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CITY OF CUPERTINO
Fx est"^
��eomr UliA6) "IN"FO 1ATION
BUILDING DIVISION PERMIT
Bu19!6' A8gICEssL.00KWOOD DR
A PERFECT CLIMATE
PERMIT NO.
08070026 ,
OWNER'S NAME:
PERMIT ISSUE DATE
J7AN DING
8375 BRENTWOOD BLVD STE'B
07/02/2008
NE:
SANITARY NO. CONTROL NO.
(408)861 9545
ARCHn E`r&NGINEER
BUILDING PERMIT INFO
BLDG ELECT PLUMB - MECH
0 0 0 0
LICENSED CONTRACTORS DECLARATION
bates Chapter
Job Description
1 berth, arnm that T w liaysand wader pm of 9 (commcacind
with Scedon7001n of OTrison 3afmo Rusnes and PmRssium Codu,snd my license is
R&R FURNACE 100K BTU
in full force am SUCCL,
Liame Clan Lk. Y
Dao2eCo..
ARCHRECTS DECLAMTI N
I unMrvand my plans ahall W mod as public records
Licc.d M Tac fuml
OWNER -BUILDER DECLARATION
1 hereby affirm that I am exempt from the Conuacsors License Law for On
following mason. (Section 703 M, Busiseu and Pmnxdons Code: My city m county
which requires a pemtit to consuucl alma improve, demolish, or micur any structure
1 Prior an its issue=. also inquires We applicant for such permit to file asigned mtemenl
islicensed to mo of On, Conlracmfs license Law (Chapter 9
Sq. Ft. Floor Area
Valuation
men pursuant pmrisiom
7000)ofDivision 3nfmr, Basis. Frolicsome Code)ur
C
! ommoncingwith Section and
(c
• mat he In asempt themfmm and the but$ for the alleged exemption My violation of
3 4 214 0 41 Number
Occupancy Type
Na fivvee sl subyccs me applicant m a cont petty of
nodi come hundred challllut(SSW
.�
O I, as owner of the Property, or my croployaa with wages u dteb sok eompemadan,
Required Inspections
will do the it and me srue7ure carat intended a offered for sale (Sec. T(M4. Business
and Pmfcsslom Code: The CoemcmA License law dao not apply to an owns of
property who builds orimproves demon, am who does such work himself a through his
awo employuas, Funded dun such improvements art not mounded "Offered for sale B,
however, me building or Improvement is mid within oro year of completion. me owner -
builder will have the Wrden of proving Out W did rot build or improve for purpose of
ask I.
O 1, as owner of the xnpacnY• am exclusively contracting with licensed contractors to
contract the project (Sec. 7044, Business and Professions Cade:) The Consanor's U.
.
ame law dao oat apply m an owner of property who builds or bnpmves thercon, and,
who conn us for such projects withacontrx7u(s) licensed purwam he me, COoracmli
License law.
O lammeminumerSec .B&PCfor Oise.
Owner Dam
WORKER'S COMPENSATION DECLARATION
1 hereby aim under penalty of perjury arc of On following deciarWons:
1 have am will maintain a Cendimate of consent to albimum fa worimes Compcn-
saman, an pmvidM for by section 37M of me labor, Code. far the perfomance of that
work for which this permit is issued.
have atm will maintain Worker'] Campemadan Insurance. as reputed by Senior
700 of me labor Code, for me perfomance of mm work for which mu permit is Leaned.
'
My W.fte, oro matins Imuran] artier and Policy number are:
c,arler: O' f' .' Policy oar e b r08
d
CERTIFICATE OF EXEMP130N FROM WORKERS
COMPENSATION INSURANCE
(This aemlon seed not W campleod arae permit is foronehunded donus(SI00)
or kms)
1 ares(, met in me performance or the wort For which this permit is issued. I dull not
employ Ny peroon in my manrCr an as an become subject to the Woriumm Compeso mal
Laws of California. Dale
Applicant
NOTICE TO APPLICANT: If. alter making this Certificate of Eatmption, you &Wind
Weems, subject to the WoakcYs Compeuaum provuiom of the labor Code. you mus
• foMwid rnmply with such provision or this permit shall be deemed rooked.
i
i
man more b. constuFNDINGAGENCY
1 hereby affim cost Bert u lending agnsy for the performeae err
On s ed (So,.
for which that permit is issued (Sec. ]097, Civ. C.)
