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08070034 CITY OF CUPERI'INOba y«w eU1LDI NC DIVISION _—„ PE1VY11T * ,C,O1,ITI2t1GTOR INRQRMATIO. N BUILDING ADDRESS: PERMITN0. 7903 AUGUST LN TBD - TO BE DETERMINED 08070034 OWNER'S NAME: PERMIT ISSUE DATE - WINDY ZHENG 07/07/2008 INE: SANITARY NO. CONTROL NO. ARCHITEC IENGINEEH: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 :op LICENSED CONTRACTOR'S DECLARATION 4 F 1 Ibmby mfr.m Nu Ism Ikxnred under pmWimu of Clmpmr 9(commencing Job Description `uj wibSaxmm/000).fDiviom.3afNeRusi.andProkusioruCnde,aMmyIke.is INSTL SY:YLIGHT a SUN-TUNNEL; NON-STRUCTRL e in full forte.m.fle t. D g_Z License Class Lk.Y n f, Dab Cmosacbr 4 C ARCHITECTS DECLARATION TION M`` a 1 uMcrvand my plans shall be used as public records eyU L O r^ Licartad Prof.ashonsl sC O3 OWNER"exempt R DECLARATION C I herohy affirm that 1 1. exempt from Ne Convenor's Licence law for the COC which ro Meason.(Schon IID 1.5,Boainns and improve. da imli Cade:Any city or county $ which its mm a panel r crams;Me alur.ma W form demrnt t m repair any stnv:omm Prior b its licensed also mquima the applicant Me Contractor's ontraat tor'.Licasingled wsWCmend C dltmurnewa gMMSect70MWPmvisionso of McBusinca andPialaw(Chaptm9 Sq.Ft.Floor Area Valuation $ (commencing with SaMon 7000)of Division 3 of the Busimmcvand Professions Cade)or $2500 Nat W is exempt Madman and the basis for the alleged assumption.My violation of Section 7031.5 by any applicant fm a permit subjects Ne applicant to a civil penalty of NbOceu enc not mom Nan five hundred dollars(5300). 3 6 212 011 .� Number P y Type ❑L as owner of Mk PmpertY,a my wployw with maga as the'v suk cmnpewMon, will do Wewart and Ne TW Licarooraw dosonata(Ser. sm anerof and arty wh lou cads:TW Convaseem. nd wa law east net apply b an owner of Required Inspections progeny who Wilds aimpmt star un n,arW who dots.tmh work himselfor for sak his aw ever.M ebuipog or had such impmwmw t arc not our tedofc oroRerW sae omm U. however,the Wilding or improvement b hold within orae year of improve for the owner- builder will have Us duds of Proving that he did not Wild or improv for puryme of roto). Tyr,as owner of the Property,am exclusively contracting with licensed contractors to comma the project(See.7W.Businsu and Proksdoms Cale:)The Conbaanr's U. . came Law does not apply in an owner of progeny who Wilds or iminewa Nermn.am who contacts for such projects with a contractor(s)licensed pursuant to We Commencer Lkebac Law. O lwea.mptunder See .B&PCrartirs. Owner�M ��� Dam (z 4,7 Q WORKERS COMPENSATION DECLARATION I hereby affirm uMer Family of pe7my one of dm following declaration. 1 ham and will maintain a Certificate of Consent to self-insure for Worker's Compere salon,as provided for by Section 3700 of the Labor Cole,for Mm performance of Me, work for which thea Permit is named 0 1 bare and will maintain Workeh Compensation Insurima,as mqu nal by Section 37()0.(Ne laWrCode,for Ne performance of the wart for which this permit Is blued. My Wortrfa Compemaatim Inamammre atria and Policy number art: Cartier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This aNan need notbccanplead If the Permit Is(none hundred dollars(SIW) or less) 1 wdfv Wet in Me park ne ce of the wah for which this permit is issued 1 All net employ any person in any rrxa Lm/asnb WYn bjeeuo We Worker'Computed.. Laws of Calirw / f ) Applicant NOTICE TO APPUCANT:If,after making this CenhO®b of Exemption,You should _ become subject le the Workeri Compensation provisions of ala labor Cade,you mus .J z foMwith comply with such provisions m this permit shall W deemed remained. z 55 CONSTRUCTION LENDING AGENCY L~`�" 1hereby afrnm Out them is a construction lending&gamy for Me performance of Ci Mm work for which this permit u issued(Sec.]MI.Civ.C.) Q lender's Name0. ' .