08040105 CT
OF CUPERTINO v •--'� � +(as.+.+;+: t" �°'����,}^" �t�y'
BUILDING DIVISION PERIVIIT Y,o-QNTRA@,TgRkINI''k)RMA'IION .
F
O.
lLDltlr� T1 MINER PL VALLEY HEATING & COOLING 080PERMIT40105
NEER''S3NAAM.SE: PERMrf I5SUEDATE
PRESTON JOANNE 1171 N 4 TH ST 04/15/2008
NE: SANITARY NO. CONTROL NO.
(408) 29'4-6290
1ARCHITECT(ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 a 0
30o LICENSED CORACIDR'SDECLARATION - Job Descrition
tl 1 hereby efNarm that 1 am licensed nMar pmNYON e(Chapter 9(co mmanems p
wiNS don7OnO)ofDiNdon]ofd Rusineu Prof ' om,an oomole RPLC FURNC,ADD A/C UNIT,RPLC 50 GAL WTR HTR
r in full tiros and. _ 7
gz ucenm Chu U.3
_ Dam cantrseur
yej ARCHITECTS mDECLAMATION u
S g O I scummed my plane mail used public mco0
k cad` Licensed Prolcomnel
by OWNER-BUILDER DECLARATION
j�x 1 hereby&M m Nm 1 em vamp,fmen the Convector.License Law for tha
E O O following mason.(Satin 70713,Bue.and Pmfcaaiou Code:My city or aumy
IBV which R,dres a permit to cenLNct,alter.Impmw,deatal W,or Rlmlf any mro m e
xy ptor at its issue.,man holm.dteepplicant for men Permit m Elea signed sumoom
<
that M Is licensed purseanuo Ne provisions of the Contractor's Licame Law(Chapter 9 Sq.Ft.Floor Area Valuation
�9 (commemingwithSection7000)ofDivider3oftheBusinessandProfeafamCole)or $16000
S_ that he In exempt therefrom and Me basis for Me mlogea esemptima My vlolmfo t or
Section 7071.7 by mr,applicant far a permit subjects Ne app0ant m a Ml pesky ofNumber Occupancy am mom than ftw hundred dollars(SM. 31646029 .E 'i'pe
❑1,am matter of the property,or my employees with"gnu thekseh mmpemNon,
ani mthewota mode: he,clorehtors LMWorawredrause(Sec.71 an war our
Nd property who
W Cade:The Cmtnabra and
ices dpee at apply lf N owmr 0( Required Inspections
poperywyehuiidsor Mprowach mbn,andwho anensuchwork himselfedIhmma Me
own woo.M em,pmNded that such al is
em not inurWM aoRered(reale If.
milder.the building or Mpmwromtg mid within ore Weld of Winans for the tom of
builder NE Nw to tarda of paving tut k did ms bold a Improve(a purpose of
❑1,as owner of the property,w eselutiwly convicting with licensed cenmsebrs b
construct to project(Sec.7044.Business and Pnefessons Comm)Tbc Coumacuses Id-
roma Law does not apply to an owner of property who Wilda or impacm thereon,cad.
who common formch projects with a amactor(s)Emmsed pursuant m tha Commutes ,.
License Law. - ..
❑Iamesempundar Sec .B&PCfa tmIs moon _ .,
Owner Data
WORKER'S COMPENSATION DECLARATION
I bereby Laino mater penalty of perjury most or the following decimations:
1 haw and will mefnuin a Cmificam of Consent to alf-imum for Wortefe Compem
salon,as provided for by Section 7700 of the IAba Code,re,to pafarme me of the
wort for which Nis permit is Issued.
