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09060070CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19333 VALLeO PARKWAY BLDG A CONTRACTOR: DPR CONSTRUCTION INC PERMIT NO: 09060070 OWNER'S NAME: APPLE, INC OWNER'S PHONE: 4089745951 LICENSED CONTRACTOR'S DECLARATION~ License Class Lic. # Si '1 ~t.t~ Contractor ':p{)R.. CoJ.:)Slt~~~ 'Date ~t-z8lo, I hereby affirm that I am licensed under the provisions of Chapler 9 (commencing with Section 700Q) of Division 3 of the Business & Professions Code and that my license is in full force and effect. J 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 far 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 performance of the work for which this pennil is iss.ued. 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 Jaws 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 ofCupertino 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. ~ Signatu~~\ ~ ~-------'1 (-Z-Y! 01.Date 0 OWNER-BUILDER DECLARATION 1 hereby affirm thai I am exempl 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 tile 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 aiJd 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 Workers Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this pennit is issued. I certifY that in th~ 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 pennit shall be deemed revoked. APPLICANT CERTIFICATION I certify that I have read tlus 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 harm.less the City ofCupertino against liabilities,judgments, cost" 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. ;gnature Date 1450 VETERANS BLVD REDWOOD CITY, CA 94063 DATE ISSUED: 09/2812009 PHONE NO: (650)474-1450 BUILDING PERMIT INFO: I BLDG I ELECT' PLUMB' MECH RESIDENTIAL r COMMERCIAL r JOB DESCRIPTION:COM'L TI APPLE, NEW OFFICES ON 1ST & 2ND FLOOR W/RELATED MECHNANCAL & STRUCTURAL UPGRADES( I 03,690SQ) Sq. Ft Floor Area: Valuation: $11000000 APN Number: 31620075.BLDGA Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. -ey 1.~'0-7Date:·ISSUedbYL~ ~ 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 "AU 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. , (Z-f{..,Date:~ 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 0 (.. CITY OF CUPERTINO BUILDING PER.l\;({C ­0-/0--// BUILDING ADDRESS: 19333 VALLCO PKWY BLDG A CONTRACTOR: DPR CONSTRUCTION INC PERMIT NO: 09060070 OWNER'S NAME: APPLE INC 1450 VETERANS BLVD DATE ISSUED: 0912812009 OWNER'S PHONE: 4089745951 REDWOOD CITY, CA 94063 PHONE NO: (650)474-1450 ~ LICENSED CONTRACTOR'S DECLARATION r BUILDING PERMIT INFO: BLDG r ELECT r PLUMB License Class Q Lic. # r;V/-r-r! rMECH RESIDENTIAL r COMMERCIAL r Contractor 'oeR Date G-/0--// JOB DESCRIPTION: COM'L n APPLE, NEW OFFICES ON 1ST & 2ND FLOOR I hereby affirm that I am licensed under the provisions of Chapter 9 WfRELATED MECHNANCAL & STRUCTURAL(commencing with Section 7000) of Division 3 of the Business & Professions UPGRADES( 103,690SQ) Code and that my license is in full force and effect. 6/07/2011 -REV#I -ALTERNATE MATERlALS & METHODS SUBMITTED & I hereby affirm under penalty of perjury one of the following two declarations: WAITING FOR FIRE APPROVA L-61l 0/20 11 REV#I ISSUED [ 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 performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $11000000 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is APN Number: 3 1620075.BLDGA 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 granting of this permit. Additionally, the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR with all non-point source regulatioos per the Cupertino Municipal Code, Section 9.18. Signature~-.~ Date 67'()-(/ 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 olTered 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 pelmit 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 appl ication and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to bui Iding 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 180 DAYS FROM LAST CALLED INSPECTION. ISSUedbY;~~'Date: &-/0-1-1 RE-ROOFS: All roofs shall be inspected prior to any roofing material beilg 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 BETI'ER 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. o~~ent: ? /;)-ijDate: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the pe 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 publ ic records. Licensed Professional rformance of \\Qrk's granting ofthis permit. Additionally, the applicant understands and will comply with all non-point source regulatioos per the Cupertino Municipal Code, Section 9.18. Signature Date