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12080285CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 15 RESULTS WAY CONTRACTOR: XL CONSTRUCTION PERMIT NO: 12080285 OWNER'S NAME: ECI TWO RESULTS LLC 851 BUCKEYE CT DATE ISSUED: 12/14/2012 OWNER'S PHONE: 4084901641 MILPITAS, CA 95035 PHONE NO: (408) 240-6000 4 LICENSED CONTRACTOR'S DECLARATION r— r License Class Lic. # BUILDING PERMIT INFO: BLDG ELECT PLUMB MECH r RESIDENTIAL F COMMERCIAL , WW(A Contractor X L ( 0 CJ) tr -(N Date 2 hereby affirm that [ am licensed under the provisions of C apter 9 JOB DESCRIPTION: APPLE- COMM. T.I 22,622 SQ FT NEW INTERIOR (commencing with Section 7000) of Division 3 of the Business & Professions PARTITIONS, DOORS, FINISHES, CEILINGS, LIGHTING Code and that my license is in full force and effect. AND M,E,P'S I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self-insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Sq. Ft Floor Area: Valuation: $1922870 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APN Number: 3572004I.15 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs,, and expenses which may accrue against said City inconsequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this p rmit. Addi nally, the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-po' source reg ation er the Cupertino Municipal Code, Section 9.18. - _ ,�/ Issued by:���1✓ ! �� Date: Signature Date ❑ OWNER-BUILDER DECLARATION RE-ROOFS: hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed. If a roof is the following two reasons: installed without first obtaining an inspection, I agree to remove all new materials for 1, as owner of the property, or my employees with wages as their sole compensation, inspection. will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) Signature of Applicant: Date: I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE Compensation, as provided for by Section 3700 of the Labor Code, for the I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain 1 have and will maintain Worker's Compensation Insurance, as provided for by compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Section 3700 of the Labor Code, for the performance of the work for which this Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I se eq merit or devices which emit hazardous air permit is issued. contamin nts s deli d by t e Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued, I shall maintai o fianceWCupertino Municipal Code, Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health S ety Co ns 25505, 25533, and 25534. 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 Ow a thori d forthwith comply with such provisions or this permit shall be deemed revoked. Date: 1` r CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct. I agree to comply with all city and county ordinances and state laws relating for which this permit is issued (Sec. 3097, Civ C.) to building construction, and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, Lender's Address costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code, Section 9.I8. 1 understand my plans shall be used as public records. Signature Date Licensed Professional CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(Dcupertino.org 12-09 6 2 ik_� ❑ NEW CONSTRUCTION ❑ ADDITION X❑ ALTERATION / Tl ❑ REVISION/ DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS 15 Results Way APN # 357 2 0 041 OWNERNAME ECI TWO RESULTS LLC PHONE 408.490.1641 E-MAIL STREET ADDRESs13 01 SHOREWAY RD S TE 250 CITY, STATE, zIP Be lmont CA 94002 FAX CONTACTNAME Marco Innocenti PHONE 408.240.6000E-MAminnocenti@xlconst.com STREETADDREss 851 Buckeye Court CITY,STATE, zip Milpitas, CA 95035 FAX 408 .240. 6001 ❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT N CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME Marco Innocenti LICENSE NUMBER 6 4 7 4 8 0 LICENSE TYPE B BUS. LIC # 21836 COMPANYNAME XL Construction E-MAIL minnocenti@xlconst.com FAX 408.240.6001 STREETADDRESs851 Buckeye Court CITY, STATE, ZIP Milpitas, CA 95035 PHONE408 . 240 . 6000 ARCHITECT/ENGINEER NAME David S aba l V d ro LICENSE NUMBER C - 0 15 9 2 Cj BUS. LIC # COMPANYNAME Studios Arch F--MA"crossman@studiosarch.com 'crossman@studiosarch.co 415 .398 .3829 STREET ADDRESS 4 0 Cj Howard St Suite 588 CITY, ST STEan, ZIP Francisco, CA 94105 PHONE 415 . 