08080078 CITY OF CUPERTINO *�''° r j •• ?"
BUILDING DIVISIONPERMIT .��ONTRACTQR'INEQRMATION
>y.+:7.1d. `�•?KF,..,,..�'•�'.,>�Y"FFz`,. o-.^f»,�,tAe
BUILDING ADDRESS: PERMIT NO.
206'70 GREENLEAF CT LOT 3 NEXGEN BUILDERS, INC. 08080078
OWNER'S NAME: PERMIT ISSUE DATE
CUPERTINO GREENLEAF LLC 225 DEMETER ST 08/12/2008
HIS: SANITARY NO. CONTROL NO.
(650) 322-5800
ARCHr1ECTfENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
�Oca LICENSED CONTRACOWS DECLARATION lob Description
m'
1 hereby affirm that 1 am licenced under pmitiom vof Chapter 9(Commencing
m'€ with Secdon70(l))ofDlvisan0ofmeBuainevandProfcuiumcode,andmYReemcis REV SLOPE ON SEWR, REVISE ROUTE OF WTR LINES
is fall farce and effm
Dg= License am Lie.1i ORIG#07020040
DOW_ARCHITECTS DECLARATION NOTE: ONLY 1 REV FEE FOR 3 REVIONS, LOTS 1-3 OK
1 uMmplans shad u
vand my plans W weepublic records
pa0
gW(n Licensed Pmfcsaional
5to IOWNER-BUILDER DECLARATION
E 1 hcn:by sMs.that I am excerpt from to Contractors Us..Law for the
HO O O following moon.(Section 101.5.But eels and Professions Coe:My City or County
which requires a permit to construct,alter,improve,demolish.or repair any someone
_I< prior to its insemes,site,requires lM applicant for such permit as file a signed statement
iso
must haulicensed Formal tothe psortsiomofthe Conarcwr'sLicense Law(Chapn9 Sq.Ft. Floor AreaValuation
$ (commencing with Section 7000)of0tvison J of the Business and Per $fections Code)ar 1500
— that I.is eumpt shcmfrom and the basis for the alleged eaempilm.Any vlotatfnn of
Section 7031.5 by any applicant for a pemah suhjeera the applicanfto a Civil penalty Of Number Occupancy
not mamthsofivehundred dolluane dollars 32656029 P Y Type
C 1,as owner of the property,m my employees with wages u their sale Compensation,
will do the wont and the swveae b oat intended or offered for isle(Sec.7W.Business
YW P(wfeatioN Code:The Contractors Limme law does ant apply in an wwtXr of Required Inspections
property who Wilds Or improves thereon,and whodoessuclt work himrelf m though his
awnemployer,provided Nusseliimp....asoenotinm iledanolremdferule IL
however.the Wilding or improvement is sold within cam year of completion,aha cw ea-
Wilder will have Use WNce of proving tat le did Out Wim Or improve for purpace of
sale
I.u mater of the property am exclusively contracting with licensed contractors in
conamat the project(Sec.70aa,Business and Professions Cade:)lite Commeas',ti. .
came Law does not apply to an owner of property who Wilds or improver thereon,and
who contracts for such projects with a cormanoa(s)licensed pursuant m the amateurs
Wceme Law.
❑l an
ea�gf�'pl undo See B tit P C rte Nis mason
Owner J I/f/t Data
(2�
WORKER'S COMPENSATION DECLARATION
40 1 hereby affirms wMer pcvalsy of pcajury me of the folbwing dalantions:
I am and will mainWn aCceifhcate ofConstnl m ulf-Iuum for Workers Compcn-
salon,as provided for by Saxon 3700 of the labour Code.for the perfarman¢of the
wart fm which this permit is issued.
0 1 have and will mainam Workers Compensation Insurance,as acquired by Section
3700 ofta Labor Code,for de performance ofthe wart for which this permit is Wood '
My Workers Compensation Iwranet canner and Policy,number are; .
Cartier. PaRcy No,
CERTIFICATE OF EKEMMON FROM WORKERS
COMPENSATION INSURANCE
(Thu motion need not W completed due,Permit Is fmone hummed dollars(5100)
or lot)
1 unify dam in the performaac of the wank for which this permit is booed,l shall am
employ any person in any ma rsou fq hecomesubl'eetJm Warkers'Compenswmn
Laws of California.Data / 116
Applicant /y- -
NOTICE TO APPl3CANT:IL after making this Certificate of Exemption,you should
become subjeu as dac Workers Compensation provisions of the labor Code.you must
.J O forthwith ComP1Y with such provisions or this permit shall W dcormd revoked.
