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13120082CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 2 INFINITE LOOP CONTRACTOR: XL CONSTRUCTION PERMIT NO: 13120082 OWNER'S NAME: APPLE COMPUTER INC 851 BUCKEYE CT DATE ISSUED: 01/07/2014 OWNER'S PHONE: 4089338836 MILPITAS, CA 95035 PHONE NO: (408) 240-6000 I'll) UK/ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL APPLE - OFFICE TENANT IMPROVEMENT (7100 SQ FT). rLi .. se Clasl--�9- Lic. # 1'"!j 14 o 0 21 Date 6�^ Contractor I 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 performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $820000 ice, as provided for by I have and will maintain Worker's Compensation Insurance, PN Number: 31602106.00 Occupancy Type: 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 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 D RO LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, I -�- costs, and expenses which may accrue against said City in consequence of the A Date: I/ , granting of this permit. Additionally, the applicant understands and will comply U with all non -point source regulations pel the Cupertino Municipal Code, Section RE_-ROOFS. 9.18, e� Signature latJ 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. El 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) 1, 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 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 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 the Health & Safety Code, Sections 505,255 3, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this it. Owner or authorized agent: 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 CONSTRUCTION LENDING Compensation laws of California. If, after making this certificate of exemption, I -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 I 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 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 M ALTERATION / TI El REVISION / DEFERRED N (-r-2 PRM ORIGINAL PERMIT # 131101 i1b PROJECT ADDRESS TAPN #o OWNER NAME E-NIJAM STREET ADDRESS CITY, STATE, ZIP FAX 6 CONTACT NAME PHONE pp7P llogq3 E- Cord. ecvp te t A 601— STREET ADD -WS7CITY, STATE, zjp, FAX Z, 0 OWNER 0 OWNER -BUILDER 0 OWNE GENT CONTRACTOR 0 CONTRACTOR AGENT 0 ARCHITECT 0 ENGINEER 0 DEVELOPER 0 TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # (24 COMPANY NAME yt (!�),-6�cvc,4 WR^ E-MAIL bet X co,4AdaA. FAx STREET ADDRESS Cny, Mlapt:Ls PHONE 205- ARCHITECT/ENGINEFRNAMM LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL, Jqatccow FAX - STREET ADDRESS qVJ CITY, STATE, r -10 eA qS PHONE 15 DESCRIPTION OF WORK t�k--MO iAOA 4r,,JurLA elemnh. Jags, "2,n110Vr1JC I -5 APOPS, ICIA1511e>. At GS M1,W-r1Q1J--1A -Jr EXISTING USE PROPOSED USE CONSTR. TYPE I-AUSE # STORMS TYPE OCC. SQXT. VALUATION EXISTG AREA 101 000 NEW FLOOR AREA 0 DEMO 1 AREA TOTAL I NET AREA .70(000 o co BATHROOM KITCHEN OTHER REMODEL AREA REMODELAREA RFMODFLAREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH n ATTACH I DWELLING UNITS: IS A SECOND UNIT r1YES SECOND STORY E]YES I BEING ADDED? []NO ADDITION? []NO PRF -APPLICATION []YES IF YES, PROVIDE COPY OF IS THE BLDG AN [] YES BY: TOTAL VALUATION: PLANNING APPI, NO PLANNING APPROVAL LETTER EICHLERHOME? 4 ISZO, 000 By my signature below, I certify to each of the following: I am the property owner or authorized agent toacton the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to b g construction. k autl1prize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent Date: 1 10 115 SUPPLEMENT g INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP oviR -TH"OUNUR El RWLDING PLAN REVIEW New SID or Multifamily dwellings: Apply for demolition permit forEJ existing building(s). Demolition permit is required prior to issuance of building permit for new building. El EXPRESS El PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure F4STANDARD n PUBLic WORKS form if any Hazardous Materials are being used as part of this project. 0 LARGE FIRE DEPT Copy of Planning Approval Letter or Meeting with Planning prior to 0 MAJOR SAMTARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_201 1. doc revised 06121111 C .. CITY of +CUPERTINO niTTTT "11Vf_ "11VTCif1N TYPE OF FLR AREA OCCUPANCY TYPE6 CONSTW B (Tenant Improvements) i } f } ftclr. Plan (.:"heck ^��_ _� plumb,i'I m 17hec k Elee. Plan Check" 1i>c3t. I c �frzt ;c>t flhwynhf I'e rfni! Fee;Eke-c. Iermn t Pee_ 01herr h9ech Inv). 