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08050079 (2) CITY OF CUPERTINO T��a,yi ' �k -= z/ �L�" ''"�� BUILDING DIVISION PERMIT Co W �`�tTQ, l '^ PERMIT NO. BUILo�1��3WIT CARVER DR BLUE MOUNTAIN AIR 08050079 OWNER'S NAME: PERMIT ISSUE DATE PEI CHUNG LAI 707 ALDRIDGE RD STE B 05/08/2008 NE: SANITARY NO. CONTROL NO. (707) 451-8111 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG EIEC, PLUMB MECH u o O LICENSED CONTRACTOR'S DECLARATION Job Description UF 1 hereby affirm that 1 un lirsved arae,Parr doer of Chapter 9lMMMd—ing rzl w'j with Satar 7IX05 ofDimicia 3 of the finance,and Prefelaiov Cade,and my licence i, ADD NEW AC TO EXSTNG HVAC SYSTEM m m full fora _ ea a Llwveclw — Lia.. �6 =F0 Dale contrame e uvvy��� ARCHf1ECI'S DECLARATON ? < 1 undersand my plans shall W dead as public records a yQ to Licensed Pmicstionel 3 OWNER-BUILDER DECLARATION I hereby,afr.Nat I un exempt from the CanlractMs Linde Law for Aa i no following rtsom"(Section 71131.3.Reasd Renames and Prefeuv Codc:Any city or county v which mqulra permit m conswct.alter.improve,demolish,Or mpu.any awcum zy Pride 0 its issuance.also require the&Miami for such permit to file a sigmlmtamcnd < that he is licensed purmamtomeprovisions ofAncondacmrauan4uw(ehaper9 Sq.Ft. Floor Area Valuation �a (commencing with Seetion7Bto)ofDi�ion3ofmaeusinasaand Professions Cade)or $3600 Q g R thus he is exempt therefrom and the basis far the alleged cam ption My violwm of Seed.7031.3 by dry applicant fees permit abjcW the applicant m•civil penalty ofNumber Occupancy cot mere than fl.hundred dollars(M). 37534044VI� ane. p y Type ❑L u swan,of the popertY.car my wployev with wain u te'v mte smmpensWm. will do the wont and she swmure isnot intended or offerta for sale(Sec.70a,Business Nd PrefeedaN Cede:The Candemse,License Law don nat apply to an awnm of Required Inspections Property wind Wtaawimpm.n dcemen,atd wmdoessuchworthomelier through his own employers,pramded thatsueh improvements ere not intended aronered fright.IL however,see Wilding or improvemere is mid within am year orampleton,the owner- Wildv MB him the Warn of Proving trot he did mh Wild Or impmse far puryose of sad.). ❑1.u owner of the pmpeny sm ca clusinly contracting wide licensed comMan no construct the project(Ser.7044,Business and Pmfccdons Cade:)The Cmarnn'S U. cove Law does out apply to an owner of Property who Wilds or improm thereon,and who contracts[watch p njecu what a eammaidns)licensed P..,to the cmurwafs Limit Law. IamesumnPI MIMSM ,B@PC fan Nig myon Owner Due WORKER'S COMPENSATION DECLARATION 1 hereby affirm under peWsy of perjury ane of t e following decluuianse I him and will maintains Coalition,of Cover w self-insure for Wo tar's Campon. stunt n provided for by Saction 3700 of the Mbar Code.fan An performance of to work,for which this permit is armed. Nva and will maintain W akee,Campevaton Insurance.u required by Secom ]00 of the LaWr Cada for the pufarmanee of the wank for which this .it is WOOL MyWmr esComPe o�n I.nrotuee a/nis and Policy number are: caLPION Na.: WORICE I(oIOBY6 /V(� Fl CO OF COMPENSATION INN FROM WORKERS' COMPENSATION INSURANCE . (Thu frim reed out he completed Ifft permit is fame Intimidating($100) or ten) I unify trot in the perrormawe of to wort fan which this Permit is added,l shall amt employ any paean in any rarer m d as become subject to to WorknY Compevulm Laws of Califomla.Data Applicant NOTICE TO APPLICANT:IL after making this CcrtiOcate of Facmpow.you Amid - become subject m Im WahefS Compvltim provision of the Labor Code,you most .,O forthwith Comply with Such pmvuiov Or Nu permit shall W deemed revoked, .zm CONSTRUCTION LENDING AGENCY 4 I•' I Mreby afnrm and,tem iaacovm do.tendingagmmy fan Nc perfarmana of CL > and wart fan which his Permit is added(Sac.3097,Civ.C) GQ LcndcYs Name =z Lcndefs Addecas U Q 1 ardly that 1 have reed Ws application and suer Thu to above information is tL ^. coned 1 agree to comply with all city and county endowment and sate laws missing to C) rV^ Wilding covmction,and hembyauNwi,e ec,commims of this city cocoa,upon Ne yathero-mcedomd property for inspection purpoeas (We)agree to ave,indemnify and keep hurled the City of Cupertino against (VI Iiabilities,)udgmenu,Som and eapcesas which may N dry way aarde agaivt said City tJ z m consequence of tle granting of thisp,mit. cc p m••m APPLICANT,UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:9Date 5 O --0 0 SOURLCit IILATI0 1 ^{� d `- la.,.,.,� S-eta-. d Re-roofs Signuurt of Applican AZAlZDOU Dau HAZARDOUS MA cLo ndl Type of Roof . WIII to applicant or future Wilding eaupant tom or handle husrdow material as nBmd by the Cupertino Municipal Cade.Chapter 9.13,and the Health ata Safetyewe. 