08040071 CITY OF CUP;RT
INO � + ti€`t "�%&'�* '''" r �"^
BUI LDINGDIVISION e PERMIT eC,ONTRAQRINF,O>�wR
BmLD�r�G$.grEsSRERMOSA PERMIT NO.
AVE JM CONSTRUCTION 08040071
OWNER'S NAME: PERMTTISSUEDATE
MAGDALENA SOLORIO 562 DIVISION ST 04/10/2008
PHONE: SANITARY NO. CONTROL NO.
(408) 379-9852
CNrl-ECTIENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
LICENSED CONTRACTORS DECLARATION Job Description
U I hereby uf�deo 1 am licensed under provisions of Chapter 9(commencing
whis S.O.70W)OfDivision 3afdes,Business and ProlessekuCode.and mylicense k RMDL BTHRM (SHWR,VANTY&LITE)
❑„ mrnd�weeadertm 736oSb
�pz_ Do w use.B
� Date E Comrw.w A teat
ARCHITECTS DECLARATION
I understand my Pima shall IN used as Public umntls - -
gt� Licensed Pmreuional
yv, OWNER-BUILDER DECLARATION
i<53 1 herby.Rifer ON I am exempt from deto Crnh,ckora License law for to
i O o following maw,.(Sada,7031A,Bodeen;and Profesdaes Cade:My city or county
jig which rtqubes a permit w common.dux,improv,demolkh,or repair any immune
3y poor to its issuance,aiw tequila theappliewt for such permilto Ilk a signed summenl
< Valuation
Nat he is licensed pursuing m to provisions or dee Comachres License Law(Chap¢r9 Sq.Ft.Floor Area $9600
(commencing with Secdon 7000),(Division S of the Business and Probations Code)or
On h ts exempl Ihemfrom and dee hues for W alleged eiampdow Any vkilur n of
Sado,7031.5 by ung applicant for,permit subjects dee applicant M•dill penalty ofOccupancy
not mom deo five hundred dollars ISM 35716055 Aff NumberTYPe
0 L„owardfdk prop".amywplayas vide wageau deetr role rompeuatrn.
mad codkhahummm a nes 1I=aaLaw do a,kfsa.]an nameresr, Required Inspections
rte property
wh bis Cmc: also Conheu7ara Lkrnse Law ach oat hums lf,t uwgh is 9 P
owner whokomr i improvechim n,amwhodaoouchworkMmulfartkhtengnof
own employees.the building
p techimprovementsate not lender oraRemd for own r..
however.Ute buildin6 art Improvement is sold aided,oa yen of rompleton.the awar-
hullder .will have deo tandem of provirg that he did not build or improve for purpose of
sskJ.
a
co L M awns of tin:properly..Business Cia t!crnhsabou wide littered ronhuron b SAN���o
ro me La d Out (See.]sm wnofand property
aden Wil"
Cade:)Th Crvhserora L'e
whoa Law doss Out apply u w wide
a of pntor(s aha builds o improvn Neuron.and,
who ro Law.for such Pmktots widearonhanrrta)licensed pureuinl coda CanuactWa
0 l ons law.
❑Lem esempt under See .B&PC fa NH moon
Ower Dake
WORKERS COMPENSATION DECL RATION
1 hteby aRlm under pevlly of perjury as or ON following daluWw¢
U.am will mon Wn a Certificate of Co.-he self-invert for Worker.Comprn-
0,as proWtied fa by Section 3700 of dee Labor code,for dte performance of Inc
for which this permit IS issued.
❑1 have and will maintain Workers Compeualon IMrnme.in requited by Suction
3M ordee labor Code.for the Perform aoccur Ne work for which this permit Is IN=& '
My Workeenr,,Compensation Io,uramm Order and Policy number am:
Cartier7V—�1R$ Polley No.: S L
CERTFTU OT�F EXEMPr70N PLUM WORKER
COMPENSATION INSURANCE
(This section rcm wtbecompk¢d if tic permit is forme hundred do0an(SIM)
m leu)
1 certify that In dee pmrormsuro of this work for which this permit is booed,l shall not
employ any W mn In my muncrin U k become subject or the Workaer'CrmpeoMim
Laws of Califomix Dam
Applicant
NOTICE TO APPLICANT:IL Nor making den Ccnifiau of Ewmpfion,you should
become subject he dee Worker,Compceskdon provisions of dee lata Code you most
vJ0 frohwide comply wide such pmvsdwu or Nu pxmit NW IN domed revoked.
