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08040053 CITY OF CUPERTINO ��sa,,��Y " + r :apt' 'yg7k,�,4vrh.er n^ ` BUILDING DIVISION ' PEILLYIIT CQ t"OT, �pQIVYIf7•IfION• ' U. BmLD1T�� TEShLVERT DR G A PLUMBING CO P08040053 OWNER'S NAME: I PERMIT ISSUE DATE LORRAINE YEUNG 1378 N CAPITAL AVE 04/08/2008 ` PHONE: "' SANTTARY NO. CONTROL NO. (408) 981-1816 CHITECDENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB - MECH 0 0 0 0 �OZp LICENSED CONTRACTOR'S DECLARATION Job Description vd 1 hereby affirm lost m th at I ae mrd under Provisional Of Chapter 9(commencing I p with Section 7000)of Division 3 ofthe Business and Profcuimu Code..,my lice.is REPLC SEWER LINE a0i in full forte and efrom ? License Class f, Dam Contrecter t ARCHITECTS DECLARATION 1 understand my plans shall W band u public records JypT- 'a Licensed Professional 3 OWNER-BUILDER DECLARATION 9 1 hereby oRrm that I am exempt from the Contractor's License Law far the Gm C following reason.(Section 703 1.5,Business and Profession Code:My city or county w which requites a permit to eoneuucL alter.Improve,demolish,or repair any structure iy prior m its issuance.aim mquioe,dan.i licanl forsuch permit to Bk a signed state G that he is licensed pursuant In weProvisiomofweConuactohLiccmLaw(Chapter 9 Sq.Ft.Floor Area Valuation 5s (commencing with Sacdon 7000)of Division 3 of we 6usinesund Professions Code)or 2800 l� that he u exempt therefrom and the basis for Ne alleged assumption.Any vision,n of Seders 7031.5 by any applicant for a permit objects the applicant to a civil penalty of Number Occupancy Type Out more than five hundred dollars(M). 3 7 517 0 31�� 0 1,N own.of the pmperty,m my employe with wares u Nair sum compemdon, will do thewo&and the structure is notwwnded aromered foraale(see.7044,11usinesr Required Inspections and Prefmiam Code:The Convector's Lice.Law does not apply m an motor of Q p propdnywho build,orimproes thereon,and who doessuchwort himselfortforsts,If. hrough his �\,''/(//°//'/7ownves.theeuildin orinwosuch imps Midwivamnet inteded moment theOwer. lJbuilder,the buildin{of improwmeing e[hedid Out ild ofImproefor the ownor- lJ v-' �TAR builder wi0 Nw the burden of proving Nn he did tet bWld a!imprvw(or pugose of � 1,as owner of the propenY•am exclusively contracting with licensed contracbss te construct doe project(Sec.7044.Eusiws and Professions Cade:)The Comsacte 1,V- cent law dm not apply te an owner of property who builds or improves demon,and. who contracts for arch projects with a comeacter(s)licensed pursuant In the Contractors Lice.law. - DIwe"emptundmSe ,Blit PCforthi moon Owna, Dae WO 'S OMPENSATION DECLARATION COMPENSATION hereby a under penalty of perjury one of the following declanUans: •haw and will mumain aCertigcate ofCmm.t to self-tnsure for Worker's Compete .n, provided for by Section 3700 of the labor Cade,far we perfumtanes of the wrier which Nu permit is issued. 