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PERMIT
ault.pld'SciAplypFSs.A PLAYA CT
JNAtlMEE: L
AAA FURNACE & AIR
PERMITNO.
08090062
OWNER'S
FERMITISSUEDATE
MACKERROW DONALD E AND MARY R
1712 STONE AVE
09/11/2008
NE:
SANITARY NO. CONTROL NO.
IF
(408)293-4717
ARCHITECffENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
l� 0 0 l=
LICENSED CONTRACTOR'S DECLARATION
Job Description
T hereby afrm Jul 1 she licensed under provisions of Chapter 9 (commencing
with Section]WIB of Diviaon3of Jen Buaneu and Pr.fessiuna Code.and mylkenwu
REPLACE FURNACE 100, 000 BTU AND ADD A/C 5 TON
In full force and ) yt
Date Con
CHRECI'S DEC
I undcrwnJ my plans shell be used u public records
Licuved Professional
OWNER -BUILDER DECLARATION
1 hereby alum Thu 1 am exempt Item the Convacmrs IJeense Law for the
i following mason. (Section RD 13, Business and Profcs,i.v Code: Any city Or county
which requires a lacmnit in cnnhrwt, ager, impeo e. demolish• or repair my am mum
! prior to its issuance• raw requites the applicant for such Permit o file asigned statement
Contmcrei Lcanx Law (Chapmr9
Sq. Ft. Floor Area
Valuation
Jut be is accused pursuant to the provitlam Of the
$10142
(commcwing with sued. IWO, o(Diwdon 3 of the Business oral Pmussiovde Coor
( that he le exempt themfrom and the basis fm the alleged a..mpti0n. Any violation of
35623014. Number
Occas ane
p yType
Section 70313 by airy applumt fa a permit subjects the applicant to a civil penalty of
not mom Wannbmhmtdualwa>n(ssom
0 1, u owner of tie pmp=ny, err my employm wlN wge as then wle campewdon,
Required Inspections
w!H wewnn.mdroe,tete,=4 mtimendedmonemd(orsiW(S«.7W,Buanw
and Psofessimu Code: The ector, dote Conv, License Law not apply w an Owner of
e q P
property who builds orimpmba Wercon, and who doesewhworkhimwlf orthrough his
own anplOym, provided thitsich impmvemenu ase not intended oroRercd far sale If.
law., the building or torpent is sold within ore year of wmpleann. the .war-
buildnr will have the burden of proving that he did not build or improve for purpose of
pale.).
0 1, as owner of the property am exclusively cwvecting with recessed conuacsors lo
construct the project (Sea 7064, Business and Prefecsimu Cade:) The Cwvame's U.
cause Law doe not apply to an owner, of properly who builds Or improves dertan. and
who contracts for inch pmjwos with a conancou(U licensed pursuant m the Convectors
License law.
❑lam ecmpt undo Sec .B&PCfor the renin
Owner Data
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the fallowing declarations:
1 haw and will maintain • CeraOateo( Co.., to xif-ivum fm Workers Comp
'
Milan, M provided fm by Secum 3]000( the labor Cade, for the per(Omana of the
wart for which this Permit is issued.
0 1 have ark will mainWn Wartces Compensation Ivurance, as required by Section
3700.(Nc labor Code. for the perfomawe.fthe were fm which this Nmilu issued
My k
Worfers COmpen,aJon Ipvurave canner sod Policy number
Carie O �� tD / u,( ..� Policy No:rO(d�
FlGTE F PTION FR 0 CERS'
COMPENSATION INSURANCE
.
(Tbusemiw reed an, he completed if Ne pemi, i, forow huoAcd dooms (SI W)
Or less.)
1 cesJ(y that in the Performance a era work for which this parent, u issued. l "I nor
employ any person in My neverso as; w became subject in the Workers' CompauaJOn
.
