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10090189CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10600 N DE ANZA BLVD STE 100 CONTRACTOR: DPR CONSTRUCTION INC PERMIT NO: 10090189 OWNER'S NAME: APPLE INC 1450 VETERANS BLVD DATE ISSUED: 10/21/2010 OWNER'S PHONE: 4089745951 REDWOOD CITY, CA 94063 PHONE NO: (650)474-1450 ❑ LICENSED CONTRACTOR'S DECLARATION r r r BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class 1146 Lic. i3 MECH r RESIDENTIAL r COMMERCIAL r Contractor .�P� CE',NJ7.�✓c->"��.Date 'Z; I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: COMM'L TI ADDITION OF 10 NEW PRIVATE OFFICES, AND (commencing with Section 7000) of Division 3 of the Business & Professions ONE CONFERENCE ROOM EXPANSION TO A SECURE OPEN Code and that my license is in full force and effect. OFFICE AREA (6846SQ);NO RE -ROOF & NO STRUCTURAL 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 Sq. Ft Floor Area: Valuation: $178776 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APN Number: 31602103.100 Occupancy Type: APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. 1 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally, the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non -point source regulations p the Cupertino Municipal Code, Section 9.18. Issued by: Date: Signature --Date �G' zl /D G7 ❑ OWNER-B ILDER DECLARATION RE -ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed. If a roof is the following two reasons: installed without first obtaining an inspection, I agree to remove all new materials for I, as owner of the property, or my employees with wages as their sole compensation, inspection. will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) Signature of Applicant: Date: I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE Compensation, as provided for by Section 3700 of the Labor Code, for the I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain 1 have and will maintain Worker's Compensation Insurance, as provided for by compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Section 3700 of the Labor Code, for the performance of the work for which this Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will 1 certify that in the performance of the work for which this permit is issued, I shall maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health & Safety Code, Sections 25505, 25533, and 25534. 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 I Owpq or authorize gent: Date: / 2 forthwith comply with such provisions or this permit shall be deemed revoked. r APPLICANT CERTIFICATION V CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct. I agree to comply with all city and county ordinances and state laws relating for which this permit is issued (Sec. 3097, Civ C.) to building construction, and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, Lender's Address costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply ARCHITECT'S DECLARATION with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. I understand my plans shall be used as public records. Signature Date Licensed Professional onn-zim # �Aluv CITY OF CUPERTINO BUILDING PERMIT DATE BUILDING ADDRESS: 10600 N DE ANZA BLVD STE 100 CONTRACTOR: DPR CONSTRUCTION INC I PERMIT NO: 10090189 OWNER'S NAME: APPLE INC 1450 VETERANS BLVD I DATE ISSUED: 10/21/2010 OWNER'S PHONE: 4089745951 1 REDWOOD CITY, CA 94063 1 PHONE NO: (650)174-1450 1 ❑ LICENSED CONTRACTOR'S DECLARATION License Class Lic. 4 5�q 6 Contractorj�e CD,7�UIXlr�1 Date i 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. 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 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 nory.point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date ❑ 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, 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 construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 1 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, 1 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 n -point source re la r the Cupertino Municipal Code, Section 9.18. 1 Signatu Datea(Q 0 BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r MECH r RESIDENTIAL r COMMERCIAL r JOB DESCRIPTION: COlvM'L TI ADDITION OF 10 NEW PRIVATE OFFICES, AND ONE CONFERENCE ROOM EXPANSION TO A SECURE OPEN OFFICE AREA (6846SQ);NO RE -ROOF & NO STRUCTURAL 5 ID-2S-ram- - [. t0l-lb jAQ. J--S cUyf-sd- o�- [ u r•n-r-•n sec�.�r4 o PEA-, o�c, ,F ,4 aA• ,.,�ry�.o+-�-s -{, L�-w.�r Sq. Ft Floor Area: I Valuadon: $178776 APN Number: 31602103.100 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FRO LAST CALLED INSPECTION. Issued by• I r/ ell' 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 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I 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 He#kh & Safety Code, Sections 25505, 25533, and 25534. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION 1 understand my plans shall be used as public records. Licensed Professional CITY OF CUPERTINO Fm_� FEE ESTIMATOR — BUILDING DIVISION ADDRESS: DATE: REVIEWED BY: APN: BP#: "VALUATION: $178,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: 1-()T,,]L FLOG . ]I?!>', [: PENTAMATION 1B TI PERMIT TYPE: WORK SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) II-B,III-B,IV,V-B 0 $0.00 $0.00 TOTALS: 0 $0.00 $0.00 iIFCH, H(1LrRUY 0 Yes E) No PLUMB, HOURLY Q Yes Q No ELEC, HOURLY Q Yes Q No L1l ch. Plan C hi:ck Pl7lmb. Pkiij ('lx < F 1ael:. FIQn (:heck Vech. Purwit Fee: �'f+rrral� Po —i! I ce Der, Permit / c : Orllcr ;L'lec,�,. Irsy7. Ocher Plrw' L•:, _. (Jlhe>r' . Ins'p, dke,h. Insp. Fee: Pe't(mb. hop, F:,, I;!(,c Insp. I cc: NOTE: These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addh 7 info. FEE ITEMS (Fee Resolution 09-051 E . 7� FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: E) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee10 Reg. CI OTJ 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Consivuction Tax Acoustical Fee: 0 Yes (E) No $0.00 Q 0 Work Without Permit? 0 Yes 0 No $0.00 Plannijjg Fee: $0.00 Select a Non -Residential Building or Structure 0 i Traced DocrunenJotion /Fees._ Strom; Motion Fee: IBSEISMICO $37.38 1 # $760.00 Revision IREVCOMTI Tenant Improvement Bldg: Stds Commission Fee: IBCBSC $8.00 SUBTOTALS: $45.38 $760.00 TOTAL FEE: 1 $805.38 Revised: 10/17/2010 Fm-7, CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: DATE: REVIEWED BY: APN: BP#: 'VALUATION: $178,776 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: TOT.1L ,c7 )(1R .4R` _A: PENTAMATION PERMIT TYPE: 1 B TI WORK SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) I-All-B 6,846 $3,364.71 IBTIPLNCK $7,180.31 IBTIINSP TOTALS: 6,846 $3,364.71 -7 $7,180.31 J MECH, HOURLY 0 Yes Q No PLUMB, HOURLY Q Yes G) No FI..F.C, HOURLY Q Yes Q No Xfech. Plan Check Plumb. flan Cheek FT Elec. Plan Check bloc:/i. Perini! Fee: Phrn¢h. Perini! Frye: Elcr P"mia Fee: Ocher :l1rc%r lns[i. LJ I Uric r F.Jec Intp. ED__L__ Wcxh. Insp. /'ee: Phnuh. hl.y. Fire: Elec. /nsp. Pce: NOTE. These fees are based on the Preliminary information available and are onlv an estimate. Contact the Dept for addh7 info. FEE ITEMS (Fee Resolution 09-051 E . 711110) FEE QTY/FEE MISC ITEMS Plan Check Fee: $3,364.71 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: 0 Reg. ® OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $7,180.31 Suppl. Insp. Fee-0 Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax Acoustical Fee: © Yes (E) No $0.00 E) Work Without Permit? © Yes 0 No $0.00 Plannin Fee: PLLONGRNGC $0.00 Select a Non -Residential Building or Structure 0 Travel Docomentation Fees: Strong Motion Fee: IBSEISMICO $37.54 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $8.00 SUBTOTALS: 10,590.56 $0.00 TOTAL FEE: 1 $10,590.56 Revised: 9/14/2010