08020085 CITY OF CUPERTINO
BUfLDtIlt6 DIVISION PERMIT +'CO ITI2A.GTCIR INT(?I.iMAI NN .
BUII.p81ilr PARISH PL PERMIT NO.
111U11 //l1 ALL VALLEY ,PLUMBING 08020085
NER'S NAME: PERMIT L$TIEDATE
GERALD WONG 3345 SELDON CT 02/13/2008
PHONE: SANITARY NO. CONTROL NO,
ARCHITECT/ENGINEER: BUIMINO mRMrr INFO
WTR HTR REPLCMNT BLDG ELecr mums MECH
3m
o
mLICENSED under
rSDECons of CON
(y 1ion7 ).1' Nat1,3IkeeBuinssprovi.lansof Chapter9(commencing IOW Description
with Section and
viilan7a(Ute Business and Prafcssiou Code,end myliccueis
^ in full fame and offal
G ? Date lY
Clue .d
Dau
2 / r5A Can
DEC
ARCHIThe TS DECLARATION
O I understand nJ my plena obeli used as Public rtcnNa "
k Ltcmtsed Professtoul
y7 3
OWNER-BUILDER DECLARATION
i<E 1 hereby eRm..I em exempt from the Contractors on LiAny C Law fur the
O O follwhich ng moon.(Section 7031.5,Business mar. and me,do nu Cale;Any city as county
'�$ which coquina a permit re cnr a the alar,nttf r such
h permit
i or e a sig ed summit,xi loiarbiu Issuance.also mgothe pmvisllic.t far sahaCuh`s fileasUwhchument
< Nu he is ScodnlloUu fDiviauofofthoB sinessslJmuclaw Cha tcr9 S Ft. Floor Area
x�o n P ( p q. Valuation
(eommembgwith SeNm 7011))ofDiasisfr th alleged
exa pt Professions Code)or
ed— Nn o us exempt themrrom.d the bur it the alleged e.mant W Any l Penalty
or
Senact one man five
burybred dam for a permit subjects thn applicant b a civil penelr of
oat come th.0w hundrW dollus(5300). Y APN Number Occupancy Type
❑I....or of the propmsy,or my employees with wages as Uteh sole compumem.,
will do the work,and the structure is not intended oroRered for sale(See.7014,Business
and Profesilo.Code:The Qnehn'bra License Law does rot apply to.owner of Required Inspections
Property wM bui ldm or imprum thereon.and who does such work huuelf w Uuough his
own employees,ptovmcd that such improvements w not intended ore@red for sale If. -
however,Ne building or heir rowmCut is sold within one Year of completion,the owner-
builder will haw the burden of proving that has did net Wild or improve for purpue of
sale.).
has owner of the property,am exclusively contracting with licensed contractors to
ecutmct the project(Sec.7014,Business and Professions Cade:)The Comuacmr's U.
come law does not apply in an owner of property who builds or Improm thimem,ad.
wlm cantruv for such gojecu with.ContracbrtU Bansed pusuant to Ute Conmances
License law.
❑l
Can uempt under See ,B&P C for this moon
40 rte Data
WORKERS COMPENSATION DECLARATION
1 hereby AM=under Penalty of perjury one of the following dnclaradou:
❑1 have and will maintain a Ceniftace of Consent to self-iuum far Workees Comport-
scion,u provimm for by Section 37M of the War Code.fm the performutm of the
work for which this pmnit is Issued
❑1 new and will maintain Worker's CDmPenNon Insurance,as roquired by Section
7700 of the labor Cork,for the perform."of Ute work for which this permit is Issued.
