08050156 CITY OF CUPERTINO -0.issi +a^;a -t` e405 = a
BUILDINcDrv)S)Ofr PERMIT ONTRAC`NTQRI,NFURMATIO
BUILDING ADDRESS: PERMIT NO.
11445 CHARSAN LN R H BATHROOM REMODELING 08050156
OWNERS NAME: PERMIT ISSUE DATE
LEE HIRSCH _ 20149 THOMPSON RD 05/20/2008
NE: SANITARY NO. CONTROL NO.
(408) 354-1911
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
O O C I=
u 000 LICENSED CONTRACTORS DECLARATION • Job Description
us I hereby arm that I ant licensed under provisions of Chapter 9(commencing p
ice;
_=� with Section 7IXg0ofDivision 3ofthe Busincasand ProfcuiOSCde s�iceneu RMDL MSIR BTH,RPLC FXTRS LIKE4LIKE IN EXSTNG
n=D• in full force and effect (�/��`�u')V S
iq? License Class /3 Lica LOCS, PLMBNG/ELEC/MECH,' R H BATHROOM REMODELING
5k-� Date raJ/O Contractor I' AM14 memg 4
ARCHITECT'SDECLA ATION RENWD BUS LIC 5/20/8
IIA1 understand my plans shall be used as public records
Licensed Professional '
C
3 OWNER-BUILDER DECLARATION
Pc.I I hereby alarm that I am exempt from the Conuanah License Law for the
p 0 following mason.(Section 7031.3,Business and Professions Code:Any city or county
3 e which requires a permit to construct.alter.improve.demolish,or repair any mauve
u z i 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 Contractor's license Law(Chapter 9 Sq.Ft. Floor Area Valuation
Ya (commencing with Section 7000)of Division 3ofthe Business and Professions Code)or $25000
e 5n that he is exempt therefrom and the basis for the alleged exemption.Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of p�,,ppNN Number Occupancy Type
• mom than five hundred dollars(5503). 36210049 .tl(7' p y
0 I.as owner of die property.or my employees with wages as their sole compenndon. .
will do the work,and the awctme is not intended or offered for sale(Sec.7044.Business
and Professions Code:The Contractor's 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 an 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.). •
o I.as owner of the property-am exclusively contacting with licensed contractors to ,
construct the project(Sec.7044.Business and Professions Cale:)The Contractor's Li- -
cense Law does not apply to an owner of property who builds or improves thereon.and,
who contracts for such projects with a contractor(s)licensed pursuant to the Contractor's •
License Law.
❑Iamexempt underSec. ,B&PCfaNisreason
4ierDau
WORKER'S COMPENSATION DECLARATION
I hereby affim under penalty of perjury one of the following declarations:
❑I have and will maintain a Cerdfrcare of Consent to self-insure for WorkefsCompen-
sation,as provided for by Section 3700 of the Labor Code,fur the performance of the
work for which this permit is issued. -
❑I have and will maintain Worker's Compensation Insurance,as required by Section
3703 of the Labor Cale.for the performance of the work for which this permit th issued. '
My Worker's Compensation
llosuranc{e'osier and Policy number are: •
Carrier. S'y e A/t1 Policy No.: /lie 27q4 3 '
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This scab need not be completed if the permit is for one hundred dollars($100)
or less.)
1 certify that in the performance of the work for which this remit is issued.I shall not
employ any person in any manner m as to become subject to the Workers'Compensation '
Laws of California.Dau '
Applicant
NOTICE TO APPLICANT:If.after making this Certificate of Exemption,you should
become subject to the Worker's Compensation provisions of the Labor Code,you must
0 Z forthwith comply with such provisions or to permit shall be deemed revoked.
?
O ' CONSTRUCTION LENDING AGENCY
N I hereby affirm that there is a con{tmclion the work fur whichlending a
Ili ri Lender's Name thisteensy'for the performance of
W Q permit is issued(See.3097,Civ.C.)
