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08010128BUILDING Divlsi6N PERMIT c1tl..V 1\41.1VL'iCTV4F �+��Q��+•�� BUILDITAT8"14ORTHVIEW SQ JUST WATER HEATERS INC PERMIT N0, 08010128 OWNER'S NAME: PERMIT ISSUE DATE SUSAN HUBBART 3400 INVESTMENT BLVD 01/22/2008 NE SANITARY NO. CONTROL NO. (510)293-9901 ARCHITECTI ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 LICENSED CONTRACTOR'S DECLARATION - Job Description P I barely affirm mut I am limited under provinces, of Chapter 9 (¢mmenein` wits Satwn 70M)afDoome. 3 of du Besirca and Prefused. Code. And my tic..., REPLACE 40 GAL GAS WATER HEATER in full force and ellen License Clan Lie.• Dam. Contractor ARCHITECTS DECLARATION 1 ustenand my plana Anil W used as public records Licensed P ilmst.nai OWNER -BUILDER DECLARATION 1 hereby affirm that I em exempt from the Con4ana/a license Law for Ne fallowing mason. (Section 7031.5, Business and Professions Code: Any city or county ..... which requires a permit to cmroron alcor. Improve, demolish, or repair any auclure poor In lou issuance, aim requires the applicant for Such permit to file a Signed Statement he los licensed the of dm Commutes Lloena Law (Chapter 9 Sq. Ft. Floor Area939 Valuation that pursuant o provisions (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is eumpt thomfrom and dre ba m fm Its alleged exemption. Any violation of 3163 6 010 A?bT Number Occupancy Type P Y yP Section 7031.5 by any applicant fa • permit sub" the applicant to a civil Penalty of not mart Nan five hundred da1Wa ($7(101. ❑ I,asowner of the p.pmty,mmy wployeme wits wgeassdeev tele camPewtion, Required Inspections will do the work, and tsaruucture u not banded or offered fm ale(Sec. 761, Rotational 1st Professions Cade: The Commencer License Law dame mL apply m an owner of e ns q P proprty who builds mer improve tsme.a. and who docs much work himrsl f ar through has awn employes, provided that such Improvements we not boosted oraBerW fatal& If. hmvew, Ne building orimprovemen Is sold within oro year of completion. the owner. Witter will have An burden of proving that ba did not build or improve for purpose of ala.L ❑ 1, an owner of An proPeny w exclusively canuxeting wide licensed conuactma to cansuuct dm project (Sen. 7014. Business and Pretensions Code:) The Cart acmes U. cense law docs oat apply in an owner of property who Wilda ar impmwa Nemo.. and. who concocts for such projects with a eanlrwmr(a) Iiceraed punumt w iho Contracoer License Law. [I1 con aemps under See . B At P C far this mason Owrcr Dam WORKERS COMPENSATION DECLARATION I hereby affirm under Penalty of prJury arc of tsa following dente ntians: ham and will maintain aCerffatcof Conant m self-Wure far Warkeh Compo - an, apro far by S3]00 of dee Vhor Cade, fm thin Peofosman¢ of tsc this work for whishh Nis Permit iss issoued. W ❑ I haw and will maintain Worked CompnsNon lantana. as requited by Sued. 37W of tsc labor Code. far tse part.... of tse work far which this ptmit is issued. ' My Workers Com amsm.. Immune carrier and Polity number art: Cartier. Policy No.: CER 1ECATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE film rection, need act x completed lf,W Permit is forane hundeudhollan($]W) or man) 1 coolly that in the Mr... N ibe work fm which thin Permit in issued. I Shall at - employ any'Peran in my manrcrse an to Innermost subject in lk Worlmn' Compensation laws of California. Dam Appli¢m NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become abject in to workers Compensation provisions of tlo IaMr Cmk% you most foMwits comply with Such provisions or this prmiuhall W deemed owned. I