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14070053CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10380 STERLING BLVD CONTRACTOR: PAB CONSTRUCTION PERMIT NO: 14070053 INC OWNER'S NAME: JALILI MOHSEN H ET AL 21060 HOMESTEAD RD STE 216 DATE ISSUED: 09/12/2014 OWNER'S PHONE: 4084946595 CUPERTINO, CA 95014 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL E] CONSTRUCT 2 STORY RESIDENCE (2783 SQ FT); License Class Lic.# ATTACHED GARAGE (420 SQ FT); FRONT PORCH (28 SQ FT); REAR Contractor Date PORCH (183 SQ FT); SECOND STORY BALCONY (197 SQ 1 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 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 Sq. Ft Floor Area: Valuation: $400000 performance of the work for which this permit is issued. 1 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 APN Number: 37524008.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STAR'T'ED correct. 1 agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAPS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Issued by:✓Gid%/� /' �% Date: �' -� granting of this permit. Additionally, the applicant understands and will comply a6ii with all non-point source regulations per the Cupertino Municipal Code, Section 9.18. RE-ROOFS: Signature Date All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection,,) agree to remove all new materials for inspection. OWNER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, 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) 1. as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(a) should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cup tino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Section 55 5533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: a q _ r, permit is issued. 1 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, l CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the 1 understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non-point sour r ul tions per the Cupertino Municipal Code, Section Licensed Professional 9.18. p Date 4 -\ Signature M CONSTRUCTION PERMIT APPLICATION � r w COMMUNITY DEVELOPMENT. DEPARTMENT ^ BUILDING DIVISIO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 �,1 (408) 777-3228 - FAX (408) 777-3333 ^ buildinga()cuoertino.oro \*� CUPERTINO ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGIA'AL PERMIT PROLE T ADDRESS 1®3 S Q S e f 1 I q At , 9 d APN I �15 L4 �-r , N -- PHONE �GB� / `1 v J -1 I E-M.AIL Pe OIA'NER NAME Mth Sew) A ILI'L t 6, �5 G di fft%14 I I STREET ADDRESS 1 e �+ e �P [1��P I CITY, STATE, ZIP Cv Qpr�I 9 I FAX CO?.'TACTNAIME MVC VS-eF1 PHONE L/eX-4qq—s(,'4 E-MAIL Pa.b(_ens90e, MeA. STREET ADDRESS CITY, STATE, ZIP FAX OIIT°7t ❑ OIIR.ER-BUIIADI ❑ OWNER AGENT ❑ CONMRACTOR ❑ CONITKACTOR AGREN''T ❑ AR HrrEcT ❑ D*iGll"TaR ❑ DEVELOPER ❑ TENANT CONiRACTORN.M4E M V f' I LICENSE NUMBER /1 � LICENSE TYPE I BUS. LIC 9 v � 4�� COMPANY NAME P � � � "n S+�1 (J C�'I Q E MAIL ^ 19 Ca _ � ce � FAX Y� 1 N r. % i � c c, STREET ADDRESS 21660 NavwlP eA+6 (d. 2 CITY, STATE, ZIP GvPPr$iA0 2 CA PHONE ARCHITECT . G EER NAti4E LICENSE NUMBER BUS. LIC d COMPANY NAME E-MAIL ��}�/e/1� �/y� /ate, FAX o/ 9-c4+/4� STREET ADDRESS J CITY, STATEr'ZIP PHONE W060 DESCRIPTION OF WORK _ /� Q �C r q_ car EXISTING USE PR POSED URF CONSTR. TYPE R STORIES N eaC USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR AREA I AREA DEN40 AREA TOTAL NET AREA V I 2--7 F3.3 BATHROOM KITCHEN OTHER REMODEL AREA REIMODEL AREA REMODEL AREA lJ r I ct� 2 PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ ATTACH *(I�ja I v[ R DIVELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES I BEING ADDED? ❑NO ADDITION? NO '162 f �% -_ - * - �'' _P -ROY ELOPIOF _IS THE�DC AN 0 YEs : RECn'11iED BY - .k +3-. '� + �- t TOT. 4T N: PLANT7NGAPPL. ❑NO P '� ER EICHLERH0�1E" ,.�-=sx ;,iiy*,r •'t...31J...-s....,rF.., ay„. ` By my signature below, I certify to each of the following: I am the property o Amer or authorized agent to act on th el owtner's behalf. I have read this application and the information I have provi d i c rrect. I have read the Description of Work and veri s accu I agree to comply with all applicable local Eli: ordinances and state Izlvs relating to build in colt c ' n I authorize representatives of Cupertino to r the ntified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEI ENTAL 1N RMATION REQUIRED Q tea � ,-,;�PLfL�CHECKT]TE,:,-�^'r,�.y• 2- -- s I � t ' x OVERTHI<COUIvTER ?w 3 bIAGPIATTE��tTJ�' New SFD orMultifamil dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building ,X permit for new building. tP.g"'>; 4. ©s R�Ess S,R p r GSL 3 REx tEc�sy Ar - '.tel a��n3'-""IZ`h _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ` natt I -N ORi S11' form if any Hazardous Materials are being used as part Of this project.' €t�F of Planning Approval Letter or Meeting With Planning prior to Q�4AJOI�..,� _Copy submittal of Building Permit application. � y �EIi�RDI$TRICD � E„ = 4 - �"�s,,a