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08040034CITY OF CUPERTINO BUILN' GDIVISION PERMIT INEORMATION . BInLQBy,Q�3pDgFsVMERRITT DR JM DRAIN CLEANING AND P08040034 , OWNER'S NAME:PrTjMBTNG PERMIT ISSUE DATE AKILA KANNAN 1725 ROGERS AVE STE C 04/07/2008 PHONE: SANITARY NO. CONTROL NO. (408) 903-8184 CHITEC71ENGiNEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 LICENSED CONfRACPOR'S DECLARATION Job Description I hereby affirm Nat 1 am limned under provisions of Chapter 9 (mmenencin{ with Sac,ien7000)of Divlsion3afthe Budnessand ofea ear CangL YR,amab COPPER REPIPE FRM WTR METER TO ENTIRE HSE b fan force and err ec Data Contractor ARCHITECTS OEC ON 1 undcnunJ my plans shall he tied as, puisne nn:orda Lucued Professional OW 14ER-BUIMER DECLARATION I hereby .firm that 1 am eempt form the Commences License Law for the following moon. (Saedoa 7031.5. Business and Professinu Code: Any city or county which mquima a-permit to rnm,ora. alter. improve, dcmul W, nr ¢pair any suuemm rotor us its issuance. alio m cones Ne applicant ror such permit,. Ill. a l i{nod comae., ,ha, he Is limned contact I. the Pmvisionaefthe Comeelora License Law (Chapter 9 Sq. Ft. Floor Area9481 Valuation inaand Professions Code) or fcoenamet gwith Section 7000) of Division 3 ofthe Bum that he b eumpt therefrom and the bub for Ne alleged assumption. Any violation of 31629045 �%N Occupancy Type ' Section 7031.3 by any applicant for a permit ubjects the applicant to a civil penalty ofNumber net roam than five hundred doll. ($500). ❑ 1, u awry of the property, oe my wplaym with wage u thew sok mmpewtion. Required Inspections will do the work and the im muis pot Intended er offered for Wer(Sec. 704t, Business and Prefewane cede: The Canaacmra License taw dam net apply to an Owner of property who builds or improves ,hereon, and who does such work himself or through his ownemployces. provided that such Improvements tie notimm�ded proffered for sale. If. however, the building or Improvement Is sold within ane year of completion, the owner, builder will have the burden of proving Na, M did not buik or Improve for purpose of ❑ I, as Owner of the propenY• am exclusively contracting with beamed mnuefus m construct the Mjem (See. 7064. Business and Profesman Code:) The Contractors U. cove taw doer not apply m an mune, Of porpeny who builds or Improves themen. and who convects for such projects wits a conmcmr(O licensed pursuant to the Contractors Lice"•- Law. ❑ Iamuemptunder See ,BkPCfarthismaHon Owner Data WORKER'S COMPENSATIONDMC MMON I bateby, of Irm under penalty of perjury am of the fallowing declarations: Wham and will m•InWn a Cenifiuo of Cement to elbksure foewmlaaes Comme u provided for by Section 37W Of the labor Code, fm use part... o of Ne far which Nb Penni, ie issued. ❑ I have and will maintain Workers Compensation Iuuarde, as rryuard by Section 37M of the Labor Code. fm the Performance Of the wort for which Nis pe.I, is loud. ' My Workers Compensation Insurance curler and Policy number art: Cartier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE ,flab mina need rot be completed if de Permit Is forum hundred dollen (SIM) on, kss) I certify the, in the performance of the work for which