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08040060 CITY OF CUPERTINO x±€�k�re x+{ �e,¢§r 'i Tsg' T•;¢�y, e 'it ` BUILDING DIVISMN PERMITCONTRAkT'nR INFUYtMATIp� , L... . BUILDING ADDRESS: PERMIT NO. 10138 RIDGEWAY DR AAA FURNACE & AIR 08040060 OWNER'S NAME: PERATT LSSUE DATE .SUSAN HARRIS 1712 STONE AVE 04/09/2008 PHONE: SANITARY NO. CONTROL NO. (408) 293-4717 HITECTIENGINEER: BUILDING PERMIT INFO 'BLDO ELECT PLUMB - MECH 0 0 0 0 Sop LICENSED CONTRACTOR'S DECLARATION 1 hereby a1Brm Nal 1 am licensed under proviriou of Chapssr 9(commencing lob Description wids Senn.71)(I(l)ofoiviuon 3 of de Business and Profeariom Code.and my licence is REPLC FURNC 80, OOOETU & ADD A/C 3 1/2 TON ^ N in full foice and e / :,aZ LI con 1 �Lk.N �� Dam — Cantracmr es shaaius lER3 understand y I undetnJ my plum l he used as Public recnNa 7y g G to Licensed Professional yss� OWNER exempt E0.DECLARATION COO hereby.(Seco on 1 em.Bump!from the,ContravenesCo :Unionist Law for the COO o following ventures. (Satin 7(171.5,Business and Profen moll Cade:Any city or county m which its i to n e.also re crolsuuc4 alcor,improve,dcmrash,ri name any tinnent Sit„^ that he its iuman ptoosuffl,10 udid isionam(or Contrurmil micanse rile a igned Law((Chap= pp G ternhe is it putwm mthc pm virions of then,B uiness and Professions lChapmr9 Sq.Ft. Floor Area Valuation YZF (comeisexewiNSereion romndthebvsionra(deegedascmdon.AnynsCoek)of $7800 y $ that he ts exempt therefrom and the beers for the alleged eumant an Any lviolaoul pennon of Salon 7031.5 by airy applianlfmaPermit mbjau the applkantssacivil penally of Number Occupancy e mat mom than lave hundred dollars ISM 34241013 ,6E�� P y TYp 1,u Owner of W Property,or my employes with million u their suit contamination. will do,the wort,and the suoctum is not Intended in offered for sak(Sa.7014,guaraniand Professiou Code:The Countesses License Law does not apply ss an Owner of _ Required Inspections property who Wilda oimprows Nersam and who doeatuch work hirwlfM Wough his waemployes,provided Nn Ouchimprovemansartantinkndedmoffm for Wal lf. however,the building or improvement is sold within mid Year of comPleton.the awoer. Wilda MB have the buNea of poring that he did rot dtild or fmprme for pulp.of ule). . ❑1.as awes of the property,w exclusively communing with licensed onuanon ut construct dee project(Sc..7044.Buriness and Profession Code:)The Comamea U nue Law,does not apply an an owner of pmputy who holds Or improves demon,and. who contracts for such projects witha eonuu+ortO licensed purswnl in the Contranata Licenm Law. ❑lamuemptundes See. ,B&PCfm Wureamm 0. Date- WORKER'S amWORKER'S COMPENSATION DEC"kAT10N I hereby affirm ander peulty of perjtry one of the following decluatiou: LL I low and will maintain a CeniOom of cound to self-income forwartees Compeo- as provided for by Sudan 37010.17 the labor Code,for the performance of the for which this permit u issued. - I have and will maintain Workces Compensation luxuriance.u required by Soman 3700 of the Labor Code.for the performance of the work forwhich this permit is issued. ' My Workees Compewdon lvunce carrier land Policy number sum Cartier. I ft G/ Ilry No.: 