The URL can be used to link to this page

08020087 CITY OF CUPERTINOrzH Y, " �ja'`�" BUILDING DIVISION PERNIIT CO1rkTRe�. T,9, * NFaORMt1" , N, a a.?.a BUILDING ADDRESS: PERMIT NO. 10659 NATHANSON AVE BETTER WATER HEATERS 08020087 ERS NAME: PERMIT ISSUE DATE RAKESH GUPTA 351 FALCATO DR 02/13/2008 PHONE: SANITARY NO. CONTROL NO. (408) 250-6672 ARCHITECffENGINEER: BUILDING PERMrr INFO BLDG ELECT PLUMB - MECH p 08 Z' LICENSED CONTRACfOR'SDECLARATION JobDescri tion 1 hereby affirm that 1 am ExaminedBunderdftcprevisions of Chapter 9(commixing p wid5mtion]OII))ofDivuian 3oftha Busincaa and Pra(caiom Code,end mylicense is IN$TL 75 GAL WTR HTR in full forte and er 7L yZ 'cense Clan Lk.N Dam jj.jhCZ Con tor ARCHrMC1-S DECLARATION S I undamand my plans shall be used an pool[.rmords - o C Licensed Professional 7 OWNER-BUILDER DECLARATION E 0 E I hereby affirm on 1 em attempt from do Connector's Co License Law for the - O O following moan.(Section 7117 I3,Business and Profession Code:Any city m County Mwhich¢quires a permit m cnmuuct,ohm.improve,demolish,m repair any structure prior to its issuanee.alsu noriflnssee applicantorsoch permit to file a signed statement met he is licensed pursuant to the previsions of tate Contractor's Licxme Law(Chapmr 9 Sq.Ft. Floor Area Valuation (commencing wit Section70D0)ofDivision3oftheBusinessandProfessionsCook)or $1000 that he Is emmpt dmefrom and the basis for the alleged exemption.Any violation of Sinton 7031.5 by any applicant for a permit subjects the APpBcant to a civil Penalty of 3 2 6 4 3 0 7 3 (jN Number Occupancy y not mom man live hundred dollars($500). P y r•7Pe ❑I,m owmr of tba pmpery,or my employee with wages u their mle compenadon, will do the wodL and to structure u.mimamemi m offered forests(Sm.7W,Business and Professions cede:nm Conummrs License Law does not apply to an owner of Required Inspections property who buildsorimpmvn demon,and who dmssuchwork himself or through his awn employee,provided that inch improvements au sat intended moffemd forale.if. however,the building or improvement is mid within one you of mmpleuon,de owrmr. build¢wild hes Ins burden of pmHng that he did not Mid or improve fa purpose of �. ak.). Cl 1,as awner of the property,am exclusively contracting wit licensed Contractors to Construct Ili project(Sec.7044,Baines and Pmfessians Code:)The Contactors U. moue law does not apply to in owner of property who builds or Improves famem,red. who contracts for such projects with aconuacmr(s)licensed pursuant to the Conmacton License Law. ❑I ore exempt under Sec ,B At P C for this mann ser Data WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury Otte of the following dulantions: ❑1 have and will maintain a Cartdwatsof Consent to self-insure fm WorkersComp.n- sation,as provided for by Section 3700 of the labor Code.for W performance of the wails for which this permit is issued. ❑I ban and will maintain Workers Compensation Insurance,as minted by Section 3700 of the{aloin Code.for me performance of the wok forwhich this permit is issued. My Worker,Compensation Insurance curia and Policy number Aam- Cartier.Jl 4 'l�dN,/� Policy Ne.: W{-•-� r(( ERTIFlC�C