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08070176 • CITY,OF CUPERTINO r av,., oa '° �4 - BUILDING DIVISION PERMIT - ------ PERMIT CONTRACTO IVOTIO '• BUaglgc3A8q�(Egs,ORTHCOVE SQ TBD - TO BE DETERMINED • PERMIT NO. 08070176 OWNEWS NAME: 1V PERhnT ISSUE DATE WI:LLTAMS ROBERT B 07/24/2008 `NE: SANITARY NO. CONTROL NO. • ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH Ini LI o o LICENSED CONTRACTOR'S DECLARATION - O O C itI hereby affirm at I am licensed under provisions of Chapter 9(commencing Job Description - N rg with of Division3alganwand ProfesvmnCode,and myBmveu RMV DRYROT DMG JOISTS & BEAM FM EXTNG DECK 5'qi in llffrteangeser. �. $..g JK CONTROL INC. PD FOR' BUS LIC 7/24/8 c iDate en 7 Contractor p1-pa700 ARCHITECTS DEC TION DWU I understand my plans shall be used as pub records . g G Licensed Professional . 5 OWNER-BUILDER DECLARATION 9<f I hereby affirm Nal I am exempt from the Contractor's License Law(or the i ct O following reason.(Section 7031.5,Business and Professions Code:Any city or county $g which requires a permit to consweL alter.improve,demolish,or repair any structure _i< prior to its issuance,also requires the applicant for such permit to file a signed statement E a that he is licensed puesnnuo the provisions of the Contractor's License Law(Chapter9 Sq.Ft.Floor Area Valuation yhg. (commencing with Section 7000)of Division 3 of the Business and Professions Code)or $6500 y - that he is exempt therefrom and the basis for the alleged exemption.Any violation of • Section 7031.5 by arty applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). 31641072 ,V Number Occupancy Type I,as owner of the property.or my employees with wages as their sole compensation. will do the work,and the swcture is not intended or offered for sale(Sec.7044,Business and Professions Code:The Contractor's 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 are not intended(roffered for sale If, • however,the building or improvement is sold within one year of completion,the owner- builder w10 have the burden of proving that he did not build or improve for purpose of • rale.). - ❑Las owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7014,Business and Professions Code:)The Contractor's Li- cense Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law. ❑1 oro exempt under Sec. ,B&P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION f I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a Certificate of Consent to self-intim for Worker'sCompen- ation,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 Worker's Compensation Insurance,is required by Section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. . My Worker's Compensation Warm=cant and Policy number am: • Carrier. Zts^'f�^- "'f442a0Policy No.:0 o&7"073O) . CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE • • (This section need not be completed if the permit is for one hundredaBars(5100) or lass.) I certify that in the performance of the work for which this permit is issued,I shall not • employ any person in any manner so as to become subject to the Workers'Compensation ' Laws of California Dale Applicant NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should • become subject to the Worker's Compensation provisions of the Labor Cade,you mus • 0 Z forthwith comply with such provisions or this permit shall be deemed revoked. 