08080158 CITY OF CUPERTINO
BUILDINGIDIVISION, PERMIT'
BUILDING
ADDRESS: PERMn'NO.
2,02, ( F ERT DR CALIFORNIA ROOF MANAGEMENT 08080158
OWNER'S NAME: &, PERMIT ISSUE DAM
� SEQUOIA EQUITY 5115 E 8TH ST 08/21/2008
lopNE: (510) 261-4620 SANITARY NO, CONTROL NO.
ARCHMICT/ENGINEM: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
QOIts'
z, LICENSED CONfRAC170111 DECLARATION
I hereby affirm that I mg licensed under provisions of Chapter 9(commencing Job Description
wl�=&rg7r)T.fDi n3ofthellundriessaild or. and yl'---- RPR DRY ROT&r PLYWD, WLKWYS REPLC STAIR STRINGERS
Ilc age c5c, M
to It bace good urge,,
:,Lj_ Lice. [.a
1F1 Date Contractor
AR HrMCrSDECLARArION
I undersand my plans shall W used gat public recut&
DIEU
Ig
'O�"
Licensed Professional OWNER-BUILDER DECLARATION
j<:
�' I hereby.lion I am cattirrip,from the Congragemes License Law for ft
00 following, b.scewri 70 I.S.Business and professions CoMy city of county
5which requires.Permit I.c..g jdas,ing,amm,demolish,or repair my amuctem,
prior at as issuance.also mquirc;de,applicant for such permit to file a signed suiterren,
that in,Is licensed pursuant to ft pruvismans of Us,Common's Lice=Law(Chapter 9 Sq.Ft. Floor Area Valuation
(cmdowncings with,Section 7000)or Division 3 or fle,Business and Pudessioggs Codo)or $3000
Nat he is amm,1 therefrom and de basis for the alleged!exterept1w.My�hdidi,cor of
Section 7031.5 by my applicant for.permit subjects the applicant is a civil penalty Of
but mom Nan fiw hundred dollars(15003, 35719027 .M?Pl�4umber Occupancy Type
0 I.nrwwaofftpropem,wmy=pleycowithwaguuftkmlccmpe don,
dndthe work.
raoti
lor
wdrcss
and Profession.Code:The Cwthractor's License,Law does not apply in an owner or Required Inspections
property who buildsming,gromages thencon.and who doessult work his
gragat campbsyces.pr.,i&d than such inproragergents anew,I.,, proffered for sid.B.
h..,,the Wilding or imposommed,is sold within ow year of completion.the danger.
builder will haw the,burden of proring that he did red Wild or improw,for poriand of
sale.).
0 1,as owner of the property,gue concluaNdy contracting with licensed commocomas in
couggembi the progjc,(Sec.7044.fluxuangs and Prodessimts;Code:)The Contogtoe.U-
cause Law does not apply in an ormorger of property who Wilds or improves;thereon,and
who comosets for such Projects with a corgusictor(s)Headed!pubmagin go ft Congragatior's
Llowas Law.
0 larguesucrup,umbingrSec _.H&PCfmghis..
Ower Data
WORKERS COMPENSATION DECLARATION
I hereby afflut under Penalty of perjury one of the following declarations:
I have and will maintain a Certificate ofCcannam,inself-insure for Worgogra Campos.
.no...progroided for by Section 37M of the Labour Code,for me porgeramince,of the
work for which this Permit is Wood.
-good will maintain Weriging's Compensation go;required by section
7161the Labor Conn.for the performance drum work for which this posink is issued
My WMI.1 N on carrier red Policy mundocur am:
Cartier. zn'um Policy No,: Q9 51dJ— 9Lgg�7
CEIMFICAM OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Tbis=dm need but xcompicted ifilm:Permit is Wow hundred dollars(SIM)
or bou.)
