10100081 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10129 MELLO PL CONTItACTOR:WELKIN INTERNATIONAL PERMIT NO: 10100081
IND IN
< .R'S NAME: YEUNG WEI WEI 19925'TEVENS CREEK BLVD DATE ISSUED: 10/11/2010
OWNER'S PHONE: 5308480739
CUPERTINO,CA 95014 PHONE NO:(408)733-0188
❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUMB
Lic.# O �' C�
License Class MECH RESIDENTIAL r COMMERCIAL
CDate I n r l 0 —
Contractor I O
JOB I IESCRIPTION: 12 WINDOWS REPLACEMENT AND 2 SLIDING DOok
I hereby affirm that I ar licensed under the provisions of Chapter 9 REpLA CEMENT
(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.
I have and will maintain Worker's Compensation Insurance,as provided for by Sq,Ft Floor Area: Valuation:$5500
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. APN?lumber: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 WITHIN 180 DAYS OF PERMIT ISSUANCE OR
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the ISO 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
9.18. 0 .Issued by: r r --- Date:
ure Date
❑ OWNER-BUILDER DECLARATION RE-ROOFS:
All ro ifs 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 instal ed without first obtaining an inspection,I agree to remove all new materials for
the following two reasons: inspei:tion.
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, Signa Lure of Applicant: Date:
Business&Professions Code) —
I,as owner of the property,am exclusively contracting with licensed contractors to ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
construct the project(Sec.7044,Business&Professions Code).
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 ha%a read the hazardous materials requirements under Chapter 6.95 of the
Compensation,as provided for by Section 3700 of the Labor Code,for the Cali]Drnia 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 Safei y Code,Section 25532(a)should I store or handle hazardous material.
Additionally,should I use equipment or devices which emit hazardous air
Section 3700 of the Labor Code,for the performance of the work for which this contaminants as defined by the Bay Area Air Quality Management District I will
permit is issued. mair tain 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 Owr er o,authorized agent: Date:
become subject to the Worker's Compensation provisions of the Labor Code,I must 7`/��j
forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION I her-by affirm that there is a construction lending agency for the performance of work's
1 certify that I have read this application and state that the above information is for i thich this permit is issued(Sec.3097,Civ C.)
correct.I agree to comply with all city and county ordinances and state laws relating Len ier's Name
to 1—ilding construction,and hereby authorize representatives of this city to enter
?re above mentioned property for inspection purposes.(We)agree to save Len per's Address
r... ..,reify 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 un ierstand my plans shall be used as public records.
9.18.
Licensed Professional
Signature Date
CITY OF CU PERTINO
FEE ESTIMATOR- BUILDING DIVISION
1121 ADDRESS: 10129 Mello PI DATE: 10/11/2010 REVIEWED BY: RW
APN: BP#: *VALUATION: 1$7,000
PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair
PRIMARY z „ PENTAMATION 1GENRES
USE: SFD or Duplex ., F . �� PERMIT TYPE:
WORK 14 windows and 2 patio doors.
SCOPE
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NOTE: Thesefees are based on the preliminary in ormation avails sble and are only an estimate. Contact the De t or addh 7 info,
FEE ITEMS (Fee Resolution 09-051 Ef. %%7/10) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 # Window/Sliding Glass Door
Suppl. PC Fee: E) Reg. 0 OT 0.0 firs $0.00 $506.00 1 WINREP Replacement
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Feer Reg. 0 OT 0.0 firs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
r rrrt=°rrt of}tF I'.?:.
