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13060060CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20800 HOMESTEAD RD CONTRACTOR: MONTEREY PERMIT NO: 13060060 CONSTRUCTION COMPANY OWNER'S NAME: VILLA SERRA APTS 88 MONTEREY - SALINAS HWY STE A DATE ISSUED: 06/13/2013 OWNER'S PHONE: 6509313400 SALINAS, CA 93908 PHONE NO: (831) 601 -2659 JOB DESCRIPTION: RESIDENTIAL COMMERCIALU LICENSED CONTRACTOR'S DECLARATION Class Lic. # S % BUILDING 5 UNITS A -C & E - H REMODEL KITCHEN, License / Contracto Date (O BATH, ELECTRICAL SUBFEED, W/D HOOKUPS HOT & COLD I hereby affirm that I . licensed under the provisions of Chapter 9 WATER LINES FOR ALL (E) FIXTURES. 1,025 SQ FT PER (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: $140000 I have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 32609073.20800 Occupancy Type: Section 3700 of the Labor Code, for the performance of the work for which this 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 WITHIN 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 DAYS FR LLED INSPECTION. indemnify and keep harmless the City. of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Issu Date: granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section RE- ROOFS: 9.18. Signature Date 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) 1, 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. ow Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent Date oL 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 CONSTRUCTION LENDING AGENCY 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 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 06/06/2013 11 : 02 Mtry Construction Co. (FAX)831 455 7986 P.002/004 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014 -3255 CUPERTINO (406) 777 -3228 - FAX (408) 777 -3333 - build'rIg Ocuoertlno.org ❑ NEW CONSTRUCTION ❑ ADDPTION ❑ ALTERATION / TI ❑ RRVISION I DflPRRRIPM © 4l �0 ARIriINAr. PRRMIT d 11,0(0 b b 6 s P[18'96blWomesteed Road, Building # , Units A -C, C- N ''�N" j — a �3. 7-090d OR AM8 PHO E-MAIL I a errs Apartments 650 931 -3400 'IMI'Morfolk Street, # 150 °Skin' lateo, CA 94403 Pax ValvdV��t P 5 60 931 -3400 MAIL ight @prometheusreg,com STREET ADDRESs 1900 So. Norfolk Street # 150 CITY, STATE ZIP San Mafeo CA 94403 FAX C3 OWNER E3 OWNER- BLIRMER M OWNER AGENT ❑ CONTRACTOR 13 CONTRACTOR AGENT Cl ARCHITECT ❑ ENGINEER ❑ DEVELOPER O TENANT AC 8Ar0 Re aA LtCl3LN�E BR tl LICGNS[,g'YPE, C BUS. LIC" �lonieerreNy�onstruction Company b•� MA mryconstructlon.com (9` 1) 455.7986 STREET ADDRESS 88 AT Hwy., Suite A CITY, STATE, ZIP PHONE 831 455 -7931 ARCHITECT/ENGINEER NAME L►CENStl NUMBER BUS. LIC " COMPANY NAME B-MAIL FAX STREET ADDRESS CITY, aTATE,Z►P PHONE ffemoveN &D re kitchen lace & bath cabinets. Replace electrical'sub anal & subfeed, Install new W/D & hookups, Run new hot & cold water Ilnes for all existing fixtures, 1.0;R , J� }- x Q 0S _ EXISTING USB PROPOSED USE CONSTR. TYPE " SE I. EXL4r0 NEWMOOR DEMO TOTAL z.l:.• ;.i,l : ,;u :I. •: ?. •.,..n;....: AREA AREA AREA NBTAREA BATHROOM rrrcHFN OTHER J..i; :,;'�, :n': r;�„ 'il l'� il... :i 'i'I�� ;•;�;t;,.•.. .;r,;:l' R[iMODBLARHA LUMOVELARZA REMOMAREA, :,::: :....,r .: .,. .,...,:� �,::.�:.�� :�..,I;'.;,;�'::�:�.�:;..;. �i,.; I'�.,�i,; :':, �,. '�•�:�.:•:�:.,.,:��'.�ir•.. :��� .. PORCH AREA DECK AREA TOTAL DECKR'ORCH AREA GARAGE AREA: ❑ DETACH I i '.';'::.: I I" •;:' : ; ;';I :i'::. ':, .' ; .; !;.:... i::' OATrAcu Y MUTNO tMs; ISAS[CONO UNIT ❑ Y67 SECOND STORY ❑ ;•' : I.. .� r '' I " .•I::,; '� �� . ,: BEINGAeegat NO ADDITION? NO '.'il:'', ;�.;: ' `'I �I:I''• ' � ' .:I: ;�.i : M- APMICATION BYES WYES.MOVIDUCO►Yo► PIANKR'SNAM; P4INNINOApPLY NO PUNNOIO APPROVAL LBTTER ''I�ri' �.i:: :•,•.' ;.I'.I:�.;: •� .•I• 1,L�yA/j, y/� . By my signature below, I certify to each of the following: lam the property Owner or ad agent to on the owner's behalf. 