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15090073CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15090073 22460 CUPERTINO RIX CUPERTINO CA 95014 (326 50 053) " PERFECT HOMES CONSTRUCTION SAN JOSE, CA 95136 OWNER'S"NAME: KONDAPANENI SRIHARI AND MADHAVI DATE ISSUED: 04/13/2016 OWNER'S PHONE: 408-406-6412 PHONE NO: (408) 91070779 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class 5 Lic. #556533 Contractor PERFECT HOMES CONSTRUCTION Date 02/28/2017 BLDG _ELECT _ PLUMB MECH RESIDENTIAL COMMERCIAL I 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. JOB DESCRIPTION: ENCLOSE (E) PATIO (72 SQ FT) TO ENLARGE (E) I hereby affirm under penalty of perjury one of the following two declarations: KITCHEN, REMODEL (E) KITCHEN (168 S.F.), 2 1. I have and will maintain a certificate of consent to self -insure for Worker's BATHROOMS (90 S.F.), OTHER REMODEL AREA FOR FAMILY Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. , RM & DINING RM & UPSTAIRS CLOSET (612 S.F.). ADD (N) OUTSIDE COVERED BBQ AREA (262 S.F.), UPGRADE I have and will maintain Worker's Compensation Insurance; as provided for by TO 200 AMP PANEL Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 4/26/2016 APPLICANT CERTIFICATION REV #1 - EXTEND FAMILY ROOM (156 S.F.); REMOVE AND I certify that I have read this application and state that the above REPLACE (17) WINDOWS. information is correct. I agree to comply with all city and county ordinances **ISSUED: 6/02/2016** and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for Sq. Ft Floor Area: Valuation: $75000.00 inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which Number: Occupancy Type: may accrue against said City in consequence of the granting of this permit. 326 50 053 326 Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. ` PERMIT EXPIRES IF WORK IS NOT STARTED Signature -U IQ > Date /26 /20166 WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: Issued by: ALEX VALLELUNGA 1. I, as owner of the property, or my employees with wages as their sole Date: 04/13/2016 compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) RE -ROOFS: 2. I, as owner of the property, am exclusively contracting with licensed All roofs shall be inspected prior to any roofing material being installed. If a roof is contractors to construct the project (Sec.7044, Business & Professions Code). installed without first obtaining an inspection, I agree to remove all new materials for inspection. I hereby affirm under penalty of perjury one of the following three declarations: 1. 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 Signature of Applicant: performance of the work for which this permit is issued. Date: 6/2/2016 2. 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 for which this ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER permit is issued. 3. 1 certify that in the performance of the work for which this permit is issued, I HAZARDOUS MATERIALS DISCLOSURE shall not employ any person in any manner so as to become subject to the I have read the hazardous materials requirements under Chapter 6.95 of the Worker's Compensation laws of California. If, after making this certificate of California Health & Safety Code, Sections 25505, 25533, and 25534. I will exemption, I become subject to the Worker's Compensation provisions of the maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Labor Code, I must forthwith comply with such provisions or this permit shall Health & Safety Code, Section 25532(a) should I store or handle hazardous be deemed revoked. material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I APPLICANT CERTIFICATION will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I certify that I have read this application and state that the above information is the Health & Safety Code, Secti9ps 25505, 2533, and 25534. 