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CITY OF CUPERTINO ��,g�
DIVISION PERMIT
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BUILDING
BmLplr�e,IkpTUeFsRUCKER DR
iNAyMEE:
ARGONAUT WINDOW & DOOR, INC.
PERMIT No.
08060142
OWNER'S
FERMTT ISSUE DATE
CYNTHIA PHILLIPS
1901 S BASCOM AVE STE 800
06/20/2008
NE:
SANITARY NO. CONTROL NO.
(408)378-4018
ARCNrTECTIENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
LICENSED CONTRACTOR'S DECLARATION
Job Description
P
1 hereby affirm an NI am licensed under provisions of Chapter 9 (commencing
with Sedan 7") of Division 3 of me Business and Profcssom Code, and my secnse is
REPLC 8 SNGL PN WNDWS W/DBL PN
in full face loadeffect.
License Class La. R
LIKE4LIKE7NONSTRUCTRL
Dam. Continuous
ARCHDECES DECLARATION
T understand my plans shalt he used as public records
Licensed Professional
OWNER -BUILDER DECLARATION
I herby affirm that 1 am esmpt fum the Conuactofs License Law for tM
following mason. (Section 7031.5. Business and Prefesstnm Calc: Any city at county
which temoms a permit to amount alter, narrow, demolish, or repair any suena e
prior to its issuance. also requires the applicant fersuch permiuo file a signed stammcnt
he is liccmcd to the the conuacte. License Law (Charter 9
Sq. Ft. Floor Area
Valuation
this pursuant Pnovisiomof
(commencing with Section 7000) M Division 3 of the Business and Profession; Cade) an
$ 9 0 0 0
that he Is exempt therefrom and the basis for the alleged esempticn. My violation of
yp� Number
35614025
Occupancy
P Y Type
Section 7031.5 by any applicant for a permit objects the appliemt to a civil penalty of
not mote than five hundred dolUn(SSIXB.
VV'
1, as owner of die property. a my employees with wages as theb sok compensation,
Required Inspections
will d0 the work. and the structure Is not intended of offend fatale (Sec. 7044. BaLImY
and Profrssiom Code: The Cmaremmes License law does ren apply at an owner of
pnepany who bu ilda or i mprow mercon• and whadwa such work homelier er through his
own employees, provided that such improvements see not intended or offered ransom. If.
however. the building or improvement is sold within arc year ofcompmtion. the owns-
-
Wilder will have me bunlen of proving that he did net Wild or Improve for purpose of
.,
151 . u owner of the propeni, am exclusively contracting with licemad commissars to
construct the project (Sec. 700,1, Business and Profassiam Code:) Th Conuacura U.
see Taw does not apply or an own; of property who builds or improv meson. and.
who menuacts for such pojects with a eowuvctor(s) licensed pursuant in the Contractor's
License Law.
❑ Ism exempt under Se B & P C for this mason
Owner 6. 9.e �' Dam LIu'U
W RKFA'E COMPENSATION DECLARATION
1 hereby affirm under p oulty of perjury ..of the following declasauonc
I haw and will maintain aCerGficem of Coment to self -insure forWorkers Compere
ssion, u provided for by Section 3700 of the labs Cade, far the permmance of the
work for which this permit is hand.
❑ 1 have and will maintain Workers Compensation teammate, as required by Section
37M of the Leban Code, fa the performance of Use wort forwhich this permit is issued.
'
My Workers Compenution Insurance canner and Policy number art:
Carrier. Policy No.:
CERrIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thu section need net W completed lithe permit is form= hundred dollars (SIM)
or leu)
1 certify met In the Performance of the work fa which this Permit u issued. I shall not
cmploymy person many mannermazmi
Mcome subject to the or Compewtian
taws of Califegtia. m b �_
Da
Applicant E -^�� -
NOTICE TO APPLICANT. If. affbr making this Certificate of Escreption, you should
become subject at the Worker's Compensation provinces of the Labor Code• you muse
fordwith comply with such Provisions or mu permit shall be dammed revoked.
CONSTRUCTION LENDING AGENCY
T W roby affirm that men at a comuacun t lending agency for the Performance of
the wart fan which reds permit Is isued (See. 3097, Civ, C.)
