08090167 CITY OF CUPERTINO
BulcmNc DnesloN PERMITC,ONTRACTCTR INF,QILMATIQN
BUILDING ADDRESS: PERMIT NO.
22476 LINDA ANN CT E G ELECTRICAL SERVICES 08090167
OWNER'S NAME: PERMrT ISSUE OATS
GONTANG ALLAN R AND CAROL R 1170 BISMARCK DR 09/25/2008
NE: SANITARY NO. CONTROL NO.
(408) 370-2222
ARCH=ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
X00 LICENSED CONTRACTOR'S DECLARATION Job Description
uC I hereby&RNDSCTIpam
at 1 am licensed under provisions of Chapter 9(commencing
ZW withSccdon70(MBofDividom3oftheBusinessandProfcseiumCoulmylicenseis SUB PANEL CHANGE
^<<�N in son rnr¢he errS—
D0Z Licrnse❑ L'c.g '131
& Date Contractor
't' ARCHITECTS DECLARATION
a V I u rid my plans shall W used L public records
Ma
G Licensed Professional
OWNER-BUILDER DECLARATION
I Wmhy a?rot that I am exempt from the ConuactoeA License Law for the
a O O following mann.(Section 703 1.5.Business and Professions Cod::Any city Or county
which,equina n permit m eormntcL alun.impm c.demolish,or repair any structure
Zy prim to its issuance,also require tW applicant rorsueh permit b Bk a signed nsumcm
Fss< that he is Hounded pursuant to the provisions of Ne Conlsoctor's Liam,Law(Chapter 9 Sq.Ft.Floor AreaValuation
y�FO (commencing with Section 700M of Division 3 of tW Business and prof nm Code)or $1100
y $ that W is c unapt Ocrcfmm and de buts for the Olegnd eumption.Any violadon of
Section 7031.5 by any applicant fora permit subjcN the applicant an a civil penalty ofNumber O
Out mom than five hundred dollars ISM 32613 07 2 .(V Occupancy P Y Type
0 I'm own"of the pmpersy,or my employees with wages an their sale compettsadon,
will do tiro work,and the swctuu is Out intended or offered forsal.(Sec.7(x4,Business
and Proressimas Code The Contractors I act,Law,dunes Out apply an u awn"or Required Inspections
property who build,or i m proves thereon,and who dues such work himself or through his
own employees•provided that such improvements are not intended ureffeud forsele.U,
however.the Wilding or Wprownent is sold within arc year of completion.the ownm-
builder will love tW WNen of proving Nat be did not build or improve nor purpose of
sal..).
0 1,an owner or she prop:ny,am esclu nively contracting with Handed contranors to
construct the project(Sec.7(04.Busineu and Professions Cade:)The Caouaoor's Li.
mese Law does not apply ro in owna of property who Wilds or improves theme,and,
who contracts for such projects with a eontracton.)resmsed pussunm ad de Convenor,
License Law.
O lasteaemptunder See .B&PCrarffiis.
Own" Data
WORKER'S COMPENSATION DECORATION
1 bemby afar¢under Malty of Priory,arc of the roliawing alalentiom,:
have and will mountain a Certificate of Cement to self-insum for Workers Compem-
anium,an provided for by Section 3700 of de Labor Cade,fa the part. a of th<
work for which this permit is issued.
0 1 have and will maintain Worker]Compenadon Insoru¢,as acquired by Section
3700 of tho la�!Wrrr CCeoda,for the performance offt work for
91which this Permit u ivW
u .
My
due I nrian and
Policy No.:
Carders x s P IONN IOM WORKERS'
COMPENSATION INSURANCE
(Thttsmim ner4 rot be camplcted Van pmmit is fmonc handed dollen(1100)
or less)
1 century that in the performanu of f work far which this permit is Wood.l seal trot
employ any person in any manner¢as to Weame subject to the Works,Compemetion .
fawn of California.Date
Applicant
NOTICE TO APPLICANT:IL after making this Ccr ifomc of Exoneration,you should
become,abject as f Workces Compccaidon provisions of the Laton Code,you muss
.,O forthwith comply with such provisions or this permit shall W decred mveked.
'z CONmucnON LENDING AGENCY
(-v Ihereby hill.that them is a construction lending agency for the periarroana ter
a the work for which this permit is invA(Sec.3(197,Civ.C)
lenders None
Z Lenders Addm..
U O 1 certify that I haw notal this application and,este that the shove inrmmauon is .