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 Owner horized=agent: to enter upon the above mentioned property for inspection purposes. (We) agree /2120or 1 Date: /2 2 1 to save indemnify and keep harmless the City of Cupertino against liabilities, CONSTRUC4N LENDING AGENCY judgments, costs, and expenses which may accrue against said City in I hereby affirm that there is a construction lending agency for the performance consequence of the granting of this permit. Additionally, the applicant understands of work's for which this permit is issued (Sec. 3097, Civ C.) and will comply with all non -point source regulations per the Cupertino Municipal Lender's Name Code, Section 9.18. Lender's Address Signature Date 6/2/2016 ARC'HITECT'S DECLARATION I understand my plans shall be used as public records. CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITYDEVELOPMENT DEPARTMENT BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255" (408) 777-3228 - FAX (408) 777-3333 • building(a?cupertino.ora NE�T1 CON, STp ,UCTION 4DDITION /0 00 7 0 ALTERATION / TI ❑ REVISION / DEFERRED ORIGrwAL PERMIT PROJECT ADDRESS `t 'f np'N,R O)ArNER + AMEp kLi �/,�,KIWPA P 01QE E-1vLkIL STREET ADDRESS CITY, STATE, ZIP I FAX CONTACT NAME PHONE E-MAIL 45 M STREET ADDRESS CITY, STATE, ZIP FAX ❑ OA';NER ❑ O-WTIER-BUII,DER 13 OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR T.4A LICE? SE NUT EER ECT LICENSE TYPE BUS. LIC 11 COMPAATY NkMIE I E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT,'ENGD1 EER NAME LICENSE NUMBER BUS. LIC r v !S la `E9 Lt s COMPANY NAME I E-NL4IL COQ FAX -- STREETADDRESS I CITY, STATE, ZIP 0g00A) DESCRIPTION OF WORT �f (1®� ` z Q-eww q _ fe �p /77 Wj do — - — ---` - - _ EXISTING USE PROPOSED USE CONSTR. TYPE --.'STORIES - - - USE TYPE, OCC. I SQ.FT. VA.LliAI'iON (S) O LOOK DAREA O TOTAREA ARF A I AREA NET I. BATHROOM KITCHEN OTHER REMODELAREA REMODELAREA REMODEL AREA PORCH .4RE.4 DECI AREA TOT a? DECKTORCH AREA GA.P APIAAREA: DETACH C3 ATTACH D4dELUNIG LTITS: IS A SECOND UNIT ❑ YES SECOND STORY [1) ES BEL\GADDED? NO ADDITION? No (. PREAPPLICATION ❑ YES IF YES. PROVIDE COPY OF IS THE BLDG AN ❑ :-ES TOTAL vALL:ATION_. PLA1 NNO APPL 1 E]NO PL NTNG APPROVAL LETTER EICHLER HO 4E? El '0 lj By my Signature below, I certify to each of the 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 la\p�•s relatins to buiidina construction. I guthorize representatives ofCupertti o to enter the above-identified'propeYry. for inspection purposes. Sil-natureofApplicant/Agent: Date: SIJPPLE1\1ENTAL INFORMATION REQUIRED New SFD or 1\fultifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building ER TirE COU\TER BUILDI\G PLS\ RE4IE�Y p2rInit 10I"rtea� bulldinq. ElPRESS " ❑ pr a\\L\GPi`4I\RE4I£i§ Cornnaercial Bldgs: Provide a com leted Hazardous Materials Disclosul ,°L� sT4 D4RD ❑ PLELIC440Ri� _ foim,i if any Hazardous Materials are bei ig used as part.of this protect. J '� 1,4RGE t T:IREDEPT v Copy of Planriillg Approval Letter or Meeting will Planning prior to 1J �S4JOR SES submittal of Building Permit application. r S�\IT4itl ERDISZRICT f ? E\�7R0\�SENTAL HEA - Bldg. p'p_7011.doc revised 06121111 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22460 CUPERTINO RD CUPERTINO CA 95014 (326 50 053) OWNER'S NAME: KONDAPANENI SRTIIARIAND MADHAVI OWNER'S PHONE: 408-406-0412 LICENSED CONTRACTOR'S D LA"TION License Class B Lie. #556533 Contractor PERFECT HOM , ES CQNSTRUCTION Date 02/28/2017 I 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. I hereby affirm under penalty of perjury one of the following two declarations; 1. 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 performance of the work for which this 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 for which this permit is issued. APPLICANT CERTIFICATION IceYfify' hat 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Date 44113/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. I, 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) 2, I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 1. 1 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 performance of the work for which this permit is issued. 