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BUILDIN$ DIVISIODI PERMIT
C®I�ITRAC OR IIVF,U'RMATIQIY
BUIL ING,A DRESS:
PERMIT NO.
�ON� NOVEMBER DR
A PLUS CONTRACTING
08050199
NEW NAME:
PERMIT ISSUE DATE
KRISH & GLORIA KUMAR
383 HANS WAY
05/27/2008
ONE:
SANITARY NO. CONTROL NO.
(877)929-5524
ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
BLDGELECT PLUMB MECH
0 0 0 0
LICENSED CONTRACTOR'S DECLARATION
Chapter
Job Description
P
I hmcby affirm this 1 am licemad under provisions of 9 (commencing
wiN Suction 70(10) of Division J of the Rudnes; and Profcssimu Code, and my lam= is
REPLC GALVNZD WTR PIPE W/COPPER
in full fame mhW effec N
Littnso �I - Lac. $
Dale CSDECL LO
AR DECLARATI N
� -
Ithe.ma
1 undersand my plans Thant W used u public rucnNs
Licensed Professional
OWNER -BUILDER DECLARATION
1 Wrehy oMo. Ihot I am =xampt from me Conuxtors Liccnx Law far me
following moon. (Sudan 70313, Busia , and Pmfeasiom Cale: My city or county
which mquims a pm of to construct. alcor. improve, dcmokuh. or miss any structure
! prior to its issuance. also mquiru tM.pplium farmch permauo file. at,mAmamem
than W u licammd ro the me Contractor's uttmm law(Chapmr 9
Sq. Ft. Floor Area
Valuation
palmaal provisiml.f
$5000
(commencing with Salon 7000) of Division J of Ne Businessand Profusions Cado) or
that ho is mem n themfmm and tW hums for the siloged exemption An, violation of
Salon 7031.5 by say applium far. pemhit "bjcca the applicant o .,Ml pcnslly ofNumber
36216030.E1fpe
Occupancy
mal mom mfi
anahunhaddollars(ML
0 I, u owner of IW pmleny, a my moployces with wags u them role eompenuuon,
will da tW work. and me macwm is nolinsnded or offered tarsale (Sae. 7066, Buimss
Required Inspections
and Pmfeuians Cade Ths Comrwmis Lkcnse Law las not apply o an was of
property who builds m (op ob. theran, and wha does such wart h W xlf or though his
own employes. povisad that such improvements am rot inmnGd oreQemul fur sale If,
hwew, the building or improvement is sold within arc yew of completion, me away.
builder will have the hurdan of moving that In, did not build or improve for pugose of
sal'.).
0 1, as wrier of an, property, so exclusively contacting with licensed conuanan to
wnstrocl to pole" (Sac. 7046. Business ahM Prufa..Wns Code:) The contractors U.
.
cape law does not appy as an owner of property who Wilds or improves thereon. and
who contract, for such projects with a eomracon(.) licensed pursuant to IW Canuasures
Liceme law.
0 lam"empt Yndm Sat. ,BBPCfathisouon
mer Date
WORKER'S COMPENSATION DECLARATION
1 bcmby affirm under penally of perjury mm of to following dalaralonc
0 1 h.w end will maimam a Cemficam ofConsem o xlf-Wuca far Wman'sCompen-
salon, as provided for by Section YM) of tiro labor Cade. far me poforman o of me
work for which No Punnfl IS boon.
0 I have and will murrain Workor'. Coalmauadan Insurance, as ma u rad by Sermon
3700 of the Lamm Coo, fm are performance of the work for which this ptoth is tssuM.
My Worlme, Compensation Insurance tamer and Policy number am:
Carries Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thu xcti. band col W compleo:d if me p=mhit is faro. hundmd dollen (51007
or leis)
I certify that in the perfo.mec of the work for, which this permit is Wood. l shall not
employ any person in myth sea n at to theW d sCampcnsal.
lawsof Cali(p0ya. am
Applicant Ir4 qqts
NOTICE TO : II, a er a ong s Cem hcam�f Exempuan, you should
beeomn ..him to the Worker's Campcwtion provisions of to Lamm Coda. you rotes
forthwith comply with such provisions or this permit shall W dttmW rewkcd.
CONMUC71ON LENDING AGENCY
1 kmbY air m than mem H a consuucmm landing agency fm the perfarmamc of
the wort for which this permit Is usuad (Sec. 709?, Cir. C.)
