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08070162
CITY OF CUPERTINO rs �- (. r x - i x e r'+zs'-� i• 'a BUILDING DIVISION PERMIT CONTILA.C'IpR.INk'OItMATT0IV BUILDING A DRESS: PERMIT NO. 6'70 JOHN DR CHEROKEE CONTRACTING CO. 08070162 OWNER'S NAME: PERMIT SUE DALE 141OSHIZAKI JON A AND MADELEINE 356 MATHEW ST 07/23/2008 NE: (408) 727-9850 SANITARY NO. CONTROL NO. ARCHITECT/ GINEER: BUILDING PERMITINFO BLDG ELECT PLUMB MECH t� I� u0o LICENSED CONTRACTORS DECLARATION - lob Description ^0]2 FFtil with Descrl tionI "lraamlkcnmal underiofCMpul9(mYinmmng MthSeionTOT ,ofDofRemovvandProfesslemllccemuINSTL LATRL CLEAN-OUT - I.fell for_ce�an+d em. ' ^ ? Dam�+r� Co fractal . ARCHITECTS DE5CLABATION 1 macrsund my piano Nall Int used u while records D-u y0 Lkrnxd Professional 3OWNER-BUILDER DECLARA71ON E 1 hcmby allirm that 1 am exempt from the Contractors License Iaw far the -Coo following mason.(section 71313,Business and Professiom Code:Any city or county $ which requires a permit in cons rata.alter.hnprow.demolish,or mmir my structure prim b its issuance.also requires the applicant for such permit to rile a signed suummt pSG that he is licensed purmant to the provisions of the Comucturs Lice=Law(Chapter 9 Sq.Ft.Floor Area Valuation yh (commenting with Sued.7000)of Division 3 of the Business and professions Cods)or $5500 t`t s E Nat les is eumpt rh refrom and the masts for the alleged exemption.Any violation of Section 7031.5 by airy applicants for a permit subjects the applimnt to a civil penally of out come dues five hundred dollars(M), 3 6923 006 .�ff Number Occupancy Type Q I,u owner of the property,or my employees with wages as their sole compemadon, will de the work,and theawaurt is not imunumd oroHeeed for ram(Sm.Vista.Business and Prolestians Cade The Contractors License Law does Inst apply to an owner of Required Inspections property who builds orimprows Merton,and whodoessuchwerkhimWforduough his awn employees,provided that such improvements are not intended aroRertE for wale.If. however.the building or improvement is sold within one Sear of completion.the mvner. Wilder will have the murders,of proving that he did cot Wild or improve for purpose of male.). Q 1,as owner M the property am exclmivaly contracting with licensed comiscurs to consuua the projea(Sec.7Wd,Bminem and Prafeumns Code:)The Contractors LL cense Law does act apply in an owner of property who builds or lmprovea thereon,and. who concocts That such projeeu with•conbacmr(s)licensed personnel to the Contractors (seem Law. Q l am exempt under see ,B&P C for Vi$moan Owner Dau WORKERS COMPENSATION DECLARATION I hereby affirm order penalty of perjury,arc of the following dmJarLimts 1 haw and will maintain•Certificate ofcnmem in seif-Insum for Wmkera Compen. aulon,as provided for by Section 3700 of the Labor Code.for me preform.of Ibe work for which this permit is Wood. Q 1 luso and will maintain Work es Compensation Imuance,u rtquired by Sued. 37to of de Labor Cudo.Int de,pmfmmmce oldie work forwhich this permit Is issued. My WorteCrs+'Com,p'ewtim In..more,aM Polity nambcr am: carsicr.,,.Jr'3�fs �f.+n Polity N-:42Pj -2vJ'7 C FlPf70NFROMWO�— COMPENSATION INSURANCE mail mim need mtbecompleted If Ili Permit Is forane hundlMdoOma($100) moral 1 certify dont lo the pmformance a dm work for which this permit u issne-1 Nal ma cmplay any paten in my mamerso u an become subject to the Wmkerr Compensation Laws of Califomix Date Applicant NOTICE TO APPLICANT:If.after making Na CeniOeste of Emmptian,you annum become..him in the Workers ComFcnsmmo provisions a the labor Cade you some ' .J z forthwith comply with such Provisions or this permit Nall h deemed nrvaked. z q CONSMVCnON LENDING AGENCY - [+ Ihereby affirm that them uaconswctinn lending agency for it.performance of C the wort for which gds permit Is issued(See.3097,Civ.C.) Wp Landers Name ' 0 z Lumber Address , U Q 1 certify Na 1 have iced this applim ion and sum that the above iNmm on.is CE 1 agrte m comply with al City and county ordionwis atW state laws misting to buildingconsuucaio-cod nertby mthoris rtprtsenutiwa or Nu cirymcnter upon the [2t show-mentioned property Int inspection puryoses (We)gr ere m maw,indemnity and kcep harmlau the Clay of Cupertino upen t s Ity ern incontiaunarc Of the mu and espenseswhich mryin any way mrneagdnst maid Ciq V z A APPLICANT ofthegrantingal this permit. r APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: SCE REOU Date .-Z2 TIONS.^�1 �,i L "7 I2`; e P Re-roofs Stgrmum of ApplrmndCo osew Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applimnt or)mum building necupmtsure m handle haavNom maerial U deRneO by the,Cupertino Municipal prof 9.11.atM Ili Healthand Safety Cods.ration 25532(.)] 