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13080071 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20800 HOMESTEAD RD CONTRACTOR:MONTEREY PERMIT NO: 13080071 CONSTRUCTION COMPANY OWNER'S NAME: VILLA SERRA APTS 88 MONTEREY-SALINAS HWY STE A DATE ISSUED:08/15/2013 OWNER'S PHONE: SALINAS,CA 93908 PHONE NO:(831)601-2659 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL LJ COMMERCIALE] License Class T Lic.# 2 G BUILDING 26 UNITS A-H REMODEL KITCHEN,BATH, ELECTRICAL SUBFEED,W/D HOOKUPS HOT&COLD Contractor Mol\ Q Date g-IS-2C](? WATER I hereby affirm that I am lice used u5 nder the provisions of Chapter 9 LINES FOR ALL(E)FIXTURES. 981 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 0 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 DAY OM 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: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. _ � /J RE-ROOFS: Signature �WJ-L�i — Date7-/5-20/3 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 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 Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,2553333,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: permit is issued. o 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. It 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 harr less 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.003/003 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255 CUPHtiTINO (408)777-3228-FAX(408)777-3333-bulldinafteupertino.ora ❑NEW CONSTRUCTION ❑ ADDITION ❑ALTERATION/Tl ❑ REVISION/D$FERRED ORIGINAL PERMIT p Ps Ornestead Road, Building# _,Units A—9wPN I�aRS�e a Apartments PHo 650 931-3400 E-MAIL 'TRAM orfolk Street,#150 mr?T aEeo,CA 94403 FAX vld r�g�t P(650 931-3400 �mw�lght@prometheusreg,com STREET ADDRESS CRY,STATE.ZIP FAX 1900 So. Norfolk Street #150 San Mateo CA 94403 ©powNBR Q�t13 owNER•DvILDeR M owNuAoeNr O co=ACroR ❑coNTRACrORACEW 0 AR611IMCT ❑ENowan Cl nevaLOPER ❑TE NAM AC BCCfKe ea L10E�I�ti1�1v(D8R L1CSNs�TYPB BUS.LIC k MPANYYNA tl 5Z87 C onterey onstruction Company1i8%rnryconstruction,com ; X991)455-7986 STREET ADDRESS CrTY,STATE,ZIP PHONE 88 Monterey-Salinas Hwy.,Suite A 831 455-7931 ARCHITBCT/ENOINEER NAME LICENSE NUMBER BUS,LLC k COMPANY NAME S-MAIL FAX STREET ADDRESS CITY,STATS,ZIP PHONE DgSCR1PTION OF WO Remove&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. CI& ' avc�kA- EXISTINGUSE PROPOSED USE CONS77tTYPB 96TORlEB :.:'.j'i' i:• `' EX1STc NEW PLpoR DEMO TOTAL AREAARFA AREA NET AREA •(";:;::17:•.:.�,i �'��: .;��.., `i:..�,1,. 'i .."i'y; i. '.,.: BATHROOM KITCHEN OTI®t _I '.1 0. PELAREARMODEL AREA REMODEL ARA R2O I: FORCE AABA D6CKAREA TOTAL DECWPORCHAIWA OARAOBARXA;O DETAC(I '' " - cL,�.',%,�,•_,!'.'..�'�,•� �.�;� W. 7'r -OwE.La+ouNRt: raAetco?MuNrr OY97 stcoNaaraaY Cl YM L•;'':":�'.i'�;Ci!'. i , .' Sews NO ADIHroNf No .:i PRE•APPI.,CAMN 0 Y911 IFYae,PROVINCOPYOR PLA M'sX&ME. ...... .!" •.,.,,. :I��;...;,'.': ' �TOrtcv/iitiATIONi,' ';�'�:::•� PLANNING APM I13 NOPLANNWO APPROVA LLEiMR 1.• i.. i'�1 BY my sfgnaturo below,l certify to each of the following: 1 am the property owner or authorized ent to act on tho property owner's bohalf, I have read this Application and tho information I have provided Is correct, I have read the Description of Work Ad verity It Is accurate. I agree to comply with all applicable local ordinances and state laws relating to building coon. 1 authorize representatives of Cupertino to enter the above-idontifled property for inspection purposes. Signature orApplicant/Agent; Dato: SUPPLEMENTAL INFORMATION REQUIRED PL:ANC1IECKfIYPI.''.i:':•. ':::.......... ROtITWG3LiP::'.'.':... New SFD or Multifamily dwellings: Apply for demolition permit for VER-TIIVCOUNTER' existing building(s). Demolition permit is required prior to Issuance Ofbullding ! O O : :: :', ':❑''DUIGDINa PLAN REVIEW permit for new building. Pt ANNIjVO PLA{V REVIEW.,'1' Commercial Dld s: P v ;,;: ',,•.' . Bldgs: ro idc a completed Hazardous Materials DisclosurePUBLIC WORKS". ":::. •:'''., :; To-m- If any Hazardous Materials are being used as part of this project, REDEPII._: _ Copy of Planning Approval Lettor or MectIng with Planning Prior to submittal of Building Permit application. j Q::MAJOR, . ' � • , ENVIRONhtF.NTA BldgApp 2011.doe revised 03/16/11 CT VOF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: DATE: REVIEWED BY: APN: BP#: *VALUATION: 1$160,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY Building is PENTAMATION USE: Multi-Family Dwelling >3 Stories 0 Yes (F) No PERMIT TYPE: 1 R2RE WORK BUILDING 20 UNITS A- H REMODEL KITCHEN BATH ELECTRICAL SUBFEED W/D HOOKUPS SCOPE HOT& COLD WATER LINES FOR ALL (E) FIXTURES. 750 sq per unit a= �fi�,kaw�xt, ray , fe'c;ft,13£'rrrit{£:e [pb-al"b" pe.'rrni$ 'L'(`; '7 777?. z°r'off.'......I;,3 r. OtherPh?frb Ins£, Li 01&i rI le_.M, Fj ?[ 'i, frz,,r, fere: I'itrt.2 .L.s .Fe-,e: El., hmi , Fee, NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . These ees are based on the prelimina information available and are only an estimate. Contact the De t or addn 7 info, FEE ITEMS (Fee Resolution I1-053 Ems) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 6,000 s.f. Remodel,Other Suppl. PC Fee: Reg. 0 OT 0,0 hrs $0.00 $7,960.00 1REMRES3 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee.-(E) Reg. ® OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Permit? 0 Yes 0 No $0.00 G Advanced Planning Fee. $0.00 Select a Non-Residential � �``�.'t'S; Building or Structure � Strong Motion Fee: 1BSEISMICR $16.00 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $7.00 �SVBTOT $231$7,90TOTAL FEE.: 7,983 f 006 00 $ .00 . . ,.. Revised: 07/01/2013