08060044 (2) CITY OF CUPERTINO
BUILDING DIVIS40N PERMIT ,CilaNP„RACTORI�Nk'OF�IVIATTON
BUIL I G 440.ESS: PERMIT NO.
�S6 SHELLY DR FOREST BUILDING 08060044
OWNER'S NAME: PERMIT ISSUE DATE
}LUNG CHEN PO BOX 183 06/05/2008
NE:
(650) 862-0742 SANITARY NO. CONTROL NO.
A0.CHIlEC7/ENGINEFA:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
u0, LICENSED CONTRACTOR'S DECLARATION - -
�as I hereby ARM that I am licensed under provision of Chapter 9(commeacing Job Description
with Sredon7MA)of Divivon 3afHC Burt,.and Potessdor Code.and my license is NEW STUCCO SIDING
R in full farce and eflttt 00
Z Liceruc Class IY.N
3 F p Dab Con DECLARATION
ELL
ee 7W ARCHRDELL
ECTS A TION
t e m 1 undusunJ my plans shall W used as public remNs
JyU
ow Licensed
tarebyAth
nal
5 OWNER-BUILDER DECLARATION
sC O 1 herby.(Sec Na 1 am.attempt fool Nc Contras Co License Law for the
o O following mason.(Saito 1071.5.Business arta ow,de oit Code:Any city os runty
COO
$�i which mquims n e.Aro a ennfauq atm,improve,demolish,or e a sig any amcwm
-Z< prior art its issuance.Aro mquimslW applicant for such Permit Oleasignee zuremmml
that heia Ranged pm>,uant to the pm.ivmua of the conlramm•f La ase Law(Chapmr9Sq.FL Floor Area Valuation
as (commencing with Section 1000)of Division 3 of NC Business and Prefessinos CMe)m 15000
y $ Nu he u exempt therefrom and mW basis fa the alleged exemption.Any=0(
section 7031.5 by airy applicant for a permit saltiness He applicant to a civil penalty of
nNbOccupancym mom Nan fivehundred dollars($5001. . 3 5 9110 21 . Number Type
1,u owom of the property,a my ampioyea with wages u the"v ole cmmpensston,
will do the work and Neswmute a notimendcd oroRertd foi safe(Sec.7044,Burinau
and Pmfasslaas Codes:Th Comrumrs Lia",Law does vel apply to a
an wm er of Required Inspections
propc tywhe Wilds mimprrrathereon,and wbodaessuchworkhimulf m through his
own cmpltyrrs,prvlded thatsuch improvements are not intended unaltered fmule If.
haweves,the Wilding os Wp eamormt is sold within orc year of mmpk ion,the owrcr-
builder will have the Wrdr t of moving that he did rot Wild or improve for purpose of
sal..).
1,as owner of to property,am exclusively conaaeting with licemW comaanars to
construct to project(Sec 1044,Business and Professions Code:)The Conaasa's U.
erne taw docs not apply to an ower of property who Wilds or improves Hereon,and,
who contracts for such pmjecm with a con racmr(s)licensed pumuam m the Conaamors
Licare"Law.
❑lammemptundm See ,BkPCfor Nirmamn
Owner Date
WORKER'S COMPENSATION DECLARATION
L hertbY alruro under peultY inof pe0ury arc m the folbwing declasaiomhs '
I hem and will mo ash.•Cettife of Cmueat to self-iuurt fm Wmker,Cosnpcn-
salon,u provided fm by Section 7100 of the Labor Code,fm that performance of the
work for which this permit is'...,.d.
❑I bare Ari will maintain Workers Compewtion hoursece,as me,dred by section
37M of the labor Code,fa the performance of the work for which this permit is Issued. '
My Workers Compete I, cat artier and Policy number art:
tinier.- �—Poliq No.: /13—D7 D?�T,r
CERTIFlGTE PEXFMPTION FROM WORKERS'
COMPENSATION INSURANCE
(TNu semlon need holt becomphned if the permit ufmorc WndrW dollars(SIM)
or k¢)
1 certifY that in On,performance of the work for which this permil is issued.I And net
employ any person in any mater re as to haeme subject to to Workers'Comperoaion
I.of California.Data
Applicant
NOTICE TO APPLICANT:If,after making Nu Ccrdfote of Exemption,you sboub
become subjea to the Worker's Compensation provisions of Out Labor Codes.You mast
.J.� forthwith comply with Inch providuu or this .it shall W deemed ranked.
