08090018 (2) CITY OF CUI;ERTINO0� ,'5' 7T `' "
BUILDING-DlvlsloN-- PERMIT .1roC0'NTRACTOT 4NFORMATI®N- `.
BUIIDI G RFS : PERMIT NO.
. 7;�� LRUNERIIJGE AVE BLDG 4 DRAEGER CONSTRUCTION INC 08090018
OWNER'S NAME: PERMIT LSIIB DATE
IWINE CORPORATION 605 COMMERCIAL ST 09/04/2008
NE: SANITARY NO. CONTROL NO.
ARCHITECMNGINEER: SIDNG &WTRPRF REPRS, 550SQ BLDG BUILDINGPERMITINF MECH
u
l�
O o LICENSED CONTRACTOR'S DECLARATION
ra U CII hereby affirm that 1 am ficemed under ptorisiom of Chapter 9(eemmexing ^-.. ^^••^^^--- ob Description
with
gudon 7M)of Division 3 of Ne Businev and Protest=Code."my licensee
=,w in full force and off w
Z Endo
Class Lle.k
`F Dak Con Dr L
¢ u ARCHITECTS DELLS
iC oZ 1 u nJ m laru stall be public rtrnNs
n
yo LWcnseJ Pmfcsaional
v,3
OWNER-BUILDER DECLARATION
i f 1 hereby affirm than I am exempt from tM Conuanoh License Law for me
C pe O fallowing reason.(Section 70315,Business and Prefessimes Cade:My city or county
3_ which requires•Permit or coutro:L sheer improve,demolish.Or repair any structure
prior M its issuance.also,mquims the applicant(or such permit to file a signed aucmem
FF < NathcisHomsedpursuanttathcprevisions ofNcComncterkUcemclaw(CMpter9 Sq.Ft. Floor Area Valuation
Y�g (c.memingwith Sctim70DO)dDivision3aff Business Pmfmio=Codc)or
— that he W exempt therefrom Nd the basis fon the alleged exemption.Any violation of
Section 7031.5 by any applicant for a permit subjcma the applicant to a Evil penalty of APN Number
trot mom than Bw hundred dollars(S500), Occupancy Type
0 Lasowner of the property,army employees with wage u their sok compenssuan,
will do the work,and Ne suuerum s mtkknded onaRereS foraak(Ser,7044,Business
and Pmfessims Cod.The Comrscwra License law dun nut apply W m Owner of _ Required Inspections
propeny who buildaorimpronsdtetron,and whodaessuhwurk himselforthmugh his
ownemploy .pm dedthatsohimpmvcmasartnotink ooffre fmsale If.
however,the building or improvement is sold wiutin one year of completion,the owner,
Witmer will have the burden of proving that M did not Wild or improve for Formation of
sok,),
0 1,as owner of the property,am exclusively contracting with licensed conaanore re
consumes the Project(Sec.7004,Besinsv and Pretenders Code:)TM Consncmri W-
CenaC law does not apply do an Manor of property who Wilda or improv da eem.and,
who contracts for such pmjces with a contracWl(s)licensed pursuant m the Conuactafs
License Law.
❑lamexornptooderSec ,BRPcIermisrcuoo
Ower Data
WORKERS COMPENSATION DECLARATION
I hereby affsrm under penalty of perjury one of do following duleaMtu:
IMO aWd llmidownacersir=mofcon nimulf-kmmrm Wo icmnpaa '
all.,u pmvidcel for by Section 37000(the labor Code.for the performanceof the
wort for which this permit is issued.
O I Nv<real will maintem Wark l Compenution Insunna,as required by Sermon
1700.1 the Labor Cade.for the pcdurman.,if Ute work fonwhich this permit u issued '
MY Wor s Comp�motion Inationce murder and Policy nu��9m�k�r�a'mY:/� ��
Gnim,. OC'�bmJ LLC policyN..:_ LAk %^� `
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
meb=I.need nut be complowd if the Permit is for ane Wndrtd doBan(5100)
or leu)
I ouufv the.in ore Performance of Oc work for which this pomnit is issued,1 stall net
.mploy-ny person in any mamcrso Is in become vbjees m Oc Wane"CMmam mm
Laws of Califamia,Das
APPlican.
