08040220 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR IN'FURMATION
°4�X'�is._.��S•t"II'4 th �3Y+a`!.m c
PERMIT NO.
eulLDlt{CagpQRES�:0380 TOWN CENTER LN GIDEL AND KOCAL 08040220
OWNERS I1.NNA/MEE; PERMIT ISSUE DATE
STEVE LACHMAN 574 DIVISION ST 04/30/2008
NE: (408) 370-0287 SANITARY NO. CONTROL NO.
'
ARCHITECUENGINEER: BURRING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
O o LICENSED CONTRACTOR'S DECLARATION IOU Description
G 1 hereby&M m Nat 1 am lived umler pmv OM of CMplar 9(commencing — P
b wiNsectwn]OlkpofDividan3ofNCBusinecvaMPmfessiomCotle.Wmylk--is RPLCMNT OF DOORS PERMIT GOOD THRU 5/30/8
u in full forte and Wcoc
ZLicenm C R.ic.N
�t•� Da¢ Coconuts,
RCHTECTSD ON
V 1 undcmak my plans shall be used as public rermrda
s Licensed Professional
3 OWNER.BUILDERDECLARATION
1 bcreby affil m that I am caempt from the Convanor's License Law for the
O o following mason.(Section 1031.5,Business and Professions Cade:Any city Or county
3 which requires a peril to Cnnsuuct,.]ter,improve,demoiah.lir repair any mmdum
_ii prior m its isavance.edam rtquirca we applicant for such permit to Ilileasiined summem
< wed x it licensed pu.11.the pmvisiom of the Comracmr',U..Law(chapter9 Sq.Ft. Floor Area Valuation
.�n (commenting with Section 7000)of Division 3 of the Business and Professions Code)or
4(]000
egg that he is exempt therefrom and the baso for we alleged exemption.Any violation of
Section 7031.3 by any applicant fee a Permit subjects we applicant to a civil penally of
am an E
more Owns hundred dollars ISM 36940059 .�Wtfktuber Occupancy P Y Type
❑1,at owner of the Property,or my employees with wages as their role compensation,
will do we work,and the svueture is rot Nuked or offered for sale(Sec.7014,Buainea
and Professions Code The Contractors Li.law does nut apply m an ow.of Required Inspections
property builds aimproves themun,ak whodocssuds were himselfar through his
awn cmploycv,provided Nn such improvements art not inmkrd oraffered forsala IL
however.we building or improvement isald within one year ofeompledon,the,ownv-
builder will have the Imel n of proving that M did not build Or improve for purpose of
sale.).
El 1,as Owner of the property am exclusively contracting with licensed nowwwor to
construct the projca(Sea 7014,Business and Professions Code:)The Contraemr's U.
come law docs not apply to an Owner of property who builds or impeo ew thereon,and,
who contracts for such project win a atrxtor(s)licensed pursmnt to the Comracso's
License Law.
❑Iomcaemptundv See ,BkPCfo Nismamn
0. Dale
WORKER'S COMPENSATION DECLARATION
1 hemby affimt under prsulty of perjury was of Ne following
declarations-
1 have and will maintain a Certificate of Consent to self-iaurt for WorkersCompen-
wt..a Provided for by Section 3700 of Ne labor Code.for the pvfmmence of we
work for which Nis permit is wok.
❑1 have and will maintain Works's Compensation Insurance,as required by Section
371)().1'the labor Code.for we performance of the wast for which this iss
permit u ued '
My Workers Com eaut nInsu ce earn
and Policy number
Carriee Policy Is
P
CERTIFICATE FFXEMION FR)MWORKERT
COMPENSATION INSURANCE v
(Thu auction reed not be completed iftbe permit is forone hundred dollars($10111)
M lea)
1 COMfv that in the pvfonnerce of tiro work for which this permit is issued,l Nall not
employ any person in any manner an as to become subject to the Workers'Compensation
Laws of California.Dam 4
Applicant
NOTICE TO APPLICANT:IL after matlng this Certificate of Emosim. ,you should
become subject to we Wohcri Compensation provisions of the labor Code.you mum
•J,Z forthwith comply with such provisions or Nu permit shall be doomed remkcd.
