14090099 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 3 INFINITE LOOP CONTRACTOR:XL CONSTRUCTION PERMIT NO: 14090099
OWNER'S NAME: APPLE COMPUTER INC 851 BUCKEYE CT DATE ISSUED:09/[6/2014
OWNER'S PHONE: 4089740125 MILPITAS,CA 95035 PHONE NO:(408)240-6000
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL E]
APPLE T.I. -RECONFIGURE(E)OFFICE SPACE,
License Class !'j Lic.# LJT14`rj'0 INCLUDING PARTITION WALLS TO CREATE 6(N)
Contractor AL C)o7 fi:Aj A Date OFFICES
(830 S.F.)
I hereby affirm that 1 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.
1 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
performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$180000
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:31602107.00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is PERMIT EXPIRES IF ORK IS NOT STARTED
correct.1 agree to comply with all city and county ordinances and state laws relating WITHIN ISO-WAYS O RMIT 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 184 DAYS FRO CALLED INSPECTIO .
indemnify keep harmless the City of Cupertino against liabilities,judgments,
costs,and`expe es which may accrue against said City in consequence of the1�
granting of thisrmit. Additionally,the applicant understands and will comply
with all non-poA source regu ations per the Cupertino Municipal Code,Section
9.18.
RE-ROOFS:
Signature Date 7 (G' All roofs shall be inspected prior to any rooting 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:
1 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)
1,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. 1 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,Sectio 5532(a)should 1 store or handle hazardous
I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should 114c equipment or devices which emit hazardous
Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as define&by theay Area Air Quality Management District 1
performance of the work for which this permit is issued. will maintain compliance with the C pertino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 2 505,255 ,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. Owner or authorized agent:' a Date:
I certify that in the performance of the work for which this permit is issued,I shall 1
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
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 l 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 oD(
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION c ,
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTINO (408)777-3228• FAX(4408)777-3333• building(cDcupertino.org
❑NEW CONSTRUCTION [:1 ADDITION LJ ALTERATION/Ti ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROJECT ADDRESS APN#
stco- oz- l0
OWNER NAME PHONE E-MAIL
STREET ADDRESS ` CITY, STATE,ZIP ` n FAX
Tt� •nett Loo V rt+IlO CA 960\L1
CONTACT NAME n PHONE E-MAIL
Ca�itck ur X10 21-fO2�1 vt avauck „%
STREET ADDRESS CITY,STATE,ZIP \ FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME � . LICENSE NUMBER LICENSE TYPE BUS.LIC#
COMPANYNAME E-MAIL^N � UCAO . Q0 M
FAX
\kL1
STREET ADDRESS CITY,STATE,ZIP PHONE
51 aocke t CA °150aS 4o'6- 621- (v2 GI
ARCHITECT/ENGINEER NAME o LICENSE NUMBER BUS.LIC#
No��cb
COMPANY NAME E-MAILFAX
k um
STREET ADDRESS CITY,STATE,ZIP PHONE
2GS-1 S ��n 'S dw �� 9110 0 6 00
DESCRIPTION OF WORK
-CZ oky. 4 \d. . - M�
EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES
0W\m. i- A L\ USE TYPE OCC. SQ.FT. VALUATION
_r .,Cc ($)
EXISTG NEW FLOOR DEMO TOTAL
AREA REAREA ETA 01000
BATHROOM KITCHEN OTHER
REMODEL AREA REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH
❑ATTACH
#DWELLING UNITS: IS A SECOND UNIT []YES SECOND STORY ❑YES
BEING ADDED? ONO ADDITION? []NO
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RgetWE TOTAL VALUATION:
PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO,," i✓
By my signature below,I certify tc.eac of the following: I am the property owner or authorized agent to ac a property owner's behalf. I have ad this
application and the information I�ave ovided is c ect. I have read the Description of Work and verify Is accurate. I agree to comply with all applicable-10c.1
ordinances and state laws relatin4 to b Iding cons tion. I apt nze representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: l` Date:
SUPPLE AL INFORMATIt REQUIRED PLAN CHECK TYPE ROUTING SLIP
New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW
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 ❑ mE DEPT
_Copy of Planning Approval Letter or Meeting with Planning prior to
submittal of Building Permit application. ❑ MAJOR ❑ SANITARY SEWER DISTRICT
❑ ENVIRONMENTAL HEALTH
BldgApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR- BUILDING DIVISION
WPERMIT
DDRESS: 3 INFINITE LOOP DATE: 09/16/2014 REVIEWED BY: MELISSA
PN: 316 02 10* BP#: C �"' `VALUATION: $180,000
PE: Building Permit PLAN CHECK TYPE: Tenant Improvement
PRIMARY PENTAMATION
USE: Commercial Building PERMIT TYPE: 1 B TI
WORK APPLE T.I. - RECONFIGURE E OFFICE SPACE INCLUDING PARTITION WALLS TO CREATE 6
SCOPE (N) OFFICES (830 S.F.)
OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID
CONSTR. s.f.
B (Tenant Improvements) I-A,I-B 830 $3,193.46 1BTlPLNCK $1,497.18 1BTIINSP
TOTALS: 830 $3,193.46 $1,497.18
MECH,HOURLY 0 Yes E) No PLUMB,HOURLY Q Yes Q No ELEC,HOURLY Q Yes Q No
F-1 I LJ L_
NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works, Fire,Sanitary Sewer District,School
District,etc . These ees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info.
FEE ITEMS /Fee Resolution 11-053 EFEE QTY/FEE MISC ITEMS
Plan Check Fee: $3,193.46 Select a Misc Bldg/Structure
Suppl. PC Fee: (F) Reg. 0 OT Q.Q hrs $0.00 or Element of a Building
PME Plan Check: $0.00
Permit Fee: $1,497.18
Suppl. Insp. Fee:Q Reg. 0 OT Q,Q hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
0
Work Without Permit? 0 Yes Q) No $0.00 E)
Advanced Planning Fee: $0.00 Select a Non-Residential Q
Building or Structure 0
i
Strong Motion Fee: IBSEISMICO $50.40 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $8.00
SUBTOTALS: $4,749.04 $0.00 TOTAL FEE: F$4,749.04
Revised: 08/20/2014