Lender's Name
'
lenders Address
1 mti(y mat 1 have and this application and sou d u the.Wvc info mrrion is
comcct. 1 agree to comply with all city and county ordinances and sow laws mining in
• `
building camoracuum. and hereby r umorin representatives of Nis city to anter upon me
alive-mcnuoned property for inspection purposes
(We) agree to save. indemnify and keep harmless the City of Cupertino against
liabilities, judgments. coats and esN N. which may to eery way ..gaimt said City
in consequence or me growing of rets Permit.
(7�
APPLICANT UNDERSTANDS AND WILL COMPLY WnH ALL NON -POINT
Issued by: Date
�
SOURCEREGUTA ONS.
_S_
Re -roofs ��•��--
SiawarrE of ApplianuC manor Dam
HAZARDOUS MATERIALS DISCLOSURE
Type of Roof
Will the applicant or future Wilding actvps ;store or handle h.rsrdous material
u defined by the Cupertino Municipal Code. Chapter 9.11. and the Healm and Safety
Code. Section 25532(a)?
❑ Yp Q>d
All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future Wilding occupant use equipment or devices which
If a roof is installed without first obtaining an inspection, I agree to remove
lanom ore pit commironat u dclmod by the Bay Area Air Quality Management
Pa
all new materials for inspection.
N ct?
❑Yes 04.
1 have neat the lamem nus materials requirements under Chapter 6.95 of the Califor-
asHWm&SafnyCede,Each. 25505.15533 and 2553/. l andamund ren ifthe Wilding
dam not currently have a u ran, that It is my responsibility re aadry me occupant of de
sequin Y hrehmmt mal.Fourmi . f*aaafiewof0,ryw�
(' / uJ`�
Signature of Applicant Date
All roof coverings to be Class'W' or better
g
—"
Owner or mod ri>sd agent pare -
CITY OF CUPERTINO
• 2 ITEMS OF 2 PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........ : 35614025.00
DATE ISSUED.......: 06/20/2008
RECEIPT #.........: BS000005173
REFERENCE ID # ...: 08060142
SITE ADDRESS .....: 21890 RUCKER DR
SUBDIVISION ......:
CITY .............: CUPERTINO
IMPACT AREA .......
OPERATOR: pdtg
COPY # : 1
OWNER ............:
CYNTHIA PHILLIPS
ADDRESS ..........:
21890 RUCKER DR
CITY/STATE/ZIP ...:
CUPERTINO CA, 95014-4760
RECEIVED FROM ....:
CYNTHIA E PHILLIPS
CONTRACTOR .......:
CHRIS ETTEMA LIC # 22820
COMPANY ..........:
ARGONAUT WINDOW & DOOR, INC
ADDRESS ..........:
1901 S BASCOM AVE STE 800
CITY/STATE/ZIP ...:
CAMPBELL, CA 95008
TELEPHONE ........:
(408,)378-4018
•
FEE ID UNIT QUANTITY
---- ------------- ----------
AMOUNT PD -TO -DT THIS REC
NEW BAL
1BSEISMICR VALUATION 9,000.00
------------------------------
0.90 0.00 0.90
----------
0.00
1WINREP EACH 8 1.00
367.00 0.00 367.00
0.00
TOTAL PERMIT
---------- ---------- ----------
367.90 0.00 367.90
----------
0.00
METHOD OF PAYMENT AMOUNT
--------------------------------
REFERENCE NUMBER
CREDIT CARD 367.90
--------------------
VISA
---------------
TOTAL RECEIPT 367.90
•
CITY OF CUPERTINO
Cm of
• CUPERTINO GENERAL BUILDING
PERMIT APPLICATION FORM
•
O'f-oG o/ c/a
APN# 3 G / Z7/0'?
