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08080227 CITY OFCUPERTINO 77,,7a{,�:40r''117 "��'�� ^'� BUILDIAG DIVISION PERMIT �.3�CUNT$.X 'A"PI 'aR�IN, I- RMATI.O BUI TNG�q] DRESS: PERMfr NO. 8f . TUGGLE AVE ALLSTAR PLUMBING 08080227 OWNER'S NAME: PERMIT ISSUE DATE ilk LOVANN FLAUGHER 326 PHELAN AVE 08/28/2008 NE: (408) 20-5559 SANITARY NO. CONTROL NO. ARCHITEC(ENGINEER: BUILDING PERMIT INFO BLDG ELECT' PLUMB MECH S o p LICENSED CONTRACTORS DECLARATION rdF 1 hereby affirmNm 1 am licensed under provisions of Chapter 9(commencing Job Description - zlay with ScaMm7")afDivision3afthe Busincuand Profeasiam Code.andmylicenseis TANKLS WTRHTR INSTL, ADD NEW GAS LINE ce ^ in full faraad effete 3 Le ,M4 LIcm.Clue ,ss�---Lk.0 9 Dam wZz�/.3___Comwctor ARCHI ECIIDECLARATION S I mMenund my plans shall W used as public mcm0 5yU g ud LucnseJ Poacsaionel Sy R-BUILDER DECLARATION i 1 hereby.(Bre that 1 1. exempt from the Contractors Co License Law for the O O fallowing meson.permit (Sudan BDI3.Business and arts,professions Code:Any city of county $� which requlrns a prsmit m ennrtruc4 alte4 improve,demolish,or repair any stncmm ' Z_} Pnnf della lIIuaM0.alN legalme Ne apphGat(af 8ueh pCf111it to tilt aalgaml NNllleal xx� that he is licensed puramt N the provision,of the Commctee.Lima.Law(Clupter 9 Sq.Ft.Floor Area Valuation Fs mmor wing wide Section1000)ofDivuim3of0.Real.and ProfwsimuCode)or $4000 that he is exempt time= the basis for the alleged exemption,Any violation of Section 10313 by any applicant for a permit subjects the applicent to a civil penalty of Number Occupancy T aot mom Nan 0w hundred dolurs(5500). 3 7 5 3 3 0 6 4 W pane y ype 0 I,as owner of Ne pmpWy.a my wploycv wide wage U Neo mlecompenadon. and Prthawosk.andNeshumureunoq Licensor Law doforsakpply M i Masiws Required Inspections end enywaiobu Code The Geothermal,and law dace not apply lf an awgh is 9 P pwpem whobuilds idimprorw thermal,and who certsuehwankhimself ulThrough his ow.employees,the w,provmed Nr Improvement U improvements not inundedaroQered formee. however,the building m improwmmn u sold wititln ace year of mpro a far IW awe of builder will tuns Ne Walden of proving that he did Out build m improv fru purpose of sok.). ❑I,as owner of the property,am wclusively conaaeting with licensed mamma to construct the project(Sec.10/4,Business aed Professions Code:)lite Commences Li- cave law drum not apply in an owner of property who Wim,or improve,deemon,rod. who contracts for such pmjeeu with a cormamer(s)licensed pursvnt to Ne Committees Ilce"••law. ❑I me exempt under See .B&P C far this mann Owner Data WORKERS COMPENSATION DECLARATION 1 hemby aBinnuneef pevlty of perjury ore of IW following decundav: 1 have end will maimain aCeNOwteof Cover coact(-ivum for Warte(sCompen- wtien.a provided for by=Ion 3700 of the Labor Code.for dee performance of the work for which this permit is issued. , ❑I have and will maintain Warlmes Compensation Insurace,as required by Section 3100 of the Labor Cade.for the performance of Me"A fmwhich due permit is issued. ' My Worker's Compensation Insurance wrricr and Policy number ere: Cartier. ar lo's Policy No.: !d6'rM I Zo(5 CERTIFICATE OF EXEMPTION FROM WORKERS' 33 COMPENSATION INSURANCE (Deusamare need not W completed(flim permit u franc hunNeddallam($100) or less) 1 certify Nat in dee performance of Ne work fns which this permit Is lamed,)shall Out employ any persue In any moneran as to become subject m Ne Workers'OssimMalen Laws of California.Data Applicant NOTICE TO APPLICANT.If,a0er missing this Cer iamm of Exemption.you should become subject to the Workers Compensation provisions of the Labor Cede you must wJ Z