B-2017-1744 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1744
4 INFINITE LOOP CUPERTINO,CA 95014-2087(316 02 108) DEVCON
CONSTRUCTION
INCORPORATED
MILPITAS,CA 95035
OWNER'S NAME: APPLE COMPUTER INC DATE ISSUED: 10/11/2017
OWNER'S PHONE:408-942-8200 PHONE NO:(408)942-8200
. 9\ Ili: SZ' I . ,. S► BUILDING PERMIT INFO:
License Class a Lic.#399163
Contractor DEVCON CONSTRUCTION INCORPORATED Date 02/28/2019 X BLDG _ELECT _PLUMB
_MECH_RESIDENTIAL X COMMERCIAL
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. JOB DESCRIPTION:
APPLE-2ND FLOOR;T.I.-ROOM B236(140 S.F.)
I hereby affirm under penalty of perjury one of the following two declarations: DEF#1-REFERENCE PLANS FOR ACCESSIBLE RESTROOM-
1. I have and will maintain a certificate of consent to self-insure for Worker's ISSUED 11/2/2017
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued.
2. 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. Sq.Ft Floor Area: Valuation:$0.00
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 APN Number: Occupancy Type:
and state laws relating to building construction,and hereby authorize 316 02 108 A(Tenant Improvements)A(Tenant Improvements)A
representatives of this city to enter upon the above mentioned property for (Tenant Improvements),A(Tenant Improvements)A
inspection purposes. (We)agree to save indemnify and keep harmless the (Tenant Improvements),A(Tenant Improvements)A
City of Cupertino against liabilities,judgments,costs,and expenses which (Tenant Improvements),A(Tenant Improvements),A
may accrue against said City in consequence of the granting of this permit. (Tenant Improvements),A(Tenant Improvements),A
Additionally,the applicant understands and will comply with all non-point (Tenant Improvements)
source regulations r the Cupertino Municipal Code,Section 9.18.
Signature Date 11/2/2017 PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
OWNER-BUILDER DECLARATION 180 DAYS FROM LAST CALLED INSPECTION.
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons: Issued by:ABBY AYENDE
1. I,as owner of the property,or my employees with wages as their sole Date: 10/11/2017
compensation,will do the work,and the structure is not intended or offered for
sale(Sec.7044,Business&Professions Code) RE-ROOFS:
2. I,as owner of the property,am exclusively contracting with licensed All roofs shall be inspected prior to any roofing material being installed.If a roof is
contractors to construct the project(Sec.7044,Business&Professions Code). installed without first obtaining an inspection,I agree to remove all new materials for
I hereby affirm under penalty of perjury one of the following three declarations: inspection.
1. 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 Signature of Applicant:
performance of the work for which this permit is issued. Date:11/2/2017
2. 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 ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
permit is issued.
3. I certify that in the performance of the work for which this permit is issued,I
HAZARDOUS MATERIALS DISCLOSURE
shall not employ any person in any manner so as to become subject to the I have read the hazardous materials requirements under Chapter 6.95 of the
Worker's Compensation laws of California. If,after making this certificate of California Health&Safety Code,Sections 25505,25533,and 25534. I will
exemption,I become subject to the Worker's Compensation provisions of the maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
Labor Code,I must forthwith comply with such provisions or this permit shall Health&Safety Code,Section 25532(a)should I store or handle hazardous
be deemed revoked. material. Additionally,should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
APPLICANT CERTIFICATION will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
I certify that I have read this application and state that the above information is the Health&Safety Code,Sect s 25505,25533,and 25534.
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 Owner or authorized agent:
to save indemnify and keep harmless the City of Cupertino against liabilities, Date:11/2/2017
judgments,costs,and expenses which may accrue against said City in CONSTRUCTION LENDING AGENCY
consequence of the granting of this permit. Additionally,the applicant understands I hereby affirm that there is a construction lending agency for the performance
and will comply with all non-point source regulations per the Cupertino Municipal of work's for which this permit is issued(Sec.3097,Civ C.)
