The URL can be used to link to this page

13010149CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: I INFINITE LOOP CONTRACTOR: T. MARSHALL PERMIT NO: 13010149 ASSOCIATES, LTD. OWNER'S NAME: APPLE COMPUTER INC 7042-B COMMERCE CIR DATE ISSUED: 02/01/2013 OWNER'S PHONE: 6504211832 PLEASANTON, CA 94588 PHONE NO: (925) 734-9999 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL El COMMERCIAL 11 License Class CT -10 Lie. # (o(oq Y ZFS INSTALL 8 EV CHARGING STATIONS r ris .1v X� - ContractorT 9(6490tef Date 2-1 —l3 — 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. V 0 D 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 Sq. Ft Floor Area: Valuation: $40000 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 APN Number: 31602105.00 nc Occu a T Occupancy ylx- permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS O IT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save D INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Issued Date: 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. z" `_l j RE -ROOFS: Signature �'� Date 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. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: _ I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(a) should I store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Dater l�J 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 CONSTRUCTION LENDING AGENCY become. subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's 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 building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date Y1 ALTERNATIVE ENERGY PERMIT APPLICATION �9 LAQ COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION O\ 10300 TORRE AVENUE - CUPERTINO. CA 95014-3255 O CUPERTINO (408) 777-3228 - FAX (408) 777-3333 - buddina(�i-)cupertlno.org i n P1U;ti T Ah�RLSS AE'R + •17� � [.,"� _ I �� OWNERNAME �.,�?t ►� - 6�,C.--��1-�'8�z E-MAIL HiC act �� 11 , CONTACT NAML ! PHONE 754*W :)CVA 1j C1r . f•4 rj E -VIAL ls�z 1 k t tb� Y 1[ t K-1. /. 1 STREET ADDRESS CITY. STATE. 71P 'X�iJ-vt7. gPlrrot Cc?K,h SrrI FAX �w:�`b. �a-�• •fit �t ❑ OWNER 13 OW-,FR-BCILOER O OWNER AGENr 0 CONTRACTOR OCOYTRACTORACE\T O .ARCIII(ECT L?ili:NEtlR El DEVELOPER O TENANT CONTRACTOR NAME t.ICENSE NUMBER I ICF NSE TYPE RCS 1 1C COMPANY NAME E-MAIL FAX STREET ADDRESS CITY. STATE. ZIP PI a )NI ARCHITECT:FNGINEERNAME LICENSE NUMBER 6 �J BUS. LIC$ COMPANY NAME I IIA* --IL ', EMAIL MWJvt 06643 OJ FrLtia PLO% Fr- FAX Ll C,16. STRFETADDRESS AlCITY. 's�;;� STATE. LIP c l ��' 5� `�L ., � � PJtONE _ ►1 . '%�3 " �CiO E'•`.� cam USE OF p SFD or Duplex p Multi -Family PROJECT h WILDLAND PROJECT 1, STRUCTURE: Commercial L:RHAN IN7ERFACEAREA ❑ Yes fo No 1•l (N)r) ZONE ❑ Yes No ❑ SOLAR PANELS ' ELECTRIC VEHICLE CHARGING STATION 1 ❑ SOLAR WATERHEATING R: HE _ FOR SOLARPiINELS. NLAIBEROFPANEI.SIL:NITS: $KILOWATTS: j,)Xdi 1Lt.g0)( / TOTALVALUATIIk p � �1 DERIPTION OF WORK SC rjj?.+rr- V'Arkl L LE C+HAU LL ' �'� ( C`L('.) RECEIVED BY: ,� f By my signature below. Iccrttfy h o ollow : I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have pr d i C e I. 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!di t t' I �rizze�`preesenta�ti%c�s ,)f'Cu eniinojto enter the above -identified property for inspection purposes Signature of ApplrcanuAgent:"� "Il'�� Date: C • ��j �Z. SUPP4. ENTAL INFORMATION REQL;IPED OFFICE USE ONLY W OVER-THE-COUNTER d Y EXPRESS ❑ STANDARD u ❑ LARGE 3 ra ❑ MAJOR PV.4pp_2011.dor revised 06120/1= It CITY CUPERTINO FM__7 FEE ESTIMAT RF B ILDING DIVISION V O 1 D NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, eta). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'I info. FEE ITEMS (Fee Resolution 11-033 E„if 7.1,12) ADDRESS: 1 Infinte Loop DATE: 01/29/2013 REVIEWED BY: Sean tech. V "e".. APN: BP#: `VALUATION: 1$40,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial Building USE: Pl?"'mh Fcc PENTAMATION SOLAR -COMM I PERMIT TYPE: WORK Installation 8 new electric vehicle charging stations. SCOPE NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, eta). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'I info. FEE ITEMS (Fee Resolution 11-033 E„if 7.1,12) Mach. Plan CheckF-F Plumb, Plan ChecAF-T Elec. Plan Check tech. V "e".. Plumb. Pc;,, ,. Elec. Permit Pee, Usher Alech. Inap. Other Plumb Insp. Other Elec. Insp. 1/e0 hl""" FC( Pl?"'mh Fcc F"c- NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, eta). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'I info. FEE ITEMS (Fee Resolution 11-033 E„if 7.1,12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 8 # $816.00 Alternative Energy System ICHRGSTA EV Charging Station Suppl. PC Fee: Q Reg. O OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT r 0.07 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tczv: Adininistrative Fee: 1 1 Q 0 Work Without Permit? Yes E) No $0.00 Advanced Planning Fee. $0.00 Select a Non -Residential Building or Structure E) Truve/ Documentulion Foes: Strong Motion Fee: 1BSEISMICO $8.40 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $2.00 SUBTOTALS: $10.40 $816.00 TOTAL FEE: $826.40 Revised: 10/01/2012 ---qqoo- j Building Department City Of Cupertino V0 ` 10300 Torre Avenue qelephone: rtino, CA 95014-3255 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS: ZZ0 PERMIT # OWNER'S NAME: L PHONE # �L�-73Y-i2Y g GENERAL CONTRACTOR:T: BUSINESS LICENSE # ADDRESS: 7 49elZ-,6 6nwA� c CITY/ZIPCODEA4-3454�z4w Q�s�FS *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 Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner / Contractor Signature Date