15030157 (4) 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
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL Q COMMERCIAL
APPLE- 4TH FLOOR; COMM.TI TO INCLUDE
License Class_ Lic.# '7 0 �' Z ACCESSABILITY UPGRADES TO BALCONIES,OFFICE
ZS S
Contractor U V Ler15k'rrcfiorDate � AREA
l (E)ROOMS 1368 SQ FT
1 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
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 l 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 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 AST 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:
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 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 l 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)
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 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.
1 certify that in the performance of the work for which this permit is issued,1 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,l must 1 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.1 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
COMMUNITY DEVELOPMENT DEPARTMENT: BUILDING DIVISION
10300 TORRE AVENUE •CUPERTINO,CA 95014-3255
(408)777-3228• FAX(408)777-3333•
I
Uullding Gncugertino.orq
CUPERTINO
❑NEW CONSTRUCTION ❑ ADDITION • ALTERATION/TI ❑ REVISION/DE URRED ORIGINAL PERMIT/{
PR0.1 L-C"f:\DDRGSS APN i/
co U2 /lv
OWNL•R NAi\'IE ^_ / _ PHONE / �O Lf.2-1 _'�� E-MAIL
STREET ADDRESS/,6 � CITY, STA'1'E,ZIII ` FAX y`
CONTACT NAME I'IiONI- E-YIAII..
d c� 5-V c121 l wt c. Ar {t Ch A. +"'re
els,co,
STREETADDRESS CITY,STATE, ZIPFAX
L-ao �in0 s-4
❑OWNER ❑ OWNER-BUILDER OWNER AGENT ❑ C'ON'T RAC-fOR ❑CON'T'RACTOR AGENT ❑ ARCHITECT ❑ENGINEi R ❑ DEVELOPER ❑TENANT'
CONTRACTOR NAME LICENSE NUMBER LICENSE"TYPE BUS.LIC P
a o irc v,7--Z2 `% 1
COMPANY NAME E-MAII FAX
k 6 vo ✓c :0I f l c
s'fREE'f ADDRE'S CITY,STATE,ZIP PH j.� �O I
0 < < F o _.r e O b
ARCHITECT/ENGINEER NAME LICENSE,NUMBER BUS.LIC Il
Cv a�5or% C-2vfl—
COMPANY NAME E-MAIL FAX
c Ise m
STRF:E'r ADDRESS �{ CITY,STATE,ZIP C� "
Ni
rM 2-
DESCRIP'ION OF WORK
fcs4-
fz, b of l G d n;e S 6 -cam c c sc y E e_(Qc�F 4 c4
v F-O ( aU N1S
EXISTING USE PROPOSED USE CONSTR TYPE N S'ro)tlES
D 91.4_ V may, _(a/ USE TYPE OCC. SQ.FT, VALUATIONS)
EXIS'I'G NEW FLOOR DEMOp'TOTAL
AREA � 7K AREA 'VIA AREA NET.AREA(J7 /f/, I•
BATHROOM "[ KITCHEN OTHER l /
REN40DELAREA ,t rREMODEL.ARRA./A REMODEL AREA
PORCH AREA DECK.AREA TOTAL DL'CKMORCH AREA GARAGE AREA: DETACH
Aq A'TTAC'H
. . ............
N DN+LLLINC UNITS; IS a\SECOND UNIT YES SECOND STORI' py�y1YES
BEING ADDED? W-40 ADDITION:' L7 NO
PRE-APPLICATION []YES IFYES.PROVIDE COPY'OF IS THE BLOC AN 11 YES RECJEIVED)Bt,f\u sr}I y '+ �+ ' l+jOTAAAjjj,,,VALUA"TION:
PLANNINGAPPLU NO PLANNINGAPPROVALLETrER EICHLER HOME" ❑NO > .,� y.�
❑
By my signature below.I certify to each of the following: I am the property owner or authorized agent to ac )e property owner's behalf I have read this
application and the information 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. �_ Dater
SUPPLEMEN'T'AL INFORMATION REQUIRED
y . I)CrI7111 for i,i��t)ti 1 ! lr IIVir Yid. iZtt Wyk 53i�7Si t7l lflj Iia fr)li iql d� f1 4.J�is�Gl/1 }4/! ,�
New SFD Or MUI(IliTmil dwellings: Apply for den1011[IOD OViFR THE COUNTER! I
❑� NC PLANfIfEViIEW
existing building(s). Demolition permit is required prior to issuance of build
permit for new building.
