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08010132 (2) CITY OF CUPERTINO - . �"i'' n��g,{ T('d�°l�' :* BUILDING DIAWION ISERMiT �QL\e1�CTeI�iL�-L"OXY Tlv+`• se m' t, t,1 PERMIT NO. ""'TttlG�5�g 'aOHNSON AVE SPEEDY ROOTER PLUMBING 08010132 OWNER'S NAMED: J PERMIT ISSUE DAIS BENNY YAP 701 ALDO AVE #43 01/22/2008 NE: SANITARY NO. CONTROL NO. (408) 234-8134 ARCHITEC UENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 3oa LICENSED CONTRACTOR'S DECLARATION lob Description U 1 hereby affirm thus 1 Am II¢naed under pmvimom of Chapxr 9(commencing z� with Seedon70(h0)af DivisMm3 the Bummummmd Pmfessiom Cole.sndmyliecnxis REPLACE SWR LTRL FRM HSE TO SIDEWLK & ADDON CITY n in fullforce end eR -1 Y" �Z Lu, Class Clut v;� Lw.g 7_/73r / C'/O 9�� De¢ Comracur g4 ARCHRECsDECLARATION a I understand my piano Mall be used u public records IS L"mod Pro'commal OWNER-BUILDER DECLARATION C 0 s 1 hereby.(Sect That 11. exempt from M Contractor's :Any c taw for the C p O following mason.(Section 7 es L3,Business and Fe.demon Code:Any airy or county S 9� which its,Mo A permit re uirutmm alwa Improve.Such demolish,or a Sig any sWnum iy primwits issuAnce.also requires the Applicantfor tach permit to file asiLnetl mwmcm pC that he is licensed pursuant to the provisiouofthe ContrachresLicenuLaw(Chap=9 Sq.Ft.Floor Area Valuation F (commomingwith SMedm7000)of Division3afthe Bminosmd Pmfoalnns Cmw)or 6800 $ that he Is exempt thoefrom and the bub for Ne alleged exemption.Any violation of Section 70313 by any applicant for a permit subjects the applicant to a civil penalty of ,ApNumber Occupancy Type not more Nan five hundred dollars(SSW) rJ 2 8 0 2 f3'.'l7�T,U ❑L m ownv of the prolwrty.ae my employees with waaes u dub sew7044.B cation, will do the annilt.soon,and the he Con IS=bonded oroffernaldo furca¢(See.70th,owner ssa pandro erty h bis Code:The Cas Manmr.Intense law dao al apply f an owner o! Required Inspections man cam'¢hoes,prooeimm us shown,and who deosmh wart himselfal for so a his . awn ter.the building uiprovidedthatsueeimprovemwtsonnet ear.170moRerec.for sale If. howee¢e the buil the or improvement b mid within one year of mmpkdon.the purpose of builder will haw the burden of proving that K did not build or Improve for puryow of talc.). 0 1,u owner of the property.am exclusively ommo cling with licensed emonsa an to construct the project(See.1014,Business all Professions Cada:)The Commences Li. certain law dao not apply to an owner of property who builds or Improves thereon.and, NNW who conmM for such projects with a cuntrower(s)licensed pursuant to the Conmctars License law. 0 l ammemyt under See .B A P C for this recon Owner Dow WORKERS COMPENSATION DECLARATION lherebydrmeunderpm tyolpeduuy ofthefoll ingdeclmdt : SAN TARY I have ondhthisPrmin•Cmidmta of Conxnttoself-Imam far WmkYs Campers- �on.uprovided for by Seedan 3700 of the Labor Code.far the performance of the wart for which this permit is issued. 