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15040147CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 5 INFINITE LOOP FLR 4 CONTRACTOR: NOVO CONSTRUCTION PERMIT NO: 15040147 OWNER'S NAME: APPLE INC 1460 O'BRIEN DR DATE ISSUED: 06/19/2015 OWNER'S PHONE: 4089745951 MENLO PARK, CA 94025 PHONE NO: (650)701-1500 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL APPLE TENANT IMPROVEMENT (IL5.4S) (10643 SQ FT). icense Class � 2 Lic. # ) o i2 TI PREP 15020060 (CLOSED) ��`-f Contractor Ngyp ((� S�Q/�/(G�U�IDate I hereby affirm that I am licensed under the provisions of 6,pter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. 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 Sq. Ft Floor Area: Valuation: $650000 r-Mce of the work for which this permit is issued. e and will maintain Worker's Compensation Insurance, as provided for by Tcti on 3700 of the Labor Code, for the performance of the work for which this APN Number: 31602109.FLR4 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. 1 agree to comply with all city and county ordinances and state laws relating E ISSUANCE OR WITHI=R0=AS,T to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 18 L 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 6 granting of this permit. dditionally, the appl ant understands and will compl Date: with all non-point sour a egulations per th u ertino Municipal Code, Section 9.18. ' ( -ROOFS: Signature Date ( l All roofs shall be inspected pr's o any roofing material being installed. if a roof is installed without o i mg 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. 1 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 compliancewith the C pertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Se 'ti 5505, 2553 , 534. Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.: Owner or authorized agent: Date I certify that in the performance of the work for which this permit is issued, 1 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 1 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 1 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION 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 7 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT D���W9 AR"rMENT - BUILDING DIVISIt;)N 10300 TORRE AVENUE - C()FIER'"NNO, CA 95014••0200 (408)T77-3228 + FAX (408) °1'7'7-3333. 5 1_11 li�l- .L <:Lip tic-�r;:> Ljiq NFW CONSTRUCTION ❑ ADDITION E ALTERAT ION / TI F1 REVISION -, DEFERRED ORIGINAL PI RNII-I t; I'R0,1EC"r ADDRESS APA+J,/A tnFiNtTE o / oaNa�CAntr' _.._� PHONE �7y 8 -MAIL P C,DMY�TH2 �oMPl�r�"� l,� ._. �...�..._..__..__._ ...�_",-"ZIP S'rRFE'a ADDRESS F(-�tTY, ST -ATE, ZIP FAX 1 IA)Fi iTZ (00,('�•aPh2110O 0)t Ole{ C'ON'TACT NAIv1E E-MAIL /PHONE JA,.....„..C_..mir �„`.__. .w.,.v .�..._`� .• _:...... °',""..u?..._..._...w.m... �"�L\-1WCN@IX�NL.oC^,eaS T'(L_."'i'9��' W �.w„,.'� SIRLL I,IDDRNSS (1)Y SIATT, ZIP FAX (n 0 .� Ca 1 V—L E r�1 � fit ) �. ..�"� -" t�0 Q (�-R lc ......_.� ..__._.._..,. ❑ OWNLR ❑ OWNER -BUILDER ❑ O\\'NERAGII\Il'o VTR,\c-rOR UON-I RA('I ORAGLNT ❑ AR011-IEC I ❑ ENGINEER ❑ DEVI:1-OP1:R ❑ TENAN I' CON"1-RAC"IOR NAME LICFNS@NUM FR L10NSFTYP1% Ci BUS.LIC"N L ._.._ _.. 13 N 41 u C QTR w.l t :Tr o r I N __ _ ./ 2- 6 Cl ('OMPANY NAAII? I-iNIAll. FAN ry.l4y"kI0My C.P STREET ADDRLSS C'I'fY, STATE, ZIP owSY-t. E- () . V it ENI o f. I,, PHONE G f-6 3 r • 2-6 AR(I-H IFUI'ENGINEF,R NAME LICL-i'SE NUAIBF.R BUS. LIC 4 COMPANY NANIF E-MAIL FAS ST"RFI C" ADDRESS CITY, STATE, /_rP PHONE DESCRIPTION OF WORK j .to iv- . e- CXISTING USEPROPOSED USE CONT TYPE P STORIES USE TN PE OCC SQ.FT. VALUA MON ($) (L FFXIS rG NE\V FLOOR DEMO TOI-AL AREA AREA AREA NETAREA 1�J �` �"T Z) l if i" fes" ('j� [y [y est BA'rHIROO,M KITCHEN OTIII---R REMODEL AREA REMODEL AREA RLVtODEL AREA PORCH.AREA DECK AREA TOTAL DE(KIPORCH AREA GARAGE AREA: DI`I ACH A1 NCH a DWELLING UNITS ISASE:CONUIINIT YFS SE'('ONDSrORY YFS BEING :ADDED? [:]NO ADDITION? NO PRC-.APPLI(ATI ON []YES IF YES. PROVIDE COPY OF IS THE BLDG AN ❑YES REC"" `tlE[) !j Y` TOTAL VALUATION: PLANNING .APPL4 []NO PLANNING APPROVAL LETTER EICHLER HOMEY ❑NO / JiJ'iD l owing�N a am the property owner or authorized agent to act on the property owner's behalf. I have read this By m si��naulre below, 1 cem to each of the followin signaturelow, I c nif application and the infoI have pr ded corre. 