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08010155 CITY OF CUPERTINO �s ,g� .�hs��eaa•nk ifr�t%Tg�'+� -"' `"• �' - BUILDING DIVISION PERMTT Vlly�ryl\t� ""P1QLw-1t`rO �� • BUILDING ADDRESS: PERMITNO. 22824 LONGDOWN RD ALL VALLEY PLUMBING 08010155 GORDONIR S NAME: PERMIT ISSUE DATE GMOON 3345 SELDON CT 01/28/2008 PHONE: SANITARY NO. CONTROL NO. (510) 376-4816 ARCHITEC(ENGINEER: BUIIDINO PERMITINEO BLDG ELECT PLUMB MECH (� 0 zea, 00 LICENSED CONRIACDECLARATION I thereby affirm the 1 am 1'tcenac0 unJnder cr Provision of Chapter 9(commencing lob Description nZj with SucllonTOM)ofDlviele.WdCBass.and ProfessionsCoda.andmylicense I. WATER HEATER REPLACEMENT so full force and IT 9 Z License Clai Lle.R �1- Dam TS DECDECr eo ARCHITECTS LARATION J ,C I untlenunJ my Plum still bo used u public mmrN x�U G Licensed Professions a,5 OWNER-BUILDER DECLARATION Com ION COO Wmhy alum Nati 1. exempt from Betier Conuamoo License law far he COO following rescan.(Section)031.5,Business and Profd a oti Code:Any dry or county u$ which its jma•peanut re cnnwthe smr,nt for su hCmrraili me,sir any struigood ummum -j} pat he isscensed C,aWlstto me dM applicant far Connch emit mfilel Law(Chapter < msthmniin&w]Lpu gon7"the)o(DiC ion3NCConusi hmLice=miomhaptm9 Sq.Ft. Floor Area $350 Valuation e F_ (comm is este wiN Serefrom n d of Division 3 of We egeineu,nd.AnyoAt ladon ser 3 5 0 that W r 31.5 b therefrom and dte aper for Ne alleged exemant to Any it penalty of Smdm mom than five soyrdapplicant for apemitsubjecs the applicmm,mvll pensltya( Number Occupancy Type �t mom man five bonarea aeLlua(ssom. 3 4 2 3 3 0 0 6�� ❑1,u owner of the pmpeny,or my employepe with wages as their sum compensation, will do the work,and the structure is not intended or offered for sale 7044,Busnw Required Inspections uW a For l Code:The Commoner License Law does tet apply m,n owner of q P property who builds or improm memnq end who does such work himseif or throng s his own employces,provided that such Improvemenu and notimendW oroRered for We.If. however,the building or Ireprow it m is sold within ane year of ourepletion,the owns- builder will have the haadan of proving mat he did tet build or Improve for purpose of sale.). ❑1,as awuer of tae property,am exclusively convecting with licensed ronvanmn to construm the project(Sec.7044.Business and Professions Cods:)The Comracmr,U. cense law does not apply to an owner of property who Wilda or improm themon,and wW eamncs for mch projem with a mnwelo(O licensed punuam to the Conuacmes License Law. (]I ser cscmpt under See ,B R PC for err mown Date WORKERS COMPENSATION DECI-ARAT10N 1 hereby affirm under imea ty of perjury one of Use following deelsradons: I ravelled will malmaina Cmull.teaf Camemmself-Insure fmthle eta Clamper, titian,u provided for by Section 3700 of the Labor Code,far the performance of dm work for which this permit is aimed. ❑1 haw and will maintain WorW3 Compensation Insuran¢,u required by Schon 3700.