15040092W
CITY OF CUPERTINO BUILDING PERMIT
BLIILDING ADDRESS: 7608 WATERFORD DR
CONTRACTOR: WINGON
PERMIT NO: 15040092
CONSTRUCTION CO
OWNER'S NAME: FENG HUINING AND HUANG WANMEI
P O BOX 31983
DATE ISSUED: 06/18/2015
OWNER'S PHONE: 5103846498
OAKLAND, CA 94604
PHONE NO: (510) 228-6665
❑ LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑
377 SQ FT ADDITION TO FRONT OF SFDWL; REMODEL
j�
License Class - 21 Lic. N
250
JV� %Date �'
SQ FT ((2 BATHROOMS; BEDROOM AND GARAGE
Contractor v1C� T (±
t
ENTRANCE
1 hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business & Professions
Code and that my license is in full force and effect.
1 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
Sq. Ft Floor Area:
Valuation: $50000
performance of the work for which this permit is issued.
have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
APN Number: 36616001.00
Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
PERMIT EXPIRES IF WORK IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
180 DAYS FROM LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
Issued b /��✓ 4EZt� Date:granting
of this permit. Additionally, the applicant understands and will comply
Y _
with all non -point source egulations pert e Cupertino Municipal Code, Section
9.18.
RE -ROOFS:
Signature Date
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
❑ OWNER -BUILDER DECLARATION
Signature of Applicant: Date:
1 hereby affirm that 1 am exempt from the Contractor's License Law for one of
the following two reasons:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale (Sec.7044,
Business & Professions Code)
1, as owner of the property, am exclusively contracting with licensed contractors to
HAZARDOUS MATERIALS DISCLOSURE
construct the project (Sec.7044, Business & Professions Code).
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will
hereby affirm under penalty of perjury one of the following three
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations:
Health & Safety Code, Section 25532(a) should 1 store or handle hazardous
I have and will maintain a Certificate of Consent to self -insure for Worker's
material. Additionally, should I use equipment or devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued.
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, Section 2550 25533534.
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
Owner or authorized agent: Date:
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If, after making this certificate of exemption, I
CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code, 1 must
I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked.
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
APPLICANT CERTIFICATION
Lender's Address
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
ARCHITECT'S DECLARATION
costs, and expenses which may accrue against said City in consequence of the
I understand my plans shall be used as public records.
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
Licensed Professional
9.18.
Signature Date
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 - building(c—Dcupertino.org �J
❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT #
PROIFZf ADDRESS
APN k !-
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llJ' lJy
OWNER NAME
PHONE
E-MAIL
STREET ADDRESS
CITY, STATE, ZIP
CONTACT NAMF,�
P NE
E-MAIL
1
STREET ADDRESS
STATE, ZIP
OWNER ❑ OWNER-BUU-DER ❑ MUTTER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTORNAMF f� �A, t
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LICE NSENUMBER ,
LICENSE TYPE
BUS. LIC N
COMPANY NAME�� 9
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FAX
STREET ADDRESS1
CITY, STATE, ZIP
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ARCHIT
CT/ENG ' L -R NAME
LICENSE NUMBER
BUS. LIC k
COMZAIJY NAME
E-MAIL e
FAX
, •
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STREET ADDRESS
CTTY, STAT IP
PHONE
DESCRIPTION OF WORK
<_1 Q tw6nkn2l —6, +14A
EXISTING USE t PROPOSED USE ONSTR TYPE
kSTORIES
`
USE
TYPE
OCC.
SQ.FT.
