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10090022 CITY OF CUPERTI NO BUILDING PERMIT BUILDING ADDRESS: 20618 GARDENSIDE CIR CONTRACTOR:VALLEY HEATING& PERMIT NO: 10090022 COOLING _1WNER'S NAME: KEVIN WHITT 1171 N 4 TH ST DATE ISSUED:09/03/2010 OWNER'S PHONE: 4085908143 SAN JOSE,CA 95112 PHONE NO:(408)294-6290 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class C 20 Li,.# _25751f 0 REPLACE FURNACE&A/C V 'T/ `® MOVE NEXT TO GARAGE DOOR Contractor Q j�PYe4/�!�A Date I I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$6645 I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which APN Number:36232045.00 Occupancy Type: permit is issued. V APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relatin; WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the i '? ��_ Date: " L granting of this permit. Additionally,the applicant understands and will comply Issued tfj*:, with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. L,I/3/,� ROOFS: ;nature �iltctu ��p ate ( All roofs shall be inspected prior to anyy roofing material being installed.If a roof is d _ installed without first obtaining an inspection,I agree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I,as owner of the property,or my employees with wages as their sole compensatio 1, will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors tc HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this �,/3�(0 Owner or authorized agent: i e: permit is issued. I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,I im,st I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize representatives of this city to enter ,n the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION ,emnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date 4.Use Solid Wall Systems(Includes SIP&,ICFs,&Any Non-Stick Frame Assembly) I ❑ a.FIDOTS Walls 0 ---_---- — I D I L L ❑ C.RDJ S.Reduce_Pollution Entering the Home from the Garage 1 ❑ E.Tightly Baal the Air Barrer baiAe=_rl Garage and Living Area 0 ❑ b.Instal•.Garage Exhaust Fen OR Build a Detached Garage D E.Design Energy Heels on Trusses(75%of Attic Insulation Height at Outside Edos of Exterior Wall) 0 I ❑ 7.Design RoDf Trusses tD Accommodate Ductwork 1 D B.use Recycled-Content Seel Studs for DD',.of Interior Wall Framing D j 1 P.Thermal Mass Walls:WEAnch Drywall on All Interior Walls or Walls Weighing m:re than 40 lblcu.ft I 0 I 1 10.Install Overhangs and Gutters 1 ❑ 16-inch _Idinimum Overhangs and Gutters b.Minimum 24-1nch Overhangs and Gutter _-- Ota!Pointh Availahie in Structural Buildm_o Erame and EnvalopE=35I D j IE.EXTERIOR FINISH j Foirta Available Per Mdteasure j 1.Use Recycled-Content(No Virgin Plesfic)or FSC-Certified Wood Decking 2.Install a Rain Screan Wail System 0 I ❑ 3.Use Durable and Noncombustibi=-Siding Materials D 1 I LJ 4 Select Durable and Noncombustible Roofing Materials I D I 2 7o`al Points Available in aaarlor Finish=7 D F.INSUL TION 1 I Points Available Par IJsasur 1.Install Insulation with 75%Recycled Content I I ❑ a.Walls and/or Floors 2.Install Insulation that is Low-Emitting(Certified Section 01350) I 1 ❑ a.Walls and/or Floors 0 ❑ b.Ceilings D 1 ❑ 3.Inspect Quality of Insulation Installation before Applying_Drywall j p I i Total Poing:Available in Insulation=51 D I G.PLUMBING ) I PDints Available Par 1JreasuTe 