08040115 (2) CITY Off'CUPERTINOaLr�. Tt -
BUILDINGDIYTSION PERMIT � �L\J.. CTx--- RIW.Ui
BUDDING ADDRESS: PERMIT NO. -
19730 MERRITT DR JM DRAIN CLEANING AND 08040115
OWNER'S NAME: PERMIT ISSUE DATA
1RAJ TUPLUR 1725 ROGERS AVE STE C 04/15/2008
NE SANITARY NO. CONTROL NO.
ARCHITISC71711INGINISER:- BUILDING PERMIT INFO
INSTALL NEW GAS LINE 3/4 O O D FROM 62NS MET O
30$ LICENSED CONTRACTOR'S DECLARATION
1 hereby afarm Nal 1 on licensed under provision of Chapter 9(commencing ob eseription
with Section 7000 of Division 3 of the Business and Prefeuion Cada,and my l'e me I.
^ lo fail force and off
ucense Cl a Lim.is
7 Dau - - Contractor
e ARCHTECrS DKUMIXTION
,a I undersand my puns shall he used as public records
h G Licensed Prefectural
OW NER-BUILDER DECLARATION
i I bcmhy norm Nn 1 am comp,from the Canuactars License Law for Ne
O 4 following reason.(Section 7W I.S.Business and Pmfauions Code:Any city or county
$Y.. which om.l a a permit to cMmu m,aher.improve,demulm,or repair any structure
poor to is Issuance.ales occulres the appimsbt(n such Permit to file a signed tlaamem
gF< thorWtsOaosed rSee.m to do,of Division ar we canu.earauec�tumn(Chapter Sq.Ft. Floor Area Valuation
C9 Mahe is licensed
Sucunt 70 W)pevislons of
the Business and Pmfessw( hapten
3 use,he u eeerept themfmm and Ne basis for the alleged compiler.Any violation of
Section 7031.3 by my appikesm for a permit subjects the applicant to a civil penalty of APN Number Occupancy Type
nos area this five hundred dollars,(35(310), P Y -
❑1,u susses of tie Property,m mY wployea with wga a theh anlo eampenution,
will do the work,and themwnre it notimandedor offered measle(Sec.R)ad,Businessand Profeadaas Cade:Ten n Communes I ieene Law deact apply to an Wwr of Required Inspections
propeny who Wildsarimproves t emaa,and whod^essuch wart himsnufmthmugh his
owremplaym,pooldnd that such improvements are ret intended osaRcted fosssle.If.
however,the Wilding os improvement is old within arc year ofmmpledm the owner-Wilder
will haw the burden of proving that he did an,build ar improve for purpose of
❑1.u owner of see property,iso eaelwively contracting wild rimmed commeosx to
mnstroel the project(Sec 7014,Business and professions Code:)The CmuanMa Ll-
.Law does nal apply n as Wier of prapeny who Wilds ar impmws darear.and
who convects forsuch projects with a canuacumis)immued pursuant to the Controloh
License Law.
❑I Me osemprvrdm See .B d PC for Ws mown
Owner Dae
WORKERS COMPENSATION DECLARATION
1 hereby afloat under penhy of perjury one of the following declarauome
Mve and will mainWnx Certificate ofCon ant to self-Mom fm Warkels Compact-
sed provided for by=am 3700 of tis Labor Cade,fm the performance of do
wart for which This permit is issued.
❑1 haw and will maintain Worker'.Compensation Insurance,as required by Seeman
3700 of sea Labor Code.for Me performance often week for which this permit is issued '
My Worker.Compeosmco Lvmlanee carrier and Polley number are:
Carrier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This auction tad sot W carepleed amen permit isfar ase hundred dollen(SIM)
' or kas)
I certify that in rte pe lmomnm of W work fns which tyt�lttpPeeemIt I.issued.I mall am
employ any person in my mtyrg:rsy�bjgGEt yllte WorhK Compensation
Looruf Califomi
AppBa.
