14120006�.
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 19731 AUBURN CT
CONTRACTOR: A. DARIANO
PERMIT NO: 14120006
CONSTRUCTION
OWNER'S NAME: BERDE PANKAJ V AND MANISHA
PO BOX 254
DATE ISSUED: 02/02/2015
OWNER'S PHONE: 4087185817
CAMPBELL, CA 95009
PHONE NO: (408) 258 -7143
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E)
;License
CONSTRUCT ONE STORY ADDITION (222 SQ FT); FRONT
Class /� Lic. 4 � S o 6 i 3
COVERED PORCH (40 SQ FT); INTERIOR REMODEL (965
Contractor %i /tr/ 11we Date �-
SQ
FT); 200 AMP PANEL UPGRADE; INSTALLATION OF NEW
I hereby affirm that I am licensed under the provisions of Chapter 9
(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
Compepsa fion, as provided for by Section 3700 of the Labor Code, for the
Sq. Ft Floor Area:
Valuation: $100000
per mance of the work for which this permit is issued.
t
ave and will maintain Worker's Compensation Insurance, as provided for by
APN Number: 31632005.00
Occupancy Type:
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
PERMIT EXPIRES IF WORK IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
180 DAYS CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
rST
costs, and expenses which may accrue against said City in consequence of the
0
granting of this permit. Additionally, the applicant understands and will comply
Issued by: Date:
with all non -point source regulations per the Cupertino Muilicipal.Code, Section
9.18.
i nat,u'e - Date 2 — L /�
RE- ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
❑ OWNER- BUILDER DECLARATION
Signature of Applicant: Date:
I Iiercby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
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,
Business & Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
HAZARDOUS MATERIALS DISCLOSURE
construct the project (Sec.7044, Business & Professions Code).
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
I hereby affirm under penalty of perjury one of the following three
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations:
Health & Safety Code, Section 25532(a) should I store or handle hazardous
I have and will maintain a Certificate of Consent to self - insure for Worker's
material. Additionally, should I use equipment or devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued.
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, Sections 25505, 25533, and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
- ...__
Owner or'autliorized agent: _ _..� Date:I�
permit is issued.
I certify that in the performance of the work for which this permit is issued, I shall
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
CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code, I must
I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked.
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
APPLICANT CERTIFICATION
Lender's Address
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
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
ARCHITECT'S DECLARATION
costs, and expenses which may accrue against said City in consequence of the
I understand my plans shall be used as public records.
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
Licensed Professional
9.I8.
Signature Date
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255
CUPERTINO (408) 777 -3228 • FAX (408) 777 -3333 • building(&cupertino.or4
'bu
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❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/ DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS l l l/ 3 l uh' , I
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APN # � � % — 3 rl _ D O 5
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❑ OWNER ❑ OWNER - BUILDER I® OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
LICENSE NUMBER
LICENSE TYPE
BUS. LIC #
COMPANY NAME
E -MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
ARCHITECT/ENGINEER NAME uA J1�
LICENSE NUMBER /i 5 / L
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BUS. LIC #
COMPANY NAME /� �� t�h tf ��
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FAX
STREET ADDRESS
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CITY, STA I� CA 'D / U
PHONE
DESCRIPTION OF WORK
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EXISTING USE
PROPOSED USE CONSTR.
--pig dew kGI
Gi IV
TYPE
V
#STORIES
USE
TYPE
OCC.
SQ.FT.
VALUATION($)
EXISTG
AREA d/�D
NEW FLOOR
AREA 'q `rf
DEMO
AREA �6�
TOTAL
NET AREA
,
BATHROOM
KITCHEN
OTHER
REMODEL AREA
REMODEL AREA
RE1MODEL ARE
�5
'I
PORCH J� AREA
p
DECK AREA
TOTAL DECK/PORCH AREA
q O
GARAGE AREA: DETACH
Al 4:;o 50 ATTACH
# DWELLING UNITS:
IS A SECOND UNIT YES
BEING ADDED? NO
SECOND STORY
ADDITION?
