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13120144CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18920 FORGE DR CONTRACTOR: DEVCON PERMIT NO: 13120144 CONSTRUCTION INC OWNER'S NAME: APPLE INC 690 GIBRALTAR DR DATE ISSUED: 12/18/2013 OWNER'S PHONE: 4089745662 MILPITAS, CA 95035 PHONE NO: (408)942-8200 LICENSED CONTRACTOR'S DECLARATION t-- +µ r LicenseClass Lic. # BUILDIN PERMIT INFO: BLDG ELECT PLUMB � t-� � ` � MECH RESIDENTIAL COh4MERCL4L' Contract Date �/� I hereby trm that m licensed under the provisions of Chapter 9 JO ESCRIPTION: 400 SQ FT 4 FT DEEP FULL FOUNDATION FOR (commencing with Section 7000) of Division 3 of the Business & Pro s AMBER -DEFERRED SUBMITTAL FOR CHAMBER AND SPRINKLERS Code and that my license is in full force and effect. 6 » �rtsls�►1 /4e-J;4b Cipcenbee /nI ations:I hereby affirm under penalty of perjury one of the follow dn'�i-IAF#! have and will maintain a certificate of consent to self-insure'sCompensation, as provided for by Section 3700 of the Labor Co,e Sq. Ft Floor Area: Valuation: 5250000 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: 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 OM 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: -74 Dat • with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. RE -ROOFS: igna �- Dat 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 inspectiou. ❑ 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 695 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 complianee with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Scction 25532(a) should I store or handle hazardons 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 penriit is issued. will maiutaiu compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Se 5505, 25533, and 2 Section 3700 of the Labor Code, for the performance of the work for which this � 3 permit is issued. O ler or authorized age • DateY I certify that in the performance of die work for which this permit is issued, I shall not employ any person in any inannerso as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption,1 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 perfomrance 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 eertify 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 sliall 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 CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(ftuperlino.org ❑ NEW CONSTRUCTION ❑ ADDITION �k\B ❑ ALTERATION / TI X❑ REVISION • ',Ug,.:. .:`,,. �EORIGINAL PERMIT i! 13120144 PROJECT ADDRESS 18920 Forge Drive, Cupertino,CA 95014 APNO 31609030.18920 OWNERNAME Apple Inc. PHONE 408.974.5662 E-MAIL STREET ADDRESS 1 Infinite Loop CITY, sTATE,zIP Cupertino, CA. 95014 FAX ONTAC NAME Jacki Horton, Apple, Inc. PHONE 408.862.8234 E-MAIL jacki@apple.com STREETADDRESS 1 Infinite Loop CITY, STATE, ZIP Cupertino,CA 95014 FA's ❑ OWNER ❑ OWNER- BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER 29 TENANT hICONTRACTOR NAME Sim Leibold LICENSE NUMBER .399163 LICENSE TYPE B BUS. LIC # 11068 COMPANYNAME Devcon Construction, Inc . EMAIL jleibold@devcon-const.com FAX 4 0 8 .2 62.2 3 42 STREETADDRESs 690 Gibraltar Dr. CITY,STATE,ZIP Milpitas,CA 95035 PHONE 831.212.9676 ARCHITECT!' AME Robert Lyons LICENSE NUMBER 2719 BUS, LIC 11 COMPANYNAME Risha Engineering &MAIL FAX STREET ADDRESS 410 E. Cypress Ave CITY, STATE, ZIP Burbank, CA 91501 PHONE 818-729-9777 DESCRIPTION OF WORK Deferred permit application for ETS-Lindgren 3M Chamber at Apple Forge project - ETS project #PJ1908, Job# 13213. EXISTING USE Office/Labs PROPOSED USE CONSTR. Office/Labs TYPE III -B 4 STORIES 1 USE TYPE OCC. SQ.FT,T-77- ATION($) AREA 91K S NEW FLOOR DARREAO TOTALEAREA$300 , 000 BATHROOM REMODEL AREA KITCHEN REMODEL AREA N / A OTHER REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH N/A N/A N/A N/A ❑ATTACH 9 DWELLING UNITS: IS A SECOND UNIT [] YES SECOND STORY ❑ YES N/A BEING ADDED? [@NO ADDITION? ®NO PRE -APPLICATION E]YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES REC - TOTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ® NO - 3 0 0, 0 0 0 By my signature below, I certify to each of the following: I am'the property owner or a agent to act o he propner's behalf. I have read this application and the information I have provid ' correct. I have read the Descri ion of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to Ing c struction u rize repres ves of Cupertino to enter thea ave-ide ified property for inspection purposes. yr Signature l of ApplicantlAgent: Date: l SUPPLEMENT9L INFORMAII REQUIRED PLAN CHECK TYPE ROUTiNGSLIP El OVER-THE-COUNTER El BUILDINGPLAN REVIEW _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ 'SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BidgApp_2011. doc revised 06121111 MM-1CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION NOTE: This estimate -does not include fees due to other Departments Cie. Planning, Public Works, Fire, Sanitary Sewer District, School District, etG . Thesefees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 EfI' 7/1/13) ADDRESS: 18920 FORGE DR ' DATE: REVIEWED BY: MELISSA fLlech. Perwil Fee; APN: 31609030.18920 BP#:13120144 `VALUATION: 1$300,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: Elec, Insp, Fee: PENTAMATION 1GENCOM PERMIT TYPE: i WORK 1 - INSTALL N PRE -FAB CHAMBER IN LAB BUILT ON SITE [QEE# SCOPE NOTE: This estimate -does not include fees due to other Departments Cie. Planning, Public Works, Fire, Sanitary Sewer District, School District, etG . Thesefees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 EfI' 7/1/13) A1cch• Plan Check Plranh. Plan Check Elec. Plan Check fLlech. Perwil Fee; Plnmh. Permil Fee: lilec, Perrnil Fce: Other Meth. Imp. 011ier Plumb Insp,Li Qihep Elee.,&n p. E]__L_ A-Iec'h. Insp. Fee: Plrrrnb. Irish. Fee; Elec, Insp, Fee: NOTE: This estimate -does not include fees due to other Departments Cie. Planning, Public Works, Fire, Sanitary Sewer District, School District, etG . Thesefees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 EfI' 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 1 # $278.00 Deferred Submittal IDEFSUBM Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? © Yes Q No $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Conso-tiction Tux: Administrative Fee: Q G Work Without Permit? 0 Yes (D No $0.00 Advanced Planning Fee: $0.00 hours $278.00 Inspections ISTINSP Inspection, Hourly Q Travel Documentation Fees. ; Strom Motion Fee: lBSEISMICO $63.00 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $12.00 �SUBTOTA'LS: $75.00 $556.00 'TOTAL,FEE. 3 $631.00 Revised: 01101/2014 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18920 FORGE DR CONTRACTOR: DEVCON PERMIT NO: 13120144 CONSTRUCTION INC OWNER'S NAME: APPLE INC 690 GIBRALTAR DR DATE ISSUED: 12/18/2013 OWNER'S PHONE: 4089745662 MILPITAS, CA 95035 PHONE NO: (408)942-8200 r LICENSED CONTRACTOR'S DECLARATION 1104 JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL 400 SQ FT 4 FT DEEP FULL FOUNDATION FOR Lic. tF r License ClMthat CHAMBER -DEFERRED SUBMITTAL FOR CHAMBER AND SPRINKLERS Contractor I hereby aIi eased ur the provisions of Chapter 9 (commcncing with Section 000) of Div ion 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: $250000 performance of the work for which this permit is issued. 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. 1 agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERNIIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above in property for inspection purposes. (We) agree to save 180 DAYS 4 LED 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. dditionally, the ap licant understands and will comply Y r 2 �3t1.3 with all non -point saurc ' regula s per Cupertino Municipal Code, Sect' 9.18. RE -ROOFS: SignatureDate 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. -4 ❑ OIXEI OECLARATION 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 (Sce.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.I2 and the declarations: Health & Safety Code, Section 25532(x) 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, will maintain compliance with the Cupertino Muidicipal 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, Section 550 , 255 , and 25534. Owner or authorized agent: 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 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 (See. 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 acerae 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 CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building a.cupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION Dfl ALTERATION 1 TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS 18920 Forge Cupertino,CA 95014 APN# 31609030.18920 TDrive, OWNERNAME Apple ,}nc . ° PHONE 408. 974 .5662 E-MAIL STREET ADDRESS 1 Infinite Loop CITY, STATE,ZIP Cupertino, CA. 95014 FAX CONTACT NAME Jacki Horton, Apple, Inc. PHONE 408 . 862 . 8234 E-MAIL J acki@apple . com STREETADDRESS 1 Inf inite Loop CITY, STATE, ZIP Cupertino, CA 95014 FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER N TENANT CONTRACTORNAME Jim Leibold LICE NSENUMBER 399163 LICENSE TYPE B BUS.LICH 11068 COMPANYNAME Devcon Construction, Inc. E-MAIL jleibold@devcon-const.com FAX 408.262.2342 STREETADDRESS 690 Gibraltar Dr. crrY,STATE,ZIP Milpitas, CA 95 03 5 PHoNE 831 .212. 