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08040218IdE 'i nl-y9 2yU LD1 a_ �2c c f�2= 0z zN a> y0 oz VO_ O U w �z CITY OF CUPERTI x -T' BUILDING DIVISION PERMIT «CONTRACTOI2INFQTtMATIOIv" 11 BUI1 FSS: ITPff LOREE AVE DRAIN MASTERS PERMIT NO. 08040218 . OWNER'S NAME: PERMIT ISSUE DAIS CATHERINE GHODRAT 2356 LUCRETIA AVE STE 3 04/30/2008 NE: (408) 963-7272 SANITARY NO. CONTROL NO. ARCHITELT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION littnsa Chapter 9 IOW Description t 1 are under provisions of (commencing by affirm that m I bemaffi with Section 7(XXR ofDiviaon 3 oftive Business and Professions Code.and my liecnsu is SEWER LINE RPLCMNT FRM HSE CLENOUT TO PROPLINE in roll !area and e , LiemmO ,, L'e.♦ or �� CLNOUT Data Contracmr_�'Jrrt'.n.n,,.s TNS ARCHTIELTS DECLARATION &7 1 understand my plw shall W used an public mends Licensed Professional OWNER -BUILDER DECLARATION I hcmlly aRml that I am attempt from the Con=lore Lice se Law for BC following mason. (Secuan 7031.5, Bude ss and Professions Codc: My city or county which require, a perosis in ccontract. cher, impmwe, demoliah, .f repo, any mune. ' prior to its iss.. also, uquims tineapplicant for such permit m filea signed eatemee that Ina it licensed pummmL ww pmvisionv of the Comnnor's Liaxnc Law (Chapter 9 Sq. Ft. Floor Area Valuation (comm. ingwi Scsuon7OD0)d Divuion3orN Busine Wa f iam Cadc)w $3800 e- lo thu camp, thand. said the base, for the alleged evm0. Any violation of Secdoet 7831.5 by any applicant for a permit subjects me applicant in a civil Penalty of �� Aff Number Occupancy Type Out, more than lw hundred dallan ISISM37519013 : - P Y ❑I,uowmmor ordane propuly,ormy emplaym with aagnuslnev sole campumsauon, ' will do wwork, and w manure u out intended oroRered for sale (Sec. 7014, Budrcss and Prefesdons Cade- The Commencer License Law don not appy as an owner of Required Inspections properly who Wilds or improves dancon, andwW does tYLll Wwkllim,alf0rdl,oYgh his own employee, provided that such improvements art not ovendN craRer d forsale If, Wowawn the Wilding or improvement 4 sold within one year of eempletion, w ownw- Wildor. wit law the Wrden of proving wt he did rant build or improve for purpoc of sale.), ❑ 1. u ante of dame property, am exclusively contracting with IiauW conYmmn in cosnstren the project (Sec. 7014. Business and Prof ..I.. Code:) M Conme ms's Li. commLaw don not apply in an owner of property who Wilds or improver wreon. and who contracts for such prejects with a conamelor(t) licensed pursuant to the Contractor's Lleernne Law ❑mexelacamps undo see ,BdPCfor Nis reawn itg:[SyJig `j Owner Data Gl L((iiJ WORKERS COMPENSATION DECLARATION I hereby a8irre under pe,Wty, of perjury can of the following decaruions: 1 ht. and will manain a Certifesm of Courant to calf -burn. far Wahcra Compen. .if.., u provided for by Section 3700 of w Labor Code, for the pcdo.. of w wart for which this permit Is issued. ❑ 1 have and will maintain Worker's Compensauon renounce, as; sugared by Section 3700.(the Lair Code, for the performance of w wort for which this permit it issued. My Wmkcrs Comp] anon lnurann renin and Policy number am: Cudv'Ir�^ ^'yf�%�G 10 Policy No.: WCiI OCS7 �Jl�- ezi CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (ThuseNon need not W completed if has permit Is fnone hundred dollars (SIW) or tern) 1 unify, that in the performance of the work for which Ni. Permit is Wood. I shall not employ an, pers.. in any manlnerm an to become subject w dale Work,, Compenenmt Law, of Galiont. Data Applicant NOTICE TO APPLICANT: If, after making thin Cenilca¢ of Exemption, you should , become subject m the Worker! Compensation previsions of roc Labor Code, you muss - forthwith comply with such provisions m Nu Permit shall he deemed revoked. ' CONSTRUCTION LENDING AGENCY 1 hereby af0m Ne vert u a construction lending agency for the perfuumenee of the work for which this Permit I, issued (So,. 