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10120112CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: I INFINITE LOOP FLR I CONTRACTOR: SOUTH BAY PERMIT NO: 10120112 CONSTRUCTION, INC OWNER'S NAME: APPLE INC 1711 DELL AVE DATE ISSUED: 03/30/2011 OWNER'S PHONE: 4089744876 CAMPBELL, CA 95008 PHONE NO: (408)379-5500 ❑ LICENSED CONTRACTOR'S DECC7LARATION r r BLDG r License Class D Lic. N 3�'� / BUILDING PERMIT INFO: ELECT PLUMB r- Contractor e-n-m 6A`� Date MECH RESIDENTIAL COMMERCIAL I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: FLR I - COMM'L TI-MINOR INTETRIOR IMPROVEMENTS (commencing with Section 7000) of Division 3 of the Business & Professions TO CONVERT EXISTING REPPO & COPY ROOM INTO TRAINING Code and that my license is in full force and effect. ROOM & DIVIDE EXISTING SECURITY INTO TWO(2) I hereby affirm under penalty of perjury one of the following two declaration j l + _�j) I . �� ► �(� _ 21y t cdjb �r c,1- ; C)"I.'- �4 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 4L I I 5' A 7 performance of the work for which this permit is issued. t_L� 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 Sq. Ft Floor Area: Valuation: $70000 permit is issued. APPLICANT CERTIFICATION APN Number: 31602105.FLR1 Occupancy Type: 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, PERMIT EXPIRES IF WORK IS NOT STARTED costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR with all non -point source regulations per the Cupertino Municipal Code, Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. Signature Date Issued Date: ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of RE -ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1, as owner of the property, or my employees with wages as their sole compensation, installed without first obtaining an inspection, I agree to remove all new materials for wiI I do the work, and the structure is not intended or offered for sale (Sec.7044, inspection. Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to Signature of Applicant: Date: construct the project (Sec.7044, Business & Professions Code). I 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 HAZARDOUS MATERIALS DISCLOSURE 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 read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain Worker's Compensation Insurance, as provided for by California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain Section 3700 of the Labor Code, for the performance of the work for which this compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. permit is issued. Additionally, should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued, I shall contaminants as defined by the Bay Area Air Quality Management District 1 will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code, Chapter 9.I2 and the Compensation laws of California If, after making this certificate of exemption, I Health & Safety Code, Sections 25505, 25533, and 25534. 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. Own or authorized agent: Date: 1 APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of %%ork's to building construction, and hereby authorize representatives of this city to enter for which this permit is issued (Sec. 3097, Civ C.) upon the above mentioned property for inspection purposes. (We) agree to save Lender's Name indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Lender's Address granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section ARCHITECT'S DECLARATION 9.18. I understand my plans shall be used as public records. Signature Date Licensed Professional CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: I INFINITE LOOP FLR I OWNER'S NAME: APPLE INC OWNER'S PHONE: 4089744876 ❑ LICENSED CONTRACTOR'S DECLARATION License Class i& Liic. tl 7,3.