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08040114ora Z ti a>_ a� D UC E t, 0. �z CITY OF CUTER INO BUILDING DIVIS16N PERT >/-�'px� g.k�r(�i..,ii.?iR.�a �.a•1WO BUILDING ADDRESS: PERMITNO. 10211 PHAR LAP DR THRASHER TERMITE & PEST 08040114 OWNER'S NAME: PERMIT ISSUE DATE TEMME CHARLES F TRUSTEE 17427 FARLEY RD W 04/15/2008 E: SANITARY NO. CONTROL NO. ARCHITECDENGINEER: BUILDING PERMIT INFO TERMITE DAMAGE/ FUNGUS BO EO PLUMB O LICENSED CONTRACTORS DECLARATION REPitfIRS, , laxb p,SpRlpnOn 1 hemby &farm that 1 am I4cmed under provisions nr Chapter 9 (commencing ^--^- •^^ ^• • ^• -^^ -- wlthSudon7OW)ofD(vision3oftho Businuss fcu,L..cmtl mylkenYIs In full rorco m0 IT License Dau X Cornu mar ARCHTECTSDECLARA ION COAnW4L I understand my plane "I W meed Y Public records Licensed Professional OWNER -BUILDER DECLARATION 1 hereby am. net I am exempt from the Contractors Lima. law for tho fallowing moon. (Section 7831.5, Business and Pmfessiom Code: Any city or county which te9ulres a permit m cry mtu. slue. h porum. demollw, or mPatr any sormeme prim m its issuance. also require& the &ppliam relauch Permit to filc.signed rwemem twheblicensed P..IWthepmwamtaafdnConm.ctorsuamwLaw(CnaPmr9 Sq. Ft. Floor Area - Valuation (carnmeuins with Sam.. 7000)of Division 3 of the Busimssaed profeuiam Code) or Nn ha 6 sump, thccfraa said the Owes fa the w elml mempdom Any vlol.don of APN Number Occupancy Type Section 7031.5 by Anse applicant fur a permit subjects the &pplicanuo a civil Porosity of nut mom timn five bonded dollars ($.t00L (]1.uownuofthepmpcmmmyemployeewLhwagesufte wkcmpPe dm. Required Inspections will do the wok and the suuaum 4 utkunded OraRered for We (Sec. Bid. Business and Profession, Code: The Conumors Lt. Law does not apply te an owner of property who builtlsarmimoven thereon. and who doessuchwork himselfortiuomgh his ....play.. provided that inch improvements an, not lnteeded ar OBcmd for win. If. however, the building or Improvement Is sold within ane year of conplenion, the Owner. builder will naw de burden or proving WI he did not build or improve for purpue of ❑ 1. Y owner of the properly. w exclusively contrMing with RcemW conmsemra in comtmet Ran pmjem (Sec. 7044. Business and Professiom Cade:) The Canuumr. U. cow law does not apply Y an oven of property who holds or improv unclean, and who contracts for Wclt pmfeml witha connamr(s) linenred pYlemanl bde CaaVClara ' License Law, ❑ I in exemmunder See . B & P C fu this moon owner Dau WORKERS COMPENSATION DECLARATION bucby affirm under Monday or perjury was of the following dec4e0wa k1 haw.M will ..law.. Cerdaauof Comentm self-Wom furworkura Compere on. u Provided ren by Seation 3700 of tiro Labor Code. for the performance of the work for which this permit is Weed NI have aha will maimain Workers Compensation Insurance. u required by Smian 7 of the Labor Code, for the performance of the work for which this Permit is Issued ' My Workers Compen a c t number art: Carder. W Iiry o.: CERTIFICATE OF FXEM OPIFROM W RKERS' COMPENSATIO INSURANCE frhax twmedrotMeampkmdifthepetmlt4lumchundreddollua(SIW) or loss) 1 century Nee in the performance or the rode ren which this Permit 41umd. I Nall no maidoy any person in my murmrY Y to became subject in the Workma Commm&dM Ian of Callfomia Data Appilanl NOTICE TO APPLICANT. If. arm, making this Certificate Or Erempdan, yon would bcomne subject m Re Workers ConPemktion prov4iom m the Lana Code, you marc forthwith comply wive each provision Or this Permit wail the deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby warm that dew is. comuuctinn lending agency far the pertormau: of the wwk for which IW pens il4 issued (Soe 3097, Civ. C.) ' Lenders Name , lenders Address 1 certify that I neve read this applicadan and