08030116 (2) CITY OF CUPERTINO ?f''�
BUILDING DIVISION PERMIT rkCONTRACTOR NFORMAT]O
BUILDING ADDRESS: PERMIT NO.
20123 LAS ONDAS WAY SOUTH BAY PLUMBING 08030116
OWNER'S NAME: PERMIT MUE DATE
BAHADIR ONALAN 441 N CENTRAL AVE #3A 03/20/2008
NE: SANITARY NO. CONTROL NO.
(408) 370-3535
ARCHITECTIENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
X00 LICENSED COWMACMWS DECLARATION 706 D0SCr1 tlOn
U 1 hereby"M that 1 am lusnsed under provisions of Chapter 9(commencing P
m with Seetian 70fN7)afDivision3aftM Busincu aM Professions Code,aM my
exon REPLC WTR HTR, SAME LOC.
^ � in fall forte and effcga q
Lk,sc
nHDao: �Q
e ARC rS DECaLr
ARAT
y 1 understand my plans shall be used u public records
Jc
od Licensed Profcssianal -
OWNER-BUILDER DECLARATION
if 1 hereby atirm that 1 am exempt from the Canlncmfs License w the
(allowing reason. 7031.5,Business and Professions Code:Any cit raunty
which requires a permit to oras u0.titer.Improve.demnlich,or minor any structure
SZ pdorwitsiauanm,alsuroquimstheapptiamrormchpermilw Eleasignedsmmmem
< uutheisliccnsedpu=nuothcpmvisiomoft Conuacwr'sli==Uw(Chapm9 Sq.Ft. Floor Area Valuation
al (commcndngwif Smdm7000)nf Divbion3ofthe Busirmssmd Profmiam Code)or $800
e�F Nhcr
at he b exempt te(rom and the bub the,for alleged exemption.Any violation of
Section 70315 by any applicant far a permit subjects the applicant to a civil penalty of Number Occupancy Type
no,mero than five hundred Galan(5500). 36932034 .q(� P y YP
❑1,u owner of the the structure
tct err is empleym offend
mgu u Nei(ode W,Business will Pr Newark.and dm ah C.ro is urn'tot Licenseded a w do for n t apply to an owner of Required Inspections
and property
who
obex Code:The Canasewn License Law dace not apply if an owner Q P
propeny w ye builds or ire proves Herron,and who dam such work himself err Nro ugh his
how a however.
th em,provided or thanimprovement
such improvements are not ea:ndN mpledo d forulL lL
however.the have
the
or bnpromment is sold within arc year or comm a for the mmosysxc�of
builder will Nv<the burden of proving that he did not gelid or improve far puryose of
tile.).
❑1.a owner of the propeny am exclusively contracting with licensed contramors to
cmur act the project(Sam.7044,Butim a sad Pakistani Code:)Tian Contractors I.I.
cents taw does not apply to an owur of property who builds err improves Merton,and,
who camnms for such pmjeets with o canuacwr(s)licensed pununt to the Contractees
License law.
❑I am exempt under Sec. .B&P C for Nie rtuon
weer Date
WORKER'S COMPENSATION DECLARATION
I hereby affum under pantry of perjury one of the following declarations:
1 have and will maintain a Cenifieate of Consent to xi(-humm for Workees Compen-
Ion,as provided for by Section 3700 of the labor Code.for Ne performance of the
work for which this preen u issued.
1 have and will maintain Wmi Compensation Insurance.u required by Section
of dm tabor Code,for the per(mmance 4f dm work for which Nb permit is laced.
My Workcro Compematiun Inwnntt artier and Poliry number am:
Card S'Cr�—FTv7.1 D policy No.:r� o—r�OCYr
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section retaliative completed if the permit is forunc hundred Milan(SI W)
nr Icu.)
1 asufy that in the performance of the work for which this permit Is issued,l shell not
employ any person in any manners,as to become subject to the Workets'Compe amoon
Laws of California.Data
Applicant
NOnCE TO APPLICANT:11,after melding this Ceniftate of Exemption,you should
become subject w the Worker's Compensidon provisions of the Labor Calc,you must
.J z faMwith comply with such provisions or this permit shall he deemed rewired.
