08040185 (2) CITY OF Ct,PERTINO - • t..0 t aI ,
BUILDING DIVISION PERMIT iGONTRAC�URIEUIIONtk
PN ,
BUIL I G ESS: PERMIT NO.
�89 BRET AVE TBD – TO BE DETERMINED 08040185 .
OWNER'S NAME: PERMIT ISSUE DATE
ZHENGYU GE 04/25/2008
Ss: SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
REMODL LAUNDRY, BATHROOM. NO BUJGlO O PMECHLUMB O
egg LICENSED CONTRACTOR'S DECLARATION LIGHTING MC PLUMDING
vd d I hereby afirm that I am licensed under provisions of Chapter 9(commencing —^ ^--- _ —^ • ,^,- ,^^^^ Job Description
ab with Section?COO)of Division 3 of to Business and Professions Code.and my licensee is ,
;m in full forte and effect.; -sem`-� d
B I4 License Cl Lk.Y F-TCQ'J Yr
;., Date4��f fh Camrecmr H �vVMrPieN CS
E
ARCHITECTS DEpLAcATION
U I understand my plans shallM used ed u public records
e t& Licensed Professional
'q OWNER-BUILDER DECLARATION
5 I hereby sums Nn I am exempt from the Contractor's License Law for the
.0 O following mason.(Section 7031.5.Business and Professions Code:Any city or county
3 6(Li which mquires a permit to construct alter,Improve,demolish,or mpalr any structure
zy prior to its issuance,also requires the applicant for such permit to Ale aligned statement
g4'$ that heislicensed pursuanttothe provisions ofthe Contractor's license Law(Chapter 9 Sq.Ft.Floor Area Valuation
00 (commencing with Section 7000)of Division 3 of the Business end Professions Code)or
•
E`d- that he k exempt therefrom and the basis for the alleged exemption.Any viol Won of
Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of APN Number Occupancy Type
not more than five hundred dollars(S500).
0 Las owner of the property.or my employees with wages as their sole compensation.
will do the work,and the structure is not intended or offered for sale(Sec.704,Business
and Professions Cade:The Convector's License Law does not apply to an owner or • Required Inspections
property who builds or improves thereon,and who does such work himself or through his
own employees,provided that such improvements are not intended or offered for sale.If,
however,the building or improvement Is 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 - Ait-4‘.. 'g
sale.). fT
❑I.est owner of the property,am essexclusively Porttnsions Cid:)TheeC orators - \ l� (1 •I
0coI.as the doesproject(ply to an,guineas and ProfessionsoCole:) Contractor's nth ig I �@\\\\\\`'\1(vtil'J
ante Law not applYteuawoer of property who WddsorImproves thereon,and �, b
who nse oapfor such projema with a owner of roperta)Ikensed punantaee Canvumr's, s
License Law. ��7
0 1 am exempt under Sec ,B&P C for this mason '
sai Owner Date
WORKER'S COMPENSATION DECLARATION
I hereby strum under penalty of perjury one of the following declarations:
I haw and will maintain a Certificate of Consent to self-Insure for Worker'sCompen-
u ion,as provided far by Section 3700 of the Labor Code,for the performance of the .
work for which this permit is issued. -
0 I have and will maintain Worker's Compensation Insurance,u required by Sectio '
•
3700 of the Labor Code,for the performance of the work for which this permit is issued. • '
My Worker's Compensation Insurance carrier and Policy number ere:
Carrier Policy Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE ,
(Thissection need not be completed If the permit is for one hundred dollars(3100)
or less.)
I certify that in the performance of the work far which this permit is issued.I shall not
employ any person in any munrcr{gs w lje� a subject _ Compensation '
Laws of California.Dam (Z /
Applicant
NOTICE TO APPLICANT:If.after making this Cenifiale of Ercmptiai .• • .
become subject to the Worker's Compensation provisions of the Labor Coda you must
0 Zforthwith comply with such provisions or this permit shall he deemed revoked,
Z CONSTRUCTION LENDING AGENCY
(v r-n I hereby affirm that there is a construction lending agency for the performance of
Be.�.v the work for which this permit is issued(Sec.3097,Civ.C.)
