08060199 CITY OF CUPERTINO �. ��'3 r' %* 't'<�' ' `°'•�
BUILDING DIVISION PERMIT C�NTRACTaR II�FORI�'IATIg N' ;
a
auILDl�ugnpgR MPERMIT NO.
IRA VISTA AVE ADVANCED PLUMBING & 08060199
OWNER'S ILNAAMUE: PERMIT ISSUE DATE
Ili KAI CHI CLARENCE LAM 18780 TUGGLE AVE 06/25/2008
NE: (408) 777-0651 SANITARY NO. CONTROL NO.
ARCHITECTIENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
�O o LICENSED CONTRACTOR'S DECLARATION Job Descrl tion
w 1 Meby affime that 1 are Ikenaed under provitiona of Chapter 9(mm ecomm, P
.0 with Section 70[0 of Division3oftheBuiness and Professions Code.and htIkeveu IjPL(` I''IJRN(.` & CHNG AIR DUCT
o m "'full forte amb ett _
j ma? Licenac Con'
CFO Dalo ontrecnr
Qq uumyii All ITECTS DECLARATION
[understand my plans shall bu used as public records
JyU
It,G Licensed Professional
'a I OWNER-BUILDER DECLARATION
i<E I hereby alarm that I am exempt from the Contractor's Licenha Law for Oe
COO following mason.(Section 7031.5,Business and Pmfe cam Code:Any city or county
which requiresa permit m mandan el,slat.Improve,demoash,or minor any aroclae
prior to is issuance,alas rtquimm tbu applicant for such permit to file a sigmalalontcnl
< that he is licensed pursuant to the provisions of the Contractor's Ucenae Law(Clupter9 Sq.FI Floor Area Valuation
yH0 me
(comncimason
ng withSectionT00MofDivision3oflinBusidProfeuiomCum)ur $7000
52 that he u exempt therefrom and the beau for the alleged exentpuon My violation of
Section 7031.5 by any applicator Int a permit Rsubjects the applicant m a civil penalty of Number Occupancy
ummnmman .ansoo).andmidellara(s35702028 . Penc Y Type
I,ssownerof die pmpm"..in wploym withwagcassame'vhak7W.Buimeas
will do le woes and muwcturt is tots Lice tl W ow las.1 apply
is as Business
and Rofwah bis Code:The Contractors Comms ties docs ret appy tf•e towner of Required Inspections
propertywhos,Condo:
such improvements
m rove wbu damsmhwsi oroffeer through
usa]c his
own empleym,pmbdedthatamhimpmsemmuartnot eandW aroacred forss eent,
however,ret building or Impromnent u hath within arc you of compleuen,the owner-
builder will have the bumun of proving that he did net ddld or intimas for purpose of
loan.).
❑1.as owner of tbu property,am exclusively conuuvng with liaeaued contractors to
construct the pmjen(Sec.TOGO.Business and Prolmi,ms Code:)The,Contractor's U-
cuac Law does out appy m an owner of property who builds of improw.a theroun,and
who contracts for such projects with a contractor(s)licensed pursuant to the,Contractor's
Lim"m law.
❑lam uemptmder See .B&PCforthJemsson
Owner Date
WORKERS COMPENSATION DECLARATION
1 thereby aRtrm under penally of perjury one of dm following declarations:
I have tib will maintain a CcAfscan ofConsenl m aelf--imurt fm Worker'sCentime.
at ,ss provided(m by Section 3]00 of the labor Code.for the pertormanm of the
wart for which mus Permit is Lsamst.
❑1 have and will maintain Worker's Compensation Insurance,as mryuired by Sermon
37OO of the Leber Code,for the peRnrmance of Jn work for which this permit is issued.
My Worker's Compensation Insursnca ca ria and Polity number are:
Carrier Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This rmum need mu be completed if Has permit is forone hundred dollars(3101)
or leu)
1 terrify mat in the perf toms me of the work for which this permit is issued.l shall out
empioyanypersoninany rammer ha u bucO hje4(te time Wo rken'Comporeaion
Laws of California.Dail / (I
Applicant nlTg /w,
NOTICE TO APPUCART:If.after mato g m Certificate of Exemption,yen mould
become mbjm to the Wml ce,Compcnskdon provisions of me labor Cade,you retia
.J z feMwim comply with such provi4am u this permit shall W decmW revoked.
, �
E.i O CONSTRUCTION LENDING AGENCY
v-m Ihcrob
I.a yaRun thou there u a construction lendingagcncy for da Performance of
f>r > the work Tor which Nis permit Is issued(are.3091,Civ.C.)
