Loading...
08060243 CITY OF CUPERTINO twa � an. - N� BUILDING DIYISIOT .- ——' PERMIT WCUN nGTORINFORMATIOO ` ' PERMIT NO. ' aulL22OAfJQRE BITTER OAK ST TBD — TO BE DETERMINED 08060243 . OWNER'S /NAME: BIS PERMIT ISSUE DATE . GILBERT MANFAI LAU /CHI TAN 06/30/2008 ONET T1 SANITARY NO. CONTROL NO. • ARCHITECT/ENGINEER: BUILDING PERMIT INFO REMODEL 2 BATHRMS, REMOVE BLDG ELECTEn PLO 0 hr 100i LICENSED CONTRACTORS DECLARATION EXI&TINC VANITY AND • ^.-Job Descri hon iU F I hereby affirm that I am licensed under provisions of Chapter 9(commencing `,' with Section 70110)of Division 3 of the Business and Professions Code,and my license is Dr, in full fame and effect 5giZLicense Class Lic.# nF o Dale Contractor ARCHITECTS DECLARATION gW V II understand my plans shall be used as public records g,.16-G Licensed Professional 3 OWNER-BUILDER DECLARATION • iM I hereby alarm that I am exempt from the Contractors License Law far the ❑0 following mason.(Section 7031.5,Business and Professions Code:Any city or county g to which requires a permit to constrrp,alter.impure.demolish.or repair any sanctum _z y prior to its issuance,also requires the applicant for such permit to Ole a signed statement < uwheisRansedpursuant IndepmvisiansofteContractor's ueenseLaw(Chapter 9 - Sq.Ft. Floor Area Valuation Pel; (commencing with Section 7000)of Division 3 of the Business and Profusions Code)m e w^ that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of AFN Number Occupancy e not more than five hundred dollars(5300). P Y TYP 0 I.as owner of the property,or my employees with wages as deb sole eanperuadon, will do the work,and the structure is not intended or offered for sale(Sec.7044,Business and Professions Code:The Contractors License Law does not apply to an owner of Required Inspections property who builds or improves thereon.and who does such work himself or through his own employees,provided that such improvements am not intended or offered for ale.If, • however,the building or improvement Is sold within one year of completion.the owner- builder will have the burden of proving that he did not build or improve for purpose of sale.). . P. 1.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Sec.7044.Business and Professions Code:)The Contractors Li. . cense Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a con t(s)licensed pursuant to the Contractors . License La ❑nem � CI, ice/ Datedinn5D .carieiLL� ORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑I have and will maintain a Certificate of Consent to self-insure for Workers Compen- ' nation,as provided for by Section 3700 of the Labor Code.for the performance of the work for which this permit is issued. ' I have and will maintain Workers Compensation Insurance.as required by Section 3700 of the Labor Code.for the performance of the work for which this permit is issued. ' My Workers Compensation btsuranct carrier and Policy number am: . Cartier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE • (This section need not becompleted if the permit Is for one hundred dollar(SIa0) or less.) • I certify that in the performance of the work for whit is permit is Sued.I Nall not employsanypesria. ore sex a e..._ tWtfmri CagrPenution 0 Taws of California. a I `e 10 rV NOT!Applicant v stoic. tsh NOTICE TO APP IL after making this of of Exemption,you should become subject to the Workers Compensation provisions of theLabor Code,you muss .J Z forthwith comply with sucha thisdeemed provisionspermit shall be resoled. z OCONSTRUCTION LENDING AGENCY C4 1 horewhihthi that mer is a ed(Sec. lendingC . agency for the performance of C> the work for which this permit is issued(Sec.3097,Civ.C.) W z Lenders Name ma0. z !.enders Address U 0 I certify that I have read this application and state that the above Information is , 5 coram I gra to comply with all city and