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08080091 CITY OF CUPERTINOa�:.'kB: sat��r�ii+t"fT^ tp- z j� - BUILDING DIVISIgN PERMIT �iQk: Q j �Vly BUILDING ADDRESS: PERMIT N0. 20684 NANCY CT QUICK PLUMBING INC 08080091 OWNER'S NAME: PERMIT I SUEDATE 1.,1:1313 I)ARRELL 0 AND MARGIE T 1044 MARTIN AVE 08/13/2008 NE: SANITARY NO. CONTROL NO. (408) 732-1220 ARCHITECDENGINEER: BUILDING PERMIT INFO 'BLDG ELECT PLUMB - MECH 1= Sop LICENSED CONTRACTOR'S DECLARATION g I Macby name Net I am licensed under pm isim n of CMpw 9(commencing Job Description IN Section7000)of Division Sat the Business and Pretensions Code,and my licccto is RPLC WTR MAIN a in full fano and erect i Lkenm Class Lk.0 0 Data.Cannsctor e ARCHITECTS DECLARATION e Imulco mul."Was 0.11 he used As Fuhllc rtcmus 5y yG Licensed Professional m Oat I am ompt from DECLARATION M53 1 hereby,(Tum o n i am exempt Imre tha ConuanCo License Law for the M o following mama.(Sadao 7031.5.Business andprofession Improve, a coli Cad,:Any oily or county 3 which nqulru a permit re ceres the elua Impmvu,h Permit t file repair ed mumen, iy mlosmiulensedpnm requires the Ihovisiosof for such Permit torte Aaigedsuwmmt �< ma hemOceveJ pontoons 70th)At Division of the r'0C.m.mcwt'.imes,Ad Profession (Chapterodc)or Sq.Ft. Floor Area $2300 Valuation eas9 don he s mompN Suction and the basis for of the Bmineu opt on.Any vi Cade)w Nn k u ammpt Nnefmm and Ne baso for the alleged eumptian Any violation of Secdon 7031.5 by any appuant for a permit mbjecu Ne applicant in a civil penalty ofe�Number Occupancy Type Amt mart Nan for hundred dollas(3500} 35915031 ."1711 ❑I,a owner of tb pmpWy,m my employcu withngu u their mle cmmpemdon, andwill Professional Pork.old Ne she Com In ao's License ice s m as de fn Act,(ply.in nor of pro etywho Cadet The Cenvmme,l.i who law don cot apply lf rt ower of Required Inspections Am who s.proarimprowach improvements rov m who aaesamhwded aroeiror through h4 awn a however. Men,provided Nn such impmwmmta in not intended morertd for We It. however,Ne buil the or Improvement 4 that within one year ofImpro a for dm ower Wilder will haw dm burden of pmvin6 Nal he dM cot build or Improve for Purpose of ❑1.As awry of fie property am exclusively ca.musinz Pith licensed cont mann m an==she project.(Sec.'1044.Business and Profusions Cade:)The Contravene,U. cense law don not apply m an ower of pmperty who build,or impmwn memon,cod, who canuacls for such pmjecu with.cantucmr(,)licensed".At in die Canuacmea License Law. ❑I am uempt undo See BA PC fns this reamer Ower t Data WORKERSCES h� A NDECLARATION 'I hereby arumunder penalty of perjury arta of the fallowing declanliou: I Ins.and will mainwA A Cenau lrof Couem m self-blurt far Walker,Campers. awan,u provided for by=cam 5700 of the labor Cade.for me performance of the work for which this permit U!trued. ❑I haw and will maintain Worker's Compensation luurmtt,as required by section 3770 of me labor Code.for the M rformarce or the work for which this permit is Wood. My Wmkees Compensadm Immerse artier am Policy number Am: Canis Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE Crisis section need cot be completed time Permit Is froom hundred dollars($100) or leu) 1 ernil)v Net in the performance of me work for which this Fourth is issued.I"I nm employ anypeumn in my mm�erm a m become mbiecLq dm WmFers mrpeua0m Law,of California Dam � � ✓� / - Appllcom . 