3097, Civ. C.) Lenders Name Lender. Address I certify dust 1 have and thts application and state that w aWw information Is conn. I agree to comply with all city and com y odinantta and state laws mleing w Wilding corauucti.n, and hereby auho en sepmfumtiws of this city in en= upon the stove -mentioned property, for inspection puryoses (We) ague to nor, indemnify and keep hay City Of again{ I- an w .jistrito enteraeofdusewe-and expcnsuwhich may in any way attme agaurlsaid City ince m APPLICANT of w granting of A D WILL APPLICANT UNDERSTANDS AND WILL COMPLY WITH 'C� f _ V�`..� ALL NON -POINT SOURCE REGULATIONS. Issued by: Date 6� ' �� rr r `dS .7b Re -roofs l Sugnsaureafpplicanm,uto, . A m JCoDale HAZARDOUS MATERIALS DISCLOSURE Type of Roof Win dace applicant w fubm Wilding oceuParilume. handle ha adore materia u defined by One Cupertino Municipal Code. Chapter 9.12 and the Heath and Safety Code. Section.ON. 25s32(a)7 ❑Yn All roofs shall be inspected prior to any roofing material being installed. Will Ne applicant or fuwu Wilding meupanl um equipment or Devitt. Mich It, If a roof is installed without first obtainin an inspection, I agree to remove g PC g h=moa air comaminsnts an defutad by me Bay Ana Air Quality Management all new materials for inspection. cln ❑Yrs ON. I have read the havudomts materials.quimmena under Chmcm&95 of he CaHiw- nuHWth&SafnyCade,Such.25505.25533 am12553/. l undersand that ifthe Wilding does net cumcnday, love a mento, the- it u my mspmmtdIiy in ratify the ocoupant of the .gYfr,mem. which mYaWmet priorinissuanerof. ccnikkeedaropany. Signature of Applicant Date "- �9 G �f'��r y Is - All roof coverings to be Class '%W' or better LO or..thorimd.gent D,m • 4 ITEMS OF 4 • CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 37519013.00 DATE ISSUED.......: 04/30/2008 RECEIPT #.........: BS000004625 REFERENCE ID # ...: 08040218 SITE ADDRESS .....: 18705 LOREE AVE SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: patg COPY # : 1 METHOD OF PAYMENT --------------- CREDIT CARD TOTAL RECEIPT : AMOUNT ----- 102.48 --------------- 102.48 VOICE ID DESCRIPTION -------- ---------------------------- 106 SEWER & WATER 301 ROUGH PLUMBING 507 FINAL PLUMBING REFERENCE NUMBER ---------------- VISA VOICE ID DESCRIPTION ----- ------------------------- 202 UNDERFLOOR PLUMBING 400 SEWER/LATERAL OWNER ............: CATHERINE GHODRAT ADDRESS ..........: 18705 LOREE AVE CITY/STATE/ZIP ...: CUPERTINO CA, CA 95014-5221 RECEIVED FROM ....: JIMMY E WORKMAN CONTRACTOR .......: JIMMIE E WORKMAN LIC # 29184 COMPANY ..........: DRAIN MASTERS ADDRESS ..........: 2356 LUCRETIA AVE STE 3 CITY/STATE/ZIP ...: SAN JOSE, CA 95122 TELEPHONE ........: (408) 963-7272 FEE ID ------- UNIT QUANTITY ------------------- AMOUNT PD -TO -DT THIS REC NEW BAL IBSEISMICR VALUATION 3,800.00 -------------------- 0.50 0.00 ---------- 0.50 ---------- 0.00 IPPERMITFE FLAT RATE 1.00 40.79 0.00 40.79 0.00 1PRSEWER UNITS 1.00 20.40 0.00 20.40 0.00 ITRAVDOC FLAT RATE 1.00 40.79 ---------- 0.00 40.79 0.00 TOTAL PERMIT ---------- 102.48 0.00 ---------- 102.48 ---------- 0.00 METHOD OF PAYMENT --------------- CREDIT CARD TOTAL RECEIPT : AMOUNT ----- 102.48 --------------- 102.48 VOICE ID DESCRIPTION -------- ---------------------------- 106 SEWER & WATER 301 ROUGH PLUMBING 507 FINAL PLUMBING REFERENCE NUMBER ---------------- VISA VOICE ID DESCRIPTION ----- ------------------------- 202 UNDERFLOOR PLUMBING 400 SEWER/LATERAL t CITY OF 46UPEkTINO • Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESS:PERMIT oS Loree- Atle 5-0/5-� # oefo OWNER'S NAME: & 1`cr PHONE # 41 GENERAL CONTRACTOR: ; „ , cf peiD FAX # I am not using any subcontractors: �-- - ��✓�---� �✓�t, JP Signature Please check applicable subcontractors and complete the following information: �6 a O Date Owner/ Contractor Signature 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 Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/ Contractor Signature Date �G • CITY OF CUPEQINO �7. in 0&�co;z-i� CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE PERMIT APPLICATION FORM APN# 276 1 qD 5,2. 