08070056 (2) CITY OF CUPERTINO
BUILDING DIVISION PERMIT "kCO.1�ITItACTUR�IIY,F,QMATIt}N
But LgD�G.r3Q13�REESERMIT N0.
STEVENSTEVENS CREEK BLVD DISCOUNT PLUMBING & ROOTER 08070056
OWNER'S NAME: PERMn ISSUE DATE
WDV PROPERTY 1330 VALOTA RD 07/09/2008
NE SANITARY NO. CON'ROL NO.
(650) 333-8105
ARCHITECTIENOINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
uoo LICENSED CONTRACTOR'S DECLARATION lob Descri tion '
Fles 1 Watley affirm drat l w liamed under pravtsmm a Chapter (commencing P
4 withSection7")ofDivision3oftheBusinwandPmfeuioruCode.andmylicense4 RPLC BRKN SWR MAIN LINE INSIDE PROPTY (PIPE
n' w in full force and f
pyz Licemhw�Llc.g BURSTER) & INSTL 2-WY CLEAN OUT
nr� Dam Contnctn� rA
W7 ARCHrTECI-S DECLARAnON '
I undennnd my plans Nall be used u public records,
g Liconsed Professional
r h 5
OWNER.BUILDER m Ce Conti ON
' f 1 bercby a(Bm that 1 1. .umpt from the Conuacmh LiA n c law far cite
0 o
which
naw.(Savo.]031.5,Business and ProGswu Cam:Any city m cowry
$(L whichrequiresa..W.recares;the aims improsc,dcermitt lire a sig anysuumum
priorm its issuanec.alw requires;cite applicant(orwch permit to file aligned summer
<
that Wtstcc=dpurumanlwthe provisions ofthe Contractor's License Law(Chapter 9Sq.F H000rArea Valuation
€2 (cummcndngwidmS =7000)ofDiWion3ofd Buun mdpnrusiom Code)or
fl $19550
u W u eumpt therefrom and dm buts for ft alleged csempdo.Any violation of
Section 7031 by any applicant fora permit subjects Ne applicant w a civil penaey,orNumber Occupancy
not term them five hundred dollars(SM. 316 2 6 0 9 0 .� pane Y Type
0 1,u owner of dm property,or my employees with wage u their umle compensation.
win do the wodt and dm awctun is not intended oreffemd for sal.(Ss,.70th,Buaitmu
and Ptofcsdom Code:The Conmuemra Lirrna Law dos,.n apply to an ower of Required Inspections
property who builds or improves Oterese.and wed does sad work himself no Nmugh his
own employees,,provided that.sed improvements are not intended oroRcred for sada B,
however,the building or improvement ts mid within one year of completion.on owner-
build",win have IW Wsden of proving that he did not build a Improve for purpose of
sale.).
❑1.u owoer a the property.w euludvely convuung wide licensed con0¢tors to
construct dm project(Sec.7014,Bui.m and Profession Code:)The ConuumYs U.
cease law dam not apply in an Duma of property who Wilds or impmses dmmon,and
who cortruta for such pmjeem with a eontrann(s)licensed pursuant to cite Comrutor's
License law.
❑I am aempt undm See .B&PC for this resume
Ower Dam
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of dm fallowing declandons:
nd ,
haw awill maintain acutifwm m
oferentto rtlr-inure frrworkelscrmpcn-
ration,as provided for by Section 370[1 of dm labor Cade,for the performance of das
wort for which this permit is issued
C]I haw and will maintain WorkeYs Compensation Insurance,u required by Section
3]00 or Ne Labor Code,for me performance of the wore for which this permit u Issued.
