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08080057 (2) CITY OF CUPERTINO „/a�ts ��,���T•�g;.. :. �q ./�, y ' '' - r/y` ? - BUILDING DIVISI IIA PERMIT 'd A+�LISJN QRn1N 0 tVfA IO��;'' BUILDING ADDRESS: PERMIT N0. 1.0578 SAN LEANDRO AVE, LARRABEE & ASSOCIATES INC 08080057 OWNER'S NAME: PERMIT ISSUE DATE RAMESI'1 KURNOOL 36 RAILWAY AVE 08/07/2008 NE: (408) 364-9000 SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 Sop LICENSEDCONTRACnOWS derPmA i0ARATION rClmp JobDescri hon rd°� 1 hereby affirm thm 1 3 Ip*c, under rkd Pon as or Cede. 9(.mowing p _� with5vtion70(10)of0lvWon3aftfineBy®new anePmreasiunscaM,anamylleenYia ELCTRC OUTLT FOR RELCT SUMPPMP, RLOCT FAN �m amnrmasnad C y Llmnw C s 2 Lk.{ 5 2 5 3 �1�-- D8LL• Contrwm' A e q RCHRELTS DECLARATION iL 2 1 understand my plans shall he used u public rcemcs 6 5 C Licensed Prefeuional OatNER-BUILDER DECLARATION y 1 hereby alnrn on I am exempt from the ConmactCo Liana taw for the a O following maven.(Section 17.T.5,Buale.,and pmfcsaiou Cad,:Any city or county $ which exports.sn permit re requires struck,theaper.ret pow,operon,ri e a sig any tatucmm that he its licensed iwuarKr,also mark to we thovisio s o per such Comm,'s Us e m Lawd statement �o (commkwithSectYuawapm.iamoaofmcBrwessand nYsdmsCopmr9 Sq.Ft. Floor Area Valuation $ (commencing is avium hation rom and the Diaiiion?of Al Business ems prion.Any vi Cade)of $4000 �.. than he k campy lay ppli and Ne beer fm the alleged exemption.to Any vioWion or net An 7031.5.arty applicant(m s Permit subjects we applicant m.,iii pantlty of Number Occupancy Type not mem than fiw hundred dollen(5300} 35705071 � P Y YP ❑L the or of tae&a structure re my employees with weds r their Yk Com,Bannon, will do the work,and e: rim C A la Lues License aw do Tealepply An a4,B mer of And property Amo ns Cade:?fie oes lncsen. rd.me Law does rot apply lf an m.gh is Required Inspections own eny who amilds tee ire prows thereon and w ha does such work himself ed furs{e his own nr,thus Wilding powchimprowmvnsin not eWdWm letind(or owner, howewc Ne W e the or den of pmvn is sold within ma Wild of completion,the own.- ' build.will have Urc burden Of proving Nn k did not build ter impmw for purpose of YIGJ. ❑1.a ower of was property,am exclwively co. eking with licensed comanms to construct the pwjen(Sec.7014,Business and ProReuou Code:)The Commences Li. - mnw law does not apply to an owner of property who build,or impmvu Norton,and, who contracts for Such puitels with a conmmclor(s)licensed pursuant to tho Contractors License raw. ❑I am caempt undo See ,B h P C forthts rowan Owner Dow WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury em of the following declarvions: I know and will maintain a Ce dliao,of Consent w self-insure for Wmkeea Compeo- Ydne.u pmvided for by Section 3700 of the Labor Code,for the performance of the wort for which this permit is issued. ❑1 haw and will maintain Workaes Compen colon,lasunmc,as required by Section 3700 of the Labor Code,for the per(armanm of the work for which No permit is iuucc. ' My Warke`es Compensation I.ok d cars.and Pull,combat sm: Corset Jl'371f �r�,t�C/e Policy No.:00059C)5-2C ' 5? 1 CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This=rim need not he complcwd if has permit Is foram hundred dollars IS IM) or leve) . 