`7. z Lander'.Add. U O I..miry that I have read that a"licui e,and sum Wad the above information is Is, correct I agree to comply wild all city and county oNinsnces and atom laws slating in OU buildingcensuucti.n,and hereby authorize mprmanstives ofthis city to enter upon the ,I shove-mcntianedproperty for inspection which may py (We)agree b save.indemnify and kap harmless the City of Cupc h.against Upr' liamsequac me Meg.u,,costssudespontsas which may in anYwymace against said City Z inconaquNT ofMeSA ANremD Issued by: Date APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT SOURCER ULATI � i /7 /d ,S signature lican.Contracdm Dam UY Re-roofs i HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will Ma apPlieaut or futon Wilding aampsutstore or handle Innermost mamrial as leMad by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety cnck.SectionEl Y. zss3z(g1 —/ All roofs shall be inspected nor to an roofing material beim ❑Yas pyrex P P � Y 8 g installed. Will dal applicant or fmum Wilding oc vpant ua equhpmeot or devices which If a roof is installed without first obtaining an inspection,I agree to remove .t heraNnus air ex numinsnu as deRned by the Bay Arts Air Dustily Management mien all new materials for inspection. Dy. 1 haw mad the WoNas materials requimmems unlerChapmr6.95 oldie Califor- nia Health&Safety Cole,Sadons 25505,25533 and 25534.1 undcssund norm(the Wilding docs not comedy hove a.4 Mss it u my mapoinibilidy b redly M e m eopeat of the gai�nL, hwhm"t =tpi.rbiam ofacatieaa.r Signature of Applicant Date ownerr agenl ' ' Dam All roof coverings to be Class'%W'or better CITY OF CUPERTINO • 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36212011 . 00 DATE ISSUED. . . . . . . : 07/07/2008 RECEIPT # . . . . . . . . . : BS000005346 REFERENCE ID # . . . : 08070034 SITE ADDRESS . . . . . : 7903 AUGUST LN SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : WENDY ZHENG ADDRESS . . . . . . . . . . : 7903 AUGUST LN CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4113 RECEIVED FROM . . . . : MRS. WENDY J ZHENG CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096 COMPANY TBD - TO BE DETERMINED ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . . , TELEPHONE . . . . . . . . : • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC . NEW BAL -- -- ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 2 , 500 . 00 0 . 50 0 . 00 0 . 50 0 . 00 1SKYL<10SF EACH 2 . 00 734 . 00 0 . 00 734 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 734 . 50 0 . 00 734 . 50 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 734. 50 VISA TOTAL RECEIPT 734 . 50 • C7�o-7 � c� 3y a CITY OF CUPERTINO CUPEkwO GENERAL BUILDING PERMIT APPLICATION FORM APN# a ' -z O f O Date: joy Building Address: g 9 o 3 u,� L A0 e, CW I ro I Mailing Address (if different from building address): Owner's Name: (V j) Phone#: 6V _ U Contractor. t Phone: Vi c c, 4`S U 171 ,3' _ r 7 (�2 l l� Fax: Contractor License #: s- Cu ertino Business License#: Contact: Phone: Fax: • Residential 99 Commercial Job Description: Z`"��^�l S �/ ��� � Stingy. Twkhe�— n '✓1S'"�Y'v Building Permit Info: Bldg Q. Elect ❑ Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: 1-A, 1-B ❑ II/III/V-A ❑ IUIII B, N-HT, V-B [lj-- - �L —�� Valuation: Square Footage: L rod , 9 Project Size: Express [ Standard Large ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it to the application or if applicable, include'in plan set & the sheet index. Points Achieved: • For help, contact Build it Green at www.builditgreen.or 25)'' Revised 6/16/08 aTyF CITY OF CUPERTINO CUPEkTINO GENERAL BUILDING PERMIT APPLICATION FORM Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1 GENCOM 1BTEMPPER Temporary Building Permit (good for