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08030063 CITY OF CUPERTINO LY � �ca��k"7 °: •BUILDING DIVISION PERNIIT 'a�,COlYRA.CTQRINFORMATI1N >w. BUILDING ADDRESS: PERMIT 440. - 18771 PENDERGAST AVE A PERFECT CLIMATE 08030063 OWNER'S NAME: PERMIT ISSUE DATE MARK SMITH 8375 BRENTWOOD BLVD STE B 03/12/2008 ONE: - SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING P13RMMWO INSTL NEW MINI- PLT DUCTLS BLDO O PO 0 fop LICENSED CONIRAC O S DECLARATION Job Description r� F 1 hereby afRrm NY 1 am licensed under provision of Chapter 9(commencing withSection 70G1)of DlNdon 3 of the Business ad Professions Code,and my license is in full force and effect n�Z License Class Lte.d 0� Dan—cmdursocuor ARCHf1EC1•S DECLARATION eI undenund my Plana Mail be used As public rermrN 'Cod Llcermcd professional OWNER-BUILDER DECLARATION 7 I Mousy affirm Nat 1 am mompt from the Connectors License Law for the D o following won.(Section 70315,Business and Profeaaiun Code:Any city or county $ which mqulms•Permit to construct..1w.imPmw,demolish,or repair any sumem. 2,e pnor to its innnce,slay requires the applicant for such Permit to file a signed mtemem < thus heis licensed pursuant Wthe ProvisionOfthe ConuacterSLicense Law(Chapter 9Sq.Ft.Floor Area Valuation i€ (commencing b mencing with Section, of Division 3 of the Business And Professions Code)or ERR R Nat he is sump'therefrom and the ub for the alleged exemption.Any vlolalfm of Section 7031.5 by any applicant for a permit=*cm the applicant m a civil penalty of APN Number Occupancy Type not mom Nan Rw hundred dollars($500). 0 t.As owner of Ne property.Or my employees with wages as their orb compensation, will do the wort,and theawmum b not intended or offered for sale(Sm.ION,Business Required Inspections Nd Profession Cade:The Contractors License law dom coat apply m w awes of q p property Who bulldaofimprows Bxmon.andwho clansmen work himulfmthrough his awneprovided ehimpmwmrndinnot intendndmaemd U, however,me Wilding or Improvement is add within an year of completion.the never, Wilds,will haw the Wooden of Proving Nat he did not build m Improve or purpose of ale.). An owner a Ne property.w eaclusiwly eorusamis with licensed conusemrs to qatramuct the project(Sec 7044.Buda and profession Cock)The C=UWWeS Li- .taw does out apply In an owner of Propcny who build car Meows Nercon.and, who cortracu for such projew with a eanuxwt(s)licensed peranm in the Conuamors License Law. _ ❑I Am xe empt under See ,B d PC for bmamn ' weer >✓L/✓Vl Date / WORKER'S COMPENSATON DECORATION 1 hereby aOlrm under penalty of perjury aro of the fallowing declamations: 0 I haw and will maintain a CcdRcan ofconent to elf-luum For wa ins,.Carmen. mion,u provided for by Section 3700 of the Labor Code,for,0te performance of the work for which this permit is issued. 