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08040041 CITY OF CUPERTINO .Y:nal +'�2 *d'+� r- �' ' BUILDING DIVISION PERMITC01 .RAC ,T.ORNT'.ORMATI.dV. Bu1Lj3TV8DE�Fss.`INBOW DR DRAIN DOCTOR 08040041 OWNER'S NAME:: PERMITLS RDATS SITA PHANI MAVUDURI 1775 WINCHESTI,R BLVD 04/07/2008 ONE SANITARY NO. CONTROL NO. (408) 370-3082 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH u o o LICENSED CONTRACTOR'S DECLARATION IU Description ra 1 bereby alTirm WI I w Item under pmvisioru of CW par 9 O0SCi1(commemind P rr� wIN S¢uon TIXkl)of0ivmon SofNc Butlneuend Prefer i�nme a any B¢nau CITY CLEAN—OUT m full force and eR J �.j :iqZ UcensC 3 Date— O GLnan.R / ARCHITECTS DECLARATION I understand my plans Mail beused U yt pe public mcmN ' B k ped Licensed Professioml 5 OWNER-BUILDER DECLARATION z a E I WrtSiren N by.( et 1 .eompt from the eanuanofs :Lice..c I.A.for Are is p O following won.Permit u RD U.Business and are,dem li Can:Any city an county which its Tisa n permit re rim III else Improve,demolish,,m repair ed sRAANm z1~a mlaroitsissooce,also mgoirta lWvision of for rochpemitro EkseLaw((Chap= g4< thnWrll¢mcd pursuanttodDisimmaf the Gonlracdr,LI¢rm Uw(Chapter9 Sq.FI.Floor Area $(.2000 Valuation (eons I,axe with Section and the iasis f r due M Business and Proon.Any ns Crede)or Y Net io u exempt b therefore end or aper far Ne alleged exemption.Any violation of Settlor 7031.5 five eery red doll for a pemill subjects the applicant re•civil penalty of A,Tyy�t Number Occupancy Type not mo¢Nav Rw bunesd dolma(i5D0). 36611042 .'W' P Y YP ❑I,u owner of IW property,a my emplaym with wages As ds4 ton compensation. will do the work.end Iheatructus r not intended m offered forssls(Sec.7014,antedates std Pmfcmiom Cade:The CWuomr'a License U.dam nal apply u an owner or _ Required Inspections property who build,m improves Nerean.and who does such work himself or through his awn employees,pmNded that such Improvements are not intended wagered forsaln If, however,Ne building or Improvement is old within one year of completion,Ne ow¢r- Wilder will have the burden of proving Net W did rot build er improve for purpose of son.). ❑1,As owner of the Property,Am exclusively eancutinZ with licensed conuaclars u construct the pojea(Sec.TOas,Business end Professlam Cade:)To Cmaraenues Li- ma law dam not apply to an owner of property who Wilda or improves Nemem.and who contracts for such projects wish aco=Aor(s)licensed pursuant to the Com omor's Lice.Law. ❑1 not Attempt under Set ,B G P C for this rasion Owner Das WORKERS COMPENSATION DECLARATION I hereby affirm under penalty or perjury oro of the roilawing declarations have and will maintain A Certificaus ofComent to self-Whore fo worke/s Compen- YAR pro perfo n,w and will Ter nt Section e& of pe laWr Code.ce Ne equir d by ec Nec//(\`l/��\\S/I//j//,/-/C///+��\-\�\\\\\((I�'II�II�I��III��\\\\\\\\\\`1Ir1I'T''I1'1 � �ark fon whish Nta pcnnh tissued. �../a-r `r" _ ❑I nave and will maintain Workefs compensation insurance,u myvisd by section My ork abor Code.fon the performance of Ne wart for which Nr permithissoed My Wo pompe" An Cher.carrier and Pulicy �/.