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08080066 - BUu.DING'Drvtslon' PERMIT �p�yl�ITI2ATQR� `' � ATI BUILDING ADDRESS: PERMIT NU. 1.02'71. COLBY AVE ALLSTAR PLUMBING 08080066 OWNER'S NAME: PERMrr ISSUE DATE MOSS JOHN H AND JUANITA T 326 PHELAN AVE 08/08/2008 NE: (408) 230-5569 SANrrARY NO. CONTROL NO. ARCHTELT(ENGtNEER: BUILDING PERMIT INFO BLDG ELECT PLUMB - MECH 0 0 0 0 I LICENSED CONTRACTOR'S DECLARATION - lob Description 40 C 1 hereby aflnbatn d 1 are li¢nce5Cr1P d under Provisions of Chapter 9(commencing �m whhSecum7itfN)afDiviaion3afdeBusinmandit ...Cme.andetyliceveia lREPLACEMENT OF SECONDARY DRAIN LINE-KITCHEN & n m ful forte and off �- Zb 1 ) z t3ccan au 6 tic.g ^q_ Dam LAUNDRY Contractor pl nA L shq y ARCNTECTS DECLARATION V I undcnunJ my pWu shall W used m public rtcortls ' 5 Licensed Professional 0 OWNER-BUILDER DECLARATION I bereh'oRrm but Ism eaempt from the Contractors License LAw for de M0 following hu mn.(Section?R513,Busi mas and P efessiom Code:My city or county 3 3 which requires a permit he eomrsu:e alms,improve,demolish.or repair any stnmium, Z< prior to its issuance,alae requires the applicant for such permit m file a signed statement ppr Nat Im t,Imunscd Pursuant m de provisiom of We Correctors Umase Law(Chapter9 Sq.FI. Floor Area Valuation Y� (eommmming with section 700B)of Division 3 of the Box.and Profession Crum)or $4000 52 that he is exempt torefrom and f but,for the alleged exemption.Any violation of Section 7031.5 by my applicant for a Permit ubjects be applicant to a civil penalty of ppN Number Occupancy not mare short Bw huatlmd dollars(55001 31629029 W P y Type ❑L m mwmr work.he the chm may,m my emplended with ages m dteir eek eo44,B s inns will do fessm.and e, mucwmia tors License offered does not r mic ply us sus owner of Required Inspections and property who,w Code:The Contractors Lieut,Iucw times oat apply b rt aweer is q P own b provided impnwsthseouahawho ans nsuchwort oroffoed Nrsademaugh his own ver.du Wilding pr such improvements mu arenot intoMNaraBered fm owmer, builder.Ne Wilding orimprovementt,that withinoneyear r compkdf r Ne co a of hullder will low tie buNmr of poring Wt k did rot Wild a improve for puryose of .IC.). Cj 1,as owner of the property.am exclusively contracting wit licensed convectors to cmutruct the project(sec.704a.Business and Proreadom Code:)The Comrs roes,Li. . C.Law does not apply in m ocxr orproprnY who Wilda or improves thereon.and who comae¢for such projects with sconcra me(s)licensed Pmanu m to she Contractors License Law. ❑Iomeacmptunder See ,BAPCfartt,mason Owor Dam WORKER'S COMPENSATION DECLARATION 1 hemby allirm uMer porosity of perjury museof de decimations: following dntio nc 1 haw aha will maintain a Cenifiate of Consent to uIf.mmm for Workers Comp.- cation,a Provided for by Section 37W of the Labor Code,for to performance of the work for which this Permit is behest ❑1 haw and will maintain Workers Compensation Insurance,a required by Section 3700 of Ne Mbar Code,for Ne Performance of be work for which this Formula Issued ' My Worker ompensadon Ir.carrier and Policy number an: crier LFi-RAkISTUN Ia3SPoBry No.: m CERTIFICATE OF EKEMPION FROM WAW COMPENSATION INSURANCE CrouseNm need not W completed if the permit is forose hundreddo0ars($100) or less) 1 certify that in the performance of be work for which Nis Permit is issued.l coal out employ any person in my manner an as to become abjeet to use Workers'Compasation Laws of California.Dam Applicant NOTICE TO APPLICANT:IL after making this Coni late of Emmption,you should became abject he Lha Workers Compesadon pno siom of Ne Ls Wr Code,you most .,Q foMwit comply with such