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08090087CITY OF CUPERTINO rx�-^.. •.+g �.>z`f " BUILDFN6 of VISION PERNIIT CONTRAC'�TOR INFORNIAT o Bu11.tTI yZQ43poREs$; LNAME: 1V DE ANZA CIR BATHROOMS BY REMODELING PERMIT NO. 08090087 OWNER S PERMIT ISSUE DATE MINI PEIRIS 1422 SARATOGA AVE 09/16/2008 (NE, SANITARY NO. CONTROL NO. (408)378-6700 ARCH=4ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTORSCON DECon Chapter 9 Job Description P of (commencing 1 bemby mrflrm Nat 1 w licensed under provisions of wR REPLC HALL BATH FXTURS& TILING, NON- 11to-aIXgparDiviaanJoftheBuvrcasaMProfessiomCode.aadmylleen¢0 Lifull fora and c t. etas. Le. g TRUCTRL (7 0 SQ) ' Dow Conmcmr Dow ARCHITECTS DECLARATI I understood my Plain atilt he used u Public records Licensed Professional OWNER-BUILDER DECLARATION 1 hereby alTirm that I am exempt from that Contractors License Law for the - following mason. (Section 7131.5, Business and Perfections Code: Any city or aunty which Mid. a Permit to conuruct sl¢r. Wareve, dwal Wt, or repmr my serum. Met m ire issuance, also mquiru she applicant for such permit in rile a signed satemem he is liscvcd to lW of the Conuxbr's license law (Chapter 9 Sq. Ft. Floor Area Valuation that investors pmvisom (commend., Section 700MorDivision 3ofUse Box. and Prof.M.Code) m $29420 with I • Nat he h exempt therefrom and she basis for she alleged exemption. My violation of 35602022 • Occupancy e P yT'P Section 7031.5 by any applicant per a permit subjects Use 11MU ort In a Civil literary OfNumber rel mem man lie oadret dossrs,IS . .CIV' I,uownen of dm pop"rsY•ormY wplaycu with wageaasdm4 sole cempenudon, dorawdo fm ole(Sec.in soulcThe orumurer's Required Inspections Li sm owner m Code: The Cenuacmrs Littnse law tieu eal apply if an owncr .itdethesim. end arty is ho his prapenywo ollda nronerndents ouochen ehinuelfedWough irimprovuch own in not inmuled moBcad for ole R. eWiproHded dot such imps ver. M id wit the owar- . the WRd;ag or;mpromnerd 4 sold within arm year or comove for W;Ider, will love the buNea of proving dot W aid on Wild or improve for puryose of Wider tile.). 1, u Marc of the property w exetuarol, Contracting wild flamed anbanars to comuuct the project (Sec. 7044, Business and Pru(ufions Critic) The Conme mes U. ave Law dean rim apply be an owner of,ropers, who Wilds or improv thereon. and. who cem acts for such projects with a c amutcher(s) licensed pmma.t m the Convaaora Lleens law. ❑Ions uwpt un der See ,BkPC for than won t Owner Dare WORKER'S COMPENSATION DECLARATION 1 hwbY aBirm under Pcmlty or perjury me of she following declamations: 1 haw am will maintain acnufiore of Comcm to ojf-Iasum fa Workerscanpem tion, u provided for by Section 3700 or the Labor Cade, for she performance of the work for which this permit is issued. Cbaro and will maintain Workers Compensation Imuuntt, a required by Section ar the Lauer Code. to, she performanceof sha were for which this permit u issued My WartrYs,C/op�me—nu Imo a tori Policy numbml� canier./V L: Pol;q No.: /O CERTIFIC rE OF EKEM ON FROM WORKERS' COMPENSATION INSURANCE (Thuaeed. reed rot W completed if rW permit is foram WmMl deflate (SIOU) or I.) I cenih that in the perrmmence of the work for which