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15070175CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15070175 19191 VALLCO PKWY CUPERTINO CA 95014 (316 20 074) BARRON BUILDERS 415 CLYDE AVE, STE 105 MOUTNAIN VIEW, CA 94043 OWNER'S NAME: ( APPLE INC) DATE ISSUED: 03/03/2016 OWNER'S PHONE: 5103316719 PHONE NO: 6509644493 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic. #210M Contractor BARRON BUILDERS Date 3/3/2016 — BLDG —ELECT _PLUMB MECH RESIDENTIAL COMMERCIAL 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. JOB DESCRIPTION: APPLE - SITE WORK INCLUDING UNDERGROUND UTILITIES I hereby affirm under penalty of perjury one of the following two declarations: INFRASTRUCTURE, (N) EV STATIONS, BUS SHELTERS, 1. I have and will maintain a certificate of consent to self -insure for Worker's BIKE LOCKERS, GRADING, PAVING & ALL PARKING Compensation, as provided for by Section 3700 of the Labor Code, for the REQUIREMENTS FOR ADA COMPLIANCE (164,346 S.F.) _ performance of the work for which this permit is issued. z. 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 Sq. Ft Floor Area: Valuation: $1600000.00 this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above Number: Occupancy Type: information is correct. I agree to comply with all city and county 31620 074 316 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 PERMIT EXPIRES IF WORK IS NOT STARTED 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 with all non -point source regulations per the Cupertino Municipal 180 DAYS FROM LAS ALLED INSPECTION. Code, Section 9.18. t Issued by: PAUL O'SULLIVAN 1�,' Signature – Date3/3/2016 Date: 3/3/2016 OWNER -BUILDER DECLARATION RE -ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of the 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 following two reasons: 1. 1,. as owner of the property, or my employees with wages as their sole inspection. compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) Signature of Applicant 2. I, as owner of the property, am exclusively contracting with licensed Date: 3/3/2016 contractors to construct the project (Sec.7044, Business & Professions Code). ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: 1. 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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the z. I have and will maintain Worker's Compensation Insurance, as provided for California Health & Safety Code, Sections 25505, 25533, and 25534. I will by Section 3700 of the Labor Code, for the performance of the work for which maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous this permit is issued. material. Additionally, should I use equipment or devices which emit hazardous s. I certify that in the performance of the work for which this permit is issued, I air contaminants as defined by the Bay Area Air Quality Management District I shall not employ any person in any manner so as to become subject to the will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and Worker's Compensation laws of California_ If, after making this certificate of the Health & Safety Code, Sections 25505, 25533, and 25534. 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 Owner or authorized agent.�� be deemed revoked. Date: 3/3/2016 CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance I certify that I have read this application and state that the above information is of work's for which this permit is issued (Sec. 3097, Civ C.) correct. I agree to comply with all city and county ordinances and state laws Lender's Name relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Address to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in ARCHITECT'S DECLARATION consequence of the granting of this permit. Additionally, the applicant I understand my plans shall be used as public records. understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Licensed Professional Signature Date3/ /2016 E. 3. L. *J CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(Qcupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION 0 ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # ni PROJECT ADDRESS 19191 Vallco Parkway APN# 316-20-074 OWNERNAME Apple Inc. c/o Fred Ave ry PHONE 510.331.6719 E-MAIL favery@apple.com STREET ADDRESS 1 Infinite Loop, mailstop 119DDC CITY, STATE, ZIP Cupertino, CA 95014 _T FAX CONTACT NAME John Noori PHONE 408.390.5966 E-MAIL john@nterragroup.com STREET ADDRESS 1155 N. First Street, Suite 214 CITY, STATE, ZIP San Jose., CA 95112 FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME Ernesto Barron LICENSE NUMBER 916366 LICENSE TYPE B 1 BUS. LIC# COMPANYNAME Barron