Z OCONSTRUCTION LENDING AGENCY
[-� .y. 1 Mreby art=that them u a couauctinn lendin for Rhe
6i Ne wark fm which Nu gapc+furnnana of
GQ Lender's Name pemhhmb,aeed(Ser.J091,Civ.C..)) ,
ZD Z Undoes Account
V 0 1 enmity that 1 have rand this application and Imm Nat the above infarmadun is
LLQ F` contest.I agree bom
cply with all city and county anti.and sub laws relating on
OV Wilding construction.and hereby suNorim repmen
sutive,of this city to enter upon the
ahovcmentianedpmpeny far impaction puposes
F 0. (We)agree It use,indemnify and kap hamlets the Cry of Cupertino against /17
h incoiact ince of the&Ouound expcumrnit. may in any soyurne against rid City
U z APPILIC N'T of HegranANDSung of sus permit. / /
APPLICANT UNppEER$TANDS AN WILL COMPLY WITH ALL NOy POINT Issued by:S4U� Date v ' (4"U'�
SOURCE REGUL'ATIONS�
Re-roofs-
Shgnaum o A171h Ht OUDab
S MATERIALS DISCLOSURE Type of Roof
Will the applicant or future Wilding mcvpantnore or hartele haardou material
as defined by 0e Cupenioo Municipal Code.Chapter 9.12 and the HaaN and Safety
co.sermon ns7z(a)+ -_``' All roofs shall be inspected prior to any roofing material being installed.
❑Yu pfrva
Will mW applicant of fuutere Wilding occupant use a ui If a roof is installed without first obtainingan inspection,I agree to remove
pP E P a it Qu or dentias which P
.t District? u air contaminants ss defined by Nes Bay Area Air Quality Management all new materials for inspection.
DisuiclT
❑ym bl
IhavemalthehuaNswrmmerilHm immcnuunder Chapbr6.95oftoCalifor-
niaHalHkSdfIYCadc,Scccom25505,25533and Z534.1umlc dNnifNc Wilding
dam nal I.MlY haw a knack out it is my reponsbility m antify chat.,,am of de
mgaimm wnkhmhm� armhsaatatfacmtraate y ^� Signature of Applicant Date
Owner or auNarind agent / o(bN All roof coverings to be Class In"of better
CITY OF CUPERTINO
• 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: pdtg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN 35911021 . 00
DATE ISSUED. . . . . . . : 06/05/2008
RECEIPT # . . . . . . . . . : BS000005015
REFERENCE ID # . . . : 08060044
SITE ADDRESS . . . . . : 20619 SHELLY DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : HUNG CHEN
ADDRESS . . . . . . . . . . : 20619 SHELLY DR
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2923
RECEIVED FROM . . . . : LAM CHAN
CONTRACTOR . . . . . . . : LAM CHAN LIC # 29890
COMPANY . . . . . . . . . . : FOREST BUILDING CONSTRUCTION
ADDRESS . . . . . . . . . . : PO BOX '183
CITY/STATE/ZIP . . . : RIO NIDD, CA 95471
TELEPHONE . . . . . . . . : (650) 862-0742
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------ - ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 15, 000 . 00 1 . 50 0 . 00 1 . 50 0 . 00
1STUCOAPP SQ FEET 4 . 00 552 . 00 0 . 00 552 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 553 . 50 0 . 00 553 . 50 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
--------- --------------- --------------------
CREDIT CARD 553 . 50 AMEX
---------------
TOTAL RECEIPT 553 . 50
•
v C)
;5 CITY OF CUPERTINO
cuPEOF
RTINO GENERAL BUILDING
PERMIT APPLICATION FORM
APN # Date:
Building Address:
-20 � s izy r)k .
Mailing Address (if different from building address):
Owner's Name: Phone#:
vxSs 77 L2-
Contracto • Phone: 0�¢2
F6RZ-:!rT Fax:
Contractor License#:
Cupertino Business License#:
• Contact: 14��j eyq7 Phone: so— -072
Fax:
Residential Commercial El
Job Description:
me hj S 7W CCa S/p /// e!�
Building Permit Info:
Bldg0 Elect ❑ Plumb ❑ Mech ❑
Type of Construction (Usage Class): Occupancy Type:
1-A, 1-B ❑ IUIII/V-A ❑ IUIII B, IV-HT, V-B ❑ r' I
Valuation: Square Footage:
QDO. 000 SF.
