08030085 CITY OF CUPERTINO
BUILDING DiVIS1ON PERMIT CONTRWC-TOR 'ORNIrSTION
BwLDiN8VT9Ess$TERLING BLVD CHEROKEE CONTRACTING CO. PO8O3OO85
OW NERs NAME:: PERMIT ISSUE DATE
ERIKE RICKETTS 356 MATHEW ST 03/17/2008
NE: SANITARY NO. CONTROL NO.
(408) 727-9850
ARCHITECTIENGINEER: BUILDING PERMIT INFO
BLDG elPCl• PLUMB MEC"
O O O O
sop LICENSED CONTRACTORS DECLARATION
iI hereby affirm that I ua licensed under provision of Chapter 9(commencing Job Description
]l withSection70110)ofDivison3oftheBusiness and Prolmai e,Code,AMmylkesumu PULL PIPE, SEWER REPLACEMENT
nn in full forte d a ret.
C{J-Ft Demnm Cleaan .. Coen br' .` Sb 1 7 .
eS ARCNRELcom N
e 1 mulmdand my plans Mall be used an public records
3 n.
k uCi Licensed Pvarrim nal
5 OWNER-enrnp,BUILDER mDECLARATION
a f I bmaso .(Brio that I 1 uempt from cite Cssions o IJeenm Law for nc
i O O following wan.(Section]ommun eoslcasa and Re.Wr li Code:Any city or county
S 9� which nequlrea a permit m cawnet.alms immew.Ocmolish,car repair any suunun
Z!~^ prior m its iwuanoe.Alan requires,the Applicant for such permit to 0leasigncd summem -
�� thubu is Eamad purmanl to the provisions of Ne Convectors uanm Law(Chapter 9 Sq.Ft. Floor Area $6500 Valuation
9 (commencing with Section 7000)M Division 3 oftha Business,and Probation Code)or
,at he la esempt thrafrom and dm Ensu for the alleged exemption.Any violation of
Section 7031.3 by any applicant for a permit objects the Applicant to•civil penalty of A Number Occupancy
not man than Bw hundred dollars($51)(1). 37524OO4 . 8VT'pe
L otowner .the praprny,amyo,iom.owologsuN (role0",Buion,
will pr Newark.and c The Conn not inunded oraw,de
forxkpply t oAm Bwicaea
pm Rofwsian Code The Connote,.blow law,don not apply lf an owner of Required Inspections
pro m who buildsorireprowd¢rmn.andwMdonsuchworthimsel!or through Fu
own employm,prosddW thar vemimProwmanu in not tar or c mpleered for tele Ir,
Falcon.she ons the or improvement Of proving
old a did arc Sear of mmpktion,the os emr-
buiidn will haw tiro human of proNng Nat be did not edlo or impure for puma¢ofd\j(��\�\�\{/whoc \,y' f�� TARY
❑1.u mmerof the pro.eny..B exe:wiwly contrasting Cod:)Thed mnuxlan m /1coos, a de an not (Sec.load,nter of and rty whoan ds or The Canommr's U.
red `{^\n
one Law dos not apply to owner of property who builds or improv thenw,and
who contracts far each projects with a convacmr(p Ilnnxd purawnt m dm Convxtar's
0 l aroraw,
slam eacmps undo See. .BhPC fn Nis won ,
Due
WORRERS COMPENSATION DECLARATION
1 thereby aBUm under permy of pe0uy one of dm following declarations
❑Ihaw and w0l mainuinaCertiRnte o(Conent to self-Inure far WarkeYs Compere
radon,As provided fn by Sued.7700 of the Labor Code,for the performance of the
work for which this permit is ixued.
