08020075 (2) CITY OF CUPERTINO i)%0 �+ w'•;' [ �� '° �" -
BUICOINC DIVISION PERMIT R„h,CCU,„NTl2A4ITORXN£T',y. A'>�7f1
Bu1Lo1BfG3D32R�CRESTON DR BART & IRIS GACH 08020075
ER'S NAME: • PERMIT ISiUEDATE
BART & IRIS GACH 10332 CRESTON DR 02/12/2008
PHONE: SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB • MECH
I= C 0 I=
"GS LICENSED CONTRACTOR'S DECLARATION
rdJob Description U F I hereby affirm that I are licensed under provisions of Chapter 9(commencingp
Xy witS«don?000)aroividon3ofthe Business and ProfemomCode,and mylicense is RMDL KTCHN,UPDT CENTS, INSTL GFCI, SHTROCK
5;? LicenIse llaavdeffCe1 Lk.a REEPR,REPLC APPLNC
1;- Date Contractor
ARCHITECTS DECLARATION
I understand my plans Nall be used as public records
u
yc Licensed Professional
OWNER-BUILDER DECLARATION
i< I hereby affirm that I am exempt from the Canuanoos License Law for the
is p O O following reason.(Section 7031.5,Business and Professions Code:Any city or county
re$fs which requires a permit to construct,alter,improve,demolish.or repair any soon=
_zi poor to its issuance,also requires the applicant for such permit to file a signed statement
#P'< that he Ls icensedpumion7 )provisionsofdnConuiness ndProfLaw(Chapter9 Sq.Ft, Floor Area Valuation
(commencing with Section 7000)of Division 3ofthe BusinessandProfessionsCode)or $30000
e R 3 that he is exempt therefrom and the basis for the illegal exemption.Any on of
Section 7031.5 by any applicant fora permit subjects the applicant to a civill penalty of �.p�7 Number Occu ane T
not mom than five hundred dollars 0500). 32637042 :CU- p y ype
0 I.as owner of the property,or my employees wish wages as Neo sole compensation.
will do the work,and the structure is not intended or offered for ale(Sec.7014.Bath=
and Profession{Code:Tb Contractale License Law dam not apply to an owner of Required Inspections
property who buiidset improves thereon,and who does such work himself or through Ms
own employees,provided that such improvements are not intended oroffered for sale,IL •
however,the building or Improvement Is sold within ane year of completion,the owner-
builder will have the burden of proving that he did not build or improve for purpose of
sale.). SAN rT _ ^ RY
cense
as Law does
not
aply to a am eacofmoYcontractinguidio Deemed contractors to ///,,,��� Q _
construct the fororsu(Sec.ro 7044.csBusiness aont and contractor
s)licensed
Code:)The thenmmrac U. ��IIILJII'const uctt dna jec eppy m anBuses and Pr who builds de:TheCo thmor,an.
who contracts such projects with a=nuacmr(s) Pwsuant to Contractor's
0Liense Iamlaw.
❑Iron exempt/oda Sec// B&PCf dna reason
•
w -UA 1. 1 Dale
• WORK SCO PENSATION DECLARATION •
I hereby'firm under penalty of perjury one of the following declarations:
0 I ham and will maintain a Certifieas of Consent to self-Inver faworkerb Compen-
sation,as provided for by Section 3700 of the labor Code,far the performance of the
work for which this permit is issued.