NOTICE TO APPLICANT:If,&Mr making thin Certificate of Exemption.you should
become mbjx W the Work u's Compensation pmvisios of Ne labor Code your mow
.J O fonhwith comply with Inch provisions or this permit shall W themed rented
z pn
CONSTRUCTION LENDING AGENCY
[—t Ihomey-Minn that dart s•conswcdnn kndingagency far the perfurmanceuf
a Ne work far which this permit W Wood(Sec.3097,Civ.C)
Lender's Name
0
Z Lander'.Address
U C) 1 CnGfY that 1 have tad alis I pillCauw and vase ther the•Mme information be
Ig.Pcancer I agree m comply with all city and county underrates errates and all laws relating W
0U Wilding construction.and hereby•utharied mpreunutives of NW city W on=upon tM
Cn aMss:-menuaned property(an inspection Purposes
g), (We)agree to save.indemnify and keep harmlelm the City of Copcnino against
rn incommisiodeofdr,couand apemPswhich may in anyway urnc against said City
In PLICANT Of NCRSTAN Of thisPerotWILL
/�
^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL N N-POINT Issued by: Date Y 3
SOURCE R�= �
Re-roofs
Signature of Apphun or 11 Ire
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or forum Wilding recount port or handle hmallous material ,
u de0ned by the Cupertino Municipal Cade,Chapter 9.13.Ind the Health and Safety
Cade.Section 25532(+)7 All roofs shall be inspected prior to any roofing material being installed.
❑Yes ale
Will the applicant err future hunting oaopam tic equipment or deviaa which If a roof is installed without first obtaining an inspection,I agree to remove
District?
vhaudoes air cumsed'ous as defined by tic Bay Area Air Quality M...germur all new materials for inspection.
of. ra
I he-mad the hmanhur,reakrials namirtmens under Chapter 6.95 of the Califon-
maHeal"SafctyCodcSccsieru255D5,25533 anal 75534.I uMersund thaif0o Wilding
does nut cuncntiy have a knsnm that it Is My responsibility to notify u,e occupant nl Ne
requirements which Most be met of•Chnif ac of OcaparWy. attire of Applicant Date
Owner or authonred agent Dam All roof coverings to be Class's"or better
CITY OF CUPERTINO
• 3 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot :
APN I . . . . . . . : 31606037 .B4
DATE ISSUED. . . . . . . : 09/04/2008
RECEIPT # . . . . . . . . . : BS000005990
REFERENCE ID # . . . : 08090018
SITE ADDRESS . . . . . : 19500 PRUNERIDGE AVE BLDG 4
SUBDIVISION . . . . . . ,
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : IRVINE CORPORATION
ADDRESS . . . . . . . . . . : 19500 PRUNERIDGE AVE BLDG 10
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . i FRANK E BLEFARI
CONTRACTOR . . . . . . . : DRAEGER, JOHN EDWARD LIC # 21895
COMPANY DRAEGER CONSTRUCTION INC
ADDRESS . . . . . . . . . . : 605 COMMERCIAL ST
CITY/STATE/ZIP . . . : SAN JOSE, CA 95112
TELEPHONE . . . . . . . . : (408) 536-0420
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
------ ---------- ---------- ---------- ---------- ----------
'.13SEISMICR VALUATION 33 , 000 . 00 ' 3 ..30 . 0 . 00 3 . 30 0 . 00
IFOUNDREPA EACH 1 . 00 734 . 00 0 . 00 734 . 00 0 . 00
ISIDEOTHER SQ FEET 550 . 00 551 . 00 0 . 00 551 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 1288 . 30 0 . 00 1288 . 30 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
------------------ --------------- --------------------
CREDIT CARD 2 , 392 . 10 VISA
---------------
TOTAL RECEIPT 2, 392 . 10
tOTYOF CITY OF CUPERTINO
t CITY OF
CUPERTINO GENERAL BUILDING
PERMIT APPLICATION FORM
APN # Date: �3 u
Building Address:
IgSoo f QW,\kria 4 91d y
Marg Address (if different from building address):
Owner's Name: Ph #:
#:
Z uthe Qr L o8 S -23 41
Contractor: Phone:Cyd 1 J!S za f Z
ov-, Fax: C`ID4) I'53L 6111
Contractor LIcense#: (off 76 !v
Cupertino Business License#:
Contact: r Phone: �j8 S/S Li39 Z
• Fax: '/Or .596 Oyes"
Residential Commercial
Job Description:
.Sl jo, ,F l�R,4r�vmLr,y et�o,.irs t ,SS�lf oL sidi�y 2rK . ,¢s2
Building Permit Info:
Bldg Elect ❑ Plumb ❑ Mech ❑
Type of Construction (Usage Class): Occupancy Type:
1-A, I-B. ❑ II/III/V-A ❑ II/III B, IV-HT, V-B (2, — 2
Valuation: . - . Z Square Footage:
Project Size: Express ❑Standard ❑ Large ❑ Ma or ❑
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
` F CITY OF CUPERTINO
Ell O
CUPEkTINO GENERAL BUILDING