I cerfil)v that in the Performance of the work for which this Permit is iuucd.I mail not
employ any peon in my manor so as go boom=subject to the woragner compenstabort
Laws of California.Dan,
Applicant
Nonce TO APPLICANT.If.after making this Ccodificau,of Ivanimption,you sdoa5
becorms,Subject to the wersocers Compensation presvitions,or the Law cod,you a=
z (mmawin,comply with such provisions orNis Permit shall Ito decreed revoked.
z 0
1; coNmucrgON LENDING AGENCY
I lardbY affiggre Bad ft.4 1 courrectim,lending ngency to,the raggicarmawc of
ffic work for which des Permit Is Wood(Sce.3097.Ci,C.)
Landers Name
D z Limoges Address
U 0 1 codify thing I ham read this pplicaggion,and sun,that the above information I.
1,, correct 1agree W=Ply with all city and cowry oNlboxesmdsou lagosiclatingto
0 building good ho.by.gultunrien repocagemadwei.fffii.city lomaM.M.ft
tam-owndfugget!Property for inaptudo.purposes.
(We)agree to sio,c,indemnify agargil keep harmless the City of Cupertino!gairgest
Cj) Habifitica,judgments.com addupenacs which may in any my accone against said City
CJ Z in C---q—of the 1-11-If of this permit.
APPeNANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:
s Date
=Sitgo
MIOIN-1%A Re-roofs
godurcofAWlicard/Congractor C/ 1) Data
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will ft applicard,or future wilding oavpmtstmc ca brodge becomems Material
ging doligned by ft CuMblim Municipal Code.Chapter 9.12.and ft Health and Sdcty
code.Sccuon 25532(a)?
cy. N All roofs shall be inspected prior to any roofing material being installed.
0Will the applicant 2f,"miatilding oecupgant use equipment or Devices which If a roof is installed without first obtaining an inspection,I agree to remove
-gsi hv�ggdgdgg air contaminated,in,de:rjecd by ft Bay Area Air Quality Management all new-materials for inspection.
o cR
C]Y.
I have mad the maarialsrequiremmtsunder Clupn,r G95 Offt califer.
L M.Hu.1th&SidaLyCede,Setu.255115.25533 ggand�53,1.Itualcomand thadirging,Wilding
does net togragillY hew
smagral.thil it is My ma,menhility W begify tod,becuagoo of the
�Iyym..
"a which mrd met m Isaac of,
-1 ,Z.. — Signature of Applicant Date
Pat
beingdb.m U U - Dow All roof coverings to be Class or better
CITY OF CUPERTINO
• 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 35719027 . 00
DATE ISSUED. . . . . . . : 08/21/2008
RECEIPT #. . . . . . . . . : BS000005857
REFERENCE ID # . . . : 08080158
SITE ADDRESS . . . . . : 202 CALVERT DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : SEQUOIA EQUITY
ADDRESS . . . . . . . . . . : 1777 BOTELHO DR
CITY/STATE/ZIP . . . : WALNUT CREEK, CA 94596
RECEIVED FROM . . . . : EDWARD A GREGORY
CONTRACTOR . . . . . . . : JEFFERY FOREMAN - PRESIDENT LIC # 30164
COMPANY . . . . . . . . . . : CALIFORNIA ROOF MANAGEMENT &
ADDRESS . . . . . . . . . . : 5115 E 8TH ST
CITY/STATE/ZIP . . . : OAKLAND, CA 94601
TELEPHONE . . . . . . . . : (510) 261-4620
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1.13SEISMICR VALUATION 3 , 000 . 00 0 . 50 0 . 00 0 . 50 0 . 00
1FOUNDREPA EACH 1 . 00 734 . 00 0 . 00 734 . 00 0 . 00
1TRAVDOC FLAT RATE 1 . 00 40 . 79 0 . 00 40 .79 0 . 00
--- ---------- ---------- ----------
TOTAL PERMIT 775 . 29 0 . 00 775 . 29 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 775 . 29 MC
---------------
'DOTAL, RECEIPT 775 .29
U � /��
«C J CITY OF CUPERTINO
• CUPEkTINO GENERAL BUILDING
PERMIT APPLICATION FORM
APN # 5 O �7 O J Date:� � 9 -a -a��
Building Address: U N i� o SZ
Mailing Address (if different from building address):
/ 777 dWo-� �a. C/-eelc� 5�/<{,Q6
Owner's Name: Phone#:
i
Contractor:: ' /� /� Phone: ��� e 6Co
[:Lr,1 d16 cL 1X 4.s Ale WAV Fax: SGS- ZGl Vlp
Contractor License #: R08 e�p� V3
Cupertino Business License#:
• Contact: one:
Ph
7Fax:
Residential Commercial
Job Description:
j- wL) add WGl/T woyc
Building Permit Info:
Bldg Elect ❑ Plumb ❑ , Mech ❑
Type of Construction (Usage Class): Occupancy Type:
1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV-HT, V-B�
Valuation: Square Footage:
Project Size: Standard ❑ Large ❑ Major ❑
•
Revised 5/21/08
CSC CITY OF CUPERTINO
CUPEI,TINO GENERAL BUILDING
PERMIT APPLICATION FORM
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1BTEMPPER Temporary Building Permit (good for B
30 days)
1 BBOILER1 For the installation or relocation of ea M
boiler/compressor to & including 3
horsepower, or ea absorption sys to &
incl 100,000 Btu/h (29.3kw)
