08040197 CITY OF C]UPERTINO »� 'amu* `'� -
BUILDINcarvlslDN' PERMIT sCd? TpRINFU ATIf1L
BUILp1yG.AJPE$S; PERMIT NO.
08040197
BLANEY AVE JM DRAIN CLEANING AND
OWNEEWSS LNAME: NprumBf NG PERMIT ISSUE DATE
MR. VENKAT 1725 ROGERS AVE STE C 04/28/2008
19 NE; (408) 903-8184 SANITARY NO. CONTROL NO.
ARCHITECTIENGINEER: - BUILDING PERMIT INFO
-BLDG BI.ECI' PLUMB MECH
.op LICENSED CONTRACTOR'S DECLARATION O O O O
rd 1 Mnby affirm this 1 am liwued under provisions of Chapter 9(coaccome rel Job Description
-� with Section 70110)of Division Soften Deal.and ProfeWas Cade,and my Imo is COPPR REPIPE HSE FRM WTRMTR TO ENTR HSE TIE N
u in full rase aM
ueanm cl' — Lie.♦ ONLY
e9 Dau ARCHITEC'SDECr],uWATION UNDR HSE, 2BTHRM& KTCHN & RPLCW WATR HEATER
a I un icnund my plan shall W used u public recoms
30
yQ LicaseJ Professional
OWNER-exempt from
DECLARATION
E 1 Ma .Huse an 1am 1. .sump!from the Contractor's o :License Law for the
i.O O which ng noon.(Sudan 703T.5.)nines ad improve,
daainli Code:Any city or rummy
S 3� which I%su a issuance.aim re caaWcs.alar,Mprow,ticmm it t or repair any swoon
i y prior u its nsedppursuant
requires the thovisio cant am Con permit N.LA.
arumem
<
thatarrum 0ceomdpunmmttothe pnviaknofNeatBummr'Wcemelaw(C Code)
Sq.Ft. Floor Area $6000
d. Valuation
that
he Ise exempt
with Section 7000)of Division 30(Om aged Business on.Any vi Code)ar y 6(](]0
�.. this io k exempt therefrom ant the bur for be alleged exemption.Any violation of
Satan that by five
reddollafor•permitrvbjemtheappllunlmacivilpcnityof A.3y7v7 Number Occupancy e
at man Na Lien banana dollen($500). 31633009 .'VV' p yTyp
❑I,u awns of the pmpmy,m my employes with wags u Noir mk mmpawdw,
will do the work,and thestnnum is tmtinunded oronered fusele(Sec.7044.Buimu
ad Profession Cade:The CoaacbYs Licarm law does not apply to a aware of Required Inspections
Property who Wildsmirepmves thereon.mdwho doesrmhwarkhlmealfor through his .
owoemployes,provided tut each Improvements me not intended oroRamd farsole.If.
however,Ne building or improvemat is mm within an yea of complet er,the owns-
vkdmwill have Ne burner of gvvinl Nat he did wt build or improve fm purpose pompoof
1.u mvmr of Ne V
❑ property,,B exclusively and
PromAkng with licensed amaaman U.comsat d project(Sec.7044,Bnkm and property
whoWilds
Code:i Tk Comecon.Li-
w ore law can not apply e a owner of property who licensed
or improves Comm.and,
who conmacr far each pnjems with a catraaToKs)licensed Puraam u We Gnuamr'a
0 I lam sernse ave
❑ ,
exempt undor See. ,B&PCfm NU Hawn -
Owner Dau
WORKER'S COMPENSATION DECLARATION
1 hereby without under perulty of Perjury ane of the following d"Wednu: .
I have and will msintsin a Certificate of Concent to self-Inmm for Wok zCompen. -
Minn,as provided for by Section 3700 of ten Labor Code,for the performance of the
work for which this Permit is issued.
ve and will.&law.Workers Compensation lamas,u required by Section
Labor Code.fm Ne performance of the work far mitt this permit is issnd. '
My Wmkefs Compensation Immence carrier ad Policy number an:
Gros: Policy No.;
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thu mctirm need atdeurnplead If the permit is forest,hummed dollen($100)
or use)
1 un lytext in the performance of the work fm which this perms,Is Wood,I And not
employ any person In my mmnerm as u becomo subjut to the Workers'Compettutian
Laws of California.Dam
Appllcom
NOTICE ng this Grtilkate of mpuon,you should
become subject to the Worker's Campewtion provisions of am labor Code,you muss
❑z forthwith comply with each provielos or this permit shall W deemed mvokcd.
