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14060150I CITY OF CUPERTINO BUILDING PERMIT y11 BUILDING ADDRESS: 20525 MARIANI DR I CON TRUCTOO D C CON I PERMIT NO: 14060150 I OWNER'S NAME: APPLE INC 1 690 GIBRALTAR DR I DATE ISSUED: 07/01/2014 OWNER'S PHONE: 4087835595 1 MILPITAS, CA 95035 1 PHONE NO: (408)942-8200 LICENSED CONTRAC'TOR'S DECLARATION License ClassyI C1 L Lic. d ��� (O - Contractor CA.�ILCLt 6e111;+_ Date_7 71I I 1 hereby, affirm that 1 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. 1 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 performance of the work for which this permit is issued. 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 permit is issued. APPLICANT CERTIFICATION 1 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point sour gul ns per the Cu Municipal Code, Section 9.18. Signature Date l ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 construct the project (Sec.7044, Business & Professions Code). 1 hereby affirm under penalty of perjury one of the following three 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 performance of the work for which this permit is issued. I have and will maintain Workers Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this 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, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Date JOB DESCRIPTION: RESIDENTIAL [] COMMERCIAL ❑ APPLE T.I. 2ND FLOOR - TO RECONFIGURE INTERIOR OFFICE SPACE/BREAKROOM (500 S.F.), INCLUDING M.E.P.' S DEF # 1 - UPGRADE (E) SITE & RESTROOMS FOR ADA ACCESS - ISSUED 7/29/14 Sq. Ft Floor Area: I Valuation: $100000 APN Number: 32656001.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DA - E T ISSUANCE OR 180 DAY -S- OM LA ALLED INSPECTION. 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. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino unicipal Code, Chapter 9.I2 and the Health & Safety Code, Sections 25505 5533,- 534. Owner or authorized agent: _ Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-322B • FAX (408) 777-3333 - building(o-)cuQertino.orQ ` /96(00(';V u ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI EX REVISION FERRED RiGITAL PERMIT n / l Q(0O (SV PROIECT.ADDRESS Y052 APN4 OWNERNAME ' PHONE yob _ IM -5595 E-MAIL I � n G b ; STREET ADDRESS j CITY, STATE, ZIP %� C FAX ` VA UG CONTACT NAME PHONE E-MAIL STREET.ADDRESS Q C _ ` b ) pl f t CITY, STATE, ZIP S FAX 13ORT'ER 13OIAI-BUILDER �.1.t1�tv1 cRAGE?�TW ❑ CONMLACTOR 1:1CONTLICTORAGEN-, ❑ ARCHITECT 13ENGLMEER ❑ D�%ELOPER ❑ TENAI�7 CONTRACTOR NA -MIF { LICENSE NUMBER LICENSE TYPE I U7j e BUS, LIC R C4 (Si L COMPANY NAME 1 Ccv�St t E-MAILI k� w ` FAX �+enicGv. C- CI�VGGv�-Cc t�1��1 STREET ADDRESS CITY, STPZip FHONcTE, . ti` ARCHI cCT/E JGWEER NAME LICENSE NUMBER BUS. LIC COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP I PHONE DESCRIPTI ON OF WORK I> EXISTII\G USE PROPOSED USE CONSTR TYPE STORg.S 12 �J PD ( I - A _ 1 21 'TTOTAL USE 1 TYPE OCC. SQ.FT. 1 V.ALUATION (i) L EXLSTG AREA NEW FLOOR AREA DEMO AREA NET AREA 1 - 2r� 1' BATFACOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA �U G PORCHAREA DECK AREA TOTAL DECK/PORCH.AREA GARAGEAREA: DETACH ❑ ATTACH T' DR'ELLDdG UNITS: IS A SECOND UNIT ❑ YEs SECOND STORY YES - BEI 'G ADD€I . ❑ NO ADDITION? []NO - --PR-E-APPL-IC-ATTON-,S 1'ES--Il'-a=tS,3ROYIDE�OPLOF _IS_THE $].D"G___1`� ❑ 1 tS y _ _ = TOTAL VALUATION: PLA'�"IdINGP,PPL* ❑NO PLA'�`'e"L'�'GAPPROVAL L?=I-I'ER EICHLERHO'�4E2 - - -- 1 O l By my signature below, I certify to each of the following: I am the property oti"� er or authori ae Znthe proper,) owner's be -a 4 is application and the information I nave pr is .ct. I nave read the Description of Work and verify it is accurate. I agree to comply with all applicable loca -- ordinances and state laws relating to ildin struction. I auth ere e tgti of Cupertino to enter the aboVeelide itified property for inspection purposes. Signature of Applicant/Agent: '`�-��— __ Date: ( Z� 414 SUPPLEMENTAL INFO RMATIO_ RE D 8rL s, caEcxnPEti ,` Y,:RouTL\csLIP - New SFD or Multifamily dwellings: Apply for demolition permit forA�xEFmJ existing building(s). Demolition permit is required prior to issuance of building g permit for new building. 