08020039 CITY OF CUPERTINO
1iUILI51NCDIVISION PERMITCONTRACet?QRINFQRMA'�IQN .;
dx 'f«k,n'z�tT. #w '
Buall7rfG pp�gFs mrl NU.
ESTATES DR CUPERTINO PLUMBING Pm08020039
ElR'SU NAME* PERMIT ISSUE DATE
LEIER KARL F AND JANICE L 1300 DELL AVE STE C 02/06/2008
PHONE: SANITARY NO. CONTROL NO.
ARCHTIEC rENGINEER: BUILDING PERMITINFO
COPPER REPIPE/WATER MAIN BLDG ELECT PLUMB MECH
O O O O
3 o p LICENSED CONTRACTOR'S DECLARATION Job D05CTIptIOn
1 hereby eM m that 1 am Iiconamd under provisions of Chapter 9(commencing
^� wine sccDivfsianlaf neo Butinm and Profmiou Code,end my licersxe is
in full force and effect.
LlcenxeClm4 D
Lle.g
Dau — — Con DELL N
ARCHRECsS DECLARATION
Z�� 1 undvatanJ my pu...hall bu used u Public nxnrN
Liceaed Professional
5 OWNER-BUILDER DECLARATION
1 I bench,affirm that i am exempt from tie CanmcmM1 Licenc law for IW
ZOO following muen.(Section 703I.S,Business and Pmfcadnns Code:My city or county
9�.. which meuisea•permit in construct,alto hop Am demeluh,or repair my mentum
to prior m its issuance,alw require the applicant for such permit m file a signed statement
< that he u licensed PumumL to the provisions of de Communes License Law(Chapter 9 Sq.Ft.Floor Area Valuation
(commendngwlth Sation7000)or Divulan3oftic Buil mmd PmfmionsCM)or
S
that he is exempt Ihmfwn and the basis for de alleged eumption.Any violation of
Section 7031.5 by arty applicent for a permit abject the applicant to a civil penally of APN Number Occupancy Type
not mare Nm Ow hundred dalWs IS300).
❑1.u owner of the property,or my employees with wages u their sole rompew0m.
will do the work,and nee strunum u on,intended or offered for sale(Sec.]OM,Businen
and Professions Cade:The Commis 's License Law does not apply an an owner of Required Inspections
property who Wildaorimpwwa thercon,sed wNdoessuchwmkhimselfvlluough his
own employe;provided Nn such Improvements are not intended oro@rod f.tale If. -
however.On building Or Impmwmot 4 sold within am year of completion.tle owm-
molder will serve the dodo of proving that be did rot ddld ar improve for purpose of
tale.).
El 1,as owner of the property,am eulmiAdy contracting wine liceved comnemn N
construct the project(Sec.7004,Business and Professions Code:)Tic Contractor's U.
cense Law does not apply in an owner of properly who milds or Improve theme.and. 1
wMmnuae s for such projects wih a ontranmrts)licensed peraum an Elbe Contractor's
I.icomm law.
❑I am exempt under see .B d P C for this maws
v Data
WORKER'S COMPENSATION DECLARATION
I hereby of ton under penury of perjury,one of the following acclaustione
❑1 hem and will maintain a Certificate ofConem N self-dMre for Worke/s Camper,
ad.,u provided for by Section 3]00 of Ne Lamer Code,for the perfannarm of the
wart far which this permt u issued.
❑I have and will maintain Worker's Compensation Insurance,u required by Section
3700 of the Labra Cade.for Bre performance of the wank for which this permit is issued.
My Wekce.CCompensati.LM Po
runcence carrier alicy are
number : k
Cartier. :"7'-"" c, PolicyNo.:
CERTIFICATE OF EXEMPTION FROM WORKERS' r r
COMPENSATION INSURANCE
(Thu seam.red rothecanPlemd lithe permit IsIm mhundred dollars($100)
or less.)
1 certify Nat In Ne perform...of the work for which this Permit u issued.I mail nm
employ anyperwn in any mummer an as in immure subject N the Work Of Compenudw .
