08070033 CITY OF CUPERTINO
BUILDING DIV15ION PER WONTRAOTORINFQRMATION
PERMIT NO.
BU"TT/11"ITs$.�RUNE TREE LN ADVANCED PLUMBING & 08070033
OWNER'S�NASMyE: }' PERMIT ISSUE DATE
L�I.NG HULLON 18780 TUGGLE AVE 07/07/2008
NE: SANITARY NO. CONTROL N0.
(408) 777-0651
ARCHITECT/ENGINEER: BUILDING PERMM INFO
BLDG ELECT PLUMB MECH
00 LICENSED CONTRACTOR'S DECLARATION
1 lcmby affirm Jul l am licensed under provisions of Chapter 9(commencing Job Description
with Section 70110)of Division 3 of the Boatmen,and Professions Code,sed my licence is CHG FURNACE & ADD A/C UNIT
<Ou
n "'
and crtce
j z License cl Lic..
G F Deu Conutcler
n '9' RCHTTECI'S DECLARATION
� 1 understand my plans Mall be used as public secnrds
5yU
4W`n Licensemfrsd
d Poo
3 OWNER-BUILDER DECLARATION
ii I 1 nerchy affirm that I em exempt from the Contractors License Law for the,
p O following maven.(Section 7031.5,Business and Professions Code:Any city or coumy
13 f which refs.a permit m convect.alter,improve,dcm.11M,or mpaie any swnum
a y prior to its issuance,also requires the applicant forsuch permit in file a signed statement -
< that M is licensed pursuant to the provisions of the Conuacmr'sL¢nm law(Chaptc9 Sq.Ft.Floor AreaValuation
i (commencing with Section 7000)ol'Division 3 ofthc Business and Pm(ersions Cod $e)or 4000
egg Nat M u exempt therefrom and the basis for the alleged exemption.Any violation of
Section 7031.5 by arty applicant fora permit subjects the applicant to a civil penalty ofNumber Occupancy
not more dun five hundred dellan(SM 31633080 . Pane Y Type
1,u Owner of the property or my employees wit wages as their mic compensedon,
will do the work and the stroma is not intended or efleved for sale(Sec.70th,Bumma;
and Professions Code The ContracmYs License Law deaf trot appy to an ovens or Required Inspections
properly,who builds orimprov t ereon,and who does such work himself.,thmuglm his
awn employees,provided that such impmvemenu are not intended oraffemd for sale.U.
Waren,the building or improvement B mid whin.rc year of completes.due owrcr-
builder will have the bu len of proving that he did not Wild or improve for purpose of
sale.).
❑1.as owner of the property,em exciumnly contracting with licensed contractors;as
convect the project(Sec.7W.Business and Professions Cade:)The Cwuumr'i V.
come taw does ant apply W an Owner of property who builds or improv Deman.and
wine comate for such projects with a e m mends)li¢red pursuant an the Conuanors '
License Lew.
❑Iamesemptunder See ,Bg:Pcforthisreuo.
owner Data
WORKER'S COMPENSATION DECLARATION
1 herby affum under penalty O(pedcay one of the following declarations:
ve and will maintain.CardOam of Co..,to telt--imam for W.rkcr.Corrine.
sadon,as provided for by Section 3700 of use,labor Code.for the performance of the
work for which this pcmit is issued.
❑1 have and will maintain Wafers Compensation Insurance.u mquimd by Section
3700.(to labor Cost.for to performance ofte work for which this permit u hadent '
My Workers Compensation Insunme esrrim and Policy number am:
Carrier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
('this section reed wtbeconpleacd if the permit is fororc hundred dollars($100)
nr less)
I Mm(v that in due per(.rmanco of the work for which this permit is issued.(Mall net
employ any person in any msnrcr m as as xubjeca eWo n' Ompcduuon
lawsof Califomiae,Orm_
Applicant ,/L1TddCt L
NOnCE TO APPLICANT:If.after 'ng this Certificate of Exemption,you should
become..hien m to Wohers Com coronion provision.of the labor Code,you most
0 r.Mwith comply with such w
Provisions or this pewit Mall W deemed revoked.
z" CONSrRUcnON LENDING AGENCY
N
F li herby Alien JPe tem is•ed(S.ednn lending agency for to performawe of
(1i> the week for e, to perch u issued(See.309'1,Civ.C.)
