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08060116]CZ mop ggZ -=2 e^eh�}4 Is y0� cac Uz CITY OF CUPERTINO�•+g"�+"t.>+""""�-•'-fix BUILDING -DIVISION PEANUT Rco tRACT(----TR,I1Vk'. RIVIATIf)AF r BUII,OIN_ ADDRESS: /551. DONEGAL DR A PERFECT CLIMATE PERMIT NO.' 08060116 OWNER'S NAME: PERMIT ISSUE DATE KYUNG-SOON KIM 8375 BRENTWOOD BLVD STE B 06/16/2008 SANITARY NO. CONTROL NO. WINE: (408)861 9545 ARCHITEC rENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION Jb Description o nr Provisions of Chupmr 9 (commencing 1 hereby affirm that 1 am the ascd ude whin Section1000) of Division 3 ofde Business and Profeuiuw Code, and my liccwc is R&R FURNACE 60K BTU 90%EFF SME LOC AC 3 TON 13 dettr`L/'_aV S� Limes lase Lie SEER Dam _ Con AR HI ECT! D RATIO 1 understand my plana shall bo wed u public records Licensed Pmfcuiontl OWNER -BUILDER DECLARATION 1 kneby affirm that 1 am exempt form the Contractors License Law for the ! following reason. (Section 7031.5. Bustness and Professions Code: Any city or county which regmrrs a permit to consumer, a1mr, improve, demolish, or ¢pair my structure ! prior as its Laumace. aim requires the applicant foreach permit m file a signed sulemem n,u he is liccmed to she of the Contractor's lien¢ Law (Chapter 9 Sq. Ft. Floor Area Valuation possums provisions (commencing with Section 7000) of Division3oftheBusinessaMProwsionsCode)Or $7976 I than he is eumpt thmefsm and the basis for the alleged exemption. Any Holauon of SOctiOn 7011.5 by arty applicant fm a permit subjects the applicant m a CMI penalty of 36616067 Number Occupancy Type al more than Bw hundred dollars (M). ❑ 1. as owsmr of the property, ar my employees with wages as their sale compewdon, will Out the Mark. and the aWmme 1, .1 intended as Offered far Yle (SG'. 7W. BuanM3a Required Inspections and Professions Cede me camescrers masa Law dost mar apply as an owner of property who builds or imps estherwo. and windowsmh workhimsai Orth oogh his own employees• provided that such impswmmts art not intended mo@ret for ale If. howevv, the building or improwm ar, X std within one year of templetion, sire owner. builder will have the burden of poring that he did mol W;W or impsw for puryese or mid 3. ❑ 1, as atones of the property w exc usively contracting with Bowed tenmumn m construct the project (Sec. 7064. Business arm Prefesaiaw Code:) The cumns es u. cense Law does not apply a an owner of Property who Wilds ar impanaS Neaten, and who conmacta for Such pmjeeV with a contractor(s) licensed pmsmam to the Conuum n's Luse" law. ❑ I am wemp under s. . S & P C fm this mann Owner Date t . WORKER'S COMPENSATION DECLARATION 1 hereby affirm under pewty of perjury, and of the following declarations: I w,m and will maintain a CeniO®aof Conant to alydwurc for Workers Compw. urian• as provided for by Secdon 3700 of the labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain Workers Compensation Immanence, as required by Seedan 3700 of Ne Labor Code. for the acdomanc of the work forwhich this permit is issued ' My Worker's Camm/pewadan Insmnce carrier rod polity, numbs am: Carrier.G�o✓rCXe W s�fi`/i'ollry Na.: Lie—i ';1i so CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not ccomptcautif a permit I$ fm Onc hundred dnflau(SIW) or less.) I citify dual in sae performance of the weak for which this permit is issued. l shall Out employ any person in my camera at Or becararc abject to the Workers' Cmapeaatiall laws of California Dare Applicant NOTICE TO APPLICANT. If, a0er making this Cenifnwm of Eaemption, you should become subject m the Workers Compensation provisions of the Labor Code, you must forthwith comply with such Provisions m this permit hall he located revoked. CONSTRUCTION LENDING AGENCY 1 Wreby afarm But Nem is a construction lending agency for the performasax of the work for which this permit is wood (Sm. 3097, Ch, C.) Lenders Nene Lenders Addreu 1 unify that 1 luno read this application and sum that the above imle m stiun is coneaL I agree m comply win, all city and county Ordinances and sum laws relating to 1 Wilding construction, and hereby mtharies reprwcessi s of this city to enter upon the alabra-mmtima d Property for inspection purposes (We) m indemnify agree Use. and keep harmless the City of Cupertino sow, Babilitist, judgments. coca and caponew which may in my toy amue agaiwt said Cry thispermit.WIL inconsequence of theUNDERSTANDS AP1?4CANT NDS AND WILL COMPLY WITH ALL NON -POINT Issued by: Dale G- G REGULDEONS 6-1,b-aaerRe-roofs Sigwsurt ofApplicmmC Dam HAIS OSURE MATIt T ype of Roof mZARDOUS Will the app0et or future building or handle hsnrdOw material as defined by the Cupertino Municipal Code. Chapter 9.13. and the Health and Safety ewe. SecDye. 