08050127 CITY OF CUPERTINO �*,� yrr
BUILDING DIVISION• PERMIT tCONTRACTORINF,OI.tMA.'fI(Ql g
BUIIDN IJ FSS'
PERMIT No.
i8g9� S BLANEY AVE TBD – TO BE DETERMINED 08050127
rNER'S NAME: PERMIT ISSUE DATE
ABERG HENRIK E AND FARANGIS 05/15/2008
PHONE!" SANITARY NO. CONTROL NO.
ARCHITECUPNGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
uOp LICENSED CONTRACTOR'S DECLARATION lob Desert tion
4 U F 1 bereby affirm that I am licensed under innwianes of Chap=9(commercing P
wmSc.don7(Xah.fDi,ism 3ofthall nesaaMPm'05f "ov;ode,aMm rcmanis RE–RF, RMV EXTNG RF& INSTL 1/2"CDX
n in fall force aM
Sq= Lice.:n — uv.. PLYWD–INSTL36"30"
Date cxrrEcrsD�b1 LBS ASTM FLT, INSTL CRTEEED PRESDTL FIBRGLS
f � undersand my piano"I W usW as public rerorth S HNGLS
oau
s G
Licensed Professional
3 OWNER-BUILDER DECLARATION
iE I hereby a1Erre that I am acmpl from the ConuacmYs License Law for the
00 following won.(Section 7031.5,Busincu and Pmressivns Cade:My city ter county
$ which requires a Permit an cnwnct,ahem.imimm,s.demdhah,or repair any sound.
prior to its issuance.also requires;Ne applicant forsuch permit en file a signed sbamcni
< that Wislicensed Pur,namwthe provisions ofLam conu:mraLxerenLaw(Chapter 9 Sq.Ft. Floor Area Valuation
�s (commencing with Sesdot700o)of Dwivm.3 of the Buslrcv and Profwimu Code)Or $18000
`i this W I.mutant Nccofmm and the but,for Ne alleged..pd..My vbd d m or
section 7031.5 by arty spplltlm for a permit sobjeN the applicNl to a civil penally of Ay Number
not.dwnfi.nhundreddolws(S5fOccupancy 0n 36932061 P Y Type
Q L u mmer of the property,m mY eoPlayw with wages u thev sok emnpcwtion.
w m the wart and the,mnnnre u outdedded Or offered far ads(Sec.70".Buaiess
and Pmmssions Code:The Contravenes Limme Law does not apply to an owner of Required Inspections
property who wiles ter improv,theman,and who nonesuch went himself ter through his
awe cmployw.povlmd that such imPo urmo s are Out irmnded mo0am forsake.If.
kawewe the building or impmwmrst Is Bald within one year a(completion.the owner.
Wilder wiB haw the burden Of moving that W did Out Will a impow for purpoz of
rale.).
Q 1,as Owner of the popes,,am exclusively contracting with Ecensed contractors to
cmuwn me project(Sec.7004,Business,add Po(essiou Code:)The Costumers U,
mean Law does not apply N an owner of property who Wild$or improv themon,and
who comae,for scale projems with a contractor(s)licensed pmsunt In the ConuauMs
License law.
Q lam exempt under See ,B ink P C forthis reason
W
Data
WORKER'S COMPENSATION DECLARATION
1 Wromy afrim under penalty O(perjury one of the following declarations:
e Thaw andwlcud For
nb SuCcrdfi7M ofCe Labor self-huurtfm WarkdaCofthe
shoe,r maw;xd ren mi is isrn na or the Labor cam.ren the perrarmuee or the
work for which Nu Permit is iauN.
❑I haw aM will mainuin Workers Compensation Insurance,as tubed by Section
37M.fthe labor Code,for the penformaceof Ne walk for which this permit Is issued. '
My Work aCompeua'on lnsumce,carrier and Policy number
Carni Polity Na..
