08080062 (2) CITY OF CU
PERTINO
BUILDING DIVISION PERNUT ,ACO1 Rt`,CTORvNF RMATIaN:
BUILDING ADDRESS: PERMIT N0.
%2008 OAKDELL PL GOFF DEVELOPMENT & DESIGN CO 08080062
OWNER'S NAME: PERNUT ISSUE DATE
!)AVI:D & AMPAN WOODRUFF' 791 E BROKAW RD 08/08/2008
NE SANITARY N0: CONTROL NO.
ARCHI'IEC(ENGINEER: - BUILDING PERMIT INFO
REPLACE EXISTING 150 AMP TO .BLDr e� PLUhe MOECH
30 j LICENSED CONTRACTOR'S DECLARATION MP lob Description E
�
1 hereby anon 1licensed under provisions of Chapter 9(commencing i�
rN anon N .Section 741U)of Divi i a 3 of the Business and Professions Code,tend my license is
=b n full tome usd
Z_ Date—Clow Lie.!
IIF-- Dab Can IECL '
A0.CHITECTS OECLAR
Iundcnu my pWU NdlbuusNU WElic records
w Licensed Professional
y^O OWNER-BUILDER DECLARATION
Contractor's
2�O I hereby.(sect the 1 .Bumps from the Condom, o Licenm Law for the
a o following mason.(Section 71131.5.oconstruct.
B.slice and Pm do..11 Cade:My airy at county
$ which its i ms n permit m cwmucL time impose,demmW,a,repaira sir any omure
_Z�^ prior b its censtae,alsoran mquira Ibu applicant for such actor'm ole a LaN.mmem
ss� that rnanccensud Sectio'bdrc provisions 3the the
bsand Ptmisw(Chapmr9 .Sq.FI. Floor Area Valuation
F$ 'ham a is easing mpt erne,and the
Division 3 of the Business prion.my vi Cade)m
Nat he u esemp'themftaa and tiro Eris for Ne alleged exemption.My violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of APN Number Occupancy Type
non mom Nan five hundred doll.($500).
Cl 1,ss Owner of the property,or my employes with wagon u thehsulo crompewtion,
will do the.&,and lhesuueure is notumnded maRemd forale(Sec.70th.Business Required Inspections
and Professions Code:The Comancmh License Law des mI appy man owneel sur q P
pmpety who builds sur ire prows dmmon.and who dm ouch work himself a through his
own bnployean,provided that such Improvements rte not intended aoRered fmsale.IL
however,the building or Improvement is sold within am Year of completion,the Osman.
cellular MB have the burden of storing Out M did rot htlW or Improve for purpose of
um.).
❑1,a owner of the property,am exclusively contracting with licensed conmena to
construct the pmjee(Sec.7004.Business and Profandons Code)The Cw0.acem's U.
came law dean not apply to an owner of property who bull"or improve thereon,and,
who contracts for such projects with a conuacbKs)licensed Pursuant to the Conuncon's
1.krew Law.
0 lamnemmunder See ,Bl PC for tido moon _
Owner Data
WORKERS COMPENSATION DECLARATION
I hereby affirm under Nulty of perjury,am of the following decl.tions:
I have and will mdnuin aCcrUftab of Conant to self-insure for Workers Campo..
don,an pmvided for by Scotian 3700 of the Labor Code,for the perfamanm of the
work for which this permit is Issued.
❑1 have and will maintain Worker's Compensation Insurance,as unposed ed by Section
3700ofthals1horCada.for the pc Rom aoflhewmkfor which this permit is issued.
as,Worker' Com cod o and Policy number.:
Cartier. 1 V A Policy No.:
CERTIFICATE OF EXEMPTION FROM ERS'
COMPENSATION INSURANCE
(Thu section tad no'W complemd lines Immo is faanc hundred doll.($100)
or lm)
I oenify that in the perform.of the work for which this Permit Is Wood.I Nall am
employ any person in my mannerist as in become subject on the Workers'Compuwtlon
Ian Of Califomia Dau
Applicant
NOTICE TO APPLICANT:If.after making this Certificate of Exemption.you should
become subject in the WorkeYs Compensation provisions of she Lana Code,you man
O forthwith comply wit men provisions or this permit shall andeemed mvnked.
ti CONSTRUCTION LENDING AGENCY
F.s rte. Ihereb,.M.that Nem u a comnutinn lending agency for the performance of
the work far which this permit 4 issued(Son.3DR7.Civ.C.) '
QIsndees Nem
z Lattices Address
V Q 1 certify the I haw read this applicatime and mm that tiro show informadw is
W E cotta I agree to comply with all city and cowry ordinances and sure Ian mlaung b
C) building canwuctian,andhemby mthoria representatives of this city in corer upon the
W aburc-mentioned propcny for InsloNon purposes.