.zt" CONSTRUCTION LENDING'AOENCY
I henhy affirm that Nem is a commuc,inn lending agency for Ne perfumsta of
l�> We work for which this mmtit r issued(Sec.3097.Civ.C.)
W 0 Landels Nurse
z Undoes Address
t) 1 cadfy that 1 haw read WAS application and Amu that Ne above:hafmrmatim Is
41.
SV-:E corms.l alms in comply with Al city ad coa,y oNinuuxa and sum laws misting in
Wilding anunNon.ad hereby mNoria repmaenruves of this city to enter upon Ne
abow-memioncd ptopeny, ose
far Inspection purps
ie (We)agree to saw,indemnify ad kap humkn Ne City of Cupertino agent
,A liabilities.judgments,cone ad expenses which may In my my mcrv.gasnuaid City
V z in conaaquence of the granting of this perms,.
^� APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOU FAULATIONS.
Re-roofs
st fA Dtor Dam
HAZARDOUS MATERIALS DISCLOSURE Type of Roof ..
Willy the Ckatoefmun building e.Chapter 9.12.
ad the
hasaAO ad Safety -
u de.Sue. 25 Cupertino Municipal Code.Gaper 9.13,ad Ne Hestth and Sstety
Code.O'an23533(a)i �A All roofs shall be inspected prior to any roofing material being installed.
Yoe .
If a roof is installed without first obtainingan inspection,I agree to remove
Will Nc air co ant in(mum building by ftocculmalBay Am. it Qu or Mara which p
It huaNlue sir cmnWninnu u de0ned by Ne Bay Ana Air Quality Management all new materials for inspection.
istrict?
❑sin m
Than mad Nehuamonma aismpimmenmundcrChapur6.95aftheCalifar-
niaHutth&Safety Cod..S=dmts25507.25533 md2553a.1 undmund thetda a building
A�qaammhichrrruast
st,have a arms.that it � mu.alloy to amity the occupant of the
iss ofsCenifmauafOcce ry. Signature of Applicant Date
...tl.g Dam All roof coverings to be Class'W'or better
A I
J CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
CUPcE"TIN0 PERMIT APPLICATION FORM
3 OO q 1 Date: y -2�
Building Address:
wner's Name: Phone#:
cV -?,9 '
ontractor: . �v. �� ✓� ���v �v-s, P one#: O y
171 wvcb 6 � Fax#: V 0 6? V
2.
Contact: ��S-� �. Phone#:yo8 3 /
Fax#:
Contractor License#: eys p
Cupertino Business License#: / ?j
Job Description:CO P pXA. N nP _ VVO V Sf�
Residential Commercial Q
Valuation:
Green uilding: Please complete relevant portion of the Green Building Checklist& attach it to the
application or if applicable, include in plan set & the sheet index. Z
Quantity Fee ID Fee Description Fee Permit Type
Group
1PCSEWER Commercial building P 11CPSS
sewer/sanitary sewer
1BPREPIPE Commercial re-pipe per fixture P 1CPRP
1 PGASCOM Commercial Gas Piping System P
1-4 Outlets
1BSEISMICOM Seismic Commercial P
IBSEISMICR Seismic Residential P
1PRSEWER Residential building P 1RPSS
sewer/sanitary sewer
/ P2w .
<� CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
CITY 0
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
1PRREPIPE Residential re-pipe per fixture P 1RPRP
1BPWSVCS Water Service P 1CPWS or
( 1RPWS
1PPRSEWG Private Sewage Disposal System P
1PCESS Cesspool P
/ 1BPWATER Install/alter Water Pipe P
r 1BPFIXTURE Plumbing Fixture P
1PGASRES Residential Gas Piping System P
1-4 Outlets
1 BPGAS Gas Piping System 5+ Outlets P
P 1 PPERMITFEE Plumbing Permit Fee Issuance P •
1 PLMBLNCK Plumbing Plan Check P
1PLMBINSP Other Plumbing/gas Insp. P
1TRAVD0C Travel &Documentation Fee B
1BUSLIC Business License B
•
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 be used as a starting point for'greening'your project.
