13030068CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 1 INFINITE LOOP
CONTRACTOR: XL CONSTRUCTION
PERMIT NO: 13030068
OWNER'S NAME: APPLE COMPUTER INC
851 BUCKEYE CT
DATE ISSUED: 03/13/2013
OWNER'S PHONE: 4089961010
MILPITAS, CA 95035
PHONE NO: (408) 240-6000
❑ LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIAL
License Class Lic. #
APPLE- RELOCATE POWER & DATA OFFICES FOR NEW
1 (� , NS�C
Contractor l� l� Date � (� "7
FURNACE PLAN
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
Sq. Ft Floor Area:
Valuation: $5000
performance of the work for which this permit is issued.
1 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: 31602105.1
Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that 1 have read this application and state that the above information is
PERMIT EXPIRES IF WORK IS NOT STARTED
correct. 1 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
WIT 180 DAYS OF PERMIT ISSUANCE OR
upon the above mentioned property for inspection purposes. (We) agree to save
180 DArR?M LAST CALLED INSP
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
70N.
costs, and expenses whic may ac rue against said City in consequence of the
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granting of this permit. dition ly, the applicant understands and will comply
Issued by: Date
with all non sour egula ons per the Cupertino Municipal Code, Section
9.18.
Sp
�J 177
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.
❑OV ER -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 equ' men r devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants as defined y the Bay a i Quality Management District I
performance of the work for which this permit is issued.
will maintain compliance wi the Cupe t onicipal Code, Chapter 9.12 and
1 have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, Se 'ons 255 25 , and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
('7�
I
permit is issued.
Owner or authorized agen Date: ✓
1 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
CONSTRUCT 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 1 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,
ARCHITECT'S DECLARATION
costs, and expenses which may accrue against said City in consequence of the
I understand my plans shal I 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
9.18.
Signature Date
FM__7
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 1 INFINITE LOOP
DATE: 03/13/2013
REVIEWED BY: Mendez
APN:
BP#: /30 3 00& 0
'VALUATION: 1$5,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building
USE:
PENTAMATION 10EAP10
PERMIT TYPE:
WORK
install 15 anels 4.9 kw photovoltaic on sfdwl roof to
SCOPE
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 areliminary information available and are onlv an estimate. Contact the Dent for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 E(. 711112)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
=#
$45.00
Electrical
1BREMRECEP Recep/Switch/Outlets
Suppl. PC Fee: 0 Reg. Q OT
0.0
1 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:
$45.00
Consir action Tnx:
Administrative Fee: IADAffN
$42.00
0
0
Work Without Permit? 0 Yes (E) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure.
0
Travel Documentation Fee: ITRAVDOC
$45.00
Strong Motion Fee: 1BSEISAfICO
$1.05
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS:
$134.05
$45.00
TOTAL, FEE:
$179.05
Revised: 01/01/2013