08070153 (2) CITY OF CUPERTINO
BUILDING DIYiSION PERNUT CQNTRAC�TRANF'oPERM17 NO.
RNIATaIO
BUILIilry0,x3pT'E b WEFT OAK ST SEARS HOME IMPROVEMENT 08070153
OWNER'SS NAME: PERMIT ISSUE DATE
M. UOUGI.,AS & MONICA BULLARD 1024 FLORIDA CENTRAL PKWY 07/22/2008
NE: (925) 245-2000 SANITARY NO. CONTROL NO.
ARCHI'IECT(ENGINEER: BUILDING PERMITINFO
BLDG ELECT PLUMB MECH
0 0 0 0
a00 LICENSED CONTRACTOR'S DECLARATION
U I ureby Kinn Ws I w Namsed under pmvitians a Chapter 9(ce..... .1 Job Description
4z1� with Section 70M)mOMsian3off the Business and PmfusinmCause,and mylicence is RMV&RPLC 1 SLD PATIO DR & LIKE4 LIKE SIZE FOR
n°Nin full roree and .7 /.g /37 _ SIZE
g Z Idu"ate, s _ Lla
F Dem — ConOuu
ARCHITECTS DECLARATION
W< 1 unscrewed my plans shall is,used as public rreoM
g t; Licensed Pmfcfaional -
OWNER-BUILDER DECLARATION
I Mreby eDirm Net I am"emptiness Ne Contractors License Law for the
°O rallowing mann.(Suction 7031.5,Business and Pro(esdues Cade:Any city or county
$2 which requires a Norma m moosuu0.alcor.improv,demullab.u upom any momentum
Zi pnMb its issuaMC.than testaira the applianl for such Permit us file a signed==am
xx<
Lhe the as licensed pumant to ft provisions of ft Comments Uccnax Law(Chapter 9 Sq.Ft. Floor Area Valuation
F° (commencing with Section 7000)of Division 3 of the Btui s.and Profession,Code)at $6254
$ this u is exempt therefrom and the basis far the alleged evmptian Any Holefee of
Suction 70313 by toy apitliunt for a permlt subjects the applicant to a civil femety of Number Occupancy
nm..can er<hundred dalam(SM 32651043T'Pe
❑1,as avrcr of the property,or my employes with wages n Heir No compenvdon,
will do the work,and tuateuaare is not intended or offered for sate(Sec.7044,Busircv
and Perf ehou,Cade:The Canbeeror,License Iaw ata cot apply to co owner of Required Inspections
property who bui lds or imps om thereon,and who does such work himself or through his
own employe,provided Nat such improwmane are not intended mattered fwsen.If,
hmee .Ne building arMpovsment is said within ane year ofcumpletion,to owner.
milder will haw the burden of proving that he did not build or improve for purpose of
isle.).
❑1,as awrer M the property,em exdusiwly contracting with licensed comments to
construct the project(Sec.7(104.Business and ProfetVom Cade:)The Contractors V-
cuse Law does mat apply to an owner of pmpany who mild,o improv,dmmmn.and,
who canueeY for such projects with a mammals)licensed pureent m the Contrutors
l.benc Law.
❑Iamaempsunder See .B@PCfathisreaane
Owner Data
WORKERS COMPENSATION DECLARATION
PT I hertby affum anderW
r peLy,of perjury nuc of to following declamations:
hawsand will mainuin a Certificate of Cousent to elf.imus fes Woys.a,Compcn-
eetion,u provided for by Sutton 3700 of the Iaba Code.fm Ne performance of the
work for which this Permit is issued
❑1 haw and will..law.Worters Compensation I.,as mgtdted by Suction
3700 of Ne labor Code.far the peffarmcoce of the words far which the permit Is issued.
