08070179 CITY OF CUPERTINO ��,L� .0 a a :.wi-
BUILDING DIVISMN PERMIT AC,OI�ITRAC,000NFO 'IATIOI�I
BUILDING ADDRESS: PERMIT NO.
101.84 COLBY AVE CAMPISI CONST. (DBA JC 08070179
OWNER'S NAME: PERMrf ISSUE DATE
MARK CAI3RALES 14828 NELSON WAY 07/24/2008
NE: SANITARY NO. CONTROL NO.
(408) 391-9418
ARCHITEC(ENGINEER: BUILDING PERMIT INFO
I� t� PLUMB MECHQ
3aa LICENSED CON RACIOR'S DECLARATION
m O I Macby aMm that 1 un asnvA under pmvW=of Chapter 9(mmmcncing Job Description
_i withsection7IX1B)ofOivhioe3afdraddressWProfessionsCode,ubmyliccnscu SVC CHG 'RPLC PANL W/200A SVC ,
_<m in full for¢and c@cs
J0Z Lkenx Clsa Lk.L
nFJp Dax Contractor
�7y ARCHITECT'S DECLARATION
< I undetnand my plans mail be used an public records;
JtU
L Licensed Professional
OWNER-BUILDER DECLARATION
C 0 E 1 bertWy.(Tirm Net 1 1. exempt ante Ne Caste Cou License Law for the
COO following mason.(Section l 7031.5. t.alter. a0 Prorve.de ooli Cade:Any city m county
$� which rtquire a permit x cnnsrra4 alar.improve,demolish,or mpoir ay structure
prior in its issuance.also mquires the applicant for such permit to rile a signed matmnat
< "bc is licensed pumant xtiu povisimu of the Conlrmara License Law(Chapter 9 Sq.Ft.Floor Area Valuation
$ (commcuin with Suction] $2500
g 000)of basisonl ort he Eusinwad Pfofea vi Code)
Net he h exempt thertfmm and the.sena for the Waged exemption.Any violation of
Section 1031.5 by srry,applkat for.permit mbjccts the applkat to a civil pensiry ofNumber Occu ane e
oat fume than five hundred dollar.(scam 316 2 8 0 3 4 - P Y�'P
0 I,u owma of to Proprny'•m my employes wIN wage a tiev robe compensation,
wnd Prthework,and Neswnuseunaldunded, awounforsak(Sm.]ON,Bmmw
and enywi ons Core:The Contractor,l.kwe Law doe tet apply a a owner of _ Required Inspections
properlywhobuild.orimgot s himprarkwho desam:hworkhunulrmthmuLh his
own ,cr.me building
pts suchimpmwmeu sum not ear ocdmoRerN for alt It.
howmmilder,Ne beidh a or en of pmat u halt within one year of.prom for
the owner-
builder will love the burden of proving that he did tet build or improve Ind WrPase of
aicJ.
.
as mmer of the property am arclu,ivcly counseling with licensed Omniscient to
nstmet the project(Sec.7014.Business and PmfcWom Code:)The Caosemrs U.
cense law dote not apply in an owner of ilmperty who bunds or mummies themon.and
who contracts fm much projects with a cmtacxr(s)licensed pursuant in use Cooustor s
License Law.
undmypmNi msC3fo,n
OwDuel�ER S COMPENSATION DECLARATION
I hereby affirm under penalty of Perjury oro of ten following decta ndmu:
I Mm and will maintain a Cururieteof Consent in self-ho om rte Warsces Compete
alien,a provided for by Section 3700.17 the Leben Code,for the pefformence of the
work for which Nis permit is issued.