Laws of Caiifamie Dau
Applicem
NOTICE TO APPLICANT:If,afar making this Certificate of Exemption,you should
became Subject to the Worker's Compensation previsions or the Iaber Code,you most
.,O forthwith comply with such provisions or this merit meet bu occurred revoked.
,Z.m 14 CONSTRUCTION LENDING AGENCY
[. I nemhy afar due Nem is a construction lending agency for the performa ere,of
z > the wart for which this pe.I,is farad(Sec.3097.Ci,C.)
W 0 Lender's Name
aZ Lender's Address
U Q 1 certify that 1 haw rad this application and some dm the above Informed.u
W corers.l agree to comply with all city and courtly aNinuues and sate law relating m
-� Wilding construction,and hereby mNvim repcumufives of this city in enter upon the
W aWw-mentioned property for inspection purlems.
G (We)agree to saw,indemnify and kap harmlm the City of Cupertino against
y
liabilities,judgments,cone and expenses which may In any way acme against Mid City
V 7 in cavequenm of the granting of this permit. /�_ /'
m� APPLICANT UNDF�FaSTAND [ L C WITH ALL NON-POINT Issued by: Date G. r!�
5 RCE afiBtll."1T10NS.
Re-roofs
signuurea ran am Nr D.N
HAZARDOUS MATERIALS DISCLOSURE Type of Roof ,
Wllltivapplleanlo rutuw bulking upoumro.handle hsssmous nomend
de0ned by the Cupeniro Munici Chapter 9.11,and the Health and Safety
Scctum 25531(.)? All roofs shall be inspected prior to any roofing material being installed.
[:]Y. No
WIII the applicant or future building occupant taw equipment or dcAm which If a roof is installed without first obtaining an inspection,1 agree to remove
emit huardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection.
District?
Yes o
I have read the hMamousmateri.urequirem.0 under Chapterd.95 of the Califor-
nuHcelthkSefctyCade.Sections MM.25533 and 15534.1 urnmemwd thvifNe building
dm not currently haw.tmanl Na It Y my mtpenalhility to notify the moment of the
requiremcmta which mtaL W mm prior m ismamc of a Ccrifeme of Occupancy. Signature of Applicant Date
Owner of authorized agent DateAll roof coverings to be Class"B"or better
I,, "' og°� oo h
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
CUPERTINO PERMIT APPLICATION FORM
APN # � � O T ,\ Date: 2✓�. ^� Q
Building Address: (�
Owner's Name: Phone#: tL CJ 1 ) 8
Contractor: Phone#:
�S3 --oG,ig
(�• ��I•n:a p �tiw�
Fax #:
Contact: Phone#:
��ctn
Fax #:
Contractor License#: ('o ay9 V J
Cupertino Business License#:
Job Description: / h
Residential Commercial ❑
Valuation: s-r-
Green Building Check list must be completed and attached to this application.
Green Building Points: s�C�
Quantity Fee ID Fee Description Fee Permit Type
Group
1PCSEWER Commercial building P 1CPSS
sewer/sanitary sewer
1BPREPIPE Commercial re-pipe per fixture P 1CPRP
1PGASCOM Commercial Gas Piping System P
1-4 Outlets
1BSEISMICOM Seismic Commercial P
/ 1BSEISMICR Seismic Residential P
IPRSEWER Residential building P 1RPSS
sewer/sanitary sewer
jr
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
CUPEkTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
IPRREPIPE Residential re-pipe per fixture P 1RPRP
