08020123 CITY OF CU
PERTINO ��a,�� lrs,a>y °x iln�y TT1t�a'�+ �7a,��
BUILDING 61VISION � PERMIT �t�Al.'1R`Ak�OR,,,I tN°QL�lYlH��"•�•.
BNLDING pOS: PERMrr NO.
111�t5 SRESTAFFORD DR ACE PLUMBING 08020123
ER'S NAME: PERMIT ISSUE DATE
DON FERRIE 565 N CENTRAL AVE 02/20/2008
PHONE: SANITARY NO. CONTROL NO.
(408) 226-2243
ARCHITECDENGINEER: BUILDING PERMIT INFO
BO EO PLUMB 0
300 LICENSED CONTRACTOR'S DECLARATION MJOb DOSCi]pllOn
1 bercWsed
by affirm t 1 am llmnunder Provisions of Chapter 9(commencing
with Section 70110)of Division 3 of the Business and Profession Code,.ed my liceasa is INSTL CLNOUT 5FT FM PROPTY LINE
in full force and effem
pieZ License Class Lk.It
CJ Dew Contractor
e 5 ARCHITECTS DECLARATION
i$ 1 understand my plans shall W used u public mcoNs
s
ha�n Licensed Professional
3 OWNER-BUILDER DECLARATION
E I hereby arrow Gac that 1 1. exempt from ti r Committees Co License Law for the
❑O which
mmoa(Section 7031.4 Business and Profession Cade:Any city or county
whkh ngmns a Permit to eemswc4 alter,improve,demolish,or e a sir any structure
Z prior W its issuance.alan req.ths tith applicant for such permit W file.I..(Chapter
statement
EEx<
that W is licensed purman to thepmvisbnofdthCMnmcWfsLicenselaw(Chepwr9 Sq.Ft.Floor Area Valuation
yF0 (commencing with Section 70M)of Division 3ofthe Business and Profcesion.Code)or 530 0
E N 3 that he u exempt themfmm end the basis for the alleged eumpidon.Any violation of
Section 7031.5 by any applicant for a Permit subjects the applicant W a civil penalty atNumber Occupancy Type
tet mom than Ove hundred dollars(SSW). 36207013 !V�
0 1,as owner of the property,Or my employes with wages as their into eompenation,
will do the work.and the structure 4 notinundedaronered forsale(Sm.7014.BusinessRe aired Inspections
and Professions Cod.The Canuactor'a License Law don not apply W an o w ar of q P
pmpenywho bullas mimproves themon,atW who doessuchwmkhimulrmthrough his
own employees,provided that well improvements are,not intended oro@rN for ale If.
bowewr,Ne building or Improvement is sold within one your Of completion,the own.-
builder will haw the burden of proving that he did not build or improve fm purpose of
I-uOwner ajthe Property.a.,Business
elyand cofessing with:)Theetl convenes U.comma it==nett apply
7041,arsines and property
who builds,
Cade:)The Convector's Li-
cene law don not apply c an owner of proper(who builds or Improves desmon,and
who contracts for eoch projects with a contrumKs)Iimrvetl pursuant W the Conmcmr's
Lke
vers sae t ,BdPCfor this mulpt
Data
R ER'S COMPENSATION DECLARATIO
1 hems will
rma under penalty of eaperjury arm of the following doclarWorkiethrom
sCo �7
O kfor mWwihm.inWna Cerddmu of ConentWself-Imam fm WoheY.Compen-
nation,as provided for by Section 3700 of the labor Code,for the performmm of the
wall for which this permit is issued.
0
37Ihaw and will maintain fan Worker'solumCompensationthew Wurance,urta par ,I Section
My oftheLaburCode.far the Performanceof the work farwhichthts permit is issued SA "•e
My WorkeYs Compenation lnuram esmiv and Poliry number ere: '
Canner. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
('Ibis sectionneednotMcumplemd it Ne permit is foronh naked Millan(SIW)
or lou)
1 century that in to performance of the work for which this permit is issued[shall not
employ an runt anymwmra ase co .s b'm h 'arkcn'Compenation
Laws of alio i
APPlkmt - - .
