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12020076CITY OF CUPERTINO BUILDING PERMIT CONTRACTOR: VALLEY HEATING & PERMIT NO: 12020076 BUILDING ADDRESS: l 1234 CATALINA CT COOLING NAME: HUMNICKY MICHAEL S AND JUDITH 1171 N 4TH ST DATE ISSUED: 02/17/2012 OWNER'S SAN JOSE, CA 95112 PHONE NO: (408)294-6290 OWNER'S PHONE: 4082577576 LJ RESIDENTIAL COivI14tERC[.AL JOB DESCRIPTION: LICENSED CONTRACTOR'S DECLARATION FURNACE &DUCTS IN SAME LOCATION License Class �D Lic, # 2 ��'c�d REPLACE )L' Contractor � 1� Date2I( 7/11 �Jicense hereby affirm that I am under the provisions of Chapter 9 with Section 7000) of Division 3 of the Business & Professions (commencing Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the S Ft Floor Area: Valuation: $7350 q performance of the work for whichthis permit is issued. I have and will maintain Worker's Compensation insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work far whi this APN Number: 3;621042.00 Qecrhpancy Type: permit is issued. e!�� ------ APPLICANT CERTIFICATION is PERMIT EXPIRES IF WORK IS NOT STARTED I certify that I have react this application and state utat the above information and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR correct. I agree to comply with all city to building construction, and hereby authorize representatives of this city to enter 180 DA ' F . OM LAST CALLED INSP CT . upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, the .-70 � Dae costs.. and expenses which may accrue against said City in consequence of Additionally, the applicant understands and will comply Issued by: U granting of this permit. with all non -point source regulations per the Cupertino Municipal Code, Section 9,18. r �/C��'��— Date �` RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a root €s new materials for Signature��vr'�cX< installed without first obtaining an inspection, I agree to remove all inspection. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER the following two reasons: I, as owner of (lie property, or my employees with wages as their sole comrnsation, will do the work, and the stricture is not intended or offered for sale (Sec.7044, Business & Professions Code) HAZARDOUS ILIATERIALS DISCLOSURE I, as owner of the property, ani exclusively contracting with licensed contractors to (Sec.7044, Business & Professions Code). have read re hazardous materials requirements under Chapter 25505, 25533, and 25534.91 twill construct the Inrojett California Het at h & Safety Code, Sections with the Cupertino Municipal Chapter 9.12 and the I hereby affirm under penalty of perjury one of the following three maintain compliance Health & Safety Code, Section 25532(a) should Ito or handle hazardous declarations: I have olid will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should [use equipment or devices which emit hazardous District as defined Compensation, as provided for by Section 3700 of the Labor Code, for the W dl maintain compliance wir contaminants 12 and th the Cupertino Municipal pal Code, Chapter performance of the work for which this permit is issued. he Health & Safety Code, Sections 25505, 25533, and 25534. I have and will maintain Worker's Compensation Insurance, as provided for by n Date: Section 3700 of the Labor Code, for the performance of tie work for which this Owner or authorized agent: (, iln/� �l permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person many manner so as to become subject to the Worker's CONSTRUC'TiON LENDING AGENCY" Compensation laws of California. If, after making this certificate of exemption, I is a hnstruction lendingagencY by which Civ C) for the performance of of the Labor Code, I must works his become subject to tie Worker's Compensation provisions or this shall be deemed revoked. trm permit is iere for ssued (Sec. 3 97, forthwith comply with such provisions permit Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is and state laws relating correct. I agree to comply with all city arkf county ordinances to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION indenhnify and keep harmless tine City of Cupertino against liabilities, judgments. said City in consequence of the I understand my plans shall be used as public