10050132 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 828 HOOSHANG CT CONTRACTOR:BOB'S BOBCAT SERVICE, PERMIT NO: 10050132
INC.
OWNER'S NAME: YEN,TSUHONG 567?.RLETA AVE DATE ISSUED:05/17/2010
NER'S PHONE: 4088230158 SAN JOSE,CA 95128 PHONE NO:(408)998-8766
16) LICENSED CONTRACTOR'S DECLARATION
BUIDING PERMIT INFO: BLDG ELECT PLUMB
License Class �^� Lic.# _ � '
jar MECH F_ RESIDENTIAL r- COMMERCIAL
kContractor f_6L Date /_/d
I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:POOL DEMO
(commencing with Section 7000)of Division 3 of the Business&Professions SE s NOTES
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.
I have and will maintain Worker's Compensation Insurance,as provided for by Sq.Ft Floor Area: Valuation:$8000
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued.
APN Number:35902008.00 Occupancy Type:
APPLICANT CERTIFICATION
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 PERMIT EXPIRES IF WORK IS NOT STARTED
upon the above mentioned property for inspection purposes. (We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, 'WITHIN 180 DAYS OF PERMIT ISSUANCE OR
costs,and expenses which may accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION.
granting of this permit. Additionally,the applicant understands and will comply
with all non-point source eg ion per the Cupertino Municipal Code,Section
9.18. Issued by:
Sip,nature Date
❑ OWNER-BUILDER DECLARATION RE-ROOFS:
All roofs shall be inspected prior to any roofing material being installed.If a roof is
I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for
the following two reasons: inspeV.-tion.
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 or offered for sale(Sec.7044, Signt.ture of Applicant: Date:
Business&Professions Code)
1,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
I hereby affirm under penalty of perjury one of the following three
declarations: HAZARDOUS MATERIALS DISCLOSURE
I have and will maintain a Certificate of Consent to self-insure for Worker's I haN a read the hazardous materials requirements under Chapter 6.95 of the
Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain
performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
I have and will maintain Worker's Compensation Insurance,as provided for by Safeiy Code,Section 25532(a)should I store or handle hazardous material.
Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air
contaminants as defined by the Bay Area Air Quality Management District I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
I certify that in the performance of the work for which this permit is issued,I shall Health&Safety Code,Sec'ons 25505,25533,and 25534.
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 Ow 6�d a t:
become subject to the Worker's Compensation provisions of the Labor Code,I must Dater(V
forthwith comply with such provisions or this permit shall be deemed revoked.
CO STRUCTION LENDING AGENCY
APPLICANT CERTIFICATION I herr by affirm that there is a construction lending agency for the performance of work's
I certify that I have read this application and state that the above information is for m hich this permit is issued(Sec.3097,Civ C.)
correct.I agree to comply with all city and county ordinances and state laws relating Lenc er's Name
to building construction,and hereby authorize representatives of this city to enter
u—the above mentioned property for inspection purposes.(We)agree to save Lenc er's Address
.nify and keep harmless the City of Cupertino against liabilities,judgments,
cu—,and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION
granting of this permit.Additionally,the applicant understands and will comply
with all non-point sou ce regulations pe the Cupertino Municipal Code,Section I understand my plans shall be used as public records.
9.18.
Licensed Professional
Signature Date
CITY OF CUPERTINO
3 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg
COPY ## 1
Sec: Twp: Rng: Sub: Blk: I,ot:
APN . . . . . . . . : 35902008 . 00
DATE ISSUED. . . . . . . : 05/17/2010
RECEIPT # . . . . . . . . . : BS000010419
REFERENCE ID # . . . : 10050_.32
SITE ADDRESS . . . . . : 828 HOOSHANG CT
SUBDIVISION . . . . . . :
CITY . . . . . . . . . . . . . : CUPER-INO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : YEN, -SUHONG
ADDRESS . . . . . . . . . . : 828 HOOSHANG CT
CITY/STATE/ZIP . . . : CUPER-INO CA, CA 95014-4218
RECEIVED FROM . . . . : BOB' S BOBCAT SVC, I
CONTRACTOR . . . . . . . : ROBERT' L ASHBY LIC # 30638
COMPANY . . . . . . . . . . :BOB'S BOBCAT SERVICE, INC.
ADDRESS . . . . . . . . . . : 567 ARLETA AVE
CITY/STATE/ZIP . . . : SAN JOSE, CA 95128
TELEPHONE . . . . . . . . : (408) 998-8766
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ----------- ---------- ---------- ----------
1BCBSC VALUATION 8, 000 . 00 1 . 00 0 . 00 1 . 00 0 . 00
1BSEISMICR VALUATION 8, 000 . 00 0 . 80 0 . 00 0 . 80 0 . 00
1DEMOPRE SQUARE FEET 0 . 00 :90 . 00 0 . 00 490 . 00 0 . 00
----------- ---------- ---------- ----------
TOTAL PERMIT x:91. 80 0 . 00 491 . 80 0 . 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
704 DEMO
CITY OF CUPERTINO
DEMO
CUPEkTINO PERMIT APPLICATION FORM
APN# Date: l�
Building Address:
Sok .
Mailing Address (if different frorj&uilding address):
Owner's Name: v Phone: LfCC
Ac- #O' A
Contractor: Phone .q s/ 99-SW
f • _
.S Ll ct NG . Fax: qcg, -
Contractor License #: 5-3Q 41 rte/
Cupertino Business License#:
Conta t: Phone
Fax:
Residential Sq Fo tage Commercial ❑ Sq Footage
Job Description: //
ct0 L�
Valuation:
Project Size: Express Standard ❑ Large ❑ Major ❑
Please complete relevant portions of the Green Building Checklist & attach it to the application
or if applicable, include on the plan set & the she et index.
