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08040094CITY OF CUPERTINO w'�� 77 -'�I� BUILDING DIVISION" PERMIT yy �,5y yw t kW�,4y�,}RfY.kAl v BUILWNO,ApgREs$:LVES DR LLU _ CONDITIONED AIR PERMIT NO. 08040094 , OWNER'S NAME: - PERFBTISSUEDA]E - W TUYEN 1701 LITTLE ORCHARD ST 04/14/2008 NE: SANITARY N0, CONTROL NO. 1ARCHITECTIENGINEER: (408)291-2220 BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 DECLARATION LICENSED CONTRACnder Job Description p 1 ion70 arfirm Beat 1 am Ikmnscu under provisional of Chapter 9 my license 1. with ScNon]IX1clien Division Sof BeoBusinW and Profeuiom Code, and mylianseu RMV/REPLC FURNACE & A/C in full tome and eRea License Clue Lle. a - Dam Contractor ARCHITECTS DECLARATION 1 understood my photo shall be used as public meant, Licensed Pn*m.nal OWNER -BUILDER DECLARATION I hereby alErm that 1 am exempt from the Contractors License Law for the following mason. (Section 701.5. Business and Prefexaions Code: Any city or county _ which coquina a permit to conscrum, alter, bopm v, demaltxh. or repair my stmcmm prior in its iasuana. also requires the applicant for such permit m rile s signed summent that M is licensed o the of the Convectors Liscnsc Law (Chapter 9 Sq. Ft. Floor Area Valuation pursuant provisions (cane mcmingwith Section7008)of Division3ofthe Rusin veld Pmfetoiom Code)or 124Q0 isthe Nat hexempt freedom and basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant Io • civil penalty of ..pr�Number 32630007. Aff - Occas Occupancy Type oat mole Nm five hundred dollars ($5011). o ❑ Luownerofdiepmpctsy,nmYGEimm�c colt do Bee weds, and ah d"ofFe rte We(m. 7DC{, ,BW., is notmmnded maw Required Inspections and ce owner of obu Cade: The Contrmors License law dam net apply lf an ewocr Com dos net apply property wh is poperywhobuilds who doesstintwok himselfnthrough Ma ed natiothereon,and employeni i impowmwitasenot ounded If. however, toeaveUse or prove (caro@Rdmusk to building owner.of ovpmmnlacoldwithin ons Yeas of mprove for will have Oto burden of proving Nn re did cot build or improve for puryou of uden sak.). KI, as owner of Bob Property, am exclusively communing with licensed orm con in immortal the project (Sec. 7044, Business and PrafWiom Code:) The ConmMmrl U. come law doer not apply to an owner of promM1y who builds or improves Bement, and who contracts for such projects with a eonuanoKs) licensed resonant to the Conmacnes Line Law. E] M, exempt dfSee B&PCf did assn Owmr Dau r! _ WO RI.ERS COMPENSATION DECLARATION 1 hereby affirm under cowry of perjury nee or Ne following deshummos: I have and will mainWn a CeniOcala ed Consent in pelf -Inane for Workers Compen- _ - salen, as provided for by Section 370(1 of the later Code, for the performance of the work for which this permit is bound. I have and will milmaie Workers CompemNm boundaries, u requimd by Section 3700 of Nc labor Cade, for the pttfomma of the wart for which this Permit is Issued. ' My Workces Compensation inmrsna carrier and Policy number am: Cartier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE mussecdon recd mtbocompleted if tiro permit is forces Weekend dallan ($100) nr less) 1 Unify that in Lou per once of Ne work far which this permit u listed, ),hall cot employanyperseo i so w m become subject to Work s'Compensusion Laws o(Cali(omia / ApPlicam NOTICE TO AP CA) :IL after meting this Cenifi I o cmpfibe, you Nau1J become subject o the Workers Cammnskdon prvvi tons of Nc Laino Cod. you must forthwith comply with such provisions or this permit Nall bo deemed re.ked. CONSTRUCTION LENDING AGENCY . 1 hereby often wt them is a construction leading agency for the Performance of One work for which Nis permit is leaned (Sec. 3097, Civ. C) Lender, Name ' Landers Add. 1 emtify Nat 1 have mad Nis applic ndan and sum Nat the above information u const 1 agog in comply with 411 city and county aremamu and sum laws elating to , building ciesuucthm, and hereby •mbode representatives of this city to enter upon Ne above-mentioned property for inspection purposes (We) agree to mw, indemnify and keep harmless the City of Cupertino against tiabllities,judgmcou.cm and expenaaswhich may in my my ascan against mid City into n cansetious of g Ong of this mrmlL APPLICANT U TANDS D ILL COMPLY WITH ALL N -P INT Issued by: Date U SOURCE REG S. / Reroofs Signatum ol'ApplicanYCo per HAMRDOUS MATERIALS DISCLOSUREType of Roof Will the apple=, or form building occupmtrre W eor nal, ha udon material as defend by the CupeNm Municipal Cade. Chapter 9.13, and the Health and Safety Code. smtim 25532(a)? ❑YU TFe All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove tWill the applicant or future building occupant use equipment or dcvim which .If Weariless air cmmmiowme as dcftncd by the Bay Area Air Quality Mwengcmcnl all new materials for inspection. DisvicB —! ❑Ya L.dry^ I haw mad the hsmdous maurLbequimmen , emko chapor6.95 ofthe Cables. niaHcoltha SafctyC Sec Wes 25505,25533 om1]5534. l undmrmd thus if the building dace not curmnsly a a tenant, that it u my mspomNlity o nedfy tiro occupant of the requiremencswh'b mtbemtt rm� uusmeefacamrmateerO, '� = Signature of Applicant Date All roof coverings to be Class 'W' or better Owner Da or au orired age • is 0 CITY OF CUPERTINO 6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 32630007.00 DATE ISSUED.......: 04/14/2008 RECEIPT #.........: BS000004470 REFERENCE ID # ...: 08040094 METHOD OF PAYMENT ----------------- CASH TOTAL RECEIPT : AMOUNT --------------- 225.65 --------------- 225.65. REFERENCE NUMBER -------------------- VOICE ID -------- ---------------------------- SITE ADDRESS .....: VOICE 20969 ALVES DR ELECTRICAL -------- 507 ---------------------------- FINAL PLUMBING SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: VU TUYEN ADDRESS ..........: 20969 ALVES DR CITY/STATE/ZIP .. CUPERTINO, CA 95014 RECEIVED FROM ....: TUYEN VU CONTRACTOR .......: RICHARD READ LIC # 22334 COMPANY ..........: CONDITIONED AIR ADDRESS ..........: 1701 LITTLE ORCHARD ST ' CITY/STATE/ZIP ...: SAN JOSE, CA 95125 TELEPHONE ........: (408)291-2220 