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 bui dz consiruc fon. I authorize representatives of Cupertino to enter the above-iderµified property for inspection purposes Signature � Date ofApplicandAgent SUPPLEMENTAL INFORMATION REQUIRED PLAN CIIECKTYPE ROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition permit for [ OVER-TIfE-COUNTER Fltrtl INGPLAN REVJVW existing building(s). Demolition permit is required prior to issuance of building permit for new building. 11 EXPRESS © PLANNING PLAN REVIEW Commercial Bidgs: Provide a completed Hazardous Materials Disclosure STANDARD E1 PII FBLIC WORKS _ form if any Hazardous Materials are being used as part of this project. IARQ:� �( I Lp� Copy of Planning Approval Letter or Meeting with Planning prior to �PtREOEPT I SANITARY submittal of Building Permit application. MAJOR SEWER DISTRICT El EtNvIRONMENTAL.HEA:LTH Bldgr{pp_20ll.doc revised 0621%ll CITY OF CUPERTINO FM7 FEE ESTIMATOR - BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 5 Infinite Loop DATE: 04/21/2015 REVIEWED BY: Sean PC FEE ID APN; BP#: 'VALUATION: 1$650,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial BuildingT USE: 1BTIPLNCK PENTAMATION 1 B TI PERMIT TYPE: WORK Apple Tenant Improvement IL5.4S 10643 sq ft). SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) II-B,III-B,IV,V-B 10,643 $2,740.74 1BTIPLNCK $6,828.45 IBTIINSP $0.00 PME Plan Check: $0.00 Permit Fee: $6,828.45 SuppI. Insp. Fee:Q Reg. ©OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 TOTALS: 10,643 $2,740.74 $6,828.45 MECH, HOURLYPL;CIMB, HOURLY 'YesNa E+LEC, IIOURLY ©; Yes ;- j1!To �fclCh i tYc'i'/, Plan Check Fee: $2,740.74 17�'Il'T I/t fYiSJ� fJrllCi' f',I<�L+; IYlRY� �?1!7"1' fly:' frl5f7. F-01lirs $0.00 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,740.74 Select a Misc Bldg/Structure or Element of a Building Supp/. PC Fee: (j) Reg. Q OT F-01lirs $0.00 PME Plan Check: $0.00 Permit Fee: $6,828.45 SuppI. Insp. Fee:Q Reg. ©OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 E) Work Without Permit? 0 Yes (E) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure E) 0 i l f,or i Strong Motion Fee: 1BSE1SM1CO $182.00 Select an Administrative Item BldgStds Commission Fee: IBCBSC $26.00 S BTOTALS:7 $9,777.19 $0.00 'TO'TAL FEET $9,777.19 Revised: 04/0112015 CUPERTINO 1111 1111111111 Qrj I'' ij� Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 405-777-3225 Fax: E409-777-3333 JOB ADDRESS:5 Infinite Loop PERMIT 4105040147 OWNER'S NAiNIE:Apple Inc PHONE x;408.781.6582 GENERAL CONTRACTOR: NOVO Construction Inc BUSINESS LICENSE #791022 ADDRESS: 1460 Obrien Drive Menlo Park CITY/ZIPCODE:94025 *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING F€NAI. OR F'I:NAL, OCCUPANCY INSPE TION(S) WILL BE SCHEDULED UNTIL THE GENERAL, CONTRACTOR AND A L SL'I3 TTRACTqfS HAVE OBTAINED A CITY F CU CRTtaVO BUSINESS LICENSE. 1 a►n not using any subcontractors. - --- - — Signature Dat Please check applicable subcontractors and complete the following information: ✓ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Complete Millwork Cement Finishing _ Electrical Sprig Electric Excavation TNT Demolition Fencing e Flooring / Carpeting SD Flooring Linoleum / NVood Glass / Glazing -�Pvlf ^ 1A4to Heating Silicon Valley Mechanical Insulation Landscaping Lathing Masonry Painting (Wallpaper Pavin; CAWC Waterproofing & Restoration - Plastering Plumbing United IVlechanical Inc Roofing Septic Tank, Sheet Metal Sheet Rock — California Drywall Toe 1� ------------- ---- i --- O via a• / Contractor Signature 7