08060019 (2) BUILDING DIVISION PERMIT tkCOL�ITRAC�AOR INFU;RMATIO
BUILDING ADDRESS: PERMIT NO.
20150 PEACHTREE LN CUPERTINO PLUMBING 08060019
OWNER'S NAME: PERMIT ISSUE DATE
NARENDRA SANTHANAM 1300 DELL AVE STE C 06/03/2008
NE: SANRARY NO. CONTROL NO.
(408) 253-0618
ARCHITEC(ENGINEER: BUILDING PERMIT INFO
BLDG ELER PLUMB MECH
u p G LICENSED CONTRACTOR'S DECLARATION I JOb Description
rte F 1 hereby of nn that 1 am licensed under Provisions of Chapter 9(commencing P
M`f withSecdon70(1U)ofDivision3ofNCBusiness aMProfcuimar Code.and mylicensu COPPER REPIPE/WATR SVC/CIRC SYS
in fall force,MCRat
j 7w, Liccmc Clug��Lire N
Da¢ — Comrazmr `^La.l
F ARCHRECrS'D=I' RAT10
W U 1 un&.ad my Plans shall W used as Public records
a.
s C I Licensed Professional
Zs v,3 OWNER-exempt frDECLARATION
OO I hereby,(Eno that It exempt from the Contractor's Lkcvsa law for the ,
ZOO following mason.(Stttion ID3 ar et, tens and wn.d. .&Code:Any clay at county
t. ,
which requires,permit so cnnswcL alter,improve,dcmaltsh,ler¢pair,aY swc,um '.
Z< priaros its iss.mcc,abo rate.ft.p,licaa,for,uch Pcronitroil...ignedsammont
turtle is Hansel purstaalta the pcAshmsofthe Camnmm',U..Law(Chap¢r9 =Sq.FI. Floor Area Valuation
Y�g (commcuing with Sction7000)nfDmsian3ofthc Buslnasand Prefessima Coae)m $5000
e`<g that he is exempt shumf nes and the buts for gm alleged exemption.My violation of
Sedan 70315 by airy appllunt lm a permit robjtta Um applicat te s civil penalty of Occupancy Number
.at mac tion few,hundred dollars ISM 31633058 . P Y Type
0 L u owner of to pmpmy.m my employees with wages u thew sole compemxdon,
will do the wrk..nd taswnamisnot inandeam.fTerea ronale(Sec.704/.Business Required Inspections
and Profeu;om Code:The Contractees Liceme Law don net apply m e ns an owner of q P
property who holds mimpaw,sthmwn,MwW does such wmkhimselfmtwuglh his
own cmplayxs,p whied"such impmsemenu ere stet intended reoffered for sale.B.
hwmas,the Wilding m improsement Is said within am yw of completion,the owner.
builder will have ter burden of paving that W did not build or improw,for purpose of
axle.).
0 1,as w.of ass paperly,am eacluiw,ly comae ins with Heated contractors se
conswct the Project(Sec.7061.Business and Profusions Code:)The Contravenes Li.
cense law don not apply to an war of property who Wilds or improm thereon.ad
who contracts for such projects with a eontrecter(s)licensed pursuant to the Contractor's
Lire se,U..
O lameaemptunder See ,B&PCfmthiarea.wa
Owner Date
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under Penalty of pajuty nate of tic following dmlantiou:
❑Ihs.ead will maintain a Cmifcaleof Covent a self-metre for Wmkels Compen- ,
,atom,as provided fa by Section 3700 of On,Labor Cock,for the performanm of the
wort for which this permit is issued.
0 1 have and will maintain Work es Compensation Insurance,u required by Scedan
3700 of the Labor Case,far tic per(oms..of the wale for which this permit u issued. '
My Worion' pemaan Inm,a¢atrier and Policy number art:
Cartier. 4= Poll,No.:IQQ_2Z-3(SS
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
Trois section need rot be completed if tit permit is froom hundred dollars(SIM)
ler less.)
I ccNfv that I.the perfomhace of she work for which Nis permll is issued.I"I nor
employ say Person in ay marc,a as,le W ome,subject to the WmIara Campewtion -
Laws of California.Date
Applica,
NOTICE TO APPLICANT:If,after making Nis Geminate of Exemption,you should
become abject m the Worker',Compensation pmsisioa of the Iahm Code you must
.J z loMwith comply with such Pavriom ne Nu permit shall W darrud mrokcd,
z y CONSTRUCTION LENDING AGENCY
[—i Ihereby offhtm that Cert is a convection lending apmcy for the M,fmsnaras of
Lti >
the wart for which this permit is issued(Sec.3097,Civ,C.)
