08040153 CITY OF CUPERTINO
BUILDING DIVISION PERNIIT ,aC,UTRACTQR i,NF(3RMAT,ON.
alnLpING,SpgR OAKCREST CT AAA FURNACE & AIR p 08040153
OW NEEWSbbNAAMUE: CUINDTPERM'[ISSUEDATE
jdkkINKY SURH 1712 STONE AVE 04/22/2008
Nq NB: SANITARY NO. CONTROL NO,
ARCHITEC TENGINEER: BURRING PERMIT INFO
REPLACE FURNACE 80, 000 O ED �O O
3o0 LICENSED CONTRACTOR'S DECLARATION
�8I hereby M.dol l w licensed under preisimu of Oupmr 9(mmmcncing
with ScoJob Description
tian 70110)ofDivulan 3 of the Business ad Professions Code,ad my license is
nin full roux nd
ig? Lieu Cis L:
Dem Can r
9 CHITECrS DEC RATION
I Underhand my plans Nall W used u public records ^
lad Licensed Pmfeadonal
S OWN E.rise RER DECLARATION
s i I marso alllrm on I sI.eumpt rmm Inc Ctsion,o :Any c law for the
t D o following moon.permit
t 711313,Business,Cher. ad Pmfd a demolish.
Calc:Any city or county
S$ which its ma a Pamir re requires
do alcor. tfmw,demldW,fi mash si mumu,
Zi pdmbiuiau+nce.sta requires lit apions of US Con permit refile La,(atslrmcot
€< (commis licensed PSewmt 7 the of Division
of dte eBuacmr'a ad Protestant
tCode)r9 Sq.FI. Floor Area Valuation
$ tham is hourept Secdon7aadth Divisionr of the Bualnanatl Professions Cade)or
— this h ts exempt Ihrt(rom ad the buts far Ua alleged",^mprian.Any violation of '
Sauon 7031.5 by airy appliant fora permit wbjecu me applWnt m•civil really of APN Number Occupancy Type
rot mom that Eva hundred da1Ws BIM
❑1.u owner of the pmpeny,Or my emplayea with wages as their sets campensadon,
will de the wink and the summer.is set intended or offered for sale(See.7014,Budrcu
ad Pmreuimu Cade:The Conuamrs I.k slaw does at apply m a awater of Required Inspections
property w h nut Ida or ire prow thmmn,and win data sneh wink hMwJf or thmuN nu
own emplaywhowever ,provided thnsah immmamau are at intended moffered fm Ow 4
Imider,theavesM gmMpmwmnMisaid wlddn aro Wild
of Imposefa,innnamed
Wilder wIB haw tin burden of pvving Wt h Nd rot build a Impose fm pamow of .
am.L
❑1.as marc'of that property an exdwlwly CGnaecling with licensed conaamore to
construct the pmjca(Sec.7(th,Business me Profealaan Cade:)The Contractors U.
acme taw dos not apply m an caner of property who Wilda m nnpreves thereon,ad,
who contacts for tach projects with acnntratods)liceamd pmsam to the Contractors
Lleenw .law.
[:II an exempt under See ,B l PC forthis mown
Owner Dam
WORKER'S COMPENSATION DECLARATION
40 I hereby affirm under penslry of perjury ore of the following declanom:
❑lhawand will maintain aCerdr.mmof Consentwwlf-Wum(mwarl¢racompm
salon,a provided for by Section 3700 of the labor Code.for the performance of the,
wart ser which this permit is W,.&
❑I haw and will maintain Workers CompensWon nmuance.a required by Section
3700 of the tabor Code,for the performance of the wart for which this permit Is Ismail.
My Workers pe Iso I rue maim and Policy number me.
