08010080 CITY OF CUPERTINO �{^�+�7r��yt,4g r:Stlfy°� `rid �" ' .4it
BUILDING DIVISION • PERMIT
yQi\al. ',TUR�YIUIVLAI`.[O;
BUILDING ADDRESS: , PERMIT NO.
22340 REGNART RD WILLOW GLEN BUIDING 08010080
OWNER'S NAME: LUMYAIVY 1NL PERMIT ISSUE DATE
' TODD & JESSICA POYNER 1824 STONE AVE 01/14/2008
IIINE: SANITARY NO. CONTROL NO.
(408) 264-3500
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
' BLDG ELECT PLUMB MECH
0 0 0 C
u o 0 LICENSED CONTRACTORS DECLARATION •
I hereby affirm that I am licensed under provisions of Chapter 9(commencing Job Description
O- w with Salion7000)ottivision 3 of the Business and Professions Code.and my license is RMDL EXSTG MSTR BATH, 84 SQ
° % in full force and cffe 1,S'Z 72.2
;'m 4 License Llase _N Li.• 4 J '
I Dale /—/ ^S 9 DECr IO r<94Cd-ty
ARCHITECT);beseDECLARATION 1
S I understand my pinna shall he used as public records
D0.
5 c rn Licensed Professional •
a5 OWNER-BUILDERexempt DECLARATION
2 1 hereby a?e that I am exempt from the Contractor's License Law for the
p O following moon.(Section 7(131.5,Business and Professions Code:Any city or county
am which requires a permit to construct alter.improve,demolish,or repair any structure
Z y prior to its issuance,also requires the applicant for such permit to file a signed statement
- that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter9 Sq.Ft. Floor Area r. Valuation
$ (commencing with Section 7000)of Division 3 of the Business and Professions Cade)or $30000
R- that he is exempt therefrom and the basis for the alleged exemption.Any violation of
Section 70314 by any applicant for a permit subjects the applicant to a civil penalty of AApI Number Occupancy not more than five hundred dollars($500). 36640007:T7 U' P y TYPe
0 Las owner of the property,or my employers with wages as their sole compensation,
will do the work,and thesticture is not intended or offered for sale(See.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
awn employes,provided that such improvements are not Intended or offered for sale.If, •
however,the building or improvement 4 sold within one year of completion,the owner-
builder will have the burden of proving that he did not build or improve for purpose of
sale.).
❑I.as owner of the property,am exclusively contracting with licensed contractors be
connect the project(Sec.7044.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 pmjecu with a contractor(s)licensed pummel to the Contractor's
License Law.
❑I am exempt under See ,B&P C for this mason
•
Owner Date
WORKER'S COMPENSATION DECLARATION
reby affirm under penalty of perjury one of the following declarations: -
have and will maintain a Certificate of Consent to self-insure for Worker'sCompen-
an,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,as required by Section
3700 of the Labor Code,for the performance of the work for which this permit is issued. '
My Worker's Compensation Insurance caries and Policy number are: •
Cartier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE ,
(This section need not be completed If the permit is for one hundred dollen($100)
or leu)
I cenify 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 Workers'Compensadon '
Laws of CaliOmir.Date a
Applicant ,.yvw.l,( - -4-'-4-'144.2
NOTICE TO APPLICANT:If,after making this Ceni r P of Exemption.you should
become subject to the Workers Compensation provisions of the Labor Code,you must
.J Z forthwith comply with such provisions or this permit shall he deemed revoked.
Z v'° CONSTRUCTION LENDING AGENCY
NI hereby affirm that there is confection lending
F ,..._.--1r agency tear the performance of
a Leders Nr which this permit is issued(Sec.3097,Civ.C.)
