08070234 (2) CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRA CTORINF`0.RNIAT,IONNNN
�„
BUILDING ADDRESS: PERMIT NO.
6 /25 CLIFFORD DR TBD - TO BE DETERMINED 08070234
OWNER'S NAME: PERMIT ISSUE DATE
DIT: MUTH LAWRENCE A AND JOANNE 07/31/2008
NE: SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
u00 LICENSED CONTRACTOR'S DECLARATION
'r6 1 ncreny affirm Nat 1 am limrsvcd under provisions of Cluples 9(commencing Job Description
with Satkn 7IXXl)ofDivision]a(NSBusitw..and Professkns Code,oral mylicenwh RMV OLD WDBRNING STV& INSTL NTRL GAS BRNING
^ N in full force uu1=Recd
inn- LicenseClaas Lie. FIREPLC (INS 1/2" GASLINE)
C;: Data Contranar
e pp a ARCHITECTS DECLARATION
y ms< I under oand my Plans shall W mind as Public records
JyV
g too 1
Licensed Profeasianal
OWNER-BUILDER DECLARATION
rye 1 hereby.(Seco that 11. exempt from Nc Canimwh License Law for the
E
O O following reason. eredact]mom .elle. and Professions Code:And city or county
3$ which requiem a permit re con requires live ales,improve.demeRN,or e a sig any awctum
_Z< prior w its issuance.also ohe thevision of for Corr permit m file on,Law(Chip.m
Nat he is licensed purmanuo 0w provisimts of Nm Conuacwrs titcnw law(cheptx9 Sq.Ft.Floor Area $ Valuation
y�S (commencing with Section 7000).(Division 3afthe Busineas and Profesions Code)or 800
Nat he u exempt therefrom and the basis for the ailnged attenuation.Any violation of
Section 7031.5 by airy applicant for a permit subjects the JmPikanuo a civil Penalty OfNumber Occupancy
ro mem thalivet .e hundred dollars($5= 36911043 .�( Pane Y Type
I,ssowror.f the pnpmty,mmy employcea with wagesss Noir sole compensation,
will dathewoh.and the he Coo tsrot Nwnded L wdo(sneak(Sec.in an Business
and surrywdmu Cade:The Conmacms,License law don not apply w an owner of Required Inspections
man eny who builds viimprovesen improvements
andwhin acssuchworkhimxlf m dor ask his
ownemployees,provided p suchimpmwmantsin net ear ofc mpledrW for maeam,
however.the umn the
u improvement V cold a did arc year ofi mmpve for the owner-
bmildes will low the burden of proving Nat he did not Wild or improve(m puryew of
sok.).
❑I.as owner of the mpony.am easlusivcly ronmaximS wish Binned mnaactmis to
construct the project(See 70ad.Business and Prafndons Code:)The Contractors U.
came Law does not apply to in owner of property who builds or improves shemon,and,
who contracts for such injects with a convacmr(s)licensed material in the Contractors
Lkenes Law.
❑I am exempt under Seess/ B k P C for this
f5h__ rtasun
Owner � Gain cam
ORKER'S COMPENSATION DECLARATION
41 1 herby affrm under penalty of perjury new of the following declarations:
I hare and will maintains Certificate sfConsent in self-insure fm WmhersCompen-
sation,as provided for by Sidon 3?W of the Liber Code.for one p=rforman¢of the
wort for which this parents issued.
❑1 have anal will mainuin Workers Compensadon Insurance.as mquued by S=ewn
37()0of NC Labor Code.for the pesformarce of Ne wort forwhich this permit is issued. '
My Workers Compensation Insurance carriv and Policy number are:
Cartier: Policy N..:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
motto ctioo reed Out hecmmpi=wd If the permit is formic hundred mean($10=)
or Ina)
I cenih Net In the performance of rhe wort for which Nis Permit is issced.I"I nor
employ anypecon in any an aswhcmme�leyt�i 0r„Way�Ccopmnation
Laws of California.Data h
Applicant
NOTICE TO APP riaskirrItis Cenifieaw of Exemption.You should
became subject to The Workers Compeassilon pmvisioru of Ne Labra Code,you an"
.J z forthwith comply with such provisions or this permit shall x deemed revoked.
