08020127 (2) BUILDING DIVISION PERMIT
M
BUIL1 PERMIT NO.
n%TT"EONGDOWN RD STREET PLUMBING & ROOTER 08020127
R'S NAME: PERM17MUEDATE
LOUIS KIM 2293 WALNUT GROVE AVE 02/21/2008
PHONE: SANITARY NO. CONTROL NO.
(408) 496-1155
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT' PLUMB MECH
0 0 0 0
30o LICENSED CONTRACIOWSDECLARATION IbDescription
u F 1 hereby affirm Ns,1 am Iksvcd uO
under provisions of Chapwr 9(rommcncing
"o`uj with Seeuan]O(10)afOiviJon3ofuu Buunese end Pro(casiuv Code,antl mylieensc is WTR HEATER REPLCMNT
re in mu come and arc _ ✓e Lk•w l� .
I�z uaenu .. -. .. . .
rg�. Dem Conlracta'
i 2ARCH T1,crS DEC 1 N
de �L py�jt y
oZ 1 u rsund my plane"I be used u public records
�yU
90� Licensed Professional
m OWNER-BUILDER DECLARATION
i�1 1 hereby arirm that I em exempt num the Contouors License Law for the
y O O rolmwinj won.(Section 70313,Business and Pmfrusions Cork:Any city or county
i 1 M which mquima a permit to cmnsnct, lmr,improv,demolW,Or repair any touch.
z prior to its issuance.Jan raquima the applicant for such Permit to file a signed su escru
�<
that he is licensed pursuant to the provisions of the Contracture Lkenm Law(Chapter 9 Sq.Ft. Floor Area 00 Valuation
3 horemm000
cins with Smtion7 )of Division Sof the BuJncas And Pmfcsiona Calc)or �3
Nat he is exempt thencrom and She bub for the alleged eeemptiom Any violation of
Section 7031.5 by any applicant for a peanut mbjeeu the APPlicanuo a civil penalty Of Number Occupancy e
m more than yew hundred dollars IS500). 34233 0 5 0 !� P y ZYP
❑1,u ownes of ft pmpury,m my moploym withwage u Neo sole compcmdon,
will do the Sark.and the swctme is notmmnded"offered forsJo(Sec.7044,Business Required Inspections
And Prefecom.Cade:The Commumrf Llaem Law dW sat apply m an owner of l P
pmpeny who builds or im prove thereon,end who does such work MmSalf or through his
own employer,pmWhd thatstch impmemenu arc not intended conRned forsals.If.
how..dm building or Mpmw nrmt Is to within orc year of mmplabor,the
Wider will haw the buNen of moving Nat he did not Wild Or improv for purpose of
raw.).
❑1,AS owner of the propmy am commsi ely ceras ims with licensed comm cern m
construct the pmk0(Sec.7044.Business and Refusions Code:)The Comranors U.
mm law does not apply m an ower of property who Wilds or improv foment,antl
who coommul for such projects with accaunto r(a)licensed m N
d Innocent Contractors'
License Law.
❑Tunuemptundersee .B&PCfar ,Shismuon
Otter Dam
WORKER'S COMPENSATION DECLARATION
I hereby arm under penally of perjury Use of the fallowing declarations,
have and will maintain a Cenifimm of Comn,to Salf-inure fee Worker.Compere.
action.u provided for by section 3700 of the Labor Code,for the perfomanm of Ne
work for which this Permit is lasted.
❑1 haw and will maintain Workers Compensation numance,as required by Section
370o offt labor Code,for Ne performance of the work forwhich this permit is issued.
My Workers Compenaaum Insuranm esmler and Policy number are:
Carrier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATIONINSURANCE
or less) W
(Thbeectieeneednotamnp'rtd apehberdtw
farmhttndonors(SIM)
thrc
I Unify Abut in the Reda affAAw off r h NjiPermit is i esu 1. lull not
creptoyanypcno manncrw esom fub�gtJlTw don
Laws of CJifomia.Dam /
ApplicantY i/ /
NOTICE TOJrPPLICAp :i, laid g t twC tincatc of Esemption,you should
become au t Im1th6ec,�Workers O mu tion p bions of tha lahm Cade,you muss
.J`Z forthwith comply r such provi ftida paTitshall he deemed meshed.
