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08040126 CITY OF CUP A mapvF�,�4—A ,+� BUILDIIIG DIVISION PERMIT COI�ITRAC'.0, It"I1VI�0'RMAT "' Bu1LQlycspgR O. W FERMITTESTATES DR SHADOWFAX ROOFING 08040126 OWNERS tNA.SMEE: PERMIT ISSUE DATE FOLZ EDWARD J AND PAULA 1366 SANTA FE DR 04/17/2008 ygprmlo SANITARY NO. CONTROL NO. (408) 265-2490 ARCHf1ECr?NGINEER: BUILDING PERMIT INFO BO BLECTO PLUMB MECHO �o0 LICENSED CONTRACTOR'S DECLARATION Job Description 1 hereby&(firm that 1 am 11camad under provube of Chapter 9(mmmoncini ith Swdon7OOWof Oividon3ofde BuSi a and Rofemmt Codaandmyticettmu 'RNV EXSTNG WDSHK RPLC W/ASPHLT SHGL CLS A 26SQ in full to=Ind e C'g 3 License CI We.g Demzy�r Cant 3 ty am HI7ECT5 DEC DEC ar 1 w O mdersssml my pure Nall be used as public mcmd. S� Licensed Prufeswool OWNER cancroDBR DECLARATION Z O E hereby&Rens that 11. tempt from tha fesmms,Co License c Law for ate ZOO O following mesa.(Section]1131.3,Beinos and Rafcmmu Code:Any rimy orcounty 3 9 which rtqulm a permit re emmssmet alcor,hnpmw,demo! t t ri repair any statement prior b its tensed e,aissr nt he a the aiions of torsuchhe Con rc tot's to a signed ahmmem < Ihatheancing cdPmanmtmdtepravialoeofofibeB tChapterg Code) Sq.Ft. Floor Area $10800 Valuation �g (commcndn{with Section DO)and tof heDivisionsfor don Oneinw and proon.M vi Cade)ser .. them Section k sumps tang applicant and the Eek for bj alleged eampnt to Any violatlm of Se .tha3by airyreddonarsS50 mth subjects the applkantm&civil penalty of Number Occupancy e nm ream than fiw bandmN dmtn(g3WL 36922026 :�'I P ygYP L u owner of the property,a my employes with warn Is deb In compensation, - - will dodewontand amstructure bher member!oro@cod for sale(Sec.70H.Business and ProreWOe Cade:The Communes License Law does cot apply be an owner of Required Inspections property who builds or impose&desmn,and wars does such work himself m through his &sureemploy&;pr dad Natsohimprowmenuaremsinmn moBewafinele IL hawevet the buildint or Imp awm one is sold within ore year of completion.the mamr- holder will hive de burden of proving But he did not India or impure fm purpau of sale.). ❑1.Is owxr of de property,w eacludvely conu.cdnt with licensed contractors to coetmm the project Sec.70W.Bednm&nal Profreem.Cade:)11te Cmarommas U. come law doe not apply to an owner of property who builds or improves demon,and, who contract fm such Pmjech with a catramo(s)liamed puraumt to the Ctmomm's License law. ❑I am mmap%under See ,B A P C for this rtes Oester Data WORKERS COMPENSATON DECLARATION 1 hereby&litre under peeltY a(perJury era of see folbwing declarations: hamand will maimmns Ce ri .t&(Come.toelf-imumfar Wafte,Compere n,as provided for by Section 37M of the labor Code,fm the performance of the wort for which this permit is bound. ❑I haw Ind will'reammin Wmkce.Compensation I.ce,u required by,Seed. 3700 of the latter Code,for than performance of W work for which this permit is issued ' My Worker'jj../C�mmspe ado buunme artier and Policy no�mbe�Lie� i% Cartier. (/0;,5R 0025VQ1cyN..:�-��AA7 CEROFICATE OF PXFMFITON FROM WORKERS COMPENSATION INSURANCE (Ttussnlm seed cot he completed I(the permit Is forone hundred doflm(SIM) or lea) 1 amti(y that in the performanm of the wart fm which this permit is issued,I Nall not employ any person in my maamrso as to become subject an de Worker!Compewdm Laws of Caffomie.Oat Applicant NOTICE TO APPLICANT.If.Om making this Certificate of Exemption,you should become subject he the Worker's Compensation previsions of Ne labor Cade,you mass ,J 0 forthwith comply with such p Wtaas m the permit shall 4 domed emoted. " Z"' CONSTRUCTION LENDING AGENCY r [•+ work rwhich uties