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08030030 CITY OF CUPERTINO - ��a,� ya�rfBB.. ��.. �T 1�7s;��- � �' .k� ow BUIL15ING DIVISION PERMIT �. GPfl�L\ �4T�l7RcI1 PERMIT NO. BUILDIa`.R'S NAME: '.IOMITA AVE AFFORDABLE WATER HEATERS & .08030030 L l PERMIT UE DATE - ISSUE - PING CHEN 24707 SAN FERNANDO RD 2 NE: SANITARY N0, CONTROL NO. ABUILDING PERMIT INFO RCHITECT/ENGINEER: REPLACE WATER HEATER BLDG ELECT PLUMB MECH op LICENSED CONTRACTOR'S DECLARATION Job Description m .1 Wroby affirm that 1 am I'¢enud under provisions of Chapter 9(Mundexin6 i wMScmion7000)ofDoomm3of the Buai.. .in `ode and my license is in full farceandf!/ z Licerrsc 1 3 Fn Date Contmcdr ARCHITECTS DECLARATION I urdemaed my plans shall be umd as public mCurtis 'aU 'o G Licenud Prtlfmsional g OWNER-exempt RDE Ce Coutr ION I hereby.alilm(Sect on I am exempt from the COnmamaea License taw for Ne p o which mmon.Permit u 7(13LA Business and Pmfeaiom Cade:Any city or Bone t$ which mquissuance.permit ou e tet,alar,improvm,h Permit t nr mash any awdum thMor athuitsensedpursanquireslhovisioeant oftheuchpcnniuoTiardsle a,LacdsWement - Ft. Floor Area Valuation ss< that ha is licensed pursuant to dm provision of the Contractor's lJccnsc law(Chapter 9 SQ %F$ (commencing with Section 7(a)(0)of Division 3 of We Business and Profcuinns Code)or -. that he u trump,therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by airy applicant for a permit subjects the applicant to a civil Penalty of APN Number Occupancy Type not marc than five hundred dollars($300). 0 I,as aoeer of the property,cur my employees with wages as Oak nth CmdPematian, will do the work and the structure is notin¢ndcd oroffered formle(Sec.7W,Busirtea Required Inspections and Professions Cade:The Commodes Liesme Law Cants tet apply b an Owner of property who bu ilds or i m proves thereon,and who does such work himsel r Or Ihrougb his Man employees,provided Nat such improvements are notimmaded or offered for sale.If. however,Ne building or improvement is sold within am year of completion.the owner- builder will have Ne burden of paving that he did tet Wild or improve for purynm of sale.l. - - 0 L.,owner of the property,am esdu doely'Mmonting who licensed sasnrmaa in consdsct the project(Sec.7014.Business and Prolesdans Cade:)The Conmctm's Li- come law dues Out apply m an comer of property who Wilds or improm Ihemen,and who can r cts for such pajects with a con omania)licensed pursuant to the ConUnYar's License Law. 0 lamexempturemrso, ,B&PCfurthismasom 7C031r Dam WORKER'S COMPENSATION DECLARATION I hereby affirm under Penalty of perjury ane of Ne fallowing mCmM dm: 73! am and will maintain aCeelficam of Content d mer-insure for Workers[ompcn- - ,as provided for by Section 3700 of the labor Code.for ted performance of Ne far which this permit is issued. have and will maintain Workeh Compensation Insurance.m required by Soni o, of Ne labor Code.for Ne performance of Ne work for which Nu permit u mated. orkrs Campstlan�Insurance caller anCPoltynymbat. �QN`T^ Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE Erhis motion need not a completed if Ne permit is