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12050203 CIflFY OF CU]ED]ER)TI«1O I..UIDL>[DING PERMITa��C�W' � , BUILDING ADDRESS: 10170 CALVERT DR CONTRACTOR:WELKIN INTERNAT` IQ}YL-PERM NO: 12050203 IND INC OWNER'S NAME: XIE CAIXING&LI YU 20731 HANFORD DR DATE ISSUED:08/06/2012 OWNER'S PHONE: 4088889096 CUPERTINO,CA 95014 PHONE NO:(408)888-9096 • ❑ • LICENSED CONTRACTOR'S BUILDING PERMIT INFO: BLDG ELECT PLUMB t� r License Class Lic.# l 2 \ I f MECH RESIDENTIAL COMMERCIAL C,cit i k , ( Date D2 P.3 I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:NEW 2 STORY HOUSE W/PORCHES 2,263 SQ FT AND (commencing with Section 7000)of Division 3 of the Business&Professions ATTACHED GARAGE 434 SQFT,TOTAL 2,697 Code and that my license is in full force and effect. SQFT-SANITARY IS SUNNYVALES JURISDICTION 12/1 I/12-REV#1-REVISE WINDER STAIRCASE REPLACE WITH GLUELAM BEAM-REV#I ISS'D 12/11/12 I hereby affirm under penalty of perjury one of the following two declarations: l 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. l 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. Sq.Ft Floor Area: Valuation:$350000 APPLICANT CERTIFICATION I certify that 1 have read this application and state that the above information is APN Number:37519020.00 Occupancy Type: 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 indemnify and keep harmless the City of Cupertino against liabilities,judgments, PERMIT EXPI[R]ES WORK IS NOT STARTED costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply WITHIN II80 DAYS OF IPIERMET JISSUANC E OR with all non-point source regulations per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. 0/5.2 Signature _ Date )./17/2013 Issued by: ,Al2,11/ADate: • ❑. OWNER-BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for one of RE-ROOFS: the following two reasons: I All roofs shall be inspected prior to any roofing material being installed.If a roof is I,as owner of the property,or my employees with wages as their sole compensation, installed without first obtaining an inspection,I agree to remove all new materials for will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection. Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant: Date: construct the project(Sec.7044,Business&Professions Code). I hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER declarations: l 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 performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the t have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,Sections 25505,25533,and 25534. II will maintain compliance with the Cupertino MunicipalolIstore 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 1 stor handle hazardous material. permit is issued. Additionally,should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District 1 will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Compensation laws of California. If,after making this certificate of exemption,I Health&Safety Code,Sections 25505,25533,and 25534. become subject to the Worker's Compensation provisions of the Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized a f � Date: Z c9))Z APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY l 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 I hereby affirm that there is a construction lending agency for the performance of Hork's to building construction,and hereby authorize representatives of this city to enter I for which this permit is issued(Sec.3097,Civ C.) upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the Lender's Address granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section ARCHITECT'S DECLARATION 9.18. • I understand my plans shall be used as public records. Signature . Date Licensed Professional CITY OF CUPERTINO 3,1LTILDING PERMIT BUILDING ADDRESS:•10170 CALVERT DR CONTRACTOR:WELKIN PERMIT NO: 12050203 INTERNATIONAL IND INC OWNER'S NAME: XIE CAIXING&LI YU 20731 HANFORD DR DATE ISSUED:08/06/2012 OWNER'S PHONE: 4088889096 CUPERTINO,CA 95014 PHONE NO:(408)888-9096 • .0 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL Er—COMMERCIAL • License Class• • Lic.