'zy CONSTRUCTION LENDING AGENCY [-aI hereby aRrm that there is construction lending agency for the performance of GG . the work for which this permit is issued(Sec.3097.Civ.C.) ;W E Lender's Name • z Lender's Adder.. V 0 I certify that I have read this application and state that the above information is !Zn f" correct I agree to comply with all city and county ordinances and stale laws relating 0 O V building construction,and hereby authorize representatives of this city to enter upon the >4 11.1above-mentioned property for inspection purposes. f"y (We)agate to save.indemnify and keep harmless the City of Cupertino against • / rat Iiabilitins,judgments,casts and expenses which may In any way accrue against said City WINCILt L)z in consequence of the granting of this permit. s'+ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: 1- Sb 4.1,0 Date 7,--'1,((_,_ - REGULATIO j re ri 25/°? Re-roofs dr --- sign tart 1Appli ntractor Dale HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will dm applicant or future building occupant store or handle hazardous material • as defined by the Cupenina Municipal Code.Chapter 9.12.and the Health and Safety • Code.Section 25532(a)9 All roofs shall be inspected prior to any roofing material being installed. ❑Y iiiiiWill 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 mit mt contaminants tris eonminanas defined by the Bay Area Air Quality Management all new materials for inspection. ❑Yes Od7o I have readza the hardos,materials requirements under Chapter 6.95 of the Califor- nia Health&Safety Code.Sections 25505,25533 and 25534.1 undersand Na if the building does not currently have a tenant.that it is my responsibility to notify the occupant of the which et prior issuance aracemreamaara y;h y Signature of Applicant Date o or amNa sed agars Date . All roof coverings to be Class rjgar or better • CITY OF CUPERTINO 403 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # : 1 Sec : Twp: Rug: Sub: B1k: , Lot: APN • 31641072 . 00 DATE ISSUED • 07/24/2008 RECEIPT # • BS000005575 REFERENCE ID # . . . : 08070176 SITE ADDRESS • 20302 NORTHCOVE SQ SUBDIVISION CITY • CUPERTINO IMPACT AREA OWNER • WILLIAMS ROBERT B ADDRESS • 20302 NORTHCOVE SQ CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-0562 RECEIVED FROM • JK CONTROL INC 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 6, 500 . 00 0 . 70 0 . 00 0 . 70 0 . 00 1BUSLIC FLAT RATE 1 . 00 110 . 00 0 . 00 110 . 00 0 . 00 1DECKWOOD EACH 1 . 00 428 . 00 0 . 00 428 . 00 0 . 00 TOTAL PERMIT : 538 . 70 0 . 00 538 . 70 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER CHECK 538 . 70 #18993 TOTAL RECEIPT : - 538 . 70 • • • 407 CITY OF CUPERTINO • (C . ADDITION/REMODEL CUPERJINO PERMIT APPLICATION FORM AP # �D �'1 ` 01Date: b 6 r t 246 Building Address: � tk�c)U e' C 7 �`/ p�236a �c @.- . �Ge G,.c/e. Mailing Address (if different from build'ng address):— p 53`1- LOUQAt (�cAlc ( Wood l i'uk Cv (>0863 Owner's Name: tCC- H• Y Y EIS -' Phone# o P..b WEU �I� ( a-e--0,z2s`� Contractor:- Cori L„ niC . Phone#: (-VS'( 3:2_O02 Fax #: CFI Contractor License#: rk)(O z_7_ I S. � Cupertino Business License#: Contact:IS M 3 troo kS Phone#: LEIS"SSC/-- (yf s- Fax #: • Building Permit Info: Bldg. Elect. ❑ Plumb. ❑ Mech. ❑ Hillside ❑ *Job Description: J l r Dry ro+3 �Com^ Addition (adding sq footage): ' yl (`3ea_tL.,_ -fro ec,;si4r c(tcL • What is being remodeled (not including addition)? Remodel Includes Re-Roof: Yes ❑ No ❑ If yes list.number of squares Remodel Includes Structural: Yes ❑ No ❑ Square Footage: Addition: Porch: Deck: Garage: Detached Attached Remodel: Kitchen Bath Other Type of Construction (Usage Class): Occupancy Type: I-A, 1-B ❑ II/III/V-A ❑ IUIII B, IV-HT, V-B Q— P -3 Valuation: al SOA A.o Please check this box if the project is a second-story addition ❑ Project Size: Express ❑ Standard ❑ Large ❑ Major❑ Please complete