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08050017 (2) CITY OF CUPERTINO BUILDING DIVISION PERMIT CON'C.RACT(TIt*I�TF(}RMe ' IfJ� I BUIIDIN ADDRESS: PERMIT NO. 21331 MILFORD DR L. P. CONSTRUCTION CO. INC 08050017 OW NER'S NAME: PERMIT ISSUE DAIS TROGISCH MANFRED AND ERNA 559 38TH AVE 05/01/2008 Hgnrm SANITARY NO. - CONTROL NO. 4156686863 7ARCHITECTAINGINEER: BUILDING PERMIT INFO BLDG ELECT' PLUMB MECH c0LICENSED CONTRACTOR'S DECLARATION7pb DeSCrI upn mI Manby aRrm Oat 1 un licensed under pmvisioes of Chapter 9(commencing P don?Oflu)ofDivWon3ofOmBusinmmdProfcsdumCo&.andmyliccnmis DEMO EXISTING POOL ll farce and eB.t j n? License Class Lk.N c-a Dow Contractor e££wwwy ARCHITECT'S DECLARATION ?W 6 1 understand my plans shall M used as public records s k a t Li msed Professional u 5 OWNER-BUILDER DECLARATION 1 Mmby affirm Oat 1 am exempt 0om the Contracmh License Law for the i e o following mason.(Section 7(n 1.5,Business and Professioes Code:Any city or manly �i which requires a pe cut m construct,alter,impmw,demolish,or repair any structure z z< Primr ut its issuance,also scquires the applicant for such Permit m file a signed statement Oat h is licensed purmant to the provisions of the ConTracam's Licenm Law(Chapter 9 Sq.Ft.Floor Area Valuation aatt�o (commencing with Section a Division 3 or the Business and Professions CudO)Or $BOOO y at he is exempt theWmm and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects dee applicant to a civil penalty ofNumber - Occupancy nut roma than BK hundred dollars(5500). 32 6 410 9 9 . Pane Y Type 0 1,as owner of IM properly,many employees with wages as their sole compeasxdon, will do On.,Land the swctum is metintended orartered for sale(Sm.7W.Busiws and PmfaWoes Code:The Contractors Liceese Law does not apply be an Owner of Required Inspections pmpeny who builds or i m prom thereon,and who does such wort himself or through his ownemployms.provided Oat such improvements are not intended oroRued for We.If, howem,the building or improvement is sold within one year of completion,the owner- builder wig have the burden of proving that he did not Mid or improve for purpose of sok. 1,ss owner,of the property,am exclusively contracting wide licensed wntracrora in was=1 the pmjem(Sec.7044.Business and Professlosu Code:)The Conlracmr's Li- m.Law does not apply Was own.of property who build.m impmm themon,and, who concocts for such pmjects with awnuactor(s)licensed pursuant m the Contractors Licence Law. []lam axcrrp1mdKSB&P C for axis smaCsoom Own. . TION/ I fes WORKER COMP R SA ON DECLARATION/ ` I hereby eRi?under penalty o popery one of the following declwatioes: 1 haw and will maintain a Certificate ofC...t to self-inure for Wo kerxCompen- milen,.pmVlded for by Samoa 37BB of dee Labor Code,for does petfarinmw of tM work for which this permit is issued. 