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B-2016-1919CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1919 19333 VALLCO PKWY CUPERTINO, CA 95014-2506 (316 20 075) NOVO OWNER'S NAME: APPLE OWNER'S PHONE: 415-310-5791 LICENSED ONT ACTOR'S DFcT,AgATION License Class GENERAL BUILDING CONTRACTOR Lic. #791022 Contractor NOVO CONSTRUCTION INCDate 02/28/2017 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. 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. & 2.,' -I have and will maintain Worker's Compensation Insurance, as provided for by l • Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $400000.00 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 APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 316 20 075 A (Tenant Improvements),B (Tenant Improvements) 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting all this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with alf non -point. source regulations per the Cupertino Municipal Code, Section 9.18, 180 DAYS FROM L-A ED INSPECTION. Issued by: MEL Date: 05/24/2016 CONSTRUCTION INC MENLO PARK, CA 94025 (DATE ISSUED: 05/24/2016 PHONE NO (650) 701-1500 BUILDING PERMIT INFO: X BLDG —ELECT _ PLUMB _ MECH _ RESIDENTIAL X COMMERCIAL JOB DESCRIPTION: T.I.; ISTFLR, CENTER; 3,681 S.F. (APPLE) DEF # 1 - DETAILS FOR RESTROOM & SITE WORK - ISSUED 9/21/16 Date 09/21/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: i. 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) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(See.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: i. 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. 2. 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. 3. 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 - 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 09/21/2016 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: 09/21/2016 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 Code„actions 25505, 25533, and 25534. Owner or authorized agent: Date: 09/21/2016 CONSTRUC ON LEKNn. 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 public records. Licensed C UPERTINO l ❑ NEW CONSTRUCTION PROJECT ADDRESS CONSTRUCT [ON PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 {408) 777-3228 FAX (408) 777-3333 • buildihQ Cupertino ora ❑ ADDITION. ❑ ALTERATION / TI LJ REVISION /DEFERRED ORIGINAL PERMIT a t"r \ I 1 co APN � , OWEERNAME E PHON- OT 1Z Snc- - LAIS 310 -5`l -i E-MAIL I L'Yll0oya aa (e.com STREET ADDRESS I CITY_STATE, ZIP �,i Ee Loo M C- U b GW C wo3 cam, 0 I L-1 FAX CONTACT NAME E-A4AIL C Vicer S D�(c� C�►�S 4 PHONE COS0 _3 - Z�{ C-Ft2w S(� Y�wt� cU1tiS ntcfil I. STREET ADDRESS l�( � ��t7%tph �V- CITY, STATE, ZIP FAX lentb ave CA- -7q 02 E]W ON'EP ❑ OWNER -BUILDER ❑ OWNERAGENT CONTRACTOR ❑ CON'TRACTORAGENT ❑ ARCHITECT ❑ ENGLNEER .❑ DEVELOPER ❑ TENANT CONTRACTOR NAME �6 �v�l� E25 r O L LICENSE TYPE BUS. LIC `t COMPANY NAME q� ,, (( � {., - ,vV � �0s�S�v�1171i� ( � ialStW 6� FAX STREET ADDRESS j r� ©� I� 4 I n E, ZIP PHONE t V C IJY�' WP -016 LOVV C� ��ft��S (d5b-3e1-bbZ ARCHITECTIENGINEER NTAME LICENSE NUMBER C(1 0 S Co++-' � - lolII BUS. LIC;: COMPANYN?AME��� E-MAIL FAX - - : S C Olson c- co✓v+ STRFET.ADDRESS R� CITY, STATE, ZIP PHONE Ll DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTR TYPE r STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM. KITCHEN OTHER REMODEL AREA RE\gODEL AREA REMODEL AREA PORCH AREA DECK AREATOTAL DECKTORCH AREA T GARAGE AREA: DETACH ❑ ATTACH DWELLRG UNITS IS A SECOND UNIT ❑ YES SECOND STORY []YES - --- BEING ADDED? ❑ NO ADDITION? ❑ NO PRE -APPLICATION []YES IF YES, PROVIDE COPY OF IS THE BLDG AN - TOTAL VALUATION: PLA.N'NRNG APPL= []NO PLANNING APPROVAL LETTER EICHLER HOME--. ❑ NO By my signature below; I certify to each of the following: I am the property owner or authorized agen _ o —act the property owner's beh-aK I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all -applicable local ordinances and state laws relating to bui a con t on. I authorize representatives of Cupertino to enter the ab v-'-dentified pro erty for�spection proposes. SigrlatureofApplicant/Agent: ft Dater ���i. /.1`�/S SUPPLEMENTALN IE f NIATI�N REQUIRED New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior t0 issuance of building permit for new building. Commercial