08070130 (2)CITY OF CUPERTINO
-a�'t'��a ^* "•' �' '` "�:
BUILDING DIVISION PERMIT
CO�i'TRACTbR INF'UOi2MA >ION
BUILDING ADDRESS:
7457 ROLLINGDELL DR
SUPERIOR ROOTER'
PERMIT NO.
08070130
OWNER'S NAME:
PERMIT ISSUE DATE
LEE TERRY G AND RONA H
2487 ALUM ROCK STE 27
07/18/2008
NE
SANITARY NO. CONTROL NO.
1ARCHITECT/ENGINEEW
(408) 568-2544
BUILDING PERMIT INFO
BLDG ELECTO PMECH
O O D
LICENSED CONTRACTOR'S DECLARATION
Chapter 9
Job Description
o
1 nmcby affirm that 1 me licensed under provisions of (commencing
with Section 7") ofDiA on Sof the Business and professions Code. and my license is
SEWER LINE REPLACE
in full far¢ "off
Ilcense lax. C/ talc.
laic Contractorv r
RCHITECTS DECLARATION
I uMemand my plans shall be used As public =uAdt,
Licensed Pmfcssuctl
OWNER -BUILDER DECLARATION
I hereby ,/firm that I am exempt from the Consacmrs License Law for the
following won. (Scdon 70 IS, Business and Premeo. Code: My city or county
which requirea . Permit to consu,eL Won. improv, demolsh, a per any A oounm
prior At its iuvance, also requires the, Applicant far such Permit o file a signed statement
that be is licensed to the the Contortion's License Law (Chapter 9
Sq. Ft. Floor Area
Valuation
pursuant prmisiom of
(commercial, with Secure 7000) of Division 3 of the Business And Profeaio. Code) or
$2300
Nat the is cxenpt them= and the bas for the alleged memptiotx My violauun of
q�
O
Occupancy P y Type
Section 703M by M applicant for a permit subjects the applicant the a civil penalty ofNumber
not more than fin hundred mllarx(S5M.
35932008
❑ 1, As owner or de propctty. or my employees with wages u deb Auto compewdon,
Required Inspections
will do dere work and the mocurre Y as, Mended IXaRared for see (Sec. RHA, gum.
and PafeedaN Code: The Conhacur. License taw dao rot apply An an owner of
pmpertywlw builds or Improves thr eno.ad whodoessahworkhimselfaduough his
awn employ., provided Ne such improvements Are not Intended ooReed for tele It.
now., the Witungorimprovememl u Auld widen ore year of000pktion. the owrer-
.
Wilder will have the burden of proving that he did sot build or improve for purpose of
sale.).
....
❑ 1. a owner M the property, w eulusively consacdng with Bcerea d mnsaeton to
'
ecmwet the project (Sec 7000, Bu,itea sed Proposes. Cade:) The Cmuxter'A Li-
cwe law does not apply man owner of pmpeny who lselds m improv. Hereon. and,
wMcono ses for such pmXes with a cenaacurns) licensed pursuant to the Con ot:mes
License Law.
-
❑lameaemptundeaSse .B&PCfadtiawan
Owner Dau
WORKER'S COMPENSATON DECLARATION
I hereby affirm muter penalty of perjury one of the following decluatb.:
I baro and will munuin • Cenificau ofCamem to self -imam fa Workers Corruptor,
anion, As provided for by SeNon 37M or the Labor Code. for the Perform. of He
wok for which this permit is issued.
❑ 1 haw W will maintain Workers Compensation Inarsna, m maluired by Scrota
3700of He Laster Codc, for the performance of the wort fawhich this Permit Is Wood.