CONSTRUCTION LENDING AGENCY 1 badby affirm that there is a connuctun lending agency, for dee Performance of the waste for which this permit is issued (Sen. 3077. Civ. C) ' fa mer's Name L cml Address j 1 certify that I have mad this application and sum tsar the show information is ' correct. I agree an comply with all city and county cNinancer and sum laws muting to ibuilding construction, and hereby mthodm¢p'aentatives ofthis city in enter open Ne ahow-mentioned property for inspection purmmaL (Wen) ago to ave, indemnify and kap hwmless Lk City of Cupmino against j liabilities. Judgment. emu and eapeacat which may in any my a¢ x¢ against aid City in consequence of tse granting of thua p"il. T APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POIM' Issued by: Date SOURCE REGULATIONS. Re -roofs Type of Roof Signals. of Applica uCcowsam, Dam HAZARDOUS MATERIALS DISCLOSURE Will lie applicant or (Muco Wilding oceupmts Sur a handle haaAom material as defircd by IW Cupninc Municipal Code. Chapter 9.12, and tse Health and Safety Cattle. seed.. 25532(0] All roofs shall be inspected prior to any roofing material being installed. ❑Yen ONO If a roof is installed without first obtaining an inspection,agree to remove Will the applicant or future Wilding ocempant use equipment or devices which .1 t hwaMnus air comaminmu as defned by the Bay Area Air Quality Management all new materials for inspection. ❑Yen No 1 have must the hwardom materials requirements under Chimer 6.95 of tse Culler. nm Health&Sg&yCod&Seem= 2550.25533 uW 27534. I undeniund that if tss Wilding dom at camentiy Ina a amid. dew it u my responsihility to entry the occupant of the regaircmamwhich maaWmet poor mauanceafaCertificate afheupancy. Signature of Applicant Date All roof coverings to be Class "B" or better Dam Owner atalhativedagent ® 4 ITEMS OF 4 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 31636010.00 DATE ISSUED.......: 01/22/2008 RECEIPT #.........: BS000003749 REFERENCE ID # ...: 08010128 SITE ADDRESS .....: 10845 NORTHVIEW SQ SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: patg COPY # : 1 OWNER ............: SUSAN HUBBART ADDRESS ..........: 10845 NORTHVIEW SQ CITY/STATE/ZIP ...: CUPERTINO CA, 95014-0541 RECEIVED FROM ....: JUST WATER HEATERS CONTRACTOR ........: GILROY, JOHN LIC # 15128 COMPANY ..........: JUST'WATER HEATERS INC ADDRESS ..........: 3400 INVESTMENT BLVD CITY/STATE/ZIP ...: HAYWARD, CA 94545 TELEPHONE ........: (510)293-9901 ® FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL 1BSEISMICR VALUATION 939.00 0.50 0.00 0.50 0.00 IPPERMITFE 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 -------------------------------- CREDIT CARD 106.56 -------------------- MC --------------- TOTAL RECEIPT 106.56 VOICE ID DESCRIPTION -------- ---------------------------- 518 WATER HEATER VOICEIDDESCRIPTION -------- ---------------------------- OFD( o(2b CITY OF CUPERTINO WATER HEATER ® CUPERTINO PERMIT APPLICATION FORM APN # -.31(,03 (DO I O ' o o Date: Building Address: Owner's Name: Phone #: Contractor: Phone #: Fax #: Cupertino Business License #: Contractor State License #: Contact: Phone #: Fax #: Building Permit Info: Bldg ❑ Elect ❑ Plumb ❑ Mech ❑ Residential ❑ Commercial ❑ Job Description: Strapped ❑ On Platform ❑ Bonded ❑ New Location ❑ Replacement ❑ Valuation: Green Building Check must be completed and attached to this application. Green Building Points achieved: (4 a.10F CUPERTINO CITY OF CUPERTINO WATER HEATER PERMIT APPLICATION FORM 0 Quantity Fee ID Fee Description Fee Group Permit Type 1PCWHEATR Commercial Water HeaterNent B PCWHEATR 1BSEISMICOM Seismic