15070082CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 5 INFINITE LOOP
CONTRACTOR: NOVO
PERMIT NO: 15070082
CONSTRUCTION
OWNER'S NAME: APPLE COMPUTER INC
1460 O'BRIEN DR
DATE ISSUED: 07/13/2015
OWNER'S PHONE: 4084721275
MENLO PARK, CA 94025
PHONE NO: (650)701-1500
LICENSED CONTRACTOR'S DECLARATION
r— r
BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class_ Lic. # dZ
r r r
Contractorls Plate ��
MECH RESIDENTIAL COMMERCIAL
JOB DESCRIPTION: APPLE - T.I. 2ND FLR, SOUTH WING - TO CONVERT (E)
—BIX& ';�
I hereby affirm that I am licensed under the provisions of Chapt r 9
STORAGE ROOM TO (N) LABORATORY (B OCCUPANCY)
(commencing with Section 7000) of Division 3 of the Business & Professions
REV #I -ADD (N) 50 AMP SUB PANEL & ADD SITE & RESTROOM ACCESSIBILITY
Code and that my license is in full force and effect.
SHEETS -ISSUED 8/24/15
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: $75000
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.
APN Number: 31602109.00
Occupancy Type:
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
to building construction, and hereby authorize representatives of this city to enter
ERMIT ISSUANCE OR
WITHIN 180IL�T
upon the above mentioned property for inspection purposes. (We) agree to save
180 D ALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue agai st said City in consequence of the
-` ` _� (�
granting of is permit. Additionally, th ap licant understands and will comply
Date:
with all non- of s urce regulations pelt eupertino Municipal Code, Section
9.18.
��: --
Si
Signature
44
RE -ROOFS:
naturWe
Date
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.
❑ OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
Signature of Applicant: Date:
the following two reasons:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
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
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. 1 will
1 hereby affirm under penalty of perjury one of the following three
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations:
1 have and will maintain a Certificate of Consent to self -insure for Worker's
Health & Safety Code, Section 25532(a) should I store or handle hazardous
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 Qual' Management District I
performance of the work for which this permit is issued.
will maintain compliance wi h thkpertino Munic' a CodeChpter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
3700 of the Labor Code, for the performance of the work for which thisOwner
the Health & Safety Code, S c '65533 d 53Section
Date:
permit is issued.
or authorized agent:�
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
I 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.
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
APPLICANT CERTIFICATION
Lender's Address
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,
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
6
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISIO
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
CUPERTINO I (408) 777-3228 • FAX (408) 777-3333 • building(a)cunertino.o-
❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI FrAV SIGN , I' FERRED
ORIGINAL PERMIT # 1
PROJECT ADDRESS
APN #
OV,NER NAME
PHONE
E-MAIL
Ch�
STREET ADDRESS
CITY, STATE, ZIP
F
4.1
CONTACT NAME
PH NE
I E-MAbi
r e.11
STREET ADDRESS
CITY, STATE, Z
.`n
❑ OWNER ❑ OWNER -BUILDER 11 OWNER OWNER AGENT ❑ CONTRACTOR CONTRACTOR AGENT VtARCHITEECC1T ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAM
Anopf_
LICENSE NUMB / '2�
LICENSE TYPE
BUS. LIC #
9-MVL
FAX
qVYdAtWSr ®
\ V
ST E ADDRESS (
ARCHITECT/ENGINEERNAME Q ��,y��
��
(
Imo}
LICENSENUMBER ^
L
BUS. LIC #
C ANY NAMIE
EQ�I�
Ft4fS,
�I
^' Irf✓� I '
CMZIP
I D
0D
STREET ADDRESS-
DESCRIPTION OF WORK
6, Y
cevI
EXISTING USE PROPOSED USE
`
CONST
STORIESI
USE TYPE OCC.
SQ.FT.
VALUATION ($)
7
L?
r.AlbTG NEW OOR
AREA /fib AREA 20t)
DEMO,
AREA -jam
TOTAL
NET ARE
O'f
.