themu&esruuee,3Mndint afenry far the perlormance of Dv. the doh for which tht permit u ioued(Sec.3(197,Civ.C.) WM z Lenders 7 Z landefs Add. U O 1 certify that I haw rod ads apPlicWW and sense the the&bow information is ty!! cmret I apo to comply with all city and county wtiinarem&and set laws misdog m .O SV building mmwctian.and hereby authorize rtPmsenudws of this city to enter upnn see W show-mendaned property for Inspection purpou. gT. (Wo)agree to saw,indemnify and tap humus:the City o(Cttpenino against fly Iiabilia4judtmenu,cru Indexpenato which may in my way emus against said City Y' U Z in mmtegana of the fronting of permit APPLIC UNDERSTAND A D WILL COMPLY WITH ALL N N-PO Issued by: Date SOU EGULATONS. - Re-roofs SI of Appl' nuscbr HAZ RDOUS MATERIALS DISCLOSU Type of Roof Will tic at Cupco!ser future building ampaptnme m hawk Health mmaterial ss deBud by de Cupenim Municipal Code.LTaPmr 9.13,and the Hnith anti Safety Code,secdonv33x(.)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yca Pjla Wien the applicant or future wading&soman Lie equipment or delay whichIf a roof is installed without first obtaining an inspection,I agree to remove boamom air conuminanu u defmruM by the Bay Ams Air Quality Management all new materials for inspe ion. t7 ❑Yes o IbawreWthnhanmmr da quimmmuunder .Cheper G93of Ne Califor. nu Hca BSsfmy Code- ,353J3w 2553d.luMemundWifthewilding O dao currtnay Nw a tum ndNlitY b hoe the t of Q re t mudhin nebe real am.cemrtakar S' ,nalure of'Appficint Date nerve authilrered,cot Da 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 . . . . . . . . : 36922026 . 00 DATE ISSUED. . . . . . . : 04/17/2008 RECEIPT #. . . . . . . . . : BS000004513 REFERENCE ID # . . . : 08040126 SITE ADDRESS . . . . . : 10832 W ESTATES DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : FOLZ EDWARD J AND PAULA TRUSTE ADDRESS . . . . . . . . . . : 10832 W ESTATES DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4538 RECEIVED FROM . . . . : JERRY L SHAFFER CONTRACTOR . . . . . . . : JERRY SHAFFER LIC # 27342 COMPANY . . . . . . . . . . : SHADOWFAX ROOFING ADDRESS . . . . . .. . . . : 1366 SANTA FE DR CITY/STATE/ZIP . . . : SAN JOSE, CA 95118 TELEPHONE . . . . . . . . : (408) 265-2490 • FEE ID UNIT QUANTITY , AMOUNT . PD-TO-DT THIS REC NEW BAL ---------- ------------ ---------- --- I ------ ---------- -- ---------- 1BSEISMICR VALUATION 10, 800. 00 1 .10 0. 00 1.10 0. 00 1REROOFRES SQ FEET 26. 00 338 . 00 0. 00 338. 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 339 .10 0. 00 339 .10 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 339 . 10 MC --------------- TOTAL RECEIPT 339 .10 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS 605 FINAL REROOF • CITY OF CUPERTINO «C REROOF •CUPEkTINO PERMIT APPLICATION APN # 2 q D2 o o Date: Building Address: Owner's Name: Phone #: Contractor: Phone #: 1', S r �r�dTl� Fax #: Ildd'-oYo Cupertino Business License #: Contractor License #: qq31 Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles X Asphalt Shingles )4, Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other (Specify) Number of existing coverings a2_ ❑ Provide I.C.B.O. Report# l4 To be Removed a Provide Mfgr. Installation Specs. Job Description: D / .91 Gf Residential Comm rcial 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, inclufle in plan set & the sheet index. Valuation: /0 fed- vn • I Have Read, Understand d Will Comply with Cupertino's Tear-Off Policy: D� Signature CITY OF CUPERTINO -' ' REROOF IOCUPEkTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 9� 1REROOFRES Re-roof Residential B 1SFDWLROOF 1BSEISMICRE Seismic Residential B 1REROOFMRES Re-roof Multi-Family B 1MFDWLROOF • 1BSEISMICRE Seismic Residential B 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: � �/� �z �ST A_' Roofing Company Name: lti� Applicant's Signatur Date: %//7/'a!J • Greg Casteel Building Official Revised 11/2/04 Community Development Department Building Division City of Cupertino 10300 Torre Avenue • Telephone: (408)777-3228 Fax: (408) 777-3333 Building Department REROOF TEAR OFF POLICY 1. You must schedule an inspection for the tear off the day before you wish the inspection to be made. The procedure is to call the Building Division (408) 777-3228 between the hours of 7:30 a.m. and 3:30 p.m. to request a next-day inspection. • 2. When the roof is torn off, the nails have been removed or driven in, and all of the dry-rotted wood has been replaced, you must call the City Building Division. An inspector will be there within one hour. There are special hours for this service: from 7:30 a.m. to 10:30 a.m. and 1:00p.m. to 3:30 p.m., Monday through Thursday and from 7:30 a.m. to 10:30 a.m. and 1:00 p.m. to 2:30 p.m. on Friday. (Note: Building inspectors are on lunch break from 11:30 a.m. to 12:30 p.m. and will not be called during that time. City Hall is closed between 12:00 and 1:00 p.m. daily.) 3. If you call for a tear-off 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. • Greg Casteel Building Official Revised 8/13/04 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 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. Enerqv Star Refrigerator, (Note/Spec. A-3 1 oint P. Other J 1. List Green Features on Plans A-1 1 point TOTAL POINTS 40 points JO X32 C.� • ��.,�r / COD P dP,pl�70pg 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 tprojects. 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 Resources Energy IAQIHealth ite F2SaIvage ycle Job Site Construction&Demolition Waste i point;75%= 2 points;60%=4 points up l0 4 Resource pts 0 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 6.Design Resource-Efficient 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=yes 0 1 1 1 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 pts0 2.Use Recycled Content Aggregate 2 Resource pts y=yes 0 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. 0 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 0 7.Use Engineered Studs for Vertical Applications 2 Resource pts y=yes 0 6.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 0 c.Roof 3 Energy pts y=yes 0 10.Apply Advanced Framing Techniques 4 Resource pts y=yes 0 11.Use Reclaimed Lumber for Non Structural Applications 3 Resource pts y=yes 0 P.Use OSB ---�I a.Subfloors ( 1 Resource pt y=yes 0 b.Sheathing ; 1 Resource pt y=yes 0 • 1 1 1 INPUT ResDurces Energy IA01fleallh xter ffrMWils 1.Use Sustainable Decking Materials a.Recycled content 3 Resource pts y=yes 0 b.FSC Certified Wood 3 Resource pts y=yes 0 • 2.Use Treated Wood That Does Not Contain ChromiumlArsenic 1 IAOMealth pt y=yes 0 3.Install House Wrap under Siding 1 IAO/Health pt y=yes 0 4.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 0 1 I 1 E.Plumbing 1.Install Water Heater Jacket 1 Energy pt y=yes 0 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 It.Showerheads(1 point each,up to 2 points) Up to 2 Resource pts. 0 4.Replace Tollest with Ultra-Low Flush Toilets (i point each,up to 3 points) Up to 3 Resource pts. 0 5.Install Chlorine Filter on Showerhead 1 IAO/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 IAO/Health pts. 0 B.Install On-Demand Hot Water Circulation Pump 4 Resource pts y--yes I r.eiscrrrcal 1.Install Compact Fluorescent Light Bulbs(CFLs) (6 bulbs=2 points,10 bulbs=3 points,12 bulbs=4 points) Up to 4 Energy pts. 0 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 