08050079 CITY OF CUPERTINO T��a,yi ' �k -= z/ �L�" ''"��
BUILDING DIVISION PERMIT Co W �`�tTQ, l '^
PERMIT NO.
BUILo�1��3WIT CARVER DR BLUE MOUNTAIN AIR 08050079
OWNER'S NAME: PERMIT ISSUE DATE
PEI CHUNG LAI 707 ALDRIDGE RD STE B 05/08/2008
NE: SANITARY NO. CONTROL NO.
(707) 451-8111
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG EIEC, PLUMB MECH
u o O LICENSED CONTRACTOR'S DECLARATION Job Description
UF 1 hereby affirm that 1 un lirsved arae,Parr doer of Chapter 9lMMMd—ing
rzl w'j with Satar 7IX05 ofDimicia 3 of the finance,and Prefelaiov Cade,and my licence i, ADD NEW AC TO EXSTNG HVAC SYSTEM
m m full fora _
ea a
Llwveclw — Lia.. �6
=F0 Dale contrame
e uvvy��� ARCHf1ECI'S DECLARATON
? < 1 undersand my plans shall W dead as public records
a
yQ to Licensed Pmicstionel
3 OWNER-BUILDER DECLARATION
I hereby,afr.Nat I un exempt from the CanlractMs Linde Law for Aa
i
no
following rtsom"(Section 71131.3.Reasd
Renames and Prefeuv Codc:Any city or county
v
which mqulra permit m conswct.alter.improve,demolish,Or mpu.any awcum
zy Pride 0 its issuance.also require the&Miami for such permit to file a sigmlmtamcnd
< that he is licensed purmamtomeprovisions ofAncondacmrauan4uw(ehaper9 Sq.Ft. Floor Area Valuation
�a (commencing with Seetion7Bto)ofDi�ion3ofmaeusinasaand Professions Cade)or $3600
Q g R thus he is exempt therefrom and the basis far the alleged cam ption My violwm of
Seed.7031.3 by dry applicant fees permit abjcW the applicant m•civil penalty ofNumber Occupancy
cot mere than fl.hundred dollars(M). 37534044VI� ane. p y Type
❑L u swan,of the popertY.car my wployev with wain u te'v mte smmpensWm.
will do the wont and she swmure isnot intended or offerta for sale(Sec.70a,Business
Nd PrefeedaN Cede:The Candemse,License Law don nat apply to an awnm of Required Inspections
Property wind Wtaawimpm.n dcemen,atd wmdoessuchworthomelier through his
own employers,pramded thatsueh improvements ere not intended aronered fright.IL
however,see Wilding or improvemere is mid within am year orampleton,the owner-
Wildv MB him the Warn of Proving trot he did mh Wild Or impmse far puryose of
sad.).
❑1.u owner of the pmpeny sm ca clusinly contracting wide licensed comMan no
construct the project(Ser.7044,Business and Pmfccdons Cade:)The Cmarnn'S U.
cove Law does out apply to an owner of Property who Wilds or improm thereon,and
who contracts[watch p njecu what a eammaidns)licensed P..,to the cmurwafs
Limit Law.
IamesumnPI MIMSM ,B@PC fan Nig myon
Owner Due
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under peWsy of perjury ane of t e following decluuianse
I him and will maintains Coalition,of Cover w self-insure for Wo tar's Campon.
stunt n provided for by Saction 3700 of the Mbar Code.fan An performance of to
work,for which this permit is armed.
Nva and will maintain W akee,Campevaton Insurance.u required by Secom
]00 of the LaWr Cada for the pufarmanee of the wank for which this .it is WOOL
MyWmr esComPe o�n I.nrotuee a/nis and Policy number are:
caLPION Na.: WORICE I(oIOBY6 /V(�
Fl CO OF COMPENSATION
INN FROM WORKERS'
COMPENSATION INSURANCE .
(Thu frim reed out he completed Ifft permit is fame Intimidating($100)
or ten)
I unify trot in the perrormawe of to wort fan which this Permit is added,l shall amt
employ any paean in any rarer m d as become subject to to WorknY Compevulm
Laws of Califomla.Data
Applicant
NOTICE TO APPLICANT:IL after making this CcrtiOcate of Facmpow.you Amid -
become subject m Im WahefS Compvltim provision of the Labor Code,you most
.,O forthwith Comply with Such pmvuiov Or Nu permit shall W deemed revoked,
.zm CONSTRUCTION LENDING AGENCY
4
I•' I Mreby afnrm and,tem iaacovm do.tendingagmmy fan Nc perfarmana of
CL > and wart fan which his Permit is added(Sac.3097,Civ.C)
GQ LcndcYs Name
=z Lcndefs Addecas
U Q 1 ardly that 1 have reed Ws application and suer Thu to above information is
tL ^. coned 1 agree to comply with all city and county endowment and sate laws missing to
C) rV^ Wilding covmction,and hembyauNwi,e ec,commims of this city cocoa,upon Ne
yathero-mcedomd property for inspection purpoeas
(We)agree to ave,indemnify and keep hurled the City of Cupertino against
(VI Iiabilities,)udgmenu,Som and eapcesas which may N dry way aarde agaivt said City
tJ z m consequence of tle granting of thisp,mit. cc p
m••m
APPLICANT,UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:9Date 5 O --0 0
SOURLCit IILATI0 1 ^{�
d `- la.,.,.,� S-eta-. d Re-roofs
Signuurt of Applican AZAlZDOU Dau
HAZARDOUS MA cLo ndl Type of Roof .
