13010007I CITY OF CUPERTINO BUILDING PERMIT I
BUILDING ADDRESS. 20625 ALVES DR
OWNER'S NAME: APPLE INC
OWNER'S PHONE: 4084830795
❑ LICENSED CONTRACTOR'S DECLARATION
License Class 1 Lic.4 Qq r 4 Y
ContractorXL C4tMKM4) Date 12-1111
I hereby affirm that I 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:
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.
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 enses which may accrue against said City in consequence of the
granting o s rmit. Additionally, the applicant understands and will comply
with all ntr;7 ions per the Cupertino Municipal Code, Section
9.18.
�i
Signature Date
❑ OWNER- BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
I, 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)
I, 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:
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 A700 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
CONTRACTOR: XL CONSTRUCTION
851 BUCKEYE CT
MILPITAS, CA 95035
JOB DESCRIPTION: RESIDENTIAL
PERMIT NO: 13010007
DATE ISSUED: 04 /23/2013
PHONE NO: (408) 240 -6000
COMMERCIAL
APPLE -ALVES CAFETERIA - BUILDING
SUPERSTRUCTURE AND
SHELL 22,742 SQFT
Sq. Ft Floor Area: I Valuation: $15000000
APN Number: 32634069.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITH I 80 DAYS OF PERMIT ISSUANCE OR
180 DA F OM LAST CALLED INSP CTION.
Issued by: 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, 1 agree to remove all new materials for
inspection.
Signature of Applicant: Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
1 have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(x) should I store or handle hazardous
material. Additionally, should I use equipment or devices which emit hazardous
air contaminants as defined tteCB ay Area Air Quality Management District I
will maintain compliance wi up lino Municipal Code, Chapter 9.12 and
the Health & Safety Code, S 255 25533, and 25534. u
Owner or authorized agent: Date: l
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Profess
FEW CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
OCCUPANCY TYPE:
ADDRESS: 20625 Alves
DATE: 01/02/2013
REVIEWED BY: Mendez
PC FEE ID
APN:
BP #:
`VALUATION:
1$15,000,000
PERMIT TYPE: Building Permit
PLAN CHECK TYPE: New Construction
PRIMARY
Commercial Building
Civil / Religious activities
PENTAMATION
1 SHELLBLDG
USE:
in BQ zone? Yes
Q ®No
PERMIT TYPE:
WORK
A le Alves Cafeteria- n•
SCOPE
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
s.f.
PC FEES
PC FEE ID
BP FEES
BP FEE ID
Shell Bldgs
II- B,111- B,IV,V -B
22,742
$10,532.40
IOSPLNCK
$15,071.84
1OSINSP
Permit Fee:
$15,071.84
Suppl. Insp. Fee-0 Reg. Q OT
0,0
1 hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tax: IBCONSTAXC
$61,858.24
E)
Work Without Permit? 0 Yes (j) No
$0.00
TOTALS:
22,742
$10,532.40
$15,071.84
Strong Motion Fee: IBSEISMICO
NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc). These fees are based on the nreliminary information available and are only an estimate. Contact the Dent for addn I info.
FEE ITEMS (Fee Resolution 11 -053 Eff 7/1/12)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$10,532.40
Select a Mise Bldg /Structure
or Element of a Building
E3
0.0
hrs
$0.00
Pi�qqh, "P,/)
$0.00
NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc). These fees are based on the nreliminary information available and are only an estimate. Contact the Dent for addn I info.
FEE ITEMS (Fee Resolution 11 -053 Eff 7/1/12)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$10,532.40
Select a Mise Bldg /Structure
or Element of a Building
Suppl. PC Fee: (j) Reg. Q OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$15,071.84
Suppl. Insp. Fee-0 Reg. Q OT
0,0
1 hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tax: IBCONSTAXC
$61,858.24
E)
Work Without Permit? 0 Yes (j) No
$0.00
Advanced Planning lee: IPLLONGC
$6,140.34
Select a Non - Residential
Building or Structure
Strong Motion Fee: IBSEISMICO
$3,150.00
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$600.00
- SUBTOTALS:
97,352.82
$0.00 TOTAL FEE:;
$97,352.82
Revised: 10/01/2012