14020042CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20800 HOMESTEAD RD
CONTRACTOR: MONTEREY
PERMIT NO: 14020042
CONSTRUCTION COMPANY
OWNER'S NAME: VILLA SERRA APTS
88 MONTEREY - SALINAS HWY STE A
DATE ISSUED: 02/10/2014
O R'S PHONE: 6509313400
SALINAS, CA 93908
PHONE NO: (831) 601 -2659
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
BUILDING 56 UNITS A - H REMODEL KITCHEN, BATH,
n
License Class Lic. # MZg7
ELECTRICAL SUBFEED, W/D HOOKUPS HOT & COLD
Contractor hOl•l`=A€y Date I rI 1 U
WATER
LINES FOR ALL (E) FIXTURES. 981 SQ FT PER
I hereby affirm that I am licensed under the provisions of Chapter 9
(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
APN Number: 32609073.20800
Occupancy Type:
Section 3700 of the Labor Code, for the performance of the work for which this
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 IT ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enter
S ALLED INSPECTION.
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
Is Date: 16
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
RE- ROOFS:
9 18.
,/
Signature / �se-"� Date Z d 2 Q L1
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
Signature of Applicant: Date:
I hereby affirm that I 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 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, 25533, and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
Owner or authorized agent: Date: 2 dl20/
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
CONSTRUCTION LENDING AGENCY
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
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
02/05/2014 10:4511try Construction Co. (FAX)831 455 7986 P.003/003
CONSTRUCTION PERMIT APPLICATIONv
COMMUNITY DEVELOPMENT DE=PARTMENT - BUILDING DIVISION n (fib
10300 TORRE AVENUE • CUPERTINO, CA 95014.3255
CUPERTINO (408) 777.3228 • FAX (408) 777 -3333 • bullding0cuoertlno.om
❑ NEW CONSTRUCTION 13 ADDITION ❑ ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT O
78160" lomestead Road, Bullding # , Units APNN
age a Apartments pHO660) 931.3400 EAU'
'T1 86lo WorfoIk Stre et, # 150 cb9=811eo, CA 94403 FAX
Ua Mtn W'ng�t PHONE
(650)_931-3400 tmwneht@prometheusreg.com
STREITTADDRESS CrrY,WATE ZM FAX
1900 So. Norfolk Street # 1a5�0 San Qeo CA 94403
C3 OWNER Q�❑ OwNE"UMDBR L1 OWNER AGENT ❑ CONTRACTOR O CONTRACTOR AOM ❑ ARCturecr Cl amum& ❑ DEMMOpER ❑ TENANT
QIUfl�rd�t[eg8 LtcE�I�4Nr,2t@ER LICENSE.TYP6 BUS. LIC0
IVlontereTonstruction Company Sin9(7mryconstruction.com �j
(01) 456 -7986
r�ontereB9•S811nas H CIY.STATE,ZIP PHONE
Suite A 831 455 -7931
ARCUMCraWNPERNAME LICENSE NUMBR BUS. LIC N
COMPANY NAME &MAIL
FAX
STREET ADDRESS CITY, STATE, ZiP PHONE
ffemove 9crep(ece kitchen & bath cabinets. Replace electrical sub anal & subfeed. Install new W10 & hookups.
Run new hot & cold water lines for all existing fixtures. Add additional full bath within existing apartment footprint.
oP X \ hat Q Ntr \Q ca %
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L40STO NEW FLOOR name TOTAL
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APPROVALrsrR rrANNOAPPLIF ❑ No rtAMW ';,.II ' lh i FlJ;ilV�.B�' D.�:I'Bb:I . Y ►:'it jl !lIiIirIlj1 � i � ►I�•' '"i ' , 1 : I):i i jnl l, I jj ` �Il 11i�ljt : i`i', I IlII;:lII.�Ir I ►l I!l`�Il,! III II1_! P I, �i l7., 0. , T uA!,l!i' l. , " 1• tr,1!, 1 1►1i1l{ i ll1��11l�'5l1
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By my signature below, I certify to each of the fallowing: I am the property owner of authorized agent to act on the property owner's behalf. I have reed this
application and the information I have provided is correct I have reed the Description of Work and verity it is accurate. I agree to comply with all applteablc local
ordinances and state laws relating to building cansfruction, 1 authorize representatives of Cupertino to enter the above -id titled oportyy for inspection purposes.
Signature of AppticanVAgent:
Date:
SUPPLEMENTAL INFORMATION IMQUIRED
CIC TYPE•;aIr;c l y; r 1•.I., 111•,11,1
rIPr ;AN'CIIB�lfl1i11!i IPIIhhUi'r,I'•!Iltl'�i! If; li`I' i 11
New SFDorMultifami dwellings: ": ";, 1::1;,1'1 , „ ,,;,, I IIAOUitpiOSL�11 '.Illlili.,t{li;I,rli.liil•
Multifamily Utnge: Apply for demolition permit fbr •I” 1 �I I, I Id hill;Ci il!ii.iGi`;
existing building(s). Ij , I'
g(s). Demolition cltnit is Il�. ,.iiVFit'illrrcov�r 1.11 �I ,•I;!,,„ , � �IIIHUlLDtNG PLA RSVTEt%'� till i ,.,l.