this permit b issued. I Nall not employ any person in any mannersoumbceotne ryblttUp the Wo R penssdon Laws of California. n•. —�+�- i ['a`� Applicant-->-�� NOTICE 7O A r making this CeniOeate of Exemption. you should became a m ,he Worker's Co.pemation provision of the tabor Code, you muss ' forthwith comply with such provisions or this Permit "I W deemed revoked. UCTIONLENDING Y - a{enry, for Ne performance of Ihorwhalrnmthatthenisa and ft. ng.p bound (Sm. 7, Cin. the doh for which thin permit b issoed (See. 7097, Civ. C.) ' Lenders Name Lenders Address i 1 certify that I have reed this application and suer that the above information k correm I agree to comply wide all city and many mdlaYtCe and enm IoM relating an building canswction. and be¢by i uthodm mpreenudvcs of Nb city to toner.p.. thC I shove mentioned property for inspection pugases, (We) agree m save, indemnify and kCCp losirl V dm City Of CupRdna again., i fiabilhtiu,judgmenu, cam and .We. which may in any y.c,. a{itinst•iid City in consequence of the grating of this Permit. s APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date y SOURCE GULAM S. Re-roofs Type of Roof ' mor tPiplitSinCirdic HAZARDOUS MATERIALS DISCLOSURE Date Will the applicant or future building ttcuputatom or handle hauNous material ., as defined by dm Cupertino Municipal Code. Chapter 9.12. and the Health and Safety Code, 25532(.)? ❑Yu gl r]ye, lll'No 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 Will the applicant orr future building occupant use equipment or Ikvims which If haurdou air contaminants u defined by the Bay Area Air Quality Management all new materials for inspection. flet? / ❑ Yu M N. 1 have mad the haralloumaterialsreq.immenta un@r Clupto+h.95 of the Califon nb Health & SarmyCodc. Smucne27505,25533 am12s534.l underamol issi building doer not cunenny have a tenut to Ay rexpmniMli,Y to ratify the OmuPant Of the rapid. whin isharaaaa.ccnilksteerOcm Signature of Applicant Date All roof coverings to be Class'W' or better Dam or or au,homadagent • 6 ITEMS OF 6 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 31629045.00 DATE ISSUED.......: 04/07/2008 RECEIPT #.........: BS000004375 REFERENCE ID # ...: 08040034 SITE ADDRESS .....: 19730 MERRITT DR SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: patg COPY # : 1 OWNER ............: AKILA KANNAN ADDRESS ..........: 19730 MERRITT DR CITY/STATE/ZIP ...: CUPERTINO CA, 95014-2440 RECEIVED FROM ....: J M DRAIN CLEANING METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT --------------- 168.25 --------------- 168.25 VOICE ID DESCRIPTION -------- ---------------------------- 106 SEWER & WATER 507 FINAL PLUMBING r REFERENCE NUMBER -------------------- #002 VOICE ID DESCRIPTION -------- ---------------------------- 301 ROUGH PLUMBING CONTRACTOR .......: JOSE MENDEZ LIC # 29513 COMPANY ..........: JM DRAIN CLEANING AND PLUMBING ADDRESS ..........: 1725 ROGERS AVE STE C CITY/STATE/ZIP ...: SAN JOSE, CA 95112 TELEPHONE ........: (408) 903-8184 • FEE ID QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL - -- -- 1BPWATER ----UNIT -- UNIT ---------- 1.00 ---------- 40.79 ---------- 0.00 ----- ---- 40.79 - ---------- 0.00 1BPWSVCS WATER SERVICE 1.00 :20.40 0.00 