08080005 (2) 777
CITY OF CUPERTINO '*,g �y -
BUILDING DIVISION_- ,. PERMIT � - TRAOTTQI2I1�Ik'f?RMATIf1N
BUILDING ADDRESS: PERMR NO.
21831 DOLORE;S AVE: - NULIGHT SOLUTIONS, INC 08080005
OWNER'S NAME: FERMTT MUE DATE
1,1 LJ ALBERT AND PATRICIA 1350 DELL AVE STE 202 08/01/2008
)NE: SANITARY NO. CONTROL NO.
(408) 369-7447
ARCHITECVENGINEER: BUILDING PERMIT INFO
BLDG ELECTPLUMB MECH
0 M 0
o p LICENSED CONfRACIDR'S DECLARATION
1 lmmby affirm Nat 1 an licensed under provisions of Chapter 9(commencing Job Description
wide Section7")ofDivision 3 ofJm Business and Prufessium Code.andmy license is INSTL 2 SUN TUNNLS
n in full force Ind.11B
a •T 8
License Class Lk.X
Dau: O Connacmr
ARCHITECCSD6 R
i1 un icznd my plans shall M used as public mcords
JyU m
g Licensed Professional
3 OWNER-BUILDER DECLARATION
iP I hereby affirm that I am exempt from the COmrseloA Licence Law for dee
20 following m arm.(Section 703 1.5,Business and Profeariom Code:Any city or taunt.
t m which requires a permit to cnnauucL alcor,improve,demolish,nr ropeir any structutc
u a< prim to its issuance.also inquirer the applicant for such permit to rile a signed statement
Nat he is licensed purmumt.the provisions of du Contractors License Law(Chapter 9 Sq.Ft. Floor AreaValuation
s€a (co mmeneingwiNSction7U )dDivision3ofmhe BusinmmdPmfrssi°nscM)"r $1298
E 5- Nat he u exempt therefrom and the basis for the alleged exemption.Any violation of
Section 1031.5 by any applicant fm a permit subjects the applicants o a civil penalty or
ms mart than five hundred dollars(gum. 35714054 .'�(jN Number Occupancy Type
❑1,as owner of the property,°r my employees with wages as their sok compensation,
will do the wart and thestr"clum is notimended or offered forsale(Sec.71166,Business
and Professions Cock The Comware's License Law does tot apply to an owner of Required Inspections
property whobuildsmimpmvm thereon,and who time suchworkhimselfmthrough his
awn employxs,provided that such improvements use not intended orrfferrd for sale.If.
however,Ne building or improvement is mid within one year of completion.the owner-
builder unit Wae the burden of proving that M did rut Wild or improve for purpose of
sale.).
❑1.a Owner of the Property.am exclusively contracting with licensed constructors On
construct dm project(Sec.1066.Business am Professions Code:)The Contractor's Lt.
cense Law does not apply to an owner of property who builds or improm thereon.and _
who contracts for such projects with a eomarctor(s)licensed pursuant a the Contractor's '
License law.
❑lamexemytunder See ,B&PCforthismason
Owner Data
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury arm of the following declarations:
1 have and will maintain a Certificate of Consent to self-insure fm WorlmYsCompcn-
sation,as provided far by Section 3100 of the labor Code,for Ne padom once of Ne _
work for which this Permit is istum.
[D I have and will maintain Worker's Compensation Insurance,as required by Section
3100of IM Tabor Code,for dw pefarmsaw.f Ne work forwilkh this permit is issued. '
` My Worker's Compensation htsuramm canner and Policy number are:
V` Carrier:s4 . pa.-.�JQ Policy No.: f 0 3 S/O=I/_,) p7
I1 CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thu settlor need not M completed if the permitis forone hundred da0an($100)
nr leu)
1 certify Nol in the Performance of Ne work for which this permit is issued.I shall not
employ any person in any manrmrm as to become subject to the Workers Compensation
Laws of California.Data
Applicant
NOTICE TO APPUCAN..If,after making this Cenificam of Exemption,you should
become subject M Ne WohcrS Compensation provisions Of the Leber Cede,you must
.JO foMwilh comply wit such provisions or this permit shall b,deemed marked.