W G Lender's Name
•
1:14
0 Z Lender's Address
U O I certify that I have read this application and rule that the above information is
jy F coned I agree to comply with all city and county ordinances and stale laws relating to
0 ) representativesbuilding construction,and hereby authorise representatives of this city to enter upon the
„I's
above-mendaned property for Inspection purposes
I
LL (We)agree 10 save,indemnify and keep harmless the City of Cupertino against ��
1.4 VI liabilities,judgments,cats and expenses which may in any way accrue against said City
O F7Z to consequence of the granting of this permit. 4
APPLICANT UN : w-a sS AND WILL COMPLY WITH ALL NON-POINT Issued by: r- 4 409/ Date I-7.7 f'Z3
SOURCE a AT30N3.
...wataai. -q IO R ✓
l Re-roofs dr
Signature of Applicant/Contractor ) Date
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or future building occupant atom or handle hazardous material -
as defined by dm Cupenino Municipal Code.Chapter 9.12.and the Health and Safety
Code,Section 25532(0)? All roofs shall be inspected prior to any roofing material being installed.
Ow, a
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
.mit hazardous air contaminants u defined by the Bay Area Air Quality Management all new materials far inspection.
District?
0Yes 4 No
I have read the hazardous materials requirements under Chapter 6.95 of the Califor-
nia Health&SafetyCode.Sections 25505,25533 and 25534.I understand thatif the building
does not currently have a lenam that it is my responsibility to notify the occupant of the
requlreme which met prior to issuance of a Certificate of acupmcy. Signature of Applicant Date
Owner or( authorized age V -44/240k
` 2 • Date• • All roof coverings to be Class'RH or better
1 Asia
CITY OF CUPERTINO
ADDITION/REMODEL
• CUPERJINO PERMIT APPLICATION FORM
APN # Date:
Building Address:
\04oq F%E.E4 t\VE •
Mailing Address (if different from building address):
%o4oci gtLE'1- -D.v e
_ wner's Name: Phone#r�
F4E&Gyu • Cot ((950) 33 — l - � �
Coonntractor: Phone#: (cps? (o z3 - (v ZZ
t c RIUttP)ZINCO Fax #: r9-Z3) lo - 0563
Contractor License#: $2s 539^
C-3 C9
Cupertino Business License#:
Contact: Phone#: (92,T) Co 2 g -•?6,2 z •
MMaaua BEY Fax #: C q.2T) 706- g s03
Building Permit Info: sr—o Qa_yrtoeA..\ t\NN 24,--u iLxc\
Bldg. ❑ Elect. ❑ Plumb. [ Mech. ❑ Hillside ❑
•Job Description:
Addition (adding sq footage):
PP _W� hat is being remodeled? •
1.�.vea903 Wpt>•\ 04141:CoE 4c $P-C4 QtxOt • 'NO l� ��1\A\ .
RemodelIncludesRe-Roof: Yes ❑ No ❑ If yes list number of squares "y%
Remodel Includes Structural: Yes El No ❑
Square Footage:
Addition: Porch: Deck: Garage: Detached Attached
Remodel: Kitchen Bath 7z Other
Type of Construction (Usage Class): Occupancy Type:
1A, 11B0 11, 111, V-A0 11, 111, 1VV-B [Z-- 3
Valuation: .. Please check this box if the project is a
/2. DUO • second-story addition ❑
Please complete relevalil portion of the Green Building
• Checklist& attach it to the application or if applicable, Green Building Points Achieved: cy
include in plan set& the sheet index.
