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15060106CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 6 INFINITE LOOP CONTRACTOR: NOVO CONSTRUCTION PERMIT NO: 15060106 OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED: 06/16/2015 OWNER'S PHONE: 4084380968 MENLO PARK, CA 94025 PHONE NO: (650)701-1500 &� LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL ❑ APPLE - T.I. 1ST FLR ONLY, T.I. FOR TO RECONFIGURE License Class_ Lic. # -7 Q `c 22 OFFICE/LAB AREA (1,754 S.F.) � 60I (O I Contractor 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: $250000 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: 31602110 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 WIT�IIN 18 T 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 AYINSPECTION. 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. Ad 'tionally, the applicant understands and will com s Date: with all no sou regulations per the Cupertino Municipal Code, S i 9 18. ! / RE -ROOFS: Signature Dat/ 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 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 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. 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 the Health & Safety Code, Sections "215 5 , 25533, d 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, 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 CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 ts (408) 777-3223 - FAX (408) 777-3333 • build! nga()cupertino. org ❑ NEW CONSTRUCTION ❑ ADDITION V ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT n PROJECT ADDRESS P , 1 e I APN OWNER NAME /-I PHONE fl �Qp �,�@, �%O�' `�� o�i90 E-MAIL 1 w �6 e�� tf. Coke STREETADDRESS / r, N��LP 7 G� CITY, STATE, ZIP FAX 1)4 /' Cwt G CONTACT NAMEPHONE j o E-MAIL uiGIB.O�YXDWIvy?&CO L1IG ffIYl3�yvlC�i7n.Cliht STREETADDRFSS,/4O CIA_A�T� zIP ^ � FAX O ,,� C �� S /ARCHITECT El OWNER ❑l owNER.B=FR 11 OWNER AGENT CONTRACTOR El R CON7RACTOAGENT El ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC n COM.PP.NY NAME FAX STREET ADDRESS �1�; 0-2A��. ' CITY, STATE ZIP/ PHONE a �,r-rlo A' -M ARCHrTECTFENGLNEER NAME LICENSE NUMBER BUS. LIC COMPANY NAME 1 6 A E-MAIL FAX Copt STREET ADDRESS CITY, STATE, ZIP PHONE v8 ar�i DESCRIPTION OF WORK �,•�.�ol�s . �?o r � .�llCl(/lo�l/� uJ • DIS' ",' 1.4 Wo 101y /V'1TO � XJtA-j O�4,IcP cQ. EXISTING USE PROPOSED USE CONSIR TYPE ,". STS - G0, Cf - f �. ` La 610-j1,.,e_ A / USE TYPE I ( OCC. SQ.FT. I VALUATION (S) Ex[STG - AREA ) NEW FLOOR- AREA / /S DEMO ARtA / 7 V TOTAL / TOT AREA D L4.D O -F �'C � I A j� -y L/ /781 Sy 2 50 c""-' BATHROOM. KITCHEN, OTHER. REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA . DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA; 0 DETACH ❑ ATTACH I m DIA TEEING UNITS: IS A SECOND UNIT E] YES SECOND STORY ❑YES BEING ADDED? NO ADDITION? . PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ TOTAL VALUATION: PLANNING APPL ❑ NO PLANNING APPROVAL LETTERI EICHLER HOME? 0 � � � - � � ; �_r t. ` _ C�0U By my signature below, I certify to each of the following: I am the perry owner or authorized age act on t pe*L 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 '" s accurate, I agree to comply with all applicable local ordinances and state laws relating to building con ion. