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08030128 CITY OF CUPERTINO BUILDINC-DIVISION. PERMIT r,CCON^lkkCgtp Lj �Q ' "T10- BUILDING ADDRESS: - PERMIT NO. 7491 DUMAS DR AAA FURNACE & AIR 08030128 NER'S NAME: PERIATI L4UEDAM TALBOY ALAN R 1712 STONE AVE 03/24/2008 PHONE SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER; BUILDING PERMIT INFO REPLACE FURNACE, 60000 BTU BLDG O PO O 300 LICENSED CONTRACTORS DECLARATION Job Description ted u I hereby&Mm Nst at I .Ikemenc ed under provision$of Clamor 9(cramming Z with Section 7=)ofD)vidon 3 of the Business and I'micarioru Codd,and my license Ir a< in full force am yep'cy7 encfa /ISig LcensCl . o �24 2z CDole om 93RnCT3 0E I undcrsund my Plane shall he used u public nuoNa o. O�a Licensed Rufudond ^ 3 OWNER-BUILDER DECLARATION ContrON i Q E 1 mea $Rum that 11. aempt from site Contractors c:My c Lew for the ipO following he moron. emits 71016.Busi.uop ad.dumli Ca de:My city or county which iq ic.•pearl m cmtmtet.alar.improv,demolkh,or repdr ay u I _Zt^ priormiu kruanm,nasi rryuirea oe.pPlicant formch pwmila fle.tiCncd n•"mal F C dust he k licensed pummm mus provisions;of the Coneacme,License Law(Chapter 9Sq.Ft. Floor Area Valuation �$ 9 (commencing with Such.700D)of Division 3 of dud Buri .•and Profeuiaru Code)or that he kmps mw tacfrom and the bard, six for alleged caemptiom My vml d.of Seed.70316 by acy applicant tw a permit wbjecu due.ppikal m a dvil pwity ar APN Number Occupancy Type at mom died fw hundred drIL m($5001, ❑I,ua ofNepmpmy,mmymploymwimra(eau Nehmkcompenullon, will Pr&ewons and&The Cont k not rounded ora w do fwuk(Sec.to a, atter of po Profusions Code:The Contherme. dwho Law don not apply m a owner of Required Inspections man enYwhe E,pruwiimPmwuchhomoomemo dat auchrmk nimmlfar&much his howemploya,pmWded pomchimPs aid wtaromyearndWaralfeled the mfnersele.lr. hawewwillba building wlmprovemangthat he Ona year of mproeforn.esu owner. - bullder will haw W buMm of proving on ha tlitl num build or improve far purpose of aka). 0 1,as owner of tiro properly,am exclusively carting with Ica red.nu.cura In consumer the project(Sec.70,14.Business ad Professions Code:)The Convmtoes LI. cense Lew does not apply to a owner of property who build,or improm thereon,ad who conlneu for such pmjcm with a conn ns)Ikensed pursuant to the Cenuume. L.ieeve Law. 0luncemeam .der See .B&PCfar&known num Dau WORKERS COMPENSATION DECLARATION I hemby affrm under perelty of perjury One of du following declara mer- ❑Ilaw.ndrill and by Se thNficau of Conmmm mlf-WuuferwaMYs cempeo- sit.,r provided for mi Ss u u 7]00 of tie Lehar Cade,for&e perfo.anm of oc work for whish ods permit u ivued. 0 1 haw um wild mddum Workten CompensNon I...u requirtd by Soria 3700 of esu Leber Cade,for the performance of the work for which thin pdrmlt Is burned. ' My Wmimes Compensate.I..curler ad Policy number we; Carter. A/4 T w e Polley N., Fl TE PITON FROMWORKE COMPENSATION INSURANCE (Thkmcua need rot hecempleed gdue permit is foram hundred dollar($100) or lu ) 1 caddy that In me hurfa e....of the walk per which this Permit I.issued,I MN nm employ any person In my manner m as to became subject o the Worker'Cwnpensadon Laws of California.Dau Applicant NOTICE TO APPLICANT,IC after making this Certiftcau of Exemption,you Amid became subject m the Worker'.Compensation provisions or me Letter Code,you muss v,0 foMwith comply with such provisions or thus Permit shall be deemed noted. zy CONSTRUCTION LENDING AGENCY [..t I honey alfroa thea there is.construction lending agency for dw perfmmanca of a> the work for which due permit is issued(Sec.3077,Ch,.C) 4 o Lundeen Nuns .