0 I have and will maintain Worker's Compensation I..,as acquired by Smuo. 377 ofthe labor Code.for the performance of the work for which this permit is issued. ' My Workers Compensation Insurance cariu and Policy number am: Cartier. Polity No.: _ CERTIFICATE OF EXEMPTION FROM WORKERS' - COMPENSATIONINSURANCE ,. (now motion need not M com plesed if the permit is far enc hundred dollars(SIM) or lass.) I cmJIY Out in We Perrmmance of the work fm which this pumil is issued,I shall not employ any person in any me r snas mLrwma subjcCI Warkns 5Pmrauon Lowe of Caliromia.Date ��T - AppOcem 11 ;t �, . ' NOTICE TO APPLICANT:IL afte makings Ccmficam of Exc than you should b.onle subject m The Worterk Compcwuo pmvOd Oox mf Oe Labor Code,you mesa .J z forhwide comply with such pmvisioes or this permit shall M deemed ranked. .zi O CONSTRUCTION LENDING AGENCY la: k for which affchthi WTmit uared(Sectimt 0lending agcmy for the perfmrmence u( Iy, theLe work for which Nu permit u tuned(Sec.J097,Civ.C.) Landers Nene .7 z 1<nders Address U Q I certify Oat 1 Mrs reed this application and some Oat the AMw infom .tion is IL cOmam 1 agree b comply with all city sand county ordinances and ante laws mlm,m 0 Wilding construction,and hereby author?o mprssentatim or this city mcnter upon Oc aMw-mentioned property for inspection purposes H y (We)agree To saw,indemnify and keep h.mless the City of Cupertino against rq liabilities.judgments,casts and expenses which may in my way mens qw,,said City U z in Co.,..of the gmnung of this permit. ^ APPLICANI UNDERSTANDS AND W COMPLY WITH ALL NO Issued by: Date SOURCE GUNS' C� r � Re-roofs Srgnuum of Appli ucon r Data HAZA 0US MATERIALS DISCLOSUR- Type of Roof Will the applicant m forum Wilding occupantstmc.handle ha a does material as defined by IM Cupertino Mun''pal Code.Chapter 9.q and me HWO and Safety Casio,Section 25532(a)? ❑Yes No All roofs shall be inspected prior to any roofing material being installed. Will the applicant or future building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove it hvardnes air conmminmu p�Jefincd by the Bay Area Air Quality Management all new materials for inspection. SIr1[14 TWA/ []Yes No I have mad the herardms materials mquimmcnss umhn Chmae,6.95ofthe Calif.,- .iaHcalO&S9 Cade.Sections 25505,25533 wol 25534.1 andsomed Oazifthc Wilding doe not cure. haw a WNL mar h la an mrpm I'lllly b nolll)On l Of Alla mquimments kat me rmiaauana a erufiateura Sig nature of Applicant Date Owner or aothodad agrm Date- All roof coverings to be Class"W'or better CITY OF CUPERTINO 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 32641099 .00 DATE ISSUED. . . . . . .: 05/01/2008_.. RECEIPT #. . . . . . . . . : BS000004638 REFERENCE ID # . . . : 08050017 SITE ADDRESS . . . . . : 21331 MILFORD DR SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : TROGISCH MANFRED AND ERNA TRUS ADDRESS . . . . . . . . . . : 21331 MILFORD DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-1327 RECEIVED FROM . . . . : MANFRED TROGISCH CONTRACTOR . . . . . . . : ZHAO, HERMAN LIC # 21158 COMPANY . . . . . . . . . . : L. P. CONSTRUCTION CO. INC ADDRESS . . . . . . . . . . : 559 38TH AVE CITY/STATE/ZIP . . . : SAN FRANCISCO, CA 94121 TELEPHONE . . . . . . . . : 4156686863 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ------ ---------- --------- ------- 1BSEISMICR VALUATION 8, 000. 00 . 0. 80 0 . 00 0. 80 0. 00 1DEMORES SQ FEET 0. 00 - X490":00 0. 00 490 . 00 0 . 