fora.hunNeddoRau(6100) or less.) 1 certify Nat in the performance of Ne work for which this Permit is issued.l slWl not employany person inany mam.,m as la become subject o Ne Wmrkers'C.Pe d. Laws of California.Uate Applicant NOTICE TO APPLICANT:If,afr making this Cenileam of Exemption.you should become subject in he Worker's Compensation provisions of Ne Labor Code you mat 0 O forthwith comply with such provisions or this permit shall a demand revoked. ZCONSTRUCTION LENDING AGENCY M [r Ihereby afllrm Net there is a construction tending agency for the performasne or a > the work fur which Nis permit is issued(Sec.3097,Civ.C.) W Q .,it Name MW a C1 Ummes Address V O 1 certify that 1 have mad Nis application and sum that do above information is W cored.1 ague to comply with all city and county ordinances and state laws misting to .JU building conswee toane.iron nifyaauthond keep of NisCity menmrupantW W above-mentioned property for inspection purposes. (We)agree to save,indcmnily and kap harmless Ne City of Cupertino against H y liabilities.judgments,costa and expens whi may in any way accost against said City U ,'� in canseq.ncc of Mat grand!,of r Date •-' APPLICANT UNDER������''''''TTTTTTAN ILL COMPLY WITH ALL ON POINT Issued by: SOURCEREGU S. / C! dY Re-roofs Signature of ApplicantrCont¢tor Data HAZARDOUS MATERIALS DISCLOSURE Type Of Roof Will IW applicant or faun Wilding occupant care or handle haardaus materiel &flad by the Cupertino Municipal Code.Chapter 9.11,and Ne Health and Safety C,Lcuom 25532(.)7 All roofs shall be inspected prior to any roofing material being installed. DYes QW Will the applicant or future building=upon,use equipmCM or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit fammoines air contaminants u defined by the Bay Arca Air Quality Management all new materials for inspection. Dieu et7 0 Yes e I have notal the Wramott'nad' requirements untmr Chapmr6.95 of1M Cali[ar. not Hcu1N&Surely Code, 'ore .25533 md11534.1 understand detiftM Wilding ds not currently ha n t it b my res,nothility to notify Nc aceupmt Of Ne myuiremen 12h ,bc en poor d issuance ofa Ccmrtcamo `cypam Signature of Applicant Date Owner or euthorircC agent rr GG//DJJa,m All roof coverings to be Class "B" or better . CITY OF CUPERTINO 4 ITEMS OF 32 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35715103 . 00 DATE ISSUED. . . . . . . : 03/06/2008 RECEIPT # . . . . . . . . . : BS000004096 REFERENCE ID # . . . : 08030030 SITE ADDRESS . . . . . : 21850 LOMITA AVE SUBDIVISION . . . . . . : CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : PING CHEN ADDRESS . . . . . . . . . . : 21850 LOMITA AVE CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-5208 RECEIVED FROM . . . . : EDDIE D NALLEY CONTRACTOR . . . . . . . : LEONCE ROUX LIC # 26850 COMPANY . . . . . . . . . . : AFFORDABLE WATER HEATERS & ADDRESS . . . . . . . . . . : 24707 SAN FERNANDO RD CITY/STATE/ZIP . . . : NEWHALL, CA 91321 . TELEPHONE . . . . . . . . : (661) 259-7131 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 2, 000. 00 0 .50 0. 00 0.50 0. 00 1PPERMITFE FLAT RATE 1. 00 40 .79 0. 00 40.79 0. 00 1PRWHEATR UNITS 1. 00 24 .48 0. 00 24 .48 0. 