08070178 CITY OF CUPERTINO � �^r�s�a�a�•��'�'� `tea'* �•"�" � '� -'�' "'
BUILDING DIVISIAN PERMIT ,CUNTI2ALC'I'(TR.IN'F' ?RMe#TI( N
BUILDING ADDRESS: PERMIT NO.
7160 BARNHART PL CUPERTINO PLUMBING 08070178
OWNER'S NAME: PERMIT ISSUE DATE
1. !ZUBa Sj'jANKAR 1300 DELL AVE STE C 07/24/2008
;4E SANITARY NO. CONTROL NO.
ARCHITEC(ENGINEER: BUILDING PERMIT INPO
COPPER REPIPE BILDG O EO PLUMB O
�Oij LICENSED CONILACTOR'S DECLARATION
I homby Affirm wt I Am licensed under provisions of chapter 9(commencing Job Description
with Section 7")of Division 3 of the Buaiams end professions Code.old my liceveu .
N in full fora end,=. J
Lianreclass _Lth.0 l 2V7aS
Dete��t� _ nn Can4enor n —.. PI bT
qq W7 �ARCHREC, DECLARATI�i
W u 1 understand my plans Pull be used as public records
6
10 , licermd Professional .
OWNER-BUILDER DECLARATION
I
hereby elRm that I em exempt from the Contractors License Lew for Ne
y OO following wen.(Section 70313,Business AM Profession Code:My city or mumy
21 which resist.A permit to,cmomu s,elan.Improve.dcmWfsh,or¢pair any structure
prim At its issuance.start requires the Applicant for such Permit to file a signed ststemem
pp < that he is licensed pursuant W the Provision of the Contractor''.Beene law(Clupter 9 Sq.Ft. Floor Area Valuation
Y�$ (commeuing with Section 70Dm of Division 3 of Ne Business and Profession Code)01
Net he u eumpt therefrme and the basis for the Alleged exemption My violation of
Section 7031.5 by any applicant for a permit subjects the applicant he a civil Penalty of APN Number Oe
Amore than fin hundred dollen($5W), Occupancy Y�'P
❑1,m owner of the property,m my mployeas with wagu u Noir sola comps madon,
willdatheworkendthennmumumtinmM aro@tedfwsak(Sec.7014,Buvnua
and Profesdon Code:TTm Cuntrmtors License nLaw does Act m An owner of . Required Inspections
Property who buildsar imposest emon.and whodoessuch wurkhimselforduough his
owncmployeu,provided Nat.1i improvements art not intended oroRered for sale It.
however,Ne building or impmmnem is sold within on,year of compkuon,the owner.
builder will have the burden of proving Nat k did rot WW or improve for purpose of
ale.).
0 1.as owner of the property,am exclusively connecting with focused mntrxbn W
wnuuct the project(Sec 7044,Business W Prokstion Code:)The Cmu mea U.
ane Law does out apply in en owner of property who buiWa or improv thertan.rod.
who contracts for such projects with a contractor(s)licensed pursuant he the Contractors
License law. .
❑lamexemptunder See ,BkPCfmthisrtasun
Owner —Dam—
WORKERS
areWORKERS COMPENSATION DECLARATION
I hereby afRmr order Penalty of pedury,ane Of the fallowing declaration:
hart uM will mumain•CmdBote ofCansem As uIf.k.urt forworkeh CamP.. -
same.As provided for by Section 37M of the labor Code.for the perform.of de
work for which Nis permit is issued.
1 have and will maintain Workers Compensation Irtsurance,u r e ubed by Section
3700 m the laborCode,for the perfmmuce of the work for which this permit is Issued
My Worsoess c mpewuon b/orm.carrier tad Policy number are:
Cartier, J-�G. I�l.le Policy No.:IR 3S�GSZ
CERTFICATE OP EX PITON FROM WORKERS
COMPENSATION INSURANCE
(Thin accum Aend rot the completed ark Permit Is fume bummed dollars(glom
or lean)
1 crdfY dun in the perfomama of the work fm which this permit is issued.I shall nm
employ Any person in any manner so as W become subject to the Warken'Compenauan
Laws of Califomis Date
Applicant
NOTICE TO APPLICANT.IL after making this Cenificets of Eaemption,you should
become subject as the Worler'a CoMMeastion provision of the labor Code,you most
.J O forthwith comply with such provision m Nu permit shall be deemed revukod.
z'y CONSTRUCTION LENDING AGENCY
I hereby Nim h u dere is A enmvmtion lending Agency for de performamo of
w the wan for which sus Permit is issad(Sec.Som,Civ.C.)
Q Lenders Name
z Lenders Addw
U O i anify that 1 have w sus wheatim And awe that de move ofen ado is
PL ^ mrmeL I Agree m comply with all city And county mcirommus and shut,laws relati is
C)IS.�J building construction,end hereby mu mis rtpresennures of this city to enter open de
N LU abovcmcmioned property for inspection purpoes
G (We)agree to save,Indemnify And kap harml.the City OI Cupertino agelnt
rr Vy liabilities,judgemosa.cmA and expenses which may in any way a ane Against said 01,
U 2 in commies: al the Pranun of this N.iL
'—' APPLICANT U DS WILL COMPLY WITH ALL NON-POINT Issued by: Date
R TI
_ '05 Re-roofs
signor
ppb DateHAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will Oe applicant ottomans building aampentstart orhWW hamdam mAWrid
as defined by de Cupertino Municipal Code.Chapter 9.12,and the Health and Safety
code,p.z5332(m)± p a� All roofs shall be inspected prior to any roofing material being installed.
