11030040CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10475 BANDLEY DR CONTRACTOR: DEVCON CONSTRUCTION PERMIT NO: 11030040
INC
OWNER'S NAME: APPLE INC 690 GIBRALTAR DR DATE ISSUED: 06/23/2011
OWNER'S PHONE: 4089745951 MILPITAS, CA 95035 PHONE NO: (408)942-8200
❑ LICENSED CONTRACTOR'S DECLARATION
License Class !� Lic. # ( / / 6
Contractor 6YJF,4,rZ ) 4:h t % _ Date
1 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.
1 hereby affirm under penalty of perjury one of the following two declarations:
t 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.
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. jj�
APPLICANT CERTIFICATION U -�
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 so regulations per the Cupertino Municipal Code, Section
9.18.
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following 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).
I hereby affirm under penalty of perjury one of the following three
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.
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.
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
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.
BUILDING PERMIT INFO: BLDG F ELECT F PLUMB r
MECH r RESIDENTIAL F COMMERCIAL r
JOB DESCRIPTION: COMM'L TI-(9860SQFT)- OFFICE/LAB SPACE,
STRUCTURAL
INCLUDE ELECT/MECH/PLUMBING PART OF PHASE #LADD
NEW ROOF MOUNTED MECHANICAL EQUIPMENT
Sq. Ft Floor Area: I Valuation: $2300000
APN Number: 32633111.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by• _ Date: G 3— H
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection,) agree to remove all new materials for
inspection.
Signature of Applicant: Date:
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. 1 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.
Ow E hor' agent: I
Date:_-_a��t�s��
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of mork's
for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Address
ARCHITECT'S DECLARATION
Signature Date
I understand my plans shall be used as public records.
Licensed Professional
CITY OF CUPERTINO BUILDING PERMIT I)ATE
BUILDING ADDRESS: 10475 BANDLEY DR CONTRACTOR: DEVCON CONSTRUCTION PERMIT NO: 11030040
INC
OWNER'S NAME: APPLE 1NC 690 GIBRALTAR DR DATE ISSUED: 06/23/2011
OWNER'S PHONE: 4089745951 MILPITAS, CA 95035 PHONE NO: (408)942-8200
❑ LICENSED CONTRACTOR'S DECLARATION
License Class A Lic. # 177 ZA—
Contractor yJ� 07 _ Date—=��F4
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.
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
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
permit is issued.
APPLICANT CERTIFICATION
1 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. Additi ally, the applicant understands and will comply
with al I non -point source r atlons per tbpertino Municipal Code, Section
9.18.
�. 1�//�%ice a • t:XFZA �J
❑ v OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor's License Law for one of
the following two reasons:
1, as owner of the property, or my employees with wages as their sole compensation,
wil I 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).
1 hereby affirm under penalty of perjury one of the following three
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.
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.
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.
BUILDING PERMIT INFO: BLDG f— ELECT F PLUMB r—
MECH r RESIDENTIAL r— COMMERCIAL I —
JOB DESCRIPTION: COMM'L Tl-(9860SQFT)- OFFICE/LAB SPACE, STRUCTURAL
INCLUDE ELECT/MECH/PLUMBBVG PART OF PHASE OLADD
NEW ROOF MOUNTED MECHANICAL EQUIPMENT
8/11/11 REVISION # I- ADD CATWALK AT ROOFTOP UNITS, ADD CONCRETE
VIBRATION TABLE-5/23/2012 REV# 1 ISS'D
Sq. Ft Floor Area: I Valuation: $2300000
APN Number: 32633111.00 I Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAY FROM L T CALLED INSPECTION. �� `)
Issued by: Date:
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:
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. 1 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 1 will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Sections 25505, 25533, and 25534.
Owne or orize e
Date:
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of wrk'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.
Signature Date
Licensed Professional
CITY OF CUPERTINO
Fm_� FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 10475 bandley dr
DATE: 03/09/2011
REVIEWED BY: bobs.
APN:
BP#:
"VALUATION: $2,300,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building
USE:
PENTAMATION 1 B TI
PERMIT TYPE:
WORK
t.i. comm. office/labs ace structural include M E Ps part of phase 1 s . ft. 9860. Add 2 new roof
SCOPE
mounted mechanical equipment.
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
s.L
PC FEES
PC FEE ID
BP FEES
BP FEE ID
B (Tenant Improvements)
II-B,III-B,IV,V-B
9,860
$2,387.20
IBTIPLNCK
$5,779.34
IBTIINSP
TOTALS:
9,860
$2,387.20
$5,779.34
MECH, HOURLY O Yes (F) No
PLUMB, HOURLY Q Yes Q No
ELEC, HOURLY Q Yes Q No
Mech. Plan Check 1.0 hrs $126.00
IMECPLNC Mech. Permit Fee: IMPERMIT
.
Other Mech. Insp. 0.0 lus $42.00
oflw-. ht 4oud ;
Li I
Iww. Pe'e.,
law. Ftree.
NOTE: These fees are based on the oreliminary information available and are onlv an estimate. Contact the Dent for addn 7 info.
FEE ITEMS (Tee Resolution 09-051 F, . 711110)
FEE
QTYXEE
MISC ITEMS
Plan Check Fee:
$2,387.20
# Mechanical
$252.00 /BC.41RH,4 Air -Handling (<=10K cfm)
Suppl. PC Fee: 0 Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$126.00
Permit Fee:
$5,779.34
Suppl. Insp. Fee:0 Reg. 0 OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$42.00
Coristr ue liem Ta
Acoustical Fee: 0 Yes (F) No
$0.00
Q
0
Work Without Permit? 0 Yes (F) No
$0.00
Planning Fee:
$0.00
Select a Non -Residential Q
Building or Structure
i
Travel Documentation Fee: ITRAVDOC
$42.00
Strong Motion Fee: IBSEISMICO
$483.00
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$92.00
SUBTOTALS:
$8,951.54
$252.00 TOTAL FEE:
1 $9,203.54
Revised: 01 /15/2011
CITY OF CUPERTINO
FMON FEE ESTIMATOR - BUILDING DIVISION
191
ADDRESS: 10475 bandley dr.
DATE: 08/11/2011
REVIEWED BY: bobs.
APN:
BP#: 11030040
"VALUATION: 1$45,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building
USE:
PENTAMATION 1GENCOM
PERMIT TYPE:
WORK
revise add catwalk at rooftop units add concrete vibration table.
SCOPE
ec
1:cv.
NOTE. These fees are based on the Dreliminary information available and are onlv an estimate. Contact the Dew for addn'1 info.
FEE ITEMS (Fee Resolution 11-053 E . 7111111
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
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:
$0.00
Suppl. Insp. Fee-.0 Reg.
0 OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
£' ��a�serru�t�trr� Tcr.r
Acoustical Fee:
Yes (F) No
$0.00
0
0
Work Without Permit? 0 Yes (F) No
$0.00
Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
Q
0
i
1 �n"'! 1) c
Strong_Motion Fee:
1BSEISMCo
$9.45
#
$783.00
Revision
1REVCOMTI Tenant Im ement
Bldg Stds Commission Fee: 13CBSC
$2.001
SUBTOTALS:
$11.45
$783.00
TOTA FEE:
1 $794.45
Revised: 07/04/2011