13070041 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20800 HOMESTEAD RD CONTRACTOR:MONTEREY PERMIT NO: 13070041
CONSTRUCTION COMPANY
OWNER'S NAME: VILLA SERRA APTS 88 MONTEREY-SALINAS HWY STE A DATE ISSUED:07/16/2013
OWNER'S PHONE: 6509313400 SALINAS,CA 93908 PHONE NO:(831)601-2659
to LIC SED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL El COMMERCIALE]
License Class YX Lie.# BUILDING 13 UNITS A-H REMODEL KITCHEN,BATH,
/�j� T— ELECTRICAL SUBFEED,W/D HOOKUPS HOT&COLD
Contractor i .bate WATER
I hereby affirm that I am li-el4sed under the provisions of Chapter 9 LINES FOR ALL(E)FIXTURES. 1,025 SQ FT PER UNIT,
(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:$160000
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 WIT80 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 INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments, Issued costs,and expenses which may accrue against said City in consequence of the Id b Date: 171,ly. f
granting of this permit. Additionally,the applicant understands and will comply Y'
with all non-point source regulations p e pertino Municipal Code,Section
9.18. 1
RE-ROOFS:
Signatur 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)
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 Municipa ,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 255055 3,a
Section 3700 of the Labor Code,for the performance of the work for which thisOwner or authorized ager '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 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
07/03/2013 13;31Mtry Construction Co, (FAX)831 455 7986 P.003/003
CONSTRUCTION PERMIT APPLICATION A`
is COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION o0
10300 TORRE AVENUE-CUPERTINO,CA 95014-3255 ^ ��
trC---tUpERTINO u
(408)777-3228-FAX(408)777-33331,buildlnc®cu0ertino.Ortl
l_l NEW CONSTRUCTION ADDITION ❑ALTERATION/TI REVISION/DEFERRED ORIGINAL PERMIT!1
1$98I)AWomastead Road,Building#•17 , Units APN" 3 0 C (o 9'3• -u to o
OVI�a era Apartments Pao 650 931-3400 BMAa
'MY9 `WOrfolk Street,#150 c%n�lateoI CA 94403 FAX
P 650 931-3400 Pd TMAILright@prometheusreg.com
1900 So Norfolk Street #150 CITY,STATEMa uP FAX
San Maim CA 94403
❑OWNBRCjQ�t❑ OWNER-DUILDeR IN OWMAORN1' O CONTRACTOR ❑CONMACTOKAOEMr () ARCUMCT ❑BNOWEER 0 DEVELOPER 0 TENANT
tGrq Re 8 E LICEII�BR LICBNS�TYPB BUS.LIC#
MPAIIY NA 8
oIL
nterey Gtonstruction Company ben rnryconstruction.com' (991)455.7986
ADDRESS CIrY,STATE,ZIP PHONE
A Monterey-Sallnas Hwy.,Suite A S 831 455-7931
ARCHITEC&NOrNEEK NAME LiCENSB NUMBER BUS,LiC#
COMPANY NAME B-MAIL FAX
STREETADDRESS CITY,STATE,ZIP PHONE
evND °fmoe&replace kitchen&bath cabinets. Replace electrical subpanel&subfeed, Install new W/D&hookups,
Run new hot&cold water lines for all existing fixtures.Add additional full bath within existing apartment footprint.
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rXISTWO USE PROPOSED USE •'IV "r " c n W
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BATHROOM K1TC118NO'rItER
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REMODEL AREA r.�w44;,'t i"•t'y r `�•a. il,1"fi�7.iaa�il,�r?�i i�.[ �r If•.,�:.fi7:(1>v.:.'iS=,:7":.y. rrq`
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By my Signature below,I certify to each of the following: I am the property owner or nu t to act the property owner's behalf. I haveread this
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application and the information I have provided Is correct. I have read the Description of Work and verity accurate. I agree to comply with all applicable local
ordinances and state laws relating to building 5PLUluction. I authorize representatives of Cupertino to enter the above-identlficd property for inspection purposes.
