08040202 CITY OF CUPERTINO
BUIL'bING DIVISION PERMITRACTQRb�I1VEUTA,'. ION:�=;,
BUILDING ADI'ass: PERMIT NO.
22242 BITTER OAK ST ATLAS—TRILLO HVAC 08040202
OWNERS NAME: ,- PERMIT 195UH DATE
STEVE DAVIS 1965 KYLE PARK CT 04/28/2008
NE: SANITARY NO. CONTROL NO.
ARCHITECrIENGINEER: BURRING PERMIT INFO
R&R FURNACE & ADD A/C 'BLDG EI.ECr PLIIMe MECN
O It O O
30o LICENSED CONIHd under
SDECon QfCON lob Description
1 hereby affirm that 1 am licensed umber and
PIM me of aCcon, 9(rommense is p
e Hf rome70(Nn of DivirionJafMHusinne,and larofcssiana Carlo,andmylicenca is
in full forts ante
Z_ IXenmis
cm, IJc.N
Cae UEC V
' S2 ARCHf1EC'rS OFDblicmoON
I understand my plana Ndl W wed u public mcordm
L od License0 Profestional
5 OWNER-BUILDER m Ce Cmura0N
09 1 Wrthy onium that I am exempt from M Csah.. od License Law for the
00 following moon.permit
t 7o L4 Business p w. a moll Code:Any my or eunty
$0 which its in .permit rc construct.Blur, ,prove,demolish,or repair any uro eco,
_Zi thaofu itsinwwe.auuugo me the fm such pennnmronsom Law(Cha mem
< that mencinlicensedwith
pSewun to me pmviamns of MCanuacmralienselaw,Code)r9 Sq.Ft. Floor Area Valuation
3 Mm,
its exempt
ith action 7 and Division 3 o(M Busballeged
exe m t proon.My
Cade)or
thea W u exempt Mm(rom and M busim for M alleged emmptan.My viohdon of
Section 7031.5 by any applicant fee a permit subjects M applicant in.civil porosity a APN Number Occupancy e
m mom M
me,Rw hundred dollars(5500) p Y Typ
❑L as awoor of M WaPmy,ar my moiddrers with mW as MG new eampewBm.
will do the work,am the structure is not sounded or.neral r...1.(Se,.R)M.Bw mum
and PrafeadaN Code Tho Commuter Lt.lav dance,not apply m an manner of Required Inspections
property who Wilds wsropmses theme,and wMdoesawh work himmifwduough his
awn cmployets,provided Ml such imProvemanu art not intended muttered fw sole if.
howevsr,the building or impmvcmmel Is mid within one You olmmple oat M owner-
Wilder will here the WNed of proving that W did mot Wild or improve(lir pugmca of
sole.)
❑I.as owrcr of M mcpety am m clusinly canuacting Hth Hemmed mnbaerm to
coMmm f pmjce(See.7044.Business and Frolicsome Cade:)TIM Cwbaemr'a U. .
ewe Law dome ant apply an an owner of property who Wilds or improv Mmon,and
who eonumm fan such projects with a eontracur(s)licensed pumunt to M ConnaetoM1
License law.
❑I am exempt under See ,B&PC fee this name
Owner Dau
WORKER'S COMPENSATION OECL RATION
I hereby aHltm under penalty of perjury ren of M following declarulame:
I hove and will maintain a Cdeeuaf Consent to calf-iusurt for Worker'sCompen-
salon,a provided for by Section 3700 of the tabor Code,For M performance of M
work for which this permit is iuwd.
❑I have and will maintain Warker s Compensation Income,as upuimd by Section
3700 of M laWr Code,(w the perfarmann of the work for which Nis permit is issum. '
My We a ompwotom Imeunuhtt umie and Polity nrum�ber�.rt:
Carrier: policy No.:/
CATS OF EKEMPr10N FROM WORKERS'
COMPENSATION INSURANCE
(This cation reed not W completed If the Rmi,Is farane hundmddell.ss DI00)
or lux)
1 certify that in M perform ties:of the work for which this Permit is issued.l shall not
employ any person in my manner as to become subject is the Werken''Compensator
Laws of Califamu.Dau
Applicant
NOTICE TO APPLJCANC If,Mur making this CensOwlo of Exemption,you should
become subject to the Worker's Compensation proHsions of the labor Code,you meant
.,O forthwith comply with such ryavidons err Nu permit shall W dronro
ed oked.
