10100133Ir CITY OF CUPERTINO BUILDING PERMIT I
1 BUILDING ADDRESS: I INFINITE LOOP FLR 2 1 CONTRACTOR: ICOM MECHANICAL INC I PERMIT NO: 10100133
OWNER'S NAME: APPLE INC 1 477 BURKE ST I DATE ISSUED: 10/27/2010 1
OWNER'S PHONE: 4089744876 1 SAN JOSE, CA 95112 1 PHONE NO: (408)792-2292 1
❑ LICENSED CONTRACTOR'S DECLARATION
License Class ego CA..b Lic. # [/(irhtO.Z Z
Contractor 1 (-D/-1 x4cx�,%,//C?'Z to /d. a % to
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.
1 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
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permit is issued. W .
APPLICANT CERTIFICATION
1 certify that I have read this application and state that the above information is
convect. 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 inconsequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point tions er the Cupertino Municipal Code, Section
9.18. /
Signature a regulaDate `
❑ 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 pennit 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 b"f exemption, I
become subject to the Worker's Compensation provisions of the Libor Code, 1 must
forthwith comply with such provisions or this permit shall be deemed revoked.
APPLICANT CER IFICATION
1 certify that I have read this application and state that the above igformation is
correct. 1 agree to comply with all city and county ordinances and state I#ws 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 ham -Jess 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.
Signature
BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r
MECH r RESIDENTIAL r COMMERCIAL r
JOB DESCRIPTION: FLOOR 2 - INSTALL NEW HEAT PUMP AIR HANDLER TO
SERVER ROOM P210
Sq. Ft Floor Area: Valuation: $80000
APN Number: 31602105.FLR2 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued 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, 1 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 C , Se ons 25505, 25533, and 25534.
Ow
Date: Ao . oP 2- to
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a constriction lending agency for the performance of work's
for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's
ARKCHITECT'S DECLARATION
1 understand my plans shall be used as public records.
Date Licensed Professional
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FIRE ®EPARtMENT
SANTA CLARA COUNTY
14700 Winchester Blvd.. Los Gatos. CA 95032-18IS
(408) 37BA010 • (408) 378-9342 (lax) • wwmv-sccfd.org
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PERMIT Q PERMIT EXPIRES:
10 2840 u 0 8 O.IT
In:erraama9y' Pm�Cin
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16 Mav 201
Granted to: VITEK NIELSEN who has applied under
the provisions of the Fire Prevention Code of The City Of Cupertino
to Modify existing fire alarm/detection system. ZNJ rpvoe Suer-/H.
Location: 1 INFINITE LOOP NOTICE
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City: Cupertino pix, f,,,y 1,,.:,
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APPLEiNC
Premises known as:
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Issued this date 16 November 2010 Subject to the following conditions:
NOTE Plans approved subject to compliance with the attached plan review comments and all field inspections.
TESTING:
❑ Welded pipe inspection ❑ Hydrostatic test at 200 psi for 2 hours / Flush Test
Ll 24 hour stand-by battery test ❑ Leak test required at 50 psi above static pressure
60 hour stand-by battery test ❑ Concentration / Pressurization test
_i Functional test for Hood & Duct
Appointment scheduling (24 hour advance notice): (408) 378-4010
This permit does not take the place of any license required by law and is not transferable. Any change in use or
occupancy of premises shall require a new permit.
This permit is issued on condition that there shall be compliance with all provisions of the Fire Prevention
Code. Any violations of these provisions may be grounds for revocation of peril
POST ON
?,madkani, Fred 'PREMISES
File Prcvemian Di•idon aymiorc
Organized as the Santa Clara County Central Fire Protection District
Ser ing Santa Clam County and the communities of Camlakil. Cupenlrio. Los Alves,
Los Altos Hills. Los Gatos. Monte Selena, Morgan Hill. and Saratoga