# h fZ 6�,✓ NEW 2 STORY HOUSE W/pO i',CHES 2,263 SQ FT AND • ATTACHED GARAGE 434 SQFT,TOTAL 2,697 Contractor • . ()( 449-%Y``t- Date. 7/0:512e(3 SQFT-SANIITARY IIS SUNNYVALES JUR2SIlDIICTffON I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business&Professions R, a tj 4- - 2-3 1 ( j `{tee - 14 c a-4e Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: 04 I D 0 r b a-S d"1 (Ai l {ACID 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:$350000 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:37519020.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT]EAPI]]RES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating ��T g�1.80)IDA 1 � 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]IDA 1 r I"co 4'l I AST 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 granting of this permit. Additionally,the applicant understands and will comply II59 ed by: 0011 Date: 2-] c_ with all non-point source regulations, er-tlte upertino Municipal Code,Section 9.18. /7_3 RE-ROOFS: / Signature l/ Date OO 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. 0 OWNER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of 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) 1,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. II 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 1 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: ��-� Date: 112 312,5r 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,1 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 CITY OF CILTPIERTJINO I„ILTIILD1NG PERMIT BUILDING ADDRESS: 10170 CALVERT DR CONTRACTOR:WELKIN INTERNATIONAL 'PERMIT NO: 12050203 IND INC OWNER'S NAME: XIE CAIXING&LI YU 20731 HANFORD DR DATE ISSUED:08/06/2012 OWNER'S PHONE: 4088889096 CUPERTINO,CA 95014 PHONE NO:(408)888-9096 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lie.4 MEC11-I r RESIDENTIAL COMMERCIAL Contractor Date II hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:NEW 2 STORY HOUSE W/PORCHES 2,263 SQ FT AND (commencing with Section 7000)of Division 3 of the Business&Professions ATTACHED GARAGE 434 SQFT,TOTAL 2,697 Code and that my license is in full force and effect. SQFT-SANITARY IS SUNNYVALES JURISDICTION 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. [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:$350000 permit is issued. APPLICANT CERTIFICATION APN Number:37519020.00 Occupancy Type: I certify that I have read this application and state that the above information is correct.1 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 BAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DAPS FROM LAS ALLIED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. F. lel ) '1Issued by: G Date: Signature Date 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 1,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: 1,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 1 hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE 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 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. 1 will maintain I have and will maintain Worker's Compensation Insurance,as provided for by eomplpee-wSf6 theppertr icipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this S ety Code,Section 25532(a)should re ir handle hazardous material. dditionally,should 1 use equipment or devices 'ch emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality nagement District II will I certify that in the performance of the work for which this permit is issued,l shal maintain compliance with the Cupertino Municipal Code, apter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534. Compensation laws of California. If,after making this certificate of exemption, become subject to the Worker's Compensation provisions of the Labor Code,1 n ust Owner or authorized - �/�/`( L forthwith comply with such provisions or this permit shall be deemed revoked. i ! Date: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENC I certify that I have read this application and state that the above information is I hereb rm ththere is a construction lending agency e performance of work's correct.1 agree to comply with all city and county ordinances and state laws relating for which this 7rri�is-issued(Sec 3097 Cid 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 unicipal Code,Section 9.18. / I understand my plans shall be used as public