1.Distribute Domestic Hot Water Efficiently(Maximum 7 Points), 1 ❑ a.Insulate Hot Water Pipes from Water Heater to Kitchen ❑ b.Insulate All Hot Water Pipes ❑ c.Use Engineered Park=_I Piping 0 ❑ d.Use Engineered Parallel Piping with Demand Controlled Circulation Loop D —---- 7 ❑ e.Use Structured Plumbing with Demand Controlled Circulation Loop p i 2 E) f.use Central Cor Plumbing 0 7 I ❑ 2.Install Only High Efficiency Toilets(Dual-Flush or 5125 gpf) I D I 4 Total Points Available in Plumbing=Total 121 D I R.IMTING,VENTILATION&AIR CONDITIONING 1 Point Availabi Per Measure 1.Design and Install HVAC System to ACCA Manual J,D,and S Recommendatio IS I 0 i a ` 2.Install Sealed Combustion Units I I - U-OJ a Furnaces 2 ❑ ol 2 I b.Water Heaters 3.Install Zoned,Hydronic Radiant Heating with Slab Edge Insulation 0 1 1 1 4.Install High Efficiency Air Conditioning with Environmentally Responsible Ref igerants 0 5.Design and install Effective Ductwork. I I ❑ a.Install HVAC Unit and Ductwork within Conditioned Space ❑ �_ 1 l b.Use Duct Mastic on All Duct Joints and Seams ❑ C.Install Ductwork under Attic Insulation(Buried Ducts) 0i- -- ❑ d.Pressure Balance the Ductwork System D _ 1 _— ❑ e.Protect Ducts during Construct cin and Clean All Ducts before Occupancy D i 6.Install High Efficiency HVAC Filter(MERV 5-) I 0 I 1 1 ❑ T.Don't Install Fireplace or Install Sealed Gas Fireplace with Efficiency Rating I lot Les Than 60% D ; using CSA Standards S.Install Efiecfive Exhaust Systems in Bathrooms and Kitchens i ❑ a.Install ENERGY STAR Bathroom Fans Vented to the Outside D_1_ 1 , ❑ b.All Bathroom Fans Are on Timer or Humidistat 0 I --- ❑ c.Install Kitchen Range Hood Vented to the Outside 0 1 S.Install Mechanical Ventilation System tot Cooling(Maximum 4 Points) I ❑ D I 1 e.Install ENERGY STAR Calling Fans&Light Kite in Living Areas&Bedrooms 0 ❑ b,Install Whole House Fan with Variable Speeds 1 — ❑ c.Automatically Controlled Integrated System — ❑ d.Automatically Controlled Integrated System with Variable Speed Control 10.Install Mechanical Fresh Air Ventilation System(Maximum 3 Points) ❑ P.Any Whole House Ventilation System That Meats ASHFRAE 622 0 I i—2 - --1 ❑ b.install Air-to-Air Heat Exchanger that meets ASHRAE 62.2 D T 1 11.install Carbon Monoxide Alarms) I 0 I I Total Points Available in Heating,Ventilation and Air Conditioning=301 0 r.nem n...0 u n-.___ Cinnl=Fr.,flv(,re�nPnint Rhe^klict 9nn7\In.rcinn Ppn-9 n`L CITY OF CUPERTINO 6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Bl:c: Lot: APN . . . . . . . . : 36:232045. 00 DATE ISSUED. . . . . . . : 09 /03/2010 RECEIPT #. . . . . . . . . : BS )00011379 REFERENCE ID # . . . : 10 )90022 SITE ADDRESS . . . . . : 20,518 GARDENSIDE CIR SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : KEVIN WHITT ADDRESS . . . . . . . . . . : 20518 GARDENSIDE CIR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-0205 RECEIVED FROM . . . . : VA:jLEY HEATING CONTRACTOR . . . . . . . : AT:CINSON, THOMAS LIC # 141 COMPANY . . . . . . . . . . : VA-jLEY HEATING & COOLING ADDRESS . . . . . . . . . . : 1171 N 4 TH ST CITY/STATE/ZIP . . . : SKq JOSE, CA 95112 TELEPHONE . . . . . . . . : (4 )8) 294-6290 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- - --------- ---------- ---------- ---------- 1BCBSC VALUATION 6, 645 .00 1. 00 0 .00 1 . 