08010132CITY OF CUPERTI�"i''
BUILDING DIAWION ISERMiT
n��t ,t�'�"('d�°j�':*
CQL\e1 �CTeI�iL�-L"ON�fY T1y"•
BU"'T'jppggtaE`aOHNSON AVE
J
SPEEDY ROOTER PLUMBING
PERMIT NO.
08010132
OWNERS NAME:
PERMIT ISSUE DAIS
BENNY YAP
701 ALDO AVE #43
01/22/2008
NE:
SANITARY NO. CONTROL NO.
(408)234-8134
ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
BLDG EfELT PLUMB MECH
0 0 0 0
LICENSED CONTRACTOR'S DECLARATION
Job Description
1 hereby affirm Hal 1 am Seemed under Provisions of Chapter 9 (emmencH{
with Secure 7000) of Uivislon7 the Business and Professions Cow,snd my license is
REPLACE SWR LTRL FRM HSE TO SIDEWLK & ADDON CITY
in fuLiceemeClassfrce eR v ;� � Lw. N 7-1
C / O '
Data Gan
1fDECLARATION ARCHITECTS DECLARATION
I undernd my piano MVI be used u public meords
w
Licensed professional
OWNER -BUILDER DECLARATION
I wrehy affirm That I am uempt from the Contractor's Liecnx Law for He
'--'
following muoa (Section 1131.3, Buriness and Ra Sessions Code: Any city or county
which requires a permit to cnuwn- alwe improve, demoluh, or rePat, any sWnum
prior w is Mounted, also roquihas the applicant for Such permit to file a Signed slowmem
is to the of the Contractor's Licenm Law
Sq. Ft. Floor Area
Valuation
Nat he licensed putseani provisions (Chap=9
6800
(commencing with Section 7(18) of Division 3 of the Business and Profusions Crow) or
alleged amp. Any violation of
that he s exempt thme(rom and the bus for Ne xuaa
,ApNumber
33752802 f3 '.'l7 f,
Occupancy Type
Section 70313 by any applicant for a permit subjects the applWm to a civil penalty of
sot mote Non five hundred dollars (SSW).
U
❑ L u ownv of the prolwrtY• m my amnteyeo with w{u u the c;mpmusiness
Required Inspections
(sox
will do thew;rk, and the 4 nm intended oroffamdw (;rats (See. 70th, Business
do
and ou Cade The Comes License Low dao sot apply w an owner o!
h. Com
property h who daoauhwart hivuelforuuau{h his
ewho Wildsmimmowch
man thatsoeh improsemants art not ear.17 d moRemd for Wer
Improvements
awn employees,building
yes of empwuon. He ovmu-
ru improvement s hatd within er.
h uiprog or i
the buil
of
buRdm will haw the burdce of proving that K did not build or Improve for purpose of
tHdar the
talc.).
0 1, u owner N the property. am uelu thody canuacing with licensed ronmcme, x
consm ct the project (See. 1014, Business so Proleasiom Cada:) The Commencers Li.
NNW
current Law dos not apply to an owner of property who builds or Improves Hereon. and,
who contacts for such projects with a e;ntramor(s) licensed pursuant on the Comawmes
License Law.
0 l unaemm under See .B A P C for His ruson
Owns Dox
WORKER'S COMPENSATION DECLARATION
I hereby arrmm under penalty of perjury Most of dx following declanuau:
Ihave of Conxntoxlf-Loom far Worker's Campers -SAN
u provided far by Section 3700 of use Labor Cade. far He parformsrxe of thewait
hickwill hmunuinsCmidcate
for which His permit is utued.
�an.
0 1 hoc and will maintain Worke's Compensation humane, u required by Section
37M of He Isbw Code, for He performance of Ne work for which Hs permit s issued.
My Worker's Compauad , rens urriarcad Po0cy num ram:
Carrier. Policy No.; �( IZ�BD%�
FlCATEOF PILON FROM WORKERS'
COMPEN TIONINSURANCE
rods xnim reed notbccomplcued l(tie permit is treats hundred wilco ($100)
--
or US.)
I certify Shot In the performance of the work for which this permit is bound, 1 JM not
employ any person in any mannerso u M become Subject w the WmkeW Campemauan
Laws of c jifamia. now
Applicant
NOTICE TO APPLICANT: If. after making this Cor illam of Exemption, you Should
become Subject mum Workers Compensedes provisions of the Islet Code, you mus
rotowith comply with such prevision or Hs permit Shall he d erred raveled.
