08010119 CITY OF CUPERTINOBUILDING DIVISION PERMIT
BUILDING ADDRESS: PERMIT N0.
6148 WILLOW GROVE LN RAPID PLUMBING INC. 08010119
OWNER'S NAME: PERM171SEUEDATE
OTEWALT DAVID A PO BOX 5144 01/18/2008
NE: SANITARY NO. CONTROL NO.
O .
(408) 866-1417
ARCHITECT/ENGINEER: BUILDING PERMfr INFO
BLDG ELECTPLUMB - MECH
0 0 0 0
o o LICENSED CONTRACTOR'S DECLARATION
V I k eby affirm that I am Beeves under provisions of Chapter 9(commencing Job Description
Z� with Section70o0)of Division 3 of the Business and Professions Code.end my license is RELINING SEWER PIPE
in full fame and affect. /I.
License Class Lk.N "I
3 Dem Gon DELL
A Hit W min DELLA N
I understsnJ my Plane slWl W titin v Public mrnrJs �P Ip f L fn$i N G,
lsyU
g 0 Licensed Professional
� OWNER-excimp BR DECLARATION
Q i 1 hereby alnma that 1 1. excmPt from the Canvas Co e:My c Lew for the
O o following moon.(Section 703 ,Business and ve(nssiuv Cade:My clay or county
$
which rcquime a premia 10 consumer,aline improve,de Permit
or repair any almnum
prim m its lensed e.P also tee to the Novisio rat provisions
such permit Liciamfil e Law
(Chmmenl
<
that Wencing itpmmant7000)ofDimovofNeCormmcmrendPrar6w(Chapter9 Sq.Ft. Floor Area Valuation
P3�$ than he
exawit theNon7000)of Division the
the
egedexeamton.Any
Cade)or $1301)0
lt,�3
Section
b v1.5 b a"applicant
li and me Eur far be alleged exemption.Any violation of
Secdan 1031.3 by airy apPllcent farepvtnitsubjecu Ne applicant to[civil penalty Of yp�}Number Occupancy Type
oat rove Nan five hundred dollars(350(it. 3 7 5 3 8 013 :Ll t7
❑I.u ower of the pmpmLy.ter my employee wlah vngu u theirsoe aampevadon,
will do Newah,and dre euuctum rrmtimentied ore fered fveale(SO..7044,Business
Rod Professions Cade:The Canvecmra License Law does of apply to an owner of Required Inspections
property who buildsorimprova descent,and whodmssuch workhimselfor Wough his
own employee,provided Nn men improvements use not ailment reoffered farssk.If.
however,the building or Improvement is mid within one year ofcompleth n,the owner-
builder will have the burden of proving Nat he did amt Wild or Improve fns purpose of
sale.).
L u owner of Ne property,am&AnON
ing with Rceneed c.nueclars m
man teed Proktt(Sec 7014,Businessam Cod¢:)The ConuacmrY Li eve law dots oat eppl an oWiles m impmvef Neeson,andSAN,
wWconmcts fonuch kcts wienx bentwthe Canueclorra7ARY
Leena Law.
❑1 can exempt un ,B&P C far this moon
OwneDate
k '3 CCLARATWN
I Wreb anima under pevlLy of pe0my one o(ahe following deelavdov:
41 I have and will meinuin.Certifinla of Consent to sid(ivum far Workers Compere
on,u provided for by Section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑1 haw and will maintain Workers Compensation Ivurmes,u xquirtd by Section
370D of the labor Cade,for the performance of dre weak for which this permit is issued. '
My Washes Compensation Imuma ce carrier and Poliay number m:
Carrier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
Crisis seed..vedmtEccampleand trim pcmaiits fns c hundreddellars(SIO(y)
nr lee.)
