08070228 CITY OF CUPERTINO
BUILDING DIVISION , PERMIT
BUILDING ADDRESS: PERMIT NO.
1.0265 RICHWOOD DR TRAM HVAC 08070228
OWNER'S NAME: PERMn ISSUE DATE
GANESAN & PRABHA SRIRAM 3031 MELCHESTER DR 07/30/2008
lipNE: (408) 834-6952 SANITARY NO. CONTROL NO.
ARCHI ECf(ENCINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
O p LICENSED CONTRACTOR'S DECLARATION
�- 1 hereby AT.that 1 w licensed!under pmm
vivu of Chapter 9(rommracing Job Description
. whstSection7B(IB)ofoivinos3ofdatBueinansandnafeamisCode.andmyImmuneis RPLC FURNC,A/C& WTR HTR
in full force and affect
j Z License Class Lk.N
I;,q
Dam.Contractor
pp7W ARCHITECTS DECLARATION
K I undmvand my plans shall W used an public oxorda
A.
g G t; Liccnmd Professional
chi OWNER-BUILDER DECLARATION -
F I krtbY aRrm Nat 1 am exempt from use Conuacters U...Law for the
ECO following mason.(Secdon 70313,Business and Pm(ewuns Code:Any city or county
rt
$ which 9uro ira permit to construct oiler.)mprors,dcmolb h,ar rtpsi,my swcture
_I< prior w its issuance.also requires the applicant for such permit to file a signed sumnom
E e
that W is licensed pursuant to Lk provisions of the Conarsubm's Licansm Law(Chapter 9 Sq.Ft. Floor AreaValuation
At $ (commencing with Section 7000)of Division 3 of Ne Business and Professions $4000 Code)or 4 0 0 0
5— that he is exempt Nmefrom and the basis for the Alleged exemption.Any violation of
Section 7031.5 by any applicant for a pumit subjects We applicant to a civil penalty ofNbOccupancy
normarethmfive hundred dollars(s5am. 36908046 . Number T'pe
1,u owner of the property.m my wployma with wages u Ne'v tole rompewtion,
will do the it and the suucmre is..Intended oroRered fmaale(Sec.7051,Business
and Profess ons Cod.Tie Commune,License law dont ml apply an Ad owocr of Required Inspections
property who Wilds or impmv'a Herron.and who docssuch work Nmselfor Waugh his
hwm�awncm.l eu,pmNded Natsato imimemenu tie nm intendedmktkm.fmssle IL
Wilder.the aved a, Wooden of pnuntismld wiidn arc Wild
of roprone fo.th Pose of .
Wilder will lose Ue burdra of proving Nu k did tot build m improve for pugoAu of
uleJ.
❑1,u mrmr of the property am aelusively conuacting with licensed rontramms m
cmutru rt the pmjeu(Sec.7044,Business and Proucdaro Code:)The Contrmmrs U.
cAmm law dant not apply to an owTV of property who builds or improves durcon,And.
who contracts for such projects with a conuactor(s)licensed pursuant in the Contractors
Lu roam law.
0IAm esemPf untie/r Sere I ' .B&P C for this reason
Ownv :.J' MIJrs-71�11��'L--- Dau 0 7 2,0 01
WORKERS COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury aro of the fallowing declandau:
As cAnd will maintain A Certiftou ofCcessat to self-inurefar WarkelsCompn-
.ion,As provided for by Section 3700 of the labor Code.for the performance of use
work for which this permit is issued.
C3 I have and will maintain WmWA Compensation I...as required by Section
37(10 of Ne labor Code,for the if..afthe work for which Nis permit uba-d.
My Work s Camperuadoo becomes carrier and Policy number art:
Cartier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This Auction toed not be completed lithe permit u lmorn hundred dollars($I00)
tor ka)
1 tastily that in the peartion ec of the work for which this pmmfr is issued.1 sill nm
employ any proton in my
lrc
WorkersCompenutim
IawsafCf Da
Applicant P2A72pbab —n
NOTICE TO APPLICANT:If,after making this Ccnificau of Exemption,you should
become subject to the Workrls Compemidon provisions of the labor Code,you muss
.J O forthwith simply with such prnrrdaas in Nu permit shall be doomed ranked,
z CONSTRUCTION LENDING AGENCY
[—t therebycEthi Hamm isocd(see,0tonding agonry for dm performance of
C> the wan for wMan tidy o<nnit is muco(sae 3897,civ.c)
W� Q Landers were
� 2 LcnderaAdam<.