L, P contact I agree to comply with 01 city and county ordinances and sum laws minting to
OU building convection,and hereby mtbodmmprexnutives ofthlf city to enter upon the
r fZl aW.-mentioned property for inpesdon parpn¢a
Ey p, (WO agree toss indemnify and kxp harmless tW City or Cupenine against
ti fA lmbilides,)udgmenu, d saptanses which may in any way acne agarol said City
U Z in consequence of the g 'ng or this permit. �T
^ APPLICANT UND ANDS AND WILL COMPLY WITH AL NON INT Issued by: Date
SOURCE RE GU NS.
F Re-roofs
Signuum of App nVCo qts
HAZARDOUSMATERIAISDISCLOSURE Type of Roof
Will th appllon ca paun Wilding oauputsmm or bandk bvallon maurial
as domed by f W Cupertino M-mitiPal Coale,Chapter 9.12,and the Health ad Safety
Coda.Scott..Yes iA on 25532(.)?ea)+ J NO All roofs shall be inspected prior to any roofing material being installed.
Will the applicant of banding occupant au equipment Or saedwmen If a roof is installed without first obtaining an inspection,I agree to remove
harardmu,air ennuminuu as defined by tW Bay Area Air Quality Management
etT all new materials for inspection.
❑Ya No
Ihnomedde ,Sadoousnuudals 533 rul=nder Chapter6.9595 of de Calding
does not
Secemanmhat It i my reapmebil.1 muncy understandf ft Wilding
docs mat c y have a emus that el u my aespo,ahiliry m redly die�uput of the
an,do men ich¢tut be met pia,to iesuvuc or a Color..of cup
Signature of Applicant Date
Ow ta4,atn agent I I Dale All roof coverings to be Class'%¢"or better
CITY OF CUPERTINO
• 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 32613072 . 00
DATE ISSUED. . . . . . . : 09/25/2008
RECEIPT # . . . . . . . . . : BS000006182
REFERENCE ID # . . . : 08090167
SITE ADDRESS . . . . . : 22476 LINDA ANN CT
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : GONTANG ALLAN R AND CAROL R
ADDRESS . . . . . . . . . . : 22476 LINDA ANN CT
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-1026
RECEIVED FROM . . . . : EG ELECTRICAL SERV
CONTRACTOR . . . . . . . : EDWARD GORGINIAN LIC # 24831
COMPANY . . . . . . . . . . : E G ELECTRICAL SERVICES
ADDRESS . . . . . . . . . . : 1170 BISMARCK DR
CITY/STATE/ZIP . . . : CAMPBELL, CA 95008
TELEPHONE . . . . . . . . : (408) 370-2222
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 1, 100 . 00 0 . 50 0 . 00 0 . 50 0 . 00
1EPERMITFE FLAT RATE 1. 00 40 . 79 0 . 00 40 .79 0 . 00
1ERT<200 UNITS 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 #368
---------------
TOTAL RECEIPT 82 . 08
•
Oso of vi
CITY OF CUPERTINO
• CUPEkTINO GENERAL BUILDING
PERMIT APPLICATION FORM
APN # I .3 C, Date:
Building Address:
Mailing Address (if different from building address):
Owner's.Name: Phone#:
CAIL(OL LOKEP43G
Contractor: Phone: /, ()K ZZ
• 1 L Fax: �1
Contractor License#: -k6,p s 0S
Cupertino Business License#:
Contact: �w A O Cl t N If�1 Phone: 2222
3 0-
• Fax:
ResidentialZ Commercial
Job Description:
(Su6 )6tNcL- C,w ,16F,
Building Permit Info:
Bldg ❑ Elect Plumb ❑ Mech ❑
Type of Construction (Usage Class): Occupancy Type:
1-A, I-B ❑ II WIN-A ❑ II/III B, N-HT, V-B
Valuation: Square Footage:
Project Size: Express a Standard ❑ Large ❑ Major .❑
Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it
to the application or if applicable, include in plan set& the sheet index.
• Points Achieved:
For help, contact Build it Green at www.builditgreen.org
Revised 7/01/08
l
aCITY0
CITY OF CUPERTINO
CUPEkTINO GENERAL BUILDING
PERMIT APPLICATION FORM
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
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
absorptions s over 100,000 Btu/h
1BBOILER3 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.
1 ELECINSP Other Electrical Inspections (per hour) E
1MECHINSP Other Mechanical Inspections (per M
hour)
1 PLMBINSP Other Plumbing & Gas Inspections P
(per hour)
1MEETINGIHR Application Meeting B •
�. . CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
CUPEI�TINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
ACOUSTICAL
REVIEW.