CERTIFICATE Ofy An0lNEMPTION FROM WORKERS'
COMPENSATION INSURANCE ,
(hisseedan need net he com icam Ulan,permit is foronebundsed mRan(glOD)
or leas)
1 certify Nat in sic performance of the work for which this permit a Inste-d,l shall non
employ any peso.in any manner sin as W Ismomc subject to Ne Woulacy Comperamm.
Laws of CallreWa.Dab
Appliam
NGnCE TO APPLICANT:IL after making this Condition of Eacreption.You should
baome tubjw in me workers Compenaimn provisions of the LAbor Code,you mus
.,O fmNwith comply with such pmHsioo m NU permit shall he camel rooked.
z ""' CONSMUCGON LENDING AGENCY
F
4 Ihereb a M.dart siert u a..ties kMin^ r g. mor the penrmmame or
C' the work for which sit,permit 4 lamed(Sec 3097,Civ.C.).)z Lenders Name
::l
�z IendehMdw
U O 1 carer,that 1 haw mW Wa application and ffib dead the show in(mm.don U
II. ^' eortect 1 agree o comply with all city and county oNimocen and vas laws minting in
C)CSR^ building construction.and hereby mNoriu mpmunlauw of Nu city in order upon Nc
dell .hove-mentioned popery fm inspection pm-P.
gy (We)agree to saw,indemnify and deep harmless tle City of Calandra agaiml
Cf/1 liabilities.judgments.toss and expcoses which may in any way ucoc agalmt said City
,),'L mconsal f ft granting of Wspermh.
^ APPLICA NDERSTANDS AND WI COMPLY LL NON-POINT Issued by:. Date
SOUR GULATIONS.
Re-roofs �—
Si uuu of AppliaHAZARa:enr D
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or future building ottvpantarem m lundlc huallou maoriW
defined by sic Cupertino Municipal Calc.Chapter 9.11.and sic Health and Safety
. Cl Y.23531(x)? All roofs shall be inspected nor to an roofing material bei.
Cl Y. d P P Y g g installed.
If a roof is installed without first obtainingan inspection,I agree to remove
Will u a air ci ant or us defining by ft B y A equipment or derive which P
emit hvaNnns air conaminsn—u�u�/mfiad by Ne Bay Arta Air Quality Management all new materials for inspection.
Diwima 1Y1O P
QYo
I haw mal the Wood.mamrials o p,m mems under Chaper695 oftheCalifm-
maHeal"Saf yebdn Swdw235o5,25533a 25534.1undcmatl NaifNe budding
tae net cu haw a mount,that it no maponsibil1 b 'fy de occupant f the
require des must L cmc of c ear
Signature of Applicant Date
Owner or authamcd1 Dae I All roof coverings to be Class'W'or better
CITY OF CUPERTINO
• 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36932061 . 00
DATE ISSUED. . . . . . . : 05/15/2008
RECEIPT #. . . . . . . . . : BS000004783
REFERENCE ID # . . . : 08050127
SITE ADDRESS . . . . . : 10275 S BLANEY AVE
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . .
OWNER . . . . . . . . . . . . : ABERG HENRIK E AND FARANGIS TR
ADDRESS . . . . . . . . . . : 10275 S BLANEY AVE
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-3188
RECEIVED FROM . . . . : BAY AREA RE-ROOFING
CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096
COMPANY . . . . . . . . . . : TBD - TO BE DETERMINED
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . . ,
. TELEPHONE . . . . . . . . :
FEE ID UNIT QUANTITY . AMOUNT PD-TO-DT THIS REC NEW BAL
------- -------- ---------- ---------- ------- -------- ----------
1BSEISMICR VALUATION 18, 000 . 00 1 . 80 0 . 00 1 . 80 0 . 00
1REROOFRES SQ FEET 32 . 00 416 . 00 0 . 00 416 . 00 0 . 00
TOTAL PERMIT 417 . 80 0 . 00 417 . 80 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 417 . 80 #09221
---------------
TOTAL RECEIPT 417 . 80
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
•
CITY OF CUPERTINO
RECEIPT NUMBER: BS000004782
RECEIVED BY: PATRICIAG PAYOR: BAY AREA RE-ROOFING
TODAY' S DATE: 05/15/08 REGISTER DATE: 05/15/08
TIME: 08:21
1
BUSINESS LICENSE TAX BAY AREA RE-ROOFING BSL $110 . 00
----------------
TOTAL DUE: $110 . 00
CHECK $110 . 00 REF NUM: #09220
TENDERED CHANGE
$110 . 00 $ . 00
•
•
W105 0/.27
CITY OF CUPERTINO
;(C., REROOF
kUPERT
- INO PERMIT APPLICATION
APN # 3 03 � 0 J 1. O v Dat
Bu'Idin Address: c0
�G
Owner's Name: Phone #:
W-2f.�_ /- z
Contractor: � Phone
Fax #
Cupertino Business License #: Contractor License #
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
❑ Asphalt Shingles s�Asphalt Shingles
ood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other (Specify) ❑ Other (Specify)
Number of existing coverings ❑ Provide I.C.B.O. Report #
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description: R2�;(�1/257 4A55</� �,
�'+vyid� L43�1 rf3711w � Gu�''iE1 LL
Residential Commercial
Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if
Green Building Checklist & attach it to the there are any restrictions: ❑
application or if applicable, include in plan
set & the sheet index.
Valuation:
• I Have Read, Un tand and Will Comply with Cupertino's Tear-Off Policy:
Signature
CITY OF CUPERTINO
- REROOF
CITY OF
�CUPERTINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1RER00FC0M Re-roof Commercial B 1COMMLROOF
IBSEISMICO Seismic Commercial B
,L IREROOFRES Re-roof Residential B ISFDWLROOF
1BSEISMICRE Seismic Residential B
1REROOFMRES Re-roof Multi-Family B IMFDWLROOF
IBSEISMICRE Seismic Residential B
I 1BUSLIC Business License B
Community Development Department
Building Division
City of Cupertino'
• 10300 Torre Avenue
Telephone: (408)777-3228
Fax: (408)777-3333
Building Department
Subject: Re-roofing policy for the City of Cupertino
1. Prior to permit issuance,you must agree to comply with 1997 UBC Standards
and manufacturers specifications on re-roofing.
2. New roof coverings shall not be applied without first obtaining all inspection
and written approval from the building inspector. A final inspection and
approval shall be obtained from the building inspector when the re-roofing
is completed.
3. All roofs shall be inspected prior to any roofing installation.
4. To receive a final sign off from the City, the following steps are
required:
1) Pre-inspection and/or tear off approval.
2) In-progress inspection approval.
3) Final inspection approval.
a) Spark arrester installation.
• 5. If plywood is installed,a plywood nail inspection is required.
6. Any roofing which is applied without first obtaining an inspection,
will require the removal of all new material down to the sheathing,
so a proper City inspection can be performed.
7. NOTE: If you call for a plywood nail inspection and the job is not ready,
you will be charged a re-inspection fee of$176.18. The re-inspection fee must
be paid before another inspection can be scheduled.
IMPORTANT:
1. Flat roofs must have a minimum of 1/4" per foot slope and demonstrate
that there is no ponding.
2. An I.C.B.O. report is required to be on the job site at the time on inspection.
I understand and will comply with the above stated policy on re-roofing.