1BPWSVCS Water Service P 1CPWS or
1RPWS
1PPRSEWG Private Sewage Disposal System P
IPCESS Cesspool P
1BPWATER Install/alter Water Pipe P
1BPFDCTURE 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
ITRAVDOC Travel &Documentation Fee B
1BUSLIC Business License B
• CITY OF CUPERTINO
5 ITEMS OF 10 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36925036 . 00
DATE ISSUED. . . . . . . : 02/06/2008
RECEIPT # . . . . . . . . . : BS000003872
REFERENCE ID # . . . : 08020039
SITE ADDRESS . . . . . : 10420 E ESTATES DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . :
OWNER . . . . . . . . . . . . : LEIER KARL F AND JANICE L
ADDRESS . . . . . . . . . . : 10420 E ESTATES DR
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4506
RECEIVED FROM . . . . : FRANK CARDIA
CONTRACTOR . . . . . . . : CARDIA, FRANK L LIC # 612
COMPANY . . . . . . . . . . : CUPERTINO PLUMBING
ADDRESS . . . . . . . . . . : 1300 DELL AVE STE C
CITY/STATE/ZIP . . . : CAMPBELL, CA 95008
® TELEPHONE . . . . . . . . : (408) 253-0618
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- -------- ---------- ---------- ---------- ---------- ---------
1BPWATER UNIT 1. 00 40 .79 0. 00 40.79 0. 00
1BSEISMICR VALUATION 4, 500. 00 0 .50 0. 00 0 .50 0. 00
1PPERMITFE FLAT RATE 1. 00 40 .79 0. 00 40.79 0. 00
1PRREPIPE NO OF FIXTURE 8 . 00 81. 60 0. 00 81 . 60 0. 00
1TRAVDOC FLAT RATE 1 . 00 40.79 0. 00 40 .79 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 204 .47 0. 00 204 .47 0. 00
METHOD OF PAYMENT AMOUNT .... , REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 408. 94 VISA
---------------
TOTAL RECEIPT 408. 94
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ---------------------
301 ROUGH PLUMBING 502 FINAL PLUMBING ENERGY
507 FINAL PLUMBING
Single Family GreenPoint Checklist dare: �!— G—03 Build It Gmti
The Greeni Checklist Is based on the various green features incorporated into the home and is the Smart Solutions from The Ground Up
basis for the Greer lnt Rated program.A home can be considered green II It fulfills the prerequisites,
• same at lent 50 points,and meats the minimum points par category.Energy(3D),Indoor Air Oualityl
Health(5),Resources(6),and Water(9).Please correct Build It Green for a fist of qualified GmenP01N I I_ ._I - - I I- F Raters II you are imeresled in pursuing thi*paq varificabon. - JThe green building practices listed below are described in the New Home Construdion Green BulkingGuidelines,available alwww.bulmur urg
PROJECT z €
A SITE L Points Avallable of Measure
1.Protect Topsoil end Minimize Disruption of Existing Planes A Tress
❑ a.Protect Topsoll from Erosion and Reuse after Conshuctlon 0 1 I
❑ b.Limit and Delineate Construction Fobprint for Maxhnum Pmtecaon --p- - — - ---' - -
❑ L Deconsal Instead of Demolishing Edsling Buildings On and D 3
a.Recycle Job Site Construction Waste(including Green Waste) '
❑ a.Minimum 50%Waste Diversion by Welght(Racycifing or Rause)-Required 0 R
❑ b.Minimum 65%Diversion by Weight(Recycling m Reuse)
❑ c.Minimum 80%Diversion by Weight(Recycling or Reuse) -- ---- ---- - '-'
