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08080044 (2) CITY OF CUPERTINO BUILD44INRG DIVICION PERNIIT c01VTRACT,OR I ',`U Mt1`L110 BUI1.rj11�UDUESUPERMIT NO. PLAND WAY CASTILLO' S ROOFING 8080044 OWNER'S NAME: PERMIT ISSUE DATE IAU STEPHEN K AND DA ROSA 1703 CATHAY DR 08/05/2008 NF^^'^ (408) 251-3565 RASANRY NO. CONTROL NO. ARCHITECTfENGINEER: BUILDING PERMIT INFO BLDO ELECT PLUMB MECH 3o3 LICENSED CONTRACTORS DECLARATION I Job Description 4 I hereby affirm that 1 w liaased under pmMeimes of Chapmr 9(commenting k with Section 701111)ofDivisim3oftheBusiness„11GAF GRNDCNYN CMP r�alProfessional rode.sMmyacamis RE—RF RMV EXT WDSHK &INSTL 26SQ CLSA #30LB FLT, noZ ILkelllfforecast effect 3� Lk.R"f Soy S� . ot.aaMrCA".>TILu� ARCHMECTS DECLARATION - I nden my plass Nal uPuhllc raoNa 5 Lic nes Pmfc tonal OatNEm exempt from, DECLARATION C O 9 1 hereby affirm on 11. exempt from the Contractors License Law for the D o following reason.(Salon co 1.5,Business and Rafnssiou Code:Any city m county $ which inquires a permit a construct,alta impmsu h Permit ore asig any um mit prior mslicts usedformur W the moapplicantof for Commune mOamLaedsWrmanm F < thst ho(mmmsllauedpussoan70DO)avislomalditBurimstuadPcl�w(Code). Sq.Ft. Floor Area Valuation Y�9 (commcreing with Srstim 70W)of DivitionJof the Bualnesaand Pmfessiou Cadc)W 1200(] that be la.”dsorefmm ad dso basis for IM Whited uempdon My violadem of Section 701.7 by MY applicant for a permit mbjeas the applicant m a civil penalty ofNumber Occupancy not mare than Bw thermal dollars(0031 36651001 ,V� n'pe I.u owam of the pmppmy.m my employm wi0 wgu u dmh mle mmpc=dm, will&Newark and dm smmtue,is natimunded cla ims!foraale(Ss..7016,Business and Pmfessiou Code:The Comarmrs Llama Law dao mi apply to an owner of Required Inspections property who builds orimprom thereon,and who does anchworkhimaalrorthrmgh his own employees.provided that such improsemema are not handed ora leered forsak.If, however.the building or improvement is mid within one year of compmtion.dso owner- hatior .MR haw the burden of proving that hat did net Wild or improve for purpose of sato.). .. .. . ❑I.u war of the propenY•sm utlusinly contracting with Reacted conuanors m eoutruct the project(See.70".Business most Professinu Codon)The Contractors U. ave Law deu not all u M massa of property who builds or impmwu thermn,and venomntssms forest pmojats withaconuumr(s)Ilan dpursuantmthe ContracmM1 License U.. ❑1 son acmpt under Sm .B&P C fon Nies reason Owner Dam oWORKER'S COMPENSATION DECLARATION 1 hereby effhm under penalty of perjury am of the fallowing declarationu: I ham and will maintain a CelOesso of Consent to ulf-Issue for Wnhra Compon- What.u prewidad for by Sedco 1700 of the IAbm Code,fm the performanco of the wish for which this permit is ImML I hast and will maintain Workers Compensation humans,as implied by Salm 370daft I-WrCoca,for an,perf..aft work for which this pemti,is Want. ' MY Workers ompeudm Lmmrana curiesW Polity n�um7ha are: catries: S Fuwd PonryNa.:saA3 x 0009`/9 CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This satire mad not be completed Ithe permit is foram huedmddalHrs(SIM) or less.) 1 alfy that in the performance of the work fon which this Permit is issued.l shell mi employ any person In any manmra u to become subject to the Workers'Compensation Law of California.Dam Applicant NOTICE TO APPLICANT.If.after makin0 this Certificate of Exemption,you should Deanne subject m the Workers Compeudtion provisions of the IAbr Coda you most .J O forthwith isto with comply with such prvu w Nu permit Mall W deemed raked. Z lV1 CONSIRUCfION LENDING AGENCY F I homey slam this Nem is a commission lending agency for the performance of C > the work ser which this permit V issued(Sec.3097,civ.C) 0 lenders Name = z Lenders Address . U O I ally Nat I Mw mad this application and also dust the show talent is tag comma 1 agree in comply wish all