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11050264CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10400 RIDGEVIEW CT CONTRACTOR: DEVCON CONSTRUCTION PERMIT NO: 11050264 INC OWNER'S NAME: APPLE INC 690 GIBRALTAR DR DATE ISSUED: 06/15/2011 OWNE 'S PHONE: 4089745662 MILPITAS, CA 95035 PHONE NO: (408)942-8200 LICENSED CONTRACTOR'S DECLARATION F r r BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class � Lie. # 3ft5se 3 �- MECH RESIDENTIAL � COMMERCIAL F Contractor �1 �� Date I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: ELECTRICAL HOOK UP AND DISTRIBUTION HVAC UNIT (commencing with Section 7000) of Division 3 of the Business & Professions DUCT FOR ADDED TEST CHAMBERS AND POWER SUPPLIES Code and that my license is in full force and effect.WORK I hereby affirm under penalty of perjury one of the following two declar ns: 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. 1 have and will maintain Worker's Compensation Insurance, as provided for by Sq. Ft Floor Area: Valuation: $80000 Section 3700 of the Labor Code, for the performance of 9re work for which this permit is issued. APN Number: 31606046.00 Occupancy Type: APPLICANT CERTIFICATION 1 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- int source re lations per the Cupertino Municipal Code, Section 9.18. LDate— Issued by: Date: Signature IGC' % ` ❑ 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 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 (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 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 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. permit is issued. Additionally, should I use equipment or devices which emit hazardous air 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 ith the Cupertino Municipal Code, Chapter 9.12 and the in mJC, not employ any person in any manner so as to become subject to the Worker's afeSections 25505,25533, and 25534. Compensation laws of California. If, after making this certificate of exemption, I Nth become subject to the Worker's Compensation provisions of the Labor Code, I must gen forthwith comply with such provisions or this permit shall be deemed revoked. Date: APPLICANT CERTIFICATION CONST UCTION LENDING AGENCY I certify that I have read this application and state that the above information is 1 hereby affirm that there is a construction lending agency for the performance of cork'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 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 CITY OF CUPERTINO BUILDING PERMIT �AT= A /.IP- 2-01 BUILDING ADDRESS: 10400 RIDGEVIEW CT CONTRACTOR: DEVCON CONSTRUCTION PERMIT NO: 11050264 INC OWNER'S NAME: APPLE 690 GIBRALTAR DR DATE ISSUED: 06/15/2011 OWNER'S PHONE: 4089745662 MILPITAS, CA 95035 PHONE NO: (408)942-8200 ❑ LICENSED CONTRACTOR'S DECLARATION License Class D Lic.# Contractor l-Ar—V (-AIA lbfX'SJ Date 6p 1 X 1 11 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, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9A8. 8. Signature Date 5rC1\ �►1 �l ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1, 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 3700 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 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, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date BUILDING PERMIT INFO: BLDG F ELECT r PLUMB r MECH r— RESIDENTIAL r- COMMERCIAL r JOB DESCRIPTION: ELECTRICAL HOOK UP AND DISTRIBUTION HVAC UNIT DUCT WORK FOR ADDED TEST CHAMBERS AND POWER SUPPLIES 8/01/2011 -REV #I - 2 AIR HANDLEING UNITS -8/18/2011 REV#I ISS'D Sq. Ft Floor Area: I Valuation: $80000 APN Number: 31606046.