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08070011 CITY OF CUPERTINO BUILDING DIVISION. PERMITI` NFORMATION PERMIT NO. HUILTV9T'8LENVIEW AVE TBD - TO BE DETERMINED 08070011 WNERS NAME: PERMIT LUUE DATE AKURATI:, PRADEEP 07/01/2008 ONE: SANITARY NO, CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INTO BLDG ELECT PLUMB MECH 0 0 0 0 re+aa LICENSED CONRAMWS DECLARATION Job Description 1 thereby arm dist 1 am licensed order pmvi lmof Chapter 9(rnmmencing I7 'j wish Section 7")ofDivarion3oflheBudrcvaMProfeuionsCode,andmylieeneeu INSTL FURNC@ ATTIC TP HLLWY BEARNG WALL n a in full face and ensL ^ :,4- License�lyss L AQ Lic,gxSia�"D3 7� NORTH PACIFIC SERVICE PD FOR BUS LIC 7/1/$ SFO Dam nAA -Conlrmr ARCHITECTS DECLARATION �� I uMersund my plait aludl bas used as public¢cods 6 g C H Licensed professional OWNER-BUILDER DECLARATION jE I hereby aRm Wal I am exempt from the ConlractaYs Licsnm Law for fns IO following mason.(Sudan 7031.5,Business and Prefacsions Cods:Any city or county Which mgaims a permit in construct,alcodemolish, r.Improve. structure Or repair any structure Hzx� prior to its issuance,also mgallea We applicant for such hermit to file a signed Mutation 3q.FL Floor Area Valuation ant he is licensed purmane to the provisions of the Camraba's Lee.Law(Chapter 9 n (commencing with Saxon 7=)of Division 3 of the Business and Professions Cook)or $4200 that he Is eaempt therefrom and the basis for We alleged exemption.Any violation of Salon 7031.5 by any appliane for a permlt subjects thc applicant W a civil Penalty ofNumber OT not mom arm five hundred dollaa(550). 3 6 9110 3 6 . Occupancy p y ype 1,u m=of dee pmpmy,m my moployeu with cages u deo mlc c.mpensadon, andwill do fewak and the swaum u nos Wunded or offered f not a(Sex.7054.owncr w Import, ort,whiom Cade:The COnuwmrs License Law doss not apply m an owner or Required Inspections own em who buildsorirepratesthereomandwho doessuch wokM1 or edthough his awn employee,provided that each impmwmenu art eat intendedrac or offend for ovaner, however.the building ordnpmwmminm hatIto did Out ymarOrcompletion.deeowner- bak.). will haw dee bu,dan of Prying that he did Out ddb o improve for purpose of uleJ. E)I,is avner of the Property,am exclusively contracting wide licensed ttmrwmn in consmm de project(Sec.7 W,Busin es and professions Code:)Thu Contractor's Li. cense Law does not apply to an owner of Idolatry,who Wilds or improves thereon.sed. who contracts for such projects with aconaxmr(s)licenud mnwnt a the Contravenes License law. ❑lamuempsundear See .1121PCfothumasen tar Dau WORKER'S COMPENSATION DECORATION I hereby affirm under PcruRy of f aryry one of dee following declarsfions: 1 haw am will maintain aemifiau or Consent in self-insae fa Workers Compere .ad..,as provided for by Section 3700 or the labor Code,far the Ie temat nce of me, work for which this permit is issued. 1 have and will ai-We Wakens Campensaa n Insumntt,u required by Secti.n 3700.1the1 L C foethe perfomantt of Ne work fa whichot permit is iuhad. My Worker Om 'oo hask.arias end Policy number are: Cartier. _ Policy No.: C FICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE . (Thu mourn recd Out be conpmnstl BWe Permit it tearoom hundred doBam(SIM) or 1.) 1 unify but in dee pofomamen Of the wok far which this Permit is;mood.I shall eat employ any prem in any manner m u m InsCame subject to the Workers'Compensation Law of California L'bm. ApohA_ h, NOTICE NOTICE �s NTO APPLIGNT:If,after making this Cisi raEof of Exemption,you should become subject m We Worker's Compensation orthis profit ibou of We Labor Code,. mus .J O fonhwide comply with such provisions a mu permit shall Ec douncd mmkcd. '�V) CONSTRUCTION LENDING AGENCY [—t I Whaby affirm that ft.I..rnnseructinn lending agcay for thspaffwmaox of C4> dm work for which this pemi,It issued(Sec.3097,Civ.C.) 131 Landers Name .a7 lenders Address U C) 1 emify dust I love mad this application and sou this the show infomadun is I,Hcorett 1 agree to comply with all city and county on inmcea and sum laws relating to C) building construction,and hembyaahoris reprommauvesOf this city in eons,our.ft r[I] slave-mentioned property fa inspection purposes. H 6, (We)agree m use,indemnify and kcep harmlmss the City of CuNnino against fn liabilities,judgments.toes and eapmses which may in my way wane against shad City V Z in comsequmue of the granu.g of this Permit. ^' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date 1 l-0 SOURCE RERULAT.IONS. -� � � Re-roofs signmum of Applf HAZARDOUS MATERIALS DISCLOSURE Dau Type of Roof Will the applicant or future Wilding Occupant store or handle baurdow maurial C as defined by dee Cupertino MumciW I Cadc,Chapter 1,11,and than,HsaBb and Safoy we, section 255324)? kfN. All roofs shall be inspected prior to any roofing material being installed. r' W II the applicant Or future Wilding occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit haeordnu air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yes on I have mail the harasdausmacrials requirements under Chcpmr6.95 Of the Califor. ria Beat"SamtyChem,Seeuan25505,25533 and25534.1 m&.it Watiftim building dos ant Carmody haw a U^•^e Wt it is my calculation,or notify de Occupant of dee requirements which muss be met prior W issuance of a Certificate of Omupaay. Signature Of Applicant Date I� ., 6')-(31-0 w All roof coverings to be Class'A!'or better Owner or wehome0.gem Dam- g CITY OF CUPERTINO • 6 ITEMS OF 12 PERMIT RECEIPT OPERATOR: pdtg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN' . . . . . . . . : 36911036 . 