MY Wo ompencem.ktsorana carrier and Polity number am:
Carrier Policy No.:
CERT CA OF EXEMPTION FR OM WO RKEP"L
COMPENSATION INSURANCE
or le.)(nds mini raeeE WE no cumplcted If the Permit Is far oro tri med dooms,IS 100)
1 certify that In the Perfommust of the work for which this Permit is issued.I shall not
cmPloy any Perm.I.my manner m.to become subject in the Wmken'Coommindon
Laws of California.Dole
Applicant
NOTICE TO APPLICANT:If,after making this Cenifeate of Exemption,you should
become subject or the Warkeh ComPeukdon provisions of the labor Code you man
.J 0 forthwith CmmPIY with such prbe
provisions m this polmit Nell famed nrvoked.
z 51 CONSrRUMON LENDING AGENCY
y
[—r 1herebyRim that them l...onsSmleading agency for the performance of
C.�. Ute woh far which this permit 4 issued(Sm.J030 97.Civ.C)
W Q
LendeeitName
Luoler
] z enddh Address
t.)Q I aNfy that I haw read lids application and m e con the above Information r
Comcl 1 alms b Comply with all City and county Ordinance and lute laws relating to
.0 btrdmgcmmmctionaM hemby mtW*C repr.enutim of thus City to enter mann the
ahow-m,judgm Property far imp amamsccon puryoses
(We)agree to ssw,indemnify and keep hamlen the City of Culmnino against
sr y incom ilmsuC Of
nsu.d expmueswhich may In any wyemue against mid City
U z m consequrnce of du granting of this permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCES
big....or C 1 011ie Re-roofs
S
te
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
WIII y t e Colt ui(mum building e.Chaps emus or and the HeaNuus material
rk0ud io the CupeNno Municipal Cork,Chapter 9.11,end the Health and Smery
Section 255J1(q?
❑res Sir.- All roofs shall be inspected prior to any rooting material being installed.
Will the applicant or future building occupant use cqulpmcnt or devices which If a roof is installed without first obtaining an inspection,I agree to remove
cane,¢TaNnm air conumiunu n defined by the Bay AmAir Quality Management all new materials for inspection.
❑y.
1 have mW the ha.Nne,materiarrequimments under Chapurf.95 of the Califor-
maH.lih&Smfcty Code Seedmu25305,23533em125534.1unrknwdUmifUe building
dm cot cumndy how a tensa,thol h r my ma mosiMliy b notify the mzmM,of the
mquimmcnuw ' FrorInissuanceofaCertificate ofOccup ry. Signature Of Applicant Date
f
Owner or nth cagent D.11 All roof coverings to be Class"B"or better
CITY OF CUPERTINO 009 00k5
WATER HEATER
amk
On or
OCUPEkTINO PERMIT APPLICATION FORM
------------------
i Date:
APN
' BuildiriL, Address:
Phone
Owner's Name: I
phone r, SSU -
Fax
Contractor State 1--icense
Cupertino Business License
Phone : z3b
Contact----
�Ttntact
14
1 CY b re PG
Fax. #:
Badding Pei lit Info:
Mech "tel�
Bl Elect 1 Plumb
d
Residential Commercial
Job Description:
Strapped 'Lv"'�fln Platform Bonded Location RePlacerne
n'
U
-VaTuation:
Green Building Check Must De completed and attached to this. application.
