08020126 •
CITY OF CUPERTINO N 'a "' % '
Vel
BUILDING DIVISION PERMIT ,CONTRACTORINFO
RMAT ON -
h $ . ;" Jffi,..,..w N,om) .6W Y4:$5 &;tt X
PERMIT NO.
eult6VrsSID20 DR RAMESH MENON - . 08020126 •
NEWS NAME: • PERMIT SUE DATE
RAMESH MENON 8067 PRESIDIO DR • 02/21/2008
PHONE: SANITARY NO. CONTROL NO.
BUILDING PERMIT INFO
ARCHITELT/Eb1GINEER: BLDG ELECT
oo UMB MECH
C 17:3 �l� O
_10000 LICENSED CONTRACTOR'S DECLARATION Job Description
r with Section tx*no&DI hereby atone ivisinat I a3 of the Dateless end Professions Clicensed under provisions of ade,ater n(commencing
mlicense e is RMDL MSTR BTH PWDR RM CMBO BEING CONVRTD TO
2kg. Licenfull
seeCass Lica STND-ALONE MSTR BTH & STND ALONE PWDR RM. 56SQ
9 p oar Contractor .
°1]I ARCHITECTS DECLARATION
1 I understand my plana shall he used as public records
Dy U.
S
U.y Licensed Professional '
OWNER-BUILDER DECLARATION
r.00 I hereby affirm that I am exempt from the Contractors License Law for the
2
O following reason.(Satin 7031.5.Business and Professions Code:Any city or county .
2 Mwhich requires a permit to construct,Oct improvedemolish,or repair any structure '
ZS^ prior to its issuance,also requires the applicant for such permit to file asigned statement
` that eIs enccensed ursuant teprovisions ofthe ConuinesssLicense Law(Chapn9 Sq.Ft.FloorArea Valuation
_. (commencing with Section 7000)of Division 3 of the Business and Professions Code)or $11000
k u exempt therefrom and for
buss for the alleged es to Any violation of ,
Section 701IS by any applicant fora permit subjects the applicant m a civil penalty ofNumber Occupancy Type
nm more than Eve hundred dollars(55(10). 35611074 .41?
Pl 0 Las owner of the property,or my employees with wages as their sole compensation.
wind°the work.and lhenottum is not intended or offered matla(Sec.7044,Business
Required Inspections
and Professions Code:The Contractors License Law does not apply m n owner of q p
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 offend for We IL •
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
sales). _
21 I,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec.7044.Business and Professions Code)The es thereon,
LI. ////��\\\
whoLaw does not apply m n ori cof ann property:Kwho builds or pursuant tmsee Coman,ns, // I A ° �eRY
whonnt the fmsuchprojectswithaness anor(a)Ilarued Te the Commies
L(//�Cp\\�\
Lice=taw.
❑lamexem•Joder Sec - ,BdPCfor this reason
'I" Dam V2 21-08
WORK 'COMPENSATION DECLARATION '
I hereby affirm under penalty of perjury one of the following declaneanc '
0 I hare and will maintain a Catiflale of Consent to self-Iuum for Workers Compere
union,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,as required by Section i
1700 of the Labor Code,for the pesfonurce of the work for which this permit Is Issued. - '
•
My Workers Compensation Insurance grim and Policy number am:
Carrion. Policy No.:
•
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE .
(fhls section need not he completed If The remit is for one hundred dollen($100)
or less)
I certify that In the performance of the work for which this permit is issued,I shall not
employ any person in any man r um ome jeer to the Workers Compensation
Laws of Califomiate
Appllant.l...X(7o"se — .4w —
NOTICE TO ALL CANT.If,a making this Certificate of Exemption,you should
become subject to the Workers Compensation provisions of the Labor Code.you must
.J Z forthwith comply with such provisions or this remit shall he deemed revoked.
rr�i CONSTRUCTION LENDING AGENCY
j. I hereby affirm that there iso construction lending agency for the performance of
CG a the work fur which this permit is issued(Sec.3097,Civ.C.) '
IL10 Lender's Name
.7. Z fenders Address
U O I certify that I have rad this application and stare that the above information is
I[. correct.eI sameto comply with all city and county ordinances and sum laws relating to
O{V' building construction.and hereby authorize mpmsenlatives of this city to enter upon the
[i] above-mentioned property for inspection purposes /
, (We)agree to save,indemnify and keep harmless the City of Cupertino against t�y liabilities.judgments.costa nd expenses which may In ny way erne against said City
f,)Z in consequence of the granting of this fermis.-w APPLICANT UNDERSTAND NO WILL COMPLY WITH ALL NON-POINT Issued by: re ilia
k'61r1/ Date 2 2-ecop.
