13070007 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 22330 HOMESTEAD RD CONTRACTOR:CABINET&STONE EXPO PERMIT NO: 13070007
INC
OWNER'S NAME: ALEX SKURATOV 1815 JUNCTION AVE DATE ISSUED:07/02/2013
OWNER'S PHONE: 6508234987 SAN JOSE,CA 95131 PHONE NO:(408)573-7888
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIALS
License Class_ Li..# 84 Ct Ct S REMODEL KITCHEN(180 S.F.)AND 2 BATHS(125 S.F.),
REPLACE ALL WINDOWS(11)&SLIDING GLASS DOORS
Contractor XC, Date 7--L—t3 (2),RETROFIT ONLY.REMOVE BAR AND STORAGE AREA
I hereby affirm that I am licensed under the provisions of Chapter 9 IN
(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:$28000
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:32659055.00 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 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 ALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments, /
costs,and expenses which may ccrue ams,said City in consequence of the .Z 1
granting of this permit. Addit nally,the licant understands and will comply Is a ate:
with all non-point source re e u o Municipal Code,Section
9.18.
RE-ROOFS:
Signat Date Z��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 it Quality Management District I
performance of the work for which this permit is issued. will maintain compliance with the Cuperti unicip Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505
Section 3700 of the Labor Code,for the performance of the work for which this 7-2 rC
Owner or authorized agent: Date: 3
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 ONSTRUCTION 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
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPE�TChlO (408)777-3228.•FAX(408)777-3333•buildingna cugertino.org
❑NEW CONSTRUCTION ❑ ADDITION ❑ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROJECT ADDRESS 2-L 3'3 o H o E E RZ) Z t 3 o APN# /� rJ O _ O
OWNER NAME PHONE
>1^,R 4- LE S IAAA-ro v o
STREET ADDRESS CITY, STATE,ZIP FAX
CONTACT NAME P ONE E-MAIL
t ori c2 573-7
STREET ADDRESS CITY,STATE,ZIP FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME LICENSE NUMBER b O Q G LICENSE TYPE BUS.LIC#
TO✓r c O C13
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
1 !8(5 3- J . 5 A/ S 015 o 2?)57 -78
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK / V 2ET20
I t ` ..� w. L L ADO w
2C�1�1GG� .9
;d n�/ r o✓`S
EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES
USE TYPE OCC. SQ.FT. VALUATION(S)
EXISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NET AREA
BATHROOM KITCHEN OTHER
REMODEL AREA REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA TOTAL DECK/PORCH AREA I GARAGE AREA: DErACH
❑ATTACH
#DWELLING UNITS: IS A SECOND UNIT []YES SECOND STORY ❑YES
BEING ADDED? ❑NO ADDITION? []NO
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES - mo- TOTAL VALUATION:
PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? []NO
By my signature below,I certify to each of the followin . I am the pro erty owner or authorized agent to ac perty owner's behalf. I have read this
application and the information I have provided is con ct. I ha the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building c Ion. I autho ' e repre tives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Date: -7—!^Z7 13
SUPPLE AL TION REQUIRED
_New SFD or Mul' amily dwellings: Apply for demolition permit for €
••�fl ovER=T>IE•co -�� D
existingbuilding(s). emolition permit is required prior to issuance of building BIJILDIIa6 rIAvx
P 9 P ..
permit for new building.
� �s
p g , zxr . s ��'ae 7�t;PS[.A�xEyiE
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure x
g P t�Llcwo�s-
form if any Hazardous Materials are being used as part of this project. = f -
�'
_Copy of Planning Approval Letter or Meeting with Planning pyior to k
MAJOR EllSAI�ITAR SEWER:DISTRT
submittal of Building Permit application.
a-. Vii, - at Er1 IRONMENTA)HEALT i �
BldgApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 22330 HOMESTEAD RD#302 DATE: 07/02/2013 REVIEWED BY: MELISSA
APN: 326 59 055 BP#: "'VALUATION: 1$28,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair
PRIMARY Multi-Family Dwelling Buildina is PENTAMATION 1 R2REM
USE: 1 >3 Stories ® Yes O No PERMIT TYPE: i
WORK REMODEL KITCHEN 180 S.F. AND 2 BATHS 125 S.F. REPLACE ALL WINDOWS 11 &
SCOPE SLIDING GLASS DOORS (2), RETROFIT ONLY. REMOVE BAR AND STORAGE AREA IN ENTRY
N-01 W
zv'
017 ta ;
Xlech.Plan Check Plumb.Plan Check Elec.Plan Check
tech.Permit Fee: Plumb.Permit Fee: Elec. Permit Fee:
[11,c'h.
r ;l�e<'rh.In.
Other Plumb Insp. Other Flee.Insp.