20.40 0.00 1BSEISMICR VALUATION 9,481.00 1:00 0.00 1.00 0.00 1PPERMITFE FLAT RATE 1.00• '40.79 0.00 40.79 0.00 IPRWHEATR UNITS 1.00 24.48 0.00 24.48 0.00 ITRAVDOC FLAT RATE 1.00 40.79 0.00 40.79 0.00 TOTAL PERMIT ---------- 168.25 ---------- 0.00 ---------- 168.25 ---------- 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT --------------- 168.25 --------------- 168.25 VOICE ID DESCRIPTION -------- ---------------------------- 106 SEWER & WATER 507 FINAL PLUMBING r REFERENCE NUMBER -------------------- #002 VOICE ID DESCRIPTION -------- ---------------------------- 301 ROUGH PLUMBING � D� CUPEIiiTINO 0 Oc%V 0 0 3 q CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE PERMIT APPLICATION FORM APN # { �y /67�� < 7 Fee ID Fee Description Building Address: Permit Type Yh Z 1PCSEWER Owner's Name: P Phone #: 1BPREPIPE Commercial re -pipe per fixture ontracto_pr:� 1CPRP Phone #' j1062 %4 3 1PGASCOM �� P Contact: Phone #:S/ %03 g Sp Seismic Commercial P Fax #: Contractor -License #: 8S(p 2 1BSEISMICR Cupertino Business License #: P Job Description: Hi -e c/i' o 1PRSEWER Residential building sewer/sanitary sewer Residenti Commercial ❑ Valuation: Green Building Check list must be completed and attached to this application. / Green Building Point Quantity Fee ID Fee Description Fee Group Permit Type 1PCSEWER Commercial building sewer/sanitary sewer P 1CPSS 1BPREPIPE Commercial re -pipe per fixture P 1CPRP 1PGASCOM Commercial Gas Piping System 1-4 Outlets P 1BSEISMICOM Seismic Commercial P ' 1BSEISMICR Seismic Residential P 1PRSEWER Residential building sewer/sanitary sewer P IRPSS ao CUPEkINO CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE FEE SCHEDULE QuantityFee ID Fee Description Fee Group Permit Type 1PRREPIPE Residential re -pipe per fixture P 1RPRP I 1BPWSVCS Water Service P 1CPWS or 1RPWS 1PPRSEWG Private Sewage Disposal System P 1PCESS Cesspool P 1BPWATER Install/alter Water Pipe P 1BPFIXTURE Plumbing Fixture P 1PGASRES Residential Gas Piping System 1-4 Outlets P 1 BPGAS Gas Piping System 5+ Outlets P 1 PPERMITFEE Plumbing Permit Fee Issuance P IPLM 3LNCK Plumbing Plan Check P 1PLMBINSP Other Plumbing/gas Insp. P / 1TRAVDOC Travel & Documentation Fee B IBUSLIC Business License B A • 0 i, Single Family GreenPoint Checklist date: y --o Build It Greed The GreenPoint Checklist is based on the various green features Incorporated into the home and is the - Smart Solutions From the Ground Up basis for the GrasnPoint Rated program. A home can be considered green If It fulfills the prerequisites, FIEM Hams at least so poems, and meets the ). Plmum poems per category: Energy (30), Indoor d (Ju nPoi� Health (5), Resources (6), and Water (S). Please tented Build It Green for a list of qualified GreenPoint - Peters If you are interested in pursuing third -party varifcation. • The green building practices listed below are described In the New Home Construction Green Building Guidelines, available at www.bullitimmen.oro. 0 • ENTER w• t PROJECT Points Available Per Measure 1. Replace Portland Cement in concrete with Recycled Flyesh or Slag 1, Construct Resource -Efficient Landscapes- _ _ ❑ aMinimum 20% I'll or Slag 0 a. No ImasNe Species Listed by Call Are Planted E E w 0 1 