records. Signature `� Date E `-2— Licensed Professional CITY IF CITE I�TII FEE ESTIMATOR—BUILDING DIItVISION ADDRESS: 90970 CALVERT DR DATE: 01/23/2013 REVIEWED BY: MELISSA APN: 375 19 020 P#: •0 aOR 0 3 *VALUATION: $0 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/Repair PRIMARY PIEN'I'AMA'I'ION USE: PEI'or Duplex PIE':Ia9IUI TYPE: 1GENRES 4 . WORK REVISION 3 TO RELOCATE 2ND FLR MASTERBATH WINDOW SCOPE _ J Mech. Plan Check Plumb. Plan Check Elec.Plan Check l Mech. Perna free: Plumb.Permit Fee: Her.Permit Fee: Other.,leech.Insp. Oilier Plumb Insp. Other Eke.Insp. Mech.insp.Fere. Plumb. lisp.Fec• Elec.Imp. Fee: NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These fees are based on thejreliminary information available and are onl an estimate. Contact the Dept or addn'l in o. FEE ITEMS (Fee Resolution 11-053 E9 7/1/12) FELE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? O Yes ® No $0.00 1 hours Plan Check,Hourly Suppl. PC Fee: 0 Reg. 0 OT 0,0 hrs $0.00 $133.00 ISTPLNCK PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feer Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: • • j Administrative FeL'i Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential Travel Documentation T'c cs: Building or Structure 0 d Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.001 $133.001 TOTAL FEE: $133.00 Revised: 10/01/2012 CIITY OF CIL1PIERTIDN® 147:,!.;:p 4 FEEESTIMATOR- ADDRESS: 10170 calvert dr. DATE: 12/11/2012 REVIEWED BY: bobs. 'A a APN: BIP#: a70-5C) -0--5-L *VALUATION: $0 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/Repair PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1GENRES WORK revise winder staircase replace with gluelam beam SCOPE t r°,m E itcL., „,,, 'L r ( .•t I. ry 7-'irttrrl Fr;.ti,r U/•s.. , .. Irs/r. Fe(.: i•/r r NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These fees are based on the prelimina in ormation available and are only an estimate. contact the Dept for addn'I info. FEE ITEMS(Fee Resolution 11-11.13 Efir. 7/1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes 0 No $0.00 1 hours Plan Check,Hourly Suppl.PC Fee: ® Reg. 0 OT 0.0 hrs $0.00 $133.00 ISTPLNCK PME Plan Check: $0.00 Permit Fee: $0.00 Suppi. Insp.Fee() Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 c;,rtr>fri,witeip Work Without Permit? 0 Yes 0 No $0.00 i Advanced Planning Fee: $0.00 Select a Non-Residential 0 f r,)., Building or Structure 0 a. ( vt octrr;ienfc t1/.)111-.:[,:f,'. Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: I $0.00 SUBTOTALS: $0.00 $133.00 TOTAL FEE: $133.00 Revised: 10/01/2012 CITY OIF C UIPIERTINO sr 414 FEEIESTIIMATOR- I„UI<ILfNO MIV]IS ON , w ADDRESS: 10170 Calvert Drive DATE: 05/25/2012 REVIEWED BY: Sean .#.d6�,, APN: BP#: i Q.o 3 *VALUATION: $350,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY 2nd Unit? 0 Yes 0 No PENTAMATIION SFD or Duplex 1 R3SFDWIR4 USE: PERMIT TYPE: WORK Construction of a 1836 sq ft two story residence,434 sq ft attached garage, and 427 sq ft of covered SCOPE porches. OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE IID __ CONSTR. (s.f.) I R-3(Custom) II-B,III-B,IV,V-B 2,697 $2,739.58 IR3PLNCK $2,615.84 /R3INSP TOTALS: 2,697 $2,739.58 $2,615.84 1 � h1e(//. I°/un(h --k Plumb.Plan(hct k Elec. Plan Check Ale:h. Per=Fee: Plumb. Permit 1 ee: Flee. Permit Fee: Other;14-c/7. Imp Other Plumb Insp. Other Plec.hasp. Meeh.Imp, ice: Plumb.Inst. Fee: Elec.1»so,Fee: NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc . These ees are based on the •relimina in ormation available and are only an estimate. Contact the Dept for addn'1 info. FEE ITEMS(Fee Resolution 11-053 Eff 7./1/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,739.58 Select a Misc Bldg/Structure Suppl.PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $2,615.84 Suppl. Insp.Fee:Q Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 w Construction Tax: IBCONSTAXR 1 #unneits $590.16 Admioi.ctrative Fee* Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee: PLLONGRNGR $350.61 Select a Non-Residential 0 71-al el I3rxar,rrrtenEutic�r�r I'<:es: Building or Structure A Strong Motion Fee: IBSEISMICR $35.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $14.00 SUBTOTALS: $6,345.19 $0.00 TOTAL FEE: $6,345.19 Revised: 05/01/2012