`7 z Icodee$Addma U Q I ceoily 0.1 f law mad this appllcm.sm auk mal the abow informed.is CL H concert.1 agree to comply with sit city ad county orel.and age Imo relating m 0 construction,building consction,and hereby authodre mprnautws ofthk city m enter upon useUove ab -menuoxd property for impecta s Purpose CL (We)ago to caw,led...fly sod keep harmless ue City of Cuts against rn liabilities,Jaegmenls,costs ad expenses which may in my wy.mnat agsiat said City U Z in consequence of esu{ranting of this Permit. ran APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SO C44 '! E ATIONS. X �Y Re-roofs Signuuroo A )csHAZ nor `. HA2A DOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or(atom building mcupmt store or handle huuNou maudal defend by the Cupertino Municipal Code.Chapter 9.12,ad the Health ad Safety .Semon v532(.)]❑Yes a All roofs shall be inspected prior to any roofing material being installed. N Will the applicant or taro building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,.I agree to remove .mu IuaNnu dr c.umrnau a defined by the Bay Arta Air Chalky Manaicment all new materials for inspection. Dimicr7 0ye, No I law retl esu hauNous m.kdds requimnedo under C7upw 6.95 of L e Cdifw. nix It&Safety Cade.Sections 25505.25533 OW25534.1 modemaM dungeon hamming dad.t corlently Mw a uanl that it b my responsibility ad notify tie amupat of due mm; mcmawnknmust bemet poor th namar,cm;fcahearo<upa,1Y. Signature of Applicant Date owner ermth 4 .gard am Dam All roof coverings to be Class'A::'or better CITY OF CUPERTINO 6 ITEMS OF 12 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35924043 .00 DATE ISSUED. . . . . . . : 03/24/2008 RECEIPT #. . . . . . . . . : BS000004241 REFERENCE ID # . . . : 08030128 SITE ADDRESS . . . . . : 7491 DUMAS DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : TALBOY ALAN R ADDRESS . . . . . . . . . . : 7491 DUMAS DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4310 RECEIVED FROM . . . . : JIM RANDO CONTRACTOR . . . . . . . : RANDO, JIM LIC # 8050 COMPANY . . . . . . . . . . : AAA FURNACE & AIR CONDITIONING ADDRESS . . . . . . . . . . : 1712 STONE AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95125 • TELEPHONE . . . . . . . . : (408) 293-4717 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ------ - 1BSEISMICR VALUATION 2, 300 . 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 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 224 . 85 0. 00 224 .85 0 . 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ------- ---------------------------- -------- ---------------------------- 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL • L 0l� CITY OF CUPERTINO © FURNACE/AC • Of CUPEkIINO PERMIT APPLICATION FORM APN# /�5 7 ,� .qU /� v Date: D - a Building Address: 7 Owner's Name: Phone#: Contractor: Phone#: 93- y717 Fax #: Contractor License#: Cupertino Business License#: �pSr Contact: Phone #: ��� -�j73 _ Y71) G��y �aLu Lei Fax#: Building Permit Info: Elect ❑ Plumb ❑ Mech Residential Commer ial Job Description: D /` e l l Q (e- I 000 el For Residential Installations: Attic ❑ 15` 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: Type of Construction (Usage Class): a3oo � Strapped On Platform ❑ Bonded New Location El Replacement Valuation: t� 3 00 Green Building: Must