My Worker's Compeuauon Insurance carrier and Policy number am:
Carrier: A O polity Na:N1ENd0l!J29-n(
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thusecmm mend not bucanplcted note permit Is Infra hundred dome($I00)
orina)
1 rc^;fr mel in me perfommmme Of IW wort for which Nis permit ts issued,l"I not
employ any person in any summer an u to become wbjut m cite Walken'Compehuaurn
Laws of California Dam
Applicant
NOTICE TO APPLICANT.If,after making this Certificate of Exemption.you should
butane subpst to dm Winloo's Compewuon provisions of cite labor Code,you most
.,z forthwith comply with such provisions or Nu permit shall bu deemed newtcd.
z O CONSTRUCTION LENDING AGENCY
F+ lhereby cBthi thatthemU boco (Sec.construction lending agency for tax perfurmaae of
a La wok for which this permit ts issued(San 3097,Civ,CJ
G.Q Lc s Name
D z lendels Address
V Q 1 comfy that 1 haw rad this application and sum that the above infomution is
Iy E counsel-1 agree to comply with all city and county ordinances and aur laws totaling to
Q Wading amuuction,and hereby authorise repreacoutiws of Nu city to amr upon the
"yshow-menurond oU.property for inspection puryues
(We)agree m taw,indemnify and trap barrniess cite City of Cupertino against
to inconves,Jndgmata,costsambo es penseswhich may In any way urnmagainstsaid City
t.)vZ A PLICA nee NDERTTANDSirsaming,of this permit q
esti APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NOW POINT Issued by: Date
SOURCE REGULAn ^ p/J�-
smgnuu fAppneenXim Dam Re-roofs
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will cite applicant or future building artupant store or handle huardou material
as defined by hW Cupertino Municipal Code.Chapter 9.12.and IW Health and Safety
Code.Session 25532(a)] All roofs shall be inspected prior to any roofing material being installed.
c Ta
Will the applicant or future building atopen[use equipment of devices which If a roof is installed without first obtaining an inspection,I agree to remove
L herardome air crnuminan s as,dulumd by Ne Bay Area Air Quality Management all new materials for inspection.
strict] r-s�
❑Ya Y""
I haw read lM haarduu mamriau nquiremau unxkr Chapter G95 arae cadnerr,-
nice Fka]h&Safety Cad,SxNom25%5,25533md25534.1m&c dhhstifdm Wilding
does not currently haw a tenant Na it is my reapomihility m ratify cite. ant of cite
requinmcnu wh¢h most Wmet pram u ofs ccrtirmam or Cmc j Signature of Applicant Date
Owners aum�a ag��`—�To„e/ All roof coverings to be Class'W'or better
CITY OF CUPERTINO
� 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 31626090 . 02
DATE ISSUED. . . . . . . : 07/09/2008
RECEIPT # . . . . . . . . . : BS000005381
REFERENCE ID # . . . : 08070056
SITE ADDRESS 20363 STEVENS CREEK BLVD
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : WDV PROPERTY
ADDRESS . . . . . . . . . . : 20363 STEVENS CREEK BLVD -
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : ORCE NAUMOVSKI
CONTRACTOR . . . . . . . : ORCE NAVMOVSKI LIC # 24887
COMPANY . . . . . . . . . . : DISCOUNT PLUMBING & ROOTER
ADDRESS . . . . . . . . . . : 1330 VALOTA RD
CITY/STATE/ZIP . . . : REDWOOD, CA 94061
TELEPHONE . . . . . . . . : (650) 333-8105
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
-- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICO VALUATION 19, 550 . 00 4 . 20 0 . 00 4 .20 0 . 00
1PCSEWER UNITS 1 . 00 20 . 40 0 . 00 20 .40 0 . 00
1PLMBLNCK HOUR 1 . 00 122 . 38 0 . 00 122 . 38 0 . 00
1TRAVDOC FLAT RATE 1 . 00 40 . 79 ; 0 . 00 40 . 79 0 . 00
--------- ------ ---------- ----------
TOTAL PERMIT 187 . 77 0 . 00 187 . 77 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 187 .77 #5482
---------------
TOTAL RECEIPT 187 . 77
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
