08010128 (2) CITY OF
,CUPERTINO a/�ax(v�aggE.ywpaE,m� /»�xTp�f' "((��-' ♦ (`�` '`
BUILDING DIvis16N
PERMIT Q0NT�jUQ-TI".l 41NF0�tkTly
PERMIT NO.
;AW1'CHITECT(ENGfNEER;
D[No AD�gEs URTHVIEW SQ JUST WATER HEATERS INC 08010128
ER'S NAME: PERMIT ISSUE DATE
SUSAN HUBBART 3400 INVESTMENT BLVD 01/22/2008
NE SANITARY NO. CONTROL NO.
(510) 293-9901
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
u o o LICENSED CONTRACTOR'S DECLARATION - Ib Description
I hmeby aRres mat I son liarued under provision OeSCTI of Chapter 9(commencing P
with Sation]0(10)afDomm.3 of the Buainess and Prefuse.Code.W my tic..., REPLACE 40 GAL GAS WATER HEATER
j Zin full forand effect
a Llano Clan Lic.
w Dam: Contractor
ee
ARCHITECTS DECLARATION
Y 1 mWenund my plans Anil W used u public records
U
5�
Licensed Prebend onal
3 OWNER-BUILDER DECLARATION
I hereby so affirm on 1 1. cxcmntfrom the Con4nat Co License Law for the
O o fallowing moon.(Section RIDS,Business and w,de oli Code:Any oily or county
3$ which I%issuance.
a permit re emat1W aline Wprove,demolish,or mash ed swment
Zsn Trower itscensedaaimmquima tWappBcant for mchPermit usfrlrom Law sutemem
pp<
that he it licensed pursuant to the provision of Ne Contractor's Lkenselaw(&Code) 9 Sy.FI. Floor Area 939 Valuation
F$ that he as
(commercial with Section oandt000) rDromfr of theBusinessexe tendon.Any
Cadt,)of
— Nu io la campy Nerefmm and the Eur for des subjects
con exemption.Any violation of
notion70515ve any
unapplicantfa•permit mbjem Nc applicantusacivil penalty of Number Occupancy Type
not more Nan five hundred dollars(57(101. 316 3 6 010:°?� P Y YP
❑I,uowner of the propesry,mmy wployrn with wguu Neu role camRwtion,
will da the work,and thenructurels act wrestled or offered fm ale(Sec.7600,Business Required Inspections
Ad Profesaon n Cade:The Chanteuses Lkc=Law round m,apply us e an owner of q P
propertywho wildswimprom Nrnme,med wW docssuchmaktomwlrarthrough his
awn employees,provided that such Improvemnta we not branded ora@rod torula If.
hmvew,,Ne building orimp awmnt Is cold within oro year of completion.the manor.
Wilder will low tic burden of proving that he did rot build or improve for purpose of
ule.L
❑1,an avrcr of the progeny and exdusiwly mnmudng wide licensed contrcusn us
consumer the project(Sec.7014.Business and Profession Code:)The CmVacbes U.
rens U.dao sat apply to an owner of property wW Wilda ar ImVmves Nemon.rod,
who contract for such projects with a eanmacumu)licensed pursuant to the Conuanoea
License Law.
[Il con tempt under See .B At P C far Nis mean
Own, Dam
WORKERS COMPENSATION DECLARATION
I hemby alrum under penalty of perjuryarc of the folN ng declmdoru:
haw and will maintain aCta ifiam of Consent he u1f4mure for Worker's Cheapen.
an,wprovided for by Saylor 7700 of the lahm Cade,for tit performanco of Ne
work for which this permit is issued.
❑I haw and will maintain Worked Compensation Insurance.as required by Section
37Wo1NC Mbar Cade.far Ne perfarmua of tiro work far which this petmit is issued. '
My Worke s Compenution Insutanco carrier and Policy number am:
Cartier. Policy No.:
CER 1ECATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
r@r xNm need act Ism completed if Ne Permit Is forane hundmddallan($1IX) -
orina)
1 comity the,1.the Mr...N the work for which this Permit in issued.I shall at -
muploy any'perm r in my mmrcrso an to become subject he tbe Wodmn'Compensation
".of California Dam
Applbam
NOTICE TO APPLICANT:IL after making this Certificaus of Exemption,you should
become subject us to Woheh Compensation prevision of tit IaWr Cods,you mow
wJO foMwn ith comply with such Provisions or Nr permiuhall W deemed revoked.
