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CITY OF CUPERTINO
BUILDING DIVISION�I'T`ICT+C'/R>It)RMiTI�Nt
PERMIT
BUILDING ADDRESS:
NOVO CONSTRUCTION
PERMIT NO. 06100047
3 INFINITE LP
OWNER'S NAME:
PERMIT ISSUE DATE
APPLE COMPUTER
1042 HAMILTON COURT
)NE:
SANITARY NO. CONTROL NO.
(650) 701-1500
ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB IAECH
0 0 0 0
LICENSED CONTRACTOR'S DECLARATION
Job Description
1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Divttion 3 of the Business and ?9fc ions Code, and my license is
in full force and effect s Z
TI- COMMERCIAL OFFICE, INTERIOR OFFICES,
License Class Lien
Date Contractor
MECHANICAL & ELECTRICAL. NO PLUMBING NON-STRUC
r
ARCHITECTS DECLARATION
I understand my plans shall be used as public records
Licensed Professional
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason. (Section 7031.5, Business and Professions Code: Any city or county
which requires a permit to construct, alter, improve, demolish, or repair any structure
prior to its issuance, also requires the applicant for such permit to file a signed statement
Sq. Ft. Floor Area
Va1l *&o 0 0 0
that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he is exempt therefrom and the basis for the alleged exemption. Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
APN Number
Occupancy Type
not more than five hundred dollars (5500).
31602107.00
❑ I, as owner of the property, or my employees with wages as their sole compensation,
Required Inspections
q P
will do the work and the structure is not intended or offered for sale (Sec. 7044, Business
and Professions Code: The Contractor's License Law docs not apply to an owner of
property who builds or improves thereon, and who does such work himself or through his
own employees, provided that such improvements are not intended or offered for sale. If,
however, the building or improvement is sold within one year of completion, the owner -
builder will have the burden of proving that he did not build or improve for purpose of
sale.).
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec. 7044. Business and Professions Code:) The Contractor's Li-
cense Law does not apply to an owner of property who builds or improves thereon, and.
who contracts for such projects with a contractor(s) licensed pursuant to the Contractors
License Law.
❑ 1 am exempt under Sec. B & P C for this reason
Owner Date
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
-J 1 have and will maintain a Certificate of Consent to self -insure for Workers Compcn-
sation, as provided for by Section 3700 of the Labor Code, for the performance of the
work for which this permit is issued.
71 I have and will maintain Worker's Compensation Insurance, as required by Scction
00 of the Labor Code, for the performance of the work for which this permit is issued.
My Wor is Compensation In urns carrier and Policy number are:
Carrier: 6t ' V� licy No.:
CERTIFICATE OF EXEM N FROM ORKERS'
COMPENSATION INSURANCE
(This section need not be completed if ft permit is for one hundred dollars ($100)
or less.)
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 Workers' Compensation
Laws of California. Date
Applicant
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should
become subject to the Worker's Compensation provisions of the Labor Code, you must
forthwith comply with such provisions or this permit shall be deemed revoked.
)
' CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of
the work for which this permit is issued (Set:. 3097, Civ. C.)
Lender's Name
Lenders Address
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
4 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
j liabilities, judgments, costs and expenses which may in any way accrue against said City
r in consequence of the granting of this permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT
Issued by: Date f0
SOURCE R LATIONS.I
Lf1f` tn'�MJp lUI2l��t�(2
Re -roofs C7
Type of Roof
Signature bean ontractor Da
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or future building occupant store or handle hazardous material
as defined by the Cupertino Municipal Code, Chapter 9.12, and the Health and Safety
Code, Section 25532(a)?
All roofs shall be inspected prior to any roofing material being installed.
[,
❑ Yes rq "o
If a roof is installed without first obtaining an inspection, I agree to remove
Will the applicant or future building occupant use equipment or devices which
nit hazardous air contaminants as defined by the Bay Area Air Quality Management
all new materials for inspection.
District? t
Yes
❑ jNo
I have read the hazardous materials requirements under Chapter 6.95 of the Califor-
niaHealth & Safely Code, Sections 25505.25533 and 25534.1 understand that if the building
n l
docs urrcntly have anano that it is my responsibility to notify the occupant of the
re rremcn which mustissuance of a Certificate of upon
Signature of Applicant Date
All roof coverings to be Class "B" or better
O authorircd agent Da
CITY OF CUPERTINO
BUILDING DIVISION PERM-.