4FJ,PxEss s 3 YLAi�hINGPLIS Commercial Bldgs: Provide a completed Hazardous Materials'Disclosure �i DA"RD 4�UBi�cs�oRis s _ form if any Hazardous Materials are being used as part of this project. :E _ Copy of Planning Approval Letter or Meeting with Planning prior to � f.ATOR � `� �AT�1TAItI` SERER DISTRICT' submittal of Building Permit application., � � _ ttn Blda9pp_2011.doc revised 06,121/11 Gov✓► CITY OF CUPERTINO MM -N FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 20525 mariani dr FEE DATE: 07/29/2014 REVIEWED BY: melissa APN: 32656001.20525 BP#: 14060150 `VALUATION: Iso `PERMIT TYPE: Building Permit 1 14 $286.00 PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial Building USE: Suppl. PC Fee: Q Reg. Q OTT0.0 I I PENTAMATION 1GENCOM PERMIT TYPE: woRK DEF # 1 - UPGRADE (E) SITE & RESTROOMS FOR ADA ACCESS - ISSUED 7/29/14 SCOPE $0.00 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 preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution II -053 6117.7.-1.3) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.001 1 14 $286.00 Deferred Submittal 1DEFSUBM Suppl. PC Fee: Q Reg. Q OTT0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 E) Work Without Permit? © Yes No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure G Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $286.00 TOTAL, FEE: $286.00 Revised: 07/10/2014 I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 20525 MARIANI DR CONSTRUCT R: DE CON PERMIT NO: 14060150 I OWNER'S NAME: APPLE INC 1 690 GIBRALTAR DR I DATE ISSUED: 07/01/2014 1 OWNER'S PHONE: 4087835595 1 MILPITAS, CA 95035 1 PHONE NO: (408)942-8200 1 id LICENSED CONTRACTOR'S DECLARATION License Class L4, CIC Lir. # -3Qq [ (D Contractor De�� �,, �^g� Date/ 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. thave 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 permit is issued. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source re ulations per the ertino Municipal Code, Section 9.18. Signature Date ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 ofthe Labor Code, for the performance of the work for which this 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, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Date JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E] APPLE T.I. 2ND FLOOR - TO RECONFIGURE INTERIOR OFFICE SPACE/BREAKROOM (500 S.F.), INCLUDING M. E.P.' S Sq. Ft Floor Area: I Valuation: $100000 APN Number: 32656001.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAY OM AST CALLED INSPECTION. Issued by: Date: RE -ROOFS: 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. Signature of Appl Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should 1 use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sec 25533, . -534. Owner or authorized agent: Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed CONSTRUCTION PERMIT APPLICATION D\ COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION `Q 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 O 408 777-3228 • FAX 408 777-3333 • buildin cu ertino.or CUPERTINO ( ) ( � aCa? p q ❑ NEW CONSTRUCTION ❑ ADDITION ALTERATION / Tl ❑ REVISION / DEFERRED ORIGINAL PERMIT 4 PROJECT ADDRESS 2o5z5 n A n.,,,� t ear' APN# 32(V � 5( `QC1 I , SO� �r OV^TER NAME 20 sZ A4 AIZ-1 hw / PHONE W E-M.AIL j P P Irk" ! r� G - fJ2. LP Ste h-� 10 :N 5 c c to c a„v STREET ADDRESS i I N C I rJ I� "C CTT Y, STATE, ZIP ` v � �o t (_ i i FAX ONTACT NAME I 7 PHONE (� E-MAIL 133�Ya�N Wrrlt�rELD '40�-�133-55g5 wl�:t .-e�d�aPp�,ce:h STREET ADDRESS I II /{tN I� �� CITY, STATE, ZIP �ul �� I�0 ( C� FAX / OWNER ❑ Oft l'NER-BUIUILDrER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONPRACTORAGENr ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTTRACTOR NAME kF�r f �`-' I , ` LICENSE NUMBER M f �� LICENSE Tl E G�` BUS. LIC R t�� p COMPANY NAME l V !V E-MAIL `' r 1 FAX / U Devton1 �oNvT� l oc, i r w •, -evC0iv1 �CunSr•GO STREET ADDRESS ��o /�, ` fA 1Ja y � r CITY, STATE, ZIP (� (I ; i 5 ! PHONE �G� _ �� - C ARCHITECT/ENGINEER NAME 1 D19�VC`' IGL LICENSENUMBER �V����'II (Q C BUS,LICI l 10(i d J COMPANY NAME IV E-MAIL � � 11-e L FAX gI�N�.