08040025 (2) CITY OF CUPERTINO
BUILDING DIVISION PERNUT CONTRAC ^SMhB
."TOR�INFORMATN�
IO .
tarr No.
BUILgicT69'T'STELLING RD DRAIN DOCTOR Plait 08040025
OWNER'S NAME: PERMIT ISSUE DATE
CHEN KUANG 1775 WINCHESTER BLVD 04/04/2008
PHONE: SANITARY NO. CONTROL NO.
CHITECTIENGINEER: BUILDING PERMIT INFO
SEWER REPLACEMENT- CLEAN OU BLDG
ELECT PLUMB MECH
in
O O O O
�0, LICENSED CONTRACTOR'S DECLARATION - Job Description
r6 Z g l Maeby Mem Nit 1 are Banned under provision.of Chapter 9(mmO
m
cacing
< with Section 70nM of Division oftim Biomass and Pmfcssiam Code.and my licenm is
fig=
n full fame and effect.
v3(e Lm.g Gg134Si$
Dale Carommear
ARCHITECTS DECLARATION
1 understand my plans shall he used as Public recoNa
y0� Licensed Professional
7 OW NER-BUILDER DECLARATION
giai 1 hereby a1Bnn that 1 em exempt from the Com"ct res License Law for[be
t D O following match.(section 70313,Business and Pmfnsions Code:My city an county
S$ which rectifies a permit in ennun¢t.Jter,iorrow.demolish,or repair any functions
Prior leits Issuance.
ensedpmmunt Withe the maintain for such Connector's
Om see Law(ummem
< tharbe411co"cdpumuamonepmNsiintafforCahpermr'aLimnmisw(CNpmni Floor Area Valuation.
Y€$ (commencing with section 7000)of Division Sof the Business and Ptofeulam Codc)sur
�.- that he 4 asempt therefrom and the bassi for the alleged exempdon.My violation of
Section 7071.5 by any applicant for a permit mbjecu the applicmt to a civil penalty of ..
Number Occupancy Type
not mom Nm fivehundred dollen(5.100k
❑I,uown.of the Property,in my employe"with wages"that,sale cooperation,
will do the work and them"crens 4o.Intanded or offered for We(Sec.7044,Basin"
and Pmfeasio"Cade:The ComrscLk.r's LkLaw does not apply in m awn.of _ Required Inspections
property who buildmorimpnsws theream.and whodeasswh work himmlfor Wough his
own employ=,provided that such impowmens,tee not intended hraffered fors.te.IL
however,the building.Impnsvnment Is sold within oro yearof compledon.the owner-
builder will have the burden of proving that W did not build.improve for purpose of SA
❑1.u awnoe of t a Pcopas y.no.m er o fpro y markertywho ingWi with Iicansed mnuuuwa d LJ s--t 7ARY construct the project(Sac.744.B"tneas and Pretensions Cade:)Tie Comuumfa Li-
¢nse Intra does not m m owner of property who builds or improves Norton,and
who contracts for such Prmjecu with a conuumr(s)licensed pursuant m the Cmnuxnart
Creta 4w.
❑lam.emps under gee. ,B&PCfor this moon _
Owner Dam
WORKER'S COMFBNSATION DECL RATION
1 hereby tlnao under penalty of pidary arc of the following declaradons:
have and will maintain a C.uficale of Consent mmlf-insue for Worker.Compen- ,
u pmvidcd far by Section 7700 of the Isbur Code,far the performance of the
for which this permit 4 issued.
❑1 law and will maintain Worker.Compensation Insurance,as required by Section
3700ofthe Lab.Code.far the pedanmaeemf the work f.wbnh this permit Is issued. '
My Workers Compensation Insurance caniu and Policy number art:
Canler. +'f Uo 1_:tkwSJfauatpaliry No.: 19—AN% 0 93
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thissectimn reed rot be completed If the Permit 4 throne hundred dollars(5100)
or ken)
1 unify that in the perform..of the work far which this permit 4 issued,I shall n.,
employ any permit in shy mmncrsa as as became subject in the Wonkus'Compmounh n
Laws of California Dam
Applicant
NOTICE To APPLICANT.If,a0wt making this Certiricam of Etcmptimn,you sham
become subject 0 tho Worker'.Compe"ktion provisions of the Mbar Cade,you main
.J Q forthwith comply with such provisions or this permit shall be dominant ked.