❑1 have and will maintain Waftes Compensation Imwanm,As required by Section
7700.!Ne Raba Carlo,far the performance ofthe wart forwhlch Nis permit is leaned. '
My Wmkcts Cron cnwtint Lssaw.cartiromd Policy number are:
C.Mer. — policy No.:(W,01 y 6 2�
GTE 0•EXEMPTION MOhTV)O ERS'
COMPENSATION INSURANCE
(nds sermon card not be completed if use permit isfor.hundred Wt.($100)
n ka7
1 certify pmt in the porfwmanee W use wark for which this permit is blued.I mail not
employ Any person in any manncrm As as become object an dm Wurmos'Compensation
Laws of Ulifomis.Dau
Applicant
NOTICE TO APPI1CANT:If.After making this Cari0cem of Exemption,you should
become subject b the Workers Compensation provisions of Na Labor Code you most
.J O faMwith provision or with each provisioor this permit shall x seemed smoked.
r y CONSTRUCTION LENDING AGENCY
[ti Ihreby arame Nu ft.is.c.dnn lending Agency rnrdte performance of
fY.i cite wrk for which dds permit is issued(Sec.7097,Civ.C.) '
GQ L e.W's Name
.7 z landeh Addw
U O 1 iardfy that l have read this application seal sou that cite Iten information Is
Un ^ mnecL 1 agree m comply with all City and county oNirunmM asum laws relating b0
p SV' building construction.and hereby Authorize represenudw of this city to enter upon tic
W .hove-mentioned property for inspection puryoms.
L}n,gy (We)agree to an,indemnify sod keep harmless the City of Cupertino against
M lisbllitiu,judgmenu,cosu and rapenma which may in my way scc=againlmid City
U z in consequence of the granting of this permit.
^+ APP NT UNDERSTANDS AND COMPLY WITH ALL NON-POINT Issued by: Date 7 wG
SOU CE EGU TION .
4 lti.� L7 �h Re-roofs
Signuune ApplicanUCnntrxmr, Data
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
WE the applicant or future building occupant.lore or handle humorous material
u Wined by do Cupertino Municipal Cade.Chapter 9.17.And the Health and Safely
ode,Section 23132(.)7
❑Yw mN� All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future building aecupant am equipment or devices which If a roof is installed without first obtaining an inspection,.I agree to remove
emit hvardnw air contsminams As dcOnod by the Bay Arc.Air 0.0ty Management all new materials for inspection.
Dov n❑ ®�—
Yn
I hAvF mad the hnzertlom memriau mquinments under Chapmrd.95of tite Glifor-
niasura uuSnrclyCadc,smot, uall 23377md23534.iundvsuM tiwlf Ne Wilding
don not cummndy low a ununL this II u mzz nryonvNlily m notify de ocmpant of do
req nuwhkFmum m pruato of.Cemr wofaOmucy � Signature of Applicant Date .
�o All roof coverings to be Class'%V'or better
0 er car Aulhw�on'vcd Agcm Data
• CITY OF CUPERTINO
4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 37524004 . 00
DATE ISSUED. . . . . . . : 03/17/2008
RECEIPT # . . . . . . . . . : BS000004173
REFERENCE ID # . . . : 08030085
SITE ADDRESS . . . . . : 10416 STERLING BLVD
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : ERIKE RICKETTS
ADDRESS . . . . . . . . . . : 10416 STERLING BLVD
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : ROBERT RUIZ
CONTRACTOR . . . . . . . : YATES, JAMES H LIC # 702
COMPANY . . . . . . . . . . : CHEROKEE CONTRACTING CO.
ADDRESS . . . . . . . . . . : 356 MATHEW ST
CITY/STATE/ZIP . . . : SANTA CLARA, CA 95050
TELEPHONE . . . . . . . . : (408) 727-9850
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 6, 500. 00 0.70 0. 00 0 .70 0. 00
1PPERMITFE FLAT RATE 1. 00 40.79 0. 00 40 .79 0 . 00
1PRSEWER UNITS 1.00 20 .40 0. 00 20 .40 0. 00
1TRAVDOC FLAT RATE 1. 00 40.79 0. 00 40 .79 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 102 .68 0. 00 102 . 68 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 102 . 68 MC
---------------
TOTAL RECEIPT 102 . 68
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
106 SEWER & WATER 202 UNDERFLOOR PLUMBING
301 ROUGH PLUMBING 400 SEWER/LATERAL
507 FINAL PLUMBING
•
_ w octj
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
0 CUPERTINO PERMIT APPLICATION FORM
APN# 2-76,2q D D q. OD
Date-3
Building Address: 1
beA&
Owner's Name: Phone#:
tzlke
q69- 2 :s- s
Co tractor: Phqn #:
y0�- 72Z 01 8S a
ago Fax #: 409-old cl—lel
Contact: Phone#: ` 0 6- (0K0j_ 6 C}(Z.
