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08080230 (2) CITY OF OUPERTINOe� 5 s' 4 rp L '> BUILDING DIVISION PERMIT CONTRACTOR INFORMATION: BUILDING ppD FSS: PERMIT NO. LINDA VISTA PL ALL VALLEY PLUMBING 08080230 OWNER'S NAME: - PERMIT ISSUE DATE :ii2 ! NIVASAN 3345 SELDON CT 08/28/2008 NE: SANITARY NO. CONTROL NO. ARCHIIECriENGiNEER: BUILDING PERMIT INFO RPLC OLD WTR HEATER BLDG ELECT PLUMB MECH upp LICENSED CONTRACTORS DECLARATION Job Description rd F 1 hereby affirm Nat 1 am luxnsed under provisions of Chapter 9(commencing {3 n�1with Seedun 7")of Division 3 of dee Busiocss and PoicsNoru Code.and my license is N in full forte and effect. Ucense Clan Lm.g t-q Dam.Contractor ' 7W ARCHITECTS DECLARATION `t o 1 understand my plans shall he used As public records JyU g ono G Licensed Professional 3OWNER-BUIIAER DECLARATION jE 1 krthy alErm that 1 mm actept from the Commences License Law for the p o following reason.(Section 18313,Business and Professions Cale:Any city or county $ which rryum,cs a Permit to cnnsuwr,alcor,improve.demolish.or repair any structure -Zeprior in its issuance.also requires tieapplicmt forsuch permit in filca signed surement that he is Teemed purmmt to the pmvisiom of the Contractor's Utence Law(Chapter 9 Sq.Ft. Floor Area Valuation gra (commencing with Secure 10W7 o(Dirisim]of the BusiM..and Prof ions Code)or jm`<_ that bau asempt thmefmm and de basis for the alleged escalpdon.My violation of Section 7031.5 by any applicant for a Permit mbjcm the Applicant in a civil penalty of APN Number Occupancy Type not mare than few hundred dollars(SMM. p y yp Q I,u oww of tW prpmy,re my emPlaym with wages ss tick role tampewtion, wi0 dothework,aro the swcmreuwtkmnded Law dosOuta(Sec.rMn,owner and ear who W Cade:The Conuec m,License Law does Out apply lf,t owner is Required Inspections pmpero whobuildsd impmwesThereon,endwho dossuchwork himselfcar tiuough Ito caw.now,Wer.t yrss,prNded Wt such ire is semw thin not our dedoft moBcrnd farssla H, Water.the Wilding orkprovemmt 4 solthat within arc year of a phrove m,the pose of WiMm will base the orders of pvving dot bo did MI Wild re improve for purpose of sale.). nwxam miv r of the pmpeny. cacicly conee contracting with licensed nuxtrem s fenstrust uuct de project(Sec 1014.Business and Professions Code:)The CostranmYs U- cense Law docs aol apply As an owner of Property who Wilds of improves tietoon.Nd, who contracts for such projects with a mnrrector(s)licensed pummel m the Convector's License law. ❑lam esemDt ufnJcl/e�See .B&PCfordusressan Owner "tro( ( Dau ff WORKER'S COMPENSATION DECLARATION 1 hereby affirm under pemlly of perjury arc of the following declentions: l have and will maintain a Cenifiate of Consent to self-imurt fm Workers Co nive- satian,As provided for by Section 3100 of the Labor Code,for the perf ncra nm of lite work for which this Permit is issued. ❑1 hale and will maintain Workeis Compawtion Immance,u tognirout by Section 3100 of the Labor Cods,far out peRarmanaaf the work for which this permit is issued. My Wmkees Coeperado.Immaee anicr and Policy number art: Cmricr. Policy No.: CERTIFICATE OF EKFAIFIION FROM WORKERS COMPENSATION INSURANCE (This motion need rot im completed if the permit Is form=hundred dollar($100) or lest) I ardfy dont in the perform.a the work for which this permit is lord l"I not employ any person in my mm orw As As become subject to the Wurkeri Compensation Laws of California.Dam Applicant �s NancE TO APPLJCANT.rIf,ifutr analung this Ctnifcmc of Exteriors.you should Wee.subject to the Wtc c s Compensation provisions of the Labor Cod,you must ' 0 0MproNu fowith comply with such visions or permit shall o deemw ed mked. ZCONSTRUCrLON LENDING AGENCY [-m(7 I Wrby affime that dire is a coos rucdnn lending Agencyfor the lcrfommana a Lli the wort for which this permit is issmd(Sce.3099,Ci,C) QLenders Nater aZ Lentlers Address U 0 I metify dust I hese mnd this application and Sum that the move information is Iy ^. correct.l agree in comply with all city and county ordinances and sum laws totaling Or 0 SV^ Wilding comwcdon.and hereby authorise represenutim of this city to carer upon Ne akve-mtndoncd property for inspection purpura F y (We)agree to save,indemnify and keep harmless time City of Cupertino gimme y Iiabilities,jwgments,tato and expenses which may in any way accre against laid City U Z in consequence of the graining of this permk n ^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE REGUI.s�_,,,p uB UU Re-roofs Signature afAppUcanr/Commmor Dam / HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will de applicant or future Wilding aaupantsmre rehandle haalloas material As defined by tic Cupertino Municipal Code.Chapter 