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08030156loo �U z eC� l— '�U e W N �CC -=i r. u�`� L 62 7C H � Gni � ❑a � UC wEC] rs U� CITY OF CUPERTINO x a _ 777777777 77= � PERAUT e *� BUILDING DIVISION BU1L91gr'IfREf.OMESTEAD RD WEST BUILDERS, INC. PERMIT NO. 08030156 OWNER'S NAME: PERMIT ISSUE DATE VSII,A CALIFORNIA LMTD 1608 4TH ST STE 120 06/05/2008 PI-IORED rT1TTL0D CT1 T Tl SANITARY NO. CONTROL NO. (510) 525-9378 ARCHITECT/ENGINEER: BUILDING PERMITINrO . . BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION Job Description 1 hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is DEMO OF LANDSCAPE, CONCRETE, PAVING, CARPORTS, Lifulland effectL' N g— � q Contractor t�+eJ�— v�41 REC/J�EASING. Date ARCHITECTS DECLARATION 1 understand my plans shall be used as public records Licensed Professional OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason. (Section 7031.5, Business and Professions Code: Any city or county which requires a permit to consuixt, alter, improve, demolish, or repair any swetum prior to its issuance, also requires the applicant for such permit to file a signed statement to the of the Contractor's License Law (Chapter 9 Sq. Ft. Floor Area Valuation that he is licensed pursuant provisions 7000) Division 3 the Business Professions Code) $17225 (commencing with Section of of and or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 70313 by any applicant for a permit subjects the applicant to a civil penalty ofNumber 32 60905 6, Occupancy Type not more than five hundred dollars (5500) ❑ L, as owner of the property, or my employees with wages as their sok compensation, will do the work, and the structure is not intended or offered forsale (Sec 7044, Business Required Inspections and Professions Code The Contractors License Law don not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. IL however, the building or improvement is sold within one year of completion, the owner - builder will have the burden of proving that he did not build or improve for purpose of sale.). ❑ 1. as owner or the property. am exclusively convecting with licensed contractors to convect the project (Sec 7044, Business and Professions Code:) The Contractors U - cease Law does not apply to an owner of property who builds or improves thereon, and , who contracts for such projects with a contractor(s) licensed pursuant a the Contractors Lscenae Law. ❑ I am exempt under Sec , B & P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I hs+e and will maintain a Certificate of Consent to self -insure for Worker's Compen- sation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My Worker's Compensation Insurance carrier and Policy nu ram: Cartier.—�C>'�P CCllcr/1 Policy No: CER FITIn X�EMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit Is forone hundred dollars ($100) or less.) I certify that in the performanec of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws or California. Dae Applicant NOTICE TO APPLICANT: If, alter making this Certificate of Exemption, you should become subject to the Worker's Compensation provisions or the Labor Coda you must forthwith comply with such provisions or this permit shall be deemed revoked. i CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.) Lenders Name Lenders Address i 1 certify that I have read this application and sue that the above information is ' cored I agree to comply with all city and county ordinances and state laws relating to c building construction, and hereby authorise representatives or this city to enter upon the above-mentioned property for inspection purposes (We) agree to save. indemnify and keep harmless the City of Cupertino against i liabilities, judgments, costs and expenses which may In any way accrue against said City in consequence of the ZrAALLng or this permit. APPLICANT ERSTA DS AND WILL COMPLYW ALL NON -POINT Issued by: Date SOUR ONS. .