398 . 7575 DESCRIPTION OF WORK New interior partitions, doors, finishes, ceilings, lighting, electrical, mechanical, and plumbing. EXISTING USE Business Group B PROPOSED USE CONSTR. Business Group B III TYPE B2 #STORIES USE TYPE OCC. SQ.FT. VALUATION($) EXISTG AREA 22, 622 I NEW FLOOR AREA 22 , 622 DEMO AREA N/A TOTAL NET AREA 2 2, 6 2 2 �'.� �3 I 2Z2r t92 Z BATHROOM N/A KITCHEN N/A REMODEL AREA THER N/A REMODEL AREA REMODEL AREA PORCH AREA DECK AREA I TOTAL DECK/PORCH AREA GARAG AREA: DETACH FA N/A N/A N/A NA []ATTACH #DWELLING UNITS IS SECOND UNIT ❑YES SECOND STORY ❑YES N /A BEING ADDED? ®NO ADDITION? IN NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEI D B TOTAL VALUATION: PLANNING APPL# [XNO PLANNING APPROVAL LETTER EICHLERHOME? WNO ZZ 6-71 By my signature below, I certify to eacli qf the following: am the propeowner or authorized age to act on the property owner's behalf. I have read this application and the information l hav r vided is correct. have read the es 'ption of Work and erify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to rti ing construction. authorize s tives of Cupertino to enter the above -id red pre, for inspection purposes. Z 2 Signature of Applicant/Agent: A Date: SUPPLEMENTA ATION QUIRED PLAN CHECK TYPE ROUTING SLIP New SFD or Multifamily dwe lings: Apply for demolition permit for ❑ OVER-THE-COUNTER BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building ICT permit for new building. ❑ EXPRESS PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure STANDARD PUBLIC WORKS _ form if any Hazardous Materials are being used as part of this project. ❑ LARGE X__RRE DEPT Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJORSANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO W-0 FEE ESTIMATOR — BUILDING DIVISION 10 ADDRESS: 15 Results Way DATE: 08/28/2012 REVIEWED BY: Sean PC FEE ID APN: BP#: 208 'VALUATION: $1,922,870 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: IBTIPLNCK PENTAMATION 1 B TI PERMIT TYPE: 19 WORK APPLE- COMM T.I 22 622s ft). new interior partitions, doors finishes ceilings, lighting and M E P's SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) II-B,III-B,IV,V-B 22,622 $2,973.13 IBTIPLNCK $9,593.21 IBTIINSP $0.00 PME Plan Check: $0.00 Permit Fee: $9,593.21 Suppl. Insp. Fee -.0 Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 TOTALS: 22,622 $2,973.13 $9,593.21 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Dictrirt-etc 1_ The.ve fees are haled an the nreliminary information availahle and are only an estimate Contact the Dent for addn'1 info. FEE ITEMS (Fee Resolution 11-053 E(f 7/1/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,973.13 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: 0 Reg. 0 OT 0,0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $9,593.21 Suppl. Insp. Fee -.0 Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 7i �,� el 1)r�ca�rncrnfulinrt I t,Ts: Strong Motion Fee: IBSEISMICO $403.80 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $77.00 SUBTOTALSc" 13,047.14 $0.00 TOTAL FEEc, $13,047.14 Revised: 07/01/2012 CUPERTINO cm en COURTESY INSPECTION REQUEST FORM 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 - building (a)cupertino.org SITE/� X? ADDRESS: /4!604 L /LES U1_17S c._j .4 V BUILDING APPLICATION #: DATE SU MI TED: APN COMMENTS (REASON IF INSPECTION FAILED) TI PREPARATION BUILDING PERMIT #: / 7 OWNER'S NAME: ��//JJ plass PHONE #: FAX#: �,e; L. �,.s ioll, ry /2.. AQ f i y MAILING ADDRESS (if different from site address): PAS -5 CONTRACTOR:�/ /` L L. c>A-.)s U c 'Ti ;P ^J PHONE #: FAX #: PA5_5 CONTACT:PHONE Nmv X <_o 2,051 #: F LIMITS OF WORK RE ESTED FOR COURTESY INSPECTIONS: I request to start construction work in which a building permit has not been completely secured. I have obtained a tenant improvement preparation permit if the scope covers the removal of interior non-structural elements within the building. I have submitted a building permit application and plans for the tenant improvement project and it is currently in the plan review process. I agree to call for courtesy inspections for the limited work as noted on this application. I fully understand that I will be responsible to redo the work performed under courtesy inspections if the work does not fully comply with the approved set of plans and all State and local rules and regulations. Owner: ........................................................ ......................... Print:......................................................................... Date:.............................. Contractor: ........ /. C=--.-.... . ........... ........................... i(W, ............. Date: .... e2 1 a............. ................ ............ Print:..... - OFFICE USE ONLY - The Request is: ❑ GRANTED ❑ DENIED I Bldg Official/Inspector:......................................................................Date:.............................. INSPECTION RESULTS INSPECTION TYPE INSP. DATE TIME SPENT *RESULTS INSP. INIT. COMMENTS (REASON IF INSPECTION FAILED) plass �,e; L. �,.s ioll, ry /2.. AQ f i y is ;z PAS -5 i �► ,-z PA5_5 © Pass 1r; *RESULTS: P -Pass, F- Fail, C -Cancel, I - Incomplete, N -Not Required, R -,To be Rescheduled CourtesylnspForm_2011.doc revised 03/14/12 CUPERTINO CONTRAC'T'OR /SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 950143255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: 15 Results Way PERMIT # 12080285 OWNER'S NAME: PHONE #408-240-6000 GENERAL CONTRACTOR --XL Construction Inc. BUSINESS LICENSE #21836 ADDRESS:851 Buckeye Ct. Milpitas,ca 95035 CITY/ZIPCODE.MIlpitas, 95035 *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: Signature Please check applicable subcontractors and complete the folioming information: 2-2-13 Date ✓ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork MissionBell Mfg. Inc. 25336 Cement Finishing JJ Albanese Inc. 19945 Electrical Redwood Electric Group 21108 Excavation N/A Fencing N/A Flooring/ Carpeting R.E Cuddy 1429 Linoleum / Wood NIA Glass, Glazing Silicon Valley Glass 26943 Heating United Mechanical Inc. 27361 Insulation Bayside Interiors 25898 Landscaping N/A Lathing NIA Masonry N/A Painting / Wallpaper Pyramid Painting Inc 25999 Paving N/A Plastering N/A Plumbing United Mechanical Inc. 27361 Roofing StateWide Roofing 23509 Septic Tank N/A Sheet Metal United Mechanical Inc. 27361 Sheet Rock Bayside Interiors 25898 Tile Rinaldi Tile 27336 2-4-13 Date 2010 CALGREEN NON-RESIDENTIAL CHECKLIST - MANDATORY ITEMS COMMUNITY DEVELOPMENT DEPARTMENT * BUILDING DIVISION CUPERTINO ALBERT SALVADOR P.E., C,B.O,. BUILDING OFFICIAL 10300 TORRE AVENUE -CUPERT:NC, CA 95014-3255 (4138)j 777-3226 - FAX (408) 777-33' .3 - buiId1nqacuPer'.jLq_.oM PURPOSE: The non-residential provisions of the 2010 CalGreen Code outline planning, design and clevelopmert 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. i A110 57 Project Name: % Project Address: 5 llA,15 C) t LA Project Description: Ama Instructions: CUPER11NO 1. The Owner or the Owner's agent shall employ a licel - slonal experie@ wo " t California Green Building Standards Codes to verify 11 that all require?ai'# )ANnechetrein is properly planned and implemented in the project. 2. The licensed professional, in collaboration vvilh the c c@F& trjfEN12nal shall initial Column 2 of this checklist, sign and date Section I - Design Verification a1t,".9nd of this checklist and have the checklist printed on the approved plans RRftUn*!0.Fo (3 0 MPLIANCE 3. Prior to final *Inspection by the Building Department professions omplete Column 3 and sign and date Section 2 - Implementation VeA.9Q1VK,7,VfW UT -L WuKrl"�tibi tit,the completed form to the Building Inspector. 7' "M n 2 Column MANDATORY FEATURUJINAC110" k; roj _eet er ification qr,ameui ReInts General Requirements The project meets all the requirements of Divisions 5.1 through 5.6, 1 0 1 El Planning and Design - Site Development 6.106.1 Storm water pollution prevention plan. For projects of one acre or less, ceveiop. a Storm Water Pollution Prevention Plan (SWPPP) that has been designed, specific to its sile, conforming to the State Storm water NPDES Construction Permit or local ordinance, whichever is stricter, as is required for El projects over one acre. The plan should cover prevention of soil loss by storm water run-off anWor wind erosion, of sedimentation andior of dustiparticulate _21 -atter air pollution. page 1 tif 7 CalGreen Xbn-Re4 $AO6.4 Bicycle parking and changing mortis. Corr.ply with Sections 5.106,4.1 and 5.106,4 2; or meet local ordinance. whichever is stricter. i 5,106.4.1 Short -Term bicycle parking. If the project is anticipated to generate visitor traffic, provide permanently anchored bicycle racks v,61hin 200 feet of the visitors' entrance; readily visible to passers -key, for 5 percent of visitor motorized vehicle parking capacity, with a minimum of one two - bike capacity rack. 5.10€,4.2 Long -'berm bicycle parking. For buildings with ovef 10 tint - occupants, provide secure bicycle parking for 5 percent of tenant -occupied motorized vehicle parking capacity, with a minimum of one space. 