08040158CITY OF CUPERTINO#7'q
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BUILDIXG DIVISION
BUILDING ADDRESS:
1.0311 LOCKWOOD DR #A
GENMOR PLUMBING
PERMRNO.
08040158 ,
OWNER'S NAME:
PERMIT ISSUE DATE
BILL EVERHARD
2552 SEABOARD AVE
04/22/2008
JNE:
SANITARY NO. CONTROL NO.
ARCHIECT/PNGINEEa
BUILDING PERMIT INFO
COPPER REPIPE MAIN LINE
BLDG PLUrMB
O O O O
LICENSED CONTRACTOR'S DECLARATION
Job Description
1 Mreby affirm that I am Becomd under provialans of Chaplor 9 (commencing
with Section 70018 of Division 3 of the Business and! Profession Cade, and my license Is
in full face and clfac
Ucanm Class Lte. g
D. V!5 -y„a Com,mmr
ARCHITECTS DECIAtAT10N
I undowend my pals Nall In, used as public records
Licensed Professional
OWNER-BUILDER DECLARATION
I hereby affirm that I em exempt from the Conuactor's License Law far Ute
following meson. (Section 7031.5, Business and Piefe tined Come: Any city or county
which requbes a permit to commucL alcor. improve, demur W, or repair my swmum
-
prier m its issuanec. alto require the applicant for,uch permit m file a signed stoement
utas he u licensed password to the provisionsaf the Contractor', License Law (chapter 9
Sq. Ft. Floor Area
Valuation
(cammeaTng with Section 7000) of Division 3.f the Bua..d Profrauons Code) or
that k is exempt theater. aM the basis fa the alleged assumption. Any Nolxian or
APN Number
Occupancy e
p y Typ
Section 7031.5 by airy applicant far. permit subjects the applicant be a civil penalty of
am mom than rim hundred dollar (Sial).
❑ 1, as awns of Ne property, or my made fca With wages. their mlecampenmdon.
-
Required Inspections
tic wms and the amarum ne nm Nloeded ar a BNineu
andWBIed
Thai GanammYi doesnot apply to sm Of
Law done apply lf rt
Pmfwha,
al rough
W ldscr dmot khireamedthrough his
pro tih andWu
not
amcht
mounted
own employees, grog such improwreants ase not ieardc aofiend fa ilk e,,
mon employees, provided imp
thebm, Use aImprovemantU cold Withinarouild or theowner
or improvement
Wilder will Trite ase Wdeo of proving that k did net build or improve for purpose of
Wilder imromfor.
'
❑ 1, as owner Num property, am escluximly contracting with licensed contractors to
cammcl the project (Sec. 7014, Business toed Professions Code:) The Crustacean U.
corm law does not apply to in owner N property who builds or Improves thereon, and,
who contacts for such pmjeeu with a conuanortU licensed pdaasnr he the Contractor's
Lteenm law.
❑naso esempt under See .B&PCfa this won
�I
weer Dasa
WORKHRS COMPENSATION OECIARATION
I hereby affirm under penalty of perjury arm of the following declarWorte
I ham and will maineln.CeNONmaf ca..t w mI61Num forwakee. Camper-
D
wean, provided for by Sas uan 3700 of the labor Cade. for the performance of the
r
work for which this permit issad
❑ I haw and will maintain Worters Compensation Insurance, u nquimd by stNon
Q
3700 of the Labor Code, fa this pafamma of time work for which Nis permit is I... x,d'
My WortdayComperuuan insurancecarrier and Policy numbs
Caller. /If �/1yPolley No.�%�tiC-y0 ��0f1
-y
C CATS OF EKaMPr10N PROM WORKERS'%,
w+
COMPENSATION INSURANCE
(FALL ancon need not kcompleted If the permit Is for am hundred do0an ($101)
orlesq
,
1 ar ity Nat N Ne perforrearce of the weak for which We Permit is Wood. l shall not
employ any person in any mannerm as a became subject roue Wortus' CompensWon
Lawn of Califemic D.lo
Applicant
NOTICE TO APPLICANT: If. after making this Certiaolo of Exemption, you should
beooma subject m the Worker, Campmaden provisions of the Laba Cade. you asst
faMwith comply with such provisions or this permit si k decreed mated.
