08080009 CITY OF CUPERTINOs ,a -
BUILDING DIVIEtON PERNUT CUI TRACTO, R INF01
BUILDING DRESS: PERMIT NO.
1.85 RALYA CT TBD - TO BE DETERMINED 08080009
OWNER'S NAME: PERMIT ISSUE DATE
HOOMAN MOOBED 08/01/2008
NE: SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER _ BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
o p LICENSED CONTRACTOR'S DECLARATION
rd I Icreby&M m that 1 am licensed under previsions of Chapter 9(commencing Job Description
x withSectionTOM)ofDivision3oftheBudrcusndProfessiumConn.andmylicemeis RPLC MAIN PANEL
^< An full fame and eR
At
ucense 0. Lm.. � d`F S i S
Date Cantrssw
CHr1ELTSe RATION
ZI AMenuad my pane shall he o p lie recnNa
y6660""" l.ucmtsed Professional
OWNER-BUILDER m the�JRCoA
a I Wroby x(Erm that 1 1. exempt from the Conan Ora License law for the
D o which re moan.(Section 703 I3,Basion,test ,'Anali Orals:Any city at mann,
$
which requires x permit re mnsWel.alter,improve,h permit t or mash any Rheaure
-iy primwits issuance.also requires tite Applicant for each permit to rikasl{mJ atatemenl
Ct that he is licensed puruant w Nc provisions of the Conuscwfa llcxve Law(Chapter 9 Sq.Ft. Floor Area $[-1500 Valuation
9 Mommercing with Section 7000)of Division 3 of the B usiness and Professions Cade)or Y
that he a exempt therefrom and the basis for tW Alleged uemptiom Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant w a civil penalty a(om NNumber Occupancy Type
fiat man five hundred dollars(Sf W7. 3 7 5 2 5 0 0 91119'
:
0 1,u owner of W pmpeny.m my wplo a with w{ea u their mle compo don,
willdo Nework,andtheM umamitaMMdoroRemdfonsaa(See.7014.Business
and Proftasimss Cade:The Canucmr's License law data ret apply In An awns,of Required Inspections
maPerty who Wilds.improve therm«aM wMdeuauchworkhimvJrmthouugh his
awn employ=,provided tNt such impmwmenu tee no,Johnston moRerN forsale.IL
however,Nc Wilding mimpmvemAnt Is said within am you of compledon.the owner-
Wilder will have W Wrdm of proving that he did not Wild or improve for puts=or
ask.).
❑1.as ow=of Ne property and exclusively couusing with licensed mnemwrs In
mnstrect the pm)m(Sea.70th.Business and Professions Cade:)The ConuscWs Li-
mere law d=not apply to An owner of properly who Wilds or improves themon.and
who ContraN for such projects NN A conaamar(s)licensed puruant to the Conuactofa
License Law.
❑ ns I oue.Pt under See .B h P C for this moon
Ow= Data
WORKERS COMPENSATON OECLARAIION
I Washy arms under powty of perjury om or the following cessations:
I hamend will maintain a Certificate of Come.,w sslf-imute far Wortor'sCorpen-
sation,As
provided for by Section 3700 of tW Labor Code,for she performance of tW
waryfor which this permit is intad.
Ipr'have and will maintain Worker's Compensation btsurum.As required by Sectio
3700 of the Labor Cade,fm tbo pereara=of the vmh for which Na permit is Inmd.
My Worker's Compensation Insuruee Carrier and Policy number am:
Canter. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This calm most ret W mmpkrcd lithe permit is foram hundred dollars({100)
or lest)
I certify that person
on in m mann NallWar rw
) ch Nis permit Ice,R Co I shall not -
employ any penoninuymumr w c b)mtw Ne Wt is tro Campenudo
Law of Califon OR�d
Applicant�m04
NOTICE TO APPucANT:'ir.after making Na Certificate ofemptioa
became subject to the WortrYa Compensation provisions of the(alba Code,yon mute
Oforthwith comply with Rush provisions or this permit shall W rimmed mveked.