0,,her F'1r,.' nb frisp, 0her Elecr Insjm � Meek Irasls_Fee: :" luf,.=tm hal), Fee: f mez:. lnsp I `ee.• NOTE. This estimate does not include fees flue to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School �., .,�s:»r..t„ rn»tnrt tiro 1)orrt fnr arldtx rl tnfn. District etc.), dnese ees are nasea on ine reurnaraur FEE ITEMS (Fee Resolution 11-053 E{f. 711/131 ADDRESS: 2 INN I NITE LOOP DATE: 12/1012013 �1 REVIEWED BY: MELISSA Plan Check Fee: �, iiiil(APERMIT [$00,000 TYPE: Building Permit hrs PLAN CHECK TYPE: PME Plan Check: $0.00 PENTAMATIONPRIMARY Permit Fee: APPLE T 1 .1. FOR AN INTERIOR DEMO & RECONFIGURATION FOR OFFICE SPACE, INCLUDING ! . r hrs TYPE OF FLR AREA OCCUPANCY TYPE6 CONSTW B (Tenant Improvements) i } f } ftclr. Plan (.:"heck ^��_ _� plumb,i'I m 17hec k Elee. Plan Check" 1i>c3t. I c �frzt ;c>t flhwynhf I'e rfni! Fee;Eke-c. Iermn t Pee_ 01herr h9ech Inv). 0,,her F'1r,.' nb frisp, 0her Elecr Insjm � Meek Irasls_Fee: :" luf,.=tm hal), Fee: f mez:. lnsp I `ee.• NOTE. This estimate does not include fees flue to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School �., .,�s:»r..t„ rn»tnrt tiro 1)orrt fnr arldtx rl tnfn. District etc.), dnese ees are nasea on ine reurnaraur FEE ITEMS (Fee Resolution 11-053 E{f. 711/131 FEE QTY/FEE MISC ITEMS Plan Check Fee: $4,415.20 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: $12,995.00 Suppl. Insp. Fee:(E) Reg. Q 09F 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Cf nsiruction TaIv: i1 dmini; ,trative l ee: Work Without Permit? ® Yes No $0.00 Advanced Planning, Fee: $0.00 Select a Non -Residential Building or Structure StrongMotion Fee: 1BSEISIWCO $172.20 Select an Administrative Item Bl d _Stds Cominission Fee: 1BCBSC $33.00 STAS 17,615.40 $0.00T $17,615.40 mevlSCu. i Vru ucv s o CONTRACTOR. / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torte Avenue Cupertino, CA 95014-3255 Teleplime: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: w )-tt, PERMIT # 00 OWNER'S NA . �,.Z1 # — PHONE# GENERAL CONTRACTOR. BUSINESS LfCENSE # ADDRESS: + ICITY/ZPCODE: A"fV,tk %jur municipai cone requires aii nusillesses working in the city to nave City of Cupertino business license. NO BUILDING FINAL OIZ FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL TIME; GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any sobcontractors: Signature Please check applicall.'lle s u bcon tractors, and complete the following information: Date V SUBCONTR/' f'T01 TR BUSINESS NAME BUSINESS LICENNSE # Cabinets & NI:'4011( 'fig Cement Flinis 1 Electrical ell Excavation Fencing J1, 6 Flooring/Ca: -im" Linoleum d' Glass / Glazi, <. A 5'B - C, Y Heating hisulation Landscapin.., Lathing Masonry Painting w" Paving Plastering Plumbing 7 -Roofing Septic Tank Sheet Metal, Sheet Rock V Tile ctor SignatureaD,te Building Department City Of' Cupedillo 10300 Torre AveflLIU Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 CONTRACTOR /SUBCONTRACTOR LIST JOB ADDRESS: SUBCONTRACTOR PERMIT #' N PHONE# -OWNER'S GENERAL CONTRACTbR: )<4 BUSINESS # ADDRESS: - 51 175vyl CITY/ZlPCODE- )30ti-c-'S *Our municipal code requires All'businesses working in the cit�y to have a City- of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: Owner I Contractor Signature Bate SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE# Cabinets & Millwork /�vl I mo, 5 1 Cement Finishing Electrical 77 1A Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Prt,(vt, A 5 - Heating Insulation Landscaping Lathing Masonry Painting l Wallpaper y Paving Plastering Plumbing Roof ng Septic Tank Sheet Metal Sheet Rock --s, Wv Tile Owner I Contractor Signature Bate ME= 1� City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: A j_C'C<3 PER11\41T -,U _04 t3i -a(X O)AINER'SNIAME: 4A .k- ^C PHONE# RAL CONTRACTOR: BUSINESS LICENSE #it ADDI'�E CITY/ZIPCO)EDE: iW *Our municipal code requires all businesses working in the city to have a City of Cupertino DUSHIM 11MINc- 11 1 _3111-1 -W F �)�Wm In -1-1419WE V NET" K03 W*s of we " 0 Amy• I-11TWINDMIN141 I am not using any subcontractors: Please check applicable subcontractors and complete the following information: I= L Li ate Owner / Contractor Signature SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring /-Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile L Li ate Owner / Contractor Signature