08010095 CITY OF CUPERTINO -
BUILDING DIVISION PERMIT
BUILDYyp�goge6DRAKE DR TBD — TO BE DETERMINED P08010095
OWNEWSS NALMEV: - - PERMIT ISSUE DATE
GRAVES MARGARET P AND ROGER E 01/15/2008
NE: SANITARY NO. CONTROL NO.
ARCHITECTIENGINEER: BUILDING PERMIT INFO
BILDO� ELECTO FLUME MECHO
300 LICENSED CONTRACTOR'S DECLARATION ]IOU Description
y�uJ K 1 Wholly aRrm Met 1 am licensed under provsia.of Chapter 9(cnmmcncing p
with Section 700(1)ofDivWon 3ofdm Business and Professions Code,ard my lice.a is REPIPE FM GALVZD TO COPPER. CONTRACTOR, THE
y mfall low.anderRtt NEIGHBORHOOD PLUMBER, PD FOR BSL 1/15/8
j, z UcenwCsss Lte.g
Dote /C Con DELL
Ao Mail W use DECLARATION
I undentanJ my pias eNll bo uxetl as public mcoasis
50 Licensed Professional
y OWNER-BUILDER DECLARATION
i 1 bomby affirm that I am exempt from the Contractors License Law for Ne
i a O following moon.(Section 7031.5,Business and Professions Cale:Any city or county
$�a which mquim a permit ler cmtwucl.alcor,improve,demolish,ar mpair any structure
zy priorm its issuance.am.requires Ne applicant for such Permit o file a signed summem
<
IW Im is licensed pursuant to the provisions of the Coommetor's License Law chapstr 9 Sq.Ft. Floor Area Valuation
�� (commencing with Srsdon 70D0)of Division 3 of the Business and Profesinna Code)m $4500
Q 5 9 that he u exempt thme(rom sed the bus for the ailcgcd eaemption.Any violad'on of
Section 7031.5 by ary applicant for a permit wbjecm the applicant an a civil penalty of �, Number Occupancy Cut come me than five hundred dollars(M). 31632 019 Aft P y Type
❑1.u owner of the pmperty,m my employees with ropes u their wle eompensstion,
will do the wart,end the swcturt s not intended moneyed forsste(See.7014,1luiness
and Profeumns Code:The Contractors License Law tlm not apply va an owner of Required Inspections
property who buildsormal ores durean,and who dassuchworkhimeelfmthrough his
mor employees,provided that well improvements are nal mankind aro@red fowls,IC
hawcver,the building or improvement is veld withworm year orcompletion,the owner ,
builder will have the burden of proving Nat W did wt build ar improve for pop=of
gated. -
❑1,as Owner of tW property.am esduively contracting with licensed centrwtoow m
comment the Project(Sec.7044,B.inesa and Pnfusiou Cade:)The Cmwctor's U-
cove law does eat apylY m an owns of property who Wilds or improm Narcan,and,
who contracts for such project with a commmoor(s)licensed pura.nl no tW Contrwmr,
Lke.e Law.
❑laomounpmuler See ,B&PCf.Mi,rtsson
Owner Das
WORKERS COMPENSATION DECLARATION
I hereby of ion under pe.Ity of iscoury au of tis fallowing dcclaowtio.:
ham and will maintain acenumate ofcouent to self-Wum fm Workers Compen.
on,u provided for by Section 3700 of the Labor Cade,for the performance of the
work for which this permit is issuetl.
❑I hoe and will maintain Workers Compeuadon Wheranm,as required by Section
37W of low labor Cade,for the performance of the work for which this permit Is issued. '
My Workers Campmensi n Irwrawe earl and Policy number art:
Camkr, Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Ms section need not x completed if to permit Is foresee hundmAdollus($100)
or less)
I Cavity Nat in the performance of the work for which this permit is Wood.l shall not
employ any perm.in any mem�so��c�n a subjecta Warkcr'Comon
penad
Law,of California.Date ,the
Applicant
NOTICE TO APPLICANT:If,our making this Certificate of Exemption,you should
bocome subject an the Workers Campeesation previsions of Ne labor Cndc you meet
Q forthwith comply with such provislau m this Permit hall x deemed mveked.
