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CITY OF CUPERTINO
PERMIT
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CONTRAC}
-
BUILDINODIVISION
S'O�IONT,61M'At10"'P%
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BUIL W1��TEWSOM AVE
SPEEDY ROOTER PLUMBING
P
08010158
NEWS NAME:
PERMIT ISSUE DATE
WEN-JEN CHEN
701 ALDO AVE STE 43
01/29/2008
PHONE:
SANITARY NO. CONTROL NO.
(408)234-8134
ARCHITEC (ENGINEER'.
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
o
lb Description
1 finally affirm that w at I licensed under previsions of Chapter 9 (commencing
wide Secuan 7g10)O[Div{aian Sof Ne Buu.ss srW Code. arW mylicensets
REPLACE SEWER LATERL FM HOUSE TO SIDEWLK & ADD ON
in full false and effen. � ?-7-Ir3 3 r
License Clar Lie.g
--
ITY CLEAN-OUT--
DautCannotL
'
A CHnEM DECLARATION
I understand my plans shall beused as public rteards
Licensed Professional
,OWNER -BUILDER DECLARATION
1 bunchy aRnn Nn 1 am exempt from Ne Communes Ucansa Law far dee
following mason. (Section 70313, Business and Profession Coda: Any city or many
which requirets a permit to construct, alms imprms, demolish, or repair my source
prior to its issuance, also requires the applicant forsuch permit to Ne a signed xtsmmem
that he is licensed to the of the Contractor's License Law (Chapmr9
Sq. Ft. Floor Area
Valuation
pursuant provisional
3000
(commencing wide Section 7000) of Division J of Ne Businessland Professions Code) or
that he is exempt Uncertainand the basis for the alleged exemption. Any violation of
yp,7� Number
3 7 5 3 0 017 Aff
Occupancy T'Pe
Sudan 7031.5 by anySpplkant for a permit subjects the applicant to a civil penalty of
net seam Nan five hundred do0srs (S.500).
❑ L u octrmr Of tic property, army employees with wages as theamle compe.adon,
Required Inspections
wit Nework The�tumbnes'.
mens doesnsie(SaAU1a,Budness
and Professional Code: The Law den not apply to an owner
Pr Code:Licanum Law
q p
is
ireprotea Hereon,and who dmssuchwork Interstellar through his
properlywhobuilds ms tiro andwho
a enilding ed Oat inch improvements ere m for solo If.
l
leirW
hmanow M of completion,
however. m year
builder Ne buildingorimprovementumid
diinoneyearOfImproveforNeuw.r-
builder will have the kNee of proving Nn k did not build o Improve for purpose of
sale.).
❑ 1, as Owner of the property, am exclusively contracting with licensed common to
construct Ne pmjen (Sec. 70x4, Business and Professions Cade) The Contractor's U.
sense IAw don not apply an
of properly who builds or improw4 Menchan, sed,�wine
c itha
centrists [or such projects wide aconuactor(q limned punusnt m the COntrsclora
SAN
Lica Law.
on
❑ I sen nempt under See. . B & P C!or Nb reason
wee Data
WORKER'S COMPENSATION DECLARATION
I hereby afRon older Penalty of perjury one of the following dulmation:
❑ I have and will maintain a Cmrifrcate of Consentm self-i.mse for workers Compu.
sedan, a provided for by Section 3700 of the Labor Code, far Ne Performance of the
ork (o bleb tltia permit is issa.
;7_,.1.1W1
haw and will mainum Worker's Compensation Insurance. m required by Sudan
--
3700ofthe Labor Code, far Ne performance ofthe work forwhimr dust permit is Island.
-
My Wmkers CamPluskch�umst Insurance cannot and Policy number am:
r
Cartier. 1fa-'J% Policy No.: U.)A4J 10ZS
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(TALL section need not k completed ]film permit Is fortune hundred duties ($10()
car Is .)
1 certify Net in the perform... of Met work for which this permit is issued. I shall am
employ layperson in any mannerm as to became subject to dee Workers' Compensation
Laws of California. Data
APPlicmt
NOTICE TO APPLICANT. IL after making this Counters of Excerption. you should
become subject M the Workers Compensation prevision of Ne Ichor Cede you muss
forthwith comply with such provisions or this permit shall be deented stoked.
CONSTRUCTION LENDING AGENCY
I kmby arrant that them 1. a construction lending agency for Ne performance of
dut work for which this permit is issued (Sec. Mill. Civ. C)
'
Lenders Name
Landers Md.
