Loading...
12090017CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 4 INFINITE LOOP CONTRACTOR: DPR CONSTRUCTION, A PERMIT NO: 12090017 GENERAL OWNER'S NAME: APPLE COMPUTER INC 1450 VETERANS BLVD DATE ISSUED: 10/23/2012 OWNER'S PHONE: 4089961010 REDWOOD CITY, CA 94063 PHONE NO: (650)474-1450 LICENSED CONTRACTOR'S DECLARATION r r— BUILDING ' License Class C �� � �� � PERMIT INFO: BLDG ELECT PLUMB - Lic. # MECH RESIDENTIAL i("), Cps; �u c�, COMMERCIAL Contractor Date I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: IL4 - ADDING AN EQUIPMENT ROOM ON THE GARAGE (commencing with Section 7000) of Division 3 of the Business & Professions LEVEL OF A COMM BLDG INSTALLATION OF NEW PARTITIONS, Code and that my license is in full force and effect. FINISHES AND MECH & ELECTRICAL UPGRADES 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: $150000 permit is issued. APPLICANT CERTIFICATION APN Number: 31602108.00 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 which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR with all non -point source regulations per the Cupertino Municipal Code, 9.18. 180 F AST�CA ED INSPECTION. Section ? Signature Date ! Issued byr1XAYS, Date: ❑ OWNER -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 I, 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) 1, 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: HAZARDOUS MATERIALS DISCLOSURE 1 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 read the hazardous materials requirements under Chapter 6.95 of the 1 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 &. permit is issued. Safety Code, Section 25532(a) should I store or handle hazardous material. 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 defined 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 compliance with the Cupertino Municipal Code, Chapter 9.12 and the Compensation laws of California. If, after making this certificate of exemption, I Health & Safety Code, Sections 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 or authorized t: f 2 � / L Date:/ APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY 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 �Aork'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 ;ranting 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 ).18. I understand my plans shall be used as public records. Signature Date Licensed Professional 50��,,�R-��70 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION imADDRESS: 4 Infinite Loop DATE: 09/04/2012 REVIEWED BY: SYLVIA APN: BP#: *VALUATION: 1$150,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY USE: Commercial Building PENTAMATION PERMIT TYPE: 1GENC0(; WORK APPLE- I1-4- ADDING AN EQUIPMENT ROOM ON THE GARAGE LEVEL OF A COMM. BLDG SCOPE I INSTALL OF NEW PARTITIONS, FINISHES AND MECHA ELECTRICAL UPGRADES Xlech, Plan Check Plunrb. Plan Cheek Elec. Plan Check rllc>clt. Permit Fee: P/nn:b. Peonit Tee: 00c. Pernrit Tee: Other Hech. hash. Other Phrrnb Irup. tither Elec. Insp. A'Iceh. Jmp. Fee: Phrmb. hrsp. Tee: Elec. kup. Fee: 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 nreliminary information available and are only an estimate. Contact the Dept_jor addn'1 inro. FEE ITEMS (Fee Resolution 11-053 Eft 711111) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes Q) No $0.00 ® hours Plan Check, Hourly $532.00 ISTPLNCK Suppl. PC Fee: (D Reg. () 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. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax, AdmiIiistrative Fee: 0 G Work Without Permit? Yes E) No $0.00 Advanced Planning Fee: $0.00 © hours Inspections $798.00 ISTINSP Inspection, Hourly G ®A Trovel Docnrnentotion Fees: Strong Motion Fee: IBSEISWCO $31.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $6.00 SUBTOTALS: $37.50 $1,330.00 TOTAL FEE: 1 $1,367.50 Revised: 07/01/2012