0 I have and will meinuln Worker's Compensation Insurance,as required by Section 3700 of the Labor Code.for the performance of the work for which this permit is issued. ' MY Worker's Compeme6an Insurance cannot and Policy number art: - Comier. Policy No.: CERTIFICATE OF EXEMP 70N FROM WORKERS COMPENSATION INSURANCE (OdsuNon need not be completed if the permit Is foraoe humthhddollars(9100) I certify Not in we performance of the work for which this Permit Is issued,l shell not dmployaty penton in any manncrm ase emit tta the Wo 'Compensation Laws of California.Dow- — O N APPlicant NOTICE TO APPLICANTjOldrieFlonaking this Certificate of Exemption,yen should become subjcm m the Worker Compensation previsions of the Labor Code,you most .,O forthwith comply with such provisions or Nis permit shell be themed milked. 'Z.t`" CONSTRUCTION LENDING AGENCY Thereby afrnm that Nem its comuectinm lending agency for tha Performance of the work for which this permit b issued(Sec.3097,Civ.C.) Q Lender's Name ] z LerWeYs Address U p 1 certify that I have reed this application and stem Net the above Informadu t is IL F coram.l agree to comply with all city and county ordinu¢u and see laws milling to 0U building construction,and hereby authorial mpreientatws of this city re enter upon dm W above-men owned Property for impeclian purposes. gy (Wa)agree to saw,indemnify and wap harmless the City of Cupertino against h Inbilities,judgmme,cosis and eapemu which may in any waymcmeagalmtsaid City or the U APPLICANTOUNDERSTANDS AND this WILLWILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE REGUL&WNg. q �� O Signature omncte! Dam Re-roofs HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future Wilding mcupantstere or hwmie hueNous material as defined by the Cupenima Municipal Cade,Chapter 9.I2.and site Health and Safety Code.Section zssu(a)? ❑Yes (,arnn� All roofs shall be inspected prior to any roofing material being installed. Will the applicant or future building Occupant use equipment Or dcvicu which If a roof is installed without first obtaining an inspection,I agree to remove II hwsNow air comeminsnm a defined by the Bay Area Air Quality Management all new materials for inspection. Int? Dyes we I hew real the haurdnusmaterials mqubcments under Chapw6.95 of the Califor. nia HealthBSdmycade,Seedam B5Os.zss33 and25534.1 understood 11aifthe building does not currently haw o mnan4 that It is my respomihiiity m notify the aceupset of the rop.home nm be mdt prior In issuance ofa Certificate of Occupro ._40e Signature of Applicant Date owners th m gent D,te All roof coverings to be Class'%W'or better CITY OF CUPERTINO • ITEM 1 OF 1 PERMIT RECEIPT_ OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 37517031 . 00 DATE ISSUED. . . . . . . : 04/08/2008 RECEIPT # . . . . . . . . . : BS000004406 REFERENCE ID # . . . : '08040053 SITE ADDRESS . . . . . : 10425 CALVERT DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : LORRAINE YEUNG ADDRESS . . . . . . . . . . : 10425 CALVERT DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : GEORGIANNA YEUNG TA CONTRACTOR . . . . . . . : ALLEN GIANG LIC # 27623 COMPANY . . . . . . . . . . : G A PLUMBING CO ADDRESS . . . . . . . . . . : 1378 N CAPITAL AVE CITY/STATE/ZIP . . . : SAN JOSE-CA 95132 TELEPHONE . . . . . . . . : (408) 981-1816 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL --------- ---- -------- ---------- ---------- ----- ------- 1BSEISMICR VALUATION 2, 800. 