IACOUSFDW SFDWL/Duplex New B
IACOUSRESAD SFDWL/Duplex-Addition/Alteration B
IACOUSCOM Multi-Family/Commercial B
CHIMNEY'S
1CHIMNEY Chimney B
1 CHIMNEYR . Chimney Repair B
FENCES
1FENCE>6FT Non-masonry, over 6 ft in height B
1 FENCEMAS>6 Masonry, over 6 ft in height B
FIREPLACES
IFIREPLMAS Fireplace Masonry B
1 FIREPLFAB Fireplace Pre-Fabricated/Metal B
1 FLAGPOL>20 Flag pole (over 20 ft in height) B
1MODUSTRU Modular Structures B
FOUNDATIONS
1FOUNDREP Foundation Repair B
IPILECAST Pile Foundation Cast in place concrete B
IPI LEDRIV Pile Foundation Driven (steel, pre- B
stressed concrete
3 of 5
r.., ,
va CITY OF CUPERTINO
CATV OF GENERAL BUILDING APPLICATION }
CUPERTINO
FEE SCHEDULE • '
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
RETAINING
WALL(CONCRETE
OR MASONRY
1RETSTN Standard (up to 50 ft) B
1RETSP310 Special Design, 3-10' high (up to 50 `) B
1RETSP10 Special Design, over 10' high (up to B
50'
1RETCRB< Gravity/Crib Wall, 0-10'high (up to B
50 R
1RETCRB> Gravity/Crib Wall over 10' high (up to B
50 ft
SHED-(EACH) Shed Over 120 sq ft B •
SIDING
1SIDEST/BK Siding, Stone & Brick Veneer B
interior/exterior
1 SIDEOTHER Siding all other B
SKYLIGHTS
1SKYL<10 SF Skylight less than 10 sf B
1 SKYL>10SF Skylight greater than 10 sf or B
structural
1STAIRS Stairs-first flight/ea addt'l 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)
•
•4of5
CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
CUPEI�TINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1STUCOAP Stucco Applications (up to 400 sf) B
additional stucco application
1 WINREP Replacement windows/sliding glass B
door (ea 8 windows
1 WINMEWSTR New Window-structural shear B
wall/masonry includes plan ck'fee
IEPERMITFEE Electrical Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
IPPERMITFEE Plumbing Permit Fee P
1 ELCPLNCK Stand Alone Electric Pln Ck (hourly) E
I MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M
IPLMBLNCK 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
/ 113SEISMICR Seismic Residential B
1BSEISMIC0 Seismic Commercial B
1TRAVDOC Travel & Documentation B
1BUSLIC Business License g
5 of 5
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 MMM
2 paints
11. Permeable Pavin , Note L-1 2 oints
C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 paints
D. Structural 3. Uses Woad kJoist, (See Spec.) S-2 2 points
5: Use Truss with heels, (detail) 5-2 2 points
6. B. OSB Sheathing, detail S-2 2 oints
E. Ext. Finish 1. Composite Decking, (Note/Spec.) AJ 2 points
4. B. Fiber Cement Siding, Note/S ec. A-4 12L_
ts
F. Plumbing 1. Insulate all H.W.pipes, (Note/Spec.) P•1 2 points
5. Tankless WA. (Note/Spec.) A-2 2 points
11.A 2500 Gal.Tank, Note/S ec L-1 1b oints
G. Electrical 4. E. Ceiling Fans, (Note/Spec.) A-3 __Lpoints
H. Appliances 1. Energy Star Dishwasher, (Note/Spec.) A3 1 point
3. Energy Star Refrigerator, (Note/Spec. A-3 1 point
P. Other 1. List Green Features on Plans A-1 1 point
TOTAL POINTS 40 points
• I
Plan Review Process Work Book Page-12-Revised 325/08
Tr r
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 Resources— Energy IAD/Heafth
1.Recycle Job Site Construction&Demolition Waste
1 65%=1 point;75%= 2 points;80%=4 points up to 4 Resource pts 0
i2.Salvage Reusable Building Matedals 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 0
