08020027 •
CITY OF CUPERTINO " s -
BUILDING'DIVISION a PERMITell R'AC'CORINk'ORMA`CION
¢,n.x,x& '..n e". `„404st:,x 01 ..r>sa,'f *'
BUILDING ADDRESS: PERMIT NO.
5986 SUTTON PARK PL GERICK CORP DBA THE 08020027
WS NAME: ISH PIfRUOM PERMIT ISSUE DATE
•
KATHERINE TIESZEN 1910 W EL CAMINO REAL 02/05/2008
PHONE: SANITARY NO. CONTROL NO.
(650) 969-7666
•
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECTPLUMB • MECH
=I = o C
3o0 LICENSED CONTRACTOR'S DECLARATION - IOb Description
vi d FF I hereby affirm that I am licensed under provisions of Chapter 9(commencing p
ZA witSecdon?000)of Division 3oftheBusinessandProfessions Code,and mylicense is RMDL BATMAN-SHWR,TOILT, FAN,GFCIS
rapn in full force and effect.
:4 License Clara p Lk.{ 8673sU /
Dab -a/S—/DLkR Contractor ✓7.AY� J� 1v1v
CHITECTS DECL.ARATIO W a?'?^'"•"
1 I understand my plans shall be used as public records
5
g u Licensed Professional
Sen OWNER-BUILDER DECLARATION
or
0O X I hereby affirm that I am exempt from the Contractor's License Law for the
r. mO following mason.(Section 7031.3,Business and Professions Code:Any city or county
3 2 M which requires a permit to construct.alter.improve,demolish,or repair any structure
-ZS< prior to its issuance.ed IMO requires the applicant for such permit to Ole a signed statement
that hese licensed pursuant to the provisions of the Canuacmrsideme Law(Charter 9 Sq.Ft:Floor Area Valuation
- (commencing with Section 7000)of Division 3 of theButenand Pmfeniem Code)or $16100
- that he I exempt therefrom and ftheor
basis for the alleged exemption.Any violation of
Section 7031.5 by arty dont fora permit subjects the applicant to a civil penalty of Number Occupancy Type
not more than Ove hundred dollars(1500).
37535027 :° p y yes
1.as owner of the property.or my employees with wages as their sole compenulon,
will do the work,and the structure is not intended or offered for sale(Sec.T0a4,Businesa
and Professions Code:The Contractors 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,proMded that such improvements are not'notated proffered for sale.If, •
however,the building or Improvement is sold within arc year of completion,the owner- ,
builder will have the burden of proving that he did not build or Improve(or purpose ofLien❑s,u maer of tce Sropen4-.amB sinessivnd Prnessilns Cod:)teaseC noaatOn .catatruer the es nor (Sec-'/OU.Business and Prrty fessionswho Code:)Th Covvae on.W-
S ' NLTARV
cense Law does no apply to an owner of property who builds or impious thereon,and, .
who contracts for such projects with a conuamarta)licensed pennant to the
se
Law.
0 lam exempt
❑lam esempt undo gee ,,. ,B&P C for this mason ,
er Date
WORKER'S COMPENSATION DECLARATION
I hereby alum under penalty of perjury one of the following declarations -
❑I have and will maintain a Cadfeete of Consent to self-Insure for Workers Compen-
nation,as provided for by Section 3700 of the Labor Code,for the performance of the
work f which this permit is issued.
have and will maintain Workers Compensation Insurance,as required by Section
3700 of the Labor Code,for the performance of the work for which this permit is issued. '
My Workers Compensation Insurance carrier and Policy number an: .
/
Curia: Policy No.: CIOD CO 6ii ba IO/
mes '�
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section need not be completed If the lennit la for one hundred dollars(WO)
or las) ,
I certify that In the performance of the work for which this permit is issued.I shall not
employ anypenon in any manner u as to become subject to the Workers'Compensation ' .
Laws of California.Date
Applicant `
NOTICE TO APPLICANT:If.after making this Certificate of Exemption,you should
become subject to the Workers Compenskton provisions of the Labor Code,you must •
,J Z forthwith comply with such provisions or this permit shall be deemed revoked.
.Zee a.. CONSTRUCTION LENDING AGENCY
y
Fr.....•-' I hereby affirm that there is a eorsuuninn lending agency for the performanceur
LC 6 the work for which this permit is
issued(Sec.3091.Civ.C.)
