08050181 BUILDING DIYISIOn PERMIT 4`iCQL�.!; �%�Q If�.C�QIZ1YlA�IQN
BUII.Q1 ADDRESS:
FERMI r NO.
1US71 WESTACRES DR CASTILLO' S ROOFING 08050181 .
NER'S NAME: PERMIT ISSUE DATE
FELS CHARLES W AND MARY J 1703 CATHAY DR 05/23/2008
PHO SANITARY NO. CONTROL NO.
(408) 251-3565
ARCHITECDENGINEER' BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0, LICENSED CONTRACTOR'S DECLARATION
1 honby affirm Nal 1 am licensed under provisions of Chapter 9(commencing lob Description
n
with Station'l0110)of Division 3ofthe Bucnessand Protestant,Cam.and mylicene,is RE–RF T/O WDSHKS INSTL 7/16"OSB SLD SHTNG INSTL
m in full fame Ind effect. g �/3o y5f0
;gaDicu(mClass / #30LB -FLT, INSTL SOYR COMPSHNGL 19SQ CLS A
=f p Data c C70 'mr—
ARCHITERS DECDET.(IC fl�_
1 unacrwnJ my Plans shall M used u public rachis
gee
y t`of Liccnma Preload onal
3 OWNER-BUILDER m On Com etc
2I ON
I hereby.(Tion Nat 11. exempt bum dm GOadlmCa :Any c Law for d(o
p O following muoa(Saito]or ls,Business and improve.
de oli Code:Any city of rounre
Zm I which hits Wo a permit oc c�nes On ally,Mpmw,acermit t ri repair any]INmmL
_ o tpow inhatmiuissuance,Wurtto ft On for such Contrarmitmfiancele a LaMwmmcnl
s� that ms licensed with
Sectioltolbc of Division
of em Contractor's professions
(Chapter Sq.F[. Floor Area Valuation
y F g 'at he 1st exem t he efrom and O basis n 3 them alleged
Businessand tion.Any
vi Code)or $8000
Natio r exempt therefrom and On seer for the subjects
On emmpdm.Any it pinto of
Seton 70313 five
any red dont s(a pumi(rvbjccd dm applianuo a civil penalty of Number Occupancy Type
net mire than fed wnana amlra(sister. 35914025 � P Y YP
0 1,n owns of rte pmperty.m my employees withwage,m dmir mrd compeimdon,
and da the wade and the he Cim mbsel Lnded,Law co far sok(Sec.]016,caner of
W property
Code:npr Canuamon.Ldwhis law aces rot apply lr,t owner or Required Inspections
property who Wilds i impmwach i m r andwM1t me
ivuelf mthrough his
twoemployees,pmg or I pants impmwmmtsare not ear ofooronend for owner.
builder.the building mien of Improvement u roti within act
year of comphtim.do,owner,
of
builder will have tis,When of proving thn W did mI bulla or improve for purpose of
sale.).
❑1,a owner of On property,am exelusivdy contracting with licensed mntromms,to
constvr On project(Sec.7(A1,Business and Professions Code:)The Cuotra ora Li.
aside Law does not apply in an owner of property who Wild,or improves thermn,and
who contracts for such projects with a mnuancer(s)licensed punwn,to On Contraemrs
License Law.
IamuemplunMSes. ,B&PCrm Ois.
ter Data
WORKERS COMPENSATION DECLARATION
1 Wreby arm under penalty of perjury one of On following daluuions,
❑1 have and will maintain•Certificate of Cement to self-insum fmworkcrs Campcm
sation,as provided for by section 3700 of the Labor Cade.for Oe peeormance,of the
work for which this pm it is issued.
❑1 haw and will maintain Workers Compensation Insurers,as(tyuima by Section
37M ofdm Labor Coda,for On performance of du were for which this permit is issued.
My Worke's Compensation blmmme carrier and Policy number ase:
Carrier STA 149f �/JIIL/ Policy No.:-2�?,fLIDO IW/
cE;mFIGTE OF EKEMPnON FROM WORKERS
COMPENSATION INSURANCE
(Thin section need net W completed if ft Penni(is fmaim hundred dollars(SIM)
or an)
1 unruly Out in the performance of the work for which this panni(is issued.I mail set
employ any person in my mmncrm as m become sobjal to the Workers'Compmsadon
Laws of California.Data
Applicant
NOTICE TO APPLICANT.If,of a,making this Certificate of ExemPdon,you should
become s-him in the Waders Commosslkn provisions of the Ichor Code you roes(
.J O forthwith comply win such providans m permit
this dull be deemed revolted.
revolted.
'�"' CONSTRUCTION LENDING AGENCY
[—� s for by wh+llirm thm them issue (Sec.30 Cinpgency for the perfurmanm of
C> On Undue. or which ids permit 4rsad(Sec.JW],Civ.C.)
