08050090 CITY OF CUPERTINO �y�a,� "�]!�§e.T,�.. •'�v' "pt� "� ""''' +" " t '
BUILDING DIVISION PERMIT teCQl;S:y.Mf4�Q1y^j ,Q ,+*,a'
PERMIT NO.
Bu11niNPTIE9IHANNA DR TBD — TO BE DETERMINED 08050090
NEFR'S NAME: PERMrr ISSUE DATE
AISAL & FARAH MERCHANT 05/16/2008
ONE: SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER: TEMP POWER POLE BLDG BUILDING PERM UIMB MECH
3;a LICENSED CONTRACTOR'S DECLARATION O O O O
1 hecby affirm that 1 Am IisvM under Provisional of Chap.9(commencing Job Description
i with Section 7M)of Division 3 of the Business and Profrssians Code.and my lkcnw is
_?m in full Ione and cyc L
,12'4 Limns Class Lac.g
Da¢ Convenor
ARCHITECTS DECLARATION
U I undewnd my plans mail be used As public mmNa
s
g C l.kcmeJ Profcsdonal
^ 3 OWNER-BUILDER m CLARATacN
9 i f I hcmby affirm that I I. .Bust from He ContracCama. YS :A.,c Law for do
i p O which
naso¢(Seven contract,
Busineaa and Pmfetiors Cede:Any city or county
$(L which mquiw a pmmit o on.the aimc.i t for
dpormil,car repair any sinamtatcomm
i y prior to is issuune.alas roquiw He applkam for weir permit w tilt a signed cukmcnt
£ purmant tothc prpWsiom of dm Conuatoscnd Professions
Sq.Ft.Floor Area Valuation
y�g th(commencingtMisxwiHSauon]OndthDivisionbsl of theBusinessandon.Anyovi Cade)or
Nat k k eatmp,Here(rom and He baso for Rite aileged eamPtioa Any violation of
Section]OILS by Any applicant for a permi,subjects the applicant to a civil pushy of APN Number Occupancy e
rot mart than five Washed dollars ISM P YTYP
0 1,As,owner of the prvpaty,or my employees with anges As their Aute eempensWon,
will can He work and WC atuctum knot intended auRued for ask(Sac.]DU,Business
And Pmfessiom Cade:The Conllutora License Law does mL apply to an owner of Required Inspections
pmpeny who Wilds ne irn prmvea Hereon,and who doesrah wort bimsev or through his ..
ewer employ¢,pmWded Hauch impmvemcou am nm intended wonuW fmuln If.
however,the building or improvement is sold within oro you of completion.He manner.
huiki r Na haw He buodcn ofproving Hat he did rot Wild or improve for purpoc of
.aka
0 1,as owner of the properly,am eaelusivcly contracting Aids licvued contractors As
comtrvct dm project(Sac.]oN,Businca and Professions Code:)M CantranaYs V. .
cense law does not apply to An owner of property who builds or improves Hemon,and
who concocts for such projects with a contranar(s)licensed puuwm un the Contractors
Lice.Lavar.
❑Iam ea ,undo See 08 P C for this mason
Dau l B
WORKER'S COMPENSATION DECLARATION
I hcnby,ainrm under pemlty of pajusy one of the following QaWmicnz
0 1 haw end will maintain aCeNfimk of Cananm m self-Wum Ins WarkeYe Compen-
cation,As provided for by Sauon 1700 of tic Labor Code,for the perfasmaac of the
work for which this permit is issued.
0 1 haw road will msinwn Wafter Compematian Imuran .As t gAi.d by Section
17OOof the Labor Cade.for sea perfmmaon tfthe soh far which this permit is issued '
My Winker,Compemaunn Insurance carrier and Policy number Aso
Carrie Policy No.:
CEROFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
or loss) n acbe
(Diu motion ten, complemd if the Month is for one hundred dallaa(3 1011)
1....:fy that in H rformanm of the work for which thio permit Is issued,i shall am
employanype i any manncrAussto IzZuaubjcct to to Warknn'Compensstion
Laws of Calif. a am
Applicant
N=CETOAPIPIT IL al cr]nsGffig-IWu CcNRcam of E¢mplion,you should
baome subject to um oftes Compewuon pmvisiem of the Labor Codc You mop
.J,z forthwith comply with such Pmvisom or this permit shall be dcomed rtwked.