LZ,r^a CONSTRUCTION LENDING AGENCY
Ihemhy Mr.that there r..onasucfnn lending agenry,for tht,Performance of
CG w�.r IW work for which 004 Permit is issued(Ser.3097,Civ.C)
Q I2ndees Name
a z I<ndees Address
V Q I cmify that 1 have mad this application and sum Nay the AWw infarmadm is
LL cone--1 gree m comply with all city and county cNinanar and sum lawn muning to
.0 building construction.and hereby mmotrerepresenatives ofthis city to enter open the
iQ above-mentioned property for inspection purposes.
P. (We)ague to caw.indemnify and keep Armless Ila City of Cupenfno again,
(A Iiabilitin,jwgmenu,cru and expenses which may in my my smut,against said City
L)? in consequence of the granting of Lou perms
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POIM' Issued by: Date
SOURCE REGULATIONS.
Re-roofs
Signeyurt of ApplicsHAZARDOU Daus
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or forum Wilding mupanuusm a baht)hauAon material
u deRrcd by Ne Cupertino Municipal Code.Chepmr 9.12,and Ne HnIN and Safety
Code.Senior 255324)]
[3y. ONO All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future Wilding occupant use equipment or devices which If a roof is installed without first obtaining an inspection,.1 agree to remove
y ocumiaus air contaminants u defned by the Bay Arca Ai,Quality Management all new materials for inspection.
❑Yrs No
1 have mad the hwatdous materials requirements under Chapter 6.95 of tW CaiifaP
car Hcal"SaieryCodm Seem=2530.25533 and 27574.I umlimund then if lbe Wilding
Jan net cureentiy haw a mum-that it r my ompmWhility to ratify Ibe occupant of tit
requiremems which moa W met prior m rsuanco of a Cenifmate of Occupancy. Signature Of Applicant Date
Owner atanyhadredagent 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 . . . . . . . . : 31636010. 00
DATE ISSUED. . . . . . . : 01/22/2008
RECEIPT #. . . . . . . . . : BS000003749
REFERENCE ID # . . . : 08010128
SITE ADDRESS . . . . . : 10845 NORTHVIEW SQ
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : SUSAN HUBBART
ADDRESS . . . . . . . . . . : 10845 NORTHVIEW SQ
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-0541
RECEIVED FROM . . . . : JUST WATER HEATERS
CONTRACTOR . . . . . ... : GILROY, JOHN LIC # 15128
COMPANY . . . . . . . . . . : JUST'WATER HEATERS INC
ADDRESS . . . . . . . . . . : 3400 INVESTMENT BLVD
CITY/STATE/ZIP . . . : HAYWARD, CA 94545
TELEPHONE . . . . . . . . : (510)293-9901
® FEE ID UNIT QUANTITY- AMOUNT - PD-TO-DT THIS REC NEW BAL
--------- -- ---------- ---------- ---------- ---------- ---------
1BSEISMICR VALUATION 939 . 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
----------------- --------------- --------------------
CREDIT CARD 106 .56 MC
---------------
TOTAL RECEIPT 106 . 56
VOICE ID DESCRIPTION VOICEIDDESCRIPTION
-------- ---------------------------- -------- ----------------------------
518 WATER HEATER '
•
OFD ( o ( 2b
CITY OF CUPERTINO
WATER HEATER
® CUPERTINO PERMIT APPLICATION FORM
APN #-.31 (,03 (9OI0 ' o o Date:
Building Address:
Owner's Name: Phone #:
Contractor: Phone #:
Fax #:
Cupertino Business License #: Contractor State License #:
Contact: Phone #:
Fax #:
Building Permit Info:
Bldg ❑ Elect ❑ Plumb ❑ 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
4 WATER HEATER
CUPEkTINO PERMIT APPLICATION FORM
Quantity Fee ID Fee Description Fee Permit Type
Group
1PCWHEATR Commercial Water B PCWHEATR
HeaterNent
1BSEISMICOM Seismic Commercial B
1PRWHEATR Residential Water B PRWHEATR
HeaterNent
1BSEISMICRE Seismic Residential B
1PPERMITFEE Plumbing Permit P
1TRAVDOC Travel & B
Documentation
1BUSLIC Business License B
Single Family GreenPoint Checklist. date: Build It Greed
The GreanPoirn Checklist is based on the various green features incorporated into the home and is the Smart Soluriom From Tne Ground Up
basis for the GreanPoirn Rated program.A home can be considered green If it fulfills the prerequisites, Ess
Hams at Oast so poems,ata dmeans Wet r(minimum points per category:Energy list
of Indoor Air Quality/
Hm101(5),Resources(6),and Water(g),Please corned Build h Green for a list of qualified GreenPoint '
Raters If you are interested In pursuing third-parry,verification.
