08050149 CITY OF CUPERTINO ° _;;�� ^"x i: • 'r'w -
BUILDING DIVISION PERMIT 'ACTONINFORMATIQN
'R,
PERMIT NO.
BUILD tTMEsbASTINE AVE JEFF HULTQUIST 08050149
OWNER'S NAME: PERMIT ISSUE DATE
JFFF' HULTQUIST 10630 CASTINE AVE 05/19/2008
NE: SANITARY NO. CONTROL NO.
ARCHn2KTIENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
am'z LICENSED CONTRACTOR'S DECLARATION JObDescription
i ng 1 hemby Norm that 1 w licensed under provisions of Chapter 9(Commencing
with Section 7")of Division]ofthe Business Professions Code.and my lketsm is RMDL, CHG 2 BTHRM SNKS & 1 FAN
n in full forts and effect.
j a _ License Clw Ir'.0
cF, Date CoMakor
3p ARCHRECCS DECLARATION
ul3 1 understand my plus shall be used as Table mensda
�n
g c Lirowd Profound onel
Sys Os'I ran ompt from
DECLARATION
F 1 hereby alrirm on 1 1.wmpt fs an Ute CssioestCo e A nye Law for the
p o following mason.(Section]8513,Business and Pmfde o demolish.
Cade:Any city or county
3 S which rcgdms Issuance.permit re cores the aper,improve,demolish,ni repair any ameou t
dun heor i Imaked Torment
t to the thovisio s f ac Contractor's
pewit m Pecks,signed sus,mcm
EMC this lsislieetamd punmantmthe Provisions of NC Contractml Lxense law(CTaPtu9 Sq.Ft. Floor Area Valuation
Yom$ (cwmenringwid SeNon7000)ofDivisionSoftheBuslrca ft(wionsCode)or $500
that he is exempt themfrw and the basis for the alleged exemption.Any violation of
Section 7051.5 by arty applicant for a permit subjects the applicant to a civil porosity of pt Number Occas
not mN
om eo five handedA,p
&Ram(SM 32643028:YjY Occupancy Type
❑I,u owner of the property.or my wployses with wages as Nov sole compewtion,
ae do thescent,and NehectorahnoNns,ndede Law
does
to an Buainw
and Property
to Cade:Ile Conummr'a nd who Taw aces not apply m anuough of Required Inspections
property who beolds i impromch impr and who does such work dimmerurtNoegh his;
own cmployw,provided thatrpr such improvements am not ear of
aroRend the owner.
however.Ne balding or imPmvement is mid within one you or mpPkdov.de awcer-
buildc will have lie burden of Pro^ng Nat he ala rot bald or improve:for puryoe of
sok.
1,an owner of the pmperty,w exclusively contracting wide Bmrued mnuanan m
mutt the project(Sec.7W.Bonuses and Prefeadons Cade:)The ConnxTor'a U.
conn law does om apply m an owner or property who builds or improves thereon,and
who contracts for such projects with a mnuacmr(s)licensed pursuant he the Contencto8
Lkckm law.
❑I weswptumen See ,Bl PCfmthismason
wnvDau S f4 OS
WORK OMPENSATION DECLARATION
1 by afBm under penalty of perjury orc of the following declsnfotu:
❑1 have and will maintain a Ceelfscae of Cmrenl to elf-insure for Warkor'a Compen-
season,u Provided for by Section 5700 of Its,labor Code.for the pu(urmance of the
work for which this pewit is issued.
1 have and will maintain Wormes Owpensstion Insurance,as rtquirtd by Section
30 ofthe labor Code.for the performance o(the west forwhich this permit is issued. '
My Worker's Compensation Tennessee carrier and Puliq number are:
Carrier, Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
n7uis section need not be completed If tie permit Is foronc hundred dollar(SIW)
.dexo)
1 certify that in tb<performaece of the work for which Nis Permit is issued.I Nall not
employ any person in any manner ad bee esu 'est the Workers!Compensation
Ln ws of u r* D•
N(mCni `rfs a
NOnCE Tom+ PLICA .IL oder maring this Canificate of Fawption,you should
become ser ect m the W peri Compcnsktion provisioner of the labor Code.you meet
.J 0 forthwith comply with.such Previsions or Nu pewitilWl he deemed remind.