CONSTRUCnON LENDING AGENCY
-
1 hereby affirm that them is a construction lending agency for the perfumers of
the wish for which this permit 4 road (Sec. 3097. Civ. C.)
'
Lenders Num
,
larders Addw
I minify that I have mend oda appl Wdm and rote Ns the them Information is
camem l agree to comply with all city sec cowry amlNaes and sale law mixing m
building construction, and hereby authoum repremnutives of this city to color upon use
aMw-mandamd property for inspection puryams
(We) agree . save, indemnify and kecp hasmless the City of Cupertino against
161,111ues,judgmantacoN and expeNa which may in my my corns against said City
In consequence of the loading of this permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON.POIM'
Issued by: Date
SO REGVL ATIONS
Q
-
Re-roofs
Type of Roof
Signature of App icauXontrm.r Date
HAZARDOUS MATERIALS DISCLOSURE
WIII1he.ppliesnt or future building eccopanrstoro arhandic hnudoes material
u defined by tie Cupertico Municipal Code. Chapter 9.12. and the Health and Safety
code.Seeaan25532(.)7 �/�
All roofs shall be inspected prior to any roofing material being installed.
❑ Yin 00 '
If a roof is installed without first obtaining an inspection, I agree to remove
hill Ne.pplicant a future building aavpam ore equipment a devices which
I harsmans air contaminants as defined by the Bay Ams Air Quality Management
all new materials for inspection.
D cR
❑ Yea Nu
I have, real he basaloma mateNals requirements under Chapter 6.95 of the Califs.
nu Health&SNety ealo. Sections 75305,25533 and 25534.1 uaesuul Wait out Wilding
dna not currendy have a tenant oras It is my maponslbllity to entry the occupant of the
.quirt which must k mer prior m iasuarvx of. CcruMe of occupancy.
Signature of Applicant Date
4e-2
All roof coverings to be Class '%¢" or better
net ar.atharved ager, Date
• CITY OF CUPERTINO
4 ITEMS OF 12 PERMIT'RECEIPT- OPERATOR: patg
COPY # : 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 34230032.DPLXA
DATE ISSUED.......: 04/22/2008
RECEIPT #.........: BS000004549
REFERENCE ID # ...: 08040158
SITE ADDRESS .....: 10311 LOCKWOOD DR #A
SUBDIVISION ....... -
CITY .............: CUPERTINO
IMPACT AREA .......
OWNER ............: BILL EVERHARD
ADDRESS ..........: 10311 LOCKWOOD DR # A
CITY/STATE/ZIP ...: CUPERTINO, CA 95014
RECEIVED FROM ....: GENMOR PLUMBING CO
CONTRACTOR .......: GENARO MORALS LIC # 27101
COMPANY ..........: GENMOR PLUMBING
ADDRESS ..........: 2552 SEABOARD AVE
CITY/STATE/ZIP ...: SAN JOSE, CA 95131
TELEPHONE ........: (408)855-8348
• FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL
1BPWATER UNIT
1.00
40.79
0.00
40.79
0.00
1BSEISMICR VALUATION
7,671.00
0.80
0.00
0.80
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
123.17
0.00
123.17
0.00
VOICE ID
DESCRIPTION
VOICE
ID
DESCRIPTION
-------- ----------------------------
106 SEWER &
WATER
--------
1 301
----------------------------
ROUGH
PLUMBING
507 FINAL PLUMBING
0
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11
CITY OF
WUPEkTINO
Is
JOB ADDRESS:
-&-A _ Z
EWS NAME:
GENERAL
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax (408) 777-3333
Building Department
PERMIT #
leo - D Lf61-(0/SP
1= z PHONE #
ZJ/F,VWAf,1P.D///A1R)A)1-- FAX#
I am not using any subcontractogs —%� �� <-,-';? q` d 8
Signature Date
Please check avolicable subcontractors and comolete the following information:
Owner/ Contractor Signature
le- gs - d R
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
833761
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/ Contractor Signature
le- gs - d R
Date
E
L
110
C�10/cymoo
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
11.
