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08020059 CITY OF CUPERTINO O UILDING+JIVISION- PERMIT COI�ITRAC'i'QR�IAT ;URMATIOIV..�, BUILDIIaG A0DRE5$-,. DE ANZA BLVD AMERICAN RESIDENTIAL P08020059 ERR'3UN.SAtM�E:: S PERMIT BSUO DATE CALL REAL ESTATE PARTNERSHIP 5100 POPLAR AVE STE 3000 02/11/2008 PHONE: SANITARY NO. CONIitOL NO. (408) 982-0405 ARCHIIER/ENGINEEA BUILDING PERMIT INFO 0 0 "o 0 u00 LICENSED CONTRACTOR'S DECLARATION 1 hmcby affirm Nat 1 We licensed under provisions of Chapter 9(mmmcu+ng Job Description az1 with Section 701 of Division3oftenBasinsandPror siuAm��•Co/d/o"an' d mymm�te+s 90 DEG ELL INSD 1500 GAL GREASE TRAP TO BE M m in full fume and efr t 7 /75 Zgz umnrecl.er ^�^3 Lic.g REPLACED' n F Dau Contracur tR `p ARCHI'IECI'S DECLARATION L t.,i3 I undcraund my plans"I W used as public recall 76 {sed Licensed Pmfcssi...I b OWNER-BUILDER DECLARATION C<E 1 wrehy.(nm on 1 am exempt from me Cusdow, o License law for to s O o which roc region.(Sadao 7031.5.construct.shcu and PmfasMu Code:Any city or county 9 Whish rtquima a permit re estheplot,rl Wad damcllsh,ri e a siany n: _Z a mod o k is l tensed e.porso requires the to apolicaoh Wades permit w rilcensesignedchime,mammon, (emwuuaamd PS.W.mmC provisions of oroeBusinuh License faW(G.pm9 Sq.Ft.Floor Area $ Valuation S�$ (commencing wit thenion7Wfd)of Division T of theege Business Crum)or 6908 Nu he 4 exempt Nemlmm and shees Eads for she subjects do, mempdm.Any it penalty of t swoon than five ury applicant less permit mbjecu the applicant to a civil penalty of Dpi Number Occupancy e nht mare than Ow hundred tlollan(SSW). 61244008'.'Cl jl p yTyp 1,u owner of tins prhpeny.m my wplayem wise ngn u thc'v auk eompewton, will do the Wars and the he Co e u roti utendod ora w does to 10.weer of and WYW1'aN CWe:The COnYKmYe ndwhodJW dYa rot apply ir N aWMr Of Required Inspections own emYww wiprovidmprovex such improvements who theaauchwohhimaelfm through his awn emplaym,provided that suchen i mid wit see not ear dedofm m ffermladon.lm owner.. hawewr,the building orlmpmwroving mit within one year ar Improve for purpose owner- builder will have the burden of proving th.t w did not build m Improve lm purpose of LICJ. ❑I.as arm of the property,am exclusively contracting with licensed conpactom to mtuwet to project(Sea 7041,Business and Prof..low Code:)The Cmmnet's U• cense law dons not apply as an owner of prepeny who builds or Impteve,Ihemer.and, who concocts for such projects with a mamcmr(s)licensed Pursuant to the Conmemes License Law. ❑Iamemmptunder3ee .B&PCforthumason Dau WORKERS COMPENSATION DECLARATION I hereby a(nrm under penalty a(podur,own[the following declarilmhc ❑T haw and Will hod.18 n a Ceeudmuo(Concent to self-lovers fm Wmkee.Campen- ratlon,u provided fm by Section 37W of use Labe Code,for the performance of ter work for which this Pormit is issued. .. ❑1 have and WIII mdntein Waftes Compensation Insurance,as required by 3mden " 37M of tc Lohse Cada,for the performanceo(be work for Which this permit u issued. ' My Wakcss moperobot Imuronce canner a ad Polity number are: Cori - Iley, M CB IFlCATE OF EXEh PIIONp o6: WORKERS' / , ,w� / COMPENSATION INSURANCE (J cr7r7 (o5 N ks,3 --01- (ThlsseNon Wood mo the