***For Office Use Only***
•
Over-the-Counter El
CITY OF CUPERTINO
asie—
tib" ADDITION/REMODEL
CUF kJINO 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
1 R3HPLNCK Dwellings Hillside plan B
check
1R3HREINSP Dwellings Hillside B
Repeat Inspection •
1R3HREPLNC Dwellings Hillside B
Repeat Plan Check
1R3ALTINSP Dwellings Alternate B
Materials Inspection
1 R3ALTPLNC Dwellings Alternate B
Materials Plan Check
1PCESS Cesspool P
1PPRSEWG Ea. Private Sewage P
Disposal System
1PRSEWER Sewers P
1BPSPRINK Lawn Sprinkler/Backflow P
1BPWSVCS Main Water Service P
71BSEISMICRE SeismicResidential B
DECKS 1R3SFDADD OR
1R3SFDREM
1DECKWOOD Deck (Wood)-Each B
(Each) •
I DECKRAIL 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
1GARDTW<=1K Wood Frame up to B
1,000 SF
1GARDTM<=1K Masonry up to 1,000 SF B
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 unto 300 SF B
PATIO'S CLOSED 1R3SFDADD OR
1R3SFDREM
• 1 PATIOENCLW Enclosed Wood up to 300 B
SF
1PATIOENCLM Enclosed Metal up to 300 B
SF
1 PATIOENCLO Other Enclosed Patio up B
to 300 SF
1COVPORCH Porch Covered-Each B
(Each)
•
I REROOFRES Residential Re-roof Each B
100 SF
REMODELS 1R3SFDREM
1REMRESKIT Kitchen Remodel up to B (Deduct "$"for ea plan
300 SF check)
IREMRESBAT Bath Remodel up to 300 B K
SF
1REMREOTH Other Remodel up to 300 B "
SF
REMODEL PLNCK •
• / 1STPLNCK (1-3 for Standard Plan Check B NOT FOR OVER THE
remodel) COUNTER PLAN CKS.
3 of 3
A
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 (Structural B
Shear Wall/Masonry)
1 WINBAYSTR Bay Window (Structural) B
SKYLIGHTS 1R3SFDREM
1 SKYL<10 SF Skylight less than 10 sf B
1 SKYL>1 OSF Skylight greater than 10 B
sf or structural
1STAIRS Stairs-first flight/ea addt'l B
•
1EPERMITFEE Electrical Permit Fee E
1 MPERMITFEE Mechanical Permit Fee M
1 PPERMITFEE Plumbing Permit Fee P
1ELCPLNCK Stand Alone Electric Pln E
Ck (hourly)
1MECPLNCK Stand Alone Mechanical M
Pln Ck (hourly
IPLMPLNCK Stand Alone Plumbing P
• Pln Ck (hourly)
1BSEISMICRE Seismic Residential B
I TRAVDOC Travel & Documentation B
(
1BUSLIC Business License B •
4of3
10409 Bret Avenue, Cupertino, CA
• 12'6"
111 ,--,0
GPI
36"
Shower
6'Z„
16"
24"
P1.6 aat flush
• 11-J 0111.1.
iii s.
IC Retitril
�b d 5488
NOTES:
-WATER CLOSETS SHALL BE LOCATED IN A CLEAR SPACE THAT IS AT LEAST 30'
WIDE WITH 24' CLEAR IN FRONT, UBC 2904.
-SHOWERS AND TUB WALLS TO BE FINISHED WITH CEMENT PLASTER, TILE OR
APPROVED EQUAL TO A HEIGHT OF NOT LESS THAN 70' ABOVE THE DRAIN INLET.
UBC 907.1.3.
-SHOWER AND TUB-SHOWER COMBINATIONS SHALL BE PROVIDED WITH INDIVIDUAL
CONTROL VALVES OF THE PRESSUER BALANCE OR THE THERMOSTATIC MIXING
VALVE TYPE.
