08080237 CITY OF CUPERTINO
BU16mNG DIVISION PERMIT@U1 TRACTOR.INF�Ult�'IA.TION
eV
BUIL I G9 �iA ESS: PERMIT NO.
8� MELLO PL GENMOR PLUMBING 08080237
OWNER'S NAME: PERMIT ISSUE DATE
I IAIt Y. NAFAYANAN 2552 SEABOARD AVE 08/29/2008
ONE: (408) 855-8348 SANITARY NO. CONTROL NO.
ARCHRER/PNGfNEER: BUILDING MIUAMNFO
BLDG EIRCI' PLUMB MECH
�op LICENSED COMRACTOR'S DECLARATION
g F 1 Woreby al ism tat 1 an licensed under provisions of Chapter 9(commencing Job Description
^�
wit Secton7000)ofDivindon3ofNeBusiness and RnlesdomCode.and mylictmex,is COPPER REPIPE & MAIN LINE
I.full Torose and alma. 493 3�,,f
Leen a Co..
a Date CSDECL
ARCHITECTS Ise
DECLARATION
1 vacrtunJ my plans shall nd used u public rsortls
k u Licenced Professional
y7 ct
OWNER-BUILDER DECLARATION
S S I resum aRien o n 11. uemps from the CasionCo Deena law for to
p O which re mason.(Section 7W 1.5,Bualn^.s and Improve.
de profession Code:Any city of county
which requires issuance.sum rc emWua&ala.improve,demolish,or repair any suvcmro
Zi
prior aits nsdptlaego the tant of for such Commitmis aficomete a Laaaatemml
�0 NnKulice�dPu oast o heprovisionsofNeConue ars ce�Law 9 Sq.Ft. Floor Area 6100 Valuation
?5 9 (commencing wit Sagan 7000)of Division 3 ofte Business and ProRaiou Code)or
S Nat luu exempt Iheerrom and to assts for to alleged exemption.Any violation of
Section 7031.5 by any applicant for,permit subjects to applicant a a civil penalty ofNumber Occupancy
nos man Nan five heated dollars(SM
36905031 �YPe
0 1,es owmr trtu pmperty.m my moplayw wit tresis u tia4alemmpensadon.
wi0 do to wort.and to sm"hom u nos Intended oreffe a for asks sec.704,Busircu
and Professions Coder Tho Costumes License law dans act apply in an awns or Required Inspections
property who buildsser improves racomawhodausuchworkhm itarW ulhhis
mvncmplay..provided to such imprmemenu art not inunda araRera forde.lf,
however.to building or improvement Is sold wktin ons year of completon,to owner-
ailder will lum to burden of proving tat a did we Wild or improve for purpose of
.ale.).
0 L u owns of to property,am exclusively contracting wit licensed mnuaars u
construct to robact Sao.704,Business and Profesdons Cade:)The Conmetor's U.
cera Law duo act apply in in owner of properly who builds or improves Lemon,and
who contract for such projects wit a eonuatorud licensed possum ate ContutaM1 -
Liceuelaw.
0 l ace exam"under Bee ,B&PC for to moan
Owner Dau
WORKER'SCOMPENSATIONDECf MTTON
I areby affirm under penalty of perjury ant of dre fallowing deckantans:
41,I Aare sa will maintain a CWOesu of Conan in self-Insum for worker's Corepen.
on,as provided for by Section 3700 of the Labor Code,for to performance of to
work for which Its permit is issued.
0 I have and will munuin WorkeYs Compensation Insurance,u requimd by Salim
3700 of to Labor Code,for to performance of to work forwhich tis permit is sued.
My Waftf.Compensation Insurance carder and Policy number am:
Carn.rd ly i'e� Policy Na.6xmr_4o)aDo
CiTIFl TE�PIION PROM WORKERS
COMPENSATION INSURANCE
It suction seed mtacompke sed Hte Renault Is forma bonded do0ara(sins)
or lea)
I enGfy tat In to performance of to work fm which tis permit is mood,l shall ms
employ any ponos in any mamas u in become subject m to Worters'Compewtlm
Laws of Catifornl.Dau
Applicant
NOTICE TO APPLICANT:If.after making tis Ceninesu of Eamption,you almmld
bamme subject in to Worker's Compensation provisions of the labor Code,you most
wJO foMwit comply with such provision or this permit shall be decma revoked.
y CONSTRUCTIONIRNDINGAGENCY
[�. I haeby silken thus tem Is a construction lending agency for to performance of
fY,> to work fur which this permit Is issued(Sec.3097,Civ.C.)
GA Lander'.Name
a,z Lendee,Addma
U O 1 anlfy to 1 have w sus appucaoon and sum to ter.bom Worsutim I.
mrma I agree to comply Nt W city and cowry ardinaaes and sum Inn mlaung in '
.� Wilding crosuucuon,and hereby otann repreanudms of to city m enter upon Use
W above-maauncd pmptny for impose"purposes.
G (Wt)agent to ave,indemnify ad keep haenlen flat City of Cuprdna against
y liabilities,jedgmsnu,m.0 Rod cape.which may In any way acme against aid City
U inconsegcence of to scandal,of this permit,
APPLIQANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
R LATIGNS,
� Re-roofs
Simuum of ApplicantCandamr Oar
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will to applicant or fence building compantaom orandle h.urdons material
as defined by to Cupertim Mualu 1 Cue.Chapter 9.12.and to Holt and Safety
Code,sen ion zsslzp)7 All roofs shall be inspected prior to any roofing material being installed.