1 CE IFICATEOF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thlsseedm sued Out hceompleted lithe permit is froom hundreddo0an($I00) or lest) I certify dmf in the performance of the wank fm which this petmh s issued,111111111 nm employ any parent in any moncrso u on bccoma ubjecl to the Worten CMPewdo Laws of Califomi Date pplitup A NOTICE TO APPLICAN.IL r maldrigAls Certilcam of Exemption,you should become subject in the Worker's Compcuadon previsions of de labor Code,you moa O O fonhwith comply with such provisions or this Permit shall an, W co de moked. ,z.t r CONSTRUCTION LENDING AGENCY (~ti I herehy air.that Nen iso couwctinn len ire,,igen,for the lterturmaam of ai M dm work for which this Permit Is issued(Sec.3097,Civ.C.) aQ Lame's Name =z Lendees Add. U O I notify that 1 have mind this implication sod sok that de above information is comam I agree ss comply with all city and county aNinancu and auto laws misting in DU Wilding construction,and hereby mthotm mpr ULives Ofthis city m cafe" mthe 61 ahave-mentiaad property for impaction purpoeet Lks (We)ogre On an,indemnify and kap harmless the CITY a(Cup!Mae against „y to Imbilidetfidgiumm,cost,and esp.which may in any way secolt geiutssid City U Z in co sequeac of the granting of this permit. .. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date G� 9 SOOUCE�L 'p /S // /l��a,e Re-roofs 3tgnatum of App wnVCanual Dam HAZARD SMATERIALSDISCLOSURE Type ofRoof WIII the applicant in future building acculturation,or handle havaNau material as,defend by de Cupertino Municipal Code.Chapter 9.11,and the Health and Safety Code.salon 25131437 �/I. �/Ie All roofs shall be inspected prior to any roofing material being installed. ltv Will the appllcant of future building occupant use equipment or dcvlcu which If a roof is installed without first obtaining an inspection,I agree to remove cm it hmardnu air contaminants u defined by the Bay Area Air Quality Management all new'materials,for inspection. trict7 ❑Yes f<No I hew mal the havudmts immortals requirements under Chapter 6.95 of the Califor. tie Ninth&Safety Code,Sections 25505,25533 and 75534.1 understand des it did building does not currently haw a manic rc that it b my Wmhility ss notify the occupant of the nqulm ems which must be met priorm issuance oft,Certificate o(Occupvq / Signature Of Applicant Date at s. ownerormt o[ ri�dag'enl 1" r77 T All roof coverings to be Class J� or better L( ooh o CITY OF CUPERTINO ' FURNACE/AC c Of CUPERTINO PERMIT APPLICATION FORM APN# /� l v /� v U Date: �/ oyo o� Building Address: vt Owner's Name: JJ// Phone#: SQd^/Q tri yob ds S 6) Contractor: � ,q, r qG 4-1,,g Phone#yof Psg3 - 7/J C — G Fax #: Contractor License #: Cupertino Business License _ O✓rCJ_ _ Contact: Phone#: Fax#: Building Permit Info: Elect Plumb ❑ Mech Residential Commercial ❑. Job Description: For Residential Installations: Attic ❑ 1"floor 2"a 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.V, On Platform ❑ Bonded El New Location Replacement Valuation: � P oa, Green Building: Must attach Green Building Check list to this application r CITY OF CUPERTINO FURNACE/AC CUPEkTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group FURNACE FIIRN/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. I MCREPALT 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 & not incl in an appliance permit. 