14100186 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 6 INFINITE LOOP CONTRACTOR:NOVO CONSTRUCTION PERMIT NO: 14100186
OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED: 10/30/2014
OWNER'S PHONE: 6506901660 MENLO PARK,CA 94025 PHONE NO:(650)701-1500
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL ❑
2q APPLE-4TH FLOOR-COMM.T.I 652 SQ FT TO INCLUDE
License Class {.� Lic.# 7 ( /�zZ INTERIOR RENOVATION OF EXISTING STORAGE/LAB
NON-STRUCTURAL
ContractorDate / SO
�-
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.
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. Sq.Ft Floor Area: Valuation:$51000
�\ 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
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 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 DAYS 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 Id b Date:
gIssued y
ranting of this permit. Additionally,the applicant understands and will comply
with all non-point source regulations pethe Cupertino Municipal Code,Section
9.18.
QQ RE-ROOFS:
Signature _ Date �� .7CJ �� 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: AI.L 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)
I,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
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 Municipal Code,Chapter 9,12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,. id 25534.
Section 3700 of the Labor Code,for the performance of the work for which this o � f
permit is issued. Owner or authorized agent: Date:
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,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 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
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE-CUPERTINO, CA 95014-3255
CUPERTINO �
(408)777-3228• FAX(408)777-3333•buildingcupertino.org I y [ W t (9
❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROJECT ADDRESS APN#
i�JR,J�tE 3�co 02 1 10-o
OWNER NAME Apple Inc. PHONE650-690-1660 E-MAIL
STREET ADDRESS 1 Infinite Loop CITY, STATE,ZIP Cupertino, CA FAX
CONTACT NAME Nathan Dudley PHONE 650-690-1660 E-MAIL
ndudley@novoconstruction.com
STREET ADDRESS 1460 Obrien Drive CITY,STATE,ZIP Menlo Park, CA 94025 FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT 'CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME Nathan Dudley LICENSE NUMBER 79102
2
LICENSE TYPE B BUS.LIC# 23891
COMPANY NAME Novo Construction E-MAIL ndudley@novoconstruction.com FAX
STREET ADDRESS 1460 Obrien Drive CITY,STATE,ZIP Menlo Park,CA 94025 PHONE 650-690-1660
ARCHITECT/ENGrNEER NAME Diego Garcia LICENSE NUMBER BUS LIC#
COMPANY NAME Studios Architecture E-MAIL dgarcia@studios.corn FAX
STREET ADDRESS 405 Howard St.,Suite 488 CITY,STATE,ZIP PHONE
San Francisco,CA 94105 415-398-7575
DESCRIPTION OF WORK
Interior renovation of existing storage/lab room including non-structural demolition,added power receptacles,mechanical modifications
and new door openings. 14t ^,
EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES
Office/Lab Office/Lab B 4 USE TYPE OCC. SQ.FT. VALUATION($)
EXISTG NEW FLOOR DEMO TOTAL �r
AREA 652 AREA Q AREA NET AREA 0 Office 'Y 652 $51,000
BATHROOM KITCHEN OTHER
REMODEL AREA REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH
[]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 RECEIVED BY: TOTAL VALUATION:
PLANNING APPL# []NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO $51,000
By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building construe' nLlauthorize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL INFORMATION REQUIRED CHECK TYPE ROUTING SLIP
New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OYER-THE-COUNTER BUILDING PLAN REVIEW
existing building(s). Demolition permit is required prior to issuance of building
permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS
form if any Hazardous Materials are being used as part Of this project. ❑ LARGE ❑ FIRE DEPT
Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
BldgApp_2011.doc revised 0612 1/11
IMP CITY OF CUPERTINO
(11 r> FEE ESTIMATOR- BUILDING DIVISION
ADDRESS:3$x'4-y0gk:pL" V DATE: 10/30/2014 REVIEWED BY: Mendez
APN: BP#: `VALUATION: $51,000
PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement
PRIMARYPENTAMATION
USE: Commercial BuildingT PERMIT TYPE: 1 B TA
WORK apple-4th floor- comm. U 652 s ft to include interior renovation of existingstorage/ lab non-structural
SCOPE
OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID
CONSTR. s.f.
B (Tenant Improvements) II-B,III-B,MV-B 652 $2,118.04 IBTIPLNCK $861.44 1BTIINSP
TOTALS: 652 $2,118.04 $861.44
MECH,HOURLY 0 Yes ) No PLUMB,HOURLY 0 Yes Q No ELEC,HOURLY Q Yes Q No
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 prelimina information available and are only an estimate. Contact the De t or addn'l info.
FEE ITEMS (Fee Resolution 11-051C 7%1-" FEE QTY/FEE MISC ITEMS
Plan Check Fee: $2,118.04 Select a Misc Bldg/Structure
Suppl. PC Fee: 0 Reg. ® OT 0.0 hrs $0.00 or Element of a Building
PME Plan Check: $0.00
Permit Fee: $861.44
Suppl. Insp. Fee:Q Reg. Q OT 1 0,0 1 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
0
Work Without Permit? ® Yes (j) No $0.00 E)
Advanced Planning Fee: $0.00 Select a Non-Residential G)
Building or Structure
Strong Motion Fee: IBSEISMICO $14.28 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $3.00
SUBTOTALS: $2,996.76 $0.00 TOTAL FEE: $2,996.76
Revised: 07/10/2014