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08060090CITY OF CUPERTINO a vxz �`«-_`» I ice. �''''•" ' BUILDINGDIVIs1oN - PERMIT �ORAT�TRI�N©Z1VATIO�N BGIL91�g9V" LINGDELL DR ALLCOM ELECTRIC INC 2 M r� 51MVo090 OWNER'S NAME: PERFHT ISSUE DATE P:[NNACLE 80 WHITNEY PL 06/11/2008 NE: SANITARY NO. CONTROL NO. (510)656-7099 ARCHITECUENGINEM: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 - LICENSED CONTRACTOR'S DECLARATION lob Description I bereby afford Wt I am lueucd under provisions of Chapter 9 (Commencing wiOSemion7")ofDiOsion7ofucaus;nuamdPofessiameodp..ndmyeacnrcis RMV&RPLC ONE 3 METER STACK FOR UNITS 27,25 & HSE k full farm ane cffat_ C.1 l{�1.16 S CSV License Ova Lic.d Date Contract, ANv a 616- w ARCHr1ECTS DECLARATION 1 urdessund my plans Nall be rand u Public reCmrde Licensed Professional OWNER -BUILDER DECLARATION I berehy alTtm Nat I am exempt from We Communes License law for the following moon. (Section IID 1.5. Business and Profesaioos Cade: Any City or County which re, ices a permit to ...1, aluf, improve, demolish, or repair any structure prior to its issuance, also regums the applicant forsuch permit o file a signed sulcment not is lacusCd one of to Contractors iaw(Chaptu 9 Sq. Ft. Floor Area Valuation W purrranUo provision, mnsc $2000 (commencing wish Section 7000) of Division S of NC Business and Professions Codc)or • that ne is exempt thereftom and the bur for the alleged assumption. My violation of y�,,,,,t,�w�, 3 5 9 3 3 0 I. 2 � P1'5MA9E Occupancy Type Section any for •permit subjects to applicanuo a civil penally of fo(SSW). red dont not mote Nan fico hundred dollars ,haus n . Q 1, u mwner of the Property, w my emPlaycm wish mgex u the'v rola ewnpewtian, will da the wort. and theswnure is not intended oraff ..d for asks (Sec. 7066, Business Required Inspections and Profeaslnn Code The Canuxrors Li. Law does ml apply to an lower of prepeny who builds m i repromo thescon. and who docs aucn work nimalt or trough but own employees. provided thmsoh improvements art not loneness! woRcmd (male R, h..,, to building or improvement is sold within one year of mmplmio t, the own,, - builder will have to grden of proving that he did an, dual or improve for purpose of sale.). ❑ 1, as owner of to pmpcny, am exclusively contracting wids licensed Convectors a Canuuc[ Jos project (Sc. 7066, Business and Professk is Code:) The Camrne ores V. . Cnrues law, does not apply as an owns of propcny who gild. or inbammi demon. and who contract, for such pmjeca with a eonuacmr(s) licenced putann[ lo the Comrcurs Liana Law. ❑ 1 am exempt under Src , B & P C for Nis reason Owner Data WORKER'S COMPENSATION DECLARATION L hemby+fr= under penalty of pedmy Was of the following deelartionc I have and will maintain aCrstiftau of Consent to solMaanre for Worker+Comport- sation, as Provided for by Saction 7700 of the labor Code, for to performance of Ute wade for which this Permit is issued. ❑ 1 haw and will maintain Workers Compensation Insurance, u required by Section 3700 of to lather Code, for Ne Performance of the work for which this permit or Issued. ' My Workers Compensation jp ra. Canine and Policy number art: Cartier. Nu Policy No.: We -40G 4cC40'Q� CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (nisscedon need our Ito compkud it the permit Is Twos hundred dollar (SIM) less.) I cenify Lha{ In be performance of the work for which this Permit u issued, I small not employ any PCrcen in any manner so u b deme subject m the Workers' Compensation Laws of California. Dau Applicant ' NOTICE TO APPLICANT: If, afar making chis Cenifiau of Exemption. you send become