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Home My WebLink About11030105I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 10200 N TANTAU AVE I CON CONTRACTOR: NOVO I PERMIT NO: 1 ] 030105 I OWNER'S NAME: APPLE INC 14025 BOHANNON DR I DATE ISSUED: 03/22/201 1 1 OWNER'S PHONE: 9259568376 LICENSED CONTRACTOR'S DECLARATION LiceftSe Class Lic. # Contractor hj&& CONST_Oe-DN1 Date l 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. 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. 4--7S APPLICANT CERTIFICATION I certify 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, 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 sou regulations per the Cupertino Municipal Code, Section 9.18. Signature Date�� ❑ OWNER -BUILDER DECLARATION I 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) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I 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, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 1 certify that I have read this application and state that the above information is correct. 1 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. MENLO PARK, CA 94025 PHONE NO: (650)701-I500 BUILDING PERMIT INTO: BLDG r ELECT r PLUMB r r r r MECH RESIDENTIAL COMMERCIAL JOB DESCRIPTION: COMM DEMO OF PARTITIONS, INTERIOR FINISHES CARPET, CEILING TILE/ GRID ON A 2 STORY VACANT BUILDING 60,000 SQ FT Sq. Ft Floor Area: I Valuation: $55000 I APN Number: 31619061.00 1 Occupancy Type: I PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST 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 have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I 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 1 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 authorized agent: 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 1 understand my plans shall be used as public records. Licensed Professional Signature, Date. DEMOLITION CITY OF CUPERTINO m FEE ESTIMATOR - BUILDING DIVISION 191 ADDRESS: 10200 n tantau ave. 1st and 2nd DATE: 03/22/2011 REVIEWED BY: bobs. APN: I BP#: 'VALUATION: 1$55,000 *PERMIT TYPE: Demolition Permit PRIMARY Commercial Building USE: PENTAMATION 1COMMLDEM PERMIT TYPE: A WORK SCOPE FEE ID FLR AREA (s f) 1DEMOCOM 60,000 -7- NOTE: These fees are based on the nreliminary information available and are onlv an estimate- Contact the Dent for addnl Info. FEE ITEMS (Fee Resolution 09-051 Eff 7/1110) FEE QTYIFEE MISC ITEMS plao (."herk lft-c: Suppl, M, Pec Permit Fee: $5,314.00 Suppl. Insp. Fee.0 Reg. 0 OT 0.0 hrs $0.00 C(Instruction Tax &—view it'ork 4lrhour Pcrtnit? T A Strong Motion Fee: IBSEISAffCO $11.55 Select an Administrative Item -1 1 Bldg Stds Commission Fee: IBCBSC $3.00 SUBTOTALS: $5,328.55 $0.001 tOTALF, $5328.,55L, Revised: 01/