0.0.� lenders Name
z lenders Address
U O 1 a ctify that I have mad this application and stsm dual the above uncross.u
Iy F' eatren.I agree m comply with LI city and county Ordinances and sate laws mlaung m
.O t.3 building construction,and hereby suthOrica mpmsanuuv of duo city to now upon Jc
[37 show-mcnu.rcdpmpertY for Inspection which may
Ey (We)agree to sew,indemnify and yeti,harmless the City of Cupertino against
"h incartiamence cnts.catuand g espensawhich may in any my accrac against said City
V z A APPLICANT
of ft UNDERSTANDS
of this D WILL
r. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE REGULATIONS. '"�
_ Z'Z" S�!lLary/ '>/7//Q? Re-roofs
Signature of ApplieanuC DataHAZARDOAft1)O US MATERIALS DISCLOSURE Type of Roof Jas/
Will the applicant or futureni ipal Co occupant core m handle Health mmacrial
es defined io duh 32(s)Cupertino Municipal Code.Chapter 9.13,and the Health and Safety
Cohn.Section z5s3z(.)?
0y. �Ne All roofs shall be inspected prior to any roofing material being installed.
Will rim applicant or comm building oceupant use equipment or device,which If a roof is installed without first obtaining an inspection,I agree to remove
it Wolmous At c.ntamiwmu as&I'med by the Bay Ansa Air Quality Management all new materials for inspection.
District? P
❑Yes XNo
1 haw mad due�wsmauriab mquimmants underLhapm6.95 oftheCalifw-
nia Hcalt d:SaratyCade,S cd=2.5M5,35533 and 3,534.1 u&onand tallfthe building r
Was not currently have a.nam.Nal it is my responsibility b notify Je occupant of due
requirements which must W,met prior w i of s Coni icam of Ocwpawy.
.�� Signature of Applicant Date
Owner or and ovcd.gent D m
All roof coverings to be Class'%¢"or better
CITY OF CUPERTINO
. 6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 31633080 . 00
DATE ISSUED. . . . . . . : 07/07/2008
RECEIPT # . . . . . . . . . : BS000005345
REFERENCE ID # . . . : 08070033
SITE ADDRESS . . . . . : 10439 PRUNE TREE LN
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : LING HULLON
ADDRESS . . . . . . . . . . : 10439 PRUNE TREE LN
CITY/STATE/ZIP . . . : CUPERTINO, CA 95050
RECEIVED FROM . . . . : XIANSHANG LI
CONTRACTOR . . . . . . . : XIANSHANG LI LIC # 24013
COMPANY . . . . . . . . . . : ADVANCED PLUMBING & ELECTRIC
ADDRESS . . . . . . . . . . : 18780 TUGGLE AVE
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
TELEPHONE . . . . . . . . : (40,8) 77770651
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- --- - ---------- ---------- ----------
IBSEISMICR VALUATION 4, 000 . 00 0 . 50 0 . 00 0 . 50 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
IMRRAA UNITS 2 . 00 122 . 38 0 . 00 122 .38 0 . 00
12PERMITFE 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 286 . 04 0 . 00 286 . 04 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 286 . 04 VISA
---------------
TOTAL RECEIPT 286 . 04
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ----- -- --------- -------- ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL -
OF07 ° a 3 3
C}, CITY OF CUPERTINO
� 10 F
� FURNACE/AC
•CUPEkTINO PERMIT APPLICATION FORM
"# 3 / / J 2 O a O O C> Date:
Building Address: D 1
Owner
Z N e: {-4 L L 0 iq Phone 08) 3 5311
Contractor: Phone#:(to$) 01- c f-Z
XxAf� 90AN6r (Z Fax #: Q -08) 777 o65- 1
Contractor License #: Cupertino Bu iness-Licens #:
L- a,o 76J87 z4x, / 3
Contact: �q Pho #:
X7,AN5-YfnlV(T ( Z Fax#:
Building Permit Info:
Elect ❑ Plumb ❑ Mech
Residential KI Commercial ❑
Job Description:
CytG�v, 2 �1 f lliY�GILe e
For Residenflif Installations:
Attic '`
❑ 1 floor ® 2"d 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 j,age Class):
�-�� t—(
Strapped On Platform ❑ Bonded New Location ❑ Replacement
Project Size: Express ❑ Standard ® Large ❑ Major ❑
Valuation:
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
CITYCUPEI,TINO 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,absoiption 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.