00 0 . 00 1BREMAIRHA NO.UNITS 1.00 63 . 00 0 .00 63 . 00 0 .00 1MFR=<100 UNITS 1. 00 126 . 00 0 .00 126 . 00 0. 00 1MPERMITFE FLAT RATE 1. 00 42 . 00 0 .00 42 . 00 0. 00 1MRRAA UNITS 1. 00 63 . 00 0 .00 63 . 00 0 . 00 1TRAVDOC FLAT RATE 1. 00 42 . 00 0 .00 42 . 00 0. 00 - --------- ---------- ---------- ---------- TOTAL PERMIT 337. 00 0 .00 337. 00 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 337 . 00 VISA --------------- TOTAL RECEIPT 337 . 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL CITY OF CUPERTINO FEE ESTIMATOR— BUILDING DIVISION ADDRESS: DATE: REVIEWED BY: APN: BP#: *VALUATION: 1$6,645 R*PERMITTYPE: Mechanical Permit PLAY CHECK TYPE: Alteration/Addition/ Repair PRIMARY SFD or Duplex [0,11111, PENTAMATION 1�2 USE: h'I O(M AA' I PERMIT TYPE: WORK SCOPE APPLIANCE/EQUIP TYPE FEE ID QTY UNITS BP FEES A/C Units (<=10K cfm) 1BREMAIR 1 # $63 Furnace, Forced-Air 1MFR=<100 1 # $126 TOTALS: $189.00 Mech.Plan Check 0.0 hrs $0.00 '/�'rrrt�. P?crrz t'hc c1� T7F ('h,,ck_r_T Mech.Permit Fee: IMPERMIT 'lurr f'cr .eft l�c: Iac. I'tr�nh Ir Other Mech.Insp. 0.0 1 Li hrs $42.00 01b"'r Nll vlh tr P Orhet 1.,'cc.tfzr NOTE. Thesefees are based on the relimina in ormation a vailable and are only an estimate. Contact the De t or addn7 info. FEE ITEMS (Fee Resohition 09-051 a.. 7/1110) FEE QTY/FEE MISC ITEMS 1'kIII C hcc ['C(1. Supp/. PC FCC F-71 PME Plan Check: $C.00 Pcfrrait F�(°_ PME Unit Fee: $1K.00 PME Permit Fee: $42.00 (_onsfrilclion Tax Work Without Permit? 0 Yes E) No $C.00 1'lctnl'tti7sr /''E'i'S: Travel Documentation Fee: ITRAVDOC $49'.00 .Strwig Uotion Fcc. Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1 .00 3570 01 SUBTOTALS: $27,e..001 TOTAL FEE: 1 $274.00 Revised: 9/01/2010 Building Department City Of Cupertino LM 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: ,ZO& (mar PSS i Circ t PERMIT# /� Q foo OWNER'S NAME: e,1,,t PHONE# 'tog"-- 5fO-V '3 GENERAL CONTRACTOR: Va 1le /-tte4fz C�o I�„ BUSINESS LICENSE# ADDRESS: �l j N q4 S+. CITY/ZIPCODE: Sam -��se 4S!/z *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTF ACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. t -���� I am not using any subcontractors: �'�'�`y ' 't - Signature C. Date Please check applicable subcontractors and compl ete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/ Carpeting Linoleum /Wood Glass/Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signat a Date CITY OI' CUPERTINO aeN FUWl ACE/AC CUPER!NO PERMIT APPIACATION FORM /Pv 9ao. APN# Date: 9121(o Building Address: � 6404eA Owner's Name: Phone #: Contractor: Phone#: q �� �;� Fax#: f �� Contractor License#: Cupertino Business License#: Contact: Phone#: -244- 62_ 10 T_7 e Fax#: Building Permit Info: Elect© Plumb [� Mech 91 Residential Commercial ❑ Job Description: Fc4 rn2ce° d nPki 16 mage ooh' For Residential Installations: Attic El 1St floor 2n floor ❑ Adhere to minimum setback re uirement For Commercial Installations: Additional weight (structural calcs) F-1Replacement same weight ❑ Structural Calculations required for new installatio:i ❑ New installation Planning Approval Re uired ❑ Cost of Project: Type of Construction (Usage Class): 4 t-/17 Strapped ❑ On Platform ❑ Bon led New Location Replacement 0� Valuation: j / 15 Green Building: Must attach Green Building Cieck list to this application