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08040034 (2) CITY OFLDiCUPERTINO BNiVC DIVISION PERMIT �,CON�TRAGTORINFORMATIDN BInLQ1y,Q�3pDgFsMERRITT DR JM DRAIN CLEANING AND P08040034 OWNER'S NAME: PrTjMBTNG FERbM ISSUE DATE AKILA KANNAN 1725 ROGERS AVE STE C 04/07/2008 PHONE: SANITARY NO. CONTROL NO. (408) 903-8184 JC_HTIEC(ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 30o LICENSED CONTRACTOR'S DECLARATION Job Description I thereby affirm that 1 am licensed under provisions of Chapter 9(mmmeneing ' with Section 7")of Divlsion 3 afdee Budneuand ores umcnd .aoq tylmeveb COPPER REPIPE FRM WTR METER TO ENTIRE HSE I.full roren and of L Lie.N 2 . C Dam Contndar ARCHITECTS OEC ON IYMcnund my pWtashall be used sspublic records 6 SQ Licensed Professional OWNER manipt I DECLARATION ZOO S hereby alarm on 1 em eumpt from the f Contravenes Co :Any Law for the iOO followingmoon.(Saito]rO1.4 Business and ve.profession Com:Any an or county 4 which require Issuance. Permit m coruuuct,alter.hnpmve,h per W,or repair any wmmum _2lf^ priore itsnsed mmmq.are thic.ppNavili iol n,far UtheatehsselOr License U.drumment othuhiacremmpamt,menthepmaaiovafdmcBusinmrandPrml�wChapter sCode)9 Sq.F[. Floor Area Valuation �$ th(commencingeI. xewldm Section70M)and of halt far of Ne Busincuandon.A.,nnaCme)ar $9481 Natio b campy deemfmm and the bub for the alleged assumption.Any violadan of hot an than by any hundred foragermiuubjtttstheepplksouaacivil penalty of Number Occupancy Type Mt mare than RVe htndRd dollal](SSCOL 31629045 �ON ' ❑1,u awry of dee property,or my wplaym with wage u dee'u set mmpenudon. willdo do work.and dee sanctum is not kmnded ora@Rd fortam(Stt.704t,BudM•• and PRrwao,Coe The Conuse amrs Uceme IAw doer not apply mach Owner of Required Inspections Property who build,or improves derma,and who meatuses work himself or through his mncmployce.provided that such improvemmu are,mtimmmded proffered for ole If. however,the building or Improvement Is sold within ane year of completion,the owner, builder will have the burden of proving that he did not buHd or Improve for purpose of tile.). ❑1,as water of deeproperly,am=elusively contracting with licensed mnuutors m construct ft Mims(See.7064.Business and Professions Code:)The CaoOsemr,U. cents law doe not apply 0 an owner of property who build,or Improve thereon.and who convects for such pmjec*wide a conuumr(s)licensed pursuant in dhe Contracture License Law. ❑IameemptunderSm. ,BkPCfarthismason Owner Data WORKER'S COMPENSATION DECLARATION I thereby affirm under penalty of perjury ane of dee fallowing Melaruiov: havesad will trainWn a Cenifium of Covent in selybsum rorwaherscomme, , u provided for by Section 37W Of dee labor Code,for dee part... o of the far which deb permit is iuuN. ❑I have and will maintain Worker,Compensation Imwarxs,u required by Section 3700 of the labor Code.for the performance of the work for which this pe.i,is loud. My worker,Compensation InRruce curie and Policy number are: Cartier. Policy No.: CERTIFICATE OF EKEMP ION FROM WORKERS' COMPENSATION INSURANCE fTw semen need rot M completed Il permit Is fwanc hundred dollar(SIM) m less) I certify the,in the performance of the work for which this permit b issued.I