ATEOP EXEMPnON FROM WORKERS' COMPENSATION INSURANCE (Thu section need not hecanplemd if the Permit is fm mi hundred dollan D$IM) Ca,kat) 1 cenifY that in the performace of the wart fm which this Permit is issued,l shall not employ any person in any manoran a in become subject to me Workers Compenation laws of California.Dae Applicant NU1710E TO APPLICANT,If.after making this Certificate of Exemption,you should become subject to the Worker's Compensation provisions of the labor Code,you must .,0 forthwith comply wit such provisions or this permit shall he Counted mvektd. C") CONSIRUCnON LENDING AGENCY (~ Ihereby aft Na there is a commuctinn lending agency for the performance of .a > the work for which this permit is issued(Sec.3077,Civ.C.) OW Q Lacoste,Name 7 z lenders Address U Q 1 certify that 1 have reed this application and sue that use above informed.is {y F cared.l agree to comply with all city and county ordinaces and sum lows miming to DUbuilding.omuuction,and hereby authodm mpmsenu0ves of this city to enmrupnn ft LV shove-manudgmpromrty far inspection purposes 04 (We)agree to ave.indemnify and keep hamka the City of Cupertino against a.^rn in eunceofhe Costs and apanaeswhich may in ay way¢true against aid City U Z APPLI consequence of the grmun{of this 0 WILL '-" APPLICANT UNDERSTA BIS AND WILL COMPLY WITH ALL NO -POINT Issuby: Date 2-- ed 3 a7 sf\ SOU GULAno . Z13 G Re-roofs Siltation of Applicant/Conuacmf Data �, of Roof HAZARDOUS MATERIALS DISCLOSURE Will the applicant re fouuc building occupatar.rehandle hassrdaes¢material Va dermad by the Cupertino Municipal Code.Chapter 9.13.and the Health and Safety ak,Section 35532(x)? C]Yes T�N/`o All roofs shall be inspected prior to any roofing material being installed. WIII the applicant or future u If a roof is installed without first obtainin an ins tbuilding Occupant use equipment or tevkes which g Pection,I a gree o remove ' emit hazardous air contaminants an defined by the Bay Ams Air Quality Management all new materials for inspection. District? ❑Ye fNu I ham om the ha mimes materials uquiremenu under Chapter 6.95 of the Califm- riaHealthASafetyCade,Smtram25505,25533adn534.Iun&e dthal(Ihe building - does not emrenty hese a engin " it u my memem islity to naut'y the oecupart or the mqul wmm�muabe tinner totwo ame mlrmam.fDeceit a.y. Signature of Applicant Date Owner or authorimd agent ate All roof coverings to be Class"B"or better CITY OF CUPERTINO Ok DA 0087 WATER HEATER •CUPERTINO PERMIT APPLICATION FORM APN# Date: 39 (.P a&-73 , OCA Z113�°� Building Address: /0(0 5 9 NAIV41-i Gr- 9p I V Owner's Name: Phone #: R4-kt3Ft 6fvprA- Contractor: Phone #: Fax #: Cupertino Business License #: Contractor State License #: -941" ? c--3,�- Contact: Phone #: Var Fax #: yo g Building Permit Info: .Bldg Elect ❑ Plumb Mech ❑ Residential Commercial ❑ Job Description: � N ST�u �-.