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08010121 (2) CITY OF CUPERTINO BUILDING DIVISICIN PERMIT COFiiTRAC'I'OIt TNFORM 'TION sl"Z'"',I4+Smtk z +�a-$ESS BUIIG DDRESS: PERMrr NO. V BLAZINGWOOD AVE A PERFECT CLIMATE 08010121 OWNER'S NAME: PERMrr ISSUE DATE COLLINS INES B 8375 BRENTWOOD BLVD STE B 01/18/2008 NE: SANITARY NO. CONTROL NO. (408) 8 61 9545 ARCHrM=/ENGINEER: BUILDING PERMIT INFO BLDG PLUMS MECH C= u0Z' LICENSED CONTIACI9RS DECLARATION elm 0 I hmeby affirm mal i w licowed omler provisions of Chapter 9(commencing Job Description _ with Seedon 7")ofDivvision3 of use Businessaed Professions Cme.and my license REPLACE FURNACE I.full.thee sed effect. ;qz Linen.L7as. Lic.g . Dam Contractor ARCHIIE=SDECLARATION understand undernd my plane Mail W wed as public mental a a C In Licensed Professional `m3OWNER-BUILDER DECLARATION E 1 ombyfirm afthat 1 am attempt from Ne Contractors License Law for the COO following mason.(Section 7031.5,Business and Professions Code:My city or county 1( which mqulrw a permit to construct.Aber.improve,demolish,or repair any structure Monprier 0 ib issuance.else reuima the applicant formch permit on file aaigned statement that Ito is licensed moment M Uns provisiona of the Connector's License Law(Chaptcr 9 Sq.Ft. Floor Area Valuation �m $ (commencing wife Section 7")of Division Sof the Business and Prefwions Cade)or $3346 S .. that he is stamps Licmfrom and tie basis for the alleged e.mption.Any violatfue of Section 7031.5 by any appli.1 fora permit subjects the applicant to a civil penalty ofNumber Occupancy Type met mope N.five hundred dollars(S50131, 3 6 917 011�� L asmmer of the property.Lir my employees with wages istheirwlc compensation, will do thework,md the slmmurt is mtlmmroded m offered fertile(Sec. Business Required Inspections and Professions Code:Tim Connectors Lk.Law does net apply m Am owner of q p pmpeny who buiidsmimpmo m,thercon.aed whodoessuch workhim.lfor through his own employees.provided that each impmmmmu an,not Intended oroRemd Russia.B. however.the building or improvement is sold within ow Year of compietion,the owner- , builder MB have the burden of leaving that Ie did fur Wild or improve for puryux of sale.). I-as manner of mw w e Property, elwfeatureduacm ively contracting with featured eonrs m true use Mjm(See.7W,Business and Professions Cade:)The Contrx7ars U. an=Law does mot apply to an owner of property who Wilds or ImProvw 0eremn,me, wed conu.ts for mch projects with a ronu meaR.)licensed Trammel to ted Conbanmh Leen Law. t]I sen wept(f/mm See B k�P C far rrtShis eased Fvrcr V. \1 Data 1" 1'O Q X WORXER19rCOMPENSAr1ON DECLARATION 1 hereby area under pewlly of perjury not of the following declarations: ..and will malnuin a CeNOesu ofConsent o.If-homm for WorkersCwnpen- .as provided far by Seetinn 3700 of me Lsor,coda,fm the perfomm uses of the rk far which this permit is mooed. 