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CITY OF CUPERTINO
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-
BUILDING DIVISION PERMIT
=,COIVTRACT�,OF INPORMAT 6"N
Bud1
PERMIT NO.
110J80FI30NNY DR
TRAC VU
08080013
OWNER'S NAME:
FERMITLSSUEDAT6
rlW' VU
10280 BONNY DR
08/04/2008
NE:
SANITARY NO. CONTROL NO.
ARCHITECTIENGINEER:
-
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
LICENSED CONTRACTOR'S DECLARATION
Cheper 9
lob Description
I h.by aUi. that 1 . Eccnecd under provisions of (commencing
with Section 700) of Division 3 afore Desirous and Professions Coda and my license hs
POOL DEMO
in full forte and Urea.
License Class LIC.:!
'
Dab Conuactcr
ARCHITECT'S DECLARATION
1 understood my plans shall W used as public records
Licensed Pmpcssionsl
OWNER -BUILDER DECLARATION
I hereby Optima Net 1 am exempt fmm Ne COn Mmmx s License Lew for the
following reason. (Section 7W L5, Business and Rofcssluns Calc: Any city or County
which requ nes a permit 10 co arac4 amr, improve, demolish, .r repair my swnum
prior b its com... than 2GYims tbeappllcanl r.,..,h permit to file aid,rudambment
dem he is licensed Law (Chapur9
Sq. Ft. Floor Area
Valuation
parnaatanmepmvisionsnftheconaamar,ueens
mommend.g with S.W. 7000)af Division 3 of dee Business aM Pmfessiom Code)or
C
$.55000
and he b exempt hi afron, and the basis for the alleged exemption. Any violation of
Number
3 '
Occupancy
Type
Section 7031.5 by any applicant fa s Permit subjcva the applicant to a civil penalty of
not ata than raw hundred dollars ($500).
5 9110 3 8 .'l7V
D 1•ummer of the grit'", or my.,toy. wide wage as their sok Compensal m,
will do me work. and dee smxtua W not intended or offered for sale (Sec. 7044• Business
and Profinemos Cade: The ComrcaYs License Law dec, rot apply to m owner of
Required Inspections
property who Wildsaimptovathereon, and whodoes suchwarthimalforduough his
Own employ.. prodded mat such improvements am an, intended oraRered for sada If.
however. the Wilding or improvement u mid within arc year of Completion• the owner.
Wilder will have the burden of proving mat he did rot Wild on improv fa Families, of
,
sue.}
D 1. a owner of the property am exclusively contracting with licensed Comrmbrs in
constrict dee project (See. 7044, Business and Pmfrstlmu Cade:) The Consumes U.
ars, Law d. not apply, as an owner of property who Wilds or impmvn dancer. and,
who Contracts fa such projects with a contraeaRs) licensed pursuant b Can Contractors
License Law.
D l am exempt under Sea rn� .B k PC farts name
'I IL,
Ow. t Dab
WORKER'SCOMPENSATI NDECLARATION
.
I h.by aBino Oder penalty of perjury ane of the following declarations;
1 hive and will maintain. Ce Herod of Consent bself-Imurnfor WorkehCamper-
alien. a provided for by Section 3700 of the Labor Code. for the Performance or the
watt for which Ohs Permit is issued.
D I Tuve irk will maintain Wortcrs Compensation Insurance, as required by Soma
3700x( the la1wr Code. far am perform¢ of the work for which mu permit is issued.
'
My Workers Compensation Wourmce Cartier and Policy number are;
Cartier. Policy No.:
CERTIFICATE OF EXEM PITON FROM WORKERS'
COMPENSATION INSURANCE
(This s,etira rend! not be completed iDiu permit is foram hundred dollen (SIM)
.r lea)
1 Cemmfv mot in the Performance oli dee work for which this it IS Wised. 1 shall not
employ any person in my ab benswn subject in Werters CattlKnazim
Laws of California. Da ^ y ,1 1 • a/
Applicant I"6TTk'falt
NOTICE TO APPLICANT: If.ORer making this Certificate of Exemption, you should
become subject an dee Workers COMPnadaa provision of man IaWr Code, you muse
forthwith comply with such Provisions a dear permit shall W deemed revokeQ
CONSTRUCnON LENDING AGENCY
1 Wrehy affirm dust there is a consumer.. lending agency for dm perfumman¢ of
-
the work fur which thin gamut Is issued (Sec. 3097, Civ. G)
,
Landers Name
Leaders Address
1 natiffy than I have read this applicuian and sub dust the show info ornal. u
Correct. 1 agree in Comply with 91 City Yld Cowry Ordinances and sum laws relating to
Wilding construction, and bemeby, authoden reprammadves of this city in atm upon the
a Ww-aendmRd progeny for Inspection.
