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10040009CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20705 VALLEY GREEN DR I CONTRACTOR: NOVO CONSTRUCTION JPERMIT NO: 10040009 (`' H'ER'S NAME: APPLE INC. ON, �iER'S PHONE: 4087250700 ❑ LICENSED CONTRACTOR'S DECLARATION License Class 01Lic. # Contractor Dajiolio H 2 I hereby affirm h am .ce a un t e prof 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: 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 permit is issued. APPLICANT CERTIFICATION 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 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 with all non -point u ce regulatio s per the Cupertino Municipal Code, Section 9.18. SiR~^*ure Date ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: I, 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 construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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. 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 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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 Ur `ie above mentioned property for inspection purposes. (We) agree to save iy ify 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 with all non -point /ource regulationshelupertino Municipal Code, Section 9.18.Z'C 4% 1042 HAMILTON CT I DATE ISSUED: 04/02/2010 MENLO PARK, CA 94025 I PHONE NO: (650)701-1500 BUILDING PERMIT INFO: BLDG F_ ELECT I— PLUMB r— MECH F_ RESIDENTIAL r— COMMERCIAL f— JOB DESCRIPTION: LIFE SAFETY REPORT FOR TI COMMERCIAL BUILDING Sq. Ft Floor Area: I Valuation: $360000 APN Number: 32610046.01 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Date: 2— ( 0 RE -ROOFS: 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. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. or autho i ed gent: / / — --T--A O�( �Date /r—'�rr-- CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional AEVISION # CITY OF CUPERTINO BUILDING PERMI ATE BUILDING ADDRESS: 19333 VALLCO PKWY BLDG B CONTRACTOR: DPR CONSTRUCTION INC PERMIT NO: 09070013 1450 VETERANS BLVD DATE ISSUED: 08/19/2009 O" '?R'S NAME: APPLE INC REDWOOD CITY, CA 94063 PHONE NO: (650)474-1450 OV ivER'S PHONE: 4089745951 ❑ l LICENSED CONTRACTOR'S' DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic. # l 1� MECH r RESIDENTIAL f— COMMERCIAL CI//�� Date /,-T /p Contractor JOB DESCRIPTION: COMM'L TI SEISMC UPGRD OF EXSTNG STRUCTRL SYS; I hereby affirm that I am licensed under the provisions of Chapter 9 FOOTING MODIFCTNS, NEW BRACED FRM BRACES (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. (I 1,373SQ) -� ff I _ C'14 T-) 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. I have and will maintain Worker's Compensation Insurance, as provided for by Valuation: $600000 Section 3700 of the Labor Code, for the performance of the work for which this Sq. Ft Floor Area: permit is issued. APPLICANT CERTIFICATION APN Number: 31620075.BLDGB Occupancy Type: 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 for inspection (We) agree to save PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property purposes. indemnify and keep harmless the City of Cupertino against liabilities, judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs, and expenses which may accrue against said City in consequence of the the understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. granting of this permit. Additionally, applicant with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. /�Jl Issued by; `"-�"� Date Si- 'ure Date ❑ OWNER -BUILDER DECLARATION RE -ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed. If a roof is inspection, I agree to remove all new materials for the following two reasons: installed without first obtaining an I, as owner of the property, or my employees with wages as their sole compensation, inspection. will do the work, and the structure is not intended or offered for sale (Sec.7044, Signature of Applicant: Date: Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE 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 I have read the hazardous materials requirements under Chapter 6.95 of the Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain performance of the work for which this permit is issued. California compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & I have and will maintain Worker's Compensation Insurance, as provided for by Safety Code, Section 25532(a) should I store or handle hazardous material. Section 3700 of the Labor Code, for the performance of the work for which this Additionally, should I use equipment or devices which emit hazardous air by the Bay Area Air Quality Management District I will permit is issued. I that in the performance of the work for which this permit is issued, I shall contaminants as defined maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the certify not employ any person in any manner so as to become subject to the Worker's Health & Safety Code, Sections 25505, 25533, and 25534. Compensation laws of California. If, after making this certificate of exemption, I thor' ed agent: Own r aurg become subject to the Worker's Compensation provisions of the Labor Code, I must Date: l forthwith comply with such provisions or this permit shall be deemed revoked. 