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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