08030170 CITY OF CUPERTINO
BUILDING DIVISION PERNIIT .CQN CR°ACTORINF,ORMA`C�I.
auO.
'fIT�pZDRnOTLAND DR' BAY AREA REPIPES P080MU 30170 -
ER'S NAME:S PERMIT ISSUE DATE
ANAR PARIKH P 0 BOX 7462 03/28/2008
PHONE SANnIARY NO. CONTROL NO.
(408) 371-5763
ARCH ITCT/ENGINEER: BUILDING PERMITINFO
BLDGELECT PLUMB MECH
30o LICENSED CONTRACTOR'S DECLARATION Job Description
F 1 hereby affirm Nu I it Iimused under p rniamns of CMpter 9 mrommctI
wiNSecdon]0(IU)r(Dividon?ofduBmi andProfeuiov rde,endmylicenmia RE—PIPE,: ENTIRE-HSEHOLD W/WATR HEATER REPLCMNT
infull form and effect. Qlq
1.Icema Cl 'Lk.g
v- Dau Contrxm
4 ARCHffECTB OECI.a AT70 i
I understand my plus Mall k Wc0 as Public record;
yQ Licensed Pmfasiond -
OWNER-BUILDER DECLARATION
' 53 1 hereby affithe that I am exempt from the Commrr's License Law for the
0 following moon.(Section 7031.5,Business and Profession Code:My city or county
$ which requires a permit to Omasum,Jur,improve,demalith,err repair my smnure
_Z prior W its issuance.alw requiros the applicant for such permit W rile a Signed swomem
F mar heis licensed ismammttothe ProvisieSOfthe CaOmICIdlUmcnmLaw(Chap=9 Sq.Ft. Floor Area [.5000 Valuation
Y€$ mamecfD
mcnJng with Seed. 3 a(to Business and Professions Code)or S
Nat k u exempt Oure(rom and the basis for the alleged exemption.Any violation of
Section 70315 by any api lka t far a permlt subkom me applicant Ir a civil pe nity ofNumber Occupancy Type
Out am man sew hundred dollars($300j. 3 6 2 2 8 O O 4:Y/U'
0 I,u owner of the pmpwy,or my employm wire wgu u thek sic mmpewdon,
will do the wok,and the smnum is not intended or offered for oak(Bee.7044.Business '
and Prefesslmu Code:Tice Condamine, •e,LiLaw dm rot apply W an owner of Required Inspections
propmy who builds oimprovu Ovcon,andwho does suchwork himselfor Waugh his _
oweemployea.provided mat such improvements an,not intended aroRUW its ask.It. -
however,me building or impromereat is old within arc year of mmpledrn.dte owner-
builder MB haw the kNen of proving that he did nest Wool Or improv for purpose of
cake.).
❑1,a ower of ct progeny..Business
and Professing w0h Ifised mnfeu s t.
mnsmm des not apply
to an Businessandny who
Com:)ThemsthenWtaLI-
cow low dm not apply e ts owner of progeny who sed or improve Corton,and, .
whoconLaw.for projects with a cmuanWr(s)IIawO puruunt W the Contractor's
Lkew Law.
❑lam aempt under Sec ,BdPCfer Ws ratan
Dam
WORKER'S COMPENSATION DECLARATION
I hereby a0lrm under penalty of perjury ane of W fallowing declandom
0 lhamandwillmainWni CeNOmmof Cownuowlf-Insumfrr War sCompcn- _
sa0an,as;provided far by Section 3700 of the Labor Code,for the performance of the -
work for which this permit is issued. - '
0 1 hove and will maintain Worker's CompentWon Insurance,as;required by Section
3700 of the Laky Code.far the perfamanm of dre work fowhich mist permit Is issued.
My Worker's o ewit=InuMmm carrier rud Policy number ane:
Grtier. dC Polity Nr.: 7,240 a V N # 2 x91
ERn•CATE OF EXEMP ION FROM WORKERS'
COMPENSATION INSURANCE
(This settim need notkcrmplecd true permit Is Intone hundred dollars($100)
or lea.)
