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10060060CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10500 N DE ANZA BLVD CONTRACTOR: DEVCON CONSTRUCTION PERMIT NO: 10060060 INC OWNER'S NAME: APPLE INC 1 690 GIBRALTAR DR I DATE ISSUED: 08/05/2010 1 OWNER'S PHONE: 4088629799 1 MILPITAS, CA 95035 1 PHONE NO: (408)942-8200 1 LICENSED CONTRACTOR'S D�E%CLARATION License Class Lie. # 1 Contractor �EiU�K Date b o 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: 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. l 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 1 certify that 1 have read this application and state that the above information is 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 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 so lations per the e o Municipal Code, Section 9.18. It Signature ❑ OWNER -BUILDER DECLARATION ,0 I hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: 1, 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. 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 permit is issued. 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, 1 become subject to the Worker's Compensation provisions of the Labor Code,1 must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 1 certify that I have read this application and state that the above information is 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 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 F PLUMB F MECH r RESIDENTIAL r COMMERCIAL r JOB DESCRIPTION: COMM T.I l ST FLOOR ADDITION OF I GLASS DOOR- 3RD AND 4TH FLOOR NEW PARTITION, CEILING MOFIFICATIONS (M,E) NEW FINISHES STRUCTURAL TUBE STEEL SUPPORTS Sq. Ft Floor Area: I Valuation: $4000000 APN Number: 31622017.FLR1.3.4 I Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Date: RE -ROOFS - All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, 1 agree to remove all new materials for inspection. Signature of Applicant: 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 ode, Sections 2 533, and 25534. : I/-11D CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION 1 understand my plans shall be used as public records. Signature Date Licensed CITY OF CUPERTINO BUILDING PERMIT - "' - ' `' BUILDING ADDRESS: 10500 N DE ANZA BLVD CONTRACTOR: DEVCON CONSTRUCTION PERMIT NO: 10060060 INC OWNER'S NAME: APPLE INC 1 690 GIBRALTAR DR I DATE ISSUED: 08/05/2010 1 OWNER'S PHONE: 4088629799 1 MILPITAS, CA 95035 1 PHONE NO: (408)942-8200 1 ❑ LICENSED CONTRACTOR'S DECLARATION License Class Lic.# 3 Contractor ✓no-,y Date 1 hereby affirm that 1 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. 1 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 1 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 p the Cupertino Municipal Code, Section 9.18. SignatureDateVxh(,/ ❑ -BUILDER DECLARATION 1 hereby affirm that 1 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) I, 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. 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 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 F PLUMB F MECH r RESIDENTIAL r COMMERCIAL r JOB DESCRIPTION: COMM T.I I ST FLOOR ADDITION OF I GLASS DOOR- 3RD AND 4TH FLOOR NEW PARTITION, CEILING MORFICATIONS (M,E) NEW FINISHES STRUCTURAL TUBE STEEL SUPPORTS P_,, } - l - A k off - r U r► p +-, Av,,j Lb C.a h` M y " L.- _ L Svc Cdz� V-1— A- C�_ Sq. Ft Floor Area: Valuation: S4000000 APN Number: 31622017.FLR1.3.4 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued b Date-,Y46- to 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 Applicant: 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. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should 1 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 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. autho LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Signature Date I Licensed Professional D] CITY OF CUPERTINO BUILDING PERMI]bATE 7 BUILDING ADDRESS: 10500 N DE ANZA BLVD CONTRACTOR: DEVCON CONSTRUCTION PERMIT NO: 10060060 INC OWNER'S NAME: APPLE INC 1 690 GIBRALTAR DR I DATE ISSUED: 08/05/2010 1 OWNER'S PHONE: 4088629799 ❑ LICENSED CONTRACTORS DECLARATION License Class Lic. # 6 Contractor 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. 1 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 1 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, 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. 1 hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1, 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). 1 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. 