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08050086
CITY OF CUPERTINO s�-'A, ,q, -rt" W.. -`"' -' 3-' BUILDING'DI VISION PERMIT rz,#CONTRAC'TaQRI,NF'ORMATION_"A., BUILDING ADD ESS: PERMIT NO. 10430 IMPERIAL AVE M & S ROOFING CO. 08050086 OWNER'S NAME: PERMIT ISSUE DATE LARY YUH TYNG TU & GRACE TU 208 COPCO LN 05/09/2008 •VE: SANITARY NO. CONTROL NO. (408) 314-0870 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMBMECH 0 I=1 0 0 306 LICENSED CONTRACTORS DECLARATION Job Description 4 U I hereby affirm that 1 am licensed under provisions of Chapter 9(commencing P with Section?000)of Division 3 of the Business and Professions Code,and mylicenseis RMV EXSTNG WDSHK, INSTL 1/2" OSB&50YRCMP CLS A 2;,,,. N full force and effect D °.rw� ® cnovactoro 1�Z 1 (yam) Nj 30SQ ARCHITECI'SDECLARATIOM / gI understand my plans shall be used as public records e. SLicensed Professional 3 OWNER-BUILDER DECLARATION 2 C E I hereby a(Rmm that I am exempt from the Convenor's License Law for the -po o following reason.(Section 7831.5,Business and Professions Code:Any city or county m M which requires a permit to cowed alter,improve,demolish,or repair any structure • -py prior m its issuance.also requires the applicant for such permit to file a signed statement �-e that eenlicensed pmwanttotheprovisionsoftheContanarandPnseLaw Professions Sq.Ft. Floor Area Valuation E - (commencing with Section 7000)ofDivisfthe egedessandProfes vIolatde)or $10900 R t that he is exempt therefromapplicant and the basis for the alleged exemption.Any violation of Section 7031.5 by any doll fora permit subjects the applicant a a civil penalty of Number Occupancy Type not more than five hundred dollars($5013). 35719091 P Y YP 0 I,as owner of the property,or my employees with wages as their sole compensation, will do the work,and the structure is not intended or offered for sale(Sec.7044,Business and Professions Code:The Canudcm?s License Law dom not apply to an owner of Required Inspections property who builds or improves thereon,and who does such work himself or through his awn employees,provided that such improvements are not intended reoffered 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.). • ❑I.as owner of the property,iso exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions Code:)The Contractor's Li- eense Law does not apply to an owner of properly who builds or improves thereon.and who contracts for such projects with a contractorts)licensed pursuant to the Contractors License Law. ❑lam exempt under See ,B&P C for this reason • Owner Date • WORKERS COMPENSATION DECLARATION • 01011declarationsI hereby runder penalty of perjury one of the following declarations am and will maintain aCertificateof Consent a self-insure for WartesCompen- on.as provided for by Section 3700 of the Labor Cade,for the performance of the work for which this permit is issued. • ❑I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the LaborCode.Code.for the performance of the work for which this permit is issued. ' • My Works!) o Camler-+r t -f CATE N EMPP EcN FROM WORKFJ1.26s CCOMPENSATION INSURANCE (This section need not be completed Hilo monk Is(Drone hundred dollars(31 00) or less) 1 certify that in the performance of the work for which this permit is issued,I shall not " , employ any person in any manner so as to become subject to the Workers'Compensaron LAWS of California.Date Applicant NOTICE TO APPLICANT.If,after making this Certificate of Exemption,you should become subject to the Workers Compensation provisions of the Labor Cade you must 0 ZO forthwith comply with such provisions or this permit shall he deemed evoked. 