08080210 (2) BUILDING DIVISION PERT A+�'1- fll�'Ik\l Ol�1Yll� hSN
BUILDING ADDRESS: - PERMIT NO.
1891.1 TUGGLE AVE ALLSTAR PLUMBING 08080210
NER'S NAME: PERMIT ISSUE DATE
1,0VANN FLAUGHER 326 PHELAN AVE 08/26/2008
1�,�
ONE: SANITARY NO. CONTROL NO.
CHITECTIENGINEER: BUILDING PERMIT INFO
COPPER REPIPE FOR BATHROOM, BLDG ELECT PLUMB MECH
X0LICENSED CONTRACTOR'S DECLARATION r O O O O
I hereby am.dust l m luonsed under Provisions of Chapter9(commvcing --^^^ --^-^^^ - Job Description
Smgon?OMof Div oa3afthe Busin "ftfu4=Cade andetylicewt,
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ARCHI7ELTS DECLARATIf
I understand my plans shall W used As public methods
0
y0 Licad Professional
5 wOWNHm moot OH RDECLARATIONrsel
a I hereby mem .(firm Nat 11. exempt Imre the ft m ns Co Leman Law for nft
y
i D O following memo.(Section 7051.5 Buatcu and Improve.
de ons Cade:Any city or[aunty
$ which its is u n permit re conwvn,altar.Impmw,de ermit t fi mpeiany museum
Z y prior m its issuance,ahu requires,the the applicant tforhe Co permit ccnmsignedw(Ch emenl
0 NatheuRcewaPumuntNtheofDiviomn(of eanuecWr,UcewLawlchapur9 Sq.Ft. Floor Area Valuation
$ (Cammenclng with Section 70nd of basis f S of al B ed exe And on,My
Crede)of
that he t,esmPt therefrom and Ne but,for Ur alleged exemption,MY violation or
Section 7031.5 by any,applicant for a permit subjects the appium to A civil pen ally of APN Number Occupancy e
Ann...unto five hundred dellan(S%70). P YTYp
I,u avnsr of tb Pvpvry,a my mplayw wIN aagn u titabmle mmpewtion,
And daticwort and Nemunm amts Livens U.dosonata(Set-teas Budw,
ant Rafwans code:The ConusnoY,Utvue Law does net apply lf an owner of Required Inspections
property who bullae orimprowa himpr and who doesomM1work huuelfarthrough his
hw wr,l ft ,provided Wilinjorithat mwm Apr vements Wd MLmmtinuof mMfemn.thcoeIf. ..
bowd"will buil ding ortmpmwmantahat No didn Am
ofmprovefo,areOwren-
buildtt will have Uc buNan of proving But he d10 ret build m improv for puryw of
❑I,as oww of the property am exclusively convening with licensed Lervseurs to li
mnatmct da,pojca(See 7040,Business And Pr efuaau Code:)The Conuvuh U.
m,,.-Law dou ret apply te an owner of property who builds or improves thcmon,and.
wbut convect,far surd pojema with a eonuuwr(s)licensed punam to use,Contractor.
License law.
❑Imexemptumbusec ,Bd PCfordaamuon
rte Data
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury man of the following declandou:
❑I W ve 4nd will mainWn a CLrtiriwmof Cawnt w elf-alum forWorkers Cmmper,
satin,As provided for by Section 3700 of the Labor Cade,for the perramanm of Ne
work for which this permit is issued.
❑r have ens will maintain Worker.Compensation lusursnm,a regared by Section
3M of the labor Code,for ac perferman:e elites,work for which this permit is tested.
My Worize,Compew`uwinterstate amen be
nand Policy numr m:
Carrier. AG
c-0'( PolicyNu: RFn t0q G-03
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section nerd not Ic Completed If the permit is(mone hunNMdoBm($100
or leas.)
