14030126Patricia Garcia
From: Jacob White Owhite @novoconstruction.com]
Sent: Friday, March 21, 2014 9:34 AM
To: Patricia Garcia
Subject: Sub List - Permit #14030126
Hi Patricia,
Sublist for Permit # 14030126 is as follows: _
• Cupertino Electric, Inc.
• SD Flooring
• Magnum Drywall and Paint
• MGC, Inc. dba Mission Glass
• BFP Fire Protection
• Northgate Acoustics
Thank you,
rv; t VVHITE N,",-)VC) CONSTRUCTION, INC.
I -960 o'itr°ien drive
rrenlo park, ca 940
650,34°x,3912
0 701 .1 5 0 1
WWW.NOVOCONSTRUCTION.COM
t
fM"Rel
V I E W MY L I N K E D I N P R O F I L E
1
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 5 INFINITE LOOP CONTRACTOR:NOVO CONSTRUCTION PERMIT NO: 14030126
OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED:03120/2014
%NVNER'SPIIOLNE- 4089961010 MENLO PARK,CA 94025 PHONE N0:(650)701-1500
LICCNSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMNIERCIAL
APPLE- IST FLOOR-COMM.T.I 600 SQ FT� icense CIaSs,����� Lic.k ]1`"I e22
Contractor //Vil- 61/5- W W 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
Codc and that my license Is in full force and effect.
1 hereby affirm under penalty of perjury one of file following hvo declarations:
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 Arca: Valuation:$75000
1 have 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 APN Number:31602109.00 Occupancy Type:
permit is issued,
APPLICANT CrRTIFICATION
I certify that 1 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 80 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 DAY OM 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
granting of this permit. Additionally,the applicant understands and will comply Issued by: Dat
with all non-point source r ' as per the Cupertino Municipal Code,Section
9.18. V
RE-ROOFS:
sa'. ice�1100, Date 2' r' 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.
11OIVNER-BUILDER DECLARATION
I hereby affirm flint I ant exempt from the Contractor's License Lawfor 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(Sce.7044,
Business&Professions Cade)
1,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. I will
I hereby affirin 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
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 dcGned by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued. will maintain compliance with lite 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, -33,an 553
Section 3700 of the Labor Code,for the performance of the work for which this ,arca Ur autii;Ixc�l,t9 ut Date-
permit
2b 1
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 became 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 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(See.3097,Civ C.)
Lender's Name
APPLICANT CF.RTIFICATIONL Lender's Address
I certify that 1 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 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
CLIPERT(NO (408)777-3228- FAX(408)777-3333-buildincAcuoedino.org
❑NMVCONSTRUCTION ❑ ADDMON ❑ ALTERAno /TI ❑ REVISION/DEFERRED ORIGINALPERMIT#'
PROJECT ADDRESSAPN R
n l All& �p [���
OWNERN L� nr4c- PHONE/`ir�i� 1t�--3c�63 E-MAIL14,npl'e
ra . c�.•1
STREET AD RFSS CITY,STATE,ZIP AX
CONTACT NAME PHONE T!414
ria (t-a.T_ E G Sri - 0 -sqn w� ✓wvoc.or,,��� -�►�
STREET ADDRESS/Y60 o wru 44irFAX
ElOWNER 1:1OWNER-BUIMER 12T Jc.�1 oWNERAGETICONTRACTOR 11CONTRACTOR AGENT 11 ARCHITECT ❑C ENnwzER ❑ DEYELOPER ❑ TENANT
CONTRACTOR NAME LICENSE NUM33ER �2 LICENSE T 1 E BUS.LIC a
° 7-35-11
COMPANY NAMEd vo ` ,s P�-PU A/ EMAIL FAX
STREETADDRFSS T` ! CI STATE,ZIP PHONE
ARCIUTECTIENGINEERNAME t/�>,,lQLICENSEtvUMBER BUS.LIC it !