BATHROOM
KITCHEN KITCHHENJ
OTHER
REMODEL AREA
REMODEL AREA
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECKNORCH AREA
GARAGE AREA: ODETACH
❑ ATTACH
I
# DWELLING UNITS:
IS A SECOND UNIT ❑ YES
SECOND STORY ❑ YES
-
BEING ADDED? ❑ NO
ADDITION? ❑ NO
PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑ YESRECEIVE
,`z' TOTAL VALUATION:
PLANNING APPL# 0 N PLANNING APPROVAL LETTER
EICHLER HOME? 0 N
-
By my signature below, I certify to each of he following: I the property ovAIeror autho act on the property s ehalf I have read this
application and the information I have p v ded is correct. I e read the Description of
or c and verify it is accur gree to comply with all applicable local
ordinances and state laws relating t bu i co ion. thorize representatives of Cupertino to enter ove 'dentifie property for ins ection purposes.
Signature of Applicant/Agent:
Date:
SUPPLEMENT WF ORMATION REQUIRED
PLAN;cxECICx ' E , . ° ...
t RovT>rrc sL>P
❑ d
❑BUILDINGPLAN
New SFD or Multifamily dwellings: Apply for demolition permit for
_
existing building(s). Demolition permit is required prior to issuance of building
OVER THE COUNTER
r
REVIEW
,
permit for new building.
❑ ! EXPREss , `
❑ PLANNING PLAN REVIEW
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
❑ : sTAND4ARD f
is
❑ PUBLIC WORKS
_
form if any Hazardous Materials are being used as part of this project.
`
LARGE
❑ FIREDEPT,ti
Copy of Planning Approval Letter or Meeting with Planning prior to
3
❑."MAJOR
❑
_
submittal of Building Permit application.
SANIIIRXSEWERDISTRICT
f
� k `
CI.,ENVIRONMENTAL°HEALTA�
BldgApp_201 1. doc revised 06/21/11
1Qr
CITE' OF CUPERTINO
TTTT 1MCtiTT1%1F A Tl113 STT]rTf 71T1+,T(_' n1V'FQ11 1N
Mech. Plan Chrck Plumb. Plan Chcc:L7
Elee. Plan C"heck
titech. Perrttil Fire: Plumb. Perrmir Fee.: lslc'.c. t'c:rr;rit Fee.
Otlrer .11cch. lnsp.
i'ii .-. .aiii•uas �.
Other Plumb Insp. u
ADDRESS: 5 INFINITE LOOP
DATE: 08/24/2015
REVIEWED BY: MELISSA
101
APN: 316 02 109
BP#: 15070082
*VALUATION:
Iso
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair
PRIMARY
USE: Commercial Building
Civil / Religious activities
in BQ zone? Yes No
PENTAMATION 1 GENCOM
PERMIT TYPE:
WORK
REV # 1 -ADD N 50 AMP SUB PANEL & ADD SITE & RESTROOM ACCESSIBILITY SHEETS -
SCOPE I
ISSUED 8/24/15
Mech. Plan Chrck Plumb. Plan Chcc:L7
Elee. Plan C"heck
titech. Perrttil Fire: Plumb. Perrmir Fee.: lslc'.c. t'c:rr;rit Fee.
Otlrer .11cch. lnsp.
Other Plumb Insp. u
Other !:'lex. Lisp.
ilrch. Lna� . lame:
Plumb. hrsp. Fee:
l�lc.. Inst-. 1 r:
Works, Fire, Sanitary Sewer District, School
NOTE. This estimate does not include fees due to other Departments (i. e. Planning, Public
and are onl an estimate Contact the De t or addit
District, etc.).These fees are based on the relimina
information available
FEE ITEMS (Fee Resolution 11-053 E . 7111132
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee: Hourly Only? 0 Yes No
$0.00
21 ��C�k,
Hourly
Suppl. PC Fee: � Reg. 0 OT
0.0
hrs
$0.00
$286.
