10110160CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10261 BUBB RD CONTRACTOR: DPR CONSTRUCTION PERMIT NO: 10 110 160
1 INC I
-NER'S NAME: APPLE INC 11450 VETERANS BLVD I DATE ISSUED: 03/22/2011
OV*1NER'S PHONE: 4089744876 REDWOOD CITY, CA 94063 PHONE NO: (650)474-1450
0 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL El COMMERCIAL L1
License Class * 0 Lic. #10 BUBB - COMM'L TI- 800SQ OF TENANT
Contractor �Z>40 . . IMPROVEMENT,
X Date -3- /_?_ r— /ff ONE CONFERENCE ROOM & WOOD FLOORING,
I hereby affirm that I am licensed under the provisions JChap r 9 INCLUDES
(commencing with Section 7000) of Division 3 of the Business & Professions MECHANICAL,ELECTRIC&PLUMBING DRAWINGS
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 fol'.bry
Section 3700 of the Labor Code, for the performance of the work for wh�*y
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information s
correct. I agree to comply with all city and county ordinances and state laws lelating
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.
-iature Date
IN
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)
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
building construction, and hereby authorize representatives of this city to enter
n the above mentioned property for inspection purposes. (We) agree to save
...,iemnify 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.
Sq. Ft Floor Area: I Valuation: $152000
APN Number: 35720008.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued Date: -5� 2, 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.
Signature of Applicant: 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. 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 Cod:e, Sections 25505, 55 , and 25534
�42553
Owner or authorized agent: Date:
CON TRUCTION rENDING 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
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Profession
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
OCCUPANCY TYPE:
10261 bubb rd. #10
DATE: 11/23/2010
REVIEWED BY: bob s.
IlaADDRESS:
APN:
BP#:
*VALUATION: 1$152,000
PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY
USE: Commercial Building
T07,4L
FLOOR ,IRE,1:
PENTAMATION
PERMIT TYPE: 1B T,
WORK
T.I. comm offices ace structural include M E P
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
800
$1,879.30
IBTIPLNCK
$822.55
1BTIINSP
Elec. lay, Fee:
PME Plan Check:
$0.00
Permit Fee:
$822.55
Suppl. Insp. Feer Reg.
0 OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
TOTALS:
800
1 $1,879.30
1
1 $822.55
MECH, HOURLY 0 Yes G No:
PLUMB, HOURLY 0 Yes Q No
ELEC, HOURLY ® Yes (D No
Uech. Plein Chsc1,
Plumb, Pluu Check
Elea. Plein Check
,,f,,--1,permil Fee:
Plumb. POMil FcT:
Dec. Permit
Oflrer Akc•h, hasp.
Other P/umb lnsp.Ll
Other Elec, Insp.
llkch. Insp. re,
Phrmb. lase. Fee:
Elec. lay, Fee:
NOTE: These fees are based on the nrelindnary information available and are only an estimate. Contact the Dent for addn'l info.
FEE ITEMS (Fee Resohttio;i 09-051 E '. 7/1/10,
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$1,879.30
Select a Misc Bldg/Structure
or Element of a Building
Suppl. PC Fee: E) Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$822.55
Suppl. Insp. Feer Reg.
0 OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Cotr,slr•rrction TnX
Acoustical Fee:
0 Yes G No
$0.00
Q
Work Without Permit? 0 Yes 0 No
$0.00
Planning Fee:
PLLONGRNGC
$0.00
Select a Non -Residential
Building or Structure
T7 IBuilding
G
Ti-m�el Docnriler�ltrtiort Fees':
Strong Motion Fee:
1BSEISMICO
$31.92
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$7.00
SUBTOTALS:
$2,740.77
$0.00
TOTAL FEE:
1 $2,740.77
Revised: 11/08/2010