08070197 CITY OF CUPERTINO a*R ? A��^rt'rya.
BUILDING DIVISIONco
PERMIT
BUI 1 G 0 FSS: - PERMIT'NO.
BRIDGE PARK CT BEAR HEATING & AIR -08070197
OWNER'S NAME: MilMr ISSUE DATE
SUSAN CHIU 1697 BECK DR 07/28/2008
NE: SANITARY NO, CONTROL NO.
(408) 379-8650
ARCH=/ENGINEER: BUILDING PERMrr INFO
BLDG ELECT PLUMB MECH
Op LICENSED CONfRACIOR'S DECLARATION O O O O
1 hwby a0bm that I am limmed under pec i.Gons of mspmr 9(mmmercing Job Description
ma with Section 7")cdDiAsm.3ofthe Business;and ProfusionsCods.send mylieuu RMV&RPLC FURNACE W/NEW 95% EFF
in(all force end e(ffm
p$Z License Clssa Lk.0
Dau: -7—23? Contral rd�✓
ARCHMECI-S DECLARATION
1 undersand my putts shall hewed ss Public nxords
Jd
g
Licensed Prfcssiontl
Oat I am UR.DER DECLARATION
ZOO hereby a(Scue that I 1 exempt f um 0m Csesim. o e:My cnse,taw for Jin
ZOO o felmwhich ne massa permit
703 13.Business and an,deco l Code:My city or county
$Pi' prior aquiw•pmmit m construct,the aline Mprev",demrell t ai repair any swcture
a< Prior b its iuuanc",also rquiw Um applicant for such ine'sa file s signed aummcnl
££ o NuhrcrcamW purswnt m the provisions of Nehe Busicrosal.uenseame(C Cods)
Sq.FI. Floor Area Valuation
Y $ mat(comhe s call with nation7 and of bass;af3ca Aged mu,aidoes Mi vida6m of $1999
Q�— this he u e-sctrpr Nuefrm and Ne bssu for the alleged esemprioa My HolaGu of
Seed.101.5 by any appitant fora permit subjects,dee applicant to.rival penalty of AFN Number (ecu ane T
wl mom Nan Rue hundred dollars($3= 36652052 P Y YPe
❑I,u owrn slab"prspcatY,or my wPloyw with sago u they role Compmuation,
evil do eadort,and du he Com k ix Nmnens or Law
docs
.1 "Iy aner of
and er(wh ons Cnde:The mdueme. w who
law dans oat apply lf ru owxr of Required Inspections
own enywhobuildsviimprvesthinnis andwho doessuchwork himself or threugh has
awn ,thebuiping or iNatsuchimPrevwwtinnos intended cwdRertd for sak If.
bew"vu,the urre,she or iim o mentprovin f wad within one yeaw i m row:for Ne owv-
buildu will base she hiRden of pmvinf than K did not build or impose for purpose of
sale.).
O I.an owwr of the property,am euluiwly mmacumg with licensed mntracmu In
comment the pesject(Sec.70/4.Bonimv and Prrcasions Cade)The contractors Li-
me law dem not apply to an owner of properly who builds or improv therwn.and.
who commula for such projects with•conusemr(s)licensed pursmnt to the Commetah
Limns"law.
O lamuemptunder See .Bic PC far Nis recon
Owner Man—
WORKER'S
auWORKER'S COMPENSATON DECLARATION
41 1 hereby drum under penalty of perjury one of the following decimations:
10 Ilu.e and will maintain a CeniOum ofComent m self-imure for Woduo's Compen- ,
.u;MwWcdI for by Section 3700 of N"labor Code.fm the perrorman¢of she
for which this permit is assume.
❑I haw and will maintain Worker's Compensation Imunnce,as required by Section
3700 of Jae labor Code.For the Fe formana of the wort for which this peewit is issued.
MY Wmkefs ComPemWu besurame carrier and Polity,number am:
Carrier: Palk,No.:
CERTFICATE OF EXEMMON FROM WORKERS'
COMPENSATON INSURANCE
("lLkssNw rcW actb"compkaM UNe permit is;fa ow hundred doOars($100)
or tons)
1 emirs Nat in the performance of the wort for which Nis permit k issued,1 shall ant
cerployanyperso . Yinymerm aLm bjwlm Ne Workers'Compensation
laws of CLifoada,Ajm /`�'7f
AppOus — J�
NOTICEIJCANT.If.after making this Ccrdlsam of Exemption.You shrub
become t m the Worker's Compensation previsions of the Labor Code,you most
.,Q forhwiN mmPly with such prvisions or this Permit shall W decreed rousted.