NOTICE TO P CA :If.afwr making this Certificate of Exemption.you should
become subject W the Workers Compensation previsions of thin Labor Code,you most
wJ z forthwith comply with such pwvisian or this permit shall be deemed invoked.
z tiCONSTRUCTION LENDING AGENCY
[..s I hereby affirm that then is a contraction lending agcmr for the performanm of
!Yi w�i the work for which this Permit is iamd(Sm.3097,Civ.C.) '
W�A Lendcr'a Name
z Lcmcr's Address
V 01 ccnify that I haw lead this applice cs.and mw that the allow information is
Is.F correct 1 Sme,to comply with all city and county ordinances and stain laws relating W
�O building convection.and hereby aumodn representmiwa or this city W enter urns the
W� eow"I'MmloneM property far inspection ry
paction puous.
Wsaw," py (We)agree indemnify and keep harmless the City of Cupertino against
ata M liabilities,judgments.casts and expenses which may in any way accrue against aid City -
I.)7 in conugmnce of the Sombre of this Permit.
r7 =PLIC UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
R R LATIONS.
w Re-roofs
S' ata art of ApplimHAZARanb Data
HAZARDOUS building
.p DISCLOSURE Type of Roof
Will 0th a Cup est or forum building emupanbwrc or bundle henrdon mathriat
Mcfined by 0th Cupenine Municipal Code,Chapter 9.13,and dm Health end Safety
a.sam.25532(.)? All roofs shall be inspected prior to any roofing material being installed.
[:]Yes
Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
Malt he'rardaas air commainanta a and by the Bay Ana Air Quality Management all new materials for inspection.
District?
0Yes Nu
I have mad the hvndnus mawriab mqummentsunderchapwr6.95 ofthe Cables.
nue Health& cyCada Seem.25505,25533 and 25534.1 undenuntl theUfthe building
at, ally haw a thnml thu i in. Y nsponihilitY W mtifY the occupant ler We
output wheanI LIM nC.drth.warampancy. Signature of Applicant Date
G ner rtamarindagcm Doth' All roof coverings to be Class"B"or better
CITY OF CUPERTINO
• REPIPE/SEWER/MAIN SERVICE
ITY OF
CUPEkTINO PERMIT APPLICATION FORM
APN# r
—70 ( 5 . 00
' Date:
Building Address:
Owner's Name: Phone#:
/ 690
Contractor: Phone 4:
Fax #:
Contact: U Phone#:
Fax #:
Contractor License#: L 3 S1 (o-7 (_0
Cupertino Business License#:
Job Description: �, 4teJS (1 n + PW
Residential Commercial Q
Valuation:
Ap
p �o
Green Building Checklist must be completed and attached to this application.
Green Building Points: 29—
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 1RPSS
II sewer/sanitary sewer
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE •
CUPEkTINO 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
IPPRSEWG Private Sewage Disposal System P
1PCESS Cesspool P
1BPWATER Install/alter Water Pipe P
1BPFIXTURE Plumbing Fixture P
1PGASRES Residential Gas Piping System P
1-4 Outlets
1 BPGAS Gas Piping System 5+ Outlets P
1PPERMiTFEE Plumbing Permit Fee Issuance P
1PLMBLNCK Plumbing Plan Check P
1 PLMBINSP Other Plumbing/gas Insp. P
1TRAVDOC Travel &Documentation Fee B
1BUSLIC Business License B
•
• CITY OF CUPERTINO
ITEM 1 OF 1 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36207013 . 00
DATE ISSUED. . . . . . . : 02/20/2008
RECEIPT #. . . . . . . . . : BS000003988
REFERENCE ID # . . . : 08020123
SITE ADDRESS . . . . . : 1128 STAFFORD DR
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . :
OWNER DON FERRIE
ADDRESS 1128 STAFFORD DR
CITY/STATE/ZIP . . . : CUPERTINO,. CA 95014
RECEIVED FROM . . . . : KATRINA L STARMAN
CONTRACTOR TAEK SONG LIC # 24542
COMPANY ACE PLUMBING
ADDRESS 565 N CENTRAL AVE
CITY/STATE/ZIP . CAMPBELL, CA 95008
• TELEPHONE . . . . . . .. : (408)226-2243
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- -------------
---------- ---------- ---------- ----------
1PRSEWER UNITS 1. 00 20.40 0. 00 20 .40 0. 00
TOTAL PERMIT
20.40 0. 00 20 .40 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 20.40 #1234
---------------
TOTAL RECEIPT 20 .40
VOICE ID DESCRIPTION VOICE ID DESCRIPTION '
----- ---------------------------=` _._
-- ., ----- ----------------------------
106 SEWER & WATER 202 UNDERFLOOR PLUMBING
301 ROUGH PLUMBING 400 SEWER/LATERAL
507 FINAL PLUMBING
•
Single Family GreenPoint Checklist date: gh Build ItGreeri
The GreenPoint Checklist is based on the various green features incorporated Into the home and is the SmanSoW[ions From The Ground Up
• basis for the Gre9nPolnl Rated program.A home can be considered green if it fulfills the prerequisites,
Hams at least50points,and meets the minimum points per category:Energy list
of Indoor Air Qual
Health(5),Resources(6),and Water(g).Please contact Build If Green for a list of qualified GreenPoint
Raters 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.builditareari
ENTER PROJECT 3
d w`
U Q
A.BITR Points Available Per Meesure
1.Protect open and Minimize Disruption of Existing Plante 6 Trees
❑ a.Protect Topsoil from Erosion and Reuse after Construction
❑ b.Limit and Delineate Construction Footprint for Maximum Protection 0 — 1
❑ 2.Deconstruct instead of Demolishing Existing Buildings On Site - 0 3 A
3.Recycle Job Site Construction Wage(Including Green Waste)
❑ a.Minimum 50%Waste Diversion by Weight(Recycling or Reuse)-Required 0 -7__J:: 2
( R _
❑ b.Minimum 65%Diversion by Weight(Recycling or Reuse) D _ 7__ 2 I
❑ c.Minimum 00%Diversion by Weight(Recycling or Reuse) 0 i. 2 1
4.Use Recycled Content Aggregate(Minimum 25%)
❑ a.Walkway and Driveway 01I--
❑ b.Roadway Base 0I
Total Points Available in Site 12 0
B.FOUNDATION Points Available Per Measure
1.Replace Portend Cement in Concrete with Recycled Ryash or Slag
❑ a.Minimum 20%Flyash or Slag 0 ( 1
❑ P.Minimum 25%Flyash or Slag 0 —� 1
❑ 2.Use Frost-Protecled Shallow Foundation In Cold Areas(C.E.C.Climate Zone 16) 0 I 1 3 1
❑ 3.Use Radon Resistant Construction(In At-Risk Locations Only) 0 1 1
4.Design and Build Structural Pest Controls
❑ a.Install Termite Shields 0 Separate All Exterior Wood-toConcrete Connections by Metal or Plastic FastenarslDividers 0 1
P.All New Plants Have Trunk,Base,or Stam Located At Least 3e Inches from Foundation 0
Total Points Available in Foundation=0 0
C.LANDSCAPING Points Available Per Measure
•. 1.Construct Resource-EBicienl Landscapes
❑ a.No Invasive Species Listed by Cel-IPC Are Planted
❑ b.No Plant Species Will Require Hedging 0
❑ c.75%of Plants Are Drought-tolerant California Natives,Mediterranean,or Other Appropriate Species 0
2.Use Fri Landscaping Techniques 0 1
3.Minimize Tud Areas in Landscape Installed by Builder
❑ a.All Turf Will Have a Water Requirement Less than or Equal to Tall Fescue(<_0.0 plain factor) 0 2
❑
to.Tud Shall Not Be Installed on Slopes Exceeding 10%or in Areas Less than B Feet Wide - _ 0 2
