08080153 CITY OF CUPERTINO
BUILDING DIVITON PERMIT eCOLN1TI2.�C.TQR I1�TFURMATI N`s
BUILDING ADDRESS: PERMIT NO.
1.9991 M[;RRITT DR TBD - TO BE DETERMINED 08080153
OWNER'S NAME: PERMIT ISSUE DAIS
slrrve LIEU 08/20/2008
NE SANITARY NO. CONTROL NO,
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG 0 I� PLUMB MECHO
300 LICENSED CONTRACTOR'S DECLARATION
OFI hereby afRrm that 1 me financd undo provisions of Chapter 9(commercial, Job Description
with Section 70(10)ofOlvislim Sar don Students and Praressi.Code.aW in,"coeu POOL DEMO
r❑� in full force and effacL
DLlZ License Cl a Lac, NEW WORLD CO. HAS BSL #29479
Dam Corcmr
m
A CHMCI'SDEC" TON
I unmratsnd my plans shall be used a public rteorde
G
Suds Licensed Professional
gy3 OWNER-BUILDER DECLARATION
4 g I hereby 4MM that I am exempt from one Comracmr's License Law for the
i o O following reuon.(Section 703 1.5,Business and Pmfessine,Cade:Any city or county
3$ which nmulm a Permit to construe,alter.improve.demolish.or repair any strootum
iy prior to its iuusece.ahu requires the applicant for such permit to file a signed statement
< that he isliceucdPurananttathe Provisions ofthe Cantmcter'aL¢eQLow(Clupmr9 Sq. Ft. Floor Area Valuation
�g (co romancing with Section](00)of Division 3 nide Business and Profanation Cow)or $8000
5- mat M b eampt therefrom and the basis for the alleged eonmption.Any violation of
Sudan 70315 by any appllunt for a Permit mbjcc s the applicant m a civil penalty of Number Occupancy Type
ml ream main five bandrad dollars($5= 31630071 .W
d.7 L u awnu of Nn property,ser my employm with wetness meirsole cempentidon,
will m the work and thimuictme ianatinaaded oraRered formis(See.10x,Business Required Inspections
and Professions Cade aomtc
TCmr's Li^"—raw, s m e deoat apply an owonr of q P
property who builds m impmw msreor,and who doessuch work himself or tiuough his
awn employes,provided that such improvements me not Intended arafemd forale.f,
however.the building or impmwment is sold within a.yes,of complmms.W cner-
builder will have Ne banker of Proving that he did ret Mid or improve fa purpose of
ale.).
❑1.u awner of theProperty,am uelvalvely com ucting with licensed enmsetwo m
matron de project(sec 7010.Suinm and Rofessios Cade)The Cc oeactur's U.
cam law dos not apply to on owner of p.,ny who builds or Improves meteor.and,
who mmem for such projects with a contractors)licensed pursuant In the Conmentooi
License law.
❑IamucmPlurdersee .B&PCrmmbmawn
Owner Dale
WORKER'S COMPENSATION DECLARATION
1 hereby of=under pnWty,of perjury om of the fallowing declumou:
I have and will maintain a Certificate of Carsem an air-him,far Waher'sCompen-
131YIn
on,u provided fm by Seedon 3700 of the Labor Cade,for the performance of Ne
h for which thio Permit u issued.
I have and will maintain Wmaer s Compensation Insurance.u acquired by Semon
of me Labor Code,for the perfarmame of the work for which this permit is Wood. '
Worker's Compeenn"tion wo oance carrier and Policy number are:
nis. /-S 7u Polley No.:
a 71 CAE AE OF PREM MON FROM WORKERS'
COMPENSATION INSURANCE
('fhb section aced ret W completed f the pewit is foram hundred m0ara($100)
as was)
I certify mat in the performance of the wart for which this perelt b Issued.I ohatl not
employ any Person in my rat!; s a;become anbjecI on the Work.,CompeuW.