NCnC� u CeniRae of Ea-mmtiar.you mould
a
become subject In W Wei Campmwuon previsions of Ne Lover Cad-,you muse
wJ Q forthwith comply with such Provision w this panno shall en deemed revoked.
z .~�. CONSTRUCTION LENDING AGENCY
1Wmhyafltrm
[-d door dare sea conslmmiW lcndinS agency for tie Performance of
fY t> Ne wart far which mu permit u issued(SI.3097,Civ.C.)
,t
WM Q Undoes Name
z Lmomes Address -
U Q I costly dust I Mw read thus application and sum cove the throw information is
pry^ conect.I agree a comply wire all city and cowry ordinances and sue laws mixing n
Wilding c^nswnion,and hereby authorize:representative ofthu city to enter mann me
W Qw-mendoned pmpeny for inspection purpoaes.
G (enc)agree to saw,indemnify and trop Mantra see City of Capsular,again,
(/1 limilitia.Jndgmmu.<oau and aspen...which may In any so,arena aalnsl ea d City
UZ in consequence of the Standing of this permit +�
^' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOUR GULATIONS.
' - Re-roofs
assibum,of Applian on Das
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will tie applicant or future building occupant am or handle hazardous material
as deRnd by the Cupertino Municipal Code.Chapter 9.11 and the Health and Surety
catie.seN.25532(a)7
ED Y. ON. All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or mare building occupant use equipment or devices whim If a roof is installed without first obtaining an inspection,I agree to remove
I hamMms air conumrnanu u dcamd by the Bay Arta Air Quality Management all new materials for inspection.
auktT
OYos ONO
I have mass tie hemdms materials dequarmemss under Chapter 6.93 of the Califor.
me Heal"SafmyCoda,Sccuaas 25303,15333 and 15334.1 undnwnd matif tie Wilding
does not Currently how a ena l MW it is my m lily to notify den meupam or de
mgvimmenes ficim.foccuppouSignature of Applicant Date
nal or mthodod&gen, DowAll roof coverings to be Class'W'or better
CITY OF CUPERTINO
4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 31629045.00
DATE ISSUED. . . . . . . : 04/15/2008
RECEIPT #. . . . . . . . . : BS000004495
REFERENCE ID # . . . : 08040115
SITE ADDRESS . . . . . : 19730 MERRITT DR.
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : RAJ TUPLUR
ADDRESS . . . . . . . . . . : 19730 MERRITT DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-2440
RECEIVED FROM . . . . : JOSE MENDEZ
CONTRACTOR . . . . . . . : JOSE MENDEZ LIC # 29513
COMPANY . . . . . . . . . . : JM DRAIN CLEANING AND PLUMBING
ADDRESS 1725 ROGERS AVE STE C
CITY,/STATE/ZIP . . . : SA14 JOSE, CA 95112
TELEPHONE . . . . . . . . : (408) 903-8184
® FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- --------- -----
1BSEISMICR VALUATION 600. 00 0 .50 0 . 00 0. 50 0. 00
1PGASRES OUTLETS 1. 00 61 .19 0 . 00 61 . 19 0. 00
1PLMBLNCK HOUR 1 . 00 122 . 38 0. 00 122 .38 0. 00
1TRAVDOC FLAT RATE 1. 00 40.79 0. 00 40 .79 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 224 . 86 0. 00 224 .86 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CASH 224 . 86 CASH
---------------
TOTAL RECEIPT 224 . 86
VOICE ID DESCRIPTION - VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
202 UNDERFLOOR PLUMBING 301 ROUGH PLUMBING
506 GAS TEST 507 FINAL PLUMBING
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
• CUPERTINO PERMIT APPLICATION FORM
0,dvall s
APN# W c2 9 6CK00 Date: _ S
Building Address:
d er's Name: Phone*
C ' ^
/ _ V
Contractor: (I Phone#: w
y� Fax#:
Contact: Phone#:
Fax#:
Contractor icense#:
Cupertino Business License#:
Job Description:—�
O
Residential CP Commercial ❑
Valuation/
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
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
CUPEkTINO FEE SCHEDULE
c
Quantity Fee ID Fee Description Fee ;, ,Permit Type
a:J CG?ou
1PRREPIPE Residential re-pipe per fixture P 1RPRP
1BPWSVCS Water Service P 1CPWS or
1RPWS
1PPRSEWG Private Sewage Disposal System P
1PCESS Cesspool P
IBPWATER Install/alter Water Pipe P
1BPFIXTURE Plumbing Fixture P
1PGASRES Residential Gas Piping System P
1-4 Outlets
1BPGAS Gas Piping System 5+ Outlets P
1PPERMITFEE Plumbing Permit Fee Issuance P
1PLMBLNCK Plumbing Plan Check P
1PLMBINSP Other Plumbing/gas Insp. P
/ 1TRAVDOC Travel &Documentation Fee B
1BUSLIC Business License B
t.