1 certify that in the perfomance of a rk far hick i /it Is rrurd.HhalI not
empaymy Peron an any manner b obecom ubj it W rfEampensmion
Laws of Celifomr.Dem
Applicant
NOTICE TO APPLICANT:If. ng Nr Cc m mPtion.yen should
became subject he da Worker' Compevadon provision of IM Labor Coda you most
.J Q forthwith comply with such Provisions or Nr permit shall bo deemed market.
y CONSrRUC1ION LENDING AGENCY
f'+ 1hmcbyafr.m that dart rte emoawflan kndinjageney far the perf.mamacuf ' -
ai > dm work fur which than pemalt is issued(Sec.31N7,ch,r—)
Q Undets Name ,
]z Lenders Address
t.7 Q 1 acidify that I have mad this application and sum that the above holomaaeon hi
L4!-e corrin 1 agma m amply with all city and county amlinances and slam laws miming m
Q IS J" Wilding convection.end hereby suthadm mpmanxdve,of Nis city m enter upon the
W "hove-mcndoned property far Impaction purpu¢a
gr,
(We)agree an save,indemnify and keep harmless the City of Cupertino again
y Irbilide,Judgments.cuts and expevu which may in my wayucme against aid City
U',z in canxgueve of the ranting te741;4d
permit.
APPLICANT U RSTANDO W COMPLY WITH ALL NONPOINf Issued by: Date ��^O
SOURCE REGOL ) u �f
° Re-roofs
Signature A i(�ifbMn m Dem
HAZARDOUS MA AIS DISCLOSURE Type of Roof v�
Will the applicant m forme Wilding occupant slam arhandle harnaa.v material
U dermal by the Cupertino Municipal Code.Chapter 9.13.and the Health and Safety
Code,Section zss3z(a>7 All roofs shall be inspected prior to any roofing material being installed.
❑Yu !a
Will Ne applicant or futture Wilding Occupant use equipment W device which40
If a roof is installed without first obtaining an inspection,I agree to remove
t lineaments air contaminants u defined by the Bay Ase Air Quality Management all new materials for inspection.
let,
❑Ye rm
Ihave maty Neh"Sacur7smatedalemquirtmcnts34.1.hapmrd.9sof Wildim-
it=Outh&randyty,Cade,Secent, smyrmdsss34.l tomityt sonata Wilding
Jc u amt its wit
a W am lis my mayor.C ni to notify the occupant of the
rtyuimments whi vtbome _ter,cmura.m of Ocwpuay. Signature of Applicant Date
owners a a .e age Dam- All roof coverings to be Class"B"or better
ovo ) 01 ( 9
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
® CUPE(tTINO PERMIT APPLICATION FORM
APN# 3 -7c5— 3,:p ^ p Date:
Building Address:
Owner's Name: Phone#:
-bfrvIC> OTE-Wq-t,l 40P Z Z —P;? 5
Contractor: Phone#:
Fax #:
Contact: Phone#: S o a -)eq - 6 S q/
N )Z c o 2EG,4 I-b o Fax #:
Contractor License#: 5 0 3 6
Cupertino Business License#: �
Job Description: G N l NC StWr-0 p I P 6-
Residential
Residential ® Commercial ❑
Valuation: '
Green Building Check list must be completed and attached to this application.
Green Building Points:
Quantity Fee IDFee 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
j 1PRSEWER Residential building P 1RPSS
sewer/sanitary sewer
CITY OF CUPERTINO
REPIPE/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 ICPWS or
IRPWS
1PPRSEWG Private Sewage Disposal System P
1PCESS Cesspool P
IBPWATER InstalUalter Water Pipe P
1BPFIXTURE Plumbing Fixture P
1PGASRES Residential Gas Piping System P
1-4 Outlets
1BPGAS Gas Piping System 5+ Outlets P
IPPERMITFEE Plumbing Permit Fee Issuance P
1PLMBLNCK Plumbing Plan Check P •
1PLMBINSP Other Plumbing/gas Insp. P
1TRAVDOC Travel &Documentation Fee B
1BUSLIC Business License B
•
'Si�igle Family GreenPoint Checklist date: H(�- 0 Build It Greed
The GreenPoint Checklist is based on the various green features incorporated into the home and Is the !1 w w_0WC,loo�G �I=J Smarr Solutions From roe Ground Up
basis for the GreenPoinl Rated program.A home can be considered green if It fulfills the prerequisites, N
sons at least 50 points,and meets the minimum points per category:Energy(30),Indoor Air Oualityl
Health(5),Resources(6),and Water ).Please contard tBuild ion.