B1dgApp_2011.doc revised 06/21/11 20 bli d-IFIrR7 ir'h7M d-4Tr T1rbTMTnrrrirk\T�re OCCUPANCY TYPE: _Illi R \LYIV \�_ lU it Xj" A ill Iq \LY FEE IESTMATOR - BUff LDffNO DffVffSffON FLR AREA s.f. ADDRESS: 10380 sterling blvd DATE: 0711112014 REVIEWED BY: Mendez PC FEE ID APN: BP#: 760=*VALUATION: 1$400,000 PERMIT TYPE: Building Permit PLAN C ECK TYPE: New Construction PRIMARY SFD or Duplex 2nd Unit? 0 Yes No PENTAMATION 1 R3SFDW USE: $3,393.19 PERMIT TYPE: d WORK construct 2 story sfdwl 2783 sq to include garage (420);porch (210); and attached in law unit 373 SCOPE sunnyvale sanitary district OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,111-B,IV,V-B 3,786 $3,231.93 IR3PLNCK $3,393.19 IR3INSP $3,393.19 Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXR # new units $667.63 :itli?2!1)LCII"a7tll't' I=dC" 0 0 Work Without Permit? 0 Yes E) No $0.00 Advanced Planning Fee. IPLLONGR $530.04 TOTALS: 3,786 $3,231.93 Strom Motion Fee: IBSEISMICR 1 $3,393.19 Select an Administrative Item NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE g'1<'IEMS (Fee Resolution II -053 Eff.' 711113) aterh. 1'laln (. h,,(k 1'11nnh Plan U/a c4 1"', 1 , ; : t' Ltech, Pernul F'ee. "/irrnh. A. mat I•L•� - 1"i, ( Usher .ticeh. TnsP_ Usher P,armb ImpET_L_ Oli;r,• I loa Lisp. l'ie h hasp. Fec: t'launb Cusp. Fee. 111J NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE g'1<'IEMS (Fee Resolution II -053 Eff.' 711113) FEE QTY/FEET Ia ISC ITEMS Plan Check Fee: $3,231.93 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $3,393.19 Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXR # new units $667.63 :itli?2!1)LCII"a7tll't' I=dC" 0 0 Work Without Permit? 0 Yes E) No $0.00 Advanced Planning Fee. IPLLONGR $530.04 Select a Non -Residential Building or Structure d, Travel Docuinewolion Fees: Strom Motion Fee: IBSEISMICR $52.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $16.00 SUBTOTALS: $7,890.79 $0.00 TOTAL FEE: $7,890.79 Revised: 07/10/2014 \6 Building Department LQ i 7 City Of Cupertino l� 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C; U P E R7II H O Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR MST JOB ADDRESS: t b PERMIT # BUSINESS NAME OWNER'S NAME: a, i i I i PHONE # Cabinets & Millwork GENERAL CONTRACTOR: BUSINESS LICENSE # ADDRESS: & i' CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a City of Caupertin4 business license. NO BUILDING (FINAL OR (FINAL OCCUPANCY INSPECTION(S) WALL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CU PERTINO BUSINESS LICENSE. I ani not casing any subcontractors: Signature ]Please check applicable subcontractors and complete the ffollllowing information: Date d Owner / Untractor Signature 03, Z *�r- 16 )[Date SUBCONTRACTOR BUSINESS NAME BUSINESS LffCENSE # Cabinets & Millwork Cement Finishing Electricals Excavation, C� Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner / Untractor Signature 03, Z *�r- 16 )[Date CUPERTINO COMMUNITY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 ^ buildinci a?cupertino.ora Dear Property Owner(s): An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at: SITE ADDRESS qo APPd BP# (Lb As� OWNER NAME OWNER ADDRESS `a,��� �'��ffSly A Vp ,iC'UPP(Tr'A DESCRIPTION OF WORK: Ale 2 @, r We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION (DIRECTIONS: Please read and initial each statement below to signify you understand or verify this information.) rAJ 1. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner - Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. ,Cn 2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. (h93. 1 understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. tn_)_4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. C^L5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. r_4Z__6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. 7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. [-'N% 8. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. OwnerBuilderForm 2010.doc revised 614/14/10 /11"*19. 1 understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. [`^ J10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the site address listed above. M�l 1. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. Ln��12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. CONSTRUCTION LENDING AGENCY (DIRECTIONS: Please complete the following construction lending agency information.) I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) (I Lender Name: 1�)e.,Jk Q_1 �P Lender Address: Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptle to the city may be required to be presented when the permit is issued to verify the property owners signature. r � 10 A — Property Owner's Signature: Date: Oq - i ?