2 CONSTRUCTION LENDING AGENCY
[--i I hereby affirm that More s a construction lending agency for the performance of
C' > the work for which this permit is issued(Sec.3097,Civ.C.)
W� 0 Lenders Namm
M zummesAddress
fJ Q I certify the I have mW this application and sum Mu the above information is
{L F correct.I agree In comply with all city and county ordinances and some laws relating to -
C.) building eonmuction,and hereby awhorim mpmsenudm of this city in enmr upon the
Liz abovs-mentioned property for iupecumn purposes.
Lbw, (We)agree to gave,indemnify sed keep harmless the City of Cupertino against
n;y rA imbRifics,Judgments,cats and expenses which may in any way same against said City
(„)7 in consequence of the gowning of this Istro t.
t1— APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOUrREGULATIO
gi,. art Z Re-roofs
f u
Signature oApplinUConuacmr Dau
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applieent or forum building Occupan.mm or lundlc hvedou material
as de0ned by the Cuperdw Municipal Code.Chapter 9,11.and the Health and Safety
COLIC.Sectionzs15532N)?❑y. D}No
All roofs shall be inspected prior to any roofing material being installed.
Yes
Will the applicant or future building Occupant vas equipment or devises which If a roof is installed without first obtaining an inspection,.I agree to remove
01pd..air mummina.s ss Jetted by Ne Bay Arta Air Quality Management all new materials for inspection.
trict7
❑Yes %N.
1 have mal the havd<m emriasmquhemws under Chapur6.95oftheColifm-
-I.Health&SafmyCOde,Seedau25M5,25533 md25534.Iundmasnd thatifthe Wilding
does not currently have a tenant,Out II s my responsibility to notify de Occupant of de
nuptt whichmot berom priors issuance Oft Certificate of Occupancy Signature Of Applicant Date
2. `�t"'t"Tl /!s 09
Owner or authorized agent Dote All roof coverings to be Class"B"or better
CITY OF CUPERTINO
Iwo REPIPE/SEWER/MAIN SERVICE
CUPERTINO PERMIT APPLICATION FORM
APN# 3 ( 3 O 1 O O Date:
Building Address:
� 91 a 0 Dra k, D(I I ve
Owner's Name: Phone#: W T
/110,r a!'e.4- G f q✓e5 asa -q q-) o
Contractor: Phone#: Yoir'
Tke. PeigkboryooL Fax #:
Contact: Phone#: 4'O Sl
Deas X66 - 1�r�y
Fax #:
Contractor License#:
Cupertino Business License#:
Job Description:
Residential [�. Commercial ❑
Valuation: 010
Green Building Check list must be completed and attached to this application.