It Green for a list of qualified GreenPoint F- 1I --IF
I I_ _I
Raters II you are interested in curtaining
third-party verification.® The green building practices listed below are described in the New Home Construction Green Building
Guidelines,available al www.bui_tlitgMfil om,
:1 ENTER PROJECT 4
=HUE
A SITE I Poinls Available Per Measure
1.Protect Topsoil and Minimize Disruption of Existing Plants 6 Trees
❑ a.Protect Topsoil from Erosion and Reuse after Contraction - is } }
❑ h.I and Delineate Construction Footprint for Maximum Prosuaion p
2 Deconstruct Instead of Demolishing Existing Buildings On Site 0 3
J.Recycle Job Site Construction Waste(Including Green Waste)
❑ a Minimuni Waste Oinizoonby Weight(Recycling or Reuss)-Required D - R
❑
It.Minimum 65%DNerion by Weight(Recycling or Reuse) - - - -_- '-- "- ----- -"
❑ c.Minimum 80%Diversion by Weight(Recycling or Reuse) --'-'-- �--
2
Use.Rerywetl Content Aggregate(Minimum 25-1)
❑ aN'alkweY and Driveway
0
❑ b.Roadway Base D — ---1-�- - -
TotalPoinlsAvallableinSite=12 0
B.FOUNDATION Paints Available Per(Measure
1.Replace Portland Cement in Concrete with Recycled Flyesh or Slag
❑ a.Minimum 20%Flyash or Slag 0 1
❑ b.Minimum 25%Flynn or Slag
0
El 2 3
Use FrosbProteea
detl Shallow Foundation in CDitl Ars(GE.C.Climate Zona 16) 0 3 ;
❑ 3.Use Radon Resistant Construction(in At-Risk Locations Only) 0 1
4.Design and Build Structural Pest Consols
❑ a.Install Termite Shields 8 Separate All Exterior WDotl-to-Concrete Connections by Metal or Plastic Fasomem/Divioers 0 I
_-__.. .. -_..__..______-_-- . .
b.All New Plants Have Trunk,Base,or Stem Located At Least 36 Inches teem Foundation 0 i 1 i-_.. .
Total Points Avallable in Foundation 81 0
C.LANDSCAPING I Points Available Per Measure
1.Construct Resource-Efficient Landscapes
❑ a.No Invasive Species listed by Cal-IPC Are Planted 0 J
❑ b.No Plant Species Will Require Hedging
❑ c.75%wPlots AracapingTechniq California Natives,Mediterranean,or Other Appropriate Species 0
2 Uae Fro-3afa Landscaping Techniques D 1
3.Minimize Turf Areas in Landscape Installed by Bull
❑ a.All Tud Will Have a Water Requirement Less than or Equal to Tall Fescue(50s plant faccQ p
❑ b.Tud Shall Not Be Installed on Slopes Exceeding 10%or in Areas Less than 6 Foot Wide p --- --- Z�-
❑ c.Turf Is 533%of Landscaped Area(total2 points) p -___------------j-2
❑ d.Turfis510%of Landscaped Area(fetal 4 points) p 2
❑ 4.PlaShShade Trees 0 3
❑ 5.Group Plante by Water Needs(H drozoning) 0 2
6.Install High-Efficiency litigation Systems
❑ a.System Uses Only Low-Flow Drip,auditr,or Low-flow Sprinkler 0
2 _
E3 b.b.System Has SmContro _
ller 0 3
❑ 7.Incorporate Two Inches of Compost in the Top 6 to 12 Inches of Soil 3
e.Mulch All Planting Beds to the Greater of 2Inches or LDOw Water Ordinance Requirement IF 1 2
B.Use 50%Selvaged or Recycled-Content Materials for 50%of NDb-Plant Landscape Elements
❑ 10.Reduce Oght Pollution by Shielding Fixtures andlor Directing Light Downward p 1
Total Points Available in Landscapin -
D.STRUCTURAL FRAME @ BUDDING ENVELOPE Points Available Per Measure
1.Apply Optimal Value Engineering
❑ a.Place Ross and Studs at 24-Inch On Center Framing - 1
❑ b.Size Door and Window Headers for Load - _--
❑ c.Use Only Jack and Cripple Studs Required for Load = --" ---------- 1 `--
2.Use Engineered Lumber
❑ a.Beams and Header - - 0
❑ b.Insulated Engineered Headers
❑ c.Wood IJDIM or Web Trusses for Floor
❑ d.Wood IJoists for Roof Rafters -
❑ e.Engineered or Finger-Jointed Studs for Vertical Applications
❑
I.Oriented Strand Board for Subfloor
❑ g.Oriented strand Board for wall and Row sheathing
3.Use FSC-Carified Wood -
l.