records. costs, and expenses which may accrue against granting of this permit. Additionally, the applicant understands and will comply Cupertino Municipal Code, Section Licensed Professional with all non -point source regulatiiins per the 9.18. Signature Date Prescriptive Certificate of Compliance: Residential apCF-IR-ALT Residential Alterations Page 1 of 5 Project Name: Michael is h a e l H u m n is kylate Zone #^ 1# of Stories General Information Site Address:1 1234 Catalina Ct EnforcementA Date: Building Type Single Family [] Multi Family Circle the Front Orientation: N, E, S, W, or degrees —_ ---_-- Conditioned Floor Area (CFA): 1 750 -------------- Project Type: _ Alterations Envelope Fenestration Roof S HVAC Replacement or Change Out Duct Replacement ❑ Water Heater NOTE: This form is not to be used for Newly Constructed Buildings or Additions Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below) Assembly Alteration El Opening of framed cavity alone— Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor must install the mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns A —C and enter mandatory insulation value in Column H. []Replacem ent of entire assem bly — Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component Package- D insulation values in Table 151-C. Fill in Columns A — J. 0 paque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. A B I C D E F G 1 H I I J Proposed Seeote Standard Values From JA4 Table M Framing Thickness, Framed Continuous JA4 Proposed Tag/ Assembly Name iD' or Type 2 Material Spacing, U- JA4 Table Cavity insulation Assembly Assembly and Size or Other' factor' Numbers R-value6 R -Value' Row/Cols U -factor' Walls From y ferenii' ` .'N, in Furring Space from Reference Joint Appendix Table 4.3.5, 4.3.6, 4.3.7 Joint Appendix Table 4.3.13 Note: For furred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For calculating furred wa s e sand Furring Construction table below. 1. For Tag ID indicate the identification name that matches the building plans. 2. Indicate the Assembly Name or type: Roof Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc... Indicate i o u he Frame material and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possliw fra assemblies. 3. Enter the thickness for mass in inches or Spacing between framing members enter; 16 "or 24 "0C; or Of l Cher assembly description such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc.... I. Based on the Climate Zone; enter the equivalent U factor found in JA4 Table based on the R- Value 51-B, C, or D 5. Enter the Table number that closely resembles the proposed assembly. 6. Enter the R -value that is being installed in the wall cavity or between the framing;othetylise 7. Enter the Continuous Insulation R -value for the proposed assembly; otherwise, enter 8. Enter the row and column of the U factor value based on Column F Table Number and enter mbly U factor in Column J 9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply. Furring Strips on$It Vction Table for Mass alls Onl WC A G H I J I K L M Proposed Properties of Masonry and oncrete Added interior or Exterior Insulation Walls From y ferenii' ` .'N, in Furring Space from Reference Joint Appendix Table 4.3.5, 4.3.6, 4.3.7 Joint Appendix Table 4.3.13 i U.� yrl '}1'}d6t' tLs70 y a�� U Assembly ,. rypq ' R' t� f` � t C> $ L U n y N� F' E" o on a� > ai Final Mass Name or ' 1A4 Table' � �� a E E o � � � � Assembly > " x � 0 3 ' Thickfiess' .. Type. Number', ¢ > . � ¢ > � U-factorb' Comment d V RegistratioNumbir: 2008 Residential Compliance Forms March 2010 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 2 of 5 Project Name: Michael H u m n i c ky Climate Zone #4 1 # of Stories t ass and Furring Strips Construction (footnotes) .Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can e found Reference Joint Appendix JA4. This is the U -Factor based on the thickness of the assembly in inches. The R -value of the insulation to be added on the interior or exterior of the assembly. The Calculated R -Value is the R -value of the furred out section of the assembly. .