08080007 CITY OF CUPERTINO
BUILDING DIVISIOU PERMIT zhC,U R`ACTOR INFOT2MATI4l` �
BUILDING ADDRESS: rmno.I NO.
/ /2 SQUIREHILL CT AAA FURNACE & AIR 08080007
OWNER's NAME: COND PERMIT ISSUE DATE
Hl.-'BECCA TUCKER 1712 STONE AVE 08/01/2008
)NE: SANITARY NO. CONTROL NO.
ARCHI7EC7/ENGINEER: BUILDING PERMITINM
RPLC FRNC 80, OOOBTU& ADD 2 BLDG ELECT PLUMB MECH
too LICENSED CONTRACTOR'S DECLARATION IOb Description
I bereby alarm thal under imu I am licensed uer Pravieof Chapter 9(comm1encing P
with section 7030)of Dividem 5 ofthe Business and Profusions Coda,mut my license u
O ifull f Set.
Sm
00�--.3 D� m Claes. f LIS'#Contractor .
0�aI ARCHITECTS DECLA TI N C
I undemand my plans shill be used a public cement,
� 5
5 0
Licensed Professional
OWNER-BUILDER DECLARATION
f I hereby affirm that I am exempt from the Contractors License Law far the
C o O following reason.(section 7051.5.Business and Plefndom Cade:Any City car cowry
S$ which requires a Permit to construct.almn hnpmw,demul W,or¢Pair any svuctuu
prior m its issuance.alfa requires the applicant fanuch permit w file&Signed statement
that he la licensed Pursuant to the provisions of the ConuacurS Liccom LAW(ChePer9 Sq.Ft. Floor Area Valuation
(commencing with Section 7")of Division 7 of the Businms end Pmrendom Code)or
uhu he ia avmpt therefrom and the basis for Use alleged exemption.Any violation of
Section 7051.5 by any applicant for.permit Subject,the spplkant to&tiro Penalty of APN Number Occupancy Type
act mart than fl.w hundred dollars(SM P Y YP
0 1,u owner of the property.army employees with wages as their sate compensation,
willdothewodt.andthealmnunisnotinundedoraReredforaale(Sn.7044,Bu has
ante Professions Cada:The Contractor.Liaente Law don met apply in an owner of Required Inspections
property wire builds car ire prm s thereon,and who don such workhimselfa,though his
Own employees,pmvlded that such improvements um not intended oraRerel far Sale if.
however.the building or Imp not wmme,is Sold within oro your of mmpledon,the owner-
builder will haw the burden of pmving that he did not build or Improve for puryme of
salt).
❑I.as Owner Of the property.Sm eacludvely contracting with licensed mntrcmn b
construct the pmjeer(Sec.7004,Business and Profwions Cade:)The Contracue's LI-
cm ss law don ant apply to an owner or property who builds or improve&thaleon,and
wM conuuu for such pmjecs with s eontracwc(&)licensed purnam b the ContrneuoM1
License Law.
❑I oro comp,under See .B&P C far Nb moon
Owner Dam
WORKER'S COMPENSATION DECLARATION
1 hereby of ant under poroity of pmjuy,ons of the following declanJons;
1 ham and will maintain aCemOcam ofConsen,m self-lesum fm Worker's Compere-
Salion.u provided for by section 5700 of the labor Code.for this perfmmance of the
work for which this permit is rood.
❑I law and will maintain Workers Compensation Wumux,as,required by Section '
5700 ofthe Labor Code,for She performance of Oe work forwhich this permit is lewd. -
My Workers Compensation Wenn e.carrier and Policy number are:
Comer. U P IlcyNo:'
P ION FROM WORKEff
COMPENSATION INSURANCE
Cris xcdm need not be completed If the permit Isforana hundrtd dollars($100)
or leu) ,
1 mortify that in the performance of the ooh for which Shia Permit is issued.I,hill Ire,
employ any person in any manner an as m became subject to the Wortrn'Compens.Jon
Laws of CalifmcI&Dam
Applicant
NOTICE TO APPLICANT.If,after making this Certificate of E.emption.you Should
become Subject he the Workers Compensation provisions of 1M labor Code,you mus
w,z forthwith comply with Such provisions or that permit Shall be docmed mwkad.