Lender's Namc
l<ndars Andres.
1 cenify, that I have mad Itis application and sem than ma aWve mparm h n is
.ren. I .gra to cmoPly wim.11 city and court, amlnwnms and atm laws Rladng o
Wilding concoction, and hereby "maraca mpmsenmtins of this city to color upon the
abuve-ojudgm properly far pmpwhich
sx,m.om
(We) agme o caw, indemnify and keep hanaleu t, City of Capenlno against
ms
o coma and expense. which may In any way acerae against said City
in comms.nanc f m,
ofinegranting of thisD WIL
A
APPLICANT
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT
Issued by: Date
SOURCERE LATIONS. r-
/
Re -roofs
Signanum o(ApplicanUCo pram
RDOU
HAlARDOUS MATERIALS DISCLOSURE
Type of Roof
Will me.pplicturt or (Muni Wilding oc.panlan912 handle haraNausd
u dc0ned by tan Cupertino Municipal Chapmr 9.13. and the Health and Safety
War,
role, Sermon 25572(.)?
❑Yns
All roofs shall be inspected prior to any roofing material being installed.
Will ma applicant or fuwm Wilding ..spam caw cquipmem or dcviaa which
If a roof is installed without first obtaining an inspection, ection, I agree to remove
emit hazardous oar contaminants as dc0ned by the Bay Ama Air Quality Manag=m.t
all new materials for inspection.
District?
DY.,
I haw mal the hacamtus muarials mcmimmcma or &, Chapor 6.95 of tW Califor-
nia Halm d: Safcty Cadc. Sations 25505, 25577 and MN.I undcamad than ifte building
door not cuhmnty haw a imunl ma its my mspa ait,luy m ally the oawant of me
begotnaw hmustWmet r ins ccaf rm,mafa.
Signature of Applicant Date
All roof coverings to be Class'jq." or better
own=rmatmaricad as=m p,m
• 4 ITEMS OF 4
•
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ...I....: 36216030.00
DATE ISSUED ........ : 05/27/2008
RECEIPT #.........: BS000004891
REFERENCE ID # ...: 08050199
SITE ADDRESS .....: 1092 NOVEMBER DR
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OPERATOR: patg
COPY # : 1
METHOD OF PAYMENT
----------
CREDIT CARD
TOTAL RECEIPT
. AMOUNT
---------------
143.28
---------------
143.28
REFERENCE NUMBER
--------------
VISA
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
------------------ ------ ----------------------------
301 ROUGH PLUMBING 507 FINAL PLUMBING
OWNER ............:
KRISH & GLORIA KUMAR
ADDRESS ..........:
1092 NOVEMBER DR
CITY/STATE/ZIP
...: CUPERTINO CA, 95014-4130
RECEIVED FROM ....:
EDWARD L MULLINS
CONTRACTOR .......:
EDWARD L MULLINS LIC
# 25457
COMPANY ..........:
A PLUS CONTRACTING
ADDRESS ..........:
383 HANS WAY
CITY/STATE/ZIP
...: SAN JOSE, CA 95133
TELEPHONE ........:
(877)929-5524
FEE ID
----------
UNIT QUANTITY
-----------------------
AMOUNT PD -TO -DT
THIS REC
NEW BAL
1BSEISMICR
VALUATION 5,000.00
--------------------
0.50 0.00
----------
0.50
----------
0.00
1PPERMITFE
FLAT RATE
1.00 40.79 0.00
40.79
0.00
1PRREPIPE
NO OF FIXTURE
6.00 61.20 0.00
61.20
0.00
1TRAVDOC
FLAT RATE
1.00 40.79 0.00
----------
40.79
0.00
TOTAL PERMIT
----------
143.28 0.00
----------
143.28
----------
0.00
METHOD OF PAYMENT
----------
CREDIT CARD
TOTAL RECEIPT
. AMOUNT
---------------
143.28
---------------
143.28
REFERENCE NUMBER
--------------
VISA
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
------------------ ------ ----------------------------
301 ROUGH PLUMBING 507 FINAL PLUMBING
-5-(
CITY OF
• CUPEkTINO
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L
og°S7(D19 �
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
PERMIT APPLICATION FORM
APN # 2 r a J /^ J 0? O 63
�N
Fee ID
Date:
Building Address:
Permit Type
1D9 a moymber �-
r
Owner's Name:
P
Phone #:
V,r'i h i- 6.100'67 ICu07a/1--
I BPREPIPE
??Z -
Contractor:
1CPRP
