08060066 CITY OF CUPERTINO su;dxea >>v•� � �"°'" `-� �" ds.g �sbt�aP�
_'BUILDIKG DIVISION PERMIT CONTgAC-T,OR,,�INFORMATION
BulLD1IJ�ApURE}S:ENEY CREEK PL YOUR ENERGY SOURCE
PERMIT 08060066
OWNLERI'1S NAME: l PERMIT ISSUE DATE
dftJACK YAO 11386 SUNRISE PARK DR 06/09/2008
NE: SANITARY NO. CONTROL NO.
ARCHf1ECffFNGINEER: BUILDING PERMIT INFO
RMV/RPLC FURNC 90K 92%EFF & BLDG ELECT PLUMB MECH
0 0 0 0
too LICENSED CONTRACTOR'S DECLARATION Job Description
iF u�
wish Sec1 hereby affirm IMI I am licensed under pmviadons of Chapter 9(commencing ---" ^--^
tion7000)of Division Jofthe Buv andprofessiam C`' .ar mylicenseis
Lifufull
fame( rend n. Z J L'c.g S 6 I
q Das: Contractor
7W
ARCHITECTS DEC ON
e w
I undcrnd my plans shall be used As public records
5yU
k C y Licensed professional
eH� OWNER-BUILDER DECLARATION
ai�f 1 hereby a?rm Nal I am exempt fm.the r m
cmdractara License Law foe
C e O following.mon.(Section](31.5.Bminea and Profcsss'oa Codc:Any city or county _.
5_ which mqui=a pmnit m cm k alter.improv.mmolish.or m*r any s tum
Z y prior he its issuance,also requires Me applicant for such permit to file a signed stsmment
Fso NathculiccnsedpurswntlolMproviswaoflMCantramriLicorselaw(puPmr9 Sq.Ft. Floor Area Valuation
(commencing with Section?0D0)of Division 3 err Ne Business and Profmiom Com)or
Nat be is exempt therefrom and t,bate for IM alleged cwnpdon.Any violation of
Satan 70313 by any applicant for.permit subjxss me applicant to a mil Forestry of ane APN Number Occupancy Type
not more man thou hundred dollars(3500). P Y YP
❑Lu Melonofnd property,a isotimenen withwagxaIhev sole a ,Busams
ArmPr thcemt andmeshe Con canoes Licacde aw doem Actmal ApSec.901x,Butnw Required Inspections
are Pmfeabru Cade:The ContanmYs Lune law dam ant appy lf an owner is q P
pmpenywyces.pordeimpmn ns such i pormndwM Am does
not ihushadcmaoedlfor Nmuge his
how.,
Wilding
than such improvements are not Team.aofnred forsake.Me own U.
bottom thebuildingouimprovementla sold within err.Kar of hompleton,the pose of
.it.). well Mve me bounden of proving IMI M did not Wild a improve for purpose of
ale.).
Cl I.as owner of IM properly.am con-ha vely contracting with Bcomed contacmrs m
contract the project(Sec.7044.Bain and Professions Cade:)The Contractors Li-
cenae law dna not apply to an owner of property who builds or improver thereon.and
wM convects for such pmjecu with a ceso racmr(s)licensed pursuant to me Contractors
Lieu Law.
❑IameamptunderSec ,BAPCfathisrcaao
Owner Date
WORKERS COMPENSATION DECLARATION40 -
1 hereby a1Rm under pewry,of perjury one of me fallowing decla numns,
1 ham and will mainuin a Certificate ofConsem m self-ivurt fawerkeescompcn-
atop,as provided for by Section 3700 of the labor Code,for me perlormanco of the
wort for which mit permit is iss a d.
?Eave am!will maioafn Warkefr Ompd..Insurance,a raptured by Scesm.
111-1-1.labor Com,for me performance of me work for which this permit is issued. '
My War {+Comp satioo InacMco aria and Policy number are:
Grtie "9 CERT CTAC - Policy No.: WOR C2 tea'/(,
CERTIFICATE OF EXEMPTION FROMWORKERS'
COMPENSATION INSURANCE
fiber septal nod Out M complemd irtc permit ufaam hundred moan f$IW)
or ems.)
I coolly mat in me perfmmaxe of the wart for which thia pmnil is;issued.1 shell an
employ any person in any manner se As m ccomc abject to the Woken'Compensation
Lawn of Califomi>Daae
Applicant
NOTICE TO APPLICANT:If.afmr making mu Ccnincam of E+empMn.you should
become subjett An the WMrtets Compcos+rion provisions of me labor Cade,you most
.,O forthwith comply with mch FOOVISiOm athu Permit shalt M mcmWw
rttrd.