'Z O CONSIRUCr10N LENDING AGENCY
F 4 1 hcnby al"lrm that dam is a comtmai m loading agemy for the perfosmanm of
C'> Ne wrk for which that permit Is issued ISA.)09].Civ.G
S0Landcr'a N.
z Lendee.Addm.,
U O 1 comfy that 1 haw read this application W mak sew do show information u
tL ^ cmtcn.I Agra to comply with tall city And county mdinmms and atm sew,rtlsung m
O SV" building consuucdon,and hemby mNodm mpmscmuuva ofthis city to cnmrupno He
I17 shove-menudgm pmpcny,fAn hupeNon pumhcma
(We)All.to Save,indemnify and keep harmless the City of CupeNno.,Aim,
UZ inconsan.dgmenu.com and exponcts
WorichmryHany way Accrue against said City
U aZ A eomeq of the granting of Hu prrmit.
^ APPLICA NDE0.5TANDS AND WILL COMPLY WITH ALLLIII///NON-////OINr Issued by: Date J
SOURCE EC CATIONS. 6�w
-'&an.of AIianUConi�olr Desk Re-roofs
HAZ or for=
MATERIALS DISCLOSURE Type of Roof
Will ft CuMn,mfo�um buildings.Chaptppm¢handle hauNoanmamrial
As dt,Sca oro tlm Cupertino Municipal Codc.Chapter 9.13,and the HesIH and Safety
.Gildi.Section 25512(.)± All roofs shall be inspected prior to any roofing material being installed.
0Yu \1 No
Will the, li am t uttum bwldin oat nt aAu If a roof is installed without first obtaining an inspection,I agree to remove
pP l W to Ail ant or tleWw which g Ile
emit ha'rardnus air contaminants u tleRmd by He Bay Arta Air Quality Mamgcmcnt all new materials for inspection.
Disvin] P
Dyes NO
I harm rout the by od/usammrials roquiromew under Chapmcd.95 of the ralifur.
MA llcalthk SaklYCedc.Sauom UM5.25511 a ad25534.IundcmanE thaifuc building
dura.1 eunPfljy haw a temnc that it u my oat mmi,slity At notify thepan of fthmapxmet
,mluimmcn w � priortowuanmofacn,ifnamor.& Signature of Applicant Date
Ownermattha ,cd age , (D,m All roof coverings to be Class'"or better
CITY OF CUPERTINO U
HEMP POWER—
CITY OF
CUPEfi;TINO PERMIT APPLICATION FORM
APN # Date:
Building Address:
y9K 4-N tit4 4 ck T/,va e 9 s0/y
Owner's Name: Phone#:
FA- 19-ML — (y°g,) �6 6 S-W
Contractor: s Phone
ecwf�« (t.: ) s-)_9 `I I ,? /
Fax #:
Contact: Phone #:
0 687 91 If
Contractor License #:
Cupertino Business License #: 0/0000 YD 6,2.(,
Job Description:
%EM Q Y haw ocF
Residential Commercial ❑
Valuation (cost of project): v 00--
Quantity Fee ID Fee Description Fee Group Permit Type
IERT>1K Res. Temp Power>1K E 1REAP14
Am s
j IERT<200 Res. Temp Power <200 E
I Amps
lERT2001K Res. Temp Power 200-1K E
Amps
J1 EPERMITFE Electric Permit Issuance E
IELCPLNCK Electric Plan Check E
1BSEISMICR Seismic Residential B
L7 1TRAVDOC Travel & Documentation B
Fee
CITY OF CUPERTINO
TEMP POWER
OF
CUPERTINO PERMIT APPLICATION FORM
Quantity Fee ID Fee Description Fee Group Permit Type
1BSEISMICO Seismic Commercial B 10EAP14
1 ECT<200 Commercial Temp Power E
<200 Amps
lECT>,lK ` Connnercial Temp Power , •E
>1KAm s
IECT2001K • Commercial-Temp Power E
100-1K'Am s
j1TRAVDOC. Travel & Documentation B ,•;; „
Fee
1BUSLIC Business License B
•
x-K> Community Development
10300 Torre Avenue