0 1 have and will maintain Worker'Compensation Insurance,As required by Section 3700 of the tabor Code,for Ne performance ofdm work forwhich Ods permit is lural ' My Wmkefa Campenadon Insurance artier and Policy number am: Carrier Policy No.: - CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (nisseNor rcW mtbecmnpicud ifthe permit Is faun hundred do0va(SI00) or less) 1 certify Nat in Ne per(mor.of Ne work for which Nis permit is tared,)mail oro employ any por=n in any meo= o o e= w bet to the Workers'Compoematior Laws of California.Dam Applicant NancE m APF UNT.1f.aMrmAiPriNi3aminnmofLmption,ymAoug ism us,subject to the Worker's Compenaddor provisions of W tabor Code you muss z forthwith comply with Inch provisions or this permit mail he decr nd mwked. „zt^' CONSTRUCTION LENDING AGENCY [ti.N+ IWroby affm ft,them isacontwNnn lending agency for he performance of 15 ti cite wnM1 for which Nis permit Is issued(Sec.3097,Civ.C.) 14 Q Landers Name z Landers Addw U G 1 curtly that I haw read this application and state this the show information is IT.F cone"'1 ogre m=reply with All city And county on'"A nes and state laws mladng m 0 SV' building=ntuunian,aM hcmbY wmorin:mpmaeotuivra of Nb city m=¢ruponf {27 above-mrntioned pmpeny fm-direction purposes6. (We)agree m ave.indemnify ad keep 1umLess the City of Cupertino against fg liabilitiesjudgmend.costa and expenses which may In my way amore agdnlsaid City UZ in covegcence of the granting of this perm, .. APPLICANT UNDERSTANDS AND WLL COMPLY WITH ALL NON-POINT Issued by: Date SOUR REGULATION�S. 44 AA u � 3��r�� Re-roofs Si{nau f TiC nuxetor —� a�is / HAZARDOUS MATERIALS DISCLOSURE Type of Roof WIII Ne applicant or future building Oavpantatme rehandle handout mamrW as dented by the Cupertino Municipal Code.Chapter 9.12.and Ne Health and Safety Cal",Section 2753y(a)? [:]Y. All roofs shall be inspected prior to any roofing material being installed. ?Na Will the applicant or future building occupant use cqulpmal or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit luvadnu air commirund As defined by IM Bay Amo Air Quality Management all new materials for inspection. District? ❑m I haw read Ne haadmdmatenab mcmir mmusundu Chapw6.95 of he Califor- niaHnithh SafmyCode,SeNmd25505.25533 ad 25534.1 uraieruand thalfthe dtilding dew Out eumndy have a amanL that it b my mrWnuMlitY to natty the aerupant of dm eq lm" "°w�m"e'Pn�p aa""�°`'coir te°`� p"`- / Signature of Applicant Date 4�md< IQ[ �� //�/DR All roof coverings to be Class'% or better Ower or hamsd agent Date CITY OF CUPERTINO i l O FURNACE/AC CUPEkTINO PERMIT APPLICATION FORM APN# r7 5 AO V Date: 2 c 8 Building Address: Y771fg—VPFtQ4sT 41,16 CaPe,0- Owner's Name: Phone#: Contractor: Phone#: 4S— f'6k FFc7' C Z-1 m AT E Fax#: Contractor License#: .. Cupertino Business License#: at ZA 3 1,51. airy Contact: 13yRO I S,/n/7W Phone #: ���. � 4�S'— A/ Fax #: Building Permit Info: Elect ❑ Plumb ❑ Mech ❑ Residential Commercial Job Description: 4)S7A1, AJE I ^ 5 ?/:.l r D uc [ 'bs e,4T06x S S For Residential Installations: Attic ❑ 1"floor ❑ 2"d floor ❑ Adhere to minimum setback requirement For Commercial Installations: Replacement same weight ❑ Additional weight (structural calcs) ❑ Structural Calculations required for new installation ❑ New installation Planning Approval Required ❑ Cost of Project: Type of Construction (Usage Class): GYj - -- Strapped ❑ On Platform Bonded New Location Replacement ❑ Valuation: Green Building: Must attach Green Building Check list to this application CITY OF CUPERTINO (q FURNACE/AC CUPERTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group