SOUR ' r ULATIONS.
/ /._, w 1221. 08 Re-roofs Or '
Signature of Applian/tractor Dam
H RDOUS MATERIALS DISCLOSURE Type of Roof
WIII the applicant or future building occupant store or handle hazardous material
defined by the Cupertino Municipal Code.Chapter 9.12.and the Health and Safety .
• ,section 155324)7All roofs shall be inspected prior to any roofing material being installed.
ElYa
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
emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection.
D suict7 /
❑Ya yOiaO
I have read the bnafmu materialsrequirements underChapler 6.95 of the Califor- '
ns Health&Safety Code,Sections 25505,25533 and 25534.1 understand that If the building .
Does not currently have a tenant.that It is my responsibility to notify the moment of the
mquireil which must• t t prior to issuance of a Certificate of O cupncy. ,
D 2 2/-0 Signature of Applicant • Date
A�"" A" All roof coverings to be Class"B"or better •
Owner or authorise gent Dare . •
o2oAoID
• t. '
CITY OF CUPERTINO
ADDITION/REMODEL
• eCUPEONO PERMIT APPLICATION FORM
APN# 356 - ii - o7/. L3 Date: p2- 10 - 2001
Building Address: U 6 7 PR E S ID 1 0 D R I V E C V P C IZT IN'0 C A 15-011
Mailing Address (if different from building address):
Owner's Name: RAME6 /-1 M !von/ Phone# :4 0 8 7/ 8. 56 3 0
Contractor: 0/4
Phone#:
Fax #:
Contractor License#:
•
Cupertino Business License#: •
Contact: RA toES H Mr NU/V Phone#: 408 7 / 8 5 3 O
Fax#:
Building Permit Info:
Bldg. ❑ Elect. g Plumb. ® Mech. .Kl Hillside ❑
Job Description:
Addition(adding sq footage):
What is being remodeled? /v/f3 S TER s.� 7 H PO w✓D -R L 0 0714 i;
COMBO is ,fit:/N'4 C6/vVtctTe7a ro 57-4ND-,cLD,/ E
MHS 7E R BATH �l�D STi9/�/D—f9L0/✓ PGG✓De. Rod/'/
Remodel Includes Re-Roof: Yes El No ® If yes list number of squares
Remodel Includes Structural: Yes ® No ❑
Square Footage:
Addition: Porch: Deck:rGarage: Detached Attached
`Remodel: Kitchen Bath 56 Yon Other
Type of Construction (Usage Class): Occupancy Type:
�
.,/ -C/A/6 LE `AM/L % rET,9(I1&'D
1 FR, 11FR ❑ 11, 111, V-11-1REl11, 111, 1V V-N I `T
Valuation: dl15 0 p 0. 0 Please check this box if the project is a
'H second-story addition ❑
Green Building Check list must be completed and Green Building Points Achieved:
to the plans.
***For Office Use Only***
Over-the-Counter ❑
CITY OF CUPERTINO
• ADDITION/REMODEL
OF
CUPEKTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
ADDITIONS 1R3SFDADD
PLLONGRNGR Long Range PL
Planning/Residential
1 R3INSP Dwellings Inspections B
1R3PLNCK Dwellings plan check B
1R3REPINSP • Dwellings Repeat B
Inspection
1R3REPPLNC Dwellings Repeat Plan B•
Check •
1R3HINSP Dwellings Hillside B
inspection
1R3HPLNCK Dwellings Hillside B
plan check
1R3HREINSP Dwellings Hillside B •
Repeat Inspection
1R3HREPLNC Dwellings Hillside B
Repeat Plan Check
1R3ALTINSP Dwellings Alternate B •
Materials Inspection
1R3ALTPLNC • Dwellings Alternate B
Materials Plan Check
1PCESS Cesspool P
1PPRSEWG Ea. Private Sewage P
Disposal System
1PRSEWER Sewers P
1BPSPRINK Lawn P
Sprinkler/Backflow
1BPWSVCS Main Water Service P
1BSEISMICRE SeismicResidential •
B
DECKS 1R3SFDADD OR
IR3SFDREM •
IDECKWOOD Deck (Wood)-Each B
(Each)
1DECKRAIL 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 B
SF
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
1 PATIOOTHER Other Frame up to 300 B
SF
• PATIO'S CLOSED 1R3SFDADD OR
1R3SFDREM
1PATIOENCLW Enclosed Wood up to B
300 SF
1PATIOENCLM Enclosed Metal up to B
300 SF
1PATIOENCLO Other Enclosed Patio B
up to 300 SF
1COVPORCH Porch Covered-Each B
(Each)
1REROOFRES Residential Re-roof B
Each 100 SF
REMODELS 1R3SFDREM
1REMRESKIT Kitchen Remodel up to B (Deduct "$"for ea plan
300 SF check)
51. 3 1REMRESBAT Bath Remodel up to B «
300 SF
1REMREOTH Other Remodel up to B «
• 300 SF
REMODEL PLNCK •
IISTPLNCK(1-3 for Standard Plan Check B NOT FOR OVER THE
remodel) COUNTER PLAN CICS.