'Z""r CONSTRUCTION LENDING AGENCY
[--m r I Manby aRrm Nat them alt.westmmion lendingfor the Performance of
ai r7 Ne work sur which tins agency
WA I<nder'a Name emit u issued($Oc.7091,Civ.(.'.)
Z) z Lenders Address
U 0 I certify that I have rrad this application and soon Nat the above information is
Ly P corm 1 agree to comply with di city and county a dinemes and sok laws relating a
0 U building construction,and hereby anthmixe mpesenmivea of Nu city to enter upon Ne
W awns-mentioned property for inspection purpows.
gy (We)agree to save,indemnify and keep hamOmn the City of Cupertino against '.
ern y liabilidm.ludgmcnu,casumdexpw whichmsyinanywayacmueagainstsam City
f,Z in consequence,uce of the granting of Nu permit.
APPLICAUNDERRS ANDS AND COMPLY WITH ALL NON-POINT Issued by:ON 9 Date
Re-roofs /
Signa of Applian onDOU pram ✓
S MATERIALS DISCLOSURE Type of Roof
Wi
HAZARDOUS
Ilan a Cupertino
or forum Wilding mupant store 9.1 orandthandle Health
material
az&filledSuch..
. the Cupertino Municipal Codc.Chapter 9.12,and circ HnIN and Safety
Code.Section 25572(x)?
❑y }� All roofs shall be inspected prior to any roofing material being installed.
Will thea applicant or building If a roof is installed without first obtainingan inspection,I agree to remove
pp g occupant use equipment Qu or devices which P g
.it ha'rardnus air contaminants az defined by the Bay Arca Air Quality Management all new materials for inspection.
District? '
❑Ya 8z?
I have mal the heardd—materials oquimmcnts under Chapter 6.95 of Ne Califor-
nia Health&Safety Cade,Sectirus 25505.25533 and 25536.1 undersuntl tet iftho building
does notcurmm,bacamnan�Natou .1.1.yto ydm acupanr of Ne
mqui ntswh' mmtM araancea Ctirm OaPanry. Signature of Applicant Date
0wmr autbodred agent _ Dole o All roof coverings to be Class r%?.a'or better
CITY OF CUPERTINO
• 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Elk: Lot:
APN . . . . . . . . : 35714054 . 00
DATE ISSUED. . . . . . . : 08/01/2008,
RECEIPT # . . . . . . . . . : BS000005658
REFERENCE ID # . . . : 08080005
SITE ADDRESS . . . . . : 21831 DOLORES AVE
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO -
IMPACT AREA . . . . . . .