? ""' CONSTRUCTION LENDING AGENCY
ti
[—h IWrap,haRthi Net them it.ed(see nnlending agency for the performanu of
Qi In the wok for which this permit u issued(Su.3097,Civ.C.)
A Landers Nene
� z lenders Adder.•
C)Q 1 anifY that 1 have mad this applicoion and sum Nat 0.above hime adon is
LL E comm 1 agree as Comply with all city and county antimatter and sate leas relating to
O Wilding construction.and xrehymnivanne representatives ofthis city in coter upon the
above-mentioned Property for inspection Purposes
(We)agree to save,indemnify and keep haemma the City of Cupertino against
in Iiabilitimpactmenm,Casa ma..peaacs which may i^any way accrue sgainstseid City
V Z in cansequemt of the granting of this permit.
^h APPLICANT UNDERSTANDS AND WILL COMPLY WIT14 ALL NON-POINT Issued by: Date
50 REG4LA770NS
(f �— -1 —Re-roofs
Signature of Appli.UCmuO&cM, Data '
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or future Wilding occupant some orandlc haardoes material
as defined by the Culp nim Municipal Code.Chapter 9.13,and the Health and Safely
Cole,Section 35532(a)T
GYes All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future Wilding amupanl use,equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
fah hmaNnas ter aontamimnta
Diawie e
as Oncd by tie Bay AM.Air Quality Management all new materials for inspection.
0Yes o
IhavematthedvSmm mat . mquimmcotsun@r Chapter Q95ofthe Cali n&
rias Out
it is te=up=upset Jus rot cmmnJY have a temnL dao ilex my responsibility m notify the oceupsot of the
m4immcnuwhkhmuaWmet pdor \ofaCeniBtamofaeupse, — ignatureofApplicant Date
Owner or authomcd agent —) D,m All roof coverings to be Class'%W'or better '
CITY OF CUPERTINO
• ITEM 1 OF 1 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 32656029 . 03
DATE ISSUED. . . . . . . : 08/12/2008
RECEIPT # . . . . . . . . . : BS000005757
REFERENCE ID # . . . : 08080078
SITE ADDRESS . . . . . : 20670 GREENLEAF CT LOT 3
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . .
OWNER . . . . . . . . . . . . : CUPERTINO GREENLEAF LLC
ADDRESS . . . . . . . . . . : 225 DEMETER ST
CITY/STATE/ZIP . . . : E PALO ALTO, CA 94303
RECEIVED FROM . . . . : NEXGEN BUILDERS
CONTRACTOR . . . . . . . : NOEL CHAMBERLAIN LIC # 29430
COMPANY . . . . . . . . . . : NEXGEN BUILDERS, INC.
ADDRESS . . . . . . . . . . : 225 DEMETER ST
CITY/STATE/ZIP . . . : E PALO ALTO, CA 94303
TELEPHONE . . . . . . . . : (650) 322-5800
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- -- ----- ---------- ---------- ---------- ---------- ----------
1REVSFDWL EACH 1 . 00 734 . 00 0 . 00 734 . 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 734 . 00 0 . 00 734 . 00 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 734 . 00 #37678
TOTAL RECEIPT 734 . 00
�-7R
CITY OF CUPERTINO
CITY OF
• CUPERTINO REVISION/DEFERRED
PERMIT APPLICATION FORM
APN # 3.2-Go (,:�, 0 meq'( , tX3
Original Permit #: �-1 O `�O
Building Address: ZC) Co-76 6-aEe1\)t,6JV CT- Lr--( 3
Mailing Address (if different from building address):
225 �cin���tiZ si. C/+ r' cu
Owner's Name: Phone #:
�
U121Cn� LEl41- Ll-L ,
�` �22 ^ S�G6
Contractor: Phone:
N��cC, 6/, 7301 LD��S�L•
Fax:
Contractor License #: -}37G��cti4S
Cupertino Business License #:
Contact: Phone:
G J &,7- cl3 �S
Fax:
Building Permit Info:
Bldg ❑ Elect ❑ Plumb Mech ❑
Residential H Commercial
Job Description: kG- J is 10fv
Is the project in the Wildland- Urban Interface Fire Area? Yes ❑ No ❑
Type of Construction (Usage Class): * Occupancy Type:
1-A, 1-B ❑ II/III/V-A ❑ II/I11 B, IV-HT, V-Bn]
Valuation (cost of project): #
Project Size: Express Standard Large Major
Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it
Points Achieved:•
to the application or if applicable, include in plan set & the sheet index.
