Loading...
08080103-"- BUILDINUDvtvISlo3! PERNHT ,dCONTRACIOR%NF BUILDING ADDRESS: 1.0293 S TANTAU AVE DWK CONSTRUCTION PERMIT N0. 08080103 OWNER'S NAME: PCRMrr ISSUE DATE ANDREW & JERRICA NAITO 18665 LOREE AVE 08/14/2008 NE: SANITARY NO. CONTROL NO. (406)615-1508 ARCHITECTrENCINEER: BUIIDING PERMITINFO BLDG ELECT' PLUMB - MECH LICENSED CONTRACTOR'S DECLARATION lob Description I hereby ROM Nu 1 w licensed under provisions of Chapter 9 (commencing NN Section 10110)of Division 3 ofdm Business and Pmreuims Cade, and my Ike. is RPLC WTRHTR, TWO WLLNT FURNCES & UPGRD 200 AMP In m0 fora and effect R -�� alas. L MNPNL (OVERHANG) D mnsc t0 iW ARCHITECTS DECLARATION 1 mdermnd my plans Nall W used as public record, Licensed Pndcuional OWNER-BUILDER DECLARATION ' 1 hereby aRmt that 1 am exempt from the Conummoei License law for Tho following mason. (Section 703 1.5, Business and Professions Cote: Any city or county which tequWs a permit m eOr awc4 alter. Improv, demolish. or repair any structure prior m its munrRe. alm mquires the applicant for such permit On rile a signed statement that W is lksvcd the Ince of tins ConuectmS Ucense Law (Chapter 9Sq- Ft. FloorArea Valuation pursuant provisions (commencing with Section 7000) of Division 3 of the Business and Professions Cade) or $2000 1 that he I. exempt therefrom ad the basis for the allegud exemption. My vittidon of 3 % 0 8 0 0 % ' Occupancy Type Senior 7031.5 by my applicant fora permit subjects Ne applicant to • civil penalty OfNumber m1 mart Nan R. hundred dollen (3700), 5 .17'17' ❑ Luat die mmendea whhvnguu Netrsak campenssion, dess.,ormy warts faruk(Sly 1014, Basi•... waildrof.a.k. and thesuuswmtsnokmntruse Required Inspections Poe Calc: The wdofleAnd Uw doss rot apply lf u owtrcr q P preperlNd winct W ma dearer. d win, his who Wlld"arlmprovus an ausuchwort is Own cro himpr sent" uded aroffesed fortakhromila roe isomer.. ownemplaYw,ping suchimpmaid or pan year ofcmoacmd the building within one the owe Impmwmmt la sulci within ons you or mp Wildar, oe for of Wilda will have the burden of proving thaI W did mI build u improv for purpose of u silo,). ❑ 1, a owner of IM property, am eulusialy conmcting with licensed mnuulora m mutmn the project (Sec. 1014, Business and Professions Cade:) The Cmuanors U. cema Uw does not appy to an owns or property who Wilda or Important thermn, and. who conuacu(or such pajects with. mnuastnrtsj llaruedpurauntmtiaeCrumneme, ' Ucenm Uw. ❑ Iamuemptundu See ,Bh PCfordd MAAm. Owner Dae WORKER'S COMPENSATION DECLARATION 1 hcmby+atom under penalty of perjury Ono of the following declamtimts: I saw and will maimin a CerdOam Of C . . . t to self-huum for wa lace, Camper- lon, u provided for by Section 3700 of the Labor Code. for that performance of de work for which this permit is issued. 0 1 Na end will maintain Workers Compensation Insunna, as occulted by Schon 3100.(tins Ubo Case, fo Ne Knormuve ofthe waste for which this permit is luted. ' My Workers Compensation brom coca ncr all Policy number am: Cartier. - Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (ITisseetion need notbe<ampklod if Ne permit is forme hunNrd dollar ($IBM Or lead , 1 arch. that In the performance of Ne work for which this permit is Issued, I Nall not subject m the Workcn' CompemNon employ any person in any mangp�fm / M IRL0mo Law. of Calif. OM MIR Appllanl I IT Tom' - NOTICE TO APPLICANT: IL efecr mOAS N0 certificate of Facmphon, you should Weome subjem m use Workers Compcosnlon pmvl"ious of the Ubor Code. you muss forthwith comply with such provisions or this MTit Mall he deemed rewkcd. CONSTRUCTION LENDING AGENCY 1 hereby aflkm that them is. mwmctimt tending agency fordo performance of the work for which this permit is issued (Sec, 3091, CW, C.) Under" Name , Lenders Add ase I anify that 1 haw read this application and