Commercial B 1PRWHEATR Residential Water HeaterNent B PRWHEATR 1BSEISMICRE Seismic Residential B 1PPERMITFEE Plumbing Permit P 1TRAVDOC Travel & Documentation B 1BUSLIC Business License B 0 0 0 Single Family GreenPoint Checklist. date The GrsanPoim Checldist is based on the various green features incorporated into the home and is the basis for the GreenPoirn Rated program. A home ran be considered green If it fulfills the prerequisites, owns at least 50 points, and meats the minimum points per catagory: Energy (30), Indoor Air Quality/ Health (5), Resources (6), and Water (9), Please comas Build R Green for a list of qualified GreenPoint Raters H you are interested In pursuing third -parry verification. The green building practices listed below are described in the New Home Consimction Green Building Guidelines, available at www.huildimrean ore Build It Greed Smart Soluribrs From Me Ground Up n— F-1 n— R-- E Tnfal MrM Avallmho In Clle le IS. FOUNDATION - Points Available Per Measure ❑ ❑ 1. Replace Portland Demand in Concrete with Recycled Ryesh or Slag a. Minimum 20% Elyash a Slag b. Minimum 25% h a Slag 1, Apply Optimal Value Engineering a. Placa Bailers and Studs at 24 -Inch On Carter Framing b. Size Dow and Window Heatlers for Load c. Use Only Jack and Cripple Studs Required for Load - 0 0 ENTERssssssssss PROJECT s 5 6 0 3 0 S. Usro Radon Bess"' t Construction n AIAisk Locations Only) 0 1 � W 0 A &ITE - 0 Points Available Per Measure 0 1. Pmts Topsoil and Minimize Disruption of Existing Plants & Trees b. All New Plans Have Trunk, Base, or Stem Located At Least 36 Inches from Foundadon _ 0 1 6 Plant Shade Trees ❑ e.PmW Trysal from Erosion and Reuse after Construction_____ ___ 5. Group Plants by Water Needs rldrozonin) 0 ] El b. Limb and DeOeema Construction Foo�mba Minimum_ for Protection p ❑ ❑ ❑ ❑ - _ ] p 2 Demnsduct Immo d of Demolishing Existing Buildings On are p ]. Incorporate Two Inches of Compost in she Top 6 t 12 Inches of Soil 0 3 J. Recycle Job Site Construction West (Including Green Woos) D 2 9. Use 50% Salvaged or Racyc4d-CWhori Materials for 50% of Non -Pled Landscape Elements ❑ e. Minimum 50% Wash Diversion by Weight (Recycling or Reuse- Required ❑ 10. Ratluce Light on by Shielding Fixture antl/or Directing Light Downward 0 1 ❑ b. Minorum 65% Diversion by Weight (Recycling or Reuse) p — --- — `---- ❑ c. Minimum BO% Diversion by Weight(Racyaing or Reuse) p —'-- `-2'-- 4. Use Recycled Consent Aggregate (Minimum 25%) ❑ a. Walkway and Driveway 0 ] ❑ b. Roadway Base 0 ] Tnfal MrM Avallmho In Clle le IS. FOUNDATION - Points Available Per Measure ❑ ❑ 1. Replace Portland Demand in Concrete with Recycled Ryesh or Slag a. Minimum 20% Elyash a Slag b. Minimum 25% h a Slag 1, Apply Optimal Value Engineering a. Placa Bailers and Studs at 24 -Inch On Carter Framing b. Size Dow and Window Heatlers for Load c. Use Only Jack and Cripple Studs Required for Load - 0 0 ] ] I p 0 2 Use Frost -Protected Shallow Foundation in Cold Auras (C.EC. Climate Zone 16) 0 3 0 S. Usro Radon Bess"' t Construction n AIAisk Locations Only) 0 1 ❑ 1. Design end Bufitl Structural PWC a. Install Terrors Shields & Separate All Exterior Waid-toConaets Conneddone by Metal or Plastic FastanemrDividers 0 0 0 — 2 b. All New Plans Have Trunk, Base, or Stem Located At Least 36 Inches from Foundadon _ 0 1 6 Plant Shade Trees dial Points 0 C. LANDSCAPING Points Available Per Measure ❑ ❑ ❑ 1. Construct Resource-EKciant Landscapes a. No Irwaslve Species Listed by Cal -IPC Are Planted b. No Plant Species Will Require Hedging C. 75% of Plants Ara Drought-tlereM Cambodia Natives, hmotnansan, or Other