Cartier. Policy No.: J
FI TE FEXEMPITONFROM RKERS'
COMPENSATION INSURANCE
(Ihtsseetim rcW at W completed Ifthe permit Is forme hunthNdeBen MIKE
or lest)
1 certify that in the perrormanee of the wort for which this Permit Is issued.I shall net
employ my person in my matter as an become subject to the Wodan'CompemWm
laws of Califam s.DSM
Applicant
NOTICE TO APPLICANT.If.after making this CertlEcaa of Esemption,you ahum
become sub sun to the Workers Campeaktim provisions of the labor Code,you most
,J O forthwith cemPly with such prcvivoa Or Nu Permit shall h deemed revmkad.
y CONSTRUCTION LENDING AGENCY
[.,r IhwbyaEism that Nem uaconnrmtion MadingagencY far the perfmmaaxaf
C.�.
Me,wart for which data permit ts issued(Sce.3091,Civ.C.)
Q Landers Nae ,
Q Z La uder's Address
V Q I certify that 1 law read that application aW SUM Nu the Show information is
{[. ^ cm tt 1 agree to cmoply with all city ad county onBrwt¢s ad SUM has rehiml to
Q SV' Wilding comuuNon.ual Mmby allotla rtplemnadws of this city to enter upon use
Lid ahuve.mentioned property for inspection pagaset
G (We)agree to aw,indemnify ad keep harmless the City of Cupertino against
(A Iiabilides,judgments,costs mal oxpenses which may in my way asue against a id City
UZ In conwqusre of the gratin{of this permlL
► APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE REGULATIONS.
zP ZL Re-roofs
a ppIIHUC HAZARDOUS MATERIALS DISCLOSURE Da Type of Roof f
Will lit spplicat or fuac Wilding occupatsom orhandle hazardous material
SO,deRrted by than Cupertino Municipal Code.Chapter 9.11.ad the Health ad Safety
Code.secure 25532+)?
0y. No All roofs shall be inspected prior to any roofing material being installed.
Will the mplieat or filum Wilding occupant sac equipment or dcvlma which If a roof is installed without first obtaining an inspection,I agree to remove
m I ImUscaus err cmuminmts as dcRad by the Bay Ara Air Quality Management all new materials for inspection.
Diuritt?
❑Yin dl Nu
1 have mad dre m+tedatstequiremew underChaparti.95 of the Cdifor-
niaHcahbkSafetyCods.Sccd=25305.25533 ale 25534.1 understand Nmirthe Wilding
dm rot currently haw a canal Ota It u my asp ori ality to ratify the aceupat of the
mqu menu which muss hmel prior on issuance of a CenificaM of Occupacy. Signature Of Applicant Date
lowerr ar athomeqcm I -S.DeaMY All roof coverings to be Class'%Q"or better
Dr '
CITY OF CUPERTINO
5 ITEMS OF 5 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 34248003 . 00
DATE ISSUED. . . . . . . : 04/22/2008
RECEIPT #. . . . . . . . . : BS000004546
REFERENCE ID # . . . : 08040153
SITE ADDRESS . . . . . : 22630 OAKCREST CT
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : INKY SURH
ADDRESS . . . . . . . . . . : 22630 OAKCREST CT
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-0830
RECEIVED FROM . . . . : JIM RANDO
CONTRACTOR . . . . . . . : RANDO, JIM LIC # 8050
COMPANY AAA FURNACE & AIR CONDITIONING
ADDRESS . . . . . . . . . . : 1712 STONE AVE
CITY/STATE/ZIP . . . : SAN JOSE, CA 95125
TELEPHONE . . . . . . . . : (408) 293-4717
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- --------- ------ - ---
1EPERMITFE FLAT RATE 1. 00 40.79 0. 00 40 .79 0. 00
1MFRN>100 UNITS 1. 00 122 . 38 0. 00 122 .38 0. 00
1MPERMITFE FLAT RATE 1. 00 40 .79 0. 00 40.79 0. 00
1PPERMITFE FLAT RATE 1. 00 40 .79 0. 00 40.79 0. 00