,Z.,y CONSTRUCTION LENDING AGENCY
[r 1 hemhy 41Tme Lha Nene to construction lending agency far the penf.mane of
IYi> the weak sur which this Permit h aimed(Sec.3(1 Civ.C.)
W Q Leader's Name ,
zlender.Address;
V Q 1 msify Nu I have mid this application and sum that the shove infomation It
I3. F correct.1 agree as comply with all city and county ordinances and ewe laws misting as
0 C.1 building rnnRnetion.and hemhy mthadn rtPmsenudws of this city to enter upon de
.hove-rom onnd property for turned.purpose,
gL (We)agree in an.indemnify and keep harmless the City of Capcnino against
rn liabiliden,judgments,corn and committees which may in any way.cOw againstnid City
V z in conacquence of the gaining of this penmh. L
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURLILEGULATIONS.
=f`-i-�� `d-H--6 Re-roofs
SI stun 01.0,0571MUCORLIChur Dole
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will de applicant or future building occupant son or handle Mwdous materia
u desnid by the Cupertino Muni'Pat Code,Chapter 9.13,and the Health and Safety
cedC, es,sss3z(a)7
DY" No All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future building occupant usa equipment a wvia"which If a roof is installed without first obtaining an inspection,I agree to remove
it hmudn"air conumi"na.defined by to Bay Asea Air Quality Matagemmt all new materials for inspection.
on. MV/
I have mal the Wourdnusmatedalsmquimmena under Chmtar6.95 of the Califon
ria
1-1e41"SafctyCode.Sectiau 355113,35333 and M5M.1 understood thmifde building
ares net currently hew a mnm,that h 4 my responsibility in notify me occupmt of the
myuim which must be met prior to issuance Ora Ccnifu:amorOccupancy. Signature of Applicant Date
DO.orauthori7idagent =1 Dam All roof coverings to be Class'JW'or better
CITY OF CUPERTINO
• 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: SylviaM
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36611105.00
DATE ISSUED. . . . . . . : 04/04/2008
RECEIPT # . . . . . . . . . : BS000004362
REFERENCE ID # . . . : 08040025
SITE ADDRESS . . . . . : 1306 S STELLING RD
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : CHEN KUANG
ADDRESS . . . . . . . . . . 1306 S STELLING RD
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : DRAIN DOCTOR
CONTRACTOR . . . . . . . : JOHN H. LIM . LIC # 24784
COMPANY . . . . . . . . . . : DRAIN DOCTOR
ADDRESS . . . . . . . . . . : 1775 WINCHESTER BLVD
CITY/STATE/ZIP . . . : CAMPBELL, CA 95008
TELEPHONE . . . . . . . . : (408) 370-3082
FEE ID ----UNIT----- QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ---------- ---------- --- ---
1BSEISMICR VALUATION 6, 500. 00 0.70 0. 00 0.70 0. 00
1PLMBLNCK HOUR 1. 00 122 .38 0. 00 122 .38 0. 00
1PRSEWER UNITS 1. 00 20 .40 0. 00 20.40 0. 00
ITRAVDOC FLAT RATE 1. 00 40 .79 0. 00 40.79 0. 00
---------- ---------- ----------- ----------
TOTAL PERMIT 184 .27 0. 00 184 .27 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 184 .27 16765
---------------
TOTAL RECEIPT 184 .27
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ---------- -----------
106 SEWER & WATER 202 UNDERFLOOR PLUMBING
