The URL can be used to link to this page

080400590 Zi a G %LI � I UU 0( t U; CITY OF CUPERTINO f, BUILDING b1VISIONt, PERMIT �kCo;•{C'1'Qhiq.la�Q �x'�" pg' -^SAV j;p� eulLfy2yYgppPsW00DRIDGE,CT BLUM CONSTRUCTION PERMIT NO. 08040059 OWNER'S NAME: PERMIT ISSUE DAIS ILISA KIM 15725 MONTEREY RD STE A 04/09/2008 PHONE: SANTI'ARY NO. CONTROL NO. (408)499=0723 HrIECUENGINEER:-- BUILDING PERMrr INFO ' 'BLDG a=PLUMB MECH 0 0 0 0 LICENSED CONTRACTOR'S DECLARATION lob Description 1 hereby +Moro Jul I w IiavN under provuians of Chaper 9 (ummcncing HthSecdonl01111)afoiri nJafth.Budvssand rof wamCe an licens.k REPLC EXSTNG FURNCnA/C & UNDR FLR DUCTWK LI -mm Clge aerrea Lk.N BLUM CONSTRCTN RENEWED BUS LIC 4/9/8 Dew CO.,— AR CPS DECLARi I understand my plus shell W used as public rccorda i i Licenced Pnlfesal... I OWNER -BUILDER DECLARATION I hereby .(Sure for the n I em exempt from that CanlnnCa moto o e: Any c ty o following motor. (Saito IID Id. Business and Profession Cade: Any city or countyturn which raquha • patron w construct. Blur, impmw, demolish. or repair bawwm al h permitrile ssLaw(tawma9 for uchncouruo er t ed ' pdarwiucened Novisios Sq. FL Floor Area Valuation of c I NnheullanwJputwion700)ofDitloiuortheaBeat endProtetantCopwr9 pu..mgo the Cook) 10000 t Met he W m{wMSecJneen nddr,basisf Jof Man Beat. scsand Professions ar . Net io u e Nercfmm and Ne burs Ne alleged exemptiaa My violadhn h( Number Occupancy Type it 1.5 b fwapemmll ubjeeu Ne applkanlwacivil penalty of IManR any notaan hundred not rove Nu nuc hundred cellon (SSM 3 4 215 0 61 !�� ❑ I, u awnv of W propary. w my rmplaym wIN w{es ss Ne'v sok compevaJon, Required Inspections nota wEaaNssionsCftTauwtrtlawlmmnansmLw,does cede The Canuewr. Llama I,w, eons nal humor lf an mvwr end .1 Imply 9 is property whiobu ecesot hbnelfor through his SuJeran,anewho mwork e=ahab providedthatSak.IL awnemployee,prog Nalsuch ImProwmentaatenet ear ofewonder,(w Or oro of bowewr. Me Wilding wimprovementg uld fortheawws- Wild Improv will haw W burden of proving Jut ha did sat build w Improv for purpose of did "ildw sale ). ❑ I. as aver of the pmpn y, am exclusively contracting with Ranted cenunwn an construct NC prI (See. 1D1d. Business and PmfeeLON CUTS I TLe Comm hors U. cer a Law ducts not apply m in aVnef of property who builds or impmYta Neeson, and. who cuntracta for Such project, with a anuemr(O licensed panuanl b the Chnvacmn License Lew. ❑ I am exempt undo See , B A P C for this outer Owner Date— auWORKER'S WORKERSCOMPENSATION DECLARATION I hereby a fbm under pevlty of perjury ons of this following dalenJons: ham and will maintain a Cenrfialo of Covent to elbrmum for Worace, Cheapen. n, u provided for by Schon 37M of Ne Labor Cove, far Me Performance of the ' for which Nis Permit is Issued. 