Phone #: �jo2�j Ss�y
�7o
i 1q.5- Coli A-GZG� 0
Commercial Gas Piping System
1-4 Outlets
Fax #:
Contact: I A
�d ��(Cr!��//Jv
Phone #: 029 spa y
Seismic Commercial
P
`?37 z1f
IBSEISMICR
Fax#:
Contractor License #: 767 7�
Cupertino Business License #: ✓� y�
IPRSEWER
Job Description: Re /QG� Iqq t VcP ��ed
�Ge—
Residential Commercial 0
Valuation:
Green Build' g: Please complete relevant portion of the Green Building Checklist & attach it 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
I BPREPIPE
Commercial re -pipe per fixture
P
1CPRP
1PGASCOM
Commercial Gas Piping System
1-4 Outlets
P
1BSEISMICOM
Seismic Commercial
P
IBSEISMICR
Seismic Residential
P
IPRSEWER
Residential building
sewer/sanitary sewer
P
1R -PSS
CITY OF
CUPERTINO
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
FEE SCHEDULE
Quantity
Fee ID
Fee Description
Fee
Group
Permit Type
1 PRREPIPE
Residential re -pipe per fixture
P
IR -PRP
1BPWSVCS
Water Service
P
1CPWS or
1RPWS
IPPRSEWG
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
J
1 PPERMITFEE
Plumbing Permit Fee Issuance
P
1PLMBLNCK
Plumbing Plan Check
P
1PLMBINSP
Other Plumbing/gas Insp.
P
J1TRAVDOC
Travel & Documentation Fee
B
1BUSLIC
Business License
B
40
•
1J
4
u
•
Plan Review Process Work Book Page -12-Revised 3/25/08
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 Refrigerator, (Note/Spec.
A-3
1 point
P.
Other
1.
List Green Features on Plans
A-1
1 point
TOTAL POINTS
40 points
u
•
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.
INPUT Resources Energy IAQIHeafth
A. Site
1. Recycle Job Site Const uction 8 Demolition Waste
i
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. Minimize Disruption of Existing Plants 8 Trees
1 Resource pt y=
6. Implement Construction Site Stormwater Practices
2 Resource pts y=
7. Protect Water Quality with Landscape Design
2 Resource pts y=
8. Design Resource-Effcient Landscapes and Gardens
4 Resource pts y=
9. Reuse Materials/Use Recycled Content Materials
2 Resource pts
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 pts y=
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 Ener 9Y pts
y=yes
b. Wall
3 Energy pts
y=yes
c. Roof
3 Ener is
Energy
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
b. Sheathing
1 Resource pt
y=yes
1 Resource of
v=ves
1. Use Sustainable Decking Mateeals
a. Recycled content
3 Resource pts
y=yi
b. FSC Certified Wood i
3 Resource pts
y=yl
2. Use Treated Wood That Does Not Contain ChromiurrVArsenic
1 IAO/Health pt
y=yi
3. Install House Wrap under Siding
1 IAQ/Health pt
y=p
4. Use Fiber -Cement Siding Materials
1 Resource pt
y=yes
E. Plumbing
1. Install Water Heater Jacket _j 1 Energy pt
2. Insulate Hot and Cold Water Pipes 2 Energy pis
a. Faucets (1 point each, up to 2 points)
b. Showerheads (1 point each, up to 2 points)
4. Replace Toilest with Ultra -Low Flush Toilets
(1 point each, up to 3 points)
5 Install Chlnrine Filter on Showerhead
6. Convert Gas to Tankless Water Heater
7. Install Water Filtration Units at Faucets
(2 points each, up to 4 points)
8. Install On -Demand Hot Water Circulation Pump
r. ctecrncat
1. Install Compacl Fluorescent Light Bulbs (CFLs)
(6 bulbs=2 points, l0 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
Install Washing Machine with Water and Energy
roservation Features
nstall Energy Star Refrigerator
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
S. Install Recycled -Content, Fiberglass Insulation with
No 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.cemngs
Up to 2 Resource pts.
Up to 2 Resource pts.
Up to 3 Resource pts.
1 IAQ/Health pt y=yes
4 Energy pts y=yes
Up to 4 IAQ/Health pts.