� �Ati '►z (�FJ�Ik�— Strapped Platform Bonded [y/ New Location ❑ Replacement Valuation: i Green Building Check must be completed and attached to this application. Green Building Points achieved: . CITY OF CUPERTINO WATER HEATER CUPERTINO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Permit Type Group 1PCWHEATR Commercial Water B PCWHEATR HeaterNent 1BSEISMICOM Seismic Commercial B I 1PRWHEATR Residential Water B PRWHEATR HeaterNent 1BSEISMICRE Seismic Residential B / 1PPERMITFEE Plumbing Permit P 1TRAVDOC Travel & B Documentation 1BUSLIC Business License B • CITY OF CUPERTINO 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN 32643073 . 00 DATE ISSUED. . . . . . . : 02/13/2008 RECEIPT # . . . . . . . . . : BS000003934 REFERENCE ID # . . . : 08020087 SITE ADDRESS . . . . . : 10659 NATHANSON AVE SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : RAKESH GUPTA ADDRESS . . . . . . . . . . : 10659 NATHANSON AVE CITY/STATE/ZIP . . . : CUPERTINO CA, . 95014-1330 RECEIVED FROM . . . . : FRANS CARTWRIGHT CONTRACTOR . . . . . . . : FRANS CARTWRIGHT LIC # 26514 COMPANY . . . . . . . . . . : BETTER WATER HEATERS ADDRESS 351 FALCATO DR CITY/STATE/ZIP . . . : MILIPITAS, CA 95035 • TELEPHONE . . . . . . . . : (408) 250-6672 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---- -- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 1, 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 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 106 .56 VISA - --------------- TOTAL RECEIPT 106.56 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- ------- 518 WATER HEATER • Single Family GreenPoint Checklist. date: Z—�3 a Build It Green The GreenPoint Checklist is based on the various green features Incorporated into the home and is the , Smart Solutions From The Ground Up basis for the GreenPoint Rated program.A home can be considered green it ft fulfills the prerequisites, • Hams a(5), st 50 Resources(6), and Watert the Points per uild It Green forgy alst of Indoor Air Quality/ Health(5J,Resources(6),end Water(g).Please contact Build It Green for a list of qualified GreenPoint Ralars If you are Interested in pursuing third-party verification. The green building practices listed below are described in the New Home Construction Green Building Guidelines,available at www.huildltoreen.orD. ENTER PROJECT NAME gin a s` a � o U A.SI'f& � - Points AvallaDle Per Ideasure ' 1.Protect Topsoil and suremaze Disruption of Existing Plenl&Trees ❑ a Protect Topsoil from Erosion and Rause after Construction 0 g 1 ❑ b.Umlt and Delineate Construction Foolprintfor Maximum Protection 0 1 El 2,Deconstruct Instead of Demolishing Esdsfingf Buildings On Site 0 3 2,Recycle Job Site Construction West(Including Green Wari ❑ aMlnimum 50%Waste Diversion by Weight(Facycling or Rouse)-Required 0 R ❑ h.Minimum 65%Dihmmanby Weight(Recycling or Reuse) p ---------'-2---- ❑ c.Minimum 50%Diversion by Weight(Recycling or Reuse) p - - 2-'--'--- 4.Use Recycled ConimmAggregate(Minimum 25%) ❑ a Walkway and Driveway p 1 ❑ h.Roadway Base D 1 Total Points Available in Site=12 D B.FOUNDATION Points Available Per Measure 1.Replace Portland Cement in Concrete with Recycled Flyash or Slag ❑ a.Minimum 20%Fyash or Slag 0 _ ____ ___ j___ 1 1, ❑ bFI.Minimum 25% ash or Sla 0 1 I ❑ 2.Use Frost-Probcled Shallow Foundabon in Cold Areas(C.F C.Climate Zone 16) 0 3 i ❑ 3.Use Roden Resistant Construction On At-Risk Locations Only) 4.Design and Build