1 haw and will maintain WOrkere Compensation IIWrdM'e, N R9aland by Section 37M o(Ne Labor Code. for the performance of the work fwwhich this permit is issued. My Worker. Compensation lvuremc artier and Policy number am: Cartier, Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need sat W completed if tie permit is furence hundaddoll•n (SIW) lir kat) I anify Net in the Performance of she war j for whish 0 romit k load. I shall nut emplcy.ny menta in any muaru�oblaSde the Wofkeri Compewdon Lawsaf Cali( � NOTICE TO APPLICANT: after meln{ Nu Cii naw of Exemption, you should NOTICE CUeym became sulfasWretcr'h Camtnprovisons of the Labor run � forthwith comply with tush pnwisiamOrthis permit Shall be damad mwke0. i CONSrRUCfIONLENDING AGENCY I it" M. Ne Vert le cevaetinn knding+.)tory for Me perfarmana of s Me wort for which Nu permit is issued (SOM. 0091, Civ. C) LandereAadw•• � I aN(y that I haw mad this application and sow that tho slaw information k correct. l agree to comply with ell city and county aidinanc o, and a= leve relating w Wilding construction. and hereby suthones representatives of this city to enter upon the U ahow-mentioad property for inspection purposes 2� (We) •.rte to saw, indca my and kap humlnss Ne City of Cupanina against III IiabiRJes,j.dgment,. cash md.apwuswhich rosy in any way aaroe e8 da, Said City Inca"' C of the gaming of this Far APPLIC UND S AN OMPLY WITH ALL NON -POINT Issued by: Dated 'v`! SOUR R ONS. 9� ��a� Re -roofs Type of Roof &{n a of Appl an11Cona61cmr Dam HAZARDOUS MATERIALS DISCLOSURE WIII tie applicant w future building oaupentstoro Or handle hems dot, material as defined by the Cupertino Municipal Code. Chapter 9.12. and Ne HUM and Safety Cade. Section 25532(+)?All Ya roofs shall be inspected prior to any roofing material being installed. ❑ It. If a roof is installed without first obtaining an inspection, I agree to remove Will Ne applicant or utum building Occupant sac equipment w dcvica which Will Me applicant or building Occupant = equipment or davlasm, which it heuNnu air conYlninanu u knaed by Nc Bay Arta Air Quality Management all new materials for inspection. c@ ❑ Yea I hew read the mawrlLLsmquirmcua under CLapta5.95 ofthe Califon. nw Hal @Salnycaae se.ewu5B5.us3y and ss52a.Immmalam Jahr time Wilding dors c nU aawmG nsibilitybsatify tie In the royal e w dem met uancent.Car,r, ar Signature of Applicant Date All roof coverings to be Class'%¢" or better Own;am ta - CITY OF CUPERTINO FURNACE/AC 4oF CUPERTINO PERMIT APPLICATION FORM • r- 0oyDv59 APN #3 / Date: 9 D� Building Address: 22607(1 &)L9oD,eGO(� Owner's Name: Phone #: Contractor: Phone #: 9L–gA") �P.i�G�J Fax #: Contractor License #: Cupertino Business License #: �q3�¢ Contact: �L �'►�- Phone #: l� C C Fax #: Building Permit Info: Elect [ Plumb ET" Mech X_ Residential Commercial Job Description: 07&Ac_� ``��rtiuJJ'G'�bY-•��,rt For Residential Installations: Attic ❑ I" floor � 2A 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): Strapped On Platform Bonded El New Location Replacement Lq— Valuation: Green Building: Must attach Green Building Check list to this application �Z 0 CUPERTINO CITY OF CUPERTINO FURNACE/AC FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group FURNACE FURN/AC 1MCRAA Commercial-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. 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 113PGAS 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 & not incl in an appliance permit. 