08050077 CITY OF CUPERTJNO �.ra ,,a« +x�' A ' •� '�'"''g '(`y�T`% "
BUILDING DIVISION - PERMIT gxC_G TRA',
PERMIT NO.
BUIL d%'VrTbNDERLICH DR BONA FIDE CONCRETE08050077
OWNER'S NAME: CONSTRUCTION TFIC PETUM ISSUE DATE
CHING HUI KAO 3322 PINKERTON DR 05/08/2008
NE: SANITARY NO. CONTROL NO.
(408) 859-4871
ARCHITECT/ GINEER: BUILDING PERMIT IWO
BLDG ELECT PLUMB MECH
O O LICENSED CONTRACTOR'S DECLARATION - -
m FF I Hereby mitres tiut I am limned under pmvfuons of Chapter 9(-mmcrcin& Job Description
i`�$ with Section 7")OfDivision 3 of Ne Bund.and Prefwam Code,a dmy licensee INDOOR GAS APPLNC,GAS DECORTV FIRE PLACE
y in full fame teed effeel 9 S yG"y
License Clw Lie.[ 7 BONA FIDE CONST RENEWD BUS LIC. 5/8/8
=p Dale h-.o.OY Contractor
-�,
e££7W7W ARCH 'tc, DECLARATION
W< 1 understand my plans Nall ho used u Public re-nds
ypG Licensed Pmfestional
3 OWNER-BUILDER DECLARATION
s� I hunch,amm Nat I not uemPt from the Convenors License law for the
00 following mason.(Section 7031.5,Business and Professions Choc:Any city Or county
$V which rWOires a Permit to c-nrweL alter.improve.demolish.or repair any structure
-iy prior m its issuame.also requires the applimm,for such permit,.fit a'i'med suemcm
< than,he ts licensed pursuant to Nc Pmvi,mal of tite Comeulok License Law(Chaptu9 Sq.Ft.Floor Area Valuation
r�s (eommentlng with Sectile 70007 of Division Sof Ne Budnwand Pmfuuons Code)o $1500
e5
that he u exempt therefrom and the bub for the alleged eamption Any violation of
Section 7031.5 by any applicants for a permit subjeeu the applicant b a civil Penally Of Number Occupancy Type
tel mare dun five hundred dWlw(3.500). 37516051 .'1717' P Y YP
❑1.u owoer Of Ne WOPealY,m my wPloyw NN wets,u Neu am mnpewtim,
will do the wok and the swmute is Out intended or offered imende soc.70a,Buucoaa
and Psofualons Cede The C-mcm Liana law does net apply m an owner of Required Inspections
pmpeny who bu ilds m ire peons thmeon,and who does such wok hinuel(a through his
own cmployces,provided Nusuch improvements are Out inleMed confined foals,It.
howew.the Wilding or improvement is sold within one year of mmpledov.the Owoes-
builder ,will have the hordes,of proving that he did trot Wild or improve for purpose of
alc.}
❑1,as Owner of she property,m exclusively...temang with licensed convcron b
couusct the project(Sex.S(34C.Business and Penessions Code:)The Co mxsars U-
around law dos not apply it,an owner of property who Wilds or improves thereon.and
who c mesio for such pojecu with a convactar(s)licenced pursuant m the ConvanOrs
License law.
❑Iamupt"troder See A&I'Cfm Odsmuon
Owner Dau
WORKER'S COMPENSATION DECLARATION
1 hereby aBlrm under penalty of perjury oue of the following decluuiom
I Mwutdwiilmunwn.ceti mwofcoucntwsell-iaumfmwodters Camp--
adon,an provided fm by Section 37M of the labor Code.for the pdsroman-of the
work fco which this pemit u issued.