- Pcwn7 ►ti C<..j v fn d�,V�cV�-CGYI�• C STREET ADDRESS L y Ft 1 -MI-1 CITY, STATE, ZIP PHONE �VVL.Z �� abr-✓ DESCRIPTION OF WORK r t�-,�v� k.. �-� e x-15 c- � c� '� b � t� � r�e� S � cam. Z ►a.d�. -� i EXISTING USE PROPOSED USE CONSTR. TYPE #STORIES p� (I „ ,4 � USE TYPE OCC. SQ.FT. VALUATION (ij EXISTG NEW FLOOR 4—�DEN40 TOTAL /� AREA (�� q� AREA AREA NET AREA (;� I gC.1C.I I I — ,LQ Cj Q 2j IOU f c a: G BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DEC ORCH AREA GARAGE AREA: DETACH ❑ ATTACH # D WEL ING UNITS: IS A SECOND UN ❑ YES SECOND STORY ❑ YES ,y BEINGADDED? �NO ADDITION? W'0 PRE -APPLICATION ❑ YES EF YES, PROVIDE COPY OF Is THE BLDG AN ❑YES : - y, TOT. VALUATION: PLANNING APPL# „Pj NO PLANNING APPROVAL LETTER EICHLER HOME? - �I�G c`v ✓` 1 By my signature below, I certify to each of the following: I am the property oHmer o )rued ag a e ovmer's behalf. I have read this application and the information I have provided is correct. I have read the Description of Vro rlfy it ' rate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino toe r the aboove-i entified property for inspection purposes. Signature of Applicant/Agent: Date: 24 SUPPLEMENTAL FORMATION UIRED rLA ` CHECK Y 1TE ROUTING SLIP Ne�� SFD or Multifamily dwellings: Apply for demolition permit for (] o«RTcouNrER ❑ BUILDII�GPLATREy�EW existing building(s). Demolition permit is required prior to issuance of building -_ permit for ne�v building. © E} PRESS ❑ PLAI��I\G PLAIvRES IEIi w _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ sTALnaRD ❑ PUBLIctvaRRs form if any Hazardous Materials are being used as part of this project. L4RGE r ❑ FrRE nEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ' " ; ❑ 11'fA70R:: � ❑ SARiTARS SERER DISTRICT submittal of Building Permit application. - ,_ 5 - - - �❑ : EN;'1RON'Ii4ENTAl HEALTH ,": Bld;,4pp_2011.doc revised 06/21/11 CITY OF CUPERTINO N - M-0 FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 20525 MARIAM DR TYPE OF CONSTR. DATE: 06/24/2014 REVIEWED BY: MEI-ISSA APN: 32656001.20525 BP#: BP FEE ID "VALUATION: $100,000 PERMIT TYPE: Building Permit 500 PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: IBTIINSP $0.00 PENTAMATION 113 TI PERMIT TYPE: 19 WORK APPLE T.I. TO RECONFIGURE INTERIOR OFFICE SPACE 500 S.F.) SCOPE Permit Fee: $879.92 OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) II-A,III-A,V-A 500 $2,557.78 IBTIPLNCK $879.92 IBTIINSP $0.00 PME Plan Check: $0.00 Permit Fee: $879.92 Suppl. Insp. Feer Reg. Q OT Q,Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: TOTALS: 500 $2,557.78 $879.92 MECH, HOURLY 0 Yes G No PLUMB, HOURLY Q Yes Q No ELEC, HOURLY Q Yes Q No Lj 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 nreliminary information available and are onlv an estimate. Contact the DeUt for addn'I info. FEE ITEMS lee Resolution II -053 Eff 7;1%13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,557.78 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: 0 Reg. 0 OT Q,Q hrs $0.00 PME Plan Check: $0.00 Permit Fee: $879.92 Suppl. Insp. Feer Reg. Q OT Q,Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 0 Work Without Permit? ® Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure G 0 i Strong - Motion Fee: IBSEISMICO $21.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $4.00 SUBTOTALS: $3,462.70 $0.00 TOTAL FEE -.F$3,462.70 Revised: 04/01/2014 CUPERTINO Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST I,-/. -1/ JOB ADDRESS: - avi, LC. r—, PERMIT # OWNER'S NAME: I C, PHONE # qC6— 712 — gl35Cp GENERAL CONTRACTOR: ptvccv, /Pic . BUSINESS LICENSE # ADDRESS: ft r ©r CITY/ZIPCODE: *Our municipal code requires all businesses working in the city 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 / Contractor Signature Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millworks Cement Finishing Electrical nrcw Excavation Fencing Flooring / Carpeting C�•lc�i Linoleum / Wood lass / Glazing Heating ii ��cv► <<, I Vlc.. Insulation Landscaping Lathing Masonry Painting/ Wallpaper G4' O Paving Plastering Plumbing Roofing Septic Tank Sheet Rock Tile — Owner / Contractor Signature Date