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15050115CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 5 INFINITE LOOP CONTRACTOR: NOVO CONSTRUCTION PERMIT NO: 15050115 OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED: 07/06/2015 OWNER'S PHONE: 4153105791 MENLO PARK, CA 94025 PHONE NO: (650)701-1500 ET LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E] APPLE - 4TH FLR - INSTALL (N) HIGH DENSITY STORAGE License Class.Lic. # j RACKS �fi5 ;f+a,1 1p 60/5 Contractor /✓/0- Date 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 Sq. Ft Floor Area: Valuation: $8000 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 APN Number: 31602109.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 D FROM LAST CALLED INSPE T N. indemnify and keep harmless the City of Cupertino against liabilities, judgments, (JW costs, and expenses which may accrue against said City in consequence of the 1 granting of this permit. Additionally, the applicant understands and will comply r �-U�V l� V Issued by: v Date: with all non -point source regulations per the Cupertino Municipal Code, Section RE -ROOFS: 9.18. Signature Date All roofs 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 inspection. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, as owner of the property, or my employees with wages as their sole compensation, wil I 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 HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec. 7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(a) should I store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and 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'�j� the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized agent:l% /c%�/ Date: �/ ///— 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 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must 1 hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. w'ork's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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, ARCHITECT'S DECLARATION costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CUPERTINO CONSTRUCTION PERMIT APPLICATION C''.0MMUNITY DEV LOPMEN r EPA fMEN r" - BUILDING I IVIS10N 10300 CARR AVENUE - COUP RTINQ GA 95014-32W5 (408) 777-3228 - FAX (408) 777,3333 - buii din i�Dc lltr rtlrlri.,(ir2 \0NFW CONSi'RUC'TICSN ❑ ADDI ['ION ❑ AL,TI;RA I IC)N i TI ❑ RFV[SION / DEVIARlwD ORIGINAI, I'kRMII' U PROIFCT ADDRFS3 717 S �Y7 1 ttEEN MO «� OWNF1 wpl\I P cf� .1 ��.' 710 4`�.... .. �.��.�.w _.��.�,.._. ..��� iit�.�.�...�,��_,�.�w�a���,����,��.., �.���..���.L�..,.,�__,.�,..� ���.�.�.�..�w.�.��_.�,�..,.�.__.....- S I R I I';,f AIIDRFSS (A -1Y, SIATF, IIP FAx o N 0 (rt (�\4 - �t� �Sp3q�{-.5 � r-- Mof1019V P00000N%riu,c-il0r-\, S I RHr''.'I ADDRLSS CITY. S L 11 R, ZIP FAX 1h:LELAtumic C-4J,f C -K Tta ❑ OWNER ❑ OWNER-n411.DE"R ❑ OWNER AGI&N'1:ONTRAC FOR ❑CONTRAC I'ORAOL',1 ❑ AR0111 Ur ❑ ENGINEER ❑ DFVFLOPILR ❑ IEN,ANr CON "I R 1C "1 OR NAME 1(TN1;L 1(1N1;NLAinGR L IC I 'NSF I YPt BUS LIC 4 COMPANY NANIF t: MAIL - FAX S FRET E ADDNI:SS CITY, S IA IL LIP PHONE ,4RC'hl!"I EC'Y/LiNGINLE.R NA,A1FL,IC 1 NSG NUMHF.ft BUS. LIC "P COMPANY � t' t4(f v `T�l�IUS EN FAX pt cH. SN t§s vo __.m._._...m_._.�. _....._._ S I'RELEADDRESS CITY ,S-I',A1'1i LIP 4105 utrt LMA e,-rJ 0 Nc(%(-0 PHONE s �z r3q DL SCRIPTION OF WORK c.L I+ c— 1 t4 Et c_ 5 Sp -ma -A-c, E Zr� x/ rXIST17 oT PROPOSED LIS@ CONSTR `t'YPF. x S'I"ORIFS CSL TYIT OCC. SQFT, VALU;ATION(S) ARC..4 C',v.,...,..w.._._..w.. „ARk.A.L OOCt�� AREA ... ..................w..... NET AREA . F-1 71R( O,\ KITCHEN O MER � '� � •.••mmmm• REMODEL AREA REMODEL AREARE:>V4OUEL AREA POR('I9 r�r�.A pE'C'K AREA MTV, DF:C'K410RCH AREA GARAGE. AREA: nE71CH vIracH .._._ r� OW ILING Inn5 ISASECOND UNIT hEI Ql . _......._...•._ ...,_.m NO�.__�...._... "INC ADDED? ADDITION? 1_ ......,_..-.._...,..._ .-- PRP: APPLIC'AT10NYES IF YES PROVIDE COPY OF IS trn.