Permeable Pavin Note
L-1
C.
Foundation
1.
Use 15 % Flyash Concrete, (note)
S-1
7points
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 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
1 point
P.
Other
1.
List Green Features on Plans
A-1
1 point
MOMMEAM
TOTAL POINTS1
40 points
L
110
C�10/cymoo
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.
1. Recycle Job Site Construction 8 Demolition Waste
3 Resource pts y:
2. Use FSC Certified Wood for framing
65%=1 point; 75%= 2 points; 80%= 4 points
up to 4 Resource
2. Salvage Reusable Building Materials I
4 Resource pts
y=
3. Remodel for Mixed Use, Adaptive Reuse, and
2 Resource pts y:
2 Resource pts
Historic Preservation
4 Resource pts
y=
4. Protect Native Soil
2 Resource pts
y=
5. Minimize Disruption of Existing Plants & Trees
1 Resource pt
y=
6. Implement Construction Site Stonnwater Practices
2 Resource pts
y=
7. Protect Water Quality with Landscape Design
2 Resource pts
y=
8. Design Resource -Efficient Landscapes and Gardens
4 Resource pis
y=
9. Reuse Materials/Use Recycled Content Materials
12.tJ5e0SB
for Landscape Areas
2 Resource pis
y=
10. Install High -Efficiency Irrigation Systems
2 Resource pis
y=
11. Provide for On -Site Water Catchment / Retention
2 Resource Dts
v=
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 n Fnprm ntc
C. Structural Frame
1. Substitute Solid Sawn Lumber with Engineered Lumber
3 Resource pts y:
2. Use FSC Certified Wood for framing
6. Use Finger -Jointed Studs for Vertical Applications
(For every 10% of FSC lumber used = 2 points, up to 10)
up to 10 Resource
3. Use Wood I -Joists for Floors and Ceilings
2 Resource pts y:
4. Use Web Floor Trusses
2 Resource pts y:
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 Vertical Applications
2 Resource pts
y=yes
8. 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 Energy pts
y=yes
10. Apply Advanced Framing Techniques
4 Resource pts
y=yes
11. Use Reclaimed Lumber for Non Structural Applications
–--_—__-----j
3 Resource pts
y=yes
12.tJ5e0SB
a. Subfloors
N
1 Resource pt
y=yes
•b_Sheathing
1 Resource pt
y=yes
t'
1. Use Sustainable Decking Materials
a. Recycled content
3. Resource pts
y=yes
0
2. Insulate Hot and Cold Water Pipes
4
b. FSC Ce tiled Wood
3 Resource pts
y=yes
0
b. Showerheads (1 point each, up to 2 points)
Up to 2 Resource pts.
2. Use Treated Wood That Does Not Contain Chromium Arsenic
1 IAQ/Health pt
y=yes
Up to 3 Resource pts.
0
1 IAQ/Health pt y=yes
3. Install House Wrap under Siding
1 IAO/Health pt
y=yes
0
Up to 4 IAQ/Health pts.
4. Use Fiber -Cement Siding Materials
1 Resource pt
y=yes
0
E. Plumbing
1. Install Water Heater Jacket
1 Energy pt Y_—Yes
2. Insulate Hot and Cold Water Pipes
2 Energy pts Y --yes
3. Retrofit all Faucets and Showerheads with Flow Reducers
1 Energy pt
a. Faucets (1 point each, up to 2 points)
Up to 2 Resource pts.
b. Showerheads (1 point each, up to 2 points)
Up to 2 Resource pts.
