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12100008 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20800 HOMESTEAD RD CONTRACTOR: MONTEREY PERMITNO: 12100008 CONSTRUCTION COMPANY OWNIiR'S NAMh: VILLA SERRA APTS 88 MONTEREY-SALINAS OWN'ST E A DA'Z'E ISSUED: 101052012 OWNER'S PHONE: 6509313400 SAUNAS.CA 93908 PI IONF.NO:(831)601-2659 ❑ LICENSED CON"IR\CI'OR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT I-- PLUMB 171 License Class Lie.9 67 5-2i97 i l��J a n' /,� AIECtI RESIDENTIAL —� COMMERCIAL - Contmctof/V/6,i Tr,WY W�Date 1 hereby affirm that 1 am licensed under the provisions of Chapter 9 JOB DESCRIPTION:BUILDING 29 UNITS A-L-1025 SQ FT EACH TOTAL 12300 (commencing with Section 7000)of Division 3 of the Business&Professions SQ IT Code and that my license is in full force and effect. 1 hereby affirm under penally of perjury one of the following two 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 die work for which this Sq.FI Floor Area: Valuation:$240000 permit is issued. APPLICANT CERTIFICATION APN Number:32609073.20800 OccupancyType: I cenify 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. / O o. Issued by: �EAr✓ �T%� Date: 14' 6 '/ Signature r^ Date ❑ OWNER-BUILDER DECLARATION RE;ROOFS: I hereby affirm that I am exempt from the Contractor's License Lay for one of All roofs shall be inspected prior to arty roofing material being installed.Ica roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all nesv 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 contactors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR RF.TTER 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 sell-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 6.95 of the performance of the work for which(his permit is issued. California Ilcalth&Safety Code,Sections 25505,25533,and 25534. I will maintain I 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 1 use equipment or devices which emit hazardous air permit is issued, rontamirumts as defined by the[lay Area Air Quality planagement District I will I certify that in the performance of the work forwhich 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 I leallh&Safety Code.Sections 25505,25533,and 25534. Compensation laws ofCalifomia. If,after making this certificate ofesemplion,I became subject 10 the Worker's Compensation provisions of the Labor Code,I must Owner n arborized agent: forthwith comply with such provisions or this permit shall he deemed revoked. lVtii Date: 0 ( /� APPLICANT CERTIFICATION CONSTRUC11O,N 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(he performance of nark'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 m 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 with all non-point source regulations per the Cupertino Municipal Code,Section ,\RCIII'1'ECI"S DECLARATION 9.18. 1 understand my plans shall be used as public records. Signature Date Licensed Professional CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 20800 Homestead Rd DATE: 09/28/2012 REVIEWED BY: Sean ® APN. BP#: "VALUATION: $240,000 *PERMIT TYPE: Building Permit PLAN CI[ECK TYPE: Alteration / Repair PRIMARYPENTADIATI ON USE: SFD or Duplex PERDIIT TYPE: 1R3SFDREM YORK [Mding29 Units A-L Master Plan 12030068 : Remodel units A thru L 12300 sq ft). SCOPE Mech. Plan Check Phmtb. Platt Check Dec. Plan Check .. :bbych.Permit Fee: Plumb. Permit Fee: Elec.Perntil Fea: Oeher:Neth.Insp. Otter PGtmb Imp. Other Elec.Insp. Mach. Imp. Fee: Plumb.Insp.Fee: Dec.Insp.Fee: NOTE: This estimate does not includejees due to other Departments(i.e. Planning, Public II'orks, Fire.Sanitary Server District,School District, etc.). These fees are based on the prelitninorl information available and are only an estimate. Contact the Det for addn 7 in a. FEE ITEMS