FURNACE FURN/AC 1MCRAA Commercial-Repair/Alteration/Addto M ea heating appliance,refrigeration unit, cooling unit,absorption unit,or ea heating,cooling,absorption or evaporative cooling system,incl _installation o£controls-regulated-by—this code. IMCREPALT Commercial for the repair of alt/add to M ea heating appliance,refrigeration unit,cooling nnit,VAV boxes, absorption unit or ea heathing, cooling absorption,or evaporative cooling sys, incl install of controls regulated by this code. IMCSUS14TR Commercial InstalI/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 Conunercial for the install/relocate/ or M replacement of ea appliance vent installed & not 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 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 &not incl in an appl permit. CITY OF CUPERTINO �c FURNACE/AC CITY CUPS TWO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group FURNACE FURN/AC 1PGASRES Residential for ea gas piping system of 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 r=100k BTU install or M relocate ea forced-air/gravity type • fumace/bumer, incl.ducts/vents attached to such appliance up to and include 100,000 Btu/h 1MFRN>100 Furnace Syst> 100k BTU install or M relocate ea forced-air/gravity type fiunace/bumer, 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 1BUSLIC Business License B • AV CITY OF CUPERTINO FURNACE/AC CUPERTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group AIR FURN/AC CONDITIONING 1BCA.IRHAN Commercial A/C Units<= lOk CFM B 1MCRAA Commercial Mech Repair/alt/add M 1BSEISMICO Seismic Commercial B 1PGASCOM Commerical for ea gas piping System P 1-4 outlets 1PG7ASRES _Residential-for ea gas pipin�em—P— – "--" of 1-4 Outlets lBPGAS For each gas piping system of 5 or P more per outlet. Comm/Resid 1BREMAIRI-IAN Residential A/C units <= IOk CFM B 1MRRAA Residential Mech Repair/alt/add M 1BSEISMICR Seismic Residential B IEPERMITFEE Electric Permit E 1MPERMITFEE Mecharvcal Permit M 1PPERMTTFEE Plumbing Permit P 1TRAVDOC Travel Documentation B 1BUSLIC Business License B e Single Family GreenPoint Checklist Build It Greed The Grits lel Chod4st is basad on the various green features Incorporated Into Ne home and Is the Smart Solutions From The Ground Up basis for the GreanPoirn Rated program A home can be considered grow If it fulfills the praracunites, earns at least 60 Resources (antl meets r(minimum contact per category.Energy at of Indoor Air rear iryl Heath(�,Resources(6),and Water(S).Please corned BuOd l Groan for a list d qualified GraenPold Raters R you are Interested In pursuing third-party verificatlon.- The green building practices listed below are described In the Now Home Construction Green Building Guidelines,avallable of www.bulltlibraen.om. ENTER PROJECT • s s LIE Q A.6IiE -Q �--'- -Poirlls Avallade Per Measure 1.Prosed TopsoO end MininnizeDistruptilonotExisfing0lbri ❑ a.Protect Topad from Erosion and Reuss after Consbuctlon D ❑ b.Llmtl and Defrosts Construction Footprint for Maximum Pmteclion 0 L Dero a'Xst Ld of Demolishin Estill Bindings On Site - 0 3 3.Rerytle Job Sib Concbuction Wash gntludmg Green Waste) ❑ aAfinlmum 50%Wash Diversion by Waigb(RoWng or Reuse)-Requiratl D El b.Minimum 