this Permit is ;sued 1 shall ma employ mypemon in my COMOM O as in become subject to dC WOlkery L'Ompessadr n Laws of cafimmia. Dam AMU., NOTICE TO APPLICANT: If, cher making this Certificate of Exemption, you should became subject to the Worker's Cmnpeosedon providers, of the Labor Code you must forthwith comply wish such provisions or Nis permit shall W deemed mated, CONSTRUCTION LENDING AGENCY I Wmby rfrimt dem thea it. awmcunn lending agency for the per(.. of shc work for which this pmmh Is issued (See. 3097, Civ. C.) Landers Name Zanders Addw I aniry that I have read this appficaum soul suite that th< rove information is correct 1 agru to comply with all city and county ordinances and mute laws missing an building construction. and hereby museum representatives of this city to crier upon the shove-menudgmd papery for imRmim (We) agree to aro, indemnify and kap harmless the City of Cupertino against expenseswhich MAY which may in anyway accrue against aid City inconsequence fftcastsand ispe ;n PLICANTeofthe granas ger shuD WILL APPLICANT UNDE SAND WILL COMPLY WITH ALL NO -POINT SOURCE Issued by: Dale L REGU Re-roofs n� Sig.... of AppliaMComsxacar / Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future Wilding ocapanrmrom mar handle hvudom materia as deflrmd by the Cupertino Municipal Code. Chapter 9.12. and the HWsh and Safety Code. Section 25532(+)7 pyre fd"k,_ All roofs shall be inspected prior to any roofing material being installed. the applicant or future, Wilding Wilding opause equipment or devices which If a roof is installed without first obtaining an inspection, I agree to remove kWill a havrdnm.1, canecomnt, u defined by the Bay Area Air Quality Management all new materials for inspection. a' m7 ❑ym No I have read the bu requ;mmermunder Chapmr6.95of thc Calfa. . nice Health h SaretyCede, Saxons 25505,25533 aro 25534.1 undersand shuttribe Wilding does tercmmndY ha .rot that it is my mrmitability m ooury do riaapant .rft require mtnu wh' met pierce issuarta oh cenirmate eruoari[y._ Signature of Applicant Date All roof coverings to be Class'%¢!' or better Owncroor authorimd agent D,te is 3 ITEMS OF 3 CITY -OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 35602022.00 DATE ISSUED.......: 09/16/2008 RECEIPT #.........: BS000006091 REFERENCE ID # ...: 08090087 SITE ADDRESS .....: 22263 N DE ANZA CIR SUBDIVISION ......: CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: MINI PEIRIS ADDRESS ..........: 22263 N DE ANZA CIR CITY/STATE/ZIP ...: CUPERTINO CA, 95014 RECEIVED FROM ....: A -PLUS BUILDERS INC OPERATOR: patg COPY # : 1 METHOD OF PAYMENT AMOUNT ----------------- --------------- CREDIT CARD 554.00 --------------- TOTAL RECEIPT 554.00 • REFERENCE NUMBER -------------------- VISA CONTRACTOR .......: JOZO CARAN LIC # 24223 COMPANY ..........: BATHROOMS BY REMODELING ADDRESS ..........: 1422 SARATOGA AVE CITY/STATE/ZIP ...: SAN JOSE, CA 95129 TELEPHONE ........: (408)378-6700 • FEE ID ---------- UNIT QUANTITY ----------------------- AMOUNT PD -TO -DT THIS REC NEW BAL 1BSEISMICR VALUATION 29,420.00 ---------- ---------- 3.00 ---------- 0.00 3.00 ---------- 0.00 1REMRESBAT SQ FEET 70.00 429.00 0.00 429.00 0.00 1STPLNCK HOURS 1.00 122.00 ---------- 0.00 122.00 