08010017 (2) CITY OF CUPERTINOr xx �s� } 3 ,ter s J
BUILDING DIV13ION PERMIT CONTRACTOR INF4RMA.TTTmcf1N i
z¢3q,G�anrPn D, s±, ��cJz
BUILDINGg DDRESS: PERMIT NO.
75tt8 ORANGE BLOSSOM DR TBD — TO BE DETERMINED 08010017
OWNER'S NAME: PERMIT ISSUE DATE
TING LI—CHUNG AND TENG LI—TEH 01/.03/2008
NE: SANITARY NO. CONTROL NO.
ARCHITEC(ENGINEER: BUILDING PERMITINFO
-BLDG ELECT PLUMB MECH
0
�0, LICENSED CONTRACTOR'S DECLARATION Ib Description
z I hereby aM.that I am Manun
ed der provision of Chapter 9(ammenDescrlp
cing
< with Section70M)ofDivi'' n3oftheBusinessandProfessionsCode.andmybecomeis REPAIR 2 CEILNG JOISTS & 24" OF TOP PLATE REPAIR
2 i iensecl force anecrtea I, Lma WIRING ('DMGD BY FIRE) .RP CONSTRUCTION PD BSL
n t–
Dam �a7! Contncur
ARCHITECTS DECLARA ON 1/3/08
1 understood my phos shall M used as public records
Is
eta Licensed Professional
gy,5 OWNER-BUILDfiR DECLARATION
9
1 hereby atEten mat I am exempt from the Cororact.rs License Law for ON,
M0 O mllowing reason.rs ca 7031.5,Business and Profession Code:Any city or county
$ which requires a permit m construct,alms imprtmm,demnllah.or repair any strvnut,
_Zy prior to its issuance.also rupdrea the applicant fonuch Permit to file a signed statement
FF < that he Is licensed pumuantlomeprevisions ofthe CamrecturiLicense Law(Chapter 9 Sq.Ft.Floor Area Valuation
€B (commencing with Section 7000)of Division 3oftheBusiness and Professions Code)or $5000
that No is exempt thmefnvn and the basis for the alleged exemption.Any violation of
Seed.7031.5 by any applicant for a pure t subjects the applicant in a civil penalty of Number Occupancy Type
nal mere than fee hundred dollars($500). 3 6 6110 5 9 Aff
0 1,u owner of fns:pmpmy,m my mploym withw'aga a Jte4 salt e.mpe=dan,
will do the watt,and Ne stmmure unm mmetletl or.furd mrsam(Sce.70th.Busiws
and Ptaresdona Code:The Cantramara License Law dm set apply m ant.caner of Required Inspections
property he Wilds or improves thermn,snd who doessuch work himself.,Waugh his
own employees,provided that such improvements are not Intended oroRued Tor sale If.
however.the Wilding or improvement h to within mu year of completion,the owner.
builder will have the Wmden of proving mat he did oat Wild or improve for purpose of
um.).
0 1,as owner of to property.am exclusively contracting with licensed cenwemrs In
construct the project(See.7044.Business and Professions Code:)The Contrumes U.
cove Taw does not apply in an owner of property who Wilde or Improves linemen.and '
who contracts for such projects with a contrxtors)licensed pursuant as the Contractor'
License Law.
O lunesemptundu Sec. ,031Cfmthisteuon
Owner Dam
WORKER'S COMPENSATION DECLARATION
1 hereby afhm under penalty of perjury one of the following declarations
ham and will maintain a Certificate of Covent to ulf-insurt fm workers Compts,
n.u provided for by Section 3700 of the labor Cade.for ft performance of the
wore for which this permit is issued.
0 1 have and will maintain Workers Compensation Insurance,u required by Section
3700 of me Labor Code.for the perf.rmame.f the work for which this permit is bound.
My Wmlmes C.mpevation W.,ance artier end Policy number am:
Cartier. Policy No.:
CERTIFICATE OF MEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thisualon nerd tmtbecompleted If the permit Is forone hundred doilato(glg)
or INK)
1 certify rut in the perrormance of the worts rte which Nis permit h issued.l shall not
employ anrauo. t�n �s�y�o W�wwsubicctm use waro:n'ComPc^s+oon
lowly,Califo +r F—�JC/C
Appllant fTAft
NOnCE To APPUCA L after making this Ce tifam of Exemption.you should
become subject to the Wmk s Compensation previsions of Ne lab,Code,you mut -
.J O forthwith comply with such provision on this Permit Nall W domed revokW.
z .~N. CONSTRUCTION LENDING AGENCY
[�r Ibureby aRrm that then is conituctinn lending agency for the performance of
CYi .tea
the work for which this permit is stood(See.3(197,Ci,C.)
