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08020011CITY OF CUPERTINO , ssa� � �mw>F; ��`Tm��' �,y� �f'�•� 9$��+�F\ RL_ - BUILOING DIVISION PERMIT ll[l. J•tN}, y­f�*a^ BmLG�N1G,Ppudtd'bANTA PERMIT08020011 S TERESA DR SAM PLUMBING CONSTRUCTION NEWS NAME: FERMr[ISSfIRDATE HOLL JAMES H AND JANET M 915 GREENWICH AVE 02/04/2008 PHONE: SANITARY NO. CONTROL NO. ARCHITEC (ENGINEER: BUILDING PERMITINFO CHNG WATER HEATER BLDG ELECT PLUMB MECH LICENSED CONTRACT'OR'S DECLARATION Job Description o 1 humby Orion that 1 am limncd under provisions of Chapter 9 (commencing P with Section 70110) of Divisions 3.f On Business and imlessiom Code, and my license is in fan fame and off m License Lle. Y Date Contractor (� AN'1 ARCH1TECrS DECLARATION I nnMRtend my plana shall he used as public records Licensed Pmfcssianal OWNER-BUILDER DECLARATION 1 hereby atRren that 1 am exempt from Ne Conumtor's License law for to following won. (Section 7031.5, Business and Profeaioes Code: Any city or roomy which rmulru a Permit m conauuc4 altar, imprms, demolish, or repair any saucme prior 0 its issuance, also requires On applicant forsuch permit to file a signed summcm that W is licensed pursuant to the provisions of the Conuacmri License Taw(Chapr.9 Sq. Ft. Floor Area Valuation (commencing with Section 7000) of Division 3 of lie Businwand Profwion! Code) or that he in camp, therefrom and the basis for the alleged exemption. Any violation of APN Number Occupancy e P Y TYP Secdan 7031.5 by any applicant far a permit subjects the applicant to a civil penalty of net tame One five hundred dollars,(5500), I, u ownerk f the gap.ty, re empiendedwr wages Heir sole Required Inspections forst W. Bunddon, is r CWmis offered an do WE Warp. Cade: of and aramer of Nd PmfwieN Code: The CennemINS detl net apply mane The nous Ladederawdapply in q p workbimalfefthough his nd mo am ugh enywhabuilrovi id Who uch Nat such improvements in not landed mpictio d man Oatimprovements am own a Onfor the vmarL however, see however, ngmmenoor wmentu salt withinoneyearofmproeforlWower- builder will have dm burden of proving Nat W did not build or improve far purpose of can sale.). 0 1, as owner of the property am exclusively contracting with licensed mnwcmrs to construct the project (Sec. 70sa, Business and Professions Code:) TW Cmtraers U. cove law dostoro apply to an own. of progeny who Wilds or improve Neven, and. who contracts forsmh projects with a conmcmr(s) licensed puratunt m the Conuatoes License Law. ❑ lameaemptunderSx ,B&PCfmthismatum10 - ar Dau " WORKER'S COMPENSATION DECLARATION I hereby affim under penalty of perjury ane of the following declw0ons: ,y and of Wml4Yf ty fart he ce of We on, a providedfor by Section 37M warier, provided far by Section 3700 of the [ober Cade, Ter the performance of Nc the LaborCode. woh for which this permit is issued. r 0 I have and will maintain Worker's Compensation Iomnnse, a required by Section 37W of the labor Code, for the Performance of On work for which Nis permit is issued. ' My Workers CompernatIm Issue. card. and Policy numbor art: Cartier. Policy No, CERTIFICATE OF EXEMPTION FROM WGRKERS' COMPENSATION INSURANCE (This sec0on need not W completed if the permit is format hundred dollars ($100) carless.) I certify Out W Nc performance of the work for which this permit is issued, l shall not employ any person in my mannCr��jW CampAlbj to the Workers'CompensWon (Awa of Glllfp Dale Ap'Plicant a� r NOTICE TO APPUCAIR.' If, after making this cmuricate of Ea ornion. you should become subject M the Workers Compunction provisions of On Labor Code, you mw . - forthwith comply with such provisions Or this permit shall be deemed tormUd. CONSTRUCTION LENDING AGENCY 1 hereby Off. Nat them is a cnnsuuctinn lending agency for the perfmmanm of the work for which this permit Is issued (Sec. 3097, Civ. C.) lender's Name , Lenders Address 1 certify Nat I have read this application and sou Nat Ne above information Is I.MM 1 ogee to comply with Ili City and county ordinances and awe laws elating to Wilding construction, and hereby mahprie mprrxnwiacs of this city to enter upon the above-mantiumd property for inspection purpelea (We) agree to ave, indemnify ad keep harmlw We City of Cupertino against limiiides,judgmenu. cons and expense which may in any my &come against wd City imm� umuaofthegmntmgofthinpermit. APPLICANT UNDERSTANDS AND LY WITH ALL NON-POINT WILL COM '7 — L1-1' Issued by;9 Date G_ SOURCE EGULATIONS, Re-roofs Type of Roof s Sign uretufA,ftertlConoract., - Date HAZARDOUS MATERIALS DISCLOSURE Will the applicant or fuwre building mcupat store erhandie hasurdous material - de0 dined by the Cupertino Municipal Code. Chapter 9.R and the Health ad Safety - smIms 25532(.)73z(a)+ ,,�(( All roofs shall be inspected prior to any roofing material being installed. ❑Yes CJ No If a roof is installed without first obtaining an inspection,agree to remove Will the applicant or forum Wilding occupant pee egplpmmt or deww which emit havaNnW air contaminants as defined by Ne Bay Area Air Quality Management .l all new materials for inspection. ' Disuict7 �[ Y. No []Y.❑ I have rand the haardous materials requirements under Chapter 6.95 of the Califor- nuHcalth&Safely Code,ScWmts255M,25533md2SM.iundentsndthatlfNc Wilding does not currently hew a u nam, 11141 it Is my wmenumbility re 11e111'y 11re recurs( of the requirements which MUSE Wmet poor eusamo c uncateofOccupancy. Signature of Applicant Date s� �o �� YwnAer All roof coverings to be Class "B" or better or hon7�md agents ovo�,00 CITY OF CUPERTINO WATER HEATER *CUPERTINO PERMIT APPLICATION FORM APN #Date: (� oar o c� 2 _ -o 'r - Building Address: //--10 / Sant0,te-eSa Dr Cu PetilNo C . 9s0i Owner's Name: Phone #: m es Hoa-+Lq e I I H o 1 I ( Contractor: Phone #: 41 0,P) -SI f �U1% SB YY1 S1= o (G Fax #: (44Ute) 6 —O Cupertino Business License #: Contractor State License #: Sb Contact: Phone#: C#Og>_3y6— rl-4 c-7yeer7 cv; ch 4v e �5'W,Vwy va /e 0,0 Oc? Fax #: C n 6 _ c Building Permit Info: Bldg ❑ Elect Plumb ® Mech Residential F)� Commercial ❑ Job Description: C!�<�rlc plc G�ia�er />'eufei- c — Strapped .E On Platform Bonded New Location ❑ Replacement ❑v Valuation: Green Building Check must be completed and attached to this application. Green Building Points achieved: CITY OF CUPERTINO OF WATER HEATER CUPEkTINO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group Permit Type 1PCWHEATR Commercial Water HeaterNent B PCWHEATR 1BSEISMICOM Seismic Commercial B / f 1PRWHEATR Residential Water Heater/Vent B PRWHEATR 1BSEISMICRE Seismic Residential B 1PPERMITFEE Plumbing Permit P 1TRAVD0C Travel & Documentation B 1BUSLIC Business License B 0 0 • • CITY OF CUPERTINO 4 