11080009CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 2 INFINITE LOOP
CONTRACTOR: XL CONSTRUCTION
PERMIT NO: 11080009
OWNER'S NAME: APPLE
851 BUCKEYE CT
DATE ISSUED: 08/15/2011
OWNER'S PHONE: 4089744876
MILPITAS, CA 95035
PHONE NO: (408) 240-6000
❑ LICENSED CONTRACTOR'S DECLARATION
F
BUILDING PERMIT INFO: BLDG ELECT PLUMB
WwLicense Class Lic.#
r
Contractor 5 Date � 1 S , l
MECH RESIDENTIAL COMMERCIAL
I hereby affirm that I am licensed under the provisions of Chapter 9
JOB DESCRIPTION: COMMERCIAL TENANT IMPROVEMENT(2400SQFT}
(commencing with Section 7000) of Division 3 of the Business & Professions
SELECTIVE
WALL DEMO, CEILING ELECTRIC & HVAC. ADD NEW
Code and that my license is in full force and effect.
OFFICES WITH ELECTRIC HVAC
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
Sq. Ft Floor Area:
Valuation: $300000
permit is issued.
APPLICANT CERTIFICATION
APN Number: 31602106.00
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
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
PERMIT EXPIRES IF WORK IS NOT STARTED
costs, and expenses NMch may accrue against said City in consequence of the
granting of this pe 't. Vddi ' nally, the applicant understands and will comply
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
with all non-p int so reg tions per the Cupertino Municipal Code, Section
180 DAYS FROM LAST CALLED INSPECTION.
9.18.
Signature Date t5 V'
Issued by. Date: O —1 f-'j
❑ NER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
RE -ROOFS:
the following two reasons:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
1, as owner of the property, or my employees with wages as their sole compensation,
installed without first obtaining an inspection, I agree to remove all new materials for
will do the work, and the structure is not intended or offered for sale (Sec.7044,
inspection.
Business & Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
Signature of Applicant: Date:
construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
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
performance of the work for which this permit is issued.
I have read the hazardous materials requirements under Chapter 6.95 of the
I have and will maintain Worker's Compensation Insurance, as provided for by
California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain
Section 3700 of the Labor Code, for the performance of the work for which this
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
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
I certify that in the performance of the work for which this permit is issued, I shall
contaminants as efined by the Bay Area Air Quality Management District I will
not employ any person in any manner so as to become subject to the Worker's
maintain.com a ce the Cupertino Municipal Code, Chapter 9.12 and the
Compensation laws of California. If, after making this certificate of exemption, I
Health of deoons 25505, 25533, and 25534.
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.
Owner ut o �ze`d t: �>
TDate:
APPLICANT CERTIFICATION
CONSTRUCTION LENDING AGENCY
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
I hereby affirm that there is a construction lending agency for the performance of work's
to building construction, and hereby authorize representatives of this city to enter
for which this permit is issued (Sec. 3097, Civ C.)
upon the above mentioned property for inspection purposes. (We) agree to save
Lender's Name
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
Lender's Address
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.
I understand my plans shall be used as public records.
Signature Date
Licensed Professional
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 2 INFINITE LOOP
CONTRACTOR: XL CONSTRU&ION
PERMIT NO: 11080009
OWNER'S NAME: APPLE INC
851 BUCKEYE CT
DATE ISSUED: 08/15/201 1
OWNER'S PHONE: 4089744876
MILPITAS, CA 95035
PHONE NO: (408) 240-6000
LICENSED CONTRACTOR'S DECLARATION
4- J Q�
BUILDING PERMIT INFO BLDG ELECT
CT PLUMB
License Class I,ic. N q C/
11
Contractor �� �����" Date 1,• I — t
MECH RESIDENTIAL COMMERCIAL
I hereby affirm that I am licensed under the provisions of Chapter 9
JOB DESCRIPTION: COMM T.I (2400SQFT)- SELECTIVE WALL DEMO, CEILING
(commencing with Section 7000) of Division 3 of the Business & Professions
ELECTRIC & HVAC ADD NEW OFFICES WITH ELECTRIC
HVAC
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
8/29/201 1 - REV# 1 - REVISE FIRE SMOKE DAMPERS AT GRIDLINE
I have and will maintain a certificate of consent to self -insure for Worker's
25.5- ISSD 9/13/1
Compensation, as provided for by Section 3700 of the Labor Code, for the
Sq. Ft Floor Area:
Valuation: $300000
performance of the work for which this permit is issued.
1 have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of [lie work for which this
permit IS issued. 4/ LW
APN Number: 31602106.00
Occupancy Type:
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
PERMIT EXPIRES IF WORK IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for spection purposes. (We) agree to save
180 DAYS FROM LAST CALLED INSPECTION.
indemnify and keep harmless the t o Cupertino against liabilities, judgmen[s,
costs. and expenses which may a true a inst said City in consequence ofthe
/°� Cy I
granting of this per n. Additio ally, h pplicant understands and will comply
Issued by: `''-- Date: /
xrith all non-poin sour ere" a ion er t e Cupertino Municipal Code, Section
9 18.