YES
NO
PRE- APPLICAT(ON ❑YES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑ YES
RECEIVED BY:
TOTAL V�,l iL/I ION'
PLANNINGAPPL# I�NO PLANNING APPROVAL LETTER
EICHLER HOME? PNO
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By my signature below, I certify to each of the following: I am the property owner or authorized agent to property owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to buildi con ction. I authorize representatives of Cupertino to enter the above - identified property for inspection purposes.
Signature of Applicant /Agent: < Date: !7 D'
SUPPLEMENTA-13FORMgTION REQUIRED
PLAN CHECK TYPE
ROUTING SLIP
El OVER - THE COUNTER
❑ BUILDING PLAN REVIEW
_ New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
permit for new building.
PRESS
❑ PLANNING PLAN REVIEW
_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
El STANDARD
El PUBLICWORKS
form if any Hazardous Materials are being used as part of this project.
❑ LARGE
❑ FIRE DEPT
_ Copy of Planning Approval Letter or Meeting with Planning prior to
❑ MAJOR
❑ SANITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
BldgApp_2011.doc revised 06 121111
CITY OF CUPERTINO
Iii l FEE ESTIMATOR — BUILDING DIVISION
OCCUPANCY TYPE:
ADDRESS: 19731 AUBURN CT
DATE: 12/01/2014
REVIEWED BY: Mendez
PC FEE ID
APN:
BP #:
`VALUATION: j$100,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Addition .
PRIMARY
USE: SFD or Duplex
2nd Unit? Yes 0 No
OTC? Oyes O No
PENTAMATION
1 R3SFDADD
PERMIT TYPE:
WORK
222 sg ft addition to front of sfdwl 40 sq ft to porch, remodel through out 965 sq ft 200 amp panel
SCOPE
upgrade, remove and replace water heater, relocate furnace in attic, add new hvac, (2) window
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
Ls. f.
PC FEES
PC FEE ID
BP FEES
BP FEE ID
R -3 (Custom)
II- B,III- B,IV,V -B
262
$1,626.00
IADDPLCK
$1,323.00
1ADDINSP
Elec Insp. Fee:
$0.00
F_27
$431.00
Window / Sliding Glass Door
IWINREP Replacement
Permit Fee:
$1,323.00
Suppl. Insp. Fee -.0 Reg. 0 OT
0,0
hrs
$0.00
200 amps Electrical
$48.00 IBELEC200 Services
PME Unit Fee:
$0.00
PME Permit Fee:
$144.00
# Mechanical
$72.00 1BREMAIR A/C Units ( < =10K cfm)
C.017S11'UC1i017 Tax:
TOTALS:
262
$1,626.00
$1,323.00
Plumbing
IPRWHEATR Water Heater
MECH, HOURLY 0 Yes 0 No
PLUMB, HOURLY 0 Yes 0 No
ELEC, HOURLY 0 Yes 0 No
Mech. Plan Check 0.0 1 hrs $0.00
Plumb. Plan Check 0.0 1 hrs $0.00
Elec. Plan Check 0.0 hrs $0.00
Mech. Permit Fee: IMPERMIT
Plumb. Permit Fee: IPPERMIT
Elec. Permit Fee: IEPERMIT
Other Mech. Insp. 0.0 hrs $48.00
Other Plumb Insp. 0.0 hrs $48.00
Other Elec. Insp. 0.0 hrs $48.00
'/V.c h. Insp. Fee"
I'tla,,b. Ins) . Fee:
Elec Insp. Fee:
NOTE: This estimate floes not include fees clue to other Departments (i.e. Planning, Public Works, Fire, Sanitary Server District, School
District, etc.). These fees are baser/ on the preliminary information available and are only an estimate. Contact the Dept for addn'1 info.
FEE ITEMS (Fee Resolution 11 -053 Lf. 711113)
FEE
QTY /FEE
MISC ITEMS
Plan Check Fee:
$1,626.00
965 s.f.
