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CITY OF CUPERTINO
ez •s�i�+tx� - ° �''" <.'
BUILDING DvISPOIN PERMIT
COI�PLRA.CT(Tit Il 'QRMATIOIV'
�:
BUIIDIrtGAo DRESS:
i lJF3.3 'TUSCANY PL
CASTO ROOFING
PERMIT NO.
08090001
OWNER'S NAME:
PERM371SBUEDATE
JINCI; I.,A %ANO
1938 OLD MIDDLEFIELD WAY
09/02/2008
SANITARY NO. CONTROLNO.
ItNE:
(650)961 -8922
ARCHITEC IENGUIUIL
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
lob Description
1 hereby affaw that I am licensed urumr provuions of Chapter 9 (commenting
wiNS don7IX )ofDivtuon3ofthe Buun =ndProfessionsCodeaMmylicenseir
RE -RI? RMV EXTG RP'& INSTL OSB 30$FLT& 40YR COMP
in full aM .flat Lie.. ` 9 Z -793
L S
lffnree
Dam' i`8 rfECrs DDECLARATION
A 24SQ
1 understand my plans shall W used as public record,
LILenCd Prefuscom u
OWNER-BUILDER DECLARATION
I hereby aff ran that I am exempt from the Conuamors License Law for the
following reams (Section 7031.5, Business; and Pofessions Code: My city or county
which requires a permit te construct. alter. improve, demolish, or repair any sm ntme
prim to its issuance. Alm volume, the applicant for such Permit m file a signed.wtement
be this of Comuaora luxmm Law (Chmmr9
Sq. Ft. Floor Area
Valuation
that rte is licensed remount Previsions the
(commencing with Sermon 7") a Division 3 of the Business and Professions Code) or
7975
that W is exempt themfmm and the buts for the alleged ewnptian. Any violation of
35929036. Number
Occupancy Type
Section 7031.5 by any applicant for a permit subjects the applicant m a civil penalty of
act mom wanfia hundred dollars (s50D).
❑ L u owns of dice prmPanY, a my wployw with mgn u Neu role eompentatirn,
Required Inspections
will do dlewmg. and the muctum Is oat Ntmuded ar offered far sale (Sae 7034, Bu90ust
and Profasuau Cade: The ComracmYS License Law don set apply m an awns of
property who builds m i reprove thereon, and wbo does such work himself m duoogh his
ow tunployc s, provided Nat such impro mums are not intended oroRmed for We If.
howam, the building or impmvemem is mid within am year of completion. the owner.
builder will have do burden of proving Out W did nm Wild or improve for purpose of
saes.).
0 1, u aw. of the Property. am ueluuvely contracting with tiansed contramms to
construct the project (sec. load. Business and Professions Code:) The ConwmoPs U.
.
nose law does not apply In an owner of property who Wilds or improves thereon, and,
who contracts for such pmjema with a contractor(s) licensed pursuant to the Contranofr
Liccue Law.
0 l am Mount under See .B &PC for NU reamn
owner Date
"
"
WORKER'S COMMNSATION DECLARATION
1 hereby of iim under pcoalty of perjury mte of the following declarations:
bare am will mumam. CerdOam of Cauem to self -iuwe for Wmins'a Compmr
salon. u provided for by Section 37M of the tabor Code. fm the Performance of the
work for which this Permit is issued.
0 I have and will mumuio Workds Comperwdom Insurance, an required by Section
37M of the Labor Cmm, for the Performance of the work for which this permit is issued.
'
My Worker' lion range n`mer and Policy number tae: -7
WV�j 'La Lid _2 if -7
Cartier. Policy Na.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thissection need not W completed If 1W Perrin Is fmone hundred dollars (SIM)
or less)
I certify than in the Performance of wart fm which Its permit u issued. I shall not
s rm as
is any manlMrm in,bbemmt mbjnlmIW Wafken'Gm11TWAlIM
Laws.any form
taws of Califomis Am
Applicant
NOTICE TO APPLICANT. If, Peter matting this
Coasyousbould
become subject the Workers provisions of Lmew
Compeor this previsions of the labor Coln, you most
en pro
foMwith comply with men provisions or thY permit shut ho domed nwked.
y
1
CONSTRUCTION LENDING AGENCY "
I hereby afrrm old them W a coutmction lending agency, for the performance of
the wont for which this permit is issued (Sec. 3097, Ci, C)
Umbers Name
Lamicer Adder..
