B-2017-1420 ' CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1420
19028 STEVENS CREEK BLVD STE C CUPERTINO,CA 95014-2563(375 11 071) HUAWELL
CONSTRUCTION
DEVELOPMENT
GROUP INC
- SAN JOSE,CA 95132
OWNER'S NAME: SHYY BEN AND SUN MONICA H DATE ISSUED:08/28/2017
OWNER'S PHONE:408-502-1051 , PHONE NO:(408)666-4316
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class a Lic.#1024653 X BLDG _ELECT _PLUMB
Contractor HUAWELL CONSTRUCTION DEVELOPMENT GROUP INC Date
03/3112019 • _MECH_RESIDENTIAL X COMMERCIAL
I hereby affirm that'I am licensed under the provisions of Chapter 9(commencing . '
with Section 7000)of Division 3 of the Business&Professions Code and that my JOB DESCRIPTION:
license is in full force and effect. KUNG SKIN HEALTH CARE;T.I.(858 S.F.)
I hereby affirm under penalty'of perjury one of the following two declarations: ,
1. 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 -
7 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:$22000.00
permit is issued. '
APPLICANT CERTIFICATION •
I certify that I have read this application and state that the above APN Number: Occupancy Type:
information is correct.I agree to comply with all city and county ordinances 375 11 071 B(Tenant Improvements)
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 PERMIT EXPIRES IF WORK IS NOT STARTED
City of Cupertino against liabilities,judgments,costs,and expenses,which WITHIN 180 DAYS OF PERMIT ISSUANCE OR
may accrue against said City in consequence of the granting of this permit.
Additionally,the applicant understands and will comply with all non-point 180 DAYS FROM LAST CALLED INSPECTION.
source regulations per the Cupertino Municipal Code,Section 9.18.
Issued by:Kim Dunbar
Signatur-TLS Date 08/28/2017 Date:08/28/2017
0 `R-BUILDER DECLARATION RE-ROOFS:
I hereby affirm that I am exempt:from the Contractor's License Law for one of the All roofs shall be inspected prior to any roofing material being installed.If a roof is
following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for
1. I,as owner of the property',or my employees with wages as their sole inspection.
compensation,will do the work,and the structure is not intended or offered for
sale(Sec.7044,Business,&Professions Code) Signature of Applicant:
2. I,as owner of the property'am exclusively contracting with licensed Date:08/28/2017
contractors to construct the project(Sec.7044,Business&Professions Code). ,
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1. 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 HAZARDOUS MATERIALS DISCLOSURE
performance of the work.for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the
2. I have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,Sections 25505,25533,and 25534. I will
Section 3700 of the Labor Code,for the performance of the work for which this maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
permit is issued. Health&Safety Code,Section 25532(a)should I store or handle hazardous
3. I certify that in the performance of the work for which this permit is issued,I material. Additionally,should I use equipment or devices which emit hazardous
shall not employ any person' any manner so as to become subject to the 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
Worker's Compensation,laws of California. If,after making this certificate of the Health&Safety ode,Sections 25505,25533,and 25534.
exemption,I become subject to the Worker's Compensation provisions of the
Labor Code,I must forthwith comply with such provisions or this permit shall •
Owner or authorized agen
be deemed revoked.; Date:08/28/2017.
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
correct.I agree to comply with all city and county ordinances and state laws ' of work's for which this permit is issued(Sec.3097,Civ C.)
relating to building construction,and hereby authorize representatives of this city Lender's Name ,
to enter upon the above mentioned property for inspection purposes. (We)agree
to save indemnify and keep.I armless the City of Cupertino against liabilities, Lender's Address
judgments,costs,andexpenses which may accrue against said City in
consequence of the granting of this permit. Additionally,the applicant understands ARCHITECT'S DECLARATION
and will comply with all non-point source regulations per the Cupertino Municipal I understand my plans shall be used as public records.