1TRAVD0C FLAT RATE 1 . 00 40:79 0. 00 40 .79 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 285 . 54 0. 00 285.54 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- -----=--------- --------------------
CREDIT CARD 285 .54 VISA
---------------
TOTAL RECEIPT 285 . 54
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
•
Community Development
10300 Torre Avenue
Cupertino CA 95014
I Telephone(408)777-3228
CRY OF Fax(408)777-3333
OU,PEkTINO
Building Department
JOB ADDRESS: PERMIT #
OWNER'S NAME: PHONE # {•f� n,0 - G9 �1
GENERAL CONTRACTOR: 7,j FAX #
I am not using any subcontractors: 16 .- /ZCc U z Z
Signature Date
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
PIumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
•
Owner/Contractor Signature Date
Single Family GreenPoint Checklist date: Build It Greed
The GreenPoint Checklist is based on the various green features incorporated into the home and is the '=J Sman Solutions;From Th?Ground Up
basis for the GreenPoint Rated program A tome can be considered green It It fulfills the prerequisites,
Hams at least 50 points,and meats the minimum courts per category Energy l st of Indoor Air Qually
Health(S),Resources(6),and Water(A).Please mrrteC Build It Green for a list of qualified GreenPoint
Raters H you are Interested In pursuing third-party verification.
The green building practices listed below are described in the Now Home Construction Green Building
Guidelines,available at Www.hulltllloreen.om.
ENTER PROJECT 4 Munn
A 6118 O [l• PWr115 Available Per Me,awre
1.Protect Topsoil and A fnimiza Disruption of Existing Plants&Trees
❑ a.Protect Tcgsell from Erosion and Reuse after Construction
❑ b.Limit and Delineate Construction FCDtprim for Maximum Protection 0 1
2 DacCnstruct Indeed of Demolishing Existing Buildings On She 0 I 3 I
S.Racysie Job Site CanstraDllon Wastes(Including Green Waste)
❑ nMmimum 50%Waste Divamlon by Walgm(RecyGing of Reese)-Required 0 R
❑ b,Minimum 5.5%DNerslon by Weight(Recycling or Reuse) 0 --� 2
❑ c.Minimum 80%DNersion by Weigh(Recycling or Reuse) 0 I i 2
4.Use Recycled Content Aggregate(Minimum 25%)
❑ a.Walkway and Driveway p_
❑ b.Roadway Base 0 1
Total Points Available in Site=12 0
B.FOUNDATION - Points Avails Per Measure,
1.Replan Portland Cement in Concrete with Recycled Flynt or slag -
--� aMinimum 209:Ffyuh aSlaA 0 I❑ b.Minimum 25%FI ash or Slag
—F--
I—, I
2 Use Fran-Protacfsd Shallow Foundation in Cold Areas IC.E.C.Climate Zone 16) 01 3 1
❑ 3.Use Radon Resistant Construction(In At-Rick Locations Only)
4.Design and Build Structural Pan Controls
❑ A.Install Tamils Shields 6 Separate All Exterior WoDd-Io-Concrete Connections by Metal or Plastic Fastaners0viders
b.All New Plants Havoc Trunk Base,or Seem Located At Lean 36 Inches from Foundation 3 Int
1
Total Points Available In'Wridatlon=6 0 f
C.LANDSCAPING �ants Available Per Measure
1.Construct Resource-Efficlent Landscapes
• ❑ e.No Ii Species Usted by CaWPC Are Ranted 0
❑ b.No Plant Species Nil Require Hedging 0 1 ]
❑
C.75%of Plane Ara Drmyt-tolerzm Cafdomla Nantes,Medriem nsan,or Diner Appropriate Species 0 T—� ( 3
2-Use Fri Landscaping Techniques 0 1
3,Minimize Turf Areas In Landscape Installed by Builder
❑ a.All Turf Nil Have a Water Requirement Less than or Equal to Tell Fescue(50.6 plant factor) p ! 2
