08090063 CITY OF CUPERTINO
BUILDING DIVISION PERMIT A+QL\ IKQI�1kT �QTIvN �:;_
BUILDING ADDRESS: PERMIT NO.
10062 SENATE WAY AAA FURNACE & AIR 08090063
OWNER'S NAME: PERMITLSSUEDATE
CARSON DELBERT B AND DELORES 1712 STONE AVE 09/11/2008
N@
(408) 293-4717 SANITARY N0, CONTROL NO.
ARCHTIECTIENGINEER: BUILDING PERMIT INFO
_ BLDG ELECT PLUMB MECH
o p LICENSED CONTRACTOR'S DECLARATION Job Description
u I thereby affirm that 1 am licensed under provisions of Chapter 9(commencing
_ with Section 7")ofDivision 3 of me Business and Professions Code,aml any licturad is REPLACE FURNACE 80, 000 BTU DUCTS AND A/C 3 TON
in full forte
ua.w_Clara'- Y ,7"—Lk.g
-F p Dale ZOL
Gonda
e ARCHRECI'S DECC
ATION
y� 1 undcrstanJ my plans Nall W used u Pu lie records
Licensed Professional
OWNER-BUILDER DECLARATION
N
f 1 hereby all,. at 1 am exempt from the Conmuror's License Law for the '
C
pe O following mason.(Section 7031.5,Business and Profeaions Codd:Any city or county
rd dT, which requires a permit m construct,alter.improve,demolish,or mpair any coinsure
prior les its issuance.also roquims sere applicant for such permit to fit,.signedmiumdm
EZC that heisRdensedpormammthe provisions ofdin eanaadmrsuec=Law(Chapter 9 _ Sq.Ft. Floor Area - Valuation
(commencing with Section 7000)of Division 3 of the Business and Professions Code)Or $9385
a�y $ uses he is exempt rMrofrom and use buss for the ailegdd exemption.Any violation of
Section 7031.5 by any applicant for a permit subjecta the applicants to a civil penalty of
amNumber Occupancy t more than five hundred dollars umaneyT'Pe
s(s5M 32653007 . P
1,as owner of to. Mart,or my employees with wages as Heir sok Compensation,
will do time work,and thestmcmrt is not intended or mfkr.d for sok(Son.7014,Business
and Prommuss Coremi
:The Committees Lk.Law does net apply m an owner of Required Inspections
propertywho Wildaorintpmvea damem,and whodoessuch workhimselfer through his
awn employees,provided Nat such improvements..or intended or mflered furred..It,
however,Ne Wilding or improvement u sold within ane year of mmpkoon.the owner.
builder will have the burden of proving that Ise did tet Wild or improve for purpose of
oak.).
0 I.as owner of the Property,am exclusively contracting with Heeded emmacmts an
construct fee project(Sec.71114.Business and Professions Code:)The Coouacu's al-
cove law does not apply to an owner of property who Wilds or improves thereon,and
who contracts for such projects with a conmacmr(s)licensed pursuant in the Commemr's
License Law.
0 l ion,mraptunderSm ,BBPCImmunuon
Owner Date
WORKER'S COMPENSATION DECLARATION
I hereby aRrse under Xna ty of perjury one of du following decimations:
1 have and will maintain a Cenificamof Comer in s.lf-insert far WorkclsCompcn-
ead.d,as provided for by Second 3700 of the labor Code.for the peif...of the
work for which this permit is issued.
❑I have and will maintain Work es Compensation In....as required by Section
3700of the Labor Code.for the performance ofthe wish,for which dus permit is issued. '
My Worker's Compeuzdon Ins risme carrier and Policy number are:
Cartier n Polity N..:21-2ab �p
CERTIFl ATE EXEMPTON FRO RS'
COMPENSATION INSURANCE
(Thu section need wt W cmnplcud if tW permit is forms,hundred dollars(SIM)
or Ins)
1 cutin mat in me performance of me work for which this perdu is headed,I Nall not
employ any person in any ma dere as b become mbjml to the Workeef'Compcnsadon
Laws of California.Dau
Applicant—
NOTICE TO APPLICANT:IL after making this Cenificau of Exemption,yen should
became subject in tW Workdfa Compensation provisions of me Labor Code,you mut
.J O forthwith comply with such provisions m this Permit shall W decided revoked.