'zV/ CONSTRUCTION LENDING AGENCY • F ST hereby that isconstruction i for the performance of work Er which this permit v tuned(cc. 097.Civ C.) LL10Lei Lenders Address 0 0 I certify that I have read this application and sate that the above information is LT. cones.I agree to comply with all city and county ordinances and state laws relating to O CSJ^ building cawouctian,and hereby authorize representatives of this city m enter upon the W above-mentioned property for inspection purposes. E—. g, (We)agree to rave.indemnify and keep harmless the City of Cupertino against Tse liabilities,judgments,cols,and expenses which may In any way accrue against said City vetilliti Q V z in APPLICANT ofDthe RSTANng oS thispenultWIt. S—?-6:__C- SOURCE^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: • II/,`�/ Date SOURCE REMLATI S. \ 117 a ,Qr wt r4— 92 Re-roofs . dr Signature of Applicant/Con Dale HAZARDOUS MATERIALS DISCLOSURE Type of Roof ...,...-..—.___ Will the applicant or future bulletins occupant.pore or handle hazardous material • as defined by the Cupenino Municipal Code.Chapter 9.12,and the Health and Safety Code,Section 25531(,)? 0esmNo All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining Pe an inspection,I agree to remove Will rhe applicant or future building occupant use equipment or devices which hvudnw air eentaminanu as defined by the Bay Arca Air Quality Management all new materials for inspection. ' net? �"" ❑Yes Lpwo Iham mad t theh,SNeumaterials 25533 d nts55 4.I Chapter6.95mor the Califor- niang n Hnoth&ently hCave alenanns aiti 1rsponbMt1 understand notifyAho if buil the M rr t �,� dces bene tenant that it is my responsibility to may time occupant afar I, 1.^''`✓Cj�+ requirement hon Wmet prior atssuanceofaan;Bcasofaeupancy. /Signature ofApplicant Date Owner or authorize agent Dam All roof coverings to be Class nig"or better CITY OF CUPERTINO • 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # : 1 Sec : Twp: Rng: Sub: Blk: Lot: APN • 35719091 . 00 DATE ISSUED • 05/09/2008 RECEIPT # • BS000004719 REFERENCE ID # . . . : 08050086 • SITE ADDRESS • 10430 IMPERIAL AVE SUBDIVISION CITY • CUPERTINO IMPACT AREA OWNER • LARY YUH TYNG TU & GRACE TU ADDRESS • 10430 IMPERIAL AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM • M & S ROOFING CO. CONTRACTOR • MIRSAD KRAJWIC LIC # 28360 COMPANY • M & S ROOFING CO. ADDRESS • 208 COPCO LN CITY/STATE/ZIP . , . : SAN JOSE, CA 95123 TELEPHONE • (408) 314-0870 SFEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL 1BSEISMICR VALUATION 10, 900 . 00 1 . 10 0 . 00 1 . 10 0 . 00 • 1REROOFRES SQ FEET 30 . 00 390. 00 0 . 00 390 . 00 0 . 00 TOTAL PERMIT : 391 . 10 0 . 00 391 . 10 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER CHECK 391. 10 #2051 TOTAL RECEIPT : 391. 10 VOICE ID DESCRIPTION VOICE ID DESCRIPTION 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF • • Dos D046 CITY OF CUPERTINO REROOF •CURfINO PERMIT APPLICATION APN # ,7/ 9097. U O • Date: c--0 e- Building Address: /o 43 0 / P1Pe� l'gL 4vC ' Owner's Name: Phone #: LPcey I e r L1 1w-463-00(18 Contractor: / / Phone #( ) 3 IQ-0,97o t6t 2120F /A/9 Fax #:` Gov 112 1/0°Z~7 Cupertino Business License #: Contractor License #: BotRi2 Type of Roof Covering: Existing: Proposed: o Built-Up Roof o Built-Up roof o Asphalt Shingles 17t, Asphalt Shingles • 9. Wood Shakes o Wood Shakes o Wood Shingles o Wood Shingles o Other (Specify) ❑ Other (Specify) Number of existing coverings ©m e- ❑ Provide I.C.B.O. Report # tom+ To be Removed o Provide Mfgr. Installation Specs. Job Description: tiaMO t S- it&'4--1-7c0C5 `^. 909 .IWA—re i'Atec7-114 142" d £ 4<m CD / 6 . .Cmr"IP, Residential a Commercial ❑ Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if Green Building Checklist & attach it to the there are any restrictions: ❑ application or if applicable, include in plan set & the sheet index. Valuation: 00 410. 100 ' I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: • m ✓ Signature CITY OF CUPERTINO • - � REROOF •CUPEkYINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B D 1REROOFRES Re-roof Residential B 1SFDWLROOF 1BSEISMICRE Seismic Residential B 1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B • Community Development Department 0 Building Division City of Cupertino 10300 Torre Avenue • Telephone: (408)777-3228 Fax: (408)777-3333 Building Department Subject: Re-roofing policy for the City of Cupertino 1. Prior to permit issuance,you must agree to comply with 1997 UBC Standards and manufacturers specifications on re-roofing. 