mm that Ne show information is co=L I agree to comply with all City and county cardamom and sum laws misting in building construction, ad hereby auNodm mp ommatiwa of this city to color upon fee ahow-mentioned property for inspection purposes (We,) agree to ane, indemnify and trap hareakts Ne City of Cupertino against Ilabilldes. judgments, cam and expenses which may in anyway amue agamt said City I. uence or the granniq of APPLICANT UNDERSTANDS AIND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE REGULATIONS, Re-roofs / . Type of Roof Signuurc err App�ic>/anmCmr Dam HAZARDOUS MATERIALS DISCLOSURE Will the applicant or (mum Wilding occuPutuom or bWtdle hazardous material As defined by Ne Cupertino Municipal Code. Chapter 9.13, and tite Health and Safety CO. Section 25533(x)?.,v� t]Yus ;(No All roofs shall be inspected prior to any roofing material being installed. `ure, If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or f'utWilding msupent use equipment or devices which It bunions air contaminants u dcflmd by fee Bay AMA Air Quality Management all new materials for inspection. Wct7 ❑Yus Ill No 1 haw mad the hnaNmts maloriils tequimnmmaunderClupmr 6.95 o(Ne Cslifor• nu HnIO&SdGyCoeASecdans253M.25533am125534. lundemuW thuirdc Wilding does Out cmrondy luw a unao, thr II is MY mtpOnsihilitY m ratify do OOe, W of Ne, require.r.4ttk metpimuismaceaI Ccnir, .rocu,..q Signature of Applicant Date All roof coverings to be Class'" or better ' Owner ' m amhodmd agent ram • 7 ITEMS OF 7 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 37508007.00 DATE ISSUED.......: 08/14/2008 RECEIPT #.........: BS000005789 REFERENCE ID # ...: 08080103 SITE ADDRESS .....: 10293 S TANTAU AVE SUBDIVISION ......: CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: ANDREW & JERRICA NAITO ADDRESS ..........: 10293 S TANTAU AVE CITY/STATE/ZIP ...: CUPERTINO, CA 95014 OPERATOR: patg COPY # : 1 RECEIVED FROM ....: DWK CONSTRUCTION CONTRACTOR .......: JULIE LI HE LIC # 24852 COMPANY ..........: DWK CONSTRUCTION ADDRESS 18665 LOREE AVE CITY/STATE/ZIP ...: CUPERTINO, CA 95014 TELEPHONE ........: (408)615-1508 • FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL IHSEISMICR VALUATION 2,000.00 0.50 0.00 0.50 0.00 1.EPERMITFE 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 2.00 122.38 0.00 122.38 0.00 IPPERMITFE FLAT RATE 1.00 40.79 0.00 40.79 0.00 IPRWHEATR UNITS 1.00 24,48 0.00 24.48 0.00 ITRAVDOC FLAT RATE 1.00 40.79 0.00 40.79 0.00 TOTAL PERMIT ------- 310.52 ---- ---------- 0.00 ---------- 310.52 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : • AMOUNT --------------- 310.52 --------------- 310.52 REFERENCE NUMBER -------------------- #2335 c It x . CUPERTINO • • CITY OF CUPERTINO GENERAL BUILDING PERMIT APPLICATION FORM APN # 37r — 0&-00 , O Date: Building Address: /0.2 S %o -;A -k of /W LTJ -ice/ (E. Mailing Address (if different from building address): Owner's Name: Ph ne #: Contractor: K sf7tc¢� Phone: cCnB 3o — 3 y Fax: —If Contractor License #:82002'] / Cupertino Business License #: Contact: OW" -5 CRUZ Phone: CfPog3 o p XT. / Fax: Residential Commercial Job Description: 1 ,/ / � ��r S Ke�ia-e2 arz��y��ei' 1 ,e- Building Permit Info: Bldg ❑ Elect Plumb Mech Type of Construction (Usage Class): Occupancy Type: 1-A, I -B ❑ WHIN -AE] II/III B, IV-HT,,V-B B I R— 3 Valuation: Square Footage: _OV Project Size: Express K]-- 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 Revised 7/01/08 4W CUPERTINO CITY OF CUPERTINO GENERAL BUILDING PERMIT APPLICATION FORM Quantity/Sf Fee ID Fee Description Fee Permit Type Group IGENRES or 1GENCOM 11313OILERI 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 IBBOILER2 Installation /relocation of ea M boiler/compressor over 3 horsepower to & incl 15 horsepower, or ea absorption sys over 100,000 Btu/h 1 BBOILER3 