12070032CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 3 INFINITE LOOP CONTRACTOR: APPLE COMPUTER INC PERMIT NO: 12070032
OWNER'S NAME: APPLE COMPUTER INC 1 INFINITE LOOP UNIT MS 36TX DATE ISSUED: 08/17/2012
OWNER'S PHONE: 4088628234 CUPERTINO, CA 95014 PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
License Class Lic. # BUILDING CODE ANALYSIS FOR EXISTING
COMMENCIAL
Contractor Date BUILDING (IL-3)-DECOMPARTMENTALIZATION OF
1 hereby affirm that 1 am licensed under the provisions of Chapter 9 APPLE
(commencing with Section 7000) of Division 3 of the Business & Professions CAMPUS BLDG
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 for whichthis permit is issued. Sq. Ft Floor Area: Valuation: $2000
l 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 APN Number: 31602107.00 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. 1 agree to comply with all city at-' county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter WITHIN 180 DAYS OF PERMIT ISSUANCE OR
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 of the -'
granting of this permit. Additionally, the applicant understands and will comply Issued byres Date:�—
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
RE -ROOFS:
Signature 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.
OWNER -BUILDER DECLARATION
hereby affirm that 1 am exempt from the Contractor's License Law for one of Signature of Applicant: Date:
the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
I, 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). I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
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 store or 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 Management District I
performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sectio Is 25 5, 2 53 and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this %
permit is issued.
Owner or authorized agent. Date: �
1 certify that in the performance of the work for which this permit is issued, I shall i
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 CONSTRiJCTION 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
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 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.
Signature Date
I i
CI I T " CUPEK T INO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: i Infinite Loop
DATE: 07/17/2012
REVIEWED BY: A. Salvador
APN: 316021 1
BP#: 1207003�-
`VALUATION: $2,000
PERMIT TYPE: Building Permit
PLAN CHECK TYPE: New Construction
PRIMARY
USE: Commercial Building
Civil / Religious activities
in B zone'?
Q 0 Yes (� No
PENTAMATION
PERMIT TYPE: 1 BOFF
WORK
Building Code Analysis for
E Office Building - Decom artmentalization of Apple's IL Campus Building.
SCOPE
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
s.f.
PC FEES
PC FEE ID
BP FEES
BP FEE ID
B (Offices)
II-B,III-B,lV,v-B
0
$0.00
$0.00
TOTALS:
0
$0.00
$0.00
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc.). These fees are based on the prelinunart, information available and are only an estimate. Contact the Dept for addn'I info.
FEE ITEMS (Pee Resolution 11-053 Lff %T IL
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee: Hourly Only? O Yes 0 No
$0.00
I-2 -� hours Plan Check, Hourly
$266.00 ISTPLNCK
Suppl. PC Fee: Q Reg. O OT
10.0
hrs
$0.00
PME Plan Check:
$0.00
Pen -nit Fee: Hourly Only? O Yes Q No
$0.00
Suppl. Insp. Fee:Q Reg. Q OT
0 0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
I
Construction Tax: IBCO.NSTAXCF-1
$0.00
O
Q
Work Without Permit? O Yes Q No
$0.00
Advanced Planning F cam:
$0.00
® hours Inspections
$532.00 ISTINSP Inspection, Hourly
Strom Motion Fee: IBSEISMICO
$0.50
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS:
$1.501
$798.00
TOTAL FEE:
$799.50
Revised: 07/01 /2012
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 3 Infinite Loop (IL-3)
DATE: 07/03/2012
REVIEWED BY: Sean
APN:
BP#: l 0
'VALUATION:
$0
PERMIT TYPE: Building Permit
PLAN CHECK: TYPE: Alteration / Addition / Rep r
PRIMARY Commercial Building
USE:
PENTAMATION 1GENCOM
PERMIT TYPE:
WORK
Building code analysis for existinq commercial building IL-3
SCOPE
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc.. Thesefees are based on the preliminarl information available and are only an estimate Contact the Dept or addn I info.
FEE ITEMS (Fee Resolution 11-053 Eff 7/1/1I)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee: Hourly Only? () Yes Q No
$0.00
hours Plan Check, Hourly
$266.00 1STPLNCK
Suppl. PC Fee: (j) Reg. ® OT
ILI
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee-0 Reg. Q OT
0.0
hrs
$0.00
J"
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
O
E)
Work Without Permit? es No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential Q
Building or Structure
i
Stron, Motion Fee:
$0.00
Select an Administrative Item
Bldg Stds Commission Fee:
$0.00
SUBTOTALS:
$0.00
$266.00 TOTAL FEE:
$266.00
Revised: 07/01/2012