08050225CITY OF CUPERTINO ��a,�
-�'Tk��'�k',`{,a
A J,q I�fx-Qllu�=fw d�FN} ^,
BUILDING DIVISION PERMIT
�kC�L l'
BUILDINGAI�RESS:,TANFORD PL
J
WATER QUALITY PLUMBING
PERMIT NO.
08050225 ,
O S/NIAMEY:
PERMIT ISSUE DATE
DAMPANKHANIYA
OB
1860 ALMADEN RD
05/28/2008
PHONE
(408)267-9330
SANITARY NO. CONTROL NO.
ARCHITECTIENGINEER:
BURRING PERMIT INFO
HLOG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
701) Description
l meby affirm that 1 am IkevsN under provisions of Chapter 9 (eammencing
with Section?").fDwita. 3.fthe Business; and Professions and my license is
COPPER REPIPE & MAIN LINE
in full fort and e5 A,
Licenscf Lica
Dam ConaazNr
tRCHME
S DECLARATION
1 undersand my plans shall Ito used as public asard �-8�
Licensed Professional
OWNER-BUILDER DECLARATION
1 herby aRrm Nat 1 am camps from the Contractor. Licenx Law for the
,
i following mason. (Section 1031.5, Business and Protection Cade: Any city or county
which requires a permit to commucl, alter, improve. demolish, or repair any structure
r priorto its issuance. alsurequi. thoapplicam(.,.In permi,m Ric a.ignedsutemcon
Contractor's License law9
Sq. FL Floor Area
Valuation
s that heulicensed pursuanttotheprovisionsofthe (Chapter
$6200
(cannot ming with Section 1000)of Division 3 ofthe Businessand Pro men='or
Nat he u eaempt therefrom and the basis for Ne alleged seempuon. Any violation .f
3 5 9 3 2 O 1 ?Dl(jVumber
Occupancy Type
Section 10313 by any applicant fm a permit subjects the applicant 10 a civil penalty of
..I mom Nan five hundred dollars (3500).
0 1, asownerof Ne property. army emplayco with wages asthouselccompewuon,
ns Required Inspections
wits d. the work amt de.wctumunclintende or ortemd mrsak (Sec.'yOU, B.drcss
and Profession. Cada: The C.nuactoYte a Licro a Law dorot apply m an owner of
q P
pmpertywho build oimq.ves thereon, andwhodoessuch .,it himself., through his
own employees, provided that such improwmenu art not intended aro@red for ask. If.
however. Ne building or improvement is sold within am year of completion. are owncr-
build, will have Ne Without of proving that he did not build or improve for purpose of
sale.).
0 1, a owner of 0m property. am exclusively contracting with the mad amntraclam b
,
cormatct the project (Sec. 1061. Business and Pfafossl.= Code:) The Commoner Li-
cove law does not apply m an owner of progeny who Wild, or improv Nem ser. and
who coneacus buttock projects with amnuuaol(s) licensed Personal to the 0maracors
Licenx Law.
m , B 3 P C far this recon
0 laexempt under See
WORKER'S COMPE45ATION DECI.aAAT10N
I hereby affirm under perully of perjury arc of the following decluuions:
0 I Intim and will maintain • Cerufiom of Consent ro self-i=um for Workel.Compen-
cation. a provided fm by Section 3100 of the labor Code. far Ne perfarmuxe of Nes
wants, for which this permit is issued.
0 1 have and will Wom n WorkeYs Compemation Isommance, as required by Section
,
3100 of the labor Code, for the performaa of the work for which this permit is issued.
'
My Workcl. Compensation I.e... carrirad Policy number am.
car r. riglr til -XV, y -Y 1t119'iry No.:pi�2.'-IL'1J _ C) y
CERTIFICATE OFE `PITON FROM WORKERS'
COMPENSATION INSURANCE
(rhumlon reed aomecomplewd if Ne permit is (mane hundred doRan (3IW)
or ice.)
1 unify Not in Nes performance of the work for which this permit Is issued. 1 shall not
cmplay any person in any mater so a In bctmme subject In the Worked Compensation
Laws of California. Data
Applicant
NOTICE TO APPLICANT: IL alcor making this Certificate of Exemption, you should
became subject an the Workces Compensation provisions of the labra Cade, you must
' forthwith comply with such provision or this permit shall be deemed evoked.
j CONSTRUCTION LENDING AGENCY
-'
I bereby affirm this Nem use comunctinn ladingageney for the perfmma este(
' Nes work fur which this permit is issued (Sec. 309'!, Civ. C.)
