08040156 BUILDING DIVISION PERMIT
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P�PRUNE TREE LN GENMOR PLUMBING 08040156
OWNER'S
NAME: PBRMrf LSSUEDATE
LING HULLON 2552 SEABOARD AVE 04/22/2008
NE SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
COPPER REPIPE MAINLINE E, 'BLDG0 ELECT PLUMB MECH
0 0 0
o o LICENSED CONI7tACnder provisions DECLARATION WATBR HEATER
IOb Descr] tion
Z 1 ionherebyTO arid'sw 1 am If¢�underdProf Chador 9(mrnmeaning P
n< with Section7gK2)ofDiviaian 3o(the Busnem ad ProraWont Cada,ami my license is
in full faand L /
CY�iZ Licen Crm Is Lac.Is
9 Dam — Co.
311 ARCHnECYS DEC A
I understand my plans Nall he used Re public mcorda
yah Licensed Professional - -
m 3 OWNER-BUILDER DECLARA71ON
<S 1 hereby aRrm that I am exempt rrom the Contracmf,License law for tie
i p O following moron.(Section 7031.5,Business and Professions Cade:Any city in county
S$ which acquires a permit to conium,altar.improve,demolish,or repair my immune
Z�^ prier to its issuance.also meal.theapplieant rormch permit in file R.Ii,oimaterenr
Nat heIs,licensed pursuant tothm ProvisionsoftieContracer's License Law(Chapor9 Sq.FL Floor Area Valuation
(commeacing with Section TODD)M Division 3 of the Business and Professions Cadidor
S�.. that he is exempt themfran and the buil far the alleged exampdao.Any vloladan or
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of APN Number Oe
noth
not am an five hundred dollen(Sum). Occupancy Y EYP
❑1,as am=of rile property,or my uopiayee,with signs in their Rule compensation,
will do the wank,and the rectum is rotimmnded"offered fm We(Sec.7014.Budtvsa
Rod Profassiant Code:The Contractors Lt.Law dins,set apply man ave"r of ,Required Inspections
propery who build,or improwa thereon,and who does such work himself or truough his
ownemploymas,provided slut each improvements am not intended interested for We.If.
however.the building"improvement Is sold within tem year of completion,the inner.
bidder will have W India of proving that M did ant hrdle or improve far purpose of
saC.).
Q 1,as owner of the proper,.am
Mm
exclusively conling with licensed naacm
mt tors
couro the mica(Sac.7044.Business and Professiant Code)not Contrmer',Li-
cents raw doss not apply to an owner of property who Mlds a improves Iheman,and.
who...%for such projects with a conuacmr(s)licensed porseant no the Conuseots
License Law.
❑Iamexemptimilm See .B&PCforlhI...
Owner Data
WORKER'S COMPENSATION DECLARATION
110 I hereby afrom under perWty of perjury am of the following declNdmis: �t
❑on.a urs ides for bin ection Scam of the Lett r Cod-Inmm car WaheACampem f'
moan.r provided thi(Pe by Sateen 37m of the lab"Code.f"the Rrannarroe of the
work for which this permit is iasuetl.
❑1 Nve and will maintain Workers anent o ft w Irtsunnmo,h ms permit section
My Worker,f the
Code.for des
amencemanmofd work for number am: permitblumd. -
My Workefa Campe////ntaoon Intunane tutu and Policy number aR:
Clarer�s-Q/C"il Polity NoJSY�LUC.f/O�O�
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE v..
(rob section need antbe completed if tie permit lifetime hundred&Jim(glen)
or leu)
1 mortify,shot in the mull neves of the wart far which this permit is issued.I shell ant
employ any Reason in my mannered as to become subject in tie Warkce r Compensrion
Lawn of California.Data: '
Applicant
NOTICE TO APPLICANT.If,after making this Certificate of Exemption,yen should
become subject in the Worker's Compensation provisions of the Labor Cade,you mail
.J O forthwith comply with such provisions or Nu permit shall Re decmed neveked.
ti R CONSTRUCTION LENDING AGENCY
'rtE2 I holiday imam Wt them it a construction lending agency for the performance of
rG> tiro week ser which this permit isWmd(Sm.3097,Civ.C.)
QLenders Nam.