Subject 0 the Workers Compro anon Provisions of de, Lanes Cade. you must . . faMwuh comply wit such provision of this Permit stall M domed trw nd. ' CONSTRUCTION LENDING AGENCY I herebyaim than Nen is a construction lending agency for the pertofmance of the work for which Nu pemrit is issued (Sec. 509'1, Civ. C.) " umler" Name Landers Md. I eciefy Nu I haw mad this application and sur Nat she above infomaum is Comsat 1.9. us Comply with all City and County ordinance; arsearae Iowa relating to gilding convection, and hereby anJmrim mp000mativm of Nis city to color upon the Move -mentioned Property for impcent n proposes. (%Ve) agree to save, indemnity and keep harmless the City of Cupeniw again, liabilities, judgment,, costs and expo. which may in any vny accrue again[ said City in consegecme of the granting of this permit APPLICANT UNDERSTANDSAND WILL COMPLY WITH ALL NON -POINT Issued by: Date SOURCE REGULATIONS. b -N L4 Re -roofs / Sgsatum otnppEmnarcmuanar Dam HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will I.y applicant w Irma gilding boopubut hamdoos material wand as t Ch.punom refined by Ua Cupertino Municipal Cole. Chapter 9.13. and the Healsh and Safety ran Cook. Salton 2553:(a)7 ❑Yes 0 N All roofs shall be inspected prior to any roofing material being installed. Will to applicant or future gilding occuWnt use equipment or devices which oil If a roof is installed without first obtaining an inspection, I agree to remove h eardon air cmumimols u *fined by the Bay Arm Air Quality Management all new materials for inspection. Diori❑Ym ON. I have send the ha7ardnn materials rtquhmosona ulerChaplor635ofcheCalifof- nia Health &Safety Cade, Swuons 75505.25533 and 255X.1 undersand thuifte gilding docs not eutren ly haw • loran , Uat it u my mspenstilily to notify use oceupant of to requirements worts most x at rw ar,rmm orampaney. Signature of Applicant Date h_ All roof coverings to be Class '%W' or better g owner w authotved +sem Date • 3 ITEMS OF 3 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 35933012.27 -25 -HSE DATE ISSUED.......: 06/11/2008 RECEIPT #.........: BS000005080 REFERENCE ID # ...: 08060090 SITE ADDRESS .....: 7375 ROLLINGDELL DR SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: patg COPY # : 1 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT • AMOUNT --------------- 194.27 --------------- 194.27 REFERENCE NUMBER -------------------- #1062 -OWNER ............: PINNACLE ADDRESS ..........: 7375 ROLLINGDELL DR CITY/STATE/ZIP ...: CUPERTINO, CA 95054 RECEIVED FROM ....: ALLCOM ELECTRIC CONTRACTOR .......: CHARLES M NEIL LIC # 27680 COMPANY ..........: ALLCOM ELECTRIC INC ADDRESS ..........: 80 WHITNEY PL CITY/STATE/ZIP ...: FREMONT, CA 94539 TELEPHONE ........: (510)656-7099 • FEE ID ---------- UNIT QUANTITY ------------- ---------- AMOUNT PD -TO -DT THIS REC NEW BAL 1BREMPOWER POWER UNITS 1.00 -------------------- 152.98 0.00 ---------- 152.98 ---------- 0.00 1BSEISMICR VALUATION 2,000.00 0.50 0.00 0.50 0.00 1TRAVDOC FLAT RATE 1.00 40.79 0.00 ---------- 40.79 0.00 TOTAL PERMIT ---------- 194.27 0.00 ---------- 194.27 ---------- 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT • AMOUNT --------------- 194.27 --------------- 194.27 REFERENCE NUMBER -------------------- #1062 • • E I Z CITY OF CUPEkTINO CITY OF CUPERTINO GENERAL BUILDING PERMIT APPLICATION FORM a70� 0oq o 669 3O o1 2.a-1-aj-Hsc Date: !l OS Building Address: -7 3-P5 5C -„ Mailing Address (if different from building address): Owner's Name: Phone #: C1t.