L. do sNrme
.
l,endeea Add.
I certify that 1 have read this applicuian and state that In. above iNmma tut is
x correct. I agree to comply with all city Nd county continences Nd.tate I. Rkti.g to
Wilding construction. and hereby authorize representatives of Nis city to enter upon the
'
1 above-mcr u reed properly for inspection purposes.
(Wes) agree to aw, indemnify W keep harmless the City of Cupertino eget=,
j liabilides,judgmcnu..... and esp. which may in any way scene against mid City
in consequence of the grating of Nu permit
' APPLICANT UNDERSTANDS AND ILL COMPLY WITH ALL NON-POINT
^ ��
Issued by: Date
SOURCEREGU _
Re-roofs
Type of Roof
5ignuu & b f Aoi%UpuCan m pale
HAZARDOUS MA ALS DISCLOSURE
Will de.,plum t or future Wilding accapanlnac orlundle harallous maer al
a deposal by the Cupertino Municipal Cade, Chaps, 1, 11, and Ne Health and Safety
. Suction 25532(a)1
❑res cC Na,
All roofs shall be inspected nor to an roofing material beim
P P Y g g installed.
If a roof is installed without first obtaining an inspection, I to
Will the applicant or mom building accupam use equipment m devices which
agree remove
P g
emit hvadous air coumhunu as defimd by the Bay Arca Air Quality Management
all new materials for inspection.
Dimict4
❑Yes No
Ihaw real Nehv psi materialsmquiremenu un4r Chaper6.95afNeCetifor-
nuHcaiN&SafctyCode, Sccuo=13503.25533 and 31.I unMnwd Netifde building
d.=ut rcmrendy haw a mea. my rap.- ility tonotify the mct,mm.f the
r9quWau-54 whichmuubc t 'man umccaf Cuuficate afpc5upancy.
S DV
Signature of Applicant Date
cog ass rrTT
All roof coverings to be Cl�" or better
g�
Owncr m rothorim em Da¢
• 3 ITEMS OF 3
•
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 35932017.00
DATE ISSUED ....... :'05/28/2008
RECEIPT #.........: BS000004918
REFERENCE ID # ...: 08050225
SITE ADDRESS .....: 7464 STANFORD PL
SUBDIVISION .......
CITY CUPERTINO
IMPACT AREA .......
OPERATOR: patg
COPY # : 1
METHOD OF PAYMENT
-----------------
CREDIT CARD
TOTAL RECEIPT :
AMOUNT
---------------
61.89
---------------
61.89
VOICE ID DESCRIPTION
-------- ----------------------------
106 SEWER & WATER
507 FINAL PLUMBING
REFERENCE NUMBER
--------------------
AMEX
VOICE ID DESCRIPTION
-------- ----------------------------
301 ROUGH PLUMBING
OWNER ..............
BAMJI PANKHANIYA
ADDRESS ..........:
7464 HANFORD PL
CITY/STATE/ZIP ...:
CUPERTINO CA,
I
95014-5815
RECEIVED FROM ..
MARTY SATALINO JR
CONTRACTOR .......:
SATALINO, MARTY
LIC #
21526
COMPANY ..........:
WATER QUALITY PLUMBING
ADDRESS ..........:
1860 ALMADEN RD
CITY/STATE/ZIP ...:
SAN JOSE, CA 95123
TELEPHONE ........:
(408)267-9330
FEE ID
---------
UNIT QUANTITY AMOUNT.PD-TO-DT
-----------------------
THIS REC
NEW BAL
1BPWSVCS
WATER SERVICE
--------------------
1.00 20.40
0.00
----------
20.40
----------
0.00
IBSEISMICR
VALUATION 6,200.00
0.70
0.00
0.70
0.00
1TRAVDOC
FLAT RATE 1.00
40.79
----------
0.00
40.79
0.00
TOTAL PERMIT
----------
61.89
0.00 -----61.89
------0.00
METHOD OF PAYMENT
-----------------
CREDIT CARD
TOTAL RECEIPT :
AMOUNT
---------------
61.89
---------------
61.89
VOICE ID DESCRIPTION
-------- ----------------------------
106 SEWER & WATER
507 FINAL PLUMBING
REFERENCE NUMBER
--------------------
AMEX
VOICE ID DESCRIPTION
-------- ----------------------------
301 ROUGH PLUMBING
CUPEkTINO
CITY OF CUPERTINO
REPIPE/SEWERS/MAIN SERVICE
PERMIT APPLICATION FORM
QVC5 0�
APN #259 017 L 61
Date O
5
Building Address./. r n
1
Owner's Name:
Phone #:
Contractor:. r Phone:
License #: O 1
Contact: one:
Cupertino Business License #:
Building Permit Info:
Bldg ❑ Elect ❑ Plumb'
Job Descriptio
L
Residentia Commercial ❑
Cost of Project: r, n 20O ��
-�Y J
• CITY OF
CUPEkTINO
L
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
PERMIT APPLICATION FORM
APN #
Fee ID
Date:
Building Address:
Permit Type
Owner's Name:
1PCSEWER
Phone #:
Contractor:
1CPSS
Phone #:
Fax #:
Contact:
Commercial re -pipe per fixture
Phone #:
Fax #:
Contractor License #:
Cupertino Business License #:
Job Description:
Commercial Gas Piping System
1-4 Outlets
Residential ❑
Commercial ❑
Valuation:
1BSEISMICOM
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.