/0a �, oQ
Date: jam'
Building Address: a 189 O n QGVe r
Mailing Address (if different from building address):
Owner's Name ham; . f
y
Phone #:
q08 -2,Q,- q1'{p
Contractor: ArG1U�Av� Vjf c�cw F�Vaor
A
✓
Phone:
Fax: y 09, ` OS
Contractor License #: $jW$��
Cupertino Business License #:
Contact: Dav%
Phone: 6-50 _ 20 9 - iq O o
i002 S 1OaAvaA 81V c1
Fax: 4(jg-
Residential Commercial ❑
Job Description:
I�:Q Q`CiCQ, Sln ane. uJf^dz+x%S W�'� Cip,�l lQ .�an2
/i 17A_ 1 % — h S`C�V�.c zl'eij
Building Permit Info:
Bldg ❑ Elect ❑ Plumb ❑ Mech ❑
Type of Construction (Usage Class):
Occupancy Type:
1-A, 1-B ❑ I1/III/V-A ❑ II/III B, IV -HT, V -B
TL — 3
Valuation:Square Footage:
,� q, Uvo
Project Size: Express Standard ❑ Large ❑ Major ❑
Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it
Points Achieved: to the application or if applicable, include in plan set & the sheet index.
•
For help, contact Build it Green at www.builditgreen.mr
Revised 6/16/08
CGa�-
IN Or
CUPEI,TINO
CITY OF CUPERTINO
GENERAL BUILDING
PERMIT APPLICATION FORM
Quantity/Sf
Fee ID
Fee Description
Fee
Permit Type
Group
1GENRES or
1GENCOM
1BTEMPPER
Temporary Building Permit (good for
B
30 days)
1BBOILERI
For the installation or relocation of ea
M
boiler/compressor to & including 3
horsepower, or ea absorption sys to &
incl 100,000 Btu/h (29.3kw
1BBOILER2
Installation /relocation of ea
M
boiler/compressor over 3 horsepower
to & incl 15 horsepower, or ea
absorption sys over 100,000 Btu/h
1BBOILER3
Installation/relocation of ea
M
boiler/compressor over 15 horsepower
to & incl 30 horsepower, or ea
absorption sys over 500,000 Btu/h to
& incl 1,000,000 Btu/h
113BOILER4
Installation/relocation of ea
M
boiler/compressor over 30 hosepower
to & incl 50 horsepower, or for ea
absorption sys over 1,000,000 Btu/h to
& incl 1,750,000 Btu/h
1 BBOILER5
Installation/relocation of ea boiler or
M
refrigeration compressor over 50
horsepower, or ea absorption sys over
1,750,000 Btu/h
IBAPPLOTH
For ca appliance or piece of equip
M
regulated by this Code but not classed
in other appliance categories, or for
which no other fee is listed in this
code.
IELECINSP
Other Electrical Inspections (per hour)
E
1MECHINSP
Other Mechanical Inspections (per
M
hour)
1PLMBINSP
Other Plumbing & Gas Inspections
P
(per hour
1MEETINGIHR
Application Meeting
B
0
•
L
(�ia< CITY OF CUPERTINO
CUPERTINO GENERAL BUILDING APPLICATION
. FEE SCHEDULE
Quantity/Sf
Fee ID
Fee Description
Fee
Group
Permit Type
1GENRES or
1 GENCOM
ACOUSTICAL
REVIEW
IACOUSFDW
SFDWL/Duplex New
B
1ACOUSRESAD
