08060073CITY OF CUPERTINOw&"�
BUILDING UI7ISION' PERMIT
CONTRAjCTOR I
,0RMATIIOPER
BUILDILJOjAff'ES:TERLING BLVD
S
S.P. HOME DECOR
MIT NO,N
08060073
OWNERS NAME;
PBBMITISSUEDATE
F?ICKERING, DON & LINDA
1169 CHESS DR `"
06/10/2008
Ob NE:
SANITARY NO. CONTROL NO.
(650) 274-4384
ARCHITECTfENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
Job Description
IMn7 )ofDirum lamli¢nxdunesandPiocasofChapernd!my canting
with Section Buvlau and Professiuu Code. andm license is
RMDL KTCHN UPGRD ELECT OUTLTS TO GFCI&INSTL WTR
daffecDivision3afthe
in full enact and effort 11J 2
License clan Lk.N O T
ARRSTRS CMNT BRDOF CRMIC TILE TO FLR. NEW CBNTS&
ConDam ARCHITECTS DECLAMnon 4
APPLNC IN EXSTNG LOC.
I understand my plan. shall to used as public rccar&
Licensed Prufesdanl
OWNER-BUILDER DECLARATION
1 hcrchy affirm 0.1 1 un exempt fount the Convectors License law for the
following reason. (Sakura 1101.5. Business and Profusion Code: Any city or county
which requires a Permit in cnuuucl. after, improv, demol6h. nr .*1 any metum
prior m its bottom, alwrryuires theappliunt for wch permit to fikii ignmiswement
that he is licensed pursuant to the prevision of de Contractors Liceuc UW (Chapter 9
Sq. Ft. Floor Area
Valuation
I(cemmenringwithsame.71)[10)ofDivision3oftheBe.!.andProfusieuCape)or
$18000
• that he is exempt therefrom and the bums for the alleged exunption. Any violation of
y p7� Number
37525044.'PfU'
OGGD
Occupancy Type
Section 7031.5 by any applicant for a permit subjcros the applicant o a civil penalty of
wo anent wan file hundred dollars (M).
I, u away of we pmpmy, or my employees with vnges u thou hale compemdon,
Required Inspections
will artathe dorawdoman, (Sec. TON, Budnev
Prlewads.
Prod Cade: The Liarho Law dues as apply lf an ower of
he Cimamr's Lt
wenuuwrs
progeny who builds a improv thereon. and who tinea such work himself or through his
Property Wh W
auto cmployupa, proWdeA Nat soh improwmenu are not inmMed aoRcrW fmule B.
builder Lha bun ting orimprovemattshathwithinone yeas or completion, dm owe
builder will haw the Emden of pruving that k did net huitd m improve for purpose a(
of
sale.).
❑ 1, as owner of Lha property. am exclusively contracting wiw licensed comracton to
.
construct the project (Sm. 7G44. Buireas and Profemiou Code:) The Contramrs U.
mean law does not apply to an owner of property, who builds or improves thereon, and
..
who contacts forauch pmjacts with a concoct.,(.) licensed Pursuant retie Cenvsemrs
'
Licnue Law.
❑Lem exempt undm See ,B&PCforwisreuon
Owner Dam
WORKER'S COMPENSATION DECLARATION
10 1 hereby dram under peulty of perjury ane of the following declaration:
'
❑ Ihawand will maintains Cenificauto'Conentteself-instant fm Workers Cannot,
orlon, as provided for by Section 3100 of the labor Cade. fm the pcdomsree of the
work, for which this permit is iauol-
have and will maintain Workers Compensation Insurance, as required by Section
3700 ofde Labor Code. far the performance ofthe work fm which this permit Is issued.
'
My Warders Compemauan Inwmntt artier nn Puliry number art:
Canier:RedwevA hl-e 06.4 fgNe:_�iYy/OSs�H6o
,2
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thusemlu need not be completed if the permit is faros hundred doll= (SIM)
or less.)
I cer6fv that in the performance of the work for which this Permit is issued. I shall not
employ any person in any mannerw u to become subject to Bm Workers' Compensation
Laws of California. Data
Applicant
NOTICE TO APPLICANT: IL after making this Certificate of Exemption, you should
become subject to the Woher's Compcndion provision of the Labor Code, you muR
forthwith comply with such provisions or this Permit shall M deemed nuked.
CONsrRUCIION LENDING AGENCY
1 Mreby affirm that there is a construction lending agency for the Performance of
we work for which this permit Is ivad (sec. 3097, Civ. C.)