U Q I cutely that I hors mad Nix application and sou Nu the above information is
ro oml.1 Allmon in comply Wfth all city and county ordinances and tyle laws Rlating in
building construction,and thereby mthodm reprevauuvrs of this city usenter upon the
[T] aMvn-mentioned property for irosamses Purposes.
(We)agree to save.indemnify and loop humblest the City of Cupertino Against
this
rn incoiseq jnce of th,cutsang uperou which may in anyway acme Against said City /}
V Z permouL
APPLICANT UNDERSTAhe NDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date -ja_y
SOURCE 1�EG�}"TIONS.
_T_ Re-roofs
HAZARDOUS
Stgurt
nuof Appliam p
HAZARDOUS MATEWilding
.P.LtiLS time
Type of Roof
Will the a Cuant m forum building oceupant store m handle nmallous material
An defined by the Cupcnino Municipal Gude.Chapter 9.13.roti Ne Health and Safety
Code,&coca usu(a)l All roofs shall be inspected prior to any roofing material being installed.
❑Yea NO,m
pplicant or loom building occupant use cavipment or devise which an p
If a roof is installed without first obtaininginspection,I agree to remove
Will Ne a
t havaNnns
.it conuminanu as dc0ncd by the Bay Area Air Quality Management all new materials for inspection.
u ct7
❑Yns
I ham read the hcandeas mueriAls mgadien uunderChmo,6.95ofNeCalifer-
nia Health&SafmyCodc,Sredom 25505,25533 and 25534.1 understand thuif ho building
does net currently deme A enan,that b is my mapomlbility to teor,the occupant of de
requirenu 1ichmt arusaw:eeAe,oraccruricauafa Signature of Applicant Date
'
Owner ar a horned agent 7 r All roof coverings to be Class'V'or better
pp
CITY OF CUPERTINO
• 7 ITEMS OF 7 PERMIT RECEIPT OPERATOR: pdtg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN 36908046 . 00
DATE ISSUED. . . . . . . : 07/30/2008
RECEIPT # . . . . . . . . . : BS000005639
REFERENCE ID # . . . : 08070228
SITE ADDRESS . . . . . : 10265 RICHWOOD DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : GANESAN E PRABHA SRIRAM
ADDRESS . . . . . . . . . . : 10265 RICHWOOD DR
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-3360
RECEIVED FROM . . . . : PRABHA SRIRAM
CONTRACTOR . . . . . . . : NHAN NGOC TRAN LIC # 28718
COMPANY . . . . . . . . . . : TRAN HVAC
ADDRESS . . . . . . . . . . : 3031 MELCHESTER DR
CITY/STATE/ZIP . . . : SAN JOSE, CA 95132
TELEPHONE . . . . . . . . : (408) 834-6952
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---- ---------- --- - --- -
1BSEISMICR VALUATION 4, 000 . 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 2 . 00 122 . 38 0 . 00 122 . 38 0 . 00
1PPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40. 79 0 . 00
I.PRWHEATR UNITS 1 . 00 24 . 48 0 . 00 24 . 48 0 . 00
1TRAVDOC FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 310 . 52 0 . 00 310 . 52 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
--------------- --------------------
CREDIT CARD 310. 52 AMEX
---------------
TOTAL RECEIPT 310 . 52
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
----- ---- -------------- -------- ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
•
4}, CITY OF CUPERTINO
FURNACE/AC
OF
*CUPEkTINO PERMIT APPLICATION FORM
APN# v t Date:
Building Address: 10 L6 S (Z 1 r H �-'o° �
so
Owner's Name: G AN Q.S A ^t g Phone#:
l�o P,N\ / 6 /
Contractor: Phone#: cl a� _ Cf3t1 _69S,2
TYq� H v A c-
Fax #:
Contractor License #: Cupertino Business License#:
Q 3 -11 2_(�- I l �
Contact: Phone #: 4O 8- _ 3 _ 4 6 3c(
C. �^QY 1QS JAY �S Cp 1
Fax #:
Building Permit Info:
Elect []— Plumb Mech —
Residential Commercial ❑
Am
Job Description:
For Residential Installations:
Attic ❑ 151 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):
c..t O
Strapped On Platform ❑ Bonded New Location [� Replacement []—
Project Size: Express [9" Standard ❑ Laze ❑ 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
Z FURNACE/AC
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. •
1MCSUSHTR 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 ¬ incl in an appliance
permit.
