08070237 CITY OF CUPERTINOnxl>
BUILO9NG DIVISION PERMIT CONTRACTOR INFORMATION
BUIL ING(rppDRESS: u. PERMTT NO.
° 'I s7 ASTER LN OMEGA CONSTRUCTION 08070237``AT
OWNER'S NAME: PERISSUE DATE
TUCH]:M TSAI 451 FENLEY AVE 07/31/2008
NE: (408) 243-0404 SANRARY NO., CONTROL NO.
ARCHI ECTIENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
u o a LICENSED CONTRACTOR'S DECLARATION
1 bvcby affirm this 1 am licensed uMcr provilemme of CWpmr 9(cummaming Job Description
n with Salina 7")of Divise of the Businemand Proleuimn ode,aed rryy lice=is 649SQ SIDING RPLC W/NEW SIDING
in full Tome and edea - (C
�LlZ I.iceve Clan Lk.0
=p Dam Contractor
7W7W RCNTIECTS DECLAR
dj�U st
1 understand'y plan W sitev shall d Public records
n
'LLo Licensed Professional
OatNER BUILDER DECLARATION
e hereby a1Erm dear 1 am uemPa fvm the,Conmear O a :Any c Law for tiro
O O following meson.(Section TUI IS,Bualter. and Pm(ectinm Cade:Any city or county
vn which requio a rconism cons,the alter.improve.de erreit ri repair any omens
_zy priwmiucensed aalnmitto rem dm applicant formah Connermitm fcrle asignal stammat
££ G (commoslicenmdpuaoan000teprovivimuof the 3ofthenuacmr'tnianmLaw(ChaPter9 Sq.Ft.Floor Area Valuation
f0 (cam 7000)of Business S3000
Q — that io r exempt:any applicant ma Nd Um bur it Ne alleged exemption.Any violation of
SeNm,"Items ve arty had doroes Permit subjects Ne applicant to a civil pcnvlty of Number Occupancy Type
ma more wan Bw WndreC dolma(5540). 36617090 .W p �' yp
❑I.u owner of we pmpaty,m my employees with wages u Uteh sole compensation,
will do the wont and we structure urmt intended a offered fm sale(Sec.RIU,Besircv
and Pmfecames Code:The Conmcmrs License taw does net apply to an owoer of Required Inspections
pmpeny who builds or im prow thermn,and who does such work himaelf Or through his
Own employers,provided dutsuch improvements are not intended OCOffemd feasale Ir,
berwever,the building or improvement is sold within one year of completion,Na Owner-
builder will law the hueder of proving that M did rot build or improve for pryu
ue of
eak.).
0l.as marc,of the Property am eaclusively contracting with licensed anmacmrs m
construct the Vojta(Sec.7044.Business and Professions Code:)The Comeacmrs Li-
cave law docs not apply to an owner of property who Wilds or improv themon.and.
who contracts fee such projects with a conuacmr(s)Iicased pursuant m dee Contractors
Lacon.law.
❑I am exempt under See ,B&PC for this reawn
Owner Dam
WORKER'S COMPENSATION DECLARATION
I hereby in.under penalty of perjury one of dm following ckcumtiov:
1 haw and will mammies.Cerdfntem'Cor m t to self-inure for Workers Compen-
sation,an provided for by Section 3700 of Ne labor Code,for the performance of the
work for which this rceit is named
0 I have and will maintain Workers Compensation Insurance,as required by Section
37W aNe labor Cock,for the puforme nee of the wants for which this a emtit is issued
My Workers Co pens mon Ins a coni and Policy number am:
Cartier. Policy No.;
1 CATS FECEMPTIONFROMWORKERS
COMPENSATION INSURANCE
(Thr maion need nut be completed if ft permit is foraoe hunwed dollars($)00)
or leu.)