Wille Ppli.1 or future building oavp ret em egul,mcrt or devices which If a roof is installed without first obtaining an inspection,I agree to remove
hu amen air cmwnwnrs As denned by the Bay AMA Air Quality Management all new materials for inspection.
ca
❑Yes -Rata
1Mvemad Ne hvam ==5305. 5533mdrntsunder Chapter Lhaofthe Gelding
nusnitchcrud,have
vw2S305,23373 mJ 25 A 11MMostl Me OCcthebuilding
dais net cmrtndy hew:•vaunt dist ndhility m notify Ne aaupenr of Ne
r�iN'rc ets which ern be dss of ra��v_bug Signature of Applicant Date
Owner or mttengem G Dow All roof coverings to be Class'%."or better
CITY OF CUPERTINO
. 5 ITEMS OF 9 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN 36615040 . 00
DATE ISSUED. . . . . . . : 07/24/2008
RECEIPT #. . . . . . . . . : BS000005576
REFERENCE ID # . . . : 08070178
SITE ADDRESS . . . . . : 7460 BARNHART PL
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . .. RUBI SHANKAR
ADDRESS . . . . . . . . . . : 7460 BARNHART
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5208
RECEIVED FROM . . . . : FRANK CARDIA
CONTRACTOR . . . . . . . : CARDIA, FRANK L LIC # 612
COMPANY . . . . . . . . . . : CUPERTINO PLUMBING
ADDRESS 1300 DELL AVE STE C
CITY/STATE/ZIP . . . : CAMPBELL, CA 95008
TELEPHONE (408) 253-0618
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
7.BPWATER UNIT 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
1BSEISMICR VALUATION 4, 000 . 00 0 . 50 0 . 00 0 . 50 0 . 00
1PPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
1PRREPIPE NO OF FIXTURE 8 . 00 81 . 60 0 . 00 81 . 60 0 . 00
1TRAVDOC FLAT RATE 1 . 00 40 . 79 • 0 . 00 40 . 79 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 204 . 47 0 . 00 204 . 47 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 306 . 95 VISA
---------------
TOTAL RECEIPT 306 . 95
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- - - -------- ----------------------------
301 ROUGH PLUMBING 507 FINAL PLUMBING
•
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
CITY OF
'I • CUPERTINO PERMIT APPLICATION FORM
APN # 2 �/ _5-0 UO (�g Date:
Building Address:
-7t-/(, C) &rn Lri- PL .
Owne 's Name: Phone#:
Contractor: Phone#:
-c Fax #:
Contact: Phone#: '
�r�✓1 Fax #:
Contractor License#: 2 C+ Q c)
Cupertino Business License#:
Job Description:
1�o
Residential �— Commercial ❑
Valuation: 'r D 0Z')
Project Size: Express Standard Ll 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:
Quantity Fee ID Fee Description Fee Permit Type
Grou
1PCSEWER Commercial building P 1CPSS
sewer/sanitary sewer
1BPREPIPE Commercial re-pipe per fixture P 1CPRP
1PGASCOM Commercial Gas Piping System P
1-4 Outlets
1BSEISMICOM Seismic Commercial p
/ 1BSEISMICR Seismic Residential P
1PRSEWER Residential building P 1RPSS
sewer/sanitary sewer
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
CUPEkT`INO 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
r
1BPWATER Install/alter Water Pipe P
1BPFIXTURE Plumbing Fixture P
1PGASRES Residential Gas Piping System P
1-4 Outlets
1BPGAS Gas Piping System 5+ Outlets P
1PPERMITFEE Plumbing Permit Fee Issuance P
r 1PLMBLNCK Plumbing Plan Check P •
1PLMBINSP Other Plumbing/gas Insp. P
r 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 t
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 POINTS 40 points
•
•
Plan Review Process Work Book Page-I2-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 A011-lealth
A.Site
1.Recycle Job Site Construction&Demolition Waste
65%=1 point;75%= 2 points.BO =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 8 Trees 1 Resource pt y=yes 0
6.Implement Construction Site Stonnwater 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 I
B.Foundation
1.Incorporate Recycled Flyash in Concrete
25%Recycled Flyash=2 points;Add 1 point for every 10%
increase of fiyash,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 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 1-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
B.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 11 Resource pt Y_—Yes 0 •
INPUT Resources Energy IAQ1HeaifF�
rn ows
1.Install Energy-Efficient Windows
• a.Double-Paned 1 Energy pt y=yes 0
It.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 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 Duds Before Occupancy 2 IAQ/Health pts y--yes 0
5.Install Solar Attic Fan 2 Energy pis y=yes 0
6.Install Attic Ventilation Systems 1 Energy pt y=yes 0
7.Install Whole House Fan 4 Energy pis Y--yes 0
8.Install Sealed Combustion Units
a.Furnaces 31AQ/Health pts y=yes 0
It.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 stoveslnserts 1 IAQ/Health pt y=yes 0
b. Install/Replace Dampers 1Energy 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/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 IAC/Health pts y=yes 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 1 B Energy pts 0
6.Select Safe and Durable Roofing Materials 1 Resource pt y=yes 0
7.Install Radiant Barrier 3 Energy pts y=yes p
ff
1 1 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 p
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
UPEkTINO
Building Department
JOB ADDRESS: PERMIT #
T7 rel l ,_r4- `PL.,
OWNER'S NAME: UI t PHONE #
GENERAL CONTRACTOR: e pl FAX #
I am not using any subcontractors: V-'X + CSS
i afore 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
Tile
•
Owner/Contractor Signature Date