08060100 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRAGTQR"INFQ.,RIVTAIOI
BUILDING ADORES': PERMIT NO.
1.0358 GLENVIEW AVE TBD — TO BE DETERMINED 08060100
OWNER'S NAME: PERMIT ISUEDATE
MOHAN SRINIVASAN 06/12/2008
NE: SANITARY NO. CONTROL NO.
ARCHITECOENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
seas
LICENSEDCONTRACTOR
under SDECI.ARAT hap Job Description
iJ w 1 Webby affirm that 1 w licopecd under Pr^visi.ru of Chapter (commeain[ p
U with Section?0)(1)of Division Jofthe Business and ProfessimsCode.and mylicense is ADD EURNC & A/C & 10 RECESS LIGHTS
in full fame and affect
p Z License Class Lke.N
F Dam Contractor
eARCHTIELTS DECLARATION
Y 1 undervand my
pla�u slWl be used u public nxmtla
we CN
G Licensed Professional
3
OWNER-BUILDERexempt
DECLARATION
.�n E 1 wcaby alum Nat I e.5 exempt from tis C.sons Cc License Law for Iw
C 3 O following mason. eaction fin 1.4 Business and pr.do one Calc:Any airy or count'
z$ which nqussu n permit m m==ite alter,impose,demolish,or ensu any sw"uca
_zy Usaii W is ccesedc.also.or In to thovisio sof for wchPermit s to Law(ed uumcnt
s
< wtheimeml, ishSection70Kpm.ivinoafNecnmranwra�mer,onsCodmr9 Sq.Ft Floor Area Valuation
Y5 (cat he ii ngwith Seeticomandth00) an,basis fe3 the
Ne Business and ProfMyviolist
ilisde)ar $$,rj00
y $ that he u exempt arty cep m and du aper for be cis the cavnpnm.Any vial Won of
Section mo 1051.5 by any red doll fora permit subjects the applicant to a civil penalty of Number Occu ane T e
mol more Nan BK hundred dollars(tsao). 3 6 9110 2 3 �� P Y YP
C 1,as swat of the property,or my wploym with wages as their sole compensation,
will do the want and the sbacome is net intended or offered for sae(Sm.?014,Businessand professions Cade The Comracmrs Lia,op law does net apply to an owner of Required Inspections
pmpeny 1 bobuildsor cul ons Neuron.and whodorssohworkhimselfortiuvugh hr
owes anepia ,provided thatsuehimpmvemrsu are not inuMed oroRemd ferule.if.
however, Iding or wpmmncot resold within as wvof completion,the owner-
Guilder .have the burden of proving Nn w did not build or impmsa for purpose of
ser.). - ...
.
as awn"of the pmpert,am exclusively...totaling with licensed mnvxton to
construct,the project(See.1014,Business and professions Code:)The Conmaetori U.
come Law does not appy to an.war of pmp my who wilds or Improves thereon,and.
who contracts for such pmjeeu with a conuanor(s)Hicenad national to the Contractors
Liceue Law.
❑l am eacmps under (1 O ,B&P C for this carbon
Owner N�"s'_ Data I 9
WO ER" COMPENSATION DECLARATION
1 bereby off.under pnWty of perjury can,of the following dalantiom:
1 here and will milnuin a C"tiBou of C.rsent to self-iuum for WorkersCompal-
scion,as provided for by Section 5700 of the Labor Code,for the pe formuuz of tie
work for which Nis permit is issued.
1 have and will maintain Workers Compensation Irsunna,as resulted by Section
37OO of the Labor Codc,for f pcRormance of the work for which this permit is isonsi
MY Workers Cornperbatian btrvmna artier and Poliry number are: -
Canien Poliry No.:
CERTIFICATE OF EXEMP71ON FROM WORKERS'
COMPENSATION INSURANCE
or leu.) r sedan used cos W completed if the Permit is for one hundred dollars(SI W)
I cesdfy dot in the performance of tie work for which this permit is Lssad,l clWl nes
employ any person in any manor an,rbto becmne act, totes Wodozs'C.mpenuJan
Appli Calif a. 6y�jn-ioy
Applicant
NOTICE A P CANT.�IIf.after making this Certificate of Exemption,you should
Gecome object to Has Workers Compevadon previsions of No Labor Conic.You most
,Jz forthwith comply with such Provisions or this permit shall W deemed revoked.