51 CONSTRUCTION LENDING AGENCY
[ti I hemhy affirm that Nem is a cousuuctim lendingge
anry for Nformancer
e Leru
C the wish for which Utes pewit is issued(Sec.3097,Civ.C.)
1.14Q Lc s Nuns
0, z sander's Address
U 0 1 testify that 1 have mrd this application and sate Nu the above information u
mrtxt 1 ague m comply with all city and county mdinances and sus,laws relating m
0 building mwmcdon.W hereby auNoria mpmmnudvcs of this city to enter uTen the
E
r 4 ahme-mentioned Property for also me which a
(We)agree to nw,indemnify and keep hawks the City of Cupertino against
f+h incenseximdeofinecastsandofpanwmiteh may many wayamue against said City
(„)z A APPLICANT
of deegranting of this permit. �—
r-i APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
��SOUR GULATIO 5. S �
���9�et Re-roofs
Si of Applicant' ontremr Dam
HAZARDOUS Type of Roof
Will the applicant or future building ocevpant nue or handle haesadous materiel
se defined by the Cupe time Municipal Code.Chapter 9.13,and then Health and Safety
Cade,Section 355320)? v All roofs shall be inspected nor to an roofing material peon
❑Yes 1}6. P P Y g g installed.
Will the applicant or fumm building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
eDm�er�m oiI cenuminanus defined by thm Bay Area Air Quality Management all new materials for inspection.
❑Yes : Nu
1 hew reed the hannel mak tart mqui.nvmtaumkr LTapm6.95 of thc Califon.
ma HulNkSafety Code,Sued.ZM5.25533a d 25534.1 ceder ane d nifthe building
docs net curondy haw a went thus it is my tnpbesibility m ratify the occupanl of the
mqui rota which must le met prior m issuance his Certificate sura span Signature Of Applicant Date
S e6 All roof coverings to be Class'%{."or better
or audeomte m Date' g
CITY OF CUPERTINO
• 5 ITEMS OF 5 PERMIT RECEIPT OPERATOR: pdtg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 32643028 . 00
DATE ISSUED. . . . . . . : 05/19/2008
RECEIPT # . . . . . . . . . : BS000004826
REFERENCE ID # . . . : 08050149
SITE ADDRESS . . . . . : 10630 CASTINE AVE
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : JEFF HULTQUIST
ADDRESS . . . . . . . . . . : 10630 CASTINE AVE
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-1313
RECEIVED FROM . . . . : JEFF HULTQUIST
CONTRACTOR . . . . . . . : LIC # *OWNER*
COMPANY . . . . . . . . . . : JEFF HULTQUIST
ADDRESS . . . . . . . . . . : 10630 CASTINE AVE
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-1313
• TELEPHONE . . . . . . . . :
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 500 . 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
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 163 . 66 0 . 00 163 . 66 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 163 . 66 MC
---------------
TOTAL RECEIPT 163-. 66
•
� . 005 n 149
CITY OF CUPERTINO
ADDITION/REMODEL
• CUPEI�TINO PERMIT APPLICATION FORM
APN # 2; J Y 5 D� p 0 Date: S 1' 20 d 8
Building Address: 0
Mailing Address (if different from building address):
Owner's Name: Phone #
JJ-( N� �t vis—l' (1108) -732- — 9327
Contractor: Phone#:
('Ve
Fax #:
Contractor License #:
Cupertino Business License#:
Contact: Phone #:
Fax#:
Building Permit Info:
Bldg. ❑ Elect. ❑ Plumb. ❑ Mech. ❑ Hillside ❑
Job Description: 1 C k�S to unn
' G lea nqP� ro m -{-w o S•
�,I a;r;nn�3a,no cq footage): 'T\J
.ns Fc �� t: fie on oor
Whatis being remodeled? �M+k c-o o M re of V e-r%4 T�`
(to-W �7wollI r-een 6`ard
Remodel Includes Re-Roof: Yes ❑ No P5 If yes list number of squares
Remodel Includes Structural: Yes ❑ No
Square Footage:
Addition: Porch: Deck: Garage: Detached Attached
Remodel: KitchenBath Other
Type of Construction (Usage Class): Occupancy Type:
IA, IIB ❑ 11, 11I,V-A ❑ 11, 11I, 1VV-BR- 3
Valuation: iso o Please check this box if the project is a
second-story addition ❑
Please complete relevant portion of the Green Building
Checklist& attach it to the application or if applicable, Green Building Points Achieved:
include in plan set& the sheet index. 62-11
***For Office Use Only***
Over-the-Counter ❑
CITY OF CUPERTINO
ADDITION/REMODEL
� ..