•
s achieved:
Green Building Point
CITY OF CUPERTINO
La- WATER HEATER
F
CUPEII;TINO PERMIT APPLICATION FORM
Quantity Fee ID Fee Description Fee Permit Type
Grou
IPCWHEATR Commercial Water B PCWHEATR
Heater/Vent
1BSEISMICOM Seismic Commercial B
1PRWHEATR Residential Water B PRWHEATR
HeaterNent
t 1BSEISMICRE Seismic Residential B
\� 1PPE RMITFEE Plumbing Permit P
iTRAVDOC Travel & B
Documentation
1BUSLIC Business License B
• CITY OF CUPERTINO
4 ITEMS OF 8 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 31644017 . 00
DATE ISSUED. . . . . . . : 02/13/2008
RECEIPT #. . . . . . . . . : BS000003931
REFERENCE ID # . . . : 08020085
SITE ADDRESS . . . . . : 10171 PARISH PL
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : GERALD WONG
ADDRESS . . . . . . . . . . : 10171 PARISH PL
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2216
RECEIVED FROM ,— . : ALL VALLEY PLUMBING
CONTRACTOR . . . . . . . : MARY SANDBRINK LIC # 23015
COMPANY . . . . . . . . . . : ALL VALLEY PLUMBING
ADDRESS . . . . . . . . . . : 3345 SELDON CT
CITY/STATE/ZIP . . . : FREMONT, CA 94539
• TELEPHONE . . . . . . . . : (510) 376-4816
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- -- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 375. 00 0 .50 0. 00 0.50 0. 00
IPPERMITFE FLAT RATE 1. 00 40 .79 0. 00 40.79 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
---------- ---------- ---------- ----------
TOTAL PERMIT 106 .56 0. 00 106 .56 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
---------------- --------------- --------------------
CHECK 213 .12 #8479
---------------
TOTAL RECEIPT 213 .12
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
518 WATER HEATER
•
Singie Family GreenPoint Checklist dater Build ItGreerf
The GreanPoint Checklist is based on the various green features Incorporated Into the home and Is the Smarr Solutions From Me Ground Up
basis for the GreenPoint Rated program.A home can be considered green It it fulfils the prerequisites,
Sams a least 50 points,and meets the minimum points per mlego:y,Energy(30),Indoor Nr Quality/
• Health(5),Resources(6),and Water(9).Please contact Build It Green for a Ilst of qualified GreenPoint
Raters If you are interested in pursuing third-party verification. i
The green building practices listed below are described in the New Home Construction Green Building
Guideline,evalable at www.bulldhoreen.proiz
IS 1
Ic
's a s,o- E w c
U G
.A SITE — - - Points Available Pei Measure I
1.Protect Topsoil and Minimize Disruption of Existing Plans 6.Trees
❑ a.Protect Topsoil from Erosion and Reuse after Construction-
❑ h.Mmtt and Delineate Conslmctim Footprint for Maximum Protdo on 0 _
I ❑ 2Derorrstreq lmfmd of Demolishing Exerting Buildings On Sit I o I 3
3.Recycle Job Site Construction Waste(including Green Waste)
❑ a.Minimum 50%Waste Diversion by Weight(Recycling or Reuse)-necuir=d D R
❑ b,Minimum 65%Diversion by Weight(Recycling or Reuse) 'D
❑ c.Minimum 6o%Diversion by Weight(Racying or Reuse) -
4.Use Recycled Content Aggregate(Minimum 2556)
❑ a.Walkway and Driveway D
❑ b.Roadway Base
ToW Points AvallaMe in Site 12 p
Is.FOUNDATION I Points.Available Per[Assure
1.Replace Portland Cement in Concrete with Recycled Flyesh or Slag
❑ a.Minimum 20%Mynah or Slag _ D t
❑ b.Minimum 25%Flynn or Slag '"
00
2 Use Frost-Protected Shallow Foundation In Cold Areae(GE.C.Climate Zone 16) 0 I 3
❑ a.Use Ration Resistant Construction On At-Risk Locations Only) 0 1
4.Design and Build Structural Past Control
❑ a.Install Termites Shields&Separate All Eeariie Wood-toZonorma Connections W MSW or Pl.sflc F 1 ND''d _ 0
D.All New Plans Have Trunk Base,or Stem Located At I east 36 Inches ham Foundation g
Total Points Avallaola In Fou a] D
C.LANDSCAPING
Points AvailabL Per Measure 1,
1,Construct Resourco-Effieient Landscapes I
• ❑ a.No Invesive Species Listed by CaHPC Are Planted 0
❑ 6.No Plant Species WiII Require Hedging D I ] I
El C.75%of Plants Are DrouAh4toleranl Califomie Natives,Mediterranean,or Other Appropriate Species p
❑ Z Use Fire-Safe Landscaping Techniques D 1
3.Minimize Turf Arees in Landscape Installed by Builda
❑ s.All Turf Will Have a Water Requirement Less than or Equal to Tail Fescue(50.6 plant fai, p ]
❑ b.Turf Shell Not Be Installed on Slopes Exceeding 10%or in Areas Less than 6 Feet Wide "-
❑ c.Turf is 933%of Landscaped Area(toed 2 points) 0 I ]
❑ J.Tud Is 510%of Landscaped Area(Iola 4 points)
❑ 4.Plant Shade Them D I 3
❑ 5.GroupPlans by Water Needs Hydrozoning) g
6.Install High-Efficiency Irrigation Systems
❑ a.System Uses Only Low-Flow Drip,Bubblers,or Low-flow Spnni DI i
❑ b.System Has SwanConspnars ._3.