3of3
CITY OF CUPERTINO
ADDITON/REMODEL
FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
WINDOW/SLIDING 1R3SFDREM
GLASS DOOR
1WINREP Replacement windows B
(ca 8 windows)
1WINNEWNSTR New Window (non- B
structural)
1WINMEWSTR ' New Window B
(Structural Shear
Wall/Masonry)
1 WINBAYSTR Bay Window B
(Structural)
SKYLIGHTS 1R3SFDREM
1SKYL<10 SF Skylight less than 10 sf B
1SKYL>10SF Skylight greater than B.
10 sf or structural •
ISTAIRS Stairs-first flight/ea B
addt'l
•
1BUSLIC Business License B
4 of 3
•
• CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # : 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN • 35611074 .00
DATE ISSUED • 02/21/2008
RECEIPT # • BS000003995
REFERENCE ID # . . . : 08020126
SITE ADDRESS • 8067 PRESIDIO DR
SUBDIVISION
CITY • CUPERTINO
IMPACT AREA
OWNER • RAMESH MENON
ADDRESS • 8067 PRESIDIO DR
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4026
RECEIVED FROM • BEENA V MENON
CONTRACTOR LIC # *OWNER*
COMPANY • RAMESH MENON
ADDRESS • 8067 PRESIDIO DR
CITY/STATE/ZIP . . . : •CUPERTINO CA, 95014-4026
IIITELEPHONE
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
1BSEISMICR VALUATION 11, 000. 00 1. 10 0. 00 1. 10 0. 00
1REMRESBAT SQ FEET 51 . 30 449 .00 0. 00 449 . 00 0. 00
1STPLNCK HOURS 1 . 00 122 .00 0. 00 122 . 00 0. 00
TOTAL PERMIT : 572 .10 0. 00 572 .10 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
CHECK 572 .10 #2017
TOTAL RECEIPT : 572 .10
••
•
• RESIDENTIAL PROJECT COVER SHEET
Assessor's Parcel Number: 35-6- 17- 074
Name of owner. R4flE5H BE EWA MEA/ON
Project address. 0067 7 k&S 1 D /OPR I VC2 cc/PERT/Tv°, CA 75614
. Contact person. R4 MES H M END N Phone. 40 2 253 745:
` Fax.
Net square footage of lot. 00 00 s, FT
Existing Proposed
Square footage: First floor: /6 6 6 1 6 66 Om-70
Second floor: 5-7 6 5-7 6 (5eMe)
Garage: 4 1 c} zi I g (f.7ne)
TOTAL: 2 6 5 6 2 4 /J 6
Are there at least two 10 foot by 20 foot clear spaces inside the garage? ® N
• Is privacy protection planting required for the project? Y
•On what floor(s)is work being done? /S FL 0 0 Q
Brief description of work. BA-MR D oM 72 r M D D e L ye ( o NVE,p //S EPA,a?A 7C
M93/h1I6--� /)7-0 FleD M ;( .res PO DM 40x1 fin -r'� . / Mu
Code editions: 2007 CBCN)2007 CFCSN)2007 CMC ON)
2007 CPC N)2007 NEC N)
• APPROVED
Effective 1/1/08 IN ACCORDANCE WITH NE CITY Or
CUPERTINO CODES AND ORDINANCES
°ATE 2-"Si -0 J—
SIGNED
This set on j and l times
and
MUS' RECEIVED n k
be kept on the job at all times and it is un
lawful to make any changes or alteration' CD 0
�
on same without written permission Iron, G 11009
the building Dept., City of Cupertino. --+®
�Qp
The stamping of this plan and specificationc r��( %V
SHALL NOT be held to permit or to be ar.
approval of the violation of any provision .