completed If to Permit lslmou hundred dnRan(SIM) nr1coss) I coolly two In me pears muhm of me.,it for which this permit Is issued.I Mall not employ any permn inset,manmrm as In become subject to the Workers•Compensation Laws of California.Dau Applicant NOTICE TO APPLICANT.If.after making Nu Certificate of Exemption,you should become Subject m the Worker's Compensation previsions of the IaEor Code.you mase .J O fon with comply with such previsions or this pemit shall w doomed mated. CONSTRUCTION LENDING AGENCY 'p 1hcomy.M.this mem sea constructint lending agency,for the performance of a> Ne work for which this permit Is issued(Sec.7177,Civ.C) Q Lender's Name , Z Iendar'e Adder.- U 0 1 mull,that I Nw mad this application all sum this the above information is LU ^' corms.I agree In cmoply with all city and county ordinances and sum Ian relating in building canssuction,and hereby sothonre representatives of this city to color upon the 4kl ahove-meuuomA property,fm inspection purposes. gy (We)ager to give•indemnify and keep humleu the City of Cupertino against 0(n liabilities,judgments,coats and exporter which may In my way mctm all mid City V Z in consequence of the{rutin{of this permit. ti APPLICANT UNDERSTAND AND WILL COMPLY WITH ALL NON-POINT Issued by: Date Z '--tf'�L- SOU REgI�LA ON3 E of _ nt 2�� Re-roofs , Shgnuure of AppliuDam HAZARDOUS HAZARDOUS MATERIALS DISCLOSURE Type of Roof Willy aCupertm(umre Municipal ChapUmm1.Nn du hamNommamdtl danced io tte 32(.)? Municipal Code.Chapter 1,11.rod the HeaIN and Safety m. Section zss3x(.)? ❑car All roofs shall be inspected prior to any roofing material being installed. Wdi ter applicant or metre wilding occupant use equipment or dariau which If a roof is installed without first obtaining an inspection,.I agree to remove emit huardous ser contsminants u defined by f Bay Area Air Quality Management all new materials for inspection. District? ❑Yex Re— ' I have mW Ne haurtou materials mquimmmu undcrCMpur6.95 olive Califon. ri.Hnslm&safmyC.de.smdansu5D.5,25533a 2553/.1m4ffvWn ifine wilding dma mt...dy Mw•mum.m'm mto e u my responsibility be dfy ceutwm of me out ni mabovet m�i°wtceof.cadk.mafampmay. Sig nature of Applicant Date All roof coverings to be Class"B"or better Owner or mthaneud agcm Dau 0 �0;� 0o5q CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE CUPERTiNO PERMIT APPLICATION FORM APN# I q 0(Q < 00 Date: 2 I�US Building Address: 10300 U5� � 1�3N2tq 6&"Ct Owner's Name:42A / Phone#: /O7g5L - �1� Z �l Contractor,�^^ Phone #: ,fie 9S2"C*99 Fax #: 2- --0413 Contact: /voiqa Phone #: 460 'f92 l8 Fax#: Contractor License #: Cupertino Business License #: Q Job Description: a o c/D ELC /�vSic� l5� G &j.,j Greccse Residential ❑ Commercial [ - Valuation: _ra Green Building Check list must be completed and attached to this application. Green Building Points: 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 / IBSEISMICOM Seismic Commercial P 1BSEISMICR Seismic Residential P iPRSEWER Residential building P 1RPSS sewer/sanitary sewer CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE • CUPE(,TINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group 1PRREPIPE Residential re-pipe per fixture P 1RPRP 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 O IPLMBLNCK Plumbing Plan Check P 1PLMBINSP Other Plumbing/gas Insp. P / 1TRAVDOC Travel &Documentation Fee B 1BUSLIC Business License B CITY OF CUPERTINO 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot:- APN . . . . . . . . : 61244008. 