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Feer Reg. Q OT
p,Q
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tax: 1BCONSTAXC
$0.00
Adininistraiive> Fee:
Work Without Permit? 0 Yes (j)No
$0.00
$0.00
Select a Non -Residential
Advanced Planning Fee:
Building or Structure
7i in el 1)rx''rrrnc:nl�atit�n Fees:
$0.00
Select an Administrative Item
Strong Motion Fee:
Bld Stds Commission Fee:
$0.00
X]
I0
:SUBT6TA_ $0.00 $286.00
TOTAL FEE
$28
Revised: 07/02/201
nX,
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 5 INFINITE LOOP
CONTRACTOR: NOVO CONSTRUCTION
PERMIT NO: 15070082
OWNS 'S NAME: APPLE COMPUTER INC
1460 O'BRIEN DR
DATE ISSUED: 07/13/2015
O R'S PHONE: 4084721275
MENLO PARK, CA 94025
PHONE NO: (650)701-1500
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL 0
J
License Class 7 �Z�
APPLE - T.I.2ND FLR, SOUTH WING - TO CONVERT (E)
Lic. #
STORAGE ROOM TO (N) LABORATORY (B OCCUPANCY)
�
Contractor ��D l kJ��C`i1i lllu'�Dtdte�• 7 13 1
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: $75000
,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.
APN Number: 31602109.00
Occupancy Type:
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 agreecomply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
WITHIN 180 DAYS O T ISSUANCE OR
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
180 DAY LAST LED INS7 ION.
costs, and expenses which may accrue against said City in consequence of the
- -- -- ---_-
by: -
granting of this permit. Additionally, the applicant understands and will comply
I
ssued Date:.
with all non- of t ource regulati ns per the Cupertino Municipal ode, Section
r '
9.18.
'
Signature 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.
❑ OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
Signature of Applicant: Date:
the following two reasons:
I, as owner of the property, or my employees with wages as their sole compensation,
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
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
HAZARDOUS MATERIALS DISCLOSURE
construct the project (Sec.7044, Business & Professions Code).
I have read the hazardous materials requirements under Chapter 6.95 of the
I hereby affirm under penalty of perjury one of the following three
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations:
I have and will maintain a Certificate of Consent to self -insure for Worker's
Health & Safety Code, Section 25532(a) should I store or handle hazardous
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 define by the ay Area Air Quality Management District I
performance of the work for which this permit is issued.
will maintain compliance w th t e upM ic' al Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, 05 2 533 a 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
A
permit is issued.
Owner or authorized agent: Date:
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
I 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.
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Address
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,
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 f this p rmit. Additionally, the applicant understands and will comply
with all n;poi source regulation er the Cupertino Municipal Cod , Section
Licensed Professional
9.18.
Signatur
Date
CUPERTINO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildingCaD-cupertino.org
❑ NEW CONSTRUCTION ❑ ADDITION
R ALTERATION / Ti F-1 REVISION / DF.FF.RRF.D ORFGINAT. PF.RMTT #1
PRO.IECTADDRESS1� �
APN # j (D ^ O
OWNER NAME �1
pi
roti/ 1 �lC��
PHONE
�]r 1
i� .+
E-MAIL
STRE'E'T ADDRESS� �� � 1
CITY, STATE, ZIY
Cu�E>Z Cpc �SO�`�
VAX
1"Ao , `,UOQ
tl
CONTACT NAMEPHONE
ss�w
`g15,911.90600
E-MAIL,t
c�sscAkP_
STREET ADDRESS
CITY, STATE, 'LIP
'SF, CA 91-110`
FAX
y15.931. uoo �
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT l- ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
LICENSENUMBER71�og�T�TNS7EPE
BUS. LIC#
IIJJ
COMPANY NAME
O�iO �kS���1tj1117N
E-MAIL! 1 U t�MC.I ohlOGbl,�S�vu1'll�• Gail
FAX
STREET ADDRESS.
