08070064CITY OF CUPERTINO
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BU11-91NG DIT&SION PERT
u,CONTRA IAFk4CLMAT
BUILDING ADDRESS:
PERMIT` NO.
1.0311 LOCKWOOD DR APT B
JM DRAIN CLEANING AND
08070064
OWNER'S NAME:
2LUMBiNG
PERMIT ISSUE DATE
HELL EVERARD
1725 ROGERS AVE STE C
07/10/2008
ONE:
SANITARY NO. CONTROL NO.
(408) 903-8184
ARCHrrSCTIENGINEER:
BURRING PERMIT INFO
Bo PLUMB
o 0
LICENSED CONTRACTOR'S DECLARATION
lob Description
1 berth, am. that 1 am licensed under provisions of Chapter 9 (commencing
with section 70110) of Division 3 of the Business aneoresdnm code. and ylkcnwh
CPPR REPIPE FM HSE SHUT OFF TO ENTIRE HSE
in fen force and a -�
License
fhon — Co.—
mlcI DEC ON
I understand my plans shall he used a public records
Licensed Professional
OWNER-BUIIRER DECLARATION
1 hereby affirm that 1 am exempt from the Contracrors License Law for the
'
following resmn. (Section RD 1.5, Busimess and Professions Code: Any city of county
which requires a permit to cooter, alter, improve, demolish, or repair soy sructu c
! prim roia issmncc.al. requires the, applicant for such permit to file a signed swemcm
that be is licensed to the of the Conmchmrs Labs¢ Law (Chapter 9
Sq, Ft. Floor Area
Valuation
permanent previsions
(commencing with Section 7000) of Division 3.f the Business and Professions Code) ser
$5814
dist Ie u ansa,, therefrom and the basis for the alkgcd excmption. Any violation of
umber
Occupancy Type
Section 7031.5 by any applicant for a pvmit subjects the applicant to a civil Witty of
ret mart Neo five hundred dmWs (SSW).
3 4 2 3 0 0 3 2 .W
❑ I'm vwmr of tis pmperty. "my employees with wages as timet sets eompenudon,
will do tie wort and the strucwrt u mlkenens mmRertd Oso.
Required Inspections
and wnimu
Code: The Cmntrserors License law don ret apply ro r owner of
s act apply t
property who enho saessuchworkhimselfed Nrr his
proper,wLoes. Idaorimproveschimr
me
owae ens, p improvements; or leered for sale Ir,
that web imPmmemrnu are ret eto
ofc
er. m is mid within am yeas ofcompletion. the ownv-
however, the building
buildingor improvement
Wilder will have the burtlen of proving that K did not build m improve for puryose of
a
sok.).
1, a owns of the property w exclusively contracting with licensed commems m
consumer the Mica (Sec. 7044, Business and Rafessions Cade:) The Contractors Li-
moue law does mot apply to an owner of property who bunds or improve themon, and .
who contracts for such Projects with a contractor(s) licensed pursuant to the Conuactors
Licenx law.
❑ lameacreptualcrsec. ,BkPCfmthiartason
Owmr Dau
WORKER'S COMPENSATION DECLARATION
1 hereby affim under penalty of perjury one of the following declarations:
1 ham and will maintain a Certificate ofComem an self-insert for wormesCompen-
tion. a provided for by Section 3700 of the labor Code, for the Vnfermance of the
work for which this permit is iumd.
❑ 1 have and will mshmain Wmkers Compensation I., u me died by Section
3700 of the Labor Cotle, for the per(mmutoe of the work fmwhkh this permit is issued
My Wmkera Compensation Laurance artier and Polity number sec:
cmiw.Policy No.;
.
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Buis seNm need trot be completed If tie permit is foremhuntlrnd comm ($101))
or kis)
I certify dont in the performance of the, work for which this Permit is instant. I shall nm
-
cmPloymypersoninmymanse oas become 'mltmthe Worlocri Compemation
Laws of Califomla. Dam
NOMCENOTICE th f Exemption, Y should
become tuolect to the W y�mpsmadttn pwv0000n of Ne Labor Cotle, you must
foMwitheomPly with nuc Pnmwans m this Ntmit shall he deemed mrokcd.
CONSIRUCnON LENDING AGENCY
I hereby &Bret that there isa ctnstractin Lending agency for the performance of
the wort for which this permit u issued (Sec. 30097, Civ. C.)
