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08070112 CITY OF CUPERTINO r '" s :)• BUILDING DIIIVISION• PERMIT e0NTj 6fibRV0RMATI0N k , .... K .� BUI 1 G ES I'MMITNO. 9`1 ]AR°� SANTA TERESA DR FFF ROOFING SPECIALIST 08070112 OWNER'S NAME: PERMIT ISSUE DATE YUKUN CHANG 451 STROUD PL 07/16/2008 E; -(408) 365-0553 SANTIARY NO. CONTROL NO. ARCHITECTfeNGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH u o o LICENSED CONTRACTOR'S DECLARATION O O O w IWfWyaRiamWtIamlicensed Under provisionsofNapter9(commuting Job Description z� with Scoden 70MI ofDivWon 3ofthc Buvness mrd Prolcssioru Cade.ard my license is ADD 2 2 'X2 ' SKYLIGHTS & FOUR 14" SUN TUNNELS Vit„ in full farce and erten. y z U.Clan IY.p F Dam Contractor £ ARCHITECTS DECLARATION W V 1 umdcsmaml my plans stall sac used as public records , g Licensed Professional 3 OWNER-BUILDER DECLARATION F 1 bereby affirm Nal I am ann cmpt from the Comors License Law for the p o fallowing..a.(Soction 1031.5.Bundress and Profeuiov Cade:Any city of county which requires a permit On construct,Idut.improve,demalhh,Or rtPat,any suunum °zY prior to its issuance,also requires We applicant(orsuch permit to Tileaaigned summent i `e flwheis licensed puavumwfltpmrisiouaftheCon acmrsUceuseiaw(Chapmr9 Sq.FL Floor Area $400 Valuation y (commencing with Section 700(f)of Division 3 of We Business and Profession Code)or Q`<$ that he is exempt therefrom and We hands for We alleged esemption.Any violation of Section l/w>a alaanPermit subjects We applicant IO a CIr1I penalty Of .Idiban ' hundred dollar. 3 5 616 0 0 8 ./&PjN Number Occupancy Type ❑t.an owner of We property.or my employees with wages so Neo sole compenvtion, will do We work,and the structure is at Intended or offered for We(Sec.7041,Business de: and Prefesslous CaThe CartracWrna a U.Law doer l apply W an owrcr of Required Inspections property,who Wildtimimprovus thereon,and whodoes such work himselforWmugh his own employees.provided Was such improvements are notimmnded oro@cod fnrsak.if, however.the building or improvement lasold within ane year of compinion,the owner. Wilder MB lave the Wrden of proving Nat M did not Wild or improve for purpose of sat.). 1as owner of dm Property w exclusively contracting with licensed con nne.m mct We project(Sec.70aa.Business and Professions Code:)The Cmuanor's Li- cove law does not apply to an owner of progeny,who Wilds or improv Werner,and who contracts for such projects with a contranoKs)licensed pursuant w We Contractors Licera law. ❑tun ern sed Sec ,B&PCfo Wiamwom Owner K 4� �Data 74 WORKERS COM PENSAY ON DECLARATION I hereby affirm under pauslty of perjury one of the following declaratlous: 1 have am will..lain a Ceatirmamof Covent W self-insure for WorkeYsCompen- sation,es provided Tor by section 37W Of We Labor Code,for We pea lwon a of the wort for which this permit is issued. Q 1 have and will maintain Wokcrs Compevatioe Ivunn¢,as acquired by Section 37W aft Lakner Cade.far the performance of the worst fa which Was permit Y issued. My Worker's Compensation lawramce artier and Policy number art: Cartier. Policy No.: CERTIFICATE OF EXEMP TON FROM WORKERS' COMPENSATION INSURANCE (fids mini reed cotbecomplemd if the permit Is forone boadrW dellen(SIM) out kat) I certify that in We pufaamerce of We w fo which this Permit u issued.l sill nor cmplay sayperso (n anyIDanrcrmum eeomc subjects We Wor,en'Coope rad Tawe of Cali • C Appuaana NOTICE er on CA fL I'a r mak rtion r Cisions o of E option;you sham Ohccome tuomp y We Wrch ro Compensation provisions of the Labor Code,you muss forthwith comply with such proruinv or this permit shall be deemed aewked. E" .yCONSTRUCTION LENDING AGENCY . I hereh alarm theme.h a coaauctum Imb. a E wart far which thisg gene) 'Cattle pertormanco of We war permit is Issued(Sac.3097,Civ.C.) GQ Larders Name Z)Z Landers AM. V Q 1 certify Net I have read this application and solo that We aWve infarmation Is ^' corm I agree to comply with all city and county ordinances and sta¢laws relating W Wilding construction,and hereby autharim rePnSamatim of this city to Omer upon We i Wvo-mentaned progeny for inspectioneexpenses purposes W (We)agora to save,indemnify and tee harmless tae Cit of C C4 Y p Y upenino ageivt Z in Wcasu mrd expeasuswhich mryin any way acvue agairm.uid City f,z A APPLICANT of the Sm at;UNDERSTANDS or this