Loading...
12010162 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20900 HOMESTEAD RD CONTRACTOR:MONTEREY PERMIT NO: 12010162 CONSTRUCTION COMPANY OWNER'S NAME: VS II LP 88 MONTEREY-SALINAS HWY STE A DATE ISSUED:02/08/2012 OWNS PHONE: 6509313400 SALINAS,CA 93908 PHONE NO:(831)601-2659 LICENSED CONTRACTOR'S DECLARATION €r BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic.# 957A7 `" Contractor ��-U�� �6ti+�-� Date_24 8 1� MECH RESIDENTIAL COMMERCIAL I hereby affirm that I am licensed under the provisions of Chapter 9 KITCHEJOB DESCRIPTION: BLDG 76#G-APT.COMPLEX REMODEL, (commencing with Section 7000)of Division 3 of the Business&Professions N(SOSQFT),ADD NEW A/C UNIT&WASHER DRYER HOOKUP Code and that my license is in full force and effect. HOOKUP 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 Sq.Ft Floor Area: Valuation:$20000 permit is issued. APPLICANT CERTIFICATION APN Number:32609072.00 Occupancy Type: 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 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 per the Cupertino Municipal Code,Section 9.18. Issued by: �--� == Date: �V, �- Signature Date4 ❑ OWNER-BU DER 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 1,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 BE"T"TER I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE, 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 I have read the hazardous materials requirements under Chapter 6.9.5 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 25.532(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 Owner o.0authorized agent: forthwith comply with such provisions or this permit shall be deemed revoked. Date: CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION 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 CITY OF CUPERTINO 8 ITEMS OF 16 PERMIT RECEIPT OPERATOR: suew COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 32609072 . 00 DATE ISSUED. . . . . . . : 02/08/2012 RECEIPT # . . . . . . . • . : BS000015957 REFERENCE ID # . . . : 12010162 SITE ADDRESS . . . . . : 20900 HOMESTEAD RD SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER VS II LP ADDRESS . . . . . . . . . . : 1900 S NORFOLK ST #150 CITY/STATE/ZIP . . . : SAN MATEO, CA 94403 RECEIVED FROM . . . . : RICHARD REGA CONTRACTOR . . . . . . . : BEN REGA LIC # 32275 COMPANY . . . . . . . . . . : MONTEREY CONSTRUCTION COMPANY ADDRESS . . . . . . . . . . : 88 MONTEREY-SALINAS HWY STE A CITY/STATE/ZIP . . . : SALINAS, CA 93908 TELEPHONE . . . . . . . . : (831) 601-2659 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- -ADMIN HOURS 1 . 00 41 . 00 0 . 00 41 . 00 0 . 00 1BAPPLOTHE NO OF APPLIAN 2 . 00 130 . 00 0 . 00 130 . 00 0 . 00' 1BCBSC VALUATION 20, 000 . 00 1 . 00 0 . 00 1 . 00 0 . 00 1BREMAIRHA NO.UNITS 1 . 00 65 . 00 0 . 00 65 . 00 0 . 00 1BSEISMICR VALUATION 20, 000 . 00 2 . 00 0 . 00 2 . 00 0 . 00 1MPERMITFE FLAT RATE 1 . 00 44 . 00 0 . 00 44 . 00 0 . 00 1REMRESKIT SQ FEET 50 . 00 588 . 00 0 . 00 588 . 00 0 . 00 1TRAVDOC FLAT RATE 1 . 00 44 . 00 0 . 00 44 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 915 . 00 0 . 00 915 . 00 0 . 00 ................................ . CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 20900 homestead rd bldg 76##G DATE: 01/26/2012 REVIEWED BY: bobs. APN: ,07..2 BP#: /&" 6Z VALUATION: 1$20,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration /Repair PRIMARY SFD or Duplex PENTAMATION 1 R3SFDREM USE: p PERMIT TYPE: WORK Apt. complex remodel = kitchen add new A/C unit W/D hookku . SCOPE FN!1ech:P1an CheckFo-o-1hrs $0.00 Mech.Permit Fee: IMPERMIT Other Mech.Insp. 0.0 hrs $44.00 NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These,Lees are based on the ereliminary information available,and are only an estimate. Contact the De t or addn'l in o. FEE ITEMS F e, a fad >¢,fi 1_.-'5 �f.` ' t;' 1 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 50 s.f. Remodel,Kitchen(<=300 st) Suppl.PC Fee: (j) Reg. Q OT E0j hrs $0.00 $588.00 IREMRESK[T PME Plan Check: $0.00 1 1 # Mechanical Permit Fee: $0.00 $05.00 IBREMAIR I AIC Units(<=10K cfm) Suppl. Insp. Fee-0 Reg. 0 OT El hrs $0.00 = # Mechanical PME Unit Fee: $0.00 $130.00 IBAPPLOT Other Appliance/Equip PME Permit Fee: $44.00 Administrative Fee: ]ADMIN $41.00 Q Work Without Perrnit? 