1 codify that in me performance Of me wart fo Which this Permit is issued,I mail not .
employ any reason in my manner so u W became abject On the Woken Gmpewtion
Laws of California.Dan
Appllcsnt
NOTICE TO APPLICANT.If,after making this Grtiriate of Exemption.you mould
became subject W the Wafted Compensation previsions of the labor Code,you most
Z forthwith comply with such provisions or this permit shall k deemed rawkcd.
wZv O CONSIRUCnON LENDING AGENCY
[—r 1Wrabyaffrrm Cut mem Iso conuucdnn kndingagacy far On pedomarae of
�i> the work for which this permit is issued(Sec.3091,Civ.C.) '
Lender's Nuns ,
z Lender's Address
U O 1 msrify that I haw rad this application and sum,that the also.Womadun ts
Iy F coma I agree W comply with all city and county oNlnmm and sole laws mladng W
pU building construction.and hereby authodm mprsentrows of this city to enter upon the -
[Ll alow-wntiand property fm inspection purposes.
(We)ague to urs,indemnify ad keep hamlets Ike City of Cupertino against
(ajj liabilities.judgments,casts and expenses which may in any way areae against said City
V 7 In consequence of the granting of Ll perch. 2-
APPLICANT
l {,y
r� APPLICAN UND NO WILL COMPLY WITH�ALLL/NPDN-POINT Issued by: Dso R Tiale >- f-
Re-roofs
sign o A Date
HAZARDOURDOU S MATERIALS DISCLOSURE Type of Roof
Will y the C tut or Future,building ecmpanumm a handle Health
material
u dcOncd by the Cupenlno�Muniripd Code.Chapter 9.11,roti me Hcalm anal Safety
Section 25532(a)7 All roofs shall be inspected nor to an roofing material beim Installed.
❑ma �Nr P P Y g g
Will me applicam or future building aavpam use cquipment or device which If a roof is installed without first obtaining an inspection,I agree to remove
..It hmardnns Jr cmumnimnts as defined by the Bay Ara Air Quality Management all new materials for inspection.
District?
0Ya kNo
1 haw mad the huaNnusma ads[,mq.immen s un@r Chapter 6.95,011c Califar-
meHealth dkSafety Code,Sao=25505,25533 and 25534.I undcnund that I'll.killing _ _ ..-
does not currently haw a n rte Cur it k m sesspouihilit W notily)r meecececPPF uFFFant of Ne
auxnec of.Cordes POgprp4�/ Signature df Applicant Date
✓T/ v p
Owner sermthmiadagent Date All roof coverings to be Class'W'or better
• CITY OF CUPERTIN0
6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36228004 . 00
DATE ISSUED. . . . . . . : 03/28/2008
RECEIPT #. . . . . . . . . : BS000004296
REFERENCE ID # . . . : 08030170
SITE ADDRESS . . . . . : 1172 SCOTLAND DR
SUBDIVISION . . . . . . .
CITY . . . . . . . : . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : ANAR PARIKH
ADDRESS . . . . . . . . . . : 1172 SCOTLAND DR
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5026
RECEIVED FROM . . . . : BAY AREA REPIPES
CONTRACTOR JOHN SWANSON LIC # 23773
COMPANY BAY AREA REPIPES
ADDRESS . . . . . . . . .. : P 0 BOX 7462
CITY/STATE/ZIP . . . : SAN JOSE, CA 95150
• TELEPHONE . . . . . . . . : (408) 371-5763
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BPWATER UNIT 1. 00 40 .79 0. 00 40.79 0. 00
1BSEISMICR VALUATION 5, 000. 00 0.50 0. 00 0. 50 0. 00
1PPERMITFE FLAT RATE 1 . 00 40.79 0. 00 40 .79 0. 00
1PRREPIPE NO OF FIXTURE 2 . 00 20.40 0. 00 20 .40 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 167 .75 0. 00 167 .75 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 167 .75 #4101
---------------
TOTAL RECEIPT 167 .75
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- ------ ----------------------------
301 ROUGH PLUMBING .. 507 FINAL PLUMBING
Vfgle Family GreenPoint Checklist date:3 2� Build It Creed
The GreerrPolm Chaddist Is basad on the various green features Incorporated Into the home and is the Stan Solutions From The Ground Up
basis for the GreanPoim Rated program.A home can be considered green II It fulfills the prerequisites,
• Hams at least 50 Resources
(and meets the minimum points per category nfoEnergy l st of Indoor Air Cituallty/
Health(5),Resources(6),and Water(S).Please cnntaq Build It Green for a list of qualified GreenPoint I I L
Rouge if you are interested in pursuing third-parry verification.
