11010140CITY QF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10500 N DE ANZA BLVD FLR 1
CONTRACTOR.. DEVCON
PERMIT NO: 11010140
CONSTRUCTION INC
OWNER'S NAME: APPLE INC
690 GIBRALTAR DR
DATE ISSUED: 03/09/2011
OWNER'S PHONE: 4088629799
MILPITAS, CA 95035
PHONE NO: (408)942-8200
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO: BLDG r ELECT F PLUMB F_
License Class B Lic.#11/ �
ry r-
F !
Mt
MECH RESIDENTIAL COMMERCIAL
Contractor f tlM 1%/y�✓ d Date 3
JOB DESCRIPTION: TI, 3016 SF, FLOOR 1, INCLUDES FOUR NEW EQUIPMENT
I hereby affirm that I am licensed under the provisions of Chapter 9
CHAMBERS, OFFICES, AND MEETING ROOM. NO EXTERIOR
(commencing with Section 7000) of Division 3 of the Business.& Professions
WORK OR ROOF MOUNTED EQUIPMENT, INCUDES
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Sq. Ft Floor Area: Valuation: $450000
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which tt is
APN Number: 31622017.FLRI Occupancy Type:
permit is issued.[dI/
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
PERMIT EXPIRES IF WORK IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enter
180 DAYS FROM LAST CALLED INSPECTION.
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
may accrue against said City in consequence of the
costs, and expenses which
Issued by:`' Date:
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulati ns per the Cupertino Municipal Code, Section
9.18.
-- /
Signatur Date �1
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
❑ OWNER -BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale (Sec.7044,
Business & Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
HAZARDOUS MATERIALS DISCLOSURE
construct the project (Sec.7044, Business & Professions Code).
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
I hereby affirm under penalty of perjury one of the following three
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations:
Health & Safety Code, Section 25532(a) should I store or handle hazardous
I have and will maintain a Certificate of Consent to self -insure for Worker's
material. Additionally, should I use equipment or devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
is issued.
air contaminants as defined by the Bay Area Air Quality Management District I
will maintain compliance with the Cupertino Mu icipal Code, Chapter 9.12 and
performance of the work for which this permit
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
the Health & Safety Code, Sections 25505, 2553 , and 25534. /
Owner or authorized agentl� _ Date: ✓ ll
permit is issued.
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to the Worker's
CONSTRUCTION LENDING AGENCY
Compensation laws of California. If, after making this certificate of exemption, I
I
I hereby affirm that there is a construction lending agency for the performance of
become subject to the Worker's Compensation provisions of the Labor Code, must
work's for which this permit is issued (Sec. 3097, Civ C.)
forthwith comply with such provisions or this permit shall be deemed revoked,
Lender's Name
APPLICANT CERTIFICATION
Lender's Address
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
I understand my plans shall be used as public records.
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
Licensed Professional
9.18.
Signature Date
CITY OF CUPERTINO BUILDING PE : i ` F `I _- -5-�
BUILDING ADDRESS: 10500 N DE ANZA BLVD FLR 1 CONTRACTOR: DEVCON CONSTRUCTION PERMIT NO: 11010140
OWNER'S NAME: APPLE INC 1690 GIBRALTAR DR I DATE ISSUED: 03/09/2011
OWNER'S PHONE: 4088629799 ! MILPITAS, CA 95035 1 PHONE NO: (408)942-8200
❑ LICENSED CONTRACTOR'S DECLARATION
License Class
':S� —
f Lie. #
Contractor Date 1 '
I hereby affirm that I am licensed under the provision of Chapter 9
(commencing with Section 7000) of Division 3 of the Business & Professions
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarat
I have and will maintain a certificate of consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the.Cupertino Municipal Code, Section
9.18.
❑ OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale (Sec.7044,
Business & Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three
declarations:
I have and will maintain a Certificate of Consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If, after making this certificate of exemption, I
become subject to the Worker's Compensation provisions of the Labor Code, I must
forthwith comply with such provisions or this permit shall be deemed revoked.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
BUILDING PERMIT INFO: BLDG~ ELECT'
PLUMBN
MECH r RESIDENTIAL COMMERCIAL
JOB DESCRIPTION: TI, 3016 SF, FLOOR 1, INCLUDES FOUR NEW EQUIPMENT
CHAMBERS, OFFICES, AND MEETING ROOM. NO EXTERIOR
WORK OR ROOF MOUNTED EQUIPMENT, INCUDES
Sq. Ft Floor Area: Valuation: $450000
APN Number: 31622017.FLR1 I Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 YS OF PERMIT ISSUANCE OR
180 DAYS M LAST CALLED INSPECTION.
Issued by:Date:
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
Signature of
Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
Safety Code, Section 25532(x) should I store or handle hazardous material.
Additionally, should I use equipment or devices which emit hazardous air
contaminants as defined by the Bay Area Air Quality Management District I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Sections 25505, 25533, and 25534.
