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07060094CITY OF CUPERTINO BUILDING DIVISION PERMYT BUILDJ,N(]f6FjESSVALLCO PKWAY CAC -04, NOVO CONSTRUCTION OWNER'S NAME: APPLE COMPUTER PHONE: ARCHITECTIENGINEER: p zo LICENSED CONTRACTOR'S DECLARATION vi-- 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing < c with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and eft L 121 y ? License Cl, Lie. fl F„ p Dam U1 Contractor UV w ARCHITECT'S DECLARATION a 1 understand my plans shall be used as public records aV L01 F' Licensed Professional OWNER -BUILDER DECLARATION <� 1 hereby affirm that 1 am exempt from'ihe Contractor's License Law for the o o following reason. (Section 7031.5, Business and Professions Code: Any city or county m L. which requires a permit to construct. alter, improve, demolish, or repair any structure prior In its issuance, also requires the applicant for such permit to fife a signed statement < that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 tom- o (commencing with Section 7000) of Division 3 of the Business and Professions Code) or m that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is noeintendcd or offered forsale (Set. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who doessuchwork himself or through his own employers, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner - builder will have the burden of proving that he did not build or improve for purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:) The Contractor's U. cense Law docs not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law. ❑ 1 am exempt under Sec , B & P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury oru of the following declarations ❑ I have and will maintain a Certificate of Consent to self -insure for Workees Compen- sation, 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 Workers Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Worker's Compensation Insurance carrier and Policy number am: f Carrier. Policy No.:.I'S 20 i -t �U 7 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE !-Kris section need not be completed if the permit is for rine hundied dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any mannerso as to become subject to the Workers' Compensation Laws of California. Date Applicant NOTICE TO APPLICANT: If, after. making this Certificate of Exemption, you should become subject to the Worker's Compensation provisions of the Labor Code, you must z forthwith comply with such provisions or this permit shall be deemed revoked. -r O CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of L1' > the work for which this permit is issued (See. 3097, Civ. C.) W Q Lender's Name R+ Lender's Address :D z U Q I certify that 1 have read this application and state that the above information is correct. 