08010096 (2) CITY OF CUPERTINO
BUILDING DIVISION PERMIT .aC� =12AiGORI1k'f.1Rl�'TA,' IOPI '
BUILDING ADDRESS: PERMIT NO.
20257 NORTHBROOK SQ JUST WATER HEATERS INC 08010096
OWNER'S NAME: PERMIT ISSUE DATE
TINA BUSTNAY 3400 INVESTMENT BLVD 01/16/2008
NE SANITARY NO. CONTROL NO.
(510) 293-9901
ARCH=tENGINEER: BUMMING PER UTINFO
BLDGO ELECT PLUMS I� O MECHD
Sop LICENSED CONTRACIOWS DECLARATION
no 1 hereby anon Wt I an licensed uobr provision of Chapter 9(commencing Job Description
r with Section 7000)of Diwaon 3efthc Bmdneu ftrcwom Cade.-mmylicenseis REPLACE 40 GAL GAS WT HTR
y in con forte and effect.
v�Z License Clan Lie.g
n Dam ContractorDECLARATION e A0.0 DECLARATION
i! 1 uMem and my plans a mll W used u public records
�a
5� Licensed Professional -
y OWNERBUIIDER DECLARATION
a� E i north,airron Nat I am exempt from Ne Conummes License Law for the
C D O following moon.(Section 7031.5,Buaeu and PMACSIb el Cafe:My city M county
$ which moru(ma a permit to conureat,slur.improve,demolish,or repair any smcmm
_Zj, prier 0 its issuance.glut inquires the applicant for such permit to Neasisu
gnedmmom
< Nat he u mm the licensed purant provisions of the Cenuacmrs Leevn Law(Chapter 9 Sq.Ft. Floor Area Valuation
�E $ (commencing with Section NOD)ofDivision J of the Business and Professions Code)m $1089
S Nu he u exempt therefrom and the basis for the allegro exemption.My Noladon of
Section 70513 by any applicant for a Permit subjects the appRe mt to a civil penalty of
cot comm Nan five hundred dollars ISM 31639037',Vbl Number Occupancy Ty
pe
D I.u own of die propmy,or my employees with cages as their sole compensation,
will do Ne work,and Be strut em is cot lmmndW or of.d for Inde(Sec.7014,Business
and PmfesAmn Code:The Co urebA Liam Law does not apply to an owner of Required Inspections
own emYwho Wilda oimpnvuthercoaand who doesotmhendedcmvJfmthrough It.ownemr.the building orri Naauch mimpm ements idwiturnotmar of oo@redfosame,-
budder.11 Wildingorimprovementusoldwithinern Weld of wmpleufrNe ower
buildes will haw the burden of paving Nu no did not Wild or Improve far purpose of
tib.)..
❑I.an ownsr of the property am exclusively contracting with licensed contreun to
coustnut use project(Sec.7044,Business and Profwlon Code:)the Commencer U.
cove taw does not apply to an outer of property who Wilds or improves thereon,and
who contracts for ouch pmjeca with a contractor(s)licensed pursuant u the Contrutoh
License law.
❑lovemnernunderSee ,BBPCforthureason
Owner Dau
WORKER'S COMPENSATION DECLARATION
1 thereby affirm under penslty of Perjury one of Be following declummuse
have and will maintain aCerifinu of Consent to self-boom for Workeh Coupon.
en,u provided for by Section 3700 of the labor Code,for the perfonanm of the
work for which this permit is issued.
❑1 have and will maintain Workers Compensation Insurance,u required by Sudor
3700 of the labor Code.for the performance of he work formich this permit is luted. '
My Worker's Compensation Insurance carrier and Policy number=:
Cartier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
(ThisseNon need not W completed If Ino permit is foto.hu timed dellan(SI00)
or bis)
I certify that In lie performance of the work for which this permit Is luted,l shell not
employ any person in any mmneru an u become subject to the Warton'Compensathon
Laws of California.Dau
Applicant
NOTICE TO APPLICANT:If,after making this CeniReau of Exemption,you should
become subject to the Workers Compensation provisions of the Labor Codo,you meet
3z forthwith comply wIth on provisions m this permit Aull be deemed revoked.