Lcodefs Name
ccs
LcndrYS Mdrtea
v
'
j 1 anify that I have head this application and some ms me above infmmaden u
' comes. I agree m comply with all city and county ordinances am ass laws relating In
Wilding conmumion, and hereby authorise relmo ensmves of Out it, se enMr upon do
'
i alam-mentioned plopcny, for inspection purpnaes.
(WO) agree b save. indemnify and kap bumleas mo City of Cupertino agatmt
j cape"• -•which maY in any wayamueaBvmnseid City
inCumactsedgmevsecorssnd
in amequerse of the granting of this Permit
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON
Issued 7, Z -z;5�L-
-POINT
SOa�a�aEGULATI S. q,
by: Date
C��l-f, s_Lr.FYI�[o..�� 7—�-dd�
Signature AppliaHAZAR
Re -roofs
of
OU Dale
HAZARDOUS MATERIALS C ceohandl
Type of Roof
WIII m no future building occupant.Chpestore or handle henrdom material
40ned y t e Cup
ms Cupertino Municipal Code. Chapser 9.I2, roti me Health and safety
C io
code. Section 255II(g7
Ayes �
All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future Wilding occupant use cOmPrornt Or Ovens which
If a roof is installed without first obtaining an inspection, I agree to remove
it h rardem air communtants an denned by me Bay Area Air Quality Management
all new materials for inspection.
P
Duaiclt
Oyu u
I have mad the herso6com macriat$requiremcntsOmrClumor6.95aflhe Colima-
nix Health& SafclyCede. Secuom 7550.5,25533 and! 25534. 1 undcnund mwifine Wilding
,
dons net came have a a'me. that it u my responsibility m notify On aceumnt of me
hegat whkhmusats, I *a. mismanaafacadrKalearaapamwy.
Signature of Applicant Date
7 2
owner Or .0. erg t Date
All roof coverings to be Class'1?"
g Or better
CITY OF CUPERTINO
• 6 ITEMS OF 6 PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 34214041.00
DATE ISSUED.......: 07/02/2008
RECEIPT #.........: BS000005332
REFERENCE ID # ...: 08070026
SITE ADDRESS .....: 10206 LOCKWOOD DR
SUBDIVISION .......
CITY CUPERTINO
IMPACT AREA ....... - -
OPERATOR: patg
COPY # : 1
VOICE ID DESCRIPTION
-------- ----------------------------
505 FINAL ELECTRICAL
508 FINAL MECHANICAL
•
VOICE ID DESCRIPTION
-------- ----------------------------
507 FINAL PLUMBING
OWNER ............:
JIAN DING
ADDRESS ..........:
10206 LOCKWOOD
DR
CITY/STATE/ZIP ...:
CUPERTINO CA,
95014-2614
RECEIVED FROM ....:
EDWARD A GREGORY
CONTRACTOR .......:
SMITH, BYRON E
LIC #
21144
COMPANY ..........:
A PERFECT CLIMATE
ADDRESS ..........:
8375 BRENTWOOD
BLVD STE
B
CITY/STATE/ZIP ...:
BRENTWOOD, CA
94513
TELEPHONE ........:
(408)861 9545
•
FEE ID
----------
UNIT QUANTITY
-----------------------
AMOUNT PD
-TO -DT
THIS REC
NEW BAL
1BSEISMICR
VALUATION 7,370.00
--------------------
0.80
0.00
----------
0.80
----------
0.00
IEPERMITFE
FLAT RATE 1.00
40.79
0.00
40.79
0.00
1MPERMITFE
