08060032 CITY OF CUPERTINO
BUILDING DIVIS{v7N PERMIT N-
"ti,
BUILp 1�r44ADDDRFSS: y < PERMIT NO.
LlUb5 LAURETTA DR TBD TO BE DETERMINED 08060032
OWNER'S NAME: PERMTT ISSUE DATE
LIU FONG-CHU ET AL 06/04/2008
NE: - SANITARY N0, CONTROL NO.
ARCHITECTIENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
�O p
LICENSED I amCONTRACTOR'S under DECLARATION lob Description
r� a homey affirm mat 1 m licensed under provisions of Chapter 9(commencing P
Z with SoobaTr(IU)ofDi" nlafHe Busircvand Pmfesomu Cade.m mylkmlsels UPGRD ELECTRCL SVC TO 200 AMPS
n?N in full finectudcRat lgo�6
p�Z licrnm Clus Lk.a �
Fp Date CS=FCr I A
'QQ�a 7W an shallCHlb use DELL public
records�W U 1 uMcnOnJ my plans shall k used as puhlic r000rte
g Licensed Professional
5 OWNER-BUILDER DECLARATION
1 hereby affirm Nal 1 m uempt from me Conuactofs License Law for the
i p O following reason.(Section 7031.5.Business and Profectitnu Cade:Any city or county
Q which mquirn a Permit in ensu wt.alter.Impmvo,demolish.or repair any structure
_i< prior in its issuu¢o,also mquiru tbeapplicant for such permit to fikittignedsfaemem
tat he s licensed pursuant He pmvisiou of toConuacmr's License Law(Chapter 9 Sq.Ft. Floor Area Valuation
Y�m m mmumm,withSrefion 7000)of0ivtinn Jaffk Buumussand Pmfusiom Coac)or $3000
u 3 mat he u exempt Ucmrronf and the basis for me alleged eaampdaa My violation of
Section 1071.3 by any appliaut fora permit subjects the applicant fo a civil penalty of �7y�Number O
no,mare man mm handfed dollars(M). 32655007 .jbPJ4 Occupancy P Y T YPe
❑I.mo mroftheprnpcdy,mmymployeuwimwagcsufkirnkcompefuadon,
will Prthewons andmemuctuseunotimm�dcds Law
does
or
add property
wh obu Cade TIe Conlracmfs Limnho IoW don rot apply m an owno of Required Inspections
propotywho Willsaimprot suthoecmews who aeessuch rade himselforfforWeh,
own.m,ar.beu,ping cal a,ithatachlmP.sold wi i...ans yeaendeC aroRcrW for owne.U,
huilder .be Wildingor dee of proving
inis sold withinane year ofcompkdformeowno-
sak.).r will have Ik burden of proving mal k did not Wild or improve(err purpose of
sakJ.
1.as ownsr of de property,m ncluuvcly contracting with BcensW cuntnnas in
cafufdct the project(Sec Truss.Business sad Profusions Caere:)The Corumots Li.
cone law docs not apply to an owner of pmperty who Wilds or improves Hereon,and,
who contracts for such projects wit aconlra cods)licensed pursuant to the Contractors
License law. -
❑ImuemptunderSee ,B&P C for this motion
Owner Dam
WORKER'S COMPENSATION DECLARATION
40 1 kreby affirm enter penalty of perjury Oro of de following declinations,
❑I ham and will maintain a Cenifnumof Coment tos NhaurefarWorkersCompcn-
fation,u pmvidcd for by Section 37W of the Labor Code.for to performance of to
work for which this Permit is issued.
❑1 have and will mountain Workers compensation lfuuranm,u requirN by Scedon
7700 of the Labo Code.Iw the pede mama of He wort for which our permit s issued.
My Workers Compensation Insurance artier and Policy number rS
Cameo ST Policy
CERIFlCTE0 1INN FlROr
COMPENSATIONINSURANCE EORKERS'
(Thu secure,aced mtkcmpked BIk Permit Is for.hundred dollars(Slog)
or leu.)
