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11090169 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10658 MAPLEWOOD RD CONTRACTOR:ABE CONSTRUCTION,INC PERMIT NO: 11090169 OWNER'S NAME: ESSEX PROPERTY TRUST 528 E WEDDELL DR STE 4 DATE ISSUED:09/23/2011 0.1vNER'S PHONE: SUNNYVALE,CA 94089 PHONE NO:(408)734-8416 L LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB 'License Class Q-L10"(% Lic.# fr MECH RESIDENTIAL COMMERCIAL Contractor �,�n;. -�F,'�GL l -bate- I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:APT B,C,D-REMODEL BATH 120 SQ FT,KITCHEN 160 SQ (commencing with Section 7000)of Division 3 of the Business&Professions FT NON-STRUCTURAL 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 Sq.Ft Floor Area: Valuation:$28000 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. APN Number:31643003.10658 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which m y accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION. granting of this permit. A Tonally,the applicant understands and will comply with all non-point so rce a ulations per the Cupertino Municipal Code,Section 9.18. Issued b v Date: L,S.ignature Date 2 OWNER-BUILDER DECLARATION RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed.If a roof is I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for the following two reasons: inspection. 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, Signature of Applicant: Date: Business&Professions Code) 1,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 HAZARDOUS MATERIALS DISCLOSURE declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will permit is issued. mainI&Safletyode, cc with the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the perfonnance of the work for which this permit is issued,I shall HealSections 25505,25533,and 25534. not employ any person in any manner so as to become subject to the Worker's Compensation laws ofCalifornia. If,after making this certificate ofexemption,I Owne gent: become subject to the Worker's Compensation provisions of the Labor Code,I must Date: forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of cork's I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.) correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address indemnify and keep harmless the City of Cupertino against liabilities,judgments, c--l-,and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION ►g of this permit.Additionally,the applicant understands and will comply V all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records. Licensed Professional Signature Date CITY OF CUPERTINO 6 ITEMS OF 18 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31643003 . 10658 DATE ISSUED. . . . . . . : 09/23/2011 RECEIPT #. . . . . . . . . : BS000014847 REFERENCE ID # . . . : 11090169 SITE ADDRESS . . . . . : 10658 MAPLEWOOD RD SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : ESSEX PROPERTY TRUST ADDRESS . . . . . . . . . . : 925 EAST MEADOW DR CITY/STATE/ZIP . . . : PALO ALTO, CA 94303 RECEIVED FROM . . . . : ESSEX PROPERTY TRUS CONTRACTOR . . . . . . . : ABRAHAM PONCE LIC # 32833 COMPANY . . . . . . . . . . : ABE CONSTRUCTION, INC ADDRESS . . . . . . . . . . : 528 E WEDDELL DR STE 4 CITY/STATE/ZIP . . . : SUNNYVALE, CA 94089 TELEPHONE . . . . . . . . FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- -ADMIN HOURS 1 . 00 41. 00 0 . 00 41 . 00 0. 00 1BCBSC VALUATION 28, 000 . 00 2 . 00 0 . 00 2 . 00 0. 00 1BSEISMICR VALUATION 28, 000 . 00 2 . 80 0 . 00 2 .80 0. 00 1REMRESBAT SQ FEET 120 . 00 588. 00 0 . 00 588 .00 0. 00 1REMRESKIT SQ FEET 160 . 00 588. 00 0. 00 588 .00 0. 00 1STINSP UNITS 4 . 00 520. 00 0. 00 520 .00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 1741. 80 0. 00 1741.80 0. 