'A /i[iL NOTICE TO APPLICANT.IL after making thisCartillcam of Exemption,you should become object in the Worker's Compensddon pmvlaiona of uses labor Cade.you mum O O forthwith comply with such provision of this permit Nall be deemed moked. z CONSIRucjnON LENDING AGENCY y (r I bereby of .Mal dorm iso eoloructinn lending agency for drc performance of ori > the work for which Nis permit is issued(Sec.3097,Civ.C.) W� 0 Lemme,Nurse , 7 z Lender's Address U O i certify that I haw trod this application and sum that dor Alan,immmadus is . careen I Agree to comply with all city and county adinmvs and stem Ian mouing in 0 building consusrcdon,and hereby authorize mincemutne;of this city in not upon the W abow-mentioned Property for lupcnian purposes Pry (We)agree to un,,indemnify and kap harmless the City of Cupertino against w.A to liabilinconsequecem,nu,cons and expenses may In ury nyAccme agnost said City U in,aneequmceaf me grunting exNheswhi OL"[j/I APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: .Date SOURCEREC�ILA7[9N$.�l Z g;_/ 1„vSpC � f/� J W Re-roofs Signmurt of Appliun o DataHAZARDORDD US MATERIALS DISCLOSURE Type of Roof Will the applicant nofuture buildinge.Chapter NueaAnd Health udeafen As deRned by dr Cupertino Municipal Code.Ch.Pwr 9.11 and 0r'Ha1N and Safety Code,Smtion 2S532(a)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yu Na Win tha applicant or mm building occupant use equipment or devise which If a roof is installed without first obtaining an inspection,I-agree to remove emit h ZmJrm3 Air contaminants an darned by Ne Bay Area Air Quality Management all new materials for inspection. Davies? ❑Yu u I ban mad the haul maudals amuirtmenuureefchstu,6.95 of Ne Califs. ilia HcaINL.SafelyCode.Secdms 25505,25533 AMIM34.1 undammrd matif Ne building does not cunentty haw A unset that it a my responsibility m mdry Ne occupant or the AnNiamenu wh' mum be met per rmis�um NCenifwaw of Pear. Signature of Applicant Date ' L 13r4f All roof coverings to be Class'%"or better Owner a a.mamed.gem Dow CITY OF CUPERTINO • 5 ITEMS OF 5 - ,PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk:' Lot: APN . . . . . . . . : 35915031 . 00 DATE ISSUED. . . . . . . : 08/13/2008 RECEIPT # . . . . . . . . . : BS000005774 REFERENCE ID # . . . : 08080091 SITE ADDRESS . . . . . : 20684 NANCY CT SUBDIVISION . . . . . . : CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : LIEB DARRELL 0 AND MARGIE T ADDRESS . . . . . . . . . . : 20684 NANCY CT CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2913 RECEIVED FROM . . . . : DARRELL LIEB CONTRACTOR . . . . . . . : RICHARD JOHNSON LIC # 24938 COMPANY . . . . . . . . . . : QUICK PLUMBING INC ' ADDRESS . . . . . . . . . . : 1044 MARTIN AVE CITY/STATE/ZIP . . . : SANTA CLARA, CA 95050 TELEPHONE . . . . . . . . : (408) 732-1220 • FEE ID UNIT QUANTITY, AMOUNT. PD-TO-DT THIS REC NEW BAL -------- ----------- ---------- -------- --------- --------- 1BPWATER UNIT 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00 IBPWSVCS WATER SERVICE 1. 00 20 . 40 0 . 00 20 .40 0 . 00 I.BSEISMICR VALUATION 2 , 300 . 00 0 . 50 0 . 00 0 . 50 0 . 00 I.PPERMITFE 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 143 . 27 0 . 00 143 . 27 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 143 . 27 #3390 --------------- TOTAL RECEIPT 143 . 