❑1 law and will maintain Workers Compensation Insurance.as;requimd by Section
7700 ofthe Labor Code.(.Me performance ofthe work forwhich Nu permit is lamed. '
MCayrrWs mn Iue carrier anldiry Policy
r ae:
CEI �
TEON FROM WORKERS'
COMPENSATION INSURANCE
O/
rrhh section nand no l to cmn pleusl U the permit is for ane hundred dollars($100)
or lna)
I certify Met In the part..=of two work for which this permit h Issued.I shml am
employ any person in any mannerm as b become subject to the Worteri ComperumOn
Lew.or California.Dau
Applicants
NOTICE TO APPUCANP.If,after making this Certificate of Exemption,you should
become subject in Ne Workers Compensation previsions or Ne Labor Coda,you mum
O forthwith comply pe
mply with such provisions Nmit,shall W danced mroked.
'Zn CONsTE LENDING AGENCY
F ION I mosby affirm tut Nem ie a construction lending agency for the perfurmame of
E
the work for which dib permit is iniad(Sec.7097,Civ.G '
uj A lenders Name
ZD Z I<rmrs Address
U Q 1 certify that 1 hew read this Wilcmon and sera Mut the show Information h
ty H Comm t agree to comply with all city and county oNiunees and some Ian missing b
C U building communion,and hereby southern rePresenusiws ofthh city to aur upon Me
W .haw-mordaad property for Inspection pmpaaY
G (We)agree to saw,indemnify and kap humom the City of Cupertino against
vy khbllWetjudgmans,cam and separate which may in anyway acne agalmtaid City
U 2 In consequeae of the granting of Nis is
^' APPLICANT ER ILL COMPLY WITH ALL NON-POINT Issued by: Date
SOUR G
Re-roofs
Slgr art r me
us MATERIALS DISCLOSURE Type of Roof
I the applican art future building aapemmom orlundle hazardous material
mOned by Ile CupeNna Municipal Code.Chapter 9.1;and the Har!M and Safety
cam,OY�25532(a)? All roofs shall be inspected prior to any roofing material being installed.
ILWill tha applicant or furore building occupant care equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
,huallou air conumknants u mOned by the Bay Ma Air Quality Management all new materials for inspection.
mrict7
❑Yes - o
Ihe.madthe mmetah mWimmemr on mrCMPw+6.9fofthe Califor-
nix HmIM&Sarmy Secti�nszd70S,ISS]7and21771.1.rA= mdthmtthe Wild g C//)
doe.rot curron w• l Mw It h 'MIitY b mtifY to aaupanl Of the
rembern prio uanroaflCmifeab �eofphcant Date
ow art, a' a,a! Dae- All roof coverings to be Class'%¢"or better
CITY OF CUPERTINO
• 8 ITEMS OF 8 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 31646029 .00
DATE ISSUED. . . . . . . : 04/15/2008
RECEIPT # . . . . . . . . . : BS000004483
REFERENCE ID # . . . : 08040105
SITE ADDRESS . . . . . : 10323 MINER PL
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : PRESTON JOANNE
ADDRESS . . . . . . . . . . : 10323 MINER PL
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : VALLEY HEATING & CO
CONTRACTOR . . . . . . . : ATKINSON, THOMAS LIC # 141
COMPANY . . . . . . . . . .'k VALLEY HEATING & COOLING
ADDRESS . . . . . . . . . . : 1171 N 4 TH ST
CITY/STATE/ZIP . . . : SAN JOSE, CA 95112
TELEPHONE . . . . . . . . : (408) 294-6290
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
IBREMAIRHA NO.UNITS 1. 00 61 .19 0. 00 61 . 19 0. 00
1BSEISMICR VALUATION 16, 000. 00 1 . 60 0. 00 1 . 60 0. 00
1EPERMITFE FLAT RATE 1. 00 40 .79 0. 00 40 .79 0. 00
IMPERMITFE FLAT RATE 1. 00 40.79 0. 00 40 .79 0. 00
IMRRAA UNITS 1 . 00 61.19 0. 00 61 .19 0. 00
1PPERMITFE FLAT RATE 1 . 00 40.79 0. 00 40 .79 0. 00
1PRWHEATR UNITS 1 . 00 24 .48 0. 00 24 .48 0. 00
1TRAVDOC FLAT RATE 1. 00 40.79 0. 00 40.79 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 311. 62 0. 00 311. 62 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- -----=--------- - --------------------
CHECK 311 . 62 #17553
---------------
TOTAL RECEIPT 311 . 62
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- --------------------------- ------ ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
CITY OF CUPERTINO
FURNACE/AC
CITV OF
• CUPERTINO PERMIT APPLICATION FORM
APN# L 4 (P f] 2 9 Date:
Building Address: m
Owner's Name: Phone#:
Jo a- a- P e,5-(% c('03 - asp
Contractor: Phone#:
UCLA&A lAeczfi � Cce1.t Fax #: 0o— -,9 —e
Contractor License#: Cupertino Business License#:
o� S `f�
Contact: Phone#: z�L , agel 6� e
Fax#:
Building Permit Info:
Elect [� Plumb ❑� Mech (�
Residential Commercial ❑.