Z.�5" CONSTRUCTION LENOINGAGENCY
[--r Iherehycnthi dot Nem iamid(ro,.3N7lending agency for the perfurmuncc of ...
ai ti L e work for which this permit b amid(Sec.7097,Civ.C.)
WM z Lender's Name ,
z Lendens Address
U0 I certify that I have reed this application and wore that the above iefmmNan b
IL F correct I agree to comply with all city and county ardinatmex sed a te laws relating to
0U building conswction.udhertby mNorirt rtptesenuuvu of Nb uy Ncnterupnn Nc
[37 abne-mcnuaned property for inspection purposes.
G (Wc)agree to sive,indemnify Nd kecp humless the - y of Cupero o agsimt
fA liebiliti judgmcJLNS.
d ape which may in any y ccrue agNnst aid CityS �&�R
V z APPnI ANT4UAl Ats D W14,4COMP W ALL NON-POINT Issued by: Date
S REG - d ^
s� Reproofs �-
S e ra pplian an Date
HAZAR OUS MATERIALS DISCLOS Type of Roof
Will Nuappiimtorfuturtbuildingamupantstti andleb4urdeumawW
as denned by the Cup rt au Municipal Code.Chapter 9.12.and the Health and Safety
ode.Beckon 25s32(a)7 AJ All roofs shall be inspected nor to an roofing material being Installed.
❑Ya �Na P P � Y g g
Will the applian1 m futurt building asupanl use cquipmrot m deMces which If a roof is installed without first obtaining an inspection,I agree to remove
7d-
hmvdna air cormmim us as defined by the Bay Ama Air Quality Management all new materials for inspection.
0YmIhewmvl0re ban um materiels •qts cements underCha .9SoftheCslifor-. cFor.25SOS, Sli and 25534.1un rend mifthe building
y �peuihtlay w pudl'y Na cup tortheofacertiO teof- cc� Signature of Applicant Date
esent ate. . All roof coverings to be Class"B"or better
CITY OF CUPERTINO
5 ITEMS OF 5 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36932034 . 00
DATE ISSUED. . . . . . . : 03/20/2008
RECEIPT # . . . . . . . . . : BS000004218
REFERENCE ID # . . . : 08030116
SITE ADDRESS . . . . . : 20123 LAS ONDAS WAY
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : BAHADIR ONALAN
ADDRESS . . . . . . . . . . : 20123 LAS ONDAS WY
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-3132
RECEIVED FROM . . . . : SOUTH BAY PLUMBING
CONTRACTOR . . . . . . . : RICK PERKINS LIC # 22605
COMPANY . . . . . . . . . . : SOUTH BAY PLUMBING
ADDRESS . . . . . . . . . . : 441 N CENTRAL AVE #3A
CITY/STATE/ZIP . . . : CAMPBELL, CA 95008
TELEPHONE . . . . . . . . : (408) 370-3535
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- -------
1BSEISMICR VALUATION 800. 00 0. 50 0. 00 0 .50 0. 00
1BUSLIC FLAT RATE 1. 00 110. 00 0. 00 110.00 0. 00
1PPERMITFE FLAT RATE 1. 00 40179 0. 00 40.79 0. 00
IPRWHEATR UNITS 1. 00 '.. . .. 2,4 .48 0. 00 24.48 0. 00
1TRAVDOC FLAT RATE 1. 00 40 .79 0. 00 40.79 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 216 .56 0. 00 216 . 56 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 216 . 56 #19773
---------------
TOTAL RECEIPT 216 . 56
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
---- ---------------------------- -------- ----------------------------
518 WATER HEATER
Single Family GreenPoint Checklist date:3 w Build it GIreed
The GreenPoint Checklist Is based on the various green features Incorporated into the home and Is the Sman Solutions From The Ground Up
basis for the GmenPolm Rated program.A home can be considered green if It fulfills the prerequisites,
Hams at least 50 points,and meets the minimum points per category:Energy of nPeim
Indoor Air Duality/ F
� F1Health(5),Resources and Water(g).Please contact Build h Green for a listst of qualified Gree _ -
Haters If you are Interested
d In pursuing third-parry verification.
