08080092BUILDLYG'DIVISIGN PERMIT
BUILDING ADDRESS: reamu nu.
.1157 CANDLELIGHT WAY ALLIED AIRE SERVICE INC 08080092
OW NER'S NAME: PERMIT ISSUE DATE
DINGER GARY M AND CAROL A ET 661 SINCLAIR FRONTAGE RD 08/13/2008
ONE: (408)934-8844 SANITARY NO. CONTROL NO.
LILCIVaCV LVnnIrtRFIVna VCIaARX11V1Y
"may
affirm Wt I am limned under Provisions of Chapmr 9 (rommcncing Job Description
wit Scemn 7") of Division 3 of Ne Byynaaa aod��'omc 3.aosdm_yBocnacia REPLC EXSTNG FURNACE
in full forte and ccL
License us
Dale L Contractr
g y Licensed Prefeuional
OWNER -BUILDER DECLARATION
i 1 hereby IT,,. that 1 am exempt from to Contranors License Law for Ne
❑ O following reason. (Section 7031.5. Business and Pmfeatioos Code: Any city or county
K $ V which requires a permit te cnnslmcL alter, improve, dcmolim. or repair any atrmture
0 prior in its iuuaMc. also requires the applicant for such permit to file a signed stammcnt
££
that he is licensed pursuant m IW provisions of to Contmew'3 Littre , Law (Chapter 9
Y1- (commencing wit Section 70DO) of Division 3 o to Business and Professions Codc) or
that he is exempt dmrtfmm and Ne basis for the alleged exemption. Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not mote Nan fin hundrad dollars (5500).
❑ L o ownm of Ne ampmty, rt my emmmudedwit weed u dmir seee Business will do to work and Ne he Com is nm s Livens or a w do s Out a(Sec. 7014, diner of
and ertywho ns Code: The Contracmh License Law deo Inst apply m an owner is
own emywhe Wilmrided rowthimprand who amssuchwde oroffendNmugh his
however, the building
tat suchimps sold wiitarene Year fcmolfered me mater-
builder
ater-
however, Ne building or impmvemml'u surd within one year of c improve
r Ne owmr-
W lldm will have to burden Of proving Nat he did not Wild or improve (ver Purpose of
ssI.J.
1, as Owner of the propony, am exclusively conducting with licensed canuxmrs on
consumer the pmloet (Sec. 7054, Business and Pmfeuiotu Cade:) The Contractors U.
came law does not apply to an owner of property who Wilds or improves timrnon. and
who contacts for such projects wit a conlractuRs) licensed pursuant b the Contractor's
License Law.
❑ lemexammader See ,B&Pcilmdrureasun
Owner Date
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury arm of the following declarations;
I haw and will maintain a Cmditcate of Consent m.1Nan. for Wmkcrs Compen-
ution, as provided for by genion 37W of to Lahor Code. for to peRormenm of the
work for which Nis permit is issued.
❑ 1 have and will me -Und, Workers Composition Insurance, as required by Section
3700 of Ne Labor Code, For to performance ofto w for which Nis permit is issued,
My Wm!e Fc. I mnee carrier and Policy number :�
Cartier. .r f"rl oils Poli, No.: 4C
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
Olds second Used ambecmmplemd if the permit is for enc hundred dollars (5100)
nr ldsc)
I cerdfv Nm in to perfmm Seca of to work for which Nis permit is issued. l shall not
employ any person in any mennerm o m become subject to the Workers' Compensation
Laws of California. Dam
Applic ret
NOTICE TO APPLICANT. If, after making this Canifcam of Eacmptimn, you should
become subject to the WorW1'3 Compmwtion provisions of to labor Code, you must
wJ ,z fie twiN comply with such provisions m tis permit shall be deemed revoked.
'Z O CONSfRUCr10N LENDING AGENCY
[-� 1 hereby affirm Nat there is a construction lending agency for Ne performance of
C „>,r to work for which this permit is issued (Sec. 3097, Civ. C.)
�W 0 Lenders Name
z Landers Andress
U 0 1 conffy Nat 1 have read this apPlicadon and scam Net to shove ioinnormon is
PcorrecL 1 agree m comply wit all city and county ordinances and sum laws mlating to,
QU Wilding construction, and hereby interim repmsenddim of Nu city m comr open Ne
W above-mentioned property for inspection purposes
F 6a (We) agree to sew, indemnify add kecp harmless the City of Cupertino against
fA Iiabilidn,Judgments, costs and expeew, which may in my way acrnm against and City
V z in consequence of to granting of Nis poeth,
APPLICANT UNDERSfAD'B3 O WILL COMPLY WITH ALL NON -POINT
...'enure or nppneanvcont se. Dem
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or future building mxupsutsmro or handle hevrdom material
as deftncd by the Cupertino Municipal Code, Chapter 9.12, and the Halt and Safety
Code, Schon 25532(a)?
