08090085 CITY OF CUPERTINO • ii xs� 'srsr ",4nxi.ta� ¢. "
BUILDING DIVISION PERMIT CONTRACTOR'INFORMA ION �%
,
BUILDING ADDRESS: PERMIT NO.
20277 NORTHBROOK SQ OMNI WINDOW SYSTEMS 08090085
OWNER'S NAME: PERMIT ISSUE DATE
CHANDRAN, KARTIK & SUNDARESH, 2156 SAN RAMON VALLEY BLVD 09/16/2008
ORETaal iv, - SANITARY NO. CONTROL NO.
(925) 855-3812
•
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
I= Ca O I=
as u0 0 LICENSED CONTRACTOR'S DECLARATION Job Description
gto I hereby aflinn that Iam licensed under provisions of Chapter 9(commencingp
_i wliSection700)ofDiHson3oftheButlmsandProfetionsCode.andmylicenseis VNYL RPLCMNT WINDW, 1&3 SLDNG PATIO DRS LIKE4LIKE,
< n full force and effort
Dia License Class Le.» 75-1 %03 BDRM TO MT EGRESS REQURMNTS
n,t22. Date `t- 1t,:01' Contractor 6-r-4-;--"?
th ARCHITECTS DECLARATION
1 U I understand my plans shall be used as public records
t.t.0 i; Licensed Professional-ey 5 OWNER-BUILDER DECLARATION
gm I hereby affirm that I am exempt from the Contractor's License Law for the
0 o following reason.(Section 70313.Business and Professions Code:Any city or county
ff which requires a permit to construct,alter.improve,demol d',Cr repair any structure
_i< prior to its issuance.also require the applicant for such permit to file a signed statement
that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq.Ft.Floor Area Valuation
xP$ (commencing with Section 71330)of Division 3 of the Business and Professions Code)or $3645
e`t.- that he Is exempt therefrom and the basis for the alleged exemption.Any violation of
Section 70313 by any applicant fora penult subjects the applicant to a civil penalty of Type
mom than face hundred dollars(sem). 31639062 .E Number Occupancy
0 I,as owner of the property.or my employees with wages as their sole compensation.
will do the workt,and theswcture it nor intended or offered(or tam(Sec.7044,Business
and Professions Cole The Contractor's License Law dots not apply to an owner of Required Inspections
property who builds orimpmses Wercon,and who docs such work himself or through his u
awn employees.provided that such imprmemems are not intended or offend for sale,U, •
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 improv for purpose of
ale.).
❑I.as owner of the property.am exclusively contracting with licensed contractors to
construct the project(Sec.7044.Business and Professions Code:)The Contractor's Li.
cense Law doesnot apply to an owner of property who builds or imposes thereon,and, .
p
who contracts for such projects with a contractors)licensed pursuant to the Contractor's
License Law.
❑1 am exempt under Sec ,B StPC far tlsreason
Owner Dale
WORKER'S COMPENSATION DECLARATION
I hereby of inn under penalty of peajury one of the following declarations:
I ham and will maintain a Certificate of Conant to self-Issuse for WorkersCompcm
on.as provided for by Section 3700 of the Labor Code.for the performance of the
ark for which this permit is issued.
•
❑I have and will maintain Workeni Compensation Insurance,as required by Section
3700 of the Labor Code,for the performance of the work for which this permit is issued. '
My Wo,rk`efa Compensation Insurance carrier and Policy number art: •
Carrer.YScA�L"G1 j46.,
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE •
•
(This section need nor be completed if the permit is for one hundred dollen($100)
or less)
I certify that in the performance of the work for which this permit is issued.I shall not
employ any person in any manner so is Is become subject to the Workers'Compensation
Laws of California.Dae
Applicant
NOTICE TO APPLICANT:If,after making this Ccniftnte of Exemption,you should
become subject to the Worker's Compensation provisions of the Labor Cade.you muss
0 Z forthwith comply with such provisions or this permit shall be deemed revoked.
'Z O CONSTRUCTION LENDING AGENCY
[-rI hereby affirm that there is a construction lending agency for the performance of
X 7the work for which this permit Is issued(Sec.3097.Civ.C.)
(UQ Lender's Name
z Lender's Address -
U 0 I certify that I have read this application and sum tha the above information is
G., correct,I agree to comply with all city and county ordinances and state laws relating to
.0 �" budding concoction,and hby authorise representatives of this city to ler upon the
[21 above-mentioned property fhereby
inspectioiler
on purposes
pen (We)agree to ave,indemnify and keep harmless the City of Cupertino against i
y liabilities,judgments.costs and expenses which may In any way accrue against said City 71111111111n
()Z in consequence of the granting of this permit.