�J j/�/'� (j Q� Q Cartier: C(<-�ZF EXEMPTION XE Paltry FROM / 7IJ�3 U.J / Z"aL// /�O/(/ CERTIFICATECOOF COMPENSATION I NFROM WORKERS' COMPENSATIONINSURANCE (Throction need not W completed lido permit is Toone hundred dollars($10(y) or Insq 1 cenify Net in the performance of the work for which this pctmit is banned.I Nell nm employ any pence In my mannero As At become object to tW WorkeraCompenstudon Laws of Ceifonda.Des Applicant NOTICE TO APPLICANT:Ir,after making this Cenificam of Exemption,you Nauta become subject to the Woren`s Compensation provisions of the u Wr Cade,you mus Qforthwith comply with such Provision or this permit shall W decreed mocked. CONSTRUCTION LENDING AGENCY .N. 1 Wsby Nirm tlul Nem r a conauucdnn kndint sgeoy far Ne perfortnanex of > tW worts for which this Permit r ieced(Sec.y ,Civ.C.) ' �W 0 Landefs Name .7 z Lander',Add. U O 1¢reify Nn I have mad Nis application W rote Wt the move infixemm n It It, correct.)qme to comply with all city and county ordinances and sus Iowa sladng N .C]SV^ Wilding construction.and hereby Interim representatives of this city to cher upon the [Tlahovmmentioned property far Inspection purposes py (We)agree to save,indemnify and k¢p harmless the City of Cupertino agalmt to Ilabiliti ndgmen0.Co"'And which may In my way ensue against said City UZ iota of Ne Instruct afshr permit �+ A PLI A UNDERSTAND AND WILL COMPLY WITH ALL NO LA N-PoINT issued by: Date �f„ S U G," 0� Re-roofs S gnaruso AppHcenUCanwcmr Oes HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will ds applicant or future building occupoL nom m handle hours ons material As defined by ds Cupertino Municipal Code.Chapter 9.12,Ind the Health and Safety Code.Seton 25532(+)T Cl Y. All roofs shall be inspected prior to any roofing material being installed. Will Nc applicant or future Wilding a¢upant use eyuipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove It havadous air contaminant As defined by the Bay Area Air Quably ManAIAmeAL all new materials for inspection. R ❑Yca I haw mad the haudom materials requirements under Chapsr6.95 of Ne CaRfor- nrHcalN safetyCodc,Sxuots 25505.25533 uta 25574.1uMenunE than ifNc building dope An ormhaw•mune Nu' 4. mobility ut Amity the occupant of t s rt�i rats .h. msupero¢or:Cmn¢te ofgcypingy;d& Signature of Applicant Date �f Owner or euthorimd AS= Dow All roof coverings to be Class'1?"or better ' okoy 0 ocq CITY OF CUPERTINO p' REPIPE/SEWER/MAIN SERVICE CURkTINO PERMIT APPLICATION FORM APN# U L� U l) Date: � 7 Building Address: 7550 /2-c 1,0 /l ow E Owner's Name: Phone#: L-10bJ q-93 .1707 . Contractor: V I c 7102 r1 Uro fC/l Ruf Phone#: Fax #: Contact: J �sG� Phone#: U / Fax #: Contractor License#: 69 L13 LIS 8 Cupertino Business License#: Job Description: Ut,-f- Residential Commercial ❑ Valuation: DUB Green Building Check list must be completed and attached to this application. Green Building Points: " Quantity Fee ID Fee Description Fee Permit Type Group 1PCSEWER Commercial building P 1CPSS sewer/sanitary sewer 1BPREPIPE Commercial re-pipe per fixture P 1CPRP 1PGASCOM Commercial Gas Piping System P 1-4 Outlets 1BSEISMICOM Seismic Commercial P 1BSEISMICR Seismic Residential P 1PRSEWER Residential building P IRPSS sewer/sanitary sewer CITY OF CUPERTINO 4REPIPE/SEWER/MAIN SERVICE CUPERTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group 1PRREPIPE Residential re-pipe per fixture P 1RPRP 1BPWSVCS Water Service P 1CPWS or 1RPWS 1PPRSEWG Private Sewage Disposal System P 1PCESS Cesspool P 113PWATER Install/alter Water Pipe P 1BPFIXTURE Plumbing Fixture P 1PGASRES Residential Gas Piping System P 1-4 Outlets IBPGAS Gas Piping System 5+ Outlets P 1PPERMITFEE Plumbing Permit Fee Issuance P 1PLMBLNCK Plumbing Plan Check P e 1PLMBINSP Other Plumbing/gas Insp. P 1TRAVDOC Travel &Documentation Fee B 1BUSLIC Business License B CITY OF CUPERTINO ® 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36611042 . 