Nall not employ any person in any muncrsossmbtto a bice the Wo ss' penudon Laws of Califomla.i. ['�`� Applicant NOTICE TO A r making this Certificate of Exemption.you should became a m dhe Workers Co.pmukdon provisions of dee labor Code,you most ' O O forthwith comply with such provisions w this Permit"I W doomed soaked. y► CONSTRUCTION LENDING AGENCY - [r I hemby arum thus ft.I..construction lending agency for the performance of ai > the"A for which this permit Is issued(Sm.3097,Civ.C.) ' QLender,Name 7 Z Lenders Address U O 1 clarify ala I have read this application srtl,uta that the above hermetic.I. {I.,~ carrem I agree m comply wide all city Ndlnte d county arYand show laws remlating .O Lr.^, buildingcanswction.and beREymNoo.mproomeadnut of this city to meerupon lM {21 41e ve-mcadomd property for inspection pugasea Q, (We)agree to save,indemnify and IOWP harmleV dee City Of CtpRlim agalet y LI.N UcsjWgments,camudespensewhich may in any wayaccruegainataid City UZ in consequence of the Sending of this Permit. y APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE GULAM S. Re-roofs ROf6ppianumcfealk,or HAZARDOUS MATERIALS DISCLOSURE Date Type of Roof Will the applieut or future building mcupantamm orlundle hauNous ecterial ., u deanm by tho Cupertino Municipal Code.Chapmr 9.12.and the Health and Safety ' Code,Semon 25332(,)? ❑Yes gl l'No All roofs shall be inspected prior to any roofing material being installed. Will the apPlicsoy orr future building azupant use equipment or mvims which If a roof is installed without first obtaining an inspection,I agree to remove It hoerdou air contaminants as dcOned by dee Bay Area Air Quality Management all new materials for inspection. ries? / ❑Ye M N. 1 have mad the haurdoumaerial,requirements under Clupter 6.95 of the Califon nth Health&sarmyCode.sm iommsu5a5,u533 and 25534.1 uom,tatw detrcwe building dor mt mmemly haw:a uenu4th say responsibility m ratify lM omupsot of the regtire when issureve.r.c k III,m Signature of Applicant Date errmeuthorised agent Dam' All roof coverings to be Class'W'or better CITY OF CUPERTINO • 6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31629045 .00 DATE ISSUED. . . . . . . : 04/07/2008 RECEIPT # . . . . . . . . . : BS000004375 REFERENCE ID # . . . : 08040034 SITE ADDRESS . . . . . : 19730 MERRITT DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : AKILA KANNAN ADDRESS . . . . . . . . . . : 19730 MERRITT DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2440 RECEIVED FROM . . . . : J M DRAIN CLEANING CONTRACTOR . . . . . . . : JOSE MENDEZ LIC # 29513 COMPANY . . . . . . . . . . : JM DRAIN CLEANING AND PLUMBING ADDRESS . . . . . . . . . . : 1725 ROGERS AVE STE C CITY/STATE/ZIP . . . : SAN JOSE, CA 95112 TELEPHONE . . . . . . . . : (408) 903-8184 • FEE ID ----UNIT -- QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ----- ---------- ---------- ---------- ---------- ---------- 1BPWATER UNIT 1. 00 40 .79 0. 00 40.79 0. 00 1BPWSVCS WATER SERVICE 1 . 00 20 .40 0. 00 20.40 0. 00 1BSEISMICR VALUATION 9, 481 . 00 1: 00 0. 00 1 . 00 0. 00 1PPERMITFE FLAT RATE 1 . 00 ' 40.79 0. 00 40 .79 0. 00 IPRWHEATR UNITS 1. 00 24 .48 0. 00 24 .48 0. 00 ITRAVDOC FLAT RATE 1. 00 40.79 0. 