FEE ID ---------- UNIT QUANTITY ------------- AMOUNT PD -TO -DT THIS REC NEW BAL 1BSEISMICR ---------- VALUATION 12,400.00 ---------- 1.30 ---------- 0.00 ---------- 1.30 ---------- 0.00 1EPERMITFE FLAT RATE 1.00 40.79 0.00 40.79 0.00 IMPERMITFE FLAT RATE 1.00 40.79 0.00 40.79 0.00 1MRRAA UNITS 1.00 61.19 0.00 61.19 0.00 1PPERMITFE FLAT RATE 1.00 40.79 0.00 40.79 0.00 1TRAVDOC FLAT RATE 1.00 40.79 0.00 40.79 0.00 TOTAL PERMIT ---------- 225.65 ---------- 0.00 ---------- 225.65 ---------- 0.00 METHOD OF PAYMENT ----------------- CASH TOTAL RECEIPT : AMOUNT --------------- 225.65 --------------- 225.65. REFERENCE NUMBER -------------------- VOICE ID -------- ---------------------------- DESCRIPTION VOICE ID DESCRIPTION 505 FINAL ELECTRICAL -------- 507 ---------------------------- FINAL PLUMBING 508 FINAL MECHANICAL r - (WCIF CUPERTINO CITY OF CUPERTINO FURNACE/AC PERMIT APPLICATION FORM APN # 3 ) (P Date: Building Address: 20961 A -t -VCS DeiVF- C1,419F.2'rlNa, CA. RS -0I`% Owner's Name: Phone #: Tu0-1 En) ✓" `fOP-Lf`f6- 36S-/ Contractor: Phone #: Y08— 2_,q/_2_2_2_.o CONDITIarFi 1) /—I ✓Z Fax#: VOi-29/-222 Contractor License #: Cupertino Business License #: � `/S/62 Contact: Phone #: yol 2� I — 2712 0 f3F 2 -T) -A- (:;:,praC,,p, Building Permit Info: Elect Plumb ❑ Mech [. Residential Commercial Job Description: Its, I LO V r'U rtQ A -c,, A—/ L For Residential Installations: ^ Attic L rY 15` 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): /Z/ Yab — 1,4 -VA -L Strapped On Platform Bonded LJ New Location Replacement Valuation: x'12 yo0 Green Building: Must attach Green Building Check list to this application ao CUPER INO CITY OF CUPERTINO FURNACE/AC FEE SCHEDULE 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 beathing, cooling absorption,or evaporative cooling sys, incl install of controls regulated by this code. 1MCSUSHTR CommerciatInstall/Relocate ea M suspended beater,recessed wall htr, or floor mounted unit heater. 1PGASCOM Commerical for ea gas piping System P 1-4 outlets IBPGAS For each gas piping system of 5 or P more per outlet. IMCAPPVNT Commercial for the install/relocate/ or M replacement of ea appliance vent installed & not incl in an appliance permit. 1BSEISMICO Commercial Seismic B IMRRAA 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 f/ installation of controls regulated by this code. 1MRSUSHTR Residential Install/Relocate ea M suspended beater,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 appi permit. • aC)wn CUPEkTINO CITY OF CUPERTINO FURNACE/AC FEESCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type FURNACE FURN/AC 1PGASRES Residential for ea gas piping system of 1-4 Outlets P IBPGAS For each gas piping system of 5 or more per outlet. P / 1BSEISMICR Residential Seismic B 1MECPLNCK Mechanical Plan Check M 1MFR=<100 Furnace Syst <=100k BTU install or relocate ea forced-air/gravity type fumace/bumer, incl ducts/vents attached to such appliance up to and include 100,000 Btu/h M 1MFRN>100 Furnace Syst > 100k BTU install or relocate ea forced-air/gravity