113SEISMICO 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/Relocateea 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. is • 0 zmmn� CUPERTINO CITY OF CUPERTINO FURNACE/AC FEESCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type FURNACE FURN/AC 1PGASRES Residential for ea gas piping system of 1-4 Outlets P 1BPGAS For each gas piping system of 5 or more per outlet. P IBSEISMICR Residential Seismic B 1MECPLNCK Mechanical Plan Check M iMFR=<100 Furnace Syst <=100k BTU install or relocate ea forced-air/gravity type furnace/burner,incl ducts/vents attached to such appliance up to and include 100,000 Btu/h M 1MFRN>100 Furnace Syst > 100k BTU install or relocate ea forced-air/gravity type furnace/burner, incl ducts/vents attached to such appliance over 100,000 Btu/h M / I EPERMITFEE Electric Permit Fee E / 1MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit P 1TRAVDOC Travel Documentation B 1BUSLIC Business License B 0 CITY OF CUPERTINO FURNACE/AC CUPE(,TFINO FEE SCHEDULE • Quantity Fee ID Fee Description Fee Group Permit Type AIR CONDITIONING FURN/AC 1BCAIR1-1AN Commercial A/C Units <= l0k CFM B 1MCRAA Commercial Mech Repair/alt/add M IBSEISMICO Seismic Commercial B 1PGASCOM Commerical for ca gas piping System 1-4 outlets P 1PGASRES Residential for ea gas piping system of 1-4 Outlets P IBPGAS For each gas piping system of 5 or more per outlet. Comm/Resid P IBREMAIRHAN Residential A/C units <= 10k CFM B IMRRAA Residential Mech Repair/alt/add M iBSEISMICR Seismic Residential B 1 EPERMITFEE Electric Permit E 1MPERMITFEE Mechanical Permit M 1PPERMITFEE Plumbing Permit P 1TRAVDOC Travel Documentation B 1BUSLIC Business License B e e CITY OF CUPERTINO • 6. ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: Blk: Lot:' APN ........: 34215061.00 DATE ISSUED.......: 04/09/2008 RECEIPT #.........: BS000004421 REFERENCE ID # ...: 08040059 SITE ADDRESS .....: 22674 WOODRIDGE CT SUBDIVISION ....... CITYCUPERTINO .............. IMPACT AREA ....... OWNER ............: ILISA KIM ADDRESS ..........: 22674 WOODRIDGE CT CITY/STATE/ZIP ...: CUPERTINO, CA 95014 RECEIVED FROM ....: DAVID BLUM CONTRACTOR .......: DAVID BLUM LIC # 28086 COMPANY ..........: BLUM CONSTRUCTION ADDRESS ..........: 15725 MONTEREY RD STE A CITY/STATE/ZIP ...: MORGAN HILL, CA 95037 TELEPHONE ........: (408)499-0723 • FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ---------- - ------------ ---------- ---------- ---------- ------------------- 1BSEISMICR VALUATION 14,000.00 1.40 0.00 1.40 0.00 1EPERMITFE FLAT RATE 1.00 40.79 0.00 40.79 0.00 1MPERMITFE FLAT RATE 1.00 40.79 0.00 40.79 0.00 1MRRAA UNITS 1.00 61.19 0.00 61.19 0.00 1PPERMITFE FLAT RATE 1.00 40.79 0.00 40.79 0.00 1TRAVDOC FLAT RATE 1.00 40.79 0.00 40.79 0.00 TOTAL PERMIT ---------- ---------- 225.75 ---------- 0.00 ---------- 225.75 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- CREDIT CARD 225.75 -------------------- VISA --------------- TOTAL RECEIPT 225.75 VOICE ID DESCRIPTION -------- ---------------------------- 505 FINAL ELECTRICAL 508 FINAL MECHANICAL 0 VOICE ID DESCRIPTION -------- ---------------------------- 507 FINAL PLUMBING • E • Single Family GreenPoint Checklist date: The GresnPoim Checklist is based on the various green features Incorporated limo the home and ss th. basis for the GreenPoint Rated program. A home can be considered green If It fulfills the