B 30 days) 1BBOILERI 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 IBBOILER3 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 • IBBOILER4 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 1BBOIL,ER5 Installation/relocation of ea boiler or M refrigeration compressor over 50 horsepower, or ea absorption sys over 1,750,000 Btu/h 1BAPPLOTH 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 • er hour) IMEETINGIHR Application Meeting B �- CITY OF CUPERTINO CmoF GENERAL BUILDING APPLICATION CUPEkTINO FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1 GENCOM ACOUSTICAL REVIEW IACOUSFDW SFDWL/Duplex New B IACOUSRESAD SFDWL/Duplex-Addition/Alteration B IACOUSCOM Multi-Family/Commercial B CHIMNEY'S 1CHIMNEY Chimney B 1CH]MNEYR Chimney Repair B FENCES 1FENCE>6FT Non-masonry, over 6 ft in height B 1FENCEMAS>6 Masonry, over 6 ft in height B FIREPLACES 1FIREPLMAS Fireplace Masonry B IFIREPLFAB Fireplace Pre-Fabricated/Metal B 1FLAGP0L>20 Flag pole (over 20 ft in height) B IMOD USTRU Modular Structures B FOUNDATIONS 1FOUNDREP EFoundaHtionepair B 1PILECAST ion Cast in place concrete B IPILEDRIV Pile Foundation Driven (steel,pre- B stressed concrete) 3of5 r(�© CITY OF CUPERTINO C' °r GENERAL BUILDING APPLICATION CUPEI�TINO • FEE SCHEDULE • Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM RETAINING WALL(CONCRETE F7OR MASONRY) 1RETSTN Standard (up to 50 ft) B 1RETSP310 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 1 SKYUl0SF 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 or GENERAL BUILDING APPLICATION CUPEf�TINO FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group ]GENRES or 1GENCOM 1 WIIJREP 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 1PPERMITFEE Plumbing Permit Fee P IELCPLNCK Stand Alone Electric Pln Ck (hourly) E 1MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M I 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 / 1BSEISMICR Seismic Residential B 1BSEISMICO 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 B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 2 points 11. Permeable Paving, Note L-1 2 oints C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 paints D. Structural 3. Uses Wood [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 oints 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.) AJ 1 point 3. Ene Star Refrigerator, Note/Spec. AJ 1 point P. Other 1. List Green Features an Plans A-1 1 point TOTAL POINTS1 40 points • Plan Review Process Work Book Page-12-Revised 325/08 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 6596=1 point;75%= 2 points;80%=4 points I up to 4 Resource pts 0 L_2.SaNage Reusable Building Materials ) 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 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 Design Resource-Effcient Landscapes and Gardens_ 4 Resource pts y=yes 0 9.Reuse Matenals/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 p 1 1 1 B.Foundation iimllmn 1.Incorporate Recycled Flyash in Concrete • 25%Recycled Flyash=2 points;Add t point for every 10% increase of flyash,up to 5 points up to 5 Resource pis 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 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 Floor and Ceilings 2 Resource pts 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 yryes 0 6.Use Finger-Jointed Studs for Vertical Applications 2 Resource ptsy=yes 0 7.Use Engineered Studs for Vertical Applications 2 Resource pts y=yes p B.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 D 10.Apply Advanced Framing Techniques 4 Resource pts y=yes p 11.Use Reclaimed Lumber for Non Structural Applications3 Resource pts y=yes 0 r Use OSB -_ — - —__ ------ - - - __ t a.Subfloors b.Sheathing 1 Resource pt y=yes 0 • ---- -- - -- ---- -----.