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08070158 CITY OF CUPERTINO ,�((�pt'^ �rx+♦♦gam/'� (!'�'>�p �roT� `'pper�,{fe"� (� "��', BUILDING DIVISION PERT 1..�g1�1V�TVAa�Fl1..®4�lY� V„„ k :o.,as•'- F:'Scl1E�. � .n3F�s: .-.�}�-64'.2`. SUILDINGA DRESS: PERMITNO. 10481 SCENIC BLVD ABLE UNDERGROUND 08070158 OWNER'S NAME: PBRMrr ISSUE DATE 'PIM & EMILY MASLYN PO BOX 24819 07/22/2008 @ (408) 377-9990 SANITARY NO. CONTROL NO. ARCHI'1ECDENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH B G G LICENSED CONTRACTORS DECLARATION O O O O w I thumb,affirm mat I am li¢mcd under pmvivm n of Chapter 9(mmmcncing lob Description _"==`uf MthSection 70010ol'DivirimlofdcBusiness And Profecdons Cock.Wmylicenmu PROP LINE CLEAN-OUT a?N in full force d �A�-�r/•�� YVa1Z Limen {y vl vi F p Dam , �+ 0 Contractor WP used 091 be useDECLARATION W6 1 understand my plain N+11 tl u public rtsords +6 o 1 Licensed Professional - OWNER-BUILDER m Ce ON ZOO hereby vffirm on i vin atumu from the sionsCContractors c:My c Law for the ZOO following m•."n(section]OBIS,s,abee am Professions Calc:Any city m county $Pi which requiros+Permit m connnu:L altec,Wprove,demur W,or mpalr+nY swctum ' Zi prior m its issuance.Am requires the applicant forsuch permit to rle&signed statement gg thuheislicensed pursuant tothe provisionsofthe,Connector's LiccvcLaw(Chapter 9 Sq.Ft. Floor Area Valuation s;�s (commtmeml with section 7")of Division J of Uve Busneuam Professions Code)., $500 that be u exempt therefrom and the bub for the alleged ac 0.An,vioudon of Section 7071.5 by any Applicant for a punch subjects she applicant to a civil penalty of Number Occupancy Act more mu five hundred dollars(S500017' ). 35704035 : T'Pe ❑1,u owrcr of th Pope+tY,m my wplaycea with wags u th'vmk compewtion, will do thework,end deswmum Is mt immndcd or offered forsale(Sec.7044.Business and Professions Cade:The Com arm's License law does mI apply in an owner of Required Inspections property who but W s or improves dvmn.and who docs+uch amt himself m through his own employees.provided dust such improvements are not intended oroRered formic.If. however,the Wilding or Improvement Is sold within one year of completion,the owner- Wilder,will lure the awarded of proving that h did not build or improve for puTow of Aide.). ❑1,u&war of the property am admiively counseling with licensed convutan to consuuel the project(Sec 1044.Business am Prolessau Cade:)The Cmtranofs Li- ' cense Law does not apply in an norms of property who Wilds or improve thereon.And who concocts for such projects with a contractor(s)licensed pouuant in use Contractors Lice.LAW. ❑lamaernptunderSee ,113PCforddsmaron 0. Dam WORKERS COMPENSNION DECI.aRATION I hereby N'um under penalty,of perjury one of the following decimations: have will maintain a Certificate of Consent in uIf-imam for Wmters comprn on.as provided for by Section 3100 of the labor Cade,for the purformatac of the - wort for which this permit is issued. -- ❑1 hew and will msnuk.Workers Compensation Imuran,As mquised by Section 3700 of ties de Co4.[w ties pe?armors&(the wort fm whiN this pemsisuissad. ' My oro Co pemati 1 u sem and Polity bon ' Gorier. , io'No. EITfIFl OF CEM ON FROM WO ERS COMPENSATION INSURANCE Cl sectiae need rotbccompleu!If t e pewit is forone hummed dollars(SI00) cries) 1=m(Y theft in the perfom once of slat work for which this Permit is issued.I Nall not emPloy any peso.in any mune,.as in become subject to the Working'Compenution Laws of Califomia Dau Appllcut NOTICE TO APPLICANT:IL after mating this CeniRcae of Eacreption.you should became subject m the Workes's Compcuauon provisions a th Lade Code,you roue .J z forthwith comply with such provisions m this permit shall k doomed mated. 'Z CONSTRUCTION LENDING AGENCY [-+4 thereby affirm dor there is construction lending Agency for the perfunn s of ai the work for which this permit is issued(Sec.3097,Civ,C.) 0. 'antlers Name ]z Landers Address U Q 1 certify that I hive mad this application And sou that the above information is v- const.I+gree m comply with all city and county onlinaues and sum laws relating to Wilding comwmian.And hereby mmori,e represer entMA of this city in enter upon the (Td +bore-mcoudge progeny fan ie pcNon purposes. F Q. (We)ague to etre,indemnify and keep hasmleu i e City of Cupertino against Vh liabilities,judgmentse caauamOf an,pe which may in anY's'ayamue agakatsaid City z A PLICA T ofthe traRSTANof an,permit. Issued by: Date w-t APPLICANT U ERSTANDs AND WILL COMPLY WITH ALL ON-P NT S D ;�jJ Re-roofs stgmunmof A,tkandC err Data HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the+ppiicant m future ''ding dmtpat sure m handle h+rardoa material As dcRned by the Cupturno Mun' I Cmc.Chapter 9.12 and ate Health and Safety Code,o an 25532(.n All roofs shall be inspected prior to any roofing material being installed. Yea Na wn mm a rant ar mm Wilding arum q p If a roof is installed without first obtainingan inspection,I agree to remove 41hpp g pint use c ui ment or devices which Pe houNom air commitments rind by the Bay AMA Air Quality Management all new materials for inspection. tt ❑Yes No T haw mad the usals requncmcauundcrChapurd.95ofteOdifor- ni+HalthhSdcty0od,sxvau 25505,25533& 25534.1mgrnumthatifdcbolding does not curenUY haw+umau that it is my responsibility to notify the occupant of the m uimmc muubomet priwmissuanco oto Ceruruaeaf0capancy. Signature of Applicant Date Lowlier m aamoriMt*nL Dam All roof coverings to be Class'),Vor better CITY OF CUPERTINO • 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35704035 . 