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08080130 CITY OF CUPERTINO BUILDING DIVISION PERMITCONTRAC�TORNFOR 'IA�„TZf1 BUILDING ADDRESS: _ PERMIT NO. 10826 13ROOKWELL DR TBD — TO BE DETERMINED 08080130 OWNER'S NAME: PERMIT ISSUE DATE SATURN:I:O JOSEPH C AND SHARON 08/18/2008 NE: SANITARY NO. CONTROL NO. ARCH=/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTORS mad" DECLARATION I hereby )of Jur 1 am fthe Business and Pr loss of Chapter 9(mmmcnsi is Job Description 4 � with Sutton 7IXIU)ofDiviuon Sof NC Business and Profession Cade,and my license is REPLACE WATER HEATER O u in full force and cffW., License I s d= 3 y„q Dane IF — f--D7 Contractor 7W ARCHMICTS DECLARATION U I understand my plan shall be used as public nommi O t; Licensed Prulession ll OWNER-BUILDER DECLARATION j<E I hereby alimt that I am eacmpt from the Con"mor's License Law for Ne 00 following reason.(Section 70313,Business and Profeatiov Code:My city or county 3I which requires a Permit to construct alcor,improve.demolW,or repair any measure -=< prior m its issuance.Alan requires she applicant for such permit to file a signed summent that W is licensed pursumt(to Me ptrominci of Me Contractor's locum Law(CMptm 9 Sq.Ft.Floor Area Valuation Y� (commencing with Scetion]000)of Divisianl of NC Business mW Profession Code)or $240 C52 5 s 2 Nal x u eaempl Marafmm and the basis for the alleged excmie an.Any violation of Schon 7031.5 by any applicant fon permit subjects Ne applicant to a civil penalty of Qyj�I Number Occupancy not mom Was five hundred dollars(M), 36921021 .Qo p y Type 0 I.as owner of the property,or my employees wdh wages as dmh sole compenution, will do Ne work,and Ne swctum isnot intended or ofined for sale(Sec.7014,Business and Professional Cade:The Conuaelm''s License Law don out apply in an owner of Required Inspections property who builds or improves Merton,and who does such work himself or through his awn employers,provided Nat such improvements art not inmated aroRued fmsale B. however.the Wilding or improvement is sold within one year ofcompletion.Ne owner. budder will nava the burden of proving dal he did not Wild or improve for purpose of sale.) 0 I,as owner of Ne property,am exclusively contracting with keened commumas to construct the project(Sec.7814.Business and Profession Code:)The Coavaetofs U. cove Law 4.not apply to an owner of pmpmy who Wilda in,impmeas thereon,and who contracts for such projects with a camuncur(s)Inuesed pursue,to Ne Conuutoh Luemse taw. ❑I are eaempt under See ,B@P C for Nis uuan Onv. Dam WORKERS COMPENSATION DECLARATION 1 hereby M.under penally of perjury ane of the following declarsifi ne I lure and will maintain a Certifmm of Covent in self-insert for werkelscanpem sailors,as provided for by Section 3700 of the labor Code,for the Performance of the work for which Nis prtnit is issued. ❑1 have and will maintain Work es Compensation Insurance,as acquired by Section 37W of the LaMar Cade.for the performance of the work for which this Permit is issued . My W. Com vuonl usance carrier and Policy number are: carrier Policy No.:LUCN[1J'2664g-0 CERTIFlG 'OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (Otissemim reed not W completed if Na Permit is for.hundred defts(5100) m leas) 1 certify Nat in Ne prfor mance of Ne work for which this Permit is bound.I shall nm employ anytime.to any ma verso as in become subject to On WorkersCompensation Laws of California.Dam Applicant NOTICE To APPLICANT:If,after making this Certificate of Exemption,you should become subject to Ne Workeri Comproadon provision of Ne Labor Cade,you muse .,O raMwith comply with such provisiom in NU Permit mail W decreed rooked Z y CONSTRUCTION LENDING AGENCY [-s 1 hereby a0irm that them is a covuimtin t lending agency for Me perfamunce of 6i > Me wast for which thus Permit is issued(Sc,3097,Cih,C.) G Q Lender's Name Lundees Address U O 1 mrdfy NAL I have mad this aPplicame aM sum than Ne show information u - I, cq R I agree N comply with Al 61,and cOwly ocifi La and aisle Iowa rtlatlng to C) Sv'! Wilding construction.and hereby authorim uprearntadws of this city m enter upon Ne r W shove-mentioned properly for ivpectian purposes (We)ague to saw,indemnify and keep hvmless 01 Gly of Cupertino agamed ,Fy ZIimilidn,judgments,cots and expevn which may in any way same sgaivl said Gly U z incanugmnee ar the(�m'ing of Nisperrnll. .-. / I' O e ti APPLICANT UNDEtR7AND5 AND WILL COMPLY WITH ALL NON-POINT Issued by: Date 0�/ o SOURCE REGUTA 17/BI!