Loading...
12080088 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10646 ROSEWOOD RD CONTRACTOR:ABE CONSTRUCTION,INC PERMIT NO: 12080088 OWNER'S NAME: ESSEX THE POINTE LP 528 E WEDDELL DR STE 4 DATE ISSUED:08/08/2012 OWNER'S PHONE: 6504943700 SUNNYVALE,CA 94089 PHONE NO:(408)734-8416 ❑ LICENSED CONTRACTOR'S DECLARATION 2 License Class a Co i Caouc.4 "Q BUILDING PERMIT INFO BLDG F ELECT f— PLUMB� yy�� aa l MECH� RESIDENTIAL� COMMERCIAL' Contractor gee ee, to ti.J 1 I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION APT A-D-MULTI FAMILY KITCHEN(60 SQFT)AND BATT-I (commencing with Section 7000)of Division 3 of the Business&Professions (60 SQFT)REMODEL NON-STRUCTURAL,INCLUDES NEW Code and that my license is in full force and effect. WASHER/DRYER HOOK-UP 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. 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 Sq.Ft Floor Area: Valuation:$25000 permit is issued. APPLICANT CERTIFICATION APN Number:31643005 10646 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DAYS F OM LAST CALLED INSPECTION. with all non-point sourceregulations per the Cupertino Municipal Code,Section 918. ( 3 1- - Signature Date \ Issued by: ate: ❑ OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Applicant: Date: I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain compliane with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&S ety d ,Sections 25505,25533,and 25534. Compensation laws of California. If,after making this certificate of exemption,I become subject to the Worker's Compensation provisions ofthe Labor Code,I must O ne r a t o d agent: forthwith comply with such provisions or this permit shall be deemed revoked. Date: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct. I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address costs,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9 18. I understand my plans shall be used as public records. Signature Date Licensed Professional CITY OF CUPERTINO 13UILDING PERMIT BUILDING ADDRESS: 10646 ROSI:WOOD RD OWNER'S NAME: ESSEX TI IF POINTE LP CONTRACI'OR:- - - I PERMIT NO: 12080088 DATE ISS0FD:08 /082012 OWNER'S PHONE: 6504943700 I - I PRONE NO: LICENSED CONTRAC'OR'S DECLARATION License Classy 6 Lic. N 957 (O i 9 Contractor Dine L5 I Z ll ereby affirm I hit t I am licensed under Ihe. provisions of Chu peer 9 (commencing with Section 7000) of Division 3 of Ihe Business S Professions Code and Thal In)' license is in full force and effect. herein• 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 Lahor Code, far the perf amnance of the work for which this permit is issued. 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 permit is issued. . \I'I'LICAN'I' CGIfI'I PIC. \'PION I certify that I have read this application and slate thin the above information is correct. I agree to comply with all city and county ordinances and stale 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 indemnify and keep harmless the City of Cupertino against liabilities• judgments• costs, and expenses which may aceme against said City in consequence of the granting of this permit. Additionall)•. the appli :rut understands and will comply with all non -point source regulations per the upertino Municipal Code, Section 9.18. / _ i2 9'18. re . ate ❑ OWNER - BUILDER DECLARA'T'ION hereby afftnn that 1 am exempt from the Contractor's License Law for one of Ihe following two reasons: 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 construct the project(Sec.7044, Business a Professions Code). hereby affirm under penalty of perjury one of the fallowing three 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. I have tad 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 