0 1 have and will maintain Worker's Compensation Ituunnce,u required by Section 37M of the labor Code,for the performance of the work for which this pewit is Issued. My Worker's Compamad n rens camim and Policy num r art: Carrier. Policy No.: FICATEOF PILON FROM WORKERS' COMPEN TIONINSURANCE (This section reed notbecomplcied lftle permit It free=hundred dollars($I00) -- or lona) I certify dont In the performance of the work for which this permit is bound,1 shall not employ any perm in any mannerx u w bemuse subject M the Wmkera'Campemadan Laws of Celifomia.now Applicant NOTICE TO APPLICANT:If.after making this Certificate of Exemption,you should become subject to the,Worker's Compensation provisions of the Labor Code you most ,Q O forthwith comply with such provisions or Nu permit shall he dmmnd revoked. ti CONSTRUCTION LENDING AGENCY Fv 4 1 hereby anon that dem is a construction lending agency for the performance of ai > the work for which this permit b issued(Sec.3N7.Civ.C.) aQ Lander'.Name Q 2 Inndeei Addreas t.7 Q I certify that 1 have head this Application end sure Nn the Show information is LI,^ corms I time to comply with atl city and county onfinances and slow Inn rebun&to Q SV' building construction,and hereby mthorim wpmsenudvu ofthis city to enter upon site r Uj alrove-tnentimrcd property for inspection purposes rF.r l3. (Wc)a ve,indemnify and temp hucele,the City of Cupertino against CAImbilidu, Lmen coon And expnmao which may in any my aceruo against said City V,'� in cam mea 9drandn{of Nia - ^t APP{{..f NT ERSTAN S A �V LL COMPLY WITH ALL NON-POINT Issued by: Date SOL)R "ATIONS. z Z - Re-roofs um of Appli NA�ZMARDOUSM RIALS DISCLOSURE Dow Type of Roof Will the applicant or future ' g occupant store m handle havandous material dulled by the Cupertino Cade.Chapter 9.13.and the Health and Safety we,xenon sss3zta)7 All roofs shall be inspected prior to any roofing material being installed. , ❑ran Will the applican Code occupant tr s equipment or doim which If a roof is installed without first obtaining an inspection,,I agree to remove it haardnus air comumi u u den by the Bay Arta Air Quality Management all new materials for inspection. rictl ❑Yon Iha ad ehaeamou ma abmquimmmmundcrChapwr6.95oftheCalifm- niceHethe safe Code,Seen 303.33331 35534.Iundcnunddmmlfthe huilding -„ a tenan4 t It is m mlMlity m endl'y the or.,of the ' rtiq nu wh mnmbemel 'orxi arecmnifie.warOcmpaney' Signature of Applicant Date r Me anmarimA a�gcoi Date 0 All roof coverings to be Class"B"or better 013 CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE CUPEkTINO PERMIT APPLICATION FORM APN# 70C . Date: /- 2 -2 -09 Building Address: Q ,D G Yo - Iaz , a� Owner's Name: Phone Contractor: Phone#: ,( 2ore7 Fax #: ContacV �� Phone #: /2(G' ' � Fax #: Contractor License #: t -3(, 7f ?� Cupertino Business License#: Job Description: �eD-/hce 2�� ,�� ter -► f ,> le Residential Commercial ❑ Valuation: l� / Green Building Check list must be completed and attached to this application. 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 1PGASCOM Commercial Gas Piping System P 1-4 Outlets 1BSEISMICOM Seismic Commercial P / 1BSEISMICR Seismic Residential P / 1PRSEWER Residential building P 1RPSS sewer/sanitary sewer Ar 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 1RPWS 1PPRSEWG Private Sewage Disposal System P 1PCESS Cesspool P 1BPWATER InstalUalter Water Pipe P 1BPFDCTURE Plumbing Fixture P IPGASRES Residential Gas Piping System P 1-4 Outlets IBPGAS Gas Piping System 5+ Outlets P I PPERMITFEE Plumbing Permit Fee Issuance P 1 PLMBLNCK Plumbing Plan Check P IPLMBINSP Other Plumbing/gas Insp. P 1TRAVDOC Travel &Documentation Fee B 1BUSLIC Business License B CITY OF CUPERTINO ® 5 ITEMS OF 5 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 337528024 . 