1 Single Family GreenPoint Checklist data: Y- add Build It Greed
The GreenPoint Checklist Is based an the various green features Incorporated Imo the home and is the Small Solutions From The Ground Up
basis for the GreenPoint Rated program.A home can be considered green if It fulfills the prerequisites,
earns at least 50 polls,and masts the minimum points per category.Energy(3D),Indoor Air Quality/
Health(5),Resources 161,and Water(B).Please contact Build It Green for a list of qualified GreanPoint Pin F
--
Raters If you are interested In pursuing third-party verification.The green building practices listed below are described in the New Home Construction Green BuildingGuidelines,avaliable atwww.bulltlitoreen.oro. - - --
'ENTER PROJECT NAME
A,SITE Points Available Per Measure
1.Protect Topsoil and Minimize Disruption of Existing Plants 6 Trees
❑ &Protect Topsoil from Erosion and Rouse after Construction 0
❑ b.unit and Defneate Consbudion Footprint for Madmum Prolumon p -
2 Deconstruct Instead of demolishing Existing Buildings On Site, D 3
3.Recycle Job She Construction Waste(Including Green Waste)
❑ &Minimum 50%Waste Diversion by WeigM(Becyding or Reuse-Required 0 R
❑ b.Minimum 65%Diversion by Weight(Rocycbng or Reuse) p
❑ c.Minimum BD%Diversion by Welghl(Recycling or Reuse) 0 2
4.Use Rryct,d Content Aggregate(Minimum 25%)
❑ &Walkway and Driveway 0
❑ b.Roadway Base - -
o x .
Total Penis Available in Site 12 0
B.FOUNDATION �H. Points Available Per Measure
1.Replace Portland Cement in Common,with Recycled Ftyash or Slag
❑ a.Minimum 20%Ryash or Slag _ 0J
El d.Minimum 25%Pyash or Slag { p I�i --
❑ 2.Use Frost-Protected Shallow Foundation in Cold Areas(C.E.C.Climate Zone 16)
3.Use Radon Resistant CDnsWCfiDn(in At-Risk Locations Only) D 1
4.Design and Build Structural Pest Controls
El a.InYaO Tennite Shields 6 Separate All Ederim WDDtl-toConmote Connections Metal w Plastic Festenerli ividers _ 7
b.A0 New Plants Have Trunk Bess,or Stem Located At Least 38 Inches from Foundation
Total Points Avallaole in Foundati 6—0-1 1
C.LANDSCAPING Points Available Per Measure
1.Construct Resource-Efficient landscape
❑ &No Invadve Spades Listed by Cal4PC Are Plametl 0 r I
• ❑ b.No Plans Species Wil Require Hedging
❑ Appropriate
I -
c.75%of Plants Are Drought-tDierant California Natives,Madlemansan,or Other Apr,ropriate Species p _
2.Use Firs,Ssfe Landscaping Techniques 0� 1
3.Minimize Tud Areas In Landscape Installed by Builder s
❑ &All Tud Will Have a Water Requirement Less than is Equal to Tall Fescue(50.6 plant facim)
❑ b.Tud Shall Not Be Installed on Slopes Exceetlmg 1096 or In Areas Less than 6 Feel Wde p �
❑ c,Tud Is Sia%of Landscaped Area Dotal 2 points) a
❑ d.Tud is 510%of Landscaped Area(total 4 points)--7-1-4.Plant Shad,Trees 0 3
❑ 5.Group Plats by Water Needs H drozonin ) D 2
