10110069 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 19363 GREENWOOD DR CONTRACTOR:BROTHERS HOME PERMIT NO: 10110069
IMPROVEMENT
-NER'S NAME: DENNIS VAUGHN 2510 DOUGLAS BLVD DATE ISSUED: 11/10/2010
OWNER'S PHONE: 4088218407 ROSEVILLE,CA 95661 PHONE NO:(408)295-0680
LICENSED CONTRACTOR'S DEy�CLARATION BUILDING PERMIT INFO: BLDG r— ELECT r PLUMB F-
License Class L> 7 Lic.# QL�
MECH RESIDENTIAL COMMERCIAL
Contractor Date /o
I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:5 WINDOWS&3 PATIO DOORS LIKE FOR LIKE RETRO-FIT
INSTALL
(commencing with Section 7000)of Division 3 of the Business&Professions
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self-insure for Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance,as provided for by Sq.Ft Floor Area: Valuation:$6000
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued.
APN Number:37543016.00 Occupancy Type:
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
correct.I agree to comply with all city and county ordinances and state laws relating
to building construction,and hereby authorize representatives of this city to enter PERMIT EXPIRES IF WORK IS NOT STARTED
upon the above mentioned property for inspection purposes. (We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR
costs,and expenses which may accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION.
granting of this permit. Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18. Issued by: Date:
lature Date
❑ OWNER-BUILDER DECLARATION RE-ROOFS:
All roofs shall be inspected prior to any roofing material being installed.If a roof is
I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for
the following two reasons: inspection.
I,as 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.7044, Signature of Applicant: Date:
Business&Professions Code)
I,as owner of the property,am exclusively contracting with licensed contractors to
ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
construct the project(Sec.7044,Business&Professions Code).
I hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the
Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain
performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should I store or handle hazardous material.
Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air
contaminants as defined by the Bay Area Air Quality Management District I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
I certify that in the performance of the work for which this permit is issued,I shall Health&Safety Code ctions 25505,25533,and 25534.
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If,after making this certificate of exemption,I Owngr o ed agent:
become subject to the Worker's Compensation provisions of the Labor Code,I must 'L Date: f- LC- '��—
forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of work's
I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.)
correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name
to building construction,and hereby authorize representatives of this city to enter
}}the above mentioned property for inspection purposes.(We)agree to save Lender's Address
fnnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records.
9.18.
Licensed Professional
Signature Date
CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY ## 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 37543016 .00
DATE ISSUED. . . . . . . : 11/10/2010
RECEIPT #. . . . . . . . . BS000011975
REFERENCE ID # . . . : 10110069
SITE ADDRESS . . . . . : 19363 GREENWOOD DR
SUBDIVISION . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : DENNIS VAUGHN
ADDRESS 19363 GREENWOOD CIR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-3416
RECEIVED FROM . . . . : SEAN FERGUSON
CONTRACTOR . . . . . . . : GENE V. CAVANNA LIC # 27964
COMPANY . . . . . . . . . . : BROTHERS HOME IMPROVEMENT
ADDRESS . . . . . . . . . . : 2510 DOUGLAS BLVD
CITY/STATE/ZIP . . . : ROSEVILLE, CA 95661
TELEPHONE . . . . . . . . : (408) 295-0680
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BCBSC VALUATION 6, 000. 00 1. 00 0. 00 1. 00 0 .00
1BSEISMICR VALUATION 6, 000 . 00 0 .60 0. 00 0 .60 0 .00
1WINREP EACH 8 1. 00 380 .00 0 .00 380. 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 381 .60 0 .00 381. 60 0 .00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 381 .60 MC
---------------
TOTAL RECEIPT 381 .60
M.IndDor Air Quality and Finishes
1.Use Low/No-VOC.Paint 11AQ/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 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 61AQ/Health pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes D
7.Seal allfxposed l'arpolebDard or MDF 4 IAQ/Healft pts y=yes 0
S.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 p
1 1 1
N.Flooring
1.Select FSC Certified Wood Flooring 6 Resource pts y=yes 0
2.Use RaOdifyRenewahle 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
1 1 1
Total Points Available: 1401 1301 57
Total Points Project Received: 0 01 0
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WINDOW REPLACEMENT REQUIREMENTS
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR, P.E.,C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTINO
(408)777-3228• FAX(408)777-3333•buildinq(a.cupertino.orct
PURPOSE
The purpose of this guideline is to clarify the minimum building code requirements when repairing,
replacing or adding windows in a residential building. Structural plans and calculations may be
required if window/door openings are added to an existing lateral resisting element(shearwall).