00 DATE ISSUED. . . . . . . : 01/22/2008 RECEIPT #. . . . . . . . . : BS000003754 REFERENCE ID # . . . : 08010132 SITE ADDRESS . . . . . : 10640 JOHNSON AVE SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : BENNY YAP ADDRESS . . . . . . . . . . : 10640 JOHNSON AVE CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : SPEEDY ROOTER & PLM CONTRACTOR . . . . . . . : SPEEDYROOTERPLUMBING LIC # 23086 COMPANY . . . . . . . . . . : SPEEDY ROOTER PLUMBING ADDRESS . . . . . . . . . . : 701 ALDO AVE #43 CITY/STATE/ZIP . . . : SANTA CLARA, CA 95054 TELEPHONE . . . . . . . . : (408) 234-8134 ® FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 6, 800. 00 0.70 0. 00 0 .70 0 . 00 IPPERMITFE FLAT RATE 1. 00 40.79 0. 00 40 .79 0. 00 1PRSEWER UNITS 1. 00 20.40 0. 00 20 .40 0. 00 ITR.AVDOC FLAT RATE 1. 00 40.79 0. 00 40 .79 0. 00 BUSLIC FLAT RATE 1. 00 110. 00 0. 00 110. 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 212 .68 0. 00 212 . 68 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------- -------------------- CHECK 212 . 68 #1222 --------------- TOTAL RECEIPT 212 . 68 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ------- -------------------------- -------- ---------------------------- 106 SEWER & WATER ;2.0.2 UNDERFLOOR PLUMBING 301 ROUGH PLUMBING 507 FINAL PLUMBING t�G ai le� S;ngle Family GreenPoint Checklist date: Build ItGmed The GreenPoint Checklist is basso on the various green features incorporated Imp the home and Is the 5motSoluriom From The Ground Up basis for the GraenPoint Rated program.A home can be considered green II it fulfills the prerequisites, Sams at least 50 points,and meets the minimum points par category:Energy(30),Indoor Air Oualityl Health(5),Resources(B),and Water pursuing 11h Please contact Build It Green for a list of qualified GreenPoint ® The latere 11 green u am ig practices In steelGIDA ar-pa described intVerification. The green building practices Istatl below are dzscribetl in the New Homs Construction Green Building Guidelines,available at www.buildimmen.,gM ENTER PROJECT NAME A.SITE - Points Available Per Ideasure I.Protect Topsoil and Minimim Disruption of Existing Plants 6 Tracts ❑ a.Protect Topsoil from Erosion and Reuse after Construction 0 t B h.Llmfl and Delineate Construction FooIPnm for Maximum Protection p 3 2.Decommuct]named of Demolishing Existing Buildings On Site 0 3 3.Recycle—Job Sib Construction West(including Green Wash) - ❑ a Mlnunum Sets Wears Diversion by Weight(Racyohng or Reuse)-Required p q ❑ b.Minimum 05%Diversion by Weigh(Recycling or Reuse) p ❑ c.Minimum BO%D'wersion by Weight(Recycling or Reuse) - ' Use Recycled ConbnlAggmgate(Minimum 25%) ❑ a.Walkway and Driveway ❑ to.Roadway Base - —._ - 0- ---- TWai Points Available in Site=120 B.FOUNDATION Points Available Per Measure 1.Replace Portland Cement in Concrete with Recycled Flyash or Slag ❑ a.Minimum 