08070111 CITY OF CUPERTINOa
BUILDING DIC'ISION PERMIT CONTRACTOR*INFOSMAT 01
""'C NO T PERMIT NO.
i:.E�a L1s2IN WAY AFFORDABLE WATER HEATERS & 08070111
OWNER'S NAME: PERMrrISSUEDATE ,
1111kARUN HANDADY 24707 RAILROAD AVE 07/16/2008
NE: SANITARY NO. CONTROL NO,
ARCIAECrIENGINEER: 11MIDING PERMITINI'D
RPLC 40 GAL WTR HTR BLDG ELECT PLUMB MECH
0 0 0 0
O p LICENSED CONTRACTOR'S DECLARATION I Job DOSCrIIOO
1 bm,by affirm that 1 am licensed under provision,of Chapter 9(commencing P
with Section 7")of Division 3 of dm Business and Professions Code,and my Ike=u
� i �krla,:derr C Lk.g to27 li
b, Date -Co.. PfFWW.412
CHITECTS DECLARATION
1 understood my Plans shall be used u public records
O
I G t', Licensed Pmf,asionsl
B5 OW'NER-BUIIDER DECLARATION
2 1 hereby Afrin that I am exempt from the Contractor.license Law for the
p O following moron.(Ssuon 70713,Business and Pmicssimu Cook;My city or county
3$ which tcquires a permit to connauct,Ater,improve,dermlim.or rtPar any swctum
'^ pnorm its issuance.also requires the applicant forsuch permit to file a signed statement
that be is licensed purrod to the provisions of the Contractor's Licence law(Charter 9 Sq.Ft. Floor Area Valuation
xl-$ (commencing with Section 7")of Division J of the Business and Professions Code)or
Q Nn W is exempt disorders and the basis fm the sloped esump,ion My violation of
Section 70313 by any appliant for a Permit subjects the appl'mant w a civil penalty of APN Number Occupancy r{
act mart dufive
ns hundred dollars(ISMO). - P y '7'Pe
❑I.uwrcr,of llk paperry.mmy empl%ens wnlm mgr umk'v.ak eampewdon,
will Pr the work.Ana the structure u act s Lice d aro aRe do fmsate(Sac.7014,Business
and Prty whloW Code:The Contractors Licome law dud oat apply lf an owner aro Required IDSpeCLIODS
prpeny who builds mimprves Notion.andwhodauauch work himrJfmthrsal his
ownsemployer,pruvidW Nalmothimprovementsart not intended moRcredr owsbir,
builder.esuanding or esofprovinbtoldwithinereuearormmPktiw.lhewrcr-
builder will base Ik burden of proving that h did rot build or improve(m purpose of
ole.).
❑1.as owner of the property,am exclusively contracting wile licensed mntractms to
..met the project(Sec.7064.But..and ProRuimu Code:)The Com om m's W-
«ue law does not apply m an owner,of property who Wilds or improm thereon,and
who cm=U for such project,with a conmroclor(s)1leustsed persons,to the Conlraetues
Lkeue law.
❑IamemmptumderSec .B&PCrorthisreuon
Owner Date
WORKER'S COMPENSATION DECLARATION
1 busby arta under pelWty or perjury arc of the following declarations:
1
h.and
will maintain•Cemliesteof foment ta til(-invert for Workds Compar,
smon,as provided for%Section 3700 or the Wor Code,for the performance of the
were for which this Ismail u issued.
❑1 have and will maintain Workers Compensadon Insurance,as roquired by Section
3700 of the labor Code.for the performance of the work for which this permit is issud.
My Workers Compensation Insurance carrier and Policy number am:
Cartier. 2 C_I.Ini Policy No.:ZQ b7 Y 5 k-2 0
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
Thissemian used no,bre completed!(ilm permit Is forms,hundred dollars($100)
or Ices)
1 certify,that in the perform.of the work for which this Form,is isdcd.I small not
employ any person in any stat as am become subject to the WorseW Compensation
Laws of Cali(amla.Dale
Applicant
NOTICE TO APPLICANT.If,after making this Certificate of Exemption,you should
become subject to da Wurk,rs Cmnpemluon previsions or the Labor Code,you mon
.,z foMwith comply with such provisions m this permit shall be returned rmkcd.
Z.r CONSTRUCTION LENDING AGENCY
[-m= 1hereby afnrm thus there is a emutrucunn landing agent,for the p,rf..of
6r,> the work for which this pesmil I.Issued(Sen 3f19'r,Civ.C.)
0.Q lenders Namc
7 z Lo ms's Adder..
V 0 1 certify Nal 1 have read this application and sure thu me 4WW lnforaadun is
cmmcl I agree to comply with all city and county mdinencea and mute laws relating to
Ov building construction.and hereby mNonre tepsumtsuvcs of this city to enter upon the
ove-mmpe
mtiod pmny for l apeedon purpose,
y ab (we)agree to save,imdcmnify,and keep harmless the City aro Copemno spice,
y liabilities,Judgments,costs and expenses which may in my my arena:again,said City
C)z in consequence of to granting of this permlL
'-' APPLICANT UN NDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date ?�
SOURCE EG S.,
Date Re-roofs
HAZARDOUS
Signsturt of AppliesAZA OUS MATERIALS DISCLOSURE Type of Roof
Wilby t e,Coles m m rMuni building me haps store or handle havmdou made
u defined by ua Cupertino Municipal Codd.Chapter 9.12,and time Hei1th and Safety
cede.sedan zss3z( ergo.)? All roofs shall be inspected prior to any roofing material being installed.
