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15030157 (2) CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 6 INFINITE LOOP CONTRACTOR:NOVO CONSTRUCTION PERMIT NO: 15030157 OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED:03/25/2015 OWNER'S PHONE: 6504211832 MENLO PARK,CA 94025 PHONE NO:(650)701-1500 WD LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL E] APPLE-4TH FLOOR; COMM.TI TO INCLUDE License Class Lic.# 79_fl� ACCESSABILITY UPGRADES TO BALCONIES,OFFICE lS AREA(E)RMS 1368 SQ FT Contractor_/�/of/o CGYI£���tc�av�e Date DEF#2-DETAILS FOR PREVIOUS REFERENCED SHEETS I hereby affirm that I am licensed under the provisions of Chapter 9 -A8,A11.60,C3&C3.1 -ISSUED 6/4/15 (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. Sq.Ft Floor Area: Valuation:$250000 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 WITHIN 180 DAYS OF 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 T LED 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 Date: v < granting of this permit. Additionally,the applicant understands and will comply I y' with all non-point source regulations per the Cupertino Municipal Code,Sec 9 18. R OOFS: Signature Date i'C All roofs shall be inspecte no y roofing m�to ng installed.If a roof is installed without first obta g an inspection,I agove 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 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 1 have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,an 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date: �S permit is issued. I certify that in the performance of the work for which this permit is issued,l 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 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 CONSTRUCTION PERMIT APPLICATION G COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISIO Nce 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228= FAX(408)777-3333•buildingacupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI FI—REVISIOJF DEFERRED ORIGINAL PERMIT n PROJECTADDRESS L{ Wb NPN# OWNER NAME V1 t A4 cV PHONE ,r5'!? e4'91 I&V E-MAIL STREET ADDRESS ` ��/�� 1 /a a�a CITY, STATE,ZIP G� 1-� C/0 /1 1��o r I FAX CONTACT NAME / f',' {� (/ (3TG (� vl ,[l 034 OL PHONE / '5.b , ( I _S�Aq E-MAIL �Mwt�( t'NO CGYI c� C61�+ STREET ADDRESS /�/U 101 1 CrrY,ST�TE, (ZIIP v l(00 I'.e PK ►� a � CA IDR FAX ❑ OWNER ❑ OWNER.BUII.DER ❑ Ot1TIERAGENT ❑ CONTRACTOR ❑CONTRACTORAGENT • ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMES�r ` L LICENSE NUMBER lO LICENSE TYPE BUS.LIC# �J P E-MAIL FAX NAME 04�o J tCodSTrtAC�+ STREET ADDRESS J �r I CITY,STATE ZIP PHONE ARCHITECT/ENGLNEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME r E-MAIL FAX STREET ADDRESS ^w d CITY,STATE,ZIP PHONE S�' u OA C of 15a . v .o78a 83 DESCRIPTION OF WORK 'J p p r�f=o7 �j1Ltd/cY►c< '' PAA90 Vr6A,-- &fI cif Ot1�� EXISTING USE PROPOSED USE CONSTR TYPE 4 STORIES USE 'TYPE OCC. SQ.FT. VALUATION(S) ES.ISTG NEW FLOOR, DEMO TOTAL AREA AREA AREA NET AREA _. BATHROOM. KITCHEN, OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA . DECK AREA TOTALDECK/PORCH,.AEA GARAGEAREA: DETACH [:)ATTACH DWELLD.G UNITS: IS A SECOND UNrT ❑YES SECOND STORY ❑YES BEING ADDED? ❑NO ADDITION? ❑NO PRE-APPLICATION OYES IF YES,PROVIDE COPY OF IS THE BLDG 4N ❑YES `y`IC r s`r � .