WM Q Lender's Name ,
Q z Lender's Addmas
U Q I ce,dfy mat I have mad this application and sum that the above information is
Vy H Comm I apes m comply with all city and county un inarces and sum laws relating m
QU building consumtion,and hemby.umofie representatives ofthis city to ester upon the
R1 a ave-nocrum nt property for inspection purposes
(„m y (We)agree t.save,indemnify and keep hatches the City of Cupertino against
as(A Imbili0u.ludgmenu,coN and expenses which may In any way amus against sold City
in consequence of me gaflhu
APPLICANT U NDS D `L COMPLY WITH ALL NON-POINT issued by: Date
SOURCE REG S.
03Ay Re-roofs
Signuuse esti ApplianVContncto ate
HAZARDOU MATERIAISDISCLOSURE Type of Roof
Will mo applicant,future building occupant stem of handle locutions MAW60
as defred by the Cupertino Municipal Code.Chapter 9.12.and the Health and Safety
Cock,section n533G)7 I All roofs shall be inspected prior to any roofing material being installed.
❑Yes XN.
Will the applicant or fume building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,.I agree to remove
heaardnus air contaminants u defined by the Bay Arta Air Quality Management all new materials for inspection.
m7 \ _
❑Yes
I have read the bass Aas ma rials requirements umler Chapter 6.95.fthe Caiir.r.
.is Health At Sarcty Code,Sections,25545.25533 soul 25534.1 undenund dust it the building
does set cuxemly ha tenant, y responsibility to ratify dm scar the
mquimntentsw m '.r once car,cerdfiymc.D Signature of Applicant Date
/
nAll roof coverings to be Class"B"or better
Owns,car mth.rixd aget Oeste
CITY OF CUPERTINO
ADDITION/REMODEL
CUPEkTINO PERMIT APPLICATION FORM
dh
APN# r H059
100
O0 Date:
Building Address:
7599 0,004dqz )CC
Mailing Address (if different from building addre ):
FAQ e 'Y7t'
Owner's Name: Phone#
Z—,,'&-4-
Contractor:
iContractor: Phone#: Meg)
/�. O /� '
LF�rt $ Fax #:
Contractor License#: f70 0 S z
Cupertino Business License#:
Contact: Phone#: �s 7- S/I 3
I�pr l"igi;2 q (`by�
Fax #:
Building Permit Info:
Bldg. Elect. Plumb. ❑ Mech. ❑ Hillside ❑
Job Description:
Addition (adding sq footage):
What is being remodeled? " A. �2� CQ iC„y y Tai S�S G V I, crf TP a k
iPv�A N”P n,
Remodel Includes Re-Roof: Yes ❑ No ❑ If yes list number of squares
Remodel Includes Structural: Yes ❑ No ❑
Square Footage:
Addition: Porch: Deck: Garage: Detached Attached
Remodel: Kitchen Bath Other
Type of Construction (usage Class):. Occupancy Type:
1 FR, 11FR ❑ 11, 111,V-IHR ❑ 11, 111, lV V-N
Valuation: Please check this box if the project is a
second-story addition ❑
Green Building C eck list must be completed and
attached to the plans. Green Building Points Achieved:
*For Office Use Only***
Over-the-Counter ❑
n
CITY OF CUPERTINO
lao ADDITION/REMODEL
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
ADDITIONS 1R3SFDADD
PLLONGRNGR Long Range PL
Planning/Residential
1R3INSP Dwellings Inspections B
1R3PLNCK Dwellings plan check B
1R3REPINSP Dwellings Repeat, B
Inspection
1R3REPPLNC Dwellings Repeat Plan B
Check
1R3HINSP Dwellings Hillside B
inspection
1R3HPLNCK Dwellings Hillside B
plan check
1R3HREINSP Dwellings Hillside B
Repeat Inspection
1R3HREPLNC Dwellings Hillside B
Repeat Plan Check
1R3ALTINSP Dwellings Alternate B
Materials Inspection
1R3ALTPLNC Dwellings Alternate B
Materials Plan Check
1PCESS Cesspool P
1PPRSEWG Ea. Private Sewage P
Disposal System
1PRSEWER Sewers P
1BPSPRINK Lawn P
Sprinkler/Backflow
1BPWSVCS Main Water Service P
113SEISMICRE SeismicResidential B
DECKS IR3SFDADD OR
1R3SFDREM
1DECKWOOD Deck(Wood)-Each B
Each
1DECKRAIL Deck Railing-Each B
(Each)
CITY OF CUPERTINO
ADDITON/REMODEL
FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
S Ft
GARAGES 1R3SFDADD OR
1R3SFDREM
1GARDTW<=1K Wood Frame up to B
1,000 SF
1GARDTM<=1K Masonry up to 1,000 B
SF
BCONSTAXR Construction Tax Res
new detached garage)
PATIO'S OPEN lR3SFDADD OR
1R3SFDREM
1PATIOWOOD Wood Frame up to,300 B
SF
1PATIOMETAL Metal Frame up to 300 B
SF
1PATIOOTHER Other Frame up to 300 B
SF
PATIO'S CLOSED 1R3SFDADD OR
1R3SFDREM
1PATIOENCLW Enclosed Wood up to B
300 SF
1PATIOENCLM Enclosed Metal up to B
300 SF
IPATIOENCLO Other Enclosed Patio B
up to 300 SF
1COVPORCH Porch Covered-Each B
Each
1REROOFRES Residential Re-roof B
Each 100 SF
REMODELS lR3SFDREM
1REMRESKIT Kitchen Remodel up to B (Deduct 'W'for ea plan
300 SF check
1REMRESBAT Bath Remodel up to B
300 SF
1REMREOTH Other Remodel up to B
300 SF
REMODEL PLNCK
1STPLNCK(1-3 for Standard Plan Check B NOT FOR OVER THE
remodel) COUNTER PLAN CKS.
