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08070136 CITY,OF CUPERTINO d` r�+st.+ v-4i� BUILDING DMSION PERMIT �COP.ITRA@TQR�II 'C�RMA1IaN�3 ¢?s'? o BUIL TG D FSS: PERMIT NO. � � WESTACRES DR TBD - TO BE DETERMINED 08070136 OWNER'S NAME: PERMIT ISSUE DATE WIANT JAMES E AND HELEN 07/18/2008 NE: SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDO ELECT PLUMB MECH Y00 LICENSEDCONIRACIOR9 DECLARATION lob Description U F 1 ion 7 )of Dthativision 1 un IisvN under and Pioona of r C dc. 9(mmmcncind P n� withllto=]DIIII)of Dividon3ofthe Business aM Professions Corfu.and mylittnmu REPLACE EXTNG WATER LINE _0 h in full carte and erten '0Z License Claa Con.r nFp Dam TSDEar ARCHITECTSe�y W7 ARCHECTS DECLARATION WU 1 undeaamt my plats shall be used u public rtrorN gar cf Licensed Pmlcssienl OW HER-BUILDER DECLARATION C<Z Wmby.lunar that 11. ucmpt from use Canlns Co License Law for Nn CO2 o o following mason.(Section 703 LS,Business and Pmfn9uu Coda:My city or rounty $ which inquires n pumi'r emsW0.dmr,improve,de mania a er mase any sumetum Z y pear m its fens em,also inquires the Applicant for such rami'a fie s Law summent pp < thuboulkemeth Seaurtt muse ofimovishouns sion 3 oWCnwid.auxnmisio(Charter9 Sq.Ft.Floor Area Valuation egg (conmeis in,th Section,700Mand the Division for the a oged ca a and Prole y res A.I .of $1300 `< used io a exempt'say appli unt use aura for the alleged esunpdort Any violation of Section than by nary red dot.(m a panni'subjects the applicant m•civil really of Number Occupancy Type int renin then Rw Wnema aellan(ssmh 35914 017 � P Y YP ❑I.u owner of the property,a mY eroployw with sign u'inhale erompenudm, Prthework.andthe he Cometmtkmneede s,doforce(Sm.]Dao,owners ane P ty who W Cede:The Covussmra Uan<law men Hart apply to rt avec of Required Inspections maaaty vbo Wilda ri imparesch unpr and arW at esawth wart himafe lthrough his ewsver.the eWiprodded prsuch impmremmtssuenot inmMedmictied tensile.a, builder,me Wilding order of proving add within one Www mmpkuee the owe of builder will low the burden of proving Nu k did not Wile a improv for puryom of . 0 1.u owner or the properly.mo exclusively contracting with licensed contfcmra to Consumer the project(Sec.]Dad.Buts and Professions Cade)The CwtrxWs U. cont.t law does out apply in an owmn a Property who Witte Or improve tbormn,and. wed contracts Stormiest Projects witha conwcmr(s)liansed pursuant to tbo ConuamoM1 License Law. ❑1 am em. - ,B&PP-Cl fa ^s Owner .-4 Dam < �X Qn p de See WORKER'S COMPENSATION DECLARATION I hueby afford under penalty of perjury one or the following dodsomm¢ Isw and will m timid..Certificam OT Consent in self-ksum I.Workers Comport. Won,u provided rer by Section 7]BD of the Labor Code.for the performan¢of use work for which this perme is issued. 1 haw and will maintain Workers Compeustion luuu<c,u required by Section )]BD of the later Code.for the performmm of Ne wink forwhich this permit is issued. MY Workers Compemalion Inmraoce Caries sed Policy number am: Cartic. Polity No.: CERTIFICATE OF EKEMP ION FROM WORKERS' COMPENSATION INSURANCE (Thu smdon need not bo complemd if the permit u(mane hundred dollars($IBD) or eaL) 1 cerd(y,then in the perform.or the wink for which this perml'u Luted,l shell not employ any perm.in my maoocrao u to leemx subject to the Workers'Compereadon Lawsof CLifo sen Applicvnt A NOi10E rO AP U A :If,after ma dog this Certifies of Em peon,you should become subject m the Worker's Compeuk'ion provisions of the Labor Cade,you must roMwiih COMP1Y with such provisions orthis permit shall W dmmed mroked. z O CONsyBucn0NLENDINGA6ENCY P.4 1 hereby affirm used them is a Conmuction lending agency for the perfurmanm of 5> the work for which this Permit is issued(sen.7097.Car.C) 0.Q Lenders Name ' �z L<nders Amd^.. L)O 1 coolly than I have rad this application and sum that dm above kformadm u U. coned,l agree to comply with all city and county Ordimen ea and sum laws relaund as O Wilding construction,and herebymolu se inprewaudvea ofthu city in come upon the sWw-seendonsd Property for inspection purpmes. (We)agree In ave.indemnify and lump harmka the City Of Cupertino illi mt fon liabilities,jedgmenW Cosa and upraises which may in my way acerae against said City (),Z in consequence of the ilmom g of this permit. ti APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCCE REgVLATIONS. Y Re-roofs - Stgnuum of AppltcanmConuanor Dam HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the Applicant a future building occupant emre m bindle hamrders material u defined by the Cu".MuniriWl Code.Chapmr 9.11 and de Health and Safety Code.semina 25572(a)] ❑Yu Ive-. All roofs shall be inspected prior to any roofing material being installed. 40 If a roof is installed without first obtainingan inspection,I agree to remove WIltW applicant orfutum Wilding occupant use equipmml ar devices which P huadau air cmumimms as defined by use Bay Ana Air Quality Management all new materials for inspection. GYo No - 4._...