PERMIT APPLICATION FORM
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1 BBOILERI 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 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
IB.BOILER4' 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 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-. ;. • ,,
1 MECHINSP Other Mechanical Inspections (per M
hour)
1PLMBINSP Other Plumbing & Gas Inspections P
(per hour)
1MEETINGIHR Application Meeting B
�G CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
� CUPEI�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
]CHIMNEY Chimney B
ICHIMNEYR Chimney Repair B
FENCES
AM
1 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
1FIREPLFAB Fireplace Pre-Fabricated/Metal B
1FLAGPOL>20 Flag pole (over 20 ft in height) B
1MODUSTRU Modular Structures B
'FOUNDATIONS
iFOUNDREP Foundation Repair B
1PILECAST Pile Foundation Cast in place concrete B
1PILEDRIV Pile Foundation Driven (steel, pre- B
stressed concrete
3 of 5
lvl_ CITY OF CUPERTINO
CUP TYOF O GENERAL BUILDING APPLICATION
FEESCHEDULE
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
1RETSP310 Special Design, 3-10' high (up to 50 `) B
1RETSP10 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
SHED-(EACH) Shed Over 120 sq ft B •
SIDING
1 SIDEST/BK Siding, Stone& Brick Veneer B
(interior/exterior
1 SIDEOTHER Siding all other B
SKYLIGHTS
1SKYL<10 SF Skylight less than 10 sf B
1 SKYL>10SF Skylight greater than 10 sf or B
structural
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 B
st)
4of5
CITY OF CUPERTINO
CITY OF GENERAL BUILDING APPLICATION
,�. CUPEI�TINO
FEE SCHEDULE
Quantity/Sf Fee ID Fee Description Fee Permit Type
Group 1GENRES or
1GENCOM
1STUCOAP Stucco Applications (up to 400 sf) B
additional stucco application
1 WINREP Replacement windows/sliding glass B
door (ea 8 windows
1WINMEWSTR New Window-structural shear B
wall/masonry includes plan ck fee)
IEPERMITFEE Electrical Permit Fee E
1 MPERMITFEE Mechanical Permit Fee M
1 PPERMITFEE 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
1TRAVDOC Travel & Documentation B
1BUSLIC Business License g
5of5
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 Dints
C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 points
D. Structural 3. Uses Wood IJoist, (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.) AJ 2 points
4. B. Fiber Cement Siding, (Note/Spec. A4 2 Dints
F. Plumbing 1. Insulate all H.W. pipes, (Note/Spec.) P-1 2 paints
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.) A3 1 point
3. Energy Star Refrigerator, (Note/Spec. AJ 1 oint
P. Other 1. List Green Features on Plans A-1 __Lpont
TOTAL POINTS ��— 40 points
Plan Review Prneem 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 coordination with
ease of implementation and relative low cost. These measures can be used as a starting point for'greening'your project.
INPUT Resources Energy IAD/Health
A.Sde
11.Recycle Job Site Construction&Demolition Waste
65%=1 point;75%= 2 points;BD%=4 points up to 4 Resource pts 0
i2.Salvage Reusable Building Materials 4 Resourceis
- -— -- P 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-Efficient Landscapes and Gardens 4 Resource pts y--yes D
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 p
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 pts0
2.Use Recycled Content Aggregate 2 Resource pts y=yes p
3.Insulate Foundation/Slab before backfill 3 Energy pts y=yes D
1 1 t
C.Structural Frame
�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 1 D Resource pts. 0
3.Use Wood 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
S.Use Finger-Jointed Studs for Vertical Applications 2 Resource pts y=yes C
7.Use Engineered Studs for Vertical Applications 2 Resource pts Y--yes 0
B.Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y=yes D
9.Use Structural Insulated Panels(SIPS)
a.Floors
b.Wall 3 Energy pts y=yes 0
c.Roof 3 Energy pts y=yes D
3 Energy pts y=yes D
10.Apply Advanced Framing Techniques 4 Resource pts y=yas 0
11.Use Reclaimed Lumber for Non Structural Applications 3 Resource pts y=yes 0
12.Use OSB - -
a.Subfloors 1 Resource pt y=yes 0
• b.Sheathing
1 Resource pt y=yes p
1 1 1
IAD/Health ry
D. rtenor wish