OWNER LIU ALBERT AND PATRICIA
ADDRESS . . . . . . . . . . : 21831 DOLORES AVE
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2801
RECEIVED FROM . . . . : MARK E EDWARDS
CONTRACTOR . . . . . . . : MARK EDWARDS LIC # 26128
COMPANY . . . . . . . . . . : NULIGHT SOLUTIONS, INC
ADDRESS . . . . . . . . . . : 1350 DELL AVE STE 202
CITY/STATE/ZIP . . . : CAMPBELL, CA 95008
TELEPHONE . . . . . . . . : (408) 369-7447
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
-- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 1, 298 . 00 0 . 50 0 . 00 0 . 50 0 . 00
].SKYL<10SF EACH 1 . 00 367 . 00 0 . 00 367 . 00 0 . 00
1TRAVDOC FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 408 . 29 0 . 00 408 . 29 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 408 . 29 VISA
---------------
TOTAL RECEIPT 408. 29 , -
•
CITY OF CUPERTINO
C1 Y CUPEkl iNO GENERAL BUILDING
PERMIT APPLICATION FORM
APN # 05, 7 410 Date:
Building Address: 0 U
,'� / 9 3/ a, 9 ���
Mailing Address (if different from building address):
Ow Name: Phone#:
Contracor: Phone:
51ve - 96 S - 7ysi7
Fax: YAP 3-7D — 3� f'3
Contractor License#: g o? V j7
Cupertino Business License #: R 6G a
Contact:-7Phone: g
G2 ° - � f
• Fax: 940 3?0 — 7S
Residential Commercial
Job Description:
Building Permit Info:
Bldg [9///
Elect ❑ Plumb ❑ Mech ❑
Type of Construction (Usage Class): Occupancy Type:
1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV-HT, V-B
Valuation: I'd 9 p _ Square Footage:
Project Size: Ex ress E --Standard ❑ Large ❑ 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.buflditlzreen.org
Revised 7/01/08
CITY OF CUPERTINO
P10F
CUPEkTINO GENERAL BUILDING
PERMIT APPLICATION FORM
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
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 sys over 100,000 Btu/h
1BBOILER3 Install ation/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
1BBOILER4 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
I BBOILER5 Installation/relocation of ea boiler or M
refrigeration compressor over 50
horsepower, or ea absorption sys over
1,750,000 Btu/h
1 BAPPLOTH 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.
IELECINSP Other Electrical Inspections (per hour) E
IMECHINSP Other Mechanical Inspections (per M
hour)
IPLMBINSP Other Plumbing & Gas Inspections P
(per hour
1MEETINGIHR Application Meeting. B •
CIcCITY OF CUPERTINO
CUP TYOf O GENERAL BUILDING APPLICATION
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
ACOUSTICAL
REVIEW
IACOUSFDW SFDWL/Duplex New B
IACOUSRESAD SFDWL/Duplex-Addition/Alteration B
IACOUSCOM Multi-Family/Commercial B
CHIMNEY'S
1 CHIMNEY Chimney B
1 CHIMNEYR Chimney Repair B
FENCES
Alk
1 FENCE>6FT Non-masonry, over 6 ft in height B
1 FENCEMAS>6 Masonry, over 6 ft in height B
FIREPLACES
1FIREPLMAS Fireplace Masonry B
1FIREPLFAB Fireplace Pre-Fabricated/Metal B
1 FLAGPOL>20 Flag pole (over 20 ft in height) B
1MODUSTRU Modular Structures B
FOUNDATIONS
1FOUNDREP Foundation Repair B
1PILECAST Pile Foundation Cast in place concrete B
I PILEDRIV Pile Foundation Driven (steel,pre- B
stressed concrete
3 of 5
SIMI- CITY OF CUPERTINO ,
Carr of GENERAL BUILDING APPLICATION
CUPEi�TINO
FEESCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
RETAINING
WALL(CONCRETE
OR MASONRY
1 RETSTN Standard (up to 50 ft) B
1RETSP310 Special Design, 3-10' high (up to 50 `) B
1RETSP10 Special Design, over 10' high (up to B
50')
1RETCRB< Gravity/Crib Wall, 0-10'high (up to B
50 ft)
1RETCRB> Gravity/Crib Wall over 10' high (up to B
50 ft)
SHED-(EACH) Shed Over 120 sq ft B •
SIDING
1 SIDEST/BK Siding, Stone& Brick Veneer B
(interior/exterior
1 SIDEOTHER Siding all other B
SKYLIGHTS
ISKYL<10 SF Skylight less than 10 sf B
1 SKYL>10SF 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
I SRACKS>8 Storage Racks over 8' high (up to 100 B
st)
•
4of5
SCITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
CUPEI�TINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1STUCOAP Stucco Applications (up to 400 sf) B
additional stucco application
1 WINREP Replacement windows/sliding glass B
door (ea 8 windows)
1 WINMEWSTR New Window-structural shear B
wall/masonry includes plan ck"fee
1 EPERMITFEE Electrical Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
1 PPERMITFEE Plumbing Permit Fee P
1 ELCPLNCK Stand Alone Electric Pln Ck (hourly) E
1MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M
1PLMBLNCK 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
/ IBSEISMICR Seismic Residential B
1BSEISMICO Seismic Commercial B
1TRAVDOC Travel & Documentation B
IRV
IBUSLIC Business License B
5of5
Green Building Plan Check
Index of Green Building Points/Categories
Category Example of an Index or Table of Green Plan Sheet or Page Points
Building Points Categories that must be
shown and referenced on the Project
Plans See below
B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 2 points
11. Permeable Paving, Note L-1 2 oints
C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 points
D. Structural 3. Uses Wood IJoist, (See Spec.) S-2 2 paints
S. Use Truss with heels, (detail) 3-2 2 points
6. B. OSB Sheathing, detail S-2 2 tints
E. Ext. Finish 1. Composite Decking, (Note/Spec.) A3 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 paints
H. Appliances 1. Energy Star Dishwasher, (Note/Spec.) A3 1 point
3. Energy Star Refrigerator, (No te/S ec. A3 1 point
P. Other 1 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 Paints 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.Site
1.Recycle Job Site Construction&Demolition Waste
i 65%=1 point;75%= 2'points;60%=4 points up to 4 Resource pts 0
'2.Salvage Reusable Building Matedals _ I 4 Resource pts y=yes D
3.Remodel for Mixed Use,Adaptive Reuse,and
Historic Preservation 4 Resource pts y=yes D
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
Ie.Design Resource•Efficient Landscapes and Ga dens 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 D
11.Provide for On-Site Water Catchment/Retention 2 Resource pis y=yesl 0
1 1 i
B.Foundation
1.incorporate Recycled Flyashin Concrete
. 25%Recycled Flyash=2 points;Add 1 point for every 10%
increase of flyash,up to 5 points up to 5 Resource pts D
2.Use Recycled Content Aggregate 2 Resource pts y=yes D
3.Insulate Foundation/Slab before backfill 3 Energy pts y=yes 0
1 1 1
C.Structural Frame
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
6.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 p
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
b.Sheathing 1 Resource pt y=yes 0
• 1Resource pt y=yes 0
1 ! 1
D.Exterior Finis
1.Use Sustainable backing 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/Atsenic 1 IAQ/Health pt y=yes 0
,3.Install House Wrap under Siding 1 IAQ/Health pt y=yes 0
i4.Use Fiber-Cement Siding Materials 1 Resource pt yeses 0
E.Plumbing
Install Water Heater Jacket _ _ 1 Energy pt Y--yes 0
2.Insulate Hol and Coid Water Pipes 2 Energy pts y=yes 0
�3.Retrofit all Faucets and Showarheads 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. D
�4.Replace Toiled with Ultra-Low Rush 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--yas 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 y=yes D
! 1 1
r.tiecmcai
11.Install Compact Fluorescent Light Bulbs(CFLs)
1(6 bulbs=2 points,10 bulbs=3 points,12 bulbs=4 points) Up to 4 Energy pts. 0
2.Install IC-AT Recessed Fixtures with CFLs(1 point each,up to •
5 points) Up to 5 Energy pts. 0
3.Install Lighting Controls(1 point per fixture,up to 4 points) Up to 4 Energy pts. 0
4.Install High Efficiency Ceiling Fans with CFLs
(1 point each,up to 4 points) Up to 4 Energy pts. 0
1 1 1
G.Appliances
1.Install Energy Star Dishwasher j 1 Energy pt y=yes 0