00 40 .79 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 168 .25 0. 00 168 .25 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 168. 25 #002 --------------- TOTAL RECEIPT 168. 25 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 106 SEWER & WATER 301 ROUGH PLUMBING 507 FINAL PLUMBING r Dj() V 0 03 q D✓ CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE CUPERTINO PERMIT APPLICATION FORM APN# { �y / 67� � Building Address: < 7 Owner's Name: Phone#: ontracto_pr:� �� Phone#'j1062 3 Contact: Phone#:S/ %03 g Sp Fax #: Contractor icense#: 8S(p 2 Cupertino Business License#: Job Description: C010f, - 1 P p 1�OH /v�� Hi-e c"y O Ak ResidenticK, Commercial ❑ Valuation: Green Building Check list must be completed and attached to this application. / Green Building Point 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 IRPSS sewer/sanitary sewer aoCITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE CUPEkINO FEE SCHEDULE QuantityFee ID Fee Description Fee Permit Type Group 1PRREPIPE Residential re-pipe per fixture P 1RPRP I 1BPWSVCS Water Service P 1CPWS or 1RPWS 1PPRSEWG 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 1 PPERMITFEE Plumbing Permit Fee Issuance P IPLM 3LNCK Plumbing Plan Check P 1PLMBINSP Other Plumbing/gas Insp. P / 1TRAVDOC Travel &Documentation Fee B IBUSLIC Business License B 0 i, Single Family GreenPoint Checklist date:y o Build It Greed The Grear int Checklist is based on the various green features Incorporated into the home and is the - Sman Solutions From the Ground Up basis for the GrastrPoii t Rated program.A home can be considered green If It fulfills the prerequisites, Hams at least so poems,and meets the minimum poems per category:Energy(3o),Indoor Quality)Health Health(5),Resources(6),and Water(g)).Please tented Build It Green for a list of qualifiedd GreenPoint - Peters If you are interested in pursuing third-parry variflcation. • The green building practices listed below are described In the New Home Construction Green Building Guidelines,available at www.bulidltoreen.om. ((--,1 EM PROJECT t E w U A.SITSPoints Available Per Measure 1.Protect Tone end Minimize Disruption of Existing Plants Is Tress ❑ a.Protect Topsoll from Erosion and Reuse after Conshucton 0 ❑ b.Llmh and Delineate Construction Footprint for Maximum Protection D 1 77 2 Deronstrud Insteetl of Demolishing Existing Buildings On site D 3 9.Reryele Job Bite Construction Waste Occluding Green Waste) ❑ e.Minimum 50%Waste Diversion by Weight(Recycling or Rai-Requiretl 0 R ❑ b.Minimum 65%Diversion by Weight(Recycling or Reuse) a--' -----"'—'--'— "----- ❑ c.Minimum BD%Diversion by Weight(Recycling or Reuse) p z--'--- 4.Use Recycled Content Aggregate(Minimum 25%) ❑. a.Walkway and Drivoway ❑ b.RDatlwry Base 0 — 1 , Total Points Available in Sao 12 0 13.FOUNDATION Points Available Per Measure 1.Replace Portland Cement in Concrete with Recycled Flyaah or Slag ❑ aMinimum 20%I'll or Slag 0 ❑ to Minimum 25%FI ash or Slag 0 1 El 2.Use Frost-Protaced Shallow Foundation in Cold Areas(C.E.C.Gnmete Zone 15) 0 3 a.Use Radon Re li mConabuefimOnAt-Risk Locations Only) 0 1 4.Design and Build Structural Pest Controls ❑ a.Install Termite Shieltls 8 Separate All Exterior WDDd-to-Concrete Connections 