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10070054CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20330 STEVENS CREEK BLVD CONTRACTOR: DEVCON CONSTRUCTION PERMIT NO: 10070054 INC OWNER'S NAME: APPLE INC 690 GIBRALTAR DR DATE ISSUED: 09/16/2010 WNER�S'PHONE: 4089745951 MILPITAS, CA 95035 !, PHONE NO: (408)942-8200 `'y/ LICENSED CONTRACTOR'S DECLARATION "7'/� License Class Liicc. #1//7� 7417 Contractor '. - CC, vK�. Date 1 hereby affirm that 1 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: 1 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 1 certify that I have read this application and state that the above information is correct. 1 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 hamtless 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 applic tands and will comply with all non -point sou a regulations perthe rtino unicipal Code, Section 9.18. Signature+-.�� to OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one o' 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) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 1 hereby affirm under penalty of perjury one of the following three declarations: 1 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 permit is issued. 1 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 Califomia. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I muse 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. 1 agree to comply with all city and county ordinances and state laws relatinf 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, -its, and expenses which may accrue against said City in consequence of the ting of this pennit. Additionally, the applicant understands and will comply ..n all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature_ Date BUILDING PERMIT'INFO: BLDG r ELECT r PLUMB r MECH r RESIDENTIAL r COMMERCIAL r JOB DESCRIPTION: {TI FOR THE 1 ST FLOOR OF AN EXISTING OFFICE BUILDING CONSISTING OF (N) CONFERENCE ROOMS, OFFICES, AUDITORIUM, FINISHES, FIXTURES, AND Sq. Ft Floor Area: Valuation: $2500000 APN Number: 36901020.20330 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: 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. 1 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 1 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 Cu Municipal Code, Chapter 9.12 and the Health & Safety ode, Sectio 2550 5533, and 25534. Owner uthorized age • ! �� Qn"ate: (01 TRU( ION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of work'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. Licensed Professional .........._.41 0 License Class Contractor 9.18. /}/' "'..,.?' Signature ( ... Oz/t..··~· f;;::~"/ ~~:~~----Date 0 OWNER-BUILDER DECLARATION the following two reasons: Business & Professions Code) 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, permit is issued. Compensation laws of California. APPLICANT CERTIFICATION 9.18. Signature Date CITY OF CUPERTINO BUILDING PERlfi"E &7-02-7 1 BUILDING ADDRESS: 20330 STEVENS CREEK BLVD CONTRACTOR: DEVCON CONSTRUCTION PERMIT NO: 10070054 INC OWNER'S NAME: APPLE INC 690 GIBRALTAR DR DATE ISSUED: 09/16/2010 OWNER'S PHONE: 4089745951 MILPITAS, CA 95035 PHONE NO: (408)942-8200 LICENSED CONTRACTOR'S DECLARATION PLUMB I6 I]CZe(lb '3 BUILDING PERMIT INFO: BLDG ELECT Lic. # MECH I I <cxz.v\.DC\ e-J-/I RESIDENTIAL COMMERCIAL Date I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: TI FOR THE 1ST FLOOR OF AN EXISTING OFFICE (commencing with Section 7000) of Division 3 of the Business & Professions BUILDING CONSISTING OF (N) CONFERENCE ROOMS, Code and that my license is in full force and effect. OFFICES, AUDITORIUM, FINISHES, FIXTURES, AND \ '/t..J.,W-.3j;f~ .?~~#.:J-IU-k"'f-d;.L.(tu.fty. ~ t/lN. I hereby affirm under penalty of perjury one of the following two declarations: -~, ;:1/ jLv.J e!d ,A-PI't2-£¥LJ.-y.J&6' t)--Il-/ ~ I have and will maintain a certificate of consent to self-insure for Worker's V ,:2 II jIv. t ~ Compensation, as provided for by Section 3700 of the Labor Code, for the fuW"J~ \I flt.-4.' l 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 Whi sJ9 y Sq. Ft Floor Area: Valuation: $2500000 permit is issued. l_. _ APPLICANT CERTIFICATION APN Number: 36901020.20330 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally, the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulatims per the Cupertino Municipal Code, Section Issued by: ~/? Date: ?-z.--4{ Z·( / .. j;./ RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material beng installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for I, as owner of the property, or my employees with wages as their sole compensation, inspection. will do the work, and the structure is not intended or offered for sale (Sec.7044, Signature of Appl ieant: Date: I, as owner of the property, am exclusively contracting with licensed contractors to ALL ROOF COVERINGS TO BE CLASS "An 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 [ have and will maintain Worker's Compensation Insurance, as provided for by compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Section 3700 of the Labor Code, for the performance of the work for which this 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 I certify that in the performance of the work for which this permit is issued, I shall maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health & Safety Code, Sections 25505, 25533, and 25534. If, after making this certificate of exemption, I OWRff'or authorized agen~r'")become subject to the Worker's Compensation provisions of the Labor Code, I must L. ... ~ C:'-2.--// forthwith comply with such provisions or this permit shall be deemed revoked. L../;?~:( ~Q Date: CONSTRUCTION LENDIl\G AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance ot\mrk's correct. I agree to comply with all city and county ordinances and state laws relating for which this permit is issued (Sec. 3097, Civ C.) to building construction, and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, Lender's Address costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply ARCHITECT'S DECLARATIONwith all non-point source regulatims per the Cupertino Municipal Code, Section I understand my plans shall be used as publ ic records, Licensed Professional CITY OF CUPERTINO BUILDING PERM!!"'..:·J''II .... r ... I 1-2--0 I [ BUILDING ADDRESS: 20330 STEVENS CREEK BLVD CONTRACTOR: DEVCON CO~STRUCTION INC PERMIT NO: 10070054 OWNER'S NAME: APPLE INC 690 GIBRALTAR DR DATE ISSUED: 09/16/2010 OWNER'S PHONE: 4089745951 MILPITAS, CA 95035 PHONE NO: (408)942-8200 ~ LICENSED CONTRACTOR'S DECLARATION License Class g Lic. # 2:> q~ l G~ Contractor Dwco "'-.. Date \ (I til I 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 ~ permit is issued. L \. 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, th!fZeapplicant understands and will comply with all non.poz·ntsourc gulations per the ertino Municipal Code, Section 9.18. ! / -,/. 1 l I Signature •. ~ %:v Date ~ \{ I o 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 ofthe 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. BUILDING PERMIT INFO: BLDG ELECT r PLUMB r MECH r RESIDENTIAL r COMMERCIAL r JOB DESCRIPTION: TI FOR THE I ST FLOOR OF AN EXISTING OFFICE BUILDING CONSISTING OF (N) CONFERENCE ROOMS, OFFICES, AUDITORIUM, FINISHES, FIXTURES, AND 11I22/10-REV#I-REVISION TO AUDITORIUM CEILlNG,FINISHES,L1GHTING & LAYOUT-RVSN ISSD 1/11/11 Sq. Ft Floor Area: Valuation: $2500000 APN Number: 36901020.20330 Occupancy Type: Date~//-/u PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. 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 BEITER 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 ma~intaincompliance with the Cu ID Municipal Code, Chapter 9.12 and the Health & Safety e, Seetio 550, 25533, and 25534. Owner authorized age' . A _ JMti 'j ( ..-. '/-;;~ate: L <. /L 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 Date _ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work'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 pub lic records. Licensed Professional