08060234 CITY OF CUPERTINOr�"i: £"r e ,^'
BUILDING DIVISION PERNIIT I CONTfRACTOR�INFQRMATION
SUIL 1 A RESS: PERMIT NO.
STEVENS CREEK BLVD TBD - TO BE DETERMINED 08060234
OWNER'S NAME: PERMIT ISSUE DATE
COATES & SOWARDS 06/26/2008
WE. SANITARY NO. CONTROL NO.
ARCHQECM'EhsGINEER: BUILDING PERMIT INFO
BLDO ELECT PLUMB' MECH
3oi; LICENSED CONTRACTOR'S DECLARATION Job Description
rd 1 herby Kinn Nat 1 w licensed under provisions of Chapter 9(rommenIcing p
wimsccaan7B )afDiision3ofu BusinessmdPwfe UMCade.Wmylkcnxis REPAIR&REPLC EXT WOOD SIDING
in full forte and etteee S/
pp License s Lk.g
=p Da¢ Conutomr
7W ARC C SDECLARA
i-9 U 1 understand my plans wall be mrd u public tumtlt,
g Licensed Pnsfcsaianal
OWNER-BUILDER DECLARATION
E n s I hmago alum that I I.S.exempt from the Convacmrs License law for the
E O o following reason.Permit
t lar L 1.aftal.m 0 a.doo it Cot@:Any city or county
cargo. _
rd$ which requires a.cath w conswc4 alar,hnpmsu demolish,fie.sig ed swcum
pdmnsliensed pursuartquims Uevision of for such Permit to file Law(chapter
y < Iharnmen ingwdpursuantwthcpmdsions 3the oftheOnwness nlanuadonChapter9 Sq.Ft. Floor Area $20000 Valuation
�� (commexing with Sectio m arol beof basis for the
the alleged
exemptandion.
proon.My
CMc)of 2 0 0 0 0
Q Nu io u 31.5 b me¢from and the buts for be Wegnd eumant or Any violation of
Section than by hundred karlars(apermh subjects Ne.ppncantx aunt penalty or Number Occupancy Type
not mom Utah fiw hundred dollars(5500} 31623025 .� P Y YP
1.u aurcj o(Uie pmputy,or mY employees with wage u Ue'v sok compen.Uon,
will Pr thewon,anile: stet YouunotkLicese Law do fmsak(Sec.7DN,Bnsixu
and property
who
case:The venttxmrs rad who oes dao sot applyhims lf rt owuss is Required Inspections
own em whobreild+mimpmw thereon,andwho dansot in work himselfor through his
ownem.mehopingor thatchimprovementsart not ear offrded completion.
the own r.
hovew.me holding ftIorimprovementusoldwithinoneyeti or completion Uteowner-
builder will have the burden of proving that he did ms desk or impraw for purpose of
.k.I.
❑I.as outer of the property,am eselminly contracting with licensed rontrxton to
construct the project(Sec.7014,Busioeu+nd Professions Code:)The Conuuwrs Lt.
comeLaw does not apply on an owner of property who builds or improv thereon,and
who contracts for men projects with a cwlracxr(s)licensed pursuant to the Conusmrs
Lic rge law.
❑l an,exempt under See .B&P C for this reason
Owner Data
WORKER'S COMPENSATION DECLARATION
1 herby affirm under pevaltY of perjury arc of the folbwing declantidns:
❑I lnwa and will mdnuin a Centifimu dfConunuo ulf-insure fa WdrkeBCompen-
.tion,as provided for by Section 1700 or Use Labor Code,for the perfmongs.of the
work for which this Permit is iumd. -
1 have and will maintain Workers Compensation Insurance,as required by Scotian
3M.f the labor Code.for the pcRorm+nceof the wan for which this pcwhit is issued.