0 1 hive and will maintain Water's Compemadmi Ivmrr .as squired by Section
3`70K).1'de,LaW Code,for the pufomarrce of site work for which that permir is amed
My Wiwi l Compemadon Inaw.carrier ad Policy number are:
Cartier. Policy Nm:
CERTIFICATE OF EXEMPTION FROM WORRERB
COMPENSATION INSURANCE
(Thu section round nmbecompheted lite permit Is forum hundred dollars($I00)
or less)
1 certify that in the performance of the aro rte which Nis it u issued,I mall not
empty any person ininaym����Jmt�Worken'Compensaton
Iawsar CaiRomi Date
Acelleat '0 /�_�
NOTICE TOnj Nu CCnifinx of Eaemprfon,you,hest
become subject an the Wows Compensation provisions of IM Labor Codc,you most
.J z forthwith comply with men provisions or Nu permit shall W deemed rewired.
z y CONMUCT10N LENDING AGENCY
I hemby afRrm them Vert is•comemedon lending agesy for the perturmace of
ai
the xvrk for which this Permit Is issued(Sec.3097,Civ,C.7
6Wi 0 Lenders Name
7 Z Landers Address
V Q I cmify that 1 Mm read this application and state Nat Ne abate information ie
Lz co l agta a comply with all city and comfy o ince and cute laws reladnL a
0 building conarowan,and hereby mNmia mitesecom ca of Nu city in mrm upon the
r W above-mendmcd property fm immersion puryases
f~ 0. (We)agree to save,indemnify,and keep harmless the City of Cupertino against
fn liabilities,judgmmu,cmu and eapcmn cme which may In my way acagainst Wit City
fJ z in cons'..of the grating of this pump.
APPLICANT LIN ANDS A WI C PLY rIH ALL 0 POINT Issued by: Date -2 /7 L
APPLICANT
R ULATI NS.
2 uW ll���l Re-roofs
o pph HAZARDOUS MATERIALS DISCLOSURE Ute Type of Roof
Wei the applicant or futurt Wilding mcupantstom m Nndlc hruNous materiai
as defined by the Cupertino Municipal Code.Chapter 9.11 and the Health and Safety
ewe,Section 25532(.)? ) All roofs shall be inspected prior to any roofing png material being installed.
❑Yns �o
/� If a roof is installed without first obtainingan inspection,I agree to remove
Will the applicant or future building acvpam sex equipment or devices which
t haaknua air conumimnts a dcOrcd by the Bay Ams Air Quality Maagemcnt all new materials for inspection.
Disrkt±
Oyes
I hoe red Ne ha ardous mnedid,requimmew underctapur695o dhe Califar-
maHealm&SarnyCode.Sections;25505.25533 ark25534.1 undmead Nstirthe Wilding
dom not corrtnty lave•rvunl Nat it' m Nlity m ruury tie of the
rtquimmc whin isca=1 ' m acmti0cateltryu. ¢y.h el Signature of Applicant Date
tQwi,lfir auNariadagi Dine I All roof coverings to be Class'W or better
CITY OF CUPERTINO
• 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 31628034 . 00
DATE ISSUED. . . . . . . : 07/24/2008
RECEIPT # . . . . . . . . . : BS000005578
REFERENCE ID # . . . : 08070179
SITE ADDRESS . . . . . : 10184 COLBY AVE
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : MARK CABRALES
ADDRESS . . . . . . . . . . : 10184 COLBY AVE
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2420
RECEIVED FROM . . . . : MARK L CABRALES
CONTRACTOR . . . . . . . : JAMES L. CAMPISI LIC # 26219
COMPANY CAMPISI CONST. (DBA JC CONST. )
ADDRESS . . . . . . . . . . : 14828 NELSON WAY
CITY/STATE/ZIP . . . : SAN JOSE, CA 95124
TELEPHONE . . . . . . . . : (408) 391-9418
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
--- - ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 2, 500 . 00 0 . 50 0 . 00 0 . 50 0 . 00
1EPERMITFE 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 82 . 08 0 . 00 82 . 08 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 82 . 08 VISA
---------------
TOTAL RECEIPT 82 , 08
•
Def07 x / 79
alo-r
CIT
Y OF CUPERTINO
• CUPEkTINO GENERAL BUILDING
PERMIT APPLICATION FORM
APN # � � Date: l •L'E D�
Building Address: ���c6tf C_G��Ly AVE .