WIII to applicant or future Wilding eaupant tom or handle husrdow material
as nBmd by the Cupertino Municipal Cade.Chapter 9.13,and the Health ata Safetyewe. 0y.25532(a)? All roofs shall be inspected prior to any roofing material being installed.
Yn y7 no
'-den the, cant or rlldmm Wdain soar ant tea a tai If a roof is installed without first obtaining an inspection,I agree to remove
nP e P 9 pment m demon,which g Pe g
,an`dander air cmmmimnu u defined by 0m Bay Area Air Quality Management all new materials for inspection.
Oyer Nu
I hevSgsI Ne hvadmsmatedaumquirtmenu unaerCNpIn6"gth a Glding
nior out Safety Cada Sretiwdhao iti my aw2533a.I undvsuntlt mmaWildingt0/<-
don cotcprmany hand a benam,INR a u my reapomimhtti ic entry to aaay,. or the J
mqui (�epuwhich muubcmetp miduanccofaeertirnd,teorampamy. Signature of Applicant Date
�- aJ�
Data All f cod s to be Class's"
Ownerw,udharis ager ' roof or better
F 0106' 0079
al CITY OF CUPERTINO
FURNACE/AC
• CUPEkTINO PERMIT APPLICATION FORM
APN #. Date�
'� ?C
Building Address:
/ z) �6 vt
Owner's Name: Phone#:
�� . c,4 u" b 3- 31,>
Contract//or: Phone#:
L Fax#: 7O7 7O2 b
Contractor License#: Cupertino Business License#:
3fPF600
Contact: � Phone#:
lie cG� 707- Ys( 301 >
Fax #:
Building Permit Info:
81 Electlo Plumb Mech
Residential Commercial /
Job Description: A 1 /�� /1 c- -4-o ��S ./��� �v4 G sls Yom..
For Residential Installations:
Attic ❑ 15` floor 2"d 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):
'73 60-D � 7
Strapped El On Platform Bonded New Location Replacement
Valuation: ✓6 d o
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.
Sag, CITY OF CUPERTINO
FURNACE/AC
CUPEkTINO FEE SCHEDULE •
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1MCRAA Commercial-Repair/Alteration/Addto 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.
1 MCREPALT 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. •
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
permit.
1BSEISMICO Commercial Seismic B
1 MRRAA Residential 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.
1MRSUSHTR Residential Install/Relocate ea M
suspended heater,recessed.wall htr, or •
floor mounted unit heater.
IMRAPPVNT Residential for the install/relocate/ or M
replacement of ea appliance vent
install & not incl in an aDvI permit.
CITY OF CUPERTINO
FURNACE/AC
OCUPEkTiNO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1 PGASRES Residential for ea gas piping system of P
1-4 Outlets
1 BPGAS For each gas piping system of 5 or P
more per outlet.
