08080116 CITY OF CUPERTINO � '> .arab
BUILDINCADIVISIGV PERMIT CONTRAC 'OYtIN' QRMA,aCIt'll�t
G`> ` n .4Fn^rAeF,
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BUILDING ADDRESS: PERMIT NO.
59 WATERFORD DR PACIFIC PLUMBING 08080116
OWNER'S NAME: PERMIT ISSUE DATE
SnMUE1, IaIU . 2138 O'TOOLE AVE 08/18/2008
NE; (408) 452-8633 SANITARY NO. CONTROL N0.
'
ARCHITECf/ENGINEER: - _
BUILDING PERMIT INFO
l� EO PLUMB MECHO
306 LICENSED CONTRACTOR'S DECLARATION Job Description
e 1 hereby of mon that I am Iicemdi under provisions of Chaptcr 9(commencing
to OZ wire Section 7")of Division 3 of the Business and Professions Code,and my licence is RE-OPEN EXPIRED PERMIT #08010151 & PAY 1/2 FEES
=m in full force and,(feel.
Licenm Clues Lie.g WHICH TOTAL TO: $51 . 00-
nDam.Contractor
ARCHITECTS DECLARATION
I understand my plana shall he used as public record;
]y0
g G Licensed Professional
5 OWNER-BUILDER DECLARATION
S 1 hereby.(sere that I am ucmpt from the Conlns Co License Law for the
p O fallowing mason.permit
1 703[J.Business and ma.demolish,
e Professions Calc:Any city m county
roan.
3$ which requires a permit ac enmuucL alter,impmw,de Permit
t or masa ed maMmL
iy prior miu censedcaianngothe theapplicantof for suchpmtnr's Luc rum La edsummem
xx< Ihnencraigwit pursuant nth)of Dwikm3 of teBeen.and Puelsw(ChapterCode)
Sq.F[. Floor Area $1800
Valuation
F S (cat he is xempt imminence
neOno the basis f r of m,Buxinevand Proon.Any
Cade)of
that he us exempt 1Arm(rom and the bots for Ne alleged exemption.Any Notation of
Section 7031,5 by any applicant for a permit subjects the applicml to a civil penalty ofNumber Occupancy Type
net mon than fsw hundred dollars(M), 36617027 ! l
❑1,u awmr of the pmpmty,m my mploycu with wages u their mleeampemadon,
will do the wolk.and me structure is net intended araaered forda(Sao.7066.Business Required Inspections
and Profesdam Cade:The Contractors License Law dors reet apply W an Owner of 9 P
property w he builds car i mpmm mermn.and who does such work himself or through his
awnemployem,provided that such improvements son not intended urn@seal fersam.It.
homwr.the building or impmwmmt is mid within am your of mmpmtim,the owner.
Wilder will haw the burden of proving that he did not Wild or improve for purpose of
ale.). -
❑1,as Owner of the property,am exclusively contracting wire licensed commune,to
mmwcl the project(Sec 7044,Business and Prn(eeiam Code:)TW Cmoacmes Li-
ceme Law deo nut apply as sn owner of property who Wilds or improves d enon,and
who contra for such projects with aeomacml(s)themed punwat to the Conmumh
License Law.
❑I one uempt under Set ,B&PC for this moon
Owner Dam
WORKER'S COMPENSATION DECLARATION
I hereby aBian under Family Of"duty One of the following declantiam:
1 haw ftca
and will maintain a Care m of Consent to selfdmure for Wurknes Common.
Milan,u provided for by Section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑I haw ad will maintain Workers Compensation Insurance,as required by Scedcm
3700 of me Labor Code,for me perfarmanecof the work fmrmich thus permit is iomd.
My Workers Compensation Insurance caoicr and Policy number are:
Carries. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This meOm need ret be cam plead B ore perm it us foram,hundred dollen(S I00)
or less.)
1 certify mel in the performance of Ilse work fur which this Permit Is Wood.l shall not
employ any person in any mmnerm AS In became subject to the Worker'Compensation
Laws of Califomis Dam
Applicant
NOTICE TO APPLICANT:If.after making this CcnlOcam of Exemption,you should
become subject to the Workers Compensation provisions of me Letter Cade,you muse -
.J O forthwith comply with such provisions or this permit shall he deemn
ed wked.
tiCONSTRUCTION LENDING AGENCY
[—i IhemhyxlRrm thu them i;scamtreethm lending agency far me performance of
9 ti the work for which this permit Is issued(See.3097,Civ.C.) .
