08070019 CITY OF CUPERTLNO saw:-- ✓.*mak t: «f * =% "%'r"*'+ ' a1
BUILDINC95VISION's PEIiLVIIT QCONTI2ACTORfINEORMATI�N
PERMIT NO.
BUILL)IN�ApORESS:L'ENI SON AVE ELITE HEATING & AIR 08070019
OWNER'S NAME: L - PERMIT,'SUE DATE
PHILIP BOHANNON & EMILY 6326 WOOSLEY DR 07/02/2008
(908) 726-1618 SANITARY NO. CONTROL NO.
ARCHIIECrfENGINEEK: BUILDING PERMIT INFO
BLDG ELECT PLUMB - MECH
C=
u O p LICENSED CONTRACTOR'S DECLARATION Job Description
1 hescby affrm duo I w Reenacts under Provitioiu of Chapter 9(commeminy p
Zp� wthe Section 7")of Division 3 of the Business am Professions Code,and my licence is REPLC EXTNG FURNACE G INSTL NEW A/C
in full force atm off n h 4 j
Licence Class f Lk.t
b, Dam7 ComrclmrON
At
ARCHTET DECLARATI
w 1 undermnd my plans Mall M:used ss public records
k a y
Licensed Pmfcssional
805 OWNER-BUILDER DECLARATION
Or
C i F 1 hereby.ffirm(SOc Nat I t. aurin from Ne Cestromeheron Co L Month law,for the
0 o following mason.Permit
t 703 L5.Business and Pvfadav Cmc:My city or county
wbkh requires issuance.permit re iuka me alter,Mpmve,demmW.fie a sig any t temuro
Z i prior m eta ensedalso requires the applicant for such permit w felt signed statement
pp `e Nat heufianawpurroanttourpmvi.:;omafdKconlracmraLke�Law(cnapw9 Sq.Ft. Floor Area d- Valuation
y� (commencing with Section 7000)of Division 3 of the Business and Professions Cade)or $5000
$ that so is camp,musefrom and me basis for the alleged eampuan My violatlm of
Semon 7031.5 by any applicant for.permit subjects me applicant as a civil penalty of 316 2 8 0 2 2 . Number Occupancy Type
not more two five hundred dollars(5500).
01,Mowneroftheproperty,mmyemplaymwithngmutheirsokcomp don,
wiU do the work,and thesnoum u not Mmndedor oQmed forsak(Sm.7W.Bowness
and ProeeaLnrLL CadM C
e:7ContrbLicensem N s LlLaw does nut apply Owner of Required Inspections
property who buildaarimproves thercon,and whodoessuchwork himselfmduough his
ownemplayeu,provided that such improsemenu are trot installed nor@red fur ale.U,
however,me building or Improvement is sold within one year of completion,the owmer-
Wilder will have,the burden of proving that he did not build a improve fm puryoa of
sale.).
O 1.as owner of Use Property uo eudusivety,contracting with licensed contractors to .
construct the project(Sec.7014.Business and Professions Code:)The Comorcror's Li-
..Law does not apply to an owner of propenY who Molds or improves thereon.aed
who concocts for such pmleem with a conwctm(s)liccnaed peruant to the Contractor's
License Law.
❑IamexemptunGSSee .B&PCfar mu won
Owner Doe
WORKER'S COMPENSATION DECLARATION
1 hereby arm under permty of perjury,oro of the following declaradmu
have and will maintain aCeniOa¢of Covent to relf-Insure for WorkelaCompen-
sauon,ss provideStttid for by on 37M of due Labor Code.for this Performance of me
work for which this permit is issued.
have son will maintain Worker's Compensation I..,as nx,dred by Seeuon
700 of the Labor Cade,for the puformansc ofde wort for which mu Permit is issued. '
My Worlem s Compensation Inm.artier and Policy number art: fJ -e
Canter.. C](ilatnrP PolicyN.AdQ01YO03173
CEIrfIFlGTE OF EKEMP ION FROM WORKERS
COMPENSATION INSURANCE
(TTM seam need not nd completed if the Permit is foram hundred dollar($I00)
or mss)
1«ni)v mat in me performance of the work for which this Permit M issued,1 shall not
employ any person in any manneras u in Mcmnc subject to me worker'Compensation
Lam of California.Dam
Applicant
NOTICE TO APPLICANT.If,after making this Certificate of Exemption,you should
become subject m the Wat tam's Compenmdon provisions of use labor Code.you most
.,,z forthwith comply with each provisions m this permit shall nd dmmed revoked.
z O CONSTRUCTION LENDING AGENCY
[-r 1 Ihcrobyafnm that Uem iaa cmama,tian lending agency for the c,fmm...f
Ci?: me work for which this permit Is Msmd(Sec.3097,Civ.C.)
6Wi 0 lender's Name
M z Lender.Add.
U Q 1 cardfy that T have rad this application and sum that the above informmen is '
Is,E comm l agra to comply with all city and county Ordinances and sone Ian relating to
0 building covuunion.am hereby aummiae rtpreunmtiws ofthis city m enter upon the
IST above-mcnudgm pmpenY for c.,O.puryaus
F gy (We)agree m wave,Indemnify YW keep handiest the City of Cupertino against
Ver
liabilities.Judgments.irmand oapcnuaesh, they in any way accrue agaivtsud City
C)z ro APPLICANT
of the granting of this permit,
^ APPLICANT UNDERSTAND$AND WILL COMPLY WITH ALL NON-POINT. Issued b
SOURCE REGULATIONS.rc
y' Date
'� ' — -7/7/A Re-roofs
Slg.-'App ianucmmetm
m
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the mplicmo or future building occupant more orlesmile huardov material
as defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety
Code,Section 25332(a)?