Laws of California. Data
Applicant
NOTICE TOAPPLICANT:. IL s0er making this Certificate of EMmption. you sbouW
became subject to tie Wohers Compensation previsions of the tabor Code. you mum
forthwith comply with such powisiov 0, thin Permit shall In domed nuked
CONSTRUCTION LENDING AGENCY
I lmoby affirm Nat them is a covvuctinn lending agency for the Performance Of
the warts for which this Perch is heated (sec 3097, Civ, Q
Lenders Name
Lender, Address
I certify that 1 have red this application and site Wu the [gave adamantine i,
comet. l agree In comply with all city and county onlime as and sue laws misting to
Wilding construction. and hereby wNorim mpmsenutibas of this city in enter vpnn the
+bore-mcnaaned property for ina,,cuen purpt e,
Indemnify
(Wal agree to sage. and keep hamlets dna City of Cupertino against
liabilities judgments, casts and eapaue which may In any way+esus against said City
A consequence of the of Wts permit.
.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT
UNDERSTANDS
Issued by: Date
SOU EREGULATIONS.
Re -roofs
—•–IY ,iDu
n ort ar4Ir
s TEIAsHUDISCLOSURE
Type of Roof el'
Will that applicant or to. holding osupant eine or harkle haMNoe materia
as dcfnwd by the Cupertino Municipal Cade, Chapter 9.12. and the Health and Safety
Chao, Section on 21132(a)p
Yo
All roofs shall be inspected prior to any roofing material being installed.
Will We applicant orwrt building Occupant tax equipment or devices which
If a roof is installed without first obtaining an inspection, I agree to remove
nit hvardne air cwumivnts as de0ncd by the Bay A. Air Quality Management
'aDisuict7
all new materials for inspection.
O Ye,t/y,1�No
I hear mol the husn' maoiusegvirements under Clupieti.9s ofthe6lifor.
his Health&Safety Code. Sceaov 25315, 25533 and 25536.1 wdereand thuifthe building
does an, camndy new a enmL that it u my responsibility w wary de weapon of the
mquirt nu watch must be met gator w issuance of a Cci ifitme of Ocsv
Signature of Applicant Dale
All roof coverings to be Class'%¢" or better
o nrauth.vcaag=at ,m
• 6 ITEMS OF 18
E
•
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 35623014.00
DATE ISSUED.......: 09/11/2008
RECEIPT #.........: BS000006054
REFERENCE ID # ...: 08090062
SITE ADDRESS .....: 21584 LA PLAYA CT
SUBDIVISION .......
CITY CUPERTINO
IMPACT AREA .......
OPERATOR: suew
COPY # : 1
METHOD OF PAYMENT
----------------
CREDIT CARD
TOTAL RECEIPT :
AMOUNT
---------------
798.03
-----
798.03
VOICE ID DESCRIPTION
-------- ----------------------------
.505 FINAL ELECTRICAL
508 FINAL MECHANICAL
REFERENCE NUMBER
-----------------
VISA
VOICE ID DESCRIPTION
-------- ----------------------------
507 FINAL PLUMBING
OWNER ............:
MACKERROW DONALD E AND
MARY R
ADDRESS ..........:
21584 LA PLAYA
CT
CITY/STATE/ZIP
...:
CUPERTINO CA,
CA 95014-4802
RECEIVED FROM ......