county ordinances and state laws relating to •0 SU^ building cowruction.and hereby authorize representatives of this city to emu upon the above-mentioned property for inspection purposes H y (We )agree to save,indemnify and keep harmless the City of Cupertino against fq liabilities judgments.cosu and expenses which may in any way acerae against said City I _Ia 0 z in consequence• ranting of this permit. ^ APPLICA • U 'STANDS AND COMPLY WITH ALL NON-PO SOURCE' „ Issued by: - �a/ �// Date A �' 2, �NF Re-roofs 0 Signature of Applicant/Contractor Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building occupant pore or handle hazardous material • as defined by the Cupertino Munic'pal Code.Chapter 9.12.and the Health and Safety ode.Section 7.5532(a)? ❑Yon a All roofs shall be inspected prior to any roofing material being installed. Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit hazardous air contaminants defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yes u I have real the hazardous materials requirements under Chapter 6.95 of the Califor- niaHWN&Safct Code.Savor 25505.23533 and 25534.1understand that if the building does not corm,,•tea tenant that it is my ,.. .Wiry to notify the occupant of the requi. ynstr/l,' onset priortoi, Ceras/,pQlfico a /J Signature of Applicant Date Owner or authorized agent Date' . All roof coverings to be Class 141 or better CITY OF CUPERTINO • 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: SylviaM COPY # : 1 Sec : Twp: Rog: Sub: Blk: Lot: APN • 32651020 . 00 DATE ISSUED • 06/30/2008 RECEIPT # • BS000005287 REFERENCE ID # . . . : 08060243 SITE ADDRESS • 22221 BITTER OAK ST SUBDIVISION CITY • CUPERTINO IMPACT AREA OWNER • GILBERT MANFAI LAU /CHI TAN LI ADDRESS • 22221 BITTER OAK ST CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM • KAI CHUNG LAU CONTRACTOR • TBD - TO BE DETERMINED LIC # 00096 COMPANY • TBD - TO BE DETERMINED ADDRESS CITY/STATE/ZIP , TELEPHONE FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL 1BSEISMICR VALUATION 10, 000 . 00 1 . 00 0 . 00 1 . 00 0 . 00 1PPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00 1REMRESBAT SQ FEET 36 . 00 429 . 00 0 . 00 429 . 00 0 . 00 1STPLNCK HOURS 1 . 00 122 . 00 122 . 00 0 . 00 0 . 00 1TRAVDOC FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00 TOTAL PERMIT : 633 . 58 122 . 00 511 . 58 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER CREDIT CARD 511 . 58 VISA TOTAL RECEIPT : 511 . 58 . OFF JUN 2 h• (Uud FFgcF O • Street Address: 22221 Bitter Oak Street Cupertino, CA 95014 r 20 30 ' 915Parcel#: 326-51-020 1 17 4 '0 3 Tract#: 5128 Book 299 Page 1 9 Page 2 11 Lot 20 11 Floor Area: 959 Sgft 1 1 Lot Size: 1742 Sgft N fV Garage .Lie©61 � e Kitchen C 1< o • e . W 1'1T21 -9,1-• 6'1 111 • 201 .-....-I--= l n Dining Area • Bedroom 1 Master Bedroom • Living Roomc..,D It:' LICA, . II Bathroom 1m - BuL Bathroom 2 ----.1 L _ H 311 3'S-iII F-3'11-L-3'S_i I. 1 71 T4�6'4 Il V 36'3 Master Plan • (ORIGINAL) • • Street Address: 22221 Bitter Oak Street •• Cupertino, CA 95014 • 301 Parcel#: 326-51-020 207 1 99 °� 031 Tract#:5128 Book 299 Page 1 9 Page 2 11 Lot 20 11 Floor Area:959 Sqft 41 Lot Size: 1742 Sqft • } M0 Garage _ �° i • r Kitchen Iai (• YB ttl- 94 11.1 11'10-211 gym] / 6'1C 11'1 203 f I I 6.4 Dining Area - -1- Bedroom 1 Master Bedroom • Living Room Area • � n Barthroom Walk-in m�} I Bathroom 2-. �\ closet L U I® -l� j 311T' --- L3.11�L-35 AI F--- � L T3 4 T4 t TB 821 39'3 Master Plan Scope of Work: (REMODEL) 1. Remodel 2 bathrooms: Bathroom 1 and Bathroom 2 (details on separate plan) 2. Remove existing vanity and build a walk-in closet in Master Bedroom 3.Add a gas line for gas range 4. Add recessed lights with dimmer switches to Master Bedroom,walk-in closet, Bathroom 1, Bathroom 2, Bedroom 1, Living Room Area, and Dining Area. liberal Notes: • A dedicated 20-AMP