The URL can be used to link to this page

09090176CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10225 RICHWOOD DR CONTRACTOR: PREMIER PLUMBING AND PERMIT NO: 09090176 REPIPE INC P—NER'S NAME: SRINI KRISHNAMURTHY 1725 ROGERS AVE STE C DATE ISSUED: 09/23/2009 O vY NER'S PHONE: 4082555282 SAN JOSE, CA 95112 PHONE NO: (408) 903-8184 ❑ LICENSED CONTRACTO(�R%'S DE(C/LARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB qqLicense Classy 3(� Lic. # l _ r I f— COMMERCIAL r MECH RESIDENTIAL iI 11 ContractorDate V� 3 JOB DESCRIPTION: COPPER REPIPE FROM HOUSE SHUT OFF I hereby affirm that I am licensed under the provisions of Chapter 9 THROUGH OUT (commencing with Section 7000) of Division 3 of the Business & Professions ENTIRE HOUSE, REPLACE WATER HEATER 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 Sq. Ft Floor Area: Valuation: $6613 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.Occu Occupancy Type: APN Number: 36908043.00 P Y 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 WITHIN 180 DAYS OF PERMIT ISSUANCE OR indemnify and keep harmless the City of Cupertino against liabilities, judgments, 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- ounce regulations per the Cupertino Municipal Code, Section Issued, by 7--- ---�-- — - Date: J S' 9.18. / `1/ "' ``�-1 t ��Date �—� S' ^ture 13OWNER-BUILDERDECLARATION ROOFS: All roofs shall be inspected prior to anyy 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: I, as owner of the property, or my employees with wages as their sole compensation, inspection. do the work, and the structure is not intended or offered for sale (Sec.7044, Signature of Applicant: Date: will Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's I have 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. 1 will maintain the Cupertino Municipal Code, Chapter 9.12 and the Health & performance of the work for which this permit is issued. compliance with Safety Code, Section 25532(a) should I store or handle hazardous material. I have and will maintain Worker's Compensation Insurance, as provided for by Additionally, should 1 use equipment or devices which emit hazardous air Section 3700 of the Labor Code, for the performance of the work for which this 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, Sections 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 O r r aut rrzed ag rt: -) G C' tC 3) I `M Date: O' / become subject to the Worker's Compensation provisions of the Labor Code, must forthwith comply with such provisions or this permit shall be deemed revoked. :' CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of work's 1 certify that I have read this application and state that the above information is for which this permit is issued (Sec. 3097, Civ C.) correct. I agree to comply with all city and county ordinances and state laws relating Lender's Name to building construction, and hereby authorize representatives of this city to enter he above mentioned property for inspection purposes. (We) agree to save Lender's Address I i, nify and keep harmless the City of Cupertino against liabilities, judgments, costs, 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 source regulations per the Cupertino Municipal Code, Section I understand my plans shall be used as public records. 9.18. Licensed Professional Signature Date 7 ITEMS OF 7 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 36908043.00 DATE ISSUED.......: 09/23/2009 RECEIPT #......... BS000008750 REFERENCE ID # 09090176 SITE ADDRESS 10225 RICHWOOD DR SUBDIVISION ...... CITY CUPERTINO IMPACT AREA ...... OPERATOR: patg COPY # : 1 OWNER SRINI KRISHNAMURTHY ADDRESS 10225 RICHWOOD DR CITY/STATE/ZIP ...: CUPERTINO CA, 95014-3360 RECEIVED FROM PREMIER PLUMBING CONTRACTOR JOSE MENDEZ LIC # 30877 COMPANY PREMIER PLUMBING AND REPIPE IN ADDRESS 1725 ROGERS AVE STE C CITY/STATE/ZIP ...: SAN JOSE, CA 95112 TELEPHONE ........: (408) 903-8184 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ---------- 1BCBSC ------------- VALUATION ---------- 6,613.00 ---------- 1.00 ----- 0.00 1.00 0.00 1BPWATER UNIT 1.00 42.00 