I codify mat in the peffafmance of the work for which this Permit is issued.I shall not
employ any Person in any mannerso u to become subject to Ik Wmkoai Compauadan
Laws of California.Dam
Appliant
NOTICE TO APPLICANT:If.after making ms Ccnirum of Exemption,you should
become subject in to Workers Compensation provisions of to Lahm Code.you must
.J,2 fonAwit comply wit such Provisions in this permit shall k doomed news cd.
r�O CONSTRUCTION LENDING AGENCY
[-w Imby-frrm saconmdcdon lending agency for to perfurmsnce of
Ni kmat mete> me work for whim mu Permit Is issued(Sec.J(19T,Civ.C.)
6W.p Landers Nam.
,7 Z Landers Address
U Q I codify mal I have read suis application and sum Nu the about information is
iI. - tinct I agnx to comply wit all city and county ordinancesand all laws rcudng to
8 CS1^ building consuucdan,and hereby aomorim mprsomentcs ofms city in crams upon to
W -hove-mcnti000d property for inspection poopnes
(We)agree to save,indcmrtify cad troop harmless Ik City of Cupedina against �/—_�/�/s/
CA liabilities.judgments,costs and carcinoma which may in any way aceme against City
UZ in consequence of canning of tis permit.
�` APPLICANT DE DS AND ILL OMPLY WITH ALL NON-POINT Issued by: Date
SOURCE REGULATW
4 o B Re-roofs
Signature of Applian ontrxmr Dam
H RDOUS MRIEIUALS DISCLOSURE Type of Roof
Will No appli tar future W I ing necupantdore m 1u ilk heurdon material
u dcftrcd by me Cu vino Muni 1 Code.Chapter 9.11,and the Hoalth and Safety
Cale,Section 25533(x)?
❑Ta All roofs shall be inspected prior to any roofing material being installed.
o
If a roof is installed without first obtainingan inspection,I agree to remove
Will me applicant m fumrt Iding Occupant care equipment m tevicca which P
cmif harardnu air callminum u fnncd by to Bay Am.Air Quality Management all new materials for inspection.
DiarictT
❑Yes No
I h&S e l Co hn,ardmumakrias 55 u3 win 255 n.T r dedsam iha bull ing
ns Halm&SalctyCadn Seetiats25 3.25377 rW 25336.1 ucvkrsund flwif do building
dots not c ¢nand s m'rnpomihihly m notify de occupant of the
requiremcn wnmh kmo ancoofsccrtifeamof ry. Signature of Applicant Date
Ownar or authofixe agent owP.�7 All roof coverings to be Class'W'or better
CITY OF CUPERTINO
• 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 32655007 . 00
DATE ISSUED. . . . . . . : 06/04/2008
RECEIPT # . . . . . . . . . : BS000004997
REFERENCE ID # . . . : 08060032
SITE ADDRESS . . . . . : 21065 LAURETTA DR
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER LIU FONG-CHU ET AL
ADDRESS 21065 LAURETTA DR
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-1655
RECEIVED FROM . . . . : TLT CONSTRUCTN INC
CONTRACTOR . . . . . . . : TBD - TG BE DETERMINED LIC # 00096
COMPANY . . . . . . . . . . : TBD - TO BE DETERMINED
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . .
TELEPHONE . . . . . . . . :
•
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 3 , 000 . 00 0 . 50 0 . 00 0 . 50 0 . 00
lEPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
1TRAVDOC FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 82 . 08 0 . 00 82 . 08 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 82 . 08 #107
---------------
TOTAL RECEIPT 82 , 08
•
OU3,.
