08040123 CITY OF CUPERTINOx�.�x §r .a
BUILDING DIVISION PERMIT ukCQNT,12'ACTORINF'OItMATIOI�T,
BUIIDIN44ABBORESS' PERMIT NO.
10 5 WUNDERLICH AVE TU - NG CONSTRUCTION 08040123
OWNER'S NAME: PERMn ISSUE DATE
JUDY LIN 5309 ASILOMAR CT 04/16/2008
IFNE: SANITARY NO. CONTROL NO.
ARCHITELTIPNGINEER: BUILDING PERMIT MFO
BLDG ELECT PLUMB MECH
Sop LICENSED CONTRACTOR'S DECLARATION Job Description
rd 1 hereby affirm Nat I w licensed under provisions of Chapter 9(commencing
with Scotion 70(N)ofDivWon 3ofdmc Businessarld Professions Code.aed myliccvcu RE—CONN EXSTNG ELECTCL PANEL
le full fora and effect
3 Lteewc Clan Lt.
0 Dam Contractor
ARCHrTEC1'S DECLARATION ..
I understand my plana Nall be and M public mord,
gtad Licensed Professional
Sm OWNER-BUILDERmDECLARATION
0 1 bemhy affirm on 11. exempt from the Contrumra :Any c law for do
900 following moon.(Section 703 ensile B.ago. and are,de ions Cade:Any city or county
IRE! whicht I%isa a Peron m cnawn,eller.Improve,demolish.m e a sig ed au num
—2 S° Prier b its issuance.aro oqo use Ne spplicanf far wch perm's License
Law
mtemem
€< "he is licensed pasu.ntmNe provisions of the Conuomrs L'uaalse law(Chapmr9 Sq.F[. Floor Area Valuation
qr, $ (commencing with Section 700M of Division 3 of Jae Business and Polessions Code)or 100
j' that be is exempt therefrom and the basis for the alleged nmmpllon.Any violation of
Section 70313 by any applicant for a permit subjecu Ne applicant is a civil penalty of �,pN Number Occupancy Type
nm man Nan Ow hundred defiant($50(f. 37516022 :V(7'
❑1,as owner of the property,or my emPlyxa with maga as lhcir ram compeaadm,
will do the wmk and the mncnure is rot inm uled or offered fw sale(See.7014,Business
and Pronasions Cater The Cmuanors I ia,.n law tloa We appy to an.of Required Inspections
Fwmy who buRds.fi sprov thenen,and who does such work himsell w though his
mmemployces,provided thatrch improvements art not intended wOReret fmsam.If.
however,Ne building or improvement taold within one year of completion.the owner-
builder will haw W burden of proving that be did not build or Improve for Purport of
um.).
1.
as owner of the properly,am aclusiwly mouanmg with gmnand common to
Ise the project(Sec 7W.Baines and Professional;Cotler)The Cootruemr'a LI-
cense Taw does not apply an an owner of pco army who builds or impows Nercon.and,
who contracts for inch pmjcm with.,murumrtU licensed pursuant to the Coatramm'.
License taw.
❑lamenempttunder See .BAPCforthlsoaon
Owner Dam vF Jere
WO '3 COMPENSATION DECLARATION
I enby a1R under penalty of perjury ono of Lha(olmwing tleelentions:
1 ban and will maintain a Certificate of Consent to self-Laura for Workees Compen.
Union.u Provided for by Suedon 3700 of the labor Code.for W perfown.of the
work for which this p=it Is issued.
❑1 haw and will maintain Workers Compensation Insurance,as required by Session
3700 ofthe Labor Code.for the performance ofthe were for which this Perot,is Issued. '
My Workers Compensation buunnce anter and Policy number are:
Canho: policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
CITE renin meed our em completed if fl a permit Is fwonehunMddollan(Slam
or Ina)
1 mildly that In the p ulchro ace of the work few which this Permit LL haunt.)shall not
employ anyperon in any mmnro rob corm Ysubjeel to the Work:W Compensation
lawn a(Glifamia ate
Appgcan,
NOTICE TO b A! .If. making NLL Certificate of Exemption,you should
become aub the Worker Ompewdon pmvisiom of the layer Codo,you mum
.J O raMwiN ca ly with stay visna m this permit NJI be dttmed rewked -
Z CONSTRUCTION LENDING AGENCY
y
[.. I hereby affirm that them is.coauunion ImdmS agency far time pnrfmmatae of
tY r�.s
the work for whim this permit LL issued(Sec.3097.Civ.C.)
Q Lenders Name ,
G.z Lenders Address
U O I certify that I haw read this application rot sum Nat the show information m
LL^ emrat I agree to camplY with all city and county mdi.and atam Ian reeding as
O rV^ building rn,wmion,and Mmby authorize representatives of Nu city m enter open Ne
GU shave-mentioned popeny for Inacmm Purposes.
