13100119 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20800 HOMESTEAD RD CONTRACTOR:MONTEREY PERMIT NO: 13100119
CONSTRUCTION COMPANY
OWNER'S NAME: VILLA SERRA APTS 88 MONTEREY-SALINAS HWY STE A DATE ISSUED: 10/17/2013
OWNER'S PHONE: 6509313400 SALINAS,CA 93908 PHONE NO:(831)601-2659
❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG F ELECT F- PLUMB r—
License Class Lic.#
MECH RESIDENTIAL COMMERCIAL
Contractors
I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:BUILDING 45 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
formance of the work for which this permit is issued.
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:
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 180 DAYS FROM LAST CALLED INSPECTION.
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
Signature Date/0_7�_/_? Issued by: ��ig/✓ G, Date: 1-a •/7 f 3
❑ 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:
1,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(x)should I store or handle hazardous material.
Additionally,should I use equipment or devices which emit hazardous air
permit is issued. contaminants as defined by the Bay Area Air 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
hof' ed
wner o au� f 7
become subject to the Worker's Compensation provisions of the Labor Code,I must O�:3Z!/I �l!�►'
forthwith comply with such provisions or this permit shall be deemed revoked. Date:
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
10/16/2013 12:10 Mtry Construction Co. (FAX)831 455 7986 P.003/003
CONSTRUCTION PERMIT APPLICATION �l
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE-CUPERTINO,CA 95014-3255
C U P E RT 1 N O (408)777-3228•FAX(408)777-3333•building®cuoertlno,ofn
❑NEW CONSTRUCTION ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#
P 89Sb nestead Road, Building#L1 , UnitsA ►- APN1 3 260 R o �3 -ZcT�Ov
Vl a Ae rr a Apartments "'0 1650)1650 931-3400
51 Io orfolk Street,#150 o an' steo,CA 94403 F"'r
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STT REET ADDRESS ,STATE
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WelmovecN&°re oaace kitchen &bath cabinets.Replace electrical subpanel&subfeed. Install new W/D&hookups.
Run new hot&cold water lines for all existing fixtures. „
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By my signature below,I ccrtlty to each of the following; I Am the property owner or and orizod to act on r pro owner's behalf. I have road this
Opp and the information I have provided Is correct. I have road the Description of Work and verify It is a urn cone to comply with all applicable local
ordinances and stela Iowa relating to building ction. [au orize representatives of Cupertino to enter thea oveddentifded property for inspection purposes.
signature orAppiicant/Agent:
SUPPLEMENTAL WFORMATION REQUIRED , Date;
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BldgApp 2011,docrevfsedO3/16/!1
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 20800 HOMESTEAD RD DATE: 10/16/2013 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 1R2REM
USE: 1 >3 Stories 0 Yes Q No PERMIT TYPE:
WORK BUILDING 45 UNITS A- H REMODEL KITCHEN BATH ELECTRICAL SUBFEED W/D HOOKUPS
SCOPE HOT& COLD WATER LINES FOR ALL (E) FIXTURES. 750 SQ FT PER UNIT, 6000 S.F. TOTAL
1571dmb.Plan C.7mc{i`
a9E>t:�. f'e'rr�if I�c;r:.• �'.=tarnr...F'E:r,�rir I="tE: xI,z<..I'r>,�,�it�"E-z
P/Pf?4':I 1F.S"C3, zs.t? I;Ir..,z.rsp
It?,4{?, e'e: .fjal?3?b../d%q),.)"£:L'' i;16'.L;.
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 preliminar information available and are only an estimate. 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 SX. Remodel,Other
Suppl.PC Fee: (E) Reg. 0 OT f 0.0 hrs $0.00 $7,960.00 IREMRES3
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Feer Reg. 0 OT 0 0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
ee
Work Without Permit? 0 Yes (F) No $0.00
Advanced Planning Fee: $0.00 Select a Non-Residential
:Iravel.Doctlmentafion d ees Building or Structure 0
Strong Motion Fee: 1BSEISMICR $16.00 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $7.00
�T. ,T�LSw; $23.00 $7,960.00 _.u.' TOTAL FEE: $7,983.00
M
Revised: 10/01/2013
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: e PERMIT#- 1-3,
/D G
OWNER'S NAME: a er PHONE# V-3.1 S"5` -
GENERAL CONTRACTOR: BUSINESS LICENSE#
ADDRESS: alp d 1 CITY/ZIPCODE: GJ'
*Our municipal code requires all businesses wor 'ng in the city to have a City of Cupertino'business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) 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 information:
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 -
Own Contractor Signature Date