The green building practices listed below are described in the New Home Construction Green Building
Guidelines,available at www.bu_1g[gSreen oro.
n_ P 5-
ENTER PROJECT NAME
v �
A SITE Points Available Per Ideasure
1.Protect Topsoil and Minimize Disruption o1 Existing Plants&Train
❑ e.Protect Topsoil from Erosion and Reuse after Construction 0 I
]
El It.Limfl and Delineate Construction FootforMazimum Promotion —__1
0 I
a Deconstruct Instead of Demolishing Existing Buildings On Sim 0 3
S.RJ Job Site Construction Waste(Including Green Waste)
❑ a.Minimum 50%Wash Diversion by Waghl(Recycling or Reuse)-Required 0 - R
❑ b.Minimum 65%DNersion by Weight(Recycling or Reuse) p j_—
' ❑ c.Minimum BO%DNersion by Weigh(Recycling or Reuse) p Z
4.Use Recycled Content Aggregate(Minimum 25%)
❑ a.Walkway and Driveway 0 !
❑ b.Roadway Base —p
7
' Tod Points Available in Site=72 0
B.FOUNDATION - Points Available Per Measure
1.Replace Portland Cement in Concrete with Recycled Flyash or Slag
❑ a.Minimum 20%Flyash or Slag
❑
It.Minimum 25%Flash or Slag 0 7
❑ 2.Use Frost-Protected Shallow Foundation in Cold Areas(C.E.C.Climate Zone/6) 0 3
❑ S Use Radon Resistant Construction On At-Risk Locations Only) 0 1
4.Design and Build Structural Pest Controls
❑ a Install Termite Shields&Separate All Exterior Wood-lo-Concrete Connections by Metal or Plastic Fasteners0vidars 0 7
b.All New Plants Have Trunk,Base,or Stem Located At Least 36 Inches from Foundation p
Total Points AveOable in Foundation=B D
C.LANDSCAPING points Available Per Measure
1.Construct Resource-Efficient Landscapes
❑ e.No InvasPlant ve Species
Ki Listed by Hedging Are Planted 0
❑ b.No Plant Species WiII Require Hedging p I 7
❑ 0.75%of Plante Are Drought-tolerant Califemia Natives,Medlhnanean,or Other Appropriate Spades 0 3
❑ 2 Uu Fire-Safe Landscaping Techniques i-'s••D 1
3.Minimize Turf Areas in Landscape Installed by Builder J,
❑ a.All Turf Wlll Have a Water Requirement Less than or Equal to Tall Fescue(90.8 plant factor) p j
❑ b.Tud Shall Nor Be Installed on Slopes Exceeding 10%or in Anes Less than B Feet Wide ---- -- -2-
❑ c.Turf is 533%of Landscaped Area(total 2 points)
E] .Tutl Is .4(�'�� "- --"
l �
tl510%of Landscaped Nee(total4 points) D I 2
❑ 4.Plain Shade Trees
3
5.Group Plants by Water Needs(H tlrozoning) / }' 2
6.Install High-Efficiency Irrigation Systema
❑ a.System Uses Only Low-Flow Drip,Bubblers,or Low-flow Sprinklers _ Z
❑ b.System Has Smen Controllers IJ p S 3
❑ 7.Incorporate Two Inches of Compost in the Top filo 12 inches of Soil 9 = 3
❑ B.Mulch All Planting Bads to the Greater of 2Inches or Local Water Ordinance Requirement r 0 2
g.Use 5D%Salvaged or Recycled-Content Materials for So%of Non-Plant Landscape Elements 7 0� ° I
❑ 10.Ratluee Light Pollution by Shielding Fixtures and/or Directing Light Downwind /o— 1°
Tod Points Available in Landscaping=261 tiDi
D.STRUCTURAL FRAME&]BUILDING ENVELOPE 't t 'Points Available Per Measure
1.Apply Optimal Value Engineering �-
❑ a.Place Rafters and Studs at 24-Inch On Canter Framing
❑ b.Size Door and Window Headers for Load - 0 ZZ
❑ c.Use Only Jack and Cripple Studs Required for Load p -
;�i T I�-
2.Use Engineered Lumber ,2
