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15120203-CANCELLEDFrom: victoria_ng@apple.com To: Sean Hatch Cc: Gary Chao Subject: City of Cupertino Building Department - Permit 4 15120203 (18880 Homestead Rd Apple Cafe) Date: Monday, May 08, 2017 11:02:37 AM Hi Sean, Sorry for the delay. As discussed, 2 weeks back, we will close out the open permit #15120203 for 18880 the Homestead Rd Apple Cafe. Thank you so much for the follow up. Thanks, Victoria Victoria Ng, LEED AP BD+C I Project Manager Apple Inc. I Real Estate & Development in 917 566 0765 1 Infinite Loop, MS 119 -DDC Cupertino, CA 95014 • To:. es anh ancupertino.Ora Remove this sender from my allow list From: victoria_ng@apple.com You received this message because the sender is on your allow list. CITY OF CUPERTINO BUILDING PERMIT BURMINGADDRESS: CONTRACTOR: PERMIT NO: 15120203 18880 HOMESTEAD RD (316 09 037) NOVO CONSTRUCTION INC MENLO PARK, CA 94025 OWNER'S NAME: (CUPERTINO OFFICE PARTNERS LLC) DATE ISSUED: 10/11/2016 OWNER'S PHONE: (650) 32679300 PHONE NO: (650) 70.1-1500 i.ICFNSED CONTRAcum,s DEcLAgAlION BUILDING PERMIT INFO: License Class 5 Lic. #791022 Contractor NOVO CONSTRUCTION INC Date 02_/2812017 —BLDG _ELECT _PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing — MECH _ RESIDENTLAL — COMIVIE C ' with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DA(3 ON: ROVEMENT O C (265 - F I hereby affirm under penalty of perjury one ofthe following two declarations: I i. I have and will maintain a.certificate of consent to self -insure for Work s' �e Compensation, as provided for by Section 3700 ofthe Labor Cod o r performance ofthe work for which this permit is issued ` / 2. f> I, have and will maintain Worker's Compensation Insurance, as tided o Section 3700 of the Labor Code, for the performance ofthe work i'r filch this Sq. F Flo on. $ -- 0000.00 permit is issued. APPLICANT NT CFRTlFi .ATION I certify that I have read this application and state that the above APN r: n3 Oaney Type: c information is correct. I agree to comply with all city and county ordinances . and state laws relating to building construction, and hereby authorize 16 0 03 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 PERM XPIRES IE WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WIT 180. DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. I AYS FROM LAST CALLED INSPECTION° Signature Date 10/11/2016 Issued by: AbbyAyende OWNER DECLARATION Date: 10/1 U2®16 -BUILDER 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: i. I, as owner of the property, or my employees withwages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale (Sec.7044, Business & Professions Code) - 2. I, as owner of the property, am exclusively contracting with licensed Signature ofApplicant contractors to construct the project (Sec.7044, Business & Professions Code). Date: 10111/2016 I hereby affirm under penalty of perjury one of the following three declarations: AL • 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 performance ofthe work for which this permit is issued. AZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 695 of .the h 2. I have and will maintain Worker's Compensation Insurance, as provided for by California Health & Safety Code, Sections 25505, 25533, and 25534. I will Section 3700 of the Labor Code, for the performance of the work for which this maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Permit is issued. Health & Safety Code, Section 25532(a) should I store or handle hazardous 3. 