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08050182CITY OF CUPERTINO CONTRAC'.�'QR�INEURMA.TIt)N ': BUILDING9IVISIONI PERMIT aull.Y16ciAflR ALHAMBRA AVE KEVIN SULLIVAN ROOFING 08050182 NER'S NAME: PERMIT ISSUE DATE KEYS W R AND ERIE L 1696 VALLEY OAKS DR 05/23/2008 ONE: SANITARY NO, CONTROL NO. (408)842 -1057 ARCHITECl/ENGINEEe: BUILDING PERMITINFO BLDG ELECT PLUMB MECH 0 LICENSED CONTRACTOR'S DECLARATION Job DEiSCrI hOn p 1 hemby affirm dw 1 tin lio:nud under pmvi tiou of Chal. 9 (rommetming with Section 70(10) oftivision 3 ofthe Business aM PrfcuamsC "my Banc is RE -RF 17SQ T/O EXTNG' CMPSHNGL& CAPSHTRFNG CLS A Li¢lr`avnd` 30YR COMPSHNGLS& ADD MDFD BITUMENCPSHT ON Dak ARCHrrECr'S DEDcwR LOW —SLOP AREAS I u d my Plans shall be used as public moards Lkoncd Pouingdonal OWNER - BUILDER DECLARATION 1 hereby affirm That I am exempt from the Contractor's Lkenw Law for Om -- following mason. (Section 7031.5. Business; and Profaaions Codc: Any city or county which mquiru a Permit to construct, alley, imprw, demolish, or m,Cr any shumure prior to its IatuarKe. Can RQulma the applicant for Such permil to file a Signed s1ammsm be is licensed to NC ofdk Contot Ueeme Law (chancr9 Sq. Ft. Floor Area Valuation that puranam provisions (commencing with Smtion 7") of Division 3 of the Business and Professions Code) or $8000 that he is exempt ticorfrm and the Trans for the allcgad casurnod n. Any A.lmlon of 32623027.E Number Occupancy Type Section 7031.5 by any applicant fW a Perot subjcau the applicant ro a civil Actually of out mom Nan IT. hundmd dmW.(5500). ❑ 1, u owner of the pmpersy. m my moployca with wages u their sole campcmdon. Required Inspections WIa da thewmlL and NC msuc1YR is.minknded maBmed for Ask (Sec. 7W. BLLGoetl and Prfaslons Cade: The cony es Lieu¢ taw doss not apply To an owner N Misery who builds m impruw Nmcon, and who does such work himcl f or thrugh his awn emIdAyces. Provided that such imprwmau tie not imerded or olfencd for W. U. hawewr, the building Or imprvemmu iswld within one year of compledon, the ownrr- builder, will have the burden of Arvin, That M did not build or immune for puryoc of ask.). 1, u Owner of the prpm , am exclusively cenuaning with ]I ... d ronummm m cansuuct the project (See. 1010. Business and PNfcwions Cade:) The Coatranor's U- cense Law dory not apply to an ownrr of prolcny wha build. or W rocs thereon, and, who contracts for such projects with a conuanrkr(s) licensed pursuant k the ContranloYS Lk.. Law. ❑ Iamamoptundm See ,BkPCfor Nismuon rcr Dak WORKER'S COMPENSATION DECLARATION 1 herby allinn under Penalty of perjury ox of the following declarations: IhaK Wldien m.by amirm31[akof Thermr fmserf..'.CampCn- ' work,• provided (m by Section 37000( the labor Cade. for Ne peROrmanro of the Cod.. , r wart for which Nis permit is issuN. ❑ 1 have and will maintain WmIam's Comperatirkn Insursna• u inquired by Section 3700 of the tabor Code. fm The parformmce ofthe work for which NU permit u issed. ' My Worker's ompematirkn huuran¢ Trim and Policy number amp - Curler. Policy No.: Z`�.