'Z'O
CONSTRUCTION LENDING AGENCY
[r Thereby arm Tet then its construction lendingagency for the Performance of
a> Ne week for which this permit is ssmd Ism.3097,civ.Ca
W Undoes Nurse
Lenders Addw
U Q 1 oeNfy that I have read this application and sure that the Show information b
li comsat 1 agree m comply with JI city and county ordinances and sum laws telating m -
.Q Wilding construction,and hembyaummise mpmsenutivu of fu city to enter upon tie
W ahow-men0aned pmpany fm inspection p t
(hoc)agree m an indemnify keep City of Cupenina against
it y Itabiliuu,Jed on and eapc wh' pi my wayactmeagainst Said City
U in con egoenm of Slug of s
r.i APPLICANT R N ICL C M ALL N -POI Issued by:9 Date -2
s0 UTIONS. j
u Re-roofs
si me of ppaam on r Da
G s MA en ISaaSURE Type of Roof
II tie app cert forum Ilding mm umro or handle hasallom material
deft ad by the'Cupertim Munid 'Gapmr 9.11.mtl the Health and Safety
0 as All V All roofs shall be inspected prior to any roofing material being installed.
2,11 the applicant i .'uu.building ompant use equipment or dcvicu which If a roof is installed without first obtaining an inspection,.I agree to remove
emit bacardous Jr contaminants as defined by the Bay Arta Air Quality Management all new materials for inspection.
District?
O Yes ypN
I hew �ie / m mqui numultr Chapterb.95ofthe CSiifor.
nu Ninth& u YC 5,2553 AurkFnundtkutf Wilding
docs dy bow Ire Out i two ity m mufy de om t tie
Men, en which W t 'I ora moncamafoa Signature of Applicant Date
w arm rim,: sant Dam. . All roof coverings to be Class"B"or better
• CITY OF CUPERTINO
4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 34233050.00
DATE ISSUED. . . . . . . : 02/21/2008
RECEIPT # . . . . . . . . . : BS000003996
REFERENCE ID # . . . : 08020127
SITE ADDRESS . . . . . : 22813 LONGDOWN RD
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : LOUIS KIM
ADDRESS . . . . . . . . . . : 22813 LONGDOWN RD
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2649
RECEIVED FROM . . . . : STREET PLUMBING
CONTRACTOR MARK STREET LIC # 29069
COMPANY . . . . . . . . . . : STREET PLUMBING & ROOTER
ADDRESS . . . . . . . . . . : 2293 WALNUT GROVE AVE
CITY/STATE/ZIP . . . : SAN JOSE, CA 95128
• TELEPHONE . . . . . . . . : (408) 496-1155
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- -------- -- ---------- ----------
1BSEISMICR VALUATION 300. 00 0. 50 0. 00 0 .50 0. 00
1PPERMITFE FLAT RATE 1. 00 40.79 0. 00 40.79 0. 00
1PRWHEATR UNITS 1. 00 24 .48 0. 00 24 .48 0. 00
1TRAVDOC FLAT RATE 1. 00 40.79 0. 00 40.79 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT 106 .56 0. 00 106 . 56 0'. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 106 . 56 #18869
---------------
TOTAL RECEIPT 106 . 56
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
518 WATER HEATER
•
og000C)
CITY OF CUPERTINO
WATER HEATER
or
* CUPERTINO PERMIT APPLICATION FORM
APN# t
ae:
D
3c)n , oo z 21 a
Building Address: D
2ZE13 &g62,01,N �D
Owner's Name: Phone #: 366 —226 7
Contractor: Phone #:
5" i f cuM31n16 l �obie2 Fax #:
Cupertino Business License #: Contractor State License #:
5 2Z1
Contact: r��i Phone #:
�� " ' � � Fax #:
Building Permit Info:
Bldg ❑ Elect ❑ Plumb Mech ❑
Residential Commercial ❑
Job Description:
� r ✓ � eDOW04N 7-
Strapped
Strapped 2'11�On Platform [71onded New Location ❑ .Replacement >41
Valuation: 4 oo
Green Building Check must be completed and attached to this application.