r CONSTRUCTION LENDING AGENCY
ti
[-e W.hy which
Wlmcrtuacmmwcd 097,Cing agemy,for the Pdrfortnance of
a the work for which tilts permit u LemMAI(see.J09/,Civ.CJ
QLender's Namee
z Lendefs Addis.•
V 0 1 eesofy that 1 have dad this mpli.xim.and sou mu the above information is
Lr, H mrrocL T agree w comply with all city and county inclinometer and suis laws misting in
0 Wilding conmuction,and Wreby authorize represenuuves of this city to enter upon etc
on
move-menudgre prop Costs
for inspection Purposes
(We)agree to save,indemnify and keep harmless the City of Cupertino against
ti to in
i coisequence f the granting
uind expenses p which may in any way acweagains4aid City
V z mconuquNT of the RSTA gofA permit G
ti APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date /^/ / .i(�
SO CE REGU TIONS
"Do y Re-roofs
2191,11hare ofAM11calMirinuor Dees -
HAZARDOUS ATDISCLOSURE Type of Roof
VIII me applicant m forum Wildingg occup ocmpantmmre or handle Hcaldeu materiai
u Cook.
Scd by dm 32(t)?rte Municipal Code.Chapur 9.13,and Ne Halm and Safety
ewe.�tien sss3z(an All roofs shall be inspected prior to any roofing material being installed.
Yu o
If a roof is installed without first obtainingan inspection,I agree to remove
Will tins air cul t or u ort building occupant use equipment or devices which P g
ha'rardnns air co ash as deBndd by the Bay Arca At,Quality Management all new materials for inspection.
District?
❑Yes Nn
I have read On hu esmakria$3mquimmenmun&rCMpW6.95ofthe Caiifo,
nia Hcalthdt Sa(c1YCwe Scwons25505,25533aw25534.1unddrstandthuifthd Wilding
docs not currently have a tenant,that it is my responsibility in sooty use Occupant of esu
requi em which ractok Iprmruissuamcol.cedfuauof`comnry. SignatureofApplicant Date
All roof coverings to be Class'%Q"
ndr r tharir agdnl Dau' g or better
CITY OF CUPERTINO
• 6 ITEMS OF 18 PERMIT RECEIPT OPERATOR: suew
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 32653007 . 00
DATE ISSUED. . . . . . . : 09/11/2008
RECEIPT #. . . . . . . . . : BS000006054
REFERENCE ID # . . . : 08090063
SITE ADDRESS . . . . . : 10062 SENATE WAY
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : CARSON DELBERT B AND DELORES F
ADDRESS . . . . . . . . . . : 10062 SENATE WAY
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5710
RECEIVED FROM . . . . : JIM RANDO
CONTRACTOR . . . . . . . : RANDO, JIM LIC # 8050
COMPANY . . . . . . . . . . : AAA FURNACE & AIR CONDITIONING
ADDRESS . . . . . . . . . . : 1712 STONE AVE
CITY/STATE/ZIP . . . : SAN JOSE, CA 95125
TELEPHONE . . . . . . . . : (408) 293-4717
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 9, 385. 00 1.00 0 . 00 1 . 00 0. 00
1EPERMITFE FLAT RATE 1. 00 40.79 0 . 00 40.79 0. 00
1MPERMITFE FLAT RATE 1. 00 40.79 0 . 00 40 .79 0 . 00
1MRRAA UNITS 2 . 00 122 . 38 0. 00 122 .38 0. 00
1PPERMITFE FLAT RATE 1. 00 40.79 0. 00 40 .79 0. 00 .
ITRAVDOC FLAT RATE 1 . 00 40.79 0. 00 40.79 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 286 . 54 0. 00 286 . 54 0. 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
•
CITY OF CUPERTINO
fat. FURNACE/AC
•CUPEkTINO PERMIT APPLICATION FORM
APN# Date:
Building Address:
OP d. i9TE C[1�4�
Owner' Name: Phone#:
-e- a Yo -
Contractor: Phone#:�O04,d 93
le 4 O v,.v x Al/lxCz77,oc Fax #:
Contractor License#: Cupertino Business License#:
7l
Contact: Phone#: ��j�_a - 4/ ;71,,7
ZE .G Fax #:
Building Pemiit Info:
Elect Plumb Mech
Resid n ial I I Commercial
Job Description: �J /� exp
p �C>o/1/ +v � ilace TU ��c >< r �Zrig/
For Residential Installations:
Attic ❑ I't floor 2"d floor ❑
Adhere to minimum setback requirement
For Commercial Installations:
Replacement same weight ❑ Additional weight (structural calcs) ❑
Structural Calculations required for new installation ❑
New installation Planning Approval Required ❑
Cost of Project: Type of Construction (Usage Class):
C lJ
Strapped On Platform Bonded New Location Replacement
Project Size: Express Standard ❑ Laze ❑ Ma or ❑
Valuation:
Green Building: Please complete relevant portion of the Green Building Checklist & attach it to the
application or if applicable, include in plan set & the sheet index.