6.Install High-Efficiency Irrigation Street
❑ a.System Uses Only Low-Flow Drip,Bubblers,a Lmr-6mv Sprinklers 0 2
❑ b.System Has Sman Controllers
0 3
7,Incorporate Two Inches of Compost in the Top 6 to 12 Inches of Soil 13
❑ &Mulch All Plandn Bads to the Greater of t Inches or Local Water Ordinance R, uirenlent 0 2
9.Use 5D%Salvaged or RecydedContent Materials for 50%Of Non-Plant Landscape Elements D 1
❑ 10.Radom Light Pollution by Shielding Fixtures andior Dinkring Li ht Downward 0 1
Total Points Avallable in L falil 0
D. STRUCTURAL FRAME&BUD.DING ENVELOPE Points Available Per Measure
1.Apply Optimal Value Engineering
❑ a.Place Rafters and Studs at 24-Inch On Canter Framing
❑ b.Size Dom and Window Headars for Load --
❑ c.Use Only Jack and Cripple Studs Required fm Load — -"--- -'
1
2 Use Engineered Lumber
❑ a.Beams and Headers 0 1
❑ b.Insulated Engineered Heaaars -0"--'- - - -- -- ---
❑ c.Wood l-Joists or Web Trusses for Floors --0-
----
❑ d.Wood I Joists for Rota Rafters _
Jdnted Studs M Vertical Applications p
❑ e.Engineered or Forger- -
❑
I.Oriented Strand Board for Sublime —0 ----- -` --""-'-"F-- "'--" '
❑ g.Oriented Strand Board for Wall and Roof Sheathing 0 T 1
3.Use FSC—Carl Wood
❑ a.Dimensional Lumber,Studs and Timber.Minimum 40% p 2
• ❑ b.Dimensional Lumber,Studs and Timber.Minimum 70% p -
❑ c.Panel Products:Minimum 40% 0
❑ d.Papal Products:Minimum 7D%
D 1
02007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 1 of 4
s
ENTER . .
nnu
1.Use Solid Wall Systems gncludes Sips,ICF4 a Any Nori Frons,Assembly) ei
❑ s.Floors 0-
E3
❑ b.Welt D 2 2
❑ c.Roots 0 2 t
S.Reduce Pollution Entering the Home from the Garage
❑ A Tightly Seel the Air Blumer between Gerege and LMng Area __0 1
❑ b.Install Going@ Exhaust Fen OR Build a Detached Garage D 1
Lj e.Design Energy Hi on Trusses(75%of Attic Insulation Hai ht at Outside Ede or Exterior Well 0 1
7.
Design Roof Trusser to Aocommodete DIU Mork 0 1
6.Use Racycled-Content Steel Studs for Do%of Interior Wall Fremin 0 - 1
B.Thermal Mau Walls:SWneh Drywall on All Interior Wells or Walls Weighing more than 401b/cu.R. 0 1
10.Install Overhangs and Gumrs
❑ A Minimum 1S-Iroh Overhangs and Guess
❑ b.Minimum 241noh Overhangs and Guitars 0 1
Total Pours Ave able In Stmduixl Building Frame and Emalope.36 D
E.EXTERIOR FINISH Points Available Per Measure
1.Use Rarycled-ContOW o Virgin Plastic or FSC-Cert find Wood Dei 0 2
2.Install a Reln Screen Wall System 0 2
LJ 3.Use Durable and Noncombustible Siding Materials 0 1
1.Select Durable and Noncombustible Roofing Materiels D 2
Total Points Available in Exterior Finish.7 0
F.INSOLATION Points Available Per Measure
1.Install Insulation with 75%Recycled Control
❑ a Walls ender Floors --0 1
❑ b.Callings 0 1
2.Install Insulation that la Low-Emitting(Cardfied Sli 01350)
❑ a.Walls andlor Floors 0
❑ b.Caf in s 0 ].
