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CITY OF gPERTINO
Buu.DrNG DIVISION PERMIT
NFORNTATION,'
aulLplpray,�pjC MC CLELLAN RD
KITCHEN WORKS INC/DBA
PERMIT NO.
08090052 ,
OWNEWSNAME:
PERMIT MUE DATE
JAHA TRISNADI
615 IRWIN ST
09/10/2008
NE:
SANITARY NO. CONTROL NO.
(415)456-4696
ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
LICENSED CONTRACTOR'S DECLARATION
Chapter Y
Job Description '
1 hereby affion that 1 am Ilcomce under provision of (commencing
wlth section 700M (Divides.3afdteBusiness and PrufcadosCode. awmylicense is
REPLC 2 BEDRM WNDWS LIKE4LIKE (MEETS EGRESS)
in full forts and efrca
License CIMS LW. N !7 4
Data Commit.,
ARCHITECrSDECLAIRATION
1 understand my plans shall he used M public records
Licensed professional
OWNER -BUILDER DECLARATION
1 hereby affirm that 1 un exempt from the Contactors License Law for the
fallowing reason. (Schon 7W 1.5. Bulinus and Pmfcumuct Cods: Any city or county
which requires a permit to consuucL altar, improve, demolish, or repair any abumme
prior m its issuance. ilea requires the applicant foasuch Permit Or Isle, signed statement
mat W is lksnmd pumunl in the Provisions of also Comsecturi Licome Law (Chapter 9
Sq. Ft. Floor Area
Valuation
(commencing with Section 70OD) of Division 3 of the Business and Ptefesvions Cade) or
$4000
that W la attempt there0am and the iasis for the alleged so mp tum. My violit an of
Salton 70313 by ury, applicant for a prsmlt subjects the applleant in a civil penalty of
35719062 Number
Occupancy Type
am, mom than Ove hundred doll.($Wn
0 1, u owner of rix po pony, ocmy croplo'nua wire wage M mob sok ompewdon.
will do the work, and the,tructure Is ret amended or offered for who eice.7M4, Business
and Pnfmslun Cade The Com.cmrs Limve Law does not apply W an Owner of
_ Required Inspections
pmpertY who builds ocimproves dtmean and who dies s Wm wart himself ser through his
most employees. provided that sash improvements arc notimendcd oroffered forsale If,
however, the building or improvement lasold within one year of completion, the owner.
builder will have the Wren of proving that k did Out Wild or improve fa purpose of
sale.).
❑ 1, u Maes of the property. am exclusively contracting with licensed mntramn to
com tact the project (sec 1044. Business and Professions; Code:) The Coomcmrs U.
.
came Law dors not apply to an owner of property who builds or improm Merton, and
who concocts far such projects with acmuactartU licensed purward to the Contractor'
License law.
El Iamexmnptundes5ee ,BhPCforthumason
Owmr Dae
WORKERS COMPENSATION DECLARATION
1 lumby salon under pemlty of perjury am of the fallowing deelan come:
and will maintain a CertOue of Consent to self -insure for Workers Compere.
cation, u provided for by Secdon 3100 of the labor Code. for the pesforam or of the
work for which this permit is ivued
❑ I have and will maimain Worms. Compensation Insurance, as required by Settle.
37W of the labor Code, for the Performance of the weals farwhich mit Permit is issued
My Workers Cmopensatim Neu curia end Pul;ry number are: �7
Tr" O7do
Cartier. v rT d Policy NO.: — �a
CERTIFlU OFEKEMPION FROM WORKERS'
COMPENSATION INSURANCE
(hila seNm need ret M completed if the Permit is fmom hundred dollars (SIM)
mlesc)
I unify, that in The performance of the works for which this Permit is issued, I ,hall not
emplay army person in any mamma as as W beams subject to the Weol c e Cmmpensulm
Laws of Califomia. Dae
Applicant
NOTICE TO APPLICANT: If, After making this Certificate of Exemption, you ahrrZ
Warren subject m tha Workcls Compermdat instrument of the Labor Code, you mall
roMwith comply veldt each pruvisinn or this Permit shall de uncured mmked.