JIM RANDO
CONTRACTOR .......:
RANDO, JIM
LIC # 8050
COMPANY ..........:
AAA FURNACE &
AIR CONDITIONING
ADDRESS ..........:
1712 STONE AVE
CITY/STATE/ZIP
...:
SAN JOSE, CA
95125
TELEPHONE ........:
(408)293-4717
FEE ID
----------
UNIT QUANTITY
-----------------------
AMOUNT
PD -TO -DT
THIS REC
NEW BAL
1BSEISMICR
VALUATION 10,142.00
--------------------
1.10
0.00
----------
1.10
----------
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
IMRRAA
UNITS
2.00
122.38
0.00
122.38
0.00
IPPERMITFE
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
---------- ----------
286.64
0.00
----------
286.64
----------
0.00
METHOD OF PAYMENT
----------------
CREDIT CARD
TOTAL RECEIPT :
AMOUNT
---------------
798.03
-----
798.03
VOICE ID DESCRIPTION
-------- ----------------------------
.505 FINAL ELECTRICAL
508 FINAL MECHANICAL
REFERENCE NUMBER
-----------------
VISA
VOICE ID DESCRIPTION
-------- ----------------------------
507 FINAL PLUMBING
m or
• CUPERTINO
L
CITY OF CUPERTINO
FURNACE/AC
PERMIT APPLICATION FORM ogg)& o2
APN #
5j -a -
Date:
D -O
Building Address: n
01/ C ✓ T /9 (�IU v
Owner's Name:
Phone #:
i C o
T�cf' — -C)r6
Contractor:'
Phone
le4lyvo XXX a
Fax #:
Contractor License #:
Cupertino Business License #:
ee
0
Contact:
Phone #:®�_d `�,3- S� 21 %
Z e P
(j /ti, /140
Fax #:
Building Permit Info:
Elect Plumb Mech
Residential Commercial
Job Description:
Ce
For R sidential Installations:
Attic ❑ I" floor 2nd 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: Type of Construction (Usage Class):
.p / k
Strappet F1 On Platform El Bonded 7 New Location Replacement
Project Size: Express Eql� Standard ❑ Laze ❑ Major ❑
Valuation:
D
Green uil ing: Please complete relevant portion of the Green Building Checklist & attach it to the
application or if applicable, include in plan set & the sheet index.
G
Revised 6/16/08
CITY OF CUPERTINO
�' 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.
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.
1PGASCOM
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 & not incl in an appliance
permit.
1BSEISMICO
Commercial Seismic
B
1MRRAA
Residential Repair/Alteration/Add to
M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
Ievaporative
cooling system,incl
installation of controls regulated by
this code.
1MRSUSHTR
Residential Instal t/Relocate ea
M
suspended heater,recessed wall htr, or
floor mounted unit heater.
1MRAPPVNT
Residential for the in orLFee
replacement of ea appliance vent
install ¬ incl in an a 1 permit.
Quantity
Fee ID
Fee Description
Permit Type
10
1b
CITY OF CUPERTINO
{ FURNACE/AC
• CUPEkTINO FEE SCHEDULE
u
(Quantity I Fee ID I Fee Description Fee Permit TVDe
Group
FURNACE
FURN/AC
1PGASRES
Residential for ea gas piping system of
1-4 Outlets
P
1BPGAS
For each gas piping system of 5 or
more per outlet.
P
1BSEISMICR
Residential Seismic
B
IMECPLNCK
Mechanical Plan Check
M
IMFR=<100
Furnace Syst <=100k BTU install or
relocate ea forced-air/gravity type
furnace/burner, incl ducts/vents
attached to such appliance up to and
include 100,000 Btu/h
M
1MFRN>100
Furnace Syst> 100k BTU install or
relocate ea forced-air/gravity type
fumace/bumer, incl ducts/vents
attached to such appliance over
100,000 Btu/h
M
IEPERMITFEE
Electric Permit Fee
E
IMPERMITFEE
Mechanical Permit Fee
M
IPPERMITFEE
Plumbing Permit
P
1TRAVDOC
Travel Documentation
B
IBUSLIC
Business License
B
u
(Quantity I Fee ID I Fee Description Fee Permit TVDe
i CITY OF CUPERTINO
}FURNACE/AC
CUPEkTiNO FEE SCHEDULE
AIR
CONDITIONING
1BCAIRHAN
Commercial A/C Units <=' k CFM
IMCRAA
Commercial Mech Repair/alUadd
1BSEISMICO
Seismic Commercial
1PGASCOM
Commerical for ea gas piping System
1-4 outlets
1PGASRES
Residential for ea gas piping system
of 1-4 Outlets
IBPGAS
For each gas piping system --of
1BREMAIRHAN
more er outlet. COmrn%Resid
Residential A/C units <= l0k CFM
1MRRAA
Residential Mech Repair/alt/add
1BSEISMICR
Seismic Residential
B
M
B
P
P
P
B
M
B
lEPERMITFEE Electric Permit E
1MPERMITFEE Mechanical Permit M
r 1PPERMITFEE Plumbing Permit p
1TRAVDOC Travel Documentation
1BUSLIC Business License
U
FURN/AC
0
E
I]
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 signi`y 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.sne
1 Re` cleJob Site Construction & Demolitibo waate'.
3 Resource pts
Y=Ys
65% 1'. P75%e = 2 Wnr* ko'/, =,4 points
mss..