1.Use Sustainable Decking Materials
a.Recycled content 3.Resource pts y=yes 0 •
b.FSC Certified Wood 3 Resource pts y=yes 0
2.Use Treated Wood That Does Not Contain Chromium/Arsenic ' 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 pt y=yes D
E.Plumbing
1.Install Water Heater Jacket 1 Energy pt y=yes 0
2.Insulate Hot and Cold Water Pipes 2 Energy pts y=yes 0
I3.Retrofit all Faucets and Showerheads with Flow Reducers
a.Faucets(1 point each,up to 2 points) Up to 2 Resource pts. 0
b.Showerheads(1 point each,up to 2 points) Up to 2 Resource pts. 0
4.Replace Toilest 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
B.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 1 1
t%trecmcai
1 Install Compact Fluorescent Light Bulbs(CFLs)
((i bulbs=2 points,10 bulbs=3 points,12 bulbs=4 points) Up to 4 Energy pts. 0 •
2.Install)C-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 1 1
G.Appliances
i1.Install Energy Star Dishwasher 1 Energy pt y=yes 0
12.Install Washing Machine with Water and Energy
'Conservation Features 1 Energy pt y=yes 0
l3.lnstall Energy Star Refrigerator 1 Energy pt y=yes 0
'4.Install Built-In Recycling Center 3 Resource pts 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 witli
No Added Formaldehyde _ 31AQ/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 D •
6.Alternative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y=yes 0
o.t;eoings 4 Resource pts y=yes 0
1 1
INPUT ReSDUrEeS Energy 1ADIKealth
1.Windows
11.Install Energy-Efficient Windows
• I a.Double-Paned 1 Energy pt y=yes D
b.Low-Emissivity(Low-E) - 2 Energy pts Y--yes D
c.Low.Conductivity Frames 2 Energy pts Y_—Yes 0
2.Install Low Heat Transmission Glazing 1 Energy pt Y--yes D
1 1 1
J.Heating Ventilation and Air Conditioning
rf.Use duct Mastic on All butt Joinfs 721AQ/Health
y pts y=yes 0
2.Install Ductwork within Conditioned Space y pts y=yes 0
3.Vent Range Hood to the Outside ealth pt y=yes 0
4.Clean all Ducts Before Occupancy pts 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 D
B.Install Sealed Combustion Units
a.Furnaces 3 IAQ/Health pts y=yes 0
b.Water Heaters 3 IAQ/Health pts y=yes 0
9.Replace Wall-Mounted Electric and Gas Heaters with
Through-the-Wall Heal 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 Nbn-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/inserts 1 IAQ/Health pt y=yes D
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 4 IAQ/Health pts y=yes D
16.Install Heat Recovery Ventilation Unit(HRV) 5 IAQ/Health pts y=yes D
17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y=yes - p
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
6.'Select Saterials afe and burable Roofing M _ _ 1 Resource pt y=yes 0
7.Install Radiant Barnor _ 3 Energy pts y=yes D
1 1 t
L.Natural Heating and Cooling
1.Incorporate Passive Solar Heating 5 Energy pts y=yes D
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 D
1 1 1
INPUT Resources
. ndoor Air Quality and Frmshes
5.Use Low/No-VOC Paint_ 1 IAQ/Health pts y--yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 •
3.Use Low/No VOC Adhesives 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 61AQ/Health pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 0
,7.Seal all Exposed Particleboard or MDF 4 IAQ/Health pts y=yes 0
B.Use FSC Ce tified Materia s for Interior Finish 4 Resource pts y=yes 0
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y--yes 0
10.Install Whole House Vacuum System 3 IAQ/Health pts y--yes 0
1 1 1
N.Flooring
1.Select FSC Certified Wood Flooring 6 Resource pts y--yes 0
12.Use Rapidly Renewable Flooring Materials 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--yes 0
1 1
Total Points Available: 1 1401 1301 57
Total Points Project Received:
�✓— — �y/'mss
G:da WpmgsJgreenbaildinggddslinesfmmodelersrgreenpointsfinal212.D4prveded.rJs
•
c„1 Community Development
°1 10300 Torre Avenue
1: 1-� Cupertino CA 95014
Telephone(408) 777-3228
4CITY OF Fax(408)777-3333
UPEkTINO
Building De artment
JOB ADDRESS: PERMIT #
50 A4,AAri eo1Pd011--
OWNER'S NAME: 4 PHONE # y00- 5x 6-124-f
GENERAL CONTRACTOR: FAX# ',OP
I am not using any subcontrf� ��
Signa a 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
Owner/Contractor Signature Date