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13110137 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 6 INFINITE LOOP CONTRACTOR:NOVO CONSTRUCTION PERMIT NO: 13110137 OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED: 11/20/2013 OWNER'S PHONE: 5108613299 MENLO PARK,CA 94025 PHONE NO:(650)701-1500 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class_ Lic.# 910 2 2- AT.I. RENOVATION OF LAB SPACE WITH V / A CAL& ELECTRICAL(T.I.PREP WAS 13100199) Contractor /_bys �vt7�t.anon/ Date �a I hereby affirm that I am licensed under the provisions of Chapter 9 &7(ed#1-balcony upgrades to meet ada accessibility (commencing with Section 7000)of Division 3 of the Business&Profession Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declari s 1 have and will maintain a certificate of consent to self-insure for Worker' Compensation,as provided for by Section 3700 of the Labor Code,for performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$100000 1 have and will maintain Worker's Compensation Insurance,as pro Section 3700 of the Labor Code,for the performance of the work WIM this ApN Number:31602110.00 Occupancy Type: permit is issued. v- APPLICANT CERTIFICATION ---6 1 certify that I have read this application and state that the above information is PERMIT EXPML 1N WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 1 AYS 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 DA FR 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 (p granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: with all non-point source regulations per the upertino unicipal Code,Section 9.18. RE-ROOFS: Signatur Date All roofs shall be inspected prior to any roofing material being installed.If a roof is installed without first obtaining an inspection,l agree to remove all new materials for inspection. 111,/// OWNER-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 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 1 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,SectionQ1505,25 , n�1�3 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Owner or authorized age Date: l 6 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,1 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,1 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 1 have read this application and state that the above information is correct. 1 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 1 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•CUPERI•INO, CA 95014-3255 CUPERTiNO (408)777-3228•FAX(408)777-3333•building6a)cunertino.ora ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI REVISION/DEFERRED ORIGTNTAL PERMIT# !b/ PROJECT ADDRESS r / I APN' OV4 NER NAME PHONE E-I LAIL tpl.t> �iJG. STREET ADDRESS o Cl_l-):,STATE,ZIP FAX //��/^�� �°! GETLT7 n/OCA 75,14 CONTACT NAMEPH NE E-MAIL GO6 tJ -7 - e 91 'wL., oVoCon TfvGfton•co�+1 STREET ADDRESSCI STATE, ZI F.AX 6'a�ICy./ tI- t /co q2k 0 zs ❑ OWNER ❑ OWNER-BUILDER ❑ OWYERAGENT ❑ CONTRACTOR CONTR4CTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONT 4 OR NATO LICENSE 'IBER LICENSE TYPE BUS.LIC# d N f Trd ce—A& COMPANY NAME V E-MAIL - FAX 1(e D N f712vGrl1 D STREET ADDRESS CITY STATE,ZIP PHONE 1 O 0113,e/Ex.! X4 EnlGa P4Mt OLS ARCHITECT GTNEER NAS LICENSE NUMBER BUS.LIC Lo rr L S m CO N E-MAIL FAX 2ocZm ST ADDRES C STATE,ZIP PHONE DESCRIPTION OF WORK ��++ 12 6/ J aQfD2 /�il C,1 M EXISTING USE PROPOSED USE CONSTRTYPE #STORIES /Z 15 USE TYPE OCC. SQ.FT. VALUATION(S) EX[STG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL.AREA REMODEL AREA REMODELAREA ZDWFLLI\'G CH AREA DECK AREA TOTAL DEMPORCH AREA GARAGE AREA: DETACH ATTACH UNITS: IS A SECOND UNIT ❑YES SECOND STORY 0 YES BEING ADDED? []NO ADDITION? []NO PRE-APPLICATION [DYES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVED BY. - T91rAL VALUATION: PLANT-114G ADPL# ONO PLAT.`NING APPROVAL LETTER EICHLER HOME? ❑NO By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on e property owner's be lf. 