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08020036 (2) BUn.D%NiC DIVISION PERMIT CONS=Rt+iGTOR TNFORMA.TId BUILDING ADDRESS: PERMIT N0. 644 STENDHAL LN RAPID PLUMBING INC. 08020036 ER'S NAME: PERMIT ISSUE DATE DAVID G LANTZ PO BOX 5144 02/06/2008 PHONE: SANITARY NO. CON-1ROL NO. (408) 866-1417 ARCHITEC(ENGINEER: BUILDING PERMITINFO BLDG o PLO o Sop LICENSED CONTRACTOR'S DECLARATION I Job Description I busby affirm lout 1 she licensed under provisions of Chapter 9(commancing p with Soudan 70011)of Division 3 of the Business and Profeaoom Code,and my license is INSTL GAS LINE FOR KITCHNSTOVE in full forth and cUah License Clw Lk. Dau; Contractor ARCHITECTS DECLARATION 1 understand my plans shall In used as public records cA ysed Licensed proposal...l OWNER-BUILDER DECLARATION sC< I Wmby.(S m that 1 1. exempt from lose Dantrns;Co License I.A.for tis O O whichrfollowing ream..(Satoh Tse construct. Business and Professions;Code:Any city or couure 3$ which mquims.premia m on.t eL Pour,imrot such dem.IW,ore asig any structure _z y [he, m its ceewnce,also require lox applicant for such permit to file soigne(sutomem < Nat he islicensedit pSatunt tothe)of Division of lofteBusinessa Licew loon(Cl.par9 Sq.Ft. Floor Area Valuation (commencing he is vempth SecdouTBn d the Division r it al Business and Pt.An, CMe)of $2000 Nn he r eaempa thertfrom mai the Wer for the ailgc0 esamant to Any it pen lty of Senow703L5by nury•polismar«apvmusubjecu Ne.ppfinnuo.emn penalty or �,pr�t Number Occupancy Type not mom than fon hundred dollars ISM 37540034 .`� ❑I,u cams of oie prvpuay,a mY a.Ployw with ages as tse'v sac cmnpematon, will ed loxsim"and thn beContU hors License ice s Law do fars.k apply to an Buainw and ercfaoow cava Ilse Contractors Ld who taw day mars apply to rt comer is Required Inspections pmpertywyees,h. provided thatsuch mon.mdwM dwsawhwwt himselfmNmWeugh br ' own employees,ffic Wilding p or i thassueh impmwmmts are not earl.arteemd far salt ir. howevWitter r,theaeonorlmpmwmentrmld withinnot you of imiumnw,thrpose r. of ,- pulldv will Ww to berth of proving that W did not build ho improv Ice purpose of ' (��awnv of ter pruVaray.am malum sly contracting with licensed contractors to camtmct the project.(Sec.7061.Buslnw and Pmfrsoem Chat The COnuac ora U. mw law don not apply to an owonr of property who Wilds or improan d ermn..M, who contracts for such projects with a mnuanho(s)0een ed punwns to the Chambers License Law. 0 1 tantale(mmm��,pr writ/r$¢ B&^PSC fonr ffin match v M�M' Dau yam= WORKER'S COMPENSATION DECLARATION 1 hereby&M m under Penally of perjury ow of to following declamWonue ❑1 ban and will main Wn a Cenificase of Consent to self-mare fon Winters Compare utas as provided for by Saloon 3700 of the later Code.fon the performance argue work for which this permit is issued. ❑1 have and will maintain Workers Compensation Insurance,as required by Samoan 3700.