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12070033CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 5 INFINITE LOOP CONTRACTOR: APPLE COMPUTER INC PERMIT NO: 12070033 OWNER'S NAME: APPLE COMPUTER INC I INFINITE LOOP UNIT MS 36TX DATE ISSUED: 08/17/2012 OWNER'S PHONE: 4088628234 CUPERTINO, CA 95014 PHONE NO: JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIALS ❑ LICENSED CONTRACTOR'S DECLARATION License Class Lic. # BUILDING CODE ANALYSIS FOR EXISTING COMMERCIAL Contractor Date BUILDING (IL-5)-DECOMPARTMENTALIZATION OF I hereby affirm that I 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. 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: $2000 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 APN Number: 31602109.00 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 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 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 expensesY againstt3consequence �Additi Issued b 7— ------ Date > 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. 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. Er OWNER -BUILDER DECLARATION Signature of Applicant: 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 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 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 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} s 2550 , 255 , a id 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: permit is issued. I certify that in the performance of the work for which this permit is issued, I shall (JU 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 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino 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 -poi source reguI ti s per the Cupertino Municipal Code, Section Licensed Professional 9.18. U Date J f Signature 00 C, CITY OF CUPERTINO WIN FEE ESTIMATOR - BUILDING DIVISION igADDRESS: , 5 Infinite Loop DATE: 07/17/2012 REVIEWED BY: A. Salvador APN: 31602109 BP#: 12070033 'VALUATION: 1$2,000 —� *PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY USE: Commercial Building Civil / Religious activities in BQ zone? 0 Yes 0 No PENTAMATION PERMIT TYPE: 1 BOF WORIc 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,IV,V-B 0 $0.00 $0.00 TOTALS: 0 $0.00 $0.00 'A f �IlliiJ�r %r'fii t tail f''lt r I �✓i ' i {J�'��. Pct Fc , i )tik1 1laCii. 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 prelindna information available and are on1v an estimate. Contact the De t or addn'I info. FEE ITEMS ('Fee Resolution 11-053 E '�� FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes Q No $0.00 hours Plan Check, Hourly $266,00 ISTPLNCK Suppl. PC Fee: Q Reg. Q OT 0.0 I hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes (D 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 Construction Tax: IBCONSTAXC $0.00 _ , 1, , r Mj ' . G Work Without Permit? 0 Yes No $0.00 Advanced Planning Fee: $0.00 ® hours Inspections E) $532.00 1STINSP Inspection, Hourly rC" , Strong Motion Fee: 1BSEISMICO $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: 1 $1.50 $798.00 TOTAL FEE: $799.50 Revised: 07/01 /2012 CITY OF CUPERTINO 99-Ma FEE ESTIMATOR - BUILDING DIVISION imADDRESS: , 5 Infinite Loop (IL-5) DATE: 07/03/2012 REVIEWED BY: Sean APN: BP#: � *VALUATION: Iso rPERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY USE: Commercial Building PENTAMATION PERMIT TYPE: 1GENCOC; WORK Building code analysis for existing commercial building IL-5 SCOPE A-fech. Plant Chce 1, Pholtb, Plait Cheel; TJec, Plan Chcck bk>111. Per-miiFee,: Phnnb. polmit Fee: Fec. Permh (eC: _. J other "Wech. Irish. E!_ Other Phon!) h7sp. onccr Elec, lnsp, iA'1@c'h. hasp. Fee: LL] )'lunch. Insp. Fec: Dec. I1b17, Fcle: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District eta). These fees are based on the prelinlinar information available and are onlv an estivate. Contact the De t or adrin'l in o. FEE ITEMS (Fee Resohition 11-053 Eff 7/1/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes Q No $0.00 hours Plan Check, Hourly $266.00 ISTPLNCK I Suppl. PC Fee: Q Reg. Q OT r0.0 Ihrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:() Reg. Q OT rooThrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 C-'oirslruciion Tax: F eltiaini.�traiive Fcc: 0 ) Work Without Permit? ® Yes Q No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 i Trm wl Doci ntculolion Fees: Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.001 $266.00 TOTAL FEE: $266.00 Revised: 07/01 /2012