1 agree to comply with all city and county onlinances and stale laws relating to 0 building construction, and hereby authorise representatives of this city to enter upon the rJ above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of Cupertino against yrA liabilities, judgments, costs and expenses which may in any way accrue against said City U. z in consequence of the granting of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT SOURCE REG TIONS. Signature ol'Applicant/t7omractor Date HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code, Chapter 9.12, and die Health and Safety Code, Section 25532(a)? ❑Yes AN. Will.the applicant or future building occupant use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District? ❑ Yes I have read the hazardous materials requirements under Chapter 6.95 of the Califor. nia Health & Safety Code, Sections 25505; 25533 and 25534.1 understand that if the building does not currently have a tenant, that it is my responsibility to notify the occupant of the requiremen Date 1042 HAMILTON CT (650)701-1500 PERMIT NO. 07060094 PERMIT ISSUE DATE SANITARY NO. CONTROL NO. BUILDING PERMIT INFO Job Description TI—NEW OFFICES, BREAKROOMS, HVAC, INCLUDES ELE, MECH, LIGHTING. NO SANITARY REQUIREMENTS. Floor Area 31020074q�'N Issued by: Re -roofs Type of Roof Vajuatlon $10000000 Occupancy Type Required Inspections 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. Signature of Applicant Date . All roof coverings to be Class "B" or better cr[y ul c�� rsxirrv. 41 M' 7 �j BU?Ln:NG Q1L+1i01V PER2yHT aVi 'T£ —I PERM;f lfD. SI 'ALLCO PKWAA'� CAC-04 NOVO CONSTRUCTION 070600P4. OWNER'S NAME.' immrr WjF1 DA m APPLE COMPUT2R 1042 HAMILTON CT� 0 U-Q?/2Q07 Nil SANrrARY Na ,ratvTacv Na (650) 701.-1500 AFLCHI7FS_T/BIKrftN1:8R: - NUitb1NC)PERWI,ftov.�,....�.�.._... ELM FL= K4.1,411 MIX H a y Cit)iUI I SM ZIM iIACiU VS t PMVW.ARAFtON Job U4'SCri tion to l hcrchy afrirnt tAnt t am tiwwed ttndtu ptot(SMe of CAutCr 9 taatvcacht{ with,"otter(M&Divittion3or,heauliamand PMf codv,04 MYtkAstl! TI-NEM OFFICES, BREAKROODIS, HVAC, INCLUDES LLE, ir full fare and e'f•-L `t z tatensaeT __[xp_ ` �� __ MECH, LIGHTING. NO SANITIkRY REQUIREI�CETTi'S. F Dale..r c'��—_ tWXt TECF3 .AM MN I uwlerttita+l toy PARCNfiano tha11 he uod u paht(e roxuds o Lu erased Ptoltasiacad OWNM tiU1LDA1t DECLRRATit]h1 F hxrrby tvfirm&A i sm tumpt(n)m tttc Convmtt¢'t t kmw.Lin(or Cha falhywing nAs m.(Sac km 74313.90 %is and Pndrsoonf tbrk:Any rity ar totuaty `,b` which mqulrra a pctmt7 to cnngran.Sher;improve,dcr"hsh,Of WPW My-v4C Ua < prior to tt iacaartt,aha acquires the applitaat far inch perr'lit M file a sigttad at,uirtmt — utat ate it`i=sou purnuut to the provisions a the Cwuvuor's Liar&&Lam 9 Sq. I l loor Area I Valuation C (cmuwtdng wish xaion 1030)of DiviSas 3 aft)tujoot:u nod PtvGssi:mi Cat s)w $:L0000000 -rS hatW is&rem,t thex3tum and the bsik rm dra ilkyui eumpdm;Ally vWatLw of Seaion?03F.3 by atty sppFkam irr a per"wbit"i the aWlic�un.Lo,;dvL'pmahy r4 Ntlrrtber Occupancy Type mit rr dtmAnttatueddWmn(xwv, 31020074 -11 0 1.u twiner of the prapeny,or my empkntoa tt M yr Vs u tfair cote comjwmmkm will tis the etit.and the tarmum is not Inm Ata at of""W.sek(See W W4.RatimY •�••�_� i- aitch sir Ammo w Co*-. ta 1ba attactory Lkentn Law dart act apply to An awmr of Re(lulreA Inspections Properly who bttgia of ingmvu tbwt or,.,tmd wbo 4mxrAc1i wak►)rmtelr ar throwb bla awe vmpkly=$.ptvvWo bias web tmpmvemmat.ahs rat mtenanf or of eted tut sok,if. ►,Ower^r.the baLwt3 or impRvem m i1 sow viola on year urowap6• w.dw ovmm. Du(Wx vrW bora(hn Mader of prwina that ha F m1i tadtd a hapterve fa pupilla&of sate.). owner of the ptrtperty,ata r 0AWv47 conuscorg with lira Sud coosmm h1 coaaavvn the pro)ca(see,704.Hu%imm and Pnm"a m's Cads:)Tim cwusvioes U. .tsar Law date trot tt"M&s nwnw of pk-qwsy who baika M i ymvo d6emon,and. who cmmum fat Such ompl a Vkh a coat TUK(s)Hecond pat'mtaaf to rho CaWSBC144 Licu t Lor. Q 1 em tamapl ender sat: — - ...._._......