CL
z fender's Address '
0 0 I certify that I have mad this application and suss that the above information is
4. coney.I agree to comply with all city and county ordinances and state laws relating to
K
'0 SVS building onswcdon.and hereby sutorim representatives of this city to enter upon Inc
al above-mentioned property for inspection purposes /
y, hamlets(We)agree to save,indemnify and keep haless the City of Cupertino against
rel liabilities,judgmenu,costs and expenses which may in any way accrue against said City _11.
(„)z cPLe ofDeRToS thipermit. 1 �Za te>
^' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: 4a Air�� Date
SOURCE REGULATIONS.r
Signature Re-roofs 'of Apptican aurae • .�Date J
HAZARDOUS MATERIALS DISCLOSURE Type of Roof •
Will the applicant or future building occupant store or handle hazardous material
as defined by the Cupertino Municipal Code.Chapter 9.12.and the Health and Safety
Code.CaY" Na Section 25532(x)?
• All roofs shall be inspected prior to any roofing material being installed.
Will tin,applicant or future buildingoccupantequipment If a roof is installed without first obtainingan inspection,I agree to remove
pp use a tai ut or which l�
emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection.
District?
ltl���
❑Yes No •
I have read the Wankel'materials requirements under Chapter 6.95 of the Califor-
nia Health&Safety Code,Sections 25505,25533 and 25534.1 understand low if the building
does not currently have a tenant.that it is my responsibility to notify the occupant of the
✓equire:nem which must be met prio • tee of a Cadfcate of Ckcupanry.
Signature of Applicant Date
CaOwner or brim agent Dam' coverings All roof verin s to be Class'yr or better
I
C.
•
CITY OF CUPERTINO
• 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg
COPY # : 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN • 36210049 . 00
DATE ISSUED • 05/20/2008
RECEIPT # • BS000004837
REFERENCE ID # . . . : 08050156
SITE ADDRESS • 11445 CHARSAN LN
SUBDIVISION
CITY • CUPERTINO
IMPACT AREA
OWNER • LEE HIRSCH
ADDRESS • 11445 CHARSAN LN
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4981
RECEIVED FROM • RICHARD A HORTON
CONTRACTOR • RICH HORRON LIC # 23649
COMPANY • R H BATHROOM REMODELING
ADDRESS • 20149 THOMPSON RD
CITY/STATE/ZIP . . . : LOS GATOS, CA 95033
• TELEPHONE • (408) 354-1911
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
1BSEISMICR VALUATION 25, 000 . 00 2 . 50 0 . 00 2 . 50 0 . 00
1BUSLIC FLAT RATE 1 . 00 110 . 00 0 . 00 110 . 00 0 . 00
1REMRESBAT SQ FEET 122 . 00 429 . 00 0 . 00 429 . 00 0 . 00
1STPLNCK HOURS 1 . 00 122 . 00 0 . 00 122 . 00 0 . 00
TOTAL PERMIT : 663 . 50 0 . 00 663 . 50 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
CHECK 663 . 50 #1432
TOTAL RECEIPT : 663 . 50
411
� r 0?05 0 /56
CITY OF CUPERTINO
cf
ADDITION/REMODEL
• CUPERJINO PERMIT APPLICATION FORM
APN # LO / 0 0 L/ 9, v 0 Date:
Building Address:
//' 'C Gl, I In •
Mailing Address (if different from building address):
Owner'sName: / Phone# :
//
/ee /rn0{ I onn7 /-(Jrch 1(c6 qq ; 111/4Contractor: - r Phone#:/70e 35-a( mit
j jA-7 hf (Lown. Q2 iv-ea-c c:I Fax #: 4103" 3S7-/ 7113
Contractor License #: 675-02C
Cupertino Business License it: a 3 (p (.{-9
Contact: r ca nor( Phone#: A/pg A/7Z 96 5-6
Fax #: 4/03 357-172((5
Building Permit Info:
Bldg. Elect. 71 Plumb. a Mech. ® Hillside ❑
Milr Job Description:
Addition (adding sq footage):
What is being remodeled? /i- —
/� .ser l3Arz reit/26e 1,5crvre5 //Ke Fir l'ke
I.-? ext,-r$ /oc/firvns, 471e9
Remodel Includes Re-Roof: Yes ❑ No M If yes list number of squares
Remodel Includes Structural: Yes ❑ No
Square Footage:
• Addition: _Porch: - Deck: Garage: Detached Attached
Remodel: Kitchen Bath x Other
/21 %
Type of Construction (Usage Class): Occupancy Type:
1A, 11B ❑ 11, Ill, V-A ❑ 11, 111, IVV-B
Valuation: Please check this box if the project is a
ZS.GAG, 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.