forthwith comply with such provision or this permit shall k demand revoked. „zt tiCONSTRUCTION LENDING AGENCY [-v I hembyaRrm Na Nem is a construction lending agency for Ne performance of . �i the work for which this penis is issued(Sec.3091,Civ,C.) �W Q lander'$Name , i7. z Lender,Address (.)Q I certify that I haw read this application and sum Nu Ne show Information u Iy F contact.I agree to comply with all city and county orikamxs and sou law,muting to QU Wilding conmvcGan,and hereby summon representatives of this city in cater upon dee W aWve-mcndaned property for inspection purposes (We)agree to ace,indemnify cad keep harmless the City of Cupertino against hi C,) liabilities,judgments,cam and expenses which may in any way acrnm against said City O in ^Of the goonuft Of APPLICANT UNDERSTANDS ANDWILLWILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE REG�f}fFfON1, ����� Re-roofs Signuun�ppli once' Data HAZARDOUS MATERIALS DISCLOSURE Type of Roof --- Will the applicant or future Wilding(Lewpantaore orhandtc hamadous materia as dc0ued by dee Common Municipal Code.Chapter 9.13,and dee Heahh and Safety Code,Samim 255320)1 aK All roofs shall be inspected prior to any roofing material being installed. OWill the applicant or future Wilding occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove IL haamous air contaminants at de0vd by the Bay Area Air Quality Management all new materials for inspection. District? / ❑Yw �1[s I haw mall the haamous materials requirements under Chapter 6.95 ofdm Caiifor. nu Ncalde&Safety Cadc.Scniav25505T15533.d25534.1uWmmdNaifthc Wilding does not currently have a anent,Net it u my mmponsibllity at notify On occupant of dee amuimments WmmpriarmIssuance,afacarafiwteoroccupancy. Signature of Applicant Date owner or emnomm,gem Date All roof coverings to be Class'W'or better ' CITY OF CUPERTINO • 5 ITEMS OF 5 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN 37533064 . 00 DATE ISSUED. . . . . . . : 08/28/2008 RECEIPT # . . . . . . . . . : BS000005931 REFERENCE ID # . . . : 08080227 SITE ADDRESS . . . . . : 18911 TUGGLE AVE SUBDIVISION . . . . . . . CITY . . . . . . . .. . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : LOVANN FLAUGHER ADDRESS . . . . . . . . . . : 18911 TUGGLE AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : KYLE MORROW CONTRACTOR . . . . . . . : DUARTE TADEV LIC # 22189 COMPANY . . . . . . . . . . : ALLSTAR PLUMBING ADDRESS . . . . . . . . . . : 326 PHELAN AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95122 TELEPHONE . . . . . . . . : (408) 230-5569 • FEF, ID UNIT QUANTITY AMOUNT PD-TO-DT -THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---- 1.BPGAS OULETS 1 . 00 61 . 19 0 . 00 61 . 19 0 . 00 1.13SEISMICR VALUATION 4, 000 . 00 0 . 50 0 . 00 0 . 50 0 . 00 1.PPERMITFE 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 167 . 75 0 . 00 167 . 75 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER -- --------------- -------------------- CREDIT CARD 167 . 75 VISA --------------- TOTAL RECEIPT 167 . 75 VOICE ID DESCRIPTION VOICE ID DESCRIPTION - --------------------------- -------- ------------------- 106 SEWER & WATER 202 UNDERFLOOR PLUMBING 301 ROUGH PLUMBING 400 SEWER/LATERAL 507 FINAL PLUMBING • CITY OF CUPERTINO 0.2 REPIPE/SEWER/MAIN SERVICE CITY OF CUPEVINO PERMIT APPLICATION FORM APN# — Date: 530 (..0C/ C) L fo8 Building Address: 911 Tuggic, avc, Owner's Name: 6.0 Phone #: 2. - �G Louo o-0 4 e Contractor: fJ Phone fiilpk 5-I Co oy p v Y (J M I Fax M. Contact: Phone#: ' $olk J C 'v Ce-Z Fax #: Contractor Licens . 