W) A Lenders Nunc
=z lenders Address
C)Q 1 anify Oat I haw rued this application and sum dan On+how irdamiaden is
Ig,E correct 1 agree to comply with all city and county ordinances and sum laws minting to
,C) building construction.and hereby mthmim mpremnsfives of this city m enkrupon dm
4 aWw-mmdonea pmperty for inspection purposes
(We)agree(o save,indemnify and kap ham=the City of Cupertino against
fn Iiabilitionimgmmts,costs and expenses which may in anyway,ammo against said City
V Z in conscommos c of On 1-6-1 of this permit
�--� APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURcIeREaLLUATION&I 41
ID
Re-roofs �—
( .dtA"I contractor Data
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the+ppliam erfuture building occupantuon m handle ha'oudow mamriai
s fined by the Cupertino Municipal Cade.Chapter 9.13.and On Health and Solely
eromdons.s :ss32(+)+
❑m / All roofs shall be inspected prior to any roofing material being installed.
d
If a roof is installed without first obtainingan inspection,I agree to remove
Will the applicant or forum building by the Bay Aeyui it Co ase,Mann which P g
coal,
air comand rats as incd by the Bay Area Air QWlty,Management
all new materials for inspection.
t]Yes No
I have raid the ha vaous mamriarmquvcmats under ChaPmrh.95 ofthe Califor-
niaHalO&Salc(y Code Sautes MO.25533 and ZS .1 nommund ihn ifnc Wilding
does,rot curnndy have a Inert.that it Y my responsibility m ratify On acupmt of the
(eyuimmendwhichesu etpriarmissuanccoI Ccnifice Qcu Sig nature of Applicant Date
aid
Ownerma harvcd,gcat Dam All roof coverings to be Class'%"or better
CITY OF CUPERTINO
C REROOF
CUPEY OF
RTINO PERMIT APPLICATION
APN # Date:
Building Address:
esautS P .
Owner's Name: Cih r ' Phone #: 53' y lj -. d
Contractor: (� .�_I= I S (j�DU (�Iy�1 C� Phone #:
Fax
Cupertino Business License #: Contractor License #:
O 5(42
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ quilt-Up roof
❑ ,Asphalt Shingles Shingles
o Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other (Specify) ❑ Other (Specify)
Number of existing coverings ❑ Provide I.C.B.O. Report #
❑ To be Removed ❑ Provide Mfgr. Installation Specs.
Job Description: T �Aiz O FF \J 0O S VeS IM I 1 l io
iq
Residential Llif Commercial
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, include in plan
set & the sheet index.
Valuation: O
7;Have Read, Understandand Will Comply with Cupertno's Tear-Off Policy:
gna re
CITY OF CUPERTINO-
"' REROOF
OW OF
CUPEkTINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1REROOFCOM Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
IREROOFRES Re-roof Residential B ISFDWLROOF
/ 1BSEISMICRE Seismic Residential B
• 1RER00FMRES Re-roofMulti-FamilyB IMFDWLROOF
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 hermit 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 compl�nwith the above stated policy on re-roofing.
n
Homeowner's Name: l (l/ a r Is }—_e (
Job Site Address: I 0:3 —7 I /� ) OZOJUA �A
Roofing Company Name: (/1A M 1 IJ 6 i��6Ta� p
Applicant's Signatur Date: 5 ,' 3 �0
•
Greg Casteel
Building Official
Revised 11/2/04
CITY OF CUPERTINO
• 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 35914025 . 00
DATE ISSUED. . . . . . . : 05/23/2008
RECEIPT # . . . . . . . . . : BSO00004884
REFERENCE ID # . . . : 08050181
SITE ADDRESS . . . . . : 10371 WESTACRES DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER FELS CHARLES W AND MARY J TRUS
ADDRESS . . . . . . . . . . : 10371 WESTACRES DR
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2938
RECEIVED FROM . . . . : CASTILLO' S ROOFING
CONTRACTOR . . . . . . . : JOSE CASTILLO LIC # 25850
COMPANY CASTILLO' S ROOFING
ADDRESS . . . . . . . . . . : 1703 CATHAY DR
CITY/STATE/ZIP . . . : SAN JOSE, CA 95122
• TELEPHONE . . . . . . . . : (408) 251-3565
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 8, 000 . 00 0 . 80 0 . 00 0 . 80 0 . 00
1REROOFRES SQ FEET 19 . 00 247 . 00 0 . 00 247 . 00 0 . 00
---------- '---------- ---------- ----------
TOTAL PERMIT 247 . 80 0 . 00 247 . 80 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 247 . 80 #15100
---------------
TOTAL RECEIPT 247 . 80
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
•
• L
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
yw
B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 7points
11. Permeable Paving, Note L-1 C. Foundation 1. . Use 15 % Flyash Concrete, (note) S-1 D. Structural 3. Uses Wood I-Joist, (See Spec.) S-2 5. Use Truss with heels, (detail) S-2 6. B. OSB Sheathin detail S-2
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 t point
P. Other 1. List Green Features on Plans A-1 1 point
IWMAMMM TOTAL POINTS1 40 points
/037
0
Et�'J
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
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.