❑ b.Tud Shall Not Be Installed on Slopes Exceeding 10%or in Areas Lass than B Feet Wide D 1 2
❑ c.Turf Is 533%of Landscaped Area potel2 points) — p -- 2
❑ d.Turf is 510%of Landscaped Area(tote)4 points) / o
❑ 4.Plant Shade Tram - v�� D. 1 3
El S.Group Planer by Water Needs(Hydromning) j0, I 2
S.Install High-Ef c ency Irrigation Systems
❑ a.System Uses Only Low-Flow Drip,Buddies,or Low-flow Sprinklers
❑ b.System Has Smart Callollam 1 3
Lj 1,incor orate Two Inches of Compost In the Tap 6 to 12 Inches of Soil tit; 0'?- \ 1 3
❑ B.Mulch All Planting Beds to the Greater o12 Inches or Loral Water Ordinance Requirement 0 (N' j 1 1 1 2
LJ 9.Use 50%Salvaged or Recycled-Content Mai for So%of Non-Plant Landscape Elements 0 ' y\1 I 1
❑ 10.Reduce Light Pollution by Shielding Frrturm and/or Directing Light Downward 0 Ifni / h I I
Total Points Available In Landscaping=31 0
D.STRUCTURAL PRAMS @ BUILDING ENVELOPE - Pol Avallable Par Measure
1.Apply Optimal Value Engineering
❑ a.Place Rafters and Studs at 24-Inch On Career Framing D I -
❑ b.Size Door and Window Headers for Load 1 s
0
❑ c.Use Only Jack and Cripple Studs ReWiretlfor Load
2.Use Engineered Lumber
❑ a.Boams and Headers 0 1 1
❑ h.Insulated Engineered Headrt p—---' �—
❑
C.Wood?-Joists or Web Trusses for Floor
❑ d.Wood l-Joists for Roof Sahara
❑ a.Engineered or FmgerJDintatl Studs for Veinal Applications 0 II—�
❑ I.Oriemed Strand Board for Subflm 0 _ —I ; I 1
❑ g.Oriented Birand Board for Well and Roof Sheathingi-
3.Use FSC-Germed Wood
• ❑ a.Dimensional Lumber,Studs and Timber.Minimum 40% 0
❑ b.Dimensional Lumber,Studs and Timber.Minimum 70% _—
❑ c.Panel Produces:Minimum 4D%
❑ d.Panel Products:Minimum 70% 0 1— I 1-7-
0 2007
02007 Build It Green Single Family GrsenPolnt Checklist 2007 Version Page I of 4
f
gin 5
cY€ 5
ENTER PROJECT NAME
4.Use Solid Well Systeme(Includes SIPS,ICFs,A Any Non-Stick From Assembly)
❑ e.Floor 0 2 2 _
❑ b.Walla 0 —
❑ e Rook D 2 2
S.Redums Pollution Entering the Home from the George
❑ a Tighlty Said the Ah Berlet benmen Garage and Lining Area _ 0—
El
_❑ b.Insall Garage Exhaust Fan OR Bulld a Detached Curtis 0 —~ 1
S.Daidgm EII Hes]&on Trustee; %of A1dc Insulation Height re Outside Edge 01 Exterior Well) 0 1
7.Design Roof Trusses;to Accommodate DuUIWDrk 0 1
e.Uss ReuydatlConled bad batls for 90%of Interior Wall Framing0 1
Lj 9.Thermal Mase Wader N64nch Drywall on All Interior Waits or Wells Weighing more than 4D INeo.tL 0 1
10.Install Overhangs entl Dutbre
❑ a Minimum I5-Itch Overhangs and Gutars _ 0
❑ b.Minimum 24-mch Overhangs and Gurus 0 1
Tool Pointe A ml able In Structure!Building two and Envolope=39 0
E.EXTERIOR FINISH Points Available Pet Measure
1.Use Reryded-Conlent No Virgin Plastic or FSCCertlfied Wood Decking 0 2
2.Insall a Rain Sawn Well System D 2
l Un Duahle end Noncombusthble SidingMaterials0 1
4.Seled Duable entl Noncombustible Feeling Meadais 0 2
Tafel Points Available In Eceria Finish=7 D
F.INSULATION Points Available Per Measure
1.Install Insulation with 715%Reryded Courant
❑ a.Wats envier Floor
2.Install Insulation that Is Low-Emitting(Carolled Section 01350)
❑ B.Wel6 endta Floor D _—
❑ b.Collings D 1
3.Inspect Quality of Insulation installation before ApplyingDrywall 0 1 i
Tool Palms Available alsuladon=5 0
G PLUMBING Points Avaliebla P:1j
re
1.Distribute Domestic Hot Were Efficiently(Maximum 7 Points).