0.00 TOTAL PERMIT ---------- 554.00 ---------- 0.00 554.00 ---------- 0.00 METHOD OF PAYMENT AMOUNT ----------------- --------------- CREDIT CARD 554.00 --------------- TOTAL RECEIPT 554.00 • REFERENCE NUMBER -------------------- VISA Ak CITY OF CUPERTINO ADDITION/REMODEL • CUPEI�TINO PERMIT APPLICATION FORM APN 112_5 -lo Date: � U �,2. v Building Address: 4 7Z.2 63 N• DE ff/✓2fi G�/j2 cGE Mailing Address (if different from building address) C Copttrttar7 ctor: / Phone #: sjp� 7.P6 0 -D fJl�% ii/�DOf7S�'lo/�61i2Eo 7 ax #: f Contractor License #: e./, 7(` 0� 3 Cupertino Business License #: 0 Z 0 �� Phone #: Contact: I OY )3 7PG 7 0 Fax #: ( X / Building Permit Info: Blde. n Elect. ?5— Plumh-e�l Job Description: Addition (adding sq footage): What is being remodeled (not including addition)? rz4. c ✓4� Remodel Includes Re -Roof: Yes ❑ No f yes list nuber of squares Remodel Includes Structural: Yes .❑ No Do you have the pre -application planning approval? Yes ❑ No ❑ If yes, please provide a copy of your planning approval letter. Planners name: Square Footage: Addition: Porch: Deck: Garage: Detached Attached Remodel: Kitchen Bath / Other Type of Construction (Usage Class): Occupancy Type: -3IIIN-A 2 1-A, I -B ❑ IU❑ II/1I1 B, IV -HT, V -B [`� Valuation: ,�` � 7 Please check this box if the project is a second-storyaddition ❑ Project Size: Express ❑ Standard ❑ Large F] Maj or F] Please complete relevant portion of the Green Building Checklist & attach it to the application or if applicable, . Green Building Points Achieved: include in plan set & the sheet index... . v. v.uw vac vuay""" Over -the -Counter ❑ Revised 7/15/08 CRY Of CUPER,TINO CITY OF CUPERTINO ADDITION/REMODEL FEE SCHEDULE • Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft ADDITIONS 1R3SFDADD PLLONGRNGR Long Range PL Planning/Residential 1R31NSP Dwellings Inspections B 1R3PLNCK Dwellings plan check B IR3REPINSP Dwellings Repeat B Inspection 1R3REPPLNC Dwellings Repeat Plan B Check 1R3HINSP Dwellings Hillside B ins ection 1R3HPLNCK Dwellings Hillside plan B check 1R3HREINSP Dwellings Hillside B Repeat Inspection IR3HREPLNC Dwellings Hillside B Re eat Plan Check 1R3ALTINSP Dwellings Alternate B Materials Ins ection 1R3ALTPLNC Dwellings Alternate B Materials Plan Check 1PCESS Cesspool P IPPRSEWG Ea. Private Sewage P Disposal System 1PRSEWER Sewers P 1BPSPRINK Lawn Sprinkler/Backflow P IBPWSVCS Main Water Service P 1BSEISMICRE Seismicltesidential B DECKS 1R3SFDADD OR 1R3SFDREM 1DECKWOOD Deck (Wood) -Each B (Each) IIDECKRAIL Deck Railing -Each B (Each) • 0 CITY OF CUPERTINO ADDITON/REMODEL • FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft GARAGES 1R3SFDADD OR DETACHED 1R3SFDREM 1GARDTW<=1K Wood Frame up to B 1,000 SF (each) IGARDTM<=1K Masonry up to 1,000 SF B (each) BCONSTAXR Construction Tax Res (new detached garage) PATIO'S OPEN IR3SFDADD OR 1R3SFDREM I PATIOWOOD Wood Frame up to 300 B SF 1PATIOMETAL Metal Frame up to 300 B SF 1 PATIOOTHER Other Frame up to 300 SF B PATIO'S CLOSED 1R3SFDADD OR & SUN ROOMS 1R3SFDREM 1 PATIOENCLW Enclosed Wood up to 300 B SF 1PATIOENCLM Enclosed Metal up to 300 B SF 1 PATIOENCLO Other Enclosed Patio up B to 300 SF 1COVPORCH Porch Covered -Each B (Each) REMODELS IR3SFDREM 