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08050029 • CITY OF CUPERTINO BUILDING DIVISION' PERMIT 4 C01�ITRe�C-�T+OR IA FORMATIO PERMIT NO. Bu1TprQRE :EADOWVIEW LN R E ROOFING & CONSTRUCTION 08050029 • OWNER'S NAME: INC PERMIT ISSUE DATE BARKEY STANLEY C AND 15230 CLYDELLE AVE 05/01/2008 �1t;"L'a'O AT"L' — SANITARY NO. CONTROL NO. (408) 626-9320 ARCHITECT/ENGINEER: • BURDING PERMIT INFO BLDG ELECT PLUMB MECH O C=1 C C 200 LICENSED CONTRACTOR'S DECLARATION Job Description tit 1 hereby affirm that I am licensed under provisions of Chapter 9(commencingP - € wlthSeIhmbyn)ommiaigi 3grin ii'newand Pror nsCode, dmylicense ia RE-RF RMV EXTNG LYR WDSHK INSTL CLS A 36SQ 1//2 �qi imlf�eyyyy..a.ttftna ercea 7 � �g � '�yh CDX ASTM 30#FLT ' 3W Dale 7 oy DECL We c WX ARCHITECTSbe DECLAR I tun n mY plans Nallheuxd bilert C Licensed Professional - ,a j OWNER-BUILDER DECLARATION erg tcf I hereby affirm that I am exempt front the Contractors License Law for the ❑O following reason.(Section 7031.5.Business and Professions Code:Any city or county 9 which requires a permit to construct.alter.improve.demolish.or repair any structure _2 i prior to its issuance.also requires the applicant for such permit to file a signed statement < that heulicensed pursuant othepmrisonsofdreCanlracturSll¢nslaw(Chapter9 Sq.Ft. Floor Area Valuation aE- t I (commencing with Section 7000)of Division 3 of the Business and Professions Code)or $15000 €319 that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of Occupancy Type more than five hundred dollars(5303). 32645023 .10 LD I,as owner of the property,or my employers with wages as their sole compensation, will do the work.and the structure is not intended or offered for sale(Sec.Reds,Business and Professions Code:The Contractors License Law don not apply N an owner of Required Inspections property who builds or improves thereon,and who does such work himself or Wough his own employees,provided that such improvements are not intended or offered 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 am exclusively contracting with licensed contractors to • rnrrtruct the project(See.7044,Business and Professions Code:)The Contractors Li- cense Law does not apply N an owner of property who builds or improves Neuron,and who contracts for such projects with a contactors)licensed pursuant N the Contractor's ' License Law. 0 I un exempt under See ,B dPC for this reason Owner Date WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations el I have and will maintain a Certificate of Consent to self-insure for Workers Compen- • onion.as provided for by Section 3700 of the Labor Code.for the performance of the work for which this permit is issued. ❑I have and will maintain Workers Compensation Insurance.as required by Section 3700 of the labor Code,for the performance of the work for which this permit is issued. • ' My Workers Compensation Insurance Insurance carrier and Policy number are: f� • Cartier. I l l f�itf wl Policy No.: % I I ^I U�0 CERTIFICATE OF EMPTION FROM WORKERS' ' COMPENSATION INSURANCE • (Thu=lien need not be completed if the permit Is for one hundreddollas(SI00) or less) I certify Nat in the performance of the work for which Nis permit is issued.I shall not employ any-person in any manner so as to become subject to the Workers'Compensation Laws of California.Date Applicant NOTICE TO APPIJCANT:If after making this Ceniftcate of Exemption,you should become subject to the Worker's Compensation provisions of the Labor Code,you must .J Z forthwith comply with such provision or this permit shall he deemed revoked. Z0 S CONSTRUCTION LENDING AGENCY V) C4 I hereby affirm that there is a (Sec. construction 0 7. ivg agency for the performance of C4 the work for which this',omitissued(Sa.309 Civ.. C.) 14 Lender's Name Clo z fenders Address • C)O I certify that I have read this application and state that the above information is D.6 correct.I ages to comply with all city and county ordinances and state laws relating to .O building consovction.and hereby authorise representatives of this city to enter upon the W thove.mentioned property for inspection purposes ' W (We)agree Io ave,indemnify and keep harmless the City of Cupertino against res liabilitia,judgments.casts and expenses which may in any way nave against said City 41111 7f� • V z in consequence