08070180 CITY OF CUPERTINO ��a,�� (�� �'t�.Tg�cnt.�
BUILDING DIVISION PERMIT A+QiI':i1wA1C
BUILDING ADDRESS: PERMIT NO.
1.697 GALWAY DR ALLIED AIRE SERVICE INC 08070180
OWNER'S NAME: PERMIT ISSUE DAM
PARRY MARTIN H AND JENNIFER A 661 SINCLAIR FRONTAGE RD 07/24/2008
NE: SANITARY NO. CONTROL NO.
(408) 934-8844
ARCHITECT/ENGINEER: - BUILDING PERMITINFO
BLDGELECT PLUMB MECH
300F LICENSED CONTRACTOR'S DECLARATION O O O
U 1 hwepy ahirm this I m li¢nxd under pmreions of CMper 9(commencing Job Description
_iZ`wt
with ftfcWumCa primylicentanis RPLC FURNACE' S UP&DWN STAIRS & AAA A/C UNITS
^?y inruffremeW
2 az — D Lie
Lieenx .g f7loW�
��p Dam Con
e 7W ARCHITECTS OECIDELL
AMTION
-u I unhederstand my plw dull he used a public records
6
sG Ueeaad Professioml
OWNER-BUILDER DECLARATION
' f I hereby affirm that I am exempt from the Conuacmes Liclnx Law for de
O O following. .(Section 1011.5,Bonn.and Professions Code:Any city or county
which mquima a permit W construct,alcor.improve,demolish,w repair any structure
—zi Prior W its issuance.alar,tryuima the applicant for such Permit hen villa signadwement _
that he n licemed pursuant to the provisions or de Contractors Ucomae Law(Chapmr9 Sq.Ft.Floor Area Valuation
�E{ (commencing with Section 7(00)M Division 3 of the Businent and Profedoma Code)or $6000
S etre he is exempt therefrom and the hats for the alluFul cvmption.My violation or .
Section 10315 by any applicant for a permit subjects the applicant W a civil Penalty of Number Occupancy oat mom dun 0w hundred d'Ilsn(M). 36624030 .W. TYPe
❑1,m owner of dm pmperty,a my mplmywa with mgaz a theta cote compenmdon,
will do We week,and thesINC1Yre Is net amended oraRered for sae(See.TON,Buainm
and Prete a mm Canine Tin,Cumnee e's Li¢nx Law dint net apply W an roomer of Required Inspections
property who builds ceimprowes dveon,and who does such work himself or through his
mane nidtooca.provided that such improvements are not meanded woReted foeala a.
however.the building or improwwnt t,ald within arc year of completion,the owner.
builder will haw the burdan of proving that he dad net Mid or improve for purpose or
ale.).
. ❑1.az moor of that property.m exluaively.mmucting with Boemad ennuaetan W
convect the pmjm(Sea 1044.Bmitv-u and Proreaiom Cade:)The Cootsaetor's Li-
omen
i-
o m n law does not apply W an'vnw of property who Wilds or improves Hexon.and
who contracts for such pejecu with aco ins ner(s)licensed pustunt to the Comeame,
Lkeme Law.
❑Iam amp undo See .BkPCIw Ws mason
Owner Date
WORKER'S COMPENSATION DECLARATION
1 hmby affirm under penalty of perjuryane of dee following dwhrWom
Ihive albwill for by •CeNfaam ofCmmntWCode.fm Tercef..aCompo-
aeon,r provided for mi Section 1'!00 of the labor Cade.(car the pefarman¢of the
wok far which Nu premie is iaucd. '
0 I haw and will maintain Worker's Comp;matian Imurena,as required by Section
37W.fthe labor Code.to,the performance of the work forwhich mea permit it Intend. '
My We Cmp:nsatioe lnann¢ Ter aM Policyn ner am:
Career: f I( Policy No.; 7 ,
CERTHI( OF EX PTION IRO ORKERS'
COMPENSATION INSURANCE
(Then aecdm ersd rot be competed if We permit Is for.hundred dollars($100)
orleu)
1 certify deal in the perfomnaoro of the wink for which this perrnll u iuued.I that!mm
employ any person in any manner an az he become abject W elm Worker'Compeneedon
Laws of California.Dam
Applicant
NOTICE TO APPLICANT:If,after making Nu Certificate of Eaempdon,you should
become subject m the Workers Compensktion proviaiom of the Labe,Code,you must
.,O rumwith comply with such Irwiuow or thit permft zhWl he decreed!revoked.
