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12090120 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20800110MESTEAD RD CONTRACI'OR:MONTEREY PF,RMITNO: 12090120 CONSTRUCTION COMPANY OWNER'S NAME: VILLA SERRA APTS 88 MONTEREY-SALINAS HWY STT:A DATE ISSUED:09/132012 OW'NIiR'S PRONE: 6509313400 SALINAS,CA 93908 PHONE NO:(831)601-2659 ❑ LICENSED CO\TRACT'OR'S DECLARATION .1011 DESCRIPTION: RESIDENTIAL 13 CONINIERCIAL License Class Lie.4 / BUILDING 66 UNITS A-L- 1025 SQ FI' EACH TOTAL 12300 ConuactorDate SQ FT 1 hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business S 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 whichthis permit is issued. Sq.Ft Floor Area: Valuation:5240000 I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of die work for which this \I'N Number:32609073.20800 Occupancy'I'ypex permit is issued. AI'PLICAN'I'Cl?R'I'IFIC,\TION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state Imus relating WITHIN 180 DAYS OF 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 DAY 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 ///2-/2 granting of this permit. Additionally,the ipplicam understands and will comply Issued bv: Date: &? with all non-point source regulations per the C penino Municipal Code,Section 9.18. ol RE-ROOFS: Signature. Dale All roofs shall be inspected prior to any roofing material beteg installed.If a roof is installed without first obtaining an inspection,I agree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATION hereby affirm that I am esem pl from the Contractor's License haw for one of Signature of Applicant: Date: the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BF;ITER 1,as owner of the property,or my employees with wages as their sole comp:nsation, will do the work,and the structure is not intended or offered for sale(Sec.7044, Business s@.Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to UA'LARDOUS N1ATERIAIS DISCLOSURE construct the project(Sec.7044,Business E Professions Code). I have rend the hazardous materials requirements under Chapter 6.95 of the California Health S Safety Code,Sections 25505,'-5533,and 25534. I will I hereby infirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health S Safety Code,Section 25532(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 I use equipment or devices which emit hazardous Compensation,as provided for by Section3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District 1 performance of work for whichthis permit is issued. will mninnin compliance with the Cupertino Municipal Code,Chapter 9.12 and 1 have and will maintain Worker's Compensation Insurance,as provided for by the Ilealth&Safety Code.Sections 25505,23,nn 53 . Section 3700 of the Labor Code,for the performance of the work for which this C Owner or authorized ngen permit is issued. ate. I certify that in the performance of the work for which this permit is issued,I shall not employ any person in my manner so as to become subject to the Worker's - Compensation laws of Califam©. If,after making this cenificate of exemption,I CONSTRUCHON LENDING AGF NCY become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby aflimh that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. w'ork's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANTCF,RTIFICATION 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 .\RCIII'TECI"S DECLARATION and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of die I understand my plans shall be used as public records. granting of this permit Additionally,the applicant understands mid will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date 09/11/2012 14:38t-ltry Construction Co. (FAX)831 455 7986 P.003/003 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE• CUPERTINO,CA 95014.3255 \�V� C (408)777.3228 • FAX(408)777-3333•building(dticuoartino.om � i✓l�v3r�� ��.