of the granting of this permit. n / /— /� 9 APDL -. UNDERSTANDS AND WILL COMPLY WITH AU.V IN-�yyr Issued by: • �/�,�� Date S� CSOURCE _NATIONS. , 7// I OY '`� Re-roofs Signature. A,.IicsmVCantnclor Date HAZARDOUS MATERIALS Drs RE Type of Roof Will the applicant or future building occupant store or handle hazardous material . as defined by the Cupenino Munici ode,Chapter 9.11,and the Health and Safety v Code.Section zss3z(a)? • 0All roofs shall be inspected prior to any roofing material being installed. Yon Na ME the applicant or Num building If a roof is installed without first obtainingan inspection,I agree to remove PPg, cupant use equipment or devices which p g nit haardous air contaminants as rnCd by the Bay Area Air Quality Management all new materials for inspection. Duda? ..,❑yes 0N Ihsvcrtnd NedeSectos 25505 553 and 255 under❑slsnd ttofd,Gilding7--), ( /I� I��--a nyHesl ave reaYCak.Sxaots arteria 5S333and ntsus.1rr notify .95 fte bdlNngJ`aes rot tiY h anvil dw It u my mspaosiM1ililY b mtify de oeeupelrl ns' .1 (/\ mquwern" c he pct oLissu ofa Ccnifaate of Oce .E�' � �° —Signature of Applicant Date Owner awharnedigem Dora' , All roof coverings to be ss°R.a'or better CITY OF CUPERTINO 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: Blk: Lot: APN • 32645023 . 00 DATE ISSUED • 05/01/2008 RECEIPT # • BS000004645 REFERENCE ID # . . . : 08050029 SITE ADDRESS • 21905 MEADOWVIEW LN SUBDIVISION CITY • CUPERTINO IMPACT AREA OWNER • BARKEY STANLEY C AND STEPHANIE ADDRESS • 21905 MEADOWVIEW LN CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-1143 RECEIVED FROM • R E ROOFING & CONST . CONTRACTOR • PROCTOR, PAUL LIC # 20615 COMPANY • R E ROOFING & CONSTRUCTION INC ADDRESS 15230 CLYDELLE AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95032 TELEPHONE • (408) 626-9320 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL 1BSEISMICR VALUATION 15, 000. 00 1 . 50 0. 00 1 . 50 0. 00 1REROOFRES SQ FEET 36. 00 468 . 00 0. 00 468. 00 0. 00 TOTAL PERMIT : 469 . 50 0. 00 469 . 50 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER CHECK 469 .50 #11973 TOTAL RECEIPT : 469 .50 VOICE ID DESCRIPTION VOICE ID DESCRIPTION 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF CITY OF CUPERTINO U 56O2q REROOF lCUPEI�TINO PERMIT APPLICATION APN #3 2 1 L 0;_3 a 0 Date: I �v Building Address: n 1610 C N6A-1)UtA. Vkani Owner's Name: Phone #: Contractor: �uUY 3/4h/ Phone #: 1�.(A_ G26 _ 932b iNC . Fax #: 1401S - - \ �a � Cupertino Business License #: 2_0(.91g Contractor License #: Type of Roof Covering: Existing: Proposed: o Built-Up Roof ❑ Built-Up roof o Asphalt Shingles 5 Asphalt Shingles • x_ Wood Shakes ❑ Wood Shakes o Wood Shingles o Wood Shingles o Other (Specify) ❑ Other (Specify) Number of existing coverings o Provide I.C.B.O. Report# o To be Removed o Provide Mfgr. Installation Specs. Job Description: 'il':M.dvri Lki 6".110 m 3/4 LAvIck_ We m? 83/4Alec: l I mstAL )`16d , GDx\ , A 5-pA 30 rX (i LAS/ "A" AW-1MAt Co11P- ciccsA-. Residential Commercial U 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 ti set & the sheet index. Valuation: 151000 Ulf • I Have Rad, Understand and Will Comply with Cupertino's Tear-Off Policy: Signature - � - CITY OF CUPERTINO REROOF ICUPEIQTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 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 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 1/4 " 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 thetime on inspection. I understand and will comply�witth the above stated policy on re-roofing. Homeowner's Name: . 1 \" AO- Job Site Address: 1 0 5 M e A_Dml V InAILA 1 Roofing Company-Name: NL o(>X k((� C(}� spp t( ems 104 ' 1 Applicant's Signature.r . Date: q( I\ 0�' iGreg 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) ItkinalMinget•hr.sy '(' `iM1 S v` '� � •t ':�f: •!Y'"`� rte.. ... IttriC4,4 0‘,"P47'.i,it,..` r 4„14,�:1'31'4 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.) 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.) 43 4 points H. Appliances 1. Energy Star Dishwasher, (Note/Spec.) A-3 1 point 3. Energy Star Refrigerator, (Note/Spec.) 43 1 point P. Other 1. List Green Features on Plans A-1 1 point :+ iteak"anaf fi is TOTAL POINTS 40 points �'lzacloC :et, CA. • "tel otAs 9 0 • 0 • •• 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 staffing point for'greening'your project. 