Job Description: i
raP �ace Fw�nac e, e �QcQ Plc to rvti � -
For Residential Installations:
Attic ❑ I"floor 2nd floor ❑
Adhere to minimum setback requirement
For Commercial Installations:
Replacement same weight ❑ Additional weight (structural talcs) ❑
Structural Calculations required for new installation ❑
New installation Planning Approval Required ❑
Cost of Project: Type of Construction (Usage Class):
Strapped I J On Platform Bonded New Location Replacement "
Valuation:
• Green Building: Must attach Green Building Check list to this application
CITY OF CUPERTINO
c'CQ FURNACE/AC
CITY OF
• CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURi1T/AC
1MCRAA Commercial-Repair/Alteration/Add to M
ea heating appliance,refi-igeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by this
code.
1MCREPALT Commercial for the repair of alt/add to M
ea heating appliance,refrigeration
unit,cooling unit,VAV boxes,
absorption unit or ea heathing, cooling
absorption,or evaporative cooling sys,
incl install of controls regulated by
• this code.
1MCSUSHTR Commercial Install/Relocate ea M
suspended heater,recessed wall htr, or
floor mounted unit heater.
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
1MCAPPVNT Commercial for the install/relocate/ or M
replacement of ea appliance vent
installed &riot incl in an appliance
permit
1BSEISMICO Commercial Seismic B
1MRRAA Residential Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
l evaporative cooling system,incl
installation of controls regulated by
this code.
1MRSUSHTR Residential Install/Relocate ea M
• suspended heater,recessed wall htr, or
floor mounted unit heater.
1MRAPPVNT Residential for the install/relocate/ or M
replacement of ea appliance vent
install ¬ incl in an appl permit.
.-� CITY OF CUPERTINO .
