15020060CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 5 INFINITE LOOP
CONTRACTOR: NOVO CONSTRUCTION
PERMIT NO: 15020060
OWNER'S NAME: APPLE COMPUTER INC
1460 O'BRIEN DR
DATE ISSUED: 02/10/2015
OWNER'S PHONE: 5108613299
MENLO PARK, CA 94025
PHONE NO: (650)701-1500
a LICENSED CON'TRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑
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APPLE T.I. PREP, 4TH FLR, SOUTH SIDE 13,854 S.F.
License Class Lie. #
Contractor
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:
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
Sq. Ft Floor Area:
Valuation: $65000
performance of the work for which this permit is issued.
ave 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: 31602109.00
Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
1 certify that I have read this application and state that the above information is
PERMIT EXPIRES IF WORK IS NOT STARTED
correct. 1 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
AYS F LED INSPECTIO .
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 r�
granting of this permi dditionally, the applicant understands and will I
0
sued b Date: / ,
with all non -point s regulations pe e Cupertino Municipal Code, Section
RE -ROOFS:
9.18.
Signature Date Y� �U ��
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
I, as owner of the property, or my employees with wages as their sole compensation,
wil I 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(x) 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 Crtino Munici 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 O5, 25533, a 25534.
Owner or authorized agent: Date:
permit is issued.
I certify that in the performance of the work for which this permit is issued, 1 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, I
CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code, I must
1 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
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
`-'
CONSTRUCTION PERMIT APPLICATION �Q
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION O
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 \
CUP6RTIN0 (408) 777-3228 • FAX (408) 777-3333 • build inq(a)cupertino.orq
❑ NEW CONSTRUCTION ❑ ADDITION ® ALTERATION/Tl ❑ REVISION/DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS 5 Infinite Loop
APN # 13 f b— Q 2 A 7 Q
OWNER NAME Apple, Inc.
PHONE 510-861-3299
E-MAIL
STREETADDRESS 1 Infinite Loop
CITY, STATE, ZIP Cupertino, CA 95014
FAX
CONTACT NAME Mike Lynch
PHONE 650-399-5326
EMAIL mlynchoa novoconstruction.com
STREETADDRESS 1460 Obrien Ave
CITY, STATE, ZIP Menlo Park, CA 95014
FAX
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR IN CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
LICENSE NUMBER 791022
LICENSE TYPE B
BUS. LIC # 23891
COMPANY NAME NOVO Construction
E-MAIL
FAX
STREETADDRESS 1460 Obrien Ave
CITY, STATE. ZIP Menlo Park, CA 94025
PHONE 650-701-1500
ARCHITECTIENGINEER NAME Studios Architecture
LICENSE NUMBER
BUS. LIC#
COMPANY NAME
E-MAIL
FAX
STREETADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK T.I. Prep of the 4th Floor, South Wing: Interior demolition of finishes, non-structural walls, MEP items
EXISTING SE
tj
PROPOSED USE CONSTR.
B
TYPE
1 A
# STORIES
4
USE
TYPE
OCC.
SQ.FT.
VALUATION ($)
EXISTG
AREA 13,854
NEW FLOORDEMO
AREA 13,854
AREA 13,854
TOTAL
NET AREA 13,854
B
1A
B
13,854
$65,000
BATHROOM
REMODEL AREA
KITCHEN
REMODEL AREA
OTHER
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECKIPORCH AREA
I GARAGE AREA: DETACH
❑ ATTACH
# DWELLING UNITS:
IS A SECOND UNIT OYES
BEING ADDED? ❑NO
SECOND STORY []YES
ADDITION? ❑NO
PRL --APPLICATION []YES IF YES, PROVIDE COPY OF
PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER
IS THE BLDG AN ❑ YES
EICHLER HOME? []NO
TOTAL VALUATION:
$65,000
By my signature below, 1 certify to cach of following: I amt property owner or authorized agen on the pro ner's behalf. I have d this
application and the information [have pr i d is correct. 1 ha read the Description of Work erify itis ac agree to comply with all applicable local
ordinances and state laws relating to bui i g construction. I Ahorize representatives of Cupertino to ent ove-ide tifie property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL INFORMATION REQUIRED
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.
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
form if any Hazardous Materials are being used as part of this project.
Copy of Planning Approval Letter or Meeting with Planning prior to
submittal of Building Permit application.
PLAN CHECK TYPE
ROUTING SLIP
❑ OVER-THE-COUNTER
❑ EXPRESS
❑ STANDARD
❑ LARGE
❑ MAJOR
❑ BUILDING PLAN REVIEW
❑ PLANNING PLAN REVIEW
❑ PUBLIC WORKS
❑ FIRE DEPT
❑ SANITARY SEWER DISTRICT
❑ ENVIRONMENTAL HEALTH
BldgApp_201 Ldoe revised 06/21/11
CITY OF CUPERTINO
F_1 FEE ESTIMATOR - BUILDING DIVISION
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District. eta). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11-053 E f 7/1/13)
ADDRESS: 5 INFINITE LOOP
DATE: 02/10/2015
REVIEWED BY: MELISSA
4ech. Permit Fee-
APN: 316 02 109
BP#: �Jc b�p(p�
*VALUATION: 1$65,000
xPERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Addition / Repair
PRIMARY Commercial Building
USE:
Plumb, hasp. Fee.
PENTAMATION 1TIPREP
PERMIT TYPE:
WORK I
APPLE T.I. PREP 13,854 S.F.
SCOPE
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District. eta). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11-053 E f 7/1/13)
FEE
QTYIFEE
MISC ITEMS
4ech. Permit Fee-
Plutnh. Permit I'e,,
Farc t rrmit Fere
Other Alech: Insp.
Other Plumb Insp.
Other Elec. Imp.
14cch. Insp_ Lec::
Plumb, hasp. Fee.
Lace. Imp. hee.
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District. eta). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11-053 E f 7/1/13)
FEE
QTYIFEE
MISC ITEMS
Plan Check Fee:
$0.00
1 #
$417.00
Tenant Improvement Prep
1TIPREP
Suppl. PC Fee: Q Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. lnsp. Fee:Q Reg. 0 OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tax,
Administrative Fee:
0
0
Work Without Permit? 0 Yes 0 No
$0.00
Advanced Planning. Fee:
$0.00
Select a Non -Residential
Building or Structure
0
�
IYt(t'PI �C7�1-!)nC'iiI(_I(711n �'L?eJ:
Strong Motion Fee: 1BSEISMICO
$18.20
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$3.00
SUBTOTALS:
$21.20
$417.00
TOTAL FEE:
$438.20
Revised: 01/06/2015