08080192 CTTY OF CUPERTINO . ,- ;Re. ' ' "«
B, LDINO DIVISION PERMIT CONTRACT.OR'�II�TFORMAT
Ionama^.wix`'
BUI I GA 9RESS: PERMIT NO.
;�.(��:�1MEADOW PI, JM DRAIN CLEANING AND 08080192
NEWS NAME: PERMIT ISSUE DATE
SMURR PATRICIA B 1725 ROGERS AVE STE C 08/25/2008
ARP
SANITARY NO. CONTROL NO.
ARCH=IENGINEER: BUILDING PERMIT INFO
� COPPER RE—PIPE FROM WATER BLDG ELER PLUMB MFcx
O O O O
30o
LICENSED CONIRACIOR'SDECLARATION JobDescription
I hereby arnma that 1 am licensed under provisions of Chapter 9(commencing- ---^^^ ••^-^^^
p1 with Section 70M covalent 3 of NO Business and Pmreulum Code, ylicenm is
n02 iLrullwforce and of ' is
� (>
��^qqq Dem Con isP J
ARCHITECTS DEp - .
g I maturated my Alma shall used as public renrds
Licensed Professional
b Oat I am exempt
from
DECLARATION
0 1 mrehy.Ilion on 1 em exempt from the G.um;Co Licence Law for the
O O following moon.Permit
t 703 construct.
Bnslneu and Pe,ft. L Code:Any city or county
$tui which requires a permit re sires we aimr.Improve,dPermit m repair any auumum
.1 pdnbits cened purssunt W to weapplicantfor ewhpermllbfieic aLaw Clmment
2thatme lkcuco puesuanttothepmvblonso.1' Contractor and Prolaw(Q aulom Sq.Ft. Floor Area Valuation
that I is exemls pt
with genion 701)(1.17 and the but,f 3.1' al Serious edexe and on.Anyovi Cada)or
Nat m u 31.5 b thuefrom and the bub for the chs the exemption.Any viotsgon of
ocanon 7031.3 by any applicant fort permit the applicant m s rnll penalty of APN Number Occupancy e
not mom gray Ow hundred dollars(5300). P Y TyP
❑1.uow+mr of the popety,ormy, at.ployeea with wages a their cele eempensW.,
will do Lha work,and tm,mratum is act intended oroffered krsale(Sec.7001,Burin¢
and Professions Cadre TIB Contractor's Limts Law does ant apply to an oweer of Required Inspections
property who builds or improves thereon.and who tl.s such work Mmselr or brought his
own employees,provided that such Improvements see not shouted oro@rod for sale.If,
however,the building or improvement is sold within am year of completion.the owns r-
Wllder will have that burden of proving that m did not build or improve for purpose of
ole.).
0 I.u ow.of the property,w eschuaively...tracong with licensed nnoacwrs to
construct the project IS.104.Business and Pro(udeN Cade:)The Contractors U.
cause law does not apply to an owner of property who mild,or improves thereon.and,
who contracts for such projects with a centrector(s)licensed puromul W the Contractor's
Lldew Law.
❑tem exempt untler See .Bh PCformarewun
Dau
WORKERS COMPENSATION DECLARATION
1 bemby since under Penalty of Perjury am or the following oeeadulohhc
Q s have ono will for b in a tion 3M of Con¢¢ Code,
fore faWmkma Compede
worn•r provided for by Sermon 3'!00 of Ice lacer Croe,for the perfdnnme.of the
work far which this permit is issued.
❑1 have and will maintain Worker's Compensation Inattrurm u required by Second
370001 the:later Code.for the performennof the wort for which Nu permit b lamed. '
My Worker's Compensation Wurmce esmia and Policy nummr K:
Carrier. Policy No.:
ON FROM WORKERS'
AT
Ind.sued.recd rot W complemtl lithe permh It fmode hun (f lq0
or eat)
1 certi[v that in We performance of the work for which this permit is human.I shall a
employ any perma in any manneran u m become subject to um WorkM Compenwton
,of California.Date
ApP
N07nw. ICANr:IL a am making Npr Ccninnm of Faemption,you u nowal
become momp to t e am huwtian proWaiom of Ne labor Code,you m
.,.2 forthwith comply with such prows
„Z,t O CONSTRUCTION LENDING AGENCY
[.r I Wreby affirm Wt there it a comuuucoon lending agency fm the perfrrmuuo of
6i h7 the work for which bra permit is land IS=3197,Civ.C.)