61 CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's I certify that I have read this application and correct. I agree to comply with all city and county ordinances and state laws relating for which this permit is issued (Sec. 3097, Civ C.) to building construction, and hereby authorize representatives of this city to enter Lender's Name u 'ie above mentioned property for inspection purposes. (We) agree to save i iify and keep harmless the City of Cupertino against liabilities, judgments, Lender's Address costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply ARCHITECT'S DECLARATION with all non -point source regulations per the Cupertino Municipal Code, Section I understand my plans shall be used as public records. 9.18. ;/-I Licensed Professional Signature Date ` CITY OF CUPEkTINO CITY OF CUPERTINO GENERAL BUILDING PERMIT APPLICATION FORM APN #'-F)" t � © L� 4 o � Date: GI /-Z16 Building Address: 1 0S ALLFII CET� hp -1\/ E Mailing Address (if different from building address): Are Hazardous Materials being used as part of this project? Yes No HOA:(Exterior work only) Yes ❑ No If yes, provide letter from HOA Own 's Name: 0%5) 16H Phone #: Lio � • 7 Zs, 0 7 bb 1rJcS Contr ctor: Phone: CSS O 24 3 NWO (0N 9-V L 0 Fax: Contractor License #: -7 '1 0 Z72 - Cupertino Business License #: Contact: Phone: 6 S o Ss 3 T3 2 0) Fax: Residential Commercial Job Description: Lc F V- Po 62 T i ��►^'�� ��/� �- -'��� Building Permit Info: (j� I b BldgEl Elect ❑ Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: 3 1-A, 1-B ❑ 11/111/V -A❑ IggI� IV -HT, V -B E]A Valuation: g[ 60vl ()OU Square Footage: Project Size: Express ❑ Standard Large ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it to the application or if applicable, include in plan set & the sheet index. Points Achieved: For help, contact Build it Green at www.builditgreen.org Revised 07/14/09 C,, Sem, CITY OF CUPEfkTINO CITY OF CUPERTINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM 1BBOILERI For the installation or relocation of ea M boiler/compressor to & including 3 horsepower, or ea absorption sys to & incl 100,000 Btu/h (29.3 kw) 1 BBOILER2 Installation /relocation of ea M boiler/compressor over 3 horsepower to & incl 15 horsepower, or ea absorption ss over 100,000 Btu/h 1BBOILER3 Installation/relocation of ea M boiler/compressor over 15 horsepower to & incl 30 horsepower, or ea absorption sys over 500,000 Btu/h to & incl 1,000,000 Btu/h 1BBOILER4 Installation/relocation of ea M boiler/compressor over 30 hosepower to & incl 50 horsepower, or for ea absorption sys over 1,000,000 Btu/h to & incl 1,750,000 Btu/h 1BBOILER5 Installation/relocation of ea boiler or M refrigeration compressor over 50 horsepower, or ea absorption sys over 1,750,000 Btu/h 1BAPPLOTH For ea appliance or piece of equip M regulated by this Code but not classed in other appliance categories, or for which no other fee is listed in this code. IELECINSP Other Electrical Inspections (per hour) E 1 MECHINSP Other Mechanical Inspections (per M hour) 1 PLMBINSP Other Plumbing & Gas Inspections P (per hour) 1 MEETINGI HR Application Meeting B 2 of 5 CITY OF CUPERTINO C IJ CITY OF O GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1 GENCOM ACOUSTICAL REVIEW IACOUSFDW SFDWL/Duplex New B IACOUSRESAD SFDWL/Duplex-Addition/Alteration B 1 ACOUSCOM Multi-Family/Commercial B CHIMNEY'S 1 CHIMNEY Chimney B 1 CHIMNEYR Chimney Repair B FENCES 1 FENCE>6FT Non -masonry, over 6 ft in height B 1 FENCEMAS>6 Masonry, over 6 ft in height B FIREPLACES 1 FIREPLMAS Fireplace Masonry B 1 FIREPLFAB Fireplace Pre-Fabricated/Metal B 1 FLAGPOL>20 Flag pole (over 20 ft in height) B 1 MODUSTRU Modular Structures B FOUNDATIONS 1 FOUNDREP Foundation Repair B 1PILECAST Pile Foundation Cast in place concrete B 1 PILEDRIV Pile Foundation Driven (steel, pre- stressed concrete B / _,r /��" �� 3 of 5 ZITYOF CUPEI,TINO CITY OF CUPERTINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1GENCOM PARTITION WALLS 1PARTICOMM Partition Interior Commercial B 1PARTICOMM 1PARTIR Partition Interior Residential B 1PARTIR<=30 RETAINING WALL(CONCRETE OR MASONR 1 RETSTN Standard (up to 50 ft) B 1RETSP310 Special Design, 3-10' high (up to 50 `) B 1 RETSP 10 Special Design, over 10' high (up to 50' B 1RETCRB< Gravity/Crib Wall, 0-10'high (up to 50 ft) B 1RETCRB> - Gravity/Crib Wall over 10' high (up to 50 ft B SIDING 1 SIDEST/BK Siding, Stone & Brick Veneer (interior/exterior) B 1 SIDEOTHER Siding all other B SKYLIGHTS _ 1 SKYL<10 SF Skylight less than 10 sf B 1 SKYL>10SF Skylight greater than 10 sf or structural B 1STAIRS Stairs -first flight/ea addt'l B STORAGE RACKS 1 SRACKS<=8 Storage Racks 0-8' high (up to 100 sf) B 1 SRACKS>8 Storage Racks over 8' high (up to 100 st) B 4 of 5 SJ11-110-1 CITY OF CUPERTINO CITY OF CUPERTINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1GENCOM 1STUCOAP Stucco Applications (up to 400 sf additional stucco application B 1 WINREP Replacement windows/sliding glass door (ea 8 windows) B 1 WINMEWSTR New Window -structural shear wall/masonry (includes plan ck fee B IEPERMITFEE Electrical Permit Fee E 1MPERMITFEE Mechanical Permit Fee M 1 PPERMITFEE Plumbing Permit Fee P 1 ELCPLNCK Stand Alone Electric Pln Ck (hourly) E 1MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M 1 PLMBLNCK Stand Alone Plumbing Pln Ck (hrly) P 1 STPLNCK-(3 Hr Min when not over counter) Standard Plan Check (when no E/M/P) hourly -stand alone B 1 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICR Seismic Residential B 1BSEISMICO Seismic Commercial B 1TRAVDOC Travel & Documentation B 1 BUSLIC Business License B 5 of 5