CONSTRUCTION LENDLNGAGENCY
[-+ 1 hereby aRrm that them is a construction lend;ng agency for thr performance of
6i > Nc work for which Nu permit B issued(Sec.3077,Civ.C.)
ul lemks's Name '
a;.7 Lender's Addrus
U,„OLIL 1 country Nal I Mw and Nis Waicuime and sum Nu the'now i formadun is
Ctar' mmeeL I grte In comply with ata city and County mAlmoees and saw laws relaune m
O CrJ^ building construction,and hereby authorise reprusnudw of Nis city to me,sure use
rut alaoveth"'jmnedpropcnn for Wpectiu purymes
M (We)allow m eve.indemnify surd keep harmless the city of Cuprmno against
s/1 I.mosequo.c mann,conn r,upwu which maY in wY way accrue agaimtseid City
6J'Z APPLI awnce f the NDERS''TANDS A Pcrmil.
^ APPLIC UNDERSTANDS AND W Y WITH ALL NON-POINT Issued by:S � Date 71 C.-C-51
SOU EGULATONS.
Re-roofs /
mor AppliaDam
liAZA �✓
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will de apC.Peo em forme drill code.
chapter
oranndlc havNow mWely ,
u deBwd by T5 Cuputiw Municipal Code.Chapmr 9.11 and the HdN and Safety
Code.Section zss3u,)7 All roofs shall be inspected prior to any roofing material being installed.
❑Yu ❑Ne
If a roof is installed without first obtainingan inspection,I agree to remove
Will dm applicant comet or future building bythe B use equipment or devices which P
wit hanNow air cwuminwts u dcOrN DY the Bay Area Air Quaky Mwewem all new materials for inspection.
DiOrittT
O Yea ON.
I have mad JR locations mamriala mquimmew un4er0eapW&95 niche Olifor.
Na HUINkSa<ty Code,
dao wt cmrentiy love a 153MA5 534. MJuifNGodin
t fth
regal w priarm;ssnanw wr mart p��� Signature of Applicant Date
r ,atharisd,eem D,m All roof coverings to be Class's:"or better
CITY OF CUPERTINO
• 6 ITEMS OF 6 PERMIT RECEIPT OPERATOR:. pdtg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . . 36652052
DATE ISSUED. . . . . . . : 07/28/2008
RECEIPT # . . . . . . . . . : BS000005607
REFERENCE ID # . . . : 08070197
SITE ADDRESS . . . . . : 11642 BRIDGE PARK CT
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER SUSAN CHIU
ADDRESS 11642 BRIDGE PARK CT
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : BEAR HEATING & AIR
CONTRACTOR . . . . . . . : JAMES VINYARD LIC # 29041
COMPANY . . . . . . . . . . : BEAR HEATING & AIR CONDITIONIN
ADDRESS 1697 BECKDR
CITY/STATE/ZIP . . . : SAN JOSE, CA 95130
TELEPHONE . . . . . . . . : (408) 379-8650
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
----------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 1, 999 . 00 0 . 50 0 . 00 0 . 50 0 . 00
1EPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
1MPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
IMRRAA UNITS 1 . 00 61 . 19 0 . 00 61 . 19 0. 00
1PPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
1TRAVDOC FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 224 . 85 0 . 00 224 . 85 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 224 . 85 #2603
---------------
TOTAL RECEIPT 224 . 85
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- . -------- ----------------------------
505 FINAL ELECTRICAL ` 507 FINAL PLUMBING
508 FINAL MECHANICAL
•
CITY OF CUPERTINO
d` FURNACE/AC
• OF
CUPEVINO PERMIT APPLICATION FORM
APN# 3 4 GS��v�2 0 v Date: 7 _ Z O_ O p
Building Address: (�
L4 - S�
10
Owner's Name: Phone #:
S(, -5A/-4L,
Q v 9 - 8y
g a
Contractor: ��r `� 2a1 i�n g A t 2 Phone#: 7,O F 7 T7 L
/ O
Fax #:
Contractor License#: -� '� I (� 3 C+ Cupertino Business License#:
o? 9014I
Contact: "S0.vt e S I ✓t N� Phone#: y o F 7 c�7?19?
/ Fax #:
Building Permit Info:
Elect L� Plumb Mech Q_..
Residential Commercial ❑
Am
Job Description:
For Residential Installations:
Attic ❑ I" floor� 2"a 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 Construction (Usage Class):
19 S�0—
Strapped On Platform ❑ Bonded New Location Replacement
Project Size: ExpressStandard ❑ Large ❑ Major ❑
Valuation:
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.
Revised 6/16/08
CITY OF CUPERTINO
FURNACE/AC
CITY OF
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group .
FURNACE FURN/AC
1MCRAA Commercial-Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system,incl
installation of 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 of controls regulated by
this code. •
IMCSUSHTR Commercial Install/Relocate ea M
suspended heater,recessed wall htr, or
floor mounted 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 outlet.