Cupertino CA 95014
W Telephone(408)777-3228
ERTINO Fax(408)777-3333
OUP
Building De artment
JOB ADDRESS: PERMIT #
/69 At F i d, of 9S,w Q (YLOSO/ 3S
OWNER'S NAME: 44 s At PHONE # Y09- b,-66jjS-f
GENERAL
09-
GENERAL CONTRACTOR ,¢S FAX #
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
• Linoleum/ Wood
Glass/ Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
,,*et Rock
• T e
Owner/Contractor Signature 1 to
CITY OF CUPERTINO
• 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: SylvidM
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 37529010 . 00
DATE ISSUED. . . . . . . : 05/16/2008
RECEIPT #. . . . . . . . . : BS000004798
REFERENCE ID # . . . : 08050090
SITE ADDRESS . . . . . : 18721 HANNA DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : FAISAL & FARAH MERCHANT
ADDRESS 18721 HANNA DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : FAISAL MERCHANT
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
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 1, 000 . 00 0 . 50 0 . 00 0 . 50 0 . 00
1EPERMITFE FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
1ERT<200 UNITS 1 . 00 40 . 79 0 . 00 40 .79 0 . 0.0
1TRAVDOC FLAT RATE 1 . 00 40 . 79 0 . 00 40 . 79 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 122 . 87 0 . 00 122 . 87 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 122 . 87 VISA
---------------
TOTAL RECEIPT 122 , 87 .
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
--- ---------------------------- --------
-- ----------------------------
402 TEMPORARY POWER
•
Single'Family GreenPoint Checklist date: �'r Build ItGreeii
The GreenPoint Checklist Is based on the various green features incorporated Into the home and Is the Sman Solutions From The Ground Up
basis for the GreenPDlnl Rated program.A home can be considered green if It fulfils the prerequisites,
Hams at lease SD points,and meets the minimum points per category:Energy list
of Indoor Air raeriP) I f
Health(6),Resources(6),and Water(S).Please comas Build h Green for a tis)of qualifetl GreenPoint IL
Raters If you are interested In pursuing third-party verification.
The green building practices listed below are described in the New Home Construction Green Building
Guidelines,available at illuild'domarl
ENTER PROJECT
w ' tmE F'F
o Is
6 Q U W Q
A SITB Posh Available Per Measure
1.P!, opsole end kGmimiza D'mupbon m E mi ng P nts&Tree
❑ a Protect Topsoil from Erosion and Reuse after Construction 0 1 1
El to Limit and Delineate Construction Footprint for Maximum Protection 0 I r I ]
_2D—construct Inateatl of Demolishing ginning Buildings On Site 0 I 3 1
3.Recycle Job Site Construction Waste(Including Green Wai
❑ s.Minimum 50%Waste Diversion by Weight(R&Ickp ar Reuse) Required 0 r
R
[3b.Minimum&5%Diversion by Weipm(Rerycfng or Reuse) 0 "r-'— z I __
Elc.Minimum 110%Diversion by Weighs(Recycling or Reuse) 0 2
4.Use Recycled Content Aggregate(Minimum 25%)
❑ a Walkway and Driveway 0 1
❑
to.Roadway Beta -
0 1
Total Points Available in Site=12 0
