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15040170CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 2 INFINITE LOOP CONTRACTOR: NOVO CONSTRUCTION PERMIT NO: 15040170 OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED: 04/23/2015 OW R'S PHONE: 41084380968 MENLO PARK, CA 94025 PHONE NO: (650)701-1500 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ ❑ APPLE TI - 2ND FLOOR - UPGRADE MECHANICAL UNITS License Class `� Lic. # q FOR RM N262 ContractorDate I hereby affirm that I am licensed under the provisions of Cha ter 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 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. Sq. Ft Floor Area: Valuation: $165000 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 APN Number: 31602106.00 Occupancy Type: permit is issued. 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 WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep hatmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the X13 ods 7 { r� aW '" ' " granting of this permit., Additionally, the applicant understands and will comply Issued by: 1'^i' Date: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. '') 23 is RE -ROOFS: Signature Date 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. ❑ WNiR-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I''am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and (be 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 HAZARDOUS MATERIALS DISCLOSURE construct the project (Sjlec.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: Health & Safety Code, Section 25532(a) should I store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's 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 Arca Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the pe tino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sectio t 55 5, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: 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 CONSTR CTION 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 keep harmless 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 CUP ;RTII O [:1 NEW COIpSTRUC' CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION Q, 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 SD (408) 777-3228 • FAX (408) 777-3333 • buiidmggC Cupertino org 6 'ION ❑ ADDITION ® ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS 2 Infinite Loop APN # 3 �,6 - 0 7 - OWNER OWNER NAME 'Apple, Inc. PHONE 408-438-0968 E-MAIL STREET ADDRESS 1 Infinite Loop CITY, STATE, ZIP Cupertino, CA 95014 FAX CONTACT NAME', Jacob White PHONE 650-847-8912 E-MAILjwhite@novoconstruction.com STREET ADDRESS 1460 Obrien Ave CITY, STATE, ZIP Menlo Park, CA 95014 FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR 00 CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAIAE LICENSE NUMBER 791022 LICENSE TYPE B BUS LIC # 23891 COMPANY NAME NOVO Construction E-MAIL FAX STREET ADDRESS 1460 Obrien Ave CITY, STATE, ZIP Menlo Park, CA 94025 PHONE 650-701-1500 ARCHITECT/ENGINEER NAME Scott Colson LICENSE NUMBER BUS. LIC # COMPANYNAME': HGA Architecture E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTIONOF,wORK Tenant improvement on the 2nd Floor of Infinite Loop 2, upgrade mechanical units for one room EXISTING USE PROPOSED USE CONSTR. TYPE #STORIES g _ 4 USE TYPE OCC. SQ.FE VALUATION (S) EXISTG AREA 7�"�. 7 NEW FLOOR AREA �"� '7 DEMO AREA N /1 TOTAL NET AREA �Z ..y 1 g 1 - g '7�Z �% $165,000 BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA ' PORCH AREA ''. DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ATTACH # DWEUNIT LLING IS A SECOND UNIT []YES SECOND STORY ❑ YES BEING ADDED? []NO ADDITION? []NO` PRE -APPLICATION', OYES IF YES. PROVIDE COPY OF IS THE BLDG AN ❑ YES _ - -" y - T-QTAL VALUATION: PLANNING APPL # ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO 5 000 By my signatures below, I certify to each of the following: I am the property owner or au orized agent to act on the prgp6ty o�Yner's behalf. I have read this application and %he information I have provided is correct. I have read the Description of Work and verify it is accurate--Il-agree to comply with all applicable local ordinances and State laws relating to buddiflg construction I authoriz�repres tat ve f Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agen . _ �'� L �����-`� 7 