$647.00
Remodel, Other
IREMRESOTH
i
Suppl. PC Fee: 0 Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
F_27
$431.00
Window / Sliding Glass Door
IWINREP Replacement
Permit Fee:
$1,323.00
Suppl. Insp. Fee -.0 Reg. 0 OT
0,0
hrs
$0.00
200 amps Electrical
$48.00 IBELEC200 Services
PME Unit Fee:
$0.00
PME Permit Fee:
$144.00
# Mechanical
$72.00 1BREMAIR A/C Units ( < =10K cfm)
C.017S11'UC1i017 Tax:
Administrative Fee:
0 #
$29.00
Plumbing
IPRWHEATR Water Heater
0
Work Without Permit? 0 Yes 0 No
$0.00
Advanced Planning Fee. IPLLONGR
$36.68
Select a Non - Residential
Building or Structure
0
0
i
Travel Documentation Fee: ITRAVDOC
$48.00
Strom Motion Fee: IBSEISMICR
$13.00
Select an Administrative Item
Bldp Stds Commission Fee: IBCBSC
$4.00
SUBTOTALS:
$3,194.681$1,227.00
TOTALFEE:
$4,421.68
Revised: 10/01/2014
CALGREEN RESIDENTIAL CHECKLIST - MANDATORY
ITEMS
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
CUPERTIPIO ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE - CUPERTINO, CA 95014 -3255
(408) 777 -3228 • FAX (408) 777 -3333 • buildinci(@cuoertino.org
PURPOSE:
The 2013 CalGreen Code applies to additions or alterations of existing residential buildings where the addition
or alteration increases the building's conditioned area, volume, or size and also applies to all new low -rise
residential buildings, high -rise residential buildings, or both. Existing site and landscaping improvements that
are not otherwise disturbed are not subject to the requirements of CALGreen.
Project Name:
-54` K-9l
e 3 4 r,tj PQ4Ed att t 41 yi-,cdA
-(o►'f Q wgdd
Project Address:
i l 3J
�(.(Jic.Le�i
Project Description:
2 25• -
addAfkak 1.�% tO
�J
Instructions:
1. The Owner or the Owner's agent shall employ a licensed professional experienced with the California
Green Building Standards Codes to verify and assure that all required work described herein is properly
planned and implemented in the project.
2. The licensed professional, in collaboration with the owner and the design professional shall initial Column
2 of this checklist, sign and date Sect" o Design Verification at the end of this checklist and have the
,checklist printed on the a ve $l n - h roject.
3. Prior to final 'n p tie Buil art ent, the licensed professional shall complete Column 3
and Sig cttiio,J' ... Irttpfementation Verification at the end of this checklist and submit the
comple, d t th 113ef'Iding Inspector.
Column 2 Column 3
MANDATORY FEATURE OR MEASURE Project Verification
Reauirements
Planning and Design - Site Development
4.106.2 Storm water drainage and retention during construction. A plan is El
and implemented to manage storm water drainage during
construction.
4.106.3 Grading and paving. The site shall be planned and developed to ❑
keep surface water away from buildings. Construction plans shall indicate how
site grading or a drainage system will manage all surface vyater flows.
Page 1 of 5 CalGreen_2014.doc revised 11104114
i
A4.2
General
4.201.1 Low -rise residential buildings shall meet or exceed the minimum
standard design required by the California Energy Standards.
A4.3 WATER EFFICIENCY AND CONSERVATION
Indoor Water Use
4.303.1 Water conserving plumbing fixtures and fittings. Plumbing fixtures
(water closets and urinals) and fittings (faucets and showerheads) shall comply
with the following:
❑ 4.303.1.3.2 Water Closets. The effective flush volume of all water closets
shall not exceed 1.28 gallons per flush. Tank -type water closets shall be
certified to the performance criteria of the U.S. EPA WaterSense
Specifications for Tank -type Toilets.
❑ 4.303.1.3.2 Urinals. The effective flush volume of urinals shall not
exceed 0.5 gallons per flush.
❑ 4.303.1.3.1 Single Showerheads. Showerheads shall have a maximum
flow rate of not more than 2.0 gallons per minute at 80 psi. Showerheads
shall be certified to the performance criteria of the U.S. EPA WaterSense
Specification for showerheads.
