08020001 CITY OF CUPERTINO
-
Buihmr:cDI\SSION PERNnT C�SNTRACTOR.II�F,ORMATIaN.
PERMIT NO.
amLd�rj�a1�DCES OMESTEAD RD 4207 CONTROLLED SYSTEMS OF 08020001
NER'S NAME: PERMff I SUEDATH
HOMEOWNERS ASSOCIATION 1098 B INDEPENDENCE AVE; 02/01/2008
PHONE: SANITARY NO. CONTROL NO.
(408) 268-8674
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BO EO PLUMB - MOECH
iso j LICENSED CONTRACTORS DECLARATION IOb Descriptionrd I kmby same that 1 am licensed mule,provisions of Chapor 9(commencing
z� wWSection7")ofDiAgon3tflk Bade vw Professiomco ,a mylim=ia REPLACE EXSTNG CONDENR W/NEW A/C
'a Nil full farts and erten.
fa Zo License a Lk,s
9 W Dam CT ecmr
e 3 ARCHTfECT3
DECLARATION '9
y 1 undenland my plans dull k used a public IaorN ,
� U
yQ Llccneed Pmfesso.al
OWNER-BUILDER DECLARATION
gF 1 hereby of ire Net I am tsampt from the Conlranaf!License Law for the
00 following mean.(Section 70315,Business and Professions Cale:Any city m county
$ which ducNirns a Permit m en^usun,ailm.imprew,demolish,nr.Pur any suunue
.L j, Prior ad its issuance,also requires theappliant for such Permit to file aaigned alamecm
�o
that Ina is icensed pursuant to the provisions of the Conuanhmr.License Law(Chapmr 9 Sq.Ft. Floor Areac2800 Valuation
(commencing wind Section 70100)of Division 3 of the Business and Professions Code or 9
9 WI he k cmd,d therefrom and the bask for Ne alleged cu mption.Any violation of
Section 70315 by any applicant for a permit subjects the applicant to a civil penury,ofOccas ane e
rot mole dun rim hundred dalkn(M), 32659999A umber Occupancy
0 1,n awns of die properly,or my employes with wsm a their sole comp=Nm,
will donde workmd thestmna ,is nmimmnded araRered far side(Sm.7 .Busier•• Required Inspections
and Profeaslons Code:Tic Conhmmes Lisonse Law doss am, nst apply m an owner of q P
propeny who Wildsorimproea thamm,and who dwsuch wart himaelorlhmugh his
awn employes,provided that such Improvements tie not intended crone ad for We if.
however,the Wilding or improvement Is mid within one year a(completim,the
budder will MB haw the burden of paving that he did rot Wild or Improve for purpose of
uk.I.
❑I.as owner of the property am madmiwly contracting with licensed conmamra to
construct the Mica(See.7044,Buineu and Professions Code:)The Coouamr'!U.
tenor Law does nm apply W..owner of pmperty who Wilds ,hoped..ch m m.and
wk mnuama for such project,wind a mnusewK.)licensed pursuant to tic Contractors
License Law.
0 lameaernmutma Sec ,B&PCfe thilreamn
40 nee Dam
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury^rte of the following declarations:
0 1 ham and will maintain a Cerdl am ofCownt w self-imum forwoduescompn-
amon,as provided for by Section 3700 of the Labe Code,for the performance of the
work for which this permit is Issued.
0 1 have and will maintain Workers Computation Insunm,u required by Section
3'010 of the Labor CCodee,for heseperformance of the wvuk for which unit permit is Was& '
My
man
came
.add Policy
Cartla:rtr�1\ 1 N n(Tam Policy No.:noel Sae;-�0-7 L .
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE -
(This section need mtocanpleod If the permit Is(mane hummed dollen($10()
or ins.)