1 REMRESKIT Kitchen Remodel up to B (Deduct "$"for ea plan 300 SF check 1 REMRESBAT Bath Remodel up to 300 B « SF 1 REMREOTH Other Remodel up to 300 - B SF 1 REMRES2 Remodel Residential B Greater than 1000 sq ft 1REMRES3 Remodel Residential B Greater than 2500 s ft. CITY OF CUPERTINO ADDITON/REMODEL FEE SCHEDULE Quantity Sq Ft Fee ID Fee Description Fee Group Permit Type REMODEL PLNCK 1STPLNCK (1-3 for remodel) Standard Plan Check B NOT FOR OVER THE COUNTER PLAN CKS. 1REROOFRES Residential Re -roof Each 100 SF B WINDOW/SLIDING 1R3SFDREM GLASS DOOR 1 WINREP Replacement windows (ea 8 windows) B 1 WINNEWNSTR New Window (non- structural) B 1 WINMEWSTR New Window (Structural Shear Wall/Maso B I WINBAYSTR Bay Window (Structural) B SKYLIGHTS 1R3SFDREM 1SKYL<10 SF Skylight less than 10 sf B 1 SKYL>10SF Skylight greater than 10 sf or structural B 1STAIRS Stairs -first flight/ea addt'l B IEPERMITFEE Electrical Permit Fee E IMPERMITFEE Mechanical Permit Fee M IPPERMITFEE Plumbing Permit Fee P Stand Alone Electric Pln Ck (hourly) E [qIEILCPLNCK ECPLNCK Stand Alone Mechanical Pln Ck (hourlMPLNCK M Stand Alone Plumbing Pln Ck (hourl P 0 C� 1J CITY OF CUPERTINO ADDITON/REMODEL • FEE SCHEDULE Quantity Sq Ft Fee ID Fee Description Fee Group Permit Type IBSEISMICRE Seismic Residential B 1TRAVDOC Travel & Documentation B 1BUSLIC Business License B • r Plan Review Process Work Book Page -12-Revised 3/25/08 Green Building Plan Check Index of Green Building Points/Categories Example of an Index or Table of Green Plan Sheet or Page Points LA.Category 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 points 11. Permeable Paving, Note L-1 2 oints C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 points D. Structural 3. Uses Wood Woist, (See Spec.) S-2 2 points 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/S ec. A-4 2 cints 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 oints 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. Energy Star Refrigerator, (Note/Spec.) A-3 1aint P. Other 1. List Green Features on Plans A-1 TOTAL POINTS 1 point 40 paints Plan Review Process Work Book Page -12-Revised 3/25/08 Green Points Rating System for Remodeling Projects Due to the diversify 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. ,f 1. Recycle Job Site Construction & Demolition Waste 65%=1 point; 75%= 2 points; 80%= 4 points I up to 4 Resource 2. Salvage Reusable Building Materials 4 Resource pts y= 3. Remodel for Mixed Use, Adaptive Reuse, and y=yes Historic Preservation 4 Resource pts y= 4. Protect Native Soil 2 Resource pts y= 5. Minimize Disruption of Existing Plants & Trees 1 Resource pt y= 6. Implement Construction Site Stormwater Practices 2 Resource pts y= 7. Protect Water Quality with Landscape Design 2 Resource pts y= 8(—Design Resource -Efficient Landscapes and Gardens 4 Resource pts y= 9. Reuse MatedaefUse Recycled Content Materials y=yes for Landscape Areas 2 Resource pts y= 10. Install High -Efficiency Irrigation Systems 2 Resource pis y= 11. Provide for On -Site Water Catchment / Retention 2 Resource ots v= 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 2. Use Recycled Content Aggregate 2 Resource pts y= 3. Insulate Foundation/Slab before backfill 3 Energy pts y= C. Structural Frame LSubstitute 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 6. 