❑1 have and will munuin Workers Camper ation Insurance,as required by Section
3700Oftite Labor Codc,for the perfomanceO(Ne work,for which Nu permit is ivued. '
My Workers Compensation Insurance carrier ad Policy number ale:
Canicr.� �
t, IA41 Polity No.: e7f1-/`7 (a
CERTIFICATE OF F EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This roam need ler N completed if Nd Permit in farone hunNeddoWn($100)
or toss)
I certify thr,in de wrormeree Of the work for which this Perri,is bmvdL l snail tKK
employ any person in any mamter an as e become abject to the Workers'Canpewdon
laws mf Calimmia.Dae
Applicuu
NOnCE TO APPLICANT:IL after making this Ccnificae of Exemption,you should
become abjca m the W'orbels Compensation Pnevialons of the labor Code.you mute
.J O fOMwith comply with such Provisions or this Permit shall ho dimmed mated,
z" C'ONMUCTION LENDING AGENCY
[-e r Thereby afire dust short is a construction lcndin for
[agcmy the ISMon^ana Of
rx > Le wmk for which this prone,Is hoed(sec.309],civ.c)
Le
D rz nders Name
7 z lenders Addew
U O 1 unify Nat 1 ban read this application and state that the show iNomamm u
D. F coreat l agree te-reply with all city sal Co.,,ord.cad sue laws rchtin[to
0 U Wilding construction.and hereby authorize represenudves of this city to Omer upon the
yshow-mentiobad PeaPcrtY for inspection purycoes
(We)agree m ave,indemnify and trop horrnkss de City of Cupeni-against
y inconseque consequence
of th.c ru and ofPrmperah, may In any way ucrue agunst aid City
Vz mcavequcnceafthegm'fANOfNisDWIL Issued by: Dale Sr �'
^ AP UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT
UR ONS.
e Re-roofs
Se of ApplicamalContramicar Dau
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Wl by aCupenscr(muni Wilding O-upantnoeoand th hludomd Safety '
u defined by de 32(a)?-Municipal Code.Ouper 9.13,and tiro HeaIN and Surety '
Code, 0y.25537(x)? All roofs shall be inspected prior to any roofing material being installed.
❑Yes �Na
Win the Applicant or future build- occupants ate If a roof is installed without first obtainingan inspection,I agree to remove
pp g s, equipment Qu itdevtouwhich Pe
i,huaNnu neer contaminants u definN by Ne Bay A.Air Quality Managcmcnt all new materials for inspection.
D uctT '
❑Yex ryn
Nu
I have mad the haardmn materiatsmquirtmcnuuMcr Clupter G93 ofde Cuifm-
nuHcalth&SaresyCede,Scc umb 25555,25533 vuh 25534.1 underhand ftft Wilding
does rot currently have•tenanL Nat i,is my responsibility as badly tite meupan,of the
mqu' nm meLKiertoisamece,ofacrnifeaenra-pang. Signature of Applicant Dale
Owmeror uthmtscd.gcm Dow All roof coverings to be Class's"or better
CITY OF CUPERTINO
• 5 ITEMS OF 5 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 37516051 . 00.
DATE ISSUED. . . . . . . : 05/08/2008 '
RECEIPT # . . . . . . . . . : BS000004706
REFERENCE ID # . . . : 08050077
SITE ADDRESS . . . . . : 10491 WUNDERLICH DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER CHING HUI KAO
ADDRESS . . . . . . . . . . : 10491 WUNDERLICH DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : BONA FIDE CONCRETE
CONTRACTOR J ALBERTO HERNANDEZ LIC # 26099
COMPANY . . . . . . . . . . : BONA FIDE CONCRETE CONSTRUCTIO
ADDRESS . . . . . . . . . . : . 3322 PINKERTON DR
CITY/STATE/ZIP . . . : SAN JOSE, CA 95148
TELEPHONE . . . . . . . . : (408) 859-4871
• FEE ID UNIT QUANTITY AMOUNT _ PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 1, 500 . 00 0 . 50 0. 00 0 . 50 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
1PPERMITFE 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 163 . 66 0 . 00 163 . 66 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 163 . 66 #2327
--------------
TOTAL RECEIPT 163 . 66
•
. 465 0077
aozeim CITY OF CUPERTINO
cuPEkTINO GENERAL BUILDING
PERMIT APPLICATION FORM
APN # 2751
75/ (P05/. 00
Date:
Building Address:
/v49/ W,(4erCA Dr C�, rTielcq C/-1
Mailing Address (if different from building address):
Owner's Name: Phone#:
Contractor: u'^y Phone: y - -z-3c?- S520
!/i i f c - Fax: 41(q- Z S
Contractor License#: -7q S y G &/
Cupertino Business License #: Z LOQ n
• Contact: Phone:
47(6.g- Z10 - S3 Zb Fax: s g- 5 S/
Residential Commercial
Job Description:
�-:C -6Cr - 1`\r 1�'cn c� -- 6G5 d¢�-W(A +1-e- Q-re Qklee-
Is the project in the Wildland- Urban Interface Fire Area? Yes ❑ No ?D-0" .