sum that tie show Information Is - corrin 1 ages in comply with all city and county Ordinances and sou lawn mining m ' Wilding construction. and hereby.utharim tepreaenutivea of this city 10 enter mann Nat aWw-mentioned pmperty for Inspection purposes. (We) agree to saw, indemnify +rad keep nameless the City of Cupertino agsiml Iiabilidu,Judgmenu, cmu and expenses which may In any way ammo against Yid City . in containment of the gamins of this pored. APPLICA UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT SOUR ULATIONS. Issued by: Dale Re -roofs OularAppIicsoHA�Z,ADOUS MATERIALS DISCLOSURE D&u Type Of Roof MR the appliant or future Wilding itompantcoe or IUMk hoYrdous material u dear by the Cupertino Municipal Code. Chapter 9.11, and the HesIN and Safely Code. Section 25532(m)?3x(')7 `No All roofs shall be inspected prior to any roofing material being installed. ❑vasecs W If a roof is installed without first obtaining an inspection, I agree to remove WIII the applicant or future Wilding aovpent tau equipment or devices which Z1 oos air conWnimds Y darned by Lha Bay Amo All Quality Management all new materials for inspection. R ❑Yos I have mW the Incurious materials requirements umkr Chapter6.95 of the C.lier. ni.Hulthd:S.fny Code, Secdom 25505.25533 and25534. I urommand thulftM Wilding does Out currently haw a tenon. that it be my respomfir1hy m notify tiro occupant of we mqumom hichambcOWL oro4sm� ilCanireatear«apmey. Signature of Applicant Date All roof coverings to be Class %?. or better OWner or luthoomm+gem Date CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: Blk: Lot: APN 32639051.00 DATE ISSUED.......: 04/15/2008 RECEIPT #.........: BS000004494 REFERENCE ID # ...: 08040114 SITE ADDRESS ..... 10211 PHAR LAP DR SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: TEMME CHARLES F TRUSTEE ADDRESS ..........: 10211 PHAR LAP DR CITY/STATE/ZIP ...: CUPERTINO, CA 95014-1115 RECEIVED FROM ....: THRASHER TERMITE CONTRACTOR .......: THRASHER, JANET L LIC # 17769 COMPANY ..........: THRASHER TERMITE & PEST CONTRO ADDRESS ..........: 17427 FARLEY RD W CITY/STATE/ZIP ...: LOS GATOS, CA 95030 TELEPHONE ........: (408)354-9944 0 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL 1BSEISMICR VALUATION 3,070.00 0.50 0.00 0.50 0.00 1PPERMITFE FLAT RATE 1.00 40.79 0.00 40.79 0.00 ITRAVDOC FLAT RATE 1.00 40.79 0.00 40.79 0.00 TOTAL PERMIT ---------- ---------- 82.08 ---------- 0.00 -----=---- 82.08 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- CHECK 82.08' -------------------- 23161 --------------- TOTAL RECEIPT 82.08 �CUPEkTINO CITY OF CUPERTINO ADDITION/REMODEL PERMIT APPLICATION FORM APN#� , n "/ O 5-/ . 00 Date: % Building Addr s lapl) v Mailing Address (if different from building address): Owner's Name: v CI�A1ZL�s-t'EINM]✓ CACI Y�1 M� LL�ciL Phone # oS P,50.-g84a Contractor: Phone#: 1/og 35+9 �/�/LIjS{i�e��IM1ll7ir� HEST C1JAlY�OL� /itl Fax #: ItOF Contractor License #: 102 5o D9 q Cupertino Business License #: & / Contact: /I Ly� � � AJ CA -1U" Phone #: [og 35t`_ qq lc 0 Fr (..E t%l fi%U W p_ Fax #: 9 39E;- %93 Building Permit Info: Bldg. Elect. ❑ Plumb. Mech. ❑ Hillside ❑ ob escnption: Addition (adding sq footage): What is being remodeled? — NO`r- A- 12EMOAf-L- 1kMAg4e11Zj"4U5 / n 7�t � subbl °�'l W &1L (� bO"d P W i 4 Remodel Includes Re -Roof: Yes ❑ No,'J�r' If yes list number of squares Remodel Includes Structural: Yes ❑ No V Square Footage: Addition: Porch: Deck: Garage: Detached Attached Remodel: Kitchen Bath Other Type of Construction (Usage Class): Occupancy Type: I ` —3 1 FR, I1FR ❑ 11, 111, V -IHR ❑ 11, 111, 1V V -N Valuation: 0-? Please check this box.if the project is a second -story addition ❑ Green Building Check list must be completed and attached to the plans. Green Building