14030169 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20800 HOMESTEAD RD CONTRACTOR:MONTEREY PERMIT NO: 14030169
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 DESCRIPTION:RESIDENTIAL COMMERCIAL
BUILDING 55 UNITS A-H REMODEL KITCHEN,BATH,
License Class Lic.#-R—S Z of r7 ELECTRICAL SUBFEED,W/D HOOKUPS HOT&COLD
WATER
Contractor Date 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
KF 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 WITIN 180 A VKbTfERMIT 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 1801 D
AYS F OM LAS CALLED INSP ION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments, Issued �s
costs,and expenses which may accrue against said City in consequence of the Id b Date: v�"
granting of this permit. Additionally,the applicant understands and will comply 3'
with all non-point source regulations per the Cupertino Municipal Code,Section
i
9 18. RE-ROOFS:
Signature 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: 2e�
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
03/27/2014 12:09Mtry Construction Co, (FAX)831 455 7986 P.003/003
CONSTRUCTION PERMIT APPLICATION
6°l
COMMUNITY DEVELOPMENT DEPARTME=NT-BUILDING DIVISION h�
10300 TORRE AVENUE-CUPERTINO,CA 85014-3255
CUPERTINO (408)777-3228-FAX(408)777-3333-build inat®cuoertino.org
El NEW CONSTRUCTION Q ADDITION ❑ALTERATION/M ❑ REVISION/DEFERRED ORIGINAL PERMIT N
Pgys9Ea;i rr omestead Road,Building s �, Unit - � its 3 �o Q �-
Vlltre Apartments PHD 650 931.3400 m
91"� I'Morfolk Street,#150 cRnflateo, CA 94403 FAX
WavlA rg�t P 860 931-3400 &mwright@prometheusreg.com
STRHET ADDRESS CITY,STATE,ZIP FAX
1900 So. Norfolk Street #150 San Mateo CA 94403
0gow'rMteitE3 owNin avimaR IIS owNmtAa'm D commcro0R comucroaAoEwr 0 mcivreCT �ENoNm 0 DmLoemt D mNAn
ICr1arC Re a E Lica"ER uc6Ns�fYPe BUS,LIC r
onl re ey onstructlon Companyben6mryconstructlon.com (9911455-7986
STREET ADDRESS CITY,STATE,ZIP PHONE
88 Monterey-Salinas Hwy,,Sults A 831 455-7931
ARCHn•aCTBNOINEERNAMB LICENSE NUMBER BUS,LIC S
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
W9CPt ON OP WO
emove&replace kitchen&bath cabinets.Replace electrical subpanel&subfeed. Install new W/D&hookups.
Run new hot&cold water lines for all existing fixtures.
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MoSTINO US9 PROPoseDus9 coNsrn.rn9 I rsTOR>es
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FUCK ARATOTALDECUPORCHAMA OARAD9DDETAC{ y, ijI1;I:%•PORCHAEAry
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9y my signature below,I certify to each of the following: I sm the property owner o e nt to owner's behalf, 1 have road this
application and the infarmetion 1 have provided Is correct i have read the Description of Work and verify it is ace te, I area to comply with all applicable local
ordinances and state laws relating to building stat ction. tau odza representatives of Cupertino to enter the above-ICIOIndfled pro arty for inspection purposes.
Signature of Applicant/Agent:
Data: a�(�
SUPPLEMENTAL INFORMATION REQUIRED
,.,tiuIIIIIIrPLANCHECK. LIR iid11!1;!;!'lll!Ltlla!II�
New SFD or Multifamily dwellings, Apply for demotion permit for 1,"II,,n,',,I,Ii::”t'I�e'OiiiViE;xlRii;sl:;:si.,,l,,,,l�li:''l;;'I'i'l;l+;:i,�h!.i•I.I,II'lII l:„I L.�!I1,.lPiI,,,;:p.;1;;,,;�f1:II,'li�1.:iI..i„!..;I;,II:;'I,���).��;I XII1;,1I,�pI1'1,I:S:!:;'II II,'IIB I':.ji'v',lIiqlt°.N.'li�yD';r•,.I.a�i;Io';ll illI,I;ll
existing building(s). Demolition permit is required prior to issuance of building -TH& OU R:i$'!I i�:il'
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permit for new building' ('PI; NYtNcA r.'lI;'AI'IiLAii.,I;aI'l,�BIIgivMW
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form if IID Hazardous Materials
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COPY Of Planning Approval Letter or Meeting with Planning prior to ��I;.'OI1<.j''1il:ii,:il,fIi:iiI:I,`iII!:Ii,IIi.ybIfiE.,l!,jlI.rl!�l?::ti1IiI1(„'•rI,'`;':'iIiiiI',:lIl'ia,.d.,i.11:,'Il:11i!.Iil,iIi(;.tlIllIll!`.IflIIl;,;:r,�,rSrliL::!'ii•';!I.:,tiiC�.':'�j?i':l,'Il'II 1iliIj';I,.p•''i'�';I'aII•n':ilrriri.i;'!I.'I��'l�II'l':.�Iil.,..LI.liSI ITi'RlTI':C�H'II�t1?
su_bmittal of Building Permit application, 4Til . W ` C"r.';;I!!jItd,��I1hi11.''71jillj yi�ltl.illj;�'Li;.`I,r.1
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BldgApp 201 Ldoe revised 03/16/11
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 20800 HOMESTEAD RD BLDG 55 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: 3 Stories Q Yes ® No PERMIT TYPE:
WORK BUILDING 55 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
iL.fc:c�n.I�iaarr€,acrc:k 1'Iurztl>.1'Itaz7 C;Irc:c:d �te<:.I','<,,;C:=,r;r;;;
F9 , 17710.1
Other i fi ah'Iran- Cltr'aez Pha nb bap, 01h r t'l c.Ir.;I;. El
Llc:t:r�. rmrs ,F'4e 1'/ae?ntj, lers13..1'r>r>: ISdec:. HU'r,I zc::
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 addn'l info,
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: (2) Reg. ® OT 1 0.0 1 hrs $0.00 $7,960.00 IREMRES3
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl.Insp.Fee.-(F) Reg. 0OT0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
T-T
Work Without Permit? 0 Yes 0 No $0.00 0
Advanced Planning Fee. $0.00 Select a Non-Residential E)
1 i cFt<l.L)«c ttnc>n/crlrrJn
Building or Structure 0
Strong Motion Fee: 1BSEIS1vffCR $16.00 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $7.00
$23.00 $7,960.00TOTAL�FEE:.
:tea_. mss, $7,983.00
Revised: 01/15/2014