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13040022 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20800 HOMESTEAD RD CONTRACTOR:MONTEREY PERMIT NO:13040022 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 0 COMMERCIAL[] License Class `13 Lic.# S Z BLDG 61 REMODEL UNITS A-H-750 SQ FT EACH(6000 SQ FT TOTAL)REPLACE KITCHEN&BATHROOM Contractor I�lOrtild�Q�/ C'OvtsrF Date �!�/y?/2o f 3 CABINETS& I hereby affirm that I am licensed under the provisions of Chapter 9 ELECTRICAL SUBPANELS.INSTALL(N)W/D&HOOKUPS, (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 WITEIIN 180 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 INSPEC;;. 0N. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City inconsequence of the �i granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. � RE-ROOFS: Signature Date /P� 4( All roofs shall be inspected Pror to an roofing 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�2,5[505�,255339 and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent��CTirab v� 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 applicationand.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 09:09Mtry Construction Co. (FAX)831 455 7986 P.002/003 CONSTRUCTION PERMIT APPLICATION `Iii COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION \�0 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255 CUPt:RTINO (408)777.3228-FAX(408)777-3333-bulidingCoubertino.orn ❑NEW CONSTRUCTION El ADDITION ❑ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL.PF>RMrr# P 8 5 omestead Road, Building#. _,Units "PN:8 3 2.6 d 9' 497-3 . ZO-900 /Ira Berra Apartments P"o B-MAII x(850)931=3400 WRoMorfolk Street,#150 MnWateo,CA 94403 `8=1r�ngfit PH (650 931-3400 TAmwnght@prometheusrog.com STRSETADDRESS CfTY,STA�,ZIP FAX 1900 So. Norfolk Street #150 San Mateo CA 94403 ❑OWER qct 13 OWNER-BUILDER N OwNBRAGENT 0 CONTRACTOR OCONI'RACTORAGENT ❑ ARCitt'rect I3 BNOINEBR 13 DEvBLDPER ❑TENANT LQNh @g8 tj ff7 LICBNs}`TYPL+ EUS.LIC N onteray onstruction Company be irnryconstructlon.com t� (691)455-7986 �tt M 9-Salinas Hwy.,Suite A CIT'STAM, Pxvxs y 831 455-7931 ontere ARCHrMCT/2NOINE5RNAMB LICENSE NUMBER BUS,LIC d COMPANY NAME E-MAIL FAX STREET ADDRESS CRY,SPATE,ZIP PHONE �temoveN&pre place kitchen&bath cabinets.Replace electrical sub enol&subfeed.Install new W/D&hookups. Run new hot&cold water lines for all existing fixtures. I Y. I � -1 Itii 'LC�JC, C vil , czD �- eXISTINOUSH PROPOSED USE C' ONSTRTYPH MSTO ; RIBS ��:I.:i:�:� •'.i•:•�,'.�':,::::.:i,::i E=To NEW FLOOROeMO TOTAL ii::' i! .: ;:;, :;,I'. �'il ,i'': ;I.;ii;f;: i:'•' .,:. ... AREA AREA '�i 1:, '1 •'Li:: .:i; ' ,,.::. ARBA NErAREA DATHROOM IOTt F12N OTHER RARBMDDELARE RBNODBLARtMODHL ARBA i'I. •!:li'' i.l':,ii::;:: 9'.'''i:: "'r PORCH AREA DECK AREA TOTAL DBCWPORCHARBA OARAUBARBA:ODETACH 'ii;�:l�: 'i; �j�:';�. :•i.,;,��'C, i y�; `:.I I. :��;�,�� I' �' !:I�.:'��:�. •.i:�l� tib :: � �:;I�I.;. ATTACH IbWIa,LaIO UNR-: ISAI[COND YNR DLWOAbbto7 QYC1 ' ,2 13 NO ADOBIONt NO .•�i''' :. 'i' :'.,i�.:�.f ,i,.:.•:E :.i;i�;i 1,:,5 :': PREAPPUCATION ❑YDS IrYp' lovullamyOF PIAtaJPJt'SNAtAg "'li.i �D�N ;.': ' ruNN¢va APDL IJ No MAMINO APPAov VA By my signature below,I certify to each of the following: I am the property owner or authorize ant to act on roperty owner's behalf. I have mad this application and the information L have provided Is correct. 1 have read the Description ofwork and verify It is accurate. 1 agree to comply with all applicable local ordinances and state laws relating to building Won, 1 au orize representatives of Cupertino to enter the above-ids Itled p petty for inspection purposes. Signature orApplicant/Agent: - Date: SUPPLEMENTAL INFORMATION REQUIRED {: a.,-::.ROVTLNGBLIP; New SFD or Multifamily dwellings: Apply for demolition permit for •:, Agvr6w: existing building(s). Demolition permit is requireg d prior to issuance of building ,vEa:iiit,Cot1PLiEa"i',';:':;'{' DVILDRVG PL'Arr ' ormit for now building. P I ;:EXPRESS :PLANNING PLAN REVMW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure :.❑':STANDARD;: ;';; .,::,`"'..' :-' ❑ .rUBiie:wgRrca':' forst If any Hazardous Materials are beingused as art of this project. �:I"` REDBPTr::!,'I:��i':. Copy of Planning Approval Letter or Meetingwith Planning ;' " ::..:•i.l' submittal of Building Permits application. g ,NIiARY.'SEWkncsTi 1Cr:*;!:iNI ' , ENVIRONMt:NTAt'HEALTH.. B1dgAp,p2011.docrevlsed03/16/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 20800 HOMESTEAD RD BLDG 61 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 1 R3SFDREM USE: PERMIT TYPE: WORK BLDG 61 REMODEL UNITS A- H -750 SQ FT EACH 6000 SQ FT TOTAL REPLACE KITCHEN & SCOPE BATHROOM CABINETS & ELECTRICAL SUBPANELS. INSTALL (N)W/D & HOOKUPS, RUN NEW p ay)y, y -' � � wr p �� ri� x W(;,';t2. Check 1y17 inb.Plan lllwni'Per€r it Fee: t>Icu:.fley,azil (,the r Phfrn'l,IYF-5,3. Lj ()"het'_...rF.r..lr.v". Li (iec"J"'r.:p,•. 7•ec:: NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These.fees are based on the prelimina information available and are on_ly an estimate. Contact the De t or addn'l info. FEE ITEMS(Fee Resolution 11-053 E . 711112,) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 6,000 s.f. Remodel,Other Suppl.PC Fee: 0 Reg. ® OT 0.0 1 hrs $0.00 $7,629.00 1REMRES3 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee:Q Reg. Q OT0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Permit? 0 Yes (j) No $0.00 G Advanced Planning Fee: $0.00 Select a Non-Residential 7 ~rrarfi.Do� ,,i�,,P ii:?iiir>n.l,'e�s', Building or Structure 0 i Strong Motion Fee: IBSEISMICR $12.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC 1 $5.00 . $7,646.00 . TOTALS. $17.00 $7,629.00TOTAL FEE: Revised: 04/01/2013