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11090168 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10667 ROSEWOOD RD CONTRACTOR:ABE CONSTRUCTION,INC PERMIT NO: 11090168 OWNER'S NAME: ESSEX PROPERTY TRUST 528 E WEDDELL DR STE 4 DATE ISSUED:09/23/2011 OVINER'S PHONE: SUNNYVALE,CA 94089 PHONE NO:(408)734-8416 L LICENSED CONTRACTOR'S DECLARATIONr BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class 13,C-10-C36 Lic.# o � ,�n � 27 MECH F RESIDENTIAL COMMERCIAL � Contractor R(��C S�wAw I Date I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:APT A,B,C,D-REMODEL BATH 120 SQ FT,KITCHEN 160 (commencing with Section 7000)of Division 3 of the Business&Professions SQ 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:31643004.10667 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 ma ccrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION. granting of this permit. Add'i nally,the applicant understands and will comply with all non-poin/so ce r ations per the Cupertino Municipal Code,Section t� 9.18. �y Issued by: Date:e ' 2 Signature Date r OWNER-BUILDER DECLARATION RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed.If a roof is I nereby 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. 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, Signature of Applicant: Date: Business&Professions Code) 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 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. 1 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 de ed by the Bay Area Air Quality Management District I will permit is issued. maintain complia with the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the performance of the work for which this permit is issued,I shall Health&Sa ty de,Sections 25505,25533,and 25534. 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,I Owner or 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, costs,and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION ;ng of this permit.Additionally,the applicant understands and will comply all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records. 9.18. Licensed Professional Signature Date CITY OF CUPERTINO 6 ITEMS OF 18 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31643005. 10686 DATE ISSUED. . . . . . . : 09/23/2011 RECEIPT #. . . . . . . . . BS000014847 REFERENCE ID # . . . : 11090170 SITE ADDRESS . . . . . : 10686 ROSEWOOD 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 6 .00 780. 00 0. 00 780 .00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 2001. 80 0 . 00 2001 .80 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 2, 872 .70 VISA CREDIT CARD 2, 872 .70 VISA2 --------------- TOTAL RECEIPT 5, 745 .40 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 Fj7g�` ' COONS i RUCTION! PERMIT APPLICA- COMMUNfTY DEVELOPP�IEN i DEP,aRT"J1ENT• BUILDING DIVISION 10300 TORRE AVENUE - CUPER T INO, CA 950'14-3255 CU P ERTINO i (408)777-3228 • FAX(408)'777-3333 • buiiaino(cDcuoer irto,onc I109oJ ❑NEW CONSTRICTION ❑ ADDITION A.LTEIZATION/ I ❑ REY•ISION/DEFERRZED 0-1GINP??ERMTI PROJECT ADDRESS J e)7c c , 7 ATN (5 ^lam � - � OWNER NAMIIE [ f –' - ! ?:OTE I a STR<.t�-7-. DPRESS ._. . _.Cr(.Xj ,�.{'� _.ZIPt FAX CONTACT NAtyN P 30NE t`, c•N[Au. STREE I ADDRESS I CTrY,STATE, ZIP FAX ❑ OWNFR ❑ OW-t R-BUILDER ❑ OW'NERAGENT CONTRACTOR ❑CON-RAC--ORAGM T ❑ ARC•�CT ❑E<JGI T=.R ❑ DEVE 0?E2 El T?1?J? CONTRACTOR NAME Ll=z,YE NUi - � � IaC.'-:NSE TYPE BUS.LTC# CO*''PANY NA k&P S T R EE7 ADDRESS _ STA-ZWP i` T� i ! •-' "1 ` CsY' .. I PHONE e i'".i �,t 1`(^ .. tit.=•F\..