13060146 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 5 INFINITE LOOP CONTRACTOR:NOVO CONSTRUCTION PERMIT NO:13060146
OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED:06/18/2013
OWNER'S PHONE: MENLO PARK,CA 94025 PHONE NO:(650)701-1500
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIAL®
APPLE-1ST FLOOR COMM.T.1 TO INCLUDE 710 SQ FT OF
License Clasl---3/-- Lic. FINISHES&MILLWORK,ADDITION OF A DOOR
Contractor ldoVo Date OPENING IN A PARTITION
I hereby affirm that I am licensed under the provi=sions of �apter 9 DEF#1-GLAZING SHOP DRAWINGS-ISSUED,6/17/13
(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:$100000
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:31602109.00 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 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 F 180 DAYS LLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
an .6YS F
costs, d expenses which may accrue against said City in consequence of the -7,;�-11_3
granting of this permit. Additionally,the applicant understands and will comply Issme Date:
with all non-point source regulations per Cupertino Municipal Code,Section
9.18.
RE-ROOFS:
Signature Date 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.
0 OWNER-BUILDER DECLARATION Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Low for one of
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) HAZARDOUS MATERIALS DISCLOSURE
1,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6M of the
California Health&Safety Code,Sections 25505,25533,and 25534. 1 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,25505,Z25 -3,and 534
;2
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent:— 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 CONSTRUCTION LENDING AGENC
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 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
tag ADDRESS: 5 INFINITE LOOP DATE: 06127/2013 REVIEWED BY: MELISSA
APN: 316 02 109 BP#: VALUATION: fso
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement
PRIMARY PENTAMATION 1 GENCOM
USE: Commercial Building PERMIT TYPE:
WORK DEFERRED SUBMITTAL# 1 -GLAZING SHOP DRAWINGS
SCOPE
7 77
stat. Map t'kier.;k, 1'herrla,f lun C Au,ek 1-.7e..pl am(31C:k --
-vlech, I ertrW Fee: Plumb,�e r mif tee: fern t Fee,:
C?zheP AfCc.A%InspLj Cltl,e r•Plymb Irisis3 Other El c.Insfm
�i r:ch,Irail2 C' e: _ luratl� Ittsh, la t,, Elec.Imp, Fee:
NOTE.This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School
Districtetc. . These fees are based on the relimina information available and are onl an estimate Contact the De t or addn'l info.
FEE ITEMS[,Fee Resolution 11-053 Ef. 711/122 FEE QTY/FEE MISC ITEMS
Plan Check Fee: Hourly Only? 0 Yes (j)No $0.00 1 hours Plan Check,Hourly
Suppl.PC Fee: Reg. 0 OT 0.0 hrs $0.00 $133.00 1STPLNCK
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp.Feer Reg. 0 OT 0.0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
C`craz�=lr°�zr,tirsrr :l`c��,
Aelininhur°ative Fee:
Work Without Permit? 0 Yes (j) No $0.00
Advanced Planning Fee: $0.00 Select a Non-Residential E
Th ees: Building or Structure
Strom Motion Fee. $0.00 Select an Administrative Item
Bldg_Stds Commission_Fee: $0.00
S1Tf7�TAL5;. $0.00 $133.00C? $133.00
Revised: 04129/2013
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 5 INFINITE LOOP CONTRACTOR:NOVO CONSTRUCTION PERMIT NO:13060146 -
OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED:06/18/2013
OWNER'S PHONE: MENLO PARK,CA 94025 PHONE NO:(650)701-1500
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIALO COMMERCIAL11
_N
L APPLE-1ST FLOOR COMM.T.1 TO INCLUDE 710 SQ FT OF
License Clasl � Lic,4 _7q ( 9 2- FINISHES&MILLWORK,ADDITION OF A DOOR
Contractor tvqu 6_1151yi—e-n--i Date (, OPENING IN
I hereby affirm that I am licensed under the provisions of Chapter 9 A PARTITION
(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 Sq.Ft Floor Area: Valuation:$100000
performance of the 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 APN Number:31602109.00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I h I ave 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 180 DAYS OF PERMIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter 180 DA LAST CALLED INSPECTION.
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 may accrue against said City in consequence of the Issued by: Date: le-
granting of this permit. Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section -7—
9.18. ,1 7, RE-ROOFS:
Signat Date 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.
13 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
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) HAZARDOUS MATERIALS DISCLOSURE1,as owner of the property,am exclusively contracting with licensed contractors to
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. 1 will
I hereby I 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=25505�2 3 and 2553
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized age[ 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 CONSTRUCTION LENDING AGENCY
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 work's for which this permit I hereby affirm that there is t is issued(See,3097,Civ C.)a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked. Lender's Nam,
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
ADDRESS: 5 INFINITE LOOP DATE: 06/1812013 REVIEWED BY: MENDEZ
APN: BP#: *VALUATION: $100,000 j
PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building PENTAMATION 1 B TI
USE. g PERMIT TYPE: A
WORK APPLE- 1ST FLOOR COMM. T.1 TO INCLUDE 710 SQ FT OF FINISHES & MILLWORK ADDITION
SCOPE OF A DOOR OPENING IN A PARTITION
OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID
CONSTR. s.f.
B (Tenant Improvements) 11-13,111-B,1V,V-B 0 $0.00 $0.00
TOTALS: 0 $0.00 $0.00
��;'!> I �ICI►rc� ,,Y ' 'S'�S: os �!L[.IM� IIf�U�'Y .. '��� �a 1JEt I�O�L1�' � -�Flo
We<:h. C*Z zn C';Yee ck I$h<o�th.T'lc £h c t I lec_I'r'an.Check
;Wch.Permit Fire; Plumb. terra it Fee,
Other Nieeh.Insp, l'i;rc,�Plumb Ins n, C1rh�r F lie.Zrasl�.��
Mech.lnsp.Fee: plumb, hisp. Fee: Ele(,Insp.Fee_
NOTE.This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,eta . These ees are based on the prelimina in ormation available and are onl an estimate Contact the De t or addn't in o.
FEE ITEMS(Fee Resolution 11-053 E 711112) FEE QTY/FEE MISC ITEMS
.
Plan Check Fee: Hourly Only? 0 Yes 19 No $0.00 2 hours Plan Check,Hourly
Suppl,PC Fee: 0 Reg. 0 OT 10.0 1 hrs $0.00 $266.00 ISTPLNCK
PME Plan Check: $0.00
Permit Fee: Hourly Only? Yes No $0.00
Suppl.Insp.Fee-. Reg. 0 OT 0.0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
(,'onsfr uc°tion "lax:
zlininistrative.l'ee:
Work Without Permit? 0 Yes No $0.00 E)
Advanced Plannim Fee: $0.00F hours Inspections
l ia>d lcc:aar atrtor `"ec,5; $931.00 ISTINSP Inspection,Hourly 0A
Strong Motion Fee: IBSEISMICO $21.00 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $4.00
SB ` U � $1,222.00I 00
Revised: 04/29/2013