ITEMS OF 9 PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 35626025.00 DATE ISSUED.......: 02/04/2008 RECEIPT #.........: BS000003836 REFERENCE ID # ...: 08020011 SITE ADDRESS .....: 11201 SANTA TERESA DR SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: patg COPY # : 1 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 518 WATER HEATER OWNER ............. HOLL JAMES H AND JANET M ADDRESS ..........: 11201 .SANTA TERESA DR CITY/STATE/ZIP ...: CUPERTINO CA, 95014-4729 RECEIVED FROM ....: EUNG SAM SEOK CONTRACTOR .......: EUNG SAM SEOK LIC # 23680 COMPANY ..........: SAM PLUMBING CONSTRUCTION ADDRESS ..........: 915 GREENWICH AVE CITY/STATE/ZIP ...: SUNNYVALE, CA 94087 TELEPHONE ........: (408)396-8184 FEE ID ---------- UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL 1BSEISMICR ------------- ---------- VALUATION 350.00 ---------- ---------- 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. VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 518 WATER HEATER i • INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE CITY OF CUPERTINO PERMIT INVOICE Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 35626025.00 INVOICE DATE......: 02/04/2008 REFERENCE ID # ...: 08020011 SITE ADDRESS .....: 11201 SANTA TERESA DR SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: patg OWNER ............: HOLL JAMES H AND JANET M ADDRESS ..........: 11201 SANTA TERESA DR CITY/STATE/ZIP ...: CUPERTINO CA, 95014-4729 CONTRACTOR .......: EUNG SAM SEOK LIC # 23680 COMPANY ..........: SAM PLUMBING CONSTRUCTION ADDRESS ..........: 915 GREENWICH AVE CITY/STATE/ZIP ...: SUNNYVALE, CA 94087 TELEPHONE ........: (408)396-8184 FEE DESCRIPTION -------- DUE FOR SEISMIC RESIDENTIAL PRINTING PERMIT PLUMBNG PERMIT ISSUE PRINTING PERMIT RESIDENTIAL WATER HEATER/VE PRINTING PERMIT TRAVEL & DOCUMENTATION FEE PRINTING PERMIT VOICE ID DESCRIPTION ----------------------- - 518 WATER HEATER AMOUNT DUE PAID BALANCE 0.50 0.00 0.50 40.79 0.00 40.79 24.48 0.00 24.48 40.79 0.00 40.79 --- ---------- 106.56 ---------- 0.00 106.56 VOICE ID DESCRIPTION Single Family GreenPoint Checklist. date: z/ ZO-00 The GreenPoint Checklist is based on the various green features Incorporated Into the home and is the basis for the GreenPoint Rated program. A home can be considered green it it fulfills the prerequisites, • same at least 50 points, and meats the minimum points per category. Energy (30), Indoor Air Quality/ Health (5), Resources (6), and Water (9). Plane contact Build A Green for a list of quailfied GreenPoint Raters fi you are Interested in pursuing third -parry verification. The groan building practices listed )slow are described in the New Home Construction Green Building Guidelines, available at wwwbuildltmeen.oro. • Build It Green Smarr Sohmand Fibrin Trip Ground Up �i —I C, LANDSCAPWG Points Available Per Measure 0— Irr �'-"---- 1. Construct Resource -Efficient Landscapes ❑ ❑ a. No invasive Species Listed by Cal -IPC Are Planted D ❑ ❑ b. No Plant Species Will Require Hedging ---El ""-"'------"""-'----"'—'"-- 0 ] ❑ e. Engineered or Finger -Jointed Studs for Vertical Applications c. 75% of Plants Are Drought -tolerant California Natives, Mediterranean, or Other Appropdetc species p 3 I. Oriented Stand Board for Subfloor 2 Use Fre-Sato Landon Ing Techniques 0 1 ❑ A Created Strantl Board for Wall and Rool Sheathing- 2. Minimize Turf Areas in Landscape Installed by Sutter - - 1 ❑ a All Turl Wal Have a Water Requirement Less than or Equal to Tell Fescue i50.8 plant too" - 0 2 ❑ h, Tud Shall Not Be Installed an Slopes Ezcee?ng 10% or in Arses Less than B Feet Wide ----'�-- -�-"-" "-"--.