L.cnWs Num
Lenders Address
1 certify that 1 haw toad this application art nam Nu din sbaw information is
comm 1 agree in comply with all City and Unity ordinanaa and Stam laws relating to
building concoction, and hereby sauterne repremnu im of this city in now upon the
.W.-mentioned property for i 'U. Purposes
(We) agree to haw. Indemnify keep ha
Nd peaks, the Lily Of CYputino against
liabilities, judgments. costa and expcues which may in any way acese against avid City
..
in consequence of the Swung of this Permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT
SOURCE ONS.
Issued b y; Dale
��W..%�
Re-roofs y1��
Signuurc of ApplianUC mr Dow
HAZARDOUS MATERIALS DISCLOSURE
Type of Roof
Will the applicant m future Wilding nemput nine or handle hamNous material
u deEoN by the Cupertino Municipal Code. Chapter 9.13, and the Health and Safety
Cade. section 35533(a)7
❑Yes %Na
All roofs shall be inspected prior to any roofing material being
g installed.
Will the applicant ar future building axupanl use equipment or dcvicu which
If a roof is installed without first obtaining an inspection, ection, I agree to remove
� stha�nn air conuminnu u claimed by the Bay Area Air Quality Management
all new materials for inspection.
❑Yes AN.
I hew mad the huaad an materials requiremats under Chapeo6.95 ofthe Califon
not Halth & SafuyCodc, Semon255115, 35533 and 25534.1 understand thatifthe building
dean not comply haw a enol dor ill my rttpouibility to notify the gaup on of the
require m bcmetpno aaf.am6camora=epf
f
o�
Signature of Applicant Date
All roof coverings to be Class'nj' or better
+
Owner a suthorirz0 ascot Da'
Dim
• 3 ITEMS OF 3
•
•
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 37525044.00
DATE ISSUED.......: 06/10/2008
RECEIPT #.........: BS000005057.
REFERENCE ID # ...: 08060073
SITE ADDRESS .....: 10365 STERLING BLVD
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OWNER ............: PICKERING, DON & LINDA
ADDRESS ..........: 10365 STERLING BLVD
CITY/STATE/ZIP ...: CUPERTINO, CA 95014
RECEIVED FROM ....: ROBERT S WHITESIDE
OPERATOR: patg
COPY # : 1
METHOD OF PAYMENT
-----------------
CHECK
TOTAL RECEIPT :
AMOUNT
---------------
552.80
---------------
552.80
REFERENCE NUMBER
--------------------
#1259
CONTRACTOR .......:
SAEED PAYMOZD
LIC
#
29117
COMPANY ..........:
S.P. HOME DECOR
ADDRESS ..........:
1169 CHESS DR
CITY/STATE/ZIP ...:
FOSTER CITY, CA
94404
TELEPHONE ........:
(650) 274-4384
FEE ID
--
UNIT QUANTITY
-----------------------
AMOUNT PD -TO
-DT
THIS REC
NEW BAL
1BSEISMICR
VALUATION 18,000.00
--------------------
1.80
0.00
----------
1.80
----------
0.00
1REMRESKIT
SQ FEET 90.00
429.00
0.00
429.00
0.00
1STPLNCK
HOURS 1.00
122.00
-------`--
0.00
122.00
0.00
TOTAL PERMIT
----------
552.80
0.00
----------
552.80
----------
0.00
METHOD OF PAYMENT
-----------------
CHECK
TOTAL RECEIPT :
AMOUNT
---------------
552.80
---------------
552.80
REFERENCE NUMBER
--------------------
#1259
a
010 Co U0 73
1 CITY OF CUPERTINO
ADDITION/REMODEL
CATV OF
CUPEkTINO PERMIT APPLICATION FORM
"# 2 7� 25 0 1y. 0 -0
Date: 6110149,p
Building Address: /o36S S7rerlln9 glvd
C✓ erri,00 A 42SIOd
Mailing Address (if different from building address):
Owner's Name:
Phone #
A'tke r in 9
yrP ASS- A 7002
Contractor:
S..P. 110me- Deco&
Phone #:
CW �7y- `/3 8 y
Fax #:
Contractor License #: 8
Cupertino Business License #: a` /
Contact:
Phone #: 6Sb _ ,Z� y- y3 8 y
Ciarl�'e /�trA�,�
Fax #:
Building Permit Info:
,Bldg. Q" Elect. Plumb. Mech. ❑ Hillside ❑
Job Description:
Addition (adding sq footage):
What is being remodeled? k,rehe,., Reinose% dPyror% Cleez OentTl ,r 6%,cc -
lAtrA/i worGr Alftf7bR,r Cea,eay' l77t 7a Flvvk.
