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08060113]K tact 5q nl— J� eLL ,a BUILDIN6'DIVISIONa PERNUT n Wl. m4 AuunrSs: rettmu nV. 91. F'ERNGROVE DR ALLSTAR PLUMBING 08060113 OWNER'S NAME: 1'IRMITLSUE OATS CHEN CHENG-CHUNG AND PI-YU 326-PHELAN AVE 06/16/2008 NE(408) 30-5569 - SANITARY NO. CONMOL NO. 2 ARCHTIECT/ENGINEER: BUILDING PERMIT INFO in full that 1 am N 1 understand my plans shall W used as public records Licensed Professional OWNER -BUILDER DECLARATION I hereby aRrm thal 1 em wempt from the Contractors License Law for mW following mason. (Section 703 L5, Business and Pmfrsuons Cods: Any city or county which requiter a permit to construct. after. Miami demobh, or repair any structure prior to its issuance, also mquims the applicant for such permit w file a signed aummem that W is licensed pursuant to tie provisions of the Committees Llcesse Law (Chapin 9 (commencing with Section 1000) of Division 3 of use Business am Professions Cade) or Net k is exempt themfmm and the hands for the alleged saernption Any violation of Session 7031.5 by arty appllwm for a permit subjcw the applicant to a civil pewlty of not mom Nan five hundred dalWs (5500). L as arner of tW property, n mY emPloywu with wgn v their sok eompewtion, will Profession; r Newark ands: anunum Ismatksendedorawit f thek(Sa.to a0, ower of and property wh ons Cade: Tie Consumers License d who Law dow ant apply lr an uwnv is properwyebuildsorireprowthereon,andwho dossuch wmkhim rfar through his howramever. me Wilding Improvassuch ement wiitemne year moetion. fes ale B, harder. Ne building w Wpmvemanl u sold within one lead of i m rove for the ousel i Wilder will have tie buNma of proving Nat W did Out Wild a improve fm puryose of 1. as owner of the proper, am wdwively contracting with BcemuW camunn rs to iswct the pmject (Sec. 1040, Business and Professions Code:) The Coesscmri U. ase Law does not apply to an owner of property who Wilds or improved demon. and o contracts for such lamects with a contnuestr ) licensed pursuant to tie Convenor's come few. I mneaonplundm See ,B&PCfmdd nesson our Date WORKER'S COMPENSATON DECLARATION I hereby affirm under pcwiry, of perjury one of the following decimations: 1 ham and will maintain aCertifiwm of Co..' an MINneum for Workers Cmnpenm on, be provided fur by Seca. 3700 of the Labor Code, for the performamm of the de for which this Permit is mused I have and will murrain Workcea Compecessi Insurance, as acquired by Section poi dse Labor Code, for the pesfmmance of um wort fmwhich this permit his issued. Workers Com E�vadan lwuranaw er and Policy montamme: . 1. _ D_t. CA. .. PDSI �«�• (Tuts session need net ecompleted if the permit ds forone hundred differ,(SIoa) or less) I «oily that in Ne performance of hW wort fes which this permit u Issued. I dNl Out employ any penin in any ma riso as an Weems subject to tie Workers' Compensation Laws of California. Data Applicant NOTICE TO APPIdCANT: IL ager making this Ccmresta of Eacreption, you should became Subject m the Workers Compensation Provisions of the, Labw Code you most .J O forthwith comply with such movisow or Nu permit shut W dwrned mwkcd. rz N CONSTRUCTION LENDING AGENCY j-m� I Wmby drum thm Nero is a construction lending spenry, for the perfortnenm of tY' > the work for which des permit is caned (Sm. 3097. Civ. C.) GQ Lender's Name z Landers Address U O 1 unify that 1 hats sesd this application and seta that de eWse information is U, "mons. . I agree comply with all city and county oNimences and seR seta laws hto -Q SV" Wilding commucsen.uW hereby authmiae representatives; of this city In eomr upon Ne ' yshove -mens mrd property fm inspersion purposes (We) agree m Mve, indemnify and hcep harmless the City of Cupertino against IA liabilities. judgments. ants and eupemMs which may in any way accrue agunst said City CJ Z in consequence of the granting of this permit. ^h APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT SOUg RREGULATGNS.s V HAbARfpUS MAT JUAIS DISCLOSURE Null de applicanto tum building occupanwmmwhaMlc haurdow matarial as defined by the Cupertino Municipal Cade, Chaptar 9.13, and the Health and Safety