I
CONSTRUCTION LENDING AGENCY
I hereby aRm Hat more s a cwsmrocdnn lending agency for the performance of
He work for which this permit s issued (Sec. 3M. Civ. C.)
Landers Name
Landers Address
j I certify that 1 have hand this application cad Slow that the thous information is
r cornea. I time in comply with all city and county aminancu and slow laws ¢stint to
building conatunion. and hereby anthorise representatives ofthis city in enter upon the
.tome-mennoud property for inspection purposes
rc, tndcmJ(y and keep humless the City of Cupertino against
j liabilW ane upenso which may in any w'aY seems a{alut load City
in cawe"g.fs LL COMPLY WITH ALL NON -POINT
gNT4EZ1STANffiSA'
Issuedby:9 Date - 2, >NS.
Z Z
Re -roofs
Type of Roof
um of ApplicanryCa" M' Dow HAZARDOUS M RIALS DISCLOSURE
Will the appliuntarfumm gmcupanumm rehandle haumau material
dented by the Cupertino Cade. Chapter 9.13. and dx Health and Safety
sew, xenon 25532(a)7
All roofs shall be inspected prior to any roofing material being installed.
❑ Yns
,
If a roof is installed without first obtaining an inspection,agree to remove
Will the applican illi occupant aso wJpment;r denim which
,I
it husNnu Jr conumi u u den by He Bay Area Air Quality Management
all new materials for inspection.
rictl
❑Yet
Ino ad ehunmou ma asmquimmmmundctChapwr6.95oftheCalifm-
.MHulth Safe Cods, xcnou 303.35531 25334. I understand Hn lfthe building
nu a xnan4 t II is m mlMlity m nodl'y Nc acupant of He
'
rdy wit mtubemel 'erten oraCcrtbficamolOccupaney'
Signature ofApplieant Date
0
All roof coverings to be Class "B" or better
Date
r ar antharimd a�gcoi
• CUPERTINO
L
0� 0/ 013A
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
PERMIT APPLICATION FORM
APN # 0 75C
a
Fee ID
Date:
_ 8
Building Address:
Yo
a�
-DG .la��, saw
Owner's Name:
Group
Phone
Contractor:
w,( 2m re7
1PCSEWER
Phone #:
P
1CPSS
Fax #:
ContacV
(2(efir f O
sewer/sanitary sewer
Phone #:
Fax #:
Contractor License #: t -3 (, 79y3 -3
P
Cupertino Business License #:
Job Description:
��D-/hc� ��� ,��
r► ,ale
72)
Residential Commercial ❑
l�
Valuation: /
1-4 Outlets
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
1BSEISMICOM
Seismic Commercial
P
/
1BSEISMICR
Seismic Residential
P
/
1PRSEWER
Residential building
P
1RPSS
sewer/sanitary sewer
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
FEE SCHEDULE
Quantity
Fee ID
Fee Description
Fee
Group
Permit Type
IPRREPIPE
Residential re -pipe per fixture
P
1RPRP
1BPWSVCS
Water Service
P
1CPWS or
1RPWS
1PPRSEWG
Private Sewage Disposal System
P
1PCESS
Cesspool
P
1BPWATER
InstalUalter Water Pipe
P
1BPFDCTURE
Plumbing Fixture
P
1PGASRES
Residential Gas Piping System
1-4 Outlets
P
1BPGAS
Gas Piping System 5+ Outlets
P
I PPERMITFEE
Plumbing Permit Fee Issuance
P
1 PLMBLNCK
Plumbing Plan Check
P
1PLMBINSP
Other Plumbing/gas Insp.