Building Permit Info:
Bldg ❑ Elect Plumb ['}- Mech fT
Type of Construction (Usage Class): Occupancy Type:
1-A, 11-B ❑ 11, 111, V-A ❑ 11, Ill, IVV-B
Valuation: , Square Footage:
� P -
Project Size: Standard' —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:
For help, contact Build it Green at www.buflditgreen.orll
Sa- CITY OF CUPERTINO
CUPEkTINO GENERAL BUILDING
PERMIT APPLICATION FORM
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1 GENCOM
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)_
1BBOILER2 Installation/relocation of ea M
boiler/compressor over 3 horsepower
to & incl 15 horsepower, or ea
absorption ss over 100,000 Btu/h
1BBOILER3 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
1 BBOILER4 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.
IELECINSP Other Electrical Inspections (per hour) E
1MECHINSP Other Mechanical Inspections (per M
hour)
1PLMBINSP Other Plumbing & Gas Inspections P
(per hour
IMEETINGIHR Application Meeting B
:CCS. 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
ACOUSTICAL
REVIEW
IACOUSFDW SFDWL/DuplexNew B
IACOUSRESAD SFDWL/Duplex-Addition/Alteration B
IACOUSCOM Multi-Family/Commercial B
CHIMNEY'S
1 CHIMNEY Chimney B
1CHIMNEYR Chimney Repair B
FENCES
Alk
1 FENCE>6FT Non-masonry, over 6 ft in height B
1 FENCEMAS>6 Masonry, over 6 ft in height B
FIREPLACES
IFIREPLMAS Fireplace Masonry B
1FIREPLFAB Fireplace Pre-Fabricated/Metal B
IFLAGPOL>20 Flag pole (over 20 ft in height) B
1MODUSTRU Modular Structures B
FOUNDATIONS
1FOUNDREP Foundation Repair B
1PILECAST Pile Foundation Cast in place concrete B
1PILEDRIV Pile Foundation Driven (steel,pre- B
stressed concrete .
3 of 5
aft- CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
CUPEI�TINO
FEESCHEDULE •
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
1RETSPI0 Special Design, over 10' high (up to B
50'
1RETCRB< Gravity/Crib Wall, 0-1O'high (up to B
50 ft)
1RETCRB> Gravity/Crib Wall over 10' high (up to B
50 ft)
SIDING
l SIDESTBK Siding, Stone & Brick Veneer B
(interior/exterior)
1SIDEOTHER Siding all other B
SKYLIGHTS
1 SKYL<l0 SF Skylight less than 10 sf B
I SKYL>10SF 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 sO B
additional stucco application
4of5
CITY OF CUPERTINO
CATV OF GENERAL BUILDING APPLICATION
• CUPEkTINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group ]GENRES or
1GENCOM
1 WINREP Replacement windows/sliding glass B
door (ca 8 windows
1 WINMEWSTR New Window-structural shear B
wall/masonry includes plan ck fee)
IEPERMITFEE Electrical Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
1 PPERMITFEE Plumbing Permit Fee P
1 ELCPLNCK Stand Alone Electric Pln Ck (hourly) E
1 MECPLNCK 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
1BSEISMICO Seismic Commercial B
1TRAVDOC Travel &Documentation B
1BUSLIC Business License B
•
5of5
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 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 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 oint
P. Other 1. List Green Features on Plans A-1 1 point
TOTAL POINTS1 40 points
\� U=Em
Pian 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.
