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15050121I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1107 S STELLING RD I CONTRACTOR: DANNY CONSTRUCTION I PERMIT NO: 15050121 OWNER'S NAME: PASUMARTM HEMAMALINI AND JAGARLAPU 1 2446 VERWOOD DR I DATE ISSUED: 09/10/2015 1 OWNER'S PHONE: 6508639056 1 SAN JOSE, CA 95130 1 PHONE NO: (408) 379 -2005 1 V LICENSED CONTRACTOR'S DECLARATION ' License Class J Lic. # X 3 2— Q" I Contractor N" h0NA. CA'), Sfe-, Date / /0 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: t. 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. 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. 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 sav indemnify and keep harmless the City of Cupertino against liabilities, jud , costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply -%11 all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature, Date ❑ OWNER - BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: i. 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: i. 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. 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. Signature Date JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ CONSTRUCT A (480 SQ FT) ADDITION TO CREATE (N) LIVING RM & EXPAND (E) MASTER BDRM. ADD 2 (N) WINDOWS IN (E) BEDRM & BATH. ADD (N) SKYLIGHT IN Sq. Ft Floor Area: I Valuation: $120000 APN Number: 36222007.00 1 Occupancy TN PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM i 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 of Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE 1 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(x) 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. Owner or a rued agent: it %7^�� Date: -- S� CONSTRUCTION LENDING AGENCY 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional \ 0 CONSTRUCTION PERMIT APPLICATION ` COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 CUPERTtNO (408) 777 -3228 • FAX (408) 777 -3333 • building(a)cupertino.org \ \ ❑ NEW CONSTRUCTION ® ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED` ORIGINAL PERMIT n PROJECT ADDRESS 1 L O� e, 1 ' (_` n W APN OWNERNAME \ PHO // 1' E -MAIL v; O O• b STREET ADDRESS CITY, STATE, ZIP FAX CONTACT NAME TV . PHONE E -MA STREET ADDRESS CITY, ST�A �E ZIP FAX Mi o OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER . a. LICENSE TYPE BUS. LIC # COMPANY NAME E -MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHTTECT/ENGTNEER NAME 110ENSE NUMBER BUS. LIC # COMPANY NAME ` T y �o tiW3 E -MA tr ` I +nom ram -�.-�„ FAX STREET ADDRESS „ CITY, STATE ZIP PHONE l DESCRIPTION OF WORK 4 PS o d> 1ST U V i Vr2 � 2 ) AW hL�;� VW tWUW IN V-N4G 3 cq s T e F->5-STING USE. PROPOSED USE CONS R TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DET40 TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK A TOTAL DECK/PORCH ARE GARAGE AREA: El DETACH ATTACH I # DWELLING UNITS: IS A SECOND UNIT [3 YES SECOND STORY []YES BEING ADDED? F]NO ADDITION? ❑NO PRE - APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES CEIVED - TO VALUATION: }} PLANNING APPL# (3 NO PLANNING APPROVAL LETTER EICHLER HOME? E] NO �` -: "' O By my signature below, I certify to each of the following: I am the property o\�mer or authorized ae o act on e 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 bui construction. I authorize representatives of Cupertino to enter the above- identifi prope for inspection purposes. LAIR Signature of ApplicanUAgent: Date: SUPPLEMENTAL INFOR W TION REQUIRED 4r p' ^� �PLAN- CHECKT]�E ROUTIVGS 'I New SFD or Multifamily d\� ellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building ca` n O] ER TI CO TER ' k�FkBUILDING �i4N'RE �c 'k, '�;t*`� permit for new building. ExPstE $, ' *rin PL .RE _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑sTAND �` us 'M vro� form if any Hazardous Materials are being used as part of this project. I= ❑ LARCE�`` n'� , �IRE;D �• _Copy of Planning Approval Letter or Meeting with Planning prior to 0 submittal of Building Permit application.