® The green building practices listed below are described in the New Home Construction Green Building
Guidelines,available at www.huildimrean oro.
ENTER PROJECT NAME =BBC
Points Avallable Per Measure
1.Protect Topsoil and Minimize Dismptron of Existing Plants&Trees
❑ %Protect TSI from Erosion and Reuse after Construction 0 _ ]_
E) b.Limb and Delineate Construction FoorliMt for Maxi ___
Maximum Protection p - ]
2 Deconstruct Instead of Demolishing Existing Buildings On Sha 0 3
J.Recycle Job Site Construction Waste pnUuding Green Waste)
❑ e.Minimum 50%Wash Diversion by Weight(Recyrling or Reuse-Required
❑ b.Minimum 65%Diversion by Weight(Recycling or Reuse) p — ----- ----
❑ c.Minimum 80%Diversion by Weight(Recycling or Reuse) p -'--'` -2'--
4.Use Recycled Consent Aggregate(Minimum 25%)
❑ a.Walkway and Driveway 0 1 ]
❑ b.Roadway Base 0 ]
Total Points Available In Site 12 0
IS.FOUNDATION - Points Available Per Measure
1.Replace Portland Deman!in Concrete with Recycled Finish or Slag
❑ a.Minimum 20%Flyash a Slag 0 ]
❑
to.Minimum 25%Intyrush or Slag 0 ] I
2 Use Frost-Proteclad Shallow Foundation in Cold Auras(C.EC.Climefe Zone 16) 0 3
a.Usro Radon Reaiesent Construction n At-ReIr Lomtions Only) 0 1
1.Design end Bufitl StrucWrel Pest Contro4
❑ a.Install Terms Shields&Separate All Exterior Wald-toConaete Connections by Metal Or Plastic FestanemrDMiders _ 0
b.All New Plants Have Trunk,Base,or Stem Located At Lent 36 Inches from Foundation 0 1
Total Points Avallable In Formilum=6 D
C.LANDSCAPING Points Available Per Measure
t.Construct Resource-Eficiont Landscapes
❑ a.No Irrvaslve Species Listed by Cal-IPC Are Planted 0
_ J_.__—.�_
❑ b.No Plant Species Will Require Hedging -p
• ❑
C.75%of Plante Ara Drought-telerem CaOfomie Netivea,Maatertammn,or Other Appropriate Species 0 3
2 Use Flro-6efe LandsmaIiing Techniques 0 1 I
e.Minimize Turf Arms in Landscape Installed by Builder
❑ a AM Turf Will Have a Water Requirement Less than a Equal to Tek Fescue(50.8 plant factor) 0
❑ h.Turf Shall Not Be Installed m Slopes Exceedng 10%or In Areas Less than 6 Feel Wide p
❑ C.Turf is S33%of Landscaped Area(taal 2 Pants) -. 0 — 2
❑ d.Tud is 510%at Landscaped Area(local 4 points) 0 ----- j
Ej 6 Pent Shade Trees 0 3
5.Group Plants by Water Needs rltlmcwIn ) 0 1 2
6.Install High-Efficiency Irrigation Systems
❑ e.System Uses Only Low-Flow XI Bubblers,or Low4lm Sprinklers D 2
❑ b.System Has Smart Controllers p"--'—I—" - 3-
7 Incorporate Two Inches of Compost in the Top 6 t 12 Inches of Soil 0 3
S.Mulch All Planding Beds to the Greeter of 2Inches or Local Water Ordinance Requirement D 2
9.Use 50%Salvaged or RacyClu-0Di senl Materiels for 50%of Non-Pled Landscape Elements 0 1
❑ 10.Ratluce Light PollutioI by Shielding Fixtures and/or Directing Light Downward 0 1
Tote)Points Available in Landscaping=31 0
D.STRUCTURAL FRAME h BUDDING ENVELOPE Points Available Pat Measure