relevant portion of the Green Building Checklist& attach it to the application or if applicable, Green Building Points Achieved: include in plan set & the sheet index. ***For Office Use Only*** Over-the-Counter ❑ Revised 7/01/08 • CITY OF CUPERTINO �g ADDITION/REMODEL CUP;1„11) IITINO FEE SCHEDULE i Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft ADDITIONS 1R3SFDADD PLLONGRNGR Long Range PL Planning/Residential IR3INSP 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 IR3ALTINSP 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 DETACHED 1R3SFDREM 1GARDTW<=1K Wood Frame up to B 1,000 SF (each) 1GARDTM<=1K Masonry up to 1,000 SF B (each) BCONSTAXR Construction Tax Res (new detached garage) PATIO'S OPEN 1R3SFDADD OR 1R3SFDREM 1PATIOWOOD Wood Frame up to 300 B SF 1 PATIOMETAL Metal Frame up to 300 B SF , 1PATIOOTHER Other Frame up to 300 SF B PATIO'S CLOSED 1R3SFDADD OR • & SUN ROOMS IR3SFDREM IPATIOENCLW Enclosed Wood up to 300 B SF 1PATIOENCLM Enclosed Metal up to 300 B SF 1 PATIOENCLO Other Enclosed Patio up B to 300 SF 1COVPORCH Porch Covered-Each B (Each) REMODELS IR3SFDREM 1 REMRESKIT Kitchen Remodel up to B (Deduct "$"for ea plan 300 SF check) 1 REMRESBAT Bath Remodel up to 300 B (f SF I REMREOTH Other Remodel up to 300 B « SF 1 REMRES2 Remodel Residential B Greater than 1000 sq ft • 1REMRES3 Remodel Residential B Greater than 2500 sq ft. 3 of 3 y. CITY OF CUPERTINO ADDITON/REMODEL FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft REMODEL PLNCK 1STPLNCK (1-3 for Standard Plan Check B NOT FOR OVER THE remodel) COUNTER PLAN CKS. 1REROOFRES Residential Re-roof Each B 100 SF WINDOW/SLIDING 1R3SFDREM GLASS DOOR 1WINREP Replacement windows B (ea 8 windows) 1 WINNEWNSTR New Window (non- B structural) 1 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 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 1PPERMITFEE Plumbing Permit Fee P 1 ELCPLNCK Stand Alone Electric Pln E Ck (hourly) 1MECPLNCK Stand Alone Mechanical M Pln Ck (hourly • IPLMPLNCK Stand Alone Plumbing P Pln Ck (hourly) 4 of 3 • CITY OF CUPERTINO ADDITON/REMODEL FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft 1BSEISMICRE Seismic Residential B 1TRAVDOC Travel & Documentation B 1BUSLIC Business License B • • • 5of3 • 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 Tr;r4. 7 C::4-', :'h .# -aTa e'; 1:11 -.:r-)X Y'.4 .:. !C..• -',--7.:::;4'--;144, 71.7.[...,-7'1 si.: '-r:- 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.) A4 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.) A3 1 point 3. Energy Star Refrigerator, (Note/Spec.) , A-3 1 point P. Other 1. List Green Features on Plans A-1 1 point 1a tt " : 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 [AO/Health A.Site [1.Recycle Job Site Construction&Demolition Waste 1 65%=1 point;75%= 2 points;80%=4 points 1 up to 4 Resource pts 0 t2_Salvage Reusable Building Materials l 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 r8.Design Resource-Efficient Landscapes and Gardens - j 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 0 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 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 8.Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y=yes 0 9.Use Structural Insulated Panels(SIPs) a.Floors 3 Energypts 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 0 0 0 • INPUT Resources Energy IAO/Health I. xtenor gush ' 11 Use Sustainable Decking Materials a.Recycled content • 3 Resource pts y=yes— 0 • b.FSC Certified Wood 3 Resource pts y=yes— 0 2.