� , ----- 1 Resource pt Y=Yes D 1 1 f D. xtenor Tinish 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 i3.Install House Wrap under Siding 1 IAO/Health pt y=yes 0 14.Use Fiber-Cement Siding Materials I 1 Resource pt y=yes 0 1 1 1 E.Plumbing F.Install WaterHeater Jeckei_ _ 1 Energy pt y=yes 0 2.Inulate sHot old and CWater 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 Toilest 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 IAQlHealth of 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 41AQ/Health pts. 0 S.Install On-Demand Hol Water Circulation Pump 4 Resource pts y--yes 0 1 1 1 r,.tiecmcai 1.Install Compact Fluorescent Light Bulbs(CFLs) . (6 bulbs-2 pbinls,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 I 1 t G.Appliances 1.Install Energy Star Dishwasher f 1 Energy pt y=yes 0 2.Install Washing Machine vdth Water and'Energy Conservation Features 1 Energy pt y=yes 0 I3.lnstall Energy Star Refrigerator 1 Energy pt y=yas 0 4.Install Built-In Recycling Center 3 Resource pts y=yes 0 1 I ! H.Insulation 1,Upgrade Insulation to Exceed Title 24 Requirements a.Walls 2 Energy pis Y_-Yes 0 b.Ceilings 2 Energy pts y=yes 0 -2.Install Floor Insulation over Crawl Space 4 Energy pts Y--yes 0 r.Install Recycled-Content,Fiberglass Insulation witli o Added Formaldehyde j 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 D.Uemngs 4 Resource pts y=yes 0 1 1 1 I.Windows I1.Install Energy-Efficient Windows . a.Double-Paned 1 Energy pt y=yes 0 It.Low-Emissivity(Low-E) 2 Energy pts y yes 0 c.Low.Conductivity Frames _ 2 Ener ___ Energy pts Y--yes 0 2.Install Low Heat Transmission Glazing 1 Energy pt Mas 0 1 1 1 J.Heating Ventilation and Air Conditioning r_Gse Duct Mastic On All Duct Joints _ _ i 2 Energy pts y=yes 0 2.Install Ductwork within Conditioned Space l 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 2IAQ/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 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 Refrioerants 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 stoveslinserts 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 IAQ/Health pts y--yes 0 17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y=yes 0 1 K.Renewable Energy and Roofing 1 1 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 r-- ----' — ---- - —, _Select Safe and Durable Roofing Materials _ _ _ 1 Resource pt y=yes 0 7.Install Radiant Barrier 3 Energy pts y=yes p L.Natural Heating and Cooling 1 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 pis y=yes 0 1 1 1 • M. ndoor Air Quality and Finishes INPUT ResDurces Energy IAQ/Haalth 1.Use LcwRJo-VOC Paint - _ 1 IAO/Health pts y=yes D 2.Use Low VOC,(Nater-Based Wood Finishes 2 IAQ/Health pts y=yes 0 • 13 Use LowMo VOC Adhesives _ 3 IAQ/Health pts y=yes 0 4.Usa 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 IAO/Health pts y=yas D 7.Seal all Exposed Pertideboard or MDf4 IAQ Health pts y=yes 0 B.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 3 IAO/Health pts y--yes 0 1 1 1 N.Flooring 1.Select FSC Certified Wood Flooring _ _ 0 Resource pts y=yesD 2.Use Rapidty Renewable Flooring Matenals 4 Resource pts y=yes 0 3.Use Recycled Content Ceramic Tiles 4 Resource pts y7—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 Carpet with Low VOCs 4 Resource pts y=yes 0 1 i 1 Total Points Available: 1 1401 1301 57 Total Points Project R 1 01 01 0 • G:datatpmgstgreenbuildinggvidelineshemDdalem/greanpoirnsfina272.D4prata.tedxls • Community Development 10300 Torre Avenue ,"tam"! Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 G�UPEkTINO Building De artment JOB ADDRESS: PERMIT # 1 2 0 3 A L a nc , �'yw CA 5 If Od'C)--? 0 0 OWNER'S NAME: 21-1 7,A1 PHONE # tr 0 1— Cp c GENERAL CONTRACTOR: j` (c '1 6 FAX # I am not using any subcontractors: ` I r r U 9 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