pnevisioru or this permit shall k decmcd rtwoked. zCONSTRUCTION LENDING AGENCY [—i 4 1 hereby airmen that Nem it.cormructinn lendinga ran she genry performarxe of Cli> dm work for which this permit is issued(See.3097,Civ.C.) nW A Lenders Name J z !sneers Asara, V Q 1 cmtify that 1 have read his application and sum shw Ne abow iNwmetion is Ir,F' connect.I agree to comply with all city and county am inmces and sum Ian relating in 0() Wilding construction.and therebyauthorise represenutives of Nt,city to enter upon the W shove-mentioned pm.co for expenses purposes. G (We)agree to saw,indemnify and keep harmless the City of Calamine agsim, Yl inconsequedgmenm,Zrsumnd eayema which may in any my metre agaivlaid City ()z A APPLICANT of Negranting of Nt,DWI APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON POINT Issued by: Date �—�'_0 f, SOURC UL/(OIO �-�amCrYButY� Re-roofs Sr ort of ApplianUCo DOU Dem HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will Ne a Cupent of fuurt Monteith] Co occupant voteZ and Lk hoardoa materiel u deBrcd by the 32(a)?co Mmicipal Cade.Chapter 9.1;roti to Ha1N roti Safety Code,Section 25532(a)? ❑Yes No All roofs shall be inspected prior to any roofing material being installed. Will the applicant or Tum o Wilding;.Paan use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove sui �oa atr conuwm ficod to mirm deby Bay Ara Air Quality Management all new materials for inspection. 0 Yes SIM I have rad the haardmnr restmenimmenu under Chapter 6.95 ofthe 6lifor. nk Health A Safety Cade,Secdmu 25505,25533 and!255M.I undco and than ifrhe Wilding does rel curmndy how a mune Nat It t,my mspek m notify Ne ocoupmt or she mquireme .nj,4mch most W met pier iso Team of Ocapamy. �� Signature of Applicant Date Own ormtarivcaeg o, Dam All roof coverings to be Class'W'or better CITY OF CUPERTINO 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: suew COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31629029 . 00 DATE ISSUED. . . . . . . : 08/08/2008 RECEIPT #. . . . . . . . . : BS000005731 REFERENCE ID # . . . : 08080066 SITE ADDRESS . . . . . : 10271 COLBY AVE SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER MOSS JOHN H AND JUANITA T ADDRESS . . . . . . . . . . : 10271 COLBY AVE CITY/STATE/ZIP . : CUPERTINO, CA 95014-2421 RECEIVED FROM . . . . : JAVIER ESTUDILLO CONTRACTOR . . . . . . . : DUARTE TADEV LIC # 22189 COMPANY . . . . . . . . . . : ALLSTAR PLUMBING ADDRESS . . . . . . . . . . : 326 PHELAN AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95122 TELEPHONE . . . . . . . . : (408) 230-5569 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- IBSEISMICR VALUATION 4, 000. 00 0.50 0. 00 0 .50 0. 00 1PPERMITFE FLAT RATE 1. 00 40.79 0. 00 40 .79 0. 00 1PRSEWER UNITS 1. 00 20.40 0. 00 20 .40 0. 00 1TRAVDOC FLAT RATE 1 . 00 40 .79 0. 00 40.79 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 102 . 48 0. 00 102 .48 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD --- 102_48 a//(o TOTAL RECEIPT 102 .48 //I C VOICE ID DESCRIPTION VOICE IO DESCRIPTION -------- ---------------------------- -------- ---------------------------- 106 SEWER & WATER 202 UNDERFLOOR PLUMBING 301 ROUGH PLUMBING 400 SEWER/LATERAL 507 FINAL PLUMBING • I CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE aCUPERTINO PERMIT APPLICATION FORM APN # 3 a9;,a � \(Z) Date_ 03 •03 Building Address: 2 �0/6 Owner's Name: 4o VU Oss Phone# �� 20 Contractor: Phone#:*7 ZSI- 60YD /15' n, Fax #: Contact: Phone#: (q07) 2.