My Workcra Com .a' nlnsurana urtiv and Policy numbs
cv
Ctro,el C0._ _ PolicyNo.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This secdoe reed not W completed lfthe permit is person hun&eddollw(SIM)
or lest)
1 cenify, that in the performance of de wart for which this Permit is Wood. I shall ma
employ anyperson in my mm erso as m become abject to He Worlum'Compemadon
Laws of California. Date
Applicant
NOTICE TO APPLICANT. If, after making this CcoiOane of Exemption, you should
Weems subject As the Worker's Compensation provisions a the Lata Code, you muse
forthwith comply with such provhinm or this permit shall see domed noted.
CONSTRUC ION LENDING AGENCY
1 hemby aRmt the were is a construction lending agency for the perli meYc of
the work for which this Permit Is issued (Sec. 3097, Ch, C.)
Lender's Name
Landers Address
1 certify but 1 law one this Application And sum He the thew sf rseemoi is
comes I .gra An comply with AR city and county amnencef and sale laws relating an
_
-
Wilding constmcdo., And hereby authorise mpr.enutiws of this city to emer upon use
Now-menYaed pmpcny for thspeNon purpoem
(We) agree to aro. indemnify And kap harmless the City of Cuper;me ASet=
liabilities, judgments, ems And rep. which may in any way were agtl.t aid City
in consequence of the granting of this Permit.•7
APPLICA UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT
w ^�
Issued by:9
SOUR
Date / CL
/
ULATIONS.
Re -roofs �~
Sngneu r pphan o ser O.k
HAZARDOUS MATERIALS DISCLOSURE
Type of Roof
Will ole applicant a future e material
scapml vont nand
As defined opal Cg Hardoua
t
tlm CuPeniw Municipal Code. Chapter 9.12, and dse HCA1N and Safety
io
Code, Section 25532(gy
❑rm Q No
All roofs shall be inspected prior to any roofing material being installed.
' oar
Will the Applicant or rAult Wilding cont use equipment o devise ..leen
If a roof is installed without first obtaining an ins ctiI agree to remove
g inspection,
thammmutir.courni.nu defined by Um Bay Area Air Quality Manegcmem
all new materials for inspection.
District?ict?icn
P
❑Sb Nu
I hat re,d the naallousmaurias tcquimmens under Chapw6.95 ofd. Califor-
niaHmith&Sarety Codc.Sc-dow2 M5, 25533 amt 25530.1 eukrstsnd thmif the building
dam rot currently haw , brat, the It as my responsibility to nmdfy the tcupat at the
sequirementsw m m 1pdamiurxae ter, crdrtmm tracYp.ntry.
Signature of Applicant Date
All roof coverings to be Class 'W* or better
owner erAu d cnt Da
CITY OF CUPERTINO
• 4 ITEMS OF 4 PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ......... 35932008.00
DATE ISSUED.......: 07/18/2008
RECEIPT #.........: BS000005507
REFERENCE ID # ...: 08070130
OPERATOR: patg
COPY # : 1
0
SITE ADDRESS .....: 7457 ROLLINGDELL DR
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OWNER ............:
LEE TERRY G AND RONA H
ADDRESS ..........:
7457 ROLLINGDELL DR
CITY/STATE/ZIP ...:
CUPERTINO CA, 95014-5812
RECEIVED FROM ...