- I have mad toe hvsrdousmamrials mquiinme 55 under Ctupm d thatofdm Wilding ata HnithdrentlySafeteve a mors".suiti m nuulsss7a.l to roof tthole de Wading mon not currently have a mnmL Nn it i my ncePotuibilitY m nod( the amupant of use rcyu' me whichmtmWm/etlaiormissuatmcoft ¢wfic�mofccu�. SignatureofApplicant Date Owae�r��o-fath/�e�` I II— Dam All roof coverings to be Class'W'or better CITY OF CUPERTINO • 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35914017 . 00 DATE ISSUED. . . . . . . : 07/18/2008 RECEIPT # . . . . . . . . . : BS000005513 REFERENCE ID # . . . : 08070136 SITE ADDRESS . . . . . : 10354 WESTACRES DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : WIANT JAMES E AND HELEN ADDRESS . . . . . . . . . . : 10354 WESTACRES CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2939 RECEIVED FROM . . . . : HELEN NIKITIN WIANT 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 ---- ------------ ---------- ---------- ---------- ---------- ---------- 1BPWSVCS WATER SERVICE 1 . 00 20 . 40 0 . 00 20 .40 0 . 00 1BSEISMICR VALUATION 1, 300 . 00 0 . 50 0 . 00 0 . 50 0 . 00 1PLMBLNCK HOUR 1 . 00 122 . 38 0 . 00 122 . 38 0 . 00 1TRAVDOC FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 184 . 07 0. 00 184 . 07 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 184 . 07 #4830 --------------- TOTAL RECEIPT 184 . 07 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 106 SEWER & WATER 301 ROUGH PLUMBING 507 FINAL PLUMBING • d�o7 v�(P CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE CUPEf�TINO PERMIT APPLICATION FORM APN # 259 5 n/ O / 7 U Date: Building Address: t p S ae ye S T�' e V Owner's Name: 1 ' r -1 p Phone #: V✓1 VV 1 lJi-/�.a- Tog .�--S-S 4-.�3 FS Contractor: �d Phone#: SAL V` _ _ "' Fax #: Contact: U Phone#: '�$ l; S 3 "_ �1 t�D� -� �3 6 Fax #: �p `C Contractor License#: 1 Dn /_ Cupertino Business License#: lJ I \ Job Description: Rgtaek i5 �� ��rct�t r �►w Residential tK Commercial ❑ Valuation: }3© Project Size: ExpressK Standard Large Major Green Building: Please complete relevant portion of the Green Building Checklist & attach it to the application or if applicable, include in plan set & the sheet index. _ Green Building Points: Quantity Fee ID Fee Description Fee Permit Type Grou 1PCSEWER Commercial building P 1CPSS sewer/sanitary sewer 1BPREPIPE Commercial re-pipe per fixture P 1CPRP 1PGASCOM Commercial Gas Piping System P 1-4 Outlets 1BSEISMICOM Seismic Commercial P i IBSEISMICR Seismic Residential P 1PRSEWER Residential building P 1RPSS sewer/sanitary sewer CITY OF CUPERTINO a REPIPE/SEWER/MAIN SERVICE CUPEkTiNO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group 1PRREPIPE Residential re-pipe per fixture P IRPRP 1BPWSVCS Water Service P 1CPWS or 1RPWS 1PPRSEWG Private Sewage Disposal System P IPCESS Cesspool P 1BPWATER Install/alter Water Pipe P IBPFIXTURE Plumbing Fixture P 1PGASRES Residential Gas Piping System P 1-4 Outlets 1BPGAS Gas Piping System 5+ Outlets P 1PPERMITFEE Plumbing Permit Fee Issuance P 1PLMBLNCK Plumbing Plan Check P •. 1PLMBINSP Other Plumbing/gas Insp. P 1 TRAVDOC Travel &Documentation Fee B / 1BUSLIC Business License B Revised 6-16-08 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 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 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 INPUT ReSDUTCeS Energy A011-lealth 1.Recycle Job Site Construction 8 Demolitio 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 Stonmwater 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 mono 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.Subfieors i Resource pt y=yes 0 • b.Sheathing 1 Resource pt y=yes 0 INPUT Resources Energy IAO/Health Windows 1.Install Energy-Efficient Windows . a.Double Paned 1 Energy pt yryes 0 b.Low-Emissivity(Low-E) 2 Energy pts y=yes 0 c.Low.Conductivity Frames 2 Energy pts y=yes D 2.Install Low Heat Transmission Glazing 1 Energy pt y=yes D 1 1 1 J.Heating Ventilation and Air Conditioning 1.Use Dud 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.IAO/Heallh pl y=yes 0 4.Clean all Duds Before Occupancy 2 IAQ/Health pts y--yes 0 S.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 IAQ/Health pts y=yes 0 b.Water Heaters 31A0/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 stovesMserts 1 IAO/Health pt y=yes 0 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 Filler 4 IAO/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 3 IAQ/Health pts y=yes p 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 p 1 1 1 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 p 3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes p • 1 1 I _a Community Development T✓ 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 4UPEI�TINO Building Department JOB ADDRESS: IPERMIT # b 351k Dvri ue_ DS-07 013 OWNER'S NAME: KeAeti PHONE # GENERAL CONTRACTOR: �-1 �, a Lq .rLs FAX # I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the followinginformation: 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 caner/Contractor Signature Date