circuit to serve the required bathroom outlets. All switches are to be of the grounded type as per CEC (380-9) • Scope of Work: Remodel Bathroom 1 and Bathroom 2 -ramie tile or EQ o/ Existing ement wonder board cnity light • building paper. Min. 70 inches aboeeCeramic tile or EQ o/ •rain inlet. NP. 28"-80" cement wonder board u/ building paper. -cuzzi tub '4"min. Min. 70 inches abote 20 AMP GA 1.6 gallon drain inlet. NP. ax. per flush 15" min. 28"-80" 4 :l 24"-80"}Ar} irsiierrama _ Wirt L • iar" Tr �V'Jalk-in • matheto 'closet dim` etl _%-• 1 15°x 15" New walk-in otor access closet Ceramic tile or EQ o/ New exhaust cement wonder board fan w/light u/ building paper. Min. 70 inches abate Existing drain inlet. NP. 30°min. Existing Shower& Temp New Lenity glass enclosure nd sink Ceramic tile or EQ o/ cement wonder board New vanity light) u/building paper. Min. 70 inches above drain inlet. TYP. Existing exhaust • fan w/light telt Community Development �}a l `� 10300 Torre Avenue 666��. Cupertino CA 95014 Telephone(408)777-3228 it CITY OP Fax(408)777-3333 U P E RJ I N Building Department All Cupertino building permits must meet certain conditions related to maintaining environmental quality and public peace and safety. The two most common conditions are described below. STORM WATER POLLUTION CONTROL State law requires that Cupertino, 12 other Silicon Valley cities, Santa Clara County and the Santa Clara Valley Water District control stormwater pollution. Educating local residents and businesses and enforcing stormwater pollution control laws are key parts . of the City's compliance efforts. • Stormwater pollution prevention: It's up to us • In northern Santa Clara Valley, storm drains flow directly to local creeks and San Francisco Bay, with no treatment. Stormwater pollution is a serious problem for wildlife dependent on our waterways, for people living near streams and baylands, and for the local water supply. Common sources of stormwater pollution include: • • Dripped oil, fuel, and antifreeze from vehicles and heavy equipment; • Construction debris, including dirt, concrete and paint; • • Landscaping runoff containing pesticides or weed killers; and • Any material dumped or spilled into streets or storm drains The property owner and the contractor share ultimate responsibility for activities occurring at a construction site and will be held responsible for any environmental • damage caused by subcontractors or employees. . • • For more information on construction-related stormwater requirements, see the Stormwater Quality Regulations section of the City of Cupertino web site at: htto://www.cupertino.orq/city government/departments and offices/ environmental services COMMUNITY NOISE CONTROL The basic noise control requirements for construction sites are as follows: • Typical construction work hours are: - Weekdays - 7 a.m. to 8 p.m. - Weekends - 9 a.m. to 6 p.m. • Construction other than street construction is prohibited on holidays. • Residential daytime noise levels from complaint site - 60 dBA • Nonresidential daytime noise levels from complaint site - 65 dBA For more information on noise control, please see Chapter 10.48 of the Cupertino Municipal Code, which can be accessed at http://www.amlegal.com/cupertino ca/ • Greg Casteel Building Official READ JUN 2 6 ZOOS Street Address: l( 22221 Bitter Oak Street Cupertino, CA 95014 301 Parcel#: 326-51-020 F 207 9'6 10' 4 101 Tract#: 5128 Book 299 Page 1 9 Page 2 11 Lot 20 1 l Floor Area: 959 Sgft Lot Size: 1742 Sgft iV Garage Pte; Kitchen LJI � O b �ff•-4'6-i-0'6, 9'4 y 11'1 I--L- I __.117--__._._• 411 20'3 II I e - Dining Area —� Bedroom 1 Master Bedroom Living Room Area "I • 11 L.! bbII0 Bathroom 1 i Bathroom r tO I-3'11-..