Mailing Address (if different from building address):
Owner's Name: MAPK Phone#:
Contractor: G���fS i Phone: L/01�-- S-S9_(� cJ�9
GA(4,P151 C4j/JS`iY1 vLi l l� ✓\ Fax: O — g — rl X69
Contractor License #: 62 2-2-9<,r
Cupertino Business License#:
Contact: 57 1 /n CA rAl f M1 Phone:
• Fax:
Residential Commercial
Job Description: �C(LV 1 Ce CszLn e '; [ac e av,
v Zoo A S--e"Cf,
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 C'--
Valuation: j2-57yD Square Footage:
Project Size: Express [Standard ❑ Large ❑ Major ❑
Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it
Points Achieved:
to the application or if applicable, include in plan set& the sheet index.
• .
For help, contact Build it Green at www.builditgreen.org tF—
Revised 7/01/08
WCITY OF CUPERTINO
CUPERTINO GENERAL BUILDING
PERMIT APPLICATION FORM
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1 GENCOM
1BBOILERI 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
IBBOILER2 Installation /relocation of ea M
boiler/compressor over 3 horsepower
to & incl 15 horsepower, or ea
absorption sys over 100,000 Btu/h
1 BBOILER3 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)
IPLMBINSP Other Plumbing& Gas Inspections P
(per hour) •
IMEEfl—NG IHR Application Meeting B
CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
• CUPEkTINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
IGENCOM
ACOUSTICAL
REVIEW
IACOUSFDW SFDWL/Duplex New B
IACOUSRESAD SFDWL/Duplex-Addition/Alteration B
1ACOUSCOM Multi-Family/Commercial B
CHIMNEY'S
ICHIMNEY Chimney B
ICHIMNEYR Chimney Repair B
FENCES
Ah
IMF 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
1 FOUNDREP Foundation Repair B
1 PILECAST Pile Foundation Cast in place concrete B
IPILEDRIV Pile Foundation Driven (steel,pre- B
stressed concrete
3 of 5
Sam CITY OF CUPERTINO
CITY Or GENERAL BUILDING APPLICATION
CUPERTINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
RETAINING
WALL(CONCRETE
7OR MASONRY
1 RETSTN Standard (up to 50 ft) B
1 RETSP310 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
SHED-(EACH) Shed Over 120 sq ft B •
SIDING
1 SIDESTBK Siding, Stone.& Brick Veneer B
interior/exterior
1 SIDEOTHER Siding all other B
SKYLIGHTS
1 SKYL<10 SF Skylight less than 10 sf B
1 SKYL>10SF Skylight greater than 10 sf or B
structural
1STAIRS Stairs-first flight/ea addt'l 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)
4of5
CITY OF CUPERTINO
CUP TYOF O GENERAL BUILDING APPLICATION
. FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1STUCOAP Stucco Applications (up to 400 sf) B
additional stucco application
1 WINREP Replacement windows/sliding glass B
door ea 8 windows)
1WINMEWSTR New Window-structural shear B
wall/masonry includes plan ck fee
r IEPERMITFEE Electrical Permit Fee E
IMPERMITFEE Mechanical Permit Fee M
1 PPERMITFEE Plumbing Permit Fee P
IMF
1 ELCPLNCK Stand Alone Electric Pln Ck (hourly) E
1MECPLNCK Stand Alone Mechanical Pln 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
113SEISMIC0 Seismic Commercial B
/ 1TRAVDOC Travel & Documentation B
1BUSLIC Business License B
5of5
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 Woad 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 Dints
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, (NoWSpec.) P-1 2 points
5. Tankless W.H., (Note/Spec.) A-2 2 points
11.A 2500 Gal.Tank, (Note/Spec L-1 10 cints
G. Electrical 4. E. Ceiling Fans, (Note/Spec.) A-3 4 paints
H. Appliances 1. Energy Star Dishwasher, (Note/Spec.) A-3 1 point
3. Energy Star Refrigerator, (Note/Spec. A-3 1 oint
P. Other 1. List Green Features on Plans A-1 1 point
TOTAL POINTS 40 paints
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
- INPUT Resources Energy IAO/Heafth
Recycle Job Site Construction.&Demolition Waste
V65%-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
6.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 16n
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=yes0
3.Insulate Foundation/Slab before backfill 3 Energy pts y=yesF::::F p
1 1 1
C.Structural Frame