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAO/Health pt y=yes 0 3.Install House Wrap under Siding t 1 IAQ/Health pt y=yes— 0 4.Use Fiber-Cement Siding Materials ___— 1 Resource pt y=yes 0 0 0 0 E.Plumbing It Install Water Heater Jacket j 1 Energy pt y=yes 0 2.Insulate Hot and Cold Water Pipes 2 Energy pts y=yes 0 3.Retrofit all Faucets and Showerheads with Flow Reducers a.Faucets(1 point each,up to 2 points) I 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) Up to 3 Resource pts. 0 5.Install Chlorine Filter on Showerhead 1 IAQ/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 IAQ/Health pts. 0 8.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0 0 0 0 r.metrical 1.Install Compact Fluorescent Light Bulbs(CFLs) , ,(6 bulbs=2 points,10 bulbs=3 points,12 bulbs=4 points) _J 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 to 4 Energy pts. 0 0 0 0 G.Appliances 1.Install Energy Star Dishwasher 7 1 Energy pt y=yes— 0 • 2.Install Washing Machine with Water and Energy Conservation Features t 1 Energy pt y=yes 0 3.Install Energy Star Refrigerator 1 Energy pt y=yes— 0 14.Install Built-In Recycling Center 3 Resource pts y=yes 0 — — — 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 0 (3.Install Recycled-Content,Fiberglesi Insulation with NoAdded Formaldehyde 3IAO/Health pts y=yes 0 L — — 4.Use Advanced Infiltration Reduction Practices 2 Energy pts 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 o.cenings 4 Resource pts y=yes 0 0 0 0 • INPUT Resources Energy IAO/Health `rndows 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 a Install Low Heat Transmission Glazing 1 Energy pt y=yes 0 0 0 0 J.Heating Ventilation and Air Conditioning )f.Use Duct Mastic on All Duct Joints 2 Energypts -___] 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 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 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 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 IAO/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 16.—Select—Safe and Durable Roofing Materials _ - 1 Resource pt y=yes 0 .7 Install Radiant Barrier — 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 IAOIHealth 1.Indoor it Qua ity an• rmshes • 11.Use Low/No-VOC Paint 1 IAQ/Health pts y=yes 0 • 2.Use Low VOC,Water-Based Wood Finishes 2 IAQMealth pts y=yes 0 • 3.Use Lo v/NO VOC Adhesives 3 IAQ/Health pts y=yes 0 4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 6lAQ/Health pts y=yes 0 6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 0 [7.Seal all Exposed Particleboard or MDF _- 4 IAQ/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 IAQ/Health pts y=yes 0 0 0 0 N.Flooring 1.Select FSC Certified Wood Flooring 8 Resource pts y=yes 0 12.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 IAQ/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:1 1401. 1301 57 Total Points Project Received:) 01 01 0 . G:datalprogsrgreenbuildingguidelineshemodelerstgreenpoimsf naI2.12.04protected.xls • 1116 5. EL CAMINO REAL SAT•TEO, CA. 94401 . . • • COMPLETE REPORT 0 LIMITED REPORT Q SUPPLEMENTAL REPORT Q REINSPECTION REPORT 0 ROVED ot GENERAL DESCRIPTION: SEE ORIGINAL REPORT GARAGE �� r�10 �1^ S MO Otrallswa- Other Tags Posted: An inspection has been made of the structure(s)shown on the diagram in accordance with the Structural Pest Control Act.Detached porches,detached �„ steps,detached decks and any other structures not on the diagram were not inspected. M r Subterranean Termites ❑ Drywood Termites 9 Fungus/Dryrot 9 Other Findings 9 Further Inspection 0 � ct p,ap end al bili It Is un If any of the above boxes are checked,it indicates that there were visible problems In accessible areas.Read the report for details on checked oe Wept On the1.