2D%Flynn or Slag ❑ 0 b.Minimum 25%Flynn or Slag 2 ❑ 2.Use Frost-Protacted Shallow Foundation in Cold Areae(C.E.C,Climate Zone 15) p 3 3.Use Radon Resistant Construction(In At-Risk Locations Only) D 1 4.Design and Build Structurau Peat Controls ❑ a.Install Tarmhe Shields&Separate All Exterior WDD:AD.Concrete Connections by Mehl or Plastic FastenerslDividers __0 Id.All Now Plots Have Trunk,Base,or Stem Located At Least 38 Inches from Foundation 0 1 Total Points Available in Foundation=0 0 C.LANDSCAPING Paints Available Per Ideasure t.Construct Resource-Efficient Landscapes ❑ a.No Invasive Species Listed by Cal-IPC Are Plated p 3 ❑ h.No Plant Spa. WII Require Hedging® ❑ C. of Plants Are Drought-mterant California Natives,Mediterranean,or Other Appropriate Species 0p - —__"'-- ❑ 2,Use F.Io-SNe Landscaping Techniques 0 1 3,Minimize Turf Areas in Landscape Installed by Builder ❑ a.All TudNit Have a Water Requirement Less than or Equal to Tall Fescue(50.0 plant facing 0 2 ❑ b.Turf Shall Not Be Installed on Slopes Exceeding 10%or in Areas Less than 0 Fast Wide p - --"--�j'- ❑ c.Turf Is 533%of Landscaped Area(total2 points) -- p ----------"" ---i_'b- ❑ _._. •___ tl.Tart is 510%of Landscaped Area(inial _ 4 points) p IF_ � El 4.Plow Shade Tracts D 3 ❑ 5,;Reduce Plants by Water Needs(Hydrozoning) D «. 2 B, igh-Efgeiancy Irrigation Systems ❑ m Uses Only Low-Flow Drip,Bubblers,or Low-flow Sprinklers p 2 ❑ m Has Sm. Controllers 0 3 ❑ 7. in Two inches of Compost in the Top a to 12 Inches of Soil p 3 ❑ B. ll Planting Beds to the Greater of 2Inches or Local Water Ordinance Requirement p l 2 9, Salvaged or Recycled-Content Materials for 50%of Non-Plant Landscape Element 0 1 ❑ 10Li ht Pollution by Shielding Fislures ai Directing Light Downward 01 Total Points Available in Landscaping=31 0 D.STRUCTURAL FRAME&BUILDING ENVELOPE Points Available Per Measure 1.Apply Optimal Value Engineering ❑ a.Place Ratters and SWtle at 24-Inch On Center Frempli 0 _ 1 ❑ b.Size Door and Window Headers for Load --'- ❑ c.Use Only Jack and Cripple Studs Required for Load 2.Use Engineered Lumber ❑ e.Beams and Headers 1 0- ❑ 6.Insulated Engineered Heetlers ❑ c.Wood l-Joistsor WebTmsses for Floors ✓ ----- _ ❑ d.Wood l-Joists for Roof Rafters q�E] a.e.Engineeretl or FingeeJointetl Studs for Vertical Applications � E] f.Oriented Stand Board for Subfloor rn ❑ g.Oriented Strand Board for Wail and Roof Sheathing p ' 3.Use FSGCartified Wood ❑ a.Dimensional Lumbar,Studs and Timber.Minimum 40% p i . 2 ❑ In.Dimensional Lumber,Studs and Timber,Minimum 70% D"-- "-' __--_2' ----- ❑ c.Panel Products:Minimum 40% ❑ d.Panel Products:Minimum 70% 02007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 1 of 4 ENTE . . .OJECT NAMEMORRO 4.Use Solid Well Systeme(Includes SIPS,ICF&Is Arry Non-SOck Fame Assembly) ❑ e Floors 02 ❑ b.Welts o --_ -2 ; .Z ❑ C.Roofs --- — _ 2 5.Reduce Pollution Emoting the Home from the Garage ❑ a Tightly Beal the Air Bonier between Garage and LMng Area _,D ❑ In.Install Garage Exhaust Fan OR Build a Detached Game 0 1 Lj e.Design Energy Heels on Trusses(76%of Attic Insulation Height at Outside Ede of Exterior Wall) 0-11 1 7.Design Root Trusses ta Accommodate Ductwork ' 0 1 Lj S Use Recycled-Content