For help, contact Build it Green at www.buildit2reen.org
Revised 6/16/08
CITY OF CUPERTINO
CITY OF RE VISION/DEFERRED
CUPEkTINO
PERMIT APPLICATION FORM •
FEE SCHEDULE
Quantity Fee ID Fee Description Fee Group Permit Type
Sq Ft
1REVCOMNEW Revision Commercial New B 1*
1REVCOMTI Revision Tenant Improvement B 1* TI
1REVSFDWL Revision SFDWL B 1R3SFDW
1REVRESADD Revision Addition B 1R3SFDADD
1REVRESREM Revision Remodel B 1R3SFDREM
1DEFINSP Deferred Submittal not R-3 B 1*
Inspection •
1DEFPLNCK Deferred Submittal not R-3 Plan B 1* OR
Check 1* TI
1DEFR3PLNCK Deferred submittal R-3 Plan Chk B 1R3SFDW
1R3SFDADD
1R3SFDREM
2of3
Green Building Plan Check
Index of Green Building Points/Categories
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 Waist, (See Spec.) _ S-2 2P oints
5. Use Truss with heels, (detail) S-2 2 points
6. B. OSB Sheathing, detail 5-2 2 cints
E. Ext. Finish 1. Composite Decking, (Note/Spec.) A-3 2 points
4. B. Fiber Cement Siding, (Note/Spec.) A-4 2 cints
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 paint
3. Enerqy Star Refrigerator, (No ta/Spec. 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
0
• LEED for Core and Shell v2.0
Registered Project Checklist
Project Name:
Project Address: .
Ya 7 No
Prereq 1 Construction Activity Pollution Prevention Required
Credn 1 Site Selection 1
Credit 2 Development Density&Community Connectivity 1
Credit Brownfield Redevelopment 1
Credit 4.1 Alternative Transportation:Public Transportation Access 1
Credit 4.2 Alternative Transportation:Bicycle Storage&Changing Rooms 1
Credit 4.3 Alternative Transportation:Low-Emitting and Fuel-Efficient Vehicles 1
Credit 4.4 Alternative Transportation:Parking Capacity t
Credit 5.1 Site Development:Protect of Restore Habitat 1
Credit 5.2 Site Development:Maximize Open Space 1
Credit 6.1 Stormwater Design:Quantity Control 1
Credit 6.2 Stormwater Design:Quality Control 1
Credit 7.1 Heat Island Effect,Non-Roof 1
Credit 7.2 Heat Island Effect,Roof 1
Credit a Light Pollution Reduction 1
Credit Tenant Design&Construction Guidelines 1
Credit 1.1 Water Efficient Landscaping:Reduce by 50% 1
Credit 1.2 Water Efficient Landscaping: No Potable Use or No Irrigation 1
• Credit Innovative Wastewater Technologies 1
Credit 3.1 Water Use Reduction:20%Reduction 1
Credit 3.2 Water Use Reduction: 30%Reduction 1
Ya 7 No
r Prereq 1 Fundamental Commissioning of the Building Energy Systems Required
Prereq 2 Minimum Energy Performance Required
Prereq 3 Fundamental Refrigerant Management Required
'Nota for EAc1:NI LEED for Cora end Spell projects registered eMer June 2618 2007 ere required to achieve et least two(2)points under EAc1.
