08060065 CITY OF CUPERTINO - • � rye � '�` ''•^ -
BUILDING DIVISJN PERMIT ,CON RACTOR INFORMATIQN
ltuILj11LJCg'ADQR CPERMTT NO.
REEKSIDE CT BLUE MOUNTAIN AIR 08060065
OW NEER/'SUN(A�M'.tE: PERMn ISSUE DKK
WEM DDLETON ROBERT 0 AND MARY L 707 ALDRIDGE RD STE B 06/09/:008
: SANTfARY NO. COMROL NO,
ARCHITEC(ENGINEER: BUILDING PERMIT INFO
RMV/RPLC FURNC 80KBTU & ADD BLDG ELEcr PLUMB MECH
am, 'LICENSED CONTRACTOR'S DECLARATION AG
[wF 1 botchy am.Nat 1 sum IicevN under pmsisiom of Chapter 9(commencing Job Description
`Zm� with&.do.70W)of Division3 of the Businessd Prof
and! Code,and my license is
n« fllril
ine
a
License Class Lic.
Date Contractor
ARCHITECTS DECLARATION
zi 1 undcaund my plans shall W used as public records
DWO
g a� Licensed professional
3 OWER-BUILDER DECLARATION
<E I Wmhy aRsm N
Oat 1 am exempt from the CuntramOls License Law for On
HO following mason.(Section NO 1.5.Bunt.and Pmfessiona Calc:My city or muco,
S= which requites a pornit w crmswc4 alm improve,demnlixh,or mpoir any awcwm
i prior w its issuance,also requires the applicant(crunch permit to ratemtemm
le a signed se
or
p that he is licensed pursuant wthnprovisions OfOnContracwrLh<
snaelaw(Chapter9 Sq.Ft. Floor-Area Valuation
y�ca (commencing with Section'!DDB)of Division J of the Business and Preftenumu Cock)or
Nat he is eumpt thereftan and the bass for the allegud eumpuor.Any violation of
Section 7031.5 by any applicant fon permit subjects the applicant in a civil penalty of APN Number Occupancy
nut more dour five ane hundred dollars(ML P Y Type
❑L u ownerk.Ute down ,a I. intended
with wages u Heir cele campnuauess
will Pndo them..and doe to CmuisnotsLt. Law
dsmfor al A(Sec.7044.Business
of
and artywsimm Code:Tha CmnuuwYs Lion¢Law duos not apply w an rough of Required Inspections
OwnertywhobuildsviiceOases Brian,andwho doessuchwart oroffe ormBmugh ties
own employ Wilding
that such improvements art not intended oro@red roreade.If.ourn,
builder theeave the
scoldwithin ore yens ormprovefrdoeowmr-
ask.1will have doe WNm of paving does W did not Wild or improve!a purpose of
rile.).
❑1,as Owner of the propcny,am exclusively contracting with licensed contranom in
..toot use Pmojem(Sec 10ad.Bisect.sad Profeuloa Code:)M Conn cure.Li-
music law does not apply to an o-vmr of property who Wilds or improves thereon,and
who convects for such projects with a contracau(s)licensed pursuant to the Conmamofs
License Law.
❑I ace exempt under Sec. ,B&P C for this mason
Owner Dau
WORKER'S COMPENSATION DECLARATION
1 hereby a r m uM r X"ty of perjury ors of the following declamdou:
❑1 ham and will maintain a Certificate of Consem in ulf-imum for WOrtrYs Compen-
sation,u provided for by Seetion 37M Of the Labor Code,fa the Performance of the
wort for which this permit is issued.
Anhave and will maintain Worker's Compensation Inmvan¢,as rryu red by section
37W of the labor Code,for the performance of lie work for which the permit is issued.
My W to Com matron loom a artier and POlicy,number tic:
Cartier.SFU Poliry FROM
W
CER IFlCATE OF E ATION I N FROM WORKERS
COMPENSATION INSURANCE
(Dmfs section,used Out W completed if the permit is farm hundred dollars($101)
nr las.)
1 unify Not in the pmImmmm of Ou wort for which this Permit is issued.!shall nm
employ any person in any manner an as in Weomo subject to the Worked Compensation '
Laws of Califomia Date
Applicant
NOTICE TO APPLICANT:If,after making Ns CcniBmw of Exemption you should
become Subject in the Worker's Comi,cmatimn provisions of Ne Labor Code,you most
.,O fmnhwim eO.IIY with such pmviuom a this permit shall W deemde .1sed.
.'Za 55
CONSTRUCTION LENDING AGENCY
`�
F Meby whichaffirm Wtdocrt isaromvoc.3 lending agency for Ute perfotmsmm of
lzjori a dun work fur which Nis permit s issued(Sec.J09Y,Civ.C.)
Q Lender's Name
=z Lender's Address
U O 1 mnifY that 1 hese and this application and state that the above information is
!L F COMCL 1 agree to empty with all city and county ordinances and game lawn misting to
OU Wilding communion,and hacby autimnas repmsuradves or this city in cater upon Bx &�H
/' /shove-menuoned Omp ost for epecuon whichmaL/V
H y (we)agree to cave,indemnify and keep harmless the City of Capord Must
lin inconsent.dg of is.on costs and expemcaanit. may in snYwayaccme agumtmid City
U z A eonscquenee of doe granting of dos permit.
