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08040154 (2) CITY OF CUPERTINO p�,� xs^«.:0,e:� w' i ''.+aim ':a+ A BUILDING DIVISION PERMIT �CONTR'ACTOIVI1 FbRMA'TION Bu1LQ1rdc�Ap�D1 CHERRYTREE LN AAA FURNACE & AIR P�MfT NO. 08040154 • OWNER'S NAME: C eQrwI1"L AIING PERMIT ISSUE DATE IliANE:RLENE CHUI 1712 STONE AVE • 04/22/2008 SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO ADD A/C 3 TON BLDG=I O PLUMB O 0 6 LICENSED CONTRACTOR'S DECLARATION 1 V 1 hereby shins that I am licensed under provisions of Chapter 9(commencing lob Description with Section 7000)of Division 3 of the Business and Professions Code.and any license is iM_ in full forte' e ,t c-20 Lie.. 16/� / • . ❑z in funseClm •/L Date ® 1 BAIYCHITECTS OFC rLARATTON 1,0Yr IC O I umculand my plans shall be used as public records ,fjUC' g sad b Licensed Professional • L'8 OWNER-BUILDER DECLARATION ia<5 1 hereby affirm that I am exempt from the Contractor's License Law far the o O following mason.(Section 71131.5,Business and Professions Code:Any city or calmly $1which requires a permit to construct alter,improve,demolish,or repair any structum 3 _ S^ prior N its issuance also requires the applicant for such permit to Ale a signed statemem < that he Is licensed pursuant to the provisions of the Contractor's License law(Chapter 9 Sq.Ft.Floor Area Valuation 1F 9 (commencing with Saxon 7000)of Division 3 of the Business and Professions Code)or 5— that he Is exempt therefrom and die basis for the alleged exemption.Any violation of Section 7031A by any applicant tot a permit subjects the appliest to a civil penalty of . APN Number Occupancy ' nom t more than ftw hundred dollars(MOO). P y •'LyJP 0 I.as owner of the property,or my employees with wages as their sole compensation, will do the work.and the noxious Is not intended or offered for sale(sec.7044,Business end Professions Coder The Contractors License Law does not apply to an owner or Required Inspections property who builds or improves thereon,and who does such work himself or through his own employees,provided that such improvement are not Intended or offered for sale.If. • however,the building or Improvement Is sold within one mu of completion.the owner- builder will have the bunko of proving that he did not build or Improve for wpm of tale). ❑1,u owner of the property.am exclusively contracting with licensed contractors to coast=the project(See 7044,Business and Professions Code:)T7n Contactors U. . cense Law does not apply to an owner of property who builds or improves thereon.ted, who contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law. ❑I am exempt under See ,B&P C for this reason Owner Dare . WORKERS COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declared= Q I ham and will maintain a CeNneate ottomans to self-Insure for WorkehCompe- cation,as provided for by Section 3700 of the Labor Code.for the performance of the ' work for which this permit is issued. ❑I have and will maintain Worker's Compensation Insurance,as required by Section . • 3700 of the Labor Code,for the performance of the work for which this permit is Issued. ' My Workers Sore,p nnatioonn)nsurance artier and Policy number am: . Cartier. STB`r - 1,4d " Policy Na.:,%ace:9"0 7 CATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not becompleted tithe permit is for one hundred dollen($100) or lea) , I certify dist in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become subject to the Workers'Compensation ' Laws of California.Date-__. , Applicant NOTICE TO APPLICANT.If,after