JOSE A HERNANDEZ
CONTRACTOR .......:
JOSE HERNANDEZ LIC # 29417
COMPANY ..........:
SUPERIOR ROOTER
ADDRESS ..........:
2487 ALUM ROCK STE 27
CITY/STATE/ZIP ...:
SAN JOSE, CA 95116
TELEPHONE ........:
(408) 568-2544
• FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL
l.BSEISMICR
VALUATION
2,300.00
0.50
0.00
0.50
0.00
1PPERMITFE
FLAT RATE
1.00
40.79
0.00
40.79
0.00
1PRSEWER
UNITS
1.00
20.40
0.00
20.40
0.00
1TRAVDOC
FLAT RATE
1.00
40.79
0.00
40.79
0.00
TOTAL PERMIT
---- ----------
102.48
----------
0.00
102.48
----------
0.00
METHOD OF PAYMENT
----------- -----
CREDIT CARD
TOTAL RECEIPT :
AMOUNT
---------------
102.48
---------------
102.48
VOICE ID DESCRIPTION
--- ---------------------------
106 SEWER & WATER
301 ROUGH PLUMBING
507 FINAL PLUMBING
0
REFERENCE NUMBER
--------------
MC
VOICE ID DESCRIPTION
-------- ---------------- ------
i202 UNDERFLOOR PLUMBING
400 SEWER/LATERAL
EVA ,
CI OF
• CUPERTINO
a
6)K7 0/3
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
PERMIT APPLICATION FORM
APN # �5 9.3O
Fee ID
Date: v / /
ws
Building Address:
%1-/6 DM kr( d✓
v r41-0 CA 5�5-6/v
Owner's Name:
1PCSEWER
Phone #:
Contractor:
1CPSS
Phone #:
//fi�n, /
sig—Xiog 1�p—
Commercial re -pipe per fixture
Fax #: OO 2Z&`2%OD
Contact:
Phone #:
SoS� F-F��pc�
P
1BSEISMICOM
Fax #:
Contractor License #: �iL 0 2(4 (o
KJ
Cupertino Business License #:� L
1BSEISMICR
Job Description:
p
S&IAJ r✓� L N� ,fie �� cc -
Residential Commercial
❑
Valuation:J60
IRPSS
Project Size: ExpressEl Standardly 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:
Quantity
Fee ID
Fee Description
Fee
Group
Permit Type
1PCSEWER
Commercial building
sewer/sanitary sewer
P
1CPSS
1BPREPIPE
Commercial re -pipe per fixture
P
1CPRP
1PGASCOM
Commercial Gas Piping System
1-4 Outlets
P
1BSEISMICOM
Seismic Commercial
p
1BSEISMICR
Seismic Residential
p
1PRSEWER
Residential building
sewer/sanitary sewer
P
IRPSS
Zmvl
CITY Or
CUPEkTINO
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
FEESCHEDULE
Quantity
Fee ID
Fee Description
Fee
Group
Permit Type
1PRREPIPE
Residential re -pipe per fixture
P
1RPRP
1BPWSVCS
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
1-4 Outlets
P
1BPGAS
Gas Piping System 5+ Outlets
P
1 PPERMITFEE
Plumbing Permit Fee Issuance
P
1PLMBLNCK
Plumbing Plan Check
P
1PLMBINSP
Other Plumbing/gas Insp.
P
1
1TRAVDOC
Travel & Documentation Fee
B
1BUSLIC
Business License
B
Revised 6-16-08
•
E
L
•
Plan Review Process Work Book Page -12-Revised 3/25/08
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 ]-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 oints
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 Refrierator, (Note/Spec.
A-3
1 point
P.
Other
1.
List Green Features on Plans
A-1
1 point
TOTAL POINTS
40 points
L
•
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.