FLAT RATE 1.00
40.79
0.00
40.79
0.00
1MRRAA
UNITS 1.00
61.19
0.00
61.19
0.00
1PPERMITFE
FLAT RATE 1.00
40.79
0.00
40.79
0.00
1TRAVDOC
FLAT RATE 1.00
40.79
----------
0.00
40.79
0.00
TOTAL PERMIT
----------
225.15
0.00
----------
225.15
----------
0.00
METHOD OF PAYMENT
-----------------
AMOUNT
---------------
REFERENCE
NUMBER
CREDIT CARD
225.15
--------------------
VISA
TOTAL RECEIPT
---------------
225.15
VOICE ID DESCRIPTION
-------- ----------------------------
505 FINAL ELECTRICAL
508 FINAL MECHANICAL
•
VOICE ID DESCRIPTION
-------- ----------------------------
507 FINAL PLUMBING
0�0700�- �4
CITY OF CUPERTINO
04�;, FURNACE/AC
• CUPEkTINO PERMIT APPLICATION FORM
APN#
2, / /��_ v
Date:
`7— Z— 200 F
Building Address:
/c7Z06 LOGICW�Jc���_
Owner's Name:
Phone #:
�i
z/Dy— 397- 2
Contractor:
Phone #: C11p .0- S2b/- Q, S YT
Fax #: `10e -
Contractor License #:
Cupertino Business License #:
7Z.3IS6>
Contact:Phone#:
/ e r � y ��
y�8_ obi -q icy
/� V14/ ,•
Fax #:
Building Permit Info:
Elect Plumb [ Mech
Residential Commercial ❑
Job Description: �? 4 v NpG
J/o K -5T O
For Residential Installations:
Attic ❑ ]s` 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 Approval Required ❑
Cost of Project: Type of Construction (Usage Class):
7,370
Strapped On Platform Bonded New Location Replacement
Valuation: 7370
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.
G, 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.
1MCREPALT
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.
1PGASCOM
Commerical for ea gas piping System
P
1-4 outlets
1 BPGAS
For each gas piping system of 5 or
P
more per outlet.
IMCAPPVNT
Commercial for the install/relocate/ or
M
replacement of ea appliance vent
installed & not incl in an appliance
permit.
1BSEISMICO
Commercial Seismic
B
1MRRAA
Residential Repair/Alteration/Add to
M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
/
heating,cooling,absorption or
Ievaporative
cooling system,incl
installation of controls regulated by
this code.
1MRSUSHTR
Residential Install/Relocateca
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 a ] permit
Ll
CITY OF CUPERTINO
FURNACE/AC
Of
•CUPEkTINO FEE SCHEDULE
41
Quantity
Fee ID
Fee Description
Fee
Group
Permit Type
FURNACE
FURN/AC
1 PGASRES
Residential for ea gas piping system of
1-4 Outlets
P
1BPGAS
For each gas piping system of 5 or
more per outlet.
P
/
1BSEISMICR
Residential Seismic
B
1MECPLNCK
Mechanical Plan Check
M
1MFR=<100
Furnace Syst <=100k BTU install or
relocate ea forced-air/gravity type
furnace/bumer, incl ducts/vents
attached to such appliance up to and
include 100,000 Btu/h
M
1MFRN>100
Furnace Syst> 100k BTU install or
relocate ea forced-air/gravity type
famace/bumer, incl ducts/vents
attached to such appliance over
100,000 Btu/h .