(
RE -ROOFS:
/2 _
Si nawre Date >> tt
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.
❑ OWNER -BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirmthat I am exempt from the Contractor's License Law for one of
the following two reasons:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
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)
1, as owner of the property, am exclusively contracting with licensed contractors to
HAZARDOUS MATERIALS DISCLOSURE
construct the project (Sec.7044, Business & Professions Code).
1 have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will
I hereby affirm under penalty of perjury one of the following three
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations:
Health & Safety Code, Section 25532(a) should I s e r handle hazardous
I have and will maintain a Certificate of Consent to self -insure for Worker's
de ' es which emit hazardous
material. Additionally, should I use equipk23,
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants as defined by the Bay A ua)' Management District 1
performance of the work for which this permit is issued.
will maintain compliance with the uper ci Code, Chapter 9.12 and
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
the Health & Safety Code, Section 5 , 34.
9� '
permit is issued.
Owner or authorized agent: Date: I
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
CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code, I must
I hereby affirm that there is a construction lending agency for the performance of
Ibrthwith comply with such provisions or this permit shall be deemed revoked.
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
APPLICANT CERTIFICATION
Lender's Address
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,
ARCHITECT'S DECLARATION
costs, and expenses which may accrue against said City in consequence of the
I understand my plans shall be used as public records.
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
Licensed Professional
9.18.
Signa[ure Date
Fm_�
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 2 infinite loop
DATE: 08/29/2011
REVIEWED BY: bobs.
APN:
BP#:
"VALUATION: $100
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building
USE:
PENTAMATION 1GENCOM
PERMIT TYPE:
WORK
revise fire smoke dampers at gridline 25.5
SCOPE
Oro
NOTE: These fees are based on the nreliminary information available and are only an estimate. Contact the Dent for addh 7 into.
FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/1)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
Select a Misc Bldg/Structure
or Element of a Building
'A
Suppl. PC Fee: O Reg. 0 OT
0.0
1PME
hrs
$0.00
Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee-0 Reg.
0 OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Acoustical Fee:
0 Yes 0 No
$0.00
0
0
Work Without Permit? 0 Yes 0 No
$0.00
Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
0
0
_
Strong Motion Fee:
IBSEISMICO
$0.50
#
$783.00
Revision
IREVCONfTI Tenant Improvement
Bldg Stds Commission Fee: IBCBSC
$1.001
? l
t..
$ 4.50
$ 783.00
S r.
$ 784.50
Revised: 07/04/2011
CITY OF CUPERTINO
FM_7 FEE ESTIMATOR - BUILDING DIVISION
dlADDRESS:
2 infinate loop
DATE: 08/01/2011
REVIEWED BY: larry s
APN:
BP#:
"VALUATION: 1$300,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building
USE:
PENTAMATION 16 TI
PERMIT TYPE:
WORK
selective wall demo ceiling electric and hvac. add new offices with elec. hvac.
SCOPE
OCCUPANCY TYPE:
TYPE OF
CONSTR-
FLR AREA
s.f.
PC FEES
PC FEE ID
BP FEES
BP FEE ID
B (Tenant Improvements)
I-A,I-B
2,400
$3,133.02
IBTIPLNCK
$2,914.47
IBTIINSP
TOTALS:
2,1100
$3,133.{)2
$2,91447
'��H:'>Ef� ";?�;,.::.�:'. .,y;��::..',,�•<.; ,�:Ii �:� .� �;`l'��f�':'��• :l':�1b:�' ;�)� `�G`�l � ��:'�°`.� ' `:'�'..e�:��::�: •:l'4�:1::
NOTE: These fees are hated on the nrelimfnary information availahle and are only an estimate. Contact the Dent for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 E '. 7/1111)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$3,133.02
Select a Misc Bldg/Structure
or Element of a Building
Suppl. PC Fee: 0 Reg. 0 OT
0.0
1.
$0.00
PME :Plan Check:
$0.00
Permit Fee:
$2,914.47
Suppl. Insp. Fee-0 Reg.
0 OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
_T7
Acoustical Fee:
0 Yes 0 No
$0.00
0
Work Without Permit? 0 Yes 0 No
$0.00
Plannin, Fee:
$0.00
Select a Non -Residential
Building or Structure
0
0
Strom Motion Fee:
IBSEISMICO
$63.00
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$12.00
:....:..r: .'r .
::::::.. 1C`�J►..AL'i�.,
6 1 �t9
2�
".
$6,122.49
Revised: 07/04/2011