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 Ener is 9Y P 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 -- ---- -- - -- --- i . Use OSB _I a. Subfloors 1 Resource pt y=yes, . b. Sheathing _ — 1 Resource pt y=yes ,1. Use Sustainable Decking Materials I a. Recycled content 3 Resource pts y=yE b. FSC Certified Wood 3 Resource pts y=yE 12. Use Treated Wood That Does Not Contain ChromiumlArsenic 1 IAO/Health pt y=yE ,3. Install House Wrap under Siding 1 IAQ/Health pt y=yE i4. 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 I y=ye; a. Faucets (1 point each, up to 2 points) Up to 2 Resource pts. Showerheads (1 point each, up to 2 points) Up to 2 Resource pts, Ib. 4. Replace Toiled with Ultra -Low Flush Toilets (1 point each, up to 3 points) _ � Up to 3 Resource pts 5. Install Chior ne Filter on Showerhead 1 AQ/Health pt y=yeE 6. Convert Gas to Tankless Water Heater 4 Energy pts y=yes 7. Install Water Filtration Units at Faucets (2 points each, up to 4 points) Up to 4 IAQ/Health pts 8. Install On -Demand Hot Water Circulation Pump 4 Resource pts y=ye! r. cuecmcar f1. 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 12. Install Washing Machine with Water and Energy (Conservation Features 13.Install Energy Star Refrigerator 14. Install Built -In Recycling Center H. Insulation Up to 4 Energy pts. Up to 5 Energy pts. Up to 4 Energy pts. Up to 4 Energy pts. 1 Energy pt y=yes 1 Energy pt r r r 0 r � r � 3 Resource pts y=ye; Up to 4 Energy pts. Up to 5 Energy pts. Up to 4 Energy pts. Up to 4 Energy pts. 1 Energy pt y=yes 1 Energy pt y=yes 1 Energy pt , y=ye: 3 Resource pts y=ye; 1. Upgrade Insulation to Exceed Title 24 Requirements a. Walls b. Ceilings 2. Install Floor Insulation over Crawl Space 13. Install Recycled -Content, Fiberglass Insulation with [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. Uemngs 2 Energy pts 2 Energy pts 4 Energy pts 31AQ/Health pts y=yes 2 Energy pts y=yes 4 Resource pts 4 Resource pts 4 Resource pts 4 Resource pts • • � r r 0 0 31AQ/Health pts y=yes 2 Energy pts y=yes 4 Resource pts 4 Resource pts 4 Resource pts 4 Resource pts • • { I. Windows 2 Energy pts 13. Retrofit Wood Burning Fireplaces i1. Install Energy-EfficientWindows ' • a. Install EPA certified wood stoveslnserts 1 IAQ/Health pt • a. Double -Paned 1 Energy pt y=yes b. Low -Emissivity (Low -E) 2 Energy pts y=yes c. Low. Conductivity Frames 2 Energy pis y=yes 2. Install Low Heat Transmission Glazing - 1 Energy pt y=yes J. Heating Ventilation and Air Conditioning r.Use Duct Mastic on All Duct Joints __ _ _ Jj 2 Energy pts y=yes 2.Install Ductwork within Conditioned Space 3 Energy pts y=yes 3. Vent Range Hood to the Outside 1 IAD/Health pt y=yes 4. Clean all Ducts Before Occupancy 2 IAQ/Health pts y=yes 5. Install Solar Attic Fan 2 Energy pts y=yes 6. Install Attic Ventilation Systems 1 Energy of y=yes 7. Install Whole House Fan 4 Energy pts y=yes 8. Install Sealed Combustion Units a. Furnaces 31AQ/Heaith pts y=yes b. Water Heaters 31AQ/Health pts y=yes 9. Replace Wall -Mounted Electric and Gas Heaters with Through -the -Wall Heat Pumps 3 Energy pts y=yes 10. Install 13 