CITY, STATE, "LIP
mel -AI -0 °l�logS
PRONE
9J('9•aSc,,(04SQv
ARCHITECT \,\ U EIRI FAMAE �Sz C
LICENSENUC _ F,\a-7 1 �
l J
BITS. LIC H
COMPANY NAME, �ukl;
E-MAIL
FAX
STREET ADDRESS
k3(.1 jvsti� �2pv-C
CITY, STATE, IP
G 9` J()
PHONE
Lf 1-sm"I't(oalo
DESCRIPTION OF WORK
1.�CY, C_6V_A1 L 2�—
\���
EXISTING USE
o''�t� LF��
PROPOSED USE CONSTR.
(.F ��
TYPE
6
M ST IES
USE
TYPE
OCC.
SQ.FT.
VALUATION (S)
EXISTG
AREA gq3o
NEW FLOOR
AREA Ll J JO
DEMO
AREA 1 ? J o
TOTAL
NETAREA
BATHROOM
KITCHEN
OTHER
REMODEL AREA
REMODEL AREA
REMODELAREA
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA
GARAGE AREA: DETACH
[]ATTACH
N DWELLING UNITS:
IS A SECOND UNIT []YES
SECOND STORY []YES
BEING ADDED? []NO
ADDITION? []NO
PRE -APPLICATION []YES IF YES, PROVIDE COPY OF
PLANNING APPL N E] NO PLANNING APPROVAL LETTER
IS THE BLDG AN ❑ YES-
EICHLER HOME? ❑ NO
- • -
T TAL VALUATION:
J
By my signature below, I certify to each of the following: I am the property owner or authorized agent to acb • roperty owner's behalf.. I have read this
application and the information I have provided is correct. I have read the Description of Work and ve`r it Is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent: � �,�--""-� Date: 7, 1& > 1S
SUPPLEMENTAL INF�ICMATrON REQUIRED
.- ,PLAN.CHECK TYPE.
ROUTING SLIP
_ New SFD or Multifamily dwellings: Apply for demolition permit for
❑ OVER COUNTER
E1, BUILDING'.PLAN REVIEW
existing building(s). Demolition permit is required prior to issuance of building
-TFTs
permit for new building.
❑, Exp W' 'iS
PliANNINGPLAN REVIEW
_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
liSTANDARD
❑ PUBLIC WORKS -
form if any Hazardous Materials are being used as part of this project.
0 LARGE- . . ,"'.
..
❑ .FIRE DEPT
_ Copy of Planning Approval Letter or Meeting with Planning prior to
❑,MAJOR
❑ SANITARY sEwER DISTRICT
submittal of Building Permit application.
-
❑. ENVIRONMENTAL HEALTH
BldgApp_2011.doc I"evised 06/21/11
P-M-1
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
1AADDRESS:
5 INFINITE LOOP
DATE: 07/13/2015
REVIEWED BY: MELISSA
PC FEE ID
APN: 316 02 109
BP#: 15070082
*VALUATION: 1$75,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIUSE: Commercial Building
PENTAMATION 1 B TI
PERMIT TYPE:
WORK
APPLE - T.I. 2ND FLR SOUTH WING - TO CONVERT E STORAGE ROOM TON LABORATORY
SCOPE
(B OCCUPANCY)
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
sS
PC FEES
PC FEE ID
BP FEES
BP FEE ID
B (Tenant Improvements)
I-A,I-B
429
$3,161.82
IBTIPLNCK
$1,087.06
IBTIINSP
x'.lec.
$1,087.06
Suppl. Insp. Fee -(2) Reg. 0 OT
0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
C;vr,srrPrf°,rt.r2 K*fx:
i.YtEIYtt:;'It t%Zll%c' .(' E'E :
0
0
Work Without Permit? 0 Yes Q) No
$0.00
TOTALS:
429
$3,161.82
=,
$1,087.06
Strong Motion Fee: 1BSEISAffCO
MECH, HOURLYQ Yes No'
.
