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15060185CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1 INFINITE LOOP CONTRACTOR: CUPERTINO ELECTRIC PERMIT NO: 15060185 INC OWNER'S NAME: APPLE COMPUTER INC 1132 N 7TH ST DATE ISSUED: 09/29/2015 OWNER'S PHONE: 4086740481 SAN JOSE, CA. 95112 PHONE NO: (408)991 -1000 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ License Class (A fl Lic. # ' I INSTALLATION OF 2500 KVA TEMPORARY GENERATOR. LOCATION - A 10 Contractor tia r1� 0 c,� nc . 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. Sq. Ft Floor Area: Valuation: $20000 I hereby affirm under penalty of perjury one of the following two declarations: t. 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 APN Number: 31602105.00 Occupancy Type: 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. PERMIT EXPIRES IF WORK IS NOT STARTED APPLICANT CERTIFICATION WITHIN 180 DAYS OF PERMIT ISSUANCE OR I certify that I have read this application and state that the above information is 180 DAYS FROM LAST CALLED INSPECTION. 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 Issued by: _ Date: 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 a lations per the Cupertino Municipal Code, Section 9.18. RE- ROOFS ' All roofs shall be inspected prior to any roofing material being installed. If a roof is Signature Date a1 installed without first obtaining an inspection, I agree to remove all new materials for inspection. I Signature of Applicant: Date: ❑ OWNER- BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER the following two reasons: 1. 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 HAZARDOUS MATERIALS DISCLOSURE sale (Sec.7044, Business & Professions Code) I have read the hazardous materials requirements under Chapter 6.95 of the 2. I, as owner of the property, am exclusively contracting with licensed contractors to California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain construct the project (Sec.7044, Business & Professions Code). compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. I hereby affirm under penalty of perjury one of the following three declarations: Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will 1. I have and will maintain a Certificate of Consent to self - insure for Worker's maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Compensation, as provided for by Section 3700 of the Labor Code; for the Health & Safety Code, Sections 25505, 25533, and 25534. performance of the work for which this permit is issued. 2. I have and will maintain Worker's Compensation Insurance, as provided for by Owner r a t orized agent: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. s. I certify that in the performance of the work for which this permit is issued, I shall '', CONSTRUCTION LENDING AGENCY not employ any person in any manner so as to become subject to the Worker's I hereby affirm that there is construction lending agency for the performance of work's Compensation laws of California. If, after making this certificate of exemption, I for which this permit is issued (Sec. 3097, Civ C.) become subject to the Worker's Compensation provisions of the Labor Code, I Lender's Name must forthwith comply with such provisions or this permit shall be deemed revoked. Lender's Address APPLICANT CERTIFICATION ARCHITECT'S DECLARATION I certify that I have read this application and state that the above information is I understand my plans shall be used as public records. 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 Licensed Professional 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 GENERAL PERMIT APPLICATION MEP IQ] COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 950143255 CLEPERTlNO (408) 777 -3228 •FAX (408) 777 -3333 • buildingQcupertino.orp 6 f ) M IS f fPT TThMr Trz I�Iarr- nrriarrr.IT �ry�.:a..LLttu�.ti1. PROJECT ADDRE S One Infinite Loa LJm1�tf.LLANE0U5 APNI OWN R PHONE_I 0 Gs - 4P 7 E-MAIL g 6 �j �`nerifinite Loop CIupertino, CA 95014 FAx coNr r �fayrnis '18?