Structural Pest Control ❑ a Install Termite Shields&Separate All Exbrla WDodioCDncrete Connections by Metal or Plastic Fasanem/Dividers D 17 b.All New Plants Have Trunk,Base,or Stem Located At Least 36Inches from Foundation Total Points Available in Foundation=6 0 C.LANDSCAPING Paints Available Per Measure • 7.Construct iv eSpecies Ustent y Cal-IPC A --_ - - ❑ e.No Invasive Species Usted by hedging Are Planted ❑ h.No Plant Species Wlll Require Hedging p I _ _ _ Elc.75%aPlants Are Drought-blerent California Natives,Mediterranean,or Other Appropriate Species 0 3 ❑ 2,Use Fire-Safe Landscaping Techniques 0 1 3.Minimim Tud Areas in Landscape Installed by Builder ❑ a.All Turf Will Have a Water Requirement Less than a Equal to Tall Fescue(50.6 plant factor) 0 I' 2 ❑ b.TurfShall Not Be Installed on Slopes Exceatling 10%or in Areas Less than 6 Feet Wide p — _T. - ❑ c.Tud is S33%of Landscaped Area(total2 poimet) D _ ❑ d.Turf is<_10%NLandscaped Area(total 4 points) 0 ter^—^a11_—_. .__z_ ❑ 4,Plant Shatle Treat 0 ( ' 3 ❑ S.Group Planta by Water Needs(Hydroxoning) 0 2 S.Install High-Effielancy Irrigation Systema ❑ a.System Uses Only Law-Flow Drip,Burial or Low-fimw Sprinklers D 2__ ❑ b.System Has Smart Controllers 0 7.Incorporate Two Inches of Compost In the Top 6 to 12 Inches of Soil D 3 ❑ 6.Mulch All Piantlng Beds to the Greater of 2Inches or Local Water Ordinance Requirement 0 2 g.Use 50%Salvagetl or Recycled-Content Materials for 50%of Non-Plant Landscape Elements 0 1 ❑ Ia.Reduce Light Pollution by Shielding Fixtures and/or Directing Light Downward 0 1 1 Total Pcinl Avallable In Landscaping=31 D D.STRUCTURAL FRAME R IBUU.DgNG ENVELOPE - Points Available Per Measure 1.Apply Optimal Value Engineering ❑ a.Place Rafters and Studs at 24-Inch On Center Framing ❑ to.Site Dow and Window Headers for Load ❑ c,Use Only Jack and Cripple Studs Required for Load 2.Use Engineered Lumber ❑ a Beams and Headers ❑ h.Insulated Engineered Headers 0 _ _ E) D.Wood l-Joists or Web Trustee farFloors 0--- — ❑ d.Wood l-Joists for Roof Rafters - _E] e.e.En ineered or Fuger-Jointed Studs far Vertical _ '_ 1 �_ _ Engineered g Applications D _ ! � 1 I ❑ I.Oriented Strantl Board for SubOoor - 0- E] ❑ g.Oriented Stand Board for Wall and Roof Sheathing 0 1 3.Use FSC-Certified Wood • ❑ a.Dimensional Lumber,Studs and Timor Minimum 4D% 0 2 ❑ b.Dimensional Lumbar,Studs and Timber.Minimum 70% 0 T _2 1 ❑ c.Panel Products:Minimum 40% - _ E] d.Panel ProducerDiMinimum 70% � 0 i 1 020D7 Build It Green Single Family GreenPoint Checklist 2007 Version Page I of 4 ENTER PROJECT • i / 6 a F ai 4.Use Solid Wall Systems(Include,SIPs,ICFs,6 Any Non-Stuck Fmme Assembly) ❑ e.Floors 02 2 _ ❑ b.Wats 0 ❑ c.Rook 0 S.Reduce Pollution Entering the Home from the Garl ❑ e.Tightly Seal the Air Border between Geroge and Luting Area 0_ ❑ b.Install Garage Exhaust Fan OR Build a Detached Garage ii 1 e.Design Ener Heals on Trauss X75%of A»ic Insulation Hai ht at Outside Ede of External Well 0 1 ❑ 7.Dssi n Roof Tmuu to Accommodate Ductwork ' 0 1 B.We Re clad-Content Sheol Sbit for ao%of Interior Wall Framing 0 1 S.Thermal Maes Walls:519-Inch Drywan on All Interior Wage or Walls Weighing