making this Certificate of Exemption,you should ' become subject to the Worker's Compensation provisions of the Labor Code you mus ,J Z forthwith comply with such provisions or this permit shall he deemed rooked . Z H CONSTRUCTION LENDING AGENCY t•-•,.._•-• I hereby affirm that Nen is a comtnwctien lending agency for the performance of IX the work for which this permit is issued(Sec.3097,Civ.C.) W G Lenders Name • O Z Lenders Address • V Q I certify that I have read this application and sate dui the above information is ' LL t coney.I agree to comply with all city and county ordinances and state laws relating to -0 building construction,and hereby authorise representatives of this city to enter upon the a {Ll ahove-mentioned property for inspection purposes. O, (We)agree to save indemnify and keep harmless the City of Cupertino against I..t r/) liabilities,judgments.cow and expenses which may many wayaccrue against midON LEis' Li e-,7- in consequence of the granting of this permit. 441 1' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: 1411 �e��f�)_ Date '' 2_r SO CE REGULATIONS. ' l m/Con 7 Ai 01 I Re-roofs I aorto AppliesHAZA r HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building occupant sore or handle haaNuns material • as defined byte Cupertino Municipal Cade,Chapter 9.12.and the Health and Safety Code.o ansss3z(.)7All roofs shall be inspected prior to any roofing material being installed. rte ®No Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove It hvaNnm air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yes 1'q'F!o . I have read the hazardous materials requirements under Chapter 6.95 of the Califor- nth Health&SefetyCede,Seniors 25505,25533 anti 25334.1 undnwnd Limit t the building does not currently tsar a tame that It is my responsibility to notify de occupant of the requl�nlwhich must b�e/met prior toissuer=ofaca�uncateofOccupnmy. Signature of Applicant Date `� i/��`✓ie. e���� All roof coverings to be Class r' "or better Owner or authorised agent O ' am g /T • s I Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 •IJPEIQF�I INO Fax(408)777-3333 Building Department JOB ADDRESS: � PERMIT # /9 .3')/ e P tt ; 77466 .iovoi 600 LeD (S k At, F�OWNER'S NAME: A -' CAD ; PHONE # 1/44 -ea f- GENERAL CONTRACTOR: £4pp.7 ffJ j/jJ( rvAx # I am not using any subcontractors: )G(., ✓`- OVA vise- Signature Date Please check applicable subcontractors and complete the following information • 0 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 CITY OF CUPERTINO S . 6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg COPY # : 1 Sec: Twp: Rug: Sub: Blk: Lot: APN • 31633053 . 00 DATE ISSUED • 04/22/2008 RECEIPT # • BS000004545 REFERENCE ID # . . . : 08040154 • SITE ADDRESS • 10371 CHERRYTREE LN SUBDIVISION CITY • CUPERTINO IMPACT AREA OWNER • ARLENE CHUI ADDRESS • 10371 CHERRY TREE LN CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM • JIM RANDO CONTRACTOR • RANDO, JIM LIC # 8050 COMPANY • AAA FURNACE & AIR CONDITIONING ADDRESS • 1712 STONE AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95125 TELEPHONE • (408) 293-4717 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL 1BSEISMICR VALUATION 4, 764 . 00 0 .50 : 0. 00 0.50 0. 00 1EPERMITFE FLAT RATE 1 . 00 . 4.0:79 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 1TRAVDOC 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 VISA TOTAL RECEIPT : 224 . 