Green Bui ding 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
/ IBSEISMICR Seismic Residential P
IPRSEWER 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
I 1PRREPIPE Residential re-pipe per fixture P 1RPRP
I 1BPWSVCS Water Service P 1CPWS or
1RPWS
1PPRSEWG Private Sewage Disposal System P
1PCESS Cesspool P
1BPWATER Install/alter Water Pipe P
1BPFIXTURE Plumbing Fixture P
1PGASRES Residential Gas Piping System P
1-4 Outlets
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
•
CITY OF CUPERTINO
• 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 31632019 . 00
DATE ISSUED. . . . . . . : 01/15/2008
RECEIPT #. . . . . . . . . : BS000003704
REFERENCE ID # . . . : 08010095
SITE ADDRESS . . . . . : 19720 DRAKE DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : GRAVES MARGARET P AND ROGER E
ADDRESS . . . . . . . . . . : 19720 DRAKE DR
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2434
RECEIVED FROM . . . . : THE NEIGHBORHOOD
CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096
COMPANY . . . . . . . . . . : TBD - TO BE DETERMINED
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . . -
TELEPHONE . . . . . . . . :
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BPREPIPE NO OF FIXTURE 9 . 00 55 .08 0. 00 55 . 08 0. 00
1BSEISMICR VALUATION 4, 500. 00 0. 50 0. 00 0 .50 0. 00
------ ---------- ---------- ----------
TOTAL PERMIT 55 . 58 0. 00 55 .58 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 55 . 58 #1828
---------------
TOTAL RECEIPT 55. 58
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ----------------------- --- --------- ----------------------------
202 UNDERFLOOR PLUMBING ' 301 ROUGH PLUMBING
502 FINAL PLUMBING ENERGY 507 FINAL PLUMBING
•
- Single-Family GreenPoint Checklist date: / R7;Z o Dr4ke. 'Dolguild It Greed
The GreenPoint Checklist is based on the various green features Incorporated Into the home and is the l. Smart Solutions From The Gmund Up
basis forthe GreenPoint Rated program.A home can be considered green it it fulfills the prerequisites, F
cams at least 50 points,and meats the minimum points per category:Energy(30),Indoor Alr Quality/
'area(5),Resources ste antl Water g Please contact Build If Green for a Ilst of qualified GreenPoint II
Raters It you are interested in pursuing third-party verification.
• The green building practices listed below are described in the New Home Constructlon Green Building
Guidelines,available at 2M.buildimman oro,
!ENTERF1 PROJECT
• x E L Is
n' u w ¢ 3
A.SITH 1.Protect Topeoll and MiniPoints Available Per Measure
mim Dicruptlon of Existing Plan68Treoa
❑ a.Protect Tonall from Erosion and Reuse after Constmci on _ D _ ] .
❑ b.Limit and Delineate Construction Foodol tar Maximum Pmadtion ______D 1
El Deconstruct Instead of DemolishingExisting Buildings On Site D 3
9.Rerycle Job She Construction Waste(Including Green Waste) -
❑ a.Minimum 50%Wash Diversion by Weight(Recycling xAeuss)-Required 0 R
❑ b.Minimum 65%Diversion by Weight(Recycling or Reuse)
El c.Minimum BO%Diversion by Weight(Recycling or Reuse) 0 z
—4.Use Recycled Content Aggregate(Minimum 25%) 5555__
❑ a Walkway and Driveway
❑ b.Roadway Base - .— __.—. -"p'
Towel Points Avallable in Site 12 0
8.FOUNDATION Points Available Par Measure