1.Apply Optimal Value Engineering
❑ a.Placa Ratters and Studs at 24-Inch On Center Framing - 0 I 1
❑ b.Size Dow and Window Headers for Load 0
E] c.Use Only Jack and Cripple Studs Required for Load 0 1
2 Use Enginmred Lumber
❑ a.Beams and Headers 0
_
'❑
b.Insulated Engineered Headers
❑ c.Wood I-Joists or Web Trusses for Floors 0_ _
E] es b
d.Wood for Roof Rafters ___
_ 0 _
❑ e.Engineered a Finger-Jointed Studs for Vertical Applications 0 —r-1
E] f.Oriented Strand Board for Subfloa - 0 -- --i- --- ]—iL
❑ g.Dtlantetl Strand Board la Well and Rod Sheathing 0 1
3.Use FSCCartiged Wood
❑ a.Dimensimal Lumber,Studs and Timber.Minimum 4D% 0 r 2
❑ to.Dimensional Lumber,Studs no Timber.Minimum 7D% p-- ------�-- 2 --
O ❑ c.Panel Products:Minimum 40%
❑ d.Panel Products:Minimum 70% 0 —]
02007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 1 of 4
yy
� ulR 3
ENTER PROJECT NAME
A.Use Solid WWI Systeme(Includes SIPB,ICFs,6 Any Nom6tick Frame Assembly)
❑ a Foxe 02 2
❑ b.Wails
❑ C.Flom 0_
S,Reduce Pollution Entering the Home from the Garage
❑ a.Tightly Seal Na Ar Banter between Garage end Luting Area _ 0
❑ b.Install Garen Exhaust Fen OR Build a Detached Gane 0 1
e.DMI n Ener Heels on Trumps(75%of Atdc Insulation Height at Outside Ede of Exterior Wall 0 1
7.Oul n Root Trvwa to Accommodate Ducal 0 1
Lj A.Use Recycled-Conant Steel Swds for 60%of Interior Well Framing 0 - 1
F]=9ermal Mau Wells:Wnch Drywall on All Interior Wells or Wells Weighing more than 40161cu.b 0 1
10.Install Overhangs end Gaiters
❑ a Minimum 164rch Overhangs and tauten 0 _ ]_
❑ b.Minimum 244wh Ovaman s and Gaamte 0 ]
Total Points Available In SMIdural Building Frame and Envelope.36 0
E.EXTMOR FINISH Points AvellablE Per Measure
LJ 1.Use Recycled—Conten(No Virgin Plastic)or FSC-Certified Wood Docking 0 2
Lj 2.Install a Rein Screen Well System 0 - 2
9.Use Durable and Noncombustble Siding Materials 0 1
Ej 9.Select Durable and Noncombustible Roofing Materials 0 - 2
Total Pointe Available In Fxledw Finish D
F.INSULATION Points Available Par Measure,
1.Install Insulation WIm 75%Recycled Content
❑ a.Wells anNO Floor _ 0
❑
b.CeMngs 0 7
2 Install Insulation that Is Low-EmiWng(Cartfied Section 01350)
❑ e.Wells and/or Flocs 0 ] I I
❑ b.Callings
_o__ -
3.Inspect Duality of Insulation Installation before Applying Drywall 0 1
Total Points AVatlabie In lnsuiallon v 5 D
O.PLUMBING Pants Available Per Measure
1.Distribute Domestic Hot Water Efficiently(MAXIMUM 7 Points),
❑ a.Insulate Hol Water Pipes from Water Heater to Kitchen 0_ ___
❑ b.Insulate All HM Water Pipes 0 r
❑ c.Use Engineered Parallel Piping
❑ d.Use Engineered Parallel Piping with Demand Controlled Circulation Loop 0
❑ e.Use Structured Plumbing vAth Demand Controlled Circulation Loop
❑
I.Use Central Coe Plumbing 0
❑ 2.Install Only High ElDdaney Toilets Duel-Flush or 5125 Ili 0
Total Points Available In Plumbing.Total 12 0