25532(x)? All roofs shall be inspected prior to any roofing matenal being installed. hill the applicmt or fuwre Wilding acuWnt use eyuipmentmdeviw which If a roof is installed without first obtaining inspection, I g anns agree to remove P t hsiard^us air cemerrown u derated by the Bay Area Air Quality Management all new materials for inspection. Jn Ya Ihavereadth lmeardm mme.i mquimmenmunderCmpmr6.95ofthc Califon niaHwiNS:SmctyCwc, Scwaw 23505.25577 ems ]5534.1 andcnund thmifde Wilding dors not IIY haw • IenanL bol II u my sstpowiM1ilip b notify the necupmt of the requiren hfchmuuW t ;ammcaraCcnifiesmaracupmcy. Signature of Applicant Date __ - sou All roof coverings to be Class'%." or better owmrm.mthadrea agent Dam • 6 ITEMS OF 6 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN I.......: 36616067.00 DATE ISSUED.......: 06/16/2008 RECEIPT #.........: BS000005129 REFERENCE ID # ...: 08060116 SITE ADDRESS .....: 7551 DONEGAL DR SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: patg COPY # : 1 OWNER ............: KYUNG-SOON KIM ADDRESS ..........: 7551 DONEGAL DR CITY/STATE/ZIP ...: CUPERTINO CA, 95014-5200 RECEIVED FROM ....: EDWARD A GREGORY CONTRACTOR .......: SMITH, ,BYRON E LIC # 21144 COMPANY ..........: A PERFECT CLIMATE ADDRESS 8375 BRENTWOOD BLVD STE B CITY/STATE/ZIP ...: BRENTWOOD, CA 94513 TELEPHONE ........: (408)861 9545 • FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL 1BSEISMICR VALUATION 7,976.00 0.80 0.00 FINAL ELECTRICAL 0.80 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 2.00 122.38 0.00 122.38 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 ---------- ---------- 286.34 0.00 ---------- ---------- .286.34 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT AMOUNT --------------- 286.34 --------------- 286.34 REFERENCE NUMBER -------------------- VISA VOICE -------- ID DESCRIPTION- ---------------------------- VOICE ID DESCRIPTION 505 FINAL ELECTRICAL -------- 507 ---------------------------- FINAL PLUMBING 508 FINAL MECHANICAL CITY OF CUPJERTINO FURNACE/AC •CUPEkTINO PERMIT APPLICATION FORM • ogo�n o//(,o APN # 2 ! (O / (P 0 (00-7,()( Date: ._ /b- ZGap Building Address: Ci4 �So /y. Owner's Name: Phone #: S'0 P-- %y6- 5-6 Contractor: Phone #: t41p,P Fax #: 110 81- �W 9 -Y4 Contractor License #: Cupertino Business License #: 723/s60 Contact: �1 Phone #: Yf o6l Fax #: Building Permit Info: Elect Plumb Mech Residential • Commercial LJ Job Description: 7-4-77 Fvr ✓> ¢ ce, G ` 6 %(%% rFF �� .Soh+e 40c414:o�s A e 3 T1 Al For Residential Installations: Attic ❑ I" floor, 2°d floor ❑ Adhere to minimum setback requirement 1592 For Commercial Installations: Replacement same weight ❑ Additional weight (structural talcs) ❑ Structural Calculations required for new installation ❑ New installation Planning Approval Required ❑ Cost of Project: 797.1 Type of Construction (Usage Class): Strapped On Platform BondedEl New Location Replacement Valuation: 7 F 7 6 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. S -d CITY OF CUPEI,TINO 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 ea 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. 1 MCREPALT 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. 1MCSUSHTR Commercial Install/Relocateea M suspended heater,recessed wall htr, or floor mounted unit heater. 1 PGASCOM Commerical for ea gas piping System P. 1-4 outlets 1 BPGAS 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 1MRRAA Residential Repair/Alteration/Add to M ea 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. 1MRSUSHTR Residential Install/Relocate ea M suspended heater,recessed.wall htr, or floor mounted unit heater. 