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13090124 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20800 HOMESTEAD RD CONTRACTOR:MONTEREY PERMIT NO: 13090124 CONSTRUCTION COMPANY OWNER'S NAME: VILLA SERRA APTS 88 MONTEREY-SALINAS HWY STE A DATE ISSUED:09/17/2013 OWNER'S PHONE: 6509313400 SALINAS,CA 93908 PHONE NO:(831)601-2659 LICENSED CONTRACTOR'S DECLARATION I— r BUILDING PERMIT INFO: BLDG' ELECT PLUMB License Class Lic.# �v MECH r— RESIDENTIAL J_ COMMERCIAL� Contractor Date*1. I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:BUILDING 30 UNITS A-H REMODEL KITCHEN,BATH, (commencing with Section 7000)of Division 3 of the Business&Professions ELECTRICAL SUBFEED,W/D HOOKUPS HOT&COLD WATER Code and that my license is in full force and effect. LINES FOR ALL(E)FIXTURES.750 SQ FT PER UNIT, 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. 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 Sq.Ft Floor Area: Valuation:$160000 permit is issued. APPLICANT CERTIFICATION APN Number:32609073.20800 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 18O DAYS FRO CALLED INSPECTION. with all non-point source regulations per the Cu ino Municipal Code,Section 9.18. s, q ��►,,,/.v Signature Date Date:--�-� ` ❑ OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for 1,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Applicant: Date: I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE, Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued, California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined b the Ba Area Air y y Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534. 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 Owner or au r' ed forthwith comply with such provisions or this permit shall be deemed revoked. Dater APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct. I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address costs,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. I understand my plans shall be used as public records. Signature Date Licensed Professional 09/16/2013 12:27Mtry Construction Co. (FAX)831 455 7986 P.002/002 CONSTRUCTION PERMIT APPLICATION Im COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION 0 10300 TORRE AVENUE-CUPERTINO,CA 9601+3255 CU PERTINO (408)777-3228-FAX(408)777.3333-buildina(dlcupertino.org \� ❑NEW CONSTRUCTION ❑ ADDITION ❑ALTERATION/T1 ❑ REVISION/DEFERRED ORIOINAL PERMIT!! P1898WOmestead Road, Building#20 Units�1EA �" Q '0,R00 IVIFI ger Apartments IL 931-3400 E-MAIL 61"�i��ARKWorfolk Street,#150 °San�lateo,CA 94403 FAX J?aNT 0AAright PHONE N1AtL, 650 931-3400 �t(Iwnght@prometheusreg.com STREET ADDRESSCn Y,STATE ZIP FAX 1900 So. Norfolk Street #1+50 San Ma4eo CA 94403 13 OWNER C3OWNER-DUILDER 0 OWNBRAOENr ❑ CONMACrOR 13 CONTRACTOR AGENT ❑ ARCWIECT ❑ENOM9R ❑ DEVBLOPPR U T914ANT ,C,a erd Kega LICEL4$aI311M@6R LICENStgTYPE I BUS.LIC N rMoontereAtonstructlon Company benl&mryconstruction,com (91)455-7988 T ADDRESS CITY,STATE,ZIP I PHONE $ lonterey-Salinas Hwy.,Suite A 831 455-7931 ARCHrIECT/ENGINGER NAME LICENSH NUMBER BUS.LIC V COMPANY NAME E-MAIL PAX STREET ADDRGSS CITY.STATE,ZIP PHONE Remove°N&°replace kitchen&bath cabinets.Replace electrical sub anal&subfeed. Install new W/D&hooku s, Run new hot&cold water lines for all existing fixtures. \ a 6 U-oo, SCA.Co ExlsnNo use PROP09E0 Use COMM TYPE I r sroR>e Ic BXISTO New FLOOR DEMO TOTAL, AREA ARRA AREA NET �",i'::::'.,:.:; '.'''i,:. i��,;'j, .:i.; '�: :;:.' :•I�•' BATHROOM KITCHEN OTM R¢Men1TLAROA RPM D9LAR6A REMODSLAREA PORCH AREA DECK ARBA TOTAL DBCKIPORCH ARBA GAIiA(la AREA:❑DETACH .