type furnace/bumer, incl ducts/vents attached to such appliance over 100,000 Btu/h M IEPERMITFEE Electric Permit Fee E / 1MPERMITFEE Mechanical Permit Fee M / 1PPERMITFEE Plumbing Permit P ITRAVDOC Travel Documentation B IBUSLIC Business License B 0 o CUPERTINO CITY OF CUPERTINO FURNACE/AC FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type AIR CONDITIONING FURN/AC 1 BCAIRHAN Commercial A/C Units <= l Ok CFM B 1 MCRAA Commercial Mech Repair/alt/add M 1BSEISMICO Seismic Commercial B IPGASCOM Commerical for ea gas piping System 1-4 outlets P 1PGASRES Residential for ea gas piping system of 1-4 Outlets P 1BPGAS For each gas piping system of 5 or more per outlet. Comm/Resid P IBRENLkMiAN Residential A/C units <= lOk CFM B 1MRRAA Residential Mech Repair/alt/add M IBSEISMICR Seismic Residential B IEPERMITFEE Electric Permit E 1MPERMITFEE Mechanical Permit M 1PPERMITFEE Plumbing Permit P 1TRAVDOC Travel Documentation B 1BUSLIC Business License B • SiTSgle*Family GreenPoint Checklist date: f -f- t `I The GreenPoint Checklist Is based on the various green features incorporated into the home and is the basis for the GreenPolnt Rated program. A home can be considered green if It fulfills the prerequisites, same at least 50 points, and meets the minimum points per category: Energy (3D), Indoor Air Oualltyl • Healm (5), Resources (5), and Water (9). Please comacc Build It Green for a list' of qualified GreertPolnt Raters If you are interested in pursuing third -parry, verification. The green bull ding practices listed below are described in the New Home Construction Green Building Guidelines, available at www.bulidlmman oro. • • Build It Greed Smarr Swurlions From The Ground Up B. FOUNDATION 7t i(i Points Available Per Manure -Points Available Per Measure 1. Replace Portland Cannot in Concrete with Recycled Flyaeh or Slag a No Invasive Species Ussal by Cal -IPC Are Plated b. No Plant Species Will Require Hedging C. 75% of PIaM$ Are Drought -tolerant California Natives, Madderansan, or Other Appropriate Species 2. Use Fire -Side Landscaping Techniques v 9 ❑ a. Minimum20%-Flyash or Sleg 0—ITS ] El b. Minimum 25% Flssh a Slag 0 I I 1 I El 2. Use Frosf-Protected Shallow Foundation in Cold Areas (C.E.C. Climate Zona 16) 0 3 ❑ 3, Use Ratlon Rnismnt Con uc0on on At -Risk Locations Only) 0 1 _ 4. Design entl Bulltl 5lrucmrel Pest Controls _ r i Z 0 ❑ R. Install Termite Shields & Se arate All Exterior Wocd-lo-Concrete Connections by Metal or Plastic Fastenersl0l iders 4. Plant Shade Trees S. GroupPlants by Water Needs (H drozoning fi. install High -Efficiency Irrigation systema T 1 0 3 2 ❑ ❑ ❑ ❑ a. System Uses Only Low -Flow Drip, Bobcat, or Lowflow Sprinklers b. Sysrem Has Smart Controllers 7. Incorporate Two lnchn of Compost in the Top6to 121nchn of Soil - s. Mulch All Planting Beds to the Greater of 2Inches or Local Water Ordinance Requirement 9. Use 50% Salvaged or Recycled-Cordent Motorists for 50%of Non -Plant Landscape Elements —LI ht Pollution Dy shielding Flzturn valor Directing Light Downward