-5 _V' Date Re -roofs Signature ofApplicsnt/ SM TERIALS DISCLOSURE Type of Roof Will the ap fu bui 'ng occupant store or handle ha ardous material as defined by no urrici oda Chapter 9.12- and the Health and Safety Code, section 25532(x)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yes o Ifroof is installed without first obtaining an inspection, I agree to remove Will the applicant or future building occupant use equipment or device which .a croft hazardous air contaminants As defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yes la�O I have read the hazardous materials requirements under Chapter 6.95 or the Califor- nia Health & Safety Coda Sections 25505, 25533 and 25534.1 understand that if the building don not currently have a tenon raibility a notify the occupant of the mquiremcnuwhichm me nraCcrti .off ancy-1, �l' Signature of Applicant Date 15�Owner All roof coverings to be Class'%" or better orauthorved a Dae UNDERFLOOR FRAMING VENTS UNDERFLOOR INSULATION ROOF SHEATHIDIAPHRAGM PLUMBING TUBS d: SHOWER PAN MECHANICAL ELECTRICAL/POOL BOND FRAMING/STAIRS/E. EGRESS INSULATION/V ENTILAnON SHEEZRROCIVSHEETR= SHEAR EXTERIOR LATWW SCREED SHOWER LATH SCRATCH COAT SEWERIWATER TEMPORARY APPROVALS OCCUPANCY z - OKIM ? O PLANNING 777-3308 GAS TEST y Q GRADE (P.W. 777-3354) J O FIRE - CALL (408) 378-4010 HANDICAP U ELECTRICAL r5" Crj 12. PLUMBING j z MECHANICAL I ENERGY VISUAL FIN ONLY BUILDING PRE -INSPECTION: PLYWOOD: TYPE OF ROOF COVERING - EXISTING-, PROPOSED C]' Bta7t-Up Raaf BUILDING DIVISION PERMIT ❑ Asphalt Shingles ❑ Asphalt Shingles ❑ Wood Shaka ❑ wood Shaka BUIIOING ADORESS: PERMIT NO. ❑ Other (Specify) 20800 HOMESTEAD RD EST BUILDERS, INC. C8030156 P—ide I.C.B.O. Report No. UMIL ALL REQUIRED BUSINESSP—id- Mfgr. Installatiaa Spc= OWNERS NAME iEE097MSUEOATE VSII,A CALIFORNIA.LMTD 1,608 4TH ST STE 120 6/05/2008 P �' SANITARY NO. CONTROL NO. (510) 525-9378 ARCHMC MGINEER PHONE w BUQDM PERMIT INFO BLDG ELWT PLUMB MEM omz 0 foo f; � � Q7�9�2z�� ,p�rt� E , P ��F�cRD=rION I z EAtGME day, at least 24 hours before ❑ SFDVVI ❑ IaTCILilt REMODEL t- FOUNDATION/PIERSIH-D.S. required inspection. Job address and Permit Number ❑ ADDMON ❑ PLUMBING R.E-PIPE aU UFER GROUND are needed when requesting an inspection. ❑ MULSI-UNIP ❑ JCCIIVRAAL RESIDENTIAL COMMERCIAL OTHER MODG ❑ wrmucR ❑ OMKNEY REPAIR PAD/SET BACK -CERT H 1�(PRUVBAM4T ❑ SWIMMING POOLS GARAGE SLAII&TREGUNTPE HAZARDOUS FIRE AREA aV c c wa ❑ BATH REMODE iREPAIR C1DEMOLITION x :: .m .:.::......:.:.:. ❑ arFm UNDERGROUND/SLAB - ut ' Z� ❑ YES it yes - I undersand chat a Clay A mof usembly is mquned =`o UNDERGROUND PLUMBING $17225 = ❑ NO Inidat Lcg.a • UNDERGROUND ELECTRICAL COMMERCIAL• . ... ..2 6 0 9 0 5 Ga=g ROOF C93MLING ❑ NEW U DGIADDMON ❑ DEMOLITION UNDERFLOOR PLUMBING ❑ TENANT ❑ Foco sEracE UNDERFLOOR MECHANICAL Number of existing coverings. IMPROVEMENT • OTHER ❑ UNDERFLOOR ELECTRICAL To be `emoved To be retained UNDERFLOOR FRAMING VENTS UNDERFLOOR INSULATION ROOF SHEATHIDIAPHRAGM PLUMBING TUBS d: SHOWER PAN MECHANICAL ELECTRICAL/POOL