❑ c.Turf Is S33%of Landscaped Area petal 2 points) 0 2
❑ d.Tud Is<_10%of Landscaped Area(total4 points) 0 2
❑ 4.Plant Shade These 0 1 3
❑ 5.Group Plants by Water Nods(Hydrozoning) 0 1 2
6.Install High-Efficiency Irrigation Systems
❑ a.System Uses Only Low-Flow Drip,Bubblers,or Low-Bow Sprinkles
❑ to.System Has Smart Comrollers 0 I 3
❑ 7.Incorporate Two Inches of Compost in the Top 6 to 12 Inches of Soil 0 ( 3
❑ S.Mulch All Planfing B9ds to the Greater of 2Inches or Local Water Ordinance Requirement 0 2
9.Use 50%Saiva edor Recycled-Content Materials for 50%of Non-Plant Landscape Elements 0 ( ( 1
❑ 10.Reduce LightPollutionbyShieldingFixturesanchorDirectin Light Downward 0 1
Total Points Available in Landscaping=31 0
D.STRUCTURAL.FRAME&BUILDING ENVELOPE Points Available Per Measure
1.Apply Optimal Value Engineering
❑ a.Place Rafters and Studs at 24-Inch On Center Framing 0 1
❑ b.Size Door and Window Headers for Load - 0 �_ 1
❑ c.Use Only Jack and Cripple Studs Required for Load 0 1
2.Use Engineered Lumber
❑ a.Beams and Headers 0
❑ b.Insulated Engineered Headers 0 1
❑ c.Wood Wolse or Web Trusses for Floors 0 1 _
❑ d.Wood IJoists for Roof Rafters
❑ e.Engineered or Finger-Jointed Studs for Vertical Applications o 1
❑
I.Oriented Shand Board for Subfloor 0
❑ g.Oriented Strand Board for Well and Root Sheathing 0
• 3.Use FSC-Certified Wood
❑ a.Dimensional Lumber,Studs and Timber:Minimum 40% 02
E] b.Dimensional Lumber,Studs and Timber:Minimum 70% _ 0 2
❑ c.Panel Products:Minimum 40% _
0 _
El J.Panel Products:Minimum 70% - 0 I 1
02007 Build It Green - Single Family GreenPoint Checklist 2007 Version Page 1 of 4
ENTER
PROJECT NAME
s
4.Use Solid Well Systems(includes SIP,,ICFs,6 Any Non-Stick Frame Assembly)
❑ a.Floon, -p--- -�- 2
❑ b.wails ---- --
❑ c.Roofs 0 2 2
5.Reduce Pollution Entering the Home from Me Goal Ela.Tightly Seel the Air Banter betwaen Garage and Living Area -0-----1---�-1-1---+---
❑ b.Install Garage Exhaust Fan OR Build a Detached Garage
0 1
6.Dui n Energy Heels on Trusses(76%Of Attic Insulation Height at Outside Ede of Exterior Well) 0 1
7.Geatpn Rool Truese,to Accommodate Duchvork 0 1
Lj e.Use Recycled-Conpnt seat Studs for 90%of Interior Well Framing 0 1
LJ B.Thermal Mess Walls.5rH-Inch Drywall on All Interior Wells or Wells Weighing more then 40lb/cu.IL 0 1
10.Install Overhangs end Gu0ere -
❑ a.Minimum n6-Inch Overhangs and Gutters 1
❑ b.Minimum 24-Inch Overhangsand Guffers
0 1 I
Total Pointe Avallable in Shumuiel Bulldin Frame and Envel =38 0
Points Available Per Measure
B.ISICTIDRIOR FINISH I 2
1.Una RecyCletl-0ontem(No Vi%m Plastic)or FSC-COMHod Wootl Deckin 0
17 -2.Install a Rein Smash Well System 0 2
J.Use Durable and Noncombustible Sidin Materials 0 1
idem bustible fl
Du Noncemoofn ate
Mrials 0 2
Total Points Available in Exterior Finish=7 0
Points Available Per Measure
F.INSULATION
1.Install Insulation with 75%Recycled Content
i
❑ a.Walls andror Floors —p --*--�� —
❑ b.Caiiln
2.Install Ineuletion that to Low-EmlNnp(Cartl6ad Section 01950)
❑ a.Walls anclor Flows -O- - + --i-I----"1"--
❑ b.Callings
❑ 3.Inspect Quality of Insulation Installation before Applying Drywall 0 1
Total Points Available in Insulation=5 0
G.PLUMBING Points Available Per Measure
1.Distribute Domestic Not Water Efficiently(Maximum 7 Points).