CL
0 1<ndc(s Name
M z Lender's Address
U O 1 catty that 1 naw read this application and sum that the above information is
cartccL 1 agree m comply with all city and county ordinances and soon Jews relating in
OU building construction,and hereby suthodve reprtsenutives of this city to color upon the
W shove-menudgm property for inspection which may
gh. (We)agree to save,indemnify and keep harmless the City of Cupertino agaitm
Z in
once of thesarandefpenacawhich may in any way accrete againsa ssid Coy
U z A APPLICANT
of me granting of this D W IL /f
r. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date (J/
SOURCE REGULATIONS1,zL �/
��m 5` y� Re-roofs�
Sig...of ApplicanOCon r Dan
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Win me a Cupant a fumm building occupant r 9.1 and
th hsardons meariai
u de0ned io Je Cupertino Municipal Cade.Chapter 9.13,nab Ibu Health and Safely
Code.Section 25532(a)7 All roofs shall be inspected prior to any roofing material being installed.
❑Yrs BQ
Will dm a Rcam or future building occupant use equipment If a roof is installed without first obtainingan inspection,I agree to remove
pp B p q pmcnr or JMana which P
mit haartlnns vire conumimnta ss coined by the Bay Arta Air(gmWily Management all new materials for inspection.
District?
(]Yrs Rion
1 have real the huudaus emoluureguiacmreuundcr Chapin 6.95 fthe Cslifm-
hixHealth&Safety Cade,Scourers 25505,25533 and MIX I understood manure building
duns out currently have a imam,that it is my responsibility m notify the memos,of the
requirements which musitm 1pnotrurmuanmofacenint itnrampamy./,� Signature of Applicant Date
5�ti 6/
Owner or mmamcd am Dole All roof coverings to be Class'%ts'or better
CITY OF CUPERTINO
• 6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: pdtg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 35702028 . 00
DATE ISSUED. . . . . . . : 06/25/2008
RECEIPT # . . . . . . . . . : BS000005211
REFERENCE ID # . . . : 08060199
SITE ADDRESS . . . . . : 10240 MIRA VISTA AVE
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : KAI CHI CLARENCE LAM
ADDRESS . . . . . . . . . . : 10240 MIRA VISTA RD
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : XIANSHANG LI
CONTRACTOR . . . . . . . : XIANSHANG LI LIC # 24013
COMPANY ADVANCED PLUMBING & ELECTRIC
ADDRESS . . . . . . . . . . : 18780 TUGGLE AVE
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
TELEPHONE (408) 777-0651
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
IBSEISMICR VALUATION 7 , 000 . 00 0 . 70 0 . 00 0 . 70 0 . 00
1EPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
1MPERMITFE FLAT RATE 1. 00 40 . 79 0 . 00 40 . 79 0 . 00
1MRRAA UNITS 1 . 00 61.. 19 0 . 00 61 .19 0 . 00
1PPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
ITRAVDOC FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 225 . 05 0 . 00 225 . 05 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 225 . 05 VISA
---------------
TOTAL RECEIPT 225 . 05
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
•
oeo of 9 9
CITY OF CUPERTINO
lciltifFURNACE/AC
•CUERTINO PERMIT APPLICATION FORM
APN # 2, ! �o� U� O U Date: rot 5-/O 0
Building Address:
OZ i1Y i +m R-V
Owner's Name: Phone#:
k i- x cL"em a- (A4V� LKS 316 26
Contractor: Phone#: 41-0 8 8�8 d A tpl
xlA►)s,TAA Z
Fax #: 40S �-7 -7 o6r; 1
Contractor License #: Cupertino Business License#:
Contact: Phone#:
/«NluSr( �j�� Z Fax #: 7QI6S'I
Building emut Info:
Elect [. Plumb [� Mech
Residential Commercial ❑
Job Description:
For Residential Installlations:
Attic ls` floor ❑ 2nd floor ❑
Adhere to minimum setback requirement ❑
For Commercial Installations:
Replacement same weight ❑ Additional weight (structural calcs) ❑
Structural Calculations required for new installation ❑
New installation Planning Approval Required ❑
Cost of Project:. Type of Construction (Usage Class):
� 70-" e —Zo
Strapped El On Platform ❑ Bonded ❑ New Location ❑ Replacement
Project Size: Ex ress Standard ® Large ❑ Major ❑
Valuation:
I Ov71
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.
Revised 6/16/08
CITY OF CUPERTINO
' FURNACE/AC
C1 OF
CUPEkTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1MCRAA Commercial-Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by this
code.
1MCREPALT Commercial for the repair of alt/add to M
ea heating appliance,refrigeration
unit,cooling unit,VAV boxes,
absorption unit or ea heathing, cooling
absorption,or evaporative cooling sys,
incl install of controls regulated by
this code. •
1MCSUSHTR Commercial Install/Relocate ea M
suspended heater,recessed wall htr, or
floor mounted unit heater.
