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13080110CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1 INFINITE LOOP CONTRACTOR: XL CONSTRUCTION PERMIT NO: 13080110 OWNER'S NAME: APPLE COMPUTER INC 851 BUCKEYE CT DATE ISSUED: 10/08/20I3 OWNER'S PHONE: 4089961010 MILPITAS, CA 95035 PHONE NO: (408) 240-6000 19 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIAL License Class C Lic. # APPLE-NORTH 3RD FLOOR COMM T.I 5824 SQ FT TO INCLUDE NEW INTERIOR PARTITIONS, DOORS, Contractor —Date ez FINISHES, I hereby affirm that I am licensed under the provisions of Chapter 9 CEILINGS, LIGHTING, RESTROOMS, M,E,P'S... (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 Sq. Ft Floor Area: Valuation: $600000 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: 31602I05.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that 1 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 OF PERMIT 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 180 DAY L CALLED INSPECTION. indemnify and keep harmless City of pertino against liabilities, judgments, costs, and expe es which m y ag nst said City in consequence of the ,ccrue granting of this rmit. Ad tiorially, the,6pplicant understands and will comply I Date: with all non-poin ource re ulations per he Cupertino Municipal Code, Section 9.I8. 1„7 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. ❑ O E -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 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 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 wilt maintain a Certificate of Consent to self-insure for Worker's material. Additionally, me t or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defea it Quality Management District I performance of the work for which this permit is issued. will maintain compliani Municipal Code, Chapter 9.12 and 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 otheB the Health & Safety Co, 533 nd 25534. or authorized agDate: I permit is issued.Owner 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, 1 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION 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 wil I comply with all non-point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building a1cupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION © ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ,ADDRESS � I I J,L� APN # ,V( 0 111 / 1)5—, ' i OWNER NAME Apple Inc PHONE 408.996.1010 E-MAIL STREET ADDRESS 1 Infinite Loop p CITY, STATE, ZIP CA 9 5 01 Cupertino, FAX CONTACT NAME 9 se PHONE 096-m -8131 E-MAIL - CSTREET ADDRESS 851 Buckeye CT tcsr— CITY, STATE, ZIP Milpitas, CA 9FAX 408-240-6001 ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT VL CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME 1 fr _ _ „ LICENSE NUMBER 64-7480 LICENSE TYPE B HUS. LIC # 21836 COMPANY NAME XL Construction E-MAIL Cr����C�✓>�7\�fl�- FAX 408.240.6001 STREET ADDRESSg51 Buckeye CT CITY, STATE,zIPMilpitas, CA 95035 PIONF408.240.6000 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL LQ tL 1�S 7y FAX STREET ADDRESS A ' / CITY, STATE, ZIP � /�p, q�„t[ PHONE DESCRIPTION OF WORK E"1,ELi��.aj, yLE'crl-tt•- tc .4t-, a� �-LM^j Ir -Cr-- EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES is �7 yl t USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG AREA �di NEW FLOOR ARFA�CJ') DEMO AREA �g� TOTAL NF,TARF.AC BATHROOM!/(`], REMODEL AREAN / A KITCHEN REMODEL. AREA, /A OTHER REMODEL AREA N / A PORCH AREA DFCK AREA TOTAL DECK/PORCH AREA GARACiF AREA: DETACH N/A N/A N/A N/A ❑ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YESQ� SECOND STORY []YES N/A BEING ADDED? 10 ADDITION? RNO PRH -APPLICATION []YES IF YES, PROVIDE COPY OF IS THE BLDG .AN ❑ YES RE $Y; TOTAL VALUATION: PLANNING APPL # [RNO PLANTING APPROVAL LETTER EICHLER HOME? [XNO _ �y{I M,O By my signature below, I certify to each of th followi g: I am the property owner or authoriz agent to act on the property owner's behalf. I have read this application and the information i ha provid d is co ct. 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 uilding onstr on. I thorize representatives of Cupertino to enter the above-idents led property for inspection purposes. !! U/IS�j°j Signature of Applicant/Agent: Date: SUPPLEMENTAAFORMATION REQUIRED PLAN CHECKTYPE RourlNc SLIP ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW _NewSFDorMultifamily dwgs: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ ❑ LARGE FIRE DEPT Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_201 1. doc revised 06/21/11 CITY OF CUPERTINO Fm_� FEE ESTIMATOR - BUILDING DIVISION imADDRESS: 1 Infinite loop DATE: 08/15/2013 REVIEWED BY: Mendez PC FEES APN: BP#: /308'0//0 'VALUATION: 1$600,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: $2,409.79 PENTAMATION 1 B TI PERMIT TYPE: WORK th 3rd floor comm t.i 5824 s ft to include new interior partitions, doors finishes ceilings, SCOPE �r=ghtlieng�jlestrooms, M,e,p's... OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) II-B,111-B,IV,V-B 5,824 $2,409.79 IBTIPLNCK $4,845.11 IBTIINSP Permit Fee: $4,845.11 Suppl. Insp. Fee.0 Reg. 0 OT 0,0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 CoD7aowction Zc7x E) Work Without Permit? 0 Yes Q No $0.00 TOTALS: 5,824 $2,409.79 -. $4,845.11 Strong Motion Fee: IBSEISA17CO b� 11, HOURLY '-"�'-0`Yes 0 No ` PLUMB, HOURLY 0Yes Q No ' ELEC, HOURLY © Yes itNo E3ED NOTE. This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc ). These fees are haled on the nreliminary information availahle and are only an estimate Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 Eff.' 711/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,409.79 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $4,845.11 Suppl. Insp. Fee.0 Reg. 0 OT 0,0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 CoD7aowction Zc7x E) Work Without Permit? 0 Yes Q No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential 0 Building or Structure 0 -. Strong Motion Fee: IBSEISA17CO $126.00 Select an Administrative Item Bldp, Stds Commission Fee: IBCBSC $24.00 SUBTOTALS: $7,404.90 $0.00 TOTAL FEE;' $7,404.90 Revised: 07/01/2013 CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino. CA 95014-3255 Telephone: 408-777-3225 Fax: 408-777-3333 JOB ADDRESS: � f ' irt"ffe LSP" PERMIT # + { OWNER'S NAME: a t. , 4, PHONE GENERAL CONTRACTOR: BUSINESS LICENSE # ADDRESS: CITY/ZI PCODE: *Our municipal code requires all businesses working in the city= to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSI'ECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERI'INO BUSINESS LICENSE. 1 am not using any subcontractors: Signature Date Please check applicable subcontractors 'and complete the following information: ONvner 1 Contractor Signature Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finisbing --------- Electrical CVVer,-I--'1Np -"`� L. (a 97 Excavation .------- ----- Fencing --- — Flooring / Carpeting �J L�'�'�- `�C� 5 0� 5 a 6 Linoleum / Wood Glass / Glazing 5-6 8 5 ✓ Heating 100 O0 Insulation 6 4S l Landscaping --- Latli i ng --^ Masonry �- Painting / Wallpaper k-ff-1 4 6,$� Paving Plastering f Plumbing GvM (MEc.trE.�r� cG- l OD — Roofing Scptic Tank -- ,� Sheet Metal 1 C-U1�1 t_ aLtc k K1, a 1yoc) sheet Rock. �,,� a 6 L4 91 Tile I/nJ$'1'b+�-� 11 � 6S 7 ONvner 1 Contractor Signature Date