3 of 3
r
CITY OF CUPERTINO
ADDITON/REMODEL
FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
WINDOW/SLIDING 1R3SFDREM
GLASS DOOR
1WINREP Replacement windows B
ea 8 windows
1WINNEWNSTR New Window (non- B
structural
1WINMEWSTR New Window B
(Structural Shear
Wall/Masonry)
1WINBAYSTR Bay Window B
Structural
SKYLIGHTS 1R3SFDREM
1 SKYL<10 SF Skylight less than 10 sf B
1SKYL>10SF Skylight greater than B;
10 sf or structural
1STAIRS Stairs-first flight/ea B
addt'1
1BUSLIC Business License B
4 of 3
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.
NPUT Resources Energy AUIHealth
.Srte
9.Recycle Job Site Construction&Demolition Waste
65%=1 point;75%—_ 2 points;-60%=4 points_- - up to 4 Resource pts 0
'2._Salvage Reusable Building Materials w - 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 Stormwater Practices 2 Resource pts y=yes D
7.Protect Water Quality with Landscape Design 2 Resource pts y--yes 0
a,Design Resource-Efficient Landscapes andbhrdens 4 Resource pts y=yes D
I,- . ,.
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 0
! 1 1
S.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 pts0
2•Use Recycled Content Aggregate 2 Resource pts y=yes 0
3.Insulate Foundation/Slab before backfill 3 Energy pts y=yes 0
Em1
C.Structural Frame
!i',Substitute Solid Sawn Lumber withEnginewe LLumber^__ 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. D
3.Use Wood I-Joists for Floors and Ceilings 2 Resource pts y=yes D
4.Use Web Floor Trusses 2 Resource pts y=yes D
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 D
7.Use Engineered Studs for Vertical Applications 2 Resource pts y=yes 0
&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 D
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.Subfibor`s 1 Resource pt y=yes D
b:Sheathings 1 Resource pt y=yes 0
. xter or n s
1.Use Sustainable Decking Materials
a.Recycled content 3 Resource pts y--yes 0
It.FSC Certified Wood 3 Resource pts y--yes 0
2.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAO/Health pt y--yes 0
3,Install House Wrap under Siding 1 IAQ/Health pt y=yes 0
4.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 0
1 1 1
E.Plumbing
•1, Install Water Heater Jacket 1 Energy pt Y--yes 0
2.Insulate Hot and Cold Water Pipes 2 Energy pts y=yes 0
3.Retrofit all Faucets and Showerheads with Flow Reducers
a.Faucets(1 point each,up to 2 points) Up to 2 Resource pts. 0
b.Showerheads(1 point each,up to 2 points) Up to 2 Resource pts. 0
4.Replace Toilest with Ultra-Low Flush Toilets
(1 point each,up to 3 points) Up to 3 Resource pts. 0
5.Install Chlorine Filter on Showerhead 1 IAO/Health pt y=yes 0
6.Convert Gas to Tankless Water Heater 4 Energy pts Y--yes 0
7.Install Water.Filtration Units at Faucets
(2 points each,up to 4 points) Up to 4 IAD/Health pts. 0
6.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 1
r.wecinow
1. Install Compact Fluorescent Light Bulbs(CFLs)
(6 bulbs=2 points,10 bulbs=3 points,12 bulbs=4 points) Up to 4 Energy pts. 0
2.Install IC-AT Recessed Fixtures with CFLs(1 point each,up to
5 points) Up to 5 Energy pts. 0
3.Install Lighting Controls(1 point per fixture,up to 4 points) Up to 4 Energy pts. 0
4.Install High Efficiency Ceiling Fans with CFLs
(1 point each,up to 4 points) Up to 4 Energy pts.I 1 0
1 1 i
G.Appliances
1.Install Energy Star Dishwasher 1 Energy pt Y--yes 0
2.Install Washing Machine with Water and Energy
Conservation Features 1 Energy pt y=yes 0
3.Install Energy Star Refrigerator 1 Energy pt y=yes 0
4.Install Built-In Recycling Center 3 Resource pts y=yes 0
H.Insulation LC
1.Upgrade Insulation to Exceed Title 24 Requirements
a.Walls 2 Energy pts y=yes 0
b.Ceilings 2 Energy pts y=yes 0
2.Install Floor Insulation over Crawl Space 4 Energy pts y=yes 0
3.Install Recycled-Content,Fiberglass Insulation with