nBootd
MOW CpbiNer$ q/ 9O/liooeeJ iv c%�`ST,^f �:pC%17iOMC
Remodel Includes Re -Roof: Yes ❑ No � If yes list number of squares
Remodel Includes Structural: Yes ❑ No EV
Square Footage:
Addition: Porch: Deck: Garage: Detached Attached
Remodel: Kitchen ?,9 FT Bath Other
Type of Construction (Usage Class):
Occupancy Type:
1-A, 1-B E) II/III/V-A ❑ I11/111III B, IV -HT, V -B
9'_/3
Valuation:
l oat Mo. �
Please check this box if the project is a
second -story addition ❑
Green Building Check list must be completed and
attached to the plans.
Green Building Points Achieved:
For Once use Vmy...
Over -the -Counter 7 Revised 5/21/08
CITY OF CUPERTINO
Slut- ADDITION/REMODEL
CITY Or
CUPEkTINO FEE SCHEDULE
Quantity
Fee ID
Fee Description
Fee Group
Permit Type
Sq Ft
ADDITIONS
1R3SFDADD
PLLONGRNGR
Long Range
PL
Plannin esidential
1R31NSP
Dwellings Inspections
B
1 R3PLNCK
Dwellings plan check
B
1R3REPINSP
Dwellings Repeat
B
Inspection
I R3REPPLNC
Dwellings Repeat Plan
B
Check
1R3HINSP
Dwellings Hillside
B
ins ection
1 R3HPLNCK
Dwellings Hillside plan
B
check
1R3HREINSP
Dwellings Hillside
B
Repeat Inspection
1R3HREPLNC
Dwellings Hillside
B
Re eat Plan Check
1R3ALTTNSP
Dwellings Alternate
B
Materials Ins ection
1R3ALTPLNC
Dwellings Alternate
B
Materials Plan Check
1PCESS
Cesspool
P
1PPRSEWG
Ea. Private Sewage
P
Dis osal S stem
IPRSEWER
Sewers
P
IBPSPRINK
Lawn Sprinkler/Backflow
P
1BPWSVCS
Main Water Service
P
1BSEISMICRE
SeismicResldential
B
DECKS
1R3SFDADD OR
1R3SFDREM
1DECKWOOD
Deck (Wood) -Each
B
(Each)
1DECKRAIL
Deck Railing -Each
B
(Each)
•
I
L
CITY OF CUPERTINO
ADDITON/REMODEL
FEESCHEDULE
Quantity
Sq Ft
Fee ID
Fee Description
Fee Group
Permit Type
GARAGES
1R3SFDADD OR
1R3SFDREM
1GARDTW<=1K
Wood Frame up to
1,000 SF
B
IGARDTM<=]K
Masonry up to 1,000 SF
B
BCONSTAXR
Construction Tax Res
(new detached garage)
PATIO'S OPEN
1R3SFDADD OR
1R3SFDREM
IPATIOWOOD
Wood Frame up to 300
SF
B
1 PATIOMETAL
Metal Frame up to 300
SF
B
1 PATIOOTHER
Other Frame up to 300 SF
B
PATIO'S CLOSED
1R3SFDADD OR
1R3SFDREM
I PATIOENCLW
Enclosed Wood up to 300
SF
B
1PATIOENCLM
Enclosed Metal up to 300
SF
B
1 PATIOENCLO
Other Enclosed Patio up
to 300 SF
B
1COVPORCH
(Each)
Porch Covered -Each
B
I REROOFRES
Residential Re -roof Each
100 SF
B
REMODELS
IR3SFDREM
(�
1 REMRESKIT
Kitchen Remodel up to
300 SF
B
(Deduct "$"for ea plan
check
1REMRESBAT
Bath Remodel up to 300
SF
B
«
IREMREOTH
Other Remodel up to300
SF
B
REMODEL PLNCK
/
ISTPLNCK (1-3 for
remodel)
Standard Plan Check
B
NOT FOR OVER THE
COUNTER PLAN CKS.