FURNACE/AC
CUPEk,Tuvo FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1PG7ASRES -Residential for ea-gas piping —P-
1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
1BSEISMICR Residential Seismic B
1MECPLNCK Mechanical Plan Check M
1MFR_< <—100 Furnace Syst 100k BTU install or M
relocate ea forced-air/gravity type
furnace/burner, incl ducts/vents
• attached to such appliance up to and
include 100,000 Btu/h
1MERN>100 Furnace Syst > 100k BTU install or M
relocate ea forced-air/gravity type
furnace/burner, incl ducts/vents
attached to such appliance over
100,000 Btu/h
IEPERMITFEE Electric Permit Fee E
1MPERMITFEE Mechanical Permit Fee M
1PPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
IBUSLIC -7Business License B
•
CITY OF CUPERTINO
FURNACE/AC
CITY DF
• CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
AIR FURN/AC
_ CONDITIONING
1BCAIRHAN Commercial A/C Units<= 10k CFM B
1MCRAA Commercial Mech Repair/alt/add M
1BSEISMICO Seismic Commercial B
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1PGASRES Residential for ea gas piping system P
of 1-4 Outlets
IBPGAS For each gas piping system of 5 or P
more per outlet. Comm/Resid
1BREMAIRHAN Residential A/C units <= l Ok CFM B
1MRRAA Residential Mech Repair/alt/add M
• 1BSEISMICR Seismic Residential B
IEPERMITFEE Electric Permit E
1MPERMITFEE Mechanical Permit M
1PPERMTTFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
1BUSLIC Business License B
/off 3
al
1.RENEWABLE ENERGY .. Points Available Par Measure
1.Pre-Plumb for Soler Hot Water Mestin p q
• 2.Instell Solar Water Heetin Systems 0 10
3.Install Wiring Conduit for Ful Photovoltaic Installation&Provide 2DD fP of SouN-FacingRoot 0 2
4.Install Phobvoltaic(PV)Panels
❑ a 30%t electric needs OR 12 kW(total 6 points) 0 5
❑ h.6C%t electric nods OR 2.4kW(total 12 poims) 0
❑ c.90%t electric need OR 3.6 kW(total 18 points) 0 6
Total Available Points ta RenawaWe Energy=2B D
J.BUILDING PERFORMANCE. Points Available Per Measure
1.Diagnostic Evaluations
❑ a.House Passes Blower Door Test p 1
br House Passes Combustion Safety Bwkdmfi Test. ._ ..._. _. -._ .- D
2.Design and Build High Partmordncs Homes-%above Thus 24-minimum l5%Required 0 >_30
5
❑ 3.House Obtains ENERGY STAR with Indoor Air Package Certification-Pilm Measure(Total 45 pointe;rted comment) 0 '
Total Available Points In Building Performance MI 0
E.FINISHES
Points Available Per Ideasure
CJ 1,Design Entryways to Redun TraJmd in Conlaminente 0 - 1 -
2.Use Low-VOC or Zs e-VOC Paint(Maximum 3 Points) -
❑ a LowVOC Insider WeIVCefling Pain(dD gpl VDCs(Flat)and 050 0 VDCs(Non-Flat)) D 1 _
❑ b.Zem-VOC:Insider W6111C81111n Pelma c5 gplVOC6 Flat DF_— 3
❑ 3.Use Low VDU,Water-Based Wood Finishes(Q50 pill VDCa) 2
_p—d.UcesLowVOL.CaulkenitConstructionAdhesives Qn I.VOCS)dor.All.Adheswes
❑ 5.Use Recycled-Contenl Paint ,(}�ti 0 1
S Use Environmentally Preferable Materials for Interior Finish:A)FSC-Lertifad Wood,B)Reclaimed,C) ' iy$fn able,D)Reryded-Content
or E)Finger-Jointed
❑ a Cabinets(5D%Minimum) ��'�u 0
❑ It.Imedor Thin(50%Minimum) •--1 rt f 0
❑ e.ShaNing(50%Minimum) 0
❑ (.Door(50%Minimum) 0
❑ e.Countenance 15D%Minimum) 0 1
7.Reduce Formaldehyde in Interior Finish(CA Section 01350)
❑ suSuMoor&Stair Treads(50%Minimum) 0 1
• ❑ b.Cabinetr It Countsdops(50%Minimum)
❑ c.Interior Trim(5D%Minimum)
❑ d.Shelving(50%Minimum) D 1
❑ S.AMer Installation of Finishes,Tet of indoor Air Shows For ealdeh de Level Q7ppb 0 3
(1Total Av le Points in Finishes=21 D
L.FLOORING
Poinls.4valaWe Per Measure
1.Use Environmentally Preferable Flooring:A)FSC-Conifisd Wood,B)Reclaimed or Refinished, C)Rapidly Renewable,) Recycled-Coni E)
Exposed Concretes Flooring Adhesives Must Have d0 giel VOCs.