Li
Insp.Free: Plumb. Insp. ree: Elec.Insp,Fee:
NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc). These fiW are based on the prelindna information available and are only an estimate. Contact the Dept for addn'1 info,
FEE ITEMS (Fee Resolution 11-053 E . 7( /1/12) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 180 s.f Remodel,Kitchen(<=300 sf)
Suppl.PC Feer 0 Reg. O OT 0.0 hrs $0.00 $600.00 IREMRESKIT
PME Plan Check: $0.00 125 s.f Remodel,Bath(<=300 sf)
Permit Fee: $0.00 $600.00 1 1REMRESBAT
Suppl. Insp.Fee-0 Reg. O OT 0,0 hrs $0.00 20 s.f Remodel,Other
PME Unit Fee: $0.00 $400.00 1RENIRESOTH
PME Permit Fee: $0.00 13 # Window/Slidiss oor
Consintetion Tax: F-1 $533.00 IWINREP Weceme��
Administrative Fee:
Work Without Permit? O Yes G No $0.00
Advanced Planning-Fee: $0.00 Select a Non-Residential
Building or Structure O
Travel Documentation Fees: i
Strong-Motion Fee: IBSEISMICR $2.80 Select an Administrative Item
Bldg-Stds Commission Fee: IBCBSC $2.00
$4.801$2,133.00 �'^''` EE k 80
E � , .,
Revised: 04/29/2013
2 Z3 i
1
Woodspring Condominium Association
June 14, 2013
Alex and Dina Skuratov Regarding Property Address:
22330 Homestead Road,Unit 302 22330 Homestead Road,Unit 302
Cupertino, CA 95014 Cupertino, CA 95014
Re: Architectural Application Approval: 2 Bathroom Remodels, Kitchen Remodel,Flooring,
Windows and Living Room Half Wall Removal
Dear Mr. &Mrs. Skuratov,
At the June 11,2013 Board of Directors Meeting for the Woodspring Condominium Association,
the Board reviewed your request for the 2 bathroom remodels,kitchen remodel, installation of
windows &patio slider, installation of laminate flooring, and removal of the living room half
wall at the unit 22330 Homestead Road,Unit 302, Cupertino,CA 95014.
Please be advised that the Association approved your request as submitted, with the following
conditions:
1) All work is to be performed by the licensed &insured contractor submitted on your
request.
2) All work is to be done during reasonable hours(8:30 am-5:00 pm, Monday through
Friday). Homeowners are to notify neighbors and Management of the dates of
installation. Work is allowed on Saturday from 8:30 am-5:00 pm, as long as there is no
construction noise.
3) No construction debris is to be disposed of in the Association dumpsters. The
Homeowner will be responsible if the contractor does not dispose of debris correctly.
Charges for hauling any debris will be billed back to the Homeowner.
4) The Homeowner is responsible for any damages to the structure caused by construction,
window installation or flooring installation.
5) The Homeowner is responsible to obtain any permits required by the City of Cupertino.
Copies of any permits must be provided to Management.
6) No changes to plumbing or electrical are permitted. If changes are required, they must be
submitted to the Board for review at a Board of Directors Meeting.
7) The trim for the windows and patio slider must be bronze in color and in.
8) The glass panes must be the plain style as per the application and consistent with the
windows in the building. You must replace"like for like".
9) No tinting of the window is allowed. Low "E" glass is allowed.
P.O. Box 320819 Los Gatos, CA 95032-0133
Phone 408-866-4537 -Fax 408-866-4619
woodspring@archwaytmc.com
Woodspring Condominium Association
10)The replacement window and patio slider must be a retrofit installation and not new
construction. The windows and patio slider must fit into the existing framing for the
windows and patio slider.
11)The flooring approved is the type of flooring as stated in your application.
12)The flooring approved is installed in the areas of the unit as stated in your application.
13)If sound transmission becomes an issue with your neighbors,Resolution will become the
responsibility of you and your neighbor. The Board reserves the right to require the
flooring be removed and carpeting installed.
14)Any alterations to your original request must be submitted to the Board for review and
approval.
If you have any questions or need additional information,please contact Management.
Please retain this approval letter with your Association records.
Thank you for your cooperation with the rules and regulations for the Association.
S incerel ,
Colla
Association Manager
P.O. Box 320819 Los Gatos, CA 95032-0133
Phone 408-866-4537 - Fax 408-866-4619
woodspring@archwaytmc.com
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: &3 0 PERMIT#
OWNER'S NAME: PHONE# 4— `B.Z3'- 4- -7
GENERAL CONTRACTOR: Ggr,,00 i BUSINESS LICENSE#,.
ADDRESS: i8�S JT�t,.1L o,. v Sf+�.J os CITY/ZIPCODE: ;SAA
*Our municipal code requires all businesses working in the city to have a City of.-Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INS CTION(S) .WILL'BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRA ORS OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
Signature Date
Please check applicable subcontr tors and complete the following information:
V 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
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P peC:ifications MUST be fcent at the
job site during constroc',ion. It is uniawful-.o ma:wc,any
charigos or al erations on surae,or to o,,3viaie
therefrom, without approval from the Building Official.
The sr ,aping of this Plan and specifications SHALL NOT
be held to permit or to be an aPProval of the violation
M A AA TH of any Provisions of any City Ord'
State Law.
BY
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All dimensions_size designations given are 2020& This is an original design and must not be Designed: 5/11/2013
subject to verification on job site and TECHNOLOGIES released or copied unless applicable fee has Printed: 6/30/2013
adjustment to fit job conditions. been paid or job order placed.
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