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14100092 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 6 INFINITE LOOP CONTRACTOR:NOVO CONSTRUCTION PERMIT NO: 14100092 OWN'ER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED: 10/16/2014 OWNER'S PHONE: 4084380968 MENLO PARK,CA 94025 PHONE NO:(650)701-1500 '` LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL 0 2ND FLOOR; COMM.T.I NON STRUCTURAL, License Class/ _ Lic.# g l©2 WALL,CEILINGS FINISHES HVAC,M,E 650 SQ FT /� Contractor �/OYo 61v5T72-✓L-r01V Date ✓Z 3 '�_ DEF# 1 -BREAKROOM&SITE ACCESSIBILITY- I hereby affirm that I am licensed under the provisions of Chapter 9 ISSUED- 12/3/14 (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: l: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 erformance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$75000 71 1 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 APN Number:316021 10.00 Occupancy Type: 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 WI THIN 180 DA IT,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 DA ALLED 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 Is d b Date: �� l granting of this petmit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section r� 9.18. RE-ROOFS: Signatu 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, wil I do the work,and die 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 HAZARDOUS MATERIALS DISCLOSURE construct the project(See.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 1 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 1 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 25505,2S,533,and 534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized age Date: permit is issued. I certify that in We 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,1 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 elatingto 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 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 GUPERTINO (408) 777-3228• FAX(408)777-3333• buildin cu ertino ora ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI REVISION DEFERRED ORIGINAL PERMIT# © �Z PROJECT ADDRESS APN N --A ki OWNER NAME PHOT E-MAIL STREET ADDRESS CIT STATE,ZIP FAX CONTACT NAME PHO l �(�, E-MAIL ,�y� 1 "r v"�� %/t 7� S[�/ V - 6� 17�. W� 1�fV,, L GG<'1S In C,4;13,1 C_W\ STREET ADDRESS CITY,STATE, ZIP FAX 3 e ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR YffCOhTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE T E BUS.LIC N /042 230 COMPANY NAME /_` E-MAIL FAX /162 IA) STREET ADDRESS CITY,ST TE,21P PHONE 0 p p /5x/E�/ C /L Lo f/2 4/D Z l o t 1 Svc ARCHITECT/ENGrNEER NAME LICENSE NUMBER BUS.LIC N COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTR TYPE N STORIES n .6 1-,4 U USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG U NEW FLOOR DEMO TOTAL / AREA ///µ AREA N AREA N NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: 0 DETACH ❑ATTACH M DWELLING UNITS: IS A SECOND UNIT DYES SECOND STORY ❑YES BEING ADDED? ❑NO ADDITION? []NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVED BY; TOTAL VALUATION: PLANNING ADPL,- [:]NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO By my signature below,I certify to each of the following: I am the property owner or authorized agent 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 Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction autho e repres tatives of pertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: /Z 3 / SU NTAL INFORMATION REQUIRED PLAY CIIECK TYPE ROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition permit for ❑ ovER-TILE coUNTER ❑. BUILDING PLAN RevlEw existing building(s). Demolition permit is required prior to issuance of building permit for new building. :❑ EXPRESS ❑ PLANNING PLAN - _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 BldgApp_201 1.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 6 INFINITE LOOP DATE: 12/03/2014 REVIEWED BY: MELISSA APN: 316 02 110 BP#: 14100092 `VALUATION: Iso rPERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration /Addition / Repair PRIMARY PENTAMATION USE: Commercial Building7 � PERMIT TYPE: 1GENC0 WORK 12/3/14 - DEF # 1 - BREAKROOM & SITE ACCESSIBILITY SCOPE NOTE: This estimate does not include fees due to other Departments(i.e.Planning, Public Works,Fire,Sanitary Sewer District,School District,etc. . Thesefees are based on the reliminar information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 7/1113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = # Deferred Submittal Suppl. PC Fee: E) Reg. Q OT 0.0 hrs $0.00 $286.00 IDEFSUBM PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT ro.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 ('rrzt�ucCi��tr 7%rl. rl;fmiirfatfrir /' ,e. 0 Work Without Permit? 0 Yes (j) No $0.00 Advanced Plannini4 Fee: $0.00 Select a Non-Residential Q Building or Structure 0 Stronp, Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.001 $286.00 TOTAL FEE: $286.00 Revised: 1010112014 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 6 INFINITE LOOP CONTRACTOR:NOVO CONSTRUCTION PERMIT NO: 14100092 OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED: 10/16/2014 OWNER'S PHONE: 4084380968 MENLO PARK,CA 94025 PHONE NO:(650)701-1500 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ 2ND FLOOR; COMM.T.1 NON STRUCTURAL, License Class_,c_// Lic.