permit is issued. I certify that in the performance of die work I'or which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation I:nrs of California. If, after making this cer illeme of exennption, I become subject to the Worker's Compensation provisions of the Labor Code, I must Jbitim'ith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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 land state laws relating to building construction, and hereby authorize representatives of this city to enter upon die above mentioned proper for inspection purposes. (We) agree to save 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 with all non -paint source regulations per the Cupertino Municipal Code, Section 9.18. BUILDING PERMIT INFO: BLDG 1- ELECT r PLUMB r MECF11- RESIDENTIAL r COMMERCIAL F- JOB DESCRI PTION: APT A -D - hIULTI FAMILY KITCHEN(60 SQIM AND BATH (60 SQFI') REMODEL NON - STRUCTURAL, INCLUDES NEW WASIIER/DRYER IIOOK -UP Sq. Ft Floor Area: I Valuation: $25000 APN Number: 31643005.10646 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by.: - Date: e-o�pjL_ RF- ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, 1 agree to remove all new materials for inspection. Signature of ApplimnC Date: ALI, ROOF COVERENGS TO BE CLASS "A" OR BETITR IIAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health S Safety Code. Sections 25505, 25533, and 25534. I will maintain compliance n'ith the Cupertino Municipal Code. Chapter 9.12 and the Health S Safety Code, Section 25532(a) should 1 store or handle hazardous material. Additionally, should 1 use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code. Chapter 9.12 and the Health S Safety Code, Sections 25505. 25533, and 25534. Owner or authorized agent: Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of ssork's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name _ Lender's Address ARCHITECI "S DECLARATION I understand my plans shall be used as public records. Date I Licensed Professional J &� ����� CITY OF CUPERTINO 11-'�`l FEE ESTIMATOR— BUILDING DIVISION NOTE: This estininte does not include jeer due to other Departments (i.e. Planning. Public Works, Fire. Sanitary set ,er District, acmoot n:.. -,*-, ,..,. i . •ro.,..,, r are based on the refh'.'t..... ' h.! ....... inn nvnilahlo mrd are anh, an estininte Contact the Dent for nddn'I info. FEE ITEMS (Fcc Resohi ion 11 -053 Eff 711111) ADDRESS: 10646.oUvewood-e -d I DATE: 08/08/2012 REVIEWED BY: bobs. Much. Permit Fee: APN; BPy; 'VALUATION: $25,000 •PERMITTYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY USE: Multi - Family Dwelling Buildlna is >3 Stories 0 Yes 0 No PENTAoNIATION PERMITTYPE: 1R2RE M WORK multu family kitchen and bath remodel non structural includes new W/D hook-up. J SCOPE NOTE: This estininte does not include jeer due to other Departments (i.e. Planning. Public Works, Fire. Sanitary set ,er District, acmoot n:.. -,*-, ,..,. i . •ro.,..,, r are based on the refh'.'t..... ' h.! ....... inn nvnilahlo mrd are anh, an estininte Contact the Dent for nddn'I info. FEE ITEMS (Fcc Resohi ion 11 -053 Eff 711111) blech. Plan Check Plumb. Ilan Cheek Flee. flan Check Much. Permit Fee: Phlnih. Pernnl Fee: Misr, Per/nn Fee: Ocher Alec•h. Insp. Other Plumh Insp. Oilier Der. Insp. Llech. Insp. Fee: Phanh. help. Fee: Ver. Inp. Fee: NOTE: This estininte does not include jeer due to other Departments (i.e. Planning. Public Works, Fire. Sanitary set ,er District, acmoot n:.. -,*-, ,..,. i . •ro.,..,, r are based on the refh'.'t..... ' h.! ....... inn nvnilahlo mrd are anh, an estininte Contact the Dent for nddn'I info. FEE ITEMS (Fcc Resohi ion 11 -053 Eff 711111) FEE QTY /FEE MISC ITEMS Plan Check Fee: $0.00 60 s.f. $600.00 Remodel, Kitchen (< =300 so IREHRESRIT Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 60 s.L $600.00 Remodel, Bath (< =300 so IRFd9RESBAT Permit Fee: Hourly Only? (j)Yes O No $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 1 [its $0.00 PME Unit Fee: $0.00 PM8 Permit Pee: $0.00 Cwlevntcrion Tax: Administrative Fee: E) Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee: $0.00 © hours $798.00 Inspections ISTINSP I Inspection, Hourly E) 0 Travel Dowintentation Fees: Strong Motion Fee: IBSFISAHCR $2.