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Home My WebLink About14110063 PermitCITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10300 N TANTAU AVE CONTRACTOR: RAY L HELLWIG PERMIT NO: 14110063 PLUMBING & OWNER'S NAME: CAMPUS HOLDINGS INC 1301 LAURELWOOD RD DATE ISSUED: 11/12/2014 OWNER'S PHONE: SANTA CLARA, CA 95054 PHONE NO: (408)727-5612 JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ o LICENSED CONTRACTOR'S DECLARATION AC2- PHASE H- RELOCATE METER TO BLDG License Class 'ts,%(Lic.9A / "9o'12 -.D '/_ ContractorI (I C11Y�ju Date T ii"I i 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. Sq. Ft Floor Area: \ al oration: $30000 1 have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 31618025.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WLPIIIN AY RMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter 180 DAYS CALLED INSPECTION. 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 Issued by: Date: 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 ( iii] i+' RE -ROOFS: Signa[tsgp ;rL� Date All roofs shall be inspected prior to any roofing material being installed. If a roof is I'L installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OAVNER-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 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 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. 1 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, 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 the Health & Safety Code, Sections 25505, 5533, and 25534. Section 3700 of the Labor Code, for theperformance of the work for which this j j jZ' /y Owner or authorized ag Da[e: 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 CONSTRUCTION LENDING AGENCY 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 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 9.18. Signature Date • GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISION do� 103O0 TORRE AVENUE • CUPERTIND, CA 95014-3255 \\ (408) f7r-3228 • FAX (408) 777-3333 • buildino(a)ouoertino.ora \L\ M ppLb1viBIG 0i,* AMICAI.. Oawmicri L1MiscEin sous PROJEC-1 � !0OO N. -1 u-rL u I `PN R 31 � 1 g 025•C' ' A '-E fiby? -Sz ST_ilET ADDP.PSS , STATE. ZIP,. I FEX CONTACT NAM PyONEI STBflT ADDRESS CITY. STATE, T? I PFX ff n s 13 OW R-st. mm O owl? AtENT ❑ CC.3tCIOR ❑ CONIEACiORAC3.T ❑ AR to 0 a ❑ D:YflOPf 0 -zis-r C N { U%lU 1N� 4 TY? I - an &trso►.i( EL I sys.uC 2,587.0 tp9) in -set r 9r tiny I C-Lf- 6' P 1Il -S6 r o IUCE SE WUL'sR- - `� zo I BUS.LIC# COM_"/ .7MU� Via - I LMT • FAX s iZa Eer ADDRESS I CITY, SPATE. ZIP • I P30Nc USE Oar ❑Sm DDPL'-X O MtJLU-PA1m.Y WAS=°-CIE.L crN ❑ P1OJECTNWII.DLR�.9 OT PROrYS I lu r iT FAC AR ' X130 PLOOD ZONE ❑ NO a ISELDGJ-\ ❑'� ZCEI HOI ? ❑ D=SCCTTiC:t O -r won 1ic(,a►JIJCr jZi2LDC#rrt12 1A6c[- BwLD IuL By ow sicase below. I ce u5' to each o_ the following: I am the property owner or aatioriaed agent to act on the props; y owner's behalf I have read this app!icion and the information I have provided is conect,11 haveread the Description of Work and verify it is accurate. I agee to comply with all applicable local ordinances and stee L:.sr_iG.i$ tolbyldme ycr- to j;a Iauthc4se rep.,sentatives of Cupertino to enter 3e zYvr-:den4ed p,rap_rty for inspection purposes. ME?Miscfpp 2011.doc revised 06/21/11 . CITY OF CUPERTINO 1`` " "!