Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
15020092
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18920 FORGE DR CONTRACTOR: DOME CONSTRUCTION PERMIT NO: 15020092 CORP OWNER'S NAME: APPLE INC 560 S WINCHESTER BLVD STE 500 DATE ISSUED: 03/13/2015 OWNER'S PHONE: 5103316719 SAN JOSE, CA 95128 PHONE NO: (408) 938-5770 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E] �, A�� / License ClassLic. # VPK fo APPLE - SEISMIC REPAIR/UPGRADE FOR SINGLE STORY BLDG (89,370 S.F.) Contractor ®6111' I Date__"92 d # 2 STRUCTURAL I hereby affirm that I am licensed under the provisions of Chapler 9 - FOUNDATION REVISIONS - ISSUED 6/18/15 (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: $1060000 ance of the work for which this permit is issued. lo e 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. APN Number: 31609030.18920 Occupancy Type: 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 to building construction, and hereby authorize representatives of this city to enter WITHIN 180 DAYS OF PERMIT ISSUANCE OR upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED INSPECTION. 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 er e u ' o Municipal Code, Section 918. / Signature ° 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. ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: I, as owner of the property, or my employees with wages as their sole compensation, ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the I hereby affirm under penalty of perjury one of the following three California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municip. de, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, ® �. Code, Section 3700 of the Labor Codefor the performance of the work for which this ,permit Owner or authorized Date: , 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 CONSTRUCTION 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 Lender's Address 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, ARCHITECT'S DECLARATION 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 9.18. Signature Date CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18920 FORGE DR CONTRACTOR: DOME CONSTRUCTION PERMIT NO: 15020092 CORP OWNER'S NAME: APPLE INC 2121 OAKDALE AVE DATE ISSUED: 03/13/2015 OWNER'S PHONE: 5103316719 SAN FRANCISCO, CA 94124 PHONE NO: (415)641-0800 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class Lic. APPLE - SEISMIC REPAIR/UPGRADE FOR SINGLE STORY BLDG (89,370 S.F.) ! Contractor &o)P, r. Date 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 Copip6sation, as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $1060000 of the work for which this permit is issued. rerformance 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: 31609030.18920 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 upon the above mentioned property for inspection purposes. (We) agree to save 180 DAY T ED INSPECTION. 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 y: Date: with all non-point.source regulati us er ie ino Municipal Code, Section 9.18. " Signature Date Q�� + (�J + (�j 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. El OWNER-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) I, 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 equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Secti ur2S�i d Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent " te: 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 CONSTRUCTION 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 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 918. Signature Date CITY OF CUPERTINO IM -7, FEE ESTIMATOR - BUILDING DIVISION lalADDRESS: 18920 FORGE DR DATE: 02/17/2015 REVIEWED BY: MELISSA APN: 316 09 030 BP#: 5� *VALUATION: 1$1,060,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY USE: Commercial Building Civil / Religious activities in BQ zone? 0 Yes ! No PENTAMATION I PERMIT TYPE: 1 GENCOM WORK APPLE - SEISMIC REPAIR/UPGRADE FOR SINGLE STORY BLDG SCOPE F 1-1 # $859.00 ni wa ("hec w Plzvnb. Pan Cfic'c,r tern. 1'di rzit /sae: l'iif)6. 1 eo-,;;i Fee: lstec..l'er iii f'ac•: l;rsp. Oihn-P 1hvi,b Irso. t?tl,e?' F!ec. nspLi P wib. imlo, NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, Nchoot District. etc). These fees are based on the nreliminary information available and are only an estimate. Contact the Dept_for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff. 711/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes No $0.00 L_4_j hours $572.00 Plan Check, Hourly ISTPLNCK Suppl. PC Fee: (E) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 F 1-1 # $859.00 Foundation Repair 1FOUNDREPA Permit Fee: Hourly Only? 0 Yes (F) No $0.00 Suppl. Insp. Feer Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXC $0.00 AC/7i?TtIt:S` ralily Fee: 0 0 Work Without Permit? 