08070128 (2) BUILDING DIVISION PERMIT kCU1�ITRAGTQIN�.`'C�,_ MAT."IaNvfi^
PERMIT NO.
BUIL�r �.Dr}I�s�E AVE BEAR HEAT'G & AIR 08070128
OWNER'S NAME: PERhVf ISSUE DATE
11kWOOLHOUSE GEOFFREY R AND 1697 BECK DR 07/18/2008
(408) 379-8650 SANITARY NO. CONTROL NO.
ARCHITECrtENGINEER: BUILDING PERMITINFD
BLDG ELECT PLUMB MECH
Oo LICENSED CONTRACTOR'S DECLARATION Job Description
ap 1 lamby affirm that 1 am limed under provisions of Chaps,9(comm uscm,
WE
wish Suction]Milli)of Division 3oftheBusinessand P,diaslonsCods, mylicenSuis INSTL DUCTLESS MINI SPLIT. BEAR HEATING RENEWED
?9z DuOkmnm CeSM Cavincctor L L BUS LIC 7/18/8
q� ARCHITECTS DEC TION -I
j W U 1 un imam my p Ws Nail be used as public records
tA>' �iAT
6
aG L mxad Professional
ta 5 OWNER-BUILDER DECLARATION
i E 1 Wmby aPrm Nal 1 am eumpt from the Convector's Liecnan law for the
p O following mown.(Sati.n 71131.5.Business and Prota,aions Code:Any city m county
$ which rcquins a permit to eonsuueL alas,improve,demolish,or repair any Structure
i< prior b its issuable.also oquires de applicant forauch permit to file asignetl Usument
s,
Must Jac iau gmwpursomm.towepmvirknaofmacommem.sUcamm ,w(CnaPmr9 Sq.FL Floor Area $3600 Valuation
(commerein with Section 7000 of Division 3 ofthe Business aM ProfasioasCock)or
— that he u exempt tnmefrom and she basis for the alleged exemption.Any violation or
Section 7031.5 by my Spillman to a armh Subjects she applicant M a civil paulty or e,ux,t Number Occupancy Type
rot mom than five hundmd dolun(S500). 37539009 :td l7' P Y YP
0 I,u owrcr of ile property,err my wpl.ym with wage u th�'vak mmNasauon,
will do the wmk,and than svuscum u nor hounded ornRcmd for sale(Sac.7W.Rum.
and Profeamm,Code:The C.nmcaur's Limes law does WE apply In an.vena of _ Required Inspections
property who hands or im prow thernon.and who does Stud wart him us tf or through his
.waernploym,provided Nat Such imprusements are notimendra m.fiaal forsake It.
however,Ne building or improvement u and within one yw of completion,the manor.
Wilder will haw ase bund.of proving Wt U,did not build as Improve for purpnu or
sak.),
❑1,as owav r of tW property ma exelushcly contracting with licensed contractors;in
coKwn this Mica(Sec.7144.Businm mod RofcssioN Code:)The Conuacmes U.
cense law dm not apply to an owner of proarty,who Wilds or improve demon,and
who convects for Such projesv with a conuacmr(s)lammed puramm mthe Camram.Ys ,
IRease law.
❑I am exempt under Sac ,B d P C for this mann
Oww. Due
kWORKER'S COMPENSATION DECIARATION
I hmaby aRum under partially of perjury arc of the patterning declanumss
I ham and will maintain a Certifime ofConam to albiasme for Wader'sComan-
.as provided for by Section 3700 of the lah.r Cale,for tW parformanm of the
work for which this Permit is issued
❑I have and will maintain WMIM's Comansation Insmana,as m lturad by Section
)71)0.17 the labor Code,for the adman.of she work for which Iden Permit u issued
My Wor*eYs Compensation Insurance carrier soul Policy number ara
Carti¢ Policy No.:
CERTIFICATE OF EKEMPITON FROM WORKERS'
COMPENSATION INSURANCE
(This mcd.n need rot W completed lfde Numb is forme hundmd deRan(S10D)
or leu)
I cutify that in the perfmcs.or ase most for which this permit u issued,l"I nM
cmployanyauor any mauj n t.she Workeri Compansa0on
Laws of Cali 10 Dam /�/ pf V
AppBau ///���!llnnn -
NOTICE P CA ."II'a/ter making this Ccoillieau of Exemption,you shwk
become Salim us the Worker CanPewtion provisions m the labor Coda,you must
.J ,z forthwith comply with Such proviLmu or this permit shall W domed mwked.