QLender's Name
7z Landwe'Addms
U Q I ceadry that I have read W,application sad snm dun we amve wmmid.b
U,^ coven i agree to comply with all city aM county mginarwis and tum lava reading in
.0 rV^ Wilding eonsWetlon,and mmbymthoden repmenugves of this city to comer open Ne
{37 above-mentioned property for inspection purposes.
LL (We)agree to rove,indemnify mE trop herminro the City of Cupertino against
rti liabilities•jullmomts,cons and exponent which may In my way ccrua against role City
U'Z in consegnnce of the granting of this permh.
•+ APPLICA NDERSfANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOUR I.A
Re-roofs
h AZAROOUUngava'SMATERIALSDISCLOSURE Dam Type of Roof
Will the applicant or future Wilding occupant atom or handle harordou material
u dcOnW by the Cupenl.Mu btpal Codc.Chaptor 9.11.and the Health and Safety
.SenI.15531(a3T All roofs shall be inspected prior to any roofing material being installed.
❑Yes Ne
W311 the applicants or m.e Wilding occupant use equipment or ave:,which If a roof is installed without first obtaining an inspection,I agree to remove
emit hmudous air commitment a denncd by the Bay Area Air Quality Management all new materials for inspection.
Gaunt?
❑Yes Nr
1 have mel the huaN.smucriW requirements umkrChapter6.95 of tie 6lifor.
nb Healthd:5afny Cede3cetiau13505.25533 aad733M.I undnuvW inatirthe Wilding
dews WE c a¢w0.that it is my maponsibility in notify tierceuWt of tie
rogmre =1prior to acumen ofaCertifk eraeapmay. n Signature of Applicant Date
er,.uthe d.gem i Dam All roof coverings to be Class'%{."or better
CITY OF CUPERTINO
' REPIPE/SEWER/MAIN SERVICE
• CUPEIi;TINO PERMIT APPLICATION FORM
APN# 3 a J D Date: O
BOW di Address, �✓ (�
O er's amp: P-v Phone #: S23 Q C
Contractor: Phone#:
Fax #:
Contact: Phone#: 5/p 03
Fax #:
Contractor License #: j&g. q
Cupertino Business License#:
Job Description: ��„�- A /)�' . rQ ,tea ^-er
41
Residential Commercial ❑
Valuation:
Proje Size: ExpressL Stand arge 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 BuildingPoints:
Quantity Fee ID Fee Description Fee Permit Type
'C roup
1PCSEWER Commercial building P 1CPSS
sewer/sanitary sewer
1BPREPIPE Commercial re-pipe per fixture P 1CPRP
1PGASCOM Commercial Gas Piping System P
1-4 Outlets
1BSEISMICOM Seismic Commercial P
/ 113SEISMICR Seismic Residential P
1PRSEWER Residential building P 1RPSS
sewer/sanitary sewer
CITY OF CUPERTINO
REPIPE/SEWERIMAIN SERVICE
CUPER,TiNO FEE SCHEDULE A
Quantity Fee ID Fee Description Fee Permit Type
Group
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 P
1-4 Outlets
1BPGAS Gas Piping System 5+ Outlets P
1PPERMITFEE Plumbing Permit Fee Issuance P
1PLMBLNCK Plumbing Plan Check P
1PLMBINSP Other Plumbing/gas Insp. P
' ITRAVDOC Travel &Documentation Fee B
1BUSLIC Business License B
Revised 6-16-08
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-12 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. A-4 2 points
F. Plumbing 1:(_ Insulate all H.W. pipes, (Note/Spec.) P-1 polo s
5. Tankless W.H., (Note/Spec.) A-2 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. Energy Star Refrigerator, (Note/S ec. 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 325/08 -
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 ResDul res Energy IAQ/Henft�
A.Site
1.Recycle Job SiteConstruction&Demolition Waste ° ^ ?