prerequisites, Gams at least 50 points, and meets the minimum points par category; Energy (3D), Indoor Nr Quality/ Health (5), Resources (6), and Water (9). Please contact Build It Green for a flat of qualified GreenPoint Raters If you are Interested In pursuing third -parry verlAcation. The green building practices listed below are descrbed in the New Home Construction Green Building Guidelines, available at www.buildltareen oro. Build It Green Smart Solutions From The Ground Up H. FOUNDATION - Points Available Per Measure 1. Repieca Portend Cement in Concrete with Recycled Ryesh or Slag —�Mmrmum 2DT; FF estf w Slag ❑ b. Minimum 25% Nash or Slag ❑ ❑ ❑ 1. Construct Resource-EMioienl Landscapes a No Involve Spades Uned by CaHPC Are Planted b. No Plant Species Wi11 Require Hedging c. 75% of Plante Are Drought-tolorent California Natives, Mudtenansan, or Other Appropdam Species 0 p 0 I 1 El 2 Use Front -Protected Shallow Foundation in Cold Areas (FEC. Climate Zone 16) 0 3 3. Use Radon Resistant Construction On At -Risk Locations Only) 0 1 1 I 4, Design and Build Structural Pest Controls ❑ a. Install TGrmise Shields a Se erste All Exterior Waod-lo-Concrete Connections by Metal or Plastic Fastaners/Olviders 2. Use Engineered Lumber a. Booms and Headwe b. Insulated Engineered Headars C. Wood l -Joist or Web Trusses for Florae d. Wood I -Joists for Roof Rafters o. Engineered or Finger -Jointed Studs for Vertical Applications I. Wanted Brand Board for Sub0o0r g. Oriented Strand Board for Will and Root Sheathing_ 0 0 ❑ ❑ ❑ ❑ In. All Now Plante Have Trunk,Base, or Slam Located At Least 36 Inches from Foundation 0 7 C. LANDSCAPING ),Points Available Per Measure Points Available Per Measure ❑ ❑ ❑ 1. Construct Resource-EMioienl Landscapes a No Involve Spades Uned by CaHPC Are Planted b. No Plant Species Wi11 Require Hedging c. 75% of Plante Are Drought-tolorent California Natives, Mudtenansan, or Other Appropdam Species p 0 0 0 1 0 __ __ 3 2.U0e F]wSafe Landscaping Techniques 2. Use Engineered Lumber a. Booms and Headwe b. Insulated Engineered Headars C. Wood l -Joist or Web Trusses for Florae d. Wood I -Joists for Roof Rafters o. Engineered or Finger -Jointed Studs for Vertical Applications I. Wanted Brand Board for Sub0o0r g. Oriented Strand Board for Will and Root Sheathing_ 0 1 ❑ ❑ ❑ ❑ 3. Minimize Tud Areas in Landscape Installed by Builder a. All Tud Will Have a Water Requirement Less then or Equal to TO Fescu6(5oe plant factor) b. Tud Shell Not Be Installed on Slopes Emeeding 10% x In Amos Less than B Four Wide C. Tud Is 43% of landscaped Area (roto 2 points) d. Tud Is 510%01 Landscaped Area (Real4 points) _ ��.' - O T 1 ❑ ❑ ❑ ❑ 0 2 0 _j_ r — 2 0 1 1 1 2 0 7 _ _ 4. Plum Shade Trees ,s 0 3 El 5. Group Plants by Water Needs (Hydrozonin) D I 2 ❑ El S. Instill High -Efficiency Irrigation Systems e. System Uses Only _o Flow Delp, Bubblers, or Lox -flow Sprinklers p. System Has Small Controllers 37 �.I1._ 2 0 I 3 7. Incorporate Two Inches of Compost in the To 6 to 12 Inches of Soil /�0 1 3 ❑ B. Mulch All Planting Bad& to the Greater of 2 Inches or Local Wow Ordinance Requirement V0 2 9. U&o 1:% alvs ed or Recycled -Content Materials for 50% of Non -Plant Landscape Elements