Points Achieved: *For Office Use Only*** Over -the -Counter 7 -MM CITY OF CUPERTINO ADDITION/REMODEL E CUPERTINO FEE SCHEDULE Quantity Sq Ft Fee ID Fee Description Fee Group, Permit Type ' ADDITIONS 1R3SFDADD PLLONGRNGR Long Range Planning/Residential PL 1R3INSP Dwellings Inspections B 1R3PLNCK Dwellings plan check B 1R3REPINSP Dwellings Repeat Ins ection B 1R3REPPLNC Dwellings Repeat Plan Check B 1R3HINSP Dwellings Hillside inspection B 1R3HPLNCK Dwellings Hillside plan check B 1R3HREINSP Dwellings Hillside Repeat Inspection B 1R3HREPLNC Dwellings Hillside Repeat Plan Check B 1R3ALTINSP Dwellings Alternate Materials Ins ection B 1R3ALTPLNC Dwellings Alternate Materials Plan Check B IPCESS Cesspool P 1PPRSEWG Ea. Private Sewage Disposal System P 1PRSEWER Sewers P 1BPSPRINK Lawn Sprinkler/Backflow P 1BPWSVCS Main Water Service P 1BSEISMICRE SeismicResidential B DECKS 1R3SFDADD OR 1R3SFDREM 1DECKWOOD (Each) Deck (Wood) -Each B 1DECKRAIL Each Deck Railing -Each B •t. 40 CITY OF CUPERTINO ADDITON/REMODEL FEE SCHEDULE Quantity S Ft Fee ID Fee Description Fee Group Permit Type WINDOW/SLIDING 1R3SFDREM GLASS DOOR 1 WINREP Replacement windows ea 8 windows B 1WINNEWNSTR New Window (non- structural B 1WINMEWSTR New Window (Structural Shear Wall/Masonry) B 1 WINBAYSTR Bay Window (Structural) B SKYLIGHTS 1R3SFDREM 1SKYL<10 SF Skylight less than 10 sf B ]SKY >10SF Skylight greater than 10 sf or structural B 1STAIRS Stairs -first flight/ea addt'i B lEPERMITFEE Electrical Permit Fee E 1MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit Fee P IELCPLNCK Stand Alone Electric Pln Ck(hourly) E 1MECPLNCK Stand Alone Mechanical Pln Ck(hourly M 1PLMPLNCK Stand Alone Plumbing Pln Ck(hourly) P 1BSEISMICRE Seismic Residential B / 1TRAVDOC Travel & Documentation B 1BUSLIC Business License B 4 of 3 4. ' CITY OF CUPERTINO ADDITON/REMODEL FEE SCHEDULE QuantityFee S Ft ID Fee Description Fee Group Permit Type GARAGES 1R3SFDADD OR 1R3SFDREM 1GARDTW<=1K Wood Frame up to 1,000 SF B 1GARDTM<=1K Masonry up to 1,000 SF B BCONSTAXR Construction Tax Res new detached garage) PATIO'S OPEN 1R3SFDADD OR 1R3SFDREM 1PATIOWOOD Wood Frame up to 300 SF B 1PATIOMETAL Metal Frame up to 300 SF B 1PATIOOTHER Other Frame up to 300 SF B PATIO'S CLOSED 1R3SFDADD OR 1R3SFDREM 1PATIOENCLW Enclosed Wood up to 300 SF B 1PATIOENCLM Enclosed Metal up to 300 SF B 1PATIOENCLO Other Enclosed Patio up to 300 SF B I COVPORCH Each Porch Covered -Each B 1REROOFRES Residential Re -roof Each 100 SF B REMODELS 1R3SFDREM 1REMRESKIT Kitchen Remodel up to 300 SF B (Deduct "$"for ea plan check 1REMRESBAT Bath Remodel up to 300 SF B °G 1REMREOTH Other Remodel up to 300 SF B u REMODEL PLNCK ISTPLNCK (1-3 for remodel) Standard Plan Check B NOT FOR OVER THE COUNTER PLAN CKS. 3 of 3 1 J 1 d �t l-�-t-t� �� Ute. LAJ - ----- ---------- -TD "M ol. speck 11( ------ -- ID �J\do %xs vlomoo", wplov., 0 Otdma ----- ----- --- ----- ---- --------- ---------- - - ------ - ------- V4 F -"KO VJ41 - -------- - - -------- ----- cLa--"w16 -- -_ .. _ _ b _ _l--�t�s �a0� heck - Gtaa�P�t: �1,es i�� etti s ke��i�rx. �� _ _ _ - - ------ ----- t"r4 4, n • Community Development b - 10300 Torre Avenue •� Cupertino CA 95014 CIT OF Telephone(408)777-3228 Fax (408) 777-3333 CUPERTINO Building Department All Cupertino building permits must meet certain conditions related to maintaining environmental quality and public peace and safety. The two most common conditions are described below. STORMWATER POLLUTION CONTROL State law requires that Cupertino, 12 other Silicon Valley cities, Santa Clara County and the Santa Clara Valley Water District control stormwater pollution. Educating local residents and businesses and enforcing stormwater pollution control laws are key parts of the City's compliance efforts. Stormwater