08070044CITY OF CIj, ERTINO
*'
II�1�.''OKMAT1dN K'
BUIL. DING DIVISION" PERMIT
<CONTT2ACTQR
"'9'9O/'f `A`:ARNHART AVE
THOMAS PLUMBING INC
PERMITNO.
08070044
OWNER'S NAME:
PERMIT ISSUE DATE
JAMES j-i SMITH
195 SAN PEDRO AVE STE C1
07/07/2008
NE:
SANITARY NO. CONTROL NO.
ARCH=/ENGINEER:
REPLACE EXISTING 2 SINGLE
BURRING PERMIT INFO
eLoc eLEcr PLUMB - MECH
0 0 0 0
j LICENSED CONTRACTOR'S DECLARATION
Job Description
1 busby arferm Out 1 me IimiuN under previa mts of Chapter 9 (.mme icing
with Section 7M) of Division 3 of the Busixv and Profession, Code, and my license is
i in full forte and Wl7 4 O
License Cls,
Date
DD L
ARCHTIEC7'S r$ OFDLacATLON
1 understand my Plans shell he wed as public record,
' Licensed Professional
S OWNER-B RDEC
empt ContinON
I hmam aRrm Nal 1 eusin fin Ne Canlnnara Taw for the
Any
t•
:
followingnima.. 1. and Pm. Cmk: Any city m
Zo me
truBusiness
i &..I or sig any nnte,um
which minimal; a Puri, re cmuu.a alk,. improve act
Permit
a prior bits issuance. h Permit e a
rsu mqo the po applicant for suchpermitsfeleasignedmtemcm
c that he(comomlkcwcd Pumamuo the of the ConmcsralueweLaw (ChaptersCode)
Sq. F[. Floor Area
Valuation
of Dhiow
(lismmencitempo Salons of n3 of the Businusand Professions or
and hisist cs.
- that he a sump, tMse(mm and the bask far ebe alleged exemption. My vklau. of
APN Number
Occupancy Type
P Y YP
Section 7031.5 by any applicant fora permit subject the applicants a civil penalty of
am sort Nan Ii. hundred dollu, (5500).
❑ I, as owner of sic property. a my uuployes withwage ss the"v halo eompewson,
Required Inspections
ar offeredfafct
dotWwork ands he
apply]Oa/,wsnes
and enywh ow Cade 7h Camssra Ltrs. law doss oat apply lf rt owner W
and Ctmtumt;I ama
ughsm his
a,and who doxamcamnotihwmk himsffeell
pmpcnywhobuilds orimprowch
ed put
jm fm sale U.
Natnnoimis
awaem,the
fcorictind
sold itartnotnun
Wilding std within one Yes or completion,theowna-
bowery, the building
odes sof Anis
builda will lure Oct burden of pmHng Nal k did rod dtild or improve (m purpose of
ak.l.
❑ 1. as awn of Oct property, am walusivcly contracting wish ti¢wed mnussm in
-
.wmct the pmjea (Sec. 70aa, Business and Professions Code) The Contrsmra U.
.
cense law does not apply as an owner of property who builds or improves demon, and.
who eonoams for such projects with a contrssrp) licensed puehmnt to to Contractors
License Law.
❑ IameemV,underSee,B&PCf1cadds oo
Do., Dau
WORKER'S COMPENSATION DECLARA ON
it1 hemby afB,m under penalty of pujury, ane of tic following MCHntionc
ham and will munuin a Cenifieate or Co.., an self-iwum for Wo ter,Co.,.-
nation. as provided for by Section 3.700 of the Mbar Code. for Oct perfnma a of the
wort for which this permit is issued.
❑ 1 have and will mai.ai. Workers Compensation lesumax. as mggmd by Scene.
,
37M of the hear Cade, fm roc performance of the wile for which thio permit is issued.
-
My Workers Compencauae i rani ertiv and Policy ngu�ea tbn a' a�
\' � ^7
CElrfi OFNFROMWORKERS'
COMPENSATION INSURANCE
.
(Ibis secs. wed mutecampletW iftk Permit krorone h.dmd do0an(SI00)
Mess.)
1 certify Ont in the pufo rwmc of the work for which this permit is issued. I shall nm
employ any Perm. in any manners as u become sbjat s the Worker f Compensation
Lam of Califamia. Date
Applicant
NOTICE T'0 APPLICANT: If, after making this Certificate of ascription, you should
become subject to the W0h 3 Compensation provisions of the labor Code. you .tut
v forthwith comply with such provisions or this peri, shall W dcemed mrokrd.