0 2
4. Ise Resyded Content Aggregate(Minimum 25%) _
Ela Walkway and Driveway 0
❑ b.Roadway Boo - —. —. _
0 -- — 1
' Total Points Avallable in Ede=12 0
B.FOUNDATION Points Avallable Per Measure
1.Replace Portland Cement in Concrete with Recycled Mynah or Slag
❑ a.Minimum 2D%Ryser or Slag 0 I
❑ b.Minimum 25% ash a She 0 1
El L Use Fred-Protected Shallow Foundation in Cold Aress(C.E.C.Climets Zone 16) 077 3
].Use Radon Resistant Construction On At-Risk Locations Only) 0 1
4.Design and Build Structural Past Controls
Ela.Install Termite Shields A Separate All Exterior Wood4o-Concrater Connections Mete)or Plastic Fasernersf0lvlders 0 7
b.A6 New Plants Have Think Base,or Stem Lpcaled At Least 36 inches firm Foundation - p- - - -- -� -- 1
Total Pointe Available In Foundation=3 0
C.LANDSCAPING Points Available Per Measure
• 1.Construct Resource-Efficient Landscapes
_ -
❑ a.No inval Species listed by CBI-IPC Are Planted
_ 0 _1-_______
❑ b.No Pham Species Nil Require Hedging _0 1___ ___
❑ c.75%of Plants Are Drought-tolerant CaTil la Natives,Mediterranean,or Other Appropriate Species p - _
-
L Use Fire-Safe Landscaping Techniques 0 1
a.Minimize Turf Aram in Landscape Installed by Builder
❑ a.All Tud Will Have a Water Requirement Less than or Equal to Tell Fescue(so's plant fai 0 2
❑ b.Turf Shall Not Be Installed on Slopes Exceeding 10%or In Areas Less than B Feet WideD 1 2
E] c,Tud Is S33%of Landscaped Area potal 2 points) _---p - --------- -_ 2
❑ d.Turf is 510%of Landscaped Area(dal4 Points) D._ - -- -'-2
LJ I.Plant Shade Trees 0 3
EF S.Group Plante by Water Needs(Hydrozonln ) 0 I 1 2
G.Install High-Efficiency Irrigation Systems
❑ a.System Uses Only Low-Flow Drip,Bubblers,or Law-flow Sarni 0 �_ 2
❑ b.System Has Shied Conhollers - 0 _-.---j-- -
3
7.Incorporate Two Inches of Compose in the Top a b 12 Inches of Soil 0 3
❑ e.Muleh All Plantin Beds to the Greater of 2Inches or Local Water Ordinance Requirement 0 ' 2
9.Use 50%Salva ed or Re cled-CDment Materials for 50%of Non-Plant Landscape Elements 0 ( 1
Lj 70.Reduce Light PolluNonby Shielding Fldurmandfor Directing Light Dowmvard 0 1
Total Points Available in Landscaping=31 0
D.STRUCTURAL FRAME R BUILDING ENVELOPE Points Available Per Measure
1.Apply Optimal Value Engineering
❑ a.Place Ratters and Suds at 24-Inch On Center Framing _0
❑ d.Ste Door and Window Headers for Load 0
❑ c.Use Only Jack and Cripple Studs Required for Load p -------- I- -"--
1
2 Use Engineered Lumber
❑ a.Beams antl Headers 0 __ 1
❑ b.Insulated Engineered Heetlars —0-
E]
-❑ c.Wood Weida or Woo Trusses in Floors -p --
❑ it.Wood Wiser for Roof Rafters --"---' �---
❑ e.Engineered or FlngerJamed Studs for Vance?Applications g -
❑ 1,Oriented Strand Board for Subgoor 0 - --` -'"- ' -"--
❑ g.Oriented Strand Board for Wall and Roof Sheathing -p
2.Use FSDCmlLu Wood
El - - -
' a.Dimensional Lumber,SWtl3 and Timber.Minimum 40% 0 2
❑ b.Dimensional Lumber,Studs and Timber.Minimum 70% 0 -
❑ c.Panel Products:Minimum 40% - 0 '-
❑ d.Panel Products:Minimum 70%
02007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 1 of 4