mora than 401brcu.fL D 1 1 D.Install Overhangs and Outram ❑ a.Minimum l Glnch Overhangs and Durban; _ 0 ❑ b.Minimum 24-Inch Overhangs and Gubar 0 7 Total Points Avalla6le In Structural Building Frame and Envelope=35 0 E.EXTERIOR FINISH Points Available Per Measure 1.Use R sled-Coniem Mo Virgin PINUID)or FSC-Certified Wood Docking 0 2 2Install a Rein Scresn Well System 0 - 2 El J.Use Durable and Noncombustible Siding Materials 0 1 L Select Durable and Noncombustible Roofing Materiels 0 2 Total Points Available in Exterior Finish=7 0 F.INSULATION Points Available Per Measure 1.Install Insulation with 75%Recycled Conten ❑ s.Wells and'or Floor _0 1 _ E] to Collins 0 i— 7 2.Install Insulation that Is Low-Emitting(Certified Section 0135D) ❑ .a.Wells 6ndlor Floors _0 ❑ It.Collings 0 1 O.Inspect Quality of Insulation installation before Applying Drywall 0 1 Total Points Available In Insulation=5 0 G.PLUMBING Points Available Per Measure 1.Distribute Domestic Hot Water Efficiently(Maximum 7 Points) ❑ a.Insular Hot Water Pipes from Water Hooter to Kitchen 0 ❑ b.Insulate All Hot Water Pipes 0 ❑ c.Use Engineered Parallel Piping 0 ❑ d.Use Engineered Parallel Piping with Demand Controlled Circulation Loop 0 ❑ a.Use Shucrred Plumbing with Demand Controlled Circulation Loop _0 _ _ _ __ 7 2 Elf.Use Contra)Com Plumbing 0 1 _ 1 2 ❑ 2lnstall Only High Efficiency Toilets(Dual-Flush or 9.29 qpQ 0 1 4 Total Points Available In Plumbing=Total 12 0 H.HEATING VENTB.ATION R AIR CONDITIONING Points Available Per Measure ❑ 1.Design and Install HVAC System to ACOA Manual J,D,and S Recommendations 0 4 L Install Sealed Combustion Unita ❑ LFumms 0 1_1_ . ❑ b.Warr Heater 0 2 1 9.Install Zoned,Hydronie Radiant Hearing 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 ❑ a.Instal HVAC Unit and Oucw+ork within Conditioned Space _ 0 3 ❑ b.Use Duct MaidiC on All Duct Joims and Seams 0 __ 1 ❑ c.Instal Ductwork under Abid insulation(Buried Ducts) _ 0--- r 1� ❑ d.Pressure Balance the Ductwork System _ 0 ❑ a.ordeal Ducts during Construction and Clean All Ducts before Occupancy 9,Install High Efficiency HVAC Filter MERV 6t) 0 1 ❑ 7.Dont Instal Fireplace or Install Scaled Gas Fireplaces with Efficiency Rating Not Less Than 611% 0 1 using QSAStandards 8.Install Effective Exhaust Systema In Bathrooms and Kitchens ❑ a.Install ENERGY STAR Bathroom Fens Vented to the Outside 0 ❑ b.All Bathroom Fans Are on Timor or Humldi6tel _ 0 ❑ c.Install Kitchen Range Hood Vented to the Outside 0 1 s.Install Mechanical Ventilation System for Cooling(Maximum 4 Points) ❑ a.Install ENERGY STAR Ceiling Fane 9 Light Kir In i lying Areas 6 Bedrooms _ 0 __ 1 ❑ to Install Whole House Fan with Variable SpeDds _ 0 _ 7 _ ❑ c.Automatically Conholted integrated System _ 0 ❑ J.Automatically Controlled Integrated Sysbm with Variable Speed Contml 0 3 T I D.Install Mechanical Fresh Air Ventilation System(Maximum3 Points) ❑ a.Any Whole House Ventilation System That Meats ASHRAE 62.2 _ 0— _ 2 ❑ b.Install Air-to-Alr Heat Exchen ate that meets ASHRAE 62.2 0 ] 2 11.Install Carbon Monoxide Alarmlc D 1 Total Points Available In Homing,Ventilation and Air Conditioning=3D 0 0 2007 Build It Green Single Family GreanPolnt Checklist 2007 Version Page 2 of 4 :ENTER'PROJ =� � q as � .9 I.RENEWABLE ENERGY Points Available Per Measure • 1,Pre-Plumb for Soler Hot Wow Hoofing 0 q LJ 2.Install Soim Wider Heading System . 