00 TOTAL PERMIT 490.80 0. 00 490. 80 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 490. 80 #1367 --------------- TOTAL RECEIPT 490. 80 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 704 DEMO -� CITY OF CUPERTINO Caa�" DEMO OF :CUPEfI;TINO PERMIT APPLICATION FORM APN# „ Date: Building Address: CA q.s ori Mailing Address (if different from building address): Owner's Name: / Phone: W—.2557 MQwa ed l Yo SOL Contractor: Phone : ((-Of- 7020 _ l 1 / L ,� C'0�5'�ruG'�� ©c-t aw4 aL4 Fax: Contractor License #: 1.2 Cupertino Business License #: 7 oC l 5 0 Contact: Phone: � 5� ��.. kojisoL -7 C Fax: qW-11 esidential ✓[� Sq Footage Commercial ❑ Sq Footage Job Description: ` G Valuation: �bUa Attach Green Building Checklist to demo plans. Quantity Fee ID Fee Description Fee Group Permit Type / 1DEMORES Demo-Residential B 1SFDWL-DEM / IBSEISMICRE Seismic Residential B 1DEMOCOM Demo-Commercial B 1COMML-DEM IBSEISMICOM Seismic Commercial B IBUSLIC Business License B Single Family GreenPoint Checklist date:S__/_4W_ Build It Green The GreenPoint Checklist is based on the various green features incorporated into the home and is the Smart Solutioru From The Ground Up basis for the GreenPoint Rated program.A home can be considered green If it fulfills the prerequisites, cams at least SB points,and meets the minimum points per category Energy(30),Ind I Air Cualifyl Health(5),Resources and Water g third-party Please conal Build It Green for a list of qualified GreenPoint n n Raters if you are interested practices s l pursuing w are described inion. The green,available practices listed below are tlescrihed in the IVew Home Construction Green Building Guidelines,availahle ori www builtliior9en.om. PROJECTENTER AR < SITE "" - Palms Available Per Measure 1.Protect Topsoil end Minimize Disruption of Usbng Planta 6 Trees ❑ a.Protect Topsoil from Erosion and Reuse after Construction ❑ b.Limit and Delineate Construction Footprint for Maximum Protection 1-00 I 1 ❑ 2.Deconstruct Instead of Demolishing Existing Buildings On Sib 3 1 7.Recycle Job Site Construction Waste(including Green Waste) E] a.Minimum 50%Waste Diversion by Weii(Recycling or Reuse-Required R 1 E] b.Minimum 65%Diversion by Weight(Recycling a Reuse) 2 1 El c.Minimum 80%Diversion by Weight(Recycling or Reuse) 1 2 1 4.Use Recycled Content Aggregate(Minimum 25%) E] a.Walkway and Driveway ❑ b.Roadway Base 1 ] Taal Points Available in Site=12 0 B.FOUNDATION Points Available Per Measure 1.Replace Penland Cement in Concrete with Recycled Flyash or Slag ❑ a.Minimum 20%Flyash or Slag ❑ Is.Minimum 25%Flyash or Slag 0i 1 1 1 1 0 i ❑ 2.Use Frost-Protected Shallow Foundation in Cold Areas(C.E.C.Climate Zone 16) 0 1 3 I ❑ 3.Use Radon Resistant Construction(In At-Rlsk Lazuli Only) 0 I 4.Design and Build Structural Pest Controls ❑ a.Insall Termite Shields m Separate All Exterior Wood-toConcrete Connections by Meal or Plastic Fasteners/Dividers 0 I 1 I b.All Now Plana Have Trunk,Base,or Stem Located At Least 36 Inches from Foundation Total Points Available in Foundation=B 0 C.LANDSCAPING A 1.Construct Resoureo-ERcient Landscapes Points vatlable Per Measure ❑ a No