"" APPLICANT UNDERSTANDS AND WDLL COMPLY WITH ALL NON-POINT Issued by: ¶-Alli / it A!V') Date ?-r-(('- ',
SOURCE REGULATIONS./i?(/t/ Q_// 01
Signature of ApplicantContramor I 6 Date
Re-roofs
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicantAorA DOU building RIALS DISCLOSURE
orO handle hazardous material .
as defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety
Code.Section 25532(a)7
❑Yes `4Nn All roofs shall be inspected prior to any roofing material being installed.
Will thea Beat or future wi If a roof is installed without first obtainingan inspection,I agree to remove
PPng occupant use equipment or devices which pe
it hazardous air contaminants as fined by the Bay Area Air Quality Management all new materials for inspection.
Gres
I have read the hazardous materialsrequirements under Chapter 6.95 of the Califor-
nia Health da Safety Coder,Seetiou 25503 25533 aW 25534.1understand that if the building
dims nor currently hem a tenant,that it u'my responsibility to notify the occupant of the
requirements which must be etyria du issuance of a Certificate of Occupancy.
GP 97/G7°/ Signature of Applicant Date
Owner or authorized,gert Dam' , All roof coverings to be Class u41r or better
v
CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
• COPY # : 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN • 31639062 . 00
DATE ISSUED • 09/16/2008
RECEIPT # • BS000006089 •
REFERENCE ID # . . . : 08090085
SITE ADDRESS • 20277 NORTHBROOK SQ
SUBDIVISION
CITY • CUPERTINO
IMPACT AREA
OWNER • • CHANDRAN, KARTIK & SUNDARESH,
ADDRESS • 20277 NORTHBROOK SQ
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-0503
RECEIVED FROM • DAVID MORKIN
CONTRACTOR • ROBERT BENTLEY LIC # 27371
COMPANY • OMNI WINDOW SYSTEMS
ADDRESS • 2156 SAN RAMON VALLEY BLVD
CITY/STATE/ZIP . . . : SAN RAMON, CA 94583
TELEPHONE • (925) 855-3812
• FEE ID UNIT QUANTITY • AMOUNT PD-TO-DT THIS REC NEW BAL
1BSEISMICR VALUATION • 3 , 645 . 00 0 . 50 0 . 00 0 . 50 0 . 00
1BUSLIC FLAT RATE 1 . 00 110 . 00 0 . 00 110 . 00 0 . 00
1WINREP EACH 8 1 . 00 367 . 00 0 . 00 367 . 00 0 . 00
TOTAL PERMIT : 477 . 50 0 . 00 477 . 50 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
CREDIT CARD 477 . 50 VISA
TOTAL RECEIPT : 477 . 50
•
c7o o oOj3
CITY OF CUPERTINO
CUI R INO GENERAL BUILDING
• PERMIT APPLICATION FORM
APN #t3 / 4a.390 (o � . 00 Date:
Building Address:
202 1 Nor wrcJ< Sit,
Mailing Address (if different from building address):
54 rn
Owner's Name: • Phone #:
Sortiun Son& crtsI `108) ct9(; 102--1
Contractor: O M r m a A, 50n -Tn Phone: 5b ) U S et- I i i I
dbR Omn'. Wln[kow Sy5Jern1 Fax: 5+0) 0-(N - 8 `Ig5
Contractor License#: g 5-1
Cupertino Business License #:
Contact: Phone: St.. S
\ ,. GVld MookiA
�-I Fax: S to) (.> -6\-� " S .
!
• Residential � Commercial U
Job DescriJ
\ tny\ repicCff&nJ W ; nett, r) 4 3 5h cU'
Q c,A 0 aUo � �
r1 kc cr L. ' "' -- ` `N vv..“a4- caress .
Building Permit Info:
Bldg 0 Elect 0 Plumb 0 AMech ❑
Type of Construction (Usage Class): Occupancy Type:
1-A, 1-B ❑ II/III/V-A ❑ IUIII B, IV-HT, V-B [Tr' P-
3
Valuation: A .3 S 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
CITY OF CUPERTINO
C •
CUPERJINO GENERAL BUILDING
PERMIT APPLICATION FORM •
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1BBOILER1 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)
1BBOILER2 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.