00 DATE ISSUED. . . . . . . : 02/11/2008 RECEIPT #. . . . . . . . . : BS000003904 REFERENCE ID # . . . : 08020059 SITE ADDRESS . . . . . : 10385 S. DE ANZA BLVD SUBDIVISION . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : CALL REAL ESTATE PARTNERSHIP ADDRESS . . . . . . . . . . : 10385 S DE ANZA BLVD CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : RESCUE ROOTER CONTRACTOR . . . . . . . : DONALD KARNES LIC # 21504 COMPANY . . . . . . . . . . : AMERICAN RESIDENTIAL SERVICES ADDRESS . . . . . . . . . . : 5100 POPLAR AVE STE 3000 CITY/STATE/ZIP . . . : MEMPHIS, TN 38137 ® TELEPHONE . . . . . . . . : (408) 982-0405 FEE ID UNIT QUANTITY' ,AMOUNT- PD-TO-DT . THIS REC NEW BAL 1BSEISMICO VALUATION 6, 908. 00 1 .47 0. 00 1.47 0 . 00 1PCSEWER UNITS 1. 00 20 .40 0. 00 20.40 0. 00 . 1PPERMITFE FLAT RATE 1. 00 40 .79 0. 00 40.79 0. 00 1TRAVDOC FLAT RATE 1. 00 40 .79 0. 00 40.79 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 103 .45 0. 00 103 .45 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER . ----------------- --------------- -------------------- CHECK 103 .45 #004542 --------------- TOTAL RECEIPT 103 .45 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 106 SEWER & WATER 202 UNDERFLOOR PLUMBING 301 ROUGH PLUMBING 507 FINAL PLUMBING ' Single Family GreenPoint Checklist date: Build It Greed The GreenPoint Chunidist Is based on the various green features Incorporated into the home and is the Smart Solutions From The Ground Up bases for the GreenPoint Rated program.A home can be considered green ft It fulfills the prerequisites, • sams at least 50 points,and meats the minimum points per category:Energy(30),Indoor Air Ouallty/ Health(5),Resources ste and Water(g).Please concoct tBuildion. It Green for a list of qualified GreenPoint F_, (_ -Raters h you ere irderPsletl In pursuing Vtirtl-parry varificaLon. The green building practices listed below are described in the New Home Construction Green Building Guidelines,available at Www.buiIjgmeen.oro. F sPROJECT eME 9 I- IN a S a 5 E i A.6I7rH7Points Avaltable Per Measure 1.Probe Topsoil and Minimi,Disruption of 'sting Plants 6 Troea ❑ L Prompt Topsoil from Eroslon and Reuse after Construction p } ❑ b.Limit and Delineate Construction Foo0rint for Maximum Protection 0 - 1 ❑ L Deeonni Instead of Demolishing Existing BuildingsOn Site p 3 a.Recycle Job Site Construction Waste(including Green Waste) ❑ &Minimum 50%Waste Diversion by Welight(Royofing or Reuse)-Required p q ❑ b.Minimum 65%Diversion by Weight(Recycling is Faces) - - - - - "-- - -----" -"" ❑ c.Minimum BD%Diversion by Weight(Recycling or Reuse) - '-- -- -- - -- D 2 . —/.Use RerydeL.Content Aggrspate(Minimum25%) ❑ &Walkway and Driveway ED b.b.Roadway Ban -� D Total Points Avallable in Site=12 0 B.FOUNDATION Pointe Available Per Measure 1.Replace Portland Cement in Concrete with Fact Flyesh or Slag � ❑ a.Minimum 2D%Flyash a Slag ] El d.Minimum 25%Fl ash or Slag 0 '- 2.Use Frost-Protected Shallow