4. Replace Toilest with Ultra -Low Flush Toilets
(1 point each, up to 3 points)
Up to 3 Resource pts.
5. Install Chlorine Filter on Showerhead
1 IAQ/Health pt y=yes
6. Coned Gas to Tankless Water Heater
4 Energy pts Y_—Yes
7. Install Water Filtration Units at Faucets
(2 points each, up to 4 points)
Up to 4 IAQ/Health pts.
B. Install On -Demand Hot Water Circulation Pump
4 Resource pts y=yes
r. ciecmcar
1. Install Compact Fluorescent Light Bulbs (CFLs)
1 Energy pt
IS bulbs=2 points, 10 bulbs =3 points, 12 bulbs = 4 points) Up to 4 Energy pts.
0
2, Install IC -AT Recessed Fixtures with CFLs (1 point each, up to
1 Energy pt
5 points) Up to 5 Energy pts.
0
3. Install Lighting Controls (1 point per fixture, up to 4 points) Up to 4 Energy pts.
0
4. Install High Efficiency Ceiling Fans with CFLs
(1 point each, up to 4 points) Up to 4 Energy pts.
1 0
G. Appliances
1. Install Energy Star Dishwasher
1 Energy pt
2. Install Washing Machine with Water and Energy
•
Conservation Features
1 Energy pt
3.Install Energy Star Refrigerator
1 Energy pt
4. Install Built -In Recycling Center
3 Resource pts
H. Insulation
1, Upgrade Insulation to Exceed Title 24 Requirements
a. Walls 2 Energy pts y=yes
b. Ceilings 2 Energy pts Y --yes
2. Install Floor Insulation over Crawl Space 4 Energy pts y=yes
3. Install Recycled -Content, Fiberglass Insulation with
No Added Formaldehyde 31AQ/Health pts y=yes
4. Use Advanced Infiltration Reduction Practices 2 Energy pts y=yes
5. Use Cellulose Insulation
a. Walls 4 Resource pts y=yes
b. Ceilings 4 Resource pts y=yes
6. Alternative Insulation Products (Colton, spray -foam)
a. Walls 4 Resource pts y=yes
D. Cenings 4 Resource pts y=yes
•
0
0
0
0
0
0
0
0
0
u
J. Heating Ventilation and Air Conditioning
I1. Use Duct Mastic on All Duct Joints -
1'. -Install Energy -Efficient Windows
2. Install Ductwork within Conditioned Space
•
a. Double -Paned
j 1 Energy pt
4. Clean all Ducts Before Occupancy
b. Low -Emissivity (Low -E)
2 Energy pts
2 Energy pts .
c. Low. Conductivity Frames
2 Energy pts
2. Install Low Heat Transmission Glazing
1 Energy pt
J. Heating Ventilation and Air Conditioning
I1. 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
8. Install Sealed Combustion Units
14. Install Zoned, Hydronic Radiant Heating
a. Furnaces
3 IAQ/Health pts
b. Water Heaters
31A0/Health pts
9. Replace Wall -Mounted Electric and Gas Heaters with
16. Install Heat Recovery Ventilation Unit (HRV)
Through -the -Wall Heat Pumps
3 Energy pts
10. Install 13 SEER/11 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
y=yes
13. Retrofit Wood Burning Fireplaces
3. Pre -Wire for Future Photovoltaic (PV) Installation
4 Energy pis y=
• a. Install EPA certified wood stoveslinserts
1 IAQ/Health pt
y=yes
b. Install/Replace Dampers
1 Energy pt
y=yes
c. Install Airtight Doors
1 Energy of
y=yes
14. Install Zoned, Hydronic Radiant Heating
3 Energy pts
y=yes
15. Install High Efficiency Filter
4 IAQ/Health pts
y=yes
16. Install Heat Recovery Ventilation Unit (HRV)
5 IAQ/Health pts