(We) agree b ave. indemnify ami kap harmless the City of Cupertino against
which -
up.mwhich may in my wayamue against aid City
incoiowhese ceofth.caumd
of the gamin[ of this
A
APPLICANT D WILL
APPLICANT UNDERSTANDS AND W]LL COMPLY WITH ALL NON -POINT
SOURCEREGULATIONS.
Issued by: Date
ata
Re -roofs `
Signature of ApplicaHAZARDOU Date
HAZARDOUS MATERIALS DISCLOSURE
Type of Roof
Will the applicant or faun Wilding
ilding acupml scoe or handle an mabrisi
as defbd by the Cupertino Municipal Code, Chapter 9. 12. and tie Health and Safety
Cade, Section 35532(a)7
DYa 1�eo
All roofs shall be inspected prior to any roofing material being installed.
win dea. Applicant or future Wilding OCCa rot mm equipment
pp g P 4 Pmenl ser devi. which
If a roof is installed without first obtainingan inspection, I agree to remove
P
til air contaminants as defined by the Bay Area Air Quality Management
all new materials for inspection.
crI
Dy. �40
1 have mW the Msamoa materials requirements under Chapter 6.95 of the Califor.
ria Health h Safely Codc, Sections 25505, 25533 anti 25534.1undemmnd thuifmc building
does not currently haw a burl due, it is my responsibility m tbtify the occupmt of the
mqunamemts which muss ee p,1 .q,0 ice.. f. ceNremm or oyynpapmy.'Drf
lDaam U
Signature of Applicant Date
11 �'
All roof coverings to be Class 'W' or better
owmermaamarixedagntt
• 2 ITEMS OF 2
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ... ..... : 35911038.00
DATE ISSUED.......: 08/04/2008
RECEIPT #.........: BS000005668
REFERENCE ID # ...: 08080013
SITE ADDRESS .....: 10280 BONNY DR
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OPERATOR: patg
COPY # : 1
OWNER ............: TRAC VU
ADDRESS ..........: 10280 BONNY DR
CITY/STATE/ZIP ...: CUPERTINO CA, 95014-2906,
RECEIVED FROM ....: TRAC VU.
CONTRACTOR .......: LIC # *OWNER*
COMPANY ..........: TRAC VU
ADDRESS ..........: 10280 BONNY DR
CITY/STATE/ZIP ...: CUPERTINO CA, 95014-2906
TELEPHONE ........:
• FEE ID
UNIT
---- -----
QUANTITY
AMOUNT
PD -TO -DT
THIS REC
NEW BAL
--------
l.13SF.ISMICR VALUATION
----------
5,000.00
----------
0.50
----------
0.00
--
0.50
------
0.00
7DEMOPRE SQUARE FEET
0.00
490.00
0.00
490.00
0.00
TOTAL PERMIT
----------
490.50
---------
0.00
-----
490.50
----------
0.00
METHOD OF PAYMENT
-----------------
CREDIT CARD
TOTAL RECEIPT :
AMOUNT
--------------
490.50
---------------
490.50
VOICE ID DESCRIPTION
--- ------------------ ---
704 DEMO
•
REFERENCE NUMBER
-----------
VISA
VOICE ID DESCRIPTION
------------------------------------
CI OF
• CUPERTINO
CITY OF CUPERTINO
DEMO
PERMIT APPLICATION FORM
APN# Ili 5,: • vo
Fee ID
Date: 9 /I , I O O
Building Address: I O a
C,��eNui la n ,Cfk' X0.14
Mailing Address (if different from building address):
1DEMORES
Owner's Name:—�� u
B
Phone:
C-4cy ) 510 3? 4 �
Contractor: I G b
1DEMOPRES
Phone
Fax:
Contractor License #:
Cupertino Business License #:
1SFPOOL-DEM
Contact:
1BSEISMICRE
Phone:
Fax:
Residential Sq Footage Commercial ❑ Sq Footage
Job Description:
Uo` C:!)emo�\ �10/i
Valuation: e, 000
Project Size: Express ❑ Standard Large ❑
Major ❑
Please complete relevant portions of the Green Building Che klist & attach it to the application
or if applicable, include on the plan set & the sheet index. -
Quantity .