- _ ----" 0 -- - 2 ❑ 3% c, Tuff is 53of Landscaped Area finial 2 pokms) __ 0 , ❑ d. Turf is 510% or Landscaped Area ficial 4 points) 7 ❑ 4. Plant Shade Traps 0 3 ❑ S Grou Planta by Water Needs (Hydrozonin) 0 2 E Install High-Efficlenry irrigation Systems - ❑ a. System Uses Only Low -Flow Drip, Bubblers, or Low-Aow Sprinklers - 0 l 2 ❑ b. System Has Sman Controllers ^' - -, ----' ---- ❑ 7. incorporate Two Inches of Com oat in the Top fi to 12 Inches of Soil 0 3 ITB. Mulch Ali Ptntin Betls to the Greeter of 2Inches or Local Water Ordinann Requirement 0 - 1 _w,- 2 9. Use 50%Salvaged or Racyclad-Content Materials for 50%ot Non -Plant Landsnpe Element o r l 1 10. Reduce Light Pollution by ShieldingFixtures MWor umann n Li ht Dowmvartl 0 `1-' ❑ ❑ ❑ ❑ ❑ a. Place Rafters and Surds at 24 -Inch On Canter Framingo . b. Size Door and Window Headers for Load � c. Use Only Jack and Cripple Studs Required for Load - 2. Use Engineered Lumber a Beams and Headers; b. Insulated Engineered Headers- 0— Irr �'-"---- ❑ c. Wood Wooer or Web Trusses for Floors'- ❑ d. Wood I-Jo'so for Roar Rafters- ❑ e. Engineered or Finger -Jointed Studs for Vertical Applications --' . ""- - - -' -- --'---"- 1 ❑ I. Oriented Stand Board for Subfloor -0� - ❑ A Created Strantl Board for Wall and Rool Sheathing- C0� -� - - 1 D. Use FSGCerl Wood t JJ ❑ a Dimensions! Lurcher, Studs and Timber Minimum 40% 2 ❑ b. Dimensional Lumber, Studs and Timber. Minimum 70%E] c. c. Panel Pmtlucts: Minimum 40% -(�I- "' p-- 7 d. Panel Prometa Minimum 7n%l' 02007 Build It Green Single Family GmanPolnt Checklist 2007 Version Page 1 of 4 H. HEATING VENTHATION & AIR CONDITIONING Points Available Per Manure ❑ 1. Design ad Install HVAC Syrian to ACCA Manuel J, D, and 5 Recommendations 0 4 ' 2. Install Salad Combustion Unit 0L _ ❑ LFamme9 E] b. Water Heads Z Lj 0. Install Zoned, Hydronic Radiant Heating with Slab Edge Insulation 0 1 ! 1 L Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants 0 1 5. Design and Install Malta Ductwork 0 0 ❑ L Instal HVAC Ono and Ductwork within Conditioned Space ❑ b. Use Duct Metric on All Duct Jolms end Same E] c, Install Ductwork under A1dc Insulation (Buried Ducts) 0 1 _ ❑ d. Pressure Balance the Ductwork System ❑ e. Protect Ducts during Construction and Clean All Ducts before Occupancy 0 1 S. Install High Efficiency HVAC Filter ERV S' 0 1 ❑ 7. Don't Install Fireplace or Install Salad Gas Fireplaces with Efficiency Rating Not Lea Than 60% using CSA Standards 0 1 B. Install Effective Exhaust Systeme In Bathrooms and Modems 0 _ _ _ 1 ❑ L Instal ENERGY STAR Bathroom Fans Vented to the Outside ❑ b. All Bathroom Fens Are m Tuner or Humidistat _0 ❑ 'c. Install Kitchen Range Hood Vemed to the Outside 0 1 B. Install Mechanical Vomllation System for Cooling isin mu n s Points) 0 ❑ L Install ENERGY STAR Call Fane 6 Light Kits In Living Areas 6 Bedrooms ❑ b. Install Whole House Fm with Variable Speeds 0 ❑ c. Automatically Controlled Integrated System _..o ❑ d. Automaticaly Controlled Integrated System with Variable Speed Comml 0 3 10. Install Mechanical Fresh Air