10060004CITY OF CUPERTINO BUILDING PERMI '
BUILDING ADDRESS: 20330 STEVENS CREEK BLVD [CONTI tACTOR: DEVCON CONSTRUCTION PERMIT NO: 10060004
INC
0' 'BR'S NAME: APPLE INC
690 GII3RALTAR DR
DATE ISSUED: 07/22/2010
VER'S PHONE: 4089745951 I MILPI rAS, CA 95035 I PHONE NO: (408)942-8200 I
jR LICENSED CONTRACTOR'S DECLARATION
License Class % Lic. # 79
Contractor '��/C�- Date
°l v
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.
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.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information 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. Yditionally, the applic riggerstands and will comply
with all non -point sou regulations per thVupe o Municipal Code, Section
9.18.
Si -nature e ��
OWNER -BUILDER DECLARATION
1 hereby affirm that 1 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).
1 hereby affirm under penalty of perjury one of the following three
declarations:
1 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, 1 must
forthwith comply with such provisions or this permit shall be deemed revoked.
APPLICANT CERTIFICATION
1 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
rnify and keep harmless the City of Cupertino against liabilities, judgments,
and expenses which may accrue against said City in consequence of the
ting of this permit. Additionally, the applicant understands and will comply
A all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Signature Date
BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r—
MECH r— RESIDENTIAL r- COMMERCIAL r—
JOB DESCRIPTION: TI FOR 2ND, 3RD, 4TH FLOOR CONFERENCE ROOMS,
OFFICI.S, FINISHES, FIXTURES & ACCESSIBILITY
INCLU QED M, E, P
6/22/10 -DEFERRED SUBMITTAL #1 TAB -HIGH DENSITY STORAGE DRAWINGS
ON CA _CULATIONS 3000SQ-ISS'D 8/5/10
Sq. Ft Floor Area:
Valuation: $5000000
APN IN umber: 36901020.20330 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
130 DAYS FROM LAST CALLED INSPECTION.
Isstt(fl by/y���Date:
RE -ROOFS:
All roc fs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, 1 agree to remove all new materials for
inspecl ion.
Signat ire 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 &
Safet) Code, Section 25532(a) should I store or handle hazardous material.
Additionally, should I use equipment or devices which emit hazardous air
containinants as defined by the Bay Area Air Quality Management District 1 will
maint rim complijwce with the C er o Municipal Code, Chapter 9.12 and the
Health�or
S Code, Sectio 255 , 25533, and 25534.
Owns authorized age Q n
Date. U r(J
CONSTRUCTION LENDING AGENCY
1 herel Py affirm that there is a construction lending agency for the performance of work's
for wl ich this permit is issued (Sec. 3097, Civ C.)
Lend<r's Name
Lendr is Address
ARCHITECT'S DECLARATION
1 understand my plans shall be used as public records.
Licen ;ed Professional
CITY OF CUPERTINO BUILDING
BUILDING ADDRESS: 20330 STEVENS CREEK BLVD CONT
INC
OWNER'S NAME: APPLE INC 690 GIBRALTAR DR
'iER'S PHONE: 4089745951
LICENSED CONTRACTOR'S DECLARATION
License Class Lic. # 31 16
Contractor ✓c-yy Date
9015� o—
f 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:
1 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.
have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the perfortnance of the work for which this
permit is issued.
APPLICANT CERTIFICATION •CI lam/
1 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,
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 regulationsger the Cupertino Municipal Code, Section
9.18. l
L OWNER -BUILDER DECLARATION
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:
1 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
iot 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,
)ecome subject to the Worker's Compensation provisions of the Labor Code, I mu
ithwith comply with such provisions or this permit shall be deemed revoked.
APPLICANT CERTIFICATION
1 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,
cos id expenses which may accrue against said City in consequence of the
gr, . 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
MILPITAS, CA 95035
Pt : thl�
DATE ISSUED: 07/22/2010
PHONE NO: (408)942-8200
BUILDING PERMIT INFO: BLDG r ELECT r PLUMB
MECH r RESIDENTIAL r COMMERCIAL r
JOB DESCRIPTION: 77 FOR 2ND, 3RD, 4TH FLOOR CONFERENCE ROOMS,
OFFI( ES, FINISHES, FIXTURES & ACCESSIBILITY
INCLUDED M, E, P
6/23/1,) DEFERRED SUBMITTAL #2 TITLE 24 ACCESSIBILITY IMPROVEMENTS-
EXTE UOR ONLY. 8/18/10','DEFFD #2 ISS'D
Sq. Ft Floor Area:
APN Plumber: 36901
Valuation: $5000000
Occupancy Type:
PIZRMIT EXPIRES IF WORK IS NOT STARTED
VI7ITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by:
Date:
RE -ROOFS:
All roof s shall be inspectedprior to any roofing material being installed. If a roof is
installer I without first obtaining an inspection, 1 agree to remove all new materials for
inspection.
Signatu -e of Applicant:_
Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
1 have read the hazardous materials requirements under Chapter 6.95 of the
Califorida Health & SafetyCode, Sections 25505, 25533, and 25534. 1 will maintain
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
Safety ('ode, Section 25532(a) should 1 store or handle hazardous material.
Additioaally, 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 ti Safety Code, Sections 25505, 25533, and 25534.
Garr r auth izentc Date: U
CO IO
NN LENDING AGENCY
1 hereby affirm that there is a construction lending agency for the performance of work's
for whicl this permit is issued. (Sec. 3097, Civ C.)
Lender'! Name
Lender's Address
ARCHITECT'S DECLARATION
underst: rid my plans shall be used as public records.
Licensed
CITY OF CUPERTIPIO BUILDING PERMIT
BUILDING ADDRESS: 20330 STEVENS CREEK BLVDI CONTRACTOR: DEVCON CONSTRUCTION I PERMIT NO: 10060004 I
INC
OWNER'S NAME: APPLE INC 1690 GIBRALTAR DR I DATE ISSUED: 07/22/2010 I
'NER'S PHONE: 4089745951
LICENSED CONTRACTOR'S �D}ECJLARATION
License Class Lic: #� G 1
M l
Contractor Vel%0041 GNsT%` Date Z
1 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:
1 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.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information 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 pert pertino Municipal Code, Section
9.18.
Signature Date
OWNER -BUILDER DECLARATION
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).
1 hereby affirm under penalty of perjury one of the following three
declarations:
1 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 perfonnance of the work for which this
permit is issued.
I certify that in the performance of the work for which this permit is issued, 1 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. 1 agree to comply with all city and county ordinances and state laws relatin,
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,
c—ts, and expenses which may accrue against said City in consequence of the
ing of this permit. Additionally, the applicant understands and will comply
all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Signature Date
MILPITAS, CA 95035 I PHONE NO: (408)942-8200
BUILDING PERMIT INFO: BLDG ELECT r— PLUMB
MECHr RESIDENTIAL r COMMERCIAL
JOB DESCRIPTION: Tl FOR 2ND, 3RD, 4TH FLOOR CONFERENCE ROOMS,
OFFICES, FINISHES, FIXTURES & ACCESSIBILITY
INCLUDED M, E, P
Sq. Ft Floor Area: I Valuation: $5000000
APN Number: 36901020.20330 I Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by:
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
1 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&Sety Code, Sections 05, 25533, and 25534.
Ow o uthorized a r ��
ate:
CONSTRUCTION LENDING 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 Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professional