0.00 42.00 0.00 1BSEISMICR VALUATION 6,613.00 0.70 0.00 0.70 0.00 1PPERMITFE FLAT RATE 1.00 42.00 0.00 42.00 0.00 1PRREPIPE NO OF FIXTURE 9.00 99.00 0.00 99.00 0.00 1PRWHEATR UNITS 1.00 25.00 0.00 25.00 0.00 1TRAVDOC FLAT RATE 1.00 42.00 0.00 ---------- -----42_00 ------0_00 TOTAL PERMIT ---------- 251.70 0.00 251.70 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT --------------- 251.70 --------------- 251.70 REFERENCE NUMBER -------------------- #927 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ----- ------ 301 ROUGH PLUMBING 507 FINAL PLUMBING CITY Of CUPEi�TINO CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE PERMIT APPLICATION FORM 090%0/7 � APN #:��q0 Fee ID Fee Description Date: o Building Address: d W(z, u _ `t N� 1PCSEWER Owner's Name: SV-1 Q� iSH � 12NA ICU Tfi(. P 1CPSS # Ph74a�2SS-S2�Z Contractor:Phone D -C) S E �� .� Commercial re -pipe per fixture P #: Fax #: Contact: PDQ (� �- -� I.�,+-1�-�g � IJ V� P �� Commercial Gas Piping System 1-4 Outlets Phone #: �0 p\ 45 2 — � k 9:9 � DJ _ 1 BCBSC Fax #: Contractor License. 20- 4G, ALL PERMIT TYPES Cupertino Business License #: Seismic Commercial P Job Description: T7Vat-J, 40WE 16�'uT DfF. -C N 2o�4coo u -r ac mous �. ,;-:vx� LOmE Residential Commercial ❑ Valuation: /„ � 1 Project Size: Express P��'StandardO Large 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: ZZ. Quantity Fee ID Fee Description Fee Group Permit Type 1PCSEWER Commercial building sewer/sanitary sewer P 1CPSS 1BPREPIPE Commercial re -pipe per fixture P 1CPRP 1 PGASCOM Commercial Gas Piping System 1-4 Outlets P _ 1 BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICOM Seismic Commercial P Revised 01/07/09 CITY Of CUPER,TINO CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICR Seismic Residential P 1PRSEWER Residential building sewer/sanitary sewer P 1RPSS p 1PRREPIPE Residential re -pipe per fixture P 1RPRP 1BPWSVCS Water Service P 1CPWS or 1RPWS 1 PPRSEWG Private Sewage Disposal System P 1PCESS Cesspool P f 1BPWATER Install/alter Water Pipe P 1 BPFIXTURE Plumbing Fixture P 1 PGASRES Residential Gas Piping System 1-4 Outlets P 1BPGAS Gas Piping System 5+ Outlets P 1PPERMITFEE Plumbing Permit Fee Issuance P 1PLMBLNCK Plumbing Plan Check P 1PLMBINSP Other Plumbing/gas Insp. P ' 1TRAVDOC Travel & Documentation Fee B 1BUSLIC Business License B / :fPJ2 0 r, --fie i 3 City of Cupertino Building Department CITY OF 10300 Torre Avenue C' I P E Q T I N O Phone: (408) 777-3228 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as owner -builder you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an owner -builder building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, Building Department, City of Cupertino Printed on Recycled Paper 1. Install Energy -Efficient Windows 2 Energy pts a. Double -Paned 1 Energy pt y=yes b. Low -Emissivity (Low -E) 2 Energy pts y—yes c. Low. Conductivity Frames 2 Energy pts y—yes 2. Install Low Heat Transmission Glazing 1 Energy pt y=yes J. Heating Ventilation and Air Conditioning 1. Use Duct Mastic on All Duct Joints 2 Energy pts y=yes 2. Install Ductwork within Conditioned Space 3 Energy pts y=yes 3. Vent Range Hood to the Outside 1 IAQ/Health pt y=yes 4. Clean all Ducts Before Occupancy 2 IAQ/Health pts y=yes 5. Install Solar Attic Fan 2 Energy pts y=yes 6. Install Attic Ventilation Systems 1 Energy pt y—yes 7. Install Whole House Fan 4 Energy pts y=yes 8. Install Sealed Combustion Units 5 IAQ/Health pts y=yes a, Furnaces 3 IAQ/Health pts y=yes b. Water Heaters 3 IAQ/Health pts y=yes 9. Replace Wall -Mounted Electric and Gas Heaters with Through -the -Wall Heat Pumps 3 Energy pts y=yes 1 D. Install 13 SEER/11 EER or higher AC with a TXV 3 Energy pts y=yes 11. Install AC with Non -HCFC Refrigerants 2 Resource pts y=yes 12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace 2 Energy pts y=yes 13. Retrofit Wood Burning Fireplaces a. Install EPA certified wood stoves/inserts 1 IAQ/Health pt y=yes b. Install/Replace Dampers 1 Energy pt y=yes c. Install Airtight Doors 1 Energy pt y=yes 14. Install Zoned, Hydronic Radiant Heating 3 Energy pts