12080103CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 5 INFINITE LOOP
CONTRACTOR: NOVO CONSTRUCTION
PERMIT NO: 12080103
OWNER'S NAME: APPLE COMPUTER INC
4025 BOHANNON DR
DATE ISSUED: 08/09/2012
OWNER'S PHONE: 4089961010
ME, NLO PARI{, CA 94025
PHONE NO: (650)701-1500
LICENSED CONTRACTOR'S DECLARATION
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BUILDING PERMIT INFO:
-7
License Class 1 n ZZ
BLDG'I_
ELECT PLUMB
Lic.# !
MECH r RESIDENTIAL r COMMERCIAL r
Contractor f j N" CDnISr'Pe 5Crlc.J Date
I hereby affirm that I am licensed under the provisions of Chapter 9
JOB DESCRIPTION: APPLE - REPAIR PARTIAL PARTITION AND T-BAR
(commencing with Section 7000) of Division 3 of the Business & Professions
CEILING, ADD ELECTRICAL AND LIGHTING
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
Sq. Ft Floor Area:
Valuation: $30000
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
APN Number: 31602109.00
Occupancy Type:
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
PERMIT EXPIRES IF WORK IS NOT STARTED
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
costs, and expenses which may accrue against said City in consequence of the
180 DAYS FROM LAST CALLED INSPECTION.
granting of this permit. Additionally, the applicant understands and will comply
non the Cupertino Municipal Code, Section
with all -point source regulations per
9.18.
Z e�_
I cjFb Date:
c
Signature Date
❑ OWNER -BUILDER DECLARATION
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
I hereby affirm that 1 am exempt from the Contractor's License Law for one of
installed without first obtaining an inspection, I agree to remove all new materials for
the following two reasons:
inspection.
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,
Signature of Applicant: Date:
Business & Professions Code)
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:
HAZARDOUS MATERIALS DISCLOSURE
I have and will maintain a Certificate of Consent to self -insure for Worker's
I have read the hazardous materials requirements under Chapter 6.95 of the
Compensation, as provided for by Section 3700 of the Labor Code, for the
California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain
performance of the work for which this permit is issued.
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
I have and will maintain Worker's Compensation Insurance, as provided for by
Safety Code, Section 25532(a) should I store or handle hazardous material.
Section 3700 of the Labor Code, for the performance of the work for which this
Additionally, should I use equipment or devices which emit hazardous air
permit is issued,
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
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Sections 25505, 25533, and 25534.
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
Ow ne author ag t:
Al
become subject to the Worker's Compensation provisions of the Labor Code, I must
Date:--�`Z
forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I hereby affirm that there is a construction lending agency for the performance of ttork's
[ certify that I have read this application and state that the above information is
for which this permit is issued (Sec. 3097, Civ C.)
,orrect. I agree to comply with all city and county ordinances and state laws relating
Lender's Name
:o building construction, and hereby authorize representatives of this city to enter
ipon the above mentioned property for inspection purposes. (We) agree to save
Lender's Address
ndemnify and keep harmless the City of Cupertino against liabilities, judgments,
;osts, and expenses which may accrue against said City in consequence of the
;ranting of this permit. Additionally, the applicant understands and will comply
ARCHITECT'S DECLARATION
�vith all non -point source regulations per the Cupertino Municipal Code, Section
I understand my plans shall be used as public records.
1.18.
Licensed Professional
Signature Date
CITY OF CUPERTINO
r< FFF. F,STIMATOR - BUILDING DIVISION
ADDRESS: 5 infinite loop 4th floor
DATE: 08/09/2012
REVIEWED BY: bobs.
APN:
BP#:
'`VALUATION:
$30,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY
Commercial BuildingT
PENTAMATION
I PERMIT TYPE: 1GENC0(;
USE:
WORK
re air artial partition and t-bar ceiling, add electrical and lighting.
SCOPE
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NOTE: This estimate does riot include fees due to other Departments (i.e. Planning, Public Works, Hire, sanitary sewer District, Smoot
nfn 1 Thorn F— nra hacad ne tho nratiminary information available and are otth, tut estimate. Contact the Dept -for addn'l nt fo.
.�.......... ....... ......... i .,— ....- .... -..- . . . . . - I .-...--------
FEE ITEMS (Fee Resolxtion 11-053 Ed: 7111
-- -- ------ -
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee: Hourly Only? 0 Yes Q No
$0.00
hours
$266.00
Plan Check, Hourly
ISTPLNCK
Suppl. PC Fee: 0 Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee: Hourly Only? 0 Yes Q No
$0.00
Suppl. Insp. Fee:Q Reg. 0 OT
0.0
hrs
$0.00
PME Unit Fee;
$0.00
PME Permit Fee:
$0.00
0
Work Without Permit? 0 Yes Q No
$0.00
Advanced Planning Fee:
$0.00
hours
$266.00
Inspections
ISTINSP Inspection, Hourly
0
t err c>I Tire,
Strong Motion Fee: IBSEISMICO
$6.30
Fd.5 hrs
$42.00
Admin./Clerical Fee
IADMZN
Bldg Stds Commission Fee; IBCBSC
$2.00
SUBTOTALS:"
$8.30
$574.00
TOTAL FEE:
$582.30
Revised: 07/01/2012