I =defy that 1 haw read this application and smut WL Na show information is
torten. I agree to comply with all city and county eNinnnces and swe laws minting to
building construction, and hereby autcodre rip ccs mtim of Nis city to cnutruses the
above-meMamed property for impaction purposes
(We) agree to an., indemnify and keep harmless Me City of CupstMnu agdrus
liabilitiesjudgments. cats and eapenxcs which may in say way as. alga mi said City
In
consequence of the gnTAN of It.
f
2 �a
APPLICA fiRSTAND D W OMPLY WITH ALL NON -POINT
Issued by: Date v` '('
SOURC TIONS.
—Z9DaO�
'
Re -roofs
Type of Roof
Si roof AppliaHK. ser Deut
HAZARDOUS MA ALS DISCLOSURE
Will the applicutor fuwre belled cuprn score Orhandle hvudous material
do ned by the Copan iha Munkipsl N. Chap= 9.13. and the Health and Safety
ode, sssJl(a)?
All roofs shall be inspected prior to any roofing material being installed.
❑Yrs ONO
O,rha
If a roof is installed without first obtaining an inspection,agree to remove
Will the applicant or future building occupant um equipment of devices which
,l
emit hGIIdOwl air contaminants as defined by the Bay Area Air Quality Management
all new materials for inspection.
District?
❑Yrs ON.
I have mad the haord. mautriats requirements under Chapter 6.95 of the Califor-
.is Health & Safety Cede, Sects n35505, 35577 and25534. 1underundthatifthe Wilding
docs not c nit ham a te 4 Is my responsibility to notify Mm occupant of Mut
royulm chmuu at Or I. of aCcvifmatoiOcapanry.Of
Signature of Applicant Date
All roof coverings to be Class "B" or better
er anamerisa agem Daut
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
PERMIT APPLICATION FORM
v f oI D/,:�
APN # ij �5 2 D D /
J
Fee ID
Date: / _ 2 (:7
J'—
Building Address:
Permit Type
/ of 2O /✓ GvSO�'l 'r'v�
1PCSEWER
Owner's Name:
1A5
P
Phone #:
2,53- �9Yaa-
Contractor:
SP/ /dfL
1BPREPIPE
Phone #:� p8 7y4= o
P
1CPRP
Fax#: �}'-7/70—too/ Z/
Contact: C
Commercial Gas Piping System
1-4 Outlets
Phone#: y�� 76/F_14/7-'- 9
lG/2
IBSEISMICOM
Seismic Commercial
P
Fax #:
Contractor License #: C—'-2'6 79 C( 9 3 J
Cupertino Business License #:
P
Job Description:
r/zow rlht--- ^,,54E R, 5/A!7 k -f
AW
Residential %IJ Commercial
❑
Valuatio/ 3�0� ^_
Green Buillding Check list must be completed and attached to this application
Green Building Points:
Quantity
Fee ID
Fee Description
Fee
Group
Permit Type
1PCSEWER
Commercial building
sewer/sanitary sewer
P
1CPSS
1BPREPIPE
Commercial re -pipe per fixture
P
1CPRP
IPGASCOM
Commercial Gas Piping System
1-4 Outlets
P
IBSEISMICOM
Seismic Commercial
P
I1BSEISMICR
Seismic Residential
P
/
IPRSEWER
Residential building
sewer/sanitary sewer
P
1RPSS
CITY OF CUPERTINO
REPIPE/SEWERIMAIN SERVICE
FEESCHEDULE
Quantity
Fee ID
Fee Description
Fee
Group
Permit Type
1PRREPIPE
Residential re -pipe per fixture
P
1RPRP
iBPWSVCS
Water Service
P
1CPWS or
1RPWS
IPPRSEWG
Private Sewage Disposal System
P
1PCESS
Cesspool
P
IBPWATER
Install/alter Water Pipe
P
1BPFIXTURE
Plumbing Fixture
P
1PGASRES
Residential Gas Piping System
1-4 Outlets
P
IBPGAS
Gas Piping System 5+ Outlets
P
1PPERMITFEE
Plumbing Permit Fee Issuance
P
IPLMBLNCK
Plumbing Plan Check
P
1PLMBINSP
Other Plumbing/gas Insp.