PLUIVIS, HOU Yes No
FLEC, HOUR�,Y , e
Y sY No
MISC ITEMS
iili?ti. t7fiiil .,-,hack
F'[
TSL?C?:
Suppl. PC Fee: G) Reg. 0 OT
1,errih f'ec--':
iT•i:.Li I
ED
ET
$0.00
x'.lec.
NOTE: This estimate does not include fees due to other Departments (i. e. Planning, Public Wor.s, Fire, Sanitary Sewer District, School
District, etc.). These fees are based on the vreliminary information avadahle and areOnly nn oc irnafn_ Cnnfart Rae D fnv nddn V ""f-
FEE
nfn
FEE ITEMS (Fee Resolution 11-053 E . 711113)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$3,161.82
Select a Misc Bldg/Structure
or Element of a Building
Suppl. PC Fee: G) Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$1,087.06
Suppl. Insp. Fee -(2) Reg. 0 OT
0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
C;vr,srrPrf°,rt.r2 K*fx:
i.YtEIYtt:;'It t%Zll%c' .(' E'E :
0
0
Work Without Permit? 0 Yes Q) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure �
/
Strong Motion Fee: 1BSEISAffCO
$21.00
'Select an Administrative Item
i
Bldg Stds Commission Fee: IBCBSC
$3.00
SUBTOTALS
$4,272.88
$0.00 f TOTAL FEE ::
$4,272.88
Revised: 07/02/2015
CUPIERTINO
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-7,77-3228
Fax: 408-777-3333
JOB ADDRESS:5 infinite Loop
PERMIT T_ 10570082
OWNEWS NA LE:Apple Inc
PHONE #408-781-6582
GENERAL CONTRACTOR: NOVO Cons ruction Inc
BUSINESS LICENSE.791022
ADDRESS: 1460 Obrien Drive Menlo Park
CITY/ZIPCODE:94025
`Our municipal co€Ie requires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCC ffkNC)' INSPF, i (S) WILL BE SCHEDULED 'UNTIL THE
GENERAL CONTRACTORAND ALR ONTRACT S H E OBTAINED A CITE' OF CUPERTINO
BUSINESS LICENSE. � 7 �
I am not using any subcontractors: - ----
Signature Date
Please check applicable subcontractors and complete the following information:
'
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE # �
Cabinets & Millwork
Cement Finishin;
Electrical
Sprig Electric
Excavation
TNT Demolition
Fencing
Flooring / Carpeting
SD Flooring
Linoleum/ kN%ood
Glass / Glazing
Heating
Silicon Valley Mechanical
Insulation
Landscaping
Lathing
i
Masonry
Painting / lb'allpaper
Magnum Paintjf�Cj_,
f`n
Paving
�.. ,.
Plastering
Plumbing
Silicon Valley Mechanical
Roofing
Septic Tank
Sheet \Metal
Sheet Rock
-
Magnum Drywall
Tile
I
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tN`nr C litractor Signature`
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CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 5 INFINITE LOOP
CONTRACTOR: NOVO CONSTRUCTION
PERMIT NO: 15070082
OWNE 'S NAME: APPLE COMPUTER INC
1460 O'BRIEN DR
DATE ISSUED: 07/13/2015
O R'S PHONE: 4084721275
MENLO PARK, CA 94025
PHONE NO: (650)701-1500
91 LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑
APPLE - T.I. 2ND FLR, SOUTH WING - TO CONVERT (E)
License Class__ Lic. t!
STORAGE ROOM TO (N) LABORATORY (B OCCUPANCY)
�f,�l� t��� yy�1� �;J j�
u1`D►Jt�`-f I
Contractor I
1 hereby affirm that 1 am licensed under the provisions of Chapter
(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: $75000
rformance of the work for which this permit is issued.
have and will maintain Worker's Compensation Insurance, as provided for by
ection 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 IT 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 DAY LAST LED INSPEC ION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the15—
inply
sued by: —' Date:
granting of this permit. Additionally, the applicant understands and win
with all non- of t' ource regulati ns per the Cupertino Municipal ode, Section
9.18.