'
I coolly that 1 have read this application aM soon, that tW shove information is
correct. I agree a empty with all city and county ordinances and sate laws misting an
Wilding construction, aM hereby sumoris represenuuvn of this city In ern upon the
ahown- mentioned property for inspection purposes
(We) agree m save, indemnify tap harmless City Cupertino
and the of against
liabilities judgments. casts and expwn which may in any way amore against No City
in consequence of the granting of this permit
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT
,`
Issued by: Date U r ,
SOURCE S.1�
lJ
Re -roofs
Type of Roof
VA HAZARDOUS MATERIALS DISCLOSURE Date
1l the apptinnt m furore building occupant store or haMle harudou mucrial
u defined by the Cupertino Municipal Cade. Chapter 9.12. aM the Haalth and Safety
Crum, o'nn 25532(1)7
Ye o
All roofs shall be inspected prior to any roofing material being installed.
Will the applicant e future Wilding occuprt use equipment or devices which
If a roof is installed without first obtaining an inspection, I agree to remove
haaandoes tar conomiwns an dellmd by the Bay Area Air Quality Martagcmcm
all new materials for inspection.
cot
Dyes
I have real the his materiaurequirenhnts under Qupter6.93aftboCaifm-
niaHaslth & Safcty Coder. Suction 25505,25533 and! 25334. I understand thatlfft building
--
tan not currently Imave a tram ynu t u mY mapeuibility m notify time mreupant of the
requremcns whac .206" we ofd Certifies
(/
Sign o Date(
All roof coverings to be Class'W' or better
ow rautho d sent Date
CITY OF CUPERTINO
• 2 !:TEMS OF 2 PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 35929036.00
DATE ISSUED.......: 09/02/2008
RECEIPT #.........: BS000005956
REFERENCE ID # ...: 08090001
SITE ADDRESS .....: 1063 TUSCANY PL
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OWNER ............: VONCE LAZANO
ADDRESS ..........: 1063 TUSCANY PL
CITY /STATE /ZIP ...: CUPERTINO CA,
OPERATOR: patg
COPY # : 1
95014 -4325
RECEIVED FROM ....:
LINDSEY CASTO
CONTRACTOR .......:
CASTO, LINDSEY
LIC # 21324
COMPANY ..........:
CASTO ROOFING
ADDRESS ..........:
1938. OLD MIDDLEFIELD
WAY
CITY /STATE /ZIP ..
MOUNTAIN VIEW,
CA 94043
TELEPHONE ........:
(650)961 -8922
•
i ?EE I'D UNIT QUANTITY
- -- -
AMOUNT PD
-TO -DT THIS REC
NEW BAL
- - - -- - - --
1BSEISM:I:CR VALUATION 7,975.00
--- - -
.0.80
-- -
0.00 0.80
--- ----
- - -
0.00
- --
1.— POOFRES SQ FEET 24.00
312.00
-
0.00 312.00
0.00
0'!'A!., PERMIT
-- -312 80 - - -
-- -0.00 - -- 312.80
0.00
OF PAYMENT
.: i2 i3DT_'C CARD
'! OTAI., RECEIPT
AMOUNT
---------------
312.80
312.80
'JOI:CIi; ID DESCRIPTION
----------------------------
601. ROOF TEAR OFF
604 ROOF IN- PROGRESS
•
REFERENCE NUMBER
--------------------
MC
VOICE ID DESCRIPTION
-- - - -- -- - -- --------------- - ---
602 ROOF PLYWOOD NAIL
605 FINAL REROOF
� ?.IJV�lJ
CITY OF
•CUPEkTINO
o (),�o0 01
CITY OF CUPERTINO
REROOF
PERMIT APPLICATION
APN #
Date:
Building Address:
1db3 Tuscan
Owner's Name:
Phone #:
VI nCe.
