08030146 (2) CITY OF CUPERTINO
BUILDING DIVISION PERMITkC,OIV TtACTUR„ I 'U�LMAT�..I,,Q•N
PERMIT NO.
BUI11*g TTEIAC CLELLAN RD BETTER WATER HEATERS 08030146
NMS NAME: P®IMIT LSSUEDATB
CHEERLEN CHANG 351 FALCATO DR 03/25/2008
PHONE: SANITARY NO. CONTROL NO.
(408) 250-6672
ARCHIIECT/ENGINEER: BUILDING PERMIT INFO
BLDG EIPCf PLUMB MECH
0 � 0
cosi LICENSED CONRACTOR'S DECLARATION -IOb Description
1 hereby dlbm Wt 1 Fm licensed under pmviaaru of chap.9(mmmencini
e INSection 700U)ofl)i Won 3ofNeBecame,amProfesswmConn.and mylicenmis CHG WATER HEATS FOR HOUSE
n in full forte am effect
C:12i License Clsss Lle.0 .
O I„ Dau Co find or
ARCHITECTS DECLARATION
I understand my plms shall M used as public words
Fe
5 sed Licensed Professional
y OWNER-BUILDER m DECLARATION
ZOOhorehy.diem o n I son exempt from the Cssions o License Law for nu
O4 unty
whichfollowing grecon. emit t 703 onstr,Business and
ons.do eCale:Any city or ctuna
S which its ises s permit re rnnanueL due Mprow,demolish,fi repair any umcture - -
_Zi tprior Whs,he its Wuanee,dwrequires Pro inion of for mchpamrl uicesse Law(Chracd lomrnl
< thmbe isHamadpresets¢uthe Prelimio dthecon®ctIlce�law(Chaplor9 $q.F'[.Floor Area $600 Valuation
H E (commentlng with Snalmost and
the I als for th the Bualnwand on.Any m Code)¢
3 this io b 31.5 b therefrom and du burs it the alleged the eamptian Any violation of
.1. 7031.5 by airy applicant fors permit subjects the appliant u•civil penalty of Number Occupancy Type
not ream than raw hundred dalWs(sso)). 3 57 19 0 5 9 !��
❑I,urownerofdipmpmty.armyrmPraymwlNMgesudubmucompenudoo,
will do the week.and see mumtpe is Out rounded numfRa d far We(Sac.7044,Business
and Proressiou cone:flu Cmaacues I now,law dose not apply to an owner a Required Inspections
moRnY who holldaarimprovu thermn,aon who daaaucllwarkhivurJ(u Wough bis
bouemploy Wilding ed Jutsuchimprowmwt art not rounded aroEeron fm sale H,
bailout the aw th Ino Mn of movin4soldwithinoneyearoftwommfrtheower-
builder will low W burden of purring Nat M did ret build u Improv for purpose of
sale.).
I,u awer of the Property,am escluiwly ronuactini with Banned mnaactan to
tract the project(Sec.7014.Business and Pretensions Cade:)The Cmaree al's W-
ceow law does not apply In an owner of progeny who builds or improves Nem¢.and
who contracts for such projects with a com mtar(s)ncensed pursuant to tics Conuacton's
License Law.
❑lam umap,and See .B d P C for thisamn
erData
WORKER'S COMPP.14SATI01 DECLARATION
I hereby aMm under penalty of perjury n of the following declamdms:
❑I haw and will malnWn•Ceolnrolo of Cove¢u self-Wore for Wohcr's Compm-
swim•an provided fm by Section 3700 of Ju labor Code.fm W perfmmma of the
wore for which this permit I.burned.
❑1 harm and will maimson Worker's compensation I...as required by Section
3700.f Lite faMr Code.far the perfarmmce of the work for which JJs Permit Is tuned. '
My Workefs CompeasWon bssurssue carrier and Policy number are:
Cartier: Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
mals action nsd mtbe<anpleted Iroe Permit Is fares hmtreddOOan(SIOU)
or leu) -
1 ceolfy put In thm Performance of tM wart for which this Permit is issued.I WWI but
employ my Person in my uaden
Laws of cabromie Dau
Appliant
NOTICE TD APPLICANP.If.after making this Cen ricam of Exmmp n.you should
becmne subJm m tha worker's Compensation provisions of the IoM Ode-you renal
0rth
fowith e m comply with such providaNu permit shall ho domed reeked.
