08090065 CITY OF CUPERTI "-1-11' .. ,�
BDILDING D9VISION PERNIIT CONTRA.CTQRINk'ORMATION '
PERMIT NO.
BU LIN AVE MANA GENERAL CONTRACTOR 08090065
OWNER'S NAME: PERMIT LEVE DATE
HUA JI 1839 TAMPA WAY 09/12/2008
ONE (408) 375-4288 SANITARY NO. CONTROL NO.
ARCHrMCfrENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
o o LICENSED CONTRACTORS DECLARATION O O O O
Job Description
1 hucby affirm Net I am Ikcnsed under provision of Clap cr 9(commencing
vett Senion]a(IU)ofDivisionlof the Buunev and Professiom Code.and mylieense is RE—RF EY.TING .RF- OSBPLYWD FLT PAPR 30#COMP SHNGL
o, in full forte arta e t.
�q= uan�Lr..-� CLS A 12SQ '
t- Dusk Con DECLARATION J
eeQ ARCHil W usa DECLARATION
;WU IundewnJ my pWuslWl Ee utedan;public records
L
k C Licensed Professional
c w z Oat I hat UIIDER DECLARATION
z 2 E i hereby.(Rim that I am exempt sum the Comractolt License city
o for the
i o allowing meson.permit
1 703 0,Business and tie.durum Codch.. Any eisy err county
which requiem a r.adam ar coussruce a@m'vnpsmu.demolish,a repair ed ucaum
priors its iauana,alurat10 elMvisio of for such pemiitmficamLle a nN wnmcot
thathe iwt Sectio uothc 9 Division 3 theComment'sdPreflsw(Chaptm9 Sq.Ft.Floor Area $2600
Valuation
�$ fl(commencinghewft satien]ao d than Division far a Bananas exa prim.Any vi cone)a
So�he k L I.5 b lanRfram Nd MIC.Leri fa aX alleged aelicathe Any l Pladml of '
.1 a thin five
rediamfonpermitrbjecutheapplicantmabullpcnahyof Number Occupancy e
wt mom Nan five hundred dolmas(5500). 3 6 9 2 7.0 21 .� P Y TYP
❑Luowner ad proprrty,ar Is wplayea wit wgnuthe'vmk Business will Pr fe work.and the twmum k net s sic ed motioned did roma(Sec.talo.BuuM.•
rd Pmretdow cadre The conraenrt Lice Law ave mt.pplr to••owner or Required Inspections
propenY who WilNaimprav dcwn.aM whodwaolt wrkhimtelfarthrou{h W -
ownemployees,ldintw Nethsuch impro idwidart not intendedoro@red fa owner-
Warner
nhawsdingaimprovementre sold a didoneyw ofcomoveforde'ownu-
builda Mtl haw to Auden of proving tat he did int Adm a improve(a propose of
cals.).
0 1.as M.or tc property,am exclusively commuting with licensed conaamurs re
construct de project(Sec.toad.Business and Professions Cade:)The Convaemrs U.
cense law dos not apply b in owner of Property who Wilds or improv dmteon.and
who contracts for such projects with a clumaebr(s)licensed pursuant to to Conmacmes
License Law.
O lsmaemptunder .See .B&PCfmanmsmm
Owner Dau
WORKERS COMPENSATION DECLARATION
1 hereby aDtlm under penally of perjury arc of the following declanuou
I haw and veal munufn•Cmtdiiam of Content to self-Ware fa Workc/sCompen-
samn.as provided for by Sccuon 77M of the Laor Code,for to performance of the
wink for which this permit is issued. t -
0 1 have and will maintain Wmkoes Comperearm Insur .u required by Section
37W of thus Labor Code,fa the performance of the wok fa which this permit is issued.
My Wmime.Cfo.Frissfi n inambox camim and Polity number art'
Carried C �11f p Polity No.:
CERTIFlCATEOFEKEMPI'ION FROMWORKERS'
COMPENSATION INSURANCE
Mls section need not Wcomplend if tie Permit Is(moat hundred dollars($lino
or leu)
I asufv that in the perfarmana of de watts fa which this Permit Is issued,l"I an,
employ any)even in any manor as;to become mbjem to the Worked'Compensation
Laws of Cuifomia.Dae
Applimmt
NOTICE TO APPLICANT:If,afbr making this Ccrtifican of Exemption,you should
become subject on the Wmher's Corepcnution provision of the Lam Cade,you muss
.J O forthwith comply with such pmvidow w Nis permit atoll be demad rewkW.