00 0.50 0 . 50 0. 00 0. 00 1BUSLIC FLAT RATE 1 . 00 110.00 0. 00 110 . 00 0. 00 1PPERMITFE FLAT RATE 1. 00 40.79 40. 79 0 . 00 0. 00 1PRSEWER UNITS 1. 00 20.40 20. 40 0 . 00 0. 00 1TRAVDOC FLAT RATE 1. 00 40.79 40.79 0 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 212 .48 102 .48 110. 00 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -- ------------ CHECK 110. 00 #1767 --------------- TOTAL RECEIPT 110. 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ----------------- 106 SEWER & WATER 202 UNDERFLOOR PLUMBING 301 ROUGH PLUMBING 400 SEWER/LATERAL 507 FINAL PLUMBING CITY OF CUPERTINO • 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 37517031 . 00 DATE ISSUED. . . . . . . : 04/08/2008 RECEIPT #. . . . . . . . . : BS000004403 REFERENCE ID # . . . : 08040053 SITE ADDRESS . . . . . : 10425 CALVERT DR SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : LORRAINE YEUNG ADDRESS . . . . . . . . . . : 10425 CALVERT DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : GEORGIANNA YEUNG CONTRACTOR . . . . . . . : ALLEN GIANG LIC # 27623 COMPANY . . . . . . . . . . : G A PLUMBING CO ADDRESS . . . . . . . . . . : 1378 N CAPITAL AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95132 TELEPHONE . . . . . . . . : (408) 981-1816 • FEE ID UNIT--- QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- -------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 2, 800. 00 0. 50 0. 00 0 .50 0. 00 1PPERMITFE FLAT RATE 1. 00 40 .79 0. 00 40 .79 0. 00 1PRSEWER UNITS 1. 00 20 .40 0. 00 20 .40 0. 00 1TRAVDOC FLAT RATE 1. 00 40.79 0. 00 40.79 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 102 .48 0. 00 102 .48 0. 00 METHOD OF, PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK .102 .48 #1766 --------------- TOTAL RECEIPT 102 .48 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 106 SEWER & WATER 202 UNDERFLOOR PLUMBING 301 ROUGH PLUMBING 400 SEWER/LATERAL 507 FINAL PLUMBING Jif U<f o 53 CITY OF CUPERTINO Aa REPIPE/SEWER/MAIN SERVICE CUPE TINO PERMIT APPLICATION FORM APN# 37 -5 - / 7— e22 vel o Date: — Building Address: �$ /04-25 CAL vFRT DRI vF 7-1A1 a , 4A qso/ Owner's Name: Phone#: 2 oRR4 iA4F r ZINj4 W- 83,Z- go l 8 Contractor: /' -A p L UM 9/,/6r e'O Phone#: 4 0 g_9 3 7_1� i9CI 3 1378 Al, CAPITOL AVE S'AN JOSE 44 SlsZ Fax #: "f Contact: ll / L ` / /� p /� '//� Phone#:J, Og_qg i — /9 /9 4 L 1 C /V (T/1 14A TI Fax #: 7 Contractor License#: 6 t > 7 7 0 Cupertino Business License#: Job Description: R EPL,6 SEWER L/NF (L'oLL/}�S�D D tl� To TREE RooTS IMF Residential Commercial ❑ Valuation: 2 8 o o Green Building Check list must be completed and attached to this application. Green Building Points: Z Quantity Fee ID Fee Description Fee Permit Type Group 1PCSEWER Commercial building P 1CPSS sewer/sanitary sewer 1BPREPIPE Commercial re-pipe per fixture P 1CPRP 1PGASCOM Commercial Gas Piping System P 1-4 Outlets 1BSEISMICOM Seismic Commercial P f 1BSEISMICR Seismic Residential P / 