'�
„y^ CONSTRUCTION LENDING AGENCY
[-v I hembyafnrm Nn thnre is a construction rending agency fordo Performance of
[Yi> the work fur which Jds permit Is Issued(Sly.3097,Civ.C)
IL7 Q Lender's Name
]Z Undoes Address
U Q 1 coolly Nn I law reW lids application and sou thn the shove information Is
IL.U corms I agree an comply with all city and county ondinanm and Nlo laws relating to
.0 holding consuunion,and hereby actMrim rep.mati.of this city to color upon silo
aMre-mentioned Property for inspection Puryoas
4 (We)agree to sem indemnify and keep harmbss the City of Cuperam agdnst
h liabilities,judgments.costs and expenses which may in my way a arm."hers, aid City
V Z in eouegarce,of the Stashing or this p mash. ^2.�-�
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCEREG 71 It
11)'1-103 Re-roofs
Sigwure of ApplicmVCamrmsor Dau
HAZARDOUS MATERIALS ISCl.OSURE Type Of Roof
Will dss applianswfuture hollding oscuP tsore err haonle haallow malorial
donned by du Capeolno Municiryl Ca@.Ch ser 9.11.and the Health and Safety
SeNan 2553'(')7 All roofs shall be inspected prior to any roofing material being installed.
[:3 Y. Na
Will Jon applicarn or tutu building merupanl uso equipment or dcvima which If a roof is installed without first obtaining an inspection,I agree to remove
..It howarmus air conuminanu as de0ned by IM Bay Area Air Quality Management all new materials for inspection.
Dinrict7
❑Yea �ku
I haw mad the haatduus maudab requimmmuutder Chapmr6.95 ofthm Celifor.
nlalbalthhSafelYCode,secdam25505,25533 and25534.Iunderstsndthnifthe building
dean not currently haw a lows thus it is my rtapomibility u notify the necupmt of tits
requirements which muse M mel '-tai ceo Ccolficaloaf Qca ry. Signature of Applicant Date
Owneraautharized agcru y/ Date All roof coverings to be Class'%¢."or better
• CITY OF CUPERTINO
4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 35719059 .00
DATE ISSUED. . . . . . . : 03/25/2008
RECEIPT # . . . . . . . . . : BS000004264
REFERENCE ID # . . . : 08030146
SITE ADDRESS . . . . . : 21723 MC CLELLAN RD
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : CHEERLEN CHANG
ADDRESS . . . . . . . . . . : 21723 MCCLELLAN RD
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4053
RECEIVED FROM . . . . : CHEERLEN CHANG
CONTRACTOR . . . . . . . : FRANS CARTWRIGHT LIC # 26514
COMPANY . . . . . . . . . . : BETTER WATER HEATERS
ADDRESS . . . . . . . . . . : 351 FALCATO DR
CITY/STATE/ZIP . . . : MILIPITAS, 'CA 95035
• TELEPHONE . . . . . . . . : (408) 250-6672
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 600. 00 0 .50 0. 00 0 .50 0. 00
IPPERMITFE FLAT RATE 1. 00 40.79 0. 00 40.79 0. 00
1PRWHEATR UNITS 1. 00 24 .48 0. 00 24 .48 0. 00
ITRAVDOC 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
----------------- --------------- --------------------
CREDIT CARD 106 . 56 VISA
---------------
TOTAL RECEIPT 106 .56
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
518 WATER HEATER
•
o ( q-�p
CITY OF CUPERTINO
aa;
' a WATER HEATER
CUPEIkTINO PERMIT APPLICATION FORM
APN # Date:
° sq , � �
Building Address:
2� 7 v n or
Owner's Name: Phone #:
Ctrl-e,, G�� Doig - >�-7 - 7�s-2
Contractor: 4s-1 VQ�«,1, hone #: curSj
� ' q ,q- e (ALp3� �s o — 6�7 L
5 e f f-e L W aJCe'i, Hx,-LiAA� C o Fax #: 102 QS-214-4
Cupertino Business License #: Contractor State License #:
� �8
Contact: Phone #:
To k h h/ C t/o 9-) )`5 -4�b 7 Z
Fax #: Ctro
Building Permit Info:
Bldg ❑ Elect ❑ Plumb Mech ❑
Residential Commercial ❑
Job Description:
ama 1 e o;
Strapped ❑ On Platform ❑ Bonded ❑ New Location ❑ Replacement [�
Valuation:
Green Building Check must be completed and attached to this application.