1 MRAPPVNT Residential for the install/relocate/ or M replacement of ea appliance vent install & not incl in an a 1 pe it. L] CITY OF •CUPERTINO 0 CITY OF CUPERTINO FURNACE/AC FEESCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type FURNACE FURN/AC 1 PGASRES Residential for ea gas piping system of 1-4 Outlets P 1BPGAS For each gas piping system of 5 or more per outlet. P 1BSEISMICR Residential Seismic B 1MECPLNCK Mechanical Plan Check M 1 MFR=<100 Furnace Syst <=100k BTU install or relocate ea forced-air/gravity type . fumace/burner, incl ducts/vents attached to such appliance up to and include 100,000 Btu/h M IMFRN>100 Furnace Syst> 100k BTU install or relocate ea forced-air/gravity type furnace/burner, incl ducts/vents attached to such appliance over 100,000 Btu/h M 1 EPERMITFEE Electric Permit Fee E 1MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit P ITRAVDOC Travel Documentation B 1BUSLIC Business License B CITY OF CUPERTINO 5 FURNACE/AC CUPEkTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type AIR CONDITIONING FURN/AC 1BCAIRHAN Commercial A/C Units <= l Ok CFM B 1MCRAA Commercial Mech Repair/alt/add M 1BSEISMICO Seismic Commercial B 1PGASCOM Commerical for ea gas piping System 1-4 outlets P I PGASRES Residential for ea gas piping system of 1-4 Outlets P 1BPGAS For each gas piping system of 5 or more per outlet. Comm/Resid P 1BREMAIRHAN Residential A/C units <= I Ok CFM B / 1MRRAA Residential Mech Repair/alt/add M I 1BSEISMICR Seismic Residential B I EPERMITFEE Electric Permit E 1MPERMITFEE Mechanical Permit M 1PPERMITFEE Plumbing Permit P 1TRAVD0C Travel Documentation B 1BUSLIC Business License B • • • Plan Review Process Work Book Page -I2-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 4. s. . 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. Energy Star Refrigerator, (Note/Spec. A-3 1 point P. Other 1. List Green Features on Plans A-1 1 point OTMEMOM TOTAL POINTS 40 points • • Plan Review Process Work Book Page -I2-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 with ease of implementation and relative low cost. These measures can be used as a starting point for "greening' your project. 11. Recycle Job Site Construction 8 Demolition Waste 165%=1 point; 75%= 2 points; 80%=4 points 2. Salvage Reusable Building Materials 3. Remodel for Mixed Use, Adaptive Reuse, and Historic Preservation 4. Protect Native Soil 5. Minimize Disruption of Existing Plants & Trees 6. Implement Construction Site Stormwater Practices 7. Protect Water Quality with Landscape Design 18. Design Resource-Eifcient Landscapes and Gardens 9. Reuse Materials/Use Recycled Content Materials for Landscape Areas 10. Install High -Efficiency Irrigation Systems 11. Provide for On -Site Water Catchment y Retention tup to 4 Resource pts 4 Resource pts y=yes 4 Resource pts y=ye. 2 Resource pts y --yes 1 Resource pt y=yes 2 Resource pts y=yas 2 Resource pts y_ -yes 4 Resource pts y=yes B. Foundation 1. Incorporate Recycled Ryash in Concrete • 25% Recycled Flyash = 2 points; Add 1 point for every 10% increase of flyash, up to 5 points 2. Use Recycled Content Aggregate 3. Insulate Foundation/Slab before backfill 2 Resource pts y=yes 2 Resource pts y=yes 2 Resource pts y=yes 2. Use FSC Certified Wood for framing up to 5 Resource 2 Resource pts y 3 Energy pts y=' C. Structural Frame r r r r r r r r --`p r r r 0.. (1. Substitute Solid Sawn Lumber with Engineered Lumber 3 Resource pts y=ye 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=ye'. 4. Use Web Floor Trusses 2 Resource pts y=ye 5. Design Energy Heels on Trusses 6" or more 2 Energy pts y=ye 6. Use Finger -Jointed Studs for Vertical Applications 2 Resource pts y=ye! 7. Use Engineered Studs for Vertical Applications 2 Resource pts y=ye: S. Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y=ye! 9. Use Structural Insulated Panels (SIPS) a. Floors 3 Ener is 9Y P y-yer b. Wall 3 Energy pts y=ye; c. Roof 3 Ener is 9Y P 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 OS8 — _- a. Subfloors' 1 Resource pt y=yes b. Sheathing • 1 Resource pt y=yes r r r r r r r r --`p r r r 0.. 0. lllllle 0 0 r r r 0 0 r r 01 r r r 0.. 