My Workers CmrPmsat l mance artier uW PolieY be awn
CmmrW(-2L C/4' 7,?e-L_ No CG 9aas.E.•G.. .�-
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
(Thbsectime reed cot x completed ifthe permit Is tams,hundred Miles($[W)
or lest)
1 certify thus in the performance of the work for which this permit is wood.I shall nxt
employ any pence in any maorern as an bemuse subject to the Waricas'Compartments
Laws of Califamis.Dem
Applicant
NOTICE TO APPLICANT:If.Nur making this Certificate of Eumption.you Amid!
became Subject m the Workers Compensation provisions a the labor Coal you most
.J O foMwith comply with even provision,of this permit shall x domed rewkcd.
z CONSTRUCTION LENDING AGENCY
A 1 herebychhi Nat tcurt is•musuacl3lending agency for to perfurmertce of
ce
eL> too
wk rte whim Nmti
is pct 6 seemed! u0(S .309].Co,c)
Q Larders Name
=) _ .
=7.. LendersAodrtsa
U O 1 aertify Nat I haw rad Nis application W sate Nu cu chow iMommation I,
Ly ;'-! cerrea I agree m comply with all city and county on inances and sets laws misting to
5 SV' Wilding coeuuction,and hereby auNoim mprtuntatiws of this city to macrupon Ne
�,s yabove-mentioed property fa inspection purposes
(We)eg..to nes,indemnify and keep herads.to City of Cupartina.&.I.,V) Ilabilida,judgment.eoe and experes;which may N any way acne against said City
C..)Z in consequence of the green&of this parma
APWqAW UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date �/7 2 �l-
S REGULATIONS.
xFT . _ 7 a7e_e P Re-roofs
Sgnalme of Appli UComn2for U(. Data
HAZARDOUS MATERIALS DISCLOSURE
Type of Roof
Will to applicant or future wilding occupant state or handle bmaudous material '
as dcftud by Ne Cu
peNno Municipal Cade.Chapter 9. 2.and to Heald and Safety
Code,s°tea 25531(gT All roofs shall be inspected prior to any roofing material being installed.
❑res
Will the. Rant a auue b dldin ata mat use If a roof is installed without first obtaining an inspection,I agree to remove
fR i N components a devlua which g Pe
District?hot h.'ednus air contaminants n dotted by to Bay Am.Air Quality Management all new materials for inspection.
❑Ya /)BI
I haw road the looczeumeicrist requirtmene undercupmr6.93ofNe Califa-
.eHcA afmycalesutiw 23303.23533 and 23!34.1 understand Nat if to wilding .
ata c ntly hew•tenene Net is u my taponuhilitY m notify to occupant of Ne
rcyui which mumu tpri issuance o(a corifaworoccupanry.
O Signature of Applicant Date
Owteraraathamea.gem Data All roof coverings to be Class'%¢"or better
CITY OF CUPERTINO
• 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 32651043 . 00
DATE ISSUED. . . . . . . : 07/22/2008
RECEIPT # . . . . . . . . . : BS000005539
REFERENCE ID # . . . : 08070153
SITE ADDRESS . . . . . : 10905, SWEET OAK ST
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : DOUGLAS & MONICA BULLARD
ADDRESS . . . . . . . . . . : 10905 SWEET OAK ST
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-0122
RECEIVED FROM . . . . : EDWARD A GREGORY
CONTRACTOR . . . . . . . : MARK C GOOD LIC # 23097
COMPANY . . . . . . . . . . : SEARS HOME IMPROVEMENT
ADDRESS . . . . . . . . . . : 1024 FLORIDA CENTRAL PKWY
CITY/STATE/ZIP . . . : LONGWOOD, FL 32750
TELEPHONE . . . . . . . . : (925) 245-2000
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
------- ----- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 6, 254 . 00 0 . 70 0 . 00 0 . 70 0 . 00
1WINREP EACH 8 1 . 00 367 . 00 0 . 00 367 . 00 0 . 00
---------- - --- ---------- ----------
TOTAL PERMIT 367 . 70 0 . 00 367 . 70 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----- ---------------- - --------------------
CREDIT CARD 367 , 70 " MC
---------
TOTAL RECEIPT 367 . 70
•
f 0?0 7 (0 /
CITY OF CUPERTINO