Invasive Species Listed by Cal-IPC Are Planted 0 • ❑ b.No Plant Species Will Require Hedging El C. 1 c.75%of Plants Are Drought4olerant Caldornia Natwes,Mediterranean,T Other Appropriate Species 0 ❑ 2.Use Fire-Safe Landscaping Techniques 0 1 I 3.Miam im Turf Areas in Landscape Installed by Builder ❑ a.All Tud Will Have a Water Requirement Less than or Equal to Tam Fescue(50.8 plant factor) 0 r i 2 ❑ d.Tud Shall Not Be Installed on Slopes Exceeding 10%or in Areas Less than 8 Feet Wide 0 1 2 ❑ c.Tud is 533%of Landscaped Area(lotal2 points) 0 ❑ d.Tud is 5l G%of Landscaped Area hand4points) i 2 1 ❑IL] —� 1 4.Plain Shade Trees D 2I I t 1 LJ 5, 3 5,Group Plants by Water Needs(Hydrozoning) 0 /i•'�ti1 1 2 6.Insall High-Efficiency lnigamon Systems ❑ a.System Uses Only Low-Flow Drip,Bubblers,or Loa-mow Sprinklers 0 �� t 2 ❑ btrollers.System Has Sman ComControllers 1. ) I 3 Z Incorporate Two Inches of Compost in the Top 6 b 121nehes of Soil 0 I - ! t"' I I 3 ❑ B.Mulch All Painting Beds b the Greater of 2lnch"or Local Water Ordinance Requirement 0 .I / i 1 2 9.Use 50%Salva ed or Recycled-Content Materials for 50%of Noo-Paint Landscape Elements 0 1. 1 I 10.Reduce Light Pollution by Shielding Fixtures ai Directing Light Dowmvard 0 1 i -f'r11 I FT.�lAvailable in Landscapm =37 0 D.STRUCTURAL FRAME @ BUILDING ENVELOPE Points Available Per Measure 1.Apply Optimal Value Engineering ❑ a.Place Rafters and Ends at 24-Inch On Center Framing 0 1 ❑ b.Size Dow and Window Headers for Load 0 1 ❑ C.Use Only Jack and Cripple Studs Required for Loatl - 0 I 1 I 2 Use Engineeretl Lumber ❑ a.Beams and Headers ❑ b.Insulated Engineered Headers 0 I 1 1 I ❑ cJeists 0 1 .Wood Ior Web Trusses for Floors ❑ d.Wood I-Joists for Roof Rafters 0 1 ❑ 3 e.Engineered or Finger Shuns for Vertical Applications 0 1 ❑ f.Chanted Strand Board for Submoor _ 1 El 9.p.Oriented Strand Board for Wall and Roof Sheathing 0 1 1 1 3.Use FSCCermfied Wood ❑ a.Dimensional Lumber,Studs and Timber Minimum 40%• 0 r 2 I ElE] b.Dimensional Lumber,SNds and Timber.Minimum 70% 0 I 2 c.Panel Products:Minimum 40% 0 I ❑ J.Panel Pmol Minimum 70% 1 0 2007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 1 of 4 is V W a 3 "ENTER PROJECT NAME 4.Use Solid Wall Systems(includes SIPS,ICFs,0 Any Non-Stick Frame Assembly) ❑ a.Floors 0 ❑ to Walls 0 I 2 2 Ilk ❑ c.Roofs 0 2 2 5.Radom Pollution Entering the Home from the Garage ❑ a.Tightly Seal the Air Banner between Garage and Living Area 0 _' 1 ❑ b.Install Garage Exhaust Fan OR Build a Detached Garage 0 6.Design Energy Heels on Trusses(75%of Attic Insutation Height at Outside Edge of Exterior Wall) 0 1 I I ❑ 7.Design Roof Tissues to Accommodate Ductwork 0 I 1 1 I I ❑ B.Use Recycled-Content Steel Studs for 911%of Interior Wall Framing 0 I I 1 I LJ 9.Thermal Mass Wells:Sell Drywall on All Interior Walls or Wells Weighing more than 40lbrco.iL 0 I 1 1 I I 10.Install Overhangs and Gotten; ❑ a.Minimum 16-Inoh Overhangs and Gutters _ 0 1 1 Elb.Minimum 24-Inch Overhangs and Gutters 0 � Total Points Available in Structural Building Frame and Envelope=36 0 E.EXTERIOR FIMSH Points Available Per Measure 1.Use Recycled-Content(No Virgin Plastic)or