1 ELECINSP Other Electrical Inspections (per hour) E
1 MECHINSP Other Mechanical Inspections (per M
hour)
•
IPLMBINSP Other Plumbing& Gas Inspections P
(per hour)
1MEETINGIHR Application Meeting B •
. a CITY OF CUPERTINO
CITU OF GENERAL BUILDING APPLICATION
CUPEI�TIN°
FEE SCHEDULE
•
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
ACOUSTICAL
REVIEW
IACOUSFDW SFDWL/Duplex New B
I ACOUSRESAD SFDWL/Duplex-Addition/Alteration B
1ACOUSCOM Multi-Family/Commercial B
CHIMNEY'S
I CHIMNEY Chimney• B
1CHIMNEYR Chimney Repair B
FENCES
• 1 FENCE>6FT Non-masonry, over 6 ft in height B
IFENCEMAS>6 Masonry, over 6 ft in height B
FIREPLACES
1 FIREPLMAS • Fireplace Masonry B
1FIREPLFAB Fireplace Pre-Fabricated/Metal B
1FLAGPOL>20 Flag pole (over 20 ft in height) B
I MODUSTRU Modular Structures B
FOUNDATIONS
1 FOUNDREP Foundation Repair B
IPILECAST Pile Foundation Cast in place concrete B
1PILEDRIV Pile Foundation Driven (steel,pre- B
• stressed concrete)
3of5
(C - CITY OF CUPERTINO
CUPE
error�TINO GENERAL BUILDING APPLICATION FEE SCHEDULE 9
•
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
IRETSP10 Special Design, over 10' high (up to B
50')
1RETCRB< Gravity/Crib Wall, 0-10'high(up to B
50 ft)
IRETCRB> Gravity/Crib Wall over 10' high (up to B
50 ft)
SHED-(EACH) Shed Over 120 sq ft B
SIDING •
1 SIDESTBK Siding, Stone & Brick Veneer B
(interior/exterior)
1 SIDEOTHER Siding all other B
SKYLIGHTS
1 SKYL<10 SF Skylight less than 10 sf B
1SKYL>10SF Skylight greater than 10 sf or B
structural
ISTAIRS Stairs-first flight/ea addt'l B
STORAGE RACKS
1 SRACKS<=8 Storage Racks 0-8' high (up to 100 sf) B
ISRACKS>8 Storage Racks over 8' high (up to 100 B
st)
•
4of5
CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
cuFT TING
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
�t 1 WINREP Replacement windows/sliding glass B
door (ea 8 windows)
1WINMEWSTR New Window-structural shear B
wall/masonry(includes plan ck fee)
1EPERMITFEE Electrical Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
1PPERMITFEE Plumbing Permit Fee P
•
1ELCPLNCK Stand Alone Electric Pln Ck (hourly) E .
IMECPLNCK 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
1BSEISMICR Seismic Residential B
1BSEISMICO Seismic Commercial B
ITRAVDOC Travel & Documentation B
• 7 1BUSLIC Business License B
5of5
I. Green Building Plan Check
Index of Green Building Points/Categories
4" A. Category Example of an Index or Table of Green Plan Sheet or Page Points
ii Building Points Categories that must be
shown and referenced on the Project
Plans See below
er- rN r
=-v�,��- ..?zh � .. .. . 3f�`?F�'Yiv^q.,--;P; :k 5... 4'.i�.n,i',: ..tu : -i` l;c,. ., :;o", +. I• ,ri,
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) 5-2 2 points
6. B. OSB Sheathing, (detail) S-2 . 2 paints _
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 point
P. Other 1. List Green Features on Plans A-1 1 point _
''`h.", .'3= ": -.. . TOTAL POINTS 40 points
•
•
Plan Review Process Work Book Page-I2-Revised 325/08 - - -- -
Green Points Rating System for Remodeling Projects
r 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
411 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 IAD/Health
A.Site
1 l:Recycle Job Site Construction&Demolition Waste i
65%=1 point;75%= 2 points;80%=4 points up to 4 Resource pts 0
2.Salvage 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
f8.Design Resource-Efficient Landscapes end hardens 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 I 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 pointsup 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 0
,1.Substitute Solid Sawn Lumber with Engineered Lumber 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 0
12.Use05B ._ " — __ _ ---
a.Subfloors
b.Sheathing 1 Resource pt mes 0
1 Resource pt y=yes 0
•
•
V
INPUT Resources Energy IAO/Health •
D. zterror Finish
1.Use Sustainable Decking Materials
a.Recycled content 3 Resource pts y=yes— 0
• b.FSC Certified Wood ; • 3 Resource pts y=yes— 0 III
i2.Use Treated Wood That Does Not Contain Chromium/Arsenic ; 1 IAO/Health pt y=yes 0