Ventilation System (Maximum I Points) 0 ❑ B. Any Whole House VerNlam System That Meas ASHRAE SU ❑ b. Install Ah-lo-k Heat Exchanger that mess ASHRAE 52.2 0 I 2 71. Install Carbon Monoxide Alarms 0 1 iota r'olas AVBllmm In Hemng, Variation and Nr conommmg=Jul 0 I 0 2007 Build It Green Single Fatally SmanPoint Checklist 2007 Version Page 2 of 4 0 0 J. BUILDING PERFORMANCE Points Avallable Per Measure 1. Diaga nd is Evaluations ❑ ❑ a House Passes Blower Dow Test D I El b. Horse Passes Combustion Safety Backtlrefl Test 0 � Exposed Concrete. FloodngAdhesher Must Have c50gpi VOCs. , 2 Design and Build High Performance Hames -%,bow Tills 24 -minimum 15% Required D >_30 ❑ J. House ObbeW ENERGY STAR with Indoor Air Paclwge Certification- Pilw Measure (total 45 points; read comment) D 5 2 .__...._.-.,.-......r ,.....,,.,,e, �,•�•„•o•. -tea 8. FLMSFM Points Available Per Measure ❑ 1. Design Entryways to Retluw Tracked in Cmdandr ams 0 I ❑ Exposed Concrete. FloodngAdhesher Must Have c50gpi VOCs. , 2 Use Low-VOC or Zero-VDL Paint (Maximum 9 Pointe) 0 1 - ❑ A. Minimum 15% of Floor Area ❑ a. Low-VOC Interior Wal2i,fiing Points (60 0 VOCs (Flap and 050 V VOCs (Non -Flap) p 1 "-- D ❑ In. Zem-VOC: Interior WellQUIn Palms (d ppl VOCs (Flap) c. Minimum 50X of Floor Area _ D D 1 2 ❑ J. Use Low VDC, Wekr-Basad Wood Finishes (QSO gpi VOCs) 0 2 El ❑ 4. Use Low-VOC Caulk and Construction Adhesives (c70 gpl VOCE) for All Adhesives 1 ❑ J. Flooring Meets Section In 350 or CRI Green Label Plus R uirements 50% Minimum) ❑ S. use Reeywed-Content Paint 0 - 3 0 1 a. Use Environmentally Preferable Materials for Inferior Finish: A) FSOCertifietl Wood, B) Reclaimed, C( Rapidly Renewable, DJ Recycled-Contentor h. ENERGYSTAR O'cangtl & <20 Cubk Feel Capacity0 I EJ FlngngaMoirrb0 D ❑ ❑ a Cabinets (SD% Minimum) 0 ❑ 1 ❑ b. Interior Trim (50% Minimum) --- D ❑ ' o. Shaming (50%Minimum)- 3 ❑ d. Dcors (50% Minimum) -0. 0 - -"" ”" 1 ❑ e. Countarmp,(50%Minimum) D 3 7, Rotluee FormMdehytle In Interior Flnich (CA Section 01350) ❑ A. Subfioor & Stair Treatls (50% Minimum) 1 El b. Cabinet, & Countedops (50% Minimum) -_0 0 ' ❑ c. interior Thin (50% Minimum) 0 ❑ d. Shelvin (5D% Minimum) D I ❑ S. After Installation of Flnichn, Teat of Indoor Air Shows Formaldehyde Level mp b 0 � - 3 L. FLOORING Points Available Per Measure 1. Use Environmentally Preferable Flooring: A) FSC-CerfiRed Wood, B) Reclaimed or Refinished, C) Rapidly Renewable, D) Recycled -Content, E) ❑ Exposed Concrete. FloodngAdhesher Must Have c50gpi VOCs. , 0 1 - ❑ A. Minimum 15% of Floor Area 0 ... _.. __ ._......_... _ 0) - ❑ b. Minimum 30% of Flow Area "-- D 1 ❑ c. Minimum 50X of Floor Area _ D D 1 2 ❑ d. Minimum 75% of Floor Arae' D El 2. Thermal Macs Floors: Floor CoveringOther than Carpet on 50% or More of Concrete Floors 1 ❑ J. Flooring Meets Section In 350 or CRI Green Label Plus R uirements 50% Minimum) 0 D I: I 2 M. APPLIANCES AND LIGHTING Points Available Per Measure 1. Install Water and Energy Effic em Dishwasher ❑ e. ENERGY STAR (total t poinp 0 1 - El b. Dishwasher Uses No Mom than 6.5 GaAonMC cls (lotel2 pointe ... _.. __ ._......