Green Building Points achieved: ��
CITY OF CUPERTINO
WATER HEATER .
CUPEI,TINO PERMIT APPLICATION FORM
Quantity Fee ID Fee Description Fee Permit Type
Group
IPCWHEATR Commercial Water B PCWHEATR
HeaterNent
1BSEISMICOM Seismic Commercial B
I 1PRWHEATR Residential Water B PRWHEATR
HeaterNent
1BSEISMICRE Seismic Residential B
r
IPPERMITFEE Plumbing Permit P
1TRAVDOC Travel & B
Documentation
1BUSLIC Business License B
Single Family GreenPoint Checklist date: 2'21 Build It Creed
The GreenPoint Checklist is based on the Various green features Incorporated into the home and is the Smart Solutions From The Ground Up
baste for the GreenPoint Rated program.A home can be oonsidered green d It tulFllls the prerequisites, I—I
• Hams at least Go paints,and meats the minimum conte per category.Energy list
0 Indoor Alr rearnpy/
Health(5),Resources(6),and Water(9).Please contact Build It Green for a list of qualified GreenPoint
carries h you are Interested In pursuing third-parry verification.
The green building practices listed below are described in the New Home Construction Green Building
Guidelirl••s,available at www.bulldigTfjf our
ENTER PROJECT NAME
manna
`t SIT& Cr'✓1 - I oints Available Pet Measure
1.Protect Topsoil and Minl Disruption of P istin lents 6 Trees
❑ a Pmteot Totem from Erosion and Reuse altar Conceuction _ 0 T 1
❑ b.Unit and partnere Construction Foo¢mnt for Madmum Protection —- — ----- -
0 1
2.Decoratrua Inermd of Demolishing Fiisting Buildings On Site 0
S.Recycle Job Site Construction West,(Including Green Waste)
❑ e.Minimum 50%Waste Diversion by Weight 0117aing m Reuse)-Required 0 R
❑ to.Minimum 65%Diversion by Weight(Recycling a Reuse) —0—
El
—❑ c.Minimum BD%Diversion by Weight(Recycling or Reuse) D - --------- --
2
4.Use Recycled Content Aggregate(Minimum 25%)
❑ a.Walkway and DrNeway 0 1
❑ b.Roadway Buri
0 �
TOW Points Available to Stte 12 0
B.FOUNDATION Points Available Per Measure
1.Replan Portland Cement In Concrete with Recycled Flyesh or Slag
❑ a Minimum 20%Ftyasd a Slag 0
❑ b.Minimum 25%Flyash a Slag0 I ]
2.Use Frost-Pmtactad Shallow Foundation in Cold Areas IC.E.C,Climate Zone 16) 0 i 3
El 3.Use Radon Resistant Construction on At-Risk Locations Only) 0 1
4.Design and Build SW ctural Past Controls
❑ n Install Terribe Shields a Separate All Exlaria Wood-loConcrole Connections by Mata)or Plastic Futanem/DNidms 0 11
h.All New Plants Have Trunk,Base,or Stem Located At Least 313 Inches from Foundation p J 1
Total Points Available In Foundation=B 0
C.LANDSCAPING Points Available Per Measure
1.Construe!Resource-Efficient Landscapes
• ❑ a.No Invasive Species listed by Cal-IPC Are Planted
❑ 0 — —
b.No Plant Species Will Require Hedging 1
❑ C.75%of Plants Are Dmughl-tderent Cayifomia Nativas,Mediterranean,a Other Appropriate Species 0 I 3
2 Use Fire-Sale Landscaping Techniques p 1
3.Minimize Turf Areas in Landscape Installed by Builder
❑ a.All Tun Nil Have a Water Requirement Less than or Equal to Tall Fescue(0.6 plant facto)