Lender's Name -
Cloz Lenders Address
C)Q I certify that I have read this application and sum that the above information Is '
U.a-rcornet 1 agree to comply with all city and county ordinances and sate lawn relating to
Q[V' building construction,and hereby authorire representatives of this city to enter upon the
Litbo
ave-menaond property for inspection purposes '
G (We)agree to save,indemnify and keep harmless the City of Cupertino against
a,w vs Iiabilidesjudgments,cast and expenses which may in any way accrue against said City .� // Ice
O wz7- in consequence of the granting of this permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL
-NOI!-POINT Issued by: Is A!to Date 12_—,z---_,r
SOURCE REGyIaATI� J 4 ry -
IIYY,J/�yJJJJ�a77/Tl 2 Re-roofs /"'
Signatureo *pelicanrmationDate Is MATERIALS DISCLOSURE Type of Roof
Will the applicant or future building occupant stare or handle hazardous material •
defined by the Cupertino Mumdpal Code,Chapter 9.13,and the Health and Safety
.Section 2553:(+)? All roofs shall be inspected prior to any roofing material being installed.
❑Yes tallic '
Will 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
emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection.
District? '
❑Yes u
I have read the hazardous materials requirements under Chapter 6.95 of the Califor.
nia Health&Safety Code,Sections 25505,25533 and 13534.1understand that if the building
docs not currently have a tenant,that it is my responsibility to notify the asup t of the
myuimments which must be rtv7 u • a ofenillow of Oc • -
1..1--.40 f 02-- Signature of Applicant Date
Owner or authorized agent Date- _ All roof coverings to be Class"B"or better
0 KOC o 6 an
CITY OF CUPERTINO
F ADDITION/REMODEL
• CUPEKTINO PERMIT APPLICATION FORM •
AP" 3753 goon I O O Date:
BuildintAddress:
5 98-6 fv7i7A1 f,Q2/c t e6-
Mailing Address (if different from building address):
Owner's Name: e Phone# :
Contractor: Phone#: .
(�'y,G'rc/Ceo4P fl/ /Titi 73/ %e'GQf ` '8- 7�a66
Fax #: 6.37/ • 96 g- 2 r I
Contractor License#: g‘ *1 3 3v
Cupertino Business License#: 2 '7 47 7 9
Contact: // Phone#: 6, 5t ?3 _ r-
icl� /` �//�C.DWt7 I/
Fax #: (p f7 . 5'43.- a/5'l
Building Permit Info:
013ldg. [K-- Elect. Plumb. [-K Mech. [Y Hillside ❑
Job Description:
Addition (adding sq footage): 77° popo rcpra
X30 . /5 7/
What is being remodeled? 9 — S49wS2 fib atc. " i vl ✓t Gtc _
Remodel Includes Re-Roof: Yes ❑ No Er If yes list number of squares
✓SquaRemodel Includes Structural: Yes ❑ No EV-
Square
re Footage:
Addition: Porch: Deck: Garage: Detached Attached
Remodel: Kitchen Bath Other •
Type of Construction (Usage Class): Occupancy Type:
1 FR, 11FR❑ 11, 111, V-1HR ❑ 11, 111, 1V V-N �
Valuation: i q Please check this box if the project is a
l IV/ l second-story addition ❑
"'Green Building Check list must be completed and Green Building Points Achieved:
attached to the plans.
***For Office Use Only***
Over-the-Counter ❑
CITY OF CUPERTINO
31.2 ADDITION/REMODEL
CUPERJINO 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
IR3PLNCK 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
1R3HREPLNC Dwellings Hillside B
Repeat Plan Check
1R3ALTINSP Dwellings Alternate B
Materials Inspection
IR3ALTPLNC Dwellings Alternate B
Materials Plan Check
1PCESS Cesspool P
1PPRSEWG 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)
IDECKRAIL 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 •
IGARDTW<=1K Wood Frame up to B
• 1,000 SF •
IGARDTM<=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 3.00 B
SF
IPATIOOTHER Other Frame up to 300 B •
SF
PATIO'S CLOSED 1R3SFDADD OR
1R3SFDREM
• IPATIOENCLW• Enclosed Wood up to B
300 SF
1PATIOENCLM - Enclosed Metal up to B
300 SF
IPATIOENCLO Other Enclosed Patio B
up to 300 SF •
1COVPORCH Porch Covered-Each B
(Each)
1REROOFRES Residential Re-roof B
Each 100 SF
REMODELS 1R3SFDREM
1REMRESKIT Kitchen Remodel up to B (Deduct "S"for ea plan
300 SF check) •
—7/ 1REMRESBAT Bath Remodel up to B «
300 SF
1REMREOTH Other Remodel up to B L(
•
REMODEL PLNCK 300 SF
/ 1STPLNCK(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
1 WINREP Replacement windows B
(ea 8 windows)
1 WINNEWNSTR New Window (non- B
structural)
1WINMEWSTR ' New Window B
(Structural Shear
