08030091 CITY OF CUPERTINOryry:o-.de'# / 04 e�aa �r>d; iy
aU1LDINGDIVISION PF. T Y V®jY�i 1l11CL�� Qya`�5!"
w».�E.
BUU`11ADnB,F$ NGROVE DR TBD — TO BE DETERMINED P0803ER IT 0091 ,
OWNERS S N7AMEE:C'K1V PERMIT ISSUE DATE
BUELLESBACH RICHARD E 03/18/2008
E SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER --- BOILDING PERMMINFO
BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION - IOb Description
vdx I haoby affirm Nu 1 am lk nnd un r pmOsion of Chapter 9(commencing P
n< withSadon]IXMpofDiHdan7ofNaBueronuMProrated...Cede,mdmylkenmis REPLACE WATER MAIN FRM METER TO HOUSE 1" PEX
in full force and effect.
�Z License a. cu.# .l M1.1 1001 . '
Dam Conlacla„L'jn C. \r J
ARCHITECTS DECLARATION JAN—CAL WEST PD FOR BUS LIC 3/18/8
I undcrnanJ my pint atoll be used at public recnrN
3yU
k
0 Licensed Prefenionsi
SOWNER-BUILDER DECLARATION
7N
i a I hereby.(Seco(Section n 11. uempl from Ile Caterer's :Any law for Ne
p O whro'lich ma wen. ermiti1 onomm5. 4 after.and w,demolish.eau Code:Any dry m rounre
wh¢h he i a a emelt ne cjum, t.alms improve,hrmitLor Cosh any statement_Z a prior b iu Wuance,also to res the appltant Retouch Coit miecom RIC ane(uammcm
FF o thaleuneeneedpnnewmumpmaen.anfutecnnlraemreuQ�Law(Chapter 9 Sq.Ft. Floor AreaVa
ormluation
(enencina mus of Division 7 of the Business and Professions Code) $2000
Q this ha u asempt thmr.end the basis for the alleged uemptloa.Any rlulNon Of
SeNon]071.5 by any applicant for a Permit subjecu the applicant to a CMI Pasity of Number Occupancy e
Cwt mom than R.hundred dollars(SM 37539058Ag� P yTy'P
❑1,u owner of tha pmputy,w my eraployea with wry u thebmm cmpswdon,
wiBdotheworkmdthestruerweurotimm.dndaoamdfwum(Sne.]044,Buemss Required Inspections
ad Ro(eseou Code:Tim Conuactor's Liceme Law des not apply to an owner Of q P
property w ho bona or ire prow thavn,and who does such wart himself or Mau{h his
awn employees,provided that men hap..maa are not mumalnd oraQered for uls.It,
however,me building or lmprovemesl a mid within one yev of completion.Ne owner.
builder will haw the burden of proving that M did rot build or Improve far paryoa of
ale.).
0 I.u owner of him property,am exclusively contracting with licensed contractor be
construct the project(Sec.7014•Business and Profesemu Code:)The Contractor's LI-
cents law does nal apply sem..of property who build.w impro.s Eamon,send,
who conmrofor such Imecu with acouttecmt(s)licensed pursuant to the Communes -
License law.
❑IamessmplondesSee ,B&I'Cforthismosns
Owner Daus—
WORKERS
amWORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury We of the following decimations:
Its and will mainain a CaNnateof Comem to self-lame fes WMeM1 Compere
fume,u provided for by Section 7(X1.1'the labor Code.per the rf..of the
were for which mice Permit u imm d.
�][—yhaw ad will msinuin Worker's Compensation Inwrance,u acquired by Section
l]W of site Labs Code,for the performance of the work furwhich this permit is Issued.
My Wcaclmsee Comew
ptiao Insurance:Carries
soul
Poliry numler are:
c mi..�r 4�"k A,,,, I Poliry No.:121E7
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This sselon need not be completed If the Permit Is fsronc hundred dollars({101)
or lea)
T anify than in be perfonnawo of the work for which this permin is intend.l shall not
employ any person in any m rnerto at to become subject to the Workeri Corn eruNon
Laws of Califomta.Data
Applicutl .