'--' APp jCEVSE UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
sOUtiLYJgEG&ZZ' (�- - S—
.(1){/ rtI'Ci—R1_/ (7'4am Re-roofs /
Srgnuurc mf ApplianVCon��� Date fie/
HAZARDOUS MATERIALS DISCLOSf1RE Type of Roof
Will the applicant or forum Wliding oeeupantmom a handle hmardem material
u def rted by doe Cupertino Municipal Code.Chapter 9.12,aha dte H.IN and Safety
Code,Scaion 255324)7
❑Yon r�yfive/J All roofs shall be inspected prior to any roofing material being installed.
Will thea liroam or future Wilding Occupant use,ministrant If a roof is installed without first obtaining an inspection,I agree to remove
Pp e p q prem car Mann which g P
UWisrdnus air contaminants u defined by we Bay Area Air Quality Management all new materials for inspection.
GYos
1 have mad the hamNoos material rtquimmenu node!Chapter 6.95 of the Califer-
nix Health&SdelyCodc,Scetioe,25505,25533 and 25534.1 undcamnd that irtW Wilding
docs u —odY have a tenon this it s ney mepomibility w notify dte maupant of tW 7 O
rcq mwhichm Wmet mwissnanamncemhatemr ampanry. SignatureofApplicant Date
?..218 All r of coverin s to be Class'�W'
Owncraauthorim gat Date' g or better
CITY OF CUPERTINO
• 6 ITEMS OF 14 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 32639042 . 00
DATE ISSUED. . . . . . . : 06/09/2008
RECEIPT # . . . . . . . . . : BS000005044
REFERENCE ID # . . . : 08060065
SITE ADDRESS . . . . . : 22044 CREEKSIDE CT
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : MIDDLETON ROBERT 0 AND MARY L
ADDRESS . . . . . . . . . . : 22044 CREEKSIDE CT
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-1103
RECEIVED FROM . . . EDWARD A GREGORY
CONTRACTOR GREGORY ,S. 'OWEN LIC # 29600
COMPANY BLUEMOUNTAINAIR
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 7, 268 . 00 0 . 80 0 . 00 0 . 80 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 2 . 00 122 . 38 0 . 00 122 . 38 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 286 . 34 0 . 00 286 .34 0 . 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
•
CITY OF CUPERTINO
«p� FURNACE/AC
•CUPEI�TIN0 PERMIT APPLICATION FORM
APN # Date:
Building Address:
zzC9 � reeks1`c% C37-
Owner's Name: Phone#:
�f ober4 /;// �/oP —Z06 zo
Contractor: Phone#: 707.- yr /— 00/L/
��ut /�ovi� fJ i rzC
Fax #: 7V 7-551yG-70 Z G
Contractor License#: 3 ? ?616F Cupertino Business License#:
Z-0 C36 CV3 Z 56
Contact: Phone#:Zo /- 00/L/
Z
Fax #:
Building Permit Info:
Elect, Plumb Mech
Residential Commercial
Job Description:
�S Q w.e to Ltiti /T C V' 70 A,, S4�R 12
For Residential Installations:
Attic ❑ I" floor [ 2"d floor ❑
Adhere to minimum setback re uirement
For Commercial Installations:
Replacement same weight ❑ Additional weight (structural calcs) ❑
Structural Calculations required for new installation ❑
New installation Planning Approval Required ❑
Cost of Project: 7z 6 Type of Construction (Usage Class):
v(�
Strapped On Platform El Bonded New Location ' Replacement
Valuation: 7,z �
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. D
CITY OF CUPERTINO
Sam FURNACE/AC
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1MCRAA Commercial-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.
1MCREPALT 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
113PGAS For each gas piping system of 5 or P
more per outlet.
IMCAPPVNT Commercial for the install/relocate/ or M
replacement of ea appliance vent
installed ¬ incl in an appliance
permit.
1BSEISMICO Commercial Seismic B
1MRRAA Residential Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
r cooling unit,absorption unit,or ea
11 heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by
this code.
1 MRSUSHTR Residential Install/Relocate ea M •
suspended heater,recessed.wall htr, or
floor mounted unit heater.
1MRAPPVNT Residential for the install/relocate/ or M
replacement of ea appliance vent
install & not incl in an app] permit.
'I
CITY OF CUPERTINO
FURNACE/AC
OCITY OF
CU
PEf�TINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1PGASRES Residential for ea gas piping system of P
1-4 Outlets
1BPGAS 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/burner, 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
fumace/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
1BUSLIC Business License B
•
1
CITY OF CUPERTINO {
FURNACE/AC
OF
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
AIR FURN/AC
CONDITIONING
1 BCAIRHAN Commercial A/C Units<_ I 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
1BPGAS For each gas piping system of 5 or P
more per outlet. Comm/Resid
1BREMAIRHAN Residential A/C units<= l Ok CFM B
/ 1MRRAA Residential Mech Repair/alt/add M
•
1BSEISMICR Seismic Residential B
f 1 EPERMITFEE Electric Permit E
` 1MPERMITFEE Mechanical Permit M
r 1PPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
1BUSLIC Business License B
•
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 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 1oint
P. Other 1. List Green Features on Plans A-1 1 point
�i�_;O,r"• MINS TOTAL POIINLTS 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.