OY
Will the applicant or future building occupant an equipment or devices which
Ink hazardous air contaminants u defined by to B, Area Air Quality Management
Gotta?
❑Ye No
I have read Ne haaardous materials m uimments under Chapter 6.95 of to Calife,
ria Hcallh& SafctyCede, Secdmu 25505.25533 and 25534.1 Understand that if Use Wilding
does out c.nd, have • mnanl Nmar ilk my moodusti,hy m nedfy due occupant of me
$1200
36224045:
Required Inspections
Issued by:
Re -roofs
Type of Roof
n VILVIIVIa'C.tvua InFU
Date a- - - I( 3 � $
All roofs shall be inspected prior to any roofing material being installed.
If a roof is installed without first obtaining an inspection, I agree to remove
all new. materials for inspection.
Signature of Applicant Date
All roof coverings to be Class 'W' or better
• 6 ITEMS OF 6
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 36224045.00
DATE ISSUED.......: 08/13/2008
RECEIPT #.........: BS000005776
REFERENCE ID # ...: 08080092
SITE ADDRESS .....: 1157 CANDLELIGHT WAY
SUBDIVISION .....
CITY .............: CUPERTINO
IMPACT AREA .......
OPERATOR: patg
COPY # : 1
OWNER ............: DINGER GARY M AND CAROL A ET A
ADDRESS ..........: 1157 CANDLELIGHT WAY
CITY/STATE/ZIP ...: CUPERTINO, CA 95014
RECEIVED FROM ....: ALLIED AIRE SVC INC
CONTRACTOR .......: STEINER, ARNOLD R LIC # 19207
COMPANY ..........: ALLIED AIRE SERVICE INC
ADDRESS ..........: 661 SINCLAIR FRONTAGE RD
CITY/STATE/ZIP ...: MILPITAS, CA 95035
TELEPHONE (408)934-8844
• FEE ID UNIT QUANTITY AMOUNT. PD -TO -DT THIS REC NEW BAL
IBSEISMICR
VALUATION
1,200.00
0.50
0.00
0.50
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
----------
224.85
----------
----------
0.00
224.85
----------
0.00
METHOD OF PAYMENT
---------------
CHECK
TOTAL RECEIPT
AMOUNT
---------------
224.85
---------------
224.85
VOICE ID DESCRIPTION
-------- ----------------------------
505 FINAL ELECTRICAL
508 FINAL MECHANICAL
•
REFERENCE NUMBER
--------------------
#20170
VOICE ID DESCRIPTION
-------- ----------------------------
507 FINAL PLUMBING
Olt#
•CUPEkTINO
CITY OF CUPERTINO
FURNACE/AC
PERMIT APPLICATION FORM
oXU8U`CIA
APN# 3aa
6
Building Addressi/S -�-G / eL 16
q
Gt/
Owner's Name:
L A1i'DL ��.vl wiz08
Pho e #:
S �,-? SSS j.
Contractor:
�%le4614lwe-Azv16eZ,- c
Phone #: /�
7
Fax #: ZID9 493Y ?ff -/'Q
Contractor License #:
Cupertino Business License #:
o?�OD3,S
Contact:
Phone #: �108 6y0 i8L'�
Fax #: V081
Building Permit Info:
Elect ❑� Plumb ['�
Mech "9
Residential
Commercial
Job Description:
For Residential Installations:
Attic ❑ 1" floor
2"a floor ❑
Adhere to minimum setback requirement ❑
For Commercial Installations:
Replacement same weight ❑
Structural Calculations required for new installation
Additional weight (structural calcs) ❑
❑
New installation Planning Approval Required ❑
Cost of Project: Type of Construction (Usage Class):
IaZDD
Strapped On Platform Bonded
New Location ❑ Replacement
Project Size: Express ❑ Standard Large ❑
Major ❑
Valuation:
Green Building: Please complete relevant portion of the Green Building Checklist & attach it to the
application or if applicable, include
in plan set & the sheet index._
Revised 6/16/08
aCG
CUPEkTINO
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
ca 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.
IMCREPALT
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.
IMCSUSHTR
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
1BPGAS
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.
1BSEISMICO
Commercial Seismic
B
1 MRRAA
Residential Repair/Alteration/Add to
M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
1/
evaporative cooling system,incl
installation of controls regulated by
this code.