"Z� CONSTRUCTION LENDING AGENCY
-- -
(-"' I hereby affirm tins dem Aaconsusndnn leading agetry far the pmfomusce of
CG the warle for which this Permit Is based(So 3097,Civ.C.) -
0.Q Undoes Name
=z lender's Address
U O 1 cmtify tat I have rad tion,application and sun to the show mrosmaiun is .
Ig, E Correct.I agree to comply with W city and county onlime cert and sun laws relating n
_O building commotion.and hereby autorire reprtsenutiv of tk city at rota upon de
Wshove-menunad property for inspection purposes.
(We)agree to ave,indemnify aid kecP hamlet,the City of Copeman against
Vh liabilities,judgmems,cow and espouser which may in any way accom against and City
Z in cavequenee of the panting of this persalt.
•^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOUge�REgULATIONS. //
l�f7/!aJ �P.G(awx-, /J41—/ -U Re-roofs
Signasure of ApplicaMContmcnr Den
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will de appliant m forum buliding oavpentame mhand,treatments manus
u desned by the Cupertino Municipal Code.Chapter 9.13.and to Health and Safcry
Gine'Section y553:(a)7 04 All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future Wilding occupant see equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
n,"laso dao ter came inamu as uermed by to Bay Ara Air Quality Management all new materi for inspection.
0Ya 19f4-
1 have roil de huardmumateriaUmquironew ander Chap erd95 of time eaiifor.
ni.Halth&SalcryCotle,Smions 25N15,25533 inn 25534.1 utWcrstsnd thuifthe Wilding OZ dins no ted a arum dw it's my respoaibilitY n notify de acoput of the IS ()
n wh bcmetpiam ofacedrnanar Signa tureo Date
ow ariera.gen � ,� All roof coverings to be Class 1W*or better
CITY OF CUPERTINO
• 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36927021 . 00
DATE ISSUED. . . . . . . : 09/12/2008
RECEIPT # . . . . . . . . . : BS000006060
REFERENCE ID # . . . : 08090065
SITE ADDRESS . . . . . : 835 BETLIN AVE
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER HUA JI
ADDRESS 835 BETLIN_AVE
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : CARLOS ORELLANA
CONTRACTOR . . . . . . . : CARLOS ORELLANA LIC # 27468
COMPANY MANA GENERAL CONTRACTOR
ADDRESS . . . . . . . . . . : 1839 TAMPA WAY
CITY/STATE/ZIP . . . : SAN JOSE, CA 95122
TELEPHONE . . . . . . . . : (408) 375-4288
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 2, 600 . 00 0 . 50 0 . 00 0 . 50 0 . 00
1REROOFRES SQ FEET 12 . 00 156 . 00 0 . 00 156 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 156 . 50 0 . 00 156 . 50 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- ----------- -------
CREDIT CARD 156 . 50 VISA
---------------
TOTAL RECEIPT 156. 50
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- --------------------------- ------ ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
•
4d �qUU�-5
CITY OF CUPERTINO
tq` REROOF
CITY•CUPEI,TINO PERMIT APPLICATION
APN # / A -7 0� / Date:
(,o
Building Address:
835 /.32f/ii-) .
Owner's Name: A Phone #: 909 g Sal ��fiZ
4uo� j
Contractor: Phone #: rat7� 3}� yZgy
MANA GCA/GAAL CoA)-jAACPR Fax#: q00 .2S-1 ?5:) -4
Cupertino Business License #: Contractor License #:
13 9 /00/
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
Asphalt Shingles V Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other (Specify) ❑ Other (Specify)
Number of existing coverings ❑ Provide I.C.B.O. Report#
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description: /
Re-ao� P�Y+sYrv�c) /2 5q 0513 Tllyi va4l ( f-*1pe, 30 "
Residential Y Commercial
Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if
Green Building Checklist & attach it to the application or if there are any restrictions: ❑
applicable, include in plan set & the sheet index.
