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08060223 (2) CITY OF CUPERTINO �rTh��v. BUILDING DIVISION PERT CSL\eL� R�°Zl\�QL�lYlt?T1�.N : PERMR NO. Bu1LT1gca,ApgREsP,RMONA CT TBD — TO BE DETERMINED 08060223 OW NER''SUNAAME: PERMIT ISSUE DATE CANTER,NANCY - 06/26/2008 NE: SANffARY NO. CONTROL NO. ARCHrtECTIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH u0, LICENSED CONIRACTOWS DECLARATION Job Description ee U 1 hcmby affirm Nat I am licensed under pmviuons of Chapmr 9(mmmcncing P with5ection]Of1U)ofDiviuon 3ofthc Buunw aM Profeuiam Code,aedmylicertseu RMV EXTNG PARTCL TYP WD EXTER SIDNG& INSTL NEW rimy in full foand cfictt j rte License I Lie. 66 FIBERCEMNT LAP SIDING C H O Gate O ConuAcmr 2/4 A-.MCrS DECLARATION I understand my prism shall W used as public records A,,t Licmucd Professional 5 OWNER-BUIWER DECLARATION .c I hereby affirm Nal I am exempt from the Contractors License Law for On COC following recon.(Section 7031.5,Business and Professions Cade:Any city or county $ which rcquines A permit Is convect.Iter.improve.demmish,Or ncrw any suunm v prior m its issuance.also mquims the applicant forsuch permit m file a signed statement —ss�< Out Its is licensed pursuant to the provisimu of use Contractor's Lime Law(Chapter 9 Sq.Ft. Floor Area Valuation yF (commencing with Section 7000)of Division 3 of the Business and Professions Cod,)Or $16154 ye;$— that he is exempt therefrom and the basis for the alleged exemption.Any violation of Session 7031.5 by any applicant fee a permit subimts the applicant to a civil penalty ofNumber Out more .man fin hundred dollars 35716114 . Occupancy P Y Type I,u owner of the pmpaty,ar my employees with wages as their sok compensation. will do the work and the muerum a not intended or offered for Axis(Sce.7044.Busicess and Pmreasiom Cade:The Commences License Law does at Apply m an owner of Required Inspections property who Wildamme,som rhercon,and whoducasuN work himaelror Wough his . awn employees,provided that such impmvemenu Am not intended oroffcmd for isle It. however.the Wilding or improvement is sold within one year o(compktion.the owner- builder will have One buNen of goving Our K did nor Wild or improve for purpose of Auto.). ❑1.As owner of the property Are exclusively cemmating with Ikerued rnnvxmr,to mmuuct the poi(Sec.7014.Business and Prafessimu Code:)the CWhA mr's Li. cense Law dos not apply m an owner of pmpmy who Wilds or improves thereon,and, who eamoms fee such projects wire a mouacmr(s)livened puruunt to the Commemes Liave Law. I am exempt undo SAO. ,B&PC for this reason Owner Date WORKER'S COMPENSATION DECLARATION I hereby arm under penalty of perjury one of the fallowing declarations: have and will mountain a Certificate:of Content to self-Insure for WoearsCmpen- sauce,as provided for by Section 3700 club.LaWr Code.for me perfierm.or One work for which this permit is issued 1 have and will maintain Workers Compensation Insurance,an required by Secdon 370(m(de Labs Code for the perrmmanee of the wmrl[for which this permit is issued My Worker.Compemuionlnmrana carrier and Policy number tie: r� Cartier. ST VWix'GL^10 Policy No.: /9Q? Z2 y CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This semen need WI W completed Bthe permit is froom hundred dollars(Sloo) or less.) 1 certifv mot to me perfarmanee of the work fm which this permit is tamed.I shall nm employ anypereen in any manner an as an become subject to the Workers'Compemation Laws of California,Date Applicant NOTICE TO APPLICANT:If.After making this Cenifuc.m of Exemption,you should become subject It,me Worker's Cmam radon provisions of the V Wr Code,you must .J az AmO.M comply with such proviuom m this permit shall W damcd mwkcd. ti O CONSTRUCTION LENDING AGENCY 4 1 hereby obiter this them is s ed(Sec.30 7.Civ. agency for the arfosmena of the work for which this permit b issued(Sec.7(19],Civ.C.) fA Q Lenders Name - .7- z Lcudees Address UO 1 oenffy,Our have rest thin application aM sum uim the Abeve informauun h [T.E corm 1 Agra m empty with all city and county ardinames And sum laws minting m .O building convection,and thereby aurhodm mpmsenwivm ofthis city m crow upon de, rD] above-mcnuonexul dgmproprny favi expenses purpmea F LL (We)agree to save,indemnify and kap homeless the City of Cupenine agalmt Ul,lZ incomacquedgmenu,cam and expen+es which yin any way A.agalmssald City z in comegneae or the granting of thulrnni Issued b '—' APPLICANT