„.-‘,at al geS r. r „n Diagram Not To Scalelawhip mat 'written GilaOci tnjt5610o'a" '� U�w\ C ` (p-C- on V40013lt of coot"' as Q . .o u c 0� Ui�ic the hnildm8�oP " n •nd spxdt�°to be a1. l/S/�v' N i The Sta WIbe the he n d any Vit (3TO��Ion QCM41i�t {PI(_C�ItVt�' `/���tt`�. 1� tnatPmSTOPlaw �xLS-�'� t hY �tyJd�l`�W1�`� Ota rA±& �c-tA VI"4-^"l."^,_ Y49 c,ctttAAt S �-l Q'c,-- CLC- 2Ddq 20 3oa R. Coo & L. e 9A c D n o 0ON; 'co- ', CC. ,,N<<� �- recly NI2A1° cMCk o-c ?obi w ZlCtS • or Front Inspected By: MONTE RETTKE State License No. OPR9419 Signature: �� /1,/d You are entitled to obtain copies of all reports and completion notices on this property reported to the Structural Pe/ContrLr pard during the preceding two years.To obtain copies contact:Structural Pest Control Board,2005 Evergreen Street,Suite 1500,Sacramento,California,95815-3831. NOTE: Questions or problems concerning the above report should be directed to the manager of the company.Unresolved questions or problems with services performed may be directed to the Structural Pest Control Board at(916)561-8708,(800)737-8188 or www.pestboard.ca.eov. 4311-41 (Rev. 10/01) • FUNGI DAMAGE NOTED TO DECK. R• ENDATION • • • ' REMOVE AND REPAIR AS EXISTING. NO PAINTING INCLUDED IN OUR BID. PATCH STUCCO IF DISTURBED. SECTION I • "Thank. you for selecting our company to perform a structural pest control inspection on your property. Our inspectors have determined that your property will benefit from the • safe application of a chemical commonly used for structural pest control. In accordance with the laws and regulations of the State of California, we are required to provide you and your occupants with the following information prior to any application of chemicals to such property. Please take a few moments to read and become familiar with the content. • State Law requires that you be given the following information: " "CAUTION - PESTICIDES ARE TOXIC CHEMICALS. Structural Pest Control Operators are licensed and regulated by the Structural Pest control Board, and apply pesticides which are registered and approved for use by the California Department of Food and Agriculture and the United States Environmental Protection Agency. Registration is granted when the state finds that based on scientific evidence, there are no appreciable risks weighted by the benefits. The degree of risk depends on the degree of exposure, so exposure should be minimized. "" " "If within 24 hours following application, you experience symptoms similar to common seasonal illness comparable to the flu, contact your physician or poison control center (800) 876-4766 and your pest control operator immediately. " " For further information contact any of the following: JK Control, Inc (415) 468-2002 San Mateo County Health Dept (650) 573-2582 San Francisco County Health Dept (415) 558-2466 San Mateo County Agriculture Dept (650) 363-4700 San Francisco County Agriculture Dept (415) 558-3284 Santa Clara County Agriculture Dept (408) 918-4600 Novato County Agriculture Dept (415) 499-6700 Structural Pest Control Board (916) 561-8700 THE FOLLOWING CHEMICALS MAY BE USED AT THE PROPERTY: TERMIDOR SC (SUBTERRANEAN TERMITES AND/OR LOCAL TREATMENTS) TIM-BOR (FUNGUS DAMAGE/FUMIGATION ZYTHOR IS USED FOR FUMIGATIONS NOTE:SHOULD LOCAL BUILDING DEPARTMENT REQUIRE ADDITIONAL WORK, NECESSARY PRICE ADJUSTMENTS WILL BE MADE. LOCAL BUILDING DEPARTMENTS ARE NOW REQUIRING THAT SMOKE DETECTORS BE INSTALLED IN ALL BEDROOMS AND HALL WAYS FOR WORK OVER $1,000.00. THIS IS NOT INCLUDED IN OUR BID. OUR PRICE FOR INSTALLING SMOKE DETECTORS IS $25. 