08040168CITY OF CUPERTINO
BUILGINC61VISRON PERMIT
RACT(3RTA?F-OR IAx15
�,kCONT
BUILDING ADDRESS:
PERMIT NO.
22129 RAE LN
ADVANCED PLUMBING & ELECTRIC
08040168
OWNER'S NAME:
PERMIT ISSUE DATE
LEE RESIDENCE
18780 TUGGLE AVE
04/23/2008
91 NE:
SANITARY NO. CONTROL NO.
ARCHI'IECIIENGINEER:
BUILDING PERMIT INFO
CHANGE TWO FURNACES & A/C
O O O O
LICENSED CONTRACTOR'S DECLARATION
Job Description
I bereby aRrre that I w licensed under provision or Chapter 9 (commencing
with Section VOID of Division 3 of the Business and Preference Code. and re'cenmu
in full force arms offact
License Cl
DOLL' GanlfKwr
Co.
cxrrEcrs DEcu N
1 understand my plana Nall Ise used as public mentis
Liecosed Proleaeonsl
OWNER -BUILDER DECLARATION
I wmby .Rete the 1 am ramp, from the Commoners License lute far the
fallowing woo (Section 1851.5, Business and Profession Cade: Any city or county
which mqulms • Panel, to coNmeL alt«, hnpmw, dem.liet. or reper any Nudism
Prior be its iansnca, alae recut. the .'Pliant for such Permit to fk a egocd mammcem
the he is licensed Furrow to the provisions of the Cormclora License Law (chapter 9
Sq. Ft. Floor Area
Valuation
(commaacing win Section 7") of Division S of the Business oral Profasslnna Cade) ur
Ne he k amem therefrom and W bah for the alleged Nempuon Any violNun or
APN Number
Oe
Occupancy y �'p
Sceflon 1051.5 by any applicant far a Penna Nbjncts the Applicant to a civil penally or
not mare the five hundred dollars (5500),
❑ Lssowmvofflkpestrun«myemplende wtNweesewe(Sam.7 mpewuon,
Required Inspections
do thewoand the ndad «orterddwreakpply Dan Buai«ss
eCantV ase, I
and Professionswhhacase The cantmnara Lsmansedwiso Law doe not apple w an awrc.
and
i
who bolds intpress thereon, and warn wmfm« throngs h .
en tdeada«n
own a «aRnvtl f«ale. U,
.min provided
en,lding"this such Imps art not ear
bewder the mid wh cafe
era th orimprovemNng sue wididoroyur or coeanne
fo,theowner-
build« will Nw Ne burden of Interring Sul w did act hdW «impure f« purpose of
have
aka).
❑ 1, as owNr of the property, am emotively conume8n6 with licensed conmacwrs le
censmmet that project (see. low, Business and Pmressions code:) ran Conaaewes U.
cera Law don not appy m an ow«. drprapl'llr who wilds or tmpewa thereon, and
who convects for sun projects with a comraror(s) license puwnt w the Commerce.
Lkena Law.
❑ lamesommund«See ,B6:PCf«thiswm
Owers Dee
WORKERS COMPENSATION DECLARATION
1 hereby affirm under Palely or perjury aro a( that fallowing decianth«mc
b ofCannl to self-Wfor War e. Camped-
have and will maintain CeniBNaeR
1
tion, as provided f« by Saco.. 51W of the Labor Cade. far the p ularmance of the
work for which Nis permit u Wood.
❑ 1 have and will maintain Walk e I DampcNallem I., a mgWmd by section
5100 of the LAWCode. for the Performance often work for which this Permit 1. laa4
'
My Warkers CmnpenWiN insurance carrier aM Policy number sm:
Carrier Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
rrrthf see«I need tet bo completed Huse permit Is foronehmudred 00. (5100)
or ins)
1 certify the, In ew perform. of that warts for which We permit is Issued. l shall am
employ anyperson in ay manners as innc moabjet to orkeri am nadan
Laws of Caltfaeta Dec
Applicant N e M...
