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12010185CITY OF C UP EI[8UNG BUILDING PERMIT .,A.- BUILDING ,A BUILDING ADDRESS: I INFINITE LOOP CONTRACTOR: XL CONSTRUCTION PERMIT NO: 12010185 OWNER'S NAME: APPLE COMPUTER INC 851 BUCKEYE CT DATE ISSUED: 01/31/2012 OWNER'S PHONE: 4089961010 MILPITAS, CA 95035 PHONE NO: (408) 240-6000 ❑ LICENSED CONTRACTOR'S DECLARATION License Class/� Lic. # LL, (.-� Contractor IVS1�ll,�.(I)VJ Date 19-- 1 hereby affirm that 1 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. 1 hereby affirm under penalty of perjury one of the following two declarations: 1 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, 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. l 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 harm) ss the City of Cupertino against liabilities, judgments, costs, and penses whit the cn�e against said City in consequence of the granting of is permit. it n Ily, the applicant understands and will comply with all non- int so urc r gul t' s per the Cupertino Municipal Code, Section 9.18. Signature Date u 1 hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1, as owner of the property, or my employees with wages as their sole compensation, wil I do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 1 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 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, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I certify that in the performance of the work for which this permit is issued, l 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 BUILDING PERMIT INFO: (BLDG F ELECT PLUMB F– MIECH I— R ESIDIENTIIAIL F COMMERCIAL f- 303 DESCRIPTION: APPLE 2ND FLOOR -COMMERCIAL TENANT IMPROVEMENT INTERIOR -ONLY TO INCLUDE MECHANICAL/ELECTR[CAL & NO PLUMBING. 5/24/2012-REV#i - REPLACE EXISTING NON -RATED DOOR WITH RATED DOOR & NEW DUAL SWING DOOR - REV#1 ISS'D 5/24/2012 Sq. Ft Floor Area: 11 Valuation: $110000 APN Number: 31602105.00 11 Occupancy Type: PERMIT IEXPI[R ES RIF WORK IS NOT STAIEB')I']EI<D WITHIN IN ]180 DAYS OF PERMIT MIT ISSUANCE OR 180 IlDSYS �'llg®Iyil S'lT' �AILILIE>ID INSPECTION. L- L Issued by: d d Date: RE -ROOFS: Al I roofs shal I be inspected prior to any roofing material being instal led. if a roof is installed without first obtaining an inspection, l agree to remove all new materials for inspection. Signature of Applicant: Date: 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 cont mmants as defined by the Bay Area Air Quality Management District I will mairqain compl' cei h the Cupertino Municipal Code, Chapter 9.12 and the Healfib & Safeo Cod , Slections 25505, 25533, and 25534. Date- 4-7/ L CONSTRUCTION LENDING AGENCY I herky 4ffirm that there is a construction lending agency for the performance of work's for wh this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's A ARCHITECT'S DECLARATION 1 understand my plans shall be used as public records. Licensed CITY OF CUP ERTINO BUILDING PERMIT BUILDING ADDRESS: t INFINITE LOOP CONTRACTOR: XL CONSTRUCTION PERMIT NO: 12010185 OWNER'S NAME: APPLE COMPUTER INC 851 BUCKEYE CT DATE ISSUED: 01/31/2012 OWNER'S PHONE: 4089961010 MILPITAS, CA 95035 PHONE NO: (408) 240-6000 ❑ LICENSED CONTRACTOR'S DECLARATION f— 1— BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class C Lic.# ft `� l T— ' Contractor C�S� f�j� Date l-- MECH 'r RESIDENTIAL COMMERCIAL I hereby affirm that [ am licensed under the provisions of Chapter 9 JOB DESCRIPTION: APPLE- 2ND FLOOR - COMMERCIAL TENANT (commencing with Section 7000) of Division 3 of the Business &c Professions IMPROVEMENT INTERIOR- ONLY TO INCLUDE MECHANICAL/ELECTRICAL & Code and that my license is in full force and effect. NO PLUMBING 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, 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: $110000 APPLICANT CERTIFICATION APN Number: 31602105.00 Occupancy Type: 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 propert for inspection purposes. (We) agree to save mless the , ity of Cupertino against liabilities, judgments; indemnify and kXswhich PERMIT IT IE�ffRES IF WORK IS NOT STARTED costs, and experts may c uea nstsaidCity in consequence of the grantingofthis Additio al y, th rplicant understands and will comply WI� HIN ll80 DAYa� ®IF PERMI�' IIS`�ir�N` CIE OR with a1[ non-poice regulat s pet t to Cupertino Municipal Code, Section E80 DAYS IFIEB®l�vl[ LAST CALLED ffNS �lEC`�'I ON. 9.18. ,/ Signature l Date l LIZ- ' J Issued by: 6 --Date: -/ r I ❑ O NI -BUILDER DECLARATION I hereby affirm that a exempt from the Contractor's License Law for one of RE -ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1, as owner of the property, or my employees with wages as their sole compensation, installed without first obtaining an inspection, 1 agree to remove all new materials for will do the work, and the structure is not intended or offered for sale (Sec.7044, inspection. Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to Signature of Applicant: Date: construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's HAZARDOUS MATERIALS DISCLOSURE 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 read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain Worker's Compensation Insurance, as provided for by California health & Safety Code, Sections 25505, 25533, and 25534. I will maintain Section 3700 of the Labor Code, for the performance of the work for which this compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health Safety Code, Section 25532(a) should I store or handle hazardous material. permit is issued. Additionally, should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued, I shall contain[ nts as define by the Bay Area Air duality Management District I well not employ any person in any manner so as to become subject to the Worker's maintain mpli nce t the Cupertino Municipal Code, Chapter 9.12 and the Compensation laws of California. If, after making this certificate of exemption, I Health &c afety ode S tions 25505, 25533, and 25534. 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. Own r o utb ri a age t: Date: - APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 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 I hereby a firm that there is a construction lending agency for the performance of work's to building construction, and hereby authorize representatives of this city to enter for which this permit is issued (Sec. 3097, Civ C.) upon the above mentioned property for inspection purposes. (We) agree to save Lender's Name indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Lender's Address granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulati its per the Cupertino Municipal Code, Section ARCHI'TECT'S DECLARATION 9.18. [ understand my plans shall be used as public records. Signature Date 11 Licensed Professional CUPERTUNO C©r` STf': CTIU� F'Ef:(` T aPPLICATIOON COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 , FAX (408) 777-3333 ^ building((_Dcupettino.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/71 REVISION/ DEFERRED ORIGINAL PERMIT # e M PROTECT ADDRESS :I APN# OWNER NAME PHONE E-MAIL STREET ADDRESS (A/ 1 C ` ri r` CITY, STATE, ZIP �n � �lA[FAX ` CONTACT NAME �� PHONE R E-MAIL o STREET ADDRESS .-v� �c--�' CITY, STATE, ZIP R„ \X_T q-SD3 AX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR N o � � LICENSE NUMBER ley, 6• LICENSE TYPE C BUS. LIC # COMPANY NAME E-MAIL �Q P v 8 FAX STREET ADDRESS CITY, STATE, ZIP - PHON ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME �_ E-MAIL FAX STREET ADDRESS ��c. s� ,►. �- CITY, STATE, ZIP o> P 0 (sty 1� DESCRIPTION OF WORK 0> - +w P,t. Swat --e— 12, EXISTING USE'- l� PROPOSE CONST�L._TYPE (E l\ � # STO S USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODELAREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH ❑ ATTACH # DWELLING UNITS: IS A SECOND UNIT []YES SECOND STORY ❑ YES BEING ADDED? []NO ADDITION? []NO PRE -APPLICATION []YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED HY: '1] ,TAL V,�L,UATION: PLANNING APPL # []NO PLANNING APPROVAL LETTER EICHLER HOME? []NO ��;;JJ99 �(�''^L�✓�� V,��9�i`�, wing: am the property owner or authorized agent to act on the prnperty owner's behalf. I have read this By my signature below, I certiAhaprolvidcorrect. application and the information I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relatiuctiop. I a orize representatives of Cupertino to enter the aJagv identifi d property for inspection purposes. Signature of Applicant/Agent: SUPPLEMENT FORMATION REQtIRED PLAN CHECK TYPE ROUTING SLIP ❑ OVER -TETE -COUNTER ❑ BUELDING PLAN REVIEW _ 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. ❑ EXPRESS ❑ PLANNING PLAN REVIEW —Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ElSTANDARD ElPUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FmE DEPT —Copy of Planning Approval Letter or Meeting with Planning prior to 11 MAJOR El SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 CUPEWrONO C®NSTRUCTMi PERNT AP LIICATu -F. COMMUNITY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 ^ FAX (408) 777-3333 ^ building(kupertino.oeq ❑ NEW CONSTRUCTION ❑ ADDITION 0 ALTERATION/ TI ❑ REVISION/ DEFERRED PROJECT ADDRESS ` /J-_ �IY(� � o— I / oo rq o �PHONE OWNER NAME Apple Inc 408 . 996 . 1010 E -MAI STREETADDRESS 1 Infinite Loop Cmr,STATE, ZIP Cup ertlno, CA 95014 FAX CONTACT NAME Jerod Creese PHONE 408.240.6000 E -j Creese@xlconst . Com STREETADDRESS 851 Buckeye Court CITY,STATE, ZIP Milpitas, - CA 950A ­F48 . 