1PRSEWER Residential building P 1RPSS sewer/sanitary sewer CITY OF CUPERTINO REPIPE/SEWERIMAIN SERVICE CUPERTINO FEE SCHEDULE • Quantity Fee ID Fee Description Fee Permit Type Group 1PRREPIPE Residential re-pipe per fixture P 1RP1;LP 1BPWSVCS Water Service P 1CPWS or 1RPWS 1PPRSEWG Private Sewage Disposal System P 1PCESS Cesspool P 1BPWATER Install/alter Water Pipe P 1BPFIXTURE Plumbing Fixture P 1PGASRES Residential Gas Piping System P 1-4 Outlets 1BPGAS Gas Piping System 5+ Outlets P 1PPERMITFEE Plumbing Permit Fee Issuance P 1PLMBLNCK Plumbing Plan Check P • 1PLMBINSP Other Plumbing/gas Insp. P 1TRAVDOC Travel &Documentation Fee B 1BUSLIC Business License B Agle"Family GreenPoint Checklist date: Build It Gmd The GreanPolnt Checklist is bell on the various glean features Incorporetetl Into the home and Is the SmanSoludons From The Ground Up basis for the GresnPolnt Rated program.A home can be considered green It It fulfills the prerequisites, I—� — egms at least 50 points,end meets the minimum points per category.Energy(30),Indoor Air Quality/ Health(5),Resources(6),and Water(9).Please contact Build It Green for a list of qualified GrearPoint –� Raters If you ere interested In pursuing third-party verification. • The green building practices listed below are described In the New Home Construction Green Building Guidelines,avall able at jy2.lgU_1gf;mm ro. w w ENTER PROJECT . • NAME A. -SITS _ •"- - - "- •� . Points Available Per Ideasure 1.Protect Topaoii and Minimize Disruption of Existing Planta&Trees - ..Protect Topsoil from Erosion and Rause after Construction 0 } ] b.Limit and Delineate Construction Footprint fa Maximum Protection p - ] ❑ 2.Deconstruct Instead of Demolishing Existing Buildings On Site 0 3 3.Recycle Job Site Construction William(Including Green Waste) ❑ a Minimum 50%Walla ONarslan by Weight(Recycling or Reuse-Required ❑ b.Minimum 65%Diversion by Well(Recycling or Reuse) – ❑ c.Minimum 80%Diversion by Weight(Recycling or Reuse) 0 4.Use Recycled Content Aggregate(Minimum 25%) ❑ a Walkway and Driveway 0 ] b.Roadway Hese 0 1 Toted Points Available in Site 12 0 B.FOUNDATION- -- - - - .Points Available Per Ideasum . 1.Replace Portland Cement In Concrete with Recycled Flyash or Seg ❑ a.Minimum 20%Flyach or Slag 0 ] ❑ It.Minimum 25%Flesh or Sla 0 1 ❑ 2Use Frost-Protacted Shallow Foundation in Cold Areas(C.E.C.Climato Zonet6) 0 3 J.Use Radon Resistant Construction on At-Risk Locations Di 0 1 4.Design and Build Structural Past Controls ❑ a.Install Termite Shieltls&Separate All Exterior Wood-to-Concrete Connections by Mete]or Plastic Fastanawol idars _ 0 _'_ ___ ' _1 b.All New Plants Have Trunk,Base,w Brain Located At Least 38 Inches imm Fountletlon 0 1 Total Points Available in Foundation=8 0 C.LANDSCAPING .. - - ,Points Available Per Measure 1.Construct Rewurco-Efficiont Landscapes ❑ a.No IrwasNa Species Listed by Call Are Planted 0 ] ❑ b.No Plant Species Will Require Hedging - • -❑ c.75%of Plants Are Drought-tolerant California Natives,Madhananean,or Other Appropriate Species p 2,Use Fimsms Landscaping Techniques 0 } 3.Minimize Turf Areas In