'
E] a.Dimensional Lumbar,Studs and Timber.Minimum 40% � 0 i 2
❑ b.Dimensional Lumbar,Studs and Timber.Minimum 70% p
❑ �
-
® c.Panel Products:Minimum 4D% 0_ _ 3
❑ d.Panel Products:Minimum 70% p --1'-'
02007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 1 of 4
ENTER GURU
;
4.Use Solid Well Systems Qncludes SIPs,ICF,B Any Non-Stick Frams Assembly)
❑ a.Flood _ 0_ 2 2
❑ b.Wells 0 2
❑
C.Roots
S.Reduce Pollution Entering the Home from the Garage
❑ A Tightly Seal the Air Banhar between Geroge and Living Area 0 7
❑ h.Install Garage Exhaust Fen OR Build a Detached Garage D 7
B.Design Energy Heels on TrunM(75%of Alto Insulation Height at Outside Edge of Exterior Well) 0 1
7Design Roof TWIPM to Accommodate Ductwork D 1 1
Ej B.Use Recycietl•Coment Steel Spade for aD%of Interior Well Frouning 0 1
B.Thermal Men Wells:518-Inch Drywall on All Interior Wella or Wells Weighing mors than 4D IIbI 0 1
10.Install Overhangs and Gutters
❑ a.Minimum 16•Inch Overhangs and Outlet _ 0 ]
❑ b.Minimum 24-Inch Overhangs and Gulled 0 1
Total Points Available in Structural Building Frame and Envelope=38 0
E.EXTERIOR FIMSH Points Available Per Measure
1.Use Recycled-Content No Virgin Plastic)or FSC-CeNfied Wood Decking 0 2
2.Install a Rein Saeed Well System 0 2
2.Use Durable and Noncombustible Sitlin Mearals 0 1
4,Salea Durable end Noncombustible RoognA Meneeds - - -- _ - 0 - 2
Total Paints Available In Exterior Finish=7 D
F.INST]LATION Points Available Per Measures
1.Install Insulation with 75%Recycled Comfort
❑ a.Walls ar for Floors
❑ b.Callings
2.Install Insulation that is Low-Emdting(Certified Section 01750)
❑ a Wells andror Flame D ]
❑ b.Callings 0 1
7.Inspect Quality of Insulation lnsalletion before Applying Drywall - D 1
Total Points Available N Insulation=5 0
G.PLUMBING Points Available Par Manure
1.Distribute Domestic Hot Water Efficient y(111MImum 7 Point).
❑ s.Insulate Hot Water Pipe$from Water Heater to Kitchen D
❑ b.Insulate All HM Water Rose 0
❑ a Use Engineered Parallel Piping __0
❑ d.Use Engineered Parallel Piping with Demand Controlled Circulation Loop D 1
❑ a.Use Structural Plumbing with Demand Controlled Claulation Loop
❑ I.Use Central Core Plumbing0 ] 1
❑ 2.Install Only High Efficiency Toilets(Dual-Flush or 5128 gpt) D 4
Total Points Available In Plumbing.Total 12 0
H.HFATINO VENTUATION&AIR CONDITIONING Points Available Per Measure
❑ 1.Design and Install HVAC System to ADCA Manuel J,0,and 5 Recommendations 0 4 i
2.Install Sealed Combustion Units
❑ a.Furnaces D __ _ _ 21 !
