08050235 (2) CITY OF CUPERTINO T*,gT -a><«m me=µ '•• -� '� '�'
BUILDING DIVISION - PERMIT CONTRAG�TOORINFORMATION,
BUIL IMG p KESS: -e PERMIT NO.
�L05P5�/ CEDARBROOK TER AIR QUALITY HEATING & AIR 08050235
OWNER'S NAME: PERMIT ISSUE DATE
RALPH LIU 720 NORTHRUP ST 05/29/2008
SANITARY NO. CONTROL NO.
(408) 293-7138
ARCHITELTIENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
OnLICENSED CONTRACTOR'S DECLARATION - UOn
wC 1 Mreby affirm Nmd at 1 am li¢ under provision;of Captor 9(commenIOb D0SCr1P
cing
��W wish Smdon 70r10)of Division Sofshe Business and Prcifeulom Code,ad my]in.I. REPLC FURNACE & ADD A/C
o i.m in full fade ad eRest
3 m z License CI Lk.g
t;❑ Dash Contractor
XA H
ITECI'SDECLARATION N .lI
W U 1 understand my Plana shall be used as public mortis R
a
g LLO
Licensed Professional
3 Oat I am exempt
front
DECLARATION
.�n o I hereby-(sero that 11. exempt Imre the G tuouss Cos :Any c Law for me
p O following mason. emit i Soman Business and Improve.
clutiom Code:Any city at county
i$� which mquiru a permit m cowruct altar,,prove.demolish,err repair any muctum
prior to its issuance.also requires the applicant!arsuch permit to file a signed statement
<
that a is licensed pursuant to the provision,of one contractors Ucens`Law(Chaptct9 Sq.Ft. Floor Area Valuation
[ (eammcneing with Section]000)of Division3mdse Buvnusad Proressimu Code)or $5500
Q mat he is exempt therefrom and mk buff for the alleged cxmpdan Any violation of
Scedon 7031.5 by airy applicant for a permit subjects the applicant to a civil penalty ofNumber Occupancy
ail mom had five hundred dall.(ssM. 32345011 AfyT'Pe
I,udwesof0epmpary.mmyunpioy wio"a rode MICcdmpewdon,
will dd the wo&and the mucture is notimend`d uroRered forsac,(Sec.9014,Business
and Protein,.Cede:The Codtracmrs Lomas,Law dans m1 appy an an ower of Required Inspections
man
a ne^r wIto build,viimphases mumu sed wa doesstunwort moffratliovgh nu
provided improvements arenot intendedmpledredf ow If.
builder measesd tae errimpmmnmlg moldwithin oro Wild of mmownfortheower-
builds will ave the buNm of proving mat k did rot build a improve(a purpose of
sale.).
r
1,as owner of the property,am exclusively contracting with licensed mntranas to
comment die srcj o(Sec 9D44.Business ad Pralenions Cade:)The Coamoss rs V.
cents taw dila not apply as an owner of property who Wilds or improves themon,and.
who contracts for such pmjccu with a contractor(s)licensed pe reanm m the Contractors
Licenaa taw. - —
❑lunea`mplundaSee .B&PCrala. ..
Owner Dam
WORKERS COMPENSATION DECLARATION
40 I hcmby affirm under penalty of perjury oil of to following dmleeiom:
1 ham and will maintain a Cenifiau ofCommsent m self-imam fa Work`Ys Compem
ration,u provided for by Section 390,of can Labe Cade.for she performance of the
wort for which this permit is issued.
0 1 bave and will maintain Workers Compensation Insurance,as required by Section
3700 of to tabor Cadc,for the perforromse or Ne wort forwhicb this permit is issued.
My Wo.r.ks`-yr�s,Co�mpenudon Insure camor and Policy m bcr mr,
ft. Carrkc m' �GkC N-At.uAl-Airy
No.:
CEKfIFlCATE IFEX ON FROM WORKERS
COMPENSATION INSURANCE
flbisseetion used ethecdmplddd lime permit is Worse hundred do tan(SIM)
or kat)
1 certify that in the Performance of the work for which this permit is issued,l mall not
employ any person in any manner se u m became subject to the Worsens'Cmnpematian
laws of California.Dame
Applicant
NOTICE TO APPLICANT:If.after making this Certificate of Exemption,you should
become subject to the Wortcra Campcnvdon provisions of the lobe Code you muss
.J z faMwim comply with such provvidem or this permit shall W dmncd revoked.
z CONSTRUCTION LENDING AGENCY
I•+mom. T hereby airum sued mem iso cdutructinn lem1m far the
g agency Pcrformarmce of
C the wart for which this p[nnil is issued(sec 3157,Civ.C.)
lenders Nunn
z 1<nderm Md.