(0.Labor Code,for the perfmmanceofthe work forwhich N.Permit la lusted. ' My Warkhrs Compenadon Insurance carrier and Policy number am: Carrier. Policy No.: CERTIFICATE OF EKEMPTION FROM WORKERS' COMPENSATION INSURANCE (Tru eaYlon need notta complcied if tls Permit is photon hundred dollars(110M or cast 1 certify that In the aaf ummce of tis.,it for which this Permit Is iarwd.I shall am employ anypermn in anYmago�cr C tRtaComa mbJata the Workers'Compcwtan L.wsof Caiifomi ase o` Applicant NOICETO APPLICANT:If, fornsdefing9tirCTRificale of Exemption,you should become subject a the Worker's Comix,maJon provisions of the Later Cade,you most O Q forthwith comply with such providom or Nu permit shall W dovo diamond reked. Z CONSrRUCnON LENDING AGENCY Ithereby&Mm that Nem is a comuucdnn ImdinprancY for the Performance of ami the.,it for which thia permit is issued(S..3097.Cl,C.) aQ lander'.Name 7 z Lenders Address U O I certify Nu I low read oda application and sou that the awn Information r cornu I agree M camplY with all city and county ONPamms and a=rws totaling in Wilding couvuction,and hereby mNvise rtpresenutws of this city to cnur upon she LU aWw-mcndoned Property for impadon Purposes pry (We)agme to sew,indemnify and kap harmteu the City of Caperton against „y pj Ilabilioa,judgments,casts and vpeuv which may In any way acerta against said City U 7 in conseguene,of the granting of dus permit. h� APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:9 Date 2--- —dc SOURCE qq!�yyULA7TO"NS. Jam^ 'ice '2 (�'v f Re-roofs �`- Signuurt of ApplionYCman ctor Data HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applieun or foto¢Wilding omupmtstom or handle haerdous maseri.o defend by the Cupertino Municipal Codc.CWpser 9.11,and the Hcalth and Safely .Sadcn 255324)7 ❑Yn two All roofs shall be inspected prior to any roofing material being installed. Will the applicant or future Wilding occupant use equipment or device which If a roof is installed without first obtaining an inspection,I agree to remove emit hauNow air conuminmu u defined by the Bay Area Air Quality Management all new materials for inspection. District? pan 04. 1 hew mad the hvaNaw muadaia rtquimmcnu undcrCWpmr d.93tfda Glifer- does net CarmodloyyY ban ALamson.09 It a my respectability to nnotlaY the occupant of the requimsPan.white myat k tpnar wow of.artTana ofOccepmey. Signature of Applicant Date 2-fo us Owner or mthorutd agent Dow All roof coverings to be Class"B"or better � ' CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE CUPERTINO PERMIT APPLICATION FORM APN# 27� � �D2 � OD Date: Z— S�_ c9 $ Building Address: C. N q S 4e H cL0 I L A N t C �j 11, v CA ti S'ol ,,il Owner's Name: a✓ Lam .�'L Phone#: 6S0-219 -3363 - Contractor: S0-Z19 -33Contractor: R O n ii„ � 5 i v,�n Phone#: N 0 V� 2 7 0 )0 P o. Box 5' I41+ Sam + ,? C- ) a✓a I clq 6i S0Fax #: Contact: /A Q r co Peg ct 1 a o Phone#: y D 9— 3 q3 - g0 63 Fax #: Contractor License#: S' Z 12 Cupertino Business License#: 2 q 71 (7 Job Description: l„ 4 }6 I 0) 0 S h H t 7-0✓ i c 1+ b } 0 V if Residential Commercial ❑ Valuation: 2 d 00 Green Building Check list must be completed and attached to this application. Green Building Points: Quantity. Fee ID - Fee Description Fee Permit Type Grou 1PCSEWER Commercial building P iCPSS sewer/sanitary sewer 1BPREPIPE Commercial re-pipe per fixture P 1CPRP 1PGASCOM Commercial Gas Piping System P 1-4 Outlets 1BSEISMICOM Seismic Commercial P / 1BSEISMICR Seismic Residential P IPRSEWER Residential building P 1RPSS sewer/sanitary sewer Ar CITY OF CUPERTINO REPIPE/SEWER/MAIN SERVICE CUPEI,TINO 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 1BPWATER Install/alter Water Pipe P 1BPFIXTURE Plumbing Fixture P 1PGASRES Residential Gas Piping System P 1 1-4 Outlets IBPGAS Gas Piping System 5+ Outlets P 1PPERMITFEE Plumbing Permit Fee Issuance P • IPLMBLNCK Plumbing Plan Check P 1PLMBINSP Other Plumbing/gas Insp. P 1TRAVDOC Travel & Documentation Fee B IBUSLIC Business License B CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 37540034 . 