Quantity Fee ID Fee Description Fee Group Permit Type
1DEMORES Demo-Residential B 1SFDWL-DEM
/ 1DEMOPRES Pool Demo lresidential B 1SFPOOL-DEM-
1BCBSC Cal Bldg Sumdards B ALL PERMIT
Commission Fee TYPES
1BSEISMICRE Seismic Residential B
Revised 01/07/09
ENTER PROJECT NAME
4.Use Solid Wall Systems(Includes Sips,ICFs,&Any Non-Stick Frame Assembly)
■ a.Floors 0 2 1 2
■ b.Walks 0 2 2
■ c.RD06 0 2— 2
S.Reduce Pollution Entering the Home from the Garage
■ a.Tightly Seal the Air Barrier belvveen Garage and Living Area
b.Install Garage Exhaust Fan OR Build a Detachacl Garage
■ 6.Design Energy Heels on Trusses(75%of Attic Insulation Haight at Outside Edge of Exterior WaIQ
■ 7.Design Roof Trusses to Accommodate Ductwork
■ 8.Use Recycled-Content Steel Studs for 90%of Interior Wall Framing D
■ 9.Thermal Mass Walls:61114nch Drywall on All Interior Walls or Walls Weighing more than 40 Ib1cu.1L 0
10.Install Overhangs and Gutters
a.Minimum 16-Inch Overhangs and Gutters 0
b.Minimum 244nch Overhangs and Gutters 0
Total Points Avah Ae In Structural Building Frame and Embpe=36 0
7
ILEXTERIOR FINISH .Pointi1��e�W
Avalab r ssur:e'.'.:,ZL".'1
■ 1.use Recycled-Content(No Virgin Plastic)or FSC-Certified Wood Docking 0
2
■ 2.Install a Rain Semen Wall System 0
2
3.Use Durable and Noncombustible Siding Materials 0
able and Noncombustible Roofing Materials 0
2
Total Points Available in Exterior Finish= 0
oints
1.Install Insulation with 75%Recycled Content
■ a.Web andlor Floors 0
b.Ceilings 0
Z Install Insulation that Is Low-Emitting(Certified Section 01350)
a.Walls and/or Floors 0
0
b.Callings
S.Inspect Quality of Insulation Installation before Applying Drywall 0
Total Points Available in Insulation=1 0
G.PLUMBING A lab;07
1.Distribute Domestic Hot Water Efficiently(Maximum 7 Points)
■ a.Insulate Hot Water Pipes from Water Hooker to Kitchen 0
■ b.Insulate AN Hot Water Pipes 0
■ c.Use Engineered Parallel Piping
■ d.Use Engineered Parallel Piping with Demand Controlled Circulation Loop I
0.Use Structured Plumbing with Demand Controlled Circulation Loop 2
■ I.Use Central Core Plumbing 2
■ 2.Install Only High Efficiency Toilets(Dual-Flush or%126 gA 0 4
Total Points Available in Plumbing=Total 1, 0
JEL HEATING,VENTILATION&Alk CONDITIONING "H Farm6sa ri"R.
■ 1.Design and Install HVAC System to ACCA Manual J,0,and 5 Recommendations D 4
2.Install Sealed Combustion Units
■
a.Furnaces 0 2 1
■ b.Water Heaters 0 2
3.Install Zoned,Hydronic Rodiont hoofing with Slab Edge Insulation 0
■ 4.Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants
5.Design and Install Effective Ductwork
■ a.Instill WAC Unit and DuchNork within Conditioned Space 3
■ b.Use Duct Mastic an All Duct Joints and Seams
■ c.Install Ductwork under Attic Insulation(Buried Ducts)
■ d.Pressure Balance the Ductwork System 0
■ a.Protect Duds during Construction and Clean All Ducts before Occupancy
■ 6,Install High,Efficiency HVAC Filter(MERV 6+)
■ 7.Don't Instill Fireplace or Install Sealed Gas Fireplaces with Efficiency Rating Not Less Than 60%
using CSA Standards
8.Install Effective Exhaust Systems in Bathrooms and Kitchens
■ a.Install ENERGY STAR Bathroom Fans Vented to the Outside D
■ b.An Bathroom Fans Are an Timer or Humidistat
c.Install Kitchen Range Hood Vented to the Outside
a.Install Mechanical Ventilation System for Cooling(Maximum 4 Points)
■ a.Install ENERGY STAR Calling Fans&Light Kits in Living Areas&Bedrooms
■ b.Install Whole House Fan with Variable Speeds
0 2007 Build It Green Single Family GreenPoint Chad list 2007 Version Page 3 of 7
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
C U P E RT I N O Fax: 408-777-3333
CONTRACTOR/ SUB('.ONTRACTOR LIST
JOB ADDRESS: -dUf 4XI1F% PERMIT#
OWNER'S NAME: ,d PHONE# 01
GENERAL CONTRACTOR: 4(4 :�044BUSINESS LICENSE#
ADDRESS: -5-6 7 A 44 EfA Au-ee— CITY/ZIPCODE: g / .bnf�iSe—
*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 SUBCONT C'f QRS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
ignatu Date
Please check applicable subcontractors and complete I he following information:
V 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 Signature Date