9.13,and the Hcalth and Safety Code,Section 25532(47 All roofs shall be inspected prior to any roofing material being installed. ❑Yrs PH. Will the applicant or future Wilding a cupant use equipment car devices which If a roof is installed without first obtaining an inspection,I agree to remove u hamrdnm air contaminants As defined by the Bay Ams Air Quality Management all new materials for inspection. ISVIfIT ❑Yen -PNo I haw read the haraooua materials rtquimments under Chapter 6.95 of the Califor- niaHmlth&Safely Cade.Senlons255U5.M533md2553a.IwW mmdthatifde Wilding deo not emood),haw•snarl Nat it u my responsibility m notify the occupant of the rtquirtmcnta which must�t piorm icsum� �d Signature of Applicant Date Owner at authorised agent Dam All roof coverings to be Class'A:"or better CITY OF CUPERTINO • 4 ITEMS OF 10 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 35608008 . 00 DATE ISSUED. . . . . . . : 08/28/2008 RECEIPT # . . . . . . . . . : BS000005939 REFERENCE ID # . . . : •08080230 SITE ADDRESS . . . . . : 22096 LINDA VISTA PL SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : SRINIVASAN ADDRESS . . . . . . . . . . : 22096 LINDA VISTA DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4022 RECEIVED FROM . . . . : TIRUVALI SRINIVASAN 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 -- -- ------ ----- --- ---- 1.13SEISMICR VALUATION 1, 000 . 00 0:: 50 0 . 00 0 . 50 0 . 00 1.PPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00 iPRWII EATR UNITS 1 . 00 24 . 48 0 . 00 24 . 48 0 . 00 ?TRAVDOC FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00 TOTAL PERMIT 106 . 56 0 . 00 106 . 56 0 . 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ------- ----- -------- - - ---------------------------- .518 - ---- ---------- 518 WATER HEATER • a 0D 4 � a3 � CITY OF CUPERTINO WATER HEATER •CUPEkTINO PERMIT APPLICATION FORM APN # o1 u (D ? 6-u Date: es-12 Building Address: 22og6 Lj �n do" Co�e Vxo Ck 015 1 t Owner's Name: Phone #: I IIZU�1hL� �aZ�N��lhi(fnJ 408' Q-Q-6 52"73 Contractor: Pt �M61g4Gr It Phone #: . SIO 6t) R C)l Fax #: Cupertino Business License #: Contractor State License #: Contact: Phone #: 9211 Fax #: Building Permit Info: Bldg ❑___.. Elect ®' Plumb E].._-- Mech4M— Residential Q Commercial ❑ Job Description: uplRu CAA wo-t I _ Lxy Strapped © On Platform Bonded New Location ❑ Replacement Q Valuation (cost of project): 1000 Project Size: Express Q " 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 CITYCUPEI�TINO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Permit Type Group 1PCWHEATR Commercial Water B PCWHEATR HeaterNent IBSEISMICOM• Seismic Urnmercial, - B 1PRWHEATR Residential Water B PRWHEATR HeaterNent 1BSEISMICRE Seismic Residential B 1PPERMITFEE Plumbing Permit P 1TRAVD0C 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 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 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 A2-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 Energy AQ/Health A.Site 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 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 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 pts y=yes 0 11.Provide for On-Site Water Catchment/Retention 2 Resource pts y=yes D 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 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=yes 0 7.Use Engineered Studs for Vertical Applications 2 Resource pts y=yes 0 8.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 p 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 yeses 0 1 1 .Windows INPUT Resources Energy IAO/Health 1.Install Energy-Efficient Windows a.Double-Paned 1 Energy pt Y--yes D • 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 D 1 1 1 J.Heating Ventilation and Air Conditioning 1.Use Dud 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 8.Install Sealed Combustion Units a.Furnaces 3 IAQ/Health pts y=yes 0 b.Water Heaters 31AQ/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 stoves/inserts 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 Water Heating 4 Energy pts y--yes 0 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 pis 0 6.Select Safe and Durable Roofing Materials 1 Resource pt y=yes 0 7.Install Radiant Barrier 3 Energy pis y--yes 0 1 1 1 L.Natural Heating and Cooling 1.Incorporate Passive Solar Heating 5 Energy pts y=yes 0 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 1 01 1 1 1 • - Community Development cs 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 �UPEI�TINO Building Department JOB ADDRESS: PERMIT # 2ay6 Hata d' (Fo'L.? 6 OWNER'S NAME: r`,\',t,— PHONE # - rj p4 X27_Y! t GENERAL CONTRACTOR: lt— 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