RE -ROOFS:
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,
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
HAZARDOUS MATERIALS DISCLOSURE
construct the project (Sec.7044, Business & Professions Code).
1 have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. 1 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(x) should I store or handle hazardous
I have and will maintain a Certificate of Consent to self -insure for Worker's
material. Additionally, should 1 use equipment or devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants as defineA by the 4ay Area Air Quality Management District 1
performance of the work for which this permit is issued.
will maintain compliance With the upertin M is al Code, Chapter 9.12 and
1 have and will maintain Worker's Compensation Insurance, as provided for by
the Health &Safety Code, 05 2 533 a 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
Owner or authorized agent: Date:
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, 1
CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code, I must
I 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.
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
APPLICANT CERTIFICATION
Lender's Address
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
ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
I understand my plans shall be used as public records.
granting f this p rmit. Additionally, the applicant understands and will comply
with all n-poiii source regulation er the Cupertino Municipal Cod ,Section
Licensed Professional
9.18. a ��
Signatur Date I
CUPERTINO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildinq(@cupertino.org /5-257 5�1 O OY Z
❑ NEW CONSTRUCTION ❑ ADDITION ® ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT tt
PROJECT ADDRESS
4PN I ( O �)_ -
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OWNER NAME- `
PHONE
EMAIL
S'I REGIADDRESS
CITY, STA I1, "/_IPC (�
"&MAIL
FAX
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CONTACT NAME
PHONE
6,
STREL r ADDRESSUS� � �
CITY, STATE, ZIP SF 'j i O
FAX � S,911 "?%o
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT E - ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME r
LICENSE NUMBER -7 9 ` � ^ / \
,�+
LICENSE TYPE �
BUS LIC N
SQA mm6>✓
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COMPANY NAME
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E-MAIL �
FAX
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S"1REGT AllORESS,
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CITY, STAI'G, ZIP
WWW, C� ° Bogs
PHONE
91(0 -as-, 4S�
ARCH ITECCT/BNGFNEER NAME��
LICENSE NUMBER - ��a�
BUS LIC N
Q1
COMPANY NAME
G�fl` y
E-MAIL
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FAX 1I S 13 �• g��'
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STREET ADDRESS�1
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CITY, STATE. IP
7 G `i 0
PHONE
t-jIS.°I31.$1.azo
DESCRIPTION OI' WORK
EXISTING USE
PROPOSED USE
CONSTR. TYPE
# ST
IES
C��v Lply)
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111
USE TYPE
OCC
SQ FT
VALUATION ($)
EXISTG
AREA 410
NL-N'FLOOR
AREA LIZ C)
DEMO
AREA /I ? ci
-7 J
TOTAL
NET AREA
BATHROOM
KITCHEN
OTHER
REMODEL AREA
REMODEL AREA
REMODEL AREA
PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA. DETACH
❑ AITACH
k DWELLING G UNI I S: li 1 SECOND I Nrr �] YES SECOND STORI'
BEING ADDED? ❑NO ADDITION'' ❑NO""
PRE -APPLICATION [:]YESIF YES, PROVIDE COPY OF 1STHEBLDGAN ❑YES % / i" T TALVALUATION:
PLANNiNGAPPL# [NO PLANNING APPROVAL LETTER EICHLER HOME'.' ❑NO '� , , - / eit
By my signature below, I certify to each of the following: I am the property owner or authorized agent tcreroperty owner's behal . I have read this
application and the information 1 have provided is correct. I have read the Description of Work and vc y it Is accurate. I agree to comply with all applicable local
ordinances and state law's relating to building construction. 1 authorize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature ofApplicant/Agent : Dale: 7d3i, /S
SUPPLEMENTAL INF T N REQUIRED
%/ %%
/ii'ii/' '/i/ r i j /i/'/; /
New SFD or Multifamily dwellings: Apply for demolition permit for
l n
building
existing building(s). Demolition permit is required prior to issuance of bw dl g
permit for new building.