***For Office Use Only***
Over-the-Counter ❑
CITY OF CUPERTINO
ADDITION/REMODEL 10111.!
cuPERJINO 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
1 R3REPINSP 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
1R3ALTINSP Dwellings Alternate B
Materials Inspection
1 R3ALTPLNC Dwellings Alternate B
Materials Plan Check
IPCESS 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
IDECKWOOD " 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
1R3SFDREM
• 1GARDTW<=1K Wood Frame up to B
1,000 SF
1 GARDTM<=1 K Masonry up to 1,000 SF B
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 B
SF
1PATIOOTHER •Other Frame up to 300 SF B
PATIO'S CLOSED 1R3SFDADD OR
. 1R3SFDREM
IPATIOENCLW Enclosed Wood up to 300 B
SF
• 1PATIOENCLM Enclosed Metal up to 300 B
SF
1 PATIOENCLO Other Enclosed Patio up B
to 300 SF
1COVPORCH Porch Covered-Each B
(Each)
•
•
1 REROOFRES Residential Re-roof Each B
100 SF
REMODELS 1R3SFDREM
IREMRESKIT Kitchen Remodel up to B (Deduct "$"for ea plan
300 SF check)
1REMRESBAT Bath Remodel up to 300 B "
SF
1REMREOTH Other Remodel up to 300 B 64
SF
• REMODEL PLNCK
/ I STPLNCK(1-3 for Standard Plan Check B NOT FOR OVER THE
I remodel) COUNTER PLAN CKS.
3 of 3
CITY OF CUPERTINO
ADDITON/REMODEL
FEE SCHEDULE •
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
WINDOW/SLIDING 1R3SFDREM
GLASS DOOR
1 WINREP Replacement windows B
(ea 8 windows)
1 WINNEWNSTR New Window (non- B
structural)
1WINMEWSTR New Window (Structural B
Shear Wall/Masonry)
1 WINBAYSTR Bay Window (Structural) B
SKYLIGHTS 1R3SFDREM
I SKYL<10 SF Skylight less than 10 sf B
1 SKYL>10SF Skylight greater than 10 B
sf or structural
1STAIRS Stairs-first flight/ea addt'l B .
1EPERMITFEE Electrical Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
1 PPERMITFEE Plumbing Permit Fee P
1ELCPLNCK Stand Alone Electric Pln E
Ck (hourly)
1MECPLNCK Stand Alone Mechanical M
Pln Ck (hourly
1PLMPLNCK Stand Alone Plumbing P
Pin Ck(hourly)
IBSEISMICRE Seismic Residential B
I TRAVDOC Travel & Documentation B •
1BUSLIC Business License B
4 of 3
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sProjeI : , e / aFt'rvres ,Sixr//V'/$ Gh/ S74i Wim/
95-0/1, /217z SqFM
Cv/e ,—,no J
L'c rrykror f . M• Cvsro�r IZ�mccf .L:r3 (L/o8) 3sZ//c. //
.2x/4/9/ /7o�npso�r /2c,C , /1,Yf'nsc W ,75'Z�ZS— rrq APPROVED
Ao S 6 n-rz�s CA- '7 5Z3 3 CCNOOCODES ACE ITH THE ND ORDINANCES
or
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IVEUir
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cii-iSf? "rssetUIplans andGAG,Yns+3/ / Gi3 kept onthe sPe fixationsIC
+ ul to lob at all times MUST
� �� r 5 make any chap and it is Un
mi same Without changes or alteration,
ai same n :oaf
De written permission fron.
i i+i scam pth' City of Cupertino.