-6. The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA 4. The equation is the inverse of Colum added to Column 1. Column K is the inverse from column J. . Insert the calculated U factor value on to the Opaque Surface Details in Column J FENESTRATION PROPOSED AREAS 0 Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C. The Total Fenestration and West facing Area requirements are not applicable. 0 Adding 50ft2 or less of window area — Newly installed windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C. Adding more than 50ft2 of window area — Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration Area requirements of Component Package D in Table 151-C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -IR -ALT Orientation F G Fenestration Type and Frame (North, East, PropsedAreal Maximum Maximum NFRC or Default (Window, Glass Door or Skylight) South, West) (ft') U -factor" SHGC" ''4 Values Allowed Entire % of Fenestration Area Fenestration Area Proposed Area' 4 Dwelling CFA"' Area Removed Area Added 1. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception: When a door is less than 50% glass, the fenestration area may be the glass area plus a "2 inch frame" around the glass. 2. Enter value from Component Package D Requirements in Table 151-C. 3. Actual fenestration products installed and as indicated in CF -6R -ENV Form shall be equivalent to or have a lower U factor and or a lower SHGC value than that specified on the CF -IR ALT Form. 4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading. 5.If applicable at this stage enter " NFRC" or NFRC Certified windows or are CEC "Default " valuesfound in Table 116-A or B. ALTERED FENESTRATION ALLOW ED AREAS (Complete if more than 50fiz of fenestration is added) A B C D E F G CFA of Allowed Existing Allowed Entire % of Fenestration Area Fenestration Area Proposed Area' 4 Dwelling CFA"' Area Removed Area Added (A x B) (E -D) + C Total Fenestration Area 2.( ft2) — West Fenestration Area (Required In > CZ's 2,4&7-15) 1. The Proposed West Fenestration Area includes West -sloping skylight area and any other skylight area with a pitch less than 1:12. 2. Enter 20% when no West orientation restriction or 15% when West fenestration is being installed in Climate Zones 2, 4, & 7-15. Note that the maximum allowed fenestration can only be 5% of the CFA as indicated in Column F. Column G must be equal to or less than Column F. 3. In climate zones 2, 4, 7-15, no more than 5% of the CFA is allowed for west facing glazing. 4. Existing Fenestration area must be counted toward the maximum allowed 15% or 20% of the whole building and calculated in Column G. The Proposed Area must be less than or equal to Column F. 5. Enter the fenestration removed as part of the alteration if any in column D. 6. Enter the Fenestration area that is being added as part of the alteration. 2008 Residential Compliance Forms March 2010 CF -IR -ALT Prescriptive Certificate of Compliance: Residential CF FPage 5 of 5 Residential Alterations Climate Zone#�I 1# of Stories Project Name: Michael H um nicky 4-F HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before final inspection. Duct Sealing & Testing HERS verification is required for this measure. YES Q NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned space, the ducts are to be sealed per §152(b)1Dii and the newly installed ducts are to be insulated per §151(f)10. Q EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos. []YES EINO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the ducts are to be sealed per §152(b)1Di. []YES ONO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be sealed per §152(b)IE. have been previously sealed confirmed through HERS EXCEPTION: Duct systems that are documented to verification in accordance with procedures in the Reference Residential Appendix RA3. EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. rl EXCEPTION: Existine ducts stems constructed, insulated or sealed with asbestos. Refrigerant Charge - Split System HERS verification is required for this measure. Q YES a NO YES: In Climate Zones 2 and 8-15, when the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system A/C or heat pump, cooling or heating coil, or the furnace heat exchanger) a refrigerant charge measurement shall be verified per § 152(b)l F. Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw The ventilation requirements of 1 150 o) do not a 1 to existing residential homes. Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure. YES NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is renlaced, the airflow and fan watt draw shall be verified per § 152(b)l Ci to meet the requirements of § 151(f)7B. Documentation Author's Declaration Statement • I certify that this Certificate of Com pliance documentation is accurate and com Aete. Signature: Name: Date: Company: Valley Heating and Cooling If Applicable CEA or CEPS Address: 1171 N 4Th Street (Certification #): Phone:408.294-6290 City/State/Zip:San Jose , C A 9 5112 Responsible Building Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. rmance specific I certify that the energy features and perfoations for the building design identified on this Certificate of Compliance conform rnia Code of Regulations. to the requirements of Title 24, Parts 1 and 6 of the Califo • The building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Signature: Name: #Phone: Company: Valley Heating and Cooling 258540 Address: 1171 N4Th Street I 08_294-6290 City/State/Zip:San Jose , C A 9 5112 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Kegtscrtan, tu�r? sr;r_� -- Registration ff ....ber March 2010 2008 Residential Compliance Forms 6 ITEMS OF 6 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 35621042.00 DATE ISSUED.......: 02/17/2012 RECEIPT #.........: BS000016047 REFERENCE ID # ...: 12020076 SITE ADDRESS 11234 CATALINA CT SUBDIVISION ...... CIT`i CUPERTINO IMPACT AREA ...... OPERATOR: SylviaM COPY # : 1 OWNER ............: HUMNICKY MICHAEL S AND JUDITH ADDRESS ..........: 11234 CATALINA CT CITY/STATE/ZIP ...: CUPERTINO, CA 95014-4737 RECEIVED FROM ....: VALLEY HEATING CONTRACTOR JEFF AND CINDY FAULKNER LIC # 141 COMPANY VALLEY HEATING & COOLING ADDRESS ..........: 1171 N 4TH ST CITY/STATE/ZIP ...: SAN JOSE, CA 95112 TELEPHONE (408)294-6290 FEE ID - UNIT ------------- QUANTITY ---------- AMOUNT PD -TO -DT THIS REC NEW BAL -ADMIN HOURS 1.00 ---------- 41.00 ---------- 0.00 ---------- 41.00 ---------- 0.00 1BCBSC VALUATION 7,350.00 1.00 0.00 1.00 0.00 1BSEISMICR VALUATION 7,350.00 0.74 0.00 0.74 0.00 1MFR=<100 UNITS 1.00 130.00 0.00 130.00 0.00 1MPERMITFE FLAT RATE 1.00 44.00 0.00 44.00 0.00 1TRAVDOC FLAT RATE 1.00 44.00 0.00 44.00 0.00 TOTAL PERMIT ---------- 260.74 ---------- 0.00 ---------- ---------- 260.74 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT --------------- 260.74 --------------- 260.74 VOICE ID DESCRIPTION -------- ---------------------------- 505 FINAL ELECTRICAL 508 FINAL MECHANICAL REFERENCE NUMBER -------------------- 23273 VOICE ID DESCRIPTION -------- ---------------------------- 507 FINAL PLUMBING Building i)epartment City Of Cupertino 10300 Torre Avenue Cupertino, CA. 95014-3255 Telephone: 408-777-3228 Fax: 408-777-313 3 CONTRACTOR /SUBCONTRACTOR LIST _ .... ...... JOB ADDRESS: 11234 CATALINA CT PFRm['1' -- OWNER'S NAME:MICHAEL HUMNICKY PHONE X408-257-7576 _................ . _ GENERAL CC)NTRAC l C31Z VALLEY HEATING AND COOLING ! BU'SIN ESS 1_,1.0: f NSL 141 ... __._... ._...... _ ___,_ _. _... _ _._______ _ _._....__-- x1DDRESS:1171 N 4TH ST { 1 l'�. ' 117C( j)I'.;SAN JOSE/ 95112 *Otir ntnnicipal code requires all isttsinesses working in the city to have a City of Cupertino business license. NO BUILL)INCT FINAL OR FINAI.., C)CC'URX CY INSPECTION(S) WILL BE SCCI-IEDI.A..,EI.) UN"I'll.., THE GENERAL CONTRACTOR AND ALL SSI B(,-.()NTRA('TORS 11AVE C)RTAINEI:D A CITY OF CUPERI"INO BUSINESS LICENSE. I atrn not using anN subcontractors: ............................................................................ ........... �.. _..... Signature Date Please check applicable subcontractors and complete the folloi-ing information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # i ._......__ -"_-_...._ . ................................. .......... --- .-._._............ ...... ....................... ........... .................................. ..................._.................... ..........._._._._....._.._._..._._..___..................................._......._...._...._..........._._......_.......... 