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B-2017-0713CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0713 1 INFINITE LOOP CUPERTINO, CA 95014-2083 (316 02 105) APPLE COMPUTER INC 1 INFINITE LOOP UNIT MS 36TX CUPERTINO CA 95014 OWNER'S NAME: APPLE COMPUTER INC DATE ISSUED: 05/10/2017 OWNER'S PHONE: 408-974-1190 PHONE NO: OWNE"UMDER LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class Lic. # Contractor APPLE COMPUTER INC Date X BLDG _ELECT _PLUMB MECH RESIDENTIAL X COMMERCIAL 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. JOB DESCRIPTION: CONSTRUCT A TEMPORARY DISPLAY WALL SETUP INSIDE I hereby affirm under penalty of perjury one of the following two declarations: INFINITE LOOP LOBBY ATRIUM (8 ft IN HGT). 1. 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. 2. 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 Sq. Ft Floor Area: Valuation: $30000.00 permit is issued. APPLICANT ANT CERTIFICATION I certify that I have read this application and state that the above Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances 16 316 02 105 3 A (Tenant Improvements) 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 05/10/82017 Issued by: Kim Dunbar OWNER-BUIL DER DECLARATION Date: 05/10/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the RF ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: 1.` I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for inspection. 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 Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 05/10/82017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1. 1 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. 2. I have and will maintain Worker's Compensation Insurance, as provided for by HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the permit is issued. Health & Safety Code, Section 25532(a) should I store or handle hazardous 3. I certify that in the performance of the work for which this permit is issued, I material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code tions 25 , 2 533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall, , be deemed revoked. Owner or authorized age' ' APPLICANT CERTIFICATION Date: 05/10/82017 1 certify that I have read this application and state that the above information is N LENDING A = .N .Y I hereby affirm that there is a nstruction lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands ARCHITECT'S RATLON and will comply with non -point source regulations per the Cupertino Municipal be used a public I understand my plans shall be used as public records. Code, Section 9.1 a Licensed Signature Date 05/10/82017 CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(a)_cupertino.org ® NEW CONSTRUCTION ❑ ADDITION ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS 1 Infinite Loop APN# `3t !© 67 OWNERNAME Apple Inc. PL T 406-813-2208 E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX CONTACT NAME Gary Chao PHONE 408-828-5770 E-MAIL chao _ap le.com STREET ADDRESS CITY, STATE, ZIP FAX 1 Infinite Loop QupertinQ, CA, 95014 ❑ OWNER ER OWNER -BUILDER ❑ OWNER AGENT ❑ "CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME CENSE NUMBER LICENSE TYPE BUS. LIC # ^ I/A wd,L I V COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER NAME N/A IV LICENSE NUMBER BUS. LIC # COMPANYNAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OFWORK Construct a temporary display wall setup inside the Infinite Loop 1 lobby atrium. EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA $30, 000 W BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE, AREA: HDETACH ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY❑YES BEING ADDED? ❑NO ADDITION? ❑NO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RE I BY TOTAL VALUATION: PLANNING APPL # []NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO $30,000 By my signature below, 1 certify to each of the following: I am the property owner or authorized gent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Descr. on of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to' truction. I authoriz ntatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: 5-4-2017 SUPPLEMENT O N REQUIRED PLAN CHECK TYPE ROUTING SLIP ❑ OVER-THE-COUNTER ❑ BUILDING 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 ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH B1dgApp 2011.doc revised 06/21/11