14050047 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20800 HOMESTEAD RD CONTRACTOR:MONTEREY PERMIT NO: 14050047
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 E] COMMERCIAL E]
BUILDING 69 UNITS A-H REMODEL KITCHEN,BATH,
License Class_ Lic.# 77 5 2.q-7 ELECTRICAL SUBFEED,W/D HOOKUPS HOT&COLD
SIF(�Zo /4 WATER
Contractor 6n Date LINES FOR ALL(E)FIXTURES.750 SQ FT PER
I hereby affirm that I am icensed 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
RF 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 F 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 e a '
with all non-point source regulations per the Cupertino Municipal Code,SectiolT
9 18.
RE
� ,/� -ROOFS:
SignatureV //n-i 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(Scc.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
permit is issued. Owner or authorized agent: Date:
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
05/06/2014 13:22Mtry Construction Co, (FAX)831 455 7986 P.002/003
CONSTRUCTION PERMIT APPLICATION' �O
COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION `
10300 TORRE AVENUE 9 CUPERTINO,CA 95014-3255
CUPERTINO (401I8))-777.3228/FAX(408)777.3333•pullding(Mcupertino,ora \_ y
E3 NEW CONSTRUCCION tI ADDITION ALTERATION/TI ❑ REVISION/DEAERRED ORIGINAL PERmrr#
189554 RE'esstead Road, Building Units 3 Q cj d 3 , Zv
ir
It a Apartments '*1660)931-3400 a Aa
s I �o orfolk Street,#190 C a�AlateoI CA 94403 P`
J?avi rl t PHONE
931-3400 dmwright@prometheusreg.com
STREET ADDRESSCrrY,STATE ZIP FAX
1900 So.Norfolk Street #150 San Ma
feo CA 94403
❑powNenCTQj1❑ OWNEE,11=1t IN OWNERAMIRT ❑ cOMU'CTOR ❑CONTRACTOR AOttNr ❑ ARcHrmcr ❑BNopmR ❑ DEwtmnR 13 TENANT
A CM1% R6 8 LICE9 ER LICENSWrM BUS,LIC 0
. 7
ontere`construction Company t3 ben�mryconstruction.com C (931)455-7986
STUADDRESS CITY,STA'1'g,ZIP PHONE
88 ontere -Salinas Hwy., Suite A 831 455-7931
ARCHITECT/11NORdB6RNAME LICENSE NUMBER BUS.LIC"
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
gESCRD�71OF O
emove0N&reWp0aee kitchen&bath cabinets,Replace electrical subpanel&subfeed. Install new W/D&hookups,
Run new hot&cold water Innes for all existing fixtures.
I ' ' • Iwl i,:,.1'11EXLSTNOUSE PROPOSED USE coNsRTY "sTottas 1l
. ,I!iiI.I.II'ii;!I;iIIIIr'IIILI I,IISI;I;II'I.Ii•Q•,rrai!,:Iq„;},
.rl.11•nrl,gl PI'av �i II,IId:rUnrd I ;'o-cnal'ppi':,ir.cgn.Il:
I:II p1170nv [ I (,;nn.:".Ww u11,
I .L:f Lllii.11ll Ill!d'•tl
=11TO NEW FLOOR DEMO TOTAL !IIIII(,"II:iI III;!l:i,aII I li'l;'IIIT 1'
AREAAREA AREA NETAABA II'Ij'q',,iii II:''.1 I�''I f II n�I:'bI:'I'•'rI'i:I.r l In II I'di II'I'!;II'iiIi'a;lI'•
lI l;i,
II
nil IilrllII�I19d! III IIIiIa�I:hn,III:`IIIII!IIIIIII,IIi' I'.1,
BATHROOM KITCHEN OT11SR '•q''(,?'J'i::'I i
I til,,Il 1,ill. .c' ';II 'i'I'li lj'IIiI I' II I I: I II'�i�'I
EPOIRLCHAPJA
AAEA Rata DeLAtteA :,li!!c!I!Illlllilil;�l II'li'I'I'I''j Ililll' fillilil II I`Ij•:!