� �ao3oUrog ❑NEW CONSTRUCTION ADDITION Iy� ALTERATION/Tl ❑ REVISION/DEFERABD OFJQINALPERMRM Pjt9r��[/VD,DRE59 APN Y LUUUU Flomestead Rood, Building #l,pl�, Units A — l� 1, ERv.AUE PHO\ E•A1AIL a Sarre Apartments x(850) 931-3400 574 6bloNarfolk Street, # 150c a i�lefZIP CA 94403 FAX Cd,VrA fWntht P NMALL �5g0 931-3400 cmwrlght@prometheusreg.com STREET ADDRESSCf1Y,STATE, ZIP FAX 1900 So. Norfolk Street # 150 Sen Mateo CA 94403 ❑ OWNER ❑ oWNBR.BuILDER O OWNERAOeNT 0 coxT I;TOR ❑CONTRACTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER CI TEVANT fC�pQch r0 d riReN�gsAOE LICEL�'SP�Z1np6R LICEN9FBTYP9 BU$ M inieie A(;onstructlon Company Nn m COn9trUCtlOn.COm �ptp) ry (911) 455-7988 T ADDRESS CIN,STAIE,ZIP PHONE 0 terey-Sallnes Hwy., Suite A lin 831 455-7931 ARCHITECTAINOINEER NA.\IR LICENSE NUMBER BUS.LIC 1 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OP WO Remove & re race kitchen & bath cabinets. Replace electrical subpanal & subfeed. Install new W/D & hookups. Run now hot & cold water lines for all exlsting fixtures. 'UTIRO USE PROPCSEDYSR CONSTR.TYPE YST 9 I Y A i7Anlf ✓i ExISTO �J NEW FLOOR DEMO TOTAL AREA /0�/5 ARBA AREA NET AREA i .''" •'I •'/y''�i'r�/ /pal ./' BATHROOM RITCKXN OTHER L "MODEL AREA REMODEL ARRA RPMODELARRA APO AA '_.i •.. `. :�1:::'..:.;•' �". PORCH AREA ORCX AREA TOTAL DBCXRORCH ABPA OARAOCAREA:❑ DETACH •" ' ...i ATTR •'�',: � ' r DYTe =LNna. Ir ArtCDW LNTT oyer sec...v ❑YE1 I ,1,;i: '• , aLLvv Avv TDfNJ wvmop SSV ❑ :I f, PRa.M It Tm Q gar a'Yer,raovma OJPYOr P1,/JfHER'r AM:MUAPPLr 0140 P4NNIMl NPROVN.IdITBR PL _ ''eP..' �,":.:,:r'• :✓'I'-V(K/r_:. 1' By my signature below,1 Certify to tach of the following: I am the property owner or authorized agent to act on the property owner's behalf. t have read this application and the lnromtatlOn 1 have provided Is correct. I have reed the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I outhodze representatives ofCupemmne to enter the above•Identifled property for inspection purposes. Signature or Applicant/Agent: Daw SUPPLEMENTAL fNFO[LMATION REQUIRED _:;;.`puncitecic TYPE:!' :i:'•:'::ROUTTN0 SLIP .. _New SFD or Multifamily dwellings: Apply for demolition permit for "''' c> i•'" •. existing hullding(s). Demolition permit is required prior to issuance of building '.�':OVIII-iuE.Cot1nTER'/::.:•: RPILOINO PLAN REVIEW permit for nese building, O�ezedess. '.PLANNING PLAN REVIEW' Commercial Bldgs: Provide a completed Hazardous Materials Disclosure :E) ]TANpARt1 •f7;,PyBLicw�Daks'�;... form irony Hazardous Materials are being used as part ofthis project. - :I�;.t.AAOE' ':..'.•:'. : . -I�I FIRE DEPT —Copy Copy of Planning Approval Leter or Meeting with Planning prior to submittal or Building Permit application. n1AJOR:'•1' 0:9ANfTARY SEINEN U19TR1C7 . .I,.. .: .. . I .. r: . .. t]:ENVtRDN?tINTAD IIEALTH" Bldg4pp-2011.doc revised 03116111 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 20800 Homestead Rd DATE: 09/13/2012 REVIEWED BY: Sean \ APN: BP£/: 'VALUATION: $240,000 *PERIMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY I Multi-Family Dwelling Buildina is PENTAt1IATION 1R2REM USE: 3 Stories O Yes (OD No PERDIIT TYPE: WORK Buildin #66: Remodle units A thru 1025 sq It each = 12300 sq ft). See Master Plan: 12030068. SCOPE Mech.Plea Check Plumb.Phot Check Ele.c.Plon Clerk Mech. Per rnit Fee: Plranh. Permit Fee: Eler..Pernth Fee: Other btech.Jail). other Plumb leap. Other Ekc.lmp. ,l Tech.Imp. Fee: Phnnb.Gtsp.Fee: Mae. hrsp.Fee: NOTE: This estimate does not include fees dire to other Departments(ie. Planning, Public IVork's, Fire,Sanitary Server District,School District,etc.). These fees are based on the prefitninart•information available and are onh•an estimate. Contact the Dept for adds 7 info. FEE ITED1S (Fee Resolution ll-053 E(f MZl1j FEE QTY/FEE NIISC ITEMS Plan Check Fee: $0.00 12,300 s.f. Remodel, Other Suppl. PC Fee: Q Reg. O OT 0.0 hrs $0.00 $11,640.00 IREAIRES3 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee-.0 Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Pemtit Fee: $0.00 Consm action Tax: Ailnlin&t alive Fee: O Work Without Permit? O Yes (F) No $0.00 E) Advanced Planning Fee: $0.00 Select Non-Residential G Travel Documentation Fees: Building or Structure 0 i Strong Motion Fee: IBSEISMICR $24.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $10.00 SUBTOTALS: $34.00 11,640.00 TOTAL FEE: $11,674.00 Revised: 07/01/2012