Landscape Insisted by Builder ❑ a.All Turf Nil Have a Water Requirement Less than or Equal to Tell Fescue(50.8 plant facow) 0 1 2 ❑ b.TurfShall Not Be Installed on Slopes Exceeding 10%win Areas Less than B Feet Wtle p - ❑ I.Turf I6 S53%cl Landscaped Area gored 2 points) 0 --_' _ ------ _-- - J ❑ d.Turf is tip%of Landscaped Area(total 4 points) p _ - " - 2 4.Plant Shade Trona 0 _ 3 S.Group Planar by Water Nods Hydrozoningl 0 2 S.Install High-Efficiency Irrigation Systems ❑ a.System Uses Only Low-Flow Drip,Bubblers,w Low-flow Sprinklers 0 i 2 ❑ o System Has Sman Controllers 0 �_ 3 7.Incorporate Two Inches of Compost In Ue Top 6 to 12Inches of Soil C- 3 &Mulch All Ptentin Beds to the Greater of 2 Inches or Local Water 0rdinence Re uiremem 0z�' 2 9.Use SD%Selvaged or Rwcyded-Content Materials for 50%of Non-Plant Landscape Element ] ❑ 10.Reduce Light Pollution by Shielding Fixtures endior Directing Light Downward - Total Points Available In Larescmpin = 1 r D.STRUCTURAL FRAMB&BUILDING ENVELOPE ""-Points Available,Per Measure, 1.Apply Optimal Value Engineering r ❑ a.Place Rafters and Studs at 24-Inch On Canter Framing f } ❑ b.Size Door and Window Headers for Load ❑ c.Use Only Jack and Cripple Studs Required for Load - 2 Use Engineered Lumber sy t ❑ a.Beams and Headers ❑ b.Insulated Engineered Headers – ❑ c.Wood IJDIsrs or Web Trusses for Floors ❑ d.Wood l-Joists for Root Ratters ❑ e.Engineered or Flngar-JDImad Studs for Vertical Applications ❑ f.Oriented Stand Board for Subflow �- D ❑ g.Oriented Strand Board for Waft and Roof Sheathing D 1 a.Use FSC-Cartified Wood ❑ a Dimensional Lumber,Studs and Timber.Minimum 40% 0 2 ❑ b.Dimensional Lumber,Studs and Timber.Minimum 70% • ❑ c.Panel Products:Minimum 40% 0 - ❑ d.Panel Products:Minimum 70% --p- ] 0 2007 Build It Green Single Family GmenPDint Checklist 2DD7 Version Page 1 of 4 . . .OJECT m ENTE 4.Use Solid Well Systeme(Includes SIPA ICFs,&Any Non-Stick Frame Acsemhly) ❑ a F mcra ❑ h.Wells _ 0 _ 2 c.Ricoh 2 S.Platform Pollution Entering the Home from the Cartel ❑ a Tightly Seal the Air Bander between Garage and Living Area 0 1 ❑ b.Install Barrel Exhaust Fen OR Build a Detached Gerais 0 1 El fl.Desi n Energy Helve on Truism(76%of Attic Insulation Height at Outside Edge of Exterior Wall) 0 1 7.Deal n Roof Trussv to Aocommodete Ductwork D 1 Use Ree sled-Cmntant Steel Studs for DD%of Interior Wall Framing0 1 e.Themsal Men Wells:Wrich Drywall on All Interior Wells or Wells Weighing more than 4011Mcl 0 1 ID.install Ovarheppa end Gutters ❑ e.Minimum t&Inch Overhangs and Soden ❑ h.Minimum 24-Inch Ovefnan s and Gutters 0 1 Total POIMe Available In SWcluiel Bulling Frame and Envelops=38 D E.EXTERIOR FINISH Poims Available Per Measure 17 1.Use Recycled-Content(No Virgin Plastic)or FSCCvUfied Wood Decking 0 2 2Install a Rein Screen Well System 0 2 :IR9.Use Durable and Noncombustible SidingMateriels 0 1 U20— Durable and Noncombustible Roofing Ma awalle 0 2 Total Pointe Available in Extador Finish=7 0 F.INSUI ATION Points Available Per Measure 1.Install Insulation with 75%Recyclstl Content ❑ a.Wells and Floors 0 ❑ b.Callings 0 1 