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10110149I CITY OF CUPERTINO BUILDING PERMIT I I BUILDING ADDRESS: 10261 BUBB RD I CONTRACTOR: DPR CONSTRUCTION INC I PERMIT NO: 10110149 1 I OWNER'S NAME: APPLE INC 11450 VETERANS BLVD I DATE ISSUED: 12/16/2010 1 OWNER'S PHONE: 4089744876 ❑ LICENSED CONTRACTOR'S DECLARATION License Class I % Lic. #t Contractor 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. 1 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. 1 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 1 certify that 1 have read this application and state that the above infonnation is correct. 1 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 ripe Cupertino Municipal Code, Section 9.18. Date. 4 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 Code, Sections 25505, 25533, and 25534. I hereby alarm 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 Address ARCHITECT'S DECLARATION Signature Date I understand my plans shall be used as public records. Licensed Professional DEMOLITION CITY OF CUPERTINO Fm-E FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 10261 bubb rd. #10 DATE: 11/22/2010 REVIEWED BY: bob s. APN: BP#: 'VALUATION: 1$40,000 *PERMIT TYPE: Demolition Permit Pf!,'1' C11F-r'K TYPE PRIMARY Commercial Building USE: PENTAMATION 1COMMLDEM PERMIT TYPE: WORK demo commercial offices ace underground trenching,non -structural. SCOPE FEE ID FLR AREA s.r. 1DEMOCOM 400 Elect. Plan Check At-fec11. Plan C.'nw k P17011G. Ptar1 ( lr:. 'l, :v ch. Permit Fee: P/.... Pe1711it Fee: tiler, . Permit Fee: Ifech. Irup L Other Pl11mh Insp. Other Ficc•. Insp.. Insp. Fcc- Phnnb. hasp. 7 :: flee. Insp. Pco: NOTE: These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resolution 09-051 F(f. 7/1/10) FEE QTY/FEE MISC ITEMS Plan Check Fee: ,Suppl. PC' Fee Plumb./11ech./Flee Plan Check: Permit Fee: $507.00 Suppl. Insp. Fee-.0 Reg. © OT 0.0 hrs $0.00 Pltnnh./NIc1c:Iz;Llec. Unit F'ee: Plurnh./Me clUE'lec Perniil Fee:: Construction Tax Acoustical Review Fee: fVork. 4'ithout Permit" Planning Fees: i Travel Docrunc nfalion Fees: Strong, Motion Fee: 1BSEIS11ICO $8.40 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00 - SUBTOTALS: $517.40 $0.00 TOTAL FEE: $517.40 Revised: 11 /08/2010