P
ITRAVDOC
Travel & Documentation Fee
B
IBUSLIC
Business License
B
41
E
0
0 CITY OF CUPERTINO
4 ITEMS OF 4 PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 37530017.00
DATE ISSUED.......: 01/29/2008
RECEIPT #.........: BS000003792
REFERENCE ID # ...: 08010158
SITE ADDRESS .....: 18820 NEWSOM AVE
SUBDIVISION .......'
CITY .............: CUPERTINO
IMPACT AREA .......
OWNER ............: WEN-JEN CHEN
ADDRESS ..........: 18820 NEWSOM AVE
CITY/STATE/ZIP ...: CUPERTINO, CA 95014
OPERATOR: patg
COPY # : 1
RECEIVED FROM ....: SPEEDY ROOTER
CONTRACTOR .......: SPEEDY ROOTER PLUMBING LIC # 23086
COMPANY ...........: SPEEDY ROOTER PLUMBING
ADDRESS ..........: 701 ALDO AVE STE 43
CITY/STATE/ZIP ...: SANTA CLARA, CA 95054
TELEPHONE ........: (408)234-8134
J
FEE ID
UNIT
QUANTITY
AMOUNT
PD -TO -DT
THIS REC
NEW BAL
----------
IBSEISMICR
-------------
VALUATION
----------
3,000.00
----------
0.50
----------
0.00
----------
0.50
----------
0.00
1PPERMITFE
FLAT RATE
1.00
40.79
0.00
40.79
0.00
1PRSEWER
UNITS
1.00
20.40
0.00
20.40
0.00
ITRAVDOC
FLAT RATE
1.00
40.79
0.00
40.79
0.00
TOTAL PERMIT
----------
102.48
----------
0.00
----------
102.48
----------
0.00
METHOD OF PAYMENT
-----------
CHECK
TOTAL RECEIPT :
AMOUNT
----------------
102.48
---------------
102.48
VOICE ID DESCRIPTION
-------- ----------------------------
106 SEWER & WATER
301 _ ROUGH PLUMBING
0
le
REFERENCE NUMBER
---------------------
#1238
VOICE ID DESCRIPTION
-------- ----------------------------
202 UNDERFLOOR PLUMBING
507 FINAL PLUMBING
Single Family GreenPoint Checklist dater a
The Greari Chacldlsl is basad on the various green features Incorporated Into the home antl Is the
• basis for the Grouldoim Rated program A home can be considered green g It fulfills the prerequisites,
eems at least 50 point', and meats the minimum poires per catagoly. Energy (30), Indoor Air Duailtyl
Health (5), Resources (6), antl Water (9). Please corneal Build It Green for a Out of qualified GreenPoint
Raters N you are interested In pursuing third -party, vadfication.
The groan bullding practices listed below are described In the Now Home Construction Green Building
Guidelines, available at wmw.bullditmoel oro.
0
0
1. Protect Topeog antl Minimia D'amption w Esicting Plants 6 Trees
❑ a Pmtec1 Tryso6 it= Brelcn and Rause after Construction
❑ h. Limn and Delineate Construction Footpdm fa Mazimum Pnar3on
2. Doeonsouct Instead of Samorishing Eotlating Buildings On She
6. RB -00 Job Site Corbtrucfion Waste (Including Green Waste)
❑ &Minimum 50% Waste Dlvation by Weight(RWItchng IReusa)-.Raquroad
❑ b. Minimum 65% Diversion by Walghl (Recycling or Rouse)
❑ c. Minimum 60% DNerai er by Weigle (Recycling of Reuse)
�_4. Use-ReiymiggDari Aggregate pl inimum2m
❑ a Walkway, and Driveway
❑ b. Roadway Base
Build It Creed
Smea-'aludom From The Ground Up
_IP
= C = s
_ _ a 91 � E
Points AV! Onto Pel Measure
R
2
....__...___. _.... 2 -. _.......