Appropdam Species 1, Apply Optimal Value Engineering a. Placa Bailers and Studs at 24 -Inch On Carter Framing b. Size Dow and Window Heatlers for Load c. Use Only Jack and Cripple Studs Required for Load - 0 p 0 3 0 2 Use Flro-Sefe Condom inti Techniques 0 1 I ❑ ❑ ❑ ❑ e. Minimize Tud Arms in Landscape Installed by Builder a Al Tud Will Have a Water Requirement Less than a Equal to Tal Fescue (50.6 owl factor) h. Tud Shall Not Be Insmlled but Slopes Exceadng 10% a In Areas Less than 6 Feet Wide C. Turf is 533% of Landscaped Area lower 2 Parts) d. Tud is 510% of Landscaped Area (ental 4 points) 0 -. p' 0 — 2 0 -- --- j - 6 Plant Shade Trees 0 3 ___ 5. Group Plants by Water Needs rldrozonin) 0 1 2 ❑ ❑ 6. Install High -Efficiency Irrigation Systems a. System Uses Only Low -Flow Drip, Bubblers, or Low4low Sprinklers b. System Has Smart Controllers ] 1 ❑ ❑ ❑ ❑ 0 2 p —! 3 0 p-- 0 ]. Incorporate Two Inches of Compost in she Top 6 t 12 Inches of Soil 0 3 S. Mulch All Planding Beds to the Greater of 2Inches or Local Water Ordinance Requirement D 2 9. Use 50% Salvaged or Racyc4d-CWhori Materials for 50% of Non -Pled Landscape Elements 0 1 ❑ 10. Ratluce Light on by Shielding Fixture antl/or Directing Light Downward 0 1 Mal Prink AvanaMo int and¢aninn-M r I D. STRUCTURAL FRAME h BUDDING ENVELOPE Points Available Pat Measure ❑ ❑ E] 1, Apply Optimal Value Engineering a. Placa Bailers and Studs at 24 -Inch On Carter Framing b. Size Dow and Window Heatlers for Load c. Use Only Jack and Cripple Studs Required for Load - 0 I ] 0 0 1 ❑ '❑ ❑ E] ❑ ❑ ❑ 2 Use Enginewed Lumber a Beams and Heatlers b. Insulated Engineered Headers c. Wood I -Joists or Web Trusses for Floors d. Wood 1 -Joists for Roof Peters e. Engineered a Flngor-Jointed Studs for Vertical Applications__- f. Oriented Strand Board for Subfloa g. Dtlantetl Strand Board la Well and Root Sheathing _ 0 0 0 _ _ _ _ 1 ___ c — -- --i- --- 0 0 ] 1 ❑ ❑ ❑ ❑ 3. Use FSCCammed Wood a. Dimensfmal Lumber, Studs and Tinder. Minimum 4D% b. Dimensional Lumber, Studs no Timber. Minimum 7D% c. Panel Products: Minimum 40% d. Panel Products: Minimum 70% 0 p-- 0 r 2 ------� -- -- — - -- ID 2007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 1 of 4 H. HEATING VENTILATION R AIR CONDITIONING - Points Available Per Measure 1. Design and Install HVAC System to ACCA Manuel J, D, and S Recommendations 1 4 2, Install Sanded Combustion Wits ❑ a.FumaCes, D 2 ❑ b.Walw Heaton 0 —i—I 9. Install Zoned, Hydronlc Radiant Heeling with Slab Edge Insulation 0 1 1 I 4. Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants 0 1 S. Design and Install Effective Ductwork ❑ a. Install HVAC Unit and Ductwork whhln Conditioned Space 0 ❑ b. Use Dug Meade on All Dud Joints and Beams _ ❑ c. Install Dumork under Attic Insulation (Boded Ducts) ❑ d. Pressure Balance the Ductwork System _ 0 ❑ e. Protect Ducts during Consin ction and Clean All Ducts before Occupancy D 1 Lj B. Install High Efficiency HVAC Floor MERV 6+ 0 I ❑ 7. Don't Install Fireplace or Install Sealed Goa Fireplaces with Efficiency Rating Not Lose Than 60% 0 1 using CSA Standards 6, Install Effective Exhaust System in Bathrooms and Kitchens, ❑ e. Install ENERGY STAR Bathroom Fane Vented to the Outside 0 1 ❑ b. All Bathroom Fans Are on Timer or Hurniftht 0 ❑ C. Install Kitehan Range Hoped! Vented to the Outside 0 B. Install Mechanical Ventilation System for Cooling (Maximum 4 Points) ❑ e. Install ENERGY STAR Calling Fens S Light Kite In Living Areas A Bedrooms 0 1 1 I ❑ b. Install Whole House Fan wim Venable Speeds _ _ _ ❑ c. Automatically Controlled Integrated System 0 ❑ d. Automat lry Conbdled Integrated