00 DATE ISSUED. . . . . . . : 04/07/2008 RECEIPT # . . . . . . . . . : BS000004384 REFERENCE ID # . . . : 08040041 SITE ADDRESS . . . . . : 7550 RAINBOW DR SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : SITA PHANI MAVUDURI ADDRESS . . . . . . . . . . : 7550 RAINBOW DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5237 RECEIVED FROM . . . . : DRAIN DOCTOR CONTRACTOR . . . . . . . : JOHN H. LIM LIC # 24784 COMPANY . . . . . . . . . . : DRAIN DOCTOR ADDRESS . . . . . . . . . . : 1775 WINCHESTER BLVD CITY/STATE/ZIP . . . : CAMPBELL, CA 95008 TELEPHONE . . . . . . . . : (408) 370-3082 ® -FEE ID ----UNIT----- QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL -- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 2, 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 1TRAVDOC 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 AMOUNT REFERENCE NUMBER --------- --------------- -------------------- CHECK 102 .48 #16764 --------------- TOTAL RECEIPT 102 .48 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- ----'---- ---------------------------- 106. SEWER & WATER 202 UNDERFLOOR PLUMBING 301 ROUGH PLUMBING 400 SEWER/LATERAL 507 FINAL PLUMBING 1 ) Single Family GreenPoint Checklist dal `�� ° ° Build It Gmreere The GreanPDlm Chocldisl is based on the various glean features incorporated into the home and Is the SmartSolutiom From The Ground Up basis for the GreenPoint Rated program A home Can be considered green 0 B fulfills the prerelryishes, - eams at Ieas150 points,and maa%the m rdmum points par category:Energy(3D),Indoor Ali Duallryl Health(5),Resources(67,and Water(g).Please comas Build It Green for a list of qualified GmenPolm Raters H you are interested in pursuing third-parry verification. • The green building practices listed below are described In the New Home Constru don Green Building _ Guidelines,available atENTER www.bullditoreen.or0. $ a Run :e . , 1rS o A'6 6Points Available Per Ideasure 1.Promct Topsoil or tnimiv Disruption of Existing Plants d Trees ❑ a.ProreaTopsog from Erosion and Reuse of s;Consbu radon 0 3 g ❑ b.Umh and Detnsaie Constructor Footprint M Maximum Protection 0 1 Lj 2.Deconstruct Instead of Demolishing Existing Buildings On Site 0 3 3.Recycle Job Site Construction Wnte(including Green Waste) ❑ a.Mernn 50%Waste Diversion by Weight Recyormg orRouss)-Required p - R ❑ to.Minimum 65%Diversion by Weight(Recycling or Rause) 0- 2 ❑ C.Minimum 80%Diversion by Welghl(Recycling or Reuse) p -- - _- -�- z-- 4.Use Recycled Content Aggregate(Minimum 25%) ❑ a.Walkway and Drivowey p 1 ❑ b.Roadway Base Taal Points Avalinkrin5 =12 0 B.FOUNDATION ('\ -c - Inns Available Per Measure 1.Replan PONand Cement in Concrete with Recycled Flyash or Slag ❑ a.Minimum 20%Flyash or Slag p 1 ❑ b.Minimum 25%Flynh or Slag '�^� Q� 1 2 Use Frost-Probachad