❑ b.Tun Shall Not Be Insoded on Slopes Exceeding 10%min Areas Less than a Feet Wide
❑ C.Tun is 93%of lendsc spec Ame(lolal2 points) 0 -----;-i-----I
❑ d.Turi is 510%at Landscaped Area(total 4 points) 0 2
❑ 4.Plant shade Trees
3
❑ 5.GroupPlante by Wabr Nestle(Hydmzoning) 0 � ( 2
6.Insall High-Efficiency litigation Systema
❑ a.System Uses Only Low-Pow Ddp,Bubblers,a Low-0ow SpdnMas _0 _ i____ _ 2_
❑ b.System Has Smad Controllers 0 e 3
7.Inco orate Two Inches of Compost In the To 6 to 12 Inches of Soil 0 It 3
a.Mulch All Plmfm Beds to the Greater of 2Inches or Loeal Wake Ordinance Requirement 0 I I� 2
9.Use 50%Salvaged or Recycled-Content Materials for 50%of Non-Plant Landscape Elements D 1r 1
10.Reduce Light Pollution by Shielding Fixtures andrur Directing Light Downward 0 } Y
Total Points Avdal In Landscaping=31 0
D.STRUCTURAL FRAME& INO ENVELOPE i Av le' al Measure
1.Apply Optimal Varus Engineeeringring
❑ a.Place Reff ems and Studs at 24-Inch On Center Framing 0
❑ d.Size Dow and Window Hall for _
Load 0 ]
❑ c.Use Onty Jack and Cripple Studs Required for Load --- - - --
a G r 1
2 Uas Engineered Lumber
❑ a Beams and Headers -
❑ b.Insulated Engineered Headers
0 _
❑ C.Wood I-Joists or Web Truseas for Flours
❑ d.Wood I-Joists for Roof Rafters O—
❑ a.Engineered or Flnger-Jointed Studs for Vertical Applications - _
❑
I.Oriented Stand Board for Subfloa
_—
❑ g.Oriented Stood Board for Well and Rod Sheathing 0 i
3.Use FSC-Certified Wood T 1
• ❑ a.Dimensional Lumber,Studs and Timber.Minimum 40% r30100F
l
❑ 2 ____.
b.Dimensional Lumbar,Studs and Timber Minimum 70%
❑ c.Panel Products:Minimum 40% '--- -' -'— --- -❑ d.Panel Products:Minimum 70% 1
02D07 Build It Green Single Family Earl Checklist 2007 Version Page 1 of 4
ENTER PROJECT NAME 6
6
4.Use Solid Wall Systeme imcludu Sipa,ICFs,8 Any Nor-Stick Frame Assembly)
❑ a.Floor 0 7
❑ b.WeN 0 2 2
❑ c.Roots 0 2 2
5.Reduce Pollution SmeHng the Home from the Garage
❑ a.Tightly Seal the Air Bandar between Bull and Living Area 0 1
❑ b.Install Garage Exhaust Fen OR Build a Detached Garage 0 1
e.Dui n Energy Haab on Truces(75%of Atfic Insulation Height at Outside Ede of Eroarm Well 0 1
E Deal n Roof TMEBU to A==Ddeb Ductwork 0 1
Lj E.Un Recycled-Canteen Steel Settle for Do%of Interior Wall Framing 0 1
LJ D.Thermal Mau Walls:Witch Drywall on All Interior Walls or Wells Weighing more than 4D Itakti . 0 1
10,lnstsll Darlings and Gutter
❑ L Minimum 15-Inch Ovedtangs and Gunn D 1
❑ h.Minimum 24-Inch Overhangs and Gutter 0 1
Total P. Available In Structural Building Fane and Erwelope=36 0
E.EXTERIOR FMSH Points Available Per Msesure
1.Uses Recycled-Conuent o Virgin Plastic)or FSCLeNOed Wood Decking 0 - 2
2.Install a Rain Soren Wall System 0 2
M-3.Use Durable and Noncombustible Siding Materials 0 1
4.Shed Durable and Noncombustible Roofing Materials 0 - - 2
Total Points Aushabs in Exactor Finish=7 0
P.INSULATION Points Avellable Per Measure
1.Install Insulation with 75%Recycled Content