IILender's Nurse
0I •
Z Lenders Address
V 0 I certify that I have read this application and state this the above information is
LL H correct.I agree m comply with all city and county ordinances and state laws relating to
0 LI building consuuction,and hereby authorize representatives of this city to enter upon the
[i7 above-mentioned properly far iasmction purposes ,
C (Wc)agree to save,indemnify and keep harmless the City of Cupertino against
m-y fA liabilities,judgments costs and expenses which may in any way accrue against id City J 1.1111111,, IOW
07 in consequence of the Ynntingofthis permlL �•
�PPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:. v� t o)P/ Date //may_eat—,
SOREGpUU LA77D f. f r / �p •
(/� .r las'---^"""-"'���wA"""•A ,�U Re-roofs
Si natureofd li o or Dam /''Z_------- 'I'''''-'-
HAZARDOUS MATERIALS DISCL URE Type of Roof
Will the applicant or future building occupant store or handle hazardous material •
as defined by the Cupertino Municipal Code.Chapter 9.12.and the Health and Safety
Code,Section 25532(a)? F240All roofs shall be inspected prior to any roofing material being installed.
❑Yes
Will the applicant or furore building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
m hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection.
oR
❑Yea QNO
I have real the hazardous materials requirements under Chapter 6.95 of the Califor-
nia Health&Safety Cede.Secdou 25505.25533 and 25534.1 understand Mail the building
does not currently have a tenant, t it is my rosponsibility to notify the occupant of the
qui which must met arm Stumm o enilicate ofOccupancy.
/_/ Signature of Applicant Date
All roof coverings to be Class"B"or better
Owner r authorized agent Date' g
m
(9ol 0020
to CITY OF CUPERTINO
ADDITION/REMODEL
® CUPEICTIN ) PERMIT APPLICATION FORM
APN# Date:
J� � LID 0 0-'1 . /7/ �//o
Building Address:
X22 3(I-0 'Re 6-Am iz_ R b ,
Mailing Address (if different from building address):
Owner's Name: Phone# :
-1-oi)0 Se ssccA ?o Ytil9- 2 c4oS - `tlo - a-9 30
Contaac1or: Phone#: o
Gtr, 11 au) a-/1/4.2,14/ 8 u , /��� L'n��'•q w1i 9 F. -24 S� - 3 S0 b
Fax #: oB • 26S-- 3 3 3 7
Contractor License#: g S`2 -72 2,
Cupertino Business License#: oC L � '-13
Contact: / Phones#:_3 / l0 _ 7 / 9(
/l/C//C Fax #: yd9 -2etS- 3337
Building Permit Info:
Bldg. F Elect. FP( Plumb. V Mech. ❑ Hillside ❑
Job Description:
•
Addition(adding sq footage):
What is beingremodeled? i ,2 n2 n r/1
Remo aX/ S5
Remodel Includes Re-Roof Yes ❑ No ipf 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:
1 FR, 11FR ❑ 11, 111, V-IHR ❑ 11, 111, 1V V-N /7:°5/cl w4 4-6
Valuation: 3 _ ao Please check this box if the project is a
0 re —
/ second-story addition ❑
Green Building Check list must be completed and Green BuildingPoints
attached to the plans. Achieved:
•**For Office Use Only***
Over-the-Counter ❑
CITY OF CUPERTINO
' ADDITION/REMODEL
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
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 B
plan check
1R3HREINSP Dwellings Hillside B
Repeat Inspection •
IR3HREPLNC Dwellings Hillside B
Repeat Plan Check
1R3ALTINSP Dwellings Alternate B
Materials Inspection
1R3ALTPLNC ' Dwellings Alternate B
Materials Plan Check
1PCESS Cesspool P
IPPRSEWG Ea. Private Sewage P
Disposal System
1PRSEWER Sewers P
1BPSPRINK Lawn P
Sprinkler/Backflow
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
1R3SFDREM
1 GARDTW<=1K Wood Frame up to B
1,000 SF
1GARDTM<=1K Masonry up to 1,000 B
SF
• BCONSTAXR Construction Tax Res
(new detached garage)
PATIO'S OPEN 1R3SFDADD OR
1R3SFDREM
1PATIOWOOD Wood Frame up to.300 B
SF
1PATIOMETAL Metal Frame up to 300 B
SF
1PATIOOTHER Other Frame up to 300 B
SF
PATIO'S CLOSED 1R3SFDADD OR
1R3SFDREM
• 1PATIOENCLW Enclosed Wood up to B
300 SF
1PATIOENCLM Enclosed Metal up to •
B
300 SF
1PATIOENCLO Other Enclosed Patio B
up to 300 SF
1COVPORCH Porch Covered-Each B
(Each)
1REROOFRES Residential Re-roof B
Each 100 SF
REMODELS 1R3SFDREM
1REMRESK T Kitchen Remodel up to B (Deduct "$"for ea plan
300 SF check)
1REMRESBAT Bath Remodel up to B "
t" 300 SE
1REMREOTH Other Remodel up to B "
300 SF
REMODEL PLNCK
® ( ISTPLNCK(1-3 for Standard Plan Check B NOT FOR OVER THE
remodel) COUNTER PLAN CKS.