❑ a.Beams and HeadersA,¢ 0
7 I
❑ b.Insulated Engineered Headers 0Its _�--
❑ C.Wood 6Joists or Web Trusses for Floors
❑ it.Wood-Joists for Roof Rafters 0
❑ e.Engineered or Finger-Jointed Studs for Vertical Applications 0
❑ I.Oriented Grand Board for SuMloor 0
❑ g.Oriented Strand Board for Well and RDDI Shezlhh - -�
A 0
3.Use FSC-Certified Wood
❑ a.Dimensional Lumber.Studs and Timber.Minimum 4D% .0 _— _ _— _—Z _—-
❑ b.Dimensional Lumbar,Studs and ember.Minimum 70% p 2
❑ c.Panel Products:Minimum 40% 0 7_ %_
❑ d.Panel Products:Minimum 70% 0 1
02007 Build It Green Single Family GreenPoint Checklist 2DD7 Version Page 1 of 4
ENTER PROJECT NAME
MHOURD
1, 0 Snlitl Well Systems(nclude,SIP&,ICFs,8 Any Non-Stick Frome Aseembly)
❑ a.Floors TO
_ 2_
❑ b.Wells 2 2
❑ m Rook ZS.Reduce Pollution Entering the Home from the Garage
a.71ghtly Seal the Air Barrer between Garage antl Wing Area b.Install Gare a Exhaust Fen OR Build a Detached Gare e,Desi nEner Heelson Trusses 75%of Attic Insulation Hal ht et Outside Ed a of Exterlor Well) I
❑ 7.Desi n Roof Trusses to Accommodate Ductwork ' 0 1
LJ e.Use Re clad-Content Steel SWdl for ao%of Interior Wall Framing 0 1
LJ 6.Thermal Mau Wells:51e-Inch Drywall on All Interior Walls or Wells Weighing more than 4D Iblou.ff. 0 1
10.Install Overhangs and Gutters,
❑ t Minimum 16-Inch Overhangs and Gutters
❑ b.Minimum 24-Inch Overhangs and Supers 0 ]
Total Points Available In Structuiel Building Frame and Envelope=3B 0
E.EXTERIOR FINISH Points Available Per Ideasure
1.Use Reryded-Content(No Virgin Plespc)or FSC-Cani6ed Wood Docking 0 Z
7:1—z Install a Hain scram Wall System 0 2
3.Use Durable and Noncombustible Siding Materials 0 1
4,Select Durable and Noncombustible Roofing Materials 0 2
TOW Pointe Available In Exiedor Finish=7 D
F.INSULATION Points Available Per Measure
1,Install Insulation with 75%Recycled Content
❑ A Wells auditor Floors 0 _
❑ b.Callin s 0 T Y 7
2,Install[mutation that i&Low-Em@ting(Certified Section 01350)
❑ a.Wells andfor Floors 0
❑ b.Collins 0 1
❑ 3,Inspect Duality of Insulation Installation before Applying Drywall 0 1
Total Points Available in Insulation=5 0
(I ING Points Available Par Measure
1.Distribute Domestic Hot Water Efficiently,(Maximum 7 Points)
❑ a.Insulate HN Water Pipes hoer Water Heater to Kitchen 0_ _ S _ 1 _ ]
❑ b.Insulate All HM Water Pipes 0 r 1 ]
❑ c.Use Engineered Parallel Piping p ---+--
❑ d.Use Engineered Parallel Piping with Demand Controlled Clmulabon Loop
❑ e.Use Structured Plumbing with Demand Controlled Clmulafon Loop - D
❑ f.Use Central Core Plumbing a ] T ]
❑ Z install Only High Efficiency Tollets(Dual-Flush or 51.25 g f) 0 4
TDW Points Available in Plumbing=Total 12 0
H.HEATING VENTUA77ON&AIR CONDITIONING Points Available Par Measure
❑ 1,Design and Install HVAC System to ACCA Manual J,D,and 5 Recommendations 0 4
2,Install Sealed Combustion Unita
❑ a.Furnaces 0 __T1 2
❑ b.Water Heaters 0 1 2
9,Install Zoned,Hydropic Radiant Heating with Slab Edge Insulation 0 1 1
4,Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants 0 1
S.Design and install Effective Ductwork
❑ a.Insall HVAC Unit and Ductwork within Conditioned Space _0 .
