15040170CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 2 INFINITE LOOP
CONTRACTOR: NOVO CONSTRUCTION
PERMIT NO: 15040170
OWNER'S NAME: APPLE COMPUTER INC
1460 O'BRIEN DR
DATE ISSUED: 04/23/2015
OW R'S PHONE: 41084380968
MENLO PARK, CA 94025
PHONE NO: (650)701-1500
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
❑ ❑
APPLE TI - 2ND FLOOR - UPGRADE MECHANICAL UNITS
License Class `� Lic. # q
FOR RM N262
ContractorDate
I hereby affirm that I am licensed under the provisions of Cha ter 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: $165000
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: 31602106.00
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 FROM LAST CALLED INSPECTION.
indemnify and keep hatmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
X13 ods
7 { r�
aW '" ' "
granting of this permit., Additionally, the applicant understands and will comply
Issued by: 1'^i' Date:
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
'') 23 is
RE -ROOFS:
Signature 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.
❑ WNiR-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 (be 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 (Sjlec.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 Arca Air Quality Management District I
performance of the work for which this permit is issued.
will maintain compliance with the pe tino Municipal Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, Sectio t 55 5, 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.
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
CONSTR CTION 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
CUP ;RTII O
[:1 NEW COIpSTRUC'
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
Q,
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 SD
(408) 777-3228 • FAX (408) 777-3333 • buiidmggC Cupertino org 6
'ION ❑ ADDITION ® ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS
2 Infinite Loop
APN # 3 �,6 - 0 7 -
OWNER
OWNER NAME 'Apple, Inc.
PHONE 408-438-0968
E-MAIL
STREET ADDRESS 1 Infinite Loop
CITY, STATE, ZIP Cupertino, CA 95014
FAX
CONTACT NAME', Jacob White
PHONE 650-847-8912
E-MAILjwhite@novoconstruction.com
STREET ADDRESS 1460 Obrien Ave
CITY, STATE, ZIP Menlo Park, CA 95014
FAX
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR 00 CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAIAE
LICENSE NUMBER 791022
LICENSE TYPE B
BUS LIC # 23891
COMPANY NAME NOVO Construction
E-MAIL
FAX
STREET ADDRESS 1460 Obrien Ave
CITY, STATE, ZIP Menlo Park, CA 94025
PHONE 650-701-1500
ARCHITECT/ENGINEER NAME Scott Colson
LICENSE NUMBER
BUS. LIC #
COMPANYNAME': HGA Architecture
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTIONOF,wORK Tenant improvement on the 2nd Floor of Infinite Loop 2, upgrade mechanical units for one room
EXISTING USE
PROPOSED USE CONSTR.
TYPE
#STORIES
g
_
4
USE
TYPE
OCC.
SQ.FE
VALUATION (S)
EXISTG
AREA 7�"�. 7
NEW FLOOR
AREA �"� '7
DEMO
AREA N /1
TOTAL
NET AREA �Z ..y
1
g
1 -
g
'7�Z �%
$165,000
BATHROOM
KITCHEN
OTHER
REMODEL AREA
REMODEL AREA
REMODEL AREA
'
PORCH AREA
''. DECK AREA
TOTAL DECK/PORCH AREA
GARAGE AREA: DETACH
ATTACH
# DWEUNIT
LLING
IS A SECOND UNIT []YES
SECOND STORY ❑ YES
BEING ADDED? []NO
ADDITION? []NO`
PRE -APPLICATION', OYES IF YES. PROVIDE COPY OF
IS THE BLDG AN ❑ YES
_ - -" y - T-QTAL VALUATION:
PLANNING APPL # ❑NO PLANNING APPROVAL LETTER
EICHLER HOME? ❑ NO
5 000
By my signatures below, I certify to each of the following: I am the property owner or au orized agent to act on the prgp6ty o�Yner's behalf. I have read this
application and %he information I have provided is correct. I have read the Description of Work and verify it is accurate--Il-agree to comply with all applicable local
ordinances and State laws relating to buddiflg construction I authoriz�repres tat ve f Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agen . _ �'� L �����-`� 7 Date:
SUP? NTAL INFORMATION REQUIRED
PLAN CHECK TYPE
ROUTING SLIP
❑ OVER -THE COUNTER
❑ BUII DING PLAN REVIEW
_ New SFD'or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
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
❑ SANrrARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
BldgApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
OCCUPANCY TYPE:
ADDRESS: 2 INFINITE LOOP
DATE: 04/22/2015
REVIEWED BY: MELISSA
PC FEE ID
APN: 316 02 106
BP#:
'VALUATION:
1$165,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY!, Commercial Building
USE:
$984.53
PENTAMATION 1 B TI
PERMIT TYPE:
WORK
APPLE T.I. - 2ND FLR - UPGRADE MECHANICAL UNITS FOR RM N262
SCOPE
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
s.f.