Wall/Masonry)
1 WINBAYSTR 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 B
•
4 of 3
• CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # : 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN • 37535027 . 00
DATE ISSUED • 02/05/2008
RECEIPT # • BS000003855
REFERENCE ID # . . . : 08020027
SITE ADDRESS • 5986 SUTTON PARK PL
SUBDIVISION
CITY • CUPERTINO
IMPACT AREA
OWNER • KATHERINE TIESZEN
ADDRESS • 5986 SUTTON PARK PL
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-3531
RECEIVED FROM • RICHARD A KAPLOWITZ
CONTRACTOR • RICK KAPLOWITZ LIC # 27779
COMPANY • GERICK CORP DBA THE BATHROOM
ADDRESS • 1910 W EL CAMINO REAL
CITY/STATE/ZIP . . . : MOUNTAIN VIEW, CA 94040
• TELEPHONE • (650) 968-7666
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW HAL
1BSEISMICR VALUATION 16, 100. 00 1 .70 0. 00 1 .70 0. 00
1REMRESBAT SQ FEET 71 . 00 449 . 00 0. 00 449 .00 0. 00
1STPLNCK HOURS 1 . 00 122 . 00 0. 00 122 .00 0 . 00
TOTAL PERMIT : 572 .70 0. 00 572 .70 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
CREDIT CARD 572 .70 VISA
TOTAL RECEIPT : 572 .70
•
SCOWOR
ReplacePE shower–K:cultured materials
• PressureOF balanced valve
Tempered glass enclosure
Replace single sink by two sinks
Replace vanity,faucets •
Install fan wth light
Replace toilet, 1.6gpf
Change existing outlet to GFCI 8 add 2nd GFCI
Lights will be Flourescent and/or controlled
by manual on/automatic off sensor switches p
Smoke detectors In each bedroom 8 adjacent halls ',�/O/"�
94" eV 144
Tr`
Shower 0 G-�T, 1j
. r ( ) 42 x 34 0 C.W k1.�.'
W say m
Q —....1
CD es—
Pocket door\Lc �_� d�
2,1
t{ OA 1 m c� B_
I AP• In PCCRO RO ClE.CI 911 J —�-� ��
CUPFRTINO CODES, A o �-
on .
s egdlfat3ons M JStloset C
"asstans and P d It 1b t o C
f his set of the lob at allImes
ne s" 131
on changes n altered(n` Q
make anY et tton.
•
awful to Without W itte') Cu ertino.
on same Dept., CtY 1 d s wheat on,
i.heTh buamon of this Pla%an P at
perm or to
The LL PIOT be held n Probennr •.
,HALL NU f the viotat op of Y D(/(/ 1'/
1 a I av' lJ
,PPrgval u D,dmance 3r �
anv City _ / �z,.y,I,t, r,�ry�y /
94" is viJ1O r`) `r
`4,1
`•J v J<l'ns O O
, ,......_,
JOB SITE: Master Bath
J
WOE 12MED B
Katherine Tieszen The Bath Room
5986 Sutton Park Place 1910 W. EI 0Camino Real,#E
' Cupertino CA 95014 Mountain View CA 94040
408.253-9311 650. 968-7666
• All dimensions size designationsgiven are n THE BATH ROOM has prepared this Designed:2/2/2008
s. ill
subject to verification on jotionb site and original design,which may not be copied Printed:2/3/2008
or released until applicable fees have been
adjustment to fit job condi
paid.
Tieszen-existing All Drawing fi: I
SCOPE OF WORK:
• Replace shower—cultured materials
Pressure balanced valve
•
Tempered glass enclosure
Replace single sink by two sinks
Replace vanity, faucets
Install fan wth light
Replace toilet, 1.6gpf
Change existing outlet to GFCI&add 2nd GFCI
Lights will be flourescent and/or controlled
by manual on/automatic off sensor switches
Smoke detectors in each bedroom&adjacent halls
•
94"—
N t
Shower
Fan w/ 42x34
light
_ Pocket door -
101-1W
m
• (�
A O
C2
•
SII
loset �[sI
1�
1
JS
2
94"
JOB SITE: Master Bath WORK PERFORMED BY:
Katherine Tieszen The Bath Room
5986 Sutton Park Place 1910 W. El Camino Real,#E
Cupertino CA 95014 Mountain View CA 94040 II
408.253-9311 650. 968-7666
•
All dimensions_size designations given are r. THE BATH ROOM has prepared this Designed:2/2/2008
subject to verification on job site and original design,which may not be copied Printed:2/3/2008
adjustment to fit job conditions. or released until applicable fees have been
paid.
Tieszen-proposed All Drawing tl: I
. 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 IAD/Health
A.Site S-914. (i_ C&ae \ 2o-k._ ' C`t�. —1---dc
1 Recycle JobShe Construction&Demolition Waste.
65%=1 point;75%-a- 2 points;'BD%=4 points up to 4 Resource pts 0
2.Salvage Reusable Building Materials 4 Resource pts •� y=yes 0
I 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
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
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
•
;t.Substitute Solid Sawn'arbor withEngineered Lumber- 1 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 .