• 0 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 lamed. '
My Worker's Compensation durance carrier and Policy number ate: •
Carrier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section need not be completed If the permit Is for one hundred dollen(5100)
or less) ,
•
I certify that in the perfonnancr of the work for which this permit is Issued.I shall not
employ anyperson in any manner sits tri pe_ono y�ylecuo the Workers'Compensation •
Laws of Califomi Dam 1- / c m X
Applicant `` 4'4~40 i-d•G�
NOTICE TO,APPLICANT .eller making this Certificate of Exemption,you should
become subject to the Worker'sCompensidon provisions of the Labor Code,you must
wZ forthwith comply with such provisions or this permit shall be deemed revoked. '
Z O CONSTRUCTION LENDING AGENCY •
(-u,....ti I hereby affirm that Nen u a consucOnn lending agency for the performs=of ,
1 CC w''' t e work for which this permit Is issued(Sec.3097.Civ.C.) •
fgi�6 Lenders Name ,
0Z Lender's Address
U O I certify that I have read this application and sum that the above Information is
rL correct.1 agree to comply with all city and county ordinances and stale laws elating to
•
-0 CSJ' buildingconstruction.and hereby authorize representatives of this city to enter upon the •
above-mentioned property for inspection purposes ,
'L7, (We)agree to save,indemnify and keep harmless the City of Cupertino against
h liabilities.judgments.cons and expenses which may In any way accrue against said City I �I�
oz in consequence of the granting of this pmmit. r'1
r APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: ' / S.Alto Date 2— I ,x..25?/
SOURCIpREGUL NN5. J ,, r '
n�(.(,fm, et ten' !i/f7/0'r' Re-roofs /
Signature of Appl' on factor Dam (v •
V HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or future building occupant sem or handle hazardous material
as defined by the Cupertino Municipal Code.Chapter 9.11 and the Health and Safety
a nn 25532(4)7 es �a All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future building occupant use equipmentor deviceswhich If a roof is installed without first obtaining an inspection,Degree to remove
emit ha ardoss air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection.
District? �
❑Yes Lia
I have read the hnaNws materials requirements under Chapter 695 of the Califor.
niaHealth&ssfetycode.Sections 25505,15533 and 25534.1 understand tharifde building
deer not currently haw a lenans that It is my nubility m notify the=imam or the
ngermmewdehmuatrmeyparm ra= r,Certificateof Occupancy. Signature of Applicant Date
Li'.c.-, �./� L'
Owner or authorized agent�/, Date All roof coverings to be Class"B”or better
® CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # : 1
Sec: Twp: Rug: Sub: Blk: Lot:
APN • 32637042 . 00
DATE ISSUED • 02/12/2008
RECEIPT # • BS000003923
REFERENCE ID # . . . : 08020075
SITE ADDRESS • 10332 CRESTON DR
SUBDIVISION
CITY • CUPERTINO
IMPACT AREA
OWNER • BART & IRIS GACH
ADDRESS • 10332 CRESTON DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM • BART B GACH
CONTRACTOR LIC # *OWNER*
COMPANY • BART & IRIS GACH
ADDRESS • 10332 CRESTON DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
• TELEPHONE
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
1BSEISMICR VALUATION 30, 000. 00 3 .00 0.00 3 . 00 0. 00
1REMRESKIT SQ FEET 1. 00 449 . 00 0. 00 449 . 00 0. 00
1STPLNCK HOURS 1. 00 122 . 00 0. 00 122 . 00 0 . 00
TOTAL PERMIT : 574 . 00 0. 00 574 .00 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
CHECK 574 . 00 #2076
TOTAL RECEIPT : 574 . 00
c2O 0075
� CITY OF CUPERTINO
ADDITION/REMODEL
CUPERTWO PERMIT APPLICATION FORM
APN# Date:
2AP x ,37- 01-17 e Ov 2-
Building Address:
}O3'99, 6aSI-tn 2. (Ilae. (-167)ly
Mailing Address (if different from building address):
Owner's Name: _ Phone# :
( w{ji A/oil- 7Z° 02C-
Contractor: ,
2C
Contractor: Phone#: c f6 y - 7Zd �S'074
k kwYLC CLoiter
Fax #:
Contractor License #: N � 4-
Cupertino Business License#:
Contact: 'a 0-I- (4,-L f`5 6 -h Phone#: -7;t.()
Fax #:
Building Permit Info:CPI)PI) /c-}-r re w+v 01,4 —or, -t'Jruc lrc/1
•Bldg. li Elect. Ri Plumb. ❑r Mech. ❑ Hillside ❑
Job Description:
Addition (adding sq footage):
What is being remodeled? lk.,(2 c{t+tyt_ K; Itlteji (fah iK,ck.
}rlstectli� ,S f Far
-5 Luta S air
�ia f , pi•
Remodel Includes Re-Roof: Yes ❑ No If yes list number of squares
Remodel Includes Structural: Yes ❑ No
Square Footage:
Addition: Porch: Deck: Garage: Detached Attached
C
Remodel: Kitchen Or t5'D Bath Other
Type of Construction (Usage Class): LA,e Kitt, Occupancy Type:,gr/ / /7G./ 4-
1 FR, 11FR ❑ 11, 111, V-1HR ❑ 11, 111, 1V V-N ❑
Valuation: j 3G CCD Please check this box if the project is a
second-story addition ❑
"'Green Building Check list must be completed and Green Building Points Achieved: lQ
attached to the plans.