2. New roof coverings shall not be applied without first obtaining all inspection and written approval from the building inspector. A final inspection and approval shall be obtained from the building inspector when the re-roofing is completed. 3. All roofs shall be inspected prior to any roofing installation. 4. To receive a final sign off from the City, the following steps are • required: 1) Pre-inspection and/or tear off approval. 2) In-progress inspection approval. 3) Final inspection approval. a) Spark arrester installation. 5. If plywood is installed, a plywood nail inspection is required. • 6. Any roofing which is applied without first obtaining an inspection, • will require the removal of all new material down to the sheathing, so a proper City inspection can be performed. 7. NOTE: If you call for a plywood nail inspection and the job is not ready, you will be charged a re-inspection fee of$176.18. The re-inspection fee must be paid before another inspection can be scheduled. IMPORTANT: 1. Flat roofs must have a minimum of'/a "per foot slope and demonstrate that there is no ponding. 2. •An I.C.B.O. report is required to be on the job site at the time on inspection. I understand and will comply with the above stated policy on re-roofing. Homeowner's Name: r7 k (414-Lc- (fr`/7 Job Site Address: I D 4130 Q ) ()C rg r f v Roofing Company Name: /n i .S> }2 Applicant's Signature: }�( ('r,,(} . 14'61n 7 C- Date:cc � Q 8 • Greg Casteel Building Official Revised 11/2/04 • 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) ims1hn1ta �da � .>, r 4' ,1/4,! ,..4,0 Tj4i,;.:..K' •..t. a tc A,41 .e..t.;.(:7lh. 51; l _r t:IA: ,. ... L:t. E+ 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 43.4,12;zt14y.,44 .. ! i ,; TOTAL POINTS 0 40 points b L(r3O tmper ,4.01 • H i7 : D l li IlAY 0U2009 u CD By ' • •• 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 lACINeahh Recycle Job Site Construction&Demolition Waste ,I 1 65%=1 point;75%= 2 points;80%=4 points ' up to 4 Resource pts . 0 2.Salvage Reusable Building Materials I 4 Resource pts E=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 • B.Design Resource-Efficient Landscapes and Gardens 1 4 Resourceis P plies 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 B.Foundation 0 0 0 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 C.Structural Frame 0 0 0 • [Substitute Solid Sawn Lumber with Engineered Lumber 1 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 Anger-Jointed Studs for Vertical Applications 2 Resource pts y=yes 0 7.Use Engineered Studs for Vertical Applications 2 Resource pts E=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 - b.Wall 3 Energy pts y=yes 0 c.Roof 3 Energy pts y=yes 0 3 Energy pts y=yes 0 10.Apply Advanced Framing Techniques 4 Resource pts y=yes • 11.Use Reclaimed Lumber for Non Structural Applications 0 -_ ' PP 3 Resource pts y=yes 0 ,12.UseOSB — - —"------- - -- I a.Subfloors 1 Resource pt y=yes 0 ,• ! b.Sheathing 1 Resource pt y=yes 0 a 0 ; 0 INPUT Resources Energy IAO/Health i.Exterior Finis • 11.Use Sustainable Decking Materials a.Recycled content 3.Resource pts y=yes— 0 • 1 b.FSC Certified Wood • 3 Resource pts y=yes_ 0 2.Use Treated Wood That Does Not Contain Chromium/Arsenic i 1 IAQ/Health pt y=yes 0 3.Install House Wrap under Siding i 1 IAQ/Health pt y=yes_ 0 4.Use Fiber-Cement Siding Materials • 1 Resource pt y=yes 0 0 0 0 E.Plumbing [1.Install Water Heater Jacket• _ _—1 1 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) I 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 poihts) { Up to 3 Resource pts. 0 5.Install Chlorine Filter on Showerhead 1 IAQ/Health pi 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 IAO/Health pts. 0 B.