13050023 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20800 HOMESTEAD RD CONTRACTOR:MONTEREY PERMIT NO: 13050023
CONSTRUCTION COMPANY
OWNER'S NAME: VILLA SERRA APTS 88 MONTEREY-SALINAS HWY STE A DATE ISSUED:05/08/2013
OWNER'S PHONE: 6509313400 SALINAS,CA 93908 PHONE NO:(831)601-2659
❑ LICENSED CONTRACTORS DECLARATION BUILDING PERMIT INFO: BLDG r ELECT F_ PLUMB F
License Class Lic.#
MECH I— RESIDENTIAL I— COMMERCIAL�
Contracto Date..5241:__
I hereby affirm that I am h censed under the provisions of Chapter 9 JOB DESCRIPTION:BUILDING 7 UNITS A-H- REMODEL KITCHEN,BATH,
(commencing with Section 7000)of Division 3 of the Business&Professions ELECTRICAL SUBFEED,W/D HOOKUP,750 SQ FT PER
Code and that my license is in full force and effect. UNIT
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.PMYi&dfor.by
Section 3700 of the Labor Code,for the performance of the work for which this Sq.Ft Floor Area: Valuation:$160000
permit is issued ---
APPLICANT CERTIFICATION ` _t, APN Number:32609073.20800 Occupancy Type:
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 PERMIT EXPIRES IF WORK IS NOT STARTED
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting of this permit. Additionally,the applicant understands and will comply 180 DAYS ST CALLED INSPECTION.
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18,
11
ssued by: Date:
Signature ate
❑ OWNER-BUILDER DECLARATION
RE-ROOFS:
I hereby affirm that I am exempt from the Contractor's License'Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is
the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for
1,as owner of the property,or my employees with wages as their sole compensation, inspection.
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Business&Professions Code) Signature of Applicant: Date:
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
declarations:
I have and will maintain a Certificate of Consent to self-insure for-Worker's HAZARDOUS MATERIALS DISCLOSURE
Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.95 of the
performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain
I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
Section 3700 of the Labor Code,for the performance of the work.for.w.h.ich this Safety Code,Section 25532(a)should I store or handle hazardous material.
Additionally,should I use equipment or devices which emit hazardous air
permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will
I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
not employ any person in any manner so as,to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534.
Compensation laws of California. If,after making this certificate of exemption,I
become subject to the Worker's Compensation provisions of the Labor Code,I must Owner or th riz e
forthwith comply with such provisions or this permit shall be deemed revoked. A=46 Date: — .(?a
APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY
I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's
correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.)
to building construction,and hereby authorize representatives of this city to enter Lender's Name
upon the above mentioned property for inspection purposes.(We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address
costs,and expenses which may accrue against said City in consequence of the
granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION
with all non-point source regulations per the Cupertino Municipal Code;Section
9.18. 1 understand my plans shall be used as public records.
Signature Date Licensed Professional
05/02/2013 14:59Mtry Construction Co, (FAX)831 455 7986 P.002I003
CONSTRUCTION PERMIT APPLICATION
10 COMMUNITY DEVELOPMENT DEPARTMENT-BUILQINO DIVISION ^�
10300 TORRE AVENUE-CUPERTINO,CA 99014-3255
CUPERTINO (408)777-3228-FAX(408)777-3333 @ buildlnaQcuD9rfng-oLg
NEW CONSTRUCTION DADDITION ALTERATION/TIV I
�Dp ❑ R$ 1S ON/DEFERRED ORIGINAL PE13Mrf k
789 /Flomestead Road,BUilding# , Units APNN
I a All&Apartments PH 1650 931.3400 H•MAa
81T6111926'Worfolk Street,#150 ctanateo, CA 94403 PAX
D3V10 Wn 11t PHONE MAIL,
g 650 931-3400 �mwrlght@promatheusreg.com
STREET ADDRESS CITY,STATE ZIP FAX
1900 So. Norfolk Street # 150 San Maim CA 94403
0 OWNER 13
13 OWM'DUILDER 91 OWNERAOENT O CDNtRACToR 0 CON TRACTORAoENr ❑ ARcHrrs T ❑ENOINBER ❑ DMLOPER 13 TENANT
IC ar RA a 71106
ER LICEN9�TYPHMPANYN
onteNreyAWonstruction Company ben�mryconstruction.com M)455-7986
T ADDRESS CITY.STATE,ZIP PHONE
Monterey-Salinas Hwy.,Suite A 831 455-7931
ARCHITECTAWGINEBRNAME LICBNSENUM13HIL BUS.LIC 0
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIp P11ONa
gemoveN&°re°lace kitchen&bath cabinets.Replace electrical subpanel&subfeed.Install new W/D&hookups.
Run new hot&cold water lines for all exlstln fixtures. \ A �- —116(::!) q6
'%\kco ,CQ %- oL=iA_��
EXrsTMO USE PROPOSED USE CONSTA TYPE *STORMS :;i;j'I'.'"';; �!:•'.".;'!:+,:i t t:..:.:. I;
�;.;�; Try:• I :,: qrr i� � � ..
