13110045 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20800 HOMESTEAD RD CONTRACTOR:MONTEREY PERMIT NO:13110045
CONSTRUCTION COMPANY
OWNER'S NAME: VILLA SERRA APTS 88 MONTEREY-SALINAS HWY STE A DATE ISSUED:11/12/2013
OWNER'S PHONE: 6509313400 SALINAS,CA 93908 PHONE NO:(831)601-2659
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIALL]
License Class Lic.# -1 BUILDING 68,UNITS A-H REMOVE&REPLACE
KITCHEN
Contractor J 1 Date �—�.2 &BATH CABINETS.REPLACE ELECTRICAL SUBPANEL&
I hereby affirm that I am licensed under the provisions of Chapter 9 SUBFEED.INSTALL NEW WASHER/DRYER&
(commencing with Section 7000)of Division 3 of the Business&Professions HOOKUPS.RUN
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
J�[\ Section 3700 of the Labor Code,for the performance of the work for which this APN Number:32609073.20800 Occupancy Type:
Cil 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 DAYS FROM 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 Issue Date:
with all non-point source regulations per the Cupertino.Municipal Code,Section
9.18..
RE-ROOFS:
Signature Date All roofs shall be inspected prior to any roofing material being installed.If a roof is
j installed without first obtaining an inspection,I agree to remove all new materials for
inspection.
❑ OWNER-BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm that d am exempt from the Contractor's License Law for one of
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 %e Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sectio 2 O5, 533,;' nd 25534. P p
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized nt: Date: �4^a r
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
11/07/2013 13:04Mtry Construction Co. (FAX)831 455 7986 P,003/003
CONSTRUCTION PERMIT APPLICATION a�
im COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3266 `\
CUPERTINO (408)777-3228•FAX(408)777-3333•bulldlnn8cuoertlno,oro
NEW CONSTRUCTION ADDITION ❑ALT73RATION/TI REVISION/DEFERRED `ORIGINAL PERMIT N
P18960" omestead Road, Building#SCfj5_, Units Q APN d !- U cf O 5'-3 . Z-&2300
Villa Aerra A artments PHO. e, u,
650)931.3400 I MA
'T51119o;Torfolk Street,#150 cFdnWateo,CA 94403 FAX
D I W*t P ON8
650 931-3400 Jd�mw�lght@prometheusreg.com
STREET ADDRESS CITY,STATE ZIP FAX
1900 So. Norfolk Street #150 San Mafeo CA 94403
Cl OWNER 0 OWIMMU1LDE1t 8 OWNER AGENT 0 CONTRACTOR 13 CONTRACTOR AGENT ❑ ARCWTECr t0 ENGINEER 13 D8V8LOPE1k 0 TENANT
ATc a"rd`� tega E LiCEti$13] ER LICENSIgrYpg BUS.L1C ot
MPANY NA 686685•M1AA
onterey"�onstruction Company &4%mryconstructlon.com (611)455-7986
fleT ADDRESS CITY,STATE,ZIP PHONE
Monterey-Sallnes Hwy.,Suite A QA 93908 (8311455-7931
ARCHITRCr/ENGINEERNAMS LICENSENUNMER BUS.LIC 0
COMPANY NAMD E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
Remove tYore°face kitchen&bath cabinets.Replace electrical sub anal&subfeed. Install new W/D&hookups.
Run new hot&cold water lines for all existing fixtures. X - $:-
•
CZ
EXISTING USE PAOFOSEDUSE CONSTR TV" /STORIZI 'ai
PXISTO NEW FLOOR DEMO TOTAL
AREA AREA AREA
NUTAREA
DATRROOM WTCIIEN OTMM
REM
0DBLAREA
REMODL'LAREA RP•MODELAREA !':jl,i�:']L;�'' .,r,:.::, ',.I I'�:dr A.'.%' ''r''.II' !..;,:"I:is..,:.I'li'•:1::t'',::il..i;!•
POACHAREA DDCKAREA TOTAL DECIC/PORCHAREA OARAGEAREA:O DETACH :i;c,":
10 ATTACHW.
'. !;. I'11'.'
