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12110022BUILDING ADDRESS: I INFINITE LOOP CITY OF CTI P EIl8TI NO BUILDING PERMIT T CONTRACTOR: DPR CONSTRUCTION, A PERMIT NO: 12110022 GENERAL OWNER'S NAME: APPLE COMPUTER INC 11450 VETERANS BLVD I DATE ISSUED: 11/19/2012 I OWNER'S PHONE: 4089961010 I REDWOOD CITY, CA 94063 I PHONE NO: (650)474-1450 I ❑ LICENSED CONTRACTOR'S DECLARATION License Class 8 Lic. # 1-.3 a-.,- Contractor Qfp R (C'"r„, "' ChbO Date ri �f Z I hereby affirm that I am licensed under the provisions of Ch pter 9 (commencing with Section 7000) of Division 3 of the Business &: Professions Code and that my license is in full force and effect. BUILDING PERMIT INFO: BLDG r ELECT F PLUMB r— MECH r RESIDENTIAL r COIMERCL4 L 7 JOB (DESCRIPTION: APPLE - 4TH FLOOR - 4012 SQFT REFINISHING OF BATHROOMS, BREAK, CEO BOARDROOM AND ANTI -ROOM AREAS INCLUDING FINISHES, PARTITIONS,CEILING 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 Sq. Ft Floor Area: 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. r Signature < /f Date T� ❑ . OWNER -BUILDER DECLARATION I 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, will 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). I hereby affirm under penalty of perjury one of the following three 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. 1 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, l 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 wil I comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. APN Number: 31602105.1 Valuation: $500000 Occupancy Type: PERMIT IEX?ID[RES RIF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM (LAST CALLED ffNS? EtCTffON, Issued by: �� i67 —Date:// -/f/ 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: 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 &c Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &c 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 authorize t: Date: 10 L501-Z- 0 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of uork'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. Signature Date Licensed Professional. CUPERTINO ❑ NEW CONSTRUCTION PROJECT ADDRESS CONSTRUCTION PERNT APPLuCu��J�� a®N. COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 ^ FAX (408) 777-3333 ^ building a`�cupertino.org ❑ ADDITION ALTERATION / TI ❑ REVISION i DEF/ERRED ORIGINAL PERMIT # 11; I ✓" m APN t! OWNER NAME y PHONE03 n�CVE-MIL"'�1-9 1 l STREET ADDRESS D, „ i CITY, STATE, 21P / v, G FAX CONTACT NAME V -A� U� 1 J � �N PHONE��-W,6— IDI E-MAIL ter/ L&✓,Z ��-�� STREET ADDRESS D j� �•1� �^ _ CITY, STATE, ZIP l• � nsQl y l,� j "L T FAX ❑ OWNER ❑ OWNER -BUILDER dINTIER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME C� �� LICENSE NUMBER q 53 �- Z J/ LICENSE TYPE BUS. L13C 4 COMPANY NAME 1 660sb-.I C-61 E-MAIL nT Q �V SUQ4I e, (X �m FAX r, O r u Q @ice � r_� ��7J STREET ADDRESS S wIn CI, A_- VUUCJ CITY, STATE, ZIP /� c/� q,5ap PHONE 40S ^ �� : do 23 ARCHITECT/ENGINEER NAM y S�♦ J LICENSE NUMBER -2 BUS. LIC # COM ANY NAME` Nl,� e � E-MAIL �s � o FAX � VA k&Q CS STREET ADDRESS �i 5vile 70J STt?oLTAr{1td-vJ(E f tOc!' DESCRIPTION OF WORK c jj M od1 r� t ro n of , o 'j O ff I t' (- UU) EXISTING USE PROPOSED USE C' STR TYPE # STORIES cTu/ USE TYPE OCC. SQ.FT. VALUATION (S) permit for new buil rsg. r—' � Bl s: Pr, e campped-2—araoCsateri4ls DISCIOSUIe IR ' STANDARD „ ❑ PLANNING PLAN REVIEW ❑ PUBLIC�VORICS _Commercial form if any Hazard ri bei ar�is_'project.` ❑ TARGE EXISTG AREA 4 7 I d NEW FLOOR AREA g- DEMO AREA N D l Z TOTAL ' NET AREA submittal of Building Permit application. y® J' BATHROOM KrrCHEN OTHER RFMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH []ATTACH # DWELLING UNITS: IS A SECOND UNIT El YES SECOND STORY ❑YES BEING ADDED? W0 ADDITION? /+' Wo PRE -APPLICATION YES IF YES, PROVIDE COPY OF PLANNING APPL#O PLANNING APPROVAL LETTER IS THE BLDG AN ❑ YES EICHLER HOME? ,ANO RECEIVED BY:,. A TOTAL VALUATION: By my signature below, l 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 1 have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building constructi II. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent Date: �l / SUPPLEMENTAL INFORMATION REQUIRED :�_. PLANCRECKTYPE ROUTINGSLIP- :❑ OVER-THE-COUNTER`: 0 BUILDING PLAN iREVIEW New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition ermit is required prior to issuance of building ; permit for new buil rsg. r—' � Bl s: Pr, e campped-2—araoCsateri4ls DISCIOSUIe IR ' STANDARD „ ❑ PLANNING PLAN REVIEW ❑ PUBLIC�VORICS _Commercial form if any Hazard ri bei ar�is_'project.