_--
CONSTRUCTION LENDING AGENCY
—
1 hereby aRm that Nem is a conswcdm lending ¢gene, foo the parfurm,na or
the wish fur which this Permit u issued (Sec 3091, Civ, C.)
Landers Name
Landers Address
I certify that I have mad this application .rd use dear the jurve bdormadm is
.
canes - 1 agree W comply with all city and county, rmli es and use laws telexing W
Wilding construction, and hereby anthorm representative¢ of this city W order upon the
Nuve-mmtiumd far ,.K. m pugoea
(Wa) indemnor
agree to save. and kap harmless the City Of Cupertino .gaunt
aO."cannyas expenseswhichmryIn any way ancmc against said City
S
incoitiusttence ftoemuand
of to RSTA of this permit.
A APPLICANT
A UR REG N SAND WILL COMPLY WITH NON -POINT
SOUR REG
Issued by: * Date Y
�/ r
Re -roofs
/Ys
Sgnuun of ApplianuOanu.nor Data
HAZARDOUS MATERIALS DISCLOSURE
Type of Roof
Will the applicant as future building aaupardnm a or handle summon mated j
u defteed by the Caperton Municipal Code. Chapter 9.13, and the He tills and Safely
code. Section 25532(.)7
Ely. RNm
All roofs shall be inspected prior to any roofing material being installed.
rIf
Will sloe applicant or comm budding Occupant use equipment, or devisxs which
a roof is installed without first obtainingan inspection, I agree to remove
P g
�suadnus iia curnead an s u dented by the Bay Area Air Qadily Management
�
all new materials for inspection.
❑Yu )6u
I have mad the huados materials requimmems miler Cbpmr 6.95 of me Califer-
nie Hcalthk5afcly Cade,Sction 25505.35533 and ]3534.1 andemand thariftM Wilding
/ p/
rima nal cumn Y have • mnanL mal It ur9yfespomibiliry W redly de ocupant of dr
LL G
mgdremcnu nmuRbe piortgKsuanccar,CutirseamarOccv
Signature of Applicant Date
All roof coverings to be Class'W' or better
owmro,nthled.gem �D c
• 2 ITEMS OF 2
•
0
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: B1k: Lot:
APN ........: 35719062.00
DATE ISSUED ....... : 09/10/2008
RECEIPT #.........: BS000006042
REFERENCE ID # ...: 08090052
SITE ADDRESS .....: 21757 MC CLELLAN RD
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OPERATOR: patg
COPY # : 1
' OWNER ............:
JAHA TRISNADI
ADDRESS ..........:
21757 MCCLELLAN RD
CITY/STATE/ZIP'...:
CUPERTINO CA,
95014-4053
RECEIVED FROM ....:
KITCHEN WORKS,
INC.
CONTRACTOR .......:
PRELL, LARRY
LIC # 17457
COMPANY ..........:
KITCHEN WORKS
INC/DBA HOMEWORK
ADDRESS ..........:
615 IRWIN ST
CITY/STATE/ZIP ...:
SAN RAFAEL, CA
94901
TELEPHONE ........:
(415)456-4696
FEE ID UNIT QUANTITY
---------- -----------------------
AMOUNT PD -TO -DT THIS REC
NEW BAL
1BSEISMICR VALUATION 4,000.00
--------------------
0.50
----------
0.00 0.50
----------
0.00
1WINREP EACH 8 1.00
367.00
0.00 367.00
0.00
TOTAL PERMIT
---------- ----------
367.50
----------
0.00 367.50
----------
0.00
METHOD OF PAYMENT
----------
CHECK
TOTAL RECEIPT :
AMOUNT
---------------
367.50
---------------
367.50
REFERENCE NUMBER
--------------------
#7107
09on/rjosI
'i�D., CITY OF CUPERTINO
• CUPEkTINO GENERAL BUILDING
U
A
PERMIT APPLICATION FORM
APN # 57 ( O o O
Date: l a 4�'
Building Address: �! 75-.7 / G7 Ie / qzl
Mailing Address (if different from building address): aMy�
Owner's Name:jqqlh 4 � J
jli r s�
Phone #: 777, nZ