'Z'y CONSTRUCTION LENDING AGENCY
(•" I hereby affirm that there it a construction feeding agency for the performance,of
!Yi the week for which then permit Is issued(Sce.3091,Civ.C.)
W Lender's Name
Z) z tender's Address
L)0 1 certify that 1 have raid Ws appllcuum and sum Nu the above Whomm.n It
U, ^. connect.I agree to comply with all city and county mdlnarnes aM sum lam relating m
C) rV' Wnsu
building counion,ted hemx
byau urrim reprenutim of this city to enter upon dp
alm m-mcnemmd property for inspection Purpwea
H y (We)agree W ave,indemnify and IMF hrtmka the City of Cupertino a ainl,
fn liabilitiu)) menu, 's�ared peva which may In any y.,.against said City
V z in ca qoe fifth .be (thn pmlL
ti APP A U 1 `t'A STAND PILL COMPLY WITH ALL NON-POINT Issued by: Date 'LL-(-
50 EG ONS.
a D Re-roofs
Si of AirlmadamoVmumme, Dam
HAZARDOUS MATERIALS DISCLOSURE Type Of ROOF
Will the applicant or future Miami;axup of core or handle hawdous material
IS dente!by the Cupertino Municipal Code.Chapter 9.13,and the Health and Safety
Code.section 25532(.)y
Over 019. All roofs shall be inspected prior to any roofing material being installed.
NitWill me appeesnt or future building occupant use equipment or dcviats which If a roof is installed without first obtaining an inspection,I agree to remove
Distric��m err conumemnu a dcfrted by dm Bay Area Air QuNity Management all new materials for inspection.
❑Yea 2<
Lha Nehe rdmusmateean requirements under Chapter6.95often Caiifmr-
nnFleai rSQe Cotl Se�I' 505.25533 and 2594.1 undrmsnd that if the building
dao ro urrenp M S L et d'n my mafanuhiliry W mdf dm ora pant of Ne
myna anLldhkh be met mTmiar,aecar. "chn � Signature of Applicant Date
ownsrmanthori,e gem 7 Dam' All roof coverings to be Class'%¢"or better
CITY OF CUPERTINO
• 7 ITEMS OF 7 PERMIT RECEIPT; OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot : '
APN . . . . . . . . : 36624030 . 00
DATE ISSUED. . . . . . . : 07/24/2008
RECEIPT # . . . . . . . . . : BS000005579
REFERENCE ID # . . . : 08070180
SITE ADDRESS . . . . . : 1697 GALWAY DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . :PARRY MARTIN H AND JENNIFER A
ADDRESS . . . . . . . . . . : 1697 GALWAY DR
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5240
RECEIVED FROM . . . . : ALLIED AIRE SERVICE
CONTRACTOR . . . . . . . : STEINER, ARNOLD R LIC # 19207
COMPANY . . . . . . . . . . : ALLIED AIRE SERVICE INC
ADDRESS . . . . . . . . . . : 661 SINCLAIR FRONTAGE RD
CITY/STATE/ZIP . . . : MILPITAS' CA 95035
TELEPHONE . . . . . . . . : (408) 934-8844
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 6, 000 . 00 0 . 60 0 . 00 0 . 60 0 . 00
1EPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
1MCRAA UNITS 1 . 00 122 . 38 0 . 00 122 . 38 0 . 00
1MPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
IMRF- A 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 408 . 52 0 . 00 408 . 52 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 408 . 52 #20122
---------------
TOTAL RECEIPT 408 . 52
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- --------------------------- ------ ---------------------------
505 FINAL ELECTRICAL FINAL PLUMBING
508 FINAL MECHANICAL
•
4D7oil
CITY OF CUPERTINO
• � �` FURNACE/AC
CUPEkTINO PERMIT APPLICATION FORM
APN #�/ �� 2 D � Date:
Building Address:
Owner's Name: Phone #:
oa a.iq - ao6i
Contractor: ^^ 1 Phone#:1p 2 93,17,$gy 1
til l"� lit Rk- �c'►2v cc-I�iJC Fax #: D 8 93`/ - 8846
Contractor License#: Cupertino Business License #:
a Goo3S
Contact: Phone #: ,I, Q 616 1811
g o�3 �t,t.S r L
7w 7
Fax #:
Building Permit Info:
Elect B� Plumb ❑ Mech [✓�
• Residential Commercial
Job Description:
�i L,A FtiaA)AC-c Qao� S�4tIzS Amb MA Alcu�il
For Residential Installations:
Attic ❑ 151 floor [� 2"d floor
Adhere to minimum setback requirement
For Commercial Installations:
Replacement same weight ❑ Additional weight(structural talcs) ❑
Structural Calculations required for new installation ❑
New installation Planning Approval Required ❑
Cost of Project: Type of Construction sage Class):
Strapped F1 On Platform Ll Bonde New Location ❑ Replacement
Project Size: Express ['Standard ❑ Large ❑ Major ❑
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.