3 _
1
❑ b,Use Duct Mastic on All Duct Joints and Beams D _ 7
❑ c.Install DuMDrk under AOlc lnsulatlon(Boded Ducts) _ 0__ 7 T '—
❑ d.Pressure Balance the Ductwork System 0
❑ e.Protect Ducts during Construction and Clean All Duds balore Occupancy p I 1
LJ S.Install High Efficiency HVAC Filter(MERV 6a) 0 ) 1
❑ 7.Don't install Fireplace or Install Sealed Gas Fireplaces with Efficiency Rating Not Leu Than 60% 0 1 r
using CSA Standards
U.Install Effective Exhaust Systems In Bathrooms and Kittens
❑ a.Install ENERGY STAR Bathroom Fans Vented to the Outside 0
❑ to All Bathroom Fans Are on Timer or Humidistat 0
❑ c.Install Kitchen Range Hood Vented to the Outside p 1 J
s.Install Mechanical Ventilation System for Cooling(Maximum 4 Points)
❑ a.Install ENERGY STAR Calling Fans 8 light Kite In Living Areae 5 Bedrooms
❑ b.Install Whole Hoose Fan with Variable Speeds O ( r
❑ c.Automatically Controlled Integrated System —0 ' 2 ---
❑
J.Automatically Controlled Integrated System with Variable Speed Control 0 3
1 D.Install Mechanical Froth Air Ventilation System(Maximum 3 Pointe)
❑ a.Any Whole House Ventilation System That Nests ASHRAE 62.2 D_ 2
❑ b.Install Alr-to-Air Heat Exchanger that meats ASHRAE 622 D ] 2
1.Install Carbon Monoxide Alarm(s) 0 g
Total Pointe Available In Hissing,Ventilation and Air Condilloning=3D 0
0 2007 Build It Green Single Family GreanP0lnt Checklist 2007 Version Page 2 of 4
PROJECT NAME s
a � a
I.RENEWAELE ENERGY Points Available Par Measure
1.Pre-Plumb Solar Hol Weer Han 0 4
2lnsell Solarr Water refining System 0 SO
3.Install Wil Conduit for Future Photovoltaic Installation&Provide 2D0 if of South-FacingRoof 0 2
4.Install Photovoltaic(PV)Panels
❑ a.30%of electric needs OR 12 kW(total a points) 05
Elb.80%0 elastic naiads OR 2.4kW(foul 12 points)
❑ C.BO%M electric need OR 3.6 kW(total 15 points) p 6
Total Available Points In Renewabla Energy 2B 0
J.SIJII,DING PERFORMANCE ' � points Available Per Measure
1.Diagnostic Evaluations
❑ a.House Passes Blower Dow Test 0 -
❑ to House Passes Combustion Safety BackdraflTest -p - -
I
2.Design and Build High Performance Homes.%above Tiffs 24-minimum 15%Required 0 no
❑ 3.House Obtains ENERGY STAR with Indoor Air Package Certificetion-Pilot Measure(Total 45 Pointe;read comment) 0 5 2
Total Available Palms in Building Performance 3R 0
R.FEMME 9 Points Available Per Measure
1.Design Entrywrye to Reduce Tracked in Contaminants 0 1
2.Use Low-VOC or Zero-VOC Paint(Maximum 3 Pointe)
❑ a.LowVOC Interior WaIVCelling Paints(<50 gal VOCs(Flat)and 450 gpl VOCs(Non-Flat)) 0 1
❑ b.Zero-VOC:Interior WallMallin Paints(e.5 got VOCs(Flat) p _---- --_--' - ---"