Green Building Points achieved:
CITY OF CUPERTINO
-11 am WATER HEATER
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 WaterB PRWHEATR
HeaterNent
1BSEISMICRE Seismic Residential B
1PPERMITFEE Plumbing Permit P
1TRAVDOC Travel & B
Documentation
IBUSLIC Business License B
I, Single Family GreenPoint Checklist date: �� ° � � Build It Greed
The GreenPolnl Checkfid Is based on the Various green features incorporated into the home and is the Sman solurrowa From me Ground up
basis for the GreenPolnl Rated program.A home can be considered green if n fulfills the prerequisites,
• Hams at lease 50 Moines,and meed the minimum points per category e nfora l st of healer Air Duality/
Health(B),Resources(6),end Water(g).Pleases contact Build It Green for a list of qualified GreenPolnl
Raters II you are Interested in pursuing third-party verification.
- The green building practices listed below are described In Me New Home Construction Green Building
Guidelines,available at www.buildif0reen om.
ENTER PROJECT NAME y� a
e
V Q Q
A 6ITRfG - 4n Points Available Par Ideasura
1.Protect Topw and Minimize Dbftd.on f Existing Plants 6 Trees
❑ E.Protect Topics from Erosion and Rouse after Ccnstrucson 0 1 ____• _ __ 7
❑ to Limit and Delineate Construction Foogrtnt for Maximum Protection 0 ]
2 Desenebtict Indeed of Demolishing Existing Buildings On site D 3
3.Recycle Job She Condruebon Wade(Including Green World)
❑ aMinimum 50%Waste Diversion by Weight(Ropicil or Hausa)-Required p R
❑ b.Minimum 65%Diversion by Weight(Rarycsrrg u Meuse) p- - - -----`--�El c.c.Minimum 60%Diversion by Weight(Recycling or Rause) - - ----- ---
0
1.Use Recycled Consent Aggregate(Minimum 25%) 2
❑ a.Walkway and Driveway
❑ b.Roadway Boo - -—' ----� 1 --
D � I
Total Points Available In Site=12 0
B.FOUNDATION - Points Avallable Per Measure
1.Replace Portland Cement in Concrete with Recycled Flye sh or Slag
❑ a.Minimum 20%Flyam or Slog 0 1 I
❑ d.Minimum 25%Flesh or SlagD ]
2.Use Frost-Probded Shallow Foundation in Cold Aram(GEC.Climate Zone 16) D I 3
d.Use Radon Resistant Construction on At-Risk Locations Only) 0 1 I
4.Design and Build Bounce]Pmt Controls
❑ a Inslall Termim Shields 6 Separate All Exterior Wood-o-Goncrete,Contraction Metal or Plastic FasteneNDtuidem _ D
b.As New Plains Have Trunk Bate,or Stem Located Al Least 36 Inches from Foundation 0--
1
Tool Points Available In Foundarton=H 0
C.LANDSCAPING Points Available Per Measure
L Construct Resource-ERcient Landscapes
• ❑ a.No Invashe Spades Listed by CaHPC Are Planted -
❑
It.No Plant Species Will Require Hedging
❑ c.75%of Plante Are Drought-tolerant California Natives,Mediterranean,or Other Appropriate Species - 0 3
2 Use Fire-sob Landscaping Techniques 0 1 ; I
S.Minimize Turf Areas in Landscape Installed by Builder
❑ a.All Turf Will Have a Water Requirement Less than or Equal to Tall Fescue(5be plant factor) p r� I' I �
❑ b.Tud Shall Not Be Installed on Slopes Exceeding 10%or In Nem Less than 6 Feet Wida 0 2 -'
E] c.Tud is S33%of Landscaped Area(tDW 2 polnts) -" 0 ---j-' -- -
❑ d Turi i6 510%of Landscaped Area(ictal/points) 0 -�
❑ 4.Plant Shade Tram 0 3
S.Grou Planes by Webr Nnote"noronin D I I 2
H Instill Migh-Efficiency migation Systems
❑ a.System Uses Only Low-Flow Drip,Bubblers,or Low-flow SprinklBR 0 1
2
E) b. C
b.system Has smaontrollers - D I I I 3
7.
