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15080204CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15080204 10698 LARRY WAY CUPERTINO CA 95014 (316 02 036) (K C CUSTOMS INC) CAMPBELL, CA 95008 OWNER'S NAME: EANEFF CHARLES S JR AND LORRAI DATE ISSUED: O/ A, OWNER'S PHONE: PHONE NO: LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class Lic. # Contractor (K C CUSTOMS INC ) Date /1 c3 /(� _BLDG _ELECT _PLUMB j ! [[l MECA RESIDENTIAL COMMERCIAL I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: CONSTRUCT ONE STORYADDITION (536 SQ FT) WITH I hereby affirm under penalty of perjury one of the following two declarations: COVERED PORCH BETWEEN (254 SQ FT); INSTALL N r. I have and will maintain a certificate of consent to self -insure for Worker's FURNACE; (1) TANKLESS WATER HEATER; AND NEW Compensation, as provided for by Section 3700 of the Labor Code, for the ELECTRICAL SUB -PANEL. REMOVAL OF SEPTIC FIELD AND performance of the work for which this permit is issued. TANK. � 2. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which Sq. Ft Floor Area: Valuation: $150000.00 this permit is issued. APPLICANT CERTIFICATION certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby 316 02 036 authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and PERMIT EXPIRES IF WORK IS NOT STARTED expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal 180 DAYS FROM LA T CALLED INSPECTION. Code, Section 9.18. Issued Signature Date L Date: g �6 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: installed without first obtaining an inspection, I agree to remove all new materials for r. I, as owner of the property, or my employees with wages as their sole inspection. compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) Signature of Applicant: z. I, as owner of the property, am exclusively contracting with licensed Date: contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the 2. I have and will maintain Worker's Compensation Insurance, as provided for California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will by Section 3700 of the Labor Code, for the performance of the work for which maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the this permit is issued. Health & Safety Code, Section 25532(a) should I store or handle hazardous 3. I certify that in the performance of the work for which this permit is issued, I material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and Worker's Compensation laws of California. If, after making this certificate of the Health & Safety Code, Se tions 25505, 25533, and 25534. exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall Owner or au ori d agent: / be deemed revoked. Date: l / �/(o CONSTRUCTION AGENCY APPLICANT CERTIFICATION certify that I have read this application and state that the above information is ..NDN . I hereby affirm that there is a construction lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant ARCHITECT'S DECLARATION understands and will comply with all non -point source regulations per the I understand my plans shall be used as public records. Cupertino Municipal Code, Section 9.18. Licensed Professional Signature Date FM_7 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 10698 Lary Way DATE: 09/24/2015 REVIEWED BY: Phuong PC FEE ID APN: 316-02-036 BP#: 'VALUATION: $150,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: 2nd Unit? 0 Yes 0 No I OTC. 0 Yes (F) No PENTAMATION 1 R3SFDADD PERMIT TYPE: WORK Construct one story addition 536 sq ft); covered deck 254 sq ft); N furnace N tankless water heater; SCOPE I (N) electrical sub -panel. Removal of septic field and tank. 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 536 $2,654.00 1R3PLNCK $1,666.00 1R31NSP Permit Fee: $1,666.00 Suppl. Insp. FeeS. Reg. Q OT 0.0 hrs $0.00 100 amps Electrical $48.00 1BELEC200 Services PME Unit Fee: $0.00 PME Permit Fee: $96.00 = # Covered Porch $1,003.00 1COVPORCH C onctruc,tion 7irx: 4,1minititrwive FCC: 0 Work Without Permit? 