ODEL AREA I:i.:I.r ..i
III ,I•.II,I:�an•.I,.• 1�I+lI'I`a'j' :I.+�%iil,•.�,....i.
DECKAREA TOTAL DECX1PO !1'.1'1'1'1';1{"'n•'.: ,pcRCHAREA oARAOBAREA ❑DETACH I i1LIl y: 1. .:il'I, : I, .:,I:I I! � ; !'.�❑ATTACH I:It,. r I''li,l!�il il. iia :I ii I.liic I1 1; 1.119NG UW1; 19ABE !',: .j1: ''I i, la p ,,
CotrDrnm ❑YPe 9RCot1DSTORY D res ll! I'I I I,I,I,iillli.: ":I,I 11;1 I it ('i;'l':,i I'IIiI.II!Ili I!ilii "i'I''!iil
EaNc I I,•IEI,I:I1 :I ,. I IIIII. l:i I:I 1,l l I I I,;'I,'Ir
ADDLDt No ADDRNlNt No ;hli!IiIIIG:IeIII'•I% I•!''' 11" ':,,is r !•i; 1111.I'IIII'II`I!)'I`' .I•Ili;liilli:Idll:lls111!I,I'ri iIIIIIIII!III'I�I,,I
. 3 c,:
PREJWPLlCAT10N YEE F ':o:•.," i -.'•... ':I:'It I°.'•:.9•... 1 r' 1:j;1:1
❑ YEerROYp WyoP PW7MINAW; "'' i°i'" I '.1
PLANNND APPS/ NO PLANNrNOAP11WALtaltTER II'. '''''..I' ,,ijl'!I;.I'" I I,I'I I i , , VAriON I' ,l l'..II I
❑ " I.I:G ILII I'.Ii:Il;:l',i. �I!III'II!iI11:I;
By my signature below,I certify to each of the following., 1 am the property own au onz crit to ac a property owner's behalf. I have read this
application and the information I have provided is correct, i have read the Dose tion of Work and ver—, s accurato. I agree to comply with all applicable local
ordinances and state laws relating to building atst tction. I au orize representatives of Cupertino to enter the above-lde tiled p perry for Inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTALINFORMATIONRE UIRED 1.I 'e's,n,;»,•':I:::aoal'.r'I.e;;r I. 1r,' n:."la'r.::r..','u:ul1»m'1,1'':Ii;1
Q IiLIVII;Ili!!P1 .�11ECKTYPEIIhI!I,aI;!Isli�"jlV��l!I!!Irtli!Ii;,aotrrtN�drI1Jfll!(!i�l,l,'!
IlIII;,iI OO'ac..i!1I:I,"1I°i!1IIP�i:1I�AI1M1 A1Ar1i1lN,lIlGoi iI.•I;D.$I1r.{i:i;.eAlIa1i.I,6lt�r1;II11D.''IIII'p'l111'
11irIlI''.lIliIijlllj1(IIrIII;!1I;yi!!i,i,I`;b,r„'.1::,II1I I11 I:4 Il1,I,•I';II,I:!;I ltt.:jIiI,a:lIl I'r,.aIJl1'_lj1;1;II1:'!I'1I;nIra�(III°lI;I:i,1II•I1l,1 I ;!1
IIl:Naw SFD or Multifamily dwellings Apply for demotion permit for ”"'IilI{Itdilll'I 1raI •
exist �'�❑i'l"l`:'!,IiI11I'siI�I�s,,I�iII'IN''atLl,Irp(�Il�ACc E I,IR'1II�LI''YII'Ii�'Ol„II,I�l'l!1S1'nB'iI��f�.;•ihIIilI'srI'iuS"x'Inr�A 1gI•l;�l;e1I rl 9,1liE?'`I'11 ILIJ1II'pR'II!:IRl'•P"'IiU I''�'(Iw
'�'i�IElII,II4IihI Il;,Il(l;iilIl!IsljIII'I.;',aiITliI;I6•;IIa;�l
J u�LII•V
iLcII,'i;IrI It
'gIII:IIl i.Yi !