b. All New Plants Have Trunk, Bala, a Stem Located At Least 36 Inches from Foundation - D 2 j —r' -- 3 3 2 1 1 El C. LANDSCAPING - 1. Construct Rnource-Eff tient Landscapes 7t i(i v -Points Available Per Measure ❑ ❑ ❑ ❑ a No Invasive Species Ussal by Cal -IPC Are Plated b. No Plant Species Will Require Hedging C. 75% of PIaM$ Are Drought -tolerant California Natives, Madderansan, or Other Appropriate Species 2. Use Fire -Side Landscaping Techniques v 9 0 ] T— 0 1 3, Minimize Turf Areas In Lsndscape int illmd by Builder ❑ ❑ E] ❑ El a All Turt Will Have a Water Requirement Less than a Equal to Tall Fescue (50.6 plats factor) b. b. Tud Shall Not Be installed on Sepia;Ezceedmg 10% or In Areas Less than & Feel Wide F Turf Is 533% of Landscaped Area gotel2 points) it. Turf is 510% N Landscabod Area (total 4 points) 0 L _ 0 _ 0 _ r i Z 0 7 ❑ El 4. Plant Shade Trees S. GroupPlants by Water Needs (H drozoning fi. install High -Efficiency Irrigation systema T 1 0 0 3 2 ❑ ❑ ❑ ❑ a. System Uses Only Low -Flow Drip, Bobcat, or Lowflow Sprinklers b. Sysrem Has Smart Controllers 7. Incorporate Two lnchn of Compost in the Top6to 121nchn of Soil - s. Mulch All Planting Beds to the Greater of 2Inches or Local Water Ordinance Requirement 9. Use 50% Salvaged or Recycled-Cordent Motorists for 50%of Non -Plant Landscape Elements —LI ht Pollution Dy shielding Flzturn valor Directing Light Downward o 0 - 0 D 0 0 0 2 j —r' -- 3 3 2 1 1 D. STRUCTURAL FRAME R BUILDING ENVELOPE 7t i(i _ Points Available Pei Manure ❑ 1. Apply Optimal Value Engineering e. Place ReXare and Studs x124 -Inch On Comer Framing v 9 ❑ D. Sao Dow and Window Headers for Load 0 ❑ o. Use Only Jack entl Cripple Studs Required for Loatl ❑ ❑ ❑ ❑ 2. Use E h nsaretl e. Beams and gineerHeaders Heelers D. InsulaWoodted WEnginn Woo C. Wood l -Joists fo Web Trusses for Floors— J. Wood l-JOlsib for Roof Ratters— /x1^ '-� D 0 T 1 f ❑ e. Engineered or Fngw-joimod Studs for Volical Applications o "' 1 El I. f. Oriented Shand Board for Suoor I ❑ B. Oriented0 Stand Board for Well entl Roof Sheathing 0_ - — S. Use FSC-0ertifietl Wood ❑ a. Dimensional Lumber, Studs and Timber Minimum 40% 0 ❑ " b, Dimensional Lumber, Studs and Timber. Minimum 70% 2 , 0 _ 7 L_ ❑ c. Panel Products: Minimum 40% 0 1 ❑ d. Panel Products: Minimum 70% 0 ---r-- —1--� --- ®2007 Build It Green Single Family GreenPoint Checklist 2DD7 Version Page 1 of 4 4. Use Solid Well Systems onduees SIP&, IGFs, IS MY Nomsl ❑ e. Floors ❑ b. Walls ❑ c. Roofs S. Reduce Pollution Emedng the Home from the Geroge ❑ a. Tightly Seal the Air Ramal between Gerogs and Living Area ❑ a Minimum 1S -Inch Overhangs and Gutters Content ❑ IS, Walls andlor Honor -0—b.-Celliy 2. Install Insulation thM ❑ e. Wells andlor Floors ..._.. _...._..-_.._-._...__._. __.. H. HEATING VENTILATION & AIR CONDITIONING 1. Distributes Domestic Hot Water Efficiently (mesnmum r ralnwi Points Available Per o---7--- 1 ❑ a Insulate Hot Water Pipes from Water Heater to (then 1 D - -r ---� -'- - -}--- 5 ❑ b. Insulate All Hot Water PODS Piping D - - — t -- --'I-- ❑ c. Use Engineered Parallel ❑ —0 -- 1 1 it. Use Engineered Parallel Piping with Demand Controlled CimNation Loop 71a. Use Structured Plumbing with Demand Controlled Circulation Loop 5. Design and Install Ef Dodve Ductwork El Use Central Cora Plumbing ❑ D 0 ! 