00 EACH. PLEASE BE ADVISED THAT A SIGNED AGREEMENT MUST BE FAXED OR NAILED TO OUR OFFICE PRIOR TO ANY 'SCHEDULING OF WORK. FIELD WORK SHEET REPORT # 23 BUILDING NO. . STREET CITY ZIP COUNTY APPOINTMENT DATE & T 91 INSPECT DATE 8 TIME ;10 . Cot- /C C Nb —1_»,-3— REFERENCE # ESCROW # Occupant's Name • Home Phone Work Phone Ext. Cross Street Map Ref. Access Square Feet Garage/Roof Insp. NUR 182 Inspection Fee Cash/Check Building Type Loan Type Closing Date ORDERED BY: REPORT SENT TO: PROPERTY OWNER: PARTY IN INTEREST- ORIGINAL ORIGINAL REPORT ® LIMITED REPORT ❑ S ••LEMENTAL REPORT ❑* REINSPECTION REP** ❑* *Stempn#L Date I N .F SOF O D E F ES NOUURUT AAA X H GENERAL DESCRIPTION: AT R B Y N H M R u CO C T TWGEPTL EW CN HE OUPWHT SE ES EROS W 0 . Y 5R 5 S P R A D O O O W G V L E N T R O R B CN E ❑ ❑ T 0 A E L T S A R R P E ❑ DOM • INSPECTION TAG POSTED: E E PNM Y ER E E 05 OE I MC B I OTHER INSPECTION TAGS: A CT T R CL RS R TEEOT T NE I T V E I R 5 T S ET E EU A O M SA E R S N I L T T 5 E E S • S 1. SUBSTRUCTURE AREA 2. STALL SHOWER 3. FOUNDATIONS 4. PORCHES-- STEPS 5. VENTILATION 6. ABUTMENTS 7. ATTIC SPACES 8. GARAGES 9. DECKS -- PATIOS 10. OTHER-- INTERIOR 11. OTHER-- EXTERIOR --,r Ill {S"c � \..- �{.. ■oa na . . 0 O. , X 6" r . (•J-1.. . . IikIL ;_aI QJIIMINISMEM F.T. . V• r .... �Ia I..�. 1 \—\ 4oitTh.. .nye iiisa 1 — i� GX Cl ( . ..17�® * 1 ... .F .. �. MI (( nn V ' MIam O , . tt (° I ^ Citi vim 1 e Ma .: F � o QM. . • Iter N � r- ip �. _ate I. Pe. , , Mai . I .. y ry spected by License No. OPR9419 Signature 4... JK CONTROL ---License No. PR 0221 Community Development •10300 Torre Avenue • Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408) 777-3333 CUPERJINO 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 NO RAL SAN6MATEO, 94401 • • • COMPLETE REPORT 0 LIMITED REPORT Q SUPPLEMENTAL REPORT 0 REINSPECTION REPORT 0 InspectionGENERAL DESCRIPTION: SEE ORIGINAL REPORT REPORT •'/`/j Other ags Posted: • 5% An inspection has been made of the structure(s)shown on the diagram in accordance with the Structural Pest Control Act.Detached porches,detached SSU tr steps,detached decks and any other structures not on the diagram were not inspected. Subterranean Termites ❑ Drywood Termites ❑ Fungus/Dryrot 0 Other Findings Further Inspection cia If any of the above boxes are checked,it indicates that there were visible problems in accessible areas.Read the report for details on checked I"I. '• Diagram Not To Scale• SCd et o lc ear -2,n.s-1/2- - bean& , J a r15t cQbeci�'a h it I; �t w Lt rt--c- vl . rc,Ae s 2odq �$ JUL 2 L 20D8 2_03o2_ 14_ C d o e St ck.are ' �-..� 9A C C-e—r Tt,YLv • Oct 3ce_ Etxt ' _e /� JJrcx.Q. �) r S CL bA �ok u t l(l ezri-,5 • Front Inspected By: MONTE RETTKE State License No. OPR9419 Signature: 7�7/7/ _LLMC You are entitled to obtain copies of all reports and completion notices on this property reported to the Structural Pe-,'Control`'3oard during the preceding two years.To obtain copies contact:Structural Pest Control Board,2005 Evergreen Street,Suite 1500,Sacramento,California,95815-3831. NOTE: Questions or problems concerning the above report should be directed to the manager of the company.Unresolved questions or problems with services performed may be directed to the Structural Pest Control Board at(916)561-8708,(800)737-8188 or www.pestboard.ca.eov. 43M-41 (Rev. 10/01) . FUNGI DAV NOTED TO DECK. RECOMMENDATION • • • • REMOVE AND REPAIR AS EXISTING. NO PAINTING INCLUDED IN OUR BID. PATCH STUCCO IF • DISTURBED. SECTION I "Thank you for selecting our company to perform a structural pest control inspection on your property. Our inspectors have determined that your