1 ardfy that in the performance of the work for which this pammlt Is Wood.l mein nm
employ any person In my manorm as to become subject to the Workers'Compcallon
Law.of California.Dam
Applicant -
NOTICE TO APPLICANT:If,efar making this Certificate of Fsemption,you should
become mbjen to the Workers Comp:nsaded provisions of the lsher Code,you mut
.,O forthwith comply with such provisions or this permit shad W deemed evoked.
ZIVI
CONSTRUCTION LENDING AGENCY
Fr I hemhy affirm that there las continued..lending agency for the Performance of
a .�+ Ile weh fm which this permit is issued(Sec.3097,Civ.C.) -
Q Lender's Name
z Landers Md.
U O 1 certify that 1 haw mad this appliutim and sum that the above information is
(y cones I agree to comply with all city and county ordinareas and sue laws nesting he
� Wilding communion,and hereby volumra mpresentsdwa of this city m moor upon tic
Liz move-AUD
y for kspear n purposes.
py .indemnify and keep humless lis City of Cupertino against
IA Iisbilitigramtsandeape w hmayusby way aecrumagaiomeid City
U 7 incontingof Nis I
a7 APPLTANDS AN W L COMPLY WITHALL O -POINT Issued by: DateSOURS._ _ 0 Re-roofs
Signa ofAppli HAZARDOUS MATERIALS DISCLOSURE Dam Type of Roof
Will tie applicant m imum Wilding aecupmt more or handle hazardous;material
defined by the Cupertino Mmriefpa Cade.Chapor 9.11,and the Health and Safety
k,Seniors 25532(a)7All roofs shall be inspected prior to any roofing material being installed.
❑Ya No
Will the applicantcar failure Wilding occupant dam eyulpmmt or derive which If a roof is installed without first obtaining an inspection,I agree to remove
cult heaNnus air cnmaminants as defined by the Bay Area Air Quality Management all new materials for inspection.
DiluiLlT ,A
Y. ry7•yu_ .
lb. rt harartloumaoush vinmemts under Chapm6.95aftheGlifor-
niaHalth act C ,SeNons23S0 S and 2137a.iudcrstsnd thuifthe bultdal
des rot n0 a Imml.thath Portability m ratify the 1 of the
nquinm whip tbemetprior 's 'nam of p u Signature of Applicant Date
Own aamari.<d.g.m D I�g
rAll roof coverings to be Class"B"or better
boa 0C)c
CITY OF CUPERTINO
ow FURNACE/AC
' CUPERTINO PERMIT APPLICATION FORM
APN4
-3 Date: O19
Building Address:
'a a 3 C7OrvtQS #�L& -
Owner's Name: Phone #:
ma Uen
Contractor: +, Phone#: N ;IL6-3 -267
I I5 MS Ca Fax#: O$ eZ&v — 0
_ Contractor License#: .. Cupertino Business License#: _
Contact:
_ Phone#: 00 Q-
` Fax #: C [�S� 2(p {g cl v
Building Permit Info:
Elect Ii Plumb Mech
Residential Commercial
Job Description: p
-{p�c�ce 2Y.i s}-► C.�vtdl-�s�- l�-.i'� Vt2c�..
For Residential Installations:
Attic ❑ lst floor ❑ 2nd floor
Adhere to minimum setback requirement ❑
For Commercial Installations:
Replacement same weight ❑ Additional weight (structural calcs) ❑
Structural Calculations required for new installation ❑
New installation Planning A roval Required ❑
Cost of reject: Type of Construction (Usage Class):
D, 'Woo
Strapped On Platform ❑ Bonded New Location Replacement
• Valuation:
Green Building: Must attach Green Building Check list to this application
CITY OF CUPERTINO
1 FURNACE/AC
CUPEk ANO 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-ofcontrols_regulated_b_y_this _
code.
1MCREPALT 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
IBPGAS 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 & riot incl in an appliance
permit.
t.
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.
1MRAPPVNT Residential for the install/relocate/ or M
replacement of ea appliance vent
install ¬ incl in an appl permit.