(the Lobar Code.far me performance ofine werk(.,which this Mouth is laved. ' My Worker's�Compensation Inursnce carrier and Policy number art: Carrier: + A 6 Polity O W ER yo1 RTIFIGTE OE E%EMP110N FROM WORKER COMPENSATION INSURANCE This rection ceed not he completed if me permit is(eras hundred dollars(SIM) or las) I cenify that in the perromance of But work for which this penult is Issued.I Nall not employ any person In any manmrm as to become subject in the Worker)Compensation Law,of California.Date Applicant NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should become subject m the Workers Compensation provisions;of the later,Code,you most .,O raMwith comply with such previsions or this permit shall W dm eeed mated. . Z " CONSTRUCTION LENDING AGENCY (-nom Ilmrebyalllm Belt mem racmswmlnn lending agency for the mforsorm.f a ti the more for which the pemlt Is issued(Sac.3097,Civ.C.) aaQ Lender's Nurse , z Lenders Adders U 0 1 cenify mat I haw mad this application and sum thin Ne above information Is LU F cones 1 agree to comply with all city and county aminsmx,and ions law,miming to 0 V building convection.and hereby amhodra repmsenUlim of this city to enterupnn tW Ln sbow-mendmud property for Inspection purposes (We)agree to pew,indemnify and keep hamlepe the City of Cupertino against y limilitim.judgmenm.eosu and expenses which may in any my aeceveg,insuid City U Z in eonaequence or the granting of this permit. ti APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date —LTJ SOURCE RE tSk�i9I�� Re-roofs Signature of ApplicantiConuucmr Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Willy the Cupertino a future ipal Code. Chaptatoro .and th IHeallou materis dented io the 32(.)? Munici W I Code.Chapter 9.1x,and the Health and Safety se�ti�nxss3x(,n ❑Yns ONO All roofs shall be inspected prior to any roofing material being installed. Will the applicant or future Wilding occupant use equipment per dcvlm which If a roof is installed without first obtaining an inspection,.1 agree to remove emit hanrd.us air conuminanm as defined by the Bay Area Air Quality Management all new materials for inspection. Dis icR ❑Yea ON. I hew mad the huammssmamrlarrequiremems under Chapmrd.95 olive Califon. -is Health h S Pity Cade Sccdmu 2550.5,25533 sm125534.1 understand thatlftW Wilthng Jacs not cunni that It 4 my rtaponsihllity m notify me oceupans of the requlrahlehmus a issuance of a Certificate Of a ry. Signature of Applicant Date -� o�"fZ�f Owner ar.amanec .sent - bate r All roof coverings to be Class"B"or better CITY OF CUPERTINO ---- , ; -----__--- --`WATER HEATER- ----------- ®cuPE7"Ofl N 0 PERMIT APPLICATION FORM �APN# /� _� � � � Date: 7 Building Address: 1 Owner's .Name: Phone #: � 3 Cont ctor: Phone #:$lD lQ�e/-1D9� Fax #: 6/D ��l D 9 7 ? f upertino Business L ense #: Contractor.State License #: .ontact: Phone #: ®+ Fax#: Building Per it Info: {j Bldg ❑ Elect El Plumb [ Mech ❑ 1 ResidentialCommercial ❑ I � Job Description: G� ' Strapped On Platform Bonded New Location ❑ Replacement _ I Valuation: ® 1 Green Building Check must be completed and attached to this application. Green Building Points achieved: . CITY OF CUPERTINO ,. WATER HEATER .,cl OF CUPEkTINO PERMIT APPLICATION FORM Quantity Fee ED Fee Description Fee Permit Type Group 1PCWHEATR Commercial Water B PCWHEATR