1 t 1 11 7 z Install Only Hien Efficiency TDitats (Duel -Flush or 51.25 Sol)- 0 r1 ❑ ❑ c. Install Ductwork under ASic Insulation (Buried Ducts) d. Pressure Mance the Ductwork System ..._.. _...._..-_.._-._...__._. __.. H. HEATING VENTILATION & AIR CONDITIONING Points Available Per Measure 0 4 1 1. Design end Install HVAC System 10 ACCA Manual J, D, and S Recommendations 2. install Sealed Combustion Unite D 2 ❑ a. Furnaces 0 2 1 ❑ b. Water Heaters D 1 1 a. Install Zoned. Hydronic Radiant Heating with Slab Edge Insulation 4.Install High Efficiency Air Condltioning with Envlronmanlal.. Rmponslble Refrigemnta 0 1 t 5. Design and Install Ef Dodve Ductwork 0 3 ❑ a. Install HVAC Unit and Ductwork within Contlidoned Space _ _ - .L. ❑ I. Use Duct Mastic on All Duct Joints and Seems 0 r1 ❑ ❑ c. Install Ductwork under ASic Insulation (Buried Ducts) d. Pressure Mance the Ductwork System - p - -} ---I-- -- 0 1 �— ❑ e. Protea Ducts during Construction and Clean All Ducts before Occupancy S. Install High Efficlanq HVAC Flltm M6xERV 0 1 I ❑ 7. Don't I"Wil Fireplace or Install Sealed Gas Fireplaces, with Efficiency Rating Not Less Than 60% 0 using CSA Standards ❑ e. Install Effective Exhaust SyaU DS In Bathrooms and Otchans a. Install ENERGY STAR Bathroom Fans Vented to the Outside Fade Are Timer or Humidlatal 0 5 - ❑0 ❑ b. All Bathroom an C. Install KSchen Range Hoed Vented 10 the Outside D 1 I 9.InsUll Mechanical Ventil,,D System tor Cooling IMexlmum 4 Pointe) ❑ a. Install ENERGY STAR Ceiling Fane 5 Light the In Living Areas & Bedmame Variable Speeds —0- ----}—:-- ❑ b. Install Whole House Fen with U -- - Z 2 E] a. c. Automatically Connellod Integrated System 0- —{- - 3 —' ❑ d. AutomaVdujy CmdmlUd Integrated System with Variable Speed Control 0 iD.InaUll Mechanical Fresh Air VandlaIf n System (Maximum 0 Points) 0. - 2 - 2 t ❑ a. Any Whole House Ventilation Systam That Meek ASHRAE 622 El b. install Alrvto-Nr Heal Exchanger that mesw ASHRAE 62.2 0 11 , 1 11.Install Carbon Monoxide Alerne5l I _._�,.__...._,�_.,___..... v...x„x.. D.x el.r „�xx,,,,m„�nn 0,_� n �J 02007 Build It Green Single Family GreenPoinl Checklist 2007 Version Page of 4 CI • Total Avelleble Points in Renewable Enmo✓=291 0 1 J. BUIILDING PERFORMANCE PDrum Available Per Measure Points Available Per Measure 1, Diagoostit Evaluations 1. Design Entryways to Reduce Tracked in Conteminana ❑ a. House Passes Blower Door Test � � 200 c m _ __ 0 7 ❑ Q U w Q 1. RENEWABLE ENERGY 0 5 2 1 0 Points Available Pat Measure 1 1. PrePlumb for Soler Hot Walter Hearing D b, Zem-VOC: Interior WaIVCailin Points (c5 DOI VOCs Flati) - 4 ! tl.Minimum75%of Floor Arm' 2 install Solar Weaker flastorg System 0 ❑ ! 10 ! 