z O CONSTRUCTION IRNDING AGENCY
r
F IWmby Wu
frtn Man aconsuunimhr, agency for dm NRec urmanof
m
C'> Na,dams for which dais Permit u lasted(Sec.30997.civ.C)
fA A L<ndeYs Name
Dz Lsnders Address
U Ove 17�, 1 comity that 1 hamad this applimtion and Stam dist she aWkry
ve htas
uun
�
U,V emmm'L I agmen as comply with all city ami county Soil Re gild'We laws Rlating in
O Wilding conumction,and hemby mtnoria mpmansuw of this city to cur upon the
ahove-mcnudg pmPerty(an inspeerion porinmwhich a
E„G (Wc)agree k Save,indemnify,and keep harmlaas tie City of Cupertino against
z Iiabilitim.judgments,cos4 and examen which may in eny way Sumeagainst aid Oily
f thus
U Z ; l.
;P M UNDE0.SfANDS AND j'DMpty stir ALL NON-POINT
So REGULATIONS Issued by: Date
Re-roofs
Si arum of ApplicastnContralcubC Data
HAZARDOUS MATERIAIS DISCLOSURE Type of Roof
Will the SPPlimot or forum building occommswm an huWk hazardous material
u defined by the Cupertino Municipal Coda.Chapter 9.12,and de Heaith and Sa cly
Coon.Section xss3x(,)7
0Yon leAll roofs shall be inspected prior to any roofing material being installed.
WIII Na,applicant or fumm building occupant um nquipmcm m devim which If a roof is installed without first obtaining an inspection,I agree to remove
m as comacommotsas dclincd by Ne Bay Anse At,Quality Management all new materials for inspection.
District?i
❑Yon pyyu
1 have mad the hvaudnusa nummials requimmenta under Chapter,i95 ofdte Califon.
tis HmlthhSafctyCade. 34.IwWsaaM donifNc holding
dm note tank that inti my mapoasiN t ufy the aecupwn cards
mquie wichmuuW or aCenilic�e.rOccu Signature of Applicant Date
r.rwthmi>ee agent Wte All roof coverings to be Class'J¢"or better
CITY OF CUPERTINO
• 7 ITEMS OF 7 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . . 37539009 . 00
DATE ISSUED. . . . . . . : 07/18/2008
RECEIPT # . . . . . . . . . : BS000005505
REFERENCE ID # . . . : 08070128
SITE ADDRESS . . . . . : 892 HYDE. AV_E
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . .. WOOLHOUSE GEOFFREY R AND MADEL
ADDRESS . . . . . . . . . . : 892 HYDE AVE
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4639
RECEIVED FROM . . . . : BEAR HEATING & AIR
CONTRACTOR . . . . . . . : JAMES VINYARD LIC # 29041
COMPANY . . . . . . . . . . : BEAR -HEAT'G & AIR CONDITIONING
ADDRESS . . . . . . . . . . : 1697 BECK DR
CITY/STATE/ZIP . . . : SAN JOSE, CA 95130
TELEPHONE . . . . . . . . : (408) 379-8650
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 3, 600 . 00 0 . 50 0 . 00 0 . 50 0 . 00
1BUSLIC FLAT RATE 1. 00 110 . 00 0 . 00 110 . 00 0 . 00
1EPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
1MPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
1MRRAA UNITS 2 . 00 122 . 38 0 . 00 122 . 38 0 . 00
1PPERMITFE FLAT RATE 1 . 00 ' 40._79 0 . 00 40 . 79 0 . 00
1TRAVDOC FLAT RATE 1. 00 40. 79 0 . 00 40 . 79 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 396 . 04 0 . 00 396 . 04 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 396 . 04 #2547
---------------
TOTAL RECEIPT 396. 04
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
•
JF07olc*
CITY OF CUPERTINO
«` FURNACE/AC
• CUPERTINO PERMIT APPLICATION FORM
APN # 5 q) Date:
�Q
Building Address:
Kxrfp- Av&
Owner's N e: Phone.#:.