}I/ Prb of this plan and sPepfications
l�t'PLjPc� L 1101 be held to permit or
• /fit �� 'r Wal of the violation of . to be ar
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I
Community Development
10300 Tone Avenue
Cupertino CA 95014
• Telephone(408)777-3228
CI OF Fax(408)777-3333
CUPERJINO
Building Department
All Cupertino building permits must meet certain conditions related to maintaining
environmental quality and public peace and safety. The two most common
conditions are described below.
STORMWATER POLLUTION CONTROL
State law requires that Cupertino, 12 other Silicon Valley cities, Santa Clara County and
the Santa Clara Valley Water District control stormwater pollution. Educating local
residents and businesses and enforcing stormwater pollution control laws are key parts
of the City's compliance efforts.
Stormwater pollution prevention: It's up to us
In northern Santa Clara Valley, storm drains flow directly to local creeks and San
Francisco Bay, with no treatment. Stormwater pollution is a serious problem for wildlife
dependent on our waterways, for people living near streams and baylands, and for the
local water supply. Common sources of stormwater pollution include:
• Dripped oil, fuel, and antifreeze from vehicles and heavy equipment;
• • Construction debris, including dirt, concrete and paint;
• Landscaping runoff containing pesticides or weed killers; and
• Any material dumped or spilled into streets or storm drains
• The property owner and the contractor share ultimate responsibility for activities'
• occurring at a construction site and will be held responsible for any environmental
damage caused by subcontractors or employees.
For more information on construction-related stormwater requirements, see the
Stormwater Quality Regulations section of the City of Cupertino web site at:
http://www.cupertino.orq/city government/departments and offices/
environmental services
•
COMMUNITY NOISE CONTROL
The basic noise control requirements for construction sites are as follows: •
• Typical construction work hours are:
- Weekdays - 7 a.m. to 8 p.m.
- Weekends - 9 a.m. to 6 p.m.
• Construction other than street construction is prohibited on holidays.
• Residential daytime noise levels from complaint site - 60 dBA
• Nonresidential daytime noise levels from complaint site - 65 dBA
For more information on noise control, please see Chapter 10.48 of the Cupertino
Municipal Code, which can be accessed at http://www.amlegal.com/Cupertino ca/
•
Greg Casteel
Building Official
1
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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)
,..-.:M1.,.; <*'�SR.!" r .. ?�s.:�.'sn'�rS v¢Y'r.,�Yt�','R � { Y al,+y$'in>, I ° P`H„
. ,.rS� 7r,. . � .N.p ir':l;u7+x+i+,kv & >",,.a , r,[.5�;xf,:'
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) 5-1 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.) 12-1 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
+=* K;c 'l,,;, TOTAL POINTS 40 points
7(LICIs Ckcr1ai GI
•
•
OFNICE Cop
ops
Rso:11,, , a
A
NAY zil
vMos
• •
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 IAQ/Health
A.Site
1.Recycle Job Site Construction 8 Demolition Waste 1
i
65%=1 point;75%= 2 points;B0%=4 points i 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 8 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 4 Resource y=y
pts es 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
U •
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
h.Substitute Solid Sawn Lumber with Engineered Lumber J 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 Stn ctural Insulated Panels(SIPs)
a.Floors • 3 Ener
b.Wall Energy pts 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
2.Use 058 - ---- --- ---
w
a.Subfloors ( 1 Resource pt y=yes 0
• b.Sheathing 1 Resource pt •y=yes 0
.