- 17 Li3L4tiv15
-W,R, GYP, BD. IS NOT PERMITTED AS BACKING AT SHOWER AND TUB/SHOWER WALLS, 'DUROCK' OR
OTHER APPROVED CEMENTITIOUS BACKER BOARD SHOULD BE USED INSTEAD,
-BATHROOM DOOR IS REQUIRED TO BE SAFETY GLAZING,
-WATER CLOSET SHOULD HAVE 1.6 GAL/FLUSH MAX, CAPACITY.
• 2067 GGC
Lo02 Cae
2_007 CA-t c
1-001 CPc
10409 Bret Avenue, Cupertino, CA
• 12'6"
® I r °P 'M
j r'aS
Shower � ;'�`N.$' c � r/
G P r
fop�QcS S
ecat es a% � \
6.2" OQ sQ ,�\4` o� . goo
16" c' c‘,31>1/4\ a43`' i��s0\gyp x'\cP,•°°
-)P1 c\V \Q\ra\oac�lc�\��eoo\�JasQec�v4e
r.'\�\s se °°�a��oo\�C� a°a��C�°14' i
t
re 0 gy \tre otybb W v
L6 nal flush '\ ,rP` \0 cs�
Res,i'ft5IT --°)), •
APR 2 2008
NOTES:
-WATER CLOSETS SHALL BE LOCATED IN A CLEAR SPACE THAT IS AT LEAST 30'
WIDE WITH 24' CLEAR IN FRONT. UBC 2904.
-SHOWERS AND TUB WALLS TO BE FINISHED WITH CEMENT PLASTER, TILE OR
APPROVED EQUAL TO A HEIGHT OF NOT LESS THAN 70' ABOVE THE DRAIN INLET.
UBC 807.1.3.
-SHOWER AND TUB-SHOWER COMBINATIONS SHALL BE PROVIDED WITH INDIVIDUAL
CONTROL VALVES OF THE PRESSUER BALANCE OR THE THERMOSTATIC MIXING
VALVE TYPE.
— ,vo L.1041(.k5
-W.R. GYP. BD. IS NOT PERMITTED AS BACKING AT SHOWER AND TUB/SHOWER WALLS, 'DUROCK' OR
OTHER APPRDVED CEMENTITIOUS BACKER BOARD SHOULD BE USED INSTEAD.
-BATHROOM DOUR IS REQUIRED TO BE SAFETY GLAZING.
-WATER CLOSET SHOULD HAVE 1.6 GAL/FLUSH MAX, CAPACITY.
• 2007 03
2007 Ce-C
20o2 CP C
2 oo-7 C,c.4. C
2
op-7 C
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
+
9 ' P+�f �...,.9".y 1,-':‘ vLKi'Y.h r M1_n.:IiR /h l.'y'ASy .,.:IPS 1,...' �J� w .. ,r r
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
4sfA :`k;4 `'i,M1 F TOTAL POINTS 40 points
(9 C(0 '_ cr— 2..r--oet
1110
•
APR 2 g 1008
81(
• •
Plan Review Process Work Book Page-I2-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 IAOIHeatth
• Its
1.Recycle Job Site Construction&Demolition Waste
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&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
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
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
[1.Substitute Solid Sawn Lumber with Engineered 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 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 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
INPUT Resources Energy IAO/Health '
I. xter or na
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 IAC/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 p1 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 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
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
8.Install On-Demand Hot Water Circulation Pump 4 Resource pts yryes 0
0 0 0
F.eiecmcai
1,Install Compact Fluorescent Light Bulbs(CFLs)
(6 bulbs=2 points,10 bulbs=3 points, 12 bulbs=4 points) Up to 4 Energy pts. I 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 yryes 0
3.Install Energy Star Refrigerator 1 Energy pt y=yes- 0
4.Install Built-In Recycling Center 3 Resource pts y=yes_ 0
U 0 0
H.Insulation
1.Upgrade Insulation to Exceed Title 24 Requirements
a.Walls 2 Energy pts y=yes 0
b.Ceilings 2 Energy pts yryes 0
2.Install Floor Insulation over Crawl Space 4 Energy pts y=yes 0
3.Install Recycled-Content,Fiberglass Insulation with
No Added Formaldehyde 3 IAOMealth 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 yryes 0
6.Alternative Insulation Products(Cotton,spray-foam) •