❑ 3.Use Low VOC,Water-Based Wood Finishes(.25D gpl VOCs) 0 2
El 4.Use Low-VOC Caulk and Construction Adhesives(<70 gpI VOCs)for All Adhesives 0 2
❑ 5.Use Reryoed-Content Paint 0
1 I
6.Use Environmentally Preferable Materials for Interior Ill A)FSC-Cartified Wood,B)Reclaimed,C)Rapidly Renewable,0)Racycled-Conent
or E)Finger-Jointed
❑ a.Cabinets(50%Minimum) 0 1
❑ b.Interior THm(50%Minimum) p _
❑ c.Shelving(50%Minimum) p 1 ]
❑ d.Doors(5D%Minimum) p t
❑ a.Counted (50%Minimum) 0 1
7.Reduce Formaldehyde in Interior Finish(CA Section 0135D)
❑ a.Cab &Stair Treads(50%Minimum) _D-- —�' .— _ I "? --_—_ -
❑ b.Cabinets 8 Counen (5ops(50%Minimum) p �
❑ c.Interior Tnm(50%Minimum) p I
❑ tl.Shelvin 50%Minimum) 0 1
❑ 3.
b!"
Installation of Flnishes,Test of indoor Air Shows Formaldehyde Level Q7ppb 0 G 1 -
TotalAvallablePoints inFinishes=21 0
L.FLOORING - Points Available Par Measure
1.Use Environmentally Preferable Flooring:A)FSC-Cerfified Wood,B)Reclaimed or Refinished,C)Rapidly Renewable,D)Recycled-Content,E
Exposed Concrete.Flooring Adhesives Must Have e50gpi VOCs.-
❑ a.Minimum 15%of Floor Area 0
❑ b.Minimum 30%of Floor Area 0 _____
❑ c.Minimum 50%of Floor Area 0 1
❑ d.Minimum 75%of Floor Area 0 1
❑ 2 Thermal Mass Floors:Floor Covering Other then Carpet on 50%or Mom of Concrete Floors D 1
❑ 3.Flooring Meals SBCtian 01350 or CRI Green Label Plus Requirements(50%Minimum) 0 i I 2 1 1
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(mml 1 point) _ 0 __
❑ b.Dishwasher Uses No More than 6.5 GallonslCycle(total2 points) 0 1
2.Install ENERGY STAR Clothes Washing Machine with When Factor of 6 or Less
❑ a,Meals Energy Star and CEE Tar 2 requirements(modified energy factor 2.0,Water Factor 6.0)(total 3 points) 0 _ __ __�_.2 _
❑ b.Moats Energy Star and CEE Tier 3 requirements(modified energy factor 2.2,Water Factor 4.5 w less) "'� 2
totalspoints) a
3.Install ENERGY STAR Refrigerator
❑ a.ENERGY STAR Qualified&<25 Cubic Feet Capeclry 0 1
❑ b.ENERGY STAR Qualified&<20 Cubic Foal Capacity 0 1
4,Install Built-In Recycling Center 0
❑ e.Built-In Recycling Canter p
❑ b.Buff-In Composting Center --p --
--I 1
Total Available Points in Appliances and Li hfing=l2 0
N.OTHER Points Available Per Measure
❑ 1.Incorporate GreenPolnl Rated Checklist in Blueprints-Required I R
❑ 2.Develop Homeowner Manuel of Green FeaturesuBenafits 0 1 1 1
3.Community Design Measures&Local Priorities:See the Community Planning&Design section In Chapter 4 of the Now Home Guidelines for
measures.Maximum of 20 points for suggested measures.Local requirements may also be listed here.
El
0 2007 Build It Green Single Family GresnPoint Checklist 2DD7 Version Page 3 of 4
ENTER PROJECTp
in
g..