UNDER NDS AND L COMPLY WITH ALL NON-POINT y; Dale v SOURCE RE 6 i� Re-roofs / Sign rto AM on err Date US MATERIALS pact t DISCLOSURE Type of Roof WIII the applicantor eumm buildingacupantsumre handleesNOmmamrial as definer by On Cupertino Municipal Code.CTapter 9.1;and the Health and safety Code,Seniors❑Yrs 25532(.)7 LWT-- All roofs shall be inspected prior to any roofing material being installed. Will the appliantorfuture Wilding occupant usecqulpmcnl or devices which If a roof is installed without first obtaining an inspection,I agree to remove �ha' nus stir cmuminanu As defrad by the Bay Area All Quality Management all new materials for inspection. Dy. &T4 _ I have read the hnardous mnmats mquirtmnu under Clomw 6.95 of the Califor. nix Health&Sucty C.dc.&ctiom25A15,25533and25534.1undeaund6aifthe Wilding Jars rot cuncnlly haw•un.L that it u my '"Iny m nedry the oavpaul of the rtyvim nrswF mmx Tal less, Accrtifiumaro, Y. Signature of Applicant Dale Z6 0 Owner oraathorieda em Dam All roof coverings to be Class'A.'or better p CITY OF CUPERTINO CITY OF • CUPEkTINO GENERAL BUILDING PERMIT APPLICATION FORM APN# Date: u� ZL, 7.008 Building Address: /0p31 Cmemo v4 BT C4A,PEJZT1.U0 j CA 450/4/ Mailing Address (if different from building address): Owner's Name: Phone#: —\ NA•N �A.vTE2 koa);53 -S//q Contractor: RnfiS y}.JTAGC— �- Phone: /6) �/SS--�97� E L Gr!2�^ Fax: Contractor License#: $ (� (� Q Cupertino Business License#: Contact: M Rv RV- GlfE,ev/a6 Phone: S— . Fax: Residential Commercial / L /_ n Job Description: ��jy�p�� Eyy S1+� ���i�(� l/�t Gllaaol S 4(4r Building Permit Info: Bldg Lys Elect ❑ Plumb ❑ Mech ❑ Type of Construction (Usage Class):[—] E] Occupancy T�e: 1-A, 1-B MII/V-A I11/11Ian� III B, IV-HT, V-B ', — Valuation: id 15-elSquareFootage: Project Size: Express Standard Large ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it Points Achieved: to the application or if applicable, include in plan set& the sheet index. • For help, contact Build it Green at www.builditareen.or �-- Revised 6/16/08 CITY OF CUPERTINO CITY OF CUPERTINO GENERAL BUILDING PERMIT APPLICATION FORM • Quantity/Sf Fee-ID Fee Description Fee Permit Type Group 1GENRES or 1 GENCOM 1 BTEMPPER Temporary Building Permit (good for B 30 days) 1BBOILERI For the installation or relocation of ea M boiler/compressor to & including 3 horsepower, or ea absorption sys to & incl 100,000 Btu/h 29.3kw) 1BBOILER2 Installation/relocation of ea M boiler/compressor over 3 horsepower to & incl 15 horsepower, or ea absorption sys over 100,000 Btu/h IBBOILER3 Installation/relocation of ea M boiler/compressor over 15 horsepower to & incl 30 horsepower, or ea absorption sys over 500,000 Btu/h to &•incl 1,000,000 Btu/h • 1BBOILER4 Installation/relocation of ea M boiler/compressor over 30 hosepower to & incl 50 horsepower, or for ea absorption'sys over 1,000,000 Btu/h to & incl 1,750,000 Btu/h 1BBOILER5 installation/relocation of ea boiler or M refrigeration compressor over 50 horsepower, or ea absorption sys over 1,750,000 Btu/h 1BAPPLOTH For ea appliance or piece of equip M regulated by this Code but not classed in other appliance categories, or for which no other fee is listed in this code. HIMEETING114R ELECINSP Other Electrical Inspections (per hour) E MECHINSP Other Mechanical Inspections (per M hour) PLMBINSP Other Plumbing & Gas Inspections P er hour Application Meeting B Cpl- CITY OF CUPERTINO cirvoF GENERAL BUILDING APPLICATION CUPEI�TINO • FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1 GENCOM ACOUSTICAL REVIEW IACOUSFDW SFDWL/Duplex New B IACOUSRESAD SFDWL/Duplex-Addition/Alteration B IACOUSCOM Multi-Family/Commercial B CHIMNEY'S 1 CHIMNEY Chimney B 1 CHIMNEYR Chimney Repair B FENCES 1FENCE>6FT Non-masonry, over 6 ft in height B 1FENCEMAS>6 Masonry, over 6 ft in height B FIREPLACES 1FIREPLMAS Fireplace Masonry B 1FIREPLFAB Fireplace Pre-Fabricated/Metal B 1FLAGPOL>20 Flag pole (over 20 ft in height) B IMODUSTRU Modular Structures B FOUNDATIONS 1FOUNDREP Foundation Repair B 1PILECAST Pile Foundation Cast in place concrete B 1 PILEDRIV Pile Foundation Driven (steel, pre- B stressed concrete) 3 of 5 t - CITY OF CUPERTINO Or OF GENERAL BUILDING APPLICATION CUPERTINO FEESCHEDULE • Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1 GENCOM RETAINING WALL(CONCRETE OR MASONRY) IRETSTN Standard (up to 50 ft) B IRETSP310 Special Design, 3-10' high(up to 50 `) B IRETSPIO Special Design, over 10' high (up to B 50' 