❑ 3.Inspect Dustily of Insulation Installation before Applying Dall 0 1
Total Points Avemble in Insuslwa=5 0
G.PLUMBING Points Available Per Manure
1.Distribute Domestic Hot Water ENidentH(Maximum 7 Points).
❑ e.Insulate HN Water Pres from Was,Heater tc Kitchen 0 > >
❑ b.Insulae All Hot Water Pipes _
❑ c.Use Engineered Pori Piping
❑ d.Use Engineered Parallel Plping On Demand Controlled Ctrculetion Loop
❑ e.Use SWCNfad Plumbing Mth Demand Controlled Circulation Loop
❑ 1.Use Central Core Plumber D 1 1
❑ 2.Install Only High Efficiency Tolles Dual-Flush or 5136 gpQ 0 4
Toll Points Available N Plumbing.Total 12 0
H.HEATING VENTILATION A AOI CONDITIONING Prins Available Per Measure
El 1.Design and Install HVAC System to ACCA Manuel J,D,and S Recommendations 0 4
2.Install Sealed Combustion Units
❑
A.Furnaces D _ 2
❑ b.Water Heater D 2
Lj 3.Install Zoned,Hydronic patient Hewing with Slab Edge Insulation 0 1 1
I.Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerant 0 1
5.Design and Install ENecOve Ductwork
❑ A.Install HVAC Unit and Dui Mthln Contifionad Space
❑ b.Use Dud Mastic on All Duct Jolnis and Seams
❑ c.Instal Ductwork under Ate Insulation(Burled Duds) D ? _
❑ d.Pressure BBIWee the Dusiwrak System 0
❑ e.Prose Duch during Cons ton Wnraen Al Ducts before Docupanry 0 1
S.Install High Efficiency HVAC Filter IMERV 6a 0 1
❑ 7.Don't Install Flmptece or Install Sealed Gee Flrepaces with EKelency Rating Not Less Than 60% 0 1
using CSA Standards
B.metal Effective Exheuq(Systems In Bathrooms and Kitchnna
❑ a Install ENERGY STAR Bathroom Fens Vented to the Outsits D _ 1 -
❑ b.All Bathroom Fens Are on Timer or Humitistal -
❑ c.Install Klphen Range Hood Vented to the Outside 0 ]
B.Install Mechanical Ventilation System for Cooling(Maximum 4 Pointe) '
❑ A Instal ENERGY STAR Calling Fens If Light Kris in LY Iq Areae A Badmoms _0 _
❑ b.Instal Whole House Fan MS Variable Speeds 0--
1 _
❑ C Automet baly Controlled Integrated System _ 0 _ _
❑ d.Aummafically Controlled Integrated System Mth Variable Speed Control D 3
10.Install Mechanical Fresh Air Ventilation System(Maximum 3 Points)
❑ e.Any Whole House Ventilation System That Meas ASHRAE 62.2 0 2
❑ b.InsYal Alr4o-Air Heat Exchanger that meets ASHRAE 622 D 1 2
11.Instal Carbon Monoxide Alsr s 0 - 1
Total Points Available In Heating,Ventilation and AB Condlionin .30 0