00 DATE ISSUED. . . . . . . : 02/06/2008 RECEIPT # . . . . . . . . . : BS000003867 REFERENCE ID # . . . : 08020036 SITE ADDRESS . . . . . : 644 STENDHAL LN SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . OWNER . . . . . . . . . . . . : DAVID G LANTZ ADDRESS . . . . . . . . . . : 644 STENDHAL LN CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4656 RECEIVED FROM . . . . : DAVID G LANTZ CONTRACTOR . . . . . . . : BRIAN PULLAN LIC # 29716 COMPANY . . . . . . . . . . : RAPID PLUMBING INC. ADDRESS . . . . . . . . . . : PO BOX 5144 CITY/STATE/ZIP . . . : SANTA CLARA, CA 95056 • TELEPHONE . . . . . . . . : (408) 866-1417 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 2, 000. 00 0 .50 0. 00 0.50 0. 00 1PGASRES OUTLETS 1 . 00 61.19 0. 00 61.19 0. 00 1TRAVDOC FLAT RATE 1 . 00 40.79 0. 00 40.79 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 102 .48 0. 00 102 .48 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 102 .48 . VISA --------------- TOTAL RECEIPT 102 .48 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 103 UFER 106 SEWER & WATER 507 FINAL PLUMBING • Single Family GreenPoint Checklist dale:2-6•ca3 Build It Green The GreenPoint Checklist is based on the various green features incorporated Into the home and is the '=� SmartSolutions From The Gm i Up basis for the GreenPoint Rated program.A home can be considered green If it fulflis the prerequisites, • gams at least 50 Pot=,and madal the minimum points par category:Energy(30),Indoor Air Quality/ Health(5),Resources(6),and Water(9).Please contact Build it Green for a list of qualified GreenPolin f I -IF I Raters if you are interested in pursuing third-parry verification. I J The green building practices listed below are described in the New Home Construction Green Building Guidelines,available at www.bui iitOraen.om, -' ENTER PROJECT s Eu d Fmm 3 U Q D A IITE N ' i.x so - - Points Available Per ideasure 1.Pi l Topso 1 and Minimize Disruption of Existing PIan61 6 Trees ❑ a.Protect Topsoil from Erosion and Rause after Construction E] b.limit and Delineate Construction Footprint for Maximum Protection 0 _ 1 2,Deconstruct instead of Demolishing Existing Buildings On she 0 3 3,Recycle Job Site Construction Wawa(Including Green Waste) - ❑ &Minimum 50%Wal Divemion by Weight(Recycling or Reuse-Recall p R ❑ It.Minimum 55%Diversion by Weight(Recycling or Reuse) p - 2 ❑ C.Minimum 80%Diversion by Weight(Recycling or Reuse) p 2 ------4,Vae Recycled Content Aggregate(Minimum 25%)__..