ENTER
A.Use Solid Well Systems(Includes SIP@,ICFs,6 Any Non-Stick Fame Assembly)
❑ &Floors 0 22
El In.Walla 0 2 '
❑ c.Roche _0 2 _
S.Reduce PDIlution Emering the Home from the Garage
❑ e.Tightly Beal the Air Bartter between Geroge end UVrgf Area _0
E3 b.Inslas Garage Exhauat Fan OR Build a Detached Garage 6 7
Lj e.Design Energy Howls on Truster(75%of Able Insulation Height at Outside Ede of Exterior Wait) 0 1
1.Deni n Roof Trusts,W Accommodate Ductwork 0 1
0.Use Recycled-Convent Steal Studs tar 00%of Interior Weil Framing 0 1
LJ B.Thermal Masa Wells:SM-Inch Drywall on All Interior Walla or Walla Weighing mora than 4010/eu.IL a 1
l D.Install Overhangs and Gusts
❑ &Minimum 1&Inch Overhangs and Outten _ D ]
❑ &Minimum 24-0qh Overhangs and Guiles 0 1
Total Posts Available s Sbucpriel Building Fame and Erwelcp@=36 0
E.EXTERIOR PINISH Points Available Per Measure
t.Use Recycled-Content(No Virgin Plastic or FSC-Cenlfied Wood Docking0 2
2lnstell a Hein Soroen Wall 6 stem 0 2
0.Use Durable and NonoombusI ble Siding Meewie l@ 0 1
A.Select Durable of Noncombustible Roofing Materials - - 0 2
Total Pomo Available In Extads Finish 7 0
F.INSULATION Points Available Per Measure
1.Install Insulation with 75%Recycled Content
❑ &Wells vdhor Ficos 0
❑ 0.Collins 0 ]
2.Install Insulation that IS Low-Emitting(Certified Section 01 SSD)
❑ L Wails andior Floors -0 _ ]
❑ b.Collins 0 1
1.lnapect Duality of lnsuladon Installation before Applying Drywall 0 1
Total Poims Avallable in insulator=5 0
G.PLUMHINO Points Available Per Measure
1.Disulbule Domestic Hot Water Efficien0y(M@dmum 7 Points),
❑ &insulate HM Water Pipes from Water Heater to Kitchen 0
❑ b.Insulate All Hol Watw PODS 0 7 _]
❑ c.Use Engineered Parallel Plying _ 0 `
❑ d.Use Engineered Parshal Piping with Demand Convollad Circulation Loop 0
❑ e.Use Structured Plumhing with Demand Control Circulation Loop D j _ 2
❑ f.Use Central Core Plumbing 0 ] 1 2
❑ 2.Into Only High Efficiency Toiles(DuatRush or S120 Sol 0 4
Total Points Avafiabie In Plumbin =Total 12 0
H.HMTINO VENTILATION B AIR CONDITIONING Points Available Per Measure
1.Design and Install HVAC System to ACCA Manuel J.D,and S Recommendations 0 4
L Install Sealed Combustion Unite
❑ &Furnaces _ 0 _ ___ _ 2 ' _ t
❑ b.Welch Heaton 0 2
3.Install Zoned,Hydmnic Radiant Hoeing with Stab Edge Insulation 0 1 1
4.Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants 0 1
S.Design and Install Effective Ductwork
❑ e.instal HVAC Unit and Ducamrk within Conditioned Space _0 l 3
❑ b.Use Duct Mastic on M Duct Joints and Seams
❑ c.Install Duttworic under Attic Insulation(Buried Ducts)
❑ d.Pressure Balance the Duchoorx System __ 0 7 -
❑ e.Protest Dun during Construction and Clean All Ducts before Occupancy 0 1
LJ 0.Install High Efficiency HVAC Filter(MERV 6a) D 1
❑ 7.Don't Install Fireplace or Install Styled Gas Fireplaces with Efficiency Rating Not Let@ Then BO% D 1
using CSA Standards
&Install Effective Exhaust Systems In Bathroom,and Kitchens
❑ &Install ENERGY STAR Bathroom Fens Vented to the Outside D 7