940 Lender's Name ,
z lenders Adduce
U 0 1 certify that I haw nand this application and sum that the atom information u
COneeL I agree m comply wire all city and county callowness and amm laws mining m '
0 FC.) Wilding consuuction,and hemby authorin representatives of this City to enter upon the r '
r a atoms-mentioned property for inspection purports
(We)agree to on,indemnify ad keep harmless the City of Cupertino agaiml
sE"y rA liabilities,judgments,costs and expense which may in my my aecme against mid City
in consequence Of the
C) MMIL
APPLICANT UNDERSTANDS Aarling Of tND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE REGULATIONS.
Re-roofs
Si{noun a(ApplicanVConData
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
WIII the applicant or furan Wilding e.Chap score tar handle Health ad
u defined by dm Cupertino Municipal Cade,Chapmr 9.11,and me Health and Sanity -
Code,Section 27531(a)7 All roofs shall be inspected prior to any roofing material being installed.
❑Yes ❑No
Will the applicant or future Wilding occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
it W>ardnaa air cWuminmts o darned by the Bay Area Air Quality Management all new materials for inspection.
District?
❑Yes ON.
I haw maJ the huaNwn materials requiremants under ChMmr6.95 often Califot.
nia Health,kSafetyCado,Sectiam 25505,15533 and21534.1 unicameral tandem,Wilding
does not comedy haw a mune,that it u my responsibility W mOfy me occupant of me
nitircmcnu which most W mel poor to issuance of•Ccniftcam of Occupancy. Signature Of Applicant Date
owner ormmno>ad.g,m Dem - All roof coverings to be Class'W or better
CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # :' l
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36617027 . 00
DATE ISSUED. . . . . . . : 08/18/2008
RECEIPT # . . . . . . . . . : BS000005812
REFERENCE ID # . . . : 08080116
SITE ADDRESS . . . . . : 7559 WATERFORD DR
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER SAMUEL LIU
ADDRESS . . . . . . . . . . : 7559 WATERFORD DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-5233
RECEIVED FROM . . . . : PACIFIC PLUMBING &
CONTRACTOR . . . . . . . : JOSEPH BECHWATI LIC # 22640
COMPANY . . . . . . . . . . : PACIFIC PLUMBING
ADDRESS 2138 O'TOOLE AVE
CITY/STATE/ZIP . . . : SAN JOSE, CA 95131
TELEPHONE (408) 452-8633
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
- ------------- ---------- ---------- ---------- ---------- ----------
7.PPERMITFE FLAT RATE 1 . 00 20 . 40 0 . 00 20 . 40 0 . 00
lPRSEWER UNITS 1 . 00 10 . 20 0 . 00 10 . 20 0 . 00
1TRAVDOC FLAT RATE 1 . 00 20 .40 0 . 00 20 . 40 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 51 . 00 0 . 00 51 . 00 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 51 . 00 #17533
---------------
TOTAL RECEIPT 51. 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION ,
-------- ---------------------------- -------- ----------------------------
202 UNDERFLOOR PLUMBING 301 ROUGH PLUMBING
507 FINAL PLUMBING
•
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
0
CUPERTINO PERMIT APPLICATION FORM
1 Date:
Building Address: /
Owner's N e: Phone #: —p
2-3L/Contractor: �^ U
Phone #:
Fax #:
Contact: Phone#:
Fax #:
Contractor License#:
Cupertino Business License#:
Job Description: � (� 0g00 1 5
C 510 )4IRY
esidential ❑ Commercial ❑
Valuation:
Project Size: Express Standard Large Major
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.