NOTICE TO APPLIDIN�' ``. If, star matln u e 'Badu of FsemPtion, you should
became subject w the Worker's Campewuon pl6Hsions of the labor Code, you men
'
forthwith comply win such p mems. or this Permit shall w deems mroted.
CONSTRUCTION LENDING AGENCY
1 Mmby arrmrre Wm then is a cementation lending.Snry f« the laeform. of
the work for which this permit Is wood (Sec. 5097, Cin Q
'
Lessees Name
,
Lenders Addw
1 certify the I haw lead this application and sum the the above information is
'
correm. I agree w comply with all city and county ordlnsncN and sum law mining b
Wilding consmuction, and her by amborie representatives of this city to enter vine the
thaw-menuaned Property f« INpemiw PmTWmL
(We) agree to arc, indemnify uW jeep harmless flue Chy of Cupertino aatlN
Babuwes,)udgmcnu.came and "Forms which mar I. say boy ammo yeNl said City
in conaq«nee of the grating of this permit
UNDERSTANDS AND WILL COMPLY WITH ALL
Issued by: Date
�NON-POINT
SOUTGU
'J!/Y5f
iW
�
Re -roofs
Type of Roof
slga I Data
naaofA pT aDataroter
HAZARDOUS MATERIALS DISCLOSURE
Will flu applicant or future wilding «cupateom «hurdle harudounmaterial
as defend by the Cupenim Municipal Code. Chapter 9.12. and flue Health and Safety
Cade, Section 25532(.)7
roofs shall be inspected prior to any roofing material being installed.
[3y.All
XNo
If a roof is installed without first obtaining an inspection, I agree to remove
vnn the ,pptieat or fuwm wading occupant ua equipment or deem which
n.nlz er commemn s u defend by the Bay Area Air Quality Management
all new materials for inspection.
erial
❑Yea �4u
Ihavicend the herartlnm materials requirements under Chapter 6.95oftheCeifer-
nia Health k SermyCotla S'Sumns 25705.25533 and 25534.1 undcnuM the!( Iw wilding
does not currently haw a uro nt. IWt it mY apansthllity *notify W «cup., of the
mqulmanat whichmuuWmet�^seri oracrrdneaataraadP
Signature of Applicant Date
`
All roof coverings to be Class'W' or better
'
D '
Owner of athaM1vss ogee.' aw
•
•
C
6 ITEMS OF 6
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 35607068.00
DATE ISSUED.......: 04/23/2008
RECEIPT #.........: BS000004559
REFERENCE ID # ...: 08040168
SITE ADDRESS .....: 22129 RAE LN
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OPERATOR: SylviaM
COPY # : 1
OWNER ............: LEE RESIDENCE
ADDRESS ..........: 22129 RAE LN
CITY/STATE/ZIP ...: CUPERTINO, CA 95014-4032
METHOD OF PAYMENT
-----------------
CREDIT CARD
TOTAL RECEIPT :
AMOUNT
---------------
408.92
---------------
408.92
VOICE ID DESCRIPTION
-------- ----------------------------
505 FINAL ELECTRICAL
508 FINAL MECHANICAL
REFERENCE NUMBER
--------------------
VISA
VOICE ID DESCRIPTION
-------- ----------------------------
507 FINAL PLUMBING
RECEIVED FROM ....:
XIANSHANG LI
CONTRACTOR .......:
XIANSHANG LI
LIC # 24013
COMPANY ..........:
ADVANCED PLUMBING & ELECTRIC
ADDRESS ..........:
18780 TUGGLE
AVE
CITY/STATE/ZIP
...:
CUPERTINO, CA
95014
TELEPHONE ........:
(408)777-0651
FEE ID
UNIT QUANTITY
.AMOUNT•
PD -TO -DT
THIS REC
NEW BAL
----------
1BSEISMICR
------------- ----------
VALUATION 10,000.00
-------==-:----------
1.00
0.00
----------
1.00
----------
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
4.00
244.76
0.00
244.76
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
--------------------
408.92
0.00
----------
408.92
----------
0.00
METHOD OF PAYMENT
-----------------
CREDIT CARD
TOTAL RECEIPT :
AMOUNT
---------------
408.92
---------------
408.92
