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15120170CITY OF CUPERTINO� BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15120170 2 INFINITE LOOP CUPERTINO CA 95014 (316 02 106) NOVO CONSTRUCTION INC 1460 O'BRIEN DR MENLO PARK, CA 94025 OWNER'S NAME: ( APPLE COMPUTER INC) DATE ISSUED: 12/18/2015 OWNER'S PHONE: (408) 996-1010 PHONE NO: 650-785-1617 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class CONTRACTOR - GENERAL Lie. #791022 Contractor NOVO CONSTRUCTION INC Date 11/30/2016 —BLDG —ELECT _ PLUMB MECH RESIDENTIAL COMMERCIAL 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. JOB DESCRIPTION: APPLE - T.I. TO RECONFIGURE (E) 4,900 S.F. (1ST I hereby affirm under penalty of perjury one of the following two declarations: FLR ONLY) 1. I have and will maintain a certificate of consent to self -insure for Worker's TCO GOOD THROUGH 3/1/17 Compensation, as provided for by Section 3700 of the Labor Code, for the REV#3 (FOR DEFERRED #1) EQUIPMENT ANCHORAGE AND ADD 1 performance of the work for which this permit is issued. PIECE OF EQUIPMENT -ISSUED 08/11/2016 A I have and will maintain Worker's Compensation Insurance, as provided for by REV#2 CLARIFY FIRE SAFETY; PATH OF TRAVEL - ISSUED Section 3700 of the Labor Code, for the performance of the work for which this 12/21/2016 permit is issued. REV#1 - REVISE EXPOSED CEILING TO DROPCEILING, REVISE APPLICANT CERTIFICATION INDIVIDUAL OFFICES GLASS WALLS TO SOLID AND REMOVE certify that I have read this application and state that the above CORRIDOR CEILING RENOVATION. - ISSUED 4/24/16 information is correct. I agree to comply with all city and county ordinances DEF # 1- EQUIPMENT ANCHORAGE FOR SHOP TOOLS - ISSUED and state laws relating to building construction, and hereby authorize 7/18/16 representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the Sq. Ft Floor Area: Valuation: $900000.00 City of Cupertino against liabilities, 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 with all non -point APN Number: Occupancy Type: source regulations per the Cupertino Municipal Code, Section 9.18. 316 02 106 signature-- Date 12/21/2016 PERMIT EXPIRES IF WORK IS NOT STARTED C WITHIN 180 DAYS OF PERMIT ISSUANCE OR OWNER -BUILDER DECLARATION 180 DAYS FROM LAST CALLED INSPECTION. I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: t. 1, as owner of the property, or my employees with wages as their sole Issued by: Leeacv compensation, will do the work, and the structure is not intended or offered for Date: 12/18/2015 sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed RE -ROOFS: contractors to construct the project (Sec.7044, Business & Professions Code). 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 I hereby affirm under penalty of perjury one of the following three declarations: inspection. 1. 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 t-- "�� performance of the work for which this permit is issued. ~Signature ofApplicant: 2. I have and will maintain Worker's Compensation Insurance, as provided for by Date: 12/21/2016 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 3. 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 HAZARDOUS MATERIALS DISCLOSURE Worker's Compensation laws of.California. If, after making this certificate of I have read the hazardous materials requirements under Chapter 6.95 of the exemption, I become subject to the Worker's Compensation provisions of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will Labor Code, I must forthwith comply with such provisions or this permit shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the be deemed revoked. Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous APPLICANT CERTIFICATION air contaminants as defined by the Bay Area Air Quality Management District I I certify that I have read this application and state that the above information is will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and correct. I agree to comply with all city and county ordinances and state laws the Health & Safety Code, Sections 25505, 25533, and 25534. 