0 Yes (F) No $0.00 TOTALS: 536 $2,654.00 Travel Documentation Fee: ITRAVDOC $1,666.00 Strong Motion Fee: 1BSEISMICR MECH, HOURLY © Yes (j) No PLUMB, HOURLY Q Yes Q No ELEC, HOURLY Q Yes Q No Mech. Plan Check 0.0 hrs $0.00 :rmb. Plan Checi, Elec. Plan Check 0.0 1 hrs $0.00 Mech. Permit Fee: 1MPERM7 P?arrnn. F Elec. Permit Fee: IEPERMIT Other Mech. Insp. 0.0 �s$48.00 t )iit r 1'Irrwtr Insp, Other Elea Insp.0.0 hrs $48.00 $0.00 F1 # Mechanical $72.00 1 IBREAMIR I A/C Units (<=10K cfrn) Permit Fee: NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District etc.). These fees are haled on the nreliminary information available and are only an estimate. Contact the Dent for addnY info. FEE ITEMS (Fee Resolution 11-053 E f' 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,654.00 0 # Mechanical $143.00 IMFR=<100 I Furnace, Forced -Air Suppl. PC Fee: Q Reg. Q OT 0.0hrs $0.00 PME Plan Check: $0.00 F1 # Mechanical $72.00 1 IBREAMIR I A/C Units (<=10K cfrn) Permit Fee: $1,666.00 Suppl. Insp. FeeS. Reg. Q OT 0.0 hrs $0.00 100 amps Electrical $48.00 1BELEC200 Services PME Unit Fee: $0.00 PME Permit Fee: $96.00 = # Covered Porch $1,003.00 1COVPORCH C onctruc,tion 7irx: 4,1minititrwive FCC: 0 Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee. IPLLONGR $75.04 Select a Non -Residential 0 or Structure Building Bu - Travel Documentation Fee: ITRAVDOC $48.00 Strong Motion Fee: 1BSEISMICR $19.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $6.00 SUBTOTALS: $4,564.541$1,266.00 TOTAL FEE: $5,830.54 Revised: 07/02/2015 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION 10ADDRESS: 10698 Larry Way DATE: 08/28/2015 REVIEWED BY: Sean PC FEE ID 1 APN: BP#: *VALUATION: 1$150,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: 2nd Unit? 0 Yes : No OTC. © Yes ® No PENTAMATION 1 R3SFDADD PERMIT TYPE: WORK Construct one story addition 536 sq ft); covered deck 254 sq ft). SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.E PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,111-B,IV,V-B 536 $2,654.00 1R3PLNCK $1,666.00 IR3INSP Elec. Insp. Fee: $0.00 Permit Fee: $1,666.00 Suppl. Insp. Fee -0 Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 TOTALS: 536 $2,654.00 $1,666.00 MECH, HOURLY ® Yes G) No PLUMB, HOURLY ® Yes Q No ELEC, HOURLY Q Yes Q No Uech. Plan Check "/rurrb. Plan Check Elec. Plan Check AIc>ch. Nollit Plumb. Permit Fe, Elec. Permit Fee Other Alec•h. Irsp 11her Plumb Imp. Ocher Elec. Insp. � 1, ,h. In.w. he 'himb. hash. Fee: Elec. Insp. Fee: 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 Deptfor addn7 info. FEE ITEMS (Fee Resolution 11-053 Efj`.' 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,654.00 F -F-1 # $1,003.00 Covered Porch 1COVPORCH Suppl. PC Fee: (2) Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $1,666.00 Suppl. Insp. Fee -0 Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: Administrative Fee: 0 0 Work Without Permit? 0 Yes O No $0.00 Advanced Planning Fee: IPLLONGR $75.04 Select a Non -Residential Building or Structure E) � i Dwvel Documentation Fees: Strong Motion Fee: 1BSEISMICR $19.50 Select an Administrative Item 1 __F_ Bldg Stds Commission Fee: IBCBSC $6.001 SUBTOTALS: $4,420.541$1,003.001 TOTAL FEE: $5,423.54 Revised: 07/02/2015 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15080204 10698 LARRY WAY CUPERTINO CA 95014 (316 02 036) K C CUSTOMS INC CAMPBELL, CA 95008 OWNER'S NAME: EANEFF CHARLES S JR AND LORRAI DATE ISSUED: 01/19/2016 OWNER'S PHONE: 408-480-5015 1 I PHONE NO: (408) 385-1914 License Class 5 Lic. #778553 Contractor K C CUSTOMS INC Date 05/31/2016 I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: 1. I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by 1 \ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the ,City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Scc.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: t. I have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 3. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature. a - - r X-7KI1111i PERMIT INFO: BLDG —ELECT —PLUMB MECH _ RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: CONSTRUCT ONE STORY ADDITION (536 SQ FT) WITH COVERED PORCH BETWEEN (254 SQ FT); INSTALL (N) FURNACE; (I) TANKLESS WATER HEATER; AND NEW ELECTRICAL SUB -PANEL. REMOVAL OF SEPTIC FIELD AND TANK REV # 1 - (7/26/16) - CHANGE RAMP TO STEPS IN SIDE YARD - ISSUED 7/28/2016 Sq. Ft Floor Area: I Valuation: $150000.00 APN Number: Occupancy Type: 316 62 036 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: PAUL O'SULLIVAN Date: 01/19/2016 RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: 07/28/2016 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized agent: Date: 07/28/2016 CONSTRU - HON LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION understand my plans shall be used as public records. Licensed Professional CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 98014.3288 (408) 777.3228 - FAX (408) 777.3333 - building .cugertin- -rg ;I�D QaQ ❑ NEW CONSTRUCTION l�'J, ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT it PROJECT ADDRESS APN k 1 0 3 La -r OWNER NAME Ch lvtr eane PHONE 0g-LI E-MAIL i - cerAn STREET ADDRESS CITY, ST TE, ZIP (, FAX IC�Co`t t(t ( (I J CONTACT NAME PHONE E-MAIL Ke -N Cl�eJln d IC -C �orr,s c_ STREET ADDRESS CIT STATE, ZIP oy FAX - yo8.38s1,2 ^, ❑ OWNER ❑ OwNER-BUILDER 13 OWNER AGENT IY CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER -15 LICENSE TY P BUS. LIC # \ S s COMPANY NAME < m r c. E-MAILFAX 1< v. k s -ms nc. n -►H fig'Iles- I Cl IS STREET ADDRESSCIT ', STATE, ZIP PHONE 2 -, -'I in c7W -11511 `tt ARCHITECT/ENGINEERNAME 1JvtJ6r W&OC �i?1 TRJoP6 � IbN LICENSE NUMBERBUS. 