VOICE ID DESCRIPTION
-------- ----------------------------
505 FINAL ELECTRICAL
508 FINAL MECHANICAL
REFERENCE NUMBER
--------------------
VISA
VOICE ID DESCRIPTION
-------- ----------------------------
507 FINAL PLUMBING
CI OF
CUPERTINO
CITY OF CUPERTINO
FURNACE/AC
PERMIT APPLICATION FORM
nko4r)l10S1
APN #
'Sly 0 _7 0 (vK, v�
Date:
`1a3 A7 8
Building Address: GV
Aa I Atee. L n1
tet) �o (f, /A ctS-0r
Owner's Name:
Phone #:
L -bog &39 31g.1
Contractor:
Phone #: 4-0(3- g aa- Z
y
h ►v T cS-%iAw6r (Z
LI -0 8 % 7 Q 6s1
Fax #:
Contractor License #: 7943 11
U
Cupertino Business License #:
q6(
Contact:
G S fes- s , e
Phone #:
a5 l'u- see
Fax #:
Building Permit Info:
Elect Plumb ❑�
Meth ❑-- Ale � �t UrN Ct Le
Residential Commercial
Job Description:
,1 Iwo (WD Ale oh)
For Residential Installations:
Attic ❑ I" floor ®
2nd floor
Adhere to minimum setback requirement '®�
For Commercial Installations:
Replacement same weight CR Additional weight (structural talcs) ❑
Structural Calculations required for new installation ❑
New installation Planning Approval Required ❑
Cost of Project: Type of Construction (Usage Class):
�flDD O .
Strapped On Platform Bonded
New Location 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. -&-
I'll
rr o
CUPERTINO
CITY OF CUPERTINO
FURNACE/AC
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.
I MCREPALT
Commercial for the repair of alt/add to
M
ca 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.
IMCSUSHTR
Commercial Install/Relocate ea
M
suspended heater,recessed wall htr, or
floor mounted unit heater.
1 PGASCOM
Commerical for ca gas piping System
P
1-4 outlets
1BPGAS
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
permit.
1BSEISMICO
Commercial Seismic
B
1 MRRAA
Residential Repair/Alteration/Add to
M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
2
heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by
this code.
1MRSUSHTR
Residential Install/Relocate ea
M
suspended heater,recessed.wall htr, or
floor mounted unit heater.
1MRAPPVNT
Residential for the install/relocate/ or
M
replacement of ea appliance vent
install & not incl in an appl permit.
0
J
;.
CITY O
•CUPERTINO
CITY OF CUPERTINO
FURNACE/AC
FEESCHEDULE
Quantity
Fee ID
Fee Description
Fee
'Group
Permit Type
FURNACE
FURN/AC
1PGASRES
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
1 MFR=<100
Furnace Syst <=100k BTU install or
relocate ea forced-air/gravity type
fumace/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
furnace/burner, incl ducts/vents
attached to such appliance over
100,000 Btu/h
M
1 EPERMITFEE
Electric Permit Fee
E
l MPERMITFEE
Mechanical Permit Fee
M
IPPERMITFEE
Plumbing Permit
P
1TRAVDOC
Travel Documentation
B
1BUSLIC
Business License
B
0
4CGt--
CUPERTINO
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
1MCRAA
Commercial Mech Repair/alt/add
M
1BSEISMICO
Seismic Commercial
B
1PGASCOM
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
1BREMAIRHAN
Residential A/C units <= l Ok CFM
B
1MRRAA
Residential Mech Repair/alt/add
M
1BSEISMICR
Seismic Residential
B
1 EPERMITFEE
Electric Permit
E
1MPERMITFEE
Mechanical Permit
M
1PPERMITFEE
Plumbing Permit
P
ITRAVDOC
Travel Documentation
B
1BUSLIC
Business License
B
s
is
0
I^
L_
221 tiq� Zn
COPY
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
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 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
MAMMIMMI
TOTAL POINTS
40 points
221 tiq� Zn
COPY
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.
