08090070 (2) -CITY OF CL'PERTINO '`%
BUILDING DIVISION PERNUT = CONTRACT,;OR IN 'ODM, ACTION, �
BUILDING ADDRESS: PERMIT NO.
1260 PRIMROSE WAY BAKER ROOFING 08090070
OWNER'S NAME: PERMIT ISSUE DATE
KUO-TUNE SUN & CHAO YI CHIN 2067 LA CON CT 09/12/2008
oHONE' SANITARY NO. CONTROL NO.
(408) 559-5105
ARCHITECT(ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
3;a MrLICENSED I im
CONfRACTCONTRACTOR'SDECLARATION lob Description
4 U F 1 cbY affirmm that am led itinc umler Pravaof Cnaplu 1 Y(commencing P
wiNSecdon701w)ar0iv onlofN Bocrev PrafeasiumCd.anddGcenxu RE—RF T/0 SHK& INSTL 1/2 OSB& 30# FLT&SHNGLS CLS
CO, in full force and effec � e� -{1'� A
Z Lleenc clan Lie.«.,�
n F,p Da¢ ' corturrabor—
ARCHITECTS DECLARATION 22SQ
U 1 undersand my plane shall W need u public mcaNa
g Licensed Professional
5 OWNER-BUILDER DECLARATION
a� I 1 hereby affirm that 1 me.xcmpt from the ContranaYs U...Law for Ina
following mown.(Secdun 71n em 1.5.Businand Prokssiam Calc:Any city Orcounty
3_ which n,tims a Permit m.MMOOl.Siler.Wprow,&..Iw or repair any Immune
prior m its issuance.also requires the applicant for such permit to rile a signed statement
pp <
met ISO is licenecd pommunt In the,provinicas of du,Contractor's Uccem Law(Chapter 9 Sq.Ft. Floor AreaValuation
Y�3 (commencing with Section 7")of Division 3 orlW Businm and Pmfcssiom $9600 Code) 9 6 0 0
Nat he Is exempt therefrom and the bus for the alleged exemption.Any violation of
Section 70315 byairy appUcam for a permit sobjecu are applicant m a Civil penalty of Number
not some Than rive hundred dollars(I=. 3 6 618 016 jV( Occupancy P Y Type
0 1,u Owmr of the Property,er my pl,.with wage as their solecompevadan,
will do Nee work and the avuctme,u.1 intended oraRemd foreale(Sec.7064.Bum.
and Prorestialu Code:The Connectors License Law dare net apply to an owner of Required Inspections
property who buildaerimprowa Nrsentand wW duusmh werknimselrm Wougn IIs
ownermployces,provided that Such impmsemeus are not intaMed or offered forsale.If.
ho-xever,the building or improvement is Sold within oro year of completion,the Owner.
Wilder will have the burden or coving that he did net build or improve far purpose of
raeJ.
. 0 I.u mm er Ne property.am exclusively connecting with Hamad mnuaners e
wmtruct f projem(Sec.7064.Budruu and PrOrcum n CadeU Tho coma[toes Li.
Cense Law does out apply to an.woes of propCny who Wilde or improwa thereon,and.
who mnnacu for such Projau withaca ,,SCuo(s)licenmd pumem mthe Gnnctoh
Lleenm law.
0 lamexemptunder See ,BAPCfarlhismasm
Owner Data
WORKER'S COMPENSATION DECLARATION
1 hcrtby arm under penalty or perjury are of the following declarmeme
]Lha+ and will maineim•Certificate of Concent to Self-Warm far WorkaYs compo
utim,u provided far by section 37W of IW Labor Code.far the performani¢of the
work for which this Permit is wood.
0 1 have and will maintain Wortefa Compensation Insurance,as nryuined by Section
3700 of Ne Leber Code,for the performuce of Ne work for which this Permit is wood. '
My Workers Campevutim yuan 'u and
pmiCY ��
Carrier.
"oy No: S
cERTIFlCA OF E%EMPnON FROMWORKERS'
COMPENSATION INSURANCE
(Thi,Section need not W emepletaL lithe Permit sfuonc humthed dollar(Sim)
or leas)
1 Cerify Nat in the performance m the work for which this Permit is Wood.I shall nm
employ Story person in any muncreo ss In Wcome Subject In the Woekem'Co rpmu adon
Law.of California.Data
Applicant
NOTICE TO APPLICANT:If,after making this Cenificam of Exemption,you Should
become subject W the Worker's ComPmendam Provision of Ne Lather Cade.You meet
.J O fnnhwid,Comply with such pomem e,or ths Permit Shall W dramcd revoked.