-3'S-iI 4--T4 73 7'4 I 5'4 9' 363 Master Plan (ORIGINAL) • Street Address: • 22221 Bitter Oak Street Cupertino, CA 95014 • i 301207 ' 9'6 Parcel#: 326-51-020 10 1 01 I Tract#: 5128 Book 299 Page 1 9 Page 2 11 Lot 20 1 I Floor Area: 959 Sqft 1 � I Lot Size: 1742 Sqft TM- N Garage —f� e KitchenlhJ I m <'B—}t'B�--9v 1.--11'1 � 1-- . I Ill 1'10r re l m'3 61 11'1 20'3 __L _—_LJ Dining Area N Bedroom 1 Master Bedroom Living Room Area .l • ..W,-1 _ `LIc e •, �� m.� —� I� L{ Bathroom 1. Walk-inJ � o _ closet a Bathroom 2��- p \,� J'11 ,'sj LJ,1J 2—J', ]Y l )'J l T4 1 TB—f 88 JBJ ___ Master Plan Scope of Work: (REMODEL) 1. Remodel 2 bathrooms: Bathroom 1 and Bathroom 2 (details on separate plan) 2. Remove existing vanity and build a walk-in closet in Master Bedroom 3.Add a gas line for gas range 4. Add recessed lights with dimmer switches to Master Bedroom,walk-in closet, Bathroom 1. Bathroom 2, Bedroom 1, Living Room Area, and Dining Area. *era!Notes: A dedicated 20-AMP circuit to serve the required bathroom outlets. All switches are to be of the grounded type as per CEC (380-9) • Scope of Work: • Remodel Bathroom 1 and Bathroom 2 eramic tile or EQ o/ xisting ement wonder board nity light • building paper. in. 70 inches aboe28"-80" Ceramic tile or EQ o/ •rain inlet. TYP. cement wonder board u/ building paper. Jacuzzi tub 24" min. Min. 70 inches above 40 AMP GFI 1.6 gallon drain inlet. TYP. �8"80° ax. per flush 15" min. 24"- f iffit Air JIi, W1 • Walk-in • =athr•o ,i or closet ' 11111911 Pr 111 15"x 15" New walk-in motor access closet Ceramic tile or EQ o/ New exhaust cement wonder board fan w/light u/ building paper. Min. 70 inches above Existing drain inlet. TYP. 30" min. Existing Shower& Temp glass enclosure New'enity and sink Ceramic tile or EQ o/ cement wonder board New%enity light' u/building paper. Min. 70 inches above drain inlet. TYP. Existing exhaust • fan w/light OWNER-BUILDER VERIFICATION 1. (Check one). I or my immediate family (parent, spouse or child) will perform: A. _ All the work authorized by this permit • B. _ A portion of the work C. None of the work If B or C is checked,complete 2 or 3 below. 2. A state licensed contractor will be hired to do: A. _ All of the work B. _ A portion of the work (complete section below) Contractor Address/City Phone # State License # Type of work to Q� be performed • 3. I will utilize unlicensed person(s) other than my immediate family•to perform all or portions of the authorized work. I understand that I may be an employer(see reverse side). A • Certificate of Insurance covering workers' compensation must be on file at the City of Cupertino Building Department office. Person/Firm Address/City Phone Number Type of work to be performed • I declare under penalty of perjury that the above is true and correct. I have read and understand the Owner-Builder Information (rev se side).� Property Owner's Signature ?' /v(/-'- Date: Gk.. 3D do Job Address: Permit# • Any changes to the information provided on this form shall be submitted to the City of Cupertino Build Department. CITY OF City of Cupertino Building Department 10300 Torre Avenue CU P E IST I N 0 Phone: (408)777-3228 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as owner-builder you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself,you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and tahave a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work,with the exception of various trades that you plan to subcontract,you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is$200 or more for the entire project,and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer,you must register with the state and federal government as an employer and . you are subject to several obligations including state and federal income tax withholding,federal social security taxes,workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations,and these risks are especially serious with respect to