?O DI
CONSTRUCTION LENDG AGENCY
F Ihemby a@sm Nat them is a connotation lending agency for rte Performance of
f� > tine work for which this permit U issued(Sec.3097,Civ.C.)
Q Lenders Name
.7. Z lenders Adduces
U Q 1 certify that I have read this application and auto Nu the above information is
11w coneCh 1 agree In Comply with all city and County ordinances and slam laws rtlNng to
.C)RgJ^ building conswction.and hereby atmori a mpressundims of this city m enter upon Ne
Fakw-mendoand property rte inspection purposes G (We)eg.to avu,indemnify and keep harming,dte City of Cupertino against
liabilities,judgments.costs and expenses which may in my way accrue against uid City
V Z in consequemtCe of the grating of this permit.
APPLICANT UNDERSTANDS AND WILL MPLY ITH ALL NON-POINT Issued by: Date 4
SO EqV ONS, �7
4 V i•O I � Re-roofs
a HAZAAIrDOUS MA ASURE Dam Type of Roof
Will apylicatm forum Wildingaccupantsmmorbaklchaalloamamrud
u de0ned by the Cupertino Municipal Cade.Chapter 9.11,and the Health and Safety
code.Seed.y.155324)?❑Yes 1,1All roofs shall be inspected prior to any roofing material being installed.
-
OWill the applicant or futurebuilding occupant use equipment or devices which If a roof is installed without firs[obtaining an inspection,I agree to remove
il haardna air canureiwits u derined by Ute Bay Ama Air Quality Management all new materials for inspection.
District? P
0 y. / 1u
I haw mad the hureart materials requirements under Chapter 6.95 of the Caller.
nu Houth h Safety Colo Swuoo nSD5,25533 and 255th.l undersand Nat ifwhe Wilding
does not croseky haw a lead that it is my usponsiMlily to notify use ncupam of dam
req.' k mmkmetpdarmissuanceofaCcnif a(aeuamey Signature of Applicant Date
Ownd ar aummi.d PI fj Dam' - All roof coverings to be Class'R!'or better
CITY OF CUPERTINO
• ITEM 1 OF 1 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: B1k: ,Lot;
APN . . . . . . . . : 36940059 .CMPLX
DATE ISSUED. . . . . . . : 04/30/2008
RECEIPT #. . . . . . . . . : BS000004627
REFERENCE ID # . . . : 08040220
SITE ADDRESS . . . . . : 20370-20380 TOWN CENTER LN
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : STEVE LACH14AN
ADDRESS 574 DIVISION ST
CITY/STATE/ZIP . . . : CAMPBELL, CA 95008
RECEIVED FROM . . . . : GIDEL & KOCAL CONST
CONTRACTOR . . . . . . . : LANCE GIDEL LIC # 28790
COMPANY . . . . . . . . . . : GIDEL AND KOCAL
ADDRESS 574 DIVISION ST
CITY/STATE/ZIP . . . : CAMPBELL, CA 95008
TELEPHONE (408) 370-0287
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BTEMPPERM FLAT RATE 1 . 00 200. 00 0. 00 200. 00 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 200. 00 0. 00 200. 00 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 200 . 00 #65224
---------------
TOTAL RECEIPT 200. 00
CITY OF CUPERTINO
• CUPEkTINO GENERAL BUILDING
PERMIT APPLICATION FORM
APN #&! L10 05-Q ,
Date: — �U—Od�
Building Address:
D3�0
Mailing Address (if efferent from building address):
Owner's Name: Phone#:
svve-- 4&-15-e8 41S35
Contractor: Phone: zG? 3'o-O�
Fax: ��"vv _ 3-70355�
Contractor License
Cupertino Business License#:
• Contact: Phone:
�/ Fax: / A
Residential Commercial
Job Description: �-
Is the project in the Wildland- Urban Interface Fire Area? Yes ❑ No [!-
Building Permit Info:
Bldg Elect ❑ Plumb ❑ Mech ❑
Type of Construction (Usage Class): Occupancy Type:]-A, 11-B ❑ 'l 1, 111, V-A F111, 111, 1V V-B [� 0
Valu ion• Square Footage:
7I Bao
Project Size: Standard PZI—Lar e ❑ 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: 7Z7—
For help, contact Build it Green at www.builditgreen.orll
Slor CITY OF CUPERTINO
CUPEI,TINO GENERAL BUILDING
PERMIT APPLICATION FORM
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1 BTEMPPER 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 ss over 100,000 Btu/h
1BBOILER3 Installation/relocation ofea 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 (per M
hour)