2xMost ar Plastic FastenarsIDNlders 0 1 b.All New Plants Have Trunk,Base,or Stem La:etatl At Least 361nches from Foundation 0 —r 1 Total Points Available in Foundation -0 C.LANDSCAPING Points Available Per Measure 1,Construct Resource-Efficient Landscapes - ❑ a.No Iminve Species Listed by Cel-IPC Are Planted 0 __J_ - '_�_. '- ❑ b.NO Plain Species Will Require Hedging � _�"__"'i - I I • ❑ c.75%of Plants Are Drought-tolerant California NaNes,Mediterranean,or Other Appropriate Species 0 3 ❑ 2,Use Flro-Safe Landscaping Techniques 0 1 i 3.Minimize Tuff Areas in Landscape Installed by Builder ❑ 4 All Turf Will Here a Water Requirement Less than or Equal to Tall Fescue(S0.8 plant factor) 0 _Z ❑ b.Turf Shall Not Be Installed on Slopes Exceading 10%or in Areas Less than B Feet Wide 0 ❑ c,Turf is 93%of Landscaped Area(tDtal2 points) 0 T ! 2 ❑ d.Turf isSID%d Landscaped Area(fixed 4 points) -- - ❑ 4.Plane Shads Trees 0 , ! 3 ED a.Group Planta by Water Needs(Hydrezonin ) 0 //'1 2 S.Install High-Efficiency Irrigation Systems ❑ e.System Uses Only Low-Flow Ddp,Bubblers,or Low-Dow Sprinklers 0 _t "� 2 ❑ b.System Has Broad ConhDllers 0 C—J I I 3 ❑ 7.Incorporate Two Inches of Compost In the Top 6 to 12 Inches of Soil 0 3 E] 6.Mulch All Planfing Beds to the Greater of 2Inehes or Local Water Ordinance Re Requirement 0LJ - 2 B.Use 50%Selvaged or Recydod-Content Materials for 5D%of Non-Plant Landscape Elements 0 1 ❑ 10.Roduc.Light Pollution by Shielding Flxtures andfor Directing Light Downward 0 Total Points Available in Landscaping=31 0 _ D.STRUCTURAL FRAME R BUILDING ENVELOPE Porn vallable Per Measure 1.Apply Optimal Value Engineering ❑ a.Placa Rafters and Studs at 24-Inch On Center Framing _0 _ _ __I 1 __ ❑ b.Size Door and Arnim Headers for Load 0 �_ ❑ c Use Only Jack and Cripple Studs Required for Load 0 1 2.Use Engineered Lumber ❑ a.Beams and Headers ❑ to.Insulated Engineered Headers ❑ c.Wood Wolsts or Web Twines,for Floors -' --L---,----- _.D I 1 ❑ tl.Wood 4JDisls for Root Rafters ❑ e.Engineered or Finger-JDintetl SNtls for Vertical Applications ❑ f.Oriented Strand Board for Sublioor 0 ❑ g.Oriented Stand Board for Well and Roof Sheathing 3.Use FSC-CeNfied Wood ❑ a Dimensional Lumber,Studs and Timber.Minimum 40% 0 2 ❑ b.Dimensional Lumber,Studs and Timber.Minimum 70% D E] 2 D.Panel Products:Minimum 40% _ _ - 2 1 El d Panel Product:Minimum 70% 0 0 7 I 02007 Build It Green Single Family GraenPolnt Checklist 2007 Version Page 1 of 4 c MannaENTE• • • a 4.UNI 6ditl Well Systeme(Includes,SIPS,ICFs,6 Any Non-Stick Frame Assembly) ❑ a.Floor D � � — 2 ❑ b.Walls —D 2 — 2_ ❑ c.Roofs D 2 L 5.Reduce Pollution Entering the Home from the Garage ❑ a.Tightly Seal the Air Barrer between Gangs and Living Area 0 ❑ b.Install Gare a Exhaud Fen OR Bulld a Oetachad Gare e 0 S.Design Energy Hardy on Trustee(76%of Aide Insulation Height at Outside Edge of Exlarlor Wall) 0 1 ❑ 7.Design Roof Trustees to Accommodate Duchvork 0 1 Ej B.Use RecyciadContent Steel Studs for 9D%of Interior Wall Framing0 1 9.Thermal Mew Wells:5111-Inch Drywall on All Interior Wells or Walls Weighing more than 411 Ibscu.fL 0 1 10.Install Overhangs and Gutters, ❑ a Minimum 113Anch Overhangs and Gutter 0 _ ❑ b.Minimum 24-Inch Overhangs and Guhare 