System with Variable Speed Contrd _ 0 3 f 10. Install Mechanical Fresh Air V011 loll System IMa annum J Points) ❑ e. Any Whole House Vemllation System That Meets ASHRAE 622 0_ 1 Z ' El b. Install Air -lo -Air Heel Exchanger that meets ASHRAE 622 _ 0 I 2 11. Install Carbon Monodde Alzurm(Bl 0 1 0 2007 Build It Green Single Family GreanPolnt Checklist 2007 Version Page 2 of 4 • • J. BUILDING PERFORMANCE Points Available Per Measure ❑ ❑ 1. Diagnostic Evaluations a. House Pewee Blower Door Test b. House Passes Ccmbustlon Saftery Backdrafl Test 1. Design Entryvrrys to Reduce Tracked in Contaminants 0 - 7 0 7 1 2. Design and Build High Performance Homes -%above Title 24 -minimum 15% Required 0 >_30' ❑ 3. Homes, Obtains ENERGY STAR with Indoor Ali Package Certification - Pilot Measure (Total 45 points; read c(Amment) 0 5 2 K. FLNISHES Points Available Per Measure ❑ 1. Design Entryvrrys to Reduce Tracked in Contaminants 0 1 0 0_ 0 _ 7 __ 1 + 2. Use Low-VOC or Zaro-VOC Paint (Maximum 3 Points) _ 1 ❑ 2 Thonnal Mass Floore: Floor Covering Other than Carpet on 50% or More o/ Concrete Floore ❑ El a. Lav-VOC Interior WeIVCellinp Peints (dO gA VOCs (Fiat) and d50 gpI VOCs (Ni b. Zaro-VOC'.Interim WeIllCellin Points (d gpl VOCs (Flet) 0 0—_ 1 ' _ ❑ 3. Use Low VDC, Water -Based Wood Finishes (250 g I VOCs) 0 2 _ _ _ 1 1 ❑ 4. Use Low-VOC Caulk and Construction Adhesives (d11 gpI VOCs) for All Adhesives 0 ❑ ❑ ❑ 5. Use RecycleGContsm Paint 0 1 C Use Fnvironmentelty Preferable Materiels for Interior Finish: A) FSC-Cerdfied Wood, B) Reclaimed, C) Rapidly Renewable, D) Recycled47orrom or E) FingerJolnod ❑ ❑ ❑ El ❑ a. Cabinets; (50% Minimum h. Interior Trim (50%Minimum) c. Shaving (50% Minimum) d. d. Doom (50% Minimum) a. Counter 50% Minimum 0 p p p 0 - -7 - -- 1 7. Reduce Formaldehyde in Interior Finish (CA Section 01350) ❑ ❑ ❑ ❑ a. Subhoor 6 Stair Treads (50% Minimum) to. Cabinets A Coumertops (50% Minimum) c. Interior Than (50% Minimum) d. SheNin 50%Minimum) Minimum) 0 0 0 0 7 —T� -- ---- —r 1 ----- ❑ e. After Instillation Test of Indoor Air Shows Formaldehyde Level Q7ppb 0 3 I L. FLOORING Points Available Par Measure ❑ ❑ E] ❑ 1. Use Environmentally Preferable Flooring: A) FSC-DerAfiod Wood, B) Reclaimed or Refinished, C) Rapidly Renewable, D) Recycled -Content E) Exposed Concrete. Flowing Adhesives Must Have d0 gpI VOCs. a. Minimum 15% of Floor Area b. Minimum 30% of Floor Area C. Minimum 50% of Flan Area d. Minimum 75% of Floor Area 0 0_ 0 _ 7 __ 1 + 0 _ 1 ❑ 2 Thonnal Mass Floore: Floor Covering Other than Carpet on 50% or More o/ Concrete Floore 0 1 i ❑ 3. Flooring Meets Section 01350 or CRI Green Label Plus Requirements (50% Minimum) 0 Z M. APPLIANCES AND LIGHTING Points Available Per Measure ❑ ❑ 1. Install Water and Energy Efficient Dishwasher a. ENERGY STAR (tool t point/ b. Dishwasher Uses No More than 6.5 GeflonsC cls taal2 points)0 L----`--- 1 ❑ ❑ 2. Install ENERGY STAR Gothes Washing Machine with Wow Factor of 6 or Less a. Meets Energy Star and CEE Tier 2 requirements (modified energy factor 2.0, Witter Factor 6.0) (tool 3 points) b. Masts Energy Star and CEE Tier 3 requirements (modded energy factor 23, Water Few 45 or less) (totals points) 07 2 -- --- -z ❑ El 3. Install ENERGY STAR Refrigerator a. ENERGY STAR Ousllfied It <25 Cubic Feet Capacity__ d. ENERGY STAR Ouallfied 6 s 20 Cubic Feat Capacity 0 0 _ _ _ 1 1 4. Install Built-in ReLyclIng Center 0 ❑ ❑ a. Built -In Recycling Center b. BuIINn Composting Canter 0 0 ( T 1 y 3. Community Design Measures 6 Local Priorities: See the Community Planning 8 Design section In Chapter 4 of the Now Home Guidelines for measures. Maximum of 20 points for suggested measures. Local requirements may also be listed hare. ® ❑ 02007 Build It Green Single Family GroanPoint Checklist 2007 Version Page 3 of 4 02007 Build It Green Single Family GreanPolnl ChnUs12007 Version Page 4 of 4 ENTER OJECT NAME 00 0 0 0 _Enke dasoripllon hen, and enter Dome, wall eas for measure In opprgaleU mospon to the right. 