0y.25532(a)? All roofs shall be inspected prior to any roofing material being installed. Yn y7 no '-den the, cant or rlldmm Wdain soar ant tea a tai If a roof is installed without first obtaining an inspection,I agree to remove nP e P 9 pment m demon,which g Pe g ,an`dander air cmmmimnu u defined by 0m Bay Area Air Quality Management all new materials for inspection. Oyer Nu I hevSgsI Ne hvadmsmatedaumquirtmenu unaerCNpIn6"gth a Glding nior out Safety Cada Sretiwdhao iti my aw2533a.I undvsuntlt mmaWildingt0/<- don cotcprmany hand a benam,INR a u my reapomimhtti ic entry to aaay,. or the J mqui (�epuwhich muubcmetp miduanccofaeertirnd,teorampamy. Signature of Applicant Date �- aJ� Data All f cod s to be Class's" Ownerw,udharis ager ' roof or better F 0106' 0079 al CITY OF CUPERTINO FURNACE/AC • CUPEkTINO PERMIT APPLICATION FORM APN #. Date� '� ?C Building Address: / z) �6 vt Owner's Name: Phone#: �� . c,4 u" b 3- 31,> Contract//or: Phone#: L Fax#: 7O7 7O2 b Contractor License#: Cupertino Business License#: 3fPF600 Contact: � Phone#: lie cG� 707- Ys( 301 > Fax #: Building Permit Info: 81 Electlo Plumb Mech Residential Commercial / Job Description: A 1 /�� /1 c- -4-o ��S ./��� �v4 G sls Yom.. For Residential Installations: Attic ❑ 15` 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): '73 60-D � 7 Strapped El On Platform Bonded New Location Replacement Valuation: ✓6 d o 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. Sag, CITY OF CUPERTINO FURNACE/AC CUPEkTINO FEE SCHEDULE • Quantity Fee ID Fee Description Fee Permit Type Group FURNACE FURN/AC 1MCRAA Commercial-Repair/Alteration/Addto 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. 1 MCREPALT 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. 1 PGASCOM Commerical for ea gas piping System P 1-4 outlets 1 BPGAS For each gas piping system of 5 or P more per outlet. 1MCAPPVNT Commercial for the install/relocate/ or M replacement of ea appliance vent installed & not incl in an appliance permit. 1BSEISMICO Commercial Seismic B 1 MRRAA 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. IMRAPPVNT Residential for the install/relocate/ or M replacement of ea appliance vent install & not incl in an aDvI permit. CITY OF CUPERTINO FURNACE/AC OCUPEkTiNO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group FURNACE FURN/AC 1 PGASRES Residential for ea gas piping system of P 1-4 Outlets 1 BPGAS For each gas piping system of 5 or P more per outlet. 1BSEISMICR Residential Seismic B 1MECPLNCK Mechanical Plan Check M 1 MFR=<100 Furnace Syst<=100k BTU install or M relocate ea forced-air/gravity type fumace/bumer, 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 famace/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 113USLIC Business License B • Sm- CITY OF CUPERTINO FURNACE/AC CITY OF CUPEkTINO FEE SCHEDULE • Quantity Fee ID Fee Description Fee Permit Type Group AIR FURN/AC CONDITIONING 1 BCAIRHAN Commercial A/C Units<= l Ok CFM B 1MCRAA Commercial Mech Repair/alt/add M 1BSEISMICO Seismic Commercial B 1PGASCOM Commerical for ea gas piping System P 1-4 outlets 1 PGASRES Residential for ea gas piping system P of 1-4 Outlets IBPGAS For each gas piping system of 5 or P more per outlet. Comm/Resid IBREMAIRHAN Residential A/C units<= l Ok CFM B / IMRRAA Residential Mech Repair/alt/add M 1BSEISMICR Seismic Residential B • IEPERMITFEE Electric Permit E 1MPERMITFEE Mechanical Permit M I 1PPERMITFEE Plumbing Permit P I1TRAVD0C Travel Documentation B 1BUSLIC Business License B • CITY OF CUPERTINO • 6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 37534044 . 00 DATE ISSUED. . . . . . . : 05/08/2008 RECEIPT # . . . . . . . . . : BS000004709 REFERENCE ID # . . . : 08050079 SITE ADDRESS . . . . . : 10561 CARVER DR SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER PEI CHUNG LAI ADDRESS . . . . . . . . . . : 10561 CARVER DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : EDWARD A GREGORY CONTRACTOR . . . . . . . : GREGORY S . OWEN LIC # 29600 COMPANY . . . . . . . . . . : BLUE MOUNTAIN AIR ADDRESS . . . . . . . . . . : 707 ALDRIDGE RD STE B CITY/STATE/ZIP . . . : VACAVILLE, CA 95688 TELEPHONE . . . . . . . . : (707) 451-8111 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ------- ---------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 3 , 600 . 