65%Dwomen by Weight(Recycling or Rause) U-'- ----Zq i ❑ a Minimum BD%DNoreion by Weight(Reyclinp or Rause) j- 4.Use Reotdod Content Aggresse gainimum 25%) ❑ a Walkway and Dill 03 ❑ b.Roadway Son ------- - -- D 3 Total Points Avalable In Site=12 0 B.FOUNDATION' - Points Available Per Idaasure 1.Replan Portland Cement In Concrete with Reyclod Flynn or Slag ❑ a Minimum 2D%Rplem a Slag o_ 1 ❑ b.Minimum 25%Flash a Slag0 1 L Use Frost-Preseebd Shallow Foundation In Gold Areae C.E.C.Climate Zone 161 D 3 3.Use Retlon Resister"Concbucdon gn At-Risk LDwal Only) D 1 1.Design and Buld Structural Pest Dentrob ❑ a.Install Termite Shields a Separate All Etledor Wood4loConoreb Connections by Metal or Pia tic FastonsomOlviders b.All New Plants Have Trunk,Base,or Stem Located M Least 36 Inches from Foundation D 1 Total Paints Avallable in Foundafer B 0 C.LANDSCAPING Pants Available Per Measure 1.Construct Rsource-ERcient Landscapes - • ❑ a.No Invasive Spades Listed by Cal-IPC Am Planted —- ❑ b.No Plain Spades Nil Require Hedging ❑ c 75%a Plants Are Drought-tolerard Celihmie Natives,Idodibnanaan,or Olhaz Appropriate Spades 0 2 Use Flrt,Sah Landscaping Tetllniqus0 1 3.Minimlm Tud Areas in Landscape Installed by Builder ❑ a All Turf W0 Have a Water Requirement Lees than or Equal to Tall Fescue ISM plain fadofj 2 ❑ b,Tud Shall Not Be Installed on Slopes Exceeding l D%a in Areas Less than B Feet Wide _C I 2 El c.Turf is 533%of Landscaped Area(tobl 2 points) 0 I I 12 Eld.Tud Is Si D%of Landscaped Area(iMel 4 pains) -0 0 El 4.Pbrd Shade Tress 0 3 S.GroupPlants by Water Needs(Hytlrcaoning) 0 ! 2 e.lesson High-Lmdeny Irrigation Syebms ❑ a System Uses Only Lox-Flow Dtip,Bumlars,or Low-fmw SpMklers 0 j 2 ❑ b.System Has Simon Common 0 r T— 3 7.Incur orate Two Inches of Compost In the To 6 to 12 Inches of Soil 0 3 ❑ e.Mulch All Planting Bede so the Greater of 2Inches or Local Water Drdlnann Requirement iDf. 2 LJ 9.Use 50%Selvaged or Recycietl-Consent Materials for 50%of Non-Plant Landscape Elements 0 I 1 1 D.Reduce Light Pollution by Shielding Fhbrea secret Dil Light Downward 0'r 1 I I Total Points Avallahle In Lards in'c 31 0 .,1 4 D. STRUCTURAL FRAME&BUMDBNO'ENVELOPE '�M Poli lable Pet Menum 1.Apply Optima Value Engineering ❑ a Fine Ratters and Studs at 244n:h On Center Framin Elb.Sze Door and Window Headers for Load S ❑ c.Use Only Jack and Cripple Studs Required for Load 2.Use Engineered Lumber ❑ a Beams and Headers ❑ b.Insulated Engines,ad Hastens --- ❑ - c.Wood Nests or Web Trusses for Floore ❑ d Wood IJoists is Roof Rafters _0 �- ❑ e.Engineered or Fill oldetl Sleds for Vertical ApplicationsG�� ❑ f.Oriented Strand Board for Storm ❑ g.Oriented Strantl Board for Wa0 and Rod Sheathing -- - 3,Use FSCLertl6ed Wood ❑ a.Dlmanaional Lumber,Studs and Timber.Minimum 40% V❑• . 0 2- ❑ b.Dimanslonal Lumbar,Studs and Timber.Minimum 70% _ 2 c.Panel products;Minimum 40% .0�' ❑ d.Parol Products:Minimum 70% -p-- '- '--�T-73--'--'- 02007 Build It Green Single Famfy GraenPolnt ChacNist 2OD7 Version Page 1 of 4 ENTER 1.Ua Solitl Wall Systems gnGutln SIP41CFa,a Airy NonStlet Frame Aaembty) , ❑ a Floors 0 _ 2 I 2 ❑ b.Walls 0 2 1 2 ❑ c.Rook D —_ 2 . 