Fee ID
Fee Description
Fee Group
Permit Type
1DEMORES
Demo -Residential
B
1SFDWL-DEM
/
1DEMOPRES
Pool Demo Residential
B
1SFPOOL-DEM
1BSEISMICRE
Seismic Residential
B
Revised 6/16/08
C OF
CUPEkTINO
CITY OF CUPERTINO
DEMO
PERMIT APPLICATION FORM
Quantity
Fee ID
Fee Description
Fee Group
Permit Type
1DEMOCOM
Demo -Commercial
B
1COMML-DEM
1DEMOPCOM
Pool Demo Commercial
B
1CPOOL-DEM
IBSEISMICOM
Seismic Commercial
B
1BUSLIC
Business License
B
•
is
Revised 6/16/08
Single Family GreenPoint Checklist date
The GreanPolnt Checklist is based on the venous green features incorporated Into the tome and is the
basis for the GreenPoint Rated program. A home on be considered green if it fulfills the prerequisites,
• same at least 50 paints, and meets the minimum points per category: Energy (00), Indoor Air Quality/
Health (5), Resources (6), and Water (9). Please contact Build It Green for a list of qualified GreenPoint
Raters if you are interested in pursuing Ihird-party, verification.
Tn=green hulJmg praclices lislec below are desccbed in Ne New Home Conslmchon Green Building
11.0elknea availableatwwwhlilldtoreennm
Build ItGreeH
Y
s
B. FOUNDATION': - "
.. .: ..-.:., 1, i, .v+
,,,,, , ,,, ; ,,, 5:5� :.
- :Puidls AvegaLta Per Meadlirli
Points Available Per.Measurria'i '
1. Repleca Portland Cement In Concrete cash Recycled Flyesh or Sled
I. Minimum 2T%Flyesh or step
Is. mum Mid25%Flyuhor Slee
_
1. Protect Tppsoll and Mlnkii Disruption W Ewunp Plans 6 Trees
b ten Ocm lM wnlWW Headers W bad
0
0
i i 1
e. Protect Tool born E.. and Rouse eMr ComOudlcn
2 bear FreaHProbc4d Shalloe Foundation In COW Areas (CF.1',. ones Zone 16)
0
1 l { I 1
3
b. Una and DalMele Crnsradon Foolp of for Ma6hum ProMdbn
BU. Radon Rea4Wrt C ... auction 0. Atallsk Locations Only)
_. 0
0
t t
I Decensnuct lwtud of Demolishing Existing BulWNgs On Sna
A Design and aided structural Pot Controls
I. ImleO Tender Shels s spans N EalerSr WmdbCanpaN Conatlldn by Meal or Rasdc FubranNMhn
0
I j 3 I
0. Recycle Job Sib Consb.11en Wole (including Green Waste)
1
I 2 t
Ii. Al New BenO New Trunk, patio, or stem LocaW N WII ss Inches M1om Foundation
A Mhbman iMload. Ommlm by Rktyd lR yft n Rowed 41, ieep
p
1
I '
1 R
I 12
b. Minimum 65%DNenbn by Weight (Recpinpd Ruasl
Ineal HIglrEmclency Imlpstbn Systeme
e, tyslem Uwe only Loo.Plow one, Bubbles. or 1.00. spinkbn
0.9yslem Her Snvd Caervbn
_
0
I
2
_—_
c. MWrrsu 60% DNerdon by Welolllecrih lid Rawl
0
3
a. Use Rerycad Comms Anneal fMinlmum 25%)
0. Mulch NI Plentinp BW W the Greater d 2Inches or Local Wabr OrNnes. RMI.M
O. Use 5014Sehaged m Racycled.C.Mard Material. for SO%d NonPlant Unison" Demema
0
0
I i
1
I. Wdheay and DrNaeay
0
0
b. itiodies, same
—a
T.1 MIw.lwnsN. F, Clr. r
i t r
B. FOUNDATION': - "
''"' u- 1 'r,�.,;
- :Puidls AvegaLta Per Meadlirli
�
1. Repleca Portland Cement In Concrete cash Recycled Flyesh or Sled
I. Minimum 2T%Flyesh or step
Is. mum Mid25%Flyuhor Slee
_
b ten Ocm lM wnlWW Headers W bad
0
0
i i 1
—a
2 bear FreaHProbc4d Shalloe Foundation In COW Areas (CF.1',. ones Zone 16)
0
3
0
BU. Radon Rea4Wrt C ... auction 0. Atallsk Locations Only)
2 We Enplrrretl lumber
0
t t
I. Bums and Modes
A Design and aided structural Pot Controls
I. ImleO Tender Shels s spans N EalerSr WmdbCanpaN Conatlldn by Meal or Rasdc FubranNMhn
0 „_J ___.__I._.�.1.___.. j, —2
--- r
I) ."-. ? .
