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09050121 7BUILDINGIDIVISION OF CUPERTINO PERMIT PERMIT NO. BUILDING ADDRESS: 090901 2 22366 RANCHO DEEP CLIFF DR VALLEY :ZEATIN PERMIT ISSUE DATE OWNER'S NAME: (ITgART F KIT-T ATT SXMYA CONTROL NO. NNE: (408) 294-6290 BUILDING PERMIT INFO ARCHrECTIENGINEER: BLDG ELECT PLUMB MECH 0 :Inc p LICENSED CONTRACTOR'S DECLARATION Job DCSCnptlOn U I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,an my license is R P L C FURNACE & RE P LC A/C UNIT O y in full fora and eft _ >< C_ License Clan c^ Date Con n�+ ARCHITECT'S DECLARATION g < I understand my plans shall be used as public records DmyU L O y Licensed Professional OWNER-BUILDER DECLARATION f<i I hereby affirm that I am exempt from the Contractofs Liccnsc Law for the a0 following reason.(Section 703 1.5,Business and Professions Code:Any city or county alter.improve,demolish,or repair any structure $9 which requires a permit to convect n"y prior to its issuance,also requires the applicant for such permit to file a signed statement Ft.Floor Area Valuation Z< that he is licensed pursuant to the provisions of the Contractor's license Law(Chapter 9 Sfl x X$ (commencing with Section 7000)of Division 3 of the Business and Professions Code)or $9400 i 9.. that he is exempt therefrom and the basis for the alleged exemption.Any violation of APN Number Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). 35602048 . 01 0 I,as owner of the property.or my employees with wages as their sole compensation, will do the work,and the structure is not intended oroffered for sale(Sec.7044,Business Required Inspections and Professions Code:The Contractor's License Law does not apply to an owner of Property who builds or improves thereon,and who does such work himself or through his own employees.provided that such improvements are not intended or offered for sale.ff. however,the building or improvement is sold within one year of completion,the owner- builder will have the burden of proving that he did not build or improve for purpose of sale.). 0 1,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Sec.7044.Business and Professions Code:)The Contractor's Li- cense Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Taw. 0 1 am exempt under See B k P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: i have and will maintain a Certificate of Consent to self-insure for Worker's Compen- sation,as provided for by Section 3700 of the Labor Code.for the performance of the work for which this permit is issued. ;jtijiave and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My Wor Compensatio insurance carrier and Policy number arc: Cartier Policy Nm.: F KATE OF EXEMP170N FROI�' COMPENSATION INSURANCE (This section recd not be completed if the permit is for one hundred dollars($100) or less) I certify that in the performance of the work for which this permit is issued,1 shall not employ any person in any manner so as to become subject to the Workers'Compcnsadon Laws of California.Date Applicant NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should become subject to the Worker's Compensation provisions of the Labor Code,you must .7 Z forthwith comply with such provisions or this permit shall be deemed revoked. .Zn OCONSTRUCTION LENDING AGENCY [�rA I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097,Civ.C.) W A Lender's Name =Z L.cndees Address I certify that 1 have read this application and state that the above information is LUL corccL I agree to comply with all city and county ordinances and state laws relating to 0 U building construction,and hereby authorise representatives of this city to enter upon the above-mentioned property for inspection purposes W W (We)agree to save,indemnify and keep harmless the City of Cupertino against rA liabilities,judgments,costs and expenses which may in any way accrue against said City V Z in consequence of the granting of this permit. �. r, APPLICANT UNDERSTA S AND WILL COMPLY WITH ALL NON-POINT Issued bar:9102�6�zw Date .