13110147 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 5 INFINITE LOOP CONTRACTOR:NOVO CONSTRUCTION PERMIT NO: 13110147
OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED:11/21/2013
OWNER'S PHONE: 4157103063 MENLO PARK,CA 94025 PHONE NO:(650)701-1500
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIALE]
License ClassLic.# 7110 Z Z— APPLE-T.I.TO INSTALL(N)SOUND PROOF BOOTH ON
Contractor �yV Vo t�1_g-712.ie/?°/Date /Z ° S /3 FLR
I hereby affirm that 1 am licensed under the provisions of Chapter 9
(commencing with Section 7000)of Division 3 of the Business&Professions 11/26/2013-DEFERRED#1 MANUFACTUED SPECS FOR
Code and that my license is in full force and effect. \ =HAMBER ROOM-ISSD 12/5/2013
1 hereby affirm under penalty of perjury onett�oo eclar�d ations:
1 have and will maintain a certificate of consent tTe f-insure for Worker's ` 7.
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is Sq.Ft Floor Area: Valuation:$10000
I have and will maintain Worker's Compensation urance,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
1 certify that 1 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 18 STY"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 CALLEDIN TION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the �" c�
granting of this permit. Additionally,the applicant underst ds and will comply Issued by: Date: J
.with all non-point source regulations per the Cu ino icipal Code,Section
9.18.
/Z RE-ROOFS:
Signa Date �' 3 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 1 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 witIf wages as their sole compensation,
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Business&Professions Code)
I,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 Mu 'c'pal e, apter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 505,255 4.
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Owner or authorized a Date: 2 u 3
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 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 I have read this application and state that the above information is
correct. 1 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
CITY OF CUPERTINO
FEE ESTIMATOR- BUILDING DIVISION
ADDRESS: 5 infinite loop DATE: 11/26/2013 REVIEWED BY: Mendez
APN: BP#: 13110147 'VALUATION: Iso
RPERMITTYPE: Building Permit PLAN CHECK TYPE: Alteration /Addition/ Repair
PRIMARY PENTAMATION
USE: Commercial BuildingF, � PERMIT TYPE: 1GENC0 i
WO deferred #1 anufactured drawin s for chamber room
SC PE'
Xtech. Plan Check Phunb. Pluia('heck Elec.Plan Check
"Ifech. Permit Fite Plumb. Permil Fee: Elec. Permit Fee:
L,-()i7,,hNlech.Insp. EIF--L- Other Plumb Insp. E1--1- 01her Elea.Insp. Li.Insp. Fee: Phnub. Insp.Fee: Elea.Insp.Fee:
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 onl an estimate. Contact the Dept/or addn'l info.
FEE ITEMS (Fee Resolution 11-053 Elf 711/13) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 0 # Deferred Submittal
Suppl. PC Fee: Q Reg. OT 0,0 hrs $0.00 $278.00 IDEFSUBM
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Feer Reg. Q OT 0,0 firs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Construction :Tar: -T-T
Administralive Fee: 0
Work Without Permit? Yes (F) No $0.00 E)
Advanced Planning Fee: $0.00 Select a Non-Residential 0
Travel Doc.•umentarion Fees: Building or Structure �,
Strons Motion Fee: $0.00 Select an Administrative Item
Bldg Stds Commission Fee: $0.00
SUBTOTALS: $0.00 $278.001 TOTAL FEE: $278.00
Revised: 10/01/2013
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 5 INFINITE LOOP CONTRACTOR:NOVO CONSTRUCTION PERMIT NO: 13110147
OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED: 11/21/2013
OWNER'S PHONE: 4157103063 MENLO PARK,CA 94025 PHONE NO:(650)701-1500
❑ LICENSED CONTRACTOR'S DECLARATION r r
{T /� BUILDING PERMIT INFO: BLDG -- ELECT - PLUMB
License Class Lic.#�—/ 7i 2
y / MECH RESIDENTIAL COMMERCIAL
ContractorDate r
1 hereby affirm that I am licensed under the provision of C apter 9
(commencing with Section 7000)of Division 3 of the Business&Professions JOB DESCRIPTION:
Code and that my license is in full force and effect.