Homeowner's Name:
Job Site Address:
Roofing Company Name:
Applicant's Signature: Dat �y� V
•
Greg Casteel
Building Official
Revised 11/2/04
Green Building Plan Check
Index of Green Building Points/Categories
A. Category Example of an Index or Table of Green Plan Sheet or Page Points
Building Points Categories that must be
shown and referenced on the Project
Plans See below
^* Y
B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 2 points
11. Permeable Paving, Note L-1 2 points
C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 points
D. Structural 3. Uses Wood I-Joist, (See Spec.) S-2 2 points
5. Use Truss with heels, (detail) S-2 2 points
6. B. OSB Sheathing, detail S-2 2 points
E. Ext. Finish 1. Composite Decking, (Note/Spec.) A-3 2 points
4. B. Fiber Cement Siding, (Note/Spec. A-4 2 points
F. Plumbing 1. Insulate all H.W. pipes, (Note/Spec.) P-1 2 points
5. Tankless W.H., (Note/Spec.) A-2 2 points
11. A 2500 Gal. Tank, (Note/Spec L-1 10 points
G. Electrical 4. E. Ceiling Fans, (Note/Spec.) A-3 4 points
H. Appliances 1. Energy Star Dishwasher, (Note/Spec.) A-3 1 point
3. Enercly Star Refrigerator, (No te/Spec. A-3 1 point
P. Other 1 1. List Green Features on Plans A-1 1 point
TOTAL POINTS1 40 points
Z�s r Qr %
•
Plan Review Process Work Book Page-12-Revised 3/25/08
Green Points Rating System for Remodeling Projects
Due to the diversity of remodeling project types,assigning a'total points'value to a project to be considered environmentally friendly is
not feasible. However,25 measures have been highlighted to signify that every effort should be made to incorporate them into your
projects. These items have been chosen based upon their impact on the environment and the health of the home in coordination with
ease of implementation and relative low cost. These measures can be used as a starting point for'greening'your project.
A.Site
F65%
ycle Job Site Construction&Demolition Waste
1 point;75%= 2 points;BOV°=4 points � up to 4 Resource pts 0
. age Reusable Building Materials 4 Resource pts y--yes 0
3.Remodel for Mixed Use,Adaptive Reuse,and
Historic Preservation 4 Resource pts y--yes 0
4.Protect Native Soil 2 Resource pts y--yes 0
5.Minimize Disruption of Existing Plants&Trees 1 Resource pt y=yes 0
6.Implement Construction Site Stormwater Practices 2 Resource pts y=yes 0
7.Protect Water Quality with Landscape Design 2 Resource pts y=yes 0
R.Design Resm rce-Efficient Landscapes andGardens i7 4 Resource pts y=yes 0
9.Reuse Materials/Use Recycled Content Materials
for Landscape Areas 2 Resource pis y=yes . D
10.Install High-Efficiency Irrigation Systems 2 Resource pts y=yes 0
11.Provide for On-Site Water Catchment/Retention 2 Resource pts y=yes 0
1 1 1
B.Foundation
• 1.Incorporate Recycled Flyashin Concrete
25%Recycled Flyash=2 points;Add 1 point for every 10%
increase of flyash,up to 5 points up to 5 Resource pts 0
2.Use Recycled Content Aggregate 2 Resource pts y=yes D
3.Insulate Foundation/Slab before backfill 3 Energy pts y=yes 0
1 1 1
C.Structural Frame
1.Substitute Solid Sawn Lumber with Engineered Lumber 3 Resource pts y=yes 0
2.Use FSC Certified Wood for framing
(For every 10%of FSC lumber used=2 points,up to 10) up to 10 Resource pts. p
3.Use Wood I-Joists for Floors and Ceilings 2 Resource pts y=yes 0
4.Use Web Floor Trusses 2 Resource pts y=yes 0
5.Design Energy Heels on Trusses 6'or more 2 Energy pts y=yes 0
6.Use Finger-Jointed Studs for Vertical Applications 2 Resource pts y=yes p