3of3
CITY OF CUPERTINO
ADDITON/REMODEL
FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
WINDOW/SLIDING 1R3SFDREM
GLASS DOOR
1WINREP Replacement windows B
(ea 8 windows)
1 WINNEWNSTR New Window (non- B
structural)
1WINMEWSTR New Window B
(Structural Shear
Wall/Masonry)
1WINBAYSTR Bay Window B
(Structural)
SKYLIGHTS 1R3SFDREM
1SKYL<10 SF Skylight less than 10 sf B
1SKYL>10SF Skylight greater than B,
. 10 sf or structural
1STAIRS Stairs-first flight/ea B
addt'l
•
1BUSLIC Business License
•
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� � � l Y N � 'I W� ! a � f !� �� � iu 4 ti,?`�-��*i 1 � � <" n�' F
! ,, ,� `RESIDENTIALPROJECT�COVER SHEET' Sw ;� ?.
ill .".,�e! x ! a,. a u 'r r a)- !,, ! l4 ^a".Ig" N r'+°i'y �'''r"f t- 1::L fid,; 'tog I'i At r ti s! "�. ' ` a
, .,'.. "LN.{E.'..1 a'^�' i?t,.. l i • ..a2�� 'i4Ms'✓- ;:i.,, °.Cs, e--1 s zl15;'?"441:r"'? ,Gc Li'-i.{:1 _q- 1r Y1'7,..°.;
Assessor's Parcel Number:
Name of owner. 75-751) C SS'( L M 4d Ut V e (2--
Project address. 2Z 3 1/4{' `'0 6-(J $c(Lt j? 1
Contact person. IV` l
LC.ftex_e Phone. Q a— 3 ( 12 -7 I(BC
Fax.
(it
2(a S3 3 7
Net square footage of lot.
Existing Proposed
Square footage: First floor:
Second floor: � -
Garage:
TOTAL:
Are there at least two 10 foot by 20 foot clear spaces inside the garage?. N
altprivacy protection planting required for the project?
On what floor(s) is work being done? ' gr
Brief description of work: �A1* -Rem-cote(✓ \ ecr2 t C14L ' ..7/u Pm lJ i n 5j
A) 0 ply 0r-rzuc c4 a, nc (J .
Code editions:2008 CBC 63-N)2008 CFC DN)2008 CMC N)
2008 CPC 4 �9,19��4y]EC N) RECEIVED LY dJ
O 4%Qac ��5y�`\ JAN 1 4 ZOO
Effective 1/1/08 Q* A •
`o4" •\• cb`s• oc. By
•
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Plan Review Process Work Book Page-8-Revised 1/1/08 1
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
P relative low cost. These measures can be used as a starting point for°greening°your project.
INPUT Resources Energy !AfliHealth
A.Site 223 cfrD Re&M -4t7 8R-b.