1 hereby affirm under penalty of perjury one of the following two declarations: APPLE-T.I.TO INSTALL(N)SOUND PROOF BOOTH ON
t. 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 3RD FLOOR
performance of the work for which this permit is issued.
shave 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
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is Sq.Ft Floor Area: Valuation:$10000
-orrect.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 APN Number:31602109.00 Occupancy Type:
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
zosts,and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally,the applicant u erstands and will comply with
all non-point so regulations,er the u ino icipal Code,Section 9.18. PERMIT EXPIRES IF WORK IS NOT STARTED
t
Signat Datez WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS F T C ED INSPECTION.
❑ OWNER-BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for on je�b Date: Z� /
the following two reasons:
t. 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 RE-ROOFS:
sale(Sec.7044,Business&Professions Code) All roofs shall be inspected prior to any roofing material being installed.If a roof is installed
2. 1,as owner of the property,am exclusively contracting with licensed contractors without first obtaining an inspection,I agree to remove all new materials for inspection.
to construct the project(Sec.7044,Business&Professions Code).
Signature of Applicant: Date:
1 hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
t. 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
performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE
2. 1 have and will maintain Worker's Compensation Insurance,as provided for by
I have read the hazardous materials requirements under Chapter 6.95 of the California
Section 3700 of the Labor Code,for the performance of the work for which this
Health&Safety Code,Sections 25505,25533,and 25534. I will maintain compliance with
permit is issued. the Cupertino Municipal Code,Chapter 9.12 and the Health&Safety Code,Section
3. 1 certify that in the performance of the work for which this permit is issued,I shall 25532(a)should I store or handle hazardous material. Additionally,should I use
not employ any person in any manner so as to become subject to the Worker's equipment or devices which emit hazardous air contaminants as defined by the Bay Area
Compensation laws of California. If,after making this certificate of exemption,I Air Quality Management District I will maintain compliance with the Cupertino
become subject to the Worker's Compensation provisions of the Labor Code,I Municipal Code,Chapter 9.12 and the Health&Safety Co e,Sections 25505,25533,and
must forthwith comply with such provisions or this permit shall be deemed 25534.
revoked. Owner or authorized agen Date: 2 1 3
APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY
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 I hereby affirm that there is a construction lending agency for the performance of work's for
to building construction,and hereby authorize representatives of this city to enter which this permit is issued(Sec.3097,Civ C.)
upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
-osts,and expenses which may accrue against said City in consequence of the Lender's Address
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. ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Signature Date
Licensed Professional
CITY OF CUPERTINO
FEE ESTIMATOR- BUILDING DIVISION
ADDRESS: 5 INFINITE LOOP DATE: 11/21/2013 REVIEWED BY: MELISSA
APN: 316 02 109 BP#: 'VALUATION: 1$10,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement
PRIMARY
USE: Commercial Building PENTAMATION PERMIT TYPE: 16 T�
WORK APPLE -T.I. TO INSTALL N SOUND PROOF BOOTH ON 3RD FLOOR
SCOPE
OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID
CONSTR. (s.f.
B (Tenant Improvements) I-A,I-B 73 $3,054.00 /BTIPLNCK $857.00 IBTIINSP
TOTALS: 73 $3,054.00 $857.00
MECH,HOURLY O Yes O No PLUMB,HOURLY Q Yes Q No ELEC,HOURLY Q Yes No
Meeh,Ilan Check Plumb.Plan Check Elec.Plan Check
L1ecli. Perna!Fee: Plumb. Permit Fee: F;lee.Permit Fee:
Other Much. Insp. Other Plumb Insp. Lj Other Elec. Insp. Li
E Ld
14ech. Insp.Fee: Plumb. hasp. Fee:: Elee.Insp.Fee:
NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,ete). Thesefees are based on the prelimina information available and are only an estimate Contact the Dept for addn'l info.
FEE ITEMS(Fee Resolution 11-053 Eft 7/1/13,) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $3,054.00 Select a Misc Bldg/Structure
Suppl. PC Fee: (!) Reg. o OT 0.0 hrs $0.00 or Element of a Building
PME Plan Check: $0.00
Permit Fee: $857.00
Suppl. Insp.Fee,0 Reg. Q OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Construction :Tax:
Administrative.Fee: 0
Work Without Permit? Yes No $0.00 0
Advanced Planning Fee: $0.00 Select a Non-Residential 0
7I'anel Documentation Fees: Building or Structure 0
Stroniz Motion Fee: IBSEISMICO $2.10 Select an Administrative Item
Blda Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $3,914.10 $0.00 TOTAL FEE: $3,914.10
Revised: 10/01/2013