1 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 Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's .Compensation provisions ofthe the Health & Safety Code, Sections 25505, 25533, and 25534. Labor Code, I must forthwith comply withsuch provisions or this permit shall J, C be deemed revoked. r 6 er or authorized agent: _ APPT It'ANT CERTIFICATION Date: 1Q/11/2Q16 I certify that I have read this application and state that the above information is CONSTRUCTION'rENDGA agency for the performance f hereby affirm that there is a construction lending aggency f correct. I agree to comply with all city and county ordinances and state laws s of work's for which this permit is isued, (Sec. 3007,' iv G.) 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 understands ARCfffrMT'S DECLARATION and will comply with all non -point source regulations per the Cupertino Municipal I understand my plans shall be used as public records. Code, Section 9.18, Licensed Signature Date 10/11/2016 professional C:IIPtR7"JK06 0 NEW CONSTRUCTION CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 r (408) 777-3228 -FAX (408) 777-3333 - building(abeupertino.ora . ❑ ADDITION ALTERATION / TI ❑ REVISION / I)EFERRED ORIGINAL PERMIT # PR07ECTADDRESS 18880 Homestead Road LICENSENUMEERS APN# 316-20-075 BUS. LIC# OWNF NAME � PHONE E-MAIL 77fiv® 4��10,0 917-566-0765 `L - - .. victoria _ngt7a apple.com STREET SS CITY, ATE; ZIP FAX CONTACT NAME Victoria Ng B/A2/A3 III PHONE 917-566-0765 E-MAIL victoria ng@apple.com- STREET ADDRESS 1 Infinite Loop, MS 119 -DDC CITY, STATE, ZIP Cupertino, .CA, 95014 PHONE 650.690.1660 FAX N(MNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTORAGEN •~ A TTECT 11 ENGINEER 0 DEVELOPER ❑ TENANT CONTRACTORNAME LICENSENUMEERS TYPE BUS. LIC# Nathan Dudley 7� 1,, Z/CE � B 23891 VALUATION ($) .._ B/A2/A3 III COMPANYNAME Novo E- �cdi��i@'�i�,00construction.com FAX " _ STREET ADDRESS 1460 O'Brien Drive/fenlo Park, CA, 94025 PHONE 650.690.1660 ARCHITECT/ENGINEER NAME Chi -Wing Wong LICENSE NUMBER C-29630 24164 coMPANYNAME DES Architects + Engineers' F—MIL cw des=ae.com R STREET.ADDRESS 399 Bradford St CITY, ST TE, Re ood Cily, CA, 06 650.364.6453 DESCRIPTION OE WORK � Limited demolition of existing kitchen, b.reakroom, cafe and lacent conferencprtmi. ew kitchen equipment, ca ork, finishes. Modify existing breakroom to an bar. r EXISTING USE PROPOSED USE :ONSTR. TY±IWIETAREAloo, ORTE SE TYPE occ. sQ.FT. VALUATION ($) B/A2/A3 B/A2/A3 III -B EXISTG NEW FLOOR DEMO - $1,500XQ.00 AREA 100,84 AREA change AREA 2653 84 �` iII_B BATHROOM KITCHEN OTHER _ REMODEL AREA 560 REMODELAREA2 017 •REMODELAREA.76 PORCH AREA DECK ARBA TOTAL DECKIPORCH AREA GARAGE AREA: JIDETACH 0 0 0 N/A ❑ATTACH WELLING UNITS: IS A SECOND UNIT ❑SES NO ADDITION? ❑I NO SECONDSTORY ❑YESN/A BEINGADDED? Uj [PRE -APPLICATION ❑ S ff YES, PROVIDE COPY OF IS THE BLDG AN ❑ EICHLERHOME? NO_ �2EC D$Y; i`- -,- i _ = TOTAL VALUATION: NNINGAPPT.# gNO PLANNING APPROVALi.'EI"fER $1,500,000.00 1-1-1F T t... on r� ftiic By my signature below; I certify to each of the tollowmg: I am the property owner or uumuiucu as- - application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. Lag pe to comply with all applicable local ordinances and state laws relating to building construction..I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: �„�Date:�3/ SUPPLEMENTAL INFORMATION REQUIRED TPLAN _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building AK permit for new building. >ro $s r _ Commercial Bldgs: Pxovide a completed Hazardous Materials Disclosure Sx Toth if any Hazardous Materials are being used as part of this project.' LD o� _ Copy of Planning Approval Letter or Meeting with Planning