00 ITRAVDOC FLAT RATE 1. 00 40 .79 0 . 00 40.79 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 106 .56 0. 00 106 . 56 0. 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ---- ---------------------------- -------- ---------------------------- 518 WATER HEATER - M 090:;,) bp O� oO3� CITY OF CUPERTINO WATER HEATER .CUPEkTINO PERMIT APPLICATION FORM APN # 35 r I 15 L Q� ✓ 0� Date: 3 b Y Building Address: Z 1 cds'p LomAor Owner's Name: Phone #: u _ 39 is G ff L Contractor: Phone #: Fax #: - 2 5- - 5 t-tr Cupertino Business License #: Contractor State License #: -Z736 9 Contact: Phone #: -(,G / - zs7-y - d u S cd �-1- L;�-�-1�- ��� i b Fax #: 6 6 /- Z f5- STTG Building Permit Info: Bldg ❑ Elect ©--` Plumb Mech Residential [� Commercial ❑ Job Description: �<.Q�ac-� w1k1✓ �t�� Strapped 2- On Platform ❑ Bonded New Location ❑ Replacement Valuation: -Zpu U Green Building Check must be completed and attached to this application. Green Building Points achieved: CITY OF CUPERTINO WATER HEATER CUPEkTINO PERMIT APPLICATION FORM Quantity Fee H) Fee Description Fee Permit Type Group IPCWHEATR Commercial Water B PCWHEATR HeaterNent IBSEISMICOM Seismic Commercial B IPRWHEATR Residential Water B PRWHEATR HeaterNent IBSEISMICRE Seisnuc Residential B IPPERMITFEE Plumbing Permit P ITRAVDOC Travel & B Documentation IBUSLIC Business License B Single Family GreenPoint Checklist. date: 3 d� . Build It Greed The GreenPoint Checklist Is based on the Various green features Incorporated Into the home and is the Smart Solutions Fmm me Ground Up basis for the Greerl Rated program.A home can be considered green it I fulfills the prerequisites, . Hams at least 50 poems,and meets the minimum points per category:Energy a l st of Indoor d GualPoi �) Health(G),Resources(6),and ureter(S).Please contact Build It Green for a list of qualified GreanPoinl Raters If you are Interested In Pursuing thlyd-party verification. The green building practices listed below are described In the Now Home Construction Green Building Guidelines,available at www.bulltlitoreen om, ENTERJECT sME U S A 6178 U 7s^T Punts Available Per Measure 1.Protect Topsoll and Minimum Dismption M Existing Plants 6 Treas ❑ a Protect Topsoil from Erosion and Rause cher Construction 01 7 ❑ b.Umlt and Delineate ConsimcBon Footprint for Maximum Protection —p_..._. ----'--- `--- ��- ❑ 2 Daronina l Instead of Demolishing Existing Buildings On Site 0 3 3.Recycle Job Site Construction Waste(including Green Waste) ❑ a.Minimum 50%Waste Diversion by Weight(Recycling crRilka),Requimtl 0 _R E] b.Minimum fi5%Droersionby h(R Weight or Reuse) .._.— ❑ c.Minimum BD%Diversion by Weight(RecyrJing or Reuse) - - "---___ 2 0 1.Use Recycled Content Aggregate(Minimum 25%) 2 ❑ a.Walkway and Driveway _0 1 El b.Roadway Base — _-- "_ -- — D i Total Points Available In Site.12 0 B.FOUNDA77ON Points Available Per Measure 1.Replete Portland Cement in Concrete with Rerycletl Flyech or Slap Ela.Minimum 20%Flyash or Slag 0 7 El h.Minimum 25%Flash a Slag -' -------T---___ _ 2 Use Frost-ProteeLad Shallow Foundation in Cold Aram C.E.C.Climate Zone 16) 0 1 3 3.Use Radon Resistant Construction On At-Risk