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Home My WebLink About11030094 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10231 BUBB RD CONTRACTOR:ADIMPACT PERMIT NO: 11030094 OWNER'S NAME: APPLE INC 19772 MACARTHUR BLVD DATE ISSUED:04/19/2011 OWNER'S PHONE: 4089844876 IRVINE,CA 92612 PHONE NO:(949)723-0187 ❑ LICENSED CONTRACTOR'S DECLARATIONr ��J (j BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class C/VY- Z Lic.# ` %G`� / f— %/ MECH RESIDENTIAL COMMERCIAL Contractor ]J14-1Date ` I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:APPLE LOGO&ADDRESS-INSTALLATION OF 1 (commencing with Section 7000)of Division 3 of the Business&Professions NON-ILLUMINATED MONUMENT SIGN rrd that my license is in full force and effect. 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:$5000 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. APN Number:35720007.00 Occupancy Type: APPLICANT CERTIFICATION reftify 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 PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We)agree to save 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 180 DAYS FROM LAST CALLED INSPECTION. 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. Issued by: Date: Signature - � Date ❑ OWNER-BUILDER DECLARATION RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed.If a roof is I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for the following two reasons: inspection. 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, 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 HAZARDOUS MATERIALS DISCLOSURE declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain performance of the work for which this permit is issued. 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 contaminants as defined by the Bay Area Air Quality Management District I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the performance of the work for which this permit is issued,I shall Health&Safety Code,Sections 25505,25533,and 25534. 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 Owner o ori a agent: become subject to the Worker's Compensation provisions of the Labor Code,I must Date: l w forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION 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 state that the above information is for which this permit is issued(Sec.3097,Civ C.) correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records. 9.18. Licensed Professional Signature Date CWPERT|NO SIGN PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION 1U300TORREAVENUE ^CUPERT|NO.CA85O14-3255 (4O8)777'022O^FAX (4OO)777'3333^ (/\—��(3 (—)I PROJECT ADDRESS 7APN ff OWNER NAME PHONE EqA -7 (1 STREET ADDRESS CI STATE, ZIP FAX CONTACT NAME PHONE E-MAIL STREET ADD CITY, STATE, Zip T F7 0 OWNER El OWNER -BUILDER El OWNERAGENT 0 CONTRACTOR El'CONTRACTOR AGENT 11 ARCHITECT El ENGINEER El DEVELOPER 11 TENANT CONTRACTOR NA LICE SE NUMBER LICENSE TYPE BUS. LIC # COMPANYNA, E-MAIL FAX STREET DDkE S CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUN113ER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK USE OF S or Duplex E] Multi -Family ILLUMINATED SIGN TYPE NO.OF SIGN AREA VALUATION ,��F STRUCTURE: Commercial (Y/N) (CODE) SIGNS (SQ. FT.) M SIGN TYPE CODES: B - BANNER SIGN MONUMENT (GROUND) SIGN -7 1- D DEVELOPMENT ID SIGN SP - SPECIAL EVENT BANNER DI DIRECTIONAL SIGN T - TEMPORARY READERBOARD, W1 - WINDOW SIGN [RECEIVED BY: TOTAL VALUATION: By try signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf I have read this application and the information I have provided is correct. I have read the Description ofWork and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building constructfou. I autbofize representatives ofCupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Z Date: SUPPLEMENTAL INFO R ), MATION REQUIRED OFFICE USE ONLY PLAN CHECK TYPE ROUTING SLIP Site Plan Sign Details - including UL listing(s) applicable 0 STANDARD PLANNING PLANREVIEIV Structural Calculations (ifapplicable) 0 LARGE OTHER: Copy of Planning Approval Letter or Meeting with Planning prior to 0 MAJOR submittal ofBuilding Permit application. @g»*v.J0//.noorevised 0]V0D/ Building Department City Of Cupertino 10300 Toile Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: f (; /{-7r PERMIT # OWNER'S NAME: i '> ,ti , r2 (�- PHONE # GENERAL CONTRACTOR: J,%_G 'a<_�� BUSINESS LICENSE # ADDRESS: / �� 1, 2 -Z �� . A - CITY/ZIPCODE: �� --� ; —u=-1—Al—val —uc 1 uqun us n11 uusinesses worxing in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. r I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: Owner / Contractor Signature Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner / Contractor Signature Date CITY OF CUPERTINO .�.., FEE ESTIMATOR - BUILDING DIVISION ikADDRESS: 10231 bubb rd. DATE: 03/21/2011 REVIEWED BY: bobs. s I APN: BP#: "VALUATION: $5,000 rPERMIT TYPE: Building Permit t: t ,<.,.'rs "r`rr= .,. PRIMARY Sign USE: g PENTAMATION 1 CEAP5 PERMIT TYPE: WORK I install new non illuminated monument sign SCOPE Suppl. Insp. Feer Reg. 0 OT SIGN TYPE FEE ID QTY/FEE QTY I SUPPKFEE SIGN FEE lESIGN Elec. Permit Fee: IEPERMIT Wall Sign, Non -Electric 1SIGNWNONE OtherElec.Insp. 1 0.0 $42.00 1 $253 Permit Fee: $253.00 Suppl. Insp. Feer Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $42.00 PME Permit Fee: $42.00 r- Sign Master Plan: 0 Yes 0 No $0.00 i $0.00 TOTALS: Travel Documentation Fee: ITRA VDOC 1 $253.00 Strong Motion Fee: 1BSEISMMO NOTF. These fees are hated on the nreliminary information available and are onlv an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resohition 09-051 E , 7/1110) FEE QTY/FEE # Branch Circuits 1 $42.00 I SUPPKFEE lESIGN Elec. Permit Fee: IEPERMIT Suppl. PC Fee: (E) Reg. 0 OT 1.0 OtherElec.Insp. 1 0.0 $42.00 $126.00 NOTF. These fees are hated on the nreliminary information available and are onlv an estimate. Contact the Dept for addn'1 info. FEE ITEMS (Fee Resohition 09-051 E , 7/1110) FEE QTY/FEE MISC ITEMS I SUPPKFEE Suppl. PC Fee: (E) Reg. 0 OT 1.0 hs $126.00 Permit Fee: $253.00 Suppl. Insp. Feer Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $42.00 PME Permit Fee: $42.00 Sign Master Plan: 0 Yes 0 No $0.00 Work Without Permit? 0 Yes G No $0.00 Travel Documentation Fee: ITRA VDOC $42.00 Strong Motion Fee: 1BSEISMMO $1.05 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $507.05 $0.00 TOTAL FEE: 1 $507.05 Revised: 01/15/2011