1 2 , 5 Fall Pollution Entering the Home from the Garage ❑ a Tlphtly Sal the Air Sealer between Gangs and Lining Area D I ❑ b.Inmell Gare s Exheum Fen OR Build a Dalached Gere e 0 1 LJ 5 Dal n En Hash on Truun(761,of Alto Insulation Haight at Outside Ede of Exterior Wel 0 1 7.Design Roof Trueness to Accommodate Ducavork 0 1 I e.Use R clndLoalem Steel Surds for goof Interior Wag Fremin D 1 0.Thermal Mao Walla:504nch Drywall on AD Interior Wells or Wells Weighing mora Nen 401bleu.ft D S 1 D.Install Overhangs and Guttas ❑ a MIInlmum 18-lnah Overhangs and Gutters D I ❑ b.MinInmm 24-Inch Narcan s and Gutlers D 1 Total Points Available M$=lu al Bu5cling Fterrw and Envelops.36 D R.EXTERIOR FINISH Points Avelleble Per Measure 7.Use Re pled-Courant No Virgin Plastic or FSC-CeNNd Wood Dacldnq D 2 2.Install a Rain Screen Wall System D 2 LJ J.Use Durable and Noncombustible Siding Materials D 1 1.Select Durable and Noncombustible Roofing Materials 0 I 2 Total Pointe Avelleble In Ertedor Finish.7 D F. INBULATION Points Avallahle Per Meaume 1.Install Insulation with 75%Recycled Contest ❑ a Wells end'or Floor D ❑ b.Cellos 2.Install Insulation thea is Low-Emoting(Cardfied Section 01350) ❑ s Walls andlar Floor 0 ❑ b.Ceilings 9. inspect ODellty of Insulation Installation before Applying Drywall 0 1 Total Palms Avaimble In Insulation.5 0 O. PLUMBING Points AeellaWa Per Measure 1.Distribute Domestic Hot Water Efficiently(Maximum 7 Points) ❑ A Insulate HG Water Pipes from Water Hester to Kitchen 0 ❑ b.Insulate All Hot Water Pipes 0 —, 1 ❑ c.Use Engineered Parallel Piping 0 ❑ d Use Engineered Parallel Piping with Demand Controlled Cimuletion Loop 0 El __ e.Use Sbuchud Plumbing with Demand Controlled Ch-Watlon Loop 0 _ ❑ 1.Use Central Con Plumbing D ET-2.Install Only High Efficiency TOM$ Dual-Flush or 51.20 qpj 0 I 1 4 Total Points Available In Plumbing.Total 12 0 H. HEATING VBNM A710M h AIR CONDITIONING Points Avallede Per Measure Lj 1.Oeaign and Install HVAC System to ACCA Manuel J.D.and 5 Recommadecons 0 I 4 1 ! Z Install Sealed Combuatlon Unit ❑ a Furnaces 0 2 ❑ b.Water Hastens 0 ! 2 1 1 J.Installzoned,Hydronic Rediam Hating with Stab Edge Insulation 4.Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerant 0 1 I S.Design and Install Effective Ductwork ❑ a.Instal HVAC Unit and Ductwork within Conditioned Space D 3 ❑ b.Use Dud Mastic on Al Duct Joints and Seams 0 I 1 I�--�! _ ❑ c.Install Ductwork under Atfic Insulation(Salad DUG —S) D 1 1 1 I 1 _ ❑ d.Pressure Sala"the Ductwork System 0 ❑ e.Protect Ducts dudng Consimc6oh and Clean All Ducts before Occupancy 0 1 &Install High Efficiency HVAC Filter MERV 6. 0 ❑ 7.Dont Instil Fireplace or Ins all Sealed Gas Fireplaces with Ef l flaring Not Less Than 60% 0 ! I 1 using CSA Standards 6.Install ENa1Ne Edlsum Systems in Bathrooms and Kitchens ❑ a.Instal ENERGY STAR Bathroom Fere Vested m the Outside - p 1 ❑ b.M Bathroom Fears Am on Timor or HumlNsW D I1 ❑ -c.Insists Khchen Range Hood Vemetl to the Outside p 0.Install Mechaicai Ventilation System for Cooling(Maximum 4 Point) ❑ a Install ENERGY STAR Calling Fens a Light Kite In Living Areas&Bedrooms 0 1 ! ❑ b,Install Whale House Fen with Variable Speeds 0 ❑ 4 Autcmallcally Cretolled Integrated System pT— ❑ d Automatically Controlled Integrated System Win Vadeblo Speed Conbml 0 ; 3 ; 10,Install Meahenical Fresh Air Ventilation System(Mulmum 3 Polnt) ❑ a Any Whole House Vemilidi System That Mats ASHRAE E22 D ! 