I 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
1 BAPPLOTH 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.
1 ELECINSP 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
ISON CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
CUPEf�TINO
• FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
ACOUSTICAL
REVIEW
IACOUSFDW SFDWL/DuplexNew B
IACOUSRESAD SFDWL/Duplex-Addition/Alteration B
IACOUSCOM Multi-Family/Commercial B
CHIMNEY'S
ICHIMNEY Chimney B
1CHIMNEYR Chimney Repair B
FENCES
Ak
lop 1 FENCE>6FT Non-masonry, over 6 ft in height B
1 FENCEMAS>6 Masonry, over 6 ft in height B
FIREPLACES
1FIREPLMAS Fireplace Masonry B
1FIREPLFAB Fireplace Pre-Fabricated/Metal B
1 FLAGPOL>20 Flag pole (over 20 ft in height) B
IMODUSTRU Modular Structures B
FOUNDATIONS
IFOUNDREP Foundation Repair B
1PILECAST Pile Foundation Cast in place concrete B
1 PILEDRIV Pile Foundation Driven (steel, pre- B
stressed concrete)
3 of 5
.(CGS;.
CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION '
CUPE(�TINO
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 ft)
1RETCRB> Gravity/Crib Wall over 10' high (up to B
50 ft)
SIDING
1SIDEST/BK Siding, Stone & Brick Veneer B •
(interior/exterior)
I SIDEOTHER Siding all other B
SKYLIGHTS .
1 SKYL<l0 SF Skylight less than 10 sf B
1 SKYL>10SF Skylight greater than 10 sf or B
structural
1STAIRS Stairs-first flight/ea addt'1 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
1STUCOAP Stucco Applications (up to 400 sf) B
additional stucco application
•
4of5
SCG- CITY OF CUPERTINO
CUP TYOF O GENERAL BUILDING APPLICATION
• FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1WINREP Replacement windows/sliding glass B
door (ea 8 windows)
1 WINMEWSTR 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
IELCPLNCK Stand Alone Electric PITT Ck (hourly) E
Ak
lop 1 MECPLNCK Stand Alone Mechanical PITT Ck (hrly) M
1 PLMBLNCK Stand Alone Plumbing Pln Ck (hrly) P
1 STPLNCK-(3 Hr Min Standard Plan Check (when no E/M/P) B
when not over counter) hourly-stand alone
1BSEISMICR Seismic Residential B
IBSEISMICO Seismic Commercial B
1TRAVD0C Travel & Documentation B
1BUSLIC Business License B
•
5 of 5
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
R• .IY,
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. A4 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
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
1.Recycle Job Site Construction&Demolition Waste
65%=1 point;75%= 2 points;60%=4 points up to 4 Resource pts 0
2.Salvage Reusable Building Materials J 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 Stormwater Practices 2 Resource pts y=yes 0
7.Protect Water Quality with Landscape Design 2 Resource pts y=yes 0
6.Design Resource-Efficient Landscapes and Gardens 4 Resource pts y=yes p
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 I 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=yesl;;F 0
I 1 !