Valuation:
00
I Have Read, Understand and Will Comply with Cupertino's.Tear-Off Policy:
Signature
Revised 6/16/08
CITY OF CUPERTINO
t` REROOF
CUPER,TINO FEE SCHEDULE •
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1RER00FC0M Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
/ 2 1RER00FRES Re-roof Residential B 1SFDWLR00F
S 1BSEISMICRE Seismic Residential B
1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF
1BSEISMICRE Seismic Residential B
1BUSLIC Business License B
Revised 6/16/08
•
Community Development Department
Building Division
City of Cupertino
• 10300 Torre Avenue
Telephone: (408)777-3228
Fax: (408)777-3333
Building Department
Subject: Re-roofing policy for the City of Cupertino
1. Prior to permit issuance,you must agree to comply with 2007 IBC Standards
and manufacturers specifications on re-roofing.All roofs are Class "A"per Cupertino
municipal code 16.04.080.
2. New roof coverings shall not be applied without first obtaining all inspection
and written approval from the building inspector. A final inspection and
approval shall be obtained from the building inspector when the re-roofing
is completed.
3. All roofs shall be inspected prior to any roofing installation.
4. To receive a final sign off from the City, the following steps are
required:
1) Pre-inspection and/or tear off approval.
2) In-progress inspection approval.
3) Final inspection approval.
• a) Spark arrester installation.
5. If plywood is installed,a plywood nail inspection is required.
6. Any roofing which is applied without first obtaining an inspection,
will require the removal of all new material down to the sheathing,
so a proper City inspection can be performed.
7. NOTE: If you call for a plywood nail inspection and the job is not ready,
you will be charged a re-inspection fee of$176.18. The re-inspection fee must
be paid before another inspection can be scheduled
IMPORTANT:
1. Flat roofs must have a minimum of 1/4 " per foot slope and demonstrate
that there is no ponding.
2. An I.C.B.O. report is required to be on the job site at the time on inspection.
I understand and will comply ACA,
the above stated policy on re-roofing.
lel
Homeowner's Name: , XtL
Job Site Address: �l 3 /3P 7 4yj y✓>
Roofing Company Name: MVIIIA //c VSTZZucnO/ ,
• Applicant's Signature: �a04J �✓Pl&wn. Date: LI /2-O t
Greg Casteel
Building Official
Revised 07/30/08
Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
• Telephone: (408)777-3228
Fax: (408)777-3333
Building Department
REROOF TEAR OFF POLICY
1. You must schedule an inspection for the tear off the day before
you wish the inspection to be made. The procedure is to call the
Building Division (408) 777-3228 between the hours of 7:30 a.m. and
3:30 p.m. to request a next-day inspection.
• 2. When the roof is torn off, the nails have been removed or driven in,
and all of the dry-rotted wood has been replaced, you must call the
City Building Division. An inspector will be there within one hour.
There are special hours for this service: from 7:30 a.m. to 10:30 a.m.
and 1:00p.m. to 3:30 p.m., Monday through Thursday and from
7.30 a.m. to 10:30 a.m. and 1:00 p.m. to 2:30 p.m. on Friday. (Note:
Building inspectors are on lunch break from 11:30 a.m. to 12:30 p.m.
and will not be called during that time. City Hall is closed between
12:00 and 1:00 p.m. daily.)
3. If you call for a tear-off inspection and the job is not ready, you will
be charged a re-inspection fee of$176.18. The re-inspection fee must
be paid before another inspection can be scheduled
• Greg Casteel
Building Official
Revised 8/13/04
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 POINTS 40 points
•
•
Plan Review Process Work Book Page-12-Revised 3/25/08
Green Points Rating System for Remodeling Projects
Due to the diversity of remodeling project types,assigning a"total points"value to a project to be considered environmentally friendly is
• not feasible. However,25 measures have been highlighted to signify that every effort should be made to incorporate them into your
projects. These items have been chosen based upon their impact on the environment and the health of the home in coordination with
ease of implementation and relative low cost. These measures can be used as a starting point for'greening'your project.
