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10040001CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10355 N DE ANZA BLVD CONTRACTOR: NOVO CONSTRUCTION PERMIT NO: 10040001 ZR'S NAME: APPLE INC 1042 HAMILTON CT DATE ISSUED: 04/01/2010 OWNER'S PHONE: 4089742131 MENLO PARK, CA 94025 PHONE NO: (650)701-1500 ❑ LI SED CONTRACT'O'R''S DECLARATION BUILDING PERMIT INFO: BLDG F ELECT F PLUMB License Class Lic. ` ' L� RESIDENTIAL COMMERCIAL j Contractor '�'`�' Date G 1 I d MECH JOB DESCRIPTION: NEW MECHANICAL DUCT WORK,SERVER RACKS, CABLE I hereby affirm that I am licensed under the provisions of Chapter 9 TRAY, (commencing with Section 7000) of Division 3 of the Business & Professions TRANSFORMER & ELEC PANELS, 1 RM. 113 ;NO RE -ROOF & Code and that my license is in full force and effect. NO STRUCTURAL(I044SQ) 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 Valuation: $253000 permit is issued. Sq. Ft Floor Area: APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is APN Number: 32633113.00 Occupancy Type: 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, PERMIT EXPIRES IF WORK IS NOT STARTED costs, and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally, the applicant understands and will comply ino Municipal Code, Section with all non -points rce r gulat;W. 180 DAYS FROM LAST CALLED INSPECTION. 9.18. / ure Date �( (/1 Issued Py. Date: ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is the following two reasons: 1, as owner of the property, or my employees with wages as their sole compensation, installed without first obtaining an inspection, I agree to remove all new materials for will do the work, and the structure is not intended or offered for sale (Sec.7044, inspection. Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to Signature of Applicant: Date: construct the project (Sec.7044, Business & Professions Code). ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE 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 I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain I have and will maintain Worker's Compensation Insurance, as provided for by compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Section 3700 of the Labor Code, for the performance of the work for which this Safety Code, Section 25532(a) should I store or handle hazardous material. permit is issued. Additionally, should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued, I shall contaminants as defined by the Bay Area Air Quality Management District I will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Compensation laws of California. If, after making this certificate of exemption, I Health & Safety Code, Sections 25505, 25533, and 25534. become subject to the Worker's Compensation provisions of the Labor Code, I must Oµ, r r author a agent: forthwith comply with such provisions or this permit shall be deemed revoked. %�-- Date: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of work's Iding construction, and hereby authorize representatives of this city to enter for which this permit is issued (Sec. 3097, Civ C.) Lender's Name dle above mentioned property for inspection purposes. (We) agree to save inuemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Lender's Address granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section ARCHITECT'S DECLARATION 9.18. 1 I understand my plans shall be used as public records. Signature G"^ Date 9 Licensed Professional WASIGN 4_ CITY OF CUPERTINO BUILDING PERMIT nATE 121_fi-!-Z� BUILDING ADDRESS: 10431 N DE ANZA BLVD CONTRACTOR: DEVCON CONSTRUCTION PERMIT NO: 09060113 INC (11*1NER'S NAME: APPLE INC 690 GIBRALTAR DR DATE ISSUED: 10/14/2009 k— NER'S PHONE: 4089741373 MILPITAS, CA 95035 PHONE NO: (408)942-8200 P LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB I— License Class Lic. #—q 1/ 6 3 MECH r RESIDENTIAL r COMMERCIAL TT Contractor ,1/E ✓GLV DateA / JOB DESCRIPTION: REPLC (E) TRSH ENCLSR W/(N)@ SAME LOC; I hereby affirm that I am licensed under the provisions of Chapter 9 KWY (commencing with Section 7000 of Division 3 of the Business & Professions ( g ) CONNCTN TO AN ADJOINING "APPLE" FACLTY@ 10495 N DE CONNC Code and that my license is in full force and effect. ANZA BLVD c e I hereby affirm under penalty of perjury one of the following two declarations: "X v 7 I have and will maintain a certificate of consent to self-insure for Worker's T 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 Valuation: $35000 permit is issued. Sq. Ft Floor Area: APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is APN Number: 32633114.00 Occupancy Type: 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, PERMIT EXPIRES IF WORK IS NOT STARTED costs, and expenses which may accrue against said City in consequence of the WITHIN 1 0 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally, the applicant understands and will comply with all non-point source regulations p the Cupertino Municipal Code, Section 180 DA ROM LAST CALLED INSPECTION. 9.18. / G Si-nat Date ^ Issued by: Date: ❑ OWNER-BUILDE TION I hereby affirm that I am exempt from the Contractor's License Law for one of RE-ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is I, as owner of the property, or my employees with wages as their sole compensation, installed without first obtaining an inspection, I agree to remove all new materials for will do the work, and the structure is not intended or offered for sale (Sec.7044, inspection. Business & Professions Code) property, am exclusively I, as owner of the pe y contracting with licensed contractors to Signature of Applicant: Date: construct the project (Sec.7044, Business & Professions Code). ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE 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 I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health &Safety Code, Sections 25505, 25533, and 25534. I will maintain I have and will maintain Worker's Compensation Insurance, as provided for by compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Section 3700 of the Labor Code, for the performance of the work for which this Safety Code, Section 25532(a) should I store or handle hazardous material. permit is issued. Additionally, should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued, I shall contaminants as defined by the Bay Area Air Quality Management District I will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Compensation laws of California. If, after making this certificate of exemption, I Health & Safety Code, Sections 25505, 25533, and 25534. become subject to the Worker's Compensation provisions of the Labor Code, I must Osvigr ora thor' agent: %� forthwith comply with such provisions or this permit shall be deemed revoked. Date:�Id /AGENCY APPLICANT CERTIFICATION CO TRUCT N LENDING- I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct. I agree to comply with all city and county ordinances and state laws relating for which this permit is issued (Sec. 3097, Civ C.) to building construction, and hereby authorize representatives of this city to enter Lender's Name r- - the above mentioned property for inspection purposes. (We) agree to save inify and keep harmless the City of Cupertino against liabilities, judgments, cues, and expenses which may accrue against said City in consequence of the Lender's Address granting of this permit. Additionally, the applicant understands and will comply with all non-point source regulations per th Cupertino Municipal Code, Section ARCHITECT'S DECLARATION 9.18. j / `j I understand my plans shall be used as public records. Signatu Date / Licensed Professional