Quantity
Fee ID
Fee Description
Fee
Grou
Permit Type
1PCSEWER
Commercial building
sewer/sanitary sewer
P
1CPSS
1BPREPIPE
Commercial re -pipe per fixture
P
1CPRP
1 PGASCOM
Commercial Gas Piping System
1-4 Outlets
P
1BSEISMICOM
Seismic Commercial
P
1BSEISMICR
Seismic Residential
P
1PRSEWER
Residential building
sewer/sanitary sewer
P
1RPSS
IS -
CITY Of
CUPEkTINO
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
FEE SCHEDULE
Quantity
Fee ID
Fee Description
Fee
Group
Permit Type
1PRREPIPE
Residential re -pipe per fixture
P
IR -PRP
f
1BPWSVCS
Water Service
P
1CPWS or
1RPWS
1PPRSEWG
Private Sewage Disposal System
P
1PCESS
Cesspool
P
1BPWATER
Install/alter Water Pipe
P
1BPFIXTURE
Plumbing Fixture
P
1PGASRES
Residential Gas Piping System
1-4 Outlets
P
1BPGAS
Gas Piping System 5+ Outlets
P
IPPERMITFEE
Plumbing Permit Fee Issuance
P
1PLMBLNCK
Plumbing Plan Check
P
1PLMBINSP
Other Plumbing/gas Insp.
P
1TRAVDOC
Travel & Documentation Fee
B
1BUSLIC
Business License
B
•
9
E
U
Plan Review Process Work Book Page -12-Revised 3/25/08
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
.,
I , UTAMMUM
B.
Site
9.
Install H.E. Irrigation, (details/spec)'
L-1
11.
Permeable Paving,Note
L-1
C.
Foundation
1.
Use 15 % Flyash Concrete, (note)
S-1
7points
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.
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 oint
P.
Other
1.
List Green Features on Plans
A-1
1 point
FORNIUMMMI
TOTAL POINTS1
40 points
E
U
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 EneTgy IAO/He@Hh
A. Site
1. Recycle Job Site Construction & Demolition Waste
65%= 1 point; 75%= 2 points; 80%=4 points
2. Salvage Reusable Building Materials I
3. Remodel for Mixed Use, Adaptive Reuse, and
Historic Preservation
4. Protect Native Soil
5. Minimize Disruption of Existing Plants & Trees
6. Implement Construction Site Stormwater Practices
7. Protect Water Quality with Landscape Design
18. Design Resource -Efficient Landscapes and Gardens 1
9. Reuse Materials/Use Recycled Content Materials
for Landscape Areas
10. Install High -Efficiency Irrigation Systems
11. Provide for On -Site Water Catchment / Retention
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
2. Use Recycled Content Aggregate
3. Insulate Foundation/Slab before backfill
C. Structural Frame
11. Substitute Solid Sawn Lumber with Engineered Lumber
2. Use FSC Certified Wood for framing
(For every 10% of FSC lumber used = 2 points, up to 10)
3, Use Wood I -Joists for Floors and Ceilings
4. Use Web Floor Trusses
5. Design Energy Heels on Trusses 6' or more
6. Use Finger -Jointed Studs for Vertical Applications
7. Use Engineered Studs for Vertical Applications
8. Use Recycled Content Steel Studs for Interior Framing
9. Use Structural Insulated Panels (SIPS)
a. Floors
b. Wall
c. Roof
10. Apply Advanced Framing Techniques
11. Use Reclaimed Lumber for Non Structural Applications
12. Use OSB
a. Subfloors
• b. Sheathing
up to 4 Resource pts
4 Resource pts y=yes
4 Resource pts
y=yes
2 Resource pts
y=yes
1 Resource pt
y=yes
2 Resource pts
y=yes
2 Resource pts
y=yes
4 Resource pts
y=yes
2 Resource pts y=yes
2 Resource pts y=yes
2 Resource pts y=yes
up to 5 Resource
2 Resource pts y=
3 Energy pts y=
3 Resource pts
up to 10 Resource pts.