_114 --------------------------------------------------------------------------------------------------------------------------------------------- (NOTE: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder). AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the property owners driver's license, form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued to verify the property owners signature. n h i Property Owner's Signature: r, L 0 kliml Date: 0 _ - X14 OwnerBuilderForm 2010.doc revised 04/14/10 CUPERTINO PURPOSE: CALGREEK REWDEM711AL CHECKUST e HAMDATORY ?ENS COMMUNITY DEVELOPMENT DEPARTMENT o BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE a CUPERTINO, CA 95014-3255 (408) 777-3228 ^ FAX (408) 777-3333 • building aacupertino.org The 2013 CalGreen Code applies to all newly constructed hotels, motels, lodging houses, dw ngs, dormitories, condominiums, shelters, congregate residences, employee housing, factory -buil dousing and other types of swellings with sleeping accommodations and neva accessory buildings associ 4ed with uses. Existing site and landscaping improvements that are not otherwise disturbed are not pubject ty&CR� requirements of CALGreen. Project Name: Project Address: Project Description: Jalili Residence 10380 Sterling Blvd. Q New Residence OFRCE Copy 1. The Owner or the Owner's agent shall employ a licensed professional experienced wit Green Building Standards Codes to verify and assure that all req .;,-,:.„ ..1, described n tanned and implemented in the project.w' Building Depatr►n t P P K 2. The licensed professional, in collaboration with the owner and th rofessional shall initial CoWrnn 2 of this checklist, sign and date Section 1 e Design Vevificatio qj d ofPFc(�etkl And have the checklist printed on the approved plans for the project. 3. Prior to final inspection by the Building Department, the licensed "Ika9mlj5tC®?AffiWn%UGE and sign and date Section 2 - Implementation Verification at the en of this checklist aad submi � completed form to the Building Inspector, Reviewpci By. fL,TF ffWdFSJ)t�TOO F `f F2AT1 MME X)r 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 flows. 1c-"1yBW 1. TAL Pagel of5 2 c®ianmn 2 pirq qq t moU,6ireffV er a C oNimn 3 CalGreen 2014.doc revised 01115114 Page 2 of 5 CalGreen_2014.doc revised 01115114 4.201.1 Low-rise residential buildings shall meet or exceed the minimum C-11standard design required by the California Energy Standards. • WATER , CONSERVATION A. 4.303.1 Water conserving plumbing fixtures and fMIngs. 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 FEI 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. ritchen 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, FN 0 and shall meet the applicable standards referenced in Table 1401.1 of the California Plumbing Code. Page 2 of 5 CalGreen_2014.doc revised 01115114 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. X ❑ 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. 4.406.1 Rodent proofing. Annular spaces around pipes, electric cables, conduits, or other openings in plates at exterior walls shall be protected LOA against the passage of rodents by closing such openings with cement mortar, concrete masonry or similar method acceptable to the enforcing agency. 4.408.2 Construction waste management plan. Where a local jurisdiction does riot have a construction and demolition waste management ordinance, a construction waste management plan shall be submitted for approval to the enforcing agency. 4.410.1 Operation and maintenance manual. At the time of final inspection, an operation and maintenance manual shall be provided to the building occupant or owner. 4.503.1 General. Install only a direct -vent sealed -combustion gas or sealed I j wood -burning fireplace, or a sealed woodstove. 4.504.1 Covering of duct openings and protection of mechanical equipment during construction. Duct openings and other related air 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 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 FO compounds. Page 3 of 5 CalGreen_20I4.doc revised 01115114 14.504.2.4 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 f X I ® I 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 the Collaborative for High Performance Schools (CHPS) Low -emitting X 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. 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 materials used in wall and floor framing is checked before enclosure. 4.506.1 Bathroom exhaust fans. Exhaust fans which terminate outside the building are provided in every bathroom. 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 equivalent. 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 discipline they inspect and verify. 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. JNJ " � Page 4 of 5 CalGreen 1014.doc revised 01/15/14 C�'.LGF�EEN SIGNATURE UECLARA IONS Project Name: Jalili Residence Project Address: 10380 Sterling Blvd. Project Description: Nein/ Residence SEC OOfJ 1 UES GIA IMAER I I FICA ION Complete ail 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. 