10110196 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10129 MELLO PL CONTRACTOR:WELKIN INTERNATIONAL PERMIT NO: 10110196
IND INC
OWNER'S NAME: YEUNG WEI WEI 19925 STEVENS CREEK BLVD DATE ISSUED: 11/30/2010
OWNER'S PHONE: 5308480739 CUPERTINO,CA 95014 PHONE NO:(408)733-0188
❑ LICENSED CONTRACTOR'S DECLARATION
i Z �:–� BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class Lic.# 1
MECH f— RESIDENTIAL COMMERCIAL
Contractor Ca j X�D1 y X j Q. Date
I hereby affirm that I-ensed under the provisions of Chapter 9 JOB DESCRIPTION:REMODEL KITCHEN(105 SQ)&2 BATHROOMS(100
(commencing with Section 7000)of Division 3 of the Business&Professions SQ);NON-STRUCTURAL;NO RE-ROOF&NO STRUCTURAL
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.
I have and will maintain Worker's Compensation Insurance,as provided for by Sq.Ft Floor Area: Valuation:$10000
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued.
APN Number:36905029.00 Occupancy Type:
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 and state laws relating
to building construction,and hereby authorize representatives of this city to enter PERMIT EXPIRES IF WORK IS NOT STARTED
upon the above mentioned property for inspection purposes. (We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR
costs,and expenses which may accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION.
granting of this permit. Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section
9- Issued b - ''�''-��---� - Date/ 51a-1,0
Signatu�� ._ Date At-) . u
❑ OWNER-BUILDER DECLARATION RE-ROOFS:
All roofs shall be inspected prior to any roofing material being installed.If a roof is
I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for
the following two reasons: inspection.
1,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, Signature of Applicant: Date:
Business&Professions Code)
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
HAZARDOUS MATERIALS DISCLOSURE
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the
Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain
performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should I store or handle hazardous material.
Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air
contaminants as defined by the Bay Area Air Quality Management District I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
I certify that in the performance of the work for which this permit is issued,I shall Health&Safety Code,Sections 25505,25533,and 25534.
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 Owneror ized ent•
become subject to the Worker's Compensation provisions of the Labor Code,I must Date:
forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of work's
I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.)
-,t.I agree to comply with all city and county ordinances and state laws relating Lender's Name
,lding construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records.
9.18.
Licensed Professional
Signature Date
CITY OF CUPERTINO
4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36905029 . 00
DATE ISSUED. . . . . . . : 11/30/2010
RECEIPT #. . . . . . . . . : BS000012119
REFERENCE ID # . . . : 10110196
SITE ADDRESS . . . . . : 10129 MELLO PL
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : YEUNG WEI WEI
ADDRESS 10129 MELLO PL
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : SHIH I LO
CONTRACTOR . . . . . . . : XIE, CAIXING LIC # 24081
COMPANY . . . . . . . . . . : WELKIN INTERNATIONAL IND INC
ADDRESS . . . . . . . . . . : 19925 STEVENS CREEK BLVD
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
TELEPHONE . . . . . . . . : (408) 733-0188
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BCBSC VALUATION 10, 000 . 00 1 .00 0 .00 1. 00 0 . 00
1BSEISMICR VALUATION 10, 000. 00 1 .00 0 .00 1. 00 0 .00
1REMRESBAT SQ FEET 100. 00 570 . 00 0. 00 570 .00 0 . 00
1REMRESKIT SQ FEET 105. 00 570 .00 0 .00 570. 00 0 .00
-------=-- ---------- ---------- ----------
TOTAL PERMIT 1142 . 00 0. 00 1142 . 00 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 1, 142 . 00 AMEX
---------------
TOTAL RECEIPT 1, 142 .00
Y
RESIDENTIAL PROJECT COVER SHEET
Assessor's Parcel Number:
Name of owner. A)LU Wf,4-- t4A
Project address. I Z-� A e{I D D I r, Cy v e rf N`D CA ��r
Contact person. In A ` Phone.(730)
Fax.
Net square footage of lot.