❑ A.Wells andior Floor 0 _ _—
❑ b.Callngs0 ]
2.Install Insulation that Is Low-Emll(Certified Section 01550)
❑ a.Walls andlot Floor -0
❑ b.Cal
0 1
❑ J.Inspect Ouetity of insulation Installation before Applying Drywall 0 1
Total Points Available in insulation.5 a
O.P1.I111413 6 Points Available Par Measure
1.Distribute Domestic Hot Water Efficiently(Mulmum 7 Pointe)
❑ L Insulate HN Water Pipes train Water Hearer to Kitchen 0 _ 1
❑
to Insulate All HM Water Pipes 0 ] + 1
❑ C.Use Engineered Parallel Piping _ 0
❑
it.Use Engineered Pal Piping with Demand Controlled Cimulatlon Loop _0
❑ e.Use Structured Plumbing with Demand Controlled Circuital Loop 0 1 _ _ _ _ 2
❑
I.Use Commit Cor Plumbing 0 1 T 1 2
❑ 2.Install Only High Efficiency Tolleb DuW-Flush or 5121 Sol 0 4
Total Points Available In Plumbing=Tonal 12 0
H.HEATING VENTILATION k AIR CONDITIONING Pdms Available Per Measure
1.Design and Install HVAC System to RCCA Manual J,D,and S Recommendations 0 4
2.metal Sealed Combustion Units
❑ e.Fumaras 0 , 1 2
❑ b.Warr Healer 0 2 1 1
0.Install Zoned,Hydmnic Radiant Heading with Slab Edge Insulation 0 1 ! 1 1
Ll 4,Install High Efficbnoy.Air Conditioning with Environmentally Responsible Refrigerants D 1
S.Design and Install Effective Ductwork
❑ e.Install HVAC Unit and Ductwork within Cordell Space 0 _ 1 3 I _
❑ b.Use Dud Mastic an Al Duct Arms and Seams
❑ c.Install Ductwork under Alto Insulation(Buried Ducts)
❑ d.Pressure Balance the Ductwodt System _ 0 _ 1
❑ e.Protect Ducts during Construction and Dean All Duds bell Occupancy 0 1
Lj e.Install High Efficiency HVAC Filter ERV N 0 1
❑ 7.Don't Install Phil or Install Sealed Gas Fireplaces with Efficiency Rating Not Leu Than So% 0 1 1
using CSA Standards
B.Install Effective Exhaust Systeme In Bedrooms and IGtchus
❑ a.Install ENERGY STAR Bathroom Fans Vented to the Outside _ 0
❑ D.All Bathroom Fens Are on Timer or Humldistat 0
❑ c.Install Kitchen Range Hood Vented to the Outside 0 1
D.Install Mechanical Ventilation System for Cooling(Mulmum 4 Points)
❑ a Install ENERGY STAR Ce0ng Fane a Ught Kits In Living Arae A Bedrooms —0- 1
❑ b.Install Whole House Fan with Variable Speeds _0 _ 1
❑ C.Automatically Controlled Integrated System _ 0 _ 2 Y
r_—
' ❑ d.Automatically Controlled Integrated System with Variable Speed Control 0 3
10.install Meohenlcel Fresh Air Ventilation System(Mulmum d Palmer)
E] e.Any Whole House Ventilation System That Meets ASHRAE 022 _ 0 _I 2
❑ b.Install Alt-to-Alt Heal Exchan or That inside ASHRAE 52.2 0 1 2
Ll 11.Install Carbon Monoxide Alarmle 0 1
Total Points Available In Heal Ventilation and Air Conditioning 301 0
0 2007 Build It Green Single Femlly GrasnPoml Checldist 2D07 Version Page 2 of 4
$ II
ENTER PROJECT NAME
U Q -
1.RENEWABLE ENERGY Points Available Per Measure
• L1 1.Pre-Plumb for Solar HM Water heading 0 q
77 2lnstal1 Solar Water heatingSystem
9.In ltl fishing Condult for Future Phobvoheic Installation 6 Provide 200 M of South-Fadn Root0 10t 0 2
4,Indall Photowtteic n Pant