85 VOICE ID DESCRIPTION VOICE ID DESCRIPTION 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL 411 • Single Family GreenPoint Checklist date: �/-2 �"� Build It Greeii The GreenPointChecklist Is based on the various green features Incorporated into the home and is the Smarr Solutions From The Ground Up basis for the GreenPoint Rated program.A home can be considered green If It fulfills the prerequisites, — __ __ earns at least SO points,and meets the minimum points per category:Energy(30),Indoor kr Quality/ . Health(5);Resources(6),and Wafer(9).Please contact Build It Green for a list of qualified GreenPoint Raters If you are interested In pursuing third-party verification. • The green building practices listed below are described in the New Home Construction Green Building • Guidelines,available at www.uildiforeen.orq. —•— —— — ENTER PROJECT NAME MU 5 I s ti G A-SITE if?9/ C, e. i e•. T,e C / 1/l - Points Available Per Measure 1.Protect Topsoiland Minimize Disruplon of Existing Plants&Tfrees ❑ a.Protect Topsoil from Erosion and Reuse after Construction 0 _ 1 I I I 1 1 ❑ h.Lint and Delineate Construction Footprint for Maximum Protection 0 i I 1 I 1 ID2.Deconstruct Instead of Demolishing Existing Buildings On Site - 0 , I t 3 . 3.Recycle Job Site Construction Waste(Including Green Waste) ' 0 a.Minimum 50%Waste 0lversion by Weight(Recycling or Rause-Required • 0 1 ( R ' ❑ b.Minimum 65%Diversion by Weight(Recycling or Reuse) 0 1 2 ❑ c.Minimum B0%Diversion by Weight(Recycling or Reuse) 0 i I I 2 4.Use Recycled Content Aggregate(Minimum 25%) ❑' a.Walkway and Driveway 0 I I I 1 I ❑ b.Roadway Base 0 I 1 I Total Points Available in SIM=12 0 B.FOUNDATION - Points Available Per Measure 1.Replace Portland Cement in Concrete with Recycled Flyash or Slag . -❑ a Minimum 20KFyesh a Slag 0 ' ❑ h.Minimum 25%Flyash or Slap 0 T I I 1 ❑ 2.Use Frost-Protected Shallow Foundation In Cold Areas(C.E.C.Climate Zone 16) 0 I I I 3 I 0 3.Usa Radon Resistant Construction(In At-Risk Locations Only) 0 J+ I I 1 I ! 4.Design and Build Structural Pest Controls .•re ❑ ' a.Install Termite Shields&Separate Ai Exterior Wood-to-Concrete Connections by Metal or Plastic Fasteners/Dividers 0 - ) J_`_ 0 11 b.All New Plants Have Trunk,Base,or Stem Located At Least 35 Inches from Foundation ryJl��{",, q7i • I I 1 Total Points Available In Fou nVAOn=B 0 ? C.LANDSCAPING Ce Poin ble Per Measure 1.Construct Resource-Efficient Landscapes • 0 a.No Invasive Species Usted by Cal-IPC Are Planted T�� ! I 1 _, ❑ b.No Plant Species Will Require Hedging I I I ] ❑ c.75%of Plants Are Drought-tolerant California Natives,Mediterranean,or Other Appropriate Species _ _---1__ I 3 ❑ 2.Use Fire-Safe Landscaping Techniques -•1 I 3.Minimize Turf Areas In Landscape Installed by.Builder ❑ a Al Turf Will Have a Water Requhement Less than or Equal to Tell Fescue(50.0 plant factor 1I. 2 ❑ b.Turf Shall Not Be installed on Slopes Exceeding 10%or In Areas Less than a Feat W de I2_ 0 c.Turf is 533%of Landscaped Area(total2 points) I I 2 ❑ d.Turf is 510%of Landscaped Area(total 4 points) I I 2 _ ' ❑ I.Plant Shade Imes - i. I 3 ❑ 5.Group Plants by Water Needs(Hydrozoning) - • 2 6.Install High-Efficiency Irrigation Systems ❑ e.System Uses Only Low-Flow Drip,Bubblers,a Lox-flow Spdnners . ❑ b.System Has Smart Gondoliers (" I 2 S CJ 3 ❑ 7.Incorporate Two inches of Compost in the Top 6 12 Inches of Soil , v_--L 3 ❑ B.Mulch All Planting Beds to the Greater of 2 Inches or Local Water Ordinance Requirement I 1 It--; I 2 ❑ 9.Use 50%Salvaged or Recycled-Content Materials for 50%of Non-Plant Landscape Elements B. --. 