L10 &) 7a3-6763
Contractor: 1938 Old Middlefield Way
Phone #: &o V
Mountain View, CA 94043 -2503
It I,
Fax #:
Cupertino Business License #:
Contractor License #:
Type of Roof Covering:
Existing: Proposed:
• Built -Up Roof ❑ Built -Up roof
• Asphalt Shingles §_ Asphalt Shingles
yL 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: h�ao �,, �� �C 3
Residential 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: 7 ! 7 FOO
• I Have Read, Understand and Will with Cupertino's Tear -Off Policy:
Z /// _
Signature
CITY OF CUPERTINO
REROOF
CITY OCUPEI�TINO FEE SCHEDULE
Number of
Squares
Fee ID
Fee Description
Fee
Group
Permit Type
1RER00FC0M
Re -roof Commercial
B
1COMMLROOF
1BSEISMIC0
Seismic Commercial
B
Z�
1REROOFRES
Re -roof Residential
B
1SFDWLROOF
1BSEISMICRE
Seismic Residential
B
1RER00FMRES
Re-roof Multi-Family
B
1MFDWLROOF
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 to permit 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 pending.
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: V/ l YEA. a7(,�'/y� ,0
Job Site Address: ! ®/l0�3 PH kk SCd_,_4 6--
Roofing Company Name: LAAU �jk �C Q
Applicant's Signature: Date:
• Greg Casteel
Building Official
Revised 11/2/04
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
a
•
•
Plan Review Process Work Book Page -12- Revised 3/25/08
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
B.
Site
9.
Install H.E. Irrigation, (details /spec)'
L -1
11.
Permeable Paving, Note
L -1
C.
Foundation
1.
Use 15 % Flyash Concrete, (note)
S -1
72points
D.
Structural
3.
Uses Wood 1- Joist, (See Spec.)
S -2
5.
Use Truss with heels, (detail)
S -2
6.
B. OSB Sheathing, 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
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.
e Job Site Construction & Demolition Waste
r
r
r
r
r
r
0
r
r
r
r
0,
point; 75 %= 2 points; 60 %= 4 points
F�y
up to 4 Resource
e Reusable Buil ding Materials Jj
4 Resource pts
y=
3. Remodel for Mixed Use, Adaptive Reuse, and
(For every 10% of FSC lumber used = 2 points, up to 10)
up to 10 Resource pts
Historic Preservation
4 Resource pts
y=
4. Protect Native Soil
2 Resource pts
y=
5. Minimize Disruption of Existing Plants & Trees
1 Resource pt
y
6. Implement Construction Site Stormwater Practices
2 Resource pts
y=
7. Protect Water Quality with Landscape Design
2 Resource pts
y
8. Design Resource - Efficient Landscapes and Gardens
4 Resource pts
y=
9. Reuse Matedals/Use Recycled Conteni Materials
for Landscape Areas
2 Resource pts
y
10. Install High - Efficiency Irrigation Systems
2 Resource pts
y=
11. Provide for On -Site Water Catchment / Retention
2 Resource pts
y =,
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
2. Use Recycled Content Aggregate 2 Resource pts y =yes
3. Insulate Foundation/Slab before backfll , fZ,,,,.m, _,, 1._..__
C. Structural Frame
r
r
r
r
r
r
0
r
r
r
r
0,
1. Substitute Solid Sawn Lumber with Engineered Lumber
3 Resource pts
y =ye:
2. Use FSC Certified Wood for framing
(For every 10% of FSC lumber used = 2 points, up to 10)
up to 10 Resource pts
3. Use Wood I- Joists for Floors and Ceilings
2 Resource pts
y =ye:
4. Use Web Floor Trusses
2 Resource pts
y_–ye:
5. Design Energy Heels on Trusses 6° or more
2 Energy pts
y =ye:
6. Use Finger- Jointed Studs for Vertical Applications
2 Resource pts
y=yee
7. Use Engineered Studs for Vertical Applications
2 Resource pts
y =yes
B. Use Recycled Content Steel Studs for Interior Framing
2 Resource pts
y =yes
9. Use Structural Insulated Panels (SIPS)
a. Floors
3 Energy s
gyp
y =yes
b. Wall
3 Energy pts
y=yes
C. Roof
3 Energy pts
y =yes
10. Apply Advanced Framing Techniques
4 Resource pts
y =yes
11. Use Reclaimed Lumber for Non Structural Applications
3 Resource pts
y =yes
Use OSB —" - --'
I12.