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 301 ROUGH PLUMBING 302 TUB & OR SHOWER 303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL 305 FRAME 307 INSULATION 308 SHEETROCK 309 EXTERIOR LATH 310 INTERIOR LATH 311 SCRATCH COAT 313 ROOF NAIL 317 MECHANICL ABOVE CEILING 318 ELECTRICAL ABOVE CEILING 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL 516 FINAL BUILDING r� CITY OF CUPERTINO L4 3 FEE ESTIMATOR- BUILDING DIVISION 3 ADDRESS: 10658 resevvee 4S B,C,D DATE: 09/22/2011 REVIEWED BY: bobs. F,91 APN: BP#: "VALUATION: 1$28,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration /Repair PRIMARY Multi-Family Dwelling Buildina is PENTAMATION 1 R2REM USE: 3 Stories Q Yes 10 No PERMIT TYPE: WORK mutt -familymulty-family remodel of 4 units bath and kitchen remodel non structural. SCOPE Li NOTE: This estimate does not include fees due to other Depts(i.e.Public Works,Sanitary Sewer District,School District,etc.). Thesefees are based on the preliminaty in ormation available and are only an estimate. Contact the De t or addn'1 info, FEE ITEMS (Fee Resohilion 11-053 Eff 7'1;'71) FEE QTY/FEE 7 MISC ITEMS Plan Check Fee: $0.00 = s.f. Remodel,Bath(<=300 sf) Suppl.PC Fee: E) Reg. 0 OT 0.0 hrs $0.00 $588.00 1REMRESBAT PME Plan Check: $0.00 = s.f. Remodel,Kitchen(<=300 sf) Permit Fee: Hourly Only? Q Yes G No $0.00 $588.00 IREMRESKIT Suppl. Insp. Feer Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 F71 Work Without Permit? 0 Yes Q No $0.00 E) Advanced Planning Fee: $0.00 ® hours Inspections Q $520.00 1STINSP Inspection,Hourly 0 Strong Motion Fee: IBSEISMICR $2.80 0.5 hrs Admin./Clerical Fee E d�Stds Commission Fee: IBCBSC $2.00 $41.00 1ADMIN SUBTOTALS: $4.801-V,737.001 TOTAL FEE: T $1,741.801 Revised: 09/02/2011 Fm:MyFex-ABE Electric&Plumbing Inc (14087777605) 12.21 09128/11 GMT-05 Pg 04-04 COMMUNITv DEVELOFMENT DEPARTMENT• BUILDING DIVISION 10--00 T ORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO 008)777 2c8 FAX(408)777-3333 bOilcnaancupertinDora r� Ct ❑NEW CONSTTPRr1TT RU=01q ❑ ADDMON AiOIV/TI �y r` ❑ ttcVTSION i DEFT–UE) CRIGIN. 2ERMIT ?RCIE�f A3GRES J.y tw e ' APN m CV/NMR NAME 7C •� _ RESS �-r p �'Ui C '�:�''l'-.�� ��—i"*icy°-\L::� L•. ,'-\ CDN 1ACT NANIW :, n I i',S�ItL..!_� ' .':•til P��� r--. � _ � �-rte STATE,TJ? FAX - 1 ❑o visa ❑ OWN -surLDZ ❑OWKFRAo>}+T ©`OONTRACTOR ❑CONYRACMRACENT CI .SRc�r-� G LNG —ZIx;R IFoPFr D t vN7 LrCENSE N UCFN�TY'= SUS.LIC C^" J t FA S i�2Tr ADDRESS �- III .1P,C:71✓.;'t/�du1JtEKNM4E V I LICENSENVMBER SUS-L'Ci1 COI\2T.gNY`rAh�F I E-Mhi:. I FAX SP_.�T,SDD.Ze.S$ i QT`.',SrA7L•,ZIP P90Ny DES C-=1 ON OF C`OR-Y ala-1TON 11 USE PR0?C.'SED US: CONS±R it"2S I :S7CRZS i V` I USE TY?E CCC. SQ FT. I V.kLUA_;0N(S) E.�'-LSTG NES Fi.00�2 D�FvIO --77C;-1 ?_ZEA AR A '-rZA ( NET ARES RJMOC tc.A ROD EL AREA R1:TtODE.ARc4 YVRC:A:•iEA CECK ARFI rOTRA DECK/?02C3 ARcS aARAG'c AR_ _ DSTACSI - --- A TACZF5 I%K'EIJ-II!G VhTl:: IS A SECOIZ UhT7 [:Y-ciI SECONo STORY ❑YEs II � SIIING ADDim? []:NO ADI)MON ANO PRE-APPLICATION E])--S it YeS,p30vIDE COPY OP IS TEL BLDG AN YES REC-77ED 3Y_ I TCFAL VALUATION: PLAN Nl;.4''PL I•]N0 PLANNING AP?R'JV1,L L-Tr r'�CIII.E-R 3omm? ONO Ry my signat-sa beluw,7 rtiiy to each of rhe following. I am rhe prope;:y ortmer or Ewd"urzca went ro act on Ue PrtPcrty owner's behP_If, i have read:his 1ppLcaaon and the irLie-.roatou I ilavc provided is corr=t. I have rear the 7esciptica of Work and veri r it is accurate. I agee to comply criCh aL apo�cabic;oca1 ordinar ces and stale 11a5 rriatiag rD bn lding coasznc ior.. I aaIhori? rePresen'a*ves of C1, t4 no to enter Ue above:dented vrepe-iy:or c:Accton p uposes. Signal=of Applicaat/P_geat: Dare: 5UPPLE1Y=AL INFO-U✓iA'TION RI;QUal--D PLA-N cMac TYPE RO=G 51.13 New SFD or Vullifacn-ly dwellings: Apply for demolition perm;-t for exstiug beilding(s). Dcm0lltion per= is r =red P T.DT to is7aance of building ❑ OVER-r oUlvnx 0 $LtivLVG P1 aw v1 w pe Sit for new building. ❑ EGRESS D PLANNRVG PIAN REYTFw _Cc=er-ial Bldgs: Provide a complet::d Trazardous Ivlatcrials Disclosuyr: ❑' STANDARD ❑ PLBUC WORKS forTMl if arty Hazardous Materials are being used as paz-Df this project. ❑ L4RGE ❑ KM DEPT _Caoy of?lanning App-oval Letter or Meeting A^ta Plz1--�ng pno Lo SubT_1LYc1 0�131LId1Ilh pePIl7iZ17pl]C2210D. M4JOR ❑ SA.VTARY SE h-ERDISTRICT ❑ E*IVUGNMEN791,MAr Tn pldg pp_201!.doc revised 06/31/1 L Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 ..U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: 0,6 S Q ;' 4!662c/ PERMIT# OWNER'S NAME: ✓. PHONE# 10,q GENERAL CONTRACTOR: EC Cp W BUSINESS LICENSE# ADDRESS: ,,&AeU CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONT TORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. !F12 k I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum /Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting /Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date