workers' compensation insurance. For more specific information about your obligations under federal law,contact the Internal Revenue Service (and,if you wish, the U.S.Small Business Administration). For more specific information about your obligations under state law,contact the Department of Benefit Payments and the Division of Industrial Accidents. • If the structure is intended for sale,property owners who are not licensed contractors are allowed to perform their work personally or through their own employees,without a licensed contractor or • subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an owner-builder building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in•your community or at 1020 N Street,Sacramento, California 95814. Please complete and return the enclosed owner-builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, Building Department, • City of Cupertino Printed on Recycled Paper • -> CITY OF CUPERTINO • ��' � " ADDITION/REMODEL CCUPERJINO PERMIT APPLICATION FORM 01000,24/3 Al N # •220 1 021), ba Date: 6... 0 Oy Building Address: 02611210Z ( &tYw Oak ftient, C oetftN o, c4 cw/ c Mailing Address (if different from building address): Owner's Name: Phone # : b�cdERT /WM 1.40- Ick, TAS✓ an/ CC` ) 716- Sc77o Contractor: 7a(7 Phone #: Fax #: Contractor License #: rap Cupertino Business License #: Contact: Phone #: tee A) 7.0 fL770 ettogT /ifr An( tM-u Fax #: (gvA) 716— cc 270 Building Permit Info: 5-p-p etstA • Bldg. © Elect. I— Plumb. X Mech. E. Hillside ❑ Job Description: /. R¢nwdd 2 bat' u Addition (adding sq footage): ��� �� MC*" ���� z.gemov¢ PrY� '..P v44,%tch'14A'd &/6A e M2lk-ht C1Z!Zt 5. /74411 4 feo JCne What is being remodeled? iloarice ssc,( 174fi4741 444rhevywite4ig Remodel Includes Re-Roof: Yes ❑ No g If yes list number of squares Remodel Includes Structural: Yes ❑ No Square Footage: Addition: Porch: Deck: Garage: Detached Attached Remodel: Kitchen Bath ? , SF Other ow4J 'g4 d47y) Type of Construction (Usage Class): Occupancy Type: I-A, I-B ❑ 11/III/V-A ❑ II/I11 B, 1V-HT, V-B ( /Q t S I DGPIj/ '1 / Valuation:co, /Onooa p Please check this box if the project is a second-story addition ❑ Project Size: Express rgi Standard ❑ Large ❑ Major❑ • Please complete relevant portion of the Green Building Checklist& attach it to the application or if applicable, Green Building Points Achieved: qf include in plan set & the sheet index. ***For Office Use Only*** Over-the-Counter 0 Revised 6/16/08 CITY OF CUPERTINO ADDITION/REMODEL an• of UPEViNO FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft ADDITIONS 1R3SFDADD PLLONGRNGR Long Range PL Planning/Residential 1R3INSP Dwellings Inspections B 1R3PLNCK Dwellings plan check B 1R3REPINSP Dwellings Repeat B Inspection 1R3REPPLNC Dwellings Repeat Plan B Check 1R3HINSP Dwellings Hillside B inspection 1R3HPLNCK Dwellings Hillside plan B check 1R3HREINSP Dwellings Hillside B • Repeat Inspection 1R3HREPLNC Dwellings Hillside B • Repeat Plan Check 1R3ALTINSP Dwellings Alternate B Materials Inspection 1R3ALTPLNC Dwellings Alternate B Materials Plan Check 1PCESS Cesspool p 1PPRSEWG Ea. Private Sewage P Disposal System 1PRSEWER Sewers p 1BPSPRINK Lawn Sprinkler/Backflow P 1BPWSVCS Main Water Service P 1BSEISMICRE SeismicResidential B DECKS 1R3SFDADD OR 1R3SFDREM 1DECKWOOD Deck (Wood)-Each B • (Each) 1DECKRAIL Deck Railing-Each B (Each) CITY OF CUPERTINO ADDITON/REMODEL • FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft GARAGES 1R3SFDADD OR 1R3SFDREM 1GARDTW<=1K Wood Frame up to B 1,000 SF 1GARDTM<=1K Masonry up to 1,000 SF B BCONSTAXR Construction Tax Res (new detached garage) PATIO'S OPEN 1R3SFDADD OR 1R3SFDREM 1PATIOWOOD Wood Frame up to 300 B SF 1PATIOMETAL Metal Frame up to 300 B SF 1PATIOOTHER Other Frame up to 300 SF B PATIO'S CLOSED 1R3SFDADD OR • 1PATIOENCLW Enclosed Wood up to 300 B 1R3SFDREM _ SF 