INPUT ResDurces Energy 1ADIHealth
A.Site
1.Recycle Job Site Construction&Demolition Waste
65%=1 point;75%= 2 points;60%=4 points i up to 4 Resource pts 0
2.Salvage Reusable Building Materials _J 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 MaterialsfUse 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
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 pts 0
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
11.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
12.Use 0SB _"—
• a.Subfloors
r 1 Resource pt y=yes 0
�_b.Sheathing __ _ 1 Resource pt y=yes 0
1 1 1
INPUT Resources Energy IAQIHealth
D. xter mash
11.Use Sustainable Decking Materials .I
a.Recycled content 3 Resource pts y=yes 0
1 J.FSC Certified Wood 3 Resource pts y=yes 0
2.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAQ/Health pt y=yes 0
3,Install House Wrap under Siding 1 IAO/Health pt y=yes 0
4.Use lb..Cement Siding Materials _ 1 Resource pt y=yes 0
1 1 1
E.Plumbing
1.Install Water Heater Jacket __ J 1 Energy pt y=yes 0
2.Insulate Hot and Cold Water Pipes 2 Energy pts y=yes 0
FTRetrofit all Faucets and Showerheads with Flow Reducers
a.Faucets(1 point each,up to 2 points) i Up to 2 Resource pts. 0
b.Showerheads(1 point each,up to 2 points) ( Up to 2 Resource pts. 0
4.Replace Toilest with Ultra-Low Flush Toilets
I(1 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
11
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
S.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 1 1
r.tiecuncar
I1.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.I 0
1 1 1
G.Appliances
11.Install Energy Slar Dishwasher ` 1 Energy pt y=yes 0
12.Install Washing Machine with Water and Energy
IConservation Features j 1 Energy pt y=yes 0
3.lnstall Energy Star Refrigerator i 1 Energy pt y=yes 0
14.Install Built-In Recycling Center 3 Resource pts y=yes 0
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 Insuiation over Crawl Space 4 Energy pts y=yes 0
13.Install Recycled--Content,Fiberglass Insulation wMF —!
INo Added Formaldehyde — i 31AO/Health pts y=yes 0
4.Use Advanced Infiltration Reduction Practices 2 Energy pts y=yes 0
5.Use Celluiose 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
o.cemngs 4 Resource pts y=yes 0
iNPUT Resources Energy lAQ1Hea1th
1.Win ows
• .-Install Energy-Efficient Windows
a.Double-Paned 1 Energy pt y=yes 0
0
b.Low-Emissivity(Low-E) 2 Energy pts y=yes
c.Low.Conductivity Frames _ 2 Energy pts y=yes 0
2.Install Low Heat Transmission Glazing_ _ 1 Energy pt y=yes 0
1 1 1
J.Heating Ventilation and Air Conditioning
(1.Use Duct Mastic on All Duct Joints _ 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 21AOJHealth pts y=yes 7 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
8.Install Sealed Combustion Units
a.Furnaces 31AQ/Health pts y=yes 0
b.Water Heaters 3 IAQ/Health pts y=yes 0
9.Replace Wall-Mounted Electric and Gas Heaters with
Through-the-Wall Heat 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 stovesrinseds 1 IAQ/Health pt y=yes 0
b. Install/Replace Dampers 1 Energy pt y=yes 0
c.Install Airtight Doors 1 Energy pt y=yes D
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=18 points) Up to 18 Energy pts 0
16.Select Safe and Durable Roofing Materials _ i 1 Resource pt y=yes 0
7 Install Radiant Barrier 3 Energy pts y=yes 0
11
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 p
• 1 1 1
INPUT Resources Energy IAD/Health
M.itn oor Air Qua rty and Finisnes
.Use l.oAcwbC Paint' 1 IAQ/Health pts y=yes 0
2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes _ 0
I 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 61AQ/Health pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 0
17.Seal all Exposed Particleboard or MDF 4 IAQ/Health pis y=yes 0
8.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes D
9.Use Finger-Jointed 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 1 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 Carpel with Low VOCs 4 Resource pts y=yes 0
Total Points Available: 1 1401 1301 57 .
Total Points Project Received: 01 ni 0
G:da,arprogslgreenbuildingguidellnestremodelersrgreenpointsfinal2.72.04protacted.xls
•
Community Development
1030 Torre Avenue
��`` C pertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
*CUPERTINO
Building Department
JOB ADDRESS: PERMIT #
P �6Sat /
OWNER'S NAME: PHONE # a 5-1-3S(oS
GENERAL CONTRACTOR: - 110 n `pl} FAX # SI- 3510 s
I am not using any subcontractors: S '2 3 -a
Signature Date
Please check applicable subcontractors d com Tete the followinginformation:
21 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