5.106,5.2 Designated parking. Provide designated parking for any combination of lova-emitting, fuel-efficient and carpooltvan pool vehicles as MIA tit ❑ shown in Table 5.1 06.61, 5.106.8 Light pollution reduction. Comply With lighting power requirements in the Cole%mia Enefgy Godo and design interior and exterior lighting such that zero direct -beam illumination leaves the building site, Meet or exceed exterior o light levels and uniformity ratios for lighting zones 1 —4 as defined in Chapter 10 of the Cafifomia Adrninistra(tve Go de, using the following strategies: 1, Shield all exterior luminaires cr use cutoff iurninaires, ❑ ❑ 2. Contain interior lighting within each source.❑ 3. Allow no more than .01 horizontal foot candle 15 ft beyond the site, ❑ ❑ 4, Contain all exterior lighting within property boundaries. Exception: See Part 2, Chapter 12, Section 1205.6 for campus''ighting requirements for parking facilities and walkways, 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 5.2 ENERGY Performance Requirements 5.201.1 Scope. The California Energy Commission will continue to adopt Q 13mandatory building standards.' Division 5.3�EFFICIENCY :� a w CONSERVATION IndoorWater Use 5.303.1 Meters. Separate meters shall be installed for the Uses described in Sections 503.1.1 through 503.1.3. 5.303,1.1 Buildings In excess of 50,t30D square feet, Separate ® [� submeters shall be installed as follows. 1. For each individual leased, rented or ether tenant space within the I '� ❑ buiidi n re acted to consume mare than 100 criLfda �_... ._.. 9 p r_ ._ ym� ..._.__ m Page 2 o ( 4 t;`OGreer, Xvn-Pei f tier,;kl steric revised Q8,27`1 i 2. For SPMS used for laundry or cleaners, restaurant or food service, medical or dental office, laboratory or beauty salon of barber shop Ml projected to consume more than 100 gal/day, 5.303.1.2 Excess consumption. Any building within a project or space witnin a building that is projected to consume more than 1,000 galtday. 6.303.2 20 percent savings. A schedule of plumbing fixtures a-rid fixture fittings that will reduce the overall use of potable water within the building by 20 percent shall be provided, (Calculate savings by Water Use Worksheets) 5.303.2.1 Multiple showerheads serving one shower. When single shower fixtures are served by more than one shDwerhead, tie combined flow rate of all the showerheads shall not exceed the maximum flowflowrags Lad❑ specified In the 20 percent reduction column contained in Table 5,303.2,3 or he shower shall be designed to only allow one shcroverhead to be in operation at a time, 6.303.4 Wastewater reduction. Each building shall reduce the generation of wastewater by one of the following methods* As applicable I. 'The installation of water-conserving fixtures or 0 2. Utilizing non-potable water systems, til n 5.303.6 Plumbing fixtures and fittings. Plumbing fixtures (water closets and urinals) and fittings (faucels and showerl,eads) shall comply with the requirements listed for each lype in Items listed in Table 5.303.6. As applicable I. Water closets (toilets) - flushometer type M. Lai ❑ 2. Water cl. osels (toilets) -lank type El 0 3. Urinals C1 C Public lavatory faucets 0 5. Public metering self-closing faucets 0 0 6. Residential bathroom, lavatory sink faucet XI 7. Residential kitchen faucets Rel B. Residential shovver heads 0rl 9. Single shower fixtures served by more than one showerhead Outdoor Water Use 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. separate meters or submelers shall be installed for indoor and outdoor potable water use for landscaped areas between 1,000 square feet and 5,000 square feet. 6.304.3 Irrigation design. In new nonresidential projects with between 1,000 As applicable and 2,500 square feet of landscaped area (the level at which the MILO ❑ applies), install irrigation controllers and sensors which include the following criteria and meet manufacturer's recommendations. 