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, Owner or authorized agent: judgments costs and expenses which may accrue against said City in Date: 12/21/2016 AGENCY consequence of the granting of this permit. Additionally, the applicant understands CONSTRUCTION LENDING I hereby affirm that there is a construction lending agency for the performance and will comply with all non -point source regulations per the Cupertino Municipal of work's for which this permit is issued (Sec. 3097, Civ C.) Code, Section 9.18. Lender's Name Signature Date 12/21/2016 Lender's Address CONSTRUCTION PERMIT APPLICATION 19'6 COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 building CUPERTINO @cupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI REVISION/ DEFERRED ORIGINAL PERMIT # ` /710/7 PROJECT ADDRESS L J APN i,UticINI'f'C' tcn? - OWNERNAME g�gL PHONEq, EMAIL VIG ,®� ® ! ew- . STREET ADDRESS ,7 tAIGWI'(� �ipol CITY, STATE, ZIP GU C egn N® Lq FAX CONTACT NAME PHONE/,,' E- MAIL ((/�Np A//(A /�// A/6 R•t �VV OATPLIL IV STREET ADD" Q _ CITY, STATE, ZIP ®� FAX • � l� O`0�.�/C� %%1`✓i p�iAl�itlf�s `�q-��__..,� ElOWNER ❑ OWNER-BUHAER ElOwNERAGENT t+ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME LICENSE NUMBER -4 p 10 22 _l LICENSE TYPE BUS. LIC COMPANYNAME % V�V ��id5°-k't.1GT-tDA% E-MAIL ,/� ,/ %�0��� +4'C.v /s'v�0 �NG11'�NG`fiU�li.wk FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEERNAME , 1 >�'14a LICENSENUMBER ZbW BUS. LIC# COMPANY NAME oo,, J�}N►ES &WISE E-MAIL 5 lcWJSE.fv� FAX STREET ADDRESS AVE�Jza�Lc� CITY, STATE, ZIP C-4 PHONE - PHONE -5-716 DESCRIPTION OF WORK USE I TYPE I OCC. I SQ.FT. I VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM - - - KITCHEN OTHER REMODELAREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKTORCH AREA GARAGE AREA; DETACH rlATTACH #DWELL TGUNITS: IS A SECOND UNIT E] YES SECOND STORY LJYES BEINGADDED? []NO ADDITION? [:]NO pRE-APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES D BY:, OTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO By my signature below, I certify to each of the following: I am the property owner or a e properly 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 tbuild' n constructiioon.II authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent A/l Date: �2s/9!e>' b i _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. _ Commercial Bldgs Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. —Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. BldgApp_2011.doe revised 06121/11 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 2 INFINITE LOOP CUPERTINO CA 95014 (316 02 106) OWNER'S NAME: ( APPLE COMPUTER INC) OWNER'S PHONE: 917-566-0765 LICENSED CONTRACTOR'S DE RATION ' License Class CONTRACTOR GENERAL Lie. # Contractor Date 11/30/2016 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: r. 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 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 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 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, costs, and expenses which may accrue against said City in consequence of the 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. CONTRACTOR: PERMIT NO: 15120170 1460 OBRIEN DR MENLO PARK, CA ISSUED: 12/18/2015 PRONE NO: None PERMIT INFO: —BLDG ELECT _ PLUMB _ MECH _ RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: APPLE - T.I. TO RECONFIGURE (E) 4,900 S.F. (1ST FLR ONLY) TCO GOOD THROUGH 9/1/16 REV#3 (FOR DEFERRED #1) EQUIPMENT ANCHORAGE AND ADD PIECE OF EQUIPMENT -ISSUED 08/11/2016 REV#2 (SUB ON 7/25/16) - CLARIFY FIRE SAFETY; PATH OF TRAVEL **BIN B-8** REV#1 - REVISE EXPOSED CEILING TO DROP CEILING, REVISE INDIVIDUAL OFFICES GLASS WALLS TO SOLID AND REMOVE CORRIDOR CEILING RENOVATION. - ISSUED 4/24/16 DEF # 1 - EQUIPMENT ANCHORAGE FOR SHOP TOOLS - ISSUED 7/18/16 Sq. Ft Floor Area: I Valuation: $900000.00 APN Number: Occupancy Type: 316 02 106 Date 08/11/2015 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 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) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: r. 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. 2. 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 permit is issued. 3. 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. 