Vin Fax #:
Cont'radtor License
Cupertino Business License#:
Job Description:
Pum p I'pt� , S �w �lZ ke 0)(q M r--
Residential ❑� Commercial ❑
Valuat
Green Buildi g Check list must be completed and attached to this application.
Green Building Points:
Quantity Fee ID Fee Description Fee Permit Type
Group
1PCSEWER Commercial building P 1CPSS
sewer/sanitary sewer
1BPREPIPE Commercial re-pipe per fixture P 1CPRP
1PGASCOM Commercial Gas Piping System P
1-4 Outlets
1BSEISMICOM Seismic Commercial P
I 1BSEISMICR Seismic Residential P
I 1PRSEWER Residential building P 1RPSS
sewer/sant sewer
CITY OF CUPERTINO
REPIPE/SEWER/MAIN SERVICE
CUPEfZTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type .
Group
1PRREPIPE Residential re-pipe per fixture P 1RPRP
1BPWSVCS Water Service P 1CPWS or
1RPWS
1PPRSEWG Private Sewage Disposal System P
1PCESS Cesspool P
113PWATER Install/alter Water Pipe P
1BPFIXTURE Plumbing Fixture P
1PGASRES Residential Gas Piping System P
1-4 Outlets
I BPGAS Gas Piping System 5+ Outlets P
1PPERMITFEE Plumbing Permit Fee Issuance P •
1PLMBLNCK Plumbing Plan Check P
1 PLMBINSP Other Plumbing/gas Insp. P
1 TRAVDOC Travel & Documentation Fee B
IBUSLIC Business License B
Singl&'Family GreenPoint Checklist date: 3— ? Build It Greed
The GreanPoint Chad•Jist Is based on the various green features Incorporated into the home and is the Smart Solutions From The Ground Up
basis for the GreenPoird Rated program.A home can be Considered green 9 I fulfNs the prerequisbas.
Sams at least 50 points,and meets the minimum points per category Energy(30),Indoor Air Ouallry/
• Health(5),Resources(6),and Water(9).Plewa corded Build It Green for a list of qualified GreanPoint
Radars It you are Interested in pursuing third-parry vertical L
The green building practices listed below are described In the New Home Construction Green Building
Guidelines,available M www.bullditoreerom. - - -
ENTER PROJECT
U Q Q
A.BITEPoints Available Per Maasum
1.Protect losoll meMlnimlaa Disruption of Existing Plan,6 T
❑ a Protect Topsofr from Erosion and Reuse after Construction
❑ b.Limit and Delineate Construction Footprint ids Maximum Prdecdon 0 r 1
77 2 Docommuln Instead of Demolishing Existing Buildings On Site 0 ( 3
a.Recycle Job Site ConsUuction Waste pncludlng amount Waste) -
❑ a.Minimum 50%Waste OMervion by Weight(RecycJurg or Rouse)-Required - 0 - R
❑ It.Minimum 65%Diversion by WSIpM(Reading ds Reuse) p I 2
❑ c.Minimum 80%DHerl by Weight(Reading or Reuss) 0 2
A.Use Recycled Content Aggregate(Minimum 25%)
❑ a Walkway and Dr'Wwa
❑ b.Roadway Base 0 1 ��
Total Points Available in Site=12 0
B.FOUNDATION Points A tillable Per Measure
1.Replan Portland Cement in Concrete with Recycled Flynh or Slog
❑ a.Minimum 20%Flyash or Slog - 0 }
❑ b.Minimum 25%Flyash or Slog0 ! 1 I
2,Use Frost-Pro,ctied Shallow Foundation in Cold Areas(C.E.C.Climate Zone 16) 0 ! r 3 1
El ],Use Radon Resistant Construction on At-Risk Locations 021y) 0 1
4,Design and Build Slruclural Pest Controls
