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13100118 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20800 HOMESTEAD RD CONTRACTOR:MONTEREY PERMIT NO: 13100118 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 DECLARATIONf— /� BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class /J Lic.4 ee-s L �� // n �� MECH RESIDENTIAL COMMERCIAL Contractor f'��/QYI&f-em (FJYl Date 10 _/ G� I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:BUILDING 34 UNITS A,C-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: 1 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. 1 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:$140000 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 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. L j Issued by: ��/� ��]rli�Z Date: 1141-17-1-3 Signature � Date d�� ❑ 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 I,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: HAZARDOUS MATERIALS DISCLOSURE [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 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 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 become subject to the Worker's Compensation provisions of the Labor Code,I must Owner or.utho ' Ed age forthwith comply with such provisions or this permit shall be deemed revoked. �{�Date: l�— APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that 1 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 12:10Mtry Construction Co. (FAX)831 455 79886 P.002/003 CONSTRUCTION PERMIT APPLICATION \ v COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION D� 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 �\ CUPERTINO (408)777-3228-FAX(408)777-3333•buiidingglicuRertino,ora ❑NEW CONSTRUCTION ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# P 8 8S1estead Road,Buuaing#&A_, units C- ""III o ZO&�v BR AM$ �/`i�a Sarre Apartments PRO 931.3400 E.MAa 8blo"gorfolk Street,#150 c'�anVateo, CA 94403 FAX s avid ii�rr �it P 850 931.3400 dmwright@prometheusreg.com STREET ADDRESS -rY,STAT11 ZIP FAX 1900 So, Norfolk Street #150 San Mateo CA 94403 ❑owmRR13 OWNER-nuILDER N owmAoENT C3CONTRACTOR 13CONTmcrGAA0ENT t3 ARclincT 13EAODJEBR ❑ DEVELOPER 13TSNANP IC 3fp fiega LICL'�N�ER LICENSPePS BUS.LIC Y 5o t ray Construction Companyt en'fimryconstruction.com t] (91)455-7986 lone ey-Salinas Hwy., Suite A CITY,STATE,ZIP PHONE §alinas.CA 9a908 831 455-7931 ARCHITECT/BNOINEER NAME LICENSE NUMBER BUS,LIC 4 COMPANY NAME E, � PAX STREET ADDRESS CITY,STATE,zIP PHONB iemoveN&orpace kitchen&bath cabinets.Replace electrical subpanel &subfeed. Install new W!D&hookups. Run new hot&cold water lines for all existing fixtures. co c� , LXISTINOUSE PROPOSED USB CONSTR TYPE MSTORIES QF BXISIG NEW FLOOR DEMO TOTAL I;.' '::'I:, ., ::,• .l ;;; n,,.,,;. AREA AREA AREA NBI'AREA BATHROOM RTrCHEN OTIiaR RDMODBLAREA REMODEL AREA REMODELAREA ''I%,:� `!'c;:.,i"'i'..:.,,�` ::':i:l�.�,;.::'.i:;�'�': .',;:,;::;:ii �;,•,:'.;':�� i.;,,' PORCH AREA DECK AREA TOTAL DR(MMORCH AREA GAtiAOB ARBA O pBTACH : ATTACK .,��.:::.ij:;,;.,:•. •:'. ,. i'`• '.:.,: ,��i I.. I . abWaLU+ouNlrs; nAs[CONDYNrr yes secoNoslbRY OvPa .i�';:i:'::', i.;: ;< ' 6.,• ::'.:.,.:, ![INC ADDaDT NO AOOrr10NT NO 1..,.: ;.:,'.:, i'!: ,.,;: .,,:�J i '�;;;;':i.,::::, ',�� •:� 11 =-APPLICATION E3 vas sYes.PROVD COPY OF' PLAHSNA►G7 . TO�T, V, PUNNMOMFLN (3 No PwvNaOAPPROVAL LeTreR A ' 11��..�•• ,'.` .:��:.'�; By my signature below,I certify to each Of the following: I am the pmporry owner or au orize ag act on the proporty owner's behalr. I have read this application and the Information 1 have provided is correct, I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building CA41guction. 1 au orize representatives OF Cupertino to enter the above-Identified property for,inspection purposos. Signature of Applicant/Agent: Date: SUPPLEM44 ENTAL INFORMATION REQUIREDI Rourtx PLAN CHECK.TYPE':'i::;i;:.:.. ::.',,.:::,.,..�i' G SLII.::•.•, _New SFD or Multifamily dwellings: Apply for demolition permit for ;• i I'C) OVEis1ri :COUNTEn- °:_''; ; 1'I�;�BUILDING PLAN REVIEW existing building(s). Demolition permit Is required prior to issuance of building :.i - ::..;; : .:,:; i. permit for now building, i. EXPRESS _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure " �� P I�.T PODt iC WORKS.'.-!;'•;'.; .:. : form If arty Hazardous Materials are bean I STANDARD i r ;": g used as part of this project. ,;�;�,,.: , �: ':.' �::: i-� ,' :r.;r;: ... . LARGE Co of A .I.':FIRE'DEpI PY g Approval Letter or Mewing with Planning prior to �`` :��. .:'' ,r' ;' : '''`''` �' :' , •; submittal of Building Permit application. ::! ,M D[AJOR•..:;;:' ,':: !.Q''SANITARY6EWEADISrRICr'.•,'. . -ENVIRONMENTAL'IIF.1L711",�a�::!. BldeXpp 201 Ldoc revised 03/16/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 20800 HOMESTEAD RD DATE: 10/16/2013 REVIEWED BY: MELISSA APN: 32609073.20800 BP#: *VALUATION: 1$140,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY Multi-Family Dwelling Buildina is PENTAMATION 1 R2REM USE: 3 Stories 0 Yes (j) No PERMIT TYPE: WORK BUILDING 34 UNITS A C - H REMODEL KITCHEN BATH ELECTRICAL SUBFEED, W/D SCOPE HOOKUPS HOT& COLD WATER LINES FOR ALL (E) FIXTURES. 750 SQ FT PER UNIT, 5250 S.F. OR V£.,:k 1 att{;,'%SC:K fllzw F1sr:h. 11< -Pp�af Fee" F'?rrr�n..1'c:�,arzt > ah/°.-":': vftc:=2, Chian, llhr r:hlrrs',n. --Ifech' lrls�p' Fle" NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). Theseees are based on the prelimina information available and are only an estimate. Contact the De t or addh I info, FEE ITEMS (Fee Resolution 11-053 E . 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 5,250 s.f. Remodel,Other Suppl.PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 $7,562.00 1,,;MRES3 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Feer Reg. ® OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Permit? 0 Yes (j) No $0.00 G Advanced Planning Fee: $0.00 Select a Non-Residential Building or Structure 0 Strong Motion Fee: IBSEIS111ICR $14.00 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC 1 $6.00 $20.001$7,562.0011" = TOTAL FEE; 1 $7,582.00 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: .F4,p 967ERMIT# 19Z 45� OWNER'S NAME: PHONE# 773 GENERAL CONTRACTOR: GN j e•z�; ✓ N . BUSINESS LICENSE# ADDRESS:� CITY/ZIPCODE: pD% *Our municipal code requires all businesses working 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 Owner Contractor Signature Date