HomeMy WebLinkAbout11040070CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: I INFINITE LOOP CONTRACTOR: CRITCHFIELD PERMIT NO: 11040070
MECHANICAL INC
OWNER'S NAME: APPLE INC 1901 JUNCTION AVE DATE ISSUED: 07/27/2011
OWNER'S PHONE: 4089748221 SAN JOSE, CA 95131 PHONE NO: (408) 437-7000
❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG F ELECT F PLUMB I—
License Class L 26 Lic. II .3-4/1/07
Contractor LR I TGH fI,-Z-U t4fZ 14A&/CF,Date 7Z/2Z/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.
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
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 -712711(
❑ OWNER -BUILDER DECLARATION
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)
I, 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.
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, l 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.
MECH F RESIDENTIAL F COMMERCIAL I—
JOB DESCRIPTION: BASEMENT - INSTALL 6 NEW CHILLERS, 10 NEW WATER
PUMPS, UPGRADE REFRIGERANT MONITORING/ALARM
SYSTEM
Sq. Ft Floor Area: I Valuation: $1338000
APN Number: 31602105.00 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; � 2 �� lj�
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 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 1 will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Sections 25505, 25533, and 25534.
Owner or autjPby' agent:
Date: ZL?_ �
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
I understand my plans shall be used as public records.
Signature Date I Licensed Professional
CITY OF CUPERTINO BUILDING PERMIT
I BtILDING ADDRESS: I INFINITE LOOP I CONTRA C OR: CRITCHFIF,LD I PERMI T NO: 11040070
MEC
FIR'S NAME: APPLE INC
0)1%'NER'S PHONE: 4089748221
❑ LICENSED CONTRACTOR'S DECLARATION
I icense Class�2QAS Lic. N G' 1 D
Contractor f ,D; � u--1 ��. Date '1 1 c7 l I 1
1 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 Inv license is in full force and effect.
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 hase and will maintain Worker's Compensation Insurance, as provided for by
Scction 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
indemnity 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
\N uh all non -point source o ations per the 'upertino Municipal Code, Section
9 18
.Mature -- -- Date__
❑ ONi'NER-BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor's License Law for one of
ttte 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.
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 ccrtity that in the performance of the work for which this permit is issued, I shall
not emplo} any person in any manner so as to become subject to the Worker's
Compensation laws of California. It, after making this certificate of exemption,
become subject to the Worker's Compensation provisions of the Labor Code, I must
torihwith comply with such provisions or this permit shall be deemed revoked
APPLICANTCERTIFICATION
1 certity 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 huilding construction, and hereby authorize representatives of this city to enter
nm,,n the above mentioned property for inspection purposes. (We) agree to save
it'\ and keep harmless the City of Cupertino against liabilities, judgments,
and expenses which may accrue against said City in consequence of the
.u:uning 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
1901 JUNCTION AVE I DATE ISSUED: 07/27/2011
SAN JOSE, CA 95131 ( PHONE NO: (408) 437.7000
BUILDING PERMIT INFO: BLDG f— ELECT PLUMB
MECH f— RESIDENTIAL f— COMMERCIAL F–
JOB DESCRIPTION: BASEMENT - INSTALL 6 NEW CHILLERS, 10 NEW WATLR
PUMPS, UPGRADE REFRIGERANT MONITORING/ALARM
SYSTEM
REV# I - CHILLER UPGRADE, MODIFY ELECTRICAL FOR NEW CHILLER
INSTALLATION.
Sq. Ft Floor Area: I Valuation: $1338000
APN Number: 3160210.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 18 DF` S OF PERMIT ISSUANCE OR
180 DAYS FLA 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(x) 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 (duality Management District 1 will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Sections 25505, 25533, and 25534.
Owner or orized agent: 9 9 11
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
I understwid my plans shall be used as public records.
Licensed Professional
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
191
ADDRESS: 1 infinate loop
DATE: 08/01/2011
REVIEWED BY: larry s
UNITS
APN:
I BP#:
*VALUATION: 1$76,000
*PERMIT TYPE: Electrical Permit
PLAN CHECK TYPE: Alteration / Addition / Repair
PRIMARY SFD or Duplex
USE:
#
PENTAMATION 1 REAP?
PERMIT TYPE:
WORK
revision to #11040070
SCOPE
$0.00
APPLIANCE I EQUIP TYPE
FEE ID
QTY[FEET
QTY
UNITS
BP FEES
Special Circuits
1BREMMISC
1
#
$130
PME Plan Check:
$0.00
PME Unit Fee:
$130.00
PME Permit Fee:
$44.00
TOTALS:
$130.00
............ .......
..........
. .. ....... . .......... .....
.... ........... . .... .... . .... . . . . .... ... . . . . . . . . .. . :: ::::. : ...... .........
................. ............. . ....... . . . ..... . ...
-----TElec. Plan Check hrs $0.001
Elec. Permit Fee: j
Other Elec. Insp. 1 0.0 1 hrs
NOTE-- Th. --w fpp.v are hued nn the nroliminary intarmatian avallahl.- and arp nn1v an Petimato 4-nntartthe nen/ far addn11infn
FEE ITEMS (Fee Resolution 11-053 E -f. 7//1/7 1)
FEE
QTY[FEET
MISC ITEMS
PME Plan Check:
$0.00
PME Unit Fee:
$130.00
PME Permit Fee:
$44.00
Work Without Permit? 0 Yes No
$0.00
Travel Documentation Fee: I TRA VDOC
$44.00
Strorip, Motion Fee:
IBSEISMCR
$7.60
0#
$783.00 1REVSFDWL
Revisioxy r
SFDWL
Bldy, Stds Commission Fee: IBCBSC
$4.00
. .........