SEER/11 EER or higher AC with a TXV 3 Energy pts y=yes 11. Install AC with Non -HCFC Refrigerants 2 Resource pts y=yes 12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace 2 Energy pts 13. Retrofit Wood Burning Fireplaces 10 Energy pis y= • a. Install EPA certified wood stoveslnserts 1 IAQ/Health pt b. Install/Replace Dampers 1 Energy pt c. Install Airtight Doors 1 Energy, pt 14. Install Zoned, Hydronic Radiant Heating 3 Energy pts 15. Install High Efficiency Filler 4 IAOMealth pts 16. Install Heat Recovery Ventilation Unit (HRV) 51AQ/Health pts 17. Install Separate Garage Exhaust Fan 3 IAQ/Health ots K. Renewable Energy and Roofing 1. Pre -Plumb for Solar Water Heating 4 Energy pts y= 2. Install Solar Water Heating System 10 Energy pis y= 3. Pre -Wire for Future Photovoltaic (PV) Installation 4 Energy pts y= 4. Install Photovoltaic (PV) System (1.2 kw = 6 points, 2.4 kw =12 points, 3.6 kw =18 points) Up to 18 Energy ,6. Select Safe and Durable Roofing Materials 1 Resource pt y= __ _ _ _ _ 7. Install RadiantBarder 3 Energy pts y= L. Natural Heating and Cooling 1. Incorporate Passive Solar Heating 5 Energy pts 2. Install Overhangs or Awnings over South Facing Windows 3 Energy pts 3. Plant Deciduous Trees on the West and South Sides 3 Enerov ots 0 '1. Use LOW/No-VOC Paint 2. Use Low VOC, Water -Based Wood Finishes 3. Use Lowmo VOG Adhesives 4. Use Salvaged aaterials for Interior Finishes 5. Use Engineered Sheet Goods with no added Urea Formaldehyde 6. Use Exterior Grade Plywood for Interior Uses ,7. Seal all Exposed Particleboard or MDF 8. Use FSC Certified Materials for Interior Finish 9. Use Finger -Jointed or Recycled -Content Trim 10. Install Whole House Vacuum System N. Flooring 1. Select FSC Certified Wood Flooring �2. Use Rapidly Renewable Flooring Materials 3. Use Recycled Content Ceramic Tiles 4, Install Natural Linoleum in Place of Vinyl 5. Use Exposed Concrete as Finished Floor 6. Install Recycled Content Carpet with Low VOCs Total Points Available: Total Points Project Received: 1 IAC/Health pts y=yes 21AO/Health pts y=yes 3IAQ/Health pts y=yes 3 Resource pts y=yes 61AO/Health pts 1 IAQ/Health pts 41AQ/Health pts 4 Resource pts 1 Resource pts 3 IAQ/Heallh pts 8 Resource pts 4 Resource pts 4 Resource pts 5 IAQ/Health pts 4 Resource pts 4 Resource pts A-11 P ., ✓ �, G:data/progslgreenbuildngguidelineshemodelersigreenpointsfinal2.12.04protected.xis U BATHROOMS by Remodeling Specialists 1422 SARATOGA AVE. .SAN JOSE. CA 95129 Date —n TELEPHONE (408) 378-6700 CONTRACTORS LIC. #674083 4XI Ord V hi 11,11� 1 110 M )MP 117 I. h n M4.1 wu Do lea 'nv141, rFo-i uinrl, bu i. -J.- J.- V\� a. 7 - BATHROOMS • by Remodeling specialists 1422 SARATOGA AVE- SAN JOSE, CA 95129 Date Q TELEPHONE (408) 378-6700 CONTRACTORS LIC, #674083 rop 4i� 91( -T� A/ ill t VP r AL Immom WE Imommmomm 10 a A a 101 31 ■�l/O■ mm ■■■ ;ukJ CITY OF 46UPEkTINO • • 6wner/ Signature JoBDD�I OWNER'S NAME: %%iltl i GENERAL CONTRACTOR: Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax(408)777-3333 Building Department PERMIT # ac c/ -f— — p �dQo6 FAX # C V 0 5;, -Zee �Yo.) 37d'670 u I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the followin¢ 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 Date