a. Subfloors
1 Resource pt
y =yes
• I b. Sheathing _ —
_
1 Resource pt
y =yes
r
r
r
r
r
r
0
r
r
r
r
0,
0
F1 Use Sustainable Deckin--- ater ats
a. Recycled content
3. Resource pis
i b. FSC Certified Wood
3 Resource pts
2. Use Treated Wood That Does Not Contain Chromium/Arsenic
7
1 IAQ/Health pt
3. Install House Wrap under Siding
1 IAD/Health pt
4. Use Fiber - Cement Siding Materials
1 Resource pt
E. Plumbing
1. Install Water Heater Jacket V ^ 1 Energy pt y =yep
2. Insulate Hot and Cold Water Pipes 2 Energy pis y =ye:
a. Faucets (1 point each, up to 2 points)
Up to 2 Resource pis
b. Showerheads (1 point each, up to 2 points)
Up to 2 Resource pis
4. Replace Toilest with Ultra -Low Flush Toilets
(1 point each, up to 3 points)
Up to 3 Resource pts
5. Install Chlorine Filter on Showerhead
1 IAQ/Health pt y =ye:
6. Convert Gas to Tankless Water Heater
4 Energy pis Y--ye!
7. Install Water Filtration Units at Faucets
(2 points each, up to 4 points)
Up to 4 IAQ/Health pis
8. Install On- Demand Hot Water Circulation Pump
4 Resource pts y =yer
r. tiecmcai
1. Install Compact Fluorescent Light Bulbs (CFLs)
(6 bulbs =2 points, 10 bulbs =3 points, 12 bulbs = 4 points)
2. Install IC -AT Recessed Fixtures with CFLs (1 point each, up to
5 points)
3. Install Lighting Controls (1 point per fixture, up to 4 points)
4. Install High Efficiency Ceiling Fans with CFLs
(1 point each, up to 4 points)
G. Appliances
Install Washing Machine with Water and Energy "
mservafion Features
nstall Energy Star Refrigerator
Install Built -In Recycling Center
H. Insulation
1. Upgrade Insulation to Exceed Title 24 Requirements
a. Walls
b. Ceilings
2, Install Floor Insulation over Crawl Space
f3. IFstall Recycled-Content, Fiberglass Insulation withi
No Added Formaldehyde )
4. Use Advanced Infiltration Reduction Practices
5. Use Cellulose Insulation
a. Walls
b. Ceilings
6. Alternative Insulation Products (Cotton, spray -ioam)
a. Walls
o. cemngs
Up to 4 Energy pts.
Up to 5 Energy pis,
Up to 4 Energy pis,
Up to 4 Energy pis.
1 Energy pt
1 Energy pt y =yes
1 Energy pt y =yes
3 Resource pis y =yes
2 Energy pis
2 Energy pts
4 Energy pts
31AQ/Health pts
2 Energy pts
�
0
0
M1111
1 Energy pt y =yes
1 Energy pt y =yes
3 Resource pis y =yes
2 Energy pis
2 Energy pts
4 Energy pts
31AQ/Health pts
2 Energy pts
4 Resource pts y =yes
4 Resource pts y =yes
4 Resource pts
4 Resource pts
u
•
E
0
0
0
M1111
4 Resource pts y =yes
4 Resource pts y =yes
4 Resource pts
4 Resource pts
u
•
E
ii.- Install Energy - Efficient Windows
• a. Double -Paned i 1 Energy pt
b. Low - Emissivity (Low -E) 2 Energy pts
c. Low. Conductivity Frames j 2 Energy pts
2. Install Low Heat Transmission Glazing 1 Energy pt
J. Heating Ventilation and Air Conditioning
11. Use Duct Mastic on All Duct Joints '�
2 Energy pts
2. Install Ductwork within Conditioned Space
3 Energy pts
3. Vent Range Hood to the Outside
1 IAQ/Health pt
4. Clean all Ducts Before Occupancy
2 IAQ/Health pts
5. Install Solar Attic Fan
2 Energy pts
6. Install Attic Ventilation Systems
1 Energy pt
7. Install Whole House Fan
4 Energy pts
B. Install Sealed Combustion Units