property will benefit from the safe application of a chemical commonly used for structural pest control. In accordance with the laws and regulations of the State of California, we are required to provide you and your occupants with the following information prior to any application of chemicals to such property. Please take a few moments to read and become familiar with the content. State Law requires that you be given the following information: "CAUTION - PESTICIDES ARE TOXIC CHEMICALS. Structural Pest Control Operators are licensed and regulated by the Structural Pest control Board, and apply pesticides which are registered and approved for use by the California Department of Food and Agriculture and the United States Environmental Protection Agency. Registration is granted when the state finds that based on scientific evidence, there are no appreciable risks weighted by the benefits. The degree of risk depends on the degree of exposure, so exposure should be minimized. "" " "If within 24 hours following application, you experience symptoms similar to common seasonal illness comparable to the flu, contact your physician or poison control center (800) 876-4766 and your pest control operator immediately. " For further information contact any of the following: JK Control, Inc (415) 468-2002 San Mateo County Health Dept (650) 573-2582 San Francisco County Health Dept (415) 558-2466 San Mateo County Agriculture Dept (650) 363-4700 San Francisco County Agriculture Dept (415) 558-3284 Santa Clara County Agriculture Dept (408) 918-4600 Novato County Agriculture Dept (415) 499-6700 Structural Pest Control Board (916) 561-8700 THE FOLLOWING CHEMICALS MAY BE USED AT THE PROPERTY: TERMIDOR SC (SUBTERRANEAN TERMITES AND/OR LOCAL TREATMENTS) TIM-BOR (FUNGUS DAMAGE/FUMIGATION ZYTHOR IS USED FOR FUMIGATIONS NOi'E:SHOULD LOCAL BUILDING DEPARTMENT REQUIRE ADDITIONAL WORK, NECESSARY PRICE ADJUSTMENTS WILL BE MADE. LOCAL BUILDING DEPARTMENTS ARE NOW REQUIRING THAT SMOKE DETECTORS BE INSTALLED IN ALL BEDROOMS AND HALL WAYS FOR WORK OVER $1,000.00. THIS IS NOT 'INCLUDED IN OUR BID. OUR PRICE FOR INSTALLING SMOKE DETECTORS IS $25. 00 EACH. PLEASE BE ADVISED THAT A SIGNED AGREEMENT MUST BE FAXED OR MAILED TO OUR OFFICE PRIOR TO ANY•SCHEDULING OF WORK. • WORK SHEET REPORT # 23 BUILD STREET CITY ZIP COUNTY APPOINTMENT DATE 8 TIME 91 INSPECTION DATE 8 TIME REFERENCE # ESCROW # 0 1 q 11'a iO Occupant's Name • Home Phone Work Phone +OC c�1/ Ext. Cross Street Map Ref. Access Square Feet Garage/Roof Insp. NOR Sec 182 Inspection Fee Cash/Check Building Type Loan Type Closing Date ORDERED BY: REPORT SENT TO: PROPERTY OWNER: • PARTY IN INTEREST: a ORIGINAL REPORT E LIMITED REPORT ❑ S ••LEMENTAL REPORT [1* REINSPECTION REPS• ❑ *Stempnit* l Date I N .F SOF ODE F CES NOUORUT A A AE Xi.-1 AT RBYNHMRUL CO GENERAL DESCRIPTION: c T TWGE P T L L EW C 1 HEOURWHT USE E N EROS 0 . Y L SR S RR D O WO 0 G 0 I L S E A' T R O OW R 5 V E I C N N E O T O A E E A S TS O E ❑ O D M K INSPECTION TAG POSTED: EE E N M A E M D E EE D S OC BA CT TR S I O L RS OTHER INSPECTION TAGS: R T EEOTT NE T E I R S T ET E S L A OM SA L r S N 1 C S E 11, T E 5 S 1. SUBSTRUCTURE AREA _ 2. STALL SHOWER 3. FOUNDATIONS 4. PORCHES -- STEPS 5. VENTILATION • 6. ABUTMENTS • 7. ATTIC SPACES 8. GARAGES 9. DECKS -- PATIOS 10. OTHER-- INTERIOR 11. OTHER-- EXTERIOR lc . • �.L. _ ?" Z oW of �` �... rii ':N `� - _ i N rel --- j 6 Nh Hrn IIIlid: . " " . : II ' I : ' I : 1. G C�!\t tr Gl G mai 0 C . �: .(4. ,-...4_,(7 a _N rt ps mac-, C �- 1 • r ; ( :� u yl -G'�nspected by MTiE thITICE License No. OPR9419 Signature JK CONTROL--- License No. PR 0221