�-( b 0 1�a J vt(—rL Fax #: Contractor.License#: -73 Z 6 > Cupertino Business License#: Job Description: C/"'o 0 ,4 ecoilda.c Px IAI Cii,.C- ifchin cGnd ef/re1 ) T-rr-, Residential Commercial ❑ Valuation• Al O11� Project Size: Express Standard Large Major 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. Green Building Points: �— Quantity Fee ID Fee Description Fee Permit Type Group 1PCSEWER Commercial building P 1CPSS sewer/sanitary sewer IBPREPIPE Commercial re-pipe per fixture P 1CPRP IPGASCOM Commercial Gas Piping System P 1-4 Outlets IBSEISMICOM Seismic Commercial P / IBSEISMICR Seismic Residential P 1PRSEWER Residential building P 1RPSS sewer/sanitary sewer CITY OF CUPERTINO SUM REPIPE/SEWER/MAIN SERVICE CITY OF 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 IBPWATER Install/alter Water Pipe P 1BPFIXTURE Plumbing Fixture P 1PGASRES Residential Gas Piping System - P 1-4 Outlets 1BPGAS Gas Piping System 5+ Outlets P IPPERMITFEE Plumbing Permit Fee Issuance P IPLMBLNCK Plumbing Plan Check P • 1PLMBINSP Other Plumbing/gas Insp. P r / ITRAVDOC Travel &Documentation Fee B 1BUSLIC Business License B Revised 6-16-08 • 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 u B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 2 points 11. Permeable Paving, Note L-1 2 points 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 points 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. Ener Star Refrierator, (Note/Spec.) A-3 1 oint P. Other 1. List Green Features on Plans A-1 1 point 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 Res�urras Energy p .Site j1.Recycle Job Site Construction&Demolition Waste 65%=1 point;75%= 2 points;BD%=4 points up to 4 Resource pts 0 i2.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 . D 4.Protect Native Soil 2 Resource pts y=yes D 5.Minimize Disruption of Existing Plants&Trees 1 Resource pt y=yes o 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 i8.Design Resource-Efficient Landscapes and Gardens 4 Resource 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 0 11.Provide for On-Site Water Catchment/Retention 2 Resource pts y=yes 1 0 ! 1 1 B.Foundation 1.Incorporate Recycled Flyash in Concrete • 25%Recycled Flyash=2 points;Add 1 point for every 10% increase of hyash,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 p 1 1 C.Structural Frame 1 1.SubstituleSolid Sawn Lumber with Engineered Lumber �' 3 Resource pts y=yes p 2.Use FSC Certified Wood for framing (For every 10%of FSC lumber used=2 points,up to 1 D) up to 10 Resource pts. 0 3.Use Wood(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 6.Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y--yes D 9.Use Structural Insulated Panels(SiPs) a.Floors 3 Ener is b.Wall 9Y P y=Yes 0 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 D 12.Use OSB - a.Subfloors 1 Resource pt y=yes 0 • b.Sheathing 1 Resource pt Y=yes 0 1 xtenor Ferns 1.Use Sustainable Decking Materials a.Recycled content 3 Resource pts y=yes D J.FSC Certified Wood 3 Resource pts y--yes 0 2.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAQ/Health pt y=yes 0 3.Install House Wrap under Siding 1 IAQ/Health pt y=yes 0 4.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 0 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 pis. 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(1 point each,up to 3 points) Up to 3 Resource pts. 0 T.Install Chlorine Filter on Showerhead 1 IAQ/Health pt yyes 0 6.Convert Gas to Tankless Water Heater. 4 Energy pts y=yes 0 0 7.Install Water Filtration Units at Faucets (2 points each,up to 4 points) Up to 4 IAQ/Health pts. B.Install On-Demand Hot Water Circulation Pump 4 Resource pts y--yes D f 1 f r.tiecmcar .1.Install Compact Fluorescent Light Bulbs(CFLs) (6 bulbs=2 points,10 bulbs 4 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. D f ! ! G.Appliances .1.Install Energy Slar_Dishwasher 1 Eneroy pt Y--yes 0 12.Install Washing Machine with Water and Energy Conservation Features 1 Energy of y=yes 0 3.lnstall Energy Star Refrigerator 1 Energy pt y=yes 0 14.