Project Size: Standard Large ❑ Major ❑
•
Revised 5/21/08
CITY OF CUPERTINO
CUPE(,TINO GENERAL BUILDING
PERMIT APPLICATION FORM
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1 BTEMPPER Temporary Building Permit (good for B
30 days)
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 ss over 100,000 Btu/h
1 BBOILER3 Installation/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
1 BBOILER5 Instal lation/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
1MECHINSP Other Mechanical Inspections (per M
hour)
1PLMBINSP Other Plumbing & Gas Inspections P •
(per hour
1MEETINGIHR Application Meeting B
CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
CUPERTINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
ACOUSTICAL
REVIEW
IACOUSFDW SFDWL/DuplexNew B
IACOUSRESAD SFDWL/Duplex-Addition/Alteration B
IACOUSCOM Multi-Family/Commercial B
CHIMNEY'S
]CHIMNEY Chimney B
1CHIMNEYR Chimney Repair B
FENCES
1FENCE>6FT Non-masonry, over 6 ft in height B
1 FENCEMAS>6 Masonry, over 6 ft in height B
FIREPLACES
1 FIREPLMAS Fireplace Masonry B
1 FIREPLFAB Fireplace Pre-Fabricated/Metal B
1 FLAGPOL>20 Flag pole (over 20 ft in height) B
1MODUSTRU Modular Structures B
FOUNDATIONS
1FOUNDREP Foundation Repair g
1PILECAST Pile Foundation Cast in place concrete B
1PILEDRIV Pile Foundation Driven (steel, pre- B
stressed concrete)
3 of 5
CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
CUPEI�TINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description fee Permit Type
Qroup 1GENRES or
1GENCOM
RETAINING
WALL(CONCRETE
OR MASONRY
1 RETSTN Standard (up to 50 ft) B
1 RETSP310 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)
SIDING
1SIDEST/BK Siding, Stone & Brick Veneer B •
(interior/exterior)
1 SIDEOTHER Siding all other B
SKYLIGHTS
1 SKYL<10 SF Skylight less than 10 sf B
1SKYL>10SF Skylight greater than 10 sf or B
structural
1STAIRS Stairs-first flight/ea addt'1 B
STORAGE RACKS
1 SRACKS<=8 Storage Racks 0-8' high (up to 100 st) B
1 SRACKS>8 Storage Racks over 8' high (up to 100 B
st)
1STUCOAP Stucco Applications (up to 400 sf) B
additional stucco application
•
Lcc� 4dd!l suet /
4of5
SCITY OF CUPERTINO
CITYOF GENERAL BUILDING APPLICATION
CUPERTINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1 WINREP Replacement windows/sliding glass B
door (ea 8 windows)
1 WINMEWSTR New Window-structural shear B
wall/masonry (includes plan ck fee
IEPERMITFEE Electrical Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
1 PPERMITFEE Plumbing Permit Fee P
IELCPLNCK 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
1BSEISMICR Seismic Residential B
1BSEISMIC0 Seismic Commercial B
1TRAVDOC Travel & Documentation B
1BUSLIC Business License B
•
5 of 5
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
4'
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.) A3 1 point
3. Energy Star Refrigerator, (Note/Spec. A-3 1 point
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
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 Resources Energy] IAQ;H�b__
VRecca Job Site Construction&Demolition Waste i
1 point;75°70= 2 points;60%=4 points t up to 4 Resource pts 0
12.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 pt y=yes 0
6.Implement Construction Site Stormwater Practices 2 Resource pis y=yes 0
7.Protect Water Quality with Landscape Design 2 Resource pts y--yes 0
B.Design Resou ce Eff cient Landscapes and Gardens _ 1 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 pis y=yes 0
11.Provide for On-Site Water Catchment/Retention 2 Resource pts y=yes p
1 1 1
B.Foundation '
1.Incorporate Recycled Flyash in Cgncrete
• 25%Recycled Flyash=2 points;Add 1 point for every 10%
increase of flyash,up to 5 points up to 5 Resource pts 0
2.Use Recycled Content Aggregate 2 Resource pts y=yes p
3.Insulate Foundation/Slab before backfill 3 Energy pts y=yes[;;Fp
1 1 1
C.Structural Frame
1.Substitute Solid Sawn Lumber with Engineered Lumber J 3 Resource pts y--yes p
2.Use FSC Certified Wood for framing
(For every 0%of FSC lumber used=2 points,up to 10) up to 10 Resource pts. 0
3.Use Wood kJoists for Floors and Ceilings 2 Resource pis y=yes p
4.Use Web Floor Trusses 2 Resource pts y--yes p
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 yyes p
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 p
9.Use Structural Insulated Panels(SIPS)