up to 4 Resource pts
2r Salvage Reusable Budding;Matedals -
4 Resource pts
y=yes
3. Remodel for Mixed Use, Adaptive Reuse, and
2 Resource pts
y=ye
Historic Preservation
4 Resource pts
y=Yee
4. Protect Native Soil
2 Resource pts
y=yes
5. Minimize Disruption of Existing Plants & Trees
1 Resource pt
Y=yes
6. Implement Construction Site Stormwater Practices
2 Resource pts
y=yes
7. Protect Water Quality with Landscape Design
2.Resource pts
y=yes
8. Design Resource-Efficiant Landscapes and Gardens
4 Resource pts
y=yes
9. Reuse MaterialstUse Recycled Content Materials
3 Energy pis
y=ye!
for Landscape Areas
2 Resource pis
y=yes
10. Install High -Efficiency Irrigation Systems
2 Resource pts
y=yes
11. Provide for On -Site Water Catchment / Retention
2 Resource pts
Y=yes
B. Foundation
1. Incorporate Recycled Flyash in Concrete
• 25% Recycled Flyash = 2 points; Add 1 point for every 1096
increase of flyash, up to 5 points up to 5 Resource pts
2. Use Recycled Content Aggregate 2 Resource pts y=yes
3. Insulate Foundation/Slab before backfill 3 Energy pts y=yes
C. Structural Frame
1; Substitute SblidBewn'Ldu fiber with'Erigiheered Lumber`
3 Resource pts
Y=Ys
2. Use FSC Certified Wood for framing
(For every 10% of FSC lumber used = 2 points, up to 10)
up to 10 Resource pt!
3. Use Wood I -Joists for Floors and Ceilings
2 Resource pts
y=ye
4. Use Web Floor Trusses
2 Resource pts
y=ye
5. Design Energy Heels on Trusses 6' or more
2 Energy pts
y=ye
6. Use Finger -Jointed Studs for Vertical Applications
2 Resource pts
y=ya
7. Use Engineered Studs for Vertical Applications
2 Resource pts
y=ye
B. Use Recycled Content Steel Studs for Interior Framing
2 Resource pts
y=ye.
9. Use Structural Insulated Panels (SIPS)
a. Floors
3 Energy pis
y=ye!
b. Wall
3 Energy pts
y=ye'
c. Roof
3 Enerey pts
Y=Yet
10, Apply Advanced Framing Techniques
4 Resource pts
y=ye:
11. Use Reclaimed Lumber for Non Structural Applications
3 Resource pts
y=ye=
t 2. Use OSB
a. Subfloors
1 Resource of
y=yes
• b. Sheathing
1 Resource pt
y=yes
0
0
0
—
0
in
1, Use Sustainable; Decking.Materials. '
a: .Recycled content
ti:.FSCaCe tified Wood;.-;, ,
'•2: U Treated Wood -That Does�Not Contain ChromiundArsenic:
3 Iouseuse Wrap uniier,Sidmg'ar. 1-ry�'�,�»_
E. Plumbing
it. Iris -fall Water,Heater Jacketr...