SFDWL/Duplex-Addition/Alteration
B
IACOUSCOM
Multi-Family/Commercial
B
CHIMNEY'S
1 CHIMNEY
Chimney
B
1CHIMNEYR
Chimney Repair
B
FENCES
IFENCE>6FT
Non -masonry, over 6 ft in height
B
1FENCEMAS>6
Masonry, over 6 ft in height
B
FIREPLACES
1FIREPLMAS
Fireplace Masonry
B
1FIREPLFAB
Fireplace Pre-Fabricated/Metal
B
1FLAGPOL>20
Flag pole (over 20 ft in height)
B
1MODUSTRU
Modular Structures
B
FOUNDATIONS
1 FOUNDREP
Foundation Repair
B
1PILECAST
Pile Foundation Cast in place concrete
B
1PILEDRIV
Pile Foundation Driven (steel, pre-
stressed concrete)
B
3 of 5
I
OF
CUPEkTINO
CITY OF CUPERTINO
GENERAL BUILDING APPLICATION
FEESCHEDULE
Quantity/Sf
Fee ID
Fee Description
Fee
Group
Permit Type
IGENRES or
1GENCOM
RETAINING
WALL(CONCRETE
OR MASONRY)
1RETSTN
Standard (up to 50 ft)
B
1RETSP310
Special Design, 3-10' high (up to 50 `)
B
1RETSPI0
Special Design, over 10' high (up to
50')
B
1RETCRB<
Gravity/Crib Wall, 0-10'high (up to
50 ft)
B
1RETCRB>
Gravity/Crib Wall over 10' high (up to
50 ft
B
SIDING
1SIDEST/BK
Siding, Stone & Brick Veneer
(interior/exterior)
B
1 SIDEOTHER
Siding all other
B
SKYLIGHTS
ISKYL<10 SF
Skylight less than 10 sf
B
1SKYL>IOSF
Skylight greater than 10 sf or
structural
B
1STAIRS
Stairs -first flight/ea addt'l
B
STORAGE RACKS
1 SRACKS<=8
Storage Racks 0-8' high (up to 100 so
B
1 SRACKS>8
Storage Racks over 8' high (up to 100
st
B
1STUCOAP
Stucco Applications (up to 400 sf)
additional stucco application
B
4of5
0
•
•
�QD CITY OF CUPERTINO
CrrOF GENERAL BUILDING APPLICATION
CUPE(�TINO
• FEE SCHEDULE
4
Quantity/Sf
Fee ID
Fee Description
Fee
Group
Permit Type
]GENRES or
I GENCOM
1 WINREP
Replacement windows/sliding glass
door ea 8 windows)
B
1 WINMEWSTR
New Window -structural shear
wall/masonry includes plan ck fee
B
IEPERMITFEE
Electrical Permit Fee
E
1MPERMITFEE
Mechanical Permit Fee
M
1PPERMITFEE
Plumbing Permit Fee
P
IELCPLNCK
Stand Alone Electric Pln Ck (hourly)
E
1MECPLNCK
Stand Alone Mechanical Pln Ck (hrly)
M
1PLMBLNCK
Stand Alone Plumbing Pln Ck (hrly)
P
1 STPLNCK-(3 Hr Min
when not over counter)
Standard Plan Check (when no E/M/P)
hourly -stand alone
B
/
1BSEISMICR
Seismic Residential
B
IBSEISMICO
Seismic Commercial
B
ITRAVDOC
Travel & Documentation
B
j
1BUSLIC
Business License
g -
5 of 5
•
•
Plan Review Process Work Book Page A2 -Revised 3/25/08
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
n,
J
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.)
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 A2 -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 FiProv ,j._.