pollution prevention: It's up to us In northern Santa Clara Valley, storm drains flow directly to local creeks and San Francisco Bay, with no treatment. Stormwater pollution is a serious problem for wildlife dependent on our waterways, for people living near streams and baylands, and for the local water supply. Common sources of stormwater pollution include: • Dripped oil, fuel, and antifreeze from vehicles and heavy equipment; • Construction debris, including dirt, concrete and paint; • Landscaping runoff containing pesticides or weed killers; and • Any material dumped or spilled into streets or storm drains The property owner and the contractor share ultimate responsibility for activities occurring at a construction site and will be held responsible for any environmental damage caused by subcontractors or employees. For more information on construction -related stormwater requirements, see the Stormwater Quality Regulations section of the City of Cupertino web site at: http://www.cui)ertino.org/city government/departments and offices/ environmental services COMMUNITY NOISE CONTROL The basic noise control requirements for construction sites are as follows: • Typical.construction work hours are: - Weekdays - 7 a.m. to 8 p.m. - Weekends - 9 a.m. to 6 p.m. • Construction other than street construction is prohibited on holidays. • Residential daytime noise levels from complaint site - 60 dBA • Nonresidential daytime noise levels from complaint site - 65 dBA For more information on noise control, please see Chapter 10.48 of the Cupertino Municipal Code, which can be accessed at http://www.amlegal.com/cur)ertino ca/ Greg Casteel Building Official 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. !1. Recycle Job Site Construction & Demolitidn Waste 65%=1 point;,75%= 2 points; -80%= 4 points ` up to 4 Resource pts 0 2. Salvage Reusable Building Materials _ 4 Resource is --- - - — ... P Y=Yes 0 3. Remodel for Mixed Use, Adaptive Reuse, and Historic Preservation 4 Resource pts y --yes 0 14. 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 8. Design Resource•Eifici9t Landscapes andGardens j 4 Resource pis es 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 1 1 1 B. Foundation U V 1. Incorporate Recycled Flyash in Concrete U U. • 25% Recycled Flyash = 2 points; Add 1 point for every 10% increase of flyash, up to 5 points up to 5 Resource pts 0 CD 2. Use Recycled Content Aggregate 2 Resource pts y=yes 0 �� 3. Insulate FoundatiorVSlab before backfill 3 Energy pts y=yes 0 C. Structural Frame 1. Substitute Solid Sawn Lumber with En ineeredLumbar _ _.9 _ -_ 3 Resource is P 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 ]-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 pis y --yes 7. Use Engineered Studs for Vertical Applications 2 Resource pts y=yes B. 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 F12. Use 05B— --- - --- a. Subfloors, 1 Resource pi y=Yes • `. b: Sheathing_' 't 1 Resource pi y=yes 0 0 r 0 0 0 0 0 • �i 0 0 1. Use Sustainable Decking Materials a. Recycled content 3 Resource pts b. FSC Certified Wood 3 Resource pts 2. Use Treated Wood That Does Not Contain Chromium/Arsenic i IAQ/Hsalth pt 3. Install House Wrap under Siding 1 IAQ/Health pt 4. Use Fiber -Cement Siding Materials 1 Resource of E. Plumbing 1. Install Water Heater Jacket 1 Energy pt Y --yes 2. Insulate Hot and Cold Water Pipes 2 Energy pts yryes 3. Retrofit all Faucets and Showerheads with Flow Reducers Up to 4 Energy pts. a. Faucets (1 point each, up to 2 points) Up to 2 Resource pts. b. Showerheads (1 point each, up to 2 points) Up to 2 Resource pts. 4. Replace Tollest with Ultra -Low Flush Toilets Up to 4 Energy pts. (1 point each, up to 3 points) Up to 3 Resource pts. 5. Install Chlorine Filter on Showerhead 1 