��sIt21 BldgApp_2011.doc revised 06121111 r �y� CITY OF CUPERTINO ri_V VA TIFF FQTIMATnR — RITILDINC. DIVISION OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID ADDRESS: 1107 S STELLING RD DATE: 05/20/2015 REVIEWED BY: MELISSA II- B,III- B,IV,V -B APN: 362 22 007 BP #: 'VALUATION: 1$120,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex 2nd Unit? 0 Yes No OTC? © Yes Q No PENTAMATION 1 R3SFDADD PERMIT TYPE: USE: hrs $0.00 WORK ADD 480 S.F. TO CREATE N LIVING RM & EXPAND E MASTER BDRM. ADD 2 N WINDOWS IN SCOPE (E) BEDRM & BATH. ADD (N) SKYLIGHT IN KITCHEN. REMODEL (E) BATHROOMS (70 S.F.) OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R -3 (Custom) II- B,III- B,IV,V -B 480 $1,626.00 IADDPLCK $1,323.00 IADDINSP Permit Fee: $1,323.00 Suppl. Insp. Fee-0 Reg. Q OT 0,0 hrs $0.00 # Skylight $431.00 1SKYL <10SF <= 10 s.f. PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: Administrative Fee: 0 E) Work Without Permit? 0 Yes E) No $0.00 TOTALS: 480 $1,626.00 Trin,el Documentation Fees: $1,323.00 Strong Motion Fee: IBSEISMICR MECH, HOURLY © Yes O No PLUMB, HOURLY Q Yes Q No ELEC, HOURLY Q Yes Q No ____ ___ ____ MISC ITEMS Plan Check Fee: �'c°..Plan Check 1"Ch_ i Suppl. PC Fee: Q Reg. Q OT t lc <c_ Pemdr Fee Other Meth. Insp >ther Ph�ialb 1iw/�, Sher /;7cx. Ins' / . 14ech. Insp. Fee: I'ltarnh. hasp. 1 C Permit Fee: $1,323.00 Suppl. Insp. Fee-0 Reg. Q OT 0,0 NOTE: This estimate does not include fees due to other Departments (i.e. rtannmg, ruaac morns, rare, aunuury —C 1 Contact the Dent for addn'l info. Disrrter, etc j. inese ees ure uu3eu Uri rrrc Pf rr.rrrrrr"r y FEE ITEMS (Fee Resolution 11 -053 Efl.' 711/13) •r• �•••• •••�•• »• »•• FEE °•- - ° - _ QTY /FEE ____ ___ ____ MISC ITEMS Plan Check Fee: $1,626.00 1 70 1 s.f. Remodel, Bath (< =300 sf) $645.00 IREMRESBAT Suppl. PC Fee: Q Reg. Q OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 2 1 # Window / Sliding Glass Door $1,718.00 1WINMEWSTR New (Shearwall/Masonry) Permit Fee: $1,323.00 Suppl. Insp. Fee-0 Reg. Q OT 0,0 hrs $0.00 # Skylight $431.00 1SKYL <10SF <= 10 s.f. PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: Administrative Fee: 0 E) Work Without Permit? 0 Yes E) No $0.00 Advanced Planning Fee: IPLLONGR $67.20 Select a Non - Residential 0 Building or Structure Trin,el Documentation Fees: Strong Motion Fee: IBSEISMICR $15.60 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $5.00 SUBTOTALS: $3,036.80 $2,794.00 TOTAL FEE: $5,830.80 Revised: 05/07/2015 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: uMC PERMIT # d o 121 OWNER'S NAME: RIZ ttt' `\v� Ia ,l}(t I PHONE # -- % j Xj4 S-O GENERAL CONTRACTOR: �,NUTi iU BUSINESS LICENSE # ,O ADDRESS: r- CITY /ZIPCODE: O *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. I am not using any subcontractors: �.