09120062 (2) CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 902 FI'BAKER DR CONTRACTOR:TBD-TO BE DETERMINED PERMIT NO:09120062
OWNER'S NAME: LEE NAHM-WOOK AND JONGWON P DATE ISSUED: 12/10/2009
( ER'S PHONE: 4089969466 PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG f— ELECT J— PLUMB r
License Class Lic.# 4 q p
3 0 `
/ MECH RESIDENTIAL COMMERCIAL
Contractor Ne P44P�!� Date I oI_>
1 hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: STUCCO WINDOW REPLACEMENT PAINTING&TRIM
(commencing with Section 7000)of Division 3 of the Business&Professions SEE
NOTES**
Code and that my license is in full force and effect.
1 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
Section 3700 of the Labor Code,for the performance of the work for which this Sq.Ft Floor Area: Valuation:$6600
permit is issued.
APPLICANT CERTIFICATION APN Number:35611031.00 Occupancy Type:
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
upon the above mentioned property for inspection purposes. (We)agree to save PERMIT EXPIRES IF WORK IS NOT STARTED
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION.
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
,,//jj � Issued>Zi' Date:
Signature /�i1 Datetza4(�1
L OWNER-BUILDER DECLARATION
RE-ROOFS:
1 hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is
the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for
1,as owner of the property,or my employees with wages as their sole compensation, inspection.
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Business&Professions Code) Signature of Applicant: Date:
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
Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.95 of the
performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain
I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material.
Additionally,should I use equipment or devices which emit hazardous air
permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will
I certify that in the performance of the work for which this permit is issued,I shall I maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534.
Compensation laws of California. If,after making this certificate of exemption,I
become subject to the Worker's Compensation provisions of the Labor Code,I must Owner authorized nt: /
forthwith comply with such provisions or this permit shall be deemed revoked. ate: (1—/(D( 107
APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY
I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's
correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.)
to building construction,and hereby authorize representatives of this city to enter Lender's Name
upon the above mentioned property for inspection purposes.(We)agree to save
in' lify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address
ct nd expenses which may accrue against said City in consequence of the
granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18. 1 understand my plans shall be used as public records.
Signature Date Licensed Professional
RESIDENTIAL PROJECT COVER SHEET
Assessor's Parcel Number:
Name of owner. Lze ,
Project address. a D Z ;i oy-+
Contact person. ca f91 �-i�+�1 F'hone.
F'ax. 7 _ t
Net square footage of lot.
Existing Proposed
Square footage: First floor:
Second floor: �—
Garage:
TOTAL: �-->
Are there at least two 10 foot by 20 foot clear spaces inside the garage< Y N
Is privacy protection planting required for the project"
Build it Green Total Points
On what floor(s) is work being done? -�� ......
Brief description Of work.
L' Yn.�.n 1Y1 yr s��fi:Fx`l 1n v� '3a �zk n
Code editions:2007 CBC N)2007 CFC N)2007 CMC (Y-N)
2007 CPC (Y-N)2007 NEC (Y-N)
Effective 1/ 8
�, i �«( >trd�, t .yti N i HE CITY OF
I ANO C100i AND ORDINANCES
DATE------.
SIGNED i _ -
This set of plans an specifications MUST
be kept on the lob at all times and it isr.,
unlawful to make any changes or alterations
on same without written permission from
the Building Department. City of Cupertino.
The stamping of this afar,and specifications
SHALL NOT be held n;permit or to be an
approval of the wolat,on Of any provisions
of any City Of�i-anc:e of State Law.
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RESIDENTIAL PROJECT COVER SHEET
Assessor's Parcel Number:
Name of owner. Lp�Q , K M
Project address. !q(2 2- h oy-+ �aya� D —
Contact person. ca 6A z k .wl P hone. 1�1-) 44L1 -
Net square footage of lot.
Existing Proposed
Square footage: First floor:
Second floor:
Garage: _
TOTAL:
Are there at least two 10 foot by 20 foot clear spaces inside the garage`--Y N
Is privacy protection planting required for the project? Y—�
Build it Green Total Points
On what floor(s) is work being done?
Brief description of work. N U K i r6
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Code editions:2007 CBC N)2007 CFC (Y -N)2007 CMC (Y-N)
2007 CPC (Y -N)2007 NEC (Y -N)
Effective l/l/08 t�j>
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E CITY OF CUPERTINO
PE OF
GENERAL BUILDING APPLICATION
CU
R" FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1STUCOAP Stucco Applications (up to 400 sf) B
additions: stucco application
1 WINREP Replacerr ent windows/sliding glass B
door (ea 3 windows)
1 WINMEWSTR New Window-structural shear B
wall/masonry(includes plan ck fee)
I EPERMITFEE Electrical Permit Fee E
1 MPERMITFEE Mechanical Permit Fee M
1PPERMITFEE Plumbing Permit Fee P
IELCPLNCK Stand Alone Electric Pln Ck(hourly) E
1 MECPLNCK Stand Alone Mechanical Pln Ck(hrly) M
1 PLMBLNCK Stand Alone Plumbing Pln Ck(hrly) P
1 STPLNCK-(3 Hr Min Standard Plan Check (when no E/M/P) B
when not over counter) hourly-st ind alone
1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT
TYPES
1BSEISMICR Seismic Itesidential B
1BSEISMICO Seismic Commercial B
1TRAVDOC Travel & Documentation B
1BUSLIC Business License B
5 of 5
INPUT Resourres Energy AQ,�Health
D.Exterior Finish
. .. x Resource pts y=yes 0
Resource pts y=yes 0
2-Q
.. IAQ/Health pt y=yes 0
MS I
��. IAQ/Health pt Y--yes 0
-t`Vj=VMMr%VW"PM uww 1 F esource pt y=yes 01 1
■ 1 1 1
E.Plumbing
1.Iruuill WaldrHeftJ401 1 Energy pt y=yes 0
2.Insulate Hot and Cold Water Pipes ?Energy pts y=yes 0
Up to 2 Resource pts. 0
b, Up to 2 Resource pts. 0
4. aee'rt i F t
(1 POW eao% tb3piau* Up to 3 Resource pts. 0
5.Install Chlorine Filter on Showerhead I 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 1
r*.�tiieectricar f ff�.