CITY OF CUPERTINO
f 1�G FURNACE/AC
CITY OF
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1PGASRES Residential for ea gas piping system of P
1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
1BSEISMICR Residential Seismic B
1MECPLNCK Mechanical Plan Check M
1MFR=<100 Furnace Syst<=100k BTU install or M
relocate ea forced-air/gravity type
furnace./burner, incl.ducts/vents
attached to such appliance up to and
include 100,000 Bm/h
1MFRN>100 Furnace Syst> 100k BTU install or M
relocate ea forced-air/gravity type
furnace/bumer, incl ducts/vents
attached to such appliance over
100,000 Btu/h
IlEPERMITFEE Electric Permit Fee . E
1MPERMITFEE Mechanical Permit Fee M
1PPERMITFEE Plumbing Permit P
1TRAVD0C Travel Documentation B
1BUSLIC Business License B
CITY OF CUPERTINO
14OF FURNACE/AC
CUPEkTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
AIR FURN/AC
CONDITIONING
1BCAIRHAN I Commercial A/C Units r- l0k CFM B
1MCRAA Commercial Mech Repair/alt/add M
1BSEISMICO Seismic Commercial B
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
-1PG7ASRES --Residei iarfor ea gas piping em—P— —"
of 1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet. Conun/Resid
1BRENLkaHAN Residential A/C units <= 10k CFM B
1MRRAA Residential Mech Repair/alt/add M
1BSEISMICR Seismic Residential B
lEPERMITFEE Electric Permit E
1MPERMITFEE Mechanical Permit M
IPPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
1BUSLIC Business License B
• CITY OF CUPERTINO
6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg
COPY # : l
Sec: Twp: Rng: Sub: Blk: Lot: .
APN . . . . . . . . : 32659999 .207
DATE ISSUED. . . . . . . : 02/01/2008
RECEIPT #. . . . . . . . . : BS000003825
REFERENCE ID # . . . : 08020001
SITE ADDRESS . . . . . : 22330 HOMESTEAD RD #207
SUBDIVISION . . . . . . :
CITY . . . . . . . . . . . . . : CUPERTINO -
IMPACT AREA . . . . . . . '
OWNER . . . . . . . . . . . . : HOMEOWNERS ASSOCIATION
ADDRESS . . . . . . . . . . : 444 FIRST ST #1
CITY/STATE/ZIP . . . : LOS ALTOS, CA 94022
RECEIVED FROM . . . . : JOHN E DOHERTY
CONTRACTOR . . . . . . . : DOHERTY, JOHN LIC # 19098
COMPANY . . . . . . . . . . : CONTROLLED SYSTEMS OF CALIF.
ADDRESS . . . . . . . . . . : 1098 B INDEPENDENCE AVE
CITY/STATE/ZIP MOUNTAIN VIEW, CA 94043
• TELEPHONE . . . . . . . . : (408) 268-8674
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 2, 800. 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 AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 224 . 85 MC
---------------
TOTAL RECEIPT 224 . 85
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
•
Feb 01 08 11 : 22a P. l
errari t6s0? 917-9911
'644 Ff.rst Street OA FAX 9179991
tiv�trsve Los Altos CA 94022
PROMBT, COURTEOUS SSRVTCE -- U=rORM;ENFORCEKWT OF RASES .-- +'*aMCUL TE ZNV=CNZMM .
FAX COVE
R HFET
Date: 0
{
TO:
COMPANY: Cw t Sj S' -.S
FAX #: ( ) 66r7l . .
FROM: Dominic Ferrari
Pages being transmitted:
(Including Cover Page)
I
Original will be sent by mail.
_ Original will not be sent.
i
City of Cupertino: FF6 0 ?0
1 oe
Re: Air Conditioner condenser replacement
Woodspring Condominium HOA
i Edmund and Betty Cohen
22330 Homestead Road,#207
iCupertino,CA 9514
The Woodspring Condominium HOA has granted the Cohens permission to replace the
heat pump on the roof for unit#207 provided that the new unit is mounted in a manner to
1 control no a and vibration at least as well as the unit it replaces.