El 2. Use Frost-Protac ed Shallow Foundation in Cold Areas (C.E.C. Grant Zone 15) 0 3 Elves, a. Use Radon ResistantCon&r DfiononAt-Risk Locations Only) 0 1 3 A. SITS 2 Use Rro-Safe Landscaping Techniques Points Available Per Measure 1 1 1. Pro= I once and Minimize Disruption of Exizfing Plants TTrees e. Engineered or Flnger-JDintatl SNtls for Vertical Applications ❑ e All Tud Will Here a Water Requirement Less than or Equal to Tall Fescue (SD.B plant factor) ❑ a. Protect Topsoll from Erosion and Reuse after Conshucton ,' D ❑ b. Turf Shall Not Be Installed on Slopes Exceading 10% or in Areas Less than B Feet Wide ❑ b. Unit and Delineate Construction Footprint for Maximum Protection D E] 1 __ 0 2. Deronstrud Indeetl of Demolishing Exist Buildings On Site D ❑ 3 -- 9. Reryele Job Bite Construction Waste (Including Green Waste) ' ❑ 4. Plant Shads Trees ❑ a. Minimum so% Waste Diversion by weight (Recycling or Rai - Required 0 ❑ R ❑ b. Minimum 65% Diversion by Weight (Recycling or Reuse) a --' - -- --"'-'--'— "----- ❑ c. Minimum B0% Diversion by Weight (Recycling or Reuse) pz--'--- ❑ ❑ e. System Uses Only Low -Flow Drift, Bubblers, or Low -Bow Sprinklers b. System Has Broad Controllers 0 4. Use Recycled Content Aggregate (Minimum 25%) ❑. a. Walkway and Driveway 3 ❑ 7. Incorporate Two Inches of Compost In the Top 6 to 12 Inches of Soil ❑ h. Roadway Base 0 ❑ S. Mulch All Planfing Beds to the Greater of 2Inches or Local Water Ordinance Requirement H. 1T0UNDATIGN a. Placa Rafters and Studs at 24 -Inch On Center Framing Points Available Per Measure 1. Replace Portland Cement in concrete with Recycled Flyesh or Slag 1, Construct Resource -Efficient Landscapes- _ _ ❑ aMinimum 20% I'll or Slag 0 a. No ImasNe Species Listed by Call Are Planted ❑ to. Minimum 25% FI ash or Slag 0 1 El 2. Use Frost-Protac ed Shallow Foundation in Cold Areas (C.E.C. Grant Zone 15) 0 3 Elves, a. Use Radon ResistantCon&r DfiononAt-Risk Locations Only) 0 1 3 4. Design and Build Structural Past Controls 2 Use Rro-Safe Landscaping Techniques 0 ❑ a. Install Termite Solace 8 Separate All Exterior WDDd-to-Concrete Comanche Metal ar Plastic FastenerslDNlders 0 1 1 b. All New Plants Hive Trunk, Base, or Stem Located At Least 36 Inches from Foundation e. Engineered or Flnger-JDintatl SNtls for Vertical Applications ❑ C. LANDSCAPING a. Placa Rafters and Studs at 24 -Inch On Center Framing Points Available Per Measure El 1, Construct Resource -Efficient Landscapes- _ _ ❑ ❑ a. No ImasNe Species Listed by Call Are Planted 0 2. Use Engineered Lumber ❑ b. NO Plant Species Will Require Hedging a. Beams and Headers Elves, C. 75% of Plants Are Drought-tolemord California NabMediterranean, or Other Appropriate Species _� 0 3 ❑ 2 Use Rro-Safe Landscaping Techniques 0 1 i ❑ tl. Wood 4JDist for Root Rafters 3. Minimize Tud Areas in Landscape Installed by Builder 1 ❑ e. Engineered or Flnger-JDintatl SNtls for Vertical Applications ❑ e All Tud Will Here a Water Requirement Less than or Equal to Tall Fescue (SD.B plant factor) 0 Oriented Strand Board for Sublioor 2 ❑ b. Turf Shall Not Be Installed on Slopes Exceading 10% or in Areas Less than B Feet Wide 0 i 2 E] c, Turf is 93% of Landscaped Area (lDtal2 points) __ 0 _ T ! 