1 certify dot in the pafwmance of the wrote for which this permit u issued,I shall not
employ anyperson in any mannerso u to Wcome subject to In,Workers'Compevadon
Lawn of California,Dae
Applicant
NOTICE TO APPLICANT:If.a0er making this Ccn)Reate of Exemption.you should
become subject to the Workers Comrcnsation provisions of the Labor Codc,you most
.,O fonAwith comply with Such Provisions or Nu permit shall W deemed revoked.
z '-" CONSrRucnON LENDING AGENCY
F
4 Ibcom :Ohm dean acre ua cmmtrucd.lendin a Y t genry far thte rcrformence err
ai> Ne work for Q , Nis permit u utuc0ec
(S .](191,Civ.C.)
LnWmsecrs Na
=z Lmeders Add^•.•
U Q 1 early that I have read this appliatim.and sum Na Ne aWw information u
(y f" cone:.1 agree m comply with all city and county oNinarces and state laws relating in
0U Wilding consmucdon,and hereby tuthorim representatives of this city to enter upon ite
W ahevcmcndpned property for ivrccdmn puryves
" a (We)agree to saw,indemnify and lamp harmka,the City of CupmNm against
y liabilities,judgments,costs and Vo.which may in any way aecnm gsivl said City
(.)'z in consequence or Ne granting of this permit.
'—' APPLICANT UNDERSTANDS AN PLY WITH ALL NON-POINT Issued by:S4(ODale
SOURCEREGULATIONS. - O� av
S Re-roofs
Signature mf Applican perm
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or fmure Wilding Craft. Prot tram or handle haurdpan material
u dO.So Jo Ne Curcnitw Muni ipal Chapter 9.13,and We FkaIN and Safety
code.seceon 35533(.)7
❑Tex All roofs shall be inspected prior to any roofing material being installed.
o
Will the applicant or future Wilding maupant um equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
mit Ward..air cm eaminsnts an,&fired by the Bay Area Air Quality Managcmcnt all new materials for inspection.
District?
❑Yes Nu
I have mad the Warmness materials;mquimmenrundcr Chapter6.950f he Califon
.is Hegldt&Safay COde,ScWov 25505.25533 and 25534.1 unckrstsnd demif Ne Wilding
dao not conemly have• viNlity to nmiry Ne aavMe of the
mgrimmntrwhich m mca perm toismarc racerdfieap Signature of Applicant Date
Owner or smthorived agent ( Dam All roof coverings to be Class';W'or better
CITY OF CUPERTINO ,
2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36617090 . 00
DATE ISSUED. . . . . . . : 07/31/2008
RECEIPT # . . . . . . . . . : BS000005650
REFERENCE ID # . . . : 08070237
SITE ADDRESS . . . . . : 1435 ASTER IN
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER TUCHIM TSAI
ADDRESS . . . . . . . . . . : 1435 ASTER IN
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5216
RECEIVED FROM . . . . : OMEGA CONSTRUCTION
CONTRACTOR . . . . . . . : JUNG HUH LIC # 22317
COMPANY . . . . . . . . . . : OMEGA CONSTRUCTION
ADDRESS . . . . . . . . . . : 451 FENLEY AVE
CITY/STATE/ZIP . . . : SAN JOSE, CA 95117
TELEPHONE . . . . . . . . : (408) 243-0404
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 3 , 000 . 00 0 . 50 0 . 00 0 . 50 0 . 00
1SIDEOTHER SQ FEET 640 . 00 551 . 00 0 . 00 551 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 551 . 50 0 . 00 551 . 50 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 551 . 50 #5372
---------------
TOTAL RECEIPT 551 . 50
•
090.7 0 )--3 -7
CITY OF CUPERTINO
• Y OF
CUPEkTINO GENERAL BUILDING
PERMIT APPLICATION FORM
APN # � UJ ( O n 0. 6C, Date:
Building Address:
3S As L)U. a -t-r"Nnm d,
Mailing Address (if different from building address):
Owner's Name: ic
CW I "'Fs- cu Phone#: Oe_� ^ / /
ContractorQ: /� h 1 Phone: clgcp 605- Riff
5— O�ii f
O V'"1,F-vlA �� Fax: `0F)� 6
Contractor License#: p b
Cupertino Business License#: O
Contact: �� p j� Phone:
• �,l.r� O�'� ,-6f C
Residential Commercial H
Fax:
Job Description:
a
Oe ,o
.t149 .