❑ a Install Termite Shieldsd Separate All Extends WoDd-toConcre,Connections by Metal or Plastic FestenersOtdcors 0
b.All New Plants Have Trunk,Base,or Stem Located At Lent 36 Inches from Foundation 0 1
Total Poorls Available In Fountlation=B 0
C.LANDSCAPING - Pointe Available Per Measure
1.ConsWgResource-U dant Landscapes
❑ a No Imashve Species Listed by Cal-IPC Are Planted 0
• ❑ b.No Plain Species Will Require Hedging
-0
❑ C.75%of Plains Are Drought-mlerent California Names,Mediterranean,or Mar Appropriate Species 0
2Use Fil Landscaping Techniques 0 1 1 'i I
d.Minimim Turf Areae In Landscape Installed by Builder
❑ a All Tud Will Hme a Water Requirement Less than or Equal to Tall Fescue(50.8 plant factor)
❑ b.Tud Shall Not Be Installed on Slopes Exceetling 10%dsin Areas Less than Feet Wide
❑ c Tud Is Z3%of Landscaped Area Octal points) LL�1�J 0 I r 2
❑ d.Tud is 510%of Landscaped Am(total 4 points) u n On __--_i 2
4.Plant Shod.Tree rurts e Our' I 3
5.Group Plante by Water Nestle ydrcaonln 0 1 2
S.Install High-EBiciuncy Irrigation Systema
❑ a System Uses Only Low-Flow Dnp,Bubblers,or Low-flow Sprinklers __ 2
❑ b.System HAS Smell Controllers 0 3
7.Incorporate Two Inches of Compost in the Top a to 12 Inches of Soil 0 1 I 1 3
B.Mulch All Planting Bede to the Groner of 2Inches or Local Water Ordinance,Requirement 0 ! I 2
S.Use SD%Selvaged or Recycled—Content Maes is for 50%of Non-Plant Landscape Elements 0 1 I 1
10.Retluca V ht Pollution by Shielding Fixem and/or Oireciing Light Downward 0 1 I ! I 1
Totel Points Available In Landscaping=31 0
D.STRUCTURAL FRAME R BUB.DING ENVELOPE Rodints Available Per Measure
1.Apply Optimal Value Engineering
❑ A.Place Rafters and Studs at 244nch On Center Framing 0 ! 1
❑ b.Size Door and Window Heade,for Load -p -- 1 --
❑ c.Use Only Jack and Cripple Studs Required for Load 1 1 I
2.Use Engineered Lumber
❑ a.Beams antl Heetlers
❑ b.Insulated Engineered Holders
❑ c.Wood Wois s or Web Trusses for Floers
❑ d.Wood I-Joists for Roof Rafters
❑ e.Engineered or Finger-Jointed Studs for Vertical Applications
1.Oriented Strand Board for SubOoor
--
❑ g.Oriented Strand Board for Well and Rool Sheathing A 0 I —� !
J.Use FSC-Certified Wood
• ❑ e.Dimensional Lumber,Sods and Timber.Minimum 40% - - -
❑ -{i— I__ 1 2
In.
.Dimensional Lumber,Studs and Timber.Minimum 70% 0 _I _ i _�_2
E] c.Panel Products:Minimum 40% 0 ___ r 1_!
E] d Panel Products:Minimum 7D% 0 T 1
02007 Build It Green Single Family GreenPoint Chack1is12007 Version Page 1 of 4
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s
ENTER PROJECT NAME
4.Use Solid Well Systems gncludee Sipe,ICFs,5 Any Non30ck Forms Assembly) Walls
❑ L Florae _ 0_ _. 2 ? _
❑ b.Walla _0_ 2 2 ,
❑
C.Rook 0 2 2
5.Reduce Pollution Entering the Home from the Donald
El A Tightly Seal the Air Bander theM�aen Garage and IMng Area _ 0 1 __
❑ or.loans Damage Exhaust Fen OR Build a Detached Damage D 1
Lj B.Design Energy Hank on Trusses J75%of Aide Insulation Height al Outside Ede of Exterior Well D 1
i.