.za ^ CONSfRUCfION LENDING AGENCY
r
I-m I haroby which tom the Ucrt s sued(Seco 097,Co. agency for Ne performSnce of
C the won't Ler which dde permit Is issued(Sec.3(137,C .C.)
0.Q LWare
lamices MM
ISS
ndch ..
U O 1 cavity that I have coal Thi.S,,dicato.ani sue that the Salve Wrormatien s
E COMCL 1 agree Io comply with all city and county ominamces and Stata tan rotating to
.C) building Construction,and hereby author=otmecnutives of Ns city to error upon tiro
Stove-mcndmnA property for inspection Puryatea.
H y (We)agree to Save,indemnify and keep barrel.Ne City of Cupertino Sgainat
V) Iimbilitiu,judgments,cents and exmum which may in Soy ny.ecrue a guest mid City
U z in eonsequemna Of Ne gnaming of ths permit.
^ APPLICANT UNDERSTANqS AND WILL COMPLY WITH ALL NON-POINTIssued by:
SOURCEDale
r ON p e
—1 Re-roofs
Signature of ApplioMCanuacmr Dale
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will dm applicant er future Wilding Oaupant nom or handle bvudous mammal
IS defined by 0c Cupertino Municipal Code.Cleapmr U2.and IWa1N and Safety
Code.simian 25532(.)7
❑Ya ON. All roofs shall be inspected prior to any roofing material being installed.
Well thea Infliction or future Wilding occupant um ui If a roof is installed without first obtaining an inspection,I agree to remove
PP g W eq Parentor Mann which g
TvnnT dnen air contaminants u deBncd by Ne Bay Area Air Quality Management all new materials for inspection.
Oven ONO
I haw mad the ha Hams mauxiale requirements under CTupter6.95ofthc Califor.
nia Heal"Safety Code,section 25505.25533 and 25534.1 undcrsund thanif are Wilding
dome noI momently haw•COSSIL dot it s my napoenibilily In nmify the operator the
regmremcne W tpria' immmcoofaCcni of occur Signature of Applicant
-O Date
�J
Ovme,m..dmrecd.gem Dam' All roof coverings to be Class'A"or better
CITY OF CUPERTINO
e 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36618016 . 00
DATE ISSUED. . . . . . . : 09/12/2008
RECEIPT #. . . . . . . . . : BS000006067
REFERENCE ID # . . . : 08090070
SITE ADDRESS . . . . . : 1260 PRIMROSE WAY
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER KUO-TUNE SUN & CHAO YI CHIN
ADDRESS . . . . . . . . . . : 1260 PRIMROSE WAY
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : JAMES L BAKER
CONTRACTOR . . . . . . . : JAMES BAKER LIC # 25385
COMPANY . . . . . . . . . . : BAKER ROOFING
ADDRESS 2067 LA CON CT
CITY/STATE/ZIP . . . : CAMPBELL, CA 95008
TELEPHONE . . . . . . . . : (408) 559-5105
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 9, 600 . 00 1 . 00 0 . 00 1 . 00 0 . 00
1REROOFRES SQ FEET 22 . 00 286 . 00 0 . 00 286 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 287 . 00 0 . 00 287 . 00 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK. 287 . 00 #450
---------------
TOTAL RECEIPT 287 . 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
•
0F0 9 0 07 0
CITY OF CUP.ERTINO
agq� REROOF
• CUPERINO PERMIT APPLICATION
APN # / (P ,
00
Date:
Building Address:
w
Owner's Name: Phone #:
Contractor: Phone #:
Od i w 1, '410 S- s sJ�s-
Fax#:
Cupertino Business License #: Contactor License
�
Type of Roof Covering: o0
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles at'Asphalt Shingles
>u/ Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other(Specify) ❑ Other (Specify)
Number of existing coverings a Provide I.C.B.O. Report #
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
-
Job Description:
Residential Commercial
Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if
Green Building Checklist & attach it to the application or if there are any restrictions:
applicable, include in plan set & the sheet index.
Valuation:
dao
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
n ;1W
Signature
Revised 6/16/08
CITY OF CUPERTINO
14TY OF
" REROOF
CUPEkTINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1REROOFCOM Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
2 1RER00FRES Re-roof Residential B 1SFDWLROOF
/ 1BSEISMICRE Seismic Residential B
IREROOFMRES Re-roof Multi-Family B 1MFDWLROOF
1BSEISMICRE Seismic Residential B .
