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11030008CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10725 N DE ANZA BLVD CONTRACTOR: SOUTH BAY PERMIT NO: 11030008 CONSTRUCTION CO INC OWNER'S NAME: APPLE INC 170 KNOWLES DR DATE ISSUED: 03/24/2011 OWNER'S PHONE: 4089745951 LOS GATOS, CA 95032 PHONE NO: (408)379-5500 LICENSED CONTRACTOR'S DECLARATION License Class _% Lic.# w 174 I BUILDING PERMIT INFO: BLDG ELECT PLUMB _. c� �/ � � Contractor ,U" 1 dl Date e- ` ` nIECH RESIDENTIAL COMMERCIAL JOB DESCRIPTION: FLOOR 1-3(3 STORIES) - 21 NEW SECURITY DOORS & I herebyaffirm that I am licensed under the provisions of Chapter 9 P p HARDWARE, SITE ACCESSIBILITY IMPROVEMENTS (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 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. Sq. Ft Floor Area: Valuation: $30000 I have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 32610065.00 Occupancy Type: Section 3700 of the Labor Code, for the performance of the work for which this pennit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and stale laws relating to building construction, and hereby authorize representatives of this city to enter RMIT ISSUANCE OR WITHIN 18 mC1E ��ALL upon the above mentioned property for inspection purposes. (We) agree to save 180 DAY FROM LASTED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the 22 i Issued by: __ Date: granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section RE -ROOFS: 9.18. t Signature Date 124 1 1 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. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(a) should I store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued, will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this I ' Date: 3 �� Owner or authorized agent: 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 CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CITY OF CUPERTINO BUILDING PERMIT j BUILDING ADDRESS: 10725 N DE ANZA BLVD CONTRACTOR: SOUTH BAY PERMIT No: 11030008 CONSTRUCTION, INC OWNER'S NAME: APPLE INC 1711 DELL AVE DATE ISSUED: 03/24/2011 OWNER'S PHONE: 4089745951 CAMPBELL, CA 95008 PHONE NO: (408)379-5500 ❑ LICENSED CONTRACTOR'S DECLARATION F r• }.__ BUILDING PERMIT INFO: BLDG ELECT PLUMB (� License Class s Lic. # �� A9[- I ECH RESIDENTIAL COMMERCIAL Contractor C2L_:> C ate �' < 1 JOB DESCRIPTION: FLOOR 1-3(3 STORIES) - 21 NEW SECURITY DOORS & I herebyaffirm that I am licens d under the provisions of Chapter 9 P p HARDWARE, SITE ACCESSIBILITY IMPROVEMENTS (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. 5/23/2011- REV#1 - REVISE SECURITY DOOR & HALLWAY LOCATION n UNIT #275- ISSD 6/1/2011 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. Sq. Ft Floor Area: Valuation: $30000 I have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 32610065.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, ' costs, and expenses which may accrue against said City in consequence of the --- Issued by:— Date: granting of this permit. Additionally, the applicant understands and will comply with all non-poi source regulations per the Cupertino Municipal Code, Section 9.18. Signature t— 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. ❑ OWNER-BUILDER DECLARATION Signature of Appl icant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(x) should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sec ions 2 505, A5533, and 25534. Section 3700 of the Labor Code, for the erformance of the work for which this p b n j -- 1 r Owner or authorized agent: Date: 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 CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CITY OF CUPERTINO BUILDING PERMIT R w O BUILDING ADDRESS: 10725 N DE ANZA BLVD CONTRACTOR: SOUTH BAY NO: 11030008 CONSTRUCTION, INC OWNER'S NAME: APPLE INC 1711 DELL AVE DATE ISSUED: 03/24/2011 OWN'ER'S PHONE: 4089745951 CAMPBELL, CA 95008 PHONE NO: (408)379-5500 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG � ELECT � PLUMB License Class_Lic.# Y 1 NISCH RESIDENTIAL COD4NIIsRCIAL 1 ( Z �� �%� Contractor Date JOB DESCRIPTION: FLOOR 1-3 -21 NEW SECURITY DOORS & HARDWARE, I hereby affirm that I am licensed nder the provisions of Chapter 9 SITE ACCESSIBILITY IMPROVEMENTS (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect, 9/2/2011 -REVISION #2- EXISTING ANALYSIS, ADD NEW EXIT' SIGNS- ISSD I/6/12 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. Sq. Ft Floor Area: Valuation: $30000 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 APN Number: 32610065.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter 180 DAYS FROM LAST CALLED INSPECTION. upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, in the f %p �f costs, and expenses which may accrue against said City consequence of Issued byr-_ Qate: / ✓f granting of this permit. Additionally, the applicant understands and will comply r with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. RE -ROOFS: Signature Date i �- All roofs shall be inspected prior to any roofing material being installed. if a root' is first an inspection, I agree to remove all new materials for installed without obtaining inspection. ❑ OAVNER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that i am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS N1ATF,RIALS DISCLOSURE construct the project (Sce.