B-2017-1822 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: _ CONTRACTOR: PERMIT NO:B-2017-1822 '
3 INFINITE LOOP CUPERTINO,CA 95014-2086(316 02 107) BARRON BUILDERS
INC
SANTA CLARA,CA
95054
OWNER'S NAME: APPLE COMPUTER INC DATE ISSUED: 11/29/2017
OWNER'S PHONE:408-996-1010 PHONE NO:(650)964-4493
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class B Lic.#916366 •
Contractor BARRON BUILDERS INC Date 07/31/2019 J{BLDG X ELECT _PLUMB
X 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-UNDERGROUND PARKING-UPDATE(4)ELEVATORS,
I hereby affirm under penalty of perjury one of the following two declarations: EQUIPMENT IN BASEMENT;REPAIR SHAFT DUE TO REMOVAL OF
i. I have and will maintain a certificate of consent to self-insure for Worker's FIRE SPRINKLER HEADS;(N) 100 AMP PANEL.
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued. 1
z. I have and will maintain Worker's Compensation Insurance,as provided for by I.
Section 3700 of the Labor Code,for the performance of the work for which this
'
permit is issued.
Sq.Ft Floor Area: Valuation:$200000.00
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 02 107 A(Tenant Improvements)
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,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED
may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the applicant understands and will comply with all non-point
source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
611\40VA illAAA
SignatureDate 11-29-2017 Issued by:Kim Dunbar
Date: 11/29/2017
OWNER-BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS:
following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is
i. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for
compensation,will do the work,and the structure is not intended or offered for inspection.
sale(Sec.7044,Business&Professions Code) '
2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant:
contractors to construct•the project(Sec.7044,Business&Professions Code). Date: 11-29-2017
I hereby affirm under penalty of perjury one of the following three declarations: —
ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
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
performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE
2." I have and will maintain Wdrker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the
Section 3700 of the Labor•Code,,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
3. I certify that in the perfortnance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous
shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
Worker's Compensation lass of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
exemption,I become subject'to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. Owner or authorized agent:
APPLICANT CERTIFICATION . Date: 11-29-2017
I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance
relating to building construction,;and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.)
to enter upon the above mentioned,property for inspection,purposes. (We)agree Lender's Name
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments,costs,and expenses which'may accrue against said City in Lender's Address
consequence of the granting of this.permit. Additionally,the applicant understands
and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION
Code,Section 9.18. I understand my plans shall be used as public records.
• Licensed
Signature Date 11-29-2017 Professional
i'
i
CONSTRUCTION PERMIT APPLICATION
N ::I::. .hti UNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
('\ =s _ 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 . B
d) � rr t;'.` (408) 777-3228 • buildingQlcupertino.org PEMIT YB 2a 1 4-' - I e 22_
CUPERTINO REVS DEF4
❑ NEW CONSTRUCTION.,❑ADDITION,,ALTERATION ❑T.I. ❑MEP ElRE-ROOF ❑SWIMMING POOL/SPA
_
PROJECT ADDRESS .
3 ►NF!A;I,I" APN a Lope 3
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OWNER NAME ,._ as -PHONEIQ I°
E-MAIL
Pi PPCF 1�G • pay «_:_;Y. 1\1°
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STREET ADDRESS t
. —. CITY, STATE,ZIP_IiFINrrE (ooe « Go? 'r / C .1S05+
CONTRACTOR NAME ❑OWNER-BUILDER COMPANY NAME LICENSE NUMBER LICENSE TYPE
eemeSTO $.6,tzeo'J '5./42.g.643 gJIL e2.S 9rbSb‘ 5
STREET ADDRESS coy,STATE, ZIP
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E-MAIL PHONE BUS:LIC A
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0 ARCHITECT 0 OWNER.0 OWNER AGENT MCCDNTR.ACTOR AGENT 0 ENGINEER 0 DEVELOPER 0 TENANT '/
CONTACT NAME E-MAIL ... . ' '
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STREET ADDRESS CITY,STATE,ZIP PHONE
2346 C LLE Dec, 14u490 sis..\-r7, cco(2-A ,Cls.45 m -2 7-;7o
DECRIPTON E't:EVA-mg_ 1.4,o0E1 %ZA Tb'' ' ; .
EnaaJA(_, • ANO KEPI.NCFMENT of Et,EV roti Et 0%gt.t,e D^ 't -r71E voD 6ea>7 D
PI INb 64-A6e LEVEL. Or Ari e)41S111•1(? `F Sctil. c31L01036 . Es-1,3-1-0,36, (1,46. .-r,
ezM r ,iN 9 TD Th u ej F (4) LEUPr'DQ-- (A)tic et ueokra) ,
❑SINGLE-FAMILY/DUPLEX 0 MULTI-FAMILY 0 INDUSTRIAL ❑COMMERCIAL I
EXISTING USE EXISTING SF NEW FLOOR SF PORCH SF DECK SF DEMO SF STORIES A TOTAL NET SF USE TYPE OCC SQ.FT. VALUATION($)
REMODEL REMODEL KITCHEN REMODELOTHR GARAGE 0 ATTACHED .
' BATHROOM SF SF SF , SF 0 DETACHED
EXISING ❑YESEICHLER ❑ ES SECOND STORY ADDITION ❑YES
FIRE SPRINKLERS 0 NO ❑ NO 0 NO
DWELLING SECOND DWELLING D YES 0 ATTACHED DETACHED OTHER
UNITSE UNITADDITON: 0 N SF
POOLS' ❑FIBERGLASS D VINYL-LINED 0 GUNITE 0 PREFABRICATED
POOL-SF SPA-SF I SPA ATTACHED❑YES 0 NO I TOTAL-SF
i-EIVEDBYT TO S (::
Commercial or Multi-Family Buildings with Public Swimming Pools requires Department of Environmental Heath approval
RE-ROOF EXISTING ROOF TYPE: D BUILT-UP ROOF❑ASPHALT SHINGLES❑WOOD SHAKES❑WOOD SHINGLES❑TILE OTHER(SPECIFY) ,
REMOVE/REPLACE Q NO IF NO PLYWOOD 01" ❑3/8" PLYWOOD TYPE: PITCH: ROOF CLASS
D YES a OF LAYERS THICKNESS❑5/8" OTHER ❑OSB ❑CDX OTHER :12 A
PROPOSED ROOF TYPE:❑BUILT-UP ROOF ❑ASPHALT SHINGLES 0 WOOD SHAKES❑WOOD SHINGLES 0 OTHER
'Provide a signed copy of the Cupertino's Tear-Off Policy SF aof 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 purposes. I acknowledge and authorize all information contained on this application form
to be made available for public record. t t e l Z5(1'7
Signature of Applicant/Agent: c- ' !'�
SUPPLEMENTAL INFORMATION REQUIRED I
*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
BIdg,4pp_2017.doc revised 08/01/17