P
ITRAVDOC
Travel & Documentation Fee
B
1BUSLIC
Business License
B
41
40
0
CITY OF CUPERTINO
® 5 ITEMS OF 5 PERMIT RECEIPT OPERATOR: patg
COPY # : 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 337528024.00
DATE ISSUED.......: 01/22/2008
RECEIPT #.........: BS000003754
REFERENCE ID # ...: 08010132
SITE ADDRESS .....: 10640 JOHNSON AVE
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OWNER ............:
BENNY YAP
0.70
ADDRESS ..........:
10640 JOHNSON
AVE
CITY/STATE/ZIP ...:
CUPERTINO, CA
95014
RECEIVED FROM ....:
o
SPEEDY ROOTER
& PLM
CONTRACTOR .......:
SPEEDYROOTERPLUMBING
1PRSEWER UNITS
COMPANY ..........:
SPEEDY ROOTER
PLUMBING
ADDRESS ..........:
701 ALDO AVE
#43
CITY/STATE/ZIP ...:
SANTA CLARA,
CA 95054
TELEPHONE ........:
(408)234-8134
0.00
LIC # 23086
® FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL
1BSEISMICR VALUATION
6,800.00
0.70
0.00
0.70
0.00
IPPERMITFE FLAT RATE
1.00
40.79
0.00
40.79
0.00
1PRSEWER UNITS
1.00
20.40
0.00
20.40
0.00
ITR.AVDOC FLAT RATE
1.00
40.79
0.00
40.79
0.00
BUSLIC FLAT RATE
1.00
110.00
0.00
110.00
0.00
TOTAL PERMIT
----------
----------
212.68
0.00
---------- ----------
212.68
0.00
METHOD OF PAYMENT
AMOUNT
REFERENCE
NUMBER
-----------------
CHECK
---------
212.68
--------------------
#1222
---------------
TOTAL RECEIPT
212.68
VOICE ID DESCRIPTION
VOICE ID
DESCRIPTION
------- ------------------------------------
106 SEWER & WATER
;2.0.2
----------------------------
UNDERFLOOR
PLUMBING
301 ROUGH PLUMBING
507
FINAL
PLUMBING
U
S;ngle Family GreenPoint Checklist date: Build ItGmed
The GreenPoint Checklist is basso on the various green features incorporated Imp the home and Is the 5man5olutions From The Ground Up
basis for the GreenPoint Rated program. A home can be considered green II it fulfills the prerequisites,
Sams at least 50 points, and meets the minimum points par category: Energy (3D), Indoor Air Ouafityl
Health (5), Resources (B), and Water (g), Please contact Build It Green for a list of qualified GreenPoint F
I n
® Raters If you are g practetls l pursuing A are
verification. F_ -_ __I
TheGuidelines,
green bantling practices Istetl below are dzscribetl in the New Homs Construction Green Building
Guidelines, available at www.builditoreen.oro,
1. Protect Topsoil and Minimize Dision of Existing Plants 6 Trass
El 8. Protect Topsoil from Erosion and Reuse after Commotion
❑ b. Leff and Delineate Construction FooIPdM for Maximum Protadlon
2, Deconstruct Instead of Demolishing Existing Buildings On Site
3. Recycle Job Site Construction West (including Green Wash)
❑ a Mlnunum 50%Waste Diversion by Weight (Recyofng or Reuse) - Required
❑ b. Minimum 65% Diversion by Weigh (Recycling or Reuse)
❑ C. Minimum BO%D'wersion by Weight (Recycling or Reuse)
—4.Use Recycled Content Aggmgate(Minimum 25%)
❑ a. Walkway and Driveway
❑ b. Roadwav Bass
1, Replace Portland Cement in C
❑ a. Minimum 20% Flynn or Slag
All
•
FastenarrOividers
w ¢
Pointe Available Per Ideasure
_0 t
.D
Lj a. No Invasive Species Listed by Cal -IPC Are Plated
B
❑ b. No Plant Species WII Require Hedging
®
❑ C.75% of Plants Are Drought-tolarant California Natives, Mediterranean, or Other Appropriate:
1. Apply Optimal Value Engineering
❑ 2, Use Firo-3afe Landscaping Techniques
3, Minimize Turf Areas in Landscape Installed by Builder
R
>
❑ a. All Tud Nil Have a Water Requirement Less than or Equal to Tall Fescue (50.0 plant facing
a. Place Rafters and Studs at 24 -Inch On Center Frempli
❑ b. Tud Shall Not Be Installed on Slopes Exceeding 10% or in Areas Less than a Fast Wide
❑ C. Turf Is 533% of Landscaped Area (total 2 points)
❑ J. Tad Is 510% of Landscaped Arae (total 4 coins
•
FastenarrOividers
w ¢
Pointe Available Per Ideasure
_0 t
.D
B
0
_ 3
1. Apply Optimal Value Engineering
0
0
R
>
❑
a. Place Rafters and Studs at 24 -Inch On Center Frempli
d Size Door antl Window Headers for Load'
1300
---c.