(We)sgme to save.Indemnify and keep hamlw the City of Cupertino against
h Ilabilides,judgments.casts and expenses which may in any way come agalns'said City
U in APPLLIICCANT UNDEequence Of the RSTANDS ROf IND IL COMPLY WITH ALL C P NT Issued by: Date
SOURCE ULAM S. `
o Re-roofs
Signature of IianuC m
H DOUS M DISCLOSURE Type of Roof
Will pplleant uture Wilding acupsumsmre or handle bwrfow materia
nt
as deed by Municipal Code.Chapter 9.13,and the Health and Safety
Cade.Section 255324)7 All roofs shall be inspected prior to any roofing material being installed.
❑Ya 'Ca
Will the applicant or future building occupant um equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
0It hr7 air cmuminsnu u defined by the Bay Ams Air Quaiity Mansgenleat all new materials for inspection.
G
❑ran
I have read the hammous materials o inimmcnuunderChapter6.95ofNe Califor.
nia ilcalth h SafctyCNe,Suctions 25505,25533 and25534.I understand Nn Ethe building
does not currently haw,a mmnL that it is y mrbli y b multi,dm mt Of the
require,r which same n ar.Ccnincamaf Signature of Applicant Date
owner or aaborized age n Dam All roof coverings to be Class'%Q."or better
CITY OF CUPERTINO
• 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: SylviaM
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 32618044 . 00
DATE ISSUED. . . . . . . : 08/08/2008
RECEIPT # . . . . . . . . . : BS000005728
REFERENCE ID # . . . : 08080062
SITE ADDRESS . . . . . : 22008 OAKDELL PL
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : DAVID & AMPAN WOODRUFF
ADDRESS . . . . . . . . . . : 22008 OAKDELL PL
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-1108
RECEIVED FROM . . . . : AMPAN WOODRUFF
CONTRACTOR . . . . . . . : CARY B GOFF LIC # 27214
COMPANY . . . . . . . . . . : GOFF 'DEVELOPMENT & DESIGN CO
ADDRESS . . . . . . . . . . : 791 E BROKAW RD
CITY/STATE/ZIP . . . : SAN JOSE, CA 95112
TELEPHONE . . . . . . . . : (408) 441-8076
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
IBELEC200 METERS 1 . 00 29 .43 0 . 00 29 . 43 0 . 00
1.13SEISMICR VALUATION 500 . 00 0 . 50 0 . 00 0 . 50 0 . 00
IrPERMITFE 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 111 . 51 0 . 00 111 . 51 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 111 . 51 VISA
---------------
TOTAL RECEIPT 111 . 51
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
- ---------------------------- -------- -------------------
103 UFER -304 ROUGH ELECTRICAL
505 FINAL ELECTRICAL
•
' CITY OF CUPERTINO
;Q ADDITION/REMODEL
CUPERTINO PERMIT APPLICATION FORM41 -
APN,3Z b q a) Date:
Building Address:
Ace— CU e rw Com. SOI
Mailing Address (if different from building address):
Owner' . Phone
v 1 Yd b
Contractor: G pF� Q� ILf I` tPhone#: LM
8 GtC� Q 6
7G1I rakAtJ P AGCY 'SAJ� Sb52 Cit 9 ax #: 40 �W7
Contractor License #: —72_7L60)
Cupertino Business License#:
Contact: CAP_y G Phone#:
11 Fax #:
Building Permit lnfo: eP�AC� �S}r� I Sip AMP P&N e—V 4Z 2D L Nm r
Bldg. ❑ Elect. J4 Plumb. ❑ Mech. ❑ Hillside ❑
Job Description:
Addition (adding sq footage):
What is being remodeled (not including addition)?