INPUT Resources E e1-91
Stte
f1.Recycle Job Site Construction&Demolition Waste I
65%=1 point;75%= 2 points;60%=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_ 1 4 Resource pts y=yes 0
9.Reuse MatenalsfUse 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 ptsFO
2.Use Recycled Content Aggregate 2 Resource pts y=yes
3.Insulate Foundation/Slab before backfill 3 Energy pts y=yes 0
1 1 1
C.Structural frame
i.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 10Resourcepts. 0
3.Use Wood kJoists for Floors and Ceilings 2 Resource pts y=yes 0
4.Use Web Floor Trusses 2 Resource pis 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 p
b.Wall
3 Energy pts y=yes 0
c.Root 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
112.Use OSB
S
i a.Subfloors I � 1 Resource pt y=yes 0
•
LI b.Sheathing _ 1 Resource
— ---- -- p1 Y=Yes
01 Mow
114PUT Resources Energy IAWHealth
D.Exter rms
1.Use Sustainable Decking Materials
a.Recycled content 3 Resource pts y=yes 0
1 b.FSC Cedified Wood 3 Resource pts y=yes 0
X12.Use Treated Wood That Does Not Contain ChromiurrVArsenic 1 IAQ/Health pt y=yes 0
I3.Install House Wrap under Siding 1 IAQ/Health pt y=yes 0
14.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 0
1 1 1
E.Plumbing
1.Install W iter Heater Jacket t Energy pt y=yes 0
- -- ---
2.Insulate Hot and Cold Water Pipes 2 Energy pts 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 IAQ/Health pt y=yes 0
6.Coned 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
8.Install On-Demand Hot Water Circulation Pump 4 Resource pts Y--yes 0
1 1 1
r.eiecmcai
I1.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
r.Install Energy Star Dishwasher 1 1 Energy pt y=yes 0
Install Washing Machine with Water and Energy
Conservation Features I 1 Energy pt y--yes 0
3.lnstall Energy Star Refrigerator 1 Energy pt y=yes 0
4.Install Built-ln Recycling Center I 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.Install Recycled-C6nt-nt,Fiberglass Insulkion with --I
LNo Added Formaldehyde _ _ 3 IAQ/Health pts y=yes 0
4.Use Advanced Infiltration Reductlon 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 C •
6.Alternative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y=yes 0
o.uenings 4 Resource pts y=yes 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 9Y P Frames 2 Ener is
- —_— -- -� Y=Yes 0
2.Install Low Heat Transmission Glazing 1 Energy pt y=yes 0
1 11
J.Heating Ventilation and Air Conditioning
1.Use Duct Mastic on All Duct Joints , 2 Ener is
_J 9Y P 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=yes 0
4.Clean all Ducts Before Occupancy 21AQ/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
B.Install Sealed Combustion Units
a.Furnaces 3 IAO/Health ptR3=yes ':3 0
b.Water Heaters 31A0/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 3 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,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 3 IAOJHealth 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=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 B points)_ Up to 16 Energy pts 0
6.Select Safe and Durable Roofing Materials _ —7 1 Resource t es
7.Instal(Radiarit Barrer - — J p y—Y 0
3 Energy pts y=yes 0
L.Natural Heating and Cooling 1 1 1
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 7771 p
l 1
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes p
• /— 1 1 1
V
INPUT Resources Energy
M.Indoor Air Oua rty and Intshes Q
`Luse Low/No-VOC Paint - - - _ 1 IAQ/Health is es 0
P Y=Y
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0
3 Use Low/No VOC Adhesives 3 IAQMealth 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
Formaidehyde 61AQlHealth 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_ 41AQMealth pts y=yes 0
8.Use FSC Certified Materials for Interior Finish 4 Resource pts y--ye s 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
i ii
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 Avalla le: 1401 1301 57
Total Points Pro'ect Received: 10 0 0 •
G:datarprogslgreenbuildingguidelines4emodelers/gmenpolntslinal2.12.04pmtected.)ds
•
txY Community Development
' 10300 Torre Avenue
�'. Cupertino CA 95014
Telephone(408)777-3228
CIS}'OF Fax(408)777-3333
IRUPEkTINO
Building Department
JOB ADDRESS: z Z D ex /a` _ C` PERMIT #
1. d0006
OWNER'S NAME: f i e e PHONE # Z s 1- 0 Z i7
GENERAL CONTRACTOR<NkM FAX #7d 7-C6 z d
I am not using any subcontractors: S- Zc2JJ-
Signature Date
Please check applicable subcontractors and complete the kHowing information:
66 SUBCONTRACTOR BUSINESS N _BUSINESS LICENSE #
Cabinets &Millwork -
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
Linoleum/ Wood
Glass / Glazing
Heating loq_ M-1
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Owner/Contract gna e � Date��