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15020137 (4) CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 6 INFINITE LOOP CONTRACTOR:NOVO CONSTRUCTION PERMIT NO: 15020137 OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED:03/09/2015 OWNER'S PHONE: 4084380968 MENLO PARK,CA 94025 PHONE NO:(650)701-1500 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL APPLE-T.I.TO RECONFIGURE 15,220 S.F.ON WEST License Classrt , Lie.# `-7 q (U 1 -_;I_ SIDE OF 1 ST&2ND FLOORS,INCLUDING M.E.P.'S Contractor �'CJDOO Date I hereby Affirm that I am licensed under the provisions of Chapter 9 REVISION 91-SHOW PHASING OF CONSTRUCTION(PHASE 1;2ND (commencing with Section 7000)of Division 3 of the Business&Professions FLOOR;PHASE 2;IST FLOOR)ISSD OTC 3/18/2015 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. Sq.Ft Floor Area: Valuation:$525000 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: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.1 agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAY"F 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 DAYS FR / 'ST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the Issued by: Date• 15 �UL 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. 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,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 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 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 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 1 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 25505,25533,and 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 CONSTRUCTION LENDING AGENCY Compensation laws of California. If,after making this certificate of exemption,1 become subject to the Worker's Compensation provisions of the Labor Code,1 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 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, 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 Profc55ional 9 18. Signature Date a CONSTRUCTION PERMIT APPLICATION ~ COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 (408)777-3228 • FAX (408)777-3333• buildinora)cuoertino.org CUPERTINO ❑NEW CONSTRUCTION_.. ❑.ADDITION ❑ ALTERATION/TI REVISION/DEFERRED ORIGINAL PERMIT n f . 7 PROJECT ADD S� APT - Ln OWNER NAA4E �I G / PHOL G U •�� (_yi E-MAIL �5 �G STREET ADDRESS y Ian CITY, SSATE, ZIP, FAX CONTACT NAME I I PHONE U 1 / E-MAIL STREET ADDRE Sf' (r (( CITY,STATE, ZIP F.4X 1. ,�....LGoC L2 af S �?.'lG pct U '❑'OWNER'- ❑ OW'IMR-BUILDER: �ONR.°ERAGENI' ❑ CONTRACTOR - ❑CONN•IRACTOR:4GENT ❑ ,ARCHITECT ❑ENGINEER. ❑ DEVELOPER -E)TENANT CONi RACTOR NAME GZ C� UTC LICET'SE D LICENSfTYPE BUS.LIC R C x d COMPANY NAME E-M.41LFAX /U000 (z w STREET ADDRESS ' (,. 1 ^ CITY,STATE,ZIP PHONE v I ARCHITECT/ENGI'EER NAME LICENSE NUMBER I BUS.LIC Son 2-0 _ COMPA?.'Y NAME � G� I E-MAIL FAX n STREET ADDRESS (�/ � 'I -) n c� �� CITY,STATE,ZIP �� �_ I PHONE _ �9 . DESCRIPTION OF WORK /V G �% (�� (i v"s'� Lt�'t� ✓�.