08060250 CITY OF CUPERTINO
BUILDING oivlslory PERMIT CONTRACWR INFORMATION --
4M: �._ �g�.s.
A�TPERMIT NO.
Bu"L.Mc2TR ,ESTON DR LARRABEE & ASSOCIATES INC 08060250
OWNER'S NAME: PERMIT ISSUE DATE
ROBERTSON DONALD M AND BONNIE 36 RAILWAY AVE 06/30/2008
76wR.
NE: SANITARY NO. CONTROL NO.
HRECT7ENGINEER: BUILDING PERMIT INFO
INSTALL SUMP PUMP, 2 FANS TO 'BLDG ELECT PLUMB MECH
O O O O
u0LICENSED CONTRACTOR'S DECLARATION Job Description
uI Wmby affirm that I am licmucd under provisions of Chapter 9(commencing ---" P
.iSesthatO(Xp ofDivision Sof NC Buvneasand Profcuiam Code.and myliccnxu
< infall torte.nae
j�Z License
Cis;
l 1 (Y.Y i5—
DamConuuls:;-�
4 ARCHITECT'S DECLARATION
W c<i 1 under caml my plantsshall W used u public records
a
Licensed Pmrusi...I
3 OWNER-BUILDER DECLARATION
L kneby aRrm Nat 1 me exempt from the Contractors License law,for tin
❑O following mason.(Section 7031.5,Business and Pmfessiou Cole:Any city or county -
$Pi which mquiru a Permit to mastroct alter,improve,demolkh,or repair any structure
_Z� prior W its issuance.also requires the applicant for such Permit to file a signed summer,
ss< that he is Barmd purmand to do provision of the Conmcmes limose Law(Chapter 9 Sq.Ft. Floor Area Valuation
X50 (commencing with Section 7000)of Division 3 of the Business and Professions Code)or
y 3 that he is exempt therefrom and the bums for Ne alleged exemption.Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant W a civil penalty of APN Number Occupancy Type
nor mart Wan five hundred deltas ISM P Y YP
D I,uo oftpopmy.mmymploycuwithwageuthetawlecompewdon,
will do thc work and thes.,hre u not W craim m.fUred for min(Sm.70W.Busioss
and professions Code:The Conmcmr'a Licerrt,Law does not W in owner of Required Inspections
property who WilNmimprovestinreon,and whodoessuchworthimselforthrough his
own employ=,provided thatsuch improvements an,timimended moRered for We.R.
however.the building or Impeovemem Is sold within one year of completion.the owner-
Wilder will have the berden of proving that he did not Wild or improve for purpose of
sale.).
0L.owner of the property,am exeluively...Meeting with licensed conbmtars W
contemner,the project(Sec.704,4.Business and Professions Cale:)The Comrso mes U.
sae taw does not appy Is an owner of property who Wilds or improves thereon.and.
who comusi s for such projects wild a contractor(a)licenxd puausm re Ute Contractors
License Law.
C3I me exempt under See ,B&PC for this mown
Oman`
c Dam
WORKER'S COMPENSATION DECLARATION
1 hereby darm under penalty of perjury oro of the fallowing declarations:
❑1Hare aM will for
rby aMrufsoW of Consentmxedl i,fortrtetroce.ofen-
w aon,uproh provided for mi Ssturn 3]110 of do labor Code.(m the perorma�a!the
work for which this permit is issued
❑I have and will maintain Workers Compensation Insurance,as required by Section
3700af the Labor Code,for We p tfommce of the work for which then permit is issued '
My Wards Compensation Lawrence terrier and Policy numberme:me:
s �
Cannot'.S�rpff. FiA41 Policy No.:isaaaa-AarY 7 9
CER71FICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(lieu section need iwt be conplend lithe permit Is forom hundred deficit($101)
or m:<)
1 certify that in the perfwmanm of d,e war for which this permit is Wood.I shall not
employ any pmem in my mannerw as W become subject to the Worker'Coreps amon
Laws of California.Date
Applicant
NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should
become subject W the W.rer's Compensiden provisions of the Uism Code,you must
.J O forthwith comply with such provisions or this permit shall W mmaml revoked.
Vy CONSTRUCTION LENDING AGENCY
(~ 1 hereby alarm wt Were is a cmutructice lending agency for the imfurmaom of
!Yi ti the work for which this permit is issued(So.309'1,Civ,C.)
ILL Q Lenders Name
.7 Z Lenders Address
U Q 1 certify that I have rad this appliesome aed a,W did tin salve information is
{gr~ coma I agRl to comply with cell city and comety pNinances said a=IoW relating m
0(�,^ Wilding construction,and hereby molveixe reprexen,atiw:s of this city te enter upon the
r G aWve-mendood progeny for inspection purposes
(We)agree W ave,indemnify and kap humleu the City of Cupcnino against'
ti y limilidu,judgments,casts and expeuu which may in any My accrue against Old City
U rZ in coroqurnce of the granting of this permit.