Bldgs: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. __Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. B1dgApp_2011.d0C revised 0612U11 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19333 VALLCO PKWY CUPERTINO, CA 95014-2506 (316 20 075) CONTRACTOR: PERMIT NO: B-2016-1919 NOVO CONSTRUCTION INC MENLO PARK, CA OWNER'S NAME: APPLE INC I I DATE ISSUED: 05/24/2016 I OWNER'S PHONE: 408-974-5951 LICENSED CONTRACTOR'S DECLARATION License Class GENERAL BUILDING CONTRACTOR Lic. #791022 Contractor NOVO CONSTRUCTION INC Date 02/28/2017 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: 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 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 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, Date 5/24/2016 hereby affirm that I am exempt from the Contractor's. License Law for one of the illowing 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 of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 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 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 this permit is issued. s. 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 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 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 5/24/2016 PHONE NO; (650) 701-1500 BUILDING PERMIT INFO: X BLDG —ELECT —PLUMB MECH _ RESIDENTIAL X COMMERCIAL JOB DESCRIPTION: T.I.; IST FLR, CENTER; 3,681 S.F. (APPLE) Sq. Ft Floor Area: I Valuation: $400000.00 APN Number: Occupancy Type: 316 20 075 1 A (Tenant Improvements),B (Tenant Improvements) PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby Ayende 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: 5/24/2016 TO BE CLASS "A" OR 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 Code, Sections 25505, 25533, and 25534. Owner or authorized agent: Date: 5/24/2016 N TR N LAGENCY 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 public records. Licensed CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION . 10300 TORRE AVENUE . CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 • FAX (408) 777-3333 • building@cupertino.orcl �j �j {q NEW CONSTRUCTION EJ ADDITION L°°I ALTERATION 1 TI ❑ REVISION ( DEFER D 2ObRI NAL PERMIT 4� PROJECTADDRESS afJ`ll- qA% co�Kv�� APN# .71 v a C) a,..0 OWNERNAME j g e Girti i-►� 1I oy i V 1e. 61iC.. PHONE, `1g EMAIL �YVIU j�� C�7 �e• C'�yYi STRF.ETADDRESS: CITY, STATE,Z,IP FAX l+nli-e. I-00 Cu utw1b, cA .95oi CONTACT NAME C04VAO i '.VIQt7S FHDNE L -MAIL "0-40 c�vtS(vUcn too `3$a-��P2 c:itvlrns�novacansiwcn.L STREBTADDRESS CITY, STATE, ZIP FAX tybo O'[3r•1en bv-, MeoW Pr4V14 .1402 ❑ OWNER ❑ OWNER -BUILDER ❑OWNERAOENT I/NTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER Ci TENANT CONTRACTORNAMEC�I1�1A 'K2YWS' `ICENSENUMBER ��` b2 LFCENSETYPE BUS.LIC# �JG� COMPANY NAMP, E-MAIL FAX �S f i�fUVt1 Cor�svu�cfi�v1 r' 2Yro5 r1NoClA. CW I STREET ADDRESS CITY, STATE; ZIP PHONE tL1�0 b�i3v'1Cvr err. Mer*j POKY. ,q U LaSo-3130 IbWL9 ARCHITECTIENGINEF,R NAME SCp-)} LICENSE NUMBER BUS. LTC # Co�Snr�t C:.2b117 COMPANYNAME F MAIL FAX Wcw%'4u avid 6n!j1,rx.eeYS 5C0 I-S0V1 hgct. Getim - - STREET ADDRESS CITY, STATE, ZIP PHONE DPSCRIPTION OC WORK f� f r _I S 7 ,�C ' /� J _ p�� .,•,.•r EXISTING USE. I PROPOSED USE I CONSTR. TYPE I # STORIES BXISTG NEW FLOOR DEMO TOTAL AREA ARRA AREA NET AREA... BATHROOM :..- ...- K1TCFIEN OTHER ::'....: =-...:. -: •:,_ _ ------------------- RBMOD L R DELA • AREA :_::_-.+._:% _ta�:r .... .=......::... .- : _-_;::`-.:r ......... ;[a B ARBA EMO AREA REMODBL ........ . ............. _._..... ............ PORCH AREA DBCK ARBA TOTALDECK TORCH AREA GARAGE AREA: © DETACH`- © ATTACH "'' n[:]YES- - - _ -- - k Wla-I•tNCUNITSr +: ISA SECOND UNIT SECCND STORY � YES .. :: • '1NhD? DNO ADDITION? NO PRE-APPLICATR)N ❑ YES . • IF YES. PROVIDE COPYOF PLANNL•R'S NAME: • , , EF", PLANNINGAPPLN NO PLANNING APPROVAL LETTER 0- By IDy signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application andAhe information I have provided is correct. I have read the Desciiption of Work and veiify it is accurate. I agree to Comply with all applicable local ordinances and state Iaws relating to building construction. I authorize representatives of Cupertino to enter the above -identified property for inspection proposes. Signatuic of Applicant/Ageut: P .v . �I n ®' Date: S d t Q BIdgApp_2011. doc revised 03116111