NOTICE TO APPLICANT.If.after making this Contrast of Exemption,you should
become subject to the Worker's Compemadon provisions of tha lahor Cade,you muss
O 0 forthwith comply with such provisions or this permit shall W domed revoked.
'�
CONSTRUCTION LENDING
VI
[..0 IherebyalRrm this ths.iso construction lendings{enry for the performance of
Cfi the work for which Ues wmlil is Wad scC.7099.Or.C.)
LendCs Nun.
z lender's Account
U O I earthly Nat 1 have mad this application and sum this the ales.inficmathten u
I, Emma co1 agree a Comply with ordinances,city old ewwty ordinanand nue uvea relating u,
O V^ Wilding construction.and hereby mthaem mpmaauu.s of his city to enter upon the
Ulu ahow-mentioned property for ImpeNon purposes
l!•^^ (We)sgos,to saw,indemnify and Iusp hummn the City of Cupeniao agaimt
rr h Ilebilitles,judgments.cuts and!expemes which may In any way cars against aid City
in
Of the
Of
U^+ APPLI�ANTOUN UNDERSTANDS AIND WILL COMPLY WI ALL NON-POINT Issued by: Date
O EREGULATI
GI Re-roofs
signuuroo
HAZARDOUS
Dam
US MATE RIALS DISCLOSURE Type of Roof
WIII the applicant or future building et erre Cohandle hum
aaus matmaterialri
Cut deRned by the Cupertino Municipal Cade..Chap
CTepmr 9.13.ad the Heath and Safety
cede. CY.25532(.)? *o❑Yes All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or rmum building Occupant um equipment of device.which If a roof is installed without first obtaining an inspection,.I agree to remove
7,1"Jel?'rardo,air confer, u u dcfl and by Ne Bay Ara Air undity Management all new materials for inspection.
❑Ya Na
5533534.1buRdijeanC&SsfeyCod.,Saves3770s, myrandZSSN.1tMrnunde atithebuildigrot c arty ler.a enanR that It u my IaponsiNlilY to ratify Ne orcuput of Ne
me whknmuabe wrWnmaar.catire.gafoceape Signature of Applicant Date
C9 4= 3TI �r�A All roof coverings to be Class'W'or better
er m mNomcd ogee Data
CITY OF CUPERTINO
• 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 37539058. 00
DATE ISSUED. . . . . . . : 03/18/2008
RECEIPT # . . . . . . . . . : BS000004180
REFERENCE ID # . . . : 08030091
SITE ADDRESS . . . . . : 935 FERNGROVE DR
SUBDIVISION . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : BUELLESBACH RICHARD E
ADDRESS . . . . . . . . . . : 935 FERNGROVE
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4664
RECEIVED FROM . . . . : KAREN M SORENSEN
CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096
COMPANY . . . . . . . . . . : TBD - TO BE DETERMINED
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . .
TELEPHONE
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
IBPWSVCS WATER SERVICE 1. 00 20.40 0. 00 20.40 0. 00
1BSEISMICR VALUATION 2, 000. 00 0. 50 0. 00 0 .50 0. 00
1BUSLIC FLAT RATE 1. 00 110. 00 0. 00 110 . 00 0 . 00
i
ITRAVDGC FLAT RATE 1. 00 40.79 0. 00 40 .79 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 171 . 69 0. 00 171. 69 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- -------------- --------------------
CREDIT
----------------
CREDIT CARD 171. 69 MC
---------------
TOTAL RECEIPT 171 . 69
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
103 UFER 106 SEWER & WATER
507 FINAL PLUMBING
(103 oo9 /
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
CUPEkTiNO PERMIT APPLICATION FORM
APIV# Date:
3112LO4
Building Address:
�6 r UC
Owner's Name: Phone#:
Contractor: Phone #:
Nob ys'a b66 j
Fax #:
Contact: Phone#:L(O VS a Db 6 j
Ku rw.