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 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, costs, and expenses which may accrue against said City in consequence of the 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. Signature Date 08/11/2016 Issued by: Legacy 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. Signature of Applicant: Date: 08/11/2016 ROOF COVERINGS TO BE CLASS "A" HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code; Chapter 9.12 and the Health &SafetyCode, Sections 25505; 25533 nd 25534. Owner or authorized agent: Date: 08/11/2016 CONSTRUCTION LENDING A EENCY_ I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISIO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15120170 2 INFINITE LOOP CUPERTINO CA 95014 (316 02 106) 1460 OBRIEN DR MENLO PARK, CA 94025 OWNER'S NAME: ( APPLE COMPUTER INC) DATE ISSUED: 12/18/2015 OWNER'S PHONE: 917-566-0765 PHONE NO: 650-785-1717 LICENSED CONTRACTOR'S DECLARATION RATION BUILDING PERMIT INFO: License Class CONTRACTOR - GENERAL Lic. #791022 BLDG Contractor Date 11/30/2016 _ELECT _PLUMB MECH _COMMERCIAL I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing _ _RESIDENTIAL with Section 7000) of Division 3 of the Business & Professions Code and that my JOB DESCRIPTION: license is in full force and effect. APPLE - T.I. TO RECONFIGURE (E) 4,900 S.F. (1ST I hereby affirm under penalty of perjury one of the following two declarations: i. I have and will maintain a certificate of consent to self -insure for Worker's FLR ONLY REV#1 - REVISE EXPOSED CEILING TO DROP CEILING, REVISE Compensation, as provided for by Section 3700 of the Labor Code, for the INDIVIDUAL OFFICES GLASS WALLS TO SOLID AND REMOVE performance of the work for which this permit is issued. CORRIDOR CEILING RENOVATION, - ISSUED 4/24/16 1,5�A have and will maintain Worker's. Compensation Insurance, as provided for by, DEF # 1 - EQUIPMENT ANCHORAGE FOR SHOP TOOLS - ISSUED Section 3700 of the Labor Code, for the performance of the work for which this 91.1 7/18/16 permit is issued. Sq. Ft Floor Area: Valuation: $900000.00 APPLICANT CERTIFICATION 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 APN Number: Occupancy Type: and state laws relating tobuildingconstruction, and hereby authorize 316 02106 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, costs, and expenses which_ PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature. "� ' Date 07/18/2016 Issued by: ME Date: 12/1 015 nwNER BUTT DER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for 1. compensation, will do the work, and the structure is not intended or offered for inspection. sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code), Date: 07/18/2016 I hereby affirm under penalty of perjury one of the following three declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1. Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2. 1 have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will the Cupertino Municipal Code, Chapter 9.12 and the permit is issued. 3. I certify that in the performance of the work for which this permit is issued, I maintain compliance with Health & Safety Code, Section 25532(a) should I store or handle hazardous I or devices which emit hazardous shall not employ any person in any manner so as to become subject to the material. Additionally, should use equipment air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the.Health & Safety Code, Sections 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked.— li—�---�— Owner or authorized agent: / APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is Date: 07/18/2016 AGENCY CONSTRUCTION LENDING, there is lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws and hereby authorize representatives of this city I hereby affirm that a construction of work's for which this permit is issued (Sec. 3097, Civ C.) relating to building construction, to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will. comply with all non -point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION i understand my plans shall be used as public records. Code, Section 9.18. Signature Date 07/18/2015 Licensed Professional CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISIO 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingOcupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI REVISION / DEFERRED ORIGINAL PERMIT # IS -12-01 PROJECT ADDRESS APN # f 6v�e�t7't t-vr� OWNERNAME Pf LF lfijc PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX Nl=wm ' took C,of Ei�wo CA CONTACT NAME PHONE E-MAIL V%CMV-% 14&- Al -f (GsoYaH Le,LG!