l�l a.Minimum 15%of Floor Area C� p _ I 1 i
6 b.Minimum 3D%of Floor Area 0 ____i _ 1
❑ c.Minimum 50%of Floor Area D _ 1
❑ d.Minimum 75%at Poor Area
❑ 2.Thermal Masa Floors:Floor Covering Other than Carpet on 50%or More of Conwh Flooro 0 1
❑ 3.Flooring Mate Section 01350 or CRI Green Label Plus Requirements(50%Minimum) 0 2
TORI Available Points In Flooring=7 0
M.APPL3ANCES AND LIGHTING Points Available Per Measure
1.Insall Water and Energy Efficient Dishwasher
❑ a ENERGY STAR(total 1 point) 0 1
❑ b.Dishwasher Uses No Mors than 6S Gallo cls =I2 ms) 0 1
2.Install ENERGY STAR Clothes Washing Machine with Water Fetor of 6 or Less
❑ a Needs Energy Star and CEE Tier requirements(modified energy is=20,Water Factor 6.0)(total 3 perms) 0 1 2
❑ b.Meets Energy Star and CEE Tir 3 requirements(messed energy fetor 22,Water Factor 4.5 or ass) 0 r 2
tom 5 Dints
3,Install ENERGY STAR Refrigerator
❑ a.ENERGY STAR Qualified&<25 Cubic Feet Capacity p 1
❑ to ENERGY STAR Oualified It<20 Cubs,Feel Capacity 0 1
4.Insall Built-in Recycling Center 0
❑ a.BuPNn Recycling Center p
❑ It.Built-in Composting Canter D j 1
Total Avtlsole,Points In Applawes antl_19i 120
N.OTHER Points Available_Per Measure
❑ 1.Incorporate GreenPoint Rated Checklist In Blueprints-Required 0 - R
❑ 2 Develop Homeowner Manual of Gran Farureslae refits I0 1 1 1
• 3.Community Design Measures&LDcM Priorities:See the Community Planning 6 Design section In Chapter 4 of the No Home Guidelines for
measures.Madmum of 20 points 1w suggested measures.Local mgMremams may also be Paled here.
ri
02DD7 Build 11 Green Single Family GraenPoint Checklist 2007 Version Page 3 of 4
4.Use SDtid Wall Systems pnciudes SIPS,ICFs,a Any Non-Stick Frame Assembly) -
❑ e FIDDT1 0 2 2
• ❑
In,
ook _Wells 0 _ 2 - 2
❑ c.RD 2 2
S.Reduce Pollution Entering the Home both Me Garage
❑ a.Tightly Seal the Air Barrer between Garage and Living Area
❑ b.Instal Garage Exhaust Fan OR Build a Detached Brags o 1
6.Design Energy Heels on Trusses(75%of Attic Insulation Height at Outside Edge of Exterior Wall) 0 1
❑ 7.Deal n Roof Truseas In Accommodate Ductwork D 1
B.Use Recyded-Conlent Steel Settle for DDY.of Interior Well Framing 0 1 1
s.Thermal Mase Walls:life-Inch Drywall on All lntador Wells or Wells Weighing more than 40lhfm.tt 0 1
It Install Dverhanpc and Gutless
_.a Minimum 16-Inch Ovedmngs and Gutters . ... _ ._ ._ _. .. .._ __.__ _.. D
❑ b.Minimum 24-Inch Overtone and Gutlars 0 1
Tonal Points Avalable in Structural Building Frame and Envelope=36 0
E.ERTERIOR FINLRiH � Points Available Per Measure
LJ 1.Use Recycled-Content(No Virgin Plastic)or PSC-Certified Wood Decking0 2
Lj 2.metal a Rain Smesn Wall System 0 2
3.Use Durable and Noncombustible Siding Materials D 1
4.Select Durable end Noncombustible Rooting Materials - 0 2
Total Points Available In Exam Finish=7 0
F.INSULATION' - - Points Available Per Measure
1.Install Insulation with 75%Recycled Content
❑ s.Walls VCVM Floors D 1
—2 b-CelM s D --i—1—i---
21nstall Insulation Mat is Low-Embting(Urged Section Cl 351))