Shallow Foundefion in Cold Areas(C.EC.Climate Zone 16) 1 I 3 1 3.Use Radon Resistant Construction On AHRisk Locations Only) 0 1 4.Design and Build Structural Pest Controls ❑ a.Install Termm,Shields s Separate All Exterior Wood-*Concrete Connections by Metal or Plastic FastanerarDNiders _s l ( 0_ b.All New Plains Have Tmnk Base,or Stem Located At Least 36 Inches from Foundation Ci 1 0 1 Total Points Available in Foundation B 0 C.LANDSCAPING Points Available Per Measure, 1.Construct Resource-Efficient Landscapes ❑ a No Invasive Species Listed by Cel-IPC Are Planted 0 ❑ b.No Plana Species Will Require Hedging ❑ c.75%aPlants Are Drought-Iolarant California Natives,Mediterranean,aOther Appropriate Species 0 71 2Use RwSafe Landscaping Techniques 0 1 3,Minimize Turf Areae in Landscape Installed by Builder �� E] a.AD Tull Well Have a Water Requirement Less than a Equal to Tag Fescue Is0.B plant to dog - (l .` 0 ! 2 ❑ b.Turf Shad!Na Be installed on Slopes Exceeding 10%a in Areas Less than B Feet Wide `=: p 1 1 2 ❑ c.Turf Is sM%of landscaped Area ftorel2 points) �L�p-=_— --T-lzz ❑ it.Turf 1;510%of Landscaped Arn(total 4 poodo) __ p -— —_i —�-2 1.Plant Shade Than 0 3 5.Group Plants by Water Needs ydroronin ) GIJ 0 1 2 S.Install High-Efficiency litigation Systema /�— ❑ V t e.System Uses Only Low-Flow Drip,Bubblers,aLow-Oow Sprinklem I' 0 _ ' II-_ I_ 2 ❑ b.System Has Sure Controllers 1101 3 7.Incorporate Two Inches of Compost In the Top 6 to 12 Inches of Surf U U LuoI I 1 1 3 B.Mulch All Planting Bad&to the Greater of 2 Inches or Local Wates Ordinance Requirement 0 1 2 9.Use 5D%Salvaged or Recycled-Content Materiels for 50%of Non-Plant Landscape Elements \ ! I 1 I 10.Reduce Light Pollution by Shielding FIxturn andtDr Directing Light Downward DOE 1 ' I I I Total Pants Available In Lan "s31\ D.STRUCTURAL FRAME @ BUILDING ENVELOPE Total Available Pel Measure 1.Apply Optimal Value Engineering --1 ❑ a.Plan Rafters and Studs at 24-Inch On Center Fnaning -i 1 ❑ o.She Door and Window Headers for Load ❑ c.Use Only Jack and Cripple Stun Required for Load ! 1 1 2.Use Engineered Lumber ❑ a.Beams and Headers 01 ! C1 b.Insulated Engineered Headers _ p ❑ c.Wood IJoids or Web Thrums for Floors ❑ d.Wood Winton;for Pool Rapers 0 _ I ❑ e.Engineered or Finger-Jointed Srotls for Ventral Applications ❑ 1.Oriented Strand Board for Subiloa - p ❑ g.Oriented Strand Board for Well and Roof Sheathing p 3.Use FSCterdfied Wood ❑ a Dimensional Lumber,Studs and Timber.Minimum 40% 0 - 2 ' ❑ It,Dimensional Lumber,Studs and Timber.Minimum 70% p - + 1 r— • ❑ c.Panel Products:Minimum 40% ❑ d.Panel Products:Minimum 70% 0 1 02DC7 Build It Green Single Family GreenPoint Checklis12007 Version Page,1 of 4 ENTER PROJECT Mann } 4.Use Solid Wall Systems(Includes SIPS,ICFs,A Any Non.Sfia Frame Assembly) ❑ LFloor _0_ _ 2 :. 2 ❑ b.Wells 0 2 _. 