Steel Studs for BO%of Interior Wall Framing 0 1 LJ S.Thermal Maas Wells:Munch Drywall on All Interior Wells or Wells Weighing more than 4011110 iL 0 1 10.Install Overhangs and Gutter ❑ a Minimum 1 Wnch Overhangs and Gudare 0 ❑ b.Minimum 24-Inch Overhangs and Gubers 0 1 Total boards Available In Structural Building Frome and Envelops-3 D E.EXTERIOR FINISH Points Available Pet Measure 7.Use RaryGed-Content(No Virgin Plastic)or FSD-CeNDed Wood Decking 0 2 2.Install a Rein Screen Wall System 0 2 J.Use Durable and Noncombustible Sidi Materials 0 1 4.Sleet Durable and Noncombustible Roofing Motorists 0 - - 2 Total Points Available in Exterior Finish=7 0 F.INSULATION Points Available Per Measure 1.Install Insulation with 75%Recycled Content ❑ a.Wells andlor Flows ❑ It.Callings 21nstall Insulation that is Low-Emit ing(Certified Section 0105D) ❑ .a.Wells andtor Floors D ❑ b.Callings — ❑ e.Inspect Duality of Insulation Installation before Applying Drywall 0 1 - ToulPoints Available lninsulation=5 0 PL[IMRING Points Available Per Manure 1.Distribute Domestic Hot Water Efficiently(Maximum 7 Poin%). ❑ a.Insulate HM Water Pipes from Water Healer to Kitchen D ❑ b.Insulate All HM Water Pipes ❑ c.Use Engineered Parallel Piping 0 ❑ d.Use Engineered Parallel Piping vdth Demand Controlled Circulation Loop ❑ e.Use Sbuctu od Plumbing with Demand Conlmlled Circulation Loop ❑ 1.Use Central Core Plumbing0 7 1 ❑ 2.1 It Only High Efficiency Tnllete(Duel-Flush or S1.28 gpj 0 4 Total Points Availeble.in Plumbing=Total 12 0 H.HEATING VENTILATION&AIR CONDITIONING Points Avallable Per Measure ❑ 1.Design and Install HVAC System to ACCA Manual J,D.and S Recommendations 0 4 2.Install Settled Combustion Units ❑ a.Furnaces _ D ; _ 2 _ ❑ b.Water Heater D 2 9.Inswu Zoned,Hydronie Radiant Heating with Stab Edge Insulation 0 1 1 4.Install High Effidency Air Conditioning with Environmentally Responsible Refrigerants 0 1 5.Design and Install Effective Ductwork ❑ a.Install HVAC Unit and Ductwork within Conditioned Space _0 _ I 3 ❑ or Use Dud Mastic on All Duct Joints and Seems 0 ] ❑ c. Ductwork Ductwork under Attic Insulation(Buriad Ducts) 0 ❑ "d:K'essuro Balance the Ductwork System ❑ `' e.Protect Duda during Consmuction and Clean All Ducts before Occupancy 0 1 -S.Install High Efficiency HVAC Filter(MERV 6e) 0 1 ❑ 7.Don't Install Fireplace or Install Sealed Gas Fireplaces with Efficiency Rating Not Less Than 6D% 0 1 using CSA Standards 11I.-Install Effective Exhaust Systems In Bathrooms and Kitchens ❑ a.Install ENERGY STAR Bathroom Fans Vented to the Outside _ 0 _ 1 _ ❑ b.All Bathroom Fane Are on Timer or Humldistal 0 ❑ ° '.Install Khchen Range Hood Vented to the Outside 0 1 S.Install Mechanical Ventilation System for Cooling(Maximum 4 Points) ❑ e.Install ENERGY STAR Calling Fane&LigM Kits in Living Areas&Bedrowns 0 ❑ in Install Whole House Fan with Variable Speeds _ 0 ❑ c.Automatically Controlled Integrated Sydam ❑ J.Automatically Controlled Integrated System with Venable Speed Control 0 3 10.Install Mechanical Fresh Air Ventilation System(Maximum 3 Points) ❑ a.Any Whole House Ventilation System That Meals ASHRAE 622 _ 0_ _ _ 2 ❑ b.Install Air-to-Alr Heat Exchanger that meets ASHRAE 622 0 1 2 