�— l CE IF ATE O' PION FROM WORKERS' COMPENSATION INSURANCE (Ihu=I. need not To campiekd if the permit is for. hummol dollar (SIM) or kw) I comfy Not in dm pmformana Of the work fur which This Permit Is Issrcd.1 shall not Comfier any Mount In my mmmcr An ax to b ccoom subject To Ble WadrerS L'ompmmalk, Laws of utf.ot DAM ApPlicmt NOTICE TO APPLICANT. If. alter making This Ccniriak of Exemption, you should bamme subject N the Worker. Comp[nsadon Provisions Of the LAW, Code, you muss forthwith comply with such provisions or his permit shall be deemM invoked. CONSIRUC ION LENDING AGENCY 1herby.M. that NOm A. Constroction krulin, agency for oc pmfm mccof UM work for which this permit k issued (Sec. 3091• Civ. C.) Lenders Name Lender. Addsas I certify That I haw Tad this application aM stsk Nu the .bow: inforutiun u COMM I agme to amply with all city and county ordinances and suk laws miming to Wilding construction, and hemby authorim mmewnuom of this city in mom upon the above- meMOrcd progeny for inspeeoon purposes (We) since to saw, indemnify and kap bardeu The City of Cupertino against ihbilido, jmigments, tests and expnum which may N any way ccme agalmt said City in c."C"An a of the janun is permit APPLICANT UNDERST S ?N W PLY WITH A L NO -POINT Issued by: Date UR GULATIONS Re -roofs mas camoCon un DIM HAZA OUS MATERIALS DIS.Su1 E Type of Roof , Million., karlor tort Wilding=uMtmomormMkhawrdommimAM ;cmit defined by the Cu Municipal COCA. Chapter 9.13. and the Health and Safety le. Section y. 25530(0)7 �Ya fro All roofs shall be inspected prior to any roofing material being installed. Will Nc.pplicmt rkr mm Wilding acco...I tie cyvipmat or d"i. which If a roof is installed without first obtaining an inspection, I agree to remove hanNons air comamimnts w dcrinM by the Bay Arta Air Quality Management all new materials f pection. DisuicA 1t /� I raw mad the huandow muerials"bommentsundmCTbmw,6.95ofNeCalifm- nuHaiNk50ruyCodA. 505. n533 amt 25534. I understand dm ifde building dots of Carmody haw n4 Nel it u my ms tip 'n `C omiIdity to rcofy oc[upant nr Ne ncq meu tpoarlmi a rk mlrm.krkIQa .y. L Signatu e o App 'cal Dale All roof coverings to be Class'W' or better ownmmaathrkrfs agent ate 0 2 ITEMS OF 2 • • CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN .......... 32623027.00 DATE ISSUED.......: 05/23/2008 RECEIPT #.........: BS000004885 REFERENCE ID # ...: 08050182 SITE ADDRESS .....: 10131 ALHAMBRA AVE SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: patg COPY # : 1 OWNER ............: KEYS W R AND ERIE L ADDRESS ..........: 10131 ALHAMBRA AVE CITY /STATE /ZIP ...: CUPERTINO CA, 95014 -1203 RECEIVED FROM ....: ROOFSERV ROOFING CONTRACTOR .......: KEVIN E. SULLIVAN LIC # 23810 COMPANY ..........: KEVIN SULLIVAN ROOFING ADDRESS ..........: 1696 VALLEY OAKS DR CITY /STATE /ZIP ...: GILROY, CA 95020 TELEPHONE ........: (408)842 -1057 FEE ID UNIT QUANTITY -- -- --- AMOUNT PD -TO -DT THIS REC NEW BAL -- --- - - - - - 1REROOFRES SQ FEET 17.00 -- - -- - -- -- 221.00 0.00 ---- - - ---- 221.00 ---- - -- - -- 0.00 BSEISMICRE VALUATION 8,000.00 0.80 0.00 0.80 0.00 TOTAL PERMIT - - -- - --- - - -- -- 221.80 0.00 - - -- 221.80 - --- - - - - -- 0.00 METHOD OF PAYMENT --------------- -- CHECK TOTAL RECEIPT : AMOUNT --------------- 221.80 --------------- 221.80 VOICE ID DESCRIPTION -- - - - --- ------------------- --- - -- - -- 601 ROOF TEAR OFF 603 ROOF BATTENS 605 FINAL REROOF REFERENCE NUMBER --------------- - - - -- #4570 VOICE ID DESCRIPTION `- - - -- - -- ----------------- ----- -- -- -- 602 ROOF PLYWOOD NAIL 604 ROOF IN- PROGRESS r' CITY of CUPERTINO CITY OF CUPERTINO REROOF PERMIT APPLICATION 0, ?0_"25 0/ ,Po,9 APN # � 6a 3 G0,2? 7 2 Date: Building Address: 1013 R l Owner's Name: Phone #: 1 V Il- ! 