1.'Recycle Job SillConstroohon&Demolit6hWaste I
65%='1 point;75%4=•2'points;`BD%='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. 4 Resource pts y=yes 0
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 yryes 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
1D.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 yryes— 0
. 3.Insulate Foundation/Slab before backfill • 3 Energy pts y=yes 0
0 0 0
C.Structural Frame
Y r —,
i1;:Substitute'Solid Sarva 'umber vufth Engineerediumper,'-':.' 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
P t y=yes 0 '
b.Sheathing 1 Resource pt y=yes 0
• - . - 0 • 0 _ O
•
INPUT Aesources Energy IAOIHeallh
D. er or ne
1.Use Sustainable Decking Materials
a.Recycled content 3 Resource pts y=yes 0 •
b.FSC Codified Wood 3 Resource pts y=yes 0 •
2.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAD/Health pt y=yes 0
3.Install House Wrap under Siding 1 IAO/Health pt y=yes '0
4.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 0
• . 0 0 0
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 Showerheads 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. D
4.Replace Toilest with Ultra-Low Flush Toilets
(1 point each,up to 3 points) Up to 3 Resource pts. 0
5.Install Chlorine Filter on Showerhead 1 IAO/Health pt y=yes 0
• 5.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 IAD/Health pts. 0
8.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
0 0 0
r.tleCtncal
1.Install Compact Fluorescent Light Bulbs(CFLs)
'(8 bulbs=2 points, 10 bulbs=3 points,12 bulbs=4 points) 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 • 1 Energy pt y=yes- 0
2.Install Washing Machine with Water and Energy
Conservation Features 1 Energy pt y=yes- 0
3.Install Energy Star Refrigerator 1 Energy pt y=yes_ 0
4.Install Built-In Recycling Center 3 Resource pts y=yes_ 0
0 0 0
H.Insulation
1.Upgrade Insulation to Exceed Title 24 Requirements
a.Walls 2 Energy pts y=yes 0
1 b.Ceilings 2 Energy pts y=yes D
2.Install Floor Insulation over Crawl Space 4 Energy pts y=yes 0 -
3.Install Recycled-Content,Fiberglass Insulation with .
No Added Formaldehyde 3 IAD/Health pts y=yes 0
4.Use Advanced Infiltration Reduction Practices 2 Energy pts y=yes D
5.Use Cellulose Insulation
a.Walls 4 Resource pts . y=yes D
b.Ceilings 4 Resource pts y=yes 0 •
5.Alternative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y=yes • 0
ID.Ceilings 4 Resource pts y=yes 0
•
0 0 0
•
•
-INPUT Resources Energy 'IAOTHealth
.Wn•owe
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.'Conductiviy Frames 2 Energy pts y=yes .0
2.Install Low Heat Transmission Glazing 1 Energy pt y=yes 0
0 0 0
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 IAO/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
B.Install Sealed Combustion Units
a.Furnaces 3IAD/Health pts y=yes 0
b.Water Heaters 3IAD/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 b
13,Retrofit Wood Burning Fireplaces
•
• a.Install EPA certified wood stoves/inserts 1 IAQMaalth pt y=yes 0
b. Install/Replace Dampers 1 Energy pt y=yes 3
•
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 Heal Recovery Ventilation Unit(HRV) 5 IAD/Health pts y=yes 0
17.Install Separate Garage Exhaust Fan 3 IAQ/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=1 B points) Up to 1B 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
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
01' 0;. . . 0'
• .
