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B-2016-3136CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-31.36 10095 SAICH WAY STE 2 CUPERTINO, CA 95014 (326 32 041) SILICONX I CONSTRUCTION INC SAN JOSE, CA 95131 OWNER'S NAME: JANG ELAINE C TRUSTEE & ET AL DATE ISSUED: 01/12/2017 OWNER'S PHONE: 415-652-5264 PHONE NO: (408) 418-0099 LICENSED CONTRACTOR'S DECLARATION r� BUILDING PERMIT INFO: f: License Class ]a Lie. #983292 , ContractorSILICONX CONSTRUCTION INC Date 04/30/2017 X BLDG _ELECT _PLUMB I hereby affirm,: hat I am licensed under the provisions of Chapter 9 (commencing MECH _ RESIDENTIAL X COMMERCIAL with Section 701 of Division 3 of the Business & Professions Code and that my license is in full',force and effect. JOB DESCRIPTION: UNIT 2; T.I. HAIR SALON (809 S.F.) - PARLOUR 17 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 perfo'rI mance of the work for which this permit is issued. I have, and will maintain Worker's Compensation Insurance, as provided for by c Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $85000.00 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 APN Number: Occupancy Type: and state laws'eelating to building construction, and hereby authorize 326 32 041 A (Tenant Improvements),B (Tenant Improvements) 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. Additionally, the, applicant understands and will comply with all non -point WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations per the Cupertino Municipal Code, section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signatur / Date 01112/2017 Issued by: Kim Dunbar Date: 01/12/2017 I hereby affirm:khat I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1. I, as owner of the property, or my employees with wages as their sole installed without fust obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed Signature ofApplicant: contractors to construct the project (Sec.7044, Business & Professions Code). ;a Date: 01/12/2017 I hereby affirm', under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER s. 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. HAZARDOUS MATERIALS DISCLOSURE 2. I have", and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will pernut is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous shall;not employ any person in any manner so as to become subject to the material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code,,$ections 25W, 25533, and 25534. Laboia.Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. L- Owner or authorized agent: L APPLICANT CERTIFICATION Date: 01/12/2017 that I have this that the information is TRUCTI E certify read application and state above correct. I agree�;to comply with all city and county ordinances and state laws 1 hereby affirm that there is a construction lending agency a performance relating to bunaing construction, and hereby authorize representatives of this city of work's for which this permit is issued (Sec. 3097, Civ C.) to enter upon t above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code, Section ;9.18. I understand my plans shall be used as public records. Licensed Signature Date 01/12/2017 Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - SUILDINd DIVISION 103UO TORRE AVENUE - CUPERTINO, CA $5014-3255 (408) 777-3228 - FAX (408) 777-3333 - _building 0-augerting, "i El NEW CONSTRUCTION n A nnrrinw 0 AT i-ru .--A , ..— 177 -------- L -J x%r1vIa1U1N1LrrrKrhp VXI(iINAL PERMIT # PROJECT ADDRES 10095 SAICH WAY UNIT 2, CUPERTION I APN 326-32-041 OWNER NAME:,: CRAIG JANG I pl15-652-5264 STREET AD]i P.O. BOX 330120 CITY" 'A% -WN FRANCISCO, CA 94133 FAX CONTACT NAiJEFFREY EATON R - PHONE: 408-265-5255 MA `-J effrey@ohastudioxom STREET ADDRESS 1501 THE ALAMEDA STE 105 CITY,STATE, ZIP SAN JOSE, CA 95126 1 FAX 408-265w6155 13 OWNER El OWNER -BUILDER [3 ow�IERAoWT 0 CONTRACTOR L3CONTRACTop .Ar I i, - SNT X ARCHITECT 13 ENOwFm El DEVELOPER .D TENANT CONTRACTOR NAME S) CO.,/) LICEWENUMBER LICENSE TYPE BUS. LIC p ZC1 NAM(�Vr 6�w E-MAIL AM3 )- FAX )"Iyok— Y. dj�_� ;,,A!