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15020137 (2) CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 6 INFINITE LOOP CONTRACTOR:NOVO CONSTRUCTION PERMIT NO: 15020137 OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED:03/09/2015 OWNER'S PHONE: 4084380968 MENLO PARK,CA 94025 PHONE NO:(650)701-1500 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL E] APPLE-T.I.TO RECONFIGURE 15,220 S.F.ON WEST License Class_ Lic.4 7 qy �y� SIDE OF IST&2ND FLOORS,INCLUDING M.E.P.'S Contractor A)6 Ud COCIS�CUG7)L'/t Date ��–I�f 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 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. Sq.Ft Floor Area: Valuation:$525000 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 APN Number:31602110.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I 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 DAYS OF PERMIT 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 180 DAYS FWP4 LAST CALLED 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 Issued by: Date: J 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. RE-ROOFS: Signature ��—fie // 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: I 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 I,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 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. I will I 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 1 have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I 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 I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,and 25534. �/ � Section 3700 of the Labor Code,for the performance of the work for which this _'Owner or authorized agent:—� �� Date: permit is issued. rte' 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 CONSTRUCTION LENDING AGENCY 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 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 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•buildingCc cupertino.orq ❑NEW CONSTRUCTION ❑ ADDITION ® ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#_ _ PROJECT ADDREr - O 7AP —0 OWNER NAME PHONt'q ^' i E-MAIL 5'rRL'ET ryUDI t- , Lo CIT SCT}P,4,7 hnt (zl q v 1– FAX Fj e 12 CONTACT NAME PHO E E-MAIL cut U14- STREET ADDRE$ CITY,STATE,ZIJ' `1 FAX . ❑OWNER ❑ OWNER-BUILDER OWNER AGENT ❑ CONTRACTOR ❑CONTRACTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME/ I LICENSE NUMBER. LICENSE TYPE BUS.LIC f! COMPANY NAMEE-MAIL FAX vv v C�,�1 c� �l arcs Cin"o `" STREET ADDRESS I O �I. CITY,STATE,ZIP20 3�" ARCHITECT/ENGINEER NAME LICENSE NU IBER YL BUS.ILIC t! J SO)TT COMPANY NAME CV / E-MAIL FAX RC4+ C,/ a STREET ADDRESS STATE,ZIP PHONE N^E - —08 Jp CA I019v vYS S' 0 2Q6 DESCRIPTION OF WORK eC +( EXISTING USE PROPOSED USE CONSTR.TYPE N STORIES O (� (2 L USE TYPE OCC. SQ.FT. VALUATION(R) EXISTG l 1 ' NEW FLOOR'` DEMO Y,� TOTAL ARE 5�I 7� v AREA 7 NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ATTACH p DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY []YES BEING ADDED? []NO ADDITION? ❑NO PRE-APPLICATION EIYES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YE , - ?' TOTAL VALUATION: PLANNING ADPL H ❑NO PLANNING APPROVAL LETTER EICHLER HOME? 0 'I By my signature below,1 certify to each of the following: I am the property o on tit perry owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and v ccurate. 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 ' e ,I�I'i�l PLAN,'CSiECK�T�Yf1E ,„ 1 ,MI l 1,«v,,4,. ROU°IIING SLIP`,;,, New SFD or Multifamilydwellings: Apply or demolition permit for 'I �' rll ut i ' ly 1 o pp y fdi p 10�I OYER THE-COUI�TER`t� t ❑� BUILDING PLAN REVIEW . existing building(s). Demolition permit is required prior to issuance of building ermit for new buildin . p g ❑c EXPRESS ❑s PLANNING PLAN REVIEW`- Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑.j1 STANDARD ?lr❑I Pusuc,wocucs, :- . Ton if any Hazardous Materials are being used as part of this project. I ❑ft!✓ARGE F lI.� +,r1 s t ❑tl FIRE DEPT Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. ❑ MAJOR ` ❑I SANITARY SEWERIDISTRICT ` " " I]t ENVIRONMFiNTAL HEA''LTH'' BldgApp_2011.doc revised 00'21111 CITY OF CUPER IN FEE ESTIMATOR BUILDG DIVISION 6 INFINITE LOOP DATE: 0212312015 REVIEWED BY: MELISSA ADDRESS: *VALUATION: $525,000 APN: 316 02 110 BP#: 3-0.2 3 IT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement "PERM PERMIT TYPE: 1 g TA PRIMARY PERMIT TYPE: Commercial Building USE: URE 15 220 S.F. ON WEST SIDE OF 1ST & 2ND FLOORS INCLUDING WORK A PPLE-T.I.TO RECONFIG SCOPE M.E.P.'S TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID OCCUPANCY TYPE: CONSTR. s.f. B (Tenant Improvements) I-A,I-B 15,220 $4,474.02 IBTIPLNCK $12,760.98 1BTIINSP TOTALS: 20 $4,474.02 15,2rot "aF"k k'*xa A $12,760.98 ?� X to AR f r+'��;,.y k°err 1 1 SPI�iJMB^, b 3 `J'�'Q f��$'�r � ��� � x, r �� d.s�,�,•, a.�f .•_�,. - r� � ,HO,URLY�F� ty,•,�,...t..2.. .asn � ,r._�.i<. �._,..�.,. �.��.. ,��,h. .. ,...'.t Ni..i,.,,z.. 1•?e'c�. 1'!cllt('lt<'i:R P(�rurh. 1'lura t.hcz�i; �Ic•�:il. 1'?u1•�(Trc<ck 1•;h�c. Yerrril 1•'e�:' 1't!.urriz 1'c;1lnil J%c'c=: ------------ Olhcl 1'iimnb 1ns'1+ Owe!-Mc.Y?t hlspL�?eC.Itup, h •r:: Pllrnrh. Ilr::p. he ormation available and are onl an estimate. Contact the Dept or addn't in o. NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,eta . These fees are based on tJ:e relimina to QT Select MISC ITEMS FEE ITEMS (Fee Resolution 11-053 Eff 7111132 FEE Q $4474.02 Select a Misc Bldg/Structure , Plan Check Fee: or Element of a Building Supp!.PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $12,760.98 Suppl. Insp.Fee-.E) Reg. Q OT 0.0 hrs $0.00 $0.00 PME Unit Fee: $0.00 PME Permit Fee: Construction Tax: Q ,'lcln'r.irlisu•cative 1+•i'e: Work Without Permit? Q Yes No $0.00 Select a Non-Residential G $0.00 Building or Structure Q Advanced Planning Fee: i Tray el Docl.r.rn071471i"ri Fees Select an Administrative Item Strong Motion.Fee: 1BSEISMICO $147.00 ' d�Q�_ SUBTOTALS ' $21.00 BldgStds Commission Fee �BCBSc 11 TO ; $ 17,403.00TAL FEV 03.00 $0.00i7,4a .=i rn Lm�_.,�,-•r4•»�zS.�.,f_� Revised: 02!1412015 J.