0 Yes (E) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure E) 0 i 'Tavel/ oc°u1 entaf on fees: Strong Motion Fee: IBSEISMICO $296.80 15.0 hrs $2,145.00 Inspections ISTINSP Inspection, Hourly Bldg; Stds Commission Fee: IBCBSC $43.00 .. :SUBTOTALS $339.80 $3,576.00.,h TOTAL FEE $3,9 15 80 Revised: 02/14/2015 I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 18920 FORGE DRI CONTRACTOR: DOME CONSTRUCTION ORP I PERMIT NO: 15020092 I OWNER'S NAME: APPLE INC 1 560 S WINCHESTER BLVD STE 500 1 DATE ISSUED: 03/13/2015 [�I:I�L�i:�.l is [�7►i �i[IkICI[SIiL•] ❑ LICENSED CONTRACTOR'S DECL�A_RATION% License Class ._L1 # ` 6 Contractor ate 4410" 1 � 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 - applicant understands and will comply with all non -point urc regulations per the ino Municipal Code, Section 9.18. _7 !. Signature c '� Date 04 ❑ 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) 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. 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. Signature. Date SAN JOSE, CA 95128 1 PHONE NO: (408) 938-5770 JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E] APPLE - SEISMIC REPAIR/UPGRADE FOR SINGLE STORY BLDG (89,370 S.F.) REVISION #1: CHANGE STRUCTURAL CONNECTIONS: NEW DETAILS SK -1 AND SK -6. ISSUED 4/21/15 Sq. Ft Floor Area: Valuation: $1060000 APN Number: 31609030.18920 1 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 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 Municipa ode, Chapter 9.12 and the Health & Safety Code, Se ' , a 5534. Owner or authorized agent: 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18920 FORGE DR CONTRACTOR: DOME CONSTRUCTION PERMIT NO: 15020092 CORP OWNER'S NAME: APPLE INC 560 S WINCHESTER BLVD STE 500 DATE ISSUED: 03/13/2015 OWNER'S PHONE: 5103316719 SAN JOSE, CA 95128 PHONE NO: (408) 938-5770 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E] �, A�� / License ClassLic. # VPK fo APPLE - SEISMIC REPAIR/UPGRADE FOR SINGLE STORY BLDG (89,370 S.F.) Contractor ®6111' I Date__"92 d # 2 STRUCTURAL I hereby affirm that I am licensed under the provisions of Chapler 9 - FOUNDATION REVISIONS - ISSUED 6/18/15 (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: $1060000 ance of the work for which this permit is issued. lo e 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. APN Number: 31609030.18920 Occupancy Type: 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 to building construction, and hereby authorize representatives of this city to enter WITHIN 180 DAYS OF PERMIT ISSUANCE OR upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED INSPECTION. 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 er e u ' o Municipal Code, Section 918. / Signature ° 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. ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: I, as owner of the property, or my employees with wages as their sole compensation, ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the I hereby affirm under penalty of perjury one of the following three California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municip. de, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, ® �. Code, Section 3700 of the Labor Codefor the performance of the work for which this ,permit Owner or authorized Date: , 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 CONSTRUCTION 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 Lender's Address 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, ARCHITECT'S DECLARATION 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 9.18. Signature Date CITY OF CUPERTINO RM -7 FEE ESTIMATOR — BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (i.a 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 -for addn7 info. FEE ITEMS (Fee Resolution 11-053 E . 711113) ADDRESS: 18920 Forge Dr DATE: 04/21/2015 REVIEWED BY: SEan Elec..Plan Check APN: BP#: *VALUATION: Iso *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial Building USE. Civil / Religious activities in BQ zone? 0 Yes No PENTAMATION 1 GENCOM PERMIT TYPE: WORK REVISION #1: CHANGE STRUCTURAL CONNECTIONS: NEW DETAILS SK -1 AND SK -6. ISSUED SCOPE 4/21/15 NOTE: This estimate does not include fees due to other Departments (i.a 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 -for addn7 info. FEE ITEMS (Fee Resolution 11-053 E . 