/
Contractor: Ki %G�� �„ol //f �a J �G✓�/�1
Phone: Ctf��
4/ T-
Fax:
Contractor License #: sad �In
Cupertino Business License #:
Contact: ,,7 J� ir_ �� fc�
�
Phone:(,/,, -)Phone:(,/,,-)
Fax:
ommercial
Residential Commercial-ET—
Job Description:
�eP/ �L���aG� 1✓�;, �Q of �%� G,`K�
Tf
Building Permit Info:
Bldg Elect ❑ Plumb ❑ Mech ❑
Type of Construction (Usage Class):
Occupancy Type:
^3
1-A, 1-B ❑ II/IIIN-A ❑ IVIII B, IV -HT, -B
Valuation: �. Square Footage:
oda,
Project Size: Express kStandard ❑ 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.buflditgreen.org
Revised 7/01/08
Sm
CITY OF
CUPERTINO
CITY OF CUPERTINO r
GENERAL BUILDING
PERMIT APPLICATION FORM
Quantity/Sf
Fee ID
Fee Description
Fee
Permit Type
Group
1GENRES or
1GENCOM
1BBOILERI
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
1BBOILER5
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
IMECHINSP
Other Mechanical Inspections (per
M
hour)
1PLMBINSP
Other Plumbing & Gas Inspections
P
(per hour)
1MEETINGIHR
Application Meeting
B
P
� .:Y
CITY OF
• CUPEkTINO
I—
L
CITY OF CUPERTINO
GENERAL BUILDING APPLICATION
FEE SCHEDULE
Quantity/Sf
Fee ID
Fee Description
Fee
Group
Permit Type
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
1CHDANEYR
Chimney Repair
B
FENCES
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
I MODUSTRU
Modular Structures
B
FOUNDATIONS
1FOUNDREP
Foundation Repair
B
I PILECAST
Pile Foundation Cast in place concrete
B-
-1 PILEDRIV
Pile Foundation Driven (steel, pre-
stressed concrete)
B
3 of 5
Sam
CITY OF
CUPERTINO
CITY OF CUPERTINO
GENERAL BUILDING APPLICATION
FEESCHEDULE
Quantity/Sf
Fee ID
Fee Description
Fee
Group
Permit Type
1GENRES or
1GENCOM
RETAINING
WALL(CONCRETE
OR MASONRY
1 RETSTN
Standard (up to 50 ft)
B
1RETSP310
Special Design, 3-10' high (up to 50 `)
B
1 RETSPI O
Special Design, over 10' high (up to
50'
B
1RETCRB<
Gravity/Crib Wall, 0-10'high (up to
50 ft)
B
1RETCRB>
Gravity/Crib Wall over 10' high (up to
50 ft)
B
SHED -(EACH)
Shed Over 120 sq ft
B
SIDING
1 SIDEST/BK
Siding, Stone & Brick Veneer
(interior/exterior)
B
1 SIDEOTHER
Siding all other
B
SKYLIGHTS
1 SKYL<l0 SF
Skylight less than 10 sf
B
1 SKYL>1 OSF
Skylight greater than 10 sf or
structural
B
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
St
B
445
•
. t
CITY OF
• CUPEkTINO
CITY OF CUPERTINO
GENERAL BUILDING APPLICATION
FEE SCHEDULE
Quantity/Sf
Fee ID
Fee Description
Fee
Group
Permit Type
1GENRES or
1GENCOM
1STUCOAP
Stucco Applications (up to 400 sf)
additional stucco application
B
1 WINREP
Replacement windows/sliding glass
door (ea 8 windows
B
1WINMEWSTR
New Window -structural shear
wall/masonry (includes plan ck'fee
B
IEPERMITFEE
Electrical Permit Fee
E
1MPERMITFEE
Mechanical Permit Fee
. M
1 PPERMITFEE
Plumbing Permit Fee
P
IELCPLNCK
Stand Alone Electric Pln Ck (hourly)
E
1MECPLNCK
Stand Alone Mechanical Pln Ck (hrly)
M
1 PLMBLNCK
Stand Alone Plumbing Pln Ck (hrly)
P
1 STPLNCK-(3 Hr Min
when not over counter)
Standard Plan Check (when no E/M)P)
hourly -stand alone
B
f
1 BSEISMICR
Seismic Residential
B
113SEISMICO
Seismic Commercial
B
1TRAVDOC
Travel & Documentation
B
1BUSLIC
Business License
B
5 of 5
•
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
I
MUM=
B.