I cenifv that In the performance of the work for which this permit is issued,)shall not
employ any person in my mammrm As b become mbjmt to the Worked Compensedon
Laws mf C.liImod.Data
Applicant
NOTICE TO APPUCANr:If.After making this CLninau of Exemption.you Neuss
harem subject N the WorkrYs Cmmpewden provisions of the labor Coale,you most
.J O foMwiN comply with such provisions or NU Permit shall W dcemed omkud.
z"' CONSTRUCTION LENDING AGENCY
`�
E~ I barely eRum Nu them is.construction 7ing Agency,for the Performance of
C ti
the were for which Nu permit u issued(Sex.]1191,,Cly,CJ
0 Landers Add=
-
D z lenders
U O 1 CWfy Nn 1 have reW this application end sou Na use chow ufomaliun Ica
Correct.14&=N Comply with W City and County mullnances and,uta laws miming a
building construction.and hemby authorise representatives of this city to enter upon tM
a0(lide,judged property for inspection purposes
(We)agree to taw,indemnify and kcep harmless the City of Cupertino Against
UZ in conas,ludgmenW cuuandofpeisFCMI ch may In any way venue aaw said City
U z m APPLICANT
of the RSTAN of Nu permit.
APPLICANT UNDERSTANDS DS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOU REGULATIONS.
� V-C`/0x Re-roofs
Signature of ApplicanUConuecmr Dau
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the Applicant or future Wilding ocmpent owe or handle hazardous materia
as defined by NL Cupertino Municipal Code.Chapter 9.13.and the Health and Safely
orae,Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed.
If a roof is installed without first obtaining an inspection,I agree to remove
WIII the applicant or future balding occupant w equipment or tkvima which g
cred(ce'Nous sir conumimnu u dcnned by the Bay Amt Air Quality Menagemcnt all new materials for inspection.
Diwi ❑Ya NY
I have mad the hanNeu maerias sequimmanu under CWptar 695 efthe Cailm.
nit He.]"SalnyCode,Seeman 2558525575 and 25534.1 undemad Nair use,building
dot,not currently haw t imam that It u my responsibility m maty the occomnt of the
mR which most be not Pio W.of a Ceuficau of Occupancy.
Signature of Applicant Date
owne,or mthomcd a go., Data All roof coverings to be Class'W'or better
CITY OF CUPERTINO
4� REPIPE/SEWER/MAIN SERVICE
CUPEI'TIN0 PERMIT APPLICATION FORM
g6ko2 iD
APN# 75 _2�,5 D O v Date: 260
Building Address:
V&
Owner's Name: - Phone#
Lovo-nvL v k Lr yog 72,5- /37 2-
Contractor: Phone#:
Q ��, ovzs► _ &0 '/0l I — ��C1` U I n Fax #:
Contact: Phone#: ' S o o-S "O V G
CC
Jt A I Vu-r L 7, Fax #:
Contractor License : 7 3 2-
Cupertino
Cu ertino Business License#: Z Z D
Job Description:
Gor Ptd rt P pG 10� 6a`-�-k^r o M , f{l.cn, Gp,vWA-cc kc,Tr
Residential Commercial ❑
Valuation:
Project Size: Express Standard Large El 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
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
S 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 P
1-4 Outlets
113PGAS Gas Piping System 5+ Outlets P
/ 1PPERMITFEE Plumbing Permit Fee Issuance P •
1PLMBLNCK Plumbing Plan Check P
1PLM 3INSP 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 2oint
P s
11. Permeable Pavin 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 1oint
P. Other 1. List Green Features on Plans A-1 1 point
TOTAL POINTS 40 points
•
•
Plan Review Process Work Book Page-l2-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.
to
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 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 D
5.Minimize Disruption of Existing Plants&Trees 1 Resource pt Y_—Yes 0
B.Implement Construction Site Stormwater Practices 2 Resource pts y=yes D
7.Protect Water Quality with Landscape Design 2 Resource pts y--yes 0
B.Design Resource-Efficienl Landscapes-and Gardens 4 Resource pts y=yes D
9.Reuse Matedals/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=yes 0
1 1 1
C.Structural Frame
ft 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
8.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 D
b.Wall 3 Energy pts y=yes 0
c.Roof 3 Ener is
9Y P 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
D.Exterior Finish
1.Use Sustainable Decking Materials
a.Recycled content 3 Resource pts y--yes 0
b.FSC Cartified Wood 3 Resource pts yryes 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 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 Tollest 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
r.tiecmcar
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. 0
f 1 i
G.Appliances
1.Install Energy Star Dishwasher 1 Energy pt yryes 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
f 1
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 pis y--yes 0
3,Install Recycled-Content,Fiberglass Insulation with
No Added Formaldehyde 31AQ/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
D.ceilings 4 Resource pts y--yes 0
1 1
m ows INPUT Resources Energy AWHeatth
1.Install Energy-Efficianl Windows
a.Double 1 Energy pt y=yes 0
b.'Low-Emissivi Low-E
�•, ' h ( ) 2 Energy pts y=yes D
.