731Q- Contractor: Vlh o Phone #: Fax #:4 �Y*7- !cPS ( 9 Cupertino Business License #: Contractor License #: Type of Roof Covering: Existing: Proposed: ❑ Built -Up Roof ❑ Built -Up roof A Asphalt Shingles 'jj� Asphalt Shingles • 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: i�Pri( =� �S�tt\ (+r,Wq -3 hcr,� � - SA t`e'ar�'t'C� Sternal `CLq�n' os, _� ,"0`1 S ' l � Cs:--f S7, Q ' ayN lQ�Skp2 -afqeZ6 Ci�ss,s� 5 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 • I Have Read, > nk stanc gill Comply with Cupertino's Tear -Off Policy: F, CITY OF CUPERTINO 8' `d' REROOF CUPERTINO FEE SCHEDULE Number of Squares Fee ID Fee Description Fee Group Permit Type IREROOFCOM Re -roof Commercial B 1COMMLROOF IBSEISMICO Seismic Commercial B 1-7 1REROOFRES Re -roof Residential B ISFDWLROOF ` 1BSEISMICRE Seismic Residential B 1 1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B IBUSLIC Business License B n 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 ge?tnit 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 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: Job Site Address: t d 1 �s \ X01 h 1D ye Roofing Company Na Applicant's Signature Greg Casteel Building Official Revised 11/2/04 a 0 0 Plan Review Process Work Book Page -l2- Revised 3/25/08 0 C%' It- ME 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 2 points 11. Permeable Paving, Note L -1 2 oints C. Foundation 1. 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 Sheathing, detail S -2 2 oints 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 0 0 Plan Review Process Work Book Page -l2- Revised 3/25/08 0 C%' It- ME Green Points Rating System for Remodeling Projects iDue 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 signlly 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. • 1. Recycle Job Site Construction & Demolition Waste 0 0 0 65% = 1 point; 75% = 2 points; BO /o = 4 points 2 Energy pts up to 4 Resource pts 2. Salvage Reusable Building Materials 2 Resource pts 4 Resource pts y =yes 3. Remodel for Mixed Use, Adaptive Reuse, and y =yes B. Use Recycled Content Steel Studs for Interior Framing 2 Resource pts Historic Preservation 9. Use Structural Insulated Panels (SIPS) 4 Resource pts y =yes 4. Protect Native Soil 3 Energy pts 2 Resource pts y =yes 5. Minimize Disruption of Existing Plants & Trees y =yes 1 Resource pt y =yes 6. Implement Construction Site Stonnwater Practices 10. Apply Advanced Framing Techniques 2 Resource pts y =yes 7. Protect Water Quality with Landscape Design 3 Resource pts 2 Resource pts y =yes B. Design Resource - Efficient Landscapes and Gardens 4 Resource pts y =yes 9. Reuse Matenals/Use Recycled Content Materials b_ Sheathing 1 Resource pt y =yes for Landscape Areas 2 Resource pts y =yes 10. Install High- Efficiency Irrigation Systems 2 Resource pts y =yes 11. Provide for On -Site Water Catchment / Retention 2 Resource pts y =ye=. 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 2. Use Recycled Content Aggregate 3. Insulate Foundation/Slab before backfill C. Structural Frame 1. Substitute Solid Sawn Lumber with Engineered Lumber 2. Use FSC Certified Wood for framing (For every 10% of FSC lumber used= 2 points, up to 10) 3. Use Wood I- Joists for Floors and Ceilings 4. Use Web Floor Trusses 3 Resource pts y =yeE up to 10 Resource pts. 2 Resource pis y =yes 2 Resource pis y =yes 5. Design Energy Heels on Trusses 6" or more 2 Energy pts y =yes 6. Use Finger - Jointed Studs for Vertical Applications 2 Resource pts y =yes 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 pts 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 - - - - -- --- i12.Use0SB a. Subtloors 1 Resource pt y =yes b_ Sheathing 1 Resource pt y =yes r r r r r r r r r r 0 r r r r 0 0 _— j 11. Use