08080015 CITY OF CUPERTINO T r �/v� ,�,r✓�r.-�.t.•a' .i&1 * ^�T�i* _ ` '"T"(�' � ` '
BUILDING DIVISION PERMIT Yz +$3'N' ,RACTOR 1!IFORM TIO
BUING ADDRESS: PERMIT NO.
IL
.0066 BYRNE AVE TBD - TO BE DETERMINED 08080015
OWNER'S NAME: PERMIT ISSUE DATE
G REENS'I'EIN DAVID 08/04/2008
ONE: SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
C l� C C
' uO0 LICENSED CONTRACTOR'S DECLARATION Job Description
firm that I am licensed under provisions of Chaper 9(commencingP
ZZ with Section 7IXp)ofDivision 3ofthe Business and Professions Code,an ylicenseis MSTRBTH RMDL; NON-STRUCTRL
, to full forte and effecsQ ID O
p;Z License Clan (�gV ic.• D
E Dam If—41—D Contractor FmE. C'Qk2 v rLw�.
ARCHITECTS DECLARATION
g I understand my plans shall be used as public records
LLo Licensed Professional
OWNER-BUILDER DECLARATION
rn
gu. I hereby aRrm that I am exempt from Ihe Contractors License Law for the
.O 0 following reason.(Section 7031.3,Business and Professions Code:Any city or county
mE which requires a permit to construct alter.improve,demolish.or repair any structure
i y prior to its issuance.also requires the applicant for such permit to file a signed statement
< that he is licensed pursuant to the provisions of the ContractoriLicense Law(Chapter 9 Sq.Ft. Floor Area Valuation
Y(`,,<
(commencing with Section 7000)of Division Sof the Business and Professions Code)or $38000
e � that he is exempt therefrom and the basis for die alleged exemption.Any violation of
Section 7031.3 by any applicant for a permit suhjttu the applicant to a civil penalty of Number Occu ane Type
not more than five hundred dollars MM. 35716144 . Occupancy YP
I.as owner of the property.or my employees with wages as their sole compensation.
will do the work.and the structure is not'mended or offered for sale(Sec.7044.Business
and Professions Code:The Contractors License Law does not apply to an owner of Required Inspections
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 offered for sale.If. •
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
•
sale.).
0 Las owner of the property.am exclusively contracting with licensed contractors to
construct the project(Sec.7044.Business and Professions Code:)The Contractor's Li.
cense Law does not apply to an owner of property who builds or improves(lereon,rod.
who contracts for such projects with a contractor(s)licensed Pursuant to the Contractor's
License Law.
O l am exempt under See ,Bait PC for this reason
Owner Date
W ORKE'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declensions:
have and will maintain a Cenifiase of Consent to self-insure for Worker'sCompen-
don,as provided for by Section 3700 of the Labor Code,for the performance of the
work for which Nis permit is issued.
fli I have and will maintain Worker's Compensation Insurance,so required by Section
700 of the Labor Code.for the performance of the work for which this permit is issueaL • '
My Workers Compensation Insurance carrier and Policy number see: /' QQ� •
Cartier. C+nC
'ww ./r-/t2 Policy No.: '7300
f n D /
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thu seecum need not be completed if the permit for one hundred dollars(SI®)
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 manner so as to becomes bject to the Workers'Compcnsadon '
Laws of California.Dale
Applicant
NOTICE TO APPLICANT:If.after making this Certificate of Exemption,you should
become subject to the Workers Compensation provisions of the Labor Code,you must
0 O forthwith comply with such provisions or this permit shall be deemed revoked.
ZCONSTRUCTION LENDING AGENCY
FI hereby Cum that there is a consuucsinn Lending agency for the performance of
Ci> the work for which this permit is issued(Sec.3097,Civ.C) .
14 6 Lenders Name
' tenders Address •
00 1 comfy Nat I have read this application and state that the Wove information is
,^ correct I agree to comply with all city and county ordinances and sum laws relating to
•0 lSJ^ building conswction.and hereby authorise representatives of this city to enter upon the
W above-mentioned properly for inspection purposes /
(~ LL (We)agree to save,indemnify and keep harmless the City of Cupertino against
VN liabilities.judgments.costs and expenses which may in any way accrue against said City �IIPI
Z in consequence of the granting of this permit Alii.
H APURCPLICANT
R UNDERSTANNDDSSAAND WILL COMPLY WITH ALL NON-POINT Issued by: t- Ile 4!v. Date c— tt^fr s
-�V q'e,4—C)r Re-roofs •
Signature of App ionUContractor Dale .-- /�---
HAZARDOUS MATERIALS DISCLOSURE Type of Roof -
Will the applicant or future building occupant sort orhandle haadous material •
as defined by the Cupertino Municipal Code.Chapter 9.1;and the Health and Safety
Code,Section 33330(a)7 Yes pNo All roofs shall be inspected prior to any roofing material being installed.