-_ ❑ a.Walkway antl DrNeway 0 } E] b.Roatlway Bese Total Point 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 0 ❑ b.Minimum 25%Ryser or Slag —.. - } ❑ 2,Use Frost-Protactsd Shallow Foundation in Cold Areas(C.E.C.Climate Zone 16) 0 3 ❑ 3,Use Radon Resistant Construction(In At-Risk Locations Only) 4,Casten and Build Structural Past Controls ❑ a.Install Termite Shielm&Separate All Exterior Wood-lo-Concreta Conmadors by Natal or Plastic FastenwaDividars 71 b.All New Plants Have Trunk,Base,or Stem Located Al Least 36 Inches from Foundation Total Points A%niflabl.in Fountlation=e C.LANDSCAPING U lit oina Available Per Measure • 1.Construct Resource-Efgeient Landscapes ❑ a.No Invasive Species Listed by Cal-IPC Are Planted 0 } ❑ b.No Plant Species Will Require Hedging - 0 - ----------"-- ❑ c.75%of Plants Are Drought-folarent Caldornia Natives,Mediterranean,or Other Appropriate Species p _ i 3 ' 2.Use Fil Landscaping Techniques 0 3.Minimize Turf Areas in Landscape Installed by Builder ❑ a.All Tutl Wlll Have a Wader Requirement Less than or Equal to Tall Fescue(50.6 plant taper) 0 _ ; 'I___�i_ __ _� 2_ E] b,Tud Shell Not Be Installed on Slopes Exceeding 10%w In Areas Lass than B Feet Wide 0 ❑ c,Tud Is 573%of Landscaped Area(diel 2 poll 0 + ❑ it.Turf is 510%of Landscaped Area(total4 points) I,Plant Shade Trees 0 f 3 ❑ S.Group Plants by Water Needs,(Hydrozoning) 0 —_�_l 1 1 2 S.Install Nigh-Effieioney Imigation Systems wZ ❑ a.System Uses Only Low-Row Drip,Bubblers,or Low-flow Spdnklars pz El b.System Has Sman Conhotler6 0 i 1 3 ❑ 7.Incorporate Two Inches of Compost in the Top 6 to 12 Inches of Soil 0 ( 3 3.Mulch All Planting Beds to the Greater of 2Inches or Local Water Ordinance Requirement 0 2 e,Use 50%Selvaged or Recycled-Content Materials for So%of Non-Plant Landscape Elements 0 "` 1 ❑ 10,Reduce Light Pollution by Shielding Fixtures and/or Directing Light Downward 0 1 1 Total Points Avalleble in Landscaping=31 0 D.STRUCTURAL FRAME do BUILDING ENVELOPE Points Availa0le Par Measure ' 1.Apply Optimal Value Engineering ❑ a.Place Rafters and Studs at 24-Inch On Center Framing 0 1 ❑ In.Size Door and Window Headers for Load 07 ❑ c.Use Only Jack and Cripple Studs Required for Load p —_ ----" 1„- 2.Use Engineered Lumber ❑ a.Beams and Headers 0 1 } ❑ b.Insulated Engineered Headers --O""-'-- r"-_.I_-- '---- ❑ c.Wood Woists or Web Trusses for Floors --Q'------T- E] ❑ d.Wood l-Joists for Roof Rafters - "'J-'--'--- ❑ e.Engineered or Rnge>Jointad Studs for Vertical Applications -p._.--.----j--`-`-"'��-'J-"'-- ❑ I.Orianted Strand Board for Sublow 0 ❑ g.Oriented Strand Board for Wall and Roof Sheathing 3.Use F Dimensional Lu Wood - ' ❑ a.Olmensional Lumber,Studs and Timber.Minimum 40% FD❑ b.Dimensional Lumbar,Studs and Timber.Minimum 70% —2 ❑ c.Panel PmtlucLs:Idinimum 40%❑ d.Panel Products:Minimum 70% -' - ---"--"--""—' ®2007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 1 of 4 MGMENTER a . e 4.Use Solid Well Systeme(Includes SIPS,ICFs,B Any Non•Sfick Frame Assembly) ❑ a Floors ❑ It.Wells 0 ❑ c.Roots D 2 S.Reduce Pollution Entering the Home from the Geroge ❑ a.Tightly Seal the Air Bartter between Garage and Living Area _ D E3 d.Install Garage Exheud Fan OR Build a Detached Garage 0 7 Lj S.Docile Energy Heels on Trusses 75%of Attie Insulation Haight a1 Outside Ede of Exterior Well) 01 ❑ 1.Design Roof Trusses to Accommodate Ductwork ' 0 1 B.Use Recycled-content area Stutls for BD%of Interior Well Framing - 0 1 LJ B.Thermal Mese Walls:510-Inch Drywall on All Interior Walls or Wells Weighing more than 40 huhhu.1. 