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 constructio I auth ' ere septa. s of Cupertino to enter the above-identified property for inspection purposes. Signature ofApplicaDt/A.gen Date: SUPPl TAL INFORMATION REQUIRED PLAN CHECK TYPEROUTING SLIP _New SFD or Multifamily dwellings: Apply for demolition permit for SYER-THE COUNTER 0 BUILDING PLAN,REVIEW existing building(s). Demolition permit is required prior to issuance of buildin - permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ sranvARD ❑ PUBLIC WORKS fonn 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 toEl ` submittal of Building Permit application. nrAaoR ❑ SANITARY ssvER DisTxtcT ❑ ENVIROt17+IENTAL HEALTH B1dgApp_2011.doc remised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION R*PERMITTYPE: DDRESS: 10153 dennison ave DATE: 01/16/2014 REVIEWED BY: Mendez PN: BP#: `VALUATION: $12,000 Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 1GENCOM USE: PERMIT TYPE: WORK deferred #1-balcony upgrades to meet ada accessibility SCOPE hitch.Plan Check Phvnh. Plan Chcct Elec:,Plan Check Mesh.Permit Fete Plumb. Permit Fee: l lec. Permit Pee: LLLI Other.Meeh.InspE17-- her Plumb Insn Other Elec.Insp. ,14ech. Insp. Fee: Plumb, hrsp.Fee: Elec. Insp.Fee: NOTE. This estimate does not include fees due to other Departments(i.e.Planning,Public Works, Fire,Sanitary Sewer District,School Distric etc). These ees are based on the prelimina information available and are only an estimate. Contact the De t or addn'1 info. FEE ITEMS (Fee Resolution 11-053 Eff 711/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = # Deferred Submittal Suppl. PC Fee: (F) Reg. Q OT 0.0 hrs $0.00 $278.00 IDEFSUBM PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee-0 Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Consir uenon Tay., Administrative Fee: 0 Work Without Permit? © Yes 0 No $0.00 G Advanced Planning-Fee: $0.00 Select a Non-Residential Travel Docamentution fees: Building or Structure 0 Strong Motion Fee: IBSEISMICO $2.52 Select an Administrative Item Bldg Stds Commission Fee: IIBCBSC $1.00 SUBTOTALS: $3.52 $278.00 TOTAL FEE: 1 $281.52 Revised: 01/15/2014 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 61NFINITE LOOP CONTRACTOR:NOVO CONSTRUCTION PERMIT NO: 13110137 OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED: 11/20/2013 OWNER'S PHONE: 5108613299 MENLO PARK,CA 94025 PHONE NO:(650)701-1500 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL El COMMERCIAL License Class B Lic.# 7/ (U z-'L-- APPLE-T.I. RENOVATION OF LAB SPACE WITH MECHANICAL&ELECTRICAL(T.I.PREP WAS 13100199) Contractor �U htS n Date 1 t .t� 3 I hereby affirm that I am licensed under the provision's of C apter 9 (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. 1 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 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:31602110.00 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 1$0 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 1.80 DAYS FR 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 2D with all non-point source regulat' ns per th Cuperti Municipal Code,Section 9.18. t1 RE-ROOFS: Signature Date 210 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 1 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. 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(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 Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal CodIN Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,2 �nd55�,3Section 3700 of the Labor Code,for the performance of the work for which this —permit is issued. Owner or authorized age GDate: 13 1 certify that in the performance of the work for which this permit is issued,1 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,1 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 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 \\ (408)777-3228• FAX(408)777-3333•building(a rugertino.0M C( ERTINO NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REArISION/DEFERRED ORIGINAL PEn9T# PROJECT ADDRESS � /A/, n( �o� APN - o z l ! OWNER NkMy ONE E-MAIL STREET ADDRESS TY,STATE,ZIP FAX 17_ el'­q 950 CONTACT NAME PHO E-MAIL STREET ADDRESS CITY,STATE,ZIP � FAX . (54o� ❑ OWNER ❑ OWNIIt-BUILDER ❑ OWNERAGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME / LICENSE NUMBER LICENSE TYPE BUS,LIC R 6 1/o L Z'Al-,v ' ®r\! / a `v COMPANY NAME E-MAIL FAX STREET DRESS CI TATE,ZIP PHONE zs esu -?mr -1 sow ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC R f}- GA y 1S • TT COMPANY NAME E-MAIL FAX LI-Of3r1 A 1--) 5 STREET AD S CITY,STATE,ZIP 2�8 7b DESCRIPTION OF WORK - o✓-4-n 01-/ Ger r A w 1 ry 6=6j2_1 5,46 F-rs! S 12Lam- - TZ 2" o EXISTING USE PROPOSED USE CONST TYPEa STORIES r OR USE TYPE OCG SQ.FT. VALUATION(S) A z?EXISTG NEW