PC FEES
PC FEE ID
BP FEES
BP FEE ID
B (Tenant IM: provements)
I-A,I-B
327
$3,153.91
1BTIPLNCK
$984.53
1BTIINSP
Permit Fee:
$984.53
Suppl. Insp. Fee -0 Reg. 0 OT0,0
hrs
$0.00
PME Unit Fjee:
$0.00
PME Permit Fee:
$0.00
0
Work Without Permit? 0 Yes 0 No
$0.00
TOTALS:
327
$3,153.91
$984.53
Strong Motion Fee: IBSEISM1CO
MECH, HOURLY 0 Yes Q No I PLUMB, HOURLY 0 Yes E) No I ELEC, HOURLY 0 Yes Q No
NOTE: This ('estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
Dietrh-t off, I1 Thoco foac aro hncod nn tho nroliminary infnrmafian avnilahlo and ary nnly an vcfimato_ Cnntart tho Dont fnr addn'l info_
FEE ITEMS (Fee Resolution 11-053 UL 7/11131
FEE
QTY/FEE
MISC ITEMS
Plan Check fee:
$3,153.91
Select a Misc Bldg/Structure
or Element of a Building
Suppl. PC Fee: (E) Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$984.53
Suppl. Insp. Fee -0 Reg. 0 OT0,0
hrs
$0.00
PME Unit Fjee:
$0.00
PME Permit Fee:
$0.00
0
Work Without Permit? 0 Yes 0 No
$0.00
Advanced P➢annin Fee:
$0.00
Select a Non -Residential Q
Building or Structure 0
i
Strong Motion Fee: IBSEISM1CO
$46.20
Select an Administrative Item
Bldg Stds Cpmmission Fee: IBCBSC
$7.00
SUBTOTALS:
$4,191.64
$0.00 TOTAL FEE:
1 $4,191.64
Revised: 04/01/2015
TEMPORARY CERTIFICATE OF OCCUPANCY FORM
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
ALBERT SALVADOR, P E., C.B 0.. BUILDING OFFICIAL
10300 TORRE AVENUE • CUPERTINO. CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildinq(a.cupertino.org
A
j16i? 1010
AMOUNT
BP #:
O'ID O
CODE
DATE:
OF BOND:
PROJECT
VALUATION: $ f6506b
SITE
ADDRESS: T n
,,);k_ % r%. c,
r01
OW ER'S NAME-
13
Date:......................
PHONE #-
08 q�� �.3 _ 6
(,` �. ,
❑ APPROVED
El APPROVED WITH CONDITIONS -
FAX #:
Date:......................
MAILING ADDRESS (if different from site address):
CONTRACT R:
PHONE #:6
sq p [ Sb U
/V 6 o Con
w�i U n
FAX #:
l
`
CONTACT:,, n
H4 (1 A 5 u
Opt
PHONE #:
FAX #:
C 6 SV � 2 O �5
TEMPORARY CERTIFICATE OF OCCUPANCY INFORMATION
BOND TYPE:', El SURETY BOND
AMOUNT
(1 % VALUATION $ saw (BLDBONDSJ
CODE
❑ CHECK ❑ CASH BOND
OF BOND:
5K min -10K max
EDITION:
TCO EXPIRATION Z �
t i
FEE: $2$6.00/mo
TOTAL FEE: $ / 1 [1TEMPOCC]
DATE (6 MONTHS MAX):
Date:......................
USE
TYPE OF
CONSTR
FLOOR
AREA
OCC
LOAD
LEVEL
COMMENT
ire ,(
Si nature:. �.1.
Date: ..�.I.l..�..�.�j... APPROVED
El APPROVED WITH CONDITIONS-
❑ APPROVED
❑ APPROVED WITH CONDITIONS-
Signature: .SII ....................................................
Date:......................
❑ APPROVED
El APPROVED WITH CONDITIONS -
Signature: ..... 1: ........ *** .........................................
Date:......................
OTHER DEPARTMENT 1 AGENCY APPROVALS:
Planning
❑ APPROVED
El APPROVED WITH CONDITIONS -
Signature: ..... ........... .... .....................................
Date: .................... --
ate:........................
ire ,(
Si nature:. �.1.
Date: ..�.I.l..�..�.�j... APPROVED
El APPROVED WITH CONDITIONS-
❑ APPROVED
❑ APPROVED WITH CONDITIONS-
Signature: .SII ....................................................
Date:......................
❑ APPROVED
El APPROVED WITH CONDITIONS -
Signature: ..... 1: ........ *** .........................................
Date:......................
*CONDITIONS OF COMPLETION - Attach a letter signed by the contractor and owner of the property
stating they list of items required to be completed for each individual Department before final occupancy
can be granted. Include approximate completion dates for each item.
The undersghed covenant and agree as a condition to the approval of the above request for temporary occupancy to have the building or
buildings complete and in compliance with all building codes, ordinances and regulations and ready for inspection prior to the expiration
date specified. If this Temporary Certificate of Occupancy expires, the total amount of the bond may be forfeited and the non-compliance
may result in an enforcement action.
