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14120095 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 5 INFINITE LOOP CONTRACTOR:NOVO CONSTRUCTION PERMIT NO: 14120095 OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED: 12/18/2014 OWNER'S PHONE: 7078884367 MENLO PARK,CA 94025 PHONE NO:(650)701-1500 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL D APPLE- 1ST FLOOR COMM.T,I TO INCLUDE License Class_ Lic.# 71/0 Z 2 NON-STRUCTRAL WALLS;NEW FINISHES Contractor /yuVI_6j,,,g V6P I, / Date 12 1� 1 I hereby affirm that 1 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: 1 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 v erformance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$30000 1 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:31602109.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certifv that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.l agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS ERMIT 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 FRO \, 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 granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: Jd with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RF,-ROOFS: Signat ��/'�Date %Z 1R I 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 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 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 I 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 25505,2-5 33,an 25-34. Section 3700 of the Labor Code,for the performance of the work for which this � permit is issued. Owner or authorized aDate: I certify that in the performance of the work for which this permit is issued,l 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 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 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 1� CUPERTINO (408)777-3228• FAX(408)777-3333• building(a)cupertino.org 1� I ❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/Tl ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS12 ("� /TLc L t�JP APNb 02 OWNER NAME PHONEE-MAIL STREET ADDRESS CITY,ST £,ZIP FAX CONTACT NAME PH ,E E-MAIL 4e�� it ire &5e) ��? �q l Z �j .V 5,�, !; VA-1 STREET ADDRESS CIT , TATE,ZIP FAX /'/ 0 i ` ?/Ens /`.' Z / /Lo �c l� x.045/4' ❑OWNER ❑ OWNER-BUILDER ❑ OVWER AGENT ❑ CONTRACTOR ACONTR.ACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS-LTC k cI 1GZ Z �. 23 e i COMPANY NAME �A\/ E-MAIL FAX fl STREET ADDRESS / CITY,ST E,ZIP PHONE ;�� N '701 ARCHITECT/ENGTNEER NAME LICENSE NUMBER BUS.LIC 9 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK EXISTING USE PROPOSED USE CDNSTR.TYPE >?STORIES 1 /J (_/l USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NETAREA ,!7 - %_ 3i, Div BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMDDEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA �GARAGEREA: DETACH ❑ATTACH R DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? ❑NO ADDITION? ❑NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVED P)r TOTAL VALUATION: PLANTING APPLE ❑NO PL.ANNLNG APPRDVAL LETTER EICHLER HOME? NO _ - 3o Oo+c7 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. 1 Kave read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to bu hg constructs n. I au rize re esentati sof Cupertino to enter the above-identified propery for inspection purposes. Signature ofApplicandAg Date: /L f$ / SUPPI,KENTAL FNTFORI\4ATION REQUIRED PLAN CHECK r PE ROUTINGSLIP Ne\v SFD Or Multifamily d\vellings: Apply for demolition permit for OVER THE COUNTER ❑ BLrILDING PLAR REtZEW existing building(s). Demolition permit is required prior to issuance of Idinw- permitmit for new building. ❑{>;ti rREss ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑:STANDARD;- ❑ yvBLletvoRl{s form if any Hazardous Materials are being used as part of this project. ❑ LARGE' El IRE DEPT Copy of Planning Approval Letter or Meeting\with Planning prior to submittal of Building Permit application. ❑'MAJOR ❑ SANITARY$ER'ERDISnikT ❑ ENVIRONMENTALIiEALTA BldgApp_201 Ldoc revised 06121111 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 5 infinite loop DATE: 12/17/2014 REVIEWED BY: Mendez APN: BP#: *VALUATION: 1$30,000 "PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY" Commercial Building PENTAMATION 113 TI USE: PERMIT TYPE: WORK ��- 1st floor comm. t.l to include non-structral walls; new finishes SCOPE OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. s.f. B (Tenant Improvements) II-B,III-B,IV,V-B 600 $2,112.78 IBTIPLNCK $793.08 IBTIINSP TOTALS: 600 $2,112.78 $793.08 MECH,HOURLY 0 Yes E) No PLUMB,HOURLY 0 Yes Q No ELEC,HOURLY ® Yes )No Lj NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works, Fire,Sanitary Sewer District,School District,etc. . Thesefees are based on the prelimina information available and are only an estimate. Contact the De t or addn'1 info. FEE ITEMS (Fee Resolution 11-053 Elf' 7,1%13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,112.78 Select a Misc Bldg/Structure Suppl.PC Fee: (j) Reg. ® OT0.0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $793.08 Suppl. Insp. Feer Reg. Q OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Permit? ® Yes (j) No $0.00 E) Advanced Planning Fee: $0.00 Select a Non-Residential Q Building or Structure i Strong Motion Fee: IBSEISMICO $8.40 0 # Revisions Bldg Stds Commission Fee: IBCBSC $2.00 $0.00IREVSFDWL SFDWL SUBTOTALS: $2,916.26 $0.00 TOTAL FEE: F $2,916.26 Revised: 10/01/2014 CUPERTINO '7 ("'ONTRAI-I'OR S1JBC(__)NTRA(_.'T0R LIST 0H ,;1'J)D I-",!_SS:5 Infinite Loop 14120095 0\% NFJII'S Al if Apple, Inc. 0 P:NOVO Construction, Inc. I i 1 1( 1 1.51,, 23891 �J)1)k1-,:1460 Obrien Ave ` 3'3t! eiFil Yl Diaz;[ cj a i H i;PO tp , ,;" D1111 nol i1sing im SIJ N"TRACA"Ok Bt'STSFS'S A, I v o j- Lcc trlcd Cupertino Electric, Inc. 1,737 17 1 H �1 ;! 12 SD Flooring, Inc. W18 pci8 1 "filOh-'11111 . "'10)oii -- ------- ------ ----- �'l ,'l I -I Wri 11 no Magnum Drywall, Inc. 6 iOo ":('i koc�k Magnum Drywall, Inc. 61 00