Laws of Califamia.Dam
Applicant
NOTICE TO APPLICANT:If,alter making this Certificate of Exemption,you should
baemoe abject m the Wortr s Compensation Provisions of the labor Code,you mine -
.,0 forthwith comply with such i mwidau m this permit shall he deemed mated.
'Z� CONSTRUCTION LENDING AGENCY
Qi Bre wartherebyitlryithb��rt is ecam usemn lending agency for tie pefernmecm
Permit b issued(sec.309'1,Cir.C.)
aQ rsnderb Name
]Z Larocca Address
U O 1 country Nat 1 law sad No application am sum thin the above infomsstim b
U, correct,I agree to comply rim all city and county mdinstees and sate Ian miaung m
C) building commuction,antl hereby mtho0se reptsentalw ofthia city to enter upon dte
W ahove-mentioned property for inspection Pugasea
(We)apace m save,indemnify and keep homeless the Gly of Cupertino aguut
i—t Ta/3 Ilabilltia,judgments.cWY and"famous which may In Ny ny aLSNe agaiml and City
U In comegmrce of we granting of this permit. /J
^' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date C.
SOURCE REGULATIONS.
2 Re-roofs
Signature of ApplicasuConuacmr Dow -
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant m fu vie selldmi;a cumat atom orhaMle hamdou material
u defined by the Cupertino Municipal Cade.Chapter 9.12 and dew Health and Safety
Code.section ss532(.)I
[3y. t$Na All roofs shall be inspected prior to any roofing material being Installed.
OWIII the applicant or future Wiliingoavpant uoequipment ordevlcu which If a roof is installed without first obtaining an inspection,I agree to remove
ft haamdnu air comm inane u defined by the Bay Ama Air Quality Management all new materials for inspection.
DimictT
❑Ys dNo
I hew read the hmtduu mabod.wrequiremcmu under Clm aer6.95oftheCalifom-
fibHealth&SafesyCede Sam.15M.25533 and 25534.1 undrnutM thatifine Wilding
Jona ret curmady have a vawL this it is my responsibility m mufy the occupant of the
regmremants which moat be met prior m issuance of a Ccmficate of Oc � Signature of Applicant Date
o D O All roof coverings to be Class'JQ"or better
Ower
or wthoPocd engem
Date
CITY OF CUPERTINO
• 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 31630071 . 00
DATE ISSUED. . . . . . . : 08/20/2008
RECEIPT # . . . . . . . . . : BS000005849
REFERENCE ID # . . . : 08080153
SITE ADDRESS . . . . . : 19991 MERRITT DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : STEVE LEU
ADDRESS 19991 MERRITT DR
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2443
RECEIVED FROM . . . . : NEW WORLD COMPANY
CONTRACTOR TBD' -= TO BE DETERMINED LIC # 00096
COMPANY . . . . . . . . . . : TBD - TO BE DETERMINED
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . . ,
TELEPHONE . . . . . . . . :
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
IBSEISMICR VALUATION 81000 . 00 0 . 80 0 . 00 0 . 80 0 . 00
IDEMOPRE SQUARE FEET 300 . 00 490 . 00 0 . 00 490 . 00 0 . 00
---------- ---------- ---------- ----------