�ft 6 $IC& 0 C��OREig YN *JVoi CITY STATE , I PHON E VA q ARCHITECT/E' 'NEERNAME LICENSE NUMBER JEFFREY EATON C26469 BU I S.Ii COMPANY NAME EATON HALL ARCHITECTUREy@ehastu,dio.com EMAIL Jeffre FAx 408-265-6155 STREETADDPESS 1501 THE ALAMEDA STE 105 CITY, STATE.zP SAN JOSE, CA 95,126 PHONE 408-265-5255 DESCRIFrV3N OF WORK TENANT IMPROVEMENT PROPOSED HAIR STUDIO, UNISEX RESTROOM, WORK ROOM, MECHANICAL, ELECTRICAL, PLUMBING. r EXISTING USE PROPOSED USE CONSTR. TYPE 9 STORIES W NESHELL I I V-1311 1 USE TYPE OCC SQ.Fr: VALUATIONS} EM DEMO TOTAL EMSTO NEW 11 �6R�AREA', Nei AREA 809 AREA 809 0 AREA BATHROOM KITCHEN OTHER. RFMODELAREA REMODELAREk REMODELAREA PORCHAREA DECK AREA TOTAL DECKIPORCH AREA GA DETACH ATTACH 0 DWELLiNc. uNii IS A sEcoi iii yes SECOND STORY YES BEINGAIMED? ONO ADDITION? 13NO PRE-APPUCATION1 []YES IF YES. PROVIDE COPY OF PANNING APP11i ONO WCAPPPOVALLETTER ISTImBi OYES VCHLERHO"E? 13 NO - RE( i - TQTALVALVATION: cu Ry my'signature below, I certify to. each of the following:I ain the property owner or authorized agent act on the property owner's behalf. I have read this application and! ibe information ['have provided is correct I have mad the Description of Work tind verify it is accurate. I agree t I wilh ail applicable local ozyio, law ordinances and' tate s relating to building, t!Zcti authorize representatives of Cupertino to enter the aboVe,- ti r inspection purposes ?p Signature of App licani ;3r- Date: SUPPLEMENTALINFOR �T �IQ U D New SFD orMultifamily dwellings. or emolition App oi emolition permit for �u �0 1W ixisting1building(s). Demolition permit is required poor 0 -issuance of building buildin& --r permit for new 41 Con=crcial Bldgs: Provide a completed Hazardous MaterialS DisClos re U form if an Hazardous Materials are being used as part.of this project. 13 ST Copy Df Planning Approval Leiter or Meeting with Planni prior to U19 •• Submittal Of Building Pennit applicatiom•.-: I1lA7t]Ytr=:J:-':F �i3 '•i=fX°;'._"y' .,. »�MTii,`TR.if frac N PARLOUR 17 Bldg*P-01 Ldoc revised 06121111 CUPERTINO PURPOSE: CALGREEN NON-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 • buildinpO)cugertino.om The non-residential provisions of the 2013 Ca[Green Code outline planning, design and development methods that include environmentally responsible site selection, building design, building siting and development to protect, restore and enhance the environmental quality of the site and respect the integrity of adjacent properties; establishes the means of conserving water used indoors, outdoors and in wastewater conveyance; outlines means of achieving material conservation and resource efficiency; and outlines means of reducing the quantity of air contaminants. Project Name: Project Address: PARLOUR 17 10095 SAICH WAY UNIT 2, CUPERTINO, CA 95104 Project Description: TI PROPOSED, ACT CEILING, ELECTRICAL, PLUMBING, MECHANICAL DUCTING. Instructions: I. The Owner or the Owner's agent shall employ a licensed professional experienced with the 2013 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 I - 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. Page l of 9 EV � I �°. IE. D F Ut C[A_ CAA [I [JANCE CIGreen Aron -Res Checklist, doc revised 01123/14 oIev ae ed By: 11::::�Ihu,uari II°:tyM isle Data: OU05M7 Column 2 Column 3 MANDATORY FEATURE OR MEASURE Project Verilfication Requirements ■ 'TER 5 — NONRESIDENTIAL MANDATORY Gen�raf R------ ertts _ The project meets all the requirements of Divisions 5.101 through 5.508. ❑ ❑ Division 5.1 PLANNING AND DESIGN Plann�rsg and Design Sete De�eloprrjent 5.106.1 Storm wafter pollution prevention. For projects of one acre or less, develop a Storm Water Pollution Prevention flan (SWPPP) that has been designed, specific to its site, conforming to the State Storm water NPDES Construction Permit or local ordinance, whichever is stricter, as is required for ❑ ❑ projects plan ionsl loss tor, w water runoff and/or erosion, sedi an"t i to matter air pollution.I1'I°tui°iilldi°iiueg II)epartirrieint Page l of 9 EV � I �°. IE. D F Ut C[A_ CAA [I [JANCE CIGreen Aron -Res Checklist, doc revised 01123/14 oIev ae ed By: 11::::�Ihu,uari II°:tyM isle Data: OU05M7 5.106.4 Bicycle parking. Comply with Sections 5.106.4.1 and 5.106.4.2; or local is ❑ ❑ meet ordinance, whichever stricter. 