INPUT Resources Energy IA01fleals
to
1,Recycle Job Site Construction&Demolition Waste
65%=1 point;75%= 2 points;80%=4 points up to 4 Resource pts 0
12.Salvage Reusable Building Materials 4 Resource 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 Construction Site Stormwater Practices 2 Resource pts y=yes 0
7.Protect Water Quality with Landscape Design 2 Resource pts y=yes 0
B.Design Resource-Efficient Landscapes and Gardens 4 Resource pts y=yes 0
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 0
11.Provide for On-Site Water Catchment/Retention 2 Resource 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 up to 5 Resource pts 0
2.Use Recycled Content Aggregate 2 Resource pts y=yes 0
3.Insulate Foundation/Slab before backfill 3 Energy pts y=yes 0
1 1 1
C.Structural Frame
1.Substitute Solid Sawn Lumber with Engineered Lumber 3 Resource pts y=yes 0
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 Energy pts y=yes 0
6.Use Finger-Jointed Studs for Vertical Applications 2 Resource pts y=yes 0
7.Use Engineered Studs for Vertical Applications 2 Resource pts y=yes 0
B.Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y=yes 0
9.Use Structural Insulated Panels(Sips)
a.Floors 3 Energy pts y=yes 0
b.Wall 3 Energy pts y=yes 0
c.Roof 3 Energy pts y=yes 0
10.Apply Advanced Framing Techniques 4 Resource pts y=yes 0
11.Use Reclaimed Lumber for Non Structural Applications 3 Resource pts y=yes 0
12.Use OSB
a.Subfloors 1 Resource pt y=yes 0
b.Sheathing _ , 1 Resource pt y=yes 0
ter or n s
INPUT Resources Energy IAO/Heallh
1.Use Sustainable Decking Materials
a.Recycled content 3 Resource pts y=yes 0
b.FSC Codified Wood 3 Resource pts y=yes 0
2.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAO/Health pt y=yes 0
3.Install House Wrap under Siding 1 IAO/Health pt y--yes 0
4.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 0
1 1 1
E.Plumbing
1.Install Water Heater Jacket 1 Energy pt y=yes 0
2.Insulate Hot and Cold Water Pipes 2 Energy pts Y--yes 0
3,Retrofit all Faucets and Showerheads with Flow Reducers
a.Faucets(1 point each,up to 2 points) Up to 2 Resource pts. 0
b.Showerheads(1 point each,up to 2 points) Up to 2 Resource pts. 0
4.Replace Toilest with Ultra-Low Flush Toilets
(1 point each,up to 3 points) Up to 3 Resource pts. 0
5.Install Chlorine Filler on Showerhead 1 IAO/Health pt y--yes 0
6.Coned Gas to Tankless Water Heater 4 Energy pts y=yes 0
7.Install Water Filtration Units at Faucets
(2 points each,up to 4 points) Up to 4 IAO/Health pts. 0
8.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
r.eiecrncei
1.Install Compact Fluorescent Light Bulbs(CFLs)
(6 bulbs=2 points,10 bulbs=3 points,12 bulbs=4 points) Up to 4 Energy pts. 0
2.Install IC-AT Recessed Fixtures with CFLs(1 point each,up to •
5 points) Up to 5 Energy pts. 0
3.Install Lighting Controls(1 point per fixture,up to 4 points) Up to 4 Energy pts. 0
4.Install High Efficiency Ceiling Fans with CFLs
(1 point each,up to 4 points) Up to 4 Energy pts. 0
1
G.Appliances
1.Install Energy Star Dishwasher 1 Energy pt y=yes 0
2.Install Washing Machine with Water and Energy
Conservation Features 1 Energy pt y=yes 0
3.Install Energy Star Refrigerator 1 Energy pt y=yes 0
4.Install Built-In Recycling Center 3 Resource pts y--yes 0
H.Insulation
1.Upgrade Insulation to Exceed Title 24 Requirements
a.walls 2 Energy pts y=yes 0
It.Ceilings 2 Energy pts yryes 0
2.Install Floor Insulation over Crawl Space 4 Energy pts y=yes 0
3.Install Recycled-Content,Fiberglass Insulation with
No Added Formaldehyde 31A0/Heallh pts y=yes 0
4.Use Advanced Infiltration Reduction Practices 2 Energy pts y=yes 0
5.Use Cellulose Insulation
a.Walls 4 Resource pts y=yes 0
b.Ceilings 4 Resource pts y=yes 0
6.Alternative Insulation Products(Cotton,spray-foam) .