00 DATE ISSUED. . . . . . . : 07/01/2008 RECEIPT # . . . . . . . . . : BS000005315 REFERENCE ID # . . . : 08070011 SITE ADDRESS . . . . . : 10481 GLENVIEW AVE SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : AKURATI, PRADEEP ADDRESS . . . . . . . . . . : 10481 GLENVIEW AVE CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-4512 RECEIVED FROM . . . . : NORTH PACIFIC SERVI CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096 COMPANY TBD - TO BE DETERMINED ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . . , • TELEPHONE . . . . . . . . : FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- =------------ ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 4, 200 . 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 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD - 449 . 70 VISA --------------- TOTAL RECEIPT 449 . 70 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL • 0;!�070 0� / CITY OF CUPERTINO d' FURNACE/AC CITY Of CUPERTINO PERMIT APPLICATION FORM APN# Building Address: l© '8 Cs t I 14V Owner's Name: Phone#: RIXE F P l;P t I' 4D�'- ✓� X203 Contractor: Phone# yjo 35z7)?117N - d R-TIk' 2 0. Li�tc. �g2U t `� Fax #: Contractor License•#: Cupertino Business License#: C�..n g8 X035' Contact: Phone#: Fax #: Building Permit Info: Elect ❑ Plumb ❑ Mech Residential Commercial ❑ Job Description: -z,yh 4? 7-¢s7 o o P 012-- 7>7`� N 14 /4-/ -Y :-*)SI LL F} (L TTI C . CNLC 26p For Residential Installations: Attic I Is` floor El2nd floor ❑ Adhere to minimum setback requirement ❑ For Commercial Installations: Replacement same weight ❑ Additional weight (structural cales) ❑ Structural Calculations required for new installation ❑ New installation Planning Approval Required ❑ Cost of Project: Type of Construction (Usage Class): Strapped On Platform ❑ Bonded New Location Replacement ❑ Project Size: Express E5---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 FURNACE/AC CITCUPEkTINO 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 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 1BPGAS 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. IMRAPPVNT Residential for the install/relocate/ or M replacement of ea appliance vent install &not incl in an a pl np.rmit. CITY OF CUPERTINO 4' FURNACE/AC n oc CUPEPTINO 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 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 IPPERMITFEE Plumbing Permit p 1TRAVDOC Travel Documentation B 1BUSLIC Business License B &R CITY OF CUPERTINO FURNACE/AC CITY Of CUPEkTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group AIR FURN/AC CONDITIONING 1BCAIRHAN Commercial A/C Units <= lOk CFM B 1MCRAA Commercial Mech Repair/alt/add M IBSEISMICO Seismic Commercial B I PGASCOM Commerical for ea gas piping System P 1-4 outlets 1PGASRES Residential for ca 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 <= IOk CFM B f 1MRRAA Residential Mech Repair/alt/add M • /I 1BSEISMICR Seismic Residential B I IEPERMITFEE Electric Permit E / 1MPERMITFEE Mechanical Permit M IPPERMITFEE Plumbing Permit P 1TRAVD0C Travel Documentation B IBUSLIC 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 7points 11. Permeable Paving, Note L-1 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 p,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. Energy Star Refrigerator, (Note/Spec. A-3 1 point 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 ReSDurces Energy IAD/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 Slonnwater 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 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]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 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 O 1.Windows • 1.Install Energy-Efficient Windows a.Double-Paned 1 Energy pt Y--yes 0 It.Low-Emissivity(Low-E) 2 Energy pts y=yes 0 c.Low.Conductivity Frames 2 Energy pts y=yes D 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 7 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 D B.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 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 stovesfinserts 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 I 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 0 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 3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes p • 1 1 1 Community Development f 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 �UPEkTINO Fax(408)777-3333 Building De artment JOB ADDRESS: PERMIT # Iby$1cfzN eui ma oDC OWNER'S NAME: -F¢t-Dei A4-- PAT- PHONE #yD &1 --,5,'02. --3 GENERAL CONTRACTOR: tJ -FAX # I am not using any subcontractors: 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 r�-7- 01 -02 Owner/Contractor Signature Date