Z"' CONSTRUCTION LENDING AGENCY
aN-r Ihemh affirm Nn Nem b a construction lending e '
F Y g Fnc1'far the perfwmance of
Cir the work for which this permit b tested(Sec.3097,Cih,C.)
6Wi Q Lenders Name
=z Lenders Address
V Q 1 certify that 1 have mad this application and team Nu the be.information is
tf.t correct I ague to comply with all city and county ordinances and mu lawn misting In -
_C) Wilding conswcden,and hereby•uthoden mpmsenuiives of this city to color upon the
W %hove-mentioned property for inspection Purposes
L>, (We)agree to save,indemnity and keep harmless Be City of Cupertino aganst
N liabilities,judgments,costs and expense which may in my ray accrue aNat mid City
UZ in consequence of the graining of this permit.
.. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE REGULATIONS,
Signurt uof AppliaDam Re-roofs
HAZARDOUS
US MATERIALS DISCLOSURE Type of Roof
WIII the applicant no forum Wilding acupant atom or hander Health ad
U defined cm the Cupertino Municipal Code.aapmr 9.13,and thre Health and Safety
Code,se y.lssJ:(°± All roofs shall be inspected prior to any roofing material being installed.
❑Yu ON.
Will the applicant or form Wilding occupant use equipment or devices which If a roof is installed without first obtaining an inspection,.1 agree to remove,
't hu mites arconuminsnts as defined by the Bay Aon Air Quality Management all new materials for inspection.
n7
❑Ya ON.
I have mad the hanNau materiae roquirtmcou underChapmr h.9Jofthe Califur.
mufkaNkSofctYCa-Scaiau35505,35533u n534.1undcnund NnifNc Wilding
does not currently have a marl Nu It Is my responsibility to meufy the occupant or the
requirements which most W=1 prior to issuance of a CeniBa9:of occupancy. Signature of Applicant Date .
Owner or autherixed agent Dam g
All roof coverings to be Class"B"or better
'
CITY OF CUPERTINO
• 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 31639037 . 00
DATE ISSUED. . . . . . . : 01/16/2008
RECEIPT #. . . . . . . . . : BS000003705
REFERENCE ID # . . . : 08010096
SITE ADDRESS . . . . . : 20257 NORTHBROOK SQ
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : TINA BUSTNAY
ADDRESS . . . . . . . . . . : 20257 NORTHBROOK SQ
CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-0501
RECEIVED FROM . . . . : JUST WATER HEATERS
CONTRACTOR . . . . . . . : GILROY, JOHN LIC # 15128
COMPANY . . . . . . . . . . : JUST WATER HEATERS INC
ADDRESS . . . . . . . . . . : 3400 INVESTMENT BLVD
CITY/STATE/ZIP . . . : HAYWARD, CA 94545
TELEPHONE . . . . . . . . : (510)293-9901
FEE ID --_-UNIT----- QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 1, 089 . 00 0 .50 0. 00 0. 50 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
ITRAVDOC FLAT RATE 1. 00 40.79 0. 00 40.79 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 106 .56 0. 00 106 .56 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 106.56 MC
---------------
TOTAL RECEIPT 106 . 56
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-- ---------------------------- -------- ---------------- ---
518 WATER HEATER
•
a
® C-ty of Cupertino Building Permit Application '
E-Mail
Jobsite Address: 20257 Northbrook Sq. Date: December 16, 2007
Owner's Name:---Tlna Bustnay
Phone No (408)996-3534
APN#: 316-39-037 Project Valuation .51,089.00
Building Permit Info: Bldg Elect— Plumb----X--- Mech
Job Description
Replace 40 gallon gas water heater.
Contractor Information
Company: Just Water Heaters Inc. Phone: (510)293-2012
Contact Name: Fax: (510)293-2022
® Address:3400 Investment Blvd E-mail: permlts®Justwaterheaters.net
City,State and Zip: Hayward,CA. 94545
State Contractor's License# 591329 Exp.Date: 3/31/08
Worker's Comp#: 01DKRM11001070 Carrier: Nelos Exp. Date: 4/1/08
� i7-`C'� Q Iv31 oS
Credit Card Information
Credit Card #:�
Name on Card: Just Water Heaters Inc.