'rhe owner and design professional responsible for compliance with CalGreen Standards have revised the plans and certify that t items checked above are hereby incorporated into the project plans and will be implemented into the project in cordance with t e requirements set forth in the 2013 California Green Building Standards Code as adopted y the City of 01 p i o. ® ail W Owners Sign ture Date f� ef� e)AULI Owners Name ( lease PdV Design Professional's Sign ure J Date Designrofessional' Name (Please Print) 08112/2014 Signature of License Professional responsible for CalGreen compliance Date Eric Kirk 408-806-9901 Name of License Professional responsible for CalGreen compliance (Please Print) Phone eric@builders-energy.net Email Address for License Professional responsible for CalGreen compliance SEMION 2 — PLEM ENTA1110H VERIMCATM 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 Page 5 of 5 CalGreen 2014.doc revised 01/15/14 E S'TE ADDRESS ....... Address.11.4.0.....Aq, ... STATEMENT OF SPECIAL INSPECTIONS, 2013 CBC Registered DIL Professional in Chars sm a cityis t .... I(A . ........................... Phone........... COMMUNITY DEVELOPMENT DEPARTMENT -BUILDING DIVISI Applicant . ............. ............ Addriess___ Engineer/Architect ... ............. ...................... .. . . ......... 1. ....... G_&AZ ALBERT SALVADOR, P.E., C.13,10., BUILDING OFFICIAL " i !, PROJECT DESCRIPTION. mte. inept 1,*A4ond, r Name: l i i �I 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 e l" CUPERTINO TiTt alp ion....... ............ . Lie.# 9�— 4` (408) 777-3228, FAX (408) 77-3333 • 9W11&1ns@au a 10 Build irg s ghee: u S'TE ADDRESS ....... Address.11.4.0.....Aq, ... ............ . .......... Address Registered DIL Professional in Chars sm ......... ............ ........... 1.1.1- ....... ..... __............. cityis t .... I(A . ........................... Phone........... city/st ............... Zip ................ ...Phone ... ................... Applicant . ............. ............ Addriess___ Engineer/Architect ... ............. ...................... .. . . ......... 1. ....... G_&AZ CityJSl............ ............ ................... I 1491n ....... ... PROJECT DESCRIPTION. This *STATEMENT OF SPECIAL INSPECTIONS- is submitted ells of,(' BC,Sections,l 704 and 1705. This form is structured after and used by permission from the stuct�Tal Eh2!rTek,Asso6i= N6!jt_6LM Ca ifor�Wg: (SEAONP) rno de statement of Special Inspections. Also, included with this form is the following - 'LIST OF SPECIAL INSPECTION AGENCIES (page 2). A list of testing'digidilcies,and other special-inspkturs that will be retained to conduct the tests and inspections for this project k'SCHEOULE OF SPECIAL INSPECTION' (page 3 — 6). The Schedule of Special Inspections summarizes the Special Inspections and tests required. Special Inspectors will refer to the approved plans and specifications for detailed special inspection requirements. Any additional tests and inspections required by the approved plans and specifications shall also be performed. Special Inspections and Testing will be performed In accordance with the approved plans and Specifications, this statement and CBC Sections 1704,1705,1706,1707, and 1708, Interim reports will be submitted to the Building Official and the Registered Design Professional in Responsible Charge in accordance with CBC Section 1704.1.2. A Final Report of Special Inspections documenting required Special Inspections, testing and correction of any discrepancies noted in the Inspections shall be submitted prior to issuance of a Certificate of Use and Occupancy (Section 1704.1.2). The Final Report will document: • Required special inspections. • Correction of discrepancies noted in inspections. The Owner recognises his or her obligation to ensure that the cct�u E9 Ji� a a e�_apte Ctdow obita for t4y e fent implement th s program of special inspections. In partial fulfillmen& Special Inspections as required in CBC Section 1704.1. This plan has been developed with the understanding that the Building Official will: Review and approve the qualifications of the Special Inspectors who vitill perform the inspections. Monitor special inspection activities on the job site to assure that the Special Inspectors are qualified and are performing their duties as called for in this Statement of Special Inspection. Review submitted inspection reports. Perform Inspections as required by the local building code. I hava roar/ and anmo to mrnnfv with tho/tIrmsnrid conditiona of this statement Prepared By: Project Engineer 0 Architect ....... A ti, Jj Registered DIL Professional in Chars sm Si nature .. �­ ....... --t-lax ...... Date. Ul Owner Name: if ------ I�K '"erbrAuthorizatIon I 1491n ....... ... .......................... mte. inept 1,*A4ond, r Name: l i i �I e e I arbrein TiTt alp ion....... ............ . Lie.# .......................................Date: Build irg s ghee: u _s ..................... Da1w. REVIEWED FOR c0b� 0OMPLIACE SpeciafnspecdonFor,7a-2012.docrepis-ed 09106112 Reviewed by: h4_ -W1