Building Permit Info:
Bld Elect ❑ Plumb ❑ Mech ❑
Type of onstruction (Usage Class): Occupancy Type:
1-A, I-B ❑ IUIII/V-A ❑ IUIII B, IV-HT, V-B ®,
Valuation: Square Footage:
Project Size: Express iandard ❑ Large ❑ Ma or ❑
Green Building: Please complete relevant portion of the Green Building/LEED Checklist& attach it
to the application or if applicable, include in plan set & the sheet index.
• Points Achieved:
For help, contact Build it Green at www.builditgreen.org
Revised 7/01/08
f�
' CITY OF CUPERTINO
1 O
CUPEkTINO GENERAL BUILDING
PERMIT APPLICATION FORM
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1 BBOILERI For the installation or relocation of ea M
boiler/compressor to & including 3
horsepower, or ea absorption sys to &
incl 100,000 Btu/h (29.3 kw)
1 BBOILER2 Installation /relocation of ea M
boiler/compressor over 3 horsepower
to & incl 15 horsepower, or ea
absorption sys over 100,000 Btu/h
1BBOILER3 Installation/relocation of ea M
boiler/compressor over 15 horsepower
to & incl 30 horsepower, or ea
absorption sys over 500,000 Btu/h to
& incl 1,000,000 Btu/h
1 BBOILER4 Installation/relocation of ea M •
boiler/compressor over 30 hosepower
to & incl 50 horsepower, or for ea
absorption sys over 1•,000,000 Btu/h to
& incl 1,750,000 Btu/h
1 BBOILER5 Installation/relocation of ea boiler or M
refrigeration compressor over 50
horsepower, or ea absorption sys over
1,750,000 Btu/h
1BAPPLOTH For ea appliance or piece of equip M
regulated by this Code but not classed
in other appliance categories, or for
which no other fee is listed in this
code.
IELECINSP Other Electrical Inspections (per hour) E
1MECHINSP Other Mechanical Inspections (per M
hour)
1PLMBINSP Other Plumbing & Gas Inspections P
(per hour •
1MEETINGIHR Application Meeting B
CITY OF CUPERTINO
CITY°FGENERAL BUILDING APPLICATION
CUPEkTINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
ACOUSTICAL
REVIEW
IACOUSFDW SFDWL/Duplex New B
IACOUSRESAD SFDWL/Duplex-Addition/Alteration B
IACOUSCOM Multi-Family/Commercial B
CHIMNEY'S
1 CHIMNEY Chimney B
1 CHIMNEYR Chimney Repair B
FENCES
1 FENCE>6FT Non-masonry, over 6 ft in height B
1FENCEMAS>6 Masonry, over 6 ft in height B
FIREPLACES
1FIREPLMAS Fireplace Masonry B
1FIREPLFAB Fireplace Pre-Fabricated/Metal B
1 FLAGPOL>20 Flagpole (over 20 ft in height) B
1MODUSTRU Modular Structures B
FOUNDATIONS
1FOUNDREP Foundation Repair B
1PILECAST Pile Foundation Cast in place concrete B
1PILEDRIV Pile Foundation Driven (steel, pre- B
stressed concrete
3 of 5
(� CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
CUPEkTINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
RETAINING
WALL(CONCRETE
OR MASONRY
1 RETSTN Standard (up to 50 ft) B
1RETSP310 Special Design, 3-10' high (up to 50 `) B
1RETSP10 Special Design, over 10' high (up to B
50')
1RETCRB< Gravity/Crib Wall, 0-10'high (up to B
50 fl)
1RETCRB> Gravity/Crib Wall over 10' high (up to B
50 ft
SHED-(EACH) Shed Over 120 sq ft B •
SIDING
1 SIDEST/BK Siding, Stone & Brick Veneer B
interior/exterior)
1 SIDEOTHER Siding all other B
SKYLIGHTS
1 SKYL<10 SF Skylight less than 10 sf B
1 SKYL>10SF Skylight greater than 10 sf or B
structural
1STAIRS Stairs-first flight/ea addt'l B
STORAGE RACKS
1 SRACKS<=8 Storage Racks 0-8' high (up to 100 sf) B
1 SRACKS>8 Storage Racks over 8' high (up to 100 B
st
e
4 of 5
smCITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
CUPERTINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1STUCOAP Stucco Applications (up to 400 sf) B