Locations Only) - 0 1 I 4.Design and Build Structural Pmt Controls ❑ a Install Termite Shields&Separate All Exterior Wood-toConcrete ConnSiblDni Metal or Plastic Fesleners/DNiders 0 b.All New Plants Have Tnink,Base,or Stem Located At Least 36 Inches from Foundation _ D 1 Total Points Available In Foundation=B D C.LANDSCAPING Points Available Per Measure . t.Construct Pesourco-Effiuent Landscapes ❑ a No Species Listed by edIPL Are Planted lPlat Sp b.No Placa Species Will Require Hedging ❑ C.75%of Plants Ars Dmughl-tderkm Cartlomia Natives,MedUnaneaq or Other Appropriate Species 0 I i 3 2 Use Firs-Safe Landscaping Techniques 0 1 3.Minimim Turf Areas in Landscape Installed by Builder ❑ a.All Tud Will Have a Water Requirement Less than or Equal to Tall Fescue(50.8 plant facUQ 0 I' �_ 2 ❑ b.Tud Shell Not Be Installed on Slopes Exceeding 10%or in Areae Less than B Feet Wtla p0 oD e — I ❑ c.Tud Is 533%of Landscaped Area(total 2 points) ❑ d.Tud Is 510%of Landscaped Area(total 4 pdni --._T--1^2 ❑ 4.Plant Shade Trees 0 3 5.Group Plants by Water Needs(Hydrozonin ) 0ffill B.Install High-Effidenry Irrigation Systems E] a.System Uses OnlyLoiDill Bubblers,or Low-lowSprinklersD[jb.System Has Smart Contrulers 07.incorporate Two Inches of Compost in Ne Top 6 to 121nches of Soil 0B.Mulch All Plantin Bede to the Greater of 2 Inches or Local Water Ordinance Requirement J 0LJ 9.Use 50%Selvaged or Recycled-Content Mal is for SD%of Non-Plant Landscape Elements 0 10.Reduce Light Pollution by Shielding F#urea motor Directing Light Downward 0 1 Total Points va In Landscaping=31 0 D.STRUCTURAL FRAME&BUILDING ENVBIAPR Points Available Per Measure 1.Apply Optimal Value Engineering \ - ❑ H Place Raters and Surds at 24-Inch On Center Framing (V( C\l/\I 0 ❑ b.Sae Door and Window Haddam for Lead 0 ❑ c.Use Only Jack and Cripple Studs Required for Load 0 I1 2 Use Engineered Lumber ❑ a.Beams and Haddam ❑ to Insulated Engineered Heatlers 7 ❑ c.Wood IJolsts or Web Trusses for Floors ❑ d.Wood Io for Root Refuse ❑ e.Engineered or Finger-Jomistl Studs for Vertical Applkalions ❑ 1.Oriented Strand Bcartl for SuMoor - G o 7 . _ ❑ g.Oriented Stand Board for Wall and Roof Sheathing 0 1 3.Use FSC-Cerlfied Wood V ❑ a Dimensional Lumber,Studs and Timber.Minimum 40% 2 E] b.Dimensional Lumbar,Studs and Timber.Minimum 70% -- ❑ c.Panel Products:Minimum 40% — — ❑ J.Panel Products:Minimum 70% —O 0 1 02D07 Build It Green Single Family GreenPoinl Checklist 2007 Version Page 1 of 4 r $ PROJECTENTER NAME s 4.Uss Solis Weli Systems(Includes SIP,,ICFs,a Any NomSdck Frame Assembly) ❑ a Floor 0 2 _ 2 ❑ b.Wells 0 2 2 ❑ c.Roofs 0 2 2- 5.Reduce Pollution Entering the Home from the Garage ❑ e.Tighty Seal the Air Bender between Garage and Living Area a ❑ b.Inssd Gere a Exhaust Fen OR Build a Defamed Garage 0 1 6.Desi n En Heels on Tr caua(75%of All Insulation Height st Oualds Etl a of Exterior Wa1Q 0 1 7.DW gn Pool Tmssss to Accommodate Ducial 0 1 &Use Reryeled;Content Steel Sada for 011%of Interior Wall Framing0 ] B.Thermal Mau Walht 511114nch Drywall on All Interior Wells or Wells Weighing more then 40 Wool D 1 10.Inslell Overhangs and GuOero . ❑ e.Minimum 15-inch