Site
9.
Install H.E. Irrigation, (details/spec)'
L-1
2 points
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)
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 oints
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 Note/Spec.)A-3
1 oint
P.
Other
1.
List Green Features on Plans
A-1
1 point
MEMMEM
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.
INPUT Resources Energy [ADIHealth
A. Site
�1. Recycle Job Site Construction & Demolition Waste
65%=1 point; 75%= 2 points; 80%= 4 points up to 4 Resource pts 0
!2. Salvage Reusable Building Materials _ 4 Resource pts y=yes 0
3. Remodel for Mixed Use, Adaptive Reuse, and
Histor c 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
IB. Design Resource -Efficient Landscapes and Gardens 4 Resource pts y=yes D
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
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
2. Use Recycled Content Aggregate 2 Resource pts y_
3. Insulate Foundation/Slab before backfill 3 Energy pts Y=
C. Structural Frame
11 _ Substitute Solid Sawn Lumber with Engineered Lumber
3 Resource pts
y=yes
2. Use FSC Certified Wood for framing
(For every 10% of FSC lumber used = 2 points, up to 10)
up to 10 Resource pts.
3. Use Wood I -Joists for Floors and Ceilings
2 Resource pts
y=yes
4. Use Web Floor Trusses
2 Resource pts
y --yes
5. Design Energy Heels on Trusses 6" or more
2 Energy pts
y=yes
G. Use Finger -Jointed Studs for Vertical Applications
2 Resource pts
y=yes
7. Use Engineered Studs for Vertical Applications
2 Resource pts
y=yes
8. Use Recycled Content Steel Studs for Interior Framing
2 Resource pts
y=yes
9. Use Structural Insulated Panels (SIPS)
a. Floors
3 Ener is
9Y P
y --yes
J. Wall
3 Energy pts
Y_ -Yes
c. Roof
3 Energy pts
y=yes
10. Apply Advanced Framing Techniques
4 Resource pts
y --yes
11. Use Reclaimed Lumber for Non Structural Applications
3 Resource pts
y=yes
12. Use O8B — "-
a. Subfloors
• b. Sheathing
1 Resource pt
y=yes
1 Resource pt
y=yes
1. Use Sustainable Decking Materials
a. Recycled content
b. FSC Certified Wood
2. Use Treated Wood That Does Not Contain Chromium/Arsenic
13. Install House Wrap under Siding
14. Use Fiber -Cement Sidng Materials
E. Plumbing
�1. Install Water Heater Jacket
2. Insulate Hot and Cold Water Pipes
I . Retrofit all Faucets and Showerheads with Flow Reducers
a. Faucets (1 point each, up to 2 points)
1b. Showerheads (1 point each, up to 2 points)
4. Replace Toilest with Ultra -Low Rush Toilets
1(1 point each, up to 3 points)
5. Install Chlorine F Iter on Showerhead
6. Convert Gas to Tankless Water Heater
7. Install Water Filtration Units at Faucets
(2 points each, up to 4 points)
B. Install On -Demand Hot Water Circulation Pump
V. uectncar
11. Install Compact Fluorescent Light Bulbs (CFLs)
1(6 bulbs—_2 points, 10 bulbs =3 points, 12 bulbs = 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)
3 Resource pts
y --yes
3 Resource pts
y=yes
1 IAO/Health pt
y --yes
1 IAO/Health pt
y --yes
1 Resource of
y=yes
1 Energy pt y=yes
2 Energy pts y=yes
Up to 2 Resource pts.
Up to 2 Resource pts.
Up to 3 Resource pts.
1 IAO/Health pt y=yes
4 Energy pts y=yes
Up to 4 IAO/Health pts.
