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08070087CITY OF CUPERTINO17 PERMIT .f4w� -'` *`i ^� " CONTRA TQR ITV' URMATIE3N� BUILDING DIVICION emLpltic,3p17R M PERMIT NO. ERRITT DR bNAbM7E: CALIFORNIA SKYLIGHTS 08070087 OWNER'S PERMIT ISSUE DATE VERONICA LAM 2250C PARAGON DR 07/14/2008 E: SANITARY NO. CONTROL NO. IF • (408)865-6759 "' ARCH17SUIENGINEER: BUILDING PERMIT INrO BLDG ELECT PLUMB MECH 0 0 0 0 LICENSED CONTRACTOR'S DECLARATION Chapin 9 Job Description P 1 hmeby arfim that 1 am licensed under provisions Of (cro murrina wiNSecdon]OOU)ofDiAs n3oftmBatinmudProfcssiumCOde,a mylkenser PGRAD SVC PANL FRM 100 TO 200 AMP in full tura ane effen License CI a Lk. g Dam Con�rxsy ARt T10N (• ibc;;c P �nJ my plate shallbc uxd as public mcnNa mm�K LNcnseJ PmTision DECLARATION OWNFR-6UILDERform 1 hmanu olBm Net I am trump from the License Law for the, ssiomCContractors moron. (Sedan 703 LS, Business and Cade: Any city or county vefcssmm which requires a Permit le construct, alms Wpmve, fie any awcwrt which re h permit oineluse ranpro applkNf the Con pCl11 '$ Liconse Lae( Cammepl he its licensed e. a sig mat toiviam of the (Chapter 9 700(1)9Division Sq. Ft. Floor Area Valuation pursuant that mcit panuont of the Burl... d Profaoinm Code) Or (commencing with Section Div Code) (cat $28 0 0 I he i,ng and the is for that io u ewnpt therefrom the bur for the alkgetl eamptam Any of mind l Penalty Section any applicantran permit subjects the applicator to Advil penalty of 31635004. Number Occupancy e P Y�'P mat mart tb>o Tiro hundrtd dollar (SSW} done five ❑ L u owrcr o mac wllh wee ale'u wk compcmukn, .the thamuc, will dothashoes and We,w C mrnotkmos ooRc do forsok(See.to44, Buionv m intended dfor and Code TW Camm�ora law dao ml apply lf oaMb Required Inspections ni¢rt¢ through his lobe b�ar,oimpmw, rt is arty wh bu docaet I.-, Oroffred own em hhoprandrobe impo cer foeed, R. Of coroQesal thoWIpmddetlthusuch however, the Wilding orimpm emraltraal IsarofcwvPkdoortlmowrcr- Warmer. sold isnot he set Wilder will low the burro of poling Wt W did rot W31tl o improv for purpose of - ❑ 1. as Owner of tm property. and exclusively contracting with licensed mmacsas to mmwcr the Project (Sec. 7D.4, Business am Pro eacom Code:) The Contractor's Li, Omanlaw docs not apply to an owner, of property who Wilds or rdprows threcon, and. . wWro ash pojems wiNarnnuxlor(s)Iianzd pursuanttodu Cornracmis Law. law. E] lase ❑Ion trumpet untler See .BRPCfo thisreawn .. Ownm Dam WORKER'S COMPENSATION DECLARATION I hereby,rBm under Penalty of perjury one or the following deelaeatiom: 1 haw and will maintain a Certificate a0matem to self-insure for Wm exComport. smien, as provided for by Section 37W of the Labor Code, for the Performance of to mark for which this pcmit is issued. 0 1 haw and will mainland Workcrk Compnaado. Imurence, as acquired by Smeon 37WoflW Labe Cede, for the pr(omaace of the work for which thisp.it I, issued. ' My Warkefa Compensation Women artier and policy number are: C� Carrier. '/Y l7sa`Y bS Policy No.: / 7% I T CERTIFICATE OF EXEMPTION FROM WORKERS' STr4%E ,Q,,�ACOMPENSATION INSURANCE Mals semlon need ona be complamd athe petit i, foap to ndrtd dollen (sio0) or leu) I certify that in the pvromance Of tW work fm which this permit is issued. ) slail rot c.TPlay any perp. In an, ma11Mr as as to bccounc subject to the Wmlacrs' Carepemadaa Laws of Califomia Dam APpEant NOTICE TO APPLICANT: If. after making this Cc tifsate of Exemption. you Nauld become subipt m the Wcrku'a Compmation Previsions of the labor Cade- you most roMwith comply with such pmvitloru Or this petit Nall W deemed! evened. CONSTRUCTION LENDING AGENCY 1 bemby affirm thu Vert I.. cem usom. lending agency for the prromance a the work for whim this permit Is issued (Sec- 3097, Civ, C-) Under, Nam: Lcodefe Addmas I certify that I baro mad W, application and sum tan the aWw information r comm 1 Agra Le comply with all city and county o dmances and sou laws relating to Wilding comm action, and hereby aushar m rtprtsenuuws of this city to now upon tW above-mentioned property for impection purposes (We) agree to acro, indemnify and keep homeless We City of Cupnino Maim, liabilites, judgment, costs and expenses which may in any way accrue Maim, said Cy in consequence of the granting or this panic APPLICANT UNDERSTANDS AND WILL MPLY WITH ALL NON-POINT SOUkCE$EOULATIONS. / Issued by; Date r� . q Re-roofs ahgamsre ofApplinn nuacmr 77 , Date H RDGus hy1'rER1ALs DISCLOSURE Type of Roof Will dm apPliant o forum Wi ding Oceupant some or, budk haurdom material as defined by ton Cupnihm Municipal Code. Chapter 9. 12. and the Health and Safely Cale. OYoaon 23532(x)? ISNa All roofs,shall be inspected prior to any roofing material being installed. Will the applicant or future Wilding occupant use crhmpmeel Or devices which If a roof is installed without first obtaining an inspection, I agree to remove emit h-smims air canlamimmLS as dicimaE by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yon No I here mad the Nramos s materials rtgairmem munder Chapter 6.95 ofthe Califor. err Real"SafetyCodc. Soctio s 25505.25533 and 25534.1 utdaawd Ns, it the pudding ' don tot cumndy have ofit. thu it es my mspmibilih tiry tc asupanl of the mgeirtNnwn Wmelparmssa Ra araT e Signature of Applicant Date All roof coverings to be Class 'n' or better , owne,mmthmined.gem Dam' • 3 ITEMS OF 3 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 31635004.00 DATE ISSUED.......: 07/14/2008 -- RECEIPT #.........: BS000005456 REFERENCE ID # ...: 08070087 SITE ADDRESS .....: 19665 MERRITT DR SUBDIVISION ....... CITY CUPERTINO IMPACT AREA ....... OPERATOR: patg COPY # : 1 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT 0 AMOUNT REFERENCE NUMBER --------------- -------------------- 82.08 VISA --------------- 82.08 OWNER .............. VERONICA LAM ADDRESS ..........: 19665 MERRITT DR CITY/STATE/ZIP ...: CUPERTINO CA, 95014-2437 RECEIVED FROM ....: CALIFORNIA SKYLIGHT CONTRACTOR .......: TERRY KIYAMA LIC # 26844 COMPANY ..........: CALIFORNIA SKYLIGHTS ADDRESS ..........: 2250C PARAGON DR CITY/STATE/ZIP ...: SAN JOSE, CA 95131 TELEPHONE ........: (408)866-6759 • FEE ID ---------- UNIT QUANTITY ------------- ---------- AMOUNT PD -TO -DT THIS REC NEW BAL 1BSEISMICR VALUATION 2,800.00 -------------------- ---------- 0.:50 0.00 0.50 ---------- 0.00 1EPERMITFE 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 ---------- ---------- 82.08 0.00 82.08 ---------- 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT 0 AMOUNT REFERENCE NUMBER --------------- -------------------- 82.08 VISA --------------- 82.08 RECEIVED BY: PATRICIAG • TODAY'S DATE: 07/14/08 TIME: 13:18 1 BUSINESS LICENSE TAX CREDIT CARD • • CITY OF CUPERTINO RECEIPT NUMBER: BS000005457 PAYOR: CALIFORNIA SKYLIGHT REGISTER DATE: 07/14/08 CALIFORNIA SKYLIGHTS26844 TOTAL DUE: $110.00 REF NUM: VISA TENDERED $110.00 $110.00 ---------------- $110.00 CHANGE $.00 • • • CITY OF CUPEkTINO CITY OF CUPERTINO GENERAL BUILDING PERMIT APPLICATION FORM Ot O7 u I DO APN # 2 2 / OCA L (i C� ( J Date: 7� j / Building Address: I 66.5 80�klTi Mailing Address (if different from building address): i Owner's Name: IJc7e-oro/c6 Phone #: Contractor: Phone:8%�9 C14&1Po1 Jeri Ste` L 16i S Fax: S Contractor License Cupertino Business License #: Contact: r/ •� � f� � %1-^�1 h1 Phone: ('tfog� iL�d —677 - Fax: Residential Commercial ET Job Description: jec) > moo P Building Permit Info: r Bldg❑ Elect F Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: 1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV -HT, V -B er n \`-- Valuation: ` �'az� Square Footage: r Project Size: Express Standard ❑ Large ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it to the application or if applicable, include in plan set & the sheet index. Points Achieved: For help, contact Build it Green at www.builditereen.oru . Revised r7/ a CUPEkTINO CITY OF CUPERTINO GENERAL BUILDING PERMIT APPLICATION FORM Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM 1BBOILERI For the installation or relocation of ea M boiler/compressor to & including 3 horsepower, or ea absorption sys to & incl 100,000 Btu/h (29.3kw) 1BBOILER2 Installation /relocation of ea M boiler/compressor over 3 horsepower to & incl 15 horsepower, or ea absorption sys over 100,000 Btu/h 1 BBOILER3 Installation/relocation of ea M boiler/compressor over 15 horsepower to & incl 30 horsepower, or ea absorption sys over 500,000 Btu/h to & incl 1,000,000 Btu/h 1BBOILER4 Installation/relocation of ea M boiler/compressor over 30 hosepower to & incl 50 horsepower, or for ea absorption sys over 1,000,000 Btu/h to & incl 1,750,000 Btu/h 1 BBOILER5 Installation/relocation of ea boiler or M refrigeration compressor over 50 horsepower, or ea absorption sys over 1,750,000 Btu/h 1 BAPPLOTH For ea appliance or piece of equip M regulated by this Code but not classed in other appliance categories, or for which no other fee is listed in this code. 1 ELECINSP Other Electrical Inspections (per hour) E 1MECHINSP Other Mechanical Inspections (per M hour) 1PLMBINSP Other Plumbing & Gas Inspections P (per hour 1MEETINGIHR Application Meeting B n • a 'M CIN of • CUPEkTINO CITY OF CUPERTINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1GENCOM ACOUSTICAL REVIEW IAC.OUSFDW SFDWL/Duplex New B IACOUSRESAD SFDWL/Duplex-Addition/Alteration B 1ACOUSCOM Multi-Family/Commercial B CHIMNEY'S I CHIMNEY Chimney B 1 CHIMNEYR Chimney Repair B FENCES I FENCE>6FT Non -masonry, over 6 ft in height B 1FENCEMAS>6 Masonry, over 6 ft in height B FIREPLACES IFIREPLMAS Fireplace Masonry B 1FIREPLFAB Fireplace Pre-Fabricated/Metal B IFLAGPOL>20 Flag pole (over 20 ft in height) B 1MODUSTRU Modular Structures B FOUNDATIONS I FOUNDREP Foundation Repair B IPILECAST Pile Foundation Cast in place concrete B IPILEDRIV Pile Foundation Driven (steel, pre- stressed concrete B 3 of 5 CITY OF CUPEkTINO CITY OF CUPERTINO GENERAL BUILDING APPLICATION FEE SCHEDULE 0 Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1GENCOM RETAINING WALL(CONCRETE OR MASONR 1RETSTN Standard (up to 50 ft) B IRETSP310 Special Design, 3-10' high (up to 50 `) B 1RETSP10 Special Design, over 10' high (up to 50') B 1RETCRB< Gravity/Crib Wall, 0-10'high (up to 50 ft) B 1RETCRB> Gravity/Crib Wall over 10' high (up to 50 ft B SHED -(EACH) Shed Over 120 sq ft B SIDING 1 SIDESTBK Siding, Stone & Brick Veneer (interior/exterior) B 1 SIDEOTHER Siding all other B SKYLIGHTS 1 SKYL<10 SF Skylight less than 10 sf B 1 SKYL>10SF Skylight greater than 10 sf or structural B 1STAIRS Stairs -first flight/ea addt'l B STORAGE RACKS 1 SRACKS<=8 Storage Racks 0-8' high (up to 100 sf) B 1 SRACKS>8 Storage Racks over 8' high (up to 100 st) B 4of5 n U i, , Ss, C17r OF • CUPEkTINO CITY OF CUPERTINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1GENCOM 1STUCOAP Stucco Applications (up to 400 sf) additional stucco application B 1 WINREP Replacement windows/sliding glass door ea 8 windows B 1WINMEWSTR New Window -structural shear wall/masonry includes plan ck fee B / IEPERMITFEE Electrical Permit Fee E 1MPERMITFEE Mechanical Permit Fee M 1 PPERMITFEE Plumbing Permit Fee P 1 ELCPLNCK Stand Alone Electric Pln Ck (hourly) E IMECPLNCK Stand Alone Mechanical Pln Ck (hrly) M 1 PLMBLNCK Stand Alone Plumbing Pln Ck (hrly) P I STPLNCK-(3 Hr Min when not over