1. Recycle Job Site Construction & Demolition Waste j
65%=1 point; 75%= 2 points; 60%=4 points
2. 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 Stonnwater Practices
7. Protect Water Quality with Landscape Design
6. Design Resource Efficient 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
11. 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 -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 (SIPS)
a. Floors
b. Wall
c. Roof
10. Apply Advanced Framing Techniques
11. Use Reclaimed Lumber for Non Structural Applications
12. Use OSB
a., Subfloors
b. Sheathing
up to 4 Resource
4 Resource pts y=
4 Resource pts
2 Resource pts
1 Resource pt
2 Resource pts
2 Resource pts
4 Resource pts
2 Resource pts
2 Resource pts
2 Resource pts
up to 5 Resource
2 Resource pts y
3 Enerav ots v
3 Resource pts
up to 10 Resource pts.
2 Resource pts y=yes
2 Resource pts y=yes
2 Energy pts y=yes
2 Resource pts y=yes
2 Resource pts y=yes
2 Resource pts y=yes
3 Energy pts y=yes
3 Energy pts y=yes
3 Energy pts y=yes
4 Resource pis y=yes
3 Resource pis y=yes
1 Resource pt y=yes
1 Resource of v=ves
1. Use Sustainable Decking Materials
a. Recycled content
3 Resource pts
y=yes
b. FSC Certified Wood
3 Resource pts
y=yes
2. Use Treated Wood That Does Not Contain ChmmlumlArsenic
1 IAO/Health pt
y --yes
3. Install House Wrap under Siding
1 IAD/Health pi
y --yes
4. Use Fiber -Cement Siding Materials
1 Resource pt
y --yes
E. Plumbing
G. Appliances
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 y --yes
4. Install Built -In Recycling C&
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 Toiled with Ullra-Low Flush Toilets
y=yes
6. Alternative Insulation Products (Colton, spray -foam)
(1 point each, up to 3 points)
Up to 3 Resource pts
5. Install Chlorine Filter on Showerhead
1 IAD/Health pt
y --yes
5. 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 4 IAO/Health pts
B. Install On -Demand Hot Water Circulation Pump
4 Resource pts
y --yes
r. tiecmcar
0
1. Install Compact Fluorescent Light Bulbs (CFLs)
1. Upgrade Insulation to Exceed Title 24 Requirements
(6 bulbs=2 pointe, 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
2 Energy pts
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
4 Energy pts
(1 point each, up to 4 points)
Up to 4 Energy pts.
G. Appliances
1. Install Energy Star Dishwasher
1 Energy pt y=yes
2, Install Washing Machine with Water and Energy
4. Use Advanced Infiltration Reduction Practices
Conservation Features
1 Energy pt y=yes
3.Install Energy Star Refrigerator
1 Energy pt y --yes
4. Install Built -In Recycling C&
3 Resource pts y=yes
H. Insulation
0
0
1. Upgrade Insulation to Exceed Title 24 Requirements
a. Walls
2 Energy pts
y=yes
b. Ceilings
2 Energy pts
y=yes
2. Install Floor Insulation over Crawl Space
4 Energy pts
y=yes
3. Install Recycled -Content, Fiberglass Insulation with
No Added Formaldehyde
3 IAO/Health pis
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
6. Alternative Insulation Products (Colton, spray -foam)
a. Walls
4 Resource pts
y=yes
u. ue ings
4 Resource pts
y=yes
0
0
0
K. Renewable Energy and Roofing
1. Pre -Plumb for Solar Water Heating 4 Energy pts
2. Install Solar Water Heating System 10 Energy pts
3. Pre -Wire for Future Photovoltaic (PV) Installation 4 Energy pts
4. Install Photovoltaic (PV) System
(1.2 kw = 6 points, 2.4 kw =12 points, 3.6 kw =18 points) Up to 18 Energy
6. Select Safe and Durable Roofing Materials 1 Resource pt y=
7 Install Radiant Barrier 3 Energy pts 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
•
T. Install Energy -Efficient Windows _ -
•
a. Double -Paned !