_.,8 A P C rot thaw"am owwm_ 0414 WoUkk'S t:7D0.4P2NSATK*-06CLA.RXTTON 19smby&(fine ander pataAy ei prs)tay�.m of lht Wi Mhy dM400 0M I hAm aad wfiF maisttatas C;eetirteatt of Cwusatkt self-iraete t�M+mtet`S Caanpm- sattm at ptavided rot by Saks 37M of the tabu Cada far the padonrAr4d of lha with foe whs h WU pcmitis issued. .:. 0 1 haw&W,41 midmain ti vWj.-mn0cumjWm Ir.m m.ss t gWmd by Siesieat 37M of chit tab"Codo,for IAe ptafttrrntnee a th-,w"k f.a Which this parmit 4 EW'" My War1m s Car PtWANoa LttuMM hoarier anus PgIIC,9 nnnthm�e; Cavia Prtiky T o: I SM14 4-0-1 Crkl m ATec*RJl>1N noNy'RAMYVpiLYCRS' CDMMN3A11D)d tf15i,TL11+c]i t rids mono mrd not paatap.k*W it ttm yohttlf is(tram hutch ,doilt m 030Q) nr heti!) ` 1 c if i that A IRs mfotamm'.of ft WWW Ca'which this r4mit y Um cd,I&tall not e mpky auy perwa in a&y muser so m to bocww;m>*i to ft Woefxsa.Camtte40*0 Laws of CaiitotW oL LmtC _.... NOTiCh TO APPLICANT:if,afttx makh%Wb 47oniricata rN EaatgnlDd,you Amid btcoma sub)oct to tba Wattala C'anpemurlat pmvime4A of tilt LAW dada,ytis mm Z forth-vith mf*y wict azh provision a this pinch ttw:bd dwrad ocvn&ed. z CON m='IIDN e<MINCADaIaCY -�+ .•• t hmby LAIrm that share is a Cor tntuctloa riding avem ret the It atoanahas at ? tch stark ftrr which this parnk bt Wwd(Sm 300,Cl-.C.) W A Loa fi Naw Z) z L.cndersAddreu (-1 0 1 tawy Ash I leave mad this ttwl"aon acrd stats that the ebow infmmdon Ii :omcj,i agree to etvnply with sli-ity end ccunry onfiA res&A post laws teUd-1E to rV'^ b tltdV»h ronsvt�tiort,and bushy aatiwtitr of(Ma City to&Dirt tgM the d a allow-mcntiaetJ Proton}(Em-i mmioM)purposm f /'� • ? (Wt)agree w uve,indomitify&rad here ham icu dp City 14 Culxnrty Agitin t a obtlitimji%A;menu,rose wtd ogxxact walLA anti to any way&came spAntt Sold Oty �} CJ�• its tPUCAN. or the grt TAN'04 d to D W L � APfLICAhi. E/IVD6i'.STANDS AND WILL.COMPLY vt'iTti A1..4 NfJ.Y•PDIN'r Issued by: I?.dte VV , SOURCE R@ wqviP".4. .. .. .rr Sipawit o +W cc.��cc=".... 5 MAfFlA-"L."31S"C9SVtiE °ii TRye�©o€(,Roof '' -- Will dpt sp ik"m fatam buSWMC owvp2A mit:a handle h�mtorist u*ADW by nm Capntim mokkk1w C049.cmpm 11.t2.sad efts"th w.l$afar coAa,SWRIN J532(ar All roofs shall be inspected prior Lo any roofing material Being installed. C3Y## wire Cha a fpl'rctar orfmwa bviMin;t rt,&ae asaegdyimau or�te icca vfikl+ If a roof is inaCalied without first obLkining an inspection,I ag=to remove Ginn h&ra(dttuaSt coatismkv!tas a&*A!Wd by Sts_Flay Ares Air Qusf+ty MaeademCM all new.materials fear inspmfioil. Cdwict7 ©Yo Otto I how zW the A&trrdt m mtirnph:aphi-mtmt wtdtr t:ttaMa'S 9S ut the C45rol ma tkaf th a saH3y cotic'struau vi-m.25.m w 2511*f'Arxatd ilay.if Ste holding. doe&rat can:ndy hart a utarnt."1t A enc tetptxmbti"f W WUry tht taxvep>tvtt of Cha --- rt &tae )V-b taan be s=tet print to 1azaaact ora c"acmc of otew+atcy. Signature of Applicant � _T' -� T Tate All roof coverings to be Class"B"or better Cvner a su mCi m