1 1 I
B.Foundation
1.Incorporate Recycled Flyash in Concrete -
• 25%Recycled Flyash=2 points;Add 1 point for every 10%
increase of fiyash,up to 5 points up to 5 Resource pts 0
2.Use Recycled Content Aggregate 2 Resource pts y=yes0
3.Insulate Foundation/Slab before backfill 3 Energy pts y=yesF 0
1 I !
C.Structural Frame
fL Substitute Solid Sawn Lumber*6 Engineered Cumber— 3 Resource pts y--yesp
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
b.Wall 3 Energy pts y=yes 0
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.Siubfloors 1 Resource pt y=yes 0
• b.Sheathing'
1 Resource pt Y--yes p
1 1
D.Exterior Finish
1.Use Sustairiable 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 pty=yes 0
3.Install House Wrap under Siding 1 IAQ/Health of y=yes 0
II4.Use Fiber-Cement Siding Materials 1•Resource of y=yes 0
E.Plumbing
1 Install Water Heater Jacket
L- -— - - — 1 Energy P1 Y=Yes 0
2.Insulate Hol and Cold Water Pipes 2 Energy pts y=yes 0
13.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
14.Replace Toilest with Ultra-Low Flush Toilets
Ill 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
8.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 1 1
r.tiecmcai
It.Install Compact Fluorescent Light Bulbs(CFLs)
1(6bulbs=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
i 1 1
G.Appliances
1.Install Energy Star Dishwasher 1 Eneroy pt y=yes 0
i
I2.Install Washing Machine with Water and Energy
,Conservation Features 1 Energy pt y=yes 0
3.install Energy Star Refrigerator Energy pt y=yes 0
14.Install Built-Io-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
13.Instill Recycled-Oontent,Fiberglass Insulation with
IND Added Formaldehyde 31AQ/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-ioam)
a.Walls 1 4 Resource pts y=yes 0
o.Uemngs 4 Resource pts y=yes 0
1 1 1
INPUT Resources Energy IAQ/Heafth
I.Windows
1.Install Energy-Efficient Windows
. a.Double-Paned 1 Energy pt y=yes 0
b.Low-Emissivity(Low-E) 2 Energy pts y=yes 0
c.Low.Conductivity Frames 2 Energy pts Y--yes0
2.Install Low Heat Transmission Glazing - 1 Energy pt y=yes D
1 1 1
J.Heating Ventilation and Air Conditioning
i-1.Use buct Mastic on All Dunt Joinis- _ _ 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 of y--yes 0
4.Clean all Ducts Before Occupancy 2 IAQ/Health pts y--yes 0
5.Install Solar Attic Fan 2 Energy pts y=yes 0
S.Install Attic Ventilation Systems 1 Energy pt Y7—yes 0
7.Install Whole House Fan 4 Energy pts y=yes 0
B.Install Sealed Combustion Units
a.Furnaces 31AQIHealth pts y--yes 0
b.Water Healers 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_yYes 0
13.Retrofit Wood Burning Fireplaces
• a.Install EPA certified wood stoveslnserts 1 IAQ/Haalth 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 ptsy=yes 0
5.Install High Efficiency Filter 4 IAQ/Health pts y=yes 0
16.Install Heat Recovery Ventilation Unit(HRV) 5 IAQ/Health pts y--yes 0
17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y=yes p
1 1 1
K.Renewable Energy and Roofing
1.Pre-Plumb for Solar Water Heating 4 Energy pts y=yes0
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 pt y=yes p
7.Install Radiant Bamer - 3 Energy pis y=yes p
1
L.Natural Heating and Cooling 1 1
1.Incorporate Passive Solar Heating 5 Energy pts y=yes p
2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts y=yes p
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0
1 1 1
•
M.Indoor Air Quality and FlnlsMs
1.Use LowAJo-VOC Paint 1 IAQ/Health pts y=yes 0
2.Use-Low-V66,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 •
�3.Use LowMo VOC Adliesives 31A0/Health pts y=yes D
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 D
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 0
17._Seat 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 0
IQ.Install Whole House Vacuum System 31AQ/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 4 Resource pts y=yes D
3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0
4.Install Natural Linoleum in Place of Vinyl 51AQ/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 Available: 1 1401 1301 57
Total Points Project Received: 0 0 0 •
ZS -off
Gaa:a/progslgreenbuilding idelineslremodelerslgreenpoinlsUnal2.12.04prolecled.xls
•
Community Development
4 10300 Torre Avenue
It '/' Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
4FUPEI,TINO
Building De artment
2B ADDRESS:W+6 LIND 6 4w ( PERMIT#' U n,
OWNER'S NAME: t_ PHONE #
GENERAL CONTRACTOR: FAX #
I am not using any subcontractors:
Signature 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
lyn• a
er/Contractor Signature Date