0 10 71 J,Install WhIng Conduh for Future Photovoltaic Installation 6 Proritle 200 te of South-FacingRoof 0 2 I.Install Photovoltaic(PV)Panels ❑ a30%of electric noun OR 12 kW(mul 6 Patch) 0 6 ❑ b.60%of electric needs OR L4kW fluid 12 come) D ❑ C.90%m electric heed OR 3.6 kW(total lB pdmtsl 0 - - Total Available Points in Renewable Energy=211 0 J.BDH.DING PERFORMANCE Points Available Per Measure 1.Diagnostic Evaluations ❑ e.House Passes Blower Door Test 0 1 h.House Passes Combustion Safe Backdra0 Test p 2Deeipn antl Build High Periormence Homes-%above TlBle 24-minimum l5%flequired 0 2:30 ❑ 3.House Obtains ENERGY STAR with Indoor Air Package Certification-Phof Measure Rotel 45 Pointe;read comment) 0 5 2 Total Avalable Points in Building Pedormance=39 0 K.FINTISI 6 Points Available Per Measure 1.Design Entryways to Reduce Tacked in Contaminants p 1 2,Use Low-VOC or Zon>VOC Paint(Maximum 3 Points) ❑ a.Low-VDC Imarior WelgCelling Paints(d0 go VDCS(Flap and d50 gal VOCs(Non-Flag) 0 1 ❑ b.Zsra-VOC:Intens walliCeilln Points(d 0 VOCs(Fad) p ❑ 3,Use Low VOC,Water-Basad Wood Finishes 1Q50 go VOCs) 0 2 ❑ 4,Use Low-VDC Caulk and Construction Adhesives(00 gpl VOCs)for All Adhesives 0 2 ❑ S.Use Recycled-Contend Paint 0 1 B.Use Environmentally Preferable Materials for Interior Finish:A)FSC-CeNfied Wood,B)Reclaimed,C)Rapidly Renewable,D)Recyclad-Content or E)Finger-Jointad ❑ a.Cabinets(50%Minimum) p 1 ❑ b.Interim Trim(50%Minimum) p — —--— - —_ ❑ ' c.SheMng(SD%Minimum) 0 - ---- ❑ d.Doors(50%Minimum) -- ❑ e.Counted 50%Minimum) 0 1 7.Reduce Formaldehyde in Interior Finish(CA Section 01350) • ❑ e.Sub600r B Stair Treads(50%Minimum) 0 11 ❑ b.Cebinsts 6 Countertops(50%Minimum) 0 ❑ c.Interior Trim(50%Minimum) ❑ d.SheNln (50%Minimum) 0 Jl ❑ B.After Installation of Finishes,Test of Indoor Air Shows Formaldehyde Level Q7ppb 0 1 1 3 Total Available Points in Finishes=21 0 L.FLOORING Points Available Per Measure 1.Use Environmentally Preferable Flooring:A)FSC-Certified Wood,B)Reclaimed or Refinished,C)Rapidly Renewabia,D)Recycled-Content,E) Exposed Concrete.Flooring Adhesives Must Hove c50 gpi VOCs. ❑ e.Minimum 15%of Flow Area D ❑ b.Mlnlmum 30%m Floor Area 0 1 ❑ c.Minimum 50%mFlow Area 0 ❑ d.Minlmum 75%m Floor Area 0 -- ❑ 2,Tharmal Mass Floors:Floor Covering Other than Carpet on So%or More of Concrete Roos, 0 ) 1 ❑ 3.Flooring Manta Section 01350 or CRI Green Label Plus Requirements(50%Minimum) 0 1 1 2 1 Total Available Points in Flooring=7 D M.APPLIANCES AND LIGHTING Points Available Per Measure 1,Install Water and Energy Efficient Dishwasher ❑ e.ENERGY STAR(toil 1 point) 0 ❑ b.Dishwasher Uses No More than 6.5 GaDonsiCycie(total2points) 0 1 2lnstall ENERGY STAR Clothes Washing Machina with Wales Factor of 6 or Lev ❑ a.Meets Energy Star and CEE Tior 2 requirements(modified energy factor 2.0,Water Factor 6.0)(Iota 3 points) 01 _2 _ E] b.Meets Energy Star and CEE Tier 3 requirements(modified energy factor 22,Water Factor 