(�Mg/�U, Re-roofs Stgnmurt of AppircHAZARDOUS MATERIALS DISCLOSURE o,m Type of Roof Will the applioat of fu cam Wilding navPantawrt m handle ha>udav material '-� u defined by the Cupertino Municipal Code,Chapter 9.11.and Ne HcaIN and Safely Code.Section 25532(a)?0Yu 0<^ All roofs shall be inspected prior to any roofing material being instal vers the appdcani or rutum building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove hmcardov it comaminan fined by Me Bay Am Air Quality Management all new materials for inspection. t7 ❑Ya Nu 1 have reel Ne hvaNuvmamrials mquirmens Imdur Chapter6.95 ofthe Califor- nu Hnllhk Safmycodu Sued.15505,25531 and 25511.1 understand Ihalifthe building does ret mrumly pgve a rmans Nat it is my responsibility m notify the occia em of Ne requirements whicrlj the met prior no issuance ora Ccrifinm oroccupancy. Signature of Applicant Date D9 I V-0 Owner W anthari>edage.1 Dam All roof coverings to be Class'JW'or better CITY OF CUPERTINO • 5 ITEMS OF 5 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36921021 . 00 DATE ISSUED. . . . . . . : , 08/18/2008 RECEIPT # . . . . . . . . . : BS000005816 REFERENCE ID # . . . : 08080130 SITE ADDRESS . . . . . : 10826 BROOKWELL DR SUBDIVISION . . . . . . : CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . : OWNER . . . . . . . . . . . . : SATURNIO JOSEPH C AND SHARON L ADDRESS . . . . . . . . . . : 10826 BROOKWELL DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4611 RECEIVED FROM . . . . : GEORGE F LIMA 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 --- ----------- ------ ---------- ---------- ---------- ---------- IBSEISMICR VALUATION 240 . 00 0 . 50 0 . 00 0 . 50 0 . 00 IBUSLIC FLAT RATE 1 . 00 110 . 00 0 . 00 110 . 00 0 . 00 IPPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00 ].PRWHEATR 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 216 . 56 0 . 00 216 . 56 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 216 . 56 #1304 --------------- TOTAL RECEIPT 216 . 56 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -- ---------------------------- -------- '-7-------------------------- 518 WATER HEATER • CITY OF CUPERTINO WATER HEATERCITY OF `' •CUPEkTINO PERMIT APPLICATION FORM APN # 2� 9a � O � �• J O Date* � v b Building Address: /az6 �>z�ok / Of- Owner's Name: one #: ZD(--7' 4�,253 -29 03 Contractor: Phone #:rYoJ 393 . -V1 Fax #: Cupertino Business License #: Contractor State License #: Contact: Zlr7A Phone #: Fax #: Building Permit Info: Bldg ❑ Elect ❑ Plumb Mech ❑ Residential Commercial ❑ Job Description: Strapped ❑ On Platform ❑ Bonded ❑ New Location ❑ Replacement ❑ Valuation (cost of project): &10. o O 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 Buildin Points achieved: Revised 6/16/08 CITY OF CUPERTINO WATER HEATER CITY OF CUPEkTINO 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 1TRAVDOC 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 z 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 oint P. Other 1. List Green Features on Plans A-1 1 point TOTAL POINTS1 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 1AGII-leab A.Site 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 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 8,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 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 1 1 1 C.Structural Frame I: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 kJoists 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 Reciaimed Lumber for Non Structural Applications 3 Resource pts y=yes 0 f 2.Use OSB a.Subfloors 1 Resource pt y=yes 0 • b.Sheathing 1 Resource pt y=yes 0 I 1 INPUT Resources Energy IAD/Health TWI-nd-oms , 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 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 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 SEER111 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 stovesfinserts 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 IAQIHealth pts y=yesF 1 0 1 1 1 K.Renewable Energy and Roofing 1.Pre-Plumb for Solar Water Heating 4 Energy pts yryes 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 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 pts . y=yes 0 3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0 1 1 • Community Development ' ���J 10300 Torre Avenue ;yE;•-}" Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 S�UPEkJINO Building De artment JOB ADDRESS: PERMIT # 10YLU" i3 V/< 2so 0 F O 8013 OWNER'S NAME: , PHONE # GENERAL CONTRACTOR��/fCxs /7R FAX # I am not using any subcontractors: 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 &ZO AO l-t � 'tt Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date