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
_
form if any Hazardous Materials are being used as part of this project.
— Copy of Planning Approval Letter Or Meeting with Planning prior to
Iii
Aay 9i1 t IvR IYIf� [
submittal of Building Permit application.
, /iJai
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BldgApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 5 INFINITE LOOP
TYPE OF
CONSTR.
DATE: 07/13/2015
REVIEWED BY: MELISSA
APN: 316 02 109
BP#: 15070082
'VALUATION: 1$75,000
*PERMIT TYPE: Building Permit
I-A,I-B
PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building
USE:
IBTIPLNCK
$1,087.06
PENTAMATION 1 B TI
PERMIT TYPE:
WORK
APPLE - T.I. 2ND FLR SOUTH WING - TO CONVERT E STORAGE ROOM TO N LABORATORY
SCOPE
(B OCCUPANCY)
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
s.f.
PC FEES
PC FEE ID
BP FEES
BP FEE ID
B (Tenant Improvements)
I-A,I-B
429
$3,161.82
IBTIPLNCK
$1,087.06
IBTIINSP
$0.00
PME Plan Check:
$0.00
Permit Fee:
$1,087.06
Suppl. Insp. Fee:Q Reg. Q OT
0,0
1 hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
TOTALS:
429
$3„161.82
r_
$1,087.06
MECH, DOURLY Yes ) No PLUMB, HOURLY 0 Yes 0 No ELEC, HOURLY Q Yes ( No
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
ni.driet. etc.)_ These fees are ha.sed on the nreliminary information available and are only an estimate. Contact the Dent for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 E . 7/1/13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$3,161.82
Select a Misc Bldg/Structure
or Element of a Building
Suppl. PC Fee:) Reg. C) OT
TO-07hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$1,087.06
Suppl. Insp. Fee:Q Reg. Q OT
0,0
1 hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
r_
.
0
0
Work Without Permit? ® Yes iE) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
{o
Strong Motion Fee: iBSEISMICo
$21.00
Select an Administrative Item
Bldg Stds Commission Fee: iBCBSC
$3.00
SUBTOTALS:
$4,272.88
$0,00
TOTAL FEE:
$4,272.88
Revised: 07/02/2015
? co 6 2-
a Silicon Valley
I I Mechanical
2087 Ringwood Ave. Suite 50 San Jose, CA 95131-1785
Test, Adjust & Balance Report
PROJECT: Apple IL5.2
ADDRESS: 5 Infinite Loop
ARCHITECT: Fong $ Chan Architects
ENGINEER: Silicon Valley Mechanical
GENERAL CONTRACTOR: Novo Construction
HVAC CONTRACTOR: Silicon Valley Mechanical
LEAD BALANCE TECHNICIAN: Scott McClung
DATE: 8/27/2015
swnSilicon Valley
Mechanical
2087 Ringwood Ave. Suite 50 San Jose, CA 95131-1785
GENERAL NOTES
8(2712015
DATE:
PROJECT: Apple IL5 2 PAGE
1 Unless otherwise noted, indicated CFM (Cubic Feet per Minute) is a standard condition.
2 Unless otherwise noted, indicated GPM (Gallons per Minute) is a standard condition.
--j3 Unless otherwise noted, all sizes are measured in inches.
3
SvmSilicon Valley
Mechanical
2087 Ringwood Ave_ Suite 50 San Jose, CA 95131-1785
AIR APPARATUS REPORT
PROJECT: Apple 11-5.2 DATE: 8/27/2015
SYSTEM: WSHP 2-3 PAGE: 4
EQUIPMENT DATA
WSHP 2-3
LOCATION
HALLWAY ABOVE T -BAR
SERVICE
FTL LAB
MANUFACTURER
TRANE
MODELNUMBER
GEHE0604
SERIAL NUMBER
W15G18264
FAN DATA
DESIGN
TESTED DESIGN TESTED
TOTAL AIR CFM
2000
1875
RETURN AIR CFM
DNA
NM
OUTSIDE AIR CFM
DNA
NA
RPM
DNA
HIGH SPEED
ESP " W.G.