5.106.4.1.1 Short -Term bicycle parking. If the qualified project is anticipated to generate visitor traffic, provide permanently anchored bicycle racks within 200 feet of the visitors' entrance, readily visible to passers-by, ❑ ❑ for 5 percent of visitor motorized vehicle parking spaces being added, with a minimum of one two -bike capacity rack. 5.106.4.1.2 Long -Term bicycle parking. For qualified buildings with over ❑ ❑ 10 tenant -occupants, provide secure bicycle parking for 5 percent of tenant vehicle parking spaces being added, with a minimum of one space. 5.106.5.2 Designated parking. Provide designated parking for any combination of low -emitting, fuel-efficient and carpoollvan pool vehicles as ❑ ❑ shown in Table 5.106.5.2. 5.106.8 Light pollution reduction. Outdoor lighting systems shall be ❑ ❑ designed and installed to comply with the following: 1. The minimum requirements in the Califomia Energy Code for lighting zones ❑ ❑ 1 — 4 as defined in Chapter 10 of the California Administrative Code; and 2. Backlight, Uplight and Glare (BUG) ratings as defined in IES TM -15-11; and ❑ ❑ 3. Allowable BUG rating not exceeding those shown in Fable 5.106.8, or ❑ ❑ Comply with a local ordinance lawfully enacted pursuant to Section 101.7, whichever is more stringent. 5.106.10 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 flows. -Division Performance Requirements 5.201.1 Scope. The California Energy Commission will continue to adopt ❑ ❑ mandatory building standards. Division ' AND ' • _InCoar--Wai pEUse 5.303.1 Meters. Separate meters shall be installed for the uses described in Sections 503.1.1 and 503.1.2. 5.303.1.1 New building or additions in excess of 50,000 square feet. ❑ ❑ Separate submeters shall be installed as follows: 1. For each individual leased, rented or other tenant space within the ❑ ❑ building projected to consume more than 100 gal/day. 2. Where separate submeters are unfeasible, for water supplied to the following systems: a . Makeup for cooling to re fl I to � i° w r El Elb. than 500 gpmr Makeup water for evaporate ilial rll�lrllror't' c. Steam and hot-water boilers rgy input > 500,000 Btu/h. Page 2 of 9 RII':Vy 1 E- ['0 H CODE COM PII..VCIIICE CaiGreeP Mon -Res Checidist.doe revised OJ123/14 Rev sewed 1 ydIl:�I,.woIiri II°:)eve e 5.303.1.2 Excess consumption. A separate submeter shall be provided for any tenant within a new building or within an addition that is projected ❑ ❑ to consume > 1,000 gal/day. 5.303.2 Water reduction. Plumbing fixtures shall meet the maximum flow rate ❑%� ❑ values shown in Table 5.303.2.3. Exception: Building that demonstrate 20 -percent overall water use reduction. 5.303.2.1 Areas of addition or alteration. For those occupancies within the authority of the California Building Standards Commission, as specified in Section 103, the provisions of Section 5.303.2 and Section 5.303.3 shall ❑X ❑ apply to new fixtures in additions or areas of alterations to the buildings. 5.303.4 Wastewater reduction. Each building shall reduce by 20 percent wastewater by one of the following methods: 1. The installation of water -conserving fixtures or X❑ ❑ 2. Utilizing non -potable water systems. 