3 of 3
CITY OF CUPERTINO
ADDITON/REMODEL
FEE SCHEDULE
Quantity
Sq Ft
Fee ID
Fee Description
Fee Group
Permit Type
WINDOW/SLIDING
1R3SFDREM
GLASS DOOR
1 WINREP
Replacement windows
(ea 8 windows)
B
1 WINNEWNSTR
New Window (non-
structural)
B
1WINMEWSTR
New Window (Structural
Shear Wall/Masonry)
B
1 WINBAYSTR
Bay Window (Structural)
B
SKYLIGHTS
1R3SFDREM
1 SKYL<10 SF
Skylight less than 10 sf
B
1SKYL>10SF
Skylight greater than 10
sf or structural
B
1STAIRS
Stairs -first flight/ea addt'l
B
1 EPERMITFEE
Electrical Permit Fee
E
1 MPERMITFEE
Mechanical Permit Fee
M
1 PPERMITFEE
Plumbing Permit Fee
P
IELCPLNCK
Stand Alone Electric Pln
Ck hourl )
E
1MECPLNCK
Stand Alone Mechanical
Pln Ck (hourly
M
1PLMPLNCK
Stand Alone Plumbing
Pln Ck (hourl
P
1BSEISMICRE
Seismic Residential
B
1TRAVDOC
Travel & Documentation
B
1BUSLIC
Business License
B
4of3
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T-686 P.006/006 F-041
gyms se[ or pians ana specifications MUS,
be kept on the job at all times and it is on
lawful to make any changes or alteration,
on same without written permission iron.
the building Dept., City of Cupertino.
fhe stamping of this plan :nd specification JUN 1
SHALL NOT be held to permit or to be, r
ipproval of the violation of any provis&YJ
)( any City Ordinance or )rate I.aw
W
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A y n
p
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i
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t is`
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T-686 P.006/006 F-041
gyms se[ or pians ana specifications MUS,
be kept on the job at all times and it is on
lawful to make any changes or alteration,
on same without written permission iron.
the building Dept., City of Cupertino.
fhe stamping of this plan :nd specification JUN 1
SHALL NOT be held to permit or to be, r
ipproval of the violation of any provis&YJ
)( any City Ordinance or )rate I.aw
0
0
Note: This drawing is an artistic Designed: 3/16/2005
interpretation ofthe general appearance of Pimm d: 3/16/2008
the design. It is not meant to be an exact _
rendition.
JUN 107008
0
Plan Review Process Work Book Page -12-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
ir.
B.
Site
9.
Instali 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 oints
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 1.
List Green Features on Plans
A-1
1 point
TOTAL POINTS
40 points
JUN 107008
0
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.
A. Site
1. Recycle Job Site Construction & Demolition Waste
y=yes
65%=1 point; 75%= 2 points; B0%= 4 points
up to 4 Resource
2. Salvage Reusable Building Materials
) 4 Resource pts y=
3. Remodel for Mixed Use, Adaptive Reuse, and
Y- -Yes
Historic Preservation
4 Resource pts y=
4. Protect Native Soil
2 Resource pts y=
5. Minimize Disruption of Existing Plants & Trees
1 Resource pt y=
6. Implement Construction Site Stonnwater Practices
2 Resource pts y=
7. Protect Water Quality with Landscape Design
2 Resource pts y=
8. Design Resource -Efficient Landscapes and Gardens_
1 4 Resource pts y=
_
9. Reuse Materials/Use Recycled Content Materials
for Landscape Areas
2 Resource pts y=
10. Install High -Efficiency Irrigation Systems
2 Resource pts y=
11. Provide for On -Site Water Catchment / Retention
2 Resource pts y=
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
2. Use Recycled Content Aggregate
3, Insulate Foundation/Slab before backfill
C. Structural Frame
1. Substitute Solid Sawn Lumber with Engineered Lumber
2. Use FSC Certified Wood for framing
(For every 10% of FSC lumber.used = 2 points, up to 10)
3. Use Wood I -Joists for Floors and Ceilings
4. Use Web Floor Trusses
5. Design Energy Heels on Trusses 6' or more
6. Use Finger -Jointed Studs for Vertical Applications
7, Use Engineered Studs for Vertical Applications
B. Use Recycled Content Steel Studs for Interior Framing
9. Use Structural Insulated Panels (SIPS)
a. Floors
b. Wall
c. Roof
10. Apply Advanced Framing Techniques
11. Use Reclaimed Lumber for Non Structural Applications
12. Use TOSS
_-- "—
a. Subfloors
•—
b_Sheathing
3 Resource pts y=ye¢
up to 10 Resource pts
2 Resource pts y=ye:
2 Resource pts y=yes
2 Energy pts y=ye=-
2 Resource pts y=yes
2 Resource pts y --ye-,
2 Resource pts y=yes
3 Energy pts
y=yes
3 Energy pts
y=yes
3 Energy pts
y=yes
4 Resource pts
Y- -Yes
3 Resource pts
y=yes
1 Resource of y=yes
I 1 Resource pt y=yes
0
r
r
r
r
r
r
r
0'',-,
r
r
r
0
0
i1. Use Sustainable Dacking Materials
j a. Recycled content
3 Resource pts
ib. FSC Certified Wood
3 Resource pts
reated Wood That Does Not Contain Chmmiurn/Arsenic '
1 IAQ/Health pt
(1 point each, up to 3 points)
- J Up to 3 Resource pts.