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: oZzo ZS SU-PPLEMENTAL DI FCR ATION REQUIRED - r 3tOL3ThGSLIP New SFD or Multifamily dv Tellings: Apply for demolition permit for�� o` Ei>Fc trE i h c existing building(s). Demolition permit is required prior to issuance of building, _ 4 — Biravu Pn� c REIEVJ c permit for new building. _ 5 �LAIaTII�G�PANREV�ESV }; Commercial Bldgs: Provide a completed Hazardous Materials Disclosurel sran�alzD Ey ❑ P c�oRRs _ form if any Hazardous Materials are being used as part of this project. �---F L�ARGI;, -� �. �-�fl��•��EP'Lz ;� -,ys �' _ Copy of Planning Approval Letter or Meeting With Planning prior to € sART1�sEji�TsRIC submittal of Building Permit application.1��iMA7oR£ Y £� Bldg4pp_2011.doc revised 06/21111 RM -11 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION 19 ADDRESS: 6 INFINITE LOOP DATE: 06/16/2015 REVIEWED BY: MELISSA PC FEE ID APN: 316 02 110 BP#: *VALUATION: 1$250,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building IBTIPLNCK NTAMATION 1 BTI �USE: RMIT TYPE: FPP WORK APPLE - T.I. IST FLR ONLY T.I. FOR TO RECONFIGURE OFFICE/LAB AREA SCOPE Suppl. Insp. Fee. -(E) Reg. Q OT0 OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.t PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) I -A,1 -B 1,784 $3,306.07 IBTIPLNCK $2,474.38 IBTIINSP Elec. Insp, Fee: $2,474.38 Suppl. Insp. Fee. -(E) Reg. Q OT0 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: -FT $0.00 Construction Tax: Administrative Fee: 0 G Work Without Permit? 0 Yes (j) No $0.00 TOTALS: 1,784 $3,30607`t'' Trowel Documentation Fees: $2,474.38 " MECH, HOi7RLY Yes , 0 No PLUMB, IiOURLYtl Yes r� No fiL�+ C,ttHOURL"TIi' u Q Yes { f No fleet*. Plan C'Yrc:ck Plruub. Plan {'lrecl Elea flan Clseck i,,,lr. Permit Fee: Plumb. Permit Feu: litzc. Perlrrit Fee: Other i1/ech. Inst*. Oilier Plumb Insp. EIF--[- Other Dec. Insp. ,14ech. Imp. P'ee: Phimb. hisp. Tee: Elec. Insp, Fee: NUIE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, eta). These fees are based on the Preliminary information available and are only an ectimatn_ Cnntart the Dont fnr addn'1 infn FEE ITEMS (Fee Resolution 11-053 E{f. 711/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $3,306.07 Select a Misc Bldg/Structure or Element of a Building A Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $2,474.38 Suppl. Insp. Fee. -(E) Reg. Q OT0 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: -FT $0.00 Construction Tax: Administrative Fee: 0 G Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential G Building or Structure 0 Trowel Documentation Fees: Strong Motion Fee: IBSEISMICO $70.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $10.00 k SITBTOTALS $5,860.45 $0.00 TOTAL,FEE $5,860.45 Revised: 05/07/2015 City Of Cupertino 10300 Torre Avenue Cupertino, CA 9501.4-3255 Telephone: 408-777-3228 Fax: 408-777-3333 TOB ADDRESS:6 Infinite Loop PERMIT # 15060106 OWNER'S NA.ME:Apple, Inc PHONE #65.0-399-5449 GENERAL CONTRACTOR: Novo Construction _ BUSLNESS LICENSE # 791022 ADD.R.ESS:1460 O'Brien Drive CITY/ZIPCODE:94025 *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL (OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UN'T'IL, THE GENERAL CONT.R,4,CTOR AND ALL SUBCONTRACTORS FINVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. am not using any subcontractors: Signature Please check applicable subcontractors and complete the following information: l' R Mike w AAA ` Digitally signed by Mike DiMoanco ,\ /,Ike ®I „ ,p ®a n co,` ;DN: cn=Mike DiMoanco, o=Novo Construction, S v' 0 V � I ' .en]ail=mdimonaco®novaconstruction.com, c=US Dale: 2015.09.10 13:42:40-07'00' Owner ! Contractor Signature 9/10/15 Date SUBCONTRACTOR BUSINESS NAME BUSWESS LICENSE # Cabinets & Millwork I Cement Finishing Electrical Cupertino Electric _ Excavation Fencing Flooring / Carpeting SD Flooring Linoleum / Wood Glass /-Glazing Walters & Wolf Heating Silicon Valley Mechanical 024 0 9 Insulation — ........... __.._...... - Landscaping --- .