Heater/Vent 1BSEISMICOM Seismic Commercial B 1PRWHEATR Residential Water B PRWHEATR HeaterNent 1BSEISMICRE Seismic Residential B 1PPERMITFEE Plumbing Permit P 1TRAVDOC Travel & B Documentation 1BUSLIC Business License B Single Family GreenPoint Checklist date: Z Build It Greed 4SmaRSolutions From The Ground U The GreenPoint Checklist is based on the various green features Incorporated into the home and is the `— p basis for the GreenPoint Rated program.A home can be considered green if it fulfills the prerequisites, - I ® Hams atleast 50 points,and meats the minimum pointsper Buld It Green Energyst of Indoor Air Oually FI Health(5),Resources(6),and Water(S).Please contact Bulltl I(Green for a list of qualified GreenPoint Raters If you are Interested in pursuing third-parry verification. The green building practices listed below are described in the New Home Construction Green Building Guidelines,available at www.butditoreen om, ENTER PROJECT NAME a c A'6Pf& t,Protect Topsoil and MiPoints AVallable Per IMeesure nimize Disruptlon of Exicting Plants 6 Trees ❑ a.Protect Topsoil from Erosion and Reuse atter Construction 0 3 1 ❑ h.Limn and 091111111031150100 Footprint for Maximum Protection - 2.Deconstruct Instead ofDemolishing Exisfing Buildings On Site 0 I 3 3.Recyzie Job SIM Construction wade(Including Green weeks) ❑ a,Minimum 50%Waste Diversion by Weight(Recycling or Reuse)-Required 0 R ❑ to.Minimum 65%Diversion by Weight(Recycling or Reuse) 0 ❑ c.Minimum B0%Diversion by Weight(Recycling or Reuse) 2---- 4.Use Recycled Content Aggregate(Minimum 26%) ❑ a.Walkway and Driveway El b.Roadway Base --_ Total Points Available in Site=12 0 H.FOUNDATION - Points Available Per Measure 1.Replace Portland Cement in Concrete with Recycled Flyash or Slag ❑ a.Minimum 20%Flyash or Slag - 0 ❑ b.Minimum 25%Finish or SlagD ( 1 2.Use Frost-Protected Shallow Foundation in Cold Areas(C.E.C.Climate Zane 15) 0 3 ! ❑ 3.Use Ratlon Resismnt Construction on At-Risk Locations Only) 0 1 4.Desrgn end Bmltl Structural Pest Console ❑ a,Install Termite Shields&Separate All Exterior WOD140-Concrete Connections Metal or Presto Fastenary Divitlers b.All New Plants Have Trunk,Base,or Stem Located At Least 36 Inches from Foundation 0 ! 1 Total Points Available In Foundation=a 0 C.LAND6Ons"Ot 3 Points Available Per Measure • 7. a.nstracl Res ource-EffclentyCq-IPCAr ❑ e.No Invasive Species Listed by Cal-IPC Are Planted 0 ❑ b.No Plant Species Will Require Hedging ❑ c.75%of Plants Are Drought-Mlaram California Natives,Mediterranean,or Other Appropriate Species 0 ! 3 ❑ 2.Use Fire-Safe Landscaping Techniques 0 1 3.Minimize Tud Areas in Landscape Installedby Builder ❑ a.All Turf WWII Have a Water Requirement Less than or Equal to Tall Fescue(50.8 plant factor) 0 ❑ b.Tud Shall Net Be Installed on Slopes Exceeding l0%or in Areas Less than B Feet Wide 0 ❑ c.Tuff is S33%of Landscaped Area(total 2 points) "'"0 - ❑ d.Turf Is 90%of Landscaped Area QoMl 4 points) — -�i-'---=--- --2- D ❑ 4.Plant Shade Trees 0 ❑ S.Group Plants by Water Needs(Hydrozoning) 0 2 S.Install High-Efficlency Irrigation Systems ❑ a.System Uses Only Low-Flow Drip,Bubblers,or Low-flow Sprinklers _ E] b.System Has Small Controllers 0 0 � i i 3 ❑ 7.Incor orate Two Inches of Compost In iha lop 6 to 121nehes of Boil 0 ! ! 