Owner
',% Dater
CONSTRUCTION LENDING AGENCY
I her y affirm that there is a construction lending agency for the performance of "Nork's
for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Date ' Licensed P
94
CITY OF CUPERTINO BUILDING PERMI
BUILDING ADDRESS: 10500 N DE ANZA BLVD FLR I
CONTRACTOR: DEVCON
10140
CONSTRUCTION INC
OWNER'S NAME: APPLE
690 GIBRALTAR DR
DATE ISSUED: 03/09/2011
OWNER'S PHONE: 4088629799
MILPITAS, CA 95035
PHONE NO: (408)942-8200
LICENSED CONTRACTOR'S DECLARATION
License Class Lic. # 4 `� >
BUILDING PERMIT INFO: BLDG ELECT PLUMB
(w {
/ j - ' i f
/ 0/L/3 Date / � I ,
MECH RESIDENTIAL COMMERCIAL
Contractor -✓ t -i
JOB DESCRIPTION: TI, 3016 SF, FLOOR 1, INCLUDES FOUR NEW EQUIPMENT
I herebyaffirm that I am licensed under the provisions of Chapter 9
p p
CHAMBERS, OFFICES, AND MEETING ROOM. NO EXTERIOR
(commencing with Section 7000) of Division 3 of the Business & Professions
WORK OR ROOF MOUNTED EQUIPMENT, INCUDES
Code and that my license is in full force and effect.
6/1/11-DEF#1 -DEFERRED SUBMITTAL FOR INSTALLATION OF
I hereby affirm under penalty of perjury one of the following two declarations:
TESTING CHAMBERS AT 1 ST FLOOR LAB-ISSD 8/4/2011
I have and will maintain a certificate of consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
Sq. Ft Floor Area:
Valuation: $450000
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
APN Number: 31622017.FLR1
Occupancy Type:
permit is issued.1
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
PERMIT EXPIRES IF WORK IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
180 DAYS, FROM LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
t r t I
costs, and expenses which may accrue against said City in consequence of the
Issued by: Date.
granting of this permit. Additionally, theapplicant understands and will comply
with all non -point source reiulations,460lic Cupertino Municipal Code, Section
,
9.18.
C/
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
t.
❑ OWNER-BUILDER`DECLARATIbN
Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale (Sec.7044,
Business & Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
HAZARDOUS MATERIALS DISCLOSURE
construct the project (See.7044, Business & Professions Code).
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
I hereby affirm under penalty of perjury one of the following three
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations:
Health & Safety Code, Section 25532(a) should I store or handle hazardous
I have and will maintain a Certificate of Consent to self -insure for Worker's
material. Additionally, should I use equipment or devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued.
will maintain compliance with the Cupertino Muniyipal Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
the Health & Safety Code,
permit is issued.
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If, after making this certificate of exemption, I
CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code, I must
I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked.
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
APPLICANT CERTIFICATION
Lender's Address
I certify that I have read this application and state that the above information is
correct, I agree to comply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
I understand my plans shall be used as public records.
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
Licensed Professional
9.18.
Signature Date
__ ___ _ CITY OF CUPERTINO
FFF FSTIMATOR — BUILDING DIVISION
ikADDRESS: 10500 n de anza blvd.
TYPE OF
CONSTR.
DATE: 06/01/2011
REVIEWED BY: bobs.
-N, APN:
BP#:
BP FEE ID
"VALUATION: 1$3,000
11
"PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building
USE:
iwi .':/{:'C;. iWyp'
0.0
PENTAMATION 1GENCOM
PERMIT TYPE:
WORK
deferred submittal for installation of testing chambers at 1st floor lab.
SCOPE
$0.00
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
s.f.
PC FEES
PC FEE ID
BP FEES
BP FEE ID
i>£
$0.00
0 hours Plan Check, Hourly
$378.00 STPLNCK
I
ETo
iwi .':/{:'C;. iWyp'
0.0
lirs
Deferred Submittal (Not R-3)
II-B,111-B,IV,V-B
0
$0.00
$0.00
Permit Fee:
$0.00
Suppl. Insp. Feer Reg. 0 OT
Fo.0
firs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
TOTALS:
0
$0.00
� `f?Dd4'8'r"IZi%{riser �F7;'
$0.00
MECH, HOURLY 0 Yes G) No
PLUMB, HOURLY 0 Yes Q No
ELEC, HOURLY 0 Yes Q No
%E4. fl P', s,fFi.. j-
r�t?trs�], t 'r (. fs;:'r,:C
£ � .1'1£771 i.r .,,
Plan Check Fee: Hourly Only? 0 Yes
i>£
$0.00
0 hours Plan Check, Hourly
$378.00 STPLNCK
I
ETo
iwi .':/{:'C;. iWyp'
0.0
lirs
$0.00
NOIT+ - Thove tooc aro hncod nn tho nrolinjinary information availahle and are Only an estimate. Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 09-051 E '. 711110)
FEE
QTY/FEE77
MISC ITEMS
Plan Check Fee: Hourly Only? 0 Yes
(D No
$0.00
0 hours Plan Check, Hourly
$378.00 STPLNCK
I
Suppl. PC Fee: G Reg. 0 OT
0.0
lirs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Feer Reg. 0 OT
Fo.0
firs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
� `f?Dd4'8'r"IZi%{riser �F7;'
Acoustical Fee: 0 Yes 0 No
$0.00
0
0
Work Without Permit? 0 Yes 0 No
$0.00
Planning Fee:
$0.00
Select a Non -Residential 0
Building or Structure 0
i
7 u,:a<:rrrF<srr<r�acsrr 1� c'as
Strong Motion Fee: IBSEISMICO
$0.63
2.0 firs Inspections
$252.00 IINSPMIS Standard Inspections
Bldg=, Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS:
$1.63
$630.00
TOTAL FEE:
$631.63
Revised: 04/29/2011
CITY OF CUPERTINO (�
FEE ESTIMATOR - BUILDING DIVISION'
19
ADDRESS: 10500 n. de anza blvd 1st floor
DATE: 03/09/2011
REVIEWED BY: bobs.