2 Resource pts
y=yes
2 Resource pts
y=yes
2 Energy pts
y=yes
2 Resource pts
y=yes
2 Resource pts
y=yes
2 Resource pts
y=yes
3 Energy pts
y=yes
3 Energy pts
y=yes
3 Energy pts
y=yes
4 Resource pts
y=yes
3 Resource pts
y=yes
1 Resource pt
1 Resource pt
r
r
r
r
r
r
r
r
r
r
r
0
0
0
Use Sustainable Decking Materials
a. Recycled content
3. Resource pts
y=yf
b. FSC Certified Wood
3 Resource pts
y=yt
Use Treated Wood That Does Not Contain Chromium/Arsenic
1 IAO/Health pt
y=yf
Install House Wrap under Siding
1 IAO Health pt
y=y(
Use Fiber -Cement Siding Materials
1 Resource pt
y=yes
E. Plumbing
1. Install Water Heater Jacket 1 Energy pt
2. Insulate Hot and Cold Water Pipes 2 Energy pts
a. Faucets (1 point each, up to 2 points)
b. Showerheads (1 point each, up to 2 points)
Replace Toilest with Ultra -Low Flush Toilets
point each, up to 3 points)
on
6. Convert Gas to Tankless Water Heater
7. Install Water Filtration Units at Faucets
(2 points each, up to 4 points)
8, Install On -Demand Hot Water Circulation Pump
r. uecu lcal
1. Install Compact Fluorescent Light Bulbs (CFLs) }
(6 bulbs=2 points, 10 bulbs =3 points, 12 bulbs = 4 points) j
2. Install IC -AT Recessed Fixtures with CFLs (1 point each, up to
5 points)
3. Install Lighting Controls (1 point per fixture, up to 4 points)
4. Install High Efficiency Ceiling Fans with CFLs
(1 point each, up to 4 points)
G. Appliances
Install Washing Machine with Water and Energy
mservation Features
Install Energy Star Refrigerator
Install Built -In Recycling Center
H. Insulation
1. Upgrade Insulation to Exceed Title 24 Requirements
a. Walls
b. Ceilings
2. Install Floor Insulation over Crawl Space —�1
3. Install Recycled-Gontent, Fiberglass Insulation with
No Added Formaldehyde
4. Use Advanced Infiltration Reduction Practices
5. Use Cellulose Insulation
a, Walls
b. Ceilings
6. Alternative Insulation Products (Cotton, spray -foam)
a. Walls
o. Cenmgs
Up to 2 Resource
Up to 2 Resource
Up to 3 Resource pts.
1 IAO/Health pt y=yes
4 Energy pts y=yes
Up to 4 IAO/Health pts.
4 Resource pts y=yes
Up to 4 Energy
Up to 5 Energy pts.
Up to 4 Energy pts.