Overhangs and Gutters _ _D__ _ ] ❑ b.Minimum 2a-inch Overran a and Guders D 3 Ta9I Poll Available In Strucluial Buffing Frame and Envelope=3B 0 E.EXTERIOR FINISH Points Available Per Measure 1.Use Rocyciedtuntem No Virgin Plasdcl or FSC.Certified Wood Docking 0 2 2 Install a Main Screen Well System 0 2 17 3.Use Durable and Nonoomhustible Siding Materiels 0 1 A.Salem Durable and Noncombustible Roofing Materiels D 1 2 TOW Points Avahuble In Extesor Finish=7 0 F.INSIULATION Paints Available Per Measure 1.Install Insulation with 75%Recycled Content ❑ &Wells an Nor FID= _ 0 ] ❑ b.Collings 0 3 2 Insall Insulation that Is Low-Emlang(Certified Secgon 01350) ❑ A.Wella and'or Floor 0 ] I ❑ b.CeRn U ❑ 3.Inspect Cully of Insulation Installation before Applying Drywall D 1 Tots]Points AvalleWe In Insulation=5 0 O.PLOMBING Points Available Pet Measure 1.Distribute Domestic Hol Water Efficiently(Maximum 7 Points) ❑ e.Insulate Hot Water Pipes hom Water Anter to Kitchen o ❑ b.Insulate All Hot Water Pipes 0 _ 1 ❑ c.Use Engineered Parallel Piping _0_ _ T ❑ d.Use Engineered Parallel Piping with Demand Cmirolled Circulation Loop _0 ❑ e.Use Structured Plumbing with Demand Controlled Clmulaoxi Loop —0 _ 7 _ _ _ _ 2 ❑ I.Use Central Core Plumbing 0 7 1 2 ❑ 2.Install Only High Efficiency Tcllea Dual-Flush or 51.26 qPQ 0 q Total Points Available in PlumbingTotal 12 0 H.HEATING VENTILATION @ AIR CONDITIONING Points Avallable Per Measure ❑ 1.Design and Install HVAC System to ACCA Manual J.D.and S Recommendation p 1 A 2.Install Swed Combustion Units ❑ IFurnaces 0 _ 2 1 1 ❑ b,Water Healer 0 2 3.Install Zones,Hydronlc Radiant Heading with Slab Edge Insulation 0 ] ! 1 4.Install High Efficiency Air Conditioning with Environmentally Responsible ReMgerants 0 1 1 S.Design and Install Effective Ductwork ❑ e.Install HVAC Unit and Ductwork within Conditioned Space _ 0 _ 1 _3 ❑ b.Use Dual Mastic on All Duct Joins and Seams _0_ ] ❑ c.Install Ductwork under All Insulation(Busted Ducts) ❑ d.Prssu a Balance the Ductwork System _ E] a. e.Protect Ducts during Consonction and Dean All Ducts balsa Occupancy Ej e.hoped High Efficiency HVAC Fiber(MERV 6.) 0 I ❑ 7.Don't Insall Fireplace or Install Suled Gas Fireplaces with Efficiency Hating Not Leas Than 60% 0 1 using CSA Standards B.Install Effective Exhaust Systems In Bathrooms and Kllehens ❑ e.Insall ENERGY STAR Bathroom Fens Vented to the Outside 0 ❑ b.All Bathroom Fane Are on Timer or Humitlisat 0 ❑ c,Install Kitchen Range Hood Vented to the Outside D 1 B.Install Meaner l Ventllal System for Cooling(Maximum 4 Paints) ❑ a.Install ENERGY STAR Calling Fes 5 Ught IOts In Living Areas 6 Bedrooms —0 ❑ b.Install Whole House Fan with Varsble Speeds _0 ❑ c.Automatically C nomlied Integral System _ 0_ 2 ❑ tl.Automatically Controlled Imagrsd Systsm with Variable Speed Control 0 3 10.Install Mechanical Fresh Air Ventilation System(Maximum 3 Points) ❑ a Any Whole House VanDagon System That Meeh ASHRAE B2.2 - _ 0 1 2 ❑ b.install Air-to-Au Heat Exchanger that meets ASHRAE 622 0 ] 2 11.Insall Carbon Monoxide Alarm(s) 0 1 Total Points Available In Hearing,Ventidatdon and All Conddionin =30 0 0 2007 Build It Green Single Family Smal l0i Checklist 2DD7 Version Page 2 of 4 ENTMJECT NAME i E w ¢ 3 I.RENEWABLE ENERGY Points Available Par Measure . 