0. ❑ 5.303.6 Standards for plumbing fixtures and fittings. Plumbing fixtures and fittings shall be installed in accordance with the California Plumbing Code ❑ (CPC), and shall meet the applicable standards referenced in CPC Table 1401.1 and CalGreen Chapter 6. --------------- utdodtWater 5.304.1 Water budget. A water budget shall be developed for landscape ❑ ❑ irrigation use. 5.304.2 Outdoor potable water use. For new water service or for addition or alteration requiring upgraded water service for landscaped areas of at least E]❑ 1,000 sci t. but not more than 5,000 sq.ft., separate submeters or metering devices shall be installed for outdoor potable water use. 5.304.3 Irrigation design. In new nonresidential construction or building addition or alteration with at least 1,000 but not more than 2,500 sq.ft. of cumulative landscaped area, install irrigation controllers and sensors which ❑ ❑ include the following criteria, and meet manufacturer's recommendations. 5.304.3.1 Irrigation controllers. Automatic irrigation system controllers installed at the time of final inspection shall comply with the following; 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. 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 communicates ❑ ❑ with the controller(s). Soil moisture -based controllers are not required to have rain sensor input. llSleaiher Rersistar�ceTattd Mitis#urg )htlanagemen#, _� W--___ :.: 5.407.1 Weather protection. Provide a weather -resistant exterior wall and foundation envelope as required by California Building Code Section 1403.2and ❑ ❑ California Energy Code Section 150, maw tinstallation s stal instructionstrinr instructions or local ordinance, whicheve j jor wy't 1 qs� Page 3 of 9 V'iIfu~Vi iI.-D i°DR CON COM ['[JANCECalGreen Non -Res Checklist.doc revised 01/23/14 )N/05M7u P 5.407.2 Moisture control. Employ moisture control measures by the following methods; 5.407.2.1 Sprinklers. Prevent irrigation spray on structures. 5.407.2.2 Entries and openings. Design exterior entries and/or openings ❑ to prevent water intrusion into buildings. 5.407.2.2.1 Exterior door protection. Primary exterior entries shall be covered to prevent water intrusion by using nonabsorbent floor and wall finishes within at least 2 ft around and perpendicular to such openings plus at least one of the following: 1. An installed awning at least 4 ft in depth. 2. The door is protected by a roof overhang at least 4 ft in depth. 3. The door is recessed at least 4 ft. 4. Other methods which provide equivalent protection. 5.407.2.2.2 Flashing. Install flashings integrated with a drainage El plane. CWonsfrtactiofiM to Rid uction,_Disposal andRecycling ry 5.408.1 Construction waste management. Recycle and/or salvage for reuse a minimum of 50 percent of the nonhazardous construction and demolition waste in accordance with Section 5.408.1.1, 5.408.1.2, or 5.408.1.3; or meet a 0 ❑ local construction and demolition waste management ordinance, whichever is more stringent. 5.408.1.1 Construction waste management plan. Submit plan per this ❑ section to enforcement authority. 5.408.1.2 Waste management company. Utilize a waste management company that can provide verifiable documentation that the percentage of ❑ construction and demolition waste material diverted from the landfill complies with CalGreen Section 5.408. 5.408.1.3 Waste stream reduction alternative. The combined weight of new construction disposal that does not exceed two pounds per square ❑ ❑ foot of building area may be deemed to meet the 50 percent minimum requirement as approved by the enforcing agency. 5.408.1.4 Documentation. Provide documentation of the waste ❑ management plan that meets the requirements listed in Section 5.408.1.1 through 5.408.1.3. 5.408.3 Excavated soil and land clearing debris. 100 percent of trees, stumps, rocks and associated vegetation and soils resulting primarily from land ❑ clearing shall be reused or recycled. _B.ulldffing Marntenance and Operration..a 5.410.1 Recycling by occupants. Provide readily accessible areas that serve the entire building and are identified for the depositing, storage and collection © ❑ of nonhazardous materials for recycling. 