Expiration Dater
Visa MasterCard
Comments
Community Development
� 10300 Torre Avenue
S ✓ Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
6UPE TING
Building Department
JOB ADDRESS: PERMIT #
20257 Northbrook Sq. obbj c()q �o
OWNER'S NAME: Tina Bustnay PHONE # 408-996-3534 _
GENERAL CONTRACTOR: JustWaatter Heaters FAX # 510-783-6360(
I am not using any subcontractors: ,, w-" �a -� 12/16/07
Signature Date
Please check applicable subcontractors and compTete 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 Just Water Heaters 591329
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
® 0aco- -0i^ 12/16/07
Owner/Contractor Signature Date
10/28/03
0901 0 09 c0
Q� CITY OF CUPERTINO
t WATER HEATER
CUPEkTINO PERMIT APPLICATION FORM
•
APN #
Building Address: �l
Owner's Name: Phone #:
Contractor: Phone #:
Fax #:
Cupertino Business License #: Contractor State License #:
Contact: Phone #:
AM Fax #:
Building Permit Info:
Bldg ❑ Elect ❑ Plumb ❑ Mech ❑
Residential ❑ Commercial ❑
Job Description:
Strapped ❑ On Platform ❑ Bonded ❑ New Location ❑ Replacement ❑
Valuation:
Green Building Check must be completed and attached to this application.
Green Building Points achieved:
CITY OF CUPERTINO
wa
� k WATER HEATER
�CUPEkTINO PERMIT APPLICATION FORM
Quantity Fee ID Fee Description Fee Permit Type
Group
1PCWHEATR Commercial Water B PCWHEATR
HeaterNent
BSEISMICOM Seismic Commercial B
1PRWHEATR Residential Water B PRWHEATR
HeaterNent
i BSEISMICRE Seismic Residential B
PPERMITFEE Plumbing Permit P
TRAVDOC Travel & B
Documentation
BUSLIC Business License B
Single Family GreenPoint Checklist dare: Build It Greeri
The GreenPoint Checklist is based on the various green Ieatures incorporated into the home and Is the Smart Solutions From Thr Ground Up
basis for the GreenPoint Rated program.A home can be considered green If it fulfills the prerequisites,
Hams at least So points,and meets the minimum points per category:Energy list
of Indoor Air GreenPoint Health(5),Resources(6),and Water(R).Please tooted Build It Green for a list of qualified GreenPoint
Raters If you are interested In pursuing third-parry verification.
•
The green building practices listed below are described in the New Home Construction Green Building
Guidelines,available at wwwAuiltlitOreen.oro.
ENTER PROJECT
• • 4
U a �
A BITE Points Available Per Measure
1.Probalropaod and Minimize Disruption of Existing Plante 6 Trees
❑ e.Protect Topsdl from Erosion and Reuse after CW$Mdon 0 1 ]
❑ b.Limit and Delineate Construction Footprint for Maximum Protection 0 I
2 Deconstruct Instead of Demolishing Existing Bulldingz On Site 0 3
a.Recycle Job Site Construction Wash(Including Green Waste)
❑ a.Minimum 50%Waste Diversion by Weight(Recycling or Reuse-Required 0 R I
❑ b.Minimum 65%Diversion by Weight(Recycling or Reuse) 0 j 2
❑ c.Minimum BD%Diversion by Weight(Recycling or Reuse) 0 2
4.Use Recycled Consent Aggregate(Minimum 25%)
❑ a.Walkway and Driveway 0
❑ b.Roadway Base 0
Total Paints Available in Site=12 0
B.FOUNDATION Points Available Per Measure