65%=1 point;75%=a2 points;80%=4 points up to 4 Resource pts 0
Z Salvage Reusable Building,Malenals_ _ 4 Resource is es D
'– --��. – – – P Y=Y
3.Remodal for Mixed Use,Adaptive Reuse,and .
Historic Preservation 4 Resource pts y=yes D
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 D
Ie._Design Resource-Efficient Landscapes and Gardens 1. 4 Resource pts y=yes D
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 D
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 D
3.Insulate Foundation/Slab before backfill 3 Energy pts y=yes D
1 !
C.Structural Frame
ft Substitute Solid Sawn Lumber with Engineered Lumber 7 3 Resource pts y=yes 0
2.Use FSC Certified Wood for iraming
(For every 10%of FSC lumber used=2 points,up to 10) - up to 10 Resource pts. 0
3.Use Wood I-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 D
7.Use Engineered Studs for Vertical Applications 2 Resource pts y=yes D
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 D
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 D
12.Use OSB
a.Subfloors 1 Resource pt y=yes D
b.Sheathing' — 1 Resource pt y=yes D
– -- _
1 1 1
r
xter or Finish
1.Use Sustainable Decking Materials
a.Recycled content 3 Resource pts y--yesF 0
b.FSC Certified Wood 3 Resource pts Y_—Yes 0
2.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAO/Health pt y--yes D
3.Install House Wrap under Siding 1 IAD/Health of y=yes 0
4.Use Fiber-Cement Siding Materials 1 Resource of Y_-Yes 0
! ! 1
E.Plumbing
1.Install(Nater Heater Jacket 1 Energy pt Y_—Yes 0
2.Insulate Hot and Cold Water Pipes 2 Energy pts y=yes 0
'3.Retrofit all Faucets and Showerheads with Flow Reducers
a,Faucets(1 point each,up to 2 points) Up to 2 Resource pts. D
b,Showerheads(1 point each,up to 2 points) Up to 2 Resource pts. 0
14.Replace Tallest with Ultra-Low Flush Toilets
(1 point each,up to 3 points) Up to 3 Resource pts. 0
5.Install Chlor ne Filter on Showerhead 1 IAD/Health of y--yes D
6.Convert Gas to Tankless Water Heater 4 Energy pts y=yes 0
7.Install Water Filtration Units at Faucets
(2 points each,up to 4 points) Up to 4 IAD/Health pts. 0
B. Install On-Demand Hot Water Circulation Pump 4 Resource pts y--yes D
1 !
v.ereancai
1.Install Compact Fluorescent Light Bulbs(CFLs)
(6 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
5 points) Up to 5 Energy pis. 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. D
I 1 1
G.Appliances
1.Install Energy Star Dishwasher 1 Energy pt y=yes 0
2.Install Washing Machine with Water and Energy
Conservation Features 1 Energy pt y=yes 0
3.Install Energy Star Refrigerator 1 Energy pt y=yes 0
4.Install Built-In Recycling Center 3 Resource pts y=yes 0
1 1
H.Insulation
1.Upgrade Insulation to Exceed Title 24 Requirements
a.Walls 2 Energy pts y=yes 0
b.Ceilings 2 Energy pts Y--yes 0
2.Install Floor Insulation over Crawl Space 4 Energy pts y=yes 0
3,Install Recycled-Content,Fiberglass Insulation with
No Added Formaldehyde 3 IAD/Health pts y=yes D
4.Use Advanced Infiltration Reduction Practices 2 Energy pts Y--yes D
5.Use Cellulose Insulation
a.Walls 4 Resource pts y=yes D
b.Ceilings 4 Resource pis y=yes D
6.Alternative Insulation Products(Cotton,spray-ioam)
a.Walls 4 Resource pts y=yes 0
o.uemngs 4 Resource pts y=yes 0
1 1
114PLIT Resources Energy IAQrHealth
mows
1.Install Energy-Efficient Windows
l
a.Double-Paned 1 Energy pt y_yes p
b.Low-Emissivity(Low-E) 2 Energy pts y=yes D