(We)agree to an,indemnify and keep harmless the City of Cupertino against
y into Wa,judgmenthecoming expenses which may In my my acme against said City
U z A APPLICANT
of the glinting of Nu permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE RECU TIO
Re-roofs
signal um are Iiwn AZ 2;m
' HA2ARD S MATERIALS DISCLOSURE Type of Roof
Ilmapplkmt or bugging oeapantamm or handle hanmons material
ss dell by de CupeN uMei WI Code.Chapter 9.12.and ger Heald and Safety
Coin.section zss3:(.)7
El You ONO All roofs shall be inspected prior to any roofing material being installed.
Will the applicant are future building occupant use equlpmenl or devices which If a roof is installed without first obtaining an inspection,I agree to remove
I hvsNous air cnntaminents u denned by the Bay Ana Air Quality Management all new materials for inspection..
R
0 Yes r{(f No
I haw oat the henNNmn materials mquimments underCTapter 6.95 of the Califon
nLL Health k SdCLYCode,Sections 25505,25533 and 255N.I ucdcmmd than if the building
does net currently haw a comm.that it as my reepomihility an amity the occupant of Ne
require= whihmost he=Iprior to issuance oraCvufcawofOcenp. Signature of Applicant Date
O.. r aatna vetl ag m Date All roof coverings to be Class'W'or better
CITY OF CUPERTINO
• 3ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: B1k: . Lot:
APN . . . . . . . . : 37516022 . 00
DATE ISSUED. . . . . . .: 04/16/2008
RECEIPT #. . . . . . . . . : BS000004504
REFERENCE ID # . . . : 08040123
SITE ADDRESS . . . . . : 10325 WUNDERLICH AVE
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : JUDY LIN
ADDRESS . . . . . . . . . . : 10325 WUNDERLICH AVE
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : YUMJIUAN LIN
CONTRACTOR . . . . . . . : TU NGUYEN LIC # 25393
COMPANY . . . . . . . . . . : TU - NG CONSTRUCTION
ADDRESS . . . . . . . . . . : 5309 ASILOMAR CT
CITY/STATE/ZIP . . . : UNION CITY, CA 94587
TELEPHONE . . . . . . . . :
® FEE ID UNITQUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
--------- --------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 0. 00 0. 50 0. 00 0. 50 0. 00
1EPERMITFE 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 82 . 08 0. 00 82 . 08 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 82 . 08 VISA
---------------
TOTAL RECEIPT 82 . 08
•
y .
0�oq ofz
sm CITY OF CUPERTINO
® CUPERTINO GENERAL BUILDING
PERMIT APPLICATION FORM
APN # to O D Date:
Building Address: !v
Mailing Address (if different from building address):
Owner's Name: Phone#: /yam
LP-0 Cc
Contractor: f Phone
—r� /v Fax:
Contractor License#: w
Cupertino Business License#: (q ---15-393
,� 12
® Contact: I / Phon���`/��
Fax:
Residential Commercial
Job Description:
—Con✓ a c>r (2,c;S >-1��. 1LlR c� r Zc✓� �cno�
Is the project in the Wildland- Urban Interface Fire Area? Yes ❑ No 0/
Building Permit Info:
Bldg ❑ Elect E- Plumb ❑ Mech ❑
Type of Construction (Usage Class): Occupancy Type:
1-A, 11-B ❑ 11, 111,V-A ❑ 11, Ill, 1V V-B �- (L -3
Valuation: am' Square Footage:
r7
Project Size: Standard ❑are ❑ 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
av CITY OF CUPERTINO
CUPEf�TINO GENERAL BUILDING Q
PERMIT APPLICATION FORM
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
IBTEMPPER Temporary Building Permit (good for B
30 days)
I 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
IBBOILER2 Installation/relocation of ea M
boiler/compressor over 3 horsepower
to & incl 15 horsepower, or ca
absorption ss over 100,000 Btu/h
IBBOILER3 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
IBBOILER5 Install ation/relocation of ea boiler or M
refrigeration compressor over 50
horsepower, or ea absorption sys over
1,750,000 Btu/h
IBAPPLOTH 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
IMECHINSP Other Mechanical Inspections (per M
hour)
1 PLMBINSP Other Plumbing& Gas Inspections P
(per hour
1MEETINGIHR Application Meeting B
CGS CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
CUPERTINO
• FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
ACOUSTICAL
REVIEW
IACOUSFDW SFDWL/DuplexNew B
IACOUSRESAD SFDWLJDuplex-Addition/Alteration B
IACOUSCOM Multi-Family/Commercial B
CHIMNEY'S
1CHIMNEY Chimney B
1 CHIMNEYR Chimney Repair B
FENCES
Ak
IMF 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
1FIREPLFAB Fireplace Pre-Fabricated/Metal B
1 FLAGPOL>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
1 PILEDRIV Pile Foundation Driven (steel,pre- B
stressed concrete
3 of 5
CITY OF CUPERTINO
��n r GENERAL BUILDING APPLICATION
CUPEIZ,TINO
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
1 RETSP310 Special Design, 3-10' high (up to 50 `) B
1RETSP10 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
SIDING
