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08010055 CITY OF CUPERTINO 7 xm..:p, .rEon''3` '�' °�•: - BUILDINGD:v10ION PERMIT ��.T�R:AC1'Q�'�T �'Q � � = BUWIlF?dT ILD N ESS: PERMITNO. RODRIGUES AVE FAST WATER HEATER 06010055 ONER'S NAME: PERMIT ISSUE DATE JACOBS JOHN E AND ROSALIE R 12601 132 AVE NE 01/10/2008 ONE: SANITARY NO. CONTROL NO. AR CHITECI'yENOINEER: BUILDING PERMIT INFO RMV/REPLC GAS WTR HTR LDGFO 0 PLO O 30o LICENSED CONTRACTOR'S DECLARATION lob Description I hereby affim Nn ns I am licensed under provision of Chapter 9(commencing n z1 with Section 1IX10)af Division of the Budnrssand f'y/�o cad mylkcnse4 3 Z LI.- CI and er Le. � �aa�� DeeConuantar++ ARCHRECS DELLA Q 1 understand my pone shall W used As public records , D yo Licensed Professional OWNER-BUILDER DECLARATION A 9 I Wmhy serer Nn Commences em exempt from the Conctoes License Law for the D O following rtuon.(Section 703 1.5,Business and Professions Code:Any city of county S$ which requires a remelt to consuua almr,improve,demolish,or aped,my mo mum –zy prow to its issue=.a4u mdms the applicant for such permit m IRA a signed suwmem Net W is licensed pursuant to tie provisions of me Connectors Littvc Law(Chapter 9 Sq.Ft.Floor Area Valuation (commencing with Seder 10110)of Division 3 of de Business and Professions Code)or IREB mat he 4 exempt therefrom and the bull for the elicited exemption.Any violation of Section 7031.5 by say applicant for a permit subjects the applicant to a civil Penalty of APN Number Occupancy 1TYP e not mom than finfinhundred dollars(M).). P Y T ❑I,As owner of Irk property,or my employees with urges as mc4 sole comp mmuhs", will do me work,and the someone is not Mounted or offesed for ssk(Sme.1041.Business Required Inspections and Prefesslmu Code:The Commences License Law dna rot apply to an e ns owner car q P property who Wildserimprowamen on,andwha does such workhimself or tivaugh his own employee,p cAded thatsoch ImP^Mmcots am not include,osorferW fmsala If. however,the building er improvement 4 sold within arm year of mmPledan,the cwnon builder will have tie bmdu of proving that W did not build or imposed for purpose of tile.). Q I.ea owner of tiro Property am axcluively contracting wit licensed commences to consumer me project(Sec.1044.Business and Professions Code)The Cornerstones U. sue law does not apply to an owner of properly who Wilds or imposes dmrtnn,and, who comments for such projects with a eo mucuerfs)Ileensed pumrad se me Comoros" Lice.Law. ❑I am exempamwee See .B&P C for this mason Owner Due WORKER'S COMPENSATION DECLARATION thereby alarm under penalty of perjuryane of t e following deciaratkns: haw and will mainuln a Cudfieateof Covera to self-lasum for WorkcesCompen- on,as pmvidud for by Section 3100 of de Labor Code.for me perfomanca of the wort far which this Permit is Wued. ❑I luso and will maintain Workees Compensation Insurance.u m quinti by Schon 3100 of t th labour Code,far me performance of the wok for which this permit 4lssued. My Wow C. pemadan 1,so..canter and Poliryn m r rt: . Cartier. Palley No.: ^RTI•LATE •EXEMP ION FROM WORKERS' COMPENSATION INSURANCE Cutis sectlm rcW net W compleed Btic permit Is toward hundred dollars(3100) or lest) 1 cni)v met in me pcfomaxe of me work fee which this Permit 4 bound,I Mail not employ a"penan in any mannerse u to become subject to the Workers!Compensation Laws of California.Data Applicant NOTICE TO APPLICANT IL after making this Certificate of Exemption,you should become subject to me Workela ComPeuatian provisions of me labor Code,you most O forthwith comply with such provisions m this permit shall W deceed