Z y CONSTRUCTION LENDING AGENCY
[�+ Ihemhy.M.man Mm is a construction leroing.gagy,for M per(ormawc of
C „may M work for which this perch is issued(See.3097,Civ.C.)
d0 Londe$Name
z Lender's Addmu
U Q 1 oeufy that 1 have mad this application and me dut M aWn information is '
IL,r'. cunce I agree to comply with all city and county ordinances and sum lam relating to
0 Wilding cowroction,and Wmby someone representatives ofthu city to color upon ft
LLl above-man mmol property for Impectiw purposen.
(W wane,indeme(y and tap harmless,ftCuy o(Cupertino againu
v.e,fq Ilebllid utlg nu,cwu.nd uca
peea which may In my my.ctrue.gdnat said City CrV,7J- In conseq need granting.(this pemlL
APPLIC RSTANDS AND WILL COMPLY WITH A NON-POINT Issued by: Date Cr
SOUR GU
i
Re-roofs C7
SlNuurt
HAZARDOUS
o(ApplicoDau
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
W14yft Cuantmfuan Wilting ueupantnommand Hecht and Safety u de.Sed io the 32(a)?oo Muni"pal Code.Chapter 9.13,m0 tW HNth and Ss(my
Code.Satan xss3z(.)7 All roofs shall be inspected prior to any roofing material being installed:
❑Yes o
WIII the applicant w future Wilding occupant arca cquipmmt w dermas which If a roof is installed without first obtaining an inspection,I agree to remove
t hvardow air conuminanus w food by M Bay Area Air Quality Management all new materials for inspection.
s dal
❑Yes u
I have read the bavdow m ccrials requirements under Chapter 6.95 ofMC.lifor-
maHesl ^tyCode,Sa6w 77505.25533 scul 25534.I udcrntml doorthe building
dna n mann hew.boon,,thea It u my rospoUlbllity m notify M aeuwt lir the
reqs nts mMW=Ltpd aarucaf.CetiOem ramp ry. Signature of Applicant Date
_ E 'l r;k All roof coverings to be Class'W'or better
O mer or aurhonadagcmDam
CITY OF CUPERTINO
• 6 ITEMS OF 12 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 32651030 . 00
DATE ISSUED. . . . . . . : 04/28/2008
RECEIPT #. . . . . . . . . : BS000004602
REFERENCE ID # . . . : 08040202
SITE ADDRESS . . . . . : 22242 BITTER OAK ST
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . : . . . . . . . . . . : STEVE DAVIS
ADDRESS . . . . . . . . . . : 22242 BITTER OAK ST
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-0105
RECEIVED FROM . . . . : ATLAS-TRILLO
CONTRACTOR . . . . . . . : TRILLO, STEVE LIC # 4269
COMPANY . . . . . . . . . . : ATLAS-TRILLO HVAC
ADDRESS . . . . . . . . . . : 1965 KYLE PARK CT
CITY/STATE/ZIP . . . : SAN JOSE, CA 95125
TELEPHONE . . . . . . . . : (408) 286-8931
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 6, 300. 00 0 .70 0. 00 0 .70 0. 00
1EPERMITFE FLAT RATE 1. 00 40.79 0. 00 40 .79 0. 00
1MPERMITFE FLAT RATE 1. 00 40 .79 0. 00 40 .79 0 . 00
1MRRAA UNITS 1. 00 61 .19 0. 00 61 .19 0. 00
1PPERMITFE FLAT RATE 1 . 00 40.79 0. 00 40 .79 0. 00
1TRAVDOC FLAT RATE 1 . 00 40.79 0. 00 40 .79 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 225 . 05 0. 00 225 . 05 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 450 . 00 #9448
---------------
TOTAL RECEIPT 450 . 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
•
o8� �t ozoz
CITY OF CUPERTINO
FURNACE/AC
•CUPERTiNO PERMIT APPLICATION FORM
Date:
Building Address: �lJ
Owner's Name: Phone#:
7. 3 - /v /S
Contractor: Phone#:
f-�7
a5S Ti�I �d /'Ll/I�A Fax #:
Contractor License#: Cupertino Business License #:
6 ry I�,4 .