Zy CONSTRUC ION LENDING AGENCY
'Cr I hereby dnnm Nat Nem I...ohumumnn lending allow,for dm perfeemwce of
�i r7
the work rte which this permit is moved(Sec,3097,Civ,C.) '
W 0 Lenders Name
�
U Z lander.Address
U O 1 ami%that I lura recd this appliratirn and oak Lou the above information 4
E entree.I a6�b Nmply with Ni city rad county Ordinances; mick arlaws mining ue
.0 kr J^ Wilding construction.and hereby wNmro representatives,of this city in motor upon dee
41] above-mentioned property for inspection purposes
6. (We)Upon to save,indemnify ad kap harmless ter City of Cupertino against
TA liabilities,)mgmants.cats and expense,which may in my way acrd agains mid City
U Z in convequeae of the granting of this Permit.
Fr APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE R U TIONS.
sigraur D pE �n ,ma -IOOB Re-roofs
an
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will to applicant or!mere building occuP,m awe Or handle hamdaui mstmai
u defined by the Cors"m Municipal Code.Chapter 9,12.and the HOIN am Safety
Code,QWaes 155324)7 t3+� All roofs shall be inspected prior to any roofing material being installed.
Will dee,ppunnl a mar building Occupant um egmpmenl m dedas which a roof is installed without first obtaining an inspection,I agree to remove
t huallous dr canummu u
indemdee o by Bay Area Air Quality Management all newmaterials for inspection.
ct7
❑yes
I have mai th hoaNuw mekoalemquimmanu th derchpkr6.95 of Ne CNifor.
nia HOith&saktyCade,Sections 25505,25533 and 25534.1 undemum dem if do building
loco em curRMy here a Ww41hN It is my neapoNlblliky be r unify t aaup.,of On
note uuhmeIpoarmtuuanccrfaCerti(maaorOccupancy. Signature ofApplican[ Date
o-O�
o�er�aro dammer ^!Data All roof coverings to be Class" 'or better
CITY OF CUPERTINO
• 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 35716055 .00
DATE ISSUED. . . . . . . : 04/10/2008
RECEIPT # . . . . . . . . . : BS000004434
REFERENCE ID # . . . : 08040071
SITE ADDRESS . . . . . : 21820 HERMOSA AVE
SUBDIVISION . . .
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : MAGDALENA SOLORIO
ADDRESS . . . . . . . . . . : 21820 HERMOSA AVE
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : JM CONSTRUCTION
CONTRACTOR . . . . . . . : EDENS, JIM LIC # 20955
COMPANY . . . . . . . . . . : JM CONSTRUCTION
ADDRESS . . . . . . . . . . : 562 DIVISION ST
CITY/STATE/ZIP . . . : CAMPBELL, CA 95008
TELEPHONE . . . . . . . . : (408) 379-9852
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- -
------------ ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 9, 600. 00 1 . 00 0. 00 1. 00 0. 00
1REMRESBAT SQ FEET 55. 00 429 . 00 0. 00 429 . 00 0. 00
1STPLNCK HOURS 1. 00 122 . 00 0. 00 122 . 00 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 552 . 00 0. 00 552 . 00 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 552 . 00 #38948
---------------
TOTAL RECEIPT 552 . 00
•
v07/
CITY OF CUPERTINO
ADDITION/REMODEL
J CUPEkTiNO PERMIT APPLICATION FORM
N# Date:
67/ CPoVo
Building Address:
Mailing Address (if different from building address):
Owner's Name: Phone#
le So o ri0 l/ `I6,b — /y�/
Contractor: // Phone#:
p 7�c/C.r 10 Fax #: l
Contractor License #: 3 6 p 5-6 C 1
Cupertino Business License #: 'Z 6 q5"15-
Contact:
5-SContact: Phone#: (qO Q 6 3 C/ — fS 4 E
42/tja �cz Fax #: yo8, 3 7
Building Permit Info:s�400�
Bldg. Elr'� Elect. Plumb. Mech. Hillside ❑
Job Description:
Addition (adding sq footage):