JN
Contractor: — OV �KtiPhone#:
�P Fax #:
Contractor License#: Cupertino Business License#:
Contact: --�if es2ct� Phone#:
Fax
Building Permit Info:
Elect tXPlumb Mech!
Reside tial t� Commercial ❑
Ask
Job Description: '7'7k4-S7—AL(
For Residential Installations:
Attic ❑ 1 s` 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):
3 (P p
Strapped ❑ On Platform. Bonded ❑ New Lo—cation—e- Replacement
Project Size: 'Express [ Standard ❑ Large ❑ Major ❑
Valuation:
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.
�L
Revised 6/16/08
CITY OF CUPERTINO
SAS FURNACE/AC
OF
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1MCRAA 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.
1MCREPALT 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.
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1BPGAS 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,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by
this code.
1MRSUSHTR Residential Install/Relocate ea M
suspended heater,recessed wall htr, or •
floor mounted unit heater.
1MRAPPVNT Residential for the install/relocate/ or M
replacement of ea appliance vent
install ¬ incl in an —1 permit.
CITY OF CUPERTINO
FURNACE/AC
Y OF
CUPEkTINO 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.
1BSEISMICR 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
IMFRN>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
IEPERMITFEE Electric Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
1PPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
1BUSLIC Business License B
•
�- CITY OF CUPERTINO
FURNACE/AC
CITYCUPEI�TINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
AIR FURN/AC
CONDITIONING
1BCAIRHAN Commercial A/C Units <= l Ok CFM B
1MCRAA Commercial Mech Repair/alt/add M
1BSEISMIC0 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
1BREMAIRHAN Residential A/C units <= lOk CFM B
1MRRAA Residential Mech Repair/alt/add M
IBSEISMICR Seismic Residential B •
IEPERMITFEE Electric Permit , E
r 1MPERMITFEE Mechanical Permit M
I 1PPERMITFEE Plumbing Permit P
j 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
R!
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 ]-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 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 1oint
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.Srte
- INPUT Resources Energy IAO/Health
1.Recycle Job Site Construction&Demolition Waste,
65%=1 point;75%= 2 points;80%=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 pis y=yes 0
5.Minimize Disruption of Existing Plants&Trees 1 Resource pt Y--yes 0
6.Implement Construction Site Stonnwater Practices 2 Resource pis 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 Materials/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
EMO
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 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 pis Y_—Yes 0
6.Use Finger-Jointed Studs for Vertical Applications 2 Resource pis yryes 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 pt y=yes 0 •
I 1 1
INPUT Resources Energy IAG/Health
I.Windows
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 pts Y--yes 7 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 Buming 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 Filler 4 IAQ/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 p
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=18 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 p
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 Energy pts y=yes
3.Plant Deciduous Trees on the West and South Sides p
• 1 1 1
.,,. Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
SCUPEkTINO
Building Department
JOB ADDRESS: PERMIT #
9V7 0l
OWNER'S NAME: PHONE # Dd'973-
GENERAL CONTRACTOR: E4 FAX #
I am not using any subcontractors- 7 -/F-og
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
r/Contractor Signature Date