13020088CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 2 INFINITE LOOP I CONTRACTOR: BARRON BUILDERS INC I PERMIT NO: 13020088
OWNER'S NAME: APPLE COMPUTER INC 1415 CLYDE AVE STE 104 1 DATE ISSUED: 02/14/2013 1
OWNER'S PHONE: 4089961010 I MOUNTAIN VIEW, CA 94043 I PHONE NO: (650) 269-7061
LICENSED CONTRACTOR'S DECLARATION
License: Class Lic.
)
Contractor '�,-ON/ l z . Date
I 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:
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
permit is issued.
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
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
granting of this permit. Additionally, theapplicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18. X
1-5
Signature� Date 1
❑ OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
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,
Business & Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code).
I 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
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 3100 of the Labor Code, for the performance of the work for which this
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
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
forthwith comply with such provisions or this permit shall be deemed revoked.
APPLICANT CERTIFICATION
Lcertify 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,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
JOB DESCRIPTION: RESIDENTIAL lJ COMMERCIAL
RETRACT ROLLING DOOR INTO HOUSING AND SECURE,
LOCK
& LEAVE IN PLACE. DISCONNECT THE ROLL -UP DOOR
FROM
THE ALARM SYSTEM.
Sq. Ft Floor Area: I Valuation: $4000
APN Number: 31602106.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM-LVff CALLED INSPECTION.
MA
RE -ROOFS:
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.
Signature of Applicant: Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER.
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(a) should I store or handle hazardous
material. Additionally, should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
will maintain compliance with the Cuperti ro Municipal Code, Chapter 9.12 ai d
the Health & Safety Code, Sections�550 , 533, and 25534,
rtw r
Owner or authorized agent: l Date
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professional
Signature Date
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
imADDRESS:
,
2 INFINITE LOOP
DATE: 02/14/2013
REVIEWED BY: MELISSA
APN: 316 02 106
BP#: lOZZ08Y
*VALUATION: 1$4,000
*PERMIT TYPE: ,Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY
Commercial Building
PENTAMATION
1GENC0
USE:
PERMIT TYPE:
WORKI
RETRACT ROLLING DOOR INTO HOUSING AND SECURE LOCK & LEAVE IN PLACE.
SCOPE I
DISCONNECT THE ROLL -UP DOOR FROM FIRE ALARM SYSTEM
jkfech. Plan Check
Plumb, Plan Check
Elec. Plan Check
ii� Permit Fee:
Phtrnh. Pe nit ree:
—I--
Elec. Pe-init Fee:
Ot]rer Afech. Insp.
Other Phmmb harp.Ll
Other Elec, Insp. Li
11ech, hasp. Fee:
Phmib. hasp. Fee,,
Elec. Insp. Fee:
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
n:ctrjet air)_ ThecO fOe.Q are hosed nit the nroliminary information available and are only an estimate. Contact the Dent for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 Eff 711112)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee: Hourly Only? ® Yes No
$0.00
2� hours Plan Check, Hourly
$266.00 ISTPLNCx
i
Suppl. PC Fee: (F) Reg. 0 OT
p,p
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl.. Insp. Fee:Q Reg. Q OT
2.0
hrs
$266.00
PME Unit Fee: ISUPINSFEE
$0.00
PME Permit Fee:
$0.00
Construction Tox:
Adtnhiistrative Fee:
0
G)
Work Without Permit? ® Yes (F) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
G
i
Trcn,el Docznnetrtation Fees:
Strong Motion Fee: IBSEISMICO
$0.84
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS:
$267.84
$266.00
TOTAL FEE:
1 $533.84
Revised: 01 /01 /2013