Acoustical Fee: 0 Yes (F) No $0.00 0
Work Without Permit? 0 Yes E) No $0.00 E)
Planning hee: $0.00 Select a Non-Residential 0
Building or Structure 0
'T f-w ul l) c trtrt rtfcrr'ir rt 1 c
Strong Motion Fee: 1BSEISMICR $0.70 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
SUBTOTALS- $1.7C $506.00J TOTAL FEE: $507.70
Revised: 9/29/2010
Green Points Rating System for Remodeling Projects
Due to the diversity of remodeling project types,assigning a"total points'value to a project to be considered environmentally friendly is
not feasible. However,25 measures have been highlighted to signify that every effort should be made to incorporate them into your
projects. These items have been chosen based upon their impact on the environment and the health of the home in coordination with
ease of implementation and relative low cost. These measures can t e used as a starting point for'greening'your project
A.Site
Yap to 4 Resource pts 0
_� ,
2.Salvage RinsWe Ou Wals 4 Res ource pts y=yes 0
3.Remodel for Mixed Use,Adaptive Reuse,and
Historic Preservation 4 Resource pts y--yes 0
4.Protect Native Soil 2 Resource pts y=yes 0
5.Minimize Disruption of Existing Plants&Trees 1 Resource pt y=yes 0
6.Implement Constriction Site Stormwater Practices 2 Resource pts y=yes D
7.Protect Water Quality with Landscape Design 2 Res ource pts y=yes D
8•Design Aesouroe-EAdlant Landscapes and Gads 4 Res Du roe pts y=yes D
9.Reuse Materials/Use Recycled Content Materials
for Landscape Areas 2 Resource pts y=yes 0
10.Install High-Efficiency Irrigation Systems 2 Resource pts y=yes D
11.Provide for On-Site Water Catchment/Retention 2 Res ource pts y=yes 0
1 1 1
B.Foundation
1.Incorporate Recycled Flyash in Concrete
25%Recycled Flyash=2 points;Add 1 point for every 10%
increase of flyash,up to 5 points L p to 5 Resource pts D
2.Use Recycled Content Aggregate 2 Res ource pts y=yes D
3.Insulate Foundation/Slab before backfill 3 Eng.,rgy pts y=yes 1 01 1
C.Structural Frame
1- Lwiw 3 Resource pts y=yes D
2.Use FSC Certified Wood for framing
(For every 10%of FSC lumber used=2 points,up to 10) up to 10 Resource pts. 0
3.Use Wood I-Joists for Floors and Ceilings 2 Resource pts y=yes 0
4.Use Web Floor Trusses 2 Resource pts y=yes 0
5.Design Energy Heels on Trusses 6"or more 2 Enf:rgy pts y=yes 0
S.Use Finger-Jointed Studs for Vertical Applications 2 Resource pts y=yes D
7.Use Engineered Studs for Vertical Applications 2 Res Du me pts y=yes D
B.Use Recycled Content Steel Studs for Interior Framing 2 Res Durce pts y=yes 0
9.Use Structural Insulated Panels(SIPS)
a.Floors 3 Enr:rgy pts y=yes D
b.Wall 3 Enf qy pts y=yes 0
c.Roof 3 Enorgy pts y=yes 0
10.Apply Advanced Framing Techniques 4 Res)urce pts y=yes 0
11.Use Reclaimed Lumber for Non Structural Applications 3 Res)urce pts y=yes 0
12 Use 0;38
a.Subflwrs 1 Res)urce pt y=yes 0
b:Shea1f3ing 1 Res)urce pt Y--yes 01 1
rn dws
1.1ns'>atl `' edWMd171Ns
a.Die-'ted 1 Ener;y pt Y--yes 0
b,i..aw$ ty(LwrE,)
2 Enei gy*pts y=yes 0
C.IDX Ca4U0W f a nes 2 Enei gy pts y--yes 0
2.Install Low Heat Transmission Glazing 1 Eneigy pt Y--yes 0
1 1 1