a.Walls 4 Resource pts y=yes 0
b.ceilings 4 Resource pts y=yes 0
0 0 0
4
CITY OF CUPERTINO
• 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: SylviaM
COPY # : 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN • 37510027 . 00
DATE ISSUED • 04/25/2008
RECEIPT # • BS000004585
REFERENCE ID # . . . : 08040185
SITE ADDRESS - 10409 BRET AVE
SUBDIVISION
CITY • CUPERTINO
IMPACT AREA
OWNER • ZHENGYU GE
ADDRESS • 10409 BRET AVE
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM • MANUEL CAMEY
CONTRACTOR • TBD - TO BE DETERMINED LIC # 00096
COMPANY • TBD - TO BE DETERMINED
ADDRESS
CITY/STATE/ZIP . . . :
TELEPHONE
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW HAL
1BSEISMICR VALUATION 12, 000. 00 1 .20 0. 00 1 .20 0. 00
1HUSLIC FLAT RATE 1. 00 110. 00 0. 00 110.00 0. 00
1REMRESBAT SQ FEET 72 . 00 429 . 00 0 . 00 429 . 00 0. 00
1STPLNCK HOURS 1. 00 122 . 00 0 . 00 122 . 00 0. 00
TOTAL PERMIT : 662 .20 0. 00 662 .20 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
CHECK 662 .20 2189
TOTAL RECEIPT : 662 .20
•
INPUT Resources Energy 'AO/Health
. "in.ows
. .11.Install Energy-Efficient Windows
• a.Double-Paned 1 Energy pt y=yes 0
b.Low-Emissivity(Low-E) i 2 Energy pts y=yes 0
L c.Low.Conductivity Frames i 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
I1.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 11A0/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
8.Install Sealed Combustion Units
a.Fumaces 3 IAO/Health pts y=yes 0
b.Water Heaters 3 IAO/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 stoveslnserts 1 IAQMealth 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 4 IAO/Health pts y=yes 0
16.Install Heat Recovery Ventilation Unit(HRV) 51A0/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 i 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 Icw=12 points,3.6 kw=18 points) Up to 18 Energy pts 0
16.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
0 0 0
•
INPUT Resources Energy IAD/Heahh
n•oor • r 'us tyan• ns es
1.Use Low/No-VOC Paint 1 IAQ/Health pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0
3.Use Low/No VOC Adhesives 3 IAQ/Health pts yryes 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 IAQ/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!AO/Health pts y=yes 0
B.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 3 IAQ/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 IAQ/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:) 1401 1301 57
Total Points Project Received: I 01 01 0 •
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•
41,c1/46:.
Community Development
10300 Torre Avenue
Cupertino CA 95014
CITY OF Telephone(408)777-3228
•IJ P E RT I N O Fax(408)777-3333
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.
STORM WATER 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;
411
• 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
Community Development
'
10300 Torre Avenue
1 Cupertino CA 95014
34 a I Telephone(408)777-3228
CITY OF Fax(408)777-3333
•UPERJINO
Building De artment
JOB ADDRESS: PERMIT #
\04oc1 & r z.ve ' pro ko(�fs'
OWNER'S NAME: d z'AC€V19 Coe PHONE # C.9?-S) (on - -to z'L
GENERAL CONTRACTOR: tiC_Ww040 i FAX # Cg./S) Wo 6- g St 3
I am not using any subcontractors: 1412-
Signature Date
Please check applicable subcontractors and complete the following information:
® 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
-147 og
Owner/Contractor - e Date