prior to 0 nFAso>z submittal of Building Permit application. Z sA,tvr>`,�Y s1±nzsTzzFc Q:`:rr?iT�9NM�N7['A1 Hi;A��H , BldgApp_ZOl .do -revised 06121111 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 18880 Homestead Rd TWE, 3F DATE: 12/2312015 REVIEWED BY: Sean PC FEE ID BP#: BP FEE ID *VALUATION.: F$1-'505'606 PE RMIT TYPE: M: Building Permit S.. PLAN� CHECK TYPE, Tenant Improvement PRIMARY USE: Comm - ercial Building $0.00 I w fib, L'al, <<1 PENTAMATION PERMIT . TYPE- -1A TI WORK A ple Tenant Improvement for cafe. 2653 sq ft) SCOPE $1,516.14 1 A THNSP OCCUPANCY TYPE: TWE, 3F FLR AREA PC, FEES PC FEE ID TIP FEES BP FEE ID ho, Pegmiifi- CONSTR. S.. $0.00 7ev, lksj.. $0.00 I w fib, L'al, <<1 A (Tenant Improvements) 11-B,111-BjV,V-B 2,653 $2,531.18 !ATIPLNCK $1,516.14 1 A THNSP PME Unit Fee: $0.00 <01 $0.00 ('on-sirliCtion Tan': 41i Work Without Permit? 0 Yes (D No $0.00 Advanced Planning $0.00 Select a Non -Residential Building or Structure 0 'A 7)-aifel Strong Motion Fee: IBSEISMCO $420.00 Select an Administrative Item Bldg Stds Corarnission Fee: IBCBSC $60.00 $4,527.3 27,32 tv;;�; Ta$Ajg —53 2,6 -$ 2,531-18 $1,516.14 NOTE: This estimate does not include fees due to other Departments i.e. Plahning, -Pablic Works, frr ,Samrary aeWer VISIFIC1,0CUUM r%.-- K .4 41. Contact the Dept for addit'l info. FEE JITE MS (Pee .Resolution .11-053 fff. Zij/1 3 H -N- MISC ITEMS Plan Check Fee:- $2,531.18 peiwlii ho, Pegmiifi- 0.0 '34he7"A1"oh. $0.00 7ev, lksj.. $0.00 I w fib, L'al, <<1 Permit Fee: NOTE: This estimate does not include fees due to other Departments i.e. Plahning, -Pablic Works, frr ,Samrary aeWer VISIFIC1,0CUUM r%.-- K .4 41. Contact the Dept for addit'l info. FEE JITE MS (Pee .Resolution .11-053 fff. Zij/1 3 FEE QTY/FEE MISC ITEMS Plan Check Fee:- $2,531.18 8'elect a Mise Bldg/Structure or Element of a Building Suppl. PC Fee: (9 Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $1,516.14 Suppl. Insp. Fee'e) Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PMF Permit Fee-, $0.00 ('on-sirliCtion Tan': Fee: Work Without Permit? 0 Yes (D No $0.00 Advanced Planning $0.00 Select a Non -Residential Building or Structure 0 'A 7)-aifel Strong Motion Fee: IBSEISMCO $420.00 Select an Administrative Item Bldg Stds Corarnission Fee: IBCBSC $60.00 $4,527.3 27,32 COUNTY OF SANTA CLARA DEPARTMENT OF ENVIRONMENTAL HEALTH __i CONSUMER PROTECTION DIVISION County of 5anta Clara 1555 Berger Dr Bldg. 2 3rd Floor • San Jose, CA 95112. 408 918-3400 • Fax 408 298-6261 Exhaust Ventilation Systems, (To be completed by hood manufacturer, contractor, or mechanical engineer and submitted with the building plans) Facilityname APPLE HOMESTEAD CAFE Date 02-24-16 Site address CUPERTINO, CA Hood information submitted by Lynn Sadusky Phone 925-212-2826 1. Submit one (1) set of plans, drawn to scale (i.e.,'/4 inch per foot), including: a) Front and side elevations for each system with exhaust and make-up air duct details. b) Floor plan showing the hood, make-up air registers and cooking equipment or dishwasher. 2. Submit one set of specification sheets with the performance curve for blower(s), filters and make-up air unit(s). 3. Submit a separate data sheet fokeach hood. For multiple hoods, identify each hood by name or number. 