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0 0 0 0 r.tiectricai rInstall Compact Fluorescent Light Bulbs(CFLs) bulbs=2 points,10 bulbs=3 points,12 bulbs=4 points) ( 0 Up to 4 Energy pts. ; 2.Install IC-AT Recessed Fixtures with CFLs(1 point eachup to • 5 points) Up to 5 Energy pis.. 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 0 0 0 G.Appliances 1.Install Energy Star Dishwasher • 1 Energy pt y=yes_ 0 2.Install Washing Machine with Water and Energy 1 Conservation Features 1 Energy pt y=yes- 0 3.install Energy Star Refrigerator r 1 Energy pt y=yes_ 0 4.Install Built-ln.Recyoling Center ' ' `i 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 31 Irstall'Recycletl-Content,Fiberglass Insulation with • } No Added Formaldehyde _ 1 3 IAO/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— 0 411, 6.Alternative Insulation Products(Cotton,spray-foam) a.Walls4 Resource pts y=yes— 0 o.ceilings 4 Resource pts y=yes— 0 - 0 - -0 0 • INPUT Resources Energy IAOMeatth .Windows • t.Itstall Energy-Efficient Windows • • , a.Double-Paned - ; 1 Energy pt y=yes 0 b.Low-Emissivity(Low-E) i 2 Energy pts y=yes 0 c.Low.Conductivity Frames _ 2 Energypts y yes 0 2.Install Low Heat Transmission Glazing -� . 1 Energy pt y=yes - 0 0 0 0 J.Heating Ventilation and Air Conditioning • r1.Use Duct Magtie 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 IAO/Health pt y=yes 0 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 8.Install Sealed Combustion Units a.Furnaces 3 IAQ/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 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=yes 0 b. Install/Replace Dampers 1 Energy pt y=yes 0 c.Install Airtight Doors . 1 Energy pt yryes 0 14.Install Zoned,Hydronic Radiant Heating 3 Energy pts y=yes 0 15.Install High Efficiency Filter 4.1A0/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 IAQ/Health pts y=yes 0 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=18 points) _ Up to 18 Energy pts 0 I.Select Safe and Durable Roofing Materials -1 1 Resource pt y=yes 0 7.Install Radiant Barrier- - _ 3 Energy pts y=yes 0 • 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 • INPUT Resources Eneroy IAO/Health M.Indoor Air Qua ity and Finishes I•1 Use LOw/NO-VOC Pal t 1 !AO/Health pts y=yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAO/Health pts y=yes 0 • f3'Use LowMo 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 6lAOMealth pts y=yes 0 6.Use Exterior Grade Plywood for Interior Uses 1 IAO/Health pts y=yes 0 7.Seal all Exposed Pa ticleboard or MDF 4 IAO Heath pts y=yes 0 8.Use FSC Certified Matedals 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 R.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 IAQMealth pts y=yes 0 5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0 6.Install Recycled Content Camel with Low VOCs 4 Resource pts y=yes 0 • 0• • 0 Q Total Points Available:) 1401 1301 57 Total Points Project Received:) 01 01 0 • • • • G:datarprogslgreenbuildingguidelinestremodelersigreenpointsfna12.t 2.04pmteoted.ds • • 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 lAWHeatth A.Site I1 Recycle Job Site Construction&Demolition Waste {! 65%=1 point;75%= 2 points;B0%=4 points d up to 4 Resource pts 0 LL_Salvage Reusable Building Materials y 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 _.1 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 B.Foundation - o 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 C.Structural Frame 0 1.1.Substitute Solid Sawn Lumber with Engineered Lumber _—I 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 10Resource 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 6.Use Anger-Jointed Studs for Vertical Applications 0 pp 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 b.Wall gy pts y=yes 0 c.Roof 3 Energy pts y=yes 0 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 f12.Use OSB . —____._ -- 0 a.Subfloors 1 Resource pt y=yes 0 . I b.Sheathing - ----- -- -- __- _ 1 Resource pt y=yes 0 0 0; 0 • INPUT Resources Energy 1 O1Heatth D.Exterior mush N.Use Sustainable Decking Materials a.Recycled content • 3 Resource pts nes— 0 • 1 b.FSC Certified Wood I • 3 Resource pts y-yes— 0 12.Use Treated Wood That Does Not Contain Chromium/Arsenic I 1 IAQMealth pt y=yes 0 �3.Install House Wrap under Siding j 1 IAQMealth pt y=yes— 0 14.