y=yes
17. Install Separate Garage Exhaust Fan
3 IAQ/Health Dts
v=ves
0
K. Renewable Energy and Roofing
1. Pre -Plumb for Solar Water Heating
4 Energy pts y=
2. Install Solar Water Heating System
10 Energy pis y=
3. Pre -Wire for Future Photovoltaic (PV) Installation
4 Energy pis y=
4. Install Photovoltaic (PV) System
(1.2 kw = 6 points, 2.4 kw =12 points, 3.6 kw =18 points)
Up to 18 Energy
LSelect Safe and Durable Roofing Materials ^ ��
1 Resource pt y=
7. Install Radiant Barrier
3 Enerov DIS v=
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 Dls
1. Use Low/No-VOC Paint
2. Use Low VOC. Water -Based Wood Finishes
3, Use Low/No VOC Adhesives
4. Use Salvaged Materials for Interior Finishes
5. Use Engineered Sheet Goods with no added Urea
Formaldehyde
6. Use Exterior Grade Plywood for Interior Uses
7. Seal all Exposed Particleboard or MDF
6. Use FSC Certified Materials for Interior Finish
9. Use Finger -Jointed or Recycled -Content Trim
10. Install Whole House Vacuum System
N. Flooring
1. Select FSC Certified Wood Flooring
2. Use Rapidly Renewable Flooring Materials
3. Use Recycled Content Ceramic Tiles
4. Install Natural Linoleum in Place of Vinyl
5. Use Exposed Concrete as Finished Floor
6. Install Recycled Content Carpet with Low VOCs
Total Points Available:
Total Points Project Received:
1 IAQ/Health pts y=yes 0
21AO/Health pts y --Y::0
31AQ/Health pts y=yes 0
3 Resource pts y=yes 0
1 1
61AQ/Health pts
1 IAQ/Heallh pts
41AQ/Health pts
4 Resource pts
1 Resource pts
31AQ/Health pts
8 Resource pts
4 Resource pts
4 Resource pts
5 IAQMealth pts
4 Resource pts
4 Resource pts
1401 1301 57
r01 01 0
O:datalprogs/greenbuildngguidelineshemadelerslgreenpdntsfinel212.04pMecled.ds
0
F
4
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
PERMIT APPLICATION FORM
APN # ®� �PGx
Dae: �0 -
Building Address:
Fee
Group
Permit Type
Owner's Name:`°'„
Phone #:
-v a -d
yoa-as7-s 377
Contractor:
Phone #:
•-{O8 - �q 5.5 83 9 B
%W/ -/,1/l J
Fax #:87,7-ts-7
Contact:
Phone #:
1 PGASCOM
Fax #:
Contractor License #: C 3�
2-7101
1BSEISMICOM
Cupertino Business License #:
P
Job Description:
'
C.0 14 A A)` Li re
Seismic Residential
P
Residential Commercial El
Valuation: /
Residential building
sewer/sanitary sewer
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.
is
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
1 PGASCOM
Commercial Gas Piping System
1-4 Outlets
P
1BSEISMICOM
Seismic Commercial
P
'
1BSEISMICR
Seismic Residential
P
1PRSEWER
Residential building
sewer/sanitary sewer
P
1RPSS
:y«
CITY OF
CUPER,TINO
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
FEESCHEDULE
Quantity
Fee ID
Fee Description
Fee
Group
Permit Type
1 PRREPIPE
Residential re -pipe per fixture
P
1RPRP
1BPWSVCS
Water Service ,
P
1CPWS or
1RPWS
1 PPRSEWG
Private Sewage Disposal System
P
1PCESS
Cesspool
P
/
IBPWATER
Install/alter Water Pipe
P
1 BPFIXTURE
Plumbing Fixture
P
1PGASRES
Residential Gas Piping System
1-4 Outlets
P
1 BPGAS
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
0