C) T unify that I arc mad this application and tam that the above infoonsfien is
in all oily and county aNinumces and sum Ito missing to
Wildingconmction,and Aeby authorize mpmacnmives of this city m cmaupno me
u`E curneE`m`ad comply w'
W alcove-mentioed Property for impcelion Puryos`s
G (We)agree to save.indemnify and keep harmless time City of Cupertino against
res Imbilities,)udgments.casts uN expasva which may In any way accrue against said City
'(:j)0
UZ in consequence of the granting of this permiL
^ APPLICANT UNDERSTAN AND WILL COMPLY WITH ALL NONP INT Issued by: Date �-- 2c/"��.y
?ISE GULAMONS. 2� x
U Re-roofs �—
Sig aur A Penn oro m Dam
xAZA, O t MATERIALS DISCLOSURE Type of Roof
WI
applinnta(um uildingmmpantdomaaaNk auNous material
as defined by the CopeNe Municipal Code,Chapter 9.13.and the Health and Safety
Code.Sectio 15533(a)7
❑Yes All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future building amvpact taw equipment or devicca which If a roof is installed without first obtaining an inspection,I agree to remove
halt araNnus oil conuminans;as defined by the Bay Area Air Quality Management all new materials for inspection.
Ddu ctT
❑Yen
I have red the humorous mamria,mquimmans under Chapter 6.95 afore Califor-
niaHcaldm&SaktyCodc,Savmu 3550,25533 aral 35534.1 udmund dmlithe Wilding
does a currently have a menet Net it' my mpnnsihility to etifY me decupant or the
requ' c whi must M met prior uuanm of a ccnifeam df mpmry
Signature of Applicant Date
11 towner t ri cdagent m All roof coverings to be Class')W*or better
CITY OF CUPERTINO
• 6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: B1k: ,Lot:
APN . . . . . . . . . 32345011 . 00
DATE ISSUED. . . . . . . : 05/29/2008
RECEIPT # . . . . . . . . . : BS000004941
REFERENCE ID # . . . : 08050235
SITE ADDRESS . . . . . : 20537 CEDARBROOK TER
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . . .
OWNER RALPH LIU
ADDRESS . . . . . . . . . . : 20537 CEDARBROOK TERRACE
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-0437
RECEIVED FROM . . . . : LISA J RABY
CONTRACTOR . . . . . . . : MATTHEW FARBER LIC # 22791
COMPANY . . . . . . . . . . : AIR QUALITY HEATING & AIR
ADDRESS 720 NORTHRUP ST
CITY/STATE/ZIP . . . : SAN JOSE, CA 95126
• TELEPHONE . . . . . . . . : (408) 293,-7138
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ----------- ---------- ----------
1BSEISMICR VALUATION 5, 500 . 00 0. 60 0 . 00 0 . 60 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 .14 0 . 00 286 . 14 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 286 . 14 MC
---------------
TOTAL ,RECEIPT 286 . 14
VOICEIID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
505 , FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
•
005 0�23.�
CITY OF CUPERTINO
FURNACE/AC
CITY OF
*CUPEkTINO PERMIT APPLICATION FORM
APN #
Building Address:
Owner's Name: Phone#:
+
LA LA �g� 5
Contractor:;a (ILIA1,11`' Phone
�l�1Dl—C7b1J��(=lam`' Fax #:
Contractor License#: ! `� Cupertino Bu&inpe�ss License#:
Contact: k9 LP0 UU Phone#: sfp�
Fax #:
Building Permit Info:
Elect Plumb ❑ Mech 19
Residential Commercial
Job Description: ytPLAr e- TTJPJ--�PC-:07 + Ab�, A-1
For Residential Installations:
Attic ❑ 11" floor ❑ 2"d floor ❑
Adhere to minimum setback requirement
For Commercial Installations-
Replacement same weight Additional weight(structural calcs) ❑
Structural Calculations req Nefor new installation ❑
New installation Planning Approval Required ❑
Cost of Project: Type of Construction (Usage Class):
4s,5so - 8b 01-a0
Strapped On Platform Bonded LJ New Location Replacement
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.