2.Install Insulation that Is Low-Emltiing(CertlOed Section 0135D) ❑ .e.Wells endlor Flmore 0 _ ❑ b.Collins 0_ 3.Ina em Duality of Insulation Installation before Applying Drywall 0 1 Toll Points Available in insulation=5 0 O.PLUMBING Points Available Pel Measure 1.Distribute Domestic Hot Water Efficiently(Maximum 7 Points). ❑ a Insulate HM Water Pipes from Water Heater to Kitchen 0 _ ❑ b.Insulate All HM Water Pipe$ ❑ c.Use Engineered Parallel Piping ❑ d.Use Engineered Parallel Piping with Demand Controlled Circulation Loop ❑ e.Use Sbuctured Plumbing with Demand Confmlled Circulation Loop ❑ I.Use Central Core Plumbing0 1 ❑ 2.Install Only High Effiolency Toilets Dual-Flush or 51.28 Ill 0 Total Points Available.In Plumbing=Toll 12 0 H.HEATING.VENTILATION&AIR CONDITIONING Points Available Per Measure CI-1.Design and Install HVAC System to RCCA Manual J,D,and S Recommendations 0 4 2.install Sealed Combustion Unll ❑ e.Furnaces _ 0 _ 2 _ ❑ b.Water Hal In 0 2 7.Install Zoned,Hydronic Radiant Haetlng with Slab Edge Insulation 0 1 1 4.Install Hlgh Efficiency Air Conditioning with Erwlronmentelty,Responsible Hernia nl 0 1 S.Design and Install Stil lve Ductwork ❑ a.Insall HVAC Unit and Ductwork within CondMmned Space 0 _ 3 ❑ b.Use Duct Medico on All Duct Joints and Seams i _ 1 ❑ c.Instal Ductwork under Attic Insulation(Bull Ducts) 0 ❑ It.Pressure Belaeca the Ductw0(x System ❑ e.Protect Duch during Construction and Clean All Duch before Occupancy D 1 6.Install High Efficiency HVAC Filter MERV 6+ D 1 ❑ 7.Dont Install Fireplace or Install Sealed Gas Fireplaces with Efficiency Rating Not Less Than 6D% 0 1 using CSA Standards B.Install Eflel Exhaust Systeme in Bathrooms and i tchens . ❑ a.Install ENERGY STAR Bathroom Fans Vented to the Outside 0 ❑ It.All Bathroom Fane Are on Timer or Humicislat ❑ c.Install Kitchen Range Hood Vented to the Outside _ D_ 1 0.Install Mechanical Venfilmtion Syslm for Cooling(Maximum 4 Pol l) ❑ a.Install ENERGY STAR Calling Fans&Light Kits In Living lveas&Bedrooms 0 1 ❑ b.Install Whole House Fan with Variants Speeds ❑ c.Automatically Controlled Integrated System _ 0 2__ ❑ d.Automatically Controlled Integrated System with Variable Speed Control g 3 10.Install Mechanical Fresh Air Ventilation System(Maximum 3 Points) ❑ a.Any Whole House Vol System That Moate ASHRAE 622 _0 2 ❑ b.Install Air-to-Air Heat Exchanger that meets ASHRAE 62.2 0 1 2 11.Install Carbon Monoxide Alarm e) 0 1 Toll Points Available In Heating,Ventilation and Air Conditioning=30 0 02007 Build It Green Single Family Grom last Checklist 2007 Val Pago 2 of 4 TER PROJECT • • L RENEWABLE ENERGY - Points Available Par Mzzsuie 1.PraPlumb for Solar Mot Widw Heatin 0 4 2lnstall Soler Wow Noting Syrawn 0 10 3.Install Wiring Conduit for Futuro Photovoltaic Installadon 6 Provide 200 fP of SIDuth-liscing Roof 0 1 2 4,Install Photovoltaic(PV)Panels ❑ a30%Of electric needs OR 12 kW(totalfi pont) 0 6 ' ❑ b.506 of electric needs OR 2.4kW(tial 12 pont) p -- ❑ c.90%of electric need OR 3.6 kW(role]18 pdrds) - p -- - ---�-- -- Tote)Available Point In Renewable Energy=2B 0 J.BUILDING PERFORMANCE - - - PDmts