Incorporate Two Inches of Compost In the Top 6 to 12 Inches of Soil D ---1 I 3
B.Mulch All Pis lung Beds to the Greater of 2Inches or Local Wrier Ordinance Requirement D �-� 2
e.Use SD%Sdvegsd or Recycled-Conten Materials for 50%Of Non-Plant Landscape Elements 0 1
Lj I D.Reduce Light Pollution by Shielding Fixtures and/or Directing Light Downward 0 _.-=11 r
Total Points Available In Landsc in =31 0
D.STRUCTURAL FRAME At BtDLDING ENVELOPE - Points Available Par Measure
1.Apply Optimal Value Engineering
❑ a.Place Rafters and Studs at 24-Inch On Center Framing 0 ��
E] b.Size Door and Window Headers for Load
❑ c.Use Only Jack and Cripple Shifts Required for Load I`I�f. 0
0
2.Use Engineered Lumber ) 1
❑ a Sams and Headers ,� Mry'I,Tip �ya/,/�
❑ b.Insulated Engineered Headers fJ'V n c��` `� 0 A I 1
❑ C.Wood Waste or Web Trusses ler Floots CdQ1Y ?OpO 0 —
❑ c.Wood 4Jois6 for Roof Ratters — 1 --
_
❑ e.Engineered or FingerJointad Studs for Vertical Applications
❑ f.06enbd Stand Board fixSubloor U
❑ g.Oriented Strand Board for Well and Roof Sheathing p
3.Use FSC-0eri fled Wood
• ❑ a.Dimensional Lumber,Studs and Timber.Minimum 40% 0 1 2
❑ b.Dimensional Lumber,Studs and Timber.Minimum 70% 0 2
❑ c.Panel Products:Minimum 40% - - -- -'- '-- ------ --
❑ J.Panel Prebags:Minimum 70% 1 ---
02007 Build It Green Single Family GreenPolnl Checklis120D7 Version Page 1 of 4
ENTER PROJECT NAME
4.Use Solid Wall Systems(Includes Sips,ICFs,6 Any NonlSdck Fierce Assembly)
❑
A.FIM _ 0_ 2 _ 2
❑ b.Well - 0 2
❑ c.Rads 0 2
S.Reduce Pollution Entedng the Home from the Garage
❑ a.Tightly Seal the Alt Barret between Garage and Living Area _0 _ 7
❑
It.Install Game Exhaust Fan OR Build a Downed Garage 0 I
::F=D n Ener Hesle on Trusees(75%of Attic Insulation Height at Outside Ede of Exterior Well 0 1
7.Desi n Root Tnwes to Accommodate Duchvork 0 1
Lj 6 Use Recycled-Content Steal Studs for 9o%or Interior Wall Fromin 0 1
a.Thermal Mw Wells:SA-Inch Drywall on All Interior Wells at Wells Weighing more than 401blou.1L 0 1
10.Install Cwrhsngs end Outten
❑ e.Minimum 164nch overhangs and Guaers 0 1
❑ b.Minbrrum 24-Inch Overhangs and Gains 0 1
Total Points Available in Snumial Bidding Forma and Envelops=36 0
E.EETERIOR FINISH Points Avallable Par Measure
1.Use R ed-0ensm o Virgin Plastic or FSC wmfisd Wood Decking 0 2
2.Install a Rain Schen Well System 0 2
3.Use Durable and Noncombustible Siding Materials 0 1
A.Select Durable and Noncombustible Roofing Materials 0 - 2
Total prime Avallable In Exterior Finish=7 D
F.INSULATION Points Available Per Measure
1.Install Insulation with 75%Recycled Content
❑ A.Wells anyar Moore 0
❑ It,Callings 0 1
2.[install Inwlli that is Low-Emlaing(Certified Section 01350)
❑ A.Walls mayor Fluor _0_ _ 1 I _
❑
oCellings 0 1
3.Inspect Duality of Insulation Installation before Appyling Drywall 0 1
Tote)Points Available in Insulation.5 0
O.PLUMBING Points Available Per Measure
1.Distribute Domestic Hol Water Efficiently(Maximum 7 Points).