0 1 ban and will maimaln Wafters Compensation lnaumc0.,art mgNmd by 5emioo 3700 of NC labor Code.far the performance of the work for which this permit is Weed. My Waiters Compensation Insurance carrier and Policy number sum: Cartier. Policy No.: - CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (Thu sections need not Mcamplemd If the pmmil Is fmanc hundlNdollan(SIM) or less.) L«mfy that In the performaace of thD work far which this permit u Issued.I shall mint employ anypenon in anner /t he Wcomo su�em to theworibumcompcwadon lawwf Califomle. /v �+ ApPlkmt O _ m` ' NOTICE TO AP a :IL a tpmaurtg Nb Ccninwm of Labor a O Obecomehcomp y it Worker's Compewtion ormit.h.1 of Ne mit Cade,you mum forthwith comply with such prevision or this permit ahsll o deemed mwked. Z tiCONSTRUCTION LENDING AGENCY [.r I Monday affirm that them is a construction endingagcney for the performance of CG the work far which this perm0 N issued(Sec.3097,Cl,c.) W O lenders Name Z Landers Mercer U O 1 comfy that I ham and this application and sum taw the thew womum mm is correct I&I=m comply with all city and county on inane and sue lava misting m .O building cowmction.and herebyaufeorim representatives ofthif city be an=upon the W move-mendened property for inspection purpores (We)ago to sac.matormfy sed taD harmless ted City of Capon.eget= f�/3 ligbilides,judgmew,coN and expenses which may in any way accrue against amid City V APPLIqumceaNDERSTMDSAND WILL i n So iCA UNOERSfA DS AND WILL COMPLY WITH ALL NON-POIM Issued by: Date SOURCE UliON . a oR Re-roofs Signetum ofApplicamoddecter Data HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will Ue applicant Lir future Wilding necupant nom orlundle havallow material as defined by ue Cupeninn Municipal Code,Chapter 9.1;and me Health and Safety Code.section 35532(.)7 ❑res All roofs shall be inspected prior to any roofing material being installed. We Will the applicant or future Wilding=open[use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove t hwam..air contaminant,as de0rmd by me Bay Area Air Quality Management all new materials for inspection. m7 ❑Yw NNO 1 have mW thebvs dwisonemrialsmquimmcnu onticrCiupam6.95oflhe Cslifm- nia Heal"Safety Cada.Sections25505.25533 md25534.1 edcuund fun iffee Wilding d¢s not ""�,, rality m notify the occupant of use, mquim n lhCemenwmarOccupancy. Signature of Applicant Date --n ( ( (a All roof coverings to be Class"B"or better Ownererm octae `'' JAN-18-08 WOW FROM-Home Depot +4088788880 T-488 P.002/014 P-477 CUPEkTINO PERMIT APPLICATION FORM 0>01 0 I 2L( APN# UO Date: GO Building Address: Ir Owner' Name: Phone#: �s �1 �h C A1' Fax #: actor I iceasg, X=—actor no us?3wa evse _ I G�G Con Ph o #: /�- - /S. . Fax#G uildiug Pcuuir Info: Meet 4Plumb Mech Rosidennal Commercial Job Description: ,� J�— r-4 For Residential Installations: Attic ❑ 1n floor ?I floor ❑ Adhere to minimum setback requirement For Commercial Installations: Replacement same weight ❑ Additional weight(sl�ctrnal calcs) [], Structural Calculations required for new installation ❑ New installation Planning al Required ,Rost of Project: Type of Construction (Usage Clas ): C S cd On Platform Bonded New In on El Replacement Valuation: Groep Building:Must attach Green Building Check list to thisapplicar}on • JAN-.10-05 .09:46AM PROM-Home Depot +4096703500 T-499 P.004/014 F-477 CITY OF CUPERTINO FURNACE/AC Cu INo FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Gro! FURNACE FURN/AC 1PGASRES Residential for ea gas piping system o P 1-1 Outlets 1BPGAS For each gas piping system of 5of P more per outlet. 