14030047 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20800 HOMESTEAD RD CONTRACTOR:MONTEREY PERMIT NO: 14030047
CONSTRUCTION COMPANY
OWNER'S NAME: VILLA SERRA APTS 88 MONTEREY-SALINAS HWY STE A DATE ISSUED:03/06/2014
OWNER'S PHONE: 6509313400 SALINAS,CA 93908 PHONE NO:(831)601-2659
LICENSED CONTRACTOR'S'DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL
BUILDING 57 UNITS A-H REMODEL KITCHEN,BATH,
License Class Lic.# ELECTRICAL SUBFEED,W/D HOOKUPS HOT&COLD
WATER
Contractor Date 9,/U—2U/�4 LINES FOR ALL(E)FIXTURES.750 SQ FT PER
I hereby affirm that I am Lensed 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
Section 3700 of the Labor Code,for the performance of the work for which this APN Number:32609073.20800 Occupancy Type:
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 DAY T 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 3 to
granting of this permit. Additionally,the applicant understands and will comply ed b
with all non-point source regulations per the Cupertino Municipal Code,Section
9 18.
RE-ROOFS:
Signature Date 7-/O—ZO 1 4 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 Q;
Owner or authorized agent: V ate: 3"10^2O/
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
03/06/2014 12;03Mtry Construction Co. (FAX)831 455 7986
P.
APPLICATION P.003/003
CONSTRUCTION PERMIT
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COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION O
10300 TORRE AVENUE•CUPERTINO,CA 95014-3265
CUPERTINO (408)777-3228•FAX(408)777-3333• Idin u a ' o
NEW CONSTRUCTION d ADDITION ALTERATION/TI F71 REVL9ION/DFNERRED ORIGINAL PERMR t!
7895Momestead Road, Building# ,Units a- APN" 3 Z60y0�13, Z-0-3O
Ira ge a Apartments PHOrrg650 931-3400 EMAIL
s I���I' orfolk Street,#150an�iatZIP CA 94403 FAX
VavTADDR rIg SS "(970 931-3400 dmwrighteprometheusreg.com
STREET ADDRESS CITY,srwTB,ZIP
1900 So. Norfolk Street #150 San Mateo CA 94403 FAx
0 OWNER O OWN=4Va.DER oWNERAOBNr O CONTRACrOR 17 CON UCTORAOENT ❑ ARCRrrECr ❑BNOINYER 13 DMLOPER O TENANT
AQch r� `aga WCU�11dgER LICENSFYPB BUS.LIC"
MOrltere Atr onstruction Com an 5Z�9977
CA
93908
Y benamryconstruction.com (101 455-7986
ET ADDRESS CTIY,STATE,ZLP
onterey-Salinas Hwy.,Suite A 831 455-7931
ARCHRBCTIENGIVEER NAME LICENSE NUMBeR
BUS.LIC"
COMPANY NAME 11-MAIL
FAX
STREIrr ADDRESS CITY.STATE,ZIP
PHONE
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oveN&Orep�ace kitchen&bath cabinets. Replace electrical sub anal&subfeed.Install new W/D&hookups.
new hot&cold water Ones for all existingfixtures.
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By MY signature below,I cerdfj to each of the following: 1 am the property owner or auther►zcd agent to act o the propo Br's behalf. I hevo read thl9
application and the information I have provided Ia correct. i have reed the Description of Work and verify it is acc Egree to comply with all applioable local
Ordinances and state laws relating to building ction. 1 au orize representatives of Cupertino to enter the ebovodde�tifiod roporty for inspection putposos.c
Signature ofAppliconNAgent: Date; 1p I
SUPPLEMENTAL INFORMATION REQUIRED i'1i1?`q!a :;'!'I'l
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tia,"ouriNce IP,ICHBCNew SFD of Multifamily Apply demolition trait for OVET .cexisting building(s). Demolition permit is required rior to lstarce of building „n"uuo c?raviEvirwli;I•^;,I.l i!,:
permit
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C,ommeroial Bldgs: Provide a completed Hazardous Materials Disclosure I;i:'�LQI�:;',:.,..Llf�;�.ri..LS.,iiTj,vlrlAi,:'a;,iINi',l":lDl,•.I lAl'I,tir.RI''L!'.I lJi;.i):,.!ii,i:I I��.:,i'i..l;t;:1lIlII`l,'I;,i�i.I1II;ia::•,'.•I.,�I.:;,.I•4,.I 11d"r. 1;;;1•11't' iI'L�O,:d+;�PD:1,.L,..'r:IiC•i ,W; lO,' A
.1Cd;lBfm If any Materials are being used a9 8rofthis project. ,t�!;t';i 1RI11>,:i:�li,.'s„.Ilvi.i„'f•si B,I111w1'1:r:1,u:;,:.l�iI;!;lI�I1'Il:;i';.'l,''I�.,!.'.�.,'
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Bldgdpp_2011,doc revised 03/!6/1!
CITY OF CUPERTINO
FEE ESTIMATOR— BUILDING DIVISION
ADDRESS: 20800 HOMESTEAD RD BLDG 57 DATE: 03/06/2014 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 (F) No PERMIT TYPE:
WORK BUILDING 57 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
d",
r - e a BaAl
a i S
Vech.1'10. (,7ie6" 1'luiipb..€ aii t,>IZeci. Yit•C,z (�C1D%C�i7L'L;fl
zd>.C:t?, s .11lliml ..��E:ow, 1-£ee x tn•:.}�n3}iEiY ti`r'e:
Otl ei :veer:=a.lav_ t M<? .Phf'q.1>Irrip, 0!her 1-'7'-;c'1"nsp.
rsde£:.1,i.:f,.7 e
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 prelimina information available and are only an estimate. Contact the De t or addn'I in %
FEE ITEMS (Fee Resolution 11-053 E . 711113) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 6,000 s.f. Remodel,Other
Suppl.PC Fee: 0 Reg. ® OT 0.0 1 hrs $0.00 $7,960.00 IREMRES3
PME Plan Check: $0.00
Permit Fee: $0.00
Supp/. Insp. Fee Reg. Q OT0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Construction ion Tox.
Work Without Permit? 0 Yes (E) No $0.00
Advanced Planning Fee: $0.00 Select a Non-Residential G
Travel Building or Structure 0
Strong Motion Fee: 1BSEISMICR $16.00 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC 1 $7.00
$23.00 $7,960.00 .. TOTAL FEE:; $7,983.00
Revised: 01/15/2014