00 Fee ID Date: yV3o—aOU� Fee Group Building Address: 1PCSEWER 1 1-7�j S Log ee Ave Iso lS Owner's Name: 1BPREPIPE Phone #: P C C,Tk e r I rj 1PGASCOM Commercial Gas Piping System 1-4 Outlets Contractor:: Phone #: 1BSEISMICOM i\ yv ,\' y -Go P Fax #: Contact: J I, Y Seismic Residential Phone #: Lj tJ 1PRSEWER Fax #: P Contractor License #: 1 -7 (o � 3 Cupertino Business License #: Job Description: 5 W t r L; n 2 R U J S Q. d �hd� -e1 fo 1 L itre C Ietih' P `� off. Residential Commercial Q Valuation: Green Building: Please complete relevant portion of the Green Building Checklist & attach 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 1PRSEWER Residential building sewer/sanitary sewer P 1RPSS faal CITY OF CUPERTINO 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 / 1PPERMITFEE Plumbing Permit Fee Issuance P 1PLMBLNCK Plumbing Plan Check P 1PLMBINSP Other Plumbing/gas Insp. P 1TRAVDOC Travel & Documentation Fee B 1BUSLIC Business License B E • 1] E /k,%OS l.0, -r2 "A', Plan Review Process Work Book Page -12-Revised 3/25/08 N� 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 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. A4 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. A3 1 point P. Other 1. List Green Features on Plans A-1 1 point VROMMEM I- TOTAL POINTS1 40 points E /k,%OS l.0, -r2 "A', Plan Review Process Work Book Page -12-Revised 3/25/08 N� 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. A. Site INPUT ReSDurces Energy IAO[Health 1. Recycle Job Site Construction & Demolition Waste j 65%=1 point; 75%= 2 points; 80%= 4 points I up to 4 Resource pts 0 LSalvage 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 Stormwater Practices 2 Resource pts y=yes 0 7, Protect Water Quality with Landscape Design 2 Resource pts y=yes 0 6. Design Resource -Efficient Landscapes and Gardens J 4 Resource pts y=yes 0 9. Reuse Matenals/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 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 2. Use Recycled Content Aggregate 2 Resource pts y=yes 3. Insulate Foundation/Slab before backfill 3 Energy pts y=yes C. Structural Frame 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 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 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 Energy pts 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 I12. Use 0SB --- -- -- --_ 1 a. Subfloors I 1 Resource pt y=yes • b. Sheathing L____ p Resource 1 t y=yes r1. Use Sustainable Decking Materials a. Recycled content 3 Resource pts b. FSC Certified Wood 3 Resource pts 2. Use Treated Wood That Does Not Contain Chromium/Arsenic ; 1 IAQ/Health pt 3. Install House Wrap under Siding 1 IAQ/Health pt 4. Use Fiber -Cement Siding Materials 1 Resource pt E. Plumbing 1. Install Water Heater Jacket 1 Energy pt y=ye; 2. Insulate Hot and Cold Water Pipes 2 Energy pts y=ye<- Reducers a. Faucets (1 point each, up to 2 points) b. Showerheads (1 point each, up to 2 points) Replace Toilest with Ultra -Low Flush Toilets point each, up to 3 points) on 6. Convert Gas to Tankless Water Heater 7. Install Water Filtration Units at Faucets (2 points each, up to 4 points) 6. Install On -Demand Hot Water Circulation Pump r. uectncar I1. 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 1. Install Energy Star Dishwasher 2. Install Washing Machine with Water and Energy Conservation Features 3.Install Energy Star Refrigerator i4 Install Built -In Recycling Center H. Insulation 1. Upgrade Insulation to Exceed Title 24 Requirements a. Walls b. Ceilings 2. Install Floor Insulation over Crawl Space f3. Install Recycled -Content, Fiberglass Insulation with lNo Added Formaldehyde _ _ __ 4. Use Advanced Infiltration Reduction Practices 5. Use Cellulose Insulation a. Walls b. Ceilings 6. Alternative Insulation Products (Cotton, spray -foam) a. Walls D, cenings 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 pts. Up to 5 Energy Up to 4 Energy Up to 4 Energy 1 Energy pt y=yes 1 Energy pt y=yes 1 Energy pt y=yes 3 Resource ots v=ves 2 Energy pis 2 Energy pts 4 Energy pts . 