V 0 1 10. Reduca Light Pollution by Shielding Rotuma endlor Direcdoll Light Downward LO' olel Pterm Avallade m Lancisc in =31 ` �O D. STRUCTURAL FRAME & BUILDING ENVELOPS ),Points Available Per Measure ❑ ❑ ❑ 1. Apply Optimal Value Engineering a. Place Rafters and Studs at 24 -Inch On Carrier Framing b. Size Door and Window Handlers for Load c. Use Only Jack and Cripple Studs Required for Load p 0 0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ 2. Use Engineered Lumber a. Booms and Headwe b. Insulated Engineered Headars C. Wood l -Joist or Web Trusses for Florae d. Wood I -Joists for Roof Rafters o. Engineered or Finger -Jointed Studs for Vertical Applications I. Wanted Brand Board for Sub0o0r g. Oriented Strand Board for Will and Root Sheathing_ 0 0 0 0 0 I 1 I 0 T 1 ❑ ❑ ❑ ❑ 9. Use FSC-0eNOsd Wood a. Dimensional Lumber, Studs and Tmbec Minimum 40% b. Dimensional Lumber, Studs andTmbar. Minimum 7016 C. Panel Products: Minimum 40% tl. Panel Products: Minimum 70% 0 - 2 _ 0 I T _ _ 0 - 1 I m 2007 Build It Green Single Family GreenPoint Checklist 2D97 Version Page 1 of 4 ❑ e. Floors u Poims Available Par Measure u d — i 0 ❑ b. Insulate An H, Water Pryes 2Install Sealed Combustion Unite ❑ c. Roots ❑ 0 2 0 S. Reduce Pollution EntMng the Homs from Ne Garege ❑ ❑ d. Use Engineered Parallel Piping wlth Demand Conmlled CiraAetion Loop ❑ a Tightly Seal the Ak Barren bebveen Garage and LNIng Area _ 1 rl b. Install Greece Exheuel Fen OR Build a Detached Garage 0 1 U e. Thermal Mees Welle, Still Drywall on All Interior smile or Wens Weighing more man U iurcv.r� 10. Install Overhangs and Guttas ❑ e. Minimum 164ch Overhangs and Glmm; 0 ❑ a Wells end'or Floors E3bfa0mge 2. Install Insulation titat is ❑ e. Were anclor Floor ❑ a Inoulete Hot Wal, Pipes from Water Heater to Kitchen u Poims Available Par Measure 1. Design and Install HVAC System 10 ACOA A4nu, J, D, entl 9 Pecommendetione 0 ❑ b. Insulate An H, Water Pryes 2Install Sealed Combustion Unite ❑ c. Use Engineered Parallel Prying 0 ❑ a. Forum ❑ ❑ d. Use Engineered Parallel Piping wlth Demand Conmlled CiraAetion Loop 2 1 7. Install Zoned. Hydmnlc Radmnt Having with Slab Edge Insulation ❑ e. Use Seucto d Plumbing with Demand Controlled Clmulmon Loop 1 + 2 * Ak ❑ t. Use Central Core Plumbing 0 1 1 ❑ 2. Install Only High Efficiency Tolleta(Dual-Flush or 51.28 f) 0 ❑ e. Install HVAC Unit no Ductwork within Condllioned Space ❑ b. Use Dud MmdC on All Duct Joints and Seams TMnl Pninte Avellahla m Plumlone a TOW 12 D ❑ c. Insi Duchwork odor Attic insulation (Buded Duds) H. HICATMG VBNTDATZON h AIR CONDIMOMNO u Poims Available Par Measure 1. Design and Install HVAC System 10 ACOA A4nu, J, D, entl 9 Pecommendetione 0 4 2Install Sealed Combustion Unite ❑ a. Forum ❑ b.Weter Heaton 0 2 1 7. Install Zoned. Hydmnlc Radmnt Having with Slab Edge Insulation 0 1 1 4. Install High Efficiency Air Condldoning with EnVlronmentally Responsible Reldg,ants 0 1 I. Design and Install Effective Ductwork ❑ e. Install HVAC Unit no Ductwork within Condllioned Space ❑ b. Use Dud MmdC on All Duct Joints and Seams ❑ c. Insi Duchwork odor Attic insulation (Buded Duds) ❑ d. Pressure Balance the Dudwak System ❑ e. Protect Duds during Constution and