Existing Proposed
Square footage: First floor:
Second floor:
Garage:
TOTAL:
Are there at least two 10 foot by 20 foot clear spaces inside the garage? ��r;
Is privacy protection planting required for the project?
Build it Green Total Points I t.0
On what floor(s)is work being done? 1'�
Brief description of work. `rr f,0�1 Q4,1,04 ��`f-!n Y"«� C N� s tYIAC:�kT
Code editions:2007 CBC -N)2007 CFC N)2007 CMC &)N)
2007 CPC -N)2007 NEC N)
APF'i OVJ i
IN A(_:C OHUANCI 'cif'! HE CITY 0
Effective 1/kf08r HT&J()�,���€_�,AND ORDINAN( ,-,.;
DATE-1 0 0
SIGNE
This set o and specification 1v�UST
by kep on the job at all times and it is
,nlawful to make any changes or alterations
on same without written permission from
the Building Department,City of Cu ino.
The stamping of this plan and specifications
SHALL NOT be held to permit or to be an
approval of the violation of any provisions
of any City Or(Jin:lr)c' „`, t aw
Plan Review Process Work Book Page-8-Revised 8/05/08
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Bath room Gypsum Board (layer)
Tile/Cement board (Hardie Backer EZ grid)/2 layers of Davis Wire (all purpose building paper-2ply, super
kraft asphalt sheathing paper)/Wood studs
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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: o 9 jk4 e,j Myt7/yJ PERMIT#
OWNER'S NAME: 2 PHONE #
GENERAL CONTRACTO : BUSINESS LICENSE# 126 c�
ADDRESS: CITY/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: z � f' f�4C i I �a/� / O
y- Signature Date
Please check applicable subcontractors and complete the following information:
V 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
v..� Owner/Contractor Signature Date
CITY OF CUPERTINO
ADDITION/REMODEL
CUPERTINO FEE SCHEDULE
APN# � ,�\�S Date:
Is a 2n unit being added? Yes ❑ No If Yes, please fill out the permit application for 2nd unit.
Building Address:
1012-9 ME LL 0 P LA Gl✓ LVF IP T N C} GA 61 g&� I U-
Mailing Address (if different from building address):
Owner's Name:,,_(?1vtol Phone
Contractor: Phone#: 40 ; 541 i3
W LKI N I✓rt rtnatiov��xi f��� �t5t�-�u l 1✓�c . Fax#: 4L)lj� 941 C1 2
Cupertino Business License: State Contractor License#: 139512
Contact: Phone#: qo 1?> 1;41 (i L CqJ�
CAIXINC1 XIL- Fax#: v 41 = ,
Landscape Ordinance Compliance:
Landscape area in sq. ft. (includes all irrigated areas): ..
If 2,500 sq. ft. or less, compliance with the Landscape Water-Efficiency Checklist is required.
If more than 2,500 sq. ft., a complete Landscape Project Submittal is required.
Compliance Method: ❑ Plant Type ❑ Water Budget
Building Permit Info:
Bldg. a— Elect. �� Plumb. Mech. Hillside ❑
Job Description:
Addition-What is being added?(Be Specific):
What is being remodeled (nota including addition)?
IV krt�� t t,, -)- 9o�Tkvv,w , (-No cAdLA i ;oN) Mm
Remodel Includes Re-Roof. Yes ❑ No [ If yes list number of squares
Remodel Includes Structural: Yes ❑ No
Do you have the pre-application planning approval? Yes ❑ No
If yes, please provide a copy of your planning approval letter. Planners name:
Square Footage:
Addition: Porch: Deck: Garage: Detached Attached
Remodel: Kitchen_U,z_�� Bath 1PI, Other
Type of Construction (Usage Class): Occupancy Type: �L-:73
-A, 1-B ❑ II/IIUV-A ❑ II/HI B, IV-HT, V-B Valuation: 1 ,,c4 o
Please check this box if the project is a
Project Size: Express �andard ❑ Large ❑ Major ❑ second-story addition ❑
Please complete relevant portion of the Green Building
Checklist& attach it to the application or if applicable, Green Building Points Achieved:
include in plan set& the sheet index.
Revised 05/18/10