H. FOUNDATION
Points Available Pel Measure
❑
❑
1. Replace Portland Cement in Concrete with Recycled nyash or Slag
a.Minimum 20%Fyash a Slag
b. Minimum 25% Ryau dr, Slag
1. Construct Resource-Efficiern Landscapes
p
0
1
1
71�
2. use Frost-Rhd0n obabd Foundation in Cold Areas Zone 16)
0
- 3
❑
Conor
a. use Rntlon Pesiwam Construction On AI -Risk Locations Only)
Only)
❑
A. Design and Build Smudmi Pest Dentrai9
a Install Termite Shields 6 Separate All Exterior Wood-loConcrete Connadions Metal or Plastic FasbneavONiders
c. Use Only Jack and Cripple Studs Required for Load'
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b. All New Plants Have Trunk Bene, or Stam Lu.watl At Leaw 36 Inches from Fountlatia
C. LANDSCAPING
Points Available Pel lyasurer
. Points A EFMaasura
1. Appy Optimal Value Engineering
1. Construct Resource-Efficiern Landscapes
❑
a Place Fellers and Studs at 24 -Inch On Cantu Framing
❑
E]
a No Irritative Species IJuBd by Cal -IPC Are Planted
b. No Plein Species Will Require Hedging
❑
p
I
❑
c 75% of Plains Are Drought-tolerent California Natives, Medlbnaneen, or Other Appmprlate Species
c. Use Only Jack and Cripple Studs Required for Load'
p
p
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3
2 Uee FlrsSwe Lantlacapin Teehni ues
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0
1 a )
2 Use Engineered Lumbar
J. Minimize Tud Areas In Landampe Incblletl by Builder
71�.
❑
❑
a. Beams and Headers
b. Insulated Engineered Headers
❑
❑
a A6 Turf Will Have a Water Requirement Leu than a Equal zTan Fescue (50.6 plant lector)
h. Tud Shag Not Be Installed al Slopes Exceeding 10% a In Areas Less than B Few Witle
--
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=1110.
--- "—
2
2 -
❑
c. Tad Is s33% of Landscaped Area Octal points)
❑
p
---- --- - --- -'--
7
❑
dTud is<_7D% mLandscapid Ares h1al4points)
d. Wood l -Joists for Fool Rafters
0
D`
2
❑
L Plant Shads Trees
-
0-.-�,.-
3
(.Oriented Strand Board for Sub6Dw
S. Group Plants by Water Nestle H drozonin)
0
0
f C
2
6. Install High -Efficiency Imitation Systema
1
J. Lea fmi Liv dtod Wood
❑
a System Uses Only Low-FIDW NIP, Bubolam, or Low-9ow Spdnklars
❑
p -
—p
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Z
El
d. System Has Smart Controllers
❑
_,.,!
_- - -
:n
-
3
-- -' "- ' - '
7. Ineor orate Two Inches of Compost In the Tb 6 to 12 Inches of Soil
❑
0
.C�;'�
3
6. Mulch All Planting Betla to the Greater of 2 Inches or Local Water Ordinance Requirement
-
p
--D.- - - _ .. ._..
2
B. Use 60%Selverged or Rsled- Dritem Materials for 50% Of Non -Plant Landscape Bements
p
1 _7
I El
10. Reduce Light Pollution by Shielding Fluor ea and/or Directing Light Downward
0 �'
1
D. STRUCTURAL FRAME h BUILDING ENVELOPE
Points Available Pel lyasurer
1. Appy Optimal Value Engineering
❑
a Place Fellers and Studs at 24 -Inch On Cantu Framing
p
ice_
❑
b. Site Door and Window Headers for Load
❑
c. Use Only Jack and Cripple Studs Required for Load'
p
---
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Yp0
1
2 Use Engineered Lumbar
v
71�.
❑
❑
a. Beams and Headers
b. Insulated Engineered Headers
A
J41Y
--
ef
g� `--
❑
c.WDDd6Joistsor WabTmssesfa Floors
ti/
0
-
❑
d. Wood l -Joists for Fool Rafters
D`
❑
e. Engineered or Finger Joined Studs fw Vertical Applkadons
_
--�
❑
(.Oriented Strand Board for Sub6Dw
0
❑
g. Odemed Strand Board for Well and Fool Sheathing
1
J. Lea fmi Liv dtod Wood
❑
a Oimsnwwal Lumber, Studs and Timber: Minimum 40%
❑
b. Dimensional Lumber, Studs and Timber. Minimum 70%
-- -' "- ' - '
- 2
❑
c. Panel Products: Minimum 40%
❑
d. Panel Products: Minimum 7D%
-
--D.- - - _ .. ._..
i._= .._..