B.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
0 0 0
I
•
•
INPUT Resources Energy IAD/Health
B. -xter or -n s •
1.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 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. 0
4.Replace Tallest 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 IAD/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 IAO/Health pts. 0
6.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
U 0
t.tleCTrICai
1.Install Compact Fluorescent Light Bulbs(CFLs)
" (6 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
o o 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 I.
4.Install Buiit-In Recycling Center 3 Resource pts y=yes_ 0
U U U
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 Redycled-Content,Fiberglass Insulation with
•No Added Formaldehyde 3 IAO/Health pts y=yes 0
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
D.eemngs 4 Resource pts y=yes 0
0 0 0
•
•
INPUT Resources Energy IAOIHealth
I. in•ows
• 1.Install Enerjy-Eticient 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 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 IAD/Health p1 y=yes 0
4.Clean all Ducts Before Occupancy 2IATHealth 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 Heater 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 Erficiency(AFUE)Furnace 2 Energy pts y=yes b
• 13.Retrofit Wood Burning Fireplacesa.Install EPA certified wood stoves/Inserts 1 IAO/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 4IAD/Health pts y=yes 0
• 16.Install Heat Recovery Ventilation Unit(HRV) 5 IAD/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
6.Select Safe and Durable Roofing Materials 1 Resourcet
p 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 IAO/Health
. n•oor r sus tyan• rus 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 3IAOMealth 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 61AO/Health pts'y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAOMealth pts y=yes 0 •
7.Seal all Exposed Particleboard or MDF 4 IAO/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 31AO/Health pts y=yes 0
0 0 0
N.Flooring
1.Select FSC Certified Wood Flooring 8 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 1AO/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: I 1401 1301 57 •
Total Points Project Received: 01 01 0
•
.G:date/progs/greenbuldneguldelInes/remodsleaJgreenpointsinel2.12e4protecmd4s
+/!� Community Development
4 lf 10300 Tone Avenue
vv '" 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.
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:
http://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
6
SCOPE OF WORK:
Replace shower--cultured materials
• Pressure balanced valve
Tempered glass enclosure
Replace single sink by two sinks
Replace vanity,faucets
• Install fan wth light
Replace toilet, 1.6gpf .
Qj ange.existing outlet to.GFCI &add 2nd GFCI
/Lights willbe.f oI urescent and/or controlled
by manual on/automatic off sensor switches
. Smoke detectors In each bedroom&adjacent halls
1 94" 7
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Shower
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/ I FEB 0 'i 2000
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• JOB SITE: Master Bath WORK PERFORMED BY:
Katherine Tieszen The Bath Room
II 5988 Sutton Park Place 1910 W. El Camino Real,#E
Cupertino CA 95014 Mountain View CA 94040
408. 253-9311 650. 968-7666
•
All dimensions_size designations given are n THE BA'FH ROOM has prepared this Designed:2/2/2008
subject to verification on job site and F original design,which may not be copied Printed:2/3/2008
adjustment to fit job conditions. 1 or released until applicable fees have been
lit paid.
Tieszen-existing All Drawing#: I
SCOPE OF WORK:
Replace shower—cultured materials
• Pressure balanced valve
Tempered glass enclosure
Replace single sink by two sinks
Replace vanity, faucets
• Install fan wth light
Replace toilet, 1.6gpf
Change existing outlet to GFCI &add 2nd GFCI
Lights will be flourescent and/or controlled
by manual on/automatic off sensor switches
Smoke detectors in each bedroom&adjacent halls
•
•
94"
Shower
Fa• nwl 42xIti:r::: :: light
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Pocket— door -I ITIMI
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94"
JOB SITE: Master Bath WORK PERFORMED BY:
Katherine Tieszen The Bath Room
5988 Sutton Park Place 1910 W. El Camino Real,#E
Cupertino CA 95014 Mountain View CA 94040
408.253-9311 650. 968-7666
• I
All dimensions_size designations given are r.. THE BATH ROOM has prepared this Designed:2/2/2008 SI
subject to verification on job site and :f original design,which may not be copied Printed:2/3/2008
adjustment to fit job conditions. or released until applicable fees have been
i paid.
Tieszen-proposed All Drawing#: 1
ate,, I Community Development
' ' 10300 Tore Avenue
i t r • Cupertino CA 95014
Telephone(408) 777-3228CITY OF
PEIJTINO
Fax(408)777-3333
liturC 1 Building Department
JOB ADDRESS: c'%o cu�� n L p l PERMIT #v,$ c 2 o o a '7
OWNER'S NAME: I 1L vr g /- iry 2,c.) PHO
GENERAL CONTRACTOR: 0M7 floeN/ a 9G p 66/
I am not using any subcontractors: ael? -1
Signature V Date
Please check applicable subcontractors and complete the following information:
IA 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