CONSTRUCTION.cLENDINGAGENCY
1 hlfm m
herby amart u s ommcsrm lending agency for rm
the perfoamz m
the were For which uta Permit Is issued (See. 3097, Civ. C.)
danders Name
Lenders Adores,
I century that 1 have mad thin appliu ace and use mat the above info e.u. o
correct. I agree in comply with all cily ted coldly on ina.es and sate laws misting in
Wilding construction. and hereby wmoria reprecom ca.r this city stain, upon the
shove-mramuoned property for iwPeW. Purposes
(We) agree to care, indemnify and keep haleu Cupertino
tete City of against
min
j citiesandupeweich req any nyam.agaiw,tud City
62�Date
incoiusge,,jWgmenu,
in connence of the Prancing of Nrmi
is pca.
��4^
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT
Issued by:
SOURCE 0.EGUL ONS.
Re-roofs
Type of Roof
Si ar Date
HAZARDOUS MATERIALS DISCLOSURE
Will du applicant or future Wilding occupant time orlandle hacallous material
as dented by sex Cupertino Municipal Code. Chapter 9.13. and ere HnOh and Safety
Cade, Section 355324)1
❑Yw fD1fn
All roofs shall be inspected prior to any roofing material being installed.
Will thea applicant or building ocru ane us equipment which
Pp g p q 'proem or
If a roof is installed without first obtainingan inspection, I agree to remove
P
hwagnw air.numinana ca OcO.d by Ote Bay Asa Air Quality Management
Mara
all new materials for inspection.
ctT
Oyer (p"'_
I haw read the haaagmu materials requirements under Chep.6.95 ofthc"irm-
nk HelO & SdoyCede Swam 25505.75533 and2553a.1 undc.mg ftll-- Wilding
d.0a currently enly have a INIe Y
W' Cna that my responsibility nnt(y 11M gYUPNe a(111e
' OC/
f�
lr:met spoor miaaanceafa catRwmof Occupants y
Signature opp T rte Dat
All roof coverings to be Class'%W' or better
,tri ed,gtna
0 4 ITEMS OF 4
•
•
CITY OF CUPERTINO
PERMIT RECEIPT.'
Sec: Twp: Rng: Sub: Blk: Lot:
APN ......1.: 35727042.00
DATE ISSUED.......: 07/07/2008
RECEIPT #.........: BS000005355
REFERENCE ID # ...: 08070044
SITE ADDRESS .....: 18750 BARNHART AVE
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OWNER ............: JAMES H SMITH
ADDRESS ..........: 18750 BARNHART AVE
CITY/STATE/ZIP ...: CUPERTINO, CA 95014
OPERATOR: pdtg
COPY # : 1
RECEIVED FROM ....: THOMAS PLUMBING
CONTRACTOR .......: THOMAS, BENJAMIN J LIC # 9331
COMPANY ..........: THOMAS PLUMBING INC
ADDRESS ..........: 195.SAN PEDRO AVE STE Cl
CITY/STATE/ZIP ...: MORGAN HILL, CA 95037
TELEPHONE ........: (408)736-3050
FEE ID
----------
UNIT
-------------
QUANTITY
AMOUNT
PD -TO -DT
THIS REC
NEW BAL
IBSEISMICR
VALUATION
----------
1,400.00
----------
0.50
----------
0.00
----------
0.50
----------
0.00
1BUSLIC
FLAT RATE
1.00
110.00
0.00
110.00
0.00
1MPERMITFE
FLAT RATE
1.00
40.79
0.00
40.79
0.00
1TRAVDOC
FLAT RATE
1.00
40.79
0.00
40.79
0.00
,TOTAL PERMIT
----------
192.08
----------
0.00
----------
192.08
----------
0.00
METHOD OF PAYMENT
-----------------
CHECK
TOTAL RECEIPT
AMOUNT
---------------
192.08
---------------
192.08
VOICE ID DESCRIPTION
-------- ----------------------------
505 FINAL ELECTRICAL
508 FINAL MECHANICAL
REFERENCE NUMBER
--------------------
25587
VOICE ID DESCRIPTION
-------- ----------------------------
507 FINAL PLUMBING
10
E
CITY OF CUPERTINO
FURNACE/AC
CITY OF
CUPERTINO PERMIT APPLICATION FORM
APN # rJ� U7Z
Date: -11116-6
Building Address:
In ��
Owner' Name:
- V1
Phone
Contr ctor: (
�c
Phone #: 14,J . -7 -Z 9 r 3
l U �^^
Fax #: O $ 779— (o
Con ractor License #:
Cupertino Business License #:
0 C)
q-5-72 k
Contact:
Phone #:: 7
�
Fax #:
Building Permit Info:
Elect ❑ Plumb ❑ Mech CkL
Residential Commercial
Job Description: C.R__ 12.k S c
For Residential Installations:
Attic ❑ 1 floodsi, 2nd floor ❑
Adhere to minimum setback requirement ❑
For Commercial Installations:
Replacement same weight ❑ Additional weight (structural calcs) ❑
Structural Calculations required for new installation ❑
New installation Planning Approval Required ❑
Cost of Project: Type of Construction (Usage Class):
O�
Strapped On Platform ❑ Bonded ❑ New Location 0 Replacement
Project Size: Express ❑ Standard ❑ Large ❑ Major ❑
Valuation:
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.