- ........... _........__.._`_ .._._ _.......... _... Lathing Masonry Painting / Wallpaper _ Magnum Drywall Paving Plastering Plumbing Roofing u - _____._............... _____ Septic Tank _ Sheet Metal Silicon Valley Mechnanical r_ Q Sheet Rock -rte rywall Tile Mike w AAA ` Digitally signed by Mike DiMoanco ,\ /,Ike ®I „ ,p ®a n co,` ;DN: cn=Mike DiMoanco, o=Novo Construction, S v' 0 V � I ' .en]ail=mdimonaco®novaconstruction.com, c=US Dale: 2015.09.10 13:42:40-07'00' Owner ! Contractor Signature 9/10/15 Date 11 LL I I 11*<' tLJ� TEMPORARY CER IFICATE OF OCCUPANCY FORM COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 • FAX (408) 777-3333 - building(a)cupertino.org APN 3 f - 6 Z — 1161 BP #: 15060106 DATE: 9/14/15 PROJECT $ $250 000 VALUATION: SITE ADDRESS: 6 Infinite Loop, Cupertino, CA 94015 OWNER'S NAME: PHONE #: 408-438-0968 Apple, Inc FAX #: MAILING ADDRESS (if different from site address): 1 Infinite Loop, Cupertino, CA 94015 CONTRACTOR: Novo Construction PHONE* 650-399-5449 ❑APPROVED FAX #: CONTACT: Michael DiMonaco PHONE #: 650-399-5449 FAX #: TEMPORARY CERTIFICATE OF OCCUPANCY INFORMATION BOND TYPE: ❑ SURETY BOND AMOUNT (1% VALUATION $Ej000 [BLDBONDS]CODE EDITION: ® CHECK ❑ CASH BOND OF BOND: 5Kmin-10Kmax TCO EXPIRATION FEE: �-` 1TEMPOCC] DATE (6 MONTHS MAX): 25 I S $286.00/MO TOTAL FEE: $ S 7 - [ USE TYPE OF CONSTR FLOOR AREA OCC LOAD LEVEL COMMENT Lab VB 1784 / Date:... .1.7..-�.. [I APPROVED APPROVED WITH CONDITIONS ui o ❑APPROVED ❑APPROVED WITH CONDITIONS- Si nature: ..... ..... ............................................. Si Date:...................... er. ❑APPROVED ❑APPROVED WITH CONDITIONS AT41FR n9=PAPTMFNT / O[:FNCY OPPRnVOLS' anning ❑APPROVED APPROVED WITH CONDITIONS Signature: ...... ............................ ..................... Date:........................ A ire Si nature / Date:... .1.7..-�.. [I APPROVED APPROVED WITH CONDITIONS ui o ❑APPROVED ❑APPROVED WITH CONDITIONS- Si nature: ..... ..... ............................................. Si Date:...................... er. ❑APPROVED ❑APPROVED WITH CONDITIONS Signature:......................................................... Date:...................... CONDITIONS OF COMPLETION - Attach a letter signed by the contractor and owner of the property stating the list of items required to be completed for each individual Department before final occupancy can be granted. Include approximate completion dates for each item. The undersigned covenant and agree as a condition to the approval of the above request for temporary occupancy to have the building or buildings complete and in compliance with all building codes, ordinances and regulations and ready for inspection prior to the expiration date specked. If this Temporary Certificate of Occupancy expires, the total amount of the bond may be forfeited and the non-compliance may result in an enforcement action. Owner — Contractor �y Sionature:....................... Date:. "..Z �.... �.- Sigrature:.-- .......... ... Date:...?h.r5 ./ This temporary certificate e u s thatAl f p tection and life safety systems have been completed, inspected, successfully tested and approved for the specific a the b ' di s cified above to provide a r sonable degree of safety to the occupants from fire and similar emer encies. Buildino Official:.... ....... ... VY".'W. ..........Print:... . ............. ....................Date:..../ -- ..... .... DEPARTMENT ACTION: After determination, cd'pies to: 1) applicant, 2) permit file TempOccForm_2013.doc revised 717114