_... _ 0) - 2. Install ENERGY STAR Clothes Washing Machine with Water Factor of 6 or Len 1 ❑ a, Meeh Energy Star and CEE Tier 2 requirements (modified energy factor 2.0, Water Factor 6.0) (total 3 points) D 1 2 b. Meets Energy Star and CEE Tier 3 requirements (motlified energy factor Water Factor 45 or less) Iwa15 poli 0 2 3. Install ENERGY STAR Refrigerator ❑ 4. ENERGY STAR Qualified & c 25 Cubic Feet Capacity 0 1 ❑ h. ENERGYSTAR O'cangtl & <20 Cubk Feel Capacity0 I 4. Install Buill-in Recycling Centro D ❑ a Bulft-In Recycling Center 0 ❑ It. Bulk -In Composting Center - 7 1 • ❑ 2, Develop Homeowner Manuel 0/ Green FeaNreslBenefite 3. Community Design Meenm & Lourel Priorities: See the Community Planning & Design section In Chaptar 4 of the New Home Guidelines for measures. Maximum of 20 points for suggested measures. Local requirements may also be listed here. 02007 Build It Green Single Family GreenPoint Checklist 2DD7 Version Page 3 of 4 Project has not yet met the foE6owIng recommended minimum requirements: - Total Project Score of At Least 50 Points - Required measures: 43a: 50% ivaste diversion by weight -72: 15% above Title 24 -All: Incorporate Green Point 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 GreenPolnt Checklist 2007 Version Page 4 o14 -ZR PROJECT NAME D D 0 D 1 Mi EmOr dandintlon here, and enter pons BvallaMB fw msa6um m swo"B CampDhes to the right.D _ Enter tle6Epl _ ra riip0 Aem BAD Omar pante BVBIaAIe fpr ..mBe6um 10 Bpppre@ EamgmlB6 iD the rlpM: D 0 ._. 0 .. D o EEnterdacm'rylion here antl enlar pans evellaae for measure In eppmpriate camgorias to the rilpM. _ _ _ 0 D g 0 D Enter dB6E11pNon here antl araar pam6 eVO1apB I01 manure in appropriate Ea10�MB6 is m! rlghL D 0 o D D _ _ D 4. Innovation: List innwative measures that most the green building objectives of the Guldellnes. Enter up to a AU h Guidelines Green Checklist and maedmum combined total of 20 p1s. See Innwatlon Checkllst for suggested measures, using the link to the right D D g 0 0_ _ 00 0 D D _ D g D g _D_ _ 0 0 _ D _ D 0 _ g _ g _ _ g 0 D Innovation in Community: Enter description here, and enter pomis wailaae for measure in appropmale categories to 0e right. 0 Innouatlo. n In En Eater tlesc too hare, and enter Dina waileae for meesum M m late Categories to the rl A4 0 Innovation in IAOMUIM: Enter demorlitliam hem, and eater points avalledlB Im measure in appropriate tete ode6 W the right. 0 Innovation In Resources: Einer onmiption here, and eater points wettable for measure In appropriate Este otlec to the right. 0 _ p_pwalprl In WOIOL Er11Br dB6Edpilprl Aare, elld Bnmr spline aVpablB IM manure 111 apprapratB WI6gm10a 1p IhB 11gMy _ 0 Tota Avellaae Poin s m other 43 0 _ Total Available Points in Specific Categodas' 4+ 96+ 42+ 66+ 43+ D 30 5 6 9 Minimum Pointe Required In SDedfic Catepodes Project has not yet met the foE6owIng recommended minimum requirements: - Total Project Score of At Least 50 Points - Required measures: 43a: 50% ivaste diversion by weight -72: 15% above Title 24 -All: Incorporate Green Point 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 GreenPolnt Checklist 2007 Version Page 4 o14 r iF n U .k Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax(408)777-3333 Building Department JOB ADDRESS: a Sa +eras 0. P d— Y PERMIT # OWNER'S NAME: 5 0 PHONE # C q 08 _y GENERAL CONTRACTOR: FAX # I am not using any subcontractors: Z .y j. 'f / o -9� Signature Date Please check avolicable subcontractors and complete the followine information: `�'/—Owner/Contractor Signature Date 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