❑ a Insulate HM Water Pipes from Water Haatar,to Nhchen 0
❑ h.Insulate All HM Water Pipes 0
❑ c.Use Engineered Parallel Plping 0 _ T
❑ d.Use Engineered Parallel Piping with Demand Controlsd Circulation Loop _0
❑ e.Use Structured Plumbing with Demand Controlled Clmuiadon Loop 0
❑ I.Use Central Core Plumong 0 1 T 1 2
ET 2.Install Only High EfficienTolles(Dual-Flush or$1.28 gpQ 0 1 4
Total Points Available in Plumbing.Total 12 0
H.HRATINO VENTILATION R AIR CONDITIONING Points Available Per Measure
1.Design and Install HVAC System to RCCA Manual J,D,and 5 Recommendations 0 4
2.Install Seated Combustion Unit
❑ e.Furnaces 0 _ 2L
1
❑ oWater Haesrs 0 2 t
3.Install Zoned,Hydronle Radiant Heating with Slab Edge Insulation D
A.Install High Efficiency,Air CandiOonin9 with Environmentally Raaponsibie Refdgenns 0 1
5.Design and Install Efleclio Ductwork
❑ a.Install HVAC Unit and Ductwork within CondSoned Space _ 0 _ 3
❑ b.Use Dud Mastic on All Duct Joints and Seams _0
❑ C.Install Ductwork under Alto Insulation(Buried Ducts) 0
❑ d.Pressure Balance the Ductwork System _0 4-1
❑ e.Protect Duce,outing ConomuctDh and Clean All Duce,before Occupancy 0 1 I ~
e.Install High Efficiency HVAC Filter MERV 6. 0 1
❑ 7.Don't Install Fireplace or Install Styled Gas Fireplaces with EtRdency Rating Not Lew Than 6o% 0 1
using CSA Standards
B.Install Effective Exhaust Stammer In Barrooms and Kitchens
❑
a.install ENERGY STAR Bathroom Fans Vented to the Outside 0
❑ b.All Bathroom Fens Are on Timer or HumldistM _ 0
❑ c.InslaO lOtchen Range Hood Vented to the Outside 0 1
9.Install Mechanical Ventilation System for Cooling(Maximum 4 Points)
❑ A Install ENERGY STAR Gelling Fans 6 light KGs In Wing Areas S Bedrooms
❑ b.Install Whole House Fan with Variable Speeds _ 0
❑ C.Automatically Controlled Integrated System
❑ d.Automatically Controlled Integrated System with Variable Speed Control 0 3
10.Install Mechanical Fresh Air Ventilation System(Maximum 3 Points)
❑ a.Any Whole House Von0lallon System That Mees ASHRAE 622 _0_ _I 2
❑ b.Install Air-to-Air Heat Exchanger that meats ASHRAE 62.2 0 1 2
11,Install Carbon Monoxide Alarm(it) 0 1
Total Ford;Available In Heating,Ventilation and Air Conditioning•30 0
Single Family GreenPolnl Checklist 2007 Version
®2007 Build It Green 9 Y Page 2 0l4
Community Development
f � 10300 Torre Avenue
3 Cupertino CA 95014
Telephone(408)777-3228
UnCITY OF
CkTINO Fax(408)777-3333
fC '�I
Building Department
JOB ADDRESS:
'7 23 cC[z0e;1 (Ld PERMIT # 0E030(4 6
OWNER'S NAME: 1e^- PHONE # ?2 S =74.5
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