Revised 6/16/08
CITY OF CUPERTINO
' FURNACE/AC
OF
CUPERTINO FEE SCHEDULE •
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1MCRAA Commercial-Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system;incl
installation of controls regulated by this
code.
1MCREPALT Commercial for the repair of alt/add to M
ea heating appliance,refrigeration
unit,cooling unit,VAV boxes,
absorption unit or ea heathing, cooling
absorption,or evaporative cooling sys,
incl install of controls regulated by
this code.
1MCSUSHTR Commercial Install/Relocate ea M
suspended heater,recessed wall htr, or •
floor mounted unit heater.
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
IMCAPPVNT Commercial for the install/relocate/ or M
replacement of ea appliance vent
installed ¬ incl in an appliance
permit.
1BSEISMIC0 Commercial Seismic B
1MRRAA Residential Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by
this code.
1MRSUSHTR Residential Install/Relocate ea M
suspended heater,recessed wall htr, or
floor mounted unit heater.
1MRAPPVNT Residential for the install/relocate/ or M •
replacement of ea appliance vent
install & not incl in an a 1 ennit.
Quantity Fee ID Fee Description Fee Permit Type
Grnn
CITY OF CUPERTINO
` ` FURNACE/AC
• CUPEIZT` INO FEE SCHEDULE
Group
FURNACE FURN/AC
1 PGASRES Residential for ea gas piping system of P
1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
1BSEISMICR Residential Seismic B
1MECPLNCK Mechanical Plan Check M
1MFR=<100 Furnace Syst <=100k BTU install or M
relocate ea forced-air/gravity type
furnace/burner, incl ducts/vents
attached to such appliance up to and
include 100,000 Btu/h
1MFRN>100 Furnace Syst> 100k BTU install or M
relocate ea forced-air/gravity type
furnace/bumer, incl ducts/vents
attached to such appliance over
100,000 Btu/h
1 EPERMITFEE Electric Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
1PPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
1BUSLIC Business License B
•
Quantity Fee ID Fee Description Fee Permit Tyne
CITY OF CUPERTINO
FURNACE/AC
h'QT
CU1NO FEE SCHEDULE
Group
AIR FURN/AC
CONDITIONING
1BCAIRHAN Commercial A/C Units <= l0k CFM B
1MCRAA Commercial Mech Repair/alt/add M
IBSEISMICO Seismic Commercial B
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1PGASRES Residential for ea gas piping system P
of 1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet. Comm/Resid
1BREMAIRHAN Residential A/C units <= l0k CFM B
% 1MRRAA Residential Mech Repair/alt/add M
1BSEISMICR Seismic Residential B
1EPERMITFEE Electric Permit E
f 1MPERMITFEE Mechanical Permit M
1 1PPERMITFEE Plumbing Permit P
1TRAVD0C Travel Documentation B
1BUSLIC Business License B
•
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 lAOtHealth
. . e
-,.-.,-.: ;vim.:•_::.. ,;- ' ,.....
7 i,Riicycle-Job Site,ConstrucUori 8',Demolition Waste.
65%.-t:,pomt 75% 2 points 60% 4 points up to 4 Resource pis 0
.+ . .»hJ..'}er as a.•:
2 Salvage Reusable Buildmg,Matenals y>- 4 Resource pts y=yes 0
3. Remodel for Mixed Use,Adaptive Reuse,and
Historic Preservation 4 Resource pis y=yes 0
4.Protect Native Soil 2 Resource pts y=yes 0
5.Minimize Disruption of Existing Plants 8 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
6.Design Resource-Efficient Landscapes and Gardens' 4 Resource pis y=yes 0
9.Reuse Matenals/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 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 pts0
2.Use Recycled Content Aggregate 2 Resource pts y=yes 0
3.Insulate Foundation/Slab before backfill 3 Energy pis y=yes p
1 1 1
C.Structural Frame
1:Substitu4'96lid'Sawn`L6u ibex with'EiigineerM umber°" 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 pis 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
S.Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y=yas 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 pis 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
a.Subfloors 1 Resource pt y=yes 0
• b.Sheathing 1 Resource pt y=yes 0
INPUT Resources Energy IAQ/Health
Xllffxtenor Funs
1.,UseSustainable:Deckng.Matenals. .'