St CITY OF CUPERTINO
• CUPEkTINO GENERAL BUILDING
PERMIT APPLICATION FORM
APN # ..5 �D E),6U Z�
Building Address:
,()65 L,}VIZM,A- [)PJV&
jE
C TCK 11 No CA q5 lt)
Mailing Address (if different from building address):
Owner's Name: Phone#:
LI U -FO)JG - C+I 0 A L Cqoi) 7�_7— 676y_
Contractor: 0A0 PqA� A Phone: 4005�D — 7767
"'1 Fax: y B yr/6 — .5-973
Contractor License it: 6ID3 66,6
Cupertino Business License#:
• Contact: i O*N PHA, A Phone' tfC S6s _ 1-7e7
ei 7
V' Fax: a' /6 — 073 /
Residential Commercial
Job Description: UP&EADE t�egp IeAL- cSyp-1/1CI� To 200 ,4p
Building Permit Info:
Bldg ❑ Elect Plumb ❑ —M,-ch ❑
Type of Construction (Usage Class): Occupancy Type:
1-A, 1-B ❑ IVIII/V-A ❑ IVIII B, IV-HT, V-B. ❑
Valuatio Square Footage:
P0_00
Project Size: Standard ❑ Large ❑ Major ❑
•
Revised 5/21/08
CITY OF CUPERTINO
CUPERTINO GENERAL BUILDING
PERMIT APPLICATION FORM
Quantity/Sf Fee ID Fee Description Fee Permit Type
(Group 1GENRES or
1GENCOM
1 BTEMPPER Temporary Building Permit (good for B
30 days)
1 BBOILERI For the installation or relocation of ea M
boiler/compressor to &including 3
horsepower, or ea absorption sys to &
incl 100,000 Btu/h (29.3kw)
1 BBOILER2 Installation/relocation of ea M
boiler/compressor over 3 horsepower
to & incl 15 horsepower, or ea
absorption sys over 100,000 Btu/h
1 BBOILER3 Installation/relocation of ea M
boiler/compressor over 15 horsepower
to & incl 30 horsepower, or ea
absorption sys over 500,000 Btu/h to •
& incl 1,000,000 Btu/h
1 BBOILER4 Installation/relocation of ea M
boiler/compressor over 30 hosepower
to & incl 50 horsepower, or for ea
absorption sys over 1,000,000 Btu/h to
& incl 1,750,000 Btu/h
1 BBOILER5 Installation/relocation of ea boiler or M
refrigeration compressor over 50
horsepower, or ea absorption sys over
1,750,000 Btu/h
1 BAPPLOTH For ea appliance or piece of equip M
regulated by this Code but not classed
in other appliance categories, or for
which no other fee is listed in this
code.
I ELECINSP Other Electrical Inspections (per hour) E
1 MECHINSP Other Mechanical Inspections (per M
hour)
1PLMBINSP Other Plumbing & Gas Inspections P
er hour)
IMEETINGIHR Application Meeting B
(C ' CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
• CUPEkTINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group ]GENRES or
1GENCOM
ACOUSTICAL
REVIEW
IACOUSFDW SFDWL/Duplex New B
IACOUSRESAD SFDWL/Duplex-Addition/Alteration B
IACOUSCOM Multi-Family/Commercial B
CHIMNEY'S
]CHIMNEY Chimney B
1CHIMNEYR Chimney Repair B
FENCES
dh
1 FENCE>6FT Non-masonry, over 6 ft in height B
1 FENCEMAS>6 Masonry, over 6 ft in height B
FIREPLACES
1FIREPLMAS Fireplace Masonry B
1FIREPLFAB Fireplace Pre-Fabricated./Metal B
1 FLAGPOL>20 Flag pole (over 20 ft in height) B
1 MODUSTRU Modular Structures B
FOUNDATIONS
1FOUNDREP Foundation Repair g
1 PILECAST Pile Foundation Cast in place concrete B
1PILEDRIV Pile Foundation Driven (steel, pre- B
stressed concrete)
3 of 5
aN CITY OF CUPERTINO
CITY Of GENERAL BUILDING APPLICATION
CUPEf�TINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description ]Fee Permit Type
Group 1GENRES or
1GENCOM
RETAINING
WALL(CONCRETE
OR MASONRY
1 RETSTN Standard (up to 50 ft) B
1 RETSP310 Special Design, 3-10' high (up to 50 `) B
1RETSPIO Special Design, over 10' high (up to B
50')
1 RETCRB< Gravity/Crib Wall, 0-10'high (up to B