1.Replace Portland Cement in Concrete with Recycled Flyash or Slag
❑ a.Minimum 20%Flyash or Slag D I I 1 r
❑ b.Minimum 25%F ash or Slag D 1
ET 2 Use Frost-Protected Shallow Foundation in Cold Areas(C.EC.Climate Zone 16) 0 3
❑ 3.Use Radon Resistant Construction(in At-Risk Locations Only) 0 1
4.Design and Build Structural Pest Controls
❑ e.Install Termite Shields 8 Separate All Exterior WoodAtConcreb Connections by Metal or Plastic PastenersrDividers _0
b.All New Plants Have Tmnk,Base,or Stem Located At Least 36 Inches from Foundation
Total Pants Avallada in Foundation=a 0
C.LANDSCAPING Points Available Per Measure
1.Construct Resource-Efficient Landscapes
❑ a.No Invasive Species Listed by Cal-IPC Are Planted 0 1
❑ b.No Plant Species Will Require Hedging 0 1 _
❑ C.75%of Plants Are Drought-tolerant Cellfomia Natives,Mediterranean,or Other Appropriate Species 0 3
2.Use RwSale Landscaping Techniques 0 1
3.Minimize Tud Arses in Landscape Installed by Builder
❑ a.All Tud Will Have a Water Requirement Less then a Equal to Tall Fescue(50.8 plant laden) 0 2
❑ b.Tud Shall Not Be Installed on Slopes Exceeding 10%or in Areas Less than B Feet Wide 0 _ 2
❑ c.Tud is Sia%of Landscaped Area(total2 points) 0 TI— —T 2
❑ J.Tud is 51 D%of Landscaped Area(1dal 4 points) 0 1 — 1 1 1 a
4.Plant Shade Time 0 ) ) 3
Lj 5,Group Plants by Water Needs(Hydrozoning) D I 2
6.Install High-Efficiency Irrigation Systema
❑ e.System Uses Only Low-Flow Drip,Bubblers,or low-flow Sprinklers 0 _ ( _—{—2
❑ b.System Has Smart Conti 0 -1 3
FT 7.Incorporate TwoInches of Compost in the Top 6 to 12 Inches of Soil 0 3
LJ 8.Mulch All Planting Beds to the Greater of 2Inches or Local Water Ordinance Requirement 0 2
LJ 9.Use So%Salvaged or Recycled-Content Materiels for 6D%of Non-Plant Landscape Elements 0 1 I
10.Reduce Light Pollution by Shielding Fixtures andlor Directing Light Downward 0 1
Total Points A41able in Landscaping=31 0
D. STRUCTURAL FRAME&BUILDING ENVELOPE Points Available Per Measure
1.Apply Optimal Value Engineering
❑ a.Place Rafters and Studs at 24-Inch On Center Framing 0
❑ b.Size Door and Window Headers fa two 0 I
❑ c.Use Only Jack and Cripple Studs Required for Load 0 ]
2.Use Engineered Lumber
❑ e.Beams and Headers 0
❑ b.Insulated Engineered Headers 0 1
❑ c.Wood l-Joists or Web Trusses for FIDOM 0 ) ]
❑ d.Wood IJoists for Rod[Rafters 0 I ( I 1 I
❑ e,Engineered or MngerJointed Studs for Vertical Applications l0
❑
1.Oriented Stand Board lot SubODDr 0 1
❑ g.Oriented Strand Board for Wall and Roof Sheathing 0 1
3.Use F5C.Certified Wood
❑ a.Dimensional Lumber,Studs and Timber.Minimum 40% 0 _ I 2
❑ b.Dimensional Lumbar,Studs and Timber:Minimum 70% p �— 2
❑ C.Panel Pmducis:Minimum 40% 0
❑ d.Panel Products:Minimum 70%
D
02007 Build It Green Single Family GreenPoint Checklis12007 Version Page 1 of 4
ENTER PROJECT NAME
3
4.Use Solid Well Systems(Includes Sleek ICFs,ls Any Non-S ck From Assembly)
❑ a.Flom 0 2
❑ b.Wells 0 2 _ .— .2 _-
❑ c.Roots o 2 1 2
5.Redux Pollution Entering me Hone from the Damage