� SOURCE REGULATl /! Re-roofs Signature ofAppl' UC r Dae T of]Zoof OUS MATERIALS DISCLOSURE Type will appli t or uture building occupant store or handle hazardous material as defined the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety code,Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed. 0Yes If a roof is installed without first obtaining an inspection,I agree to remove Will the applicant or futu ilding occupant use equipment or devices which hazardous air contaminan defined by the Bay Area Air Quality Management all new I naterials for inspection. .strict? 0 Yes ONO 1 have read the hazardous materials requirements under Chapter 6.95 of the Cali for- / nia Health tit Sal'ctyCodc,Sections 75505,25533 and 25534.1 understated that if the building docs not currently have a tenant that' my responsibility to notify the occupant of the require w mel to issuatucc of a Ccnificate or 5>r�tpancy. Sign urs; f pp icant Date All roof coverings to be Class'J�a`or better 0.4; out ed a cat Datc <jqv : C) CITY OF CUPERTINO { �r ''' FURNACE/AC CITY OF CUPEkTINO PERMIT APPLICATION FORM APN# 5 Date: Building Address: Owner's Name: Phone #: Nkr ke q 01b -- 3 (a Contractor: Phone#: &1100 Fax #: 46 ontractor Yicense#: Cupertino Business License#: 220 /y/ Contact: Phone#: C-, -:- 00., Fax#: Building Permit Info: Elect©-'�- Plumb ©/ Mech [�f- Residential E�— Commercial ❑. Job Description: For Residential Installations: Attic ❑ 1St floor 2- 2"d floor ❑ Adhere to minimum setback requirement For Commercial Installations: Replacement same weight ❑ Additional weight (structural calcs) ❑ Structural Calculations required for new installation ❑ New installation Planning Approval Required ❑ Cost of Project: Type of Zonstruction(Usage Class): 7-O Strapped ❑ On Platform ❑ Bonded ❑ New Location ❑ Replacement Valuation: Green Building: Must attach Green Building Clieck list to this application CITY OI' CUPERTINO ` FURNACE/AC --- CITE'OF '_- CUPEkTINO FEE SCHEDULE Quantity Fee ID Fee Descrip tion Fee Permit Type Group FURNACE FURN/AC 1MCRAA Commercial-Repair/Alteration/Add to M ea heating appliance,refrigeration unit, cooling unit,,Lb sorption unit,or ea heating,cooliig,absorption or evaporative cooling system,incl installation o[controls regulated by this code. 1MCREPALT Commercial for the repair of alt/add to M ea heating appliance,refrigeration unit,cooling unit,VAV boxes, absorption unit or ea heathing, cooling absorption,or evaporative cooling Sys, incl install ofcontrols regulated by this code. 1MCSUSHTR Commercial Install/Relocate ea M suspended he ater,recessed wall htr, or floor mounte I unit heater. 1PGASCOM Commerical for ea gas piping System P 1-4 outlets 1BPGAS For each gas piping system of 5 or P more per out-et. 1MCAPPVNT Commercial for the install/relocate/ or M replacement :)f ea appliance vent installed &nit incl in an appliance permit. 1BSEISMiCO Commercial Seismic B 1N[RRAA Residential F_epair/Alteration/Add to M ea heating appliance,refrigeration unit, cooling unit,;ib sorption unit,or ea heating,cooli ng,absorption or evaporative cooling system,incl installation of controls regulated by this code. 1MRSUSHTR Residential IZstall/Relocate ea M suspended he:ater,recessed wall htr, or floor mounted unit heater. 1 MRAPPVNT Residential f)r the install/relocate/or M replacement :)f ea appliance vent install &not incl in an appl permit. CITY OI' CUPERTINO FURNACE/AC CITY of CUPERTINO FEE !)CHEDULE Quantity Fee ID Fee Description Fee Permit Type Group AIR FURN/AC _ CONDITIONING 1BCAIRHAN Commercial A/C Units<=10k CFM B 1MCRAA Commercial Mech Repair/alt/add M 1BSEISMICO Seismic Commercial B 1PGASCOM Commerical for ea gas piping System P 1-4 outlets 1PGASRES Residential fir ea gas piping system P of 1-4 Outlets 1BPGAS For each ga3 piping system of 5 or P more per outlet. Comm/Resid IBREMAIRHAN Residential A/C units <= 10k CFM B MUUA Residential Mech Repair/alt/add M 1BSEISMICR Seismic Residential B r 1EPERMITFEE Electric Perrzit E I 1MPERMITFEE Mechanical:?ermit M 1PPERMITFEE Plumbing Permit P 1TRA7VD0C Travel Documentation B 1BUSLIC Business License B N d ENTER PROJECT NA c,'m_ � m Z c m a 4 I U < cc 4.Use Solid Wall Systems(Includes SIPS,ICFs,&Any Non-Stick Frame Assembly) -- - ❑ a Fiogrs-_ _ __ - - D --2 7 ❑ b.Walls ❑ c.Roots D — - - 2 S.Reduce Pollution Entering the Home from the Garage I ❑ a.Tightly Seal the Air Barrier between Garage and Living Area ❑ b.Install Garage Exhaust Fan OR Build a Detached Garage D i ❑ 6.Design Energy Heels on Trusses(75%of Attic Insulation Height at Outside Edge of Exterior Wall) D ( 1 ❑ 7.Design Roof Trusses to Accommodate Ductwork ' I D 1 ❑ B.Use Recycled-Content Steel Studs for 9D%of Interior Wali Framing I 0 i 1 S.Thermal Mass Walls:518-Inch Drywall on All Interior Walls or Walls Weighing me re than 40 lblcu.fL 0 I 1 10.Install Overhangs and Gutters --—— - - a.Minimum 16-Inch Overhang and Gutters -_ — 0 ❑ b.Minimum 24-Inch Overhangs and Gutters D 1 otal Points Available in Structural Building Frame and Envelope=36 0 E.EXTERIOR FEgISH I Points Available Per Measure 1.Use Recycled-Cordent(No Virgin Plastic)or FSC-Certified Wood Decking D 2 Install a Rain Screen Wail System 0 ( 2 ❑ 3.Use Durable and Noncombustible Siding Materials 0 I 1 ❑ 4.Select Durable and Noncombustible Roofing Materials I 0 I 2 Total Points Available in Exterior Finish=71 0 I F.INSULATION I Points Available Per Measure 1.Install Insulation with 75%Recycled Content I ❑ a.Walls and/or Floors 0 1 —❑ b.-0eilings 0 -— —1-- — 2.Install Insulation that is Low-Emitting(Certified Section 01350) ❑ a.Walls and/or Floors ❑ b.Ceilings 1 ❑ 3.Inspect Quality of Insulation Installation before Applying Drywall I D I 1 Total Points Available in Insulation=51 D I G.PLUMBING I Points Available Per Measure 1.Distribute Domestic Hot Water Efficiently(Maximum 7 Points). I ❑ a.Insulate Hot Water Pipes from Water Heater to Kitchen D ❑ b.Insulate All Hot Water Pipes 0 ❑ c.Use Engineered Parallel Piping 0 I 1 ❑ d.Use Engineered Parallel Piping with Demand Controlled Circulation Loop 0 _ 1 ❑ e.Use Structured Plumbing with Demand Controlled Circulation Loop 0 —_ 7 2 ❑ f.Use Central Core Plumbing 0 i 1 2 ❑ 2.Install Only High Efficiency Toilets(Dual-Flush or 5128 gpf) 0 4 Total Points Available in Plumbing=Total 121 0 I H.HEATING,VENT1 ATION&AJR CONDITIONING I I Points Available Per Measure ❑ 1.Design and Install HVAC System to ACCA Manual J,D,and S Recommendatior s 0 4 2.Install Sealed Combustion Units a.Furnaces �Oql 2 ❑ b.Water Heaters 2 3.Install Zoned,Hydronic Radiant Heating with Slab Edge Insulation 0 I 1 1 4.Install High Efficiency Air Conditioning with Environmentally Responsible Retr gerants D 1 5.Design and Install Effective Ductwork I ❑ a.Install HVAC Unit and Ductwork within Conditioned Space D ❑ b.Use Duct Mastic on All Duct Joints and Seams D __ 1 ❑ c.Install Ductwork under Attic Insulation(Buried Ducts) 0 ❑ d.Pressure Balance the Ductwork System D 1 — ❑ e.Protect Ducts during Construction and Clean All Ducts before Occupancy 0 1 S.Install High Efficiency HVAC Filter(MERV 6+) I 0 1 ❑ 7.Don't Install Fireplace or Install Sealed Gas Fireplaces with Efficiency Rating N A Less Than 6D% 0 1 using CSA Standards B.Install Effective Exhaust Systems in Bathrooms and Kitchens I ❑ a.Install ENERGY STAR Bathroom Fans Vented to the Outside 0 ❑ b.All Bathroom Fans Are on Timer or Humidistat D _ 1 ❑ c.Install Kitchen Range Hood Vented to the Outside D 1 9.Install Mechanical Ventilation System for Cooling(Maximum 4 Points) I I ❑ a.Install ENERGY STAR Ceiling Fans&Light K is in Living Areas&Bedrooms D 1 ❑ b..Install Whole House Fan with Variable Speeds D 1 __— ❑ c.Automatically Controlled Integrated System _ D 2 _E] d.d.Automatically Controlled Integrated System with Variable Speed Control D 0,Install Mechanical Fresh Air Ventilation System(Maximum 3 Points) I i ❑ a.Any Whole House Ventilation System That Meets ASHRAE 62-2D ___ 2 _ ❑ b.install Air-to-Air Heat Exchanger that meets ASHRAE 62.2 F-0 1 2 LJ 11.Install Carbon Monoxide Alarm(s) I 0 1 Total Points Available in Heating,Ventilation and Air Conditioning=30I 0 j 0 2007 Build It Green Single Fami y GreenPoint Checklist 2007 Version Pace 2 of 4 Single Family GreenPaint Checklist date: Build It Greed The GreenPoint Checklist is based on the various green features incorporated into the home and is the Smart Solutions From Me