2 ❑ J. Turf is S10% of Landscaped Area (first 4 point) -- - ' ❑ 4. Plant Shads Trees 0 ! 3 ❑ 5. Group Plant by Witter Needs (Hydrozonin) 0 / 1-1) If 1 2 S. Insall High -Efficiency Irrigation Systems 0 1 7 1 ❑ ❑ e. System Uses Only Low -Flow Drift, Bubblers, or Low -Bow Sprinklers b. System Has Broad Controllers 0 C 0 -J 3 ❑ 7. Incorporate Two Inches of Compost In the Top 6 to 12 Inches of Soil 0 3 ❑ S. Mulch All Planfing Beds to the Greater of 2Inches or Local Water Ordinance Requirement 0LJ - 2 B. Use 50%Selvaged or Recydod-Content Materials for 5D% of Non -Plant Landscape Elements 0 1 ❑ 10, Reduce ght Pollution by Shielding Flxtures andfor Directing Light Downward 0 ❑ a. Placa Rafters and Studs at 24 -Inch On Center Framing 0 El b. Size Door and Art Headers for Load _ _ ❑ c Use Only Jack and Cripple Studs Required for Load D 2. Use Engineered Lumber 1 1 ❑ a. Beams and Headers ❑ to. Insulated Engineered Headers ❑ c. Wood Wolsts or WeliTmsses for Floors--L__-,----- ❑ tl. Wood 4JDist for Root Rafters _.D I 1 ❑ e. Engineered or Flnger-JDintatl SNtls for Vertical Applications 0.,--"-' Elf. Oriented Strand Board for Sublioor ❑ g. Onemed Stand Board for Well and Roof Sheathing -- Y 0 1 1 3. Use FSC-CeNfied Wood ❑ i. Dimensional Lumber, Studs and Timber. Minimum 40%0 E) b. Dimensional Lumber, Studs and Timber. Minimum 70% _ _'_ D_ 1 2 1 El_ D. Pana] Products: Minimum 40% _ _ _ _ _ _ D , 2 _ 1 El d Panel Product: Minimum 70% 1 0 1 7 1 02007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 1 of 4 10 E. EXTERIOR FINISH NAME Points Available Per Measure LJ 1. Use Recycled -Content No Virgin Pleatic) or FSCCeNOed Wood Docking "5 .9 ENTER PROJECT g {� e. Lee Durable and Noncombustible siding Materiels 0 3 4. Select Durable and Noncombustible Roofing Materials 0 2 a. Furrace, a — F. INSULATION 4. Use 6olltl Well Systeme (Includes SIP0. ICF4 a Any Non -Stick Frame Assembly) Points Avallable Pat Measure 1. Install Insulation with 75% Recycled Content ❑ a. Walls andfor Floes ❑ In. Login s _0__ 0 1 ❑ a. Floor0 — 7 — � ❑ b. Walls D Z — z_ ❑ C. Roofs D 2 a. Install HVAC Unit and Ductwotx within Conditoned Space__ L _ 3 5. Reduce Pollution Smal ing the Home from the Gal ❑ b. Use Duct Mastic on All Duct Joins and Seam 0 Ela. Tightly Seal the Air Barrer between Garege, and Living Area 0 __-- 11b. Install Smile Exhaust Fan OR Build a Detached Somalia 0 __... 1 ❑ e. Protect Duch full Cons ructiwl and Clean All Ducts before Occupancy S. Design Energy Heels on Trusses (76% of Aide Insulation Height at Outside Edge of Exterior Well) 0 1 e. Install High Effiolency HVAC Filter (MERV 6+)0 ❑ 7. Design Roof Trines to Accommodate Ductwork ' 0 1 7. Don't Irmtell Fireplace or Install Sealed Gas Fireplaces with Efficiency Rating Not Laos Than SOX 0 Ej B. Use ReryciedContant Steel Studs for BO% of Interior Wall Framing 0 using CSA Standards 1 k. Thermal Men Wells: 5M -Inch Drywall on All Interior Wells or Walls Weighing more than 411 Itull 0 1 ❑ 10. Install Dverhangs and Gultere ❑ ❑ a Minimum 1Nnch Overhangs and Gutter 0 T— _ c. Install Klhhn Range Hootl Vented to the Outside ❑ b. Minimum 24 -Inch Overhangs and Guaas 0 1 B. Inatell Mechanical Ventilation System for Cooling(Maslmum 4 Points) 10 E. EXTERIOR FINISH