-674-0481 iiis@apple.com S' ne' rifin to Loop .CITY. ATE, uAF rhino, CA 95014 FAX 0 OWNER r-I OWNER -13—FR 11 OWNERAGENT IXCONTRACrOR El CONTRACTORAGENT El ARCHITECT CI ENGINEER E3 DEVELOPER ❑ TENANT CONTRACTORNAME John Walters LICENSENUMBER 174637 LICEbTSE TYPE C10 BUS.L C - - 697 COMP ANE Cupertino Electric, Inc. _ E ohn_walters@ceic.om 8 -275 -6492 STREETAD S N. Seventh St. �I�'S�an Jose, CA 95112 PIPA- 593 -2066 ARCHITECTIENOINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME g MATL FAX STREET ADDRESS CITY, STATE, W - PHONE USE OF DSFDorDUPLEX Q MtJt.TI- FAMILY BUILDING: COMMERCIAL PROJECT INWB..DLAND CLYEs URBAN INTERFACEAREA NO PROJECTIN ©YES FLOOD ZONE NO IS TIM HLDOAN ❑YES EICHLERHOME7 o DESCRIPTION OF WORK Install 2500kVA temporary generator. TOTAL VALUATION: y9V 0 RECEIVED BY: 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 coinply with all applicable local ordinances and state laws relatin buil ing construetion. I a rite representatives of Cupertino to enter the above- identified property for inspection pt4oses. Signature of Applicant/Agent: Date: 6 -17 -15 -SUPPLEMENTAL INFORMATION REQ[TMED OFFICE USE ONLY ❑ OVER - THE. COUNTER x ExrRESs V U STANDARD ❑ LARGE F ❑ MAJOR Av1EPM1scApp 2011.doc revised 06121111 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION =rt ADDRESS: ONE INFINITE LOOP FEE ID DATE: 06/29/2015 REVIEWED BY: SEAN APN: BP #: � *VALUATION: 1$20,000 'PERMIT TYPE: Electrical Permit 1BREMPOWER PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex USE: # PENTAMATION 1 REAP8 PERMIT TYPE: WORK I INSTALLATION OF 2500 kVA TEMPORARY GENERATOR. SCOPE APPLIANCE / EQUIP TYPE FEE ID I'ilr,ar,' >, Nal-t Check QTY UNITS BP FEES Elec. Permit Fee: 1EPERMIT Generators 1BREMPOWER Other Elec. Insp. 0.0 hrs $48.00 1' # $179 Perin it 1 Ctz,: r. PME Unit Fee: $179.00 PME Permit Fee: $48.00 Con2s1ruction Tax: F Administrative Fee: IADMIN $45.00 Work Without Permit? 0 Yes No $0.00 TOTALS: ; " $179.00 Strom Motion. Fee: IBSEISMICR NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Dictriet otc) Thoco foov nro hncod nvi tho nro /ir»innnr infnrrnatinn availahlo and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11 -053 Eff 7!1/13 l9e-c:k. Plan f'teclt I'ilr,ar,' >, Nal-t Check Elec. Plan Check 0.0 hrs $0.00 ('errs ii f'ec>: ;'iarnzb. Permit Fee: Elec. Permit Fee: 1EPERMIT ("brae Ac"ch, 7r, =s;T�. 3r'rc -., , "a f h hmpr Other Elec. Insp. 0.0 hrs $48.00 AIech. Fe Phi -inn. hzNp. / e e: Elec. Ir sp" Fee: NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Dictriet otc) Thoco foov nro hncod nvi tho nro /ir»innnr infnrrnatinn availahlo and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11 -053 Eff 7!1/13 FEE QTY/FEE MISC ITEMS Plan C?gr'c Fee: P, PME Plan Check: $0.00 Perin it 1 Ctz,: r. PME Unit Fee: $179.00 PME Permit Fee: $48.00 Con2s1ruction Tax: F Administrative Fee: IADMIN $45.00 Work Without Permit? 0 Yes No $0.00 At,,hwn(,-�d Planning Fees: Travel Documentation Fee: ITRAVDOC $48.00 Strom Motion. Fee: IBSEISMICR $2.60 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $323.60 $0.00 TOTAI FEE: $323.60 Kevisea: u5iu uzu i o I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: l INFINITE LOOP CONTRACTOR: CUPERTINO ELECTRIC PERMIT NO: 15060185 INC OWNER'S NAME: APPLE COMPUTER INC 1132 N 7TH ST DATE ISSUED: 09/29/2015 OWNER'S PHONE: 4086740481 SAN JOSE, CA 95112 PHONE NO: (408)991-1000 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ INSTALLATION OF 2500 KVA TEMPORARY GENERATOR. License Class Lic. #`` 1 LOCATION - A 10 Contractor v o - 1.nc . 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. . Ft Floor Area: Sq. Valuation: $20000 i I hereby affirm under penalty of perjury one of the following two declarations: t. 1 have and will maintain a certificate of consent to self -insure for Worker's APN Number: 31602105.00 Occupancy Type: Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 3 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. PERMIT EXPIRES IF WORK IS NOT STARTED APPLICANT CERTIFICATION WITHIN 180 DAYS OF PERMIT ISSUANCE OR I certify that I have read this application and state that the above information is 180 DAYS FROM LAST CALLED INSPECTION. 