2. 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 for which this permit is issued. s. 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Date 4/13/2016 PERFECT HOMES CONSTRUCTION SAN JOSE, CA 95136 NO: 15090073 DATE ISSUED: 04/13/2016 PHONE NO: (408) 910-0779 BUILDING PERMIT INFO: —BLDG —ELECT —PLUMB _ MECH — RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: ENCLOSE (E) PATIO (72 SQ FT) TO ENLARGE (E) KITCHEN, REMODEL (E) KITCHEN (168 S.F.), 2 BATHROOMS (90 S.F.), OTHER REMODEL AREA FOR FAMILY RM & DINING RM & UPSTAIRS CLOSET (612 S.F.). ADD (I) OUTSIDE COVERED BBQ AREA (262 S.F.), UPGRADE TO 200 AMP PANEL Sq. Ft Floor Area: I Valuation: $75000.00 "N Number Occupancy Type: 326 50 053 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INS ECTION. Issued by: ALEX VALLELUNGA Date: 04/13/2016 &6 L RE -ROOFS: 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. Signature ofApplicant: Date: 4/13/2016 ALL ROOF COVERINGS TO BE CLASS "A" OR HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534.. I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed CITY OF CUPERTINO FF,F FSTIMATnR - RITTI .DINE DIVICI(1N ADDRESS: 22460 CUPERTINO RD DATE: 09/11/2015 REVIEWED BY: MELISSA APN: 326 50 053 11AI BP#: *VALUATION: ' $75,000 —71 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: 2nd Unit? Yes E, No OTC? - 0 Yes �No PENTAMATION PERMIT TYPE: 1R3SFDADD 19 WORK ENCLOSE E PATIO 72 SQ FT TO ENLARGE E KITCHEN REMODEL E KITCHEN 168 S.F. 2 SCOPE I BATHROOMS (90 S.F.), OTHER REMODEL AREA FOR FAMILY RM & DINING RM & UPSTAIRS TYPE OF FLR AREA OCCUPANCY TYPE: CONSTR. s.f. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) 11-B,111-B,IV,V-B 72 $1,091.00 IADDPLCK $1,057.00 IADDINSP . TOTALS: 72 $1,091.00 $1,057.00 K e N01W. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School T)i.ctrirt_ otn L novo foot nra hncod nn tho nroliminnnr infnrmntinn nvni/nhlo and nra nnhr a" octimnta f nntnrt thn Tlonf fnr nddr�'7 iafn FEE ITEMS (Fee Resolution 11-053 E . 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $1,091.00 Xkch, Plan Check Pl imb. Plan Check Flee. Man Check F;Llech, Permii Fee: Plumb. Permit Fee: 1 lc:c. Permit Fee: Other Alech. Insp. 01her Plumb In r).L��] Oihet Iden. Insp. _-Vech. Insp. Fee: FPhirnb. hisp. Fee: �] Elec. IN4+I,'. Fee: N01W. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School T)i.ctrirt_ otn L novo foot nra hncod nn tho nroliminnnr infnrmntinn nvni/nhlo and nra nnhr a" octimnta f nntnrt thn Tlonf fnr nddr�'7 iafn FEE ITEMS (Fee Resolution 11-053 E . 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $1,091.00 = s.f. Remodel, Bath (<=300 sf) $645.00 IREMRESBAT Suppl. PC Fee: (F) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 = s.f. Remodel, Kitchen (<=300 sf) $645.00 IREMRESKIT Permit Fee: $1,057.00 Suppl. Insp. Fee:Q Reg. 0 OT0 0 hrs $0.00 612 s.f. Remodel, Other $575.00 IREMRESOTH PME Unit Fee: $0.00 PME Permit Fee: $0.00 1 262 1 s.f. Patio Cover / Sun Room $716.00 IPATIOWOOD Wood t';nt:srruction Tax Administrative l''E"e: 0 G Work Without Permit? O Yes (j) No $0.00 Advanced Planning Fee: IPLLONGR $10.08 Select a Non -Residential Building or Structure 0 i Travel l�tacurrtcntrxEitrn fees: Strong Motion. Fee: IBSEISMICR $9.75 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $3.00 SiTBTOT .a $2 170.83 2,581.00 = TU AL FEE _ , Revised: 07/02/2015 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 C U P E RT I N O Telephone: 408-777-3228 Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS:X 60 11 Aj6 tit 5 PERMIT # ['07, OWNER'S NAME:® , PHONE # t . t� GENERAL CONTRACTOR: BUSINESS LICENSE # ADDRESS: �7�,A P CITY/ZIPCODE: 0j *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following. information: ✓ 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 CA 5X(A3j` � C, PZV Septic Tank G Sheet Metal Sheet Rock Tile ate Owner / Con{ractor Signature D SM? CUPERTINO PURPOSE: CALGREEN RESIDENTIAL CHECKLIST - MANDATORY ITEMS COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • bui