• if any City Ormnance or )rate l.nw+
COMMONLY MISSED PLAN CHECK ITEMS
• Plan Review Process Work Book Page-8-Revised 1/1/08
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• 0 0
•
OWNER-BUILDER VERIFICATION
•
• 1. (Check one) I or my immediate family (parent, spouse or child) will perform:
A. All the work authorized by this permit
B. x A portion of the work
C. _ None of the work
If B or C is checked, complete 2 or 3 below.
2. ' A state licensed contractor will be hired to do:
A. All of the work
B. X A portion of the work (complete section below)
Contractor Address/City Phone # State License # Type of work to
be performed
Tap
• 3. _ I will utilize unlicensed person(s) other than my immediate family to perform all or
portions of the authorized work. I understand that I may be an employer (see reverse side). A
Certificate of Insurance covering workers' compensation must be on file at the City of
Cupertino Building Department office.
Person/Firm Address/City Phone Number Type of work to be
performed •
I declare under penalty of perjury that the above is true and correct. 'I have read and understand the
Owner-Builder Information (reverse side).
Property Owner's Signatures/ Date: 02- 2 1'- 2 00 3
Job Address: S a 6 7 Fet-r1 D I D D " v E Permit#
CUpER77No] cm 9501 t
Any changes to the information provided on this form shall be submitted to the City of Cupertino Build
• Department.
•
City of Cupertino Building Department•
CITY OF • 10300 Torre Avenue
CUPEISTINO Phone: (408)777-3228
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
the property improvements specified.
For your protection you should be aware that as owner-builder you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are
personally performing their own work. If your work is being performed by someone other than yourself, you
may protect yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all
permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work
(including materials and other costs) is$200 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
If you are an employer, you must register with the state and federal government as an employer and
you are subject to several obligations including state and federal income tax withholding,federal social •
security taxes,workers' compensation insurance, disability insurance costs, and unemployment compensation
contributions.
There may be financial risks for you if you do not carry out these obligations,and these risks are
especially serious with respect to workers' compensation insurance.
For more specific information about your obligations under federal law,contact the Internal Revenue
Service (and,if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees,without a licensed contractor or
subcontractor,only under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an owner-builder
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing
their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License
Board in your community or at 1020 N Street,Sacramento,California 95814.
Please complete and return the enclosed owner-builder verification form so that we can confirm that
you are aware of these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
Building Department, .
City of Cupertino
Printed on Recycled Paper
•
•
•
• 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 IAO/Health
• Site i 6 ° -- /'r-C 1 i a3 . 2 — 2 Lod'
H.Recycle Job Site ConsWotion&berriolition Waste- I.
'65%=1 point;75%= 2 points;.Bo%=4 points-- ' . Cr -. up to 4 Resource pts 0
2.'Salvage.Reusable$uildng Materials ' _ 4 Resource pts y=yes D
3.Remodel for Mixed Use,Adaptive Reuse,and
Historic Preservation 4 Resource pts y=yes D .
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
6.Design Resource-Efficient Landscapes and Gardens, 4 Resource pts y=yes 0
9.Reuse Matenals&)se 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^Subs6tNe 6olid'Sewn Wmber w tfi 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 pis ' 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
B.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 .
•
INPUT Aesoumes Energy IAD/Health
I. e or ns
•
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 ContainChromium/Arsenic 1 IAO/Health pt y=yes •
D
3.Install House Wrap under Siding 1 IAO/Health pt y=yes 0
4.Use Fiber-Cement Siding Materials 1 Resource pt 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 D
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 Tallest 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 IAD/Health pi y=yes 0
• 6,Convert Gas to Tanldess 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
B.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes D
0 0 0
r.CIDCincal
1.Install Compact Fluorescent Light Bulbs(CFLs) •
