11060097CITY OF CUPERTINO BUILDING PERMIT J
BUILDING ADDRESS: i INFINITE LOOP I CONTRACTOR: XL CONSTRUCTION I PERMIT NO: 11060097 1
OWNER'S NAME: APPLE
851 BUCKEYE CT
DATE ISSUED: 08/08/2011
?,R'S PHONE: 4089744876 I MILPITAS, CA 95035 PHONE NO: (408) 240-6000 I
❑ LICENSED CONTRACTOR'S/ DE�C'jLAARATiON
License Class Lic. #
Contractor Co,-,�51i �1Z Ur -j Date L
hereby affirm that I am licensed tinder 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.
BUILDING PERMIT INFO: BLDG F ELECT r— PLUMB C
MECH f— RESIDENTIAL r- COMMERCIAL
JOB DESCRIPTION: 4T1-1 FLOOR - DEMOLITON(1800SQFT)SELECTIVF..
DEMOL.ITON
OF INTERIOR PARTITIONS, CEILINGS,LIGHTING,FIVAC,
&ELECTRICAL TO ACCOMMODATE NEW PROJECTION ROOM FOR
1 hereby affirm under penalty of perjury one of the following two declara ions:
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 die work for which this
permit is issued. I Sq. Ft Floor Area:
APPLICANT CERTIFICATION
I 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 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
,ranting of this pert it. ddition ly, tl, applicant understands and will comply
with all non -point ur regula s p the Cupertino Municipal Code, Section
9.18.
Signature Date v 1 l
�. OWNER -BUILDER DECLARATION
1 hereby affirm that 1 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 tine 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).
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
pertornnance 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 die 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, atter 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,
and expenses which may accrue against said City in consequence of tine
Ing of this permit. Additionally, the applicant understands and will comply
vNnh all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Signature Date
APN Number: 31602105.00
Valuation: $150000
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:
RE -ROOFS:
All roofs shall be inspected prior to any rooting 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 1 use equipment or devices which emit hazardous air
contaminants as defined by the Bay Area Air Quality Management District I will
maintain cogipliance wit the qupertino Municipal Code, Chapter 9.12 and the
Health & SAf( ,t 14425505, 25533, and25534.
ONSTRUCTiON LENDING AGENCY"
I h eby affirm that there is a construction lending agency for the performance of Wwrk'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.
Licensed Professional
CITY OF CUPERTINO
RM FEE ESTIMATOR - BUILDING DIVISION
iaADDRESS:
1 INFINATE LOOP 4TH FLOOR
DATE: 06/13/2011
REVIEWED BY: LARRY S
PC FEE ID
APN:
BP#:
"VALUATION: 1$150,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building
USE:
IBTIPLNCK
PENTAMATION 1 B TI
PERMIT TYPE:
WORK
DEMOLITION OF INTERIOR PARTITIONS CEILING LIGHTS HVAC AND ELECTRICAL
SCOPE
OLECTIVE
ACCOMODATE NEW PROJECTION ROOM. INC NEW PARTITIONS CEILINGS ,SHADES HVAC
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
1,800
$2,9 5.60
IBTIPLNCK
$2,1 .89
IBTIINSP
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$2,189.89
Suppl. Insp. Fee -0 Reg.
0 OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
TOTALS:
1,800
$2,925.60
:'•::...............
$2,189.89
::::: ':':':':':.:..::.....
•��i ;des: ' '
' _ . ; .. r.:::.rl :.'X'es'::>. • .` Irio
'.P �(�p r . i'44
'' d k Y?'' : 'des `.' . �:';IiEbt` .
MISC ITEMS
Plan Check Fee:
$2,925.60
ET
Li
Li
Suppl. PC Fee: 0 Reg. 0 OT
0.0
hrs
NOTE. These Pees are based on the preliminary information available and are only an estimate. Contact the Dept for addn7 info.
FEE ITEMS (f,ee Resolution 09-051 L;ff, 7/1/10)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$2,925.60
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:
$2,189.89
Suppl. Insp. Fee -0 Reg.
0 OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
_T7
Acoustical Fee:
0 Yes (E) 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
Strong Motion Fee:
IBSEISAIICo
$31.50
Select an AdministrativetIm
1
Bldg Stds Commission Fee: IBCBSC
$6.00
..:.. Tt$ I! ?
$5, 9 52.99
$0.00
.......... ':'::: .. ,
$ 52.99
Revised 04/29/2011
BUILDING ADDRESS: 2 INFINITE LOOP
OWNER'S NAME: APPLE
C
,R'S PHONE: 4089744876
CITY OF CUPERTINO BUILDING
❑ LICENSED CONTRACTOR'S DECLARATION
License Class Lic. #
Contractor 51 t3 C"� iDct-� Date Q11f f it
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 my license is in full force and effect.
1 hereby affirm under penalty of perjury one of the following two de rations:
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
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
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Signa - Date
NJ
OWNER -BUILDER DECLARATION
CONTRACTOR:DPR
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).
STRUCT[ON INC I PERMIT NO: 11060048
1450 VETERANS BLVD DATE ISSUED: 06/30/2011
REDWOOD CITY, CA 94063 PHONE NO: (650)474-1450
BUILDING PERMIT INFO: BLDG ELECT r— PLUMB
MECH r- RESIDENTIAL f- COMMERCIAL
JOB DESCRIPTION: FLOOR I & GARAGE - COMMERCIAL TENANT
IMPROVEMENT
(2260SQFT) INSTALL NEW CHILLER, RANSFORMER, AIR
SCRUBBER & UTILITY FENCE
DEFERRED #I-MECHAN ICA L, ELECTRICAL & PLUMBING -8/4/11 DEF ISS'D
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
Sq. Ft Floor Area: I Valuation: $448000
I certify that 1 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,
and expenses which may accrue against said City in consequence of the
ing of this permit. Additionally, the applicant understands and will comply
,,;rig all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Signature Date
APN Number: 31602106.00 ' Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued bs' -- Date:t7--t'll <<
RE -ROOFS:
All roofs shall be inspected prior to any roofing material berg 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 25.534. 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.
Owne o �u
Date: I
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 Add
ARCIIITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professional_