IFeeResolution 11-053 EII 7/1/111 FEE QTY/FEE MISC ITE11S Plan Check Fee: $0.00 12,300 s.f. Remodel. Other Suppl. PC Fee: e) Reg. Q OT 0.0 hrs $0.00 $11,640.00 IREAMES3 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: delministrnlire Foe: O Work Without Permit? O Yes (D No $0.00 0 Advanced Planning Fee: $0.00 Select a Non-Residential G Travel Documentation Fees: Building or Structure A Strong Motion Fee: IBSEISAI/CR $24.00 Select an Administrative Item Bldg Sids Commission Fee: IBCBSC 1 $10.00 SUBTOTALS: 1 $34.00 11,640.00 TOTAL FEE: 1 $11,674.00 Revised: 07/01/2012 09/27/2012 ll:llhitry Construction Co. (FAX)831 455 7986 P.002/003 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO, CA 96014.3255 CUIPERTINO (408)777.3228 • FAX (408)777-3333•bulldlnoflcuoertlno.oro ❑ NEW CONSTRUCTION ADDITION ALTERATION/TI ❑ REVISION/DEFERRED GRIefiftLpERMiTo g o3&048 P 8 omestead Road, Bullding #Qc Units A- 1__ "PNa Q/Ira terra Apartments PHON E-MAIL 850 931-3400 s fib o orfolk Street, # 150 c�an�la(so,CA 94403 PAX_ TA Y/p4g OVIe �/fl hI PN N MAa � 0 931-3400 d-mwrlght@pmmetheusreg.com STREET ADDRESS CITY,ITAJ" FAX 1900 So. Norfolk Street # 1yy5,,0 San Mateo CA 94403 Q OWNER pit❑ OwNER.HUILDER U OWNERADEN'T ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHIrmCr ❑ENCIUMut ❑ DavELOPER ❑ TENAhrrAla IC Bfd Ff ego L10EN$R,�}'rMeER LICENICTYPH HU,g„LY ,S SgUoMPA NY NA CMA tl �j��J nterey onstructlon Com any ben&a mryconstructlon.com (M)455-7988 tltl Monie es-Salinas Hwy„ Suite A CITY,STATE,ZIP PHONE Rnlina§, CAA 9 831 455-7931 ARCNRECTIENGM66R NAME LICENSE N'UMa ER HUS.LIC tl COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE D SCRIPTION OP WO emove & 'r dace kitchen & bath cabinets, Replace electrical sub anal & subfeed. Install new W/D & hookups, Run new hot & cold water Ilnes for ell axlstln fixtures. _ \ ©els �� X /a C- 6 m CXISTINO USE PROPOS USH CONSTR.TYPE 0STORMS EN� ro� Via :. ,„ I e - . i CXISTO �/ NEW FLDOR DEtito TOTAL RR AA Ia O ARCA rC/ AREA h4T ARRA/v�OO BATHROOM KnCHEN OTHER ,... -. .... .. _' REMODEL AREA DEL AREA ARM DELA 0.FA1 AEA/"qq..II- PORCH AREA OOO ••' � •OKI,ARHA �'•�.[.I�,,i°� - f;inia.'.'.$!.::•[S;�„'Ir'.y TUTALDECKrvORCHAAHA GARAGE AREA;❑ DHTACH I 1 1 ACN [OsiM1lnb VMT% lu¢ro.Yp U.\Tr ❑YPi I[ronP RO0.Y YY r / va40ALa[D, ❑ : , I, 1 l •.t 1Jt r ntt i !. \.Ti uY�I. -;jf � YhFltr Mr u! PAIN/LIGTL'N �Yal OY6L,IaavyELWY01 /LM'NDI•e NAWI I / - Pw.Ha+a NK• ❑ Na ILANNLYa NlRovµLernerRHGCtVEU BYi � '1\ S a I J t TOT L V VATI/O,,Y 1•II r �• By my signature below,I ccnlfy to tach of the Collowing; 1 am the properry owner or authonzo08'ent to act on the property owner's behalf, I have read this applicntion and the Information I hsvc Provided' et. I have read the Dcscdptlon of Work and ,try it h aceurate. [agree to comply with all applicable local ordinances and stats laws relating to building a lharize re ntettvn of Cupertino to enter the above- entricdgree progeny for Inspection purposes. S Ignntvro of ApplicanVAgent: Date: SUPPLEMENTAL INFORMATION REQUI PLANCUECK TYPE ! it - 1"r AO1rrtNG'6L7P New SPD or Multifamily dwellings; Apply for demolition ermit for RRee��AA - existing building(s). Demolition pORnit.16 required prior to is of building 'ovE(t rt coGNrgn` I i BuiLaLvadLANhevlEw Pamir for new building. ., "0:EXPAE59 ;,; ❑ IPLAMVIYO'PLANREVIEW Commercial Bldgs: Provide R completed Hazardous Materials Disclosure ;•',L7�., � "` 1 • ' • ' - form If any Hazardous Materials are being used as pert of Ihla project. eT,.noA1}Ti:. , '. .:',':; ;p, PURL CQ%YOAKS••r;, •• .:. Copy of Planning Approval Letter or Meeting with Planning prior to �[LARGE t 'rl rpt0.E pEPT : 1 submittal of Building Permit application. Ovnwon ” r '. rp'.gANrenvsgwann�srAler 4:. 1.1]1ENV(ROYMENTA I:11[ALTn B1d&4pp 70f1.docrev1sad.03/!6/11