Clean All Dude bate Occupancy 0 ] r e.Install High EfficienHVAC Filter MERV 6v 0 I 1 ❑ 7. Don't Install Fireplace or Install Sealed Gas Flrepleces with Efficiency Rating Not Lese Than W% 0 0 using CSA Standards r 8. Install Effective Exheu, Systema In Bathrooms and 10tchana ❑ e. Install ENERGY STAR Bathroom Fens Vented to the Outside ❑ b. All Bammom Fane Are on Timer a Humidstel ❑ c. Install Michm Range Hood Vented to the Outside 0 r 1 9. Install Mechanical Ventilation System for Cooling (Maximum 4 Palms) D ❑ a. Insall ENERGY STAR Celfing Fens 8 U;hl K!C In Living Arens 8 Bedrooms ❑ b. Install Whole House Fan vAN Variable Speeds D _ r ❑ C. Automatically CoNrollad Integrated Systom �- ❑ d. Automatically Controlled Integrated Sy,am Win Vadecte Shand Combat D 3 10. Insall Mechanical Fresh Air Ventilation System (Maximum d Points) D _ T ❑ e. Any Whole House Vantiadon System That Meals ASHRAE 622 El b. install Air-to-Ak Heat Exchanger that meoU ASHRAE 622 0 1 2 Ej it. Install Carbon Monoxide Alarm(s) 0 1 0 2DD7 Build It Green Single Family GreenPoim Checklist 2D07 Version Page 2 of 4 9 J. BIM.DING PERFORMANCE Points Available Par Measure 1. Diagnostic Evaluation - ❑ a. House Passes Blower Door Test El h. House Passes Combustion Safety Backdrefl test ❑ ❑ ❑ ❑ 0 0 1 1 I 1 0 2. Design and Build. High Performance Homes - %above Title 24 -minimum 15%Required. 0 >_30 i I ❑ 3. House Obtains ENERGY STAR wish Indoor Air Package Certification - Piket Measure (rots] 45 point; read comment) 0 } ! 2 Total Available Points in Buntline Padomame= 391 0 1 K FMISHES Points Available Per Measure Points Available Per Measure ❑ ❑ ❑ ❑ 1.Desi nEntryways to Reduce Tresked in CDmarninnts 0 I 1 0 ❑ ❑ 2. Use Low.VDC or Zorl Paint (Maximum 3 Points) a LowW OC Interior WeIVCeiling Paints (60 girl VOCs (Flag and c150 girl VOCs (Non+Tap) h. Zero-VOC: Interior Wall Paints (d gpl VOCs Flat I_ I I 1 ! ❑ ❑ 1 0 —1 1 0 3 T 2 Thermal Mau Floors: Floor Covering Other than Carpet on 50% or More of Concrete Room ❑ 3. Use Low VOC, Watar-Based Wood Finishes (,250 gpl VOCs) 0 2 ! —Q-4.DselewNDCAaulk and Construction Adhesives (c70g IV0Cs)dorJdLAdhesives 0 ❑ 5. Use Rerycied-0ontrnt Point D i 1 ❑ ❑ ❑' ❑ ❑ 6. Use Environmentally Preferable Materials for Interior Finish: A) FSC -Certified Wood, B) Reclaimed, C) Rapidly Removable, D) Recycled -Content or E) FlngerJaln ad a. Cabinets (50% Minimum( b. Interior Thin (50%Minimum) c. Shining (5D% Minimum( d. Doors (50% Minimum) e. Counted 50°6 Minlmum ❑ ❑ a. Built-in Recycling Center to. BuIIMn Composfing Center 0 __ 0 D 1 0 0 T ] ❑ ❑ ❑ ❑ 7. Reduce Formaldehyde in Interior Finish (CA Section 01350) e SUNDor a Stair Treads(SD% Minimum) b. Cebinots 6 Countertops (Sy% Minimum) c. Interior Tdm (50% Minimum) d. Shelving (50% Minimum) 0 ; 1 I 0 D __ 0-,— ❑ ter Installation of Finishes, Test of Indoor Air Shows Formaldehyde Level <27ppb 1 0 ! 