M
IEPERMITFEE
Electric Permit Fee
E
'
1MPERMITFEE
Mechanical Permit Fee
M
1PPERMITFEE
Plumbing Permit
P
1TRAVD0C
Travel Documentation
B
1BUSLIC
Business License
B
•
Is
CITY OF
CUPEkTINO
CITY OF CUPERTINO
FURNACE/AC
FEE SCHEDULE
Quantity
Fee ID
Fee Description
Fee
Group
Permit Type
AIR
CONDITIONING
FURN/AC
1 BCAIRHAN
Commercial A/C Units <= l Ok CFM
B
IMCRAA
Commercial Mech Repair/alt/add
M
1BSEISMICO
Seismic Commercial
B
IPGASCOM
Commerical for ea gas piping System
1-4 outlets
P
1 PGASRES
Residential for ea gas piping system
of 1-4 Outlets
P
1BPGAS
For each gas piping system of 5 or
more per outlet. Comm/Resid
P
1 BREMAIRHAN
Residential A/C units <= l Ok CFM
B
1 MRRAA
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
0
0
•
E
Plan Review Process Work Book Page -12-Revised 3/25/08
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•
�
Y _.AY
B.
Site
9.
Install H.E. Irrigation, (details/spec)'
L-1
11.
Permeable Paving,Note
L-1
C.
Foundation
1.
Use 15 % Flyash Concrete, (note)
S-1
7points
D.
Structural
3.
Uses Wood I-Joist, (See Spec.)
S-2
5.
Use Truss with heels, (detail)
S-2
6.
B. OSB Sheathing,detail
S-2
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.
Enerqy Star Refrigerator, (Note/Spec.
A-3
1oint
P.
Other
1.
List Green Features on Plans
A-1
1 point
TOTAL POINTS1
40 points
•
E
Plan Review Process Work Book Page -12-Revised 3/25/08
/o gob GC,uk ce)O__d_6 6R- �� s
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.
INPUT RESDurces Energy ]AD/Health
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 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
8. Design Resource -Efficient Landscapes and Gardens _ l 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 0
11. Provide for On -Site Water Catchment / Retention 2 Resource pts y=yes D
1 1 1
up to 5 Resource pts 0
2 Resource pts y=yes0
3 Energy pts y=yesF::: 0
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
2. Use Recycled Content Aggregate
3. Insulate Foundation/Slab before backfill
C. Structural Frame
1. Substitute Solid Sawn Lumber with Engineered Lumber
2. Use FSC Certifad Wood for framing J
(For every 10% of FSC lumber used = 2 points, up to 10)
3. Use Wood 1 -Joists for Floors and Ceilings
4. Use Web Floor Trusses
5. Design Energy Heels on Trusses 6' or more
6. Use Finger -Jointed Studs for Vertical Applications
7. Use Engineered Studs for Vertical Applications
B. Use Recycled Content Steel Studs for Interior Framing
9. Use Structural Insulated Panels (S)Ps)
a. Floors
J. Wall
c. Roof
10. Apply Advanced Framing Techniques
11. Use Reclaimed Lumber for Non Structural Applications
12. Use O§B — — -
a. Subfloors
• b. Sheathing
3 Resource pts y=ye
up to 10 Resource pts
2 Resource pts
y=ye
2 Resource pts
y --ye
2 Energy pts
y=ye
2 Resource pts
y=ye:
2 Resource pts
y=ye
2 Resource pis
y=ye:
3 Energy pts
y=ye:
3 Energy pts
y=ye:
3 Energy pts
y=ye:
4 Resource pts
y=yeE
3 Resource pts
y=yes
1 Resource pt y=yes
1 Resource pt y=yes
r
r
r
r
r
r
r
r
r
r
r
O'las
_-
1. Use Sustainable Decking Materials
a. Recycled content
b. FSC Certified Wood
�2. Use Treated Wood That Does Not Contain Chromium/Arsenic
[3. Install House Wrap under Siding
4. Use Fiber -Cement Siding Materials
E. Plumbing
i. Install Water Heater Jacket
2. Insulate Hot and Cold Water Pipes
3. Retrofit all Faucets and Showerheada with Flow Reducers
a. Faucets (1 point each, up to 2 points)
b. Showerheads (1 point each, up to 2 points)
4. Replace Toilest with Ultra -Low Flush Toilets
I(1 point each, up to 3 points)
5. Install Chlorine Filter on Showerhead
6. Convert Gas to Tankless Water Heater
7. Install Water Filtration Units at Faucets
(2 points each, up to 4 points)
S. Install On -Demand Hot Water Circulation Pump
3 Resource pts
3 Resource pts
1 IAO/Health pt
1 IAO/Health pt
1 Resource pt
1 Energy pt
2 Energy pts
Y --yes
Y --yes
Y=Yes
y=yes
Y_ -Yes
Y_ -Yes
Y --yes
Up to 2 Resource pts.