PLAN REQUIREMENTS
1. Provide a completed `Addition/Remodel' building permit application.
2. Provide three sets of completely dimensioned floor plans showing the size,type and/or location of
all windows proposed to be replaced.. Floor plans shall indicate the following:
3. Owner-Builder Disclosure Form(for property owners applying for their own building permit)
4. Provide structural plans and calculations if window/door opening is (are)being added to an
existing shearwall and the overall design does not meet the conventional construction requirements
of the California Building Code.
GENERAL INFORMATION—EMERGENCY ESCAPE AND RESCUE OPENINGS
• Per Section 1029 of the 2010 California Building Code,provisions shall be made for emergency
escape and rescue in Group R occupancies. This also applies to replacement windows per 2010
CBC Section 3407.
• Every sleeping room shall have at least one exterior emergency escape and rescue opening or
exterior door approved for egress or rescue.
• All emergency escape and rescue openings from sleeping rooms shall have a net clear opening of
5.7 square feet, except that the minimum net clear opening for emergency escape and rescue grade-
floor openings shall be 5 square feet.
• The minimum net clear opening height shall be 24 inches. The minimum net clear opening width
shall be 20 inches. EIJ
• Emergency escape and rescue openings shall have the bottom of the clear opening not greater than
44 inches measured from the floor.
• Bars, grills, grates or any similar devices are permitted to be placed over emergency escape and
rescue openings provided the minimum net clear opening size complies with the opening
requirements of the egress window and such device shall be releasable or removable from the
inside without the use of a key, tool, special knowledge or effort or force greater than that which is
required for normal operation of the escape and rescue opening.
• Bars, grills, grates or any similar devices shall be equipped with an approved exterior release
device for use by the fire department.
WindowReplacePolicy.doc revised 11105/10
STORMWATER POLLUTION CONTROL AND NOISE CONTROL
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTINO
(408)777-3228 • FAX(408)777-3333•Widinona.cupertino.org
GENERAL INFORMATION
All construction work must meet certain conditions related to maintaining environmental quality and public
health and safety. This policy described the two most common inquiries regarding construction: Stormwater
Pollution Control and Noise Control.
STORMWATER POLLUTION CONTROL
State law requires that the City of Cupertino, along with 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 into the San Francisco Bay
without going through a water filtering/treatment process. 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;
1 4 T V FIT
• 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 website at: htlp://www.cUertino.org/index.aspx?pagc=487
COMMUNITY NOISE CONTROL
Construction noise is limited to:
• Residential daytime noise levels from complaint site—60 dBA
• Non-residential daytime noise levels from complaint site—65 dBA
Daytime hours are defined as being between the following hours:
• Weekdays—7:00am to 8:00pm
• Weekends—9:00am to 6:00pm
Construction, other than street construction greater than 750 feet of a residential area, is prohibited on
holidays, except that construction conducted by a homeowner or resident of a single family dwelling using
domestic construction tools is allowed on holidays between the hours of 9:00am to 6:00pm.
For more information on noise control, please refer to Chapter 10.48 of the Cupertino Municipal code,
which can be accessed at http://www.amle.al.com/cupertino ca.
Stormwater/Noise Control-201 0.doc revised 09/22/10
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
D U P E RT I N O Fax: 408-777-3333
CONTRACTOR/ SUBCONTRACTOR LIST
JOB ADDRESS: � (DV?M )ma PERMIT#
OWNER'S NAME: -1100 L 5 VCurAVI PHONE #
GENERAL CONTRACTOR: bra �lfr, u f� BUSINESS LICENSE#
ADDRESS: /,� 5�" CITY/ZIPCODE:
*Our municipal code requires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBC TRAC S HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
1 am not using any subcontractors: �� 111Z-41-116
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
Painting/Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
42
Tile
—Owner/ ontractor ignature Date
CITY OF C TPERTINO
CITY GF
CUPEKTINO GENERAL BUILDING
PERNUT APPLICATION FORM
APN Date:
iik c,
Building Address:
Mailing Address (if different from building address):
Are Hazardous Materials being used as part of this project? Yes No fZ
HOA: (Exterior work only) Yes ❑ No if Yes, provide letter from HOA
Owner's Name: Phone #:
Contracto Phone:
Fax:
Contractor License qCC
Cupertino Business License#:
Contact: Phone:
0 Fax:
Residential Commercial F-1
Job Description:
Building P t Info:
' Bldg Elect ❑ Plumb 0 Mech E]
Type of Con *
" tion (Usage Class): Occupancy Type:
1-A, 1-B Con
B, IV-HT, V-B
Valuation: Square Footage:
Project Size: Express ❑ Standard Large ❑ Major 0
Green Building: Please complete relevant portion of the Green Buflding/LEED Checklist & attach it
to the application or if applicable, include in plan set & the sheet index.
-)ints Achieved:
I x,or help, contact Build it Green at www.buLUditgreen.org
Revised 07/14/09