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13070101CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: I INFINITE LOOP CONTRACTOR: NU REV PERMIT NO: 13070101 COMMUNICATIONS INC OWNER'S NAME: APPLE COMPUTER INC 4047 FIRST ST STE 11 I DATE ISSUED: 01/10/2014 OWNER'S PHONE: LIVERMORE, CA 94551 PHONE NO: (925) 980-2799 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIIAL COMMERCIAL License Class l/� Lic. 4 q(PM 93 APPLE- MODIFICATION TO AN EXISTING �' // fj V OO/MP7c TELECOMMUNICATIONS FACILITY BY RELOCATING 3 Contractor Nu i& A }f ate ✓' to Ui ANTENNAS AND INSTALLING I NEW ANTENNA. 6RRII'S I hereby affirm that I am licensed under the provisions A Chapter 9 AND (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: $20000 performance of the work for which this permit is issued. 1 have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Y$ APN Number: 31602105.00 Occupancy Type: APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMITEXP WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating VVITHTN 18 DAYS ® 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 DAYS F OM LAST CALLED 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 granting of this permit. Additionally, the applicant understands and will comply Issued by: Date: �r with all non-point source regulations per the Cupertino Municipal Code, Section 9.18. RE-ROOFS: Signatur Date / o b® 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 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 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, Section 5505, 25533,fAGENCV Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. —r Owner or authorized agent 7�Date: I certify that in the performance of the work for which this permit is issued, l shall not employ any person in any manner so as to become subject to the Worker'sCompensation laws of California. If, after making this certificate of exemption, IC STRUCTION LENDIN 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 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 �O CUPERTINO (408) 777-3228 • FAX (408) 777-3333 - building a)_cupertino.org \ ❑ NEW CONSTRUCTION ❑ ADDITION ® ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS 1 Infinite Loop 'PN# - ) — OWNER NAME Apple Computer Inc PHONE E-MAIL RColledge@Apple.com STREET ADDRESS 1 Infinite Loop Lane CITY, STATE,—Cupertino, Ca 95014=-x CONTACT NAME Christy Beltran Roberts PHONE 415.806.2323 E-MAILChristy@TheCBRGroup.com STREET ADDRESS 5528 Pacheco Blvd CITY, STATE, ZIP FAX Pacheco, Ca 94553 ❑OWNER ❑ OWNER -BUILDER 12 OWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT 11 ENGINEER ❑ DEVELOPER 14 TENANT CONTRACTOR NAME TBD LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME Black & Veatch E-MAIL FAX STREET ADDRESS 5600 Executive Pkwy CITY, STATE, ZIP San Ramon, Ca 94583 PHONE ARCHITECT/ENGINEER NAME Thomas R. Holland LICENSENUMBER C-21496 BUS. LIC# COMPANYNAME Pacific Telecom Services, LLC E-MAIL DMCKIERNAN@PTSWA.com FAX STREETADDRESS 115 Sansome St., 14th Floor CITY, STATE, ZIP San Francisco, Ca 94104 PHONE 916.955.7982 DESCRIPTION OF WORK Modification to an existing telecommunications facility by relocating 3 antennas and installing 1 new antenna, 6 RRH's and 2 surge arrestors on a new antenna mount on an adjacent rooftop. EXISTING USE PROPOSED USE CONSTR, TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) IAREAISI I AAREA R I AREA I NETAREA REMODELAREA I REMODEL AREA I REMODELAREA PORCH AREA I DECK AREA TOTAL DECK/PORCH AREA I GARAGE AREA: DETACH ATTACH #DWELLING UNITS: ISA SECOND UNIT ❑YES BEING ADDED? ONO SECONDSTORY ❑YES ADDITION? ONO PRE -APPLICATION OYES IF YES, PROVIDE COPY OF PLANNINGAPPL # ONO PLANNING APPROVAL LETTER IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO REC VE BY: T AL VALUATION: 0 ®nJ!'IV By my signature below, l certify to each of the following: 1 am the property owner or authoriz agent to act on the property owner's beha[ . I have read this application and the information 1 have provided is correct. I have read the Description of Wo and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relatifigito l g onstruction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: B tl W SUPPLEME IgFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP ElOVER-THE-COUNTERILIHNG PLAN REVIEW 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. ❑ 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 - FMEDEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. 