Ey CONSTRUCTION LENDING AGENCY
.. I heavy anion Nat Nen r a corsbu Linn leading agency for the p"formas¢of
fYNc wort for which this permit in isad(Sox.5997,Civ.C.)
4 0 Lenders Name
z Lenders Address ,
C.)Q 1 calmly that I have nand this application and sum that the above information is
I3.U cons".i agme 0 comply with ill city and county oalinanceurW sou rws misting to
-p building construction,and hereby sunbeam mpnsentamm of this city to tnw upon the
LQ above-mentiaad property for inspection purposes. .
F„ 0. (We)agree to on.indemnify and keep hatedl.V Ne City of CuperYna against
t. y liabilities,judgmonu,costo and expenses which may N any way ae"ue against said City
.1z in endures ace of ft 9-6-1 of this permit. ^(`/
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date �� ✓6
SOURCE UL NS.
,�y,AL1 o61tz'�
signuass6 11R. ontractor Dale Re-roofs
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will tie applicant w future ddlding occupant sore or handle haaard.0 material
as defined by tis Cupertino Municipal Code.DUP ser 9.13,and the Heath and Safety
Cole,Section 25533(a)?
CY.. MIN. All roofs shall be inspected prior to any roofing material being installed.
Will the. Gant or fulum wilding«.a ant are e w If a roof is installed without first obtaining an inspection,I agree to remove
PP v a it Qu at Mara a which g P
District? s aircanumiunu rb JcOad by the Bay Area Air Quality Management all new materials for inspection.
District?
❑Yrs Nu
I haw read Ne hanmrnnmamriar mquimmmm unrmr Chapw6.95 of Iw Califor.
nia HeolN&SafctyCo ,Sc";wu35505,35533md25534.lurbcmmdNnifJu wilding
dem at,s mmly haw•unlet Nat b r my map mibiliry to mdry tic mcuput of tie
myai cat.,, h hmn�m wraaanaaractmrtV IapinV& Signature of Applicant Date
Ow r rvNa rte agent 2+Dam All roof coverings to be Class'�Pr or better
CITY OF CUPERTINO
• 6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: pdtg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 36911023 . 00
DATE ISSUED. . . . . . . : 06/12/2008
RECEIPT #. . . . . . . . . : BS000005109
REFERENCE ID # . . . : 08060100
SITE ADDRESS . . . . . : 10358 GLENVIEW AVE
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER MOHAN SRINIVASAN
ADDRESS . . . . . . . . . . : 10358 GLENVIEW AVE
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4511
RECEIVED FROM . . . . : MOHAN SRINIVASAN
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 8, 500 . 00 1 . 80 0 . 00 1 . 80 0 . 00
1EPERMITFE FLAT RATE 1 . 00 81 . 58 0 . 00 81 . 58 0 . 00
1MPERMITFE FLAT RATE 1 . 00 81 . 58 0 . 00 81 . 58 0 . 00
1MRRAA UNITS 1 . 00 122 . 38 0 . 00 122 . 38 0 . 00
1PPERMITFE FLAT RATE 1 . 00 81 . 58 0 . 00 81 . 58 0 . 00
1TRAVDOC FLAT RATE 1. 00 81 . 58 0 . 00 81 . 58 0 . 00
---------- --------- ------ ----------
TOTAL PERMIT 450 . 50 0 . 00 450 . 50 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
---------
CREDIT CARD 450 . 50 MC
---------------
TOTAL RECEIPT 450 . 50
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
---- --------------------------- -- -------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
•
Oho(o (-) / o c)
CITY OF CUPERTINO
FURNACE/AC
C TY bF
CUPEkTINO PERMIT APPLICATION FORM
APN # �9� �va3 vo Date:
12, 2Fi0$
Building Address:
GUPC2 /,Aj Got 95 �i
Owner's Name: Phone#:
M ,,15; E-{ AN S RI n/I VA SCJ L�o -203 - 7q Z/3
Contractor: .L A V/2)
/2 P 1-1 A M Phone#:y
Fax #:
Contractor License#: ,� / Cupertino Business License #:
5 1 �5 `7�. 0
Contact: . 395 • ( L /0 (0 V T Z 5 T Phone#:
� OV . E)-� L CA S l 3 2, Fax #:
Building Permit Info:
61 Elect E�r Plumb ❑ Mech ❑
Residential Commercial
Job Description: ? , & h¢¢ f
fl ct�Z��Pi5�5 .,n�L4
For Residential Installations: 11//
Attic ❑ I" floor ❑ 2"d floor ❑