❑ a.Insulate Hol Water Pipes from Water Hasler to Kitchen 1_
-r
❑ d.Insulate All Hot Water Pipes
❑ c.Use Engineered Parallel PipingIT '
❑
J.Use Engineered Parallel Piping with Demand Controlled Circulation Loop _ 0 -- L —{--,- 1
❑ a.Use Structured Plumbing wrath Demand Controlled Cimuletion Loop —0 ---- 1 +2
El I.Use Central Core Plumbing0 1 1 1 1 . 2
❑ 2.Install Only High EfficiencToilets(Du eI-Flush or S1211 7) 0 1 I 4
Total Pointe Avallable In Plumbin =Total 12 0
H.H=VENTUATIONRNTHATION R AIR CONDITION[NO Paints Avallable Par Measure
and Install HVAC System to ACCA Manuel J,D,and S Recommendations0 4
ealed Combustion Units❑ aces❑ er HeatersZoned,Hydropic Radiant Hating with Slab Edge InHigh Efficiency Air Conditioning with Environmentally Responsible Ralrfgerente 0 1 I
5.Design and Install Effective Ductwork
❑ a.lnsbe HVAC Unit and Ductwork within Conditioned Space _ -- 3 {
❑ b.Use Duct Mastic on All Duct Joints and Seams
❑ c.Install Ductwork under Ad insulation(Suited Dicta)
❑ d.Pressure Balance the Ducnvork System --�--
❑ e.Protect Ducts during Consimotion and Clean All Ducts before Occupancy 0 1 I
6.Inemell High Efficiency HVAC Filter(MERV e+)
❑ 7.Don't Install Fireplace or Install Sealed Gee Fireplaces with Efficiency Rating Not Loss Than 60% 0 1
using CSA Standards
B.Install Effective Exhaust Systems In Bethroome and Kitchens
❑ a.Install ENERGY STAR Bathroom Fans Verged to the Outsibs -- 1
❑ b.All Bathroom Fans Are on Timer or Humidistat --
❑ c.Install Klethen Range Hood Vented to the Outside 0
s.Install Mechanical Verntlleffon System for Cooling(Maximum 4 Pointe)
❑
a.Install ENERGY STAR Ceiling Fans It Light Kits in Living Areas It Botlroams
❑ b.Install Whole Huse Fan With Variable Speeds - U - 1—i--
❑ c.Automatically Controlled Integrated System 0 3T_
❑ tl.Automatically Controlled Integrated System with Variable Speed Control
10.Install Mechanlcel Fresh Air Ventilation System(Maximum 3 Pointe)
❑ a.Any Whole House Ventilation System That Meats ASHRAE 62.2 -17
-
❑ b.install Airco-Air Heat Exchanger that meets ASHRAE 622 G + 1 2
71.Instell Carbon Monoxide Alarms) 0 1
Total Pointe Avallable In Heating,Ventilation and Air Conditioning=30 0
02007 Build It Green Single Family GreenPolnt Checklist 2007 Version Page 2 of 4
a r. • t .6 E 13
e 3
V 4 Q
• I.RENEWABLE ENERGY Points Availahle Per Measure
1.Pre-Plumb for Solar HM Water Heading 0 ( 4 1
2.Install Solar Water Heating System 0 I 10 1
3,Install Wiring Conduit for Future Photovoltaic Installation It Provide 200 le of South-Felin Roof 0 2 ) i
4.Install Photovoltaic(PV)Panels
❑ a.30%of electric needs OR 1.2 kW(total 6 points) 0 6
❑ b.60%ct electric needs OR 2.4kW(total 12 points) 0 __ 6 _I_ I
❑ C.90%of electric need OR 3.6 kW(total 1 B points) 0
Total Avallable Points in Renewable Ener =26 0
J.BUILDING PERFORMANCE Paints Available Per Measure
1.Diagnostic Evaluations
❑ a.House Passes Blower Door Test
❑ b.House Passes Combustion Safety Backdraft Test 0 1
2.Design and Build High Performance Homes-%above This 24-minimum 15%Required 0
❑
5 2
3.House Obtains ENERGY STAR with Indoor Air Package Certification-Pilot&fessur,(Total 45 points;read commen0 0
Total Available Points in Building Performance=39 0
R.FINISHER Points Available Par Measure
❑ 1.Design Entryways to Reduce Tracked in Contaminants 0 ) 1 1