❑ 4.303.1.3.2 Multiple Showerheads serving one shower. When a
shower is served by more than one showerhead, the combined flow rate of
all showerheads and /or other shower outlets controlled by a single valve
shall not exceed 2.0 gallons per minute at 80 psi, or the shower shall be
11
designed to allow only one shower outlet to be in operation at a time.
❑ 4.303.1.4.1 Residential lavatory faucets. The maximum flow rate of
residential lavatory faucets shall not exceed 1.5 gallons per minute at 60
psi. The minimum flow rate of residential lavatory faucets shall not be less
than 0.8 gallons per minute at 20 psi.
❑ 4.303.1.3.2 Lavatory faucets in common and public use areas. The
maximum flow rate of lavatory faucets installed in common and public use
areas (outside of dwellings or sleeping units) in residential buildings shall
not exceed 0.5 gallons per minute at 60 psi.
❑ 4.303.1.4.3 Metering faucets. Metering faucets when installed in
residential buildings shall not deliver more than 0.25 gallons per cycle.
❑ 4.303.1.4.4 Kitchen Faucets. The maximum flow rate of kitchen faucets
shall not exceed 1.8 gallons per minute at 60 psi. Kitchen faucets may
temporarily increase the flow above the maximum rate, but not to exceed
2.2 gallons per minute at 60 psi, and must default to a maximum flow rate
of 1.8 gallons per minute at 60 psi.
4.303.2 Standards for plumbing fixtures and fittings. Plumbing fixtures
and fittings shall be installed in accordance with the California Plumbing Code,
and shall meet the applicable standards referenced in Table 1401.1 of the
California Plumbing Code.
Page 2 of 5 CalGreen 2014.doc revised 11104114
Outdoor Water Use
4.304.1 Irrigation controllers. Automatic irrigation systems installed at the
time of final inspection shall be weather- based.
❑ 4.304.1.1 Controllers shall be weather- or soil moisture -based controllers
that automatically adjust irrigation in response to changes in plants' needs
as weather conditions change.
❑
❑
❑ 4.304.1.2 Weather -based controllers without integral rain sensors or
communication systems that account for local rainfall shall have a separate
wired or wireless rain sensor which connects or communicated with the
controller(s). Soil moisture -based controllers are not required to have rain
sensor input.
A4.4 MATERIAL CONSERVATION AND RESOURCE EFFICIENCY
Enhanced Durability and Reduced Maintenance
4.406.1 Rodent proofing. Annular spaces around pipes, electric cables,
conduits, or other openings in plates at exterior walls shall be protected
❑
against the passage of rodents by closing such openings with cement mortar,
concrete masonry or similar method acceptable to the enforcing agency.
Construction Waste Reduction, Disposal and Recycling
4.408.2 Construction waste management plan. Where a local jurisdiction
does not have a construction and demolition waste management ordinance, a
❑
❑
construction waste management plan shall be submitted for approval to the
enforcing agency.
Building Maintenance and Operation
4.410.1 Operation and maintenance manual. At the time of final inspection,
an operation and maintenance manual shall be provided to the building
❑
occupant or owner.
ENVIRONMENTAL QUALITY
Fireplaces
4.503.1 General. Install only a direct -vent sealed- combustion gas or sealed
❑
❑
wood - burning fireplace, or a sealed woodstove.
Pollutant Control
4.504.1 Covering of duct openings and protection of mechanical
equipment during construction. Duct openings and other related air
❑
distribution component openings shall be covered during construction.
4.504.2.1 Adhesives, sealants and caulks. Adhesives, sealants and caulks
❑
shall be compliant with VOC and other toxic compound limits.
4.504.2.2 Paints and coatings. Paints, stains and other coatings shall be
❑
compliant with VOC limits.
4.504.2.3 Aerosol paints and coatings. Aerosol paints and other coatings
shall be compliant with product weighted MIR Limits for ROC and other toxic
❑
compounds.
