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11040010 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10700 N TANTAU AVE CONTRACTOR:XL CONSTRUCTION PERMIT NO: 11040010 OWNER'S NAME: APPLE INC 851 BUCKEYE CT DATE ISSUED:07/21/2011 OWNER'S PHONE: 4089745951 MILPITAS,CA 95035 PHONE NO:(408)240-6000 ❑ LICENSED CONTRACTOR'S DECLARATIONC~ BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic.# MECH RESIDENTIAL COMMERCIAL Contractor XL CD kotTkJ Date I hereby affirm that I am licensed under the provisions of C apter 9 JOB DESCRIPTION:SITE ACCESSIBILITY UPGRADES FOR ADA COMPLIANCE (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 declar 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: Valuation:$100 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:31609028.10700 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save WITHIN 180 DAYS OF PERMIT ISSUANCE OR indemnify and keep harmless the City of Cupe,Ono against liabilities,judgments, 180 DAYS FROM LAST CALLED INSPECTION. costs,and expenses which may ace again said City in consequence of the granting of this pe it. dditional he icant understands and will comply f /J with all non-point ur regulati per Cupertino Municipal Code,Section Issued by-K �Z�� Date:C 9.18. Signature Date_(��/ l I RE-ROOFS: ❑ OWNER-BUI DER DECLARATION 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 1 hereby affirm that I am exempt from the Contractor's License Law for one of inspection. the following two reasons: I,as owner of the property,or my employees with wages as their sole compensation, Signature of Applicant: Date: 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 ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER construct the project(Sec.7044,Business&Professions Code). 1 hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE declarations: Ii have read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain a Certificate of Consent to self-insure for Worker's California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain Compensation,as provided for by Section 3700 of the Labor Code,for the compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& performance of the work for which this permit is issued. Safety Code,Section 25532(a)should 1 store or handle hazardous material. 1 have and will maintain Worker's Compensation Insurance,as provided for by Additionally,should I use equipment or devices which emit hazardous air Section 3700 of the Labor Code,for the performance of the work for which this contaminants as defined by the Bay Area Air Quality Management District I will permit is issued. maintain compliance with the pertino Municipal Code,Chapter 9.12 and the HeaW&Sty Code,Section 5505,25533,and 25534. I certify that in the performance of the work for which this permit is issued,I shallrt not employ any person in any manner so as to become subject to the Worker's Owhorize Compensation laws of California. If,after making this certificate of exemption,I Date: become subject to the Worker's Compensation provisions of the Labor Code,I must 7 forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDIIVG AGENCY I hereby affirm that there is a construction lending agency for the performance of work's APPLICANT CERTIFICATION for which this permit is issued(Sec.3097,Civ C.) I certify that I have read this application and state that the above information is Lender's Name 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 Lender's Address 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 ARCHITECT'S DECLARATION granting of this permit.Additionally,the applicant understands and will comply I understand my plans shall be used as public records. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18• Licensed Professional Signature Date CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPEftTINd (408)777-3228• FAX(408)777-3333•building aecupertino.ong ❑NEW CONSTRUCTION ❑ ADDITION LTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROTECT ADDRESS TF (o ?00 ) OWNER NAME PHONE E-MAIL L C. STREET ADDRESS CITY, STATE,ZIP FAX Loa �3onc v f&14AILCONTACT NAME PHONE STREET ADDRESS CITY,STATE, ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACrORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC 0 7-Go 1731) ?73 D COMPANY NAME E-MAIL �/ I.�D FAX STREET ADDRESS �,�.