1 cerdry Nat In the perfornames of the wart fm which this permit is fund.I shall not employ anypenon in any manor.as to become subject se Ne Workers'Cmnpensown Laws of California.Dom ' Appliesum NOTICE TO APPLICANT.1f.After making two ConiOanc or Exemption,you ahould b some subject An the Worker's Compensation previsions of the labor Code,you mum 0 Z forthwith comply w W such praviSioks m this Pernik shall be domed owmked. w O CONSTRUCTION LENDING AGENCY ti (~ I hereby Apron that Nns em isacommtilending agency for the perfornwce of 6i Ne work for which Na .it is issued(Sec.7097,Civ.C.) ALendeeli Name z Lendeer Adds, J Q I amity that 1 have read this application and sale dist the abaw infarnatim Is ty E corer.I agree In Comply with all city and county ordinances and saw laws misting to QU building commotion,and hereby authorm npmunutiws of this city to enwrupnn the W aaaw-mcnu0ned Property for Axioms purposes (We)agree w an,indamnify and keep harmless the City of Cupertino against Ufq flabiliinconsexiSdgments.comand Axioms which may In any wyacmue against sold City ()7 In couegm (the granum{o(Nis pernit. F4 AP e U2IDERSf�k18ILL COMPLY WITH ALL NON-POINT Issued by: Date ,�j 4710th ' Re-roofs Signature aApplianactor Dow MATERIALS /✓// Type of Roof Will Ne applicant m future building mapantmom m handle baYnlOa mood As de{md by ties Cupertino Municipal Cade,Chapter 9.12 and the Health and Safety Code,Section on 25572(.)? All roofs shall be inspected prior to any roofing material being installed. Ya If a roof is installed without firs[obtainingan inspection,I agree to remove Wtii tho applair co ant or forum building by dw B y A equipment Qu m dMana which P g call huatdnue air communities u de0ncd by Ute Bay Area Air Quality Management all new materials for inspection. District? ❑Ya OCNu I have mad dm huAdOU3a m\=deb wquiremcnuunderChapW6.95ofthe Califor- niaHcolN ,Sectiau253p5,j577 ss37a.Imdenwnddakpdeswimwg - Jma curmnuy w a was R tra mihility w mroufy we oaupant of Ne 'poolmom. whmh mum et pre e� e(a Cenificare ofqtapanry. �� /d2 Signature of Applicant Date OwneronuNosxtl agent D,w All roof coverings to be Class'%¢"or better CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35705071 . 00 DATE ISSUED. . . . . ... : 08/07/2008 RECEIPT # . . . . . . . . . : BS000005723 REFERENCE ID # . . . : 08080057 SITE ADDRESS . . . . . : 10578 SAN LEANDRO AVE SUBDIVISION CITY CUPERTINO IMPACT AREA . . . . . . . OWNER RAMESH KURNOOL ADDRESS 10578 SAN LEANDRO AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : LARRABEE & ASSOCATE CONTRACTOR . . . . . . . : LARRABEE, WALT LIC # 21568 COMPANY LARRABEE & ASSOCIATES INC ADDRESS 36 RAILWAY AVE CITY/STATE/ZIP . . . : CAMPBELL, CA 95008 TELEPHONE (408) 364-9000 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- -- ----- ---------- ---------- ---------- 1BSEISMICR VALUATION 4, 000 . 00 0 . 50 0 . 00 0 . 50 0 . 00 ].EPERMITFE 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 82 . 08 0 . 00 82 . 08 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 82 . 08 #5846 --------------- TOTAL RECEIPT 82 , 08 C/) 6) v v a40 CITY OF CUPERTINO CUPEkINO GENERAL BUILDING PERMIT APPLICATION FORM APN# Dat © 7 /, UCS Building Address: kms— Mailing Ad ress (if different from building address): Owner's Nam Phone#: . Contractor: / ` Phone: y p 3 6 V 5 oo V Z/,e7 .�r*-ZG_ Fax: o 8 3-7-c) p 3 3 Contractor License#: S Z 9 Cupertino Business License #: ;21 8 Contact: /l/�/ A Phone: &/od' --3 6 • Fax: odY 3 0 Residential Commercial Job Description: Building Permit Info: Bldg ❑ Elect 8� Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: 1-A, 1-B ❑ II/IIIN-A ❑ II/III B, IV-HT, V-B [�t— (1—'3 Valuation: a Square Footage: O Project Size: Ex ressC❑—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.buildit reen.or Revised 7/01/08 r CITY OF CUPERTINO d CUPERTINO 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 IBBOILER2 Installation /relocation of ea