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08070113 CITY OF CUPERTINOc' i.. >'�e BUILDING DIVISION PERMITkC01_TkWT„QR I�l�'QRMATIO BU I. 1 G ES ' PERMIT NQ. TT.lAbT 1UBB RD DESIGN HEATING & AC 08078-113 OWNER'S NAME: PERMIT ISSUEDA]E CHANDRA RAJIT C AND MARIE H 1820 BASS LAKE AVE 07/16/2008 NE: (559) 688-3776 SANITARY NO. CONTROL NO. ARCHITECTIENGINEER: BUILDING PERMITINFO BLDG ELECT PLUMB MECH 0 0 0 0 X00 LICENSED CONTRACTOR'S DECLARATION m Job Description 1 hereby salons that 1 un linm ed under Provisions of Chapter 9(mmeoeing P withSecGon7")ofDiAsion3ofteBusimnandPro(euir(c—'de.ane ylcenmia CHG 110, 000BTU FRNC & CHG 4TON A/C n,„ infallCo.andef�eet,� _,,7 3 res, La.. ;xz= uaea p Dau: 7- Lin. e'F=F 7W �TECTS DECLARATION ?W< 1 understand my plans shall he used as public mcuNs a8- y0� Licensed professional tai OWNER. rn'momDER DE CLARATION 0 f I hereby.(Sinn Nm 1 1. ,B sept from the Cammcmrs License law for m i per O which ng ressoa.(Sanson 7M I.S,Business and Pmretioli Cade:Any city or aumy ,. which rtquiha a permit m cnruwc4 oleo,improves.demolish.lir repair any structure Zi prior to its issuance,alw requires themplieanl for such permit to file a signed sutranem ££ < that W is licensed pursuant to tie provisionsof the Contractor's License law(Chapin 9 Sq.Ft. Floor Area ,7 O O O Valuation Y�O (commencing with Section 70D0)of Division Sof We Businessland Profiessiam Code)or y $ Ibat W is exempt t eefrmn arm the basis for the alleged exception.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant in a civil penalty of than five hundred dollars(SSW). 3 5 6 2 0 0 0 4 Number Occupancy Type int mine ❑I.a owner of Ne propmy,army employees wIN wegns ss the"v vele mmpcnsetion, and da IhCP9res Cdthe NYmWelanets License Lawdefar GalepplytDda,BLLLMS\ and arty hens coda:The Camnemr,Lure Law aces nark apply to an ownsr lir Required Inspections pmpchopm cWildsorimpmwthrimprovrmwht.notinu an Instructor through his ownver.the building pr.vemuch improvements artmt ear ofcmplaurm,nal fmheIr. however.the building m improvement Is sold within ane year or improve for the Owner. will have IW budcn of proving that W did ink dtild lir improve far PurWre of tab.). ❑1.as owner of the propcny,w exclusively contracting with licensed mnuxfms to construct the project(Sec.7044.Business and Professions Code:)The Contractors U. . . cense Law docs out apply to an owner of property who Wilds or improv demon,and, who concocts for such projects wine a comeacmRs)licensed Pursuant to ton Convectors License law. ❑I me ucrop,under Sar B k P C for do$reason Owner Data WORKER'S COMPENSATION DEC RAMON , 1 hereby afro under penalty of perjury ons of the foiltram,uncertain s: have and will maintain a Conifscam of Consent a self-ousure fm Workers Com em, an,an provided for by Scalars 3700 of Ne ISWr Code.for the performance of the ` work for which this permit is issued. ❑1 have and will maintain Workers Compensation Insurance,as rtyvired by Section 3100 of the labor Code,for the performance of Ne vert for which this Permit u Issued. My Worke/s com��co`om Iammce arrie and Policy number are: 7 Carrier. S't'y 9 Policy No.: I c't7 C 3 Y CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (nus section teed int W completed if We permit is forum hundrcddollars($100) or los.) I certify that in the Iurfomame of the were for which this permit is Wood.I shall int employ anypersan in any manmrm at W Wceme mbjen to dmworken'Countermand Laws of California.Date Applicam NOTICE TO APPLICANT:If,after making this Ccruficate of Exemption,you swum Weems,subject in the Workcfs Compensation provisions of the L mor Cods,you mm .J O 10"with comply WIN such provisions m thin permit shall W deemed revoked. - ?'"' CONSTRUCTION LENDING AGENCY [rte I Meby affirm man Vert is.consuuctim lending agency for the Performamea C and work for which this Permit is Wood(Sot 3097,Civ,Q �W Q lenders Name Q z Len&es Address [)Q 1 comfy that I have read Nis application and Hato than the.hove information u corrcm 1 light to comply with all city and county mdie mess and male laws echoing to O LSJ' Wilding convection.W hereby authorise represemauv of Ni,city to color upon on F ya Wve-mcntiancd property for inspection purposes (We)agree W save.indemnify and yeep hermlea,the city lir Copsmim against fg liabili zumc .r'goeSiPmence welchmeYinanyweyancrucatHnstssidCry In eansequimaafthIssuedbUNE, AND WILL COMPLY WITH ALL NON-POINT y; DaleU Re-roofs Signature of APPlic OtoUr S DISCLOSURE Date MATE Type of Roof WIIINoappli tmfreil&ng uptul udfinedbyWC