_3..
p
1
I 2 t
Ii. Al New BenO New Trunk, patio, or stem LocaW N WII ss Inches M1om Foundation
p
1
I L
CLANDSCAPING'.
'1. i;l'i
„Poinfi'A'veildble Per Mmuto'!'='.'--•�-
�
1. Contend Resource-EIIItlam Un disclose
a. No towel species LOW by CWPC An P4nled
b. No cam species Ads RaRuhe Medolnp
c.75% d PbnOMDroyIFMleram Coaches Nowise, kYdilerteraen, or Other Approhi Species
b ten Ocm lM wnlWW Headers W bad
D
—a
I UO FlrwsaM tandauping Techniques
0
1 I
2 We Enplrrretl lumber
1 Mlnbn es Tud NW In Landeni huhlW by sudtler
e.M Turf WR He" a Were, Rourchanl Leu than m Equal W Tal FesculQJd plant faM)
b. Tud Shtl Nd Be lwleled on Seca Enaedbg l0% or h New Lees tlan6 Fsel Nlds
c. Tud i00% ofladscgred eine (bld 2po1*)
d. rust MtO%dtandscapetl Nee lbWOpdmtl
I. Bums and Modes
0 „_J ___.__I._.�.1.___.. j, —2
--- r
I) ."-. ? .
_3..
1. Plod Shade Trac
0
3
L Group PIUM by W.Wr Needs IHydessonir d
0
I 12
02007 Build It Green Single Family GreenPoint ChKNW 2007 Version
Ineal HIglrEmclency Imlpstbn Systeme
e, tyslem Uwe only Loo.Plow one, Bubbles. or 1.00. spinkbn
0.9yslem Her Snvd Caervbn
0
I
2
(
7. Incimorale Two Inches d Compwl In the Top E M fl Inches Of Boll
0
3
0. Mulch NI Plentinp BW W the Greater d 2Inches or Local Wabr OrNnes. RMI.M
O. Use 5014Sehaged m Racycled.C.Mard Material. for SO%d NonPlant Unison" Demema
0
0
I i
1
2
10. Reduce Ughl Pollution by Shielding FIffim arrNce Oinoling Light Dovmwrd
0
�1111111111[0
1. Apply Optimst Val. Englneedrp _
I. Rm Rahn ale those It 24Inn On Comer ForresM
0
b ten Ocm lM wnlWW Headers W bad
c.lhe ody Jack and Apldo sWtls Revered M Iced
•
2 We Enplrrretl lumber
I. Bums and Modes
O, Insulated ErMIOeaW Huston
�
..O
c. Wand IJPOO or web Tmeaesb Flnrs
__..._
02007 Build It Green Single Family GreenPoint ChKNW 2007 Version
Page 1 of 7
PROJECT � s
s
O. Woof k Wleb Roof Rahn 0 I 1 ' •
e. Engineew or FlreprJdnletl SSW for Venial Mplicetom 0 1
t. Oriented Strand Bub for Subloa 0
9.Odenled Strand! Board for We0 ane Roof SbulningT-
1 gu FB.CerdMd Woos
a. Dioandwii Lwnber, Safe aM Tmber. Abnbnm /0% 0
b.01mentlmull.umW.Sn .nd TimWbanimum70% - 0
c. PW ProduW: Minimum /0X 0
d. Panel PmduCa: Knlmm 70% 1 0
•
•
02007 Build It Green Single Family GreenPolnt ChedJkt 2007 Version Page 2 of 7
•
•
•
TdM PMli 1w4N„In Clnnf,Mn„LP,x Ln,,,.aM Cm�Yw •'1d n I
E. EXTERIOR F4NISH,
Mdable Per Meaaure:'.