1MRSUSHTR
Residential Install/Relocate ea
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.
Quantity
Fee ID
Fee Description
Fee
Permit Type
rm
0
•
•
Cin o
•CUPEkTINO
CITY OF CUPERTINO
FURNACE/AC
FEESCHEDULE
is
I Quantity I Fee ID Fee Description Fee Permit Tvne
Group
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
1MFR=<100
Furnace Syst <=100k BTU install or
relocate ea forced-air/gravity type
fumace/bumer, incl ducts/vents
attached to such appliance up to and
include 100,000 Btu/h
M
1MFRN>100
Furnace Syst > I 00 BTU install or
relocate ea forced-air/gravity type
fumace/bumer, incl ducts/vents
attached to such appliance over
100,000 Btu/h
M
,IEPERMITFEE
Electric Permit Fee
E
1MPERMITFEE
Mechanical Permit Fee
M
1PPERMITFEE
Plumbing Permit
P
1TRAVDOC
Travel Documentation
B
1BUSLIC
Business License
B
is
I Quantity I Fee ID Fee Description Fee Permit Tvne
Uz
Acl r
CUPEkTINO
CITY OF CUPERTINO
FURNACE/AC
FEE SCHEDULE
0
•
0
Group
AIR
CONDITIONING
FURN/AC
1BCAIRHAN
Commercial A/C Units <= lOk CFM
B
1MCRAA
Commercial Mech Repair/alt/add
M
1BSEISMIC0
Seismic Commercial
B
1PGASCOM
Commerical for ea gas piping System
1-4 outlets
P
1PGASRES
Residential for ea gas piping system
of 1-4 Outlets
P
1BPGAS
For each gas piping system of 5 or
more per outlet. CommfResid
P
1BREMAIRHAN
Residential A/C units <= IOk CFM .
B
1MRRAA
Residential Mech Repair/alt/add
M
1BSEISMICR
Seismic Residential
B
IEPERMITFEE
Electric Permit
E
1MPERMITFEE
Mechanical Permit
M
1PPERMITFEE
Plumbing Permit
P
1TRAVDOC
Travel Documentation
B
1BUSLIC
Business License
B
0
•
0
r
L
•
•
Plan Review Process Work Book Page -12-Revised 3/25/08
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
B.
Site
9.
Install H.E. Irrigation, (details/spec)'
L-1
2 paints
11.
Permeable Paving, Note
L-12
Lints
C.
Foundation
1.
Use 15 % Flyash Concrete, (note)
S-1
points
D.
Structural
3.
Uses Wood I-Joist, (See Spec.)
S-2
__j
2 paints
5.
Use Truss with heels, (detail)
S-2
2 points
6.
B. OSB Sheathing, detail
S-2
2 oints
E.
Ext. Finish
1.
Composite Decking, (Note/Spec.)
A-3
2 points
4.
B. Fiber Cement Siding, (Note/Spec.)
A-4
2 Dints
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 aints
G.
Electrical
4.
E. Ceiling Fans, (Note/Spec.)
A-3
4 paints
H.
Appliances
1.
Energy Star Dishwasher, (Note/Spec.)
A-3
1 point
3.
Energy Star Refrierator, (Note/Spec.)
A-3
1 Dint
P.
Other
1.
List Green Features on Plans
A-1
1 point
TOTAL POINTS1
40 points
•
•
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.