'DOTAL PERMIT 490 . 80 0 . 00 490 . 80 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
------ --------- --------------- --------------------
CHECK 490 . 80 #276
---------------
TOTAL RECEIPT 490 . 80
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
704 DEMO
CITY OF CUPERTINO
` �' ' DEMO
• CUPEkTINO PERMIT APPLICATION FORM
APN# f(-P 73007/. 00 Date: 8,/"
Building Address: , gg9I ME-P-P- / TT N-1 V[- CU ERTI)F'o �7r S-o14
Mailing Address (if different from building address):
Owner's Name: Phone:
'�TEV�; LEU 4ok - 9 ?- , — 16F?2
Contractor: Phone :
EMJHY XING w°Yid'
Cp. Fax:
Contractor License #: &q S p 1 01
Cupertino Business License #:
Contact: Phone: 8 3 1 — SFO 2 S�
Fax:
Residential Q Sq Footage 300 Commercial ❑ Sq Footage
Job Description. Poo
Valuation: l (�
Project Size: Express ❑ Standard ® Large ❑ Major ❑
Please complete relevant portions of the Green Building Checklist & attach it to the application
or if applicable, include on the plan set & the sheet index. ZS
Quantity Fee ID Fee Description Fee Group Permit Type
1DEMORES Demo-Residential B 1SFDWL-DEM
1DEMOPRES Pool Demo Residential B 1SFPOOL-DEM
// 1BSEISMICRE Seismic Residential B
Revised 6/16/08
CITY OF CUPERTINO
DEMO
CUPERTINO PERMIT APPLICATION FORM •
Quantity Fee ID Fee Description Fee Group Permit Type
1DEMOCOM Demo-Commercial B 1COMML-DEM
1DEMOPCOM Pool Demo Commercial B 1CPOOL-DEM
1BSEISMICOM Seismic Commercial B
1BUSLIC Business License B
O
Revised 6/16/08
e
Single Family GreenPoint Checklist date: n Bildild ftGmen
The GrsenPolnl Cheddlet Is based on Ile various preen features Incorporated Into the home and Is the Tzyl '' -"rtR^red"wi W
basis for the GreenPoint Rated pmgmm.A home can be considered green If it Ufills the prerequisites,
same at least W points,and meets the minimum points par category.Energy(30),Indoor Air Quality/
Health(5),Resources(B{,and Water(g).Please contact Build 11 Green for a list of qualified GreenPoint
Rates if you ere interested In pureuing thi d-pady Verification.
Tl�green bud,linq practices 0.stac below are described in the New Home Construction Green Building
Gu:doine3 available atwww.nuilnilnmen nm
MM111' , NAME
A.SITEr'. r :'•'; :: 'i ... , n. Jr..,` w -,T: w 'oar' t_
�. ..., .. . . . .... .. .,:: , 5,.,;,:. n _.,._..:•...:. �: ..!?aired AveilehtePenMeasuie�?;'.,?`
1.Pmbct Tromso and Mlnlmhe OlwupUon d E.l.tiny Noma L T.
■ ..Protect Tessa saw limon ars Reuss aNr Comhudbn _ 0 1 l 1
■
to.Lift and Derne.te Conclusion FodpdntM Maximum Protocol
■ L Dowmbud onosed or Domodshlno Existing Buildings On Silo 0 I 3 1,
L Recycle Job also Con.euslon Waste(Inchading Oren Web)
■ ..Michm50%WWo Oienon by Wcpll(RecydNp or R.ue)4*,isW 0 ! i R
b.Mh.m Il Inisrcan WTI�,.t__J___..
■ by elphl lRegdMp.Ree) ..� �_!_L 2 ..�_..__..
■
c.Woman 10%ONaebn by Alight(Recycling or Rom) 0
A Wo Rccyd.d Commit Aggressor(Minimum 25%)
■' o.Willowy and DGewry 0 i 1
■
to.RoadeY Bow 0 1 1
Told Points Awdsde F Sbe•1 0
B.FOUNDATION',J.
