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12120113CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 5 INFINITE LOOP I CONTRACTOR: NOVO CONSTRUCTION I PERMIT NO: 12120113� OWNER'S NAME: APPLE COMPUTER INC 11460 O'BRIEN DR DATE ISSUED: 12/20/2012 OWNER'S PHONE: 4089961010 1 MENLO PARK, CA 94025 1 PHONE NO: (650)701-1500 LICENSED CONTRACTOR'S DECLARATION P License Class Lic. # , G � o Contractor u%f vy it `1 v�^5� �+• i` Date I G ' t` I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions 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 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 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 with all non -point soureeregulations p e Cupertino Municipal Code, Section 9.18. Signature s, Date ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the: Contractor's License Law for one of 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) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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. 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 Compensation laws of California. If, after making this certificate of exemption, I 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. 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 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 with all non -point source regulations per the Cupertino Municipal Code, Section 9,18. BUILDING PERMIT INFO: BLDG f— ELECT r• PLUMB MECH r RESIDENTIAL r COMMERCIAL JOB DESCRIPTION: 4TH FLR-COMMERCIAL TENANT IMPROVEMENT OFFICE SPACE, NON-STRUCTURAL;INCLUDES MECHANICAL/ELECTRICAL & NO PLUMBING Sq. Ft Floor Area: I Valuation: $85000 APN Number: 31602109.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE .OR 180 DAYS FROM LAST CALLED INSPECTION. Issued Date b RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for. inspection. Signature of Appl Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &Safety Code, Sections 25505, 25533, and 25534. Own o authorized ago t: � ate• CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of Nwrk's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Signature Date I Licensed Professional ,aIFRx3 I 0ON11�dUNIT, DIEVELC}PivENT' € EPAR �f EN 4 �UlLE�€i�'G FtEl�til�i NHW CONSTRUCTION 0. ADDITIQN QRIGI.NA.L PERMIT #_ PRO RCT ADDRRSS- Dq'�, OWNER NANIR I'IIUNr r-N:IAIL STRtrf'1CIt)RP$S Cl'-Y Sl\'I'l.,ZIP '� Sg y FAX t`+,AMIi S'FRF-.FT ADDRESS t �� c1'1`Y S rrATF-7..1P y�1y g FAX C) OWNER Q4t\.\±t1Glt<NI,iILC)ER a,.E <)l\l�iE12 A(iEN'r 0.,.E CQNTI2 IC'TS7R C"UNTIi.AC'T()1(�1,C,iGi`t'T � ARCIIITG.CT 5m?. ENGINEGIi p�E ULV' LOIIEA a.,f9 TENANT CONTRA(JOR NANI,F, LICRN$F NU I R LICFN' F, Tl.'' - BUS. LIC:# MNIPAN 1`46MF x R-A1,V1 FAX STRF;PT AO1)RF;SS E p, t CITY, STA F-. Ztt' s_ PnUNR ems« fit.3 Tb ARCHITFCTIENf11NPPR NAYIF LIC:F..NSF. NU\•IHRR gt,IS, LIC• , COMPANY N-MvIF. F.-MAIL 1 } _ �} FAX C;ITI' STr\TF,21P PIIC)AIF $a' , DFSC:RIPTtONOF, WORK PROJECT DESCRIPTION: THIS PROJECT IS ALL INTERIOR WORK REQUIRED TO COMPLETE LABORATORY/ OFFICE SPACES TO THE 4TH FLOOR NORTH WING OF THE BUILDING. THE LAB SUITES WILL INCLUDE NEW CHAMBERS, WORKSTATIONS AND OFFICES, THE EXISTING MECHANICAL, .. .....-_.-,,.,.. ..... -,,,, _ .. ELECTRICAL, PLUMBING AND FIRE SERVICES SYSTEMS WILL BE MODIFIED FOR NEW CHAMBER, WORKSTATION AND OFFICE LAYOUTS. ROOFTOP EQUIPMENT SERVING THESE AREAS WILL REMAIN. ALL MEANS OF EGRESS WILL BE MAINTAINED DURING CONSTRUCTION. FIRE ALARM DRAWINGS WILL BE PART OF DEFERRED SUBMITTAL. FIRE SPRINKLER DRAWINGS WILL BE PART OF A DEFERRED SUBMITTAL, CHAMBER ROOM DRAWINGS WILL BE PART OF A DEFERRED SUBMITTAL, L:4 7.6 t ttos -�F CO . I't: E YSTO IPq TYPE OCC. sqm', VALUATI0iN LtS'r(} IElvPt.t!(ili U4NRJ TU'rAt max 1RIT,\ I t .,R1 A �2 { AItL';\ i' r'i N, Rs.Itirrcn (l11`nRR - Rf NO URLARRA ai%�tot)EIAhEA R1 nN3C1ut L \RtsA ) C`.. A. i .. ) 4' . r\. t A .) i \ Tlf%' ITb tc. AI F. t [t<\R. 0 - A t 1. ) mvi - _ AY IA,(11 N U\\'tit l,)NCi llNtl•S..,..