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 0 0 0 0 E.Plumbing Install Water Heater Jackat _'J 1 Energy pt y=yes 0 2,Insulate Hot and Cold Water Pipes 2 Energy pts y=yes 0 • [3 Retrofit all Faucets and Showereads 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) 1 Up to 2 Resource pts. 0 4.Replace Toilest with Ultra-Low Flush Toilets (1 point each,up to 3 points) J Up to 3 Resource pts. 0 5.Install Chlorine Filter on Showerhead 1 IAD/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 IAD/Health pts. 0 .8.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0 0 0 0 I-.ciectrical • lintel'Compact Fluorescent Light Bulbs(CFLs) • (6 bulbs 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 0 0 0 G.Appliances 1-Install Energy Star Dishwasher . y=y t 1 Energy pt es_ 0 12.Install Washing Machine with Water and Energy • , Conservation Features1 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.Install Recycled:Contenl,Fiberglisslnsulation with - I No Added Formaldehyde v i 3 IAD/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 o.Uenings 4 Resource pts y=yes 0 0 . 0 - 0 INPUT Resources Energy 1AflMeafth .Windows 1.Install Energy-Efficient Windows 1 • V a.Double-Paned ? 1 Energy pt y=yes 0 b.Low-Emissivity(Low-E) 1 2 Energypts y=yes 0 c.Low.Conductivity Frames 2 Energy pts y=yes D 2.Install Low Heat Transmission Glazing 1 Energy pt y=yes 0 0 0 0 J.Heating Ventilation and Air Conditioning • '1.Use Duct Mastic on At 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 IAD/Health pt y=yes 0 4.Clean all Ducts Before Occupancy 2 IAQMealth 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 IAQ/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)Fumace 2 Energy pts y=yes 0 . 13.Retrofit Wood Burning Fireplaces • a.Install EPA certified Wood stoves/inserts 1 IAD/Health pt y=yes 0 b. Install/Replace Dampers 1 Energy pt y=yes 0 • c.Install Airtight Doors 1 Energy pt y=yes D . 14.Install Zoned,Hydronic Radiant Heating 3 Energy pts y=yes 0 15.Install High Efficiency Filter 4 1AQ/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 IAQ/Health pts y=yes 0 0 £12 Renewable Energy and Roofing - 0 - 0- 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 1B Energy pts 0 !6.Select Safend Dur eableoofi Rng Materials —1 1 Resource pt y=yes 0 7.Install Radiant Barney - 3 Energypts y=yes 0 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=yesD 3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0 • O_ 0 . 0 INPUT Resources Enemy IADiHealth �. ndoor Air Qua ity and Finishes 1.Use Low/No VOb Paint 1 IAO/Health pts y=yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAO/Health pts y=yes 0 3:Use Low/No VOC Adhesives r 3 IAOMealth 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 6 IAD/Health pts y=yes 0 6.Use Exterior Grade Plywood for Interior Uses 1 IAD/Health pts y=yes 0 r7.Seal all Exposed Particleboard or MDF 1 f _ 4 IAD/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 0 10.Install Whole House Vacuum System 3 IAO/Health pts y=yes 0 0 0 0 N.Flooring 1.Select FSC Certified Wood Flooring 8 Resource pts y=yes 0 Use Rapidly Renewable Flooring Materials' _` 2 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 IAO/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: 01 01 0 • G:datarprogsigreenbuildingguidelineslremodelersrgreenpointsfinal2f 2.O4prolected.rJs • A • Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 scUPEI(FINO Building Department JOB ADDRESS: PERMIT # /D 4, 0 )tri P&tiAL /W ego-Sood OWNER'S NAME: LAsprie 104p T/i% Tl( CeA C e PHONE #90rp-86i -6100 GENERAL CONTRACTOR: / FAX # I am not using any subcontractors:[toed C� Signa a 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