6102300 LICfI COMPANY NAME \QVQiJe O�LI` �t E-MAIL "TQV0IQ&0C-,96NS __ 61AIL GSM FAX STREETADDRESS f�t � � Rp SLA If Z�� (021J CITY, STATE, ,�Q ' �AR5111 •JAI PHONE(") -022o Tw DESCRIPTION OF WORK CN) BEDac)oM / L,IVO(s QUAL TE Q fZEAQ. (0 OIC -STc)v-y KPL6F EXISTING USE PROPOSED USE CON`S'TR. TYPE # STORIES SIN6L FAMI C40C ,E FAMIL V 3 ' USE TYPE OCC. SQ.FT. VALUATIONS) EXISTAREAL (V2s AREA NEW FLOOR EMO AREAO .O TOTAL NET AREA Z I b ( v J ,.. f0 BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA — L 1 PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA. DETACH Z54 20 /1 SS' 4 3'7 ATTACH # DWELLING UNITS. IS A SECOND UNIT YES SECOND STORY JJVES IBEINGADDED? RIO ADDITION? $NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED TOTAL VALUATION: PLANNING APPL # �WNO PLANNING APPROVAL LETTER EICHLER HOME? 0 � By my signature below, I certify to each of the following: i am t-_ e.property,pwri r authorized agent to act an the property owner's behalf. I have read this application and the information I have prod is corre have rea8 tfie I7escrlpll n of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to cons Ion. I thorize representatives of Cupertino to enter the above-identificd property for inspection purposes. Signature of Applicant/Agent: Date: 01b WIT SUPPLEMENTAL INFORM QUIRED PLAN CHECK TYPE ROUTING SLIP _ New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THE-COUNTER BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building.1EXPRESS 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 ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISI 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 ` CUPERTINO (408) 777-3228 - FAX (408) 777-3333 - building(cu ertino.or n NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI REVISION /DEFERRED ORIGINAL PERMIT # 5o8o2,oy PROJECT ADDRESS (4 Lary,, APN # OWNERNAME PHONE I STREET ADDRESS (O6g3 �An:j (kp• CITY, STATE, ZIPcjuperA`N C 115008 FAX (40A -S85- Sw_ N I T CONTACT NAME -+f� Com/KCr PHONE ` in i r `I EMAIL L 1 v ,he. J STREET ADDRESS ; CITY, STATE, ZIP CA ��g FAXCA ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME oW^ CCi ` 1 LICENSE NUMBER 7785, LICENSE TYPE BUS. LIC # COMPANY NAME ` KC ausin, E-MAIL , t A U e•� FAX / I _e — f � 1 "l� STREET ADDRESS ' �� ; I Lt CITY, STATE,�IP (;(� �Oa PHONE _(/ ARCHITECT/ENG EER NAME , LICENSE NUMBER BUS. LIC # L) COMPANY NAME v • E-MAIL - ( FAX ID STREET ADDRESS Pn \ %pro CITY, STATE, 21P Nr [��'' 1' PHONES, a -e� - OZ10 DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES I USE "TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NETAREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKTORCH AREA AREA:DETACH I EGARAGE ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? ❑ NO ADDITION? ❑ NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIV TOTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO By my signature below, I certify to each of the following: I am the property owner or authorize agen roperty owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work a en it is accurate. I agree to comply with all applicable local ordinances and state laws relating to ' ing constructio I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Date: 7712�L? Signature ofApplicant/Ag SUPPLEMENTAL INFORMAT D PLAN CIIECK T\'PE ROUTING SLIP ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD 1:1 PL BLIC WORKS _ form if any Hazardous Materials are being used as part of this project. ❑ ❑ LARGE FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. MAJOR ❑ ENVIRONMENTAL HEALTH BldgApp_201 1. doc revised 06121111 IDM CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: p(oq(,jqtftj PERMIT # OWNER'S NAME: �V,c (� PHONE # 'J " GENERAL CONTRACTOR: t;' ,S C BUSINESS LICENSE # —1-78553 ADDRESS: a SOO CITY/ZIPCODE: '& ( o0 *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 following information: Date �13�I1c� Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork c (',U6A-Eyn S 3 3� Cement Finishing C Q M-'recj- Electrical L. u S Cn-lei �� s (',eCai o As i - Scv a Excavation Fencing �--- Flooring / Carpeting C CLQ 5-r� S X37 Linoleum / Wood Glass / Glazing (�,�,5 ��►-i5 ��3�1 Heating V cc CP jrQs,t'vi'n cCC4 'D �S Insulation n ,1, ��5(w.h�. L4 Landscaping ------- Lathing --� Masonry Painting /Wallpaper S = 24 O Paving Plastering t ani S �I�S�C (i r� (10 -.X1 L 8� Plumbing (�(� S �o ej� 35 Roofing '� vc��in ¢G� GL� 5�- 5� G Septic Tank h Sheet Metal Sheet Rock Tile '� �?G�/6 " E -C Gc/!