B.FOUNDATION Points Available Per Measure
1.Replace Portland Cement in Concrete wim Rerydetl Flyash or Sieg
a.Minimum 20%FlyashwSlag 0El
El b.Minimum 25% ash a Sla 0 I 1
2.Use Frost-Prolectetl Shallow Foundation in Cold Areas(C.E.C.Climme Zone 16) . 0 3
❑ 3.Use Radon Resistant Contraction(In At-Risk Locations Only) o 1 1 l
4.Design and Build Structural Pest Controls
❑ a Install Termite Shields 6 Separate All Exterior WoodlbConcmie Connections by Meal or Plastic FareenerslDMtlers 0
b.All New Plants Have Trunk Base,or Stem Located At Least 36 Inches hom Foundation 0 I 1 I
C.LANDSI CAPING Total Points Available in Foundation D
Points Available Per Measure
1.Conmruq ReaourrnERcienl Lentlswpes
• ❑ a No Invasive Species Listed by Cal-IPC Are Planned 0 I 1
i
❑ b.No Plant Species Will Require Hetlging
❑ c.75%of Plants Are Drought-tolerant California Nantes,Mediterranean.or Other Appropriate Species g 133
❑ 2.Use Fire-Sade Landscaping Techniques 0 .1
3.Minimize Turf Areas in Landscape Installetl by Builder
❑ a.All Tud Will Have a Water Requirement Less than or Equal to Tag Fescue(50.13 plant isn-do 2
E] b.Turf Shag Not Be Installed on sudi Exceedmg 1D%a Nreas ALess than B Feel Wide - ( 2
❑ c.Tun Is 43%of Landscaped Area Octal points) -Q — _. _ 2
❑ d.Turt is 510%of Landscaped Area(total4 points) 0
❑ 4.Plant Shade Trees 0 I 3
E) 5.Group Plants by Water Needs(Hydrozoning) 0 I 2
6.Install High-Effidmry Irrigation Systems
❑ e.System Uses Only Lo Flow Drip,Bubblers,or Low-flow Sprinklers _ 0 �' I_ 2 _
❑ b.System Has Sman Controllers D 3
❑ 7.Incorporate Two Inch�CompDst �610 �Soil 0 3
❑ S.Mulch All Planting BeRequirement D9.Use 50%Salvega0 orsope Elements D I I I 1
❑ 1a Retluce Light Pollution by Shielding Flxarhas. for Directing Light Dowmvmtl 0 1
Total Poihss Available in Landsca In =31 0
D. STRUCTURAL FRAME ffi BUILDING BNVELOPB v Poll Available Par Measure
7.Apply Optimal Value Fsgineering �
❑ a.Plate Door
an and BWtla a 244mh Le Cerner Forming i'? r 'I A
❑ b.Size Duor and Window Headers iw Load � (fu D
❑ c.Use Only Jack and Cripple Studs Required for Load 0rx 1
2.Use Engineared Lumber
❑ a Beams and Headers
❑ b.Insulated Engineered Headers
❑ c.Wood Well or Web Trussas fa Floors 0 1 1 I
❑ ^ 0 1 _
d.Wood I-Jois6 for Roof Rafters
1
[Ie.Engineered or Finger Jointed Studs for Vertical Applications 0
Elf.Oriented Strand Board for Subtiom 0
❑
g.Oriented Strand Board for Will and Rohs Sheathing0 1
3.Use FSCLertified Wood
• ❑ a.Dimensional Lumber,Studs and Timber.Minimum 40%❑
b 0--
❑ .Dimensional Lumber,Studs and Timber.Minimum 70% —}--
2' c.Panel Products:Minimum 40% _ D__. 2
—_
❑ d.Panel Pmtlutls:Minimum 70% 0 I 1 I
+
02007 Build it Green Single Family Greeni Checklist 2007 Version Page 1 of 4
ENTER PROJECT
e • t
4.Use Solid Well SysNmw(Includes SIP;ICFs,6 Any Non-Stick Frame Assembly)
❑ a.Floors 0. 2 _ 2 I
E36.Walls 0 2 1 1 2
❑ c.Roofs D 2 . 1 2 1
S.Reduce Pollution Entering the Home from the Grudge
❑ a.Tightly Seal the Air Bamsr belwasn Garage and Wing Area D 1