0 3 Install Willing onduit for Future Photovoltaic Installation 6 Provide 2D0 M of South -Facing Roof 0 3. Flooring Meets Section 01350 or CRI Green Label Plus Requirements (50% Minimum) 2 Us LowJrOC Caulk and Construction Adhesives (40 gpi.VOCs) for -All Adhesives 4. Install Photovoltaic (PV) Panels a. ENERGY STAR Oualriad & c 25 Cubic Foot Capacity, 0 ❑ a. 30% of electric needs OR 12 kW (total 5 points) 0_ 6 ❑ In. . B0% of alectic needs OR 24dN (tonal 12 points) - 0 ❑ 1 6 ❑ c. aD% of electric need OR 3.6 kW (total 16 points) 0 _ 6 1 Total Avelleble Points in Renewable Enmo✓=291 0 1 J. BUIILDING PERFORMANCE PDrum Available Per Measure Points Available Per Measure 1, Diagoostit Evaluations 1. Design Entryways to Reduce Tracked in Conteminana ❑ a. House Passes Blower Door Test 0 1 ❑ b. House Passes Combustion Safety Backdraft Test _ __ 0 7 ❑ 2Dasign and Build High Padormmca Homes -%above Tire 24 -minimum 15%RequW 0 >_30 ! I ❑ 3.Houss Obtains ENERGYSTARwith Indoor Air Package Certification-POWMaesure(Toa145 points; readcamment) 0 5 2 1 TMnI AVAllatla PnlMs in Fillrinn FAHnrmanne=ini n I E. FINISHES Points Available Per Measure 1. Design Entryways to Reduce Tracked in Conteminana 0 ! 1 ! Exposed Concrete, RacringAdhesfvm Must He" c50 gpl VOCs. 0 2 Use Low-VOC or Zero-VOC Paint (Maximum 3 Points) ❑ a. Minimum 15% Of Floor Area 0 --- �— 1 ❑ a. Low-VOC Interior WaIVCelling Paints (c50 gp1 VOCs (Flat) and d50 Din VOCs (Non -Flat)) 0 1 c. Minimum 50% of Floor Area ❑ b, Zem-VOC: Interior WaIVCailin Points (c5 DOI VOCs Flati) - 0 tl.Minimum75%of Floor Arm' 3! _ ❑ 3. Use Low VDC, Wear -Bawd Wood Flnishm (450 gpl VOCs) 0 1 1 ! 2 3. Flooring Meets Section 01350 or CRI Green Label Plus Requirements (50% Minimum) —Q-4. Us LowJrOC Caulk and Construction Adhesives (40 gpi.VOCs) for -All Adhesives 0 a. ENERGY STAR Oualriad & c 25 Cubic Foot Capacity, 0 ❑ S. Use Recycled -Conant Paint 0 1 0 6. Use Environmentally Preferable Materials for Interior Finish: A) FSC -Certified Wood, B) Reclaimed, C) Rapidly Renewable, 0) Raryded-Content ❑ a. Built -In Recycling Center 0 or E) Finger.lointed b. Built -In Composting Canter 0 I I I I 1 ❑ a. Cabinets(50%Minimum) 0 ❑ b. Interior Trim (5D% Minimum) 0 ❑ c. Shelving (50% Minimum) 0 ❑ d. Doors (50% Minimum) 0 1_ 1) ❑ a. Countedops (50% Minimum) 0 _ 'r _ 1 7. Reduce Formaidshyde in Intoder Finish (CA Section 01350) ❑ a. SubfiODr& Stair Treads (50% Minimum) 0 I1 ! ❑ b.Cabinets& CDuntonops(5D% Minimum) 0 _ _ 1 ❑ C. HOW Trim (50% Minimum) 0 — ❑ cl SheNln (50%Minimum) 0 1 ELI]e. Aitaz Iesal 6 n of Flnishm, Test of Indoor Air Shows Formaldehyde Leval 47ppb 0 ( 3 ! L. FLOORING Points Available Per Measure 1. Use Environmentally Preferable Flooring: A) FSCCerrfed Wood, B) Acclaimed or Refinished, C) Rapidly Renewable, D) Rerycled-Conlenq E) ❑ Exposed Concrete, RacringAdhesfvm Must He" c50 gpl VOCs. 0 ❑ a. Minimum 15% Of Floor Area 0 --- �— 1 ❑ b. Minimum 30% of Floor Area�_— ❑ c. Minimum 50% of Floor Area 0_— 1 2 ❑ tl.Minimum75%of Floor Arm' 0 11 ❑ 2 Thermal Mase Floors: Floor Covering Other than Carpet on 50% Or More of Concrete Floors 0 1 1 ! ❑ 3. Flooring Meets Section 01350 