permit ^ APPLICANT UNDERSTANDS AN WILL COMPLY WITH ALL NON-POINT Issued by:E SOU Date G ONS. LLQ !2 Re-roofs Sag are m" ppliant/Comraclar Data HAZARDOUS MWITERIALS DISCLOSURE Type of Roof Willscant or(Muni Wilding rceupantnoro anous deor handle hmmaterial C dented by We We C CupertMunicipal unicipal Code.Chapter 9.13.and We Health and Safety «m.cation 155324n All roofs shall be inspected nor to an roofing material beim ❑Ya No P P - y g g installed. con thea Balla or r,,a``wrt building occupant one If a roof is installed without first obtainingan inspection,I agree to remove PP g P equipment o devices which Pe it tFll t err contaminants u derinan by the Bay Area Air Quality Management all new materials for inspection. 'Ori ❑Yes No Ihaseretl Ne ha»mwsmareri,lsmquirtments mderClmapmr6.93oflheCali(ar- wHeal'h&S9Oycyde.Sacdmtsuws.sssv: .Wmem,naWato ftCW der docs not eorte my ve tenam flus It u my nape mbiliry m cotify We aceu rum of We aegdrtmen y nm ba tpoorm:dma rIcaseofaapanq.. Signature of Applicant Date Owner uW recd jJ61 Data All roof coverings to be Class's'or better CITY OF CUPERTINO • 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 35616008 . 00 DATE ISSUED. . . . . . . : 07/16/2008 RECEIPT # . . . . . . . . . : BS000005481 REFERENCE ID # . . . : 08070112 SITE ADDRESS . . . . . : 11141 SANTA TERESA DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : YUKUN CHANG ADDRESS . . . . . . . . . . : 11141 SANTA TERESA DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4728 RECEIVED FROM . . . . : KEVIN YU KUN CHANG CONTRACTOR . . . . . . . : FRANK M CAMOLONGA LIC # 28519 COMPANY . . . . . . . . . . : FFF ROOFING SPECIALIST ADDRESS . . . . . . . . . . : 451 STROUD PL CITY/STATE/ZIP . . . : SAN JOSE, CA 95116 TELEPHONE . . . . . . . . : (408) 365-0553 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL - ------------- ---------- --------- ------ ---------- ---------- 1BSEISMICR VALUATION 400 . 00 0 . 50 0 . 00 0 . 50 0 . 00 1SKYL<10SF EACH 2 . 00 734 . 00 0 . 00 734 . 00 0 . 00 ---------- -- -- ---------- ---------- TOTAL PERMIT 734 . 50 0 . 00 734 . 50 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ------ --------------- -------- ------ CREDIT CARD 734. 50 AMEX --------------- TOTAL RECEIPT 734 . 50 • oiI07o11a CITY OF CUPERTINO • CUPEkTINO GENERAL BUILDING PERMIT APPLICATION FORM APN #,_�&4� lP a Date: -71111 Building Address: q, �h SGr �✓. Cu e OA Mailing Address (if different from building address): Owner's Name: Phone#: (�� 7 7 7 ?jO 19 7C'^o-ntractor: Phone: T !�/" F ''6O (' 14? 5 e UGLT.ydiT Fax: 40Y O Contractor License#: Q 6 73 Cupertino Business License#: Contact: Phone: • Fax: Residential Commercial Job Description:%; G o p 2'x2 ' Building Permit Info: Bldg ©�- Elect ❑ Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: I-A, 1-B ❑ II/II1/V-A ❑ IUIII B, IV-HT, V-B q - l� Valuation: D X Z l��y Ij9�,{4 COS* . Square Footage: Project Size: . Express Standard ❑ Large ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist& attach it to the.application or if applicable, include in plan set& the sheet index. • Points Achieved: For help, contact Build it Green at www.buildit%!reen.orgV Revised ' ? ;IX8 CITY OF CUPERTINO Ty 0 CUPEkTINO GENERAL BUILDING PERMIT APPLICATION FORM Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM I BBOILERI For the installation or relocation of ea M boiler/compressor to &including 3 horsepower, or ea absorption sys to & incl 100,000 Btu/h 29.3kw) 1BBOILER2 Installation/relocation of ea M boiler/compressor over 3 horsepower to &incl 15 horsepower, or ea absorption sys over 100,000 Btu/h 1BBOILER3 Installation/relocation of ea M boiler/compressor over 15 horsepower to & incl 30 horsepower, or ea absorption sys over 500,000 Btu/h to & incl 1,000,000 Btu/h 1BBOILER4 Installation/relocation of ea M • boiler/compressor over 30 hosepower to & incl 50 horsepower, or for ea absorption sys over 1,000,000 Btu/h to &incl 1,750,000 Btu/h IBBOILER5 Installation/relocation of ea boiler or M refrigeration compressor over 50 horsepower, or ea absorption sys over 1,750,000 Btu/h 1 BAPPLOTH For ea appliance or piece of equip M regulated by this Code but not classed in other appliance categories, or for which no other fee is listed in this code. IELECINSP Other Electrical Inspections (per hour) E IMECHINSP Other Mechanical Inspections (per M hour) 