711113) Akch. Plan (:'heck P1u116. Picur ('heck Elec..Plan Check :Lleclt. 7.111it Fee: 11lumh. Permit Fee: rmir Fee: Other Afech. Tarp. Other Plumb 7nsp. LJ Ocher Elec. Insp. i-lech. 111sp. 1`ec-:: Phcnlb. 1usp. Fee: Elec. Imp. Pee: NOTE: This estimate does not include fees due to other Departments (i.a 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 -for addn7 info. FEE ITEMS (Fee Resolution 11-053 E . 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes Q No $0.00 = hours Plan Check, Hourly $143.00 1STPLNCK Suppl. PC Fee: Q Reg. C) OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Supp/. Insp. Fee -.(F) Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXC $0.00 Ac.hninistrative Fee: 0 E) Work Without Permit? 0 Yes Q) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential 0 Building or Structure 0 Travel UC.'�C'!,lt1Zt"'.FZTatt(JYt Fees.-� Strong Motion Fee: $0.00 Select an Administrative Item BldP_ Stds Commission Fee: $0.00 SUBTOTALS.] $0.00 $143.00 '- TOTAL FEE.- $143.00 Revised: 04/01/2015 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18920 FORGE DR CONTRACTOR: DOME CONSTRUCTION PERMIT NO: 15020092 CORP OWNER'S NAME: APPLE INC 2121 OAKDALE AVE DATE ISSUED: 03/13/2015 OWNER'S PHONE: 5103316719 SAN FRANCISCO, CA 94124 PHONE NO: (415)641-0800 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class Lic. APPLE - SEISMIC REPAIR/UPGRADE FOR SINGLE STORY BLDG (89,370 S.F.) ! Contractor &o)P, r. Date 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 Copip6sation, as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $1060000 of the work for which this permit is issued. rerformance 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: 31609030.18920 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 upon the above mentioned property for inspection purposes. (We) agree to save 180 DAY T ED INSPECTION. 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 y: Date: with all non-point.source regulati us er ie ino Municipal Code, Section 9.18. " Signature Date Q�� + (�J + (�j 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. El OWNER-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) I, 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 equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Secti ur2S�i d Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent " te: 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 CONSTRUCTION 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 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 918. Signature Date I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 18920 FORGE DRI CONTRACTOR: DOME CONSTRUCTION ORP I PERMIT NO: 15020092 I OWNER'S NAME: APPLE INC 1 560 S WINCHESTER BLVD STE 500 1 DATE ISSUED: 03/13/2015 [�I:I�L�i:�.l is [�7►i �i[IkICI[SIiL•] ❑ LICENSED CONTRACTOR'S DECL�A_RATION% License Class ._L1 # ` 6 Contractor ate 4410" 1 � 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 - applicant understands and will comply with all non -point urc regulations per the ino Municipal Code, Section 9.18. _7 !. Signature c '� Date 04 ❑ 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) 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. 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. Signature. Date SAN JOSE, CA 95128 1 PHONE NO: (408) 938-5770 JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E] APPLE - SEISMIC REPAIR/UPGRADE FOR SINGLE STORY BLDG (89,370 S.F.) REVISION #1: CHANGE STRUCTURAL CONNECTIONS: NEW DETAILS SK -1 AND SK -6. ISSUED 4/21/15 Sq. Ft Floor Area: Valuation: $1060000 APN Number: 31609030.18920 1 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 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 Municipa ode, Chapter 9.12 and the Health & Safety Code, Se ' , a 5534. Owner or authorized agent: 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18920 FORGE DR CONTRACTOR: DOME CONSTRUCTION PERMIT NO: 15020092 CORP OWNER'S NAME: APPLE INC 560 S WINCHESTER BLVD STE 500 DATE ISSUED: 03/13/2015 OWNER'S PHONE: 5103316719 SAN JOSE, CA 95128 PHONE NO: (408) 938-5770 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL E] APPLE - SEISMIC REPAIR/UPGRADE FOR SINGLE STORY License Class_ Lic. # ov BLDG (89,370 S.F.) -- r(�(n ahAG ? REVISION #3 - FOUNDATION REVISION AT GRID LINES Contractor ylsp cax,� ate 1 AND J ISSUED 7/14/2015 1 hereby affirm that I am licensed under the provisions of Chapter 9 - •n. ��-4 .,.