08090224 CITY OF CUPERTINO .� -:
'BUILDING DIVISION PERMIT , COITRACTQRII�TF'.�URIATION ,
BUILDING ADDRESS: - PERMIT NO.
1204 YORKSHIRE DR ALL VALLEY PLUMBING 08090224
R'S NAME: PERMIT ISSUE DATE
AMY DONG 3345 SELDON CT 09/30/2008
PHONE: SANITARY NO. CONTROL NO.
(510) 376-4816
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
u O p LICENSED CONTRACTORS DECLARATION
1 hereby afire,tNs 1 w licensed umlr proviGoni of Chapter 9(commencing Job Description
with Scotian 7IXMB of Dtvivon Sof Ne Batams,aM Professinm Code.ad myliccnseh WTR HTR REPLCMNT
^�H in full force end arae b GG
j�� luno Cl ` lie.g yRL� .
nFp Dam CSDEC
7th ARCHRECsS an
U 1 uMersuM my plans"I he used u puM1lic rteorN
k Q Licensed Professional
3 OWNER-BUILDBR DECLARATION
E I hereby of irre that 1 am exempt from We Conuectot s License Law for the
y p O rollowing moon.(Section 1031.5.Business and Nofeuium Cade:Any city or county
$ which retinues a Permit in construct.alms improve.demolish,or¢pair any suuctum
Prior in its issuance.also requirm We applicat for such permit in rile a signed==an,
Fro WatheislicensedpuroumWWcprovinion,ofWeConmcw'sLicenseLaw(chapes9 Sq.Ft.Floor Area Valuation
yh (commencing with Section 7000)of Division 3 of lW Business mod Professions Code)or $$700Q 51g that M u exempt Wmefrom and We basis fm the alleged eaempdon,Any violation or
Secdon 703M by arty appllcam for a permit subjects the applicant in a civil penalty of
ant mom than rive hundred dollars(S50y). 3 6 210 018 .q(N Number Occupancy Type
O 1.u owner of the property.army amployees wish wages as detr sole compewdon,
will do Wewak,and WesuacrrehmtWendedmoRered fmsale(Sec.' .Buainm
and Professmin Code:The Conlranur,License law daas nut appy m an owner of Required Inspections
pmpeny who Wilds orimgotes lemon.wd.W doessuchwmkhimselfmth mgh his
own employees,pmNded that such improvements..at intended mofl'eted for sale.If.
however.We Wilding or improvement is sold within arc year of cmnpleum.We owmr-
builder will live We WNrn of proving that he did not Wild Or improve for purpose of
ale.}
❑1.u Owner of We property.am exclusively contracting with BcemW comwa m in
construct We project sex.7044.Business aad Professiom Code:)The Cmuxmfs l-
cease law dors not apply in in owner of property who Wilds or improves themon.and
who contracts for such projects with amnuacmr(s)licensed purswnt in the Contractor's
knme taw,lam eaempt under Set ,B&PCfm Nu won
of Dae
WORKERS COMPENSATION DECLARATION
1 hereby afrirm under penalty of perjury,one of We following declaratlm:
❑1haveaMvealmaintainaCcnrlmmofeomentwelf.iuuefm Wm SCompen-
Mion,as Provided for by Secdon 37M of We labor Code.for the perfomanee of the
work for which Wu permft is laved
EKhave and will maintain Worker's Compensation Insurance.as rcquirM by Section
37M of We Taber Code.for the performance of the work for whic,this Permit is issued.
My Worker Co�m3pewtion Insurance nmiu and Policy number ate:
Carver.Ft lG Policy No.: f 7SL/3Gi
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(ITh section need not hecomplewd if the permit is foram hundred dollars($100)
or less.)