Z'`" CONSTRUCTION LENDING AGENCY
I-' I herebyhch Mi paAL mere casco (See.3nlending Agency far the pctfarmanco of
ai ti the work for which mu pemtil tr Teruel(Sec.3097.Civ.C.)
[T1 Q LcnmYs Name
G
z Undoes Add.
a
U O 1 certify mat I hanply read thisApplication
and coup y ordinances ram Nu me above oforeulon u
0 U torten.I agree c comply wim all city and county uubmecr and Mute lam,tong m
.O U building-uoonswNanand hereby anthariamanes. utsa crania city cocotte upon me
W shove-mentamd property for impaction keep ha
(~LL o.ju Agree IA ave,indemnity and keep hay in
Ik City of Cupertino o! try
rn Iiabilitia.jWgmcnu.cost and Of this awhich maY in anyway amue agaimtseid City
U z in con ar.e of the granting of A permit.
e
'+ APP C M UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:91to� Date �Grya
SO EGULATIO`j�
"� ' �uu�J �J'' Re-roofs
Signuurc of ApphcanV ort uA Dam ��
xnZARDOUbMATERIALS to sand Type of Roof
Will the Cupertor(muni Millinge.chapter
oro.a handle Health,And Safety As definedSec io the Cupertino Municipal Cade.Oupter 9.13.and We Holm and SafctY
Calc.Section 25373(x)?
❑Ya All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or futum building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
.mit MvardM A air comaminanu a dcfuM by the Bay Arta Air Quality Management all new materials for inspection.
Disuict?
❑Ya p�au
Ihew:.ad thehaaaodousm 5505.re33and! 55 unmrCMpmr Q95ofine Califar-
nuHralthASafctlMe,baSxlau25erials 5J3and]553a.I,CA,Au 95 iftc Milling e--
dao n aEb sly ham a mount,that it u MY responsibility He andl'y the occupant of the
al.
reyui which mot b mel p'M inuanco of a ccols m of ceupaxy.
Signature of Appilemt Date
owr.r aranthmiacd sent Dam All roof coven o be Class'1}"or better
CITY OF CUPERTINO
• 6 ITEMS OF 14 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 34248019 . 00
DATE ISSUED. . . . . . . : 06/09/2008
RECEIPT # . . . . . . . . . : BS000005044
REFERENCE ID # . . . : 08060066
SITE ADDRESS . . . . . : 10431 HENEY CREEK PL
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : JACK YAO
ADDRESS . . . . . . . . . . : 10431 HENEY CREEK PL
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-0828
RECEIVED FROM . . . . : EDWARD A GREGORY
CONTRACTOR . . . . . . . : KYLE SMITH LIC # 29165
COMPANY YOUR ENERGY SOURCE
ADDRESS . . . . . . . . . . : 11386 SUNRISE PARK DR
CITY/STATE/ZIP . . . : RANCHO CORDOVA, CA 95742
TELEPHONE . . . . . . . . : (916) 8,61-7800
•
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
-- -- ------------- ----------- ---------- - --- ---------- ----------
1BSEISMICR VALUATION 91000 . 00 0 . 90 0 . 00 0 . 90 0 . 00
1EPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
IMPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
1MRRAA UNITS 2 . 00 122 . 38 0 . 00 122 . 38 0 . 00
IPPERMITFE 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 286 .44 0 . 00 286 . 44 0 . 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
•
CITY OF CUPERTINO
SM--I FURNACE/AC
• CUCMOF
PEkTINO PERMIT APPLICATION FORM
APN # 1--31/-2
r/2 '1 CF�v( 9 . O O Date: �— zod �.
Building Address: n
/v `/,3 / Re o e /
Owner's Name: Phone#:
/ ✓ l I' S tv , s
Contractor: Phone#:
�d✓SCP Fax #: tF1,6— e6/-7'06
Contractor License#: 9 L�/ Cupertino Business License#:
Contact:
/ Phone#: 5;l6_ 0l -7
Building Permit Info:
Elect Plumb Mech
Residential Commercial
Job Description:
�ur&1 Oce 91C9
A C A d4-D Sys -ie .
For Residential Installations:
Attic ❑ I" floor/ 2nd 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: U Type of Construction (Usage Class):
yDo
Strapped On Platform Bonded New Location Replacement
Valuation: nU�a
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.
r
CITY OF CUPERTINO
FURNACE/AC
CUPEkTINO 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.
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 ¬ incl in an appliance
ermit.
1BSEISMICO Commercial Seismic B
1MRRIIA Residential Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
11f 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.