The green building practices listed below are described in the New Home Construction Green Building
Guidelines,available at www.bullddoreen.orgENTE '
ROOM• • • , NAMEA. SITE
1.ProtectTopsoll and Minimize Disruption of Existing Planta 6 Tracts
❑ a.Protect Topsol tram Erosion and Reuse ala Construction
❑ b.lJmh and Da0ren Consirtbon Footprint for Marmum Protection 0 1
2 Da nonstrun Instead of Demolishing Usdng Buildings On Sim 0 3
3.Recycle Job Site Construction Wast(Including Green Woods)
❑ s.Minimum 50%Waste 01,"on by Weight(Racyding or Reuse-Repuirsd 0R
E] b.Minimum 65%Diversion by Weight(Recycling or Reuse) 0 I j
❑ c.Minimum BD%Diversion by Weight(Recycling or Reuse) —p ---- ' '-----"Z
4.Use Recycled Content Aggregate(Minimum 25%)
❑ 2 Walkway and Driveway 0 S
❑ b.Roadway Base 0 1
Total Pools Available i 12 0
H.FOUNDATION Points Available Per Measure
1.Replace Portland Cement in Concrang with Recycled Minor or Slag
❑ a.Minimum 2D%Flyash or Slag
❑ b.Minimum 25%F ash or Slag r/�,� 0 r 1
2 Use Frost-Promnad Shallow Foundation in Cold Anne(GEC.Closing Zone 16) t jj pyo._ 3
3.Use Radon Resistant ConsWetion On At Locations Only) 0"b7 1
4.Design and Build Structural Past Controls
❑ a.Install Teomng Shields A Separate All Exterior Wood-m-Concrete Connections by Metal or Plastic FasmnerslDwldars
—__.—
b.NI New Plants Have Trunk Base,or Slam Located At Least 36 inches from Foundation
Tocol Potts Avalable in Foundation a 6 0
C.LANDSCAPING Points Available Per Measure
• 1.Construct ResourcaEflci¢nt Landscapes
❑ e.No IwasNe Species Listed by Cal-IPC Are Planned 0 S
❑ b.No Plat Species Will Require HedgingEl c.c.75%of Planta Am Drought-lolovarn California Nafivii Meddemtnsan,a Other Appropriate Species
2Use Fire-Safe Landscaping Techniques C
3.Minimize Tud Anne In Landscape Installed by Builder LA
❑ a.All Tud Will Have a Water Requirement Less than or Equal to Tell Fescue(50.6 plat favor) 1—L _ 2
❑ b.Tud Shall Not Be Installed on Slopes FxceeNng 10%or In Areas Less than B Fast Woo _ I 2
❑ C.Tud Is Stl%of Landscaped Area(lois]2 points) ---j— I
❑ d.Turf Is51D%of Landscaped Area(total 4 points) -- '--- --'' 2
❑ 4.Plant Shade Trees I
ril 3
S.Grou Plenng by Water Ncetls(Hytlroxonln ) III U 2
S.Install High-Efficlancy Irrigation Systema odiI
❑ a System Uses Only Low-Flow Drip,Bubblers,a Low4low Sponklam 0 2
❑ to.System Has Smart Controllers 0 1 3
Lj T.Incorporate Two Inches of Compost In the Top 6 to 12 Inches of Sail 0 3
B.Mulch All Planting Beds to the Greater 212 Inches or Local Water Ordinance Requirement 0 ( ; 2
9.Use 50%Selveged or R cl¢dLontent Materiels for 5D%ol Non-Plarit Landsima Bantams 0
10.Reduce LI M Pollution by Shielding Furores and/or chaining Li hl Downwertl 0 —'
Total Pointe Available In Landscaping=31 0
D.STRUCTURAL FRAME @ BUILDING ENVELOPE G—Aoims Available Per Measure
1.Apply Optimal Value Engineering
❑ a.Place Rafters and Studs at 24-Inch On Center Funning 0
❑
It.Slog Dom and Window Headers its Load —o
1 El —T
c.Use Only Jack and Cripple Bottle Requlretl for Loatl _r
0 ! 1
2 Use Engineered Lumber
❑ e.Beene and Headers 0
❑ b.Insulated Engineered Headers _0
❑ c.Wood Woists or Web Trusses for Floors _0
❑ d.Wood I-Joists for Root Rasters —�-
0 _.