BUILDING ADDRESS:
3 INFINITE LP
""'ER'S NAME:
APPLE COMPUTER
PHONE:
ARCHITECT/ENGINEER:
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that f am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Div,r ion 3 of the Business and Mfemions Code, and my license is
in full force and effect. � �f-L1'
License Class Lic. p I
Date Contractor � o
' ARCHITECTS DECLARATION _
I understand my plans shall be used as public records
Licensed Professional
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason. (Section 703 1.5. Business and Professions Code: Any city or county
which requires a permit to construct, alter, improve, demolish, or repair any structure
prior to its issuance, also requires the applicant for such permit to file a signed statement
that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he is exempt therefrom and the basis for the alleged exemption. Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ 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
and Professions Code: The Contractor's License law docs not apply to an owner of
propeny who builds or im proves thereon, and who does such work himself or through his
own employees, provided that such improvements are not intended or offered for sale. If.
however, the building or improvement is sold within one year of completion, the owner -
builder will have the burden of proving that he did not build or improve for purpose of
sale.).
❑ I. as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec. 7044, Business and Professions Code:) The Contractor's Ito
ccnse Law does not apply io an owner of propeny who builds or improves Nercon, and
nt
who contracts for such projects with a contractor(s) licensed pursuant to the Coractor's
License Law.
C]1 am exempt under Sec. , B & P C for this reason
ncr. Date
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a Certificate of Consent toselr-insure for Worker's Compen-
sation, 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 required by Section
00 of the Labor Code, for the performance of -the work for which this permit is issued.
My Wer is Compensation Insurance carrier and Policy number are:
Carrier: tl 1'�l ii''A licy No.:<ji�( l
CERTIFICATE OF EXEM ON FROM 140RKERS'
COMPENSATION INSURANCE
(chis section need not be completed if thgpermit is for one hundred dollars ($100)
or less.)
I certify that in the performance of the work for which this permit is issued. I shall not
ernploy any person in any mannerso as to become subject to the Workers' Compensation
Laws of California. Date
Applicant
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should
become subject to the Worker's Compensation provisions of the Lahor Code, you must
Z forthwith comply with such provisions or this permit shall be deemed revoked.
Z O CONSTRUCTION LENDING AGENCY
4
(-+ 1 hereby affirm that there is a construction lending agency ]or the performance of
7 the work for which this permit is issued (Sec. 3097, Civ. C.)
W Q Lender's Name
0+ Lender's Address
�:DZ
U Q 1 certify that 1 have read this application and state that the above information is
[I. conct. I agree to comply with all city and county ordinances and stare laws relating to
Q U building construction, and hereby authorize representatives or this city to enter upon the
ahovcmenuoned property for inspection purposes.
W
W (We) agree to save, indemnify and keep harmless the City of Cupertino against
liabilities, judgments, toss and expenses which may in any way accrue against said City
U 2 in consequence of the granting of this permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT
SOURCE R ULATIONS.
j �vt�ko lC
Signature bf-ArrpifdribrOontractor Date
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or future building occupant store or handle hazardous material
as defined by the Cupertino Municipal Code. Chapter 9.12, and the Health and Safety
"ode. Section 25532(a)? ,r
C3 Yes (�f Nu
Will the applicant or future building occupant use equipment or devices which
emit hazardous air contaminants as defined by the Bay Arca Air Quality Management
District? t
❑Yes
�No
1 have read the hazardous materials requirements under Chapter 6.95 of the Cal ifor-
niaHealth & Safety Code. Sections 25505.25533 and 25534.1understand that ifthe building
doesyoLeunenily have a tenant, that it is my responsi hil ity to nou fy the occupant of Nc
re rrrf ement.4 which must met prior to issuance of a Certificate of upancy
� tho icy pts i
VwncrVr autnorizcd agent
bake
NOVO CONSTRUCTION
1042 HAMIL
(650) 701-1500
PERMIT No. 06100047
PERMIT ISSUE DATE
10/26/2006
SANITARY NO. CONTROL NO.
BUILDING PERMIT INFO
BLDG ELECT PLUMB
Job Description
TI- COMMERCIAL OFFICE, INTERIOR OFFICES,
MECHANICAL & ELECTRICAL. NO PLUMBING, NON-STRUC
Sq. Ft. Floor Area
1 8 I1
APN Number Occupancy Type
31602107.00
Required Inspections
Issued by:
Re -roofs
Type of Roof
�y
Date / j - % "1',
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 1
All roof coverings to be Class "B" or better