(6 bulbs=2 points,10 bulbs=3 points,12 bulbs=4 points) Up to 4 Energy pts. 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. D
0 0 0
G.Appliances
1.Install Energy Star Dishwasher 1 Energy pt yryes- 0 •
2.Install Washing Machine with Water and Energy
Conservation Features 1 Energy pt y=yes- 0
3.Install Energy Star Refrigerator 1 Energy pt y=yes- 0
4.Install Built-In Recycling Center 3 Resource pts y=yes•
_ 0
0 u 0
H.Insulation
1.Upgrade Insulation to Exceed Title 24 Requirements
a.Walls 2 Energy pts y=yes 0
b.Ceilings 2 Energy pts y=yes 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 IAO/Health 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 yryes D
e.ceilings 4 Resource pts yryes•
0
0 0 0
•
INPUT Resources Energy IAD/Health
•
• llIns ows
1.Install Energy-Efficient Windows ,
a.Double-Paned • 1 Energy pt. y=yes D
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
0 0 0
J.Heating Ventilation and Air Conditioning
t.Use Duct Mastic on All Duct Joints 2 Energy pts y=yes 0
2.Install Ductwork within Conditioned Space 3 Energy pts y=yes D
3.Vent Range Hood to the Outside 1 IAO/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.Furnaces 3'AO/Health pts y=yes0
b.Water Heaters 3 IAO/Health pts yryes 0
9.Replace Wall-Mounted Electric and Gas Heaters with
Through-the-Wall Heat Pumps 3 Energy pts y=yes 0
1 D.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 stoveslinserts 1 IAO/Health pt y=yes • 0
b. Install/Replace Dampers 1 Energy p1 y=yes 0
•
c.Install Airtight Doors 1 Energy pt y=yes 0 •
14.Install Zoned,Hydronic Radiant Heating 3 Energy pts y=yes D
15.Install High Efficiency Alter 4 IAO/Health pts y=yes 0
16.Install Heat Recovery Ventilation Unit(HRV) 5 IAO/Health pts y=yes 0
17.Install Separate Garage Exhaust Fan 3lAO/1-1ealth pts y=yes 0
0 0 0
•
K.Renewable Energy and Roofing
•
. 1.Pre-Plumb for Solar Water Heating 4 Energy pts y=yes0
2.Install Solar Water Heating System 10 Energy pts y=yes D
3.Pre-Wire for Future Photovoltaic(PV)Installation 4 Energy pts y=yes 0
4.Install Photovoltaic(PV)System
(1.2 kw=5 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
•
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 • D
0 0
INPUT Basou,ces Energy IAGIHeallh
. n•oor • rtyan• ns es
•
1.Use Low/No-VOC Paint 1 IAQMealth pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 1A0/Health pts y=yes 0
3.Use Low/No VOC Adhesives 3 IAO/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 61AQMealth pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/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 ResourceY=Y
is es 0
P
10.Install Whole House Vacuum System 3 IAOMealth pts y=yes 0
0 0 0
N.Flooring
1.Select FSC Certified Wood Flooring B 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 o1 Vinyl • 5 lA0/Health pts y=yes 0
5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes D
6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0
0 0 0
Total Points Available: I 1401 1301 57 •
Total Points Project Received:I I 01 01 Of
•
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•
•
•
1 I Community Development
;.(1 ' 10300 Torre Avenue
Cupertino CA 95014
CITY OF Telephone(408)777-3228
I
U PE RJ 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;
• 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,cunertino.oro/citv 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.amleeal.com/cupertino ca/
•
Greg Casteel
Building Official
•
•
• RESIDENTIAL PROJECT COVER SHEET
Assessor's Parcel Number: 356- I/- 0 74
Name of owner. W gMCS/74 3 866W4 MEi/d/V
Project address. gO 67 7' RCS, D lO ZPR I VC) Cc/PE-ler/1V° 64 756/4-
Contact person. Re9MES N M e=MO Al Phone. 40 S 253 74-5
Fax.
Net square footage of lot. 60 00 SQ F7
Existing Proposed
Square footage: First floor: /6 6 6 16 6 6 (sn1"e-)
Second floor: 57 6 • S7 6 (sot M6">
Garage: 4 1 4 4 I g (SCJ Jng)
TOTAL: 2 6 5 6 2 /> 5 E
Are there at least two 10 foot by 20 foot clear spaces inside the garage? ® N
• Is privacy protection planting required for the project? Y 0
On what floor(s)is work being done? / St FL 0 O Q
Brief description of work. BATH R 0 OM CM 0 D E L TD C o h/VE,p /S EPARA7C
Mf}sreg 8/177H F/2o M POW-E-4 .9b oM /1 0-7 517--L ,tom-ro-\ .
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2007 CPC N)2007 NEC N)
Effective 1/1/08
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Community Development
10300 Torre Avenue
- �� ! ; � Cupertino CA 95014
Telephone(408)777-3228
ipUPEI�TINO Fax(408)777-3333
Building De artment
JOB ADDRESS: 9,667 ®ac r,S /DI 0 .DRI vC PERMIT �P-o2712 c-6
OWNER'S NAME: RA/`MESH MEN ON PHONE # 405 7/ 5630
, GENERAL CONTRACTOR 7 0-S FAX #
I am not using any subcontractors: 7:0-7, 02-2/ -20 0 g
Signature Date
Please check applicable subcontractors and complete the following information:
II 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
Owner/Contractor Signature Date