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050902141 I CITY OF CUPERTINO�r' --',�'a''' BUILDING DIVISION PERMIT I�CONTiiAC�TORINFORMATIOPt ,`a '�4%ii-^%�L6;� -..'a+,llYi'r, -� 8s,,-=<�•E.}fPi,>v� BUILDING ADDRESS: . 131 BUBB RD DPR CONSTRUCTION INC PmMrr No05090214 OWNER'S NAME PERMIT ISSUE DATE APPLE COMPUTER 1450 VETERANS BLV 12/08/2005 E SANITARY NO. CONTROL NO. (650)474-1450 ARCHRECTAENGTNEER: BLU DING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 LICENSED CONTRACTOR'S DECLARATION Job Oestri [ion P I b=* affirm Thu 1 am l dalu odd apmviaims of ChapLer 9 (mmmcoc ni wllh Sccuon700thof Diviafoo 3 at4 Businea and Pmfcuiam Code, and my lkc u &1.01 log, LTi 59g'8L{G TI -NEW LOAD PARS T�I� NQS/ ISHINGS OTT/SKYLIGHTS DNalt^a°"' caunaw 2 .ICTa.l�no,.r MODIFI/EXTER/RVS ALR ARCHITECT'S DECLARATION tly I undersand my plana shall be ived u Public rtrnds 30 9006 Veered Pmfcaional OWNER-BUILDERDECLARATION`icy I hcmby aRrm Rau I am caempl form Ile Canna s L.icauc for the followini Tutor. (Sauer 70313. Boal. and Pmf..k— Cads: My city or cwuy whlch talu rds a permit to n wwcl, alta, bmpmu, dmaalhb. tar rtpwr my nwnmc poor to ita iss., alio mein. tho appl'.M•r far aoch permit m f m a signed sWant.1 Sq. Ft. FloV$augi86592 Thu k ulianud purwml to lie prtMalau of the Coruclori li = Law (Chapor9 (comm num, with Sal1on7000)of Division 3 M the It un. and Pmfeulana CoAc)a That M a eamopl Ihucftom and ak bine for BIC wmim cumpdm. Any Y "nm of .. APN Number Occupancy Type Section 7031.5 by my applom fm a permit wbjccu de appBmn to a civil perully of oat m«e dun rise hundred dmina (MY 35720004.00 ❑T.uownerof Ibe Y^Perq,ai.otin"oa with niderad'(mle mm. n, Required Inspections Boal MU dooewok. melmmrvlmdcd«ane,do f, (ser. 7a,, Blmf Cand The Coructora Llaue lir does not apply ff an norms of Coes: not arW Prty q P viiroloo +odious=notln won hie who b min ptopmiwho aro, abchhopts ,prodida ormff as avnm that nehIm rtu art era Inlerxmdm*Aka fa aal�ff. u,ldint m u mW whhhl ate year of caofor dm owner - .the, or is MW however.Inc bu0 nr urn will hate the burdev of roving that k did ant dub a Mpmce for rapt{ of l the f Pro aa ),r axle.). ❑ I. u ower of Ibe M.P+ Y. am esalwl Y conaxuin{ viN Ik®d mnuacbu b .tMet the Pmda't (Sec. 70w. Buainm and Profutiarta CodcI The Caactora I!. me Law does not apply to an owar of propcny.who builda a imposcc thcrtoo, and. wba .tarsen for wCL pm)m= with a rnoucta(a) Hared pawau n and Contra onh Li . Lar. I am caempl uodu Ser. . B ! P C for thia rtaam Owod Data WORKERS COMPENSATION D LARAT7QY 1 bdo h' afR m order paahy a! pu}ery ere of the fnllowlni IleclmuanK . MK and will maintain a Cmlrimm of Comcnt to uK-Laavrt res Warteh Camp vuon, a provided for by S=uUm 3700 of thd Libor Code, for the perfamanm of Ile won f whirb Ibis prmlt h hwN. Il se artd SIR madnWn WonaS Cnmptwdon InwraMm, u rtquired by Salim 3700 of de Labor Cade, for the P.rfaatame or Ibe vert fa "L,h Thu Ntmit u 4urd. My Wone' anpeautbo hkUUom a carrier and Policy no db art: eirrler.=-Gl"u.� Polley No,; C Ce33 (o63i CERTIFICATE OF FXE MIPTION FROM WORKS COMPENSATION INSURANCE (Ttd tial red notbecomplc" if the p id u res one hmdo,d dalW(SI00) _ m lcu) I anify Nat in the performance of de won for "ich 04 p.i, ia iwued, l shall Int emplq any pman in my mauler to as in bean subject to the Warm' Campmualiab Iawa of Ca tfaNa. Data, Appllum NOTICE TO APPLICANT: If, ari matin{ N4 Cuufvat^ N F dmirtim )oo shaukl be wblca to the Water's C.,.fion providau of We L md, Cedc you mum ' rondy iib avydy with such g Lsiau or thh pe rant shall be dmmd;cooked CONSod