1SIDEST/BK 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>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
1 SRACKS>8 Storage Racks over 8' high (up to 100 B
st
1STUCOAP Stucco Applications (up to 400 so B
additional stucco application
4of5
r
t! CITY OF CUPERTINO
CUP TYOF O GENERAL BUILDING APPLICATION
FEE SCHEDULE
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
Ah
IMF 1 MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M
1PLMPLNCK Stand Alone Plumbing Pln Ck (hrly) P
I 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
1TRAVDOC Travel & Documentation B
IBUSLIC Business License B
•
5of5
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 A01Hcafth
To'Iff—�� tit ��, 14-
[
4- -��
1.Recycle Joh Site Construction 8 Demolition Waste
65%=1 point;75%= 2 points;80%=4 points up to 4 Resource pts 0
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-Efficient Landscapes and Gardens 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/Retention 2 Resource pts y--yes 0
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 pits y=yes 0
1 1 1
C.Structural Frame
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
B.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.Use OSB
a.Subfloors 1 Resource pt y=yes 0
b.Sheathing 1 Resource pt y=yes 0
e
INPUT Resources Energy IAO[Heallh
%tar Or n 8
1.Use Sustainable Decking Materials
a.Recycled content 3.Resource pts Y--yes 0
b,FSC Codified Wood 3 Resource pts y--yes 0
2.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAO/Health pt y=yas 0
3.Install House Wrap under Siding 1 IAO/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 Hol and Cold Water Pipes 2 Energy pis 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 IAO/Health pt y--yes 0
6.Convert Gas to Tankiess Water Healer 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
8.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
r.wecmcar
1.Install Compact Fluorescent Light Bulbs(CFLs)
(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
1 1 1
G.Appliances
1,Install Energy Star Dishwasher 1 Energy pt y=yss 0
2.Install Washing Machine with Water and Energy
Conservation Features 1 Energy pt Y--yes 0
3.lnstall Energy Star Refrigerator 1 Energy pt y=yes 0
4.Install Built-In Recycling Center 3 Resource pts y--yes 0
HMM
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 yryes 0
3.Install Recycled-Content,Fiberglass Insulation with
No Added Formaldehyde 3 IAO/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.uemngs 4 Resource pts y=yes 0
i
114PUT Resources Energy 1A011-lealth
rn ows
1.Install Energy-Efficient Windows j
• a.Double-Paned 1 Energy pt y=yes 0
r
b.Low-Emissivity(Low-E) 2 Energy pts y--yes 0
c.Low.Conductivity Frames 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
�l.Use Duct Mastic on All Duct Jointsi 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 3IAQ/Health pts y=yes 0
b.Water Heaters 3IAQ/Heallh 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 stoves(nserts 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 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
6I Select Safe and Durable Roofing Materials — 1 Resource pt y=yes 0
7.Install Radiant Barrier 3 Energy pts y=yes 0
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 ty an n a ee '
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
3.Use Low/No VOC Adhesives 3 IAO/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/Healih pts y=yes 0
7.Seal all Exposed Particleboard or MDF 4 IAQ/Healthpts 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
2.Use Rapidly Renewable Flooring Materiels 4 Resource pts y=yes 0
3.Use Recycled Content Ceramic Tiles 4 Resource pis 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 pis y=yes 0
6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0
1 1 1
Total olntsvat a e: 1 1401 1301 57
Total Points Project Received: 1 01 O= •
G:date/pmgs/greenbulldmgguidelineshemodeleNgmenpolntsf nal2.12.04pmwed.tle
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
a. P
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) 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 oints
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 12int
P. Other 1. List Green Features on Plans A-1 1 point
TOTAL POINTS1 40 points
•
•
Plan Review Process Work Book Page-12-Revised 3/25/08
T.
Community Development
10300 Torre Avenue
r-
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
�UPERTINO
Building De artment
JOB ADDRESS: PERMIT #
Z12, 132--s- pr . oho Yoe 2 3
OWNER'S NAME: w,( L, PHONE #
GENERAL CONTRACTOR: ZS J) FAX#
I am not using any subcontractors: L2 LI-C—
Sign Date
Please check applicable subcontractors d com 1 e 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
• 4zyi, _ G C�
ner/� actor Signature Date