?hCONSTRUCTION LENDING AGENCY
[—� Ih=nby afrrrm Nat there is a constnctinn lending agency for the performance of
G' > Nm work for which this permit ts issued(Sec.3097,Civ.C.)
Afenders Name
iti. z Lenders Address
V Q I crnlfy that I have rod this application and oak that the above information u
L7.E corrin 1 ill=to comply with all city and county ohdroraes and sow laws relating On
.0 Wilding construction,and hemby suaborho mpsamostives of Nu city to cote,upon the
„ yaMve-mentioned property for inspection purposev
(We)agree w ave.indemnify and ICCP harmhs tie City of Cupenlna agsinst
y liabilities.judgments.costs and expenses which may in any way seers against said City
U z in cartsequence of the granting of this permit
" APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:
SOURCE R�� �"`lATIO Y Date
/22— 7A��68 Re-roofs T
Sngnaurt ApphcanVCanuanor Dak '
HAZARDOUS MATERIALS DISCLOSU RE Type of Roof
Will the applicant sur future building occupant sem of handle hevrdom mawritl
an denned by dw Cupertino Municipal Cade,Chapter 9.12,and Ne Health and Safety
Conn. Y25532(.)?25532(.)? ❑Ns
0All roofs shall be inspected prior to any roofing material being installed.
Yca
Will thea licant or future bwhiN =ecu ant mm If a roof is installed without first obtainingan inspection,I agree to remove
PP B p ca Ai,=nt or M...which P g
it District' ns air canuminants ss dc=rod by Ow Bay Ana Air Quality Management all new materials for inspection.
Distrix?
❑Y's 0N
1 have mad the hvadoua materials requirements under Chapter 6.95 ofthe Califor-
niaHealth&SafelYCodc,Socvmts 25505,25533 and 25534.I understood Na if ths building
does not currently have a renanl that it h my responsibility as Mary N=occupant of the
nequinmcnts which comm met riorw&suaccd Cutifcawof Oc cy' Signature of Applicant Date
7/3164
Owner ora rimdasant Dew All roof coverings to be Class'fJ"or better
CITY OF CUPERTINO
• 5 ITEMS OF 5 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36911043 . 00
DATE ISSUED. . . . . . . : 07/31/2008
RECEIPT #. . . . . . . . . : BS000005646
REFERENCE ID # . . . : 08070234
SITE ADDRESS . . . . . : 6725 CLIFFORD DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : DE MUTH LAWRENCE A AND JOANNE
ADDRESS . . . . . . . . . . : 6725 CLIFFORD DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-4557
RECEIVED FROM . . . . : LARRY DEMUTH
CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096
COMPANY . . . . . . . . . . : TBD - TO BE DETERMINED
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . . ,
TELEPHONE . . . . . . . . :
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 800 . 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
----------------- --------------- --------------------
CREDIT CARD 163 . 66 MC
---------------
TOTAL RECEIPT 163 . 66
•
0207 0,.3 y
SCITY OF CUPERTINO
• CUPEkTINO GENERAL BUILDING
PERMIT APPLICATION FORM
APN # 0 t ,: �� Date:
� `lJ 3� vL
Building Address:
6125 cls"c-d CA °ISoly
Mailing Address (if different from building address):
Owner's Name: Phone#:
Larry d-3oahn2 QQ v y08 2S5-- a-77g
Contractor: Phone: slQ �� - 0—f7,(o
Fax:
Contractor License#: 3q&A 0 %1
Cupertino Business License#:
• Contact: Phone:
,)&J
Fax:
Residential 11 Commercial
Job Description: gtrlrc OtJD �J oDpB ✓`I►Nb -�� tt� .
INs11Nu-- NA'S ML CSS 12t�1t^►t� �iR�R-s�tE
C t
Is the project in the Wildland- Urban Interface Fire Area? Yes ❑ No ❑ 1//L6A6 LA1`� -s
Building Permit Info:
Bldg ❑ Elect [if/ Plumb El--- Mechlf'
Type of Construction (Usage Class): Occupancy Type:
I-A, 11-B ❑ 11, 111, V-A ❑ 11, 111, 1V V-B E --
Valuation: g 66dd Square Footage:
Project Size: Standard Ej� 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.builditgreen.org
CITY OF CUPERTINO
CUPEkTINO GENERAL BUILDING
PERMIT APPLICATION FORM
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1 BTEMPPER 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 Installation/relocation of ea M
boiler/compressor over 15 horsepower
to & incl 30 horsepower, or ea
absorption sys over 500,000 Btu/h to •
&incl 1,000,000 Btu/h
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
1 BBOILER5 instal Iation/relocation of ea boiler or M
refrigeration compressor over 50 .
horsepower, or ea absorption sys over
1,750,000 Btu/h
1BAPPLOTH For ea appliance or piece of equip M
regulated by this Code but not classed
in other appliance categories, or for
which no other fee is listed in this
code.