❑ a Insulae Hot Water Pipes noun Water Harder to Kitchen 1 1_ _b.Insulia All Hot Wrear Piper1c.Use Engineered Parallel PipinO1d.Use Engineered Parallel Piping with Demand Controlled CDcdatlon Loop DT-❑ e.Use Struccured Plumbing with Demand Controlled CImulBhon Loop _ _ I—_❑ 1.Use Central Cure PlumWn 0 1 — — 22instoll Onl Hi hEfOclen Tollel.(Dual-Flush or Sl.2eg 0 4
Toll Pon Aviable in Plumbing=Total 12 0
H.HEATING VENTILATION h AIR CONDITIONING Points Available Per Measure
rl 1.Design and Instep HVAC System to ACCA Manual J,D,and S Recommendations 0 1 4 1 i
L Insall Scaled Combustion Unla
❑ a.Furnaces 0
❑ b.Water Haden 0 2
3.Install Zoned,Hydronic Radiate Harding win Slab Etlgo near on 0 1 1
I.Insall High Efficiency All Conditioning with Environmentally Responsible Refrigerants 0 1
d.Design and Install Ef eotlw Ductwork
❑ e.Instil HVAC Unl and Ductwork Within Conditioned Space _ 0_ - 1 3 _ I
❑ b.Use Duct Marc on All Dud Jaime and Seems
❑ c.insist Ductwork most Attic Insulation(Stated Duca) 0
❑ d.Pressure Boleros the Ductwork System _ 0 r 1 4—
❑ e.Protect Duca during Construction and Clean All Dumb loafers Occupancy 0 1 l
a.Install High Efftionvy HVAC Flar MERV 6e 0 1 1
❑ 7.Don't Insall Fiapieca or Install Based Gas Fireplaces with Elffdancy Rating Not Less Than 60% 0 1
using CSA Standards 1
e.Insall Effective Exhaust Systems in Bathroom and Khmers
❑ e.Instal ENERGY STAR Bathroom Fens Vented to the Outride 0
❑ b.All Bathroom Fane Are on Timer a Humlastor
❑ a Install Kitchen Range Hood Vented to the Outeas 0 1 1-
9.install Mechanical Ventilation System for Cooling gdacimum 4 Points)
❑ a.Install ENERGY STAR Coling Fes a Light KOs In Lining Area A Bedrooms D
❑ b.Install Whale House Fan With Vadable Spends
❑ c.Autameticalty werolled Inagrdad System _
❑ d.Automatically Controlled Integrated System wlih Variable Speed Contra
10.Install Mechanical Fresh Air Ventilation System(Maximum 3 Points)
❑ e.Any Whole House Ventilation System Thal Media ASHRAE 622 D t 2 _
❑ b.instal Air-t6Ak Here Exchanger that meas ASHRAE 622 D - T 1 i� 2
11.Insall Carbon Monoxide Alerm(s) 0 11
Toll Pana Avdtaae in Hemin ,Ventliston and Ak Condfionin 301 0 1J L'
0 2DD7 Build It Grean Single Family Groort Checklist 2D07 Version Page 2 of 4
L
PROJECTENTER NAME
=
WaiNSA41able
I.RENEWABLE ENBRGYMr Measure
LJ 1.Pre-Plumb for Solar Hot Water Heading a 1 4 1 1 !