/� 3 a),Y 7(. �13�I1c� Date CUP ERTINO PURPOSE: CALGREEN RESIDENTIAL CHECKLIST - MANDATORY ITEMS COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL F F", r 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 �` E J (408) 777-3228 - FAX (408) 777-3333 • buildino 66cupertino.ora ar _ ;; `,D The 2013 CalGreen Code applies to additions or alterations of existing residential buildings where the addition or alteration increases the building's conditioned area, volume, or size and also applies to all new low-rise residential buildings, high-rise residential buildings, or both. Existing site and landscaping improvements that are n )t otherwise disturbed are not subject to the requirements of CALGree% Project Name: EANEFF RESIDENCE Project Address: 10698 LARRY WAY p,oject Description: (N) BEDROOM / LIVING ROOM ADD'N. @ REAR OF (E) (1) STORY SINGLE FAMILY RESIDENCE; REMOVAL OF (E) SEPTIC FIELD & TANK; (N) FURNACE @ ADD'N.; (N) TANKLESS WATER HEATER; (N) SPA ELEC. Instructions: SUB -PANEL 2 3 The Owner or the Owner's agent shall employ a Ii Green Building Standards Codes to verify and as: planned and implemented in the project. ff The licensed professional, in collaboration�.vVi r 2 of this checklist, sign an����t-,, etj n checklist printed on the appYdvdil4 c Prior to final inspection by {h%ilfiiIJ@ PeAF m� and sign and date Section 2 - Imple7ptat. V completed form to the Building Inspect r. sed professional experienced with the California II required work described herein is properly rofessional shall initial Column i Ttthis checklist and have the Jfx i . '011 complete Column 3 e ofsecklist and submit the Column 2 Column 3 MANDATORY FEATURE OR MEASURE Project Verification Reauirements Planning and Design - Site Development 4.106.2 Storm water drainage and retention during construction. A plan is developed and implemented to manage storm water drainage during [] construction. 4.106.3 Grading and paving. The site shall be planned and developed to keep surface water away from buildings. Construction plans shall indicate how site grading or a drainage system will manage all surface water flows. Page I of 5 CalGreen 2014.doc revised 11/04114 A4.2' General 4.201.1 Low-rise residential buildings shall meet or exceed the minimum standard design required by the California Energy Standards. A4.3 WATER EFFICIENCY AND CONSERVATION Indoor Water Use 4.303.1 Water conserving plumbing fixtures and fittings. Plumbing fixtures (water closets and urinals) and fittings (faucets and showerheads) shall comply with the following: ❑ 4.303.1.3.2 Water Closets. The effective flush volume of all water closets shall not exceed 1,28 gallons per flush. Tank -type water closets shall be certified to the performance criteria of the U,S, EPA WaterSense Specifications for Tank -type Toilets. ❑ 4.303.1.3.2 Urinals. The effective flush volume of urinals shall not exceed 0.5 gallons per flush. ❑ 4.303.1.3.1 Single Showerheads. Showerheads shall have a maximum flow rate of not more than 2.0 gallons per minute at 80 psi. Showerheads shall be certified to the performance criteria of the U.S. EPA WaterSense Specification for showerheads. ❑ 4.303.1.3.2 Multiple Showerheads serving one shower. When a shower is served by more than one showerhead, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute at 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. ❑ 4.303.1.4.1 Residential lavatory faucets. The maximum flow rate of residential lavatory faucets shall not exceed 1.5 gallons per minute at 60 psi. The minimum flow rate of residential lavatory faucets shall not be less than 0.8 gallons per minute at 20 psi. ❑ 4.303.1.3.2 Lavatory faucets in common and public use areas. The maximum flow rate of lavatory faucets installed in common and public use areas (outside of dwellings or sleeping units) in residential buildings shall not exceed 0.5 gallons per minute at 60 psi. ❑ 4.303.1.4.3 Metering faucets. Metering faucets when installed in residential buildings shall not deliver more than 0.25 gallons per cycle. ❑ 4.303.1.4.4 Kitchen Faucets. The maximum flow rate of kitchen faucets shall not exceed 1.8 gallons per minute at 60 psi. Kitchen faucets may temporarily increase the flow above the maximum rate, but not to exceed 2.2 gallons per minute at 60 psi, and must default to a maximum flow rate of 1.8 gallons per minute at 60 psi. 4.303.2 Standards for plumbing fixtures and fittings. Plumbing fixtures and fittings shall be installed in accordance with the California Plumbing Code, and shall meet the applicable standards