Fax #:
Contractor License#: I to
Cupertino Business License#:
Job Description: PIGu t�c Ync�5� (rYaM "e-kj 4z) �oJ la pQ�
Residential Commercial ❑
Valuation:
�7
Green Building Check list must be completed and attached to this application.
Green Building Points:
Quantity Fee ID Fee Description Fee Permit Type
Group
1PCSEWER Commercial building P 1CPSS
sewer/sanitary sewer
1BPREPIPE Commercial re-pipe per fixture P 1CPRP
1PGASCOM Commercial Gas Piping System P
1-4 Outlets
IBSEISMICOM Seismic Commercial P
1BSEISMICR Seismic Residential P
1PRSEWER Residential building P 1RPSS
sewer/sanitary sewer
CITY OF CUPERTINO
00 REPIPE/SEWER/MAIN SERVICE
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
IPRREPIPE Residential re-pipe per fixture P 1RPRP
I 1BPWSVCS Water Service P 1CPWS or
1 RPWS
IPPRSEWG Private Sewage Disposal System P
1PCESS Cesspool P
1BPWATER Install/alter Water Pipe P
1BPFIXTURE Plumbing Fixture P
1PGASRES Residential Gas Piping System P
1-4 Outlets
IBPGAS Gas Piping System 5+ Outlets P
1 PPERMITFEE Plumbing Permit Fee Issuance P
1PLMBLNCK Plumbing Plan Check P •
1PLMBINSP Other Plumbing/gas Insp. P
ITRAVDOC Travel &Documentation Fee B
IBUSLIC Business License B
Single Family GreenPoint Checklist cli Ib Build ItGreeri
The GreanPolm Chackli is based on the various green features Incorporated into the home and is the Soon Salutbirs From The Ground Up
basis for the GreenPoinl Rated program.A home can be considered green It It fulfills the prerequisites,
He1alt at least 5D points,and meals the mintmum conte per category:Energy list
of Indoor Air Duality/ F- 1
� � n-
ENTER
Health(5),Resources ste antl Water(S).Please contaq Build It Green for a Ilst of quallgetl GreenPolntRetemityou ere intarestetl In pumuinp third-party vedfication.
The green building praction listed below are described in the New Home Construction Green Building
Guidelines,available at www bandit reen m
PROJECT 9g m 3
s o=
I.Protect Tapsell and Mini mira Diuuplion of Existing Planet 6 Tina Points Available Per Measure
❑ a Prebq Topsoil from Erosion and Rouse after Coneructlon
it
❑ h.Limit and Delineate Construction I Downt for Maximum Pm0tacOon 1
2 Deconstrun Imbed of DDMDrtMing Exioting Buildings On Sib 0 - —----- - --- 1—
d.Recycle Job Bib....Ou..Weets(awnutling Green Waste) 0 3 ;
❑ aMmlmum 50%Waste D"nixon by Weigm(Recycling Or Reuse-Requirad
Elb.Minimum 55%DNemlon by Weight(Recycling or 0 R Reuse) -
❑ c.Minimum 80%Diversion by Weight(Recycling or Rause) p ----- _-
4.Use Recycled Convent Aggregate(Minimum 25%) 2
❑ a Walkway antl Conaway
❑ d.Roads ey Base 0 _ -„ l I 7
Total Points AveBahle In Re=12 0
E
IOR
I. am Portland Cement in UOMMOM wdh Recycled Points Available Per Measure
aS Ftymh or Slagnimum 20%Flyaeh a Slap
nimum25% ash este 0Frost-protected Sho0 na Fountlnon in Cold Arms(GEC.Climate Zone 167 0Radon Resistant Construedon pn At-Risk LDeadons Only) 3n tuft Bulltl Structural Peat Cantatastall Termite Shield$6 Sa rete AB Exleria WDodto.C,r b Connections Metal a Plastic Fes oneNDivitlersg
l New Plants Haug Trunk Babe,a Stam Located At Least 381nches from FountlaBon —-- --_--
C LANDSCAPING Tool Points gvellahle In Fountlation=B 0
1.Comma ResourroEfficient lantlarapm Points Available Par Manure
❑ a.No Irvin Spacles Usted by Cel-IPC Are Planted
• h.No Pwd Species Wil Requhe Hetlgmp
c. —_=- --_
❑ ]5%d tats
Plants Are Drought- rant CaliforniaCliflNerves,Mediterranean,Or Other Appropriate Species 0—
_I
2.11"FlrtrSafe Lantlsm Ing Technlqum 0 I I 3
d.MmimIn Into Arora m Lendacepe Installed by Bu,dW 0 1
❑ n All Tud Will Have a Waive Requlmment Less than a Equal to Tall Fescue(SOB plain iacta) !