Iln ,,Imre Two Inches of Compost in the Top 6 to 12 Inches of Soil 0 3
❑ e.Mulch All Planting Beds to the Greater of 2lnches or Local Water Ordinance Requirement p 2
9.Use 50%Salvaged or Recycled-Content Materials for 50%of Non-Plant Landscape Element 0 1
10.Reduce Light Pollution by Shielding Fuiurm andlor Directing Light Downward 0 1�
Toed Pains Available In Undsapin =31 0
D.STRUCTURAL FRAME&BIIII.DING ENVE[APE nit Available Pet Measure
1,Apply Optimal Value Engineering
❑ a Place Rafters and Studs at 24-Inch On Center Framing 0 _t_
❑ h.Size Door and Window Headers for Load D 1
❑ c.Use Only Jack and Cripple Studs Required for Load D � -3
Z Use Engineered Lumber
❑ a Beams and Headers - x ;
D _i 7
❑ b.Insulated Engineered Haadars
❑ c.Wood I Jests or Web Trusses for Floors
E] it.Wood Wass for Roof Rafters .0
pD
❑ e.Engineered or FlngraWnImad Studs for Venial Applications _
❑ L Oriented Strand Board for S all an p
❑ 6.Oriented Strand Board for Well entl Roof Sheathing g Q
3.Use FSC-Cerdfi%d Wood 1
❑ a Dimensional Lumber,Studs and Timber Minimum 40%
• ❑ b.Dimensional Umbar,Sti and Timber.Minimum 70%
❑ c.Papal Products:ldinimum 40% 0 -'
❑ /d.Panel Products:Minimum]0% - 0 -
C
02D07 Build It Green Single Family GreenPoim Checklist 2007 Version Page 1 of 4
• 4.Use Solid Well Systems(Includes SIPS,ICFs,d Any Non-Stick Frame Assembly)
❑
H.Floors
❑ b.Walls 0 2
❑ c Hoot --o .Z ...
S.Redux Pollution Entering the Home from the Garage
❑ a.Tightly Sesl the Air Barrer between Garage and Living Area
❑ h.lnstall Garage Exhaust Fan OR Build a beached Game
6.Design Energy Heel.on Trusses(75%11 Insulation Heightat Otradde Edge of Exterior Watt) 0 1 1
❑ 7.Design Roof Trusses to Accommodate Ductwork 0 1
Lj B.Use Rarycled-Contain Steel Surds for 90%of Interior Wall Framing 0 1
Q.Thermal Mas Walls:"4noh Drywall on All Interior Wella or Walls Weighing more than 40 Il 0 1
10.Insall Overhang.and Guvers
❑ a Minimum 16-Inch Overhangs and Gulters _0 1 1
❑ b.Minimum 244nch Overhangs and Gutters 0
Total Points Avallable In SVucluml Building From and Envelope 351 a
.E.EXTERIOR FINISH I Poilne Available Per Meastne
F❑ 1.Use Rerytled-Content(No Virgin Pink)or FSC-CeNRed Wood Decking - 0 2
LJ 2 Insall a Rain Screen Wall System 0 2
I.Us Du:abla and Nonmmbusdble Siding Materials 0 1
4.Seed Durable end Noncombustible Roofing Materials 0 2
Total Points Available in Exterior Finish=7 0
,F.INSULATION Poi01s Available Per Measure
1,Install Insulation with 75%Recycled Content
❑ s.Walls stabler Flow 0 I
❑ ..I_
b.Callings __ . _
2.Install insulation that is Low-mi (Certified Section 01350)
❑ .a.Walls antllor Floors p i
❑ b.CaLngs
—n-3.i-sp-diDuality W Insulation Installation bolero Applying Drywall D I 1