BOND FRAMING/STAIRS/E. EGRESS INSULATION/V ENTILAnON SHEEZRROCIVSHEETR= SHEAR EXTERIOR LATWW SCREED SHOWER LATH SCRATCH COAT SEWERIWATER TEMPORARY APPROVALS OCCUPANCY z - OKIM ? O PLANNING 777-3308 GAS TEST y Q GRADE (P.W. 777-3354) J O FIRE - CALL (408) 378-4010 HANDICAP U ELECTRICAL r5" Crj 12. PLUMBING j z MECHANICAL I ENERGY VISUAL FIN ONLY BUILDING PRE -INSPECTION: PLYWOOD: TYPE OF ROOF COVERING - EXISTING-, PROPOSED C]' Bta7t-Up Raaf - ❑ Built -Up Roof ❑ Asphalt Shingles ❑ Asphalt Shingles ❑ Wood Shaka ❑ wood Shaka ❑ Wood Shingles ❑ WOW Shingles ❑ Other (Specify) ❑ Other (SpedfO NO FINAL INSPECTIONS P—ide I.C.B.O. Report No. UMIL ALL REQUIRED BUSINESSP—id- Mfgr. Installatiaa Spc= INSPECTION SPECIAL INSPECITON REQUIRED DATE 04 LL 01r- fXC i T�NnI l s CoA eTs S c� N O tj�j -7-0 3 CUPERTINO SANITARY DISTRICT Closed circuit video inspection of property fine cleanout, point of connection and street lateral required prior to passing FINAL CITY PLUMBING INSPECTION. Cad the District (408-253-7071) for an appointment IMPORTANT When a permit has expired, a charge totaling one-half the fees to obtain a new permit must be paid to reactivate the permit If a permit has been expired for more than one year,, a charge totaling the full fees to obtain a new permit must be paid to reactivate the permit. OF OCCUPANCY INSP. DATE INSP. DATE TEAR OFF INSPECTION: BATTENS: IN -PROGRESS: INSP. FINAL �d [NSA. DATE INSP. DATE IMP. DATE NOTE: OSHA APPROVED ACCESSTO ROOF SHALL BE PROVIDED FOR INSPECTION INSP 03/07/2008 15:22 FAX 408 777 3333 CITY CUPERTINO ,4-7rA),' 1411li ' baCo#_ CITY OF CUPERTINO DEMO CUPEI�TINO PERMIT APPLICATION FORM 1Q 001/005 APN# . 3 Date: �� -- ��-� - 050 � � :4-�-�- Fee ID Mailing Address (if different from building address): v Owner's Name: 1; � Phone: U'i Ll,, s,,,, r,.. 1"2 5o 0%&, l - S4 5� Contractor: Phone: SIC 52S_cj 7 M,e�Fax: 5 L5 5'7-S o 155 S Contractor License Cupertino Business License #: i �D Contact: Phone: �c G-ve- Fax: IDEMOCOM Residential �/ Sq Footage Commercial ❑ Sq Footage crih� tb Valuation: - ^ Attach Green Building Checklist to demo playas. Q Quantity Fee ID Fee Description Fee Group Permit Type IDEMORES Demo -Residential B ISFDWI -DEM IBSEISMICRE Seismic Residential B IDEMOCOM Demo -Commercial B ICONMU.-DEM IBSEISMICOM Seismic Commercial B IBUSLIC Business License B I CITY OF CUPEkTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax(408)777-3333 Building Department JOB ADDRESS: PERMIT # OP- O 6 OWNER'S NAME: PHONE # (gyp -rN -3A 5-7 GENERAL CONTRACTOR `' FAX # -31,cD6 7 I am not using any subcontractors: Signature Please check applicable subcontractors and complete the following information: Date Owne Contractor Signature Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock :A�ile Owne Contractor Signature Date 0 PROMETHEUS March 26, 2008 Bob Sabich Building Inspector City of Cupertino 10300 Torre Avenue Cupertino, CA 95014 Dear Bob, This will serve as our formal notification that we are aware of the planned new construction at Villa Serra and The Grove at Villa Serra which will entail certain demolition which is being submitted as part of our demolition permit submittal. If you have any further questions please do not hesitate to contact me at 650 931-3457. Sinc ely, Mic el Du e Senior Development Manager Prometheus Real Estate Group, Inc. LEVEL FEAR 1900 S. Norfolk Street, Suite 150 1 San Mateo, California 94403 T 650.931.3400 1 F 650.931.3600 www.prometheusreg.com