11,Install Carbon Monoxide Alarm(a) 0 1 Taal PDlnts Available in Hashing,Ventilation and Air Conditionln =3D 0 (i Build It Green Single Family Gnul lm Checklist 2007 Version Page 2 of 4 - ENTER •ROJECT 4ME 9 m E m U Q L RENEWABLE ENERGY Points Available Par Measure I LJ 1.Pr-Plumb for Salm Hot Water Hearing 0 4 2lnstall Soler Walter funding System D 10 • 3.Install Wiring Consult for Future Photevoltsic Instal6 Provide 200 te of South-Facing Roof D 2 4.Install Photovoltaic(PV)Panels ❑ a.30%of electric needs OR 12 kW(total6 points) ❑ b.60%of electric needs OR 24kW(total 12 palms) ❑ c.g0%U elactrlc need OR 3.6 kW(total 19 points) 0 6 Total Available Points in Renewable Energy=2B 0 J.BUILDING PERFORMANCE Points Available Par Measure 1.Diagnostic Evaluation ❑ a.House Passes Blower Door Test _0 Ej In.House Passes Combustion Safety Beckdrah Test 0 7 r L Design and Build High Perlomenn Homes-%ebon Title 24-minimum l 5%Required 0 230 ❑ 1 House Obtains ENERGY STAR with Indoor Air Package CeNfication-Pilot shasu,(Total 45 points;read comment) 0 5 2 Total Available Points In Building Performance.39 0 E.FINISHES Points Avallable Par Measure ---1.'Design Entryways to Deduce Tredked'In ContemineribT. - _. — ' _..-- . . . - - - - .. D - 2.Use Low-VDC or Zero-VO_C Paint(Maximum S Points) ❑ a.Low-VDC Interior WeIVCeIOng Palms(d0 gpl VDCs(Flat)and a50 gpl VOCs(Non-Flat)) D ❑ It Zaro-VOC:Interior WeIVCellin Paints(d qPl VOCs(Fig) D - 3 ❑ 3,Use Low VOC,Wmer-Beeed Wood Fintshoe(<250 gpl VOCs) D 2 ❑ 4.Use Low-VOC Caulk and Construction Adhesives(d0 get VOCs)for All Adhesives 0 7 ❑ 5.Use RecycledContant Paint 0 1 &Use Environmentally Preferable Materials lot Interior Finish:A)FSCCeNfied Wood,B)Reclaimed,C)Rapidly Renewable,D)Recycled-Content or E)Finger-Jointed ❑ a.Cabinets(50%Minimum) p 7 ❑ b.Interior Tim(50%Minimum) ❑ c.SheNing(50%Minimum) ❑ d ODOM(5D%Minimum) 0 ❑ e.Countertops(50%Minimum) 0 1 7.Reduce Formaldehyde In Interior Finish(CA Section 01550) ❑ a.SubOoo a Stair Treads(50%Minimum)' 0 ❑ to Cabinets If Countertops(50%Minimum) • ❑ C.Interim Trim(5D%Minimum) 0 ❑ d.SheMn (50%Minimum) p - 7 ❑ II.Atter installation of Finishes,Test of Indoor Air Shows Formaldehyde Level m pb 0 3 Total Avalluds Points In Finishes=21 0 L.FLOORING Points Available Per Measure 1.Use Environmentsfly Preferable Flooring:A)FSC-Certified Wood,S)Reclaimed or Refinished,C)Rapidly Renewable,D)Retychad-Content,El Exposed Concrete.Flooring Adhesives MustHave<50gpi VOCs. ❑ a.Minimum 15%of Floor Area - 0 ❑ b.Minimum 3D%of Floor Area p 7 ❑ C.Minimum 50%Of Floor Area ❑ d.Minimum 75%DI Flow Area D 1 ❑ 2 Thermal Mass Flows:ROD,Covering Other man Carpet on 50%or More of Concrete Floors 0 1 ❑ 3.Flooring Masts Section 01350 or CRI Green Label Plus Requirements(5D%Minimum) 0 2 1 Total Available Points In Flowing a 7 0 M.APPLIANCES AND LIGHTING Points Available Per Measure 1,Install Water and Energy Efficient Dishwasher ❑ &ENERGY STAR(toW i point) 0 ❑ D.Dishwasher Uses No More than 6.5 GellonsCycle(tolet 2 oints) D 1 2 Install ENERGY STAR Clothes Washing Machine wife Warcr Factor of 6 or Lear; ❑ a.Meets Energy Star and CEE Tier 2 requirements(modified energy factor 20,Water Factor SO)(total 3 points) D ❑ b.Meets Energy Star and CEE Tier 3 requirements(modified anergy factor 22,Water Factor 450 less) -0 -----r— - --_- Z - (total 5 alms S.Install ENERGY STAR Refrigerator ❑ a.ENERGY STAR Oualfeed It<25 Cubic Feet Capacity ❑ b.ENERGY STAR Ouafified&<20 Cubic Feel Cape 0 1 ! 