^ APPLICANT UNRE&UANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date - 3d -,e c-
SOURCE TIONS. ,
ae
ga^1Lao._..�_ Re-roofs
ppla HAZARDOUS MATERIALS DISCLOSURE D Type of Roof
Will the applicant or future Wilding oraopert stem or bundle Imes don manriai
as defined by tis.CupeNw Municipal Code.Chapter 9.12,and the Health and Safety
C
ode,ado.Yu MIzss32(an �AAs���r..N. All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or fuaccupam use cqulpmcot or&,I.which If a roof is installed without first obtaining an inspection,I agree to remove
emit haiarmus air conuminanu as defod by the Bay Area Air Quality Management all new materials for inspection.
District?
❑Yu
I have road the hi Mesas materials requiremcros under Chapnr6.95 of the Califor-
rtiaHnlN&Safety Cane,Smiou25s05,25533and255a,4.luskc dO&ifthc Wilding
dma wt c ave a Wt it u y responsibility W rwdfy the occupant of the
rets wM.h �)i �..cera cemg arq�uRangyO` Signature of Applicant Date
Oworormthodxedager, `Dow All roof coverings to be Class'W'or better
CITY OF CUPERTINO
• 5 ITEMS OF 5 PERMIT RECEIPT OPERATOR: SylviaM
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 32637049 . 00
DATE ISSUED. . . . . . . : 06/30/2008
RECEIPT # . . . . . . . . . : BS000005298
REFERENCE ID # . . . : 08060250
SITE ADDRESS . . . . . : 10237 CRESTON DR
SUBDIVISION . . . . . . :
CITY CUPERTINO
IMPACT AREA . . . . . . :
OWNER . . . . . . . . . . . . : ROBERTSON DONALD M AND BONNIE
ADDRESS . . . . . . . . . . : 10237 CRESTON DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-1013
RECEIVED FROM . . . . : LARRABEE & ASSOC
CONTRACTOR . . . . . . . : LARRABEE, WALT LIC # 21568
COMPANY . . . . . . . . . . : LARRABEE & ASSOCIATES INC
ADDRESS 36 RAILWAY AVE
CITY/STATE/ZIP . . . : CAMPBELL, CA 95008
• TELEPHONE . . . . . . . . : (408) 364-9000
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
IBSEISMICR VALUATION 10, 000 . 00 - 1100 0 . 00 1 . 00 0 . 00
1EPERMITFE FLAT RATE 1 . 00 40 .79 0 . 00 40 . 79 0 . 00
1MPERMITFE FLAT RATE 1 . 00 40 .79 0 . 00 40 . 79 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 164 . 16 0 . 00 164 . 16 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 164.16 5784
---------------
TOTAL RECEIPT 164 . 16
agmQn
CITY OF CUPERTINO
OF
' CUPEkTINO GENERAL BUILDING
PERMIT APPLICATION FORM
D�b[p GZso
APN# 32-CO 3-7 0-If 6v Date: 3Q
dog
Building Address:
I bz3-7 GR-� rangy
Mailing Address (if different from building address):
Ovajqs Name: Phone#:
Contractor: Phone: 3�Ef_Cfcxn0
Fax:
Contractor License #: A$ Co.
Cupertino Business License#: 2 (p
Contact: Phone:
• 6
Residential Commercial I I
[Fax:
Job Description: STPCb�. SJ rn P Pv i n P oL FPr1JS .
r(7
Building Permit Info:
Bldg ❑ Electzgc Plumb ❑ Mech ❑
Type of Construction (Usage Class): Occupancy Type:
I-A, I-B ❑ II/III/V-A ❑ IUIII B, IV-HT, V-13 — 3
Valuation: Square Footage.-
Project
ootage:Project Size: Ex res Standard ❑ Large ❑ Major ❑
Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it
to the application or if applicable, include in plan set & the sheet index.
• Points Achieved:
For help, contact Build it Green at www.builditgreen.or
Revised 6/16/08
alAONF CITY OF CUPERTINO
CUPEkTINO GENERAL BUILDING
PERMIT APPLICATION FORM
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1BTEMPPER Temporary Building Permit (good for B
30 days)
1BBOILERI For the installation or relocation of ea M
boiler/compressor to & including 3
horsepower, or ea absorption sys to &
incl 100,000 Btu/h 29.3kw)
1BBOILER2 Installation/relocation of ea M
boiler/compressor over 3 horsepower
to & incl 15 horsepower, or ea
absorption sys over 100,000 Btu/h
1BBOILER3 Installation/relocation of ea M
boiler/compressor over 15 horsepower
to & incl 30 horsepower, or ea
absorption sys over 500,000 Btu/h to .