0 2007 Build It Green Single Family GreamPolnl Checklist 2007 Version Pegg 2 of 4
t,
ENTER PROJECT NAME
g no
--- - --.- -.- ------.- --- - M0 ff
I.RENEWABLE ENERGY 77777777Available Par IJ,aasure
Tn 1.Pre-Plumb for Soler Hot Water Heading 0 4
• LJ 2.Install Solar WOW Hearing Syrim 0 10
LJ ].InstaWi
ll dn Conduit for Future Photovoltaic Install ruin 6 Provide 200 iP of South-Fain Roof D 7
4.Instill Photovoltaic(PV)Panels
❑ a.3D%of electric needs OR 12 kW hotel points) 0 6
❑ b.SD%of elactnc needs OR 24kW(toad 12 points) _ 0 _—__ 6
❑ c.90%of eintiic need OR 3.6 kW(tMel 13 points) 0 g
Total Available Paints In Renewable Energy=25 0
J.BUBAING P1i1mORMANCE Points Available Per Measure
1.Diagnostic Evolutions
❑ a.House Passes Blower Door Test _0
❑ b.House Passes Combustion Safety Backdreh Test 0 - 7
2Design and Build High Performance Homes-%above Title 24-minimum 15%Required D >_30
❑ 3.House Obtains ENERGY STAR with Indoor Air Package Certification-Pilot Meesum(Tool 45 Points read comment) 0 5 2
Total Available Points In Building Performance 39 0
E.FINISHES Paints Available Par Measure
1.Design Entryways M Reduce Tracked in Contaminants 0 3
2 Use Low-VOC or Zero-VOC Paint(Maximum 3 Palms)
❑ a-Lo*VOC Interim WelliCelfng Paints(dO gpl VOCs Flat)and x150 gpl VOCs(Non-Flaq) 0
❑ b.ZDm-VOC:internal WMUCeflin Parm(d galVOCs(Fla) 0 I 3
❑ 3.Use Low VOC,Water-Band Wood Finishes(Q50 Sit VOCs) 0 2
❑ 4.Use Low-VOC Caulk and Construction Adhesives(AO 9PI VOCs)for All Adhesives 0 - 2
❑
S.Use Recycled-Content Paint p ( 1
S.Use Environmentally Preferable Materials for Interior Finish:A)FSC-Certified Wood,S)Reclaimed,C)Rapidly Renewable,D)RecyciedContant
or E)RngerJolnu d
❑ A Cabinels(50%Minimum) _ 0
❑
In.Interim Trim(SD%Minimum)
❑ c.Shelving(50%Minimum) 0
❑ d Doors(50%Minimum) _0
❑ e.Counter (50%Minimum) 0 ]
7.Reduce Formaldehyde in Interior Finish(CA Section 01350)
❑ a.Subfioor S Star Treads(50%Minimum) _ 0 __ _1 _
• ❑
to Cabinets 6 Countertops(5D%Minimum)
❑ c.Interior Trlm(50%Minimum)
❑ d.SheNin (50%Minimum) u 1
❑ B.After lnstelladon of Rnishm,Test of Indoor Air Shows Formaldehyde Level Q7ppb 0 ! 3
Total Available Points in Finishes 21 0
L.FLOORING Paints Available Per Measure
1.Use Environmentally Preferable Flooring:A)FSC-Certified Wood,B)Reclaimed or Refinished,C)Rapidly Renewable,D)Rerycied-Content,E)
Expand Concmt Flooring Adhesives Must Have c50 Sol VOCs.