❑ b.All Bathroom Fane Are on Timer or Humldisof 0
❑ c.In riell Kitchen Range Hood Vented to the Outside 0 1
S.Install Mechanics[Variation System for Cooling(MRAMUM 4 Points)
❑ e.Instal ENERGY STAR Call Fans 6 Light Kits In Wing Ames S Seduction; 0
❑ b.Instal Whole House Fan With Variable Speeds
❑ c.Automatically Contmlod Integrated System
❑ d.Automatically Controlled Integrated System win Variable Speed Control 0 3
10.Install Mechanics[Fresh Air Ventilation System(Maximum S Points)
❑ a.Any Whole Horse Vemllotlon System That Maas ASHRAE 622 0 2
❑ to Instal tirio-M Heel Exchanger that mut;ASHRAE 622 0 7 2
Ej 11.Install Carbon Monoxide Asnn(s) 0 1
Total Polnts Available In Heating,Ventilation and M Conditioning=30 0
0 2007 Build It Green Single Family Grear lm Checklist 2007 Version Page 2 014
• • � r m
• I.RENEWABLE ENERGY Points Available Par Maasu2
LJ 1.Pre-Plumb for Soler Hot Water Hardfing p 4
LJ 2 Install Solar Water Heading System D ' 10
].Install Writing Conduit for Future Photovoltaic Installation 8 Provide 200 fe of South-Facing Roof D 2
4.Install Photovoltaic(PV)Panels
❑ a 30%of elacllic no ads OR 12 kW(total 6 points) 0 6
❑ b.60%of BlaCfic needs OR 2.4kW(total 12 pointe)
❑ c.90%bl 81ot iC heed OR 3.6 kW(total 16 points)
Total Available Points In Renewable Enargy=26 D
J.BUMDngG PERFORMANCE Points Avimeasure
1.Diagnostic Evaluations
❑ A House Passes Blower Door Test p I
El b.House Passes Combustion Safety Backdrefl Test p' _ - -- "- "—` - -
2Design and gold High Performance Homes-%above Ti6e24-minimum 15%Required 0 >_30
❑ 1.House Obtains ENERGY STAR with Indoor Air Package Certification-Pilot Measure(Total 45 points;read comment) 0 5 2
Total Available Points In Building Performance=3B 0 _
R.FINISHES Puma Avallable Per Measure
--—ti Design Entryvmys GReduoe T�ecked in Conteminenti— - —— - -'- --, -'- `--
D ]
2 Use Low-VDC or Zero-VOC Paint(Maximum 1 Points)
❑ a Low-VOC Imeda WeIPCBDng Paints(dD gpl VDC9(Flail)and x150 0 VOCs(Noo-Flaq)
❑ b.ZmtrVOCi:Interim WaIVCoMn Pelmad 0 VOCs(Fl ) D- -" 3 " ---
❑ 1.Use Low VOC,Weser-Based Wood Finishes(<250 toll VOCs) --0—F-2
❑ 4.Use LowAOC Caulk And Construction Adhesives(OO gpI VOCs)for All Adhesives 0
❑ 5.Use Recycled-Content Paint 0 1
6.Use Environmentally Preferable Metal for Interior Finish;A)FSC-CerOfied Wood,B)Reclaimed,C)Rapidly Renewable,D)Recychud-Content
or E)Finger-loin ad
❑ a.Cabinets(50%Minimum)
❑ to Imado Trim(SD%Minimum) ---p-
❑ c.Shelving(50%Minimum) _--
❑
J.Doors(50%Minimum) - 0—
❑ e.Counte (5D%Minimum) -0 D - - -
7.Roduce Fermaltlehyde in Interior Finish(CA Section 01150)
• ❑ e.Subhoo a SW Trends(50%Minimum) 0
❑ b.Cabinets 6 Countsrlops(50%Minimum) D T❑ c.knoriaTrim(5r%Minimum) 0 _- '
❑ J.Shi (50%Minimum) 0 -
1
❑ B.After Installation of Flniahae.Test of Indoor Air Shows Formaldehyde Levet Q7 pb 0 i 3
Tmal Available Points in Finishes 21 D
L.FLOORING Poims.4vallable Per Measure
1.Use Environmentally Pretences Flooring:A)FSC-Certified Wood,B)Reclaimed or Refinishod,C)Rapidly Renewabl0.D)Recycled-Content,E)
Exposed Concrete.Flooring Adheslves Must Neve c50 gpl VOCs.