1BSEISMICO 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.
1MRSUSHTR 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 ¬ incl in an appi permit.
CITY OF CUPERTINO
�� FURNACE/AC
• CUPEkTINO 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
1MFR=<100 Furnace Syst <=100k BTU install or M
relocate ea forced-air/gravity type
furnace/burner, incl ducts/vents
attached to such appliance up to and
include 100,000 Btu/h
1MFRN>100 Furnace Syst> 100k BTU install or M
relocate ea forced-air/gravity type
fumace/bumer, incl ducts/vents
attached to such appliance over
100,000 Btu/h
IEPERMITFEE Electric Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
1PPERMITFEE Plumbing Permit P
/ 1TRAVDOC Travel Documentation B
1BUSLIC Business License B
•
CITY OF CUPERTINO
FURNACE/AC
CITY OF
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Grou
AIR FURN/AC
CONDITIONING
1BCAIRHAN Commercial A/C Units <= l0k CFM B
1MCRAA Commercial Mech Repair/alt/add M
1BSEISMICO Seismic Commercial B
1PGASCOM 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
A
B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 2 points
11. Permeable Paving, Nate 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 oint
P. Other 1. List Green Features on Plans A-1 1 point
TOTAL POINTS1' k'--- 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 IAO/Health
A.Srte
1.Recycle Job Site Construction&Demolition Waste
65%=1 point;75%= 2 points;60%=4 points up to 4 Resource pis 0
2.Salvage Reusable Building Materials 4 Resource pts y--yes 0
3.Remodel for Mixed Use,Adaptive Reuse,and
Histodc Preservation 4 Resource pts y--yes D
4.Protect Native Soil 2 Resource pts y--yes D
5.Minimize Disruption of Existing Plants&Trees 1 Resource pt y=yes 0
6.Implement Construction Site Stormwater Practices 2 Resource pts y=yes D
7.Protect Water Quality with Landscape Design 2 Resource pts y=yes 0
8.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 D
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=yes 0
1 1 I
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 I-Joists 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
6.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
12.Use OSB
a.Subfloors 1 Resource pt y=yes 0
b.Sheathing 1 Resource pt y=yes 0 •
I.Windows INPUT Resources Energy IAO/Health
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 i Energy of y=—yes 0
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 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
8.Install Sealed Combustion Units
a.Furnaces 3 IAQ/Health pts y=yes 0
b.Water Heaters 31A0/Health pts y--yes 0
9.Replace Wall-Mounted Electric and Gas Heaters with
Through-the-Wall Heal Pumps 3 Energy pts y=yes 0
10,Install 13 SEERM t 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 stoveslinserts 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 Filler 4 IAQ/Heafh 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 0
1 1 1
K.Renewable Energy and Roofing
1.Pre-Plumb for Solar Water Heating :Up
s y=yes 0
2.Install Solar Water Heating System s y=yes 0
3.Pre-Wire for Future Photovoltaic(PV)Installation s y=yes 0
4.Install Photovoltaic(PV)System
(1.2 kw=6 points,2.4 kw=12 points,3.6 kw=18 points) 18 Energy pts 0
6.Select Safe and Durable Roofing Materials t y=yes 0
7.Install Radiant Barrier s y=yes 0
MEMO I 1
L.Natural Heating and Cooling
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 0
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0
1 1 1
•
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
' OCUPEI�TINO
Building De artment
JOB ADDRESS: to 16 s \chw° °3 -)>T / PERMIT#( h
C-11V;w Crev ASO 14- QV
OWNER'S NAME: S2� k e A 1"\ PHONE # p g — 5 13- 4 6 3y
GENERAL CONTRACTOR: l"\ e�v V N vis FAX #
r5�YN.0 J H
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the followinginformation
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/Contractor Signature Date