0. lllllle 1. Use Sustainable Decking Materials r r r r_ U a. Recycled content 3 Resource pts b. FSC Certified Wood 3 Resource pts 2. Use Treated Wood That Does Not Contain Chromium/Arsenic j 13. Install House Wrap Siding i, 1 IAQ/Health pt under 1 IAQ/Health pt 14. Use Fiber -Cement Siding Materials 1 Resource pt E. Plumbing , 1. Install Water HeaterJecket _ _ _ � 2. Insulate Hol and Cold Water Pipes 3. Retrofit all Faucets and Showerheads with Flow Reducers a. Faucets (1 point each, up to 2 points) i b. Showerheads (1 point each, up to 2 points) ) I4. Replace Toilest with Ultra -Low Flush Toilets j i(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 t,. trecmlcai I1. Install Compact Fluorescent Light -Bulbs (CFLs) . L bulbs=2 points, 10 bulbs =3 points, 12 bulbs = 4 points) J 2. Install IC -AT Recessed Fixtures with CFLs_ IT 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 EnergyStarbishwaslh - — 2. Install Washing Machine with Water and Energy (Conservation Features I3.lnstall Energy Star Refrigerator '4. Install Built -In Recycling Center I 1 Energy of y=ye- 2 Energy pts y=yes Up to 2 Resource pts Up to 2 Resource pts Up to 3 Resource pts 1 IAQ/Health pt y=yeE 4 Energy pts y=yeE Up to 4 IAQ/Health pts 4 Resource pts y=yeE Up to 4 Energy Resources Energy IAS/Health 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=yes 3 Resource pts y=yes H. Insulation r r r r_ U r r 0 r U a. Walls 2 Energy pts y=yeE b. Ceilings 2 Energy pts Y --yes 2. Install Floor Insulation over Crawl Space 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=yes 3 Resource pts y=yes H. Insulation r r r ot r r r 0 1. Upgrade Insulation to Exceed Title 24 Requirements a. Walls 2 Energy pts y=yeE b. Ceilings 2 Energy pts Y --yes 2. Install Floor Insulation over Crawl Space 4 Energy pts y=yeE `8. Install Recycled -Content, Fiberglass Insulation witli No Added Formaldehyde 3 IAQ/Health pts y=yeE •4. Use Advanced Infiltration Reduction Practices 2 Energy pts y=yeE 5. Use Cellulose Insulation a. Walls 4 Resource pts y --ye; b. Ceilings 4 Resource pis y=ye: 6. Alternative Insulation Products (Cotton, spray -foam) a. Walls 4 Resource pts y=ye, c. Cenings 4 Resource pts y=ye E L] r r r ot r r r 0 r �. E L] -1. Install Energy -Efficient Windows 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. Install Low Heat Transmission Glazing 1 Energy of Y=Yes J. Heating Ventilation and Air Conditioning �1. Use Dud Mastic on All Duct Joints 2. Install Ductwork vathin 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 B. 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 stovesAnserts 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 = 16 points) '6. Select Safe and Dureble Rbofng Materials ! 7. Install Radiant Barrer _ 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 r] 2 Energy pts y=yes 3 Energy pts y=yes 1 IAQ/Health pt y --yes 21AQ/Health pts y=yes 2 Energy pts y=yes 1 Energy pt y=yes 4 Energy pts y=yes 3IAQ/Health pts 3IAQ/Health pts 3 Energy pts 3 Energy pis 2 Resource pts 2 Energy pts 1 IAQ/Health pt 1 Energy pt 1 Energy pt 3 Energy pts 41AQ/Health pts 5 IAQ/Health pts 31AQ/Health pts 4 Energy pts 10 Energy pts 4 Energy pts Up to 18 Energy 1 Resource pt y= 3 Enerov ots v- 5 Energy pts 3 Energy pts 3 Energy pts y=yes I 3 3 2 1. Use -Low/No-VOC Paint 2. Use Low VOc, Water -Based Wood Finishes 3. Use Low/No VOC Adhesives - 4. Use Salvaged Materials 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 Pa ticleboard or MDF B. 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 L 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 IAO/Health pts y=yes 21AQ/Health pts y --yes 31AO/Health pts y=yes 3 Resource pts y=yes 61AQ/Health pts y=yes 1 IAO/Health pts y --yes 41A0/Health pts y=yes 4 Resource pts y --yes 1 Resource pts y=yes 3 IAO/Health pts y --yes 8 Resource pts 4 Resource pts 4 Resource pts 5 IAO/Health pts 4 Resource pts 4 Resource pts is 1401 1301 57 61" 01 01 01 • G:daWpmgslgmenb�ldngguidelineslmmodeL=NgmenpoiNsfna121204aro1=-ted.xls 0 1151, F F x� CITY OF 4fUPEkTINO • Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building De artment JOB ADDRESS / PERMIT # OWNER'S NAME: ,G — v,,, K• •ti PHONE # Y08- Y%6-- 561 GENERAL CONTRACTOR: 17 e „aZ FAX # 4/o 8_ g?6 6 I am not using any subcontractors., ?C, DP Signatukd Date Please check applicable subcontractors and complete the following information - r _16_ Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum / Wood Glass / Glazing Heating �r- //�� T r 1 04,ua�� y Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile r _16_ Date