(ej. 7 S 7. a y2 1 Contractor: Phone: ��-0 6 i L- 70 q ct .AV, G6`n.. -� •C_ Fax: S f'0 6� °I' `1 'k Contractor License #: 4 `) 3 (ss' 1 Cupertino Business License #: 21 6q,p Contact: ; N �\\ Phone: alp - 6 S 6• 7 0 g 5 Fax: Residential Commercial Job Description: 3 Jam - Building Permit Info: Bldg ❑ Elect 16k Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: 1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV -HT, V -B R — 3 Valuation '2,0_0 C Square Footage: Project Size: Standard Large ❑ Major ❑ Revised 5/21/08 'i'�`�4:V CITY OF CUPEkTINO CITY OF CUPERTINO GENERAL BUILDING PERMIT APPLICATION FORM Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM 1BTEMPPER Temporary Building Permit (good for B 30 days) 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 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 1BBOILER4 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 1MECHINSP Other Mechanical Inspections (per M hour) 1PLMBINSP Other Plumbing & Gas Inspections P (per hour) 1MEETINGIHR Application Meeting B O F_ L CITY OF CUPEkTINO CITY OF CUPERTINO GENERAL BUILDING APPLICATION FEESCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1GENCOM ACOUSTICAL REVIEW IACOUSFDW SFDWL/DuplexNew B IACOUSRESAD SFDWL/Duplex-Addition/Alteration B IACOUSCOM Multi-Family/Commercial B CHIMNEY'S 1CHIMNEY Chimney B I CHIMNEYR Chimney Repair B FENCES 1 FENCE>6FT Non -masonry, over 6 ft in height B I FENCEMAS>6 Masonry, over 6 ft in height B FIREPLACES 1FIREPLMAS Fireplace Masonry B IFIREPLFAB Fireplace Pre-Fabricated/Metal B 1 FLAGPOL>20 Flag pole (over 20 ft in height) B 1 MODUSTRU Modular Structures B FOUNDATIONS 1 FOUNDREP Foundation Repair B 1PILECAST Pile Foundation Cast in place concrete B 1 PILEDRIV Pile, Foundation Driven (steel, pre- stresed concrete) B 3 of 5 CtS CITY OF CUPER,TINO CITY OF CUPERTINO GENERAL BUILDING APPLICATION FEE SCHEDULE 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 IRETSP310 Special Design, 3-10' high (up to 50 `) B 1RETSPIO Special Design, over 10' high (up to 50') B 1RETCRB< Gravity/Crib Wall, 0-1O'high (up to 50 ft B 1RETCRB> Gravity/Crib Wall over 10' high (up to 50 ft B SIDING 1SIDEST/BK Siding, Stone & Brick Veneer (interior/exterior) B 1 SIDEOTHER Siding all other B SKYLIGHTS 1 SKYL<10 SF Skylight less than 10 sf B 1 SKYL>1 OSF Skylight greater than 10 sf or structural B 17STAIRS 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 SO B 1STUCOAP Stucco Applications (up to 400 sf) additional stucco application B 4of5 u Ll CITY OF • CUPEkTINO CITY OF CUPERTINO GENERAL BUILDING APPLICATION FEESCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1GENCOM 1 WINREP Replacement windows/sliding glass door (ea 8 windows B 1WINMEWSTR New Window -structural shear wall/masonry (includes plan ck fee) B 1 EPERMITFEE Electrical Permit Fee E 1MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE 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 when not over counter) Standard Plan Check (when no E/M/P) hourly -stand alone B 1BSEISMICR Seismic Residential B 1BSEISMICO Seismic Commercial B 1TRAVDOC Travel & Documentation B 1BUSLIC Business License B • / r?o L"'e r- O1Zv7-z 5of5 • • 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 y B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 2 points 11. Permeable Paving, Note L-1 2 konts 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) 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.) 