❑
to.Tud Shell Not Be Installed on Slopes Exceeding 10%or in Areas Less than B Feet Wide 0 --L
❑
C.Tud is sW%of Landscaped Area hotel paints) - 0 2
-
❑ d.Tud Is 9D%of Landscaped Area(total 4 poll 2
4plmt Shade Trina 0 2_
S.Group Plamab W�terNmtls ytlroxonin ) 0 3
6.Immell High-Efficiency Imgatlon Bysbme 0 2
❑ 0.System USee Only Low-Flow Drip,Bubblers,Or Low-flow Sprinkleu
❑ b.System Has Smad Conird)em 0 _� 1 2
7.Inco oraU Two Inchesof Com cid In the To 6 to 121nehee of Soil 0 ' ( 1 3
B.Muleh All Plentlng Bads W the Grmbrof2 inches or Local Water Ordinenm R ulrement 0 1 3
e.Use lin Salvaged or Racydetl-Content Mabdals for 50%of Non-Plant Landscape Elements 0 ( ( 2
10.Retluce Light PollWon by Shielding Flown andfor Directing Light Downward 0 1 1
0 1 1
D. STRUCTURALPRAbIB @ O&1WEIgPS Total Points Available in Landsca in =31 0
BUILDING
1•Apply Optimal Value Engineering Points Available Per Measure
❑ a.Place Rafters and Studs at 24-Inch On Carver Framing 1
❑ b.Sae Dow and Window Headers for Load 0
—
❑
C.Use Only Jack and Cmv a SNtls Required fa Inatl —0
2 Use Engineered Lumbar 0 ( 1
❑
A.Bmms and Headers
❑ b.Insulated Engineered Headers 0
❑ c.Wood lJaists orWeh Trussesfa Floors —
0 — —�
_._---
❑ d.Wood I-Joists for Rod RaBere _T--�� 1 1
❑ e.Engineered a Forger J,Omtad Studs for VertkdApplkelone
o
❑
I.Oriented Shentl Board fa SahBoa
❑ p.Odentatl Sirentl Boem for Well and Rod Sheathing - '--r— _ __ _
d.Use-IFS
se FSC-Cemfietlootl W 0 1
❑ a Dimensional Lumber,Studs and Timber'.Minimum 40%
• _❑ b.Dimensional Lumber, TimheTimber.Minimum 70X 0 2
❑ c.Panel Products:Minimumum 40% _ _
❑ d Panel Producer Minimum 70% 7
02007 Build It Green Single Family G.nnPDlnt Checklist 2007 Version
Page 7 of 4
t
n
ENTER PROJECT NAME
LE021.3
olid Wall Systems pm udes Sips,ICFs,0 Any NN"fick Frame Assembly) 0 2 .