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
Remodel: Kitchen Bath Other
Type of Construction (Usage Class): Occupancy Type:
1-A, I-B II/III/V-A ❑ IUIII B, IV-HT, V-B �2 3
Valuation: SO0,0� Please check this box if the project is a
second-story addition ❑
Project Size: Express Standard ❑ Large Major ❑
Please complete relevant portion of the Green Building
Ai.Checklist& attach it to the application or if applicable, Green Building Points Achieved: e—
nclude in lan set& the sheet index.
***For Office Use Only***
Over-the-Counter 0 Revised 7/01/08
CITY OF CUPERTINO
al� ADDITION/REMODEL OfCUPI, TINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
ADDITIONS 1R3SFDADD
PLLONGRNGR Long Range PL
PlanningfResidential
1R3INSP Dwellings Inspections B
1R3PLNCK Dwellings plan check B
IR3REPINSP Dwellings Repeat B
Inspection
1 R3REPPLNC Dwellings Repeat Plan B
Check
1R3HINSP Dwellings Hillside B
inspection
1R3HPLNCK Dwellings Hillside plan B
check
1R3HREINSP Dwellings Hillside B
Repeat Inspection
1R3HREPLNC Dwellings Hillside B e
Repeat Plan Check
1 R3ALTINSP Dwellings Alternate B
Materials Inspection
1 R3ALTPLNC Dwellings Alternate B
Materials Plan Check
1PCESS Cesspool P
IPPRSEWG Ea. Private Sewage P
Disposal System
IPRSEWER Sewers P
IBPSPRINK Lawn Sprinkler/Backflow P
IBPWSVCS 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
DETACHED IR3SFDREM
1GARDTW<=1K Wood Frame up to B
1,000 SF (each)
1GARDTM<=1K Masonry up to 1,000 SF B
each
BCONSTAXR Construction Tax Res
(new detachedgarage)
PATIO'S OPEN 1R3SFDADD OR
1R3SFDREM
1 PATIOWOOD Wood Frame up to 300 B
SF
1 PATIOMETAL Metal Frame up to 300 B
SF
1 PATIOOTHER Other Frame up to 300 SF B
PATIO'S CLOSED 1R3SFDADD OR
& SUN ROOMS 1R3SFDREM
1PATIOENCLW Enclosed Wood up to 300 B
SF
1PATIOENCLM Enclosed Metal up to 300 B
SF
I PATIOENCLO Other Enclosed Patio up B
to 300 SF
1COVPORCH Porch Covered-Each B
Each
REMODELS 1R3SFDREM
1 REMRESKIT Kitchen Remodel up to B (Deduct fI"for ea plan
300 SF check
1REMRESBAT Bath Remodel up to 300 B ff
SF
1 REMREOTH Other Remodel up to 300 B
SF
1REMRES2 Remodel Residential B
Greater than 1000 sq ft
IREMRES3 Remodel Residential B
Greater than 2500 sq ft.
3 of 3
CITY OF CUPERTINO
ADDITON/REMODEL
FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
REMODEL PLNCK
ISTPLNCK (1-3 for Standard Plan Check B NOT FOR OVER THE
remodel) COUNTER PLAN CKS.