2.Use Low-VOC or Zero-VOC Paint(Maximum 3 Points)
❑ a.Low-VOC Interior Wall/Colling Paints(<5()gpI VOCs(Flat)and d 50 gpI VOCs(No-Flah) U
El b.Zero-VOC:Interior Wall/CeilingPoints(<5 pl VOCs Flat))
❑ 3.Use Low VOC,Water-Based Wood Finishes(Q50 Slit VOCs) 0 2
❑ 4.Use Low-VOC Caulk and Construction Adhesives(a0 gpI VOCs)for All Adhesives 0 I 2 )
❑ S.Use Recycled-Content Paint 0 1
S.Use Environmentally Preferable Materials for Interior Finish:A)FSC-Certified Wood,B)Reclaimed,C)Rapidly Renewable,D)Recycled-Content
or E)Finger-lointetl
❑ a.Cabinets(50%Minimum) 0
❑ b.Interior Trim(50%Minimum) 0
❑ c.Shelving(50%Minimum) 0 3
❑ d.Doors(50%Minimum) 0
❑ e.Counbotops(50%Minimum) 0 1
• 7.Reduce Formaldehyde in Interior Finish(CA Section 01350)
❑ —
a.Sub —goor&Stair Treads(50%Minimum) 0
❑ b.Cabinets&Countertops(50%Minimum)
❑ c.Interior Trim(50%Minimum)
❑ d.Shelving(50%Minimum)
❑ S.After Installation of Finishes,Test of Indoor Air Shows Formaldehyde Level a7ppb 0 3
Total Available Points in Finishes=21 0
L.FLOORING Points Available Per Measure
1.Use Environmentally Preferable Flooring:A)FSC-Conifed Wood,B)Reclaimed or Refinished, C)Rapidly Renewable,D)Recycled-Content,E)
Exposed Concrete.Flooring Adhesives Musl Have c50 gpI VOCs
❑ e.Minimum 15%of Floor Area 0
❑
to.Minimum 30%ctFloor Area 0 i 1
❑ c.Minimum 50%of Floor Area 0
❑ it Minimum 75%of Floor Area 0 1 r
❑ 2.Thermal Mass Floors:Floor Covering Other than Carpet on 50%Or More of Concrete Floors 0 1
❑ 3.Flooring Meets Section 01350 or CRI Green Label Plus Requirements(50%Minimum) 0 2
Total Available Points in Flooring=7 0
M.APPLIANCES AND LIGHTING Points Available Per Measure
1.Install Water and Energy Efficient Dishwasher
❑ a.ENERGY STAR(total i point) 0
❑ b.Dishwasher Uses No More than 6.5 Gallons/Ccletotal 2 points) 0 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 f 1 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 Feet Capacity 0 1 _
❑
It.ENERGY STAR Qualified&<20 Cubic Feel Capaci 0
4.Install Buili Recycling Center 0
❑ a.Built-In Recycling Center 0
❑ b.Built-in Composting Center 0 i
Total Available Points in Appliances and Lightin =12 0
N.OTHER Points Available Per Measure
❑ 1.Incorporate GreenPoint Rated Checklist in Blueprints.Required 0 R
• ❑ 2.Develop Homeowner Manual of Green Festureag3enefite 0 1 1 1
3.Community Design Measures&Local Priorities:See the Community Planning&Design section in Chapter 4 of the New Home Guidelines for
measures.Maximum of 20 Points for suggested measures.Local requirements may also be listed here.
0 2007 Build It Green Single Famlly GreenPoint Checklist 2D07 Version Page 3 of 4
ENTER
PROJECT I V 3
3
❑ Enter deearipllon hire,and enter pains available for measure In approprlale categon96 to the right. 0 0 D 0 0 0
Enter descrption here,and order points avallable for measure In appropriate categories to the right, 0 0 0 o 0 0
Enter duClipllon here,and enter points available for measure In appropriate categorlas to me right. 0 0 0 0 0
❑ Enter des nal on hare,and enter points available far measure In eppropdale CategIXies tC tim h9ht. __0 0 0 0 0 0
Build It reen Chists and
4.Innovation:List innovative measures that most the green building objectives of the Guidelines.Enter up to a Guidelines
Geckl
maximum combined total of 20 ts.See Innovation Checklist for suggested measures,using the link to the right.