VALUATION (S)
EMMSTG NE OOR
DEIJd TOTAL
AREA(A
AREA NET ARE A
BATHROOM
CHF
OTHER
REMODEL AREA
REN40DEL AREA
REMODEL AREA
-
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA
GARAGE AREA: LJ DETACH
❑ ATTACH
k DWELLING UNITS:
IS A SECOND UNIT ❑ YES
SECOND STORY El YES
BEING ADDED? ❑NO
ADDITION? []NO
PRE -APPLICATION ❑1'ES IF YES, PROVIDE COPY OF
IS THF. BLDG AN ❑YES
REOEIV BY
TOTAhVfj.LU/�TION:
NINO PLANNING APPROVAL LETTER
PLANNG APPL 9 ❑ IN
EICHLER HOME? ❑ NO
`G
y
By my signature below, I certify to each ofthe following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building nstruchon. I authorize rgsen„ taa of Cupertino to enter the above -identified property for inspection purposes.
.fives
Signature of Applicant/Agent: m Date: `�• 3• / `�
SUPPLEMENTAL INFORMATION REQUrF07bPLANCHECiCTYPE
,
❑
New SFD or Multifamily dwellings: Apply for demolition permit for
OVER TiilrCC1UNTER
BUII,DINC PLANREVIEIY
existing building(s). Demolition permit is required prior to issuance of building
N
for
permit new building.
V'kX�RESS'r
PLANIIGPLANitEVIESY ' 'y
����
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
g P
❑sxNnau ' A
❑ roBz wolizics fr't K�,n ti�
form if any Hazardous Materials are being used as part of this project.
c
❑ I ARGE s
16 wf i �rx31 �r I
❑k FLItP AF T ' .. r
a s
,
Copy of Planning Approval Letter or Meeting with Planning prior toN
❑
submittal of Building Permit application.
MAbOR y Y l o
NSAAITA'I2YSE�iERDISTRICT' ,�
i;� f � t r ��r
.❑."ENVYROIVMENI`A1rIIaALffii�
BldgApp_2011.doc revised 06/21/11
03
��,����� CITY OF CUPERTINO
11�'�1/JI FEE ESTIMATOR - BUILDING DIVISION
OCCUPANCY TYPE:
ADDRESS: 7608 waterford dr
DATE: 04/13/2015
REVIEWED BY: Mendez
PC FEE ID
APN:
BP#: �rJ ,
'VALUATION: 1$50,000
'PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex
USE:
2nd Unit? Yes : No
OTC. O Yes O No
PENTAMATION 1R3SFDREM
I PERMIT TYPE:
WORK 1377
sq ft addition to front of sfdwl; remodel 250 sq ft ((2 bathrooms; bedroom and garage entrance
SCOPE
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
f.)
PC FEES
PC FEE ID
BP FEES
BP FEE ID
R-3 (Custom)
II-B,111-B,IV,V-B
_LS.
377
$1,626.00
IADDPLCK
$1,323.00
IADDINSP
$0.00
PME Plan Check:
$0.00
Permit Fee:
$1,323.00
Suppl. Insp. Fee:O Reg.
O OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
TOTALS:
377
$1,626.00
$1,323.00
MECH, HOURLY () Yes 0 No PLUMB, HOURLY O Yes 0 No ELEC, HOURLY O Yes 0 No
,r
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District- elc.)_ Thase tees ore hased on the nreliminary information availahle and are Only an vclimnlo_ Conlapt the Dont for addn'l info_
FEE ITEMS (Fee Resolution 11-053 Eff 711/13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$1,626.00
= S.f.
$431.00
Remodel, Other
IREMRESOTH
Suppl. PC Fee: 0 Reg. Q OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$1,323.00
Suppl. Insp. Fee:O Reg.
O OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
O
Work Without Permit? O Yes 0 No
$0.00
Advanced Planning Fee:
IPLLONGR
$52.78
Select a Non -Residential
Building or Structure
0
O
Strong Motion Fee:
IBSEISiVICR
$6.50
Select an Administrative Item
Bldg; Stds Commission Fee: IBCBSC
$2.00
SUBTOTALS:
$3,010.28
$431.00
TOTAL FEE:
1 $3,441.28
Revised: 04/01/2015
CUPERTINO
CONTRACTOR / SUBCONTRACTOR LIST
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
JOB ADDRESS:Fid C �
PERMIT # L 0 , (,�v ,L
OWNER'S NAME: g -
PHONE #'� -�-�
GENERAL CONTRACTO :
BUSINESS LICENSE # 13 2-0
ADDRESS: 113 0 —1
CITY/ZIPCODE:
"Our municipal code requires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE. /�(�j
I am not using any subcontractors: —1 /L Z�� (��
Signature Date
Please check applicable subcontractors and complete the following 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
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
_------ __ -----
Tile
--------,—.....—...__..._...... ----------
Owner / Contractor Signature
Date
lsa5�c�9�
CALGREEN RESIDENTIAL CHECKLIST — MANDATORY
ITEMS
uCOMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
CUPERTINO ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 - FAX (408) 777-3333 • building(CDcupertino.org
PURPOSE:
The 2013 CalGreen Code applies to all newly constructed hotels, motels, lodging houses, dwellings,
dormitories, condominiums, shelters, congregate residences, employee housing, factory -built housing and
other types of swellings with sleeping accommodations and new accessory buildings associated with such
uses. Existing site and landscaping improvements that are not otherwise disturbed are not subject to the
requirements of CALGreen.
Project Name:
Project Address:
Project Description:
Instructions:
Residential Addition
7608 Waterford Drive
Front Addition and Remodel nu
Q7
r 7,.
ro
1. The Owner or the Owner's agent shall employ a licensed professional expenellpd with thel allforr a
Green Building Standards Codes to verify and assure that all required work descrl* herein is pr�perly
planned and implemented in the project.
2. The licensed professional, in collaboration with the owner and the design professional shaihbjol Column
2 of this checklist, sign and date Section 1 - Design Verification at the end of this checklist and have the
checklist printed on the approved plans for the project.
3. Prior to final inspection by the Building Department, the licensed professional shall complete Column 3
and sign and date Section 2 - Implementation Verification at the end of this checklist and submit the
completed form to the Building Inspector.
/�/F ��y� au ma✓ �� rives
J `
aan/4/ alio
yiorN � (I?ii�oarm (i UVtl
��wrm�l � d RtlU% i
�1/10
1Wr
0 O1�iY!✓�e%il%i„ �
E Column 2 Column 3
MANDATORY FEATURE OR MEASURE Project Verification
Requirements
Planning and Design - Site Development
4.106.2 Storm water drainage and retention during construction. A plan is
developed and implemented to manage storm water drainage during ❑X El
construction.
4.106.3 Grading and p The site shall be planned and developed to
keep surface water aw 1yq ildings. Construction plans shall indicate howo
site grading or a drainage' sy.el,,manage all surface water flows.
Page I of 5 CalGreen 2014.doc revised 01/15/14
A4.2 ENERGY EFFICIENCY
General
4.201.1 Low-rise residential buildings shall meet or exceed the minimum
standard design required by the California Energy Standards.
A4.3 WATER EFFICIENCY AND CONSERVATION
Indoor Water Use
4.303.1 Water conserving plumbing fixtures and fittings. Plumbing fixtures
(water closets and urinals) and fittings (faucets and showerheads) shall comply
with the following.-
ollowing:❑
04.303.1.3.2 Water Closets. The effective flush volume of all water closets
shall not exceed 1.28 gallons per flush. Tank -type water closets shall be
certified to the performance criteria of the U.S. EPA WaterSense
Specifications for Tank -type Toilets.
❑ 4.303.1.3.2 Urinals. The effective flush volume of urinals shall not
exceed 0.5 gallons per flush.
❑ 4.303.1.3.1 Single Showerheads. Showerheads shall have a maximum
flow rate of not more than 2.0 gallons per minute at 80 psi. Showerheads
shall be certified to the performance criteria of the U.S. EPA WaterSense
Specification for showerheads.
