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08070230 (2) CITY OF CUPERTINO ��a,a� BUILDING DIVISION PERMITCffi" �'.,��y;�rION•,Ivy^. BUI IN DORESS: PERMITNO. SG2A SEPTEMBER DR TBD - TO BE DETERMINED 08070230 OWNER'S NAME: PERMTISUE DATE 131:;NJAMIN WU 07/31/2008 ryE: SANITARY NO. CONTROL NO. ARCHITEC IENGINEEA: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 900 LICENSED CONTRACTOR'S DECLARATION I thereby&from That 1 am licensed under provisiom of Chapter 9(commencing Job Description with Sectio 7000)nfDivisha l ofine Bushossand Pwiesiuns Code,and my liana r INSTL PROPTY LINE CLEANOUT u in full forte and effca 32- Lies.Clan =p Dam.Conuvoor 7W7W ARCHITECI•S DECLARATION U I undersand my plans shall be used u public records n s u. Litt,tmd Professional c[)5 OWNER-BUILDER DECLARATION t 1 hcrthy.(Seco that 1 1. cumpt from pte Conunat Co License Lew for 0e p o following rtmom.(Saito 7 o Lr Business and e.de tins Cock:Any city m county $�i which rtquims•permit m.i.tel aper.improv,demolish.I or e pair any ommusomeone, -iy priorw irissumco,tlm rtquims teeapplicant for.tach Con panni'mimnsc Law(awmcm < dr be encingwit pursuant eason700)of Divionaaf theeBuumr'a Liconm Taw(C Code)or Sq.Ft.Floor Area $ Valuation E0 (commencing is commit Season the actual for the the Budcomnsicm.ess and Any Ctde)of 2000 Q Se t Section u campy thcrtfrom and the bur for the alleged a plicam .Any violation of Section dere by eery red dlla far a permit subjects the applicant w s civil penalty of Number Occupancy Type .at mom don Lite wnama dollars(ssDa). 3 6 214 014 .� p y YP i]1,u owner of the property,a my wplaycm vied wages u Heir colt compewuon, will do the wart,and de structure Is on,Intended or offered for sal IS=.7 .Business; and Professions Cade:The Contrxnors License law does ant apply w an owner of Required Inspections property who builds or improve;thermn,and who does such work hi m m il'of thmugh his own employers.provided WI such improvements,rt not intended oroffemst forint.If, however,the laulding or improvement Is mid within arc year of compleum.the owur- builder will have the burden of proving than ha did our build or improv for purpose of u 1,u owner of the property ser exclusively cont wring with licensed conuxws w .meet the onjum(Sec.70ad,Business and Professions Cade:)rte 0muecwrs U. , cense Law docs not apply in an owner of property who buide or impmws themwn.and who commis for such projects with a comactor(s)licensed pursuant w the Conuacwrs License law. ❑Iam ext//qtg(R(qI under Sec B&P C for the moon Owner I✓�i� `(/e✓ C. Zt'� RKER'S COMPENSATION DECLAI IO I hembir dntm under penalty of perjury one of the fallowing declanuou: and will 1 haw all maimafn a Cetificam ofConant w self-imam for Wmter,Compen- sation,as provided for by Section 3700 of the labor Code,for,the performance of the work for which this Permit is issued. . 0 1 have and will m.InWn Water's Compensation Insurance,as required by Smuon 3700 o(ft labor Code.for the performance of the work for which this permit is issued. . My Workers Compemadm lam um carrier and Policy mumps,an: Cagier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This suction need rot he completed if the permit is formas hundred dollars(5100) nr lens.) I anify than in the performance of the work for which this Permit is issued,1[hall net employ any perm.in my manor,w u tghe e'er{lett wfly Women'Compensation Laws of Cali!0 ] du tS Applicant f c.. NOTICE'FO AliPLICANT.If,after making this Cenincaw of Exemption,you should become mbjut m the Worteh Compcnsrd..provisions of the labor Cadc you muss .J z forthwith comply with such Provisions Or that Permit Nell be doomed cooked. z O CONSTRUCTION LENDING AGENCY .y., Ihemh alarm dust Nem iso comuuginn mdin !Yi > the work for which thit , agency far the lerfmma,c of Permit r toad(Ste.709'1,Civ.C.) 0. C1 leviers Name n lenders Md. 0 U (J Q 1 certify Nat I hoe reed this and county and sum that the shove wsm fisting u {f. cement.1,grte w comply with all city and county oNinanom and sum Ian elating w .Q bbow-becookonedogand for by immison umoscs. uvrs ofthrcity wcnwrupm the W ahbvnmentitnedproperty forinspection p high b F g), (We)agree w ave,indemnify and keep hanel ss the City of Cupertino a{.Inst rq Ilebilitiu,Judgmenw.co[a and expcnam which may in any way acme against said City V Z in consequence of the granting of this permis . S �I z '-" APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date I> Z� SOURCE REqPL6T1ONS. / /3// b PL/_120 A Re-roofs Signuurto Appli uConumar Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will 0te aPtiiant or to=building nempmtswm m handle h mardam¢mould u Ached by the Cupertino Municipal Codc.Chapm,9.12,stud the Health and Safety code.satien ss532(,)1 All roofs shall be inspected prior to any roofing material being installed. oYm tiW Will the applicant or future building occupant um'elpmem or devices which If a roof is installed without first obtaining an inspection,I agree to remove ti�ci7ardnus all mr umimons /defined by the Bay Arta Air Quality Management all new materials for inspection. ❑Yu QOu I have mal the hvadmel mauriala mquimmenu under Cheptera.93 of theCalifor- maHcalthkSafetyCede,Smunro 5X)5,25533 sm12553/.l undersand thatifNc Wilding dons oat cumcmlY how a ten t.that it is my responsibility w madfy the occupant of the mquimm/m�/�_.hig�m_mt—bc m�pdyym.wvm is cevirica5of�7ca "a.aur Signature of Applicant Date Owner b,authan, agent Dow All roof coverings to be Class'R!'or better CITY OF CUPERTINO • 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . . 36214014 . 00 DATE ISSUED. . . . . . . : 07/31/2008 RECEIPT # . . . . . . . . . : BS000005641 REFERENCE ID # . . . : 08070230 SITE ADDRESS . . . . . : 882 SEPTEMBER DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . .. BENJAMIN WU ADDRESS . . . . . . . . . . : 882 SEPTEMBER DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4127 RECEIVED FROM . . . . : BENJAMIN WU 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 ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1.BSEISMICR VALUATION 2, 000 . 00 0 . 50 0 . 00 0 . 50 0. 00 1PPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0. 00 1.PRSEWER UNITS 1 . 00 20 .40 0 . 00 20 . 40 0 . 00 1.TRAVDOC 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 AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 102 . 48 VISA --------------- TOTAL RECEIPT 102 . 48 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 106 SEWER & WATER 202 UNDERFLOOR PLUMBING 301 ROUGH PLUMBING 400 SEWER/LATERAL 507 FINAL PLUMBING • '2 a-\ CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE • CUPEkTINO PERMIT APPLICATION FORM APN# .� r � / C/0/L/- Lm Date: 7/:,' 1/-!," S- Building /y I -, " S- BuildingAddress: g 7 S�Pev%hey 'DY. Clirey/-Ylv C/ Owner's Name: 4. E-451�N -LAV Phone#7- 276Y- Yo Contractor: Q Phone #: ` O Fax #: Contact: Phone #: Fax #: Contractor License#: Cupertino Business License#: Job Description: InSP� P,,vPe j �Ne cam.. okf, Residential Commercial ❑ Valuation:. 412- k Project Size: Express Standard ❑ Large 0 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 Permit Type Group 1PCSEWER Commercial building P 1CPSS sewer/sanitary sewer 1BPREPIPE Commercial re-pipe per fixture P 1CPRP 1PGASCOM Commercial Gas Piping System P 1-4 Outlets 1BSEISMICOM Seismic Commercial— P 1BSEISMICR Seismic Residential P r 1PRSEWER Residential building P 1RPSS sewer/sanitary sewer CITY OF CUPERTINO ` REPIPE/SEWER/MAIN SERVICE CUPEkTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group 1PRREPIPE Residential re-pipe per fixture P 1RPRP 1BPWSVCS Water Service P 1CPWS or JR-PWS 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 1PPERMITFEE 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 Revised 6-16-08 • 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 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 ooint P. Other 1. List Green Features on Plans A-1 1 point a TOTAL POINTS 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.Srte INPUT ReSOUTCeS Energy A011-lealth 1.Recycle Job Site Construction&Demolition Waste 65%=1 point;75%= 2 points;BOO/6=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 Slormwaler 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 Foundafion/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 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 • • I. mows INPUT Resources Energy IAQ1Heai1g,.. 1.Install Energy-Efficient Windows • e.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 Heat Transmission Glazing 1 Energy pt yryes 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 pis 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 3 IAQMealth 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 SEERM 1 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 stoveslnserts 1 IAQMealth pt y=yes 0 b. Instali/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 4IAQ/Health pts y=yes 0 16.Install Heat Recovery Ventilation Unit(HRV) 5 IAO/Health pts y=yes 0 17.Install Separate Garage Exhaust Fan 3 IAQMealth pts y=yes p 1 1 1 K.Renewable Energy and Roofing 1.Pre-Plumb for Solar Water 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=1 B points) Up to 15 Energy pts 0 6.Select Safe and Durable Roofing Materials 1 Resource pt y=yes 0 7.Install Radiant Barrier 3 Energy pts y=yes p I I I 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 0 1 1 1 • Community Development sm 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408) 777-3333 *UPEkTINO B ilding De artment JOB ADDRESS: }}744;rW6tAS C . PERMIT # </ 7 ,),i0 C �-O OWNER'S NAME: P2:ZjV W PHONE # Z' , GENERAL CONTRACTOR: 'T FAX # I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following ' ormation: 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