M boiler/compressor over 3 horsepower to & incl 15 horsepower, or ea absorption sys over 100,000 Btu/h 1BBOILER3 Install ation/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 1BBOILER5 Installation/relocation of ea boiler or M refrigeration compressor over 50 horsepower, or ea absorption sys over 1,750,000 Btu/h 1BAPPLOTH 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 hour) 1 PLMBINSP Other Plumbing & Gas Inspections P (per hour 1MEETINGIHR Application Meeting B • CITY OF CUPERTINO aC11F GENERAL BUILDING APPLICATION CUPEI�TINO FEE SCHEDULE Quantity/SF Fee ID Fee Description Fee Permit Type Group 1GENRES or 1 GENCOM 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 Ad IL 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 IFIREPLFAB Fireplace Pre-Fabricated/Metal B 1 FLAGPOL>20 Flag pole(over 20 ft in height) B 1MODUSTRU Modular Structures B FOUNDATIONS 1FOUNDREP Foundation Repair B 1 PILECAST Pile Foundation Cast in place concrete B 1 PILEDRIV Pile Foundation Driven (steel, pre- B stressed concrete) 3 of 5 F CITY OF CUPERTINO CUCITY TYOf O GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM RETAINING WALL(CONCRETE OR MASONRY I RETSTN Standard (up to 50 ft) B 1RETSP310 Special Design, 3-10' high (up to 50 `) B 1RETSPI0 Special Design, over 10' high (up to B 50' IRETCRB< 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 1SIDEST/BK Siding, Stone& Brick Veneer B interior/exterior 1 SIDEOTHER Siding all other B SKYLIGHTS 1 SKYL<10 SF Skylight less than 10 sf B 1 SKYL>I OSF 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 • 4 of 5 15.m CITY OF CUPERTINO CITY OF GENERAL BUILDING APPLICATION CUPERTINO FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM 1STUCOAP Stucco Applications (up to 400 sfl 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 1MPERMITFEE Mechanical Permit Fee M' 1 PPERMITFEE Plumbing Permit Fee P Nip 1 ELCPLNCK Stand Alone Electric Pln Ck (hourly) E I MECPLNCK Stand Alone Mechanical Pin 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 ITRAVDOC Travel &Documentation B 1BUSLIC Business License B 5 of 5 Green Building Plan Check Index of Green Building Points/Categories 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 points C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 points D. Structural 3. Uses Wood IJoist, (See Spec.) 3-2 2 points 5. Use Truss with heels, (detail) S-2 2 points 6. B. OSB Sheathing, detail S-2 2 ooints E. Ext. Finish 1. Composite Decking, (Note/Spec.) AJ 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 TOTAL POINTS1 40 points • Plan Review Process Work Book Page-l2-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. ae It.Recycle Job Site Construction&Demolition Waste 65%=1 point;75%= 2 points;80%=4 points up to 4 Resource pts D 12.Salvage Reusable Building Materials _ D 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 i8.Design Resource-Efficient Landscapes and Gardens — i 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 pts0 2.Use Recycled Content Aggregate 2 Resource pts y=yes 0 3.Insulate Foundation/Slab before backfill 3 Energy pts y=yes p 1 1 1 C.Structural Frame 1,Substitute Solid Sawn Lumber with Engineered Lumbar _ 3 Resource pts y=yes D 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 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 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 0 8.Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y--yes 0 9.Use Structural Insulated Panels(SIPS) a.Floors 3 Energy pts y=yes 0 It.Wall 3 Energy pts Y--yes 0 c. Roof 3 Energy pts y=yes 0 10.Apply Advanced Framing Techniques 4 Resource pts y--yes 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 0 1 1 1 or10r n 8 • - 1.Use Sustainable Decking Motorola 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/Hsaith pt y--yes D 3.Install House Wrap under Siding 1 IAQ/Health pt yryes 0 4.Use Fiber-Cement Siding Materials 1 Resource pt Y--yes 0 1 1 1 E.Plumbing 1.Install Water Heater Jacket 1 Energy pt yryes 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) Up to 2 Resource pts. 0 b.Showerheads(i point each,up to 2 points) Up to 2 Resource pts. 0 4.Replace Tollest 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 IAO/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=yss D r.eiecmcei 1.Install Compact Fluorescent Light Bulbs(CFLs) (8 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 (i point each,up to 4 points) Up to 4 Energy pts. 0 1 1 I G.Appliances 1.Install Energy Star Dishwasher 1 Energy pt yryes 0 2.Install Washing Machine with Water and Energy Conservation Features 1 Energy pt y=yes 0 Wnstall Energy Star Refrigerator 1 Energy pt Y--yes 0 4.Install Built-In Recycling Center 3 Resource pts y=yes 0 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 with 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 pts y=yes 0 c.uenings 4 Resource pts y=yes 0 1 1 1 INPUT Resources Energy A01HEafth mows 1.Install EneFgy-Efficient Windows a.Double-Paned 1 Energy pt y--yes 0 It.Low-Emissivity(Low-E) 2 Energy pts y=yes 0 c.Low.Conductivity Frames 2 Energy pts Y--yes 0 2.Install Low Heai Transmission Glavng 1 Energy pt y=yes 0 1 1 ! J.Heating Ventilation and Air Conditioning '1.Use Dud-Mastic on Alt Duct Joints - - - 2 Energy pts yryes 0 2.Install Ductwork within Conditioned Space 3 Energy pts y=yes D 3.Vanl Range Hood to the Outside 1 IAQ/Health pt y=yes 0 4.Clean all Ducts Before Occupancy 2 IAQ/Health 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 31AOIHealth pts y=yes 0 It.Water Heaters 3 IAQ/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 stoves/inseds 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 D 14.Install Zoned,Hydronic Radiant Heating 3 Energy pts y=yes 0 15.Install High Efficiency Filter 4 IAQ/Health pts y=yes 0 16.Install Heal Recovery Ventilation Unit(HRV) 5 IAQ/Health pts ygss 0 17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y=yes D 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=1 B points) Up to 1 B Energy pts 0 6.select 6afa and buraole Roofing Materials 1 Resource pt yryes 0 7. Install Radiant Barrier 3 Energy pts Y--yes D 1 1 1 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 0 I 1 1 • . n oor r ue ry an m s es 1.Use Low/No-VOC Paint 1 IAO/Health pts y=yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAO/Health pts y=yes 0 9.Use Low/No VDC 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 6.Use FSC Certified Materials for Interior Finish 4 Resource pts y--yes 0 9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y--yes D 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 2.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 S.Install Recycled Content Carpet with Low VOCs 4 Resource pts y--yes 0 1 1 Total olntsvela e: 1 1401 1301 57 Total Points Project Received: �— 01 01 0 • G:date/pmgslpmenbulldngguidellnes4emodelersrgreenpointsfinsl212D4pmleged.ds • Community Development J, 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 IWUPEkTINO Building /�De artment JOB ADDRESS PERMIT # � 0 5 . �Aa' ZICAJO� / / 6 c) CSU ; OWNER'S NAME: J V G�,-� PHONE # elcl p 3 6 GENERAL CONTRACTOR: SL t/ / FAX # o S I am not using any subcontractors: Signature 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 O Owner/Contractor Signature t Date