A.Site INPUT ReSDUTCeS Energy --IAQ/Hmhh
F1.Recycle Job Site Construction&Demolition Waste i
650/U=I point;75%= 2 points;80%=4 points up to 4 Resource pts 0
2.Salvage Reusable Building Materials_ J' 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
rgn Resource
.Desi -Efficient LLandscapas and Gardens _ __ 4 Resource pts y=yes 0
9.Reuse Materials/Use Recycled Content Materials
for Landscape Areas 2 Resource pts y=yes 0
10.Install High-Eificiancy Irrigation Systems 2 Resource pts y=yes 0
11.Provide for On-Site Water Catchment/Retention 2 Resource pts y=yes p
1 i
B.Foundation 1
1.Incorporate Recycled Flyash in Concrete
• 25%Recycled Flyash=2 points;Add 1 point for every 1096
increase of flyash,up to 5 points up to 5 Resource pts D
2.Use Recycled Content Aggregate 2 Resource pts Y_–Yes p
3.Insulate Foundation/Slab before backfill 3 Energy Pts y=yes D
1 1 1
C.Structural Frame
.1.Substitutes a Solid Sawn Lumber with Engineered Lumber y J 3 Resource pts y=yes D
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 D
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 D
6.Use Finger-Jointed Studs for Vertical Applications 2 Resource pts y=yes p
7.Use Engineered Studs for Vertical Applications 2 Resource pts y=yes 0
S. Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y=yes D
9.Use Structural Insulated Panels(SIPS)
a.Floors
b.Wall 3 Energy pts y=yes p
3 Energy pts y_yes D
c.Roof 3 Energy pts y=yes D
10.Apply Advanced Framing Techniques 4 Resource pts y=yes p
11. Use Reclaimed Lumber for Non Structural Applications 3 Resource pts y=yes p
12.Use OSB — -- –`
a.Subfloors 1 Resource pt y=yes p
. b_Sheathing_ 1 Resource pt y=yes D
1 1 1 I
Fe_nor Finish INPUT Resources Energy IAQfHeafth
11.Use Sustainable decking Materials
a.Recycled content I 3 Resource pts y--yes D •
Ib.FSC Certified Wood 3 Resource pts y=yes 0
2.Use Treated Wood That Does Not Contain ChromiurrdArsenic 1 IAQ/Health pt y--yes 0
3.Install House Wrap under Siding I 1 IAWealth pt y=yes 0
4.Use Fiber-Cement Siding Materials 1 Resource of y=yes 0
1 ! 1
E.Plumbing
1.Install Water Heater Jacket i 1 Energy pt y=yes 0
2.Insulate Hot and Cold Water Pipes 2 Energy pts y=yes 0
3.Retrofit all Faucets and Showerheads with Flow Reduces
a.Faucets(1 point each,up to 2 points) Up to 2 Resource Vs. 0
b.Showerheads(1 point each,up to 2 points) Up to 2 Resource pts. D
4.Replace Toilest with Ultra-Low Flush Toilets
I(1 point each,up to 3 points) _ J Up to 3 Resource pts. 0
5.Install Chlorine Filter on Showerhead 1 IAC/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 AQ/Health pts. D
8.Install On-Demand Hot Water Circulation Pump 4 Resource pts y--yes 0
1 1 1
r,tiecmcar
1.Install Compaq Fluorescent Light Bulbs(CFCs)
(6 bulbs-2 points,10 bulbs=3 points,12 bulbs=4 points) _� Up to 4 Energy pts. 0 •
22.Install 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. 0
1 1 I
G.Appliances
1.Install Energy Star Dishwasher 1 Energy pt y=yes 0
2.Install Washing Machine with Water and Energy
Conservation Features j 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
1 1 1
H.Insulation
1,Upgrade Insulation to Exceed Title 24 Requirements
a.Walls 2 Energy pis y--yes - 0
b.Ceilings 2 Energy pts y=yes 0
2.Install Floor Insulation over Crawl Space 4 Energy pts y=yes D
TInsWl Recycled-Content,Fiberglass Insulation with
No Added Formaldehyde 31AQ/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 y=yes 0 •
