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15050165CITY OF CUPERTINO BUILDING PERMIT CONTRACTOR: BARRON BUILDERS INC PERMIT NO: 15050165 BUILDING ADDRESS: 19191 VALLCO PKWY 415 CLYDE AVE STE 105 DATE ISSUED: 05/29/2015 OWNER'S NAME: APPLE INC MOUNTAIN VIEW, CA 94043 PHONE NO: (650) 269-7061 OWNER'S PHONE: 5103316719 JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ LICENSED CONTRACTOR'S DECLARATION APPLE - SITE DEMO FLAT WORK & LIGHTING 2 / License Class _ Lic. # On J b6 Pes o ^ '"'J 16UILDMS Date � Contractor I hereby affirm that 1 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. 1 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: $225000 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 APN Number: 31620074.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION information is PERMIT EXPIRES IF WORK IS NOT STARTED I certify that I have read this application and state that the above correct. I agree to comply with all city and county ordinances and state laws relating WITIIIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter 180 DAYS FROM LAST CALLED INSPECTION. upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, which may accrue against said City in consequence of the `r 2! Date: costs, and expenses granting of this permit. Additionally, the applicant understands and will comply Issued by•EIC%L with all non -point source regulations per the Cupertino Municipal Code, Section 9 18. RE -ROOFS: Date 5 Izi I1 S All roof's shall be inspected prior to any roofing material being installed. If a roof is Signature c______r installed without first obtaining an inspection, I 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 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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) HAZARDOUS MATERIALS DISCLOSURE 1, as owner of the property, am exclusively contracting with licensed contractors to the (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the I construct project California Health & Safety Code, Sections 25505, 25533, and 25534. 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 Section 25532(a) should I store or handle hazardous declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's Health & Safety Code, material. Additionally, should I use equipment or devices which emit hazardous defined by the Bay Area Air Quality Management District I Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and performance of the work for which this permit is issued. 1 have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 25534. Date: 5 5 6 -4 --Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: 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 CONSTRUCTION LENDING AGENCY Compensation laws of California. If, after making this certificate of exemption, I Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of become subject to the 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 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, may accrue against said City in consequence of the I understand my plans shall be used as public records. costs, and expenses which granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per tho Cupertino Municipal Code, Section Licensed Professional 9 18. Signature Date CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777=3333 • building(p)cupertino.org l 6 Dlf_l ArAT OVOTUIrTN LI IVtW l_.V IVJ LICUI.. I Lull PROJECT ADDRESS 19191 Vallco Parkway APN M 316-20-074 OWNER NAME Apple Inc. c/o Fred Avery PHONE 510.331.6719 E-MAIL favery@apple.com STREET ADDRESS 1 Infinite Loop, mailstop 119DDC CITY, STATE, ZIP Cupertino, CA 95014 FAX CONTACT NAME John Noori PHONE 408.390.5966 E-MAIL nterra roU com 1 @ 9 P• STREET ADDRESS 1155 N. First Street, Suite 214 CITY, STATE, ZIP San Jose, CA 95112 FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT E ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER 916366 LICENSE TYPE B BUS. LIC # Ernesto Barron COMPANY NAME Barron Builders E-MAIL ernesto@barronbuilders.com FAX STREET ADDRESS 415 Clyde Ave, Suite 105 CITY, STATE, ZIP Mountain View, CA 94043 PHONE 650.964.4493 ARCHITECT/ENGINEER NAME David B. Voorhies LICENSE NUMBER 26429 BUS. LIC H COMPANY NAME Nterra Group dave@nterragroup.com E-MAIL com 9 P• 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 flat work and site lighting. Removal of trees excluded. EXISTING USE PROPOSED USE CONSTR. TYPE 9 STORIES USE TYPE OCC. SQ.FT. VALUATION ($) Comm No chnage EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH I []ATTACH N DWELLING UNITS: IS A SECOND UNIT ❑ YES BEINCADDED? SECOND STORY []YES ADDITION? []NO []NO PRE -APPLICATION []YES IF YES, PROVIDE COPY OF IS THE BLDG AN 1:3 YES r��Ea"uu4�ssr,itd�s,;';.: TOTAL VALUATION: PLANMNG APPLN ❑NO PLANNWG APPROVAL LEITER ETCH LER OME? ❑NO rs ,aK, s nr,."7ss By my signature below, I certify to each of the fol owing: am the pro�r.,y owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is ogre t. have read ttion 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 ves of Cupertino to enter the above -identified property for inspection purposes. 5/27/2015 Signature of Applicant/Agent: Date: SUPPLEMENT INFO ATION ItEQ i Fryta"at'4eaGl4e►Xe1 ja��`i c,2'.;:iRUtI?l!IG.>Srik, y+kS.,r,. New SFD or Multifamily dwellings: Apply for demolition permit for s �r�1RTtiF��1X7N'C b'r� CI�';Bi�ll4D1NG PFietNIREY�E1�' I, existing building(s). Demolition permit is required prior to issuance of building _ t ; ,,>,n}'� ra �`� � 4 i �� �'' ``,Lrtl'r„' permit for new building. L7 ext; >rss n a �� °A�vNiK 31fI�nv �+t... �i ioGttCst Commercial Bldgs: Provide a completed Hazardous Materials Disclosure d STANAARA �� PUBttI( _ form if an Hazardous Materials are being used as art of this ro ect. Y g p P 1 Axa s-�4�� r t�lll�tY x ' a�ht u �i of Planning Approval Letter or Meeting with Planning prior to �i F �i�p � � �, �{,���,� �� ,,��,� r � u a s _Copy submittal of Building Perruit application. BldgApp_2011.doc revised 06/21/11 CITV of CUPERTINO FEE ESTIMATOR - BUILDING DIVISION WADDRESS: 19191 VALLCO PKWY DATE: 05/27/2015 REVIEWED BY: MELISSA PN: 316 20 074 BP#: VALUATION: $225,000 %PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration /Addition /Repair PRIMARY Civil / Religious activities �PENAMATION 1GENCOM USE• Commercial Building in BQ zone? O Yes � No MIT TYPE: WORK APPLE -SITE DEMO FLAT WORK ,& LIGHTING SCOPE �" 1 �/� Y'i-.'"k PW �1 SFRYIt N,! 1E•Ail( _.. `k'i{jf E' ,� } YX�. '.• y , k rli {!a 4 ` T� Cr 'i .. T r y,S) �',f,� MG i'�Y / x 4 . 4 AL S i L ,� J 5, �' J' ^�'(.x`�"'yn.t 7.♦ • ..1 'l:ffi:-., r' �a.1.�7.,d Pr .r . t .:..< < •,.:. ) Y�d�a'rf';Y. 7li•{14 "I.jkay Eh� iA�/ k. f}I... y L ,�f�. }�� 1.4Ai� �. ,• K.Mi „„„t .n.,..i( k. .r_ri_ ...•» ». v QTY/FEE P!rrrrh. Plcr•f Chrr.l Glec. Pkin ('heck 1 /c h. I'!c.rrr Check 2 hours Plan Check, Hourly $286.00 1STPLNCK Suppl. PC Fee: Q Reg. Q OT 0.0 Afec•h. Perwit 1'-ev: 1'h.ar,'). Pcrtnir 1-ce. I Ic<c. 1 ertnil Fk' em - Other Ilcch. Irv -1, 01her 111tUnh Ins!) Ufhr'1' 1;1r'L'. / Isp. Ir]S�p. l`i'd: Plunrir. lisp. 1 f : ! !.i%i'C. Insp. 1'c'et: hrs -. - i• - n.___- O..L/:,.II/..-t— v: Q;i—,.V~orDi.ctrirt..School NOTE: This estimate does not tnetuaejees aue :u ulcer "up—,....... i. �• • •»•••••••6, - �--_ • • ----_, _ _ , District, etc). These fees are bases on the reumtnar FEE ITEMS (Fee Resolution 11-053 Ej: 7/1 1113) In urm isul. NYO..»U.G FEE ...•» ». v QTY/FEE v.0 » -- MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes Q No $0.00 2 hours Plan Check, Hourly $286.00 1STPLNCK Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? Q Yes Q No $0.00 Suppl. Insp. Fee -.0 Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: 1BC0NST4XC $0.00 _ Amin slrwivc � Work Without Permit? 0 Yes Q No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential E) Building or Structure 0 Doewnenlatiorl Fees: Strong Motion Fee: IBSEISMICO $63.00 2.0 hrs Inspections $286.00 ISTINSP Inspection, Hourly w'xEf 1 P� + $572.00 ` FTOTAL �,J''F.h.... ,�3.n,•. �ww.12.. t-�t^M.•.. ., a)' Bldg Stds Commission Fee: IBCBSC $9.00 $72.00 rRCvlS”' . vv,v,Ew ,v S H= �y ��.y ��J,���3� �T��'��.�1�.0 �.',i�C}��L�,�?��121� 10�00 TorT��v��i�i� �up��tino,+C�95�314 R:�: 1.9I91 �a�l�Pa,r�way I�e�r Gary� Ap�1� i�h�s sulami���plans f�ar�ardsca�ae a�d l�nndsca��w+or�C�.t the abave n�t�d addres�. 'VJe are reque�ting apprc��al t�b��in demc�tit�an d�ing the���vvee�C�:ppea.l peri�d. No�e€�f�e war�C vvi�l im��ef�xisting trees. Apple fi�lly�z�iders��ds th.�risks of pr€��eedin��vi�h wark p�ic�r to receivi��at1 Ci�ap�r��vals. �e�l�x��� an�r��uiared c����s td cc��tstru�tic�n if�ee�ed. Th�:nk y�u fc�c�ous�t�r�siderati�n. Yt��trs t�'uly, g � � �t �-�7 � r.l�i�r'�t.--,�n--.-e.,�r, __ _ _ � �Ijr'� p �t', / , � �� . 4 � �r7.0 �Q �� �`���Vf:��pT11��t ��ple Ine �c: �'r�d A�very �ppf� 3 tlnfihit��.00p ��: 4?-Z�UC ���}�,�7�x101E1�#�one �408,9�4.8�7(��ax. v�w�u.app(�.�c�r