5.410.2 Commissioning. For new buildings 10,000 square feet and over, building commissioning for all building systems covered by T24, Part 6, process systems and renewable energy hall b I, t design the i ❑ ❑ and construction processes of prole . � �I iii requirements shall include items listed inRiiiiurr ' m, IlDelpartimen't Page 4 of 9 [3Il~Wl i- l°:OUB CON COMl'[JANCE CalGreen Non -Res Checklist.doc revised 01/23/14 Reviewed a y: Il::::' h uollri I....°:)eerie )N/05M7u P 5.410.2.1 Owner's Project Requirements (OPR). Documented before the design phase of the project begins the OPR shall include items listed in ❑ ❑ Section 5.410.4. 5.410.2.2 Basis of Design (BOD). A written explanation of how the design of the building systems meets the OPR shall be completed at the design phase of the building project and updated periodically to cover the systems ❑ ❑ listed in Section 5.410.2.2. 5.410.2.3 Commissioning plan. A commissioning plan describing how the project will be commissioned shall be started during the design phase of ❑ El building project and shall include items listed in Section 5.410.2.3. 5.410.2.4 Functional performance testing. Functional performance testing shall demonstrate the correct installation and operation of each component, system and system -to -system interface in accordance with the ❑ ❑ approved plans and specifications. 5.410.2.5 Documentation and training. A Systems manual and systems operations training are required. ❑ ❑ 5.410.2.5.1 Systems manual. The systems manual shall be delivered to the building owner or representative and facilities operator and shall ❑ ❑ include the items listed in Section 5.410.2.5.1. 5.410.2.5.2 Systems operations training. The training of the appropriate maintenance staff for each equipment type and/or system El Elshall include items listed in Section 5.410.2.5.2. 5.410.2.6 Commissioning report. A complete report of commissioning process activities undertaken through the design, construction and ❑ ❑ reporting recommendations for post -construction phases of the building project shall be completed and provided to the owner or representative. 5.410.4 Testing and adjusting. Testing and adjusting of systems shall be required for buildings less than 10,000 square feet or new systems to serve an addition or alteration subject to Section 303.1. 5.410.4.2 Systems. Develop a written plan of procedures for testing and adjusting systems. Systems to be included for testing and adjusting shall include, as applicable to the project, the systems listed in Section Q ❑ 5.410.3.2. 5.410.4.3 Procedures. Perform testing and adjusting procedures in accordance with industry best practices and applicable national standards El E3on each system. 5.410.4.3.1 HVAC balancing. Before a new space -conditioning system serving a building or space is operated for normal use, the system should be balanced in accordance with the procedures defined by ❑X ❑ national standards listed in Section 5.410.3.3.1. 5.410.4.4 Reporting. After completion of testing, adjusting and balancing, provide a final report of testing signed by the individual responsible for ❑ 1:1performing these services. 5.410.4.5 Operation and maintenance manual. Provide the building ownerwith detailed operating and maintenance instructions and copies of ❑ ❑ guaranties/warranties for each system prior to final inspection. 5.410.4.5.1 Inspections and repo � ell' ii�l � ' r n ❑ El and reports required] b rr elpar°timent Page 5 of fiIfu~V l. -D F0R CODE COM['IJAlNC CalGreen Non -Res Cleecklisi.doctevised 01123/14 Reviewed a ydIl::''"Iluuairi II°:tyM isle DMEa /05/ i . 5.503.1 Install only a direct -vent sealed -combustion gas or sealed wood - burning fireplace or a sealed woodstove and refer to residential requirements ❑ ❑ in the California Energy Code, Title 24, Part 6, Subchapter 7, Section 150. 