IPLMBINSP Other Plumbing & Gas Inspections P
(per hour
1MEETINGIHR Application Meeting B
;(C - CITY OF CUPERTINO
CUPITYEfF GENERAL BUILDING APPLICATION
• FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 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
Ak
1 FENCE>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/Metal B
1FLAGPOL>20 Flag pole (over 20 ft in height) B
1MODUSTRU Modular Structures B
FOUNDATIONS
1FOUNDREP Foundation Repair B
1 PILECAST Pile Foundation Cast in place concrete B
1PILEDRIV Pile Foundation Driven (steel, pre- B
stressed concrete
3of5
CITY. OF CUPERTINO
CITY Of GENERAL BUILDING APPLICATION
CUPERTINO
FEE SCHEDULE •
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
IRETSP310 Special Design, 3-10' high (up to 50 `) B
1RETSPI O Special Design, over 10' high (up to B
50'
IRETCRB< Gravity/Crib Wall, 0-10'high (up to B
50 ft
1RETCRB> Gravity/Crib Wall over 10' high (up to B
50 ft
SIDING
1 SIDEST/BK Siding, Stone & Brick Veneer B
(interior/exterior)
1SIDEOTHER Siding all other B
SKYLIGHTS
1 SKYL<10 SF Skylight less than 10 sf B
1SKYL>IOSF 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
1STUCOAP Stucco Applications (up to 400 sf) B
additional stucco application
4of5
�TCITY OF CUPERTINO
CUCITY
TYOF O GENERAL BUILDING APPLICATION
• FEESCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1 WINREP Replacement windows/sliding glass B
door (ea 8 windows)
1WINMEWSTR New Window-structural shear B
wall/masonry (includes plan ck fee)
IEPERMITFEE Electrical Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
1PPERMITFEE Plumbing Permit Fee P
1 ELCPLNCK Stand Alone Electric Pln Ck (hourly) E
Alk
IMF 1MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M
1PLMPLNCK 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
IBSEISMICO Seismic Commercial B
1TRAVDOC Travel & Documentation B
1BUSLIC Business License B
e
5of5
. Community Development
(+ 10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
U P E kT IY OF N O Fax(408) 777-3333
Building Department
All Cupertino building permits must meet certain conditions related to maintaining
environmental quality And public peace and safety. The two most common
conditions are described below.
STORMWATER POLLUTION CONTROL
State law requires that Cupertino, 12 other Silicon Valley cities, Santa Clara County and
the Santa Clara Valley Water District control stormwater pollution. Educating local
residents and businesses and enforcing stormwater pollution control laws are key parts
of the City's compliance efforts.
Stormwater pollution prevention: It's up to us
In northern Santa Clara Valley, storm drains flow directly to local creeks and San
Francisco Bay, with no treatment. Stormwater pollution is a serious problem for wildlife
dependent on our waterways, for people living near streams and baylands, and for the
local water supply. Common sources of Stormwater.pollution include:
• Dripped oil, fuel, and antifreeze from vehicles and heavy equipment;
• Construction debris, including dirt, concrete and paint;
• Landscaping runoff containing pesticides or weed killers; and
Any material dumped or spilled into streets or storm drains
The property owner and the contractor share ultimate responsibility for activities'
occurring at a construction site and will be held responsible for any environmental
damage caused by subcontractors or employees.
For more information on construction-related stormwater requirements, see the
Stormwater Quality Regulations section of the City of Cupertino web site at:
htti)://www.cui)ertino.oro/city government/departments and offices/
environmental services
COMMUNITY NOISE CONTROL
The basic noise control requirements for construction sites are as follows:
• Typical construction work hours are:
- Weekdays - 7 a.m. to 8 p.m.
- Weekends - 9 a.m. to 6 p.m.
• Construction other than street construction is prohibited on holidays.
