08070225 (2) CITY OF CUPERTINO H."�:M«r 'J`a *ruse
BuaD3NCDIVISION'. PERMIT CONTRA�^ •0R INFQRMATI, )
BUILDING ADDRESS: PERMIT NO.
1.1.558 COPPER SPRING CT CASTILLO' S ROOFING 08070225
OWNER'S NAME: PERMIT ISSUE DATE
IfUANG CHIEN—HSI AND LEE TSAIYU 1703 CATHAY DR 07/30/2008
NE: SANITARY NO. CONTROL NO.
ARCHI'IECTYENGINEER: BUILDING PERMIT INFO
RE-RF T/0 EXTNG MTRL& INSTL BLDG ELECT PLUMB MECH
uao LICENSED CONTRACTOR'SDECLARATION AF
_ .1Bb.DCSCf1 UOn
G I hereby affirm Nal I am licensed under provisions of Chapter 9(commencing ^-_._.� _ __ „_ ., p
b cent Section 70MB of Division Jafft Bu inev and Profetiom Cade,and my license is
in fun forte and cffras
D Ll
MmZ License CI 3 Lic.d 7✓
n F O Date ConueMr
',]' ARCHITECTS DECIA0. N
W
I underaaaplanshe ne
d my plans"I urn u public rortls
a LLo G Licensed Professional
5
OWNER-BUILDER DECLARATION
s� E 1 hereby affirm Out 1 am exempt from the Cmtracturs License Law for the
COO following mason.(Scctlun 7101.3,Business and Prefessiou Code:Any city or county
which mgvims a permit to comemeL a1lm,improve demollm,or repair my structure
poor to its issuance.also requires to applicant for such permit to file a signed swemem
< that he is licensed pursuant to the Provisions ofdeContmceriLicenseLaw(Chapter 9 Sq.Ft. Floor Area Valuation
X52 (commeocing with Section 7000)of Division 3arft Businessand Professions Code)or
- tial hois emmpt therefrom and to basis for the alleged exemption.Any violation of
Section 7031.3 by arty,applicant for a permit subjects the applicant to a civil penalty of APN Number Occupancy Type
ant mom than firs handled dollen($3011). P Y YP
1,as owner ofthe propety,ser my wploym with wagesu they role compewtm,
will do the ,it.and the seeele u retimended oroffered for lid,(Sec.71144,Business
and Professions Code:The Contractors License Law does not apply to an Owner of
Required Inspections
propenrwho Wilds or improves thmcon,a ul wM dasemhwarkhimselfmthrough his
own enployma,proHded that such improwments are net intended oroRered forsale If.
however,the Wilding or impmvemmt is sold within one Year of completion,the Ower-
builder will have rte Wrtlea of proving that he did not Wild or improve for puryme of
role.).
❑L.owner a the Property...eaelusiwly contracting with licensed eonvaemrs m
construct the project(Sec.7614,Business and profession Code:)The Contracbh Li.
cense Law does not apply a an owner of property who Wilds or improves thermn,and.
who conuacus for such projects with a ehnhrmmr(O licensed pursuant a the Cmumers
License Law.
❑I am uempt under See ,B&P C for this mason
Owner Date
WORKER'S COMPENSATION DECLARATION
1 hereby.Bine under penalty of perjury One Of to following declarations:
1 ham am will maintain a Cetinccam Of Consent a self-insure for WorluYsCmnpen-
smun.as provided for by Section 7700 Of Ne Lair Code,for the pelfortnanee Of the
wwtspermitarfor which thus permit is issued.
11ra hart and will maintain Workers Compensation Imuran¢,as mitered by Section .
3700 of Oc Ldmr Code.for the performance of the work for which this permit is issued.
