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15070122000001w_ I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: I INFINITE LOOP OWNER'S NAME: APPLE COMPUTER INC OWNER'S PHONE: 4088628234 ❑ LICENSED CONTRACTOR'S DECLARATION License Class Lie. # Contractor 1�4S 3'78 D 7�Lo1 rf ate 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 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, 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 Date ❑ OWNER - BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 1 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 Califomia. 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, 1 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 9.18. CONTRACTOR: PLANT CONSTRUCTION PERMIT NO: 15070122 300 NEWHALL ST DATE ISSUED: 07/20/2015 SAN FRANCISCO, CA 94124 1 PHONE NO: (415) 285 -0500 JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ SITE DEMOLITION OF EXISTING CURBS, CONCRETE, AND OTHER FLAT WORK OUTSIDE APPLE STORE. Sq. Ft Floor Area: I Valuation: $15000 APN Number: 31602105.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: D� r� Date: Ab 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. 1 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. Owner or authorized agent: 1 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 1 understand my plans shall be used as public records. Licensed Professional Signature Date I I CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • building0cupertino orq 1�o 70/ c7v-z ❑ NEW CONSTRUCTION ❑ ADDITION N ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS 1 Infinite Loo P 7A 77 9 N OWNER NAME Apple Inc. - Jacki Horton PHONE 408.862.8234 E-MAIL jacki @apple.com STREET ADDRESS 1050 Arques Avenue 1, MS 119 -DDC CITY, STATE, ZIP Sunnyvale, CA 94085 FAX CONTACT NAME John Noori PHONE 408.390.5966 E-MAIL .ohn nterra rou 1 @ 9 P.com STREET ADDRESS1155 N. First Street, Suite 214 CITY, STATE, ZIP San Jose, CA 95112 FAX ❑ OIANER ❑ OWNER- BUILDER ❑ OWNER .AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT 0 ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Mike Barnette LICENSE NUMBER LICENSE TYPE B BUS. LIC 8 COMPANY NAME Plant Construction E-MAIL mikeb @plantc.com FAX STREET ADDRESS 300 Newhall Street CITY, STATE, ZIP San Francisco, CA 94124 PHONE 415.285.0500 ARCFITECT /ENGINEER CAME David B. VOOrh12S LICENSE NUMBER 26429 BUS. LIC # COMPANY NAME Nterra Group E -MAIL dave @nterragroup.com FAX STREET ADDRESS 1155 N. First Street, Suite 214 , CITY STATE. "ZIP San Jose, CA 95112 PHONE 408.390.5966 DESCRIPTION OF WORK Site demolition of existing curbs, concrete and other flatwork.. EXISTING USE PROPOSED USE CONSTR. TYPE M STORIES Comm NO chnage USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL ARIA AREA AREA NET AREA BA "rIiROO "I KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA LJ DETACH ❑ ATTACH # DWELLING UN I I S. IS A SECOND UNIT E] YES SECONDSTORY OYES BEING ADDED? ❑NO ADDITION? ❑NO PRE - APPLICATION []YES IFYFS „PROVIDE COPY OF IS THE BLDG AN C] YES RECEIVED BY-, TOTAAL VALUATION: PLANNING APPL k ❑ NO PLANNING APPROVAL LETTER EICHLER OME? [] NO $15,000 By my signature below, I certify to each ofthe fol owing: am the pro rty owner or authorized agent to act on the property, owner's behalf. I have read this application and the information 1 have provided is orr t. have read th escription of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building cons ucti n. authorize repr entatives of Cupertino to enter the above - identified property for inspection purposes. 7/16/2015 Signature of Applicant/Agent. Date. SUPPLEMENT INFO ATION EQU pLArrcaclfTryP►� RvrlriNCSLIr New SFD or Multifamily dwellings: Apply for demolition permit for 0 - THF-COUN,rFR ZF BUILDING PLAN RFVIFW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS 0 PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLJCWORIKS 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 El E) SA�ITARYS>REtISiR7C1 submittal of Building Permit application. MAI�fG © E:NVIRQNYi)_NTAL HEALTH BldgApp 20l I. doe revised 06 12111 l FM-7, CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION lalADDRESS: 1 Infinite Loop DATE: 07/17/2015 REVIEWED BY: Sean A4ech. Pcrmil Fee: APN: BP #: �� "VALUATION: $15,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY USE: Commercial Building Civil / Religious activities P, BQ zone? Q Yes (F) No PENTAMATION PERMIT TYPE: 1GENCOM WORK Site demolition of existing curbs, concrete, and other flat work. SCOPE $0.00 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These ees are based on the preliminar information available and are on an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11 -053 Eft.' 711113) ;btech. Plan Clreck Plumb. Plan Check T7 Elec. Plan Check A4ech. Pcrmil Fee: Plumb. Pennil Fee: Elec. Permil Fee: Other Mcch. Insp. Other Plunrh lnslz Other Elec. M.sp. Ll hlech. Insp. Fee: Plumb. lnap. Fee: Elec. Insp. Fee: NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These ees are based on the preliminar information available and are on an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11 -053 Eft.' 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? () Yes Q No $0.00 0 hours Plan Check, Hourly $ 14 3. 0 01 1STPLNCK Suppl. PC Fee: (F) Reg. () OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? ()Yes Q No $0.00 Suppl. Insp. Fee: Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAw $0.00 Adminislralive Fee: 0 Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee: $0.00 0 hours Inspections $143.00 ISTINSP Inspection Hourly 0 Tlavelllocumenlation Fees: Strong Motion Fee. IBSEISMICO $4.20 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $5.20 $286.00 TOTAL FEE: $291.20 Revised: 07/02/2015 �a w LL a, u 4-J cn 9 N C J 3 0 i F � q sn— i /JJ T o� I ,o' OZ1� D Cl E ro a 0 J N G C J Z o zo o r� C D Cl E ro a 0 J N G C J Z o zo o r� s I ?a > aux r Q tl� ° r r a tai y W A �- oa O p y 1 s y< <c vva :_. �l l n.,, .I s1 '�-�. '•PS CC I LL CA- 5..._ © }l— Q LIJ ° " - - - -- v3aysnoo3 cr— v m� o' j s O Z o j Y o � Del � i� Y Htd'gG �: H I 9 0 � 31111 t33HS 81 l0 8 m M v m ! g {i138NnN 133NS Wq s 8 8 ,n P® 4S2' LJ w _ L......... ( .... j.. 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