❑ a.Tightly Seal the Air Banner between Garage and Living Area _0
❑
It.Install Gouge Exhaust Fan OR Build a Detached Geroge D 1—.-
Lj 6.Design Energy Heolc on Trusses(75%of Attic InNtatlon Haight at Outside Ede of Exterior Well 0 1 i
❑ 7.Design Root Tmuu W Accommodus Celli D 1
B.Use R sled-Conuni SteN Stade for So%of Inferior Well Fmmin D 1
B.Thermal Man Walls:51114 ch Drywall on All Interior Wells or Wells Weighing more than 401bhcuA 0 - 1
10.Install Overhangs and Gutlars
❑ a.Minimum 16-Inch Overhangs and Guam __0
❑ b.Minimum 24-Inch Overhangs and Gutters 0 1
Total Points Available In Structural BuIlding From no Envelops.30 0
H.EXTERIOR FINISH Points Available Pel Measure
El 1.Use Ruycied-Conlant(No Virgin Plastic)or FSC-CeNged Wood Docking 0 2
2.Instill a Rahn Scroen Wall System D 2
3.Use Durable and Noncombustible Siding Materials 0 - 1
4.Select Durable and Noncombustible Roofing Materials 0 2
Taal Points Available In Exterior Finish=7 0
F.INSIILATION Points Available Par Measure
1.install Insulation with 75%Reeycled Content
❑ a.Wells anNa Places _0 _ 1
❑ b.Collins 0 r 1
2.Install Insulation that Is Low-Emimng(Certified Section 01750)
❑ e.Walls andla Floors _ 0
❑ b.Ceilings 0 1
❑ 7.Insect Quality of Insulation Installation before Applying Drywall 0 1
Total Pointe Available in Insulallon=5 0
O.PLUMBING Points Available Per Measure
1.Dist ibula Domestic Hot Water Efficiently(Maximum 7 Points)
❑ a.Insulate HM Walla Pies hall Water Heater to Kitchen 0_ 1 1
E] 6.Insulate All HM Water Pipes D_ _ 1_ 1
❑ c.Use Engineered Parallel Piping D
❑ d.Use Engineered Parallel Piping with Demand Controlled Circulation Loop 0
❑ e.Use Structured Plumbing with Demand Controlled Circulation Loop _0 _ _ _ 1
❑ f.Use Central Core Plumbing 0 1 1 2
❑ 2.Install Only High Efficiency Toilets Du6FluBh or 51.28 gyrt 0 4
Total Pointe Available in Plumbin =Total 12 0
H.HEATING VENTILATION R AIR CONDITIONING, Points Available Per Measure
1.Design and Install HVAC System to ACCA Manual J,D,and S Recommendations 0 4
2.Install Sealed Cambustion Units
❑ a.Furnaces _ 0
❑ b.Water Heatere 0 T 2t-
7.Insmll Zoned.Hydronic Radiant Handling with Slab Edge Insulation 0 1 1
4.Install High Efficiency Air Conditioring with Environmentally Responsible Refigeranta D 1
5.Design and Install Effemlve Duchvork
❑ e.Install HVAC Unit and Ductwork within Condigoned Space 0 3
❑ b.Use Duct Mastic an All Duct Joints and Seams
❑ c.Install Ducavork under Aide Insulation(Buried Ducts) 0
❑ d.Pressure Balance the Ductwork System _0 _ 1
❑ e.Protect Ducts during Construction and Clean All Ducts before Occupancy 0 �
Ll B.Install High EfficienHVAC Ran(MERV a) 0 1
❑ 7.Don't Install Fireplace or Install Sealed Gas Flrepleces with Efficiency Rating Not Less Than 50% 0 1
using CSA Standards
e.Install Effective Exhaust Systems in Bathrooms and Kitchens
❑ a.Install ENERGY STAR Bathroom Fans Vented to the OW Ide 0
❑ b.All Bathroom Fans Are an Tlma or Hunidistat D _ —y
❑ c.Install KOchen Range Hood Vend to the Outside 0 1