1 ❑ 10.Reduce Light Pollution by Shielding Fixtures and/or Directing Light Downward 1 it (Li._ i 1 Total Points Available in Landscaping=31 1` . . D.STRUCTURAL FRAME&BUILDING ENVELOPE Poin AvailabliPer Measure 1.Apply Optimal Value Engineering ❑ a.Place Ratters and Studs at 24-Inch On Center Framing p • 1 ❑ b.Size Door end Window Headers for Load I ❑ c.Use Only Jack and Cripple Studs Required for Load 0 I .-_L 1 I 2 Use Engineered Lumber C? 1) ❑ a.Beams and Headers ❑ b.Insulated Engineered Headers p _ —V- aa---r-- ❑ c.Wood I-Jolsts or Web Trusses for Roofs • 0 ❑ d.Wood I-Joists for Roof Rafters 0 4 f -)7 1 1 ❑ e.Engineered or Finger-Jointed Studs for Vertical Applications — ___13„j111,01_1—________ ❑ i.Onemetl Strand Boat la Subfloa 0 _. ❑ g.Oriented Strand Board for Wall end Roof Sheathing 0 r_• ` _i-1 T • 3.Use FSC-Certified Wood IIIIDa.Dimensional Lumber,Studs and Timber.Minimum 40% -- 1.-❑ • b.Dimensional Lumber,Studs and Timber.Minimum 70% 0 I I _2 '4 D I'. .1 2_L___ ❑' c.Panel Products:Minimum 40% 0 -- _ 1 _ ❑ d.Penal Protluas:Minimum 70% 0 —1 _ I I 1 I 0 2007 Build It Green - Single Family GreenPoint Checklist 2007 Version Page 1 of 4 ENTER PROJECT NAME iiirlit 4.Use Solid Wall Systems precludes SIPS,ICFs,A My Non-Stick Frame Ansmbly) • ❑ a.Moon -- 2 2 - • ❑ b.Walls 2 _ 2 ---. ❑ c.Roofs . 2 , 2 5.Reduce Pollution Entering the Home from the Garage ❑ a.Tghty Seal the Ai Barnet between Garage and Living Are _ 1 I ❑ b.Install Garage Exhaust Fan OR Build a Detached Garage • ❑ 6.Design Energy Heals on Trusses(75%of Attic Insulation Height at Outside Edge of Exterior Wall) . 1 7.Design Roof Trento to Accommodate Ductwork ' 1 ' B.Use Recycled-Content Steal Studs for a0%of Interior Wall Framing I 1 • ❑ B.Thermal Mass Wells:5134nch Drywall on All Interior Wells or Wells Weighing mon than 40 lbleu.R 1 . . 10.Install Overhangs and Gutters ❑ e.Minimum 16-Inch Overhangs and Guitars __ --�1- - ❑ b.Minimum 24-Inch Ovemangs and Gunn 1 . Total Points Available in Sbuctuie]Buldng Frame and Envelope=36 E.EXTERIOR FINISH Points Available Pet Measure Li I.Use Recycled•Conterd(No Virgin Plastic)or FSC-CeNOed Wood DeckingI 2 ❑ 2.Install a Rain Scram Wall System ' 2 ❑ 3.Use Durable and Nonoombusdble Siding Materials1 ❑ 4.Select Durable and Noncombustible Roofing Materials 2 I • Total Pants Available in Exterior Finish.] F.INSULATION Points Available Par Measure 1.Install Insulation with 75%Recycled Content ❑ a.Wallsandtor Flan0 -L 1 . —eb— .-Cermgs __0 —,— __—I jr--,_ 2.Install Insulation that Is Low-Emitting(Certified Section 01350) ❑ .a.Wella endlor Floors0 _ - i 1 _- I - ❑ b Ceilings . 0 . • 1 ❑ 3.inspect Duality of Insulation Installation before Applying Drywall ' 0 . 1 , Total Points Available In Insulation=5 0 O.PLUMBING Points Available Per Measure 1.Distribute Domestic Hot Water Efficiently(Maximum 7 Points). ❑ a.Insulate Hot Water Pipes horn Water Heater to{Mohan . _ 0 _ 1 --i__ 1 ❑ b.Insulate All Hot Water Pipes _ 0 --_-t 1_ _1_-- 1 ❑ c.Use Engineered Parallel Piping ❑ d.Use Engineered Parallel Piping wet Demand Controlled Limitation Loop ❑ e.Use Structured Plumbing with Demand Controlled Circulation Loop _ 0 _ . 1 ❑ 1.Use Central Core Plumbing D ' 1__ 11 1-2 ❑ 2 Install Only High Efficiency Toilets(Dual-Flush or S125 gpf) 0 I I I 4 Total Points Available In Plumbing.Total 12 0 H.HEATING,VENTILATION&AIR CONDITIONING Points Available Per Measure ❑ 1.Design and Install HVAC System to ACCA Manual J,D,and 9 Recommendations • 0 I 4 ' I I 2.Install Sealed Combustion Units • ❑ e.Fumecee _0 I __ 2 _ I ❑ b.Water Heaton - 0 _ 2 I U 3.Install Zoned,Hydronic Radiant Heating with Slab Edge Insulation 0 1 I 1 I • ❑ 4.Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants 0 1 i 1 I I ' 5.Design and Install Effective Ductwork o a.Install HVAC Unit and Ductwork within Conditioned Space _ 0 ._. - 1.3_I _ I - ❑ b.Use Duct Medic on All Duct Joints end Seams 0 1 $ ❑ c.Install Ductwork under Attic Insulation(Boned Ducts) _ -- ❑ d.Pressure Balance the Ductwork System - _.- 1 _�_ - ❑ e.Protect Ducts dudng Construction and Clean All Ducts before Occupancy 0 1 1 , - ❑ B.Install High Efficiency HVAC Filter(MERV5v) 0 I 11 I ❑ 7.Don't Install Fireplace or install Sealed Gas Fireplaces with Efficiency Rating Not Less Than 60% 0 I , 1 using CSA Standards B.Install Effective Exhaust Systems in Bathrooms and Kitchens ❑ a,Install ENERGY STAR Bathroom Fans Vented to the Outside 0 t I 1 • b.All Bathroom Fenn Are on Timer of Hto Me - 1-4_ ❑ C.Install Kitchen Range Hood Vented to the Outside 0 . 1-7----, B.Install Mechanical Ventilation System for Cooling(Maximum 4 Points) • ❑ a.Install ENERGY STAR Ceiling Fans&Light Kits In LNing Areas a Bedrooms 0 __ I 1 Jr 1 _ ❑ b.Install Whole House Fan with Variable Speeds 0 1 ❑ c.Automatically Controlled Integrated System _ U _ 1 El d.Automatically Controlled Integrated System with Variable Speed Control0 -T 3 I--i-- I O.Install Mechanical Fresh Air Ventilation System(Muimum 3 Points) ❑ a.Any Whole House Ventilation System That Meets ASHRAE 52.2 0 I I 2 I I r- + ❑ b.install Alnto-AO HeatExchanger that meets ASHRAE 62.2 0 1 , 2 ❑ 11.Install Carbon Monoxide Alarm(s) 0 1 , • Total PointsConditioning=30 0 / Available in Heating,Ventilator and Air ' 02007 Build it Green Single Family GreenPOlnt Checklist 2007 Version Page 2 of 4 ENTER PROJECT NAME .q El g s • s • s L RENEWABLE ENERGY Points Available Per Measure ❑ 1.Pre-Plumb tor Solar Hot Water Healing 0 i 4 i •• 2.Insall Soler Wafer Heating System U 0 110 lintel!Wiring Conduit for Future Photovoltaic Installation 6 Provide 200 M of South-Facing Roof 0 I 2 i • Pinata!!Photovoltaic(PV)Panels ❑ a.30%of electric needs OR 12 kW(total points) 0 6 I ❑ b.BD%of electric needs OR 2.4kW(total 12 points) 0 6 1 _ : li _ ❑ 0.90%o(elactric'naetl OR 3.6 kW(total iB points) • 0 i 6 Total Available Points In Renewable Energy=2B 0 • J.BUILDING PERFORMANCE - Points Available Per Measure 1.Diagnostic Evaluations ❑ a.House Passes Blower Door Test _0 __ I 1 I ❑ b.House Passes Combustion Safety Backdreh Test 0 I I 1 I 2.Design and Build High Performance Homes-%above Tine 24-minimum 15%Requited 0 i >30 1 ' . El 3.House Obtains ENERGY STAR with Indoor Air Package Certification-Piot Measure(Total 45 points;read comment) 0 . 1 r S 2 i • ' Total Available Points in Butting Periormance=39 0 K.FINISHES Points Available Par Measure LI 1.Design Entryways to Reduce Tracked in Contaminants 0 I 1 1 I 2.Use Low-VOC or Zero-VOC Paint(Maximum 3 Points) • - • ❑ a.Low-VOC Interior Wall/Calling Paints(d0 gel VOCs(Flat)and<150 gpl VOCs Non-Flat)) 0 1 o b.Zaro-VOC:Interior Wall/Calling Paints(<5 gpl VOCs(Flat)) 0 I 3 I I ❑ 3.Use Low VOC,Water-Based Wood Finishes(Q50 ppt VOCs) ' • 0 I ; I 2 I 1 —0-4.Use.Low.VOC.Caulk.and Construction Adhesives(<70 gpl.VOCs)for-All Adhesives 0 , —I-2—1 I _ ❑ 5.Use Recycled-Content Paint 0 I 11 I 6,Use Environmentally Preferable Materials for Interior Finish:A)FSC-Certified Wood,B)Reclaimed,C)Rapidly Renewable,D)Recycled-Content • ' or E)Finger-Jointed ❑ ' e Cabinets(50%Minimum) 0 I I 1 1 ❑ b.Interior Trim(50%Minimum) o _ i - J__.--f- 7-1—. -- - . 