Code,Section 9.18. Lender's Name
Lender's Address
Signature Date 11/2/2017
ARCHITECT'S DECLARATION
CONSTRUCTION PERMIT APPLICATION
t COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
V10300 TORRE AVENUE • CUPERTINO CA 95014-3255
w,1.1,,, t 1 q
(408) 777-3228 • building@-cupertino.org PEMIT»B- -
CUPERTINO REV# DEF; I
❑ NEW CONSTRUCTION ❑ADDITION ❑ALTERATION g1 T.J. ❑MEP ❑RE-ROOF ❑SWIMMING POOL/SPA
PROJECT ADDRESS APN I
L7 /.Ufi, -, ?0./ eicrt,go , cft . up - 02—
OWNER NAME PHONE E-MAIL
Air
STREET ADD ESS CITY, STATE,ZIP
l z t /N)ty L+ 0 if G,/p cr-t,4 a GQ
❑CONTRACTOR NAME 0 OWNER-BUILDER COMPANY NAME LICENSE NUMBER LICENSE TYPE
pe,✓L',7 con s j a ii 412 n Con d T_ 391A 3 S
STREET ADDRESS CITY,STATE, ZIP
G'qo C /4 rft,T Pt I-1i(-1,,74.s- 9 J)73,T'
E-MAIL I PHONE I BUS.
LIC
J#
7- /)I/C-r n e.p�(-.0-Go rtd -u Li OP q 41.2 - F 2-a o I 0'2 Jr
.
0 ARCHITECT ❑OWNER ❑OWNER AGENT 0 CONTRACTOR AGENT ENGINEER 0 DEVELOPER❑TENANT
CONTACT NAME E-MAIL
7rry F✓bt,t2T' (1 Tf41ci'T4,n J7pve-on ' cvnJ7—, 40P )
STREET ADDRESS CITY,STATE,ZIP PHONE
6.94 Ca X43 coL r/t2 r N Hn.p17zs cA 1,N3 j c/.#J Y J2 0o
DECRIPTON C ` C �� ri s o Wi
❑SINGLE-FAMILY/DUPLEX 0 MULTI-FAMILY 0 INDUSTRIAL 0 COMMERCIAL
EXISTING USE EXISTING SF NEW FLOOR SF PORCH SF DECK SF DEMO SF STORIES I TOTAL NET SF USE TYPE OCC SQ.FT. VALUATION(5)
REMODEL REMODEL KITCHEN REMODEL OTHR GARAGE 0 ATTACHED
BATHROOM SF SF SF SF 0 DETACHED
•
EXISING ❑YES EICHLER 0 YES SECOND STORY ADDITION 0 E
FIRE SPRINKLERS 0 NO 0 NO
DWELLING SECOND DWELLING ❑YES ❑ATTACHED❑DETACHED OTHER
UNITSI UNITADDITON: 0 N SF
POOLS 0 FIBERGLASS o VINYL-LINED 0 GUNITE 0 PREFABRICATED
POOL-SF SPA•SF I SPA ATTACHED❑YES 0 NO I TOTAL-SF
'REC,VED BY: ( %, , TOTAL VALUATION:
Commercial or Multi-Familu Buildings with Public Swimming Pools requires Devartment of Environmental Heath agvroval
M1lW, 4' Q
RE-ROOFI EXISTING ROOF TYPE: ❑BUILT-UP ROOF❑ASPHALT SHINGLES❑WOOD SHAKES❑WOOD SHINGLES❑TILE OTHER/! (SPECIFY)
REMOVE/REPLACE❑NO IF NO PLYWOOD 01" ❑3/8" PLYWOOD TYPE: PITCH: ROOF CLASS
El YES #OF LAYERS THICKNESS❑S/8" OTHER, ❑OSB ❑CDX OTHER .12 A
PROPOSED ROOF TYPE:❑BUILT-UP ROOF ❑ASPHALT SHINGLES 0 WOOD SHAKES❑WOOD SHINGLES ❑OTHER
*Provide a signed copy of the Cupertino's Tear-Off Policy SF /of SQUARES
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. I authorize representatives of Cupertino to
enter the above-identified property for inspection pur oses. I acknowledge and authorize all information contained on this application form
to be made available for public record.
Signature of Applicant/Agent: Date: //h//, -
SUPPLEMENTAL INFORMATION REQUIRE
"New SFD/Second Dwelling Units/Multifamily Dwellings:A Demolition permit is required prior to issuance of a building permit for all new construction.
"Commercial Buildings: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project.
"'Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application.