❑ D.install Garage Exhaust Fan OR Build a Detached Garage 0 I 1 —
El 6.Design Energy Heels an Trusses(75%of Aftic Insulation Height at Outside Edge of Exterior Wall) 0 1
❑ 7.Design Roof Trusses to Accommodate Ductwork 0 1
S.Use Recycled-Content Steel Studs for 90%of Interior Well Framing D 1
1-0 9.Thermal Mase Walter WB4nch Drywall on All Interior Walls or Walls Weighing more than 4D IWcm.h 0 1 I
10.Install Dverhangs and Guilders
❑ a Minimum 16-Inch Overhangs and Gutters 0
❑ b.Minimum 24-Inch Overhangs and Gutters0 1
Total Points Avallable in Structural Building Frame and Envelope 36 0
S.ESTERIOR FINISH Points Avallable Pel Measure
1.Use Recycled-Content(No Virgin Plastic)or FSC.Certified Wood Decking 0 1 2 1
I Install a Rain Screen Wall System 0 I 1 2 1
bleNcombustible Siding Materiels 0 1 1
4.Select Durable and Noncombustible Roofing Materials D 2 I
Total Points Avallable In Exterior Finish=7 D
F.INSULATION Points Available Per Measure
1.Install Insulation with 75%Recycled Content
❑ a.Walls antVor Floors 0 I ! 1
—R b.-Gelhns 0 --r--I -1— —
2.Install Insulation that is Low-Emitting(Certihed Section 01350)
❑ a.Walls doctor Floes 0
❑ b.Callings D 1
❑ 3.Inspent Quality of Insulation Installation before Applying Drywall 0 1
To sl Points Avallable In Insulation=5 D
G.PLUMBING Points Available Per Measure
1.Distribute Domestic Hot Water Efficiently(Maximum 7 Points).
❑ a Insulate Hot Water Pipes from Water Heater to KDchen 0
❑
to Insulate All Hot Water Pipes _ 0
❑ c.Use Enginsered Parallel Piping o
❑ d.Use Engineered Paradol Filing win Demand Controlled Circulation Loop _
❑ e.Use Structured Numbing wth Demand Controlled Circulation Loop 0
❑ f.Use Central Core Funding 0 I 1 I 1 1 1 2
❑ I Install Only High Efficiency Toilets(Dual-Flush or 51.20 gill) D 1 4
v Total Point Available in Plumbing=Total 12 0
H.HEATING,VENTD:ATIO1N d AIR CONDITIONING Points Available Per Measure
❑ - d.0esign and Install HVAC System to ACCA Manual J,0,and S Recommendation 0 1 4 1
-2.Install Sell Combustion Units
❑ 1
❑ 5GDntoIIedlnt9gTM8d
Watsr Heaters 1 1
tall Zoned,Hydropic Radiant Heating with Slab Edge insulation 0 1 1
tall High Efficiency Air Conditioning with Environmentally Responsible Refrigerants 0 1
.- sign and install Egective Duchvork
❑ Install HVAC Unit and Duchvork within Conditioned Space 0 y_ 1 3
❑ Use Duct Mastic on All Duct Joints and Seams 0 1
❑ Insist Ductwork under Attic Insulation Ducts) U =—
❑ Pressure Balance the Dunt ork System
❑ Protect Ducts during Construction and Clean All Ducts before Occupancy 0 �—
tall High Efficiency HVAC Niter MERV 6+) 0 I 1 I
❑ n't Install Fireplace or Install Sealed Gas Fireplaces with Efficiency Rating Not Less Than 6D% 0 I 1
g CSA Standards
stall Effective Exhaust Systems in Bathroom and Ochens
❑ .Install ENERGY STAR Bathroom Fans Vented to the Outside 0
❑ .All Bathroom Fans Are on Timer w Humidities D
❑ .Install Kitchen Range Hood Vented to Me Oulside D 1