referenced in Table 1401.1 of the California Plumbing Code. Page 2 of 5 CalGreen_2014.doc revised 11/04/14 Outdoor Water Use 4.304.1 Irrigation controllers. Automatic irrigation systems installed at the time of final inspection shall be weather -based. ❑ 4.304.1.1 Controllers shall be weather- or soil moisture -based controllers that automatically adjust irrigation in response to changes in plants' needs as weather conditions change. ❑ 4.304.1.2 Weather -based controllers without integral rain sensors or communication systems that account for local rainfall shall have a separate wired or wireless rain sensor which connects or communicated with the controller(s). Soil moisture -based controllers are not required to have rain sensor input. .. .4 MATERIAL CONSERVATION AND RESOURCE EFFICIENCY Enhanced Durability and Reduced Maintenance 4.406.1 Rodent proofing. Annular spaces around pipes, electric cables, conduits, or other openings in plates at exterior walls shall be protected against the passage of rodents by closing such openings with cement mortar, concrete masonry or similar method acceptable to the enforcing agency. Construction Waste Reduction, Disposal and Recycling 4.408.2 Construction waste management plan. Where a local jurisdiction does not have a construction and demolition waste management ordinance, a construction waste management plan shall be submitted for approval to the enforcing agency. Building Maintenance and Operation 4.410.1 Operation and maintenance manual., At the time of final inspection, an operation and maintenance manual shall be provided to the building occupant or owner. .. .5 ENVIRONMENTAL QUALITY Fireplaces 4.503.1 General. Install only a direct -vent sealed -combustion gas or sealed ❑ wood -burning fireplace, or a sealed woodstove. Pollutant Control 4.504.1 Covering of duct openings and protection of mechanical equipment during construction. Duct openings and other related air 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 compounds. Page 3 of 5 CalGreen_2014.doc revised 11/04/14 4.504,2.4 Verification. Documentation shall be provided to verify that ® ❑ compliant VOC limit finish materials have been used. 4.504.3 Carpet Systems. Carpet and carpet systems shall be compliant with ❑ 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 ❑ Materials List or be certified under the Resilient Floor Covering Institute (RCFI) FloorScore program. 4.504.5 Composite wood products. Particleboard, medium density fiberboard (MDF), and hardwood plywood used in interior finish systems shall ❑ comply with low formaldehyde emission standards. Interior Moisture Control 4.505.2 Concrete slab foundation. Required vapor retarders and capillary � eL' ❑ 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. Indoor Air Quality and Exhaust 4.506.1 Bathroom exhaust fans. Exhaust fans which terminate outside the ❑ building are provided in every bathroom. Environmental Comfort 4.507.2. Duct systems are sized and designed and equipment is selected using the following methods: 1. Establish heat loss and heat gain values according to ACCA Manual J or equivalent. ❑ 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. INSTALLER AND SPECIAL INSPECTOR QUALIFICATIONS Qualifications 702.1 Installer training. HVAC system installers are trained and certified in ❑ the proper installation of HVAC systems. 702.2 Special inspection. The Licensed Professional responsible to verify CALGreen compliance is qualified and able to demonstrate competence in the ❑ discipline they inspect and verify. Verifications 703.1 Documentation. Verification of compliance with CALGreen may include construction documents, plans, specifications, builder or installer certification, inspection reports, or other methods acceptable to the enforcing ❑ agency which show substantial conformance. Implementation verification shall be submitted to the Building Department after implementation of all required measures and prior to final inspection approval. Page 4 of 5 CalGreen 2014.doc revised 11/04114 CALGREEN SIGNATURE DECLARATIONS Project Name: EANEFF RESIDENCE Project Address: 10698 LARRY WAY Project Description: (N) BEDROOM / LIVING ROOM ADD'N. @ REAR OF (E) (1) STORY HOUSE; REMOVAL OF (E) SEPTIC FIELD & TANK; (N) FURNACE @ ADD'N.; (N) TANKLESS WATER HEATER; (N) SPA ELEC. SUB -PANEL SECTION 1 - DESIGN VERIFICATION Complete all lines of Section 1 — "Design Verification" and submit the completed checklist (Columns 1 and 2) with the plans and building permit application to the Building Department. The owner and design professional responsible for compliance with CalGreen Standards have revised the plans and certify that the items checked