0 1 10.Install Overhangs and Gude s ❑ i Minimum 16-Inch Overhangs and Gutiers _ 0 ❑ b.Minimum 24-Inch Overhangs and Gutters D 1 Total Pointe Available in Sandal Balcrup Frema and Envelope=36 0 E.EXTERIOR F`]Ul Points Available Per Measure 1.Use Recycle l-Cemtsnt(No Vi in Plastic)or FSC-Certified Wood Decking 0 2 77 t Install a Rein Saner Well System 0 2 ].Use Durable and Noncombustible Siding Materials D 1 -4.Soled Durable and Noncombustible Roofing Materials - - 0 - 2 Total Pants Available In Extartat Fashe 7 0 F.INSULATION Points Available Per Measure 1.Install Insulation with 75%Recycled Content ❑ a.Wells and/or Floors 0 ❑ P Collings 2.Install Insulation that is Low-Emitting(Certified Section D1350) ❑ 0.Walls andror Floors __0 ❑ b.Collings 0 1 ET-3 Inspect Duality of insulation installation before Applying Drywall 0 1 Total Pointe Available in lneule0on 5 0 O.PLUMBING Pnlms Avallable Par Measure 1.Distribute Domestic Hot Water Efficiently(Maximum 7 Points) ❑ e.Insulate Hot Water pipes from Water Heater to Kitchen 0 - 1 ❑ b.Insulate All HM Water Pipes ❑ c,Use Engineered Fell Piping � ED d.Use Engineered Parallel Piping Older Demand Controlled Circulation Loop 0 _ 1 ❑ e.Use Structured Plumping with Demand Controlled Circulation Loop _0 _ _ 1 _ _ _ 2 Elt.Use Cartrol Core Pl robin 0 ] 1 2 ❑ 2.Install Only High EfficienToliBts(Dcel•Flush or 5128 ppj - 0 4 Al Taal Points Available,In Plumbing=Total 12 0 H.DATING VENTILATION&AIR CONDITIONING Points Available Per Measure ❑ 1.Dasign and Install HVAC System to ACCA Manual J,D.and S Recommendations 0 4 I 2.Install SealedCcpmbustion Units ❑ e.Furnaces D _ _ _` 2 ❑ b.Water Heaters D- 3,Install SInstall Zoned,Hydronic Radian Needing with Slab Edge Insulation D 1 - 1 4.Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants 0 1 S.Design and Install Effective Ductwork ❑ a.Install HVAC Unit and Ductwork whin Conditioned Space 0_ _ 1 3 ❑ b.Use Dud Mastic on All Duct Joints antl Seams ❑ c.Install Duawork under Atiic Insulation(Buried Ducts) 0 ] _ ❑ d.Pressure Balance the Ductwork System _ 0_ E] e Prated Duch during Consnuc0on and Clean All Ducts before Occupancy 0 1 El S.install High Efficiency HVAC Filter(MERV 6.) 0 1 ❑ 7.Deny Install Fireplace or Install Sealed Gee Flnepleces with Efficiency Refine Not Less Than 60% 0 1 using CSA Standards B.Install Effective Exhaust Systems In Bathrooms and Kitchens ❑ a.Install ENERGY STAR Bathroom Fans Vented to the Outside 0 ! _ 1 1 ❑ b.All Bathroom Fans Are on Timer or Humestet ❑ c.Install Kitchen Range Hood Vented to the Outside 0 1 B.Install Mechanical Ventilation System for Cooling(Maximum 4 Points) ❑ a.Install ENERGY STAR Ceiling Fans B Lipm Kits In Living Areas a Bedrooms _0 1 1 ❑ b.Install Whole House Fan With Variable Speeds ❑ C.Automatically Controlled Integrated System ❑ d.Automatically Controlled Integrated System with Variable Bpeetl Control 0 3 10.Install Mechanical Fresh Air Ventilation System(Maximum B Porous) ❑ a.Any Whole House Ventilation System That Meets ASHRAE 622 0_ ❑ b.Install An-to-As Heat Exchanger that masts ASHRAE 622 0 1 2 11.Install Carbon Monoxide Alarm(s) 0 - 1 Total Points Available in Heasn,Ventilation and k Conditioning=3 0 02007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 2 of 4 PROJECT we 4 m n' w ¢ 