27 VOICE ID DESCRIPTION VOICE ID DESCRIPTION --------- ---------------------------- -------- ---------------------------- 106 SEWER & WATER 301 ROUGH PLUMBING 507 FINAL PLUMBING • arllzffl-�% CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE CUPEkTiNO PERMIT APPLICATION FORM APN # ✓� _ IJr— ©�� . �C� Datff—/Z Buildin Address: 10 4 AN C G Owner's Name: Phone#: Zqggea a. L jgy i",o -4dy--/ p/ Contractor: Phone #: Fax #: Contact: /I Phone#: QUl d(- �lu. � ` JI3L , Fax #: Contractor License#: Cupertino Business License #: a Lf 9 3 S Job Description: ResidentialCommercial ❑ * Valuation: Z 306 oc'3 Project Size: Express tandard L Largeo 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. c Green Building Points: Quantity Fee ID Fee Description Fee Permit Type Group IPCSEWER Commercial building P ICPSS sewer/sanitary sewer 113PREPIPE Commercial re-pipe per fixture P 1CPRP IPGASCOM Commercial Gas Piping System P 1-4 Outlets 1BSEISMICOM Seismic Commercial P / IBSEISMICR Seismic Residential P 1PRSEWER Residential building P 1R.PSS sewer/sanitary sewer CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE CUPERTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group 1PRREPIPE Residential re-pipe per fixture P 1RPRP 1BPWSVCS Water Service P 1CPWS or 1RPWS 1PPRSEWG Private Sewage Disposal System P 1PCESS Cesspool P 1BPWATER Install/alter Water Pipe P / IBPFDCTURE Plumbing Fixture P 1PGASRES Residential Gas Piping System P 1-4 Outlets 1BPGAS Gas Piping System 5+ Outlets P / 1PPERMTTFEE 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 Revised 6-16-08 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 Refri erator, (Note/Spec. A-3 1 point P. Other 1. List Green Features on Plans A-1 1 point TOTAL POINTS 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 FeSDUT CTS Energy 1ADiHeafth . de I(i.R�ecycl`e Job Site Construction 8 Demolition Waste ' 65� h=1 point;75Y°=�2 points;BO%=4 points up to 4 Resource pts D �2.SalvageReusableBuiidingMeteriels _ _ 4Resource ots 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 Stonnwater Practices 2 Resource pts y=yes D 7.Protect Water Quality with Landscape Design 2 Resource pts y--yes 0 µDesign(3esou od-EffcieM 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 D 3.Insulate FDundation/Slab before backfill 3 Energy pts y=yes 0 i 1 1 C.Structural Frame l 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 I-Joists for Floors and Ceilings 2 Resource pts y=yes D 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 B.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 S.Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y=yes D 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 Ener is 9Y P 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 12.0se OSB - - - a.Subfloors 1 Resource pt y=yes 0 • b.Sheathing 1 Resource pt y=yes D 1 1 1 INPUT FtCSDU1CeS xter or n s ' 1.Use Sustainable Decking Materials a.Recycled content 3 Resource pts y--yes 0 b.FSC Certified Wood 3 Resource pts y--yes; 0 2.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAQ/Health pt y--yes; D 3.Install House Wrap under Siding 1 IAQ/Health pt y--yes 0 4.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 0 t 1 1 E.Plumbing 1.Install Water Heater Jacket 1 Energy pt Y--yes 0 2.Insulate Hot and Cold Water Pipes 2 Energy pts Y--yes 0 3.Retrofit all Faucets and Showerheads with Flow Reducers a.Faucets(1 point each,up to 2 points) Up to 2 Resource pts. 0 b.Showerheads(1 point each,up to 2 points) Up to 2 Resource pts. 0 4.Replace Toilest with Ultra-Low Flush Toilets (1 point each,up to 3 points) Up to 3 Resource pts. 0 5.Install Chlorine Filter on Showerhead 1 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 S.Install On-Demand Hot Water Circulation Pump 4 Resource pts Y--yes 0 1 1 r.tmcmcer 1.Install Compact Fluorescent Light Bulbs(CFLs) (6 bulbs=2 points,10 bulbs=3 points,12 bulbs=4 points) 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 pis. 