Foundation In Cold Aran(C.E.C.Climate Zone 16) 0 3 J.Use Radon Resistant Construction on At-Risk Locations Only) 0 , 1 4.Design and Build Structural pest Controls ❑ e.Install Tarmlte Shieltl5 6 Separate All Exterior Wood-to-Con. Connections b Metal or Plastic FasbnerslD'miders 0 I 1 to.All New Plants Have Trunk,Base,or Stem Located At Least 36 inches from Foundation 0 1 Total Focus Avaltable in Foundation=6 0 C.LANDSCApN�G _ Points Available Per Measure 1.Construct Resouroo Efficient Landscapes ❑ a.No Invasive Species Listed by CBI-IPC Are Plated p ❑ b.No Plant Species W71 Require Hedging p - ❑ c.75%of Plante Are Drou ht-lolemm Celdomia Nantes,Mediterranean,or Other Appropriate Bpude p ----------77�1 Use RraSeb Landscaping Techniques 3.Minimize Turf Arses in Landscape Installed by Builder 1 ❑ a.AN Tud Will Have a Water Requirement Leas than or Equal to Tall Fescue(50.6 plant taxa) ❑ b.Tud She Not Be Installed on Slopes Exceeding 10%or In Areas Less than B Feet Wide ❑ c.Tul is Sia%of Landscaped Area(total 2 prints) 0 ___---"' '---- - ❑ J.Turf is 510%of Landscaped Area(total4 points) --- -- — -"'"----'— ❑ es 4.Plant Shade Train 0_ 2 077 3 5.Grou Plants by Water Needs Hydrozonin ) D 2 6 install High-Etrmienry imig0bDn Systema ❑ &System Uses Only Low-How Drip,Bubblers,a Low-fim Widen; 0 ❑ 2 b.System Hes Smari Controllers - --- ----= 0 3 ❑ 7.Incorporate Two Inches of Compost In the Top 6 b 12 Inches of Soil 0 3 ❑ a.Mulch All Planting Bode to the Greeter of 2Inches or Local Water Ordinance Requirement D 2 LJ B.Use So%Salvaged or Rarycied-Com ent Materiels for 50%of Non-Plant Landscape Elements 0 1 ❑ 10.Reduce Light Pollution by Shielding Frxlures snuffer Directing Light Downward TotelPamsAvallebleinLandscaping=37 0 D.STRUCTUtiAI.FRAME&BUILDING 8NV&LOPB � Points Available Per Measure 1.Apply Optimal Value Engineering ❑ H.Place Rafters and Sutle at 24-Inch On Center Framing p 1 ❑ b.Size Dow and Window Heetlers for Load ---"- -- "----- —" Elc.Use Only Jack ad Cripple Studs Required fixLoad 0 -"-- 0 I L Use Engineered Lumber ❑ a.Bests and Headers ❑ b.Insulated Engineered Headars 0--- _ --'-_I ❑ C.Wood IJdsa a WebTmsses fa Floors -� ❑ d.Wood I-Joists is Roof Rafters ..0- ❑ e.Engineered or Finger-Jointed Suds for Vertical Applications -- ❑ f.Oriented Strand Board is Subfioor ---" —' -- -- ❑ g.Onematl Sirantl Board for Well and Roof Sheathing 0 � 1 0.Use FSC-CerWood E] & slwal _ ' Dimenel Lumber,Studs and Timber.Minimum 40% p 2 ❑ It.Dimensional Lumber,Studs and Timber.Minimum 70% i0 ❑ C.Panel ProtluotS:Minimum 40% _____ - --" - -- - D Eld.Panel Products:Minimum 70% i'--- 02007 Build It Green Single Family GreenPoint Chacklist 2007 Version Page 1 of 4 ENTER PROJECT NAME � 3 4.Use Solid Wolf Systeme(Includes SIPS,ICFs,a Any NomSfick Rome Assembly) ❑ e Floor _ 0 2 2 ❑ b.Wella _D 2 2 ❑ C.Roofs 0 2 2 S.Reduce Pollution Emering the Home from the Garage ❑ a Mighty Seal the Ar Border between Geroge and LMng Area ❑ b.Instetl Gamp Exhaust Fan OR Build a Detached Gere 0 7 Li 6.Design Energy Heels on Trusses 176%of Attic Insulation Height at O sul Ede W Exrrlor Well 0 1 7.Design Roof Trusses to Accommodate Ductwork 0 1 S Use RsryeledLorMm Steel Surds for BD%of trader Well Framing 0 1 S.Thermal Mass