❑Yes
Will the,applicant or comm building occupant can equipment If a roof is installed without first obtainingan inspection,I agree to remove
fed g W 9 prom,m tksim which P
it harudnm air contaminmts u do d by the Bay Arta Air Quality Management all new materials for inspection.
Dis nn?
Yu u '
1 hem mad the haammus marginals requhemeds under Chapter 6.95ofmlm Califor-
nuHeslth&Solely Code.Secur ZS .25577 amW 34.1 undcrnmd duaiftlm balding
dw act cerrontly maw a cit. u k m mibilimy m actifY du odcupmt Of du
mgeiromen kh tlm rsnceofacemrsatear cep^yT Signature of Applicant Date
�1 /6s All roof coverings to be Class'R"or better
Owner or rtbovs0 agentpace
CITY OF CUPERTINO
• 4 ITEMS OF 12 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . . 35921025 . 00
DATE ISSUED. . . . . . . : 07/16/2008
RECEIPT # . . . . . . . . . : BS000005480
REFERENCE ID # . . . : 08070111
SITE ADDRESS . . . . . : 7580 ERIN WAY
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : ARUN HANDADY
ADDRESS . . . . . . . . . . : 7580 ERIN WAY
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : EDDIE D NALLEY
CONTRACTOR . . . . . . . : LEONCE ROUX LIC # 26850
COMPANY . . . . . . . . . . : AFFORDABLE WATER HEATERS &
ADDRESS . . . . . . . . . . : 24707 RAILROAD AVE
CITY/STATE/ZIP . . . : SANTA CLARITA, CA 91321
TELEPHONE . . . . . . . . : (661) 259-7131
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 1, 400 . 00 0 . 50 0 . 00 0 . 50 0 . 00
1PPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
1PRWHEATR 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 106 . 56 0 . 00 106 . 56 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 319 . 68 MC
---------------
TOTAL RECEIPT 319 . 68
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
518 WATER HEATER
•
vk07oii r
CITY OF CUPERTINO
(I Sm- WATER HEATER
COF
•CUPERTINO PERMIT APPLICATION FORM
APN # Date:
35� a � � as . �
Building Address:
Owner's Name: Phone #:
Contractor: Phone #: b(, 1^ SS r
Fax #:
Cupertino Business License #: Contractor State License #:
Contact: Phone #: G 1_ 2 rf _ 71 3/
S " k� � ik�41t �1 ��1
Fax #: (,(- d f S— S SfS
Building Permit Info:
Bldg ❑ Elect - Plumb V/ Mech'n.
Residential [� Commercial ❑
Job Description:
Strapped On Platform J:d' Bonded New Location ❑ Replacement ❑—
Valuation (cost of project): If VO (/
Project Size: Express ❑ Standard 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 achieved: ZSL
Revised 6/16/08
CITY OF CUPERTINO
Sun WATER HEATER
CITY OF
CUPERTINO PERMIT APPLICATION FORM
Quantity Fee ID Fee Description Fee Permit Type
Group
1PCWHEATR Commercial Water B PCWHEATR
HeaterNent
1BSEISMICOM Seismic Commercial B
1PRWHEATR Residential Water B PRWHEATR
HeaterNent
1BSEISMICRE Seismic Residential B
1PPERMITFEE Plumbing Permit P
1 TRAVDOC Travel & B
Documentation
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
.rt.
B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 7points
11. Permeable Paving, Note L-1
C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1
D. Structural 3. Uses Wood I-Joist, (See Spec.) S-2
5. Use Truss with heels, (detail) S-2
6. B. OSB Sheathing, detail S-2
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.
X.-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 D
3.Remodel for Mixed Use,Adaptiye 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
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 D
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 I 1
B.Foundation
1.Incorporate Recycled Flyash in Concrete
25%,Recycled Flyash=2 points;Add 1 point for every 10%
• . increase of fyash,up to 5 points up to 5 Resource pts 0
2.Use Recycled Content Aggregate 2 Resource pts y=yes 0
3.Insulate FoundationtSlab before backfill 3 Energy pts y=yesFT 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 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 Ener is
9Y P 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.Subfoors 1 Resource pt y=yes 0
• J.Sheathing 1 Resource pt y=yes 0
1 1
INPUT Resources Energy
I.Windows 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 yryes 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 Ducts Before Occupancy 2 IAO/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 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 pis 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 stovesfinseds 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 4 IAQ/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 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 pis y=yes 0
4.Install Photovoltaic(PV)System
(1.2 kw=6 points,2.4 kw=12 points,3.6 kw=1 B points) Up to 18 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 0
I 1 1
L.Natural Heating and Cooling
1.Incorporate Passive Solar Heating 5 Energy pts y=yes 0
2.Install Overhangs or Awnings over South Facing Windows 3 Energy pis . y=yes 0
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y--yes 0
I 1 1
•
Community Development
i 10300 Torre Avenue
�� Cupertino CA 95014
Telephone(408) 777-3228
CIT'OF Fax(408)777-3333
A10:UPEkTINO
Building Department
JOB ADDRESS: PERMIT #
O OS7r7dl(
OWNER'S NAME: rtn-j N a PHONE # O 7
GENERAL CONTRACTOR: 0 Fi j k R- 12 FAX #
I am not using any subcontractors: 7 /' /c /G Y
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 Ile
/C
Owner/Contractor Signature Date