1REROOFRES Residential Re-roof Each B
100 SF
WINDOW/SLIDING 1R3SFDREM
GLASS DOOR
1WINREP Replacement windows B
ea 8 windows
1WINNEWNSTR New Window (non- B
structural
1 WINMEWSTR New Window (Structural B
Shear Wall/Masonry)
1WINBAYSTR Bay Window (Structural) B
SKYLIGHTS 1R3SFDREM
I SKYL<10 SF Skylight less than 10 sf B
1SKY1>10SF Skylight greater than 10 B
sf or structural
1STAIRS Stairs-first flight/ea addt'l B
1 EPERMITFEE Electrical Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
IPPERMITFEE Plumbing Permit Fee P
1 ELCPLNCK Stand Alone Electric Pln E
Ck (hourly)
1 MECPLNCK Stand Alone Mechanical M
Pln Ck (hourly
1PLMPLNCK Stand Alone Plumbing P
Pln Ck hourl
4 of 3
CITY OF CUPERTINO
ADDITON/REMODEL
• FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
/ 1BSEISMICRE Seismic Residential B
1TRAVDOC Travel & Documentation B
1BUSLIC Business License B
•
5of3
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 as below
B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 2 points
11. Permeable Paving, Note L-1 2 points
C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 points
D. Structural 3. Uses Wood I-Joist, (See Spec.) S-2 2 points
5. Use Truss with heels, (detail) S-2 2 points
6. B. OSB Sheathing, detail S-2 2 points
E. Ext. Finish 1. Composite Decking, (Note/Spec.) A-3 2 points
4. B. Fiber Cement Siding, (Note/Spec. 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 1oint
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
YI
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 AID/Health
to
1.Recycle Job Site Const action&Demolition Waste
65%=1 point;75%= 2 points;80%=4 points up to 4 Resource pts 0
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 of y=yes 0
6.Implement Construction Site Stonnwater Practices 2 Resource pts y=yes 0
7.Protect Water Quality with Landscape Design 2 Resource pts y=yes D
8.Design Resource-Efficient Landscapes and Gardens 4 Resource pts y=yes D
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 pis 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 D
2.Use Recycled Content Aggregate 2 Resource pts y=yes 0
3.Insulate Foundation/Slab before backfill 3 Energy pts y=yes 0
1 1 1
C.Structural Frame
1.Substitute Solid Sawn Lumber with Engineered Lumber J 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 pis 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
Use OSB
- — — — —
r.a.Subfloors 1 Resource of y=yes 0
L b.Sheathing 1 Resource of y=yes D
INPUT Re�Durces Energy AQhAeallh
. xter cr 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 Chromium Arsenic 1 IAO/Health pt y=yes 0
3.Install House Wrap under Siding 1 IAO/Health pt y=yes 0
4.Use Fiber-Cement Siding Materials 1 Resource pt yryes 0
1 1 1
E.Plumbing
1.Install Water Heater Jacket 1 Energy of 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 Toilast 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 IAO/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 IAO/Health pts. 0
6.Install On-Demand Hot Water Circulation Pump 4 Resource pts y--yes 0
r.ciscrncal
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 e
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 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
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 IAO/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
c.ustungs 4 Resource pts y=yes 0
INPUT Resources Energy IAD/Health
mows
It.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.- --
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 7 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
S.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 31AQ/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 0
13.Retrofit Wood Burning Fireplaces
a.Install EPA certified wood stovestinserts 1 IAQ/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 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 3 IAQ/Health pts y=yes 0
1 1 1
K.Renewable Energy and Roofing
1.Pre-Plumb for Solar Water Heating 4 Energy pts y=yes 0
2.Install Solar Water Heating System 10 Energy pts y=yes 0
3.Pre-Wire for Future Photovoltaic(PV)Installation 4 Energy pts y=yes 0
4.Install Photovoltaic(PV)System
(1.2 kw=6 points,2.4 kw=12 points,3.6 kw=18 points) . Up to 18 Energy pts 0
6.Select Sate and Durable Roofing Matenals 1 Resource pt y=yes 0
7.InstallRadiant Barrier — 3 Energy pts y=yes 0
1 1 1
L.Natural Heating and Cooling
1.Incorporate Passive Solar Heating 5 Energy pts y=yes 0
2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts y=yes 0
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0
1 1 1
•
. n oor a ue Ity en n s es I
1.Use Low/ND-VOC Paint 1 IAQ/Health pts y=yes 0 '
2.Use Low VOC,Water-Based Wood Finishes 2 IAO/Health pts y=yes 0 S
3.Use Low/No VOC Adhesives 3 IAQ/Heatth 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 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 4 IAQ/Health pts 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 IAO/Health pis y--yes 0
I 1 1
N.Flooring
1.Select FSC Certified Wood Flooring 8 Resource pts y=yes 0
2.Use Rapidity Renewable Flooring Materials 4 Resource pis 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
S.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 1 0
1 1
Total Points Available: 1 1401 130 57
Total Points Project Received: 1 0 0 0
G:datarprops/greenbulldingguidelines mmodelersrgreenpdnlsfine121204pvwed.ds
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408) 777-3333
4JUPEI�TINO
Building De artment
JOB ADDRESS: PERMIT #
290 �)\ O dk 00 6v
OWNER'S NAME: a ( !0d0&y PHONE
GENERAL CONTRACTOR: t S54 Cd OAX #
I am not using any subcontractors: -T�jr-")
Signature bate
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
Sheet Rock
Tile
•
Own r C for Signature ate