2 ❑ c.Pooh D S Reduce Pollution Entering Oro Home from the 0=99 ❑ d Tlghtiy Seel the Air Samar between Garage and Living Area _ 0 ❑ b.Install Gere a Exhaust Fen OR Build a Detached Gams 0 1 6.Design Energy Hash;on Truces(75%of Attic Insulation Height at Outside Edge of Exterior Well 0 1 7. Design Root Trustees to Accommodate Ductwork ' 0 1 Lj e.Use Recycled-Content Steal Studs for 911%of Interior Wall FmMn 0 - 1 9.Thermal Mau Wells:Witch Drywall on All Interior Walls or Walls Weighing more than 40Itahm.f. 0 1 10.Install Overhangs end Cullen ❑ a.Minimum 164nch Overhangs and Gusher _ 0 _ 1 ❑ It.Minimum 2441roh Overhangs and Gutiazs 0 1 Told Points Avallabh In Structural Building Frame and Emsope.36 0 E.EXTERIOR FINISH Pants Available Per Measure LJ 1.Use Recycled{ontem(No Virgin Plastic)or FSC-C"fied Wood Deduct 0 2 2.Instill a Rein Screen Well System 0 2 0.Use Durable and Noncombustible Siding Materiels D 1 /.Select Durable and Noncombustible Roofing Materials 0 2 Trial Points Meltable In Exterior Finlsh.7 0 F.INSUL&TION Points Available Per Measure 1.Install Insulation with 75%Recycled Content ❑ A Wells endlor Floor ❑ It.Casings .a. . I 2Install Insulation that Is Low-Emitling(Cerdned Section DI350) ❑ L Walls endo Floss _0 1 ❑ b.Collage0 7 7. Inspect Duality of Insulation lnstalladon before Applying Drywall 0 1 Total Pomfs Avalable In Insuletion.5 0 O.PLUMBING Points Available Per Measure 1.Distribute Domestic Hol Water ENiclutly(Maximum 7 Points) ❑ e.Insulate HM Water Pipsa from Water Healer to Kitchen _0__ ❑ b.Insulate All HM Water Pipes ❑ c.Use Englneared Persist Piping _a ❑ d.Use Engineered Parallel Piping win Demand Controlled Circulation Loop _ 0 ❑ e.Use SVudowi d Plumbing with Demand Controlled Circulation Loop _ 0_ ❑ 1.Use Central Owe Plumbing 0 3 7 ❑ 2.Install Only Flight Efflolency Toliets Dual-Flush or 5126 pf) 0 Total Palms Available In Plumbing.Told 12 0 H.HEATING,VENTILATION R AIR CONDITIONING Points Available Per Measure 1.Design and Instal HVAC System to ADCA Manual J,D,and S Recommendations 0 4 2lnstall Sealed Combustion Units ❑ a.Furnaces _D _ _ _ ❑ b.Water Heatem 0 2 d.lutell Zoned,Hydronic Radiant Heating with Slab Edge Insulation 0 1 1 L Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants 0 1 St.Design and Install Effective Ductwork ❑ e.Instal HVAC Unit and Ducsvork within CondPooned Space 0 _ _ 3 ❑ b.Use Duct Mastic on Al Duct Joints and Seams ❑ c.Instal Ductwfsk under Attic In rule9on(Buried Ducts) 0 - -1 ❑ d.Pressure Balance the Ductwork System ❑ a.Patted Ducts during Construction and Clean AD Ducts before Occupancy D 1 Lj 6.Install High Efficiency HVAC FIW MEIiV N 0 1 ❑ 7.Dont Inside Flmplaca or Install Sealed Get Fireplaces with Efficiency Rating Not Less Than 60% 0 1 using CSA Standards 9.Install Effective Exhaust Systems In Bathrooms and IOlchens ❑ e Instal ENERGY STAR Bathroom Fans Vented to the Outside 0 _ _ ❑ b.All Bathroom Fans Are on Timer or Humidistat o _ _ ___, ❑ c.Insall Klchen Rope Hood Varied to the Outside D 1 a.Install Mechanical Ventilation System for Cooling(Maximum 4 Points) ❑ a.Instal ENERGY STAR Calling Fans A Light Kits In Living Areas&Bedrooms _0 ❑ to Install Whole House Fan with Variable Speeds ❑ c.Adomat Dally Cenlrollad Integrated System _ 0 2 _ ❑ d.Amomalcally Controlled Intagmiad System with Variable Speed Control D 3 10.Install Mechanical Fresh Air Ventilation System(Maximum d Points) ❑ a.Any Whole House Ventilation System Thal Meets ASHRAE 622 D _ ! Z El b.instal A r-s-Air Heal Exchange,that meats ASHRAE 622 0 1 2 11.Install Carbon Monoxide Alarm(s) 0 1 Total Palms Avalable In Healing,Ventilation and Air Conditioning.3D 0 02007 Build It Groan Single Family GraenPolnt Checklist 2007 Version Page 2 of 4 • PROJECT 4ME U Q