08090111 (2) CITY OF CL. RTINO
BUILDING DIVIST(ON PERMIT tkCroNty C�TOR 1�UItM�TION.
BUI I G FSS: PERMIT NO.
� PHAR LAP DR PERFORMANCE AIR SERVICE 08090111
OWNER'S NAME: PERMIT ISSUE DATE
COLES HARRISON L JR AND 1805 LITTLE ORCHARD ST 09/17/2008
yds sell t n
(408) 920-6170 SANITARY NO. CONTROL NO.
ARCHITEC(ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
u p Q LICENSED CONTRACTOR'S DECLARATION O O O
F 1 hereby affirm Net I am licensed under provisions of Chapter 9(commencing Job Description
W with Section 700u)ofDivision3ofNeBusiness and ProksuimuCode,sedmylicnnmu RMV & RPLC FURNC & A/C SAME LOC
in full fame ad erne}
z Lamen class e—zo Lie.. Ve?A -,l
=Fp Dam Z— 5 —ry9 CSuomw Rao pyZwe.ue< At 5$IZV iCA� ?Air.,
e55uy� ARCHMCTDECLARATION
W< I un im land my plans mal W used u public recordsDU
'
W
g G Inkeume
Ld Professional
''y3 OWNER-BUILDER DECLARATION
'i�1z 1 hereby air,.that IMM
exempt from the Contractors License,Law for the
ac following mown.(Section TUI 1.5.Business and Proressiom Cade:My city Or..my
I$ter which nequires a permit to cnvumet.alter.Imprtrve,demolish,or.pair my urvctum
_it owmiuiuuarxe.alwmquim Neapplimtformchpumitmrrleasigv mwmcm
< that he is licensed pursuant to the provisions of the Contractorilicenwlaw(Chapter 9 Sq.Ft. Floor Area Valuation
Y5 $ (commenting with Section'!DOD)of Division 3 ofuw Business ad Profeaions Codc)ea $9039
Q that he Is exempt Nuefrom ad the was for the alleged exemption Any violation or
section 7031.5 by my applkam for a permit subjects doe applicant m a civil penalty of ypr�t Number Occupancy Type
carenewofiwmmmeddellars(SM 32639008 ."VV' P Y yP
0 1.u owner of the property a my employma with warm u theb mk ampcnssdon,
willdoelmwmk,andtheswnum4notumr doroffemdfaralo(Sec.7W.Buanas
and Prafmaam Calc:The Con umm's Lanese domes ne
Law domes apply m an Owner a Required Inspections
property who builds or improves thereon,and who does such work hhoself or through his
own employees,provided Out such improvements are not intended oroRered for de.If.
however,lie building or improvement is mid within one yeti of completion.the ownv-
Wilder ,MO lave the burden of proving Nat Its did Out build Or improve for purpose of
ale.).
. 0 1.u move,a ted Property.an ewlusiwly canmaing with H.M.d mnvaws to
L'Onstwat the project(Sec.7044•Business and Pw(emons Cade:)The Cuumetor's Li-
me Law Own not apply to a owner of property who Wilds or improves Merton,ad,
who contract,for such projects with a conwnar(s)lkenmd parson,to the Contraemrs
License Law.
0 lammemptader See ,B&PCfortht,won
Owner Dao
WORKERS COMPENSATION DECLARATION
1 hereby of irm under Penalty of perjury one of Ne following declarations:
I I sw and will sesaw.a Certifies.of Consent to celf-i.m.for Waters Compeer- -
must,as provided for by Section 3700 of the Labor Code,for the performance of Ne
work for which this permit is iuced.
0 1 ban ad will mainum Workers Compensation Insurance,as required by Section
3700 ofd.labor Code.for Ne peformancectf O.wale for which this permit is iuwd
My Worker,Companion Imre a e carrier ad Policy number tie:
Can)ee7R11CK T4949AOCe ORPolky No.: ND51024Z-3
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(7husceuae need not W campkmd Bun permit in forme huunceNdoRan($100)
mkst)
I caify that in the Perfounanee of the work for which this Permit is issued•I shall nes
employ any person in my mane,a as or b xasom bpct m ti.WorMn'Cmnpe o adw
Laws of C.Iifcmm.Dam
Anneal
NOTICE TO APPLICANT:If,aper making this Certificate of Exemption,you should
became subjat or the Workers Continuation provisions of the Labor Code,you mut,
.J O fothwith comply with such provisions ser Nu Permit shall W decmrd rewked,
,Eo 7 CONSTRUCTION LENDING AGENCY
n�
[—s IWrebyafrm Nat there a econuro,30 lending agency,for the Pcrfunnance of
f3i
the de rs for which this permit u isoed(Sec]097,Civ.C.)