✓i STREET ADDRESS .CITY, STATE, ZIP FAX �1MF-%AYIr r_ L 007 Ce1QE4nA)O (A OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT 19 CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑. DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER ® Z Z LICENSE TYPE ` BUS. LIC # COMPANY NAME EMAIL t AX NOtitl (DAnTgo :nU4 �l0Pnt A10 V40 COAS12�C-i 041- STREETADDRESS) u W oo FR' ed �1v CITY, STATE, ZIP' IF AF—A)" ?A9 L LA PHONE6 . - /19i f ARCHITECTBNGINEERNAME 5't�VL1yMAL.. NUMBER S �9 F� BUS. LIC# COMPANY NAME Lw JE W F E-MAIL G• FAX STREET ADDRESS 17sez A•' C�r`� CITY, STATE, ZIP PJDMM 15C—jZ.FV6 PHONE DESCRIPTION OF WORK ,rca4t0LAFN7' AAk;fcs:J& .15T9V(- ZAL EXISTING USE - PROPOSED USE CONSTR TYPE # STORIES _ USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NETAREA BATHROOM - KITCHEN OTHER - REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA. DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ ATTACH # DWELLING UNITS: IS.A SECOND UNIT ❑YES SECONDSTORY ❑YEs BEINGADDED? ❑NO ADDITION? ONO PRE.APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN TOTAL VALUATION: PLANNING APDL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? By my signature below, I certify to each of the following: I am the property owner or authorize agent to n the rty owner's behalf. ad this application and the information I have provided is correct. I have read the Description of Work nfy i i urate. I agree to comply with all applica ordinances and state laws relating to build construction. I authorize representatives of Cupe enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED Q PLAN CHECK TYPE' ,., r.._ RC)UTrNG SLIP` New SED or Multifamily dwellings:. Apply for demolition permit for DOVERTHECOUNTER ❑ BTjILDINGPLANREYi$W existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑' EXPRESS �,- ❑ PLANNI4GP�ANREVITs1F _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ ARD UBLIcwo�txs sTA form if any Hazardous Materials are being used as part of this project. ❑ LARGEs, < II FI$E DEPT f _ Copy �of Planning Approval Letter or Meeting with Planning prior to ©' MAsox ❑ Aiur> ARy s wER DISrRiCT submittal of Building Permit application. / ❑ ENVIRONMENTAL HEALTH r BldgApp 2011.doc revised 06121111 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15120170 2 INFINITE LOOP CUPERTINO CA 95014 (316 02 106) 1460 O'BRIEN DR MENLO PARK, CA 94025 OWNER'S NAME: ( APPLE COMPUTER INC) I I DATE ISSUED: 12/18/2015 'S PHONE: 917-566-0765 License Class CONTRACTOR GENERAL Lic. #791_022 Contractor Date 11/30/2016 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: 1. 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. z�. have and will maintain Worker's Compensation Insurance, as provided for na Section 3700 of the Labor Code, for the performance of the work for which 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 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, costs, and expenses which, may accrue against said City in consequence of the 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. Signature'/ulJ Date 07/18/2016 NO: 650-785=1717 BUILDING PERMIT INFO: BLDG ELECT —PLUMB MECH _ RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: APPLE - T.I. TO RECONFIGURE (E) 4,900 S.F. (1ST FLR ONLY) REV#1 - REVISE EXPOSED CEILING TO DROP CEILING, REVISE INDIVIDUAL OFFICES GLASS WALLS TO SOLID AND REMOVE CORRIDOR CEILING RENOVATION. - ISSUED 4/24/16 DEF # 1 EQUIPMENT. ANCHORAGE FOR SHOP TOOLS - ISSUED 7/18/16 Sq. Ft Floor Area: I Valuation: $900000.00 APN Number: Occupancy Type: 316 02106 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons:' All roofs shall be inspected prior to any roofing material being installed. If a roof is 1. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale (Sec.7044, Business & Professions Code) 2, I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 07/18/2016 I hereby affirm under penalty of perjury one of the following three declarations: 1. 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. 2. 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 permit is issued. 3. 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. 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 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, costs, and expenses which may accrue against said City in consequence of the 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. Signature Date 07/18/2016 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the health & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized agent: Date: 07/18/2016 _&I/ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISIO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building()cupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI REVISION / DEFERRED ORIGINAL PERMIT #.0 PROJECT ADDRESS APN # 2 1 aur i�vir e..vvlp OWNER NAME P>'i.