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15050109I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: I INFINITE LOOP I CONTRACTOR: NOVO CONSTRUCTION I PERMIT NO: 15050109 OWNER'S NAME: APPLE COMPUTER INC 11460 O'BRIEN DR I DATE ISSUED: 05/20/2015 1 OWNER'S PHONE: 4085921436 1 MENLO PARK, CA 94025 1 PHONE NO: (650)701.1500 LT LICENSED CONTRACTOR'S DECLARATION License Class Li,. # _7q / U 2 2- Contractor A J a it 0 r_60/((,AAate�4,)Ob�— I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Sectinn 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 pefformance 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 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. JOB DESCRIPTION: RESIDENTIAL [] COMMERCIAL APPLE TENANT IMPROVEMENT (MOTHERS ROOM/FIRST FLOOR/NORTH WING)(88 SQ FT). Sq. Ft Floor Area: I Valuation: $25000 APN Number: 31602105 00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYSX4tflgLiS�LLED INSPECTION. by: / RE -ROOFS: Signature �- Date �C �y Alrl 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. ❑ 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) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (See.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. 1 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, 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, 1 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 1 have read this application and state that the above information is correct. 1 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 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. 1 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 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 authorized agent: �/ Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this pennit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Ad ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professi A / lC� CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION Is 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • build i nq (okuperti no. org CUPERTINO �/J 1`7, r.,, n, l�TTnw, F7 nnnrrtnN '15A ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT B1dgApp_2011.doc revised O6/21i11 PROJECT ADDRESS /I `viC A t4. . (ou J +�h 17 (-A eI wi4 y 1' APN h 511 b_ OIL-- l u tp %L� E-MAIL OWNER NAME Co yoi tACLi � � � AEU_ 1 STR1 ET ADDFESS.,hVu ��� CIT STA IP v C ^ rte, � FAX /L .� YI /� a V CONTACT N.AM PHONE V� ^ f.'t_ 1,v � E -ML j O�s Nu,�u [�V `(� �-i' 1 �lV1�V1� STREET ADDRESS , CITY, STATE, ZIP FIX uD P Ci A 41.1 o2 J Nbo ✓1 eil l (J-li 1!"p_ 6vt_ ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT RA CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LI� N,ZE i (2 "fj LICENSETYPE BUS. LIC���p t COMPANY NAME E -MA 0k_S VV"A 4WLAI lm -Gu -t FAXUL) vo 'L0V15+V�A(, Ov\. . STREET ADDRESS CITY, STATE, ZIPPHONE Po CA Li 14 0 7'S toy - 101 - ISD 0 +4 6 vi e t t Ni 0'e -W -Ac- ARCHITECT/ NGINEER N LICENSE NUMBER I.vwl BUS, LIC N COMPANY EV'j E-MAIL FAX Ll. L Vk STREET ADDRESS CITY, STATE, ZIP AH u PHONE _ u- L DESCRIPTION OF WORK ((11pp a t h lA (7U �Ryvl1 vl i 1 d -A \11 ` yu CU ob t1" A tit ASS CIU AA c� tom. &lit ct W1'UJ Le c vl' �u.e q vL i wwt b�e.�c - EXIISG PROPO�E? USE /J CONSTR. TYPE N STORIES USE TYPE OCC. SQ.FT. VALUATION (S) 1+ �1U/nS�E 6t 1s— . 0J � t -r I -A EXISTG QQ�� NEW FLOOR DEMO "TOTAL �7,,�� AREA Q Ct AREA ap SIF-7cRE7t—"� AREA y{y V�J CKJITVCHEN \�L`.