- _ r, � , f Aleesure:�i'1'��:'
L R.pi.w PONand Cmnt In Cb.W who Roryded Flyaoh or Toro
■ ..Minimum 20%Flynn or Sip 0 { I 2 I
' ■ b.Minimum 25%Flynn or$Ip 0 I t
■ L U.F.Protsded Shallow,Foundation In Caul Arm(CEC.CIMaor Lam 19) 0 1 3
■ L this Radon Reiter Conctrutlon On AH k Locations Onhy) 0 j 1
A Boson cod BUIul Sbuctunl Pet Controls
■ ..Instal Turner Shal S Sepando Al Exterior WoovbCmcnle Camoctbw by M.W or Portllc FasormmUNulero 0
b.N Now Parts Have k,
TrunBac.,or Stem o N LocalaLeas SS lmdwa horn Foundation 0 + , 1` i
Togs Points Awlteblo In Foundation•1 0
' . _- , ; Ae5:;0.-UANDSCAPINC ' ;r ialu ,
1.C.nabad ReounoEMdent Land.cal oa
■ e.No lmwle Specle.Lbi by C&IPC M Formed 0 I ! 1
■ b.No Pan Spetlw Wil Racism Nodpinp
■ c.
TA d PMws An DmcgM nrm CMb.na Nallwas. bnenen,or Opt Appvpleb Spde
■ L Us,FInS.b Landici Technuru. 0 1 I I
L Mlnimba Tun Moa In Landscape Installed by Bulldor
■ a.All Turn WB Hew a Water Requkemed teas Ben or Egad b Tal Faele>DA pted order) 0r
_.!.__2
■
to.tact Shall Not Be lnsorped on Slope Facaetlbq 10%orh MwtLeas Oanl FetWso 0 ,(......�...._.J._2_..
■ c.TW103%of landscaped Moa half 2 pobAe) �0 - 2
■ e.Tan lftp%dL.ndMaped Melalfal>aryel a
■ APMS BMG Trolls 0 i ! 3
■ S Group Plants by Wats,Neds(Hydmaonino) 0 { ! I 2
S Install MgmEmclanry Irrigation Brahma
■ e.Symm Um Only t Aoio top,Bubble.,or L.Acsr Spdnlbb 0 i { :_ 2
to.Sy.tem Has Smut CmWlen 0 7 3
■ 7,uncomorab Two such.s Compml N the Top l to 121nchis 0 Us 0 3
■ 1.Mulch All Planting Bede to ton Gr..brof 2Inches ar Lad WW,Ordlnsnca Regd,omord 0 ! 2
■ I,WW%SaNagod or Rorycls"onint Materials for 50%of No.Plmt Landscape Elemonb 0 1
■ li:uca Ught PoduUmbylhbldlnoFbb andwDpecft Ughi Dei nl 0 1 1 1 t
Total Puln s Aselable in Landscaping•31 0
D.STRUCTURAL FRAME&BUILDING ENVELOPE- -,.is1'
',.' cora:: ''ddthbAvbllabla Pa,Meesard:a"m;r;
1.Apply Opal Vole EpineMo
■ a.Place Return and Studs at 26.Irch On Carter Framing 0
■ b.SW Desmond WMow Headsnha trod 0 I 1
•
c.Uw O "Cripple
_ _._ 1__4--__•____Y__•
■ ^h•Gcti ars Glpple ladsBagdad bled U
I I I L r
L Us.Enolnerad Lambe
■ a.Beemund Haden D I 1
■ b.ImcteW Fnymered Ns.Gn
■ c.WacdlJoietsor Web Tman la Floor
02007 Build It Green Single Family GreenPoint ChecklLa12D07 Verelan Page 1 of 7
ENTER PROJECT
s
■ d.Wood Waal for Pool Paton 0 1 •
■ a.EnpmeW m FYVNdaNd Studs W Vnlbl AP01allana 0 L
■ I,Odsnw SWM Basnlfar Sdamr 0 1 -
■ g.GNWed SWM Boyd W WWI and Roof Sheathing
7.Bea FS6Qn114d wad
■ m tlx.mW Untmw,Sttls ad l .M*,w 10Y. 0 1--
■ b.Olmemkml WmW,Sldaad l tw..MWmom 70% 02
■ e.Pard PnatmM:MhMMm 10% 0 -- _ 1
■ d.Panel Pid":INMum 70% 1 0 1
o
•
02007 Build It Green Single Family GmenPolnt Chedllat 2007 Vmim Page 2 of 7
'XNTER PROJECT NAME
M111111
• AUu 5 W Wat BysWon;(Includes SIP.,ICF.,A My Nm UckFmn.Nombiy)
I.Fkm D 1 2 1 ! 2
.__O ..._....f....Z
I.Web ,
c Porta p 2 t_._.�..._2�.._._.