3IAQ/Health pts y=yes 2 Energy pts y=yes 4 Resource pts 4 Resource pts 4 Resource pts y=yes 4 Resource pts y=yes • • r r r r 0 r r r � r r 0 1 Energy pt y=yes 1 Energy pt y=yes 1 Energy pt y=yes 3 Resource ots v=ves 2 Energy pis 2 Energy pts 4 Energy pts . 3IAQ/Health pts y=yes 2 Energy pts y=yes 4 Resource pts 4 Resource pts 4 Resource pts y=yes 4 Resource pts y=yes • • 1. Install Energy -Efficient Windows I a. Double -Paned b. Low -Emissivity (Low -E) . rc. Low. Conductivity Frames 2. _Install Low�. —Heat— Tra--- nsmission —Glaz—ing— J. Heating Ventilation and Air Conditioning (1. Use Duct Mastic on All Duct Joints 2. Install Ductwork within Conditioned Space 3. Vent Range Hood to the Outside 4. Clean all Ducts Before Occupancy 5. Install Solar Attic Fan 6. Install Attic Ventilation Systems 7. Install Whole House Fan B. Install Sealed Combustion Units a. Furnaces b. Water Heaters 9. Replace Wall -Mounted Electric and Gas Heaters with Through -the -Wall Heat Pumps 10. Install 13 SEER/11 EER or higherAC with a TXV 11. Install AC with Non -HCFC Refrigerants 12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace 13. Retrofit Wood Burning Fireplaces • a. Install EPA certified wood stoveslnserts b. Install/Replace Dampers c. Install Airtight Doors 14. Install Zoned, Hydronic Radiant Heating 15. Install High Efficiency Filter 16. Install Heat Recovery Ventilation Unit (HRV) 17. Install Separate Garage Exhaust Fan K. Renewable Energy and Roofing 1. Pre -Plumb for Solar Water Heating 2. Install Solar Water Heating System 3. Pre -Wire for Future Photovoltaic (PV) Installation 4. Install Photovoltaic (PV) System (1.2 kw = 6 points, 2A kw =12 points, 3.6 kw = 18 points) LSelect Safe and Durable Roofing Mate als 7. Install Radiant Barrer �- --- - - -' J L. Natural Heating and Cooling 1. Incorporate Passive Solar Heating 2. Install Overhangs or Awnings over South Facing Windows 3. Plant Deciduous Trees on the West and South Sides 0 1 Energy pt 2 Energy pts 2 Energy pts 1 Energy pt 2 Energy pts 3 Energy pts 1 AQ/Health pt 21A0/Health pts 2 Energy pts 1 Energy pt 4 Energy pts 31AQ/Health pts 31AQ/Health pts 3 Energy pts 3 Energy pts 2 Resource pts 2 Energy pts 1 IAQ/Health pt y=yes 1 Energy pt y=yes 1 Energy pt y=yes 3 Energy pts y=yes 41A0/Health pts y=yes 5 IAQ/Health pts y=yes 31AQ/Health pts y=yes 4 Energy pts y=yes 10 Energy pts y=yes 4 Energy pts y --yes Up to 18 Energy 1 Resource pt y= 3 Energy pts y_ 5 Energy pts 3 Energy pts 3 Energy pts y=yes 1. Use Low/No-VOC Paint 1 IAQ/Health pts y=yes 2. Use Low VOC, Water -Based Wood Finishes 2 IAQ/Health pts y=yes 3. Usse Low/No VOC Adhesives _ _ __-- 3IAQ/Health is _ P Y=Y es 4. Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 5. Use Engineered Sheet Goods with no added Urea 5. Use Exposed Concrete as Finished Floor 4 Resource pts Formaldehyde 61AQ/Health pts y=yes 6. Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes F__Seal �a__ll�l--Exppoosed Particleboard or MDF - v i 4 IAQ/Health pts y=yes B. Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 9. Use Finger -Jointed or Recycled -Content Trim 1 Resource pts y=yes 10. Install Whole House Vacuum System 3 IAQ/Health ots v=ves N. Flooring 1. Select FSC Certified Wood Flooring B Resource pts - 2. Use Rapidly Renewable Flooring Materials JI 4 Resource pts _ _ 3. Use Recycled Content Ceramic Tiles 4 Resource pts 4. Install Natural Linoleum in Place of Vinyl 5 IAQ/Health 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: • 1401 1301 57 01 01 0 • G:daiarprogVgreenbuildngguidelineshemodelerslgreenpointsfinal2.12.e4prrneried.xls •