301 ROUGH PLUMBING 400 SEWER/LATERAL
507 FINAL PLUMBING
•
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
aITYOF
CUPEkTINO PERMIT APPLICATION FORM
• 0& 00 25
APN#
/0 Qd Date:
Building Address:
r300/
Owner's Name: Phone#:
Cin _ Yom+ r�c9 +c� X65-6365
Contractor: Phone k. Sao/ Q 2( - 11S-1
Dc C-;vN DC,Oof—
Fax#: x'70 —300 3/
Contact: ;A LZ V,— Phone#:
3
Fax #:
/s-cCContractor License#: y 3 (Is-c4--
Cupertino
u ertino Business License #: N
Job Description:
Ak
Residential Commercial ❑
Valuation: / I-e 0
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
AML
1PRSEWER Residential building P 1RPSS
/ sewer/sanitary sewer
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
1PRREPIPE Residential re-pipe per fixture P 1RPRP
IBPWSVCS Water Service P 1CPWSor
1RPWS
1PPRSEWG Private Sewage Disposal System P
1PCESS Cesspool P
113PWATER Install/alter Water Pipe P
1BPFIXTURE Plumbing Fixture P
IPGASRES 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
Single Family GreenPoint Checklist data: �°
��— `' ` Build ItGreeii
The GreenPoint Checklist Is based on the various green features incorporated Into the home and is the Smart Solutions From The Ground Up
basis for the GreenPoint Rated program.A home can be considered green It 11 fulfills the prerequisites,
gams at least 50 points,and meets the minimum points per category Energy list
of qualified
Alr Quality/ I I I I
Health(5),Resources(6),and Water(B).Please mnteq Build It Green for a list of qualified GreenPoint L JI L JI
Raters It 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.huiltlitorean.om.
ENTER PROJECT gg
a e w O i
U g
A SI'CEi Points Available Per Measure
1.Protect .poll end Mlnlmin Poon of Existing Pia 6 T
❑ a.Protect Topsoil from Erosion and Rouse after Construction 0 1 1
❑ b.Umh and Delineate Constructor Fooddrint for Maximum Prottsd1on 0 I 1
2 D=nshutt Instead of Demolishing Exiatin Buildings On Site 0 I 3 1
J.Racycle Job Site Construction Waste Onduding Green Waste)
❑ e.Minimum 50%Waste Diversion by Weight(Recyclirrg OrReuse)-Requirstl 0 R I
❑ b.Minimum 65%Diversion by Weight(Recycling or Reuse) 0 2
❑ c.Minimum 60%Diversion by Weight(Recycling or Reuse) 0 �— 2
4.Use Recycled Content Aggregate(Minimum 25%)
❑ a.Walkway and Driveway D I 1 I
❑ b.Roadway Base 0 I 1
Total Pants Available in Site 12 0
B.FOUNDATION Points Available Per Measure
1.Replace Portland Cement in Concrete with Recycled Flyash or Slag
❑ e.Minimum 20%Flyash or Slag 0 1 I
❑ b.Minimum 25%Flynt,or Slag 0 I 1 I
❑ L Use Frost-Protsconi Shallow Foundation in Cold Areas(C.EC.Cllmab Zone Its) 0 ( I 3 I
❑ a.Use Radon Resistant Construction(In At-Risk Locations Only) 0
4.Design and Build Structural Past Controls
❑ a.Install Termite Shields 6 Separate All Exterior Wood-to-Conmte Connections by Metal or Plastic PastenerslDividere 0 S
b.At New Plants Have Trunk,Bass,or Stem Located At Least 36 Inches from Foundason 0 1
Tote)Points Available in Foundation=6 0
C.LANDSCAPING Points Available Per Measure
1.Construct Resource-Efficient Landscapes
❑ a.No Irrvasbe Species Listed by Cal-IPC Are Planted 0 1
❑ b.No Plant Species WIII Require Hedging 0 1