1 urdfy,Wm in We pmfomancc of the work for which this permit is issued,l shall not
crnploy m,peraon in any manner an as of become subject to the Workers Cmnpemadon
Laws of California.Dam
Applicant
NOTICE TO APPLICANT.IL after making this Certificate of Exemption.you should
become auhim in We Wmtets Compmuaden provision,a We labor Code,you most
.,z faMwiW comply with such Prevuhnot or Wis pemir shall be deemed revoked.
z CONSTRUCTION LENDING AGCY
[-r vy- l hereby affirm War Wert is a cmutruction ENlending agency for We Performance of
6i We work for which this permit is leaned(See.3097,Civ.C)
dQ Lendefs Name
=z Londer'a Addw
U Q I certify that I have mad this application and saw Wu We aWw hommauun is
u. F cormm.1 agree Of comply with all city and cowry Ordinaoexa and a=laws relating in
DU Wilding cmatroadm.aM hereby authorm,epaesenudves of this city to anter upon the
aWw-menddgm property(an I esp.purpwhich may
F y (we)a;=to ave.indemnify and keep harmless the City of Cupertino agaimt
fn in Croitias,jMgmenh.costs and expel...which may in my wyamneagaimt said City
U z A APPLICANT
of We granting of this Pont
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE ONS.
04Re-roofs
s. u onDam
HAZARDOUS
. Date
S MATERIALS DISCLOSURE Type of Roof
Will We applicant m Imum Wading e,Chapter
more,orand W hawdoas material
food e by the Cupertino MwiciWl Code.Chapter 9.13,and the Health and Safety
Pik,.Scores ns3z(,n / All roofs shall be inspected nor to an roofing material being❑Yea g4io P P � Y g g installed.
Will We applicant or form Wilding oauprin use equipment or dwica which If a roof is installed without first obtaining an inspection,I agree to remove
emit hoaNnm air comaminwu a defined by the Bay Area Air Quality Management all new materials for inspection.
Mantel? P
cYa 047
1 haw mad We hanrdwsmamriab mquimmems under Char4m 6.95ofWe Uirm-
niaHand,&Safety Cade,SecomesM505.25533 and 25534.1 understand WarifWm Wiling
docs not currently enenL Win it is my responsibility to Mary We occmanr of We
requiremer ach most-6tinti prior mfssuancenfacertlflaeorOcmpamy. Signature of Applicant Date
Owner or authorised agent Dam'/� All roof coverings to be Class'W'or better
• CITY OF CUPERTINO
4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36210018 . 00
DATE ISSUED. . . . . . . : 09/30/2008
RECEIPT # . . . . . . . . . : BS000006243
REFERENCE ID # . . . : 08090224
SITE ADDRESS . . . . . : 1204 YORKSHIRE DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : AMY DONG
ADDRESS . . . . . . . . . . : 1204 YORKSHIRE DR
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4918
RECEIVED FROM . . . . : ALL VALLEY PLUMBING
CONTRACTOR . . . . . . . : MARY SANDBRINK LIC # 23015
COMPANY . . . . . . . . . . : ALL VALLEY PLUMBING
ADDRESS . . . . . . . . . . : 3345 SELDON CT
• CITY/STATE/ZIP FREMONT, CA 94539
TELEPHONE . (510) 376-4816
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 700 . 00 0 . 50 0 .00 0 . 50 0 . 00
1PPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
1PRWHEATR UNITS 1 . 00 24 . 48 0 . 00 24 . 48 0 . 00
1TRAVDOC FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
---------- ---------- - --- ----------
TOTAL PERMIT 106 . 56 0 . 00 106 . 56 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 106. 56 #1663
---------------
TOTAL RECEIPT 106 . 56
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
------ ---------------------------- -------- ----------------------------
518 WATER HEATER
•
CITY OF CUPERTINO 0S 0
WATER HEATER
crrY OF
CLIPEkTINO PER;NffT APPLICATION FORM
Date'
R,,2ddins, Address:
-Name:
Phone -SiU
llaoI.,........ ------
Contractor State I ice.
Cupertino Business License
57
�24
-1— –
Phone
)(Y Fax 4:.
R";j no Pe it Info:
Plumb -
c),o p,e,s c ri p t no n:
-*-----------
ReT
0acement
Ifo-m Bonded
StrapT,)ed 'L—: 0 T1 p a
Va1Up_Tjnn:
his application.
Careen iittitding
Check-must be completed and attached to t
Green Building Points achieved*
CITY OF CUPERTINO
WATER HEATER
CUPERTINO PERMIT APPLICATION FORM
APN # Date:
Building Address:
Owner's Name: Phone #:
Contractor: Phone #: .