3 • I-RENEWABLE ENERGY Points Available Per Measure 1,Pro-Plumb for 601w Hot Water Heating p ; 4 2 Install Solar Water Heating System D 10 3.Install Wring Contluk for Future Photovoltaic Installation 6 Provide 200 fl'of South-Facing Roof D Z 4.Install Photovoltaic(PV)Panels ❑ e.30%of slecbic needs OR 12 IN(total6 points) p 6 El b. m electric needs OR 24kW(total 12 polos) - - p -—— ---5 '-- — - ------ -____-- — ❑ C.90%of electric need OR 3.6 kW(total l8 points) D 6 Total Avalleble Points In Renewable Energy=28 D J.BUILDING PERFORMANCE Points Available Per.10assure 1.Diagnostic Evaluations ❑ al House Passes Blower Door Test p 7 E] b.House Passes Combustor,Sale Backdraff Test D 7 t Design and Build High Performance Homes-%above Title 24-minimum 15%Required 0 >_30 ❑ A House Cousins ENERGY STAR with Indoor Air Package Certification•Pilot Measure(Total 45 points;read commentD 5 2 Tolal Avallabla Polnlsin Building Perfonnan^.e=39 D K.FINISHES Points Available Par Measure - -❑—'1.'Design Edtryweys to Reduee Trecketl in Contemmenb--`—-'-- -----` '-- --- -- ---" --- p - --- -7 - ` 2 Use Low-VOC or Zwo-VOC Paint(Maximum 3 Poing) ❑ a.Low-VOC Interior WalOCelling Paints(60 AW VOCs(Flat)and 050 Soll VOCs(Non-Flat) 0 _ 7 ❑ b.Zero-VOC:Interior WalUCeilin Paints(6 gpl VOCs(Flat)( p - g ❑ 3.Use Low VOC,Wear-Boal Wood Finisher(450 gpI VOCs) p Z ❑ 4,Use Low-VOC Caulk and Construction Adhesives(a0 gpI VOCs)for All Adhesives p 2 ❑ 5,Use Rery0e11-0oment Paint p 1 S.Use Environmentally Preferable Materials for Interior Finish:A)FSC-Certified Wood,B)Reclaimed,C)Rapidly Renewable,D)Recycled-Conbnu or E)Finger-Jointed ❑ a.Cabinets(50%Minimum) 0 1 ❑ b.Interior Tim(50%Minimum) 0 ❑ c.Shelving(50%Minimum) p ❑ tl.Doors(5D%Minimum) 0 T 1 ❑ e.Countartops(50%Minimum) • 7. use FOrmalaehytle in 10%Mi Finish(CA Section 01350) ❑ a. — — e.SubfloorBStairTreatls(50%Minimum) _p 7 �. ❑ b.Cabinets 8 Countertops(50%Minimum) ❑ c,Interior Trim(5D%Minimum) 0 ❑ tl.SheNin i(SD%Minimum) 0 --`--- ❑ 6,After Installation of Finishes,Test of Indoor Air Shows Formaldehyde Leval Q7ppb 0 3 ! Total Available Points In Finishes=21 D L.FLOORING Points Available Per Measure 1.Use Environmentally Preferable Flooring:A)FSC-Certified Wood,B)Reclaimed or Refinished,C)Rapidly Renewable,D)Rerycled-Content,E) Exposed Concrete Flooring Adhesives Must Have 60 gpI VOCs. ❑ a.Minimum 15%of Floor Area 0 7 ❑ b.Minimum 30%M Floor Area p1_ 1_ __ El C.Minimum 50%Of Floor Area -- ❑ tl.Minimum 75%of Flaw Aree' D ❑ 2.Thermal Mass FIDors:Floor Covering Other than Carpet on So%or More of Concrete Floors D 1 ❑ 3,Flooring Meets Section 01350 or CRI Green Label Plus Requirements(50%Minimum) 0 Z Total Available Points in Flooring 0 M.APPLIANCES AND LIGHTING Points Available Per Measure 1,Install Water and Energy Efficient Dishwasher ❑ a.ENERGY STAR (total l Poin t _ 0 _ El b.Dishwasher Uses No Mare than 6.5 GallonsrL�/de(fotal2 point) p 2.Install ENERGY STAR Clothes Washing Machine with Water Factor of 6 or Less ❑ a.Meets Energy Star and CEE Tler 2 mquiremmo(modified energy factor 2.0,Water Factor B.D)focal 3 points) D _L 1 ! 2 ❑ b.Meets Energy Star and CEE Tier 3 requirements(modified energy factor 22,Water Factor 4.5 or less) 0 2� totals points) 9.Install ENERGY STAR Refrigerator ❑ a.ENERGY STAR Quellled 6 c 25 Cubic Feet Capacity 0 __ !