4. For clarification of requirements, ipfer to the current edition of the Uniform Mechanical Code (UMC), Chapter 5, "Commercial Hoods and KitcheiVtntilation". Hood (check applicable categories) ❑ Type I ®Type II Hood name or number Item 29 - Condensate Hood/VEF-1 ❑ UL°listed exhaust hood ❑x Canopy* ❑Compensating* ❑Non -canopy ❑x Other Custom- Non Grease *Provide a 6 -inch overhang beyond the cooking equipment on all open sides. NOTE: No exposed horizontal piping within the hood canopy. Manufacturer and model number of the UL°listed exhaust hood Type 2 hoods are not UL listed Size of Hood Length 60 x width 42" (inside dimensions) Type of metal 18 Ga Stainless Steel Gauge 18 Distance from lowest edge of hood to: cooking surface NA ;floor 6'-8" Formula used for determining air flow: Q = 50A = 875 CFM Q=75A = Q =100A = Q = 200A = Alternate formula: Q = 100PD = Listed CFM/linear foot or Other: Equipment exhausted by hood Dishwasher Exhaust Duct Duct size 8x10 Area of duct 0.55 Number of ducts sq. ft. (1 duct per each 12 ft. of hood) Type of metal STAINLESS STEEL Gauge 304-213 Exhaust duct velocity 1590 FPM (CFM - sq. ft. of duct) Grease ducts for a Type I hood must have a duct velocity between 1500-2500 feet per minute (FPM); 1800 FPM is recommended. r • Grease Filters (Provide Engineering Data Sheets/cut sheets for all filters) Manufacturer NOT APPLICABLE; TYPE 2 HOOD Model Rating CFM at sp (static pressure) Dimensions in. x in. Functional surface area per filter Are all the filters the same size? ❑ Yes ❑ No Size of filters used Number of filters used Total filter area sq. ft. Number of blanks Size of blanks in. x Minimum distance between the lowest edge of the grease filters and the cooking surface in. Average FPM design (flow rate) at the filter surface [Q (cfm) =A (sq. ft.) = V (fpm)] _ FPM Static Pressure Hood Make-upHood Schematic Filters' + NA sp fi. it "r. 0,., Entrance it Entrance loss2 + .65 sp Duct length3 + .45 sp N/A sp Elbows4 + .30 sp N/A sp Exit loss5 + .60 sp N/A sp 9r) N/A = total sp = total sp Exhaust Fan/Blower (Provide Engineering Data Sheets for all exhaust and make-up air blowers) ft. Manufacturer GREENHECK Model CUBE -161 XP -15 Exhaust 875 CFM at 2.0 sp Blower 2279 RPM Horsepower 1-1/2 Is the unit UL(D listed under UL762 standard? Yes XZ No ❑ Makeup Air Fan/Blower (The exhaust and makeup air systems must be connected by an electrical interlocking switch) Manufacturer NOT APPLICABLE; TYPE 2 HOOD Model CFM at sp Duct size Duct area sq. ft. Make-up air diffuser Type Number Mfr. & Model Average FPM design (flow rate) at the diffuser surface (Q (cfm) =A (sq. ft.) = V (fpm)] FPM (Note: 400 — 500 FPM is the average FPM design flow rate at the register surface [Q=A =V] and is the recommended maximum for each diffuser) Does the unit supply the required make-up air? Yes ❑No ❑ Is the make-up air intake on the roof at least 10 feet from the exhaust blower? Yes ❑No ❑ Note: Hood(s) must be tested before the final construction inspection. The hood designer or building contractor may elect to have that test performed by a licensed testing company or contractor. A written report of that test must be submitted to this Department before the final construction inspection. Comments: The above information has been reviewed by REHS Date hArichlplancklpchood_data.doc July 9, 2002 1 From hood manufacturer 2 From hood manufacturer 3 From mechanical engineer 4 From mechanical engineer 5 From mechanical engineer !. . ft COUNTY OF SANTA CLARA *� DEPARTMENT OF ENVIRONMENTAL HEALTH ] -, 7 CONSUMER PROTECTION DIVISION County of Santa Mr. 1555 Berger Dr Bldg. 2 3td Floor • San Jose, CA 95112 • 408 918-3400 • Fax 408 298-6261 Exhaust Ventilation Systems (To be completed by hood manufacturer, contractor, or mechanical engineer and submitted with the building plans) Facility name APPLE HOMESTEAD CAFE Date 02-24-16 Site address CUPERTINO, CA Hood information submitted by Gaylord Ind. - John Anderson Phone 971-223-1238 1. Submit one (1) set of plans, drawn to scale (i.e.,'Y4 inch per foot), including: a) Front and side elevations for each system with exhaust and make-up air duct details. b) Floor plan showing the hood, make-up air registers and cooking equipment or dishwasher. 