2' ❑ binsWI AV-toAlr Heat Exchanar that meed ASHRAE M2 0 t 1.Install Carbon Monoxide Alamos 0 1 J Total Pointe Avalable In Hearing,Vanmation and M Condtionin .30 0 02007 Build It Green Single Famlly GresnPoirn Cheddtt 2007 Version Pa0e,2014 ENTER PROJECT ------ Run' g w L.1d8NIgWAB78 SNE@GY - Points Available Per Measure 1.Pre-Plumb for Bola Hot Walter Heading '0 I 4 1 2lnaell Sola Winer Heating System 0 10 i 3.Insall VAI.n Conduit for Future Phutovclaic Installation&Provide 21,13 to of SDurth-FlIdnii Root D 2 4.Insall Phorovoltve(PV)Panels ❑ a 30%of eledtlo'eeds OR 12 kW lost 6 pools) _ 0 ( 6 ❑ b.SD%Of cloche needs OR 24kW los)12 Fors) ❑ C.90%Of electric need OR3.6 kW(to&l9 points)' 0 6 Total Available Fans In Reawaae Energy=2& 0 J.BTIILDING PERFORMANCE _ I Points Available Per Measure 1.Diagnostic Eveluations ❑ L House Passes Blower Door Test 0 g ; b.House Faeces Combustion Be SackdratlTest 0 1 2 Design and Build High Performance Homes•%above Tlee 24-mini mum 15%Required 0 >_3o T-13.House obtains ENERGY STAR with Indoor Air Paull Certification Pace P,7eeeure Rotel 45 points;reed rommeng p 5 2 Total Available Pris a nBuilding Performance=39 0 K.FINIBF�B Points Avallable Per Massum I.Design Entryways to Radon Tracked in Contaminants 0 1 2 Use Low-VDC or Zero-VOC Paint(Marimum 3 Points) ❑ a.LawVDC Interior WaXeong Pa ms(d0 gid VDCs(Flag and<l So ad VDCs(Non lag) 0 1 1 ❑ b.ZsroVOC:Interior Walmoethi Palmer(d lint VOCs(Flag) ❑ 3.Use Low VOD,Water-Base Wood Finishes Q50 gpi VOCs) 0 2 ❑ 4.Use Low-VDC Caulk and Construction Adhesive(40 gpI VOCs)for All Adhesives 0 2 ❑ 5.Use Rs tied-Conant Paint 0 1 S.Use Emr1ronmar ally Preferable Materials for Interior Finish:A)FSC-Certified Wood,B)Reclaimed,C)Rapidly Renewable,D)Recydad-Content or E)Finger-Jointed ❑ a.CaMnes(50%Minimum) 0 1 ) ❑ b.Interior Thin(50%Minimum) -p - ----- - "" ❑ c.Shaving(50%lernimum) ❑ d.Doors(5D%Minimum) .._D ❑ e.Colman (5D%Minimum) 7.Reduce Formaldehyde In interior Finish(CA Section Of 350) ❑ a.Subfio r&Stair Treads(50%Idinimum) 0 1 ! • ❑ b.Cabinets&Cm,ronops(50%Minimum) _0- El =❑ c.howtor Tdm(50%Minimum) ❑ d.SuMin 50%Minimum) - - '----_-- "---'"- 1 r ❑ B.After Instillation of Finishes,Test of Indoor Air Showa Formaldehyde Leval a7ppb 0 3 Total Available Points in Finishes=21 D L.FLOORING Points Aollable,Per 6denura 1.Use Environmentally Preferable Flooring:A)FSC.Cerdfied Wood,B)Reclaimed or Refinished, C)Rapidly Renewable,D)Recycled Contest,E) Exposed Concrete Flooring Adhesives Must Hem 60gP1 VOCs ❑ . a.Min1muml5%of FlDa Area g i i 1 T ❑ b.Minimum 30%of Floor Are - — -' --- ❑ c.Minimum 50%d Flow Area -0 0 --- ❑ tl.MlnMum 75X of Floor Area' g - - - -- -1 - ❑ 2Tha, Mae Floors:Floor Covering Other than Carpet on SD%or More of Concrete RDore 0 1 ❑ 3.Floating Meets Section 01350 or CRI Green Label Pius Ra uiremens 50%Minimum) 0 2 Total Available Points In Running=7 0 M.APPLIANCES AND LIGHTING Prems Available Per Measure 1.Install Water and Energy Efficient Dishwasher ❑ a.ENERGY STAR(total 1 poing _ o ❑ It.Dishwasher Uses No More Nan 6.5 Gagona cla(total2 points) 2.Insall ENERGY STAR Clothes Washing Machine with Water Factor of 6 or Less ❑ a Mn"Energy Sar and DEE Tier 2 requirements(modifietl energy factor 20,Water Fader 6.0)(total3 points) _p __ 1 _!L __. 