If a roof is installed without first obtaining inspection, g an I agree to remove
Will the applicant or future building occupant use equipment or devices which
hauddous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection.
❑Yes EtNo
Ihdr aevd the yCede Scousmam0ahs33and 353 der.tun ruand.95o(Ne Gilding
duHcoNhSntlyCede Sections iitmy rapon33ilit1 todcrosldeuticthe tofe -
),[— 0
does potwhich
have a tenant dict it is mance responsibility Certificate
to notify the occupant of the /
requirements which or issuance nr,eenirwtte nr Occupancy. Signature of Applicant Date
Owner or anNrm ,sent Date , All roof coverings to be Class'%?."or better CI'
CITY OF CUPERTINO
• 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg
COPY # : 1
Sec : Twp: Rng: Sub: Blk: Lot :
APN • 35716144 . 00
DATE ISSUED • 08/04/2008
RECEIPT # • BS000005672
REFERENCE ID # . . . : 08080015
SITE ADDRESS • 10066 BYRNE AVE
SUBDIVISION
CITY • CUPERTINO
IMPACT AREA
OWNER • GREENSTEIN DAVID
ADDRESS • 10066 BYRNE AVE
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM • ROBERT E PEREZ
CONTRACTOR • TBD - TO BE DETERMINED LIC # 00096
COMPANY • TBD - TO BE DETERMINED
ADDRESS
CITY/STATE/ZIP ,
TELEPHONE . . . .. . . . . :
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REG NEW BAL
1BSEISMICR VALUATION 38, 000 . 00 3 . 80 0 . 00 3 . 80 0 . 00
1.BUSLIC FLAT RATE 1 . 00 110 . 00 0 . 00 110 . 00 0 . 00
1REMRESBAT SQ FEET 140 . 00 429 . 00 0 . 00 429 . 00 0 . 00
1.STPLNCK HOURS 1 . 00 122 . 00 0 . 00 122 . 00 0 . 00
TOTAL PERMIT : 664-. 80 0 . 00 664 . 80 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
CREDIT CARD 664 . 80 VISA
TOTAL RECEIPT : 664 . 80
Onaf oot
CITY OF CUPERTINO
ADDITION/REMODEL
• cukidiNO PERMIT APPLICATION FORM
APN # , 5 •7/ �p Rig, DC7 •Date: 8' V-08
Building Address:
100(0 6, 671n e.-' /VIC
Mailing Address (if different from building address):
Owner's Name: Phone# :
huio `pReenlfret nJ `f ds$�
Contractor: Phone#:
t�Cpg-202- 3/l O
fReeeRt C, &re 2 COALS*• "tie , Fax #: 110 r(-Z2 7 - g7r7
Contractor License#: 7 g,6 o S
Cupertino Business License#:
Contact: Phone#:
I2oI�� e. rQ f-e-� fag — zp2-311 o
Fax #:
Building Permit Info: C1o_modaA
Bldg. ❑-- Elect. 4.-- Plumb. Q Mech. Li Hillside ❑
slob Description:
Addition (adding sq footage):
What is being remodeled (not including addition)?
,54-eK &*4— p ctekt: - non S-\‘-1/4_,c.h-u-v1 .