municip[Cd.Cbaperg.12. dUHmlffimdSgctty Code.section 25532(a)7 ❑ons a All roofs shall be inspected prior to any roofing material being installed. Will the a licant or future Wilding occupant tare If a roof is installed without first obtaining an inspection,I agree to remove tR t p equipment m device,which g P hovamous air contaminants as dcfimd by IW Bay Area Air Quality Management all new materials for ins ection. Pic,? P Ores OR. I have read Ne has 6requirementsmakrCibmar G95oftImCalifor. nix Hcalm&Safcty Codc 'ons 5,25533md25534.1undcnmdtheifthcbuilding docs int mounly he L it a my Ictpomibilfty a mufy de occupant of de myuimmentsw ' rtoissuanceofaCertifiu¢0 Signature of Applicant Date -0 Owner or authotmd agent Data' All roof coverings to be Class'%r{."or better ' CITY OF CUPERTINO • 8 ITEMS OF 8 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35620004 . 00 DATE ISSUED. . . . . . . : 07/16/2008 RECEIPT # . . . . . . . . . : BS000005482 REFERENCE ID # . . . : 08070113 SITE ADDRESS . . . . . : 11101 BUBB RD SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : CHANDRA RAJIT C AND MARIE H ADDRESS . . . . . . . . . . : 11101 BUBB RD CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4956 RECEIVED FROM . . . . : DESIGN HEATING & AC CONTRACTOR . . . . . . . : RICKY ARCHVLETTA LIC # 26771 COMPANY . . . . . . . . . . : DESIGN HEATING & AC ADDRESS . . . . . . . . . . : .1820 BASS LAKE AVE CITY/STATE/ZIP . . . : TURLARE, CA ' 93274 TELEPHONE . . . . . . . . : (559) 688-3776 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------- ---------- ---------- ---------- ---------- ---------- IBREMAIRHA NO.UNITS 1. 00 61 . 1.9 0 . 00 61 . 19 0 . 00 1BSEISMICR VALUATION 7, 000 . 00 0 . 70 0 . 00 0 . 70 0 . 00 1BUSLIC FLAT RATE 1 . 00 110 . 00 0 . 00 110 . 00 0 . 00 IEPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00 1MPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00 1MRRAA UNITS 1. 00 61 . 19 0 . 00 61 . 19 0 . 00 1PPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00 1TRAVDOC FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 396 . 24 0 . 00 396 .24 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 396. 24 #4934 --------------- TOTAL RECEIPT 396 . 24 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ----- ------------ --------------- --- ---------------------------- 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL • CITY OF CUPERTINO Ub oto �Jdt FURNACE/AC cl•CUPEI�TINO PERMIT APPLICATION FORM APN #�% `, / c) Date: 7 - 16 - 02 Building Address: j /110 / 2 Owner's Name: Phone#: yo3 99 6 _ r0 3 /� 2 Gl Gn c, Contractor: �c�iq�; e� h (� � • M1 Phone#: 5r . 6P3- 377 Fax #: )A ' Contractor License #: Cupertino Business License#: -7 -7 (,, -751 3 C2 vr� Contact: Phone#: TI"F -W-7 - Fax #: SAS Building Permit Info: Elect ❑ Plumb ❑ Mech Residential Commercial ❑ Job Description: For Residential Installations: Attic ❑ I" floor (� 2nd floor ❑ Adhere to minimum setback requirement ❑ For Commercial Installations: Replacement same weight ❑ Additional weight (structural calcs) ❑ Structural Calculations required for new installation ❑ New installation Planning Approval Required ❑ Cost of Project: of Type of Construction (Usage Class): co r Aja Strapped On Platform ❑ Bonded New Location ❑ Replacement ❑ Project Size: Ex res Standard ❑ Large ❑ Major ❑ Valuation: . OD Green Building: Please complete relevant portion of the Green Building Checklist& attach it to the application or if applicable, include in plan set& the sheet index. Revised 6/16/08 CITY OF CUPERTINO ' FURNACE/AC CUPEkTiNO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group FURNACE FURN/AC 1MCRAA Commercial-Repair/Alteration/Add to M ea heating appliance,refrigeration unit, cooling unit,absorption unit,or ea heating,cooling,absorption or evaporative cooling system,incl installation of controls regulated by this code. 1MCREPALT Commercial for the repair of alt/add to M ea heating appliance,refrigeration unit,cooling unit,VAV boxes, absorption unit or ea heathing, cooling absorption,or evaporative cooling sys, incl install of controls regulated by this code. 1MCSUSHTR Commercial Install/Relocate ea M suspended heater,recessed wall htr, or floor mounted unit heater. 1PGASCOM Commerical for ea gas piping System P 1-4 outlets 1BPGAS For each gas piping system of 5 or P more per outlet. 1MCAPPVNT Commercial for the install/relocate/ or M replacement of ea appliance vent installed & not incl in an appliance F1 permit. 