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10040009 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10670 N TANTAU AVE CONTRACTOR:XL CONSTRUCTION PERMIT NO: 11040009 OWNER'S NAME: APPLE INC 851 BUCKEYE CT DATE ISSUED:07/21/2011 OWNER'S PHONE: 4089745951 MILPITAS,CA 95035 PHONE NO:(408)140-6000 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG F ELECT r PLUMB r License Class 7F�: Lic.# ( O rF " MECH RESIDENTIAL COMMERCIAL Contractor XL (_-C)W3514K(cL,/�(fJJ Date I hereby affirm that I am licensed under the provisions of Cha ter 9 JOB DESCRIPTION:SITE ACCESS,EXTERIOR UPGRADES ONLY,SITE (commencing with Section 7000)of Division 3 of the Business&Professions ACCESSIBILITY UPGRADES FOR ADA COMPLIANCE Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declariff— 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 Sq.Ft Floor Area: Valuation:$202017 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. APN Number:31609019.00 Occupancy Type: APPLICANT CERTIFICATION 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 PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION. granting of this permit. Additional) a licant understands and will comply with all non-po' our egulati s er Cupertino Municipal Code,Section i 9.18• Issued byDate:2 Signature Date__�� ❑ OWNER-BU LDER DECLARATION RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1 hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for the following two reasons: inspection. 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, Signature of Applicant: Date: Business&Professions Code) 1,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 1 hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's 1 have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminant as defined by the Bay Area Air Quality Management District I will maintain co lianceyqth the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the performance of the work for which this permit is issued,I shall Health S ty Cod ections 25505,25533,and 25534. 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 Own r uthorf agent: become subject to the Worker's Compensation provisions of the Labor Code,I must Date: forthwith comply with such provisions or this permit shall be deemed revoked. 7 1 - - �/ CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of wrk's I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.) correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address 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 ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records. 9.18. Licensed Professional Signature Date 10 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 \� CUPERTINU (408)777-3228• FAX(408)777-3333•building aag cupertino.or ❑NEW CONSTRUCTION ❑ ADDITION LTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS j� / /'j � APN N - ' OWNER NAME '^ ( �f N PHONE q o _ E-MAIL 951 104 STREET ADDRESS -� CITY, STATE,ZIP ,u FAX lot CONTACT NAME PHONE r E-MAIL STREET ADDRESS _ - CITY,STATE, /U ZIP FAX /, r ' OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC 9 COMPANY NAME E-MAIL FAX 1 STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECT/ENGINEER N LICENSE NUMBER BUS.LIC p ^7 COMPANY NAME / E-MAIL t FAX [ -5 t V 4 4- V, STREET ADDRESS •� O V� 1 CITY,STATE,ZIP f C PHONE DESCRIPTION OF WORK ALUADON 4) EXISTING USE PROPOSED TYPE k STO c NL 6JJ� 6 C C-. C U t111 l i(L\ ` E Ti Y EXISTG NEW FLOOR DEMO TOTAL /{ AREA AREA I AREA NET AREA !M1,) 7 BATHROOM KITCHEN OTHER / REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA:❑ DETACH ❑ ATTACH N DWELLPIO UNITS: IS A SECOND UNIT ❑YESSECOND STORY C]YES BEING ADDED? ❑NO ADDITION? []?40 PR&APPLICATION ❑ YES IF YES,PROVIDE COPYOF PLANNER'S NAME: RECEIVED BY:. TOT LVALUATION: PLANNBIO APPL N ❑ NO PLANNDIO APPROVAL LETTER T i 7 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 Ihavertadthis application and the information I vided is correct. I have read the Description of Work and verify it is accurate. I agree to comply withal]applicable local ordinances and state laws rela I ding construction, uthonze representatives of Cupertino to enter the above enled led property for inspection purposes. Signature of Applicant/Agent:-22/6Date: SUPPLEMENTAL INFOtUTION REQUIRED PLAIT CHECK TYPE ROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition permit for ❑ o,vsR_TtF-cnvlvTEx tr BUILDING PLAN REvIEw existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS R P,-I NC PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ANDARD D PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ieE DePT _Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ sANITARY'SEwcRDISTRICT submittal of Building Permit application. ❑ ENVEROW1rIENTALSEALTH BldgApp_2011.doc revised 03/16/11 PLAN REVIEW EXPIRATION NOTICE 12 COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL ,n CUPERTINO 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 (408)777-3228• FAX(408)777-3333• buildingQcugertino.org /1 July 19, 2011 ��• � � I Apple Inc 1 Infinite Loop Cupertino, CA 95014 SUBJECT: PLAN REVIEW EXPIRATION NOTICE Site Address: 10670 N Tantau Ave Building Permit Application 411040009 Expiration Date: September 28, 2011 As a courtesy, the Building Department makes every effort prior to the expiration of a construction permit application to notify the applicant of the impending expiration. Per the California Building Code Section 105.3.2, ... "an application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing, unless such application has been pursued in good faith or a permit has been issued" This notification letter is issued as a reminder that the construction permit application for the specified project will expire on the date shown above unless the following action is taken: A. A building permit application is approved and the building permit is paid for and issued prior to the expiration date specified; or B. A request for an extension is submitted in writing with a justifiable cause demonstrated to the Building Official prior to the expiration date of the application. A $41.00 fee shall apply to all extension requests, payable to the City of Cupertino at the time the request is made. Each extension, if granted will be for a period of not more than 90 days. Extension requests shall be hand delivered to the building department or e-mailed to suew(2cupertino.org. If a plan review application expires, the renewal of the application will NOT be granted unless the construction plans comply with the 2010 California Codes and any new local regulations that came into effect from the date of the original application. Additional plan review (and associated fees) will be required to verify compliance with these new regulations. The plans will become null and void after the expiration date if a building permit is not secured or an extension is not granted. You will have 10 business days pickup your documents or they will be recycled. The permit application will then be voided in the Permit System and all documents pertaining to the permit application will be recycled. Since ely, � usan Winslow, Administrative Clerk City of Cupertino Building Department PlanReviewExpirationNotice.doc revised 12/06/10 PROJECT DATA - COMMERCIAL COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERT)NO (408)777-3228• FAX(408)777-3333•buildingCQcupertino.org PROTECT ADDRESS APN N 019 OWNER NAME PHONE EMAIL STREET ADDRESS CITY, STATE,ZIP FAX qio t+" _5771 2_200 v'L APPY 7f-4NIT NAME 1 PHONE _ E-MAIL XYtT`� rV'e U 1 L(• Z >�.t 75Nuoi2_1 Qj_ H j- CCr'A STREET ADDRESS CITY,STATE, ZIP FAX CA G, —G ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT 'ENGINEER ❑ DEVELOPER ❑TENANT TENANT CONTACT NAME P ONE E-MAM BUSINESS NAME gyp{ FAX -E (NL. DESCRIPT10NOtWORX EXISTING USE(S): PROPOSED USE(S): OCCUPANCY(S): OCCUPANT TYPE OF PARCEL U` A LOAD: CONSTRUCTION N A AREA: A: AREA OF FLOOR(S) HAZARDOUS REMODEL SPACE: NIX OF REMODEL SPACE: Y41 A MATERIALS Y (SP FIREY — WUI Y �) FLOOD Y /� s>Fsrnc N SPRINKLERS: AREA: l% AREA: lJ AREA: NUMBER OF CHILDREN<2 YRS OLD: LEARNING CENTERS AND NUMBER OF STUDENTS x 2 YRS OLD UP TO 12"GRADE: EDUCATIONAL OPERATIONS: 24 HOURS CARE. Y NUMDER OF ADULT CLIENTS: Governing Codes: 2010 California Building Code(based on the 2009 International Building Code) 2010 California Residential Code(based on the 2009 International Residential Code) 2010 California PIumbing Code(based on the 2009 Uniform Plumbing Code) 2010 California Mechanical Code(based on the 2009 Uniform Mechanical Code) 2010 California Electrical Code(based on the 2009 International Electrical Code) 2010 California Energy Code 2010 California Green Building Standards Code Cupertino Mun JIM M COPY CIz arrTHIs PLAN SHALL REMAIN ON JOB AT ALL TIMES DURINGCANSTRUCTION � ProjectDota-Commercial.doc revised 03/01111