1.Pre-Plumb for Soler Hot Water Heading D 9 LJ reinstall Soler Water Heading m 0 10 9.Install whing Conduit for Futuro Photovoltaic Installafion a Provide 200 M of South-Facies Roof D 2 4.Install Photovoltaic(PV)Panels ❑ e.3D%m elednc needs OR 12 kW(fetal 6 points) 0 6 ❑ b.6D%m eiecMc needs OR 2.4kW(torsed 12 poimc) - p ----6 --- - - '-— ❑ c.90%of clecaic'need OR 3e kW(total 1 B points) 0 6 Tote)Avallade Points in Renenids Energy=2B 0 J.BUILDING PERFORMANCE Points Available Per Measure 1.Diagnostic Evaluations ❑ a.House Passes Blower Door Test 0 ] ❑ b.House Parches Combustion Safety Backdrafi Test 'p 2.Design and Build High Performance Homes-%above Title 24-minimum l5%Required 0 a30 ❑ 3.House Obtains ENERGY STAR with Indoor Air Package Certification-Pilot Measure Total 45 points:feed outsmart) 0 5 2 Total Available Points In Building Performance=39 0 K.FIMSHES Points Available Per Measure ❑ 1.Design Entryways to Reduce Tracked in Contaminants - 0 ] 2.Use Low-VOC or Zero-VDC Paint(Maximum 9 Pointe) ❑ a Lars VDC Interim WalUCCIIInp Paints(d0 go VOCs(Flet)and 050 0 VOCs(NonFRat)) 0 7 ❑ to Zv>VOC:Interior WaIUCBilln Paints(d go VOCs(Flap p -- ---g------ ❑ 3.Use Low VOC,Warted-Basad Wood Finishes(Q50 opt VOCs) 0 2 1 ❑ 4.Use Low-VOC Caulk and Construction Admalves(01)gpl VOCs)for All Adhesives 0 2 - ❑ 5. use Raryded4]ontem Paint 0 3 6.Use Environmentally Preferable Materials for Interior Finish:A)FSC Wood,6)Reclaimed,C)Rapidly Renewable,D)Recycled-Content or E)Flnger,lointed ❑ a.Cadnets(50%Minimum) 0 7 ❑ b.interior Tdm(50%Minimum) "- ❑ c,Shelving(50%Minimum) p 2 ❑ d Dom(50%Minimum) D e.Coumertoq(50%Minimum) 0 I 1 7.Reduce Formaldehyde in Interior Finish(CA Section 01350) ❑ e.Subfiom S Stair Treads(SD%Minimum) D ❑ b.Cabinets 6 CoumarWjs(50%Minimum) p 1 - ❑ c.Interior Than(50%Minimum) 0 1 ❑ d.Shaving(50%Mini mum) ❑ e.A/tar Inetalletion cel Finishes,Test of Indoor Air Shows Formaldehyde Level d7pPb 0 ( 3 Total Available Points in Finishes=21 0 L.FLOORING Points Available Per Measure 1.Use Environmentally Preferable Flooring:A)FSC-Cetlified Wood,B)Reclaimed or Refinished,C)Rapidly Renewable,D)ReryGed-Coment,E) Exposed Concrete,Flooring Adhesives Must Hare d50 gel VOCs. ❑ a.Minimum 15%of Floor Area 0 T 7 Elb.Minimum 30%of Floor Area p- - —���—�-_i ❑ c.Minimum 50%mFloor Area 0 "_T —I _ 1 ❑ d.Minimum 75%of Floor Area 0 ! 1 El 2.Thermal Man Floors:Floor Covering Other than Car et on 50%or More of Comm ma Floors 0 1 ❑ 3.Flooding Meets Section 01350 or CRI Green Label Plus Requirements(50%Minimum) 0 i 1 2 Total Available Points in Flooding=7 0 M.APPLtA1VCES AND LIGHTING Points Available Per Measure 1.Install Water and Energy Efficient Dishwasher ❑ e.ENERGY STAR(iota)1 point 0 _ {I-1 i- _ ❑ b.Dishwasher Uses No More than 6.5 GanonsfC cls total2points) 0 1 2.Install ENERGY STAR clothes Washing Machine with Water Factor of 6 or Less ❑ e.Meets Energy Star and CEE list 2 requirements(mciffed energy factor 2.0,Water Factor 6.0)(Imal 3 Points) 0 1 2 ❑ b.Meats Energy Star and GEE Tier 3 