'INPUT Resources Energy IAD/Health A.Site [1.Recycle Job Site Construction&Demolition Waste (65%=1 point;75%= 2 points;80%=4 points up to 4 Resource pts 0 122.Salvage Reusable Building Materials 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 • R.Design Resource-Efficient Landscapes and Gardens 4 Resource pts y=yes p 9.Reuse Matedals/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 0 0 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 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 LSubstitute 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 8.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 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 I12.Use OSB _— _. --`_ . ._ 0 a.Subfloors 1 Resource pt y=yes �/ 0 • b.Sheathing -- — — t /. 1 Resource pt y=yes p • 0; 0 • • INPUT Resources Energy IAQIHeatth - D.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 12.Use Treated Wood That Does Not Contain Chromium/Arsenic i 1 IAD/Health pt y=yes 0 13.Install House Wrap under Siding ( 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 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) S Up to 2 Resource pts. 0 b.Showerheads(1 point each,up to 2 points) I Up to 2 Resource pts. 0 • 4.Replace Toilest with Ultra-Low Flush Toilets (1 point each,up to 3 points) , _.f 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 0 0 0 r.mortice/ - rInstall Compact Fluorescent Light Bulbs(CFLs) 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 0 0 0 G.Appliances 1.Install Energy Star Dishwasher ) 1 Energy pt y=yes— 0 2.Install Washing Machine with Water and Energy Conservation Features • , 1 Energy pt y=yes- 0 3.Install Energy Star Refrigerator i 1 Energy pt y=yes— - 0 4.Install Built-In Recycling 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 3.Install Recycled-Content,Fiberglass Insulation with• •I No Added Formaldehyde • _ I 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 D.uenings 4 Resource pts y=yes 0 . 0 0 0 • INPUT Resources Energy ]AO/Health I.Windows - I1.Install Energy-Efficient Windows . ii I a.Double-Paned f 1 Energy pt y=yes 0 b.Low-Emissivity(Low-E) t 2 Energy pts y=yes 0 c.Low.Conductivity Frames _ _ 1 2 Energypts y=yes 0 2.Install Low Heai Transmission Glazing 1 Energy pt y=yes 0 0 0 0 J.Heating Ventilation and Air Conditioning • 1.Use Duct Mastic on AiDlict aoints i 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 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 . 8.Install Sealed Combustion Units • a.Furnaces 3 IAQMealth pts y=yes 0 b.Water Heaters 3 IAQMealth 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 IAO/Health pt y=yes 0 b. Instal 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 4 IAQMealth 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 IAQMealth pts y=yes 0 0 00 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 i6.Select Safe and Durable Roofing Materials _1 1 Resource pt y=yes 0 7.Install Radiant Barrier _ - 3 Energy pts y=yes 0 0 ' 0. 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 0: 0.• • . 0 INPUT Resources Enemy IAQ!Heatth M.Indoor Air Quality and lashes r.Use LowMo-VOC-Paint 1 IAO/Health pts y=yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 • [3a Use LowNo VOC Adhesives t 3!AO/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 6IA0/Health pts y=yes 0 6.Use Exterior Grade Plywood for Interior Uses 1 JAG/Health pts y=yes 0 L.Seal 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 10.Install Whole House Vacuum System 3 IAC/Health pts y=yes 0 • o o 0 N.Flooring 1.Select FSC Certified Wood Flooring 8 Resource pts y=yes 0 E.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 IAD/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 • Total Points Available: 1401 1301 57 Total Points Project Received: 01 01 0 • G:datarprogs/greenbuildingguidelineslremodelerslgreenpointsf na1212.04proteded.xls • • 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 -9AOIHeafh A.Site 11.Recycle Job Site Construction&Demolition Waste j 165%=1 point;75%= 2 points;B0%=4 points t up to 4 Resource pts 0 2.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 Stormwater Practices 2 Resource pts y=yes 0 7.Protect Water Quality with Landscape Design 2 Resource pts y=yes 0 I F..