attach Green Building Check list to this application 1 CITY OF CUPERTINO ' FURNACE/AC 0 CUPERTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group FURNACE FURN/AC 1MCRAA Conunercial-Repair/Alteration/Add to M ea heating appliance,refrigeration unit, cooling unit,absorption unit,or ea heating,cooling,absorption or evaporative cooling system,incl -install ation_ofcont rols_regulated_b_y_tliis 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 InstalI/Relocate ea M suspended heater,recessed wall htr, or floor mounted unit heater. . 1PGASCOM Commerical for ea gas piping System P 1-4 outlets I BPGAS 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 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 evaporative cooling system,incl installation of controls regulated by this code. IMRSUSHTR Residential Install/Relocate ea M suspended heater,recessed wall htr, or floor mounted unit heater. I MRAPPVNT Residential for the install/relocate/or M replacement of ea appliance vent install & not incl in an applpen-nit. CITY OF CUPERTINO FURNACE/AC • CUPE�TINO 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 • fumace/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 fumace/bumer, incl ducts/vents attached to such appliance over 100,000 Btu/h 1EPERMITFEE 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 CUPERTINO FEE SCHEDULE Quantity. Fee ID Fee Description Fee Permit Type Group AIR FURN/AC CONDITIONING 1BCAIR14AN 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 -1PG7ASRES -Xesiil-e-ntia]-for ea-gas em 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 1BSEISMICR Seismic Residential B IEPERMITFEE Electric Permit E 1MPERMITFEE Mechanical Permit M 1PPERMITFEE Plumbing Permit P 1TRAVDOC Travel Documentation B 1BUSLIC Business License B Single Famif` GreenPoint Checklist date: '3 - 2'T v� (/�1\�� Build ItGreeii The GraimPoint ChecIdel is based on the various green features Incorporated into the home and is the Sman Solutions Fmm fie Ground Up basis for the GreenPoint Rated program.A home can be considered green II it hilfllls the prorequlshas, Hems at least Resources points,and meets the minimum points per category,Energy list of Indoor Air Ouaiito I I • Health(5),Resources(B),and Water(g).Please rornad Build It Green for a list of qualified GreanPolnt L JI Raters 11 you are interested in pursuing third-parry verification. The green building practices listed balow are described in the New Home Construction Green Building Guidelines,available at www.buildit reen.oro. ENTER PROJECT NAME y : 3 A.-BIT&_' ;4" Florida Available Per Measure 1.Protein Topsoil and Mmimhe Disruption of Fsieting Plenh 6 Trees ❑ a.Protect Topsoil from Erosion and Reuse after ConsVucllon 0 1_ ! 1 ❑ b.Limit and Demeans Construction Fool for Maximum Protection - D I I 1 2 Deconstruct Instead of Demollseing Existing Buildings On Site 0 3 3.Recycle Job Site Construction Waste(Including Green Wass) ❑ a Mirwum 50%Waste Dhasion by Wal(Recycling or Reuse)-Required 0 ! R ❑ h.Minimum 65%Diversion by Weight(Recycling or Reuse) 0 —� 2 _ ❑ c.Minimum 60%Diversion by Weight(Recycling or Reuse) 0 2 4.Use Recycled Content Aggregate(Minimum 25%) ❑ a.Walkway and Driveway 0 ___. 1 E] b.Roadway Base 0 1 1 Total Points Aval -12 0 B.FOUNDATION i '•- •' -t 'Points Available Per Measure 1: 1.Replace Portland Cement in Concrete with Recycled Flyam or Slag EI-1.Minimum 20%Flyash a Slag Ir i ❑ b.Minimum 25%Flyesh or Slag1 2 Use Frost-ProtacLM Sholiow Foundation in Cold Aren(C.EC.Cgmata Zone 16) 0 g l Use Radon Resistant Construction 0n At-Risk Locations Only) o ( I I 4.Design and Build Structural Pest Controls - ❑ a.Install Total Shields A Separate AM Exterior Wood.