1BSEISMICO 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,inel 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 appl permit. CITY OF CUPERTINO FURNACE/AC CI OF CUPERTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group FURNACE FURN/AC 1PGASRES Residential for ea gas piping system of P 1-4 Outlets 1BPGAS For each gas piping system of 5 or P more per outlet. 1BSEISMICR Residential Seismic B 1MECPLNCK Mechanical Plan Check M 1MFR=<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 ( 1MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit P / 1TRAVDOC Travel Documentation B 1BUSLIC Business License B r CITY OF CUPERTINO FURNACE/AC CUPEkTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Grou AIR FURN/AC CONDITIONING 1 BCAIRHAN Commercial A/C Units <= l Ok CFM B 1MCRAA Commercial Mech Repair/alt/add M 1BSEISMICO Seismic Commercial B 1PGASCOM Commerical for ea gas piping System P 1-4 outlets - - 1PGASRES Residential for ea Cas-piping system — P of 1-4 Outlets 1BPGAS For each gas piping system of 5 or P more per outlet. Comm/Resid 1BREMAIRHAN Residential A/C units <= lOk CFM B 1MRRAA Residential Mech Repair/alt/add M 1BSEISMICR Seismic Residential B IfEPERMITFEE Electric Permit E / 1MPERMITFEE Mechanical Permit M 1PPER2vfITFEE Plumbing Permit P I 1TRAVDOC Travel Documentation B 1BUSLIC Business License B G, Single Family GreenPoint Checklist date: t!— Build It Greeri The i3reenPoint Checklist is based on the various green features incorporated into the home and is the SmartSolutionsfrom The Ground Up bas. or the GreenPoint Rated program.A home can be considered green if It fulfills the prerequisites, " Hams at least 50 points,and meets the minimum points per category:Energy list of Indoor Air reenP i Health(5),Resources(6),and Water(B).Please contact Build It Green for a list of qualified GreenPoint L 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.builditorii ora. ENTER PROJECT • ' 9 S L w U Q � A SITE Points Available Per Measure 1.Protect Topeoll and Mini ss Disrup' n of Existing Pilints I revs ❑ a.Protect Topsoil from Erosion and Reuse after Construction 0 1 1 ❑ b.Limit and Delineate Construction Footprint for Maximum Protection 0 1 4 1 ❑ 2.Decomi Instead of Demolishing Existing Buildings On Site 0 3 3.Recycle Jab Site ConMMion Waste(including Green Waste) ❑ &Minimum 50%Waste Diversion by Weight(Recycling or Reuse)-Required 0 _ �_ R ❑ b.Minimum 65%Diversion by Weight(Recycling or Reuse) 0 _T— � � 2 ❑ c.Minimum 60%Diversion by Weight(Recycling or Reuse) 0 ^�� 1 4.Use Recyclad Contend Aggregate(Minimum 25%) ❑ a.Walkway and Driveway 0 1 ❑ b.Roadway Base 0 1 Total Points Available in Site 1; 0 B.FOUNDATION Points Available Per Measure 1.Replace Portland Cement in Concrete with Recycled Flyesh or Slag ❑a.Minimum205 Flyesh USlag - 0 ❑ In.Minimum 25%FI ash or Slag 0 — 1 2.Use Fro64Protacretl Shallow Foundation in Cold Areas(GE.C.Climate Zona 16) 0 3 ❑ 3.Use Radon Resistant Construction(in At-Risk Locations Only) D 1 4.Design and Build