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13090129 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20525 MARIANI AVE CONTRACTOR:XL CONSTRUCTION PERMIT NO: 13090129 OWNER'S NAME: 20525 MARIANI DRIVE LP 851 BUCKEYE CT DATE ISSUED: 12/18/2013 OWNER'S PHONE: 4089961010 MILPITAS,CA 95035 PHONE NO:(408)240-6000 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL r7 � APPLE-T.I.FOR NEW PARTITIONS,DOOR&GLAZING License ClassLic.k p ASSEMBLIES FOR(N) LAB(IST FLR) Contractor X t t v 1 �( Lr Date 1- 1 o 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:$100000 Ij 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:32656001.20525 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.1 agree to comply with all city and county ordinances and state laws relating WITHIN 18 F 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 DA ROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, I.-� costs,and expenses which may accrue against said City in consequence of the P/ /F;/:? granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. /Q RE-ROOFS: Signature ✓Y r Date l U. 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. 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(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 1 have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,See�s2j,5505,.22553333and 25534. Section 3700 of the Labor Code,for the performance of the work for which thispermit is issued. Owner or authorized agent: Date: e2191115 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 n / f � V COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 O CUPERTINO (408)777-3228• FAX(408)777-3333• building(cilcupertino.org ❑NEW CONSTRUCTION ❑ ADDITION © ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT tk PROJECT ADDRESS ^S ^A -irl�� n APN N !L S/ O 0 ) OWNER NAME Apple Inc PHONE 408 . 996 . 1010 E-MAIL STREET ADDRESS 1 Infinite Loop CITY, STATE,ZIP Cupertino, CA 9 5 0 l FAX CONTACT NAMEE MAD c cse.►�� 1770N* g03d40Coo36 beitef~n '& xlcons" Caµ STREET ADDRESS 851 Buckeye CT CITY,STATE,ZIP Milpitas, C A 9503 5 FAX 408-240-60 0 1 ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT 14 CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAMFL7 �CtC n LICENSE NUMBER 647480 LICENSE TYPE B BUS.LIC N 21836 COMPANY NAME XL Construction E-MAIL tons Jc c FAx 408 - 240 . 6001 STREET ADDRESS 8 5 1 Buckeye CT CITY,STATE,ZIPM i l p i t a s, CA 95035 PHONE 408 . 240 . 6000 ARCHITECT/ENGINEER NAME S(otf- � — � 8q3 LICENSE NUMBER O BUS.LIC N Gc�lsa� COMPANY NAMEE-MAIL FAX Yat3 '1�,6 ods' dee l Grob� .l 1I aro(son peel ro tnntar► I odf STREET ADDRESS � r9/�GI S�rec+ CITY,STATE,Z(P I PHONE ,a' _4239, DESCRIPTION OF WORK I 1 Tenovt-l- tm rb ,,,.1 f0 thG lv � �l�K! ar�tiv� o� cs�Dot G�tc� a�� EXISTING USE 1 PROPOSED USE CONSTR.TYPE #STORIES LA-3 60(\Am0A Lo-6 TA6.I1f 1 3 USE TYPE OCC. SQ.FT. VALUATIONEXIST ($) L NEW q I q AREA FLOOR DEMO I D AREAAREA 1JI q NET AREA 1J) BATHROOM -i KITCHEN OTHER REMODEL AREA N/A REMODEL AREA,/A REMODEL AREA N/A PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH N/A N/A N/A N/A []ATTACH N DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY YES N/A BEING ADDED? aNO ADDITION? 1A NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES / TOTAL VALUATIO PLANNING APPL# [)INO PLANNING APPROVAL LETTER EICHLER HOME? C"NO $f I VVw o By my signature below,I certify to each of the following: I am the property owner or autho a act on the rope owner's behalf. I have read this W application and the information I have provided is correct. I have read the Description of ork verify it is acc . f agree to comply with all applicable local ordinances and state laws relating to P94 constructs . I authorize representatives of Cupertino to enter the above-dentified property for inspection purposes. • Signature of Applicant/Agent: '14 Date: q I 1 1-3 SUPPLEMENT7t 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_201 1.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 20525 MARIANI DR DATE: 09/17/2013 REVIEWED BY: MELISSA APN: 326 56 001 BP#: Q 'VALUATION: $100,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 1B TI USE: PERMIT TYPE: WORK APPLE - T.I. FOR NEW PARTITIONS DOOR & GLAZING ASSEMBLIES FOR N LAB 1ST FLR SCOPE OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE 1D CONSTR. s.f. B (Tenant Improvements) II-A,111-AN-A 414 $2,557.78 IBTIPLNCK $879.92 IBTIINSP TOTALS: 414 $2,557.78 $879.92 MECH,HOURLY 0 Yes (j) No PLUMB,HOURLY Q Yes Q %_ LEC,HOURLY Q Yes Q No ,Ih":h. Plein(.'hccl Phutrb. Pluu Chf I , Elec. Ptun Check Mech. Prri.r:i< : Plumb. Permit hex Elee. Permii r' e: Other Mech.Insp. E17-- Other Plumb Insp. E1_L__ (;.' iec.Insp. .13ech.Insp. Fee: I Plumb. hisp, bee: Insp. Fee: NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School Distract etc). These-fees are based on the prefindna information available and are only an estimate. Contact the Dept foraddn7 info. FEE ITEMS (Fee Resolution 11-053 E(. 