(1.2 kw = 6 points, 2.4 kw =12 points, 3.6 kw =18 points)
a. Furnaces
3 IAQ/Health pts
J. Water Heaters
3 IAQ/Health pts
9. Replace Wall- Mounted Electric and Gas Heaters with
3 Enerov ots
Through- the -Wall Heat Pumps
3 Energy pts
10. Install 13 SEER/l 1 EER or higher AC with a TXV
3 Energy pts
11. Install AC with Non -HCFC Refrigerants
2 Resource pts
12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace
2 Energy pts
13. Retrofit Wood Burning Fireplaces
• a. Install EPA certified wood stovesrnserts
1 IAQ/Health pt
b. Install /Replace Dampers
1 Energy pt
c. Install Airtight Doors
1 Energy pt
14. Install Zoned, Hydronic Radiant Heating
3 Energy pts
15. Install High Efficiency Filter
41AQ/Health pis
16. Install Heat Recovery Ventilation Unit (HRV)
5 IAQ/Health pts
17. Install Separate Garage Exhaust Fan
3 IAQ/Health pts
K. Renewable Energy and Roofing
1. Pre -Plumb for Solar Water Heating
4 Energy pis
y =yes
2. Install Solar Water Heating System
10 Energy pis
y =yes
3. Pre -W re for Future Photovoltaic (PV) Installation
4 Energy pts
y =yes
4. Install Photovoltaic (PV) System
(1.2 kw = 6 points, 2.4 kw =12 points, 3.6 kw =18 points)
Up to 1 B Energy pts
Select Safe and Durable —Roofing Maledais u
_,
1 Resource pt
y =yes
7. Install Radiant Barrier `
3 Enerov ots
v =vas
L. Natural Heating and Cooling
1. Incorporate Passive Solar Heating 5 Energy pts y =yes
2. Install Overhangs or Awnings over South Facing Windows 3 Energy pis . y =yes
3. Plant Deciduous Trees on the West and South Sides 3 Energy pts y =yes
•
1. Use Lo'wRJO VOC Paint
1 IAO/Health pts
2. Use Low VOC, Water -Based Wood Finishes
2 IAQIHealth pts
3. Use LowKc VOC Adhesives
� . ,_ -_ _
_ 31AQMealth pts
4. Use Salvaged Materials for Interior Finishes
3 Resource pts
5. Use Engineered Sheet Goods with no added Urea
4 Resource pts
Formaldehyde
61AQMealth pts
6. Use Exterior Grade Plywood for Interior Uses
1 IAQMealth pts
L. Seal all Exposed Particleboard or -MDF . 1_
i 4 IAQ /Health. pts
8. Use FSC Certified Materials for Interior Finish
4 Resource pts
9. Use Finger- Jointed or Recycled- Content Trim
1 Resource pts
10. Install Whole House Vacuum System
3 IAQ/Health pts
N. Flooring
1. Select FSC Certified Wood Flooring
8 Resource pts
2. Use Rapidly Renewable Floonng Materials
4 Resource pts
3. Use Recycled Content Ceramic Tiles
4 Resource pts
4. Install Natural Linoleum in Place of Vinyl
5 IAQ/Health pts
5. Use Exposed Concrete as Finished Floor
4 Resource pts
6. Install Recycled Content Carpel with Low VOCs
4 Resource pis
Total Points Available:
Total Points Project Received:
•
1401 130 57
0 0 0 •
G:datarpro s/gr nbuildngguidelineshemodelersJgmenpointsfmal21204prmecied .zls
•
w
CITY OF
qf UPERTINO
•
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777 -3228
Fax(408)777 -3333
Building De artment
JOB ADDRESS:
PERMIT
OWNER'S NAME: w e o, z .. v
PHONE # - -L
GENERAL CONTRACTOR Oz
FAX # - z .91
I am not using any subcontractors; ! 0
Signature Date
Please check applicable subcontra-0,,,. d complete the following information:
D�
Date
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
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Date