� �n �� �d n 4-{-r J G�i-in a -- G F(: Ex1STING USE PROPOSED USE CONSTR.TYPE X"STORIES USE TYPEOCC. SQ.FT. VALUATION(S) EXISTTOTAL AREAG AREA I NFLOORARE NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK)PORCH AREA I GAR4GE AREA: DETACH ❑ATTACH 4 DWELLING UNTIS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING.4DDED? ONO ADDITION? ONO PRE-APPLICATION O1—.S IF YES,PROVIDE COPY OF 15 THE BLDG AN ❑YES =IjECEI\/ $ r.-.�'0"', �, v TOTAL PLANNINGAPPL° ONO PL.4I.TI 'GAPPROVALLETTER I EICHLER HOME? ❑NO By my signature below,I certify to each of the following: I am the property owner or authorized agent to art on roperty ovgier's behalf. I have read this application and the inforniation I have provided is correct. I have read the Description of Work and verify 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: V '�� Date: SUPPLEMENTAL INTFO164ATION REQUIRED :y ' BI:AJ�C&ECKrYPE� �;__ �,.x•�r,�+fi,ROLiSIlYG SLIP,.��;'�„Y.x•- _ New SFD or Multifamily dwellings: Apply for demolition permit for ` � � �� ��* �� W� � r q• 01E rECOL��ERMLILD GPL43�,RE��\yd existing building(s). Demolition permit is required prior to issuance of building tANtr � grit for new building. _Commercial Bldgo s: Provide a completed Hazardous Materials Disclosur „C� srND�tD � E sr r�,�T�Bi rCwois 4'' g form if any Hazardous Materials are being used as part of this project. Q. Copy of Planning Approval Letter or Meeting with Planning prior to ��� �Es�Y: '� �e �pE6" 'R su_bmittal of Building Permit application. �� Tb � `� t'flz stt`$AttYSER�I�SrRicr e t 1"5s�. � �. ^es-3' .nF`" '7i�r'� '�r£�i'Ji as•..E'. ,�-- - t '�nc,rROr\'hrENr�iB"E.AI;T.Re ... BldgApp_2011.doc revised 06/21/11 J CITY OF CUPERTINO FEE ESTIMATOR— BUILDING DIVISION ADDRESS: 6 infinite loop DATE: 03/17/2015 REVIEWED BY: Mendez APN: k•..,1y�F.�9)1lN'%-S.;sdY{upM.4S�'.S���:i�.{.�tl�r�spfur�It,.t . —:.,W`;7�.:`.�M.;^Y/[r'7t�r�.,d"✓�r.lkxr1'" *.raf,Rt.t�r"�a`e Wixr'.-n�i�i;.Y:.-'':+R.�av�l�m''2iS.�$y�"fti.���"•'.m"I*«r T�''�w pB'•"-.�.�-s?'�vr�'..`.T�.t%:.-;a�;N.^�ac�CfriO'�;'."'1 7-st`''."E�`ht`f.'z.Z te �t 1�Y�At��jr>t�1el�¢�P,!*tr S�+,s`srLL;a.{�r:ittA,-r-".�!•Y�.`r SPal(_'�#S,�yh:13,' �.�r(�+1i rd�.1(l,:t/sT�y.'u�2u1:lv�ltfSnr:+isr`l'rrr sJs/Frdd[r•"w6rla���ctii�'rrc�d$.��,Qfits�©!G,it`.�,_ka'4N f�d3��'r✓'�a1�f3h�s'rm)pTk��B,Yfiar�►-� -r�-h^� �'��f4�R°�,��1�y.„r-__'*•”'�.�3r^+i"y's��� stsr�f3�1 dfi�•�Jw�-t.t�.w�b�.znVALUATION: ALIATION:" $"4rt'0 *PERMIT TYPE: Building Permit PLANCHECKTYPE: Tenant Improvement PRIMARY PENTAMATION y ,r lr1u� GaEtdr.N r`.qhC:�!t�_.�_yn tO i terla,.•a { -t/M USE: Commercial Building PERMIT TYPE: WORK OPE ��REVOIS�ION 1- SHOW PHASING OF CONSTRUCTION PHASE 1; 2ND FLOOR• PHASE 2; 1 ST LOR) ISDSCFSOTC 3/18/2015 ` . .t ..... I ' Id3dlPP Ea 'dX. MI N9, N pi Ott r 't 111!1 v1 _ - _ - O 0 Ye No plk Without PmiPwsidential- dvanced Planning Fee: $0.00Ar -OO — ;;..A Administrative,Item $0.00 10 Fee- F1 I djtx eeF1Idtt I c $288.00§, yF TRW .. ^ a Revised: 02/14/2015