additional stucco application
1 WINREP Replacement windows/sliding glass B
door (ea 8 windows)
1WINMEWSTR New Window-structural shear B
wall/masonry (includes plan ck fee
1 EPERMITFEE Electrical Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
1 PPERMITFEE Plumbing Permit Fee P
IMF
lELCPLNCK Stand Alone Electric Pin Ck (hourly) E
1MECPLNCK Stand Alone Mechanical Pin Ck (hrly) M
l PLMBLNCK Stand Alone Plumbing Pin Ck (hrly) P.
1 STPLNCK-(3 Hr Min Standard Plan Check (when no E/M/P) B
when not over counter) hourly-stand alone
/ IBSEISMICR Seismic Residential B
1BSEISMICO Seismic Commercial B
lTRAVDOC Travel & Documentation B
1BUSLIC Business License B
5 of 5
Green Building Plan Check
Index of Green Building Points/Categories
OX 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 oints
C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 __Lpoints
D. Structural 3. Uses Wood IJoist, (See Spec.) S-2 2 points
5. Use Truss with heels, (detail) S-2 2 points
6. B. OSB Sheathing, detail S-2 2 oints
E. Ext. Finish 1. Composite Decking, (Note/Spec.) AJ 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 pints
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. Enerqy Star Refrigerator, (No te/S ec. A-3 1 pint
P. Other 1 1. List Green Features on Plans A-1 1 point
TOTAL POINTS1 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
r-- — - - - - - --
1.Recycle Job Site Construction&Demolition 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 Stormwater Practices 2 Resource pts y=yes 0
7.Protect Water Quality with Landscape Design 2 Resource pts y=yes 0
8.beiign Resource-Efficient Landscapes End Gardens 4 Resource pts y=yes 0
9.Reuse Matsrials/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 1 0
1 1 1
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 p
1 1 1
C.Structural Frame
r-- - -- ,
,1_Subs–titute—Solid Sa—wn—Lumber—with Engineere— d 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 I O-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 Finder-Jointed Studs for Vertical Applications 2 Resource pts y=yes p
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 Ener is
9YP 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
use OSB
a.Subfloors 1 Resource pt y=yes p
• b.Sheathing
1 Resource pt y=yes p
1 ! 1
.Extenor rms
INPUT reso=� Energy IADIHealth
1.Use Sustainable backing Materials
a.Recycled content 3 Resource pts y=yes D •
b.FSC Certified Wood 3 Resource pts y--yes 0
2.Use Treated Wood That Does Not Contain ChromiumiArsenic 1 IAQ/Health pt y--yes D
,3.Install House Wrap under Siding 1 IAQ/Health pt y--yes 0
4.Use Fiber-Cement Siding Materials - 1 Resource pt y=yes 0
E.Plumbing
I.Install Water Heater Jadket 1 Energy pt Y_—Yes 0
2.Insulate Hot and Cold Water Pipes 2 Energy pts y=yes 0
13.Retrofit all Faucets and Showerheads with Flow Reducers
a.Faucets(1 point each,up to 2 points) Up to 2 Resource pts. 0
I b.Showerheads(1 point each,up to 2 points) Up to 2 Resource pis. 0
�4.Replace Toilest 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 IAQ/Health pt y--yes 0
6.Convert Gas to Tankless 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 IAQ/Health pts. 0
8.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes D
! t 1
r.caectncai
11.Install Compact Fluorescent Light Bulbs(CFLs)
(6 bulbs=2 points,10 bulbs=3 points,12 bulbs=4 points) Up to 4 Energy pts. D
2.Install IC-AT Recessed Fixtures with CFLs(1 point each,up to