My Wow. �
rtrrss'Coom�.pewtm Issuance cart/iter and Policy number am: n�s�-
clunf` �I74/iPo �
policy No.: 3 d n000 9/" . 1 -
CERTIFICATE OF EXEMP ION FROM WORKERS
COMPENSATION INSURANCE
(This sx6ae need mtheeompleted BOO permit is foronc hundred dollars($IBM
Or leu)
I uenify Net in the performance of Ne work for which this Fermis is Wood.I shall not
cmploYanyperson in my manrcrao u to homes mbjmt to the wmices'Compeesalen -
Laws of Califomia.Date
Applicant
NOTICE TO APPLICANT:If,aAcr mating Nu Ceninnte of Exemption,you arculd
became subject a the workers COmpossatnn provisions of to Iabm Cede you most
D O fOMwith comply with men provisions m this permit shall W deemed rewkcd.
Z h CONSTRUCTION LENDING AGENCY
[-h I xrehY OM.the then eraconstruction 14ndingageny for the perfncenceuf
to work for which this permit is issued(Sec.3097,Civ,C.)
0 Landers Name
7 z Landers Address
*Q 1 eenify that I have mad this application and'Law this the Olson information is
co"'
1 agree m comply with all city and county on inancea and state laws relating to
-0 Wilding communion,and hereby auhoriae mpromutwts ofthis city a mer upon the,
�" W aWw-mejudgre propcny fariespectionros;purp(which ms
gy (We)agree to saw,indconnify and keep harmless the City of Cupertino against
h iliabilities,aulutm.of s,cosuang of thissesnit. may in anY vayamue agsivtsaid City
U z APPLICANT
of OC UNDERSTANDS
S A permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE RE LATIONS. z a Q�
J Re-roofs
$iga roof Alryli_ OARDOUS MATERfADISCLOSURE umetor ate
HAZARDOUS LS Type of Roof
Will thepe
u
Cntor(mom Wilding Oceupmean
tnem handle hdoutmaterial
as ticOnetl by to Cupertino Municipal Code,Chapter 9.13,and the Health and Safety
Cade.Scmipn 33332(s)? All roofs shall be inspected nor to an roofing material being
Cl Yet ®D� P P Y % g installed.
WiII Ne applicant or forum Wilding occupant use equipment Or devices which If a roof is installed without first obtaining an inspection,I agree to remove
ha'rallous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection.
District?
❑Yes Nu -'
I havemaltheda SecLiauM alsregalmmcntsunslcrCheperd ifthe building
doNinth&SafclY Cede2 umm uhaditi myteshe25374.IundenaM Noicup btmring
Jou not cmrenJy haw•tenane tMt fila my mapomibilitY b notify the attupant lir the
retfOremrus 'h x=1 prior toietammnfaCedr�r apq��f, Signature of Applicant Date
Owner satnorindagent /�O-Dow All roof coverings to be Class'%"or better
CITY OF CUPERTINO
• 3 ITEMS OF 5 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36654054 . 00
DATE ISSUED. . . . . . . : 07/30/2008
RECEIPT # . . . . . . . . . : BS000005637
REFERENCE ID # . . . : 08070225
SITE ADDRESS . . . . . : 11558 COPPER SPRING CT
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : HUANG CHIEN-HSI AND LEE TSAIYU
ADDRESS . . . . . . . . . . : 11558 COPPER SPRING CT
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5101
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
--------- ------- ---------- ---------- ---------- ---------- ----------
lBSEISMICR VALUATION 7, 000 . 00 0 . 70 0 . 00 0 . 70 0 . 00
1BUSLIC FLAT RATE 1 . 00 . 110 . 00 0 . 00 110 . 00 0 . 00
IREROOFRES SQ FEET 18 . 00 . 234 . 00 0 . 00 234 . 00 0 . 00
-7-------- ---------- ---------- ----------
TOTAL PERMIT 344 . 70 0 . 00 344 . 70 0 . 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
•
CITY OF CUPERTINO
4` REROOF
•CUPEkjlN0 PERMIT APPLICATION
APN #�/ / 0 J 0 Date:
IP �P
Building Address:
55 v
Owner's Name: V V V Phone #:
eSSC
Contractor: Phone #:
lJy Fax#:
Cupertino Business License #: � Contractor Licen e #:
fU -45d
Type of Roof Covering: '
Existing: Proposed:
❑ Built-Up Roof ❑ iilt-Up roof
❑/Asphalt Shingles Es' Asphalt Shingles
cl Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other (Specify) ❑ Other(Specify)
tuber of existing coverings ❑ Provide I.C.B.O. Report#
sN Tobe Removed ❑ Provide Mfgr. Installation Specs.
