09080146CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 5 INFINITE LOOP
OWNER'S NAME: APPLE COMPUTERS
OWNER'S PHONE: 9259568376
o LICENSED CONTRACTOR'S DECLARATION
License Class Lic. # 7'j (OJ..:l
Contractor tJOJ() G.1\~+Ndz~ ;r,.,~,Date 'ihO log
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.
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
perfonnance of the work for which this pennit 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.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above infonnation 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 hannless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence ofthe
granting ofthis permit. Additionally, the applicant understands and will comply
with all no . rce regulations per the Cupertino MUnicipal Code, Section
:,:m., /. ;,~ nato 'fbo/01
/"
" o OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
I, as owner ofthe 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).
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
perfonnance of the work for which this pennit 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
pennit is issued.
I certify that in the perfonnance of the work for which this pennit is issued, I shall
CONTRACTOR: NOVO CONSTRUCTION
1042 HAMILTON CT
MENLO PARK, CA 94025
rBUILDING PERMIT INFO: BLDG
MECH r RESIDENTlAL COMMERCIAL r
JOB DESCRIPTION:DEMOLITION OF EXISTING OFFICE SPACE ON
FIRST FLOOR
NORTH SIDE OF BUILDING T.I FOR 12,500 SQ IT
Sq. Ft Floor Area: Valuation: $1600000
APN Number: 31602109.05 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
e7 :.:Jd..-"~Date: ('I -..,
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. I 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.
PERMIT NO: 09080146
DA TE ISSUED: 09/3012009
PHONE NO: (650)701-1500
ELECT r PLUMB r
r
not employ any person in any manner so as to become subject to the Worker's ~ em:
Compensation laws ofCalifomia. If, after making this certificate of exemption, 1.( Owner ~tllt1'e a e : . J I Of
become subject to the Worker's Compensation provisions of the Labor Code, I must Date: ~>Clj () r'
forthwith comply with such provisions or this pennit shall be deemed revoked. ~
V
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above infonnation 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 hannless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
granting of this pennit. Additionally, the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code, Section
9.18.
CONSTRUCTION LENDING AGENCY
I hereby affinn that there is a construction lending agency for the perfonnance 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 ~ _
Signature Date
.--,...... ,.... ,-..
CITY OF CUPERTINO BUILDING PERMI~AT1= 12-. f'x l 6vr
BUILDING ADDRESS: 5 INFINITE LOOP
OWNER'S NAME: APPLE COMPUTERS
OWNER'S PHONE: 9259568376
0 LICENSED CONTRACTOR'S DECLARATION
License Class~ Lie. # lq 1022 ,
Contractor rJC>IO (0 "S"l-rvc ±tun Date 'JhS/I\
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.
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.
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,
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 Cupertino Municipal Code, Section
91' 9-J2
Date \2/\ g/O~Signatue0 ~
/'
0 OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
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
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 Cali fomia. 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 ofthis 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 the Cupertino Municipal Code, Section
9.18.
Signature
CONTRACTOR: NOVO CONSTRUCTION PERMIT NO: 09080146
1042 HAMILTON CT DATE ISSUED: 09/30/2009
MENLO PARK, CA 94025 PHONE NO: (650)701-1500
r r BUILDING PERMIT INFO: BLDG r ELECT PLUMB
rMECH RESIDENTIAL r COMMERCIAL r
JOB DESCRIPTION: DEMOLITION OF EXISTING OFFICE SPACE ON
FIRST FLOOR NORTH SIDE OF BUILDING T.I FOR 12,500 SQ FT
12/01/09 REVISION #I,ADDMOPSINK, SLIDING DOORS, MINOR
ELECTRICAL CHGS,MINOR WALL CHANGES NON-STRUCT.
Sq. Ft Floor Area:
APN Number: 31602109.05
Valuation: $1600000
Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issuedby~~ Date:/J -{fiocJ~
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. I 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.
('r9~z&~"): Date: l :2./1 &/O'f
[7
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
Date I understand my plans shall be used as public records.
Licensed Professional
.-".
CITY OF CUPERTINO BUILDING PERMIT nATE 1-:2-1' ID
BUILDING ADDRESS: 5 INFINITE LOOP CONTRACTOR: NOVO CONSTRUCTION PERMIT NO: 09080146
OWNER'S NAME: APPLE COMPUTERS 1042 HAMILTON cr DATE ISSUED: 09/3012009
OWNER'S PHONE: 9259568376 MENLO PARK, CA 94025 PHONE NO: (650)701-1500
o LICENSED CONTRACTOR'S DECLARATION
License Class B Lie. # I q I 0 2 ~
Contractor A)oVO CDos-hvc..fu" Date ?-{;J.ffJII
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.
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.
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,
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 no_nn,pOintsource regu;zzauos per the Cupertino Municipal Code, Section
9.18. /1,
Signature ~A ~ ~ Date \/1-1/10
7'
o OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
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
construct the project (Sec.7044, Business & Professions Code).
e
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 informlltion 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 regula]tionisper the Cupertino Municipal Code, Section
9.18. ~
Signature ( --L At'! Date \/'lI/fJ;J/ ....
BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r
MECH r RESIDENTIAL r COMMERCIAL r
JOB DESCRIPTION: DEMOLITION OF EXISTING OFFICE SPACE ON FIRST
FLOOR
NORTH SIDE OF BUILDING T.I FOR 12,500 SQ IT
117I10·REVISION#2 PG. AO.2 RELOCATED DOOR IN EXIST C-.,)-.[ rh' ~,~r-
J..,t:.c>(~eJ~-U5" -n. 'tioC\l" (J..,fT\.Vi) l::.U<::>W2.., '€. ~\L,
Rfr\ qo \1\ .,...., ~ev \ '? cL '~f~£\'-'6+>-~-c.J--~,..2..rr"' ~
@...,>9 (I l
-
Sq. Ft Floor Area: Valuation: $1600000
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by:----~-Dat/~2.I---/C:>
Occupancy Type:APN Number: 31602109.05
t------------------..L..-------_-----1
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
ARCHITECT'S DE CLARATION
CONSTRUCTION LENDING AGENCY
HAZARDOUS MATERIALS DISCLOSURE
I understand my plans shall be used as public records.
Lender's Address.__--'_
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 _
Licensed Professional
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I 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 1 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 C .... pertino Municipill Code, Chapter 9.12 and the
Health & Safety Code, Sections 25505, 25533, and 25534.
o~oriz~aft:L /1_::;Z5~W(~A..d:TZ~..,u.~..,Jl4-__Date: 1/2-' If)
V