0 1 Total Polo Available In Souduial Building Frame and So l a=36 D E.EXTERIOR FINISH Points Available Per Measure LJ t.Use Recycled-Convent No Virgin Plastic)or FSCCeNfled Wood Docking 0 2 2.Install a Rain Screen Well System 0 2 3.Lee Durable and Noncombustible Siding Materials 0 1 4.Select Durable and Noncombustible Roofing Materials 0 2 Total Polnm Avellablt In Exterior Finish=7 0 F.1NBDLATION Points Available Par Measure t.Install Insulation with 75%Recycled Content ❑ a.Walls al Floors _6__ ❑ In.Ceilings 0 1 2 install Insulation that Is Low-Emitting(Certified Section 0135D) ❑ a.Walls and/or Floors o - ❑ b.Callings 0 9.Inspect Quality of Insulation Installation before Applying Drywall 0 1 Total Poinis Available in Insulation=5 0 G.FLTIDIHING Points Avallehle Per Measure i` 1.Distribute Domestic Hol Water Efficiently(Maximum 7 Points) ❑ a.Insulate HIM Water Pipet from Water Heater to Kitchen 0 rallel _ b.Insulate All Hot Water Pipes 0 1 ] ❑ c.Use Engineered PaPiping _ 0 ❑ tl.Use Engineered Pamial Piping with Demand Controlled Circulation Loop ❑ e.Use Structured Plumbing with Demand Controlled Circulation Loop ❑ L Use Central Core Plumbing 0 _ 1 1 ❑ 2.Install Only High EfficienTolleb(DuaFFlush or 5126 loD Total Points Avenel in Plumbing=Total 12 0 TING,VENTILATION K AIR CONDITIONING Points Available Per Measure 1.Design and Install HVAC System b ACCA Manual J,D,and S Recommendations 0 1 4 2.Intal Sealed Combastion Unite ❑ a.Furnaces 0 — —2—- �— ❑ b.Water Heal D � 2 , 3.Install Zoned,Hydropic Radiant Heating with Slab Edge Insulation 0 1 1 4,Install High Efficiency Air Conditioning with hmVeDnmsntaliy Responsible Refrigerants 0 1 S.Design and Install Effective Ductwork ❑ a.Install HVAC Unit and Duciwolk within Condidoned Space 0 _ 3 ❑ b.Use Dud Mastic on All Duct Joims and Seems ❑ C.Install Duchvork under Attic Insulation(Buried Duds) 0 __-- ❑ d.Pressure Balance the Ductwisk System _ 0 __... 1 ❑ e.Protect Duds during Construction and Clean All Duds call Occupancy 0 1 e.Install High Efficiency HVAC Filter(MERV 6r) 0 1 ❑ 7.Don't Install Fireplace or Install Sealed Gas Fireplaces with Efficiency Rating Not Less Than 60% 1 0 using CSA Standards B.Install Effective Exhaust Systems In Bathrooms and Kitchens ❑ a.Install ENERGY STAR Bathroom Fent Vented to the Outside 0_ ❑ b.All Bathroom Fane Are on Timer or Humidistat 0 ❑ c.Install Kitchen Range Hootl Vented to the Outside 0 ] �— B.Install Mechanical Ventilation System for Cooling(Maximum 4 Points) ❑ a.Install ENERGY STAR Calling Fane 5 Light Klw in Uving Areas 5 Bedrooms 0 _ j 1 r F-1 b.Install Whole House Fan with Variable Speeds _ ..._�- ❑ c.Automatically Controlled Integrated System ❑ d.Automatically Controlled Integrated System will Variable Speed Control 0 -- 10.Install Mechanical Fresh Air Ventilation System(Maximum 3 Points) ❑ a.Any Whole House Ventilation System That Meats ASHRAE 622 _ 0_ 2 ❑ b.Install Air.to-Air Heat Exchanger Nal meets ASHRAE 522 0 '•' 11,Install Carbon Monoxide Alarms) 0 1 Total Pointe Available In Heatin Ventilation end Air Concdionin m 2007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 2 of 4 a 1 Q UE Q 6 ENTER PROJECT NAME I.RENEWABLE ENERGY Points Available Per Measure CT 1.PwPlumb for Solar Hot Wow Heating 0 1 4 LJ 2,Install Soler Witter Sterling System 0 ! 