12080213CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 6 INFINITE LOOP CONTRACTOR: NOVO CONSTRUCTION PERMIT NO: 12080213
OWNER'S NAME: APPLE COMPUTER INC 4025 BOHANNON DR DATE ISSUED: 09/27/2012
OWNER'S PHONE: 4089961010 MENLO PARK, CA 94025 PHONE NO: (650)701-1500
iff LICENSED CONTRACTOR'S DECLARATION
License Class___ Lic. #
Contractor U� Date
I hereby affirm that I am licensed under the provisions of 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 source regulations per the Cupertino Municipal Code, Section
9.18.
❑ 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)
I, 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
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 source regulations per the Cupertino Municipal Code, Section
9.18.
BUILDING PERMIT INFO: BLDG J_ ELECT r— PLUMB
MECH r RESIDENTIAL r COMMERCIAL
JOB DESCRIPTION: 3RD FLOOR - LAB/OFFICE COMMERCIAL TENANT
IMPROVEMENT (33,430 SQFT)NEW COMMON AREA
FACILITY.REPLACE REST ROOM FINISHES.NEW
Sq. Ft Floor Area: I Valuation: $1200000
APN Number: 31602110.00 . I Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM SCT� CALLED INSPECTION.
Issued by: l r� Date:
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.
Owner or aut
Date:
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of vwrk's
for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Signature Date.
Licensed Professional
CITY OF CUPERTINO BUILDING PERM
BUILDING ADDRESS: 6 INFINITE LOOP CONTRACTOR: NOVO CONSTWCTION PERMIT NO: 12080213
OWNER'S NAME: APPLE COMPUTER INC 4025 BOHANNON DR DATE ISSUED: 09/27/2012
OWNER'S PHONE: 4089961010 MENLO PARK, CA 94025 PHONE NO: (650)701-1500
❑ LICENSED CONTRACTOR'S DECLARATION
License Class .mil Lic. # 1 L' D Z2
I V
Contractor o o Co v�Sk�yGj� a A Date \1 1I t �—
I hereby affirm that I am licensed under the provisions 6 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-poiource regulati per the Cupertino Municipal Code, Section
9.18. G�
Signature Date ` Z
❑ OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
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)
I, 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
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 source regulations per the Cupertino Municipal Code, Section
9.18.
BUILDING PERMIT INFO: BLDG F_ ELECT r PLUMB
MECH RESIDENTIAL COMMERCIAL
JOB DESCRIPTION: 3RD FLOOR - LAB/OFFICE COMMERCIAL TENANT
IMPROVEMENT (33,430 SQFT)NEW COMMON AREA
FACILITY.REPLACE REST ROOM FINISHES.NEW 11/19/2012 - REV# I -ADD (2)
PRIVATE OFFICES TO FLOOR 3 EAST, MILL WORK IN COPY STATIOIN AND
MARKER-I1/19/2012 REV#1 ISS'D
Sq. Ft Floor Area: I Valuation: $1200000
APN Number: 31602110.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
s'
Issued by: l E
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.
Owner r uthorized a
Date: 1 1
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of Nwrk's
for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's
ARCHITECT'S DECLARATION
Date
I understand my plans shall be used as public records.
Licensed Professional
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
WdADDRESS:
'
6 Infinite Loop
DATE: 08/20/2012
REVIEWED BY: jsg
APN:
BP#: do
*VALUATION: 1$1,200,000 —�
*PERMIT TYPE: Building Permit
PLAN CHECKTYPE: Tenant Improvement
PRIMARY
Commercial Building
PENTAMATION
1 B T1
USE:
PERMIT TYPE:
WORK
Lab/office TI. New common area facility. Replace rest room finishes. New MEP throughout
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
33,430
$3,538.60
IBTIPLNCK
$12,565.85
IBTIINSP
TOTALS:
33,430
$3,538.60
$12,565.85
MECH, HOURLY 0 Yes 'G No
PLUMB, HOURLY ®'Yes Q No +
ELEC, HOURLY ® Yes Q No
,Wcch. Plan (7acck
Plernrb. Phor Check
Elec, Plan Check
l,lec;h. Permit Fee:
Phnnh. Permit Pe'e:
Dec. Permit F"c:
Other Alech, 711spr.E1__L_
Othei, Phonh hasp.
Olhcr Elea. Irish,
Alech, Imp, Fcc
Phnrrb. hrsp, Fee:
El('(,, lay,
NOTE: This estimate does not include fees due to other Departments (i.a Planning, Public Works, Fire, Sanitary Server District, School
District, etc.). These fees are based on the prelinrinary information available and are only an estimate. Contact the Dept.for addn'l info.
FEE ITEMS (Fee Resolution 11-053 MI. 7/Ull�
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$3,538.60
Select a Mise Bldg/Structure
or Element of a Building
Suppl. PC Fee: Q Reg. Q OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$12,565.85
Suppl. Insp. Fee:(• Reg. Q OT
0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Couslrtwtlo,n TaA:
.Idlnil1islral e Fee:
0
E)
Work Without Permit? 0 Yes 0 No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
Q
0
i
Trowel Doctorienlotiort Fecs.
Strong Motion Fee:
IBSEISMICO
$252.00
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$48.00
SUBTOTALS::
16,404.45
$0.00
TOTAL FEE:
1 $16,404.45
Revised: 07/01/2012
CITY OF CUPERTINO
y FEE ESTIMATOR — BUILDING DIVISION
iaADDRESS:
6 Infinite Loop
DATE: 11/19/2012
REVIEWED BY: Sean
APN:
BP#: 12080213
VALUATION: 1$60,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY
USE: Commercial Building
PENTAMATION
PERMIT TYPE: 1BT�
WORK
Revision #1: Add 2 private offices to Floor 3 East mill work in co station and marker boards.
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,1I -BJV u B-
- 2240
- $1;950.
IBTIP
— 9---$547 00
NSP
TOTALS:
240
1 $1,950.00
$547.00
MECH, HOURLY 0 Yes 'E) No''
PLUMB, HOURLY ®_ Yes (F) No'
ELEC, HOURLY ® Yes Q No
1leeh. Pkol Check.
I'r'a :r?/T, lliair Check
Ak c, Plan, Checl;
l2'1i. I`�'rmii Fee:
I}f!?#t?IS. I?t'F'r?FtI /'
I;Itrc', Permit �`zc':
01'he'r' a�lc'oh. /1 sp.
i)t¢Fe!' F'ki?t%IJ h-Sp"
0/4"er E/c," Erisp' Ll
LJr"c"h. hash,. I Ff :
Phemb.
Etfec. 'W',; . Fee:
NOTE: This estimate does not include fees due to other Departments (i.e. 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'1 info.
FEE ITEMS (Fee Resolution II-053 E)f: 7/UI2)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$1,950.00
Select
a Mise Bldg/Structffe
ement of a Budding
Suppl. PC Fee: (F)Reg. O OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
r t
(` _.
u {"
F,
(7
Permit Fee:
$547.00
Suppl. Insp. Fee:Q Reg. Q OT
0 0
lirs
$0.00
>
/
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Mv
G
Work Without Permit? 0 Yes (F) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
G
0
i
D'ove1I"C'e_s:
Strong; Motion Fee: IBSEISMICO
$12.60
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
1 $3.00
SUBTOTALS:',1
$2,512.601
$0.00
TOTAL FEE:'
$2,512.60
Revised: 10/01 /2012