0 ' c.SheMng(50%Minimum) 0 _ I 1 ___ ❑ d.Doors(50%Minimum) 0 _ I 1• • I ❑ e.Countertops(50%Minimum) 0 1 — 1 - T ' 7.Reduce Formaldehyde in Interior Finish(CA Section 01350) ❑ a.Subtoor 6 Stair Treads 50%Minlmunil • 0 1 1 1 i • O b.Cabinets 6 Countertops(50%Minimum) 0 i 1 I ❑ — c.Interior Trim(50%Minimum) 1 1 0 _ ++II _ _T_ � ❑ d.Shelving 0.0%Minimum) 0 —I I 1 I _ ❑ 8.Aker Installation of Finishes,Test of Indoor Air Shows Formaldehyde Level d7ppb ' 0 I 3 1 I Total Available Points In Finishes=21 0 L.FLOORING Points Available Per Measure 1.Use Environmentally Preferable Flooring:A)FSC-Certified Wood,B)Reclaimed or Refinished,C)Rapidly Renewable,D)Recycled-Content,E) Exposed Concrete.flooring Adhesives Must Hove do gpl VOCs ❑ &Minimum 15%of Floor Area 0 __ I i 1 ❑ b.Minimum 30%of Flom Area • 0 __J I 1 _1 j ❑ c.Minimum 50%of Floor Area 0 I • _I I I 10 d.Minimum 75%of Floor Area' 0 I ' •1 I 1 ' ❑ 2.Thermal Mass Floors:Floor Covering Other than Carpet on 50%or Mora of Concrete Floors 0 ' I 1 I I. ❑ 3.Flooring Meets Section 01350 or CRI Green Label Plus Requirements(50%Minimum) 0 I I 2 I 'Total Available Points in Flooring=7 0 ' M.APPLIANCES AND LIGHTING Points Available Per Measure 1,Install Water and Energy Efficient Dishwasher • ❑ a.ENERGY STAR(total t point) 0 I— 1 1 _ I I ❑ b.Dishwasher Uses No More than 6.5 Gallons/Cycle(total 2 points) 0 l —r , 1 • 2.Install ENERGY STAR Clothes Washing Machine with Water Factor of 6 or Less ❑ a.Moats Energy Star and CEE Tier 2 requirements(modified energy factor 20,Water Factor 6.0)(total 3 points) 0 1 I 1 . 1 2 ❑ b.Meets Energy Star and CEE Tar 3 requirements(modified energy factor 2.2 Water Factor 4.5 or less) I ' 2 (total 5 polnis) • 0 I 3.Install ENERGY STAR Refrigerator ❑ a ENERGY STAROualified 6<25 Cubic Feet Capacity 0 _ 1 1 I 1 I ❑ b.ENERGY STAR Qualified 6<20 Cubic Feet Capacity 0 11 I 1 I 4.Install Built-In Recycling Center 0 10a.Built-in Recycling Center 0 _I I ' .2 I ❑ b.Bull-In Composting Center o I 1 I I 1 Total Available Points in Appliances and Lighting=12 0 N.OTHER Points Available Per Measure ❑ 1.Incorporate GreenPolnt Rated Checklist In Blueprints•Required 0 I I - I R ❑ 2.Develop Homeowner Manual of Green Festures/Benefita 0 1 1 1 1 1 , 1 • • 3.Community Design Measures 6 Local Priorities:See the CommunityPlanning&Design section in Chapter 4 of the New Home Guidelines for measures.Maximum of 20 paints for suggested measures.Local requirements may also be listed here. • O 2007 Build It Green Single Family GreenPolnt Checklist 2007 Version Page 3 of 4 • ENTER PROJECT NAME I E 9 c ■ Enter Eemlplion hen,and enterpante want*la measure in appropriate cnegOlin Io ewe" . 0 0 0 0 0 0 , Emco description hereend ente pants available fa measure m gyrapdem calepmee to the hotel. 0 0 0 0 0 0 Ei Ener deunelim hen and enter pope natede Int meeure in aeonp ate categories to the dant. 00 0 0 V• Enter dercrlplion hereand enter pedes ennoble la meeure p aft/replete categonn to the opo. 0 0 0000 4.Innovation:List innovative measures that meet the green building objectives of the Guidelines.Enter up toe Aidld It Green Checklists and maximum combined total of 20 pts.See Innovation Checklist for suggested measures,using the link to the right Rulnelinnq U Innovation In Community:Enter description hen,and enter points available tor.measure In appropriate categories to the right. 