❑ e.Engineered or Fmger-Jointed Studs for Vesical Applications D -
❑ f.0dentetl 6trantl Board for Subflom —_-__ 1 .
❑
9.Oriented Strand Board for Well and Root Sheathing —�'— -
3.Us¢F Dimensional
Lu Wood — —
' ❑ a.Dimensional Lumbar,Studs and Timber,Minimum 40% 0 2
❑ b.Dimensional Lumber,Studs and Timber Minimum 70% p
❑ c.Panel Pori Minimum 40% —� —'---'
❑ d.Panel Products:Minimum 70% 0
0 2007 Build 1t Green Single Family GreenPoint Checklist 2007 Version Page 1 of 4
ENTER PROJECT NAME
1.Use Solid Well Systems Oncludes SIPS,ICF&R A Any Non-Stick Freme Assembly) manna:
❑ A Floors _ 0 _ _ _ 2 _
❑ b.Walls _ 2
❑ c.Rents D 2 2
5.Reduce Pollution Entering the Home from the Garage
❑ A Tightly Seel the Air Banter bmseen Garage and Living Ansa _ 0 1
❑
It.Install Garage Exhaust Fen OR Suit a Dotachad Garee 0 1
fi.Deal n Ene Heels on Tma ass 5%of Attic Insulation Height at Outside Edge of Exterior Well 0 1
7.Des{ n Roof Tmssa to Accommodate Ductwork 0 1
I.Use Recicled•Contam Steel Studs hr g0%of Interior Well Framing 0 1
0.Thermal Men Welta:Sall Drywall on All Interior Wells or Walls Weighing more than 40Ib/eu.tt 0 1
10.Install Overhangs and Guttare
❑ e.Minimum 164nch Overhangs and Gutless _0
❑
It.Minimum 24-Inch Derhal and Gutless 0 1
Thai Perms Available in Sauctulal Building Frame and Enveloq 3B 0
E.EXTERIOR FINISH Pointe Available Per Measure
❑ 1,Use RacYmed-Contarr No Virgin Rings or FSC-Certified Wood Docking 0 2
t Install s Rein Buren Well System 0 2
5.Use Durable and Noncombustible Siding Materiels D 1
/.Select Durable and Noncombustible Renting Materiels 0 2
Total Perm Available In Exterior Finish 0
F.INSULATION Points Available Per Measure
1.Install Insulation with 76%Recycled Content
❑ a.Wells endror Floors
❑ b.Ceilings 0 1
2.Install Insulation that is Low-Emil(Certified Section 0135D)
❑ n Walla enclor Floors _0_ 1 _
❑ It.Callngs 0 7
a.Inspect Duality of Insulation Installation before Applying Drylvall 0 1
Total Points Available in Insulation e 5 0
O. LUMHING Points Available Per Measure
7.Distribute Domestic Hot Water Etfimantp(Maximum 7 PCime),
❑ a.Insulate Hot Water Pipes here Water Heater to Kitchen _ 0
❑ b.Insulate All Hut Water Pipes
❑ c.Use Engineered Parallel Piping
❑ d Use Engineered PmtlMl Piping sAth Demand Controlled Emulation Loop
❑ s.Use Structural Plumbing with Demand Cluencl ed Circulation Lapp 0 _ 1 _ _— 2
❑
I.Use Cartel Coro Plumbing 0 1 1 2
❑ 2.Install Only High Efficiency Toilet(Dual-Flush or Sl 26 0 4
Total Pointe Available In Plumbing=Total 12 0
HEATING VENTILATION k AIR CONDITIONING Prints Available Per Measure
7.Design entl Install HVAC System m ACCA Manuel J,D,and S Recommendations 0 4
2 Install Salad Combustion Unita
❑ e.Furnaces U _ _ 2
b.Water Hsm&ra 0 2