zt` CONSTRUCTION LENDING AGENCY
[-+ 1 hemby LM m time den is a construction lending agency for the perferhomea of
C> the work for whim tiffs Permit is ismd(Sec.5097,Civ.C)
QUndeh Name
.ti. z Randers Address
U O 1 cenifY Nal 1 haw read We applica ion anW sue Jou the abm infomutiun is
D. coned.l,Drs in comply with all city and county oNl.and alta Iowa mladng in
.(7 Wilding construction.and hereby suNarim repnaenutivu of that city to eller upon the
W above-montianed pmpeny roc inspection puryores
P. (We)agrte to taw,indemnify and keep harmless She City of Cupertino against
y liabilities.judgments.tofu and capesms which may In any way Scenic agalns,said City
Uz incomaximnaeofthe grantingofthsPermit. �v
"-' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date d
SO CE REGULAWNS. -
- /�� Re-roofs
Signature of ApplicanUContraet 14./_
HAZARD6US MATERIALS DISCLOSURE Type Of Roof
Will Jct applicant or future building aecupannalme urhandle haallow material
as dented by the Cupenina Municipal Code,Chapter 9.13,aM the HeaOh and Safety
Cole,Schon 255714)7
❑Yu All roofs shall be inspected prior to any roofing material being installed.
o
Will She applicant of mere building attupam use equipment or device,which If a roof is installed without first obtaining an inspection,I agree to remove
sit huw
andoair conuminanu as dcOned by the Bay Area Air Quality Management all new materials for inspection.
trlct7
❑Yes
I have mast She ha ea dos materiels requircn,nu undcrChaper 6.95 of She Califor.
w Health&Safely Code Sections 25505.25577,rest 25574.1 utdc m nd than it&building '
does not mr rendy hew a snafu,that It N my responsibility m neOfy the oceupant of the
require ens whim most be mel prior m luuanus ora Cmdficam of Okeupancy, Signature Of Applicant Dateg
OwoAll roof coverings to be Class"yk"or better
er m aurnre a sent / new R
CITY OF CUPERTINO
• 6 ITEMS OF 12 PERMIT RECEIPT OPERATOR: patg
I COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN 36223025 . 00
DATE ISSUED. . . . . . . : 08/01/2008
RECEIPT # . . . . . . . . . : BS000005659
REFERENCE ID # . . . : 08080007
SITE ADDRESS . . . . . : 7772 SQUIREHILL CT
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : REBECCA TUCKER
ADDRESS . . . . . . . . . . : 7772 SQUIREHILL CT
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5017
RECEIVED FROM . . . . : JIM RANDO
CONTRACTOR . . . . . . . : RANDO, JIM LIC # 8050
COMPANY . . . . . . . . . . : AAA FURNACE & AIR CONDITIONING
ADDRESS . . . . . . . . . . : 1712 STONE AVE
CITY/STATE/ZIP . . . : SAN JOSE, CA 95125
TELEPHONE . . . . . . . . : (408) 293-4717
• FEE IO UNIT. QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
lBSEISMICR VALUATION 14, 400 . 00 1 . 50 . 0 . 00 1 . 50 0 . 00
I.EPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 .79 0 . 00
I.MPERMITFE FLAT RATE 1.00 40 .79 0 . 00 40 . 79 0 . 00
I.MRRAA UNITS 2 . 00 122 . 38 0 . 00 122 . 38 0 . 00
I.PPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
I.TRAVDOC FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
TOTAL PERMIT 287 . 04 0 . 00 287 . 04 0 . 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- -- -------------------- -------- ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
•
ar moi of o U 7
CITY OF CUPERTINO
FURNACE/AC
•CUPEkTINO PERMIT APPLICATION FORM
APN #J(Y p� ✓ Uo�S v Date:
Building Address:
S h;
Owner's Nam : Phone#:
QC C4 liG�C t/ 110-
Contractor: Phone#: c�6� 3_ �/17
Fax #: 6G
Contractor License#: Cupertino Business License #:
Contact: Phone#: .fd 6 .df _Sj ,
6`qf tc,� cl Fax #:
Building Pe it Info:
Elect ❑ Plumb ❑ Mech ❑
Residential Commercial
Job Description: CP 7F)V//f Q,cc �O1 4a.W 07
For Residential Installations:
Attic ❑ I" 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 (Usage Class):
Strapped On Platform ❑ Bonded New Location Replacement
Project Size: Express ❑ Standard ❑ Laze ❑ Major❑
Valuation:
00
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
CUPEkTINO FEE SCHEDULE •
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
IMCRAA 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. •
1MCSUSHTR Commercial Install/Relocate ea M
suspended heater,recessed wall htr, or
floor mounted unit heater.
