14030046 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20800 HOMESTEAD RD CONTRACTOR:MONTEREY PERMIT NO: 14030046
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 41 UNITS A-H REMODEL KITCHEN,BATH,
License Class Lic.#?2'�S Z�') ELECTRICAL SUBFEED,W/D HOOKUPS HOT&COLD
ZO1`,
I TWATER
Contractor VI I1A_VE t?1 1 Date 3 LINES FOR ALL(E)FIXTURES.750 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
Mt 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 DAYS FRO LED 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 Iss
with all non-point source regulations per the Cupertino Municipal Code,Section
9 18.
RE-ROOFS:
Signature —Date 3"IO—ZO/t4 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. 1 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 25505,2255533,,and 255.,3._4.
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: +�-�C�'— i—v�.� Date: .3 yo"ZmA(
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 12:02Mtry Construction Co. (FAX)831 455 7986 P,002/003
CONSTRUCTION PERMIT APPLICATION O
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE,CUPERTINO,CA 95014-3255 �O
CUPERTINO (408)777.3228•FAX(408)777-3333•bulldinaf euoertino.ora \
NEW CONSTRUCTION ❑ ADDITION ALTERATION 177 REVISION/DEFERRED ORIGINAL PERMIT 0
P181bbwomestead Road, Building# , Units — 260-0)o �-3, Z,02 C)C
T Mia ge a Apartments '01650)931-3400 E-MAI
TWAN` Orfolk Street,#150 lyins7stenop,CA 94403 FAX
DeIA
VI Wflgllt P ONE AIL
660 931-3400 Nwrightaprometheusreg.com
STREET ADDRESS CITY,sTATB,21P FAX
1900 So, Norfolk Street #150 San Mateo CA 94403
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oPANYNAoterey BnMnnstructlon Companybemyconstruction.com
�` 1)455-7986
8 ontereSS•Sallnas Hwy„ Suite A CITY,STATE,zip PHONE
Sl1inas. CA 93968 831 455-7931
ARCHrMCTMNOINEER NAME LICENSE NUMDBR BUS.LIC r
COMPANY NAME 11-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
Removal&ore laa`ce kitchen&bath cabinets.Replace electrical subpanel&Subfeed. Install new W/D&hookups.
Run new hot&cold water lines for all existing fixtures, X
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By my signature below,I certilj'to each of the tbllowing: lam the property owner or authorized ct on the property owner's behalf. I have read this
application and the information I have provided is correct i have read the Description of Wor erify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building coon. i ou orize representatives of Cupertino to enter the above-ld 6 edroperty far Inspection purposes.
Signature of Applicant/Agont: Date:
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91dgApp 2011.doc rsvlsed 09/16//1
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 20800 HOMESTEAD RD BLDG 41 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 TPENTAMATION 1 R2REM
USE: 3 Stories 0 Yes � No PERMIT TYPE:
WORK BUILDING 41 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
ter.
M1, r v s 1a10 ��
Plu€b.Piaui g'he£E A
::zE'Cd1. r;t:'i"PPrIF/'('£?: s:€Pf'P.. . rn<'.
"-L- C}alae€.pi€r"r€h I"'sP' t;!her•t,.....lns)Y
ltfcE: . In 4=. aye: f`rr?nr3.Ir?s�J..1'£�e ?s ec.'Mr';. E�Ec:
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 preliminar information available and are only an estimate. Contact the De t or addn 7 info,
FEE ITEMS 6Fee Resolution 11-053 E . 711113,) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 6,000 s.f. Remodel,Other
Suppl. PC Fee: (F) Reg. ® OT0.0 hrs $0.00 $7,960.00 1RE aES3
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee-.0 Reg. ® OT 0,0 1 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Work Without Permit? 0 Yes (j) No $0.00 G
Advanced Plannin&Fee: $0.00 Select a Non-Residential 0
Building or Structure
�
Strong Motion Fee: IBSEISMICR $16.00 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $7.00
�
i ;
$23.00 $7,960.00 �OIJ FEE: $7,983.00
Revised: 01/15/2014