50 ft)
1RETCRB> Gravity/Crib Wall over 10' high (up to B
50 ft)
SIDING
1 SIDEST/BK Siding, Stone & Brick Veneer B •
(interior/exterior)
1 SIDEOTHER Siding all other B
SKYLIGHTS
1 SKYL<10 SF Skylight less than 10 sf B
1 SKYL>1 OSF Skylight greater than 10 sf or B
structural
1STAIRS Stairs-first flight/ea addt'1 B
STORAGE RACKS
1 SRACKS<=8 Storage Racks 0-8' high (up to 100 sf) B
1 SRACKS>8 Storage Racks over 8' high (up to 100 B
st)
1STUCOAP Stucco Applications (up to 400 sf) B
additional stucco application
4of5
;(CGS CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
• CUPEkTINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description ]Fee Permit Type
Group 1GENRES or
1GENCOM
1WINREP Replacement windows/sliding glass B
door (ea 8 windows)
1 WINMEWSTR New Window-structural shear B
wall/masonry (includes plan ck fee
1 EPERMITFEE Electrical Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
I PPERMITFEE Plumbing Permit Fee P
1 ELCPLNCK Stand Alone Electric Pln Ck (hourly) E
1MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M
1PLMBLNCK Stand Alone Plumbing Pln Ck (hrly) P
1 STPLNCK-(3 Hr Min Standard Plan Check (when no E/M/P) B
when not over counter) hourly-stand alone
r IBSEISMICR Seismic Residential B
IBSEISMICO Seismic Commercial B
I 1TRAVD0C Travel & Documentation B
1BUSLIC Business License B
•
5of5
Green Building Plan Check
Index of Green Building Points/Categories
A. Category Example of an Index or Table of Green Plan Sheet or Page Points
Building Points Categories that must be
shown and referenced on the Project
Plans See below
a_
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) 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. 0513 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.) 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
TOTAL POINTS 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. .
A.Site INPUT Re�urces Energy IIAD/Heatth
1.Recycle Job Site Construction&Demolition Waste {
65%=1 point;75%= 2 points;80%=4 points ! up to 4 Resource pts 0
L2.Salvage Reusable Building Materials _1 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 Stonmwater Practices 2 Resource pts y=yes 0
7.Protect Water Quality with Landscape Design _ 2 Resource pts y=yes 0
LDesign Resource-Efficient Landscapes and Gardens _ _� 4 Resource pts y--yes 0
9.Reuse Materials/Usa 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 1 1 1
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
1 I
C.Structural Frame 1
1.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 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
6.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 Ener is
Energy y—Yes p
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 p
12.Use OSB ----� _-- -
a.Subfloors• 1 Resource pt y=yes p b.Sheathing _ - ± 1 Resource t y=yes P Y—Y � 0
0:— 0 0
D.Exterior ims
INPUT ReSDUrCeS Energy IA01Heafth
1 Use Sustainabie 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 1 1
E.Plumbing
1.Install Water Heater J;Fket 1 Energy pt y=yes 0
2.Insulate Hot and Cold Water Pipes 2 Energy pts Y--yes 0
I
Retrofitall 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
Replace Toilest with Ultra-Low Flush Toilets
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 Titration 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 !