0 Enter description hen, and entor pints available for manure In apPnplsU caleg in to the right, 0 0 0 0 0 0 Enter description hard and polar Palms avpaame for measure In appropriate 0aleporias to the right. _ 0 0 0 0 0 Enter dowription here, and enter puma avallaos fix measure U appropriate catagerlae, to the right. _ 0 0 0 0 0 0 4. Innovation: List Innovative measures that meet the green building objectives of the Guidelines. Enter up to a Build 0 Guldelines Green Checklists end mulmum combined total of 20 pts. See Innovation Checklist for suggested measures, usingthe link to the right 0D 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Innoiafion h Common : Enter de ion hen, and War U waltelie fu measure U U cats �as tom 0 Intimation In En : Enter ft 'on hen, and end points available Its menus In appropriate ClUgOrIN b the V. 0 Innmatlon b 14aMnIM: Enter arta, and mtn evatlaGe b manure in me Wn to R% ri . _ 0 Innwelion In Ra: Ental M here, and paper par= mmetable ter menus U UU cats odea to m d rouron _ 0 alts R4nr Empr triennial here. and enter Polnts natlabk to mentionsIn approprlan ntepd_n 10 the dl0 Total AvalloVe Paints In D0era 43 D Summary Total Available Points in SpeclFlc Categodes• 4+ 96+ 42+ 66+ 43+ Minimum Points Requiretl in S eciflc Categories 0 30 6 6 9 olil Pi5ints Achieved e, 1 1 e, 1 e, Project has not yet mat the following recommended minimum requirements: - Total Project Score of At Least 50 Points - Required measures: -A3a: 50% waste alversion by weight , -J2: 15% above Title 24 -NI: Incorporate GreenPoint Rated Checklist into blueprints - Minimum points in specific categorfes: -Energy (30 points) -IAQIHealth (5 points) -Resources (6 points) -(Nater (9 points) 02007 Build It Green Single Family GreanPolnl ChnUs12007 Version Page 4 of 4 I0 40 W) ( 01z_8 k --Ly U1 1.,u erLlnv i5laiminy rermiE 1APPIlLdLiUrl E -Mail Jobsite Address: 10845 Northvlew Sq. Date: December 16, 2007 Owner's Name: ---Susan Hubbart Phone No (408)725-9747 APN#: 316-36-010 Project Valuation .S 939.00 Bullding Permit Info: Bldg--_— Elect Plumb_____X__ Mech Job Description Replace 40 gallon gas water heater. ONUM MIL6111111111u111MIIIrami Company: Just Water Heaters Inc. . Phone: (510)293-2012 Contact Name: Fax: (510)293-2022 Address: 3400 Investment Blvd E-mail: permits®Justwaterheaters.net City, State and Zip: Hayward, CA. 94545 State Contractor's License # 591329 Exp. Date: 3/31/08 Worker's Comp#: Ol DKRM11001070 Carrier: Nelos Exp. Date: 4/1/08 Credit Card Information Credit Card #: Name on Card: Just Water Heaters Inc. Expiration Date: 6/08 Visa ❑ MasterCard mme 1 CITY OF �UPEkTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax(408)777-3333 Building Department JOB ADDRESS: 10845 Northview Sq. PERMIT # OWNER'S NAME: Susan Hubbart PHONE # 408-725-9747 GENERAL CONTRACTOR: JustWater Heaters FAX # 510-783-6360 I am not using any subcontractors: 12/16/07 Signature Date Please check applicable subcontractors and complete the following information: • L`�t:a { �a^` 12/16/07 Owner/ Contractor Signature Date 10/28/03 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 Just Water Heaters 591329 Roofing Septic Tank Sheet Metal Sheet Rock Tile • L`�t:a { �a^` 12/16/07 Owner/ Contractor Signature Date 10/28/03