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: 1 $3.501$1,998.00 TOTAL FEE: $2,001.50 Revised: 07/01 /2012 CUPERTINO I 2O6 0 CJp v CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • building(okupertino.oro ❑ NEW CONSTRUCTION ❑ ADDITION 211-'17ERATION /TI ❑ REVISION /DEFERRED ORIGINAL PERMIT 16=i PROJECT ADDRESS O APNt _31� T l MS-, /(3 4f l0�/�p OWNERNAME PHONV,Tu, S�. 3-700 E -MAIL G-�xl r STREETADDRESS We f � I` U/ CITY, ATE-7ZIP,y�NU C� FAX. CONTACT NAME oy PHONE E -MAIL p STREET ADDRESS 2s �. ✓ns�w p/G �r CITY,STATE ZIP ,! (�� FA.X /;c ^ro �i1. / 503 ❑ OWNER ❑ OWNER - BUILDER OWIRAGE.NT gcoirraAcrox ❑CONTRACTORAGENr ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME ` �I ^_ - ii'd0'Jr11 LICENSE NUMBER LICENSE TYPE r5 BUS ' -- - --r 9'�II C J COMPANY NAME FAX 7,7( - S``iSG STREET ADDRESS/ S n, CITY, STAT ZIP ��D ^A lZ,/ lT PHON ARCHITECTIENGINEER NAME /) LICENSE NUMBER BUS. LIC d COMPANY NAME E -MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK AQl model Kt hen (,uund ✓CU rh kk&6- e�.�rs r r s P r FK L, as EXISTING USE PROPOSEDUSE CONST TYPE STORIES �reJL. 1M. �' /J USE TYPE OCC. SQ.Ff. VALUATION (5) EXISTG NEW FLOOR AREA AREA DEMO AREA TOTAL NET AREA BATHROOM -• REMODELARFA IJJ KRCI.MN I OTHER RFMODELAREA` —MODELAREA PORCH AREA DECK AREA TOTAL DEC�PORCH AREA GARAGE AREA: DETACH ❑ATTACH I /DWELLING UNITS: ISASECOND UNIT AYES 5ECOND STORY OYEs BEIHGADDED? ONO ADDITION'. ONO PRE - APPLICATION ❑YES IF YES, PROVmE COPY OF IS THE BLDG AN ❑YES $ECEIVEDB OTAL VALUATION' Or PLANNINGAPPLM ONO PLANNING APPROVAL LETFER EICHLER HOME? ONO ✓• By my signature below, 1 certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provi read the Description of Work and verify it is accurate. 1 agree to comply with all applicable local ordinances and state laws relating ro b m� lion. I orize representatives of Cupertino to enter the above -ide tme property for inspection purposes. Signature of Applicam/Agene - Date: 8 SUPPLEMENTAL INFORM EQUIRED PLAN CIECKTYPE ROUTING'SLIP New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building , COUa-rER: L"J eulLnl.NG PI-kN REVIEW permit for new building. ❑ ECPRF-SS ❑ PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ P6BL1'C W0RKS Tom if anv Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPF ' _ Copy of Planning Approval Letter or Meeting with Planning prior to -❑ submittal of Building Permit application. MAJOR ❑ SANITAft1'SEN'ER'DISTRICT ❑ ENVIRON>IENT,AL HEALTH. BldgApp_20ll.doc revised 06121111 To: P.gs 2 of 2 March 21, 2014 Allan Uy Essex Property Trust, Inc. 925 E Meadow Dr. Palo Alto, CA 94303 2014 -03 -21 20:27:21 (GMT) 140a4OAO5OA From: -BE Constru Ctlon, Inc 1485 Bayshore Blvd. #121 San Francisco, CA 94124 T (415) 659 -8283, F (415) 276 -4756, C (415) 920 -3140 Contractor's Lic. # B 859169 hmadani(aD_basebuildersinc.com RE: 10646 Rosewood Rd, Cupertino — Permit #12080088 Dear Allan, I'm writing to inform you that Base Builders, Inc. (BBI) is no longer working at 10646 Rosewood Rd, Cupertino, CA project. Base Builders, Inc. is authorizing the City of Cupertino to transfer all permits to ABE Construction, Inc. 3mg Please feel free to contact me should you have any questions. Regards, Hamid Madani President