LJ Intimation in Communi :Enter deanktiM hare,and enter points ovallaba for measure In epxopdale cetegodu to the right. _ 0 _ 0 0 0 0 0
Innwefion m Ens :Enter tleud Ion hare,antl enter ms avallahle la measure in ate cat orlea to the right. 0 _ 0 0 0 0 0
Innmelim In IAOMaeIft Enter desc' son here,and enter points mallable for measure In raprlate cats arles to the right. _0 0 0 D 0 0
InnwBtlOn In RuDurcea:Enter description here,and enter points available he measure In 'eta Cala ties to thshort. _0 0 0 0 0 0
Onm01 on Water.Enter description here,and enter points avallable Id measure In aeonfor ms Ca199odBs to the right. 0 0 0 0 _ 0 0_
Total Available Pains In Other e 0
Summary
Total Available Points In Specific Categories- 4+ 1 96+ 42+ 66+ 43+
Minimum Points Required In Specific Categories 0 30 5 6 9
PointsTotal 1 1 1 1 1
Project has not yet met the following recommended minimum requirements: —raza�
-Total Project Score of At Least 50 Points
-Required measures:
-A3a: 50% waste diversion by weight
-72: 15%above Title 24
-NI:Incorporate Green Point Rated Checklist into blueprints
-Minimum points in speclFiic categories:
-Energy(30 points)
-IAQIHealth(5 points)
-Resources(6 points)
-(Nater(9 points)
•
02007 Build It Green Singie Family GreenPolnl Checklist 2007 Version Page 4 of 4
Community Development
10300 Torre Avenue
.s' Cupertino CA 95014
Telephone(408)777-3228
4tffFax(408)777-3333
V 1 '�IkTINO
Building Department
JOB ADDRESS: PERMIT #
r ✓ a-o/ 2 3
OWNER'S NAME: cp PHONE # 4-0!8 -31R _ p
GENERAL CONTRACTOR: Ci-cL FAX #
I am not using any subcontracto -0y
Signature Date
Please check applicable subcontractors d com Tete U,...oviring information:
60 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
FROM :CUPERTINOSANITARYDISTRICT FAX NO. :4082535173 Feb. 22 2008 01:31PM P1
• DISTRICT MANAGER-EPGINEERr0 SANIT�,re�1
5 BOARD OF DIRECTORS
MARK THOMAS&COM ANY.INC. $ STEPHEN C.ANDREW$
DAVID E.ROSS
WILLIAM A,BOSWORTH
Y6ARS'OF JOHN M.CATTO
DISTRICTCOUNSEL SFAVICF.. ��y CURTIS B.HARRISON
ATKINSON•FARASYN LLP. �"�B11SH0�� WENDELL H.KERR.JR.
HAROLD S.TOPPEL 20833 STEVENS CREEK BOULEVARD.SUITE 104
CUPERTINO,CALIFORNIA 88014.21 S4
(408)283-7071 PHONE • (408)9-1334173 FAX
www.cup ertinasanitarydistri at.aam
File: CuSD_. MOP
Building Dept.—Cupertino
City of Cupertino
Ann.: Building Dep irtment
10300 Torre Ave.
Cupertino, CA 95014-3202
. Subject: Intl clew out property line
Name: Ferric Residence
Address: 1128 Stafrord Dr
APN: 362-07-01.3
Permit No. 08020123
•
Videotape and Property Line Cleanout inspected.
No addit oval conditions/requirVmen`ts t e District
Inspector: eorge Santos/Roger Santos...... 2' �`. ........ `:: .......
Date:...02 21-08................... Sanitary Sgwer Location:
L/pl 32'
cc: Property Owner Long 36'
5' Deep
SUPPLYING SANITARY S GE SERVICES FOR:CITY OF CUPERTINO,PORTIONS OF THE CITIES OF SARATOGA.SUNNYVALE,LOS ALTOS AND
SURROUNDING UNINCORPORATED ARFAS