1MCAPPVNT Commercial for the install/relocate/ or M
replacement of ea appliance vent
installed & not incl in an appliance
permit.
IBSEISMICO Commercial Seismic B
1MRRAA Residential Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by
this code.
IMRSUSHTR Residential Install/Relocate ea M
suspended heater,recessed wall htr, or
floor mounted unit heater.
1MRAPPVNT Residential for the install/relocate/or M
replacement of ea appliance vent
install & not incl in an a pl permit.
CITY OF CUPERTINO
ijAYOF
' FURNACE/AC
• CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1PGASRES Residential for ea gas piping system of P
1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
` 1BSEISMICR Residential Seismic B
1MECPLNCK Mechanical Plan Check M
IMFR=<100 Furnace Syst <=I 00k BTU install or M
relocate ea forced-air/gravity type
fumace/bumer, incl ducts/vents
attached to such appliance up to and
include 100,000 Btu/h
IMFRN>100 Furnace Syst> I00 BTU install or M
relocate ea forced-air/gravity type
fumacc/bumer, incl ducts/vents
attached to such appliance over
100,000 Btu/h
lEPERMITFEE Electric Permit Fee E
I IMPERMITFEE Mechanical Permit Fee M
' 1PPERMITFEE Plumbing Permit P
r 1TRAVDOC Travel Documentation B
1BUSLIC Business License B
CITY OF CUPERTINO
« ' FURNACE/AC
OF
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
AIR FURN/AC
CONDITIONING
1BCAIRHAN Commercial A/C Units <= l0k CFM B
1MCRAA Commercial Mech Repair/alt/add M
1BSEISMICO Seismic Commercial B
1 PGASCOM Commerical for ea gas piping System P
1-4 outlets
1PGASRES Residential for ea.gas piping system P
of 1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet. Comm/Resid
1BREMAIRHAN Residential A/C units<= l0k CFM B
1MRRAA Residential Mech Repair/alt/add M .
1BSEISMICR Seismic Residential B •
IEPERMITFEE Electric Permit E
1MPERMITFEE Mechanical Permit M
1PPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
1BUSLIC Business License B
•
Green Building Plan Check
Index of Green Building Points/Categories
A. Category Example of an Index or Table of Green Plan Sheet or Page Points
Building Points Categories that must be
shown and referenced on the Project
Plans See below
B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 2 points
11. Permeable Paving, Note L-1 2 points
C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 points
D. Structural 3. Uses Wood I-Joist, (See Spec.) S-2 2 points
5. Use Truss with heels, (detail) S-2 2 points
6. B. OSB Sheathing, detail S-2 2 points
E. Ext. Finish 1. Composite Decking, (Note/Spec.) A-3 2 points
4. B. Fiber Cement Siding, (Note/Spec. A-4 2 points
F. Plumbing 1. Insulate all H.W. pipes, (Note/Spec.) P-1 2 points
5. Tankless W.H., (Note/Spec.) A-2 2 points
11. A 2500 Gal. Tank, (Note/Spec L-1 10 points
G. Electrical 4. E. Ceiling Fans, (Note/Spec.) A-3 4 points
H. Appliances 1. Energy Star Dishwasher, (Note/Spec.) A-3 1 point
3. Energy Star Refrigerator, (Note/Spec. A-3 1 point
P. Other 1. List Green Features on Plans A-1 1 point
TOTAL POINTS1 40 points
•
•
Plan Review Process Work Book Page-12-Revised 3/25/08
Green Points Rating System for Remodeling Projects
Due to the diversity of remodeling project types,assigning a'total points'value to a project to be considered environmentally friendly is •
not feasible.However,25 measures have been highlighted to signify that every effort should be made to incorporate them into your
projects. These items have been chosen based upon their impact on the environment and the health of the home in coordination with
ease of implementation and relative low cost. These measures can be used as a starting point for'greening'your project.
INPUT Resources Energy IAQIHealth
A.Site
1.Recycle Job Site Construction&Demolition Waste.