oro
ells
ok
es Pollution Entering the Home from the Gmege 0
ghty Seal the Ab Beller between Dodge and Living Area —0- -- -- -
stall Gem a E,meuM Fan OR Bulld a Detached Gare a 0 1
n E Hess on Tresses 5%of Al o Insulation Hel ht at Oulsltle Ede of Exterior Well 0 1
n 0R cletll'Ante ISteel StUdS for 00%ollmsdor Well Fnmin 0 1
0.Thermal Mw Wdla:LIHnCh Drywall on AD Interior Wells or Wells Weighing more than 401Nm.m
10.Install ondwgs and Outten p 1
❑ e.Minimum ISAW Overhang¢and Gutter 0 1
❑ 0.Minimum 244rch Overhangs and 0'---
Total Pdms Avdleda b 5bucbrW Building Frame and Envelope 30 0
Points Available Per Measure
E.EXTERIOR FINISH 0 2
t.Use Re detltommd o Vir In Plssdo)or FSC.Cw6fied Wood Decldn 0 2
2Install a Rein Some Well System p 1
a.Use Durable and Nonoombustible Biding Materials p 2
4.Salad Durable and Nonccmbuatible Roofin McWInIA Total Pdms AvaOtable in Extetlu Finish.7 D
points Available Per(Measure
F.INSULATION
1,Instill Insulation wIM 75%Reoyded Content D _
❑ a Wells anclor Floor¢ _O 1
❑
to.Collin a
L Install Insulation that is Low-EmiOing(CertiOed Section D135D)
❑ e.Wells mora Floors
❑ b.Collin s p 1
a.Ins Ouall of Insulation Inclslletlon bdoro A I in D II
TOW Pointe Available in In¢ulation.5 D
Points Available Pel Measure
O.PLUMBING
1.Distribute Domestic Hot Water ERidmdy(Maximum 7 Points). 0 1 r 1
❑ A ImIdete Hol Water PODS from Water Helm to achen 0
❑ b.Inaulete All Hot Water Pipes --0
❑ c.Use Engineered Patel Piping — o
❑ d.Use Engineered Parallel Piping with Demand Conbdled Cimulmon Loop
❑ e.Use StruMded Plumbing with Demand Composed Cimulation Load - p - 1
❑ I.Use Control Core Plumbin0 4
E:32.Install Only High Etficd Toilate DuaFFlush or 5120 BPI
Total Polms Available in Plumbin =Total 12 D
Points Available Per Measure
H.HEATING VENTG ATION R AIR CONDITIONING 0 1 4 I
1.Design and Install HVAC System to ACOA Manual J,D,end S Recommentlmiom
2.InsWI Seded CombuaDn Unlls _-0
❑ a.Furnaces p —` 2 T
❑ b.Water Heaters
J.Install Zoned.Hydronlc Radiant Heating with Slab Edpa Insulation p 1
4.Install High Efficiency Air Conditioning with FmironmenW ly Responsible Refrigerants
S.Design and install ERedlve Ductwork 0 3
❑ L Install HVAC Unit and Ductwork within Conditioned SPece D I^ _
❑ b. se UDuct Mestic on All Dud Joime and Seams - '—
❑ 0
c.Instal OwMoyxunder All Insulation(Boded Duch) 0 1
❑ d.Pressure Rolando the Damvark System ?-
❑ e.Proteol Duch during Deneorcton and Clean Al Duch balm Occuparry 0 , 1
e.Indsll—;0h Ethclen HVAC Film MERV G+)
1
❑ 7.Dont Inmall Fireplace or Insall owed Ga Fireplaces with Etacianry Rating Not Less Than 60% 0
using CSA Standards
a.Insall Effective Eshaum Systeme m Bathrooms and gtehms 0 I
❑
a.Install ENERGY STAR Sathraom Fens Veined to the Outside 0- —