11age 3 <)1'9 Chec4h.kr. 4w ervised 0,442Z/i.? 5.304.3.1 Irrigation controllers. Automatic irrigation system controllers installed .11 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. VV6ather-based controllers without integral rain sensors or communication systems that account for local rainfall shall have a separate wired or oAreless rain sensor which connects or communicates LQJ ❑ with the controller(s). Scil moisture -based controllers are not required to have rain sensor input. Weather Resistanco and Moisture Management 6.407.1 Weather protection. Provide a weather -resistant exterior wall and foundation envelope as required by C,9106rnia BuAfing Code Section 1403.2 MU L^_J 13 and California Energy Code Section 150, manufacturer's installation instructions or local ordinance, whichever is more stringent' 5,407.2 Moisture control. Employ moisture control measures by the following methods; 5.407.2.1 Sprinklers. Pre -vent irrigation spray on structures. 5.407.2.2 Entries and openings. Design exterior entries and openings to prevent water Intrusion into buildings. Construction Waste Reduction, Disposal and Recycling 5.408.1 Construction waste diversion, Establish a construction waste management plar, or meet local ordinance, whichever is more stringent ___ .................... . ..... . . .. ... . ................. 5,408,2 Construction waste management plan. Suomit plan per this section to enforcement authonly, 5.408.2.1 Documentation. Provide documentation of the waste management plan that meets the requirements listed in Section 5,408.2 Items I thru 4 and the plan is accessible to the enforcement authority. 5.408.2.2 Isolated Jobsites. The enforcing agency may make exceptions to the requirements of this se:tJon when jobsites are located in areas — beyond the haul boundaries of the diversion facility. 5.408.3 Construction waste, Recycle and/©r salvage for rGLISo a minimum Of Lai 50 percent of nonhazardous construction and demolition debris or meet lcwal ordinance, whichever is more stringent. Exceptions: 1. Excavated soil and land -clearing debris, 2. AJternate waste reduction methods developed by working with local agencies if diversion or recycle facilities capable of compliance with this iters do net exist. 5.408.4 Excavated soil and land clearing debris. IGO percent of trees, stumps, racks and associated vegetation and soils resulting primarily from land K-7 I❑ clearing shall be reused or recycled. 11age 1 f)1'9 C&Green Xot-Reit UrrrkiWAne r-eils4?d 0&'27:'11 Building Maintenance and Operation 5.410.1 Recycling by occupants. Provide readily aocessible areas that serve the entire building and are identified fear the depositing, storage and collection ® ❑ of nonhazardous materials for recycling. $.410.2 Commissioning. For new buildings 10,000 square feet and over, building commissioning for all building systems covered by T24, Part 5, process systems and renewable energy systems shall be included in the ❑ design and construction processes of the building project. Commissioning requirements shall include items listed in Section 5.410,2, 5.410.3.1 Owner's Project Requirements {OPRj. Documented cefore the design phase of the project begins the CPR shall include items fisted in F�3 tr l ❑ Section 5.410.4. h 5.410.3.2 Basis of Design {BOD). A written explanation of how the design of the building systems meets the CPR shall be completed at the design phase of the building project and updated periodically to cover the systems M/1 [� fisted 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 duringthe design phase of the building project and small include items listed in Section 5.41 G.2 3. 5.410.2.4 Functional performance testing shall demonstrate the correct installation and operation of each component, system and system-tcr, ❑' ❑ 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 fa€dlities operator and shall ❑ ❑ include the items listed in Section 5.4113,2.5, 1. 5.410.2.5.2 Systems operations training. The training of the appropriate maintenance staff for each equipment type an&or system Q shall Include items listed in Section 5.410-2.5.2. 