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 MAMEM 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. NPUT ResDulces En !I A. Srte 1. Recycle Job Site Construction & Demolition Waste i65%=1 point; 75%= 2 points; B0%=4 points 2. Salvage Reusable Building Materials i 3. Remodel for Mixed Use, Adaptive Reuse, and �J Historic Preservation 4. Protect Native Soil 5. Minimize Disruption of Existing Plants & Trees 6, Implement Construction Site Stormwater Practices 7. Protect Water Quality with Landscape Design Design Resource -Efficient Landscapes and Gardens 9. Reuse Materials/Use Recycled Content Materials for Landscape Areas 10. Install High -Efficiency Irrigation Systems 11. Provide for On -Site Water Catchment / Retention 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 2. Use Recycled Content Aggregate 3. Insulate Foundation/Slab before backfill C. Structural Frame 1, SubstU 1 I golid Sawn Lumber with Engineered Lumber 2. Use FSC Certified Wood for framing (For every 10% of FSC lumber used = 2 points, up to 10) 3. Use Wood I -Joists for Floors and Ceilings 4. Use Web Floor Trusses 5. Design Energy Heels on Trusses 6" or more S. Use Finger -Jointed Studs for Vertical Applications 7. Use Engineered Studs for Vertical Applications B. Use Recycled Content Steel Studs for Interior Framing 9. Use Structural Insulated Panels (SIPs) a. Floors b. Wall c. Roof 10. Apply Advanced Framing Techniques 11. Use Reclaimed Lumber for Non Structural Applications 12.Use0S8 ---- --`- -- - -- up to 4 Resource 4 Resource pts y= 4 Resource pts 2 Resource pts 1 Resource of 2 Resource pts 2 Resource pts 4 Resource pts 2 Resource pts y=yes 2 Resource pts y=yes 2 Resource pts y=yes up to 5 Resource 2 Resource pts y= 3 Energy pts y= 3 Resource pts y=ye up to 10 Resource pt 2 Resource pts y=ye 2 Resource pts y=ye 2 Energy pts y=ye 2 Resource pts y --ye 2 Resource pts y=ye 2 Resource pts y=ye. 3 Energy pts y=ye 3Energy pis y=ye: 3 Energy pts y=ye! 4 Resource pts y=ya; 3 Resource pts y=ye: • a. Subfloors 1 Resource pt y=ye=- b. Sheathing — --- -- - - - - — - - 1 Resource pt yrye: r r r r r r 0; r r 0; 0 !1 Use Sustainable Decking Materials J a. Recycled content i b. FSC Certified Wood 2. Use Treated Wood That Does Not Contain Chromium/Arsenic } 3. Install House Wrap under Siding l 4. Use Fiber -Cement Siding Materials E. Plumbing 1. Install Water Heater Jacket 2. Insulate Hot and Cold Water Pipes 3. Retrofit all Faucets and Showerheeds withFlow Rwducers a. Faucets (1 point each,up to 2 points) b. Showerheads (1 point each, up to 2 points) ) 4. Replace Toilest with Ultra -Low Flush Toilets (1 point each, up to 3 points) 5. Install Chlorine Filter on Showerhead 5. Convert Gas to Tankless Water Heater 7. Install Water Filtration Units at Faucats (2 points each, up to 4 points) 8. Install On -Demand Hot Water Circulation Pump r. riecrncai t. Install Compact Fluorescent Light Bulbs (CFLs) (6 bulbs=2 points, 10 bulbs =3 points, 12 bulbs= 4 points) 1 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 AQ/Health pt y=yes 1 AQ/Health pt y=yes 1 Rasource pt 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 AQ/Health pt y=yes 4 Energy pts y=yes Up to 4 IAQ/Health pts. 4 Resource pts y=yes Up to 4 Energy pts. Up to 5 Energy pts. Up to 4 Energy pts. UD to 4 Enerov ots ?rgy IA01Health G. Appliances r rr r 0 0 r 0 - 1 Energy pt y=yes �1. 2. Install Washing Machine with Water and Energy I- Preservation Features 1 Energy pt y=yes I3.lnstall Energy Star Refrigerator 1 Energy pt G. Appliances r r r s Install Energy Star Dishwasher - 1 Energy pt y=yes �1. 