Toal Point Malabo in Insulation-51 0
iU.PLUMBING
Points Available Per Idz5ur2
7.Distribute Domestic Hot Water Emciandy,(Maximum 7 Points)
❑ a.Insulate Hol Water Pipes from Water Healer to Khchen 0
• ❑ .Use
All Water Pipes
C
❑
C.Use Enginesretl Palatial Piping 0 i
❑ d Use Engineered Parallel Piping with Demand Coax lad Carl Loop _ 0
❑ e.Use Structured ctured Plumbing wDemand Controlled Cimulaaon Loop
❑ f,Use Central Core Plumhlnp 1 - 2
❑ 2.Insall Daly High Effieienry Toilets(DuabFlush or 51.28 gpf) 0
4
Teal Points Avallable in Plumbing-Toa112 0
H.HEATING,VENT I ION&AIR CONDITIONING _ _ Points Atailabl=_Per Measure j
❑ 1.Dsign and Insall HVAC System to ACCA Manual J,0,and S Recommendations p p
2.Insall Sealed Combustion Unite
❑ a.Furnaces
❑ b.Water Heaters
a z
' 3.Irtsall Zonetl,Hydropic Radiant Nearing with Slab Edge Insulation �
4.Insall High Ef6 slney Air Conditioning with Environmentally Responsible Refrigerants 0 1
S.Design and Insall Effective Ductwork
❑ e.Insall HVAC Unh and Dudwoa within Cordial Space 0 g I
, ❑ b.Use Duct Mastic on All Dud Jam and Seams
El C.Insall Ductwork antler Attic Insulation(Buried Ducts)
❑ It.Pressure Balance the Ductwrk System
❑ e.Protect Duca during Construction and Clean All Dumb before Occupancy 0-77 I i
fi.Insall High EKcienry,HVAC Flax(MERV 6.) 0 1
❑ 7.Don't Install Fireplace or Install Sealed Gas Fireplaces with EReienoy Rating Not Leu Than 60% 1
using CSA StandardsD
B.Insall EB othes Exhaust Systems In Bedrooms and Kitchons
E] a.a.most ENERGY STAR Salomon Fans Vented to the Outside
❑ b.All Bathroom Fans Are on Timer or Humidisat 0 I 3
❑ 'c.Install Kitchen Range Hood Vented to the Outside
9.Insall Mechanical Ventilation System for Cooling(Maximum 4 Points)
❑ a.Install ENERGY STAR Coifing Fens&tight Kits in Wing Areas 6 Bedrooms p 1 -
❑ b.Install Whole House Fan with Variable Speeds 0 )
❑
C.Autwnatcally Controlled Integrated System '-
❑ d.Automatically Conimled Integrated System with Variable Speed Control
10.Insall Mechanical Fresh Air Ventilation System(Maximum 3 Poina)
• ❑ e Any Whole House Vamla5on System That Meets ASHRAE 62.2 0 2
❑ b.Install Ab-lo-Air Heat Excnangsr that meats ASHRAE 622 p
Li 11.Install Carbon Monoxide Alarms) 0 1
Total Points Available in Heating Ventilation and Air Concitioning=30 0
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
UPERTINO
Buildin Department �1 Q
JOB/O/ MESS: /� PERMIT #DU 0A D d 0J 5
OWNER'S NAME: PHONE # - 4517 D 7, !�
GENERAL CONTRACTOR: FAX # S/D- D P
I am not using any subcontractor .
Signature Date
Please check applicable subcontra rs and complete the followin 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