TING, VENTILATION & AIR CONDITIONING Points Available Per Measure LJ 1. Use Recycled -Content No Virgin Pleatic) or FSCCeNOed Wood Docking 0 2 2. Install a Rain Smith Well System 0 2 e. Lee Durable and Noncombustible siding Materiels 0 1 4. Select Durable and Noncombustible Roofing Materials 0 2 a. Furrace, Total Polms Awl In Expand Finish = 7 D — F. INSULATION Points Avallable Pat Measure 1. Install Insulation with 75% Recycled Content ❑ a. Walls andfor Floes ❑ In. Login s _0__ 0 1 1 2 install Insulation thefts Low-Emltt ng (Certified Section 0105D) ❑ a. Walls and/or Roche ❑ b. Callings 0- 0 J 9. Inspect Duality of Insulation lnstenstion before Applying Drywall 0 1 i' 1. Distribute Domestic Hol Water Efficiently (Maximum 7 Pmnte) ❑ a. Insulate HIM Water Pipes from Water Heater to Kitchen 0 ..� b. lisuride All Hot Water Pipes 0 _ _... 1 _ ❑ c. Use Engineered Parallel Piping _ 0 ❑ d. Use Engineered Parallal Piping with Demand Controlled Circulation Loop ❑ a. Use Structured Plumbing with Demand Controlled Circulation Loop9111111 si� a 0 2D07 Build It Green Single Family Green?Dint Checklist 2007 Version Page 2 of 4 TING, VENTILATION & AIR CONDITIONING Points Available Per Measure 1. Design and Inctell HVAC System W ACOA Manual J, D, and 5 Recommendations 0 1 4 2 lnstell Sealed Combustion Unite ❑ a. Furrace, — — 2r7 b. b. Webs Houses D 2 3. Install Zoned, Hydropic Radiant Heeling with Slab Edge Insulation 0 1 1 4, Install High Efficiency Air Conditioning with EnvirDrummeliy Rseponslble Refrigerants D 1 5. Del and Install Effective Ductwork ❑ a. Install HVAC Unit and Ductwotx within Conditoned Space__ 0 _ 3 1 ❑ b. Use Duct Mastic on All Duct Joins and Seam 0 ❑ c. Install Duchvmk under Attic lnsula600(Buried Ducts) __-- ❑ d. Pressure Balance the Duposisk System _ 0 __... 1 ❑ e. Protect Duch full Cons ructiwl and Clean All Ducts before Occupancy O 1 e. Install High Effiolency HVAC Filter (MERV 6+)0 1 ❑ 7. Don't Irmtell Fireplace or Install Sealed Gas Fireplaces with Efficiency Rating Not Laos Than SOX 0 1 using CSA Standards B. Instill Effective Exhaust System In Balhroome and Kitchens ❑ a. install ENERGY STAR Bathroom Fens Vented to the Outside ❑ b. All Bathroom Fane Are on Timer or Hi midistat 0 T— ❑ c. Install Klhhn Range Hootl Vented to the Outside 0 J B. Inatell Mechanical Ventilation System for Cooling(Maslmum 4 Points) ❑ a. Install ENERGY STAR Calling Fane s Light Klw in Lwing Areas 5 Bedrooms 0 _ j 1 r F-1 b. Install Whole House Fan with Variable Speeds _ ❑ c. Automatically Controlled Integrated System ❑ d. Automatically Controlled Integrated System with Variable Speed Control 0-- 10. Install Machanlcai Fresh Air Ventilation System (Maximum J Points) ❑ a. Any Whole House Ventilation System That Meats ASHRAE 522 _ 0_ '•'—[1-11, 2 ❑ b. Install Air-tol Heat Exchan or the/ meets ASHRAE 522 0 Install Carbon Monoxide Alarm(s) 0 1 0 2D07 Build It Green Single Family Green?Dint Checklist 2007 Version Page 2 of 4 • E ENTER PROJECT NAME .Points Available Par Measure 1. DiagnosOc Evaluations 1. Design Entryways to Reduce Tracked in Contaminants 0 ❑ a. House Passes Blower Door Test n Q U Q 6 I. RENEWABLE ENERGY ] Points Available Per Measure CT 1. PwPlumb for Solar Hot Winer Heating 0 1 4 0 LJ 2, Install Soler Water Heading System 0 ! 