I2.Install Washing Machine with Water and Energy
Conservation Features 1 Energy pt y=yes D
13.lnstall Energy Star Refrigerator 1 Energy pt y=yes 0
14.Install Built-In Recycling Center 3 Resource pts y=yes D
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 CraW Space 4 Energy pts y=yes 0
19.Install Recycled-Content,Fiberglass Insulation with
IND 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 C •
6.Alternative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y=yes 0
D.Uemngs 4 Resource pts y=yes 0
1 1
Rim
I.Windows
1.Install Energy-Efficient Windows
a.Double-Paned 1 Energy pt y=yes D
to.Low-Emissivity(Low-E) 2 Energy pts Y--yes D
c.Low.Conductivity Frames 2 Energy pts yryes D
2,Install Low Heat Transmission Glaiing 1 Energy pt y=yes D
1 ! f
J.Heating Ventilation and Air Conditioning
1.Use Duct Mastic on All Duct Joints _ _ _ 2 Energy pts y=yes D
2.Install Ductwork within Conditioned Space 3 Energy pts y=yes 0
3.Vent Range Hood to the Outside 1 IAQ/Health pt y=yes 0
4.Clean all Ducts Before Occupancy 2 IAQ/Health pts y=yes 7
0
5.Install Solar Attic Fan 2 Energy pts y=yes D
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 IAQ/Health pts y=yes 0
b.Water Heaters 3 IAQ/Health pts y=yes 0
9.Replace Wall-Mounted Electric and Gas Heaters with
Through-the-Wall Heat Pumps 3 Energy pts y=yes 0
10.Install 13 SEER/11 EER or higher AC with a TXV 3 Energy pts Y--yes 0
11.Install AC with Non-HCFC Refrigerants 2 Resource pts y=yes 0
12,Install 90%Annual Fuel Utilization Efficiency(AFUE)Furnace 2 Energy pts y=yes D
13.Retrofit Wood Burning Fireplaces
• a.Install EPA certified wood stoves4nserts 1 IAQ/Health pt- y--yes 0
b. Install/Replace Dampers 1 Energy pt y=yes D
c.Install Airtight Doors 1 Energy pt y=yes D
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 IAQfHealth pts y=yes 0
17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y=yes 0
1 1 1
K.Renewable Energy and Roofing IN
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.Pro-Wire for Future Photovoltaic(PV)Installation 4 Energy pts y=yes 0
4. Install Photovoltaic(PV)System 7
(1.2 kw=6 points,2.4 kw=12 points,3.6 kw=18 points) Up to 18 Energy pts 0
6.Select Safe and Durable Roofing Materials_ - _ 1 Resource pt y=yes D
T Install Radiant Barrier - 3 Energy pts y=yes 0
• 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 0
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0
1 1 1
•
M.Indoor Air Quality and Finishes .
1.Use LDw/No-VOC Paint 1 IAQ/Health pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes D
3:Use LowMo VOC Adhesives 3 IAQ/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 61AO/Health pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 0
J.Seal all Exposed Particleboard or MDF 4 IAQ/Healthpts y=yes 0
S.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes D
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
e e e
N.Flooring
1.Select FSC Certified Wood Flooring 6 Resource pts y=yesD
Use Rapidly Renewable Flooring Materials 4 Resource pts y=yes 0
3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0
4.Install Natural Linoleum in Place of Vinyl 5 IAQ/Health pts y--yes 0
5.Use Exposed Concrete as Finished Floor 4 Resource pts y--yes 0
6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0
1 e P
Total Points A 1 1401 130 57
Total Points Project Received: 01 01 0 •
G:dataiprwsrgmenbuildnoguidelineslremodele.s/greenpointsf na121204pmleded.)ds
•
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
WUPERTINO
Building Department
JOB ADDRESS:�I 3/ n /J PERMIT # 0'T U r/]v-eo
0
OWNER'S NAME: �itJ1 c ` ~2 PHONE # 5 88— '367--
GENERAL
67-GENERAL CONTRACTOR: FAX # P� "? 7 rD ^3 -79-P
I am not using any subcontractors: J�
Signature Date
Please check applicable subcontract s and com lete the folUlowingg 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
Sheet Rock
Tile
Owner/Con ac or tgna e Date