5.410.2.6 Commissioning report. A compleie report of commissioning process activities undertaken through the design, construction and reporting re:corn mendations for post-conatruction phases of the building n ❑ 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 lesv than 10.000 square feet. 5.410.4.2 Systems. Develop a written plan of procedures for testing and adjusting systems, Systems to tie included for testing and ad usflng shall include, as applicable to the project, the systems listed in Section 5.41 0.3.2., 5.410.4.3 Procedures. Perform testing and adjusting procedures in accordance with industry best practices and aoplicable national standards ❑ on 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❑ txt should be balanced in accordance with the procedures defined by national standards listed in Section 5.410,13.1. psln 5 Or 9 (salcireeifF "Von, lhf v C i vkh'sl ike ." e9'71C[i 08,17 li l 5.410.4.4 Reporting. After completion of testing, adjusting and balancing, provide a final report of testing signed by the individual responsible for performing these services. 0 11 5.410.4.5 Operation and maintenance manual. Provide the building owner with detailed operating and maintenance instructions and copies of guaranties/warranties for each system prior to final inspection, 5,410.4.5.1 Inspections and reports. Include a copy of all nspection verifications and reports required by the enforcing agency. Firepl4cea 6.503.1 Install only a direct -vent sealed-cornbustion gas or sealed %yood- M ❑ burning fireplace or a sealed woodstove and refer to residential requirements VN in the California Energy Code, Title 24, Part 6, Subchapter 7, Section 150. 6.503.1.1 Woodstoves. Woodstoves shall comply with US EPA Phase It ❑ em.iss:on limits. K11 Pollutant Control 5.504.3 Covering of duct openings and protection of tnechavical 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, ail duct and other related air distribution Component rXI openings shall be covered witri 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. 5.604.4 Finish material pollutant control. Fnish 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 OF air quality management district rules where applicable or '6a M17 Lai ❑ SCAVAD Rule 1 VOC limits, as shown in Tables 5.504.4.1 and 5,504A.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 VC standards and other requirements, including prohibitions on use of certain toxic compounds, of Gafifornia Code of Regiihifions, Title 17, commencing with Section q4507. 6.504.4.3 Paints and coatings. Architectural paints and coatings shall comply with Table 5.504,4,3 unless more stringent local limits apply- SM4.4.3.1 Aerosol paints and coatings. Aerosol paints and coatings shall meet the Product -Weighted M IR Limits for ROC in Section 94522(a)(3) and other requirements, including prohibitions on use of M ❑ certain toxic compounds and ozone depleting substances (CCR, Title 17, Section 94520 et seq). Nigt 6 of' Y CrIlGri-CV; M14- PeN Ch eckhAdor reutsed ft? 7 11 5,504.4.3.2 Verification, Verification of compliance with this section shall be provided at the request of the enforcing agency, 6.604.4.4 Carpet systems. All carpet installed in the building interior shall meet the testing and product requirements of onee of the standards listed in Section 5.504.4,4. 6,504.4.4.1 Carpet cushion. All carpet cushion installed in the building interior shall meet the requirements of the Carpet and Rug Institute Green Label program. 5.604.4.4.2 Carpet adhesive. All carpet adhesive shall meet the requirements of Table 804.41 6.604,4.6 Composite wood products. Hardwood plywood, particleboard and medium dens4y fiberboard composite wood products used on the interior or exterior of the building shall meet the requirements for formaldehyde as specified in Table 5.501.4. 5,504.4.5.2 Documentation, Verification of compliance wi,h this section shall be provided as requested by the enforcing agency. Documentation shall include at least one of the following*. As applicable Product certificationsand specifications 2. Chain of custody certifications 3. Other methods acceptable to the enforcing agency 6.504.4.6 Resilient flooring systems. Comply with the VOC-emission limits defined in the 2-009 CHPS criteria *and listed on its Low-emitting LIN Materials List (or Product Registry) or certified under the Floor8core program of the Resilient Floor Covering Institute. 