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15060078CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1 INFINITE LOOP CONTRACTOR: PLANT CONSTRUCTION PERMIT NO: 15060078 OWNER'S NAME: APPLE COMPUTER INC 300 NEWHALL ST DATE ISSUED: 06/10/2015 OWNER'S PHONE: 4088627979 SAN FRANCISCO, CA 94124 PHONE NO: (415) 285-0500 ' LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ Cl 7-,'7 S - T.I. PREP - INTERIOR DEMO, 5,695 S.F. License Class Lic,,[(# _-7 S dr( Contractor< it , .'I J1v �c l�D7ate Contractor 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: [ 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 Sq. Ft Floor Area: Valuation: $100000 erformance of the work for which this permit is issued. ave 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 APN Number: 31602105.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 certify that 1 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 WITHIN 180 DAY RMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save O ED INSPECTION. 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 Date: r(76 with all non -point source regulati ns�tectix upertino Municipal Code, Section 9.18. r, r � �G 'r/ ( ?r- RE -ROOFS: Signaftti"re . ^ Date 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. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: 1 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) I, 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 1 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 1 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 1 performance of the work for which this permit is issued. will maintain compliance with the Cupertino Munickal Code, Chapter 9.12 and 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/ the Health &Safe CodeSecti 5-253 nd 25534. Safety , 0 _ — / `� 'Date/, �l . S permit is issued. Owner or authorized atent: / %� 4�_ ! -L 1 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 CONSTRUCTION LENDING AGENCY 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 CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - building(Wcupertino.org /50600 5OGoO ❑ NEW CONSTRUCTION ❑ ADDITION EgALTERATIONJTi ❑ REVISION / DEFERRED ORIGINAL PERMIT t1 PROJECT ADDRESS 1 ,� v. ..n \ko 7APN J/ O Z _ l/ / '(J ` 3 l N- OWNER NAME A�I� ll PHONE((oi 9161'-7�1g C a ) E-MAIL sa>av� _ W'1lw STREET ADDRESS -RD CITY, STATE, ZIP GA Az FAX CONTACT NAME�_ �� I, PHONE r - s�o S�6Z E-MAIL - I..,C lo.,,00. wLft. STREET ADDRESS 3oc t��.,I,,il s-,. ZV CITY, STATE, ZIP _ S..t T-vA%neA>cp CA 9(4 Iv( FAX I -sso- IS" ❑ OWNER ❑ OWNER•BUILDER ❑ OWNER AGENT Ja_ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME`\ �./� LICENSE NUMBER LICENSE TYPE BUS.BUS. LIC d - lZ, 1 C 35-1143 COMPANY NAME Plak'1 IoM>,vVL1 O�. L•P`Iuz E-MAIL. _ �y I wt� `��ilGo,La\nn FAX �S- SSt7' 135 STREET ADDRESS Soo.Jk srl. CITY, STATE, ZIP 6.., F VGNG�XJ CA PHONE ci s- 550 - 78 5 L ARCFITECT/ENGIN'EER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME // � E-MAIL ++ FAX ?_o6_ C4,506— tow 62,3_q-15 STREET ADDRESS CITY, STATE, ZIP PHONE iwz,o SAwL Sta'nl. W Q t0 DESCRIPTION OF WORK T� - S% EXISTINGUSE PROPOSED USE CONSTR. TYPE H STORIES USE TYPE OCC. SQ. FF. VALUATION (S) EXISTG AREA NEW FLOOR AREA DEMO AREA TOTAL NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ ATTACH N DWELLING UMTS: IS A SECOND UNIT ❑ YES SECOND STORV []YES ` BEING ADDED? ❑ NO ADDITION? ❑ NO PRE -APPLICATION []YES IF YES, PROVIDE COPY OF IS THE BIL TOTALVALUATION: PLANNING APR, k ❑ NO PLANNING APPROVAL LETTER EICHLER /a / a CSO By my signature below, I certify to each of the following: I am the property owner or authorized agent to a n perty owner's behalf. I have read this application and the information I have provided i correct. I have read the Description of Work and ver' is accurate. I agree to comply with all applicable local ordinances and state laws relating i I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. tnstruction. Signature of Applicant/Agent: Date: Eal Q IT SUPPLEMENTA INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP ❑ OVER-TIiE-COUNTER ❑ BUILDING PLAN REVIEW New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance ofbuilding permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH 61dgApp_201 /.doe revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION mom NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Dictrirt otc ). Thorn foot oro hncod nn tho nroliminary informatinn availahlo and are anly an estimate_ Cantart tho Dont for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) ADDRESS: 1 INFINITE LOOP DATE: 06/10/2015 REVIEWED BY: MELISSA APN: 316 02 105 BP#: lj`—�00 'VALUATION: $100,000 rPERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY USE: Commercial Building Suppl. PC Fee: (F) Reg. C) OT PENTAMATION PERMIT TYPE: 1TIPRE i WORK APPLE T.I. PREP - INTERIOR DEMO SCOPE mom NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Dictrirt otc ). Thorn foot oro hncod nn tho nroliminary informatinn availahlo and are anly an estimate_ Cantart tho Dont for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 =# $417.00 Tenant Improvement Prep ITIPREP Suppl. PC Fee: (F) Reg. C) OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Fuca°;u ur t`ivr� /ox. i �ctf�uOr°aPr� r hcr�:: C) Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 � 1;<dac(l�uc°aurA:rcicx,luu'=`aras Strong Motion Fee: IBSEISMIC0 $28.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $4.00 U 11 UTALS. $32.00 $417.00 '; ; TOTAL FEE. $449.00 Revised: 05/07/2015