11MEISMICR Residential Seismic B 1MECPLNCK Mechanical Plan Clieck 1MFR-<100 Puma=Syst o-100k BTU install or M relocate ea forced-air/gravity type &m=e grner.incl ducts/vents • attached to such appliance up to and include 100,000 Btu& 1MFRN>100 rurnaoe Syst> 100k Rg instaA or �,rp�� rp relocate ea forced-atr/graviry type 07 ©S Ammewbu miner.incl ducts/wale � attached to such appliance over 100,000 Btwh IEP Electric Permit Fee E I IMPERMITFEE Mechanical Permit Fee M 1ppmevnTnE lambing Permit p 1TRAVDOC Travel Docnmant46on B 1BUSLIC Business License B I 1 rel rz�� Rn,. 6�0()-- ENTER PROJECT NAM E munfluo 1.USO Solid Wall Systems includes SIP&,ICFs,a Any Non-Stick Frame Assembly) ❑ e Floors D 2 1 2 ❑ b.Walls D 2 2 -- • ❑ C.Roofs 0 — 2 2 5.Reduce Pollution Entering the Home from the Garage ❑ a.Tightly Seal the Air Bomar between Garage antl Living Area 0 1 ❑ b.Install Gere a Exhaust Fen OR Build a Detached George 0 1 6.Dnsign Ener Heels on Trusses(75%of Attic Insulation Height at Outside Edge of Exterior Wain 0 1 ❑ 7.Dealgn Roof Truesq to Accommodate Ductwork 0 1 1 S.Use Recycled-Donlant Steel Studs for 00%of Interior Well Flooding 0 1 LJ 9.Thermal Masa Wells:515-Inch Drywall on All Interior Wags or Walls Weighing more than 40lblco.tl. 0 1 10.Install overhangs and Gutters ❑ a.Minimum 16-Inch Overhangs and Ghon; 0 1 ❑ It.Minimum 24-Inch Dverhan s and Gutters D 1 1 Total Points Available in Sbuctuial Building Frame and Envelope=36 D &.BSTERiOR FIN1SIi " Points.AvoilaWe Per Measure .- 1.Use ReryGed-Conlan(No Virgin Plastic)or FSGCeAfied Wood Decking - 0 - 1 2 ❑ 2.Install a Rain Screen Wall System 0 1 2 1 3.Use Durable and Noncombustible Siding Materials D 1 4.Salam Durable and Noncombustible Roofing Materials 0 2 1 Total Points Available in Exterior Finish=7 0 F:'INSULATION'! .., _.� .. - -.;�.. 'i .. ,. ......r .,..._ ._ -- ` Points AJallable Per lJsaslire 1.Install Insulation with 75%Recycled Content ❑ a.Wells and/or Floors 0 1 1 —El—b-Cellln s 0 2.Install Insulation that i&Low-Emitting(Cerefed Section 0195D) ❑ 9.Wells and/or Floors 0 1 1 El b.Callings 0 — ❑ 3.Inspect Quality of Insulation Installation before Applying Drywall 0 1 Total Points Available In Insulation=5 0 G.PLIlM9ING -_-.. . . .. .. Points Available Per Measure- 1.Distribute Domestic Hol Water Efficiently(Maximum 7 Points) - ❑ a.Insulate HM Water Pipes from Water Heater to Kitchen p 1 1 ❑ It.Insulate All Hot Water Pipes 0 El c.use Engineemd Fatalist Piping ❑' it.Use Engineered Pamial Piping with Demand Controlled Circulation Loop p 1 1 ❑ e.Use Structumd Plumbing with Demand Controlled Circulation Loop 0 •.. ❑ I.Use Central Core Plumbing — 20 -- 2 ❑ 2.Install Only High Efficiency Toilet.(Dual-Flush or SI.2e gpfl 0 1 4 Total Pants Available in Plumbing Total 12 0 Hv TINO,.VENTHdTiOlYRAIIt CONDITIONING _ ,._Points Available Par Measure': 1.Design antl Install HVAC System to RCCA Manuel J,D,and 5 Recommentlations D i 4 2 lnstell Sealad Combustion Unita ❑ e.Furnaces 0 _� Z El b.Water Hanlon; 0i 2 1 Ll 9,Install Zoned,Hydronic Radiant Heating with Slab Edge Insulation .