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 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 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 ca 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 hour) 1PLMBINSP Other Plumbing & Gas Inspections P (per hour 1MEETINGIHR Application Meeting B • • 1 1 aCITYF . CUPERTINO L r L CITY OF CUPERTINO GENERAL BUILDING APPLICATION FEESCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type 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 I FENCE>6FT Non -masonry, over 6 ft in height B 1FENCEMAS>6 Masonry, over 6 ft in height B FIREPLACES 1FIREPLMAS Fireplace Masonry B 1FIREPLFAB Fireplace Pre-Fabricated/Metal B 1 FLAGPOL>20 Flag pole (over 20 ft in height) 13 1MODUSTRU Modular Structures B FOUNDATIONS 1FOUNDREP Foundation Repair B IPILECAST Pile Foundation Cast in place concrete B 1PILEDRIV Pile Foundation Driven (steel, pre- stressed concrete B 3 of 5 son CITY OF CUPERTINO CITY OF CUPERTINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1GENCOM RETAINING WALL(CONCRETE OR MASONRY 1 RETSTN Standard (up to 50 ft) B 1 RETSP310 Special Design, 3-10' high (up to 50 `) B 1RETSPI0 Special Design, over 10' high (up to 50' B 1RETCRB< Gravity/Crib Wall, 0-1 O'high (up to 50 ft B 1RETCRB> Gravity/Crib Wall over 10' high (up to 50 ft B SHED -(EACH) Shed Over 120 sq ft B SIDING 1 SIDESTBK Siding, Stone & Brick Veneer interior/exterior B 1 SIDEOTHER Siding all other B SKYLIGHTS 1S KYL< 10 SF Skylight less than 10 sf B 1 SKYL>1 OSF Skylight greater than 10 sf or structural B 1STAIRS Stairs -first flight/ea addt'l 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 st B 4of5 • lJ i L 5. CITY OF CUPERTINO CITY OF CUPERTINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1GENCOM 1STUCOAP Stucco Applications (up to 400 so additional 'stucco application B 1 WINREP Replacement windows/sliding glass door ea 8 windows B 1WINMEWSTR New Window -structural shear wall/masonry includes plan ck fee B 1 EPERMITFEE Electrical Permit Fee E r I MPERMITFEE Mechanical Permit Fee M / 1 PPERMITFEE Plumbing Permit Fee P 1 ELCPLNCK Stand Alone Electric Pln Ck (hourly) E 1 MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M 1 PLMBLNCK Stand Alone Plumbing Pln Ck (hrly) P 1 STPLNCK-(3 Hr Min when not over counter) Standard Plan Check (when no E/M/P) hourly -stand alone B 1BSEISMICR Seismic Residential B 1BSEISMICO Seismic Commercial B 1TRAVDOC Travel & Documentation B 1BUSLIC Business License B 5of5 -R.frt c c -4z- 4 • • Plan Review Protess Work Book Page -12-Revised 325/08 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, 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 points D. Structural 3. Uses Wood Waist, (See Spec.) S-2 ' 2 points 5: Use Truss with heels, (detail) S-2 2 points 6. B. OSB Sheathing, detail 5-2 2 aints 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 oints 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. Ene Star Refrigerator, (Note/Spec.)A-3 1 point P. Other 1. List Green Features on Plans A-1 1 point TOTAL POINTSI 40 points • • Plan Review Protess 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 with ease of implementation and relative low cost. These measures can be used as a starting point for 'greening' your project. I1. Recycle Job Site Construction & Demolition Waste 65%=1 point; 75%= 2 points; 60%=4 points { I2. Salvage Reusable Building Materials ! 