Loading...
15050112CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10431 N DE ANZA BLVD CONTRACTOR: SC BUILDERS INC PERMIT NO: 150501/2 OWNER'S NAME: APPLE COMPUTER INC 910 THOMPSON PL DATE ISSUED: 05/19/2015 OIVNER'S P NE: 5103316719 SUNNYVALE, CA 94085 PHONE NO: (408)328-0688 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL N 7X71r / APPLE - T.I. TO (E) LAB ON IST FLR (381 S.F.) TO RECONFIGURE & INSTALL RF CHAMBERS License Class Lic. [ ,, _ Contractor �� V 1 /,�/� c`L 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: $148750 erformance of the work for which this permit is issued. e and will maintain Worker's Compensation Insurance, as provided for by tion 3700 of the Labor Code, for the performance of the work for which this APN Number: 32633114.00 Occupancy Type: p rmit is issued. APPLICANT CERTIFICATION 1 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 IIT ISSUANCE OR to and i representatives.W this cityto enter conabove mention, onthbuilding ins ionpurposes. upon the above mentioned property for inspection purposes. (We) agree to save property I A 7,� LLED INSPECTION. indemnifyand keepharmless the Ci of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City to consequence of the /JA granting of this permit. Additionally, the applicant understands and will comply an °° ate: with all non -point s rce regulati ns r the Cupertino Municipal Code, Section 9.18. �- Signature Date RE -ROOFS: All roofs �e.pected prior to any roofing material being installed. If a roof is V. installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER -BUILDER_ DECLARATION Signature of Applicant: Date: 1 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. 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 BArea Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance witZtheripertino unic' al Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Se505, 2 3, d 25534, Section 3700 of the Labor Code, for the performance of the work for which this Q Owner or authorized agent Date: S I7 �� permit is issued. 1 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, 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 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 l CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 CLIPER71N0 (408) 777-3228 • FAX (408) 77 -3333 • building a-cupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT # PROJECT ADDRES APN # -3 % 1 �Z C L ON9rEIjdJA - `/f/V � E AO ;A4- 11J F&3 T ( J� 4 U S E/EET ADDUS._ CI Y, S ATE, Z FAX tler.. 3e�! IrotC V_- J1JN rr/�LL �`�S CONjA/ `AM1�- /IGO�/�I AX STREP AD S / CITY, r1 �pAT ZlpV , c A. �4ot� ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT �. CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONT ZR NAME�/ /O'.`L- LI F� NU LICE`g TYPE BU IC lf 6 C TON /%4 E/L�(� � "� r E-MAIL FAX - STR o A -L710^ -0 / AC N C AR HL, ECTIENGINEER NAME Com! �d LICENSE NUMBER BUS. LIC # COMP Y N AM eAn a FAX STRE.T ADSS J A CITY, "[r�TE� /( P ( �•1 a DESCRIPTION OF WORK VL*M0li+ VC or And new r..