a.Walls 4 Resource pts y=yes 0
D.uenings 4 Resource pts y=yes 0
INPUT Resources Energy AQ/Health
n ows
1.Install Energy-Efficient Windows -^
a.Double-Paned 1 Energy pt y=yes 0
b:Low-Emissivity(Low-E) 2 Energy pts y=yes 0
c.Low.Conductivity Frames J 2 Energy pts y=yes 0
2.Install Low Heat Transmission Glazing 1 Energy pt y=yes 0
1 1 1
J.Heating Ventilation and Air Conditioning
�1.Use Duct Mastic on All Duct Joints 2 Energy pts y=yes 0
2.Install Ductwork within Conditioned Space 3 Energy pts y=yes 0
3.Vent Range Hood to the Outside 1 IAO/Health of y=yes 0
4.Clean all Ducts Before Occupancy 2 IAQ/Health pts y=yes 0
5,Install Solar Attic Fan 2 Energy pts y=yes 0
6.Install Attic Ventilation Systems 1 Energy pt y=yes 0
7.Install Whole House Fan 4 Energy pts y=yes 0
8.Install Sealed Combustion Units
a.Furnaces 3IAQ/Health pts y=yes 0
b.Water Heaters 3 IAQ/Health pts y=yes 0
9.Replace Wall-Mounted Electric and Gas Heaters with
Through-the-Wall Heat Pumps 3 Energy pts y=yes 0
10,Install 13 SEER/11 EER or higher AC with a TXV 3 Energy pts y=yes 0
11.Install AC with Non-HCFC Refrigerants 2 Resource pts y=yes 0
12.Install 90%Annual Fuel Utilization Efficiency(AFUE)Furnace 2 Energy pts y=yes 0
13.Retrofit Wood Burning Fireplaces
a.Install EPA certified wood stovesfinserts 1 IAQ/Health pt y=yes 0
b. Install/Replace Dampers 1 Energy pt Y--yes 0
c.Install Airtight Doors 1 Energy pt y=yes 0
14.Install Zoned,Hydronic Radiant Heating 3 Energy pts y=yes 0
15.Install High Efficiency Filter 41AQ/Health pts y=yes 0
16.Install Heat Recovery Ventilation Unit(HRV) 5 IAQ/Health pts y=yes 0
17.Install Separate Garage Exhaust Fan 31AQ/Health pts y=yes p
1 1 1
K.Renewable Energy and Roofing
1.Pre-Plumb for Solar Water Heating 4 Energy pts y=yes p
2.Install Solar Water Heating System 10 Energy pts y=yes 0
3.Pre-Wire for Future Photovoltaic(PV)Installation 4 Energy 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 18 Energy pts 0
6.Select Safe and Durable Roofing Materials —� 1 Resource pt y=yes 0
7,Install Radiant Barrier 3 Energy pts y=yes 0
1 1 1
L.Natural Heating and Cooling
1.Incorporate Passive Solar Heating 5 Energy pts y=yes 0
2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts . y=yes 0
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0
1 1 1
NPUT Resources Energy AOffleafth
. n oor rr ue ry en n s es
1.Use Low/No-VOC Paint 1 IAQ/Health pts y=yes 0
2.Use Low VOC.Water-Based Wood Finishes 2 IAO/Health pts y=yes 0 •
3.Use Low/No VOC Adhesives 3 IAQ/Health pts y=yes 0
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 61AQ/Health pis y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 0
7.Seal all Exposed Particleboard or MDF 4 IAQ/Health pts y=yes 0
8.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0
9.Use Finger-Jointed or Recycied-Content Trim 1 Resource pts y=yes D
10.Install Whole House Vacuum System 3 IAQ/Health pts y=yes 0
1 1 1
N.Flooring
1.Select FSC Certified Wood Flooring 8 Resource pts y=yes 0
2.Use Rapidly Renewable Flooring Materials 4 Resource pts y=yes 0
3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0