❑ b.Water Hntrs 0 2
3.Insall Zoned,Hydmnlo Radiant Heating with Slab Edge Insulation 0 1 1
4.Insall High Efficiency Air Conditioning with Envlrommanally,Responsible Refrigerants D 1
S.Design and Insall Effective Ductwork
❑ a.Insall HVAC Unit and Ductwork within Comidamod Space 0 _ _1 3
❑ b.Use Duct Masgc on All Duct Joints and Seams
❑ c.Install Ductwork under Attic Insulation(Buried Ducts)
❑ d.Pressure Balance the Duotwmk System
❑ e.Ported Duct during Construction and Clean All Duds bolero Occupancy D 1
Lj e.Install High Efficiency MVAC Filter:(MERV 6e) 0 1
❑ 7.Don't Insall Fireplace or Insall Sealed Gas Flnepacas with Efficiency Rating Not Lose Than 6D% 0 1
using C5A Santlerda
B.Insall EBedivs Exhaust SVstalfis In Bathrooms and Kitchens
❑ a.Insall ENERGY STAR Bethabm Fans Vented to the Dutsos 0
❑ b.A1IBethmmn Fans Afe Dn Tirt!eror Humidistat _0
❑ v,InsistK lche0 RaOge Hood led to the Mists a 1
g.Insall Mechanical Ventilation System for Cooling(Maximum 4 Points)
❑ a.Install ENERGY STAR Calling Fans 8 Light Kits In Luling Ates a Bedrooms
❑ b.Install Whole House Fan with Variable Speeds
❑ c.Automatically Contained Integrated System --0 2 _
❑ d.Automatically Controlled Integrated System with Variable Speed Conhd 0 3
10.Insall Mechanical Fresh Alt Ventilation Systsen(MMimum 7 Points)
❑ a.Any Whole House Ventilation System That Meat ASHRAE 522 0 _ 2
❑ b.Install Air-to-Air Holt Exchanger that meat ASHRAE 522 0 1 2
11,Insall Carbon Monoxide Almeria) 0 1
Total Plena Available In Hearing,Ventilated and Air Conditioning=30 0
ID 2DO7 Build It Groan Single Family GreDnPoim Checklist 2007 Version Page 2 of 4
• PROJECT
• •
I.RENEWABLE ENERGY Points Available Per Measure
1.Pra-Plumb for Soler Not Zan Heafin 0 1 4
2lnebll Soler Water Heating System 01D
® 3.Install Wiring Conduit for Future Photovoltaic Installation&Provide 200 fP of South-Feeing Roof 0 2
4.Install Photovoltaic(PV)Panels
[j s.3o%of elr coic neatly OR 12 kW Dote]6 points) p 6
❑ b.50%of electric needs OR 2.4kW hotel 12 points) p
❑ C.90%of electric need OR 3.6 kW(total 16 points) D 6
Total Available Pointy in Renewable Ener =2B 0 -
J.BUILDING 1?ERFORMANCE Points Available Per Measure
1.Diagnostic Evaluations
❑ A.House Pesses Blower Door Test p g
Elb.House Passes Combustion Safety Backdrafl Test
D
2Design and Build High Performance Homes-%above This 24-minimum 15%Required 0 >_30
❑ 3.House Obtains ENERGY STAR with Indoor Air Package Certification-Pilot Measure(Total 45 pointe;reetl comment) 0
5 2
Total Available Rome;in Building Pedormace=39 0
R.FINISHES Points Available Per f0sib ure
-❑__-1.Desipn Enhyways to Reduce Traeked in Contaminen6- - - '
2 Use Low-VOC or Zmo-VOC Point(Maximum 3 Points)
❑ e.Low-VOC Interior WaIUCelling Peltas(dD gpI VOCs(Flet)and 050 gpI VOCs(Non-Flap)