1RETCRB< Gravity/Crib Wall, 0-10'high (up to B 50 ft IRETCRB> Gravity/Crib Wall over 10' high (up to B 50 ft SIDING 1SIDEST/BK Siding, Stone &Brick Veneer B (interior/exterior) • L1 SIDEOTHER Siding all other B SKYLIGHTS 1 SKYL<10 SF Skylight less than 10 sf B 1 SKYL>IOSF Skylight greater than 10 sf or B structural 1STAIRS Stairs-first flight/ea addt'l B STORAGE RACKS 1 SRACKS<=8 Storage Racks 0-8' high (up to 100 sf) B 1 SRACKS>8 Storage Racks over 8' high (up to 100 B st) 1STUCOAP Stucco Applications (up to 400 sf) B additional stucco application • 4of5 CITY OF CUPERTINO CITY OF GENERAL BUILDING APPLICATION CUPEI�TINO • FEESCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group IGENRES or 1GENCOM 1 WINREP Replacement windows/sliding glass B door (ea 8 windows) 1 WINMEWSTR New Window-structural shear B wall/masonry includes plan ck fee 1 EPERMITFEE Electrical Permit Fee E 1MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit Fee P IELCPLNCK Stand Alone Electric Pln Ck (hourly) E 1MECPLNCK Stand Alone Mechanical Phi Ck (hrly) M I PLMBLNCK Stand Alone Plumbing Pln Ck (hrly) P 1 STPLNCK-(3 Hr Min Standard Plan Check (when no E/M/P) B when not over counter) hourly-stand alone 1BSEISMICR Seismic Residential B 1BSEISMICO Seismic Commercial B 1TRAVDOC Travel &Documentation B 1BUSLIC Business License B • 5of5 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 rt g 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 oint P. Other 1. List Green Features on Plans A-1 1 point TOTAL POINTS 40 points. • • Plan Review Process Work Book Page-12-Revised 3/25/08 Green Points Rating System for Remodeling Projects Due to the diversify 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 INPUT Resources Energy IAO[Health 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 1 1 1 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 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 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 • 1 1 1 INPUT ResDurces Energy 0 I.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 0 1 1 1 J.Heating Ventilation and Air Conditioning 1.Use Duct Mastic on All Duct Joints 71AQ/Health y=yes 0 2.Install Ductwork within Conditioned Space y=yes 0 3.Vent Range Hood to the Outside 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.Furnaces 3 IAO/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 stoves/inserts 1 IAQ/Health pt y--yes p J. 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 IAQ/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 31AQ/Health pts y=yes 0 1 1 1 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 Resource pt y=yes 0 7.Install Radiant Barrier 3 Energy pts y=yes 0 1 1 1 1 I 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 1 1 1 • CITY OF CUPERTINO . 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 35716114 . 00 DATE ISSUED. . . . . . . : 06/26/2008 RECEIPT # . . . . . . . . . : BS000005224 REFERENCE ID # . . . : 08060223 SITE ADDRESS . . . . . : 10031 CARMONA CT SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : CANTER,NANCY ADDRESS . . . . . . . . . . : 10031 CARMONA CT CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-2850 RECEIVED FROM . . . . : AMERICA' S VINYL EXT 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 BAL - ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 16, 154 . 00 1 . 70 0 . 00 1 . 70 0 . 00 1SIDEOTHER SQ FEET 1 . 00 367 . 00 0 . 00 367 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 368 . 70 0 . 00 368 . 70 0 ..00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 368 . 70 VISA --------------- TOTAL RECEIPT 368. 70 • • CITY OF CUPERTINO RECEIPT NUMBER: BS000005225 RECEIVED BY: PATRICIAG PAYOR: AMERICA' S VINYL EXT • TODAY' S DATE: 06/26/08 REGISTER DATE: 06/26/08 TIME: 08 : 12 1 BUSINESS LICENSE TAX AMERICA' S ADVANTAGE EXTER $110 . 00 ---------------- TOTAL DUE: $110 . 00 CREDIT CARD: $110 . 00 REF NUM: VISA TENDERED CHANGE $110 . 00 $ . 00 • • e1 Community Development �f 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408) 777-3333 *UPERTINO Building Department JOB ADDRESS: /0o3/ ei*X wonct C f PERMIT # Cu "4''AAO of tl l SaZ-Z OWNER'S NAME: il/� e4wr-F2 I PHONE # / BZG. 47Y4�2 GENERAL CONTRACTOR: A&CAe4r Aal 6e- FAX # I am not using any subcontractors: �6 O Signature Date Please check applicable subcontractors and complete the following ' ormation: 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 • 6/1G�GZ Owner/Contractor Signature Date