Job Description: TeA 2 o FF i S 11 t3 j fi-� elzi A l i rl SAM I lA CoA Y)
sh 051e '2Wb- Fel+ _ U
I � 5Cti
Residential Commercial
Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if
Green Building Checklist & attach it to the application or if there are any restrictions: ❑
applicable, include in plan set & the sheet index.
Valuation:
'1O 0
I Have Read, U rstand and Will Comply with Cupertino's Tear-Off Policy:
•
_ igna re
Revised 6/16/08
CITY OF CUPERTINO
REROOF
C1 OF
CUPEkTINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
IREROOFCOM Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
1RER00FRES Re-roof Residential B ISFDWLROOF
If
1BSEISMICRE Seismic Residential B
IREROOFMRES Re-roof Multi-Family B 1MFDWLROOF
1BSEISMICRE Seismic Residential B
IBUSLIC Business License B
Revised 6/16/08
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
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 2007 IBC Standards
and manufacturers specifications on re-roofing. All roofs are Class "A"per Cupertino
municipal code 16.04.080.
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/ " 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: �� e ��csnU
Job Site Address: C_
Roofing Company Name: L l
Applicant's Si Date: \Q�
• Greg Casteel
Building Official
Revised 07/30/08
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
a
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 1-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. A4 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
TOTAL POINTS1 40 points
•
•
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.
A.Site
1.Recycle Job Site Construction&Demolition Waste r
L650/, =1 point;75%= 2 points;BO%=4 points up to 4 Resource pts 0
2.Salvage 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 Stonnwater Practices 2 Resource pts y--yes 0
7.Protect Water Quality with Landscape Design 2 Resource pts y=yes 0 .
B.Design Resource-Efficient.---Landspes and Gardens-—
- - —ca-_-- _ _.. 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 Imgation 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 pts 0
2.Use Recycled Content Aggregate 2 Resource pts y=yes0
3. Insulate Foundation/Slab before backfill 3 Energy pts y=yes p
1 1 1
C.Structural Frame
IT—Su—bstituteSolid SaWFLumber with Eagineered Lumberj 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]-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 yeses - 0
7.Use Engineered Studs for Vertical Applications 2 Resource pts y=yes _ p
B.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 p
C.Roof 3 Energy pts Y=yes 0
10.Apply Advanced Framing Techniques 4 Resource pts y=yes p
11.Use Reclaimed Lumber for Non Structural Applications 3 Resource pts y--yes 0
f12.Use 0S8 - --- -
a.Subfloors !
b.Sheathing 1 Resource pt Y--Yes 0
•
---- 1 Resource pt Y=Yes 0
INPUT Resoumes Energy JADIHealth
D. xtenor Finish
1.Use Sustainable backing Matadals-
a.Recycled content 3.Resource pts Y--yes 0
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 IAQ/Health pt y=yes D
14.Use Fiber-Cement Siding Materials 1 Resource pt yryes 0
1 1 1
E.Plumbing
1.Install Water Heater Jacket — 1 Ener
-- — -- -- — --- f 9YPl Y=Yes D
2.Insulate Hot and Cold Water Pipes 2 Energy pts Y--yes 0
V9.Retrofit all Faucets and Showerheads with Flow Reducers }
a.Faucets(1 point each,up to 2 points) 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
(1 point each,up to 3 points) __ _ — Up to 3 Resource pts. 0
5.Install Chlorine Filter on Showerhead 1 IAQ/Health pt y=yes 0
6.Convert Gas to Tankless Water Heater 4 Energy pts y=Yas 0
7.Install Water Filtration Units at Faucets
(2 points each,up to 4 points) Up to 4 IAQ/Health pts. 0
6,Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 1 1