# 7��d�L WALL,CEILINGS Contractor /YdYo r yc:T1 Date /0 /(n J FINISHES HVAC, M,E 650 SQ FT I hereby affirm that I am licensed under the provisions of apter 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 rormance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$75000 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 APN Number:31602110.00 Occupancy Type: 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 ISO DAYS MIT 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 DAY ED 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 - Date: with all non-point source regulations per e C tino Municipal Code,Section 9.18. RE-ROOFS: Signator Date �v l b l All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection,t 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, will do the work,and the structure is not intended or offered for sate(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 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 Municial Code Chapter 9.12 and 1 have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections�MvDate: Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Owner or authorized agent �a 1 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 CONSTRUCTION LEN'DIN'G 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 1 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 Oq� COMMUNITY DEVELOPMENT DEPARTMENT •BUILDING DIVISION OD 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 1 1 CUPERTINO (408)777-3228 • FAX (408)777-3333• building(g)cupertino.org 1 1 ❑ NEW CONSTRUCTION ❑ ADDITION ALTERATION/Tl ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS / APN d OWNER NAMEc( / � PHOVE, 3 6- 0 E-MAIL STREET ADDRESS r� // CITY STATE,ZIP FAX / ,rZ LSO o I I✓0 0 CONTACT NAME PHWE E-. AIL i w e�o c-o n sk-��'�-r on•�o STREET ADDRESSCITY,STATE, ZIP FAX 1 1 c n!o GA 9 2 5 ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC k •ye h/�J7Lv Ong 1 A Z3 6-L COMPANY NAMEE-MAJL FAX d V. ,c 7`R veil] STREET ADDRESS/ '/W!&'� 14 CITY,ITATE,ZIP PH Com- oZS Aja `1C l ARC HITECT/ENGINEERNAME LICENSE NUMBER BUS.LIC N r COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK it t bvL — nl St72✓t)2 JCA C 4(l� C 1�Ir�1 �I 141 ele f C_ z of r), Qel EXISTING USE PROPOSED USE CONS7 TYPE 4STORIES fJ 13 �b USE TYPE OCC. SQ.FT. VALUATION(£) EXISTG J NEW FLOOR/ DEMO aTOTAL n J� /C, �f AREA �G>0 AREA / AREA / n NEC AREA /' D 1 I_ ! ►% /0 ` BATHROOM KITCHEN l� l/OTHER �9 REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ATTACH k WE UMTS: IS A SECOND UNIT El YES SECOND STORY ❑YES BEINGADDED? NO ADDITION? ❑NO PRE-APPLICATION DYES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑�YES - TOT6L VALUATION: PLANTING APPL.- ❑NO PLANTING APPROVAL LETTER EICHLER HOME? E-LN �Q By my signature below,I certify to each of the following: I am the property owner or authorized agent to a&errfe property owner's behalf 1 have read this application and the information I have provided is cor ect. 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 building cons !tion. uth zp r resentatives Of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: 10/1(.// SUPPLE TAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP _New SFD or Mu tifamily dwellings: Apply for demolition permit for D OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS E 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 ❑ FM DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to submittal ofBuilding Permit application. ❑_MAJOR 1:1SANITARY.SEWERDISTRICT - ❑ ENVIRONMENTALHEALTH B1dgApp_2011.doc revised 06/2lllI CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION TAPN: DDRESS: 6 INFINITE LOOP DATE: 10/16/2014 REVIEWED BY: MELISSA 316 02 110 BP#: woo *VALUATION: 1$75,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY PENTAMATION USE: Commercial Building PERMIT TYPE: 1 B TI WORK APPLE T.I. - - 2ND FLR RECONFIGURE E OFFICE SPACE INCLUDING PARTITION WALLS SCOPE DROPPED CEILINGS & MINOR MECHANICAL & ELECTRICAL (650 S.F.) OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. s.f. B (Tenant Improvements) I-A,I-B 650 $3,177.64 IBTIPLNCK $1,292.12 113TIINSP TOTALS: 650 $3,177.64 $1,292.12 MECH, HOURLY 0 Yes 0 No PLUMB,HOURLY Q Yes Q No ELEC,HOURLY Q Yes Q No El NOTE: This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District, etc.). Thesefees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 7/1./13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $3,177.64 Select a Misc Bldg/Structure Suppl. PC Fee: E) Reg. Q OT 0,0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $1,292.12 Supp/. Insp. FeerQ Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 i,oIt.S rLICtion Tax, Work Without Permit? 0 Yes (j) No $0.00 E) Advanced Planning Fee: $0.00 Select a Non-Residential 1in eI Oocumen!alion I'CCS. Building or Structure 0 i Strong Motion Fee: 1BSE1SM1CO $21.00 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $3.001 1 SUBTOTALS: $4,493.76 $0.00 TOTAL FEE: 1 $4,493.76 Revised: 08/20/2014 Building Department City 01,Cupertino 10300 Torre A\t1aw ('upertino, (A 9014-32_5-� Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR SUBCONTRACTOR LIST 1)DRESS._:_6 Infinite Loop PERMIT#14100092 R'S NAMI::Apple, Inc. P}-IONE #650-847-8912 TOR:NOVO Construction23891 BUSINESS L.ICENSL" ;\I,)i ij,'L,, ,-1460 O'Brien Ave CI TY/ZIPCODE.Menlo Park/94025 0ur municipA cook: t':qtiircs Al businesses working in the city to have a City of Cupertino business license. NO 131-111,DING FINAL. OR FINAL OCCUPANCY INSPECTION(S) WILL, BE SCHEDULED UNTIL THE (;E.NFRAI, CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY' OF CUPERTINO IlliSINESS LICENSE. 1 tit% not using any subcontractors; Signature Date I'le,ow check applicable subcontractors and complete the following informntion.. SUBCONTRACTOR BUSINESS NAME BUSINESS 110ENSE Cabinets &, Millwork Cement Flnjshing 1-ductrical Cupertino Electric, Inc. —+7463-7, F\cavation Fencing Flooring / Carpeting SD Flooring —6676-&1 .2_57�5- L.molcuni i Wood Glass/Glazing Heating Silicon Valley Mechanical, Inc, c;2(oo,17 ' Insulation I"andscapilllo Masonry Painting i Wallpaper Magnum Drywalls I Paving Plastering Plumbing Roofing Septic Tank sliect Metal Sliect Rock Magnum Drywall Dgillll,signeo by 13-1 While DN­Jawb Mite.­N.1.Colmr-hon,—General Jacob White Cont,actor,email=)wh,te@no,ownstruction.mm.c=US 12/2/14 Date 2014 12 02 13 28.26-08'00' ;"_'ontractor Signature