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14030075 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20705 VALLEY GREEN DR CONTRACTOR:NOVO CONSTRUCTION PERMIT NO: 14030075 OWNER'S NAME: APPLE INC 1460 O'BRIEN DR DATE ISSUED:03/12/2014 OWNER'S PHONE: 4153105791 MENLO PARK,CA 94025 PHONE NO:(650)701-1500 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL ❑ License Class Q Lie.# 71/d22 REVISION#1-UPDATE(E)BATHROOM PARTITIONS AND SIGNAGE TO , �� /' BE ADA COMPLIANT-ISSD 4/2/2014 Contractor /Vo VV (-VA/1T7L�C p0^/ Date .'� o L- / 1 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 aMrm 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:$25000 1 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 APN Number:32610046.00 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 FROMT,AST CALLED IN SPE TION. 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: Date: �i with all non-point source regula ns per the upertin Municipal Code,Section 9.18. RE-ROOFS: Signature Date t 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. ❑ 1,7OWNER-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 1,as owner ofthe 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 1 performance of the work for which this permit is issued. will maintain compliance with the Cupertin Munici al Cod Chapter 9.12 and 1 have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Secti s 25505 53 ,a 55 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Owner or authorized ages Date: d a / IF 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,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•buildin cu ertin .or ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI IF REVISIO I/DEFERRED ORIGINAL PERMIT# U3 d�7 PR07ECT ADDRESS ^ PI 051 (L1 VE 77N k OWNERNAME E-MAIL p� n�C . ( 15 3 J -lam z wlo I to k_- STREET STREET ADDRESS CITY, STATE,ZIP FAX CONTACT NAM LOB / PHONE ldyZ E-MAIL 7 novsc-nrC.oNd STREET ADDRESS CITY STATE,Z 0 2 FAX y D ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ACONtP ACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS,LIC k o�lc Nsr7w vN v 8 23rot I COMPANY NAME ,/ E-MAIL FAX G`O STREET ADDR C CI STATE,ZIP PHONE l 0 ,41V, " 'Q 1V!6-" v�F o A 2!< 5 )2 5d) Z o 1 - t -ioo ARCFG CT/ENGINE R NAME LICENSE NUMBER BUS.LIC d COMPANY NAME ' l / E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK PD.Q-JLC ,yy f XK /A/ �QE� �1 iI i z 7T PO^/-r AV 4f---a rlN 7W6E Af �c G1I++ !�!Ati!/' EXISTING USE PROPOSED USE CONSTR.TYPE 9STORIES 3q ///—S �J— USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOOR U DEMO TOTAL Ge AREA WIA AREA ,VIA AREA L- NFT AREA N A !�I-p N A 90 01 BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: LJ DETACH EI ATTACH k DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY []YES BEING ADDED? []NO ADDITION? EINO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY of IS THE BLDG AN EI YES RECEIVED TOTAL VALUATION: PLANNING APPL 4 El NO PLANNING APPROVAL LETTER EICHLER HOME? E]NO _ By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the prop o er's behalf. I have read this application and the information I have provided is correct. I have read the De scripti n of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to b ilding const tion. thori present veS of Cupertino to enter the above-identified property for inspection purposes. Signature ofApplicant/Age Date: BYL,,t SUPP TAL INFORMATION REQUIRED PJ A�rCHECK TYPE ROU'T'ING SLIP New SFD o tifamily dwellings: Apply for demolition permit for [] OVER-THE-COUNTER ❑ BUTLDING 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 ❑ PUBLICWORKS 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 06/21/11 Building Department City 01'Cupertino 10300 Torre Avenue CL1P01't1ll0) CA 95014-3255 Tcicphone: 408-777-3228 CUPERTINO t-,I-: -408-777-3333 CONTRACTOR SUBCONTRACTOR LIST ADORL�5:20705 Valley Green Drive PERMIT#14030075 (A% NFWS NAMLApple, Inc PHONE #650-847-8912 --- GENERAL CONTRACTOR:Novo Construction BUSINESS LICENSE #791022 Al.)Df\WSS:1460 O'Brien Ave CITY,71PCODENenlo Park/94025 municipal code requit-ci,, all businesses Nim tint; in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UN-I'll, 7'HE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAXj'E OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not "sing any subcontractors: Signature Date Please check applicable subcontractors and complete the following information- SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Llectrical Cupertino Electric, Inc Excavation Fencing Flooring Carpeting]et' no SID Flooring Linoleum ' wood Glass/Glazing Heating .— Insulation Landscaping -- Lathing Masonry Painting, Wallpaper Magnum Drywall and Paint Pawn" -- Plastering Plumbing Roofing Septic Tank Sheet Metal United Mechanical, Inc. SheetRock Tile Digitally Signed by JaWb White DN.