1.Replan Portland Cement in Concrete with Recycled Fill or Slag ,
❑ e.Minimum 20%Flyesh or Slag 0
❑
In.Minimum 25%Flynt or Slag ----""'- "- '--"----'- --,-----
0
❑ 2 Use Frost-Protected Shallow Foundation in Cold Areas(C.E.C.Climate Zona 16) p1 3
❑ 3.Use Relfon Resistant Construction(In At-Risk Locations Only) 0 1
A.Design antl Bulid StrueWrel Peat Com ons
❑ a.Install Termite Shields a Separate All Exterior Wooddo-Concreh Connections by Matal or Plastic Faseners/Divitlars 0
� b.All New Plants Have Trunk Be,,.or Stam Located At Least 361nches teem Foundation 0 1 I
Total Points Available in Foundation=B 0
C.LANDSCAPING Points Available Per Measure1.Construct Resource-EReient Lantlecapes
❑ a.No Invasive Species Listed by Cal-IPC Are Planted 0
__ __ ___ __ 5555 _ _ ___]_
❑ b.NO Plant Species VAII Require Hedging p I � _
• — I _L
❑
C.75%of Plants Are Droughl-tolerant Caltlomia Natives,MedAenanean,or Other Appropriate Species 0
2 Uae Flro-Safe Landscaping Techniques 0 1
9,Minimize Told Areas in Landscape Installed by Builder
❑ a,All Turf will Have a Water Requirement Less than or Equal to Tell Fescue(550.5 plant factor) 0
❑ In,Tud Shall Not Be installed on Slopes Exceeding l D%or in Areas Less than B Feet Wide D "'-'-I j-'
Elc.Tud Is 533%of Landscaped Area(total 2 points) -" 0
❑ d.TurfisSID%of Landscaped Area(total4 points) 2
❑ 4.PIant Shade Trees -
D 3
El S.Group Plants by Water Needs(Hytlrozoning) 0 i 2
S.Install High-Efficiency Irrigation Systema
❑ e.System Uses Only Low-Flow Drip,Bubblers,or Low-flow Sprinklers _0 _ '_�_ _j 2 _
E] b.System Has Small Controllers 0 3
7.Incorporate Two Inches of Com ost in the Top 6 to 12 Inches of Boll 0 ! 3
❑ S.Mulch All Planfin Beds to the Greater of 2Inches or Local Water Ordinance Requirement D I 1 - ! 2
e.Use 50%Salvaged or R,cimied-Content Materials for 50%of Non-Plant Landscape Elements 0 11
❑ 10,Reduce Light Pollution by Shielding Fixtures and/or Directing Light Downward 0 1 1
Total Points Available in Landscapin =31 D
D.STRUCTURAL FRAME ac NG ENVELOPE Points Available Per Measuresur?
1.Apply Optimal Value Engineering
❑ a.Place Rafters and Studs at 24-Inch On Center Framing
❑ b.Size Door and Window Headers for Load 0 —I ]
❑ c.Use Only Jack and Cripple Studs Required for Load -'0 -'5555___ -i 1 - ----
2.Use Engineered Lumber
❑ a.Beams and Headers -
❑ b.Insulated Engineered Huns 0
E] C.Wood I Joists w Web Trusses for Floors "-0 ----
❑ it.Wood[.Jests for Roof Rafters D
El 9.Engineered or Finger-Jointed Studs for Vern l Applications --
❑ I.Onanled Strand Board for Subhoor 0-- '--' —=-------1 ---
❑ g.Chanted Stand Board for Well and Roof Sheathing 0 r'--'j--' -----
9.Use FSC-Cedifietl Wcod
❑ a.Dimensional Lumber,Studs and Timber.Minimum 40%
___ _:_.-_.... t_.
❑ b.Dimensional Lumber,Studs and Timber:Minimum 70% 0 20 �
T.
• ❑ c.Panel Products:Minimum 40% - 0 ]
❑ d.Panel Products:Minimum 70% 0 3
02007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 1 of 4
ENTER
4.Use Solid Wall Systems(includes SIPE,ICFs,A Any Non-Stick Frame Assembly)
❑ a Roche 0 2 2
❑ b.Wells 0 2 ._
Elc.Roofs D 2 2
5.Reduce Pollution Entering the Home from the Garage
❑ a.Tightly Seal the Air Beller between Sell and 1-hing Area
❑ b.Ireton Sways Exhaust Fan OR Build a Detached Garage 0 ]