S R.duw Pollution Entering tle Nom.from Ue Wnps
..Tightly Sul Oe Air Banner belween Ganpo end Wng Ales 0
0,IdM O.nge ERbwl Fan OR Bud a OeleMatl(Ylpe
AOMpn Elwgy WaYon Tms.o(T5%of AtllcinauYWn WlpMal OuYlb EdgewEaYWr WO 0
T.O.Mgn Soot Trusses W A nobY Duchork 0
A Use Rac cY onbm Stesl Stade for 90%w InI W.II Fnmdng 0
I 1
2.TlendWu%fis;51Hn0 Di,nil on All uaHW Web or Web W.101,mon)len a Wouft 0 l ! I
10.h.1o110varhange and Gutbn
e.Mhhum I6I mh OWNmps W Outten p
..j_...._� 1
b.Mhlmwn 241nch Overlenpsed Oubn p
ToW Points Avah*In StrucblY Building Fnm.and Emebge•36 0
E:E=RIOR FINISH.'.>;:. , T, _, ' :.k...:., 5...h1 - .'i lr}.i.i... .y. .. ...,.,.
.. ..+;:. I § . ,:,..' !. ;;`. ?";Pointe Avelsbla PerMeeeure;;.:<.
1.UUR.cycedi(No VIr&Plow)or FS"erUbd Wood O .g 0 ! I 2
21nY0 a Rain Scorn WIN System 0 2
D.Use DunbY and HoncambusUbb Sidi"Wt.MeY 0 1
ASMW Ourabl.end Noncombustible Floating Mp.rYY 0 2
Tota PMnb AveOaMe In Exterior Fhbh• 0
F.INSUI:ATION .:�'-.:yrs :h„.t%; �„�a ..�i",''akt J ,i-?`,Jt.k.'.++".�fi?;'yl ,!4:J;.tf;'Ke,YT n.,al +nd+tyh l_ 3',:•.r:. "w. i.,PDmb AYepeble'Per MW`S'M-2E
1.1mWII InuYUm dM 75%Rnydd Contend
aWeb andb Flown 0 i ' 1 i
b.Iothp _.a..._.___�......_T...___v...i
21noYlllesuYUsn and bLawEmlWnp(C.Nbd S.dlon 01050) '
a.Woo mdw Floors D 1
b.GMp.
• S.Imp d Quality of lnuYUm luYbUon baton Applying DW Il
TOW Pdnb AveYbY In lmMmbn a 0
G.PLUMING i:.•....
1.DYUlbub DamesW Hod Waw E lc**(I Uhum T Points)
m.Ineuleb Hd W.w PMU IIom W.Iar Hawes b pwen 0 i 1 1
b.IIwYY AI Hd Waw Plpo
c.Use Egbexd Pwad Piping p '
d.Use Engieed Pentad Plpw,wM Osomd ConboMd Cb §I Loopeste .... __.__.
wUU SNxArd Pkonbkp wM Damad Coranded CkaYibn Loop _ 0 1 ? I 2
f.Ue.Cubes Cone ft boo 0- _ .-1 1_i._.i'..{-_Z_
L How Onty High emoYnry ToibY)O"vin"m gpQ p
I e 4
ToW Pobb Avebbis h Pkunbiny Told I 0
H.HEATING,VENTILATION&F AIR CONDITIONING;-? r/n7i +�,�1„,iy. .,.rVl, y?,j;, TJI„4: r. xr 4.r.'�"- i'" ..
