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B-2016-1845CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT O: B-2016-1845 19333 VALLCO PKWY CUPERTINO, CA 95014-2506 (316 20 075) DEVCON CONSTRUCTION INCORPORATED MILPITAS, CA 95035 OWNER'S NAME: APPLE, INC DATE ISSUED: 04/28/2016 OWNER'S PHONE: 408-799-7346 PHONE NO: (408) 942-8200 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic. # Contractor DEVCON CONSTRUCTION INCORPORATED Date 02/28/2017 X BLDG —ELECT —PLUMB 1VIECII RESIDENTIAL X COMMERCIAL 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. JOB DESCRIPTION: BLDG C, 2ND FLOOR (EASTWING)- ELECTRICAL OUTLETS AND I hereby affirm under penalty of perjury one of the following two declarations: MECHANICAL VENTILATION IN (E) LAB (60 S.F.) -APPLE 1. 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 L / permit is issued. Sq. Ft Floor Area: Valuation $55000.00 n APPLICANT CERTIFICATION I certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. f agree to comply with all city and county ordinances 316 20 075 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS F PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non-point source regulations Municipal Code., Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. �thupertino Signator Date 4/28/2016 Issued by: Alex Vallelunea Date: 04/28/2016 / OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of theBE-ROOFS: All roofs shall be inspected prior to ny roofing material being installed. If a roof is following two reasons: 1. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for inspection. compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 4/28/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1. 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. HAZARDOUS IV ATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance; as provided for by I have read the hazardous mater ials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Cod e, Sections 25505, 25533, and 25534. I will maintain compliance with the Cut ertino Municipal Code, Chapter 9.12 and the permit is issued. Health & Safety Code, Section 25532(a) should I store or handle hazardous a. I certify that in the performance of the work for which this permit is issued, I material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Cod , Sections 2 05, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked.fes` Owner-or-authonzed agents ON LENDING AGENCY APPLICANT CERTIFICATION Date:-4128/2616 " CONSTRUCT I certify that I have read this application and state that the above information is I hereby affirm that there is a con truction lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit is i sued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands ARCHITE T'S DECLARATION and will comply with all non-point source regulations per the Cupertino Municipal I understand my plans shall be used as public records. Code, Section 9.18. Licensed Signature Date 4/28/2016 Professional CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(n.cupertino.org tl NEW CONSTRUCTION ❑ ADDITION ALTERATION / Ti ❑ REVISION / DEFERRED ORIGINAL PEILtvHT PROTECT ADDRESS \ D I a i��I Gl% IJU I� V' I APINT OV,rNERNAME A?gte PHONEyya,40 STREET ADDRESS CITY, STATE, ZIP p� FAX CONTACT HONE v[J CE- _J0 Ve^s c vuA�•�} STREETADDRESS CITY, STATE, ZIP FAX t o T,7T I egNk�=T (JVvp— .i4 �e— NAA t.'Q o 015 0 S ❑ OVTNER ❑ ONNER-BUILDER OWNER AGENT CONTRACTOR ❑ CONTRACTORAGEtT ❑ ARCHITECT ❑ ENGA'EER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME Y vim! j y y LICENSE NWB � LICENSE TYPE I BUS. LIC Q COMPANY NAME/' tow cav% Ccs t�f �.�W�✓Y�"G��� C6� FAX STREETADDRESS (ORb ������� CITY, STATE,ZIJ,'� PHONE ARCHITECT'ENGLN'EER NAME LICENSE :NUMBER BUS. LIC e COMPANY NAME E- rL —f ►t4�lLi1:l FAX STREETADDRESS� C.4CITY, STATE, ZIj PHOT M �� 1J �.i{� _ DESCRIPTION OF WO'—,, J�-I�-gin . � `.' � ^ . U -.t.... l✓ �•`t ��� lrL� `�i�,... � v, 1. 6 to \ K..� � ��. F-KISTING USE PROPOSED USE CONSTR. TYPE =STORIES C /+, �1 L� /� � J A3 J USE I TYPE OCC. SQ.FT. VALUATION (S) AREA I AREA NEWFLO DEMO AREA �Q„ NET�ARE.O=�l I.. ISfO.UV BATHROOM REMODELAREA KITCHEN�lj REMODEL AREA OTHER REMODELAREA� 1-` PORCH AREA DECK AREAI TOTAL DECK -TORCH .AREA GARAGE AREA: DETACH ATTACH 4 DWELLING UNITS: IS A SECOND UNIT ❑ YES BEING ADDED? El NO SECO\D STORY ❑ YES ADDITION': ❑NO ` ~I PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE"BLDG AN ❑ YES RECEIl _D B%° , & �F .