11 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 Structural Insulated Panels(SIPS)
a.Floors 3 Energy pts y=yes 0
b.Wall 3 Energy pts y=yes 0
c.Roof 3 Energy Pls Y=Yes 0
10.Apply Advanced Framing Techniques 4 Resource pts y=yes p
11.Use Reclaimed Lumber for Non Structural Applications 3 Resource pts y=yes 0
X12.Use OSB -- - --�-- - ---- -- --'
a.Subfloors 1 Resource pt y=yes p
• b.Sheathing _ 1 Resource pt y=yes p
INPUT Resources Energy IAQ/Health
.Exterior rmsh
(Luse Sustainable becking Materials
a.Recycled content 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 IAD/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 pt y=yes 0
E.Plumbing
1.Install Water Heater Jacket f- _J 1 Energy of y=yes 0
2.Insulate Hot and Cold Water Pipes 2 Energy pis 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
(1 point each,up to 3 points) � Up to 3 Resource pts. 0
5.Install Chlorine Filter on Showerhead 1 IAO./Health of y=yes 0
6.Convert Gas to Tankiess 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 IAO/Health pts. D
8.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 1 1
t-.rrecuncar
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
1.Install Energy Star Dishwasher 1 1 Energy pt y=yes 0
2.Install Washing Machine with Water and Energy
Conservation Features 1 Energy pt y=yes 0
3.lnstall Energy Star Refrigerator 1 Energy pt 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-Content,Fiberglass Insulation with —'
No Added Formaldehyde 3 IAO/Health pts y=yes 0
4.Use Advanced Infiltration Reduction Practices 2 Energy pis 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
o.Uewngs 4 Resource pts y=yes 0
• I.Windows INPUT Resources Energy [AD/Health
'1.Install Energy-Efficient Windows
a.Double-Paned 1 Energy pt y=yes E01 b.Low-Emissivity(Low-E) 2 Energy pts y=yes c.Low.Conductivity Frames 2 Energy pts y=yes 2.Install Low Heat Transmission Glazing 1 Energy pt y=yes
1 1 I
J.Heating Ventilation and Air Conditioning
1.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 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 31AO/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=yes0
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 41AQ/Health pts y=yes 0
16.Install Heat Recovery Ventilation Unit(HRV) 5 IAQ1Health pts y=yes 0
17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y=yes 0
1
K.Renewable Energy and Roofing 1 1
1.Pre-Plumb for Solar Water Heating 4 Energy pts y=yes 0
2.Install Solar Water Heating System 10 Energy ptsy=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
III Selecf Safe and burable Roofing Materials -__ 1 Resource of y=yes 0
-7.Install Radiant Barner 3 Energy pts y=yes p
1 1
L.Natural Heating and Cooling 1
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
•
MPUT Resources Energy [AD/Heafth
.Indoor Air Quality and Finishes
1.Use Low/No-VOC Paint _ _ 1 IAQ/Health pts y=yes
2. 0
Use Low VOC,Water-Bas_ed Wood Finishes _ _ 2 IAQ/Health pts y=yes 0 •
R.Use Low/No V(5C Adhesives 31AQ/Health pts y=yes
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes D
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 61AQ/Heallh 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 IAQ/Health pts y=yes
8.Use FSC Certified Matedals for Interior Finish 4 Resource pts y=yes0
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y--yesD
1 1
10.Install Whole House Vacuum System 3 IAQ/Health pts y=yes 0
I 1 1
N.Flooring
1.Select FSC Certified Wood Flooding 8 Resource pts y=yes 0
P.Use Rapidly Renewable Flooding 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 R 1 01 01 0 •
G:daWprogslgreenbuildinoguidelineslremodelers)greenpointsfinal2.12.D4profeded.xls
•
Community Development
10300 Torre Avenue
Cupertino CA 95014
b ~. Telephone(408) 777-3228
CITY OF Fax(408)777-3333
*UPEkTINO
Building Department
JOB ADDRESS: `d/7q Col6y Avt PERMIT # �� 7 0/
OWNER'S NAME: /VIAaK C L,GS PHONE #
GENERAL CONTRACTOR: CAty7p151 CoA*sNLNcTNb0 FAX #
I am not using any subcontractors:
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