Date: SUP? NTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP ❑ OVER -THE COUNTER ❑ BUII DING 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 ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANrrARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 2 INFINITE LOOP DATE: 04/22/2015 REVIEWED BY: MELISSA PC FEE ID APN: 316 02 106 BP#: 'VALUATION: 1$165,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY!, Commercial Building USE: $984.53 PENTAMATION 1 B TI PERMIT TYPE: WORK APPLE T.I. - 2ND FLR - UPGRADE MECHANICAL UNITS FOR RM N262 SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant IM: provements) I-A,I-B 327 $3,153.91 1BTIPLNCK $984.53 1BTIINSP Permit Fee: $984.53 Suppl. Insp. Fee -0 Reg. 0 OT0,0 hrs $0.00 PME Unit Fjee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? 0 Yes 0 No $0.00 TOTALS: 327 $3,153.91 $984.53 Strong Motion Fee: IBSEISM1CO MECH, HOURLY 0 Yes Q No I PLUMB, HOURLY 0 Yes E) No I ELEC, HOURLY 0 Yes Q No NOTE: This ('estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School Dietrh-t off, I1 Thoco foac aro hncod nn tho nroliminary infnrmafian avnilahlo and ary nnly an vcfimato_ Cnntart tho Dont fnr addn'l info_ FEE ITEMS (Fee Resolution 11-053 UL 7/11131 FEE QTY/FEE MISC ITEMS Plan Check fee: $3,153.91 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: (E) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $984.53 Suppl. Insp. Fee -0 Reg. 0 OT0,0 hrs $0.00 PME Unit Fjee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? 0 Yes 0 No $0.00 Advanced P➢annin Fee: $0.00 Select a Non -Residential Q Building or Structure 0 i Strong Motion Fee: IBSEISM1CO $46.20 Select an Administrative Item Bldg Stds Cpmmission Fee: IBCBSC $7.00 SUBTOTALS: $4,191.64 $0.00 TOTAL FEE: 1 $4,191.64 Revised: 04/01/2015 TEMPORARY CERTIFICATE OF OCCUPANCY FORM COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P E., C.B 0.. BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO. CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinq(a.cupertino.org A j16i? 1010 AMOUNT BP #: O'ID O CODE DATE: OF BOND: PROJECT VALUATION: $ f6506b SITE ADDRESS: T n ,,);k_ % r%. c, r01 OW ER'S NAME- 13 Date:...................... PHONE #- 08 q�� �.3 _ 6 (,` �. , ❑ APPROVED El APPROVED WITH CONDITIONS - FAX #: Date:...................... MAILING ADDRESS (if different from site address): CONTRACT R: PHONE #:6 sq p [ Sb U /V 6 o Con w�i U n FAX #: l ` CONTACT:,, n H4 (1 A 5 u Opt PHONE #: FAX #: C 6 SV � 2 O �5 TEMPORARY CERTIFICATE OF OCCUPANCY INFORMATION BOND TYPE:', El SURETY BOND AMOUNT (1 % VALUATION $ saw (BLDBONDSJ CODE ❑ CHECK ❑ CASH BOND OF BOND: 5K min -10K max EDITION: TCO EXPIRATION Z � t i FEE: $2$6.00/mo TOTAL FEE: $ / 1 [1TEMPOCC] DATE (6 MONTHS MAX): Date:...................... USE TYPE OF CONSTR FLOOR AREA OCC LOAD LEVEL COMMENT ire ,( Si nature:. �.1. Date: ..�.I.l..�..�.�j... APPROVED El APPROVED WITH CONDITIONS- ❑ APPROVED ❑ APPROVED WITH CONDITIONS- Signature: .SII .................................................... Date:...................... ❑ APPROVED El APPROVED WITH CONDITIONS - Signature: ..... 1: ........ *** ......................................... Date:...................... OTHER DEPARTMENT 1 AGENCY APPROVALS: Planning ❑ APPROVED El APPROVED WITH CONDITIONS - Signature: ..... ........... .... ..................................... Date: .................... -- ate:........................ ire ,( Si nature:. �.1. Date: ..�.I.l..�..�.�j... APPROVED El APPROVED WITH CONDITIONS- ❑ APPROVED ❑ APPROVED WITH CONDITIONS- Signature: .SII .................................................... Date:...................... ❑ APPROVED El APPROVED WITH CONDITIONS - Signature: ..... 1: ........ *** ......................................... Date:...................... *CONDITIONS OF COMPLETION - Attach a letter signed by the contractor and owner of the property stating they list of items required to be completed for each individual Department before final occupancy can be granted. Include approximate completion dates for each item. The undersghed covenant and agree as a condition to the approval of the above request for temporary occupancy to have the building or buildings complete and in compliance with all building codes, ordinances and regulations and ready for inspection prior to the expiration date specified. If this Temporary Certificate of Occupancy expires, the total amount of the bond may be forfeited and the non-compliance may result in an enforcement action. Owner1 . _ Contractor ! / Sonature: , .