IAQ/Health pt yryes 6. Convert Gas to Tankless Water Heater 4 Energy pts yryes 7. Install Water. Filtration Units at Faucets 1 Energy pt Y --yes (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 --yes r. erectncai 2 Energy pts 1. Install Compact,Flubrescenl Light Bulbs (CFLs) 2 Energy pts (6 bulbs=2 points, Mbulbs =3 points, 12 bulbs = 4 points) Up to 4 Energy pts. 2. Install IC -AT Recessed Fixtures with CFLs (1 point each, up to 5 points) Up to 5 Energy pts. 3. Install Lighting Controls (1 point per fixture, up to 4 points) Up to 4 Energy pts. 4. Install High Efficiency Ceiling Fans with CFLs (1 point each, up to 4 points) Up to 4 Energy pts. G. Appliances 4 Resource pts 1. Install Energy Star Dishwasher 1 Energy pt Y --yes 2. Install Washing Machina with Water and Energy 4 Resource pts Conservation Features 1 Energy pt Y --yes 3.lnstall Energy Star Refrigerator 1 Energy pt yryes 4. Install Built -In Recycling Center 3 Resource cis v=ves H. Insulation 1. Upgrade Insulation to Exceed Title 24 Requirements a. Walls 2 Energy pts b. Ceilings 2 Energy pts 2. Install Floor Insulation over Crawl Space 4 Energy pts ,3. Install Recycled -Content, Fiberglass Insulation with No Added Formaldehyde 3 IAQ/Health pts 4. Use Advanced Infiltration Reduction Practices 2 Energy pts 5. Use Cellulose Insulation a. Walls 4 Resource pts b. Ceilings 4 Resource pts 6. Altemative Insulation Products (Cotton, spray -foam) a. Wells 4 Resource pts D. Ceuings 4 Resource cis Ile LJ • 1. Install Energy-Eff0entW6dows • a. Double -Paned b. Low -Emissivity (Low -E) c. Low. Conductivity Frames 2. Install Lovi Heal Transmission Glaiing J. Heating Ventilation and Air Conditioning h.T se' buchMastic on A II Duct 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 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 stovesfinseds It. 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 =1 B points) �6. Select Safe and Durable Roofing M'ateriela 7. 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 1 Energy pt Y=Yes 2 Energy pts y=yes 2 Energy pts y=yes 1 Enerov of v=ves 2 Energy pis 3 Energy pts 1 IAQ/Health pt 21AQ/Health pts 2 Energy pts 1 Energy pt 4 Energy pts 31AQ/Health pts 31AQ/Health pts 3 Energy pts 3 Energy pts 2 Resource pts 2 Energy pts 1 IAO/Health pt 1 Energy pt 1 Energy pt 3 Energy pts 4lAO/Health pts 5 IAOIHealth pts 31AQ/Health pts 4 Energy pts 10 Energy pts 4 Energy pts 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 IAOMealth pts 2. Use Low VOC, Water -Based Wood Finishes 2 IAO/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 4 Resource pis Formaldehyde 6IAO/Health pts 6. Use Exterior Grade Plywood for Interior Uses 1 IAO/Health pts 7. Seal all Exposed Particleboard or MDF 4 IAO/Health pts S. 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 IAO/Hsalth pts N. Flooring 1. Select FSC Certified Wood Flooring 8 Resource pts 2. Use Rapidly Renewable Flooring Materials 4 Resource pts 3. Use Recycled Content Ceramic Tiles 4 Resource pts 4. Install Natural Linoleum in Place of Vinyl 51A0/Health pts 5. Use Exposed Concrete as Finished Floor 4 Resource pis S. Install Recycled Content Carpet with Low VOCs 4 Resource pts Total ointsvat a e: Total Points Project Received: 1 1401 1301 57 01 01 0 G:date/progs/greenbulldingguidelines/mmodeleWgmenpolnlsfina1212Mpmteated.xls 0 CITY OF 0CUPEkTINO OWNER'S NAME: GENERAL CONTI Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department PERMIT # oeoc..( O 1 ( -MUNE o eMtc�YNll9r�cE PHONE # yoS' Asa-98aD - s�+ry r�zM�rF �PEg FAX # fOff 385-793 7� I am not using any subcontractors.—?j(.�4g:?j L11S/ f S-0 Signature Date Please check an)licable subcontractors and comolete the followine information: Owner/ Contractor Signature Date 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