H.HEATING VENTH.ATION R AIR CONDITIONING - Points Available Per Measure
1.Design no Install HVAC System to ACCA Manual J,D,and S Recemmudetiune 0 4
2-Install Settled Combustion Unite
❑ a.Fumaoes D ___ _ 2 1
❑ b.Welar Heaters 0 2
9.Install Zoned,Hydronic Radiant Heating with Slab Edge Insulation 0 1 1 I
4.Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants 0 1
5.Design and Install Effective Ductwork
❑ a.Install HVAC Unit no Ductwork wlthln Conditioned Space _ 0
❑ b.Use Do Mastic on All Dud Joints and Seems 0__ _ _ 7 7-77—__
❑ c.metal Ductwork under Attic Insulation(Burned Duda)
❑ d.Pressure Balance the Ductwork System
❑ e.Protect Ducb during Conseucgon end Clean All Duma baton Occupancy 0 1
Lj B.Install High Efficiency HVAC Flow MERV 6e 0 1
❑ 7.Don't Install Fireplace or Install Sealed Gas Fireplaces with Efficiency Rating Not Leu Than 60% 0 1
using CSA Standards
6,Install Effective Exhaust System in Bathrooms ud IOtchans
❑ a.Install ENERGY STAR Bathroom Fane Vented to time Outside 0 1
❑ b.All Bathroom Fans Am on Timer or Humldlstal 0
❑ C.Install Kitchen Range Hold!Vented to the Outside 0 - T-1
6.Install Mechanical Ventilation System for Coining(Maximum 4 Points)
❑ e.Install ENERGY STAR Getting Fane S Light KIN In Living Areas 6 Bedrooms _0 _ 1 1_
❑ b.Install Whale Hilus Fan with Variable Speeds 0 7
❑ c.Automatically Controlled Integrated System _ 0
❑ d.Automatically ConWOod Integrated System with Variable Speed Controt 0 3
10.Install Mechanical Fresh Air Ventilation System fMaxlmum 3 Points)
❑ a Any Whole House Vemtaton System That Meets ASHRAE 622 _ 0_ I 2 '
❑ b.Install Ae-to-Ar Heal Exchanger that meets ASHRAE 622 0 7 2
11.Install Carbon Monohdde Alarm(a 0 1
Total Pointe Available In Hearing,Vermlation end Ae Concitionln .3D 0 lip
0 2007 Build It Green Single Family GreartPolnt Checklist 2007 Version Page 2 of 4
ENTER PROJECTNAME
_a w 3
n � a ¢`
I.RENEWABLE ENERGY �� Points Available Per Measure
Li 1.Pre-Plumb for Solar Hot Water Hurating 0 4
2.Install Soler Will Heaft System 0 10
• -17-3 Imerall WhIng Conduit for FUNre Photavoftelc tnstellatlon 6 Provide 200 M of South-Facing Roof 0 2
4.Install Photevolialc(PV)Panels
❑ a 3D%of elachic needs OR 12 kW(total 6 points) D 6
❑ h.SD%of electric needs OR 24kW(tots 12 points) –0— --6
-- - -– --
❑ c.Do%oI electric need OR 3.6 kW(total 16 points) 0 – 6 – – – -–--
Total Available Points In Renewable Energy=26 D
J.BUILDING PERFORMANCE Points Available Per Measure
1.Diagnostic Evaluations
❑ a.House Passes Blower Door Test 0 - 7
❑ b.House Passes Combustion Sal BackdraflTest -
0 ]
2.Design and Build High Performance Homes-%above Title 24-minimum 15%Required 0 1 >_30'
❑ 3.House Obtains ENERGY STAR with Indoor Ali Package Certification-Pilot Measure(Total 45 points;read comment) 0 5 2
Taal Amiable Points In Bul Performance=39 0
E.FUiI5B7B5 Points Avallable Per Measure