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
1MCAPPVNT Commercial for the install/relocate/ or M
replacement of ea appliance vent
installed ¬ incl in an appliance
permit.
1BSEISMICO Commercial Seismic B
1MRRAA Residential Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
f cooling unit,absorption unit,or ea
l heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by
this code.
1MRSUSHTR Residential Install/Relocate ea M
suspended heater,recessed wall htr, or •
floor mounted unit heater.
1MRAPPVNT Residential for the install/relocate/ or M
replacement of ea appliance vent
install ¬ incl in an —1 ermit.
CITY OF CUPERTINO
p' FURNACE/AC
• CUPEf�TINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1PGASRES Residential for ea gas piping system of P V
1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
/ 1BSEISMICR Residential Seismic B
1MECPLNCK Mechanical Plan Check M
1MFR=<100 Furnace Syst <=100k BTU install or M
relocate ea forced-air/gravity type
fumace/bumer, incl ducts/vents
attached to such appliance up to and
include 100,000 Btu/h
1MFRN>100 Furnace Syst> I 00 BTU install or M
relocate ea forced-air/gravity type
fumace/bumer, incl ducts/vents
attached to such appliance over
100,000 Btu/h
IEPERMITFEE Electric Permit Fee E
I 1MPERMITFEE Mechanical Permit Fee M
1PPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
1BUSLIC Business License B
•
CITY OF CUPERTINO
Via- FURNACE/AC
CITY OF
CUPEkTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
AIR FURN/AC
CONDITIONING
1BCAIRHAN Commercial A/C Units <= l Ok CFM B
1MCRAA Commercial Mech Repair/alt/add M
IBSEISMICO Seismic Commercial B
IPGASCOM Commerical for ea gas piping System P
1-4 outlets
IPGASRES Residential for ea gas piping system P
of 1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet. Comm/Resid
1BREMAIRHAN Residential A/C units <= 10k CFM B
1MRRAA Residential Mech Repair/alt/add M
1BSEISMICR Seismic Residential B •
IEPERMITFEE Electric Permit E
IMPERMITFEE Mechanical Permit M
IPPERMITFEE Plumbing Permit P
1TRAVD0C Travel Documentation B
IBUSLIC Business License B
•
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
a A
B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 2 points
11. Permeable Paving, Note L-1 f2points s
C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 s
D. Structural 3. Uses Wood I-Joist, (See Spec.) S-2 5. Use Truss with heels, (detail) S-2 s6. B. OSB Sheathin detail S-2 s
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. A-3 1 oint
P. Other 1. List Green Features on Plans A-1 1 point
TOTAL POINTS 40 points
•
•
Plan Review Process Work Book Page-12-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.
A.Site INPUT Resources Energy IAD/Health
1.Recycle Job'Sit e Construction&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 y--yes 0
6.Implement Construction Site Slonnwater 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 Matedals/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.---1 0
1 1 1
B.Foundation
1.Incorporate Recycled Ryash 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=yes 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 y=yes 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
S.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 0
c.Root 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 0
12.Use OSB
a.Subfloors 1 Resource pt y=yes 0
b.Sheathing 1 Resource pt y=yes 0 O
INPUT Resources Energy IAD/Health
1.Windows
1.Install Energy-Efficient Windows
• a.Double-Paned 1 Energy pt yryes 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 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 IAO/Health pt y=yes 0
4.Clean all Ducts Before Occupancy 2 IAO/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 0
7.Install Whole House Fan 4 Energy pts Y--yes 0
8.Install Sealed Combustion Units
a.Furnaces 3 IAO/Health pts y=yes 0
b.Water Heaters 31A0/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 TXV 3 Energy pts y=yes 0
11.Install AC with Non-HCFC Refrigerants 2 Resource pts y=yes D
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 stoves/inserts 1 IAO/Health pt y=yes 0
b. Install/Replace Dampers I Energy pt y=yes D
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 IAO/Health pts yryes 0
16.Install Heat Recovery Ventilation Unit(HRV) 5 IAO/Health pts y=yes 0
17.Install Separate Garage Exhaust Fan 3 IAO/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 D
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=18 points) Up to 18 Energy pts 0
6.Select Safe and Durable Roofing Materials 1 Resource pt y=yes 0
7.Install Radiant Barrer 3 Energy pts y=yes 0
I
L.Natural Heating and Cooling . 1 1
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 0
1 1 1
•
a1 Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
�UPEkTINO
Building Department
JOB ADDRESS: PERMIT #
o eL vl'sty � � 090(o 0 / 9 q
OWNER'S NAME: Z x C eM C PHONE # W09
'Z
GENERAL CONTRACTOR: FAX # ted o
I am not using any subcontractors: �it`GUn `J CU / Z 6 Z S40
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
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
•
Owner/Contractor Signature Date