Up to 2 Resource pts.
` Up to 3 Resource pts.
1 IAO/Health pt y --yes
4 Energy pts Y --yes
Up to 4 IAO/Health pts,
4 Resource pts y=yes
r. crecmcar
11. Install Compact Fluorescent Light Bulbs (CFLs) .
(6 bulbs=2 points, 10 bulbs =3, points, 12 bulbs = 4 points) r
2. Install IC -AT Recessed Fixtures with CFLs (1 point each, up to J
5 points)
3. Install Lighting Controls (1 point per fixture, up to 4 points)
4. Install High Efficiency Ceiling Fans with CFLs
(1 point each, up to 4 points)
G. Appliances
It. Install Energy Star Dishwasher
!2. Install Washing Machine with Water and Energy
Conservation Features ( 1 Energy pt
�3.lnstall Energy Star Refrigerator I 1 Energy pt
14. Install Built -In Recycling Center i 3 Resource pts
-- —
Up to 4 Energy
Up to 5 Energy pts.
Up to 4 Energy pts.
Up to 4 Energy pts.
1 Energy pt
H. Insulation
1. Upgrade Insulation to Exceed Title 24 Requirements
a. Walls
b. Ceilings
2. Install Floor Insulation over Crawl Space
3. Install Recycled-Coritent, Fiberglass Insulafi6n wiU
No Added Formaldehyde
4. Use Advanced Infiltration Reduction Practices
5. Use Cellulose Insulation
a. Walls
It. Ceilings
6. Alternative Insulation Products (Cotton, spray -foam)
a. Walls
D. Cemngs
2 Energy pts Y. --yes
2 Energy pts Y_ -Yes
4 Energy pts y=yes
i 31A0/Health pts
2 Energy pts
4 Resource pts
4 Resource pts
4 Resource pts
4 Resource pts
•
•
1
1
1
1
0
1
1
1
0
1
1
0
2 Energy pts Y. --yes
2 Energy pts Y_ -Yes
4 Energy pts y=yes
i 31A0/Health pts
2 Energy pts
4 Resource pts
4 Resource pts
4 Resource pts
4 Resource pts
•
•
I. Windows
1. Install Energy -Efficient Windows
• a. Double -Paned
j b. Low -Emissivity (Low -E)
c. Low. Conductivity Frames
2. Install Low Heat Transmission Glazing
1 Energy pt
Y --yes
2 Energy pts
y=yes
_ 2 Energy pts
Y --yes
1 Energy pt
y=yes
J. Heating Ventilation and Air Conditioning
1. lJsa Duct Mastic on All Duct Joints
2. Install Ductwork within Conditioned Space
3. Vent Range Hood to the Outside
4. Clean all Ducts Before Occupancy
5. Install Solar Attic Fan
6. Install Attic Ventilation Systems
7, Install Whole House Fan
8. Install Sealed Combustion Units
a. Furnaces
b. Water Heaters
9. Replace Wall -Mounted Electric and Gas Heaters with
Through -the -Wall Heat Pumps
10, Install 13 SEER/1I EER or higher AC with a TXV
11. Install AC with Non -HCFC Refrigerants
2 Energy pts
y=yes
3 Energy pts
Y_—Yes
1 IAQ/Health pt
y=yes
21A0/Health pts
y=yes
2 Energy pts
Y --yes
1 Energy pt
y=yes
4 Energy pts
Y --yes
31AQ/Health pts
31A0/Health pts
3 Energy pts
3 Energy pts
2 Resource pts
12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace
2 Energy pts
y=yes
13. Retrofit Wood Burning Fireplaces
10 Energy pts
y=
• a. Install EPA certified wood stovesf nserts
1 IAQ/Health pt
y=yes
b. Install/Replace Dampers