[g1 Q Lendce,Nurse .
z Lcadees Address
U Q 1 anily that 1 hese read this application aha sate that the show,int.fien is
DL amen.1 agree to comply with all city aha caaty on inena,and rude laws relating to
Q building construction.and hembyait.n.represcnald.of this city to enter upon the
�L4 ,hove-"Judged property for;e pen es wuryoses
(We)agree a mw,,indemnify and keep harmless the City of Cupertino against
r/1 I.consequence
onseg judgmentsecosa and c1pnam much may in aY way aame,gaiut said City
C)z APPLICANTeof UN ERS ANDSthis
D WILL COMPLY WITH ALL NON-POINT Issued by: Date —
OUR
Re-roofs /
Signa ppli UCo vacmr pale r
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will ter"heat or forme wilding occupent aroro o,Wank havrame mate,ial
as dermad by to Capcnime Municipal Code.Chapter 9.13.W the Health and Salley
Code,DY.35532(x)? ONE— All roofs shall be inspected prior to any roofing material being installed.
Will the, ran,or future occupant use If a roof is installed without first obtainingan inspection,I agree to remove
IT i P equipment or devim which P g
.nit haraadnn air ttnumin,nts as defined
District? _by the Bay Area Air Quality Man.,....I all new materials for inspection.
❑Yn u
1 hese real the hanNau material,requirements unaerchapurt.95 of the Caifor-
wReath&SaIMYCao,ScNocts nM5.23533 and 75534.1 undersand NatifNc Wilding
dors net currently lase a rgnanL-that it A panubility te nadry the occupant or the
requirements wick must W met u cue of Onvpacy.
G _ Signature of Applicant Date
owner err oar �ca,g p,u All roof coverings to be Class'n"or better
CITY OF CUPERTINO
• 5 ITEMS OF 5 PERMIT, RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 31633058. 00
DATE ISSUED. . . . . . . : 06/03/2008
RECEIPT # . . . . . . . . . : BS000004979
REFERENCE ID # . . . : 08060019
SITE ADDRESS . . . . . : 20150 PEACHTREE LN
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : NARENDRA SANTHANAM
ADDRESS . . . . . . . . . . : 20150 PEACHTREE LN
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : FRANK L CARDIA
CONTRACTOR . . . . . . . : CARDIA, FRANK L LIC # 612
COMPANY . . . . . . . . . . : CUPERTINO PLUMBING
ADDRESS . . . . . . . . . . : 1300- DELL AVE STE C
CITY/STATE/ZIP . . CAMPBELL, CA 95008
TELEPHONE . . . . . . . . : (408) 253-0618
•
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BPWSVCS WATER SERVICE 1 . 00 20 .40 0 . 00 20 .40 0 . 00
1BSEISMICR VALUATION 5, 000 . 00 0 . 50 0 . 00 0 . 50 0 . 00
1PPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
1PRREPIPE NO OF FIXTURE 9 . 00 91 . 80 0 . 00 91 . 80 0 . 00
1TRAVDOC FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 194 . 28 0 . 00 194 . 28 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 194 .28 MC
---------------
TOTAL RECEIPT 194 . 28
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
301 ROUGH PLUMBING 507 FINAL PLUMBING
•
oo/ �
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
CUPERTINO PERMIT APPLICATION FORM
APN # 3l (- 3 3 Date:
Building Address:
�) p15v fe�ht-rte
Owner's Name: Phone#:
24 Z —1 Z6
Contractor: Phone#:
(, �} '10 Qlk� .�vt e �-�c . Fax #:
Contact: 0 Phone #: 309— 3 V
f---/le,V, Fax#:
Contractor License#: (0,Z(+905
Cupertino Business License#:
Job Description:
Residential Commercial Q
Valuation:,f v() v -
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.