Green Building Points:
Quantity Fee ID Fee Description Fee Permit Type
Group
1PCSEWER Commercial building P 1CPSS
sewer/sanitary sewer
IBPREPIPE Commercial re-pipe per fixture P 1CPRP
1PGASCOM Commercial Gas Piping System P
1-4 Outlets
1BSEI5MICOM Seismic Commercial P
1BSEISMICR Seismic Residential P
l IPRSEWER Residential building P 1RPS5
sewer/sanitary sewer
CITY OF CUPERTINO t
REPIPE/SEWER/MAIN SERVICE
CUPERINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
1PRREPIPE Residential re-pipe per fixture P 1RPRP
1BPWSVCS Water Service P 1CPWS or
IRPWS
1PPRSEWG Private Sewage Disposal System P
1PCESS Cesspool P
1BPWATER Install/alter Water Pipe P
1BPFIXTURE Plumbing Fixture P
1PGASRES Residential Gas Piping System P
1-4 Outlets
IBPGAS Gas Piping System 5+ Outlets P
r 1PPERMITFEE Plumbing Permit Fee Issuance P
l 1PLMBLNCK Plumbing Plan Check P •
1PLMBINSP Other Plumbing/gas Insp. P
1TRAVDOC Travel &Documentation Fee B
1BUSLIC Business License B
Revised 6-16-08
•
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
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 Sheathin 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. Ener Star Refrigerator, (Note/Spec.) A-3 1 point
P. Other 1. List Green Features on Plans A-1 1 point
L TOTAL POINTS 40 points .
•
•
Plan Review Process Work Book Page-12-Revised 3/25/08
r
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;Bo%=4 points up to 4 Resource pts D
i2.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
Ia.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 D
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 Foundation/Slab before backfill 3 Energy pts y=yes 0
1 1 1
C.Structural Frame
Fl—, ubstitZe Solid Sawn Lumbbr 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 Vartical Applications 2 Resource pts y=yes D
B.Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y--yes D
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 D
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 D
1 1 1
. xter or n e
INPUT Resources Ener�qy IAL/Heaftn
1.Use Sustainable Decking Materials
a.Recycled content 3 Resource pts y--yes 0
b,FSC Certified Wood 3 Resource pts y--yes 0
2.Use Treated Wood That Does Not Contain ChromiuMArsenic 1 IAQ/Health pt y=yes 0
3.Install House Wrap under Siding 1 IAQ/Health pt y--yes 0
4.Use Fiber•Cament Siding Materials 1 Resource pt y=yes 0
! l 1
E.Plumbing
1.Install Water Heater Jacket 1 Energy pt Y--yes 0
2.Insulate Hot and Cold Water Pipes 2 Energy pts Y--yes 0
3.Retrofit all Faucets and Showerheads with Flow Reducers
a.Faucets(1 point each,up to 2 points) Up 10 2 Resource pts. 0
b.Showarheads(1 point each,up to 2 points) Up to 2 Resource pts. 0
4.Replace Tallest with Ultra-Low Flush Toilets
(1 point each,up to 3 points) Up to 3 Resource pts. D
5.Install Chlorine Filter on Showerhead 1 IAQ/Health pt y--yes 0
6.Convert Gas to Tankless Water Heater 4 Energy pts Y--yes 0
7.Install Water Filtration Units at Faucets
(2 points each,up to 4 points) Up to 4 IAQ/Health pts. 0
B.Install On-Demand Hot Water Circulation Pump 4 Resource pts y--yes D
r.crecmcar 1
1.Install Compact Fluorescent Light Bulbs(CFLs)
(6 bulbs=2 points,10 bulbs=3 points,12 bulbs=4 points) Up to 4 Energy pts. 0 .
2.Install IC-AT Recessed Fixtures with CFLs(1 point each,up to
5 points) Up to 5 Energy pts. 0
3.Install Lighting Controls(1 point per fixture,up to 4 points) Up to 4 Energy pts. 0
4.Install High Efficiency Ceiling Fans with CFLs
(1 point each,up to 4 points) Up to 4 Energy pts. 0
1 1 1
G.Appliances
1.Install Energy Star Dishwasher 1 Energy pt Y--yes 0
2.Install Washing Machine with Water and Energy
Conservation Features 1 Energy pt Y--yes 0
3.Install Energy Star Refrigerator 1 Energy pt y=yes 0
4.Install Built-In Recycling Center 3 Resource pts y=yes 0
1 1
H.Insulation
1.Upgrade Insulation to Exceed Title 24 Requirements
a.Walls 2 Energy pts y--yes 0
b.Ceilings 2 Energy pts Y--yes 0
2.Install Floor Insulation over Crawl Space 4 Energy pts y=yes 0
3.Install Recycled-Content,Fiberglass Insulation with
No Added Formaldehyde 3 IAQ/Health pts y--yes 0
4.Use Advanced Infiltration Reduction Practices 2 Energy pts y--yes 0
5.Use Cellulose Insulation
a.Walls 4 Resource pts y--yes 0
b.Ceilings 4 Resource pts y=yes 0 •
6.Alternative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y=yes 0
o.Ueoings 4 Resource pts y=yes 0
i
m ows INPUT Resources Energy ADMealth
i1..Install Energy-Efficient Windows
e.Double Paned 1 Energy pt Y--yes p
'.b.Low•Emissivity(Low-E)• 2 Energy pts es p
Y=Y
L c.'Low.Conductivity Frames 2 Energy pts y=yes p
2.Install Low Heat Transmission Glazing 1 Energy pt Y=YLS p
!