1:1 MAJOR ❑ SANITARY SEWER DISTRICT B1dgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 1 infinite loop DATE: 07116/2013 REVIEWED BY: mendez APN: BP#: 3010/0 'VALUATION: J$20,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION TELECOMFAC USE: I PERMIT TYPE: , WORK modification to an existing telecommunications facility by relocating 3 antennas and installing 1 new SCOPE antenna. 6rrh's and 2 surge arrestors on a new antenna mount on an adjacent rooftop 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 based an the nreliminary infarmation availahle and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Tee Resolution 11-053 Eff." 7/1/12,) ,'Meeh. Plan Check TT Plumb. Plan Check Elee. Plan Check Nlecli. Permit Fee: Plume. Permit Fee: Elec. Permit Fee: Other ,klech. Insp.Ll Other Plumb Insp,ET-1- Other Elee. Imp, Hech. Insp. Fee: Plumb. hal). Fee: Elec. Insp, Fee: 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 based an the nreliminary infarmation availahle and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Tee Resolution 11-053 Eff." 7/1/12,) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: E) Reg. 0 OT 0.0 1 hrs PME Plan Check: $0.00 $0.00 Permit Fee: Hourly Only? 0 Yes 0 No Suppl. Insp. Fee G Reg. 0 OT 0,0 hrs $0.00 $0.00 PME Unit Fee: PME Permit Fee: $0.00 Conorfiction .Tera: ELI A.dininistrative Fee: $0.00 Work Without Permit? Yes (F) No Advanced PlanninL Fee: $0.00 0 # $1,112.00 Antenna - Telecom Facility 1ANTCELA7T Cellular, Attached to Bldg E) 4, Travel Documenturion Fees: Strong Motion Fee: IBSEISMICO $4.20 $1.00 DTI hrs $417.00 Inspections ISTINSP Inspection, Hourly Bldg Stds Commission Fee: IBCBSC SUBTOTALS: $5.201$1,529.001 TOTAL FEE: 1 $1,534.20 Revised: 07/01/2013 C1411P(a:R'V' NO December 18, 2013 PLAN FEV EW EXP �A ION NOO CE COMMUNITY DEVELOPMENT DEPARTMENT o BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE o CUPERTINO, CA 95014-3255 (408) 777-3228 ^ FAX (408) 777-7606 o buildina(a.cupertino.org APPLE COMPUTER INC 1 INFINITE LOOP UNIT MS 36TX CUPERTINO CA, 95014 1 v. SUBJECT: PLAN REVIEW EXPIRATION NOTICE „ Site Address: 1 INFINITE LOOP �D I v Building Permit Application #: 13070101 Expiration Date: 1/12/2014 As a courtesy, the Building Department makes every effort prior to the expiration of a construction permit application to notify the applicant of the impending expiration. Per the California Building Code Section 105.3.2, ... "an application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date offiling, unless such application has been pursued in good faith or a permit has been issued " This notification letter is issued as a reminder that the construction permit application for the specified project will expire on the date shown above unless the following action is taken: A. A building permit application is approved and the building permit is paid for and issued prior to the expiration date specified; or B. A request for an extension is submitted in writing with a justifiable cause demonstrated to the Building Official prior to the expiration date of the application. A $44.00 fee shall apply to all extension requests, payable to the City of Cupertino at the time the request is made. Each extension, if granted, will be for a period of not more than 90 days. Extension requests shall be hand delivered to the building department or e-mailed to suew@cupertino.org. If a plan review application expires, the renewal of the application will NOT be granted unless the construction plans comply with the 2010 California Codes and any new local regulations that came into effect from the date of the original application. Additional plan review (and associated fees) will be required to verify compliance with these new regulations. The plans will become null and void after the expiration date if a building permit is not secured or an extension is not granted. You will have 15 business days to pick up your documents or they will be recycled. The permit application will then be voided in the Permit System and all documents pertaining to the permit application will be recycled. Sincerely, Sue Winslow, Administrative Clerk City of Cupertino Building Department suewa,cupertino.org (408-777-3246)