Code,Section 9.18. ,
Licensed
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1420
19028 STEVENS CREEK BLVD STE C CUPERTINO,CA 95014-2563(375 11 071) HUAWELL
CONSTRUCTION
• DEVELOPMENT
GROUP INC
SAN JOSE,CA 95132
OWNER'S NAME: SHYY BEN AND SUN MONICA H DATE ISSUED:08/28/2017
OWNER'S PHONE:650-502-1051 PHONE NO:(408)666-4316
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class GENERAL BUILDING CONTRACTOR Lic.#1024653
Contractor HUAWELL CONSTRUCTION DEVELOPMENT GROUP INC Date X BLDG _ELECT _PLUMB
03/31/2019 X MECH_RESIDENTIAL X COMMERCIAL
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing
with Section 7000)of Division 3 of the Business&Professions Code and that my JOB DESCRIPTION:
license is in full force and effect. KUNG SKIN HEALTH CARE;T.I.(858 S.F.)
• REV#1-REPLACE HVAC SYSTEM(SPLIT)-ISSUED 10/31/2017
I hereby affirm under penalty of perjury one of the following two declarations:
1. 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
erformance of the work for which this permit is issued.
2,have
and will maintain Worker's Compensation Insurance,as provided for by
3700 of the Labor Code,for the performance of the work for which this
;,..?„---Section Sq.Ft Floor Area: Valuation:$22000.00
-'f -' permit is issued.
APPLICANT CERTIFICATION • -I certify that I have read this application and state that the above APN Number: Occupancy Type:
information is correct.I agree to comply with all city andcounty ordinances 375 11 071 A(Tenant Improvements),B(Tenant Improvements)
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 . PERMIT EXPIRES IF WORK IS NOT STARTED
City of Cupertino against liabilities,judgments,costs,and expenses which WITHIN 180 DAYS OF PERMIT ISSUANCE OR
may,accrue against said City in consequence of the granting of this permit.
Additionally,the applicant understands and will comply with all non-point 180 DAYS FROM LAST CALLED INSPECTION.
source regulations per the Cupertino Municipal Code,Section 9.18.
TIssued by:ABBY AYENDF
gillture•-•-• :i (,.1�
gna •')te.{"'. Date 10/31/2017 Date:08/28/2017
iI Cr
OWNER-BUILDER DECLARATION RE-ROOFS: '
I hereby affirm that I am exempt from the Contractor's License Law for one of the All roofs shall be inspected prior to any roofing material being installed.If a roof is
following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for
' 1. I,as owner of the property,or my employees with wages as their sole inspection.
compensation,will do the work,and the structure is not intended or offered for
sale(Sec.7044,Business&Professions Code) Signature of Applicant:
2. I,as owner of the property,am exclusively contracting with licensed Date:10/31/2017
contractors to construct the project(Sec.7044,Business&Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1. 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 HAZARDOUS MATERIALS DISCLOSURE . •
performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the
•
2. I have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,Sections 25505,25533,and 25534. I will
Section 3700 of the Labor Code,for the performance of the work for which this maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
permit is issued. Health&Safety Code,Section 25532(a)should I store or handle hazardous
s. I certify that in the performance of the work for which this permit is issued,I material. Additionally,should I use equipment or devices which emit hazardous
shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management.District I
will maintain compliance with the Cupertino Municipal Code,Chapter9.12 and
Worker's Compensation laws of California. If,after making this certificate of the Health&Safety Code,Sections 25505,25533,and 25534.
exemption,I become subject to the Worker's Compensation provisions of the
Labor Code,I must forthwith comply with such provisions or this permit shall or authorized agent:,,---7, ...—„---....4. \.
be deemed revoked. Date: 10/31/2017
APPLICANT CERTIFICATION CONSTRUCTION LENDINAGENCY .
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
correct.I agree to comply with all city and county ordinances and'state laws of work's for which this permit is issued(Sec.3097,Civ C.)
relating to building construction,and hereby authorize representatives of this city Lender's Name
to enter upon the above mentioned property for inspection purposes. (We)agree
to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address
judgments,costs,and expenses which may accrue against said City in
consequence of the granting of this permit. Additionally,the applicant understands ARCHITECT'S DECLARATION
and will comply with all non-point source regulations per the Cupertino Municipal I understand my plans shall be used as public records.
Code,Section 9.18.
Licensed •