Fax #:
Cupertino Business License #: Contractor State License #:
Contact: Phone #:
Fax #:
Building Permit Info:
Bldg ❑ Elect ❑ Plumb ❑ Mech ❑
Residential ❑ Commercial ❑
Job Description:
Strapped ❑ On Platform ❑ Bonded ❑ New Location ❑ Replacement ❑
Valuation (cost of project):
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 achieved:
Revised 6/16/08
CITY OF CUPERTINO
WATER HEATER
C aW
CUPERTINO PERMIT APPLICATION FORM
Quantity Fee ID Fee Description Fee Permit Type
Group
1PCWHEATR Commercial Water B PCWHEATR
HeaterNent
1BSEISMICOM Seismic Commercial B
IPRWHEATR Residential Water B PRWHEATR
HeaterNent
1 1BSEISMICRE Seismic Residential B
1PPERMITFEE Plumbing Permit P •
1TRAVDOC Travel & B
Documentation
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 Dints
C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 points
D. Structural 3. Uses Wood IJoist, (See Spec.) S-2 2 points
5. Use Truss with heels, (detail) S-2 2 paints
6. B. OSB Sheathing, detail S-2 2 points
E. Ext. Finish 1. Composite Decking, (Note/Spec.) AJ 2 points
4. B. Fiber Cement Siding, (Note/Spec. A-4 2 aints
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. AJ 1 Dint
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.Site INPUT Resources Energy A011realth
1.Recycle Job Site Construction&Demolition Waste
65%=1 point;75%= 2 points;BO%=4 points .up to 4 Resource pts 0
12.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
�B.Design Resource-Efficient Landscapes and Gardens 4 Resource pts y=yes 0
9.Reuse Matedals/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 pis 0
2.Use Recycled Content Aggregate 2 Resource pts y=yes 0
3.Insulate Foundation/Slab before backfill 3 Energy pts y=yes[;;F 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=yas 0
7.Use Engineered Studs for Vertical Applications 2 Resource pts y=yes 0
B.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 pty=yes p
1 1 1
I
INPUT Resources Energy
.Extenor rms Q .
,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 Chromium/Arsenic 1 IAQ/Hsalth of y=yes 0
,3.Install House Wrap under Siding 1 IAQ/Health pt y--yes 0
;4.Use Fiber-Cement Siding Matedals 1 Resource pt y=yes 0
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.Aetrofilall Faucets and Showerheads with Flow Reducers
a.Faucets(1 point each,up to 2 points) Up to 2 Resource pts. 0
b.Shp
werheads(1 point each,up to 2 points) Up to 2 Resource pts. 0
14.Replace Toilest with Ultra-Low Flush Toilets
I(1 point each,up to 3 points) _ Up to 3 Resource pts. D
5.Install Chlorine Filter on Showerhead 1 IAQMealth 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 41AQMealth pts. 0
8.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 1 !
r.tiecmcar •
11.Install Compact Fluorescent Light Bulbs(CFLs)
1(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 !
G.Appliances
i1.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
13.lnstall Energy Star Refrigerator 1 Energy pt y=yes 0
14,Install Built-In Recycling Center 3 Resource pts y=yes 0
1 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.cemngs 4 Resource pts y=yes 0
1 1
INPiJ7 Resources Energy
• I,Windows P
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
't.Use buct 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 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 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 SEER11I 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 stoveslinserts 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 41AQ/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 0
1 1 1
K.Renewable Energy and Roofing
1.Pre-Plumb for Solar(Nater Heating 4 Energy pts y--yes 0
2.Install Solar Water Heating System 10 Energy pts Y=Yas 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 IS 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 0
• 3. Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0
1 1
INPUT RUSDurces Energy lAOIrleafth
.In oor Air Quality and Fmsbes '•
1.Use LowMo-VOC Paint 1 IAQ/Health pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0
3.Use Low/No VOC Adhesives 3 IAQ/Health pts y=yes 0
"4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 61AQ/Health pts y=yes0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 0
I '
7 Seal all Expo- P Y=Ysed Particleboard or MDF 4 IAG/Health is es D
—— —
8.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0
9.Use Finger-Jointed or Recycled-Content Tim 1 Resource pts y=yes 0
0.Install Whole House Vacuum System 3 IAO/Health pts y=yes p
1 ! 1
N.Flooring
1.Select FSC Certified Wood Flooring _ 6 Resource pts y=yes 0
i2.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/Heallh 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 1
Total Points Available: 1 1401 130 57
Total Points Project R 1 01 01 0
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