2. Submit one set of specification sheets with the performance curve for blower(s), filters and make-up air unit(s). 3. Submit a separate data sheet for each hood. For multiple hood$, identify each hood by name or number. 4. For clarification of requirements, refer to the current edition of the Uniform Mechanical Code (UMC), Chapter 5, "Commercial Hoods and Kitchen Ventilation". Hood (check applicable categories) x❑ Type I ❑Type II Hood name or number ITEM #18/KEF-1 ® UL®listed exhaust hood ❑x Canopy* ❑Compensating* ❑Non -canopy ❑Other *Provide a 6 -inch overhang beyond the cooking equipment on all open sides. NOTE: No exposed horizontal piping within the hood canopy. Manufacturer and model number of the UL°listed exhaust hood ELX-GBD-A-DCA-54 Size of Hood Length 13'-1" x width 54" (inside dimensions) Type of metal. 300 SERIES STAINLESS STEEL Gauge 18 Distance from lowest edge of hood to: cooking surface 4511 ; floor 80" Formula used for determining air flow: Q = 50A = Q = 75A = Q = 100A = Q = 200A = Alternate formula: Q = 100PD = Listed CFM/linear foot or Other: 210 CFM/PLF Q=-= Equipment exhausted by hood 6 -BURNER RANGE TOP/CONY OVEN, CHARBROILER,GRIDDLE, 2 FRYERS FYhaiict mart Duct size 20x12 Area of duct 1.66 sq. ft. Number of ducts 1 (1 duct per each 12 ft. of hood) Type of metal STEEL WELDED CONST. Gauge 16 Exhaust duct velocity 1650 FPM (CFM = sq. ft. of duct) Grease ducts for a Type I hood must have a duct velocity between 1500-2500 feet per minute (FPM); 1800 FPM is recommended. J _ % Grease Filters (Provide Engineering Data Sheets/cut sheets for all filters) Manufacturer Gaylord ind. Model XGS Rating 100 to 450 CFM at .13 min sp (static pressure) Dimensions 10 in. x 16 in. Functional surface area per filter .75 sq. ft. Are all the filters the same size? ® Yes ❑ No Size of filters used Number of filters used 10 Total filter area 7.5 sq. ft. Number of blanks 0 Size of blanks in. x in. Minimum distance between the lowest edge of the grease filters and the cooking surface 30 in. Average FPM design (flow rate) at the filter surface (Q (cfm) =A (sq. ft.) = V (fpm,)] 366 FPM Static Pressure Hood Make-up Hood Schematic Filters' + .35 sp Entrance loss2 + .81 sp At duct collar Duct length3 + .40 sp .40 sp Elbows4 + .34 sp .25 sp Exit loss5 + .60 sp .15 sp 2.50 total sp = .75 total sp Exhaust Fan/Blower (Provide Engineering Data Sheets for all exhaust and make-up air blowers) Manufacturer Greenheck Exhaust 2,750 CFM at 2.50 sp Blower 1685 Is the unit UL® listed under UL762 standard? Yes ® No ❑ Model USGF-180HP-30 RPM Horsepower 3.0 Makeup Air Fan/Blower (The exhaust and makeup air systems must be connected by an electrical interlocking switch) Manufacturer KEES Model KS -12 CFM 1650 at 0.75 sp Duct size (2) 1410 Duct area 1.94 TOTAL sq ft Make-up air diffuser Type AT HOOD CONN. Number 2 Mfr. & Model SEE FS DWGS Average FPM design (flow rate) at the diffuser surface (Q (cfm) .