1MRAPPVNT Residential for the install/relocate/ or M
-F
replacement of ea appliance vent
install ¬ incl in an —11 ennit.
CITY OF CUPERTINO
FURNACE/AC
OCUOF
PERTINO 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
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
furnace/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
iMPERMITFEE Mechanical Permit Fee M
1PPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
1BUSLIC Business License B
•
S
CITY OF CUPERTINO
FURNACE/AC
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
1BSEISMIC0 Seismic Commercial B
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1 PGASRES Residential for ca 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 <= lOk CFM B
1MRRAA Residential Mech Repair/alt/add M
r 1BSEISMICR Seismic Residential B •
I
f I EPERMITFEE Electric Permit E .
l 1MPERMITFEE Mechanical Permit M
1PPERMITFEE Plumbing Permit P
lTRAVDOC 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 72points
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 Sheathing, 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.) 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
yt U TOTAL POINTS
m. �.. 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 Energy IAQIHeafth
.Site
1.Recycle Job Site Construction&Demolition Waste f
65%=1 point;75%= 2 points;80%=4 points I up to 4 Resource pts 0
2.Salvage Reusable Building Materials J� 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_ 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 p
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=yes p
1 1 1
C.Structural Frame
H.Substitute S01id Sawn Lumber with Engineered Lumber l 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 kJoists 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
B.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 0
12.Use OSB
a.Subfloors I 1 Resource pt , y=yes 0
• b.Sheathing _� 1 Resource pt y=yes 0
INPUT ReSOUTCeS Energy IA011-leafth
.Extenor rms
l Use Sustainable Decking 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 IAQ/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
rt.Install Water Heater Jacket I i 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
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=yes 0
7.Install Water Filtration Units at Faucets
(2 points each,up to 4 points) Up to 4 IAQ/Health pts. 0
6.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 1 1
r•.eiecmcai
1.Install Compact Fluorescent Light Bulbs(CFLs)
I(6 bulbs=2 points,10 bulbs=3 points, 12 bulbs=4 points) J Up to 4 Energy pts. 0
2.Install IC-AT Recessed Fixtures with CFLs(1 point each,up to O
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
2.Install Washing Machine with Water and Energy
(Conservation Features 1 Energy pt y=yes 0
13.Install 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 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.Alternative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y=yes 0
D.uemngs 4 Resource pts y=yes 0
INPUT Resources Energy ADHealth
I.Windows
it.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 l.ow Heat Transmission Glazing 1 Energy pt y=yes 0
1 11
J.Heating Ventilation and Air Conditioning
i.Use Duct Mastic on All Duct Joints —L-- 1 2 Ener is_ f 9Y P Y=Yes 0
2.Install Ductwodcwithin 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 IAO/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
S.Install Sealed Combustion Units
a.Furnaces 31AQ/Health pts y=yes 3 0
b.Water Heaters 31AQ/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 2-- o
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 i 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 31AQ/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=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
6( .Select Safe and Durable Roofing Materials ____ • 1 Resource t
`.-- --- --- -- -- ._ P Y=Yes 0
7.Install Radiant Barder 3 Energy pts y=yes p
1 1 1
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 p
• I 1 1
114PUT Resources Energy 1AQ1Heafth
M.Indoor Air Quality and Fmrshes
;1.Use LowMo-VOC Paint — 1 IAOMealth pts y=yes 0
2. •
Use V
OC,,Water-Based Wood Finishes 2 IAO/Health pts y=yes 0
3.Usee Lov&o VOCdhe
Asives — __ ___ _ . 3 IAO/Health pts y=yes 0
4.Use Salaged Mate
vrials for Interior Finishes 3 Resource pts y=yes 0
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 IAQMealth pts y=yes 0
7.Seal all Exposed Particleboard or MDF _ 4 IAQ/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 D
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 i 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 Availa le: 1 1401 1301 57
Total Points Project R 1 01 01 0 •
G:data/progsrgreenbuildngguidelineshemodelersrgreenpointsfinal2.12.04pmtected.xls
•
J
�
Community Development
e 10300 Torre Avenue Cupertino CA 95014
�`^� Telephone(408) 777-3228
CITY OF Fax(408)777-3333
1W.UPEkTINO
Building Department
JOB ADDRESS: PERMIT#
fl Ys/ Ale,7e 01-eeG R0, v 0 0
OWNER'S NAME: ' t-y , , alt Y0 9 I PHONE-#K,,5-0 961- Y67e
GENERAL CONTRACTOR:yod e� uv Com.- FAX #
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and com Tete the followin 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/Contracto i a e Date