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11040071Z; V; CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10101 BUBB RD CONTRACTOR: DPR CONSTRUCTION INC PERMIT NO: 11040071 OWNER'S NAME: APPLE INC 1450 VETERANS BLVD DATE ISSUED: 05/11/2011 OWNER'S PHONE: 4089745951 REDWOOD CITY, CA 94063 PHONE NO: (650)474-1450 ❑ LICENSED CONTRACTOR'S DECLARATION � r PERMIT BLDG PLUMB License Class Lic. 0 �3 �� 9 BUILDING INFO: ELECT MECH r RESIDENTIAL r COMMERCIAL � Contractor D P p— C OitJJ-ruf/1n*-bate t t tl I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: COMM'L TENANT IMPROVEMENT(5738SQFT) OFFICE (commencing with Section 7000) of Division 3 of the Business & Professions SPACE, STRUCTURAL,INCLUDE MECIVELECT/PLUMBING 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. 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 Sq. Ft Floor Area: Valuation: $410000 permit is issued. APPLICANT CERTIFICATION APN Number: 35720003.00 Occupancy Type: 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, PERMIT EXPIRES IF WORK IS NOT STARTED costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR with all non -point source regulations per the Cupertino Municipal Code, Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. Signature t Date b Dated 4 Issued : ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of RE -ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1, as owner of the property, or my employees with wages as their sole compensation, installed without first obtaining an inspection, I agree to remove all new materials for will do the work, and the structure is not intended or offered for sale (Sec.7044, inspection. Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to Signature of Applicant: Date: construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's HAZARDOUS MATERIALS DISCLOSURE 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 read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain Worker's Compensation Insurance, as provided for by California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain Section 3700 of the Labor Code, for the performance of the work for which this compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. permit is issued. Additionally, should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued, I shall contaminants as defined by the Bay Area Air Quality Management District I will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Compensation laws of California. If, after making this certificate of exemption, I Health & Safety Code, Sections 25505, 25533, and 25534. 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. a rze nt -/.1/1r t Date: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of Mork's to building construction, and hereby authorize representatives of this city to enter for which this permit is issued (Sec. 3097, Civ C.) upon the above mentioned property for inspection purposes. (We) agree to save Lender's Name indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Lender's Address granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section ARCHITECT'S DECLARATION 9.18. 1 understand my plans shall be used as public records. Signature Date Licensed Professional CITY OF CUPERTINO BUILDING PERMS' BUILDING ADDRESS: 10101 BUBB RD CONTRACTOR: DPR CONS IT NO: 11040071 OWNER'S NAME: APPLE 1NC 1450 VETERANS BLVD DATE ISSUED: 05/11/2011 OWNER'S PHONE: 4089745951 REDWOOD CITY, CA 94063 PHONE NO: (650)474-1450 LICENSED CONTRACTOR'S DECLARATION r BUILDING PERMIT INFO: BLDG ELECT PLUMB / License Class_ Lic. # 5�19/, I F r— I Contractor �P�wQ�C ��wDate / I MECH RESIDENTIAL COMMERCIAL COMMERCIAL 1 hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: COMM'L T.1(5738SQFT) OFFICE SPACE, (commencing with Section 7000) of Division 3 of the Business & Professions STRUCTURAL,INCLUDE MECH/ELECT/PLUMBING Code and that my license is in full force and effect. 7/26/11 REVISION # I- REVISE OPEN AREA TO TRAINING ROOM, EXPAND hereby affirm under penalty of perjury one of the following two declarations: CONFERENCE ROOM - 8/4/201 1 REV# 1 1SS'D 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 Sq. Ft Floor Area: Valuation: $410000 permit is issued. APPLICANT CERTIFICATION APN Number: 35720003.00 Occupancy Type: 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, PERMIT EXPIRES IF WORK IS NOT STARTED costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR with all non -point source regulations per the Cupe ' o Municipal Code, Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. aAa Signature Date // Issued by; Date:"! I-- ❑ OWNER -BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of RE -ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is I, as owner of the property, or my employees with wages as their sole compensation, installed without first obtaining an inspection, I agree to remove all new materials for will do the work, and the structure is not intended or offered for sale (Sec.7044, inspection. Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to Signature of Applicant: Date: construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's HAZARDOUS MATERIALS DISCLOSURE Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain Worker's Compensation Insurance, as provided for by California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain Section 3700 of the Labor Code, for the performance of the work for which this compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. permit is issued. Additionally, should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued, I shall contaminants as defined by the Bay Area Air Quality Management District 1 will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Compensation laws of California. If, after making this certificate of exemption, I Health & Safety Code, Sections 25505, 25533, and 25534. 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. er or th d a /'n r Date: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of Wrk's to building construction, and hereby authorize representatives of this city to enter for which this permit is issued (Sec. 3097, Civ C.) upon the above mentioned property for inspection purposes. (We) agree to save Lender's Name indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Lender's Address granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section ARCHITECT'S DECLARATION 9.18. 1 understand my plans shall be used as public records. Signature Date Licensed Professional WE��� CITY OF CUPERTINO. FEE ESTIMATOR — BUILDING DIVISION 1ADDRESS: 10101 bubb rd DATE: 07/25/2011 REVIEWED BY: bobs. APN: BP#: "VALUATION: j$10,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: PENTAMATION PERMIT TYPE: C_i� GO1ri WORK revise open area to training room expand conference room SCOPE .. ii f.517. Ll NOTF. These fees are hated on the nrelimina" information availahle and are ank an P%timale_ Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 Eff. 7/117l) 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 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee-.0 Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 C "wistt` xii, n Tar Acoustical Fee: 0 Yes G No $0.00 0 Work Without Permit? 0 Yes 0 No $0.00 Planning Fee: $0.00 Select a Non -Residential Building or Structure G 0 Strong Motion Fee: IBSEISMCO $2.10 0 # $783.00 Revision IPEVCOMTI Tenant Improvement Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $3.101 $783.00 TOTAL FEE: $786.10 Revised: 07/04/2011 FM_7 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 10101 bubb rd DATE: 04/11/2011 REVIEWED BY: bobs. APN: BP#: "VALUATION: 1$410,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: PENTAMATION 1 B TI PERMIT TYPE: WORK t.i. comm. offices ace structural include M E nop plumbing SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) II-B,III-B,IV,V-B 5,738 $2,193.60 /BTIPLNCK $4,344.68 /BTIINSP TOTALS: 5,738 $2,193.60 $4,344.68 MECH, HOURLY Q Yes (j) No PLUMB, HOURLY 0 Yes (D No ELEC, HOURLY Q Yes Q No Li NOTE: These fees are based on the nreliminary information available and are onlv an estimate Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 09-051 Eff 711110) FEE QTYIFEE MISC ITEMS Plan Check Fee: $2,193.60 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: 0 Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $4,344.68 Suppl. Insp. Fee:S Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 onstruchon Tax Acoustical Fee: 0 Yes (E) No $0.00 Q 0 Work Without Permit? Q Yes G No $0.00 Planning Fee: $0.00 Select a Non -Residential Building or Structure Q Q i I"r rk��1 L:��>c:rrrraFrna�tt%nir Fc Strong- Motion Fee: IBSEISMCO $86.10 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $17.00 SUBTOTALS: $6,641.38 $0.00 TOTAL FEE: 1 $6,641.38 Revised: 01 /15/2011