+sM,ctic., w�, the -firs+-flow PF +"is &Uyve dl ciecupl,,C44 lrw- bt.;1dVr+9 . EXISTING USE PROPOSED USE CONSTR TYPE #STORES B C NO cha✓>rTe) II13 dUSE TYPE OCC. SQ.FT. VALUATION ($) EXISTG Q AREA 381 NEW ELOOR AREA DEMO AREA 38I TOTAL Q NET AREA 381 �aff e IID � +1 3� 1 (J BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: LJDETACH []ATTACH #DWE INGUN'rTS ISASECONDUNIT ❑YES SECOND'STORY OYES BEING ADDED? []NO ADDITION? ❑NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES CEI- 1, TAL VALUATION: PLANNING ADPL# []NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO By my signature below, I certify to each of the following: I am the property owner or authorized agent to a e property owner's behalf. I have read this application and the information I have pr 'ded is correc ve re the D scription of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to Ing construct n aut rize'te sentatives of Cupertino to enter the above-�dentifiep propertye for inspection purposes. Date: 7�/� ✓� Signature of Applicant/Agent SUPPLEMENTAL INFORMATION REQUIRED PLANECKTYIPE ROUTING SLIP - _New SFD or Multifamily dwellings: Apply for demolition permit forOVER-"tHE-COUNTER BU(LDINGPLAN RRVI(EW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ -EXPRESS ' ❑ PL,ANNfXG PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 0 STANDARD Cl ,PUBLIC WORMS form if any Hazardous Materials are being used as part of this project. LARGE FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to � MAJOR � SANiTARl�B>uWERC1tSTRtCT submittal of Building Permit application. ENVIRONMENTAL HEALTH BldgApp_201 1. doc revised 0612Ull .0 u'-\ .C^ , CITY OF CUPERTINO FM -N FEE ESTIMATOR - BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 10431 N DE ANZA BLVD DATE: 05/19/2015 REVIEWED BY: MELISSA PC FEE ID APN: 326 33 114 BP#:o7_ 'VALUATION: 1$148,750 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: IBTIPLNCK PENTAMATION 1B TI PERMIT TYPE: 14 WORK APPLE - T.I. TOE LAB ON 1 ST FLR 381 S.F. TO RECONFIGURE & INSTALL RF CHAMBERS SCOPE PME Plan Check: OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) II-B,111-B,IV,V-B 381 $2,102.26 IBTIPLNCK $656.36 IBTIINSP /' /, ( $0.00 PME Plan Check: $0.00 Permit Fee: $656.36 Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 TOTALS: 381 $2,102.26 $0.00 $656.36 MVCTf, HOURLY Q Yes 0 No PLUMB, HOiJRLY' © Yes 6 No ELEC, IICOLIRLY Q Yes ONO 1%;'Cil, f rtlF7 E i?c'�"��i i��rlrhlf� �a�'!I7 r lIr'{'n f INc 1'�rdli � �lfC�i �„ l rf. �'C'i'lrl,' (t.�_ .,�{'I'Y dii 1"���'_ $2,102.26 Cl ��."i' °( /, �T%:>�"' /,i/r :' 1 v, /i, , r175J'� jr /7: CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: 1 PERMIT # �t OWNER'S NAME: , � � A Q �� w PHONE # G6C> BUSINESS LICENSE # GENERAL CONTRACTOR: � � � C„ ADDRESS: °`" ry CITY/ZIPCODE.�h2o.OaA�P_ 9405 *Our municipal code requires all businesses working in the city to have a City of Cupertino"6usiness license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: ;contractor Signature 6r- ""` Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cemer,"� Finishing Electricalcog ,., c.. -7 Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating ,n (G7 Insulation Landscaping Lathing Masonry Painting / Wallpaper 1,12 OkA Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock 5. tAg$'I Tile ;contractor Signature 6r- ""` Date SMITH—EMERY SAN FRANCISCO An Independent Commercial Testing- Laboratory 1940 Oakdale Avenue 791 East Washington Blvd jORANG San Francisco, California 94124 Los Angeles, California 90021-3043 (4I5) 642-7326 Los Angeles, Fax (415) 642-7055 Fax 749 746-7228 June 25, 2015 SESF Job Number: 69180-4 SESF Lab Number: 15-F-179 City of Cupertino Permit Number: 15050112 Attn: Building Department 10300 Torre Avenue RECEIVE Cupertino 95014 JUN 2 9 2015 Distribution: SC Builders i3Y John Steiber Apple DA 07 - - -- v 10431 North De Anza Blvd. Cupertino, CA SPECIAL INSPECTION AND TESTING FINAL REPORT This is to certify that in accordance with the requirements of Chapter 17 of the California Building