city tad county olinares aisle mand laws m W ng to C) building construction,and thereby author=reprenum thne;of this city oma upon the Gil aland cove-reosmi property for Iummum purposes fag (We)agree to taw,indemnify and kap harmless the City of Cupertino agalrl fA Ilabllitles,jWgmenu,cosu udexpeueawhiarnly In anywy uernm agalistaeidCity U z in caumpers.of the gruung or this permit. _ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date J,p?1 SOURCEREGUTATIONS 54✓ �r Re-roofs Si o pplicandcaalracmr Dam HAZIROOUS MATERIALS DISCLOSURE Type of Roof Will thnapplicant or factum building melpant am or handle hamdow material u cleared by tie Cupertino Municipal Code.Chapter 9.12,and the Health and Safety Cade.Sadism 25532(a)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yes a WIII the applicut r fu lure bed ing occupant um equipment or devicu which If a roof is installed without first obtaining an inspection,I agree to remove It District? air eoetaminual u Ord by the Bay Atoa Air Quality Mamngcmem all new materials for inspection. Da n7 ❑Yes Nu I hove mad the hualma materials mquhmrewundv Chilpholi.95 athe Califon nu Hulse&S.1ol,C de,Sadtsu nX5.25511 slut 25534.ImuakmwM thatifdso building does rot cwrentiy luw•ununl this it u my rvpomiNlity to notify dsl mseupmm nr time mquimmc w ' m melpdarmissuanccofa Ccnifium Signature of Applicant Date o coram.the vna.g n 5 ��am' 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 . . . . . . . . : 36651001 . 00 DATE ISSUED. . . . . . . : 08/05/2008 RECEIPT # . . . . . . . . . : BS000005701 REFERENCE ID # . . . : 08080044 SITE ADDRESS . . . . . : 11600 UPLAND WAY SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : LAU STEPHEN K AND DA ROSA WAND ADDRESS . . . . . . . . . . : 11600 UPLAND WAY - CITY/STATE/ZIP . . CUPERTINO CA, 95014-5104 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 12 , 000 . 00 1 . 20 0 . 00 1 . 20 0 . 00 1REROOFRES SQ FEET 26 . 00 338 . 00 0 . 00 338 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 339 .20 0 . 00 339 .20 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK --------- -- CHECK 339 . 20 #15240 --------------- TOTAL RECEIPT 339 .20 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ----- ---------------------------- ------- ---------- -------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF • oc CITY OF CUPERTINO ' REROOF *CUPERTINO PERMIT APPLICATION APN # 2 / u U I o o Date: Building Address: I I (v o c 091onj W)cL Owner's Name: I I Phone #: WGYIGLA 'S)CGCoS01 a55 0� 5 Contractor: Phone #: �[s - szo C{l S -T 1 LLCM S Fax #: Cupertino Business License #: Contractor Lic s : Type of Roof Covering: SU Existing: Proposed: a Built-Up Roof ❑ Bpilt-Up roof ❑ 4sphalt Shingles d,"Asphalt Shingles Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) ❑ Other(Specify) Xber of existing coverings ❑ Provide I.C.B.O. Report # be Removed ❑ Provide Mfgr. Installation Specs. Job Description: `�t,M0�1� �� l Shyo2(0 SC), Fe l�t, C1tt F grand Carrlo,� Co mn . CC& r147- 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: av I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy: rature Revised 6/16/08 CITY OF CUPERTINO REROOF CUPERTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B 2, 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 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 1/4 " 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 statedpolicyon re-roofing. Homeowner's Name: ► n 1 l� 1 a t'6!S 4` Job Site Address: ()C� W G na IL Roofing Company Name: T LS 126 �1�13 q Applicant's S' Date: G f fi l�4 • 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 MOWN PlansSee below B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 2 points 11. Permeable Paving, Note L-1 2 points C. Foundation I. 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 Sheathin detail S-2 2 points E. Ext. Finish 1. Composite Decking, (Note/Spec.) A-3 2 points 4. B. Fiber Cement Siding, Note/S ec. 