5.503.1.1 Woodstoves. Woodstoves shall comply with US EPA Phase 11 emission limits. ❑ ❑ 5.504.3 Covering of duct openings and protection of mechanical equipment during construction. At the time of rough installation or during storage on the construction site and until final startup of the heating and cooling equipment, all duct and other related air distribution component Q ❑ openings shall be covered with tape, plastic, sheet metal or other methods acceptable to the enforcing agency to reduce the amount of dust or debris which may collect in the system. 5.544.4 Finish material pollutant control. Finish materials shall comply with Sections 5.504.4.1 through 5.504.4.4. 5.504.4.1 Adhesives, sealants, caulks. Adhesives and sealants used on the project shall meet the requirements of the following standards. 1. Adhesives, adhesive bonding primers, adhesive primers, sealants, sealant primers and caulks shall comply with local or regional air pollution control or air quality management district rules where applicable or ❑ ❑ SCAQM© Rule 1168 VOC limits, as shown in Tables 5.504,4,1 and 5.504.4.2. 2. Aerosol adhesives and smaller unit sizes of adhesives and sealant or caulking compounds (in units of product, less packaging, which do not weigh more than one pound and do not consist of more than 16 fluid ounces) shall comply with statewide VOC standards and other ❑ ❑ requirements, including prohibitions on use of certain toxic compounds, of California Code of Regulations, Title 17, commencing with Section 94507. 5.504.4.3 Paints and coatings. Architectural paints and coatings shall comply with Table 5.504.4.3 unless more stringent local limits apply. ❑X ❑ 5.504.4.3.1 Aerosol paints and coatings. Aerosol paints and coatings shall meet the Product -Weighted MIR Limits for ROC in Section 94522(a)(3) and other requirements, including prohibitions on use of ❑ ❑ certain toxic compounds and ozone depleting substances (CCR, Title 17, Section 94520 et seq). 5.504.4.3.2 Verification. Verification of compliance with this section shall be provided at the request of the enforcing agency. 0 ❑ 5.504.4.4 Carpet systems. All carpet installed in the building interior shall meet the testing and product requirements of at least one of the standards ❑ ❑ listed in Section 5.504.4.4. 5.504.4.4.1 Carpet cushion. All carpet cushion installed in the building interior shall meet the requirements of the Carpet and Rug Institute ❑ ❑ Green Label program. . 5.504.4.4.2 Carpet All c, J' requirements of Table 5.504.4.1.Do Ru�uiildiling Ilellpar"turneu�'t' Page 6of9 V3 EVill:W I.Dl°Dli CODI- COMil-iAN C E CcalGreenNon-Res Checkdist.docrevised 01123/14 5.504.4.5 Composite wood products. Hardwood plywood, particleboard and medium density fiberboard composite wood products used on the interior or exterior of the building shall meet the requirements for US ❑ formaldehyde as specified in Table 5.504.4.5. 5.504.4.5.3 Documentation. Verification of compliance with this section ❑ ❑ shall be provided as requested by the enforcing agency. documentation shall include at least one of the following standards listed in Section 5.504.5.3. 5.504.4.6 Resilient flooring systems. For 80 percent of floor area receiving resilient flooring, installed resilient flooring shall meet at least one ❑ of the following standards listed in Section 5.504.4.6. 5.504.5.3 Filters. In mechanically ventilated buildings, provide regularly occupied areas of the building with air filtration media for outside and ❑ El air prior to occupancy that provides at least a MERV of 8. 5.504.7 Environmental tobacco smoke (ETS) control. Prohibit smoking within 25 feet of building entries, outdoor air intakes and operable windows where outdoor areas are provided for smoking and in buildings; or as enforced ❑ El ordinances, regulations or policies of any city, county, city and county, California Community College, campus of the California State University or campus of the University of California, whichever are more stringent. 