9676 ARCHITECTENGINEER NAME LICENSE NUMBER BUS. LIC # Brent Downin COMPANY NAME Devcon Construction E-MAIL bdowing@devcon-const.com FAX STREET ADDRESS 690 Gibraltar Drive CITY, STATE, ZIP Milpitas CA 95035 PHONE 408-942-8200 DESCRIPTIONOFwORK Demolition and new concrete construction to expand existing pit to prepare for installation of new pre -fabricated test chamber in AWCL Lab. EXISTINGUSE Office/Labs PROPOSED USE CONSTRTYPE Office/Labs III -B I #STORIES 1 USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG AREA 91K S NEW FLOOR AREA N/A DEMO AREA TOTAL NET AREA BATHROOM REMODEL AREA KITCHEN REMODEL AREA N / A OTHER REMODEL AREA PORCH AREA DECK AREA TOTAL DECK(PORCH AREA GARAGE AREA: DETACH N/A N/A N/A N/A L] ATTACH # DWELLING UNITS: IS A SECOND UNIT []YES SECOND STORY ❑ YES N/A BEING ADDED? ®NO ADDITION? ®NO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF ISTREBLDGAN ❑YES TOTALVALUATION: PLANNINGAPPLH []NO PLANNING APPROVAL LETTER EICHLERHOME? ONO - �7 iry By my signature below, I certify to each of the following: ! am the property owner norized age o ac I roperty owner's behalf 1 have read this application and the information I have provided ' orrect. 1 have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to construction. 1 authorize representatives of Cupertino to enter the above-identifi dprop rty for inspection purposes. Signature of ApplicantlAgent: Date: &Vi Y SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP ❑ BUILDINGPLAN.REVIEW _ New SFD or Multifamily dwellings: Apply for demolition permit forVER.TIIE-COUNTER' existing building(s). Demolition permit is required prior to issuance of building` permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 13 STANDARD- P ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEFVER DISTRICT submittal of Building Permit application. ❑ ENVIRONNtENTAL HEALTH BldgApp 201 Ldoc revised 06121111 CITY OF CUPERTINO FM -W FEE ESTIMATOR -- BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 18920 Forge Drive FLR AREA s.f. DATE: 12118/2013 REVIEWED BY: larrys BP FEES APN: 316 09 030.18920 BP#: 1 a0 "VALUATION: 1$250,000 *PERMIT TYPE: Building Permit $2,041.11 PLAN CHECK TYPE: Tenant Improvement PRIMARY USE: Commercial Building 1BTIINSP PENTAMATION PERMIT TYPE: 113 TI WORN 400 s ft 4 ft deep full foundation for chamber -deferred submittal for chamber and -sprinklers SCOPE hrs $0.00 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 400 $2,041.11 IBTTPLNCK $637.37 1BTIINSP Ek c. Insp. Fee: $637.37 Suppl. Insp. FeelD Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PNM Permit Fee: $0.00 Construction Tax: ,ldininistrative Fee: Q Work Without Permit? O Yes No $Q.Q0 TOTALS: 400 $2,041.11 Traiwl Documentation Fees:: $637.37 Strong Motion Fee: IBSEISMCO MECH, HOURLY O Yes O .Na..PLUMB, HOURLY Q Yes Q `To. °ELPX�,.HOURLY Q Yes . E) No Alech. !'fan Check Phuub, Plan Chcck Dec. Plan Check Bell, Perwir Fee Plumb. Permit Fee: Flec Permit Pee: Other Alech. Insp� Other Plumb lnsp. Li Other FICC, Insp. ET-t- Ifech. Insp. Fee: Plumb. luso. Fee: Ek c. 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 fees are based on the nrelisduary information available and are only an estimate. Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 Eff. 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,041.11 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: 0 Reg. Q OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $637.37 Suppl. Insp. FeelD Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PNM Permit Fee: $0.00 Construction Tax: ,ldininistrative Fee: Q Work Without Permit? O Yes No $Q.Q0 Advanced Planning Fee: $0.00 Select a Nan -Residential 0 Building or Structure i Traiwl Documentation Fees:: Strong Motion Fee: IBSEISMCO $52.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $10.00 SUBT-OTAJLS: $2,740.98 $0.00, TOTAL FEE: $2,740.98 Revised: 1010112013 CUPERTIINdO Apple Forge - 3M Chamber Addition CONTRACTOR SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Tone Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 TOB ADDRESS: 18920 Forge Drive, Cupertino, CA. 95014 PERMIT* 131Z,01 l,( OWNER'S NAME: Apple, Inc. PHONE # 408-942-8200 GENERAL CONTRACTOR: Devcon Construction, Inc. BUSINESS LICENSE # 11068 ADDRESS. 690 Gibraltar Drive CITY/ZIPCODE: Milpitas, 95035 *Our municipal code requires all businesses worldng in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. 1 am not using any subcontractors; Signature Please check applicable subcontractors and complete the following information; Date Owner I Contractor Signature 408-519-8367 or jieibofd@devcon-const.com 6 Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork X Cement Finishing Joseph J. Albanese X Electrical Redwood Electric Group 1 X Excavation Joseph J. Albanese Fencing X Flooring / Carpeting Partition Specialties, Inc. G Linoleum / Wood Glass / Glazing X Heating Thermal a�Q Insulation Landscaping Lathing Masonry Joseph J. Albanese J Painting / Wallpaper Paving Plastering X Plumbing Thermal /�ZQ Roofing Septic Tank X Sheet Metal Therms �aQ Sheet Rock Tile Owner I Contractor Signature 408-519-8367 or jieibofd@devcon-const.com 6 Date