�l 7 Contractor <C NI-x 9AT"Date 31j 3d ) 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. Signature e_ ❑ 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 1 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. CONTRACTOR: SOUTH BAY CONSTRUCTION CO INC 170 KNOWLES DR LOS GATOS, CA 95032 PERMIT NO: 10120112 DATE ISSUED:03/30/2011 PHONE NO: (408)379-5500 BUILDING PERMIT INFO: BLDG T_ ELECT I— PLUMB r— MECH F RESIDENTIAL r— COMMERCIAL r— JOB DESCRIPTION: FLR 1 - COMM'L TI-MINOR INTETRIOR IMPROVEMENTS TO CONVERT EXISTING REPPO & COPY ROOM INTO TRAINING ROOM & DIVIDE EXISTING SECURITY INTO TWO(2) Sq. Ft Floor Area: I Valuation: $70000 APN Number: 31602105.FLRI I Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued b 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 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or auth r' ed agents -Q 1 ate:'•': CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of mrk's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION Signature Date I understand my plans shall be used as public records. Licensed CITY OF CUPERTINO I MI. FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 1 infinite loop 1st floor DATE: 12/16/2010 REVIEWED BY: bobs. APN: BP#: 'VALUATION: 1$70,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY USE: Commercial Building �t ,1• F1.C)CY,+, ���,_,,� PENTAMATION 1 B TI PERMIT TYPE: WORK SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.E PC FEES PC FEE ID BP FEES BP FEE 1D B (Tenant Improvements) I-A,I-B 1,022 $2,840.00 1BTIPLNCK $1,507.08 1BTIINSP TOTALS: 1,022 $2,840.00 $1,507,08<;''<f`;;•, z•, :. .. _•li c;a . F.aYs;' !r: g s•�s. � %y ,,\\.IS: , F:. "i' - }} ,J •:1 i'N,I.f,'.Gri•' ..[r '�.iy;� ' ,� •`%z-,5. '11 iJ a{, r" iV ,.1. - cl: 'x' %. Ni .c. -3 7. •.. . _ -r -i..,,�.......�� 's'>.S�l. :{!„ I.J.t'".�.i- r �-.i.--•-- �...� �.t !i'^ -:�.,..�.[!.9 f5:.4•:�',-:•l--^Nl::,-w..J•--:U,e i�si,,.�:�D�-�. 'f' Yk,.,�l,. a)~:�, -i:�s' •\ .;. s, l>+rS.Y.�f.�;l �Y• ;' 'rIi �'3"•4f/51� %"3. ♦.1, ii'F Sj.�.E. fi.; .. • .,F .... r...; Tg•'.'' is .•. +.'•.. �• .. /.. ..........�.. �T..I�,S•S.i:7.'.• .��...-..-�?.�. .:\�, l Ir1".�d r,C '; �r�., :.� - (r?'- .. .if`r.ii•lfi�; '.S\ "'!•r_r i°` 1 :t• • y� i 5[.i•� � � /• $ � �S ;Lfeci'). Phan Check I',=,;.:a". hr:;� C`hC:'rl� t'ix•�� hlr�rr L">�c°L. L1ech. Permit I"-c, 1'rrmh, 1'e;Rti� F�>c 7'fv, Pr.,..._ Vu 07her tiCYr S. ,;. Irlsp C)r r;°i 'Ir::•!II 11'; •: �!. �;; �.ET d'Icch. h; Phmih. 1,,;n. [,,x NOTE: These fees are based on the Preliminary information available and are onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 09-051 E . 7/1i10) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,840.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Reg. OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $1,507.08 Suppl. Insp. Fee:0 Reg. 0 OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Camp -fiction Tax Acoustical Fee: 0 Yes (E) No $0.00 0 E) Work Without Permit? 0 Yes E) No $0.00 Planning Fee: PLLONGRNGC $0.00 E) I Strong Motion Fee: 1BSEISMICO $14.70 Select an Administrative Item Bldy- Stds Commission Fee: 1BCBSC $3.00 , .s: —xx �. ..tsy ;•a �, :;� :�is sl`�: �yy:"%lr?: ••.r ;,;l[�i,�>?:�.ii3c"s� ctti�=1119i � 364.78 ,;- . .'�`�`�-$4 0.00 :, � ::3=: ,.�> �;.'./ ; ::/ . ���; .: S . 4 364.78 $ � Revised: 12/07/2010 CITY OF CUPERTINO 5M FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 1 infinite loop DATE: 07/14/2011 REVIEWED BY: bobs. APN: BP#: "VALUATION: 1$6,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: PENTAMATION 1GENCOM PERMIT TYPE: WORK revise door sidelight system, create two new offices. SCOPE Nt7TFr These fooe aro h2eod nn tho nroliminary infnrmatinn availahlo and aro nnly an oc/imato_ rnntart tho Dont fnr addn'l infn_ FEE ITEMS (Fee Resolution 11-053 Eff' 711111) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? Q Yes 0 No $0.00 0 hours $130.00 Plan Check, Hourly ISTPLNCK Suppl. PC Fee: E) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? Q Yes 0 No $0.00 Suppl. Insp. Fee-.0 Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 Permit Fee: $0.00 (PME _T7 Acoustical Fee: 0 Yes (E) No $0.00 0 E) Work Without Permit? 0 Yes 0 No $0.00 Planning Fee: $0.00 Select a Non -Residential 0 Building or Structure 0 i Strom; Motion Fee: IBSEISMICo $1.26 = hrs 1 $390.00 Inspections ISTINSP Inspection, Hourly Bldg; Stds Commission Fee: IBCBSC $1.00 $ 2.26 2 $5 0.00 $522.26 Revised: 07/04/2011