MY Worker's Compensation last=ansa artier and Policy number art: '3
C+rtkr. ��ft- I ('� PZ1/J O Policy No. � OU[ F?7't
CERTIFICATE OF EXEMPnON FROM WORKERS'
COMPENSATION INSURANCE
(Thu scum used not be can plead if tK permit Is for dare hundred dollars(5100)
or las)
I certify thus in the perform...of the work for which this permit is;issued.I shall am
employ any person in any m=mrx as as become subject w the Wallam'Compensation
I...of California.Dam
Applicmt
NOTICE TO APPLICANT:IC after malting this Certificate of Exemption,yon Amid
become subject he the Waimea Compensation provisions of lW labor Cala,you mute -
.,O forthwith comply with such provisions or this permit shall x domed revoked.
zry CONSTRUCTION LENDING AGENCY
[—m I beraby aT m that ft.6.construction landing agency for Ute perfdmmaree of
fx> the wart fur which this permit is(surd(Sec 3097,Civ.C.)
0 Landers Name .
z I<nders Adder.
U 0 r mtify that 1 have rand this+pplicuian and sue that the mow mromt+uun la
IP, f-m cortin I agree w comply with all city and county eminences and state laws relating to
DU building construction,and hereby suthodm aprexntstiw ofthis city to enter upon utc
r above-mcntivusA
property for inspection purposes
t„t py (We)agree to saw,indemnify and kip handle.tete City or Caperum against
rp li,biliim judgments.costs and exp.....which may in my way acmuc ..I stud City
U z in comeme nee of the graining of this Permit. -
�' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE$EGUWTTONS
Sguuu nof AppIicidnXurtrctm 2 Data Re-roofs
HAZARDOUS MATERIALSppart U.orandl Type of Roof
Will the applicant HAZARDOUS irral DISCLOSURE hnallom materiel a
as defined by the Cupertino M mall Code,Chapter 9.12,and the HnIN and Safety
cdx.setidnsss3z(,)7
❑Yes No[w All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future building occupant use equipment or dcvias which If a roof is installed without first obtaining an inspection,I agree to remove
oball h hugs air cont+miwtts deftxd by the Bay Area Air Quality Management all new materials for inspection.
Diaa ❑Yes
I hese mad Ne huaNws materials mqu immens under Chapter 6.95 of tM Califon
nia Health&Safety Cade.Srctiw 25505,25533 and 25534.1 undersand thadif the building
does not ctnently haw a augns that is u my nemeasihility m racufy the oceuprt of Ne
requirements which mug W t prior taissuance of a C 'Rc+e or occepancy.
�_j 6_Zor
C)� Signature of Applicant Date
M,'411
Owner nx.vithariacdigent Date All roof coverings to be Class'4"
or better
CITY OF CUPERTINO
3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . . 31623025 . 00
DATE ISSUED. . . . . . . : 06/26/2008
RECEIPT # . . . . . . . . . : BS000005239
REFERENCE ID # . . 08060234
SITE ADDRESS . . . . . : 20085 STEVENS CREEK BLVD
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : COATES & SOWARDS
ADDRESS . . . . . . . . . . : 1725 S .BASCOM AVE STE 104
CITY/STATE/ZIP . . . : CAMPBELL, CA 95008
RECEIVED FROM . . . . : PACIFIC CONSTRUCTIO
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
---------- ------------- --------- ------ ---------- ---------- ----------
lBSEISMICO VALUATION 20, 000 . 00 4 . 20 0 . 00 4 . 20 0 . 00
1BUSLIC FLAT RATE 1 . 00 110 . 00 0 . 00 110. 00 0 . 00
1SIDEOTHER SQ FEET 1 . 00 367 . 00 0 . 00 367 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 481 . 20 0 . 00 481 . 20 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 481 . 20 #20419
---------------
TOTAL RECEIPT 481 . 20 .