APN:
BP#: 11010140
"VALUATION: 1$2,000
rPERMIT TYPE: Building Permit _717PLAN
CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building
USE:
Suppl. PC Fee: 0 Reg. .0 OT0.0
PENTAMATION
PERMIT TYPE:
WORK
revise offices path of travel wheel chair lift fill -n exterior storefront doors.
SCOPE
NnTF,- These fees are hased on the nreliminary information available and are onlv an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolutioli 09-05I Ef. 7/1/101
c-r.iF F'rz�.rrt t ��eC1f:
11., >;; r wi h" ch
MISC ITEMS
Plan Check Fee:
Plti'i' aPc`jf. x'FhS�t,
)r°ir�c'i' t'f{t'tt�7 ]1?.iii.
0 11
A"erc t A"?,p; Ff;i'.;
Suppl. PC Fee: 0 Reg. .0 OT0.0
NnTF,- These fees are hased on the nreliminary information available and are onlv an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolutioli 09-05I Ef. 7/1/101
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
Select a Misc Bldg/Structure
or Element of a Building
Suppl. PC Fee: 0 Reg. .0 OT0.0
his
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Feer Reg. 0
OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Ta
Acoustical Fee:
0 Yes (F) No
$0.00
0
Work Without Permit? 0 Yes 0 No
$0.00)
Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
0
0
A
T -,,,v >I :: t:rrrrat>rtr rPil:�7t I'' e� _
Strong Motion Fee:
1BSEISMICO
$0.50
1 #
$760.00
Revision
IREVCOMTI Tenant Improvement
Bldg Stds Connnission Fee: IBCBSC
$1.00
SUBTOTALS:
$1.50
$760.00
TOTAL FEE:
1 $761.50
Revised: 01/15/2011
__ _ _ _ CITY OF CUPERTINO
r. � FEE ESTIMATOR — BUILDING DIVISION
19,
ADDRESS: 10500 n. de anza blvd. 1st floor
DATE: 01/26/2011
REVIEWED BY: bob s.
PC FEE ID
APN:
BP#:
*VALUATION: 1$450,000
FPERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARYPENTAMATION
Commercial Building
IBTIPLNCK
1 B TI
USE:
Elec, Lisp. F(7c:
PERMIT TYPE:
WORK
office/labs ace structural include M E no plumbing.
�Ucpommercial
SCOPE
Permit Fee:
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
s.f.
PC FEES
PC FEE ID
BP FEES
BP FEE ID
B (Tenant Improvements)
I-A,I-B
3,016
$3,160.80
IBTIPLNCK
$3,577.84
IBTIINSP
Elec, Lisp. F(7c:
PME Plan Check:
$0.00
Permit Fee:
$3,577.84
Suppl. Insp. Feel@ Reg. 0 OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
TOTALS:
3,016
$3,160.80
Con.ctruction Tax
1 $3,577.84
MECH, HOURLY 0 Yes (F) No
PLUMB, HOURLY 0 Yes Q No
ELEC, HOURLY 0 Yes 0 No
Lkzch. Pfcua C'hcclr
plumb. Pfim OwN,
LYec, Plali Chcch
1,&>ch, Permil Fel"
PTmrrb. Peron Frc:
Lhec, Peouil
er Hech. h -up.
L
Ol1av Phunb Irisp.L]
Other Elco. Nish.
ch. Lash. f (-:e:
Phmnb. Nish. Fe,,:
Elec, Lisp. F(7c:
T7nTP+. Tl..,a., f — nrn Anand nn foo nrvlis»innry infnrnfnllnn nvnilnhly moil an, nnly an PsthnOiP_. Contact the Deur for addlll'l into.
FEE ITEMS (Fee Resolution 09-051 Eff. 711/10)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$3,160.80
Select a Misc Bldg/Structure
or Element of a Building
,
Suppl. PC Fee: 0 Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$3,577.84
Suppl. Insp. Feel@ Reg. 0 OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Con.ctruction Tax
Acoustical Fee:
0 Yes No
$0.00
0
0
Work Without Permit? 0 Yes 0 No
$0.00
Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
0
0
i
Tr(wel Docro),lerdotion F(res:
Strong Motion Fee:
IBSEISMICO
$94.50
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$18.00
SUBTOTALS:
$6,851.14
$0.00
TOTAL FEE:
$6,851.14
Revised: 01/15/2011