2.local Solis Water Heading system 0 1 10 I
77 J.Instep Wirmil Conduit for Future PhmOVDI' c Installation 6 Provide 200 M of SouthrFacing Roof 0 I 2 i I
4.Inmtll PIUMArDltmc(PV)Panals
❑ a.30%of electric needs OR 12 kW(Intal6 poles) _ 0 ! 6 1
❑ b.BD%of electric needs OR 2.4kW(total 12 points) 0 66
El C.g0%of eleceic'need OR 3.6 kW 0=1 18 poM6) 0 6 I
Total Available Points In Renewable Energy=28 0
J.BUELMU IG PERFORMANCE Pants Available Per Measure
1.Diagnostic Evaluations
❑ a.House Passes Blower Door Test 0 1 I
b.House Passes Combustion Be*BackdreB Test 0 r ]
2 Design and Build High Performance Homes-%above Title 24.minimum l5%Rsquired 0 no
I
❑ 3.House Obtains ENERGY STAR with Indoor Air Package Cera fication-Piot Measure(Tom)45 points;read comment) 0 5 2 r
i
Tocol Avallable Points in Building Performance=39 0
K.FINIBHES Points Available Per Measure
1.Design Entryways to Reduce Tracked in Contaminants 0 1 I
2.Use Low-VOC or Zero-VOC Paint(Maximum J Points)
❑ a.LmwVDG Interim Wa@Gelling Paints(60 go VDCs(Flay and<150 gp!VDCs Mon-Flip) 0 ! 1 !
❑ b.ZDr VOC:Interior WelUCallin Paint(<5 99 VOCs Flai D 1 1 3 1 1
❑ 3.Ilse Low VOC,Water-Based Wood Finishes 145D gpi VOCs) 0 i 2 !
—�-4.Ocelow=VOC.Ceuik.and Construction Adhesives(<n gp1 VOCs)for.All Adhesives 0
❑ S.Use Recyded-Conent Front 0 I ! 1 1
6.We Environmentally preferable Materials for Interior Finish:A)FSC-Cedifled Wood,B)Reclaimed,C)Rapidly Renewable,D)Recycled-Content
or E)Finger-Jolted
❑ a.Cabinets(50%Minimum) 0 7
❑ b.Interior Tito(5D%Minimum) G
❑ c.Shelving(50%Minimum) 0 1
❑ d.Doors(SD%Minimum) 0 ]�_
❑ 9.Grindstone IS0%Minimum) 0 ! ]
7.Reduce Formaldehyde in Interior Finish(CA Section D1760)
❑ e.SubOnor S Sol Trade(50%Minimum) 0 1
• ❑ b.Cabinets 6 Countertops(5D%Minimum) 0
❑ c.Interior Trim(50%Minimum) 0
❑ d.Shelving 50%Minimum)
❑ B.After Installation of Finishes,Test of Indoor Air Shows Formaldehyde Level d7ppb 0 ! 3 i I
Tocol Available Points In Flnishes=21 0
L.FLOORING Points Available Par Measure
1.Use Environmentally Preferable Flooring;A)FSCCerdfied Wood,B)Reclaimed or Refinished,C)Rapidly Renewable,D)Recycled-Content,E)
Exposed Concrete Flooding Adhesfves Mum Have 60 SPI VOCs.
❑ &Minimum 15%of Floor Area 0
❑ b.Minimum 30%of Floe Area 0
❑ C.Minimum 50%m Floor Area 0
❑ d.Minimum 75%0 Floe Area 0 I 1
❑ 2.Thermal Mass Floors:Floor Covering Other men Carpet on 50%or Moro of Concrete Floors 0 1 ! I
❑ 3.Flooring Meets Section 0135D or CPI Green Label Plus Requirement So%Minimum) 0 I 2
Toll Available Points in Flooring=7 D
M.APPLIANCES AND LIGHTING Pants Available Per Measure
1.Install Water and Energy Efficient Dishwasher
❑ &ENERGY STAR(total 1 pbl l 0 3 !