�" (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. py 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: S1060000 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. APN Number: 31609030.18920 Occupancc "1"N7ir. APPLICANT CERTIFICATION 1 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 upon the above mentioned property for inspection purposes. (We) agree to save 180 D FROM LAST CALLED INSPECTI N. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the "� 1 granting of this permit. Additionally, the applicant understands and will comply Issued by: Date: 5 with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. 7 RE -ROOFS: Signature/ Date `J 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. ❑ OWNER -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 1 have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and 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 the Health & Safety Code, Sec25505 533, and 25534. I( ? lJ permit is issued. �t- Owner or authorized agent:�� Date: J 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 CONSTRUCTION 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 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, ARCHITECT'S DECLARATION 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 9.18. Signature Date CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION f ADDRESS: 18920 FORGE DR DATE: 06/18/2015 REVIEWED BY: MELISSA :bleclr_ Permit F'' APN: 31609030.18920 BP#: 15020092 'VALUATION: Iso xPERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial Building USE: I Civil / Religious activities in BQ zone. 0 Yes 0 No PENTAMATION 1 GENCOM PERMIT TYPE: WORK DEF # 2 - STRUCTURAL FOUNDATION REVISIONS - ISSUED 6/18/15 SCOPE f 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 preliminary information available and are only an estimate. Contact the Dept for addh 7 info. FEE ITEMS (Fee Resolution 11-053 UL'711,`13) tlech. Plan Check Phunh. Plun Check Elec. Plan Check :bleclr_ Permit F'' 1'. a„b. Pe I -mit 1%r” -I_ FIec. Permit V Other Alech. InspED-L- Li Oilier Occ. Insp. 14ech. Insp_ hee: ;" . Insp. 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 preliminary information available and are only an estimate. Contact the Dept for addh 7 info. FEE ITEMS (Fee Resolution 11-053 UL'711,`13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes Q No $0.00 2 hours Plan Check, Hourly $286.00 1STPLNCK Suppl. PC Fee: E) Reg. 0 OT0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes (F) No $0.00 Suppl. Insp. Fee -.0 Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSEA C $0.00 1Olministrative Fee: 0 Work Without Permit? 0 Yes E) No $0.00 Advanced Planning Fee: $0.00 0 hours Inspections $286.00 1sTINSP Inspection, Hourly 0 A Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $572.00 TOTAL FEE: 1 $572.00 Revised: 05/07/2015 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION Rev f.5 &a,-- ADDRESS: 18920 Forge Drive DATE: 07/14/2015 REVIEWED BY: Paul a /1 Perms[ Fee APN: 316 09 030.18920 BP#: 15020092 *VALUATION: Iso xPERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration /Addition/ Repair PRIMARY USE: Commercial Building Civil / Religious activities in BQ zone? © Yes Q No PENTAMATION PERMIT TYPE: 1 GENCOM WORK Revision #3 - Foundation Revision at Grid lines 1 and J SCOPE Suppl. Insp. Feele Reg. Q OT NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These lees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resolution 11-033 E f.' 7/1/13) Atech. Plan Check Plumb. Phm Check Elec. Plan Check a /1 Perms[ Fee $0.00 Flee. Permit 1-< Other Adech. trop Other Plumb Insp Other Lslec. Insp. :Tech. Insp. Fee: Plumb. hup. Fee: Lilec•. Insp. Fee NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These lees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resolution 11-033 E f.' 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? ()Yes Q No $0.00 F 1 hours Plan Check, Hourly $143.00 1STPLNCK Suppl. PC Fee: (j) Reg. OT0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feele Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXC $0.00 ,ldininislrative Fee: Q G Work Without Permit? O Yes Q No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential G Building or Structure 0 Travel lUac•u7nenlation Fees: Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $143.00 TOTAL FEE: $143.00 Revised: 07/02/2015