,:,sx x.: -Polnb AJB(lehle Per me ea
1.0esign.nd lnoWlI HVAC SysY W ACOA Wnul J,D,and$ReesmmmbUon. 0 1 d
1 Install SUYd CmnbuOon Units
..Fummo .. 0._.__...y_._._.J. 2
b.mw law 0 i 2 .
L Intel Zmd,Iydmnb Rmbnt Hawing wM Stab Edge Insulation 0
e,Intel High Eftidency Nr CodlUoning wM Emlro menuly Ropon.lbls WMg.nnY 0 1 1 j
6,D.slpn and Instin Elhdlvs Ductwork
e.lanal HVAC Unit and DucMh w Sh Codlbnad Spec 0 7
■ b.UN tad Med.On Ad Dud J01wa ad Bums D
allwtl WdworkudW AMc huNlbn(DUIW Dntle) ._..O_.
1
wo Oe DmMlk
d.Proan S. Syawn ,a_ ._._
e.PdgDMB Mrhq CweYCOm and ClmnNpKb teeters Ooapmy
S Inoue High EfnWnq HVAO FlYr(MERV Ie)
T.Denl Install Finpleo or lnaul S.dd Go Dnpl...Mlh Efticisllry WUng Not Leu Tlen W% 1 I
• useng CSASYntlods 0 ! 1
A InYll ESectlo Eewust Syswn In Syn...d Kitchen
•
I.Intl ENUiGY STM Baboon Fen Vented b tie Oubbe 0___ ]
- 1 -- } --T'--
O.All WD.WIn Fan Mon Thwwfkmdbw 0 ! 1 I
aMwd Nkdwn Wnpe Hood Vented bade ODUlda 0 ) 1 1
p,netali MedeeUl V.dulon System for Coolnp IWwmum a POhY)
. e.Install ENERGY STM Co&V Fw"Int Kb b LMV Ann A Ddmon
b.1uWlYnob lbuu Fan wan Vadable 9pede 0
02DO7 Build It Glean Shpt Felly GmenPoint Checklist 2007 Version Pepe 3 Df 7
s o<
ENTER PROJECT NAME
� nAUM1e0m1yConbolodlnb0rabd9yaem _ o i _ 1 I
d.Aumndc*U-hWlmegfwSPI.mwmvwmeSPOWCdd
10.Infill Msctenlul Fresh All Ventilation Ilyshm(Malmem a Pomb)
. e.Any W Haaaa VsndeWn Stream TW Moab ASHME 833
b.Inial AlnbAir Hut Em."r Wet meNS ASHME 033 8 1 1 2 I I
it.Inbll Carbon Monoxide Alsnn(s) 0 1
TOWP*UAnMbbinH UM,V,AaWneWAFCaMlI n0.00 I+-
0 2007
01007 Build It Green Sln0le Family GmnPdnt Cneddbt 2007 Verden Pelle 4 W 7
S V S 6
• ENTER PROJECT NAME
L RENEWABLE ""1-11 Ponts AV5.95b. Y Pff,Meeslu'
e;'�,,. _.
.
I.PrMPlumb W Sohn Nd Water Hubng 0 q I j
2 In.Wl Sider Water Hard,System 0 IG I
3.Ineell Wiring Conduit for Fuer Pho1rmhod.netellxUOn S Previde IN if o1 S.,dW.dng Root 0 2 I I
4 how PoobrolYk IPV)Pests
..30%d Neddc made,OR 1.2 IN Imes S palma)le.63%d ebMc needs OR 2.4hW(least 12 points)
C.00%of Neck red OR 3.5 MY IMW 15 pdMa) Ov i 6 1 I
TOW Avabbte Fdip F Reemerge,Energy a 3 D
J.BUILDING PERFORMANCE " t r `..r`Oz'''%: ' . 5-.'<,�•:e `: - , i,;,!,: h. 1, ,."" ':Pointe AJegeble PerMee4ure!i;�'i"
1.01mgnce0gENuaOon.
