13060220 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 3 INFINITE LOOP CONTRACTOR•- D PERMIT NO: 13060220
OWNER'S NAME: APPLE COMPUTER INC P 2 S� DATE ISSUED:09/25/2013
O'WNER'S PHONE: 4089742909 PHONE NO:
lv� LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO: BLDG r— ELECT PLUMB �
Liccnsc Class /.2 Lic.4 —I 5 -J--?-q-l MECH T— RESIDENTIAL r COMMERCIAL r
Contractor 2?,?, Date - L
1 hereby affirm that 1 am licensed under the provisions of Chapter 9 JOB DESCRIPTION:APPLE TENANT IMPROVEMENT(11-3;LEVEL 1)FOR
(commencing with Section 7000)of Division 3 of the Business&Professions MACHINE AND PRINTER SHOP(627 SQ FT). RELOCATED
Code and that my license is in full force and effect. FROM LEVEL ONE W I1-2.
I hereby affirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate ofconsent to self-insure for Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance ofthe work for which this permit is issued.
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 Sq.Ft Floor Area: Valuation:$500000
permit is issued.
APPLICANT CERTIFICATION APN Number:31602107,00 Occupancy Type:
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 PERMIT EXPIRES IF WORK IS NOT STARTED
indemnify and keep harmless the City oh Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting of this permit. Additionally,the applicant understands and will comply 180 D YS FRO AST CALLED INSPECTION.
with all not Dint source regal s per the Cupertino Municipal Code,Section
9.18.
Signature Date J Issued by 'N`^ Date:
❑ OWNER-BUILDER DECLARATION
RE-ROOFS:
1 hereby affirm that 1 am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is
the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for
1.as owner of the property,or my employees with wages as their sole compensation, inspection.
wil I do the work,and the structure is not intended or offered for sale(Sec.7044,
Business&Professions Code) Signature of Applicant: Date:
1,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Scc.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BFITER
hereby affirm under penalty of perjury one of the following three
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE
Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.95 of the
performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain
I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should 1 store or handle hazardous material.
Additionally,should 1 use equipment or devices which emit hazardous air
permit is issued. contaminants as dAn'cd by the Bay Area Air Quality Management District 1 will
I certify that in the performance of the work for which this permit is issued,I shall ma' am compliance with the Cupertino Municipal Code,Chapter 9.12 and the
not employ any person in any manner so as to become subject to the Worker's lie It Safety Codi,Sections 25505,25533,and 25534.
Compensation laws of California. If,after making this certificate of exemption,I
become subject to the Worker's Compensation provisions of the Labor Code,I must O er o c gent:
forthwith comply with such provisions or this permit shall be deemed revoked. Date: /31
?
APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY
I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's
correct. I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.)
to building construction,and hereby authorize representatives of this city to enter Lender's Name
upon the above mentioned property for inspection purposes.(We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address
costs,and expenses which may accrue against said City in consequence of the
granting of this permit.Additionally,the applicant understands and will comply ARCIiITECT'S DECLARATION
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18. 1 understand my plans shall be used as public records.
Signature Date Licensed Professional
CITY OF CUPERTINO
FEE ESTIMATOR -BUILDING DIVISION
ADDRESS: 3 INFINITE LOOP DATE: 06/27/2013 REVIEWED BY: MELISSA
APN: 316 02 107 BP#: GjDo��� 'VALUATION: 1$500,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement
PRIMARY PENTAMATION
USE: Commercial Building PERMIT TYPE: 1 B 1 A
WORK REMOVE E CONFERENCE ROOM &WORK SPACE TO CREATE N MACHINE ROOM
SCOPE
OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID
CONSTR. s.f.
B (Tenant Improvements) I-All-B 732 $2,961.75 /BTIPLNCK $1,297.75 /BTZINSP
TOTALS: 732 $2,961.75 $1,297.75
MECH,HOURLY Q Yes F) No PLUMB,HOURLY Q Yes Q No ELEC,HOURLY Q Yes . 0 No
Ltecli. Plan Check Phurrb. Plan('heck F_lec.Plan Check
lfech. .'erwil Fee: Plumb, Permit Fee: glee. Permit ret::
Other tl9ech. Insp. Other Plumb Insp. Other Elec.Insp. Ll
ilcclr. Irasp..f c¢: Plumh. I71sp. Fee.: i'k.,c.Insp.Fee:
NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc . Thesefees are based on the prelimina information available and are only an estimate, Contact the De t or addn'l info.
FEE ITEMS (Fee Resolution 11-053 Eff 7/1/12) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $2,961.75 Select a Misc Bldg/Structure
Suppl. PC Fee: Q Reg. Q OT FO.OThrs $0.00 or Element of a Building
PME Plan Check: $0.00
Permit Fee: $1,297.75
Suppl. Insp. Fee.0 Reg. Q OT 0.0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Conswuction Tax:
Administrative Fee: Q
Work Without Permit? Q Yes (F) No $0.00 E)
Advanced Planning Fee. $0.00 Select a Non-Residential 0
Travel Documentation Fuss: Building or Structure Q,
Strong Motion Fee: IBSEISMICO $105.00 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $20.00
SUBTOTALS: $4,384.50 $0.00 TOTAL FEE: 1 $4,384.50
Revised: 04/29/2013