Structural Pest Controls ❑ a.Install Termite Shields&Separate All Exterior Wood.to-Concrete Connections by Metal or Plastic Fasteners/Dwiders 0 7 b.All New Plants Have Trunk,Base,or Stem Located Al Least 36 inches from Fountlation 0 ( 1 Total Points Available in Foundation=B 0 C.LANDSCAPING Points Available Per Measure t.Construct Resource-Effclent Landscapes - ❑ a.No Invasive Species Listed by Hedging Are Planted 0 ❑ — b.No Plant Species WIII Require Hetlging 0 1 Elatives, c.75%of Plants Are Drought-tolerant California NMediterranean,or Other Appropriate Species 0 3 ❑_2U..Firei Landscaping Techniques 0 1 3.Minimize Turf Areas In Landscape Installed by Builder ❑ a.All Turf Will Have a Water Requirement Less than or Equal to Tall Fescue(—<B plant tactor) 0 2 ❑ b.Turf Shall Not Be Installed on Slopes Exceeding 1D%or in Areas Less than B Feet Wide 0 2 ❑ c.Turf is 533%of Lantlscapad Area(total 2 points) — 0 2 ❑ d.Turf is 5510%of Landscaped Area(lotal4 points) 0 ( 2 ❑ 4.Plant Shade Than 0 3 ❑ 5.Group Plante by Water Needs(Hydrozonin ) 0 ( ( 2 6.Install High-Efficiency Irrigation Systems ❑ a.System Uses Only Low-Flow Drip,Bubblers,or Law-flow Sprinklers 0 ❑ b.System Has Smart Controllers 0 3 II--fI—ISI— 3 ❑ 7.Incorporate Two Inches of Compursit in the Top 6 to 12 Inches of Soil 0 ( 3 ❑ 9.Mulch lanting Be da to the Greater of 2 Inch"or Local Water Ordinance Requirement 0 2 9.Use 50%AllpSAIva ad or Recycled-Content Materials for 50%of Non-Plant Landscape Elements 0 1 1 1 ❑ 10.Ratluce Light Pollution by Shielding Fixtures and/or Directing Light Downward - 0 ( J Total Points Available in Landscaping=31 0 D.STRUCTURAL FRAME @ BUDDING ENVELOPE Q> Ints Available Per Measure 1.,Apply Optimal Value Engineering ❑ a.Place Rafters and Studs at 24-Inch On Center Framing �0 1 ❑ D.Size Door and Window Headers for Load 0 1 ❑ u Use Only Jack and Cripple Stun Required for Load 1 2.Use Engcams and Lumber ❑ a.Beams antl He9tlers 161 ❑ b.Insulated Engineered Headers 0 1 ❑ C.Wood l-Joists or Web Trusses for FlDors 1 ❑ d.Wood]-Joists for Roof Rafters 1 — ❑ s.Engineered or Finger-Jointed Studs for Vertical Applications ❑ f.Oriented Strand Board for Subfloor ❑ g.Oriented Strand Board for Wall and Roof Sheathing -- D.Use F nl Lu Wood ( ,� E] a.Dimensional Lumber,Studs and Timber.Minimum 40% v 0 F] ( 2 b.Dimensional Lumber,Studs and Timber:Minimum 70% 0 2 ❑ c.Panel Products:Minimum 40% — 0 _ 1 • ❑ tl.Panel Products:Minimum 70% 0 1 0 2007 Build It Green Single Family Green-Point Checklist 2007 Version Page 1 of 4 b � g ► :ENTER PROJECT NAME 4.Un Solid Wall Systems(includes SIPe,ICFs,6 Any Non-Stick Frame A4Nmbiy) ❑ A.Floors 0 2 2 El b.Wells 0 — 2 2 ❑ c.Roofs 0 2 1 2 5.Reduce Pollution Entering the Home from the Garage ❑ a.Tlgnmy Seal the Air Banner between Garage and Living Area 0 _ 1 El b.Install Garage Exhaust Fen OR Build s Detached Garage 0 I 1 6.Design Energy Heals on Trustees(75%of Able Insulation Height at Outside Ede of Exterior Wall) D 1 I I I 7.Design Root Trusses to Accommodate Ductwork 0 11 1 I I 6.Use Recycled-Content Steel Studs for 9D%of Interior WeII Framing 0 I 1 e.Thermal Mau Wells:516-Inch Drywall on All Interior Wella or Wella Weighing more than 