1 ELECINSP Other Electrical Inspections (per hour) E
1MEC -IINSP Other Mechanical Inspections (per M
hour)
1PLMBINSP Other Plumbing& Gas Inspections P
(per hour)
1MEETINGIHR Application Meeting B
4:(L CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
CUPERTINO
. FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1 GENCOM
ACOUSTICAL
REVIEW
IACOUSFDW SFDWL/Duplex New B
IACOUSRESAD SFDWL/Duplex-Addition/Alteration B
IACOUSCOM Multi-Family/Commercial B
CHIMNEY'S
1CHIMNEY Chimney B
1CHIMNEYR Chimney Repair B
FENCES
Ak
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
1FLAGPOL>20 Flag pole (over 20 ft in height) B
1 MODUSTRU Modular Structures B
FOUNDATIONS
1FOUNDREP Foundation Repair B
I PILECAST Pile Foundation Cast in place concrete B
1PILEDRIV Pile Foundation Driven (steel, pre- B
stressed concrete
3 of 5
Sam CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
CUPEfZTINO
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
IRETSPIO Special Design, over 10' high (up to B
50'
IRETCRB< Gravity/Crib Wall, 0-1O'high (up to B
50 ft
IRETCRB> Gravity/Crib Wall over 10' high (up to B
50 ft
SIDING
1SIDEST/BK Siding, Stone & Brick Veneer B •
(interior/exterior)
1 SIDEOTHER Siding all other B
SKYLIGHTS
1SKYL<10 SF Skylight less than 10 sf B
1 SKYL>1 OSF 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 sf) B
additional stucco application
4of5
(CD= CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
• CUPERTINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1 WINREP Replacement windows/sliding glass B
door (ea 8 windows)
1WINMEWSTR New Window-structural shear B
wall/masonry (includes plan ck fee
IEPERMITFEE Electrical Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
1 PPERMITFEE Plumbing Permit Fee P
IELCPLNCK Stand Alone Electric Pln Ck (hourly) E
all
IMF 1 MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M
1 PLMPLNCK 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
r 1BSEISMICR Seismic Residential B
/ IBSEISMICO Seismic Commercial B
1TRAVD0C Travel & Documentation B
/ 1BUSLIC Business License B
•
5 of 5
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
dYY" W
P PM
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
: . TOTAL POINTS 40 points
•
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 Resources Energy IAQIHealth
A.Site
1.Recycle Job Site Construction&—Demolition 1
65%=1 point;75%= 2 points;60%=4 points up to 4 Resource pts D
2.Salvage Reusable Building Materials 4 Resource pts y=yes 0
3.Remodel for Mixed Use,Adaptive Reuse,and
Historic Preservation 4 Resource pts y=yes 0
4.Protect Native Soil 2 Resource pts y=yes 0
5.Minimize Disruption of Existing Plants&Trees 1 Resource pt y=yes 0
6.Implement Construction Site Stormwaler Practices 2 Resource pts y=yes 0
7.Protect Water Quality with Landscape Design 2 Resource pts y=yes 0
Design Resource-Efficient Landscapes and Gardens 4 Resource pts y=yes 0
9.Reuse Matedals/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
2.Use Recycled Content Aggregate 2 Resource pts y=yesLLLI
3.Insulate Foundation/Slab before backfill 3 Energy pts y=yes
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 I-Joists for Floors and Ceilings 2 Resource pts y=yes 0
4.Use Web Floor Trusses 2 Resource pts y=yes 0
5.Design Energy Heels on Trusses 6'or more 2 Energy pts y=yes 0
6.Use Finger-Jointed Studs for Vertical Applications 2 Resource pts y=yes 0
7.Use Engineered Studs for Vertical Applications 2 Resource pts y=yes 0
B.Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y=yes 0
9.Use Structural Insulated Panels(SIPs)
a.Floors 3 Energy pts y=yes 0
b.Wall 3 Energy pis 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
X12.Use OSB — ---
a.Subiloors 1 Resource pt y=yes 0
• b.Sheathing _ _ _ _ 1 Resource pt y=yes 0
1 1 1
.Exterior Fms
INPUT Resources Energy IAO/Health
r 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 D
13.Install House Wrap under Siding 1 IAQ/Health pt y=yes 0
14.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 0
1 1 1
E.Plumbing
1.Install Water Heater Jacket 1 Energy pt y=yes 0
2.Insulate 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
14.Replace Toilest with Ultra-Low Flush Toilets
�(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=yes D
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.