0
Points Available Per Measure
2. Use Engineered Lumber
0
❑
❑
0
3
D
❑
C. Wood l -Joists or WebTmsses for Floors
✓
0
0
7
❑
0
Paints Available Per Measure
a. e. Engineered or FingerJointed Studs for Vertical Applications
0
--i :--
E]f.
Oriented Strand Board for Subfloor
rn
0 1
- - 1
❑
g. Oriented Strand Board for Wail and Rod SheathingPoo
0
2
FSGCanified Wood
_ _
i
ElUse
6, Instill High -Efficiency Irrigation Systems
❑
H. System Uses Only Low -Flow Drip, Bubblers, or Low -flow Sprinslars 0 2
r7 b. SVslem Has Smart Conaollerc _ ----- ----
D. STRUCTURAL FRAME & BUILDING ENVELOPE
Points Avails a Per Measure
1. Apply Optimal Value Engineering
❑
a. Place Rafters and Studs at 24 -Inch On Center Frempli
d Size Door antl Window Headers for Load'
1300
---c.
Use Only Jack antl Cripple Studs Required for Load�
2. Use Engineered Lumber
❑
❑
a. Beams and Headers
b. Insulated Engineered Heetlers
0
❑
C. Wood l -Joists or WebTmsses for Floors
✓
—
--- -- _
❑
d. Wood l -Joists for Rood RaftersE]
a. e. Engineered or FingerJointed Studs for Vertical Applications
—pj
--i :--
E]f.
Oriented Strand Board for Subfloor
rn
i.
- - 1
❑
g. Oriented Strand Board for Wail and Rod SheathingPoo
—
FSGCanified Wood
ElUse
a. Dimensional Lumbar, Studs and Timber. Minimum 40%
D
�, 2
E]
b. Dimensional Lumber, Studs and Timber, Minimum 70%
p--"
__--�' -----
-`- "
❑
c. Panel Products: Minimum 40%'-"--'
❑
d. Panel Products: Minimum 70%
D
1
®2007 Build It Green
Single Family GreenPoint Checklist 2007 Version
Page 1 of 4
Stamina Frame and EIIVB1009.361 D I
11. EXTERIOR FINISH
Points Available Pet Measure
El 7. Up ReryGed-Content (No Virgin Plastic) or FSD.Cergged Wood Decking0
1. Design and Install HVAC System to ACCA Manual J, D. and S Recommendations
2
ENTER
•
MORRO
J. Use Durable and Noncombustible Sidin Material.
0
4. Select Durable and Noncombustible Roofing Metemals
0
Total Points Available in Extebw Finish =7 0
❑
F. INSULATION
4. Use Solid Well Stridents (includes SIP., ICF& 8 Any Non -Stick Frame Assembly)
Points Available Per Measure
1. Install Insulation with 75% Recycled Content
❑ a. Wells andlor Flom.-
❑ b. Callings
--
]
❑
e Floors
0
2
4.Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants
2
❑
b. Walls
o
-2
_
z
❑
C. Roofs
---
—
❑ a. Install HVAC Unit and Ductwork will Conditioned Space
2
or Use Duct Metric on All Duct Joint and Seems
5. Reduce Pollution Emoting the Home from the Garage
]
❑
❑
c. Ductwork Ductwork under Attic Insulation (Burled Ducts)
"d devices Balance the Ductwork System
❑
a. Tightly Beal the Air Bartley between Garage and Living Area
_,D
❑
`' e. Protect Ducts during Consmuclion and Clean All Ducts before Occupancy
0
❑
In. Install Garage E mausl Fan OR Build a Detached Garage
0
"'RS. Install High Efficiency HVAC Filter (MERV S.)
1
Lj
e. Design Energy Hole on Trusses (76% of Attic Insulation Height at Outside Ede of Exterior Wall)
0-11
1
1
S:Instoll Effcubl" Exhaust Systems In Bathrooms and Kitchens
❑ a. Install ENERGY STAR Bathroom Fans Vented to the Outside
7. Design Root Trusses to Accommodate Ductwork '
0
1
_ 0 _
1 _
Lj
& Use Recycled -Content Sell Stade for Bb% of Interior Wall Framing
0
_ _
1
1
77
S. Thermal Map Weller, Winch Drywall on All Interior Wells or Wells Weighing more than 40 Ib/au.iL
0
1
S. Install Mechanical Ventilation System for Cooling (Maximum 4 Points)
10. Install Overhangs and Outten
0
❑
a Minimum t Wnch Overhangs and Sutler;