IMCAPPVNT Commercial for the install/relocate/ or M
replacement of ea appliance vent
installed ¬ incl in an appliance
permit.
113SEISMICO Commercial Seismic B
IMRRAA Residential 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.
1MRSUSHTR Residential Install/Relocate ea M
suspended heater,recessed wall htr, or •
floor mounted unit heater.
IMRAPPVNT Residential for the install/relocate/ or M
replacement of ea appliance vent
install ¬ incl in -- a 1 ermit.
CITY OF CUPERTINO
FURNACE/AC
OF
•CUPEkTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1PGASRES Residential for ea gas piping system of P
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
1 MFR=<100 Furnace Syst<=I 00k BTU install or M
relocate ea forced-air/gravity type
furnace/burner, incl ducts/vents
attached to such appliance up to and
include 100,000 Btu/h
1MFRN>100 Furnace Syst> 100k BTU install or M
relocate ea forced-air/gravity type
furnace/burner, incl ducts/vents
attached to such appliance over
100,000 Btu/h
1 EPERMITFEE Electric Permit Fee E
1 MPERMITFEE Mechanical Permit Fee M
1PPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
1BUSLIC Business License g
•
CITY OF CUPERTINO
FURNACE/AC
OF
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
AIR FURN/AC
CONDITIONING
1BCAIRHAN Commercial A/C Units <= l0k CFM B
IMCRAA Commercial Mech Repair/alt/add M
1BSEISMICO Seismic Commercial B
IPGASCOM Commerical for ea gas piping System P
1-4 outlets
IPGASRES Residential for ca gas piping system P
of 1-4 Outlets
IBPGAS 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
IBSEISMICR Seismic Residential B •
IEPERMITFEE Electric Permit E
IMPERMITFEE Mechanical Permit M
1PPERMITFEE Plumbing Permit P
1TRAVDOC 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
B. Site 9. Install H.E. Irrigation, (details/spec)` L-1 72points
11. Permeable Paving, Note L-1
C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1
D. Structural 3. Uses Wood I-Joist, (See Spec.) S-2
5. Use Truss with heels, (detail) S-2
6. B. OSB Sheathing, detail S-2
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 oints
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 POINTS1 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.
INPUT Resources Energy IAO/Health
A.Sde
1.Recycle Job Site 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 Stormwater Practices 2 Resource pts yryes 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
I 1 1
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
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 pis. 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
8.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.Roof 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.Subtloors 1 Resource pt y=yes 0
b.Sheathing 1 Resource pt y=yes 0 •
1 1 1
INPUT ReSDurces Energy IAD/Health
Windows
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--yes0
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 IAQ/Health pt y=yes 0
4.Clean all Ducts Before Occupancy 2 IAQ/Health pts y=yes 7
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
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 Wall-Mounted Electric and Gas Healers 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 stoveslnserts 1 IAQfHealth pt y=yes 0
b. Install/Replace Dampers i 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 0
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=18 points) Up to 18 Energy pts 0
6.Select Safe and Durable Roofing Materials 1 Resource pt y=yes 0
7.Install Radiant Barrier 3 Energy pts y=yes .0
11 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 p
1 1 1
•
- Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
ME 11,20
CITY OF Fax(408)777-3333
�UPERTINO
Building Department
JOB ADDRESS: ERMIT #
OWNS 'S NAME: TN ( p tJ PHONE # 4=0$ 31 N x'31
GENERAL CONTRACTOR: CA FAX#
I am not using any subcontractors:
gam` 'L' 7/7
Sign"e Date
Please check applicable subcontractors and complete the followinginformation
66 SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
• Linoleum / Wood
Glass / Glazing
Heating Ow l4v/ oM e* � g-(K 1
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/Contractor tgnature Date