Loading...
11040070CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: I INFINITE LOOP CONTRACTOR: CRITCHFIELD PERMIT NO: 11040070 MECHANICAL INC OWNER'S NAME: APPLE INC 1901 JUNCTION AVE DATE ISSUED: 07/27/2011 OWNER'S PHONE: 4089748221 SAN JOSE, CA 95131 PHONE NO: (408) 437-7000 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG F ELECT F PLUMB I — License Class C 26 Lic. II .3 y% 1 f O % Contractor LR I TGH fI,-Z-U t4fZ 14A&/CF,Date 7Z/2Z/ I / I hereby affirm that I am licensed under the provisions 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. 1 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. 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. Signature Date �/27/�� ❑ OWNER -BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 construct the project (Sec.7044, Business & Professions Code). 1 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. MECH F RESIDENTIAL F COMMERCIAL I — JOB DESCRIPTION: BASEMENT - INSTALL 6 NEW CHILLERS, 10 NEW WATER PUMPS, UPGRADE REFRIGERANT MONITORING/ALARM SYSTEM Sq. Ft Floor Area: I Valuation: $1338000 APN Number: 31602105.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by Date; � 2 �� lj� 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 Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) 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 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or autjPby' agent: Date: ZL?_ � CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Signature Date I Licensed Professional CITY OF CUPERTINO BUILDING PERMIT I BtILDING ADDRESS: I INFINITE LOOP I CONTRA C OR: CRITCHFIF,LD I PERMI T NO: 11040070 MEC FIR'S NAME: APPLE INC 0)1%'NER'S PHONE: 4089748221 ❑ LICENSED CONTRACTOR'S DECLARATION I icense Class�2QAS Lic. N G' 1 D Contractor f ,D; � u--1 ��. Date '1 1 c7 l I 1 1 hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that Inv license is in full force and effect. 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. I hase and will maintain Worker's Compensation Insurance, as provided for by Scction 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 indemnity 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 \N uh all non -point source o ations per the 'upertino Municipal Code, Section 9 18 .Mature -- -- Date__ ❑ ONi'NER-BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for one of ttte following two reasons: 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) 1. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business & Professions Code). 1 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 ccrtity that in the performance of the work for which this permit is issued, I shall not emplo} any person in any manner so as to become subject to the Worker's Compensation laws of California. It, after making this certificate of exemption, become subject to the Worker's Compensation provisions of the Labor Code, I must torihwith comply with such provisions or this permit shall be deemed revoked APPLICANTCERTIFICATION 1 certity 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 huilding construction, and hereby authorize representatives of this city to enter nm,,n the above mentioned property for inspection purposes. (We) agree to save it'\ and keep harmless the City of Cupertino against liabilities, judgments, and expenses which may accrue against said City in consequence of the .u:uning of this permit .Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9 18 Signature Date 1901 JUNCTION AVE I DATE ISSUED: 07/27/2011 SAN JOSE, CA 95131 ( PHONE NO: (408) 437.7000 BUILDING PERMIT INFO: BLDG f— ELECT PLUMB MECH f— RESIDENTIAL f— COMMERCIAL F– JOB DESCRIPTION: BASEMENT - INSTALL 6 NEW CHILLERS, 10 NEW WATLR PUMPS, UPGRADE REFRIGERANT MONITORING/ALARM SYSTEM REV# I - CHILLER UPGRADE, MODIFY ELECTRICAL FOR NEW CHILLER INSTALLATION. Sq. Ft Floor Area: I Valuation: $1338000 APN Number: 3160210.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 18 DF` S OF PERMIT ISSUANCE OR 180 DAYS FLA 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 Applicant Date ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(x) should 1 store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air (duality Management District 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or orized agent: 9 9 11 Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's .Address ARCHITECT'S DECLARATION I understwid my plans shall be used as public records. Licensed Professional CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION 191 ADDRESS: 1 infinate loop DATE: 08/01/2011 REVIEWED BY: larry s APN: I BP#: *VALUATION: 1$76,000 *PERMIT TYPE: Electrical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex USE: PENTAMATION 1 REAP7 PERMIT TYPE: WORK revision to #11040070 SCOPE APPLIANCE I EQUIP TYPE FEE ID QTY UNITS BP FEES Special Circuits 1BREMMISC 1 # $130 TOTALS: $ 1 30.00 ............ ....... .......... . .. ....... . .......... ..... .... ........... . .... .... . .... . . . . .... ... . . . . . . . . .. . :: ::::. : ...... ......... ................. ............. . ....... . . . ..... . ... -----TElec. Plan Check hrs $0.001 Elec. Permit Fee: j Other Elec. Insp. 1 0.0 1 hrs NOTE-- The-w fpp.v are hay.-dan the nroliminary intarmatian avallahl.- and arp nn1v an Petimato 4-nntartthe 1)Pntfar addn11infn FEE ITEMS (Fee Resolution 11-053 E-f. 7//1/7 1) FEE QTY[FEET MISC ITEMS PME Plan Check: $0.00 PME Unit Fee: $130.00 PME Permit Fee: $44.00 Work Without Permit? 0 Yes No $0.00 Travel Documentation Fee: I TRA VDOC $44.00 Strorip, Motion Fee: IBSEISMCR $7.60 0# $783.00 1REVSFDWL Revisioxy r SFDWL Bldy, Stds Commission Fee: IBCBSC $4.00 . ......... 1 $229.601 $783 012.60 I Revised: 07/04/2011 CITY OF CUPERTINO % FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 1 infinite loop DATE: 04/11/2011 REVIEWED BY: bobs. APN: BP#: "VALUATION: 1$1,338,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: PENTAMATION 1GENCOM PERMIT TYPE: wORK install 6 new chillers 10 new water pumps, upgrade refrigerant monitoring/alarm sstem SCOPE Nf)TF.t These Pees are hated on the nreliminary intarmation availahle and are oniv an owimato Contart the Dent for addn'i into_ FEE ITEMS (Fee Resolution 09-051 E '. 711110) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes 0 No $0.00 hours $252.00 Plan Check, Hourly ISTPLNCK Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 16 # $2,016.00 Mechanical IMCRAA Cooling System Permit Fee: $0.00 Suppl. Insp. Fee O Reg. 0 OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $42.00 7_1 Acoustical Fee: 0 Yes E) No $0.00 0 0 Work Without Permit? © Yes E) No $0.00 Planning Fee: $0.00 Select a Non -Residential Building or Structure ( 0 i Travel Documentation Fee: ITPA VDOC $42.00 Strong Motion Fee: IBSEISMICO $280.98 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $54.00 ::tlA 418.98 2 :: l r 8 Revised: 01 /15/2011 CUPERTINO \ If— 61 c7 GENERAL PERMIT APPLICATION I �`� MEP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ` 6 10300 TORRE AVENUE • CUPERTINO, CA 950143255 MISC (408) 777-3228 - FAX (408) 777-3333 & building cDcupertino.org I —I PLUMBING ❑ MECHANICAL DELECTRICAL ❑ MISCELLANEOUS PROJECT ADDRESS APN N I Inf finite Loo OWNER NAME PHONE E-MAIL Ample Computer STREET ADDRE: — - ' , L N 1 J ,/ '+ L O CITY, STATE, ZIP FAX Cupertino, CA 950114_ CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT IX CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHrTECr ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Rosendin Electric Inc LICENSE NUMBER 142881 LICENSE TYPE A B C-10 BUS. LIC M 10834 COMPANY NAME Rosendin 1 t Inc. E-MAIL sloeffler@rosendin.com FAX (408) 295-6423 STREET ADDRESS 880 Mabury Road CITY, STATE, ZIP se. CA 95133 PHONE (408) 534-2827 ARCHTTECr/ENGINEER NAME J142881 LICENSE NUMBER BUS. LIC N Electric.Rosendin A B C-10 10834 COMPANY NAME Rosendin Electric nC. E-MAIL FAX (408) 295-6423 STREET ADDRESS CITY, STATE, ZIP PHONE (408) 534-2827 USE OF ❑ SFD or Duplex ❑ Multi -Family PROJECT IN WILDLAND PROJECT IN STRUCTURE: §0 Commercial URBAN INTERFACE AREA ❑ Yes ISNO 7 PLDOD ZONE ❑ Yes [INo DESCRIPTION OF WORK Chiller upgrade - modify electrical for new chiller installation 7415 VISION 0 &a 0 15 rj N Isshro >. TOTAL VALUATION: 7 6 0 7 0 . 0 0GE{Vi�I1flYti.':::::: •.'.•'.:: •',•.•};;•;•'rlr::•.'•'•'••• ": • • •' .. By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED ' +,�±�y, ���.y : M1.• tirM1 lr •l il�'':M1ll ll'' f --- >,(;I COI.asy � INSPECTION LARRY S. DATE: S '/f' I I n U PERMIT NUMBER: I IOL� Qo7G ADDRESS: INSPECTION TYPE: 3 n / , 3 O.i sosr"l C COMMENTS: G` wr) /f` e/ oo�r s-Xs'T0;;n — !-z •- 'o vyz rod � . GjI "m tnC SM/ c /mot IJv 1 RESULTS: ItOCV04 63 P- PASS, F- FAIL, C- CANCEL, I- INCOMEPLETE, N- NOT REQUIRED, R- TO BE RESCHEDULED IF FAIL, LIST REASON: TIME SPENT: NO. OF UNITS: -4 • CLOSE PERMIT? YES NO :4_