1 Energy pt
Y --yes
c. Install Airtight Doors
1 Energy pt
y=yes
14. install Zoned, Hydronic Radiant Heating
3 Energy pts
Y --yes
15. Install High Efficiency Filter
41AQ/Health pts
y --yes
16. Install Heat Recovery Ventilation Unit (HRV)
5 IAQ/Health pts
y=yes
17. Install Separate Garage Exhaust Fan
3 IAQ/Health cis
v=ves
K. Renewable Energy and Roofing
1. Pre -Plumb for Solar Water Heating
4 Energy pts
y=
2. Install Solar Water Heating System
10 Energy pts
y=
3. Pre -Wire for Future Photovoltaic (PV) Installation
4 Enaroy pts
y=
4. install Photovoltaic (PV) System
(1.2 kw = 6 points, 2.4 kw =12 points, 3.6 kW= 18 points)
Up to 1 B Energy
_
6 *Selectsafe and Durable Roofing Materials — _
1 Resource pt
y=
_
7. Install RadiantBarnsr
3 Energy pis
y=
L. Natural Heating and Cooling
1. Incorporate Passive Solar Heating 5 Energy pts
2. Install Overhangs or Awnings over South Facing Windows 3 Energy pts
3. Plant Deciduous Trees on the West and South Sides 3 Energy pts
,`1. Use Low/No-VOC Paint
2. Use Low VOC, Water-Based Wood Finishes
3. Use Low/No VOC Adhesives
4. Use Salvaged Materials for Interior Finishes
5. Use Engineered Sheet Goods with no added Urea
Formaldehyde
6. Use Exterior Grade Plywood for Interior Uses
7. Seal all Exposed Particleboard or MDF
L _-.__ _-. _'_ hero —.. _._._.. ..-' -.
8. Use FSC Certified Materials for Interior Finish
9. Use Finger-Jointed or Recycled-Content Trim
10. Install Whole House Vacuum System
N. Flooring
1. Select FSC Certified Wood Flooring
12. Use Repidly Renewable Floonng Mafedals-
3. Use Recycled Content Ceramic Tiles
4. Install Natural Linoleum in Place of Vinyl
5. Use Exposed Concrete as Finished Floor
6. Install Recycled Content Carpel with Low VOCs
1 IAQ/Health pis
21AQ/Health pts
3IAQ/Health pts
3 Resource pts
61AQ/Health pts
1 IAQ/Health pts
41AQ/Health pts
4 Resource pts
1 Resource pts
3 IAQ/Health pts
8 Resource pts
y --yes
4 Resource pts
y=yes
4 Resource pts
y --yes
5 IAQ/Health pts
y --yes
4 Resource pts
y=yes
4 Resource pts
y --yes
Total Points Availa e:
Total Points Project Received:
E
1401 130 57
01 0 0 is
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CITY OF
,:UPEkTINO
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Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax(408)777-3333
Building Department
JOB ADDRESS:
/0204 LOCku/oocl V,
PERMIT # /
Po%002 c, .
OWNER'S NAME: ; c w
PHONE # 4,10.P- 3??- W? z
GENERAL CONTRACTOR: 4 q,A
FAX # X10 J'- jOE/- S.T iG
I am not using any subcontractors: 7 a- 2yo P
Signator Date
Please check applicable subcontractors and complete the following information:
Date��
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
Linoleum / Wood
Glass/ Glazing
v
Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
T'
7-
Date��