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 Issued by: o. r � �i Date: 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 e I tions per the Cupertino Municipal Code, Section 9.18. RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is Signature Dated a installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER the following two reasons: t. 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 HAZARDOUS MATERIALS DISCLOSURE sale (Sec.7044, Business & Professions Code) I have read the hazardous materials requirements under Chapter 6.95 of the 2 I, as owner of the property, am exclusively contracting with licensed contractors to California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain construct the project (Sec.7044, Business & Professions Code). compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & i Safety Code, Section 25532(a) should I store or handle hazardous material. I hereby affirm under penalty of perjury one of the following three declarations: Additionally, should I use equipment or devices which emit hazardous air i 1. I have and will maintain a Certificate of Consent to self -insure for Worker's contaminants as defined by the Bay Area Air Quality Management District I will Compensation, as provided for by Section 3700 of the Labor Code, for the maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. performance of the work for which this permit is issued. { 2. 1 have and will maintain Worker's Compensation Insurance, as provided for by Owner 4r a t orized agent. 4 Section 3700 of the Labor Code, for the performance of the work for which this Date: permit is issued. s. 1 certify that in the performance of the work for which this permit is issued, I shall CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of work's i become subject to the Worker's Compensation provisions of the Labor Code, I for which this permit is issued (Sec. 3097, Civ C.) Lender's Name must forthwith comply with such provisions or this permit shall be deemed revoked. Lender's Address APPLICANT CERTIFICATION ARCHITECT'S DECLARATION I certify that I have read this application and state that the above information is I understand my plans shall be used as public records. 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 Licensed Professional 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. I Signature Date i CUPERTINO GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(a7cupertino,org I�� 6I C/5 M l s c ❑PLUNMING ❑RfECHANICAL ®ELECTRICAL ❑MISCELLANEOUS PROJECT One II On�n finite Loo e APNN / (v OWN AA PP le PHONEt(� e' T Tr MAM s'RWne'Trifinite Loop �IupAertlno, CA 95014 T;A; coNT fa'THIS "48'9-674-0481 inIts@apple.com s1xEEMelnfinite Loop c"Y' uper ino, CA 95014 F"` ❑ OWNER ❑ OWNER-BUB.DER D OWNER AGENT MCONTRACTOR ❑ CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME ohn Walters LICENSENUMBER 174637 LICENS TYPE C 10 BUS.L coMPAT�IAMErtino Electric, Inc. E-ohn_walters@ceic.om W8-275-6492 sTREE-r. ��IJI�E�sNSeventh St. 1 Clrr,9TAT ' anOse, CA 95112 PH -593-2066 ARCEITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC N COMPANY NAME ' E-MAIL FAX STREET' ADDRESS - CITY, STATE, ZIP PHONE USE OF ❑ SFD or DUPLEX ❑ MULTI -FAMILY BUILDING: COMMERCIAL PROJECT IN WILDIAND YES URBAN INTERFACE AREA NO PROJECT IN FLOOD ZONE ❑ YES IfN0 IS i1 -M BLDG AN M YES IICH1ERHOME7 RNO DESCRIPTION OF WORK Install 2500kVA temporary generator. TOTALVALUAT:oN:/n RECEIVED BY: By my signature below, I ca ify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf, I have read trzis application and the information I have provided iscorrect. have read the Description of Work and verify itis accurate, I agree to comply with all applicable local ordinances and state laws relatin buil ng construction. I a h rize representatives of Cupertino to enter the above -identified property for inspection pu{poses. Signature of Applicant/Agent: Jute: 6-17-15 fit I /ItUTPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY w ❑ OVER-THE-COUNTER a EXPRESS U `a U ❑ STANDARD z ❑ LARGE c ❑ MAJOR MEPMIsa4pp_201 Ldoc revised 66/21/11