❑Il PLANNLI4C PLAN1tEV1EW
7✓> t 5 19 ,y..F; +-,t, sly i5 t.! 7�tp� I�' }t+ l t
Commercial Bldgs: Provide a completed flazardOLIS Materials Disclosure 3 r0�STAN�AIRD t I ! �'17 9) �PUBILLC WORKS t I s i I {
F1 rkf'kf,'t,j +r P i'r YL
form if any Hazardous Materials are being used as part of ibis pro
ject.
_Copy ol'Planning Approval Letter or Meeting with Planning prior to
`7MAIJOR'',t 4 } ; o- s�t1 rSr•N4T.ARYCSEWERDiST�21CT7
submittal of Building Penni[application.
,, ;❑f�Ej�iV1RON11�EIV'�pL:IHE�LTI�,
BlclgA1)p_20/1.cloc revised 06i2//1!
CITY OF CUPERTINO
FEE ESTIMATOR- EUILDING DIVISION
[I
ADDRESS: 6 infinte loop DATE: 03/25/2015 REVIEWED BY: Mendez
APN: BP#: 'VALUATION: $250,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building PENTAMATION 113 TI
USE: PERMIT TYPE:
WORK apple- 4th floor; comm. ti to include accessability upgrades to balconies office areae rooms
SCOPE
OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID
CONSTR. S.f.
B (Tenant Improvements) II-B,111-B,IV,V-B 1,368 $2,154.86 IBTIPLNCK $1,339.96 IBTIINSP
oo
TOTALS: 1,368 $2,154.86 $1,339.96
� yr llf8�grt•,�::a3�,y ui��ys0 y 7:.� 7::;.�*ri � �iY r; r bel .r�Aih�i Iz�z shy' 1 Vitra° �J,n noel YN prr*,s• r,:'t�'"� ,v,E',w s�'hf dm,::��hY d�f�ly ;;—7 fw+ _.g ah x:�v:.
A,cbr i'ko."(7'wcF Phuuh. l'hw: CII, bjec'. Phzn Che(-.,k
:�9Nctlr. Permit F�'�': 77trrnl>. Pc:rrrv'i!Fee.' I:(�c. Pernril i•Cec;
O7rri'r` 1'f:<'i'r. Ir•'s'F' (l11w, 1'ltrnti,Irr;'. UiAs' t.;i<-!'. I tst'r. ED__L_
Ph?!W,. hisj). l c��.`: f ic:c. Msp. Fast.
NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works, Fire,Sanitary Sewer District,School
District,etc. . These ees are based on the prelimina information available and are on! an estimate. Contact the De t or addn'l info.
FEE ITEMS (Fee Resolution 11-053 Eff.' 7.1113) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $2,154.86 Select a Misc Bldg/Structure
Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 or Element of a Building
PME Plan Check: $0.00
Permit Fee: $1,339.96
Suppl. Insp.Fee-0 Reg. Q OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
(.'n�tslrtu'ticnr .1'cn:
A :Imi nisll';d11 ve O
Work Without Permit? Q Yes (j) No $0.00 E)
Advanced PlanninL Fee: $0.00 Select a Non-Residential Q
Buildin or Structure
7' a PV e'l 1.7!!C"bliYlrrf2lCll7!/1'> 1'e<'.S': g Q'A
Strong Motion Fee: IBSEISMICO $70.00 Select an Administrative Item
Blde Stds Commission Fee: 1BCBSC $10.00 ,
$3,574.82 $0.00 TOTAi;FEE' $3,574.82
Revised: 02/14/2015