• Residential daytime noise levels from complaint site - 60.dBA
• Nonresidential daytime noise levels from complaint site - 65 dBA
For more information on noise control, please see Chapter 10.48 of the Cupertino
Municipal Code, which can be accessed at http://www.amleaal.com/cupertino ca/
Greg Casteel
Building Official
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 7points
11. Permeable Paving, Note L-1
C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1
D. Structural 3. Uses Wood 1-Joist, (See Spec.) S-2
5. Use Truss with heels, (detail) S-2
6. B. OSB Sheathing, detail S-2
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. A3 1 po-
nt
P. Other 1. List Green Features on Plans A-1 1 nt
MMMAMM TOTAL POINTS 40 nts
203 7v 7ac,�� cin-►9r �1 �f - 30_
b
2
4,
0
0
•
Plan Review Process Work Book Page A2-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.
INPUT ResDurces Energy IAQ1Heal0E
A.Site
1.Recycle Job Site Construction&Demolition Waste _t
65%=1 point;75%= 2 points;80%=4 points up to 4 Resource pts 0
2.Salvage Reusable Building Materials f 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_. esD ign Resource-Efficient Landscapes and Gardens— _j 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 pis y=yes 0
11.Provide for On-Site Water Catchment/Retention 2 Resource pts y=yes 0
1 I 1
B.Foundation
1.Incorporate Recycled Flyashin 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=yesl;;F 0
1 1 1
C.Structural Frame
f1.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 Ener is
Energy
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.Use-OSB �
a.Subfloors 1 Resource pt y=yes 0
• b.Sheathing 1 Resource pt y=yes p
L-_ - - 1
MEN"
W.Exterwr imsI INPUT Resources Energy IAO/Health
it.Use Sustainable Decking Materials 1
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 j 1 IAQ/Health pt y=yes 0
4.Use Fiber-Cement Siding Materials 1 Resource of y=yes 0
E.Plumbing
1.Install Water Heater Jacket __ 1 Energy pt y=yes 0
and Cold
2.Insulate Hot 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) Up to 2 Resource pts. 0
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) _ 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 41AQ/Health pts. 0
S.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 1 1
P.tiecmcar
It.Install Compact Fluorescent Light Bulbs(CFLs)
I(6 bulbs=2 points,10 bulbs 4 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
1 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 of y=yes 0
3.Install Energy Star Refrigerator 1 Energy pt y=yes 0
4.Install Built-In Recycling Center I 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 0
�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 0
6.Alternative Insulation Products(Cotton,spray-foam) •
a.Walls 4 Resource pts y=yes 0
b.Ueuings 4 Resource pts y=yes 0
INPUT ReSDUTCeS Energy IAQ/HeaI0E
m ows
1.Install Energy-Efficient Windows -}
• j a.Double-Paned 1 Energy pt y yes 0
b.Low-Emissivity(Low-E) '2 Energy pts y=yes 0
c.Low.Conductivity Frames —_1 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
i.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.Vent 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 31AQ/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 pts y=yes 0
10.Install 13 SEER111 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. Install/Replace Dampers i 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 41AO/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 pts y=yes 0
1
K.Renewable Energy and Roofing 1 1
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=16 points) Up to 16 Energy pts 0
f6.Select Safe and durable ffoofing MatMater a_is J 1 Resource pt y=yes p
7 Install Radiant Barrier -- -- --— 3 Energy pts y=yes 0
1
L.Natural Heating and Cooling I 1
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 p
1 1
•
WnTr000r Air duality and Fmtshes INPUT Resources Energy IAO/Heam
`1.Use Low/No-VOC Paint 1 IAQ/Health pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 •
13.Use LowMo VOC Adhesives 31A0/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 61AQ/Health pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 0
7.Seal all Exposed Particleboard or OF 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 IAQ/Health pts y=yes 0
1 1 1
N.Flooring
1.Select FSC Certified Wood Flooring 8 Resource pts y=yes 0
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
1 1
Total Points Available: 1 1401 130 57
Total Points Project Received: 01 01 0 •
G:datalprogs�greenbuildingguidelineslremodelerslgreenpointslinal2.12.04protected.xls
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Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
4UPEI�TINO
ByRding De artment
JOB ADDRES PERMIT#
Zo 70low I"
OWNER'S AME: PHONE — 5 7 —02
GENERAL CONTRACTOR: e
I am not using any subcontractors•
ature ate
Please check applicable subcontractors and complete the followin 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