13060048MY OF CUP ERTI NO BUILDING P EllBMRT
BUILDING ADDRESS: I INFINITE LOOP
CONTRACTOR: XL CONSTRUCTION
PERMIT NO: 13060048
OWNER'S NAME: APPLE COMPUTER INC
851 BUCKEYE CT
DATE ISSUED: 06/06/2013
OWNER'S PHONE: 4089961010
MILPITAS, CA 95035
PRONE NO: (408) 240-6000
❑ LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIAL J
License Class 13 e;? Li.. # 014,7, ,p�
T.R. TO SEPARATE I (]C') CONFERENCE 1110 ROOM TO
Contractor �% (�Ql�S tly1'% 1 Date 44 `
CREATE 2
(N) INTERVIEW ROOMS
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.
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
Sq. Ft Floor Area:
Valuation: $70000
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
APN Number: 31602105.00
Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
P Ei RNUT EXPIRES IF WORK IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating
WITHIN Ili® �A�� OF PERMIT ISSUANCE ®�
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 FRO IlD INSPECTION.
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
Iss Date: Y
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
RE -ROOFS:
Signature Date r
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.
❑ OWNER -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 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
HAZARDOUS MATERIALS DISCLOSURE
construct the project (Sec.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. 1 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
1 have and will maintain a Certificate of Consent to self -insure for Worker's
material. Additionally, should I use equipment or devices which emithazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued.
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
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
the Health & Safety Code, Sections 25505, 25533, and 25534.
,,/' /
Owner or authorized agent: � Date:F9�'0?
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,)
CONSTRUCTION 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
irNTrrir4R7 ?TTrT irNTrynTr79Trh rTri\.Tir1h
OCCUPANCY TYPE:
� ll JL ll lkyl ` 'k- kU R i IM lL I V 4.4
FEE ESTIMATOR - BUILDING DRVISEGN
MDRESS:
1 INFINITE LOOP DATE: 06/06/2013 REVIEWEDBY: MELISSA
PC ]FEE ID
N: 316 02 105
BP#: % 3�(P��
'VALUATION:
1$70,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building
PENTAMATION 113TI
USE:
PERMIT TYPE:
WORK
T.I. TO SEPARATE 1 E CONFERENCE ROOM TO CREATE 2 N IiVTERVIEW ROOMS
SCOPE
OCCUPANCY TYPE:
TYPE R
CONSTR.
.
]FLR AR1EA
s.f.
PC ]FEES
PC ]FEE ID
BP ]FEES
BP ]FEE ID
B (Tenant Improvements)
I-A,I-B
171
$2,925.00
1BTIPLNCK
$821.00
1BTHNSP
Elec. Insp. Fce:
$0.00
Permit Fee:
$821.00
Suppl. Insp. Feer Reg. 0 OT0
0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
TOTALS:
171
1 $2,925.00
1
$821.00
MECH, HOURLY 0 Yes 0 No
PLUMB, HOURLY Q Yes E) No
ELEC, HOURLY Q Yes Q No
P&A Plan Check
P17110. Plan Cheek
Elea Plan Check
iVl11ch. Perwit Fee:
Plumb. Permit ree:
Elec. Perinil Fee:
Other Alech. Inch.
Other Plumb Insp.E--L-
Other Elec. Insp. Ell
]leach. Insp. Fee:
Plur+lb. Insp. Fee::
Elec. Insp. Fce:
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 Dreliminary information available and are only an estimate. Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Ef. 711112)
FEE QTY/FEE
MISC ITEMS
Plan Check Fee:
$2,925.00
Select a Misc Bldg/Structure
or Element of a Building
Suppl. PC Fee: (D Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$821.00
Suppl. Insp. Feer Reg. 0 OT0
0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tax:
Administrative .Fee:
E)
Work Without Permit? 0 Yes E) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
d
'l'ruiel Documentation 1'eE
Strong Motion Fee: IBSEISMICO
$14.70
Select an Administrative Item -
Bldg Stds Commission Fee: IBCBSC
$3.00
SUBTOTALS:
$3,763.70
$0.00
TOTAL FEE:
$3,763.70