No preview available
10110148 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10231 BUBB RD CONTRACTOR:DPR CO STRUCTION INC PERMIT NO: 10110148 OWNER'S NAME: APPLE INC 1450 VETERANS BLVD DATE ISSUED: 12/09/2010 OWNER'S PHONE: 4089744876 REDWOOD CITY,CA 94063 PHONE NO:(650)474-1450 LICENSED CONTRACTOR'S DECLARATION r r F BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic.# MECH r RESIDENTIAL[_ COMMERCIAL r Contractor DI (�Je G.�,xy,;r,P��ip�J Date 9 b 1 hereby affirm that I am licensed under the provisions of ha er 9 JOB DESCRIPTION:COM'L DEMO#I 1 BUBB-DEMOLITION OF SLAB ON (commencing with Section 7000)of Division 3 of the Business&Professions GRADE, Code and that my license is in full force and effect. TRENCHING,UNDERGROUND CONDUITS(6000SQ) 1 hereby affirm under penalty of perjury one of the following two declarations: 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. Sq.Ft Floor Area: Valuation:$370000 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is APN Number:35720007.00 Occupancy Type: 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, PERMIT EXPIRES IF WORK IS NOT STARTED costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply WITHIN 180 PAYS OF PERMIT ISSUANCE OR with all non-point source regulations r the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. ; Date:/ 16 C� OWNER- ILDER DECLARATION ,:by affirm that I am exempt from the Contractor's License Law for one of RE-ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1,as owner of the property,or my employees with wages as their sole compensation, installed without first obtaining an inspection,I agree to remove all new materials for will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection. Business&Professions Code) 1,as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant: Date: construct the project(Sec.7044,Business&Professions Code). 1 hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE Compensation,as provided for by Section 3700 of the Labor Code,for the 1 have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should 1 store or handle hazardous material. permit is issued. Additionally,should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District I will not employ any person in any manner so as to become subject to the Worker's maintain compliance with'the Cupertino Municipal Code,Chapter 9.12 and the Compensation laws of California. If,after making this certificate of exemption,I Health&Safety Code,Sections 25505,25533,and 25534. 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. Owner authorized agent /b APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of work's to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.) upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the Lender's Address granting of this permit.Additionally,the applicant understands and will comply ill non-point source regulations per the Cupertino Municipal Code,Section ARCHITECT'S DECLARATION I understand my plans shall be used as public records. SignatureDate Licensed Professional DEMOLITION CITY OF CUPERTINO FEE ESTIMATOR— BUILDING DIVISION ADDRESS: 10231 bubb rd. #11 DATE: 11/22/2010 REVIEWED BY: bobs. APN: BP#: *VALUATION: 1$370,000 *PERMIT TYPE: Demolition Permit PC 4N CHECK TYPE PRIMARY Commercial Building PENTAMATION 1 COMMLDEM USE: PERMIT TYPE: WORK demo commercial offices ace underground trenching, non -structural. SCOPE FEE ID FLR AREA s.f. 1DEMOCOM 6,000 Ltcch. Flan Check 1''huuh. Plan Cltf•c k I.lec' Plun Chcck :vfccb. Pencil Fee: Pht„ it Fees: �,'r�r permir 1 LA'I',",'h. :��e'CI7.InSf1. O/tlNY hld!!T/1)1/; (Jlher•lilc�r lns;Insp_ F(fe plumb. 11Np.Fe'.. Elec.Insp. I'ex' NOTE. These ees are based on the preliminary information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 09-051 E . 711110) FEE QTY/FEE MISC ITEMS Plan Check Fee: Suppl. PC Fee Plumb.1illech./Elee Plan Cheek: Permit Fee: $760.00 Suppl. Insp. Fee-0 Reg. © OT 0.0 hrs $0.00 f'lumb.;'.v1ec1�.;Elec Unit.F,'ee: P/umh./Mech./Elee Permit Fee: Construction Tax _FT Acousliccal Reviciv Fee;: Work R'ithout Permit? Planning Fees: Travel Documentation Fc es: i Strong Motion Fee: IBSEISMICo $77.70 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $15.00 SUBTOTALS: $852.70 $0.00 TOTAL FEE: $852.70 Revised: 11/08/2010