C z lenders"doc
Name
.7 z I.cedeh Mdnss
U O 1 cmtify Nat I have red this apsumuscun sed sum than O.awn information is
U.H coven.l agree m comply with al city ad county on mamas ad sum laws relating to
.O U Wilding anurucuon,ad hereby authorise mpma roam of this city to enter upon the
[t] above-mentioned property for Inspection purpmet
,i LL (We)agree m an.indemnify ad kcep hand.tit,City of Cupertino against
In liabilities.judgments.costs aM upemm which may in my way.against sad City
U Z in consequence of Ne Swung of Nis p MMIL
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date l sic
SOURCE R ULATIONS.
Re-roofs
Si, O rcanuContranar Date
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Willmomplicat m future Wilding cupatuore or Nndle havudons material
a aertnea br upmivo Mumapa CinPw 9.12,ad use Health ad Safety
corm.Sem ss3z(a)y All roofs shall be inspected prior to any roofing material being installed.
u o
If a roof is installed without first obtainingan inspection,I agree to remove
Will the epPlicanl or fumes building occupant um equipment or Devices which P
CiShhavaa
dr.ar cumNe inau u @ I y Bay Amo Air Quality Management all new materials for inspection.
DYm a
than mad the haardws mucrialsrequmacnu under Clupmr6.95of Ne Caifm.
Na HesluSt SafctyCode,Sections 25505.25533 am125534.1 understand!thxifthe Wilding
does not currently haw a tectal dear it u my mapomibilby m netify the occupant of don
requinernen wlOcIt man W met poor On issuormc of a Cmurcam ofCecuprn, Signature of Applicant Date
er r, <as=est Dam.o All roof coverings to be Class'W'or better
CITY OF CUPERTINO
• 6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 32639008. 00
DATE ISSUED. . . . . . . : 09/17/2008
RECEIPT # . . . . . . . . . : BS000006114
REFERENCE ID # . . . : 08090111
SITE ADDRESS . . . . . : 10160 PHAR LAP DR
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : COLES HARRISON L JR AND PATRIC
ADDRESS 10160 PHAR LAP DR
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-1114
RECEIVED FROM . . . . : PERFORMANCE AIR SVC
CONTRACTOR . . . . . . . : TIM STANFORD LIC # 27768
COMPANY . . . . . . . . . . : PERFORMANCE AIR SERVICE
ADDRESS 1805 LITTLE ORCHARD ST
CITY/STATE/ZIP . . . : SAN JOSE, CA 95125
TELEPHONE . . . . . . . . : (408) 920-6170
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 9, 039 . 00 1 . 00 0 . 00 1 . 00 0 . 00
lEPERMITFE 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
1MRRAA UNITS 2 . 00 122 . 38 0 . 00 122 .38 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 286 . 54 0 . 00 286 . 54 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 286 . 54 #1777
---------------
TOTAL RECEIPT 286 . 54
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
•
CITY OF CUPERTINO
FURNACE/AC
•CUPEkTINO PERMIT APPLICATION FORM
APN# 2Z
j . 1 o(V U U Date:
Building Address:
/0160 2 .
Owner's Name: Phone#:
Contractor: Phone #: y08- '72�0- 6170
t�r�ovvv< �cQ 91r . S.evu(G-p- mac . Fax #: yOg - 920- 6( 7 /
Contractor License#: Cupertino Business License#:
-768
Contact: Phone#:
'!og- 92o - 6J-2o
Jl"zFF l�h/4/ZTl CZxiti7 a Fax #: L/06-926-6t7/
Building Permit Info:
Elect Q_i Plumb Mech
Residential X Commercial
Job Description:
Revno-e OVLA �e l4ce r ctn
For Residential Installations:
Attic ❑ I" floor ® 2"a floor ❑
Adhere to minimum setback requirement
For Commercial Installations:
Replacement same weight ❑ Additional weight (structural. talcs) ❑
Structural Calculations required for new installation ❑New installation Planning Approval Required ❑
Cost of Project: Type of Construction(Usage Class):
Strapped, L On PlatformEl Bonded ❑ New Location L Replacement
Project Size: Express [l-�Standard ❑ Large ❑ Major❑
Valuation:
,4' 035, 7Z,
Green Building: Please complete relevant portion of the Green Building Checklist & attach it to the
AL application or if applicable, include in plan set & the sheet index. inD—
Revised 6/16/08
CITY OF CUPERTINO
4a FURNACE/AC
CUPER,TINO .FEE SCHEDULE •
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1MCRAA Commercial-Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system;incl
installation of controls regulated by this
code.