Adhere to minimum setback requirement
For Commercial Installations:
Replacement same weight ❑ Additional weight (structural calcs) ❑
Structural Calculations required for new installation ❑
New installation Planning A proval Required ❑
Cost of Project: 1�c 500 Type of Construction (Usage Class):
Strapped Lj On Platform Bonded New LocationEl Replacement
Valuation:
Green Building: Please complete relevant portion of the Green Building Checklist& attach it to the
application or if applicable, include in plan set & the sheet index.
CITY OF CUPERTINO
FURNACE/AC
CUPEkTINO 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.
1 MCREPALT 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.
1 PGASCOM Commerical for ea gas piping System P
1-4 outlets
1 BPGAS 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 & not incl in an appliance
ermit.
1BSEISMICO Commercial Seismic B
71�heating,cooling,absorption
sidential Repair/Alteration/Add to M
heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
or
evaporative cooling system,incl
installation of controls regulated by
this code.
1MRSUSHTR Residential Install/Relocateea M •
suspended heater,recessed.wall htr, or
floor mounted unit heater.
1 MRAPPVNT Residential for the install/relocate/ or M
replacement of ea appliance vent
install & not incl in an appl,permit.
CITY OF CUPERTINO
FURNACE/AC
CITY OF
CUPEkTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1 PGASRES Residential for ea gas piping system of P
1-4 Outlets
IBPGAS For each gas piping system of 5 or P
more per outlet.
I IBSEISMICR Residential Seismic B
IMECPLNCK Mechanical Plan Check M
1 MFR=<100 Furnace Syst<=100k BTU install or M
relocate ea forced-air/gravity type
fumace/bumer, incl ducts/vents
attached to such appliance up to and
include 100,000 Btu/h
IMFRN>I00 Furnace Syst > 100k BTU install or M
relocate ea forced-air/gravity type
furnace/burner, incl ducts/vents
attached to such appliance over
100,000 Btu/h
/ 1 EPERMITFEE Electric Permit Fee E
IMPERMITFEE Mechanical Permit Fee M
I IPPERMITFEE Plumbing Permit P
' ITRAVDOC Travel Documentation B
1BUSLIC Business License B
lvodZK w1-rH 6 (t T- ni i Ir
CITY OF CUPERTINO
,0�G''` FURNACE/AC
OF
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
AIR FURN/AC
CONDITIONING
1 BCAIRHAN Commercial A/C Units<= l Ok CFM B
1MCRAA Commercial Mcch Repair/alt/add M
1BSEISMICO Seismic Commercial B
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1 PGASRES 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
1BREMAIRHAN Residential A/C units <= lOk CFM B
1MRRAA Residential Mech Repair/alt/add M •
1BSEISMICR Seismic Residential B
IEPERMITFEE Electric Permit E
1MPERMITFEE Mechanical Permit M
1PPERMITFEE Plumbing Permit P
1TRAVD0C Travel Documentation B
1BUSLIC Business License B
•
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
a. 'r
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 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
1.Recycle Job Site Construction 8 Demolition Waste
65%=1 point;75%= 2 points;8D%=4 points up to 4 Resource pts 0
!2 Salvage Reusable Building Materials if4 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
Design Resource-Efficient Landscapes and Gardens _ _, 4 Resource pts y=yas 0
9.Reuse Matedals/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 p
C.Structural Frame
1 1 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 l6d I-Joists for Floors 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 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
8.Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y=yes 0
9.Use Structural Insulated Panels(SIPS)
a.Floors 3 Ener
b.Wall 9Y pts Y=Yes 0
3 Energy pts y=yes p
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 0SB — — — - - ----— - -- j