1PLMBINSP Other Plumbing& Gas Inspections P (per hour • 1MEETINGIHR Application Meeting B ° - CITY OF CUPERTINO CUPEYOF GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM ACOUSTICAL REVIEW IACOUSFDW SFDWL/Duplex New B 1ACOUSRESAD SFDWL/Duplex-Addition/Alteration B IACOUSCOM Multi-Family/Commercial B CHIMNEY'S ICHIMNEY Chimney B I CHIMNEYR Chimney Repair B FENCES 1FENCE>6FT Non-masonry, over 6 ft in height B 1 FENCEMAS>6 Masonry, over 6 ft in height B FIREPLACES 1FIREPLMAS Fireplace Masonry B 1FIREPLFAB Fireplace Pre-Fabricated/Metal B I FLAGPOL>20 Flag pole (over 20 ft in height) B IMODUSTRU Modular Structures B FOUNDATIONS 1FOUNDREP Foundation Repair B 1PILECAST Pile Foundation Cast in place concrete B 1 PILEDRIV Pile Foundation Driven(steel,pre- B stressed concrete 3 of 5 ✓' - CITY OF CUPERTINO CITY F GENERAL BUILDING APPLICATION CUPEI,TINO • FEESCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM RETAINING WALL(CONCRETE OR MASONR 1RETSTN Standard (up to 50 ft) B IRETSP310 Special Design, 3-10' high (up to 50 `) B 1RETSP10 Special Design, over 10' high (up to B 50' IRETCRB< Gravity/Crib Wall, 0-10'high(up to B 50 R 1RETCRB> Gravity/Crib Wall over 10' high(up to B 50 ft SHED-(EACH) Shed Over 120 sq ft B . SIDING 1 SIDEST/BK Siding, Stone & Brick Veneer B (interior/exterior 1 SIDEOTHER Siding all other B SKYLIGHTS 2 1SKYL<10 SF Skylight less than 10 sf B 1 SKYL>10SF Skylight greater than 10 sf or B . structural ISTAIRS Stairs-first flight/ea addt'l B STORAGE RACKS 1 SRACKS<=8 Storage Racks 0-8' high (up to 100 so B 1 SRACKS>8 Storage Racks over 8' high (up to 100 B so • 4of5 CITY OF CUPERTINO CITY Of GENERAL BUILDING APPLICATION CUPEkTiNO FEE SCHEDULE Quantity/Sf Fee ID 'Fee Description Fee Permit Type Group 1GENRES or 1GENCOM 1STUCOAP Stucco Applications (up to 400 sf) B additional stucco application I WINREP Replacement windows/sliding glass B door ea 8 windows) 1WINMEWSTR New Window-structural shear B wall/masonry includes plan ck fee IEPERMITFEE Electrical Permit Fee E ]MPERMITFEE Mechanical Permit Fee M 1 PPERMITFEE Plumbing Permit Fee P 1 ELCPLNCK Stand Alone Electric Pln Ck(hourly) E 1MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M 1PLMBLNCK Stand Alone Plumbing Pln Ck (hrly) P 1 STPLNCK-(3 Hr Min Standard Plan Check (when no E/M/P) B when not over counter) hourly-stand alone 1BSEISMICR Seismic Residential B 1BSEISMICO Seismic Commercial B 1TRAVDOC Travel & Documentation B IBUSLIC Business License B 5 of 5 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 voints 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. Ener 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. A.Site _ INPUT Resources Energy IAO/Health 1,Recycle Job Site Construction&Demoliflon 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 Stonnwater Practices 2 Resource pts y=yes 0 7.Protect Water Quality with Landscape Design 2 Resource pts y=yes 0 B.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 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 Foundabon/Slab before backfill 3 Energy pts y=yesl;; 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 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 to 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 • 1 1 1 INPUT Resources Energy ' I.Windows IAO/Health 1.Install Energy-Elficient 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 pts yeses 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 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 stoves/inserts 1 IAQ/Health pt y=yes 0 b. Instali/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 41A0/Health pts y=yes 0 16,Install Heat Recovery Ventilation Unit(HRV) 5 IAC/Health pts y=yes 0 17.Install Separate Garage Exhaust Fan 31A0/Health pts y=yes p 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=1 B points) Up to 16 Energy pts 0 6.Select Safe and Durable Roofing Materials 1 Resource pt Y=Yes 0 7.Install Radiant Banier 3 Energy pts y=yes 0 1 1 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 p 1 1 I • Community Development 4 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408) 777-3333 iCUPEkTINO Building De artment JOB ADDRESS: _� \ � 1�I % /� �1�-� PERMITb 070111A OWNER'S NAME: ,�,(� PHONE #4o 8 777 /o GENERAL CONTRACTOR: - FAX # leo$ / 5 I am not using any subcontractors: 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 Si ature Date