1 have read this application and tho information I have provided is correct. I have read the Deseripti of Work and verity curatc, I agroo to comply with all applicable local ordinances and state laws relating to building Won, 1 Bu orizo roprMentatives of Cupertino to enter the above - Identified property for inspection purposes. Signature ofApplicant/Agent: Data: SUPPLEMENTAL INFORMATION REQUIREb "a::.l PLANCHECKTYPE: :' :.'::_ROUTINCSLIP _ New SFD or Multifamily dwellings; Apply for demolition permit for eXisting building(s). Demolition .� o.YER- Tui -cou permit is required prior to lasuance of building permit for new building. Q . EXPRESS. ;' , .i , . " I : ;'.'::�;';! ;' :; '., .. I'�: rl::',: .:• ;.:i•. ::,,;:;.i .. .: .: CJ,i:PLANNINC ALAN REVIEW :? [:•..; : is ,.r„ • ..' •.::; . ... •., I• ; .,,; _ Commercial Bldgs: Provide n completed Hazardous Materials Disclosure C7: "sTniriianii form If any Hazardous Materials are being used as part of No project 'Fri DEPT '' _ Copy of Planning Approval Letter or Meeting with Plannin prior to g P i,: :: i . 6[A]oR`' I•. ?tale submittal f Building Permit application. 0 i , I" 'I• :: ..:' Q SANITARY . SEWERD1ST1iLCT ,: ❑:.Trivv[RONMENTa frRaiTx.:! i BldgA,pp 1011,doe revised 03116111 CITY OF CUPERTINO NW4 FEE ESTIMATOR - BUILDING DIVISION ./' /tdlr,bl. hoq,,, Fee od'ie !x.1::4:'.IPa:v ", NOTE. This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Dtstrtct, etc.). 1hese_fees are basea on the preliminary information available and are only an estimate. Contact the Dept for addn7 info. FEE ITEMS (Fee Resolution 11 -053 Eff 711112) 20800 HOMESTEAD RD5 A-C D- DATE: 06/10/2013 REVIEWED BY: MELISSA IlaADDRESS: APN: 32609073.20800 BP #: *VALUATION: 1$140,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: PME Plan Check: PENTAMATION 1 R3SFDREM PERMIT TYPE: wORK BUILDING 5 UNITS A -C E -H 7 UNITS TOTAL 7,175 S.F. REMODEL KITCHEN, BATH SCOPE ELECTRICAL SUBFEED, W/D HOOKUP, 1,025 SQ FT PER UNIT ./' /tdlr,bl. hoq,,, Fee od'ie !x.1::4:'.IPa:v ", NOTE. This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Dtstrtct, etc.). 1hese_fees are basea on the preliminary information available and are only an estimate. Contact the Dept for addn7 info. FEE ITEMS (Fee Resolution 11 -053 Eff 711112) FEE QTY/FEE I MISC ITEMS Plan Check Fee: $0.00 7,175 s.f. Remodel, Other $8,393.00 1REMRES3 Suppl. PC Fee: Reg. ® OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feed Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 Pergmit Fee: $0.00 /PME T-7 aI t:aTt' l in"' 'trY.t ive E'F:'.' 0 E) Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee. $0.00 Select a Non - Residential G Building or Structure Ct t Strong Motion Fee: IBSEISMICR $14.00 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $6.00 �0 S ' .: $20.00 $8,393.00 �� TOTAL FEET ' �.�� $8,413.00 Revised: 04/29/2013 `Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014 -3255 Telephone: 408- 777 -3228 C U P E RT I N O Fax: 408- 777 -3333 CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS: ZQ$DO vial (j i -C 641PERMI T # 3 0 Q04Z OWNER'S NAME: PHONE GENERAL CONTRACTOR: BUSINESS LICENSE ADDRESS: WAy, s4, I CITY /ZIPCODE: *Our municipal code requiresiall businesses'worfing in the city to have a City-of Cupertino =business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL 11 SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE ;OBTAINED A :CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature 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 07/18/2013 13:27 FAX 4085579463 U 001/002 1 Community Devdop=cnt • 10300 Torre Avenue CuPerauo CA 95014 Te)Vhoaa (408) 777 -322 Fax (408) 777 -3333 Building Dep ipni- TUB ADDRESS: OWNER'S NAMB; I am not using any subcontractors: PERMIr # , Signature Date Please check a licable subcontractoxs and cc�mlete the following wormatic�n: SUBCONTRACTOR BUSINESS NAME BUSB-fBSS LICENSE # Cabinets & NOwork �- Cement Finislvng Electrical b An Excavation - - Linoleum / Wooa Glass / GlazivrM Lmlafion Ommnental Sheet Me* etal Painting / Wallpaper Septic Tank Sheer. Metal Sheet Rock Tile OW11C�T�C tTart'n� �ivnafi,ra ;A-f,-f2 �pddj� -47 j a !7