Remodel Includes Re-Roof: Yes ❑ No 2 If yes list number of squares
Remodel Includes Structural: Yes ❑ No
Square Footage:
Addition: Porch: Deck: Garage: Detached Attached
Remodel: Kitchen Bath xC I+{-D Other
•
Type of Construction (Usage Class): Occupancy Type:
1-A, 1-B X II/III/V-A ❑ IUIII B, IV-HT, V-B q- —7
Valuation: 5p 000 Please check this box if the project is a
second-story addition ❑
Project Size: Express ['Standard ❑ Large ❑ Major❑
Please complete relevant portion of the Green Building
•
hecklist& attach it to the application or if applicable, Green Building Points Achieved:
dude in plan set & the sheet index. ZSZ
***For Office Use Only***
Over-the-Counter ❑ Revised 7/01/08
•
CITY OF CUPERTINO
lyd.� ADDITION/REMODEL
cu.LivTINO FEE SCHEDULE
•
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
ADDITIONS 1R3SFDADD
PLLONGRNGR Long Range PL
Planning/Residential
1R3INSP Dwellings Inspections B
1R3PLNCK Dwellings plan check B
1R3REPINSP - Dwellings Repeat B
Inspection
1R3REPPLNC Dwellings Repeat Plan B
Check
1R3HINSP Dwellings Hillside B
inspection
1 R3HPLNCK Dwellings Hillside plan B
check
1R3HREINSP Dwellings Hillside B
Repeat Inspection
1R3HREPLNC Dwellings Hillside B •
Repeat Plan Check
1 R3ALTINSP Dwellings Alternate B
Materials Inspection
I R3ALTPLNC Dwellings Alternate B
Materials Plan Check
1PCESS Cesspool P
1PPRSEWG Ea. Private Sewage P
Disposal System
1PRSEWER Sewers P
1BPSPRINK Lawn Sprinkler/Backflow . P
1BPWSVCS Main Water Service P
1BSEISMICRE SeismicResidential B
DECKS 1R3SFDADD OR
1R3SFDREM
I DECKWOOD 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
DETACHED 1R3SFDREM
1GARDTW<=1K Wood Frame up to B
1,000 SF (each)
1GARDTM<=1K Masonry up to 1,000 SF B
(each)
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
SF ,
1P ATIOOTHER Other Frame up to 300 SF B
PATIO'S CLOSED 1R3SFDADD OR
• & SUN ROOMS 1R3SFDREM
1PATIOENCLW Enclosed Wood up to 300 B
SF
1PATIOENCLM Enclosed Metal up to 300 B
SF
1PATIOENCLO Other Enclosed Patio up B
to 300 SF
1COVPORCH Porch Covered-Each B
(Each)
REMODELS 1R3SFDREM
IREMRESKIT Kitchen Remodel up to B (Deduct "S"for ea plan
300 SF check)
IREMRESBAT Bath Remodel up to 300 B 46
NO SF
1REMREOTH Other Remodel up to 300 B 64
SF
1REMRES2 Remodel Residential B
Greater than 1000 sq ft
• 1REMRES3 Remodel Residential B
Greater than 2500 sq ft.
3of3
CITY OF CUPERTINO
ADDITON/REMODEL •
FEE SCHEDULE •
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
REMODEL PLNCK
1STPLNCK (1-3 for Standard Plan Check B
remodel) NOT FOR OVER THE
COUNTER PLAN CKS.
IREROOFRES Residential Re-roof Each B
100 SF
WINDOW/SLIDING 1R3SFDREM
GLASS DOOR
1 WINREP Replacement windows B
(ea 8 windows)
1WINNEWNSTR New Window (non- B
structural)
1 WINMEWSTR New Window (Structural B
Shear Wall/Masonry)
1 WINBAYSTR Bay Window (Structural) B
SKYLIGHTS •
IR3SFDREM •
• 1 SKYL<10 SF Skylight less than 10 sf B
1SKYL>1OSF Skylight greater than 10 B
sf or structural
ISTAIRS Stairs-first flight/ea addt'l B
1EPERMITFEE Electrical Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
1 PPERMITFEE Plumbing Permit Fee P
1 ELCPLNCK Stand Alone Electric Pln E
Ck (hourly)
1 MECPLNCK Stand Alone Mechanical M
Pln Ck (hourly •
1 PLMPLNCK Stand Alone Plumbing P
Pln Ck (hourly)
4 of 3
CITY OF CUPERTINO
•
ADDITON/REMODEL
• FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
1BSEISMICRE Seismic Residential B
1 TRAVDOC Travel & Documentation B
/ 1BUSLIC Business License B
•
•
5 of 3
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)
Tq 't i,,,, .- ".,...,:u .'i-t-1/4 t . t, f ?It; *bT .� ..7r %; "+ ;;;Pg , h �7v.
.H . r :,wJ!:.:a c .,rt .4`0•Ye.i r ;V 5A .i.TMWVi.'.-
B. Site 9. Install H.E. Irrigation, (details/specp 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) 5-2 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 1 point
P. Other 1. List Green Features on Plans A-1 1 point
'r' =s:-. TOTAL POINTS Cd-- 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.