_1__ ❑ b.ENERGY STAR Ouallfied 8 c 20 Cubic Feet Capacity 0 1 1.Install Builldn Rerycling Center p ❑ a.Built-In Recycling Center 0 ❑ b.Built-In Composting Center p ---._.�__-- --� i Total Available Points in Appliances and Lighting=12 0 N.OTHER Points Available Per Ivleasure ❑ 1.Ineorporate GreanPoinl Rated Checklist in Blueprints-Required 0 ( ! R • ❑ 2.Develop Homeowner Manual of Green FesturesiBenegta a 1 1 1 3.Community Design Measures a Local Prioddes:See the Community Planning 8 Design section in Chapter 4 at the New Home Guidelines for measures.Maximum of 20 Points for suggested measures.Local requirements may also be listed here. 02007 Build It Green Single Family GreenPoint Checklist 2007 Version Page 3 of 4 fi ENTER PROJECT NAME U 4 � Einer dncdpliM here,and enter poinle available IIX manure In appraniale MaDO(An tD the dghL 0 0 0 D 0 0 Erne)descdpliM hen,and enter paum evallable ler measure In appropriate uloporin la the right. 0 0 0 D D D. Enter denrialmn hen,and anter points avallade far measure in appropriate Inagmum to the light. D D 0 0 D ❑ Enter dewril lion hen,and enter points avallade far manure In appropriate ulepodae to The right. D 0 D D D D 4.Innovation:List Innovative measures that meet the green building objectives of the Guidelines,Enter up to a Build It Green Checklists and maximum combined total of 20 ptsi.See Innovation Checklist for suggested measures,usina the link to the d ht Guidelin_ es Li Innwalion In Communl :Enter da Iian here,and enter hunts available for measure in appmlrute uleliefin to the right D D_ D D 0 0 InnwatlM In En :Enter tlaudplion hen,Mtl enter to evelleble IIX manure M e18 cele odea to me d I. 0 D 0 0 0 0 InnwahM In IA(LHeslth:Enter lie ci nam here,and enter points evallable to measure In au cele ode ID The d _ 0 0 0 0 0 0 Innovation in Resources:Enter description hen,and enter dnle ovallaWe to measure in a iale cath sin to the right. 0 0 0 0 0 0 Innovation In Wane Enter 0 riphan_hen,and enter pointe available la manure In epproprlote allegorise to the dgm_ 0 0 D 0 0 0 Tmal Available Palms In Other.43 0 Total Avallable Points A Specific Categories' O 4+ 96+ T427+ 766+7473+ Minimum Points Required in Specific Categodes D 30 6 6 9 TotalD ) e B a1 __ Pro}act kris not yet it the following recommended minlenune roqulremgnGgt _ -Total Project Score of At Least 50 Points -Required measures: -A3a; 50% waste diversion by weight -J2: 15%above Title 24 -IJI:Incorporate GreenPoint Rated Checklist into blueprints -Minimum points in specific categories: -Energy(30 points) -IAOIHealth (5 points) -Resources(5 points) -11rater(9 points) • • 02007 Build it Green Single Family GreenPoint Checklist 2007 Version Page 4 of 4 Community Development 10300 Torre Avenue SO, Cupertino CA 95014 Telephone(408)777-3228 CITY Fax(408)777-3333 OCU Building De artment JOB ADDRESS: PERMIT # _ 6`tLl54t, o ) Lm me Cr. ej 4,oC4 isc) 5` 0 $ c) OWNER'SNAME: a,; A G Lr. +-,- PHONE # `foF46S- `t GENERAL CONTRACTOR: / FAX# I am not using any subcontractors: P�J7 'z- 6 'o F Signature Date Please check applicable subcontractors and complete the following information 60 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 Owner/Contractor Signature Date