1. Use RacyatedCenYnd (No VlrOln Plants) or FSC{eNbd Wood GcMlry
0
ENTER
PROJECT NAM
p
2
S Use Ounble and NonranEustible Siding tealpaWs
D
zL
A Need Durable and NorecanbeeUOte RooOng temperate
V
4 C
Total Paled, AWIaW In Ealabr Fawn=
A Un seem Wall Systema linctudn SIPS, ICFs, S My Non lick From. Humby)
_.___...
0
P. INSULATION,7^+d 2,T ,r....e - *,.
.;Pmnd Available Per Measure7i.T.,.
a. Fbors
0
2 1
2
�
b. wab
3. impact pueAy of Insulation Installation bion Applying Dr wtll
1....__...._
j I
1 1 I l r 2
C. Rah
.. _.__...____...
0
i 2
a
S Radium Polduon Entering the Han bans Me Geroge
0
�
c.liWNl OudwoM1 UMer Nuc leeWlbn (Buried Omb)
a. TIpMy Seel w M Sena MYwen Gape pact t)dN Nee
p
�
y
b. Instal Gust. Exhaust Fen OR Bute a DebdwC Gape
{ �
1
1
0. uaalpn Enapy Nv4 on Trwsa �5%olAWc Ina Wtlon NsIpM al 0ub14 Edea of EaYdor WeIA
0
1 I
l ;
..■
T. Design Roel Trustee bAccommoGY Ductwork
0
1
usbg CSA Standards
S. Um RarydediConYM SWI Saida for 90%W Interior Wall Fnminp
0
1
9. Tlnmvl Mau Wells: Moth Drywall on N Indaria WOIY or Waite Walphing mon wn a OYcu.1
e. traded ENERGY STM Betlaoom Fane Vemadi b W QAdd•
p
L
10. Install Ondunge and Gutters
b. N BaUaoom Fene M n Times or Humalbbl
__. _..
0
_......._t._-_..! L . _....
I
a. MYtlnum 16aan O,wmags and Guiana
0
'.
7
1. Install senclumnical Ventilation System for Cooling (W Wnum s paints)
b. MlNmum 24lncn Oadunge and Gvuan
p
1
_I
TdM PMli 1w4N„In Clnnf,Mn„LP,x Ln,,,.aM Cm�Yw •'1d n I
E. EXTERIOR F4NISH,
Mdable Per Meaaure:'.
1. Use RacyatedCenYnd (No VlrOln Plants) or FSC{eNbd Wood GcMlry
0
I 2
Z Install a Win Scorn WMI Syslam
p
2
S Use Ounble and NonranEustible Siding tealpaWs
D
zL
A Need Durable and NorecanbeeUOte RooOng temperate
0
i 2
Total Paled, AWIaW In Ealabr Fawn=
D
_.___...
0
P. INSULATION,7^+d 2,T ,r....e - *,.
.;Pmnd Available Per Measure7i.T.,.
1. Install Insolation earth 75%RM.W Contend
■ a. Wats andb Rome
b. GYYps
...,.,...
D
i
__............__... ..........-.. _.. _., _.._.
1
Z pool wuWon put Is LowEmitiing (CeIUSM Sect.. 01350)
s. Walls pada Fbps
b. College;
D
._..._.
p
L
__.._..____.�__......:, .. _._�L... _._
1
3. impact pueAy of Insulation Installation bion Applying Dr wtll
0
j I
G. PLUMBING
%°PWets Available Per Measure:...
1. DlMarbub Domnpc Not Wats Efficiently (WLMmn 7 Pdnb)
p
.
e. troubles Hot WOW Plpa nom Water Healer b Nllclwn
0
1 I 1
b. Investor N Hol Water Pines
_._0.....
