10080103CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10460 BANDLEY DR
CONTRACTOR: XL CONSTRUCTION
PERMIT NO: 10080103
OWNER'S NAME: APPLE INC
851 BUCKEYE CT
DATE ISSUED: 09/09/2010
OWNER'S PHONE: 4089745951
MILPITAS, CA 95035
PHONE NO: (408)271-2425
❑ LICENSED CONTRACTOR'S DECLARATION
INFO: FPLUMB r
qBUILDING
PERMIT BLDG ELECT
License Class_�� Lic.#
f7
MECH RESIDENTIAL " ` COMMERCIAL
rt j� n I �
Contractor X 1, (IM',J�' (JI.P { 104 Date `'1
I hereby affirm that I am licensed under the provisions of Chapter 9
JOB DESCRIPTION: COMM'L TI ONE STORY 2,286SQ OFC SPACE, PROJECT
(commencing with Section 7000) of Division 3 of the Business & Professions
INCLUDES DEMO OF EXISTING OPEN/CLOSED OFFICE SPACE
Code and that my license is in full force and effect.
& CONSTRUCTION OF NEW 21 OFFICES. RECONFIGURATUON
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
Sq. Ft Floor Area:
Valuation: $800000
Section 3700 of the Labor Code, for the performance of the work for which is
permit is issued. f-
APN Number: 32633105.00
Occupancy Type:
APPLICANT CERTIFICATION
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
PERMIT EXPIRES IF WORK IS NOT STARTED
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting of this pe t. Additionally, the applicant understands and will comply
180 DAYS FROM LAST CALLED INSPECTION.
with all non-poin re gulations per upertino Municipal Code, Section
9.18. q �j r
I I C7
Issued byr',•--"--�"'---�__---•- •----- Date:
Signature
❑ 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
the following two reasons:
installed without first obtaining an inspection, I agree to remove all new materials for
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,
Business & Professions Code)
Signature of Applicant: Date:
1, 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:
1 have and will maintain a Certificate of Consent to self-insure for Worker's
HAZARDOUS MATERIALS DISCLOSURE
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
performance of the work for which this permit is issued.
California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain
I have and will maintain Worker's Compensation Insurance, as provided for by
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
Section 3700 of the Labor Code, for the performance of the work for which this
Safety Code, Section 25532(a) should 1 store or handle hazardous material.
Additionally, should I use equipment or devices which emit hazardous air
permit is issued.
contaminants as defined by the Bay Area Air Quality Management District I will
I certify that in the performance of the work for which this permit is issued, I shall
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
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
become subject to the Worker's Compensation provisions of the Labor Code, I must
Or authorized en t: �'
Date:
forthwith comply with such provisions or this permit shall be deemed revoked.
CERTIFICATION
CONSTRUCTION LENDING AGENCY
VAPPLICANT
I certify that I have read this application and state that the above information is
l hereby affirm that there is a construction lending agency for the performance of work's
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
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify 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
—
9.18.
I understand my plans shall be used as public records.
Signature Date
Licensed Professional
REVASION
CITY OF CUPERTINO BUILDING PERMIT DAA
BUILDING ADDRESS: 10460 BANDLEY DR
CONTRACTOR: XL CONSTRUCTION
PERMIT NO: 10080103
OWNER'S NAME: APPLE INC
851 BUCKEYE CT
DATE ISSUED: 09(09(2010
OWNER'S PHONE: 4089745951
MILPITAS, CA 95035
PHONE NO: (408)271-2425
LICENSED CONTRACTOR'S DECLARATION
1-11
.- -
License Lic. EC
BUILDING PERMIT INFO: BLDG ELECT PLUMB
Class # J
� h_( r
Contractor x— ('_Q VQ 5`i JAfflt 0/-J Date
MECH RESIDENTIAL COMMERCIAL
`
I hereby affirm that I am Iicensed under the provisions of Chapter 9
JOB DESCRIPTION: COMM'L Tl ONE STORY 2,286SQ OFC SPACE, PROJECT
(commencing with Section 7000) of Division 3 of the Business & Professions
INCLUDES DEMO OF EXISTING OPEN/CLOSED OFFICE SPACE
Code and that my license is in full force and effect.
& CONSTRUCTION OF NEW 21 OFFICES. RECONFIGURATION
9/13/2010 - REV#1 - SMALL LAB/OFFICE
I hereby affirm under penalty of perjury one of the following two declarations:
CHANGES(HARDWALL),STRUCTURAL(ROOF),MECHANICAL(ROOF ),
LIGHTING MODIFICATIONS.9/28/10 REV#1 ISSD
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.
Sq. Ft Floor Area:
Valuation: $800000
APPLICANT CERTIFICATION
I certify that 1 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
APN Number: 32633105.00
Occupancy Type:
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 w h may accnr against said City in consequence of the
in
PERMIT EXPIRES IF WORK IS NOT STARTED
granting of this � . Additionally the applicant and will comply
with all non- ins ce regulation per the Cupertino Municipal Code, Section
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
9.18.