5.Ir bell Zoned,Hydronic Radiant Heating with Stab Edge Inauladon 0 1 1
1.Install HlghEffielency Air Conditioning with Environmentally,Responsible Refrigarant& D 1
5.Oaslgn rad Install Effective Ductwork
❑ a.Install HVAC Unit and DuCMDrk within Conditioned Space 0_ 3 1
❑ b.Use Duct Mastic on All DuctJoime and Seams _ 0 1 T-
E]
_❑ c.instal Ductwork under Attic Insulation(Burled Ducts) o 1
❑ d.Pressure Balance the Ductwork System _ 0_ 1
❑ B.Protect Duma during Construction and Clean All Ducts before Occupancy 0 1
S.Install High EfficlancyHVAC Filter MERV Bt 0 1
❑ 7.Dont Install Fireplace or Install Sealed Gee Fireplaces with Efficiency Rating Not Less Than 6D% 0 1
using CSA Standards
B.Install Effective Exhaust Systems in Bathrooms and Kitchens
❑ a.Install ENERGY STAR Bathroom Fane Vented to the Outside _ 0_
❑ It.Al Bathroom Fen Are on Timer or Humidistat 0
❑ c.instal Kitchen Range Hood Venl to the Outside 0 7
g.Install Mechanical VIRMIAtion System for Cooling(Maximum 1 Points)
❑ a.Install ENERGY STAR Calling Fans 6 Light Kis In Living Areas A Bedroom& _0 1 �_
❑ b.Install Whole Hauge Fan with Variable Speeds
❑ C.Automatically Controlled Integrated System _ 0 _ - - _
❑ d.Automatically Conedled Integrated System with Variable Speed control 0 3
10.Install Meehnical Fresh Air Ventil"Dri System(Maximum D Points)
❑ a.Any Whole House Ventilation System That Meets ASHRAE 82.2 0_ 2
❑ b.Install All Heat Exchanger that meets ASHRAE 62.2 0 ] 2
11.Install Carbon Monoxide Alarmle) 0 1
Total Pointy Available In Heating,Ventilation and Air Cmdlionin =301 0
02007 Build It Green Single Famlly GreenPolnt Chaddis121D17 Version Page 2 of 4
. .ROJECT NAME
s
• I.RENEWABLE ENERGY Points Avellable Per Measure
1.Pro-Plumb for SOW Hot WaW heading 0 4
2.h& ll Solar Water Imal System D 10
].Install Winn Conduit for Future Photovoltaic Installation 6 Provide 2D0 M of South-Facing Roof 0 2
4,Install Photovoltaic(PV)Panels
❑ a.30%of electric needs OR 12 kW(total 6 points) 0 1 6
❑ b.60%of elecblc needs OR 2.41AN(total 12 pDmbi - p ---�_.o J-— ------ —
❑ c.9D%d ala hic'neod OR 3.6 kW(total 15 poims) 0 ---, 6 ----------
Totel Avallable Points in Renewable Energy=26 D
J.EDHAING PERFORMANCE Points Available Per Measure
1.Diagnostic Evaluations
❑ a.Hause Passes Blower Door Test 0 ] __
b.House Passes Combustion Mary Backdrafl Test 0
20esignand Build lOgh Paformenm Homas-%above Tule 24-minimum 15%Required 0 1 >_30
❑ 3.House Obtains ENERGY STAR with Indoor Air Package CeNfiestion-Psaw Measure(Toatl 45 points;read cromment) D 5 2
Total Available Points in Building Performance=39 0
K.FINISHES Points Available Per Measure
1.Design Entryways to Reduce Tracked In Contaminants 0 1
2.Use Lcw-VOC or Zei Paint Maximum D Point)
