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15090096CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 2; INFINITE LOOP CONTRACTOR-" PERMIT NO: 15090096 OWNER'S NAME; APPLE COMPUTER INC DATE ISSUED: 11/03/2015 OWNER'S PHONE '4089748821 PHONE NO: LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL p License Class i f7' VERIZON- REPLACE (3) ANTENNAS, INSTALL (3) NEW RAYCAP SURGE PROTECTORS, INSTALL (9) RRH UNITS, REMOVE (6) 7/8 COAXIAL d-- CABLLES, INSTALL (2) NEW15/8" HYBRID CABLES, (1) RET CABLES (ON Contractof Date A —3—) S APPLE CAMPUS) I hereby affirm ihat l 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 underalty penof 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 Sq. Ft Floor Area: Valuation: $10000 Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APN Number: 31602106.00 Occupancy Type: 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 to building construction;'and hereby authorize representatives of this city to enter WITIIIN 180 DAY { VIII ISSUANCE OR upon the above mentioned property for inspection purposes, (We) agree to save AS - 180DA M LA INSPECTION. indemnify and keep.. harmless. the City of Cupertino against liabilities, judgments, j costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and wi o ssued by: ate: - with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. �, �! S Signature Date 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 ❑ OWNER -BUILDER DECLARATION inspection. 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, of -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 (Sec. 7044, Business & Profe'ssions 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 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 :: I have and -mill 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,,225533, and 25534. Section 3700 of the. Labor Code,'for the performance of the work for which this Owner or authorized agent: A� Date: 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 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 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 keepharmless 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 CUPERTINO: f NAW row-ZTRT1(`TTr11S CONSTRUCTION PERMIT APPLICATION j5N00q6 COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinaCa)cuperfino.or M g 1 I A TT11111T i T -- . T i my M 4 -a oc Bld,aApp_2011.doc revised 06121111 PRO]ECf AD RES APN '0 t r e �. OWNER NAME A PHONE E-MAIL Affle ?6 t " STREET ADDRESS CITY, STATE, ZIP FAX , QP L)j1,'(7 C NTA NAME OAB E-MAIL ° ��141 4a�- 6' 1 _r S zET ADDRESS g e®� CITY, STATE, ZIP FAX a�C/ V 9 OWNER ❑" OWNER -BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME 'r LICENSE NUMBER LICENSE TYPE 9 BUS. LIC COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER AME6 LICENSE NUMBER 1" BUS. LIC N COMPANY NAME E-MAIL FAX STREET ADDRESS 5jo Pa1� CITY, S ATE; ZIP PHONE i 'f6jo a� cr es DESCRIPTION OF WORK VeP, r) t -j 3"e to cl S°'je my s jee-sa6 r- , IJ STING USE P OPOSED USE - CONSTR TYPE 11 STORIES USE - TYPE OCC. SQ.FT. VALUATION ($) Ce e A -p V� EXISTG NTEW FLOOR DEMO TOTAL AREA AREA AREA - NET AREA -- BATHROOM KITCHEN OTHER - REMODEL AREA REMODEL A REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH - - - ❑ATTACH I DIATLLINTGUNIfS: IS A SECOND UNIT ❑ YES SECOND STORY OYES BEING ADDED? ONTO ADDITION? ONO PRE APPLICATION 1] YES IF -1 ES, PROVIDE COPY OF IS THE BLDG AN ❑ YES - D $ ' i ` .^ ,. ._ `� - - OTAL. VALUATION: ' PLANNING ADPL R ❑ NO PLANNING APPROVAL LEITER EICHLER HOME? ❑ NO O ela By my signature below, I certify to each of the folIolving: I aril the property owner or authori7eh agent to act on the property owner's behalf. I Lave 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 *tg, building construct . I authorize represen of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: a Date: ,5w SUPPLEMENTAL INFORMATION REQUIRED 3 is — - New SFD or Multifamily &N ellings: Apply for demolition permit forsuav UY19b" THE-COIIhTER iI�ItECTlIt<P+' TCPL� existing building(s). Demolition permit is required prior to issuance of building N for new building�ExPlsIV s x_rt�LanrnGeLAN x1YIEFX permit _� Commercial Bldgs: Provide a completed Hazardous Materials Disclosuref CraND axDt >�TaLoRxs 5� _ form if any Hazardous Materials are being used as part of this project. - Copy of Planning Approval Letter or Meeting with Planning prior to cME Building Permit -SQIi-,- .Iz_�. AXSEjYERDISTRIC3' submittal of application.