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08070189 CITY OF CUPERTINO ��,a� � -��m{.a�y�a� I"�7a�` BUILDING DIVISION PERMIT V�;\�.11L1C�d�QR�1tEFQ�TIV '� BUILDING, DpDRESS: PERMIT NO. I "Ml. RICHWOOD DR A & H HEATING 08070189 OWNER'S NAME: PERMIT ISSUE DATE SHI.VAUN PATEL 770 CHESTNUT ST 07/28/2008 ryg SANITARY NO, CONTROL NO. (408) 279-0722 ARCHfIER/ENGINEER: BUILDING PERMITINPO 'BLDG ELECT PLUMB MECH 3oa LICENSED CONTRACTOR'S DECLARATION lob Descrl tion m 1 Wary aRw That 1 use Bccd mseunder provisov of Chapter 9(enmmdncing - P with Secdou70(UJorDEvWon3ofNeBLLLIRAand PaleSYOmCndC.+M MYIke=11 RMV/RPLC FURNC, CNTRL A/C ADD ON 220 VOLT CIRCT o. in full tone and effccy f}J �'1 Z license Clue `� Lle.a q Dam r Cma. ` 7W �ARCHRECTS DECLARATION < 1 underwnd my plans shall he used u public records , - JyU ,. a c G Licensed Professional OWNER-BUILDER DECLARATION I hereby office that 1 am exempt from Ue Conusemrs License Law for de COC following reason.(Section 7031_5,Business and Professions Code:Any city or mumy $V. which mquira a permit r conare n.alcor.Improve,demWtsh,or repair any atrvmme _ii Psor m it,issuance,ales requires tie.pplicent far such Permit m file+sianol nammem CG that he Is licensed pursuant W the provisdom or the Conuastuar's License Law pChaptor 9 Sq.FL Floor Area Valuation (commencing with Scc m7dW)ofDivision3ofUeBusmasandProfessonsCode)err $7300 .- Wt he u exempt tloefamm W de buss fro,me 94M eawption.My Holaum of Sdalon 7031.5 by.my applicant for a permit subject,the applicant m+civil penalty or .Number Occupancy ret more tho five hundred dollan(M). 36908049 Pane Y Type ❑1,u sumer of die POPDnY,a my employes with wager u time sole compensstio, aid do the wart,and e:The Cm i xamintended Law does an an owner o• and ery who ns Cede:The ves macmra License v«aces ret apply 1f a owner sur Required Inspections progeny who Wildsarimprwsch impr and wW are intendedssuch imeelfo Uecal his however.ft building des snemin,is semmuartret intended recall . holder,Ue building ohnprof pmem is sold aidiinarc Wild of mmPkdm.pepose or builder will have th WNo of peeing WI k did net Wild o improv Ice purpose of sale.). 0 1,u oars a ale property.w euluswly comaning with licensed mnuactms in mnstmct the project(Sec.7014.Business and professions Code:)The Cenmesses LL . am Lew does not apply an an owner of property who Wilds or impmm,Uereo,and. who mountain for such projects with a conmx7ort0 licensed Pursuant m the Convacter S Llaomm Lew. ❑lam exempt under See ,BAPCrarthismewn Owner Due WORKERS COMPENSATION DECLARATION 41 I hcacby affirm under pentlty of perjury,one of the following declarations: 0 lnawandwillmainWaaCe riiaeofCommntmself-imusfm Workers Compere satire,u provided for by Seaton 3700 of me Lebo Code.far Ue penormartm of de wok for which this permit sec issual. Bq have and will mainuln Workers Compenssdo t letsurramec.u required by Section 37W aft Latour Code.four use performance of de work for which that permit is issued. My Workers Compensation loodam a artier and Policy n(�b(ayca�rs:� Career. =0 C41 I /t95 Polley No.:W10/,1 rmo ' CERTIFlCA OTE FTEXEhIPITON mom WORKERS' COMPENSATION INSURANCE (ibis maim need net W completed if de permit is parent hundred dodaa(SIM) or leu) 1 certify dot in the parron a of the rerk for which this,Permit It issued.L hall am employ any person in any miner so as an become subject on IR Workers'Compem+dan Law.or GallramlL Dale Applicant NOTICE TO APPUCANr.If,afar missing this Cenifiom of Exemption,you sh ski become subject m the Workch Compeuktion provisios of the labs Coft you most .JO forthwith comply wire such provisos it or this permshall W domed actmed. 