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 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 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, 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. MILPITAS, CA 95035 I PHONE NO: (408)942-8200 BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r MECH r RESIDENTIAL r COMMERCIAL r JOB DESCRIPTION: COMM T.I l ST FLOOR ADDITION OF 1 GLASS DOOR- 3RD AND 4TH FLOOR NEW PARTITION, CEILING MOFIFICATIONS (M,E) NEW FINISHES STRUCTURAL TUBE STEEL SUPPORTS 8/24/10 - REV#2 - SHOP DRAWINGS, SEISMIC ANCHORS & CALCS FOR TWO 4TH FLR.CHAMBERS-REV42 ISS'D 9/21/10 Sq. Ft Floor Area: Valuation: $4000000 APN Number: 31622017. FLR l .3.4 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by:^ Date: 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 Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should 1 store or handle hazardous material. Additionally, should 1 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. : Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION Signature Date_ 1 understand my plans shall be used as public records. Fm--7 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: DATE: REVIEWED BY: APN: BP#: 'VALUATION: $100 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: T07.1L F / 00R,4RI� A PENTAMATION PERMIT TYPE: WORK SCOPE eA Plan Check plumb, Plus Chock Do:. Ilan Check Akch. Pcrn,rf Fee. Plurrah. Pcnnit l•;lec. Permit Fee. Other Heck Insp- Qtlrr I'hnr;l, Insp. 01her Glec . Insp. Alech, Imp. Free. Phunh. lcc. I,1(c.Insp. Fee NOTE: These fees are based on the nreliminary information available and are onlv an estimate. Contact the Dent for addn 7 info. FEE ITEMS (Fee Resolution 09-051 G . 7/1/10) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: E) Reg. © OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Consiruction .Tax Acoustical Fee: 0 Yes 0 No $0.00 Q G Work Without Permit? © Yes E) No $0.00 Planning Fee: $0.00 Select a Non -Residential Building or Structure Q i Truvel Doc'mrienunion Fees: Strong Motion Fee: IBSEISMICO $0.50 1 # $760.00 Revision IREVCOMTI Tenant Improvement Bldj; Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $1.501 $760.00 TOTAL FEE: 1 $761.50 Revised: 9114/2010 Fm-7... CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: DATE: REVIEWED BY: APN: BP#: 'VALUATION: 1$36,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: TOT1.L FLOOR .4RC<(: PENTAMATION 1BTI PERMIT TYPE: WORK SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) II-B,III-B,IV,V-B 0 $0.00 $0.00 TOTALS: 0 $0.00 $0.00 MECH, HOURLY [; Yes. 0 No PLUMB, HOURLY Q Yes Q Na ELEC, HOURLY Q Yes Q No ,',lcc:h. Plan (.'heckT-T Phwih. Purr Checti Flec. Plan (.'heck :Avl�r:b. Permit Fee. Plumb, Pc.-rrnii Pec': Elec. Permit Vec. Other ,Vech. Insp l)/h T Pl""" ln5'Il. C'Y l teC. Insp, O(i!ET Alcch. Imp. Fcr: Plumb. Insp, FeL<: Flcr . Insp. Fee NOTE. These fees are based on the vreliminary information available and are onlv an estimate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 09-051 Ejf. 7/1/10) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee'O Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Conso-tiction Tay 1-1 Acoustical Fee: 0 Yes (D No $0.00 Q O Work Without Permit? © Yes 0 No $0.00 Planning Fee: $0.00 Select a Non -Residential Building or Structure g E) O A T'r�cn;c�f Doctnnc�ntulior� Fees. Strong Motion Fee: IBSEISMICO $7.56 1 # $760.00 Revision 1REVCOMTI Tenant Improvement Bldfz Stds Commission Fee: IBCBSC $2.00 SUBTOTALS: $9.56 $760.00 TOTAL, FEE: $769.56 Revised: 8/17/2010 CITY OF CUPERTINO FM-7- FEE ESTIMATOR - BUILDING DIVISION ADDRESS: DATE: 08/09/2010 REVIEWED BY: APN: BP#: *VALUATION: 1$5,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: / 0714L FLOOR .4REA. APPLICATION TYPE: 16 TI MECHANICAL Q Yes Q No PLUMBING Q Yes Q No I ELECTRICAL Q Yes Q No 9w a 00 3U OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) II-B,III-B,IV,V-B 0 $0.00 $0.00 TOTALS: 1 0 $0.00 1 1$0.00 Mcch. Plan C.'hc f k FFfech. P,'- pit Usher Afec:h. Insp. Plumb. Ptuu Check Flunih. PermitTc.�e: Other Phimb hasp. Floc Plan Check /, PCV 07,/ Fcc Other 1 Ie r. Gut, NOTE: These fees are based on the Preliminary information available and are onlv an estimate. Contact the Dept for addn7 info. FEE ITEMS (Fee Resolution 09-051 E : 7/1/09) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:O Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax Acoustical Fee: Q Yes Q No $0.00 0 Q Work Without Permit? Q Yes Q No $0.00 Planning Fee: $0.00 Select a Non -Residential Building or Structure Q i Traver/ Documentation Fees: Strong- Motion Fee: IBSEISMICO $1.05 # $0.00 Revision IREVCOMTI I Tenant Improvement Bldg Stds Commission Fee: IBCBSC $1.00 SUMTOTALSL : $2.05 $0.00 TOTAL FEE: $2.05 Revised: 8/06/2010 WN CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION 10500 N. De Anza DATE: 08/09/2010 REVIEWED BY: PAADDRESS: APN: BP#: 10060060 'VALUATION: 1$5,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: g T07,1L FLUOR .4RL,4. APPLICATION i 1 TYPE: 1 w a 00 3�d ldech. Plot) C'hc !: weth. Permit Fee: 0/her Afech. lrup, Phemh. P/uu Check Plu.rih. Perini! Fc?e: Other Plumb hisp, FMc. Plun Che c-A Flee. Pcrmil Fee.- Other Der. h7.ct). NOTE: These fees are based on the nreliminary information available and are onlv an estimate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 09-051 Efl.' 711109) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: O Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:O Reg. © OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax Acoustical Fee: 0 Yes O No $0.00 O Work Without Permit? 0 Yes O No $0.00 Planning Fee: $0.00 Select a Non -Residential Building or Structure O 0 Truvel Documentation feces: Strong Motion Fee: 1BSEISMICO $1.05 # $0.00 Revision IREVCOMTI I Tenant Improvement Bldg Stds Commission Fee: 1BCBSC $1.001 SUBTOTALS: $2.05 $0.00 TOTAL FEE: $2.05