1. Recycle Job Site Construction,& Demolition Waste
65%=1 point; 75%= 2 points; 80%= 4 points
up to 4 Resource pts
2. Salvage Reusable Building Materials
4 Resource pts
y=yes
3. Remodel for Mixed Use, Adaptive Reuse, and
0
4. Use Web Floor Trusses
Historic Preservation
4 Resource pts
y=yes
4. Protect Native Soil
2 Resource pts
y --yes
5. Minimize Disruption of Existing Plants & Trees
1 Resource pt
y --yes
6. Implement Construction Site Slormwater Practices
2 Resource pts
y=yes
7. Protect Water Quality with Landscape Design
2 Resource pts
y --yes
6. Design Resource -Efficient Landscapes and Gardens
4 Resource pts
y=yes
9. Reuse Materials/Use Recycled Content Materials
9. Use Structural Insulated Panels (SIPS)
for Landscape Areas
2 Resource pts
y=yes
10. Install High -Efficiency Irrigation Systems
2 Resource pts
y=yes
11. Provide for On -Site Water Catchment / Retention
2 Resource pts
y=yes
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 Resources 0
2. Use Recycled Content Aggregate 2 Resource pts y=yes 0
3. Insulate Foundation/Slab before backfill 3 Energy pts y=yes 0
C. Structural Frame
1. Substitute Solid Sawn Lumber with Engineered Lumber 3 Resource pts y=yesF — — — 1_6
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=yes0
b. Sheathing
1 Resource pt
y=yes
0 •
1. Install Energy -Efficient Windows
2 Energy pts
2. Install Ductwork within Conditioned Space
a. Double -Paned
1 Energy pt
Y --yes
b. Low -Emissivity (Low -E)
2 Energy pts
y=yes
c. Low. Conductivity Frames
2 Energy pts
Y --yes
2. Install Low Heat Transmission Glazing
1 Energy pt
y=yes
J. Heating Ventilation and Air Conditioning
1. Use Duct Mastic on All Duct Joints
2 Energy pts
2. Install Ductwork within Conditioned Space
3 Energy pts
3. Vent Range Hood to the Outside
1.IA0/Health pt
4. Clean all Ducts Before Occupancy
2 IAO/Health pts
5. Install Solar Attic Fan
2 Energy pts
6. Install Attic Ventilation Systems
1 Energy pt
7. Install Whole House Fan
4 Energy pis
8. Install Sealed Combustion Units
14. Install Zoned, Hydronic Radiant Heating
a. Furnaces
3 IAQ/Health pts
b. Water Heaters
3 IAQ/Health pts
9. Replace Wall -Mounted Electric and Gas Heaters with
16. Install Heat Recovery Ventilation Unit (HRV)
Through -the -Wall Heat Pumps
3 Energy pts
10. Install 13 SEER111 EER or higher AC with a TXV
3 Energy pts
11. Install AC with Non -HCFC Refrigerants
2 Resource pts
12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace
2 Energy pts
y --yes
13. Retrofit Wood Burning Fireplaces
10 Energy pts
y --yes
• a. Install EPA certified wood stoveslnserts
1 IAQ/Health pt
y=yes
b. Install/Replace Dampers
1 Energy pt
y=yes
c. Install Airtight Doors
1 Energy pt
y=yes
14. Install Zoned, Hydronic Radiant Heating
3 Energy pts
y=yes
15. Install High Efficiency Filter
4 IAQ/Health pts
y=yes
16. Install Heat Recovery Ventilation Unit (HRV)
5 IAQ/Health pts
y=yes
17. Install Separate Garage Exhaust Fan
3 IAQ/Health pts
v=ves
K. Renewable Energy and Roofing
1. Pre -Plumb for Solar Water Heating
4 Energy pts
y=yes
2. Install Solar Water Heating System
10 Energy pts
y --yes
3. Pre -Wire for Future Photovoltaic (PV) Installation
4 Energy pts
Y --yes
4. Install Photovoltaic (PV) System
(1.2 kw = 6 points, 2.4 kw =12 points, 3.6 kw =18 points)
Up to 18 Energy pts
6. Select Safe and Durable Roofing Materials
1 Resource pt
y=yes
7. Install Radiant Barrier
3 Energy pts
y=yes
L. Natural Heating and Cooling
1. Incorporate Passive Solar Heating 5 Energy pts
2. Install Overhangs or Awnings over South Facing Windows 3 Energy pts
3. Plant Deciduous Trees on the West and South Sides 3 Energy pts
0
CITY OF
g UM TINO
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax (408) 777-3333
Building De artment
JOB ADDRESS:
? Ks�s�
PERMIT #
oer)-2 o/ c,
OWNER'S NAME: —(L c
PHONE # `tOS- 57 -254
GENERAL CONTRACTOR r t v
FAX # a(jg - (p -L
I am not using any subcontractors: ✓ /8�z
Signature
Please check applicable subcontractors and complete the following information:
Wer/Contra for Signature
Date
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
Wer/Contra for Signature
Date