above are hereby incorporated into the project plans and will be implemented into the project in accordance with the requirements set forth in the 2013 California Green Building Standards Code as adopted by the City of CupeAinq. Owner's Signature CHARLES EANE Owner's Name (Please Print) Design Professional's Signature EDWARD SAUM Design ame Tease Print) Signature of License Professions pdnsible for CalGreen compliance DARREL KELLY Name of License Professional responsible for CalGreen compliance (Please Print) DARREL@BUILDERS-ENERGY.NET Email Address for License Professional responsible for CalGreen compliance SECTION 2 - IMPLEMENTATION VERIFICATION Date 11/05/15 Date Date (408) 718-1908 Phone Complete, sign and submit the competed checklist, including column 3, together with all original signatures on Section 2 to the Building Department prior to Building Department final inspection. I have inspected the work and have received sufficient documentation to verify and certify that the project identified above was constructed in accordance with this Green Building Checklist and in accordance with the requirements of the 2013 California Green Building Standards Code as adopted by the City of Cupertino. Signature of License Professional responsible for CalGreen compliance Date Name of License Professional responsible for CalGreen compliance (Please Print) Phone Email Address for License Professional responsible for CalGreen compliance Page 5 of 5 CalGreen_2014.doc revised 11104114 STATEMEN'r OF SPECIAL INSPECTIOfdES2R.T ff ` t COMMUNITY OEVELOPMENT DEPARTiNENT • BUILDING DIVISION L ALBERT SALVADOR, P.E1, C.B.O., BUILDING OFFICIAL #2, C U P E RTI N O 1 0300 , .ORRE AVENUE • CUPERTINO, CA 05014-3255 (403) 777-3228 - FAX (408) 777-3333 buildingtmouperdno.orn apnrtt_ss 10898 Larry Way APN 3163 02-036 a 15080204 Ovvrrer,Charies S;»Eaneff; Jr;and Lorraine D;»Eaneff................. Remodaiih t Ina. .......... ...........»........ Address 132 Gilman ..w..»... .,............... ci /9t Cu?arfind 6k95 14 tY Zip �. phona.480 5Q15 Cam bail 95008 385.1914 CitylSt » ............... Applicant Kevin Capps (KG C}t, tQfj15 1& 1710ti6ltnjr► lt Troon Designs...., , ..g� Engineer/Ar Address 1 t3llman AVenUe. 6 ' ••..,��....,. �.. i,. » »....... ........» .............. .... cltyrstA m„(?betiz Z10".959% ane.386.1914, Address. San Jose, CA 96111.........,, 899-0220.. .:_ ....: ,., » Glt 1St ZI y PaOJEM oEs R101loN. (N) bedroom ! ling quarters add`n, rof (E)onetdrCe �y hoilm Removal of,(E) septic field, tank. (N) furnace @ add'n. (N) tankless water h ` ter.. (N) spa elabtrical sub -panel. This "STATEMENT OF SPECIAL INSPECTIONS` is submitted in fulfill of the re qi ctions 1704 and 1706. This form is structured after and used by permission from the.81rltaturOf Eng erAssociation of Northern California's (SEAONC) Mode statement of Special Inspections. Alda, included with this form js the. foilowin.g: ❑ "LIST OF SPECIAL INSPECTION AGENCIES (page 2). A list of testing agencies and other special inspectors that will be retained to conduct the testa and inspections fo.r this projoct El "SCHEDULE OF SPECIAL INSPECTION" (page 3 - 6). The Schedule of Special Inspections summarizes the Special Inspections and tests required. Special Inspectors will r approved plans and specifications for detailed special inspection requirements. Any a i nal tests and insgi ved plans and Specifications shah also be parfofnled. -'77�--fj v P I �RV� Special inspections and Testing will be pertop�t & a s ce 'th the Jp�rb�ed �lan��� -fl s, this statement and. CBC Sections 1704, 17057f16, 1707garrd 1708. Interim aMiltiibtd �o t uldin0'officfal !@e l9tared Design Professions! in Responsible Charge in accordance with C on��11�OtI.0 ,�� t ES DU ' p f t V A Final Report of Special Inspections. documenting repaired tial n�ptigtls.ta ti g d e tion f ny' dTsQpancie5 noted in the Inspectipns shall be submitted.prior to issuance ofa C e and Occupancy cticlh 1704:1.2). The Final. Report will document: �� Required spacial Inspections. • Correction of discrepancies noted in inspection gU���yin,9 0 9p The Owner recognizes his or her obligation to ensure t at the uctl plies wit'99% owed permit documents and to Implement this program of special fnspeotlons..I. i of th� iP# n the Owner will retaih and directly pay for the Special inspections as required in.CBC section 1704.1. Fp Fp� h� "' n1,6 This, pian has been developed with the understanding that thft ing 0 190 • Review and approve the qualifications of the Special Ins o Oil Ai Ig Inspections. Monitor special inspection activities an the job site to assure that a Spec;%Vt �Walified and are performing their duties as called for in this Statement of Special inspection. �6 �C • Review submitted inspection reports., Perform Inspections as required by the tooal building code. I have read and aurae to comohr Kdth the detms and conditions of this statement Prepared By: Project �( Engfneet ❑ Architect Registered ties n Professlonal In Charge Sl nature ... ;...»