INPUT ReSDurces Energy AQ/Heafth
A. Site
1. Recycle Job Site Construction & Demolition Waste
65%=1 point; 75%= 2 points; 80%= 4 points up to 4 Resource pts 0
2. Salvage 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
F8. Design Resource--Esicient Landscapes and Gardens 4 Resource pts y=yes 0
9, Reuse Materials/Use Recycled Content Materials
for Landscape Areas 2 Resource pts y=yes 0
10, Install High -Efficiency Irrigation Systems 2 Resource pts y=yes 0
11. Provide for On -Site Water Catchment / Retention 2 Resource pts y=yesl 0
B. Foundation
1. Incorporate Recycled Flyash in Concrete
•25% Recycled Flyash = 2 points; Add 1 point for every 10%
increase of flyash, up to 5 points up to 5 Resource pts
2! Use Recycled Content Aggregate 2 Resource pts y=yes
3. Insulate Foundation/Slab before backfill 3 Energy pts y=yes
C. Structural Frame
SSubstitute Solid Sawn Lumber with Engineered Lumber
3 Resource pts
y=yes
2. Use FSC Certified Wood for framing
(For every 10% of FSC lumber used = 2 points, up to 10)
up to 10 Resource
pts
3. Use Wood I -Joists for Floors and Ceilings
2 Resource pts
y=yes
4. Use Web Floor Trusses
2 Resource pts
y=yes
5. Design Energy Heels on Trusses 6' or more
2 Energy pts
y=yes
6. Use Finger -Jointed Studs for Vertical Applications
2 Resource pts
y=yes
7. Use Engineered Studs for Vertical Applications
2 Resource pts
y=yes
8. Use Recycled Content Steel Studs for Interior Framing
2 Resource pts
y=yes
9. Use Structural Insulated Panels (SIPS)
a. Floors
3 Energy pts
y=yes
b. Wall
3 Energy pts
y=yes
c. Roof
3 Energy pts
y=yes
10. Apply Advanced Framing Techniques
4 Resource pts
y=yes
11. Use Reclaimed Lumber for Non Structural Applications
3 Resource pts
y=yes
12. Use 0SB — --" --
a. Subfloors
1 Resource pt
y=yes
• b. Sheathing __ __ _
1Resource pt
y=yes
11. Use Sustainable Decking Materials
a. Recycled content
3 Resource pts
y=y(
b. FSC Certified Wood
3 Resource pts
y=y(
2. Use Treated Wood That Does Not Contain ChromiumlArsenic
1 IAQ/Health pt
y=ys
3. Install House Wrap under Siding
1 IAQ/Health pt
y=ys
4. Use Fiber -Cement Siding Materials ^ _
1 Resource pt
y=yes
E. Plumbing
1. Install Water Heater Jacket 1 Energy pt y=yes
2. Insulate Hot and Cold Water Pipes 2 Energy pts y=yes
3. Retrofit all Faucets and Showerheads with Flow Reducers j
a. Faucets (1 point each, up to 2 points)
b. Showerheads (1 point each, up to 2 points)
4. Replace Toilest with Ultra -Low Flush Toilets
(1 point each, up to 3 points)
5. Install Chlorine Filter on Showerhead
6. Convert Gas to Tankless Water Heater
7. Install Water Filtration Units at Faucets
(2 points each, up to 4 points)
8. Install On -Demand Hot Water Circulation Pump
P. tiecmcar
1. Install Compact Fluorescent Light Bulbs (CFLs)
(6 bulbs=2 points, 10 bulbs =3 points, 12 bulbs = 4 points)
2. Install IC -AT Recessed Fixtures with CFLs (1 point each, up to
5 points)
3. Install Lighting Controls (1 point per fixture, up to 4 points)
4. Install High Efficiency Ceiling Fans with CFLs
(1 point each, up to 4 points)
G. Appliances
1. Install Energy Star Dishwasher
2. Install Washing Machine with Water and Energy
Conservation Features
3.Install Energy Star ReMgerator
4. Install Built -In Recycling Center
H. Insulation
1. Upgrade Insulation to Exceed Title 24 Requirements
a. Walls
b. Ceilings
2. Install Floor Insulation over Crawl Space
3. Install Recycled -Content, Fiberglass lrisulation witli
No Added Formaldehyde
4 Use Advanced Infiltration Reduction Practices
5. Use Cellulose Insulation
a. Walls
b. Ceilings
6. Alternative Insulation Products (Cotton, spray -foam)
a. Walls
o.cemngs
Up to 2 Resource pts
Up to 2 Resource pts
Up to 3 Resource pts
1 IAQ/Health pt y=yes
4 Energy pts y=ye
Up to 4 IACJHealth pts
4 Resource pts y=ye
Up to 4 Energy pts.
Up to 5 Energy pts.
Up to 4 Energy pts.