rented. z'" CONSMUCnON LENDING AGENCY [–mom I hereby arm than mem is a construction lending agency fur de Performance of (Yi> the work for which Wls permit 4 marded(Sec.3091,Civ.C.) W Lenders Nurse Z Landers Addmeus V Q 1 certify ma 1 haw mud this application And sum mae me aWw infomNon is n.5 cornea m I agree to comply with all city and county ordinances and state laws 4ring he 0 building cmmucim,and hereby aumoride mprtsenutiwa of mu city to Amer upon the W shove-mentiommrd pmrcny for Inspection purposes. (We)aged to saw,indemnify and keep harmless the City of Cupertino against F'y limilitica,judgments,toss and uperoi which may in any any amus Against said City t)Z in consequene,of the granting of this Permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:9 Date EDU�E .A,OaN3. �./IDIb6 Aar Re-roofs Signature of icandConvac Dam HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will tie applicant or future Wilding occupent room or handle baallou material As defined by the Cupertino Mmdeip ode.Chapter 9.11 and the HWM and Safety Code.Seclon 25532(a)1 All roofs shall be inspected prior to any roofing material being installed. ❑Yu o Will the applicant or future Wilding occupant use equipment or dcvlm which If a roof is installed without first obtaining an inspection,.l agree to remove hanardons air co IAMoA nu der. d by the Bay Amo Air Quality Managcmcm all new materials for inspection. cR ❑Yu Nu I haw mad me havmous maeria4sequWmcnts undcrChaPur6.95 ofine Catfor- n4 Health&SafctyCode.Sued.MM,25533 and 25534.1 untlusand them if the Wilding does rot currently haw a mane mu it 4 my rtaponslMlity In notify me onnlau of the mqulrt n wh h mtWmetPriarto4ananeeancm,irm.maroamn Signature of Applicant Date Owner m.m ecdagant Dae All roof coverings to be Class"B"or better CITY OF CUPERTINO ® 4 ITEMS OF 8 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35910050.00 DATE ISSUED. . . . . . . : 01/10/2008 RECEIPT # . . . . . . . . . : BS000003657 REFERENCE ID # . . . : 08010055 SITE ADDRESS . . . . . : 20601 RODRIGUES AVE SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : JACOBS JOHN E AND ROSALIE R ADDRESS . . . . . . . . . . : 20601 RODRIGUES AVE CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2964 RECEIVED FROM . . . . : JEFF JORDAN CONTRACTOR . . . . . . . : JEFF JORDAN LIC # 29100 ' COMPANY . . . . . . . . . . : FAST WATER HEATER ADDRESS . . . . . . . . . . : 12601 132 AVE NE CITY/STATE/ZIP . . . : KIRKLAND, WA 98034 TELEPHONE . . . . . . . . : (800) 454-8955 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---- -------- 1BSEISMICR VALUATION 449. 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 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 213 .12 VISA --------------- TOTAL RECEIPT 213-. 12 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -- ---------------------------- -------- ---------------------------- 518 WATER HEATER • Fro©: 12/28/2007 12:11 IMM P.006/048 o Y CITY OF CUPEItTINO 0 � p�� 793 WATER HEATER WuP �iNo PERNIIT APPLICATION FORM APN# 3 I I0O5 �� Date: 12/14/07 Building Address: 20801 RODRIGUES AVE Owner's Name; Phone#:(408)255-8187 JACOBS, JOHN Contractor: Phone#: 800-454-8955 FAST WATER HEATER COI Fax#. 425-814-9516 Cupertino Business License#: Contractor State License#: 29100 877489 Contact I Phone#: 800-054-8955 Carol Randall Fax#: 425-914-9518 Building Permit Info: 4rldX 0 Elect Plumb x Mach Residential ❑x Commercial M. Job Description: Remove/Replace Gas Water Heater Strapped [!