>E-MAILPHONE E-MAIL STREET ADDRESS Loop CITY, STATE, ZIP FF NFiN11'E C-�:PiEt�7i�lC> CA CONTACT NAME 1jPHONE E-MAIL ft+bea Nts ct:1 P37o6-0 65 tGiCQiA LF,COA STREET ADDRESS CITY, STATE, ZIP CFAX c1QE>2.T1Np GA OWNER ❑ OWNER -BUILDER ❑. OWNER.AGENT ILM CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER �Z2. LICENS� E TYPE BUS. LIC # �tc COMPANY NAME r' E-MAIL AX Nom W JIISiTZUe.T10Ai ?-HOR-N AhDVO C0AJSI2Ix1 041. STREET ADDRESS CITY, STATE, ZIP PHONE 14 ton O' $i 1 EAI VW -we JARA/W ?flims GA PfV 78.5- - l bl ARCHITECT/ENGINEER NAME ✓V Y 5 IRVCPt�,i}L LICENSE NUMBERS 4 ?• 12— BUS. LIC # W' COMPANY NAME SrE W E-MAIL FAX FAX STREET ADDRESS 11.5- 2 CITY, STATE, ZIP PHONE DESCRIPTION OF WORK �+�* t�Jt ; ntEHOr E l 57RvonAL _ EXISTING USE - PROPOSED USE CONSTR. TYPE # STORIES USE. TYPE OCC. SQ.FT. VALUATION ($) ERISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA I DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ATTACH # DWELLING UNITS: IS A SECOND UNIT E] YES SECOND STORY E] YES BEINGADDED? ONO ADDITION? E]NO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF IS THE BLDG AN C.'" TOTALVALUATION: PLANNING APDL # nNO PLANNING APPROVAL LETTER EICHLER HOME? Utl . By my signature below, I certify to each of the following: I am the property owner or authorize agent to n the rty owner's behalf. ad this application and the information I have provided is correct. I have read the Description of Work nfy i curate. I agree to comply with all applica ordinances and state laws relating to build construction. I authorize representatives of Cupe o enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: ! �2filb SUPPLEMENTAL INFORMATION REQUIRED.:<�LAn cxxr� h�,.... xouTlNcsLY�� _ New SFD or Multifamily dwellings: _ Apply for demolition permit for ovE>3 TIS CODNTi R y I3U1t D7 NG r 4A7vIw existing building(s). Demolition permit is required prior to issuance of building y permit for new building. 1h �xP ssQ ANNuv16 A&RFVWw 2✓ _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑` sTAi;vttD ❑ Ps> zcwaxxs form if any Hazardous Materials are being used as part of this project. -TARGE ❑ FIRS DEPT` c Copy of Planning Approval Letter or Meeting with Planning prior to ❑ sAarrrAxY SEVS I B DTSTRTCT ��3YIArOR submittal of Building Permit application. Is1yVTRO1VAtENTAL HEALTTI BIdgApp 2011.doc revised 06121111 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15120170 2 INFINITE LOOP CUPERTINO CA 95014 (316 02 106) 1460 O'BRIEN DR MENLO PARK, CA 94025 OWNER'S NAME: ( APPLE COMPUTER INC) OWNER'S PHONE: 917-566-0765 LICENSED CONTRACTOR'S DECLARATION License. Class CONTRACTOR - GENERAL Lic. #791022 Contractor Date 11130/2016 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: 1. 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 /1 performance of the work for which this permit is issued. /2� /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 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 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, costs, and expenses which may accrue against said City in consequence of the 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. Date 4/27/2016 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 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 (See.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty ofperjury one of the following three declarations: 1. 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. 2. 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 permit is issued. 3. 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree tocomplywith 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, costs, and expenses which may accrue against said City in consequence of the 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. Signature Date 4/27/2016 DATE ISSUED: 12/18/2015 PHONE NO: 650-785-117 PERMIT INFO: BLDG —ELECT —PLUMB MECH _ RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: APPLE - T.I. TO RECONFIGURE (E) 4,900 S.F. (1ST FLR ONLY) REV#1 - REVISE EXPOSED CEILING TO DROP CEILING, REVISE INDIVIDUAL OFFICES GLASS WALLS TO SOLID AND REMOVE CEILING RENOVATION. - ISSUED 4/24/16 Sq. Ft Floor Area: I Valuation: $900000.00 APN Number: Occupancy Type: 316 02 106 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. by: ABBY AYENDE 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. Signature of Applicant Date: 4/27/2016 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California health & Safety