Revised 6/16/08
a'n
CITY OF
CUPEkTINO
CITY OF CUPERTINO
FURNACE/AC
FEE SCHEDULE
Quantity.
Fee ID
Fee Description
Fee
Permit Type
Group
FURNACE
FURN/AC
1MCRAA
Commercial-Repair/Alteration/Add to
M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by this
code.
1MCREPALT
Commercial for the repair of alt/add to
M
ea heating appliance,refrigeration
unit,cooling unit,VAV boxes,
absorption unit or ea heathing, cooling
absorption,or evaporative cooling sys,
incl install of controls regulated by
this code.
1MCSUSHTR
Commercial Install/Relocate ea
M
suspended heater,recessed wall htr, or
floor mounted unit heater.
1PGASCOM
Commerical for ea gas piping System
P
1-4 outlets
1BPGAS
For each gas piping system of 5 or
P
more per outlet.
IMCAPPVNT
Commercial for the install/relocate/ or
M
replacement of ea appliance vent
installed & not incl in an appliance
permit.
1BSEISMICO
Commercial Seismic
B
1MRRAA
Residential Repair/Alteration/Add to
M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by
this code.
IMRSUSHTR
Residential Install/Relocate ea
M
suspended heater,recessed wall htr, or
floor mounted unit heater.
I MRAPPVNT
Residential for the install/relocate/ or
M
replacement of ea appliance vent
install & not incl in an appl permit.
Is
17J
is
0
CITY OF CUPERTINO
luIr FURNACE/AC
CITYCUPEiZTINO FEE SCHEDULE
Quantity
Fee ID
Fee Description
Fee
Group
Permit Type
FURNACE
FURN/AC
1PGASRES
Residential for ea gas piping system of
1-4 Outlets
P
1BPGAS
For each gas piping system of 5 or
more per outlet.
P
r
1BSEISMICR
Residential Seismic
B
1MECPLNCK
Mechanical Plan Check
M
1MFR=<100
Furnace Syst <=100k BTU install or
relocate ea forced-air/gravity type
fumace/bumer, incl ducts/vents
attached to such appliance up to and
include 100,000 Btu/h
M
1MFRN>100
Furnace Syst > 100k BTU install or
relocate ea forced-air/gravity type
fumace/bumer, incl ducts/vents
attached to such appliance over
100,000 Btu/h
M
lEPERMITFEE
Electric Permit Fee
E
1MPERMITFEE
Mechanical Permit Fee
M
1PPERMITFEE
Plumbing Permit
P
1TRAVDOC
Travel Documentation
B
j
1BUSLIC
Business License
B
CITY OF CUPERTINO
FURNACE/AC
CUPERTINO FEE SCHEDULE
Quantity
Fee ID
Fee Description
Fee
Group
Permit Type
AIR
CONDITIONING
FURN/AC
1BCAIRHAN
Commercial A/C Units <= 10k CFM
B
IMCRAA
Commercial Mech Repair/alt/add
M
1BSEISMICO
Seismic Commercial
B
IPGASCOM
Commerical for ea gas piping System
1-4 outlets
P
IPGASRES
Residential for ca gas piping system
of 1-4 Outlets
P
1BPGAS
For each gas piping system of 5 or
more per outlet. Comm/Resid
P
1BREMAIRHAN
Residential A/C units <= 10k CFM
B
1MRRAA
Residential Mech Repair/alt/add
M
1BSEISMICR
Seismic Residential ':
B
1 EPERMITFEE
Electric Permit
E
1MPERMITFEE
Mechanical Permit
M
1PPERMITFEE
Plumbing Permit
P
1TRAVDOC
Travel Documentation
B
113USLIC
Business License
B
10
Pian Review Process Work Book Page -12-Revised 3/25/08
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
1oint
P.
Other
1.
List Green Features on Plans
A-1
1 point
TOTAL POINTS1
40 points
Pian 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.
1. Recycle Job Site Construction & Demolition Waste
65%=1 point; 75%= 2 points; 80%= 4 points
up to 4 Resource
2. Salvage Reusable Building Materials
4 Resource pts y=
3. Remodel for Mixed Use, Adaptive Reuse, and
•
Historic Preservation
4 Resource pts y=
4. Protect Native Soil
2 Resource pts y=
5. Minimize Disruption of Existing Plants & Trees
1 Resource pt y=
6. Implement Construction Site Stonnwater Practices
2 Resource pts y=
7. Protect Water Quality with Landscape Design
2 Resource pts y=
8. Design Resource -Efficient Landscapes and Gardens
4 Resource pts y=
9. Reuse Materials/Use Recycled Content Materials
for Landscape Areas
2 Resource pts y=
10. Install High -Efficiency Irrigation Systems
2 Resource pts y=
11. Provide for On -Site Water Catchment / Retention
2 Resource Dis v=
B. Foundation
1. Incorporate Recycled Flyash in Concrete
25% Recycled Flyash = 2 points; Add 1 point for every 10% i
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 D
l;
C. Structural Frame
1. Substitute Solid Sawn Lumber with Engineered Lumber 3 Resource pts y --yes
2. Use FSC Certified Wood for framing
(For every 10% of FSC lumber used = 2 points, up to 10) up to 10 Resource pts.