J.Heating Ventilation and Air Conditioning
1.Use DudMasfic an All fluct Joints 2 Ene_gy pts Y--yes 0
2.Install Ductwork within Conditioned Space 3 Ene-gypts Y--yes0
3.Vent Range Hood to the Outside 1 IAQ Health pt y=yes 0
4.Clean all Ducts Before Occupancy 2 IAQ'Health pts y=yes 0
5.Install Solar Attic Fan 2 Ene rgy pts yeses D
6.Install Attic Ventilation Systems 1 Ene rgy pt Y--yess0
7.Install Whole House Fan 4 EnE rgy pts Y--yes0
8.Install Sealed Combustion Units
a.Furnaces 3 IAC/Health pts y--yes 0
b.Water Heaters 3 IAC/Health pts y=yes 0
9.Replace Wall-Mounted Electric and Gas Heaters with
Through-the-Wall Heat Pumps 3 En;rgy pts y=yes 0
10.Install 13 SEER/11 EER or higher AC with a TXV 3 En:rgy pts y=yes 0
11.Install AC with Non-HCFC Refrigerants 2 Re;ource pts Y--yes0
12.Install 90%Annual Fuel Utilization Efficiency(AFUE)Furnace 2 En;rgy pts Y--yes 0
13.Retrofit Wood Burning Fireplaces
a.Install EPA certified wood stoves/inserts 1 IA(t/Health pt y=yes 0
b. Install/Replace Dampers 1 En:rgy pt y=yes 0
c.Install Airtight Doors 1 Energy pt y=yes 0
14,Install Zoned,Hydronic Radiant Heating 3 Er ergy pts y=yes 0
15,Install High Efficiency Filter 4 A,)]Health pts y=yes 0
16.Install Heat Recovery Ventilation Unit(HRV) 5 IA,)/Health pts y=yes 0
17,Install Separate Garage Exhaust Fan 3 IA YHealth pts y--yes 0
1 1 1
IG Renewable Energy and Roofing
1.Pre-Plumb for Solar Water Heating 4 Ei iergy pts Y=yes 0
2.Install Solar Water Heating System 10 Ei iergy pts y=yes 0
3.Pre-Wire for Future Photovoltaic(PV)Installation 4 E iergy pts y=yes 0
4.Install Photovoltaic(PV)System
(1.2 kw=6 points,2.4 kw=12 points,3.6 kw=18 points) Up to 1 B Energy pts 0
6.sale &de aW Durable Roofing Materials. 1 Resource pt y=yes 0
7.Install Radiant Barrier 3 Eiergy pts y=yesF 0
- 1 1 1
L.Natural Heating and Cooling
1.Incorporate Passive Solar Heating 5 Er ergy pts y=yes 0
2.Install Overhangs or Awnings over South Facing Windows 3 Er ergy pts y=yes - 0
3.Plant Deciduous Trees on the West and South Sides 3 Er ergy pts Y=yes 0
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CITY OF CUA. ERTLNO
CITY OF
CUPS TiNO GENERAL B UILDLNG
PERMIT APPLICATION FORM
APN # Date:
-Go
Building Address:
aUtz N�1
Mailing Address (if different from building addres ):
Are Hazardous Materials being used as part of this project? Yes ❑ No
HOA: (Exterior work only) Yes ❑ No If yes, provide letter from HOA
Owner's Name: Phone#:
Q. 1 ) -
Contractor: h Phone: 4a-x'41 ?IST
' p IV' a `I ( O K Fax:
Contractor License#:
Cupertino Business License#:
Contact: Phone: i1f7�-5 -
Aw,o:�L �0 Fax:
Residential Commercial
Job Description: rsep l aCeo,�J
rt1IAC e
Building Permit Info:
Bldg LAY Elect ❑ Plumy ❑ Mech ❑
Type of Construction (Usage Class): Occupancy Type:
1-A, 1-B ❑ U=-A ❑ II/III B, IV-HT, 34g
Valuation: Square Footage:
1000,
Project Size: Express O Standard ❑ Large ❑ Major ❑
Green Building: Please complete relevant portion of the Green BUding(LEED Checklist& attach it
to the application or if applicable, incl-ide in plan set& the sheet index.
)ints Achieved:
for help, contact Build it Green at www.builditgreen.org
Revised 07/14/09
s