LIVING GREEN RESIDENTIAL NEW CONSTRUCTION

REBATE APPLICATION

Project Information:
Project Name Number of Lots

Project Address/Location City / State / Zip

Project Site Contact Name Contact Phone Number Contact Email

Permitting Agency (City/County) Estimated Project Start Date Estimated Completion Date

Project Type:  Custom Home  Production Home  Other

Payment Information:
Check should be made payable to

Payee (Customer/Business Name)

Mailing Address City / State / Zip

Tax Identification Type: (Select ONLY one)  Employer ID Number  Federal Tax ID  SSN

Tax Identification Number: ______________________________

Tax Status:  Corporation  Individual  Non-Corp  Exempt (reason: _________________________ )

Agreement:

I, the undersigned, agree that:

1. I meet the Living Green TID Residential New Construction Rebate Program requirements.
2. The information I have supplied is accurate and complete.
3. I have read, understand and agree to abide by the program rules, requirements and terms.
Printed Applicant Name (Owner/Builder/Developer) Title

Signature Date
10•06

Turlock Irrigation District • 333 E. Canal Drive • P.O. Box 949 • Turlock, CA 95381 • (209) 883-8432 • www.tid.com
 LIVING GREEN RESIDENTIAL NEW CONSTRUCTION
REBATE APPLICATION

Rebate Calculation Form: These calculations are based on the Final CF-1R on file with your building permit.

Sq. Ft. of CF-1R Standard CF-1R Proposed Compliance %

Plan/Model Name
Conditioned Budget (kBtu/sf/yr) Budget (kBtu/sf/yr) over Title 24

10•06

Turlock Irrigation District • 333 E. Canal Drive • P.O. Box 949 • Turlock, CA 95381 • (209) 883-8432 • www.tid.com