OF
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
ADDITIONS 1R3SFDADD
PLLONGRNGR Long Range PL
Plannin esidential
1R31NSP Dwellings Inspections B
1R3PLNCK Dwellings plan check B
1R3REPINSP Dwellings Repeat B
Inspection
1 R3REPPLNC Dwellings Repeat Plan B
Check
1R3HINSP Dwellings Hillside B
ins ection
1R3HPLNCK Dwellings Hillside plan B
check
1R3HREINSP Dwellings Hillside B
Repeat Inspection •
1R3HREPLNC Dwellings Hillside B
R eat Plan Check
1R3ALTINSP Dwellings Alternate B
Materials Inspection
1R3ALTPLNC 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
1DECKWOOD Deck (Wood)-Each B •
Each
IDECKRAIL Deck Railing-Each B
(Each)
CITY OF CUPERTINO
ADDITON/REMODEL
FEESCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
GARAGES 1R3SFDADD OR
1R3SFDREM
IGARDTW<=1K Wood Frame up to B
1,000 SF
1GARDTM<=1K Masonry up to 1,000 SF B
BCONSTAXR Construction Tax Res
(new detached garage)
PATIO'S OPEN IR3SFDADD OR
1R3SFDREM
1PATIOWOOD Wood Frame up to 300 B
SF
1PATIOMETAL Metal Frame up to 300 B
SF
1PATIOOTHER Other Frame up to 300 SF B
PATIO'S CLOSED 1R3SFDADD OR
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)
1REROOFRES Residential Re-roof Each B
100 SF
REMODELS 1R3SFDREM
1REMRESKIT Kitchen Remodel up to B (Deduct `I"for ea plan
300 SF check
1REMRESBAT Bath Remodel up to 300 B 66
SF
1 REMREOTH Other Remodel up to 300 B
SF
REMODEL PLNCK
1 STPLNCK (1-3 for Standard Plan Check B NOT FOR OVER THE
remodel) COUNTER PLAN CKS.
3 of 3
CITY OF CUPERTINO
ADDITONIREMODEL
FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
S Ft
WINDOW/SLIDING 1R3SFDREM
GLASS DOOR
1 WINREP Replacement windows B
(ea 8 windows)
1 WINNEWNSTR New Window (non- B
structural)
1WINMEWSTR New Window (Structural B
Shear Wall/Masonry)
1WINBAYSTR Bay Window (Structural) B
SKYLIGHTS 1R3SFDREM
1 SKYL<10 SF Skylight less than 10 sf B
ISKYUlOSF Skylight greater than 10 B
sf or structural
ISTAIRS Stairs-first flight/ea addt'l B .
` IEPERMITFEE Electrical Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
1 1 PPERMITFEE Plumbing Permit Fee P
1 ELCPLNCK Stand Alone Electric Pln E
Ck (hour]
1 MECPLNCK Stand Alone Mechanical M
Pln Ck(hourly
1 PLMPLNCK Stand Alone Plumbing P
Pin Ck(hourl
1BSEISMICRE Seismic Residential B
' 1TRAVDOC Travel & Documentation B •
1BUSLIC Business License B
4of3
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 7points
11. Permeable Paving, Note L-1 C. Foundation 1. Use 15% Flyash Concrete, (note) S-1 D. Structural 3. Uses Wood I-Joist, (See Spec.) S-2 5. Use Truss with heels, (detail) S-2 6. B. OSB Sheathin detail S-2
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 1oint
P. Other 1. List Green Features on Plans A-1 1 point
0YAMMENOM TOTAL POINTS1 40 points
Al3 �
3
eD
0
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 ResDutces Energy A011-leafth
A.Site
1.Recycle Job Site Construction&Demolition Waste M
659%=1 point;75%= 2 points;80%=4 points up to 4 Resource pts 0
2.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
8.Design Resource-Efficient Landscapes and Gardens r 4 Resource pts y=yes
9.Reuse Mater als/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
I 1 I
S.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--yes0
1 1 1
C.Structural Frame
h 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. a
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 Ener �s
b.Wall 9Y P` Y=Yes 0
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 0SB
• a.Subfloors — _ — -- — — 1 Resource pt y=yes p
J.Sheathing 1 Resource pt y=yes p
1 1 1
D.Exterior Fffs;P� INPUT Resources Energy ]AD/Health
I1.Use Sustainable packing Matedals .