n CU ie' E C ® Pvr The 2013 CalGreen Code applies to additions or alterations of existing residential buildings where the addition or alteration increases the building's conditioned area, volume, or size and also applies to all new low-rise residential buildings, high-rise residential buildings, or both. Existing site and landscaping improvements that are not otherwise disturbed are not subject to the requirements of CALGreen. Instructions: 1. The Owner or the Owner's agent shall employ a licensed professional experienced with the California Green Building Standards Codes to verify and assure that all required work described herein is properly planned and implemented in the project. 2. The licensed professional, in collaboration with the owner and the design professional shall initial 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. 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 construction. 4.106.3 Grading and paving. The site shall be planned and developed to —/ ❑ keep surface water away from buildings. Construction plans shall indicate how site grading or a drainage system will manage all surface water fl Wi, 1 41 Page I oC �� CalGreen_2014.doc revised 11104114 General 4.201.1 Low-rise residential buildings shall meet or exceed the minimum standard design required by the California Energy Standards. 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. ❑ 4.303.1.3.2 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. Plumbingfixtures ED 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. CnlGreen_2014.doc revised 11104114 t'age 2 o1' 5 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. 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 jurisdi=the ❑ does not have a construction and demolition waste management ordina construction waste management plan shall be submitted for approval to enforcing agency. Foperation intenance and Operation ation and maintenance manual. At the time of final inspection, ❑ and maintenance manual shall be providedto the buildingwner. Fireplaces 4.503.1 General. Install only a direct -vent sealed -combustion gas or sealed d ❑ 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 E 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 be7� ❑ 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 compounds. CalGreen_2014.doc revised 11104114 Page 3 of 5 4.504.2.4 Verification. Documentation shall be provided to verify that compliant VOC limit finish materials have been used. 4.504.3 Carpet Systems. Carpet and carpet systems shall be compliant with / �+'I uuu 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 Low-emitting —/ �i El Collaborative for High Performance Schools (CHPS) 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 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 �j materials used in wall and floor framing is checked before enclosure. u Indoor Air Quality and Exhaust 4.506.1 Bathroom exhaust fans. Exhaust fans which terminate outside the ILJJ 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 equivalentINSTALLER AND SPECIAL INSPECTOR OUALIFICATIONS Qualifications 702.1 Installer training. HVAC system installers are trained and certified in the proper installation of HVAC systems. 702.2 Special inspection. The Licensed Professional responsible to verify in ❑ CALGreen compliance is qualified and able to demonstrate competence the 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 of 5 CalGreen_2014.doc revised 11104114 CALGREEN SIGNATURE DECLARATIONS Project Address: 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. Date Owner's Signature Owner's Dame, (Please 1.9; - Date Si ` re of License Professional responsible for CalGreen compliance Phone Name Name of License Professipn�l responsible for CalGreei compliance (Please Pnnt) Email Address fok Licen CalGreen compliance SECTION 2 - IMPLEMENTATION VERIFICATION J 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 CalGreen_2014.doc revised 11104114 Page 5 of 5