r.trecmcai
1.Install Compact Fluorescent Light Bulbs(CFLs)
(6 bulbs=2 points,10 bulbs=3 points,12 bulbs=4 points)_ Up to 4 Energy pts. 0 •
2.Install IC-AT Recessed Fixtures with CFLs(1 point each,up to
5 points) Up to 5 Energy pts. 0
3.Install Lighting Controls(1 point per fixture,up to 4 points) Up to 4 Energy pts. 0
4.Install High Efficiency Ceiling Fans with CFLs
(1 point each,up to 4 points) Up to 4 Energy pts. 0
1 1 1
G.Appliances
1.Install Energy Star Disllwasfier' y 1 1 Energy pt y--yes 0
2.Install Washing Machine with Water and Energy
Conservation Features 1 Energy pt y=yes 0
I3.lnstall Energy Star Refrigerator_ J 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
LNI Install Recycled-Content,Fiberglass Insulation with
o 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
o.UeNings 4 Resource pts y=yes 0
1 1
1. mdows
• i1.Install Energy-Etficiem Windows
a.Double-Paned 1 Energy pt Y--yes 0
b.Low-Emissivity(Low-E) 2 Energy pts Y--yes 0
o.Low.ConductivityFrames
L - � _ 2 Energy pts y=yes 0
2.Install Low Heat Transmission_Gl—azing - 1 Energy pt y=yes 0
r 1 1
J.Heating Ventilation and Air Conditioning
C.Use Dud Mastic on All Duct Joints 2 Energy pts Y--yes 0
2.Install Ductwork within Conditioned Space 3 Energy pts _ y--yes 0
3.Vent Range Hood to the Outside 1 IAQ/Health pt y--yes 0
4.Clean ail Ducts Before Occupancy 2 IAQ/Health pts y--yes 0
5.Install Solar Attic Fan 2 Energy pts y=yes 0
6.Install Attic Ventilation Systems 1 Energy pt y=yes 0
7.Install Whole House Fan 4 Energy pts Y--yes 0
B.Install Sealed Combustion Units
a.Furnaces 31AQ/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=yas 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 stovesrnserts 1 IAQ/Health pt y=yes 0
b. Instali/Replace Dampers 1 Energy pt y=yes 0
c.Install Airtight Doors 1 Energy pt y=yes 0
14.Install Zoned,Hydronic Radiant Heating 3 Energy pts y=yes 0
15.Install High Efficiency Filter 41AQ/Health pts y=yes 0
16.Install Heat Recovery Ventilation Unit(HRV) 5 IAQ/Health pts y--yes 0
17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y=yes p
1
K.Renewable Energy and Roofing 1 1
1.Pre-Plumb for Solar Water Heating 4 Energy pts Y--yes 0
2.Install Solar Vater 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
8.Seleca Safe and Durable Roofing Materials __ 1 1 Resource pt y=yes p
7.Install Radiant Barrier _ 3 Energy pts y=yes 0
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 V6ndows 3 Energy pts y=yes 0
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0
• 1 1 1
114PUT Resources Energy IAD/Hmfth
Indoor Arr Qua iffty an meshes
1 Use Low/No-VQCi Paint _ _ 1 IAO/Health pts y=yes 0 •
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0
P.Use Low/No VOC Adliesives _ 3IAO/Health is es
-- ----- — - -.. . --- --. P Y=Y 0
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 61AQ/Health pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes D
�7.Seal all Exposed Particleboard or OF ,__ - 4 IAQ/Healthpts y=yes D
6.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
1 D.Install Whole House Vacuum System 3 IAQ/Health pts y=yes 0
1 1 !
N.Flooring
1.Select FSC Certified Wood Flooring 8 Resource pts Y=yes 0
2.Use Rapidly Renewable Floonng Matenals — 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 Aval a le: 1 1401 130 57 •
Total Points Project R 1 01 0 0
G:datarprogsrgmenbulldnoguidelineshr modeleralgreenpointefnal2.12.g4proleded.ds
•
Community Development
10300 Torre Avenue
V-4
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
ONPEkTINO
Building Department r
I �n�
JOB ADDRESS: 2106S^ I_Ac/p-E�1 jA D)Z_ PERMIT #
OWNER'S NAME: U tJ Fc,, JG - coV .4=f- A PHONE # ypg -5&9 _ 77C9
GENERAL CONTRACTOR: OBJ FttAA4,, FAX # 5-161- S21�3
I am not using any subcontractors: IeW Lu 06 62 08
Signature Date
Please check applicable subcontractors and c m lete I-e-To-11owing information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
Linoleum/ Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
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Ornamental Sheet Metal
Painting/ Wallpaper
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Plumbing
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Sheet Metal
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1
Owner/Contractor Signature Date