0
_ 0
❑
b. Minimum 24 -Inch Overhangs and Sutlers
0
1
❑
Stamina Frame and EIIVB1009.361 D I
11. EXTERIOR FINISH
Points Available Pet Measure
El 7. Up ReryGed-Content (No Virgin Plastic) or FSD.Cergged Wood Decking0
1. Design and Install HVAC System to ACCA Manual J, D. and S Recommendations
2
2lptall s Rein Screen IN 11 System
0
2
J. Use Durable and Noncombustible Sidin Material.
0
1
4. Select Durable and Noncombustible Roofing Metemals
0
Total Points Available in Extebw Finish =7 0
❑
F. INSULATION
D
Points Available Per Measure
1. Install Insulation with 75% Recycled Content
❑ a. Wells andlor Flom.-
❑ b. Callings
--
]
2 lnstal11puladon that la Low -Emit ing (CeNfied Section D135D)
❑ .a. Wells andtor Floors
❑ b. Callings—
1
1
❑ J. Inspect OuslOy, of Insulation Installation before Applying Drywall
4.Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants
0
1. Distribute Domestic Hot Water Efficiently (Maximum 7 Points)
❑ a Insulate HM Water Pipes from Water Healer to Kitchen
❑ It. Insulate All HM Water Pipes
❑ c. Use Engineered Parallel Piping
❑ d. Use Engineered Parallel Piping with Demand Controlled Circulation Loop
❑ a. Use Sbuclurad Plumbing with Demand Controlled ClroulaUDit Loop
H. HEATING VENTILATION & AIR CONDITIONING
Points Available Per Measure
❑
1. Design and Install HVAC System to ACCA Manual J, D. and S Recommendations
0
4
-
2. Install Sealed Combustion Units
_ D
❑ a. Furnaces
❑
b. Water Heater
D
2
3. InInswil Zoned, Hydronic Radiant Heating with Stab Edge Insulation
0
1
1
4.Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants
0
1
S. Design and Install Effective Ductwork
_0
_ 1 3
❑ a. Install HVAC Unit and Ductwork will Conditioned Space
❑
or Use Duct Metric on All Duct Joint and Seems
0
]
❑
❑
c. Ductwork Ductwork under Attic Insulation (Burled Ducts)
"d devices Balance the Ductwork System
0
❑
`' e. Protect Ducts during Consmuclion and Clean All Ducts before Occupancy
0
1
"'RS. Install High Efficiency HVAC Filter (MERV S.)
0
1
❑
7. Don't Install Fireplace or Instill Sealed Gas Fireplaces with Efficiency Rating Not Less Than 6D%
` using CSA Standards
0
1
S:Instoll Effcubl" Exhaust Systems In Bathrooms and Kitchens
❑ a. Install ENERGY STAR Bathroom Fans Vented to the Outside
_ 0 _
1 _
❑
b. All Bathroom Fane Are on Timer or Humldistal
0
_ _
1
❑
' °"b. Install Kitchen Range Hood Vented to the Outside
0
1
S. Install Mechanical Ventilation System for Cooling (Maximum 4 Points)
0
❑ e. Install ENERGY STAR Calling Fane S Light Kits in Living Areas S Bedrooms
❑
b. Install Whole House Fan with Variable Speeds
_ 0
❑
C. Automatically Controlled Integrated System
❑
d. Automatically Controlled Integrated System with Variable Speed Control
0
3
10. Install Mechanical Fresh Air Ventilation System (Maximum J Points)
0
2
❑ a. Any Whole House Ventilation System That Meals ASHRAE 622
❑
b. Install Air4o-Air Heat Exchanger that meats ASHRAE 622
_ _
0
_
1
_
2
it. Instal) Carbon Monoxide Alarm(a)
0
1 i
Total Points Available in Hashing, Ventilation and Air CorldifirstIng = 3DI D
021507 Build It Green Single Family GmenPolnt Checklist 2007 Version Page 2 of 4
1
M
•
•
E
ENTERPROJECT
Points Available Par Measure
1. Diagnostic Evaluation
❑ a. House Passes Slowar Door Test
Ej b. House Passes Combustion Safety Backdrah Test
m
1. Use Environmentally Preferable Flooring: A) FSCCer ified Wood, S) Reclaimed or Refinished, C) Rapidly Renewabl4 D) Recycled -Conant, E)
L Design and Build Kgh Perlormenro Homes -%above Tiae 24- minimum l 5% Required
0 230
U Q
I. RENEWAELE ENERGY
2. Use Low-VDC or Zevo-VO_C Paint (Maximum S Points)
Points Available Par Measure
❑
1. Pre -Plumb for Solar Hot Wader Hearing
0 !