�' � �� � -� TOTAL VALUATION: PLA\rNTNG APPLE F-1 NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO 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 a_*ree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above -id ratified property, for inspection purposes. Signature of Applicant/Agent: Date: ( to SUPPLEIMENTAL INFORMATION REQUIRED Y M �©� O\ -ER TYE COUlTER,� � BUILDI\GPL.�\ RE�IEIT� ' -NTew SFO or Multifamily Apply emoon dwellings: A I = for demolition for p enTn existing building(s). Demolition permit is required prior to issuance of buildingxE permit for new building.Ex£sss E ❑' PI ���cpLn i E�IEi� Commercial Bldgs: Provide a completed Hazardous Materials Disclosure;� RUSLIc�SOR�.o fol�n if any Hazardous ?Materials are being used as part of this project.FIREDEPT ZST��D�RD x l� I ARG 3 Copy of Planning Approval Letter or Meeting with Planning prior to nzAioRI] sA�II AR] sEiiERnlsTxlc� __ submittal of Building Permit application. , r I]. E\TRO\14ETTALHEALTH Bldg App_?011. doc revised 06/21111 ® TESTING ENGINEERS, INC® AOL May 25, 2016 City of Cupertino Building Inspection Department 10300 Torre Avenue Cupertino, California 95014 -Subject: - - FINAL Z/0 Project: 19333 Va o Parkway Apple VP 2C Cupertino, California Gentlemen: Quality Assurance Services Materials Consulting Since 1954 TEI Project No. 63188 Permit No. B-2016-1845 In accordance with Section 1704 of the California Building Code, we have provided special inspection of: Proof loading of screw anchors in existing concrete. These inspections were performed by personnel under the general supervision of a Registered Civil Engineer in the State of California. Based upon our inspections performed and our substantiating reports, the inspected work requiring special inspection was, to the best of our knowledge, in conformance with the approved plans and specifications, the applicable workmanship provisions of this Code, and any changes by the Engineer of Record. Details of our work on this project are the progress of construction. AKVI TESTING ENGINEERS, !c � Terr5�L. Egland, CE # 34132, Exp. 6/30/17 cc: Apple Computer Inc. / A. Vu Devcon Construction / S. Archer Structural Engineers, Inc. / C. Lor 'ned in our testing and inspection reports that were submitted during MAY 31 20113 Corporate Office — 2811 Teagarden Street — San Leandro, California 94577 — (510) 835-3142 — FAX (510) 834-3777 www.Testing-Engineers.com TESTING ENGINEERS, INC. May 25, M16 City of Cupertino Building Inspection Department 10300 Torre Avenue Cupertino, California 95014 Subject: Project: 19333 Vallco-Ail-;A�vqy '4pple V11 2C (.'Ilpertino' calzfbrllia Gentlemen: Quality Assurance Services Materials Consulting Since 1954 TEI Project No. -.0188 Permit No. 8-w2016-1845 In accordance with Section 1704 of tine Calif6rnia Building Code, we have provided special inspection of: Proof loading of screw anchors in existing concrete. These inspections* were performedby personnel under the general supervision of a Registered Civil Engineer in the State of California. Based upon our inspections performed and oux substantiating reports, the hispected work requiring, special inspection was, to the best of our knowledge, in conformatice with the approved plans and specifications, the applicable workmanship provisions of this Code, and any changes by the Engineer of Record. Details of our work, on this project are the progress of construction. 14014 TESTING EATG1NEER$, Terms L. EgIand, CE # 34132, Exp. 6/30/17 cc: Apple Computer Inc. / A. Vu Devcon Construction / S. Pircher Structural Engineers, Inc. / C. Lor in our testing and inspection reports that were submitted during Corporate Office - 2811 Teaga.rden Street - San Leandro, California 94577 - (510) 835-3142 - FAX (510) 834-3777 wvmTesting-Engineers.corn TESTING ENGINEERS, INC. May 25., 2016 City off' Cupertino Building Inspection Department 1000 Torre -Avenue Cupertino, California 95014 Subject: FINAL REPORT Project: 19333 Vallco Parkipay Apple, TIP 2C Cupertino, Calffiornia Gentlemen: Quality Assurance Services Materials Consulting Since 1954 1EI Project No. 63188 Permit No. B-2016-1845 In accordance with Section 1704 of the California Building Code, we, have provided special, inspection of: Proof loading of screw anchors in existing concrete. These inspections were performed by personnel under the general supervision of a Registered Civil Engineer in the State of California. Based upon our inspections performed and our substantiating reports, the inspected work rpquii mg. special inspection was, to the 'best -of out knowledge, in conformance with the approved plans and specifications, the applicable workmanship provisions of this Code, and any changes by the. Engineer. ofRecord. Details of our work on this project are the progress of construction. 