❑ b.NI Bdhmmn Feng Are on Timer or HomldiSW 0 1
❑ c.Imetal Klchen Range Hootl Veined to Me Outeide
e.(retail Mechanical Vmtlletlon System for Cooling(Maximum 4 Pointy) 0
❑ a.Install ENERGY STAR Calling Fane B light Kit in Living Areas a Setlrooms 0 1
❑ b.Install Whole House Fen wllh Variable Speeds D _
❑ c.Amomaticaly Controlled Integrated System - 0 3 — f
❑ d.ANomalbally Cambered integrated System with Variable Speed Conbd
10.Install Mechanical Fresh Air Vmdledon System(Maximum a Points) 0 i 2
❑ a.Any Whole House Vmllladon System That Meets ASHRAE 923 - U— - -
❑ b.Instal AIMAlr Hoot Exchan et that meets ASHRAE 162.2 0 1
11.(midi Carbon menoxitle Alarm s)
Toted Poln s Avalabte in Heatng,VBrNlation and Ah ConditionIn -301 0
02007 Guild It Green
Single Family GreanPolm Checklist 2007 Version Page 2 ol 4
ENTER PROJECT W m
a sc < ¢ 3
t.RENEWABLE ENERGY Points Available Per Manure
LJ 1.Pre-Plumb for Solar Hot Water Hearin 0 i 4
2.Install Sole,Webs Hearing System 0 10
1lnsWl Wldn Cenduh for Future Photovoltaic Installation A Provide 2011 K of Southfacing Roof D I 2
A.Instal Phownra tsic(PV)Panels
❑ a 3G%of ebctrc needs DR 12 kW(tobl 6 punts) 0 ! 6
❑ b.BO%of anni needs OR 2.4kW(total 12 points) 0 o _—
❑ c.SD%a elect ic'need OR 3.6 kW(teal 16 points) 0 6
Tool Avertable Points In Renewable Energy 26 0
J.BUDGING PERFORMANCE Points Available Per Measure
1.Diagnostic Evaluations
❑ a.Hose Passes Blower Door Test 0
❑ b.House Passes CombustionB Baakdraft Test 0 1
Z Design and Build High Performance Homes-%above TWa24-minlmuml5%Required 0 >_30
❑ 3.House Obtains ENERGY STAR with Indoor Air Package CeNfication-Pilas Measure(Total 45 Points;mad comment) 0 5 2
Taal Available Points In Building Performance.39 0
E.FUGSEM Points Available Pet Measure
1.Design Entryways or Reduce Tracked In Cantonal D i ]
2 Use Low-VOC or Zero-VOC Pahl(Maximum 5 Ponts)
❑ a Low-VOC Interior WaI6CeI0ng Paint(d0 go VOCs(Flay and<150 gpi VOCs(Non-Fay) 0
❑ b.Zero-VOC:Interior WeIVCeilin Points(d go VOCs(Ral 0 3
❑ S.Use Low VOC,Winer-Based Wood Finishes(<2511 plil VOCs) 0 2 I
❑ 4.Use Low-VOC Caulk and Construction Adheslves(c711 gpi VOCs for All Adhesives 0 2
❑ S.Use Recycled-Content Paint o 1
6.Use Environmental Preferable Metarssls for Interior Finish:A)FSCCsrtified Wood,B)Reclaimed,C)Rapidly Rentiona q D)Recycled-Content
or E)Finger-Jointed
❑ a.Cabinet(50%Minimum) 0 1
❑ b.interior Trim(50%Minimum) 0
❑ c.ShaNing(50%Minimum)
❑ d.Doom(50%Minimum) _0❑ e.Countertops(50%Minimum
7.Roduce Formaldehyde in Interior Finish(CA Section 01350)
❑ s.Subfiaa 6 Sit Trends(50%Minimum) 0
• ❑ b.Centers T 6 C50%Moor(5016 Minimum) 0 —
❑ c.Imada Trim(50%Moorman) 0 1 L
❑ d.SheMn (50%Minimum) 0 1
❑ 6.After Installation of Finishes,Teel of indoor Air Showa Formaldehyde Level Q7ppb 0 3 !