1 PGASCOM Commerical for ea gas piping System P
1-4 outlets
1 BPGAS 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 ¬ incl in an appliance
permit.
IBSEISMICO Commercial Seismic B
1MRRAA Residential Repair/Alteration/Add to M
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.
IMRSUSHTR Residential Install/Relocate ea M
suspended heater,recessed wall htr, or .
floor mounted unit heater.
1 MRAPPVNT Residential for the install/relocate/or M
replacement of ea appliance vent
install & not incl in an a 1 ermit.
Q�
CITY OF CUPERTINO/A
FURNACEC
ITY OFF
•CUPEVINO 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.
IBSEISMICR Residential Seismic B
1MECPLNCK Mechanical Plan Check M
]MFR=<100 Furnace Syst<=100k BTU install or M
relocate ea forced-air/gravity type
fumace/bumer, incl ducts/vents
attached to such appliance up to and
include 100,000 Btu/h
IMF q>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
fEPERMITFEE Electric Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
IPPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
1BUSLIC Business License B
t
CITY OF CUPERTINO
aw FURNACE/AC
CUPEI,TINO FEE SCHEDULE •
Quantity Fee ID Fee Description Fee Permit Type
Grou
AIR FURN/AC
CONDITIONING
1BCAIRHAN Commercial A/C Units<= l Ok CFM B
1MCRAA Commercial Mech Repair/alt/add M
1BSEISMICO Seismic Commercial B
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1PGASRES Residential for ea gas piping system P
of 1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet. Comm/Resid
IBREMAIRHAN Residential A/C units <= 10k CFM B
2 1MRRAA Residential Mech Repair/alt/add M
1BSEISMICR Seismic Residential B •
I IEPERMITFEE Electric Permit E
1MPERMITFEE Mechanical Permit M
f
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 ooints
C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 points
D. Structural 3. Uses Wood ]-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 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 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.
to
1.Recycle Job Site Construction&Demolition Waste
65%=1 point;75%= 2 points;60%=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 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 Materals/Use Recycled Content Materials
for Landscape Areas 2 Resource pts y=yes 0
10.Install High-Efficiency Irrigation Systems 2 Resource pis 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 pis y--yes 0
3.Insulate Foundation/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 IJoists 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 E- 0
6.Use FingerJointed 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 pis 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 yryes 0
12.Use OSB
a.Subfloors 1 Resource pt y=yes 0
b.Sheathing 1 Resource pt y--yes 0 .
T
n ows
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 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 0
5.Install Solar Attic Fan 2 Energy pis 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
8,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 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 stovesfinserts 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 IAO/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 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 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
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 0
1 1 1
•
F Community Development
10300 Torre Avenue
( ! Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
4JUPEkTINO
Building Department
JOB ADDRESS: PERMIT #
i eo 0,:51004j:000?
OWNER'S N Tu c ee r PHONE # Ds'- Z
GENERAL CONTRACTOR: FAX #
I am not using any subcontractors: d-
Signature Date
Please check applicable subcontractors and complete the following information:
60 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