15120160M
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 6 INFINITE LOOP
CONTRACTOR: NOVO CONSTRUCTION PERMIT NO: 15120160
OWNER'S NAME: APPLE COMPUTER INC
1460 O'BRIEN DR DATE ISSUED: 12/17/2015
MENLO PARK, CA 94025 PHONE NO: (650)701-1500
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL E]
OWNER'S PHONE: 6504211832
LICENSED CONTRACTOR'S DECLARATION
License Class Lie. # % `�a a
APPLE - TI ON 4TH FLOOR - DEMO OF (E) PARTITIONS
WITH INSTALLATION (N) PARTITIONS, FINISHES AND
Contractor_�(%d�/D �UI'1ij��s ��i?1 Date 'J C�
FURNITURE (974 S.F.)
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
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, for
Sq. Ft Floor Area:
Valuation: $150000
as provided 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
correct. I agree to comply with all city and county ordinances and state laws relating
PERMIT EXPIRES IF WORK IS NOT STARTED
to building construction, and hereby authorize representatives of this city to enter
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino liabilities,
180 YS FROM LAST CALLED INSPECTION..
against judgments,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
Issued by: Date:
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18, lis•'
Signature Date Xa �,
RE -ROOFS:
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
I hereby affirm that I am exempt from. the Contractor's License Law for one of
Signature of Applicant: Date:
the following two reasons:
I, as owner of the property, or my employees with wages as their sole compensation,
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
will do the work, and the structure is not intended or offered for sale (See.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
I hereby affirm under penalty of perjury one of the following three
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations:
I have and will maintain a Certificate of Consent to self -insure for Worker's
Health & Safety Code, Section 25532(a) should I store or handle hazardous
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, 25 nd 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
-+�
permit is issued.
Owner or authorized anew= Date:
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 Adaress
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
1560160
CITY OF CUPERTINO
FM---1-FEE ESTIMATOR - BUILDING DIVIR-rnN
ADDRESS: 6 INFINITE LOOP
DATE: 12117/2015
REVIEWED BY: PAUL
APN: 316 02 110
"PERMIT TYPE,: B�ildin g Permit
USEMRY�COmmerciaI Building
I;
WORK A le TI on 4th floor --demo of Q partitions
SCOPE
VALUATION:
PLAN CHECK TYPE: —Tenant Improvement
PENTAMATION
PERMIT TYPE: 13TI
A
with installatirM (N) partitions finishes and furniture
Plan Check Fee:
$3,201.37
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
(S,f)PC
FEES
PC FEE ID
BP FEES
PME Plan Check:
BP FEE ID
B (Tenant Improvements)
I -All -B
974
$3,201.37
IBTIPLNCK
$1,599.71
IBTIINSP
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Work Without Permit? 0 Yes (j) No
TOTALS:
974
$3,201.37
$1,99.71
,59
E)
(0
n
0;"h�,.-
Insp.
NOTE.- This estimate does not includefees due to other Departments (i.e.
irks, Fire, Sanitary Sewer District,
"I.Strict,erc.). juese fees are based on tire relimina information available and are onh, an estimate Contact then i for addn'Z in
FEE ITEMS ([-"ee.Resolution .1.1-053.L"ff 7/11131
FEE
QTY/FEE
MISC ITEMS!