stall Mechanical Ventilation system for Cooling(Maximum 4 Points)
❑ Install ENERGY STAR Caging Fans 0 Light Kits in Living Areas A Bedrooms 0
❑ .Install Whole House FanwinVariableSpeeds 0
❑
C.Automatically CDntolled Integrated System _ 0 _ . ........d.Aumnallcally Controlled Integrated System Will Variable Speed Control 0 —�
10.Install Mechanical Fresh Air Ventilation System(Maximum 3 Points)
__ _ 2 _
❑ a.Any Whole House Ventilation SysL=m That Meeh tSHRAE 622 0 g 1 t 2 I
❑ D.install Air-ibk Heat Exchanger that meet ASHRAE 622
11.Install Carbon Monoxide Alarm(s) D 1 1
Total Points Available in Heating,Vemlationand Air Ccndibonin =30 0
m 2007 aurid 11 Green
Single Family GreamPoinl Checklis12007 Version Page 2 of 4
$ a u w 4 ¢ 3
1.RENEWABLE ENERGY ENTER PROJECT NAME
Points Available Par Measure
• U 1.Pre-Plumb for Solar Hot Water Heeling 0 ; q ( -I
LJ 2Install Solar Water Heating System 0 10
-77 3.Install Wiring Condud for Future Photovoltaic Installation&Provide BAD le of South-Facing Roof 0 2
4.Install Photovoltaic(PV)Panels
❑ a 30%of elastic needs DR 12 kW(twel6 pdmt) D 5
❑ h.6D%of electric needs OR E4kW(103112 prints) 0 _ 6 (
❑ C.90%m elast ic'need OR 3.6 kW(total 16 point) 0 66 )-
Total Available Foint In Renewable Energy=2B D
J.BUMMING PERFORMANCE Points Available Per Measure
1.Diagnostic Evaluations
❑ a.House Passes Blower Dow Test
to House Passes Combustion Se Beckdah Test 0 ( T 7 T
2.Design and Build High Performance Homes-Y.above This 24 minimum 15%Required 0 ?.3D
I
❑ 3.House Obtains ENERGY STAR with Indoor Air Package Certificadon.Pike Measure(Total 45 points;mad Comment) 0 5 2
Total Available Point in Building Performance 39 0
8.FINISHES Points Available Per Measure
1.Design Entrywol to Reduce Tracked in Contaminants 0 1
2.Use Low-VOC or Zero-VOC Paint(Maximum 3 Points)
❑ a Loa-VOC Interior W'aMCelling Paint(d0 0 VOCs(Flap and 050 gol VDCs(Non+1ah) 0 1 ' 1
❑ b.Zem-VOC:Interior WailtCeifin Paims(d gpl VDCs(Flat)) 0 3
❑ 3.Use Low VOC,Water-Based Wood Finishes(,250 pl VOCs) 0 ! 2 !
—Q-4.Use LDwtVDCCaulk.6 Construction Adhesives(O0 gpl.VOCs)for.Alr Adhesives 0 ----2— —!
❑ S.Use Recyci ul- ontont Paint D
6.Use Environmentally Preferable Materials for Interior Finish:A)FSC-Certified Wood,B)Reclaimed,C)Rapidly Renewable,D)Rerytletl-Content
or E)FingvNuirted
❑ a.Cabinets(50%Minimum) 0
❑ b.Intents Trim(5D%Minimum) D
❑ ' C ShaMmg(5D%Minimum) D 1
❑ d Doors(SD%Minimum) ( --
D _ 1
❑ e.Coumet s(50°A Minimum) 0 T ]
7,Reduce Formaldehyde in Interior Finish(DA Section 01350)
• ❑ a.SubNxn&Stair Treads(50%Minimum) 0
❑ b.Cabinet It Countetops(5D%Minimum) 0
❑ c.Interior Trim(50%Minimum)
❑ d.Sholiing ISM Mimmum) 0
❑ 8.After Installation of Finishes,Test of Indoor Air Shows Formaldehyde Level Q7ppb 0 ! 3 !
Total Avallable Palms in Finishes 21 0
L.FLOORING Points Available Per Measure
1.Use Environmentally Preferable Flooring:A)FSC-Dertified Wood,B)Reclaimed or Refinishad,C)Rapidly Renavabie,D)Recycled-Comem,E)
Exposed Concrete Flooring Adhesives Must Nava<50 gpl VOCs.
