Loading...
13090054 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 3 INFINITE LOOP CONTRACTOR:ICOM MECHANICAL INC PERMIT NO: 13090054 OWNER'S NAME: APPLE COMPUTER INC 477 BURKE ST DATE ISSUED:10/01/2013 OWNER'S PHONE: 4089748221 SAN JOSE,CA 95112 PHONE NO:(408)792-2292 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 0 COMMERCIAL License Class C20 Lic.tl JQS�2-2— APPLE-REPLACE(E)COMPRESSED AIR SYSTEM IN BASEMENT AREA&SUPPORTING PIPING SYSTEM Contractor %CJ>" / t2t{ +C�}bwe d l�• iC1 C THROUGHOUT PARKING GARAGE. 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:$200000 ave and will maintain Worker's Compensation Insurance,as provided for by ec on 3700 of the Labor Code,for the performance of the work for which this APN Number:31602107.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROM LA$ LLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses w may�a�c, nst said City in consequence of thegranting of this per t. ddi ' ly,th pplicant understands and willby:with all non point o ce r ulns. r the Cupertino Municipal Code,Section 9.18. RE-ROOFS: SignatureAll 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 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) 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. 1 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(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 defined by the y Are uality Management District 1 performance of the work for which this permit is issued, will maintain compliance with t upSp&no M icipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Secs 2 5,258 and 25534. Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Owner or authorized agent-AW 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 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 GENERAL PERMIT APPLICATION �O MEP COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 ^ � MISIC (408)777-3228•FAX(408)777-3333•building(cDcupertino.orq f LJ, CVPERTINO ❑PLUMBING MECHANICAL ELECTRICAL []MISCELLANEOUS PROIECT ADDRESS I n� Loo r APN N OWNER NAME 0pPHONEq� I 2� E.MAIL� (t- STREET ADDRESS TY, T ZIP J F CONTACT NAME /� PH q u�_w22_2 E-MAI ��1� Ae STREET ADDRESS. ( / (� CI , TA E,r �� ��r FAX- t?� 2j2 ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAN- S\ LICENSENUMBER q 22 ��20ET BUS.L!E ' COMPANY NAMEf�IVl'l�4LI V�� E-MAIL L FA ©�l C�(j�V SCS STREET ADDRESS C AT ,ZIP PHO LZ� ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC R COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑SFD a DUPLEX ❑ MULTI-FAbQL.Y PROJECT IN WTLDLAND ❑ YES PROJECT IN El YES IS TFIE BLDG AN El YES BUILDING: E]COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑NO EICHLER HOME? ❑NO DESCRIPTION OF WORK C;`t7 C e,J v r< `Jr 'kP - '75 TOTAL VALUATION: 2ooo©D" By my signature below,I certify to each of t II ing`. I am the pfoperty owner or authorized agent to a n t pro wner's behalf. I have read this application and the information I have pr ed is c ect. I hav lead the.Description of Work and verify it is accurate. gree to comply with all applicable local ordinances and state laws relating to bu' I co thorize representatives of Cupertino to enter the above-identified pro erty for'nspection purposes. Signature of Applicant/Agent Date: LJ'1 SUPPLE " AL TION REQUIRED OFFICE USE ONLY W ❑ OVER-THE-COUNTER a r EXPRESS y ❑ STANDARD U a ❑ LARGE MAJOR MEPMiscApp_201].doe revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 3 INFINITE LOOP DATE: 09/09/2013 REVIEWED BY: MELISSA APN: 316 02 107 BP#: *VALUATION: 1$200,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/Addition/ Repair PRIMARY Commercial Building PENTAMATION 1GENCOM USE: PERMIT TYPE: WORK REPLACE E COMPRESSED AIR SYSTEM IN BASEMENT AREA & SUPPORTING PIPING SCOPE I SYSTEM THROUGHOUT PARKING GARAGE. Mech.Plan Check 0.0 1 hrs $0.00 Plumb.Plan Check 0.0 hrs $0.00 Elec.Plan Check 0.0 1 hrs $0.00 Mech.Permit Fee: 1MPERMIT Plumb.Permit Fee: IPPERMIT Elec.Permit Fee: IEPERMIT Other Mech.Insp. 0.0 �hrs $47.00 Other Plumb Insp. LL.Oj hrs $47.00 Other Elec.Insp. 0.0 hrs $47.00 llech. fnp. lFe Platnlh. hasp. Fee. l;lcc.Insp.Fee: 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 prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 7/U12J FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes Q No $0.00 2 hours Plan Check,Hourly Suppl. PC Fee: O Reg. 0 OT 0.0 hrs $0.00 $278.00 ISTPLNCK PME Plan Check: $0.00 F77 # Plumbing Permit Fee: Hourly Only? C)Yes Q No $0.00 $47.00 IPREPPIPE Piping, Area Suppl. Insp. Fee.0 Reg. Q OT0.0 hrs $0.00 1 Electrical PME Unit Fee: $0.00 $139.00 IBREMMISC Special Circuits PME Permit Fee: $141.00 # Mechanical Constniction Tax. $0.00 IBAPPLOT Other Appliance/Equip Administrative Fee: IADMIN $44.00 0 Work Without Permit? 0 Yes 0 No $0.00 E) Advanced Planning Fee. $0.00 Select a Non-Residential E) Travel Documentation Fee: ITRA VDOC $47.00 Building or Structure 0 Strong Motion Fee: IBSEISMICO $42.00 = hrs Inspections Bldg Stds Commission Fee: IBCBSC $8.00 $278.00 ISTINSP Inspection,Hourly SUBTOTALS: $282.00 $742.00 TOTAL FEE: $1,024.00 Revised: 07/01/2013 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 j CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: 'N NL' L30-0 PERMIT# D OOs OWNER'S NAME: tbjc PHONE# 2-2- GENERAL CONTRACTOR: i BUSINESS LICENSE# ADDRESS: 41]? �� � }�` CITY/ZIPCODE: ( ( 2— *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPAN NS N(S) WILL BE SCHEDULED U TIL THE GENERAL CONTRACTOR AND ALL SUBC AVE OBTAINED A CITY OF PERTINO BUSINESS LICENSE. r� I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical I l 1 lr Excavation Fencing Flooring/Carpeting Linoleum/Wood GIass/ Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile caner Contractor Signature Date