3. Use Wood I -Joists for Floors and Ceilings 2 Resource pts y --yes
4. Use Web Floor Trusses 2 Resource pts y=yes
5. Design Energy Heels on Trusses 6' or more 2 Energy pts y --yes
6. Use Finger -Jointed Studs for Vertical Applications 2 Resource pts y=yes
7. Use Engineered Studs for Vertical Applications 2 Resource pts y=yes
S. Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y=yes
9. Use Structural Insulated Panels (SIPS)
a. Floors 3 Energy pts y --yes
b. Wall 3 Energy pts y=yes
c. Roof 3 Energy pts y=yes
10. Apply Advanced Framing Techniques 4 Resource pts y=yes
11. Use Reclaimed Lumber for Non Structural Applications 3 Resource pts y=yes
12. Use OSB
a. Subfloors 1 Resource pt y=yes
b. Sheathing 1 Resource pt y=yes
•
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
-
1. Install Energy -Efficient Windows
2 Energy pts
• a. Double -Paned
1 Energy pt
b. Low -Emissivity (Low -E)
2 Energy pts
c. Low. Conductivity Frames
2 Energy pts
2. Install Low Heat Transmission Glazing
1 Energy pt
J. Heating Ventilation and Air Conditioning
1. Use Duct Mastic on All Duct Joints .
2 Energy pts
2. Install Ductwork within Conditioned Space
3 Energy pts
3. Vent Range Hood to the Outside
1 IAQ/Health pt
4. Clean all Ducts Before Occupancy
2 IAQ/Health pts
5. Install Solar Attic Fan
2 Energy pts
6. Install Attic Ventilation Systems
1 Energy pt
7. Install Whole House Fan
4 Energy pts
B. Install Sealed Combustion Units
a. Furnaces
31AQ/Health pts
b. Water Heaters
3 IAO/Health pts
9. Replace Wall -Mounted Electric and Gas Heaters with
Through -the -Wall Heat Pumps
3 Energy pts
10. Install 13 SEER/11 EER or higher AC with a TXV
3 Energy pts
11. Install AC with Non -HCFC Refrigerants
2 Resource pts
12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace
2 Energy pts
13. Retrofit Wood Burning Fireplaces
• a. Install EPA certified wood stoveslnserts
1 IAQ/Health pt
b. Instaf /Replace Dampers
1 Energy pt
c. Install Airtight Doors
1 Energy pt
14. Install Zoned, Hydronic Radiant Heating
3 Energy pts
15. Install High Efficiency Filter
4 IAQ/Health pts
16. Install Heat Recovery Ventilation Unit (HRV)
5 IAQ/Health pts
17. Install Separate Garage Exhaust Fan
3 IAQ/Health pts
K. Renewable Energy and Roofing
1. Pre -Plumb for Solar Water Heating
4 Energy pts y=
2. Install Solar Water Heating System
10 Energy pts y=
3. Pre -Wire for Future Photovoltaic (PV) Installation
4 Energy pts y=
4. Install Photovoltaic (PV) System
(1.2 kw = 6 points, 2.4 kw =12 points, 3.6 kw =16 points)
Up to 16 Energy
6. Select Safe and Durable Roofing Materials
1 Resource pt yq
7. Install Radiant Barrier .
3 Energy pts y=
L. Natural Heating and Cooling
1. Incorporate Passive Solar Heating 5 Energy pts
2. Install Overhangs or Awnings over South Facing Windows 3 Energy pts
3. Plant Deciduous Trees on the West and South Sides 3 Energy pts
0
Rl) EVEnCommunity Development
RR y Use 10300 Torre Avenue
JUL 0� 710U8. 01 1008 Cupertino CA 95014
Telephone (408) 777-3228
CITY OF
CU PE Fax (408) 777-3333
I�TIN
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 pollutiori 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 sectionof the City of Cupertino web site at:
httl)://www.cul)ertino.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
In the Santa Mara Valley, storm drains flow
directly to our laical creeks, and on to San
Prague Say, with no treatment•
Storm water pollution Is a serious problem for
wildlife dependent on our waterways and for
the people who live near polluted streams or
bayiands.
Proper management of construction sites
reduces pollution significantly.