5.505.1 Indoor moisture control. Buildings shall meet or exceed the provisions of California Building Code, CCR, Title 24, Part 2, Sections 1203 ® Eland Chapter 14.1. 5.506.1 Outside air delivery. For mechanically or naturally ventilated spaces in buildings, meet the minimum requirements of Section 121 of the California El Code, CCR, Title 24, Part 6 and Chapter 4 of CCR, Title 8 or the applicable local code, whichever is more stringent.' 5.506.2 Carbon dioxide (CO2) monitoring, For buildings equipped with demand control ventilation, CO2 sensors and ventilation controls shall be El and installed in accordance with the requirements of the latest edition of the California Energy Code, CCR, Title 24, Part 6, Section 121(c).1 5.507.4 Acoustical control. Employ building assemblies and components with STC values determined in accordance with ASTM E 90 and ASTM E 413. ❑ ❑ 5.507.4.1 Exterior noise transmission. Wall and floor -ceiling assemblies making up the building envelope shall have an STC of at least 50 and exterior windows shall have a minimum STC of 30 for any of the building ❑ ❑ locations listed in Items 1 through 3 in Section 5.507.5.1. 5.507.4.2 Interior sound. Wall and floor -ceiling assemblies separating tenant spaces and tenant spaces and public places shall have an STC of ❑ ❑ at least 40. CU1111EIRTINO Pini°iilldling Ilgellpar°timent Page 7 of 9 [3 EV I II W l:D l°� O ii CO D l'- CO M it - i A N C E Cal Greelt Non -Res Cheeklist.doG revised 01123/14 Rev sewed l ydIl:�l,.walri II°:)yM IIle DatE�P N /05M 7 5.508.1 Ozone depletion and greenhouse gas reductions. Installations of HVAC, refrigeration and fire suppression equipment shall comply with Sections 5.508.1.1 and 5.508.1.2. 5.508.1.1 Chlorofluorocarbons (CFCs). Install HVAC and refrigeration ❑ equipment that does not contain CFCs. 5.508.1.2 Halons. Install fire suppression equipment that does not contain ElHalons. ED VIII I I dei°iilldiling IlDelpar°timen't Page 8of9 VRIfu~ViED i�DR CODE COMil[JAlNC Ca1GrcenNon-Res Cteck7isf.docrevised 01123114 DMEN /05M 7 CALGREEN SIGNATURE DECLARATIONS Project Name; PARLOUR 17 ProjectAAddress: 10095 SAICH WAY, CUPERTINO, CA 95104 Project Description, TI PROPOSED, ACS' CEILING, ELECTRICAL, PLUMBING, .ME CHANICAL DUCTING. SECTION 'I -- DESIGN VERIFICATION Complete all lines of Section i —"Design Vedflcativrl." and submit the completed chacktist (Columns 1 and 2) with the pians and building psrmit application to the Building Department, The owner and design professional responsible for corriplience with CalGreen Standards have revised the plants and certify that the Home checked above are hereby incorporated Into the project plans and will be implemented into the project in accordance with thesequtnsments set forth In the 2013 Calit'omia Grecri Building Standards Code.as adopted by the City "upertino. , Ownees Signature _ 4f. a h Awnaerp Name (F%we D ign responsible for UGraen cornpllance Narne.of lJoeense. P`afesslonal responslt le for Carreen compliance (please Pont) Professional faVansible for CalGreen compliance 2 - IMPLEMENTATION VERIFICATION I L is Its Date pate Complete, sign and submit the competed checklist, including column 3, together with all originalsignatures on Section 2 to the Building Department prior to Building Department final Inspectlon. have inspected the work. .and ,have receivedsufficient documentation to verify and cartify that the projocl identified above was.construpt®d in accordance with this Green Building Checklist and inaccordance with the requirements of the 2013 Galifomla Breen building Standards Code as adopted by the City of Cupertino. Signature of License Professlonal responsible for CelGreen, compliance Dake Name of Ucsnsa Professional ramponsibte for Caldreen compilance (Please Print) phone ILII° Rwi duuifldling Ildoll . rtin nen't Page 9 o(9 CalGreen AX" t;.. C'her;Fltstdac revl3e'd 0!/23/14 FREVH.�.=..D FDR CODE COWI[JANCE Revwed a yd11::�lh uari II°:)yM dile u:>� E<a O U05/;.