The URL can be used to link to this page

08060198COVERSHEET 20800 HOMESTEAD RD #38 7,77 PERMITT # O� 0,4()/ 2 ,9 DATE 2 - PROJECT � � �� l/ � � �� A �.� ADDRESS 2-o Zoo APPLICANT OWNER_�� s ENCYIN P RETURN Status Init IN RETURN Status Init IN RETURN Status Init DING OUTSIDE PLANNING PUBLIC WORKS FIRE SANITARY HOOD HEALTH 1 ASSESSOR APNI# _7 (a �9 S. (L G) (GARAGE) COMM. SQ. FT. (NEW) T.I. SQ.FT. RES. REMODEL CONTACT A PHO # 9,. S- S - C�5'�1 FAX 2ZS ° - 2Z ; VALUATION (Cost of Project) 1� READ. PAID NOTES: CONSTRUCTION T (Y) (N) SCHOOL. FEES (Y) (N) HOUSING MITIG (Y) (N) HEART OF THE CITY (Y) (N) I ISSUED BY DATE %/� TOTALFEES BUILDING DIVISION PERMIT ADDRESS: Pt:KMrr NU. 300 HOMESTEAD RD BLDG 38 WEST BUILDERS, INC. 1 08060198 OWNER'S NAME: PERMIT ISSUE DATE PROMETHEUS 1608 4TH ST STE 120 07/18/2008 SANITARY NO. CONTROL NO. WI ARCHITECTIENGINEER: LICENSED CONTRAUIUR'S UtILLAKAt wN I hereby affirm that I am licensed under provisions of Chapter 9 (commencing vith Section 700(1) of Division 3 of the Business and Professions Code, and my license is n full force and effect " 1 S -icensc Class Lic. k 3atc Contractor ARC CTS DECLARATION I understand my plans shall be used as public records Jeensed Professional OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the 'allowing reason. (Section 7031.5, Business and Professions Code: Any city or county Hhich requires a permit to construct, alter, improve, demolish, or repair any structure irior to its issuance, also requires the applicant forsuch permit to Ole a signed statement .hat he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 ;commencing with Section 7000) of Division 3 of the Business and Professions Code) or chat he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). 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 and Professlons Code: The Contractor's License Law does rat 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 forsala If, i 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.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:) The Contractor's Li- cense Law does not apply to an owner of property who builds or improves thereon, and, who contracts for such projects with a contractors) licensed pursuant to the Contractors License Law. ❑ I am exempt under Sea B & P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: have and will maintain a Certificate of Consent to self -insure for Workers Compen- sation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I 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 Workers Compensation Insurance carrier and Policy number am: Cartier. -TA�� 't4 Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) or less.) 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 Workers' Compensation Laws of California. Date Applicant NOTICE TO APPLICANT: If, aftermaking this Certificate of Exemption, you should become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency far the performance of the work for which this permit is issued (Sec. 3097, Civ. C.) Lender's Name Lenders 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 authorim representatives of 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 liabilities, judgments, costs and expenses which may in any way accrue against said City in consequence of the granting of this permit. APPLICANT UNDER AND WILL COMPLY W ALL NON -POINT SOUR ATIO � n Signat Ap o ontractor V Date ARDOUS MATERIALS DISCLOSURE Will the applicant or future building occupant stow or handle hazardous material as defined by the Cupertino Municipal Code, Chapter 9.12, and the Health and Safely Code, Sccton 25532(a)? ❑ Yes (�o Will the applicant or future building occupant use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District? ❑ Yes frT No 1 have read the hazardous Materials requirements under Chapter 6.95 of the Cal ifor- niaHealth&Safety Code, Sections 25505,25533and 25534.1understandthat ifthe building does not currently ha a ant, that it is my rrapmnsibilily notify the occupant of the mqu en w ' met prior to issuance a Cate o upanry. Owner or au z a Date ' BUILDING PERMIT INFO INSTL TEMP WTR SPLY& RETRN BL�DG ELECT PLUMB P±PliC , ±NSTE3 NEW e0� I T m ..� Job Description Sq. Ft. Floor Area Required Inspections Issued by: Re -roofs Type of Roof Valuation Occupancy 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. Signature of Applicant Date All roof coverings to be Class '%g'' or better l ' CITY OF CUPERTINO NEW SINGLE/MULTI FAMILY DWELLING COF CUPEkTINO PERMIT APPLICATION FORM APN # 32609056. Date: 6/23/2008 Building Address: Building 38, 20800 Homestead Rd. Mailing Address (if different from building address): 20800 Homestead Rd., Unit 8C Owner's Name: Prometheus Phone # : 650-931-3457 Contractor: Phone #: 510-525-9378 West Builders Fax #: 510-867-6983 Contractor License #: 825395 Cupertino Business License #: 29961 Contact: Phone #: 925-250-0576 Scott Thomas Fax #: 925-846-2243 Alternate Contact: Phone #: 510-773-0477 Katy Bilodeau Fax #: 408-746-5033 Single -Story ❑ Two -Story ❑ Three -Story ❑ Basement ❑ Hillside ❑ Multi -family ❑ Apartment ® Condo ❑ Townhouse ❑ Sq.Ft. Living Area (Including Basement & Attached Garage: Sq. Ft. Garage (Detached Only): Valuation: $15,000.00 Job Description: Installation of temporary water supply and return piping. Installation of new commercial water heater. Type of Construction (Usage Class): Occupancy Type: 1-A, 11-B ❑ 11, 111, V-A ❑ 11, 111, lV V-B EX 9- O Project Size: Standard J�j Large❑ Major ❑ Is the project in the Wildland- Urban Interface Fire Area? Yes ❑ No ❑ Green Building: Must attach completed Green Building Checklist to the plans Green Building Points Achieved: For help, contact Build it Green at www.buildit reen.or CITY OF CUPERTINO GENERAL BUILDING APPLICATION FEE SCHEDULE entity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1 GENCOM 1 WINREP Replacement windows/sliding glass door (ea 8 windows) B 1WINMEWSTR New Window -structural shear wall/masonry (includes plan ck fee) B 1 EPERMITFEE Electrical Permit Fee E 1MPERMITFEE Mechanical Permit Fee M / 1PPERMITFEE Plumbing Permit Fee P 1 ELCPLNCK Stand Alone Electric Pln Ck (hourly) E 1MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M 1PLMPLNCK Stand Alone Plumbing Pln Ck (hrly) P 1 STPLNCK-(3 Hr Min when not over counter) Standard Plan Check (when no E/M/P) hourly -stand alone B / 1BSEISMICR Seismic Residential B 1BSEISMICO Seismic Commercial B / 1TRAVDOC Travel & Documentation B 1BUSLIC Business License B t3P �,�rt-c'tZ, O*Az�!'�� `✓�� 5 of 5 v o- ,� � ^� d 'S A-,,—