CONSTRUCTION LENDING AGENCY
F14 I Wmby alum Nat Nem as construction lending agency for the Perfmmanm of
ai m : the wortfor whkh Nis permit Is Wood(Sm.31191,Civ.C.)
dQ Lander's Name
z landds Address
V 0 1 certify that I have mad this application and Aute that the above information Is
L4 E cartel.I qme w comply with all City and county ordinance W and sum laws o ng to
.0 S`'J Wilding convection.and hereby Authorial mprnenudvss of this city to Anter upon Me
W above-mendamd pmpc ty for inspection purymes
fi (We)ago to save,indemnify and lamp b trmless the City of Cupertino&Not
rn
liabilities,judgments.costs and upemm which may In any Way accom gals,Rud City .�--)
U z in consequence of the granting of Na permit Y y
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL N-POINT Issued by: Date .lJ
SOURCEREGULAZS. CJ� ot I ��
Sig= f o
um oAppllnuPass
aRC-roofs
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
WIII do applicant or forum building accupantueec orhandle hauNou mak^ial
a deftred by the Cupertino Municipal Code.Chapter 9.11 and tins HARM and Suety
Cole,Section E3Y25532(x)?
❑ All roofs shall be inspected prior to any roofing material being installed.
Y.
WIII the applicant or future building occupant tax equipment or device Which If a roof is installed without first obtaining an inspection,I agree to remove
Ll hunrdou air contaminants u normal by the Bay Arta Air Quality Management all new materials for inspection.
Diana?
❑Yes
I havemW Ne m.unaamquiremew unmkrChaPter G93af Ne Glifory "
nu HOINASuayfadm SeN=1SN15,253J1.m12151q.1u Natifdc building
d=ret 1.0,have Awaanl. fumy aye An tof Ne
rcquimmenu which masabomet 'a uaaf.carti0cama er. Signature of Applicant Date
C� et All roof coverings to be Class'W'or better
Owner or uthomsd agent D te' '
CITY OF CUPERTINO
• 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 37525009 . 00
DATE ISSUED. . . . . . . : 08/01/2008
RECEIPT # . . . . . . . . . : BS000005663
REFERENCE ID # . . . : 08080009
SITE ADDRESS . . . . . : 18665 RALYA CT
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : HOOMAN MOOBED
ADDRESS . . . . . . . . . . : 18665 RALYA CT
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : HOOMAN MOOBED
CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096
COMPANY . . . . . . . . . . : TBD - TO BE DETERMINED
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . .
TELEPHONE . . . . . . . . :
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ------ -------- ---------- ---------- --
IBSEISMICR VALUATION 1, 500 . 00 0 . 50 0 . 00 0 . 50 0 . 00
1BUSLIC FLAT RATE 1 . 00 110 . 00 0 . 00 110 . 00 0 . 00
].EPERMITFE FLAT RATE 1 . 00 40 . 79 . 0 . 00 40 . 79 0 . 00
1TRAVDOC FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 192 . 08 0 . 00 192 . 08 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------- --------------- --------------------
CASH 192 . 08
---------------
'DOTAL RECEIPT 192 . 08
•
Of
CITY OF CUPERTINO
• CUPERTINO GENERAL BUILDING
PERMIT APPLICATION FORM
APN # XDate: � o0 75 5 q . a 6
Building Address:
�66s A ��. �aMfU �;�, , C�, q.s0 J�
Mailing Address (i different from building address):
Owner's Name: HooM0.n moo e Phone #:
Contractor: Phone: Ego– 910-
Fax:
Contractor License#: T J, 5 q -5 _
Cupertino Business License#:
Contact: Via th 1'r FA e i ,',A Phone: _
• Residential Commercial Fax:
Job Description:
MR n �aAA
Building Permit Info:
Bldg [I Elect Plumb ❑ Mech ❑
Type of Construction (Usage Class): Occuupane T e: A
1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV-HT, V-B E] Oie f ��
Valuation: C) a
-` Square Footage:
Project Size: Express 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
t CITY OF CUPERTINO
CUPERTINO 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
abso tions s over 100,000 Btu/h
1 BBOILER3 Instal lation/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
1BBOILER4 Install ation/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
1BAPPLOTH 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 M
hour)
1 PLMBINSP Other Plumbing & Gas Inspections P
(per hour
1MEETINGIHR Application Meeting B •
. CITY OF CUPERTINO
CITYOF GENERAL BUILDING APPLICATION
' CUPE RTINO
FEE S HED
C ULE
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
ICHIMNEYR 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
1FIREPLMAS Fireplace Masonry B
1FIREPLFAB Fireplace Pre-Fabricated/MeW B
1 FLAGPOL>20 Flag pole (over 20 ft in height) B
1MODUSTRU Modular Structures B
FOUNDATIONS
1 FOUNDREP Foundation Repair B
1 PILECAST Pile Foundation Cast in place concrete B
AL 1PILEDRIV Pile Foundation Driven (steel, pre- B
stressed concrete
3 of 5
�. CITY OF CUPERTINO
CITY Or GENERAL BUILDING APPLICATION
CUPEf�TINO
FEE SCHEDULE •
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
RETAINING
WALL(CONCRETE
OR MASONRY
1 RETSTN Standard (up to 50 ft) B
I RETSP310 Special Design, 3-10' high (up to 50 `) B
1RETSPI0 Special Design, over 10' high (up to B
50'
1RETCRB< Gravity/Crib Wall, 0-10'high (up to B
50 ft
1RETCRB> 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<l0 SF Skylight less than 10 sf B
1 SKYL>I OSF 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
4 of 5
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 so B
additional stucco application
1 WINREP Replacement windows/sliding glass B
door ea 8 windows
1WINMEWSTR New Window-structural shear B
wall/masonry includes plan ck fee
p IEPERMITFEE Electrical Permit Fee E
I 1MPERMITFEE Mechanical Permit Fee M
1 PPERMITFEE Plumbing Permit Fee P
1 ELCPLNCK Stand Alone Electric Pln Ck (hourly) E
1MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M
1PLMBLNCK Stand Alone Plumbing Pln Ck (hrly) P
1 STPLNCK-(3 Hr Min Standard Plan Check (when no E/M/P) B
when not over counter) hourly-stand alone
1BSEISMICR Seismic Residential B
1 BSEISMICO Seismic Commercial B
IITRAVDOC Travel & Documentation B
/ 1BUSLIC Business License B
5of5
Green Building Plan Check
Index of Green Building Points/Categories
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 2 points
11. Permeable Paving, Note L-1 2 points
C. Foundation 1. Use 15% Flyash Concrete, (note) 3-1 5 points
D. Structural 3. Uses Wood IJoist, (See Spec.) 8-2 2 points
5. Use Truss with heels, (detail) S-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/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 paints
H. Appliances 1. Energy Star Dishwasher, (Note/Spec.) A-3 1 point
3. Energy Star Refrigerator, (Note/Spec.) AJ 1 point
P. Other 1. List Green Features on Plans A4 1 point
TOTAL POINTS 40 points
Plan Review Process Work Book Page-12-Revised 325/08
Green Points Rating System for Remodeling Projects
Due to the diversity of remodeling project types,assigning a"total points"value to a project to be considered environmentally friendly is
not feasible. However,25 measures have been highlighted to signify that every effort should be made to incorporate them into your
projects. These items have been chosen based upon their impact on the environment and the health of the home in coordination with
ease of implementation and relative low cost. These measures can be used as a starting point for"greening'your project.