0
®2007 Build It Green
Single Family GreenPolm Chaddist 2007 Version
Pace 1 of 4
E. EXTERIOR FINISH
Points Available Pat Measure
1. Use RsEVEh dtDrmS`t Mo Virgin Pleetie or FSC-CeNfied Wood Dealing
0
ENTER
• • L
PROJECT
t Install a Feln Samn Well Systam
0
Z
J. Use Durable and Nonoombustlble Smin Memrlab
0
1
0
' `4'. Select DDilibrfahid bneombustl (e bo n- at ;w=x. -
0 _
__ — . __ _ _... _- Z
T
0
Total Panda Available In Exterior Finish =7 0
F. INSULATION
4. USE Soft Wall Systarrw Onctudn Sipe, ICFs, 8 Any Non-StiCk Frame Assembly) -
Points Available Per Ideesura
_
1. tramp Insulation with 76% Recycled Content
❑ a Wells ends Floor
❑ b. CB!iinp
0
—0
❑
a FlDm
2. Inst B Insulation that is Low-EnnhOng (Cwtified Section D1350)
❑ .v Wads auction Flom
❑ b. Delimits
0
5. Design and Install EBeative Ducmork
Elb.
wells
o
a. Install HVAC Ung end Ductwork within Conditioned Space
c
%
El
c. Points000
b. Use Duct Mastic on All Dud Jaime and Seems
_ _ _
❑
5. Reduce Pollution Entering the Home horn the Garage
D
❑
❑
LTlghtly Seel the Air Battler penman Garage and Wing Area
0
1
e. Protect Duch during Consbuction and Clean AM Duch beim D=pBncy
❑
b. IneW Gangs Exhaust Fan OR Build a Detached Senate
0 I
_
7
D
LJ
B. Design Energy Heals on Trueness 75% of Aida Insulation Height at Outside Ede of Exterior Wal
0
7. Don't Install Firepleca or Install Sealed Gas Fireplaces with Efficiency Rating Not Lasa Than SD%
1
1
7. Design Root Tnuass W Accommodate Ducnvork
0
0
1
El
B. Use Recycled -Content Sled Studs tot BD% of Interior Well Retain
0
1
a Install ENERGY STAR Bathroom Fans Varied to the Outside
& Thermal Maes Walls: What, Drywall on All Interior Wella or Wella Weighing more than 41) 1 aouft
0
1
b. All Bathmom Fans Ara on Timer or Humldistal
1 D. Insall Overhangs and Guhers '
❑
'c.Install (Itchen Range Hood Vented to the Outside
p
❑
a mammoth 164ndt overhangs and Guiana
0
9. Install Mechanical Ventilation System for Cooing (Maximum 4 Pointe)
]
❑
b. Minimum 244nah Overhangs and Guinn
D
1
E. EXTERIOR FINISH
Points Available Pat Measure
1. Use RsEVEh dtDrmS`t Mo Virgin Pleetie or FSC-CeNfied Wood Dealing
0
Z
t Install a Feln Samn Well Systam
0
Z
J. Use Durable and Nonoombustlble Smin Memrlab
0
1
0
' `4'. Select DDilibrfahid bneombustl (e bo n- at ;w=x. -
0 _
__ — . __ _ _... _- Z
T
0
Total Panda Available In Exterior Finish =7 0
F. INSULATION
0
Points Available Per Ideesura
_
1. tramp Insulation with 76% Recycled Content
❑ a Wells ends Floor
❑ b. CB!iinp
0
—0
7 '
1
2. Inst B Insulation that is Low-EnnhOng (Cwtified Section D1350)
❑ .v Wads auction Flom
❑ b. Delimits
0
5. Design and Install EBeative Ducmork
J. Ins act Quality of Insulation Installation before Applying Drywell
0
1
a. Install HVAC Ung end Ductwork within Conditioned Space
❑ B. Insulate HM Water Pipes from Water Heater to Kitchen
❑ b. Insulate All Hot Wates PIPES
❑ c. Use Engineered Parallel Piping
❑ d. Use Engineered Parallel Piping with Demand Controlled Circulation Loop
❑ e. Use StruLNrd Plumbing with Demand Conndled Circulation Loop
1
H. 2'DSATIN0 VENTILATION & AIR CONDITIONING
Points Avallable Per Measure
t. Design and Insall HVAC System W ACOA Manual J. D, and 9 Recommendations
0
4
2. Insall Sealed Combustion Unita
'
❑
a Fumacea
0
1 !