CITY OF
• CUPERTINO GENERAL BUILDING
PERMIT APPLICATION FORM
APN # Date:
026� /C) 7 , C) U 7— ZZ— v ,P
Building Address:
/oel-o Swaa 06 ,� S7'
Mailing Address (if different from building address):
Owner's Name: Phone#:
�-5cJtt arj c/a8- 735- 3dk/P
Contractor: .Sec rs 4 ) Phone: o_ �3 3vc)7
Fax: x/07- Srt-7261-
Contractor License#: 7-Z 137%
Cupertino Business License#:
• Contact: Z eud- '83'v-
3v- 3Yv, Phone:
Fax:
Residential Commercial El
Job Description:
Building Permit Info:
Bldg Elect ❑ Plumb ❑ Mech ❑
Type of Construction (Usage Class): Occupancy Type: Sl��
1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV-HT, V-B
Valuation: ZS �/ Square Footage:
6
Project Size: Standard Pj Large ❑ Major ❑
•
Revised 5/21/08
CITY OF CUPERTINO
CUPER,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)
I 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)
1 BBOILER2 Installation /relocation of ea M
boiler/compressor over 3 horsepower
to & incl 15 horsepower, or ea
absorption ss over 100,000 Btu/h
1BBOILER3 Installation/relocation ofea 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
1 BBOILER4 Install ation/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 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
1 MECHINSP Other Mechanical Inspections (per M
hour)
1PLMBINSP Other Plumbing & Gas Inspections P •
(per hour)
-FM EETINGIHR Application Meeting B
( '- CITY OF CUPERTINO
CITY Of GENERAL BUILDING APPLICATION
CUPEf�TINO
FEESCHEDULE
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
1CHIMNEY Chimney B
1CHIMNEYR Chimney Repair B
FENCES
Ak
mr 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
1FLAGPOL>20 Flag pole (over 20 ft in height) B
1MODUSTRU Modular Structures B
FOUNDATIONS
IFOUNDREP Foundation Repair B
1 PILECAST Pile Foundation Cast in place concrete B
1 PILEDRIV Pile Foundation Driven (steel, pre- B
stressed concrete)
3 of 5
(CL`- CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
CUPERTINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
IGENCOM
RETAINING
WALL(CONCRETE
OR MASONRY)
1 RETSTN Standard (up to 50 ft) B
1 RETSP310 Special Design, 3-10' high (up to 50 `) B
1RETSPIO Special Design, over 10' high (up to B
50'
1 RETCRB< Gravity/Crib Wall, 0-1 O'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
1 SKYL>1 OSF 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 so 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
4of5
CITY OF CUPERTINO
CITY OF 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
Idoor (ca 8 windows)
1WINMEWSTR New Window-structural shear B
wall/masonry (includes plan ck fee
1 EPERMITFEE Electrical Permit Fee E
1 MPERMITFEE Mechanical Permit Fee M
1 PPERMITFEE Plumbing Permit Fee P
1 ELCPLNCK Stand Alone Electric Pln Ck (hourly) E
AIL
1 MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M
1 PLMBLNCK 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
1BUSLIC Business License B
•
5of5
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 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 1 oint
P. Other 1. List Green Features on Plans A-1 1 point
TOTAL POINTS Z 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
1.Recycle Job Site Construction&Demolition Waste
65%=1 point;75%= 2 points;80%=4 points up to 4 Resource pts 0
(2.Salvage Reusable Building Materials —_j 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 pts y=yes 0
7.Protect Water Quality with Landscape Design 2 Resource pts y=yes 0
B:Design Resour6e E_frcient Landscapes and Gardens 4 Resource is
----- P 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 pts 0
2.Use Recycled Content Aggregate 2 Resource pts y=yes 0
3.Insulate Foundation/Slab before backfill 3 Energy pts Y--yes 0
1 !