❑ 1.Design Entryways to Reduce Tracked to Contaminants 0 1
2.Use Low-VOC or Zeru-VOC Paint(Maximum 3 Points)
❑ a.Lav-VOC Interior WeIVCelling Paints(dO gpI VOCs(Flat)and d50 gpI VOCs Mon-Fai 0 1 _
E] b.Zaro-VOC'.Interim WeIllCallin Points(d pal VOCs(Flet)) p—_
'
❑ 3.Use Low VDC,Water-Based Wood Finishes(250 gut VOCs) 0 2
❑ 4.Use Low-VOC Caulk and Construction Adheslvea(dO gpI VOCs)for All Adhesives p 2
❑ 5.Use Recycled-Content Paint D 1
C Use Environmentslly Preferable Materiels for Interior Finish:A)FSC-Certified Wood,B)Reclaimed,C)Rapidly Renewable,D)Recycled47ontent
or E)FingerJohard
❑ a.Cabinets(50%Minimum) 0 7
❑ h.Interim Thin(50%Minimum) p
❑ c.Shelving(50%Minimum) p -
❑
it.Doom(50%Minimum) p- --
❑ a.Counter (50%Minimum) 0 1
7.Reduce Formaldehyde in Interior Finish(CA Section 01350)
❑ a Sul 6 Stair Treads(50%Minimum) D
❑
to.Cabinets a Countertops(So%Minimum) 0 T 1
® ❑ c.Interim Thin(50%Minimum) 0 —T --
❑ d.SheNin 50%Minimum) 0
❑ 6.After Installation of Finishes,Test of Indoor Air Shows Formaldehyde Level Q7ppb 0 3 I
Total Available Points in Finishes=21 p
L.FLOORING Points Available Per Measure
1.Use Environmentally Preferable Flooring:A)FSC-Certified Wood,B)proclaimed or Refinished, C)Rapidly Renewable,D)Recyclod-Consent-E)
Exposed Concrete.Flooring Adhesives Must Have d0 gpI VOCs.
❑ a.Minimum 15%of Floor Area 0
❑ b.Minimum 3D%of Flom Area 0
❑ c.Minimum 50%of Flan Area 0
❑ d.Minimum 75%of Floor Area _
0 1
❑ 2 Thonnal Mass Floore:Floor Covering Other than Carpet on 50%or More o/Concrete Floore 0 1 i
❑ 3.Flooring Meets Section 01350 or CRI Green Label Plus Requirements(50%Minimum) 0 1 1 2
Total Available Points In Floorhi,=7 0
M.APPLIANCES AND LIGHTING Points Available Per Measure
1.Install Water and Energy Efficient Dishwasher
❑ a.ENERGY STAR(total 1 point/ 0
L----`---
❑ b.Dishwasher Uses No More than 6.5 GeflonsC cls(total 2 Dints0 I 1
2.Install ENERGY STAR Clothes Washing Machine with Warm Fervor of 6 or Less
❑ a.Meets Energy Star and CEE Tim 2 requirements(modified energy factor 2.0,Water Factor 6.0)(fotal 3 points) 07 2
❑ b.Masts Energy Star and CEE Tier 3 requirements(modded energy factor 22,Water Factor 45 m less) -- ----z
(totals points)
3.Install ENERGY STAR Refrigerator
❑ a.ENERGY STAR Ouallfiod Is<25 Cubic Feet Capacity 0
❑ b.ENERGY STAR Ouellfiod 6 s 20 Cubic Feat Capacity 0 1
4.Install Built-in ReLyclIng Center 0
❑ a.Built-In Recycling Center 0 7
❑ b.Bullt4n Composting Center 0 ( T 1 y
Total Available Points in ApplIances and Li htin =12 0
N.OTHER Palms Available Per Measure
❑ 1.Incorporate GmenPolmt Rated Checklist in Blueprints-Required 0 1 R
❑ 2.Develop Homeowner Manual of Green Feeturea/Benefits 1 0 1 1 1
3.Community Design Measures 6 Local Pralines:See 0e Community Planning 8 Design section In Chapter 4 of the Now Home Guidelines for
measures.IAmmum of 20 points for suggested measures.Local requlrements may also be listed hare.