This street summarizes the "Best Management
Pres" (SMPs) for storm water pollution
ORDINANCEOF
THE CITY OF #
FOR NONPOINT SOURCEPOLLUTION
&WATERCOURSE PROTECTION. -
Chapter• s
918.00 Dischil" Into t1he storm drain prohillitted
It Is unlawful to disciNkirge, or r' or permit i
beidischarged Into any storm drain or natural outlet or
channel all waste, Includi but not restncted to, sewage,
09
Wustrial wastes, petroleum products, coal tar or any refuse
substance arisini; from the manufacture ot gas from coal or
petrollsum. chemicals, detenaents, solvents, paints,
contam4nateod or chlorinated swimming pool water,
pesticides, herbicides and felitilizers-
i ' i VIollation
Amy . - s s violateisprovision of thisChapter is
quilty of a misdemeanor and upon conviction thersof shag
Ebe punished as provided in ChapW 1.12 of Oft code
I t CMI penalty forviolation
chapterAmy person who violates any provision of this chapter
or any provision of any permit Issued pursuant to this
be civilly fiatilepoVia • ;.
Environmentalexceed the amounts provided for In Government Code
t In addition to all odw remedies available to the city under
State and Federal law and local or4konces, Funds
collected pursuant to this section shall be paid to CWs
fAccount.
9.19.101 Civil penalty fIIllicit discharges
Any person who dischaW pollutants, In violation of
this chapter,.the usetoillicit oontlectiolnelaliallbe civilly
haNe to the City in a sum not to exceed mvitty.Ifive
thousand dollars per day per violaffon for each day in
which such violation occurs.- may petition the
Superior Court pursuant to Government Code Section
r to im". and recover
pervally provicled in this a -t 1. cumulative . not
exclusive, and shag be In addition to all o#w remed"
available to the City under State and Federal law and local
ordinances. Funds collected pursuant to this section shall
be paid to Citys EnvironmentalStorm.t
Account
Cupertino
Building Dept:
404-777-3228
Public Works Dept,
408-777-3364
Santa Clara County
Recycling Hotline;
000-633-11444
www..redgCewafte.4ra
1ttgBw.rec vs+�pstgtf.coei
Small Business Hazardous West*:
402-299-7340
Cupertino Sanitary Sewer Distr
4011-263-7071
Santa Clara valley Urban Runoff
Pollution Prevention Prom
800-794.3482
Stats Office of Emergency
Services
1-800463.7860 (24 hre)
Report &pills to 911
APPROVED BY:
i
RALPH QUALLS. JR. RCE 22tiA'6 9 -
DIRECTOR OF PUBLIC; WORKS
a1 4 i
DATE
General
Construction
and Site
Supervision
Storm brain Polluting from
Construction Activities
Cern' sh xftn silas are common settees of storm
water palhatfon. Materials and wastes that blow or
wash iroo a storm drain, WWI or stress have a
fnpaea on local oreeft sad the say.
As a contractor, or sits supervisor, Owner or
equator of a aI*^ you cosy bo responsible for
any tUmage Caused by your
oubcantraclorg „ir5 w W.
J J
Painting and
Application of
Solvents and
Adhesives
tI, is - • i i 1Mt 117,1711
b:
Y':
i..
l
Storm Drain Pollution
• Landscaping !
Swimming Pool R
Many landscaping } i A , • ` and
incrosse the, likelihood that saft and golden
chemicals will run off into the mom dram during
W9allon or when it retros.
Swimming pool wow containing chkidew and
copper4losed algawides should r~ be
dedgirged to storm drians, The" tharricift am
Poo&FountOWSpo Maintenance
Draining pools or spas
When ire time to drain a toot ape, or fou.mtaki•
please be sure to can a* Cupsrtirw Sanitary
A�iW4 f�i3 �bg( ra you Start for further gaidem and +own
i
'-^ O. �w and
handling aped cleaning waste (such as acid
wash). Discharge flows should be kept to the low
wiels typically possible through a garters ho"I
Higher flow rates may be proltblied by Wet
ordkharlos.
D Newer discharge pool or sirs water to a
atr■at or stoma dry, discharge to a
can ry sw~ cleanout.
Ca If posy e, when owpty'hng a pool or app out
chlorine dissipate for a law days and the+
racyciw' vuve water by draining It gradually
oats a landscaped area.
Cl Do not "aooppar.based aigascidas.
Control elgso with chlgrm or finer
a8ernaithrae, suers sir solium branide.
Filter Cleaning
CI Newer clean a taw In the guest or east a
Mooren drain'.. Rinne cartridge end
dietomaGeo" earth biers onto a dirt area„
and spade flaw residue into sod. Dispose of
spent diatomaosous earns in the garbage.