***For Office Use Only***
Over-the-Counter ❑
CITY OF CUPERTINO
ADDITION/REMODEL
•
CUI%.IINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
ADDITIONS 1R3SFDADD
PLLONGRNGR Long Range PL
Planning/Residential
1R3INSP Dwellings Inspections B
1R3PLNCK Dwellings plan check B
1R3REPINSP Dwellings Repeat. B
Inspection
1R3REPPLNC Dwellings Repeat Plan B
Check
1R3HINSP Dwellings Hillside B
inspection
1R3HPLNCK Dwellings Hillside B
_Plan check •
1R3HREINSP Dwellings Hillside B
Repeat Inspection
1R3HREPLNC Dwellings Hillside B
Repeat Plan Check
1R3ALTINSP Dwellings Alternate B
Materials Inspection
1R3ALTPLNC ' Dwellings Alternate B
Materials Plan Check
1PCESS Cesspool P
1PPRSEWG Ea. Private Sewage P
Disposal System
1PRSEWER Sewers P
1BPSPRINK Lawn P
Sprinkler/Backflow
1BPWSVCS Main Water Service P
1BSEISMICRE SeismicResidential B
DECKS 1R3SFDADD OR
1R3SFDREM •
1DECKWOOD Deck (Wood)-Each B
(Each)
1DECKRAIL Deck Railing-Each B
(Each)
. . . . CITY OF CUPERTINO
® ADDITON/REMODEL
FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
GARAGES 1R3SFDADD OR
1R3SFDREM
1GARDTW<=1K Wood Frame up to B
1,000 SF
1GARDTM<=1K Masonry up to 1,000 B
SF
BCONSTAXR Construction Tax Res
(new detached garage)
PATIO'S OPEN 1R3SFDADD OR
1R3SFDREM
1PATIOWOOD Wood Frame up to 300 B
SF
1PATIOMETAL Metal Frame up to 300 B
SF
1PATIOOTHER Other Frame up to 300 B
SF
® PATIO'S CLOSED 1R3SFDADD OR
1R3SFDREM
1PATIOENCLW Enclosed Wood up to B
300 SF
1PATIOENCLM Enclosed Metal up to B
300 SF
1PATIOENCLO Other Enclosed Patio B
up to 300 SF
1COVPORCH Porch Covered-Each B
(Each)
1REROOFRES Residential Re-roof B
Each 100 SF
REMODELS 1R3SFDREM
1REMRESKTT Kitchen Remodel up to B (Deduct "$"for ea plan
300 SF
check)
1REMRESBAT Bath Remodel up to B «
300 SF
1REMREOTH Other Remodel up to B "
300 SF
• REMODEL PLNCK
j 1 STPLNCK(1-3 for Standard Plan Check B NOT FOR OVER THE
remodel) COUNTER PLAN CKS.
3of3
CITY OF CUPERTINO
ADDITON/REMODEL
FEE SCHEDULE •
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
WINDOW/SLIDING 1R3SFDREM
GLASS DOOR
1 WINREP Replacement windows B
(ea 8 windows)
1WINNEWNSTR New Window (non- B
structural)
1WINMEWSTR New Window B
(Structural Shear
Wall/Masonry)
1 WINBAYSTR Bay Window B
(Structural)
SKYLIGHTS 1R3SFDREM
1 SKYL<10 SF Skylight less than 10 sf B
1 SKYL>10SF Skylight greater than B,
10 sf or structural
1STAIRS Stairs-first flight/ea B
addt'l
1BUSLIC Business License, B
•
•
4 of 3
OWNER-BUILDER VERIFICATION
• 1. (Check one) I or my immediate family (parent, spouse or child) will perform:
A. ✓r All the work authorized by this permit
B. A portion of the work
C. None of the work
If B or C is checked, complete 2 or 3 below.