l House Wrap under Siding1
L
IAO Heath pt
Piber•Cement Sidling Materials i
1 Resource pt
E. Plumbing
1. Install Water Heater Jacket J 1 Energy pt y=yes
2. Insulate Hot and Cold Water Pipes _ 2 Energy pts y=yes
a. Faucets (1 point each, up to 2 points)
; Up to 2 Resource pts.
b. Showerheads (1 point each, up to 2 points)
Up to 2 Resource pts.
4. Replace Toilest with Ultra -Low Flush Toilets
I
(1 point each, up to 3 points)
- J Up to 3 Resource pts.
5. Install Chlorine Filter on Showerhead
1 IAQ/Health pt yryes
6. Convert Gas to Tankless Water Heater
4 Energy pts y=ye=_
7. Install Water Filtration Units at Faucets
(2 points each, up to 4 points)
Up to 4 IAQ/Health pts,
B. Install On -Demand Hot Water Circulation Pump
4 Resource pts y=yes
r. tiecurcar
1. Install Compact Fluorescent light Bulbs (CFLs)
(6 bulbs -_2 points, 10 bulbs =3 points, 12 bulbs = 4 points) —1 Up to 4 Energy pts
2. Install IC -AT Recessed Fixtures with CFLs (1 point each, up to
5 points) Up to 5 Energy pts
3. Install Lighting Controls (1 point per fixture, up to 4 points) Up to 4 Energy pts
4. Install High Efficiency Ceiling Fans with CFLs
(1 point each, up to 4 points) Up to 4 Energy pts
G. Appliances
1. Install Energy Star Dishwaslie'
-1 1 Energy pt
2. Install Washing Machine with VJater and Energy
0
Conservation Features
% 1 Energy of
3.Install Energy Star Refrigerator
1 Energy pt
4. Install Built -In Recycling Center
3 Resource pts
H. Insulation
1. Upgrade Insulation to Exceed Title 24 Requirements
a. Walls
b. Ceilings
2. Install Floor Insulation over Crawl Space
3. Install Recydle`d-Content, Fiberglass Insulation witli
No Added Formaldehyde
4. Use Advanced Infiltration Reduction Practices
5. Use Cellulose Insulation
a. Walls
b. Ceilings
S. Alternative Insulation Products (Cotton, spray -foam)
a. Walls
c. cenings
2 Energy pts y --yes
2 Energy pts Y --yes
4 Energy pts Y --yes
31AQ/Health pts
2 Energy pts
4 Resource pts
4 Resource pts
4 Resource pts y=yes
4 Resource pts y=ye_
•
•
•
r
0
0
0
2 Energy pts y --yes
2 Energy pts Y --yes
4 Energy pts Y --yes
31AQ/Health pts
2 Energy pts
4 Resource pts
4 Resource pts
4 Resource pts y=yes
4 Resource pts y=ye_
•
•
•
J. Heating Ventilation and Air Conditioning
1 Use Duct Mastic on All Dud Joints Y�-1
f. Install EnergyEificie_ Windows
y=yes
2. Install Ductwork within Conditioned Space
a. Double -Paned
1 1 Energy pt
3. Vent Range Hood to the Outside
b. Low -Emissivity (Low -E)
f 2 Energy pts
c. Low. Conductivity Frames
t - — — ------
2 Ener is
-- Energy
2. Install Low Heal Transmission Glazing
1 Energy pt
J. Heating Ventilation and Air Conditioning
1 Use Duct Mastic on All Dud Joints Y�-1
2 Energy pts
y=yes
2. Install Ductwork within Conditioned Space
3 Energy pts
y=yes
3. Vent Range Hood to the Outside
1 IAQ/Health of
y=yes
4. Clean all Ducts Before Occupancy
2 IAQ/Health pts
y=yes
5. Install Solar Attic Fan
2 Energy pts
y=yes
6. Install Attic Ventilation Systems
1 Energy pt
y=yes
7. Install Whole House Fan
4 Energy pts
y=yes
B. Install Sealed Combustion Units
5 IAQ/Health pts
y=yes
a. Furnaces
3 IAQ/Health pts
y=yes
It. Water Heaters
3 IAQ/Health pts
y=yes
9. Replace Wall -Mounted Electric and Gas Heaters with
Through -the -Wall Heat Pumps
3 Energy pts
y=yes
10. Install 13 SEER/11 EER or higher AC with a TXV
3 Energy pts
y_y'es