]z Lender's Address
V Q 1 certify Nat 1 have read this application aml sum thu the above Intervention b
)g,!'! Comm 1 agree in comply with all city and County aNlmam:es and sum laws relating in
Q Lf.^I Wilding convection.aW hereby mthaden representatives or this city be enc"upon the
Da shave-mentioned property far inspection purposes.
gy (We)agree to save,indemnify and keep harmless the City of Cupertino against
,.y % liabilities,judgments.cots and expenses which may in my way acme against Wit City
V Z in consequence of the panting of this MMiL
t—t APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:
SO ECU ONs, / � (
Date
r`.17r
Re-roofs
Signuum of Appilimnt/Cantramor Data
HAZARDOUS MATERIALS DISCLOSURE Type of.Roof
Will the applicant"future building occupmtstore or handle hansom us mamrsi
M dclined by the Cupertino Municipal Cade.Chapter 9.12.and the Health and Safety
Cade,Section 25532(,) All roofs shall be inspected prior to any roofing material being installed.
CYns ®hip
Will the applicant or room building occupant um equipment a devices which If a roof is installed without first obtaining an inspection,I agree to remove
t hnatdons air Contaminants as dcfnned by the Bay AMR Air Quality Management all new materials for inspection.
District] ,-t�
❑Yes W y
I have read the havardausmamratsrequircmcres eadmChapmr6.95afthe Cnifer-
fib Health&Safety Cods,Secsom 25505,25533 said 25534.1 undantand thrif ire Wilding
does not currently have..4 dun it b my rspantiNlity in andry the ancupann of dm
mgmm a whic be met Pr 'ssummo r,certiwmafOa'N"y. Signature of Applicant Date
o�
All roof coverings to be Class'%¢,'or better
caner or authored agent Deo
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
WUPEkTINO -
Building De artment
JOB ADDRESS: PERMIT #
O rev - Gti
OWNER'S NAME: G x) PHONE #CD8 3/ S /
GENERAL CONTRACT R�,e FAXI.
I am not using any subcontractor x/-201-08
Signature Date
Please check applicable subcontractors and complete the following information:
60 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 /jJ F-33 j 6 /
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
cc?
Date
Owner/Contractor Signature Date
CITY OF CUPERTINO
• 4 ITEMS OF 12 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 31633080 . 00
DATE ISSUED. . . . . . . : 04/22/2008
RECEIPT # . . . . . . . . . : BS000004549
REFERENCE ID # . . . : 08040156
SITE ADDRESS . . . . . : 10439 PRUNE TREE LN
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : LING HULLON
ADDRESS . . . . . . . . . . : 10439 PRUNE TREE LN
CITY/STATE/ZIP . . . : CUPERTINO, CA 95050
RECEIVED FROM . . . . : GENMOR PLUMBING CO
CONTRACTOR . . . . . . . : GENARO MORALS LIC # 27101
COMPANY . . . . . . . . . . : GENMOR PLUMBING
ADDRESS . . . . . . . . . . : 2552 SEABOARD AVE
CITY/STATE/ZIP . . . : SAN JOSE, CA 95131
TELEPHONE . . . . . . . . : (408) 855-8348
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------ ---------- ---------- ---------- ---------- ----------
1BPWATER UNIT 1 . 00 40.79 0. 00 40 .79 0 . 00
1BSEISMICR VALUATION 8, 000. 00 0. 80 0. 00 0.80 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 123 .17 0 . 00 123 . 17 0. 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ------------------ ---
106 SEWER & WATER 301 ROUGH PLUMBING
507 FINAL PLUMBING
•
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, 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 pont
P. Other 1. List Green Features on Plans A-1 1 point
IMMAMMUM TOTAL POINTS 40 points
a
Q%
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.