Li.nONLENDRTGAGENCY erby Numit laaa111Mellormndini aienry for Ibe perfarmarl¢of 1hor whams ' Nc murk far which IbV permit h uocA (Sa. 3(Y97. Civ. C.) lenders Adnate j1 aMfy that I bate rid INa appla-uion W nam that me a,osc infermadon h ' C.lap¢ In cnrapty with all dry and canonry ad-Inaneend slue dwartWIngn bwldini coauucuon, and U,mby authorim rtptaentalises of Nit city In rnty upon lbc :] .nova-mendaoml p.pdny for ilnpenon pmv Doan (Wc) spa to ave, indemnify artd tromp barmmu the City a(Cupmion suint IlatRitks, jud6mcau, costa and exp which may In my way accrue aiaint add City t' to cormq cc or the intruding of lhh Nonni. ' APPLICANT UNDERSTANDS AND L COMPLY WG`H ALL NON -POINT Issued by: Date S ERE ULATIO S. f Q o Re -roofs Type of Roof Siinnwc Of Ap,Iica VCdnVa}o xm HAZAROOUA MATRUAIS DISCLOSURE WB Rhe appllc tn'few buildingo Wt mrt ar haMk harydaua anwrial u de0red by de Culoo Mu icipat Cade, Chapmr 9.12, and the Ifealth and Safcly ode, SeWan 25532( )7 All roofs shall be inspected prior to any roofing material being installed. C]Y. No If a roof is installed without first obtaining an inspection, I agree to remove WIII the applicant a fulme baildinp acctµvnl uc cquipmml a Itvices wAicb hvardmu air amami"•mt a hfincd by On Bay Arta AU Qualhy Manapcmcni all new materials for inspection. uo m7 ❑Yes ❑Nu I hale mad the Ilvudoua me 1, reyulmm w under CTapet 6.95ofdm Calif. ors Hesdth & SafdyCo4, SecUaa 25305.35533 mdU534.I urdmand Ihatlrthe building don riot cmrtndy lace a mmmetW It h my resPunibility, n omirY IWde hennms widen mast to met miaa,tmcoracmirmanera Signature Of Applicant Date 191 S 0!�; All roof coverings to be Class "B" or better Owrcr a thavW apk D6 Testing Engineers, Inc. Quality Assurance Services Materials Consulting Since 1954 Regular Concrete Compression Test Report Project No.: 47915 Client: APP33 Sample No.: 253169 / Page 1 of 1 Project Name:, Report Date: 01/27/16 10131 Bubb Road -Apple #9 c]" Sample Date: 12/30/15 Cupertino, CA, Time Sampled: 0920AM Date Received :12/31/15 Permit #s 05100211; 05090214 Inspector: S. Brooks, TEI Supplier: Milpitas Materials Mix: 5PP60138 Ticket No.: 174640 Trench from lines 2 to 3.8 between A and B.5. Sp(Vcimens Cast (A�SrTM C-31) : 5 Air Temperature�ASTM C-1064) : 41 deg F x-tur�em,p,5r-ature (ASTM C-1064) : 57 deg F Slump (ASTM C-143) : 5 inches Specimens ASTM C-617 .ASTM C-1231 Date Tested 01/06/16 01/27/16 01/27/16 01/27/16 HOLD ID Number 2A 213 2C 2D 2E Mark Sample Dimension, Inches Diameter 4 4 4 4 Length 8 8 8 8 Area, sq. inches 12.57 12.57 12.57 12.57 Ultimate Load, lbs 38000 58000 61000 61000 Ultimate Str., psi 3020 4610 4850 4850 Average, Str., psi 4770 Age Tested, Days 7 28 28 28 HOLD Fracture Type 1 1 1 1 cf --= —Dry Un -if ` eight,— PCV--­— Specified Specified Strength, psi 3000 3000 3000 SPECIMENS NOT SCHEDULED FOR TESTING WILL BE DISCARDED AFTER 28 DAYS OLD The Material WAS WAS NOT The Material Tested < MET DID NOT MEET THE SAMPLED AND TESTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE BLDG. DEPT. OR DSA APPROVED DOCUMENTS, REQUIREMENTS OF THE BLDG. DEPT. OR DSA APPROVED DOCUMENTS. Remarks: Samples Tested in General Conformance with ASTM C-39 1 cc. City of Cupertino 1 cc. DPR Construction, Inc. Reviewed By: ' 1 cc. Apple Computer, Inc. Robert Green Concrete Lab Supervisor The results presented in this report relate only to the item(s) tested. This report can be reproduced only in its entirety unless written permission from TEI is obtained. Corporate Office - 2811 Teagarden Street, San Leandro, California 94577 - (510) 835-3142 - Fax (510) 834-3777