y=yes 15. Install High Efficiency Filter 4 IAQ/Health pts y=yes 16. Install Heat Recovery Ventilation Unit (H RV) 5 IAQ/Health pts y=yes 17. Install Separate Garage Exhaust Fan 3 IAQ/Health pts y=yes K. Renewable Energy and Roofing 1. Pre -Plumb for Solar Water Heating 4 Energy pts y=yes 2. Install Solar Water Heating System 10 Energy pts y=yes 3. Pre -Wire for Future Photovoltaic (PV) Installation 4 Energy pts y=yes 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 6. Select Safe and Durable Roofing Materials 1 Resource pt y=yes 7. Install Radiant Barrier 3 Energy pts y=yes L. Natural Heating and Cooling 1. Incorporate Passive Solar Heating 5 Energy pts y=yes 2. Install Overhangs or Awnings over South Facing Windows 3 Energy pts . y=yes 3. Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes ert� CITY OF CUPERTINO REROOF CUPEkTINO PERMIT APPLICATION Date: � APN # 34-- 2_ -Z_ -2,o-7-3 Building Address: 10 52-1 5,, IQ Owner's Name: D EV r N 7 PA HOA: Yes ❑ No I L�r If Contractor: a,"z- Cupertino Business License #: Existing: ❑ Built -Up Roof ❑ Asphalt Shingles Wood Shakes ❑ Wood Shingles ❑ Other (Specify) Number of existing coverings ❑ To be Removed 00 b, CA,J'E: )_T/ N) 1115 C, I 1� Phone #: z1 -C, 9-13`1 79 C, L provide letter from HOA Phone #: Fax #: Contractor License #: 62-7S7v Type of Roof Covering: Proposed: ❑ Built -Up roof Asphalt Shingles ❑ Wood Shakes ❑ Wood Shingles ❑ Other (Specify) ❑ Provide I.C.C.E.S. Report # ❑ Provide Mfgr. Installation Specs. Job Description:Gi L � h tI YZ !.'}'1 Commercial Residential ❑ 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. Valuation: �> v Confirmed with Planning Dept. if there are any restrictions: ❑ I Have F ead, Understand and Will Comply with Cupertino's Tear -Off Policy: Signa Revised 02/05/09 (at CITY OF CUPEkT1NO CITY OF CUPERTINO REROOF FEE SCHEDULE Number of Squares Fee ID Fee Description Fee Group Permit Type 1REROOFCOM Re -roof Commercial B 1COMMLROOF 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICO Seismic Commercial B 1REROOFRES Re -roof Residential B 1SFDWLR00F 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICRE Seismic Residential B 1 REROOFMRES Re -roof Multi -Family B 1MFDWLROOF 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B Community Development Department Building Division City of Cupertino 10300 Torre Avenue Telephone: (408) 777-3228 Fax: (408) 777-3333 Building Department Subject: Re -roofing policy for the City of Cupertino 1. Prior to permit issuance, you must agree to comply with 2007 IBC Standards and manufacturers specifications on re -roofing. All roofs are Class "A" per Cupertino municipal code 16.04.080. 2. New roof coverings shall not be applied without first obtaining all inspection and written approval from the building inspector. A final inspection and approval shall be obtained from the building inspector when the re -roofing is completed. 3. All roofs shall be inspected prior to any roofing installation. 4. To receive a final sign off from the City, the following steps are required: 1) Pre -inspection and/or tear off approval. 2) In -progress inspection approval. 3) Final inspection approval. a) Spark arrester installation. 5. If plywood is installed, a plywood nail inspection is required. 6. Any roofing which is applied without first obtaining an inspection, will require the removal of all new material down to the sheathing, so a proper City inspection can be performed. 7. NOTE: If you call for a plywood nail inspection and the job is not ready, you will be charged a re -inspection fee of $176.18. The re -inspection fee must be paid before another inspection can be scheduled. IMPORTANT: 1. Flat roofs must have a minimum of 1/4 " per foot slope and demonstrate that there is no ponding. 2. An I.C.B.O. report is required to be on the job site at the time on inspection. I understand and will comply with the above stated policy on re -roofing. Homeowner's Name: Job Site Address: (0 SZ I Sa v\ Pe-, ,,,,.o CA 1501 Lt - Roofing Company Name: Applicant's Signature: Date: D 1 01 Greg Casteel Building Official Revised 07/30/08