FLOOR DEMO ^7 TOTAL AREA '? /�f AREA - AREA ( �p NET AREA 7'7- BATHROOM KITCHEN OTHER l� REMODELAREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH ARE4 GARAGE AREA- DETACH ATTACH R DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? C]NO ADDITION? []NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑5 TOTA;4 VALUAT PLAI�T'n�'G APPLY []NO PLANN"A'G APPROVAL LETTER FJC13LER HOME? ❑NO By my signature below,I certify to each of the following: I am the property owner or authoriz 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 Descrip' n of Wo and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to bu a construction. tho reser e� rtino to enter the above-identified property for inspection purposes. Signature of Applicant/Aa Date: �! Zo /3 SUPPL I AL INFORMATION REQUIRED PLa.,v CHECK TYPE ROUTING SLIP New SFD or A family dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building ov>R-r>m cot�ITER ❑ BUILDING PLAN xE�1Ew permit for new building. Q EXPRESS ❑ PLA,NII.NGPI-AN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure O STANbARD El 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 ❑ .uaox ❑ snnrrARY sswER DISTRICT submittal of Building Permit application. FwMoNhEENTAL E[F ALTR . . B1dgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 6 INFINITE LOOP DATE: 1112012013 REVIEWED BY: MELISSA APN: 316 02 110BP#: 11013 `VALUATION: $100,000 ____7 Q 1, 1*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 1 B TI USE: PERMIT TYPE: WORK APPLE -T.I. RENOVATION OF LAB SPACE WITH MECHANICAL & ELECTRICAL T.I. PREP WAS SCOPE 13100199) OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. s,f. B (Tenant Improvements) I-A,I-B 796 $3,092.40 IBTIPLNCK $1,354.75 IBTIINSP TOTALS: 796 1 $3,092.40 $1,354.75 M r H, IIOURLY 0 Yes E) No PLUMB,HOURLY Q Yes Q No ELEC,HOURLY Q Yes Q No ,Meeh. Plan Check Plumb, Plan CheuA Dec.Plan Check Alech. Permil l=ee: Plumb, Permit Fec: 1,lec. Pe rrna Fee: It2cpET__�_ Other Plumb Insp. �uber Elec. Insp. Ll jnxp, /'cc P1t+nth. hrsp. Fee: Elec. Insp, Fee.- NOTE: ee-NOTE: This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These ees are based on the prelimina information available and are only an estimate. Contact the De t or addn'1 info. FEE ITEMS (Fee Resolution 11-053 Eff' 711/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $3,092.40 Select a Misc Bldg/Structure Suppl. PC Fee: Reg. OT 0.0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $1,354.75 Suppl. Insp. Fee-.0 Reg. 0 OT FO.01hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax. Administrative Fee: � Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential Travel Documentation Fees: Building or Structure —7 — 1 - A Strong Motion Fee: 13SEISMICO $21.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $4.00 SUBTOTALS: 1 $4,472.15 $0.00 TOTAL FEE: $4,472.15 Revised: 10/01/2013 HAZARDOUS MATERIALS CHECKLIST COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERI'INO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408) 777-3228• FAX(408)777-3333• building(a)cupertino.orq PURPOSE To minimize possible delays that would result for the Fire Department plan review, please complete the following checklist to determine if an additional level of Hazardous Materials plan review will be required. MARK 'YES' IF THE PROPOSED SCOPE OF WORK INCLUDE ANY OF THE FOLLOWING? PLEASE MARK YOUR ANSWER WITH AN `X' IN THE YES OR NO BOX ON THE SIDE YES NO BELOW. 1. Use, dispensing, mixing or storage of flammable or combustible liquids or gases, hazardous materials, etc. 2. Battery back-up rooms or racks. 3. Propane tanks. 4. Gasoline stations with underground tanks. 5. Installation or replacement above ground or underground storage of liquid petroleum products, liquefied petroleum gases, compressed natural gas, explosives or other regulated hazardous materials. �\ 6. Gas rooms for dentist, doctors or veterinarians. X 7. Generators with back-up diesel or other fuels. 8. Large refrigeration systems. 9. Fuel cell systems. 10. Commercial pool systems. 11. Chemical Storage areas. 12. Flammable liquid storage. 13. Compressed Gases. 14. Dry cleaners. 15. Print Shops. 16. Auto Repair and Auto Body Shops. 17. Research and Development. For any additional information regarding this checklist, please contact Hazardous Materials Specialist, Santa Clara County Fire Department, at (408) 378-4010. HasMat 2011.doc revised 03/07/11