❑
0.Wamr Heaters
0
9. Install Zoned Hycircu lC Redford Heading with Slab Edge insulation
0
I
1
A. Install High Efi lency Air Conditioning with Environmentally Responsible Refrigerant
0
1
5. Design and Install EBeative Ducmork
❑
a. Install HVAC Ung end Ductwork within Conditioned Space
0
1 3
❑
b. Use Duct Mastic on All Dud Jaime and Seems
_ _ _
❑
c. Install Duchmus under Alic Insulator (Burled Duds)
D
❑
d. Pressure Balance the Ductwork System
_
0
I
❑
e. Protect Duch during Consbuction and Clean AM Duch beim D=pBncy
— p
- — 1
--- —
B. Install High Efficiency HVAC Fills (MERV 6<1
D
1
❑
7. Don't Install Firepleca or Install Sealed Gas Fireplaces with Efficiency Rating Not Lasa Than SD%
1
using CSA Standards
0
B. Install Edeettve Exhaust Systema in Bathrooms and gtehane
❑
a Install ENERGY STAR Bathroom Fans Varied to the Outside
❑
b. All Bathmom Fans Ara on Timer or Humldistal
❑
'c.Install (Itchen Range Hood Vented to the Outside
p
9. Install Mechanical Ventilation System for Cooing (Maximum 4 Pointe)
❑
a. Install ENERGY STAR Caging Fane a Light Kine In Living Anes a Redman
❑
b, Install Whole House Fan with Vadaals Speeds
❑
c. Automatically ComWged Integrated System
❑
d. Automatically Committed Integrated System win Var Bale Speed Cotmol
0
3
10. install Mechanical Fresh All Ventgation System (Maximum J Poinm)
❑
a. Any Whole House Variation System Thai Mash ASHRAE SU
❑
b. Install Akio-Alr Heel Exchanger that masts ASHRAE SU
0
7
2
11. Install Carbon Monoxide Alarms
0
1
Total Points Avellable m Huang, Ventilation and AV Points In and Donditionlnpo 3DJ0IJDI 0I
0 21107 Build It Green Single Family GresnPoinl Checkilal 2007 Version Paas 2 of 4
•
_..._._._._..._....._._._._._.,_W
J. BUD,DW6 —PERFORMANCE
Potns Ava118Me Par Measure
1. Diagnostic Evwwroom;
❑ e House Penn Blower Dore Test
h. House Passes Combustion Safety BacktlaA Test
—�1Fdrbipn EnLyweYs to Red uceTac�d'In ConTnrninanls""._—s.�.-.--_--s —.___ .. ...___. ___ __. ____
0 3
p 3
.__.._ .__ 3_._
2Designand Bufid High Performance Homu-%above Tltle24-MnimumlS Reouired
D no
❑ 3. House Obtains ENERGY STAR with Indoor Air Packepe Certification - Pilot Mansura (Total 45 points; reed seaman)
0 5 2
K. FINISHES -
Points %allaDle Pet Measure
—�1Fdrbipn EnLyweYs to Red uceTac�d'In ConTnrninanls""._—s.�.-.--_--s —.___ .. ...___. ___ __. ____
0 __
.__.._ .__ 3_._
❑
❑
2 Use Low-VDC or Zaro-VOC Paint (Maximum 3 Fears)
D
i 3
3
❑
❑
a Low-VOC Intetlor WMUCa01np Palms (60 ppl VDCs (Flap and q50 ®I VOCs (Nor FIaQJ
0
❑
b. Minimum 30% of Flom Area
❑
to. Zero-VOC: Interim WalIsCeRln Petnb d IV VOCs (Flap)- -
0
3
0
---
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El
3. Use Low VOC, Water -Based Wood Finishes (<250 gel VOCs)
p
2
3
1
❑
4. Use Low-VOC Caulk and Construaion AdhWvu (<70 gpi VOCs) for All Adhesives
0
2
❑
❑
S. Use Rerycled-Conant Pan:
0
3
b. Use Environmentally Preferable Materials for Interior Finish: A) FSCCerdpad Wood, B) Reclaimed, C) Rapidly Renewable, D) Recycled -Cc ntant
or E) Finger-Jolnatl
❑
a. Cabinets (50% Minimum)
0
3
❑
b. Interim Tdm(50% Minimum)
❑
c. Shelving (SD% Minimum)'-
❑
d. Doors (50% Minimum)
❑
e. Counts a (50% Minimum)-
--._..
D
.._ ...
.._l _.. _.