❑ a.Walls andlDr Moore D
❑ b.Callings 0 1
O.Insect dustily of insulation Installation before Applying Drywall 0 1
TOW Points Available In Insulation=5 0
G.PLUMBING Points Available Par Measure
1.Distribute Domestic Hot Water Efficiently(Maximum 7 Points)
❑ a.Insulate Hol Water Pipes from Water Heater to Kitchen 0
❑ b.insulate All Hot Water Pipes 0 ? 1
• ❑ c.Use Enginaeretl Parallel Piping 0
❑ d.Use Engineered Pamllel Piping with Demand Controlled Circulation Loop 0 h 1
❑ a.Use SeuDtured Plumbing with Demand Controlled Circulation Loop D 1 2 _
❑ 1.Use Central Com Plumbing 0 1 1 2
2Install Only High Efficiency Toilets(Dual-Flush or 5128 gini 0 1 4
Total Pants Available In Plumbing=Total 12 0
H.11FATING,VENTILATION R AIR CONDITIONING Points Available Par Measure
1.Design and Install HVAC System to ACCA Manual J,D,and S Recommodoons p ! 4 !
I Install Sealed Combustion Units
L
Fannon
b.Water Healers D I 1 2 1 1
Lj J.Install Zoned,Hydronic Radiant Heating with Slab Edge Insulation D 1. 1 1
4.Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants 0 1 1 !
S.Design end Install EbctW Ductwork
❑ e.Install HVAC Unl and Ductwork within Condl6onad Space 0 ! 3
❑ b.Use Dud Mastic on All Duct Jdms and Seams 0 1
❑ c.Install Ductwork under Attic Insulation(Buried Ducts) D
❑ d.Pressure Balance the Duciwoh System 0 1
❑ e.Frontlet Ducts Cirri)DDrISMICllDn and Clean All Duct before Occupancy 0 1
e.Install High Efficiency HVAC FIIler(MERV 6&) D ! 1 I
❑ 7.Don't Install Fireplace or Install Smled Gas Fireplaces with Efficiency Rating Not Less Than SO% 0 ! 1
using CSA Standards j
s.Install Effective Exhaust Systems in Bathrooms and i3tchens
❑ a.Install ENERGY STAR Bathroom Fans Vented to the Outside 0
❑ b.All Bathroom Fans Are on Timor or Humidisat 0 1
❑ c.Instal gtchen Range Hood Venial to the Outside 0 1
B.Install Mechanical Ventilation System for Cooling(Maximum4 Points)
❑ a.Install ENERGY STAR Coling Fans&UgM qts In Living Areas&Bedrooms 0
❑ b._Instal Whole House Fan with Variable Spends
❑ c.Automatically Controlled Integrated System 0 i 7
❑ d.Automatically COODlied Integrated System with Variable Speed Control - D �—3 --�
10.Install Mechanical Fresh Air Ventilation System(Maximum 3 Points
❑ a Any Whole House VanOlatien System That Meets ASHRAE 622 _ 0
❑ b.instal Ak-to-Air Heat Exchanger that masts ASHRAE 62.2 0 I 2 1
• 11.Install Carbon Monoxide Alarmist 01
Total Points Available in Heating,Ventilation and At Conditioning=3D Il 1
0 2DD7 Build 11 Green Single Family GreanPoinl Checklist 2D07 Version Papa 2 of 4
74. tl ian here,entl emer Dims rvellabl6la measure In dale tete odes m the right D 0 0 0 D 0
� __-______._dpliw hareanO emeroirrk rvB110,la measure in appmpd�rare roles to Ne rightdptionhere,entlemerpomisava0ablefameasureN 'ate tte odesro MerigM D 0 0f0P^ _d tanhere,entlenter poi0 0 ion:List Innovative measures that meat the green building objectives of the Guidelines.Enter up to a (Build it Groan Cheakinsis and