What is being remodeled? �Q h yoo I" 5 oto� � / van / Ty
Remodel Includes Re-Roof: Yes ❑ No Z If yes list number of squares
Remodel Includes Structural: Yes .FL No ❑
Square Footage:
Addition: Porch: Deck: Garage: Detached Attached
Remodel: Kitchen Bath Other
Type of Construction (Usage Class): Occupancy Type:
1 FR, 11FR ❑ 11, 111, V-1HR ❑ 11, 111, 1V V-N /Z"q
Valuation: g�0� �® Please check this box if the project is a
second-story addition ❑
Green Building Check list must be completed and
attached to the plans. Green Building Points Achieved:
4W*For Office Use Only***
Over-the-Counter ❑
i
CITY OF CUPERTINO
ADDITION/REMODEL -�
CUPEI,TINO FEE SCHEDULE t
Quantity Fee ID Fee Description Fee Group Permit Type e
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 Ins ection
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
j 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
11�uantity 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
IPATIOENCLM Enclosed Metal up to 300 B
SF o
1PATIOENCLO Other Enclosed Patio up B
to 300 SF
ICOVPORCH Porch Covered-Each B
Each
1 REROOFRES Residential Re-roof Each B
100 SF
REMODELS 1R3SFDREM
1REMRESKIT Kitchen Remodel up to B (Deduct "$"for ea plan
300 SF check
��— 1REMRESBAT Bath Remodel up to 300 B K
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
CITY OF CUPERTINO
ADDITON/REMODEL
FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
WINDOW/SLIDING 1R3SFDREM
GLASS DOOR
I WINREP Replacement windows B
ea 8 windows
1 WINNEWNSTR New Window (non- B
structural
l WINMEWSTR New Window (Structural B
Shear Wall/Masonry)
1 WINBAYSTR Bay Window (Structural) B
SKYLIGHTS 1R3SFDREM
1 SKYL<10 SF Skylight less than 10 sf B
1SKYL>10SF Skylight greater than 10 B
sf or structural
]STAIRS Stairs-first flight/ea addt'l B
IEPERMITFEE Electrical Permit Fee. E
IMPERMITFEE Mechanical Permit Fee M
1 PPERMITFEE Plumbing Permit Fee P
IELCPLNCK Stand Alone Electric Pln E
Ck (hourly)
1 MECPLNCK Stand Alone Mechanical M
Pln Ck hourl
IPLMPLNCK Stand Alone Plumbing P
Pln Ck (hourly)
IBSEISMICRE Seismic Residential B
ITRAVDOC Travel &Documentation B
1BUSLIC Business License B O
4 of 3
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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
114PUT Resources Energy r
Sa� e 2J-ZL) ,�.-r q o(^fes UG
ft.Recycle Job Site Construction&Demolition Waste
f 65%=1 point;75%= 2 points;60%=4 points. ! up to 4 Resource pts D
2.Selvage,Reusable_Building Materials 4 Resource is
jam._ P Y=Yes D
3.Remodel for Mixed Use,Adaptive Reuse,and
Historic Preservation 4 Resource pts y--yes 0
N.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 Resou ce 0iciant Landscapes;and Gardens 4 Resource is e
I P y--yes D
9.Reuse Matedals/Use Recycled Content Materials
for Landscape Areas 2 Resource pis 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=yes 0
• 1 1 1
C.Structural Frame
11.Substitute Solid Sawn Lumber with Engineered Lumber 3 Resource pts y--yes
2.Use FSC Certified Wood for framing
(For every 10%of FSC lumber used=2 points,up to 10) up to 10 Resource pts. b
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 j
5.Design Energy Heels on Trusses 6'or more 2 Energy pts Y--yes Lip
S.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 yryes 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 Application �+¶
12.Use OSB 3 e¢ource pts y yes 0
`1uFt"Sr✓
a.Subfloore i 1 Resource t es D
Sheathing �[ .0 75 P Y Y
i 1 Resource pt yryes 0
, . .�... .. ...