Code, Section 25533(A? / IF Will Ne applicant or future Wilding Occupant use equipment m devices which emit hvudnw tar conominrsts as defined by Ne Bay Area Air Quoddy Mwgcmcnt District? ❑Yes W(Nu 1 have mel Ne hvaNau materials mquiremenu under Chaptar 6.95 of the Califon ria Hei & SafcryCodc, Sccdom 25505, 25533 and 255.70.1 understood hat ifthe Wilding docs not currently haw a serums that it is my maponsihilitY ta m oily disc not Canof the requiM;,PTwhit^I� metpoormiUum=ofa C=ri !pof'I . / g • . Job Description REPIPE (WATER SUPPLY) Floor Area 37539059: 0-5 Issued by: 11 Re -roofs Type of Roof $10280 Required Inspections Date All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant Date All roof coverings to be Class 7r' or better • 4 ITEMS OF 4 CITY OF CUPERTINO PERMIT RECEIPT , Sec: Twp: Rng: Sub: Elk: Lot: APN ........ : 37539059.00 DATE ISSUED.......: 06/16/2008 RECEIPT #.........: BS000005125 REFERENCE ID # ...: 08060113 SITE ADDRESS .....: 941 FERNGROVE DR SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: patg COPY # : 1 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 103.08 --------------- 103.08 VOICE ID DESCRIPTION -------- ---------------------------- 106 SEWER & WATER 507 FINAL PLUMBING REFERENCE NUMBER -------------------- VISA VOICE ID DESCRIPTION -------- ---------------------------- 301 ROUGH PLUMBING OWNER ............: CHEN CHENG-CHUNG AND PI-YU ADDRESS ..........: 941 FERNGROVE DR CITY/STATE/ZIP ...: CUPERTINO CA, 95014-4664 RECEIVED FROM ....: DAVID GRIJALVA 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 1BPWSVCS WATER SERVICE 1.00 -------------------- 20.40 0.00 ---------- 20.40 ---------- 0.00 1BSEISMICR VALUATION 10,280.00 1.10 0.00 1.10 0.00 1PPERMITFE FLAT RATE 1.00 40.79 0.00 40.79 0.00 ITRAVDOC FLAT RATE 1.00 40.79 0.00 40.79 0.00 TOTAL PERMIT ---------- ---------- 103.08 0.00 ---------- 103.08 ---------- 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 103.08 --------------- 103.08 VOICE ID DESCRIPTION -------- ---------------------------- 106 SEWER & WATER 507 FINAL PLUMBING REFERENCE NUMBER -------------------- VISA VOICE ID DESCRIPTION -------- ---------------------------- 301 ROUGH PLUMBING IS CITY OF • CUPEI�TINO E alb & ©113 CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE PERMIT APPLICATION FORM APN # 07 3 905 g D Fee ID Date: / f� bio s Building Address: Permit Type ui � Fexv. Commercial building sewer/sanitary sewer P 19 1BPREPIPE Owner's Name: P 1CPRP Phone #: � Commercial Gas Piping System 1-4 Outlets P Contractor: (- p J ^^�u A�1��i ( �- Seismic Commercial Phone #: 1BSEISMICR Fax #: Contact: `` Cjfl�uJVh Phone #: �-�" cfZZi a,•il� P 1RPSS Fax #: Contractor License #: C Cupertino Business License #: Job 2_Description: oto Residential Commercial El Valuation 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. Quantity Fee ID Fee Description Fee Group Permit Type 1PCSEWER Commercial building sewer/sanitary sewer P 1CPSS 1BPREPIPE Commercial re -pipe per fixture P 1CPRP 1PGASCOM Commercial Gas Piping System 1-4 Outlets P 1BSEISMICOM Seismic Commercial P 1BSEISMICR Seismic Residential P IPRSEWER Residential building sewer/sanitary sewer P 1RPSS S" . CITY OF CUPEkTINO CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE FEESCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type 1PRREPIPE Residential re -pipe per fixture P 1RPRP 1BPWSVCS Water Service P 1CPWS or 1RPWS 1 PPRSEWG Private Sewage Disposal System P 1PCESS Cesspool P 1BPWATER Install/alter Water Pipe P 1BPFIXTURE Plumbing Fixture P 1PGASRES Residential Gas Piping System 1-4 Outlets P 1BPGAS Gas Piping System 5+ Outlets P 1 PPERMITFEE Plumbing Permit Fee Issuance P 1 PLMBLNCK Plumbing Plan Check P 1PLMBINSP Other Plumbing/gas Insp. P / 1TRAVDOC Travel & Documentation Fee B 1BUSLIC Business License B E E E Plan Review Process Work Book Page -12-Revised 3/25/08 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 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 1-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., (Nate/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 1n o' P. Other 1. List Green Features on Plans A-1 1 point TOTAL POINTS1 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. ecycle Job Site Construction 8 Demolition Waste 3 Resource pts %= 1 point; 75%= 2 points; 80%= 4 points F up to 4 Resource alvage Reusable Building Materials ! 