❑ &3D%of electric needs OR 12 kW(totel6 point) 0 6
❑ b.BO%of electric needs OR 2.4kW(total 12 points) 0 ----6—
❑ C.90%m electric need OR 3.6 kW genal lB points) 0 6-
-Total Available Points in Renewable Energy=29 0
J.BDILDING PERFORMANCE Points Available Per(Measure
1.Diagnostic Eveluedone
❑ &House Pe1106 Blower Door Test 0 ]
❑ b.House Passes Cornbustian Salely Backdm&Tem —p -_- --- ------
LOasignand Build High Performance Names-%abow This 24-minimum 15%Required 0 >_30 -
❑ 3.House Obtains ENERGY STAR with Indoor Air Package Certification-Rol Measure(total 45 points;read comment) 0 5 2
Total Available Points In Building Performance=39 0
R.FINISHES Points Available Per Measure
I.Design EnmYwsys b Reduce Tracked in Contaminants 0 1
2.Use Low-VOC or Zero-VDC Pent(Maximum 3 Points)
❑ &Low-VOC Interim Wa rAllny Palms(d00 VDC5(FIN no x150 gpl VOCs(Nonlclat)) 0
❑ b.Zero-VOC:Interim WaKellin Paints Id go VOCs(Fl 0 3
❑ ].Uw Low VOC,Wamr-Based Wood Finishes(250 Slat VOCs 0 2
❑ 4AseLow-VOCCaulk and Construction Adhesives(dO gpl VOCs for All Adhesives 0 2
❑ S.Use Re dedContam Pent 0 - 1
e.Use Environmentally Preferable Materials for Interior Finish:A)FSCCeNfied Wood,e)Reclaimed,C)Rapidly Renewable,D)RecycledContem
or E)FlngerJolnbd
❑ &Cabinets(50%Minimum) 0 ]
❑ b.Interior Tom(SD%Minimum) 0 -- - --
❑ &SheNing(50%Minimum) --__----- - - 1 — -
❑ d.Doors(50%Minimum) p
]
❑ e.Courombo s 5D%minimum) p T '1
7.Reduce Formaldehyde In Interior Finish(CA Section 01350)
• ❑ a.Subloor&Star Treads(50%Minimum) 0
❑ b.Cabins s Countanops(50%Minimum) 0
❑ c.interior Trim(5D%Minimum) 0 --- - -T ] -- - ----
❑ d.Shebin 50%Minimum
❑ B.After Inetellsllon of Finishes.Test of Indoor Air Shows Formaldehyde Level Q7ppb D I 1 3 l
Total Available Points in Primes=21 0
L.FLOORING Points Available Per Measure
1.Use Environmentally Preferable Flooring:A)FSC-Certified Wood,B)Reclaimed or Rofinlehad,C)Rapidly Reasonable.D)Recycled-Content,E)
Exposed Concrete.Flooring Adhesives Must Have c509p)VOC&
❑ &Minimum 15%of Floor Area 0 1 _
❑ b.Minimum 30%of Floor Area 0
❑ c.Minimum 50%of Floor Area 0
❑ d.Minimum 75%of Floor Area 0 1
❑ 2.Thermal Most Floors:Floor Covering Omar than Car mon 50%or More of Concrete Floors 0 1
❑ 3.Flooring Meets Section 01350 or CRI Grew Label Plus Requirements(50%Minimum) 0 2
Total Avallable Points In Flooring=7 0
M.APPLIANCES AND LIGHTING Points Avdllable Per Measure
1.Install Water and Energy Efficient Dishwasher
❑ a.ENERGY STAR(total 1 polnp D
❑ b.Dishwasher Uses No More than 6.5 GafonaC cle(total 2points) 0 — 1
2.Install ENERGY STAR Clothes Washing Machine with Water Fedor of 6 or Less
❑ A.Meats Energy Star and CEE Tier 2 requirements(modified energy factor 2.0,Water Factor 6.0)(total 3 points) _0 _ ] _ ___ ; 2 _
❑ b.Meats Energy Star and CEE Tlor 3 requirements(modified energy teen 2-2,Water Factor 4.5 on less) Z
Iotal5 rots 0
3.Install ENERGY STAR Refrigerator -
❑ &ENERGY STAR Oual lied&<25 Cubic Feet Capacity 0
❑ b.ENERGY STAR Ouallfed&<20CWic FeatC 'cp 1 - - --