• Revised 6/16/08
CITY OF CUPERTINO
M FURNACE/AC
OF
OPPERTINO 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.
1 MCREPALT 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
1 BPGAS For each gas piping system of 5 or P
more ver outlet.
1MCAPPVNT Commercial for the install/relocate/ or M
replacement of ea appliance vent
installed & not incl in an appliance
permit.
1BSEISMIC0 Commercial Seismic B
1 MRRAA Residential Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
2, 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 a 1 ermit.
D�. CITY OF CUPERTINO
,lm_ FURNACE/AC
CITY OF
CUPERTINO PERMIT APPLICATION FORM
APN# Date:
Building Address:
Owner's Name: Phone#:
Contractor: Phone#:
Fax #:
Contractor License#: Cupertino Business License#:
Contact: Phone#:
Fax #:
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: Type of Construction (Usage Class):
Strapped I I On Platform ❑ Bonded New Location Replacement ❑
Project Size: Express ❑ Standard ❑ Large ❑ Major ❑
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.
Revised 6/16/08
CITY OF CUPERTINO
C- FURNACE/AC
IT OF
• CUPERTINO 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/bumer, incl ducts/vents
attached to such appliance up to and
include 100,000 Btu/h
IMFRN>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
IMPERMITFEE Mechanical Permit Fee M
IPPERMITFEE Plumbing Permit P
r 1TRAVDOC Travel Documentation B
IBUSLIC Business License B
CITY OF CUPERTINO
' FURNACE/AC
CITY OF
CUPERTINO 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 •
1EPERMITFEE Electric Permit E
1MPERMITFEE Mechanical Permit M
1PPERMITFEE Plumbing Permit P
1TRAVDOC 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 72points
11. Permeable Paving, Note L-1 C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 D. Structural 3. Uses Wood I-Joist, (See Spec.) S-2 5. Use Truss with heels, (detail) S-2 6. B. OSB Sheathin detail S-2
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 oints
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 Refrigerator, (Note/Spec.) A-3 1 point
P. Other 1. List Green Features on Plans A-1 1 point
TOTAL POINTS1 1 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 Resources Energy IAO/Health
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
B.Design Resource-Efficient Landscapes and Gardens 4 Resource pts y=yes 0
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 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=yesF; 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 Woists 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
B.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 A011-1111
1.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 p
1 1 1
J.Heating Ventilation and Air Conditioning
1.Use Dud 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
8.Install Sealed Combustion Units
a.Furnaces 3 IAQ/Health pts y=yes 0
b.Water Heaters 3 IAQ/Health pts y=yes 0
9.Replace WalkMounted 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 woodstoveslnserls 11A0/Health pt y=yes 0
b. Install/Replace Dampers 1 Energy pt y=yes 0
c.Install Airtight Doors 1 Energy pt y=yes p
14.Install Zoned,Hydmnic Radiant Heating 3 Energy pts y=yes 0
15.Install High Efficiency Filter 4 IAO/Health pts y--yes p
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=18 points) Up to 18 Energy pts 0
6.Select Safe and Durable Roofing Materials 1 Resource pt y=yes 0
7.Install Radiant Barrier 3 Energy pts y=yes p
11 1
L.Natural Heating and Cooling
1.Incorporate Passive Solar Heating 5 Energy pts Ly=yes 0
2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts p
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts 0
• 1 1 1
M.r Community Development
J 1 pert Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
OUPERTINO
Building De artment
JOB ADDRESS: PERMIT #
(oq7 k t -. -7a (dl`6
OWNER'S NAME: . iA�) J2 i2 PHONE # V ,3
GENERAL CONTRACTOR w, f S FAX#
I am not using any subcontractors: -7 ,-f
Signature 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
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
•
Owner/Contractor Signature Date