Up to 4 Energy
1 Energy pt
1 Energy pt
1 Energy pt
3 Resource
2 Energy pts
2 Energy pts
4 Energy pts
3 AO/Health pts
2 Energy pts
4 Resource pis
4 Resource pts
4 Resource pts
4 Resource pts
Is
• i1. Install Energy -Efficient Windows
a. Double -Paned 1 Energy pt
b. Low -Emissivity (Low -E) 2 Energy pts
r c. Low. Conductivity Frames 2 Energy pts
2. Install Low Heat Transmission Glazing 1 Energy pt
J. Heating Ventilation and Air Conditioning
-
�1. Use Duct Mastic on All Duct Joints
2 Energy pts
y=yes
2. Install Ductwork within Conditioned Space
3 Energy pts
y=yes
3. Vent Range Hood to the Outside
1 IAQMealth pt
y=yes
4. Clean all Ducts Before Occupancy
2 IAQ/Health pts
y=yes
5. Install Solar Attic Fan
2 Energy pts
y=yes
6. Install Attic Ventilation Systems
1 Energy pt
y=yes
7. Install Whole House Fan
4 Energy pts
y=yes
6. Install Sealed Combustion Units
a. Furnaces
3IAQ/Health pts
y=yes
b. Water Heaters
31AQ/Health pts
y=yes
9. Replace Walt -Mounted Electric and Gas Heaters with
Through -the -Wall Heat Pumps
3 Energy pts
y=yes
10. Install 13 SEEW11 EER or higher AC with a TXV
3 Energy pts
y=yes
11. Install AC with Non -HCFC Refrigerants
2 Resource pts
y=yes
12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace
2 Energy pts
y=yes
• 13. Retrofit Wood Burning Fireplaces
a. Install EPA certified wood stoveslnserts
1 IAQ/Health pt
y=yes
b. Install/Replace Dampers
1 Energy pt
y=yes
c. Install Airtight Doors
1 Energy pt
y=yes
14. Install Zoned, Hydronic Radiant Heating
3 Energy pts
y=yes
15. Install High Efficiency Filter
41AQ/Hea1th pts
y=yes
16. Install Heat Recovery Ventilation Unit (HRV)
5 IAQ/Health pts
y=yes
17. Install Separate Garage Exhaust Fan
3 IAQ/Health pts
y=yes
K. Renewable Energy and Roofing
1. Pre -Plumb for Solar Water Heating
2. Install Solar Water Heating System
3. Pre -Wire for Future Photovoltaic (PV) Installation
4. Install Photovoltaic (PV) System
(1.2 kw = 6 points, 2.4 kw =12 points, 3.6 kw = 18 points)
6L -Select Safe and Durable Roofing Materials
7. Install Radiant Barrier
L. Natural Heating and Cooling
1. Incorporate Passive Solar Heating
2. Install Overhangs or Awnings over South Facing Windows
3. Plant Deciduous Trees on the West and South Sides
0
4 Energy pts
10 Energy pts
4 Energy pts
Up to 18 Energy
1 Resource pt yq
3 Energy pts y=
5 Energy pts y=yes
3 Energy pts . y=yes
3 Energy pts y=yes
-24 q s7�-r4;��zi) P� ....
Vit. Use Low/No-VOC Paint
1 IAQMealth is
P
y=Y es
2. Use Low VOC, Water -Based Wood Finishes
2 IAQ/Health pts
y=yes
F3. Use LmNo VOC Adhesives J J
3 IAQ/Health pts
y=yes
4. Use Salvaged Materials for Interior Finishes
3 Resource pts
y --yes
5. Use Engineered Sheet Goods with no added Urea
5 IAO/Health pts
y=yes
Formaldehyde
61AQ/Health pts
y=yes
6. Use Exterior Grade Plywood for Interior Uses
1 IAQ/Health pts
y=yes
I7. Seal all Exposed Particleboard or MDF _
_ Ji 4 IAQ/Healthpts
y=yes
S. Use FSC Certified Materials for Interior Finish
4 Resource pts
y=yes
9. Use Finger -Jointed or Recycled -Content Trim
1 Resource pts
y=yes
10. Install Whole House Vacuum System
3 IAQ/Health pts
y=yes
N. Flooring
1. Select FSC Certified Wood Flooring
8 Resource pts
y=yes
PUse Rapidly Renewable Flooring Materials
_ J 4 Resource pts
y=yes
3. Use Recycled Content Ceramic Tiles
4 Resource pts
y=yes
4. Install Natural Linoleum in Place of Vinyl
5 IAO/Health pts
y=yes
5. Use Exposed Concrete as Finished Floor
4 Resource pts
y=yes
6. Install Recycled Content Carpet with Low VOCs
4 Resource pts
y --yes
Total Points Avalla le:
Total Points Project Received:
1401 1301 57
01 01 0
G:datslprogsrgreenbuildngguidelines4emodelersJgreenpointstinal2.12.04protected.nls
n
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0
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J.
CITY OF
UPEkTINO
Buildi
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax(408)777-3333
artment
JOB ADDRESS: PERMIT #
OWNER'S NAME: (�gyt', Vc,,kj'lan 44a I PHONE# AO
GENERAL CONTRACT • oma L-), .DAWo 41t .est . FAX #
I am not using any
Please check applicable subcontractors and complete the
YIT. E-B6mTn
Owner/Contractor Signature
Date
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