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued W Date: tF 4 __(J 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(x) 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 Cupertino Municipal Code, Chapter 9.12 and the Health & Safe Code, Sections 25505, 25533, and 25534. O r rized Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of Hork's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION 1 understand my plans shall be used as public records. Licensed Professional CITY OF CUPERTINO FM_7 FEE ESTIMATOR — BUILDING DIVISION NOTE. These fees are based on the nreliminary information available and are oniv an estimate. Contact the Dent for addn 7 info. FEE ITEMS (Fee Resolution 09-051 F.. 7/1110) ADDRESS: 10400 Ridgeview DATE: 05/27/2011 REVIEWED BY: gs Mech. Permit Fee: IWERMIT APN: BP#: "VALUATION: 1$80,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: 1'i�„i,. ,',;,�:. I',•, PENTAMATION 10EAP8 PERMIT TYPE: WORK SCOPE 225 amps (, NOTE. These fees are based on the nreliminary information available and are oniv an estimate. Contact the Dent for addn 7 info. FEE ITEMS (Fee Resolution 09-051 F.. 7/1110) Mech. Plan Check 0.0 hrs $0.00 QTY/FEE Elec. Plan CheckFo0j hrs $0.00 Mech. Permit Fee: IWERMIT u , ; , +;,:a; t''rur: Elec. Permit Fee: /EPERMIT Other Mech. Insp.TE] hrs $42.00 �f,'�,,, r>;:za�rr; ��:_;;.LJ, Other Elec. Insp. 0.0 hrs $42.00 fet;t>. l'e : 1'i�„i,. ,',;,�:. I',•, ef fast+. f`err: NOTE. These fees are based on the nreliminary information available and are oniv an estimate. Contact the Dent for addn 7 info. FEE ITEMS (Fee Resolution 09-051 F.. 7/1110) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 0 # $158.00 Electrical /BREMPOWER I Transformers Suppl. PC Fee: 0 Reg. 0 OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 225 amps (, Electrical lECT<200 Services �� Co Permit Fee: $0.00 Suppl. Insp. Fee -0 Reg. 0 OT 0.0 1 hrs $0.00 16 Electrical $2,016.00 IBREMMISC Special Circuits PME Unit Fee: $0.00 PME Permit Fee: $84.00 1 # $126.00 Mechanical IMCRAA VAV Boxes Coastrrr,:fiopl Irt,f -FT Acoustical Fee: 0 Yes 0 No $0.00 0 0 Work Without Permit? 0 Yes 0 No $0.00 Plannin Fee: $0.00 Select a Non -Residential 0 Building or Structure i Travel Documentation Fee: ITRA VDOC $42.00 Strong Motion Fee: IBSEISMICO $16.80 Select an Administrative Item Bldg, Stds Commission Fee: IBCBSC $4.00 SUBTOTALS: $146.80 $2,342.00 TOTAL FEE: 232 Y. $ Revised: 04/29/2011 CITY OF CUPERTINO F -M-7- FEE ESTIMATOR - BUILDING DIVISION 191 ADDRESS: 10400 ridgeview ct DATE: 08/01/2011 REVIEWED BY: larry s UNITS APN: BP#: "VALUATION: 1$80,000 *PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex USE: # PENTAMATION FURN/AC PERMIT TYPE: WORK revision 2 air handleing units orig # 11050264 SCOPE APPLIANCE / EQUIP TYPE FEE ID --- QTY UNITS BP FEES Air -Handling (>10K cfm) 1M HA fir -,•,LJ L 2 # $130 PME Plan Check: $650.00 I=ra' C1•'C'r•nti� PME Unit Fee: $130.00 PME Permit Fee: TOTALS: $130.00 NOTE: These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn7 info. FEE ITEMS (fee Resolution 11-053 E . 7/111 Mech. Plan Check5.0 hrs $650.00 --- MISC ITEMS IMECPLNCMech. Permit Fee: IMPERMIT Pl aii Cf?,,ck 1' f'c.': Other Mech. Insp. Rolhrs $44.00 Li fir -,•,LJ L NOTE: These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn7 info. FEE ITEMS (fee Resolution 11-053 E . 7/111 FEE QTY/FEE MISC ITEMS Pl aii Cf?,,ck 1' f'c.': PME Plan Check: $650.00 I=ra' C1•'C'r•nti� PME Unit Fee: $130.00 PME Permit Fee: $44.00 CIHtS'Lt"$f�'r�7(3i:F 1C�-:. Work Without Permit? 0 Yes 0 No $0.00 i Travel Documentation Fee: ITRA VDOC $44.00 Strong Motion Fee: IBSEISMICR $8.00 �0 # $0.00 Revis' IREVSF L SFDWL I ✓ Bldg Stds Commission Fee: IBCBSC $4.00 SUBTOTALS: $880.00 $0.00 TOTAL FEE: 80.00 Revised: 07/04/2011 CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - buildingCcDcupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS r, 10400 APN# 2 J OWNER NAME PHONE `74 - 2 -- E-MAIL STREET ADDRESS� Uce ITl STATE, ZIP FAX CONTACT NU PHO E_1vIAIL ( STREET ADD S 6�4 CI1 ZIP? FAX --7 7 ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT 9CONIRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR N LICENS - ER LICENIYPE BUS. LIC # COMPANY E-MAIL F ^_7-7 L STREET ADDRESS C STATE, ZIP N111 P -pi-eac Le ARCHITECTNR NAME �i LICENSE NUMBER BUS. LIC # \ IV COMPANY N � E- F -�j f - / / / STREET ADDRESSOk DESCRIPTION OF WORK • l '` ll A r ' — EXISTING USE PROPOSED USE CONST?