.____.i _:.......!___..,...__.._
I
j
.
c. Vas EnpMentl Penal Piping
_.___...
0
_..%.._.__� _..r_....._;.._. .._
1
d. Use Engineered Penial Piping wM Gmew ConlMed Cenop km Loop
0
d i l l i
■
a.UN SUUCpael RJmoY9 Mn Corona Cmlb(/M ChouldM Loop
O1._2
_
I. Use Central Con Pbmbug
O.______..__:..._—�._._..x_..___.
1 1 I l r 2
L wort prey High EfBdenoy TYlab IDusFFlwn a31.21 Ill
0
a
H. HEATING; VENTILATION &'AIR CONDITIONING
1.Dealgnend Install HVACSystembACOAWnul J,D,andSRaa .m Wns.
p
i a 1
xlnmu9aw cembamn wits
e. Fonts.
p
.
b. d
Witter Happen,
..
2
3. nation Zonsd, Hydmnic Nadlanl Hand, War Sb0 Edge wutetien
0
d i l l i
1. Inabll High EMrbnry Nr ConNboning wen Ernnom only ResponWY Raldpar W
5. Design end bupell ENepea Duubork
a. load HVAC unit and Oafsak evern Con6iMed Spend
0
i 3
b.Um Olid MaspcnNGdJoka eM Sends
0
�
c.liWNl OudwoM1 UMer Nuc leeWlbn (Buried Omb)
0
i 1� i
�
a.Premium Intense geeaa:bplksrdpan
e.PMed Wtle Mdnp Cmsbuction entl Clean AS Cucls Mips prciryensy
0
1
&impel High E ficli HVAC Dppa (MERVSs)
0
l ;
..■
7. Dont labii Flraplem or install Stated Ga Fimptems edge Eplelenuy ItOing NO tau lion 10%
usbg CSA Standards
S. Install ElhcWe Eshoust Sysbms In Begenpa and NMMn.
e. traded ENERGY STM Betlaoom Fane Vemadi b W QAdd•
p
L
b. N BaUaoom Fene M n Times or Humalbbl
__. _..
0
_......._t._-_..! L . _....
I
c.bwl NYtlwn Reny HOM Vented atlw Outtide
_.O
1
1. Install senclumnical Ventilation System for Cooling (W Wnum s paints)
a. Inst ENERGY STM GDng F. & Wit Nib to LNig Neu S Badman
0
�
b.wW Wbde lbaa Fen wlge Vanities Speed,
02007 Build It Green Single Fahy GraenPohlt Cheddist 2007 VeniDn Page 3 of 7
*NTER PROJECT NAME
e
mum
o. AabieEo!/ Convolve Integrated System°
_
! z
d. Mxna0®ly Conboled Integrated Spa Vadebte Speed Conhd
0
i 3
10. Wta0tl nlml Fresh Mr VmiW6on SyeMn lWzhnam 3 Pemtel
. a. MY VMae House Venvetion System That Abels ASHW 612
b. YntelAFbAh HmlEuhanger eut menta ASHRAE 622
0
---i----L'—'-----
1
i 2
1t Imtell Carbon MonoeId. Alm(a)
0
1
Total Pante Anhb4 In Healing, Ventlaton and AF Conditioning 30
0
02007 Build It Green
Single Family GreenPoint Chadlist 2007 Version
Page 4 0l7
E
•
Ll
0
0
•
Poinle In R..b6 EMW - 28 0 1
J. BUELDING PERFORMANCE
P
pG
i.,- IntsAvale
■
1. Dewon Eniqannni W Redum Thnclud In Combenlrumbs
t
a. ENERGY STM (lobil I Point)
;ENTER
PROJECT NAME
L U. W Voc . I .Voc Paint (M hhum 3 Poinft)
_11
Design and I.BuIld High Perfinmamw Homm. % junnys lade 24. minimum 1$Wequmnd
a 230 1
3. Mini. Obtains h
■ ENERGY STM voth u,I Au P..p Con,a.Gum - Pfluf W -a— (TutAM PoI wad ...no
p 2
a 5
Z ImH,I1 ENERGY $I" Cloth. Wimmung Nuchl. .0 Wino, Fiulun of 6 . lase
b. Minimum 30% of Four
■
ii, Maeln, EneW Son and CEE 71in 2 (modennI.morgy fador 2.0, Water Fedor 6.0) (Unal 0p hub)
D. ZmmVOC: Iminor WaftiCellIng Palms (cS gpi VOCs (Flid))
■
3
1 ji 2
------
1 U- 1,na VOC, WWNG,hhH1Wood Finisloini (4150 pi VOCs)
0
2
3. Inub," ENERGY STAR llwfflpnihr
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■
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p
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P
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Z ImH,I1 ENERGY $I" Cloth. Wimmung Nuchl. .0 Wino, Fiulun of 6 . lase
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■
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■
b. CWiruo, & caimantop (M hunimn)
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■
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2
3. Inub," ENERGY STAR llwfflpnihr
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M. APPLIANCES AND LIGHT ING,
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■b.