❑ b.Dishwasher Uses No More than 6.5 Gallons) cls total2points) 0 1
2.Inmml ENERGY STAR Clothes Washing Machin with Water Factor of 6 or Less
❑ a Meets Energy Star and GEE Tint 2 requirements(mndRed energy factor 20,Water Factor 6.0)(total 3 points) 0 __ 1 I 2
❑ b.Meets Energy Star and CEE Mar 3 requirements(modeled energy factor 22,Water Factor 49 m last) 0 2
from]s Dints I !
3.Insert ENERGY STAR Refrigerator
❑ a ENERGY STAR Qualified 8<25 Cubic Feet Capacity 0
❑ b.ENERGY STAR Ouarled 6<20 Cubic Feet Caliadly If
4.Install Built-In Recycling Center 0
❑ &Bunton Recycling Canter 0 ) 2 !
❑ b.Built-in Composting Center 0 �— �—1
Total Available Points in Appliances and Lightln =12 0
N.OTHER Points Available Per Measure
❑ 1.Incorporate GreenPoint Rated Checklist In Blueprints-Required 0 R
❑ 2.Develop Homeowner Manual of Green FeaturemBenefits 0 1 I 1 ! 1
O 3,Community Design Measures 6 Local Priorities:Sea the Community Planning It Design sacfion in Chapter 4 of the New Home Guidelines for
measures.Maximum of 20 punts for suggested measures.Local requirements may also be listed here.
02007 Build It Green Single Family GreenPoim Checklist 2007 Version Page 3 of 4
gggr �
PROJECT
Enter tlem:ripllerl hem,antl mler pdtu welUml lu msum m appePlms celsgorin to the right.
. _. .. -
EJ Ent-tlssulptim hen,and enter polnu evallsbls ter meawn U eopopdste uUgerks to the tlph4 0_ D 0 D 0 0
Enter eematobn I m,antl enter polo watede far meecm in epprepdms cusgMu to the dphl. _ o _ D 0 0 D
Enter damr ion here,antl Bnlar poUb wellede fu mown In ep}vaplaU caleperlu U the fight. _ _D _ D D 0 D D
4.Innovation:List innovative measures that meet the green building objectives of the Guidelines.Enter up to a Guidelines It Green Checklists antl
ma)dmum combined total of 20 one.Sea Innovation Checklist for suggested measures,usingthe link to the right _ fl_ __ _ _ __
Innwation In Community:Enter de Int here,and enter points wellede he meaeurs U le uU es to the night. D _ D 0 0 0 D
Innwedon in En :Emr dinextipleten him,antl mW pN=avall"int mesemo MaNDPRIM=09WUmoe' _ D 0 0 0 D 0
Innwalion in IAQHUNh:Enter deep' int hen,and enter points weloNe for measure In me tate Mee to the right. __o 0 0 D D 0
Innwalim In Rewuroa:Enter desenneon hen,and mor Parts"Labs fa msmun M Rippr0prists C115godu tB IM right D 0 0 0 0 0
Innwmim In Watec Enlar tlaecdpllon hers,antl enlm pdnU availeMs ler meuun U dale calBparlu io to dgnt. _D_ 0 0 _ 0 0 0
ld Ava
- _ Toilable Pomo In Gtner.4 0
Summary
Total Available Points In Specific Categories' 4+ 96+ 42+ 66+ 43+
Minimum Pointe Required in Specific Categories 0 30 5 6 B
Total Points 1 1 1 1 1 1
Project has not yet met the follo ing recommended mtnlmum requirements:
- Total Project Score of At Least 50 Points
-Required measures:
-A3a:50% waste diversion by weight
-'a�-1-5e%-abovr7-itfe-24
-N1:Incorporate GreenPoint Rated Checklist into blueprints
-Minimum points in specific categories:
-Energy(30 points)
-IAQIHealth(5 points)
-Resources(6 points)
-(Nater(9 points)
•
02007Sulld It Green Single Famlii GreenPoint Chacidist 2D07 Version Page 4 of 4
CITY OF CUPERTINO
FURNACE/AC
4 CUPEI�TINO PERMIT APPLICATION FORM
D UlS3
APN# e:Dat
y zz.o�
Building Address:
,4d G 3 u�C C7 X E J,7 � 14-
Owner's
Owner's Name: Phone#: z
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Contractor: Phone #:
le/I 7J AwC !,C/C Fax #:
ContractL
Cor License#: Cupertino Business License#:
ontact: Phone#:
,7 / �i G• 2 r/ Fax #:
Building Permit Info:
Ah Elect ❑ Plumb ❑ Mech
Residential Commercial Lj
Job Description:
For Residential Installations:
Attic ❑ l'floor 0 2"d floor ❑
Adhere to minimum setback requirement ❑
For Commercial Installations:
Replacement same weight ❑ Additional weight (structural calcs) ❑
Structural Calculations required for new installation ❑
New installation Planning Approval Required ❑
Cost of Project: Type of Construction(Usage Class):
Strapped H On Platform El Bonded Lj New Location Replacement Er
di Valuation:
/f50
Green Building: Must attach Green Building Check list to this application
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CITY OF CUPERTINO
FURNACE/AC
CUPEkTINO FEE SCHEDULE i
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1MCRAA Commercial-Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by this
code.
1MCREPALT Commercial for the repair of alt/add to M
ea heating appliance,refrigeration
unit,cooling unit,VAV boxes,
absorption unit or ea heathing, cooling
absorption,or evaporative cooling sys,
incl install of controls regulated by
this code.
1MCSUSHTR Commercial Install/Relocate ea M
suspended heater,recessed wall htr, or
floor mounted unit heater.
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
1MCAPPVNT Commercial for the install/relocate/ or M
replacement of ea appliance vent
installed ¬ incl in an appliance
permit.
IBSEISMICO Commercial Seismic B
1MRRAA Residential Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by
this code.
1MRSUSHTR Residential Install/Relocate ea M
suspended heater,recessed wall htr, or
floor mounted unit heater.
1MRAPPVNT Residential for the install/relocate/or M
replacement of ea appliance vent
install & not incl in an app] permit.
CITY OF CUPERTINO
a1m), FURNACE/AC
CUPEI,TINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1 PGASRES Residential for ea gas piping system of P
1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
I BSEISMICR Residential Seismic B
1MECPLNCK Mechanical Plan Check M
IMFR=<100 Furnace Syst<=100k BTU install or M
relocate ea forced-air/gravity type
fumace/bumer, incl ducts/vents
attached to such appliance up to and
include 100,000 Btu/h
1MFRN>100 Furnace Syst> 100k BTU install or M
relocate ea forced-air/gravity type
fumace/burner, incl ducts/vents
attached to"such appliance over
100,000 Btu/h
IEPERMITFEE Electric Permit Fee E
1 1MPERMITFEE Mechanical Permit Fee M
1PPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
IBUSLIC Business License B
CITY OF CUPERTINO
FURNACE/AC
CUPERTINO FEE SCHEDULE i
Quantity Fee ID Fee Description Fee Permit Type
Group
AIR FURN/AC
CONDITIONING
1BCAIRHAN Commercial A/C Units <= l Ok CFM B
IMCRAA Commercial Mech Repair/alt/add M
IBSEISMICO Seismic Commercial B
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1PGASRES Residential for ea gas piping system P
of 1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet. Comm/Resid
IBREMAIRHAN Residential A/C units <= I Ok CFM B
1MRRAA Residential Mech Repair/alt/add M
1BSEISMICR Seismic Residential B
IEPERMITFEE Electric Permit E
1MPERMITFEE Mechanical Permit M
IPPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
1BUSLIC Business License B