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14060124CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 6 INFINITE LOOP CONTRACTOR: NOVO CONSTRUCTION PERMIT NO: 14060124 OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED: 06/18/2014 OWNER'S PHONE: 5106613299 MENLO PARK, CA 94025 PHONE NO: (650)701-1500 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL APPLE- 2450 SQ FT MINOR COMM. T.I NON-STRUCTRIIAIL License Class Lic. # 72)0-Z Z Contractor /%/Oyu Y6Alf L IC.77a14 Date 6ZI9911V I hereby affirm that 1 am licensed under the provisions of hapter 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: $300000 performance of the work for which this permit is issued. 1 have and will maintain Worker's Compensation Insurance, as provided for by ection 3700 of the Labor Code, for the performance of the work for which this APN Number: 31602110.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that l 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 FROM LAST CALLED 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 Issued by: Date: with all non -point source regulations per the Cupertin Municipal Code, Section 9.18. �� �� RE -ROOFS: Signature Date 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: 1 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 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) 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. I 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 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 Co ,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505 553 a 25 Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized ager • Date: � ff 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, l 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION costs, and expenses which may accrue against said City in consequence of the l 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 C®NSTRUcinom PERFjvvilff QPPLIIC A u 1100 0A COMMUNITY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CdJPE68TBN® (408) 777-3228 • FAX (408) 777-3333 ^ building(Dcupertino.org 0 oo ❑ NEW CONSTRUCTION ❑ ADDITION ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS 6 Infinite Loop ^�# ' u 02 Q 0 O U OWNER NAME Apple, Inc PHONE) 0 v E-MAIL meyrickJones@apple.com STREET ADDRESS 1 Infinite Loop CITY, STATE, ZIP Cupertino, CA 95014 FAX CONTACT NAME Jacob White PHONE 650-847-8912 E-MAIL white@novoconstruction.com STREET ADDRESS 1460 O'Brien Ave CITY, STATE, ZIP Menlo Park, CA 95014 FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ® CONTRACTOR AG ENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Robert Williamson LICENSE NUMBER 791022 LICENSE TYPE B BUS. LIC # 23891 COMPANYNAME NOVO Construction E-MAIL FAX 650-701-1501 U STREET ADDRESS 1460 O'Brien Ave CITY, STATE,ZIP Menlo Park, CA 94025 PHONE 650-701-1500 ARCH[TECT/ENGINE�^F$ NAME LICENSE NUMBER BUS. LIC# (fep4A fldr�� COMPANY NAME Reel Grobman E-MAIL FAX STREET ADDRESSr CITY STATE, ZIP /�� PHONE DESCRIPTION OF WORK ✓77 /adr/R A104 knL24,441,e_4G P&M 9 !- A/isAcrj 9 jp�4aE ?D F"' ^ �$ad� a !V®l1 6� /n! ® -? /�� d c. J -V �dAa S EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES B B I— 4 USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG AREA �.u( NEW FLOOR AREA �� DEMO AREA ���� TOTAL NET AREA B _ B y 1� 4 ©®® BATHROOM KITCHEN OTHER REMODELAREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH I []ATTACH I # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES .� BEING ADDED? []NO ADDITION? ONO PRE -APPLICATION []YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED BY: - TOTAL VALUATION: PLANNING APPL # []NO PLANNING APPROVAL LETTER EICHLER HOME?. ❑ NO : r � �� By my signature below, I certify to each of the following: I am the property owner or authorized agent to act a property owner's behalf. I have read this application and the information I have provided is correc I have rea the D p. f Work and verify it accurate. I agree to comply with all applicable local ordinances and state Iaws relating to b I constru on. I au ere a nt s of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLE Al, INFORMATION REQUIRED PLAN CHECK TYPE _ROUTING SLIP El BUILDING PLAN REVIEW _ New SFD or Mu amily dwellings: Apply for demolition permit forOVER-THE-COUNTER existing building(s). Demolition permit is required prior to issuance of buildin permit for new building. ❑ FxPREss ❑ 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 El MAJOR El SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_201 1. doc revised 06/21/11 CRTY OF CUPERUNO 11MMW FEE ESTMATOR - BUR LWNG DffVffSffCN OCCUPANCY TYPE: ADDRESS: 6 infinite loop DATE: 06/18/2014 REVIEWED BY: MENDEZ PC FEE ID APN: BP#: 5� VALUATION: 1$300,000 'PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: Plan Check Fee: Hourly Only? C) Yes (D No PENTAMATION 1BTl PERMIT TYPE: WORK Apple- 2450 sq ft minor comm. tJ non-structrual SCOPE $0.00 OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA Ls.f.) PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) I-AII-13 0 $0.00 Plan Check Fee: Hourly Only? C) Yes (D No $0.00 1 2 hours Plan Check, Hourly $278.00 ISTPLNCK A, Suppl. PC Fee: (E) Reg. C) OT 10._0_1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? (0 Yes (D No $0.00 Suppl. Insp. Fee:(D Reg. 0 OT 1-0.-0-1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Co;istrucfiK on ry: TOTALS: 0 $0.00 0 E) $0.00 $0.00 MECH, HOURLY 0 Yes G No I PLUMB, HOURLY, 0 Yes (2) No ELEC, HO LY 0 Yes (2) No Met h. ['1"n Check FI,, _J I 11crillif Fee: ofitcr .) h,ch. Ing? LJ hl�p l'blink Plot/ (_/wc! I 111unih. 1'eona /,LT. otherPlumb lrt,�T, El 1,1101fil. hisp. 1�, e " .'I, , , t , /4. 'h L, CA I /ec i"'rmii of,)'­� !17"� !�Isp EET—L— t 1, 1;?Vl 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 theerelintinar information available and are on!l an estimate Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 E ff 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? C) Yes (D No $0.00 1 2 hours Plan Check, Hourly $278.00 ISTPLNCK A, Suppl. PC Fee: (E) Reg. C) OT 10._0_1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? (0 Yes (D No $0.00 Suppl. Insp. Fee:(D Reg. 0 OT 1-0.-0-1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Co;istrucfiK on ry: A, bn i; lisfr, "ive Fee: 0 E) Work Without Permit? 0 Yes (D No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential G Building or Structure 0' I Z� T",tivi DocunicnIotit,ri F CCIS Strong, Motion Fee: I BSEISAVC0 $63.00 10.0 hrs Inspections $1,390.00 1STINSP Inspection, Hourly Bldg Stds Commission Fee- IBCBSC $12.00 SUBTOTALS: $75-.00 $1,668.00� TOTAL FEE: $1,743.00 Revised: 0410112014