7.Use Engineered Studs for Vertical Applications 2 Resource pts y--yes 0
B.Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y=yes 0
9.Use Structural Insulated Panels(SIPS)
a.Floors 3 Energy pts y=yes 0
b.Wall 3 Energy Pts y--yes p
3 Energy pts y=yes 0
10.Apply Advanced Framing Techniques 4 Resource pts y=yes D
11.Use Reclaimed Lumber for Non Structural Applications l 3 Resource pts y=yes 0
aOSB ----- - --,-
. I a.Subfloors 1 Resource pt y=yes p
b.Sheathing _ 1 Resource pt y=yes 0
1 1 1
D.Exterior Finish
i-1. se Sustainable becking Materials
a.Recycled content 3.Resource pts y--yes 0
b.FSC Certified Wood 3 Resource pts y--yes 0
J
2.Use Treated Wood That Does Not Contain Chromium/Arsenic i 1 IAD/Health pt y--yes 0
3.Install House Wrap under Sidng f 1 IAQ/Health pt y=yes 0
4.Use Fiber-Cement Siding Materials 1 Resource pt Y_-Yes 0
1 ! 1
E.Plumbing
l Install Water Heater Jacket
1 Energ
_ J y of Y=Yes D
2 Insulate Hot and Cold Water Pipes _ _ 2 Energy pts y=yes 0
3.Retrofit all Faucets and Showerheads with Flow Reducers
a.Faucets(1 point each,up to 2 points) Up to 2 Resource pts. 0
b.Showerheads(1 point each,up to 2 points) Up to 2 Resource pts. 0
4.Replace Toilest with Ultra-Low Flush Toilets
(1 point each,up to 3 points) J Up to 3 Resource pts. 0
5.Install Chlorine Filter on Showerhead 1 IAQ/Health pt y=yes 0
6.Convert Gas to Tankless Water Heater 4 Energy pts y=yes 0
7.Install Water Filtration Units at Faucets
(2 points each,up to 4 points) Up to 4 IAQ/Health pts. 0
S.Install On-Demand Hof Water Circulation Pump 4 Resource pts y--yes 0
1 1 1
r-.riecrrmcar
1.Install Compact Fluorescent Light Bulbs(CFLs) i •
(6 bulbs=2 points,10 bulbs point212 bulbs=4 point's) Up to 4 Energy pts. D
2.Install IC-AT Recessed Fixtures with CFLs(1 point each,up to
5 points) Up to 5 Energy pts. 0
3.Install Lighting Controls(1 point per fixture,up to 4 points) Up to 4 Energy pts. 0
4,Install High Efficiency Calling Fans with CFLs
(1 point each,up to 4 points) Up to 4 Energy pts. 0
1 1 1
G.Appliances
1.install Energy StarDishwasher 1 Energy pt y=yes 0
2.Install Washing Machine with Water and Energy
Conservation Features 1 Energy pt y=yes 0
3.Install Energy Star Refdgerator 1 Energy pt y=yes D
4.Install Built-In Recycling Center _ _ 3 Resource pts y=yes 0
1 1 1
H.Insulation
1.Upgrade Insulation to Exceed Title 24 Requirements
a.Walls 2 Energy pts Y_-Yes 0
b.Ceilings 2 Energy pts y=yes 0
2.Install Floor Insulation over Crawl Space 4 Energy pts y=yes 0
3.Install'RecycledContent,Fiberglassatlon w
lnsulith
[NoAddedFormaldehyde _ ) 31AQ/Health pts y--yes 0
4.Use Advanced Infiltration Reduction Practices 2 Energy pts y=yes 0
5.Use Cellulose Insulation
a.Walls 4 Resource pts y-y,es 0 •
b.Ceilings 4 Resource pts y=yes 0
6.Alternative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y=yes 0
D.Cemngs 4 Resource pts y=yes 0
1 1
INPUT Resources Energy
I.WIndDws
1.Install Energy-Efficient Windows _ E
a.Double-Paned 1 Energy pt y--yes D
b.Low-Emissivity(Low-E) 2 Energy pts Y--yes 0
c.Low.Conductivity Frames 2 Energy lots y=yes 0
2.Install Low Heaf Transmission Glazing 1 Energy pt y=yes D
1 1 1
J.Heating Ventilation and Air Conditioning
(1.Use Duct Mastic on All Duct Joints _ _ 2 Energy pts y=yes D
2.Install Ductwork within Conditioned Space - 3 Energy pts y--yes 0
3.Vent Range Hood to the Outside 1 IAQ/Health or y--yes 0
4.Clean all Ducts Before Occupancy 2 IAQ/Health pts y=yes 0