J.Heating Ventilation and Air Conditioning 1 1
r1.Use'DucfMastic on All Duct Joints 2 Energy pts y=yes p
2.Install Ductwork within Conditioned Space 3 Energy pts Y--yes p
3.Vent Range Hood to the Outside 1.IAC/Health pt y=yes p
4.Clean all Ducts Before Occupancy 2 IAQ/Health pts y=yes p
5.Install Solar Attic Fan 2 Energy pts y=Yes p
S.Install Attic Ventilation Systems 1 Energy pt y=yes p
7.Install Whole House Fan 4 Energy pts y=yes p
6.Install Sealed Combustion Units
a.Furnaces - 31AQ/Health pts y=yes p
b.Water Heaters 31AQ/Health pts y=yes p
9.Replace Wall-Mounted Electric and Gas Heaters with
Through-the-Wall Heat Pumps 3 Energy pts Y--yes p
10.Install 13 SEERM1 EER or higher AC with a TXV 3 Energy pts y=yes p
11.Install AC with Non-HCFC Refrigerants 2 Resource pts y_yes p
12.Install 90%Annual Fuel Utilization Efficiency(AFUE)Furnace 2 Energy pts Y--yes p
13.Retrofit Wood Burning Fireplaces
• a.Install EPA certified wood stoves./inserts 1 IAQ/Health of y=yes p
b. Install/Replace Dampers 1 Energy pt Y--yes p
c.Install Airtight Doors 1 Energy pt y=yes p
14.Install Zoned,Hydronic Radiant Heating 3 Energy pts y=yes p
15.Install High Efficiency Filter 4 IAQ/Health pts y=yes p
16.Install Heat Recovery Ventilation Unit(HRV) 5IAQ/Health pts y--yes p
17.Install Separate Garage Exhaust Fan 3 IAQ Health pts y=yes p
1
K.Renewable Energy and Roofing ! 1
1.Pre-Plumb for Solar Water Heating 4 Energy pts y=yes p
2.Install Solar Water Heating System 10 Energy pts Y--yes p
3.Pre-Wire for Future Photovoltaic(PV)Installation 4 Energy pts y=yes p
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 p
6.Seed Safe.and'Dufable Roofing Maten-ale 1 Resource pt y=yes p
7.Install Radiant Barrier _ 3 Energy pts y=yes 1 p
1
L.Natural Heating and Cooling 1 1
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 Mes p
1 1 1
. n oor r ua ry en n s es '
1.Use Low/ND-VOC Paint 1 IAO/Health pts Y--yes 0
2,Use Low VOC,Water-Based Wood Finishes 21AO/Health pts y--yes 0
3,Use Low/No VOC Adhesives 3 IAO/Health pts y=yes 0
4.Use Salvaged Materials for Interior Finishes 3 Resource pis y=yes 0
5,Use Engineered Sheet Goods with no added Urea
Formaldehyde 61A0/Health pts y--yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAO/Health pts y=yes 0
7.Seal all Exposed Particleboard or MDF 4 IAO/Health pts y--yes 0
6.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes 0
10.Install Whole House Vacuum System 31A0/Health pts y=yes 0
N.Flooring
1.Select FSC Certified Wood Flooring 6 Resource pts y=yes 0
2.Use Rapidly Renewable Flooring Materials 4 Resource pts Y--Yes 0
3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0
4,Install Natural Linoleum in Place of Vinyl 5 IAO/Health pts y=yes 0
5.Use Exposed Concrete as Finished Floor 4 Resource pts Y--yes 0
6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0
1 1 !
T—otal Points Avela e: r 14DI 1301 57 •
Total Points Pro'ect Received: I �I 0 0
G:date/progs/greanbulldingguidellnes'remodelars/greenpointsf na1212.04pmtectedxls
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