U If there Is no suitable dirt obeli, call
Gulrertino Sartiftoq for instructions on
big filer backwastm or Ansawalse to
Via Sanitary sewer:
marthosM wing
Activities
rf r • . lytiXt
It Z
IN,
Storm Chain Pollution
From Dewatering Activities
ConhtmirtPat! gro na*oer is a common problem in
the Sams Ciera vafty. Dapsidov of Sol "and
eftsgroundwater pumped from construction
alt" may be cwftihmi mated with toxics (saloh as of or
solvents) er laden with sedlrierits• Any of line
pobiisnta can harm wldlita in cragm at Ski Say, or
interfare with wastewater bavarient plant operation.
Discharging sadhnont4adert water from a
dewataring sf#e Into sty water of the stabs
without treatment Is prohibited.
7. G._:lt fes Toric Prifhltanfa
Q Chackfess edors 1leso1NNrNN#1.. oranaliy
sheen an groundwater. f
Pfaff During Cffbuc##lDA
Irl
Ask your building Inspector whalnar the
� • only- where
a
"ridwatermust be tested.
4
t
area■tamirsation is suspected, lysw the
water teed by a certilled laboratory.
mhtt'lnra cocistruction is not immediately planned,
(
E 3
_
r
slowed to ditcharge pumped groundwater to
arsd starers dralms with wattiB % or
that atom dials (#bio sedimersbs present) of
■ lY
Sanitary sewer. OR, you may be raquiled to
to dihiert runali around oxcavatsomms,
Nect And haul pumped groundwater orf -site
Refer 'to the Regional Water Quay Carl _
..
rrament arta disposal titan appropriate
froairmasmt facitsy.
-
M i
H f: •>
If .
�
B+
a
it the water Is clear, the pumov time it lass
R
Men 24 homers, and the flow smite is Isis than 20
98110ns per mirmte,,deer recamrig the approval
1{
{n
■
.,
,
■ r
a
4
e €
,
■
- i Y
•BY'
■ Ra
.1
Ia
Storm Drain Pollution
• Landscaping !
Swimming Pool R
Many landscaping } i A , • ` and
incrosse the, likelihood that saft and golden
chemicals will run off into the mom dram during
W9allon or when it retros.
Swimming pool wow containing chkidew and
copper4losed algawides should r~ be
dedgirged to storm drians, The" tharricift am
Poo&FountOWSpo Maintenance
Draining pools or spas
When ire time to drain a toot ape, or fou.mtaki•
please be sure to can a* Cupsrtirw Sanitary
A�iW4 f�i3 �bg( ra you Start for further gaidem and +own
i
'-^ O. �w and
handling aped cleaning waste (such as acid
wash). Discharge flows should be kept to the low
wiels typically possible through a garters ho"I
Higher flow rates may be proltblied by Wet
ordkharlos.
D Newer discharge pool or sirs water to a
atr■at or stoma dry, discharge to a
can ry sw~ cleanout.
Ca If posy e, when owpty'hng a pool or app out
chlorine dissipate for a law days and the+
racyciw' vuve water by draining It gradually
oats a landscaped area.
Cl Do not "aooppar.based aigascidas.
Control elgso with chlgrm or finer
a8ernaithrae, suers sir solium branide.
Filter Cleaning
CI Newer clean a taw In the guest or east a
Mooren drain'.. Rinne cartridge end
dietomaGeo" earth biers onto a dirt area„
and spade flaw residue into sod. Dispose of
spent diatomaosous earns in the garbage.
U If there Is no suitable dirt obeli, call
Gulrertino Sartiftoq for instructions on
big filer backwastm or Ansawalse to
Via Sanitary sewer:
marthosM wing
Activities
rf r • . lytiXt
It Z
IN,
Storm Chain Pollution
From Dewatering Activities
ConhtmirtPat! gro na*oer is a common problem in
the Sams Ciera vafty. Dapsidov of Sol "and
eftsgroundwater pumped from construction
alt" may be cwftihmi mated with toxics (saloh as of or
solvents) er laden with sedlrierits• Any of line
pobiisnta can harm wldlita in cragm at Ski Say, or
interfare with wastewater bavarient plant operation.
Discharging sadhnont4adert water from a
dewataring sf#e Into sty water of the stabs
without treatment Is prohibited.
7. G._:lt fes Toric Prifhltanfa
Q Chackfess edors 1leso1NNrNN#1.. oranaliy
The plroperty owner and the contractor share ultimate responsibility for
the activities that occur on a construction site. You may be held responsible
for any environmental damage caused by your subcontractors or employees.
,1: Y
a h
h • )a i• • e
t.o."ONSTRUCTION BEST MANAGEMENT PRACTICES
Fresh Concrete
and Mortar
Application
Storm Draln
Pollution
4 i i
ConcreteFresh r Mortar
Applications
Fresh concrete and oarrient-relsted mortals
that wash Into W_.streams. or
are 10AC to figh end the OqUOW
enylirortment Disposing of these materials
1• the storm drains or creeks cart black
storm drains, causes serious, problem and
is prolibited by law.
pump water t€i the Hlraol ora etarm drain.