❑ a Low-VOC Interior WallCeMng Pain(d0 go VOCs(Flap and<150 pint VOCs(Non-Flat) 0
❑ o ZerD'VOC:Interior WaIDCeOin Paints(d 0 VOCs(Flat) 0 T 3
❑ 3.Use Low VDC,Water-Based Wood Finishes(d50 gpl VOCs) 0 1 2 1
❑ /.Use Low-VOC Caulk and Construction Adhesives(<70 girl VOCs)for All Adhesives 0 2
❑ 5.Use Recyded-Content Paint 0 i
e.Use Environmentally Preferabla Materials for Interior Finish:A)FSCCerfli Wood,B)Radaimed,C)Rapidly Rwmmmbl0.D)RecydedLamem
or E)FingerJolnud
❑
as Cabinets(50%Minimum) 0
❑ b.Inemor Trim(50%Minimum)
❑ c.Shelving(50%Minimum) _ 0_____I________y 1
El CL Doors(50%Minimum) _0
❑ e.Countartws 50%Mlnlmum) p r ( ]
• 7.Reduce Fom Star TreaIn ds(50%
Mi Finish(LA Section 01350) — — --
❑ a.SUMoor A Stair Treads(50%Minimum)
❑ b.Cabinets It Countenops(5D%Minimum) _ 0
❑ c.Interior Tam(50%Minimum)
❑ d.Shelving(50%Minimum) 0 1
❑ i Amir Instelladon of Flniahes,Teel of Indoor Air Showa Formaldehyde Level d7p b 0 3 I
Total Available Pond In Finishes=21 0
L.FLOORING Points Available Per Measure
1.Use Environmentally Preferable Flooring:A)FSC-Certified Wood,B)Reclaimed or Refinished,C)Rapidly Renewable,D)Recycled-Conten4 E)
Exposed Concrete.Flooding Adhesives Must Have<50 girl VOCs
❑ a Minimum 15%of Floc Area 0
❑ b.Minimum 3D%at Pork Area 0
❑ c.Minimum 50%of Floor Area 0
❑ J.Minimum 75%of Floor Area 0 7
❑ 2.Thermal Man Floors:Floor Covering Other than Carpel on 50%or Mora of Concrete Floors 0 1 )
❑ 3.Flooring Mead Section D1350 or CRI Green Lobel Plus Requirements 5D%Minimum 0 2
Tom!Available Points In Flounnif=7 0
M.APPLIANCES AND LIGHTING Paints Available Pa Measure
1.Install Water and Energy Efficient Dishwasher
❑ a.ENERGY STAR(total 1 point 0 1
❑ D.Dishwasher Uses No Mod than 6.5 Gallon cls(foto 2 Dint) D
L Install ENERGY STAR Clothes Washing Machine with Water Factor of 6 or Less
❑ a.Meed Energy Sra and CEE Tier 2 requirements(modified energy factor 20,Water Factor 6.0)(toll 3 points) 0 1 i 2
❑ b.Meats Energy She and GEE Tier 3 requirement(modified energy factor 22,Water Facia 4.5 c len) 0 2
from 5Points)
3.Install ENERGY STAR Refrigerator
❑ a.ENERGY STAR Ouelifed It<25 Cubic Feet Capacity 0
❑ b.ENERGY STAR Duetted a<20 Cubic Feel Capacity 0 1
L Install BuitHn Recycling Geta - 0
❑ e.BulVn Recycling Confer 0 2
❑ b.Built-in Composfing Canter 0 I 1 1—
TMI Available Points in Appliances and Lighting=12 0
N.OTHER Points Available Per Measure
❑ 1.Incorporate GraimPoint Rated Checklist in Blueprints-Required 0 R
❑ 2 Develop Homeowner Manuel of Green FeamreNBenefita 0 1 1 1
3.Community Design Measures a Local Priorities:See the Communlly Planning It Design section in Chapter 4 of the New Home Guidelines for
messures.Maximum of 20 points for suggested measures.Local requirements may also be feted here.