. f 0 0,, 0
INPUT Resources Energy .IAD/Health
D.Exterior Finish
17.Use Sustainable Decking Materials. -- •
a.Recycled content a Resource pis y=yes— 0
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
13.Install House Wrap under Siding 1 1 IAQ/Health pt y=yes— 0
14.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 0
0 0 0
• E.Plumbing
1.Install Water Heater Jacket
— ---
_J 1 Energy Pt Y=Yes D
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 Toilest with Ultra-Low Rush Toilets
(1 point each,up to 3 points) t 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 4 IAQMealth pts. 0
8.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
. 0 a
r.tieczricai -
•
1.Install Compact Fluorescent Light Bulbs(CFCs)
(6 bulbs=2 points,10 bulbs 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. 1 0
3.Install Lighting Controls(1 point per fixture,up to 4 points) Up to 4 Energy pts. liq y 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 StarDishwasher 1 Energy pt y=yes— 0
2.Install Washing Machine with Water and Energy .
Conservation Features . I 1 Energy pt y=yes- 0
3.Install Energy Star Refrigerator ( 1 Energy pt y=yes_ 0
4.Install Built-In Recycling Center —_ _ _ • 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.Instill'Recyclbd-Content,Fibe}glass Insulation witf
Lo Added Formaldehyde _ 1 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 y=yes,4 Resource pts es 0
6.Alternative Insulation Products(Cotton,spray-loam) •
a.Walls 4 Resource pts y=yes 0
o.uenmgs 4 Resource pts y=yes 0
0 -.0 - 0
•
. INPUT Resources Energy 1AO/Health
I.Windows
:1.Install Energy-Efficient Windows
• .
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
0 0 0
J.Heating Ventilation and Air Conditioning •
r.Use Duct Mastic on All Duct Joints1 2 Energypts
--.. y=yes 0
2,Install Ductwork within Conditioned Space 3 Energy pts y=yes 0
3.Vent Range Hood to the Outside 1 IAO/Health pt y=yes0
4.Clean all Ducts Before Occupancy 2 IAO/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 3 IAO/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 stoveslnserts 1 IAO/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 4IAO/Health pts y=yes 0
16.Install Heat Recovery Ventilation Unit(HRV) 5 IAO/Health pts y=yes 0
17.Install Separate Garage Exhaust Fan 3 IAO/Health pts y=yes 0 .
I
. 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=1 8 points) Up to 18 Energy pts 0
g 1 Resource ty=yes
6 Select Safe and Durable Roofn Materials
7.Install Radiant Barrier 3 Energy pts y=yes 0
- - . Q U Q
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.
•
•
INPUT Resources Energy IAO/Health
Indoor Air Quality an. Finishes
1.Use Low/No-VOC Paint 1 IAQ/Health pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 •
3,Use Low/No VOC Adhesives ptsy=yes
I 3 1A0./Health — es D
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 61AQMealth pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 0
;7.Seal at Exposed Particleboard or MDF . 4 IAQMealth pts y=yes 0
B.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
0 0 0
•
N.Flooring
1.Select FSC Certified Wood Flooring B Resource pts y=yes 0
[2.Use Rapidly Renewable Flooring Materias 4 Resource is es
3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0
4.Install Natural Linoleum in Place of Vinyl 5!AO/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: ill 01 Ol 0
G:datarprogslgreenbuildingguidelineslremodelerslgreenpoinisfinal212.o4protected.xis
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Community Development
10300 Torre Avenue
I .! `' J Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
OUPERTINO
Building Department
JOB ADDRESS: PERMIT #
//4"6"C C/4/-7/-;,9n ,4 oeosors '
OWNER'S NAME: T ejnn,Y �/ee Al;,-5,4 PHONE # 4477 ;Sz//eri(
GENERAL CONTRACTOR:0 f-f cc '5
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ndii,, FAX # %,3 3sra7 -j // 3
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I am not using any subcontractors: f/r�Q C/ /
n a'
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