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 1MRRAA UNITS 1 . 00 61 . 19 0 . 00 61. 19 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 224 . 85 0 . 00 224 . 85 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 224 . 85 MC --------------- TOTAL RECEIPT 224 . 85 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL • 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 oints 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 oints 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 ooints 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. Ener Star Refrigerator, ( ote/Sec. A-3 1 point P. Other 1. List Green Features on Plans A-1 1 point TOTAL POINTS1 40 points • �Q) �ZI 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. INPUT ReSOUTCeS Energy AQ1Hea1VD— A.Site (1.R le Job Site Construction&Demolition Waste l 65%=t point;75%= 2 points;80%=4 points up to 4 Resource pts 0 2.Salvage Reusable Building Materials _ _ 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 Stonnwater 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 pts y=yesl;;;F 0 I t C.Structural Frame 1 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 IJoists 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 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 p (12.Use OSB -- ---- -- l a.Subfioors 1 Resource pt y=yes 0 • b.Sheathing 1 Resource pt y=yes 0 xtenor Fms ' INPUT Resources Energy IAO[Health 1.Use Sustainable DeckingMaterials a.Recycled content V 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 L.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 I3.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 I4.Replace Toilest with Ultra-Low Flush Toilets I(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 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 IAQ/Health pts. 8.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0 1 1 t r•.eiecmcar 11.Install Compact Fluorescent Light Bulbs(CFLs) 1(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 12.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 14.Install Built-In Recycling Center 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 13.Install Recycled-Content,Fiberglass Insulation with No Added Formaldehyde 3IAQ/Health pis 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(Colton,spray-ioam) a.Walls 4 Resource pis y=yes 0 o.uenmgs 4 Resource pts y=yes 0 INPUT ReSOUTces Energy IAO/Health n ows �1.Install Energy-Efficient Windows . i a.Double-Paned 1 Energy pt y=yes 0 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 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 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 6.Install Sealed Combustion Units a.Furnaces 3 IAQ/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 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,Hydrohic 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) 51AQ/Health pts y=yes 0 17.Install Separate Garage Exhaust Fan 3 IAO/Health pts y=yes 0 1 I 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 16 Energy pts 0 6.Select Safe and Durable Roofing Materials__�� 1 Resource pt y=yes 0 -7 Install Radiant Harrier 3 Energy pts y=yes 0 1 1 1 L.Natural Heating and Cooling 1.Incorporate Passive Solar Heating 5 Energy pis y=yes p 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 I 1 • INPUT Resources Energy IAD/Healff-- . n oor Air Quality and Inishes r.Use LowMo VOC Paint 1 IAQ/HealthY=Y is es 0 - — - P 2.Use Low VOC.Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 • Use LowN VOC Adhesives _ 3 IAQ/Health pts y=yes 0 ,t Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 6IAQ/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 MDF __ _ 4 IAO/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 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 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 A 1 1401 1301 57 Total Points Project Received: 1 0 0 0 • G:datalprogsigreenbuildnggtidelines4emodelerstgreenpoinisfinal2.12.04prmected.xls • Community Development t 10300 Torre Avenue {r I Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 4UPEI�TINO Building De artment JOB ADDRESS: PERMIT # . `D56 � � a rue /- �r ()&0S&v-7 9 OWNER'S NAME: lPe. PHONE # GENERAL CONTRACTOR:'5 u e Ma,�4-e-A 4e I' -e- FAX # - YYG- Zv z 6 I am not using any subcontractors: �- c?- �) Signature0 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 lie .�9Gdt7 Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock n - o Owner/Contractor ign a —` Date