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13050121 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 6 INFINITE LOOP CONTRACTOR:BARRON BUILDERS INC PERMIT NO: 13050121 OWNER'S NAME:. APPLE COMPUTER INC 415 CLYDE AVE STE 104 DATE ISSUED:05/15/2013 OWNER'S PHONE: 4089961010 MOUNTAIN VIEW,CA 94043 PHONE NO:(650)269-7061 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIALS License Class_ Lic.N (0 3 FAN ROOM RENOVATION ROOMS 1,2&3,REPLACE EXISTING FANS AND FAN COILS WITH NEW IN-GARAGE ISIContractor lr_�9yDate�S—\S \3___ SHEETROCK AND FRAMING 1 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: 1 have and will maintain a certificate of consent to self-insurc 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:$500000 1 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 l have read this application and state that the above information is PERMIT E IRES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN YS 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 1801 AY M 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: 6,1/59 with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Dates—\5'\3 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. Cl 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 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. I will 1 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 1 store or handle hazardous 1 have and will maintain a.Certificale 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, �and25534. Section 3700 of the Labor Code,for the performance of the work for which this -1 S Owner or authorized agent: Bate: permit is issued. I certify that in the performance of the work for which this permit is issued,l 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,) 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 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 CONSTRUCTION PERMIT APPLICATION 1 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION �1 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228• FAX;ALTF 77-3333•buflding(d)cupertino.org PERTINONEW CONSTRUCTION ADDITION R _ ATION!TI ❑ REVISION/DEFERRED ORIGINAL PER-MIT Il PROJECT ADDRESS IAIrljVl „ - D APN#� / n_02- I IC _ OWNER NAME IAI^ PHONE / CONTACT NAME „n p ( PHONE 0 V �lJ 0� E-MAI�� S. n(.��/`n f_�/ STREET ADDRESS //1 /•4-, Id g- � l`��JfC_I,/`.(lJN CITY,STATE,ZIP / J I,,• / /� v/J��y� FAX R/f J f u U / ❑OWNER ❑ OWNER-BUILDF,R ❑ OWNER IA/GEENTY/V 1CONTRACTOR El CONTRACTOR AGENT CJI❑/ ARCHITECT/07 ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME ,/�/ � , LICENSE NUMBER /�-?/,` LICENSE TYPE �_ BUXS .LTC k COMPANY NAME E-MAILe/ �A is s � STREET ADDRESS //1( C[TY,STATE,ZIP , ,kov �J/t l��L� PHONY ARCHITF,CT/ENGINE riF� 1, lt��•� 1 LICENSE NUMBEI BUS.LIC N /V COMPANY NAME E-MAIL FAX STREET ADDRESS �f J(L�� (1 / C CITY,ST f,ZIP r JJ� PHONE DESCRIPTION OF WORK d- wno 61--- 1 VAI-L0-46iAJG- 0"_T/T649 EXISTING USE PROPOSED USE CONSTR.TYPE k STORIES USE TYPE OCC. SQ.FT. VALUATION($) NEW FLOOR DEMO TOTAL AREA AREA AREA AREA NEP AREA t/ BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: LJ DETACH ❑ATTACH N DWELLING UNITS: ISA SECOND UNIT OYES SECONDSTORY ❑YES BEING ADDED! ONO ADDITION' ONO PRE-APPLICATION OYES IF YES,PROVIDE.COPY OF IS THE BLDG AN ❑YES REC&1 D BY TOTAL VALUATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME' ❑NO Sao low 1.*-1 By my signature below,I certify to each of the following: I am the property owner or authori d a n to act on the property owner's behalf. 1 have read this application and the information I kave provi e is read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relatin buil i co s uction. I a prize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applieant/Agent: Date: J S 1 SUPPLEMENTAL INFORMATI N REQU!,Fk6 PL CHECK TYPE ROUTING SLIP New SFD or Multifamily dwellings: Applyemolition permit for OVER•THE-COUNTER BUILDING PL REVIEW existing buitding(s). Demolition permit is required prior to issuance of buildi permit for new building. ❑ EXPRESS PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ 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 ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 6 INFINITE LOOP DATE: 051151270137 REVIEWED BY: MENDEZ APN: BP#: j 3 05 0 I':�_1 *VALUATION: $500,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY PENTAMATION USE: Commercial Building PERMIT TYPE: 1ST WORK SCOPE OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. s.f. S (Tenant Improvements) I-A,I-B 1,500 $5,484.38 ISTIPLNCK $1,909.65 ISTIINSP TOTALS: 1,500 $5,484.38 $1,909.65 MECH,HOURLY O Yes E) No PLUMB,HOURLY Q Yes Q No ELEC,HOURLY Q Yes Q No Mech, Plan C'yeeck Phuub. Plan Chack Flea. Plan Check Xrech_ Perwi!Fee: PAmh. Permit Fee: 17ec. Permit Fee: Other Hech. Insp. Other•Plumb Insp. Orlrer LYec, Insp. Veeh. Insp, Fee: Phnnb, Insp. Fee: LYec Insp, Fee: NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,qcG). Thesefees are based on the prelimina information available and are only an estimate. Contact the Dept for adds 7 info. FEE ITEMS (Fee Resolution 11-053 Efr 7/1112) FEE QTY/FEE MISC ITEMS Plan Check Fee: $5,484.38 Select a Mise Bldg/Structure Suppl. PC Feer Q Reg. Q OT 0.0 1 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $1,909.65 Suppl. Insp. Fee:Q Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Ccr►tstrctctiun Trir: T7 Administrative Fee: � Work Without Permit? Yes Q No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential G Travel Doc umentaiion Fees: Building or Structure_ Q i Strome Motion Fee: 1BSEISMICO $105.00 Select an Administrative Item Blda Stds Commission Fee: 1BCBSC $20.00 SUBTOTALS: $7,519.03 $0.00 TOTAL FEE: $7,519.03 Revised: 0412912013 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS: 1po PERMIT# 3C?S UIQ OWNER'S NAME: \v PHONE# GENERAL CONTRACT R: .r ,,a .1ti�� BUSINESS LICENSE# ADDRESS: CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/Carpeting Linoleum/Wood Glass /Glazing Heating Insulation T Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal CO V-A Sheet Rock Tile �aZ 5 -\S-\7) Owner/Contr for ' nature Date