4D Ib/cu.11. D 1 10.Install Overhangs and Gutters ❑ e.Minimum 11 Inch Overhangs and Gutters 0 ❑ It.Minimum 24-Inch Overhangs and Guldens 0 Total Points Available in Structural Buildling Frame and Envelope:38 0 E.EXTERIOR FINISH Pointe Available Per Measure C-1.Use Re cietldontent NO Virgin Plastic)or FSPCeHified Wood Decking0 I 2 I 2 install a Rein Screen Wall System 0 3.Uae Durable antl Noncembustible Siding Materials 0 I 1 I 4.Soled Durable end Noncambaetnble Floating Materiels 0 2 Total Points Available in Exterior Finish=7 0 F.INSULATION Points Andabla Per Measure 1.Install Insulation with 75%Recycled Content ❑ a.Walls andlor Floors 0 _ 1 ----❑_ b.Collins— - — --- __ g 2.Install Insulation then is Low-Emitting(CeHified Section 01350) ❑ a.Wells and/or Floors 0 _ 1 ❑ b.Ceilings 0 1 ❑ 3.Insect Quality of Insulation Installation before Applying Drywall 0 1 I Total Points Available in Insulation=5 0 O.PLUMBING Points Available Per Measure 1.Distribute Domestic Hot Water Efficiently(Maximum 7 Pointe). ❑ a.Insulate HM Water Pipes from Water Heater to Kitchen 0 _1 I ❑ to Insulate All HM Water Pipes 0 1 1 ❑ c.Use Engineered Parallel Piping D 1 ❑ it.Use Engineered Parallel Piping with Demand Controlled Circulation Loop 0 1 ❑ e.Use Structured Plumbing with Demand Controlled Cimuletlon Loop 2 ❑ L Use Central Cora Plumbing0 — 1 1 2 ❑ 2.Install Only High Efficiency TWIft(Dual-Flush or S1.28 goo 0 I 4 Trial Pointe Available in Plumbing=Total 12 0 H.HEATING,VENTHATION R AIR CONDITIONING Points Avaliabie Per Measure 1.Design and Install HVAC System to ACCA Manual J,0,and S Recommendations 0 4 I I 2.Install Sealed Combustion Units ❑ a.Furnaces 0 I 2 ❑ b.Water Heaton 0 2 3.Install Zoned,Hydronlo Radiant Heating With Slab Edge Insulation 0 1 1 I 4.Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants D 1 I 5.Design and Install Effective Ductwork ❑ a.Install HVAC Unit and Ductwork within Conditioned Space 0 _ 1 3 ❑ b.Use Duct Mastic on All Dud Joints and Seams 0 I F7c.Install Ductwork under AOIC Insulation(Buried Ducts) —0 __ 1 1 _ ❑ d.Pressure Balance the Daeti System 0 1 ❑ e.Protect Ducts during Construction and Clean All Dude before Occupancy 0 ] e.Install High Efficiency HVAC Filter(MERV 64) 0 I 1 ❑ 7.Don't Install Fireplace or Install Sealed Gee Fireplaces with Efficiency Refine Not Less Than 60% D 1 using CSA Standards S.Install Bill Exhaust Systems in Bathrooms and Kitchens ❑ e.Install ENERGY STAR Bathroom Fans Vented to the Outside 0 I 1 ❑ to All Bathroom Fens Are on Timer or Humidis1at 0 1 ❑ c.Install lOtchenRangeHood Vantadtothe Outside 0 I 1 a.Install Mech Mcal Ventilation System for Cooling(Maximum 4 Points) ❑ a.Install ENERGY STAR Calling Fans&Light Kits in Uying Areas s Bedrooms 0 1 ❑ h.Install Whole House Fen with Variable Speedo 0 1 ❑ C.Automatically Controlled Integrated System 0 2 ❑ d.Automatically Controlled Integrated System with Variable Speed Control 0 , 3 10.Install Mechanical Fresh Air Ventilation System(Maximum3 Points) ❑ a.Any Whole House Vendleflon System That Masts ASHRAE 62.20 _ ___ 2 [Ib.install Air-to-Air Heat Exchanger that meets ASHRAE 622 0 1 2 11,Install Carbon Monoxide Alarm(s) 0 1 I Total Points Available