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13040023 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20800 HOMESTEAD RD CONTRACTOR:MONTEREY PERMIT NO:13040023 CONSTRUCTION COMPANY OWNER'S NAME: VILLA SERRA APTS. 88 MONTEREY-SALINAS HWY STE A DATE ISSUED:04/11/2013 OWNER'S PHONE: 6509313400 SALINAS,CA 93908 PHONE NO:(831)601-2659 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class Lic.#. S 2-Q- BLDG 63 REMODEL UNITS A-H-1025 SQ FT EACH (8200 SQ FT TOTAL)REPLACE KITCHEN&BATHROOM Contractort,40y jYT eo WS f- _Date L-!/f Pj/S CABINETS&ELECTRICAL SUBPANELS.INSTALL(N)W/D I hereby affirm that I am licensed under the provisions of Chapter 9 & (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. Sq.Ft Floor Area: Valuation:$120000 I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this APN Number:32609073.20800 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 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 laws relating WIT 80 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 DA OM LAST CALLED INSPE T ON. indemnify and keep harmless the City of Cupertino against liabilities,judgments, ' costs,and expenses which may accrue against said City in consequence of the Issued by: Date: granting of this permit. Additionally,the.applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature - Date IT—/3 All roofs shall be inspected prior to any roofing material being installed.If a roof is installed without first obtaining an inspection,I agree to remove all new materials for inspection. ❑ . OWNER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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, Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I 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 Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District,I performance of the work for which this permit is'issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,255 ,and 25534. ,tom Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent:%%T/r Date: permit is issued. I certify that in the performance of the work for which this permit is issued,I shall 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 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT.CERTIFICATION 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date 04/03/2013 09;10Mtry Construction Co, (FAX)831 455 7986 P.003/003 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255 CUP6RTIN0 (408)777-3228-FAX(408)777-3333-bullding®cuoertino.OM \� [:]NEW CONSTRUCTION ❑ ADDITION ❑ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT 4 1898WD mestead Road, Building#��,Units_ A 7,APN! ��0 90 �, �g OC) VIIIId ger a Apartments '1650)931-3400 E-MAIL g1TRI'Morfolk Street,#150 c linnslateo, CA 94403 FAX UaviFitt P �50 931-3400 wwright@prometheusreg.com STREETADDRESSCtTY,STATE ZIP FAX 1900 So.Norfolk Street # 150 Sen Me fGo CA 94403 OCawNmC� O owNER.Duummt 6 owNmt AGBNr O CONTRACTOR O COMACTOR Ao6Nr' C ARcHrrecr 13ENoomsR 0 DEVELOPER O TENANT ICh2rtl QR el Aa E L1C13�&p.N ePR LICINSIrPB DUs•LIC e ont re ey Construction Company1:06 mryconstruction.com fdl)455-7986 7REET ADDRESS CITY,sTATE,ZIP PHONE r8 Monterey-Salinas Hwy., Suite A 831 455-7931 ARCHITECTMOTNEER NAME LICONSENUMBER BUS.LTC M COMPANY NAME B-MAUL FAX STREET ADDRESS CITY,STATE,ZIP FROM �emM&Gre Glaoa kitchen&bath cabinets.Replace electrical sub Anel&subfeed. Install new W/D&hookups, Run new hot&cold water lines for all existing fixtures.Add additional full bath within existing apartment footprint. ` Gu $ O a t'r` Ex1STINOUSE PROPOSED USE CONSTRTYPE sSTORIE9 J ExrSTG NSW FLOOR DEMO TOTAL AREA AREA AIO'A NET AREA P P a ,•I:i'i it il.:'•l''i�•;I,a.,:'I 'j ai. BATHROOM KITCHEN OTHER REMODEL RBMODSLARBA REM00 A i ;:. .j' :�.I"'.l i�::i '''i "!I;:i!:i':. ":.'I'�:• .,'' r;i !;,. : PORCH AM DECK AREA I TOTALDECKIPORCHAREA I GARAGSARSA:❑DurACrI .