❑ 4.303.1.3.2 Multiple Showerheads serving one shower. When a
shower is served by more than one showerhead, the combined flow rate of
all showerheads and/or other shower outlets controlled by a single valve
shall not exceed 2.0 gallons per minute at 80 psi, or the shower shall be
❑
designed to allow only one shower outlet to be in operation at a time.
❑ 4.303.1.4.1 Residential lavatory faucets. The maximum flow rate of
residential lavatory faucets shall not exceed 1.5 gallons per minute at 60
psi. The minimum flow rate of residential lavatory faucets shall not be less
than 0.8 gallons per minute at 20 psi.
❑ 4.303.1.3.2 Lavatory faucets in common and public use areas. The
maximum flow rate of lavatory faucets installed in common and public use
areas (outside of dwellings or sleeping units) in residential buildings shall
not exceed 0.5 gallons per minute at 60 psi.
❑ 4.303.1.4.3 Metering faucets. Metering faucets when installed in
residential buildings shall not deliver more than 0.25 gallons per cycle.
❑ 4.303.1.4.4 Kitchen Faucets. The maximum flow rate of kitchen faucets
shall not exceed 1.8 gallons per minute at 60 psi. Kitchen faucets may
temporarily increase the flow above the maximum rate, but not to exceed
2.2 gallons per minute at 60 psi, and must default to a maximum flow rate
of 1.8 gallons per minute at 60 psi.
4.303.2 Standards for plumbing fixtures and fittings. Plumbing fixtures
and fittings shall be installed in accordance with the California Plumbing Code,
and shall meet the applicable standards referenced in Table 1401.1 of the
California Plumbing Code.
Page 2 of'5 CalGreen 2014.doc revised 01i15114
Outdoor Water Use
4.304.1 Irrigation controllers. Automatic irrigation systems installed at the
time of final inspection shall be weather -based.
❑ 4.304.1.1 Controllers shall be weather- or soil moisture -based controllers
that automatically adjust irrigation in response to changes in plants' needs
as weather conditions change.
❑ 4.304.1.2 Weather -based controllers without integral rain sensors or
communication systems that account for local rainfall shall have a separate
wired or wireless rain sensor which connects or communicated with the
controller(s). Soil moisture -based controllers are not required to have rain
sensor input.
A4.4 MATERIAL• •RESOURCE EFFICIENCY
Enhanced Durability and Reduced Maintenance
4.406.1 Rodent proofing. Annular spaces around pipes, electric cables,
conduits, or other openings in plates at exterior walls shall be protected
against the passage of rodents by closing such openings with cement mortar,
concrete masonry or similar method acceptable to the enforcing agency.
Construction Waste Reduction, Disposal and Recycling
4.408.2 Construction waste management plan. Where a local jurisdiction
does not have a construction and demolition waste management ordinance, a
construction waste management plan shall be submitted for approval to the
enforcing agency.
Building Maintenance and Operation
4.410.1 Operation and maintenance manual. At the time of final inspection,
an operation and maintenance manual shall be provided to the building
occupant or owner.
A4.5 ENVIRONMENTALQUALITY
Fireplaces
4.503.1 General. Install only a direct -vent sealed -combustion gas or sealed
wood -burning fireplace, or a sealed woodstove.
Pollutant Control
4.504.1 Covering of duct openings and protection of mechanical
equipment during construction. Duct openings and other related air
❑X
❑
distribution component openings shall be covered during construction.
4.504.2.1 Adhesives, sealants and caulks. Adhesives, sealants and caulks
shall be compliant with VOC and other toxic compound limits.
4.504.2.2 Paints and coatings. Paints, stains and other coatings shall be
compliant with VOC limits.
4.504.2.3 Aerosol paints and coatings. Aerosol paints and other coatings
shall be compliant with product weighted MIR Limits for ROC and other toxic
❑X
compounds.
Page 3 of 5 CalGreen 2014.doc revised 01115114
4.504.2.4 Verification. Documentation shall be provided to verify that
❑
E]compliant
VOC limit finish materials have been used.