Design Roof Trustees t Accommodate Duchvork ' 0 - 1
0.Use R clod-Comam Steel Stade for all%of Interior Wall Framing 0 1
LJ 9.Thmmal Mau Wale:5154nch Drywall on All Intmiw Wells or Walls Weighing more then 4D Ihhu.ft 0 1
10.Install Overhangs and Gutters
❑
I.Minimum 16-Inch Overhangs and Gutlen 0
❑ b.Minimum 244rch Overhangs and Gutlen 0 1
Total Pomo AVBOab18 in Sbucluiel Bulding Frame and Erwalope=36 D
E.EETERIOR FIMSH Points Available Pm Moslem
1.Use Recycled-Comtm(No Virgin Plastic)or FSC-Certified Wood Decking 0 2
21nstll a Rein Sinden Well System 0 2
7.Use Dumble and Noncombustble Siding Metedals 0 1
Ej 4.Select Durable and Nonsombustible Itching Mewids 0 2
Told Pointy Available In Esttlar Finish=7 0
F.INSULATION Points Available Par Measure
1.Install Insulation with 75%Recycled Contort
❑ a.Walla anihor Fluxes D _ I _
❑ b.Ceilings
L Install Insulation that is Low•Emitng(Certified Section 0175D)
❑ a.Wells antis Floors —0
❑ b.Ceilings 0 ]
—3.inspam Guidry of insulation Installation before Applying Drywall 0 1
Total PDars Available in Inwdahon=5 0
O.PLUMBING Paints Avallable Per Measure
1.Distribute Comulis Hot Water Efficiently(Maximum 7 Points)
❑ L Insulate Her Water P."man Water Huhn to Kitchen _0
❑ b.Insulate AO Hol Walm Pipes D
❑ c.Use Engineered Parallel Piping U
❑ d.Use Engineered Parallel Piping with Demand Controlled Circulation Loop _ s
❑ e.Use Structured Plumbing with Demand Controlled Circulation Loop D
❑ 1.Use Central Com Plumbing D
L Install Only High Efficlancy Vista(DcabFlosh or 51.211 9PQ 0 4
Tool Points Available In Plumbing=Total 12 0
H.HEATING VENTH.ATION&AIR CONDITIOMNG Points Available Per Measure
1.Design end Install HVAC System to ACCA Manual J,D,and 9 Recommendations 0 4
L Install Sealed Combustion Unit
❑ a.Fummu 0 . _ _ _ 2
❑ b.Wrier Hutt o
3.Iastall Zoned,Hydronic Radian Heating with Slab Edge Insulation 0
4.Install High Ereclency Air Conditioning with Environmentally Responsible Refrigerant 0 1
5.Design no Install Effective Ductwork
❑ e.Install HVAC Unit and Ductwork within Conditioned Space _D_ I 3 1T_
❑ b.Use Dud Matic on All Duct delta and Seams _0
❑ c.Install Ductwork under Attic lnsulatim(Burled Ducts) _ 0
❑ d.Pressure Balance the DuchwA System
❑ a.Porta Ducts during Construction and Claim All Ducts balore Occupancy 0 1
Lj e.Install Mph Efficlancy HVAC Filter ERV 5+ 0 I
❑ 7.Dont Install Fireplace or Install Sealed Gas Flnapiaces with Efficiency Rating Not Less Then 60% 0 1
using CSA Standards
B Install Effeda Extracted Systems in Bathrooms and Nichdns
❑ a.Install ENERGY STAR Bathroom Fans Vented to the Outside 0
❑ b.All Bathroom Fans Are on Toner or Humidstat 0
❑
C.Install Kitchen Range Hood Vented to the Outside 0 1
a.Install Mechanical Ventilation System for Cooling(Maximum 4 Point)
❑ A Install ENERGY STAR Caging Fane 5 Light Kits in LNing Mu 5 Bedrooms _ D
❑ b.install Whole House Fu Win Variable Spoeds
❑ c.Automatically Controlled Integrated System _ D 2
❑ J.Automatically Controlled Intepreted System with Varleble Spaetl Control 0 3
10.Install Mechanical Full Air Ventilation System(Maximum 7 Points)
❑ a.Any Whole Hmto Ventgairm System That Moala ASHRAE 522 D _ 1 2 _
❑ b.install Air-lo-Air Hall Exchanger that meets ASHRAE 62.2 11 1 2