`'':S:'=!'':"'`i' '':::i• I DLL'9.LDJa UHRs; ISAS9100"UNM TGs Affre"A"Ity Ya! '!:�;�,1; :, .;, ::�i'..:.:'iii'' i,.. .. .,..'. ,•I`�::i s,+i.:.:,'i:.. 09I1410 ADOW ONO AODITIONr M9APPLWiaN ❑rag WYES.MvmRowyor IMNNER'sNAMI „':. .: "'...: •'„". ."'.. PLMTIItVOAPPLP ❑ND PUNNwoAPrROVALL—R ;',:(:!•::i:, ,.:'i AI:VA DATION y�;y•�/��'' By my signature below,I certify to ouch of the fol lowing: I am the property owner er author d agent act on the rty ownor•s behalf. I have rend this application and the Information I have provided is COrreOL I have read the Description of Work and verity It Is aeeum I agroo to comply with all applicable local ordinances and state laws relating to building ction. I authorize representatives of Cuportino to enter the above-1dendfled property for inspection purposes. Signature of Applicant/Agmt: Date: SUPPLEMENTAL INFORMATIONUIRL Q n D PLAN CHECK :ROUTING 8L�,., New SFD or Multifamily dwellings: Apply for demolition permit for ;;; 1 VER=TttE;COUNTER:.. .':.I.! UILDING Pt AN REVDLW oxistingbuilding(s). Demolition permit is required prior to issuance of building I.. permit for new building i° PLAN :! Ot:PI:ANNAcGREt iBW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure la.,STANDARD,:;:it;?; �'-'I':'If; �O';:ruui is WORK forth if any Hazardous Materials tyre being used as part of thisJect,ro P :'.Q...LARti$: .'' ',I.1,::j.. '❑I IRB DEPT"::: : _ Copy of Planning Approval Letter or Meeting with Planning i❑' .,Pi;'.t�':A".1':J.OR;: ";�'�'.:i I�a•:i',; ;li. ,'< ? !.;'.;, ',ISI"'ANRARY96WEtiDl9fRrCl•I';':!,:['.:': submittal of Building Permit application, .: ,:I::;I.,,;':'..' ❑7:'ENVIRONMBNTAi:HEALTH. B1dgApp 2011.dcc revised 03/16111 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 20800 HOMESTEAD RD BLDG 63 DATE: 04/03/2013 REVIEWED BY: MELISSA APN: 32609073.20800 BP#: *VALUATION: 1$120,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY SFD or Duplex PENTAMATION 1R3SFDREM USE: PERMIT TYPE: WORK BLDG 63 REMODEL UNITS A- H - 1025 SQ FT EACH 8200 SQ FT TOTAL REPLACE KITCHEN & SCOPE BATHROOM CABINETS & ELECTRICAL SUBPANELS. INSTALL (N)W/D & HOOKUPS, RUN NEW 0 ... ti Afec . f't:,r a€Fee: I'?1?r,r.. Perm'i 1.e: '>it>r:..Iycrs,ai t f:: t?flier°vlet:t, av", t)t/aezr l rrsri>Iszan. Li Tech. Tnsl.=,f e I.Phor";).jngs'Fee" Elea NOTE.This estimate does not include fees due to other Departments(ie.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . Thesefees are based on the prelimina information available and are only an estimates Contact the Dept./or addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 8,200 s.f. Remodel,Other Suppl.PC Fee: (j) Reg. 0 OT 0.0 1 hrs $0.00 $8,966.00 IREAMES3 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee.-(F) Reg. ® OT0.0 hrs $0.00 PME Unit Fee: $0.00 PMEt Permit Fee: $0.00 .4i Kefx. Work Without Permit? 0 Yes 0 No $0.00 G Advanced Plannin&Fee: $0.00 Select a Non-Residential E) Building or Structure i Strong Motion Fee: IBSEISMICR $12.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $5.00 . UBT( �S $17.00 $8,966.00 TOTAL FES: $8,983.00 s. � Revised: 04/01/2013