Lj e.Design Energy Heals on Trusses(75%of Attie Insulation Height at Outside Edge of Exlarlor Wall) D 1
7.Design Roof Tmw to Accommodate Ductwork 0 1
B.Use Recycled-Content Simi Studs for 80%of Interior Wall Framing 0 1
0.Thermal Meas Wella:518-Inch Drywall on All Interior Wells or Walls Weighing more than 401blou.R D 1
1a,triarell overrul and Dutton
❑ n Minimum 1&Inch Overhangs and Gumm; 0
❑ b.Minimum 24-Inch Diarhana and Butlers 0 1
Total Pants Available in Smoduial Building Frame and Emelops=36 0
E.EXTERIOR FINISH Poll Available Par Measure
1.Use Recycled-Oontant(No Virgin Plasl or FSC-Certified Wood Decking 0 2
2.Install a Rain Screen Well System 0 2
El—a Use Durable and Noncombustible Skiln Metedal$ 0 1
4.Select Durable and Noncombustible Roofing Mesrieis _ - -- - 0 2
Total Points Available In Exterior Finish 7 0
F.INSULATION Points Avallable Per Measure
1.Install Insulation with 75%Recycled Content
❑ t Walls anNor Floon 0
❑ b.Callings 0 1
2.install Insulation that Is Low-Emisng(Canned Section 0135D)
❑ n Wells andlm Floors 0
❑ b.Collins 0 1
9.inspect Gustily of Insulation Installation before Applying Drywall 0 1
Total Pointe Available In Insulation=5 0
O.PLUMBING Points Available Per Measure
1.Distribute Domestic Hot Water Efficiently(Maximum 7 Points)
❑ a.lmulate HM Water Plpes from Water Heater to Kitchen 0
❑ b.Insulate All Hol Water Pipes 0
❑ c.Use Engineered Parallel PlpinA _ 0
❑ J.Use Engineered Parallel Piping with Demand Controlled Circulation Loop
❑ e.Use Structured Plumbing with Demand Controlled Clrcula0cn Loop
❑ I.Use Commid Core Plumbing 0 ] 1
❑ 2.Install only High EfficienToilets(Dual-Flush or 51.28 goij 0 4
Total Points Available in Plumbing=Total 12 0
H.HEATING VENTHATION&AIR CONDITIONING Points Available Per Measure
1.Design end Install HVAC System to ACOA Manual J,D,antl 9 Recommendations 0 4
2.Install Sealed Combustion turns
❑ sFumaces D _ _ 1 2 I_
❑ b.Water Hasten 0 2
9.Install Zoned,Hydropic Radiant Healing with Slab Edge Insulation 0 1 1
4.Install High Efficiency Air Conditioning with Environmentally Responsible Refrlgarens 0 1
S.Design and Install Effective Ductwork
❑ a Install HVAC Unit and Ductwork whhin Conditioned Space -0-
b.
_b.Use Duct Mastic on All Duct Joints and Seems 0
T
❑ c.Install Ductwork under Attic Insulation(Burled Ducts) _ 0
❑ d.Pressure Balance the Ductwork System _0 _ .„
❑ e.Protect Ducts during Commuc8on and Clean All Ducts before Occupancy 0 1
Lj 6.Install High Efficiency'HVAC Filter(MERV S.) 0 1
❑ 7.Don't Install Fireplace or Install Sealed Gas Fireplaces with Efficiency Rating Not Less Than 50% 0 1
using CSA Standards
0.Install Effective Exhaust Systems In Bathrooms and Kitchen$
❑ a.Install ENERGY STAR Bathroom Fans Vented to the Outside _ 0
❑ b.All Bathroom Fans Are on Timer or Humidistat 0_ _ _ 1
❑ c.Install Kiddish Range Hood Vented to the Outside 0 ]
A.Install Mechanical Ventilation System for Cooling(Maximum 4 Points)
❑ $.Install ENERGY STAR Ceiling Fans 3 light Kits In Luting Areas 6 Bedrooms _0
❑ b.Install Whole House Fan with Variable Speeds
❑ c.Automatically Controlled Integrated System _-
❑ d.Automatically Control Intagmtad System with Variable Speed Control 0 3
10.Install Mechanical Fresh Air Ventilation System(Maximum 0 Points)
❑ e.Any Whole House Ventilation System That Ideate ASHRAE 622 __0_ _ 2 ..