� fl h � Signature Date Please check applicable subcontractors and complete the following information: Owner / Contractor Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing ✓ Electrical C o t) Excavation Fencing lj Flooring / Carpeting Linoleum / Wood Glass / Glazing V Heating V Insulation A� Landscaping Lathing Masonry V Painting / Wallpaper C C Paving Plastering 4i Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile S Owner / Contractor Date C12ANINGYOUR Sm/U6NT: STS 10DOCwlk- Use only between decking and underside of skylight flange on Use a mild soap and water or glass cleaners only. Fresh paint splashes. glazlny Glass Series Not necessary on CMG2 compound, etc. maybe removed by rubbing lightly with a soft cloth or cotton ball soaked In mineral spirits ACCESSO MSs Step Flr hIOt- Prrf mme d, precut8ashingelhnlnetesneedforflashi ngmself -built Ayflght5hodes- a variety of slss are avallable and are easily inv4iled. Comact your cub. Use with Curb Mount models Note: Step flash kit designed for use with curbs building materials dealer or sun -Tak Manufacturing for detells. constructed oft x 6s only. LIGHTTUNNEL INSTALLATION INSTRUCTIONS For homes with an attic, It Is necessary to build a tunnel between skyllg hts and ceiling. The tunnel walls may be stralght, or flared for extra light and architectural appeal. "very easy to Increase the tunnel size along the length ofthe ceiling Joists. As long as no roof-supporting members are cut, no specialframing Is needed. While R Is possible toflare the tunnel In all directions, If support members are cut special framing will be required for structural support In this case you must consult a qualified building profess lonal to Insure proper and safe results. 1 After roof and ceiling openings have been framed, measure distance (at each comer of roof Finhaed op-11.9 (Drywall Din don) opening) between rafter/truss and ceiling Joist hsaner sdeeAsle Testa— Fast — P-Tep Par side 2 Using these four measurements, cut 2 x 4 lumber for vertical support members (two per comer). 11%'x111, 3 In each comer, nail vertical support members Into place at right angles to each other. 16' 4 Measure, cut and nall tunnel walls Into place. Suggestions for lining tunnel: 3 - use drywall, tape corners, and paint wh Re using regular or texture paint. (Texture paint alone 11 W. 191, will hide and fill untaped Joints, but In time, cracks may appear in wrners) 16' - use prefinished paneling with molding In comers. 3 - line the tunnel with cedar, pine, or a wood to coordinate with your decor. 11''x27W -for special effects, try painting the tunnel a striking agent color, or use mirrors or wallpaper on 16' tunnel walls. 3 5 Caulk the slight gap between the tunnel walls and skylight base. 11''x43'' 6 Finish off tunnel at ceiling with molding, or blend edges Into ceiling with texture paint. 16' 7 Be sure to wrap the exterior of the tunnel with insulation for energy savings. 4 SrtTek AbrxACanaglrc .(S,niek'It®E3GeneADtne,OEa,rEO ikxlJ]2a2e,(bne59St n. ears6tlb51yYj[ onaea>• ww9ebsaMwdlbrs. a. 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Sun Tek SKY HTSe dGdad Sun -Tek Manufacturing, Inc 10303 General Drive Orlando, FL 32824 407/859 -2117 www.Sun- Tek.com CustomerService@sun-tek.com SIZE siae Coda INFORMATION Roo/ opening Finhaed op-11.9 (Drywall Din don) Fib on caner 11"'lt9 hsaner sdeeAsle Testa— Fast — P-Tep Par side 1414 11%'x111, 10''x 10'' 16' 3 3 1422 11 W. 191, 10 %'x18'' 16' 3 3 1410 11''x27W 10''x26'' 16' 3 3 1446 11''x43'' 1014'x421, 16' 3 4 1725 14Wx2I'' 13Wx21'' 16' 3 3 1733 14''x30W 1315'x2915' 16' 3 3 1749 14''x46'' 13''x461, 16' 3 4 2222 79''z 79'' 18%'x 19W 24' 3 3 2230 19''x27'' 19''x26'' 24' 3 3 2246 19''x4315' 18''x4215' 24' 3 4 2525 22''x22'' 21''x 21W 24' 3 3 2533 22''x30'' 21''x29'' 24' 3 3 2549 I 22''x46'' 21Wx*W 24' 3 4 3030 27''x271, 26''x26'' 16'a 3Y 1 3 3 3046 27''x43'' 261,x42'' 16'. 