.3.Install House Wrap under Siding I 1 IAOMealth pt y=yes— 0
14.Use Fiber-Cement Siding Materials 1 Resource pt y=yes D
0 0 0
E.Plumbing
c1.Install Water Heater Jacket ___ , 1 Energy pt y=yes 0
2.Insulate Hot and Cold Water Pipes 2 Energy pts y=yes 0
I3.Retrofit all Faucets and Showerheads with Flow Reducers t
a.Faucets(1 point each,up to 2 points) Up to 2 Resource pts. 0
1 b.Showerheads(1 point each,up to 2 points) Up to 2 Resource pts. 0
4.Replace Toilest with Ultra-Low Flush Toilets
(1 point each,up to 3 points) — _ 1 Up to 3 Resource pts. 0
5.Install Chlorine Filter on Showerhead 1 IAO/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 IAO/Health pts. 0
6.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
0 a 0
r.tiectricai
I1.Install Compact Fluorescent Light Bulbs(CFLs)
1(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
0 0 0
G.Appliances
I1.Install Energy Star '
Dishwasher - i 1 Energy pt y=yes— •0
I2.Install Washing Machine with Water and Energy
:Conservation Features I 1 Energy pt y=yes- 0 •
13.Install Energy Star Refrigerator 1 Energy pt y=yes— 0
'4.Install Built-In Recycling Center 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.Ceilings2 Energy pts y=yes 0
•
2.Install Floor Insulation over Crawl Space 4 Energy pts y=yes 0
i3.InstallRecycled-Content,Fiberglass Insulation with
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 y=yes • 0
6.Alternative Insulation Products(Cotton,spray-foam) •
a.Walls 4 Resource pts y=yes 0
D.cemngs 4 Resource pts y=yes 0
INPUT Resources Energy IAD/Health
I.Windows
.11.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=yes 0
2.thit6.1f Low Heat Transmission Glazing 1 Energy pt y=yes 0
0 0 0
J.Heating Ventilation and Air Conditioning
.1.Use Duct Mastic on All Duct Joints 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 IAQ/Health pt y=yes0
4.Clean all 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 3lAQ/Health pts y=yes 0
b.Water Heaters 3 IAQ/Health pts y=yes 0
9.Replace Wall-Mounted Electric and Gas Heaters with
Through-the-Wall Heat Pumps 3 Energy pis 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 IAQ/Health 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 IAQ/Health pts y=yes 0
17.Install Separate Garage Exhaust Fan 3 IAQ/Health pis y=yes 0
01 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-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=1B points) Up to 18 Energy pts 0
i6.Select Safe and Durable Roofing Materials __ ' _ 1 Resource pt • y=yes 0
7.Install Radiant Barrier 3 Energy pis y=yes 0
••
0 U U
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
a 0 O.
•
INPUT Resources Energy IAO/Health •,
M, n.00r •it Quality and Finishes
1.Use Low IJo-VOC Paint 1 IAQMealth pts y=yes 0
2.Use Low VOC,Wafer-Based Wood Finishes 2 IAO/Health pts y=yes 0
`3.Use t.ow%No VOC Adhesives , 3 IAQMealth 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 61AO/Health pts y=yes 0
6,Use Exterior Grade Plywood for Interior Uses 1 IAC/Health pts y=yes 0
7.Seal all Exposed Partcleboa d 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 Anger-Jointed or Recycled-Content Trim '1 Resource pts y=yes 0
10. Install Whole House Vacuum System 31AO/Health pts y=yes 0
0 0 0
N.Flooring
1.Select FSC Certified Wood Flooring B Resource pts • y=yes 0
2.UseRapidly 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 '
0 0 0
Total Points Available: 1401 1301 57
ITotal Points Project Received:) 01 01 0 •
•
•
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Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
4UPEI�TINO
Building Department
JOB ADDRESS: PERMIT #
g0,D.-1 -1 INc“ -1,rrook Sq 0509 ooK5
OWNER'S NAME: S m a,, Son cl a r e s I. PHONE # Sia) 1,5 q- 1 1 h
i
GENERAL CONTRACTOR: e t , W n a n w 540,,.,t FAX # s 6) LS ( $ 't 91
I am not using any subcontractors: "1/4--Y7 `1— I L—O7
Signature Date
Please check applicable subcontractors and complete the following information:
RI 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
d ci\� I ® (o�
Owner/Contractor Signature Date