counter) Standard Plan Check (when no E/M/P) hourly -stand alone B i 1BSEISMICR Seismic Residential B IBSEISMICO Seismic Commercial B ITRAVDOC Travel & Documentation B IBUSLIC Business License B 5of5 • E Plan Review Process Work Book Page -12-Revised 3125/08 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 oints C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 points D. Structural 3. Uses Wood kJoist, (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. Eneigy Star Refrigerator, (Note/Spec. A-3 1 point P. Other 1. List Green Features on Plans A-1 1 point MOMMEAMM TOTAL POINTS 40 points • E Plan Review Process Work Book Page -12-Revised 3125/08 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 65%=1 point, 75%= 2 points; 80%= 4 points up to 4 Resource 2. Salvage Reusable Building Materials 4 Resource pts y_ 3. Remodel for Mixed Use, Adaptive Reuse, and • Historic Preservation 4 Resource pts y_ 4. Protect Native Soil 2 Resource pts y-- _5. 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-- =8. 8.Design Resource -Efficient Landscapes and Gardens 4 Resource pts y= 9. Reuse MaterialstUse Recycled Content Materials for Landscape Areas 2 Resource pts y= 10. Install High -Efficiency Irrigation Systems 2 Resource pts y= 11. Provide for On -Site Water Catchment / Retention 2 Resource ots 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 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 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 IJoists 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 yryes 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 12. Use OSB a. Subfloors 1 Resource pt y=yes b. Sheathing 1 Resource pt Y --yes 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 • 1. Install Energy -Efficient Windows 2 Energy pts • a. Double -Paned 1 Energy pt b. Low -Emissivity (Low -E) . 2 Energy pts c. Low. Conductivity Frames 2 Energy pts 2. Install Low Heat Transmission Glazing 1 Enerav of J. Heating Ventilation and Air Conditioning 1. Use Duct Mastic on All Duct Joints 2 Energy pts y=yes 2. Install Ductwork within Conditioned Space 3 Energy pts y=yes 3. Vent Range Hood to the Outside 1 IAQ/Hea@h pt yeses 4. Clean all Ducts Before Occupancy 2 IAO/Health pts y=yes 5. Install Solar Attic Fan 2 Energy pts y=yes 6. Install Attic Ventilation Systems 1 Energy pt y=ye< 7. Install Whole House Fan 4 Energy pts y=yes B. Install Sealed Combustion Units 5 IAO/Health pts y=yes a. Furnaces 3 IAQ/Health pts y=yes b. Water Heaters 3 IAQ/Health pts y=yes 9. Replace Wall -Mounted Electric and Gas Heaters with Through -the -Wall Heat Pumps 3 Energy pts y=yes 10. Install 13 SEER/11 EER or higher AC with a TXV 3 Energy pts y=yes 11. Install AC with Non -HCFC Refrigerants 2 Resource pts y=yes 12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace 2 Energy pts y=yes 13. Retmfit Wood Burning Fireplaces 10 Energy pts y=yes • a. Install EPA certified wood stoves/inserts 1 IAQ/Health 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 IAO/Health pts y=yes 16. Install Heat Recovery Ventilation Unit (HRV) 5 IAO/Health pts y=yes 17. Install Separate Garage Exhaust Fan 3 IAQ/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 2. Install Overhangs or Awnings over South Facing Windows 3 Energy pts 3. Plant Deciduous Trees on the West and South Sides 3 Enemv ots • it CITY OF 40:UPEkTINO • Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax(408)777-3333 Building Department JOB ADDRESS: 466-1r PERMIT # bk-v % c) 0k OWNER'S NAME: PHONE # aP A - GENERAL CONTRACTOR: FAX # I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information - Oiler/Co actor Signature 2/- SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical? Ec Q 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 Oiler/Co actor Signature 2/- to