*Conttele Connections by Mared or Plastic Fdstanarsoviders 0, 1 b.All New Plants Have Trunk,Base,or Stem Located At Least 36 Inches from Foundation 0 ( 1 Total Points Available in Foundation=B 0 C.LANDSCAPING - - Points Available Per Measure • 1.Construct Resource-Efficient Landscapes ❑ a.No Invasive Species Listed by Cal-IPC Are Planted 0 1 ❑ b.No Plant Species Will Require Hedging 0 I �--- ❑ c.75%of Plante Ars Drought-tolerand Califomla Natives,Msdaavanaan,or Other Appropriate Species 0. 3 2.Use Frim-Safe Landscaping Techniques 0 1 2.Minimize Tud Areas in Landscape Installed by Builder µ ❑ a All Tud Will Have a Water Requirement Less than or Equal o Tall Fiscus(50.B plant Ismael 0 •2 ❑ b.Tud Shall Not Be Installed on Slopes Exceeding 10%or in Areas Less than B Feat Wide 0 G ❑ c.Turf is s33%of Landscaped Area(=I2 points) i 4 ! 2' E] J.Tim Is 510%of Landscaped Area dotal 4 points) 0 -- ••1! 2% 1,Plant Shade Trees 0 1 I 34. S.Group Plants by Water Needs(Hydrezonin ) 0 ! r4 2 11 6.Install High-Etficiancy litigation Systems ❑ a.System Uses Only Low+Tove Drip,Bubblers,a Low-flow Spindles 0 1 t 2 ❑ b.System Has Smart Compilers 0 '3 L Incorporate Two Inches of Compost in the Top 6 to 12 Inches o1 Soil 0 3 a.Mulch All Planting Beds to the Greeter of 2Inches or Local Water Ordinance Requirement 0 c 2 B.Use 50%Salva etl or Recycled-Content Materials for 50%of Non-Pian(Landscape Elements 0 ❑ .10.Retluca Light Pollution by Shielding Fixtures andlor Directing Light Downward 0 1 - Total Points Available In Landscaping=31 0 D.STRUCTURAL FRAME R BUILDING ENVELOPE _ _ - ..._: - .. .. _.: '"$' - Points Available Per Measure:-. 1.Apply Optimal Value Engineering ❑ a.Place Rafters and Studs at 24-Inch On Center Framinp 0 1, "1 1 ❑ to.Size Dow and Wintlow Headers for Load 0 ❑ c.Use Only Jack and Crinple Studs Required for Load 0 1 ) 2.Use Engineered Lumber ❑ a Beams and Headers 0 i 1 ❑ b.Insulated Engineered Headers 0 ❑ c.Woadl-JowsaWebTmssesfor Flows 0 ❑ J.Wood l-Joins for Roof Reforms 0 ! ❑ e.Engineered or FlngeeJoinlatl Studs for Vertical Applicetlons ❑ 1.Oriented Strard Board for Sul ❑ SOriented Strand Board for Wall and Pool Sheathing 0 —T 1 ® 3.Use FSC-Gerfifiad Wood ❑ e.Dimensional Lumbar,Studs and Timber.Minimum 40% 0 2 ❑ b.Dimensional Lumber,Studs and Timber.Minimum 70% 0 2 1 ❑ c.Panel Products:Minimum 40°6 p I ❑ d.Panal Products:Minimum 70% 0 1 02007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 1 of 4 3 4.Un Solid Well Systmm(Includes SIPS,ICFs,5 Any Non-SOck Frame Assembly) ❑ a.FlooM ❑ b.Weld 0 2 2 ' ❑ c.Rood 0 2 12 1 5.Reduce Pollution Entering the Home from the Garage ❑ e.Tightly Seal the Air Banner between Garage and LNing Area 0 1 ❑ b.Install Garage Exhaust Fen OR Build a Detached Garage 0 1 e.Dui n Ener Heels on Trustee;(75%0l Able Insulation Height M Outside Ede of Exterior Wel 0 ! 