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■
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0 i
■
b. luaims E.W San and CEE Yin, 3 haii,munamis (modifed! ensW brun 2Z Water Fedora.5 orbs)
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2
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02007 Build It Green Single F9mIIyCxeenPoml Checklist 2007 Vansion I Page 5 of 7
ENTER PROJECT NAME
---
b. 6d4ln Cunt; Unle,
Tcrtal AwHatis Folds in Applances ancl Lighting =1
0
N. OTTER
T
ints
:.N1?'P6* Aialiabis Per Wiwi:
1. Inwrponte Grvenlroint Rated ChcKlirt In Blueprints - Required
a
R
2. D.Iop H., W..1 of Green N.W.SensIlts
a
3. Cannurnity D.4n Waeune & local Irftrill.is: See ft Cwnmu,Xy FU.kV & Duo wofic,n In Cirapimir 4 of ft Nex H. WMN. W
MWnitun at M pointe for suMsM rreu . Loral Muftnerns may eleo W ]i Mn.
m
0 2007 Build It Green Single Farnifty Gmnfroint Cheddist 2007 Version Page 6 of 7
0
0
•
• 0
�ENTER PROJECT NAME,
---- -- -- -- - --------
0
.0
EMsdewlplbn hen and oder wirls willabli, for
77
0,!
Dar dowililkn hini, snd.nis, porrits rntlii* for nneasme In apemprials
—righ—L
4. Innovation: List innovative measures that meet the green building objectives of the Guidelines. Enter up to a
B
u Id It ruid,lln,s
Green
Checkilit,
and
maximum combined total of 20 pts. See Innovation Checklist for suggested measures, using the link to the right.
liscrvatkin In Cmmunifty. Enter damlipuin ", and! "r pointewitiiile for ninsinusit In apli,,i"W aWgirta to ft NK
D
0
0,
0
0
0
0
0,
0
0
Inirknin AW.Ifth: Erri,rdescriplon herairil entepdrdirviladefirmenrilispinni"W calgorialoft r;hl.
0
0
0
.0
D_
o
himin0on ki l4ii,trunt : EnW deitatpuin h", antl inlar in naU* kir nnurun, h xvi otAgerin b ft Vit,
i in W,,hr: Emir, imaripton hem, andl arlin, points rnbUir for rninuum W iripp.prialk, WWrin to ft AOL
a
0
0
0
ToW Avdiatlit Pbm In 011iri, 43
i Summary
D
Total Available Points in Specific Categories*
4+
96+
42+
66+
43+
0
30
6
fi
9
Minimum Points Required in Specific Categories
Total Points Achieved
01
0
0
7
0
1 0
Project has not yet met the following recommended minimum requirements:
- Total Project Score of At Least 50 Points
- Required measures:
-A3a: 50% waste diversion by weight
-12: 15% above Title 24
-Nl: Incorporate Green Point Rated Checklist into blueprints
Minimum points in specific categories:
-Energy (30 points)
• -IAQIHealth (5 points)
-Resources (6 points)
-Water (9 points)
0 2007 Build It Green Single Family GreenPoInt Chaddist 2007 Vmion Page 7 of 7
CITY OF
WUPEkTINO
IA
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax(408)777-3333
Building Department
JOB ADDRESS: \ G oL G U,: •� 'D(L
PERMIT #
oeDk voi3
OWNER'S NAME: I 3 U
PHONE #
,g 63\o 3Y
GENERAL CONTRACTOR:
FAX #
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