❑ c.75%a Plants Are Dmughtiolarant California Natives,Mediterranean,or Omer Appropriate Species 0 1 3
• 2 Use Fire-Safe Landscaping Techniques 0 1 1 1
2 Mlnlmin Turf Areae in Landscape Installed by Builder
❑ e.All Turf Will Have a Water Requirement Less than or Equal to Tell Fescue(Soil plant factor) 0 I 1 2
❑ b.Turf Shall Not Be Installed an Slopes Exceeding 10%or in Areas Less than 6 Feet Wide 0 1 2
❑
c.Turf Is 533%aLandscaped Area(total 2 points) g �— 2
❑ d.Turf is Sl 0%of Landscaped Area(total 4 points) 0 = I I 2
❑ 4.Plant Shade Trees �., I I I I 3
_SGraup Plants by WOW Needs(Hydronnri ) i I I 1 2
6.Install High-Efficiency litigation Systema
❑ A.System Uses Only Low-Flow Drip,Bubbles,or Low-flow Spri
❑ h.System Has Smart Controllers _ \ ) 3
7.Incorpomta Twa Inches of Compost in the To a b 12lnctm o 6 Y I I 3
❑ fi.Mulch All Ptentin Beds to ma Greater of 2lnches or Loral Water n R 'icemen 0 - I I 2
B.Un 50%Selva,ad or Recycled-Content Materials for 50%of Non-Plan pe Element b
❑ 10.Reduce Light Pollution b Shielding Fixtures minor DirecOn Light Doty Fd — 1 1 I 1 I
TOW Points Available In Lantlsc m 1 0
D.STRUCT(1RAL FRAME h BUILDING ENVELOPE Points Available Per Measure
1.Apply Optimal Value Engineering
❑ a Place Rafters and Studs of 24-inch On Center Framing : 0
E] b.Size Door and Wall Headers for Load /� 0' 1
❑ c.Use Only Jack and Cripple Studs Required far Load \l 0. 1
2.Use Engineered Lumber
E] a.Beams and Headers
❑ b.Insulated Engineered Headers 0 1 I
❑ C.Wood l-Joists ar Web Trusses for Flom
❑ d.Wood Word,Its Roe Rafters
❑ e.Engineered or Finger-Jointed Studs far Vertical Applications 0 1 1
0 1
❑ 1.Oriented Strand Board for SubOaar 0 1 _
❑ g.Oriented Strand Board for Wall and Roof Sheathing 0 1
J.Use FSC-Certified Wood
❑ a.Dimensional Lumber.Studs and Timber.Minimum 40% 0 I 1 2 1
❑ b.Dimensional Lumber,Studs and Timber.Minimum 70% 0 I 2
❑ I.Panel Products:Minimum 40% 0 1
• ❑ d.Panel Products:Minimum 70% 0 — 1
02007 Build It Green Single Family GreenPoint Checklist 2007 Version Pagel of 4
PROJECT
r
ENTER 3
A.Us,Solid Wall Systems(Includes Site,ICFs,6 Any Non-Stick Frame Aeumbly)
❑ a.Floods 0 2 2 1
❑ b.walls 0 —.r —
❑ c.Roofs 0 2 2
S.Reduce Pollution Entering the Home from the Garage A Ills,
❑
H.Tightly Seal the Air Bander betwoon Garage and Living keg 0
❑ b.Inskll Garage Exhaust Fan OR Build a Detached Garage 0 - 1
Lj 8.Deal n Energy Nestle on Trustees(75%of Ask Insulation Height at Outeitle Edge of Exterior Wali) 0 1
1.Desi n Roof Trusses to Accommodate Ductwork 0 1
0.Uu detl-0entem Steel Studs for 007E of Interior Well Framing 0 1
0.Thermal Mau Wells:IS-inch Drywall on All Interior Walls or Walls Weighing mors then 401Wcu.IL 0 1
10.Install Overhangs and Guhere
❑ a.Minimum 16-Inch Overhangs and Butlers 0
❑ b.Minimum 244noh Overhangs and Goners 0 —�
Total Polo Available In Structural Building Frame and Envelope=36 0
E.EXTERIOR FINISH Forms;Avallable Per Marion
1.Use R cled-Contont No Virgin Plastic or FSC-Carti0ed Wood Decking 0 1 2
2.Install a Rein Screen Well System 0 i I 2 1
9.uu Durable and Noncombustible SidingMaterials 0 I 1
4.Select