Builders E-MAIL ernesto@barronbuilders.com FAX STREET ADDRESS 415 Clyde Ave, Suite 105 CITY, STATE, ZIP Mountain View, CA 94043 PHONE 650.964.4493 ARCHITECT/ENGINEER NAME David B. Voorhies LICENSE NUMBER 26429 BUS. LIC # COMPANY NAME Nterra Group E-M)UL dave@nterragroup.com FAX STREET ADDRESS 1155 N. First Street, Suite 214 CITY, STATE, ZIP San Jose, CA 95112 PHONE 408.390.5966 DESCRIPTION OF WORK Site rehabilitation effort that includes site demolition (under separate permit), grading, paving, landscaping, installation of underground utility infrastructure, new electric vehicle charging stations and power upgrades from PG&E. The project also intends to bring the parking lot to current code standards relative to parking requirements, accessibility & lands EXISTING USE - Comm PROPOSED USE CONSTR TYPE No chnage I # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG AREA NEW FLOOR AREA DEMO AREA TOTAL NET AREA s BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH I []ATTACH #DWELLING UNITS: ISA SECOND UNIT ❑YES SECONDSTORY []YES - BEING ADDED? []NO ADDITION? ❑ NO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑YES J,I}J '" �' TOTAL VALUATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER OME? ❑N._.1,600,000 By my signature below, I certify to each of the fol owing: u the pro rty owner or authorized aggeent�ct-off property owner's behalf. I have read this application and the information I have provided is orre t. have read th escription of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building cons ucti n. authorize repr entatives of Cupertino to enter the above -identified property for inspection purposes. 7/22/2015 Signature of Applicant/Agent: Date: SUPPLEMENT INFO TION IJEQLrrverrcrT _ RoiN i. ovk Ttc of �a BYILDt VIEW New SFD or Multifamily dwellings: Apply for demolition permit for,, existing building(s). Demolition permit is required prior to issuance of building - permit for new building. ?SS ,Rz ANrIINOJ'r ANv> tv _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure QIBLiCwfl �. form if any Hazardous Materials are being used as part of this project.' " Q . 7 °FIIt DEPT' > _ Copy of Planning Approval Letter or Meeting with Planning prior to 0. 3%�MTARYSEWER DISTIUCT . submittal of Building Permit application. E], gNvrRoNmFiu AY aEALTH BldgApp_2011.doc revised 06/21111 ape. CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ji&[ADDRESS: 19191 VALLCO PKWY DATE: 0712412015 REVIEWED BY: MELISSA APN: 316 20 074 BP#: VALUATION: 1$1,600,000 PERMIT TYPE: Building Permit Plan Check, Hourly 1STPLNCK PLAN CHECK TYPE: Tenant Improvement PRIMARY USE: Commercial Building PENTAMATION PERMIT TYPE: 1GENCO WORK APPLE -SITE WORK INCLUDING UNDERGROUND UTILITIES INFRASTRUCTURE N EV SCOPE STATIONS, GRADING, PAVING &_ALL PARKING REQUIREMENTS FOR ADA COMPLIANCE -1lech. Plan Check Allech. PerinitFee: Other Adech.Insp. ilech. In,sp. Fee: 7Vt7TF• Thic octimoto dooc not in -hide tees Phunh. Plan Check Platmb, Permit Fee: Other Plvinh Ir sr- Phimb. Ins/r. Fee: I;tec. Plant Check E"1". Perwit Fee: Other Efec. Insp. Islet. Imp. Fee' to other Departments (i.e. Planning. Public Works, Fire, Sanitary Sewer District, School District etc These tees are based on the Dreliminar information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 E f 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes No $0.00 10 1 hours $1,430.00 Plan Check, Hourly 1STPLNCK Suppl. PC Fee: (j) Reg. 0 OT0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes No $0.00 Suppl. Insp. Fee:Q Reg. O OTFO-071 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee; $0.00 C'onsiruction Tax, Achninistr ath"e 1-7ee. Work Without Permit? O Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure Tr aL[?Z.Doctitn ritLalioti. Fees: Strong Motion Fee: 1BSEISMICO $448.00 10.0 hrs $1,430.00 Inspections ISTINSP Inspection, Hourly Bldg Stds Commission Fee: IBCBSC $64.00 $512.00 $2,860. 00 - = $3,372.00 Revised: 07/02/2015 CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: I YAWL -CO PERMIT #J OWNER'S NAME: h9ece tAL'- PHONE # GENERAL CONTRACTOR: '461 BUSINESS LICENSE # ADDRESS: Z, w4b, sptaTA ctAfk. CITY/ZIPCODE: SD•FM& CCA *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Please check applicable subcontractors and complete the following information: Date V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical T — MAPSFJAU, Rt— CMS X11 ExcavationT&WfA EIgg Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing 5.-TmL UA, m ctA STEEL Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving q q +0' Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner / Contractor Signature Z 2) I I Dale