ma)dmum combined total of 20 pis.See Innovation Chackllst for suggested measures,using the link to the d ht. ' aiin
as
Innovation in Community.Einer tie 'on her,and enter points avellade inemeesme in apprgsiate cafe vies to the tight _ 0 0 _D 0 0 0
Innovefion in Enarpy:EnNr deet' 'an here,entl enter paints evallable iw measure In r oafs cetepodes to the fight. D _0 ____0 0 0 0
Innwepon in IAOkieetlh:6rtm Until here,and emer poirite wailable he mannurt in appropriate Categories to the right- _ D _ 0 _ 0 0 _ 0_ 0
LJ Innwedon in Resources:Enter description here,and enter oink available fn measure In rlate ca ries to the rl hL D _0 _D D 0 0 _
❑ Innovation in N'eler.Einer description hare,entl anter points evalkbla Iw measure N appropriate cekAodu to the dght __ __ D _ 0 0 _ 0 0 0
Totall Avallable Points in Other= 0
Total Available Points in Specific Categories' 4+ 96+ 42+ 66+ 43+
Minimum Points Rarluired in Specific Categories 0 3D 5 6 9
G 4 b r e
Project 13113 not yet met the following recommended minimum requirements:
-Total Project Score of At Least 50 Points
-Required measures:
-A3a: 50% waste diversion by weight
32-15?rc-above 77de-24 ..
-IJI:Incorporate Green Point Rated Checklist into blueprints
1`finirnum points in speciric categories:
-Energy(30 points)
-1AQ1Hea1Ch(5 points)
-Resources(6 points) -
-(Mater(9 points)
02007 Build R Green Single Family GreenPoint CheOdu 2D07 Version Pena d M4
Single Family GreenPoint Checklist date: s—J Build It Greeeri
The GreenPoint Checklist is based on the various green features incorporated lino the home and is the (—J Smartklutions From ire Ground Up
basis for the GreenPoirsl Rated pmgmm,A home can be Considered green It It fulfills the prerequisites,
cams at lead so points,and rt Wet the minimum points per category Energy s;of Indoor d Cuailryl I '
• HaaIM(5),Resources ste end Water(g).Please contact tion. It Green for a list of qunNletl GreenPoint J
Raters M you are interested in pursuing Mlrtl-parry,verification.
Th green building Dradime listed below,ar described in the New Home Cozstrugion Green Building
Guidelines,evallable at wn'w.buili itora-mora. g
U �
A.SITE - -{ Points Available Per Measure
1.Pli teet Topsoil end Minimize Disruption at Existing Plants 6 Then
❑ a Protect To l from Erosion and Rose after Construction _ _ ___ 0 1_ 1
—[]—b' —andneiine— Combudlon Fo ill'or Mexmum Tdedo� 0 1
2 D•Wnabmq Nstmd of Demdiehln Eristin Bulldinps On She p 3
3.Recycle Job SIh Construction Waste including Green Waste)
❑ &Minimum 50%Waste Diversion by Weight(Raycling or Rause-,Rebored
❑ b.Minimum 65%Diversion by Weight(Recycling or Rause) p 2
❑ C.Minimum 60%DMereen by Weight(Reryding or Rouse) p - Z
4,Use Recycled Cement Aggregate(Minimum 25%)
❑ a Walkway and Dresemyp I l
❑ b.Roadway Base 0 --" - 1
Total Poral Amiable In Site 12 0
13.FOUNDATION - - - Points Avallable Per Measure
1.Replan Portland Cement in Concrete with Resyclad Rysh or Slag—[]—a.Mlmmum 20% as&Slag 0 -
❑ b.Minimum 25%Flyinsh aSlag
p
2 Use Frost-Promp ed Shallow Foundation in Cold Arns(C.EC.Climate Zone 16) p 3