iii in" .....�. fC Ls)
(6 bulbs=2 pcints,10 =3 po ts,12 s=4 p&ft) 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
■ 1 1 1
G.Appliances
1.Install Ene?y SW 01sivasher 1 Energy pt y=yes 0
2 bvAd Walft&4w*a tM Wets aB t�yi�B
Cvnserval+on! alures 1 Energy pt y=yes 0
3.InstaillSwjy Star flefi*rator 1 Energy pt y=yes 0
.4.Install BWk4n Recyclingcaft 3 Resource pts y=yes 01 1
■ 1 1 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 pts y=yes 0
3.Install Recycled-Content,Fiberglass Insulation with
No Added F*naldehyde 3 IAQ/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
o.t;euings 4 Resource pts y=yes 0
INPUT Rcszjmes Energy IAQ/Health
I.Windows
1.tnswW-Eft-erdwinclim
S 1 Energy pt y=yes 0
b,iWri ►gaW2 Energy pts y=yes 0
C.Low. 2 Energy pts y=yes 0
2.Install Low Heat Transmission Glazing 1 Energy pt y=yes 0
■ 1 1 1
J.Heating Ventilation and Air Conditioning
1.Use Duot0laSticonAMDudJoints Energy Pts Y=YeS 0
2.Install Ductwork within Conditioned Space Energy pts y=yes 0
3.Vent Range Hood to the Outside 1 IAQ/Health pt y=yes 0
4.Clean all Ducts Before Occupancy IAQ/Health pts y=yes 0
5.Install Solar Attic Fan Energy pts y=yes 0
6.Install Attic Ventilation Systems Energy pt y=yes 0
7.Install Whole House Fan Energy pts y=yes 0
3.Install Sealed Combustion Units
a.Furnaces IAQ/Health pts y=yes 0
b.Water Heaters 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 0
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 Resource pts y=yes 0
12.Install 90%Annual Fuel Utilization Efficiency(AFUE)Furnace ?Energy pts y=yes 0
13,Retrofit Wood Burning Fireplaces
a.Install EPA certified wood stovesfinserts IAQ/Health pt y=yes 0
b. Install/Replace Dampers I Energy pt y=yes 0
c.Install Airtight Doors I Energy pt y=yes 0
14.Install Zoned,Hydronic Radiant Heating 3 Energy pts y=yes 0
15.Install High Efficiency Filter t IAQ/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 yges 0
. 1 1 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 18 Energy pts 0
6.Selwt Safe and Durable Roofing Materials 1 Resource pt y=yes 0
7.Install Radiant Barrier 3 Energy pts Y=YeSLJ 1 0
. 1 1 !
L.Natural Heating and Cooling
1.Incorporate Passive Solar Heating Energy pts y=yes 0
2.Install Overhangs or Awnings over South Facing Windows Energy pts . y=yes 0
3.Plant Deciduous Trees on the West and South Sides ;.Energy pts y=yes 0
M.indoor Air Quality and Finishes
1.Use LowMo-VOC Paint IAQ/Health pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes IAQ/Health pts y=yes 0
3.Use LowlNo VOC Adhesives 'I IAQ/Health pts y=yes 0
4.Use Salvaged Materials for Interior Finishes ;3 Resource pts y=yes 0
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde I;IAQ/Health pts y=yes 0
0
6.Use Exterior Grade Plywood for Interior Uses IAQ/Health pts y=yes
7.Seal all Exposed Particleboard or MDF 4 IAQ/Health. pts y=yes 0
8.Use FSC Certified Materials for Interior Finish t Resource pts y=yes 0
9.Use Finger-Jointed or Recycled-Content Trim I Resource pts y=yes 0
10.Install Whole House Vacuum System 3 IAQ/Health pts y=yes 0
N.Flooring
1.Select FSC Certified Wood Flooring 8 Resource pts y=yes 0
2.Use Rapidly Renewable Flooring Materials 4 Resource pts y=yes 0
3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0
4.Install Natural Linoleum in Place of Vinyl E IAQ/Health pts y=yes 0
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 D
■ 1 1 1
Total Points Available: 1 1401 130 57
Total Points Project Received: 0 0 0
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