Lcnderi Name
Lenders Address
I emir, that I have read this application and soon that the above information It
cmmem I agree to empty with all city and county ordi. and are laws tetanal ro
building construction, and hereby wNorim repoesematim of this city to enter upon Ih
llpve-mentinmtl property for Yexpmina
(We) agree to save, indemnity and keep harmless the City of Cuponino against
cera which may
expenses which may in any v"a, amus againslssid Cly
in consequence,
Acomegmme of Ne Lmantint of this Pmmlt.
of
APPLICANT TANOS COMPLY WITH ALL NON-POINT
SOUR
Issued by: Date 7—/,:;r .._
D
Re-roofs
Type Of Roof
HAZA DOUS MATERIALS DISCLOSURE Dam
Will thee, m forum Adll Co mapantmom 2. handle
Cuant
Her,,, anmaonrial
as ticnmtl by Its Cupertino Municipal Code. Chapter 9. 12. and Joe Health mW safety
Conk. Soctim 25532(0)7
❑Yon
All roofs shall be inspected prior to any roofing material being installed.
Will tie applicant or fu rt building mmWnt use equipment or devices which
If a roof is installed without first obtainingan inspection, I agree to remove
P
L hramres all cmumim Rmd by the Bay Area Air Quality Maag:ment
all new materials for inspection.
a7 /
Dyes No
I have mad the hat d mamdala requirements under Chaper6.95ortheCalifor-
nuHmalthk5afayCoduSccdmu25505.25533m 25534.Imodvmandtlwifthebuilding
dines ret c dy Mw a en s-tlrdrl3 my respomihility ronodfy the mcupan Joe
rtqui w miasnson ol'aC7 as r
Signature of Applicant Date
I agent DaroI
' All roof coverings to be Class '%¢" or better
0
Ofo7vo6y
amrv�
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
CUPEI'TINO PERMIT APPLICATION FORM
"' Z ola Z 0 ora. gv Q
(%
Date:
—/0
Building Address: �3
r
O6
Permit Type
O Rer's Name:
Phone #:
Commercial building
sewer/sanitary sewer
Q. Q
1CPSS
S
Contractor:
Phone :
9412 3O/e
W\ Cv
Fax #:
–116q
Contact: \70S—C
Phone #:
YOB 90 z ( 8
1BSEISMICOM
Seismic Commercial
Contractor License #:
Cupertino Business License #:
1BSEISMICR
Job Description: C 0 r0b,
f T
O p e�v� { l t- e- �o fie- h Q ('4 e,
Residential Commercial ❑
1PRSEWER
Valuatiok s /
P
Project Size: Vxpress Standard El Large ❑ Major ❑
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.
Green Building Points:
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
1PRSEWER
Residential building
sewer/sanitary sewer
P
1RPSS
(D.
CITY Of
CUPEkTINO
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
FEE SCHEDULE
Quantity
Fee ID
Fee Description
Fee. -Permit
Group
Type
1PRREPIPE
Residential re -pipe per fixture
P
1RPRP
1BPWSVCS
Water Service
P
ICPWS-or
1RPWS
1PPRSEWG
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
1PPERMITFEE
Plumbing Permit Fee Issuance
P
1PLMBLNCK
Plumbing Plan Check
P
1PLMBINSP
Other Plumbing/gas Insp.
P
r
1
1TRAVDOC
Travel & Documentation Fee
B
1BUSLIC
Business License
B
Revised 6-16-08
0
•
1J
•
C�
•
Plan Review Process Work Book Page -12-Revised 3/25/08
01A C77L
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,
Emma
B.
Site
9.
Install H.E. Irrigation, (details/spec)'
2 points
L-1
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 I -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-12
points
5.
Tankless W.H., (Note/Spec.)
A-2
2 poen s
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.
Enerqy Star Refrigerator, (Note/Spec.
A-3
1Clint
P.
Other
1.
List Green Features on Plans
A-1
1 point
TOTAL POINTS
40 points
C�
•
Plan Review Process Work Book Page -12-Revised 3/25/08
01A C77L
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 & Demolition Waste
65%=1 point; 75%= 2 points; 60%" =4 points
up to 4 Resource
2. Salvage Reusable Building Materials
4 Resource pts
y=
3. Remodel for Mixed Use, Adaptive Reuse, and
2. Use FSC Certified Wood for framing
Historic Preservation
4 Resource pts
y=
4. Protect Native Soil
2 Resource pts
. y=
5. Minimize Disruption of Existing Plants 6 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=
6. Design Resource -Efficient Landscapes and Gardens
4 Resource pts
y=
9. Reuse Materials/Use Recycled Content Matedals
2 Resource pts
y=ye;
for Landscape Areas
2 Resource pts
y=
10. Install High -Efficiency Irdgation 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
r
r
r
r
r
r
r
r
r
0
r
r
r
0
1. Substitute Solid Sawn Lumber with Engineered Lumber
3 Resource pts
y=yes
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 I -Joists 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 5' or more
2 Energy pts
Y --Ye:
6. Use Finger -Jointed Studs for Vertical Applications
2 Resource pts
y=ye:
7. Use Engineered Studs for Vertical Applications
2 Resource pts
y=ye!