1400 TESTING ENGINEERS, CC7 Apple Computer Inc. / A. Vu Devon Construction / S. Archer Structural Engineers, Inc. /;C. Lor in our testing and inspection reports that were submitted during Corporate Office — 2811 Teagarden Street — San Leandro, California 94577 — (519) 835-3142 — FAX (510) 834-3777 wwW.Testing-Engineers.com TESTING ENGINEERS, INC. 2811 Teag"ardea.St. $10-835-3142 510-334-3Mfax San Leandro, CA, 94577 800-660-3142 San Leandro • San Jose - Martinez INSPECTION REPORT Week Ending: 5/27/I6 PROJECT #63188 PROJECT: 19333 Vallco Parkway Apple VP 2C Citpertino, CA Permit # &2016-1845 DATE 5/21/16 HOURS 4 of INSPECTOR S. °Merino Reported to Les of Devcon at the jobsite as: requested. TYPE OF INSPECTION: Proof Load Testing PLACE OF INSPECTION: f obsite Applied a torque load of 18 foot lbs. to 1/V diameter" screw anchors located in the eAsfig concrete floor at Bldg. C, room 242 for `Blue M Chambers". Eight (8)anchors of a total of 8 installed were tested representing 100% without visually apparent distress or failure. The, preceding work was, tothe best of my knowledge, in compliance with approved job plans and specifications, including revisions by engineer,, and Drawing S1.0, Details.4 and 9, dated 4/26/16; and proof loading values and rate of testing were provided by.manufacturer's specifications. Chippero Division Manager 1cc: Apple Computer Inc. / A. Vu Devcon Construction / S. Archer Structural Engineers, Inc. / C. Lor City of Cupertino / Bldg. Inspection Dept_ The results presented in this report relate only to the item(s) tested/inspected and may be reproduced only in its entirety unless written pemvssion from Tais obtained. TESTING ENGINEERS, INC. May 25, 2016 City of Cupertino Building Inspection Department 10300 Torre Avenue Cupertino, California 95014 Subject: FINAL REPORT Project: 19.333 Valk° ParAiivetr �F t 1-i1 t.1"TPYiri t_ a-Fi?%tit"%'"17 i? Gentlemen: Quality Assurance Services Materials Consulting Since 1954 TEI Project No. 63188 Permit No. B-2016-184 In accordance with Section 1704 of the California Building Code, we have provided special inspection of. Proof loading of screw anchors in existing concrete. These inspections were performed by personnel under the general supervision of a Registered Civil Engineer in the State of California. Based upon our inspections performed and our substantiating reports, the inspected work requiring special inspection was, to the best of our knowledge, in conformance with the approved plans and specifications, the applicable workmanship provisions of this Code, and any changes by the Engineer of Record. Details of our work on this project the progress of construction.Al TES UNG EAWINEERS, Tei L. Egland, CE # 34132, Exp. 6 /30/17 cc: Apple Computer Inc. / A. Vu Devcon Construction / S. Archer Structural Engineers, Inc. / C. Lor in our testing and inspection reports that were submitted during Corporate Office - 2811 Teagarden Street - San Leandro, California 94577 - (510) 835-3142 - FAX (510) 834-3777 www.Testing-Engineer-,.com TESTING ENGINEERS, INC. 2811 Teagarden St. 510-835-3142 510-834-3777 fax San Leandro, CA 94577 800-660-3142 San Leandro • San Jose • Martinez INSPECTION REPORT Week Ending: 5/27/16 PROJECT # 63188 PROJECT: 19333 Vallco Parkway Apple VP 2C Cupertino, CA Permit # B-2016-1845 DATE 5/21/16 HOURS 4 of INSPECTOR S. Merino Reported to Les of Devcon at the jobsite as requested. TYPE OF INSPECTION: Proof Load Testing PLACE OF INSPECTION: Jobsite Applied a torque load of 18 foot lbs. to 1/4" diameter screw anchors located in the existing concrete floor at Bldg. C, Room 242 for "Blue M Chambers". Eight (8) anchors of a total of 8 installed were tested representing 100% without visually apparent distress or failure. The preceding work was, to the best of arty knowledge, in compliance with approved job plans and specifications, including revisions by engineer, and Drawing S1.0, Details 4 and 9, dated 4/26/16; and proof loading values and rate of testing were provided by manufacturer's specifications. Chippero I Inspection