2. Insulate Hot and Cold Water Pipes
;3. Retiolfl idl Faucets.and Showerheads with Flow Reducers
a..Faucets.(1,point each, up -to 2 point's)—
. b.,Showeiheads (1 point;each, up to 2 point"s) " ,�•_
4. Replace'Toilesl wiih Ultrra Low.Flush Toilets.
)(1 point:each up to 3• points)
5. Install Chlonne Filter on Showerhead
6. Convert Gas to Tankless Water Heater
7. Install Water Filtration Units at Faucets
(2 points each, up to 4 points)
8. Install On -Demand Hot Water Circulation Pump
r-. tiecmcai
.1 71install Compac4Fluorescent tight Bulbs (CTLs)
;(6 bulbs=2 points,'10'bulbs =3 points, 12cbulbs = 4 points)
2. Install IC -AT Recessed Fixtures with CFLs (1 point each, up to
5 points)
3. Install Lighting Controls (1 point per fixture, up to 4 points)
4. Install High Efficiency Ceiling Fans with CFLs
(1 point each, up to 4 points)
G. Appliances
i1.- Install EnergyStar;Dishwasher
F. - Id., ..
12. Install Washingr.Idachlnee.: wlthWater,anand'�Energy..•.
Conservation,Features.,
3.Instalt Energy Star Refrigerator
,4. Install Builf4n Racycling',Center
H. Insulation
1. Upgrade Insulation to Exceed Title 24 Requirements
a. Walls
b. Ceilings
2. Install Floor Insulation over Crawl Space
3. Install Recycled -Content; Fiberglass Insulation- with
No Added Formaldehyde
4, Use Advanced Infiltration Reduction Practices
5, Use Cellulose Insulation
a. Walls
b. Ceilings
6. Alternative Insulation Products (Cotton, spray -foam)
a. Walls
o.cewngs
l
3 Resource pts y=yes 0 .
3 Resource pts y=yes 0
1 IAC/Health pt y=yes 0
1 IAC/Health pt y=yes 0
1 Resource pt y=yes 0
1 Energy pt
2 Energy pts
Up to 2 Resource
Up to 2 Resource
Up to 3 Resource
1 IAQ/Heath of y:
4 Energy pts y=
Up to 4 IAQ/Health
4 Resource pts y
Up to 4 Energy pts. 0
Up to 5 Energy pts. 0 •
Up to 4 Energy pts. 0
Up to 4 Energy
1 Energy of y=yes
1 Energy of
1 Energy pt
3 Resource pts
2 Energy pts y=yes
2 Energy pts y=yes
4 Energy pts y=yes
31AQ/Health pts
2 Energy pts
4 Resource pts y=yes
4 Resource pts y=yes
4 Resource pts y=yes
4 Resource pts y=yes
u
0
0
0
•
1. Install Eri@rgy-Efficient Windows
• a. Double;Panad
b. Low -Emissivity (Low?E),
c. Low. Conductivity Fra bed -
2. Install Low Heat Transmission Glazing
J. Heating Ventilation and Air Conditioning
1. Use Duct Mastic on All Duct Joints ,
2. Install Ductwork within Conditioned Space
3. Vent Range Hood to the Outside
4. Clean all Ducts Before Occupancy
5. Install Solar Attic Fan
6. Install Attic Ventilation Systems
7. Install Whole House Fan
8. Install Sealed Combustion Units
a. Furnaces
b. Water Heaters
9. Replace Wall -Mounted Electric and Gas Heaters with
Through -the -Wall Heat Pumps
10. Install 13 SEER/11 EER or higher AC with a TXV
11. Install AC with Non -HCFC Refrigerants
12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace
13. Retrofit Wood Burning Fireplaces
O a. Install EPA certified wood sioveslinserts
b. Install/Replace Dampers
c. Install Airtight Doors
14. Install Zoned, Hydronic Radiant Heating
15. Install High Efficiency Filter
16. Install Heat Recovery Ventilation Unit (HRV)
17. Install Separate Garage Exhaust Fan
K. Renewable Energy and Roofing
1. Pre -Plumb for Solar Water Heating
2. Install Solar Water Heating System
3. Pre -Wire for Future Photovoltaic (PV) Installation
4, Install Photovoltaic (PV) System
(1.2 kw = 6 points, 2.4 kw =12 points, 3.6 kw = 16 points)
6. Select Safe and Durable Roofing Materials