"HOA-Provide a letter of approval from the Home Owner's Association
BIdgApp_20/7.doc revised 08/01/11
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1744
4 INFINITE LOOP CUPERTINO,CA 95014-2087(316 02 108) DEVCON
CONSTRUCTION
INCORPORATED
MILPITAS,CA 95035
•
OWNER'S NAME: APPLE COMPUTER INC DATE ISSUED: 10/11/2017
OWNER'S PHONE: 10/11/2017 PHONE NO:(408)942-8200
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class B Lic.#399163
Contractor DEVCON CONSTRUCTION INCORPORATED Date 02/28/2019 X BLDG _ELECT _PLUMB
MECH_RESIDENTIAL X COMMERCIAL
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. JOB DESCRIPTION:
APPLE-2ND FLOOR;T.I.-ROOM B236(140 S.F.)
I hereby affirm under penalty of perjury one of the following two declarations:
1. 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
2-rformance of the work for which this permit is issued.
a I have and will maintain Worker's Compensation Insurance,as provided for by
' ction 3700 of the Labor Code,for the performance of the work for which this
permiti is issued.
Sq.Ft Floor Area: Valuation:$0.00
APPLICANT CERTIFICATION
I'certify that I have read this application and state that the above
. information is correct.1 agree to comply with all city and county ordinances APN Number: Occupancy Type:
and state laws relating to building construction,and hereby authorize 316 02 108 A(Tenant Improvements),A(Tenant lmprovements),A
representatives of this city to enter upon the above mentioned property for • (Tenant Improvements),A(Tenant Improvements),A
inspection purposes. (We)agree to save indemnify and keep harmless the (Tenant Improvements),A(Tenant Improvements),A
City of Cupertino against liabilities,judgments,costs,and expenses which (Tenant Improvements),A(Tenant Improvements),A
may accrue against said City in consequence of the granting of this permit. (Tenant Improvements),A(Tenant Improvements),A
Additionally,the applicant understands and will comply with all non-point (Tenant Improvements)
source regulations per the Cupertino Municipal Code,Section 9.18. •
PERMIT EXPIRES IF WORK IS NOT STARTED
.jl'm. ure Date
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
OWNER-BUILDER DECLARATION 180 DAYS FROM LAST CALLED INSPECTION.
Thereby affirm that I am exempt from the Contractor's License Law for one of the
following,two reasons: Issued by:Jasmine Archbold
' 1. I,as owner of the property,or my employees with wages as their sole Date: 10/11/2017
compensation,will do the work,and the structure is not intended or offered for
sale(Sec.7044,Business&Professions Code) RE-ROOFS:
2. I,as owner of the property,am exclusively contracting with licensed All roofs shall be inspected prior to any roofing material being installed.If a roof is
contractors to construct the project(Sec.7044,Business&Professions Code). installed without first obtaining an inspection,I agree to remove all new materials for
•
I hereby affirm under penalty of perjury one of the following three declarations: inspection.
i. 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 Signature of Applicant:
performance of the work for which this permit is issued. Date:
2. 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 ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER .
permit is issued.
3. I certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIALS DISCLOSURE
shall not employ any person in any manner so as to become subject to the I have read the hazardous materials requirements under Chapter 6.95 of the
Worker's Compensation laws of California. If,after making this certificate of California Health&Safety Code,Sections 25505,25533,and 25534. I will
exemption,I become subject to the Worker's Compensation provisions of the maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
Labor Code,I must forthwith comply with such provisions or this permit shall Health&Safety Code,Section 25532(a)should I store or handle hazardous
be deemed revoked. material. Additionally,should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
APPLICANT CERTIFICATION will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
I certify that I have read this application and state that the above information is the Health&Safety Code,Sect'•• 25505,25533,and 25534.. •
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 ArEggerauthorized agent:
to save indemnify and keep harmless the City of Cupertino against liabilities, Date: r
judgments,costs,and expenses which may accrue against said City in CONSTRUCTION LENDING AGENCY
consequence of the granting of this permit. Additionally,the applicant understands I hereby affirm that there is a construction lending agency for the performance
and will comply with all non-point source regulations per the Cupertino Municipal of work's for which this permit is issued(Sec.3097,Civ C.)