106 SEWER & WATER 202 UNDERFLOOR PLUMBING
301 ROUGH PLUMBING 507 FINAL PLUMBING
I -700
CITY OF CUPERTINO
`«'I REPIPE/SEWER/MAIN SERVICE
• CUPERTINO PERMIT APPLICATION FORM
APN# / - oq O a Date: --7 v
Building Address: 2 D3 /� 2Ve A,
Owner's Name: �O Phone #: ckj8� 4�Z_csoal
V .G 1
Contractor.. // Phone#(-65D)
1,�U v. b a Czoot c,� i(A, Fax #: ��50 3�( — 640
Contact: Phone #: '6650) CF0
Fax #:
Contractor License#: GS 3
Cu ertino Business License#: `ZT�itl T
Job Description: d�zePkkce k®� �C-uJty
�'�'�L•� l` �Ptl�c 'LSv�s�.w�'Y�� (she tnS�bE
in (I 2+vwy C/C o
Residential ❑ Commercial
Valuation: / s s/^
Project Size: Express L Standard ❑ 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 -Fe e Permit Type
Grou
` 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
IBSEISMICR Seismic Residential p
1PRSEWER Residential building P 1RPSS
sewer/sanitary sewer
aCITY OF CUPERTINO
t 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
1RPWS
1PPRSEWG . Private Sewage Disposal System P
IPCESS Cesspool P '
IBPWATER Install/alter Water Pipe P
1BPFIXTURE Plumbing Fixture P
1PGASRES Residential Gas Piping System P
1-4 Outlets
1 BPGAS 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 Refri errator, (Note/Spec. A-3 1 point
P. Other 1. List Green Features on Plans A-1 1 point
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.
INPUT ResDurces Energy IAO/Health
A.Site
1.Recycle Job Site Construction&Demolition Waste
65%=1 point;75%= 2 points;BD%-4 points up to 4 Resource pts D
2.Salvage Reusable Building Materials 4 Resource pts yeses D
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
B.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 MEMO
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=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 IJoists 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 D
f 2.Use OSB
a.Subfloors 1 Resource pt y=yes 0
to.Sheathing 1 Resource pt y--yes 0 •
1 1
I. endows
1.Install Energy-Efficient Windows
• a.Double-Paned 1 Energy pt Y--yes 0
b.Low-Emissivity(Low-E) 2 Energy pts y=yes D
c.Low.Conductivity Frames 2 Energy pts Y--yes 0
2.Install Low Heat Transmission Glazing 1 Energy pt Y--yes D
1 1 1
J.Heating Ventilation and Air Conditioning
1.Use Dud 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.IA0/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
B.Install Sealed Combustion Units
a.Furnaces 3 IAQ/Health pts y--yes 0
b.Water Heaters 3 IAQ/Health pts y=yes 0
9.Replace Wall-Mounted Electric and Gas Heaters with
Through-the-Wall Heat Pumps 3 Energy pts y=yes D
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 stoveslnserts 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 4 IAQ/Health pts y=yes 0
16.Install Heat Recovery Ventilation Unit(HRV) 51AQ/Health pts y=yes 0
17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y=yes 0
1 I 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=18 points) Up to 1 B Energy pts 0
6.Select Safe and Durable Roofing Materials 1 Resource pt y=yes D
7.Install Radiant Barrier 3 Energy pts y=yes 0
1 1 1
L.Natural Heating and Cooling
1.Incorporate Passive Solar Heating 5 Energy pts y=yes p
2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts . y=yes 0
y=y
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts as p
• 1 1 1
Community Development
10300 Torre Avenue
y�✓' Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
IWUPEkTINO
Building Department
JOBADDRESS' PERMIT #
-] JW 0- O O
J/ V*� Ct -v. C� 5
OWNER'S NAME: W )V ro PHONE # Z-
GENERAL CONTRACTOR: &MAX # (o5b —S Dl
I am not using any subcontractors: '
Signa a 6ate
Please check applicable subcontractors and complete the followinginformation:
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
er/Contractor Signature Date