/11 FF.F. ESTIMATOR - BUILDING DIVISION ADDRESS: 10300 n tantau DATE: 11/12/2014 REVIEWED BY: Mendez \ APN: BP#: 3 `VALUATION: I$30,000 'PERMIT TYPE: Electrical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Du lex USE: p PENTAMATION 1REAP8 PERMIT TYPE: 4 WORK act- phase II- relocate meter to bldg SCOPE APPLIANCE/EQUIP TYPE FEE ID QTI UNITS BP FEES Other Power Devices 1BREMPOWER 1 # $179 TOTALS: $179.00 ;,;; , picar, i,., Elec. Plan Check 0.0 hrs $0.00 Elec. Permit Fee: IEPERMIT Other Elec. Insp. 0.0 hrs $48.00 ;VOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, Schoot . TL..... t...,. A..eed.... ii.0 ma/in,innm infnr ,niinn m,nilahlo and are nnh, an estimate. Contact site Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 7%LQ31 FEE QTY/FEE MISC ITEMS PME Plan Check: $0.00 Fee: Ins'/ Fee PME Unit Fee: $179.00 PME Permit Fee: $48.00 (,w51, ticIion 7 ix: Administrative Fee: IADMIN $45.00 Work Without Permit? 0 Yes 0 No $0.00 4 Travel Documentation Fee: ITRAVDOC $48.00 Strong Motion Fee: IBSEISMICR $3.90 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00 SUBTOTALS: $325.90 $0.00 TOTAL FEE: $325.90 Revised: 10/01/2014 DISTRICT MANAGER -ENGINEER MARK THOMAS & COMPANY, INC. RICHARD K. TANAKA DISTRICT COUNSEL ATKINSON FARASYN, LLP.- HAROLD S. TOPPEL August 25, 2014 fie sANlTgq0 FSl48LISHED %0 20863 STEVENS CREEK BOULEVARD, SUITE 100 CUPERTINO, CALIFORNIA 950142154 (408) 253-7071 PHONE • (408) 253-5173 FAX www. co pertinosanitarydisirict. org City of Cupertino Building Department 10300 Tone Ave. Cupertino, CA 95014-3202 Subject: Apple Campus 2_ Demolition (9000 sf) — Submittal No. 1 Name: Apple Inc. Address: 10435 N Tantau Ave, Cupertino, CA APN: 316-06-039 Permit No. 14080063 BOARD OF DIRECTORS WIWAM A. BOSWORTH JOHN M. GATTO STEVE C. ANDREWS WENDELL H. KERR, JR. ANGELA S. CHEN File: CSD — MOP City of Cupertino The Cupertino Sanitary District has reviewed the plans for the subject project and the following Conditions/Requirements are made: Cupertino Sanitary District plan review and inspection fee ($300) is required for the subject improvements. Please do not issue any Building Permits. (O.X 5203) • Existing sanitary sewer lateral shall be disconnected and capped in the presence of a District Inspector. Owner to call the District at least 48 hours prior to work to schedule and District Inspector. ((AC 5104). SUPPLYING SANITARY SEWERAGE SERVICES FOR: CITY OF CUPERTINO, PORTIONS OF THE CITIES OF SARATOGA, SUNNYVALE, Los ALTOS AND SURROUNDING UNINCORPORATED AREAS Page 2 All conditions, requirements and recommendations are to be completed at the (owner/developer)'s expense. Yours very truly, MARK THOMAS & COMPANY, INC. District Manager -Engineer for Richard K. Tanaka If you have any questions or need additional information, please call Tbanh Nguyen at 408- 253-7071. i nc } ndcIw. idfl."a1-E-.E r 014U_4t.r 14-3' I Ctrl+.u:rr I3aik:i.Ikj irlm.n 1- uSl',II Aprlt i ao:pn. C:::c U,raoiu!nn I ._i N u+vsu :'.czS.:h 1 SUPPLYING SANITARY SEWERAGE SERVICES FOR: CITY OF CUPERTINO, PORTIONS OF THE CITIES OF SARATOGA, SUNNYVALE, LOS ALTOS AND SURROUNDING UNINCORPORATED AREAS Building Department CITY OF CUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 TELEPHONE: (408) 777-3228 • FAX: (408) 777-7606 CUPERTINO PG&E: REQUEST FOR GAS/ELECTRIC RELEASE TO: Pacific Gas & Electric — Service Planning Department Email: PGESouthernAsencylnsnections(a.nee.com FAX: (800) 700-5722 FROM: City of Cupertino — Building Department PH: (408) 777-3228 FAX: (408) 777-7606 DATE: December 9, 2014 OWNERS NAME: Campus Holding BUILDING ADDRESS: 10300 N. Tantau Ave Unit # ROSEBOWL: RM # METER # DESCRIPTION: east side of courtyard USE: Commercial X Industrial Residential Apartment Bldg _ Meter Location From Street: Front Rear Center Left Side Right Side X GAS RELEASE: ELECTRIC RELEASE: New Service: BTU'S: New Service: Amps: Service Change: BTU'S: Service Change: _ Amps: Temporary Gas Release: Number of Meters: 1 Notes: BUILDING INSPECTION DEPARTMENT: Inspector: Chris Fowler Sentby: Melissa Names Temporary Power: (At New Meter Location) Temporary Power Pole: Amps: Temporary Power: Amps: (Reconstruction after Fire or Flood Damage) Number of Meters: Permit No: 14110063 Daterfime: 12/9/14, 11 AM