10110185I CITY OF CUPERTINO BUILDING PERMIT I
BUILDING ADDRESS: 10351 BUBB RD CONTRACTOR: DPR CONSTRUCTION INC PERMIT NO: 10110185
OWNER'S NAME: APPLE INC 1450 VETERANS BLVD DATE ISSUED: 01/19/2011
C "IER'S PHONE: 4089744876
LICENSED CONTRACTOR'S DECLARATION
License Class 62 Lic.
Contractor --Date
I hereby affirm that I am licensed under the provisions oi 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 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. k-, /
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above ir n is
correct. I agree to comply with all city and county ordinances and i te lating
to building construction, and hereby authorize representatives of this city r
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 Cupertin M icipal Code, Section
9.18.
Signature
Date I
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,
co,zts, and expenses which may accrue against said City in consequence of the
�ng of this permit. Additionally, the applicant understands and will comply
all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Signature,
ARM
REDWOOD CITY, CA
PHONE NO: (650)474-1450
BUILDING PERMIT INFO: BLDG ELECT PLUMB
MECH [_ RESIDENTIAL f— COMMERCI[AL
JOB DESCRIPTION: COMM'L TI INTERIOR TENANT IMPROVEMENTS
CONSISTING
OF NEW AUDIO VISUAL EQUIPMENT/FABRIC1WHITEBOARDS
AT EXISTING CONFERENCE ROOM,NEW STUDIO,GREEN
Sq. Ft Floor Area: I Valuation: $240000
APN Number: 35720009 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
1
180 DAYS FROM LAST CALLED INSPECTION.
Issued 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.
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 & SafetyCode, 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.
Owner 9,rauthoriz�ge I
zlly 1% �/� ___—�Date: LL�yk
ZIV
NSTRUCTION LENDING AGENCY
(�O :
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
FEE ESTIMATOR - BUILDING DIVISION
19
ADDRESS: 10351 bubb rd
DATE: 11/29/2010
REVIEWED BY: bobs.
PC FEE ID
APN:
BP#:
*VALUATION: 1$240,000
~PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY
USE: Commercial Building
TO 7,4
F1_001? ,4REA:
PENTAMATION 1 B TI
PERMIT TYPE: A
WORK
Dec. lisp, Fce:
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
1,456
$1,911.92
IBTIPLNCK
$1,246.12
IBTIINSP
Dec. lisp, Fce:
PME Plan Check:
$0.00
Permit Fee:
$1,246.12
Suppl. Insp. Feer Reg.
0 OT
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
TOTALS:
1,456
$1,911.92
1
1 $1,246.12
MECH, HOURLY 0 Yes 0 No
PLUMB, HOURLY 0 Yes 0 No
ELEC, HOURLY 0 Yes 0 No
Xfech. 1,1a17 Check
Phrmb, Phot Check
Deco, Plata Check
1,fech. Peollit Fee:
Phrmh. Pcurynit 7%m
Dec. Permit Pee:
Other a/ech. hvsp,
Other P1i» tth hasp,
Other Der, Insp,
111ech. Insp, f%ce:
Phnuh. fnsp, I ea:
Dec. lisp, Fce:
NOTE: These fees are based on the nreliminary information available and are onlv an estimate. Contact the Dent for addn'1 info.
FEE ITEMS (Fee Resolution 09-051 a. 7111110)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$1,911.92
1 #
$253.00
New Door Opening
1DOORNONST Non -Structural
J
Suppl. PC Fee: (D Reg. 0 OTZd
$0.00
PME Plan Check:
$0.00
Permit Fee:
$1,246.12
Suppl. Insp. Feer Reg.
0 OT
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
C072S11,11clion TaxT7
Acoustical Fee:
0 Yes 0 No
$0.00
0
0
Work Without Permit? 0 Yes) No
$0.00
PlanWag Fee:
PLLONGRNGC
$0.00
Select a Non -Residential
Building or Structure
0
A
Travel Docitmenlo ion Fees:
Strong Motion Fee:
IBSEISMICO
$50.40
Select an Administrative Item
Bldg; Stds Commission Fee: 1BCBSC
$10.00
SUBTOTALS;
$3,218.44
$253.00
TOTAL FEE:
1 $3,471.44
Revised: 11/08/2010