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 b.Ceilings 2 Energy pts y=yes 0 2.Install Floor Insulation over Crawl Space 4 Energy pts y=yes 0 i9.Install Recycled-Content,Fiberglass Insulation with ,No Added Formaldehyde 3 IAQ/Health 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 D • 6.Alternative Insulation Products(Cotton,spray-foam) a.Walls 4 Resource pts y=yes 0 o.ceilings 4 Resource pts y=yes 0 1 ! endows INPUT RescurcEs Energy IAOIHealth 1 Install Energy-Efficient Windows a.Double Paned 1 Energy pt Y--yes D b.Low-Emissivity(Low-E) 2 Energy pts y=yes 0 c.Low.Conductivity Frames 2 Energy pts y=yes 0 2.Install Low Heat Transmission Glazing - - 1 Energy pt y=yes 0 t b i 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 D 6.Install Attic Ventilation Systems 1 Energy pt y=yes 0 7.Install Whole House Fan 4 Energy pts y=yes D B.Install Sealed Combustion Units a.Furnaces 3 IAQ/Health pts y=yes D b.Water Heaters 31AQ/Health pts y=yes D 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 1XV 3 Energy pts y=yes D 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 stoves4nserts 1 IAQ/Health pt y=yes D It. Install/Replace Dampers 1 Enargy 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 D 15.Install High Efficiency Filter 4 IAQ/Health pts y=yes D 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 0 1 1 1 K.Renewable Energy and Roofing 1.Pre-Plumb for Solar Water Heating 4 Energy pts y=yes D 2,Install Solar Water Heating System 10 Energy pis 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=16 points) Up to 15 Energy pts D 6.Select Safe and Durable Roofing Materials _ _- 1 Resource pt y=yes p 7.Install Radiant Barrier_ 3 Energy pts y=yes p 11 L.Natural Heating and Cooling 01 1 I 1. Incorporate Passive Solar Heating 5 Energy pts y=yes D 2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts y=yes p 3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0 1 0 1 M.Indoor Air Quality and Finishes -1.Use Low%NO-VOC Paint 1 IAQ/Health pis -y--yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 3.'Use Low/No VOb Adhesives 3 IAQ/Health pts y=yes 0 4.Use Salvaged Matarials for Interior Finishes 3 Resource pts y--yes 0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 6IAQ/Health pis y=yes 0 6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pis y=yes D l7.Seal all Exposed Particleboard or MDF 4 IAQ/Healthpts y=yes D 6.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0 9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes D 10.Install Whole House Vacuum System 31A0/Health pts y=yes 0 N.Flooring 1.Select FSC Certified Wood Flooring 6 Resource pts y=yes 0 R.Use Rapidly Renewable Flooring Materials 4 Resource pts y=yes D 3.Use Recycled Content Ceramic Tiles .✓ 4 Resource pis y=yes D 4.Install Natural Linoleum in Place of Vinyl 5 IAQ/Health pts y=yes D 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 f F Total Points Available: 1 1401 1301 57 Total Points Project Received: 1 0 0 0 • G.data/progslgreenbuildngguidelineshemo]elers/greenpoin!sfinel2.i2.04pmlededxis Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 UPER,TINO Building De artment JOB ADDRESS©: / J+V. PERMIT # D OWNER'S NAME: a pvv Lots PHONE # q,93 Z-/. 60 4/ GENERAL CONTRACTOR ryllaT P uNl X31 wE FAX# I am not using any subcontractors: U ' Y ' Up Signature Date Please check applicable subcontractors and complete the following information: 60 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 Owner/Contractor Signature Date