4.5 or less) �� 1 2 totals Pascal 0 3,Install ENERGY STAR Refrigerator ❑ C.ENERGY STAR Qualified B c 25 Cubic Feat Capacity p 1 ❑ b.ENERGY STAR Ouallfied 6 c 20 Cubic Feet Capacity0 1 /.In6ta0 Built-In Recyclin Center p ❑ a.Built-in Recycling Cantor _D _ _ ❑ b.Buill Composting Center — —" D 1 1 Total Available Points in Appliances and Lighfin =12 0 N.OTHER Points Available Par Measure ❑ 1.Ineorpoate,GremnPoint Rated Checklist in Blueprints-Required 0 .R • ❑ 2.Develop Homeowner Manual of Green FeaturesrBene6ta D 1 1 1 3.Community Design Measures Is Local Priorities:See the Community Planning 3 Design section In Chapter 4 of the New Home Guidelines for measures.Maximum of 2D points for suggested measures.Local requirements may also be listed hare. El 02007 Build It Green Single Family GreenPolnl Checklist 2007 Version Page 3 of 4 R PROJECT NAME it as _Emw deatnadon here,and emn pdmt wallode la mum In appropriate categories m the ride. 0 0 FD 0 0 0 Emsdescriptionnone,and am pones wallebk In meesm in opproprue categories to the dghL 0 D 0 0 Enterdescription hen,and ampom wa0atle lar measureIn appropdete ceugodet to he riftD 00 0 0 ElEraw 00=00(ihen,and amenponesMum to msum m appmplete caofodet to me ripla D 0 0 0 0 4.Innovation:List Innovative measures that mast the green building objDcttves of the Guidelines.Enter up to a Bulltl it Green Checklla%and maximum combined total of 20 pts.See Innovation Checklist for suggested measures,using the link to the right. Guidelines Innwalion In Commun :Enter de al here.and some ponds wa0etle In measure in approixiftle calaquies to the dl D 0 0 1 0 1 0 1 0 Innwallon in En :Enter de 'on hen,and men poft wah bee to manure In aennorlate caustinaln to IM ro. 0 0 0 0 0 0 LJ m Iwatim m IAOM W the EMtl 'on here,and War avallatle la menus in ale Categories to the right. 0 0 0 0 0 0 Innovation In aeeourcue:Enter de on hen,and Now points entice lox measure In approplieft,categories to the dght 0 0 0 0 0 0 Innwallm in Wale_r,Em_n descrptim hme_end sots points wellath in measure in appoprlan cnegdiet to the right, 0 0 D D 0 0 Tool Availetlle Points In Other a a3 0 Summary Total Available Points In Specific Categories' 4+ 96+ 42+ 66+ 43+ Minimum Points Required In Specific Cmagor1w 0 30 5 B B e e t t e e Project hike not yet met the following recommended minimum requirements: - Total Project Score of At Least 50 Points -Required measures: -A3a: 50% waste diversion by weight ' -72: 15%above Title 24 -NJ:Incorporate GreenPoint Rated Checklist into blueprints -Minimum points In specific cateoories: -Energy(30 points) -IA(21Health(5 points) -Resources(6 points) -(Nater(9 points) • 02007 Build It Green Single Family GraanPoint Chaddis120W Version Page 4 of 4 Community Development AW, CuOpOertinoCA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 4 UM TINO Building De artment JOB ADDRESS: /o /,�Mf .J$✓�" �� PERMIT # /iliP O OZdd �"'7 OWNER'S NAME: T 1, W,ptkx FJlS PHONE # d - 32, GENERAL CONTRACTOR: rxA-.j5 d4- I-.%[,rt FAX # I am not using any subcontractors: 2-11310.(V 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 W41P x Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date