�"'*x 0 1 1 1 Lj 1.Install High Elficiancy Air Comcitioning with Environmentally Responsible Refrigamnts / p 1 I 5.Design and Insall t and Due morkwork ❑ ff a.Use ll Ma tic on tl D uIrt lokwithin Seam onetl Space p _� ❑ b.Use Dum Mastic on All Ductnsula and Seams p 1 ❑ c.Install Ductwork under Attic Insulation(Burietl Ducts) / p . ❑ it.Pressure Balance The Ductwork System U 70 1 I ElLao- 6 e.Protect Ducts during Construction and Clean All Ducts before Occupancy o, ----�---- 1 fi.Install High Efficianry HVAC Filter(MERV& ,:¢'0A 1 ❑ 7.Don't Install Fireplace or Install Sealed Gas Fireplaces with Efficiency Rating Not Leas Than 60% 0 using CSAStandards, 9.Install Effective Exhaust Systeme in Bathrooms and Kikhans (/ ❑ e.Install ENERGY STAR Bathroom Fans Ventodtothe0utods ❑ b.All SaNroom Fens Are Timer or Humidistat ❑ c.install Ktmon Range Hood Vented to the Outside 9.Install Mechanical Venglation System for Cooling(Maximum 4 Points) `�'t✓.o ❑ a.Install ENERGY STAR Calling Fans B Ught Kits in LNing Areas a Bedrooms ❑ b,Install Whole House Fan with Variable Speeds 0 U 1 1 ❑ c.Automatically Contiollad lnteOretatl System 2_i _ ❑ C.Automa6cagy Cchund d Integrated System with Variable Speed Control - 0 3 1 I 1 D.Install Mechanical Fresh Air Ventilation System(Maximum 3 Points) - ❑ a.Any Whole House Vontilallon System That Meets ASHRAE 62.2 0 2 _ ❑ b.install Air-tcAir Heat Exchanger that meets ASHRAE 62.2 0 1 2 LJ 11.Install Carbon Monoxide Alarm(s) 0 1 • Total Points Available in Heating,Ventilation and Air Condmonin =30 0 02007 Build It Green Sinqle Famliv GrearrPolnt Checklist 2007 Version Pace 2 of 4 - Single Family GreenPoint Checklist dater OBuild Itdreerii The GmanPdnt Checklist is based on the various green features Incorporated Into the home and is the Smart Solutions From the Ground Up basis for the GreenPoint Rated pregrem,in home can be considered green If It fulfills the prerequisites, — Hems at least 50 Resources points,and meets the).Plane points per Build It G re Energy list of Indoor Air Oueliry/ Health(5),Resources(6),and Water(SJ.Please tooted Build It Green for a list of qualified GreenPoint �"J-'� Raters If you are Interested In pursuing thirtl-party verification. The green building practices listed below are described In the New Home Construction Green Building Guidelines,avellable at www. IcfltOreen.oro. MOUND ENTE• • • A.BITE Palms Available Pat Measure 1.Praised Topsoil and Minimize Dominion of Existing Plants&Tran ❑ a Protect Topsoll from Erosion and PBun after Construction 0 1 ! 1 ❑ b.Limit and Dell Construction Footprint for Maximum Protection 0 2 Detonctrud Instead of Demolishing Existing BUIltlinpa On Site 0 1 3 a.Recycle Job Site Construction Waste(including Green Waste) ❑ a.Minimum 50%Waste Diversion by Weight(Recycling or Rause)-Required ' 0 R ❑ In.Minimum 65%Diversion by Weight(Recycling or Reuse) 0 �� Z ❑ c.Minimum 80%Diversion by Weight(Recycling or Rause) 0 , 2 I 4.Use Recycled Content Aggregate(Minimum 25%) ❑ a.Walkway and Driveway 0 ❑ b.Roadway Base 0 - 1 1 I Total Paints Available In Sits 12 0 