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,557.78 Select a Misc Bldg/Structure Suppl. PC Fee: (j) Reg. 0 OT0.0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $879.92 Suppl. Insp. Fee:Q Reg. Q OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax. Administrative Fee: 0 Work Without Permit? 0 Yes (D No $0.00 E) Advanced Planning Fee: $0.00 Select a Non-Residential E) Travel Documentation Fees: Building or Structure A Strong Motion Fee: IBSEISMICO $21.00 Select an Administrative Item Bldp,Stds Commission Fee: IBCBSC $4.00 SUBTOTALS: $3,462.70 $0.00 TOTAL FEE: 1 $3,462.70 Revised: 08/01/2013 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U PERTI NO Fax: 408-777-3333 CONTRACTOR/SUBCONTRACTOR LIST -r6 JOB ADDRESS: 05-d S M ,4iJr 4VAt` PERMIT# l 3 D (Dl a OWNER'S NAME: 005-)-S S L? PHONE# 40g qq6 1010 GENERAL CONTRACTOR: (� v Gvt BUSINESS LICENSE# 071$36 ADDRESS: CITY/ZIPCODE: 5-63 5- *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 SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical C i nd r 'C- Excavation GExcavation Fencing Flooring/ Carpeting Linoleum/Wood Glass / Glazing kjo (';off' a 5 O l Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper R 1&bo, r lbc3 r Paving Plastering Plumbing LJ Tn c 6 f Roofing Septic Tank Sheet Metal Lily; e-dt&n,cq, tAc a73 r Sheet Rock ,L n Tile /! caner/Contractor Signature Date ALTERNATE MATERIALS AND METHODS / MODIFICATION FORM COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333•building(cDcupertino.org CUPERTINO Z REQUEST FOR MODIFICATION OF.CODE(CBC 104.10) ❑ REQUEST FOR ALTERNATE MATERIAL, DESIGN OR METHOD OF CONSTRUCTION(CBC 104.11,CFC 111.2.4) To apply for this request,complete sections 1,2,&3 ink ortype) SITE � ADDRESS 20525 MARIANI AVE, CUPERTNO, CA APN 32656001 DATE 10/24/2013 APPLE COMPUTERS, INC. Owner................................................................................................................................ 2 IIA SPRINKLERED PC#: .........I.......................I... Type: ..................................... 1 Address.....................................................................................INFINITE LOOP MS 83-DDC,CUPERTINO,CA 13090129 3 Permit#:....*........................... :................................ Stories: .................................. Email..............................................................Phone........................................... B 1 PLN#: ................................... Occupancy:............................ I Ap. 16 Applicant....DOUG.... HENRY Title.......PRO..`.:..M.......NAGER........................... De t/Div................................ Floor Area: .....�.....027...SF............... Address..1 INFINITE LOOP,MS 83-DDC,CUPERTINO, CA Job Status: ............................ Occ.Load: 256 ........................................................................................................................... DOUG HENRY@APPLE.COM Use of Bldg:.O...FFICE/LAB ........................ Email............—........................................................Phone.......................................... 2 REQUEST: For code modifications,please state the applicable code requirement and the extent of relief desired. For alternate requests,state the type of system proposed and design methods. Submit plans if necessary to illus est. Additional sheets or data may be attached. Code modification for: Section 1127B.2.7 CBC 2010 - TrL(nca ed d to go full width and depth of curb ramp. 3 JUSTIFICATION/FINDINGS OF EQUIVALENCY: For code modifications,applicant shall demons to thaode Section(s): special,individual reasons exist that make compliance with the strict letter of the ordinance impractical and that SECTION 11 B-705.1.2.2 CBC 2013 equivalency is provided. For alternate requests,applicant shall demonstrate suitability,strength,effectiveness,fire;' resistance,durability,safety and sanitation that is equivalent to the code for a similar use. Attach additional sheets if necessary. Existing truncated domes shown at-the last 3-ft. portion of curb ramp per forthcoming CBC 2013 Section 11 B-705.1.2.2 Petitioner's ) Reviewed Signature: , .. .... .......................... Position: Date`O By:............... .. ...........................Date:— The ate:...The Request is: GRANTED ❑ DENIED Dept.Comments: CONDITIONS OF APPROVAL: i No.of Items: ... ......... .............. FeeDue:$................................. Date Paid: ............0.................... Receipt No.: .............................. .• Processed by:....0...............oo...... BuildingOfficial:..... Print:......!``4.�`\ � r.......... !I 1....................Date:....�..... ...........1 �... FireMarshal:.......... ................................ ............. ...................Print: ........ .................-.............. .......................Date:..... ...............0....... DEPARTMENT ACTION: After determination,copies to:1)applicant, 2)permit file Allform_2010.doc revised 06/11/10