Owner1 . _ Contractor ! /
Sonature: , .- ! .Y ............................... Date:.6-A.-/...... Signator ......................... `...................... Date:
This temporary certifica� 4 uret t�a'rll fire protection and life safety systems have been completed, inspected, successfully tested and
approved for the specif y�f of h b ilding specified above to provide a reasonable degree of safety to the occupants from fire and
I
Building Offic al:....1-f LLA....... �...�....,�............... Print: ..../'`/.Ncr•.......V•1/ �/!'�........................ Date:... -,7../ .K ....
DEPARTMENT ACTION: After d@termiVM15in, copies to: 1) applicant, 2) permit file
TempOccForm_2013.doc revised 717114
TEMPORARY CERTIFICATE OF OCCUPANCY FORM
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
CUPERTINO (408) 777-3228 • FAX (408) 777-3333 • build ing(a)cupertino.org
* el(I tf cc
A
TEMPORARY CERTIFICATE OF OCCUPANCY INFORMATION
BOND TYPE: ❑ SURETY BOND AMOUNT (1% VALUATION $ 5W D [BLDBONDS] CODE
❑ CHECK ❑ CASH BOND OF BOND: 5K min -10K max EDITION:
TCO EXPIRATION I Z FEE: $256.00/mo TOTAL FEE: $ / ,6 \ [1TEMPOCC]
DATE (6 MONTHS MAX): I 6 � r
USE
7#:ATE:
S 0 Ll '10
FLOOR
AREA
D
LEVEL
PROJECT
VALUATION: $ O D U
SITE
ADDRESS: T r1 ni}L (�c. verf;11f,4
-
SO!
OW ER'S NAME:
13
2
PHONE #:'JO�
I
, p cl 642
(t_ u v es-
............ Date: ......................
FAX
MAILING ADDRESS (if different from site address):
❑ APPROVED
CONTRACTOR:
Signature: .........................................................
PHONE #:
bU D- Sb U
N o v o (1> rv-t T U n
FAX #:
l
l
CONTACT: p
1-1 (L 5z,_ U re S
PHONE #:
FAX #:
C 6 S l) 2
TEMPORARY CERTIFICATE OF OCCUPANCY INFORMATION
BOND TYPE: ❑ SURETY BOND AMOUNT (1% VALUATION $ 5W D [BLDBONDS] CODE
❑ CHECK ❑ CASH BOND OF BOND: 5K min -10K max EDITION:
TCO EXPIRATION I Z FEE: $256.00/mo TOTAL FEE: $ / ,6 \ [1TEMPOCC]
DATE (6 MONTHS MAX): I 6 � r
USE
TYPE OF
CONSTR
FLOOR
AREA
OCC
LOAD
LEVEL
COMMENT
C -f i cam.
-
3
Public s
2
ElAPPROVED
❑ APPROVED WITH CONDITIONS'
Signature:.............................................
............ Date: ......................
Other:
❑ APPROVED
❑ APPROVED WITH CONDITIONS'
Signature: .........................................................
Date:......................
OTHER DEPARTMENT I AGENCY APPROVALS:
Planning
Signature: .........................................................
Date:........................
❑ APPROVED
❑ APPROVED WITH CONDITIONS"
ire
Si nature:..
....
......... Date:.. -I..1..
( ( . �.�...
APPROVED
❑ APPROVED WITH CONDITIONS'
Public s
ElAPPROVED
❑ APPROVED WITH CONDITIONS'
Signature:.............................................
............ Date: ......................
Other:
❑ APPROVED
❑ APPROVED WITH CONDITIONS'
Signature: .........................................................
Date:......................
*CONDITIONS OF COMPLETION - Attach a letter signed by the contractor and owner of the property
stating the list of items required to be completed for each individual Department before final occupancy
can be granted. Include approximate completion dates for each item.
The undersigned covenant and agree as a condition to the approval of the above request for temporary occupancy to have the building or
buildings complete and in compliance with all building codes, ordinances and regulations and ready for inspection prior to the expiration
date specified. If this Temporary Certificate of Occupancy expires, the total amount of the bond may be forfeited and the non-compliance
may result in an enforcement action.
Owner _ Contractor f
Signature:.... Y.... ......... ................. Date:G.... Signature -7 ......... .........r .................... Date: IVZIF�
This temporary certifica e ure(ht�Tll fire protection and life safety systems have been completed, inspected, successfully tested and
approved for the specif ofding specified above to provide a reasonable degree of safety to the occupants from fire and
similar emergencies.
Building Official:.... .... ......... ............ ....................Print:.... ...../. ...... ....�0..........................Date:..I ..f�..
DEPARTMENT ACTION: After cktermil)Wn, copies to: 1) applicant, 2) permit file
TempOccForm_2013.doc revised 717114