Division Manager 1cc :Apple Computer 'Inc. /A. Vu Devcon Construction / S. Archer Structural Engineers, Inc. ,/ C. Lor City of Cupertino / Bldg. Inspection Dept. The results presented in this report relate ordy to the item(s) tested/ inspected and nun, be reproduced only in its entireh, tniless written peznission .fivin TET is obtained. TESTING ENGINEERS, INC. May 25, 2016 City of Cupertino Building Inspection Department 10300 Torre Avenue Cupertino, California 95014 Subject: Project: 19333 Vid/co ParhmaY, 41)p/e �71 2C Cnperlino' ("'alifin-Ifill Gentlemen: Quality Assurance Services Materials Consulting Since 1954 TEI Project No. 63188 Permit No. B-2016-1845 In accordance with Section 1704 of the California Building Code, we have provided special inspection of: Proof loading of screw anchors in existing concrete. These inspections were performed by personnel under the general supervision of a Registered Civil Engineer in the State of California. Based upon our inspections performed and our substantiating reports, the inspected work requiring special inspection was, to the best of our knowledge, in conformance with the approved plans and. specifications, the applicable workmanship provisions of this Code, and any changes by the Engineer of Record. Details of our work on this project are the progress of construction. '0041 TF_,SWVG ENGLVEE" Tei L. E g I an d, CE # 34132, Exp. cc: Apple Computer Inc. / A. Vu Deveon Construction / S. Archer Structural Engineers. Inc. /C. Lor in our testing and inspection reports that were submitted during Corporate Office -2811 Teagarden Street - San Leandro, California 104577- (510) 835-3142 -FAX (510) 834-3777 wwwTesting-Lngineers.com TESTING ENGIATEERs, .® May 25, 201'6 City of Cupertino Building Inspection Department 10300 Torre Avenue Cupertino, California 95014 Subject: Project: 19333 Vallco—AaAbpa) AmVe UP 2C C-uperfino, califfirnia Gentlemen: Quality Assurance Services Materials Consulting Since 1954 TElPioiectNo, 63188 PermitNo. B-20.1.6-18415 In accordance with Section 1704 of the California Building Code, we have provided special inspection of. Proof loading of screw anchors in existing concrete. These inspections were performed by personnel un ' der the general supervision of a Registered Civil Engineer in the State of California. Based upon our inspections performed and our substantiating reports, the inspected work requiring special inspection was, to the best of our knowledge, in conformance with the approved plans and. specifications, the applicable workmanship provisions of this Code, and any changes by the Engineer of Record. Details of our work on this project the progress of construction. 'A TE, S T1_ArG' ENGINE- E, RS, Ter rfL. Egland., CE # 34132, Exp,6/3,0/17- cc: Apple Computer Inc. / A. Vu Deveon- Construction/ S. Archer Structural Engineers, Inc. / C. Lor in our testing and inspection reportsthatwere submitted during Corporate Office - 2811 T�agarden Street - San Leandro, California 94577 - (510) 835-3142 - FAX (51 Q} 834-3777 www.Testing-Eigineers.com TESTING ENGINEERS, INC. 2811 Teagarden St. 510-835-3142 510-8 3777 fax San Leandro, CA 94577 800-660-3142 San Leandro • San Jose INSPECTION REP RT Week Ending: 5/27/16 PROJECT # 63188 TYPE OF INSPECTION: Proof Load Testing PROJECT: PLACE OF INSPECTION: 19333 Vallco Parkway Jobsite Apple VP 2C Cupertino, CA Permit # B-2016-1845 DATE 5/21/16 HOURS 4 of INSPECTOR S. Merino Reported to Les of Devcon at the jobsite as requested. Applied a torque load of 18 foot lbs. to 1/a' diameter screw anchors located in the existing concrete floor at Bldg. C, Room 242 for 'Blue M Chambers'. Eight (8) anchors of a total of 8 installed were tested representing 100% without visually apparent distress or failure. The preceding work was, to the best of my knowledge, in compliance with approved job plans and specifications, including revisions by engineer, and Drawing S1.0, Details 4 and 9, dated 4/26/16; and proof loading values and rate of testing were provided by manufacturer's specifications. Chippero I Inspection Division Manager 1cc: Apple Computer Inc. / A. Vu RECEIVED Devcon Construction / S. Archer Structural Engineers, Inc. / C. Lor MAY 31 2016 City of Cupertino / Bldg. Inspection Dept. 13Y The results presented in this report relate only to the item(s) tested/inspected and may be reproduced only in its entirety unless written permission from TO is obtained. Page 1 of 1