or CRI Green Label Plus Requirements (50% Minimum) 0 1 1 2 Total AvM[Ahe Pninte in Flnndnn=71 D 1 M. APPLIANCES AND LIGHTING Points Available Per Measure _ 1. Install Water and Energy Efficient Dishwasher ❑ a. ENERGY STAR (total 7 point) 0 ❑ In. Dishwasher Uses No More than 6.5 Gallons cls total2point) _ D --- �— 1 2lnsall ENERGY STAR Clothes Washing Machine with Water Factor of 5 or Less ❑ a. Meets Energy Star and CEE Tier 2 requirements(modifed energy factor 2.0, Water Factor 6.0) (total 3 points) 0' 1 2 ❑ It. Meets Energy Star and CEE Tier 3 requirements (modified energy factor 22, Water Factor 4.5 or less) _' totals points) D 3. Insall ENERGY STAR Retrigeretor ❑ a. ENERGY STAR Oualriad & c 25 Cubic Foot Capacity, 0 ❑ b. ENERGY STAR Ouelifietl & <20 Cubic Feet Capacity 0-- 4. Insall Built -In Recycling Center 0 ❑ a. Built -In Recycling Center 0 ❑ b. Built -In Composting Canter 0 I I I I 1 TMAI AvnllehlA Pnlnk In Armliennae antl l lnhfinn=191 n I N. OTHER Points Available Per Measure ❑ 1. Incorporate GreenPoinl Rated Checklist In Blueprints -Required 0 1 1 1 R ❑ 2. Develop Homeowner Manual of Green Feeturn6anefia 0 1 1 ! 1 3, Community Design Measures & Local Priorities: See the Community Planning & Design ooCtlon in Chapter 4 of the New Home Guidelines for measures. MaGmum of 2D points for suggested measures. Local requirements may also be listed here. U 102DO7 Build It Green Single Family GreenPoint Checklist 2007 Version Page 3 of 4 Emer tleeolpthn here, and emir palms available la measure in app opdnle caleporin to the right. Emer tleurlpflon here antl amer palms nallnhle to measure In�aopdele uleponas to the right. Enter tlnoripliT han_end enler poise available fm manure In appmpdele celepitln Emer dawn lin hem, and ems Regain to manure In a o hie cat mlee to 0e _ -t �I _ gams p}Kg e.� ^8M____- 4. Innovation: List innovative measures that meet the green building objectives of the Guidelines. Enter up to a Total Available Points In Specific ilmum Points Roculred In Soecifl Project has not yet met the following recommended minimum requirements: - Total Project Score of At Least 50 Points - Required measures: -A3a: 50% waste diversion by weight v'2,--ISWo-ab ove-Title-24 -NI: Incorporate Green Point Rated Checklist into blueprints - ldinlmum points in specific categor{es: -Energy (30 points) -IAQ/Health (5 points) -Resources (6 points) -(Nater (9 points) 0 0 o D o 0 0 0 0 0 o D _Q 0 ._• D- -� D 0 _0__O 0 0 '_o_ Build h Green Checklists and Guidelines o— 0 0 0 0 o 0 0 0 o q o o D o 0 o D D ' 0 0 o D o 4+ 96+ 42+ 66+ 43+ 0 30 5 6 9 W • 0 2007 Build It Green Single Family rmeri Checklist 2DD7 Version Page 4 of 4 A CITY OF *UPEkTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESS: 2 &— PERMIT # 6�Crlco OWNER'S NAME: PHONE # _ ZtitiU GENERAL CONTRACTOR: Co" Zr- FAX # I am not using any subcontractors: Signature Please check avvlicable subcontractors and complete the following information: Date 21 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 � /Y1,1,r Own /Contractor Signature ate