a.Floors 3 Energy pts y-yes p
b.Wall 3 Energy pts y=yes 0
c.Roof 3 Energy pts y—yYes p
10.Apply Advanced Framing Techniques 4 Resource pts y=yes p
11.Use Reclaimed Lumber for Non Structural Applications 3 Resource pis y=yes p
12.Use 0SB — --- —
a.Subfloors i
• 1 Resource pt y=yas p
b Sheathing i 1 Resource pt y=yes
0
i — --------- ------'
D.Extenor rmsh 114PUT Resources Energy -IAQIHeafth
;1.Use Sustainable Decking Materials - -- •
a.Recycled content i 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 D
3.Install House Wrap under Siding 1 IAO/Health pt y=yes D
4.Use Fiber-Cement Siding MaterialsI Resource pt y=yes 0
E.Plumbing
C (install Water Heater Jacket _ �� 1 Energy pt Y--yes 0
2.Insulate Hot and Cold Water Pipes 2 Enercy 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 Toilest with Ultra-Low Flush Toilets
(1 point each,up to 3'points) —�J Up to 3 Resource pts. 0
5.Install Chlorine Filter on Showerhead 1 IAQ/Health pt y=yes 0
6.Convert Gas to Tankless(Nater 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
6.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 1 1
r.tieancai
1.Install Compact Fluorescent'6-h'
Bulbs(CFCs) j
(6 bulbs=2 points, 10 bulbs=3 points,12 bulbs=4 points) Up to 4 Enercy 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 I 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
1 1 1
H.Insulation
1.Upgrade Insulation to Exceed Title 24 Requirements
a.Walls 2 Energy pts y=yes 0
to.Ceilings 2 Energy pts Y_-Yes 0
2.Install Floor Insulation over Crawl Space 4 Energy pts y=yes 0
3.Instell Recycled-Corden`t,Fiberglass lnsulation with
NoAdded Formaldehyde _ 31AO/Healt'n pts y=yes 0
4.Use Advanced Infiltration Reduction Practices i 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 D
6.Alternative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y=yes 0
o.Uenings 4 Resource pts y=yes 0
I.Windows
�1 Install Energy-Efficient Windows
• ia.Double-Paned 1 Energy pt y=yes 0
b.Low-Emissivity(Low-E) 2 Energy pts y=yes 0
L c.Low.Conductivity Frames _ 2 Energy pts y=yes 0
2.Install Lbw Heat Transmission Glazing _ 1 Energy pt y=yes 0
1 1 1
J.Heating Ventilation and Air Conditioning
11.Use Duct Mastc 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 y=yes 0
4.Clean all Ducts Before Occupancy 2 IAQ/Health 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
6.Install Sealed Combustion Units
a.Furnaces 3 IAQ/Health pts y=yes 0
b.Water Heaters 3 IAO/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 stovesrnserts 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) 51AQ/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-V�4re for Future Photovoltaic(PV)Installation 4 Energy pts y=yes p
4.Install Photovoltaic(PV)System
(1.2 kw=6 points,2.4 kw=12 points,3.6 kw=16 points)_ _ Up to IS Energy pts 0
i6.Select Safe-imi Durable Roofing Materials ' 1 Resourca pt y=yes0
7 Install Radiant Barrier - - - - 3 Energy pis y=yes 0
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 p
• 1 76 1
- INPUT Resources Energy MQ/Heafth
M.Indoor rr Qua rty and Fmishes
C Use LOwMo-VOQ Paint -- - 1 IAQ/Hsalth pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAWealth pts y=yes 0
I3.Use Low/No VOC Adhesives r 3 IAQ/Health is Y= es
I�— — -- — _ P Y 0
4.Use Salvaged—Materials for Interior Finis— hes 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 pts y=yes D
7..Seal all Exposed Particleboard Orr MDF 41AQ/Health pts y=yes D
B.Use FSC Cs ifed Mate als for Inferior 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 IAQ/Health pts y=yes 0
1 1 1
N.Flooring
1.Select FSC Certified Wood Flooring 6 Resource pts y=yes0
V1 se 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 D
5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes D
6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0
1 1 !
Total Points Available: 1 1401 130 57 •
Total Points Project Received: -- 01 0 0
G:daialprogslgreenbuildingguidelineslremodelerslgreenpoin(sfina12.12.D4prolededxls
•
Community Development
p,, tw v
Cupertino CA 95014
,�,�"" Telephone(408)777-3228
CITY OF Fax(408)777-3333
SCUPEkTINO
Building Department
JOB ADDRESS:
0 b /� 511&L-/ P� PERMIT # O y C-)
OWNER'S NAME: p PHONE # 07 Z
GENERAL CONTRACTOR• P&PIA/(- OPWQ FAX #
I am not using any subcontractors:--c' F "' �y 6
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
Owner/Contractor Signature Date