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11120088 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20330 STEVENS CREEK BLVD CONTRACTOR:DEVCON CONSTRUCTION PERMIT NO: 11120088 INC OWNER'S NAME: WW DASC OWNER LLC 690 GIBRALTAR DR DATE ISSUED:12/14/2011 OWNER'S PHONE: 4089961010 MILPITAS,CA 95035 PHONE NO:(408)942-8200 s LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT I— PLUMB f— License Class A5 Lic./# ` t MECH RESIDENTIAL COMMERCIAL r COMMERCIAL Contractor��[��`,,t"Y'\( fSV\S'fYir6*batc f P 1 y I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:APPLE-2ND&3RD FLOOR COMMERCIAL TENANT (commencing with Section 7000)of Division 3 of the Business&Professions I MECHANICAL & LECT I NON-STRUCTURAL INCLUDE Code and that my license is in full force and effect. MECHANICAL&ELECTRICAL;NO PLUMBING 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. 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:$98000 permit is issued. APPLICANT CERTIFICATION APN Number:36901020.00 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 of 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 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. ry r Issued b m. Date-Z Signature /� / "°®® Date/„(–I�/ " J ❑ OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I 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 I,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Applicant: Date: I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: I have HAZARDOUS MATERIALS DISCLOSURE 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 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. I 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 I store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain 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 Health&Safety Code,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 01 ler or authoriz tl agent: forthwith comply with such provisions or this permit shall be deemed revoked. 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 Niork'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 ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. I understand my plans shall be used as public records. Signature Date Licensed Professional i I CONSTRUCTION MIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333•buiidir-0)c uaertna61PERTINOa a r ❑NEW CONSTRUCTION ❑ ADDITION ❑Q ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS 20330 Stevens Creek Blvd. , APN#369-01-020 OWNER NAME Apple Inc. /' } jr < € oNE408.974.3516 E-MAIL vchow@apple.com Ir(� CITY, STATE,ZIP FAX STREET ADDRESS 1 Infinite Loop Cupertino, CA 95014 CONTACT NAME Silvia Lee PHONE 650.365.0600 x 12 E-MAIL slee@thehayesgroup.com '.. STREET ADDRESS 2657 Spring Street CITY,STATE,ZIP Redwood City,CA 94063 FAX 650.365.0670 ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONrRACrOR AGENT 0 ARCHn'ECr ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME Darcy NardUZZI LICENSE NUMBER 3996 LICENSETYPE /� BUS.LIC# COMPANYNAMEDevoon Construction, Inc E-MAIL dnarduzzl@devoon-const.com n FAX�„p• 7LZh� �2A�Z STREET ADDRESS 690 Gibraltar Drive CPPV,STATE,ZIP Milpitas,CA 95035 PHONE 408.519.8321 ARCHITECT/ENGINEER NAME Ken Hayes LICENSE NUMBER C-15562 BUS.LIC# COMPANY NAME Hayes Group Architects,Inc. E-MAIL khayes@thehayesgroup.com FAX 650.365.0670 STREET ADDRESS 2657 Spring St. CITY,STATE,ZIP Redwood City, CA 94063 PHONE 650.365.0600 DESCRIPTION OF WORK Tenant Improment for portion of the second&third floor of an existing office building consisting of new offices and finishes. EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES OFFICE USE O LY Office Office-No Change 1 II-A 4 OCC TYPE DESCRIPTION SO.Fr. VALUATION EXISTG NEW FLOOR DEMO TOTAL AREA140,739 SF AREA 0 SF AREA 0 SF NET AREA 0 SF ,' �� i BATHROOM KITCHEN OTHER REMODEL AREA O SF REMODEL AREA O SF REMODELAREA 1,816 SF PORCHAREA I DECKAREA TOTAL DECKIPORCfAREAGAPAGE AREA:❑ DETACH I NA NA NA ❑ATTACH #DWELUNGUNrM IS A SECOND UNrf ❑ ORY ❑YES BEING ADDED? ® ®NO PRE-APPLICATION ❑YES IF YES.PROVIDE COPY OF RECEIVED BY: TOTAL VALUATION: rcnxxBaanPPLx ®xo PLUININGAPPROVALLenrx f �� By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building coNtruction. I authoJize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of ApplicanUAgent: Date: SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP i ® -THE-COUNTER a—BU4%DING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _ e ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. El LARGE DEPT ❑ MAJOR El SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp 2011.doe revised 03116111 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 CUPERTIfel O Fax: 408-777-3333 CONTRACTOR SUBCONTRACTOR LIST JOB ADDRESS: PERMIT# OWNER'S NAME: PHONE# GENERAL CONTRACTOR: BUSINESS LICENSE# ADDRESS: /0 CITY/ZIPCODE: A,%/Irl 7 e' *Our municipal code requires all businesses worldng 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: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring Carpeting Linoleum/Wood Glass /Glazing Heating Insulation Landscaping Lathing Masonry Painting Wallpaper Paving Plastering Plumbing Roofing Septic Tank- Sheet Metal Sheet Rock Tile ZZ V Own or"/Contractor Signature Date I CITY OF CUPERTINO j FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 20330 stvns crk blvd. DATE: 12/14/2011 REVIEWED BY: bobs. i APN: BP#: "VALUATION: 1$98,000 '�'PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 16 TI USE: PERMIT TYPE: WORK �Uqomm offices ace non structural include M E no Ps. SCOPE OCCUPANCY TYPE: TYPE OF FLR AREA CONSTR. (s.f.) PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) II-A,11]-A,V-A 1,816 $2,527.92 IBTIPLNCK $1,971.08 IBTIINSP TOTALS: 1,816 1 $2,527.92 1 1 $1,971.08 MECH,HOURLY ® Yes (E) No PLUMB,HOURLY 0 Yes Q No ELEC,HOURLY Q Yes (F)No 'tem?, 11("r,Check <'1 � :��'h 1,ee: E1__L_ NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . These,fees are based ou the preliftina hiformation available and are only m:estimate. Contact the De t or addn'l hi o. FEE ITEMS (lee Resohitim 11-053 Eff. ZdU FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,527.92 Select a Misc Bldg/Structure Suppl.PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $1,971.08 Suppl.Insp.Fee:G Reg. Q OT 0,0 his $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 t,"«77�'lrttl'll?t'? ICJ,': Work Without Permit? Q Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential G Building or Structure A Strong Motion Fee: 1BSEISMICO $20.58 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $4.00 SUBTOTALS: $4,523.58 $0.00 TOTAL FEEL $4,523.58 Revised: 12/04/2011