•
CITY OF CUPERTINO
CITY OF
CU
PEkTINO GENERAL BUILDING
PERMIT APPLICATION FORM
APN # 3 16 - 2 - O 2S O Date:
Building Address: O
2-00'15 STOUC-0 CQ-Mks Rl— , Ct-C?pER-71N1:1 C4 �ISvI�
MailiW Addre�s (if different from building address):
70 txawa-
(.,Dc.,1eo4, Svwcwc� mac, 1-1 2--C S, 13a-4e,ovr` /}t/eI S#/d4- Chs-I/�$GL.t-
S'oc
Owner's Name: Phone#:
;J-$ Z� CLIPP&(L7140 / LLe.. ko� - 371-3771) EcT l8
Contractor: j� �L ( � i��7C ��Vt/lPhone:
7-0&-2-
W 1 ���:2
Ko- ` `t/71 J- Fax: 4j - 32 - a9-oContractorZLicense#: 76106-9--
Cupertino
76 ( p61Cupertino Business License#:
• Contact: � / � 7 5 � Phone: 626- S'Z. 3- Tot o
Fax:
Residential Commercial
Job Description:
k6 -1'2 10 ; Frl-,46F 6�-7 bJOc-)o( S1)i AJ(,
Is the project in the Wildland- Urban Interface Fire Area? Yes ❑ No ❑
Building Permit Info:
Bldg P/' Elect ❑ Plumb ❑ Mech ❑
Type of Construction (Usage Class): Occupancy Type: (3 -Z
]-A-, -�- ❑ 1I 111 N-lA -, ❑ II II1.8 '� - 1 _g T N
Valuation: 41l Square Footage:
20 J /3S-0o Sr
Project Size: 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.org
CITY OF CUPERTINO
CITY OF
CU
PERTiNO GENERAL BUILDING
PERMIT APPLICATION FORM
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
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
1BBOILER3 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 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
I 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.
1 ELECINSP Other Electrical Inspections (per hour) E
1MECHINSP Other Mechanical Inspections (per M
AML hour)
I PLMBINSP Other Plumbing& Gas Inspections —P
—
_(per hour)
1MEETINGIHR Application Meeting B
CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
CUPEIZ,TINO
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
1 CHIMNEY Chimney B
1 CHIMNEYR Chimney Repair B
FENCES
I 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
1 FIREPLFAB Fireplace Pre-Fabncated/Metal B
I FLAGPOL>20 Flag pole (over 20 ft in height) B
1MODUSTRU Modular Structures B
FOUNDATIONS
1FOUNDREP Foundation Repair B
1PILECAST Pile Foundation Cast in place concreteEB
1 PILEDRIV Pile Foundation Driven (steel, pre-
stressed concrete)
3 of 5
G`- CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
• CUPEkTINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
RETAINING
WALL(CONCRETE
OR MASONRY
1RETSTN Standard (up to 50 ft) B
IRETSP310 Special Design, 3-10' high (up to 50 `) B
1RETSPI O 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
1SIDESTBK Siding, Stone & Brick Veneer B
(interior/exterior)
/ 1 SIDEOTHER Siding all other B
r SKYLIGHTS
1 SKYL<l0 SF Skylight less than 10 sf B
1 SKYL>1 OSF Skylight greater than10 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 sf) 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
O 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)
1WINMEWSTR New Window-structural shear B
wall/masonry (includes plan ck fee)
1 EPERMITFEE Electrical Permit Fee E
I MPERMITFEE 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
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
1BSEISMICR Seismic Residential B
/ 1BSEISMICO Seismic Commercial B
1TRAVD0C Travel & Documentation B
IBUSLIC Business License B
•
5 of 5
Green Building Plan Check
Index of Green Building Points/Categories
leA. Category Example of an Index or Table of Green Plan Sheet or Page Points
i 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 pont
P. Other 1. List Green Features on Plans A-1 1 point
TOTAL POINTS1 40 points
•
•
Plan Review Process Work Book Page A2-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
i
65%=1 point;75%= 2 points;60%=4 points i 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
B.Design Resource-Effcient Landscapes and Gardens—_J 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 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 p
3.Insulate Foundation/Slab before backfill 3 Energy pts y=yes p
1
C.Structural Frame ! 1
1.Substitute Solid Sawn Lumber with Engineered Lumber __I 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 Floors and Ceilings 2 Resource pts y=yes p
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 p
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 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 Ener is