A. ite
1.Recycle Job Site Construction&Demolition Waste
{
1165%=1-point;75%= 2 points;80%=4 points up to 4 Resource pts o
2.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
8.Design Resource-Effcienf Lanpe
dscas and Gardens 4 Resource
L_ .—-- --- 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 pis y=yes D
1 1 1
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 p
1 1 1
C.Structural Frame
1_Substitute Solid Sawn Lumber with Engineered Lumber .—_ 3 Resource pts y--yes D
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
S.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 D
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 Ener is
Energy 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
a.Subfloors ( 1 Resource pt y=yes 0
• b.Sheathing -_ _ _ 1 Resource pt y=yes 0
1 1 1
D.Exterior 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
2.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAO/Health pt y--yes D
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
1 1 1
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 D
3.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. D
4.Replace Toilest with Ultra-Low Flush Toilets
(i point each,up to 3 points) Up to 3 Resource pts. 0
5.Install Chlorine Filler on Showarhead 1 AQ/Health pt y--yes 0
6.Convert Gas to Tankless Water Heater 4 Energy pts y--yes D
7.Install Water Filtration Units at Faucets
(2 points each,up to 4 points) Up to 4 IAQ/Hsallh pts. 0
S.Install On-Demand Hot Water Circulation Pump 4 Resource pts y--yes D
r.riecmcai
1.Install Compact Fluorescent Light Bulbs(CFLs)
(6 bulbs=2 points,10 bulbs 4 points,12 bulbs=4 points) Up to 4 Energy pts. D
2.Install IC-AT Recessed Fixtures with CFLs(1 point each,up to
5 points) Up to 5 Energy pts. D
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. D
I 1 1
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.lnstali Energy Star Refrigerator 1 Energy pt Y--yes 0
4.Install Built-In Recycling Center 3 Resource pts y=yes 0
H.Insulation
1.Upgrade Insulation to Exceed Title 24 Requirements
a.Walls 2 Energy pts Y--yes 0
b.Ceilings 2 Energy pts Y--yes 0
2.Install Floor Insulation over Crawl Space 4 Energy pts y--yes D
3.Install Recycled-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 D
6.Alternative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y=yes 0
o.Uenings 4 Resource pts y=yes 0
1 1 1
INPUT Resources Energy 1A01Heaft]n--
n ows
• 1.Install Energy-Efficient Windows
• i a.Double-Paned 1 Energy pt y--yes D
b.Low-Emissivity(Low-E) 2 Energy pts y=yes 0
clow.Conductivity Frames __ _ 2 Energy pts y=yes 0
2.Install Low Heat Transmission Gla-7 ng 1 Energy pt Mes 0
1 1 1
J.Heating Ventilation and Air Conditioning
it.Use Duct Mastic on All Duct Joints 2 Energy pts y=yes 0
2.Install Ductwork within Conditioned Space 3 Energy pts y=yes 0
3.Vanl Range Hood to the Outside 1 IAQ/Health pt 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
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 3 IAQ/Health pts y=yes 0
b.Water Heaters 31AQ/Health pts y=yes 0
9.Replace Wall-Mounted Electric and Gas Heaters with
Through-the-Wall Heat Pumps 3 Energy pts y=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 stoveslnserts 1 IAQ/Health pt y--yes 0
b. Instai/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 4IA0/Health pts y=yes 0
16.Install Heal Recovery Ventilation Unit(HRV) 5 IAQ/Health pts y=yes 0
17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y--yes 0
1 1 1
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
6.Select Safe and Durable Roofing Matenats _ _ 1 Resource pt y=yes 0
7.Install Radiant Barner
3 Energy pts y=yes D
1 1 1
L.Natural Heating and Cooling
1.Incorporate Passive Solar Heating 5 Energy pts y=yes 0
2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts y=yes 0
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0
1 1 1
•
. n oor r ua ry an n s es
1.Use Low/No-VOC Paint 1 IAO/Health pts y--yes D
2.Use Low VOC.Water-Based Wood Finishes 2 IAO/Health pts y--yes 0
3.Use Low/No VOC Adhesives 3 IAOMealth 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 61A0/Health pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAO/Health pts y=yes 0
7.Seal all Exposed Particleboard or MDF 4 IAO/Health pts y=yes 0
B.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 D
10.Install Whole House Vacuum System 3 IAOMealth 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 0
3.Use Recycled Content Ceramic Tiles 4 Resource pts y yes 0
4.install Natural Linoleum in Place of Vinyl 5 IAO/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=yas 0
I 1 1
TotalPoints 1 1401 1.3_0 57
Total Points Project Received: 1 01 01 0
G:data/progsrgreenbulldngguidelineslremodelersrgmenpointsfnal2.IZ Mpmtaded.ds
s
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408) 777-3333
*UPEkTINO
Building Department
JOB ADDRES PERMIT #
I�(S (% Y, CVof C G5014 /
OWNER'S N oo/han Moobed PHONE # (,ib Z ,0 6886
GENERAL CONTRACTOR V L!- o f♦.,.,'r P 4 i o lrl FAX # �-
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the followinginformation
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
Owner/Contractor Signature D to