Durable and Noncombustible Roofing Materials 0 2
TWI Points Available In ExMrlor Finish=7 0
F.INSUI ATION Points Available Per Moesule
1.Install Insulation with 75%Recycled Content
❑ a.Walla andior Floors 0
❑ b.Collins 0 — M 1
2.Install Inuletion that Is Low-Emiti ng(CmtlOed Section 01550)
❑ a.Wells andlor Floors 0
❑ b.Collin D I
❑ 3.Impact Coldly of Insulation Installation before Applying Drywall 0 1
Total Points Avolume In Insulation=5 0
O.PLUMBING Points Available Per Measure
1.Distribute Domestic Hot Water Efficiently)Maximum 7 Points)
❑ a.Insulate HIM Water Pipes from Water Heater to Kitchen 0
❑
to.Insulate All Hot Water Pipes
❑ c.Use Engineered Parellel Piping 0 ___---
❑ d.Use Engineered Parallel Piping with Demand Controlled Circulation Loop 0
2
[3e.Use Structured Plumbing with Demand Conbolletl Circulation Loop _ 0 _ 1 —— _
❑ I.Ilae Central Code Plumbing
0 1 + 1 2
2.Install Only High EfficienToilet(Dual-Flush or S136 qpj D 4
Total Points Available in Plumbing=TDW 12 0
H.HEATING VENTHATION&AIR CONDITIONING Points Available Per Measure
❑ 1.Design and overbill HVAC System to ACCA Manuel J,D.and S Recommendation 0 4 t
2.Install Sealed Combustion Units
❑ a.Fumaca 0
❑ b.Water Hestem 0 2
3.Install Zoned,Hydronic Radiant Heading with Slab Edge Insulation 0
4.Install High EOldancy Air Conditioning with Environmentally Responsible Refrigerants D 1
5.Design and Install Effective Ductwork
a.Install HVAC Ung and Ductwork within Conddoned Space D 3
❑ It.Use Duct Matk M All Dud Joints and Sean
❑ c.Install Ducfwndt under Aft Insulaton(Boded Ducts)
❑ d.Pressure Balance the Ducteofk System U �—
❑ e.Protect Ducts during Construction and Clean All Ducts before Occupancy 0 1 I y-
8.Install
High Efficiency HVAC Filter(MERV 6e) D 1
❑ 7.Don't Install Fireplace or Install Sealed Gas Fireplaces with Efficiency Rating Not Leu Than 60% 0 1
using CSA Standards l
e.Instal Effective Exhaust Systema In Bathrooms and 10tchans
❑ a,Ireton ENERGY STAR Bathroom Fans Vented to the Outside o
❑ --r
b.All Bathroom Fane Are on Timor or Humidietet 0
❑ c.Install Kitchen Range Hood Vented to the Outside 0 1
0.Install Mechanical VenNation System for Cooling(Maximum 4 Formal
❑ e.Install ENERGY STAR Calling Fans A Light Kits In Living Area 6 Bedrooms _ 0
❑ b.Install Whole House Fan with Venable Speeds _U
--
❑ c.Automatically Controlled Integrated System
❑ d.Automatically Controlled Integrated System with Variable Speed Control 0 3 1 T �-
10.Install Mechanical Fresh Air Ventilation System(Maximum 3 Points)
❑ a.Any Whole House Vandscion System That Mute ASHRAE 622 U__ _
El b,Install Ah-toar Heat Exchanger that mats ASHRAE 622 0 1 T 2
Lj 11.Install Carbon Monoxide Manhole) D - 1
Totel Pointe Avi tleble in Hearing,Ventilation and Air Condumnin =301 D
0
0 2D07 Build 11 Green Single Family GreenP0lnt Checklist 2007 Version Page 2 0l4
.
SUBURBa RO
L RENEWABLE ENERGY Points Available Per Measure
LJ 1.Pre-Plumb for Solar Hot Water Heating 0 1 4 1 1 1
LJ 2.Install Soler Water Meeting System 0 1 10 1 1 1
77 3.Install Wiring Conduit for Future Photovoltaic Installation&Provide 200 M of South-FacingRoof 0 1 2 I !