4.Install Natural Linoleum in Place of Vinyl 5 IAQ/Health pts y=yes 0
5.Use Exposed Concrete as Finished Floor 4 Resource pts Y--yes 0
6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0
1 1 1
TotalPoints vat
a e: 140 130 57
r
Total Points Project Received: 4�1 1 01 O= •
G:datalpmgslgreenbuildingguidelineshemodelersrgmenpointsfnel2.12.04protWed.xls
Green Building Plan Check
Index of'Green Building Points/Categories
A. Category Example of an Index or Table of Green Plan Sheet or Page Points
Building Points Categories that must be
shown and referenced on the Project
Plans See below
B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 7points
11. Permeable Paving, Note L-1
C. Foundation 1. Use 15% Flyash Concrete, (note) S-1
D. Structural 3. Uses Wood I-Joist, (See Spec.) S-2
5. Use Truss with heels, (detail) 8-2
6. B. OSB Sheathing. detail S-2
E. Ext. Finish 1. Composite Decking, (Note/Spec.) A-3 2 points
4. B. Fiber Cement Siding, (Note/Spec. A-4 2 points
F. Plumbing 1,. Insulate all H.W. pipes, (Note/Spec.) P-1 2 points
5. Tankless W.H., (Note/Spec.) A-2 2 points
11.A 2500 Gal.Tank, (Note/Spec L-1 10 points
G. Electrical 4. E. Ceiling Fans, (Note/Spec.) A-3 4 points
H. Appliances 1. Energy Star Dishwasher, (Note/Spec.) A-3 1 point
3. Energy Star Refrigerator. (Note/Spec. A-3 1 point
P. Other 1. List Green Features on Plans A-1 1 point
TOTAL POINTS 40 points
ICS 2 fT /Li (3 2-e
Plan Review Process Work Book Page-12-Revised 3/25/08
FROM :CUPERTINOSANITRRYDISTRICT FAX NO. :4082535173 Apr. 28 2008 12:06PM P1
DISTRICTMANAGE NGINEER t�'a SANIT.tR�.O'
BOARD OF DIRECTORS
MARK THOMAShCO PpNY.INC. a J F STEPHEN C,ANDREWS
y
DAVID E.ROSS WILLIAM A.BOSWORTH
DISTRICT COUNSEL YFA 17 JF JOHN M.GATTO
T17Vr.!t
ATKINSON•FARASY 4,LL � B
P. 4B(IS NED��� CURS B.HARRISON
HAROLD S.TOPPEL WENDELL H.KERR,JR,
20633 STEVENS CREEK BOULEVARD.BURS 104
CUPERTINO.CALIFORNIA 93014,2 1$4
(408)2$3-7071 PHONE . (406)2536179 FAX
www,ciipertinosanitarydistrict.com
File: CuSD—MOP
Building Dept.—Cupertino
City of Cupertino
Attn.: Building Department
10300 Torre Ave,
Cupertino,CA 95014-3202
Subject: Repair(c pper)water line
Name:Joe Residence
Address: 10295 N Blaney Ave
APN: 316-33-009
Permit No. 090401SI
■
Videotape and Property Line Cleanout waived.
No addit nal condidons/requirements by th District
Inspector: George Santos/Tony Soares....... ...! ......................
Date:...04- 8-2008........ ...... Sanitary Sewer Location:
cc: Property 0wne
• SUPPLYING SANITARY s GE SERVICES FOR:CITY OF:CUPERTINO,PORTIONS OF THE CITIES OF SARATOGA,SUNNYVALE,LOS ALTOS AND
SURROUNDING UNINCORPORATED AREAS
Community Development
e 10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
�UPERTINO
Building De artment
JOB ADDRESS: PERMIT #
O R'S N PHONE # 9
GENERAL CONTRACTOR. 1 FAX #
lw•b�
I am not using any subcontractors: "
Signature Date
Please check applicable subcontractors and complete the following information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
Linoleum/ Wood
Glass/ Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
_ 2B- F6
Owner/Contractor Signature Date