3 E] 6.Mulch All Planting Beds to the Greeter of 2Inches or Local Water Ordinance Requirement 0 ! ! ! 2 B.Use 50%Salvaged or Recycled-Content MaterialS for 50%ot Non-Plant Landsi Elements 0 1 ❑ 10.Retluce Light Pollution by Shielding Fixtures andlor Directing Light Downward 0 1 ! TOM[Polnts Available In Landsmpin =31 D D.91'ltUCTURAi,FRAME ffi ND ENVELOPE Points Available Per Measure 1.Apply Optimal Value Engineering ring ❑ a.Place Rafters and Studs at 24-Inch On Center Framing - 0 ❑ b.Slza Door and Window Headers for Load - -._ I _—�__-_I 1 � ! ❑ c.Use Only Jack antl Cripple Studs Required for Load 0. 2.Use Engineeretl Lumber ❑ a.Beams and Headers 0 ❑ b.Insulated Engineeratl Headers —0 ❑ C.Wood lJoists or NO Trusses for Floors ❑ d.Wood l-JetaM for Roof Rafters 0 _I ] E] e.Eirpeered or Finger Jointed Studs for Vertical Applications 0 E] L Oriented Stand Board for Subnoor - - - -----I-- --- ❑ 9.Oriented Shantl Board for Well and Roof Sheathing 0 T i i 1 i ® 3.Use F Dimensional Lu Wood — ❑ e.Dimensional Lumbay Studs and Timber.Minimum 40% 0 3 ❑ b.Dimensional Lumber,Studs and Timber.Minimum 70% " ❑ c.Panel Products:Minimum 40% - D --- - ! - 2 - ❑ d.Panel Products:Minimum 70% 02007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 1 of 4 J n � ENTER PROJECT sME U@€ y S 4,Un Solid Well Systema(Includes SIP&ICF&,&Any Non-Stick Frame Assembly) r2 ❑ e.Flom _0_ ❑ b.Wells 0 _ 2 ❑ c.Roof 0 2 2 -- 5.Reduce PDI1W on Entering the Home from the Geroge ❑ a.Tightly Seal the Air Barrier between Garage and LNing Area _0 ❑ to Install Garbage Exhaust Fen OR Build a Dail Barrage 0 1 6.Desi n Energy HMI1 on Trustee(75%of Attic Insulation Height at Outside Ede of Edefor Wall 0 1 ❑ 7.Deaf nRiab Trunnto Accommodate DaCLLBork 0 1 S.Use Recycladdontant Steel Studs for 9D%of Interior Well Framing 0 1 e.Thermal Men Wells:BVHnch Drywall on All Interior Wells or Wells Weighing more than 40 IWcu.fl. 0 1 10.Install Overhangs end Gunn ❑ a.Minimum l&Inch Overhangs and Gutter _0 _. _ _ 1 .. ❑ b.Minimum 24-Inch Overhangs and Gutters 0 ] Total Polnte Available In Structural Building Frame and Em a=35 0 E.EXTERIOR FINISH Pointe Available Per Measure 1.Use Rec)cled-Contort(No Virgin Piratic)or FSCCartified Wood Decking 0 2 2,Install a Rain Scream Weil System 0 1 2 &.Use Dumble and Noncombustible Siding Materials 0 I , 1 El 1.Select Durable and NoneambusUble Roofing Material& 0 2 Total Points Available In Exterior Finish=7 0 F.INSULATION Points Available Per Measure 1.Install Insulation with 75%Recycled Content ❑ a Wells endfor Flom 0 ❑ b.Collins —0 - — - 1 —2.Install Insulation that Is Low-Emitting(Cerdfied Section 01350) ❑ .a.Wells antllor Flom 0 ❑ b.Callings 0 1 ❑ 3.Inspect Duality of insulation Installation before Applying Drywall 0 1 Tool Points Available In Insulation=5 0 G.PLUMBING Points Available Pat Measure i,Distribute Domestic Hol Water Efficiently(Maximum 7 Point&). ❑ a Insulate HM Water Pipes man Water Healer to KOchan 0 ❑ b.insulate All HM Water Pipes o ❑ It.Use Engineered Parallel Piping 0 ___ — _ __—4. _ ❑ d.Use Engineered Parallel Piping with Demand Controlled Circulation Loop 0 ❑ e.Use Matured Plumbing with Demand Controlled Cimuleflon Loop __2_ ElL Use Central Core Plumbing 0 1 _ rt 1 2 ❑ 2.Install Only High Efficiency Toilets(Dual-Flush or 51.25 f) 0 4 Total Points Available In Plumbing=Tmal 12 0 H.MUTING VENTILATION&AHt CONDITIONING Polnf Available Per Measure ❑ 1.Design and Install HVAC System to ACCA Manual J,D.and S Recommendations 0 4 2.Install Sealed Combustion Unita ❑ b.Water HeatM 0 2 3.Install Zonetl,HydhDnic Radiant Heating with Slab Edge InGUIMIDn 0 1 ! 1 Lj 4.Install High Efficiency Air Conditioning with Envlronmenolly Responsible Refrigerants 0 1 I 5,Design and Install Effective Ductwork ❑ a.Install HVAC Unit and Ductwork within CDnd10Dned Space 0 _1 3 _ ❑ b.Use Duct Mastic on All Duct Joints and Seems 0 _ 1 ❑ c.Install Duchvork under Attic Insulation(Buried Ducts) --0 - _ 1 ❑ d.Pressure Balance the Ductwork System 0 I._1 ❑ e.Protect Ducts during Construction no Clean All Duma before Occupancy 0 1 _i LJ e.Install High Efficiency HVAC Filter(MERV Be) 0 1 ❑ 7.Don't Install Fireplace or Install Sealed Gas Fireplaces with Efficiency Rating Not lees Than 60% 0 1 using CSA Standards B.Install EfIl Exhaust Systems In Bathrooms and Kitchens ❑ e.Install ENE93Y STAR Bathroom Fans Vented to Ins Outside 0 ! !_1 _L�_ _ [j b.All Bathroom Fans Are on Timer w l Hurni 0 __ 1 ❑ c.Install Kitchen Range Hood Vented to the Outside D 1 9.Install Mechanical Ventllatiun System for Cooling(Maximum 4 Points) ❑ a.Install ENERGY STAR CBIflnp Fane S Ught Klb In Living Areas 5 Bedrooms 0 F-1 b.Install Whole House Fen With Variable Speeds _ r ❑ C.Automatically Controlled Integrated System _ 0 _ 2 f--__ ❑ d.Automatically Controlled Integrated System with Variable Speed Control 0 3 1 D.Install Mechanical Fresh Air Ventilation System(Maximum 3 Poinm) ❑ H.Any Whole House Ventilation System That Mesta ASHRAE 62.2 _ 2- _ I 2 ❑ b.Install Air-to-Air Heat Exchanger that meets ASHRAE 82.2 0 1 2 11.Install Carbon Monoxide Alermis 0 1 Total Points Available In Heading,Ventilation and Alr CondiOonln =3D 0 0 2007 Build It Green Single Famlly GreenPoint Checklist 2007 Verslon Page 2 of 4 r t PROJECTENTER = � e I.RENEWABLE ENERGYLj _ Points Available Par IAeasure 1.Pro-Plumb for Soler Xot Water Hearin p q L Install Soler Water HW9nq System 0 10 3.Install Wiring Conduit for Future Photovoltaic Installation A Provide 200 iP of South-FacingRoof 0 2 4,Instull Pronominal:(M Panels ❑ e.30%of electric needs OR 12 kW(regal 6 points) 0 6 ❑ b.00%ot electric needs 08 2.4kW(Intal 12 points) p — 6 — ❑ C.90%01 electric need OR 3.6 kW(total 16 points) p 6 Total Available Points in Renewable Energy=23 0 J.BUILDING PERFORMANCE Pdmts Avellable Per Measure 1.Diagnostic Evaluations ❑ e.House Passes Blo law Door Test p q ❑ b.House Passes Combustion Surely Backdraft Test p 7 —72- Oeagn and Build High Performance Homes-%above rile 2l•minimum 15%Required 0 >_30 ❑ 3.House Obtains ENERGY STAR with Indoor Air Package Unification-Pism Measure(Tota 45 points;read comment) 0 5 2 Total Available Points in Building Performance=39 0 H.FINISHES