2. A state licensed contractor will be hired to do:
A. _ All of the work
B. _ A portion of the work (complete section below)
Contractor Address/City ' Phone # State License # Type of work to
be performed
• 3. _ I will utilize unlicensed person(s) other than my immediate family to perform all or
portions of the authorized work. I understand that I may be an employer (see reverse side). A
Certificate of Insurance covering workers' compensation must be on file at the City of
Cupertino Building Department office.
Person/Firm Address/City Phone Number Type of work to be
performed
I declare under penalty of perjury that the above is true and correct. I have read and understand the
Owner-Builder Information (reverse side). �1 /
Property Owner's Signature: J_)f_L /� Date: ����/`t
Job Address: f 03.3.2 6U,Slow i 72 i. (co Permit#
Any changes to the information provided on this form shall be submitted to the City of Cupertino Build
®
Department.
City of Cupertino Building Department II
CITY OF 10300 Torre Avenue
CU P E ILT I N O Phone: (408) 777-3228
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
the property improvements specified.
For your protection you should be aware that as owner-builder you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are
personally performing their own work. If your work is being performed by someone other than yourself,you
may protect yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all
permits for which they apply.
If you plan to do your own work,with the exception of various trades that you plan to subcontract,you
should be aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work
(including materials and other costs) is$200 or more for the entire project,and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
If you are an employer,you must register with the state and federal government as an employer and
you are subject to several obligations including state and federal income tax withholding,federal social •
security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation
contributions.
There may be financial risks for you if you do not carry out these obligations,and these risks are
especially serious with respect to workers' compensation insurance.
For more specific information about your obligations under federal law,contact the Internal Revenue
Service (and,if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees,without a licensed contractor or
subcontractor,only under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an owner-builder
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing
their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License
Board in your community or at 1020 N Street,Sacramento,California 95814.
Please complete and return the enclosed owner-builder verification form so that we can confirm that
you are aware of these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
Building Department,
City of Cupertino •
Printed on Recycled Paper
� t r
t* " af4d � KW�dYf “ 'P a + r •: `SA, "
A ' MYha % rOratf
✓ 1�
r your room on the grid below. Keep in mind that each large square equals one foot and each small square equals three inches -
ire to note the locations of doors,windows, electrical outlets, plumbing fixtures,ventilation, and major appliances.
0' 1' 2' 3' 4' 5' 6' 7' 8' 9' 10' 11' 12' 13' '
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we you return this guide to your Lowe's Kitchen Specialist, remember to: •
•
swer all questions and provide all measurements 0 Double-check all measurements in your floor plan drawin;
curately measure the room,noting door and window locations 0 Include photos of the existing room 7
eck-off appliances and provide dimensions 0 Make copies of everything for your records ttp
nandoah Cabinetry:. Kitchen Planning Guide �V•
0
11
00
'ois
FEB 12 Zrn, D00
••
•
• • • i
.
• 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 [AG/Health
A.Sita l L,33:;) Cate s kn OA. tujp (. 1' .
1..Recycle Job Site Construction&Demolition Waste '5,:i...:, i N
65%=1 point;75%= 2 points{80%=4 points Y • up to 4 Resource pts_ 0 �
•
2.Salvage Reusable Building Materials 4 Resource pts' y=yes- 0 <;'/�l
3.Remodel for Mixed Use,Adaptive Reuse,and
Historic Preservation 4 Resource pts y=yes 0 z `
4.Protect Native Soil 2 Resource pts y=yes 0 CS >
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 c2'
7.Protect Water Quality with Landscape Design 2 Resource pts y=yes- 0 G
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
• 0 0 0
B.Foundation
1.Incorporate Recycled Flyash in Concrete
25%Recycled Flyash=2 points;Add 1 point for every 10% Fah 1 2 z:
increase of flyash,up to 5 points up to 5 Resource pts ; 3`4T 0 •
2.Use Recycled Content Aggregate 2 Resource pts y=yes_ ` ^0
. 3.Insulate Foundation/Slab before backfill
3 Energy ptsy=yes
0
0 0 0
C.Structural Frame
1.Substitute Solid Sawn Lu itie?wild"!Enginee'r`ed 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 i
