12120015 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 6 INFINITE LOOP CONTRACTOR:NOVO CONSTRUCTION PERMIT NO:12120015
OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED:02/13/2013
OWNER'S PHONE: 6503398338 MENLO PARK,CA 94025 PHONE NO:(650)701-1500
XLICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIALE]
License Class Lic.# 7 9 (0 Z 2-- APPLE-3RD FLOOR WEST WING-COMERCIAL T.I-17,540
SQ FT INTERIOR LABS/OFFICE SPACE.
Contractor ) 1ld ( ���l� �`� °P`' Date Z �' REVISION#1-REMOVE THERMAL CHAMBER IN LAB
I hereby affirm that I am licensed under the provisions of Chapter 9 A303-ISSUED 6/25/13
(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:$1200000
I 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.1 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 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 Iss"' AR, a Date: C�
granting of this permit. Additionally,the applicant understands and will comply
with all non-point source regulations per thr Cupert - Municipal Code,Section
9.18. T
RE-ROOFS:
SignDate `' !.} 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
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
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)
I,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(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
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 2550 555 3,/' q 2 34.
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized age r Date:
permit is issued.
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
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: DATE: 3 REVIEWED BY: ?
APN: BP#: (?� VALUATION: 1$40,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building PENTAMATION
USE: PERMIT TYPE:
WORKO c 1-2
SCOPE
'Wech.Nan,Check E1711irh. Plan C1leck Elec..Pix-7 Check
Il fech. Perfait Fee: Plurnh.Per-Init Pee: Elec.Permit Fee:
Other-,Vech.hasp. Other Plumb hasp. F Outer Elec.trrsp.
i1hch.Iasp.f,cc: Phimh.hasp.Fee: Elec.Insp.Fee:
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.' 711/12) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 Select a Mise Bldg/Structure
Suppl.PC Fee: (j) Reg. Q OT0.0 hrs $0.00 or Element of a Building
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp.Fee:Q Reg. Q OT Fo7o hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
v i'siniction Tax:
Work Without Permit? 0 Yes Q No $0.00 E)
Advanced Planning_Fee. $0.00 Select a Non-Residential
Building or Structure
Tilo-vei DoCZIl+`7tniailio Fees: A
Strong Motion Fee: IBSEISMICO $8.40 1 # Revisions
Bldg Stds Commission Fee: IBCBSC $2.001 $799.00 1REVCOMTI Tenant Improvement
SUBTOTALS: $10.40 $799.00 TOTAL FEE: 1 $809.40
Revised: 04/29/2013
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 6 INFINITE LOOP CONTRACTOR:NOVO CONSTRUCTION PERMIT NO:12120015
OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED:02/13/2013
OWNER'S PHONE: 6503398338 MENLO PARK,CA 94025 PHONE NO:(650)701-1500
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIALE]
License Class 19 Li..# `1 J o 7-7 - APPLE-3RD FLOOR WEST WING-COMERCIAL T.I-17,540
SQ
Contractor. Date FT INTERIOR LABS/OFFICE SPACE.
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:$1200000
I 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 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 180 DAY :FRC 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
granting of this permit. Additionally,the applicant understands and will comply Issued by: Date
with all non-point so a regulations p the Cupertino Municipal Code,Section
9.18.
/ RE-ROOFS:
Signature Date y9 j T All roofs shall be inspected prior to any roofmg 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)
I,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(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 theertmo Muni ipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Seed 77505,25533 25534.
Section 3700 of the Labor Code,for the performance of the work for which this Z i
permit is issued. Owner or authorized agent: ate:
a
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(See.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
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
W-PERMIT
DDRESS: 6 infinite loop DATE: 12/04/2012 REVIEWED BY: Sylvia
PN: BP#: (���,j VALUATION: $1,200,000
PE: Building Permit PLAN CHECK TYPE: Tenant Improvement
PRIMARY PENTAMATION
USE: Commercial Building PERMIT TYPE: 1 B TI
WORK APPIe-3rd floor- COMM. T.I- 17,540 SQ FT INTERIOR LABS/OFFICE SPACE TO INCLUDE
SCOPE WORKSTATIONS, CONFERENCE ROOMS, BREAKROOMS, LOBBY M,E,P
OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID
CONSTR. s.f.
B (Tenant Improvements) II-B,III-B,IV,V-B 17,540 $2,835.94 IBTIPLNCK $8,433.98 IBTIINSP
TOTALS: 17,540 $2,835.94 $8,433.98
MECH,:HOURLY 0 Yes G No PLUMB,HOURLY Q Yes G No ELEC,HOURLY ® Yes 0 No
Mech.Plan Check Flrunb. Plan check Elec.Plan Check
1L75, Permit Fec:• Plumb. Po-mi"Fcc: Flec.Peonit Fee:
Other Aleclz hasp. Other Plumb hasp. Li Other Glec.Insp.
tllech.In p_Fee: Plumb. Insp_Fee: Elec.Insp.Fce:
NOTE:This estimate does not include fees due to other Departments(i.e.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 E . 711112) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $2,835.94 Select a Misc Bldg/Structure
Suppl.PC Fee: D Reg. Q OT 0.0 hrs $0.00 or Element of a Building
PME Plan Check: $0.00
Permit Fee: $8,433.98
Suppl.Insp.Fee:) Reg. Q OT 07 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Consiruction Tax:
rldn nisrrailL'eFee_ 0
Work Without Permit? ® Yes 0 No $0.00 E)
Advanced Planning Fee. $0.00 Select a Non-Residential G
Building or Structure 0
Travel l�oC2itnent,"atio,r Fees: Building
Strong Motion Fee: IBSEISMICO $252.00 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC $48.00
SUBTOTALS: il1,569.92 $0.00 TOTAL FEE. $11,569.92
Revised: 10/01/2012