7 3 Z Co 1 Cupertino Business License #: Job Description: To-rl4t ca5 �v��/ i n 5 t�-l ) - 4�rrt �•-� Cdr I ,u Residential Commercial ❑ Valuation: O 0 C) Project Size: Express JK 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. V Green Building Points: Quantity Fee ID Fee Description Fee Permit Type Group 1PCSEWER Commercial building P ICPSS sewer/sanitary sewer 1BPREPIPE Commercial re-pipe per fixture P 1CPRP 1PGASCOM Commercial Gas Piping System P 1-4 Outlets 1BSEISMICOM Seismic Commercial P IBSEISMICR Seismic Residential P 1PRSEWER Residential building P 1RPSS sewer/sanitary sewer CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE CUPERTiNO FEE SCHEDULE • Quantity Fee ID Fee Description Fee Permit Type Group IPRREPIPE 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 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 1PLMBLNCK Plumbing Plan Check P • IPLMBINSP Other Plumbing/gas Insp. P 1TRAVDOC Travel &Documentation Fee B 1BUSLIC Business License B r w 1 lj(2 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. EnerqV Star Refri erator, (Note/Spec. A-3 1oint P. Other 1. List Green Features on Plans A-1 1 point TOTAL POINTS1 40 points • • Plan Review Process Work Book Page-l2-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 Resoulces Energy IAO/Health to 1.Recycle Job Site Construction&Demolition Waste 65%=1 point;75%= 2 points;80%=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 S.Minimize Disruption of Existing Plants&Trees 1 Resource pt y=yes 0 6.Implement Construction Site Stonnwaler Practices 2 Resource pis 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 Matedals/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-Sita 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 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 Wolsts 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 1 Resource pt y--yes 0 • 1 1 1 n ows 114PUT ReSDUrCeS Energy IAD/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 1 Energy Pl Y=Yes D 1 1 1 J.He Ventilation and Air Conditioning 1.Use Duct Mastic on All Duct Joints 2 Energy ptses 2.Install Ductwork within Conditioned Space 3 EY-Y 0 Energy pts y=yes p 3.Vent Range Hood to the Outside 1.IAQ/Healtht 4.Clean all Ducts Before Occupancy P y0 21AQMealth pts y=yes yes 0 5.Install Solar Attic Fan 2 Energy pts 6.Install Attic Ventilation Systems YYeS 0 1 Energy Pt Y=Yes p 7.Install Whole House Fan 4 Energy pts Y--yes 8.Install Sealed Combustion Units 0 a.Furnaces 3 IAQ/Health pts y=yes b.Water Heaters 0 31AQ/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 13.Retrofit Wood Burning Fireplaces 0 • a.Install EPA certified wood stoveslnserts 1 IAQ/Healthy = P t es J. Install/Replace Dampers 0 1 Energy pt yes 0 c.Install Airtight Doors 1 Energy pt y=yes 14.Install Zoned,Hydronic Radiant Heating 3 Ener is 0 15.Install High Efficiency Filter 9Y P Yes 0 41AQMy= ealth pts yes 0 16.Install Heat Recovery Ventilation Unit(HRV) 5 IAQ/Health is 17.Install Separate Garage Exhaust Fan P Y-Yes 0 31AQ/Health pts y=yes 0 K.Renewable Energy and Roofing 1 I 1 1.Pre-Plumb for Solar Water Heating 4 Energy pts 2.Install Solar Water Heating System YYes 0 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=18 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 L.Natural Heating and Cooling 1 1 1 1.Incorporate Passive Solar Heating 5 Energy ptsy 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 Ener is 9Y P Y=Yas 0 • 1 1 1 Community Development ^ 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 WUPEkTINO Building Department JOB A:)DRES5: c PERMIT# FIV,IUB oaf 7 OWNER'S NAME: $ �� ,t,, b; PHONE # 6 S I' 6 o yp GENERAL CONTRACTOR: -A1< FAX# I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the followin 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