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 Refri erator, Note/S ec. A-3 1 oint P. Other 1. List Green Features on Plans A-1 1 point TOTAL POINTS 40 points • • Plan Review Process Work Book Page-12-Revised 3/25/08 t 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 Resources Energy A�QIH. l rte 1.Recycle Job Site Construction 8 Demolition Waste 65%=1 point;75%= 2 points;80%=4 points P 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 Slormwater Practices 2 Resource pts y=yes 0 7.Protect Water Quality with Landscape Design 2 Resource pts y=yes 0 8.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=yesi 0 1 11 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 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 8.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 OSB a.Subfloors 1 1 Resource pt y=yes 0 • b.Sheathing I 1 Resource pt y=yes 0 1 1 1 xtenor m a 1.Use Sustainable Decking Materials • a.Recycled content 3 Resource pts y=yes C b.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 0 4.Use Fiber-Cement Siding Materials 1 Resource pt y=yes C LL 1 1 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 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 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=yes 0 7.Install Water Filtration Units at Faucets (2 points each,up to 4 points) Up to 4 IAO/Health pts. C B.Install On-Demand Hot Water Circulation Pump 4 Resource pts Y— as 0 t-.tier ncai 1 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. C 1 1 1 G.Appliances 1.Install Energy Star Dishwasher i Energy pt y=yes 0 2.Install Washing Machine with Water and Energy Conservation Features 1 Energy pt y=yes 0 3,Install Energy Star Refrigerator 1 Energy pt y=yes 0 4.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 Insulation over Crawl Space 4 Energy pts y=yes 0 3,Install Recycled-Content,Fiberglass Insulation with No Added Formaldehyde 31AQ/Health pts y=yes C 4.Use Advanced Infiltration Reduction Practices 2 Energy pis Y--yes C 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 o.Cemngs 4 Resource pts y=yes 0 1 1 t INPUT Resources Energy IAQ/Heall m ows Install Energy-Efiicient Windows —� • a.Double-Paned 1 Energy pt y=yes 0 b.Low-Emissivity(Low-E) 2 Energy pts y=yes 0 c.Low.Conductivity Frames J 2 Energy pts y=yes 0 2.Install Low Heal Transmission Glazing 1 Energy pt y=yes 0 1 1 1 J.Heating Ventilation and Air Conditioning 1.Use Dud Mastic on All Duct Joints J —� 2 Energy pts y=yes0 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 IAQ/Health pts yryes 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 IAQ/Health pts y=yes 0 b.Water Heaters 31AQ/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 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 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 6.Select Safe and Durable Roofing Materials 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 1 • t INPUT Resources Energy IAD/Health . n oor r ue iry an n a as 1.Use Low/No-VOC Paint 1 IAO/Health pts y=yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y--yes 0 3.Use Low/No 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 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-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 B 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--yes 0 1 1 1 Total Points AHa e: 1 1401 1301 57 Total Points Pro'ect Received: 1 0 0 0 G:data/progs/greenbuildingguidelineshemodeleWgreenpointstinal2.12.g4pra[Wed.ds • Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 $ UMkTINO Building Department JOB ADDRESS: � ' / - O� U G� PERMIT # OWNER'S NAME: `O (� S PHONE # GENERAL CONTRACTOR: FAX # qj e I am not using any subcoRtaeters Signature Date M licable subcontractors and com lete the followin information: ONTRACTOR BUSINESS NAME BUSINESS LICENSE # s &Millwork Finishingal 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 12 Owner/Contractor Signature bate