r,.tiecmcai
'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 1 •
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 Enia- StarDlshweaher y - } 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 Enarcy.pt y=yes 0
14.Install Built-in Recycling Center 3 Resource pts y=yes 0
1 1 1
H.Insulation
1,Upgrade Insulation to Exceed Title 24 Requirements
a.Walls 2 Energy pis y=yes D
b.Ceilings 2 Energy pts y=yes 0
2.Install Floor Insulation over Crawl Space 4 Energy pts y=yes 0
3.Install Recycled-Conteril,Fiberglass Insulation with
NOAdded'Formaldehyde _ i 31AQ/Healih pts y=yes D
4 Use Advanced Infiltration Reduction Practices 2 Energy pts y--yes 0
5.Use Cellulose Insulation
a.Walls 4 Resource pis y=yes 0
b.Ceilings 4 Resource pts y--yes C •
6.Alternative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y=yes 0
b.uenings 4 Resource pts y=yes D
1 1 1
114PUT Resources
Energy IAQIHealth
Windows
"1.Install Energy-Efficien=t Windows
• l a.Double-Paned r 1 Energy pt y=yes p
b.Low-Emissivity,(Low-E) 2 Energy pts Y--yes D
c.Low.Conductivity Frames _ _ _ _ _ 2 Ener is
-•— -- — . Y--yes 0
2.Install L—ow Heat Trans—mission— —Glaz_ gyp ing -. 1 Energy pt Y--yes 0
1 ! 1
J.Heating Ventilation and Air Conditioning
f1.Use Duct Mastic on All duct Joints _ _ 2 Energy pts yeses 0
2.Install Ductwork within Conditioned Space 3 Energy pts y=yas 0
3.Vent Range Hood to the Outside 1 IAQ/Health pt y=yes 0
4.Clean all Ducts Before Occupancy 21AQ/Health 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
B.Install Sealed Combustion Units -
a.Furnaces 3 IAQ/Health pts y--yes 0
b.(Nater 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/1 1 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 pis y=yes 0
13.Retrofit Wood Burning Fireplaces
• a.Install EPA certified wood stoves/inserts 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 0
14.Install Zoned,Hydronic Radiant Heating 3 Energy pts y=yes 0
15.Install High Efficiency Filter 41AQ/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 31AQ/Healih pts y--yes 0
1 1 1
IC 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
(r6.Select Safe and burable Roofing Materials 1 Resource pt y=yes p
7.Install-Radiant-Barrier -- 3 Energy pts y=yes p
1
L.Natural Heating and Cooling 1 1
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 1 p
1 1 1
•
INPUT Resources Energy AWHeafth
M.In oor Av Quality and meshes '
1.Use LoWN640C Paint 1 IAQ/Health pts y=yes D
2.Use Low VOC,(Nater-Based Wood Finishes 2 IAOMealth pts y=yes D •
13.Use Low/No VOC Adhesives _ 31A0/Health pts y--yes D
4.Use Salvaged Materials for Interior Finishes 3 Resource pts y--yes 0
S.Use Engineered Sheet Goods with no added Urea
Formaldehyde 61AQ/Health pis y--yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y--yes 0
i7.Seal all Exposed Particleboard or MDF 4 IAQMealth pts y=yes 0
8.Use FSC CerSAed KJaterials for Interior Finish 4 Resource pts y=yes D
9.Use Finger-Jointed or Recycied-Content Trim 1 Resource pts y=yes D
10.Install Whole House Vacuum System 3 IAO/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 s 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 D
6,Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0
1 1
Total Points Available: 1 1401 1301---5-71
Total Points Project Received: 01 O=
C:daiarprgsrgreeibuildtnogjidelin=_slrenodeleygreanpoinisfnaIL12.04prolegedxls
•
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
�UPE(�TINO
Building De artment
JOB ADDRESS: PERMIT,#
11 5 S v � n C- .. (�b7 OrL S
OWNER'S NAME: PHONE # 2 3 - 1 a O
GENERAL CONTRACTOR: L 1 p FAX # �7 2 (�
I am not using any subcontracto ( /
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
OWZ-L-A�� -
-7 - 3U , p� .
Owner/Contractor Signature Date