� On Platform ❑ Banded [y New Location ❑ Repkmncot Valuation: 449.00 Green Building Check mast be completed and attached to this application. Green Building Potals achieved: 0 p CITY OF CUPERTINO WATER HEATER CUPEi1LTINO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Permit Type Group 1PCWHEATR Commercial Water B PCW ATR HeaterNent BSEISMICOM Seismic Commercial B 1PRWHEATR Residential Water B PRWHEATR HeaterNent BSEISMICRE Seismic Residential B PPERMITFEE Plumbing Permit P TRAVDOC Travel & B / Documentation BUSLIC Business License B Single Family GreenPoint Checklist date: Build It Green Tlie 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 it fulfills the prerequisites, II�� Hams at least 50 points,and meets the minimum points per category Energy(30),Indoor Air Duality/ Health(5),Resources(6),and Water(0).Please contact Build It Green for a list of qualified GreenPoint Raters 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.builditoreen ora. $$ ENTER PROJECT R, r U A.SITE Points Available Per Measure 1.Protect Topsoil and Minimize Disruption of Existing Plants 6 Trans ❑ a.Protect Topsoil from Erosion and Reuse after Construction _0 _ 1 1 ❑ b.Limit and Delineate Construction Footprint for Maximum Protection p 1 71 2.Deconstruct Instead of Demolishing Extending Buildings On Sim 0 3 3.Recycle Job Site Construction Waste(including Green Waste) ❑ a.Minimum 50%Waste Diversion by Weight(Recycling or Reuse)-Required 0 R _ ❑ b.Minimum 65%Diversion by Weight(Recycling or Reuse) 02 Elc.Minimum 60%Diversion by Weight(Recycling or Reuse) 0 _L 2 4.Use Recycled Content Aggregate(Minimum 25%) ❑ a.Walkway and Driveway _— ❑ b.Roadway Base D T I I 1 Total Points Available in Site=12 0 B.FOUNDATION Points Available Per Measure 1.Replace Portland Cement in Concrete with Recycled Flyash or Slag ❑ a.Minimum 20%Flyash or Slag 0 1 ❑ It.Minimum 25%FI ash or Slag 0 ❑ 2.Use Frost-Protected Shallow Foundation in Cold Areas(C.E.C.Climate Zone 16) 0 3 ❑ 3.Use Radon Resistant Construction(In At-Risk Locations Only) 0 ! 1 4.Design and Build Structural Pest Controls ❑ a.Install Termite Shields 8 Separate All Exterior Wood-to-Concrete Connections by Metal or Plastic FastenorslDividers 0 __ _ ___ 7 _ b.All New Plants Have Trunk,Base,or Stem Located At Least 35 Inches fmm Foundation 0 T T— .--Total Points Available in Foundation=6 0 C.LANDSCAPING Points Available Per Measure 1.Canstruct Resource-Efficlent Landscapes ❑ a.No Invasive Spades Listed by Cal-IPC Are Planted D ❑ b.No Plant Species Will Require Hedging D ® ❑ c.75%of Plants Are Drought-tolerant California Natives,Mediterranean,or Other Appropriate Species 0 3 ❑ 2.Use Rre-Safo Landscaping Techniques 0 1 3.Minimize Turf Areas in Landscape Installed by Builder ❑ a,All Turf Will Have a Water Requirement Less than or Equal to Tall Fescue(50.6 plant laden 0 _ _ 2 ❑ on Turf Shall Not Be Installed on Slopes Exceeding 10%or in Areas Less than a Feet Wide p 2 ❑ C.Turf is 533%of Landscaped Area(total 2 points) 0 Z ❑ J.Turf is 510%M Landscaped Area(total 4 points) o ! 7 ❑ 4,Plant Shade Trees D 3 ❑ S.Croup Plants by Water Needs(Hydrozoning) 0 ! 2 S.Install High-Efficiency Irrigation Systems. ❑ a.System Uses Only Low-Flow Drip,Bubblers,or Low-flow Sprinklers D _L_ 2 ❑ b.System Has Smart Controllers 0 ! T 3 ❑ 7,Incorporate Two Inches of Compost In the Top 6 to 12 Inches of Soil 0 ! 