1 cabinets & Millwork .... ............. Cement Finishing Electrical Excavation Fencing Flooring Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing, Masonry -Painting / Wallpaper Paving Plastering Plumbing Roofing Septic; Tank Sheet .Metal Sheet Rock Tile Owner 1 Contractor Signature Date (ENFORCEMENTAGENCY CAN CUSTOMIZE WITH LETTERHEAD/SEAL) 2008 Building Energy Efficiency Standards Residential HVAC Alterations Climate Zones 1 and 3 through 7 BUSINESS AND PROFESSIONS CODE, SECTION 7110 Willful or deliberate disregard and violation of the building laws, including the California Building Code, and local permit requirements constitutes a cause for disciplinary action from the Contractors State License Board working in conjunction with the local building department. This action may consist of fines up to $5,000 per violation or suspension/revocation of a contractor's license. WHEN IS A PERMIT REQUIRED? A written construction permit shall be obtained from the enforcement agency prior to the erection, construction, reconstruction, installation, relocation, or alteration of any mechanical system, except as permitted in Appendix Chapter 1, Section 112.2 of the 2007 California Mechanical Code. Projects requiring permits include, but are not limited to: • New HVAC installation • HVAC Changeout • Replacement of furnace, coil, FAU, or condenser • Relocation of an existing HVAC unit • Adding or replacing more than 40ft ducting in unconditioned space 2008 BUILDING ENERGY EFFICIENCY STANDARDS (Title 24, Part 6) REOUIREMENTS INCLUDE: 1. Heating equipment must have a minimum 78% AFUE (Exception: Wall & floor furnaces; room heaters). 2. Central air conditioners & heat pumps less than 65,000 Btu/hr must have a minimum 13 SEER. 3. Newly installed or replaced ducts must have a minimum insulation value of R-4.2. 4. A setback type thermostat (24 hr clock with four set points) is required for all alterations. 5. New or replacement ducts must meet the mandatory requirements of Section 150(m): • All joints and openings in the in the HVAC system must be sealed. • Only UL 181, UL 181A, or UL 181B approved tapes or mastic shall be used to seal duct openings. • Connections of metals ducts and the inner core of flex ducts shall be mechanically fastened. Flex ducts must be connected using a metal sleeve/coupling. • Flex ducts that are suspended must be supported every 4ft. max for horizontal runs with no more than 2" of sag between supports and 6 ft. max for vertical runs. 6. The CF-611-MECH-04 must be completed and signed by the installing contractor. The Inspector will collect this form and verify that the model numbers are the same as the installed equipment. GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 MISIC (408) 777-3228 • FAX (408) 777-3333 • building(c�cupertino.org I? CUPERTINO l Vu ❑PLUMBING ❑MECHANICAL ELECTRICAL ❑ MISCELLANEOUS APN # 6 L PROJECT ADDRESS112 � r Cafa 1� l d PHONE E-MAIL M`l OWNER NAME'%j� v I ll641 L( FAX CITY, STATE ZIP STREET ADDRESS/ na 1 u !L ( 7 E-MAIL CONTACT NAME d ` Cf tf Z Z Z O r ' CITY, STATE, ZIP FAX STREET ADDRESS ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT LICENSE NUMBER LI ENSU TYPE BUS. LIC # 11 (J jL� CONTRACTOR NVE11 �/�/ FAX q �t UL /S E-MAIL T COMPANY NAME , STREET ADDRESS Ja rCITY, S? P PHONE /7(N Lj`t BUS. LIC # LICENSE NUMBER ARCHITECT/ENGINEER NAME FAX E-MAIL COMPANY NAME PHONE CITY, STATE, ZIP STREET ADDRESS YES PROJECT IN ❑YES 1S THE BLDG AN ❑YES FESCRIPTION FD or DUPLEX ❑ MULTI -FAMILY PROJECT IN WILDLAND NO FLOOD ZONE ❑ NO EICHLER HOME? ❑ NO URBAN INTERFACE AREA COMMERCIAL /j / WORK /� }� 1� b t� �uC �S 00 RECEIVED BY: TOTAL VALUATION: �35�! ed agent to actapplicable local By my signan th ture below,certify ioI to haveprovidedh of the islcorregt. I have read t Descr ption of Work and verify t is accu property gree oecomply awith all applf. I have ad this application and the info P p for inspection purposes. ordinances and state laws relating to building construction. I authorize representatives of Cu ertino to enter the a /� 711 Z property P PrP Date: Signature of Applicant/Agent: mac. SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY ❑ OVER-THE-COUNTER w_._.._.._._.,_._,._._.._.. a ' F ❑ EXPRESS _ x ❑ STANDARD U Z rEJ LARGE MAJOR MEPMiscApp_2011.doc revised 06/21/11