1BUSLIC Business License B
Revised 6/16/08
Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
• Telephone: (408)777-3228
Fax: (408)777-3333
Building Department
Subject: Re-roofing policy for the City of Cupertino
1. Prior to permit issuance,you must agree to comply with 2007 IBC Standards
and manufacturers specifications on re-roofing. All roofs are Class "A"per Cupertino
municipal code 16.04.080.
2. New roof coverings shall not be applied without first obtaining all inspection
and written approval from the building inspector. A final inspection and
approval shall be obtained from the building inspector when the re-roofing
is completed.
3. All roofs shall be inspected prior to any roofing installation.
4. To receive a final sign off from the City, the following steps are
required:
1) Pre-inspection and/or tear off approval.
2) In-progress inspection approval.
3) Final inspection approval.
• a) Spark arrester installation.
5. If plywood is installed,a plywood nail inspection is required.
6. Any roofing which is applied without first obtaining an inspection,
will require the removal of all new material down to the sheathing,
so a proper City inspection can be performed.
7. NOTE: If you call for a plywood nail inspection and the job is not ready,
you will be charged a re-inspection fee of$176.18. The re-inspection fee must
be paid before another inspection can be scheduled
IMPORTANT:
1. Flat roofs must have a minimum of 1/a "per foot slope and demonstrate
that there is no ponding.
2. An I.C.B.O. report is required to be on the job site at the time on inspection.
I understand and will comply with the above stated policy on re-roofing.
Homeowner's Name: zg�'/U T (i N e fTo
Job Site Address: d ��/^rn o fa-d u)
Roofing Company Name: �Co _
Applicant's Signature: _1J �i9 e Date:7 4
• Greg Casteel
Building Official
Revised 07/30/08
Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
• Telephone: (408)777-3228
Fax: (408)777-3333
Building Department
REROOF TEAR OFF POLICY
1. You must schedule an inspection for the tear off the day before
you wish the inspection to be made. The procedure is to call the
Building Division (408) 777-3228 between the hours of 7:30 a.m. and
3:30 p.m. to request a next-day inspection.
• 2. When the roof is torn off, the nails have been removed or driven in,
and all of the dry-rotted wood has been replaced, you must call the
City Building Division. An inspector will be there within one hour.
There are special hours for this service: from 7:30 a.m. to 10:30 a.m.
and 1:00p.m. to 3:30 p.m., Monday through Thursday and from
7.30 a.m. to 10:30 a.m. and 1:00 p.m. to 2:30 p.m. on Friday. (Note:
Building inspectors are on lunch break from 11:30 a.m. to 12:30 p.m.
and will not be called during that time. City Hall is closed between
12:00 and 1:00 p.m. daily.)
3. If you call for a tear-off inspection and the job is not ready, you will
be charged a re-inspection fee of$176.18. The re-inspection fee must
be paid before another inspection can be scheduled
• Greg Casteel
Building Official
Revised 8/13/04
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
P Am
r NM
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
MR TOTAL POINTS1 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.