C.Structural Frame 1
1.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 pis 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
B.Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y=yes 0
9.Use Structural Insulated Panels(SIPs)
a.Floors 3 Ener is
9Y P 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
12.use OSB --�— —' )
a.Subfloors j( 1 Resource pt y=yes 0
. b.Sheathing _ —�_ 1esourcet p
1 1 1
INPUT RESDurces Energy [AGNealth
D. ztenor Fms
11.Use Sustainable backing Materials •
a.Recycled content i 3 Resource pts y=yes 0
b.FSC Certified Wood 3 Resource pts y--yes 0
[4.
.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAO/Health pt y=yes 0
.Install House Wrap under Siring 1 IAQ/Health pt y--yes 0
Use Fiber-Cement Siding Materials 1 Resource pt y--yes 0
! E !
E.Plumbing
1.Install Water Heater Jacket J 1 Energy pt Y--yes 0
2.Insulate Hot and Cold Water Pipes 2 Energy pis y=yes 0
3.Ret ofit all Faucets and Showerheadswith Flow Reducers
a Faucets(1 point each,up to 2 points) Up to 2 Resource pis. 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. D
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
6,Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 1 !
r,tiecmcal
1.Install Compact Fluorescent Light Bulbs(CFLs)
I(6t 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
.Install Washing Machine with Water and Energy
Conservation Features 1 Energy pt y=yes 0
!3.lnstall Energy Star Refrigerator 1 Energy pt y=yes 0
14.Install Built-In Recycling Center 3 Resource pts y=yes 0
1 1 t
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 D
2.Install Floor Insulation over Crawl Space 4 Energy pts y=yes 0
3.Install Recycled-Conien`t,Fiberglass Esulation with f
No Added Formaldehyde 3 IAQ/Health pts y=yes 0
4.Use Advanced Infiltration Reduction Practices 2 Energy pts y=yes 0
5.Use Cellulase 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.usitings 4 Resource pts y=yes 0
1 i
I.Windows INPUT FeSDUTCeS Energy IAD/Heaith
1.Install Energy-Efficient Windows i
a.Double-Paned 1 Energy pt y=yas 0
b.Low-Emissivity,(Low-E) 2 Energy pts y=yes 0
� c.'Low.Conductivity Frames
- _-_• h � 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 .
r.Use Duct Mastic 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 IAQ/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
B.Install Sealed Combustion Units
a.Furnaces 3 IAQ/Health pts y--yes 0
b.Water Heaters 3lAQ/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
1 D.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 Moves nserts 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 31AQ/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,3.5 kw=16 points)_ _ Up to 18 Energy pts 0
6.Select Safe Tend Roofing Mater als 1 Resource pt y=yes 0
7.Install Radiant Barer - 3 Energy pts y=yes p
1
L.Natural Heating and Cooling 1 1
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 p
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes p
1 1 1
•
__ INPUT Resources Energy IAD/Heatth
. n oor All Qua Ity an Imshes
1.Use Low/No-VOC Paint - - 1 IAQ/Health is es •
2 -------a-—— —— P Y=Y 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0
3.Gselmw o v00 Adhesives 31AQ/Health pts y=yes
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0
5.Use'Engineered Sheet Goods Mth 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.Sea all Exposed Particleboard or MDF 4 IAQ/Health pts y=yes
B.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 !
N.Flooring
1.Select FSC Certified Wood Flooring _ 8 Resource pts y=yes 0 .
2.Use Rapidly Renewable Flooringfdaterials _ _= 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 51AQ/Health pts y=yes 0
5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes D
6.Install Recycled Content Carpel Wth Low VOCs 4 Resource pts y--yes 0
1 1
Total Points A 11401 130 57
Total Points Project Received: 01 0 0 •
G:data/progsrgreenbulidingguidelineshemodelerEJgreenpointsf na1212.04protected.zls
•
Community Development
N 10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
*�UPEkTINO
Building Department
JOB ADDRESS: PERMIT #
90r ��-t'e e O9lt 0
OWNER'S NAME: PHONE # Yoa°- X34— 3SY8
GENERAL CONTRACTOR: �° f //0, 7r FAX # Va7- 53 i— 7Z&s--
I am not using any subcontractors: 7 da p P
Signature y 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
• _� a�-�3
Owner/Contracto ignature Date