Page 3 of 5 CalCreen_2014.doc revised 11104114
4.504.2.4 Verification. Documentation shall be provided to verify that
compliant VOC limit finish materials have been used.
4.504.3 Carpet Systems. Carpet and carpet systems shall be compliant with
�1
IIJJ
VOC limits.
4.504.4 Resilient flooring systems. Eighty (80) percent of floor area
receiving resilient flooring shall comply with the VOC- emission limits defined in
the Collaborative for High Performance Schools (CHPS) Low - emitting
❑
Materials List or be certified under the Resilient Floor Covering Institute (RCFI)
FloorScore program.
4.504.5 Composite wood products. Particleboard, medium density
fiberboard (MDF), and hardwood plywood used in interior finish systems shall
❑
comply with low formaldehyde emission standards.
Interior Moisture Control
4.505.2 Concrete slab foundation. Required vapor retarders and capillary
breaks are also required to comply with CalGreen Section 4.505.2.1.
4.505.3 Moisture content of building materials. Moisture content of building
materials used in wall and floor framing is checked before enclosure.
Indoor Air Quality and Exhaust
4.506.1 Bathroom exhaust fans. Exhaust fans which terminate outside the
building are provided in every bathroom.
Environmental Comfort
4.507.2. Duct systems are sized and designed and equipment is selected
using the following methods:
1. Establish heat loss and heat gain values according to ACCA Manual J or
equivalent.
d
2. Size duct systems according to ACCA 29 -D (Manual D) or equivalent.
3. Select heating and cooling equipment according to ACCA 36 -S (Manual S)
or equivalent.
INSTALLER , SPECIAL • ° QUALIFICATIONS
Qualifications
702.1 Installer training. HVAC system installers are trained and certified in
the proper installation of HVAC systems.
702.2 Special inspection. The Licensed Professional responsible to verify
CALGreen compliance is qualified and able to demonstrate competence in the
1:1
discipline they inspect and verify.
Verifications
703.1 Documentation. Verification of compliance with CALGreen may
include construction documents, plans, specifications, builder or installer
certification, inspection reports, or other methods acceptable to the enforcing
agency which show substantial conformance. Implementation verification shall
be submitted to the Building Department after implementation of all required
measures and prior to final inspection approval.
Page 4 of 5 CalGreen_2014.doc revised 11104114
CALGREEN SIGNATURE DECLARATIONS
Project Name: qdb'� mil. M ad -0-4 '� zp J-1( I
Project Address: ) V3 kbaeH a
Project Description: / �O �,,n AFL
SECTION 1 — DESIGN VERIFICATION
Complete all lines of Section 1 — "Design Verification" and submit the completed checklist (Columns 1 and 2) with the
plans and building permit application to the Building Department.
The owner and design professional responsible for compliance with CalGreen Standards have revised the plans and
certify that the items checked above are hereby incorporated into the project plans and will be implemented into the
project in accordance with the requirements set forth in the 2013 California Green Building
Standards Code as
adopted by the City of Cupertino.,
Own 's ' at
Date
`
lC _�
Owner's ame (Please Print)
Design Professional's Signature
Date
�
—2
Design Professional's Name (Please Print)
'..
Signature of License Profess' responsible for CalGreen compliance
Date
a
Name of License Professional re ponsibl for CalGreen compliance (Please Print)
Av&oK
Phone
Email Address for License Professi nal responsible for CalGreen compliance
SECTION 2 - IMPLEMENTATION VERIFICATION
Complete, sign and submit the competed checklist, including column 3, together with all original signatures on Section
2 to the Building Department prior to Building Department final inspection.
I have inspected the work and have received sufficient documentation to verify and certify that the project identified
above was constructed in accordance with this Green Building Checklist and in accordance with the requirements of
the 2013 California Green Building Standards Code as adopted by the City of Cupertino.
Signature of License Professional responsible for CalGreen compliance Date
Name of License Professional responsible for CalGreen compliance (Please Print) Phone
Email Address for License Professional responsible for CalGreen compliance
Page 5 of 5 CalGreen_2014.doc revised 11104114