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11090170 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1:,686 ROSEWOOD RD CONTRACTOR:ABE CONSTRUCTION,INC PERMIT NO: 11090170 OWNER'S NAME: ESSEX PROPERTY TRUST 528 E WEDDELL DR STE 4 DATE ISSUED:09/23/2011 OWNER'S PHONE: 6504943700 SUNNYVALE,CA 94089 PHONE NO:(408)734-8416 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB ��L , Oils License Class Lic.# ,'��3f MECH RESIDENTIAL COMMERCIAL Contractors dI� UC C 1�l,. 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 SQ FT NON-STRUCTURAL (commencing with Section 7000)of Division 3 of the Business&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 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:31643005.10686 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 may accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION. granting of this permit. A tionally,the applicant understands and will comply with all non-point source, gulations per the Cupertino Municipal Code,Section Date: 9.18. Issued by. Z Signature Date r—, OWNER-BUILDER DECLARATION RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed.If a roof is t.,creby 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) 1,as owner of the property,am exclusively contracting with licensed contractors to ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER construct the project(Sec.7044,Business&Professions Code). 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. Additionally,should I use equipment or devices which emit hazardous air Section 3700 of the Labor Code,for the performance of the work for which this contaminants as defined by the Bay Area Air Quality Management District I will permit is issued. maintain com liance with the Cupertino Municipal Code,Chapter 9.12 and the 1 certify that in the performance of the work for which this permit is issued,I shall Health&S ode,Sections 25505,25533,and 25534. not employ any person in any manner so as to become subject to the Worker's j Compensation laws of California. If,after making this certificate of exemption,I Owner o a orized a t: 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 work'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 X11 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 31643004 . 10667 DATE ISSUED. . . . . . . : 09/23/2011 RECEIPT #. . . . . . . . . BS000014847 REFERENCE ID # . . . : 11090168 SITE ADDRESS 10667 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 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 Fm:MyFax-ABE Electric&Plumbing Inc (14087777506) 12:21 09/23/11 GMT-05 Pg 03-04 PERMIT APPLICATION �I Ll COMMUNfTY DEVELOPMENT DEPARTME\T-BUILDING ONISlON 10300 70RRE AVENUE-CL'PERTINO,CA 95014-3255 C1)PcFtTDNO (408)777-3228-FAXr((4408 777-3333-buiid*. a�cuDe tirlo.ara (� C)' ❑Nair CCNSIRUCTION ❑ ❑ Rr�ISION/DEF RRFD OZiC NA PGtZMITr.' Q DItO ECrADD �S __ A.?N;' oWNZ NAND 7 I 1 < 4 CONTACT ; PHONt. c-MAIL STF--T ADDR=S Q i Y.STAT_.Z`iP FAQ( ❑OWN-ER L O:�h -R'TIIDLxR ❑OWNDt A*--T COYTitACTOR Q CONTRACTOR ACZZ r Q AXCFTt=CT Q ENGIN-R ❑ D=ELOPER ❑ i'E qA: CON TP A C70R NAMELlC=- .Num- uc>Nat rnB �vs r C �J, ;t��.t� ,1i:ti"�'�,'L'`-��.•_ �� r'�\�!,`..�- C �J \/ E.M4L r.Ax EC _ �,o S STR..-'r ADDRESS` C,I�Y STAT-:.ZTa PHOVL ARCF-TCT/ENGINfM NAME UCIENSE NLT/BER BUS.LIC A CO;vL�,aNY N! F W.P I FAX GT1�cT�.DD?.E55 i CITY,STATT-X.•P i PHONE I C-ESCF=,,ON O^WGRX "'rt:�`i ill.S.._�C-C t v^_��� i .•.n.�l �'`�t`''(`\.