1MCREPALT Commercial for the repair of alt/add to M
ea heating appliance,refrigeration
unit,cooling unit,VAV boxes,
absorption unit or ea heathing, cooling
absorption,or evaporative cooling sys,
incl install of controls regulated by
this code.
1MCSUSHTR Commercial Install/Relocate ea M
suspended heater,recessed wall htr, or •
floor mounted unit heater.
IPGASCOM Commerical for ea gas piping System P
1-4 outlets
IBPGAS For each gas piping system of 5 or P
more per outlet.
1MCAPPVNT Commercial for the install/relocate/ or M
replacement of ea appliance vent
installed ¬ incl in an appliance
permit.
1BSEISMICO Commercial Seismic B
1MRRAA Residential Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
^ cooling unit,absorption unit,or ea
(` heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by
this code.
1MRSUSHTR Residential Install/Relocate ea M
suspended heater,recessed wall htr, or
floor mounted unit heater.
1MRAPPVNT Residential for the install/relocate/ or M •
replacement of ea appliance vent
install & not incl in an annl permit.
Quantity Fee ID Fee Description Fee Permit Type
n
G � CITY OF CUPERTINO
FURNACE/AC
•CUPERINO FEE SCHEDULE
Group
FURNACE FURN/AC
IPGASRES Residential for ea gas piping system of P
1-4 Outlets
IBPGAS For each gas piping system of 5 or P
more per outlet.
1BSEISMICR Residential Seismic B
IMECPLNCK Mechanical Plan Check M
1MFR=<100 Furnace Syst<=100k BTU install or M
relocate ea forced-air/gravity type
furnace/burner, incl ducts/vents
attached to such appliance up to and
include 100,000 Btu/h
1MFRN>100 Furnace Syst> 100k BTU install or M
relocate ea forced-air/gravity type
fumace/bumer, incl ducts/vents
attached to such appliance over
100,000 Btu/h
FEPERMITFEE Electric Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
1PPERMITFEE Plumbing Permit p-
ITRAVDOC Travel Documentation B
IBUSLIC Business License B
•
Quantity Fee ID Fee Description Fee Permit Type
CITY OF CUPERTINO
��di'. FURNACE/AC
CUPIT ERTINO FEE SCHEDULE •
Group
AIR FURN/AC
CONDITIONING
1BCAIRHAN Commercial A/C Units <= IOk CFM B
IMCRAA Commercial Mech Repair/alt/add M
1BSEISMICO Seismic Commercial B
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1PGASRES Residential for ea gas piping system P
of 1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet. Comm/Resid
IBREMAIRHAN Residential A/C units <= lOk CFM B
1MRRAA Residential Mech Repair/alt/add M
1BSEISMICR Seismic Residential B •
IEPERMITFEE Electric Permit E
L1MPERMITFEE Mechanical Permit M
IPPERMITFEE Plumbing Permit P
f 1TRAVDOC Travel Documentation B
l 1BUSLIC Business License B
•
41 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
B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 2 points
11. Permeable Paving, Note L-1 2 pints
C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 points
D. Structural 3. Uses Wood Woist, (See Spec.) S-2 2 points
5: Use Truss with heels, (detail) 3-2 2 points
6. B. OSB Sheathing, detail S-2 2 oints
E. Ext. Finish 1. Composite Decking, (Note/Spec.) A-3 2 points
4. B. Fiber Cement Siding, (Note/Spec.) A-4 2 pints
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 AJ 1 Dint
P. Other 1. List Green Features on Plans A-1 1 paint
TOTAL POINTS 40 points
Plan Review Process Work Book Page-12-Revised 3/25/08
1
y '
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.