4.504.3 Carpet Systems. Carpet and carpet systems shall be compliant with
❑
E]VOC
limits.
4.504.4 Resilient flooring systems. Eighty (80) percent of floor area
receiving resilient flooring shall comply with the VOC-emission limits defined in
the Collaborative for High Performance Schools (CHPS) Low-emittingX❑
❑
Materials List or be certified under the Resilient Floor Covering Institute (RCFI)
FloorScore program.
4.504.5 Composite wood products. Particleboard, medium density
fiberboard (MDF), and hardwood plywood used in interior finish systems shall
❑X
❑
comply with low formaldehyde emission standards.
Interior Moisture Control
4.505.2 Concrete slab foundation. Required vapor retarders and capillary
❑
❑
breaks are also required to comply with CalGreen Section 4.505.2.1.
4.505.3 Moisture content of building materials. Moisture content of building
❑
materials used in wall and floor framing is checked before enclosure.
Indoor Air Quality and Exhaust
4.506.1 Bathroom exhaust fans. Exhaust fans which terminate outside the
❑
❑
building are provided in every bathroom.
Environmental Comfort
4.507.2. Duct systems are sized and designed and equipment is selected
using the following methods:
1. Establish heat loss and heat gain values according to ACCA Manual J or
equivalent.
❑
❑
2. Size duct systems according to ACCA 29-D (Manual D) or equivalent.
3. Select heating and cooling equipment according to ACCA 36-S (Manual S)
or equivalent.
SPECIALINSTALLER AND - -
QUALIFICATIONS
Qualifications
702.1 Installer training. HVAC system installers are trained and certified in
E]the
proper installation of HVAC systems.
702.2 Special inspection. The Licensed Professional responsible to verify
CALGreen compliance is qualified and able to demonstrate competence in the
❑X
❑
discipline they inspect and verify.
Verifications
703.1 Documentation. Verification of compliance with CALGreen may
include construction documents, plans, specifications, builder or installer
certification, inspection reports, or other methods acceptable to the enforcing
❑
agency which show substantial conformance. Implementation verification shall
be submitted to the Building Department after implementation of all required
measures and prior to final inspection approval.
Page 4 ol'5 CalGreen 2014.doe revised 01/15/14
Project Name:
Project Address:
Project Description:
CALGREEN SIGNATURE DECLARATIONS
Residential Addition
7608 Waterford Drive
Front Addition and Remodel
SECTION 1 — DESIGN VERIFICATION
Complete all lines of Section 1 — "Design Verification" and submit the completed checklist (Columns 1 and 2) with the
plans and building permit application to the Building Department.
The owner and design professional responsible for compliance with CalGreen Standards have revised the plans and
certify that the items checked above are hereby incorporated into the project plans and will be implemented into the
project in accordance with the requirements set forth in the 2013 California Green Building Standards Code as
adopted by the City of Cupertino.
Owner's Signaturey Date
Huining Feng
Owner' e (Ple se P int
Desi�ofessic ial's Signature Date
Joseph Xu
Design Pr Iial's fume (Please Print)
Signature of License Professional responsible for CalGreen compliance
Name of License Profe*sional responsible for CalGreen compliance (Please Print) Phone
Email Address W License PNt&ssiocdl responsible for CalGreen compliance
SECTION 2 — IMPLEMENTATION VERIFICATION
Complete, sign and submit the competed checklist, including column 3, together with all original signatures on Section
2 to the Building Department prior to Building Department final inspection.
I have inspected the work and have received sufficient documentation to verify and certify that the project identified
above was constructed in accordance with this Green Building Checklist and in accordance with the requirements of
the 2013 California Green Building Standards Code as adopted by the City of Cupertino.
Signature of License Professional responsible for CalGreen compliance Date
Name of License Professional responsible for CalGreen compliance (Please Print) Phone
Email Address for License Professional responsible for CalGreen compliance
Paoe 5 of 5 CalGreen 2014.doc 7vvtsed 01'15/14