3 1 I Total Available Porins In Finishes =211 0 1 L. FLOORING Points Available Per Measure Points Available Par Measure ❑ ❑ ❑ ❑ 1. Use Environmentally Preferable Flooring: A) FSC -Certified Wood, B) Reclaimed or Refinished, C) Rapidly Renewable, D) Recycied-Contenl, E) Exposed Concrete. Flooring Adhesives Must Have car gpl VOCs. a.Minimum 15% of Flow Area b. Minimum 3D% of Floor Area c. Minimum 50% of Floor Area0 it. Minimum 75%ori Floor Area 0 0 1 I 0 I_ I I 1 ! ❑ ❑ 1 0�I —1 1 ❑ 2 Thermal Mau Floors: Floor Covering Other than Carpet on 50% or More of Concrete Room 0 1 ❑ 3. Flooring Meets Section 01350 or CRI Green Lobel Plus Requirements 50% Minimum 0 2 TOW Available Points in Flocrino = 71 0 M. APPLIANCES AND LIGIIMO Points Available Per Measure ❑ ❑ 1. Install Water and Energy Efficient Dishwasher a. ENERGY STAR (total l point) b. Dishwasher Uses No More than 6.5 Geilonsl de (toW 2 rims) 0 0 ❑ ❑ 2. Install ENERGY STAR Clothes Washing Machine with Web, Factor of 5 or Lev A Most Energy Star and CEE Tier 2 requirements (modified energy factor 2.0, Water Factor 6.0) (total 3 point) h. Meme Energy Star and CEE Tier 3 requirements(mod5ed energy factor 22, Water Factor 45 or less) (total s Pointer —0 1 ! 2 0 2 ❑ ❑ 3. Install ENERGY STAR Refrigerator a ENERGY STAR Oualllied a c 25 Cubic Feet Capacity b. ENERGY STAR Oualited a c 20 Cubic Feel Capacity 0 4.11 .1 Built -In Recyclin Canter 0 ❑ ❑ a. Built-in Recycling Center to. BuIIMn Composfing Center 0 0 ! ! ] 3. Community Design Measures d Local Pritill Sae the Community Pinning If Design section in Chapter 4 of the New Home Guidelines for • measures. Maximum N 20 points fou suggested. measures. Local requirements may also he fisted here. 020D7 Build It Green Single Family Gra nPoint Chmkilst 2007 Version Page 3 of 4 Ender tlnmlptim hen, and wile points Nelntlle for mnan in rgpapse calegorin a Gro nghL Edn d$=Vion hare, and enter pointe anflaoe la menon in eppopriate caog'udn W the right Enter dawriptlon hen, and enter points avegede her measure In eppropiele caogmin to the right. Enter dmjpLIm hen, and enter points evegame for mneure In apprcprlere categorise to the dgh . 4. Innovation: List innwatIve measures that meet the green building objectives of the Guidelines. Enter up to a madmum r-omhinad total of 20 me. Sea Innovation Check11s1 for suooested measures, using the link to the dghl faecrlpllon hen, end anter points evegami to meecrn m e�rd�rele ceogorin m me rqM. - _ _ _ _ Total Available Points In Specific dmum Points Reouired in Soeolfi� Pro}ect has not yet mot the following recommendod minimum relgulresnents: • Total Project Score of At Least 50 Points - Required measures: -A3a: 50% waste diversion by weight ,)�1-b%-above-TEle-24 •N1: Incorporate GreenPoint Rated Checklist Into blueprints Minimum points In specific categories: -Energy (30 points) -IAQ/Health (5 points) -Resources (6 points) -(Nater (9 points) 00 e 0 0 0 0 D. 0 0 0 D 0 0 0 0 0 0 0 0 0 0 AMII o_ o 0 0 0 0 0 0 0 0 0 0 o 0 0 0 a 0 0 0 a o 0 0 0 o 0 0 0 0- 42+ 1 66+ 43+ 6 F -6-T-9 • 020D7 Build It Green Single Family GreenPoint Checklist 2007 Version Page 4 of 4 sf Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 CITY OF Fax (408) 777-3333 CUPEkTINO • Building De artment JOBDRES : W��i d PERMIT #O 40 OWNER'S NAME: PHONE # 0 GENERAL CONTRACTOR o.w-, .rfX y2LLFAX# 10,V,0V 7W — 67 I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the followine information: Owner/ Contractor Signature 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 'e Owner/ Contractor Signature