'E7) CONSTRUCTION LENDING AGENCY H Ihdrehy affirm dot dor is a construction lending agency for me Performance of E > me work for which this Permit is issned(sus.30th.Ci.,c.) aq LSMrfs Name z Lande'sAddrw V Q 1 mnHy ma I have read Unit application and sum dust me aWve inran art un u LL ;'". cMmat I agree m comply with all city and county ordinances and sum lam relating m O Wilding commutator.and herby Immense epvmutims of this city w cmr open me Lta alrove-mentioned Property for inspection nwhich (We)agree to ave,indemnify and trop harmless the City of Cupertino against UZ into me,JWamevt,,cusuend ex ads fawhtchmryio any war acnme againstsaid City Z incen:<gamamermagrantimgnrmi,permn ^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date _e_zv S si ornppRCE REGULATIONS. fnnvCantracmr Dam Re-roofs HAZARDOUS MATERIA 15aosURE Type of Roof Will rete Cupl t m fMton WRdCg e.Chadsmm .haMk nVJNam material u defined by the Cupertino Murtiripel Cade.Chapter 9.12,and Ile HWm and Safety • codo.seaionvs3x(+)T gm❑Yes All roofs shall be inspected prior to any roofing material being installed. Will mea ricant o In.building aces r rem Equipment If a roof is installed without first obtainingan inspection,I agree to remove PP a pr t,9 it Qu car devil which Pe Dist hvallous air canuminru u defined by Ut Bay Area Air Quality Management District? P all new materials for inspection. y � ❑Oyertj"fm I have rad the nvardmsmalesalarequimmenu under Clu earb.95ofdeCalifear- nia Hestia A SafelyCadc.Sccdansx5505.25533 am125534.1 undersand Uasfthe Wilding does not currently have a moan,Use is is my resporibihity m mtilY Ne occupant of me mgslm�D� n emus Wmdtpaia of.cmBamar 7mo$ Signature of Applicant Date Ownesor+umonvcd.gcm Dam 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 . . . . . . . . : 36908049 . 00 DATE ISSUED. . . . . . . : 07/28/2008 RECEIPT # . . . . . . . . . : BS000005598 REFERENCE ID # . . . : 08070189 SITE ADDRESS . . . . . : 10301 RICHWOOD DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : SHIVAUN PATEL ADDRESS . . . . . . . . . . : 10301 RICHWOOD CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-3360 RECEIVED FROM . . . . : DALE PHELPS CONTRACTOR . . . . . . . : PHELPS, DALE LIC # 12079 COMPANY . . . . . . . . . . : A & H HEATING ADDRESS . . . . . . . . . . 770 CHESTNUT ST CITY/STATE/ZIP . . . : SAN JOSE, CA 95110 TELEPHONE . . . . . . . . : (408) 279-0722 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL -- --- ---------- ---------- ---------- ---------- ---------- ---------- IBSEISMICR VALUATION 7 , 300 . 00 0 . 80 0 . 00 0 . 80 0 . 00 IEPERMITFE 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 1 . 00 61 . 19 0 . 00 61 . 19 0 . 00 113PERMITFE 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 . 15 0 . 00 225 . 15 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 225 . 15 MC --------------- TOTAL RECEIPT 225 . 15 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 505 FINAL ELECTRICAL '. 507 FINAL PLUMBING 508 FINAL MECHANICAL • �%o7o�k9 CITY OF CUPERTINO -02- FURNACE/AC •CUPERTINO PERMIT APPLICATION FORM APN# 3G0$04 J oo Building Address: O /a o Z ICI Owner's Name: Phone#: C�on?ractor: Phone#: 2_-75_O?Z Z /T�4 �f��/l��i- � � Fax #: 2--79—/0/ 7 Contractor License#: Cupertino Business License#: 3P�7Z Contact: Phone#: $2-3-1197 y) `- �1 Fax #: 2--7 —/Dl Building Permit Info: Elect Y Plumb ❑ Mech Residential 19 Commercial ❑ Job Description: D.LJcArIL F—�CZA-I -t-� i Cl F—&(rn,,+L 2 Z0 VOL-T at Cta_ iT ,I For Residential Installations: Attic ❑ I" floor ❑ 2"a 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: dL� Type of Construction (Usage Class): Strapped ❑ On Platform Bonded ❑ New Location Replacement ❑ Project Size: Ex ress [Er 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 CITY OF CUPERTINO 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. 