Want:6T-Inch Drywall on All Interior Wells or Wells Weighing more than 401Wcu.h 0 1 10.Install Overhangs and Gattem ❑ a Minimum 16-Inoh Overhangs and Gulley _ 0 ❑ b.Minimum 244nch Overhangs and Guber 0 1 Total Points Avallable in Structural Bustling Frame and Enrollees=35 0 E.EXTEli FINISH Points Avellable Per Massaro 1.Use Re clad-Coma p7o Virgin Feel or FSFCeNDetl Wood Decking 0 2 —77 2.Install a Rein Somen Wall System D 2 9.Use Durable and Noncombustible Siding Materials 0 1 4.Select Durable and Nonwmbuslible Feeling Materiels 0 - - 2 Toed Pomlc AvallaNa In Exterior Finish=7 0 F.INSULATION Points Available Per Measure 1.Install Insulation with 75%Recycled Content ❑ a.Walls entire Flom 0 ❑ b.Collings 0 1 2.Install Insulation that Is Low-Emoting(Certified Section 01350) ❑ a.Walls antior Flom 0 7 ❑ b.Callings 0 1 a.Inspect Gustily of Insulation Installation before Applying Drywall D 1 Total Poles Available In Insulation.5 0 O.PLUMBING Point Aveliable Per Measure 1.Distribute Domestic Hot Water Efficiently(Maximum 7 Poims). ❑ a.Insular Hut Water Pipes from Water Haller ter Klkhen __D ❑ b.Insulate Al Hot Water Pipes � ❑ c.Use Engineered Parlrl Piping _ 0 ❑ d.Use Fsginamd Parade)Piping with Demand Controlled CTrudation Loop 0 _ ] ❑ e.Use Structural Plumbing with Demand Controlled Clrculdon Loop 0 _ 7 2 ❑ L Use Centel Core Plucking 0 7 1 2 ❑ Z.used Only High EfficienToilets Dual-Flush or 020 100 0 4 Total Points Available in Plumbin =Total 12 0 H.HEATING VENTILATION B Atilt CONDITIONING Points Avalleble Per Measure ❑ 1.Design and Install HVAC System to ACCA Menest J.D,and 5 Rseommendetiorls 0 4 2.Insall Seated Combustion Unita ❑ a Fumeoss D _ - - 2 I _) ❑ b.Water Neaten 0 2 3.Install Zoned,Hydronic R nflant Hmdng with Slab Edge Insulation 0 1 1 1.Install High Efficiency Air Conditioning with Environmentally Responsible Retrigerenr D 1 ' S.Design and Install Effective Ducbvork ❑ a.Install HVAC Unit and Ductwork within Condtoned Space 0 I 3 _ ❑ b.Use Duct Mastic on AS Duct Jones;and Seams D_ 1 ❑ c.Install Ductwork under Arc Insulation(Buried Duct) D I _ ❑ d.Pressure Balance the Ductwork System _ D 1 _ _ - ❑ e.Protect Duct during Construction and Clean All Ducts before Occupancy D 1 LJ 8.Install High Efficiency HVAC Filed MEIN 6.) 0 1 ❑ 7.Don't Install Fireplace or Install Sealed Gee Fireplaces with Efficiency Rating Not Less Than 6D% 0 1 using CSA Standards 0.Install Effective Exhaust Systeme in Bathroom and Kitchens ❑ a InsW ENERGY STAR Balrmom Fans Varied to the Outside 0 _ 1 _ ❑ b.All Bathroom Fens Are on Timer or Humldistat _ 0 __ _ 1 __ ❑ c.Instal KIWd Range Hood Varied to the Outside 0 1 B.trend Nechenlcal Ventilation System for Cooling(Madmum 4 Points) ❑ e.listed ENERGY STAR Caging Fens S Ughl Kit In living Areas S Bedronms 0 ❑ b.Install Whole House Fan with Variable Speeds _ 0— 1 y _ ❑ c.Automatically Controlled integrated System _ 0 2 _ ❑ d.Aatrmaikaly Controlled Integrated System wit)Variable Speed Control 0 3 10.Install Mechanical Fresh Air Ventilation System(Maximum r Points) ❑ e.Any Whole House Ventilation System That Meer ASHRAE 52.2 D _ 2 ❑ b.install Air.to-Alr Heal Exchanger that meets ASHRAE 622 0 7 2 ll.Install Carbon Monoxide Alarrn(s) 0 1 Total Points Available In