permit for new building. —I1Is'1Il1lPLNNGA'11:4l;'I POisitI •r
Commercial Bldgs; Provide a completed Hazardous Materials Disclosure O.I
.1.form If Hazardous Materials aro being used as part of this poject1U ,i I, ;iI1
'el? 'l,. El'!Copy of Planning Approval Letter or Meeting with Planning prior to1I_II11.11 Ii;: li !iEli!I it
;I(I Irli,II,;1l.`lIj:lil;llu;IiIiIl.i`!IIlI I`l�lII lDnj
l?
ll:Iil,.:I li
IlI„I;rI II(
:ru!ijIit'Il;II
ion.submhalofBuildingPermitapplicat
:I
l
r I111I it I'"• •II
i!IilIII II I l I
'I' ,ij;:i l:;�I'I•i�I !I I jI'11'I I !I I`;iIIIIIt tl '1,Ili,illi.'ll'jl'IIII',i,i IIIII:iIIII'll 111�l li'Ihllii'IiII'Ir :Ijii
II:I!Ill�,ai,.�.,ilk;all:rr'II`d•li I•,1 LL.LII::dII'.`,lil'.II,I::.L1I`�1G'❑•' !:'�IQVIRONIi1L'NTAv�IiEAt,TH•I III:ItiII:1!i
B1d&4pp 2011,doe revised 03/16/11
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 20800 HOMESTEAD RD BLD 69 DATE: 05/06/2014 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 0 Yes ® No PERMIT TYPE:
WORK BUILDING 69 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
...__ °i-i-a- .�_ - _.. k F� a "a .`•, Cha s M `a'a'� -s M�
,feck A,"'37(,1 o,,kllhonbf Ilion ..'fiat; fe<_..Ph, rg
Vern, Perrr7,'f lee tarn?.. e�rat l F-e- sell?£'. F,
Otliter°,kfecfa.Fnsp, €.)°isEr.t/rrr%1>Irr.13. Li I t.€sts>r.I"j hvgl' Lj
tech,tr.4l=./*tts: 1'7`or'!;'.Ins�f3.1`ee ?'ter;.'n7j•.1'CC.
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 prellmina 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 F6—,-0-0-0-1 s.f. Remodel,Other
Suppl.PC Fee: 0 Reg. 0 OT 0.0 1 hrs $0.00 $7,960.00 IREAMES3
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee: Reg. Q OTQ,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
7_7
Work Without Permit? 0 Yes No $0.00 G
Advanced Plannim Fee: $0.00 Select a Non-Residential E)
Building or Structure 0
Strom Motion Fee: IBSEISMICR $16.00 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC 1 $7.00
h �f $23.00 $7,960.00 TOTAFEE.
$7,983.00
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: j,.03 b MS-5 PERMIT# 0500
OWNER'S NAME: \1 s (^ PHONE#
GENERAL CONTRACTOR: BUSINESS LICENSE#
ADDRESS: Non 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
;1
I
COmmunity Development
� I0300 Torre Avenue
'- Cupertino CA 95014
Te?=phone 408) 777-3228
CITY T Fax(408)777-3333
CUPEkiINO
Buildin Da artment
JOB ADDRESS: PERMIT.11
�a�oo rr►_S*ea�
OWNER'S NAS: ro -5 2a 6-Sk+Z PHONE# ��-
GENERAL CONTRACTOR: /�1ort -e a-� („ , FAX # 31 -35-71
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and colir ,lett the following:��formation:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing -
Electrical (ply .
Excavation - -
Fencing
Flooring. Carpeting
Linoleum/ Wood
Glass/ Glazing
Heating
Insulation
Landscaping -
Lathing
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper —
Paving
Plastering
Plumbing _
Roofing
Septic Tank x-
Sheet Metal
Sheet Rock
Tile
Owner/C trarfnir C io-„A{-tpro _