� TOTAL.VALUATION: PLANNING APPL# ❑NO' PLANNING APPRO\AL LETTER ETCHLER HOME? ❑NO y_ � - t. �s e� ka¢ By my signature below,I certify to each of the following: I am the property owner or autho ze o on the property ovmer's behalf. I have read this application and the information I have provided is correct. I have read the Description of ork ifd verify it is accurate. I agree to comply With all applicable local ordinances and state laws relating to building construction. I aut ize representatives C rtino to enter the above-identified property for inspection purposes. Signature ofApplicant/Agent: Date: '� S SUPPLEMENTAL INFORMATION REQUIREDR>aI.ccx �xu aHS � o New SFD or A4ultifamily dNN,ellings: Apply for demolition permit for � F i3 Tsar , ❑45 O�ERTHE COUhTERMaBT3II DLit PL existing building(s). Demolition permit is required prior to issuance of building perm it for new building. •� XP6ES , `� ©ft�" � .�"� �x 3 RA] GELANRE �V r hr � ..9 .. A' -'r t-tai=s _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure { � x x .$ I- x3h a USI�Q.�'G,o c-4szc ,:err form if any Hazardous Materials are being used as art of this project. "WQ � P P 1 � '" _ air - ? _Copy of Planning Approval Letter or Meeting With Planning prior to � 6R£ h�F submittal of Building Permit applications �� 5sAr`rrYsR�is��Riclg" Ks' ,k, •x -Y''. `yam'�-'+r _ If' e�.7 -- �i F-�" �s-.'4 *�Y3 ,,v��rt•s' y.,Ci�y"4 i ���s++' €� �.,. � .��..-_�r��u.��.�s.._��..,�M._ -El.�on�x •:T�Avza-:=��x� Bld.-App_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 6 infinite loop DATE: 06/04/2015 REVIEWED BY: melissa APN: 316 02 110 BP#: 15030157 *VALUATION: $0 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration /Addition/Repair PRIMARY Civil/Religious activities PENTAMATION 1 GENCOM USE: Commercial Building in 130zone? 0 Yes G)No PERMIT TYPE: i WORK DEF#2- DETAILS FOR PREVIOUS REFERENCED SHEETS -A8 A11.60 C3 & C3.1 - ISSUED SCOPE 6/4/15 Jw.'r " � r'!8- Jn A.L'�_f w.:� hi.ti vycs h., N d�'"t dna dS�+. ;.�a��e^,.t ,y (^�h'."�?r lit t� ffio?}7 t.a: z- C �,.r o P,;•:;,7Y .3 ti.r'd r°Sp. a *� ? 3 Jr�i, y�.,1}�i`t .`'� r, 'd` ? . PJq� �x6 h�'i 'loN.rir SSu39,, 4�rlRh 7,��}t•1j Iry ;._ k '�4.54. (x'„lY�r,�.'�lit "R,w,c Y�'"r?�,;...€�_*C, ca' ryyd a4;'a.,k..Nw.. 9N.r•r .. ,, fech. Ilan Check 1'lzrrrrl>. P1cuv C h ck lflec..f'hrrt('luck :5:+eclr. Pernr111'ec>: 11hw7h. l'i:rrniJ l'ec: lilec'. Permit Hee: {:)rixt,• 11,:�Ir. trap. Other 1'hrntlr irttP C)11.r:r•El<:c•. hrsp. Wcrh, /n.ip. Per:: 1'lttruh• losp. fe, lila:.Imp.Fee EL NOTE.This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resolution 1/-053 Eff. 711;`13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 1 # Deferred Submittal Suppl.PC Fee: Q Reg. Q OT 0.0 hrs $0.00 $286.00 IDEFSUBM PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee:Q Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXC $0.00 1c ininistrative F(MI. Work Without Permit? O Yes Q No $0.00 E) Advanced Planning Fee: $0.00 Select a Non-Residential Building or Structure /Pavel Docuinenlatinn poles: -T7==] � Strom Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 286.00 ' ti TOT�A���'�TE" $286.00 SUBTOTALS"r: $0.00 $ v .. ... ,. .5 �... r,,..��: Revised: 05/07/2015