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. l will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Nlunicipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(a) should i store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Arca Air Quality Management District 1 compliance with the Cupertino Nlunicipal Code, Chapter 9.12 and performance of the work for which this permit is issued. i have and will maintain Worker's Compensation Insurance, as provided for by Will maintain the Health & Safety Code, Sectio 5505, 255 3, nd 25534. �C Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: I 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 CONSTRUCTION LENDING AGENCY 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 i hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for Which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 ARCIHTECT'S DECLARATION indenlnitj, and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used RS public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18, Signature Date CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION 19ADDRESS: 10725 n. de anza blvd. FEE DATE: 09/02/2011 REVIEWED BY: bobs. a APN: BP#: Plan Check Fee: Hourly Only? Q Yes 0 No "VALUATION: $100 'PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: 0.0 hrs PENTAMATION 1GENCOM PERMIT TYPE: WORK revise exiting analysis, add new exit signs. SCOPE Permit Fee: NOTE: These fees are based on the Prelinunary information available and are onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Elf. Z/1/1 J1 FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? Q Yes 0 No Li> Yie. i' 1't �{tfrfi 1.;�r?7.ET SJ ho <.fa.�'. 1gvi).Lj 1 Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs NOTE: These fees are based on the Prelinunary information available and are onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Elf. Z/1/1 J1 FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? Q Yes 0 No $0.00 hours Plan Check, Hourly $260.00 ISTPLNCK Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feer Reg. 0 OTT0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 E; �1r77.t'f.Yiff'�FtrJ 1.!7' Acoustical Fee: 0 Yes (D No $0.00 0 (' Work Without Permit? 0 Yes 0 No $0.00 Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 i C'r<r f ;'rrc ftJ,,JJt<ra �F rr��: Strong Motion Fee: 1BSEISMICO $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $1.50 $260.00 TOTAL FEE: $261.50 Revised: 07/04/2011 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION NOTE. These fees are based on the prelintinary information available and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resohition 09-0SI E '. 7�f 111102 ADDRESS: 10725 n. de anza blvd. DATE: 05/23/2011 REVIEWED BY: bob s. F7, t r.s rJ,.. `!_'',' Ali'k-NPN: BP#: "VALUATION: 1$4,000 rPERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: Suppl. PC Fee: 0 Reg. 0 OT PENTAMATION n , PERMIT TYPE: WORK revise security door ant 275 hallwaV location. SCOPE NOTE. These fees are based on the prelintinary information available and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resohition 09-0SI E '. 7�f 111102 FEE z, MISC ITEMS F7, t r.s rJ,.. `!_'',' f r .. lle of $0.00 Lj Suppl. PC Fee: 0 Reg. 0 OT 0.0 NOTE. These fees are based on the prelintinary information available and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resohition 09-0SI E '. 7�f 111102 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 hr, $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feer Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Acoustical Fee: 0 Yes 0 No $0.00 Q Work Without Permit? 0 Yes G) No $0.00 P1am11I1 Fee: $0.00 Select a Non -Residential Building or Structure Q 0 A DV, I=r,3<� ��:r=rx f �3�F.1��-���;: Strong Motion Fee: 1BSEISMICo $0.84 1 # $760.00 Revision IREVCOMTI Tenant Improvement Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $1.84 $760.00 TOTAL FEE: 1 $761.84 Revised: 04/29/2011 M" __ CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION NOTE: These fees are based on the nreliminary information available and are only an estimate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 09-05I 1;f. 7/1/IO,� ADDRESS: 10725 n. de anza blvd. DATE: 03/01/2011 REVIEWED BY: bobs. 1,1_c/r. Pelvmil Fee: APN: BP#: *VALUATION: 1$30,000 VPERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: Tltnub, hr,ep. Fee: PENTAMATION 1GENCOM PERMIT TYPE: WORK 21 new securitv door and hardware site accessibilitV improvements. SCOPE 21 # $632.00 NOTE: These fees are based on the nreliminary information available and are only an estimate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 09-05I 1;f. 7/1/IO,� Mcch, Plon Checkplumb, Phm Check Elec. Plan Checic T. 1,1_c/r. Pelvmil Fee: Phnrrb, Pennil Fee: Eley, Penni? Fee: Other rl /ech, Insp. Other Plumb Insh,Ll Other Elec, Imp, 111cch, Insp, Fac: Tltnub, hr,ep. Fee: Elec, Insp, Fce: NOTE: These fees are based on the nreliminary information available and are only an estimate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 09-05I 1;f. 7/1/IO,� FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? Q Yes 0 No $0.00 hours $252.00 Plan Check, Hourly ISTPLNCK Suppl. PC Fee: (D Reg. 0 OT P_.01hrs $0.00 PME Plan Check: $0.00 21 # $632.00 Window / Sliding Glass Door 1WINREP Replacement Permit Fee: $0.00 Suppl. Insp. Fee. -O Reg. 0 OT Mhrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 C'onstt'uciion Tax Acoustical Fee: 0 Yes 0 No $0.00 Q 0 Work Without Permit? 0 Yes E) No $0.00 PlagWa Fee: $0.00 Select a Non -Residential Building or Structure I Trcmel Dorultrrentutioru Fines: Strong Motion Fee: IBSEISMICO $6.30 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00 SUBTOTALS: $8.30 $884.00 TOTAL FEE: $892.30 Revised: 01/15/2011