4
D
2. Install Soler Water Heading System
D
10
b. Zaro-VOC: Interior WeIVCellin Paints (d gol VOCs (Fig)
3. Install Wiring Condull for Futuro Photovoltaic Installation 6 Provide 200 te of South -Facing Roof
D
2
❑
4. Install Photovoltaic (PV) Panels
D
2
❑
a. 30% of electric needs OR 12 kW (total6 points)
4. Use Low-VOC Caulk and Construction Adhesives (d0 got VOCs) for All Adhesives
0
❑
b. 60% of electric needs OR 24kW (total 12 points)
❑
5. Use RecycledCommort Paint
❑
c.g0%U elewre need OR 3.6 kW(total 18 points)
0
6
J. EUDAING PERFORMANCE
Points Available Par Measure
1. Diagnostic Evaluation
❑ a. House Passes Slowar Door Test
Ej b. House Passes Combustion Safety Backdrah Test
_ 0
0 7 r
1. Use Environmentally Preferable Flooring: A) FSCCer ified Wood, S) Reclaimed or Refinished, C) Rapidly Renewabl4 D) Recycled -Conant, E)
L Design and Build Kgh Perlormenro Homes -%above Tiae 24- minimum l 5% Required
0 230
❑ 1 House Obtains ENERGY STAR with Indoor Air Package CWfication - Pilot Meesun(Total 45 points; reed comment)
0 5 2
E.FUgI6liE6
Points Available Per Measure
points Available Per Measure
1, Install Water and Energy Efficient Dishwasher
1. Use Environmentally Preferable Flooring: A) FSCCer ified Wood, S) Reclaimed or Refinished, C) Rapidly Renewabl4 D) Recycled -Conant, E)
❑
e. ENERGY STAR (lots ipoint)
0 I_I
Exposed Concede. Flooring Adhesives MustHave <50gpi VOCs.
2. Use Low-VDC or Zevo-VO_C Paint (Maximum S Points)
_ _'
D 1
❑
a. Minimum 15% of Floor Area -
❑
a. Low-VDC Intsnor WeIVCeli Palms (d0 gpl VDCs (Flat) and 050 gpl VOCs (Non -Flat))
D
b. Minimum 3D% of Floor Area
0
❑
b. Zaro-VOC: Interior WeIVCellin Paints (d gol VOCs (Fig)
D
- 3
0
❑
3, Use Low VOC, WBterBesed Wood Finishes (<250 gpl VOCs)
D
2
❑
❑
4. Use Low-VOC Caulk and Construction Adhesives (d0 got VOCs) for All Adhesives
0
2
3. Flooring Masts Section 01350 or CRI Green Label Plus Requirements (5D% Minimum)
❑
5. Use RecycledCommort Paint
0
a. Built -In Recycling Center
1
❑
6. Use Environmentally Preferable Materials lot Interior Finish: A) FSCCerdfisd Wood, B) Reclaimed, C) Rapidly Formable, D) Recycled -Content
—p --
or E) Finger -Jointed
❑
a. Cabinets (50% Minimum)
0
7
❑
b. Interior Tim (50% Minimum)
-0
❑
c. Shelving (50% Minimum)
❑
d ODOM(5D% Minimum)
0
❑
e. CounteMps (50% Minimum)
0
1
7. Reduce Formaldehyde In Interior Finish (CA Section 01550)
❑
e. Subfioo a Stair Treads (50% Minimum)
0
❑
b. Cabinets 8 Ccuntenops (50% Minimum)
❑
C. Interim Trim (5D% Mmimum)
❑
d. Shelving (50% Minimum)
p
7
❑
11. Atter installation of Finishes, Test of Indoor Air Shows Formaldehyde Level m pb
0-7
3
L. FLOORING
Points Available Per Measure
Points Available Per Measure
1, Install Water and Energy Efficient Dishwasher
1. Use Environmentally Preferable Flooring: A) FSCCer ified Wood, S) Reclaimed or Refinished, C) Rapidly Renewabl4 D) Recycled -Conant, E)
❑
e. ENERGY STAR (lots ipoint)
0 I_I
Exposed Concede. Flooring Adhesives MustHave <50gpi VOCs.