S.Install Mechanical Ventilation System for Cooling(Maximum 4 Points)
❑ a.Install ENERGY STAR Calling Fans 5 light Kits In Living Areas 5 Bedrooms _0
❑ b.Install Whole House Fan With Variable Speeds
❑ c.Automatkaiy Controlled Integrated System 0 _ _ 2
❑ d.Aulornu ally Controlled Integrated System with Variabla Speed Control 0 3 —�-
10.Install Mechanical Fresh Air Ventilation System(Maximum 3 Points)
❑ a.Any Whale House VorMa50n System That Meets ASHRAE 522 0 _ _ _ _ _ 2 r
— 1
❑ 6.Install Alr-Io-Air Heat Exchanger that meets ASHRAE 522 0 7 2
71 /1.Install Carbon Monoxide Alarms) 0 1
Total Points Avallabla In Hsalm,Ventilation and Air Condifionin =30 0
0 2007 Build it Greon Single Family GreenPDlnl Checklist 2007 Version Page 2 of 4
ENTERTROJECT NAMEe
U Q
I.RENEWABLE ENERGY Points Available Per Measure
1.Pre-Plumb for Soler Hot Water Heeling 0 4 I
77 2 Install Soler Witter Hurt System 0 10 1
3.Install Wiring Conduit for Future Photovoltaic Installation&Provide 2DO fP of SDuth-Facing Roof 0 2 I I
4.Install Photovolteic(PV)Panels
❑ a.30%of electric needs OR 1.2 kW(total 6 points) 0
❑ a.6D%of electric needs OR 2.4kW(total 12 KNE) 0
❑
C.90%a electric need OR 3.6 kW(total 16 points) 0 1 6 1
Total Available Pants in Renewable Energy=2& 0
J.BUILDING PERFORMANCE Points Available Per Measure
1.Diagnostic Evaluations
❑ a.House Passes Blower Door Test 0
h.House Passes Combustion Safety BazktlradTest p 7
2.Design and Build High Performance Homes-%above Title 24-minimum 15%Required 0 �G ,
❑ 3.House Obtains ENERGY STAR with Indoor Air Package Certification-Pilot Massure(Total 45 points;reed comment) 0 S 2
I
Tout Available Points in Building Performance=39 0
R.FINISHES Points Available Per Measure
❑ 1.Design Entryways to Reduce Tracked in Contaminants 0 1
2.Use Low-VOC or Zero-VOC Paint(Mffiimum 3 Points)
❑ a.Low-VOC Interior WaIVCeiling Paints(c50 gpI VOCs(Flat)and d50 gd VOCs(Non-Flat)) 0 __ 1
❑ b.ZBro-VOC:Interior Walli Paints 6 0 VOCs(Flag 0 3 1
❑ I.Use Low-VOVOC.We--Based Wood Finishes(QS0 gpI VOCs) 0 1 2 1 1
❑ 4.Use LOwC Caulk end Construction Adhesives(OO 9PI VOCs)for All Adhesives 0 ( 2 I
❑ S.Use Reryeled-Content Paint 0 1
6.Use Environmentally Preferable Materials for Interior Finish:A)FSC-CMilred Wood,B)Reclaimed,C)Rapidly Bassam D)Recycled-Content
or E)FlngerJolnted
❑ a.Cabinets(50%Minimum) _0 1 I T
❑ b.Interior Trim ISM Minimum) 0 � 1-7—
_I —
❑ c.Shelving(50%Minimum) 0 1
❑ J.Donne(50%Minimum) g
❑ e.Counter s(50%Minimum) 0 I 1
7.Reduce Formaldehyde in Interior Finish(CA Section 01350)
❑ a.SubOoor A Stair Treads(50%Minimum) 0 1
❑
to.Cabinets A Countedops(50%Minimum) 0 _ 1
• ❑ c.Interior Trim(50%Minimum) 0
❑ d.SheNin (50%Minimum 0 �_ 1
❑ 5.Attar Instella6on of Finishes,Test of Indoor Air Shows Formaldehyde Level Q7 pb 0 1 I 3 1
Total Available Points in Finishes=21 0
L.FLOORING Points Available Per Measure
1.Use Environmentally Preferable Flooring:A)FSC-Certified Wood,B)Reclaimed or Refinished, C)Rapidly Renewable,D)Recycled-Convent,E)
Exposed Concrete.Flooring Adhesives Must Have ,50 gpI VOCs.