• 4.Install Photovoltaic(PV)Panels
❑ a.30%of electric needs OR 12 kW(total 6 points) 0 1 6 1
❑ b.60%of electric needs OR 2.4kW(total 12 points) 0 1 6 I
❑
C.90%of alecli is need DR 3.6 kW(tond 18 points) 0
Total Available Points in Renewable Ener =26 0—
J.BURRING PERFORMANCE Points Available Per Measure
1.Diagnostic Evaluations
❑ e.House Passes Blower Door Test 0 1 I
b.House Passes Combustion Safety Backdrafl Test 0 ! 1 {
2 Design and Build High Performance Homes-%above Tide 24-minimum 15%Required 0
❑ 3.House Obtains ENERGY STAR with Indoor Air Package Certification-Pilaf Measure(Total 45 points;read comment) 0 i I 5 1 2
Total Available Points in Building Performance 39 D
R.FMISHES Points Available Per Measure
❑ 1.Design Entryways la Reduce Tracked in Contaminants 0 1
2.Use Low-VOC or Zero-VOC Paint(Maximum 3 Points)
❑ a.Low-VOC Interior WalllCeiling Palms(60 gpI VOCs(Flat)and 050 gpI VOCs(Non-Flat)) 0 ! 1
❑ b.Zero-VOC:Interior WalUCellin Paints(<5 gicl VOCs(Flat 0 { 3 1 {
❑ 3.Use Low VOC,Water-Based Wood Finishes(Q50 gpI VOCs) 0 ! 2 I
❑ 4.Use Low-VOC Caulk and Construction Adhesives(ae gpl VOCs)for All Adhesives 0 ! 2
❑ 5.Use Recycled-Content Paint 0 I 1
S.Use Environmentally Preferable Materials for Interior Finish:A)FSC-Certified Wood,S)Reclaimed,C)Rapidly Renewable,D)Recycled-Content
or E)Finger-Jointed
❑ a.Cabinets(5D%Minimum) 0 I 1 1
❑ b.lnledor Trim(50%Minimum) 0 1
❑ C.Shelving(50%Minimum) 0 _ 1
❑ J.Doors(5D%Minimum) 0 1
❑ a.Countadops(50%Minimum) 0 1
7.Reduce Formaldehyde in Interior Finish(CA Section 01350)
❑ a.Sucker&Stair Treads(50%Minimum) 0 ] I
❑ h.Cabinets&Countedops(50%Minimum) _ 0 1
❑ c.Interior Thin(50%Minimum) 0 7
• ❑ ISheMing(50%Minimum) 0 1
❑ &.After Installation of Finishes,Test of Indoor Air Shows Formaldehyde Level dlppb 0 1 1 3 1 1
Total Available Points in Finishes 21 0 -
L.FLOORING Pounds Available Per Measure
1.Use Environmentally PrMerable Flooring:A)FSC-Certified Wood,B)Reclelmed or Refinished,C)Rapidly Renewable,D)Recycled-Col E)
Exposed Concrete.Flooring Adhesives Must Haw 60gpi VOCs.
❑ a.Minimum 15%of Floor Area 0 1
❑ b.Minimum 30%of Floor Area 0 �—
❑ c.Minimum 50%m Floor Area 0
❑ d.Minimum 75%of Floor Area 0 1
❑ 2.Thermal Masa Floors:Floor Covering Other than Carpet on 50%or More of Concrete Floors 0 1
❑ 3.Flooring Meets Section 01350 or CRI Green Label Plus Requirements(50%Minimum) 0 1 1 2 1
Total Avafable Points in Flooring=7 0
M.APPLIANCES AND LIGHTING Points Available Per Measure
1.Install Water and Energy Efficient Dishwasher
❑ a.ENERGY STAR(total 1 point) 0 1 _
❑ b.Dishwasher Uses No More than 6.5 Golon lC cle(total 2points) 0 —r 1
2.Install ENERGY STAR Clothes Washing Machine with Water Factor of 6 or Less
E] a.Meets Energy Star and CEE Tier 2 requirements(modified energy factor 2.0,Water Factor 6.0)hotel 3 points) 0 1 2
❑ b.Meets Energy Star and CEE Tier 3 requirements(modified energy factor 22,Water Factor 4.5 or less) 0 I I I 2
(total spoints)
3.Install ENERGY STAR Refrigerator
❑ a.ENERGY STAR Qualified&e 25 Cubic Feet Capacity 0 1 1 !