3.Use Radon Resistant Construction On At-Risk Locations Only)
4,Design and Solid Structural Pen Controls
❑ a.Istag Train Shields a Samuel All Extedq WDod-f-Corcml Connections by Metal or Plastic Featamrs'Dividan0 _ I
b.All New Plants Have Tmnk,Baas,or Stem Located At Leen 36 Inches from Foundation Roo FEE- 1 '
Toal Poles Available in Foundation 111 0
C.LANDSCAPING
Paints A\ailable Per Measure
1.Construct RnourxEfficiem Landscapes
• ❑ a No Inmsive Species Listed M Cal-IPC Are Planted
E:) _
b.No Plain Spades WIII Require Hedging 0 1
❑ c.75%of Plants Am Drought-tolerant California Natives,Mediterranean,or Other Appropriate Species D 3
2 Use Fra-See Landscaping Techniques ) p 1
3.Minimize Turf Ares in Landscape Installed by Builder
❑ A All Turf W0 Have a Water Requirement Les than or Equal l Tae Places(50.6 plats tacmr) 0 Z
❑ b.Turf Shall Not Be Installed on Slopes Exceeding 10%or in Aran Laos than 6 Feet W de p 2
❑ c.Turf Is 533%of Landscaped Area(IoW 2 points) —
❑ d Tud Is 510%of Landscaped Area(total4 points) 0 >
1,Plant Shade Tress 0 3
5.Group Plants by Water Needs(H dromnin ) p 2
6.Install High-Efficiency Irrigation Systems
❑ a System Uses Only Lc*Flow Drip,Bubblers,or Low-flow Sprinklers 0 2
❑ b.System Has Smart Controllers 0 j 3
7.Incorporate Two Inchn of Compost In the Top 6 to 12 Inches of Sell 0 1 3
❑ 6,Munch AIL Planting Bede to the Grnler of 2Inches or Local Water Ordinance Requirement 0 2
9.Us 5D%Salva ed or Racycled-Co i l Materials her 50%of Non-Plant Landscape Elements 0 1
10.Retlucs Light Pogudon by Shielding Return andlor Dimming Light Downward 0 1
Total Points Amllade In Landscaping=31 0
D.STRUCTURAL FRAAdE&BUILDING ENVELOPE Points Available Per Measure
1,Apply Optimal Value Engineering
❑ - a.Place Rafters and Studs at 24-Inch On Canter Framing
❑ b.Size Dow and Window Haaden for Load D 1
❑ c.Use Only Jack and Cripple Studs Required for Load p I
2 Use Engineemd Lumber
❑ a.Beams and Headln
❑ b.Insulated Engimeerad Headers 0' 1 T
❑ c.Wood).Joists or Web Tmsses for Floors 0 1
❑ d Wood Wipers Inr Root Francis
❑ e.Engineered or Fingerkinad Studs for Vertical Applications 0 1
❑
I.Oriented Shand Board for Subgow
❑ g.Oriented Strand Board for Wall and Rod Sheathing D 1
3.Use FSC-Certil Wood
• ❑ a.Dimensional Lumber,Studs and Timber.Minimum 40% p >
❑ b.Dimensional Lumber,Studs and Nnber.Minimum 70% p >
❑ c.Panel Produce:Minimum 40 p - I
❑
it.Panel Pmbuds:Minimum 70% D I 1
4a onrn R,rl.l a(:sen Clnnl=Fomlh,Cr==nGninf l:h=rrolicr 9nn7\/=rcinn own=�el�
Community Development
10300 Torre Avenue
an
Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
*UPEkTINO
Building Department
JOB ADDRESS: PERMIT #
OWNER'S NAME: G PHONE #
GENERAL CONTRACTOR: FAX # (� G
I am not using any subcontractors: -
(/Signature Date
Please check applicable subcontra rs d complete the following information:
60 SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
Linoleum/ Wood
• Glass / Glazing
LOOV Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
r/Contractor Signature Date