-Vila., ,.._.e -
a Recybled content,.,: - 3 Resource pis y=yes 0 •
b:.FSC�Certified Wood;-:; . • 3 Resource pts y=yes 0
'i Use Treated_.Woodarat Ddes;Not Contain Chromium/Arsenic: 1 IAO/Health pt y=yes 0
3 Install House Wrap'under,SldIng, �'st I{lsjv?? " '`r ' AQ Health pt y=yes 0
.0Use Fiber-C rnbht'Sitlmg Materials'' 1 1 Resource pt y=yes 0
1 I 1
E.Plumbing
11.Install Water Heater Jacket 1 Energy of 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
a.:Faucets(I.pointeacli,updo 2 point's)'—' Up to 2 Resource pts. 0
� .;b.,Showerheads(1.point,each,up to 2;pdmts) ;,- - Up to 2 Resource pts. 0
4.Replace`Toilest with Ultra Lbw Flush Tbilets
( oin4p points) Up to 3 Resource pts. 0
i 1 each�up)03- Dints) ,
'5.Install Chlorine Filter on Showerhead 1 IAQ/Health of y=yes 0
6.Convert Gas to Tankless Water Heater 4 Energy pis 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 pis y=yes 0
1 1 1
r.tiecmcai
4.-Install Compactfluorescent Light Bulbs(CFLs)
;(6 bulbs=2 points,i0 bulbs,=3'points,1 tibulbs=: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 pis. 0
1 1 1
G.Appliances
1.Install Energy StaeDishwasher 1 Energy pt y=yes 0
12.Install Washing Machine with Water and Energy--
Conservation',Features; ..:. 1Energy pt y=yes 0
,3.lnstall Energy Star Refrigerator `" _ 1 Energy pt y=yes 0
�4.Install Buill'In Recycling"Center 3 Resource pts y=yes 0
1 1 1
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
i3.Install Recycled-Content;Fiberglass Insulation.with-
,No Added Formaldehyde 31AQ/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
o.Uenings 4 Resource pts y=yes 0
' 1 1
INPUT Resources Energy IAD/Health
.Windows
1.Install E6efgy-Efficieol'W16d6ws
• a.Doubley1aned, ". 1 Energy of y=yes 0
I Low,Eniissiv'dy(LowGE);; 2 Energy pts y=yes 0
c.Low.Conductivity FFames, 2 Energy pts y=yes 0
2.Install Low Heat Transmission Glazing 1 Energy pt y=yes 0
1 1 1
J.Heating Ventilation and Air Conditioning
1.Use Duct Mastic on AIPDuet'Joints ` 2 Energy pis y=yes D
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 7 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 IAO/Health pts y=yes 0
b.Water Heaters 3 IAQ/Health pts y=yes D
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 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 41AQ/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 31AQ/Health pts y=yes D
1 I 1
I 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 pis 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 Materials 1 Resource of y=yes 0
7.Install Radiant Barrier 3 Energy pts y=yes 1 p
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 D
1 1 1
•
INPUT Resources Energy lAOtHealth
M.In oor Air ua tty and trashes P
1.Use Low 640C Paint. , 1 IAQ/HealthY=Y
is es 0
P
2. Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 •
3.Use Low/l Adhesives3 IAC/Health pts y=yes 0
4.Use Salvaged MaterialsXforInterior Finishes 3 Resource pts y=yes 0
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 61AQ/Health pts y=yes 0
6.Use Exterior Grade Plywood for Inferior Uses 1 IAQ/Health pts y=yes 0
7.Sealiali,a.posed.P,articleboardor,l 4IAQ/Health pts y=yes 0
8.Use FSC Certified Materials for Interior Finish 4 Resource pis y=yes 0
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes 0
10. Install Whole House Vacuum System 3 IAQ/Health 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 51AG/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
1 1
Total Points Available: 1 1401 1301 57
Total Points Project Received: E____5E 31 0 •
G:data/progslgreenbuildingguidelineslremodelers/greenpointstinal2.12.D4protected.xls
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
B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 2 points
11. Permeable Paving, Note L-1 2 mints
C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 points
D. Structural 3. Uses Wood IJoist, (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 Dints
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.) A3 1 point
3. Energy Star Refrigerator, (Note/Spec.) AJ 1 point
P. Other 1 1. List Green Features on Plans A-1 1 point
TOTAL POINTS1 40 points
•
Plan Review Process Work Book Page-12-Revised 325/08
_ Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
#UPEkTINO
Building Department
JOB ADDRESS: PERMIT #
A�ZZ2 S 62�o foo G3
OWNER'S NAME: PHONE #
GENERAL CONTRACTOR: FAX #
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
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