(]� CITY,STATE,ZIP7P1._ PHONE ME ARCHITECT/ENGINEER NA ( k7 LICENSE NUMBER �` Q� BUS.LIC N COMP ANY NAME ' E-MAIL, FAX 2 6 S ADDRESS CITY,STATE,ZIP _ PHONE 0 2 cam„ G �S `tom 7�-�Gc�j DESCRIPTION OF WORK EXISTING USE PROPOSED LSE CONSTR TYPE 0 STORIES OFFICE UN" )NLV C.c* Hftci coo-Am Cf Z rr VANION,sa EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: ❑ DETACH ❑ ATTACH _ Y DWELLING UNITS: I9 A SECOND UNIT ❑YES SECOND STORY ❑YES BEINGADDED? ❑NO ADDITION? ❑NO PRE-APPLICATION ❑ YES IF YES,PROVIDE COPYOf PLANNER'S NAME: ELI BY, T AL VALUATION. PLANNING APPL Y ❑ NO PLANNING APPROVAL LErrER REC'r:.1V E O o 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 De ription of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to contra authorize repr tatives of Cupertino to enter the above-identifiedproperty for inspection purposes. Signature of Applicant/Agent: Date: 4 20 N SUPPLEMENT INF TION REQUIRED PLAN_CHIXW-I'Yl>E ROUTING SLIP _New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THE-COUNTER SUMDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS )211�IPLA=YNrnC PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure )9 STANDARD ❑ PUBLIC WORM form if any Hazardous Materials are being used as part of this project. ❑ LARGE 01"W DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to ❑ ntJOR ❑ SA?HTARY SEWER DISTRICT submittal of Building Permit application. ❑ INYIRONMENTAL HEALTH BldgApp_201 Ldoc revised 03/16/11 PLAN REVIEW EXPIRATION NOTICE COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION ALBERT SALVADOR, P.E.,C.B.O., BUILDING OFFICIAL CUPERI"INO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255/ 1 (408) 777-3228• FAX(408)777-3333• building(@cupertino.org July 19, 2011 p l I Apple Inc 1 Infinite Loop Cupertino, CA 95014 SUBJECT: PLAN REVIEW EXPIRATION NOTICE Site Address: 10700 N Tantau Ave Building Permit Application #11040010 Expiration Date: September 28, 2011 As a courtesy, the Building Department makes every effort prior to the expiration of a construction permit application to notify the applicant of the impending expiration. Per the California Building Code Section 105.3.2, ... "an application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing, unless such application has been pursued in good faith or a permit has been issued" This notification letter is issued as a reminder that the construction permit application for the specified project will expire on the date shown above unless the following action is taken: A. A building permit application is approved and the building permit is paid for and issued prior to the expiration date specified; or B. A request for an extension is submitted in writing with a justifiable cause demonstrated to the Building Official prior to the expiration date of the application. A$41.00 fee shall apply to all extension requests, payable to the City of Cupertino at the time the request is made. Each extension, if granted will be for a period of not more than 90 days. Extension requests shall be hand delivered to the building department or e-mailed to suew2cupeitino.org. If a plan review application expires, the renewal of the application will NOT be granted unless the construction plans comply with the 2010 California Codes and any new local regulations that came into effect from the date of the original application. Additional plan review (and associated fees) will be required to verify compliance with these new regulations. The plans will become null and void after the expiration date if a building permit is not secured or an extension is not granted. You will have 10 business days pick up your documents or they will be recycled. The permit application will then be voided in the Permit System and all documents pertaining to the permit application will be recycled. Sin erely, , Susan Winslow, Administrative Clerk City of Cupertino Building Department PlanReviewExpiralionNotice.docrevised 12/06110 PROJECT DATA - COMMERCIAL COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISION 10300 TORRE AVENUE -CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•building 51cupertino.org PROJECT ADDRESS APN M �� DO 'T A' 1 - � -O2 6) OWNER NAME PHONE E-MAIL T` N T j raoNCP;r F-S i-L., STREET ADDRESS CITY, STATE,ZIP FAX D *- ST. APPLICANT NAME PH E-MAII o T-Aou>z-\ Q_ K I F-4--a tL�Lj(-\T-"ci STREET ADDRESS CITY,STATE, ZIP FAX 33,.;o _ AV-A, A S'bs o &1,-; ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCH CT XENCINEM ❑ DEVELOPER ❑TENANT TENANT CONTACT NAME PONE E-MAIL BUSINESS NAME FAX -DESCF111T1(J 0FWORT. /ZL A-D N EXISTING USE(S): PROPOSED USE(S): It-4 D v ST-PQ A L OCCUPANCY(S): OCCUPANT TYPE OF PARCEL _ /Y//A LOAD: 9,411 CONSTRUCTION N/A AREA: A—, AREA OF t-4 /� FLOOR(S) HAZARDOUS Y O REMODEL SPACE: /A OF REMODEL SPACE: t4/A MATERIALS? FIRE y WUI I, FLOOD 1, ��1 slEsr�uc I, N SPRINKLERS: AREA: AREA: ON AREA: LEARNING CENTERS AND NUMBER OF CHILDREN<2 YRS OLD: {�J EDUCATIONAL OPERATIONS: 24 HOURS CARE? Y Q NUMBER OF STUDENTS x 2 YRS OLD UP TO 12r"GRADE: I` �� NUMBER OF ADULT CLIENTS: SUBMIT ' Governing Codes: 2010 California Building Code(based on the 2009 International Building Code) 1 2010 California Residential Code(based on the 2009 International Residential Codi 2010 California Plumbing Code(based on the 2009 Uniform Plumbing Code) 2010 California Mechanical Code(based on the 2009 Uniform Mechanical Code) 2010 California Electrical Code(based on the 2009 International Electrical Code) 2010 California Energy Code 2010 California Green Building Standards Code Cupertino Municipal Code -� FQ CEa V COPY JOB AIN ON APR 0 PLAN SHALL REM G THIS ALL TIMES AURIN THEJOB AT CONSTRUCTION CONSTR ProjecuDa/a-Commercial.doc revised 03/01/11