No Added Formaldehyde 3 IAO/Health pts y=yes 0
4.Use Advanced Infiltration Reduction Practices 2 Energy pts y=yes 0
5.Use Cellulose Insulation
a.Walls 4 Resource pts y=yes 0
b.Ceilings 4 Resource pts y--yes 0
6.Alternative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y--yes 0
o.Cemngs 4 Resource pts y--yes 0
1 1 f
n ows
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 Heal 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 D
2.Install Ductwork within Conditioned Space 3 Energy pts y=yes D
3.Vent Range Hood to the Outside 1 IAQ/Health pt y=yes D
4.Clean all Duds Before Occupancy 21AQ/Health pts y=yes D
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
B.Install Sealed Combustion Units
a.Furnaces 31A0/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 Burning Fireplaces
a.Install EPA certified wood stovesrmserts 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 D
15.Install High Efficiency Filter 4 IAQ/Health pts y=yes D
16.Install Heat Recovery Ventilation Unit(HRV) 5 IAO/Health pts y=yes 0
17.Install Separate Garage Exhaust Fan 3 IAO/Health pts y=yes D
1 1 1
K.Renewable Energy and Roofing
1.Pre-Plumb for Solar Water Heating 78s
Y--yes 0
2.Install Solar Water Heating System =yes 0
3.Pre-Wire for Future Photovoltaic(PV)Installation =yes 0
4.Install Photovoltaic(PV)System
(1.2 kw=6 points,2.4 kw=12 points,3.5 kw=18 points) gy pts 0
6.Select Sale and Durable�Roofing Materials esourcepy=yes 0
7.Install Radiant Barrier 3 Energy pts y=yes D
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=yps D
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0
1 1 1
INPUT Resourcos Energy 1ADIHealth
. n oor r ua ry an n s es
1.Use Low/No-VOC Paint 1 IAQ/Health pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0
3.Use Low/No.VOC Adhesives 3 IAO/Health pts y=yes 0
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 6IAO/Health pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAO/Health pts y=yes 0
7.Seal all Exposed Particleboard or MDF 4 IAO/Health pts y=yes 0
B.Use FSC Certified Materials for Interior Finish 4 Resource pis y=yes 0
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes 0
10.Install Whole House Vacuum System 3 IAO/Health pts y=yes 0
1 1 1
N.Flooring
1.Select FSC Certified Wood Flooring 8 Resource pts y=yes 0
2.Use Rapidly Renewable Flooring Materials 4 Resource pts y=yes 0
3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0
4. Install Natural Linoleum in Place of Vinyl 51A0/Health pts y=yes 0
5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0
6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0
1 1
Total olntsvat a e: 1 1401 1301 57
Total Points Project Received: 1 0 0 0
G:da*rDgsrgmenbulldngguldellnesiremodelemigmenpoints9naai 2.04pmtecledids
CITY OF CUPERTINO
• 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36611059 . 00
DATE ISSUED. . . . .'. . : 01/03/2008
RECEIPT #. . . . . . . . . : BS000003607
REFERENCE ID # . . . : 08010017
SITE ADDRESS . . . . . : 7588 ORANGE BLOSSOM DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : TING LI-CHUNG AND TENG LI-TEH
ADDRESS . . . . . . . . . . : 668 FARANONE DR
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5225
RECEIVED FROM . . . . : RONALD A PIAZZA
CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096
COMPANY . . . . . . . . . . : TBD - TO BE DETERMINED
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . .
TELEPHONE . . . . . . . . :
® FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ------- -------- ----------
IBSEISMICR VALUATION 5, 000. 00 0 .50 0. 00 0.50 0. 00
1TRAVD0C FLAT RATE 1 . 00 40 .79 0. 00 40.79 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 41.29 0. 00 41 .29 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 41 .29 VISA
---------------
TOTAL RECEIPT 41.29