3. Remodel for Mixed Use, Adaptive Reuse, and _ Historic Preservation 4. Protect Native Soil 5. Minimize Disruption of Existing Plants & Trees 6. Implement Construction Site Stormwater Practices 7. Protect Water Quality with Landscape Design 18—. Design 11 esourci-ff NOwnf Landscapes and Gardens 9. Reuse Materials/Use Recycled Content Materials for Landscape Areas 10. Install High -Efficiency Irrigation Systems 11. Provide for On -Site Water Catchment / Retention 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 Certified Wood for framing (For every 10% of FSC lumber used = 2 points, up to 10) 3. Use Wood I -Joists for Floors and Ceilings 4. Use Web Floor Trusses 5. Design Energy Heels on Trusses 6' or more 6. Use Finger,lointed Studs for Vertical Applications 7. Use Engineered Studs for Vertical Applications 6. Use Recycled Content Steel Studs for Interior Framing 9. Use Structural Insulated Panels (SIPS) a. Floors b. Wall c. Roof 10. Apply Advanced Framing Techniques 11. Use Reclaimed Lumber for Non Structural Applications 12. Use OSB - I a. Subfloors • b. Sheathing up to 4 Resource 4 Resource pts y= 4 Resource pts y --yes 2 Resource pts y=yes 1 Resource pt y=yas 2 Resource pts y=yes 2 Resource pts y=yes 4 Resource pts y=yes 2 Resource pts 2 Resource pts 2 Resource ots up to 5 Resource pts 2 Resource pts y=yes 3 Enerav ots v=ves 3 Resource pts y=ye Up to 10 Resource pts 2 Resource pts y_—ye; 2 Resource pts y=yed 2 Energy pts y=ye; 2 Resource pts y=ye: 2 Resource pts y=ye: 2 Resource pts y=ye: 3 Energy pts y=yes 3 Energy pts y=yes 3 Energy pts y=ye=- 4 Resource pts y=yes 3 Resource pts y=yes 1 Resource pt y=Yes i 1 Resource of y=yes r r r r r r 0' r r r 0. 0 1. Use Sustainable Decking Materiels 1 Energy pt 1. Install Water Heater Jacket 1 Energy pt y=yes 2. Insulate Hot and Cold Water Pipes 2 Energy pts y=yes a. Recycled content 3 Resource pts y=yes 0 b. Showerheads (1 point each, up to 2 points) . b. FSC Certified Wood 3 Resource pts y=yes 0 5. Install Chlorine Filter on Showerhead 1 IAQMealth pt y=yes 2. Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAQ/Health pt y=yes 0 Up to 41A0/Health pts. 3. Install House Wrap under Siding 1 IAQ/Health of y=yes 0 4. Use Fiber -Cement Siding Materials 1 Resource pt y=yes 0 E. Plumbing 1 Energy pt 1. Install Water Heater Jacket 1 Energy pt y=yes 2. Insulate Hot and Cold Water Pipes 2 Energy pts y=yes 3. Retrofit all Faucets and Showerheads with Flow Reducers 1 Energy pt a. Faucets (1 point each, up to 2 points) Up to 2 Resource pts. b. Showerheads (1 point each, up to 2 points) Up to 2 Resource pts. 4. Replace Toilest with Ultra -Low Flush Toilets (1 point each, up to 3 points) Up to 3 Resource pts. 5. Install Chlorine Filter on Showerhead 1 IAQMealth pt y=yes 6. Convert Gas to Tankless Water Heater 4 Energy pts y=yes 7. Install Water Filtration Units at Faucets (2 points each, up to 4 points) Up to 41A0/Health pts. 8. Install On -Demand Hot Water Circulation Pump 4 Resource pts y=yes r•. tie incar 1. Install Compact Fluorescent Light Bulbs (CFLs) (6 bulbs—_2 points, 10 bulbs =3 points, 12 bulbs = 4 points) Up to 4 Energy pts. 2. Install IC -AT Recessed Fixtures with CFLs (1 point each, up to 5 points) Up to 5 Energy pts. 3. Install Lighting Controls (1 point per fixture, up to 4 points) Up to 4 Energy pts. 4. Install High Efficiency Ceiling Fans with CFLs (1 point each, up to 4 points) Up to 4 Energy pts. 1 Energy pt 2. Install Washing Machine with Water and Energy • 1 Energy pt 0 0 0 0- 1 Energy pt 4. install Built -In Recycling Center 3 Resource pts G. Appliances 1. Install Energy Star Dishwasher 1 Energy pt 2. Install Washing Machine with Water and Energy Conservation Features 1 Energy pt 3.lnstall Energy Star Refrigerator 1 Energy pt 4. install Built -In Recycling Center 3 Resource pts H. Insulation 1. Upgrade Insulation to Exceed Title 24 Requirements a. Walls 2 Energy pts y=yes b. Ceilings 2 Energy pts yryes 2. Install Floor Insulation over Crawl Space 4 Energy pts y=yes 3. Install Recycled -Content, Fiberglass Insulation with No Added Formaldehyde 3 IAQ/Health pts y=yes 4, Use Advanced Infiltration Reduction Practices 2 Energy pts y=yes 5. Use Cellulose Insulation a. Walls 4 Resource pts y=yes b. Ceilings 4 Resource pts y=yes B. Alternative Insulation