10_71— . a ❑ 9. Install Wiring Conduit for Furore Photovoltaic Installation 6 Provide 2D0 iP of South -Feting Poor 0 2 1 ❑ 4. Install Photovoltaic (PV) Panels 0 2 3. Flooring Mees Section 01350 or CRI Green Label Plus Requirements (SD%Minimum) ❑ a.30% of electric needs OR 12 ON (tribal 6 points) 0 6 1 ❑ b.60%Melectric needs OR 2AkW(total 12 paints) 0 6 ❑ c. 90% of electric need OR 3.8 kW (total 1 A points) 0 6 J. BDDAING PERFORMANCE - .Points Available Par Measure 1. DiagnosOc Evaluations 1. Design Entryways to Reduce Tracked in Contaminants 0 ❑ a. House Passes Blower Door Test 0 - Exposed Concrete. Flooring Adhesives Must Have 60gp1 VOCs. ❑ b. House Passes Combustion Safety BacktlrebTest _ 0 ] a Minimum 15% of Floor Area 2. Design and Build High Performance Hamm -%above TM a 24 -minimum 15% Required 0 >_30 ❑ 3. House Obtains ENERGY STAR with Indoor Air Package Certification - Pilot Measure (Total 45 points; read comment) 0 5 2 E. FINISHES Points Available Par Measure Points Available Par Measure 1. Install Water and Energy Efficient Dishwasher 1. Design Entryways to Reduce Tracked in Contaminants 0 7 0 - Exposed Concrete. Flooring Adhesives Must Have 60gp1 VOCs. 2. Use Low-VOC or Zero-VOC Paint (Maximum 3 Pains) _ 0 i ❑ a Minimum 15% of Floor Area ❑ e. Low-VDC Interior W'alitCoiling Paints (<50 gpI VOCs (Flat) and <150 gpI VOCs (Non -Flat)) 0 b. Minimum 30% Of Floor Area 0 ❑ b. Zero-VOC: Imerlor WeIVCallin Pains (d gpl VOCs (Flat)) 0 3 a ❑ 3. Use Low VOC, Water -Based Wood Finishes (Q5D gpI VOCs) 0 ! 1 2 ! 1 ❑ 4. Use Low-VOC Caulk and Construction Adhesives (<70 girl VOCs) for All Adhesives 0 2 3. Flooring Mees Section 01350 or CRI Green Label Plus Requirements (SD%Minimum) ❑ 5. Use Recycled -Content Paint 0 a Built -In Recycling Center 1 ❑ 6. Use Environmentally Preferable Materials for Interior Finish; A) FSC -Certified Wood, B) Reclaimed, C) Rapidly Renewable, D) Recycled-Comkm __ 0 1 I 1 or E) Finger,sointed ❑ a. Cabinets (50% Minimum) 0 El b. Interim Trim(5D%Minimum) _ 0 _____ 1_ ❑ c. Shalving(50%Minimum) _ 0 _ L 1 ❑ d. Doors (50% Minimum) 0 ❑ e. Counino s 50%Minimum) _ 0 ] 7. Reduce Formaldehyde In Interior Finish (CA Section 0135D) ❑ a. 6ubfioor a Ssir Treads(50%Minimum) 0 ❑ b. Cabinets B ODMIJI oPs(50%Minimum) ❑ c. Interior Trim (50% Minimum) ❑ d. Shelving (50% Minimum) ❑ I. After Installation of Finishes, Test of Indoor Air Shows Formaldehyde Leval Q7ppb 0 ! 3 1 Tnfnl Aveavhln PninX In Flnkhoc=911 L. FLOORING Points Available Par Measure Points Available Per Measure 1. Install Water and Energy Efficient Dishwasher 1. Use Environmentally Preferable Flooring: A) FSC-Cartifiad Wood, B) Reclaimed or Refinishad, C) Rapidly Renewable, D) Recycled -Content, E) ❑ a. ENERGY STAR (local I pDlnp 0 - Exposed Concrete. Flooring Adhesives Must Have 60gp1 VOCs. b. Dishwasher Uses No More than 6.5 GallorelOycle (total 2 points) _ 0 i ❑ a Minimum 15% of Floor Area 0 ❑ ❑ b. Minimum 30% Of Floor Area 0 b. Meas Energy Star and CEE Tier 3 requirements (modified energy factor 2$ Water Factor 45 or less) ❑ C. Minimum 50% of Floor Area 0 a ❑ d. Minimum 75% of Floor Area 0 ] ❑ 2. Thermal Mass Floors: Floor Covering Other than Carpet on 50% or