❑ a.Minimum 15%of Floor Area 0 1
❑ b.Minimum 30%of Floor Area 0
❑ c.MlNmum 50%of Flan Area 0
❑ d.Minimum 75%Of Floor Area 0 I 1
❑ 2 Thermal Mass Floors:Floor Covering Other than Carpet on 5D%or More of Concrete Floors 0 1
❑ 3.Flooring Meeh Section D1350 or CRI Green Labol Plus Requirements(50%Minimum) 0 1 2 1 I
Total Available Pants In Floorin =7 0
M.APPLIANCES AND LIGHTING Points Available Per Measure
1,Install Water and Energy Efficient Dishwasher
❑ a.ENERGY STAR(fund 1 point) 0
❑ b.Dishwasher Uses No More than 6.5 Gblion le(total 2 points) 0 1 1
2lnstall ENERGY STAR Clothes Washing Machine wish Water Factor of 6 or Less
❑ a.Meets Energy Star and CEE Tier 2 requirements(modified energy factor 2.0,Water Factor 6.0)(lotal3 points) 0 I I 2
❑ b.Meets Energy Star and CEE Tier 3 requirements(modified energy factor 22,Water Factor 4.5 or less) 0 2
ea 5point)
3.Install ENERGY STAR Refrigerator
❑ a.ENERGY STAR Oualified If a 25 C&C Feet Capacity 0
❑ h.ENERGY STAR Ovailfied&�20 Cubic Feet Capacity 0 1
L Insmll Bulll-In Recycling Center 0
❑ a.Built-In Recycling Center 0 2
❑ b.Built-In Composting Center 0 -
--
TomlAvailablePointsinAppliances and Lighting=12 0
N.OTHER Points Avallahle Per Measure
❑ 1.Incorporate Grecur l Rated Checklist in Blueprints-Required 0 I R I
❑ 2.Develop Homeowner Manual of Green Feamrea9enefils 0 1 1 1
3.Community Design Measures A Local Priorities:See the Community Planning&Design section in Chapter 4 of the New Home Guidelines for
measures.Maximum of 20 points for suggested measures.Local requirements may also be listed here.
El
0 2007 Build It Green Single Family GreenPoinl Checklist 2007 Version Page 3 of 4
Munn ENTER PROJECT NAME ;
❑ Enter tlescdpllon here,end sharer pains avelluble fu measure in appropnaie calaA�ae to the right. D 0 D 0 0 0
Enter descr011on here,end enter points av ulehb for manure in appropriate cangodes to the dgm _ 0 D 0 0 0 0
Enter description here,and enter pointe avallable lot measure In apprapnato categories to the right. _D 0 0 0 0
Enter d"Itut here,and enh�pcns avabibitfor measure in appropras categories to the right _ 0 0 (1 0 0 0
4.Innovation:List Innovative measures that meet the green bullding objectives of the Guidelines.Enter up to a Build It Green Checklists anLLtl
maximum combined total of 20 pts.See Innovation Checklist for suggested measures,using the IInk to the right. _ _Guidelines _
Li Innovation in Community:Enter denscrilotion hen,and enter points available its measure in appropriate cele 'n to Ins right. D It D 0 D D
Innovation a En. :Enter detum Ion here,and enter points available le measure In appropriate categories to the right _0 0 0 0 0 0
Innovation In IAUMeetth:Enter desomplon hare,and enter points waflable for manure in approprea,CBI es to he _ D _ 0 0 0 0 D
enmmtl n n 6OOanaa:Enter desorption here,and enter points available for measure Ina date cote Cain to me ri ht. D 0 0 0 0 0
IMwatipl In Wear.Enter desoripllon hen,and antorEcAn t availat s for measure In appropriate calegodes Io the IgM 0 D 0 D 0 0
Total pvallablB Points in Other=43 D '
Total Available Points in Specific Categories' 4+ 96+ 42+ 66+ 43+
Minimum Points RequiredI Tottil Points Achieved In Specific Categories 0 30 5 6 0
01 1 1 1 1 1 i 1
Project has not yot met the tolloWing recommended minimum requirements:
-Total Project Score of At Least 50 Points
-Required measures:
-A3a: 50% waste diversion by weight
-)1: 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)
-Water(9 points)
•
0 2DD7 Build It Green Single Family GroanPolnt Checklist 2007 Version Page 4 of 4