b. Dishwasher Uses No More than 6.5 GellonsCycle hotel 2points)
_ _'
D 1
❑
a. Minimum 15% of Floor Area -
0
❑
❑
b. Minimum 3D% of Floor Area
0
to. Masts Energy Star and CEE Tier 3 requirements (modified anergy factor 22, Water Factor 45 0 less)—
❑
C. Minimum 50% Of Floor Area
(total 5 points)
0
❑
d. Minimum 75% of Flow Area
0
7
❑
2. Thermal Mass Floors: Floor Covering Other than Carpet on 50% or Mora of Concrete Floors
0
1
❑
3. Flooring Masts Section 01350 or CRI Green Label Plus Requirements (5D% Minimum)
0
2 !
M. APPLIANCES AND LIGHTING
Points Available Per Measure
1, Install Water and Energy Efficient Dishwasher
❑
e. ENERGY STAR (lots ipoint)
0 I_I
❑
b. Dishwasher Uses No More than 6.5 GellonsCycle hotel 2points)
_ _'
D 1
2. anstall ENERGY STAR Clothes Washing Machine with Water Factor of 6 or Less
❑
a. Meets Energy Star and CEE Tier 2 requirements (modified energy factor 20, Water Factor 6.0) (total 3 points)
D 7 . ! 2
❑
to. Masts Energy Star and CEE Tier 3 requirements (modified anergy factor 22, Water Factor 45 0 less)—
----- r— - --_— Z
(total 5 points)
0
S. Install ENERGY STAR Refrigerator
❑
a. ENERGY STAR Oualthed 6 <25 Cubic Feet Capacity
❑
b. ENERGY STAR Qualified 6 <20 Cubic Feet Cape
0 1 !
4. Install Buili Recycling Center
0
❑
a. Built -In Recycling Center
0
❑
h. Built -In Composting Center
—p --
IN. OTHER Pants Available Per Measure
❑ 1.Incorporate Grear Poin Rated Checklist in Blueprints -Required p ( R
❑ 2. Develop Homeowner Manuel of Green FeaturesrBenefim 0 1 1 1
3. Community Design Measures 6 Local Priorities: See the Community Planning 6 Design section In Chapter 4 of the New Home Guidelines for
measures. Maximum of 20 points for suggested measures. Local requirements may also be listed here.
N
®20D7 Build 11 Green Single Family GreartPoint Chadd isl 2007 Version Page 3 of 4
Enter desoripgon here, and am print, evahaWe has measun In apsnpdale cesgudes to Me right.
Enter tlpctiphon her, and enter pons available Int mepun in appmprns cesgodp to the dont
Enter dreorptan hen, and enter Prins aveaable for ne asee In appropriate celegodu to the dghL
Ental deacr¢aion nen, and anter points available far measure in appropriate coe,piee to she right.
4. Innovatlon: List Innovative measures that meet the green building objectives of the Guidelines. Enter up to e
here, and enter points available Int maesure In apprrp4le utegodee to the dom
Total Available, Points In Specific
dmum Pointe Required in Soeclfh
ProJoct has not yet mot the fo11owin8 recommended minimum reggiroments:
- Total Project Score of At Least 50 Points
- Required measures:
-A38: 50% waste diversion by jn,eight
-J2: 15% above Title 24
-hf1: Incorporate GreenPoint Rated Checklist Into blueprints
- ldinimum points In specific categories:
-Energy (30 points)
-1AQ/Health (5 points)
-Resources (5 points)
-14rater (9 points)
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0Allk
00
l
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0-
4+
96+
42+
66+
43+
0 1 an I F I e I o
•
•
02007 Build It Green Single Family GreenPoint Cheddist 2007 Version Page 4 of 4
W
Community Development
10300 Torre Avenue
1 Cupertino CA 95014
Telephone (408) 777-3228
CITY OF Fax (408) 777-3333
,dUPEkTINO
Buildin
JOB ADDRESS:
OWNER'S NAME: g6 141
GENERAL CONTRACTOR: 5 ��Oy /Gva7
6
I am not using any subcontractors:
Signat
Please check applicable subcontrac rs and complete
De artment
PERMIT #
6 E—O l4(3 Z
PHONE # VOR - W 7a 2
FAX# V&I6 7Y�=�/,
information:
/-2z-0
Date
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