❑ b.instell Air-to-Air Heel Exchanger that meats ASHRAE B22 0 ] 2
11.Insall Carbon Monoxide Alerl 0 1
Total Points Available In Heading. emission and Air Conditionln =GD 0
02007 SO lid It Groan Single Family GreenPoinl Checklist 2007 Version Page 2 al 4
ENTER _ _ _
cEE W
L RENEWAHLE ENERGY Points Available Par Measure
1.Pre-Plumb for Bator Hot Water Heating 0 4
' LJ 2.Install Solar Water Heating System 0• I].Install Wiring Cars for Future Photovoltaic Installation&Provide NO f`of South-Facing Roof p Z
4.install PhOoDinlmlc(PV)Panels
❑ a.30%of electric needs OR 12 kW(total 6 points) 0 F
❑ b.60%of electric needs OR 2.4kW(total 12 points) D —
❑ c.90%of olecvic need OR 3.6 kW(total 18 points) 0 6
Total Available Points in Renewable Energy=28 D
J.HUDAING PERFORMANCE Points Available Per Ideasum
1.Diagnostic Evaluations ..
❑ a.House Penn Blower Door Test
❑ It.House Penn Combustion Safety Sackdraft Test
=2.Design and Build High Performance Homes-%above Tltle 24-minimum 15%Required 0 >_30
❑ 3,House Obtain ENERGY STAR with Indoor Air Package Certification-Pilot Measure(Total 45 Points)read comment) 0 5 2
Total Available Points in Building Performance 39 0
E.FINI6HE6 - r IAeasure
❑ _-7.Design Entryways to Reduce Tracked in Comeminehta —"'—' -- -.---.- _- -_ 0 -Points Awl Per
2 Use Low-VOC or Zero-VDC Paint(Maximum 3 Fill
❑ a.Low-VD Interior WeIUCelling Paints(60 gpl VOCs(Flat)and<150 got VOCs(Non-Flat)) D T
❑ h,Zero-VOCantedor WaIVCeilin Palnis(d 21 VOCs(Flap) 0 3
L) 3.Use Low VOC,Water-Based Wood Finishes(¢50 g I VDCs) 0 2
El 4.Use Low-VDC Caulk and Construction Adhesives(OD Sol VOCs)for All Adhesives p
❑ 5.Use Recycled-Content Paint
D I
6.Use Environmentally Preferable Materials for Interior Finish:A)FSC-Certifiod Wood,8)Radial C)Rapidly Renewable,O)Recycled-Content
or E)Finger-Jointed
❑ a.Cabinets(50%Minimum) 0
❑ b.Interior Tim(50%Minimum) -" - "'-- -'---- — --
❑ - c.Shelving(50%Mtnlmum) -
❑ d.Doors(50%Minimum) 0 ]
❑ O.Countertops(5D%Minlmum) ----
7.Reduce Formaldehyde In Interior Finish(CA Section 01350)
❑ a.Sol&Star Treads(50%Minimum) 0 ]
E] b.Cabinets&Countertops(50%Minimum) "-'--'-" - "— '----- ----
0
❑ c,Imedor Trim(50%Minimum) "--- "- -' '--- ----- -
• __0 ___ - ____._�_ . . -..___._
E] d.Shelving(50%Minimum)E] 1
❑ 6.After Installation of Finishes,Test of Indoor Air Shows Formaldehyde Level a7ppb 0 3
Total Available Points in Finishes 21 0
L.FLOORING Points Available Per Measure
1,Use Environmentally Preferable Flooring:A)FSPCertified Wood,B)Reclaimed or Refinished,C)Rapidly Renewable,D)Recycled-Content,E)
Exposed Concrete.Flooring Adhesives Must Have off gpl VOCs.
