10110159CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10231 BUBB RD
CONTRACTOR:DPR
PERMIT NO: 10 110 159
CONSTRUCTION INC
OWNER'S NAME: APPLE INC
1450 VETERANS BLVD
DATE ISSUED: 03/03/2011
OAVNER'S PHONE: 4089744876
REDWOOD CITY, CA 94063
PHONE NO: (650)474-1450
Fl LICENSED CONTRACTOR'S DECLARATION
r F f—
BUILDING PERMIT INFO; BLDG ELECT PLUVIB
License Class 4 6-- Lic. 01 9-�&
F F f—
Contractor _D1 19 Date—
NIIECII RESIDENTIAL COMMERCIAL
rd-
-
�/ptc',
�io_-, Y
JOB DESCRIPTION: #11 BUBB- COM'L TI -I 8,OOOSQ OF TENANT
I hereby affirm that I am licensed under the pr -'i -C-4 9
IMPROVEMENT,
(commencing with Section 7000) ofDivision 3 of the Business & Professions
SKYLIGHTS,RESTROOMS,& WOOD FLOORING TO INCLUDE
Code and that my license is in full force and effect.
MECHANICAL,ELECTRIC&PLUMBING DRAWINGS. EXTERIOR
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
Sq. Ft Floor Area:
Valuation: $3275000
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 ofthe Labor Code, for the performance ofthe work for which this
APN Number: 35720007.00
Occupancy Type:
permit is issued.
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
WITMN 180 DAYS OF PERMIT ISSUANCE OR
to building construction, and hereby authorize representatives ofthis city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
180 DAYS FROM LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence ofthe
Issued by: Date:
granting ofthis permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9,18.
RE -ROOFS:
Signature `f
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 a 11 new materials for
inspection.
OWNER-BUILER DECLARATION
Signature ofApplicant: Date:
I hereby affirm that 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 ofthe property, am exclusively contracting with licensed contractors to
HAZARDOUS MATERIALS DISCLOSURE
construct the project (Sec.7044, Business & Professions Code).
I 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 INIunicipal Code, Chapter 9.12 and the
declarations:
Health & Safety Code, Section 25532(a) should I store oi- handle hazardous
I have and will maintain a Certificate of Consent to self -insure for Worker's
material. Additionally, should I use equipment or devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants as defined by the Bay Area Air Quality 111anagenient District I
performance of the work for which this permit is issued.
will maintain compliance with the Cupertino Nlunicipal Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, Sections 25505, 25533, and 25534.
Section 3700 ofthe Labor Code, for the performance of the work for which this
Owner or authorized2n�� - Date:
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
CONSTRUCTION LENDING AGENCY
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
I hereby affirm that there is a construction lending agency for the performance of
forthwith 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 ofthis city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
ARCHITECT'S DECLARATION
indemnify and keep harmless the City ofCupertino against liabilities, judgments,
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.
Signature Date
CITY OF CUPERTINO
w m-, FEE ESTIMATOR - BUILDING DIVISION
19
ADDRESS: 10231 bubb rd. #11
DATE: 11/23/2010
REVIEWED BY: bobs.
PC FEE ID
APN:
I BP#:
*VALUATION: 1$3,275,000
,'� PERMIT TYPE: Building Permit
PLANCHECKTYPE: Tenant Improvement
PRIMARY Commercial Building
USE:
TOT,,IL
FLOOR,4RE4.-
PENTAMATION 113TI
PERMIT TYPE:
WORK
11
�.comm office space, structural, include M,E,P,,,
SCOPE
�
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
(s.f.)
PC FEES
PC FEE ID
BP FEES
BP FEE ID
B (Tenant Improvements)
11-B,111-B,1V,V-B
18,000
$2,708.80
IBTIPLNCK
$8,114.20
IBTIINSP
Ele(� lavp. Fec.,
PME Plan Check:
$0.00
Permit Fee:
$8,114.20
Suppl. Insp. Fee -0 Reg.
0 OT
1 0.01
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
TOTALS:
18,000
$2,708.80
1 $8,114.201
T_T_
MECH, HOURLY 0 Yes (D No
I PLUMB, HOURLY 0 Yes (F) No
ELEC, HOURLY 0 Yes C) No
A,Icch, Plan Chcck I I
phoub, plao Check I I
Flec. Non Oleck I I
Iyl�fech. permil Fec,�
I PhMlh� P0711i(PCe,'
Elce, powlil Fc(":
Ot1wr Alech. Insp,
Other P/111j1h ln,v',
0dier Elec. Insp,
'I'lech, Insp. FCC.,
P/11111h. hup,
Ele(� lavp. Fec.,
NOTE: These fees are based on the Prelitninary inforination available and are onlv an estitnate. Contact the Dent for addn'l info.
FEE ITEMS (Lee Resolittion 09-051 Eff 7/]�UQ
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$2,708.80
Select a Misc Bldg/Structure
or Element of a Building
A
Suppl. PC Fee: (2) Reg. 0 0—
TFo
. 6—
hs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$8,114.20
Suppl. Insp. Fee -0 Reg.
0 OT
1 0.01
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
ConsIniclion Tax
T_T_
Acoustical Fee:
0 Yes G No
$0.00
0
E)
Work Without Permit? 0 Yes E) No
$0.00
PlannWg_E�
PLLONGRNGC
$0.00
Select a Non -Residential
rV uilding or Structure
G
0
Travel Doctonenlorion Fees:
Strong Motion Fee:
IBSEISMICO
$687.75
= hrs
$504.00
Inspections
Other Inspections
Bldg Stds Commission Fee: IBCBSC
$131.00
SUBTOTALST1
1,641.75
$504.00
TOTAL FEE:
1 $12,145,75]
Revised: 11/08/2010