................ A ............ Lic # .....' K ..... Octel .. ��..... Owner amd: Owner's Authorization si t�re. t » .nate:. ►.�.�.1 Inspection Agency / ns ector aft Q sl nature . ..Lis.# . . Date: ` BuiIding.Official designee: S nature . : Date: SpeeWnspecdaid+'or•m_2012,doe revised 0006/12 VERIFICATION AND INSPECTIONC p REFERENCED IBC STANDARD REFERENCE INSPECTION OF CONCRETE 1. ❑ Inspection of reinforcing steel, including prestressing --- X ACI 318: 3.5, 7.1-7.7 1913.4 tendons and placement. 2. ❑ Inspection of reinforcing steel welding in accordance AWS D1.4 ACI 318: with Table 1704.3 Item 5b. 3.5.2 3. ❑ Inspection of bolts to be installed in concrete prior to and during placement of concrete where allowable X - ACI 318: 8.1.3, 1911.5, 1912.1 loads have been increased or where strength design 21.2.8 is used. 4. ❑ Inspection of anchors installed in hardened concrete. --- X ACI 318: 1912.1 5. ❑ Verifying use of required design mix. 1904.2.2,1913.2, _-- X ACI 318: 1913.3 6. ❑ At time fresh concrete is sampled to fabricate ASTM C 172 specimens for strength tests, perform slump and air X --- ASTM C 31 1913.10 content tests and determine the temperature of the concrete. ACI 318: 5.6, 5.8 7. ❑ Inspection of concrete and shotcrete placement for X --- ACI 318: 5.9, 5.10 1913.6, 1913.7, proper application techniques. 1913.8 8. ❑ Inspection for maintenance of specified curing X ACI 318: 5.11-5.13 1913.9 temperature and techniques. 9. Inspection of prestressed concrete: ❑ Application of prestressing forces. X --- ACI 318: 18.20 ❑ Grouting of bonded prestressing tendons in the X --- ACI 318: 18.18.4 --- seismic force -resisting system. 10. ❑ Erection of precast concrete members. --- X ACI 318: Ch. 16 --- 11. ❑ Verification of in-situ concrete strength, prior to stressing of tendons in posttensioned concrete and --- X ACI 318: 6.2 --- prior to removal of shores and forms from beams and structural slabs. 12. ❑ Inspect formwork for shape, location, and dimensions ___ X ACI 318: 6.6.1 --- of the concrete member being formed. 13. ❑ Bolts Installed in Existing Masonry or Concrete ❑ Direct tension testing of existing anchors. --- X See ICC ES Reports form special inspection requirements for proprietary products ❑ Direct tension testing of new bolts. --- X ❑ Torque testing of new bolts. --- X ❑ Prequalification test for bolts and other types of anchors. X 14. 1 Other: Speciah7spectionForm_2012.doe revises! 09/06/12 Speciah7specrionForm_2012.doe revised 09/06/12 REFERENCE FOR CRITERIA VERIFICATION AND INSPECTION C P IBC TMS 402/ACI TMS 402/ACI SECTION 530/ASCE 5 530/ASCE 6 8. ❑ Preparation of any required grout specimens, Sec. mortar specimens, and/or prisms shall be --- X 210522, --- Art. 1.4 observed. 2105.3 INSPECTION OF LEVEL 2 MASONRY 1. ❑ Compliance with required inspection provisions of the construction documents and the approved --- X --- --- Art. 1.5 submittals. 2. ❑ Verification of fm and fA,c prior to construction and for every 5,000 square feet during --- X --- --- Art. 1.46 construction. 3. ❑ Verification of proportions of materials in premixed or preblended mortar and grout as --- X --- --- Art. 1.56 delivered to the site. 4. ❑ Verification of slump flow and VSI as delivered to X --- ___ ___ Art. 1.56.1.b.3 the site for self consolidating rout. 5. The following shall be verified to ensure compliance: ❑ Proportions of site -prepared mortar, grout, and ___ X _-_ ___ Art. 2.6A prestressing grout for bonded tendons. ❑ Placement of masonry units and construction of ___ X ___ ___ Art. 3.36 mortar joints. ❑ Placement of reinforcement, connectors and --- X --- Sec. 1.15 Art. 3.4, 3.6A prestressing tendons and anchorages. ❑ Grout space prior to grouting. X --- --- --- Art. 3.2D ❑ Placement of grout. X --- --- -- Art. 3.5 ❑ Placement of prestressing grout. X --- --- --- Art. 3.6C ❑ Size and location of structural elements. --- X -- --- Art. 3.3F ❑ Type, size, and location of anchors, including other details of anchorage of masonry to X --- --- Sec.1.2.2(e) -- structural members, frames and other construction. ❑ Specified size, grade, and type of reinforcement, anchor bolts, prestressing tendons and --- X --- Sec. 1.15 Art. 2.4, 3.4 anchorages. ❑ Welding of reinforcing bars. X --- Sec. 2.1.9.7.2, --- 3.3.3.4 (b) ❑ Preparation, construction, and protection of masonry during cold weather (temperature below ___ X Sec. 2104.3, ___ Art. 1.8C, 1.8D 40 degrees F) or hot weather (temperature above 2104.4 90 degrees F). ❑ Application and measurement of prestressing X --- --- --- Art. 3.61B force. 