b.Wall 9Y P Y=Yes 0
3 Energy pts y=yes p
c.Roof 3 Energy pts y=yes p
10.Apply Advanced Framing Techniques 4 Resource pts y=yes p
11.Use Reclaimed Lumber for Non Structural Applications 3 Resource pts y=yes 0
12.Use 0SB
f
a.Subfloors S 1 Resource pt eat y=yes p
• i b.5heathing _ _
L __. _ __ _ _ i 1 Resource pt y=yes p
1 1
.Eztenor Finish
� INPUT RESDurces Energy JADIHealth
1.Use Sustainable Decking Materials
a.Recycled content i 3.Resource pts y=yes 0 •
Ib.FSC Certified Wood j 3 Resource pts y=yes 0
2.Use Treated Wood That Does Not Contain ChromiurrdArsenic 1 IAQ/Health pt y=yes 0
13.Install House Wrap under Siding 1 IAQ/Health pt y=yes 0
14.Use Fiber-Cement Siding Materials 1 Resource of y=yes 0
E.Plumbing
1.Install Water Heater Jacket - i------'V'
_ J 1 Energy pt y--yes 0
2.Insulate Hot and Cold Water 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) 1 Up to 2 Resource pts. 0
b.Showerheads(1 point each,up to 2 points) Up to 2 Resource pts. 0
4.Replace Toitest 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 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 4 IAQ/Health pts. 0
6.Install On-Demand Hol Water Circulation Pump 4 Resource pis y=yes 0
1 1 1
r.tiecrnca(
1.Install Compact Fluorescent Light Bulbs(CFLs)
(6 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 I 1
G.Appliances
�1.Install Energy Star Dishwasher 1 Energy pt y=yes 0
2.Install Washing Machine with Water and Energy
IConservation Features 1 Energy pt y=yes 0
3.Install Energy Star Refrigerator + 1 Energy pt y=yes 0
t4.Install Built-In Recycling Center _ _ , 3 Resource pis y=yes 0
1 1 1
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,Fiberglass Insulation w_itti
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 pis y=yes 0
o.cenings 4 Resource pts y=yes 0
1 ! 1
endows
. �. IMPUT Resources Ener
Install Energy-Efficient 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 of y=yes 0
1 1 b
J.Heating Ventilation and Air Conditioning
(1.Use Duca Mastic on All Duet Joints _— �71AO/Health
yeses 0
2.Install Ductwork within Conditioned Space y=yes 0
3.Vent Range Hood to the Outside AQ/Health y=yes 0
4.Clean all Ducts Before Occupancy s 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 31A0/Health pts y=yes 0
b.Water Heaters 31AQ/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 stoveslnserts 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 IAO/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,3.6 kw=18 points) Up to 18 Energy pts 0
j6.Select Safe and Durable Roofing Matwnals - __ `i 1 Resource pt y=yes 0
7.Insaall Radant Bare er — 3 Energy pts y=yes 0
1
L.Natural Heating and Cooling 11 i 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 0
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0
• 1 1 1
w
M. ndoor Air Quality and Finishes INPUT ReSDU-mes Energy IAQIHeafth
�.Use Low/No VOC Pa of 1 IAO/Health pts y=yes 0 •
2.Use–Low-VO—C,Water-Based Wood Fnishes 2(AQ/Health pts y=yes 0
13,Use Low/No VOC Adhesives _ 31A0/Health pts y=yes 0
4.Use Sewaged 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=yes 0
7.Saal all Exposed Particleboard or MDF - _ _ _. 4 IAQ/Healthpts y--yes 0
8.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0
9.Use Finger-Jointed or Recycied-Content Trim 1 Resource pts y=yes D
1 1
10.Install Whole House Vacuum System 3 IAQ/Health pts y--yes 0
t ! 1
N.Flooring
1.Select FSC Certified Wood Flooring B Resource pts y=yes0
�3.2.Use Rapidly Renewable FlooringMMateri IIs 4 Resource pts y--yes 0
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=yes 0
1 1
Total Points Available: 1 1401 130 57 •
Total Points Protect Received: 1 01 0 0
' G:datalpmoslgreenbuildngguidelinashemodelersigmenpointsfinal272.04prote:ted.ds
•
Community Development
r' 10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
_ SCUPEkTINO
Building De artment
JOB ADDRESS: PERMIT
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OWNER'S NAME: I E�7No � S• PHONE # Ato — 3 71 - Zo 6-
GENERAL CONTRACTOR: 4 1s-- Ef�X # _ 2 _� a o
I am not using any subcontractors:��
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Please check applicable subcontractors and complete the followin 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