` BLDG AN ❑ YES RE B OTAL VALUATION: PL.ANNINGAPPL4 []NO PLANNING APPROVAL LEITER EICHLER HOME? 0 N fay my signature below, I certtt'y to each of th ^ oll w1n t anti the propuct�r vvner or attthori _ del on the pr n° rty aws behalf 9 have read this scription o(Work and verify it is accu e. I a to comply with alp applicable local application and the infonnatton I ,,Iy" provi ed I' correet. I h�authorize ordinances and state laws relating to buildi n nstructiot- I """latives ofCupertino to enter I ie entified property for inspection purposes. Signature of ApplicantlAgent Date:. SCIPPLf:MEiN'TAL INFORMATION REQUIRED PLAN ('14EtK rYrFI Rrrura� srr� gyRctaa rN'rR atstr,rrtNU PDa,NRv'ti;x Neal pen __ SFD or Multifamily dwellings: Apply for demolition peit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. El > xmitss © PJ APtNUNt; PB,AN 1(CV1KW Commercial Bldgs: 'Provide a completed Hazardous Materials Disclosure 0 TANr)AR0 F� pl,Ntt.,,, i4'�Rtt2f form if any Hazardous Materials are being used as part of this project. (; l' LARGE ;C� PrrrF,>wrwT Copy of Planning Approval Letter or Meeting with Planning prior to 0 MAJOR � ��vCTa1�x���v�Rtat�TRtc't submittal of Building Permit application. �PiY1{tCJ8Vt19Rn"IlL.lIiSCa'k� BldgApp 201l.doc revised 06/21,,11 CITY OF CUPERTINO Fm --7 FEE ESTIMATOR - BUILDING DIVISION 19 ADDRESS: 5 INFINITE LOOP DATE: 05/19/2015 REVIEWED BY: MELISSA MISC ITEMS APN: 316 02 109 BP#: —0/� *VALUATION: 1$8,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY USE: Commercial Building 0.0 PENTAMATION PERMITTYPE: 1GENCOM WORK APPLE - 4TH FLR - INSTALL N HIGH DENSITY STORAGE RACKS SCOPE NOTE: This estimate does not include fees due to other Departments (le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc_). These fees are based on the Dreliminary information available and are onlv an estimate Contact the Debt for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eft' 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? Q Yes Q No $0.00 2 hours Plan Check, Hourly $286.00 ISTPLNCx Suppl. PC Fee: 0 Reg. 0 OTT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? ()Yes Q No $0.00 Suppl. Insp. Fee:Q Reg. ()OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Goll'wj w, lion Tax: CCtc Y"c'c 0 Q Work Without Permit? 0 Yes G) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Q Building or Structure i o raa Strong Motion Fee: IBSEISMICO $2.24 2.0 hrs Inspections $286.00 ISTINSP Inspection, Hourly Bldg Stds Commission Fee: IBCBSC $1.00 T1> TOTALS.,- $3.24 $572.00 %; ` )1`i7�TA , >E") 7 $575.24 Revised: 05/07/2015 Testing Engineers, Inc. Quality Assurance Services Materials Consulting Since 1954 Regular Concrete Compression Test Report Project No. : 61343 Client:APP // Sample No. : 260445/.Page 1 of 1. Project Name: . .= l d y Z- ` .� Report Date: 09/15/17 ' 5 Infinite Loop. _� FAL F� Sample Date': 08/19/17' • IL5.4N Remodel ' - Time Sampled : 1020AM , Cupertino, CA Date Received 08%21/17 Permit#15050115 Inspector: M.'Ardizzone, TEI Supplier: Milpitas Materials Specimens Cast 'STM C-31) :5 Mix : 5PP Air Temperate (ASTM C-1064) : 70 deg F Ticket No. : 207270 Mixture Te erature(ASTM C-1064) : 83 deg F STM C-143) : 3 inches Location: -Wall infill at parking garage. Capping Specimens_ASTM C-617 )C ASTM C-1231 • Date Tested 08/25/17 09/15/17 09/15/17 09/15/17 HOLD • ? ID Number 1A 1B 1C 1D 1E Mark Sample Dimension,Inches Diameter 4 4 4 4 Length 8 8 8 8 Area, sq.inches 12.57 12.57 12.57 12.57 Ultimate Load,lbs 42000 70000 62000 63000 Ultimate Str., psi 3340 5570 4930 5010 Average, Str., psi Age Tested, Days 6 27 27 27 HOLD Fracture Type 1 1 1 1 Dry Unit Weight, pcf Specified Strength,psi 3000 3000 3000 SPECIMENS NOT SCHEDULED FOR TESTING WILL BE DISCARDED AFTER 28 DAYS OLD The Material C WAS WAS NOT The Material Tested k- MET DID NOT MEET THE SAMPLED AND TESTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE BLDG.DEPT.OR DSA APPROVED DOCUMENTS. REQUIREMENTS OF THE BLDG.DEPT.OR DSA APPROVED DOCUMENTS. Remarks: Samples Tested in General Conforma I 1 cc. City of Cupertino 1 cc. SW Structural, Inc. SEP 21 2017 Reviewed By: 1 cc. Studios Architecture 1 cc. Apple Computer Inc. AA J� 1 cc. Novo Construction BY Robert Green Concrete Lab Supervisor The results presented in this report relate only to the items)tested. This report can be reproduced only in its entirety unless written permission from TEI is obtained. Corporate Office-2811 Teagarden Street, San Leandro, California 94577- (510)835-3142- Fax(510)834-3777