—J—b White,o ou. _ij= Jacob White -US 03/26/2014 Dale:2014,03 26 12.51:39-07'00' Contractor Signature CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20705 VALLEY GREEN DR CONTRACTOR:NOVO CONSTRUCTION PERMIT NO: 14030075 OWNER'S NAME: APPLE INC 1460 O'BRIEN DR DATE ISSUED:03/12/2014 OWNER'S PHONE: 4153105791 MENLO PARK,CA 94025 PHONE NO:(650)701-1500 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL EJ COMMERCIAL E] 'v APPLE T.I.TO CREATE(N) BIKE ROOM(255 S.F.) License Class �7 Li,.{I / O cam—2— Contractor /\/O\,r:' C /S7T_> c 77-V Date V, t T 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. 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:$25000 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:32610046.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 certify that 1 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 comply I's Date: 3 �2 with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature f Dates t� j 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 l/ 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 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 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 Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,2 33,and 534. Section 3700 of the Labor Code,for the performance of the work for which this / 3 permit is issued. Owner or authorized agent ate: I 1 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,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 n / 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 V CUP19RTIiVO (408) 777-3228• FAX (408)777-3333•buildincCcDcupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS 17APd3 n , -7O� R . 0r l 4 — O 6 OWNER NAME PH E-MAIL PPC�� t/03/0 -57 9 rh a a a •� STREETDDRESS CITY, STATE,ZIP FAX / /n! Looe T7nlo o!. CONTACT NAM�j PONE E-MAIL / &5v 8'/- -7 - e� 9 (2 '\,�,L► eQno.�oco�s Fwc.+�cin w� STRE ADDRESS C ,STATE ZIPS-I�� p FAX II '1&i'E^' v G 9 ZS ❑OWNER ❑ 0\4NER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCIUTECT ❑ ENGNEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC k COMPANY NAMEE-MAIL FAX olio t,AIS rALc/1an/ STREET ADDRESS CITY, TATE,ZIP ARCATECTIENGINEE NAME LICENSE NUMBER BUS.LIC k 1/14%//D /NE ao L 2 23 S-t l COMPANY NAME E-MAIL FAX i�/H9TN& rJGG n/ Gti STREET ADDR CITY.STATE ZIP PHONE DESCRIPTION OF WORK .&/ E+rl s 7_i.J Lo rs EX r s77AI 2__V y 0 Fete* /3 arca U_ l�wvvEr •+ZE+vwrq�. -F _ rgr,r.c ET' , 4VP C,4-cE . wEw 4847 4c 7-6j%�A I-(- EXISTING USE PROPOSED USE CONSTR.TYPE !<STORMS /3 a 111-43 2 USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOOR DEMO TOTAL AREA y S"�, AREA 11�/ C AREA NET AREA .�S Q -r3 a 25 S ss ©tr/7 BATHROOM KITCHEEN? OTHER REMODEL AREA REN40➢EL AREA REMO➢EL AREA PORCH AREA ➢ECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: UDETACH []ATTACH N 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 TOTAL VALUATION: PLANNING APPL q 71 NO PLANNING APPROVAL LETTER EICHLER HOME? OD By my signature below,I certify to each of the following: I am the property owner or authoriedzage on the pro erty behalf. I have read thl application and the information I have provided is correct. I have read the Description of Work and verify it is ace gree to comply with all applicable I oclI ordinances and state laws relating to building constructi I a thori rep!es Ives of Cupertino to enter ti ve-identified property for inspection purposes. Signature of Applicant/Agent: Date: 0 3 SUPPL TAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP _New SFD or Multifamily dwellings: Apply for demolition permit for .OVER-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 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 20705 VALLEY GREEN DR DATE: 03/12/2014 REVIEWED BY: MELISSA APN: 326 10 046 BP#: / 06Vs `VALUATION: 1$25,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 1B TI USE: PERMIT TYPE: WORK APPLE T.I. TO CREATE N BIKE ROOM 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,111-B,IV,V-B 255 $2,036.00 IBTIPLNCK $571.00 IBTIINSP TOTALS: 255 $2,036.00 $571.00 MECH,HOURLY O Yes (D No PLUMB,HOURLY (_-) Yes Q No ELEC, HOURLY Q Yes Q No LJ 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 prelimin 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: $2,036.00 Select a Misc Bldg/Structure Suppl. PC Fee: 0 Reg. Q OT 0.0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $571.00 Suppl. Insp. Fee:(D Reg. 0 OT 1 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 rir;rfvr<r +Pn Tai+_ 4 `r?2Ctt +trtlttcr F'r�c. Work Without Permit? 0 Yes (F) No $0.00 G Advanced PlanninP Fee: $0.00 Select a Non-Residential E) 7i:<<c-!!)c.+ r.?rrc`rltu/r+11; i ��<:� Building or Structure 0 A Strong Motion Fee: IBSEISMICO $5.25 Select an Administrative Item BldgStdsCommission Fee: IBCBSC $1.00 SUBTOTALS: $2,613.25 $0.00 TOTAL FEE: 1 $2,613.25 Revised: 01/1512014