CITY OF CUPERTINO
Ra FURNACE/AC
CUPEkTINO 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.
1 MCREPALT Commercial for the repair of alt/add to M
ea heating appliance,refrigeration
unit,cooling unit,VAV boxes,
absorption unit or ca 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
1 BPGAS For each gas piping system of 5 or P
more per outlet.
1 MCAPPVNT Commercial for the install/relocate/ or M
replacement of ea appliance vent
installed ¬ incl in an appliance
permit.
1BSEISMICO Commercial Seismic B
1MRRAA Residential Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
r cooling unit,absorption unit,or ea
lheating,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.
l MRAPPVNT Residential for the install/relocate/or M
replacement of ea appliance vent
install ¬ incl in an appI permit.
CITY OF CUPERTINO
il- FURNACE/AC
OCUPEf�TINO 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
1BPGAS For each gas piping system of 5 or P
more per outlet.
p 1BSEISMICR Residential Seismic B
IMECPLNCK Mechanical Plan Check M
1 MFR=<100 Furnace Syst<=100k BTU install or M
relocate ea forced-air/gavity type
fumace/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
fumace/bumer, incl ducts/vents
attached to such appliance over
100,000 Btu/h
IEPERMITFEE Electric Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
1PPERMITFEE Plumbing Permit P
1TRAVD0C Travel DocumentationB
1BUSLIC Business License B
0
CITY OF CUPERTINO
SIM- FURNACE/AC
OF
CUPER,TiNO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
AIR FURN/AC
CONDITIONING
1BCAIRHAN 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
1BPGAS For each gas piping system of 5 or P
more per outlet. Comm/Resid
1 BREMAIRHAN Residential A/C units<= I Ok CFM B
1 MRRAA Residential Mech Repair/alt/add M •
1BSEISMICR Seismic Residential B
1 EPERMITFEE Electric Permit E
1MPERMITFEE Mechanical Permit M
I IPPERMITFEE Plumbing Permit P
1TRAVD0C Travel Documentation B
1BUSLIC Business License B
•
May. 28, 2008 I1 :01AM No. 0297 P. I
COMMUNITY MANAGEMENT SERVICES, INCORPORATED
May 13, 2008
Ralph Liu
21961 Oaknoll Ct.
Cupertino, CA 95014
Re: Cupertino Countrywood Homeowners Association
20537 Cedarbrook Terrace, Cupertino
Dear Mr. Liu:
The Cupertino Countrywood Homeowners Association has approved your architectural request to
install an air conditioner condenser unit near the pre-existing lines along side of your residence in j
your side yard at 20537 Cedarbrook subject to:
1. The installation being performed by a licensed contractor.
2. Any necessary City of Cupertino permits being obtained.
3. Any damage or maintenance resulting from the air conditioner installation being your
• responsibility to repair.
4. Any exposed plumbing and electrical lines being enclosed in a duct that is painted to match
the building.
5. The air conditioner being a very quiet model compatible with a townhouse community, City
noise ordinances, and close proximity of neighboring residences.
Thank you for submitting your architectural request to the Board of Directors. If you have any
questions,please contact me at(408)559-1977.
Sincerely,
Community Management Services, Inc.
r
Bob Soares, Senior Association Manager
Cupertino Countrywood Homeowners Association
BS/S
Q
cc: Board of Directors
File. 4 ., . .
AA-1
1935 Dry Creek Road, Suite 203 • Campbell CA • 95008-3631 • voice (408) 559.1977 • fax 1408) 559.1970
Green Building Plan Check
Am Index of Green Building Points/Categories
qF 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. A4 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 point
P. Other 1. List Green Features on Plans A-1 1 point
TOTAL POINTS1 40 points
��
�0
V
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.