❑ e.Minimum 15%DI Floor Area I
El b.
b.Minimum 3D%of Floor Area
❑ c.Minimum 50%of Flow Area - 0
Eld.Minimum 75%of Flow Ama' ( ( I
0
❑ 2.Thermal Mass Floors:Floor Covering Other than Carpet on 50%or More of Concrete Moore 0 1
❑ 3.Flooring Meets Section 01350 or CRI Green Label Plus Requirements(50%Minimum) 0 2
Total Available Points in Flowing e7 0
M.APPLIANCES AND LIGHTING Points Available Per Mazsure
1.install Water and Energy Efficient Dishwasher
❑ a ENERGY STAR(total 1 point) p 1 l
❑ o Dishwasher Uses No More than 6.5 Gallons/Cycle(to312 point)
2.Install ENERGY STAR Ciothas Washing Machine with Water Factor of 6 or Less
❑ a.Meets Energy Star and GEE T%r2 requirement(modified energy factor 2.0,Water Factor 6.0)(toal3 Bourse) 0 I I
❑ b.Meets Energy Ser and GEE Tier 3 requirement(modified energy fador22,Water Famw 4.5 Be Less) —0
tP01215 'nt 2
3.Install ENERGY STAR Refrigerator
❑ a.ENERGY STAR Qualified&<25 Cubic Feet Capacity 0
❑ It.ENERGY STAR Oual fed&<20 Cubic Feet Capad 0
4.Install Built-In Recycling Genn, 0 -
❑ a.Buillan Recycling Center
❑ b.Built-In Composting Center0 —!—,-1—
N.OTHER —
Total Availame Points in Appliances and Lighting=12 0❑ 1.Incorporate GreenPoini Rated Checklist in BlueprintPoints Available Pet Measure-Requiretl 0 ( ) R
• ❑ 2.Develop Homeowner Manual of Green Feanires/Benefi s
3.Community Design Measures&Local Prionfies:Soo the Community Planning&Design section in Chapter 4 of the New Home Guidelines for
measures.Maximum of 20 pants for suggested measures.Local requirements may also be listed here.
020D7 Build It Green Single Family GreenPoini Checklist 2007 Version Page 3 of 4
ENTER PROJECT NAME
.50
❑ ._Enter descriplion here,and emer pomis widdlada fn measure in atProprie@ categories to the fight__ _ __ _ _ 0 0A00 -10-
4.
Enna desaimion here,and enter points wallahla fu measure in appropriate categories to the fight D 0T❑ Ester truvertion here.and amar point wettable for measure inappropriate cmegaiei to the right 'V._._______ .D O_ __Enter deadlineon here,antl enter pent wettable ip messure in appropriate categoues to the fight. D D 0 Innovation:List innovative measures that meet the green building objectives of the Guidelines.Enter up to a Build It Green Checklists and
maadmum combined total of 20 pis.See Innovation ChecMist for suggested measures,using the link to the right. Guidelines
Innovation In community:Enter desorption Mm.and War points evaAade for mazarm in appropriate care Mes to the fight 0 _0 D _0__ 0 D
❑ Innwalion in Energy:Enter description here,and enter oims available la measure in nate compares to the right 0 _0 0 _D _ D 0_
❑ Innwation in IAOMealth:Enter description here,and enter point wallable for measure in appropriate categories to the right. 0 D _ 0 _0 _ 0 0
❑ Innwation in Pesourees:Enter tlescr�lion hare,and emer ports W11119ble fp measure m 'ate Mali to the right. D _D_ _0_ 0_ �D _ _0 _
❑ Innovation m Wafer:Enter desnriplim hem,and enter ports wettable la measure in apprpriate categories to me ripen. D 0 0 0 D 0
Toil pvaitde Point in Dihar=< D
Total Available Points in Specific Categories' 4+ 96+ 42+ 66+ 43+
Minimum Points Required in Specific Categories 0 3D 5 6 9
Total Points Achieved Ell a a t e r
Project has not yet met the following recommended minimum requirements:
- Total Project Score of At Least 50 Points
-Required measures:
43a: 50% waste diversion by weight
-J2�15^/o-above-Title-24
-N3: Incorporate Green Point Rated Checklist into blueprints
Minimum points in specific Categories:
-Energy(30 points)
-IAQ/Health (5 points)
-Resources(6 points)
-I41ater(9 points)
•
02007 Build It Green Single Family GrenPoint Checidist 2007 V=-tsion. Page 4 0l 4