& incl 1,000,000 Btu/h
1BBOILER4 Installation/relocation of ea M
boiler/compressor over 30 hosepower
to & incl 50 horsepower, or for ea
absorption sys over 1,000,000 Btu/h to
& incl 1,750,000 Btu/h
1BBOILER5 installation/relocation of ea boiler or M
refrigeration compressor over 50
horsepower, or ea absorption sys over
1,750,000 Btu/h
1BAPPLOTH For ea appliance or piece of equip M
regulated by this Code but not classed
in other appliance categories, or for
which no other fee is listed in this
code.
.IELECINSP Other Electrical Inspections (per hour) E
1MECHINSP Other Mechanical Inspections (per M
hour)
1PLMBINSP Other Plumbing & Gas Inspections P •
(per hour
1MEETINGIHR Application Meeting B
CITY OF CUPERTINO
CITVOF GENERAL BUILDING APPLICATION
• CUPEkTINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
ACOUSTICAL
REVIEW
IACOUSFDW SFDWL/Duplex New B
IACOUSRESAD SFDWL/Duplex-Addition/Alteration B
IACOUSCOM Multi-Family/Commercial B
CHIMNEY'S
I CHIMNEY Chimney B
1 CHIMNEYR Chimney Repair B
FENCES
1FENCE>6FT Non-masonry, over 6 ftin height B
1 FENCEMAS>6 Masonry, over 6 ft in height B
FIREPLACES
1FIREPLMAS Fireplace Masonry B
1FIREPLFAB Fireplace Pre-Fabricated/Metal B
IFLAGPOL>20 Flag pole (over 20 ft in height) B
IMODUSTRU Modular Structures B
FOUNDATIONS
IFOUNDREP Foundation Repair B
I PILECAST Pile Foundation Cast in place concrete B
1PILEDRIV Pile Foundation Driven (steel,pre- B
stressed concrete
3of5
SUE CITY OF CUPERTINO
drT°F GENERAL BUILDING APPLICATION
CUPERTINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
RETAINING
WALL(CONCRETE
OR MASONRY)
1RETSTN Standard (up to 50 ft) B
1RETSP310 Special Design, 3-10' high (up to 50 `) B
1RETSP10 Special Design, over 10' high (up to B
50')
1RETCRB< Gravity/Crib Wall, 0-10'high (up to B
50 ft
1RETCRB> Gravity/Crib Wall over 10' high(up to B
50 ft)
SIDING
1SIDEST/BK Siding, Stone &Brick Veneer B •
(interior/exterior)
I SIDEOTHER Siding all other B
SKYLIGHTS
1 SKYL<10 SF Skylight less than 10 sf B
1 SKYL>10SF Skylight greater than 10 sf or B
structural
1STAIRS . Stairs-first flight/ea addt'l B
STORAGE RACKS
1 SRACKS<=8 Storage Racks 0-8' high (up to 100 sf) B
1 SRACKS>8 Storage Racks over 8' high (up to 100 B
st)
1STUCOAP Stucco Applications (up to 400 sf) B
additional stucco application
•
4of5
ZEN- CITY OF CUPERTINO
bly°F GENERAL BUILDING APPLICATION
• CUPERTINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1 WINREP Replacement windows/sliding glass B
door (ea 8 windows)
1 WINMEWSTR New Window-structural shear B
wall/masonry includes plan ck fee
(�A IEPERMITFEE Electrical Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
1PPERMITFEE Plumbing Permit Fee P
IELCPLNCK Stand Alone Electric Pln Ck (hourly) E
1MECPLNCK Stand Alone Mechanical Phi Ck (hrly) M
1PLMBLNCK Stand Alone Plumbing Pln Ck (hrly) P
1 STPLNCK-(3 Hr Min Standard Plan Check (when no E/M/P) B
when not over counter) hourly-stand alone
1BSEISMICR Seismic Residential B
IBSEISMICO Seismic Commercial B
1 ITRAVDOC Travel &Documentation B
1BUSLIC Business License B
5 of 5
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
n.
B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 2 points n
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 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.
A.Srte
-_ INPUT Resources Energy IAQ/Health
1.Recycle Job Site Construction&Demolition Waste
65%=1 point;75%= 2 points;B0%=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 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=yesl;; 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 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
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
INPUT Resources Energy
• I.Windows
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 p
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 IAQ/Health pts y--yes 7
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
6.Install Sealed Combustion Units
a.Furnaces 3 IAQ/Health pts y=yes 0
b.Water Heaters 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 0
• 13.Retrofit Wood Burning Fireplaces
a.Install EPA certified wood stoves/inserts 1 IAO/Health pt y=yes 0
b. InstalVReplace 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- es 0
1 1
K.Renewable Energy and Roofing 1
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=16 points) Up to 16 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
1 1
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 1
a ,
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
SEUPERTINO
Building Department
JOB ADDRESS: PERMIT #
0
OWNER'S NAME: {V PHONE # — O 0
GENERAL CONTRACTOR! L FAX #
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the followinginformation:
bA 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