13.FOUNDATION Polms Available Per Measure 1.Replace Portland Cement in Concrete with Recycled Flyesh or Sieg -- —[]—a.Minimum 20%Flyesh or Slag 0 ❑ b.Minimum 25%Ff or Slag 0 _r 1 2 Use Frost-Protected Shallow Foundation in Cold Areas(C.EC.Climate Zona 16) 0 1 3 El 3.Use Radon Assistant Construction In At-Risk Locations Only 0 1 4.Design and Build Structural Peat Controls ❑ a.Install Termite Shields&Separate All Exterior WoodAoConcrete Connections by Metal or Plastic FastenerslDHiders 0 1 N All New Plants Have Tmnk,Base,or Stem Located At Least 36 Inches from Foundation 0 T— TotalPoints Available lnFoundation=6 o C.LANDSCAPING - Plume Available Per Measure 1.Construct Reeourco-Ef6d ml Landscapes ❑ a.No Invasive Species Listed by CaIdPC Are Planted 0 '_ ] ❑ le.No Plant Species Will Require Hedging ❑ 0.75%o1 P91ae AR DfWghi-100raM CBfoma NafVas,MBd"dBrtanBae,or Other AppropdaiO Species 2Use Fre-Safe Landscaping Techniques 0 1 3.Minimize Tud Areae in Landscape Installed by Sunder ❑ a.All Tud WIII Have a Water Requirement Less than or Equal to Tell Fescue(50.6 plant factor) 0 2 ❑ b.Tud Shall Not Be Installed on Slopes Exceeding 1 D%or in Arne Less than a Feet Wide _ 0 1 2 ❑ c.Tud Is 533%of Landscaped Area(total2 points) ❑ d.Tud Is 510%of Landscaped Area(total 4 points) 0 2 ❑ 4.Plant Shade Trees o1 3 Lj S,Group Plants by Water Needs Hydrozonin ) 0 1 1 2 e.Install High-Efficiency Irrigation Systems IT a.System Uses Only Low-Flow Drip,Bubbles,or Low-flow Sprinklers 0 I 22- 7 b.System Has Sman Controllers D 1 3 7.IncorporeU Two Inches of Compost in the To fits 121nchn of Sail 0 i 1 3 e.Mulch All Planting Beds to the Greater o/2lnches or Local Water Ordinama Re uiremant 0 ) 1 2 50%Sacyclod-Contain Ma for 50%ofNon-Plant Landscape Elements 0lPRcel don 1 9.Use10. Shielding andlor Directfing Light Downward ! Total Points Available In Landsc In =31 D.STRUCTURAL FRAME&BUILDIIING,ENVELOPE oomMMOU Points Available Per Measure 1.Apply Dptimal Value Engineering ❑ a.Place Rafters and Studs at 24-InbA On Center Framing 1 ❑ b.Size Door and Window Headen for Load 1 ❑ c.Use Only Jack and Cripple Studs Required for Load fl7giolingall 1 2 Use Engineered Lumber ❑ a.Beams and Headers (7s��{'T}�y art, o _ S ❑ b.Insulated Engineered Headers "4.+.jlr/ � II II 0 L1 I_ ❑ A c.Wood-Joists or Web Trusses for Floors J ('� 0 ❑ J.Wood IJRafters JA oists for Root Rai 9ns!l1 0 ❑ a.Engineered or Finger-Jointed Studs for Vertical Applications [UUU g 1 ! ❑ L Oriented Stand Board for Sublloor �[h 7--j- 3. 0 ! 1 El g.Onented Shand Board for Wall and Roof Sheathing (S 0 1 3.Use FSC-Cedined wood ❑ a.Dimensional Lumber,Studs and Timber.Minimum 40% 0 ) 2 _ ❑ b.Dimensional Wrl Studs and Timber.Mlnimum 70% 0 ❑ c.Panel Products:Minimum 40% D ❑ J.Panel Products:Minimum 70% 0 1 I 02007 Build It Green Single Family GreenPolnt Checklist 2007 Version Page 1 of 4 l Community Development r� 10300 Torre Avenue Cupertino CA 95014 -4 Telephone(408)777-3228 i Y OF Fax(408)777-3333 �UPEkTINO Building Department TOB AX)DRESS�: PERMIT# PN �.ue�1>so 7a -z OWNER'S NAME: PHONE # a—� GENERAL CONTRACTOR: FAX # 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 Signature Date