INPUT ResDurces Energy A011-lealth
to
I Recycle Job Site Construction&Demolition Waste
65%=1 point;75%= 2 points;80%=4 points up to 4 Resource pts 0
2.Salvage Reusable Building Materials i I 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
18.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 I 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 ptsFO
2.Use Recycled Content Aggregate 2 Resource pts y=yes
3.Insulate Foundation/Slab before backfill 3 Energy pts 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 Ener is
9Y P 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 pis y=yes 0
112 Use 0S8 — — — ——
a.Subfloors
1 Resource pt y=yes 0
• i b.Sheathing —
�_ � 1 Resource pt y=yes p
I 1 1
INPUT Resources Energy AQ/Health
xtenor Fms
C1.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 IAQ/Health pt y=yes 0
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
E.Plumbing
1.Install Water Heater Jacket J 1 Energy pt y=yes 0
2.Insulate Hot and Cold Water Pipes 2 Energy pts y=yes 0
r 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(1 point each,up to 3 points) J Up to 3 Resource pts. 0
5.Install Chlorine Filter on Showerhead 1 IAQ/Health pt y=yesil 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 4 IAO/Health pts. 0
B.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 1 1
r.tiecmcai
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=yes 0
2.Install Washing Machine with Water and Energy
Conservation Features 1 Energy pt 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
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
3.Install Recycled-Content,Fiberglass Insulation with
No Added Formaldehyde _ j 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
o.t;eilings 4 Resource pts y=yes 0
INPUT Resources Energy lAQiKeaM_
V.YrQows
1.Install Energy-Efficient Windows
Sa.Double-Paned i 1 Energy pt y=yes EO b.Low-Emissivity(Low-E) 2 Energy pts y=yesc.Low.Conductivity Frames 2 Ener is gyp y=yes2_Install LowHeat TransmissionGlazing 1 Energy pt y=yes
1 1 1
J.Heating Ventilation and Air Conditioning
1Use Dud Mastic on All Duct Joints ____�1 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 p
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 p
6.Install Sealed Combustion Units
a.Furnaces 31AQ/Health pts y=yes
0
b.Water Heaters 31AQ/Health,pts y=yes p
9.Replace Wall-Mounted Electric and Gas Heaters with
Through-the-Wall Heat Pumps 3 Energy pts y=yes p
10.Install 13 SEER/11 EER or higher AC with a TXV 3 Energy pts y=yes p
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 IAO/Health pt y=yes p
J. Install/Replace Dampers 1 Energy pt y=yes 0
c.Install Airtight Doors 1 Energy pt y=yes p
14.Install Zoned,Hydronic Radiant Heating 3 Energy pts y=yes 0
15.Install High Efficiency Filter 41AQ/Health pts y=yes p
16.Install Heat Recovery Ventilation Unit(HRV) 5 IAQ/Health pts y=yes p
17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y--yes p
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 p
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 p
6.Select Safe and Durable ffoofing Materials 1 Resource t
-- -- - — _____ P Y=Yes 0
7.Install Radiant Barrier 3 Energy pts y=yes p
61
1 1 1
L.Natural Heating and Cooling
1.Incorporate Passive Solar Heating 5 Energy pts y=yes p
2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts y=yes p
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes p
1 1 1
•
INPUT ReSDurces Energy A91Health
M. n oor Air Quality and Finishes
1.Use LowMo-VOC Paint _ _ 1 IAQ/Health pts y=yes 0
2.Use Low VOC,Water--Based Wood Finishes 2 IAO/Health pts y=yes 0 •
[3.Use Low/No VOC Adhesives _ _ 31AQ/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/Hsalth 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 OF -_ _ ' 4 IAQ/Heaith pts y=yes 0
B.Use FSC Certified Matedals 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 31A0/Health pts y=yes 0
1 1 1
N.Flooring
1.Select FSC Certified Wood Flooring 6 Resource pts y=yes 0
2.Use Rapidly Renewable Flooring Materials _ _ J 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: 1401 1301 57
Total Points Project Received: .1 01 0 0 •
G:data/progsrgmenbuildingguidalines/remodelersigreenpantsfina]2.12.04pmtededxls
Community Development
10300 Torre Avenue
Cupertino CA 95014
' Telephone(408) 777-3228
CITY OF Fax(408)777-3333
6UPERTINO
Building Department
JOB ADDRESS: 01191 wvnr/w /,,c-.i, PERMIT #
OWNER'S NAME: c. PHONE # g_
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