Adsl ii4 a,
COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK
EXISTAG USE PROPOSED USE CONSTIL TYPE a STORIES
USE TYPE OCC. SQ.FG VALUATION(S)
EXISTG NMVFLOOR DUMO n TOTAL
AREA (/i0Q AM /�Oo AREA GOo t,EI AREA o� �7 /�! C� 0.00 , 75 0 CIO
BATHROOM KITCHEN OTHER
'REMODELAREA RAIODELAREA REMODELARFA
PORCHARFA DECKAREA TOTAL DECK(PORCHARFA GARAGEAREA: EDETACH
ATTACH
RDWELLING UNFS: IS A SECOND LTNrr DYES SECONDSTORY [3YES
BEINGADDED? ❑NO ADDITION? []NO
PRE-APPLICATION []YES IF YES.PROVIDE COPY OF ISTHEBLDGAN ❑YES %!EgF4+ED'BY:'%""',-"�"� " "•':�"-'?," _�!',4?',:' TOTA ,ALUATION:
PLAMv'WG APDL K []NO PLANNING APPROVAL LFrrF3t EICH7 ER 110,iW. []NO
� t'
By my signature below,I certify to each of the following: I am the property owner or authorized agent 10 act on roperty 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 constru D. tho' preSen ' es of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Date: 0 1
SUPPL&NTAL INFORMATION REQUIRED ` °.pi iity cJ3>cx'ryra "=1.54 RoririNcsLiie.
_New SFD or Multifamily dwellings: Apply for demolition permit for r..
«0 OVER THE CODNT!*R.+'',:i: �,•❑'etJIIUINC
existing building(s). Demolition permit is required prior to issuance of building
pennit for new building. r❑,EAPxEEss t ' ❑ PLAn1�rT�GPLANREi7EiV1, _
r
_Commercial]31d s: Provide a completed Hazardous Materials Disclosure ❑� ' °❑ PtisLrC ii ORKS
Z 1 axz(I c( �
g p S TAI�DARDt r w }
To—nn if any Hazardous Materials are being used as part of this project
t❑-J..vRGIe�� �`yr,� j '�`I ❑ �rn?iDEPr� � +, �•>
_Copy Of PlanniDg Approval Letter or Meeting with Manning prior to
t❑ rAlo>zs 4 ,ti ❑ sANITARxsEiIERI
nISTRIG' r
submittal of Building Permit application. t ; €
;��`,"_��t,��,
B1dgApp 2011.doc revised 06121111
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 5 INFINITE LOOP DATE: 03120/2014 REVIEWED BY: MENDEZ
APN: BP#: oa 'VALUATION: 1$75,000
*PERMIT TYPE: Building Permit P AN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building PENTAMATION 1 B TI
USE: PERMIT TYPE:
wORK APPLE- 1ST FLOOR-COMM.T.i 600 SQ FT
SCOPE
OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID
CONSTR. s.f.
B (Tenant Improvements) I-All-B 600 $3,077.041 IBTIPLNCK $1,155.65 IBTIINSP
TOTALS: 600 $3,077.041 1 $1,155.65
MECH, HOURLY Q Yes (D No PLUMB,HOURLY Q Yes 0 No ELEC,HOURLY Q Yes Q No
,birch. Plan Check Ptnmb.Plan Owc•h Dec. Plan 0wok
t-11,:11. pernu11--c", Plamb. Permit lac: Flec. Pennir Fee:
0111cr:11ech.InsI)• El--t- Other Plumb 117sp Other Elec.Insp. E1__L_
,llech.Insp. Fe. 1'1141111). Insp. Fee: Elee.Insp.Foe:
NOTE: This estimate does not include fees title to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,eta). Thesefees are based on theirrefindira int ornuation available and are only air estinrate. Contact lire De t or addil7 info.
FEE ITEMS (Fee Resolution 11-053 Ef1.' 7/1/13) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $3,077.04 Select a Mise BIdg/Strrtcture
Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 or Element of a Building
PME Plan Check: $0.00
Permit Fee: $1,155.65
Suppl. Insp. Fee:G Reg. Q OT 0.0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Couslrircrion Tax:
ildininiso-alive Fee: Q
Work Without Permit? O Yes (j) No $0.00 0
Advanced Planning Fee: $0.00 Select a Non-Residential Q
Tavel Dociementution lees: Building or Structure O
i
Strong Motion Fee: IBSEISMICO $15.75 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $3.00
SUBTOTALS: $4,251.44 $0.00 TOTAL FEE: $4,251.44
Revised: 01115120141