Points Available Per Measure ❑ 1.Design Entryways to Reduce Tracked in Containment; p 1 L Use Low-VOC or Zero-VOC Pant(Maximum 3 Points) - ❑ a.Low-VOC Interior Wall/Calling Palmer(d0 gp VOCs(Flay and<150 0 VOCs(Non-Flat)) 0 ❑ b.Zero-VOC:Interim WelllCelin Paint <5 gill VOCs(Flat) p g ❑ 3. U's Low VOC,Water-Raced Wood Finishers(425D g VOCs) 0 2 ❑ 4.Use Low-VOCCaulk and Construction Adhesives I<n got VOCs for All Adhesives 0 2 ❑—56"Rerycied-Content Paint 0 1 ; S.Use Environmentally Preferable Materials for interior Finish:A)FSC-Certified Wood,S)Reclaimed,C)Rapidly Renewable,D)Rect ded-Content or E)FlngerJolnted ❑ a.Cabinets(5D%Minimum) p 1 ❑ b.Interior Trim(50%Minimum) 0 ❑ c.Shelving(50X,Minimum) p - ❑ d.Doors(50%Minimum) p - _ — ❑ a.Coumerh S 50%Minimum 0 7.Reduce Formaldehyde In Interior Finish(CA Section or 35D) • ❑ a Subl'oor A Sour Treads(50%Minimum) pT— ❑ to.Canners A Coumenaps(50%Minimum) 0 7 ❑ c.Interior Trim(50%Minimum) 0 ❑ d.ShalAn 50%Minimum 0 1 ❑ &Afro Installation of Finishes,Test of Indoor Air Shows I'Dinmaidehyde Level Q7ppb 0 1 ( 3 Total Available Points In Finishes=21 0 L.FLOORING - Points Available Per Measure 1.Use Envlmnmentally Preferable Flooring:A)FSC-Cenified Wood,B)Reclaimed or Refinished, C)Rapidly Renewable,D)Recycled-Content,E) Exposed Concrete.RoodngAdhesives Must Ham d0 got VOCs ❑ a.Minimum 15%of Floor Area 0 7 ❑ d Minimum 30%of Floor Area 0 ❑ C.Minimum 50%of Floor Area 0 El d.Minimum 75%a Floor Area __' 0 1 ❑ L Thermal Masa Floors:Floor Covering Other than Carpet on 50%or More of Concrete Floors 0 1 1 1 11 ❑ 3.Flooring Mesta Section 01350 or CPI Green Label Plus Requirements(50%Minimum) 0 1 1 2 1 Tout Available Points in Flooding=7 D M.APPLIANCES AND LIGHTING Points Available Per Measure 1,Instal Water and Energy Efficient Dishwasher ❑ e.ENERGY STAR(total f point 0 ( 1 ❑ b.Dishwasher Uses No More than 6.5 Gallon a total2 points) 0 ( 1 L Install ENERGY STAR Clothes Washing Machina with Wafer Factor of 6 or Less ❑ a.Meets Energy Star and CEE Tear 2 requirements(modified energy factor 2.0,Water Factor 6.0)(total 3 points) 0 _ 1_ 2 El b.Meets Energy Star and CEE Tier 3 requirements(modned energy factor 22,Water Factor 46 or less) 1 totalspoints) 0 ( 1 3.Install ENERGY STAR Refrigerator ❑ a.ENERGY STAR Qualified&<25 Cubic Feet Capacity 0 7 1 ❑ b.ENERGY STM Qualified&<20 Cubic Feet Capacity 0 1 I.Install Built-In Recyclin Center p ❑ a.BUIO-In Recycling Center 0 ❑ b.BuliHn Composting Center 0 ( 1 Total Avallane Point In Appliances and U htin =12 0 N.OTHER Points Available Per Measure E] 1.Incorporate GreenPotill Rated Checklist in Blueprints-Required 0 R ❑ L Develop Homeowner Manua of Green FeeturcJBa0efits 0 I 1 1 1 1 3.Community Design Measures A Local Priorities:See the Community Planning&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. 0 2DD7 Build 11 Green Single Famlly GreenP0lm Checklist 2DD7 Version Page 3 of 4 f a $ ENTER PROJECT NAME E EMer downlption here,and ante maria avallable la measure In opproptae catapales Io the right. 0 D 0 0 0 p Ease desctip0on hen,and enter pane ovalleWe for meetum M appropriate oategales to the tight. 