� YV� \ .A 5' Duo 1/ Duo V BATHROOM JT OTHER REMODEL AREA REMODEL AREA REMODEL AREA A A PORCH AREA h AREA TOTAL DECK/PO CH AREA GARAGE AREA:DETACH ❑ ATTACH N DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND TORY BEING ADDED? 1�N0 RYES ADDITION? NO IT TAL VA : PRE -.APPLICATION ❑YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES to RECEIVED NO N PLANNING APPLH []NO PLANNING APPROVAL LETTER EICHLER HOME? vo";JL(U)AQTICO> By my signature below, I certify to each of the following: 1 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 provided is correct. 1 have read the Description of Work and verify it is accurate. I agree to comply with all applicable local and state laws relating to building construction. 1 authorize representatives of Cupertino to enter the above -identified property for inspection purposes. ordinances Date: _ ��_ S Signature of Applicant/Agent: SUPPLEMENTAL INFORMA ION REQUIRED ;` N Irlm.e s New SFD or Multifamily dwellings: Apply for demolition permit for n ovER TeE CouN IEh`, , r `' I'sutLDJIYGiPLAN REvtEw IF*��j�% i to i115 f f4 ft4 /I �r building(s). Demolition permit is required prior to issuance of building J j «�+ existing permit for new building. ❑1i�EXPRESSS� ,{ �Ht`Wr ' "r lit PL'ANNING'PLANIREVIEW , Commercial Bldgs: Provide a completed Hazardous Materials Disclosure �jM STANDARD ' h FdrPUBLICtWORKS ' _ form if any Hazardous Materials are being used as part of this project 71ZE DEBT Copy of Planning Approval Letter or Meeting gwPlanning ith Plin prior to {i h1AJORs %+; ,w+ �� � (�',;II SANI�''ARIYSEWERDISTRICT _ la i submittal of Building Permit application. ..,i, , i�.�IiENYIR©NMENTAII:HEALTB,ii B1dgApp_2011.doc revised O6/21i11 CITY OF CUPERTINO I.p'r�l FEE ESTIMATOR — BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 1 Infinite Loop DATE: 05/19/2015 REVIEWED BY: Sean PC FEE ID APN: BP#: �� 50 � 'VALUATION: 1$25,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: Oi;ter l:Yec. Insp. PENTAMATION 1 B TI I PERMIT TYPE: WORK A le Tenant Improvement Mothers Room/First Floor/North Win 88 sq ft . SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) I-A,I-B 0 $0.00 Oi;ter l:Yec. Insp. $0.00 Phwfh' Ins"), t'(4`: lai:('. hup. $0.00 Permit Fee: Hourly Only? ()Yes Q No $0.00 Suppl. Insp. Fee:Q Reg. Q OTO,p hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 TOTALS: 0 $000 .,k�' �;'.'i,` `' $000 'E�H, HO>�7RLY � Yes No�� . ,• v � PLUMB,�I�OUR�I;Y ,Yes ,�� rNo;� yELE�, ISO. iw,YYes , Noy 1 f-, h. !'G.ur Check !"'on C hcc'l f_Yr[:. 1'inn Circ c:k bkcal. Prirlli! i rc: Phrmh, (';,rrrrl 1"'vc [17e(..'1'rrrr.il l:r: 01/1c'' ldcch. has/', i:)llrcr P11")nh hasj-.- Oi;ter l:Yec. Insp. I lcc 2. lay.). 1•i'6': Phwfh' Ins"), t'(4`: lai:('. hup. NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These lees are based on the nreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution I1-053 Eff 711.113) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes Q No $0.00 hours $286.00 Plan Check, Hourly ISTPLNCK Suppl. PC Fee: Q Reg. O OT0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? ()Yes Q No $0.00 Suppl. Insp. Fee:Q Reg. Q OTO,p hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 (..0I7S0'1JC'11017 lila": T -T rl dl 1111 t'['rat ive 1' c,'C:': O G Work Without Permit? 0 Yes Q) No $0.00 Advanced Planning Fee: $0.00 0 hours $715.00 Inspections ISTINSP Inspection, Hourly G O r `r:, i c'1 %)ncltlr,etlrtrxliC;n T"a<.y: Strong Motion Fee: IBSEISAIICO $7.00 Select an Administrative Item Bldp- Stds Commission Fee: IBCBSC $1.00 7-0 ,SUBTUTALS ;, $8.00 $1,001.00 TOTAL FEE ,; $1,009.00 Revised: 05/07/2015