A.Srte INPUT Resouices Energy IAQ/Heafth
1.Recycle Job Site Construction&Demolition Waste f
65°/,=1 point;75%= 2 points;BD%=4 points up to 4 Resource pts 0
2.Salvage Reusable Building Materials J 4 Resource pts y=yes D
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 D
S.Implement Construction Site Stormwater Practices 2 Resource pts y=yes D
7,Protect Water Quality with Landscape Design _ 2 Resource pts y=yes 0
esign Resource-Efficient Landsc
6.Dapes 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 D
11.Provide for On-Site Water Catchment/Retention 2 Resource pis y--yes
0
1 i 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--yes70
1 1 1
C.Structural Frame
1.Substitute Solid Sawn Lumber with Engineered Lumber _ 3 Resource pis 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=yas 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 D
b.Wall 3 EnergyC. 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
a.Subfloors 1 Resource pt y=yes 0
b.Sheathing r 1 Resource pt y=yes - 0
1 1
INPUT Resources Energy ]AD/Heafth
D.Exterior Finish
1 Use Sustainable Decking Materials
a.Recycled content 3 Resource pts y=yes 0 •
b.FSC Certified Wood 3 Resource pts y=yes D
�2.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAQ/Health of y=yes 0
3.Install House Wrap under Siding f 1 IAQ/Health pt y=yes 0
4.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 0
E.Plumbing
1.Install Water HeaterJacket ,_i^ 1 Energy pt y=yes 0
2.Insulate Hot and Cold Water Pipes 2 Energy pts y=yes 0
3.Retrofit all Faucets and Showerkeads with Flow Reducers j
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 io 2 Resource pts. 0
4.Replace Toilest with Ultra-Low Flush Toilets IiI
(1 point each,up to 3 points) 4 Up to 3 Resource pts. 0
5.Install Chlorine Filter on Showerhead 1 IAQ/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 41AQ/Health pts. 0
8.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 1 1
r.trecmcai
(1.Install Compact Fluorescent Light Bulbs(CFLs)
(6 bulbs-2 points,l0 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. D
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
fl.Install Energy Star Dishwasher �-1 1 Energy pt y=yes 0
2.Install Washing Machine with Water and Energy )
Conservation Features i 1 Energy pt y=yes D
3.Install Energy Star Refrigerator 1 Energy pt y=yes 0
4.Install Built-In Recycling Center i 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 Eneroy pts y=yes 0
2,Install Floor Insulation over Crawl Space 4 Energy pts Y_-Yes 0
- -
3.Inatall Recycled-Content,Fiberglass Insulation with ,
No Added Formaldehyde 31AQ/Health 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=yes0 •
6.Alternative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y=yes D
o.t;emngs 4 Resource pts y=yes 0
1 1 1
• INPUT Resources Energy .
Heafth
I•Windows
f 1.lnstall Energy-Efficient Windows
• a.Double-Paned 1 Energy pt y=yas 0
J.Low-Emissivity,(Low-E) 2 Energy pts y=yes p
c.Low.Conductivity Frames _ 2 Energy pts y es p
2.Install Low Heat Transmission Glazir g 1 Energy pt y=yes 0
1 1 1
J.Heating Ventilation and Air Conditioning
r.UIe DDuct Mastic on All Duct Joints 2 Energy pts y=yes p
2.Install Ductwork within Conditioned Space 3 Energy pts y=yes p
3.Vent Range Hood to the Outside 1 IAQ/Health of 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=yas 0
6.Install Attic Ventilation Systems 1 Energy pt y=yes 0
7.Install Whole House Fan 4 Energy pts y=yas 0
S.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 p
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 stoves/inserts 1 IAQ/Health pt y=yes 0
b. Install/Replace Dampers 1 Energy pt y=yas 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 IAO/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 pis 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
(6.Select Satl and Durable Roofng Materials 1 Resource pt y-yes p
7.Install Radiant Garner 3 Energy pts y=yes
D
1 1 1
L.Natural Heating and Cooling
1.Incorporate Passive Solar Heating 5 Energy pts y=yes p
2.Install Overhangs or Awnings over South Facing VAndows 3 Energy pts y=yes 0
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes
D
1 1 1
•
INPUT ResDurces Energy ]ADMealth
M.In oor Air Quality and Finishes
1.Use Low IJo-VOC Pant J' 1 IAO/Health pts y=yes D
2.Use Low VOC,Water-Based Wood Fnishes 2 IAQ/Health pts y=yes 0
i3._Use Low/No VVOC Adhesives _ __ 3 IAC/Health pts y--yes D •
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 D
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pis y=yes 0
Seal all Exposed.Particleboard or MDF y 4 IAQMealth 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 D
10.Install Whole House Vacuum System 3 AQ/Health pts y--yes .0
1 1 1
N.Flooring
1.Select FSC Certified Wood Flooring 8 Resource pts y--yes 0
se Rapidly Renewable Flooring Materials _ S __ 1. 4 Resource pts y=yes 0
2.U
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 t
Total Points Available: 1 1401 130 57
Total Points Project Received: 01 0 0 •
F1� -
G:data/pmgslgreenbuildino uidellnesiremodeleGigreenpointsfina121204prolected.xis
•
Community Development
rz f J 10300 Torre Avenue
iry* Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
• CUPEI�TINO
Building Department
JO/",D 0RESSy, &t— f ,� PERMIT #v ry 9
OWNER'S NAME:ffo o u e 6 ..5'vnl PHONE # 0 S/D
GENERAL CONTRACTOR: FAX #
I am not using any subcontractors: .&JZ_ �d oa'
Signature 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
Sheet Rock
Tile
s
Owner/Contractor Signature Date