C.Structural Frame
1,Substitute Solid Sawn Lumber with Engineered Lumber -1 3 Resource pts y=yes p
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 Ener is
9Y P 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 0S8 - - — -
I a.Subfloors
b.Sheathing 1 Resource pt y=yes 0
•
1 Resource pt y--yes p
1 1
D. xtenor Fms - ,
I1.Use Sustainable Decking Materials
a.Recycled content 3.Resource pts Y--yes 0 .
{
J.FSC Certified Wood 3 Resource pts y--yes 0
2.Use Treated Wood That Does Not Contain Chromium/Arsenic r 1 IAQ/Health pt y=yes 0
3.Install House Wrap under Siding 1 IAQ/Health pt y--yes 0
4.Use Fiber-Cement Siding Materials 1 Resource pty--yes 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 Showerheadswith—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 Toilest with Ultra-Low Flush Toilets
(1 point each,up to 3 points) A Up to 3 Resource pts. 0
5.Install Chlorine Filter on Showerhead - 1 IAQ/Health pt y=yes 0
B.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
S.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 1 1
r.tieccncar
�1.Install Compact Fluorescent Light Bulbs(CFCs)
(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 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 CFCs
(1 point each,up to 4 points) Up to 4 Energy pts. 0
1 1 1
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 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-Cont"eni,Fiberglass Insulatwn wwith
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 •
S.Alternative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y=yes 0
D.uemngs 4 Resource pts y=yes 0
1.Windows
ra.
nstall Energy-Efficient Windows
• Double-Paned 1 Energy pt y=yes 0
b.Low-Emissivity(Low-E) 2 Energy pts y--yes D
c.Low.Conductivity Frames2 Energy pts Y--yes 0
2.Install Low Heal Transmission Glazing ___ 1 Energy pt Y--yes 0
1 1 f
J.Heating Ventilation and Air Conditioning
r.Use Duct Mastic on All Duct Joints _ _ 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
8.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 SEERM I 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 stovesfinserts 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=yes 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 Heal Recovery Ventilation Unit(HRV) 5 IAQ/Health pts y=yes 0
17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y=yes p
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
9- Safe and Durable Roofing Matedals - 1 Resource pt y=yes 0
7.Install Radiant Barrier 3 Energy pts Mes 0
1 1 1
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 I
•
M.Indoor Air Quality and Finishes
11.Use Low/No-VOC Paint _ _ _ _t 1 IAQ/Health pts y--yes D '
2.Use Low VOC,Water-Based Wood Finishes_ 2 IAQ/Health pts y=yes 0 •
3.Use Low/No VOC Adhesives 31AQ/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 6IAQ/Health pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts yeses 0
Seal all Exposed Particleboard or MDF 4 IAQ/Health. pts y=yes D
B.Use PSC Certified Materials for Interior Finish 4 Resource pis y=yes 0
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes D
10,Install Whole House Vacuum System 3 IAQMealth pts y--yes 0
1 1 1
N.Flooring
1.Select FSC Certified Wood Flooring B Resource pts y=yes 0
2.Use Rapidly Renewable Floo ng Mate als` _ _—� 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 51AQ/Health pts y=yes 0
5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0
6.Install Recycled Content Carpel with Low VOCs 4 Resource pts y=yes 0
f 1 1
Total Points Available: 1 1401 1301 57
Total Points Project Received: 1 01 01 0
G:daWprogs)greenbuildingguidelineshemodelea�greenpointsfina121204prmeped.ds
•
Community Development
y 10300 Torre Avenue
!R 'V Cupertino CA 95014
y^ Telephone(408) 777-3228
CITY OF Fax(408)777-3333
4fUPERTINO
Building Department
JOB Sl-¢ t'�e �, U �6 7 y PERMIT #
0D Z OO v
OWNER'S NAME: v c ui u PHONE
GENERAL FAX # ,rr _ 6 - y6 r-t
I am not using any subcontractor
igna a Date
Please check applicable subcontractors and complete the following information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
1. 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/C tra or ignature Date