7. Install Radiant Barrier
L. Natural Heating and Cooling
1. Incorporate Passive Solar Heating
2. Install Overhangs or Awnings over South Facing Windows
3. Plant Deciduous Trees on the West and South Sides
•
1 Energy pt
y=yes
2 Energy pis
y=yes
2 Energy pis
y=yes
1 Enerov of
v=ves
2 Energy pts
Y=yes
3 Energy pts
y=yes
1 IAO/Health of
y=yes
21AO/Health pts
y=yes
2 Energy pts
y=yes
1 Energy pt
y=yes
4 Energy pts
y=yes
31AO/Health pis
y=yes
31AQ/Health pts
y=yes
3 Energy pts
y=yes
3 Energy pts
y=yes
2 Resource pis
y=yes
2 Energy pts
1 IAO/Health of
1 Energy pt
1 Energy pt
3 Energy pts
41AQ/Health pts
51AQ/Health pts
31AQ/Health pis
4 Energy pts
10 Energy pts
4 Energy pts
y=yes
Up to 18 Energy
1 Resource of y=
3 Energy pts y=
5 Energy pts
3 Energy pts
3 Energy pis
. In oor Alr uahty an Imshes
1. Use L6w/N6-VOC Paint 1 IAO/Health pts y=yes
2. Use Low VOC, Water -Based Wood Finishes 2 IAQ/Health pts y=yes
3. Use Low/NoIVOC Adhesives 3 IAQ/Health pts y=yes
4. Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes
5. Use Engineered Sheet Goods with no added Urea
Formaldehyde 61AQ/Health pts y=yes
6. Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes
7. Seal,all_Exposecl Radiclelward or,MDF,-- - 4 IAQ/Health pis y=yes
8. Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes
9. Use Finger -Jointed or Recycled -Content Trim 1 Resource pts y=yes
10. Install Whole House Vacuum System 3 IAO/Health pts y=yes
Resources Energy 1AGII-lealth
0
0 •
0
0
0
0
0
0
0
I 0
INPUT
'2. Use Rapidly'Renewable,Flooring Materials
4 Resource pts
3. Use Recycled Content Ceramic Tiles
4 Resource pts
4. Install Natural Linoleum in Place of Vinyl
5IAO/Health pts
5. Use Exposed Concrete as Finished Floor
4 Resource pts
6. Install Recycled Content Carpet with Low VOCs
4 Resource pts
N. Flooring
1. Select FSC Certified Wood Flooring
8 Resource pts
'2. Use Rapidly'Renewable,Flooring Materials
4 Resource pts
3. Use Recycled Content Ceramic Tiles
4 Resource pts
4. Install Natural Linoleum in Place of Vinyl
5IAO/Health pts
5. Use Exposed Concrete as Finished Floor
4 Resource pts
6. Install Recycled Content Carpet with Low VOCs
4 Resource pts
Total Points Available: 1 1401 130 57
Total Points Project Received:
G:dalarprocstgreenbuildingguidelines4emodelerslgreenpointstinal2. t 2.Daproteoted.xls
11
•
•
•
Plan Review Process Work Book Page -12-Revised 3/25/08
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
2 points
B. Site
9. Install H.E. Irrigation, (details/spec)•
L-1
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 (Joist, (See Spec.)
S-2
2 points
5.
Use Truss with heels, (detail)
S4
2 points
6.
B. OSB Sheathing, detail
5-2
2 points
E.
Ext. Finish
1.
Composite Decking, (Note/Spec.)
A-3
2 points
4.
B. Fiber Cement Sidin (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, (Nate/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
MongollM
TOTAL POINTS1
7740
points
Plan Review Process Work Book Page -12-Revised 3/25/08
CITY OF
IOUPERTINO
•
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax (408) 777-3333
Building Department
JOB ADDRESS:
O?L ?- C�
PERMIT #
D&UQoCe 2
OWNER'S NAME: A4Zi�
PHONE # p _
GENERAL CONTRACTOR
FAX #
I am not using any subcontractors: /0, 4 f/ , ems
Signatur Date
Please check applicable subcontractors and complete the following information:
Owner/ Contractor Signature
Date
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