B. Use Recycled Content Steel Studs for Intedor Framing
2 Resource pts
y=ye;
9. Use Structural Insulated Panels (SIPs)
a. Floors
3 Energy pts
y --ye!
b. Wall
3 Energy pts
y=ye
c. Rooi
3 Energy pts
y=ye'.
10. Apply Advanced Framing Techniques
4 Resource pts
y=ye.
11. Use Reclaimed Lumber for Non Structural Applications
3 Resource pts
y=ye
12. Use OSB
a. Subfloors
1 Resource pt
y=ye
b. Sheathing
1 Resource pt
y=ye
•
E
r1
U
r
r
r
r
r
r
r
r
r
0
r
r
r
0
0
•
E
r1
U
1. Install Energy -Efficient Windows
2 Energy pts
• a. Double -Paned
b. Low -Emissivity (Low -E)
1 Energy pt y=yes
2 Energy pts y=yes
c. Low. Conductivity Frames
2 Energy pts y=yes
2. Install Low Heat Transmission Glazing
1 Energy pt y=yes
J. Heating Ventilation and Air Conditioning
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
8. Install Sealed Combustion Units
14. Install Zoned, Hydronic Radiant Heating
a. Furnaces
3 IAQ/Health pts
b. Water Heaters ,
3 IAQ/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 SEER111 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
10 Energy pts
y=yes
a. Install EPA certified wood stoves inserts
1 IAQMealth pt
y=yes
• b. Install/Replace Dampers
1 Energy pt
y=yes
c. Install Airtight Doors
1 Energy pt
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 IAQMealth pts
y=yes
17. Install Separate Garage Exhaust Fan
31AQ/Health pts
v=ves
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
6. Select Safe and Durable Roofing Materials
1 Resource pt
y=yes
7. Install Radiant Barrier
3 Energy pts
Y --yes
L. Natural Heating and Cooling
1. Incorporate Passive Solar Heating 5 Energy pts y=yes
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
0
• 5 ITEMS OF 5
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 34230032.APTB
DATE ISSUED.......: 07/10/2008
RECEIPT #.........: BS000005392
REFERENCE ID # ...: 08070064
SITE ADDRESS .....: 10311 LOCKWOOD DR APT B
SUBDIVISION .......
CITY .............:CUPERTINO
IMPACT AREA .......
OWNER ............: BILL EVERARD
ADDRESS ..........: 10311 LOCKWOOD DR APT B
CITY/STATE/ZIP ...: CUPERTINO, CA 95014
OPERATOR: patg
COPY # : 1
RECEIVED FROM ....: JOSE L MENDEZ
CONTRACTOR .......: JOSE MENDEZ LIC # 29513
COMPANY ..........: JM DRAIN CLEANING AND PLUMBING
ADDRESS ..........: 1725 ROGERS AVE STE C
CITY/STATE/ZIP ...: SAN JOSE, CA 95112
TELEPHONE .........: (408) 903-8184
• FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL
IBSEISMICR
VALUATION
5,814.00
0.60
0.00
0.60
0.00
1PPERMITFE
FLAT RATE
1.00
40.79
0.00
40.79
0.00
1PRREPIPE
NO OF FIXTURE
8.00
81.60
0.00
81.60
0.00
1PRSEWER
UNITS
1.00
20.40
0.00
20.40
0.00
1TRAVDOC
FLAT RATE
1.00
40.79
0.00
40.79
0.00
TOTAL PERMIT
----------
184.18
----------
----------
0.00
184.18
----------
0.00
METHOD OF PAYMENT
-----------------
CREDIT CARD
TOTAL RECEIPT :
AMOUNT
---------------
184.18
---------------
184.18
VOICE ID DESCRIPTION
-------- ----------------------------
106 SEWER & WATER
301 ROUGH PLUMBING
507 FINAL PLUMBING
•
REFERENCE NUMBER
--------------------
MC
VOICE ID DESCRIPTION
-------- ----------------------------
202 UNDERFLOOR PLUMBING
;400 SEWER/LATERAL
�yy �
CITY OF
SCUPEkTINO
0
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax(408)777-3333
Building Department
JOB ADDRESS: .
PERMIT #
D <o0G'C'i
OWNER'S NAME:
PHONE # 53
GENERAL CONTRACTOR Q
FAX #
ail, y�p�
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
• /�
7/Contractor Signature
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
• /�
7/Contractor Signature