11. Install AC with Non -HCFC Refrigerants
2 Resource pts
y=yes
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 stoveslinsehs
•
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 pis
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 ots
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 = 18 points)
Up to 18 Energy pts
6 Select Safe and Durable Roofing Malenals -
--- --- —
1 Resource pt
y=yes
7.Insta1l Radiant Barrier � -
3 Energy pts
y=yes
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
r Use LowMo VOC Pant I IAO/Health pts y --yes
2. Use Low VOC, Water -Based Wood Finishes 2 IAQ/Health pts y=yes
,3. Use Low/No VOC Adhesives _ 3 IAQ/Health pts y --yes
4. Use Salvaged Materials for Interior Finishes 3 Resource pts y --yes
5. Use Engineered Sheet Goods with no added Urea
Formaldehyde 6IAQ/Health pts y=yes
6. Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y ---es
7. Seal all Fxposad Particleboard or MDF :' _— _; 4 IAQ/Health pts y=yes
S. Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes
9. Use Finger -Jointed or Recycled -Content Trim 1 Resource pts y --yes
10. Install Whole House Vacuum System 3 IAQ/Health ots v=ves
3 Resource pts
-— ——---._—�
2. Use Rapidly Renewable Flooring:Malerials —
_
4 Resource is
P
3. Use Recycled Content Ceramic Tiles
4 Resource pts
4, Install Natural Linoleum in Place of Vinyl
0
0
0
5. Use Exposed Concrete as Finished Floor
D
0
0
D
D
D
6. Install Recycled Content Carpet with Low VOCs
4 Resource pts
0
N. Flooring
1. Select FSC Certified Wood Flooring
3 Resource pts
-— ——---._—�
2. Use Rapidly Renewable Flooring:Malerials —
_
4 Resource is
P
3. Use Recycled Content Ceramic Tiles
4 Resource pts
4, Install Natural Linoleum in Place of Vinyl
5 IAQ/Health pts
5. Use Exposed Concrete as Finished Floor
4 Resource pts
6. Install Recycled Content Carpet with Low VOCs
4 Resource pts
Total Points A 1 1401 130 57 •
Total Points Project Received: 01 0 0
G:da-arprogsrgreenbuildngguidelin:srmmodelersigmenpc imsfinalZ 12.04prmaled.ds
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:
httr)://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:lZwww.amleoal.com/cupertino ca
Greg Casteel
Building Official
Community Development
10300 Torre Avenue
Cupertino CA 95014
M
CITY OF
Telephone (408) 777-3228
Fax (408) 777-3333
U P E IJT I NO
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:
httr)://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:lZwww.amleoal.com/cupertino ca
Greg Casteel
Building Official
APR -09-2006 12:31 FR0M-HOME DEPOT USA 406-123 4567 T-666/
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Note: This drawing is = artistic Designed: }q 0/2006
intcrpretation ofthe general appearance of Printed: 3/16/2003
the design. It is or ..t to be an exact
rendition.
CITY OF
SCUPEkTINO
rl
L
•
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax(408)777-3333
Building Department
JOB ADDRESS:
/o36-5' Srerlin, ,Blvd.
PERMIT #
Cj 6"d'073
OWNER'S NAME: Ackar in
PHONE # y0p jjsy-.27g2
GENERAL CONTRACTOR: s , Arxe, Peco r
FAX #
I am not using any subcontractors: e� . .�
Signature Date
Please check applicable subcontractors and complete the following information:
Owner/ Contractor Signature
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
Sheet Rock
Tile
Owner/ Contractor Signature
Date