INPUT Resources Energy IAO/Health
. n•oor ' r 'oety an. ns es
1.Use Low/No-VOC Paint 1 IAOMealth pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAO/Health pts y=yes 0 •
3.Use Low/No VOC Adhesives 3 IAO/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 6 lAO/Health pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAO/Health pts y=yes 0
,7.Seal all Exposed Particleboard or MDF 4 IAO/Health pts y=yes 0
B.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0
9.Use Finger%lointed or Recycled-Content Trim • 1 Resource pts y=yes 0
10.Install Whole House Vacuum System 3IA0/Health pts y=yes 0
•
0 0 0
N.Flooring
1.Select FSC Certified Wood Flooring 6 Resource pts y=yes 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 5 IAO/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: 140J 1301 57
Total Points Project Received: 01 01 0 •
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ANAL APPROVED
SIGNATURE
163;2
— - __ ____ __ DATE
All dimensions size designations given This is an original design and must aot Designed:LiLi Wong
NEW CONSTRUCTION PLAN are subject to verification on job site ® �®
® be released or copied unless applimble Printed:
and adjustment to fit job conditions. ° fee has been paid or job order place I. la/az !WON)
MASTER BATHROOM FINAL ODD&JESSICA POYNOR
22340 REGNART RD
SIGNATURE CUPERTINO,CA 95014
DATE 408-410-2930#8792
t,14,
Community Development
', ;�. . 10300 Tone Avenue
: I
&:-.1.1/41:7-"j: ( Cupertino CA 95014
Telephone(408)777-3228
• CITY OF Fax(408)777-3333
,.tUPERJINO
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:
htto://www.cupertino.org/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
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16336 / DATE _
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All dimensions size designations given This is an original design and must lot Designed:LiLi Wong
NEW CONSTRUCTION PLAN are subject to verification on job site ®®nice be released or copied unless applicable Printed:
and adjustment to fit job conditions. o - fee has been paid or job order place l. /O/aa (/io,.6
MASTER BATHROOM FINAL TODD&JESSICA POYNOR
22340 REGNART RD
SIGNATURE
CUPERTINO,CA 95014
DATE
408-410-2930#8792
CITY OF CUPERTINO
• 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # : 1
Sec: Twp: Rug: Sub: Blk: Lot:
APN • 36640007 . 00
DATE ISSUED • 01/14/2008
RECEIPT # • B5000003685
REFERENCE ID # . . . : 08010080
SITE ADDRESS • 22340 REGNART RD
SUBDIVISION
CITY • CUPERTINO
IMPACT AREA
OWNER • TODD & JESSICA POYNER
ADDRESS • 22340 REGNART RD
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4825
RECEIVED FROM • WGBC EXPO/HOME
CONTRACTOR • VERNON R KIRK LIC # 29643
COMPANY • WILLOW GLEN BUILDING COMPANY I
ADDRESS • 1824 STONE AVE
CITY/STATE/ZIP . . . : SAN JOSE, CA 95125
TELEPHONE • (408) 264-3500
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
1BSEISMICR VALUATION 30, 000. 00 ' 3 . 00 ' 0. 00 3 . 00 0. 00
1REMRESBAT SQ FEET 84. 00 . ... 429 . 00 0. 00 429 . 00 0. 00
1STPLNCK HOURS 1. 00 122 . 00 0. 00 122 . 00 0. 00
TOTAL PERMIT : 554 . 00 0. 00 554 .00 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
CHECK 554 . 00 #12129
TOTAL RECEIPT : 554 . 00
411 . .
Community Development
10300 Tore Avenue
11
'�! 'sF• Cupertino CA 95014
Telephone(408)777-3228
CI OF Fax(408) 777-3333
•UPEILTINO
Building Department
JOB ADDRESS: PERMIT #
273 40 t G$' Ar2Z- 1 . O c(OO cFO
OWNER'S NAME: PHONE # 909 - Z44-350 v
•
GENERAL CONTRACTOR:(,td i((m.i 6.1.e.., Ba i(di tn., FAX # tog -2,(p s---- R 3 1 7
I am not using any subcontractors: V
Signature Date
Please check applicable subcontractors and complete the following information:
0 SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing /�
l/. - Electrical a"ni11yham .LecfruP,
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
°CRer/Contracts Signature to