4 Resource pts y= 3. Remodel for Mixed Use, Adaptive Reuse, and up to 10 Resource pts Historic Preservation 4 Resource pts y= 4. Protect Native Soil 2 Resource pts y= 5. Minimize Disruption of Existing Plants 8 Trees 1 Resource pt y= 6. Implement Construction Site Stormwater Practices 2 Resource pts y= 7. Protect Water Quality with Landscape Design 2 Resource pts y= 6. Design Resource -Efficient Landscapes and Gardens 4 Resource pts y= 9. Reuse Materials/Use Recycled Content Materials 2 Resource pts for Landscape Areas 2 Resource pts . y= 10. Install High -Efficiency Irrigation Systems 2 Resource pts y= 11. Provide for On -Site Water Catchment / Retention 2 Resource pts y= 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 2, Use Recycled Content Aggregate 2 Resource pts y_= 3. Insulate Foundation/Slab before backfill 3 Energy pts y=' C. Structural Frame �1. Substitute Solid Sawn Lumber with Engineered Lumber 3 Resource pts y=ye: 2. Use FSC Certified Wood for framing (For every 10% of FSC lumber used = 2 points, up to 10) up to 10 Resource pts 3. Use Wood kJoists for Floors and Ceilings 2 Resource pts y=yes 4. Use Web Floor Trusses 2 Resource pts y=yes 5. Design Energy Heels on Trusses 6" or more 2 Energy pts y=yes 6. Use Finger -Jointed Studs for Vertical Applications 2 Resource pts y=yes 7. Use Engineered Studs for Vedical Applications 2 Resource pts y=yes B. Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y=yes 9. Use Structural Insulated Panels (SIPS) a. Floors 3 Energy pts y=yes b. Wall 3 Energy pts y=yes c. Roof 3 Ener is Energy y=yes 10. Apply Advanced Framing Techniques 4 Resource pts y --yes 11. Use Reclaimed Lumber for Non Structural Applications 3 Resource pts y=yes • a. Subfloors 1 Resource of y=yes L b. Sheathing i 1 Resource pt y=yes Use Sustainable Decking Materials a. Recycled content b. FSC Certified Wood Use Treated Wood That Does Not Contain Chromium/Arsenic i Install House Wrap under Siding { Use Fiber -Cement Siding Materials E. Plumbing 1. Install Water Heater Jacket 2. Insulate Hot and Cold Water Pipes 13. Retrofit all Faucets and Showerheads with Raw Reducers l a. Faucets (1 point each, up to 2 points) J b. Showerheads (1 point each, up to 2 points) l 4. Replace Toilest with Ultra -Low Flush Toilets I(1 point each, up to 3 points) 5. Install Chlorine Filter on Showerhead 6. Convert Gas to Tankless Water Heater 7. Install Water Filtration Units at Faucets (2 points each, up to 4 points) B. Install On -Demand Hot Water Circulation Pump r. tiecmcar 1. Install Compact Fluorescent Light Bulbs (CFLs) (6 bulbs=2 points, 10 bulbs =3 points, 12 bulbs = 4 points) 2. Install IC -AT Recessed Fixtures with CFLs (1 point each, up to 5 points) 3. Install Lighting Controls (1 point per fixture, up to 4 points) 4. Install High Efficiency Ceiling Fans with CFLs (1 point each, up to 4 points) G. Appliances 3 Resource pts y=yi 3 Resource pts y=yi 1 IAQ/Health pt y=yi 1 IAQ/Health of y=yi 1 Resource pt y=yes 1 Energy pt Y_—Yes 2 Energy pts y=ye Up to 2 Resource pts Up to 2 Resource pts Up to 3 Resource pts 1 IAQ/Health pt y=ye: 4 Energy pts y=ye; Up to 4 IAQ/Health pts 4 Resource pts y=ye! Up to 4 Energy Up to 5 Energy Up to 4 Energy Up to 4 Energy pts. Install Energy Star Dishwasher r r r r 0 r r 0 r r 0 Install Washing Machine with Water and Energy inservation Features 1 Energy pt y=yes install Energy Star Refrigerator Up to 4 Energy pts. Install Energy Star Dishwasher 1 Energy pt y=yes Install Washing Machine with Water and Energy inservation Features 1 Energy pt y=yes install Energy Star Refrigerator 1 Energy pt y=yes Install Built -In Recycling Center 3 Resource pts y=yes H. Insulation 1. Upgrade Insulation to Exceed Title 24 Requirements a. Walls b. Ceilings 2. Install Floor insulation over Crawl Space �Ilnstall Recycled -Content, Fiberglass Insulation with 1 No Added Formaldehyde _ J 4. Use Advanced Infiltration Reduction Practices 5. Use Cellulose Insulation a. Walls b. Ceilings 6, Alternative Insulation Products (Cotton, spray -foam) a. Walls o. cemngs 2 Energy pts y=yes 2 Energy pts y=yes 4 Energy pts y=yes 31AQ/Health pts 2 Energy pts 4 Resource pts y=yes 4 Resource pts y=yes 4 Resource pis 4 Resource pts • E • 1. Install Energy -Efficient Windows a. Double -Paned J. Heating Ventilation and Air Conditioning 2 Energy pts 1 Energy of y=yes 2. Install Ductwork within Conditioned Space b. Low -Emissivity (Low -E) 2 Energy pts y=yes c. Low. Conductivity Frames --_— ----- 2 Ener is --.