® Credit 1 Op timize Energy Performance 1 to 6
10.5%New Buildings or 3.5%Existing Building Renovations 1
14%New Buildings or 7%Existing Building Renovations 2
17.5%New Buildings or 10.5%Existing Building Renovations 3
21%New Buildings or 14%Existing Building Renovations 4
24.5%New Buildings or 17.5%Existing Building Renovations 5
28%New Buildings or 21%.Existing Building Renovations 6
31.5%New Buildings or 24.5% Existing Building Renovations 7
35%New Buildings or 28%Existing Building Renovations e
Credit z Onsite Renewable Energy 1
Credit Enhanced Commissioning 1
Credit 4 Enhanced Refrigerant Management 1
Credit 5.1 Measurement&Verification-Base Building 1
Credit 5.2 Measurement 8 Verification-Tenant Sub-metering 1
Credit 6 Green Power 1
continued...
•
Yee 7 No
Pmmq 1 Storage&Collection of Recyclables Required •
Credit 1.1 Building Reuse: Maintain 25%of Existing Walls, Floors&Roof t
Credit 1.2 Building Reuse: Maintain 50%of Existing Walls, Floors&Roof 1
Credit 1.3 Building Reuse: Maintain 75%of Interior Non-Structural Elements 1
Credit 2.1 Construction Waste Management: Divert 50%from Disposal t
Credit 2.2 Construction Waste Management: Divert 75%from Disposal 1
Credit Materials Reuse: l% t
Credit 4.1 Recycled Content: 10%(post-consumer+7/,pre-consumer) t
Credit 4.2 Recycled Content:20%(post-consumer+X.pre-consumer) 1
Credit 5.1 Regional Materials: 10%Extracted,Processed&Manufactured Regionall 1
Credit 5.2 Regional Materials:20%Extracted,Processed&Manufactured Regionall 1
Credit Certified Wood 1
Y. 7 No
a
;g Prereq 1 Minimum IAO Performance Required
re Prereq 2 Environmental Tobacco Smoke(ETS)Control Required
Credit 1 Outdoor Air Delivery Monitoring t
Credit 2 Increased Ventilation t
Credit 3 Construction IAO Management Plan: During Construction 1
Credit 4.1 Low-Emitting Materials:Adhesives&Sealants 1
Credit 4.2 Low-Emitting Materials: Paints&Coatings t
Credit 4.3 Low-Emitting Materials: Carpet Systems t
Credit 4.4 Low-Emitting Materials: Composite Wood&Agrifiber Products t
Credit 5 Indoor Chemical&Pollutant Source Control 1
Credit 6 Controllability of Systems:Thermal Comfort 1
Credit 7 Thermal Comfort: Design t
Credit e.1 Daylight&Views:Daylight 75%of Spaces t
Credit e.2 Daylight&Views:Views for 90%of Spaces t
Yee 7 No
11,01a iiii
Credit 1.1 Innovation in Design:Provide Specific Title t
credit 1.2 Innovation in Design: Provide Specific Title t
Credit 1.3 Innovation in Design:Provide Specific Title t
Credit 1.4 Innovation in Design:Provide Specific Title 1
Credit LEED°Accredited Professional t
Y. 7 No
Totals
re-certification estimates) 61
Certified:e23 to 27 points, Silver: 26 to 33 points, Gold: 34 to 44 points, Platinum: 45 to 61 points
•
0
. LEED for New Construction v2.2
Registered Project Checklist
Project Name:
.Project Address:
Y.. 7 W
Al Preraq 1 Construction Activity Pollution Prevention Required
Credit 1 Site Selection 1
Credit 2 Development Density&Community Connectivity 1
Credit Brownfield Redevelopment 1
Credit 4.1 Alternative Transportation, Public Transportation Access 1
Credit 4.2 Alternative Transportation, Bicycle Storage&Changing Rooms 1
Credit 4.3 Alternative Transportation, Low-Emitting& Fuel-Efficient Vehicles 1
Credit 4.4 Alternative Transportation,Parking Capacity 1
Credit 5.1 Site Development,Protect or Restore Habitat 1
NCredit 5.2 Site Development, Maximize Open Space 1
Credit 6.1 Stormwater Design, Quantity Control 1
Credit 6.2 Stormwater Design, Quality Control 1
Credit 7.1 Heat Island Effect, Non-Roof 1
Credit 7.2 Heat Island Effect, Roof 1
Creditil Light Pollution Reduction 1
Yr 7 W
Credit 1.1 Water Efficient Landscaping, Reduce by 50% 1
• Credit 1.2 Water Efficient Landscaping,No Potable Use or No Irrigation 1
Credit 2 Innovative Wastewater Technologies 1
Credit 3.1 Water Use Reduction,20%Reduction 1
Credit 3.2 Water Use Reduction,30%Reduction 1
Prereq 1 Fundamental Commissioning of the Building Energy Systems Required
Prereq 2 Minimum Energy Performance Required
&' Prereq 3 Fundamental Refrigerant Management Required
'Note ad,EAc1:All LEED br New construction protects registered ager June 26^,2007 are required to achieve at least two(2)points under EAcl.