0 Yes 0 No $0.00 E) i'h<b� �_n, I #;--° $0.00 Select a Non-Residential .00 Travel Documentation Fee: ITRAv'DOC $44 Building or Stricture IBSEISAKCR $2.00 Select an Administrative Item P1 < `ate-s C orrmiissjon Fee: IBCBSC $1.00 �_._ . SUBTOTALS: $132.00 $783.00 TOTAL FEE: E $915.00 Revised: 1/19/2012 01/26/2012 14 : 19 (FAK) � . 002/003 CONSTRUCTION PERMIT APPLICATION • COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINQ (408)777-3228• FAX(408)777-3333 • building(ahcupertino.om ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS l�Y1°� APN# C V OWNER NAME - PHONE E-MAIL STREET ADDRESS CITY, STATE,ZIP FAX Ictoo S, V-vu�- -a 15C _ 2�L CONTACT NAME �7 PHONE E-MAIL P 1tL-' C✓._ �f6�-,� �`-.7 - """1��\ CA STREET STREET ADDRESS CITY,STATE, ZIP FAX Y-Y'1�..,��-mss' `:�G.Q;�-�c.'S 1�h..� "fit �► .^ �, _i..r�GS Crt='1 ��y�i(�<-� �:�� L-1�-�`.�-•_l<<�S'1�� ❑OWNER ❑ OWNER-BUILDER ❑ O%VNERAGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT PONTRACTOR NAME LICENSE NUMBER LICENS YPE BUS.LIC N COMPANY NAME E-MAIL FAX Lti E=lN) rY�ctylac-.i2� ��.c1`��-cam+c �UnC101 STREET ADDRESS CITY,STATE,ZIP PHONE �iS `cY1t:J��ec # fA `�C�2 i�c-`'a G.t'-'� cl��ic3�'t; L-1��S • 'lG?�\ ARCHITECT/ENGINEER NAMELICENSE NUMBER I BUS.LIC# I COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE i DESCRIPTION OF WORK -,-�:A-Cr.,` �'1 C�-c.J C-tom G�.j���?1' r E'T � C �'jam.�� - Y� C��v y i�U SSC _•�-> �Yl u'�rG..�� 'f,c�� Cur Gc�>n C���L�'c��� t,,.l�-1��" � a c7�IE'Q E'X�c�'�t-� •'� '1. �C -y�f�.��'�1 �� t fii EJ=; 1fS x}�!it€if°:�4 i3r?I£3^�TE EEEt,Fk-.3;;i x1111'.• S<aL1';^ EXISTING USE PROPOSED USE CONSTR.TYPE #STORMS i.dCC.,,F�f,sS{E .TYF'FI x ' CQES RIPTION S FT. V l ATI S EXISTG NEW FLOCK DEMO TOTAL AREA AREA AREA NET AREA {gip ? £,,I BATHROOM KITCHEN OTHER REMODELAREA REMODEL AREA REMODEL AREA Et7q? Es S.sj jt t v1Xi# (i ,tai j "r S 2 - PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA:❑DETACH Y �;`i 3fi,B ❑ATTACH 1°,£= ._a..Fa,.I�u N DWELLING UNITS: IS A SECONFD UNIT ❑YES SECONDSTORY ❑YES [1Fr;r€i It$i£113i a U?}S-IS fttr£ilii fy a!t c tet' t 3! BEING ADDED? NO ADDITION? NO € l Illlx ft i�t,� :�it4.>4 1{fi�"{:f Ef f$ 511✓z f jj£,}-s>.:�t :.<It fs s3r i ilEtse£'Kf ,it t PRE-APPLICATION ❑ YES IF YES.PROVIDE COPYOF PLANNER'S NAME: , $ csll I€' t 4< i ,g r r lr Y 1 t ' tiitz tt 3 1�t f;"! €r a I (TOTAL VLtJ¢Yt9N: PLANNING APPL N ❑ NO PLANNING APPROVAL £ , I /v :�31t13,fit�s;t. t.:.__?"Itts.,?°F r et'<;.i•�i:(tf5. .r::.°. €?.>or:<c= _'i.'s.. By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have pr vi ed is correct. 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 t 'd' g construction. I authorize representatives of Cupertino to enter the above-i entitied�pt perty for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED : ,ROUTINUSLIP New SFD or Multifamily dwellings: Apply for demolition permit for tr OYE i TI>E Cq I1 ERs; a I❑ ,B.UILDING PLAN REVIEW existingbuilding(s). DemoIition permit is required prior to issuance of building + p 4 P g t permit for new building. 1 !rsa k=£zl I j t I4 itr= g, s, e s I pI}EtS },a st f? „I❑"PLA NINCr PLAN REVIEW Es t{�syyti"1(jji €is rFti r5, i TxTs s f t£rSi t t i a tj s is�. d i f z ttt Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ' E ~ �r�ND }sF<�=; ,I,'S ' ��' f� Pt{B tc WORKS a' ;Fs I} E t t,t i,t lq t form if an Hazardous Materials are being used as art of this project. I,t �'•I;, l;�.l�i=ttf 3 r 't Y g P P J {; 1s r r tAtii,7 €1Qt l�� � �sv l�k ft f,t a':d sit t ela itl;IIS s f$IRE DEPT ? Copy of Planning Approval Letter or Meeting with Planning prior to ;, ��, I k si►Ft k- 4 s r f 5, , ,,� ,£t{ i ,F r tMAJR 1 €t(s { s r'!tt 4 f `�,}t c°t i i'SANITARY SEWER DISTRICT submittal of Building Pennit application. !!,I£ai {„=,t, ,,i£E E , E , , ,) Y ,, $,, E }} t ;, t4;t3 stat I�s s t nS 'flit, it a F ,!iI„tt3 174” s€;£=iE,.,v.i v.�•:rl;NlrlItQN1►1E1VTAL'HEeILTII'. B1dgApp_2011.doc revised(13116111