�� Bld,aApp_2011.doc revised 06121111 0qC 6 CITY OF CUPERTINO 159 FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 2 INFINITE LOOP DATE: 09/15/2015 REVIEWED BY: PAUL APN: 316 02 106 BP#: *VALUATION: $10,000 —� PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION USE: PERMIT TYPE: 1 GENCOM WORK APPLE REPLACE 3 ANTENNAS INSTALL 3 NEW RAYCAP SURGE PROTECTORS INSTALL SCOPE (9) RRH UNITS, REMOVE (6) 7/8 COAXIAL CABLLES, INSTALL (2) NEW1 5/8" HYBRID CABLES, (V 777, Alec/z.:1'lra,z L heLk 1'hwib. Plan Check 'lec. Plan Clwck tlee7z. Permzt I ee: I'Itimb. Ilerwif Fee: I 1 r oc. Nrinit Fee: I Other-A-kc/z. fans -p. I I I I llrher I't<antl jrz p. I I I 101her• Eke. //ap. IAleeh_ Irrsp. Fee: 11'tzrm";. Msp' Fee: I Elec. 1,rsp Yee. NOTE: This estimate does not include fees due to other Denartments (i.e. Planning. Public Works. Fire. Sanitary Sewer District. Dktrirt. atr. )_ Thaca faac nrn hacvd nn tha nroliminary infarmadnn availahla and aro nnhr an actimata_ Cantart thv Dant fnr addn'l infer_ FEE ITEMS (Fee Resolution .11-053 E . Z If131 FEE QTY/FEEF— MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes 0 No $0.00 3 hours Plan Check, Hourly $429.00 ISTPLNCx Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes No $0.00 Suppl. Insp. Fee - Reg. OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PNM Permit Fee: $0.00 i `f16i:5'lt"ucl ion Tax: .44{7"tnnisfr Live Fee Work Without Permit? 0 Yes No $0.00 Advanced Planning Fee: $0.00 �� hours Inspections $572.00 ISTINSP Inspection, Hourly 1Yraf l Ioc;zsrrtentutit3�z 1='� E:s: Strong Motion Fee: IBSEISMICO $2.80 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.0 - TOTALS: $3.80 $1,001.00OTT.FE ° $1,004.80 Revised: 07/02/2015 Quality Telecom Consultants, Inc. CA License #814859 1 NV License 40068477 1 AZ License #290425 1 OR License #185837 UT License #8625298-55011 WA License #CC QUALITE919NR I ID License #RCE -39150 f MT License #224820 1 WY #2016-000703687 June 9, 2016 City of Cupertino Building Department: We would like to request a permit extension for BP# 15090096, project address 1, Infinite Loop. Due to issues with materials needed for the project we have not yet been able to start construction. We plan to begin the project within the next (6) months. If possible we would like to pay the needed fees and extend this permit. Please contact me with any questions or if further information is needed. Thank you, Lisa Pinola — Quality Telecom Consultants, Inc. LPinola@gualiWelecominc.com (916) 532 - 7638 sl3l1 (0 - 3740 Cincinnati Ave, Rocklin, CA 95765 Phone (916) 315-0500 - Fax (916) 315-0501 www.qualitytelecomconsultantsinc.com Jerome Wade From: Beth Ebben <BethE@cupertino.org> Sent: Monday, September 14, 2015 2:27 PM To: Jerome Wade Cc: Building Dept Subject: RE: Verizon Wireless—Apple Computer—AWS—Modification to existing wireless telecom facility Hello Jerome - Yes, that is correct. Please reference the voided permit number we spoke about when submitting for your building permit. The person at the counter assisting you should be able to pull up those old records and repeat the intake process. Regards, Beth From: Jerome Wade[mailto:jwade@completewireless.net] Sent: Monday, September 14, 2015 1:31 PM To: Beth Ebben Subject: Verizon Wireless—Apple Computer—AWS—Modification to existing wireless telecom facility Hello Beth, Thank you for taking the time to speak with me. Per our conversation, once the building permit application and drawings are submitted, drawings will be routed to planning for review. Please confirm. Thanks, Jerome Wade, Project Manager Complete Wireless Consulting, Inc. (916) 588-0810 iwade(a@completewireless.net 2009 V Street Sacramento, CA 95818