Code„ Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533 nd 25534. Owner or authorized agent: Date: 4/27/2016 CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 r ` (408) 777-3228 • FAX (408) 777-3333 • buildingP-cupertino.org VnCUPERTINOl ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS APN # tir- iTs L -c v - 31& - 02 - to& OWNERNAME PHONE E-MAIL L11C blZ( Of_ Ali LF w .To STREET ADDRESS/ 1r CITY, STATE, ZIP FAX �rr�tnrrt Lrro{� 5 3 C U PGizTwo CN CONTACT NAME U` PHONE 7 ® E-MAII G 1 ter tr Ri � " �% �b f GTofLtlt- tj Cr STREET ADDRESS _ _ CITY, STATE, ZIP _ _ _ I FAX El OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT A CONTRACTOR ❑ CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME DECK AREA LICENSE NUMBER '11022 LICENSE TYPE BUS. LIC # 2M91 COMPANY NAMEAdvo E-MAILiL Ko �AtC� 1V0V6& QV4M J. FAX C MI STREET ADDRESS ® d � CITY, STATE, ZIP MNW ^ eJ- PHONE ARCHITECT/ENGINEER NAME \ LICENSE NUMBER BUS. LIC # COMPANY NAME > Mes &Wise 6F-r_AIriFjc:r E-MAIL EJ04-.6 `J ;kA-MS5&wksC-.c0A4 FAX STREET ADDRESS CITY, STATE, ZIP PHONE Yf _a33 DESCRIPTION OF WORK 1. EXISTING USE I PROPOSED USE I - CONSTR. TYPE I #p STORIES EXISTG NEW FLOOR DEMO TOTAL /F AREA AREA AREA NET AREA >,'' ' ✓i a - �. BATHROOM KITCHEN OTHER .PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: ❑ DETACH- ❑ ATTACH #DWELLING UNITS: IS A SECOND UNIT YES SECONDSTORY El YES BEING ADDED?El TIO ADDITION? NO PRE -APPLICATION ❑ YES IFYES, PROVIDE COPY OF PLANNER'S NAME: RECEIVED $Y^. "� y TOTALV UATON:'. i PLANNING ADPL N NO PLANNING APPROVAL LETTER , ,Rx' 'W"'A 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 colriply with all applicable local ordinances and state laws relating too' building construction. thorize representatives of Cupertino to enter the abov-idproperty for inspection purposes. Signature of Applicant/Agent: / �yentified Date: SUPPLEMENTAL INFORMATION REQUIRED PLA14 CHECK LYPE � � ROUTIItiG §LIP , _ New SFD or Multifamily dwellings: Apply for demolition permit for © 1 R 'THE couN`1`ETi BTIILDINGPLAN RvrEw :� existing building(s). Demolition permit is required prior to issuance of building s_ . permit for new budding. Yy EXPRESS' 4 tom, i5i ANNING P,L iN REYIEw Commercial Bldgs: Provide a completed Hazardous Materials Disclosure El STANDARD ❑ PpBLTC woxxs , _ form if any 1-Iazardous Materials are being used as part of this project :LARGE FIRE DEPT . _ Copy of Planning Approval Letter or Meeting with Planning prior to sAruTARY s14vvERnISTCT submittal of Building Permit application. BldgApp_201 1. doc revised 03116/11 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 2 INFINITE LOOP CONTRACTOR: NOVO CONSTRUCTION PERMIT NO: 15120170 OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED: 12/18/2015 OWNER'S PHONE: 9175660765 MENLO PARK, CA 94025 PHONE NO: (650)701-1500 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL APPLE - T.I. TO RECONFIGURE (E) 4,900 S.F. (IST License Class// Lic. #�% tU Zz FLR ONLY), l✓GUO 6. VSTFL)CM1,V 17 `dZ61'5__ Contractor 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 performance of the work for which this permit is issued, Sq. Ft Floor Area: Valuation: $900000 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: 31602106.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPI] NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITH T ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter INSPECTION. upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgmen costs, and expenses which may accrue against said City in consequence of th Issued by: Date: granting of this permit. Additionally, the applicant understands and will comply __. with all non -point source regulations per th Cupertino Municipal Code, Section 9.18. Signature Date Z lea' Z��S: 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 Signature of Applicant: Dater 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 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 (See.7044, Business & Professions Code) HAZARDOUS MATERIALS DISCLOSURE I, as owner of the property, am exclusively contracting with licensed contractors to 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 Code, Section 25532(a) should I store or handle hazardous declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's Health & Safety material.. Additionally, should I use equipment or devices which emiYhazardous defined by the Bay Area Air Quality Management District I Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as with the Cupertino Municipal Code, Chapter 9.12 and performance of the work for which this permit is issued. will maintain compliance he eaSafety Code, Sections 25505, 25533, and 25534. Health & Safe tH I have and will maintain Worker's Compensation Insurance; as provided for by t Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorizedagent:_ Dater 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, I become 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 subject 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 CITY OF CUPERTINO FF.F: F.CTTMATnP— RITII,TIINCT DIVIRION °. ADDRESS: 2 INFINITE LOOP in orma FEE DATE: 12/18/2015 REVIEWED BY: MELISSA APN: 316 02 106 BP#: VALUATION: 1$900,000 `PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY USE: Commercial Building Select a Misc Bldg/Structure or Element of a Building PENTAMATION PERMIT TYPE: 1 B TI WORK APPLE - T.I. TO RECONFIGURE E 4,900 S.F. 1ST FLR ONLY SCOPE OCCUPANCY TYPE: TYPE OF FLR AREA I PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. (s.L B (Tenant Improvements) I-A,I-B 4,900 $3,668.98 IBTIPLNCK 1 $6,256.43 IBTUNSP TOTALS: 4,900 $3,668 98 = $6,256.43 Check z f:sr t :.. ,.. insi, Zl NTnTF• Thic ,90; -,nto dnpc not include fees due to otherDevartments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, Schoo tion available and are onl an estimate. t.ontact the ve t fur uuun L 91t District, etc.. mese ees are naseu un the reliminar FEE ITEMS (Fee Resolution 11-053 Ef. .. 711113L in orma FEE QTY/FEE MISC ITEMS Plan Check Fee: $3,668.98 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee. Reg. 0 PME Plan Check: OT 0.0 hrs $0.00 $0.00 Permit Fee: $6,256.43 $0.00 Suppl. Insp. Fee -(D Reg. OT 0.0 hrs PME Unit Fee: $0.00 $0.00 PME Permit Fee: - 0 �i/�f's s'fi b. 3l F`i.�Lbl L•Lj�. Work Without Permit? 0 Yes (E) No $0.00 Advanced Planning Fee: $0,00 Select a Non -Residential Building or Structure E) 0 - Strong Motion Fee: IBSEISMICO $252.00 Select an Administrative Item Bldg Stds Commission Fee IBCBSC $36.00, 's 0, 10,213.41 $0.00 ...OTALFE� X10,213.41 Kevjbuu. lufu ite-u f'i CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT e BUILDING DIVISION 1@ @@ TORRE AVENUE a CUPERTINO, OA 95014425-:5 CUPE RT11 0 (408) 777=3228 s FAX (198) 777=3333 8 build-ince'�o)c IDertino oro 131 NEW CONSTRUCTION Q ADDITION 1-41 ALTERATION / TI El REVISION I DEFERR20 ��p ED ORIGINAL PERMIT PROJECT ADDRESS �7 - 4 INANira L-4vp e0 ,6F1� lW® APN# ®' 000 OWNER NAME A? iA&_ STREET ADDRESS .� lirF�n!/TE 4Cpp CONTACT NAME --- i1 GTD1Z►p A1[r STREET ADDRESS 11N�'1nPPFcE 400p OWNER 13 OWNER.BUILDER OWNER AGENT CONTRACTOR NAME gypA6c. Flo COMPANY NAME AAOVv lo�✓g7tz urn wy STREET ADDRESS ARCHITECT/ENGINEER NAME / COMPANY NAME\.] STREET ADDRESS_ 1103 5®LA�,No Avv-- DESCRIPTION OF WORK _ "'v NEW FLOOR DEMC AREA AREA AREA BATHROOM KITCHEN REMODEL AREA REMODEL AREA PHONE E .MAIL 9l�-54�-albs CITY, STATE, ZIP PHONL- qt-4"566-orb E-MAIL CITY, STATE, ZIP FAX ,f26A _Ai� 69A?FiTzt FAX CONTRACTOR 0 CONTRACTOR AG ENT 0 ARCHITECT � ENGINEER DEVELOPER 0 TENANT LICENSE NUMBER LICENSE y�oZ2 BUS LICk 23 Sell E IMAIL FAX NaVvco.Vsi'R-uct'mn.0 , r�o.N+ CITY, STATE, ZIPS� AA gJ Jvea�� J�d�I�-. GR} PHONE �7 LICENSE NUMBER BUS. LIC # F_ -MAIL _ - r Ems$ —WiS .LOM >.at CITY, STATE, ZIP.FHONE r3 ¢1 _C4 GA. yAt -off L115- 3*7-0-1233 Qt USE TYPE OCC. TOTAL - NET AREA I + r OTHER REMODELAREA ATTACH SQ.FT. VALUATION ($) wax BEING ADDED? rJNO ADDITION? �N� - PRE -APPLICATION ® YES IF YES, PROVIDE COPY OF IS THE B AN - ES PLANNING ADPL N ®NO PLANNING APPROVAL LETTER EIC HOME? TOTAL VALUATION: cd 000 By my signature below, I certify to each of the following: I am the property owner or authoriz , 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 �ttobbufllddm construcion. I authtorize representatives ofCupertino to enter the above -identified property for inspection purposes. Signature ofApplicant/Agent: _ Date: _121-1-5 _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building ❑. OVER"THE COUNTt R ❑ BUILDING PLAN REVIEW permit for new building. ❑' EXPRESS ❑ PIANNINGPLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD Q PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. _ Copy of Planning Approval Letter or Meeting with Planning prior to LARGI!; ❑ FIRE DEPT submittal of Building. Permit application, MAJOR ". ❑77 SANITARY SEWER DISTRICT VNVIR/1NMVNTAI =,A LTU BldgApp_201I.doc revised 06/21/11 CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST V Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 1013 ADDRESS:2 Infinite Loop PERMIT # 15120170 OWNER'S NAME:Apple Inc. PHONE #650-785-1617 GENERAL CONTRACTOR: Novo Construction BUSINESS LICENSE # ADDRESS: 1460 O'Brien Drive CITY/ZIPCODE: Menlo Park, CA 94025 *Our municipal code requires all businesses working in the city to have a City of Cupertino business 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: &/ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # X Cabinets & Millwork Commercial Casework 28540 Cement Finishing .... . ........ I ............ ..... . .... . . . ....... X Electrical . . .. . ..... . ........ ............... ... . .. . Cupertino Electric ............ -- 697 Excavation Fencing X Flooring / Carpeting SID Flooring 25195 . . ........................ Linoleum / Wood ........ . . . ..... . . . Glass / Glazing X Heating Silicon Valley Mechanical 26079 Insulation ... . . ..... Landscaping . . . . . . ... ............ . . Lathing Masonry X Painting / Wallpaper Magnum Drywall 25212 Paving Plastering X Plumbing Silicon Valley Mechanical 26079 Roofing ...... . . . . .... . ............... .. . Septic Tank Sheet Metal X . . . ........... ... Sheet Rock Magnum Drywall 25212 Tile Randall Horn Owner / Contractor Signature 7/18-/-2016 Date TEMPORARY CERTIFICATE O NCY F COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 CUPERTINO 1 (408) 777-3228 - FAX (408) 777-3333 • building(a-cuoertino.org APN. BP #. 15120170 7DATE: 07/26/2016 PROJECT VALUATION $��, SITE ADDRESS: 2 Infinite Loop Cupertino, CA 95014 OWNER'S NAME: Apple Inc. PHONE #: 11APPROVED WITH CONDITIONS FAX #: 408-996-1010 MAILING ADDRESS (if different from site address): CONTRACTOR/POINT OF CONTACT: PHONE #: 650-785-1617 NOVO Construction/Randall Horn FAX #: REFUND/POINT OF CONTACT: MAILING ADDRESS: NOVO Construction 1460 O'brien Dr. Menlo Park CA 94025 TEMPORARY CERTIFICATE OF OCCUPANCY INFORMATION BOND TYPE: ❑ SURETY BONDOUNT (1% VALUATION CODE ®CHECK ❑ CASH BOND F BOND: 5K min- 10K max) $8,000 [BLDBONDS] EDITION: TCO EXPIRATION �1(/ FEE: $296.00/mo TOTAL FEE: $$ 296 [ 1 TEMPOCC] DATE (6 MONTHS MAX, � - USE TYPE OF CONSTR FLOOR AREA OCC LOAD LEVEL COMMENT Hublic VVorKs ,,; ❑ APPROVED 11APPROVED WITH CONDITIONS Signature: ................ ..................... ........ ............Date:....................... Other: APPROVED 1-1 APPROVED WITH CONDITIONS Signature: _._............_...............................__---Date:....................._ OTHER DEPARTMENT/ AGENCY APPROVALS: annmg Signature: ..................... ................................... Date:....................... ❑APPROVED 11 APPROVED WITH CONDITIONS Fire Signature:., ... ..............................Date:... ... T�❑APPROVED ]APPROVED WITH CONDITIONS Hublic VVorKs ,,; ❑ APPROVED 11APPROVED WITH CONDITIONS Signature: ................ ..................... ........ ............Date:....................... Other: APPROVED 1-1 APPROVED WITH CONDITIONS Signature: _._............_...............................__---Date:....................._ CONDITIONS OF COMPLETION - Attach a letter signed by the contractor and owner of the property stating the list of items required to be completed for each individual Department before final occupancy can be granted. Include approximate completion dates for each item. The undersigned covenant and agree as a condition to the approval of the above request for temporary occupancy to have the building or buildings complete and in compliance with all building codes, ordinances and regulations and ready for inspection prior to the expiration date specified. If this Temporary Certificate of Occupancy expires, the total amount of the bond may be forfeited and the non-compliance may result in an enfor ,ement a4ion. I Owner- .... Contract Signature�................... Date: 070_0r�lIk Signature:..- .=,r/� ...... -..... .... Date: �.7 11�/.12ilb This temporary certifi ye�s j�res all re rotection and life safety systems have been completed, inspected, successfully tested andapproved for the s a o uil ingpecified above to provide/H reasonable degfee of safety to the occupants from firg and similar ememenci ��m r / 7 s 7 I Building Official:,F --.f.....""`+�L. V-h/7�-------------Print ^ ..._41.... ....Date:...7.��-'7 .'._ a .... _# DEPARTME,� fte eterminati n, copies to: 1) applicant, 2) permit file % empOccForm_2013.doc revised 6/30116