Products (Cotton, spray -foam) a. Walls 4 Resource pts y=yes o. Cemngs 4 Resource pts y=yes • 0 0 0 0 0 0 0 0 0 1.1. Install Energy -Efficient Wmdows . I a. Double -Paned 1 • b. Low -Emissivity (Low -E) c. Low. Conductivity Frames 2. Install Low Heat Transmission Glazing J. Heating Ventilation and Air Conditioning R. -Os -9 e Duct'Mastic on All Duct Joints 2. Install Ductwork w thin 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 1 Energy of 2 Energy pts 2 Energy pts - 1 Energy pt 9. Replace Wall -Mounted Electric and Gas Heaters with Through -the -Wall Heal Pumps 10. Install 13 SEER/11 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 21AQ/Heaith pts y=yes 2 Energy pts Y --yes 1 Energy pt y=yes 4 Energy pts Y --yes 31AQ/Heallh pts y=yes 31AQ/Health pts y=yes 3 Energy pts y=yes 3 Energy pts y=yes 2Resource pts y=yes 12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace 2 Energy pts y=yes 13. Retrofit Wood Buming Fireplaces 10 Energy pts y=yes • a. Install EPA certified wood stoves/inserts 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, Hydmnic Radiant Heating 3 Energy pts y=yes 15. Install High Efficiency Filter 4 IAQ/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 of$ V=vas K. Renewable Energy and Roofing 1. Pre -Plumb for Solar Water Heating 4 Energy pts y --yes 2. Install Solar Water Heating System 10 Energy pts y=yes 3. Pre -Wire for Future Photovoltaic (PV) Installation 4 Energy pts y=yes 4. Install Photovoltaic (PV) System (1.2 kw = 6 points, 2.4 kw =12 points, 3.6 kw =1 B points) Up to 16 Energy pts E Select Safe and Durable Roofing Materials_ 1 Resource pt Y--yes 7 Install RadianCEarrier- - - 3 Energy pts y=yes L. Natural Heating and Cooling 1. Incorporate Passive Solar Heating 5 Energy pts y=yes 2. Install Overhangs or Awnings over South Facing Windows 3 Energy pts . y=yes 3. Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes C 1. Use Low Ne-VOC Paint 1 IAQ/Health pts y --yes 2, Use Low VOC, Water -Based Wood Finishes 2 IAQ/Health pts y --yes 3, Use LowMo VOC Adhesives 3 IAQ/Health pts y=yes 4. Use Salvaged Materials for Interior Finishes 3 Resource pts y --yes 5. Use Engineered Sheet Goods with no added Urea Formaldehyde 61AQ/Health pts y --yes 6. Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y --yes 7. Seal all Exposed Particleboard or MDF 4 IAQ/Health pts y=yes B. Use FSC Certified Materials for Interior Finish 4 Resource pts Y --yes 9. Use Finger -Jointed or Recycled -Content Trim 1 Resource pts y=yes 10. Install Whole House Vacuum System 3 IAQ/Health pts y --yes 6 Resource pts D 0 D 2. Use Rapidly Renewable Flooring Materials 0 0 . 0 0 0 0 0 y --yes 3. Use Recycled Content Ceramic Tiles 4 Resource pts y --yes 4. Install Natural Linoleum in Place of Vinyl 5 IAQ/Health pts y=yes 5. Use Exposed Concrete as Finished Floor 4 Resource pts y --yes 6. Install Recycled Content Carpel with Low VOCs N. Flooring 1. Select FSC Codified Wood Flooring 6 Resource pts y=yes 2. Use Rapidly Renewable Flooring Materials 4 Resource pts y --yes 3. Use Recycled Content Ceramic Tiles 4 Resource pts y --yes 4. Install Natural Linoleum in Place of Vinyl 5 IAQ/Health pts y=yes 5. Use Exposed Concrete as Finished Floor 4 Resource pts y --yes 6. Install Recycled Content Carpel with Low VOCs 4 Resource pts y=yes Total Points 1 1401 1301 57 Total Points Pro'ect Received: 1 01 ni 0 • (3:daWpmgsrgmenbulldingguidelinWmmodelsrs)greenprrintsfnat212e4praleclad.ds 0 Ll 'N CIN OF UPEkTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax(408)777-3333 Building De artment JOB ADDRESS: �0��3 S . %,you A� PERMIT # ©da,S-'0(0 OWNER'S NAME: d*-vj ftify PHONE # 4�463!Z- 3 -Yf GENERAL CONTRACTOR: QWK e w- FAX # I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: Owner/Contractor Signatur Date 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 Signatur Date