4 Resource pts y=yes
Up to 4 Energy
Up to 5 Energy pts.
Up to 4 Energy pts.
Up to 4 Energy pts.
G. Appliances
1. Tnstell Energy Star Dishwasher
1 Energy pt
y=yes
i2. Install Washing Machine with Water and Energy
2 Energy pts
y --yes
Conservation Features
1 Energy pt
y=yes
3.Install Energy Star Refrigerator
1 Energy pt
y=yes
4. Install Built -In Recycling Center -
3 Resource pts
y=yes
H. Insulation
1. Upgrade Insulation to Exceed Title 24 Requirements
a. Walls
2 Energy pts
y --yes
b. Ceilings
2 Energy pts
y=yes
2. Install Floor Insulation over Crawl Space
4 Energy pts
y=yes
!3. Install Recycled -Content, Fiberglass Insulation with
INo Added Formaldehyde
31A0/Health pts
y=yes
4. Use Advanced Infiltration Reduction Practices
2 Energy pts
y=yes
5. Use Cellulose Insulation
a. Walls
4 Resource pts
y --yes
b. Ceilings
4 Resource pts
y=yes
6. Altemative Insulation Products (Cotton, spray -foam)
a. Walls
4 Resource pts
y=yes
n. tapings
4 Resource pts
y=yes
•
•
N
I. Windows
2 Energy pts
1. Install Energy -Efficient Windows
3 Energy pts
• a. Double -Paned
1 Energy pt
b. Low -Emissivity (Low -E)
2 Energy pts
c. Low. Conductivity Frames
2 Energy pts
2. Install Low Heat Transmission Glazing
1 Energy pt
J. Heating Ventilation and Air Conditioning
1. Use Duct Mastic on All Duct Joints _ _ _
2 Energy pts
_ _
Z. Install Ductwo k within Conditioned Space
3 Energy pts
3. Vent Range Hood to the Outside
1 IAQ/Health pt
4. Clean all Ducts Before Occupancy
2 IAQ/Health pts
5. Install Solar Attic Fan
2 Energy pts
S. Install Attic Ventilation Systems
. 1 Energy pt
7. Install Whole House Fan
4 Energy pts
B. Install Sealed Combustion Units
14. Install Zoned, Hydronic Radiant Heating
a. Furnaces
31AQ/Health pts
b. Water Heaters
3 IAQ/Health pts
9. Replace Wall -Mounted Electric and Gas Heaters with
16. Install Heat Recovery Ventilation Unit (HRV)
Through -the -Wall Heat Pumps
3 Energy pts
10. Install 13 SEERM 1 EER or higher AC with a TXV
3 Energy pts
11. Install AC with Non -HCFC Refrigerants
2 Resource pts
Y=Yes
12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace
2 Energy pis
y=yes
• 13. Retrofit Wood Burning Fireplaces
a. Install EPA certified wood stoves/inserts
10 Energy pts
y=
3. Pre -Wire for Future Photovoltaic (PV) Installation
1 IAQ/Health pt
y=yes
b. Install/Replace Dampers
1 Energy pt
y=yes
c. Install Airtight Doors
1 Energy pt
y=yes
14. Install Zoned, Hydronic Radiant Heating
3 Energy pts
y=yes
15. Install High Efficiency Filter
4 IAQ/Health pts
y=yes
16. Install Heat Recovery Ventilation Unit (HRV)
5 IAQ/Health pts
y=yes
17. Install Separate Garage Exhaust Fan
3 IAQ/Health ots
v=ves
K. Renewable Energy and Roofing
1. Pre -Plumb for Solar Water Heating
4 Energy pts
y=
2. Install Solar Water Heating System
10 Energy pts
y=
3. Pre -Wire for Future Photovoltaic (PV) Installation
4 Energy pts
y=
4. Install Photovoltaic (PV) System
(1.2 kw = 6 points, 2.4 kw =12 points, 3.6 kw =1 B points)