1PATIOENCLM Enclosed Metal up to 300 B SF 1PATIOENCLO Other Enclosed Patio up B to 300 SF 1COVPORCH Porch Covered-Each B (Each) IREROOFRES Residential Re-roof Each B 100 SF REMODELS 1R3SFDREM 1REMRESKIT Kitchen Remodel up to B (Deduct "$"for ea plan 300 SF check) e7 / 1REMRESBAT Bath Remodel up to 300 B « SF 1REMREOTH Other Remodel up to 300 B « SF REMODEL PLNCK Ili 1STPLNCK K (1-3 for Standard Plan Check B NOT FOR OVER THE remodel) COUNTER PLAN CKS. 3 of 3 CITY OF CUPERTINO ADDITON/REMODEL • FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft WINDOW/SLIDING 1R3SFDREM GLASS DOOR 1 WINREP Replacement windows B (ea 8 windows) 1 WINNEWNSTR New Window (non- B structural) 1WINMEWSTR New Window (Structural B Shear Wall/Masonry) 1 WINBAYSTR Bay Window (Structural) B SKYLIGHTS 1R3SFDREM 1SKYL<10 SF Skylight less than 10 sf B 1 SKYL>10SF Skylight greater than 10 B sf or structural 1STAIRS Stairs-first flight/ea addt'l B • IEPERMITFEE Electrical Permit Fee E 1MPERMITFEE Mechanical Permit Fee M J 1 PPERMITFEE Plumbing Permit Fee P 1 ELCPLNCK Stand Alone Electric Pin E Ck (hourly) 1 MECPLNCK Stand Alone Mechanical M Pln Ck (hourly 1 PLMPLNCK Stand Alone Plumbing P Pin Ck (hourly) 1BSEISMICRE Seismic Residential B 1TRAVDOC Travel &Documentation B • IBUSLIC Business License B 4 of 3 CITY OF CUPERTINO ADDITON/REMODEL FEE SCHEDULE • Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft • GARAGES 1R3SFDADD OR 1R3SFDREM 1GARDTW<=1K Wood Frame up to B 1,000 SF 1GARDTM<=1K Masonry up to 1,000 SF B BCONSTAXR • Construction Tax Res (new detached garage) PATIO'S OPEN 1R3SFDADD OR 1R3SFDREM IPATIOWOOD Wood Frame up to 300 B SF 1PATIOMETAL Metal Frame up to 300 B SF 1PATIOOTHER Other Frame up to 300 SF B PATIO'S CLOSED 1R3SFDADD OR • 1R3SFDREM • 1PATIOENCLW Enclosed Wood up to 300 B SF 1PATIOENCLM Enclosed Metal up to 300 B • SF 1PATIOENCLO Other Enclosed Patio up B • to 300 SF 1COVPORCH Porch Covered-Each B (Each) 1REROOFRES Residential Re-roof Each B 100 SF REMODELS 1R3SFDREM 1REMRESKIT Kitchen Remodel up to B (Deduct "S"for ea plan 300 SF check) IREMRESBAT Bath Remodel up to 300 B Lt SF 1REMREOTH Other Remodel up to 300 B " SF REMODEL PLNCK 1 STPLNCK(1-3 for Standard Plan Check B NOT FOR OVER THE • remodel) COUNTER PLAN CKS. . • 3 of 3 • 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 katiar atn93 6;;���+ „; i "e, 4'. s°x. . S. ii..;;C;43aj4.Vt '4» : r '$ :t. . Mitb ? C-r1., r i B. Site 9. Install H.E. Irrigation, (details/spec)" L-1 2 points 11. Permeable Paving,INote) 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 + : ; .:'-- ?:>_.4zh '; TOTAL POINTS - 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 IAD!Healh A.Site • It.Recycle Job Site Construction&Demolition Waste i 65%=1 point;75%= 2 points;B0%=4 point •s I2.Salvage Reusable Building Materials ; up to 4 Resource pts 0 c 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 D B.Design Resource-Efficient Landscapes and Gardens _1 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 0 a 0. 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 0 0 0 C.Structural Frame V Substitute Solid Sawn Lumber with Engineered Lumber —7. 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 Energypts Ya-Yes 0 b.Wall 3 Energy pts y=yes 0 c.Roof 3 Energy pis 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 i 1 Resource pt y=yes 0 b.Sheathing 1 Resource pt y=yes 0 0 . - Or 0 INPUT Resources Energy IAD/Health D.Exterior Finish 11.Use Sustainable Decking Materials . a.Recycled content , 3 Resource pts yryes- • 0 I b.FSC Certified Wood t 3 Resource pts y=yes- 0 12.Use Treated Wood Thal Does Not Contain Chromium/Arsenic • 1 IAQ/Health pt y=yes 0 3.Install House Wrap under Siding 1 !AG/Health pt y=yes- 0 14.Use Fiber-Cement Siding Materials __ I 1 Resource pt y=yes 0 0 0 0 E.Plumbing .Install Water Heater Jacket 1j1 Energy pt y yes 0 2.Insulate Hot and Cold Water Pipes 2 Energy pts y=yes 0 3.Retrofit a 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 I ' (1 point each,up to 3 points) J Up to 3 Resource pts. 0 5.Install Chlorine Filter on Showerhead 1 IAG/Health pt y=yes 0 • 6.Convert Gas to Tankless Water Heater 4 Energy pts y=yes 0 7.Install Water Filtration Units at Faucets (2 points each,up to 4 points) Up to 4 IAG/Health pts. o B.