Sustainable Decking Materials 2 Energy pis y =yes !3. Retrofit all Faucets and Showerheads with Flow Reducers a. Recycled content 3 Resource pts y =yE J. FSC Certified Wood 3 Resource pis y =yE 2. Use Treated Wood That Does Not Contain Chromium /Arsenic 1 IAQ/Health pt y =yE 3. Install House Wrap under Siding 1 IAQ/Health pt y =yE 4. Use Fiber - Cement Siding Materials 1 Resource pt y =yes E. Plumbing 1 Install Water Heater Jacket 1 Energy pt y =yes 2. Insulate Hot and Cold Water Pipes 2 Energy pis y =yes !3. Retrofit all Faucets and Showerheads with Flow Reducers i a. Faucets (1 point each, up to 2 points) Up to 2 Resource pts. b. Showerheads (1 point each, up to 2 points) Up to 2 Resource pts. 4. Replace Toilest with Ultra -Low Flush Toilets Up to 4 Energy pis I(1 point each, up to 3 points) Up to 3 Resource pts. _ 5. Install Chlorine Filter on Showerhead _� 1 IAQ/Health pt y =yes 6. Convert Gas to Tankless Water Heater 4 Energy pis y =yes 7. Install Water Filtration Units at Faucets 1 Energy pt y =ye. (2 points each, up to 4 points) Up to 4 IAQ/Health pis. 6. Install On- Demand Hot Water Circulation Pump 4 Resource pts y =yes r. eieancai 1 Energy pt y =ye 1. Install Compact Fluorescent L ght Bulbs (CFCs) j r r r r � (6 bulbs =2 points, l0 bulbs =3 points, l2 bulbs = 4 points) — Up to 4 Energy pts 2. Install IC -AT Recessed Fixtures with CFLs (1 point each, up to 5 points) Up to 5 Energy pts 3. Install Lighting Controls (1 point per fixture, up to 4 points) Up to 4 Energy pis 4. Install High Efficiency Ceiling Fans with CFLs (1 point each, up to 4 points) Up to 4 Energy pis G. Appliances ;1. Install Energy Star Dishwasher 1 Energy pt y =ye. 12. Install Washing Machine with Water and Energy jConservation Features 1 Energy pt y =ye 3.Install Energy Star Refrigerator 1 Energy pt y =ye 4. Install Built -In Recycling Cecter 3 Resource pis y =ye H. Insulation 1. Upgrade Insulation to Exceed Title 24 Requirements a. Wens b. Ceilings 2. Install Floor Insulation over Crawl Space 3. Install Recycled- Content, Fiberglass Insulation with IS. No Added Formaldehyde 4. Use Advanced Infiltration Reduction Practices 5. Use Cellulose Insulation a. Walls b. Ceilings 6. Alternative Insulation Products (Cotton, spray -foam) a. Walls c.cenmgs 2 Energy pts y =yes 2 Energy pis y =yes 4 Energy pis y =yes J 31AQ/Health pis 2 Energy pts 4 Resource pts y =yes 4 Resource pts y =yes 4 Resource pts 4 Resource pts • r 1 I� r r r r � r r r � r 0 2 Energy pts y =yes 2 Energy pis y =yes 4 Energy pis y =yes J 31AQ/Health pis 2 Energy pts 4 Resource pts y =yes 4 Resource pts y =yes 4 Resource pts 4 Resource pts • r 1 I� r r r r 2 Energy pts y =yes 2 Energy pis y =yes 4 Energy pis y =yes J 31AQ/Health pis 2 Energy pts 4 Resource pts y =yes 4 Resource pts y =yes 4 Resource pts 4 Resource pts • r 1 I� • 1. Install Energy - Efficient Windows K. Renewable Energy and Roofing 1. Pre -Plumb for Solar Water Heating 4 Energy pis 2. Install Solar Water Heating System 10 Energy pts 3. Pre -Wire for Future Photovoltaic (PV) Installation 4 Energy pis a. Double- Paned 1 Energy pt y =yes b. Low- Emissivity (Low -E) 2 Energy pts y =yes c. Low. Conductivity Frames 2 Energy pts y =yes -2 Install Law Heat Traasmission Glazing a 1 Energy of y =yes J. Heating Ventilation and Air Conditioning �1_Use Duct Mastic on All Dact Joints J; 2 Energy pts Y--Yes 2. Install Ductwork within Conditioned Space 3 Energy pts y =yes 3. Vent Range Hood to the Outside 1 IAOMeallh pt y=yes 4. Clean all Ducts Before Occupancy 2 IAO Health pis y =yes 