Signature ofApplicanVAgent: r., Date:
SUPPLEMENTALINPORMATIONUIRED
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New SFD or Multifamily dwellings; Apply hfor demolition permit for
existing building(s). Demolition emit is required forte issuance ofbuilding ),uV.;-'�is.:i�tihY:;.:;=.irvN:V:-R,q�:•%A:r,riR:iR+j,�l,;n..1:f.,�>.��•'(,C9,,;i�d,:t1,•1s";I;i'$^ar:'-,c�'V,i.�..?h.":>�r9,^:�•::s.�1}'=ii•:�r+i^1i';'8il'T!�•.-';4,'I,•!;r;N;tiir,;'San:?.I1Y��i:r•>1,:;1'',riYr::NrsnM=`;!t,��l�,�a1'l,.*.d'I�•+.'f,��:;1;.y;wl;I'��}fb1,t:;+.l i,i��,+,4j'�,.'E1?�-:!C,7u].t..i:,t,,;:.s7:.Ma>,l;,iy.;y.;(h.i'�Ae,Vi47tiSut�r.,t:r'i.e=••i,,:.t,•f}N�,G;ntii':,JAi�:r.b,�yfIi1�'h;:Y{�1„�lR,��,•t:(V'eG�oi,';o:�f'u',«i}R-L;Gl:i�r•APi,o-.A-,�,�1f1�;1<GT,1Jfr•,R;,:'m A:i:•1:EX.�a„yIE,,�W: 1`•&tiw•1;..'iv�:••k
" dI%It5permit for new building. t:&u6
Commercial Bld e: Provide a completed Hazardous MaterPAW”.
als Dllsuraform if any Hazardous Materials arebein used as of this ro act
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Copy of Planning Approval Letter or
Mooting with Planning prior to .'i.?�.'.Ird,';.'i.:(ti}'�i�,:�;M%r:,l,`n,if;7.P01';�NA�'F?;`I':I,:,'¢aUl;1'''.'v'';tf,.i:V;1..'.?::.1 q:r,`5,ti r'!`s�,:clrsX,�l;:•1,'i1Vi,..�1',:t'.•;'p;.'i�:'1I!;"ysria'r`�`1;i:-(.?.fi9,n{,bIiri;a i a'a_i� t'
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B1dgAp,pT01 Ldoe revised 03/16/11
CITY OF CUPERTINO
FEE ESTIMATOR— BUILDING DIVISION
ADDRESS: 20800 HOMESTEAD RD BLD 1 DATE: 07/08/2013 REVIEWED BY: MELISSA
APN: 32609073.20800 BP#: *VALUATION: 1$160,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY Multi-Family Dwelling Buildina is PENTAMATION 1 R2REM
USE: 3 Stories 0 Yes (F) No PERMIT TYPE:
WORK BUILDING 13 UNITS A- H REMODEL KITCHEN BATH ELECTRICAL SUBFEED, W/D HOOKUPS
SCOPE HOT & COLD WATER LINES FOR ALL (E) FIXTURES. 1,025 SQ FT PER UNIT 8200S.F. TOTAL
;-
qc:;:r.I`r`aa:<, ',c:<: I'l.onb.I'lon f hc,,:ck E <:.P1114 ;
E3
ET
-.
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 De t or addn'l info.
FEE ITEMS (Fee Resolution 11-053 E . 711112) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 8,200 s.f. Remodel,Other
Suppl. PC Fee: (F) Reg. 0 OT0.0 hrs $0.00 $9,353.00 IREMRES3
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl.Insp.Feer Reg. ® OT 1 0,0 1 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Fee 0
Work Without Pennit? 0 Yes (j) No $0.00 G
Advanced Planning Fee. $0.00 Select a Non-Residential
1
Building or Structure 0�
Strong Motion Fee: IBSEISMICR $16.00 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $7.00
�0T, > $23.001$9,353.001TOTAL FEE: $9,376.00
Revised: 07/01/2013