4 Resource pts y=yes
Up to 4 Energy pts.
Up to 5 Energy pts.
Up to 4 Energy pts,
Up to 4 Energy pts
1 Energy pt y=ye:
1 Energy pt y=yep
1 Energy pt y=ye
3 Resource pts y=ye:
2 Energy pts
2 Energy pts
4 Energy pts
31AQ/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
E
•
•
11. Install Energy -Efficient Windows
l
3 Energy pts
a. Double -Paned
1 Energy pt y=yes
4. Clean all Ducts Before Occupancy
J. Low -Emissivity (Low -E)
2 Energy pts y=yes
2 Energy pts
c. Low. Conductivity Frames
2 Energy pts y=yes
2. Install Low Heat Transmission Glazing
1 Energy of y=yes
J. Heating Ventilation and Air Conditioning
I1. Use Duct Mastic on All Duct Joints
2 Energy pts
2. Install Ductwork within Conditioned Space
3 Energy pts
3. Vent Range Hood to the Outside
1 IAQ/Health pt
4. Clean all Ducts Before Occupancy
2 IAO/Health pts
5. Install Solar Attic Fan
2 Energy pts
6. Install Attic Ventilation Systems
1 Energy pt
7. Install Whole House Fan
4 Energy pts
8. Install Sealed Combustion Units
5 IAQ/Health pts
a. Furnaces
3 IAQ/Health pts
b. Water Heaters
3 IAQ/Health pts
9. Replace Wall -Mounted Electric and Gas Heaters with
7. Install Radiant Barner
Through -the -Wall Heat Pumps
3 Energy pts
10. Install 13 SEER/11 EER or higher AC with a TXV
3 Energy pts
11. Install AC with Non -HCFC Refrigerants
2 Resource pts
12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace
2 Energy pts
13. Retrofit Wood Burning Fireplaces
1. Pre -Plumb for Solar Water Heating
a. Install EPA certified wood stoveslnseds
1 IAQ/Health pt
b. Install/Replace Dampers
1 Energy pt
c. Install Airtight Doors
1 Energy pt
14. Install Zoned, Hydronic Radiant Heating
3 Energy pts
15. Install High Efficiency Filter
4 IAQ/Health pts
16. Install Heat Recovery Ventilation Unit (HRV)
5 IAQ/Health pts
17. Install Separate Garage Exhaust Fan
31AO/Health pts
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, 2A kw =12 points, 3.6 kw =18 points)
Up to 18 Energy
pts
(6 Select Safe and Durable Roofing Matenals !
J 1 Resource of
y=yes
7. Install Radiant Barner
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 Energy pts
0
1. Use Low%No-VOC Paint — ' 1 IAQfHealth pts y=yes
2. Use Low VOC, Water -Based Wood Finishes 2 IAQ/Health pts y=yes
F. Use Low/No VOC Adhesives, 3 IAQ/Health pts y=yes
4. Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes
5. Use Engineered Sheet Goods with no added Urea
Formaldehyde 61AQ/Health pts y=yes
6. Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes
r7. Seal all Exposed Particleboard or MDF _ _ 4 IAQ/Health pts y=yes
8. 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 pts y=yes
0
0
0
1. Select FSC Certified Wood Flooring
0
0
0
0
0
0
•
2. Use Rapidly Renewable Flooring Materials
4 Resource pts
y=yes
3. Use Recycled Content Ceramic Tiles
4 Resource pts
y=yes
4. Install Natural Linoleum in Place of Vinyl
51A0/Health pts
y=yes
5. Use Exposed Concrete as Finished Floor
4 Resource pts
0
N. Flooring
1. Select FSC Certified Wood Flooring
8 Resource pts
y=yes
2. Use Rapidly Renewable Flooring Materials
4 Resource pts
y=yes
3. Use Recycled Content Ceramic Tiles
4 Resource pts
y=yes
4. Install Natural Linoleum in Place of Vinyl
51A0/Health pts
y=yes
5. Use Exposed Concrete as Finished Floor
4 Resource pts
y=yes
6. Install Recycled Content Carpet with Low VOCs
4 Resource pts
y=ye=.
Total Points AE!able: 1401 1301 57 .
Total Points Project Received: 0 01 0
G:daWprogs/greenbuildngguidelines4emodelerslgreenpoimsf na1212.e4prolecied.xls
0