02007 Build It Green Single Family Smarr int Checklist 2007 Version Page 3 of 4
ENTER
OJECT NAME
_Enke dasoripllon here,and enter Dome,wall eas for measure In opprgaleU mospon to the right. 0 00 0 0 0
Enter description hen,and entor pints available for manure In apPnplsU caleg in to the right, 0 0 D 0 0 0
Enter description hard and polar Palms avpaame for measure In appropriate oaleporias to the right. _ 0 0 0 0 0
Enter dowription here,and enter puma avallaos fix measure U appropriate catagerlae,to the right. _ 0 0 0 0 0 0
4.Innovation:List Innovative measures that meet the green building objectives of the Guidelines.Enter up to a Build 0 Green Checklists end
mulmum combined total of 20 pts.See Innovation Checklist for suggested measures,usingthe link to the right Guldelines
Innoiafion h Common :Enter de ion hen,and War U waltelie fu measure U U cats �as tom 0 0D 0 0 0
Intimation In En :Enter ft 'on hen,and end points available Its menus In appropriate ClUgOrIN b the V. _ 0 0 0 0 0 0
Innmatlon b 14aMnIM:Enter arta,and mtn evatlaGe b manure in me Wn to R%ri . _ 0 0 0 0 0 0
rouron
Innwelion In Ra :Ental M here,and•mer tib mmetable ter menus U UU cats odea to m d 0 0 0 0 0 0
_loom_
ah;
Watw_EINr triennial here.and enter Polne available to menus In appoprlan nlepodae,10 the dl0 0 0 0 0 0
Tole'AvalloVe Points In D0ara 43 D
Summary
Total Available Points in SpeclFlc Categodes• 4+ 96+ 42+ 66+ 43+
Minimum Points Requiretl in S eciflc Categories 0 30 6 6 9
olil Pi5ints Achieved e, 1 1 e, 1 e,
Project has not yet mat the following recommended minimum requirements:
-Total Project Score of At Least 50 Points
-Required measures:
-A3a: 50% waste alversion by weight
-J2: 15%above Title 24
-NI:Incorporate GreenPoint Rated Checklist into blueprints
-Minimum points in specific categorfes:
-Energy(30 points)
-IAQIHealth(5 points)
-Resources(6 points)
-(Nater(9 points)
•
02007 Build It Green Single Family GreanPolnl ChnUs12007 Version Page 4 of 4
oWt ocz8
C-ty of Cupertino Building Permit Application
®
E-Mail
Jobsite Address: 10845 Northvlew Sq. Date: December 16, 2007
Owner's Name:---Susan Hubbart
Phone No (408)725-9747
APN#: 316-36-010 Project Valuation .S 939.00
Bullding Permit Info: Bldg--_— Elect Plumb-----X-- Mech
Job Description
Replace 40 gallon gas water heater.
Contractor Information
Company: Just Water Heaters Inc. . Phone: (510)293-2012
Contact Name: Fax: (510)293-2022
• Address:3400 Investment Blvd E-mail: permits®Justwaterheaters.net
City,State and Zip: Hayward,CA. 94545
State Contractor's License# 591329 Exp. Date: 3/31/08
Worker's Comp#: Ol DKRM11001070 Carrier: Nelos Exp. Date: 4/1/08
Credit Card Information
Credit Card #:
Name on Card: Just Water Heaters Inc.
Expiration Date: 6/08
Visa ❑ MasterCard
Comments
` Community Development
10300 Torre Avenue
Cupertino CA 95014
CITY OF Telephone(408)777-3228
U PE INTI NO Fax(408)777-3333
Building Department
JOB ADDRESS: PERMIT #
10845 Northview Sq. ac) l lo-el
OWNER'S NAME: Susan Hubbart PHONE # 408-725-9747
GENERAL CONTRACTOR: JustWater Heaters FAX # 510-783-6360
I am not using any subcontractors: .0ato- 12/16/07
Signature Date
Please check applicable subcontractors and complete the following information:
R11SUBCONTRACTOR 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 Just Water Heaters 591329
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
• L`�t:a { �o^` ��Q 12/16/07
Owner/Contractor Signature Date
10/28/03