10 _71-3.Install Wiring Conduit for Future Photovoltaic Installation 6 Provide 2DO to of Sou h-Feting Roof 0 2 4.Install Photovoltaic(PV)Panels ❑ a.30%of electric needs OR 12 ON(tribal 6 points) 0 6 ❑ b.60%Melectric needs OR 2AkW(total 12 paints) 0 6 ❑ c.90%of electric need OR 3.8 kW(total 1 A))mots) 0 6 Total Amiable Points in Renewable Energy=2B 0 J.RDDAING PERFORMANCE - .Points Available Par Measure 1.Diagiri Evaluations ❑ a.House Passes Blower Door Test _0 ❑ b.House Passes Combustion Safety Backlash Test 0 ] 2.Design and Build High Performance Hamm-%above Tma 24-minimum 15%Required 0 >_30 ❑ 3.House Obtains ENERGY STAR with Indoor Air Package Certification-Pilot Manual(Total 45 points;read comment) D 5 2 Total Available Points In Building Performance 39 0 H.FINISHES Points Available Par Measure 1.Design Entryways to Reduce Tm*ed in Contaminants 0 7 2.Use Low-VOC or Zero-VOC Paint(Maximum 3 Pains) ❑ a.Low-VDC Interior W'ahlCoiling Paints(<50 gpl VOCs(Flat)and<150 gpl VOCs(Non-Flat)) 0 ❑ b.Zero-VOC:Imarlor WeIVCallin Pains(d gpl VOCs(Flat)) 0 1 3 ❑ 3.Use Low VOC,Water-Based Wood Finishes(d50 gpl VOCs) 0 ! 1 2 ! 1 ❑ 4.Use Low-VOC Caulk and Construction Adhesives(<70 fill VOCs)for All Adhesives 0 2 ❑ 5.Use Recycled-Content Paint 0 1 6.Use Erwiro mentally Preferable Materials for Interior Finish;A)FSC-Certified Wood,B)Reclaimed,C)Rapidly Renewable,D)Recycled-Comm or E)Finger-Jointed ❑ a.Cabinets(50%Minimum) 0 ❑ b.Interim Trim(5D%Minimum) 0 ❑ c.Shelving(50%Minimum) 0 L 1 ❑ d.Doors(50%Minimum) _0 ❑ e.Counteno s(50%Minimum) 0 ] 7.Reduce Formaldehyde In Interior Finish(CA Section 0135D) ❑ a.Subfioor 6 Stair Treads(50%Minimum) 0 ❑ b.Cabinets M Coumanops(50%Minimum) ® ❑ c.Interior Trim 0%Minimum) _0 E] d.Shelving(50%Minimum) ❑ B.Atter Installation of Finishes,Test of Indoor Air Shows Formaldehyde Leval d7ppb 0 ! 3 1 Total Available Points In Finishes=21 0 L.FLOORING Points Available Per Measure 1.Use Environmentally Preferable Flooring:A)FSC-Carllfiad Wood,B)Reclaimed or Refmishad,C)Rapidly Renewable,D)Recycled-Content,E) - Exposed Concrete.Flooring Adhesives Must Have 60gpl VOCs. ❑ a Minimum 15%of Floor Area 0 ❑ b.Minimum 30%Of Floor Area 0 ❑ C.Minimum 50%of Floor Area 0 ❑ d.Minimum 75%of Floor Area 0 ] ❑ 2.Thermal Mass Floors:Floor Covering Other than Carpet on 50%or More of Concrete Floors 0 1 ❑ 3.Flooring Moes SK901101350 or CRI Green Label Plus Requirements(SD%Minimum) 0 1 1 2 I 1 Total Available Points in Flooring=7 0 M.APPLI IRCES AND LIGHTING Points Available Par Measure 1.Install Water and Energy Efficient Dishwasher ❑ a.ENERGY STAR(total 1 pomp _0 ❑ b.Dishwasher Uses No More than 6.5 GallonslOycle(total 2 points) 0 i 2.Install ENERGY STAR Clothes Washing Machine with Water Factor of 6 or Less ❑ a.Masts Energy Star and CEE Tier requirements(modified energy factor 20,Water Factor SO)(total 3 poims) 0 ] ! 