� ../��-' `�;4".,,;F ,;t�ytY� as`r"-1\,�- ARCIETECTfENGIN FR\ANM ! LICENSE KL)vMER 4 BUS.LIC# CO2y2Ah7 N.SMP i E-M,,k FAX 1 STFEEi ADDRESS 17 Y. L.' i Pi30NE DESCRIF ION OF WORT. `1 A�`t'-4',� .��.�`, ��tii`.'�_��l\l�� �. r\ti^It� 1•1i -�,^,.� .��' /,, `"'J :E)25 TING USE + ?ROPOSED USE I CONS,7 ii PE #STOR=S USE TYPE OCC. SQ-FT. ( VA.LUATION(S) .ETC- NEW FLOOR DEMO ! TOTAL ARE-1k ARTA AREP. NET AREA t=– BATH-ROOM 6;-.-=R REMODEL AREA I REMODEL AREA REMODEL AR=A PORCH AREA DECK AIL^4 TOTAL DECK,PORCH AREA GARAGEA?-- L,D f'ACFi A71-ACF DWEL,LNG UN T5: IS A SECOND u'17T 1_"ras SECON-D STORY BErNGADDED? ❑NO ADDr-17ON? ❑NO t PRE-APPLICA TION ❑ITS IF YES,PROVIDE COPY OF + IS TELT BLDG AN ❑YES RECEIVED Ey. TOT??VAS UA?iON: PT_F1v-NI1JG ADPL: ❑ ALA_T`[NING APPROVAL L'TI'FR c"1.C�S.ER 30 ME? ❑*tO By my signature below,I certify to each of the f0j]o- ing: I am Lhe proper cr mer or au .Dried agent to act on the prr perty owner's behalf. 1 have read this application and tae irforrtation I have Drovided is correct- 1 have r--ad the Desc=:ion of Work and very itis accura-x. I to comply with all zpplicable IocYl ordinances and sate laws relating to buiIdina comstrucijon. I all'aori r preseata lyes of C1p-tino to enter the above=deuti-ed pmperiy for i-lspecdon purposes. Si_=an?e of A_ppdcant/Agent: Dare: SU-PPLEMENTAI,INFOR1vL,kTI0N P—E QU=D PLAN CHECK TYPE ROUTIl`IG SLIP New SFD Or Multifamily dwellings: Appiy for demolition permit for ❑:OV-E:R-TW-COU=R TE- EXPRESS UILDLNG P�REyIEw existing building(s). Demolition pelmit is required pricy to issuance of buildingpermit for new buildng. »xL`rG PLAN REVIEW _Co—Trerciul Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part Of th; project. LARGE ❑ FIRE DEPT _Copy of Planning Approval Letter or Melting with Plaguing pl or to Tslittal Of Building Perm t application. ❑ ivLA row ❑ SANITARY SEWER DISTRICT B IdgApp_2 011.do c revised 05/21/11 CITY OF CUPERTINO -j C)"< FEE ESTIMATOR- BUILDING DIVISION -'_ ADDRESS: 10686 rosewood rd A,B,C,D DATE: 09/22/2011 REVIEWED BY: bob s. APN: BP#: "VALUATION: 1$28,000 °PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY Buildina is PENTAMATION 1 R2REM USE: Multi-Family Dwelling >3 Stories Yes � No PERMIT TYPE: WORK mutt -familymulty-family remodel of 4 units bath and kitchen remodel non structural. SCOPE LJ Lj 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 preliminary in ormation available and are only an estimate. Contact the De t or addn7 info, FEE ITEMS (Fee Resohition 11-053 E f I/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 120 1 s.£ Remodel,Bath(<=300 sf) Suppl. PC Fee: (D Reg. 0 OT 0.0 1 hrs $0.00 $588.00 IREMRESBAT PME Plan Check: $0.00 = s.£ Remodel,Kitchen(<=300 sf) Permit Fee: Hourly Only? Q Yes E) 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 0 Work Without Permit? Q Yes No $0.00 Advanced Planning Fee: $0.00 © hours Inspections $780.00 ISTINSP Inspection,Hourly Strong Motion Fee: 1BSEISMICR $2.80 0.5 hrs Admin./Clerical Fee BldgStds Commission Fee: IBCBSC $2.00 $41.00 1ADMIN SUBTOTALS: $4.801$1,997.00 TOTAL FEE: $2,001.80J Revised: 09/02/2011 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: /063G plvPERMIT# OWNER'S NAME: PHONE# Lf09 GENERAL CONTRACTOR: C (' 1-7fr, BUSINESS LICENSE # ADDRESS: j Z CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a City of Cupertino 6usiness license. NO BUILDING FINAL OR FINAL OCCUPANCY IN ECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONT ORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: ignature 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