S.Alternative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y=yes 0
o.cemngs 4 Resource pts y=yes 0
1 1 -
INPUT Resources Energy 1ADIHealth
I.Windows
1.Install Energy Efficient Windows
. a.Double-Paned 1 Energy pt y=yes 0
b.Low-Emissivity(Low-E) I 2 Energy pts Y--yes 0
L c.Low.Conductivity Frames _ _ _ 2 Energy pts y=yes 0
2.Install Low Heat Transmission Glazing 1 Energy of y=yes 0
1 1 1
J.Heating Ventilation and Air Conditioning
1.Use Dud Mastic on All-Duct -
_ _ _ I 2 Energy pts y=yes 0
2.Install Ductwork within Conditioned Space 3 Energy pts y=yes 0
3.Vent Range Hood to the Outside 1 IAQ/Health of 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 31AQ/Health pts y=yes 0
b.Water Heaters 3 IAQ/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 stoveslnseds 1 IAQ/Health pt y=yes 0
b. Install/Replace Dampers 1 Energy pt y=yes 0
c.Install Airtight Doors 1 Energy pt y=yas 0
14.Install Zoned,Hydronic Radiant Heating 3 Energy pts y=yes 0
15.Install High Efficiency Filter 4 IAQ/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 IAQMealth pts y yes
0
1 f
K.Renewable Energy and Roofing 1
1.Pre-Plumb for Solar Water Heating 4 Energy pts y=yes 0
2.Install Solar Water Heating System 10 Energy pts y=ye; 0
3.Pre-V�4re for Future Photovoltaic(PV)Installation 4 Energy pts y=yes 0
4. Install Photovoltaic(PV)System
(1.2 kw=6 points,t Safe an2.4 kw=12 points,3.6 kw=16 points) Up to 18 Energy PIS 0
:6.Selecd Durable Roofing Materials_1 Resource pt y=yes p
7. Install Radiant Barrier - - J 3 Energy pts y=yes 0
L.Natural Heating and Cooling 01 1 1
1.Incorporate Passive Solar Heating 5 Energy pts ZyqesZ�"
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
•
INPUT ResDurces Energy 1ADtHealth
M.Indoor Air Quality and Ftmshes
,1 Use Lo'wlN&VOC Paint 1 IAQ/Health pts y=yes D
2 Use Low VOID,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 •
12l.Use Low/No VOC Adhesives_ _ - _ 3 IAQ/Health pts y=yes 0
4.Use Savaged Materials for Interior Finishes 3 Resource pts y=yes D
5.Use Engineered Sheat Goods with no added Urea
Formaldehyde 61A0/Health pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses _ 1 IAQMealth pts y=yes 0
Of MDF
7.Seal Exposed Particleboard or 41AQ/Health pts y=yes 0
B.Use FSC Certified Materials for Interior Finish J 4 Resource pts y--yes D
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes 0
10.Install Whole House Vacuum System 31AO/Heelth pts y=yes 0
1 1 1
N.Flooring
1.Select FSC Certified Wood Flooring 6 Resource pts y=yes0
2Us
. e Rapidly Renewable Flooring Mane als 'y_ 4 Resource pts y=yes 0
3.Use Recycled Content Ceramic Tiles 4 Resource pts y--,yes 0
4.Install Natural Linoleum in Place of Vinyl 5 IAQ/Health 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 i 1
Total Points Available: 1 1401 1301 57
Total Points Project Received: 0 0 0 •
c
G:datarpmgs/greenduildngguideline-simmodeleNgmenpolntsfinal212.04protecled.xis
•
I
Community Development
SIVIrIta
10300 Torre Avenue
It I Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
OUPERTINO
Building Department
JOB ADDRESS: PERMIT # _
83S el it la-/ b4p o9 0 0 0 !1
OWNER'S NAME: c,- J1 PHONE # quy — �,7; 4(2-
GENERAL
yGENERAL CONTRACTOR: C, FAX#
I am not using any subcontractors: I Z a
ignature Date
Please check applicable subcontractors and complete the followmi information:
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
of 12 08
Owner/Contractor Signature Date