B-2018-0822 CITY OF CUPERTINO BUILDING PERMIT
BUILDING.ADDRESS: CONTRACTOR: PERMIT NO:B-2018-0822
I INFINITE LOOP CUPERTINO,CA 95014-2083(316 02 105) NOVO
CONSTRUCTION INC
MENLO PARK,CA
94025
OWNER'S NAME:APPLE COMPUTER INC DATE ISSUED:05/14/2018
OWNER'S PHONE: PRONE NO:(
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class 0 Lic.#791022
Contractor NOVO CONSTRUCTION INC Date 0212812019 XBLDG—ELECT—PLUMB
I hereby affirm that I aro licensed under the provisions of Chapter 9(commencing —MECH—RESIDENTIAL x COMMERCIAL
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is in fhfi force and effect. JOB DESCRIPTION:
APPLE-BUILDING C T.I.FIRST FLOOR-(1670 SF)-NEW DOORS;
I hereby affirm under penalty of perjury one of the following two declarations: AUDIONISUAL;ADA SITE&PARKING;REMOVE EXISTING DOOR
1. I have and will maintain a certificate of consent to self-insme for Worker's (1);INSTALL(3)NEW DOORS WITH CARD-READERS;NEW T-BAR;
Compensation,as provided for by Section 3700 of the Labor Code,for the MECHANICAL;
�*
have and will maintain Worker's Compensation Insurance,as provided for by ACCESSIBILITY DETAILS-SHEET A-3.1-ISSUED 6/11/2018
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Sq.Ft Floor Area: Valuation:$250000.00
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 31602 105 A(Tenant Improvemens),B(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 again aid City In consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,th ppl at-understands and will comply with all non-point
source regulatl
I hereby fir rat 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
1. I,as owner of the property,or my employees with wages as their sole installed without fust obtaining an inspection,I agree to remove all now materials for
compensation,will do the work,and the structure is not intended or offered for inspection.
sale(Sec.7044,Business&Professions Code)
z. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant:
contractors to construct the project(Sce.7044,Business&Professions Code), Date:06111/2018
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1. 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
Z I have and will maintain Worker'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
s. I certify that in the performance 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[o the material.Additionally,should I use equipment or devices which emit hazardous
air contaminants as defined by the y Air Quality Management District I
Worker's Compensation laws of California.If,after making this certificate of will malnti lu compliance with the upertin Munici al Code,Chapter 9.12 and
exemption,I become subject m the Worker's.Compensation provisions of the the Health&Safety Cod,
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that her Is a con ey ending agency for the performance
relating to building construction,and hereby authorize representatives of this city of work's for which this p rmit4as sued(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 ARCffiTECT'S DECLARATION
Code,Section 9.18. 1 understand my plans shall be used as public records.
Licensed
Signature Date 0611112018 professional
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR; PERMIT NO:B-2018-0822
I INFINITE LOOP CUPERTINO,CA 95014-2083(3t602 t05) NOVO
CONSTRUCTION INC
MENLO PARK,CA
94025
OWNER'SNAME:APPLE COMPUTER INC DATE ISSUED:05/14/2018
OWNER'S PHONE: PHONE NO:(
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class B Lic.#791022
Contractor NOVO CONSTRUCTION INC Date 02/28/2019 X BLDG ELECT_PLUMB
1 hereby affirm that I am licensed under the provisions of Chapter 9(commencing MECH_RESIDENTIAL X COMMERCIAL
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is in full farce and effect. JOB DESCRIPTION:
APPLE-BUILDING C T.I.FIRST FLOOR-(1670 SF)-NEW DOORS;
1 hereby affirm under penalty of perjury one of the following two declarations: AUDIO/VISUAL;ADA SITE&PARKING;REMOVE EXISTING DOOR
i. I have and will maintain a certificate of consent to self-insure for Worker's (1);INSTALL(3)NEW DOORS WITH CARD-READERS;NEW T-BAR;
Compensation,as provided for by Section 3700 of the Labor Code,for the MECHANICAL;
performance of the work for which this permit is issued.
z. 1 have and will maintain Worker's Compensation Insurance,as provided rot by
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued, Sq.Ft Floor Area: Wirmtion:$250000.00
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 31602 105 B(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 a 'rest liabilities,judgments,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED
may accrue ageat said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,th applic d stands and will comply with all non-point
source re it ns he Cupe o Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
Signal Date 05-14-2018 Issued by:Kim Dunbar
Date:05/14/2018
F - DECLARATT
1 hereby affirm that I am exempt from the Contractor's License Law to,'one of[heRE-ROOFS•
following in'.reasons: All roofs shall be inspected prior to any roofing material being installed.If u roof is
s. I,as owner of the property,or my employees with wages us 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 m offered for inspection.
set.(Sec.7044,Business&Professions Code)
i. I,as owner ofthe property,am exclusively contracting with licensed Signature of Applicant:
contractors to construct the project(Sec,7044,Business&Professions Cade). Date:05-14-2018
1 hereby aMrm ander penalty of perjury are of the following three declarations: ALL ROOF COVERINGS TO BC CLASS"A"OR BETTER
1. 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,rm'the
performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE
z. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements aider Chapter 6.95 of the
Section 3700 of the Labor Code,fro the perfarmunce of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534.1 will
permit is issued, maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
u. 1 certify that in the performance 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.
;terial.Additionally,should 1 use equipm mt or devices whirl emit hazardous
Worker's Compensation laws ofCnlifornie,1C,after making this certificate of contaminants as delined by the Bay en nobly Management District f
will malnhthr compliance with the Cup r no unit Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Cade,S ct m 5505,n255 mol 25534.
Labor Code,I.umst forthwith comply with such provisions or this permit shall
be deemed revoked. Owner or authorized agent:
APPLICANT CERTIFICATION Date:05-14-2018.
I certify that I have read this application and state that the above information Is 'I'li CT�1.n1dg,,.,.ncCyyfidr
correct agree to comply with all city and county ordinances and state laws hereby affirm that there is a onthe performance
relating to building construction,and hereby authorize representatives of this city of work's for which this permit
to enter upon the abovementioned 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 MunicipalARCRPTEC7"S DECLARATION
Code,Section 9.18. 1 understand my plans shall be used as public records.
Signature Date 05-14-2018 Licensed
Professional