❑ a.Minimum 15%of Floor Area
0
❑ to.Idinimum 30%o(Floor Area "---'--'-- _-- - ------
❑ c.Idinimum 50%of Floor Area
❑
J.Minimum 75%Of Floor Area ""--"----- - ----
0
❑ 2 Thermal Mess Floors:Floor Covering Other than Carpet on 50%or More of Concrete Floors 0 1
El 3,Flooring Meets Section 01350 or CRI Green Label Plus Requirements(50%Minimum) 0 2
Toth Available Points in Fluorin =7 D
M.APPLIANCES AND LIGHTING Points Available Per Measure
- 1.install Water and Energy Efficient Dishwasher
❑ a.ENERGY STAR(total i point) 0 ]
❑ b.Dishwasher Uses No More than 6,5 Gallon-Cycle(total 2 poll p-'----- ------"-""�'-- 1"-
2.,Install ENERGY STAR Clothes Washing Machine with Water Factor of 6 or Less
❑ a.Meets Energy Star and CEE Tier 2 requirements(motlfied energy factor 2.0,Water Factor 6.0)(total 3 points) 0 ____ ] _ z
❑ b.Meets Energy Star and CEE Tier 3 requirements(modified energy factor 2.2,Water Factor 4.5 or less) ---
totalscome) 0 2
3.Install ENERGY STAR Refrigerator
❑ a.ENERGY STAR Qualified&<25 Cubic Feet Capacity 0 ]
❑ b.ENERGY STAR OuallBed&<20 Cubic Fast Capacity 0 1
4.Install Built-In Recycling Center 0
❑ a Built-In Recycling Ceptor
2
❑ h.Built-In Composting Center -0 ---i------ --_----- -
Total Available Points in Appliances end Li Ming=12 0
N.OTHER Points Available Per Measure
❑ 1,Incorporate GreenPoim Rated Checklist in Blueprints-Required 0 R
❑ 2,Develop Homeowner Manual of Green Featuresu Benefits 0 1 1 1
3.Community Design Measures&Local Priorities:See the Community Planning 8 Design section in Chapter 4 of the New Home Guidelines for
• measures.Mall 0120 points for suggested measures,Local requirements may also be listed hare.
El
02007 Build It Green Single Family GreimPoinl Checklist 2007 Version Page 3 of 4
ENTER PROJECT NAME
a
CJ Enter description here,and enter pointe evadable Its measure In appropriate categories to the right. D 0 o D 0 0
Enter desonelon here,and enter points available Its measure In approprear calegrlei to the right D 0 D 0 0 0
Emer desodplion here,and enter points available IIX manure In appropriate calopor es to the light. D 10 0 0
❑ Enter description hen,and enter points ovallsba formeasure In appropriate c hatstr n to the light. D D 0 0 0 D
40
4,Innovation:List Innovative measures that meet the green building objectives of the Guidelines.Enter up to a lid-it Green Checklists and
maximum combined total of 20 pts.See Innovation Checklist for suggested measures,using the link to the night _ Guidelines
_ ___
Li Innovation in Community:Enter decor rim here,and enter points available for measure In leu categories to the n ht D D 0 0 D 0
Innovation in Ener :Enter description here,and soler nu well formaasum M 'ate cats ur es to the right, D D 0 0 D 0
Innovallon In IAOMmIrh:Enter demi Iron hero,and enter points avallable lo,meeeun in appropriate cats rose to the tlill D 0 D 0 0 0
Innovation In Hnourou:Enter description has,and enter mrafts valin is for measure 10 appropriate cataill to the rim. 0 0 0 0 0 0
rumination in Water.Enter description here,and enter points available Ir measure In apprgxlala oeteporles to the rigor 0 D 0 0 D 0
Total Available Poin6 in Other.43 0
Summary
Total AvalliD Points In SpocNic Categories' 4+ 96+ 42+ 66+ 43+
Minimum Points Paquin etl in Specific Categories 0 30 5 B 9
e e e e e e
Pro}act hes not yet met the following recommended minimum requlrementgl ____ — -
- Total Project Score of At Least 50 Points
-Required measures:
-A3a: 50% haste diversion by weight
-J2: 15%above Title 24
-N3:Incorporate Green Point Rated Checklist into blueprints
-Minimum points In specific categories:
-Energy(30 points)
-140/Health (5 points)
-Resources(6 points)
-14rater(9 points)
•
02007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 4 of 4
Community Development
'. 10300 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
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Building De artment
JOB ADDRESS: PERMIT #
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OWNER'S NAME: a e Grave PHONE # , c, - 7
GENERAL CONTRACTOR e o l u v, .k FAX#
I am not using any subcontractors: I—I,S—L7
Signature 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