Contact: Phone#:
Fax #:
Building Permit Info:
Elect Plumb Mech �..
Residential Commercial Ej
Job Description: A-4 X— l Zl `z�
For Residential Installations:
Attic ❑ 151 floor ❑ 2nd floor ❑
Adhere to minimum setback requirement
For Commercial Installations:
Replacement same weight ❑ Additional weight(structural calcs) ❑
Structural Calculations required for new installation ❑
New installation Planning Approval Required ❑
Cost of Project: Type of Construction (Usage Class):
X30 6
Strapped On Platform Bonded New Location Replacement
Valuation:
Green Building: Please complete relevant portion of the Green Building Checklist& attach it to the
application or if applicable, include in plan set & the sheet index.
CITY OF CUPERTINO
FURNACE/AC
CUPERTINO FEE SCHEDULE .
Quantity Fee ID Fee Description FeePermit Type
Group
FURNACE FURN/AC
1 MCRAA Commercial-Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by this
code.
1MCREPALT Commercial for the repair of alt/add to M
ea heating appliance,refrigeration
unit,cooling unit,VAV boxes,
absorption unit or ea heathing, cooling
absorption,or evaporative cooling sys,
incl install of controls regulated by
this code. I •
1MCSUSHTR Commercial Install/Relocate ea M
suspended heater,recessed wall htr, or
floor mounted unit heater.
1 PGASCOM Commerical for ea gas piping System P
1-4 outlets
1 BPGAS For each gas piping system of 5 or P
more per outlet.
1MCAPPVNT Commercial for the install/relocate/ or M
replacement of ea appliance vent
installed & not incl in an appliance
ermit.
1BSEISMICO Commercial Seismic B
IMRRAA Residential Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
/ cooling unit,absorption unit,or ea
heating,cooling,absorption or
i evaporative cooling system,incl
installation of controls regulated by
this code.
1MRSUSHTR Residential Install/Relocate ea M
suspended heater,recessed.wall htr, or •
floor mounted unit heater.
1 MRAPPVNT Residential for the install/relocate/or M
replacement of ea appliance vent
install & not incl in an appl permit.
1 �•
CITY OF CUPERTINO
FURNACE/AC
• CUPEf'TINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Grou
FURNACE FURN/AC
1 PGASRES Residential for ea gas piping system of P
1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
/ 1BSEISMICR Residential Seismic B
1MECPLNCK Mechanical Plan Check M
1MFR=<100 Furnace Syst<=100k BTU install or M
relocate ea forced-air/gravity type
fumace/burner, incl ducts/vents
• attached to such appliance up to and
include 100,000 Btu/h
1MFRN>100 Furnace Syst> 100k BTU install or M
relocate ea forced-air/gravity type
fumace/bumer, incl ducts/vents
attached to such appliance over
100,000 Btu/h
r 1 EPERMITFEE Electric Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
' 1PPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
1BUSLIC Business License B
•
J
CITY OF CUPERTINO
k: FURNACE/AC
CUPER,TINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
AIR FURN/AC
CONDITIONING
IBCAIRHAN Commercial A/C Units <= lOk CFM B
1MCRAA Commercial Mech Repair/alt/add M
1BSEISMICO Seismic Commercial B
l PGASCOM Commerical for ca gas piping System P
1-4 outlets
1PGASRES Residential for ea gas piping system P
of 1-4 Outlets
IBPGAS For each gas piping system of 5 or P
more per outlet. Comm/Resid
IBREMAIRHAN Residential A/C units <= l Ok CFM B
1MRRAA Residential Mech Repair/alt/add M
1BSEISMICR Seismic Residential B •
1 EPERMITFEE Electric Permit E
1MPERMITFEE Mechanical Permit M
1PPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
1BUSLIC Business License B
•
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.) A3 1 point
3. Energy Star Refrigerator, (Note/Spec. A-3 1 point
P. Other 1. List Green Features on Plans A-1 1 point
TOTAL POINTS1 40 points
o22,?'J./ I_ T3/
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.