2 ❑ b.Meets Energy Star and CES Tier 3 requirements(modified energy factor 2$Water Factor 45 or less) --' --'— --i-- --Z (total s pol a 3.Install ENERGY STAR Refrigerator ❑ a.ENERGY STAR Qualified 3<25 Cubic Feet Capacity 0 ❑ b.ENERGY STAR Quaed If<20 Cubic Feet Capacity 0 1 1� 4.Install Built-In Rsryclinp Center 0 ❑ a Built-In Recycling Center 0 __ 2 ❑ b.Built-In Composling Center 0 1 i Ton]Avellahle Points in Appliances and Lighfin =12 0 N.OTHER Paints Available Per Measure ❑ 1.Incorporate GnimPoint Rated Checklist in Blueprints Required 0 ( ( j R ❑ 2.Develop Homeowner Manual of Green FlummuslBenefis 0 1 1 1 3.Community Design Measures a Local Priorities:See the Community Planning If Design section in Chapter 4 W the New Home Guidelines for measures,Maximum M 20 points for suggested manures,Local requirements may also be listed here. ❑ 02007 Build It Green Single Family GreenPolnt Checklist 2007 Version Page 3 of 4 ENTER PROJECT • , / ME - ❑ Enter Contortion here,and anter pointe available to measure in appropriate CBlepadol to the right 0 0 0 0 0 0 Door description hers,and enter pointe evallath for measure In als{eopdate Categories to the right. 0_ 0_ D 0 0 0 ❑ Enter description hers,and enter points evallabla IM measure In appropriate Categories to the fight 0 0 0 0 0 ❑ Ener description hen,end enter points avallable IV measure fir approFldae categories 10 the rlghL 0 _ D 0 0 D 0 4.Innovation:List innovative measures that meet the green building objectives of the Guidelines.Enter up to a Buiitl h Green Checklists end Guldel maximum combined total of 20 pts.See Innovation Checklist for suggested measures,usingthe link to the right _ B _ __ Li Intimation in oommunl .Enter description here,and enter points available far museum In ah Compares to the fight, nnwEnergy: 0 0 0 0 0 0 Iaflon In En :Enter tle tion hen,entl enter points available to measure In ate cats ales to the d ht. _ 0 0 0 0 _ 0 0 Innovation in IAOMM1m:Enter description ham,and entre points available for manure In appropriate rote odes 10 the light. C 0 0 0 D _ 0 nimmallon In Nesouroae:Emm description here,and enter points evalleble fl manure In approst Congress t0 the right, _ f D 0 0 _D 0 Innovahm In Water:Enter deecrlpllon hare,and enter points available fa measure In appropdan Cate DHa h IN rlgbL 1 _ 0_ 0 0 g 0 Total Available Pointein Omer113 D Summary Total Available Points in Specific Categories' 4+ 96+ 42+ 66+ 43+ Minimum Points Required in Specific Categories 0 3D 6 6 9 TDtal Poi-ints • I I��77 I I 1 1 Pro)oct hes not yet met the following recommended minimum requireenentss Total Project Score of At Least 50 Points v -Required measures: 43a: 50% haste diversion by weight -)2: 15%above Title 24 -N1:Incorporate GreenPoint Rated Checklist Into blueprints -Idinlmum points in specific categories: -Energy(30 points) -!A&Health (5 points) -Resources(6 points) -Water(9 points) • 02DD7 Build It Green Single Family GreartPolnt Checklist 2007 Vemion Page 4 of 4 Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 CUPEkTINO i Building Department JOB ADDRESS: PERMIT # ►^1 r et) CFO L(C2 0 O R'S NAME: PHONE # GENERAL CONTR CTOR::�k - FAX # I am not using any subcontractors: 7 Signature Date Please check a licable subcontractors and complete the followin information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Ceme t Finishing Electric Excavation Fencing Flooring: Carpeting / Linoleum/ Wood Glass/ Glazing • Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Sh Metal eet Rock —77 Tile er/Contractor Signature Date