®Credit 1 O timize Energy Performance 1 to 10
10.5%New Buildings or 3.5% Existing Building Renovations 1
14%New Buildings or 7% Existing Building Renovations 2
17.5%New Buildings or 10.5%Existing Building Renovations 3
21%New Buildings or 14% Existing Building Renovations a
24.5% New Buildings or 17.5% Existing Building Renovations 5
28%New Buildings or 21% Existing Building Renovations 6
31.5% New Buildings or 24.5% Existing Building Renovations 7
35%New Buildings or 28%Existing Building Renovations 6
38.5% New Buildings or 31.5% Existing Building Renovations s
42%New Buildings or 35%Existing Building Renovations 10
®Credit 2 Onsite Renewable Energy 1 to 3 -
2.5%Renewable Energy 1
7.5% Renewable Energy 2
12.5% Renewable Energy 3
Credit Enhanced Commissioning 1
Cradila Enhanced Refrigerant Management 1
Credit 5 Measurement&Verification 1
Credit Green Power
1
• continued...
Y. 7 N.
d Prereq 1 Storage&Collection of Recyclables Required
credit 1.1 Building Reuse, Maintain 75%of Existing Walls, Floors&Roof t
Credit 1.2 Building Reuse, Maintain 100%of Existing Walls, Floors&Roof 1
credit 1.3 Building Reuse, Maintain 50%of Interior Non-Structural Elements t
Credit 2.1 Construction Waste Management, Divert 50%from Disposal 1
Credit 2.2 Construction Waste Management, Divert 75%from Disposal 1
Credit 3.1 Materials Reuse,5% 1
Credit 3.2 Materials Reuse,l0% t
Credit 4.1 Recycled Content, 10%(post-consumer+y2 pre-consumer) 1
Credit 4.2 Recycled Content,20%(post-consumer+y,pre-consumer) t
Credit 5.1 Regional Materials, 10% Extracted, Processed&Manufactured Regio t
Credit 5.2 Regional Materials,20%Extracted,Processed&Manufactured Regio t
Credit 6 Rapidly Renewable Materials 1
Credit? Certified Wood t
Y. 7 W
_ � a
I'd Prereq 1 Minimum IAQ Performance Required
i`d . Prereq 2 Environmental Tobacco Smoke(ETS)Control Required
Credit 1 Outdoor Air Delivery Monitoring 1
Credit 2 Increased Ventilation 1
Credit 3.1 Construction IAQ Management Plan, During Construction t
Credit 3.2 Construction IAQ Management Plan, Before Occupancy 1
Credit 4.1 Low-Emitting Materials,Adhesives&Sealants 1
Credit 4.2 Low-Emitting Materials, Paints&Coatings t
Credit 4.3 Low-Emitting Materials, Carpel Systems 1
Credit 4.4 Low-Emitting Materials, Composite Wood&Agrifber Products 1
Credit 5 Indoor Chemical&Pollutant Source Control 1
Credit 6.1 Controllability of Systems, Lighting t
Credit 6.2 Controllability of Systems,Thermal Comfort 1 •
Credit 7.1 Thermal Comfort,Design 1
Credit 7.2 Thermal Comfort,Verification 1
Credit 8.1 Daylight&Views,Daylight 75%of Spaces t
Credit 8.2 Daylight&Views,Views for 90%of Spaces t
Y. 7 No
Credit 1.1 Innovation in Design:Provide Specific Title 1
credit 1.2 Innovation in Design: Provide Specific Title 1
PEPCredit 1.3 Innovation in Design:Provide Specific Title 1
Credit 1.4 Innovation in Design:Provide Specific Title t
Credit LEED°Accredited Professional 1
Yr 7 No
Certified: 26-32 points, Silver: 33-38 points, Gold: 39-51 points, Platinum: 52-69 points
•