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08080231 (2) CITY OF CUPERTINO BUILDING DIVISION PERMIT 'C TO ,,CONTRA-TO INF RMAT BUILDING ADDRESS: PERMIT NO. 27096 LINDA VISTA PL DEN-MARK STRUCTURAL 08080231 OWNER'S NAME: PERMIT ISSUE DAM S12INIVASAN 2316 HEARTHSONG CT 08/28/2008 NE: SANITARY NO. CONTROL NO. ARCHrMCTIENGINEER: BUILDING PERMIT INFO RPLC OLD FURNACE BLDG ELECT PLUMB MECH woo LICENSED CONTRACTOR'S DECLARATION I hereby affirre dust I ant licamosed under Pars suns of chapter 9(Commencing Job Description 0(10)o'Division 3 of the Businsem sedPooleasianut Coast.sand my license is R with Sachem� Nin fall force, d effect or License Chous, Lie.N Dw_Contracom ARCHITECTS DECLARATION 2!u I understand my plans shall be used as public records .3 su.1, Licensed Professional '0 j OWNER-BUILDER DECLARATION I hemby afBoad that I am attempt(rand the Contractor,license Law for the COC following reason.(Section 7031.5.Business and Prafassiont Coda:Any city or county which noutrat,a Permit to cadentract.aluar,jurprem,centuRsh,or repair my museum prior to its issuance.also,requires the applicant for each permit to flic a signed statement that he is licensed pursuant be the provisions Of the Combatant's Have Law(Cloquer 9 Sq.Ft. Floor Area Valuation (commencing with Section 7000)of Division 3 of the Bushmas and PrOfersimas Code)or that the is mumap,therafmars and the boas th as fe alleged exemption.Any violation of Section 7031.5 by my applicant for.Permit subia,ts the spitermt m.civil penalty of APN Number not mase thad five hundred dollars(SI(M Occupancy Type 0 1,Uowrcrofftpmpmy.mmyemploycuwich"Muchoir mkcmpcmdon. wiUdoNewark,and the maumunot inmmdedsur affmdforsale(Sx.7016.Buumust and Poollmemom CadIc Th,Counnscons License Law does.1 apply ur.manner of Required Inspections property who build,orimproves deresom,and whodoessuch work himumfor through his Own employee,provided that such Improvements are notimanded orofferadi for sak.If. however,the building Or unprommorm,Is mid within one Tear ofoompletion.Be owner- Wilder wiIi have the bunds Of peormt dust be,did no,build or Improve far mr,anda,of sale.). as manner of she preparty,sm exclusively contracting with licensed connumbars or dmstru ft project(Sec.7044.Business and Profession Code:)The Coammear's U. couse,Law does Out apty us an owner of property what holds or improves themaces,sons, who contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law. E]I.exempt SetB&P C for said neaany Owner. .. 9T 2.9- WORKER'S COMPENSATION DECLkRAT16NT—T-- I hereby afford under peaty of perjury,mas of she following detianallons: I ham and will nosmatin.Certificate of Consent as selfAmm.far Worlson's Coupon. saflem.as provided for by Scouido 3700 of the Labor Code,for ths,perfarroomme of the were:for which this Permit is stated. 0 1 haw and will doorman Wortasn's Compensation Insurance,as resulted by Second 3700 of the Labor Cade,fm the arfammance tn'the work 1m which this Permit is issued. My Worker's Compensation Insursnce carrier and Policy number ana- Cauricue Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Those anion need not bccompkud if the permit is forsbachumboull dollars($100) or mas.) I cand(Y that in the imulmorared Of Ne mrs,far which dos parch is handed,I small nat employ any person In my counter m w be become subject to ft Workers'Compensation Laws of California.Dam, ApplicantMIrt— NOTICE TO APPLICANT.If,after making this Canificafte of Exemption,you should become Subject to the Worlmr,C..'reattmo provisions of the ulace Cade,you man, z forthwith comply with each provistions or this permit shall Isc doomed mmiscul. z C I CONSTRUCTION LENDING AGENCY I hemby Anion,that chem is a codummettion lending agency for ft informm or the work for which door Permit is issued(Sec.305'7.Cie.C.) Undoes Name D z Lamice3Addreas U C I aril"that I have head!W,applkaion and lute than the ab.w iNonuatiun 1. I%. correct.I agree M comply and,01 city and county ordinances and sum laws missing to 0 building construction.adds thereby summon representatives of this city W comr upon me above-mentioned properly for iuxeumn lumparsaL (We)none I.saw,indemnify and Ime,hammed the City.(Caliendo.against In Imbilidesk judgemons.-dada and talseences which may in my way.muse against said City U Z in consequence of the Swung of this armil, APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date 'F_ -L Date ye ��or Re-roofs GI/ Signature OApplicaust/Codursafter D.Ic HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building O'coluddelandre a,lodalle humandmis material u&RmdbyftCupertino MUMd1Cade.a.PW'9.12.and Ides Health and Wety Code,Suction 25532(a)7 0y. P No All roofs shall be inspected prior to any roofing material being installed. Will the,mplieson,or funce building occupant em ca,urproam Or devices which If a roof is installed without first obtaining an inspection,I agree to remove h-1,enime,air commerimads as defined by the Bay A.Air Quality Management all new materials for inspection. istricR cly. PNo I ham mal the hvardwa andearilit m,;uimmcma urdcrCmpmr6.95 oftheCalilm. ma Health&Sa1aIyCmk.Sccu.15505.25533 and 25534.Imsmossand thatfifthe building does no,Iturently have.usums,that id's my ona,madibildy or negry the cOcc,mm or the requirements whit up rd met priorm ilium of a Cmufwam of Occupancy. Signature of Applicant -Date Ower Or adduch,cd agent Dow I All roof coverings to be Class'W'or better CITY OF CUPERTINO • 6 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 # . . . : 08080231 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 . . . . . . . : MARK DAVIDSON LIC # 30008 COMPANY DEN-MARK STRUCTURAL .ADDRESS . . . . . . . . . . : 2316 HEARTHSONG CT CITY/STATE/ZIP . . . : RIVERBANK, CA 95367 TELEPHONE . . . . . . . . : (209) 727-4144 , • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL --- - ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 5, 015 . 