FSC-Certified Wood Decking o I I I 2 ❑ I Install a Rain Screen Well System 0 i I 2 3.Use Durable and Noncombustible Siding Materials 0 I I 1 ❑ 4.Select Durable and Noncombustible Roofing Materials 0 I I 2 I Total Point Available in Exterior Finish=7 0 F.INSOLATION Points Available Per Measure 1.Install Insulation with 75%Recycled Content ❑ a.Walls andlor Floors 0 1 I ❑ b.Ceilings 0 1 2.Install Insulation that is Low-Emitting(Carolled Section 01350) ❑ a.Walls ani Floors 0 I ❑ b.Ceilings 0 1 ❑ 3.Inspect Duality of Insulation Institution before Applying Drywall 0 I 1 I Total Penis Available in Insulation=5 0 G.PLUMBING Points Available Per Measure 1.Distribute Domestic Hot Water Efficiently(Maximum 7 Points) ❑ a.Insulate Hot Water Pipes from Water Heater to Kitchen 0 ❑ b.Insulate All Hot Water Pipes 0 ❑ c.Use Engineered Parallel Piping 0 i 1 ❑ J.Use Engineered Parallel Piping with Demand Controlled Circulation Loop 0 __ 1 ❑ e.Use Structured Plumbing with Demand Conbollad Circulation Loop 0 2- ❑ f.Use Central Core Plumbing0 —� 1 2 ❑ 2 Install Only High Efficiency Toilets(Duac+ush or at 28 gpf) 0 I I I 4 Total Points Available in Plumbing=TWA 12 0 H.HEATING.VENTILATION R AIR CONDITIONING Points Available Per Measure ❑ 1.Design and Install HVAC System to ACCA Manual J,D,and S Recommendations 0 I 4 I 2.Install Sealed Combustion Units ' ❑ a.Furnaces - 0 _ 1 2 1 I _-_ ❑ b.Water Heaters 0 i 2—T—-I 3.Install Zoned,Hydronic Radiant Heating with slab Edge Insulation 0 1 I 7-1 1 Ej 4.Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants 0 1 I I I 5.Design and Install Effective Ductwork ❑ a.Install HVAC Unit and Ductwork within Conditioned Spam 0 3 I ❑ b.Use Duct Mastic on All Duct Joints and Seams 0 1 ❑ c.Install Ductwork under Attic Insulation(Buried Ducts) 0 1 1 I ❑ d.Pressure Balance the Ductwork System 0 1 ❑ e.Protect Ducts during Construction and Clean All Ducts before Occupancy 0 1 Lj S.Install High Efficiency HVAC Filter(MERV 6') 0 1 ❑ 7.Don't Install Fireplace or Install Sealed Gas Fireplaces with Efficiency Rating Not Less Than 60% 0 I 1 using CSA Standards 0.Install Effective Exhaust Systems in Bathrooms and Kitchens ❑ a.Install ENERGY STAR Bathroom Fans Vented to the Outside 0 1 ❑ to All Bathroom Fans Are on Timer or Humi6stat 0 1 ❑ c.Install Kitchen Range Hood Veneta to the Outside D 1 9.Install Mechanical Ventilation System for Cooling(Maximum 4 Points) ❑ a.Install ENERGY STAR Calling Fans 0 Light Kms in Living Areas 6 Bedrooms 0 1 I ❑ b.Install Whole House Fan with Variable Speeds 0 1 ❑ c.Automatically Controlled Integrated System 0 2 _.... ❑ d.Automatically Controlled integrated System with Variable Speed Control 0 1 3 I 10.Install Mechanical Fresh Air Ventilation System(Maximum 3 Points) ❑ a.Any Whole House Ventilation System That Meets ASHRAE 622 ❑ b.install Air-to-Air Heat Exchanger that meets ASHRAE 622 0 1 2 12 11.Install Carbon Monoxide Alarms) 0 1 I I Total Points Available In Healing,Ventilation and Air Condilionin =30 0 02007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 2 014 $ a t • 'Wg_ E s g o U to L RENEWABLE ENERGY Points Available Per Measure �. 