a.Recycled content ; 3 Resource pts Y_—Yes 0
IJ.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
13.Install House Wrap under Siding 1 IAQ/Health pt y=yes 0
I4.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 0
E.Plumbing
1.Install Water Heater Jacket __ 1 Energy pt y yes 0
2.Insulate Hot and Cold Water Pipes y 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 Toilest 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 IAQ/Health pt y--yes 0
6.Convert Gas to Tankless Water Heater 4 Energy pts y=yas 0
7.Install Water Filtration Units at Faucets
(2 points each,up to 4 points) Up to 4 IAQ/Hsalth pts. 0
B.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 1 1
r-.necmcar
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 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
FInstall Energy Star Dhwa
issher 1 Energy pt y=yes 0
2,Install Washing Machine with Water and Energy )
Conservation Features f 1 Energy pt y=yes 0
3.Install Energy Star Refrigerator 1 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 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.Instal(Recycled:Content,Fiberglass Ir sulation wifh
No Added Formaldehyde _ M 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.Altemative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y=yes 0
o.ueilings 4 Resource pts y=yes 0
I.Windows INPUT Resources Energy IAQ,'HeIt"
• It.Install Energy-Efficient Windows
a.Double-Paned
1 Energy pt Y--yes D
( , b.Low-Emissivity(Low-E) 2 Energy pts Y--yes D
c.Low.Conductivity Frames
` __Heat_— Y _---- — .�— 2 Energy Pts y yes D
2:Install Low Transmission Glazing 1 Energy pt y=yes 0
1 1 1
J.Heating Ventilation and Air Conditioning
F1'Use—Duct Mastic on All Duct Joints T - 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 D
4.Clean all Ducts Before Occupancy 2 AC/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
S.Install Sealed Combustion Units
a.Furnaces 31AQ/Health pts y--yes 0
b.Water Heaters 31AQ/Health pts y=yes 0
9.Replace Wall-Mounted Electric and Gas Heaters with
Through-the-Wall Heal Pumps 3 Energy pts Y--yes 0
10.Install 13 SEER/11 EER or higher AC with a TXV 3 Energy pts yg1es 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 stovesMserts 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 Heat Recovery Ventilation Unit(HRV) 5 IAQ/Health pts y-yes - 0
17.Install Separate Garage Exhaust Fan 31A0/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=yas 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 Roofng Materials 1 Resource pt y=yes 0
7.Install Radiani Barnes — -- 3 Energy pts y=yes 0
1 1
L.Natural Heating and Cooling i
1.Incorporate Passive Solar Heating 5 Energy pts 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 1 1
INPUT ResouTces Energy [AD/Health
M.In&DOr Alr Qualityan Finishes
1.Use Low/No-VOC Paint 1 IAQ/Health pts y=yes 0 •
2.Use Low VO—C,Water-Based Wood Finishes 2 IAO/Health pts y=yes 0
3.Use Low/No VOC Adhesives _ 3 IAQ/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 61AQ/Health pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 0
J.Seal all Exposed.Padicleboard or MDF _^ _ _ 4 IAQ/Health pts y=yes 0
B.Use FSC Cedified Materials for Interior Finish 4 Resource pts y=yes 0
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes 0
ID.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 pis 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 Available: 1 1401 1301 57 •
Total Points Project Received: D 0 51 0
G:datalpings/gmenSoildmgguidelineslremodeleygreenpeinlsf nal2.12.04pro.eaed.zls
•
PTY
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
F Fax(408)777-3333
SCUPEkTINO
Building Department
JOB ADDRESS: PERMIT#
1063a r✓as+,1.� f��G. o of
OWNER'S NAME: Je,-C4 14v ;s +- PHONE # 732 - 9327
GENERAL CONTRACTOR: S FAX # oti
I am not using any subcontractors:
Signatdre 6ate
Please check applicable subcontractors and complete the followinginformation:
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
� I o
—Owy er/Contractor Signature kate