1BSEISMICR Residential Seismic B
1MECPLNCK Mechanical Plan Check M
1 MFR=<100 Furnace Syst<=100k BTU install or M
relocate ea forced-air/gravity type
fumace/bumer, 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
famace/bumer, incl ducts/vents
attached to such appliance over
100,000 Btu/h
1 EPERMITFEE Electric Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
1PPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
113USLIC Business License B
•
Sm- CITY OF CUPERTINO
FURNACE/AC
CITY OF
CUPEkTINO FEE SCHEDULE •
Quantity Fee ID Fee Description Fee Permit Type
Group
AIR FURN/AC
CONDITIONING
1 BCAIRHAN Commercial A/C Units<= l Ok CFM B
1MCRAA Commercial Mech Repair/alt/add M
1BSEISMICO Seismic Commercial B
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1 PGASRES 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
/ IMRRAA Residential Mech Repair/alt/add M
1BSEISMICR Seismic Residential B •
IEPERMITFEE Electric Permit E
1MPERMITFEE Mechanical Permit M
I 1PPERMITFEE Plumbing Permit P
I1TRAVD0C Travel Documentation B
1BUSLIC Business License B
•
CITY OF CUPERTINO
• 6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 37534044 . 00
DATE ISSUED. . . . . . . : 05/08/2008
RECEIPT # . . . . . . . . . : BS000004709
REFERENCE ID # . . . : 08050079
SITE ADDRESS . . . . . : 10561 CARVER DR
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER PEI CHUNG LAI
ADDRESS . . . . . . . . . . : 10561 CARVER DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : EDWARD A GREGORY
CONTRACTOR . . . . . . . : GREGORY S . OWEN LIC # 29600
COMPANY . . . . . . . . . . : BLUE MOUNTAIN AIR
ADDRESS . . . . . . . . . . : 707 ALDRIDGE RD STE B
CITY/STATE/ZIP . . . : VACAVILLE, CA 95688
TELEPHONE . . . . . . . . : (707) 451-8111
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
------- ---------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 3 , 600 . 00 0 . 50 0 . 00 0 . 50 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
ITRAVDOC FLAT RATE 1 . 00 40 . 79 0 . 00 40 .79 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 224 . 85 0 . 00 224 . 85 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 224 . 85 MC
---------------
TOTAL RECEIPT 224 . 85
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
•
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 oints
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 oints
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 ooints
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. Ener Star Refrigerator, ( ote/Sec. A-3 1 point
P. Other 1. List Green Features on Plans A-1 1 point
TOTAL POINTS1 40 points
•
�Q)
�ZI
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 ReSOUTCeS Energy AQ1Hea1VD—
A.Site
(1.R le Job Site Construction&Demolition Waste l
65%=t point;75%= 2 points;80%=4 points up to 4 Resource pts 0
2.Salvage Reusable Building Materials _ _ I 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 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 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
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=yesl;;;F 0
I t
C.Structural Frame 1
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 IJoists 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 p
(12.Use OSB -- ---- -- l
a.Subfioors 1 Resource pt y=yes 0
• b.Sheathing 1 Resource pt y=yes 0
xtenor Fms
' INPUT Resources Energy IAO[Health
1.Use Sustainable DeckingMaterials
a.Recycled content V 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 IAQ/Health pt y=yes 0
3.Install House Wrap under Siding ! 1 IAQ/Health pt y=yes 0
L.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 0
E.Plumbing
1.Install Water Heater Jacket J 1 Energy pt y--yes 0
2.Insulate Hot and Cold Water Pipes 2 Energy pts y=yes 0
I3.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
I4.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
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.
8.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 1 t
r•.eiecmcar
11.Install Compact Fluorescent Light Bulbs(CFLs)
1(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 CFLs
(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
12.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
14.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
13.Install Recycled-Content,Fiberglass Insulation with
No Added Formaldehyde 3IAQ/Health pis 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(Colton,spray-ioam)
a.Walls 4 Resource pis y=yes 0
o.uenmgs 4 Resource pts y=yes 0
INPUT ReSOUTces Energy IAO/Health
n ows
�1.Install Energy-Efficient Windows
. 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.,Install Low Heat Transmission Glazing 1 Energy pt y=yes 0
1 1 1
J.Heating Ventilation and Air Conditioning
I"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 pt y=yes 0
4.Clean all Ducts Before Occupancy 2 IAQ/Health pts y=yes 7
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
6.Install Sealed Combustion Units
a.Furnaces 3 IAQ/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 stoves/inserts 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,Hydrohic 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) 51AQ/Health pts y=yes 0
17.Install Separate Garage Exhaust Fan 3 IAO/Health pts y=yes 0
1 I 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 16 Energy pts 0
6.Select Safe and Durable Roofing Materials__�� 1 Resource pt y=yes 0
-7 Install Radiant Harrier 3 Energy pts y=yes 0
1 1 1
L.Natural Heating and Cooling
1.Incorporate Passive Solar Heating 5 Energy pis y=yes p
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 p
1 I 1
•
INPUT Resources Energy IAD/Healff--
. n oor Air Quality and Inishes
r.Use LowMo VOC Paint 1 IAQ/HealthY=Y
is es 0
- — - P
2.Use Low VOC.Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 •
Use LowN VOC Adhesives _ 3 IAQ/Health pts y=yes 0
,t 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 y=yes 0
!7.Seal all Exposed Particleboard or MDF __ _ 4 IAO/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
Total Points A 1 1401 1301 57
Total Points Project Received: 1 0 0 0 •
G:datalprogsigreenbuildnggtidelines4emodelerstgreenpoinisfinal2.12.04prmected.xls
•
Community Development
t 10300 Torre Avenue
{r I Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
4UPEI�TINO
Building De artment
JOB ADDRESS: PERMIT # .
`D56 � � a rue /- �r ()&0S&v-7 9
OWNER'S NAME: lPe. PHONE #
GENERAL CONTRACTOR:'5 u e Ma,�4-e-A 4e I' -e- FAX # - YYG- Zv z 6
I am not using any subcontractors: �- c?- �)
Signature0 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 lie .�9Gdt7
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
n - o
Owner/Contractor ign a —` Date