More of Concrete Floors 0 1 ❑ 3. Flooring Mees Section 01350 or CRI Green Label Plus Requirements (SD%Minimum) 0 1 1 2 I 1 M. APPLI IRCEf3 AND LIGHTING Points Available Par Measure ❑ 1. Incorporate GnimPoint Rated Checklist in Blueprints - Required 0 ( ( j R 1. Install Water and Energy Efficient Dishwasher ❑ 2. Dwoiop Homeowner Manual of Green FeatureslBenefis 0 1 1 1 ❑ a. ENERGY STAR (local I pDlnp 0 ❑ b. Dishwasher Uses No More than 6.5 GallorelOycle (total 2 points) _ 0 i 2. Install ENERGY STAR Clothes Washing Machine with Water Factor of 6 or Less ❑ a. Masts Energy Star and CEE Ting requirements(modified energy factor 20, Water Factor SO)(Mal 3 poims) 0 ] ! 2 ❑ b. Meas Energy Star and CEE Tier 3 requirements (modified energy factor 2$ Water Factor 45 or less) --'--'—-----' --Z (total 5 parrot a 3. Install ENERGY STAR Refrigerator ❑ a. ENERGY STAR Qualified a <25 Cubic Feet Capacity 0 ❑ b. ENERGY STAR Qualified If <20 Cubic Feet Capacity 4. Install Built -In Racial ng Center 0 ❑ a Built -In Recycling Center 0 2 ❑ b. Bull) -In Composting Center __ 0 1 I 1 N. OTHER Paints Available Per Measure ❑ 1. Incorporate GnimPoint Rated Checklist in Blueprints - Required 0 ( ( j R ❑ 2. Dwoiop Homeowner Manual of Green FeatureslBenefis 0 1 1 1 3. Community Design Measures a Local Priorities: See the Community Planning If Design section in Chapter 4 W the New Home Guidelines for measures. Maximum M 20 points for suggested manures, Local requirements may also be listed here. LEI 02007 Build It Green Single Family GraimPolnt Checklist 2007 Version Page 3 of 4 Enter dawrlplion here, and enter pointe available In measure In appropriate catopodoe to IN right. Enter descrlplion here, and enter pointe available fa measure In appropriate categories to the right. Enter daacdpllon here, and enter points evaileble lar measure In appropriate categories to the right. Enter doacrlhion hen, and enter home avalleble la measure'm appropriate categales to the right. 4. Innovation: List innovative measures that meet the green building objectives of the Guidelines. Enter up to a and enter Total Available Points in Specific dmum Points Reouired In SDecIfl 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 -)2: 15% above Title 24 -N1: Incorporate GreenPoint Rated Checklist Into blueprints - 141nlmum points in specific categories: -Energy (30 points) -!A&Health (5 points) -Resources (6 points) -Water (9 points) at ar i c c 0 0 0 0 0 0 o o_ o o 0 0 0 0 0 0 0 o_ D Build 0 It Green 0 Checklists o and a Guidelines 0 o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96+ 42+ 66+ 43+ 3D 5 6 9 L • 02DD7 Build It Green Single Family GreenPoint Checklist 2007 Version Page 4 of 4 JOB ADDRESS: V\,% O R'S NAME: GENERAL CONTRA( I am not using any sub( Please check annlicahlp Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax(408)777-3333 Building Department PERMIT # Y- et) CFO L(D03 PHONE FAX # y- 7- -o Date er/Contractor Signature Date — SUBCONTRACTOR BUSINESS NAME av iauvii. BUSINESS LICENSE # Cabinets & Millwork Ceme t Finishing Electric Excavation Fencing Flooring: Carpeting / Linoleum / Wood i Glass / Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Sh Metal —77 eet Rock Tile er/Contractor Signature Date