—E7-11.Install Carbon Monoxide Alarms 0 1
Total Points Available In Hutin,Ventilation and Air Conditioning=30 0
02007 Build It Green Single Family GreanPoint Checklist 2007 Version Page 2 of 4
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ENTER PROJECT
e • l S S
L RENEWABLE ENERGY oints Available Per Measure
• 1.Pre-Plumb for Sol.Had Water Hating 0 r 4
LJ 2.Install Soler Wet.Heating System 0 10
LJ ].Install Win Conduh for Future Phntovoheic Installation B Provide We fe of South-FacingRoof 0 1 2
4.Install Photovoltaic(PV(Panels
❑ s 30%of electric needs OR 12 KW(total 6 points) _ 0
❑ b.60%M electric needs OR 24nN(total 12 points) 0 __ b
❑ e.9D%M electric Dead OR 36 kW(road 10 points) 0 6
Toad Available Points In Ronewaole Ena =20 0
J.BUILDING PERFORMANCE Points Available Per Measure
1.Diagnostic Evaluation
❑ a House Passes Blower Door Test - 0 1
b.House Passes Combustion Safety Beckwith Test 0
2 Design and Build High Performance Hemn-%above This 24-minimum 15%Required 0 >_30
❑ 3.House Obtains ENERGY STAR with Indoor Air Package Certification-PADI Measure(Total 45 Points;recti comment) 0 5 2
Total Available Palms In Bulking Performance=39 0
R.FINISHES Points Available Per Measure
Ef 1.Design Ermines"w Reduce Tracked in Contaminants 0 ]
2 Use Low-VOC or Zero-VOC Paint(Minimum 3 Points)
❑ a Low-VOC Interior WalvCelling Pelota(a50 gad VOCs(Flet and x150 gpl VOCs(Non-Flet) 0
❑ b.Zsro-VOC:Inteda WalVCellin Palma 6 go VOCs(Fla) 0 3
❑ 3.Use Low VOC,WMarAased Wood Flnishm(Q50 gpi VDCs) 0 - 1 2 1
❑ 1.Use Low-VOC Caulk and Construction Atlhesivn(QO lipi VDCe)for All Atlhesivn 0 2
❑ 5.Use R clad-Content Paint 0 1
6.Use Environmentally Preferable Materials for Interior Finish:A)FSC-Certified Wood,B)Reclaimed,C)Rapidly Renewable,DI Recycled-Gorwa d
or E)Finger-Jointed
❑ a Cabinets(SD%Minimum) 0 _ i _, 1
❑ b.Interior Tom(5D%Minimum) 0 _ _ 1 _
❑ d Shelving(50%Minimum) _ 0
❑ d.Doors(50%Minimum) _0
Ela.Contetl a(5D%Minimum) 0 1 ]
1.Reduce Formaldehyde in Interior Finish(CA Section 01350)
• ❑ a Suckoa 0 Stair Treads(50%Minimum) 0
❑ h.Cabinets 0 Courtships(50%Minimum) 0 1
❑ c.Interior TOM(50%Minimum) 0 1
❑ d.Shervin 50%Mi-1
imm) 0 1
El0.Atter Inetellstidn of Finishes,Test of Indoor Air Shows Formaldehyde Level a7ppb 0 1 3 1
Total Available Points In Finishes=21 0
L.FLOORING Points.Available Per Measure
1.Use Environmentally Preferable Flooring:A)FSC-CaNfied Wood,B)Reclaimed or Refinished,C)Rapidly Renewable,It RerycledConlsnt,E)
Exposed Concrete.Flooring Adhesives Must He"60gpl VOCs
❑ a.Minimum 15%of Floor Area
❑ b.Minimum 30%of Floor Area O
❑ c.Minimum SD%of Flow Area 0 1 r
❑ I.Minimum 75%ol Floor Area0 I ( 1
❑ 2 Thermal Man Floors:Floor Covering Other Nen Carpet on 50%or More of Concrete Floors 0 1
l ❑ 3.Finding Meets Section 01350 or CRI Green Label Pius Requirements(50%Minimum) 0 2
Twal Available Points In Flow-mg;=7 0
M.APPLIANCES AND LIGHTING Points Available Per Measure
1.Install Wats and Energy Efficient Dishwasher
❑ s ENERGY STAR(total 1 point 0 _-._ 1 1 _
❑ b.Dishwasher Uses No More than 6.5 Gallon cls total 2 Dims 0 ! i
2.Install ENERGY STAR Clothes Washing Machine with Water Factor of 6 or Less