0.43
0.22
DISCHARGE SP " W.G.
DNA
0.20
SUCTION SP " W.G.
DNA
0.02
COIL AP " W.G.
DNA
0.35
FILTER AP " W.G.
DNA
0.74
MOTOR DATA
NAMEPLATE 1
TESTED NAMEPLATE TESTED
MOTOR MFG / FRAME
DNA
HORSEPOWER
1
RPM
DNA
HIGH SPEED
VOLTAGE /PHASE
460/1
482
MPERAGE / SF
2.7 / DNA
2.5
NO. BELT / SIZE
DIRECT DRIVE
MOTOR SHEAVE x BORE
DIRECT DRIVE
FAN SHEAVE x BORE
DIRECT DRIVE
NO. FILTER / TYPE / SIZE
1 / PLEATED / 20 x 30 x 1
REMARKS:
SvmSilicon Valley
Mechanical
2087 Ringwood Ave. Suite 50 San Jose, CA 95131-1785
AIR DISTRIBUTION REPORT
PROJECT: Apple IL -5 .2 DATE: 8/27/2015
.qYSTFM- WSHP 2-3 PAGE: 5
AREA
SERVED
OUTLET I INLET
DESIGN
PRELIMINARY
PRELIMINARY
FINAL
NOTE
NO.
TYPE
SIZE
CFM
CFM
CFM
CFM
264
1
CD
16
1000
960
960
264
2
CD
16
1000
915
915
WSHP
TOTAL
2000
1875
1875
REMARKS:
Silicon Valley
w Mechanical
2087 Ringwood Ave. Suite 50 San Jose, CA 95131-1785
VAV DISTRIBUTION REPORT
PROJECT: Apple 11-5 .2 DATE: 8/27/2015
SYSTEM ( E ) Supply air PAGE: 6
AREA
SERVED
OUTLET I INLET
DESIGN
PRELIMINARY
FINAL
NOTE
NO.
TYPE
SIZE
VIN. ;
MAX
MIN
MAX
MIN
MAX
264
1
CD
16
DNA
1000
175
905
175
960
264
2
CD
16
DNA
1000
400
1085
400
1045
250
3
CD
8
DNA
150
65 1
135
65
160
HALLWAY
4
CD
6
DNA
60
30
165
30
65
VAV 24N
TOTAL
650
2210
670
2290
670
2230
REMARKS:
PROJECT: Apple I1-5.2 DATE: 8/27/2015
SYSTEM: ( E ) Chilled water PAGE: 7
' FWAL GPM f
SERVICE OR DESIGNATION SIZE MFG. DESIGN GPM.:DESIGN APSI .. RANGE FlNAL APSI CARTRIDGE NOTE
WSHP 1 HAYS 15 2-80 2.4 14 1
REMARKS:
(1) PSI readings within the range of 2 to 80 PSI is equal to + or - 10% of design GPM for Hays Automatic Flow Cartridges.
a
Silicon Valley
�v
Mechanical
2087
Ringwood Ave. Suite 50 San Jose, CA 95131-1785
FLUID FLOW MEASURING STATION REPORT
PROJECT: Apple I1-5.2 DATE: 8/27/2015
SYSTEM: ( E ) Chilled water PAGE: 7
' FWAL GPM f
SERVICE OR DESIGNATION SIZE MFG. DESIGN GPM.:DESIGN APSI .. RANGE FlNAL APSI CARTRIDGE NOTE
WSHP 1 HAYS 15 2-80 2.4 14 1
REMARKS:
(1) PSI readings within the range of 2 to 80 PSI is equal to + or - 10% of design GPM for Hays Automatic Flow Cartridges.
a