Available Per Measure 1.Diagnostic Evaluations ❑ a House Posses Slowaz Dar Test p I b.House Passes Combustion Se Backdrd Test D I 2Oecign anti Builtl High Periormanca Homes-%above Ties 24-minimum 15%Required D >_30 ❑ 3.Houp Obtains ENERGY STAR with Indoor Air Package Certification-Plan iteeawe(Total 45 point;head comment) 0 5 2 Taal AvellaNa Pdntsin Sulldm Pedormance=39 0 R.FINISHES 'Points Available Per Measure 1.Design Entryway,to Reduce Tracked in Contaminant 0 I 2.Use Low-VOC or ZWo-VOC Paint get mum S Point) ❑ a Lox-VOC Interim WaMCeIMg Pant(d0 90 VOCs(Flag and 050111 VOCs(Non-FlaU) 0 7 ❑ b.Zero-VOC:Interim WelVCellln Palms(d gPI VOIDS(FIl p- - - - - -- g -- - --- ❑ 3.Use Low VOC,Water-Based Wood Finishes fc250 got VOCs) 0 2 ❑ 4.Use Low-VOC Caulk and Construction Adhesives U0go]VOCs for All Adhesives 0 2 ❑ 5.Use Recycled-Content Paid 0 1 S.Use Environmentally Prefamble Materials for Interior Finish:A)FSC-Certified Wood,B)Reddmed,C)Rapidly RWrewabie,of Reoyded-0oment or E)FlngerJolntail ❑ a.Cabinet(50%Minimum( 0 I ❑ b.Interim Thin(50%Minimum) 0 ❑ a Shelving(5D%Minimum) p ❑ d Doors(50%Minimum) - 0 1 ❑ e.Counted 50%Minimum —p 7.Reduce Formaldehyde in Interior Finish(CA Section D1350) ❑ e.Subloor s Stir Treads(50%Minimum) 0 I El b.Cabinot a Countnops(50%Minimum) 0 • ❑ c.IntStieda Trim%Mmmuim) 0 ❑ d.Shelving 50%MNimum) 0 1 ❑ B,After installation of Finishes,Test of Indoor Air Showa Formaldehyde Level d,7ppb 0 3 Taal Available Points In Finishes=211 0 L.FLOORING Points Available Pei Measure 1.Use Envincrunm lty Preferable Flooring:A)FSC.Cadfied Wood,B)Reclaimed or Refinished,C)Rapidly Renewabiq D)Recycil onlan Q. Exposed Coll FlooringrAdheshu Must Have KMgpl VOCs. ❑ a Minimum 15%of Flom Area - 0 - I ❑ b.Minimum 30%of Flom Area 0 ❑ c.Minimum 50%dFloor Area p ❑ d.Minimum 75%d Flom Area 0 ❑ L Thermal Mw Floors:Floor Covering Other than Carpet on 5D%or More of Commit Floors 0 1 ❑ S.Flooring Meets Section 01750 or CRI Green Label Plus Requirements(50%Minimum) 0 2 Taal Available Point in Flowing=7 0 M.APPLIANCES AND LIGHTING Point Available Pei IAeesure 1.Install WWW and Energy Efficient Dishwasher ❑ a ENERGY STAR(total t poll - 0 I ❑ b.Dishwasher Uses No More than 5.5 Gallon cls(Intel 2 int 0 1 L Install ENERGY STAR Clothes Washing Machine with WOW Fedor of a or Less ❑ e.Meet Energy Star and CEE Then requirement(modified energy factor 2.0,West Fedor 6.0)(total3 point) 0 I _ 2_ ❑ b.Meet Energy Star and CEE Then 3 requirements(modified energy fads 22,Water Factor 45 a less) 0 2 Spoints) 3.Install ENERGY STAR Refrigerator ❑ a.ENERGY STAR Oualffied&c 25 Cubit Feet Capacity 0 I ❑ b.ENERGY STAR Qualified A c 20 Cubic Feel Capacity " 0 1 (.Install BuilHn Recycling Centar p ' ❑ a Bu014n Recycling Canter 0 ❑ b.BuflHn Composting Center 0- Total Total Available Points in Appliances and Lighting=12 0 N.OTHER Points Avallabie Per Measure ❑ 1.Incorporate GreenPoint Rated Chieldid in Blueprints-Required p R ❑ 2 Dnelop Horm owner Manual of Green FeetiresSenefit 0 1 1 1 3.Community Design Measures A Local Priodde;See the Community Planning B Design section in Chapter 4 of the New Home Guloalines for • measures.Maximum DI 20 points for suggested measures.Local requirement may also be listed here. 0 2007 Build It Green Single Family GreenPolnt Checklist 2007 Version Page 3 of 4 9 € $ e 'ENTER PROJECT NAME Ender descrgdlon hen,end 6mm points Wallace In mmsnre In elpropriale categories to the dun 0 0 0 D D 0 Enter de"on here,and enter points wallehle its measure In appmpdme car is to the right. 