Ci Nib* pumping time Is mora than 24 hours
and the flow rats greater than 20 Villa, cal
Cupertino Sentry, 263.7071, for guidance.
i.7 if the rater Is eat clear, sadds must be
Altered or aettad out by pumping to a settling
tardy prior to dischstga.
Options for Bing Include:
-. Pumping through a perforated pipit surds
W way Into a anal pit flied with Wave$
- Pumpkig from a bucket placed
Wow level using a Submergible pump:
- Pumping through a fN#ering devlco t uch
SO S swtmtnk[g peal filter ar 1111611 fabric
wrapped around and of suction (pipe..
Cl when discharging to a storm drain, protect
(- Ih !at using a barrier of burlap bags Wad
w.. -.rain rack, of cover inlet with floor fabric
anchored under the grate. OR pump water
through a grassy swale prior to dilctaatga-
Heavy
E:l u i p rn e n t
O'perat on
Stormwaiter Pollution
,from Heavy Equipment an
Construction Sites
Poorly maintained vehicles and heavy
equipment that leak fuel, oil, antifreeze or
tither fluids on the construction site are
common sources of storm draiin poikltion.
Prevent spins and leaks by Isolating
equipment from runoff channels, and by
watching for leaks and other maintenance
prablema. Remove construction equipment
train," nits an soon as possible.
Site Planning and Provontlyo Vehk1e
mi]tintonanco
O Dsaigaats ono ansa of the construction vile, wall
away from streams or storm drain Inlets, for auto
and equipment parking, refueling, and routine
rahleie and equipment maintenance. Contain
the area with berms, sand bags, at other
barriers.
CI Maintain all vellidise and heavy equipment.
Inspeat frequen#y for and repair lsoks.
® Perforin major maiatenansa, repair jobs, end
vehicle and equipment washing Off-site, where
cleanup is easier.
0 If you must dein and replies meter OR. radiator
coolant, or other nulds an sits, use drip pane or
drop clothe to catch drips and aplifs, Collect
SO spent fluids. store in separate containers. and
properly dispose as hazardous waste (recycle
whenever possible).
Cl Do not gas dissst oil to lubricate equipment
pelts, or clean equipment. Use only water for
any onsite cleaning.
CI Corer expoaed ftM wheat httehas and other
*NY lir groovy equipment during rain events.
split trllranup
Q Clean up spills Immediately.
Cl Never baso down ".dirty" pavement or
Impermeable surfaces where fluids have spilled, ,
Use dry cleanup methods (absorbent r
materials• oat litter. andlot rapes) whenever
possible and prop" dispose of absarbent
m a tarrais.
Cl Sweep up spilled dry meterlels immediately,.
Prsvar attempt to 'wash them away' with water,
or bury these,
Ct Uel as little water as possible for dust control"
Ensure water used doesn't leave sot or
discharge to storm drains_
Cl Gleam up spills on dirt areas by digging up and
Property disposing of eontaminsted *OIL
Cl Cat oii for slito iicont *phis
C1 If the *pill poses a significant hazard to
human health and safety, property of the
en4yonnignt, you must also report It to the
State Office of Emergency Services,
Small Business
Hazardous I.Naiste
Die osal-Prgm
V
Businesses that generate less
than 27 gallons or 220 pounds
of hazardous wasteper month
are eligible to use this program.
Call 40$-299-7300
for a quote.
J� I
i -
r
! A
Bi
'E ' - F1W �
I"
sheen an groundwater. f
Pfaff During Cffbuc##lDA
Irl
Ask your building Inspector whalnar the
� • only- where
"ridwatermust be tested.
necessary" Plant temporary
vog"M tar erosion control on slopes or
Cl
area■tamirsation is suspected, lysw the
water teed by a certilled laboratory.
mhtt'lnra cocistruction is not immediately planned,
(
Depending on the fast resume, you may be
C) Protest downslope drablega, eaurves,
slowed to ditcharge pumped groundwater to
arsd starers dralms with wattiB % or
that atom dials (#bio sedimersbs present) of
tamp hrsy dranam *wales, the d*ok dams or
Sanitary sewer. OR, you may be raquiled to
to dihiert runali around oxcavatsomms,
Nect And haul pumped groundwater orf -site
Refer 'to the Regional Water Quay Carl _
rrament arta disposal titan appropriate
froairmasmt facitsy.