00 0 0_ 0 0 0 0_ 0 0 ❑ • Innovation In Energy:Enter description hem,and enter points available la measure In appropriate categories to the right 0 0 ❑ Innovation In IAOMeelth:Enter demriptlon here,and enter points available la measure In appropriate categories to the dant. _ 0 0 0 00 [] Innovation in Reeourae:Enter description here,and enter prints evalladefor measure In appropriate categories to the right. _ 0 0 0 0 0 0 [] Innovation in Water Enter description here,end enter points meltable fa measure m epprd(pate categabe to the ripe. 0 0 0 0 0 0 Total Available Points In Other.43 0 Summary Total Available Points In Specific Categories' 4+ 96+ 42+ 66+ 43+ Minimum Points Required In Specific Categories 0 30 5 6 0 Total Points Achieved 0 D D D 0 0 Project his not yet met the following recommended minimum requirements' -Total Project Score of At Least 50 Points -Required measures: -A3a: 50% waste diversion by weight --324-1346-above-T7tle-24 - — -NI: Incorporate GreenPoint Rated Checklist into blueprints -Minimum points in specific categories: -Energy(30 points) • -IAQ/Health(5 points) -Resources(6 points) •Water(9 points) • • • • • • • • C 2007 Build It Green Single Family GreenPolnt Checklist 2007 Version Page 4 el 4 CITY OF CUPERTINO FURNACE/AC •CuPERJINO PERMIT APPLICATION FORM OWL/o/3 APN# Date: (jl(,V. &3 053 . OO c Y- z 2 0�' Building Address: /B 3 )/ C//e //. /c - Ga.ie_ Owner's Name: Phone#: Contractor: Phone#: 4/t'f-.2 71- 272 /!it/pe s0/4A 'al c l,E' Fax #: Contractor License#: Cupertino Business License#: 7o/12/ y"" Contact: Phone#: r'69')7)- f 1// ac L`?/ 7 ;4:- t'4:4 Fax #: Building Permit Info: • Elect E Plumb ❑ Mech Residential ❑ Commercial ❑ Job Description: 4 r./a7/ 47c 3 re Ai For Residential Installations: Attic ❑ ls` floor ❑ 2nd 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): V14: yF° Strapped lAdK On Platform ❑ Bonded ❑ New Location E.-- Replacement ❑ Valuation: y'76Vcv Green Building: Must attach Green Building Check list to this application CITY OF CUPERTINO $ i FURNACE/AC CUPEKIINO FEE SCHEDULE . . `e 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. 1MCREPALT 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. 1PGASCOM Commerical for ea gas piping System P 1-4 outlets 1BPGAS 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 1MRRAA 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. 1MRAPPVNT Residential for the install/relocate/or M replacement of ea appliance vent install &not Mel in an appl permit. CITY OF CUPERTINO FURNACE/AC CUPERTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type • Group FURNACE FURN/AC - 1PGASRES . Residential for ea gas piping system of P 1-4 Outlets IBPGAS For each gas piping system of 5 or P more per outlet. 1BSEISMICR Residential Seismic B 1MECPLNCK Mechanical Plan Check M 1MFR=<100 Furnace Syst<=100k BTU install or M relocate ea forced-air/gravity type furnace/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 furnace/burner, incl ducts/vents attached to such appliance over 100,000 Btu/h • lEPERMITFEE Electric Permit Fee E 1MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit P • 1TRAVDOC Travel Documentation B 1BUSLIC Business License B S CITY OF CUPERTINO • FURNACE/AC • CUPEF�TINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group AIR FURN/AC CONDITIONING 1BCAIRHAN Commercial A/C Units <= 10k CFM B IMCRAA Commercial Mech Repair/alt/add M 1BSEISMICO Seismic Commercial B 1PGASCOM Commerical for ea gas piping System P 1-4 outlets 1PGASRES 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 1BREMAIRHAN Residential A/C units <= 10k CFM B 1MRRAA Residential Mech Repair/alt/add M 1BSEISMICR Seismic Residential B • 1EPERMITFEE Electric Permit E 1MPERMITFEE Mechanical Permit M / 1PPERMITFEE Plumbing Permit P 1 1TRAVDOC Travel Documentation B 1BUSLIC Business License B -4-7v 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) >+ yytqualatea w14° V.14,.,S3d tesr borY •,,rza:,0 lspy 'l• 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 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 4;: r 4W43TOTAL POINTS 40 points • 3gaTOa • Plan Review Process Work Book Page-I2-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 Resources Energy IAOIHeatth ite 1.