6. ❑ Preparation of any required grout specimens, Sec. mortar specimens, and/or prisms shall be X --- 2105.2.2, --- Art. 1.4 observed. 2105.3 Speciah7specrionForm_2012.doe revised 09/06/12 VERIFICATION AND INSPECTION C P REFERENCED IBC STANDARD REFERENCE 7. ❑ For specialty piles, perform additional inspections as determined by the registered design professional in --- --- --- Table 1704.8 responsible charge. REQUIRED VERIFICATION AND INSPECTION OF CAST -IN-PLACE DEEP FOUNDATION ELEMENTS 1 ❑ Observe drilling operations and maintain complete and X - accurate records for each element. 2. ❑ Verify placement locations and plumbness, confirm element diameters, bell diameters (if applicable), lengths, embedment into bedrock (if applicable), and X --- --- Table 1704.9 adequate end -bearing strata capacity. Record concrete or grout volumes. 3. ❑ For concrete elements, perform additional inspections in accordance with Section 1704.4. _ HELICAL PILE FOUNDATIONS 1. ❑ Record installation equipment used, pile dimensions, X --- --- 1704.10 tip elevations, final depth, final installation torque. SPRAYED FIRE-RESISTANT MATERIALS Physical and visual tests 1. Condition of substrates. ❑ Inspect surface for accordance with the approved fire - resistance design and the approved manufacturer's -- --- written instructions. ❑ Verify minimum ambient temperature before and after X application. --- 1704.12.1 ❑ Verify ventilation of area during and after application. --- X 2. ❑ Measure average thickness per ASTM E605 and "� -"- Section 1704.12.4. 3. ❑ Verify density of material for conformance with the approved fire-resistant design and ASTM E605. (Ref. -- --- Section 1704.12.5) 4. ❑ Test cohesive/adhesive bond strength per Section 1704.12.6. 5. ❑ Condition of finished application. MISCELLANEOUS 1. Mastic and Intumescent Fire -Resistant Coating. --- -- --- 1704.13 2. Exterior Insulation and Finish Systems (EIFS). Water - resistive barrier coating when installed over a sheathing --- --- --- 1704.14 substrate. 3. Special Cases --- --- --- 1704.15 4. Smoke Control System --- --- --- 1704.16 5. Seismic Resistance ❑ Suspended ceiling systems and their anchorage. --- --- --- 1705.3 [4.3] SpecialnspectionForm_2012.doc revised 09/06/12 ❑ Inspection of screw attachments, bolting, anchoring, and other fastening of components within the seismic- X force -resisting system including shear walls, braces, diaphragms, collectors (drag struts) and hold-downs. 4. Storage racks and access floors ❑ Anchorage of storage racks 8 feet or greater in height X 1707.5 and access floors. 5. Architectural components ❑ Inspect erection and fastening of exterior cladding weighing more than 5 psf and higher than 30 feet --- X above grade or walking surface. ❑ Inspect erection and fastening of veneer weighing more than 5 psf.and higher than 30 feet above grade --- X or walking surface. --- 1707.6 ❑ Inspect erection and fastening of all exterior non- bearing walls higher than 30 feet above grade or --- X walking surface. ❑ Inspect erection and fastening of all interior non- bearing walls weighing more than 15 psf and higher --- X than 30 feet above grade or walking surface. 6. Mechanical and Electrical Components ❑ Inspect anchorage of electrical equipment for X emergency or stand-by power systems. --- ❑ Inspect anchorage of non -emergency electrical X equipment. - ❑ Inspect installation of piping systems and associated mechanical units carrying flammable, combustible, or --- X --- 1707.7 highly toxic contents. ❑ Inspect installation of HVAC ductwork that contains X hazardous materials. ❑ Inspect installation of vibration isolation systems X where required by Section 17077. --- 7. ❑ Verify that the equipment label and anchorage or mounting conforms to the certificate of compliance 1707.8 when mechanical and electrical equipment must be seismically qualified. 8. ❑ Seismic isolation system: Inspection of isolation --- X --- 1707.9 system per ASCE 7 — Section 17.2.4.8 9. ❑ Obtain mill certificates for reinforcing steel, verify compliance with approved construction documents, --- --- --- 1708.2 and verify steel supplied corresponds to certificate. 10. ❑ Structural Steel: Invoke the QAP Quality Assurance requirements in AISC 341. ___ 1708.3 11. ❑ Obtain certificate that equipment has been seismically ___ 1708.4 qualified. 12. ❑ Obtain system tests as required by ASCE 7 Section--- 17.8. -- _-- 1708.5 SpecialnspectionForm_ 2012.doc reviser! 09/06/12