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09090089 & 09080054CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS:'! 9333 VALLCO PARKWAY BLDG C CONTRACTOR: DPR CONSTRUCTION INC I PERMIT NO:.99080054 I OWNER'S NAME: APFLE, INC 11450 VETERANS BLVD I DATE ISSUED; 08/10/2009 1 OWNER'S PHONE: 40-9745951 I REDWOOD CITY, CA 94063 I PHONE NO: (650)474-1450 LICENSED CONTRACTOR'S DECLARATION License Class 1Lic..L4 1 w Contractor ��2 cc.;15 Date 0/ -,?0 0 I hereby affirm that 1 are 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. 1 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 fur 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 1 certify that 1 have read this application and state that the above information is correct. I agree to comely with all city and county ordinances end state laws relating to building construction, a..^.d hereby authorize representatives of this city to enter upon the above mentioned property. for inspection purposes. (We) agree to save indemnify and keep harmless :he City of Cupe*;:ino against liabilities, judgments, costs, Aad 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. / Signatui - / Date (/ 6/s,�o ❑ OWNER -BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of the folio-Ning two reason's:' I, as owper of the prop-.rty; 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 (See .7044, Business & Professions Code) I hereby affirm under penalty of perjuryone 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 3700 of the Labor Code, for the performance of the work for which this permit is issued. I certif that in the pertbrniance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject ro tho Worker's Compensation laws of Cali.ornia. 'If, after making this certificate of exemption, I becorne subject to the Wor:r:eCs Compensation provisions of8ie Labor Code, I must forthwith .-omply with such provisions or this permit shall be deemed revoked. 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. (i'r'e) agree to save indemn; fy and keep harrniess the City of Cupertino against lia.bilities, 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, Signaturz, Date BUILDING PERMIT INFO: BLDG ELECT PLUMB j MECH t RESIDENTIAL COMMERCIAL FY JOB DESCRIPTION: TEMPORARY PERMIT GOOD THRU 9/10/09; NO INSPECTIONS AFTER 9/10/09; ORIG #09060065 ISq. Ft Floor Area: I � 6 D- S r I Valuation: $1000000 IAPN Number: 31E20075.BLDGC I Occupancy Type: -S PERMIT EMPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS. FR M LAST" CALLED INSPECTION. Issued by: Date: �' 0 0,9 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. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(2.) should 1 store or handle hazardous material. Additionally, should 1 use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District l will maintain compliance with the Cupertino Municipal Cede, Chapter 9.12 and the Health & Safety Code; Sections 25505, 25533; and 25534. ('I-rner or autborizcd a nt: Date: V/ 7 CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of work's for which this permit 'is ye Sec. 3097, Civ C.) Lender's Name /14 Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professiona CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19333 VALLCO PARKWAY BLDG C CONTRACTOR: DPR CONSTRUCTION INC PERMIT NO: 09090089 OWNER'S NAME: APPLE, INC 1450 VETERANS BLVD DATE ISSUED: 09/14/2009 OWNER'S PHONE: 4089745951 REDWOOD CITY, CA 94063 PHONE NO: (650)174-1450 ❑ LICENSED CONTRACTOR'S DECLARATION r— r PLUMB I— BUILDING PERMIT r�r 6 INFO: BLDG ELECT License Class_ Lic. # 5 t MECH RESIDENTIAL COMMERCIAL r Contractor Date I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:TEMP PERMIT RENEWL FOR INTERIOR (commencing with Section 7000) of Division 3 of the Business & Professions ONLY,ORIG TEMP Code and that my license is in full force and effect. PERMIT #09080054 & ORIGL PERMIT #09060071; THIS PERMIT GOOD THRU 10/14/2009 & NO INSPECTIONS AFTER 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 Sq. Ft Floor Area: Valuation: $1000000 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION APN Number: 31620075.BLDGC 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. Issued bS: ���"Date: Signature s Date D ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of RE -ROOFS: 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 1, 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 (Se,c.7044, Business & Professions Code) Signature of Applicant: Date: 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 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 HAZARDOUS MATERIALS DISCLOSURE Compensation, as provided for by Section 3700 of the Labor Code, for the 1 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. pennit is issued. Additionally, should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued, I shall contaminants as defined by the Bay Area Air Quality Management District 1 will 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 Califomia. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must %O ate au�'thfof ized agent: p forthwith comply with such provisions or this permit shall be deemed revoked. C 41 Date: ( (/ 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 work's correct. I agree to comply with all city and county ordinances and stale 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 with all non -point source regulations per the Cupertino Municipal Code, Section ARCHITECT'S DECLARATION 9.18. 1 understand my plans shall be used as public records. Signature Date Licensed Professional