I.RENEWABLE ENERGY - Points Available Par Measure 1.PW-Plumb for Solar Hot Were,Heating D 4 LJ L Install Solar Walter Hearing System 0 10 ® 3.Install Wiring Conduit for Future Photovoltaic Installation 6 Provide 200 fP of South-Feeing Roof 0 2 4.Install Photovoltaic(PV)Persia ❑ a.3D%of elechic needs OR 12 kW(total B points) D E ❑ 6.60%ofelectric needs OR 2.4kW(total 12 points) p p , ❑ c,90%of electric need OR SS kW(total 16 points) 6 j _ Total Available Points In Renewable Energy=2B 0 J.BUILDING PERFORMANCE .Points Available Per Measure 1.Diagnostic Evaluations ❑ a.House Passes Slower Door Test 0 ❑ b.House Passes Combustion Safety Backdraft Test 0 1 2 Design and Build High Performance Homes-%above Til-minimum 16%Required 0 >_30 ❑ 3.House Obtains ENERGY STAR with Indoor Air Package Certification-Pilol Measure(Total 45 points;read oommem) 0 5 2 Total Available Points in Building Performance 39 0 E.FIIVISFM Points Available Per Measure ❑ 1.Design Entryways to Reduce Tracked In Contaminants C 7 2.Use Low-VOC or Zero-VOC Paint(Maximum 9 Points) ❑ a Low-VOC Interior Wall/Calling Paints(c50 gpl VOCs(Flat)and<150 gpl VOCs(Non-Flat)) 0 ❑ b.Zwo-VOC:InteriorWelUCeilin Paints(d Sol VOCs(Flap) 0 3 ❑ 9.Use Low VOC,Water-Based Wood Finishes(Q51)gpl VOCs) 0 2 ❑ 4.Use Low-VOC Caulk and Construction Adhesives(OO gpl VOCs)for All Adhesives 0 2 ❑ 5.Use Reeyded-Contant Paint 0 1 1, 6.Use Environmentally Preferable Materials for Interior Finish:A)FSC-Cetrified Wood,B)Reclaimed,C)Rapidly Renewable,D)Recycled-Con em or E)Finger,toimed ❑ a.Cabinet(50%Minimum) - 0 ❑ to,Interior Trim(50%Mlnimum) 0 1 ❑ c.Shelving(50%Minimum) 0 ❑ d.Doom(50%Minimum) 0 ❑ e.Counted 5(50%Minimum) 7.Reduce Formaldehyde In Interior Finish(CA Section 0135D) ❑ a.Subfioor B SfalrTreads(50%Minimum) 0 ❑ It.Cabinets B Countartops(50%Minimum) _ 0_® _El Trim(50%Minimum) p 1 I ^ El d.Shelving(50%Minimum) 0 1 ❑ 6. After Installation t)1 Finishes,Test of Indoor Air Shows Formaldehyde Level Q7pipb 0 3 Total Available Points In Flnishes=21 0 L.FLOORING Points Available Per Measure 1.Use Environmentally Preferable Flooring;A)FSC-Cardfied Wood,B)Reclaimed or Refinished, C)Rapidly Renewable,D)Recycled-Content E) Exposed Commele.Flooring Adhesives Must Nave c50 gpi VOCs. ❑ a.Minimum 15%of Floor Area 0 ___ El p.Minimum 30%of Floor Area 0 _ ❑ to.Minimum 50%of Floor Arae 0 ❑ tl.Minimum 75%ofFloor Area' 0 ! ] ❑ 2.Thermal Mass Floors:Floor Covering Other than Carpet on 50%or More of Concrete Floor, 0 1 ❑ s.Flooring Mesta Section 01350 or CRI Green Label Plus Requirements(5D%Minimum) 0 2 Total Available Points In Flowing=7 0 M.APPLIANCES AND LIGHTING Points Available Per Measure 1.Install Water and Energy Efficient Dishwasher ❑ e.ENERGY STAR(total 1 pofnp 0 I 1 1 ❑ b,Dishwasher Uses No More than 6.5 GallonriCyGe(total 2 oints) 0 1 2.Install ENERGY STAR Clothes Washing Machine with Wafer Factor of 6 or Less ❑ a.Meets Energy Boar and CEP Tier requirements(modified energy factor 2.0,Water Factor 6.0)imel 3 points) 0 __2__ E] p.Meets Energy Star and CEETier3 requirements(modified anargyfacil Water Factor 4.5 or less) D — 2 totals points) I 3.Install ENERGY STAR Refrigerator ❑ e.ENERGY STAR Qualified 8 c 25 Cubic Feel Capacity 0 ❑ b.ENERGY BTA"Qualified 6<20 Cubic Feet Capacity D 1 " ;e., Built-in Recysiing Center 