-'� 1S:\ 4E�'.CUNll C�i'1'' 1'Rg $CG9l!l) Sl`Oltt�..� Y6.C"'�•"� "'�� . IBEINGAQUED? CINO AU.UITION+ N(1) 1'RPV\!'PI,ISAT10N4 1'ftS 1TYE5,,I'RovjQFcr)PYov IS'ITEmLPGAN N-u Rp('FJvvOt11'; ! IOTAJzp4:\LU:\TIG ; PLAYNRf9AITL-# NU. lL1:Na`9IN.0APPROVAL LETTER Ek HLERIIOAIEY N(1 a By Uly signature below, I certify to each of the tQllowin;: 1 am the property owHcr Orauthorized agent tp :tct 611 the property oNvael's befall I bttve Teud lhiti appiic,jtion and the 'it1foa'I1-latioll. t haye provided is cormt. l have read the Dwrlpdon of Work mud verif , it is accurate. I Baree to cQinply \volt till applicable local Qr(linances crud xittic la\\t IE.latJng to bui I g CoilstrUction. •RIIIIQTaZQ rcprescptatiyrs of t<ttpertino to crter dw Ibove•ide11, hied pr per(y for ntspection purposes. Sigrtawre of Applicanllt yLnt; _ 41 ---��.{.a Date. �j4Y,�� '� SUPPLEMENTAL INFORMATION REQUIRED r ry crtrc r: T\ re ROOTING S11Ir New SFp or Multifamily dwellings: Apply for demolition permit for Ot r,R=rltl:•Ccxrv'rrR Btni,ormC• r1,AiN REVIEW e %gtulg builctit (s), Demolition permit is required prior to Issuance of building permit for new building, ❑ t'wRv,-,s ❑ Pt.ANN1Nc PLAN _ Commercial Bldgs Proyide a Completed Hazardous Materials Divlmre ❑ S-1 AINOARD❑, ptII; sr`C \Vottl'N form ifaay Hazardous Materials are beilig used as part of this project. El1..\ItcP L 1"r�rRr•. DEFT _ copy of Planning Approval Letter Or 1vleeting with Planning prior to Ij +1IAJoR ❑ SANII 1,10 SEN1 RR DISTRICT submittal ofBuitding Permit application, ❑ I!N\IRONt\I F,NTAt. Nf•,.\l,'Pti 13ldgApp_201 Woe nmised 06/21/11 CITY OF CUPERTINO ,DD FEE ESTIMATOR - BUILDING DIVISIO ESS: 5 infinite loop4th floor s. N PN: 2/20/2012 REVIEWED BY: bobs, PE. Building Permit *VALUATION: US E Commercial Building PLAN CHECK TYPE:Tenant Improvement $85,000 ORK t.i.. c PENTAMATION COPE OMM Office SPace, non structural, includes PERMIT TYPE: E no Ps. ----- - OCCUPANCY TYp E*: TYPE OF LR AREA B (Tenant Improvements) CONS v S.L PC FEES PC FEE --- L!�!��ts) I -A I-B IDBP FEES I 0 $0.00 $0.00 TOTALS: 0 $0.06 E) $0.00 NO 'LY PLUMB, no ®Yes E) No ELE C, HOURLY 113 T1 BP FEE ID I 01hel, 17?�6. NOTE, This estimate does District, not indIdefees due to other Deparl"jejus eta . These ITIec.. fees are base I the refinjin ("e- Planning, Public 11'1`0� Works, ... FEE iTFrqs '"or"latiOnavailable and are onl tre,,15'anitary District, Selloo, Fee Resolution 11-053 711111 -7n estinjote, -- 2 Contact Plan Check Fee: Hourly only? Q FEE the D, t or arjdvj in o. Suppl. PC Fee: Yes 0 No $0.00 hours MISC ITEMS G Reg. 0 OT 0. 0 hrs Plan Check, Hourly PME-Plan Check- $0-00 $133.00 ISTPLNCK P crmit.Fee.- . $0.00 S . UPPI- . IMP. Fee: I Hourly only? 0 Yes E) No $0.00 Reg. OOT 0.0 hrs PME Unit Fee: $0.00 PME Permit Fee: $0-00 $0.00 Work Without Permit? 0 Yes No Advanced Platmin Fee: $0.00 0 D'o )"01 $0.00 12 ours Inspections Strong motioai.., IBSEISMICo $1,596.00 IsT[NSp Inspection, Hourly Bldg Std I s Commission r..$I . ..-- Select an Administrative Item IBCBSC SUBTOTAL 21.85 $1,729.00 TOTAL FEE: Revised: 10/01/2012 ',_,-,Building Department E City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 C U P E RT I N® "'f Telephone: 408-777-3228 Fax: 408-777-3333 - CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS:` - PERMIT # u OWNER'S NAME: PHONE # GENERAL CONTRACTOR: BUSINESS LICENSE# ' ADDRESS: ? �� CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OIL FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL, SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE, l am not using ally subcontractors: Signature Please check applicable subcontractors and complete the followinu infni•,,,ni;__ Date V SUBCONTRACTOR. BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing - Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting I Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile } r Owner / Cont'ractor Signature �a�P