❑ a.Meets Energy Star and CEE Tier 2 requirements(modified energy factor 20,Water Factor 6.D)(teal 3 points) a _ 1 '
❑ b.Meets Energy Star and CEE Tier 3 requirements(modified energy factor 22,Water Facia 4.5 a less) 0
iwel5points) I r i
3.trusted ENERGY STAR Refrigerator
❑ a ENERGY STAR Ouaa6Dd 0<25 Cubic Feet Capacity 0
❑ b.ENERGY STAR Qualified a<20 Cubic Fee Ca acl 0 --�—?—
4.Install Bulli-In Reryclin g Center D
❑ a Built-In Recycling Center
D 2 '
❑ b.Bam-NComparing Center
Toad Available Points in Applianters and Li htin •12 0
N.OTHER Points Available Per Measure
❑ 1.Incorporate GreenPolnt Rated Checklist in Blueprints-Required 0 I R
❑ 2 Develop Homeowner Manual of Green FeaturewBenfi s 0 I 1 1 1
3.Community Design Mantras 0 Local Priorities:See the Community Planning 3 Design section in Chapter 4 at the New Home Guidelines in,
measures.Minimum of 20 poll for suggested measures.Local requirements may also be listed hare.
0 2007 Build It Green Single Family GreenPoinl Checklist 2007 Version Page 3 of 4
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ENTER . .O
MHOURD
Ener decmlplian hen,and Dorm palms aveHede In menus in appropriate aaegmin to he nphL D_ o p D 0 0
Ease dos aplm hem,real mom points sha�e s ire measure In appropinu ceupoln to he right 0 0 D D D 0
Emm tlescnpligl hon,an u amen pants evaHeGs for museum In appropriatecmeparles u he right. 0 0 0 0 D
Enter tlnuiptim hen,and enter points available lox manure In appropote pampers to he right. 0 _ 0 D 0 _D 0
4.Innovation:List innovative measures that meet the preen building objecthies of the Guidelines.Enter up to a Build D Green Checklists end
maximum combined total of 20 p1s.See Innovation Chackllst for suggested measures,us ng the link to the right. _ Guldiallnes _
Li ImoveOon In Communl .Enter 0 m hen,entl rebs b rvaHebd is manure u le n 'a u the ' 0 0 D D D 0
Innovation in Em .Enter run ion hen,entl mm ovahMe fo museum in see cm oda to the right 0 D 0 0 0 0
Innwellon In 14Wnith:Enter descd Ion hen,mu enter polos nubble Im museum In ate tens Mn to D.tl L 0 0 0 0 D 0
Innovation In Resources.Emer maculation here,and emer points sveheoie fu measure In ate cad has la the right 0 0 0 D D D
Imwslion In Water,Enlm tlewmpllon nn,entl enter prime eveHeue Ire manure u olgmplete cmm)oan u the ripen. 0 0 0 _ 0 0 0
Total AvaDeme pope in Omer.9 D
Total Available Points in Specific Categories* 4+ 96+ 42+ 66+ 43+
Minimum Points Required In Specific Calegorlesi g
Tolal Points Achieved 1 1 1 1 1 H
Project htls not yet mot the following recommended minimum requirements:
- Total Project Score of At Least 50 Points
-Required measures:
-A3a: 50%waste diversion by weight
-72:15%above Title 24
-N7:Incorporate GreenPoint Rated Checklist Into blueprints
-Minimum points in specific categories:
-Energy(30 points)
-IAQ/Health(5 points) -
-Resources(6 points)
-(Nater(9 points)
•
02007 Build It Green Single Famlly GreenPoint Cheddar 2D07 version Page 4 of 4
Community Development
• 10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408) 777-3333
*CUPEPTINO
Building Department
JOB ADDRESS: PERMIT #
OWNER' AME: Z' PHONE #
GENERAL CONTRACTOR: Cho FAX # q6S-98 —pc 7
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
Sheet Rock
• Tile
m -V 1-7
La
Owner/Contrac ignature Date