A. Site
1. Recycle Job Site Construction & Demolition Waste
65%=1 point; 75%= 2 points; 60%=4 points
up to 4 Resource pts
2. Salvage Reusable Building Materials
4 Resource pts
y=yes
3. Remodel for Mixed Use, Adaptive Reuse, and
0
0
0
0
0
0
0
0
0
0
0
Historic Preservation
4 Resource pts
y=yes
4. Protect Native Soil
2 Resource pts
y --yes
5. Minimize Disruption of Existing Plants & Trees
1 Resource pt
y=yes
6. Implement Construction Site Stormwater Practices
2 Resource pts
y --yes
7. Protect Water Quality with Landscape Design
2 Resource pts
y --yes
B. Design Resource -Efficient Landscapes and Gardens
4 Resource pts
y=yes
9. Reuse Materials/Use Recycled Content Materials
for Landscape Areas
2 Resource pts
y=yes
10. Install High -Efficiency Irrigation Systems
2 Resource pts
y=yes
11. Provide for On -Site Water Catchment / Retention
2 Resource pts
y=yes
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 D
2. Use Recycled Content Aggregate 2 Resource pts y=yes 0
3. Insulate Foundation Slab before backfill 3 Energy pts y=yes F::::::D
C. Structural Frame
1. Substitute Solid Sawn Lumber witli'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.
3. Use Wood I -Joists for Floors and Ceilings 2 Resource pts y=yes
4. Use Web Floor Trusses 2 Resource pts y=yes
5. Design Energy Heels on Trusses 6' or more 2 Energy pts Y --yes
6. Use Finger -Jointed Studs for Vertical Applications 2 Resource pis y=yes
7. Use Engineered Studs for Vertical Applications 2 Resource pts y=yes
B. Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y --yes
9. Use Structural Insulated Panels (SIPS)
a. Floors 3 Energy pts y=yes
b. Wall 3 Energy pts y=yes
c. Root 3 Energy pts y=yes
10. Apply Advanced Framing Techniques 4 Resource pts y=yes
11. Use Reclaimed Lumber for Non Structural Applications 3 Resource pts y --yes
12. Use OSB
a. Subfioors 1 Resource pt y=yes
b. Sheathing 1 Resource pt y=yes
•
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1. Install Energy-Efficient Windows
• a. Double-Paned 1 Energy pt
b. Low-Emissivity (Low-E) 2 Energy pts
c. Low. Conductivity Frames 2 Energy pts
2. Install Low Heat Transmission Glazing 1 Energy pt
J. Heating Ventilation and Air Conditioning
1. Use Duct Mastic on All Duct Joints
2 Energy pts
2. Install Ductwork within Conditioned Space
3 Energy pts
3. Vent Range Hood to the Outside
1 IAQ/Health pt
4. Clean all Ducts Before Occupancy
2 IAQ/Health pts
5. Install Solar Attic Fan
2 Energy pts
6. Install Attic Ventilation Systems
1 Energy pt
7. Install Whole House Fan
4 Energy pts
6. Install Sealed Combustion Units
14. Install Zoned, Hydronic Radiant Heating
a. Furnaces
31AQ/Health pts
b. Water Heaters
3 IAQ/Health pts
9. Replace Wall -Mounted Electric and Gas Heaters with
16. Install Heat Recovery Ventilation Unit (HRV)
Through -the -Wall Heat Pumps
3 Energy pts
10. Install 13 SEER/11 EER or higher AC with a TXV
3 Energy pts
11. Install AC with Non -HCFC Refrigerants
2 Resource pts
12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace
2 Energy pts
y=yes
13. Retrofit Wood Burning Fireplaces
10 Energy pts
y=yes
a. Install EPA certified wood stovesrnserts
1 IAQ/Health pt
y=yes
b. Install/Replace Dampers
1 Energy pt
y=yes
c. Install Airtight Doors
1 Energy pt
y=yes
14. Install Zoned, Hydronic Radiant Heating
3 Energy pts
y=yes
15. Install High Efficiency Filter
41AQ/Health pts
y=yes
16. Install Heat Recovery Ventilation Unit (HRV)
5 IAQ/Health pts
y --yes
17. Install Separate Garage Exhaust Fan
3 IAQ/Health pts
v=ves
K. Renewable Energy and Roofing
1. Pre -Plumb for Solar Water Heating
4 Energy pts
y=yes
2. Install Solar Water Heating System
10 Energy pts
y=yes
3. Pre -Wire for Future Photovoltaic (PV) Installation
4 Energy pts
y=yes
4. Install Photovoltaic (PV) System
(1.2 kw = 6 points, 2.4 kw =12 points, 3.6 kw =1 B points)
Up to 16 Energy pts
6. Select Safe and Durable Roofing Materials
1 Resource pt
y=yes
7. Install Radiant Barrier
3 Enerov ots
v=ves
L. Natural Heating and Cooling
1. Incorporate Passive Solar Heating 5 Energy pts
2. Install Overhangs or Awnings over South Facing Windows 3 Energy pts
3. Plant Deciduous Trees on the West and South Sides 3 Energy pts
0
0
i
i
AppRO veD
rN r CCORDANCE WITH THE CITY 0,
;UN RTINO CODES AND ORDINANCES EE
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CITY OF
*UPEkTINO
LJ
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax (408) 777-3333
Building Department
JOB ADDRESS: l £s�v R✓c�(P✓wc
PERMIT #
.ago c. 01 �a
OWNER'S NAME: C f
PHONE # y0R252_y10
GENERAL CONTRACTOR p
FAX #
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
Owner'/ Contractor Signature
O
Date
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
11
Sheet Rock
IE
Tile
Owner'/ Contractor Signature
O
Date