3Y 3 4 3333 30''x30'' 29''x29'' 6' or 3Y 3 3 INSTALLATION INSTRUCTIONS INSULATED GLASS SERIES MODEL CMG 4949 Use on arty type rod (curb required) 1i; - 14 —CURB 0.0. —►1 tEean9 Nf� You will need: • hammer • sealant/mastic •keyhole saw -tape measure •skill saw • chalkllne or straight edge •nails • trowel or caulkgun -drill •utility knife -2x4's 3349 30''x46'' 29''x46'' 16'ar3Y 3 4 For LW Tunnal: RECOMMENDED SEALANTS: 4646 43''x43 h' 4Z''x 42'' 16'or 24'a 48' 4 4 4 •8 or 10 penny nails 100% Silicone • plywood or drywall • Sealants approved for use on polywrbonate (contact Sun -Te) 4949 46''x461, 45''x46'' 1da24'or48' 4 • S7S 1000 (Suri exclusive) Butyl rubber sealant /caulk FAILURE TO FOLLOW RECOMMENDED INSTALLATION PROCEDURES MAY VOID WARRANTY Check local building codesfor glass requirements. a Please read Instructions completely before beginning. a Deck and roofing felt should already by Installed. a Interior wood liner should be stained or painted before Installation. To properly position skylight between trusses/raftem loatethe roof opening from the underside of the decking. (if this area is not accessible, locate the ceiling Joists from Inside the house, mark opening in ceiling (a-c), and cut ceiling opening Then follow steps below for roof opening.) a) measure distance between trusses /rafters and mark center point b) to center skylight measure one -half of appropriate roofopeningtoeach side of center point and mark c) using the side marks asa guide, mark corners by drilling holes ordriving nails through roof. 2 Remove shingle, 6 -8" out from roof opening. 3 Cut roof opening (snap a chalkline from comer to corner, or draw line with a straightedge) 4 Frame roof opening: a) cut two 2 x 4's to fit the actual distance between trusses/rafters and nail into place. NOTE: Mw252S, 2549, 3333, 3349, 4949 Skfpstep "b "proceed to "C. b) cut two 2 x 4's to the exact length of the roof opening and nail to the trusses/raftem c) if applicable, at ceiling opening and build tunnel framing. (See'Light Tunnel Installation Instructions') 5 Build curb: a) Construct curb with 2 x 4's, 2 x 6's, etc (depending on height desired or building code requirements). Curb should be minimum 3 V2" high. Be sure Inside measurement of curb is the same as roof opening measurement. b) Secure curb to roof. 6 Shingle roof up to bottom of curb. % Flash curb (sizes 2525, 2549, 3333, 3349, 4949 can be used with Sun Tek's preformed pre -cut Shp Flash Kit with one -piece head and silo. Use galvanized sheet metal, aluminum, or copper. Metal should extend a minimum of 4" over shingles (on bottom side), then up sides of curb. Flashing should be flush with curb top. 8 Shingle up sides and across the top. 9 Position the skylight over the curb with the "THIS EDGE DOWN' label at the lowest side of the curb. Center the skylight over the curb making sure the foam gasket is in contact with the top of the curb. As the fasteners, (see fastener schedule), are being attached to the curb, push down on the frame just above the fastener to Insure the gasket is compressed to form a good seal. Use the 1 %'spiral ring shanked nails, provided Continue attaching the remaining fasteners in the same manner. All fastener installation holes provided must be used 2.00- 5U.4b4 15.4881 15.4815.488 p C • N 00 00 1-3/4" RING SHANK NAILS 4 PER SIDE 16 TOTAL d CMG4949 0 C _ LC. GO 00 LC) ERIOR GLASS 3/18' —ARGON GAS EGG DESIGN PRESSURE RATING 265 PSF. NON IMP ROOF DECK 5/8' PLYW01 (3:12 PrrCH) SWVGGLE SPACER CONTINUOS DECO RING MITERED A WRAPPED L GASKET CONTINUOS ALUMNIUM FRAME 8063 T8 MITERED WELDED CORNERS 1 -3 4' SRRIL 4 SIUNx NNLS s .. CALGREEN RESIDENTIAL CHECKLIST - MANDATORY ITEMS COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL RECEIVED CUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014 -325 (408) 777 -3228 • FAX (408) 777 -3333 • buildinQncunertino.org �Ay 2 20 5 PURPOSE: FFAF, Inc. The 2013 CalGreen Code applies to all newly constructed hotels, motels, lodging houses, d�Tlings, housing and dormitories, condominiums, shelters, congrega residences, andsn w access re buildings dings associated with such other types of swellings with sleeping accommodations uses. Existing site and landscaping improvements that are not otherwise disturbed are not subject to the requirements of CALGreen. Project Name: Ream- &ML Project Address: it 04:: Project Description: Instructions: SUBMITTAL it 1. The Owner or the Owner's agent shall employ alnd assure that allfrequired workrdei`ibd herein sllproperly Green Building Standards Codes to verify 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, Verification atdthe end of ha li complete submit the and sign and date Section 2 - implementation completed form to the Building Inspector. JUN 2 3 2015 Column 2 Column 3 F_­ 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 © 0 keep surface water away from buildings. Construction plans shall indicate how site grading or a drainage system will manage all surface water flows. SIOZ 0 9 �VV a nI 3 2014.doc revised 01115114 e General 4.201.1 Low -rise residential buildings shall meet or exceed the minimum standard design required by the California Energy Standards. Q ❑ 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. 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 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 CONSERVATION AND 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, ❑X ❑ an operation and maintenance manual shall be provided to the building occupant or owner. A4.5 Fireplaces 4.503.1 General. Install only a direct -vent sealed- combustion gas or sealed ❑ El 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 0 ❑ 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 ❑ El with VOC limits. 4.504.2.3 Aerosol paints and coatings. Aerosol paints and other coatings 0 ❑ shall be compliant with product weighted MIR Limits for ROC and other toxic compounds. Page 3 of 5 CalGreen_2014.doc revised 01115114 4.504.2.4 Verification. Documentation shall be provided to verify that VOC M ❑ compliant limit finish materials have been used. 4.504.3 Carpet Systems. Carpet and carpet systems shall be compliant with VOC 117771 ❑ 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 - emitting OX 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 OX 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 El 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. 0 El 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. SPECIAL 'INSTALLER AND - Y 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 CALGreen compliance is qualified and able to demonstrate competence in the OX 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 01115114 CALGREEN SIGNATURE DECLARATIONS Project Name: Rpg�m_ -C Project Address: Tuwlt� p Project Description: cz>6 11,ya *bt. w5p UVW4 6?h�> AT fV:g?�T JAZQ- . 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'$ Signature H MT i rT tl?� Pip Owner's Name (Please Print) Design Professional's Signatu< t6rjt � : , Vl,A Design Professional's Name (Please Print) `l u tJ MzAtJ �A- Signature of License Professional responsible for CalGreen compliance AJec,/ Name of License Professional responsibl r CaIG n mpiia (Please Print) ��L� Email Addres for License Prof nal A �- -AC0 wLe— CDK S / Green compliance SECTION 2 — IMPLEMENTATION VERIFICATION Date z/ — eq Phone 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 it Address for License Professional responsible for CalGreen compliance Page 5of5 Cal(7mPn in IQ Inr >�o nInsile