4.Install Buil4n Recycling Center 0 ❑ a.Built-In Recycling Canter 0 ❑ h.Built-In Camposting Center —p -- Total Available Points in Appliances and Lighting=12 0 N.OTHER Pants Avallable Par Measure ❑ 1.Incorporeta GmenPoint Rated Checklist in Blueprints Required p ( R ❑ 2,Develop Homeowner Manuel of Green FeaturearBenefim 0 1 1 1 3.Community Design Measures Is Local Priorities:See the Community Planning&Design section In Chapter 4 of the New Home Guidelines for • measures.Maximum m 20 points for suggested measures.Local requirements may also be listed here. 'D20D7 Build 11 Green Single Family GremPoint Chscklis12007 Version Page 3 of 4 !ENTEPROJECT NAME Enver tlewrippm here,ad ams points avahaWe Is momat In apNDIPAID Campanias to me blot D 0 0 0 D MH 0 Ems tlaactipOm ht$,and ems points a numn s it$merits in approprias cateporin to me right, o D D 0 0 0 Eder commotion hen,and enter point$weaable fm meows in appropriate magsln to the dam. D D 0 0 0 Enter descr¢aim hen,and ends pdns available is measure in eppnapdae catapsies to the tight 0 D o D 0 p 4.Innovation:List Innovative measures that meet the green building objectives of the Guidelines.Enter up to a guild It Green Checklists and maximum combined total of 20 pts.See Innovation Checklist for suggested measures,usingthe link to the n ht Guidelines_ Imwatim in Commnot .Emar tl it$hen,and ants s evaltable M museum In 'ate ce to Ina 0 D o p 0 D Ianwetihe m=Enter Enter d on nen and anterpoints thumps Its measure m an mem odea to the rl 0 D 0 0 0 p Innwatim d IAOMUIIk Enter dasshiploon hen,and enter points wadable Is measure In apeamprlam capodn to the dont. 0 0 0 0 0 D Innwalion In Resouroas:Ems description here,and enter polott wallable for measure in apixopfiRte cele sin In the right, D 0 0 0 0 D Irmo mben in Water.Eats dncrip an none,and ants points wallable Is measure In apll pate catepodes to the d0K 0 0 D D 0 0_ Toon Avatable Parma a Othar.4 D Total Available Points In Specific Categories' 4+ 96+ 42+ 66+ 43+ Minimum Pointe Required in Specific Cetegodes 0 30 6 6 9 ProJoct has not yet mot the following recommended minimum rpggiromontsp _ ____ - Total Project Score of At Least 50 Points -Required measures: -A3a: 50%waste diversion by weight -J2: 15%above Title 24 -hr1:Incorporate GreenPoint Rated Checklist Into blueprints -Minimum points In specific categories: -Energy(30 points) -1AQ/Hea1th (5 points) -Resources(5 points) -14rater(9 points) • IIS • 02007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 4 of 4 J Community Development 10300 Torre Avenue 1 Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408) 777-3333 �UPEkTINO Building De artment JOB ADDRESS � PERMIT # 6 E-0 3� OWNER'S NAME: g6141PHONE # VO 94V- 7a 2 s GENERAL CONTRACTOR FAX # V,!5'6 I am not using any subcontractors: Signature Date Please check applicable subcontrac rs and complete th o owing 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 II Owner/Contractor Signature Date