Ceiling Fans with CFLs (1 point each,up to 4 points) Up to 4 Energy pts. 0 1 1 1 G.Appliances 1.Install Energy Star Dishwasher 1 Energy pt y=yes 0 2.Install Washing Machine with Water and Energy Conservation Features 1 Energy pt y=yes 0 3.lnstall Energy Star Refrigerator 1 Energy pt y=yes 0 4.Install Built-In Recycling Center 3 Resource pts y=yes 0 Imm 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 Recycled-Content,Fiberglass Insulation with No Added Formaldehyde 3 IAO/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=yes 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.uemngs 4 Resource pts y=yes 0 1 1 1 INPUT Resources Energy A011-lealth n ows 1.Install Energy-Efficient Windows a.Double-Paned 1 Energy pt y=yes 0 . b.Low-Emissivity(Low-E) 2 Energy pts y yes D c.Low.Conductivity Frames 2 Energy pts y=yes 0 2.Install Low Heat Transmission Glazing __j 1 Energy pt y=yes 0 1 1 1 J.Heating Ventilation and Air Conditioning 1.Use Duct Mastic on All Duct Joints —'� —J 2 Energy pts y=yes 0 2,Install Ductwork within Conditioned Space 3 Energy pts y=yes 0 3.Vent Range Hood to the Outside 1 IAQ/Health pt y=yes 0 4.Clean all Ducts Before Occupancy 2 IAQfHealth pts y=yes 0 5.Install Solar Attic Fan 2 Energy pts Y--yes 0 6.Install Attic Ventilation Systems 1 Energy pt y=yes 0 7.Install Whole House Fan 4 Energy pts y=yes 0 S.Install Sealed Combustion Units a.Furnaces 3 IAO/Health pts y=yes 0 It.Water Heaters 3 IAQ/Health pts y=yes 0 9.Replace Wall-Mounted Electric and Gas Heaters with Through-the-Wall Heal 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 0 13.Retrofit Wood Burning Fireplaces a.Install EPA certified wood stoveslnsens 1 IAQ/Health pt y=yes 0 • It. 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 0 15.Install High Efficiency Filter 4 IAQ/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 0 4.Install Photovoltaic(PV)System (1.2 kw=6 points,2.4 kw=12 points,3.6 kw=16 points) Up to 16 Energy pts 0 6.Select Safe and Durable Roofing Mate als —� 1 Resource pt y=yes 0 7.Install Radiant Barrier 3 Energy pts y=yes 0 1 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 • INPUT Resouices Energy IA13114pallh . n oor r ue ry en n s es ' 1.Use Low/ND-VOC Paint 1 IAQ/Health pts y=yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAO/Health pts y=yes 0 3,Use LowMo VOC Adhesives 3 IAQ/Health pts y=yes 0 • 4.Use Salvaged Materials for Interior Finishes 3 Resource pts y--yes 0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 6IAQMealth pts y=yes 0 6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y--yes 0 7.Seal all Exposed Particleboard or MDF 4 IAQ/Health pts y=yes 0 B.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0 9.Use Finger•Joinied or Recycled-Content Trim 1 Resource pts y=yes 0 10.Install Whole House Vacuum System 3 IAQ/Health pts y--yes 0 1 1 1 N.Flooring 1.Select FSC Certified Wood Flooring 8 Resource pts y=yes 0 2.Use Rapidly Renewable Flooring 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 IAQ/Health 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=yesl 0 1 1 1 Total Points Available: 1401 1301 57 Total Points Project Received: 01 O= • G:data/progstgmenbulldingguidellnes4emodelers/gmenpointstinal2.12.04pmledod.xls • Community Development p 00 Torre Avenue e Crtino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 �CUPEf�TINO Building Department JOB ADDRESS:DD,�RESS: PERMIT# / 6 �-, 0ctd X26 OWNER'S N : fib IPHONE # 1 — S GENERAL CONTRACTOR: I FAX # I am not using any subcontractors ignature ate Please check applicable subcontractors and complete the following 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 . a,1,,1 O� /),k�ner/CoOactor Signature DKte