- TYPE # STORIES OFFICE INE TYPE -DESCIUPTION SOYI- Y EXISTG NEW FLOOR DEMO -E� 'TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: ❑ DETACH ❑ ATTACH N DWELLING UMTS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? ❑ NO ADDMON? ❑ NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF PLANNER'S NAME: -RFCEIVED BY. �. -nON: PLANNING APDL N ❑ NO PLANNING APPROVAL LETTER IlAal By my signature below, I certify to each of the follow' I am the property owner or authorized agent to act n the property owner's behalf. I have read this application and the information I have read the Description of Work and verify it is accurate. I agree to comply withal] applicable local ordinances and state laws relat. I authorize re rives ofCupertino to enter the abo a-idenh ed property for inspection purposes. �gtjuI Signature of Applicant/Agent:Date: !A 21111SUPPLEMENTAL A- REQU57 PLAN CHECK TYPE RG riTNG sLiP �� OVER-THE-COUNTER ❑ SUM IIING PIAN REVIEW _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. EXPRESS ❑ PLAI+IIMSG PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. [I LARGE ❑. FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to � >H"•NOR C1 sANrrwRYSEweRDISTRICT Submittal of Building Permit application. © E14-N1R0h74F-1,7AL HEALTH BldgApp_2011.doc revised 03/16/11 CUPERTINO Taos o:x (.0� CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(a'Dcupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI X REVISION / DEFERRED ORIGINAL PERMIT # PROTECT ADDRESS 1 %k ` ` OWNER NAME PHONE EMAIL STREET ADDRESS 110r 00, FAX A% CONTACT N • rr C F STREET ADDRESV^qo r ❑ OWNER ❑ OWNER•BUELDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRA T 1 LICEN LICENS E BUS. LIC # COMPANY F Cb%• f STREET ADDRESS PHO VAZJ%W ARCHITECT/ENGINEER LICENSE NUM_ BUS. LIC # COMPANY NF§&7 - / • STF EETAUUMLEMtouT • DESCRIPTION OF WORK •� w EXISIT PROPOS CONS TYPE BST I USE TYPE OCC. SQ.FT. VALUATION (S) EXLSTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ATTACH # DWELLING UNITS: IS A SECOND UNIT 0 YES SECOND STORY YES BEING ADDED? []NO ADDITION- []NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED BY. T V U TIO PLANNING APPL # []NO PLANNING APPROVAL LETTER EICHLER HOME7 ❑ NO By my signature below, I certify to each of the following: am the property owner or authorized agent to act on the prnperty owner's behalf. I have read this application and the information I ve provided is orrect ave read the Description of Work and verify it is ace te. I a e to comply with all applicable local ordinances and state laws relating buildi cons coon arborize r fives of Cupertino to enter the ab a-identi ed property for inspection purposes. Signature of Applicant/Agent Date: It SUPPLEMENTAL INF TTO Q D PLAN CHECK TYPE ROUTING SLIP ❑ OVER -TBE -COUNTER ❑ BUILDING PLAN REVIEW _ New SFD or Multifamily dwellings: Apply for demolition permit or existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ ❑ LARGE FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVII20NMENTAL HEALTH � ��O�dZCo� BldgApp_Z011.doc revised 06/2I/11 P ���r►per � �►�- [�v z) rST of 'TNE A -podia.-{ Cr- (2-) NSW ►►2- Com) UN'CTS BIZ. -TK- �I a6r f m►2._6T- ACJ CFfe-F- -6 --D6 - 1711711 ,� r U5 r )-% 15 fl ,k i- AC Sq<; 6iYJ, C2—) IU- Tca,J �f_�l—+r��/ trANG��I�(�5 '4g�r— 7n 1pjF -R-4C4LV Ar -T+t 6+241 1-C-VZ-(�_ €�+"T--1245e_ drf C2) NEW Coin-rz �►. A 35 W, ro Gv,�v�Ns�� c,�.�� l-�ss 'f►-�t,J �� X65, �3 �tx . �') "moi �-I-�►�,�5 -ate kAZaP-JX05 P� g + 4" A4F- N07- A PAa-r OF `-M► ?P<Ec r