`i. 'I' •i"" '�' 't i; ATrAci 1rDM'ELLn10U=d: IBABLCOND UNIT ❑YSH /[GO"S"RY E3 YES :. BBINOAODIDt NO ADDITION} NO •f,'L,I ,:.�j:l•:r i, :'i:..'. PREAPPLICATION ❑YE! D'YES.PROVIDE copy orPLANM'11 NAMEI �46 '. . TAtJV PLANNNO APR./ 13 No PLANNM APPROVALLErrER By my slgnnturc below,I cetyl fy to each of the fbllowing: I am the property owner or authorized agent to act o t propenylI owner's behalf. I have read this Application and the information I havaprovided Is comet. I have road the Description of Work and verify it is urate, lea a to comply with all applicable local ordinances and state laws relating to bullding etion. 1 su OTizo representatives of Cuportino to enter the above-i antihed roperty for inspection purposes. Sfgnature of Applicant/Agent: Data: q SUPPLEMENTAL INFORMATION REQUIREDr<.RollTlNcsrre.= _Now SFD or Multifamily dwellings: Apply for demolition permit for `••f existingbuilding(s). Demolition 9 l? g - OVEA-T1tl:C0UNTER, :DU IUDINGPLANREVIEW permit is me ulmd prior to Issuance of building permit for new bullding. Q EXPAEtia•_:: "' �' '':"•`.�:i. "PLANNING PLAN REVIEW::• . _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. �'':LAROB:'; ':: ❑:FIRE DEPT.. Copy of Planning Approval Letter or Meeting with Planning prior to :3 CT ❑ MAJOR.. li sANirARY 6BW&R DIS TRI submittal of Building Permit application. : . ENVIRONt.MNTA1:HEALTIr. 1dgApp z011.doe revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 20800 HOMESTEAD RD DATE: 09/17/2013 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 I PENTAMATION 1 R2REM USE: 3 Stories Q Yes (E) No PERMIT TYPE: woRK BUILDING 30 UNITS A- H REMODEL KITCHEN BATH, ELECTRI AL SUBFEED W/D HOOKUPS SCOPE HOT&COLD WATER LINES FOR ALL (E) FIXTURES. 750 SQ FT PER UNIT, 6000 S.F. TOTAL I as i k ,o M1 ,. "� 1371imh..1'yermil J"ee. 0�her,Plurnhbqj), LJ Pum I sus,l ee; I E�r:. hut ":'ee. NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Wo r ,Fire,Sanitary Sewer District,School District,etc.). These ees are based on the prelimina information available and are only an esti ate. Contact the De t or addn'l info, FEE ITEMS(Fee Resolution 11-053 E . 7/1113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 6,000 s.f. Remodel,Other Suppl.PC Fee: Q Reg. ® OT0,0 hrs $0.00 $7,960.00 IREMRES31 PME Plan Check: $0.00 j Permit Fee: $0.00 Supp/. Insp. Fee-0 Reg. ® OTQ,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee: $0.00 Selecte a Non-Residential Travel ill 4Building or Structure Strong Motion Fee: IBSEISMICR $16.00 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $7.00 $23.00 $7,960.00 , , TUTAI.FEE: y..' .._ $7,983.00 Revised: 08/01/2013 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 C O P E RT I N O Telephone: 408-777-3228 Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: ZOBOOH3� PERMIT# _ Q Z OWNER'S NAME: V it tA ✓••• PHONE# GENERAL CONTRACTOR: C BUSINESS LICENSE# ADDRESS: CITY/ZIPCODE: *Our municipal code requirg all businesses Working in the city to have a City ofCup ertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL. BE 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 informa_to`n 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/ ontractor Signature Date