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 Energy Star Dishwasher 1 Energy pt y—yes 0 2.Install Washing Machine with Water and Energy Conservation Features 1 Energy pt y=yes 0 3.Install Energy Star Refrigerator 1 Energy pt y=yes 0 4.Install Built-In Recycling Center 3 Resource pts y=yes 0 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 Formaldehyde 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 D b.Ceilings 4 Resource pts y--yes 0 S.Alternative Insulation Products(Cotton,spray-foam) a.Walls 4 Resource pts y--yes 0 D.uellings 4 Resource pts y=yes 0 1 1 1 n ows INPUT Resources E7ergy IAQIHealth 1..Instal1 EneFgy-'Efficient Windows a.Double-Paned 1 Energy pt Y--yes D • b.Low-Emissivity(Low-E) 2 Energy pts y=yes 0 c.Low.Conductivity Frames _ 2 Energy pts y=yes 0 2.Irista6 Low Heat Transmission Glazing 1 Energy pt y=yes 0 1 f 1 J.Heating Ventilation and Air Conditioning 1.Uss Duct Mastic on A-11 5661 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.IAQMealth pt y--yes 0 4.Clean all Ducts Before Occupancy 2 IAQ/Health pts y=yes 0 5.Install Solar Attic Fan 2 Energy pts Y--yes D 6.Install Attic Ventilation Systems 1 Energy pt Y--yes 0 7.Install Whole House Fan 4 Energy pts Y--yes 0 8.Install Sealed Combustion Units a.Furnaces 31AQ/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-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 2 Resource pts y--yes 0 12.Install 90%Annual Fuel Utilization Efficiency(AFUE)Furnace 2 Energy pts Y--yes 0 13,Retrofit Wood Burning Fireplaces • a.Install EPA certified wood stoveslnserls 1 IAQ/Health pt y--yes 0 b. Install/Replace Dampers 1 Energy pt Y--yes 0 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 41AQ/Heaith pts y=yes D 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 0 ! 1 1 K.Renewable Energy and Roofing 1.Pre-Plumb for Solar Water Heating 4 Energy pts y=yes D 2.Install Solar Water Heating System 1 D Energy pts y=yes D 3.Pre-Wire for Future Photovoltaic(PV)Installation 4 Energy pts y=yes 0 4,Install Photovoltaic(PV)System (1.2 kw=6 points,2A kw=12 points,3.6 kw=18 points) Up to 1 B Energy pts D 6.Select Safe and Durable Roofing Materials _ 1 Resource pt y=yes 0 - 7.Install Radiant Barrier' 3 Ener is Energy y=yes 1 D I 1 1 L.Natural Heating and Cooling 1.Incorporate Passive Solar Healing 5 Energy pts y=yes D 2,Install Overhangs or Awnings over South Facing Windows 3 Energy pts y=yes D 3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes D 1 1 1 . n oor r us ry en n s es 1.Use Low/No-VOC Paint 1 IAQ/Health pts y--yes 0 A 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts yryes 0 3.Use Low/No VOC Adhesives 3 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 61AQ/Health pts y=yes 0 6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y--yes 0 7.Seel all Exposed Particleboard or MDF 4 IAQ/Health.pts y--yes 0 6.Use FSC Certified Materials for Interior Finish 4 Resource pts y--yes 0 9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes 0 10.Install Whole House Vacuum System 3 IAQMealth pts y=yes 0 1 1 1 N.Flooring 1.Select FSC Certified Wood Flooring 6 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 5 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 0 1 1 1 Total Points Ave* able: 1 1401 130 57 Total Points Pro'ect Received: 1 — 01 0= 0 e:data/progslgreenbuildngguidellneshamodelerstgreenpointsfinel212.e4pmteded.xts ; V Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CIN OF Fax(408)777-3333 *UPEkTIN0_ Building Department JOB ADDRESS: PERMIT # . 4P ct SO o 09/ OWNER'S NAME: ,g & [ E PHONE # ^ GENERAL CONTRACTOR: (�[ FAX # Z" /f/9' ayy3 I am not using any subcontractors: � Signature Date Please check applicable subcontractors and complete 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 Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock M Tile Owner/ ontractor Signature Date