1.PwPlumb for Solar Hot Water Heating 0 ) 4 I 2.Inswil Solar Water Heeling System 0 30 I 3.Install Wiring Conduit for Future Photovoltaic Institution Is Provide 2001P of Sourth-Feciag Roof 0 2 I I 4.Install Photovoltaic(PV)Panels Ela.30%of autdric needs OR 12 kW(total 6 points) 0 I 6 I ❑ b.6D%of 9lecac needs OR 2.4kW local 12 points) 0 I 6 I El C.90%of electric need OR 3.6 kW(total 16 points) 0 I 5 Total Available Points in Renewable Energy=2B 0 J.BUMDING PERFORMANCE Points Available Per Manure 1.Diagnostic Evaluations ❑ a.House Passes Blower Door Test 0 I ] I ❑ a House Passes Combustion Safety BacktlraXTest 0 1 12,Design and Build High Performance Homes-%she"True 24-minimum 15%Required 0 I Z30 ❑ 3.House Obtains ENERGY STAR with Indoor Air Package Certification-Pilot Measure(real 45 points;read comment) 0 I I 5 Total Available Points in Building Performance=39 0 E.FINISHES Points Available Per Measure ❑ 1.Design Entryways to Reduce Tracked in Concemirunb 0 I I 1 1 I 2.Use Low-VOC or Zero-VOC Paint(Maximum 3 Points) ❑ a.Low-VOC Interim WaIVCeiling Paints(<50 gal VOCs(Flat)and c1ED pi VOCs(Non-Flat)) 0 I 1 ❑ b.Zero-VDC:Interim WalVCeflin Paums(<S gpi VOCs(Hat)) 0 I 3 ❑ 3.use Lav VOC,Waar-Based Wood Finishes(¢51)gpi VOCs) 0 I ( 2 ❑ 4.Use Low-VOC Caulk and Construction Adhesives(<70 gpi VOCs)for All Adhesives D I I 2 1 I ❑ 5.Use RecicledConantPaint a I I ] I 6.Use Environmentally Preferable Materials for Interior Finish:A)FSCCenified Wood,B)Reclaimed,C)Rapidly Renewable,D)Recycled-Content or E)FngerJointed ❑ a.Cabinets(50%Minimum) 0 1 I ❑ b.lntenor Trim(50%Minimum) ❑ C.Shelving(50%Minimum) 0 ] ❑ d.Dom(50%Minimum) 0 1 ] El a.CountedDo s(50%Minimum) 0 1 7.Reduce Formaldehyde in Interior Finish(CA Section 01350) ❑ a.SubBoor&Slair Treads(50%Minimum) 0 I ] • ❑ b.Counties&Cumulous(5D%Minimum) —T ❑ c.Interior Trim(511%Minimum) 0 1 ❑ 0 d.Shelving l50%Minimum) 1 0 ] . ❑ e.After Instillation of Finishes,Test of Indoor Air Shows Formaldehyde Level¢7pp0 0 i 3 I Total Available Pants in Finishes=21 0 L.FLOORWG Points Available Per Measure 1.Use Environmentally Preferable Flooring;A)FSC-Certified Wood,B)Reclaimed or Refinished,C)Rapidly Renewable,D)Rerycled-Cimbe t,E) Exposed Concrete.Flooring Adhesives Must Have c50 gal VOCs ❑ a.Minimum 15%of Floor Area . E] It.Minimum 30%of Floor Area 0 I I I 1 ❑ c.Minimum 50%of Floor Area 0 I 1 o ] ❑ d.Minimum 75%of Floor Area 0 1 ❑ 2.Thermal Mass Floors:Floor Covering Other than Carpet on 50%or More of Complete Floors 0 I 1 I I ❑ 3.Flooring Meets Section 01350 or CRI Green Label Plus Requirements(50%Minimum) 0 2 Total Avallable Points in Floorin =7 0 M.APPLIANCES AND LIGHTING Points Available Pat Measure 1.Install Water and Energy Efficient Oishwesher ❑ a.ENERGY STAR(total 1 pant) 0 1 i ❑ b.Dishwasher Uses No More than 6.5 GolonsiCycle(total 2 points 0 ] 2.Insall ENERGY STAR Clothes Washing Machine with Water Factor of 6 or Less ❑ a.Meets Energy Sarand CEE Tier 2 requirements(modified energy factor 2.0,Water Factor 6.0)(total 3 points) 0 ] I I 2 ❑ b.Meets Energy Sar and CEE Tier 3 requirement(modified energy factor 22,Water Factor 4.5 or less) I p Ioa15 hts 0 3.Insall ENERGY STAR Refrigerator ❑ a.ENERGY STAR Oualified&<25 Cubic Feet Capacity 0 1 ❑ b.ENERGY STAR Oualified&<20 Cubic Feel Capaci 0 1 4.Insall Built-in Recycling Center 0 ❑ e.Built-In Recycling Center ❑ b.Built-In Composting Center 0 2 0 If ] N.OTHER TOW Available Points in Appliances and Lihan =12 0 Points Available Per Measure ❑ 1.Incorporate Grass int Rated Checklist in Blueprints:Required 0 I I a ❑ 2.Develop Homeowner Manual of Green PeatureslBenefits 0 I 1 I 1 I 1 • 3.Community Design Measures&Local Priorities:See the Community Planning&Design section in Chapter 4 of the New Home Guidelines lir measures.Maximum of 20 Points for suggested measures.Local requirements may also be listed here. 02007 Build It Green Single Family GreenPoint Checklist 21007 Version Page 3 014 . ❑ENTER PROJECT NAME I Enter description here_and enter points avallade fu measure m epprop_ate rategones to the nght 0 0 0 L_ D NO ❑ Enter descrgntim here_and enter ppms waOaOm int measure_myipropiate categonesrothe ngM. 0 _o=_ _o._ 0-._ ;0 _ .._ ❑ I Enter descdphon here,antl enter points evallffile fm measure in appropriate categories to the nght.❑ r Ester deseriom here,and enter points amiable fm measure In appTp ate categmen toteright 0 4.Innovation:List innovative measures that meet the green building objectives of the Guidelines.Enter up to a Build It Green Checklists and maximum combined total of 20 pts.See Innovation Checklist for suggested measures,using the link to the d hl. Guidelin es Innwmion in Community:Enter descreptim here,and enter points waftable to measure in ats'e1e c 'es m he n m. 0 0 _0_ 1 0 _ 0 _ 0 I Innwation in Energy:Enter deScrolim here,and enter points walla m for measure in 'ate cam 'es to Me right 0 0 _ _0 __0 _0 E] I Immation in IAWiealth:Erma demrom here,and enter points available im measure In appqVism categams ro the right. 0 0 __0 0___D___ 0 _ ❑ I InnwaOm in Heaourmm:Enter description here,ar enter points walhole to measure in aporwidale cele ries to the right. 0 _0__ _0_� 0 _ _0_ _ —.0 ❑ I Innwatim in Water:Enter desmptim here,antl enter paints wabble Int measure in algrWrete categories ro then 0 0 0 0 0 0 Total Malable Points in Other 431 0 Summary Total Available Points in Specific Categories' 4+ 96+ 42+ 66+ 43+ Minimum Points Required in Specific Categories 0 30 - 6 6 9 Total Points e I e I I e Project has not yet met the following recommended minimum requirements: Achieved -Total Project Score of At Least 50 Points -Required measures: -A3a: 50%waste diversion by weight -32: 15%above Title 24 -NI:Incorporate GreenPoint Rated Checklist into blueprints -Minimum points in specific categories: -Energy(30 points) -IAQ/Health(5 points) -Resources(6 points) -Water(9 points) • • 02007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 4 of 4 Community Development 10300 Torre Avenue sm O� Cupertino CA 95014 Telephone(408) 777-3228 CITY Fax(408) 777-3333 46U Building Department JOB ADD SS: PERMIT # OWNER'S N g PHONE # p - GENERAL CONTRACTOR: CC ( FAX # I am not using any subcontractors: C9 SignatulQ 6ate Please check applicable subcontractors and complete the followin 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