rte
1.Recycle Job Site Construction&Demolition Waste
65%=1 point;75%= 2 points;60%=4 points up to 4 Resource pts 0
2.Salvage Reusable Building Materials i 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
6.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 I 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=yes 0
mm1
C.Structural Frame
1.Substitute Solid Sawn Lumber with Engineered Lumber 1 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
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
12.Use OSB
a.Subfloors 1 Resource pt y=yes 0
• L b.Sheathing _ 1 Resource pt y=yes 0
1
MONO
. 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 IAO/Health pt y=yes 0
3.Install House Wrap under Siding 1 IAO/Health pt y=yes 0
4.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 0
1 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 Filler on Showerhead 1 IAO/Health pt y--yes 0
6.Convert Gas to Tankless Water Heater 4 Energy pts y=yss 0
7.Install Water Filtration Units at Faucets
(2 points each,up to 4 points) Up to 4 IAO/Health pts. 0
B.Install On-Demand Hot Water Circulation Pump 4 Resource pts y--yes 0
r.eiectncai
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 pts. 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.lnstall Energy Star Refrigerator 1 Energy pt y=yes 0
4.Install Built-In Recycling Center 3 Resource pts y=yes 0
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 pis y=yes 0
'3.Install Recycled-Content,Fiberglass Insulation with
No Added Formaldehyde 3 IAO/Health pis 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 0
b.Ceilings 4 Resource pts y=yes 0
6.Alternative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y=yes 0
D.oenings 4 Resource pts y=yes 0
INPUT Resources Energy A011-lealth
in ows
1.Install Energy fffcieni 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
-f 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 IAO/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 Ventiiation Systems 1 Energy of 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 IAO/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 stoves/inserts 1 IAQ/Heallh 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 IAO/Health pts y=yes 0
16.Install Heat Recovery Ventilation Unit(HRV) 5 IAQ/Heaith pts y=yes 0
17.Install Separate Garage Exhaust Fan 3 IAO/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 18 Energy pts 0
L.Select Sate and Durable Roofing Materials 1 Resource pt y=yes 0
7.Install Radiant Barrier 3 Energy pts y=yes 0
1 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 pts y=yes 0
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0
1 1
INPUT ROSDUTCeS Energy AO/Health
. n cur r ua H an n s es
1.Use Low/No-VOC Paint 1 IAQ/Health pts y=yes 0
2.Use Low VOC.Water-Based Wood Finishes 2 IAQ/Health pis y=yes 0
3.Use Low/No VOC Adhesives 31AQ/Heallh 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/Heallh pts y=yes 0
7.Seal all Exposed Particleboard or MDF 4 IAQ/Health pts y--yes 0
8.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 IAQ/Hsallh pts y=yes 0
1 1 1
N.Flooring
1.Select FSC Certified Wood Flooring 7Resourcepts
pts y=yes 0
2.Use Rapidly Renewable Flooring Materials pts y=yes 0
3.Use Recycled Content Ceramic Tiles pts y=yes 0
4.Install Natural Linoleum in Place of Vinyl th pts y=yes 0
5.Use Exposed Concrete as Finished Floor pts --yes 0
6.Install Recycled Content Carpet with Low VOCs pts y=yes 0
I 1 1
Total Points A 1 1401 130 57
Total Points Pro'ect Received: 1 0 0 0 •
G:datarprogsrgreenbuildingguidelines/remodelera/greenpolntsOnal2.12.g4protected.¢Is
CITY OF CUPERTINO
,e� REPIPE/SEWER/MAIN SERVICE
CITY OF
CUPERTINO PERMIT APPLICATION FORM
APN # , v(" 3 3 00 ' Date:
- - 08
Building Address:
Owner's Name: Phone#:
o �v 5'0 8 -,3 3 i
Contractor: Phone#:
GeN Fax#: fte • 7- (7 9/
Contact: Phone#:
Fax #:
Contractor License#:
Cupertino Business License#: D I
Job Description:
coo /� i`/� icJ < e r'
Residential �/ Commercial EJ
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.
Quantity Fee ID Fee Description Fee Permit Type
Group
1PCSEWER Commercial building P 1CPSS
sewer/sanitary sewer
1BPREPIPE Commercial re-pipe per fixture P ICPRP
IPGASCOM 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
G REPIPE/SEWER/MAIN SERVICE
CUPER,TINO 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
/ 1 BPWATER Install/alter Water Pipe 9PP 1BPFIXTURE Plumbing Fixture 1PGASRES Residential Gas Piping System
1-4 Outlets
1 BPGAS Gas Piping System 5+ Outlets P
/ 1 PPERMITFEE Plumbing Permit Fee Issuance P
1PLMBLNCK Plumbing Plan Check P
1PLMBINSP Other Plumbing/gas Insp. P
/ 1TRAVDOC Travel & Documentation Fee B
1 BUSLIC Business License B