5.Install Solar Attic Fan 2 Energy pts y=yes 7 0
6.Install Attic Ventilation Systems 1 Energy pt y=yes 0
7.Install Whole House Fan 4 Eneray pts Y--yes 0
8.Install Sealed Combustion Units
a.Furnaces 3IAQ/Health pts y--yes 0
b.Water Heaters 3 IAQ/Health pts y--yes 0
9.Replace Wall-Mounted Electric and Gas Heaters with
Through-the-Wall Heat Pumps 3 Energy pts y=yes 0
10.Install 13 SEER/11 EER or higher AC with a TXV 3 Energy pts y=yes 0
11.Install AC with Non-HCFC Refrigerants 2 Resource pts y=yes 0
12.Install 90%Annual Fuel Utilization Efficiency(AFUE)Furnace 2 Energy pts y=yes D
•. 13.Retrofit Wood Burning Fireplaces
a.Install EPA certified wood stovesrinseds 1 IAQ/Health pt y--yes 0
b. Install/Replace Dampers 1 Energy pt Y--yes 0
c.Install Airtight Doors 1 Energy pt y-yes 0
14.Install Zoned,Hydronic Radiant Heating 3 Energy pts y=yes D
15.Install High Efficiency Filter 41AQ/Health pts y=yes 0
16.Install Heat Recovery Ventilation Unit(HRV) 5 IAQ/Health pts y=yes 0
17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y=yes 0
1 1 1
K.Renewable Energy and Roofing
1.Pre-Plumb for Solar Water Heating 4 Energy pts y=yes 0
2.Install Solar Water Heating System 10 Energy pts y=yes 0
3.Pre-Wire for Future Photovoltaic(PV)Installation 4 Energy pts Y--yes p
4.Install Photovoltaic(PV)System
(1.2 kw=6 points,2.4 kw=12 points,3.6 kw=18 points) Up to 18 Energy pts 0
Select Safe andDurabie Roofing Matenals 1 Resource pty=yes D
7.Insta l Radiant Barrier 3 Energy pis y=yes 0
I 1 1
L.Natural Heating and Cooling
1.Incorporate Passive Solar Heating 5 Energy pts y=yes 0
2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts y=yes 0
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes 0
• 1 1 1
M.Indoor Air Qua rtyand finishes
,1,lJse LowMo-VOC Paint _ _ _ _� 1 IAO/Health pts y--yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Heallh pts y--yes 0
�3.Use LcwRJo VOC Adhesives __ 3 IAO/Health y=y
_ , _ _ — _ pts es 0
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y--yes 0
5.Use Engineered Sheet Goods with no added Urea
Formaldehyde 61AQ/Health pts y--yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAO/Health pts y=yes 0
7.9ed all Exposed Padicleboa d or MDF, 4 IAQMealth,pts y=yes 0
8.Use FSC Certified Materials for Interior Finish 4 Resource pts y--yes 0
9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes D
10.Install Whole House Vacuum System 3 IAQ/Health pts y--yes 0
4*," 1 1
N.Flooring
1.Select FSC Certified Wood Flooding _ 8 Resource pts y=yes 0
2.Use Rapidly Renewable NO,6nng Materials 4 Resource pts y=yes 0
3.Use Recycled Content Ceramic Tiles 4 Resource pts y--yes 0
4.Install Natural Linoleum in Place of Vinyl 5 IAQMealth pts y=yes 0
5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0
6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0
1 ! !
Total Points Available-11 1 Available-11 1 1401 1301 57 •
Total Points Project Received: 1 01 01
0
G:datarprogsJgmenbuildngguidelineshemodele:srgmenpointsfinxl27 204pmte7el.xls
•
Community Development
10300 Torre Avenue
ff k/ Cupertino CA 95014
Telephone(408) 777-3228
�UPERTINO Fax(408)777-3333
Building Department
JOB ADDRESS: PERMIT #
o�oso�a
D �
OWNER'S NAME: PHONE #
GENERAL CONTRACTOR: FAX #
I am not using any subcontractors:
Signature Kate
Please check applicable subcontractors and complete the followin 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
Owner/Contractor Signature Date