1 ❑ 7.Cation Raol Trueaes to Accommodate Duchvork 0 1 5.Use Recycled-Content Steel Studs for 00%of Interior Wall Framing 0 1 1 9.Thema]Mees Walls:5113-Inch Drywall on All Interior Weld or Walls Weighing more than 40lb)cu.tL 0 1 t 10.Install Dverbang,entl Gulf= ❑ A Minimum 164nch Ovemengs and Outers 0 ❑ b.Mimmum 244nch Ovedmn s and Gump Total Points Available In Souctuial Building Frame and Erwalrpe.36 0 E.RICTBRI0R FINISH Points Available Par Measure LJ 1.Use RecycledComent o Virgin Plastic or PSCCartifiu Wood Deddn 0 2 -2.install a Rein Screen WWI System 0 i 2 1 J.Use Durable and Noncombustible Siding Materiels - D 1 I Lj 1.Select Durable and Noncombustible Roofing Materials 0 1 2 ) Total Points Available in Exedor Finish.7 0 F.INSULATION Points Avallable Par Meesura 1.Install Insulation With 75%Recycled Content ❑ a.Wass colla Floore 0 1 —El—b:Collings 0 -1--— —1—I—— L install Insulation met is Low-Emitting(Certified Section 01950) ❑ A.Walls andior Flacra 0 i 1 ❑ b.Ceilings 0 J.I Ouagty of lnuletion Installation before Applying Drywall D 1 1 I Total Points Avallads N InsuleUcn.S D O.PLUMBING Points Available Per Measure 1.Distribute Domestic Hot Water Efficiently(Maximum 7 Points). ❑ e.Insulate Hol Witter Pon trom Water Hearst to Kitchen 0 ❑ b.Insulate All Hol Water Pees _ D 7 1 ❑ c.Use Enginurad Parallel Piping ❑ d.Use Engineered Parallel Piping Win Demand Controlled Cimulebon Loop 0 1 1 _ 1 ❑' a,Use Structured Plumbing with Demand Controlled ClmulWion Loop 0 ❑ I.Use Contra]Core Plumbing 0 1 1 2 2Install Only High Efficiency Tolleb Dual-Flush or 51289 1) D 1 4 Told l Points Available In Plumbin =Toted 12 0 H.HEATING VZNTILA77ON k AIR CONDITIONING Points Available Per Measure Lj 1.Design and Install HVAC System to ACOA Manual J,D,and S Recommendations 0 4 2.Ideas Bmiatl Combustion Unit ❑ a.Fumes 0 2 ❑ b.Water Hasten 0 r it 2 1 —17 ].IneWl Zoned,Hydranic Radiant Hea0ng with Slab Edge Insulation 0 ( 1 1 1 4,Install High Efficiency Air Conditioning with Ernlranmanteity Responsible Refrigerants 0 1 i 5.Design and Install Effective Ductwork ❑ e.Install HVAC Ung and Ductwork within Condllioned Space 0 1 3 1 ❑ b.Use Duct Mastic on All Dud Joints and Seams 0 1 ❑ c.Install Ductwork under And lnsulalion(Boded Dude) 0 1�_ _ ❑ d.Pressure Balance the Ductwork System 0 �— ❑ e.Protect Ducts during Construction and Clean All Duda before Occupancy 0 l r 1 Ej &Install High Efficiency HVAC FlIW ERV 6+ 0 1 ❑ 7.Don't Install Fireplace or Install Gabled Gu Fireplaces with Efficiency Rating Not Lux Than 60% D using LSA Standards B.Insall Effect"Exhaust Systeme In Bathrooms and IOdhem ❑ a.loses ENERGY STAR Bathroom Farm Vented te the Outside D ❑ b.As Baboons Fans Are on Timer or Humidutat ❑ n Install Kitchen Range Hood Vented to the Outside 0 1 1 9,Install Mechanical Ventilation System for Coaling(Maximum 4 Points) ❑ a.Install ENERGY STAR Ceisng Fane 5 Light Kid In Living Areas A Badmorm ❑ b,Install Whole House Fen With Variable Speedo 0 ❑ c.Automatically Controlled Integrated System 0 _ _ 2_• J ❑ d.Automatically Controlled Integrated System with Variable Speed Contra) D 3 t 10.Install Mechanical Fresh Air Ventilation System(Maximum]Points) ❑ e.Any Whole HouseVanillationSystemThatMastsASHRAE822 0 ___ 1 2 ❑ b.instil Ab-ta-Air Heat Exchanger that meets ASHRAE 621 0 1 2 11. EEG Insall Carbon Monoxide Alarm(s) D 1 Told Pointe Available In Hanng,VenNal'mn and Ali Condificmin .30 0 02007 Build It Gratin Ginnie Fatally GreenPoint Chacldia12007 Version Poor,2 of 4 Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 IUPEkTINO Fax(408)777-3333 Building DepIcutment JOB ADDRESS: PERMIT # 9 YZZ OP036l2 OWNER'S NAME: ?' o PHONE # pdc . GENERAL CONTRACTOR: ac. l ,A,A A FAX # I am not using any subcontractors: Id.a'I &31. 14,?-,;27- if•o� Signa a 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 e, �� D - Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date