[I Y. Na
WIII to applicant or future building occupant era equipment or device which If a roof is installed without first obtaining an inspection,I agree to remove
It a'raNnns
summaries u fiend by to Bay Asa Air Quality Mangsmsn all new materials for inspection.
suin7
CYo No
I hese read to husNawa materials requirements underChaver6.95 ofthe Caliter.
niaHuish&Salety Cads,Sections 25505.25533 aa25534.1.r&.Wd tnifta lanitng
doss not cuenmfy ham•a ant.tut h is my maponsibility in nutty to weepanm of the
require whkhamwmetpooraiuuo¢ofaCmuflesteoof paay Signature of Applicant Date
.34 wncranuthamed ager Da All roof coverings to be Class'A:s'or better
CITY OF CUPERTINO
. 5 ITEMS OF 5 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36905031 . 00
DATE ISSUED. . . . . . . : 08/29/2008
RECEIPT # . . . . . . . . . : BS000005947
REFERENCE ID # . . . : 08080237
SITE ADDRESS . . . . . : 10109 MELLO PL
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : HARY NAFAYANAN
ADDRESS . . . . . . . . . . : 10109 MELLO PL
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-3336
RECEIVED FROM . . . . : GENMOR PLUMBING
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
1.BPWSVCS WATER SERVICE 1 . 00 20 .40 0 . 00 20 . 40 0 . 00
IBSEISMICR VALUATION 6, 100 . 00 0 .70 0 . 00 0 . 70 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 143 . 47 0 . 00 143 . 47 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
------------------ --------------- --------------------
CHECK 143 . 47 #1674
---------------
TOTAL RECEIPT 143 . 47
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
106 SEWER & WATER 301 ROUGH PLUMBING
507 FINAL PLUMBING
0 X023 7
CITY OF CUPERTINO
( 4 , REPIPE/SEWER/MAIN SERVICE
IT CUPEI�TINO PERMIT APPLICATION FORM
APN#
Building Address:
/ol '
Owner's Name: A/a- Phone #: 7-9/ —2013-1>C
Contrac r: Phone#:
yv 8-8sS •83 58
L / Fax #: QA
Contact: Phone#:
Fax #:
Contractor License#:
Cupertino Business License#:
Job Description:
re
• Residential Commercial ❑ 4
Valuation:
Q
Project Size: Express L Standard 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 Permit Type
Group
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
iBSEISMICOM Seismic Commercial ' P
j 1BSEISMICR Seismic Residential P
1'
1PRSEWER Residential building P 1RPSS
sewer/sanitary sewer
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
IPRREPIPE Residential re-pipe per fixture P IRPRP
p 1BPWSVCS . Water Service P 1CPWS or
I 1RPWS
1PPRSEWG Private Sewage Disposal System P
1PCESS Cesspool P
/ 113PWATER Install/alter Water Pipe P
1BPFIXTURE Plumbing Fixture P
IPGASRES Residential Gas Piping System P
1-4 Outlets
1 BPGAS Gas Piping System 5+ Outlets P
` IPPERMITFEE Plumbing Permit Fee Issuance P
/ IPLM 3LNCK Plumbing Plan Check P S
1 PLMBINSP Other Plumbing/gas Insp. P
/ 1TRAVDOC Travel &Documentation Fee B
IBUSLIC 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-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. 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 Refri erator, (Note/Spec. A-3 1 oint
P. Other 1. List Green Features on Plans A-1 1 point
TOTAL POINITS1 40 points
•
•
Plan Review Process Work Hook Page-I2-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 ResDulces Energy 1ADIHealth
to
1.Recycle Job Site Construction d 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 yryes 0
6.Implement Construction Site Stonnwater 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 i 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 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 yryes 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
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.Well 3 Energy pts y=yes 0
c.Roof 3 Energy pts y=yes 0
10.Apply Advanced Framing Techniques 4 Resource pis 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 yryes 0
b.Sheathing 1 Resource pt Y--yes 0 •
1 1 1
mows
1.Install Energy-Efficient Windows
• a.Double-Paned 1 Energy pt y yes 0
b.Low-Emissivity(Low-E) 2 Energy pts y=yes 0
c.Low.Conductivity Frames 2 Energy pts y=yes 0
2.Install Low Heat Transmission Glazing 1 Energy pt y yes D
1 1 1
J.Heating Ventilation and Air Conditioning
1.Use Duct Mastic on All Duct Joints 2 Energy pis 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 IAD/Health 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 0
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 Well-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 stovesfinseds 1 IAQ/Health pt y=yes 0
b. Instah/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 4 IAQ/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 D
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=16 points) Up to 16 Energy pts 0
6.Select Safe and Durable Roofing Materials 1 Resource pt y=yes 0
7.Install Radiant Barrier 3 Ener is
Energy Y--yes 0
I 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 0
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts Y--yes D
1 1 1
•
Community Development
10300 Torre Avenue
✓ Cupertino CA 95014
K Y, Telephone(408)777-3228
CITY OF Fax(408)777-3333
�CUPEkTINO
Bu.ilding De artment
JOB ADDRESS: PERMIT #O pv �Z3
XQM L0 - = O 7
OWNER'S NAME: AJ PHONE # - 3 `2
61�-
G2,1ERAL CONTRACTO r 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
ing
Plastering
Plumbing HO_ GU H Iz
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/Contractor Signature Date