B.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 1 1
r.tiecmcar
11.Install Compact Fluorescent Light Bulbs(CFLs)
i(6bulbs_2 points,10 bulbs=3 points,12 bulbs-4 points) i 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. D
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
l1.Install Energy Star Dishwasher V 1 Energy pt y=yes - 0
2.Install Washing Machine with Water and Energy
Conservation Features 1 Energy pt y=yes 0
I3.Install Energy Star Refrigerator I 1 Energy pt y=yes 0
4.Install Built-In Recycling Center 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
j .InstallRecycled-Content,Fiberglass Insulation with
3 -�
Lo Added Formaldehyde - —1 3 IAQ/Heaith pts y=yes 0
4.Use Advanced Infiltration Reduction Practices 2 Energy pts y=yes D
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.t;eNngs 4 Resource pts y=yes 0
1 1
INPUT Resources Energy A011-tealth
I.Windows
1.Install Energy-Efficient Windows
• 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
Energy P Y=Yes 0
2.Install Low Heat Transmission Glazing 1 Energy pt y=yes 0
1 1 1
J.Heating Ventilation and Air Conditioning
(1.Use Duct Mastic on All Duct Joints _ J 2 Energy pts y=yes 0
2.Install Ductwork within Conditioned Space 3 Energy pts y=yes 0
3.Vent Range Hood to the Outside 1 IAQ/Health pt y=yes 0
4.Clean all Ducts Before Occupancy 2 IAQ/Health pts y=yes 0
5.Install Solar Attic Fan 2 Energy pts y=yes 0
6.Install Attic Ventilation Systems 1 Energy pt y=yes 0
7.Install Whole House Fan 4 Energy pts y=yes 0
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 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 p
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 of y=yes 0
b. Install/Replace Dampers 1 Energy of y=yes 0
c.Install Airtight Doors 1 Energy pt y=yes 0
14.Install Zoned,Hydronic Radiant Heating 3 Energy pts y=yes 0
15.Install High Efficiency Filter 4 IAQ/Health pts y=yes 0
16.Install Heat Recovery Ventilation Unit(HRV) 5 IAQ/Health pts y=yes 0
17.Install Separate Garage Exhaust Fan 31AQ/Heallh pts y= as 0
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 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
F6 Select Safe and Durable Roofing Materials_ _ 1 Resource pt y=yes 0
TInstall Radia_Barrier 3 Energy pts y=yesL:j p
L.Natural Heating and Cooling 1 1 1
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 0
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0
1 1 1
•
INPUT ReSDutces Energy 1ADIHeafth
M. ndoor Air ua ity and finishes
J1.Use LowMo-VOC Paint _ _ _ 1 1 IAQMealth pts y=yes 0
2.UseLow VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 •
F3.---— --- — _ P y=y
.3.Use LowMo VOC Adhesives � 3 IAQMeatth is es 0
-- — --- -
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 61AQ/Health pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 0
[7_Seal all Exposed Particleboard or MDF __ 4IAQfHealth pts y=yes 0
B.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 6 Resource pts y=yes 0
2.Use Rapidly Renewable Flooring Matedala 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 R : 0 0 0
eceived •
G:datarprogsrgreenbuildingguidelineshemodelerslgreenpoinislinal2.12.04proteded.xls
•
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408) 777-3333
WUPEkTINO
Building De artment
JOB ADDRESS: PERMIT # C, Q (�� .
6-7-ZS- C I%-9krd 0;.
OWNER'S NAME: L&r `` TOgn n PHONE # 1-168 2 SS- 11T)T
GENERAL CONTRACTO : (aocx_ FAX #
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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
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