In Heading.VentlMfion and Air Condltiannn =30 0 0 2007 Build It Green Single Family Grear Point Checklist 2007 Version Page 2 of 4 NTER PROJECT 1.RENEWABLE ENERGY Points Available Per Measure 1,Pro-Plumb for Solar Hot Water Heating 0 1 4 1 1 1 LJ 2.Install Solar Water Heating Syctem 0 10 1 • 3.Install"In Conduit for Future Photovoltaic Installaton 8 Provide 200 fP of South-Faeinp Roof 0 2 1 4.Install Photovoltaic(PV)Panels ❑ e.30%of electric needs OR 12 kW(total 6 points) 0 6 ❑ b.80%of electric needs OR 2AkW(total 12 points) p 6 ❑ c.90%of electric need 08 3.6 kW(iatal 10 points) 0 t 6 Told Available Points in Renewable Energy=2B 0 J.BUILDING PERPOPAI"CE Points Available Pel Measure 1.Diagnostic Evelusbons ❑ a.House Passes Blower Door Test 0 1 1 ❑ b.House Passes Combustion Safety Beckdrab Test 0 1 2Design and Build High Performance Homes.%above Title 24-minimum 15%Required 0 I no ❑ 3.House Obtains ENERGY STAR with Indoor Air Package Canonical-POW Munsure[Total 45 points;read comment) 0 I I 5 I 2 ' Total Amflade Prints in Sul Performance 39 0 E.FINISHES Points Available Per Measure ❑ 1.Design Entryways to Reduce Tracked in Contaminants 0 1 1 1 2.Use Low-VOC or Zero-VOC Paint(Maximum 3 Points) ❑ a.Low-VOC Interior Wall/Calling Paints(450 got VOCs(Flat)and 450 gull VOCs(Nor-Flaq) 0 El q.Zero-VOC:Imanor WallCellin Paints d pI VOCs Raq) 0 511 1 ❑ 3.Use Low VOC,Weler-Based Wood Finishes(450 Sint VOCs) 6 2 1 1 —❑-4.Use Low-VOC Caulk and Construction Adhesives(<70 gas VOCs for All Adhesives 0 —11 -2-1 —1-- ' ❑ 5.Use Recycled-Conlent Paint 0 1 S.Use Environmentally Preferable Materials for Interior Finish:A)FSC-Certified Wood,B)Reclaimed,C)Rapidly Renewable,D)Recycled-Content or E)Finger-Jointed ❑ a.Cabinets(50%Minimum) - 0 1 ❑ b.Interior Trim(50%Minimum) 0 1 ❑ c.Shelving(50%Minimum) 0 1 ❑ J.Doors(50%Minimum) 0 1 ❑ e.Countertops(50%Minimum) 0 1 7.Reduce Formaldehyde in Interior Finish(CA Section 01350) ❑ a.SubOoor S Stair Treads(50%Minimum) D 1 ❑ to.Cabinets 8 Countortops(50%Minimum) D ❑ c.Intortor Trim(50%Minimum) 0 1 • ❑ d.Shalvin (50%Minimum 0 1 ❑ 9.Ahar Installation of Finishes,Test of Indoor Air Shows Formaldehyde Level47ppb 0 1 3 1 Total Available Points in Finishes=21 0 L.FLOORING Points Available Per Measure 1.Use Environmentally Preferable Flooring:A)FSC-Cerdfed Wood,S)Reclaimed or Refinished,C)Rapidly Renewable,D)Recycle-Comen4 E) Exposed Concrete,Flooring Adhesives Must Have 60 gulf VOCs. ❑ a.Minimum 15%of Floor Area 0 1 1 ❑ b.Minimum 30%of Floor Area 0 1 ❑ c.Minimum 50%of Floor Arae 0 1 ❑ J.Minimum 75%of Floor Area 0 7 ❑ 2.Thermal Mase Fl;am:Floor Cover.79 Other than Carpet on 5D%or More of Concrete Floor; 0 1 1 ❑ 3.Flooring Meets Section 01350 or CPI Green Label Plus Requirements(511%Minimum) 0 1 1 2 1 1 Total Available Paints in Flaming=7 0 M.APPLIANCES AND LIGHTING Points Available Per Measure 1.Install Water and Energy Efficient Dishwasher ❑ a.ENERGY STAR(total 1 poring 0 1 ❑ b.Dishwasher Uses No More than B.5 Gallonstyde food 2 Ims) 0 1 2ln rtall ENERGY STAR Clothes Washing Machine with Water Factor of 6 or Less ❑ a.Meets Energy Star and CEE Tier 2 requirement(modified energy factor 2.0.Water Factor 6.0)(tow 3 Posts) 0 1 2 ❑ It.Meets Energy Star and CEE Ter 3 requirements(mooifietl energy factor 22,Water Facts 4.5 or less) 0 2 mals lots 3.Install ENERGY STAR Refrigerator ❑ a.ENERGY STAR Qualified 6<25 Cubic Fast Capacity 0 1 ❑ b.ENERGY STAR Walified 6<20 Cubic Feet Capacity 0 1 4,Install Built-in Reryclin Center 0 ❑ a.gulf In Recycling Center 0 2 ❑ b.Bull-In Composing Center 0 1 I Total Available Points in Appliances and Lighting=12 0 N.OTHER Points Available Per Measure ❑ 1.Incorporate GreenPoint Rated Checklist In Blueprints Required 0 1 R I ❑ 2 Develop Homeowner Manual of Green Fealures9enegM 0 1 1 1 l 3.Community Design Measures 6 Local Prioritlas:Sea the Community Planning a Design section In Chapter 4 of the New Home Guidelines for measures.Maximum of 20 poin15 for suggested measures.Local requirements may also be listed here. 02007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 3 of 4 ENTER PROJECT NAME • , Enter deacdpaon here,and auto ports notable for manure in specialists categorles N the right. 0_ 0 0 0 0 0 Enter do mipaon harets w ,and enter prinelable for manure In approplats camgodea to the right _ 0 _ 0 0 0 0 0 Enter tleecdpaon hen,and enter points available for menus In roommate notion N the right 0 0 0 0 0 LlEntordwm mn ham,and enter pano wettable for manure In gppoPin lah cat 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 It Green Checklists and maximum combined total of 20pt!.See Innovation Checklist for suggested measures,using the link to the right _ _ Gulde[Jnaa __ Innovation N Commlml :Enter tl 'm Mn,and enter points waltsble he manure in to categories to the _ D 0 0 0 0 0 Innonbon in Ena :Enter M un ham and enter weluble 1m manure N am to the _ 0_ 0 0 0 0 0 Innweaon N IAOdlaelth:Enter de 'm here,and am pounds wesable for manure in sensualism Camprin to the _ 0_ _ 0 0 0 0 0 Innwnon in aaeou me:Enloe description hen,antl Amar points wellebie for measure In approprods categories to the night, _ 0 0 0 0 0 0 innovation in Weer:Enter deerptloe here:and enter prints available for months N Womate stallion to W rip. _ _ 0 o 0 0 0 0 - - — - Total Available Points In Other.43 -0 - Summary Total Available Points in Specific Categories' 4+ 96+ 42+ 66+ 43+ Minimum Points Required in Specific Categories0 30 6 6 9 Total Points Achieved a e 1 e e ON Project has not yet met the following recommended minimum requirements: -Total Project Score of At Least 50 Points -Required measures: -A3a:50% waste dlversio r by weight - -.-- --- - -J1:I5%above Title 14 ----- — -- - -- -- - - - - - -NI:Incorporate Green Point Rated Checklist Into blueprints -Minimum points in specific categories: -Energy(30 points) -IAQ/Health(5 points) -Resources(6 points) -Water(9 points) • 02007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 4 of 4 Community Development 0 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408)777-3333 CUPERTINO • Building De artment JOB ADDRESS: PERMIT # D/ ,J' PiD�PlJ� d OWNER'S NAME: e7l,fe, f 41 JZ7 PHONE # - GENERAL CONTRACTOR: FAX # I am not using any subcontractors: Z Si ature Date Please check applicable subcontractors and complete the following information: 60 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