Kindly
DO FERRARI,Property Manager
On Behal of the Board of Directors
i
D, gox t}10 3�
Single Fa)nily GreenPoint Checklist dam: Build It Greeii
The GreenPoint Checklist is based on the various green features Incorporated in the home and is the 5fv _ SmanSolutions Fmm fie Ground Up.
• heals for the GraenPoinl Rated program.A home can be considered green I it fulfills the prerequisites, r b
one of least 50 points,and mesh the minimum conte,par category:n for
l st at Indoor d reemPol
Health(5),Resources(6),and Water(g).Please contact Build It Green for a list of qualified GreenPoint
Raters H you are interested In pursuing third-perry verification. -
The green building pralmoes listed below are described in he New Home Construction Green Building
Guidelines,avallable at www.bulldtore=_aom.
:ENTER PROJECT NAME
A'c IT8-.. .. - ... . •.. .. - ==I
/ "::..Poins Available.Per Measure
1.PrM=I scads end Mlnlmim&Ws Prion of Exiafing Plants 6 Trees
❑ a.Protest Topsok from Erosion entl Reuse after Construction❑ b.Limll entl Dannsate Clarmction PODmrint far Maximum ProtechmLJ 2 Deconstruct Instead of Demolishing Existing Buildings On Site 3
A Recycle Job Sive Construction Wash(Including Green Waste)
❑ aminimum 50%Waste Diversion by Nal(Recycling orReuse)-Requlmd 0 R
❑ b.Minimum 65%DNerslon by Weight(Recycling or Rause) 0 2 _
❑ C.Minimum 80%Diversion by Wargo(Recycling or Reuse) 0 2
4,Use Recycled Consent Aggmgste(Minimum 25%)
❑ a.Walkway and Driveway
0 1
❑ h.Roadway Base 0
Tohl Pointe Available In Site=12 0
B:FOUNDATION.. Perms Avallahle Per Measure1.RePlace Portland Cement in Concrete with Recycled Flynn or Slag
—1:1 a.Ml97lUm 209;Fkyac f_w Slag '
0 —T�—
❑ b.Minimum 25%Flynn or Sia
2 Use Frost.Protected Shallow Foundation in Cold Areas C.E.C.Climate Zone 1 0 l 3
3.Use IMon flesietent Construction lin At-Risk Locations Only) o I I 1
4.Design end Butd$WCNrdI Pest Con"Is
❑
R.Instal Toone Shields H Separate
All Exterior W=VD.Concrete Connections byMetal w Plastic FastenarslDlNdara 0 3
b.All New Plants Have Tmnq Base,or Stam Located At Least 35 Inches from Foundation 0 11
_ Total Points Availableln Fwndetion=g 0
C.LANDSCAPING - - Points Available Per Measure
1.Construct ResouretEHiclent Lentlscepes
❑ a.No InveEvs Species MstDd by Cal-IPC Are Planted 0 ' 1
❑ b.No Plant Species Will Require Hedging 0 j
❑ c.75%dPlants Are DmugM-tolamm California Natives,Mediterranean,or Other Appropriate Species 0 3
2 Use Fire-Safe Landscaping Tostm ues 0 1 1
&Minimal Tud Areas In Landscape Installed by Builder
❑ a All Tud Will Have a Water Requirement Less than or Equal to Tell Fee=(9J.B plant factor) 0 2
❑ h.Turf Shot Not Be Instaited on Slopes Excaedmg 10%or in Arens Less than 5 Feet W tie
^�
E] c.Turf 13 533%d Landscaped Area(fotel2 points) 2
I � r 2
El d.Turf is 510%Di Landscaped Area(IoW 4 pomp) �= 2
ED 4,Plant Shade Two —= ! 3
S.GroupPlants by Wats Needs ytlromnin ) i 2
&Install High-Efficiency Irrigation Systeme