Heating,Ventilation and Air CondINDnln =3D 0 02007 Build It Green Single Family GreanPolnt Checklist 2007 Version Page 2 of 4 ENTER q e I.RENEWABLE ENERGY Points Available Par Measure Ll 1.Pre-Plumb for Soler Hot Water Heeding 0 4 2.Install Solar Water Heade stem 0 171 D 3.Install Wiring Conduit for Future Photovoltaic InaWlaion 6 Provide 2DD fe of South-Feeing Roof 0 2 4.install PhDWvolWc(PV)Panels ❑ e 30%of electric needs OR 12 kW(total 6 points) 0 6 ❑ b.60%of elzac needs OR 24kW.(btu 12 points) -p E] c.90%d slacmic'need OR 3.6 kW(total 76 points) 0 6 Total Available Points In Renewable Energy=26 0 - J.BDILDING PERFORMANCE Points Available Per Measura 1.Diagnostic Evaluation ❑ a.House Pence Blower Door Test 0 g ' ❑ b.House Pessas Combusloon Safety Backdrafl Test 0{ 2Design and Build High Perfomanro Homes-%above Title 24-minimum 15%Required 0 >_30 ❑ 3.House Obtains ENERGY STAR with Indoor Air Package Certification-Pilot Meesu s(Total 45 point;reed comment) 0 5 2 Total Available Points In Building Performance+:39 0 R.FINISHES Points Available Per Measure ------ -❑—I,Design Erni 5 to R-GEeTracked in CEnaminanb— —'- — '-' - -' - '- p - --- 2 Use Low-VOC or Zero-VOC Paint(Maximum 9 Points) ❑ a.Low-VOC Interior WaIOCoiling Palm(60 gpI VOCs(Flat)and d50 gpI VOCs(Non-Flat)) ❑ b.Zero-VOC:Interior Welli0eliin Peine <S go VOCs(Flat)) 0 3 ❑ S.Use Low VOC,Wear-Sussed Wood Finishes(425D got VOCs) 0 2 ❑ 4.Use Low-VOC Caulk and Construction Adhesives(470 gpI VOCs)for All Adhesives p 2 ❑ 5.Use Recy6e11Conant Paint D 1 6.Use EM6113nmenally Preferable Maarlals for Interior Finish:A)FSC-Certified Wood,B)Reclaimed,C)Rapidly Renewable,D)Recicad-Conant or E)Finger-0olnatl ❑ a.Cabinets(50%Minimum) 0 ❑ b.Interior TAM(50%Minimum) p ❑ : c.ShelOng(50%Minimum) ❑ d.Doors(50%Minimum) - p -- - -- -- 1 i ❑ E.CDunartops 5D%Minimum) D 7 • 7.Re duce Formaldehyde In Interior u (CA Section 0135D) ❑ --_ -- - - e.Subfloors Star Treads(5G%Mlnimlmum) p � ; ❑ b.Cabinets 6 Co nlortops(50%Minimum). 0 I ❑ C.Interior TAM(50%Minimum) ❑ tl.Shelving SD%Minimum) 0 1 ❑ S.After Installation of Finishes,Test of Indoor Air Shows FEmaldehYde Level 47ppb 0 3 TDted Available Points In Finishes=21 0 L.FLOGRING Points.Avallable Per Measure 1.Use Environmenally Preferable Flooring;A)FSC-Certified Wood,B)Reclaimed or Refinished, C)Rapidly Renevalue,D)Rerydatl-Conan;E) Exposed Concrete Flooring Adhesives Most Neva c Dgpl VOCs ❑ e Minimum 15%of Floor An 0 I ❑ to Minimum 3D%of Floor Area p -. - - -_---- 1 -""- ❑ c.Minimum 5D%of Floor Area p I ❑ it.Minimum 75%m Floor Area 0 ❑ 2 Thermal Mess Floors:Poor Covering Other than Carpet on 50%Or More of Concrete Floors 0 1 ❑ 3.Flooring Meets Section D1350 or CRI Green Label Plus Requirement(50%Minimum) p 2 Total Available Points in Flooring=7 0 M.APPLIANCES AND LIGHTING Points Available Per Idaasura 1.Insall Water and Energy Efficient Dishwasher ❑ a.ENERGY STAR Octal l point) 0 Elb.Dishwasher Uses No More then 6.5 GallonaLycle pmol 2 Dints) 0 2_Insall ENERGY STAR Clothes Washing Machine with Wear Factor of 6 or Less ❑ a.Meets Energy Star and CEE Tier requirements(modified energy factor 20,Water Factor 6.0)(total3 points) 0 _ 1 2 ❑ h.Meats Energy Star and CEE Tier 3 requirements(modified energy factor 