❑ b.Zero-VOC:Interior WallCollin Paims(<S gpI VOCs(Flat)) 0 3 '
❑ 3.Use Low VOC,WatenBs"d Wood Finishes(450 g I VOCs) 0 2
❑ 4,Use Low-VOC Caulk and Construction Adhesives(a0 gpI VOCs)for All Adhesives D 2
❑ S.Use Recycled-Content Paint p 1
S.Use Environmentally Preferable Materials for Interior Finish:A)FSC-Certified Wood,B)Reclaimed,C)Rapidly Renewable,D)Reeycled�Contant
or E)Mnger-Joinvi d
❑ a.Cabinets(50%Minimum) p 1
❑ b.Interior Thin(50%Minimum) - p
1
❑ c.Shelving(50%Minimum) � p - �-
1
❑ d.Doors(50%Minimum) _..O___
❑ e.Counartops(50%Minimum) p _
7.Reduce Formaldehyde in Interior Finish(CA Section 01350)
❑ a.Subloor&StairTreads(50%Minimum) 0 1
❑ b.Cabinats B Countedops(50%Minimum)- p
® ❑ c.Interior Tdm0%Minimum) p
❑ 1
tl.Shelving(SD%Minimum) p �� 1
❑ S.After Installation o1 Finishes,Test of Indoor Air Shows Formaldehyde Level Q7ppb 0 3
Total Available Points in Finishes 21 D
L.FLOORING Points.Avallable Per Measure
1,Use Environmentally Preferable Flooring:A)FSC-Cardfied Wood,B)Reclaimed or Refinished, C)Rapidly Renewable,D)Recycled-Content,E)
Exposed Concrete.FloodngAdhadves Most Have 00gpl VOCs.
❑ a.Minimum 15%of Floor Area 0 1
❑ b.Minimum 3D%of Floor Areap — — ------
-' 1
❑ c.Minimum 50%of Floor Area p _i 1
❑ d.Minimum 75%of Floor Area 0 7
❑ 2 Thermal Mau Floors:Floor Covering Other than Carpet on 50%or More of Concrete Floors 0 1 I.
❑ 3.Flooring Meets Section 01350 or CRI Green Label Plus Requirements(50%Minimum) D 2
Total Available Points in Fluorin .7 0
M.APPLIANCES AND LIGHTING Points Available Per Measure
1,Install Water and Energy Efiieient Dishwasher
❑ a.ENERGY STAR(total 1 poinp 0 1
' ❑
In.Dishwasher Uses No More than 6.5 Gallon de(total2 points) 0
2 install ENERGY STAR Clothes Washing Machine with Water Factor of 6 or Less
❑ a.Meets Energy Star and CEE Tier requirements(modified energy factor 2.0,Water Factor 6.0)(total3 points) D _ 1 _ 2_
❑ b.Meets Energy Star and CEE Tar requirements(Modified energy factor 2.2,Water Factor 4.5 or less) .2
(total spoints) 0
3,Install ENERGY STAR Refrigerator
❑ a.ENERGY STAR Ouellfied&<25 Cubic Feet Capacity 0 1
❑ b.ENERGY STAR Qualified Is<2D Cubic Feel Capacity p 1 i---
4.Install Built-in Recycling Center 0
❑ a.Built-In Recycling Center 0
❑ b.Built-In Composting Center —p ----'---- ------- ---'" -
1
Total Available Points in Appliances and Lighting=12 0
N.OTHER Points Available Per Ivteasure
❑ 1,Incoryorete GreenPoint fletad Checklist in Blueprims-Aequiretl - p R
❑ 2.Develop Homeowner Manual of Green Features/Sanefits 0 1 1 1
3.Community Design Measures&Local Priorities:Sea the Community Planning B Design section in Chapter 4 of the New Home Guidelines for
'® measures.ldaximum of 20 points for suggested measures.Local requirements may also be listed here.