00 0 . 60 0 . 00 0 . 60 0 . 00 ].IEPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00 I.MPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00 1.MRRAA UNITS 1 . 00 61 . 19 0 . 00 61 . 19 0 . 00 1PPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00 I.TRAVDOC FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00 ---------- ---------- ---- ---------- TOTAL PERMIT 224 . 95 0 . 00 224 . 95 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDI:T CARD 331 . 51 VISA --------------- TOTAL RECEIPT 331 . 51 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- - -------- ---------------------------- 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL • -� CITY OF CUPERTINO tads_' FURNACE/AC •CUPERTINO PERMIT APPLICATION FORM APN# 25zlonb (-),?- � 00 Date: �J Building Address: 2-2.0c(& k nA Msm C0Rnrtjv\o Ck asci Owner's Name: I I qx1 vkC.I S azk"w k sPrtl Phone#: O k TT 6 S 2 T 3 Contractor: ��_ M — ST�ZVCTUKfrL Phone#: 2-oc, Fax #: �f Contractor License#: Cupertino Business License#: 8 2 62 30oo 9- Contact: MWS Phone#:: Zpcj Fax #: Building Permit Info: Elect tr Plumb ❑' Mech Residential Commercial ❑ Job Description: RR &,,LP d Ick rtrY\A LC- For Residential Installations: Attic ❑ 151 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): Strapped On Platform Bonded ❑ NewLocation Replacement ❑ Project Size: Express Standard ❑ LarLe ❑ 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. Revised 6/16/08 CITY OF CUPERTINO FURNACE/AC 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 ca 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. • IMCSUSHTR 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 IBPGAS 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 & not incl in an appliance permit. 1BSEISMICO Commercial Seismic B IMRRAA Residential Repair/Alteration/Add to M ca 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 &not incl in an a 1 ennit. Ma OF CUPERTINO d. FURNACE/AC Y OF •CUPEVINO 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 1MFR=<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 1MFRN>100 Furnace Syst> 100k BTU install or M relocate ea forced-air/gravity type fumace/burner, incl ducts/vents attached to such appliance over 100,000 Btu/h / 1 EPERMITFEE 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 CUPEkTINO 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 1BSEISMICO 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 <= 1 O CFM - B 1MRRAA Residential Mech Repair/alt/add M 1BSEISMICR Seismic Residential EB • lEPERMITFEE Electric Permit 1MPERMITFEE Mechanical Permit 1PPERMITFEE Plumbing Permit P 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 v 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. A4 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 1 point P. Other 1. List Green Features on Plans A-1 1 point v TOTAL POINTS1 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 IAD/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 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 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 I 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]-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 Yertical 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 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 3Resource pts y=yes 0 12.Use OSB a.Subfioors 1 Resource pt y=yes 0 b.Sheathing 1 Resource pt y=yes 0 • 1 1 INPUT Resources Energy IAQIHealth . I.Windows 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--yes0 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 IAO/Health pt y--yes 0 4.Clean all Ducts Before Occupancy 2 IAO/Health pts y=yes 7 0 5.Install Solar Attic Fan 2 Energy pts y=yes 0 ' 6.Install Attic Ventilation Systems 1 Energy pt y=yes D 7.Install Whole House Fan 4 Energy pts y=yes 0 S.Install Sealed Combustion Units a.Furnaces 3 IAQ/Health pts y=yes D 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 Burning Fireplaces • a.Install EPA certified wood stoves/inserts 1 IAQ/Health pt y=yes 0 It. Install/Replace Dampers 1 Energy pt y=yes D 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 4 IAQ/Health pts y--yes0 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 I 1 1 K.Renewable Energy and Roofing 1.Pre-Plumb for SolarWater 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=16 points) Up to 16 Energy pts 0 6.Select Safe and Durable Roofing Materials i 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 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 0 1 1 1 • Community Development .� 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 �UPEkTINO Building Department JOB ADDRESS: PERMIT # /UL0 C'61 L OJ6, D r o e6,�C-oz71 OWNER'S NAME: r Sam PHONE # -1"ce GENERAL CONTRACTOR: L FAX # I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: 60 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 0 e- Owner/Contractor Signature Date