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12100092CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 4 INFINITE LOOP CONTRACTOR: DPR CONSTRUCTION, A PERMIT NO: 12100092 GENERAL OWNER'S NAME: APPLE COMPUTER INC 1450 VETERANS BLVD DATE ISSUED: 12/11/2012 OWNER'S PHONE: 4089961010 REDWOOD CITY, CA 94063 PHONE NO: (650)474-1450 ❑ LICENSED CONTRACTOR'S DECLARATION r r r License Class Lic. # 15 3 %�1 BUILDING PERMIT INFO: BLDG ELECT PLUMB MECH r RESIDENTIAL r COMMERCIAL r / Contractor �a C�9���f���1 Date �(r f Z— I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: AUDITORIUM - COMMERCIAL TENANT IMPROVEMENT (commencing with Section 7000) of Division 3 of the Business & Professions MINOR STRUCTURAL, INCLUDES MECHANICAL,ELECTRICAL & NO Code and that my license is in full force and effect. PLUMBING 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 permit is issued. Sq. Ft Floor Area: Valuation: $3000000 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, Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. Signature Date 12,11 w_a- Issued bye 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 1, 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: I have and will maintain a Certificate of Consent to self -insure for Worker's HAZARDOUS MATERIALS DISCLOSURE 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 I 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 & Safety Code, Section 25532(a) should I store or handle hazardous material. permit is issued. 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. Owe or aut razed agent: l 1 Date: (ram APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of Nwrk'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 granting 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 9.18. 1 understand my plans shall be used as public records. Signature Date Licensed Professional CITY OF CUPERTINO BUILDING PERMIT CONTRACTOR: DPR CONSTRUCTION, A PERMIT NO: 12100092 . BUILDING ADDRESS: 4 INFINITE LOOP GENERAL OWNER'S NAME: APPLE COMPUTER INC 1450 VETERANS BLVD DATE ISSUED: 12/lIl2012 REDWOOD CITY, CA 94063 PHONE NO: (650)474-1450 OWNER'S PHONE: 4089961010 RESIDENTIAL COMMERCIALS ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: " Lic. # r # 1 f 4 4 � AUDITORIUM -COMMERCIAL TENANT IMPROVEMENT License Class . MINOR <, f Date i l STRUCTURAL, INCLUDES MECHANICAL,ELECTRICAL & Contractor f /� ti` I hereby affirm that I am licensed under the provisions of Chapter 9 . NO (commencing with Section 7000) of Division 3 of the Business & Professions PLUMBING Code and that my license is in full force and effect. revision #1- structrual to reflect actual field conditions and upgrades I hereby affirm under penalty of perjury one of the following hvo 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: $3000000 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: 31602108.00 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 180 DAYS FROM LAST CALLED INSPECTION. upon the above mentioned property for inspection purposes. (We) agree to save 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 by: Date: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. i } `f Date i RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is for Signature installed without first obtaining an inspection, I agree to remove all new materials inspection. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER the following two reasons: 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) HAZARDOUS MATERIALS DISCLOSURE I, as owner of the property, am exclusively contracting with licensed contractors to the (Sec.7044; Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95,of the I construct project California Health & Safety Code, Sections 25505, 25533, and 25534. 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 Section 25532(a) should I store or handle: hazardous declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's Health & Safety Code, material. Additionally, should I use equipment or devices which emit hazardous defined by the Bay Area Air. Quality Management District I Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and performance of the work for which this permit is issued, I have will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 25534. 4. and Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent. n ' 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 of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of become subject to the Worker's Compensation provisions work's for which this permit is issued (Sec. 3097, Civ C.) forthwith comply with such provisions or this permit shall be deemed revoked. 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 -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 8. 08. Signature Date W����,,����CITY OF CUPERTINO —M FEE ESTIMATOR — BUILDING DIVISION imADDRESS: , 4 infinite loop 1st floor DATE: 10/11/2012 REVIEWED BY: bobs. APN: BP#: *VALUATION: 1$3,000,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 1A TA USE: PERMIT TYPE: WORK comet. auditorium minor structural includes M E no Ps. �t.i. SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID A (Tenant Improvements) I-A,I-B 3,966 $3,714.05 IATIPLNCK $2,997.10 IATHNSP TOTALS: 3,966 $3,714.05 1 1 $2,997.10 MECH, HOURLY 0 Yes (F) No PLUMB, HOURLY ® Yes Q No ELEC, HOURLY ® Yes Q No A•fe<:h, Plan Check Phumb, Plarr Check Dec. Plan Chock kfech. Permit Fee: Phmzh. Permit ree: Elec. Permit ree: Other Alech. Inch, Other Phmmb Rasp, Other Elec. hap, Li 114("C t. Insp. FCC: Plumb. hap. Tee: Elec. Lisp. Fee: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School r)ictrint eta 1 Thoco fooc nro hncod nn tho nrolimiaary informadan availahle and are only an estimate. Contact the Dent for addu'l info. FEE ITEMS (Fee Resohttion 11-053 Eff. 711112) FEE QTY/FEE MISC ITEMS Plan Check Fee: $3,714.05 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Reg. OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $2,997.10 Suppl. Insp. Fee:Q Reg. Q OT f 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Constrrtelion Tax: r1(1117inistrotive Fee: 0 G Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning Fee. $0.00 Select a Non -Residential Building or Structure E) 0 7t~rrnef Docutt7enlatinn Fees Strong Motion Fee: IBSEISMICO $630.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $120.00 SUBTOTALS: $7,461.15 $0.00 TOTAL FEE: $7,461.15 Revised: 10/01/2012 CITY OF CUPERTINO IMT71 r TOrlrYAX A Tl113 DITTT DIV1CT[1N ADDRESS: 4 infinite loop DATE: 01/22/2013 REVIEWED BY: Mendez APN: BP#: 12100092 *VALUATION: $0' *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 1GENCOM PERMIT TYPE: A USE: WORK revision #1- structrual to reflect actual field conditions and upgrades SCOPE l-fe<:h. Plan Owck Plnmlb, Plcm Check Elec, Plon Check wecl). Pcrvmil Fee: Phonh. Permit Fee: Elec. Permit Fee: Other rttec h, Tiaslz (Other Plumb IrtsP. 01lter Elec. Insp. 11cc7t Insp Fc'c' Phonb. h�.cp, Fec:: Elee. Insp. Fee: NOTE:* This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Server District, School ran tort the Dent for addii'l Info. District, eta). Inese ees are nasea on ine rennunu. FEE ITEMS (Fee Resohition 11-053 E . 7} 11112) u. vu................... FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes Q No $0.00 2 — hours Plan Check, Hourly $266,00t ISTPLNCK Suppl. PC Fee: (j) Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp: Fee:Q Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Cons/ruction Tax: Acbninistrwive Fee: 0 G Work Without Permit? ® Yes (2) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential G Building or Structure Trowel Doewnentorion Fees: Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $266.00 TOTAL FEE: $266.00 P[CV15Gu. lulu ucu l