3
❑ Enter nouniptlon bore,and enter pons available Is manure In apprapbale caugmin to the right D D 0 0 D 0
❑ Enter dooseption hare,and ant&pans emlleble to measure In appropriate caepodn to the right. D 0 0 D 0
Enter deaslpun hare,and enter pane waltable Wr manure In appropriate categnes to the right. 0 0 D 0
❑ Enter dBecl¢Itlon here,end am pane available I&manure In appropdale casgoin Io the rig t. D 0 0 0 _ 0 0
4.Innovation:List innovative measures that meet the green building objectives of the Guidelines.Enter up to a Build a Green Checklists and
maximum combined total of 20 pts.Sea Innovation Checklist for suggested measures,using the link to the right, Guidelines
Li Innovation in Commu0 :Enter drooroiam here,and enter points avabble Ib manure In appropmalf cele ales to the bight. D 00 g 0 D
Innovation In Energy:Enter dan Don hem,and enter nis available 1s manure Ina appropriate Cale&lea to the night, D D 0 0 0 D
Innovation In IAOaeelth:Enter description hen,and enter notion available for manure in appropriate cam&Ise to The rl . 0 0 0 D _0 _ 0
nnoVBlin In Bowurms:Enter description here,and anter points available Ip measure In late CBIS o In to the d L 0 0 0 0 0 0
❑ nov'A;a Waur,Enmr dowroon here,and amor points available for nmea➢m In apprOpl Bte Celegori8s to Tho fight. _ _0 0_ 0 D 0 0—
Total Available Points In Other k' 0
Summary
Total Available Point a In Specific Categories' 4+ 96+ 42+ 66+ 43+
Minimum Points Requiretl In Specific Categories 0 30 5 6 B
.Is Achieved 1 / 1 I 1 1
Project hes not yet met the following recommended minimum reepui ements:
- Total Project Score of At Least 50 Points
-Required measures:
-A3a:50% waste diversion by weight
-12: 15%above Title 24
-N3:Incorporate GreenPoint Rated Checklist into blueprints
-Minimum points In speclric categories: _
-Energy(30 points)
-IAQ/Health(5 points)
-Resources(6 points)
-(Nater(9 points)
O20D7 Build It Green Single Family GreenPolni Checklist 2007 Version Page 4 of 4
CITY OF CUPERTINO Oa O� 0 ( 1 (.0
WATER HEATER
8C0 OF
UPERTiNO PERMIT APPLICATION FORM
APN # Date:
3� 00
Building Address:
a0 Ono %5 c�D
Owner's Name: Phone #:
a ct i� a cop ICO-916 ,G
Contractor: Phone #: yo 5 ,31-D 35 35
Fax #: -/n& 39-0 0I6
Cupertino Business License #: U Contractor State License #:
Contact: Phone #:03 1 b(-fp.S-d
e Z Fax #:
Building Permit Info:
Bld ❑ Elect ❑. PlumbZ9 Mech ❑
Residential Commercial ❑
Job Description:
Strapped ❑ On Platform ❑ Bonded ❑ New Location ❑ Replacement
Valuation:
Green Building Check must be completed and attached to this application.
Green Building Points.achieved: `�
CITY OF CUPERTINO
WATER HEATER
CUPEkTINO PERMIT APPLICATION FORINT
Quantity Fee TD Fee Description Fee Permit Type
Group
1PCWHEATR Commercial Water B PCWHEATR
HeaterNent
1BSEISMICOM Seismic Commercial B
1PRWHEATR Residential Water B PRWHEATR
/ Heater/Vent
1BSEISMICRE Seismic Residential B
1PPERMITFEE Plumbing Permit P
/ 1TRAVDOC Travel & B
Documentation
/ 1BUSLIC Business License B
Community Development
10300 Torte Avenue
li 0111, 00
Cupertino CA 95014
Telephone(408) 777-3228
� CITY OF Fax(408)777-3333
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Building Department
JOB ADDREd �3 S: e�.5 PERMIT # 0030 l r rv
OWNER'S NAME: ,V,� °,r PHONE 3�
GENERAL CONTRACTOR: VAjvFAX_.# /
I am not using any subcontractors: 2 O
Signature Date
Please check applicable subcontractors and complete the follo g 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 ock
Tile
Uy3
O r/C ctor SiF, e Date