Board's mfr aw solslwlt COAW FIa
Mwival for paper erosion and oral
Chow* tat Sediment Levels
®
it the water Is clear, the pumov time it lass
U Covvlr #tockpi&* abut awavated Doi with
Men 24 homers, and the flow smite is Isis than 20
98110ns per mirmte,,deer recamrig the approval
secured terpa or plastic Shoaling.
of the city hsspeetor, you may be allowed to
The plroperty owner and the contractor share ultimate responsibility for
the activities that occur on a construction site. You may be held responsible
for any environmental damage caused by your subcontractors or employees.
,1: Y
a h
h • )a i• • e
t.o."ONSTRUCTION BEST MANAGEMENT PRACTICES
Fresh Concrete
and Mortar
Application
Storm Draln
Pollution
4 i i
ConcreteFresh r Mortar
Applications
Fresh concrete and oarrient-relsted mortals
that wash Into W_.streams. or
are 10AC to figh end the OqUOW
enylirortment Disposing of these materials
1• the storm drains or creeks cart black
storm drains, causes serious, problem and
is prolibited by law.
pump water t€i the Hlraol ora etarm drain.
Ci Nib* pumping time Is mora than 24 hours
and the flow rats greater than 20 Villa, cal
Cupertino Sentry, 263.7071, for guidance.
i.7 if the rater Is eat clear, sadds must be
Altered or aettad out by pumping to a settling
tardy prior to dischstga.
Options for Bing Include:
-. Pumping through a perforated pipit surds
W way Into a anal pit flied with Wave$
- Pumpkig from a bucket placed
Wow level using a Submergible pump:
- Pumping through a fN#ering devlco t uch
SO S swtmtnk[g peal filter ar 1111611 fabric
wrapped around and of suction (pipe..
Cl when discharging to a storm drain, protect
(- Ih !at using a barrier of burlap bags Wad
w.. -.rain rack, of cover inlet with floor fabric
anchored under the grate. OR pump water
through a grassy swale prior to dilctaatga-
Heavy
E:l u i p rn e n t
O'perat on
Stormwaiter Pollution
,from Heavy Equipment an
Construction Sites
Poorly maintained vehicles and heavy
equipment that leak fuel, oil, antifreeze or
tither fluids on the construction site are
common sources of storm draiin poikltion.
Prevent spins and leaks by Isolating
equipment from runoff channels, and by
watching for leaks and other maintenance
prablema. Remove construction equipment
train," nits an soon as possible.
Site Planning and Provontlyo Vehk1e
mi]tintonanco
O Dsaigaats ono ansa of the construction vile, wall
away from streams or storm drain Inlets, for auto
and equipment parking, refueling, and routine
rahleie and equipment maintenance. Contain
the area with berms, sand bags, at other
barriers.
CI Maintain all vellidise and heavy equipment.
Inspeat frequen#y for and repair lsoks.
® Perforin major maiatenansa, repair jobs, end
vehicle and equipment washing Off-site, where
cleanup is easier.
0 If you must dein and replies meter OR. radiator
coolant, or other nulds an sits, use drip pane or
drop clothe to catch drips and aplifs, Collect
SO spent fluids. store in separate containers. and
properly dispose as hazardous waste (recycle
whenever possible).
Cl Do not gas dissst oil to lubricate equipment
pelts, or clean equipment. Use only water for
any onsite cleaning.
CI Corer expoaed ftM wheat httehas and other
*NY lir groovy equipment during rain events.
split trllranup
Q Clean up spills Immediately.
Cl Never baso down ".dirty" pavement or
Impermeable surfaces where fluids have spilled, ,
Use dry cleanup methods (absorbent r
materials• oat litter. andlot rapes) whenever
possible and prop" dispose of absarbent
m a tarrais.
Cl Sweep up spilled dry meterlels immediately,.
Prsvar attempt to 'wash them away' with water,
or bury these,
Ct Uel as little water as possible for dust control"
Ensure water used doesn't leave sot or
discharge to storm drains_
Cl Gleam up spills on dirt areas by digging up and
Property disposing of eontaminsted *OIL
Cl Cat oii for slito iicont *phis
C1 If the *pill poses a significant hazard to
human health and safety, property of the
en4yonnignt, you must also report It to the
State Office of Emergency Services,
Small Business
Hazardous I.Naiste
Die osal-Prgm
V
Businesses that generate less
than 27 gallons or 220 pounds
of hazardous wasteper month
are eligible to use this program.
Call 40$-299-7300
for a quote.
J� I
i -
r
! A
Bi
'E ' - F1W �
I"
CITY OF
CUPEkTINO
JOB ADDRESS: l q Z 5-0
OWNER'S NAME: I ,a
GENERAL CONTRAC7r R -
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax(408)777-3333
Building Department
1 PERMIT # O (� D D C) L 1
tM t PHONE # �7 -1 g , t l ( l
uuti 'A FAX# -77C rr IQ
I am not using any subcontractors:
�--signailare Date
Please check applicable subcontractors and complete the following informatinn-
r%Contractor Signature
Date
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
r%Contractor Signature
Date