5. Install Solar Attic Fan 2 Energy pis y =yes 6. Install Attic Ventilation Systems 1 Energy pt y =yes 7. Install Whole House Fan 4 Energy pts Y--yes 6. Install Sealed Combustion Units a. Furnaces 3 IAO/Health pts y =yes b. Water Heaters 3 IAOMealth pts y =yes 9. Replace Wall- Mounted Electric and Gas Heaters with Through- the -Wall Heat Pumps 3 Energy pis y =yes 10. Install 13 SEERl11 EER or higher AC with a TXV 3 Energy pts y =yes 1. Install AC with Non -HCFC Refrigerants 2 Resource pts y =yes 12. Install 90 %Annual Fuel Utilization Efficiency (AFUE) Furnace 2 Energy pts y =yes • 13. Retrofit Wood Burning Fireplaces . a. Install EPA certified wood stovenserts 1 IAQMealth pt y =yes b. Install /Replace Dampers Energy pt y =yes c. Install Airtight Doors 1 Energy pt y =yes 14. Install Zoned, Hydronic Radiant Heating 3 Energy pts y =yes 15. Install High Efficiency Filter 41A0/Health pts y =yes 16. Install Heat Recovery 4. Install Photovoltaic (PV) System (1.2 kw = 6 points, 2.4 kw = 12 points, 3.6 kw = 18 points) Up to 18 Energy V6 1Select Safe and Durable Roofing Materials _ 1 Resource pt y =: 7. Install Radiant Barrier 3 Energy pts y =' L. Natural Heating and Cooling 1. Incorporate Passive Solar Heating 5 Energy pts 2. Install Overhangs or Awnings over South Facing Windows 3 Energy pts 3. Plant Deciduous Trees on the West and South Sides 3 Energy pis E Ventilation Unit (HRV) 5 IAO Health pts y =yes 17. Install Separate Garage Exhaust Fan 3 IAQMealth 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 18 Energy V6 1Select Safe and Durable Roofing Materials _ 1 Resource pt y =: 7. Install Radiant Barrier 3 Energy pts y =' L. Natural Heating and Cooling 1. Incorporate Passive Solar Heating 5 Energy pts 2. Install Overhangs or Awnings over South Facing Windows 3 Energy pts 3. Plant Deciduous Trees on the West and South Sides 3 Energy pis E '1. Use Low /Wv—bc Paint P. Use Low VOC, Water -Based Wood Finishes 13. Use Low /No VOC Adhesives "- — -- - -- -- 4. Use Salvaged Materials for Interior Finishes 5. Use Engineered Sheet Goods with no added Urea Formaldehyde 6. Use Exterior Grade Plywood for Interior Uses r7.Seal all Exposed Particleboard or MDF 8. Use F S C Cert ified Materials for Interior Finish 9. Use Finger - Jointed or Recycled- Content Trim 10. Install Whole House Vacuum System N. Flooring 1. Select FSC Certified Wood Flooring 2. Use Rapidly Renewable Flooring Materials 3. Use Recycled Content Ceramic Tiles 4. Install Natural Linoleum in Place of Vinyl 5. Use Exposed Concrete as Finished Floor 6. Install Recycled Content Carpet with Low VOCs Total Points Aval a le: Total Points Project Received: 1 IAQ/Health pts 21AQ/Health pts 31AQ/Health pts 3 Resource pts 61AQ /Health pts 1 IAQ/Health pts 41AQ/Health pts 4 Resource pts 1 Resource pts 3 IAQ/Health pts 8 Resource pts y =yes 4 Resource pts y =yes 4 Resource pts y =yes 5 IAQ/Health pts y =yes 4 Resource pts y =yes 4 Resource pts y =yes r1 LJ 1401 1301 57 • 0 0 0 G: datalprogslgreenbuildingguidelineslremodelerslgreenpointsf nal2.l2.e4protecied.xls P , am CITY OF OCUPERTINO • Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777 -3228 Fax(408)777 -3333 Building Department T 1 0A SESySc 11 _ C� � �-j `� ` PERMTT # S6l � "�- OWNER'S NAME: PHONE # Z— -7 GENERAL CONTRACTOR: 1(�l FAX # Cabinets & Millwork I am not using any subcontractors: gnature Date Please check applicable subcontractors an d olete the followinu infer rtAfinn- we gnature .. as 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 Til we gnature .. as Date