INPUT Resources Energy 1ADIHealth
rte
F
cle Job Site Construction&Demolition Waste
1 point;75%= 2 points;80%=4 points up to 4 Resource pts 0
ge Reusable Building Matedals I 4 Resource pts y=yas 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 Stonnwater Practices 2 Resource pts y=yes 0
7.Protect Water Quality with Landscape Design 2 Resource pts y=yes 0
8.Design Resource-Efficient Landscapes and Gardens 4 Resource pts y=yes 0
9.Reuse Matedals/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 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 0
1 I 1
C.Structural Frame
1.Substitute Solid Sawn Lumber with 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 pts 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
La.Subfloors 1 Resource pt y=yes 0
b.Sheathing 1 Resource pt y=yes 0
• I 1 I
INPUT Resources Energy A01rioi0th
. xter or n a
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 Contain Chromium/Arsenic 1 IAO/Health pt y=yes 0
3.Install House Wrap under Siding 1 IAO/Health pt y=yes 0
4.Use Fiber-Cement Siding Materials 1 Resource pt y=yas 0
1 1 1
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 0
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 Tollest 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 IAO/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 IAO/Health pts. 0
6.Install On-Demand Hat Water Circulation Pump 4 Resource pts y=yes D
r.trecmcar
1.Install Compact Fluorescent Light Bulbs(CFLs)
(6 bulbs=2 points,10 bulbs=3 points,12 bulbs=4 pointe) 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. 0
1 I 1
G.Appliances
1.Install Energy Star Dishwasher i Energy pt y=yes 0
2.Install Washing Machine with Water and Energy
Conservation Features 1 Energy pt y=yes 0
3.Install Energy Star Refrigerator 1 Energy of y=yes 0
4.Install Built-In Recycling Center 3 Resource pts y=yes 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.Wells 4 Resource pts y=yes 0
b.Ceilings 4 Resource pts y=yes 0
6.Alternative Insulation Products(Cotton,spray-foam) •
a.Walls 4 Resource pts y=yes 0
o.uemngs 4 Resource pts y=yes 0
1 1 1
114PUT Resources Energy 1AWHealth
n ows
1.Install EnergyEfficient Windows f
• a.Double-Paned I 1 Energy pt y=yes 0
b.Low•Emissivhy(Low•E) 2 Energy pts y=yes 0
c.Low.Conductivit Frames
_ _ ____ Y :__� 2 Energy pts y=yes 0
2.Insta l Low Heat Transmission Glazing 1 Energipt y=yes 0
1 1 1
J.Heating Ventilation and Air Conditioning
1.Use Duct Masticon All Duct Joints i _� 2 Energy pis y=yes0
2.Install Ductwork within Conditioned Space 3 Energy pts y=yes 0
3.Vent Range Hood to the Outside 1 IAQ/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 31AQ/Health pts y=yes 1 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 stovestinserts 1 IAQ/Health pt y--yes 0
b. Install/Replaca 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 pis 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 31AQ/Health pts y=yes 0
1 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=yes 0
4.Install Photovoltaic(PV)System
(1.2 kw=6 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
1 1 I
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 0
1 1 1
•
r
INPUT Resources Energy 1ADIrlealth
. n oor r ua ry an n s es
1.Use Low/No-VOC Paint 1 IAO/Health pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 •
9.Use LowMo VOC Adhesives 3 IAQ/Health pis 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 B IAO/Health pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAO/Health pts y=yes 0
7.Seal all Exposed Particleboard or MDF 4 IAQ/Health 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=yes 0
10.Install Whole House Vacuum System 3 IAQ/Health pts y=yes 0
1 1 1
N.Flooring
1.Select FSC Certified Wood Flooring 8 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 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 1 1
Total oints AVIBMT e: 1 1401 1301 57
Total Points Pro'ect Received: 1 01_ 01 0 •
G:data/prr gsigreenbulidngguidelinesimmodaterstgmenpoints9nW2.12.04prWedzd.ds
•
_ Community Development
10300 Torte Avenue
- Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
OCUPERTINO
Building De artment
JOB ADDRESS: 2 n/ PERMIT #
B S � o
OWNER'S NAME: f Q PHONE # —/U!$
GENERAL CONTRACTOR - (o jf4 1,164C FAX #
I am not using any subcontractors: � U
Signature Date
Please check applicable subcontractors and complete the following 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
Owner/Contractor Signature Date