4.Insbll Built-In Recycling Center 0
❑. &Bulltdn Recycling Center 0 2
❑ h.Built-In Composting Center 0 1 1
Total Available Points In Appliances and Ughbn =12 D
N.OTHER Points Available Per Measure
❑ 1.Ineorporete GreeoPoint Rated Checklist in Blueprints•Required 0 .R
• ❑ 2.Develop Homeowner Manuel of Green FaaNresSenefb 0 I 1 1 1
3.Community Design Measures&Local Priorldes:See Ne Community Planning&Design section In Chapter 4 of the New Hone Guidelines for
measures.Maximum of 20 points fm suggested measures.Local requirements may Stn be listed here.
0 2007 Build It Green Single Family GreenPolnl Checklist 2007 Verslon Page 3 of 4
ENTE . . .OJECT NAME '
Enter doureetion hm,and anter pointe avallable lor measure In spPgdate cateporlee to the dpht. 0 0 _ D 0 0 0
Enter dnmptim here,and onto poste eveltable la measure In appropriate categories to the right 0 0 D o 0
Enter deecrlp0on Mn,and onto pointe evalleWe for measure In appropriate categories to me right. 0 0 0 o D
❑ Enter deiopdm here,and enter prim wallode for maaaun m appropriate cmpodes m he right. D 0 0 0 0 0
4.Innovation:Ust Innovative measures that meet the green building objectives of the Guidelines.Enter up to a Builds Groan Checklists and
maximum combined total of 20 pts.See Innovation Checklist for suggested measures,using the link to Ned ht. _ _
Innwalim In community:Enter dee Int Mn,and onto ms avonbte for meesun in ale cm ee tome fight. D It 0 0 0 _ 0
Innwalim te Ene :Enter da Ilm here and onto points avallu a for measure In late cats tutee to the right, 0 0 0 0 0 D
Innwerlm m IAOa4aIM;Enter dseol Ion nen,and mar points available ler mown in els tete mica W the right. 0 0 0 0 0 _ 0
InnwaDm in Resourou:Enter demamplion hem,and enter points aveltade la measure in MTTdate categories to the dght. 0 0 0 0 0 0
1 Li Immadm_ in Weer:Emar dourlpDm hm,and enter pond Pebble la immure m appoprkte cateperies to he rigm. D 0 0 0 0 D
Toul Available Prima m Omer. 0
Summary
Total Available Points in Specific Categories' 4+ 96+ 42+ 66+ 43+
Minimum Points Raqulred In Specific Categodea 0 30 5 8 0
Total Poitits Achieved e e e e e e
Project has not yet met the following 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
-Minimum points in specific categories:
-Energy(30 points)
-IAQ/Health (5 points)
-Resources(5 points)
-Water(9 points)
•
•
02007 Build It Green Single Family GreanPolnl Checklist 2007 Version Pago 4 of 4
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
UPERTINO
Building Department
JOB ADDRFSS: PERMIT #
ZZ813 Co&jaDoaJn1 6 0 (�O a 0 /a.
OWNER'S NAME: Lou/-s K\ //y PHONE # 366-2267
GENERAL CONTRACTOR: —CT K t6MFAX #
I am not using any subcontractors: Z- e b�
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Please check applicable subcontractors d com owing information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
41 Linoleum/ Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet ock
T
012-1 a
�/ / �r/Co ctor Si ature Date