2.2,Wader Famor 4.5 or lass) 0 ._ 2 totalspoints) 3.Install ENERGY STAR Refrigerator ❑ a.ENERGY STAR Ouelifiad 6 c 25 Cubic Feet Capacity 0 3 ❑ h.ENERGY STAR Duallfied A<20 Cubic Feet Capacity 0 g 4.Insall Built-In Recycling Center 0 ❑ a Built-In Recycling Center 0 R ❑ h.Built-In Composting CeMar D 7 Toal Available Points in Appliances and Lighbing=12 0 N.OTHER I Points Available Per Measure ❑ 1.Incerporste GreanPoinl Rated Checklist in Blueprints Required 0 R • ❑ 2 Develop Homeowner Manuel of Green FeetureetBenefits 0 1 1 1 3.Community Design Measures a Local Prioddss:See the Community Planning 6 Design section in Chapter 4 of the New Home Guidelines for measures.Madmum of20 points fir suggested measures.Local requirements may aso be listed hos. 0 2007 Build it Green Single Family GreanPDim Checklist 2007 Version Page 3 of 4 t ENTER . .O m i ❑ Enter eawnpllon hare,indenter ponU wellable ler meaum In gprgniale wlapoln to the dpht 0 0 0 0 D D Enter description here,and enter ponds avalmon ler meesun U a prgmme weportea to me dint. 0 0 D 0 D 0• Enter description hen,and enter ponds available formeewn In appropriate cmepodas to the rift 0 0 D D 0 Enter tlascdpaon hen,and enter Pone evolable he measure m spoon"cee�lea to me min. 0 0 D o D D 4.Innovation:List Innovative measures that meet the green building objectives of the Guidelines.Ester up to a Build it Green Ch Isis en I maximum combined total of 20 pla.See Innovation Checklist for suggested measures,using the link to the right Guidelines _ LJ Inncvahon In Communitir,Emer description ham,and enter pamU even"for manatee In aipapfirds pateprin a the fight 0D 0 0 D 0 Innwatron U EnZ.Enter tl m hen,and enter eva9e01e he nham m in 'ads ce as n Ore right. 0 D D 0 0 0 Ionwatlon In IAO.Maatth:Enter de ton hem,and enter Polints mlift he measure U RPWWWD CHmPrin to the fi^ D 0 D 0 0 0 hmwetion In aewurwe:Enter deevpnlon hen,and am pointer evaaste In mnalm in aMmpnto wU Dona to the r0L 0 D 0 0 0 0 Innovation in Water.Enter saturation here,and ante prem avalleente fon measure in elpruprib ceteyonea U W 69M 0 0 0 D 0 D Total Available Pointe in Other=1 0 Summary Total Available Points In Specific Categories' 4+ 96+ 42+ 66+ 43+ Minimum Points Required in Speclfic Cate odes 0 3D 5 6 9 _ 71—thes not yet mot the foifo_wlnq recommended minimum Total Project Score of At Least 50 Points -Required measures: -A3a: 50% ivaste diversion by weight •J2: 1 S%above Title 24 -N1:Incorporate GreenPoint Rated Checklist Into blueprints Minimum points In speclflc catewries: -Energy(30 points) -1AQ/Hea/th (5 points) -Resources(6 points) -14'ater(9 points) t e 02007 Build It Green Single Family GreenPoint Checirlis12D07 Version Page 4 of 4 Community Development ' R 10300 Torre Avenue + '+ Cupertino CA 95014 Telephone(408) 777-3228 qCITY OF Fax(408)777-3333 UPEkTINO Building Department JOB ADDRESS: /() 5 Z;e AN�,4 7 PERMIT # o D�6zadS OWNER'S NAME: C ! cJ e PHONE # !D U4 GENERAL CONTRACTOR: lVieSCboe FAX # ?9?-- 0413/ I am not using any subcontractors: �� (Qf/D ),-�->�—, 2—/1-0e) Signature Date Please check applicable subcontractors and complete the followinginformation: 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 1 I Owner/Contractor Signature Date