0 0 0 10 EMs deecr¢tlon part,and enler pane ava0eoe fa institute In atprtpsau te epeiee rte the rlpM. 0 0 0 0 0 ❑ EMer deeaiption hen,antl anter pane available fa measure in eppropriale categories to the right. _ 0 0 0 0 0 0 4.Innovation:Ust innovative measures that meet the green bullding objectives of the Guidelines.Ester up to a Bulltl h Green Checklists antl maximum combined total of 20 pts.See Innovation Checklist for suggested measures,using the link to the right. _ Guidelin_ es _ Irinwellon In Corprinunitic Enter dos ion here,and anis points ovalloble fa measure In appropriate categories to the righL 0 0 0 0 Innovation In En :Ener tl 'on ham,end enter evalaae la moo"in a con w to the t. 0 0 0 0 0 0 Innovellon a IACMWth:Enter de Mm,and WK evellede f s measure e e coo to the d 0 0 D o 0 0 Innwelim n aesouren:EMer da here and enter avelaae la measure a e cal ones to me right, 0 0 D 0 0 D I LlInnwellon In Watx;Enter, al than hem,an enter po nb lease fa measure In appmpriete calepodee la the rlpM: m 0 0 0 0 0 Tool AvalleMe Pantsin 41her. iSummary Total Available Points In Specific Categodes' 4+ 96+ 42+ 66+ 43+ Minimum Points Required In Specific Categodea 0 30 5 6 g Achieved e e e e e Project hits not yot met the following r ismmarsdod minimum requiramentst -Total Project Score of At Least 50 Points -Required measures: -A3a:50%waste diversion by weight 42: 15%above Title 24 -Nl:Incorporate Green Point Rated Checklist Into blueprints -Minimum points In specific categories: -Energy(30 points) -IAQ/Health(5 points) -Resources(6 points) -(Nater(9 points) • 0 2007 Build It Green Single Family GreaDPoInt Checklist 2007 Vemlon Page 4 of 4 ® CITY OF CUPERTINO 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 34233006 . 00 DATE ISSUED. . . . . . . : 01/28/2008 RECEIPT #. . . . . . . . . : BS000003783 REFERENCE ID # . . . : 08010155 SITE ADDRESS . . . . . : '22824 LONGDOWN RD SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER GORDON MOON ADDRESS- . . . . . . . . . . : 22824 LONGDOWN RD CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : ALL VALLEY PLUMBING - CONTRACTOR . . . . . . . : MARY SANDBRINK LIC # 23015 COMPANY . . . . . . . . . . : ALL VALLEY PLUMBING ADDRESS 3345 SELDON CT CITY/STATE/ZIP . . . : FREMONT, CA 94539 ® TELEPHONE . . . . . . . . : (510) 376-4816 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ------ ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 350. 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 1TRAVDOC FLAT RATE 1 . 00 40.79 0. 00 40 .79 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 106 . 56 0. 00 106 .56 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 106 . 56 , 48441 --------------- TOTAL RECEIPT 106 . 56' ;' .: VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 518 WATER HEATER Community Development _ 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 VCITY OF Fax(408)777-3333 kTINO Building De artment JOB ADDRESS: PERMIT#D CO / oz5 OWNER'S NAME: PHONE# Q GENERAL CONTRACTOR FAX # I am not using any subcontractor . Signature Date Please check applicable subcontra rs and com lete the following information: hd 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