Code, we have provided special inspection and testing for the items listed below. Tests and Inspections were made and reported as follows: Bolt /Dowels Installed in Existing Concrete -Expansion Anchors These special inspections and tests were performed by qualified Smith -Emery personnel under the general supervision of the undersigned. Based upon the observations of our inspector, it is our professional judgment that the work requiring special inspection was, to the best of our knowledge, performed in conformance with the approved plans and specifications and the applicable workmanship provisions of the building • �t ria s e e , - e es o0 owe ge; comp y wi ' the requirements of the approved specifications. Respectfully Submitted, SMITH -EMERY SAN FRANCISCO Carl un Civil Engineer, RCE #C54797 ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENT.. AUTHORIZATION FOR PUBLICATION OF OUR REPORT, CONCLUSIONS, OR EXTRACTS FROM OR REGARDING THEMIS RESERVED PENDING OUR WRITTENAPPROVAL ASA MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES. SMITTI-EMERY SAN FRANCISCO 9Q�U An Independent Commercial Testing Laboratory FRAN�'� SECO Job No: 69180-4 To: CITY OF CUPERTINO ATTN: BUILDING DEPARTMENT 10300 TORRE AVENUE CUPERTINO Letter of Transmittal CA 95014 INSPA Date: 06/24/2015 Page: 1 of 1 17 REFERENCE: APPLE l �" l /11�54 — - NO- DA07 PERMIT#: 15050112 RECEIVED, Please find attached the following document(s). Inspection reports for the week ending 6/2/2015 for the subject project. Distributed To: 1) CITY OF CUPERTINO 1) EMAIL: SC BUILDERS, INC. 1) EMAIL: JOHN STEIBER JUN 2 9 2015 BY R-: &-) SMITH—EMERY SAN FRANCISCO An Independent Commercial Testing Laboratory 'PRANG\ SECO Job No: 69180-4 To: SC BUILDERS, INC. GREG BURDA 910 THOMPSON PLACE SUNNYVALE, CA 94086 Subject: APPLE RESULTS WAY CAMPUS, CUPERTINO PERMIT#: 15050112 Attached are inspection reports for the week ending 6/5/2015 for the subject project: ReonrtBy BROWN, RAYMOND G INSPECTION REPORT Report No.: INSP-1 Date: 6/24/2015 Distributed To: CITY OF CUPERTINO EMAIL: SC BUILDERS, INC. EMAIL: JOHN STEIBER Report Dated Report Title 06/02/2015 Daily Inspection Report for 6/2/2015 ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AUTHORIZATION FOR PUBLICATION OF OUR REPORT CONCLUSIONS, OR EXTRACTS FROM OR REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES. SMITH --EMERY' SAN FRANCISCO 2Q®� An Independent Commercial Testing Laboratory SMITH -EMERY SANT FRANCISCO 1940 Oakdale Ave, San Francisco, CA 94124 (415) 642-7326 ARM` LEA #56 DSA File # DSAAppl. # OSHPD 4 perrnitg 15050112 DAILY SPECIAL INSPECTION REPORT - EPDXY ANCHOR Project Name: APPLE DA07 Date: 6/2/2015 Project Address: 10431 NORTH DEANZA BLVD CUPERTINO CA SESF job 4 69180-4 Inspection Location: ROOM 117 - WER CHAMBER Inspection(s) Performed: Document(s) Reviewed: SITE PLAN Description of Anchor Anchor Location Total Embeds Hole Diameter in. Depth in. Detail Epoxy Manuf. / Product ICC -ES # Expir. Date 3/8 IULTI KB TZ ROOM 117 6 of 24 1/2" 2" RF2/9 N/A -0 _E1_ NOT Inspected in Accordance with the Requirements of ❑ M4 ❑ OSHPD JURISDICTION Approved D c�_m_dnt�' Work M X� ❑WAiN I e�te 6 El WA Work Inspected MET [:1 DID NOT MEET The Requirements of the F-1 DSA E] 0SHPD Ej JURISDICTION Approved DocumentsEj N/A Work Not In Compliance: Attachments: CC. DSA. Regional Office Project Architect Structural Engineer Project Inspector School District Notified (Required): Name: Ray Brown Signature: Certification 4: 01284988 Ernp. ID: _9052 Page — of —