Sn
EX1970NEW FLOOR DEMO TOTAL
AREA AREA AREA NET AREA •.I!''� "i:;�:: ''I: =(.. ::I ,'.,.:., .r::,,:i..' :�i:.
BATHROOM WCJMN OTHER
f''{�".h..r:�:.:�1:.11.: "I'�.,;c;' a;�l„ �'�..""1'i� a:" :`I•.:.:.r ,I r `�'i.a.,. ja,I. r...l�� ',,
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PORCH AREA DBCAARBA TOTALDECWPORCIIAREA oARAGBAREA.O DETACH ;:i:;.I!'::i;,.:.1•! j'',". 'I';
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PRA-MMdCATMN ❑Yee 6Yal.PRovosawYOr MANN INA7.M: RECBIVHDBY.' .•;I:. ..1;,;!'ll;::;l:i�l;'I i :.:I.':.' ,,•:,.: I.:
P1.N VINO APDL 0 0 No t'LAwm APPROVAL LBTtAR I•;•i; ,;, li ';I,�. �I.',;,;��. 1,.i;, ,•'1,0' ATT ',;".j.r,•;
By trey signature below,I certify to each of the following; I am the property owner or authorized agon on the property owner's behalf. 1 have read this
application and the information I have provided is correct, i have read the Description of Work and vad I Is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building etion, I au orize representatives of Cupertino to enter the abo�ldph�pro 1br Inspcetion purposes,
Signature of Applicant/Agent: Data: 1 I
SUPPLEMENTAL INFORMATION REQUIRED .... .:... .
�•r;;;i;�'i:i�i,:;,;.......
1 .'r:•:, .,:;i"
_Now SFD or Multifamily dwellings:
Apply for demolition permit for .. :::•:••:•::,;:'�:,°::.;::.::�I;'. �''f::,;+:::;�:�::!.,:�i�,:::;,,.1,:... ;,,
existing bullding(s). Demolition permit is required prior to issuance of building ;:,iovERTtIE CoifiirER';;',i; ;: d''DUtt:DINO pLAN,REY(EW:.,:: I': ,
permit for new building.
''BXPRE9S;I' ! , ❑f PLANNING PLAN A�V1�W I , i
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ ' :; I' '
Hazardous M „,STAtVbARD :';. ';li`! f 17 IPlteu 'W R
form If any H Materials are Dein used as prat of this '..:.'i..': 'I.� •I.::• • :; � ,��� ,'
g s project. ., :� �,• :,`; ,•:�'. �I:•,;• •: :' °�I . : ;:;;;
•I'���"'''' :; 'i:;:I•. ;�.,�': � 'I�I:'!'I �'0•;:&i7(1rNtsTDAeR�Y:'
submittal of Building Permit application. MAJ0R:i,:;i'Copy of Planning Approval Letter or Meeting with Planning prior to ttR068•'','!'"''
CTI!,;-,::. ••i'
EWER DISTRt
' ' •��.•• .ENYttiONMENTAGaIEX TH
B/d&4RP 2011,doo revised 03/16/11
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 20800 Homestead rd unit A-H DATE: 6/03/2013 REVIEWED BY: Mendez
APN: BP#: *VALUATION: $160,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair
PRIMARY Building is PENTAMATION
USE: Multi-Family Dwelling >3 Stories 0 Yes (j) No PERMIT TYPE: 1 R2RE
WORK BUILDING 7 UNITS A-H- REMODEL KITCHEN BATH ELECTRICAL SUBFEED W/D HOOKUP
SCOPE
r x
,,.
c �
1erc . I'Irrr; 'f ce F llbovb' /Turf€heek
h,:la. 11,sm it f(w I'1wl"b, 1'<:o"• ;l.d'a'<: E ec.A r r>rir Tee:
OM r P/wrib hap, LL] r1vhef -De".jllsp'
kleh' frail'. I<e: I8i1d31�t.In.3^. Fee"
�,le`c, hi.4p, Fee:
NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc. . Thesefees are based on the prelimina information available and are only an estimate. Contact the Dept./or addrt I info,
FEE ITEMS (Fee Resolution I1-053 E . 7� FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 6,000 s.f. Remodel, Other
Suppl. PC Fee: (E) Reg. 0 OT 0.0 Thrs $0.00 $7,629.00 1REMRES3
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee:(E) Reg. Q OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
,'cern§¢rr.rs.6orr 1pax
Work Without Permit? Q Yes (E) No $0.00
Advanced Planning Fee: $0.00 Select a Non-Residential
Building or Structure Cl
Strong Motion Fee: IBSEISMICR $16.00 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $7.00
r SUBO`F 5S
F7
$23.00 $7,629.00 TorAL FEET $7,652.00
Revised: 04/29/2013