Up to 4 Energy
1 Energy pt
1 Energy pt
1 Energy pt
3 Resource pts
2 Energy pts
2 Energy pts
4 Energy pts
31AQ/Health pts
2 Energy pts
4 Resource pts y=yes
4 Resource pts y=yes
4 Resource pts
4 Resource pts
J
is
E
�
0
�
4 Resource pts y=yes
4 Resource pts y=yes
4 Resource pts
4 Resource pts
J
is
E
-1.instill Energy-EtficientWindows
y=yes
3 Energy pts
• a. Double -Paned
1 Energy pt
y=yes
b. Low -Emissivity (Low -E)
2 Energy pts
y=yes
c. Low. Conductivity Frames
2 Energy pts
y=yes
2.lnstall Low Heat Transmission Glazing --
- 1 Energy pt
y=yes
J. Heating Ventilation and Air Conditioning
F1 Use butt Mastic on KI-1w6t Joints
2. Install Ductwork within Conditioned Space
3. Vent Range Hood to the Outside
4. Clean all Ducts Before Occupancy
5. Install Solar Attic Fan
6. Install Attic Ventilation Systems
7. Install Whole House Fan
8. Install Sealed Combustion Units
a. Furnaces
b. Water Heaters
9. Replace Wall -Mounted Electric and Gas Heaters with
Through -the -Wall Heat Pumps
10. Install 13 SEER/11 EER or higher AC with a TXV
11. Install AC with Non -HCFC Refrigerants
12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace
13. Retrofit Wood Burning Fireplaces
• a. Install EPA certified wood stovestinserts
b. Install/Replace Dampers
c. Install Airtight Doors
14. Install Zoned, Hydronic Radiant Heating
15. Install High Efficiency Filter
16. Install Heat Recovery Ventilation Unit (HRV)
17. Install Separate Garage Exhaust Fan
K. Renewable Energy and Roofing
1. Pre -Plumb for Solar Water Heating
2. Install Solar Water Heating System
3. Pre -Wire for Future Photovoltaic (PV) Installation
4. Install Photovoltaic (PV) System
(1.2 kw = 6 points, 2.4 kw = 12 points, 3.6 kw = 18 points)
i6. Select Safe and Durable Roofing Materials
17.Install Radiant Barrier - — -�-- - -- ---
L. Natural Heating and Cooling
1. Incorporate Passive Solar Heating
2, Install Overhangs or Awnings over South Facing Windows
3, Plant Deciduous Trees on the West and South Sides
is
2 Energy pts
y=yes
3 Energy pts
y=yes
1 IAQ/Health pt
y=yes
21AO/Health pts
y=yes
2 Energy pts
y=yes
1 Energy pt
y=yes
4 Energy pts
y=yes
31AQ/Health pts
31AQ/Health pts
3 Energy pts
3 Energy pts
2 Resource pts
2 Energy pts
1 IAQMealth pt
y=yes
1 Energy pt
y=yes
1 Energy pt
y=yes
3 Energy pts
y=yes
41AQ/Health pts
y=yes
5 IAQ/Health pts
y=yes
31AQ/Health ots
v=ves
4 Energy pts
y=yes
10 Energy pts
y=yes
4 Energy pts
y=yes
Up to 18 Energy
1 Resource pt y=
3 Energy pts y=
5 Energy pts y=yes
3 Energy pts . y=yes
3 Enerov ots v=ves
(1. Use Low/No-VOC Paint
1 1 IAO/Health pts
2. Use Low VOC, Water -Based Wood Finishes
2 IAQ/Health pts
3. Use LowMo VOC Adhesives
3 IAO/Health pts
4. Use Salvaged Materials for Interior Finishes
3 Resource pts
5. Use Engineered Sheet Goods with no added Urea
_
3. Use Recycled Content Ceramic Tiles
Formaldehyde
61AO/Health pts
6. Use Exterior Grade Plywood for Interior Uses
1 IAO/Health pts
�7. Seal all Exposed Particleboard or MDF _ _
__ 4 IAC/Health pts
B. Use FSC Certified Materials for Interior Finish
4 Resource pts
9. Use Finger -Jointed or Recycled -Content Trim
1 Resource pts
10. Install Whole House Vacuum System
3 IAQ/Health pts
N. Flooring
1. Select FSC Certified Wood Flooring
6 Resource pts
y=yes
2. Use Rapidly Renewable Flooring Materials
^_ J 4 Resource pts
y=yes
_
3. Use Recycled Content Ceramic Tiles
4 Resource pts
y=yes
4. Install Natural Linoleum in Place of Vinyl
51AQ/Health pts
y=yes
5. Use Exposed Concrete as Finished Floor
4 Resource pts
y=yes
6. Install Recycled Content Carpet with Low VOCs
4 Resource pts
y=yes
Total Points Aval ab e:
Total Points Project Received:
•
1401 1301 57
01 •
G:dalalprogsrgreenbuildmo3uidelines4emodelerslgreenpdntsfina1212.04prrnened.sls
0
Community Development
a10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
CITY OF Fax (408) 777-3333
�UPERTINO
Building Department
JOB ADDRE S:
�
BUSINESS NAME
PERMIT #���
OWNER'S NAME:
i i 6C
PHONE #
GENERAL CONTRACTOR:
o4lll, ; e
J
FAX #
I am not using any subcontractors: T.-F�%.�l 2� /3 O
Signature Date
Please check applicable subcontractors and complete the following information:
Owner/ Contractor Signature
Date
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
Linoleum / Wood
Glass / Glazing
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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