14050048 CITY.OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20800 HOMESTEAD RD CONTRACTOR:MONTEREY PERMIT NO:14050048
CONSTRUCTION COMPANY
OWNER'S NAME: VILLA SERRA APTS 88 MONTEREY-SALINAS HWY STE A DATE ISSUED:05/07/2014
OWNER'S PHONE: 6509313400 SALINAS,CA 93908 PHONE NO:(831)601-2659
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL 0
BUILDING 24 UNITS A-H REMODEL KITCHEN,BATH,
License Class IL Lic.# ELECTRICAL SUBFEED,W/D HOOKUPS HOT&COLD
Contractor I"10 63-) ,1 ('U415 Date JI /ZOI 4 WATER
'4 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 fhe 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 D T 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 L ED 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 I d
granting of this permit. Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section
9 18.
RE-ROOFS:
Signature �.�� Date_5 ��14 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: A1;4 .�- _.S/ GO/q
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
918.
Signature Date
05/06/2014 13:22Mtry Construction Co, (FAX)831 455 7986 % P.003/003
CONSTRUCTION PERMIT APPLICATION 00
lim COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION
10300 TORRE AVENUE-CUPERTINO,CA 95014.3255 ��
CUPERTINO (408)777.3228-FAX(408)777-3333-bulldlngl2cuaertino.oro
mw comltUCITON Q ADDITION ❑ALTERATION I TI ❑ REVISION i DEFERRED ORIGINAL PERMIT N
W95AMMe'stead Road, Bulldin -a ,Units A - APN" 266`10 ��, Z�60
�I a SE remora A artments PHO 650)931-3400 E IL
s o�orfolk Street,#150 c9dn�leteo, CA 94403 TFAX
DaVIt9 Wrl tit P �50 931-3400 tmMAwrlght@prometheusreg.com
STRMADDRESSCTfY,9TAT$ ZIP FAX
1900 So.Norfolk Street #150 San Mateo CA 94403
13 owt'7kRC�Ql�0 OWPM nUI DER N OWNERAMM ❑ comEAc7oit CI CONrMCTORAGEW O ARCHITECT O HNGMR ❑ DEVELOPER 13 TENANT
AICGTA 1 teg� ����ER LTCENSI PH BUS.LIC N
tW' NA H F!
Wonrereyt�onatruction Company M&M constructlon,com (691)455-7986
ADDRESS CITY,STATE,ZIP PHONB
A onterey-Sallnas Hwy., Suite A 831 455-7931
ARCHITECT/ENOINEERNAME LICENSE NVUBER BUS,LIC Y
COMPANY NAME 19-MAIL FAX
STR5ET ADDRESS CITY,STATE,ZIP PHONE
%moveN&°relaa`ce kitchen&bath cabinets. Re lace electrical sub anal&subfeed, Install new W/t7&hookups.
Run new hot&cold water lines for all existing fixtures.
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By my signature below.I cortin to each of the following; i am the property Owner or authorized Iproperty owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work an n it is aeeumto. I agree to comply with all applicable local
ordinances and state laws relating to building Wokuction. I au orize representatives of Cupertino to enter the above-id o tifted p perty for inspection purposes.
Signature of Applicant/Agent ..... Date: lu
SUPPLEMENTALINFORMATIONRt"s UIRED r,l. Pr" a u,n,o.'I•,r.:';,:I I,•„rn,l r n, I : ,'i u:le,l:,unanu:,:l l; !
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B1dgApp 2011,doc revisgd 03/16111
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 20800 HOMESTEAD RD BLD 24 DATE: 05/06/2014 REVIEWED BY: MELISSA
APN: 32609073.20800 BP#: *VALUATION: $160,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair
PRIMARY Multi-Family Dwelling Buildina is PENTAMATION 1 R2REM
USE: 3 Stories 0 Yes (j) No PERMIT TYPE:
WORK BUILDING 24 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
k ..
4eF_'h.I'l'£E"st Check
f£:C:f. ?c. 3?Il "£;£:: 1'hwib. 1>£:a iii Fee: t.£'.F'. '3.'3"i;d:'4 Fr:`c:
Olhet`Xfoc h.ii2 )fii a'_ /If7` 111.1'jJ. l7aC'F"1'.7r.'i: lies/3,
A e-A h73p,?'<t: t';'€arrfi..ls?.s 3..1'se: Elec.i,i.sj. 'ee:
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 on an estimate. Contact the Dept./or addn'l info.
FEE ITEMS(Fee Resolution 11-053 E f 711113) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 6,000 s.f. Remodel,Other
Suppl.PC Fee: ie) Reg. 0 OT 0.0 1 hrs $0.00 $7,960.00 IREMRES3
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp.Fee.0 Reg. 0 OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
ConSgi'uefion .#ail✓;:
Work Without Permit? 0 Yes (F) No $0.00 G
Advanced Plannin&Fee: $0.00 Select a Non-Residential G
:Iic€s e/.Lr °tic;az/crfrr��l.l cf£ : Building or Structure 0
i
Strong Motion Fee: 1BSEISMICR $16.00 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $7.00
y .I`OTALS $23.00 $7,960.00f TOTAL FEE. $7,983.00
.. F „„w
Revised: 04/01/2014
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
C U P E RT I N O Fax: 408-777-3333
CONTRACTOR/ SUBCONTRACTOR LIST
JOB ADDRESS: PERMIT# D On
OWNER'S NAME: 4 tel/ PHONE#
GENERAL CONTRACTOR: HG BUSINESS LICENSE#
ADDRESS: gK6tL-M&gVw &i,-pr sACA.,
,S ITY/ZIPCODE:
*Our municipal code requires 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 following information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
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 Date
7
s
A—
Community Development
10300 Torre Avenue
Cupertino CA 95014
Te?aphone(408)777-3228
CITY OF Fax(408)777-3333
CUPEkTINO: ::
Buildin Z7De cUtment
jOB ADDRESS: PERMIT#
ookoo est-ea� . Q
OWNER'S NAND: rode�-S ea tk4--c- PHONE# it —
GENERAL CONTRACT Ori on'1 a�-t FAX# 66-0 - ,3/ —35-71
/'�
I am not using any subcontractors:
Signature Date
PIease check applicable subcontractors and ca Tete the following ijormation
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
]Electrical 6 O
Excavation as Tech FL64ch Z*916
- - -
Fencing
Flooring. Carpetvlg
Linoleum/ Woca
Glass/ Glazing
Heating -
Insulation
Landscaping
Lathing
Masonry 1
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing T 5 1
Roofing
Septic Tank y
Sheet Metal i
Sheet Rock
Tile
�d L 1zdOCf
Owner/C frar+ni-qio-nat„ro 5 l