13070042 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20800 HOMESTEAD RD CONTRACTOR:MONTEREY PERMIT NO:13070042
CONSTRUCTION COMPANY
OWNER'S NAME: VILLA SERRA APTS 88 MONTEREY-SALINAS HWY STE A DATE ISSUED:07/26/2013
OWNER'S PHONE: 6509313400 SALINAS,CA 93908 PHONE NO:(831)601-2659
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIALS
License Class_ Lic.# jZCf BUILDING 11 UNITS A-H REMODEL KITCHEN,BATH,
i ELECTRICAL SUBFEED,W/D HOOKUPS HOT&COLD
Contractor k tG-4 � Date - WATER
I hereby affirm that I am licensed under the provisions of Chapter 9 LINES FOR ALL(E)FIXTURES. 1,025 SQ FT PER UNIT,
(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
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 0 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 DT4M LAST CALLED 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 Ay
granting of this permit. Additionally,the applicant understands and will comply Issued by: Date:
JI//-3
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
� f��, RE-ROOFS:
Signature,&� Date-!7/2ra Zzc/-? 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
I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date:
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 _Pate ti��
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
9.18.
Signature Date
07/03/2013 13:31Mtry Construction Cc, (FAX)831 455 7986 P.002/003
CONSTRUCTION PERMIT APPLICATION
91 COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION
10300 TORRE AVENUE-CUPERTINO,CA 95014-3255
CUPERTINO (408)777-3228-FAX(408)777-3333-bulldlno0cuoertino.om 'JJ
NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PZ8t3l70Al�omestead Road, Building#��- , Units�—�\ APN M 3 Z6 D9 C2�'�. Zd 8 OO
�/I�a gerra A artments PHO650)931-3400 B-MAIL
MA�o.`Worfolk Street,#150 cSanWEEP,CA 94403 FAx
sT1
NT PHONE MAIL
av� ng t 650 931-3400 mwright@prometheusreg.com
STREET ADDRESSCITY,STATE,ZIP FAX
1900 So. Norfolk Street #150 Sen Mateo CA 94403
❑OWNER ❑ OWNER-11 LDBIt OWNBRAGENT ❑ comuCrort ❑CONTRAcrORAOBNr 13 ARamcr ❑ENGINEER ❑ DEVELOPER ❑TBNANr
LICE L 2R LfCBN.
SPgYOUS,LIC q
9Y M2
Mt � AneeY Construction Company rAIrnrconstruction,com
(991)455-7986
rADDRESS cITY,STATB,ZIP PHONE
onterey-Sallnas Hwy., Suite A: 831 455.7931
ARCHITECTIENOMEER NAMH LICENSE NUMBER BUS,LIC q
COMPANY NAME B-MAH. FAX
STRBETADDRESS CITY,STATE,ZIP PRONE
SCRIPTI0N OP WO '
Wemove&replace kitchen &bath cabinets. Replace electrical subpenel&subfeed, Install new W/D&hookups,
Run new hot&cold waterlines for all exIsting fixtures.Add addltlonal full bath withln exIsting apartment footprint.
=STrNO USE PROPOSED USE CONSTR•TYPE a sTORra9 ''''I•�I.I ''" "'�iii
.i.:
=$TO NEW FLOOR DBMO
TOTAL
AREA ARBA AREA I NETAREA
BATHROOM KITCIMN OTttPA r.
REMODEL AREA REMODEL AREA REMODEL AREA
PORCHAREA DOCK AREA TOTAL DECWORCHAREA OARA06ARBA!❑ DETACH
ATTACH
-DWELLING VNITe; reAsecnND UNIT
E3 YEA ACCO
Gree I:' I:':•..' ' ;i' ; �:.::.�:.`;. '.r:l ....I:!;,...�:
BEING ADDLDt NO ADDI710N1 NO i'.' 'r• :'. 'T�
is
PRe-APPLICATION ❑ Yee a'Yea,PROVIDa COPY OF
.I: ;. 1UATIPLANVO MPL r 70T V
� ON•::,',.�•,�,."I °
ny my signature below,[candy to each of the following: I am the propeny o er or author) agen eny owner's behalf. I hove reed this
application and the Information I have provided is correct I have read the Description of Work and van y it is ac . I agree to comply with all applicable local
ordinances and state laws relating to building etlon, tau horize representatives of Cupertino to enter the above-Identitted property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL INFORMATION REQUIRED
PLAN CItECK:TYP6'.lii':i:i.;: '.
_New SFD or Multifamily dwellings: Apply for demolition permit for
V8R•TII><COUNTER: D
UtLDINGPLANRI3VtEW.
existing building(s). Demolition permit is required prior to issuance of building
permit for new bullding.
1.JvPRIi�S t .:::,'.,r:..:.•.: �r�i'P�ANNING PIAN
Commercial Bldgs: Provide a completed Hazardous Materlals Disclosure O'.'STANDARD .I. ! !':'i i..!,: ` ' ;❑• pUDLIC WOAK81 ''I 'i' ''!`e`:
form if an Hazardous Material
Y s are being used o9 pert of this project, '.'..,.,,;•';.,'. ,:i. ,_'• ! :: ,. ,.
FIRE DEPT
_Copy of Planning Approval Lotter or Meeting with Planning prior to
submittal of Building Permit application. 1'd;MAJOR.:,' !.:'"; ::':::;I ,O'SANITARY.SEWERDISiRrCT.''"!.;
I:,
t;
•
ENVIRONMENTAL1rEALTr[:°:::i'.•:'
Qld&lpp 2011,doc revised 03/16/11
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 20800 HOMESTEAD RD BLDG 11 DATE: 07/08/2013 REVIEWED BY: MELISSA
APN: 32609073.20800 BP#: *VALUATION: 1$160,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY Multi-Family Dwelling Buildina is PENTAMATION 1R2REM
USE: 3 Stories 0 Yes (j) No PERMIT TYPE:
wORK BUILDING 11 UNITS A- H REMODEL KITCHEN BATH ELECTRICAL SUBFEED, W/D HOOKUPS
SCOPE HOT& COLD WATER LINES FOR ALL (E) FIXTURES. 1,025 SQ FT PER UNIT 8200S.F. TOTAL
y
,IlISwib.111ai 7 CtF£'.L:k F <:.P;'[??'i
�. ' 1P Fee: P!Nrp n. P m:t i I <: r'. f:f..
011"er !"Is"IE3--L- 0°I?'er Pt€d??'€bjyI sp' ?',r....,ln."''j;
:'t£%(:ffi. 17�5`i?, 1`::'v: ./3/td,y,•'r:..l7S'+../"£?£.': ;i'ec.Iit'1'jJ. T'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 only an estimate. Contact the De t or addh 7 info.
FEE ITEMS (Fee Resolution 11-053 Eff. 711112) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 8,200 s.f. Remodel,Other
Suppl. PC Fee: (F) Reg. ® OT 0.0 hrs $0.00 $9,353.00 IREMRES3
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp.Fee.-(F) Reg. 0 OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Work Without Permit? 0 Yes (j) No $0.00
Advanced Planning Fee: $0.00 Select a Non-Residential G
Building or Structure 0
Strong Motion Fee: IBSEISMICR $16.00 Select an Administrative Item
Bldiz Stds Commission Fee: IBCBSC $7.00
TQIA�S $23.001$9,353.00 TOTALFEE: $9,376.00
Revised: 07/01/2013