Plan Check Fee:
$3,201.37
Select a Misc Bldg/Structure
or Element of a Building
Suppl. PC Fee: (F) Reg. 0 OT
[ 0.0]
firs
$0.00
PME Plan Check:
$0.00
Pen -nit Fee:
$1,599.71
Suppl. Insp. Fee: •, Reg. 0 OT
0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Work Without Permit? 0 Yes (j) No
$0.00
Advanced, PlanningFee:$0.00
Select a Non -Residential
Building or Structure
E)
(0
ave"U ' a e,
Strong Motion Fee: IBSEISMIC0
$42.00
Select an Administrative Item
Bldg.Stds Commission Fee: IBCBSC
$6.00
-.SUBTOTALS:
$4,849.08
$0.00 TOTAL FEE..':
$4,849.08
Revised: 10/01/2015
CONSTRUCTION PERMIT APPLICATION OaQ[60
COMMUNITY DEVELOPMENT DE=PARTMENT e BUILDING DIVISION
19300 TORRE AVENUE ® DL PERTINO, OA 96014=3255
(498) 777=3226 - FAX (408) 777=3333 - building rcucertina org
PROJECT ADDRESS
6 Infinite Loop
OWNER NAME
Apple, Inc
STREET ADDRESS
1 Infinite Loop
CONTACT NAME Michael DiMonaco
STREET ADDRESS
1460 O'Brien Dr
ALTERATION /
APN L
PHONE E-MAIL
650-421-1832 ranchartechahar@apple.com
CITY, STATE, ZIP Cupertino, CA 94915 FAX
PHONE E-MAIL650-399-5449 mdimonaco @ novoconstruction.
CITY, STATE, ZIP Menlo Park, CA 94025 FAX
fwd OWNER ® OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR 1 CONTRACTOR AGENT 13 ARCHITECT 13 ENGINEER ❑ DEVELOPER 13 TENANT
CONTRACTOR NAME Michael DiMonaco LICENSE NUMBER
791022 LICENSE TYPE B BUS LIC
COMPANYNANIE Novo Construction E-MAIL FAX - -
mdimonaco @ novoconstruction, com
STREET ADDRESS_ 1460 O'Brien Dr. CITY, STATE, ZIP PHONE
Menlo Park, GA 94925 650-399-5449
ARCHITECT/ENGINEER NAME Diva Wnje
LICENSE NUMBER BUS. LIC h!
COMPANY NAME $-MAIL - -
HGA Architects and EngineersE dwinje@hga.com FAX
STREET ADDRESS CITY, STATE, ZIP E
96 North 2nd Street San Jose, CA 95113 PHON408-213-8214
DESCRIPTION of WORT: Minor tenant improvement on the fourth floor of a four story office building. Includes demolition of (e) partitions,
finishes, and furniture.
EXISTG
AREA 974
BATHROOM
REMODEL AREA
NEW FLOOR
AREA 974
KITCHEN REMODEL AREA
Lab I ]A- 1 4 I TYPE IOCC.
DEMAREA TOTAL
974 1 NET AREA. 0 1 CPU Lab 1 A A
REMODEL AREA
ATTACH
SQ.FT. VALUATION t$j
974 $150,000
BEING ADDED? []NO
PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF
PLANNING APPL # ®NO PLANNING APPROVAL LETTER
ADDITION? Q No
IS THE BLDG AN ® YES.
EICHLER HOME? ONO
RECEIVED BY -
TOTAL VALUATION:
$150,000
By my signature below, I certify to each of the following: i am the property owner or authorized agent to act on the 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 thorize representatives of Cupertino
to enter the above-ide itified,property for inspection purposes.
SignatureofApplicant/Agent
Date:
SUPPLEMENTAL INFORMATION REQUIRED
PLAN CHECIC TYPE
ROUTINGSLIP
New SFD or Multifamily dwellings: Apply for demolition permit for
El ovER-TIIE-CouN�rER
❑ BUILDINGPLaNREVIi w
existing building(s). Demolition permit is required prior to issuance of building
permit for new building.
❑: EMPRESS .
❑ PLANNING PLAN REVIEW
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
❑ STANDARD
❑ PUBLIC WORKS
form if any Hazardous Materials are being used as part of this project.
❑ BARGE
❑ FIRE DEPT
__Copy of Planning Approval Letter or Meeting with Planning prior to
submittal of Building Permit application.
❑ maaaR
1T1 SANITARY SEWER DISTRICT
__.
- -
❑ r.NvrRa]N-AF.NTAT. HEALTH
Bld,-App_201 1. doe revised 06,12PII