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14070101 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10440 BUBB RD CONTRACTOR:DEVCON PERMIT NO: 14070101 CONSTRUCTION INC OWNER'S NAME: APPLE INC 690 GIBRALTAR DR DATE ISSUED:07/22/2014 OWNER'S PHONE: 4088624575 MILPITAS,CA 95035 PHONE NO:(408)942-8200 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL F] APPLE T.I. PREP TO DEMOLISH NON-STRUCTURAL License ClassAl� Lic.# �` �. SOUTH Date Contractor IJI '')'�nnAr�,'V WY ti S�jC fi0�/1 01 ,�2, l� WING OF IST FLOOR(9455 S.F.) � 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 erformance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$19000 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:35720036.00 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 F LED 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 compl Y with all nVsourcelations per&uerlmo Municipal Code, ion 9.18. �� (q 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 I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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 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 Cuper ' o Muni ci a Code Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sec'on 550 5533,a 53 Section 3700 of the Labor Code,for the performance of the work for which this N permit is issued. Owner or authorized 42e : 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,I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,1 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. Date CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 10440 BUBB RD DATE: 07/22/2014 REVIEWED BY: MELISSA APN: 357 20 036 BP#: (�� VALUATION: $19,000 "PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration /Addition / Repair PRIMARY PENTAMATION USE: Commercial Building PERMIT TYPE: 1TIPRE WORK APPLE T.I. PREP TO DEMOLISH NON STRUCTURAL SOUTH WING OF 1ST FLOOR 9455 S.F. SCOPE NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District, etc. . Theseees are based on the erelimina information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 F/" 71%13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 1 # Tenant Improvement Prep Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 $417.00 ITIPREP PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? © Yes Q No $0.00 E) Advanced Planning Fee: $0.00 Select a Non-Residential Building or Structure 0 i Strom Motion Fee: IBSEISM[CO $5.32 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $6.32 $417.00 TOTAL FEE: $423.32 Revised: 07/10/2014 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: 0 PERMIT# 0101 OWNER'S NAME: r PHONE# 4-Oqj GENERAL CONTRACTOR: { BUSINESS LICENSE # ADDRESS: l C 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 SUBC NTRACTO HAVE OBTAINED A CITY OF�CUPE RTINO BUSINESS LICENSE. o r 4 I am not sin an subcontractors: Air"LL" 7 Sign ture Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring /Carpeting - Linoleum/Wood Glass/ Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION x D l 10300 TORRE AVENUE• CUPERTNO, CA 95014-32550 (408) 777-3228 • FAX(408)777-3333• building()cuoertino.org CUPERTINO ❑NEW CONSTRUCTION ❑ ADDIT:ON ALTERATION/TI ❑ REVISION/DEFERRED ORIG17NAL PERMIT PROTECT.ADDRESS 1� ,^ APN 7-c; r O OWNERNAME PH� �, P� E-CU/0A nA nom MAIL STREET ADDRESS i I`^ S I STAT£ZIP_ F.A 7 l V`'`l VV7116-0 4 rA fl C50 14 CONTACT NAME o Y P. Nr ` de�c,�n ,cam STREETADDRESS S A f�U FAX ❑ OgTER ❑ OWNDI-BL-II-DDR 13OWI.%R�AGIENT C01\7R.ACTOR ❑CON7R ❑ SCTORAGENT � FAX ❑ENGP.rn?, ❑ DEvELOPER ❑ TENA!\'T CONTRACTOR N.AI\4E �( LICENSENUMBER LICENSE TYPE BIDS.LIC 44114, ' r\ . 0 COMPANYNAME ` 1/1 Al C�6VJ Cj4 � /� 1 � STREET ADDRESS f,� (� Co I /YI & �Y �� / y" ,i ATE, IP ARCHITcCLICENSE NUMBER BUS.LIC COMPANY NAME r '^ O i E-AAI1�O n ha FAX A/ Yl 1 { STREET ADDRESS -2,UC 5 T£, CA --305 C000 DESCRIPTION OF WORK --n D S F/ /�l r f �0 / � � ( N l� (/V(J (� V EXISTING USE PROPOSED USE CONSTR TYPE R'STORIES USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA (/1 d✓ Iv1 n� BATHROOM KITCHEN OTHER 1111 f✓ t V REMODEL AREA BEN40DEL AREA REMODEL AREA PORCHAREA DECK AREA TOTAL DECKIPORCH.AREA GARAGE AREA: DETACH [J ATTACH m D,,TLLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? El NO ADDITION? ❑NO ---PRE-rtPPL-IE4AON-01'ES -Ina=rS,.P-AOS�ELOPYDF _ISTEHESLDG.A.N nYt5Y�Faj r TOTAL rSLUATION: PLA?.ITING APPI, ❑NO PLA-Nt-12NIG APPROVAL LETTER I EICHLER HOME? E]NO _ _ ---- By my signature below,I certify to each of the following: I am the property owner o o act on t rope y Ivner's behalf. I have read this application and the information I have rovided is torr^ t. I have read the D c iptio Wofino V agree to comply with all applicable local ordinances and state laws relati b Pill nst ti n. I authorize rep- e tativ s o Cent ove-identified pro e,ty for inspection purposes. Signature of Applicant/Agent: Date: 0':7 21' 1�" SUPPLEMENTAL ORMATION REQUIRED ,Pik?caEcxT PES, n::xoLlTinc`�LIP a 'firer s tk <.. NNewSFD or Multifamily dvyellines: Apply for or demolition permit for existing building(s). Demolition permit is required prior to issuance of building NIN 3 z � permit for neva,building, EAPRESS p ❑ PLAI`RI\GPL2Ei ' �} _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure STA7aDA7ZD 3 :�usLlewoRl.s form if any Hazardous Materials are being used as part of this project. - _Copy of Planning Approval Letter or Meeting tivith Planning prior to �z � } 4;� 14AJ0 ❑ S hITARSSE�SERDIS-rRrQT' W submittal of Building Permit application. �,25 Bldg4pp_2011.doc revised 06/21/11