5 points) Up to 5 Energy pts. D
3.Install Lighting Controls(1 point per fi)ture,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. 0
1 1 1
G.Appliances
I1.Install Energy Star Dishwasher 1 Energy pt y=yes D
12.Install Washing Machine with Water and Energy
Conservation Features 1 Energy pt y=yes 0
13.Install Energy Star Refrigerator 1 Energy pt y=yes D
14.Install Built-In Recycling Center 3 Resource pts y=yes 0
1 1 1
H.Insulation
1.Upgrade Insulation to Exceed i itle 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 D
11.Install Recycled-Content,Fiberglass Insulation With
[No Added Formaldehyde 3 IAQ/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 D
b.Ceilings 4 Resource pts y--yes D •
6.Alternative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y=yes D
0.cemngs 4 Resource pts y=yes 0
1 1
INPUT Resources Fnergy IADIHEalth
Windows
1.Install Energy-Efficient Windows
• a.Double-Paned 1 Energy pt y=yes 0
It.Low-Emissivity(Low-E) 2 Energy pts y=yes D
c.Low.Conductivity Frames 2 Energy pts y=yes 0
2.Install Low Heat Transmission Glazing 1 Energy pt y=yes D
1 1 1
J.Heating Ventilation and Air Conditioning
1.Use Duct Mastic on All Duct Joints _ _ 2 Energy pts y=yes D
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 IAQ/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
B.Install Sealed Combustion Units
a.Furnaces 3 IAQ/Health pts y=yes 0
b.Water Heaters 31AQ/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 stoves4nserts 1 IAQ/Heallh pt y=yes 0
b. 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 41AQ/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 =yes 0
! 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=yas 0
4.Install Photovoltaic(PV)System
(1.2 kw=6 points,2.4 kw=12 points,3.6 kw=18 points) _ _ Up to 1 B Energy pis 0
8.Select Safe and Durable Roofing Materials _ _ _ - 1 Resource pt y=yes 0
7. Install Radiant Hainer 3 Energy pts y=yes 0
1 1 !
L.Natural Heating and Cooling
1.Incorporate Passive Solar Heating 5 Energy pis 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 1 0
• 1 1 1
_ff
INPUT Fiesources Enemy IADifimrh
. n oor Mr-Gua ity and Ftms es
1.Use Low/No-VOC Paint 1 IAQ/Health pts y=yes p
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/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 61AQ/Heallh 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 IAQMealth, pts y=yes 0
8.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yas D
10.Install Whole House Vacuum System 3 IAQ/Health pts y=yes 0
11 1
N.Flooring
1.Select FSC Certified Wood Flooring 8 Resource pts y=yes0
�z Use Rapidly Renewable Flooring Materials 4 Resource pts )'=Yes 0
3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0
4.Install Natural Linoleum in Place of Vinyl 51AQ/Heallh pts y=yes 0
5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0
6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0
1 ! !
Total Points A 1 1401 1301 57
Total Points Project Received: 01 0 0 •
G:datarprogs/greenbdcfingguidellneshemodelerslgreenpointsf nal2.12.D4pmleded.)ds
•
Community Development
S. , 10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
OCUPEkTINO
Building De artment
JOB ADDRESS: -/1 � W QPERMTT #0O n
OWNER'S NAME`: a 77 PHONE # (J
GENERAL CONTRACTOR FAX #
I am not using any subcontractors: b �.
Signature ate
Please check applicable subcontractors and complete the following information:
66 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 Signatt6e Date