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 - �" 0 1.Incorporate Recycled Flyash in Concrete • • 25%Recycled Ryash=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 • 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 B.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 c. Roof gy 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 0 12.Use OSB .- --- "---� I a.Subfloors 1 Resource pt y=yes b.Sheathing d 0 • _.__.____-. _`, 1Resourcept __ . y=yes 0 INPUT Resources Energy IAQ/Health ' D.Exterior Finish • r.Use Sustainable 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 0 0 0 E.Plumbing F.Install Water Heater Jacket' _ `r } 1 Energy pt y=yes 0 2.Insulate Hot and Cold Water Pipes 2 Energy pts y=yes 0 3.Retrofit all Faucets and Showerheadswith Flow Reducers a.Faucets(1 point each,up to 2 points) • - � Up to 2 Resource pts. 0 b.Showe heads(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), 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 IAQ/Health pts. 0 B.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0 o o ' o r.tlecmrlcar • - - 1.Install Compact Fluorescent LCFCs ight Bulbs( ) ,., (6 bulbs=2 points 10 bulbs=3 point5,12 bulbs=4 paints). ' I 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 ' • T.-Install Energy Star Dishwasher -v— 1 Energy pt y=yes_ 0 2.Install Washing Machine with Water and Energy •- Conservation Features ' 1 Energy pt y=yes 0 3.Install Energy Star Refrigerator• 1 Energy pt y=yes_ 0 4.Install Built-In Recycling Center . ' 1 3 Resource pts y=yes_ 0 _a _ _ 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 Recygled-Content,Fiberglass Insulation with 1 No 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 pyes— 0 6.Alternative Insulation Products(Cotton,spray-foam) • a.Walls 4 Resource pts y=yes_ 0 • o.ueumgs 4 Resource pts y=yes_ 0 0' 0, 0. • • INPUT Resources Energy I40/Health . .Windows 1.Install Energy-Efficient Windows i • ii 1 a.Double-Paned 1 Energy pt y=yes 0 b.Low-Emissivity(Low-E) • t 2 Energy pts y=yes 0 c.Low.Conductivity Frames 2 Energy pts y=yes 0 2. _Install Low Heat Transmission Glazing 1 Energy pt y=yes 0 . 0 0 0 J.Heating Ventilation and Air Conditioning • 1.Use DuctMastic on All Duct Joints ' 2 Energyt� � 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 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 3 1A0/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(nserts 1 IAQMealth 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 pts y=yes 0 15.Install High Efficiency Filter 4 IAQ/Health pts y=yes 0 16.Install Heat Recovery Ventilation Unit(HRV) 5 IAQMealth pts y=yes 0 17.Install Separate Garage Exhaust Fan 3 IAO/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-Vv9re 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 1 B Energy pts 0 i_6:Select Safe and Durable RoofiMat ng eria -. - -1 ls 1 Resource pt y=yes 0 7.Install Radiant Barrier ------ -J ---- -... 3 Energy pts y=yes '0 0 0 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 o; a,' o • • INPUT Resources Energy IAD/Health .In.oor •ir Qua ity an. nitches N.Use'{owMaVOC Paint - 1 1 IAQ/Health pts y=yes 0 2.UBa se Low VOC,Water- sed Wood Finishes 2 IAQ/Health pts y=yes 0 • 3: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 6IAQMealth pts y=yes 0 6.Use Exterior Grade Plywood for Interior Uses 1 IAQMealth pts y=yes 0 7.Seal all Exposed Particleboard or MDF __ 4 IAQMealthi pts y=yes 0 8.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0 9.Use Anger-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 2.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 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 • • 0 0 0 Total Points Available: 1401 1301 57 Total Points Project Received: 01 01 0 • G:dala/pro:s/greenbuildnpguidelineshemodelers1greenpointsfinal2.12.04prolected.xls • • • • LCommunity Development .L 10300 Torre Avenue CITY OF / /' Telep one0 8) 777-3214 28 •JPERTINO Fax(408)777-3333 Building Department JOB ADDRESS: 2lHo kbc1tVIaA LAPERMIT # o 06 oC)�G OWNER'S NAME: S�fAJ f 2> fn.' PHONE # L4 — t91Ci6 — 3 (33 GENERAL CONTRACTOR: ¶k C�oux t NI(1- FAX # 4ok_ (R 26 - 1(6 I am not using any subcontractors: 1'ra ' c I kg ature Date Please check applicable subcontractors and complete the following information: Pj SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum/ Wood 110 Glass/ Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile IP Owner/Contractor Signature Date