0y. All roofs shall be inspected prior to any roofing material being installed. Will the applicant or future Wilding occupant use equipment or avian which If a roof is installed without first obtaining an inspection,I agree to remove ,hvudnm ail canuminsnts u dcOned by the Bay Ansa Air Quality Management all new materials for inspection. QYm ®yes/ 1hewmad the Ivmardwtsmamriab iromcrosunhr .Chapmr6.95ofthe Califor. iliaH th&Safay Cad-Sariw25505.25533and2553a.1walcoand dmifdm tending t cmmntiY hew.Immo Inas II u my responsibility m notify the occupant,of the n wnKh xmetpnarlo' of Color..ofocc_ p y Signature of Applicant Date All roof coverings to be Class'%¢ or better Own onuNorved agent Dau' ' CITY OF CUPERTINO • 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: pdtg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . . 36923006 . 00 DATE ISSUED. . . . . . . : 07/23/2008 RECEIPT # . . . . . . . . . : BS000005555 REFERENCE ID # . . . : 08070162 SITE ADDRESS . . . . . : 6708 JOHN DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . .. HOSHIZAKI JON A AND MADELEINE ADDRESS . . . . . . . . . . : 6708 JOHN DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-4563 RECEIVED FROM . . . . : ROBERT RUIZ CONTRACTOR . . . . . . . : YATES, JAMES H LIC # 702 COMPANY . . . . . . . . . . : CHEROKEE CONTRACTING CO. ADDRESS . . . . . . . . . . : 356 MATHEW ST CITY/STATE/ZIP . . . : SANTA CLARA, CA 95050 TELEPHONE . . . . . . . . : (408) 727-9850 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 5, 500 . 00 0: 60 0 . 00 0 . 60 0 . 00 1PPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0. 00 1PRSEWER UNITS 1 . 00 20 .40 0 . 00 20 . 40 0 . 00 1TRAVDOC FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 102 . 58 0 . 00 102 . 58 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 102 . 58 MC --------------- TOTAL RECEIPT 102 . 58 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ------- ---------------------------- -------- ------------- 106 SEWER & WATER 202 UNDERFLOOR PLUMBING 301 ROUGH PLUMBING 400 SEWER/LATERAL 507 FINAL PLUMBING l CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE TY OF • CUPERTINO PERMIT APPLICATION FORM APN # U Date:•? Build' g Vdre ` , nh , Owner's Nae: Phone #: Contractor: Phone#: SFax #: Contact: Phone#: ' n /+ t Fax # Ip�C� Contrac icense #: Cupertino Business License #: Job Description: Residential Commercial ❑ Valu rL _ Prole t Si e: 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 Building Points: — Quantity Fee ID Fee Description -Fe e Permit Type Group IPCSEWER Commercial building P 1CPSS 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 IPRSEWER Residential building P 1RPSS sewer/sanitary sewer CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE CUPEkTiNO 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 • 1PLMBINSP Other Plumbing/gas Insp. P 1TRAVDOC Travel & Documentation Fee B 1BUSLIC Business License B 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 75points 11. Permeable Paving, Note L-1 C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 D. Structural 3. Uses Wood 1-Joist, (See Spec.) S-2 5. Use Truss with heels, (detail) S-2 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 TOTAL POINTS 40 points . • Plan Review Process Work Book Page-I2-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 IA011-lealth A. ite 1.Recycle Job Site Construction&Demolition Waste^ 65%=1 point;75%= 2 points,80%=4 paints 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 6 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 B.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=yesF:::: 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 • 114PUT Resources Energy ]AD/Health mows 1.Install Energy-Efficient Windows a.Double-Paned 1 Energy pt y--yesL001 b.Low-Emissivity(Low-E) 2 Energy pts y=yes c.Low.Conductivity Frames 2 Energy pts Y--yes2.Install Low Heat Transmission Glazing 1 Energy pt Y--yes 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 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 31AO/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 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 IAO/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 31AQ/Health pts y=yes p 1 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 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,Incorporate Passive Solar Heating S Energy pts y=yes p 2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts y=yes p 3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes p • I 1 1 Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 WUPEkTINO Building De artment JOB APD PERMIT # © tS ctx" op GZ4Df-0 `70 OWNER'S NAME: bt1,n PHONE # GENERAL CONTRACTOR: FAX # Q_ Q 7 I am not using any subcontractors: A� 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 MW colt, Roofing Septic Tank Sheet Metal Sheet Rock Tile PL4 _� v Owner/Contrr Signature Date