14030167 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20800 HOMESTEAD RD CONTRACTOR:MONTEREY PERMIT NO: 14030167
CONSTRUCTION COMPANY
OWNER'S NAME: VILLA SERRA APTS 88 MONTEREY-SALINAS HWY STE A DATE ISSUED:04/08/2014
OWNER'S PHONE: 6509313400 SALINAS,CA 93908 PHONE NO:(831)601-2659
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTI N:RESIDENTIAL COMMERCIAL
BUILDING S UNITS A-H REMODEL KITCHEN,BATH,
License Class 7R Lic.# ELECTRICAL SUBFEED,W/D HOOKUPS HOT&COLD
WATER
Contractor 11 p (priLST}-- Date. /�1Z26 _ 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
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 EXPIRE F WORK IS NOT STARTED
correct.I agree to comply with all city and county ordinances and state laws relating WITIHN 180 DA S OF IIERMIT 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 A LED INSPECT ON.
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the Issued b
granting of this permit. Additionally,the applicant understands and will comply Y Date:
with all non-point source regulations per the Cupertino Municipal Code,Section
9 18.
_,� RE-ROOFS:
/r(h
Signature YZI/ , __Date_ - 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:
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
03/27/2014 12:08Mtry 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
CUPERTINO (408)777-3228-FAX(408)777.3333-bulld!ng(Mcuoertlno,om
❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT 0
181950�omeetead Road,BUllding# , Units — APNr 3 Z — v�
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raApartments PH01650 931-3400 E-MAIL
1MTOR orfolk Street,#150 °'fan Mateo, CA 94403 Fax
u�'r`At P"�60 931-3400 dmw
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STREET ADDRESSCITY,STATE ZIP FAX
So. Norfolk Street #1550 San Ma4eo CA 94403
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h CF18 Q RegB uCHH ER L1C8NTYHus.ttc Y
ontey�onrnstruction Company bbmryconstruction,com 991 455-7986
TR6HT ADDRESS CITY,STATE,ZIP PHONE
98 Monterey-Salinas Hwy.,Sulte A (8311455-7931
ARCHITEUrNNOINEER NAME UMSE NUMBER BUS,Uc Y
COMPANY NA 9 6-MAIL. FAX
STREET ADDRESS CrrY,STATS,ZIP PHONE
PCMoveN&Orepa'ce kitchen&bath cabinets.Replace electrical sub anal&subfeed, Install new W/D&hookups.
Run new hot&cold water Ilnes for all existing fixtures.Add additional full bath within existing apartment footrint.
Bx15c7NOUSBPROPOSED USE COt4STR TYPE Ysr0Rnt9 �IIjil,ll'i ; 'll;:ii;�I::p!j "I 'I'illi;m"a; .::q.c,un.nrlcr ;
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By my signature below.I cettl&to each of the following: I am the property owner or authorized agent to act9nthe property owner's behalf. I have read this
application and the information 1 have provided is correct Ihave read the Description of Work end.verif�it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building�ction. 1 authorize representatives of Cuperdno,to enter the above-ld tified pro rty for Inspection purposes,
Signature ofApplicoVAgent; Date:
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SUPPLEMENTAL INFORMATION REQUIRED li I"',Ii ,i' "I "I'',i.ii'i<•„ ii.,l, ;!71C,'i'•.
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_- to Issuance of buildie prior required permit Is reNowSFDorMultifamilydwellings: Applyfordemolitionpermitfor I;'jllii-!L;:Ilii!Ilflti;Ii4Uii!IUr!!'!'`IIIIII!Ihl;ll;'lii'''; ilirlliliil,Ii?nia!I!iFlli'13!il'u'ilal;l!!IrSlj!illllail;'
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ermit for now buildlnB'
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form if any Hazardous Materials are beingused as pad of this 1ect. ,I,II I Ii,'II;II,;I%•I!I!ii"l::i!:.t I.
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BidgApp 2011.doc revised 03/16/11
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 20800 HOMESTEAD RD BLDG 54 DATE: 03/27/2014 REVIEWED BY: MELISSA
APN: BP#: *VALUATION: 1$160,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY Multi-Family Dwelling Buildina is PENTAMATION 1 R2REM
USE: 1 >3 Stories 0 Yes (j) No PERMIT TYPE:
wORK BUILDING 54 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
F£:cn,17ittr?("lied" 1714{tnl7.171atn{.Jtii(ck
�lrrr:n. I'ertna?d�£:£z. �7ftrt�tr,.�7E;v11€it 1-cr: x>t£>r.1'£>=•;rain I°`:-t�:
€?the< Af?A,:,h.Iran:. 011"lo PlImil>hasp. i't<+t 7;;1 :.Imp,
;Acer fnsl=.Fte A;ft,rfi..lrasfJ..l ert;
NOTE.This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc. . These,fees are based on the preliminar information available and are only an estimate. Contact the De t or addn'l info.
FEE ITEMS (Fee Resolution 11-053 E . 711113,) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 EEfl s.f. Remodel,Other
Suppl. PC Fee: (F) Reg. ® OT0.0 hrs $0.00 $9,154.00 1REMREs3
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp.Feer Reg. 0 OT0 0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
C; crarf°frt3zz
Tax:
Work Without Permit? 0 Yes No $0.00
Advanced PIgRaigglM $0.00 Select'a Non-Residential G
�1�-c l.I)sJ�tlr�lc;rrcllrria ./c=<s: Building or Structure
Strong Motion Fee: IBSEIS1117CR $16.00 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $7.00
t
$23 00 $9,154 00177.00
Revised: 01/15/2014