requirements(modified energy factor 22,Water Fact 4.5 or less) p 2 -- total s points) 3.Install ENERGY STAR Rehigoreter ❑ a ENERGY STAR Oual0ed d<25 Cubic Foot Capacity 0 1 1 ❑ b.ENERGY STAR Qualified&<20 Cubic Feel Capacity p -- 4.Install Built-In Recycling Center 0 ❑ a Buld-In Recycling Center 0 ❑ b.Built-In Composting Center 0 T 1 Total Available Points in Appliances and U hdn =12 0 N-OTHER Points AQ11ahle Per Measure ❑ 1.Incorporate GremPoint Rated Chscklid in Blueprints-Required 0 .R ❑ 2.Develop Homeowner Manual of Green FeeNrnlBenefits 0 1 1 1 1 3.Community Design Measures a Lout Priorities:See the Community Planning 6 Design section In Chapter 4 of the New Home Guidelines fm measures.Maximum of 20 paints for suggested measures.Local requirements may also be listed here. 02DD7 Build It Green Single Family Gres int Checklist 2007 Version Page 3of4 IEEE a ENTER PROJECT NAME ❑ -_Enter description here,and error points washable for meum in alLropleh centipedes to the right 00 a D 0 0 Enter demplMn hon,and enter points evdlehh 1d m M M ap MMW utegesu to Ms oiled. 0 0 D 0 0 Enter da"jorn herb,and enter points available far nates In appgfhats Caiegehe to the right. D 00 0 Enter dweojoir hare,end enter points available for meeean In appropriate Cangodee to Ma right 0 0 0 D 0 0 4.innovation:List Innovative measures that meet the green building objectives of the Guidelines.Enter up to a Build h Green Checklisis and maximum combined total of 20 cts.Sea Innovation Checklist for suggested measures,using he link to the right. Guidelines _ innovation M community:Enter tleoe on Mn,end emer b rvasaW le meuun M ts ce ro me - 0 0 0 0 D 0 Innwailcn M Fs .Erdn da Ion hare,and enter b available for muoun In uh cera oriel ro Me _ 0 0 0 0 0 0 Innwallon In IAOMuIM;Enter desm on here,and enter points available la measure In ate con aloe to me right, _ D 0 0 D -0 0 Innovation In Pe touron:Enter description here,and enter points avellable le mauve M to cats es to Med 0 0 0 0 0 a I EJ Inn_waaon M Webr.Enter dmctpam h_en,_end enter poem available he mueun m e{papdeh uhpeim to the dgrr. _0 0 0 0 0 0_ Told AveOule PointsIn 0lher 0 Summary Total Available Points In Specific Categodes' 4+ 96+ 42+ 66+ 43+ Minimum Points Required In Specific Categodes 0 30 6 6 9 Dial Points Achieved 1 1 1 1 1 1 Project has not yet met the following recommended minimum requirements: - Total Project Score of At Least 50 Points -Required measures: -A3a: 50% Ivaste diversion by weight J2: 15%above Title 24 -N1:Incorporate GreenPoint Rated Checklist into blueprints -Minimum points in specific canecorles: -Energy(30 points) -IAQ/Health(5 points) - -Resources(6 points) •Water(9 points) 02007 Build It Green Single Family GreenPolm Checklist 2007 Version Page 4 of 4 Community Development 10300 Torre Avenue r' !,1i• Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 �UPERTINO Building De artment JOB ADDRESS: PERMIT # ilg5ti cpry. � a �, 6 '> 0036 OWNER'SNAME: PHONE # Uoi - 31/— eW— GENERAL CONTRACTOR: r pp(jlL Ljh l - k--J FAX # I am not using any subcontractors: Signature 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 Owner/Contractor Signature Date