2 4 0 . 6001 ❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT ® CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHrrECr ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME J erod Creese LICENSE NUMBER 647480 LICENSE TYPE B BUS. LTC # 21836 COMPANYNAME XL Construction E-MAIL jcreese@xlconst.Com FAX 408.240.6001 STREETADDRESs851 Buckeye Court CrrY,STATE,ZIPMilpitas, CA 95035 PHONE408.240.6000 ARCHFMCT/ENGINEER NAME', CIL 1 L-Q� LICENSE NUMBEI BUS. LIC # COMPANY NAME p� �s � E-MAILe��p k�� FAX �A� STREET ADDRESS zt,5,+ lyl STt ' CITY, 7: ZIP r PHONE 65'® ®,� DESCRIPTION OF WORK ��pp I'P.l lodr�-, l P��1�Q�4L' t � `� C�''�110j�-'! t}i G%�tv�!✓ IG�� d 0 CCAQA _iA-_ r -EW CA�g e'f- EXISTINGUSE PROPOSED USE CONSTR 1/) Y� TYPE # ST RIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG AREA NEW FLOOR AREA-� DEMO ^ A ( TOTAL NET AREA �-�-/j off -1 / S� BATHROOM NIA KITCHEN REMODEL AREA REMODELAREAN/A OTHER N/A REMODELAREA PORCH AREA DECK AREA N/A N/A TOTAL DECK/PORCH AREA N/A GARAG AREA: DETACH N f A ❑ ATTACH #DWELLING UMTS* N/A IS A SECOND UNIT ❑ YES BEING ADDED? ®NO SECOND STORY ❑YES ADDITION? (ANO PRE -APPLICATION [] YES IF YES, PROVIDE COPY OF PLANNING APPL# PLANNING APPROVAL LETTER IS THE BLDG AN ❑ YES EICHLERHONIE? NO RECEIVED BY: TOTAL VALUATION: $ QJNO pg� 110,000 -By my signature' below; I certify to each of the -fol ing: 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 rovided i c rrect. ave read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to b Iding co St ction a orize representatives Of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL ORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP VER-THE-COUNTERDING PLAN REVIEW _ 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. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure El STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part ofthis project. ❑ LARGE U FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ElSAMTARYSEWERDISTRICT submittal of Building Permit application, ❑ ENVIRONMENTAL HEALTH B1dgApp_2011.doc revised 06/21/11 MY OF SCUP ERUN® FEE IESUMATOR - BUff LDffNG DMSION ADDRESS: 1 Infinite Loop DATE: 01/31/2012 REVIEWED BY: bob s. APN: BP#: S 'VALUATION:$110,C PERMIT TYPE: Building Permit P1LAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION USE: PERMIT TYPE: WORK Comm T.I office space interior only to include (M,E) no Plumbing no Ps SCOPE 1 B TI OCCUPANCY TYPE: TYPE OF FILR AREA CONSTR. s.4 PC FEES PC FEE ID IBP FEES BP FEE RD B (Tenant Improvements) I -AJ -B 0 $0.00 $0.00 $0.00 $0.00 Permit Fee: Hourly Only? 0 Yes E) No $0.00 Suppl. Insp. Fee -0 Reg. Q OT . I-0.0- hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 EA TOTALS: 0 $0.00 Work Without Permit? Q Yes No $0.00 Advanced P1amline Fee: MECIH[, HOURLY 0 Yes ONo P1L>< NIB, nO>(JRLY Q Yes Q No EILIEC, UO><JR LY Q Yes Q No rI — - NOTE: This estimate does not include fees due to other IDepartments (Le. Planning, Public Works, Fire, Sanitary Sewer IDistric4 School IDictrirr etc 1. These fees arp hacprl an the nreliminary infar►natian availahly and are an/v an estimate. Cantart the ]Dent far addn'l infa. FEE ITEMS Ifee-Resolution 11-053If ?'1/11) FEE QTY/FEE MIISC IITIEMS Plan Check Fee: Hourly Only? D Yes 0 No $0.00 2 hours Plan Check, Hourly $260.00 ISTPLNCK Suppl. PC Fee: d Reg. 0 OT Q,Q hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes E) No $0.00 Suppl. Insp. Fee -0 Reg. Q OT . I-0.0- hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 EA 0 Work Without Permit? Q Yes No $0.00 Advanced P1amline Fee: $0.00 10 hours Inspections Q $1,300.00 ISTINSP Inspection,Hourly Q Strong Motion Fee: IBSEISMICO $23.10 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $5.00 SUBTOTALS: $28.10 $1,560.00 TOTALFEE: $1,588.10 Revised: 1/19/2012 cur�E r�Tr�o ( U1 \ 1 1. �1( I (1► I � � I�� ( 41 \ I I. �\ ( I (111 � I I � I Bufldng Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: I I P Fu'jITC 5P PERMIT # OWNER'S NAME: RIPPU6 PHONE # bD(, "-G 1.3 GENERAL CONTRACTOR: ( b4ST4kcA BUSINESS LICENSE # a' ADDRESS: f,— 07 CITY/ZIPCODE: \1 t`j 1kS *Dano- municipal code requires aIll businesses working in the city to have a City of Cupertino business license. NO BUILDING ]FINAL OR ]FINAL OCCUPANCY RNSPIECTION(S) WILL BE SCHEDULED UNTIL T1=I[]E GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUP ERTINO BUSINESS ESS LICENSIE. I am not using any subcontractors: Signature ?lease check app➢icabl1e subcontractors and complete the ffb llowng Warmati®n: Date V SUBCONTRACTOR BUSINESS NAME BUSIINIESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper �,� (p Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock 'le Vz �-r wn it / Contractor Signature � 1 �C 11 ' Iate