NDWELLINO VMS! IeAACCO"Unrr yo SK eroky 13YEA :!I:.I".':,i .:I':':1'.'.�:.;: •.,.'.': '.::' •:, '.
eclNe
ADDCot [3 No ADDtnont NO ! ;, i I:•„'r,i :.,:I;::' i i':;'i :• :!i:";:;:illi:�j::1:1!';:I:
PRO-APPLICATION ❑Yas m Yes.PROV08 COPY or PIANM S KAML, .. .
MANNING APPLE No PLANdIND AM'RovnLt.ErTaRDY'�::; •' :' " 'I•i �'..?OPIIA,C•V�i' i' "`''•i''
By my signature below,I certify to ouch of the following: I tun the property owner or a e o ac n e property owner's behalf. I hav read this
Application and the information I have provided is correct I have read the Description of W and verify' courote. I agree to comply with all applicable local
ordinances and state laws relating to building etion. I authodse representatives of Cupertino to entiKtho above-Identified property for inspection purposes.
Signature ofApplicant/Agenl: Date:
SUPPLEMENTAL INFORMATION REQUIRED I' '•
CHECK
LAN CITE n ., ��.,. c.':' ,.:•,
TYP6:!��; .,'l �%,��;i';!.,,,I:.;•�:AOt1TRtOBLIP:'.:�.':.�;��� �i�l:'.:
Now SFD or Multifamily dwellings: Apply for demolition permit for '' '! i'.' ”;!.i•.;
existing building(s). Demolition permit is required prior toissuance of building :•vER-TuF'C6UXTER;'::'; ,i I;;;'( i: i,
DUII.DIriG Pi'AN Revr1:W
:; .:;..I.
permit for new building. .
r:l .': ", „:,i :!::';r'<''.:ii•:.`''; :.'
1.. ..,......'.; Cl PWNN[NG:PLANRXVIEN:'',I(,:'':,
_Commercial Bldgs; Provide a completed Hazardous Materials Disclosure "''
!.Q:
-,,STANDAR
form if any Hazardous Materials are be
Ing used as part of this project. :�::is•'` � .!'.:�...,�..,!:.,. . •:�!::...:•.,..�;:;�.;
'FJR9n;,E. Y 'CoPY of Planning Approval Letter or Meeting with Planning prior to []submittal of Building PermitsppllCatton. Ew';
i 'I:'„.:II.;'.I,•::'i:,:
STRICT
,�:`SANITAR
i'`' " ,:I .•:n;. O ENVIttONMENTAt:TIF.ALTII.!
01dgApp 2011.doe revised 03/16/11
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 20800 HOMESTEAD RD#68 DATE: 11/07/2013 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 1 R2RE i
USE: 3 Stories ® Yes Q No PERMIT TYPE:
WORK BUILDING 68 UNITS A— H REMOVE & REPLACE KITCHEN & BATH CABINETS. REPLACE
SCOPE ELECTRICAL SUBPANEL& SUBFEED. INSTALL NEW WASHER/DRYER& HOOKUPS.RUN NEW
F1'C�?, c i"i;1Z71-£:a: �>J€fn; ..��£:ID d.l I'�ee
lw>;. 0"he r 1''€md.'Ir€q)'
'Afe h,/h4/=, f sa 1'`aa,yt3.11:. 3.Fee;
NOTE:This estimate does not include fees due to other Departments(Le.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 addh 7 in o.
FEE ITEMS (Fee Resolution 11-053 E . 7/1113) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 7,848 s.f. Remodel,Other
Suppl.PC Fee: (E) Reg. 0 OT p•0 hrs $0.00 $9,154.00 IREAaES3
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl.Insp.Feer Reg. 0 OT 0.0 1 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
C;onc€#Zit.'77tsdZ . t€
.,'"..Ldfetiinistranft%i' 't';
Work Without Permit? ® Yes (E) No $0.00 G
Advanced Planning Fee: $0.00 Select a Non-Residential Q
p
I7"t I�'F--'l.�)rJ('IfmL;€'ItCSPIBuilding or Structure 0
Strong Motion Fee: IBSEISMICR $16.00 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC $7.00
h s $23 00 $9 154.00 !";;;; , TUTAL'FEE: 9 177.00
Revised: 10/01/2013