A.Sde
1.Recycle Job Site Construction&Demolition Waste
65%=1 point;75%= 2 points;BO%=4 points up to 4 Resource pts D
12.Salvage Reusable Building Materials 2 4 Resource pts y=yes 0
3.Remodel for Mined 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 Slormwater Practices 2 Resource pts y=yes D
7.Protect Water Quality with Landscape Design 2 Resource pts y=yes D
Design Resource-Efficient Landscapes and Gardens 4 Resource pts y=yes D
9.Reuse Materials(Us=_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 D
1 1
3.Insulate Foundation/Slab before backfill 3 Energy pts y=yes p
1 I 1
C.Structural Frame
1.Substitute Solid Sawn Lumber with Engineered Lumber 3 Resource pts y=yes p
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 D
9.Use Structural Insulated Panels(SIPs)
a.Floors 3 Energy pts y=yes 0
b.Wall 3 Energy pts y=yes 0
C.Hoof 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 is e
12.0 eOSB --- J--`--- — P y=yes 0
• —a.Subfloors '
b_Sheathing 1 Resource pt y=yes 0
_ _ v j
_} 1 Resource pt y=yes p
1 1
.Extenor Fmrs
1.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 1 Ener
- —---- —-� 9Y P1 y--yes 0
2.Insulate Hot and Cold Water Pipes 2 Energy pts Y--yes 0
• 3.Retrofit all Faucets and$howerheads with Flow Reducers
a.Faucets(1 point each,up to 2 points) Up to 2 Resource pts. 0
b.Showe heads(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 Filler on Showerhead — 1 IAQ/Health of 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 41A0/Health pts. 0
6.Install On-Demand Hol Water Circulation Pump 4 Resource pts y=yes 0
1 1 !
r.trecumai
1.Install Compact Fluorescent Light Bulbs(CFCs)
(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 CRs(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
12conservation
1 Energy pt y=yes 0
Install Washing Machinewith Water and EnFeatures 1 Energy pt y=yes 0
I3.lnstall Energy Star Refrigerator— — 1 Energy pt y=yes 0
4,Install Built-In Recycling Center 3 Resource pts y--yes 0
1 1 i
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
D.Uewngs 4 Resource pts y=yes 0
1 1
INPUT Resources Energy IAO!Health
I.Windows
• `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 _ 2 Ener is a
-- 9YP Y=Y " 0
2.Install Low Heat Transmission Glazing 1 Energy pt y=yes 0
t t 1
J.Heating Ventilation and Air Conditioning
T1.Use Dud Mastic on All Duct Joints 7IAQ/Health
y=yes 0
2.Install Ductwork within Conditioned Space Y--yes 0
3.Vent Range Hood to the Outside 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 Healers 3 IAQ/Health pis 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/Heallh pt y=yes 0
b. Install/Replace Dampers 1 Energy pt y=yes 0
c.Install Airtight Doors 1 Energy pf 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 p
16.Install Heat Recovery Ventilation Unit(HRV) 5 AQ/Health pts y=yes 0
17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y=yes p
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
16.Select Safe and Durable Roofing Materials _ 1 Resource pt y=yas 0
7.1lnstall Radiant Barrier _ 3 Energy pts y=yes 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 p
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes p
• 1 1 1
M.Indoor Air Quality and Finishes
L11 Use LowMo-VbC Parit _ _ - 1 IAQ/HealthY=Yes 0 is •
----- --- -- P
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0
Fr3.Use Low/ VOC Adhesives 3 IAQ/Health is es
F
---- - - - — - P Y=Y D
4.Use Salvaged Mate ials for Interior Finishes 3 Resource pts y=yes 0
5.Use Engineered Sheet Goods with no added Ursa
Formaldehyde 6lAQ/Health pts y--yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pis y=yes 0
7.Seal all Exposed Particleboard or MDF 4 IAQ/Health pts y=yes 0
6.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 31AQ/Health pts y--yes 0
t 1 1
N.Flooring
1.Select FSC Certified Wood Flooring 6 Resource pts y--yes 0
2.l'1se RRapidly Renewable Roofing 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 ! !
Total Points Available: cZ 1401 1301 57 •
Total Points Project Received: v 0 0 0
G:da;a/progslgreenbulldnaguiderineshemodelersigreenpointsfinel21204proledsd.zls
•
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
SCUPEkTINO
Building De artment
JOB ADDRESS: �D65-�)'7 PERMIT #
C-U Przn J-,�b ca- . O)Z:o t4 L42eo So 2:]s
OWNER'S NAME: tZAj.FjjLIU PHONE #
GENERAL CONTRACTOR:AIQ QuqjFAX #
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
66 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
S
Owner/Contractor i ature Date