3 E-8.Mulch All Planting Beds In the Greater of 2 Inches or Local Water Ordinance Requirement 0 2 9.Use 60%Salvagetl or flecycied-Content Materials for 50%of Non-Plant Landscape Elements; 0 1 ❑ 1D.Reduce Light Pollution by Shielding Fixtures andlor Directing Light Downward 0 1 Total Points Available in Landscaping=31 D D.STRUCTURAL FRAME R BUILDING ENVELOPE Points Available Par Measure 1.Apply Optimal Value Engineering ❑ a.Place Rafters and Studs at 24-Inch On Center Framing D ❑ b.Size Door and Window Hinders for Load 0 ❑ c.Use Only Jack and Cripple Studs Required for Load 0 1 2.Use Engineered Lumber ❑ a.Beams and Headers 0 ❑ b.Insulated Engineered Haddam 0 ❑ c.Wood pJoists or Web Trusses for Floors 0 1 ❑ d.Wood I-Joists for Roof Rafters D ❑ e.Engineered or Finger-Jointed Studs for Vertical Applications 0 _] _ ❑ I.Oriented Strand Board for Subtloor ❑ g.Oriented Strand Board for Well and Roof Sheathing 3.Use FSC-Certified Wood ❑ a.Dimensional Lumber,Studs and Timber.Minimum 40% 0 1 2 ❑ b.Dimensional Lumber,Studs and Timber,Minimum 70% 0 _ 2 ❑ c.Panel Products:Minimum 40% 0 1 — ❑ d.Panel produce:Minimum 70% 0 ( 1 C 2007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 1 of 4 ENTER a' °5 ' 4.Use Solid Wall Systema gnNudes Steel.ICFs,&Any Non-Stick Frame Awembly) El a.Floss 0 2 --t 2 ❑ b.Walls O 2 2 ❑ c.Root _ 0__ _ _ 2 2 S.Reduce Pollution Entering the Home from the Garage ❑ a.Tightly Seal the Air Beller bemoan Garage and LMIng Area __0 C] b.Install Garage Exhaust Fan OR Build a Detached Garage 0 1 fi.Design Energy Heels on Thomas(75%of Attic Insulation Height at Outaitle Edge of Exterior Well 0 1 ❑ 7.Design Roof Tmesa to Accommodate Ductwork 0 1 8.Use R sled-Content Steel Studs for 9D%Of Interior Well Framing 0 1 e.Thmmal Mau Wells:5111-Inch Drywall on All Interior Wells or Walls Weighing more than 4D Ih/eu.tt 0 1 10.Install Overhangs and Burkina ❑ a.Minimum 16-InCh Overhangs and Gulms _ 0 ❑ b.Minimum 24-Inch Overhangs and Gutters 0 1 T Total Polo Available In Structural Building Frame and Envelope=36 0 E.EXTERIOR FINISH Points Available Per Measure 11 1.Use Recycled-Content(No Virgin Plastic)or FSGCartifed Wood Decking 0 - 1 2 2.Install a Rain Screen Wall System 0 2 3.Use Durable and Noncombustible Sldlng Materiels 0 1 4.Select Durable and Noncombustible Roofing Materials 0 1 2 Total Pointe Available In Exterior Finish=7 0 F.INSULATION Points Available Per Measure 1.Install Insulation with 75%Recycled Content ❑ a.Walls and/or Floors _ 0 1 __ ❑ b.Collins 0 2.Install Insulation that is Low-EmiNng identified Section 01350) ❑ e.Walls and/or Flom 0 ❑ b.Callings 0 1 ❑ 3.Inspect Quality of Insulation Installation before Applying Drywall 0 1 Total Points Available in Insulator_5 0 G.PLUMBING Points Available Per Measure 1,Distribute Domemic Hot Water Efficiently(Maximum 7 Point) ❑ a.Insulate Hot Water Pipes from Water Heater to Kitchen _ D_ ❑ b.Insulate All HM Water Pipes _ D ❑ c,Use Engineered Parallel Piping _ D ❑ d.Use Engineered Parallel Piping with Demand Controlled Circulation Loop _ D ❑ e.Use Structured Plumbing with Demand Controlled Clmula6on loop :7— _—� 1 r—�I_ 2 _ ❑ I.Use Central Core Plumbing 0 1 _ 1 2 ❑ 2.Install Only High Efficiency Toilets;(Dual-Flush or 5128 0 4 Total Point Available in Plumbing:Total 12 0 H.HEATING,VENTILATION III AIR CONDITIONING Points Avallable Per Measure ❑ 1.Design and Install HVAC System to ACCA Manual J,0,and S Recommendations 0 4 2.Install Sealed Combustion Units ❑ a.Furnaces 0 _ 2 ❑ b.Water Heaters 0 2 3.Install Zone;.Hytlronic Radian Heating with Slab Edge Insulation 0 4.Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants 0 1 � I S.Design and install Effective DUMI)m ❑ a.Install HVAC Unit and Ductwork within Conditioned Space _ 0 3 ❑ b.Use Duct Mastic on All Duct Joint and Seams _0 1 _ ❑ c.Install Ductwork under A01c Insulation(Buried Ducts) _ 0_ 1 ❑ tl.Pressure Balance the Ductwork System D 1 ❑ e.Protect Ducts dubng Construction and Clean All Ducts before Occupancy 0 1 Lj S.Install High Efficiency HVAC Filter(MERV S&) 0 I ❑ 7.Don't Install Fireplace or Install Sealed Gas Fireplaces with Efficiency Rating Not Less Than 60% 0 1 using CSA Standards B.Install Effective Exhaust Systema in Bathrooms end Kitchens ❑ a.Install ENERGY STAR Bathroom Fans Vented to the Outside 0 ❑ b.All Bathroom Fans Am on Timer or Humidistat 0 ❑ c.Install Kitchen Range Hood Vented to the Outside g.Install Mechanical Ventilation System for Cooling(Maximum 4 Points) ❑ e.Install ENERGY STAR Ceiling Fans 6 Light Kit in IJving Areas a Bedrooms 0 ❑ b.Install Whole House Fan with Variable Speeds 0 1 _ ❑ c.Automatically Controlled Integrated System 0 ___ ❑ tl.Automatically Controlled Integrated System with Vedebt Speed Control 1 0 3 10.Install Mechanical Fresh Air Ventilation System(Maximum 3 Pointe) ❑ a.Any Whole House Ventilator System That Meets ASHRAE 62.2 0 _ 2 ❑ b.install Air-to-Air Heat Exchanger that meets ASHRAE 622 D 1 2 11.Install Carbon Monoxide Alarms) 0 1 Total Points Available in Heating,Ventilation and Air Conditioning=3D 0 02007 Build It Green Single Family GreenPolnt Checklis12D07 Version Page 2 of 4 a r Bfly • ENTEFf • , y be E w a q 3 NAME V � I.RENEWABLE ENERGY - Points Avallable Per Measure LJ 1.Pre-Plumb for Solar Hol Water Heating 0 4 1 LJ 2.Install Solar Water Heating Syslem 0 10 3.Install Wiring Consul tot Future Photovoltaic Installation&Provide 200 N'Of SDulb-Fecing Roof 0 2 4,Install Photovoltaic(PV)Panels ❑ a.30%of electric needs OR 1.2 kW(total 6 points) 0 ❑ b.60%M electric needs OR 2.4kW(total 12 points) 0 ❑ C.90%of electric need OR 3.6 kW(food 1 B points) 0 1 Total Available Points in Renewable Energy=26 0 J.BUILDING PERFORMANCE Points Available Per Measure 1.Diagnostic Evaluations ❑ a.House Passes Blower Door Test 0 1 I 1 ❑ b.House Passes Combustion Safety Backdraft Test 0 1 1 2.Design and Build High Performance Homes%above Title 24minimum 1S%Required 0 >30 fl ❑ 3.House Obtains ENERGY STAR with Indoor Air Package Certification-Pilot Measure(Total 45 points;rear)comment) 0 S 2 I i Total Available Points in Building Performance 39 0 E.FINISHES Points Available Per Measure ❑ 1.Design Entryways to Reduce Tracked in Contaminants 0 1 f 2.Use Levi or Zero-VOC Paint(Maximum 3 Pointe) ❑ a.Low-VOC Interior WalllCeiling Paints(c50 gpI VOCs(Flat)and c150 gpI VOCs(Non-Flat)) ❑ b.Zero-VOC:Interior Wall/Coiling Pairs;(k5 gelVOCs Flat)) D 1 3 1 ❑ 3.Use Low VOC,Water-Bas rd Wood Finishes(Q50 gpI VDCs) 0 i I 2 I 1 ❑ 4.Use Low-VOC Caulk and Construction Adhesives(O0 gpI VOCs)for All Adhesives 0 1 2 1 ❑ 5.Use Raryclerd-Content Paint 0 1 S.Use Envitonmendely Preferable Materials for Interior Finish:A)FSGCar dfied Wood,B)Reclaimed,C)Rapidly Renewable,D)Recycled-Content or E)Finger-Jointed ❑ a.Cabinets(50%Minimum) _ 0 L1 b.Interior Trim(5D%Minimum) 0 __ 1 ❑ c.Shelving(50%Minimum) 0 ❑ d.Doors(50%Minimum) 0 I _ ❑ e.Countortops(50%Minimum) 0 1 7.Reduce Formaldehyde in,Interior Finish(CA Section Ill 350) ❑ a.SuMloor&Stair Treads(50%Minimum) 0 ❑ b.Cabinets&Countertops(50%Minimum) 0 1 1 L_. ® ❑ c.Interior Trim(50%Minimum) 0 ❑ d.Shelvin (SD%Minimum) 0 I ❑ 6.ANer Insodletion of Finishes,Test of Indoor Air Showa Formaldehyde Level t)7 pb 0 3 Total Available Points in Finishes=21 0 L.FLOORING Paints Available Per Measure 1.Use Environmentally Preferable Flooring:A)FSC-Certified Wood,B)Reclaimed or Refinished,C)Rapidly Renewable,D)Recycled-Content,E) Exposed Concrete.Flooring Adhesives Must Have<59 iml VOCs. ❑ a.Minimum 15%of Floor Area D 1 1 ❑ b.Minimum 30%of Floor Area 0 ( 1 ❑ c.Minimum 50%of Floor Area �— ❑ d.Minimum 75%ol Floor Area 0 I I 1 ❑ 2.Thermal Masa Floors:Floor Covering Other than Carpet on 5y%OF More of Concrete Floors 0 1 ❑ 3.Flooring Masts Section 01350 or CRI Green Label Plus