-.��.Y• Ir .tinV._.u .L.,T:,-.!„\ r. E.L".7�iG US PROPOSL'SE. CONSiA.T:'?� msroRlFS SE TYPE OCC. SQ.FT. VALUAP_ON(S) C T'SCJ FLOOR DcYIC TCTA! AREA PR-A .;JL--A IJ"5T.S:,T•. .� t_ t2- RFT10DcL An:.4 ' R7vJODEI.A2_A I. �} I R=MOD�I ARE4 -C -�_ PORGtr AREA DEC3C ARJ\ T07A:.DELKRotCHPJU-A GARAG=AREA: Lj DETACH ❑.i rTACA 1 b DW--I r.1G VI,TM IS A S%COND UMT ©-:'ES ZECO"STORY I YES I 30=4C ADDED? GNo ADDTTIOA: LINO 1 PRE-P.PPLICATION E]1 FS W YES PROVIDE COPY Of is T86$LDC A-14 ❑YES REC'..IPc7 By TOT?S- AI.UATION: PLA11vINCA°PL ❑NO PLAMNINGAPPROVAI_L_TrEY HICII�t303gT (�NC 37 my sigaamrc b^-law,I certify to each of rile following: I ain the proper.y ov.Trer or auhoriz_c agent to act un Cie pr;�perry owner's behalf.I hzra read Lhis ap?icaticn and ue nfo marina I ha-Ye provided is ca nett i have read the Description of Work azd verify;t is accurate. I agree n comply with all applicab:e local Drdinzzces and sate laws relaCzg to building consauction 'authorize rcpresenlp--ves of,uperiac to zntc,the above-identified prepe.ty for inspector ou.-poses. Signatlzc OfApplicar-iAgetl= SUPPLE1,=AL R--FOIRMATION RBQU= Ff-clq CHECK TYPE P:otrz G 5Lr? New SFD uz Multildi ly dwtCfngs: Apply for demolition perm t for ❑ OVER-n=-ccLMF»A Q sr tLu c PyA"REv�w existing building(s). Demolition permit is requ_*ed prior to iss-aaace of building permit for new bLilding. ❑ LXrxS:ss ❑ PL9fIIQLM1G PLtti REYlEw _Commercial Bldgs: Provide a completed Hazardous Mnterials Disclost:re ❑ sTAM)ARD 0 PUsuCwORKS form if any Hazardous Materials ere bein;used as part of this project. ❑ ❑ FLREDEPT _ Copy of?Iaiu,izg Approval Letter or Nfeetiog vita PlarmLng prior t.? submitral ofBuildin;PermitaoplicatoB. J ❑ NWOR 7-1 SA:Iat"AR-YSt:�rexDISTI CT ❑ TZgV zoh7,1XNT4,LMALTs B1d&lpp_2011.doc revised 00131/11 CITY OF CUPERTINO JJAPNFEE ESTIMATOR-BUILDING DIVISION J)' : DDRESS: 10667rosewood rd A,B,C,D DATE: 09/22/2011 REVIEWED BY: bobs. BP#: "VALUATION: $28,000 Y PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY Building is PENTAMATION 1 R2REM USE: Multi-Family Dwelling >3 Stories 0 Yes (F) No I PERMIT TYPE: WORK mutt -familymulty-family remodel of 4 units bath and kitchen remodel non structural. SCOPE 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 ormalion available and are onl an estimate. Contact the Dept for add_7 in o. FEE ITEMS (Fee Resolution 11-053 E(f.' '%Lllj FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 120 s.f. Remodel,Bath(<=300 sf) Suppl.PC Fee: E) Reg. () OT 0.0 hrs $0.00 $588.00 IREMRESBAT PME Plan Check: $0.00 = s.£ Remodel,Kitchen(<=300 sf) Permit Fee: Hourly Only? Yes No $0.00 $588.00 IREMRESKIT Suppl.Insp. Feer Reg. 0 OT0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? Q Yes (F) No $0.00 Advanced Planning Fee: $0.00 © hours Inspections E) $780.00 ISTINSP Inspection,Hourly 0 Strong Motion Fee: IBSEISMICR $2.80 0.5 hrs Admin./Clerical Fee Bldg Stds Commission Fee: 1BCBSC $2.00 $41.00 1ADMIN SUBTOTALS: $4.80.$1,997.00 TOTAL FEE.-T $2,001.80 Revised: 09/02/2011 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: n b PERMIT# & " OWNER'S NAME: PHONE# GENERAL CONTRACTOR: P4 BUSINESS LICENSE# ADDRESS: �j 2 '� c' 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 OCCUzplete INION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBHAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Date Please check applicable subcontractors anllowing 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