Ground Up basis for the GreenPoird Rated program.A home can be considered green if it fulfills the pre-equisites, earns at least 50 points,and meets the minimum points par category:Energy(30),Indoor Ai Quality/ Health(5),Resources(6),and Water(9).Please contact Build It Green for a fist of qualified ;reenPofnf Raters if you are interested in pursuing third-party verification. The green building practices listed below are described in the New Home Construction Gr-.E n Building Guidelines,available at www.builditareen.oro. ENTER PROJECT sO A — m i a s c w a m U � A SITE Points Available For Measure 1.Protect Topsoil and Minimize Disruption of Existing Plants&Trees ❑ a.Protect Topsoil trom Erosion and Reuse after Construction 0 —❑ b-❑roil and Delineate Construction Foo�nM for Maximum ProbcUon 0 1 2 Deconstruct Instead of Demolishing Existing Buildings On Site 0 3 3.Recycle Job Site Construction Waste(including Green Waste) ❑ a.Minimum 50%Waste Diversion by Weight(Recycling or Reuse)•=required 0 ❑ b.Minimum 65%Diversion by Weight(Recycling or Reuse) 0 _ _ _ 2 ❑ c.Minimum BO%Diversion by Weight(Recycling or Reuse) 0 2 4.Use Recycled Content Aggregate(Minimum 25%) ❑ a.Walkway and Driveway 0 i E] b.Roadway Base 0 ---- 1 Total Points Available in Site 121 0 B.FOUNDATION I Points Available Per Measure 1.Replace Portland Cement in Concrete with Recycled Flyesh or Slag —❑aMirnmum 20%-Flyzs or Slag 0 ❑ b.Minimum 25%Flyash or Slag 0 i ❑ 2.Use Frost-Protected Shallow Foundation in Cold Areas(GEC.Climate Zone 16) D � 3 ❑ 3.Use Radon Resistant Construction(in At-Risk Locations Only) D 1 4.Design and Build Structural Pest Controls ❑ a.Install Termite Shields&Separate All Exterior Wood-to-Concrete Connections by M rtal or Plastic Fasteners/Dividers b.All New Plants Have Trunk,Base,or Stem Located At Least 36 Inches from Foundation 0_I 1 Total Points Available in Foundation C.LANDSCAPING Points Available Par Measure 1.Construct Resource-Efficient Landscapes ❑ a.No Invasive Species Listed by CAHPC Are Planted ❑ b.No Plant Species Will Require Hedging —�___ 1 ❑ c.75%of Plants Are Drought-tolerant California Natives,Mediterranean,or Other Appi opriate Species 0 3 ❑ 2 Use Fire-Safe Landscaping Techniques 0 i 3.Minimize Turf Areas in Landscape installed by Builder ❑ a.All Turf Will Have a Water Requirement Less than or Equal to Tall Fescue(<_D.B pla it factor) 0 2 ❑ b.Turf Shall Not Be Installed on Slopes Exceeding 10%or in Areas Less than B FeetVide 0 — ; 2 ❑ c.Turf is 533%of Landscaped Area(total 2 points) 0 _ 5555 ❑ d.Turf is 5510%of Landscaped Area(total 4 points) 0 2 ❑ 4.Plant Shade Trees 0 3 ❑ 5.Group Plants by Water Needs(Hydrozoning) 0 2 6.install High-Efficiency Irrigation Systems ❑ a.System Uses Only Low-Flow Drip,Bubblers,or Low-flow Sprinklers D 2 ❑ b.System Has Smart Controllers 0 3 ❑ 7.Incorporate Two Inches of Compost in the Top 6 to 12 Inches of Soil 0 3 ❑ B.Mulch All Planting Beds to the Greater of 2 Inches or Local Water Ordinance Rec uirement 1 0 2 9.Use 50%Salvaged or Recycled-Content Materials for 5D%of Non-Plant LandscaF a Elements 1 0 1 ❑ 10.Reduce Light Pollution by Shielding Fixtures and/or Directing Light Downward 1 0 1 Total Points Available in Landscaping=311 0 1 D.STRUCTURAL FRAl M&BUILDING ENVELOPE i Points Availa`ule Per Moasure 1.Apply Optimal Value Engineering ❑ a.Place Rafters and Studs at 24-Inch On Center Framing 0 1 _ ❑ b.Size Dow and Window Headers for Load 0 1 ❑ c.Use Only Jack and Cripple Studs Required for Load 0 1 2.Use Engineered Lumber ❑ a.Beams and Headers 0 _ 1 ❑ b.Insulated Engineered Headers 0 5555 i _ ❑ C.Wood 1-Joists or Web Trusses for Floors 0 ❑ d.Wood I-Joists for Roof Rafters _0 ❑ e.Engineered or Finger-Jointed Studs for Vertical Applications 0 -77 ❑ f.Oriented Strand Board for Subfloor D ❑ g.Oriented Strand Board for Wall and Rod Sheathing D 1 3.Use FSC-Certified Wood ❑ a.Dimensional Lumber,Studs and Timber.Minimum 40% D 2 ❑ b.Dimensional Lumber,Studs and Timber.Minimum 70% 0 _ '_ 2 ❑ c.Panel Products:Minimum 40% D 1 _ l❑ d.Panel Products:Minimum 70% 0 I 1 ©2D07 Build It Green Sinole Familv GreenPoint Checklist 2007 Version Pace 1 of 4