BY
1 mum
f_
B Or n 8
1.Use Sustainable Decking Materials ,
a.Recycled content 3 Resource pts yryes 0 •
b.FSC Certified Wood 3 Resource pts y--ye 0
2.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAO/Hsalth pt y=yes 0
3.Install House Wrap under Siding 1 IAO/Health pt yryes 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 Showertreads 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
S.Install Chlorine Filler on Showerhead 1 IAO/Health pt yryes 0
6.Convert Gas to Tankless Water Heater 4 Energy pts yryes D
7.Install WatecFlltration Units at Faucets
(2 points each,up to 4 points) Up to 4 IAC/Health pts. 0
6.Install On-Demand Hot Water Circulation Pump 4 Resource pts y--yes 0
r.caecmcir
1.Install Comped 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 Futures with CFLs(1 point each,up to .
5 points) Up to 5 Energy pts. 0
3.Install Lighting Controls(1 point pop,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 StallD asher 1 Energy pt Y--yes 0
2.Install WashT ' chwith Water and Energy
Conservation; etur 1 Energy pt y=yes 0
3.lnstall War ter Refrigerator 1 Energy pt Y--yes 0
4.Install 6irilt, ecycling Center 3 Resource pts yryes 0
mmm
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 0
I Install Recycled-Content,Fiberglass Insulation with
No Added Formaldehyde 3 IAO/Health pts y--yes 0
4,Use Advanced Infiltration Reduction Practices 2 Energy pis 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
b.oemngs 4 Resource pts y--yes 0
I 1 1
Energy IADHeafth
INPUT Resources
m owa
'1:InstellEnergy-Efficient Windows'
a.Double-Paned 1 Energy pt Y--yes 0
• b.Low-Emissivity(Low-E) 2 Energy pts Y=yes D
c.Low.Conductivity Frames _ 2 Energy pts Y=yes 0
2.Install Low Heal Transmission Glaiing 1 Energy pt y--yes 0
1 I 1
J.Heating Ventilation and Air Conditioning
1.Use Duct Mastic on,AII Duct Joints -
-:_ _ _ 2 Energy Pts Y--yes 0
2.Ins a l Ductw—ork within Conditioned— Spac-e 3 Energy pts y--yes; 0
3.Vent Range Hood to the Outside 1 IAQ/Health pt y=yes D
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
6.Install Sealed Combustion Units
a.Furnaces 31AQ/Health pts y--yes 0
b.Water Heaters 3IAQ/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 stovearnserts 1 IAO/Health pt y--yes 0
• b. Install/Replace Dampers 1 Energy pt Y--yes D
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 41AQ/Health pts y=yes D
16.Install Heat Recovery Ventilation Unit(HRV) 5 IAQ/Health pts y=yes 0
17.Install Separate Garage Exhaust Fan 3 IAO/Health pts y=yes 0
I 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 yryes 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
r--I---fin -- - _R - -—
6i Select Safe and Durahle o`oBn9 Mate also 1 Resource t es 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 D
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
. n oor r ua ry en n a ea
1.Use LowMD-VOC Paint 1 IAO/Health pts y--yes 0
2.Use Low VOC,Water-Based Wood Finishes 21A0/Health pts yryes 0 •
3.Use Low/No VOC Adhesives 3 IAO/Health pts y--yes 0
4.Use Selvaged Materials for Interior Finishes 3 Resource pts y--yes 0
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 6IAO/Health pts y--yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAO/Health pts yryes 0
7.Seal all Exposed Particleboard or MDF 41A0/Hsalth pts y--yes 0
S.Use FSC Certified Materials for Interior Finish 4 Resource pts yryes 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 D
1 1 I
N.Flooring
1.Select FSC Certified Wood Flooring 6 Resource pts yryes 0
2.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 51A0/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 yryes 0
1 1 1
Total Points Avallablel r 1401 1301 57
Total Points Project Received: r 01 0 0
e:date/pmgalgmnbuildnggddellns4emodelaNgi pointdnaal?042mlectedxls
7
Community Development
10300 Torre Avenue
El -LLLlll Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
`UPEkTINO
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.
STORMWATER 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:
http://www.cui)ertino.orci/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 httr)://www.amleaal.com/cur)ertino ca/
• Greg Casteel
Building Official
�• v
�1 `cgEgSop COPY
40
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Community Development
10300 Torre Avenue
i {,�:zj • Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
CUPERTINO
Building De artment
JOB ADDRESS: PERMIT #
OWNER'S NAME: PHONE # 11 — �fS
GENERAL CONTRACTOR:
I am not using any subcontractors: A�If
gnature 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
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/Contractor Signature Date