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
c.Roof 3 Energy pts y=yes 0
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 Resource pt y=yes •
0
•
0 0 0
INPUT Resources Energy IAO/Health
D. -r or ms •
1.Use Sustainable Decking Materials
a.Recycled content 3 Resource pts y=yes- 0
b.PSC Certified Wood 3 Resource pts y=yes- 0
2.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAD/Health pt y=yes_ _ 0
3.Install House Wrap under Siding 1 IAD/Health pt y=yes- 0
4.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 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 Tallest 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 IAD/Health pt y=yes 0
• 6.Convert Gas to Tankless Water Heater 4-Energy pta y=yes 0
7.Install Water,Filtration Units at Faucets
(2 points each,up to 4 points) Up to 4 IAD/Health pts. 0
6.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
U U U
r.Clecurcal
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 y=yes_ 0
U U U
H.Insulation
1.Upgrade Insulation to Exceed Title 24 Requirements
a.Wails 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 IAD/Health pts y=yes 0 •
4.Use Advanced Infiltration Reduction Practices 2 Energy pts y=yes 0
5.Use Cellulose Insulation •
a.Walls 4 Resource pts . y=yes 0
b.Ceilings 4 Resource pts y=yes 0
6.Alternative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y=yes 0
o.cemngs 4 Resource pta y=yes 0
0 0 0
•
INPUT Resources Energy IAD/Health
L TTin•owe
• 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 Energy pts y=yes .0
2.Install Low Heat Transmission Glazing 1 Energy pt y=yes 0
0 0 0
J.Heating Ventilation and Air Conditioning
1.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 IAO/Health pt yryes 0
4.Clean all Ducts Before Occupancy 2 IAOMealth 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 3 IAD/Healthpts y=yes 0
b.Water Heaters i 3 lAO/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 SEEM 1 EER or higher AC with a TXV 3 Energy pts yryes 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 yryes b
13.Retrofit Wood Burning Fireplaces
a.Install EPA certified wood stoves/inserts 1 IAO/Hea
th pt y=yes • 0
b. InstalVReplace Dampers 1 Energy pt y=yes 0
c.Install Airtight Doors 1 Energy pt y=yes 0
14.Install Zoned,Hydropic Radiant Heating 3 Energy pts y=yes 0
15.Install High Efficiency Filter 4 IAOMealth 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 IALUHealth 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 I
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 I
(12 kw=6 points,2.4 kw=12 points,3.6 kw=1 B points) Up to 1B Energy pts 0
• 6.Select Safe and Durable Roofing Materials 1 Resource pt y=yes 0
7.Install Radiant Barrier 3 Energypts
y=yes 0
0 0 0
L.Natural Heating and Cooling .
1.Incorporate Passive Solar Heating 5 Energy pts yryes 0
` 2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts y=yps • 0
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0
•
• 0 0 0
•
INPUT Resources Eneryy IAO/Health
n•oor r'ua tyen• 'els es •
1,Use Low/No-VOC Paint 1 IAD/Health pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2IAOMealth pts y=yes 0 .
3.Use Low/No VOC Adhesives 3 IAO/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 o 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/Health 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 IAO/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 IAO/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
Total Points Available: 1401 1301 571 •
Total Points Project Received: 01 01 0
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r your room on the grid below. Keep in mind that each large square equals one foot and each small square equals three inches
ire to note the locations of doors, windows, electrical outlets,plumbing fixtures, ventilation, and major appliances. 1�
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)re you return this guide to your Lowe's Kitchen Specialist, remember to:
swer all questions and provide all measurements 0 Double-check all measurements in your floor plan drawin;
curately measure the room, noting door and window locations 0 Include photos of the existing room •
.eck-off appliances and provide dimensions 0 Make copies of everything for your records
nandoah Cabinetry: Kitchen Planning Guide
0
CommCunityprtino Development
ue
0 Torre Avenue
Telephone(408)777-3228
�UPEI�TINO Fax(408)777-3333
Building Department
JOB ADDRESS PERMIT#
,/o332 l/ivJAO (°: p OcfOtoo 79
OWNER'S NAME: p;44-0, Lzlo hptell PHONE # 1/0 U"710 r c121,
GENERAL CONTRACTOR: FAX #
I am not using any subcontractors: ` .4(n �2 lel/G�:
%nature Date
Please check applicable subcontractors and complete the following information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
Linoleum/ Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving _
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
j Sheet Rock
V Tile
4IL� �/' 2//2/7
Owner/Contractor Signature Date