11050074CITY OF CUPERTINO BUILDING PERMIT I
BUILDING ADDRESS: 10131 BUBB RD
OWNER'S NAME: APPLE INC
OWNER'S PHONE: 4089744876
El LICENSED CONTRACTOR'S DECLARATION
License Class Lic. #
Contractor Date
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.
I hereby affirm under penalty of perjury one of the following two declarattons:
I have and will maintain a certificate of consent to self -insure for Worker'sZ
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
—4/
OIVNER-BUIAER DECLARATION
I 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)
1, 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.
Date
CONTRACTOR: DPR CONSTRUCTION INC PERMIT NO: 11050074
1450 VETERANS BLVD DATE ISSUED: 06/16/2011
RE DWOOD CITY, CA 94063 1 PHONE NO: (650)474-1450
BUILDING PERMIT INFO: BLDG ELECT r PLUMB' r
MECH' RE SIDENTIAL r COMMERCIAL J_
JOB DESCRIPTION: COMM'L TENANT IMPROVEMENT(7000SQFT)REMOVE
NON -LOAD
BEARING WALLS, T -BAR CEILING, MODIFY EXISTING
MECHANICAL, ELECTRICAL, PLUMBING
Sq. Ft Floor Area: I Valuation: $1500000
APN Number: 35720004.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued
Dat&�16��
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 COVE, RINGS TO BE CLASS "A" OR BETTE R
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. 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 I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Sections 25505,25533, and 25534.
0am- � _/_/ 4 / 14 -
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 (See. 3097, Civ C.)
Lender's Name
Lender's
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professional
CITY OF CUPERTINO
WIN FEE ESTIMATOR - BUILDING DIVISION
19ADDRESS:
10131 bubb rd.
DATE: 05/11/2011
REVIEWED BY: bobs.
N
APN:
BP#:
*VALUATION: 1$1,500,000
PERMIT TYPE: Building Permit
PLAN HECK TYPE: Tenant Improvement
PRIMARY Commercial Building
: —
—FP—ENTAMATION
I
1BTI
I PER IT TYPE:
LVU
WORK'
[electrical,
t.i. comm. office space, remove non load bearing walls, t -bar ceiling, modify existnq mechanical ,
SICOPE
plumbing.
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
(S.I.)
PC FEES
PC FEE ID
BP FEES
BP FEE ID
B (Tenant Improvements)
11-B,111-B,1V,V-B
7,000
$2,248.00
IBTIPLNCK
$4,820.60
1BTUNSP
Fee:
PME Plan Check:
$0.00
Permit Fee:
$4,820.60
Suppl. Insp. Fee:G Reg. 0
OT
ro—.01
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
TOTALS:
7,000
$2,248.00
1 $4,820.601
MECH,HOURLY 0Yes-(D-No
PLUM[B,HOURLY C)Yes-(F)No
ELEC,HOURLY ()Yes (E)No
11",n C'hct k
11� mih. Plli/'; 0
Plan Check Fee:
ch, �(��m
ij I F
F
F-1 I
(0)SP.
El
Suppl. PC Fee: G Reg. 0 OT
1A h. h�.'p,
1 hr,
Fee:
IVOTE. These fees are based on the nrelitninary infnrinatinn availahlp and arp nnhi 17n,,vfi"iaYp i-nwartthon i r"fidsPly"f.
FEE ITEMS (Tee Resohition L U)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$2,248.00
Select a Misc Bldg/Structure
or Element of a Building
Suppl. PC Fee: G Reg. 0 OT
1 0.0
1 hr,
$0.00
PME Plan Check:
$0.00
Permit Fee:
$4,820.60
Suppl. Insp. Fee:G Reg. 0
OT
ro—.01
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Col?-S,hwctiw'� Tax
Acoustical Fee:
0 Yes (D No
$0.00
0
(@
Work Without Permit? 0 Yes G No
$0.00
Plaanjqg_Eg��
$0.00
Select a Non -Residential
Building or Structure
0
Strong Motion Fee:
IBSEISMICO
$315.00
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$60.00
-SUBTOTALS:
$7,443.60
$0.00
-1
TOTAL FEE:
1 $7,443.60
Revised: 04/29/2011