2 ❑ b.Mets Energy Star and DEE Tier 3 requirements(modified energy factor 22,Wean,Factor 4.5 or less) 0 - 2 "' s5 is 3.instal ENERGY STAR Refrigerator ❑ a.ENERGY STAR Oualified&=25 Cubic Feel Capacity 0 ❑ h.ENERGY STAR Ovaiii ed&<20 Cubic Fool Capacity 4.Insall Built-In Recycling Canter g ❑ L Bu014n Recycling Center ❑ o h.BuIll-In Compsting Cantor - Total Available Pointe In Appliances and U htin =12 0 N.OTHER Pains Avallahla Per Measure ❑ 1.Ineorporale GraenPoinl Rated Checklist in Blueprints-Require g i R • ❑ 2 Develop Homeowm_r Manuel of Green FeareYBenefits • 3.Community Design Measures 8 Local Priorl See the Community Planning 8 Design section in Chapter 4 of the New Home Guidelines for measures.Maximum of 20 points for suggesad measures.Local requirements may also be Menti hare. 02007 Build It Green Single Family GreanPoint ChadJisi 2DD7 Version Page 3 Df 4 ENTER PROJECT NAME Emr dewsim hm antl lann_pdme IrvaAaMe le muu en M arprpdeb CnlpDtlp iD Ma dplM1_ _ _ 0 D _0 _ _ 0 D o Enn deewipdm hen mtl attire ne weeeMe la meawn m e{pmpdete mlepmp to the dpM. _ D _0 0 0 0 Enlx derodellon hen,Dntl anter pWnu sualtane la measure In approp4a4 cabpxlw l0 0e dpht ._ 0 00 D _ Enx 09=01im Mar n,end polme mine,fa manure In ap"ADxeporlae to the ripn.— _ _ _ _ 0 0_ _D _ 0 -D D 4.Innovation:Ust Innovative measures that meet the Breen building obJectNes of the Guidelines.Enter up to a Build a Green Checklists and ma4mum combined total of 20 pts.Sea Innovation Checklist for suggested measures,using the link to the right _ _ Guidelines Innwellon M CDmmunl :Enui de iai hen,arM amn One evplbde la measure In ab tela abs ID the d _0 _ 0 0 _D '° 0 InnwallDn M Etta En xtl Aon hen,and inter Inn evduana Ib�meuun in 4U cab adu to the d 0 0_ _0 0 I LJ ImmatIm M IAOeiulth;Enn dopeUm Atte,and ener pDInz vallibb fm mmun M apprapio calegoin b the fight. D_ 0 0 ° _°__ 0 _ Innovation M aaaxrtDas:Entre disupum hx4 and enx wa aw for naam M qpppriaw witagarip,to the dgK D 0 0 IrmweAon M Watx,Enx tlrxe�lion hm,and mx—p wellmaa In meanae M wb ee to the _ _ -- - — - ---gym poi— -- °- - " -D D - _o- _-o TDWAvaiabls Palm In Omar.4 0 Total Available Points in Spaciflc CatDgodes• 4+ 96+ 42+ 66+ 43+ Minimum Points Required In SpeciFlc Cetegodas 0 30 5 8 g Total Pninis;Achieved D D 1) a e e Project h ka not yet met the tol6owing recommended minimum raqulreMonte: -Total Project Score Of At Least 50 Points - -Required measures: -A3a: 50% iveste diversion by weight -12: 15a/D above Title 24 -IV1:Incorporate GreenPoint Rated Checklist Into blueprints -Minimum points in specific categories: - -Energy(30 points) 1AQ/He3lth(5 points) -Resources(5 points) -Water(9 points) 02007 Build It Green Single Family GreenPoint 0heddls12007 Version Pans 4 of 4 Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 �S-3 CITY OF Fax(408)777-3333 �UPEkTINO Building Department JOB ADDRESS: PERMIT # OWNER'S NAME: PHONE # GENERAL CONTRACTOR: 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 He Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date