Total Available Points In Finishes=21 0
L.FLOORING Pall Available Per Measure
1.Use Environmentalty,Preferable Flooring:A)FSC-Cerdfied Wood,B)Raclalmed or Refinished,C)Rapidly Renewable,D)Recyded-Conumt,E)
Expand Concrete MoormyAdheslves Most Have<50 BPI VOLA
❑ a Minimum 15%of Flom Area 0
❑ b.Minimum 3G%of Flom Area 0
❑ c.Minimum 50%m Floor Area 0 1 _
❑ d.Minimum 75%Of Floor An 0
❑ 2.Thermal Men Floors:Floor Covering Other than Carpet on 50%or More of Canniness Floors 0 1
❑ 3.Flooring Meets Section 01350 or CPI Green Label Pius Requirements(50%Minimum) 0 2
Tool Aveinue Points in Floorin =7 0
M.APPLIANCES AND LIGHTING Prints Available Per Measure
1.Incest)Water and Energy Efficient Dishwasher ,
❑ A ENERGY STAR(laal 1 polny 0
❑
It.Dishwasher Uses No More than 6.5 GallonslCGe(Intel 2points) 0 —� 1
2,Install ENERGY STAR Clothes Washing Machine with Wore,Factor of 6 or Less
❑ a.Meets Energy Star and CEE Tier 2 requirements(modified energy factor 2.0,Water Factor 6.0)(low 3 punts) 0 2 _
❑ b.Meats Energy Star and CEE Thor 3 requirements(modified energy factor 22,Water Factor 4.5 a less) 0 2
totals alms I I
3.Intel ENERGY STAR Refrigerator
❑ e ENERGY STAR Qualified&<25 Cubic Feet Cape* 0 1
❑ b.ENERGY STAR Call3<20 Cubic Feel Capacity 0 1 !
I.Inessll eullt-In Recycling Center 0
L] a Bull Recycling Center p 2
❑ b.Built-In Composting Center 0
Toll Available Punts In Appliances and L]hlin =12 0
N.OTHER Points Avellabl Per Measure
❑ 1.Incrorpurete GreemPoint Rated Chaadist in Blueprints-Required 0 1 R
❑ 2.Develop Homeowner Manuel of Green Faatur"Menefits 0 1 1 1
• 3.Community Design Measures 6 Local Priorities:See the Community Planning 6 Design section In Chapter 4 of the New Home Guidelines fa
measures.Maximum 0120 p0lnts for suggested measures.Local requirements may mso be road hem.
02007 Build 11 Green Single Family GreenPolnt Checklist 2007 Version Page 3 of 4
MUGHMI ENTER
PROJECT
• • l
Enter dantiptlon here,shut enter points available fa measure in appropriate ceupooles to the right. D D 0 0 D 0
Enter dnoripeon hare,am enter points avallada fx mMeure In appropriate celagoAn to firs right. 0 0 0 0 0 0
Enter descrlpllon hen,and enter points oval"for meosum In appropriate catapoMe to the right 0 0 0 0 0
❑ Enter deoMption hen,and sense.Points avaYNe fir memre In appropriate coon m the did. 0 0 D 0 D 0
4.Innovation:List innovative measures that meet the green building objectives of the Guidelines.Fner up to a Build It Green Checklisla end
Guidelines
maximum combined total of 20 pis.See Innovation Checklist for suggested measures,using the link to the right
Ll Intimation In Commud :Enter dee ion hen and enter points available for manure In appropriate cats n to me right 0 0 0 D D D
Innovation In Eno .Enter doss ilon here,and enter dots avalloWe to measure In en cele Mes to the right. _ D 0 0 0 D 0
Innovation In UOMuIx:Enter Mc Ion hers,and enter Inn available to menus in an tet MBI lame o o D 0 D _ D
IMma"do In aemourees:Enter de Ian here,and erllsr points avaudlo for manure N nn Margaret to pro D D D 0 D 0
❑ IMmatim In WetM Enn tleeur1141on hoe,and Mix points available for menus n appo"anpxw n iM riphk 0 0 D 0 0 0
-- Trial Avainble Points in Other.43 0
Total Available Points in Specific Categories* 4+ 96+ 42+ 66+ 43+
Minimum Points Required in Specific Categories 0 30 5 8 B
Total Points Achieved I 1 1 1 1 1
Pmjsact hes not yet met the following recommondod minimum mquimments:
-Total Project Score of At Least 50 Points
-Required measures:
-A3a: 50% waste diversion by weight
-12: 15%above Title 24
-N1:Incorporate GreenPoint Rated Checklist Into blueprints
-Minimum points in specific categories:
-Energy(30 points)
-IAQ/Hesith (5 points)
-Resources(6 points)
-water(9 points)
02007 Build It Green Single Family GreenPolnt Checklist 2007 Version Page 4 of 4