c.Low.Conductivity Frames _ 2 Energy pts es 0
Y=Y
2.Install Low Heat Tratsmitsion Giazing 1 Energy pt y=yes D
1 1 1
J.Heating Ventilation and Air Conditioning
1.'Use'bucfMai c ori All DuctJoints
_ 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 0
4.Clean all Ducts Before Occupancy 2 IAQ/Health pts y=yes D
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 D
8.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 Heal Pumps 3 Energy pts Y--yes 0
10.Install 13 SEER/11 EER or higher AC with a TXV 3 Energy pts y=yes D
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 stovesfnsens 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 pis y=yes D
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 3 IAQ/Health pts y--yes 0
1 I 1 I
K.Renewable Energy and Roofing
1.Pre-Plumb for Solar Water Heating 4 Energy pts y=yas 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 burable Roofing Watenals _ ' 1 Resource pt y=yes 0
7.Iristall-Radiant Barrier 3 Energy pts y=yes 0
1 1 I
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 p
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yas p
• 1 I 1
. n oor Ir ua rry an mares
�1.Use LOWMD-VOC-Paint 1 IAD/Health
. -- . -� pts Y=Yas 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAD/Health pts y=yes p
I.3.Use Low/145 ives
o VOC Adhes
I - - . _ _ ry 3 IAO/Health pts y=yes p
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 6IAQ/Health pts y=yes p
6.Use Ext erior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes p
7 Seal all Euposeii Particleboard or MDF 4 IAO/Health_ pts Y=Ye5 D
B.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 01 1
10.Install Whole House Vacuum System 3 IAQ/Health pts y=yes p
1 F E
N.Flooring
1,Select FSC Certified Wood Flooring _ _ 8 Resource pts y=yes0
_Use Rapidly Renewable Flooring Materials _ 4 Resource pts y=yes D
3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes D
4.Install Natural Linoleum in Place of Vinyl 5 IAQ/Health pts y=yes p
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 E 1
Total Points vat a le: 1401 1301 57 O
Total Points Project Received: 01 OF 0
G:date/progsrgmenbuildingguidelineshemodelers/greenpointsfina12.12.04prolected.xis
CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: SylviaM
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 37533064 . 00
DATE ISSUED. . . . . . . : 08/26/2008
RECEIPT # . . . . . . . . . : BS000005911
REFERENCE ID # . . . : 08080210
SITE ADDRESS . . . . . : 18911 TUGGLE AVE
SUBDIVISION . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . :
OWNER . . . . . . . . . . . . : LOVANN FLAUGHER
ADDRESS . . . . . . . . . . : 18911 TUGGLE AVE
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : ALLSTAR PLUMBING
CONTRACTOR . . . . . . . : DUARTE TADEV LIC # 22189
COMPANY . . . . . . . . . . : ALLSTAR PLUMBING
ADDRESS . . . . . . . . . . : 326 PHELAN AVE
CITY/STATE/ZIP . . . : SAN JOSE, CA 95122
• TELEPHONE . . . . . . . . : (408) 230-5569
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
-- ------------- ---------- ---------- ---------- ---------- ----------
IBSEISMICR VALUATION 14, 000 . 00 ' 1 .40 0 . 00 1 .40 0 . 00
1PPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
1TRAVDOC FLAT RATE 1. 00 40.79 0 . 00 40 .79 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 82 . 98 0 . 00 82 . 98 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
--------------- ---- ----------
• CREDIT CARD 82 . 98 VISA
---------------
TOTAL RECEIPT 82 . 98
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-- -------------------------- -------- ----------------------------
301 ROUGH PLUMBING 507 FINAL PLUMBING