15.504.5.3 Filters. In mechanically ventilated buildings, provide regularly occupied areas of the building with air filtration media for outside and return air prior to occupancy that provides at least a MERV of 8, 6.604.7 Environmental tobacco smoke (ETS) control. Prohibit smoking within 25"68t of building entries, outdoor air intakes, and operable windows where outdoor areas are provided for smoking and in buildings; or as enforced by ordinances, regulations or policies of any city, county, city and county, California Community College, campus of the California State University or C8MpLS of the University of California, whichever are more stringent. Indoor Moisture and Radon Control 5.505.1 Indoor moisture control. Guildings shall meet or exceed the provisions of Calffornia Ouddirig Code, CCR. Title 24; Part 2, Sections 1203 and Chapter 14,1.' I Air Quality and Exhaust 5.506.1 Outside air delivery. For mechanically or naturally ventilated spaces in buildings, meet the minimum requirements of Section 121 of the California Energy Code, CCR, Title 24, Part 0 and Chapter 4 of CCR, Title 8 or the 0 applicable local code, whichever is more stringent-' llapac 7 (if 9 Res Cherkdistdac rolwd 08/274 1 5.506.2 Carbon dioxide (G02) monitoring, For buildings equipped Mth demand control ventilation, CO2 sensors and ventilation controls shall be specified and installed in accordance with the requirements of the latest edition of the Callfornfe Energy Code, CCR, Title 24, Part 6, Section 121 (c), Environmental, Comfort 5.507.4 Acoustical control. Employ bolding assemblies and components rXI IJ with STC values determined in accordance with AST110 E 90 and ASTM E 413, 5.607.4.1 Exterior noise transmission. Wall and floor -ceiling assemblies making up the building envelope shall have an STC of at least 50 and exlerior windows shall have a minimum STC of 30 for any of the building locations listed in Items 1 through 3 in Section 5.507,51, 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 rM at least 40. Outdoor Air Quality 5.508.1 Ozone depletion and global warming reductions. Installations of HVAC, refrigeration and fire suppression equipment shall comply with Sections 5.508.1,11 and 5,508.1.2. As applicable 6.508.1.1 CFCs. Install HVAC and refrigeration equipment that does not rXI IJ contain CFCs.' 5.508.1.2 Halons. Install fire suppression equipment that does not Contain I Halons. I 1. These measures are curren',19 required elsewhere in sitetule, or in regulatior. ?Hge 8 of 9 Project Name: Project Address: Project Description. SECTION 9 W DESIGN VERIFICATION Comptata all lines of Section 1 — `Design Verifications and submit the completed cheddist (Calamine I and 2) with 'ha plans and building pormit application to the Ot ilding Department. The owner and design professional responsible for compliance Vlh 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 tho project In accordance with the requirements set forth In the 2010 California Green Building Standards Code as adapted hVtile City of Cupertino. Owner r tg plure rrff/��/JJ'',��, p �/ 1 V41 .$46 MIA ire � ay,D Design Prof sslonal's blame (Please P rn4) SlgnatU UI 5cense PrnressldNal` onsibtetar k3rean compliance 1 Name of License Professional responsible for Cahn compliance (Please Print) Email Address for License Professlonal responsible for Cal0reen compliance Phone SECTION 2 LEMCATION Complete, atgri and submit the competed checkfist, Irtluding column 3, togetherwith all original signatures on Section 2 to the Buifding Department prlcr to Budding Department Final inspection. I have Inspected the worts and have recoived sufficient docurnentatlon to ve0j and certify that the project Wenti6ed above was constructed In acccrdonce with [his Green Buildicg Checklist and in accordance 6vilh the requirements of the 2010 Callfornla Green Building Standards Code as adopted by the City of Luper -11 ro. Signature of t icense Professional msponsibfs for CaiGreen compliance gale Name orLlcense Professional responsible for Calureen compliance (Please Print) Phone IV, Page 9of9 CajCregnr taw-ResClreckrisr.eacrnised031171fI