2. Install Washing Machine with Water and Energy Preservation Features 1 Energy pt y=yes I3.lnstall 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 pis y=yes 2. Install Floor Insulation over Crawl Space 4 Energy pts y=yeE l3. Install Recybled-Cailen`t, Fiberglass Insulation wiit ' i ND Added Formaldehyde j 3 AQ/Health pts y=ye=. _ _ 4. Use Advanced Infiltration Reduction Practices 2 Energy pts y=yeE 5. Use Cellulose Insulation a. Walls 4 Resource pts y=ye! b. Ceilings 4 Resource pts y=ye! 6. Alternative Insulation Products (Cotton, spray -foam) a. Walls 4 Resource pts y=ye, c. CeBmgs 4 Resource pts y=ye. • • r r r s r. • • •1. Install Energy -Efficient Windows ~ 2 Energy pis •a. Double -Paned 1 Energy pt b. Low -Emissivity (Low -E) 2 Energy pts c. Low. Conductivity Frames t 2 Ener is j 9Y P _ 2. Install Low Heat Transmission Glazing ` '-- 1 Energy pt J. Heating Ventilation and Air Conditioning �. Use Duct Mastic on A]I_Dud joints _ ^ ~ 2 Energy pis 2. Install Ductwo k within Conditioned Space _ 3 Energy pts 3. Vent Range Hood to the Outside 1 AQ/Health pt 4. Clean all Ducts Before Occupancy 2 AQ/Health pis 5. Install Solar Attic Fan 2 Energy pts 6. Install Attic Ventilation Systems 1 Enercy pt 7. Install Whole House Fan 4 Energy pts B. Install Sealed Combustion Units 14. Install Zoned, Hydronic Radiant Heating a. Furnaces 3 IAQ/Health pts b. Water Heaters 31AQ/Health pts 9. Replace Wall -Mounted Elactnc and Gas Heaters with 16. Install Heat Recovery Ventilation Unit (HRV) Through -the -Wall Heat Pumps 3 Energy pis 10. Install 13 SEER/11 EER or higher AC with a TXV 3 Energy pts 11. Install AC with Non -HCFC Refrigerants 2 Resource pts 12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace 2 Energy pis y=yes 13. Retrofit Wood Burning Fireplaces 4 Energy pts y=yes • a. Install EPA certified wood stoves inserts 1 IAQ,hiealth of y=yes b. InstalVRepiace Dampers 1 Energy pt y=yes c. Install Airtight Doors 1 Energy pt y=yes 14. Install Zoned, Hydronic Radiant Heating 3 Energy pis y=yes 15. Install High Efficiency Filter 41AO/Health pts y=yes 16. Install Heat Recovery Ventilation Unit (HRV) 51AQ/Health pts y=yes 17. Install Separate Garage_ Exhaust Fan 3 IAQ/Health pis V=Ves K. Renewable Energy and Roofing 1. Pre -Plumb for Solar Water Heating 4 Energy pts y=yes 2. Install Solar Water Heating System 10 Energy pts y=yes 3. Pre -Wire for Future Photovoltaic (PV) Installation 4 Energy pts y=yes 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 �6. SeledSite and Durable Roofing Matenals_ 1 Resource _ _ _- 7. Install Radiant Barrier , of y=yes 3 Energy pts y=yes L. Natural Heating and Cooling 1. Incorporate Passive Solar Heating 5 Energy pts 2. Install Overhangs or Awnings over South Facing Windows 3 Energy pis 3. Plant Deciduous Trees on the West and South Sides 3 Energy pts • 1. Use LEFWN -VOC Pamt 2. Use Low VOC, Water-Based Wood Finishes 3. Use LOW/No 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 7.8ee1 all Exposed Particleboard or MDF B. 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 Total Points Available: Total Points Project Received: 1 IAQ/Health pts y --yes 21AQ/Health pts y=yes 31AO Health pts y=yes 3 Resource pts y=yes 61AQ/Health pts 1 IAO/Health pts 41A0/Health pts 4 Resource pis 1 Resource pts 3 IAO/Health pts B Resource pts 4 Resource pts 4 Resource pts 5 IAQ/Health pts 4 Resource pts 4 Resource ots y=yes • 1401 130 57 • 01 0 0 G:datarprogslgreenbulidingguidelinestremodelers<greenpoimsf nal2.12.0Sproleot=7xls CITY OF �UPERTINO • 0 Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESS: 7375 1 �� 0r PERMIT # >&-6 bo OWNER'S NAME: wnw PHONE # 6 (C - 66 6 - 7D I GENERAL CONTRACTOR �%cJl3-- ',6L FAX # I am not using any subcontractors: �- -� 1 I - 26 Signa Date Please check applicable subcontractors and complete the fo owing information: Owner/ Contractor Signature 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 Owner/ Contractor Signature Date