65%=1 point;75 = 2 points;80%=4 points up to 4 Resource pts 0
2.Salvage Reusable Building Materials 4 Resource pts y=yes 0
3.Remodel for Mixed Use,Adaptive Reuse,and
Historic Preservation 4 Resource pts y=yes 0
4.Protect Native Soil 2 Resource pts y--yes 0
5.Minimize Disruption of Existing Plants&Trees 1 Resource pt Y--yes 0
6.Implement Construction Site Stormwater Practices 2 Resource pts y--yes 0
7.Protect Water Quality with Landscape Design 2 Resource pts y--yes 0
B.Design Resource-Efficient Landscapes and Gardens 4 Resource pts y=yes 0
9.Reuse Materials/Use Recycled Content Materials
for Landscape Areas 2 Resource pts y=yes 0
10.Install High-Efficiency Irrigation Systems 2 Resource pts y=yes 0
11.Provide for On-Site Water Catchment/Retention 2 Resource pts y=yes 0
1 1 1
B.Foundation
1.Incorporate Recycled Flyash in Concrete
25%Recycled Flyash=2 points;Add 1 point for every 10% •
increase of flyash,up to 5 points up to 5 Resource pts 0
2.Use Recycled Content Aggregate 2 Resource pts y=yes 0
3.Insulate Foundation/Slab before backfill 3 Energy pts y=yesF' 0
1 1 1
C.Structural Frame
1.Substitute Solid Sawn Lumber with Engineered Lumber 3 Resource pts y--yes 0
2.Use FSC Certified Wood for framing
(For every 10%of FSC lumber used=2 points,up to 10) up to 10 Resource pts. 0
3.Use Wood IJoists for Floors and Ceilings 2 Resource pts y=yes 0
4.Use Web Floor Trusses 2 Resource pts y=yes 0
5:Design Energy Heels on Trusses 6'or more 2 Energy pts y=yes 0
6.Use Finger-Jointed Studs for Vertical Applications 2 Resource pts y--yes 0
7.Use Engineered Studs for Vertical Applications 2 Resource pts y--yes 0
8.Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y=yes 0
9.Use Structural Insulated Panels(SIPS)
a.Floors 3 Energy pts y=yes 0
b.Wall 3 Energy pts y=yes 0
c.Roof 3 Energy pts y=yes 0
10.Apply Advanced Framing Techniques 4 Resource pts y=yes 0
11.Use Reclaimed Lumber for Non Structural Applications 3 Resource pts y=yes 0
72.Use OSB
a.Subfioors 1 Resource pt y=yes 0
b.Sheathing 1 Resource pt y=yes 0 •
INPUT ReSDUTCeS Energy IAQ/Hea%E
L Wmdows
1.Install Energy-Efficient Windows
• a.Double-Paned 1 Energy pt Y--yes 0
b.Low-Emissivity(Low-E) 2 Energy pts y=yes 0
c.Low.Conductivity Frames 2 Energy pts y=yes 0
2.Install Low Heat Transmission Glazing 1 Energy pt y=yes p
1 1 1
J.Heating Ventilation and Air Conditioning
1.Use Duct Mastic on All Duct Joints 2 Energy pts y=yes 0
2.Install Ductwork within Conditioned Space 3 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 2 IAQ/Health pts y=yes 7 0
5.Install Solar Attic Fan 2 Energy pts y=yes 0
6.Install Attic Ventilation Systems 1 Energy pt y=yes 0
7.Install Whole House Fan 4 Energy pts y--yes 0
6.Install Sealed Combustion Units
a.Furnaces 3 IAQ/Health pts y=yes 0
b.Water Heaters 3 IAQ/Health pts y=yes 0
9.Replace Wall-Mounted Electric and Gas Heaters with
Through-the-Wail Heat Pumps 3 Energy pts y=yes 0
10.Install 13 SEER111 EER or higher AC with a TXV 3 Energy pts y=yes p
11.Install AC with Non-HCFC Refrigerants 2 Resource pts y=yes 0
12.Install 90%Annual Fuel Utilization Efficiency(AFUE)Furnace 2 Energy pts y=yes g
• 13.Retrofit Wood Burning Fireplaces
a.Install EPA certified wood stovesfinserts 1 IAQ/Health pt y=yes 0
b. Install/Replace Dampers 1 Energy pt y=yes p
c.Install Airtight Doors 1 Energy pt y=yes 0
14.Install Zoned,Hydronic Radiant Heating 3 Energy pts y=yes 0
15.Install High Efficiency Filter 4 AQ/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 y=yes p
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=16 points) Up to 16 Energy pts g
6.Select Safe and Durable Roofing Materials 1 Resource pt y=yes0
7.Install Radiant Barrier 3 Energy pts y=yes g
1 1
L.Natural Heating and Cooling 1
1.Incorporate Passive Solar Heating 5 Energy pts y=yes p
2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts . y=yes p
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes p
• 1 1 1
. . Community Development
��; 10300 Torre Avenue
tl;4+✓%"
" Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
OUPEkTINO
Building Department
JOB ADDRESS: PERMIT #
T b ,?a?bl 1
OWNER'S NAME: PHONE #9 7 3y O
GENERAL CONTRACTOR: FAX # ''pp
I am not using any subcontractors: `2 28 z�2
Signature Date
Please check applicable subcon ctors and com Tete the followin information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
Linoleum / Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/ actor Signature Date