYComsetor Dam
HAZARDOUS MATERIALS DISCLOSURE
Will We applicant or to,=building mcupeoustore or handle heerdous material
as dafvned by the Cupertino Municipal Code, Chapter 9.11, and the Health and Safety
de, Section2553Xq?
All roofs shall be inspected prior to any roofing material being installed.
❑rex KN'
If a roof is installed without first obtaining an inspection, I agree to remove
Will me applicant or future Wilding rampant use equipment or devices which
emit humadnua airconlamionnm u defined by IN Bay Area Air Quality Management
all new materials for inspection.
District?
Oyu ANNy
Than retry thehwrdrms memd5,2553requirement, of
Gilding
atifthe
1255M..1mderstard.95
nu oW&rently cede, Sced 25t Wilding
iti my mrd2mility to marode up
of currently ban • m t it u my msansibilitY W notify she upant.f the
req. au which mum ormismson iticaleofCa .racy
Signature of Applicant Date
a. a
All roof coverings to be Class "B" or better
Owner orwdiarimd agent Date