00 DATE ISSUED. . . . . . . : 07/22/2008 RECEIPT # . . . . . . . . . : BS000005543 REFERENCE ID # . . . : 08070158 SITE ADDRESS . . . . . : 10481 SCENIC BLVD SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO- IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : TIM & EMILY MASLYN ADDRESS . . . . . . . . . . : 10481 SCENIC BLVD CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-2764 RECEIVED FROM . . . . : ABLE UNDERGROUND CONTRACTOR . . . . . . . : MARSHA M. MILLER LIC # 29014 . COMPANY . . . . . . . . . . : ABLE UNDERGROUND CONSTRUCTION ADDRESS . . . . . . . . . . : PO BOX 24819 CITY/STATE/ZIP . . . : SAN JOSE, CA 95154-4819 TELEPHONE . . . . . . . . : (408) 377-9990 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL --- - ------------- ---------- ---------- ---------- ---------- ---------- IBSEISMICR VALUATION 500 . 00 0 . 50 0 . 00 0 . 50 0 . 00 1PPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00 IPRSEWER 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 . 48 0 . 00 102 . 48 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ---------- --------------- -------------------- CHECK 102 . 48 #8444 --------------- TOTAL RECEIPT 102 .48 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 106 SEWER & WATER 202 UNDERFLOOR PLUMBING 301 ROUGH PLUMBING 400 SEWER/LATERAL 507 FINAL PLUMBING • v,?o7 Zluv CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE CITY OF • CUPERTINO PERMIT APPLICATION FORM APN # 0,5- 2 C�C 5 . O U Date: ZZ Building Addre s: Owner's Name: Phon #: �C? Contractorr,�,�� Phone#: t LZ 3n�RLtCt� ����Q�� Fax #: z2s^T� ^ 1006 Contact: MA,7 1 , Phone #: Fax#: Contractor License#: 1 Cupertino Business License#: "l Job Descriptio f 0 Residential X Commercial ❑ Valuation: Project Size: ExpressEl 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 Fee Permit Type Group 1PCSEWER 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 J 1BSEISMICR Seismic Residential P IPRSEWER Residential building P IRPSS sewer/sanitary sewer CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE CUPERT`iNO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group ' 1PRREPIPE Residential re-pipe per fixture P 1RPRP 1BPWSVCS Water Service P 1CPWS or 1R-PWS 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 IBPGAS Gas Piping System 5+ Outlets P 1PPERMITFEE Plumbing Permit Fee Issuance P IPLMBLNCK Plumbing Plan Check P • 1PLMBINSP Other Plumbing/gas Insp. P I ITRAVDOC 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 .z. 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 1-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 Refrierator, Note/Spec.) A-3 1oint P. Other 1. List Green Features on Plans A-1 1 point TOTAL POINTS1 40 points • • Plan Review Process Work Book Page-12-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 IA01flealth A.Site 1.Recycle Job Site Construction&Demolition West 65%=1 point;75%= 2 points;80%=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 Resource pts y=yes 0 4.Protect Native Soil 2 Resource pts y=yes 0 5.Minimize Disruption of Existing Plants 8 Trees 1 Resource pt y=yes 0 6.Implement Construction Site Storrnwater Practices 2 Resource pts y=yes 0 7.Protect Water Quality with Landscape Design 2 Resource pis y=yes 0 8,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 Flyashin 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 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 1-Joists for Floors and Ceilings 2 Resource pts y--yes 0 4.Use Web Floor Trusses 2 Resource pis 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 6.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 • 1 1 _____ INPUT ReSDUrCeS Energy AQ/Health L Windows 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 2.Install Low Heat Transmission Glazing 1 Energy pt y=yes D 1 1 1 J.Heating Ventilation and Air Conditioning 1.Use Dud 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 B.Install Sealed Combustion Units a.Furnaces 3IAQ/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 stovesAnserts 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 Filler 4 IAD/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 IAQ/Health pts y=yes 0 1 1 1 K.Renewable Energy and Roofing 1.Pre-Plumb for Solar Water Heating 4 Energy pts yryes 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,2A 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 1 L.Natural Heating and Cooling 1 1 1.Incorporate Passive Solar Heating 5 Energy pts y=yes p 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 p • 0 0 Fli Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 *UPEI�TINO Building Department JOB AP 12RFSS: WJ PERMIT # ((ff o 6 (S_a OWNER'S NAME: W�SIJL4pl IPHONE # ,4�2-45-- -2/ GENERAL CONTRACTOR: FAX # I am not using any subcontractors: . / °Z Signa a Dat Please check applicable subcontractors and complete the following information: 60 SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum/ Wood • Glass / Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/C,6ntractor Signature Date