7
7. Reduce Formaldehyde In Interior Finish (CA Section 01350)
❑
a. Subfloor a Stair Treads (50% Minimum)
0
3
❑
b. Cabinets 6 Countenops(5D%Minimum)
❑
e. Interior Trim (5D% Minimum)
0
3
❑
d. Shelvin 509. IAnimDm
_.�_
0
G
❑
e: Atter Inslalledon of Finishes, Ted of Indoor Air Shows Formaldehyde Leval ¢7 pts
L. FLOORING
Plants .Avellable Per Measure
1. Use Environmentally Preferable, Flooring; A) FE CCertified Wood, S) Reclaimed or Refinished, C) Rapidly Renewable, D)11"afed-Conten; E)
❑
❑
Exposed Concrete. Flooring Adhesives Must Hew c50 gpl VDCs.
D
i 3
3
❑
a. Minimum 15% of Floor AMR
0
1
❑
b. Minimum 30% of Flom Area
0
0
❑
C. IWnimum 50% of Floor Area
0
---
p
3
❑
❑
d.
d. Minimum 75% of Floor Area
0
3
1
❑
2 Thermal Mau Floors; Floor Covering Other than Carpel on 50% W More of Concrete Floors
0
0
3
3
❑
3. FIDWing Means Section D1350 or CRI Green Label Plus Ro uirements 50% Minimum)
o
2
M. APPLIANCES AND LIGHTING
Points Available Per Measure
1, usual Wety no Energy Effielont Dishwasher
❑
❑
a ENERGY STAR (teal 1 poli -
b. Dishwasher Uses No Mrea than 5.5 Gall de (octal 2 hdc)0
D
i 3
3
2 Insall ENERGY STAR Clothes Washing Machine with Warner Factor of 6 or Less
Ela
❑
MastsEnergy Star end CEE Tier 2 mqulamonts (mod5ed anargy lator 2D, Water Faclm fi.0) (lobi 3 paras)
b. Meats Energy Soar and CEE Tier 3 requirements (modified energy factor 2P, Water Fecal 45 or Ins)
(total5 pound)
0
0
1 Install ENERGY STAR Refrigerator
❑
❑
e ENERGY STAR Ovallfied 6 <25 Cusse Feet Capacity
h. ENERGY 57AR GueOficycgnad 8 <20 Cubic Feel Capacity0
0
3
1
4. Insall Built4n ReCenter
0
❑
❑
n Built -In Recycling Cam
h. Built -In Composting Center
comb
• ❑ 2 Develop Homeowner Manual of Green FmsNaalBenefies
3. Community Design Measures It Local Priorities: See the Community Planning 3 Design section in Chapter 4 m the New Home Guidelines for
measures. Mmdmum of 20 points for suggested manives. Lo.al requirements may also be listed here.
02007 Build it Green Single Famlly GreenPolnt Checklist 2D07 Vaeon Page 3 of 4
Required measures:
-A3a: 5001. i4aste diversion by weight
-J2: 15% above Title 24
-10: Incorporate GreenRoint Rated Checklist into blueprints
Minimum points in specific catePerles:
-Energy (30 points)
-74(21Healb) (5 Poin:s)
-Resources (6 Points)
-Water (9 Points)
0
02007 Build It Green Single Family GreenPolnt Chack al2007 Version onnn e M e
41
Community Development
10300 Torte Avenue
Cupertino CA 95014
Telephone(408)777-3228
Fax(408)777-3333
Building Department
JOB ADD ESS:
��iSZ-
PE #
OWNER'S NAME:
PH09E # JW -7-53-
ZS -GENERAL
GENERALCONTRACTOR: �7o,CEyy,�O/�/t
FAX # S/o j, 2W -e/2 4
r c
I am not using any subcontractors: 2
Signature Date
Please check applicable subcontract rs and complete the owing information:
Owner/Contractor Signature
Date
60
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
February 25, 2008
City of Cupertino
Building Department
10300 Torre Avenue
Cupertino, CA 95014-3255
Subject: Sanitary Sewer Work Performed at 18820 Newsom Avenue, APN #
375-30-017, Cupertino, CA
To Whom It May Concern:
Please be advised that the residential unit as referenced above will not have any adverse
impact on the City of Sunnyvale's sanitary sewer system. In addition, all the work will
be within private property so there will be no impact to the public sewer system.
According to City of Sunnyvale's record, the existing sewer lateral is at 3' west of the
easterly property line. Please call me if you have any questions at (408)730-7616.
Very truly yours,
Eric Gonzales, P.E.
Civil Engineer
cc: Property Owner, Mr. and Mrs. Chan