Up to 18 Energy
6. Select Safe and Durable Roofing Materials -
1 Resource pt
y-
_ __ _
7. Install Radiant Barrier
3 Energy pts
y=
L. Natural Heating and Cooling
1. Incorporate Passive Solar Heating 1 5 Energy pts
2. Install Overhangs or Awnings over South Facing Windows 3 Energy pts
3. Plant Deciduous Trees on the West and South Sides 3 Energy pts
LJ
1. Use Low/No-VQC Paint
2. Use Low VOC, Water -Based Wood Finishes
'3. Use Cowi%VOC Adhesives
4. Use Salvaged Materials for Interior Finishes
5. Use Engineered Sheet Goods with no added Urea
Formaldehyde
6. Use Exterior Grade Plywood for Interior Uses
'7. Seal all Exposed Particleboara or MDF -
6. Use FSC Certified Materials for Interior Finish
9. Use Finger -Jointed or Recycled -Content Trim
10. Install Whole House Vacuum System
N. Flooring
1. Select FSC Certified Wood Flooring
2. Use Rapidly Renewable Flooring Materials
3. Use Recycled Content Ceramic Tiles
4. Install Natural Linoleum in Place of Vinyl .
5. Use Exposed Concrete as Finished Floor
6, Install Recycled Content Carpet with Low VOCs
1 IAQ/Health pts y=yesi 1 0
21AQ/Health pts y=yes 0
_ 31AQ/Health pts y=yesA 0
3 Resource pts y yes 0
61AQ/Health pts
1 IAQ/Health pts
4IAQ/Health pts
4 Resource pts
1 Resource pts
3 IAQ/Health pts
S Resource pts
y --yes;
4 Resource pts
y=yes
4 Resource pts
y=yes
5 IAQ/Health pts
y=yes
4 Resource pts
y --yes
4 Resource pts
y=yes
Total Points Available: 1 1401 130 57
Total Points Pro'ect Received: 69 01 010 •
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CITY OF
�UPEkTINO
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax(408)777-3333
Building Department
All Cupertino building permits must meet certain conditions related to maintaining
environmental quality and public peace and safety. The two most common
conditions are described below.
STORMWATER POLLUTION CONTROL
State law requires that Cupertino, 12 other Silicon Valley cities, Santa Clara County and
the Santa Clara Valley Water District control stormwater pollution. Educating local
residents and businesses and enforcing stormwater pollutioncontrol laws are key parts
• of the City's compliance efforts.
Stormwater pollution prevention: It's up to us
In northern Santa Clara Valley, storm drains flow directly to local creeks and San
Francisco Bay, with no treatment. Stormwater pollution is a serious problem for wildlife
dependent on our waterways, for people living near streams and baylands, and for the
local water supply. Common sources of stormwater pollution include:
• Dripped oil, fuel, and antifreeze from vehicles and heavy equipment;
• Construction debris, including dirt, concrete and paint;
• Landscaping runoff containing pesticides or weed killers; and
• Any material dumped or spilled into streets or storm drains
The property owner and the contractor share ultimate responsibility for activities
occurring at a construction site and will be held responsible for any environmental
damage caused by subcontractors or employees.
For more information on construction -related stormwater requirements, see the
Stormwater Quality Regulations section of the City of Cupertino web site at:
http://www.cui)ertino.org/city government/departments and offices/
environmental services
COMMUNITY NOISE CONTROL
The basic noise control requirements for construction sites are as follows:
Typical construction work hours are:
• - Weekdays - 7 a.m. to 8 p.m.
- Weekends - 9 a.m. to 6 p.m.
• Construction other than street construction is prohibited on holidays.
Residential daytime noise levels from complaint site - 60 dBA
• Nonresidential daytime noise levels from complaint site - 65 dBA
For more information on noise control, please see Chapter 10.48 of the Cupertino
Municipal Code, which can be accessed at http://www amlegal com/cupertino ca/
Greg Casteel
Building Official
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CITY OF
�UPEkTINO
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Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax (408) 777-3333
Building Department
JOB ADDRESS: 7✓5— 7
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OWNER'S NAME: q, w
Cabinets & Millwork
PHONE #
GENERAL CONTRACTOR:
a
FAX #
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the followinginformation:
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
Date