..Ibuu PmuSbwwr Ooar TSN D
b.Hwu PmuCwWwtlm Sefery Saddiall Taal _.O._
2.Nolen and Sults High Performance Homas-%shore.no.M-minWum lSWuulred 0 ; 230 { '
'
S Nowa GWIM ENERGY STM with IndoorIndoorNr Paclup.WriitluDOn-Poor Wasun(Testi N pointe;rad comment) 0 S 2
i
ToW AvtleMe Points In Sold,Padwmece•3 0
K FINISHES .,..' '..::I ti :.� :' ., f'±:.i :<-•Pointe Av50eCle Per Meawferl?•_:`.
r.;.•
T-i(
1.Odgn Enbywoya Y Reduce Trached In Comaminene 0
1 ( (
2.UasS YGC or VOC Point(Mubnum 3 Paine)
A. o VOC interior WalUCaMG Paine(t50 Diel VOW(Flat)and-10 got VOW(NwtFYO) 0 I I
b.Zam :IntendrwaYCaPng Pomo(cgPIVOW(Flel)) -_O. 3
S
Use,Iow VOC,Watsn-Saasd Wood FMeMs Ia50 DPI VOCs) D ) 2 I 1
A.Use low-VOC Caulkand construction Adhueas(<W Still VOCs)Im All ASMsivas 0 1 2 i
. S Uas Rocyle"ontem Paint 0 1
l Use Em{nmnentaN Preferable WYMe for Imaden Flnteh:A)FSCLeNMd Wood,S)Sudanese,Cl Rapidly R.nwWY,0)R.cyNabComNm or E)
FMgoNobmd
• a.WbMls 15D%MNwum) 0
b.IneMTdn(50%lanYnvn) ..0 i ` I
■ I
cShseAry(50%Mlnkwm)
. d.Cow•(5014 Mnlmon) _O_.
a.GOunWYas(50%MMMum)
7.Reduce Fwmsthhyb In tremor Flneh(CA Session 01350)
a.Subs=S Set Trends(50%MMlmum) 0 D 1 1
D.GOInee6 GOmedOas(50%MlnWgm) 0 D 1 I
c
Intense Tran(50%NlNmwn)
d.ShstNnp 150%Minimum) 0—
LA1terlmYll.lion dFlnehas,Tal of lndoorM Shovn Formmldehyd.twvN<27ppb 0
Tod AUMaW Pohl in Flnel 0
L FLOORING _ ::. .:..,O`' . .i z ,±.°cl;..z -:1-.c0.nwa.'':'. ,or,T 77 y s >,, iti''.'. ., f 1
....t..,.v_ -'rV ,.x. PbMb Avellehb Per MeaMlla`t;i;,.
1.Us.EnNromnnYlly Prst.rabl.Flooring:A)FSCQriMed Wood,III RecteW.d or R.Dnished,CI Rapk ly R.n.wabte,0)ftq*OC"WK E)Exposed^ -
Concrete.FyoMrp AMuhas Wse Nan<30 ppl NOG.