p required riot to issuance of building I. 1 r • III ,:1 •'
P I tl!n , .I,i,;r ;I Irl jl'' 1..,11' 1 1 Il' Ili,; I ,:'I'll' n 1 p t• r L I ':y,
permit t� y1li4n,�:,� Iilil' Ir.l Ili;. I,,
p new building. !:� i1 I I ,.iII,I !. 111 n i hii 1 Il i•r,'d: ili6llil l A; ;till; I` Iij II � i�lllhl I
g• I � I;;.,,1:;. 1•I:,i,r
I�LAA1�MIy,O P1, � .REVIEW
_Commercial
� Bld s Provideacom P leted Hazardous Materials rorial sIl Disclosure
form Hazard ous Materials als are being used as art of this project. II I , I,O.?',:;I:' �:..i r ;:iIII S' 1 : iTA�.l ; A, ,R .! � ,rN.iO' .� e1 .! D; I .@ „ .r .,lA 4� ,;:1I•1i I.1' .t. ..DI.., '' : `II.'!liLl' lI ;i ;l, r ;.I.Il1 i II ' i l f I �;. II I ` :Ii I ' i,it _1•t ; .,j; I 'l,' I II ''l ,J; I . 1i I hIirI.l! II !.r�;•I �:; !;:, I l i Copy of Planning Approval Letter or Meeting with Plannin g prior t0 , ;I i 11;;j .I: ,I ' '; I: � ;j i" 1 1I 1,J i ; 1 1 , ; , :rII'S ,'.1 , '.; O1D I' . l . l lu'ai j:f ,I ;ll' ir,t t ' I+ : 'tiles1l 1 i„ 1i 1 ' 1 ' •, Ie , ,! 1 r•nt', i n.� L1l• I e ! l.'t I ►, d . I y t �ll 1;1 �I V,- I i: ,l :X1nJh, . I I1r I 91. . , 1 r I i id 161I I 11 ' 1 �1I11 ;; •I`I I' j•L ip ii!l . il I ; l IIi: llI ii ; yi1 l. l�R ►ll! I! I I l; .1I IIr�t :;1 . l " �n1) a I!. L II1I'l. ..i•iL,I
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submittal of Building Permit application. 1Ii w lg,AI
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B1dg4pp 2011,doc rev /std 03116111
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
NOTE. This estimate does not include fees due to other Departments (Le, Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc.). T hese_tees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11 -053 E . 711113) FEE QTY/FEE I MISC ITEMS
Plan Check Fee: $0.00 7,848 s.f. Remodel, Other
Suppl. PC Fee: Reg. 0 OTT-0.01 hrs $0.00 $9,154.00 1REMRES3
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee.-(j) Reg. ® OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
zAdmim'stralive /-'ee:
20800 Homestead rd 56
DATE: 02/05 /2014
REVIEWED BY: Mendez
11alADDRESS:
APN:
BP #:
*VALUATION: 1$160,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY Multi - Family Dwelling
USE:
Building is
>3 Stories 0 Yes (D No
PENTAMATION 1 R2REM
PERMIT TYPE:
WORK
BUILDING 56 UNITS A - H REMODEL KITCHEN BATH ELECTRICAL SUBFEED W/D HOOKUPS
SCOPE
HOT & COLD WATER LINES FOR ALL (E) FIXTURES. 981 SQ FT PER UNIT,7848 S.F. TOTAL
NOTE. This estimate does not include fees due to other Departments (Le, Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc.). T hese_tees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11 -053 E . 711113) FEE QTY/FEE I MISC ITEMS
Plan Check Fee: $0.00 7,848 s.f. Remodel, Other
Suppl. PC Fee: Reg. 0 OTT-0.01 hrs $0.00 $9,154.00 1REMRES3
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee.-(j) Reg. ® OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
zAdmim'stralive /-'ee:
O
Work Without Permit? O Yes (F) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non - Residential G)
Building or Structure Cl
F a vel 1)rar.°ronentradon Fees:
Strom Motion Fee: 1BSEISMICR
$16.00
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$7.00
5
�. ,' .,,..mot..
$ 23 00
$ 9,154.00 TOTAL FEE:
vim....
$9,177.00
Revised: 01/15/2014
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014 -3255
Telephone: 408 - 777 -3228
Fax: 408 - 777 -3333
JOB ADDRESS: ZO �"C46, 'PERMIT # v 0
OWNER'S NAME: PHONE # - —3 D a
GENERAL CONTRACTOR: o, . BUSINESS LICENSE #
ADDRESS:
CITY/ZIPCODE: a
*Our municipal code requi es,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 fallawina
✓
SUBCONTRACTOR
Cabinets & Millwork
BUSINESS NAME o
V BUSINESS LICENSE #
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
/Za /e-I
Date
03/06/2014 14:18 FAX 4085579463 1 001/002
t
I •
5 7 .fir -I F
C O==unity Devalopmemt
V/ 10300 Torre Avenue
Cupertino CA 95014
r Te! PhOw (408) 777 -3228
CUPEkTINO Fax (408) 777 -3333
Fuildin De artm -ent
JOB ADDRESS:
2��oa cs dC . ,dC PERMIT .#
OWNER'S NAME: Ll
road•c. PHONE # qo
GENERAL CONTRACTOR /Bone
I am not using any subcontractors:
Please check applicable subcontractors and ca_t�1�ee the followin , nformatio ru Date
SUBCONTRACTOR BUSINESS NAME SUS 'ESS LICENSE #
Cabinets & Millwork- -
Cement Finishing
Elect cal ---
2. A
acavation -�
i�Anr'tin o• � - .
Linoleum / Wood
Glass / Glazing
Heating
Insulation
Lathing
Mas�� ly
Omamental Sheet Metal
Roofing,
Septic Tank
Sheet Metal
Sheet Rock
Tile •—
Owner/
Gi o„:2 + ",•a
I'