- ! .Y ............................... Date:.6-A.-/...... Signator ......................... `...................... Date: This temporary certifica� 4 uret t�a'rll fire protection and life safety systems have been completed, inspected, successfully tested and approved for the specif y�f of h b ilding specified above to provide a reasonable degree of safety to the occupants from fire and I Building Offic al:....1-f LLA....... �...�....,�............... Print: ..../'`/.Ncr•.......V•1/ �/!'�........................ Date:... -,7../ .K .... DEPARTMENT ACTION: After d@termiVM15in, copies to: 1) applicant, 2) permit file TempOccForm_2013.doc revised 717114 TEMPORARY CERTIFICATE OF OCCUPANCY FORM COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 • FAX (408) 777-3333 • build ing(a)cupertino.org * el(I tf cc A TEMPORARY CERTIFICATE OF OCCUPANCY INFORMATION BOND TYPE: ❑ SURETY BOND AMOUNT (1% VALUATION $ 5W D [BLDBONDS] CODE ❑ CHECK ❑ CASH BOND OF BOND: 5K min -10K max EDITION: TCO EXPIRATION I Z FEE: $256.00/mo TOTAL FEE: $ / ,6 \ [1TEMPOCC] DATE (6 MONTHS MAX): I 6 � r USE 7#:ATE: S 0 Ll '10 FLOOR AREA D LEVEL PROJECT VALUATION: $ O D U SITE ADDRESS: T r1 ni}L (�c. verf;11f,4 - SO! OW ER'S NAME: 13 2 PHONE #:'JO� I , p cl 642 (t_ u v es- ............ Date: ...................... FAX MAILING ADDRESS (if different from site address): ❑ APPROVED CONTRACTOR: Signature: ......................................................... PHONE #: bU D- Sb U N o v o (1> rv-t T U n FAX #: l l CONTACT: p 1-1 (L 5z,_ U re S PHONE #: FAX #: C 6 S l) 2 TEMPORARY CERTIFICATE OF OCCUPANCY INFORMATION BOND TYPE: ❑ SURETY BOND AMOUNT (1% VALUATION $ 5W D [BLDBONDS] CODE ❑ CHECK ❑ CASH BOND OF BOND: 5K min -10K max EDITION: TCO EXPIRATION I Z FEE: $256.00/mo TOTAL FEE: $ / ,6 \ [1TEMPOCC] DATE (6 MONTHS MAX): I 6 � r USE TYPE OF CONSTR FLOOR AREA OCC LOAD LEVEL COMMENT C -f i cam. - 3 Public s 2 ElAPPROVED ❑ APPROVED WITH CONDITIONS' Signature:............................................. ............ Date: ...................... Other: ❑ APPROVED ❑ APPROVED WITH CONDITIONS' Signature: ......................................................... Date:...................... OTHER DEPARTMENT I AGENCY APPROVALS: Planning Signature: ......................................................... Date:........................ ❑ APPROVED ❑ APPROVED WITH CONDITIONS" ire Si nature:.. .... ......... Date:.. -I..1.. ( ( . �.�... APPROVED ❑ APPROVED WITH CONDITIONS' Public s ElAPPROVED ❑ APPROVED WITH CONDITIONS' Signature:............................................. ............ Date: ...................... Other: ❑ APPROVED ❑ APPROVED WITH CONDITIONS' Signature: ......................................................... Date:...................... *CONDITIONS OF COMPLETION - Attach a letter signed by the contractor and owner of the property stating the list of items required to be completed for each individual Department before final occupancy can be granted. Include approximate completion dates for each item. The undersigned covenant and agree as a condition to the approval of the above request for temporary occupancy to have the building or buildings complete and in compliance with all building codes, ordinances and regulations and ready for inspection prior to the expiration date specified. If this Temporary Certificate of Occupancy expires, the total amount of the bond may be forfeited and the non-compliance may result in an enforcement action. Owner _ Contractor f Signature:.... Y.... ......... ................. Date:G.... Signature -7 ......... .........r .................... Date: IVZIF� This temporary certifica e ure(ht�Tll fire protection and life safety systems have been completed, inspected, successfully tested and approved for the specif ofding specified above to provide a reasonable degree of safety to the occupants from fire and similar emergencies. Building Official:.... .... ......... ............ ....................Print:.... ...../. ...... ....�0..........................Date:..I ..f�.. DEPARTMENT ACTION: After cktermil)Wn, copies to: 1) applicant, 2) permit file TempOccForm_2013.doc revised 717114