❑ a System Uses Only Low-Flow Ono,Bubblers,or Low-flow Sprinkler¢ a. I 2
❑ b.System Has Smart Consumers I 3
❑ 7,Inco omta Two inches of Compost In the To 6 to 12 inch"of Soil (/ I 3
❑ &Mulch All Planting Beds to the Greater of 2Inehes or Local Water Ordinance Requirement 0 "— 2
g.Use 50%Salvaged or Reoydetl-Content Materiels for 5D%of Non-Plant Landscape Elements 0 1
10.Reduce Light Pollution by Shielding Fmures and/or Directing Light Downward 0
Total Prints Avaeable In LamIscepin =31 D \
D. STRUCTURAL FRAME @ BUILDING ENVELOPE _ - cP6mS Available Per Measure
1.Apply Optimal Value Engineering
❑ L Place Rafters and Studs at 24-Inch On Center Framing
❑ 6.Size Door end W ntlow Heetlens for Load
0 _
El 0.Use Only Jack end Cripple Studs Required to Load 0 L-
2 Use Engine-.entl Lumber
❑
A.Seams and Headers
F 0 =N 1 )
❑ b.WoodInsulated Engineered HHatles
❑ c.Wood I-Joist lir Web Trusses for Floes
❑ e.Wood Worsts for fled Raters
❑ e.Engineered or Finger-Jointed Santis for Vertical Applications -
❑
I.Oriented Strand Board for Subiloor
0 _
❑ g.Oriented Stand Board for Wall and Rob Sheathing
3.Use FSC-Certified Wood
❑ a.Dimensional Lumber,Sands and Tmbec Minimum 40% 0 l 2 I
E] b,Dimensional Lumber,Studs and Timber.Minsrum 70% 0 T— 2
E] c.Penal Products:Minimum 40% ------ --
D _
❑ dPanel Pmducts:Minimum 70% 0 1
02D07 Build 11 Green Sinal¢Famlly GreenPoint Charklid?DDT Va.minn
5
ENTER
PROJECT
• ` s
a� t
1.Use Solid Wall Systems Qncludes SIPS,ICFR A Any Nom6dck Flame An umby)j
❑ a Foos 0 2
❑ b.Wets D 2 1 2
❑ c.Rooh 0 2 .i 2
5.Redude Pollution Entering the Home hem the Garage
❑ A.Tightly Seal the Air Banner between Brings and Living Area - 0 1
❑ o lrucal Gam a Fxheum Fen OR Builds Detached Game 0
6.Dad n En Heels on Tmaces(75%of Attic Insulation Haight at Outside Edge o1 Ecuador Wall) 0 1 i
❑ 7.Desi Roof Trusses to Aecommotlats Ductwork D 1
Lj L Use Re ded-0umam bbd Sbds for 90%of Interior Wait Flaming 0 1
e,Thermal Mass Wells:Winch Drywall on All Interior Wells or Wails Weighing rola than AD IbJm.fL 0 � 1
10.Install Overhangs and Gutlere
❑ e.Minimum 16-Inch Ovomangs and Outten 0 ! 1 1
❑ b.Minimum 244nch Ovarian s and Butlers 0
Total Points Avalsba M Structural Building Flame and Envelope 32 0
E.HETERIOR FINISH Poims.Avallable Per Mantua'
1.Ude Re cled-Conteru No Virgin Plastic or FBC-C"fiod Wood Docking0 ! 2 '
HU 2lnstnil a Rain Borden Well System 0 I 2
3.Use Durable and Noncombustible Siding Materials 0 1
1.Sled Durable and Noncombustible Roofing Metal. 0 I 2
Total Points Available In Pxbdn Finish.7 D
F.INSULATION - Points Available Per Manure
1.Install Insulation with 75%Reeyeled Content
❑ a.Wags endior FDors
—B—tc-Cellings -
2.Install Insolation that Is Low-Emitting(Certified Section 01350)
❑ .a.Wells endlor Floors
❑ h.Calfn I 0 1
3.Incpem Ouall of Insulation Instalbtlon bdore Applying Drywall 0 1
Total Points Available in lmula0on.5 0
O uMSING Points Avallable Per Measure
1.Distribute Domestic Hot Water Efficiently(Madmum 7 Points).