❑ b.ENERGY STAR Oualihad&<20 Cubic Feet Capaci 0 I 1
4.Install Built-In Recycling Canter 0
❑ a.Built-In Recycling Center 0 I ` 2
❑ b.Built-In Composting Center 0 ! 1 T—
TotalAvailablePointsin Appliances and Ughfin =12 0
N.OTHER Points Available Per Measure
❑ 1.Incorporate GmenPolnl Rated Checklist in Blueprints-Required 0 1 j R I
❑ 2.Develop Homeowner Manual of Green FeaturesrBene6m 0 1 1 1 1 1
3.Community Design Measures&Local Priorities:See the Community Planning&Design section in Chapter 4 of the Now Home Guidelines for
measures.Maximum of 20 points for suggested measures.Local requirements may also be listed hare.
02007 Build It Green Single Family GreonPoini Checklist 2007 Version Page 3 of 4
s s g
ENTER
PROJECT N
• , c 5 ; Y
w s �
U
❑ Enter dNo hen,end anter pains welloble les measure In eppmpriele cespohao to Me dgm. 0_ 0 0 0 D 0
Enter description here,and soler points evalsbs for measure In apparent cetegmbe to Me right. _0 _ 0 D 0 0 0
Enter descrloion hen,and enter points avalable for measure M appnpriale categories to the right. _D_ 0 0 D 0
❑ Enter description here_find enter pains e_iYR for In Ir appropllan categohas to Me dghl. _ __ _ 0 0__ D 0 __o_, _0_
4.Innovation:List Innovative measures that meet the green building objectives of the Guidelines.Enter up to a Guild It Green Checklists entl
uidelines
maximum combined total of 20 ots.See Innovation Checklist for suggested measures,using the link to the night.
L-o LJ innovation In Commute .Enter descriion hen,end enter points ove0nble fm messun in app as casgorms to Me right. _0 0 0 00Innovation in En :Enter de m hen entl enter is avalWea for measure in a ce u te Me fi . _ 0 0 0 D 0 InnovationInIAOMesIM:Ener daso' on hen and enter oints a alldis W man In mo es M Men 1. _0_ 0 0 0 01 El Innovation In Resources:Enter da Ion here end enter palms oveliable for measure In mprnpries casgories to Me holt. 0 0 0 0 0Innovation In Water:Enlar descrlpllon hen,end anter Rams evellas for meacun In epprgnete cetegaies ro Ma dgM. 0 0 0 0__, 0
Total Available Points In Other=43 0
Total Available Points In Specific Categories' 4+ 96+ 42+ 66+ 43+
Minimum Points Required in Specific Categodesf—I 0 1 30 5 6 B
Totil Points Achieved 1 t : t 1 :
Project has not yet met the following recommended minimum requirements:
-Total Project Score of At Least 50 Points v
-Required measures:
-A3a: 50% waste diversion by weight
-J2: I S%above Ttle 24
-NI:Incorporate GreenPoint Rated Checklist into blueprints
-Minimum points in specific categories:
-Energy(30 points)
-IAOIHealth(5 points)
-Resources(6 points)
-Water(9 points)
A
m g Y
2007 Build It Green Sin le Family GreenPoint Checklist 2007 Version Page 4 of 4
Community Development
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103300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
CUPERTINO
•
Building De artment
JOB ADDRESS: PERMIT #Ja D o2s
13b(0 s Fel
OWNER'S NAME: 4f'-U2\.APHONE # c17Z 6e5-8-z,
GENERAL CONTRACTOR: FAX #
I am not using any subcontractors:
tgnature Date
Please check applicable subcontractors and complete the following 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