Code,Section 9.18. Lender's Name
Lender's Address
Signature • Date
•
ARCHITECT'S DECLARATION
\ / CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
�sP'9ss 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•building( cupertino.orq
CUPERTINO
111 NEW CONSTRUCTION ❑ ADDITION Q ALTERATION/TI ❑ REVISION/DEFERREDORIGINAL PERMIT#_F3-1°11—. l
PROJECT ADDRESS 4 Infinity Loop APN#
OWNER NAME (Tenant)Apple PHONE EMAIL
STREET ADDRESS 1 Infinity Loop CITY, STATE,ZIP Cupertino CA FAX
CONTACT NAME Terry Fullerton PHONE (408)942-8200 E-MAIL tfullerton@devcon-const.com
STREET ADDRESS 690 Gibraltar Drive CITY,STATE,ZIP Milpitas CA 95035 FAx
IDOWNER ❑ OWNER-BUILDER 0 OWNER AGENT El CONTRACTOR 0 CONTRACTOR AGENT ❑ ARCHITECT 0 ENGINEER ID DEVELOPER 0 TENANT
CONTRACTOR NAME Devcon Construction LICENSE NUMBER 399163 LICENSE TYPE B BUS.LIC#'
'COM N Devcon Construction sramirez@devcon-const.com FAx
:, STREET ADDRESS 690 Gibraltar Drive CITY,sTATE,zIP Milpitas CA 95035 ' + ,PHONE (408)942-2800
ARCHITECT/ENGINEERNAME (Brent Downing
LICENSE NUMBER BUS.LICII
COMPANY NAME Devcon,Construction I EMAI bdowning@devcon-COnSt.COm FAX
STREET ADDRESS 690 Gibraltar Dr
CITY,STATE,ZIP Milpitas CA 95035 PHONE (408)942-8200
i
DESCRIPTION OF WORK-MUdifIC tlOfl^O an eXlSting-c`.O.rl,e a ce.rooixCfora_rrmnthers`roam _ElectrieeF rd-��lumbLng
1` - M `iN2S 4c`� S• ' ' 2
' f20®,---1 3 2.3,E
EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES
B B 4 USE TYPE. ' OCC. SQ.FT. VALUATION($)
EXISTG NEW FLOOR DEMO TOTAL
AREA140 ASA 0 0T 140 Office 1A B 140 $40,000
BATHROOM KITCHEN OTHER
REMODEL AREA 0 REMODEL AREA O REMODEL AREA 0
PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: ❑DETACH
ATTACH '
❑
#DWELLING UNITS: IS A SECOND UNIT El YES SECOND STORY ❑YES
BEINGADDED? jNO ADDITION? ❑C NO
I ,
PRE=APPLICATION ❑YES IF YES,PRO VIDE.COPY OF IS THE BLDG AN ❑YES 1Et CEIVED'BY TOTAL VALUATION:
PLANNING APPL# la
PLANNING APPROVAL LETTER EICHLER HOME? NO
By my signature below,I certify to each of the following: I am the property owner or authon zed agent to act on the property owner's behalf. I hav read this
application and the information I have provided is.correct. I have read the Description of Work and verify it is accurate. I agreeto comply with all applicable local
ordinances and state laws relating to bu i onstructio a representatives of Cupertino to enter the above-identified property for;inspection purposes.
Signature of Applicant/Agent: . Date: 7/11/17
SUPPLEMENTAL INFORMATION REQUIRED PLAN.CHECI{TYPE ROUTING'SLIP
New SFD or Multifamily dwellings: Apply for demolition permit for .E g ' $u
❑�OVER THE-COUNTER " ❑ BUIliDING PLAN REV{EW,
existing building(s). Demolition permit is required prior to issuance of building , r ,;
permit for new building. . ❑ EXPRESS • t ❑ ,PLANNING PLAN REVIEW ` 'z
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑:STANDARD ❑ PUBLIC WORKS} ,
form if any Hazardous Materials are being used as part of this project.
0'; LARGE 6 %nmED>;rr , ' x
Copy of Planning Approval Letter or Meeting with Planning prior to ,7,0:,,i,„
r
submittal of Building Permit application.
❑ MAJOR ❑ SANITAR'YSEWERDISTRICT
ENVIRONMENTAL HEALTH' ..
B1dgApp_2011.doc revised 06/21/11
i