1 MCREPALT 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. • IMCSUSHTR 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 &not incl in an appliance permit. 1BSEISMICO Commercial Seismic B 1MRRAA Residential Repair/Alteration/Add to M r ea heating appliance,refrigeration unit, I 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 & not incl in an a ] nP.rmit. CITY OF CUPERTINO FURNACE/AC •CUPEI�TINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group FURNACE FURN/AC IPGASRES 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 1MFR=<100 Furnace Syst<=100k 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 fumace/bumer, incl ducts/vents attached to such appliance over 100,000 Btu/h IEPERMITFEE Electric Permit Fee E 1MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit P 1TRAVDOC Travel Documentation B 1BUSLIC Business License B CITY OF CUPERTINO FURNACE/AC CITY OF CUPERTINO 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 1BSEISMICO Seismic Commercial B IPGASCOM Commerical for ea gas piping System P 1-4 outlets 1PGASRES 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<= l0k CFM B / IMRRAA Residential Mech Repair/alt/add M I 1BSEISMICR Seismic Residential B • r 1EPERMITFEE Electric Permit E 1MPERMITFEE Mechanical Permit M 1PPERMITFEE Plumbing Permit P 1TRAVDOC Travel Documentation B 1BUSLIC 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 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 • • 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.Srte - INPUT Resources Energy IAQ/Health 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 y=yes 0 7.Protect Water Qualify 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 1 MO B.Foundation ME 1.Incorporate Recycled Flyashin 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 Foundatlon/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 kJoists 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.Subfloors 1 Resource pt y=yes 0 b.Sheathing 1 Resource pt y=yes 0 • INPUT Resources Energy IAO/Health ' t. Indo W$ 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--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 pis y=yes 0 2.Install Ductwork within Conditioned Space 3 Energy pis 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 pis 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 6,Install Sealed Combustion Units a.Furnaces 3 IAQ/Health pts y=yes 0 b.Water Heaters 31AQ/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 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 stovesrnseds 1 IAQ/Health pt y=yes 0 b. Install/Replace Dampers 1 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=yes60 11 1 K.Renewable Energy and Roofing 11 1.Pre-Plumb for Solar Water Heating 4 Energy pis 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 p 1 I 1 L.Natural Heating and Cooling 1.Incorporate Passive Solar Heating 5 Energy pts y=yes p 2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts . y=yes p 3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0 1 1 1 • Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 46CUPEkTINO Building Department JOB ADDRESS: PERMIT# 70 �� t 0 3© ( Z(�«�� D� l OWNER'S NAME: PHONE # GENERAL CONTRACTOR: — FAX# 27 —�D I am not using any subcontractors: �"' e? `� Signature Date Please check applicable subcontractors and complete the followinginformation: 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 7_ 2 Owner/Contractor Si ature Date