1 $229.601
$783
012.60
Revised: 07/04/2011
I
CITY OF CUPERTINO
W%7 FEE ESTIMATOR - BUILDING DIVISION
Nf)TF.t These Pees are hated an the nreliminary intarmation availahle and are oniv an owimato Fontan the Dent for addn'i into_
FEE ITEMS (Fee Resolution 09-051 E '. 7111/0)
ADDRESS: 1 infinite loop
DATE: 04/11/2011
REVIEWED BY: bobs.
APN:
BP#:
"VALUATION: 1$1,338,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building
USE:
Suppl. PC Fee: 0 Reg. 0 OT
PENTAMATION 1GENCOM
PERMIT TYPE:
wORK
install 6 new chillers 10 new water pumps, upgrade refrigerant monitoring/alarm sstem
SCOPE
Nf)TF.t These Pees are hated an the nreliminary intarmation availahle and are oniv an owimato Fontan the Dent for addn'i into_
FEE ITEMS (Fee Resolution 09-051 E '. 7111/0)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee: Hourly Only? 0 Yes
0 No
$0.00
hours
$252.00
Plan Check, Hourly
ISTPLNCK
Suppl. PC Fee: 0 Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
16 #
$2,016.00
Mechanical
IMCRAA Cooling System
Permit Fee:
$0.00
Suppl. Insp. Feer Reg. 0 OT
0.0
1 hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$42.00
7_1
Acoustical Fee: 0 Yes E) No
$0.00
0
0
Work Without Permit? 0 Yes E) No
$0.00
Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
(
0
i
Travel Documentation Fee: ITPA VDOC
$42.00
Strong Motion Fee: IBSEISMICO
$280.98
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$54.00
..:............:::.:::....:::::.: ;•.::tlA
418.98
2 68.0
,� 0''
:: l r
�'z�:,�:� .
$2,686.9 8
Revised: 01/15/2011
CUPERTINO
\ If— 61 c7
GENERAL PERMIT APPLICATION I �`� MEP
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ` 6
10300 TORRE AVENUE • CUPERTINO, CA 950143255 MISC
(408) 777-3228 - FAX (408) 777-3333 & building cDcupertino.org
F-1PLUMBING ❑ MECHANICAL DELECTRICAL ❑ MISCELLANEOUS
PROJECT ADDRESS APN #
I Inf finite Loo
OWNER NAME PHONE E-MAIL
Ample Computer
STREET ADDRE: — - ' , L N 1 J ,/ '+ L O CITY, STATE, ZIP FAX
Cupertino, CA 950114_
CONTACT NAME PHONE E-MAIL
STREET ADDRESS
CITY, STATE, ZIP
FAX
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT IX CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHrTECr ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
Rosendin Electric Inc
LICENSE NUMBER
142881
LICENSE TYPE
A B C-10
BUS. LIC M
10834
COMPANY NAME
Rosendin 1 t Inc.
E-MAIL
sloeffler@rosendin.com
FAX
(408) 295-6423
STREET ADDRESS
880 Mabury Road
CITY, STATE, ZIP
se. CA 95133
PHONE
(408) 534-2827
ARCHTTECr/ENGINEER NAME
J142881
LICENSE NUMBER
BUS. LIC 0
Rosendin Electric.
A B C-10
10834
COMPANY NAME
Rosendin Electric, TnC.
E-MAIL
FAX
(408) 295-6423
STREET ADDRESS
880 Mabury Road
CITY, STATE, ZIP
Ran JnRp. CA 951
PHONE
(408) 534-2827
USE OF ❑ SFD or Duplex C1 Multi -Family
PROJECT IN WILDLAND
PROJECT IN
STRUCTURE: §0 Commercial
URBAN INTERFACE AREA ❑ Yes IS NO 7
PLDOD ZONE ❑ Yes [INo
DESCRIPTION OF WORK
Chiller upgrade - modify electrical for new chiller
installation 7415 VISION 0 &a 0 15 rj N
Isshro >.
TOTAL VALUATION: $76,070.00
•.'.•'.:: •',•.•};;•;•'rlr::•.'•'•'••• ": • • •' ..
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have provided is correct. I 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 building construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL INFORMATION REQUIRED
1/
1
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MEPMiscApp_201 1. doc revised 03/16/11
COI.asy
� INSPECTION LARRY S.
DATE: s --)f - I I
n
U
PERMIT NUMBER: I IOL Qo7G
ADDRESS:
INSPECTION TYPE: 3 n / , 3 O.i sosr"l C
COMMENTS: G` wr) /f` e/ ooh' s-Xs'T0;;n — !-z •- 'o vyz
rod � .GjI tnC SISI SM/ c /tet
IJv 1
RESULTS: ItOCVO4 63
P- PASS, F- FAIL, C- CANCEL, I- INCOMEPLETE, N- NOT REQUIRED, R- TO BE RESCHEDULED
IF FAIL, LIST REASON:
TIME SPENT:
NO. OF UNITS: -4
• CLOSE PERMIT? YES NO :4_