` ❑ TARGE ❑' EIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to 0NtA JOR ❑ 'SANITARY'SEWER I)ISTRIC[ submittal of Building Permit application. ❑ EN'VIRONMENTALHEALTH B1dgApp_2011.doc revised 06/21/11 CITY OF CUPERUND rm-1 FEE ESTIMATOR — B UELDRNG DRVESEON 19 ADDRESS: I Infinity Look - Worth TYPE 1111 CONSTR. DATE: 11/05/2®92 REVIEWED BY: RDW APN: 1BP#: , a-- *YAILUATII®N: 1$500,000 *PER RT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIIMARY Commercial Building USE: $0.00 Olber Plumb Imp.ET-L PENTAMATIION 1B1 PERMIIT TYPE: WORK 4th fir. 4012 sq/ft. Refinishin of bathrooms break CEO Boardroom and Anti -room areas includin SCOPE finishes, partions, ceiling tiles, flloor tiles, lighting, minor electrical and plumbing in selected areas. E, OCCUPANCY TYPE: TYPE 1111 CONSTR. IF1LR AREA s.f. PC (FEES PC FEE IID IBP ]FEES IBP FEE IID B (Tenant Improvements) I-A,I-B 0 $0.00 PME Plan Check: Is EE $0.00 Olber Plumb Imp.ET-L Other El ^r. Insp. Altech. lisp. Fre Platrrib. hlsp. Fee: Glee. Imp. Fre: hrs $532.00 PME Unit Fee: ISUPINSFEE $0.00 PME Permit Fee: $0.00 Constrwction Tax.- ax:administrative AdministrativeFee: Work Without Permit? Q Yes Q No $0.00 Advanced Plannin& Fee: $0.00 TOTALS: 0 $0.00 Strong; Motion Fee: IBSEISMICO $0.00 MECH, HOURLY Q Yes Q No PLUMB, HOURLY Q Yes Q No ELEC, HOURLY (0 Yes E) No J Ltech. Plan Check PW0. Plan Check Elec. Plan Checkr LrecG. permil Fee. P/rrmh. Permit Fire: F'lec. Permit Fee: hrs $532.00 PME Plan Check: Is EE Other Alec h. Ir P. Olber Plumb Imp.ET-L Other El ^r. Insp. Altech. lisp. Fre Platrrib. hlsp. Fee: Glee. Imp. Fre: NOTE. This estimate does not include fees due to other (Departments (i.e. Planning, Public Works, Eire, Sanitary Sewer ]District, School (District, eta). These fees are based on the Preliminary information available and are only an estimate Contact the (Dept for addn'l info. ]FEE ITEMS (Fee Resolution 11-053 Ejf 711/12) FEE QTY/FEE MffSC I[T]EMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. Q OT 4.0 hrs $532.00 PME Plan Check: Is EE $0.00 Permit Fee: z $0.00 Suppl. Insp. Fee -.0 Reg. Q OT 4.0 hrs $532.00 PME Unit Fee: ISUPINSFEE $0.00 PME Permit Fee: $0.00 Constrwction Tax.- ax:administrative AdministrativeFee: Work Without Permit? Q Yes Q No $0.00 Advanced Plannin& Fee: $0.00 Select a Non -Residential E) Building or Structure Q d Travel Documentation Fees: Strong; Motion Fee: IBSEISMICO $105.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $20.00 SUBTOTALS: $1,189.00 $0.00 TOTAL FEE $1,189.00 Revised: 10/01/2012 BuniRding Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 405-777-3225 CC U P E R7111M® Fax: 405-777-3333 CONTRACTOR /SUBCON7RACTOR M97 JOB ADDRESS: �&v �lv 1 PERMIT # 1 -2- OWNER'S NAME: fk F r L -V IVC PHONE # � '1I— q36 F> GENERAL CONTRACTOR: PFR mets ® BUSINESS LICENSE # ( '2, 0 -2 - ADDRESS: 11� 0 V4kM995 RVA . «�W �vud C+I , GQ %08 CITY/ZIPCODE: AdjA10A Ccs , Q i � _ *Our municipa➢ code requires all businesses worMng in the city to have a City of Cupertino b usi n¢'d ficeun§e, NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTM THE GENERAL CON'IclBACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUP ERTffN® BUSINESS LICENSE. I am not using any subcontractors: Signature Date please check applicable subcontractors and complete the ThHoMng Wormadon: V SUBCONTRACTOR BUMNESS NAME BUSINESS LICENSE # Cabinets & Millwork 60 M M erei Cement Finishing p/ Electrical ReAwood (2C jC �• o� �� Excavation Fencing I/ Flooring / Carpeting VV Linoleum / Wood Glass / Glazing D pp_ f OJ 4 �-s C2 w� Heating Insulation Landscaping Lathing Masonry t/ Painting / Wallpaper C Paving Plastering Plumbing k(o 1head Roofing Septic Tank Sheet Metal Sheet Rock Fv Tile WIAO QI lel 73 Owner / Contractor Signature Date PERMIT# 12 J I OD 2.2— DATE PROJECT LQ O L Z z daal AIDS APPLICANT 5-0.4;,4 OWN EIR 4PLL tlV�- AGENCY rN RETURN Sqm reit IN RJItN status reit IIv RETURN �ratxis reit Ic•5—/ e E�l�'I �� OXIDE M"ING ]PUBLIC WOPM SANITARY HOOD ASSESSOR APN# 3l(, - O2-!05-. 1 RES.(LVNO) (GAlltAG E) COMN/l. SO. FF. (N T1. SA Fr. yo r Z- RES. RE ODEL CONTACT P H[ONIE# VALUATION (Cost of Ptoject) � 5-00 , c) -00 NOTES: 1 1 44c) — cf-.► 6s—b-2"-2SZ — EMAIL SGOPrN Y p Op fi— c-oAn R EQU PAID CONSIRUCIlON TAX (Y) (I) SCHGOLFEES (Y) (N) HOURNG ` G . (Y) (N) HEART OF TEE CHI (Y) (N) 3��r13 ISSUED EV='i�✓t! �Q DATE // /Z212 'll OTAIL FEES !e