1 Energy pt
b. Low -Emissivity (Low -E)
2 Energy pts
c. Low. Conductivity Frames
2 Energy pts
2. Install Low Heat Transmission Glazing
1 Energy pt
—
Heating Ventilation and Air Conditioning
FUse Duct Mastic on All Duct Joints —
2 Energy pts
2. Install Ductwork within Conditioned Space
3 Energy pts
3. Vent Range Hood to the Outside
1 IAQ/Health pt
4. Clean all Ducts Before Occupancy
2 IAQ/Heaith pts
5. Install Solar Attic Fan
2 Energy pts
6. Install Attic Ventilation Systems
1 Energy pt
7. Install Whole House Fan
4 Energy pts
8. Install Sealed Combustion Units
a. Furnaces
31AQ/Health pts
b. Water Heaters
3 IAQ/Health pis
9. Replace Wall -Mounted Electric and Gas Heaters with
Through -the -Wall Heat Pumps
3 Energy pts
10. Install 13 SEER/11 EER or higher AC with a TXV
3 Energy pts
11. Install AC with Non -HCFC Refrigerants
2 Resource pts
12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace
2 Energy pts
13. Retrofit Wood Burning Fireplaces
a. Install EPA certified wood stoveslnseds
1 IAQ/Health pt
b. Install/Replace Dampers
1 Energy pt
c. Install Airtight Doors
1 Energy pt
14. Install Zoned, Hydronic Radiant Heating
3 Energy pts
15. Install High Efficiency Filter .
4 IAQ/Health pts
16. Install Heat Recovery Ventilation Unit (HRV)
5 IAQ/Health pts
17. Install Separate Garage Exhaust Fan
3 IAQ/Heaith pts
K. Renewable Energy and Roofing
1. Pre -Plumb for Solar Water Heating 4 Energy pts
2. Install Solar Water Heating System 10 Energy pts
3. Pre -Wire for Future Photovoltaic (PV) Installation 4 Energy pts
4. Install Photovoltaic (PV) System
(1.2 kw = 6 points, 2.4 kw =12 points, 3.6 kw =18 points) Up to 18 Energy
6. Select Safe and Durable Roofing Materials 1 Resource pt y=
7 Install Radiant Barrier 3 Energy pts 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 1 IAO/Hsallh pis y=yas
2. Use Low VOC, Water -Based Wood Finishes 2 IAO/Health pts y=yes
9. Use LowMo VOC Adhesives 3 IAO/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 61A0/Health pts y=yes
6. Use Exterior Grade Plywood for Interior Uses 1 IAO/Health pts y=yes
7. Seal all Exposed Particleboard or MDF 4 IAC/Health pts y=yes
8. 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 IAO/Health ots v=ves
N. Flooring
1. Select FSC Certified Wood Flooring
6 Resource pts
2. Use Rapidly Renewable Flooring Materials
4 Resource pts
3. Use Recycled Content Ceramic Tiles
4 Resource pts
4. Install Natural Linoleum in Place of Vinyl
5 IAO/Health pts
5. Use Exposed Concrete as Finished Floor
4 Resource pts
6. Install Recycled Content Carpet with Low VOCs
4 Resource pts
Total Points Availablej
Total Points Project Received:
r
0
1401 1301 57
01 01 0
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JOSIa-'TADDRESS: Q e 1 A' -A ?Y
Community Development
OWNER'S AME: t W— kw�S'J
PHONE # LW 9
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Cupertino CA 95014
Cabinets & Millwork
Telephone (408) 777-3228
CITY OF
Fax (408) 777-3333
4UPEkTINO
Building
De artment
JOSIa-'TADDRESS: Q e 1 A' -A ?Y
PERMIT #
OWNER'S AME: t W— kw�S'J
PHONE # LW 9
GENERAL CONTRACTOR: Z 9'N ,7l�fa I z
FAX # (408- 7 e 61'
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
•
Owner/Contractor Signature
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 Signature
Date