I a.Subfloors
• I -- - -- _ - _ _._� .-. 1 Resource of y=yes D
b.Sheathing
1 Resource pt y=yes p
1 I 1
INPUT pesDurces Energy 1ADIHealth
D.Exterior Frms
F.Use Sustainable Decking Materials
a.Recycled content 3.Resource pts y=yes D
b.FSC Ce tified Wood 3 Resource pts y=yes 0
12.Use Treated Wood That Does Not Contain ChromiundArsenic 1 IAQ/Health pt y--yes 0
3.Install House Wrap under Siding ' 1 IAQ/Health pt y--yes 0
4.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 0
E.Plumbing
1.Install Water Heater Jacket _ �___� 1Energy pt y=yes 0
2.Insulate Hof and Cold Water Pipes 2 Energy pts y=yes 0
3.Retrofit all Faucets and Showerheads with Flow cars E
aa.Faucets h,up to 2 points) Up to 2 Resource pts. 0
b.Showerheads(1 point each,up to 2 points) f Up to 2 Resource pts. 0
4.Replace Toiled 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 Water Healer 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
S.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
! 1 1
r,.tiecmcar
1.Install EcmWGt Fluorescent Light Bulbs(CFCs)
(6 bulbs=2 points,10 bulbs 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 pis. 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
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 0
2.Install Floor Insulation over Crawl Space 4 Energy pts y=yes 0
3.Install Recycled-Content,Fi&er`glass Insulation with
No Added Formaldehyde ) 3 IAQ/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
o.t;ewngs 4 Resource pts y=yes 0
1 1 1
INPUT Resources Friergy 1ACHealth
I. mdows
1.Install Energy-Efficiem 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
J.Heating Ventilation and Air Conditioning
1.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=yas 0
7.Install Whole House Fan 4 Energy pts Y--yes 0
8.Install Sealed Combustion Units
a.Furnaces 3IAQ/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 stoves(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 4IAQ/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 1 1
K.Renewable Energy and Roofing
1.Pre-Plumb for Solar(Nater 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 16 Energy pts 0
6. t S
Selecafe and Durable Roofing Materials- - -? 1 Resource pt y=yes 0
7.Install Radiant Barrier i 3 Energy pts 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 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
. n oor Au Quality and Firoshes INPUT RSSOUTCeS Enemy IADIH.ealth
J.Use Loi Mc VOC Paint _ _ } 1 [AD/Health pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0
f3:Use LowMo VOC Adhesives _ y 3 IAQ/Health pts y=yes 0
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 61A0]Health pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 ]AD/Health pts y=yes 0
�7.Seal all Exposed Particleboard or MDF - -� 4 IAO/Health. pts y=yes 0
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 31AQMealth pts y=yes 0
f 1 1
N.Flooring
1.Select FSC Certified Wood Flooring 6 Resource pts y=yes 0
2.Use Rapidly Renewable Floc ng Materials � 1 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 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=yesl 0
I 1 1
Total Points Available: e� l wld1 1401 1301 57
Total Points Project Received: d1 01 0 0 . •
G:datalpro;srgreenbuildngguidelineahemodelersrgreenpointsfinal2.12.04prote7edA
r
•
Community Development
jt10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
�UPEkTINO
Building Department
JOB ADDRESS: t1,;>3 S S r [EN U I t=VV p{vZ. PERMIT# (� r O/
c/y eel t7 C s�1 Q (
OWNER'S NAME: M S 2 I rO ✓A S PHONE # LkCS--2D 3 -7 Lj,43
GENERAL CONTRACTOR: -DA-V-D 1 ' _ FAX #
I am not using any subcontractors:
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
7A bl
Owner/Coi aetor-Signature Date