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0 0 0 0 • r.Iiecmcai • 1.Install Compact Fluorescent Light Bulbs(CFLs) (6 bulbs=2 pbints,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 tb 4 Energy pts. 0 0 0 0 G.Appliances 1.Install Energy Star Dishwasher 1 Energy pt y=yes- 0 2.Install Washing Machine with Water and Energy. Conservation Features j 1 Energy pt y=yes- D 3.Install Energy Star Refrigerator i 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 pts y=yes D a.Install Recydlea-Content,Fiberglass IrTSulatibn with No Added Formaldehyde : __ j 3IAG/Health pts y=yes 0 4.Use Advanced Infiltration Reduction Practices 2 Energy pts y=yes D 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 o.uenings 4 Resource pts y=yes 0 0 0 • 0 INPUT Resources Energy lAOlHealth I.Windows • 1.Install Eneigy-Etficient Windows _ - j a.Double-Paned 1 Energy pt y=yes 0 b.Low-Emissivity(Low-E) 1 2 Energy pts y=yes 0 Jc.Low.Conductivity Frames. 2 Energy pts y=yes • D 2.Install Low Heat Transmission Glazln g1 Energy pt y=yes 0 0 0 0 J.Heating Ventilation and Air Conditioning . 1'.Use Duct Mastic on.All Duct Joints 1 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=yes0 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 IAQMealth 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 pts y=yes 0 • 12.Install 90%Annual Fuel Utilization Efficiency(AFUE)Furnace 2 Energy pts y=yes 0 • 13.Retrofit Wood Buming Fireplaces a.Install EPA certified wood stoves/inserts 1 IAQ/Health pt y=yes 0 b. InstaIVReplace 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 IAD/Health pts y=yes 0 17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y=yes 0 0 0 0 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 i6Select Safe and Durable Roofing Materials _^ 1 Resource pt y=yes 0 7.Install Radiant Berner 3 Energy pts y=yes 0 - 0 0 0 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 • ' , 0 0' 0 ?- INPUT Resources Energy IAD/Health • M. ndoor Air Quality and Finishes f1.Use LOW/NO-COD-Paint i 1 IAO/Health pts y=yes 0 • 2.Use Low VOC,Water-Based Wood Finishes _ 2 IAOMealth pts y=yes 0 3.Use Low/No VOC Adhesives - t ----- 3[AO/Healthpts y=yes D 4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 1AO/Health pts y=yes 0 6.Use Exterior Grade Plywood for Interior Uses 1 IAO/Health pts y=yes 0 17.Seal all Exposed Particleboard or MDF , y __ • ; 4 IAO/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 IAO Health pts y=yes 0 0 0 0 N.Flooring 1.Select FSC Certified Wood Flooring _ B Resource pts y=yes [ 0 Use Rapidly Renewable Flooring Materials —' 4 Resource pts y=yes 0 3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0 4.Install Natural Linoleum in Place of Vinyl 5 IAO/Health pts y=yes 0 5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0 6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0 0 0 0 Total Points Available: 1401 1301 57 • Total Points Project Received: 01 01 0 G:datarprooslgreenbuildingguidelineshemodelerslgreenpointsfinal212.o4protectedxls • • • • Community Development S44,12:i 10300 Tone Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408) 777-3333 SCUPEIJJINO Building Department JOB ADDRESS: PERMIT # t2 � i , /r 621c ST., C-4- be,.1Li..o.C4-515-0/P 6R)602'-/S OWNER'S NAME: Gi'L 4G+rr tr4w124, CI-4../cdb G¢,y4flONE �4opJ),7I -( 77 o GENERAL CONTRACTOR: era ) FAX # I am not using any subcontractors: G/3 /virP Signature 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