1BSEISMICO Commercial Seismic B 1MRRAA Residential Repair/Alteration/Add to M ea heating appliance,refrigeration unit, cooling unit,absorption unit,or ea heating,cooling,absorption or 1 evaporative cooling system,incl installation of controls regulated by this code. 1MRSUSHTR Residential Install/Relocate ea M suspended heater,recessed wall htr, or • floor mounted unit heater. 1MRAPPVNT Residential for the install/relocate/ or M replacement of ea appliance vent install & not incl in an a pl permit . CITY OF CUPERTINO IN ©�' FURNACE/AC •CUPEI�TINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group FURNACE FURN/AC 1 PGASRES Residential for ea gas piping system of P 1-4 Outlets 1BPGAS For each gas piping system of 5 or P more per outlet. 1BSEISMICR Residential Seismic B 1MECPLNCK Mechanical Plan Check M 1 MFR=<100 Furnace Syst <=100k BTU install or M relocate ea forced-air/gravity type furnace/burner, incl ducts/vents attached to such appliance up to and include 100,000 Btu/h 1MFRN>100 Furnace Syst> 100k BTU install or M relocate ea forced-air/gravity type furnace/burner, incl ducts/vents attached to such appliance over 100,000 Btu/h IEPERMITFEE Electric Permit Fee E 1MPERMITFEE Mechanical,Permit Fee M 1PPERMITFEE Plumbing Permit P 1TRAVDOC Travel Documentation B 1BUSLIC Business License B • CITY OF CUPERTINO FURNACE/AC CUPEkTINO FEE SCHEDULE • Quantity Fee ID Fee Description Fee Permit Type Group AIR FURN/AC CONDITIONING 1BCAIRHAN Commercial A/C Units <= l0k CFM B 1MCRAA Commercial Mech Repair/alt/add M 1BSEISMICO Seismic Commercial B 1PGASCOM Commerical for ea gas piping System P 1-4 outlets 1PGASRES Residential for ea gas piping system P of 1-4 Outlets 1BPGAS For each gas piping system of 5 or P more per outlet. Comm/Resid 1BREMAIRHAN Residential A/C units <= l0k CFM B 1MRRAA Residential Mech Repair/alt/add M IBSEISMICR Seismic Residential B • IEPERMITFEE Electric Permit E IMPERMITFEE Mechanical Permit M 1 PPERMITFEE Plumbing Permit P P ITRAVDOC Travel Documentation B 1BUSLIC Business License B • 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 2 points 11. Permeable Paving, Note L-1 2 oints C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 points D. Structural 3. Uses Wood I-Joist, (See Spec.) S-2 2 points 5. Use Truss with heels, (detail) S-2 2 points 6. B. OSB Sheathing, detail S-2 2 oints 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 s., TOTAL POINTS 40 points • Plan Review Process Work Book Page-12-Revised 3/25/08 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 ReSDurces Energy IAOMealth A.Site 1.Recycle Job Site Construction&Demolition Waste 65%=1 point;75%= 2 points;80%=4 points up to 4 Resource pts 0 2.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 Stormwaler Practices 2 Resource pts y=yes 0 7.Protect Water Quality with Landscape Design 2 Resource pts y=yes 0 8.Design Resource-Efficient Landscapes and Gardens 4 Resource pts y=yes 0 9.Reuse Matedals/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 6ii 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 FingeWointed Studs for Vertical Applications 2 Resource pts y=yes 0 7.Use Engineered Studs for Vertical Applications 2 Resource pts y=yes 0 8.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 • INPUT Resources Energy IAO/Heattfi— • I.Windows 1.Install Energy-Efficient Windows • a.Double-Paned 1 Energy pt Y--yes; 0 b.Low-Emissivity(Low-E) 2 Energy pts Y--yes D c.Low.Conductivity Frames 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 IAQ/Health pt y--yes 0 4.Clean all Ducts Before Occupancy 2 IAQ/Health pts y=yes 7 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 B.Install Sealed Combustion Units a.Furnaces 3 IAQ/Health pts y=yes 0 b.Water Heaters 3lAQ/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 stoveslinserts 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 4 IAQ/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 3 IAQ/Health pts y=yes D 1 1 1 K.Renewable Energy and Roofing 1.Pre-Plumb for Solar Water Heating 4 Energy pts y=yes 0 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 Barrer 3 Energy pts y=yes p 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 • Community Development F� 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408) 777-3333 •CUPERTINO Building Department JOB ADDRESS: (3PERMIT # o f v�S avc OWNER'S NAME: C 1PHONE # yo 6 - 3 GENERAL CONTRACTOR: Oe S F^ f ,( cAc FAX # ? ya- t I am not using any subcontractors: -7 ature Date Please check applicable subcontractors and &rfiplete the followin 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 • Ik Cc's Owner tractor Signature Date