0 ❑ a.Built-in Recycling Center - 0 ❑ b.Built-In Composting Center - 0 ( 1 Total Available Points in Appliances and Lighting=12 0 N.OTHER Points Available Per Measure ❑ 1.Incorponne GreenPoint Rated Checklist in Blueprints-Required 0 R ❑ 2 Develop Homeowner Manual of Groan Features/Benefits D 1 1 1 3.Community Design Measures A Local Priorities:See the Community Planning a Design section in Chapter 4 of the New Home Guidelines for ® Measure,.Maximum of 20 points for suggested measures,Local requirements may also be listed here. 0 2007 Build It Green Single Family GrearP0lnt Checklist 2007 Version Page 3 of 4 s � � ENTER PROJECT NAME ❑ Ener description here,and anbarpolnts available for measure In applapriate celepodn to the doht D 0 0 D 0 0 Enter description here,and enter points evalleble for moral In appropriate categmin to the right 0 0 0_ D 0 0 Elder dea0rlpllol here,and enter paints available for measure In appropriate CBlegndes 10 the right 0 0 D D D ❑ Enter dncrilson hem,and enter prima avallable fix measure In appropriate barDwj s 10 the dgn. 0 D 0 0 0 D 4.Innovation:List Innovative measures that meet the green building objectives of the Guidelines.Enter up to a Build It Green Checklists end maximum combined total of 20 pts.See Innovation Checklist for suggested measures,using the link to the right _ _ Guldailne8_ Innovation in Communl :Ener deourplion here,and enter points available fa measure In stepsister wasintles to the right. 0 0 0 D 0 0 Innovation in Energy:Enter desorption hem,and enter points available for measure In appeopriate categories to the right _ 0 D 0 D _-Do Innovation In IAOIH4Wth:Enter description here,and enter palms available for measure in appropriate catsgaln to the right __D 0 D 0 _0 0 Innovidsm in Resources:Ener donription here,and enter points available for mentum In alittraprOe cote odea to the right. D _ D D 0 0 0 Innovation in Water:Enter deacr'Iplion here,and enter points aveltoble for manure In appropriate milegaln to the rlgnt. _D0 _ _D 0 0 0_ Total Available Points in Dilter=63 0 Summary Total Avallabls Points in Specific Categories' 4+ 96+ 42+ 66+ 43+ Minimum Points Required In Specific Categories 0 30 5 6 B e e e a e a Project hes not yet met the fo{lowing recommended minimum requirements; -Total Project Score of At Least 50 Points -Required measures: -A3a: 50% waste diversion by weight -I2: 15%above Title 24 -NI:Incorporate GreenPoint Rated Checklist into blueprints -Minimum points in specific categories: -Energy(30 points) -IAQ/Health (5 points) -Resources(6 points) -Water(9 points) • 02007 Build It Green Single Family GreenPoint Checklist 2007 Version Page of 4 t Community Development �4 10300 Torre Avenue Cupertino CA 95014 ^„ Telephone(408) 777-3228 CITY OF Fax(408)777-3333 �CUPERTINO / Building Department JOB AD DRESS: PERMIT # 7 55 /2ninJ3Gw 2;L " (3`tego `t OWNER'SNAME: ilYn FFant r»tivNDu2 / PHONE # YO c/73-1 D GENERAL CONTRACTOR: FAX # I am not using any subcontractors: L/ , 7 , O b Signature Date Please check applicable subcontractors and complete the followinginformation: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum/ Wood • Glass / Glazing Heating Insulation Landscaping Lad-mg Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile II � Owner/Contractor Signature Date