0 2D07 Build It Green Single Family GreenPDhd Checklist 2007 Version Page 3 of 4
t $
ENTER PROJECT NAME
:S
Enter concretion hem,and anter solea WAII lar measure In g4aoedale categories Io he right. o D D o D 0
Enter descri0an here,ere enter points available la meaner In rppramare categdrn to me right. 0 D 0 0 0 D
Enter dessr"on hem,and enter pans ewleble In measure In app ai nee categodn to MM fight. 0 0 0 0 a
❑ Enter ducriplion hon,entl enter pmnn wettest fo measure In appropriate caaporn to the rent. 0 0 0 0 _o 0
4.Innovation:List Innovative measures that meet the green building objectives of the Guidelines.Enter up to a Build It Green Checklists and
maximum combined total of 20 pla.See Innovation Checklist for suggested measures using the link to the right _ Guidelines
_ __ _
Innovation In Communl Enter de m hors,and enter ts anflehle to meaner in au 'n to Mer 0 0 0 0 0 0
InnovsDm in En
.Enter d 'm Mrs end enter ts ova%able In mason n appropriate cel n ro the r D 0 0 D 0 0
Innwelim In IAQHullh;Enter descriptor ham,and enter m evaMMe ler manure in a cel n Mo dm t 0 D D o 0 0
Irenwation In Resources:Enter ca omobon hem,and enter points wettable for menun In ale consignees to the right. 0 0 0 0 0 0
Innwafio_n In Water Enter deurip6m here,entl_enter pante anhabts In menun In_WDIrria catsputes b IM dphL 0 0 _D 0 0 0
Total Avallable Paha In Omer=43 0
liSummary
Total Available Points In Specific Categories' 4+ 96+ 42+ 66+ 43+
Minimum Points Required in Specific Categories G 30 5 6 B
Tolal Points Achieved D' e e e e e
Project hart not yet mot the following raoommended minimum requlrem ants:
- Total Project Score of At Least 50 Points
-Required measures:
-A3a:5091b waste diversion by weight
-72: 15%above Title 24
-NI:Incorporate GreenPoint Rated Checklist Into blueprints
-M/nimum points In specific categories:
-Energy(30 points)
-IAp/Health (5 points)
-Resources(6 points)
-water(9 points)
02007 Build It Green Single Family GmDnPoint Checklist 2007 Version Page 4 of 4
I) SIO30/ 70
CITY OF CUPERTINO
• REPIPE/SEWER/MAIN SERVICE
CUPERTINO PERMIT APPLICATION FORM
APN# Ov Date: lznqr" 7,P �D
Building Address:
77
Owner's Name: Phone #:
14 AJ 41- a,,V -72-!S-- - /D
Con actor: Phone#:
3-7 /-J 76,3
d Fax
Contact: 1 Phone#:
3 d9 - � � y7
3OLn avlSa n Fax #:
Contractor License#: yd y,3
Cupertino Business License#:
Job Description:� I 1- I 1 G�1 P—r4ire- 'Meuse, �ol- LA 1+t) f lCeC( w4c!'7l"'�.
Residential [ Commercial ❑
Valuation:
Green Building Check list must be completed and attached to this application. j 1
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
IPGASCOM Commercial Gas Piping System P
1-4 Outlets
1BSEISMICOM Seismic Commercial P
1BSEISMICR Seismic Residential P
1PRSEWER Residential building P 1RPSS
sewer/sanitary sewer
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
CUPEkTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
2 1PRREPIPE Residential re-pipe per fixture P 1RPRP
1BPWSVCS Water Service P 1CPWSor
1RPWS
IPPRSEWG Private Sewage Disposal System P
1PCESS Cesspool P
IBPWATER Install/alter Water Pipe P
IBPFIXTURE Plumbing Fixture P
IPGASRES 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
IPLMBINSP Other Plumbing/gas Insp. P
1TRAVDOC Travel &Documentation Fee B
1BUSLIC Business License B
Community Development
`i 10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
*UPCITY OF
EI�TINO Fax(408)777-3333
Building Department
JOB ADDRESS: A PERMIT#
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OWNER'S NAME: qr 4r% PHONE # -22-5--
GENERAL
_GENERAL CONTRACTOR: 40106 IFAX #
I am not using any subcontractors: _ 3 d
Signature D to
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
Owne /Contractor Signature Date