❑ a.Minimum 15%M Floor Area - 0 _
El b,Minimum 30%at Floor Area 0
❑ c.Minimum 50%of Floor Area
❑ d Minimum 75%of Floor Area D 7
❑ 2 Thermal Masa Room Floor Covering Other than Carpet on 5D%or More of Concrete Floors 0 1
❑ 3.Flooring Meats Section 01350 or CRI Green Label plus Requirements(50%Minimum) 0 1 2
Told Available Points in Flowing=7 0
M.APPLIANCES AND LIGHTING Points Available Per Measure
1.Install Water and Energy Efficient Dishwasher
❑ e ENERGY STAR(total 1 polnQ _0
❑ b.Dishwasher Uses No More than 6S GellonsrC cle(IoW 2point) D 1
2 Install ENERGY STAR Clothes Washing Machine with Water Factor of 6 or Lela
❑ a.Maori Energy Star and CEE Tier 2 requirements(modified energy factor 2.0,Water Factor 6.0)(career 3 points) 0 _ _ _ ]_ _ _ _2__
❑ b.Meets Energy Slar and CEE Tier 3 requirements(modified energy factor 2.4 Water Factor 4.5 or less) 0 2
pals points)
3.Install ENERGY STAR Refrigerator
❑ a.ENERGY STAR Ouallfied 5<25 Cubic Feet Capacity _ 0
❑ b.ENERGY STAR Oualffiad 8<20 Cubic Feet Capacity 0 1
4.Install BuIINn Recycling Center 0
❑ a.Built-In Recycling Center 0 7
❑ b.Built-In Composting Canter 0 1
Total Avallabla Points in Appliances and Li ting=12 0
N.OTHER Pdnis Availatda per Measure
❑ 1.Incorporate GreenPoint Rated Checklist in Blueprints-Required p R
❑ 2 Develop Homeowner Manual of Green FeeturesrBenefits D 1 1 1 1
• 3.Community Design Memories 6 Local Priorities:See the Community Planning 6 Design section in Chapter 4 of the New Home Guidelines for
measures.Maximum of 20 points for suggested measures.Local requirements may also be Fisted here.
C 2007 Build It Green Single Family GreenPolnt Checklist 2007 Version Page 3 of 4
r
r f
R i
ENTER PROJECT NAME
❑ Enter description hero,and enter pens ovallable icr manure In appropriate caieporin to he right. 0 0 0 0 0 0
Enter description hen,and ander pens Manuel to MUM in approprine Wpgoin to Na right. 0 0 0 0 D D
Enter description here,and Used points available ml MUM in appropriate catepodn to he right. 0 D 0 0 0
❑ 40
Enter tler,crpticn hen,end enter pans wu0at s la manure In appropriate calepwin to he right. D 0 0 0 0 D
4,Innovation:List innovasve measures that meet the green building objectives of the Guidelines.Enter up to a Build It Green Checklists and
maximum combinDd total of 20 p1s.See Innovation Checklist for suggested measures using the link to the right. Guidelines_
Li Innovation in Community:Enter de lion ham,and enter pounts avataea to measure in stasniqlat,cat Drier,to ins riht. ID D 0 0 D
Innwnion in Energy:Enter description here,and enter polms,touchable fed mexeum In appropriate cove min to the right. 0 D D 0 0 D
Irmwalion In IAOMWth:Enter de here,and anted a ovale"Itt manure h e dere n to he t 0 0 D 0 0 D
Irmwedon a anouroae Emu do vardum ham,and enter Menials fix menus in optimmunt Wnrous to the ilghL 0 0 0 0 0 0
Innwa_tion In Water.Enter transcription hare,and enter pens available to manure In appropriate cateporias to the right 0 0 0 _ 0 D 0
Tmal AvaOeola Poinb in 0th:• 0
Total Available Poinm In Specific Categories' 4+ 96+ 42+ 66+ 43+
Minimum Points Required In Specific Cete Dries 0 30 5 B 9
Totalo B 1 B I 1 1
Proloct has not yot mot the following rxommendod mlNmmm rogmlromonts:
-Total Project Score of At Least 50 Points
-Required measures:
-A3a: 50% waste diversion by weight
-72: 15%above Title 24
-NS:Incorporate GreenPoint Rated Checklist into blueprints
-Minimum points in specific categories:
-Energy(30 points)
-!AQ/Health (5 points)
-Resources(6 points)
-14iater(9 points)
0 2007 Build It Green Single Family GreanPDint Checklist 2007 Vemlon Page 4 of 4
.._., Community Development
10300 Torre Avenue
w .y' Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
OCUPEkTINO.
Building De artment
JOB ADDRESS: PERMIT #
l 6— D<FO(t ol/
OWNER'S N PHONE # 22&
—
GENERAL CONTRA v FAX #
LA-V
I am not using any subcontractors:
e Date
Please check applicable subcontractors and com Tete the---Dwing 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
/
Owner/Contractor Signature Date