0 0 D 0 0 D Enlw dmcriplim hen,and enter points uallalde for measure In appropriate cetsgmles to the right 0 11 0 0 Enm 6e9mlptlen hen,and enter points avallame for museum in appropdale categories t0 the right. 0 0 0 0 0 D 4.Innovation:List Innovative measures that meet the green building objectives of the Guidelines.Enter up to aIBullflultl I es an Checklists and go matdmum combined total of 20 pts.See innovation Checklist for suggested measures,usingthe link to the d ht _ _ El Innwation In Commurd .Ener de lion hen,and enter Points available Its measure In r dal cera min to the TiRM. 0 0 I D D 0 Inmmedon in Error :Enter description hen,and enter points available Id measure in appropriate cele odes to the firm. 0 0 0 0 0 0 Innwetlon In IAOMmlthl Enter desc' 'm here,And enter points evollame for measure In 'ate uta odes to the right 0 0 0 D D D Imwatim In Rmoumee Emer desm4dion here,and enter Parent wArrole for measure in appropriate ul aies to the right. 0 0 0 0 0 D lnravahm In Water:Enter downipllon here,and enter pool wellabl for mmmum In appopdele MISPI1e6 ID the 111 0 0 0 0 0 0 Total AveileDls Points in Other.11 0 Total Available Points in Specific Categories' 4+ 96+ 1 42+ 1 66+ 1 43+ Minimum Points Required In Specific Catelormsilli 0 30 S 6 D ON e e e e Proloct has not yet met the fotiowing recommanded minimum roQutremeatsc Z - Total Project Score ofAt Least 50 Points -Required measures: 43a: 5046 waste diversion by weight -J2: 15%above Title 24 -NI:Incorporate GreenPoint Rated Checklist Into blueprints -14inimum points In specific Categories: -Energy(30 points) -L40IHealth (5 points) -Resources(6 points) -(Nater(9 POOLS) • 02007 Build It Green Single Family GmDnPoint Checklist 2007 Version Page 4 of 4 a° Community Development Cupertino CA 95014 F'. Telephone(408)777-3228 CITY OF Fax(408)777-3333 UPERTINO Building De artment JOB ADDRESS: PERMIT # D*zr OWNER'S NAME: PHONE # D —ooP3 Z -,p v/ p- GENERAL CONTRACTOR: FAX # 7 7 —/ L-i- d- I am not using any subcontractors: 4/' —O gnature 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 �L / d" do- Owner ntractor Signature Date Of SU'N4, R CF' 7rA6 At :`_ MAY 0 f' iuuW BY. May 7, 2068 City of Cupertino Building Department 10300 Tone Avenue Cupertino, CA 95014-3255 d / Subject: Sanitary Sewer Upgrade @ 10425 Calvert Drive, Cupertino, California To Whom It May Concern: Please be advised that the proposed new sewer tie-in as referenced above will not have any adverse impact on the City of Sunnyvale's sewer system. Please call me if you have any questions at (408)730-7616. Very truly yours, Marvin Rose Director of Public Works Eric Gonzales, Civil Engineer cc: Lorraine Yeung, property owner