A.Site INPUT ResDutcas Energy IAQ/Health
I'•Recycle Job Site Construction&Demolition Waste
65%=1 point;75%= 2 points;80%=4 points up to 4 Resource pts 0
i2.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 Stormwaier Practices 2 Resource pts y=yes 0
7,Protect Water Quality with Landscape Design _ _ 2 Resource pts y=yes 0
I8.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
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_pts0
2.Use Recycled Content Aggregate 2 Resource pts y=yes p
3.Insulate Foundation/Slab before backfill 3 Energy pts y=yes p
1 1 1
C.Structural Frame
!1.Substitute Solid Sawn Lumber with Engineered lumber 3 Resource pts y=yes p
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 p
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 p
6.Use Finger-Jointed Studs for Vertical Applications 2 Resource pts y=yes p
7.Use Engineered Studs for Vertical Applications 2 Resource pts y=yes p
B.Use Recycled Content Steel Studs for Interior Framing 2 Resource pis y=yes p
9.Use Structural Insulated Panels(SIPS)
a.Floors 3 Ener is
b.Wall gyp y-yes 0
3 Energy pts y=yes p
c.Roof 3 Energy pts y=yes p
10.Apply Advanced Framing Techniques 4 Resource pts y=yes p
11.Use Reclaimed Lumber for Non Structural Applications 3 Resource pts y=yes p
f2.Use OS-B -- —'-
a.Subtloors 1 Resource pt y=yes 0
• b.Sheathing 1 Resource pt y=yes p
f 1 f
r
INPUT Resources Energy IAD/Health
.Exterior Frmsh
1.Use Sustainable Decking Materials
a.Recycled content 3.Resource pts y=yes 0 •
b.FSC Certified Wood 3 Resource pts y=yes 0
12.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAQ/Health pt y=yes 0
13.Install House Wrap under Siding 1 IAQ/Heallh pt y=yes 0
14.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 0
E.Plumbing
1.Install Water Heater Jacket _ i 1 Energy pt y=yes 0
2.Insulate Hot and Cold Water Pipes 2 Energy pts y=yes 0
I3.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
I(1 point each,up to 3 points) Up to 3 Resource pts. 0
5.Insta l 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 IAQ/Heallh pts. 0
B.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 1 {
t-.tiecmcar
11.Install Compact Fluorescent Light Bulbs(CFLs)
'I(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 1 Energy pt y=yes 0
i
I2.Install Washing Machine with Water and Energy
Conservation Features 1 Energy pt y=yes 0
13.1nstall Energy Star Refrigerator 1 Energy of y=yes 0
4.Install Built-In Recycling Center 3 Resource pts y=yes 0
1 1 {
H.Insulation
1.Upgrade Insulation to Exceed Title 24 Requirements
a.Walls 2 Energy pts y=yas 0
b.Ceilings 2 Energy pts y=yes 0
2.Install Floor Insulation over Crawl Space 4 Energy pts y=yes 0
r3.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-ioam)
a.Wails 4 Resource pts y=yes 0
e.Uenings 4 Resource pts y=yes 0
1 1
.V
INPUT Resources Energy IAWHeafth
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 Energy pts 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
_ 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 0
6.Install Attic Ventilation Systems 1 Energy pt y=yes 0
7.Install Whole House Fan 4 Energy pts y=yes D
6.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 D
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 .4/ D
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 stovesfnserfs 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 41AQ/Health pts y=yes 0
16.Install Heat Recovery Ventilation Unit(HRV) 5 IAOJHealth pts y=yes 0
17.Install Separate Garage Exhaust Fan - 3 IAQ/Health pis y=yes 0
ll
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=16 points) Up to 16 Energy pts 0
6.Select Safe and Durable Roofing Materials 1 Resource pt y=yes 0
7.Install Radiant Barrier 3 Energy pis y=yes p
1 1
L.Natural Heating and Cooling 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 p
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes p
• 0 1 1
INPUT Resources Energy ]AD/Health
M.Indoor Air Quality and FrMshes
,`1.Use Low%ND-vbc aint - 1 IAO/Health pts y=yes 0
2.Use Low VOc,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 •
3.Use LoW/No VOC Adhesives 3 IAQ/Health pts y=yes 0
4.Use Salvaged Vaterial for Interior Finishes 3 Resource pts y=yes 0
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 61AD/Health pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 0
7.Seal all EiWsad Perticleboard or MDF 4 IAQ/Health pts y=yes 0
8.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 D
10.Install Whole House Vacuum System 31AQ/Health pts y=yes 0
f 1 !
N.Flooring
1.Select FSC Certified Wood Flooring 8 Resource pts y=yes 0
'P.Use Rapidly Renewable Flooring Materials 4 Resource pts y=yes 0
L
3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0
4.Install Natural Linoleum in Place of Vinyl 5 IAG/Health pts y=yes 0
5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0
6.Install Recycied Content Carpet with Low VOCs 4 Resource pts y=yes 0
1 1 1
Total Points Available: 1 1401 1301 57
Total Points Project Received: _ 1 0 0 0 •
:dealprogs/greenbuildngguidelineslmmodeleNgreenpinlsrinal2.12.04proleaed.xls
Community Development
F 10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
4WUPEkTINO
Building De artment
JOB ADDRESS: PERMIT # p
OWNER'S NAME: Cole PHONE # �/o8-zs3—lz2�I
GENERAL CONTRACTOR: `/, FAX #
C.
I am not using any subcontractors•
Signature Date
Please check applicable subcon ctors 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
L±Sheet
heet Metal
Rock
9- 17-0a
O r/Contractor Signature Date