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13080072 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20800 HOMESTEAD RD CONTRACTOR:MONTEREY PERMIT NO: 13080072 CONSTRUCTION COMPANY OWNER'S NAME: VILLA SERRA APTS 88 MONTEREY-SALINAS HWY STE A DATE ISSUED:08/15/2013 OWNER'S PHONE: 6509313400 SALINAS,CA 93908 PHONE NO:(831)601-2659 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIALS License Class Lic.# S Z4°7 BUILDING 20 UNITS A-H REMODEL KITCHEN,BATH, ELECTRICAL SUBFEED,W/D HOOKUPS HOT&COLD Contractor (jy�r}��t C?Oh- Date-7-1 S-2A13 WATER I hereby affirm that I am licensed under the provisions of Chapter 9 LINES FOR ALL(E)FIXTURES.750 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 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 DA ROM LAST CALLED 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 granting of this permit. Additionally,the applicant understands and will comply Issued by. Date: •�V' with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. �J n RE-ROOFS: `,'r Signature L u, Date.,-S-2-0/3 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 I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1,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. 1 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 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: S Date:20/3 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 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 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 08/08/2013 13:31Mtry Construction Co, (FAX)831 455 7986 P.002/003 CONSTRUCTION PERMIT APPLICATION ,�- COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION ted 10300 TORRE AVENUE-CUPERTINO,CA 95014-3266 CUPERTINO (408)777-3228.FAX(408)777-3333-buiiding8cuoert1no.ora ❑NEW CONSTRUCTION ❑ ADDITION ❑ALTERATION/T`I REVISION/DEPERRED ORIGINAL PL•RMIT e 189661 omesteed Road, Building# ,, Units A _ hi AFN0 SrrR AMD I a 9AME A artments PHe 660)931-3400 B•MATL sMIoMorfolk Street,#150 cS�n ate', CA 94403 PAX �� PIONS �bdT1hrit0 931.3400 tlmwright@prometheusreg,com STREET ADDRESS CM STATE ZIP FAX 1900 So. Norfolk Street #ISO San Mateo CA 94403 C3 OWNER E3 Owmit-DmLDBR N OWNERAOQNT ❑ CONTRACTOR ❑COrrr'RAcrORAGENT M ARCHrr'ecr ❑Emomint ❑ DEVELOPER ❑TSNANT AIC 8 C Ke e E LICDps�E�EA -7 LICQNTYPE BUS,LIC M MPANY NA tld 13 NY onstruction Company ben6mryconstructlon.com (991)455-7986 g ionterey-Salinas Hwy., SulteA Salinas STATE.ZIP (831 831)455-7931 ARCHITECT/ENGINEER NAME LTCENSQ NUNMSR BUS.LIC e COMPANY NAME E-MAIL FAX STR56T ADDRESS CITY,BTATL,ZIP I PHONE 9HSCRIPT►ON OOR emOV1 &P reWlace kitchen &bath cabinets. Replace electrical subpanel&subfeed, Install now W/D&hookups, Run new hot&cold water lines for all existing fixtures, 00 EXISTWOUSE FROPOSBDUSDCONSTR TYPE M BTORDiS h:9 a•; Frrusm EXISTO NOWFLOOR DTOTAL j 'i;�� ,,.,�i; ;",,:.�': ;i';.' :'.i i'�'� ':•i:�: AREA ARBA AREA N6T ARBA BATHROOM KRCHEN OTHER jr i`•" c' MODAL AREA RBMODDLAREA RBMODELAR9A i ;'.I: '•i� f.i.' i., .:I;.; •;i: .:i:,:i•' I ORCN AREA DECK AREA TOTAL Dt=OKCH AREA OARAGE AREA:❑DETACH I: _TrA" �Du'aLLWO UNR& ISAELCONOWOT ❑YU oLcoNDaTORY [I YPd DLD/OADVEOV C3 NO ADDITION? NO ... :;.. PRE-APPLICATION 13 no w YHS,PRoymscoPY OP PLANNER'S NM•ta: '•''i `, ';�'.�•.,� �, .:::;::.,;.":. ... MA NNINOAPP I 0 :� .Y�' L NO PLANNINO APPROVAL, d 1'•:,:. ::`N i°i" r,.; By my signature below,i certify to each of the fbllowing: I am the property owner or autho Izagent to act on the property owner's behalf. i have read this application and the information I have provided is correct. 1 have road the Description of Wend verify it accurate. I agree to comply with all applicable local ordinances and state laws relating to building etion. l au orizo representatives of Cupertino to enter the above-Identili d property for Inspection purposes. Signature of ApplicandAgent: yDate: D — 929 1 SUPPLEMENTAL INFORMATION REQUIRED 'P AN c;iecKTYPE ROUTING SLIP.''!•:r...': New SFD or Multifamily dwellings: Apply for demolition permit for :a: existing building(s). Demolition permit is required prior to issuance of buildingo4t1i:TIrE COUNTER;::,. D.;:BUILDING PLAN Rr6V16W permit for now building. .... `,i;;,:;;.; EXPRIi$8.:;'' _Commercial Bldgs: Provide a completed Hazardous Materials DisclosureD.(STANDARD!;:>'• ❑ PUDLr :: form if Hazardous Materiel g eS p project, �' s arc bele used art of this � utRce:;'.��'�`!'r;� CQ ,11IRB DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to 'I :;i'. submittal Of Building Permit application, °-MAJOR-,!_';;•:i'.:. ':"I :::i ;.•;., .,. -SANITARY,BE1YERpI6TRICT';:!:'; ittiNVTAONMrrNTALA$x1711:'::; B1dgApp 2011.doc revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: DATE: REVIEWED BY: APN: BP#: *VALUATION: 1$160,000 'PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY Multi-Family Dwelling 7Building is PENTAMATION 1 R2REM USE: >3 Stories 0 Yes (D No PERMIT TYPE: WORK BUILDING 26 UNITS A- H REMODEL KITCHEN BATH ELECTRICAL SUBFEED W/D HOOKUPS SCOPE HOT & COLD WATER LINES FOR ALL (E) FIXTURES. 981 sq per unit e", _114""11:11 yi Ale'rb. 111a;