INPUT Resources Energy IAO/Health
A.Site
FT-Reny–de—Job Site Construction&Demolition Waste
65%=1 point;75%= 2 points;80%=4 points . up to 4 Resource pts _ 0
f2.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
18.Design Resource-Efficient Landscapes and Gardens _ J 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-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
Substitute Solid Sawn Lumber with Engineered Lumber _1 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
8.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 — " 'i
a.Subfloors 1 Resource pt y=yes 0
• ; b.Sheathing _ _ 1 Resource pt y=yes 0
0 0 0
INPUT Resources Energy IAQ/Health '
D. xtenor lots
11.Use Sustainable Decking Materials
a.Recycled content 3 Resource pts y=yes= 0 •
I
b.FSC Certified Wood 3 Resource pts y=yes 0
12.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAQ/Health pt y=yes 0
I3.Install House Wrap under Siding
I — 1 IAQ/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 0
3.Retrofit all Faucets and Showerheads with Flow Reducers I
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 Toilest with Ultra-Low Flush Toilets I
(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 41AQ/Health pts. 0
6.Install On-Demand Hot Water Circulation Pump 4 Resource pts )(ryes 0
0 0 0
r.uecmcal
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 CRs(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
0 0 0
G.Appliances
%
1.Install Energy Star Dishwasher 1 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 pt y=yes— 0
4.Install Built-In Recycling Center L 3 Resource pts y=yes_ 0
0 0 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 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 0
• b.Ceilings 4 Resource pts y=yes 0
6.Alternative Insulation Products(Cotton,spray-foam) •
a.Walls 4 Resource pts y=yes 0
D.Ceilings 4 Resource pts y=yes 0
0 0 0 .
•
INPUT Resources Energy IAO/Health
. I.Windows
-
h.Install Energy-Efficient Windows
I
• I a.Double-Paned 1 Energy pt y=yes 0
b.Low-Emissivity(Low-E) 2 Energy pts y=yes 0
c.Low.Conductivity Frames _— _ _ _ 2 Energy pts y=yes 0
-2.InataltLow Heat Transmission Glazing 1 Energy pt y=yes 0 .
0 0 0
J.Heating Ventilation and Air Conditioning •
11.Use Duct Mastic on All Duct Joints _ _ _ 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 pt y=yes 0
i 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 IAO/Health pts y=yes 0
b.Water Heaters 3lAOHealth 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 stoves/inserts• 1 IAQMealth 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 Filter 4 IAO/Health pts y=yes 0
16.Install Heat Recovery Ventilation Unit(HRV) • 51AQ/Health pts y=yes 0
17.Install Separate Garage Exhaust Fan 3 IAO/Health pts y=yes 0
0 0 0
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
16.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 0
0 0 0
•
•
INPUT Resources Energy IAO/Health
. ndoor it Quality an. 'rushes
[7.Use Low/No-VOC Paint - 1 [AO/Health is es 0
_ P y=yes
Use Low VOC,Water-Based Wood Finishes — 2 IAOMealth pts y=yes 0•
•
1I3--. pts
y=yes Low/No VOC Adhesives � 3 IAO/Healthe
s 0
L —
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0
5.Use Engineered Sheet Goods with no added Urea
. Formaldehyde 61A0/Health pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IA0/Health pts y=yes 0
r-
7 Seal all Exposed Particleboard or MDF _ 4 IAO/Health pts y=yes 0
6.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 IAO/Health pts y=yes 0
0 0 0
N.Flooring
1.Select FSC Certified Wood Flooring 8 Resource pts y=yes 0
12.Use Rapidly Renewable Flooring Materials _ J 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 IAO/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
0 0 0
•
•
Total Points Available: 1401 1301 57
•
Total Points Project Received: I 01 01 01 •
•
G:datalprogstgreenbuildingguidelineshemodelers/greenpointslina12.12.04protecledxls
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ULecb2tcrrC X007 2 CC.,
APPHCAPLIZe
IN ACCORDANCE WITH THE CITY jjdi
D 41160•
4?0pB CUPERTINO CODES AND ORDINAN I-1 a o7
f1� '�g wIL t -ogCSC .p07
O0 This set of p;an^ and specifications MCSY
•
be kept on the I n at all times and it is un
lawful to maim ny changes or alteration!r fl OFrfiI P 3 SI Jo€ a—S
10.
on earns with pu written permission fron. / (L 6ReL£rc-
the bu lding Ucpt., City of Cupertino. w( M�D g UR�
•
The stamping of this plan nd specification!
• :a SHALL NOT be held to
permit
approval of the violation of any
tbe ar
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Community Development
10300 Torre Avenue
tt i Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
CUPEILTINO
Building Department
JOB ADDRESS: PERMIT #
lo 066 0(S-0 StP7i-
OVVNER'S
s 0str7i-
OWNER'S NAME: 'pAn)I Q Og pe .Js-e, cJ PHONE # %'fl 2 5 S-EZ ge
GENERAL CONTRACTOR: sager- 4, fen_ FAX #
I am not using any subcontractors: O `6 t{'D d
Signature Date
Please check applicable subcontractors and complete the following information
Ea 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
A f`- °
Owner/Cr tractor Signature Date