— Energy Y=Y es 2. Install Low Heat Transmission Glazing 1 Energy pt y=yes J. Heating Ventilation and Air Conditioning 2 Energy pts 1. Use Duct Mastic on All Duct Joints ? 2 Energy pts 2. Install Ductwork within Conditioned Space 3 Energy pts 3. Vent Range Hood to the Outside 1 IAQ/Health pt 4. Clean all Ducts Before Occupancy 2 IAQ/Health pts 5. Install Solar Attic Fan 2 Energy pts 6. Install Attic Ventilation Systems 1 Energy pt 7. Install Whole House Fan 4 Energy pts B. Install Sealed Combustion Units 3 IAQ/Health pts a. Furnaces 3 IAQ/Health pts b. Water Heaters 3 IAQ/Health pts 9. Replace Wall -Mounted Electric and Gas Heaters with y=yes Through -the -Wall Heat Pumps 3 Energy pts 10. Install 13 SEER/1I EER or higher AC with a TXV 3 Energy pts 11. Install AC with Non -HCFC Refrigerants 2 Resource pts 12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace 2 Energy pts 13. Retrofit Wood Burning Fireplaces 1. Pre -Plumb for Solar Water Heating a. Install EPA certified wood stoves(nserts 1 IAQ/Health pt b. Install/Replace Dampers 1 Energy pt c. Install Airtight Doors 1 Energy pt 14. Install Zoned, Hydronic Radiant Heating 3 Energy pts 15. Install High Efficiency Filter 41AQ/Health pts 16. Install Heat Recovery Ventilation Unit (HRV) 5 IAQ/Health pts 17. Install Separate Garage Exhaust Fan 3 IAQ/Health pts K. Renewable Energy and Roofing 1. Pre -Plumb for Solar Water Heating 4 Energy pts y=yes 2. Install Solar Water Heating System 10 Energy pts y=yes 3. Pre -Wire for Future Photovoltaic (PV) Installation 4 Energy pts y=yes 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 16. Select Safe and Durable Roofing Materials `— -- -- — 1 Resource P t Y =Y e s 7. Install Radiant B—arrier _ 3 Energy pts y=yes L. Natural Heating and Cooling 1. Incorporate Passive Solar Heating 5 Energy pts 2. Install Overhangs or Awnings over South Facing Windows 3 Energy pts 3. Plant Deciduous Trees on the West and South Sides 3 Enerov ots 1. Use Low/No-VOC Paint j 1 IAO/Health pts J 2. Use Low VOC, Water -Based Wood Finishes 21AQ/Heallh pts 3. Use Low/No VOC Adhesives 3 IAO/Health pis 4. Use Salvaged Materials for Interior Finishes 3 Resource pts 5. Use Engineered Sheet Goods with no added Urea 51AOlHealth pts Formaldehyde 61AQ/Health pts 6. Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts Esed Particleboard or MOF ___ r7. Seal all xpo 4 IAQ/Health pts 8. Use FSC Certified Materials for Interior Finish 4 Resource pis 9. Use Finger -Jointed or Recycled -Content Trim 1 Resource pts 10. Install Whole House Vacuum System 31AQ/Health pts N. Flooring 1. Select FSC Certified Wood Flooring 8 Resource pts 2. Use Rapidly Renewable Flooring Materials _ —1 4 Resource pis 3. Use Recycled Content Ceramic Tiles 4 Resource pts 4. Install Natural Linoleum in Place of Vinyl 51AOlHealth pts 5. Use Exposed Concrete as Finished Floor 4 Resource pts 6. Install Recycled Content Carpet with Low VOCs 4 Resource pts Total Points Available: Total Points Project Received: y --yes 1401 1301 57 0 0 0 G:datalprogsigreenbuildngguidelinesfmmodelersJgreenpointsfinal2.72.04proteded.xls • 0 In n, CITY OF WUPEkTINO 0 • I Owne jCntractor'Signature Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax(408)777-3333 Building Department JOB ADDRESS: D 1gS01 SUBCONTRACTOR PERMIT # 0806611,5 OWNER'S N �N Cabinets & Millwork PHONE # GENERAL CONTRACTOR: Cement Finishing FAX # I am not using any subcontractors: / Si a e bak Please check applicable subcontractors and comple e the following, information: &/I lo Date 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 -437zr�II Roofing Septic Tank Sheet Metal Sheet Rock Tile &/I lo Date