Quantity Fee ID Fee Description Fee Permit Type
Group
1PCSEWER Commercial building P 1CPSS
sewer/sanitary sewer
1BPREPIPE Commercial re-pipe per fixture P 1CPRP
1 PGASCOM Commercial Gas Piping System P
1-4 Outlets
1BSEISMICOM Seismic Commercial P
/ 1BSEISMICR Seismic Residential P
IPRSEWER Residential building P 1RPSS
sewer/sanitary sewer
-� CITY OF CUPERTINO
Cel' REPIPE/SEWER/MAIN SERVICE
CUPEkTiNO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
I PRREPIPE Residential re-pipe per fixture P 1RPRP
I IBPWSVCS Water Service P 1CPWS or
1RPWS
1PPRSEWG Private Sewage Disposal System P
1PCESS Cesspool P
1BPWATER Install/alter Water Pipe P
1BPFIXTURE Plumbing Fixture P
1PGASRES. Residential Gas Piping System P
1-4 Outlets
1BPGAS Gas Piping System 5+ Outlets P
1 PPERMITFEE Plumbing Permit Fee Issuance P •
1PLMBLNCK Plumbing Plan Check P
IPLMBINSP Other Plumbing/gas Insp. P
/ 1TRAVDOC Travel & Documentation Fee 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
B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 2 points
11. Permeable Paving, Note L-1 2 oints
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 1 point
P. Other 1. List Green Features on Plans A-1 1 point
TOTAL POINTS1 40 points
'ZC� 7�U
Per, Ln
UN0$1llp® ca
Plan Review Process Work Book Page-I2-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.Sde INPUT Resources Energy 1ADIHealth
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 J 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 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 0
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=yesF 0
11 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
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
1 1 1
INPUT ReSDurces Energy AP/Health
xterior Finish
1.Use Sustainable Decking Materials
a.Recycled content 3 Resource pts y=yes 0 •
b.FSC Certified Wood 3 Resource pts y=yes 0
2.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAQ/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 D
2.Insulate Hol 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 IAQ/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 IAQ/Health pts. 0
B.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 1 1
r.uecrnow '
1.Install Compact Fluorescent Light Bulbs(CFLs)
(6 bulbs=2 points,10 bulbs=3 points, 12 bulbs=4 points) Up to 4 Energy pts. D •
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. 0
1 1 1
G.Appliances
1.Install Energy Star Dishwasher Energy pt y=yes D
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
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
f3.Install Recycled-Content,Fiberglass Insulation with
No Added Formaldehyde 3 IAQlHealth 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
D.cemngs 4 Resource pts y=yes 0
1 1
INPUT Resources Energy IAQIHeatth
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 J 2 Energy pts y yes 0
— — ----- --
2.L—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 0
6.Install Attic Ventilation Systems 1 Energy pt y=yes 0
7.Install Whole House Fan 4 Energy pts y=yes 0
6,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 Burning Fireplaces
a.Install EPA certified wood stoveslnsens; 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 31AQ/Health pts y=yes 0
I 1 1
K.Renewable Energy and Roofing
1.Pre-Plumb for Solar Water Heating 4 Energy pis 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
(12 kw=6 points,2.4 kw=12 points,3.6 kw=16 points) Up to 1 B Energy pts 0
LSelecl 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 0
2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts y=yes p
3.Plant Deciduous Trees on the West and South Sides, 3 Energy pts y=yes p
• 1 1 1
INPUT Resources Energy MqIH��Ith
M.Indoor Air Quality end Finishes
L1.Use LOW/No-VQQ 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 31AQ/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 61AQ/Health pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 0
7.Seal all Exposed Particleboard or MDF _ j 4 IAQ/Health pts y=yes 0
8.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes 0
10.Install Whole House Vacuum System 3 IAQ/Health pts y=yes 0
77 1 1
N.Flooring
1.Select FSC Certified Wood Flooring 8 Re7()urc
y=yes 0
2.Use Rapidly Renewable Flooring Materials �1 4 Rey=yes 0
3.Use Recycled Content Ceramic Tiles 4 Rey=yes 0
4.Install Natural Linoleum in Place of Vinyl 51As y=yes 0
5.Use Exposed Concrete as Finished Floor 4 Ry=yes 06.Install Recycled Content Carpet with Low VOCs 4 R y=yes 0
1 1 1
Total Points Available: 140E--1301 57
Total Points Project Received: 0 0 0 •
G:data�progslgreenbuildingguidellneslremodelersigreenpoinisfinal2.12.e4proteded.xls
•
Community Development
}J 10O
Cupertino CA 95014
Telephone(408)777-3228
CITY Of Fax(408)777-3333
WUPEkTINO
Building Department
JOB ADDRESS: PERMIT #
OWNER'SNAME: u. 'c,i-1 y „<wi PHONE # 24Z— l(aQ
GENERAL CONTRACTOR e Pl �t�, FAX #
I am not using any subcontractor .
ignature 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