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 1 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 B.Design 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 pts y=yes 0 • 11.Provide for On-Site Water Catchment/Retention 2 Resource pts y=yes 0 0 0 0 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=yes_ 0 0 0 0 C.Structural Frame 1.Substitute Solid Sawn Lumber with Engineered Lumber —1 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 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 1 Resource pt y=yes 0 �` 0 0 0 • INPUT Resources Energy lea/Health �. xter or n s 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 Chromlum/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 yryes 0 0 0 0 E.Plumbing 1.Install Water Heater Jacket 1 Energy pt y=yes 0 2.Insulate Hot and Cold 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 Tollest 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 4 IAQ/Health pts. 0 B.Install On-Demand Hot Water Circulation Pump 4 Resource pts plies 0 0 0 0 r,electrical 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 0 0 0 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 3 Resource pts yryes_ 0 0 0 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 0.Cemngs 4 Resource pts y=yes 0 0 0 0 J INPUT Resources Energy 140/Health . "tn.ows . 1.Install Energy-Efficient Windows - —;— .. 1 • a.Double-Paned ? 1 Energy pt y=yes 0 b.Low-Emissivity(Low-E) 2 Energy pts y=yes 0 c.Low.Conductivity Frames _ j 2 Energypts y=yes 0 • ----- � Y 2.Install Low Heat Transmission Glazing 1 Energy pt y=yes 0 0 0 0 40,--sting Ventilation and Air Conditioning F.Use Duct Mastic on All Duct Joints ( 2 Energy pts y=yes f(f 0 2.Install Ductwork within Conditioned Space 3 Energy pts y=yes 0 3.Vent Range Hood to the Outside 1 IA0/Health pt y=yes 0 4.Clean all Ducts Before Occupancy 2 IAO/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 8.Install Sealed Combustion Units a.Furnaces 3 IAO/Health pts y=yes 0 b.Water Heaters 3 IAO/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 IAO/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 IAO/Health pts y=yes 0 16.Install Heat Recovery Ventilation Unit(HRV) 5 IAO/Health pts y=yes 0 17.Install Separate Garage Exhaust Fan 3 IAO/Health pts y=yes 0 0 0 0 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=yes 0 7.Install Radiant Barrier 3 Energy pts y=yes 0 0 0 0 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 0 0 0 • r4 INPUT Resources Energy IAOIHealth n•oor • r *us ty an. n s as 1.Use Low/No-VOC Paint 1 IAO/Health pts y=yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAD/Health pts y=yes 0 • 3.Use Low/No VOC Adhesives 3 IAD/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 6 1A0/Health 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 MDF 4 IAO/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 IA0/Health pts y=yes 0 0 0 0 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 IAD/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 0 0 0 • I Total Points Available:1 1401 1301 57 I Total Points Project Received:) 01 01 0 • G:data/progsigreenbuildingguidellneslremodelers/greenpolnisfine12.12.a4protected.xls •