■ tMMbwvn/5%dFLnrMas _0 _ —�—_^ 1
b.MMbnmi 30%of Floor Am
c.Wnlmum 50%dFlow Area 0 ) 1
d.MMimum 75%dFloor Ane D { ( I 1
2Th.nnelWuiloon:flow Covering GUwn Don Corpse on 50%or Mon se Consists Flora 0
3Fborlrg W.e5M1q.01350 or CRI Green Ubd Plus R.quirnnene l50%MWmum) 0 2 i
Tone AnOabm POhb M Flooring•7 0
M.APPLIANCES AND LIGHTING '. . -�- 7';'
:"° i' . .,'f _l PDititsAvSlleble Per Msasule
1.install Water and Energy E15stenl OtehrasMr
e.ENERGY STM(WN 1 pots) 0
O.WhwawWr UsnW More Nen 6.5 OeIIwWCyste(lotel2 paint)
L Iubll ENERGY STM Clothe.Washing Malone with Water Facer of S or lase
a.Mass,Energy Sten and CEE Tow2 masWmend(modited anergy fadw 2.0,Witter Faster 5.0)(WN 3 posh) 0 ( 3 1 I 2
. D.Mane timing,Star and CEE Tier 3rasdnm.ne(mWMed anergy holier 2S,Water Fahr LSmlast) ! ^j 2
•
(tow 5E °
3.Inee0 ENERGY
STM ReMpanW
a.ENERGY STM Guided S<25 Cubic Fast Capacity
b.ENERGY STM OustWO S<20 Cubic FM Wpacky 0 { 1 I 1
A Dowell Sullen Deryes,center D
. e.SWFM Rec,*,Canal
0 2007 Build It Green Single Femlly GYenPoint Checklist 2007 Verelan Page 5 of 7
ENTER PROJECT NAME
b.Bur compostev cmw
Tntel AvellaWs Point In Appimwa and Wg*q•12 0
N.OTHER,,.,:,
41abloPer Moisun:4
1.ftwcarpamfa GnionlaoInt Rated Chakild In Blwpdft-Required 0 I R
L Develop Nafwwnar Ill of Gme I'malwMIS.011t, 0
3.Conmnunifty Dangn III A I,acal Pdodde.:San One,Canmunfty Plemkv A Dagn wamdl n In ChpWr 4 of Une New Hones Guidelines for owsaverim.
whand"al OD pni'de ho aW Wawmeawn
0 2007 Build It Green Single Family GmenPoind Chal 2007 Varelon Page 6 of 7
--------- -
ENTER PROJECT NAME
Mingo
• U fterducieson Mn,sm!anhi Oft anmfa for immuire in appropUe calagares W ft rant —0 D a, 0 0 :a
Enlertle _. ............
'a
0::" ''a
D�
Ro T
i— 0 0 oz:: .o 0 0
-----------
4.Innovation:List Innovative measures that meet the green building objectives of the Guidelines.Enter up toe
maximum combined total of 20 ps.See Innovation Checklist for suggested measures,using the link to the right.
hinavation rCamrnurltr.Emerdawfliplan",
0 .0 a, 0, 0 D.;
D .0 D 01 0' .0
Enterencosniniwe,�.mpdn%mhbkrommumlnspmpflaWcBtso�Wft right. 0 D a '0 0.' 10,
Imwatlm in Enter demnlMin Mn,end enter points walieft fw munim In approprate cangeis to he rgr. D, 0 0
LML_ movillon h WMr:Ener desaripbon wre.erd anner pohb mlabs for ftrum In qpprats calegodis W th,rtin.. D 0 0 0':;
7T.
Total AnUtio Points in beer•42 0
Summary
Total Available Points in Specific Categories' 42+ 66+ E43+
Minimum Points Required in Specific Categories 0 30 6 a 9
Total Points Achieved 01 0 1 0 0 0 0
Project has not yet met the following recommended minimum requirements:
Total Project Scene of At Least 50 Points
Required measures:
!A3a: 50% waste diversion by weight
-12: 15%above Title 24
-NI:Incorporate Green Point Rated Checklist into blueprints
i -Minimum points in specific categories:
-Energy(30 points)
• -IAQIHealth(5 points)
-Resources(6 points)
-Water(9 points)
•
02007 Build It Green Single Family GraenPolnt Checklist 2007 Version Page 7 of 7
- Community Development
10300 Torre Avenue
-/` Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
4JUPEkTINO
Building Department
JOB ADDRESS: ` p 9 9 I M R-R(T I OP—( ✓� PERMIT #
OWNER'S NAME: / GTE VE / I;U PHONE # ¢0�
GENERAL CONTRACTOR: — FAX #
I am not using any subcontractors: k`'/20/��
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