❑Yes 'F'N. All roofs shall be inspected prior to any roofing material being installed.
Will me applicant or future building occupant use equipment m rkvims which If a roof is installed without first obtaining an inspection,I agree to remove
hevardnes air contaminants as defined by no Bay Area Air Quality Management all new materials for inspection.
um7 �^ P
El Yo Y,"`
1 hue mad W,hvaNru materials mquiremevs Omer Chapter G95 of the Califm-
nialkalm&Safety Cade,Sections 25505,25533 mal 534.1 undersand the,lfthe Wilding
Jan Out cmrtndy have a mumu this it M my rrapomibility to notify the ocnryant of de
require`=nus which raw Ecmet prior missuuecafaCenif¢amofOc �
742
/A ad Signature of Applicant Date
Owner tar authorized agentJ— All roof coverings to be Class'%¢"or better
020 7 o0/
CITY OF CUPERTINO
C FURNACE/AC
•CUPERTINO PERMIT APPLICATION FORM
APN# 2 / / p Date: 7 Z 0
Building Address-
'16111
ddress-0/ 7 el'1150Y1
Owner's Name: �'1GU1�bv� Evni \I P)t�3Z q7q
Contractor: ( (Utc �ko4 i✓� d- Aj� C � r�)+i�j j Phone#: ( � 7 Z 6—1 0
v/ Fax #:
Contractor License #: 9 SIS 7c/� Cupertino Business License#:
6?1 Ll
Contact: �pq � Pq6Ap� J� Phone#:
v
Fax #:
Building Permit Info:
Elect Plumb Mech
Residential P<
` Commercial ❑
a
16F
Job Description: p pV,G,e U—x -5Hr�C/
For Residential Installations:
Attic ❑ ls` floor 2"d floor ❑
Adhere to minimum setback requirement
For
e uirementFor Commercial Installations:
Replacement same weight ❑ Additional weight (structural calcs) ❑
Structural Calculations required for new installation ❑
New installation Planning Approval Required ❑
Cost of Projel', o Type of Construction (Usage Class):
�TA .�/ oOU.
3
Strapped On Platform ElBonded New Tocation Replacement
Project Size: Ex ress ❑ Standardly Large ❑ Major❑
Valuation: S v0� oa
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
CITY OF
CUPERTINO 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 Instal /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 instalUrelocate/ or M
replacement of ea appliance vent
installed ¬ incl in an appliance
permit.
1BSEISMIC0 Commercial Seismic B
1MRRAA Residential Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
r cooling unit,absorption unit,or ea
I heating,cooling,absorption or
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 nnnl nprmit.
CITY OF CUPERTINO
Q' FURNACE/AC
•cuPEi�Tirvo FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1PGASRES 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
1MFR=<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
IMFRN>I00 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
CITY 0
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
AIR FURN/AC
CONDITIONING
1BCAIRHAN Commercial A/C Units<= l Ok 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
IBPGAS For each gas piping system of 5 or P
more per outlet. Comm/Resid
1BREMAIRHAN Residential A/C units <= IOk CFM B
IMRRAA Residential Mech Repair/alt/add M
/ 1BSEISMICR Seismic Residential B •
I 1EPERMITFEE Electric Permit E
1MPERMITFEE Mechanical Permit M
1PPERMITFEE Plumbing Permit P
/ 1TRAVD0C 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 1oint
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.
A.Site
1.Recycle Job Site Coristfuction&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 i Resource pt y--yes 0
6.Implement Construction Site Stonnwater 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 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 0
1 1 1
B.Foundation
1,Incorporate Recycled Flyashin 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 D
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
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 D
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/KealVW
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 0
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 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 31AQ/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 stoves(nserts 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 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 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=16 points) Up to 16 Energy pts 0
6.Select Sate and Durable Roofing Materials 1 Resource pt y=yes 0
7.Install Radiant Barrier 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 1
•
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
Fax(408)777-3333
ad
CITY OF
*UPERTINO
Building De artment
JOB ADDRESS: PERMIT # D�i 07 O 0/q
OWNER'S NAME:
GENERAL CONTRACTOR: a 2 FAX # 71-S-2,51
I am not using any subcontractors: ^� . 2 OO
Signature D to
Please check applicable subcontractors and complete the followinginformation:
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 tgnature Q6te
CITY OF CUPERTINO
6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 31628022 . 00
DATE ISSUED. . . . . . . : 07/02/2008
RECEIPT # . . . . . . . . . : BS000005325
REFERENCE ID # . . . : 08070019
SITE ADDRESS . . . . . : 10197 DENISON AVE
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : PHILIP BOHANNON & EMILY UNDER
ADDRESS . . . . . . . . . . : 10197 DENISON AVE
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2426
RECEIVED FROM . . . . : ELITE HEATING & AIR
CONTRACTOR . . . . . . . : RALPH B ALCARAZ LIC # 28438
COMPANY . . . . . . . . . . : ELITE HEATING & AIR CONDITIONI
ADDRESS . . . . . . . . . . : 6326 WOOSLEY DR
CITY/STATE/ZIP . . . : SAN JOSE, CA 95123
TELEPHONE . . . . . . . . : (408) 726-1618
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT , THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 5, 000 . 00 0 . 50 0 . 00 0 . 50 0 . 00
1EPERMITFE 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 2 . 00 122 . 38 0 . 00 122 .38 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 286 . 04 0 . 00 286 . 04 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 286. 04 #1002
---------------
TOTAL RECEIPT 286 . 04
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ----------------------------: .. - ------ ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
•