Requirements(60%Minimum) 0 1 1 2 1 Total Available Points in FlDmin =7 0 M.APPLIANCES AND LIGHTING Points Available Per Measure 1.Install Water and Energy Efficient Dishwasher ❑ a.ENERGY STAR(total 1 point) 0 1 1 1 _. ❑ b.Dishwasher Uses No More than 6.5 Gallons/Cyclo(total 2 points) 0 r 1 2.Install ENERGY STAR Clothes Washing Machine with Water Factor of 6 or Less ❑ a.Meets Energy Star and CEE Tier 2 requirements(modified energy factor 2.0,Water Factor 6.0)(total 3 points) 0 I 2 ❑ b.Meets Energy Star and CEE Tier 3 requirements(modified energy factor 2.2,Water Factor 4.5 or less) 0 2 totalspoints) 3.Install ENERGY STAR Refrigerator ❑ a.ENERGY STAR Qualified&<25 Cubic Foot Capacity ❑ to ENERGY STAR Qualified&c 20 Cubic Feet Capacity 0 1 4.Install Built-in Recycling Center 0 ❑ a.Built-In Recycling Carter 0 _ 2 ( _ ❑ oBulli-In Compivurg Center 0 — 1 Total Available Points in Appliances and Lighting=12 0 N.OTHER Points Available Per Measure ❑ 1.Incorporate Greer ini Rated Checklist in Blueprints-Required 0 i R ❑ 2.Develop Homeowner Manual of Green FeatureslSenefits 0 ( 1 1 1 ) 1 3.Community Design Measures&Local Priorities:See the Community Planning&Design section in Chapter 4 of the Now Home Guidelines for measures.Maximum of 2D points for suggestoo measures.Local requirements me also be listed here. 02007 Build It Green Single Family Green Point Checklist 2007 Version Page 3 of 4 VU ENTER PROJECT . • Y s s ' 3' Enter description has,and enter pointe evallable for measure In appropriate categories to the light. _ 0 0 0 0 0 0 ❑ Enter description hare,and enter pointe available for measure In appropriate categories 10 the right. 0 0 0 0 0 0 Enter description here,and enter pants available for measure in appropriate categories to the right. _0_ 0 0 0 0 ❑ Enter description here,and enter polnh available far measure in appropriate cetegorier to the right. D 0 0 0 _ 0 _ 0_ 4.Innovation:List innovative measures that meet the green building objectives of the Guidelines.Enter up to a Bulltl h Green Checklists and maximum combined total of 20 p1s.See Innovation Checklist for suggested measures,using the link to the right. __ _Guidelines _ _ Li Innovation In Communl :Enter description here,and enter Into available for measure In dale categories to the right. _ 0_ 0 0 0 0 0 Innovation In Energy:Enter description hem,and enter Ina available far measure in appropriate categories to the right. 0 __ 0 0 0 0 0 OnWatan In IAIyHealMl Enter descriptiona hare,and enter points available far measure r late tate orie810 the r ht. 0_ 0 0 0 0 0 Innovation In Resources:Enter description here,and enter points available far measure in appropriate tate ats810 ae ri ht. 0 0 g 0 0 0 _—_ ❑ I1.nnovation In Water.Enter descdpt_lon here,an_d enter points available lo_measure in appmpdafe ceagnriee to the right _ _ _ D 0 __0 _0 _ _0_ 0 Total Avallable Pann m OthB 13 0 Summary Total Available Points In Specific Categories' 4+ 96+ 42+ 66+ 43+ Minimum Points Requlretl in Spedflc Categories 0 30 6 S 9 Total Points Achieved 01 r r r r r Project has not yet met the following 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) -INater(9 points) 0 2007 Build It Green Single Family GreenPoint Checkllst 2007 Version Page 4 of 4 Community Dev&Dment 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 �UPERTINO Building Department JOB ADDRESS: Qp� PERMIT# OWNER'S NAME: IPHONE # GENERAL CONTRA R 44 II FAX # I am not using any subcontractors: f-W tly Q Signature Date Please check applicable subcontractors and complete the following information SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile f U Owner ontractor Signature l Date