180 DAYS FROM LAST CALLED INSPECTION.
Signatu Datel/ /..U/ /O
L (I —
Issued by: Date:
❑ OWNER-BUIL ER DECLARATION
hereby a rrm that I am exempt from the Contractor's License Law for one of
the following two reasons:
RE-ROOFS:
1, as owner of the property, or my employees with wages as their sole compensation,
All roofs shall be inspected prior to any roofing material being installed. If a roof is
will do the work, and the structure is not intended or offered for sale (Sec.7044,
installed without first obtaining an inspection, I agree to remove all new materials for
Business & Professions Code)
inspection.
I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code).
Signature of Applicant: Date:
hereby affirm under penalty of perjury one of the following three
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
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
HAZARDOUS MATERIALS DISCLOSURE
performance of the work for which this permit is issued.
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
Section 3700 of the Labor Code, for the performance of the work for which this
California Health &Safety Code, Sections 25505, 25533, and 25534. I will maintain
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
permit is issued.
Safety Code, Section 25532(a) should I store or handle hazardous material.
1 certify that in the performance of the work for which this permit is issued, I shall
Additionally, should I use equipment or devices which emit hazardous air
not employ any person in any manner so as to become subject to the Worker's
contaminants as defined by the Bay Area Air Quality Management District I will
Compensation laws of California. If, after making this certificate of exemption, I
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
become subject to the Worker's Compensation provisions of the Labor Code, I must
Health & Safety Code, Sections 25505, 25533, and 25534.
forthwith comply with such provisions or this permit shall be deemed revoked.
Own or author' ed a t: /] p
Date:
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
CONSTRUCTION LENDING AGENCY
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
I hereby affirm that there is a construction lending agency for the performance of work's
upon the above mentioned property for inspection purposes. (We) agree to save
for which this permit is issued (See. 3097, Civ C.)
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
Lender's Name
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
Lender's Address
with all non-point source regulations per the Cupertino Municipal Code, Section
9.18.
ARCHITECT'S DECLARATION
Signature Date
I understand my plans shall be used as public records.
Licensed Professional
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
OCCUPANCY TYPE:
ADDRESS: DATE:
REVIEWED BY:
PC FEES
APN:
BP#:
"VALUATION: $80,000
%PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building
USE:
l'OTIL
FLOOR ARBA:
APPLICATION 1B TI
TYPE: A
WORK
IBTIINSP
SCOPE
$2,802.04
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
s.f.
PC FEES
PC FEE ID
BP FEES
BP FEE ID
B (Tenant Improvements)
II-A,111-A,V-A
2,826
$2,614.00
IBTIPLNCK
$2,802.04
IBTIINSP
Elec. Imp, Fee.
$2,802.04
Suppl. Insp. Fee -0 Reg. 0 OT
0.0
1 hrs
$0.00
PME Unit Fee:- : _ _
$0.00
PME Permit Fee:
$0.00
Conswilction Tax
Acoustical Fee: Y 0 No
$0.00
0 -
Work Without PeniAt` 0 Yes • No
$0.00
TOTALS:
2,826
$2,614.00-
7i cn>el Docrrrru;nlu/iorr f'c >s:
$2,802.04];
Strong Motion Fee:. IBSEISMICO
1VIECHANICAL` Yes No
° PLUMBING ®Yes Q No .
ELECTRICAL �1Yes . . Q No:
If (A Plan Check
plumb. Plarr Check
L, lea. Plan Check
rLfe.ch. Perron Fee:
Plumb. Perini! Fee:
fYec. Permir Fee:
Orber .,Wecrh. Insp.
Other Plumb Insp.
Other Elec. Insp. Ll I
.11ech. Insp. Fee.
Plumb. /mvp. Fee.
Elec. Imp, Fee.
NOTE: These -fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'1 info.
FEE ITEMS ('Fee Resolution 09-051 E '. 7/1%10)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$2,614.00
Select a Misc Bldg/Structure
or Element of a Building
Suppl. PC Fee: 0 Reg. 0 OT0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$2,802.04
Suppl. Insp. Fee -0 Reg. 0 OT
0.0
1 hrs
$0.00
PME Unit Fee:- : _ _
$0.00
PME Permit Fee:
$0.00
Conswilction Tax
Acoustical Fee: Y 0 No
$0.00
0 -
Work Without PeniAt` 0 Yes • No
$0.00
PLLO GRNG
PLL
$706.50
Select a Non -Residential G
Building or Structure 0
i
7i cn>el Docrrrru;nlu/iorr f'c >s:
Strong Motion Fee:. IBSEISMICO
$16.80
Select an Administrative Item
Bld�T Stds Commission Fee: 1BCBSC
$4.00
SUBTOTALS:
$6,143.34
$0.00 TOTALFEE ��
$6,143.34
Revised: 8/12/2010