❑ a.Minimum 15%of Flom Area 0
❑ b.Minimum 30%of Floe Area "--
❑ c.Minimum 50%of Floor Area — '�-'-
❑ d..i'l muin 75%m Floor Area 0 --- I --
D
❑ 2 Thermal Mass Floors:Floor Covering Other than Ce a on SD%or Mon of Concrete Floore 0 1
❑ 1.Flooring Meets Section 01350 or CRI Green Label Pius Requirements(50%Minimum) 0 2
Total Available Points in Flocrin =7 0
M.APPLIANCES AND LIGHTING Paints Available Per Measure
1,Install Water and Energy Efficient Dishwasher
❑ a.ENERGY STAR(total t point) 0El
1
b.Dishwasher Uses No Mon than 6.5 Gallons/Cycle(total 2 points) 0 1
2 Install ENERGY STAR Clothes Washing Machine with Water Fedor of 6 or Less,
❑ a Meets Energy She and CEE Tier requirements(modified energy factor 20,Water Facto 6.0)(toted 3 pool p 3 ! 2
❑ b.Meats Energy Ste and CEE Ter 3 requirements(mail energy facto 22,Wader Factor 4S or Ise.) 0 2
otal s rims
1.Install ENERGY STAR Retngaretor
❑ a.ENERGY STAR Oualmetl 8<25 Cubic Feat Capacity p I
❑ b.ENERGY STAR Qualified 8<20 Cubic Feat Capacity 0 1
4.Install Built-in Rauycring Center 0
❑ a.Built-In Recycling Center
❑ h.Built-In Composting Center a --- -'-'----
Total Avallable Points in Appliances and Limiting=12 0
N.OTHER Points Available Per Measure
❑ 1.Incorporate GreanPoint Rand Checklist in Blueprints-Required p R
• ❑ 2 Develop Homeowner Manual of Green FeeturewBar efts 0 1 1 1
3.m Community Design M points a Local ted meas:See the Community rds may
l Design section in Chapter 4 d the New Hans,GuideOnes l0 1
measures.Maximum of 20 prints for suggested measures.Local requirements may also be)¢ted here.
0 20D7 Build It Green Single Fatally GreenPomt Checklist 2D07 Version Page 3 of 4
r �
ENTER PROJECT e a
Emer duclidtDo here,antl star pointe available it,meesne tet ageopnne calegorin to Iha right. D D 0 0 0 D
Enter tle crryaim hen,and etaer puha available ler menum n;apropine Mteperin to the right. 0 0 D D D D
Enol daWfil lm hen,wtl enter points DVallable lot tames In appreprlale(degOriee to the beta. D D 0 D D
En deecrilot hen,and enter points wettable for manure In Oppnprlole mnpprioa to Me tlpht. 0 0 0 o 0 0
4.Innovation:List Innovative measures that meet the green building objectives of the Guidelines.Enter up to a Build h Green Checklists antl
maximum combined total of 20 pts.See Innovation Checklist for suggested measures,using the link to the right _ Guidetin_ ea __
Innwatim in Coo uni :Enter tle lim hen,and tater poh s available for mnnm In ae wto to thni ht. D - D D D 0 0
Innwnion m En .Ennr description hen,antl enter wobble for mepm M 'ets cele u k the D g 0 D 0 D
Imwafim M IAOMee0h:Etaar dawription ham,wtl enter points avail"ler menus on appropra,canagodes to am right. D 0 0 0 0 0
7
Imomfim In Rewuroee:Enter description hem,eM mer points waeahle lot menus at ale companies to W rigni. 0 0 0 0 0 0
Imwanon in Warm Enter desctlpem here,ark war pwa wdsds ler menus in apprtgriate Pit podes to tM right. 0 D 0 0 0 0
Total Available Pdra in other 4 0
Summary
Total Available Points In Specific Categories. 4+ 96+ 42+ 66+ 43+
Minimum PDInts Rretl equlIn Specific Categodes 0 30 6 8 8
'I Mal Points Ach'ieved 01 e e a e e
Pre)ect hes not yet mot the fo6o0ing recommended mintmum_raquiremenps;___
- Total Project Score of At Least 50 Points
-Required measures:
-A3a: 50% waste diversion by weight
-32: 15%. above Title 24
-A11:Incorporate GreenPoint Rated Checklist into blueprints
-Minimum points/n specift cateOories:
-Energy(30 points)
-1,4Q/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 Torte Avenue
Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
UPEkTINO
Building Department
JOB ADDRESS: PERMIT#
/n Lla () • ��t�t �s Or, 6E--o Z-003 7
OWNER'SNAME: << L cr PHONE # 25
GENERAL CONTRACTOR: FAX #
I am not using any subcontractors: / ?'
Signature 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
I
Owner/Contractor Signature Date