❑ a Insulate Hot Water Pipes from Wales Hestar to Kitchen 0 1 ! !
❑ b Insulae All Hot Water Pipes 0 1
❑ c.Use Enginamed PereOel Piping 0 __ 1
❑' d Use Engineered Parallel Piping with Demand Cwarmled Cirubtim Loop D ! _ 1
❑ e.Use.Structured Plumbing with Demand Controlled Circulation Loop U __. 1 2
❑ 1.Use Corral Core Plumbing 0 1 , 1 2
2Install Only High EffidanryTolieb(Dual-Flush or Sl 21 l) D I 14
Tinel Pointe Available in Plummn =Total 12 0
TING VENTILATION&AIR CONDITIONING Points Available Per IAeasure
1,Design
and Instill HVAC System to ACOA Manual J,D,and S Recommendations D 4 I I
I Install Sealed Combustion Unita
❑ a.Furnaces D j 2
❑ b.Water Heinen 0 I 2
3,Insall Zoned,Hydrant Radiant Hearing with Slab Edge Insulation 0 ! 1 1
a,Install High EBlelenry°Alr Conditioning with Environmentally Responsible Refrigerants D '1
5.Design and Install Egsctive Ductwork
❑ n Install HVAC Unit and Dumwork within Conddlmed Space 0 3
❑ h.Use Dual MasticoR I Duct Joims and Seattle 0 1
E] C.Install DucbmIX u Attic lnsuladon(Buded Ducts) 0 __h 1
❑ d.Pressure Balance the DuctwDre System 0 1
❑ e.Prdem Duce'u"'Cmstruclion and Clean All Duce before Occupancy 0 1 _
8.Install High ELMO11 FIVA`C Filter(MERV 6a) 0 1
❑ 7.Don't Install Fusillade or Install Sealed Gas Fireplaces with ERslency Rating Not Lose Than 6111% 0 1
using CSA Standards I I
S.Instal Effective Exhaust Systems in Bathrooms and i0tmens
❑ a.Install ENERGY STAR Bathroom Fens Vented to the Outside 0 __ 1
❑ b.All Bathroom Fans Am on Timer or Humitlistat 0 T� 1
❑ -c.install Kitchen Range Hood Vented to the Outside 0 1 I
It.Instal Mechanical Ventilation System for Cooling(Maximum 1 Pointe)
❑ a Install ENERGY STAR Calling Fens 8 Ught Kts In Living Arae s Bedrooms ii 1
❑ h,Install Whole House Fan with Variable Speeds 0
❑ C.Automatically Contmged Integrated System 0
❑ d.AutomalicsM Contrmled Integrated System with Vadable Speed Control 0 3
1 D.Install Mechanical Fresh All Ventilation System(Maximum 3 Paints) '
❑ a.Any Whole House Varllaion System That Meets ASHRAE 622 0 _ 2
❑ b.Install Air-ItM Had Exchanger that meats ASHRAE 622 0 T 1 2
11,Install Carbon Monoxide Alarms 0 1 ;
Total Points Available 11 Heatilit Ventlagon and Air CDndUDnin .3D 0
Community Development
10300 Torre Avenue
✓ Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
IOCUPEkTINO
Building De artment
JOB ADDRESS: PERMIT#
a x33 0 e _ -7 2.Z oln )
OWNER'S NAME: Cp PHONE # bs"o ZWL-25314-7
GENERAL CONTRACTOR: FAX# CO0% Z(.,cS -19ctO
I am not using any subcontractors: - )OB
Signature Date
Please check applicable subcontractors and complete the following 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