c.Low.Conductivity Frames 2 Energy pts y=yes 0
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 of y=yes 0
4.Clean all Duds Before Occupancy 2 IAQlHealth 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 D
7.Install Whole House Fan 4 Energy pts y=yes D
B.Install Sealed Combustion Units
a.Furnaces 31A0/Health pts y=yes 0
b.Water Heaters 3 IAO/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 1XV 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 stoveslnserts 1 IAQ/Health pt y=yes 0
b. Install/Replace Dampers 1 Energy pt y=yes 0
c.Install Airtight Doors 1 Energy pty=yes 0
14.Install Zoned,Hydropic Radiant Heating 3 Energy pts y=yes 0
15,Install High Efficiency Filter 4IA0/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
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=1 B points) Up to 1 B Energy pts D
6.Select Safe and Durable Roofing Materials _ 1 Resource of 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 D
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0
• I 1 1
. n oor r ue tyen nis es -
1.Use Low/No-VOC Paint 1 IAQ/Health pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAO/Health pts y=yes 0
3.Use Low/No VOC Adhesives 3 IAQ/Health pts y=yes D
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 61AQ/Health pts y--yes 0
S.Use Exterior Grade Plywood for Interior Uses 1 IAQMealth pts y--yes 0
7.Seal all Exposed Particleboard or MDF 4 IAQMealth, pts y=yes D
B.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes D
10. Install Whole House Vacuum System 3 IAQ/Health pts y=yes 0
1 1 1
N.Flooring
1.Select FSC Certified Wood Flooring B Resource pts y=yesD
2.Use Rapidly Renewable Flooring Materials 4 Resource pts y=yes D
3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0
4.Install Natural Linoleum in Place of Vinyl 5 IAQ/Health pts y--yes 0
S.Use Exposed Concrete as Finished Floor 4 Resource pts y--yes 0
6.Install Recycled Content Carpel with Low VOCs 4 Resource pts y--yes 0
1 1
Total olntsvat a e: 1 1401 130 57 r
Total Points Project Received: 1 01 — 0 0
G:data/proograenbulldngguidellneshemodelersigreenpdrosfina2.12o4prolectodids
CITY OF CUPERTINO
• 6 :ITEMS OF 6 PERMIT RECEIPT OPERATOR: SylviaM
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . . 34229022 . 00
DATE ISSUED. . . . . . . : 08/25/2008
RECEIPT # . . . . . . . . . : BS000005886
REFERENCE ID # . . . : 08080192
SITE ADDRESS . . . . . : 10412 MEADOW PL
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : SMURR PATRICIA B
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2625
RECEIVED FROM . . . . : JOSE 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
-- ------------- ---------- ----- ------ ---------- ----------
1.BPWSVCS WATER SERVICE 1. 00 20 . 40 0 . 00 20 . 40 0 . 00
1BSEISMICR VALUATION 19, 000 . 00 1 . 90 0 . 00 1 . 90 0 . 00
1.PPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
1PRREPIPE NO OF FIXTURE 15 . 00 153 . 00 0 . 00 153 . 00 0 . 00
1PRWHEATR UNITS 1 . 00 24 . 48 0 . 00 24 . 48 0 . 00
1TRAVDOC FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
---- ---------- ---------- ----------
TO'T'AL PERMIT 281 . 36 0 . 00 . 281 . 36 0 . 00
ME'T'HOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- - --------------------
CREDIT CARD 281 .36 master card
--------------- -
TO`PAL RECEIPT 281 . 36
VOICE ID DESCRIPTION VOICE ID DESCRIPTION -
-------------------- -------- ----------------------------
301. ROUGH PLUMBING 507 FINAL PLUMBING