02007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 3 of 4
ENTER PROJECT NAME C .19
19 @ 4
e
Enter descrlpllon hem,and enter points nallable 10 measure In Apprp[plem c Oath to the dghL D oD o o D
Enter description ham,and enter points amiable for measure In appropriate categories to the right, o D 0 0 0 D
Enter description hem.and enter pons avalleble for measure In appropriate caegor e,to me right. D 0 0 D D
❑ Enter description hem,and enter pointe evallabe to measure in appropree ceepoles to the fight. 0 _ 0 0 0 D o
41
4.Innovation:List InnovatNe measures that meet the green building objectives of the Guidelines.Enter up to a 1101 •reenChecklists antl
maximum combined total of 20 ats.Sea Innovation Checklist for suggested measures,us ng the link to the right _ �_ �_
Intimation In CDmmunt .Enter description here,and enter points availed@ tar measure N nate cats Be to the right 0 0 D D 0 D
Intimation In En@ :Ener description hem,and enter points available Io mean In ate cote sid;to the right, 0 0 0 a 0 D
Innwelion In IAOMBe11h:Enter desc ion here,and enter Dints wallabla for measure In 61e cele odes to IhB ri 1. D D 0 D 0 0
IDnwahon In Resources:Enter description hare,and enter posts available low measee in appropriate tate Wise to the right. 0 D 0 D 0 D
❑ Ianwatim In Water.Enter description here,and eater points shapable tar measure In appropriate categories to the right D 0 0 1 0 1 D 0
Total Available Points in Other 43 0
Total Available Points In Specific Categories' 1 4+ 96+ 42+ 66+ 43+
Minimum Pointe Required In Specific Categories D 30 5 6 9
Total Poriinis,Achieved Di @ @ e o e
Project has not yet met the followEnq recommended minimum requirements;
-Total Project Score of At Least 50 Points
-Required measures:
-A3a; 50% waste diversion by weight
-J2: 15% above Title 24
-NI:Incorporate Green Point Rated Checklist into blueprints
-I41nimum points In specific categories:
-Energy(30 points)
-IAp/Health(5 points) .
-Resources(6 points)
-Water(9 points)
•
0 2007 Build It Green Single Family GrearrPoint Checklist 2007 Version Page 4 of 4
CITY OF CUPERTINO
• 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 37538013 . 00
DATE ISSUED. . . . . . . : 01/18/2008
RECEIPT #. . . . . . . . . : BS000003734
REFERENCE ID # . . . : 08010119..
SITE ADDRESS . . . . . : 6148 WILLOW GROVE LN
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : OTEWALT DAVID A
ADDRESS . . . . . . . . . . : 6148 WILLOWGROVE LN
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014
RECEIVED FROM . . . . : JUDY SEIP
CONTRACTOR . . . . . . . : BRIAN PULLAN LIC # 29716
COMPANY . . . . . . . . . . : RAPID PLUMBING INC.
ADDRESS . . . . . . . . . . : PO BOX 5144
CITY/STATE/ZIP . . . : SANTA CLARA, CA 95056
TELEPHONE . . . . . . . . : (408) 866-1417
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ------ ------
1BSEISMICR VALUATION 13, 000. 00 1.30 0. 00 1 .30 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
ITRAVDOC FLAT RATE 1. 00 40..79 0. 00 40 .79 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 103 .28 1 0. 00 103 .28 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
-------- --------------- --------------------
CREDIT CARD 103 .28 VISA
---------------
TOTAL RECEIPT 103 .28
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- -------------- -----
106 SEWER & WATER 202 UNDERFLOOR PLUMBING
301 ROUGH PLUMBING 507 FINAL PLUMBING
Community Development
10300 Torre Avenue
t Cupertino CA 95014
It (408)777-3228
CITY OF Fax(408)777-3333
JUPEkTINO
Building De artment
JOB ADDRESS: PERMTT #
OWNER'S NAME: ,fV I D 0 gw A�-T PHONE #LO d
GENERAL CONTRACTOR: 21 PL LV m6/N6 FAX #
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the followin 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
l -t 6-Ge
er Con c r ignature Date