-A (sq. ft.) = V (fpm)] FPM (Note: 400 — 500 FPM is the average FPM design flow rate at the register surface [Q +A =V] and is the recommended maximum for each diffuser) Does the unit supply the required make-up air? Yes ❑No ❑ Is the make-up air intake on the roof at least 10 feet from the exhaust blower? Yes ❑No ❑ Note: Hood(s) must be tested before the final construction inspection. The hood designer or building contractor may elect to have that test performed by a licensed testing company or contractor. A written report of that test must be submitted to this Department before the final construction inspection. Comments: The above information has been reviewed by REHS Date hArichlplancMpchood_data.doc July 9, 2002 1 From hood manufacturer 2 From hood manufacturer 3 From mechanical engineer 4 From mechanical engineer 5 From mechanical engineer 4/15/2015 Novo Construction 1460 O'Brien Dr Menlo Park, CA 94025 Attention: Phuong D tries Reference: Apple HS01 Cafe // UMI Job # 5435-40 19333 Vallco Parkway Cupertino CA095014 • ' " � ll�'+I I?'I I M ECNdNI C dl 1' Subject: City of Cupertino Building Inspection Division Correction List"— ZIA PC#:15120203 « . Department artment Plan Check Number SR0849393/SR0849)8� � p O M oin 0111� 0 The County of Santa Clara Health Department commented (see comment below) regarding the installation of an indoor grease interceptor. The health department states that an individual grease interceptor within a food establishment must not exceed 100lbs. If the grease interceptor exceeds 100lbs. it must be located outside the facility. 0 Chapter 10 of the CPC under Traps and Interceptors does not state that an grease interceptor cannot be installed indoors. The grease interceptor will be installed in a storage closet outside of the cafe and will be easily accessible for maintenance. Due to W< the location of the cafe within the building and where the sewer enters the building, we cannot install this grease interceptor outside the building. The sanitary sewer inside the cafe is only 18" (bottom of pipe from finished floor) therefore preventing us from installing the grease interceptor outside. Please advise if City of Cupertino will grant an Alternative Means of Method to install this grease retention device indoors. Health Department Comment: The proposed Schier Model GB -75 grease retention device has a grease capacity of 616 pounds. The maximum size of any grease retention device used within a food establishment must not exceed 100 pound capacity. All individual grease retention devices exceeding 100 pound capacity must be located outside the facility unless specific written approval is granted by this department. NOTE: Approval must be obtained from the City of Cupertino Building Department and the San Jose/Santa Clara Water Pollution Control Plant - Environmental Services Division for this installation. Please see the following link: http://"ww.sanioseca.Qov/irndex.aspx?nid=1646 If this device is deemed approved by this department to be located inside the building, the area of installation must have approved finishes, a floor drain and a hose bibb with hot and cold water. Also, submittal of Standard Operating Procedures - SOPs as to how the device is to be maintained and its pumping frequency will be required 2185 Oakland Road San Jose. CA . 95131 T: 408.232.9000 F: 408.433.5203 Please do not hesitate to call if you have any questions. Sincerely, United Mechanical, Inc. ,l Carlos Corona Project Manager UMI Plumbing 408-438-1695 Ccorona@umil.com Carlos Corona From: Phuong Devries <PhuongD@cupertino.org> Sent: Friday, April 15, 2016 3:49 PM To: Carlos Corona Subject: 18880 Homestead Rd (Permit # 15120203) Mr. Corona, I received your letter dated 4/15/2016 regarding the tenant improvement at Apple HS01 Cafe (BP#15120203). The current 2013 California Plumbing Code Section 1014.2 allows the grease interceptor (Schier Model GB -75) be located within the building as proposed. Because this is allowed by Code, an Alternate Materials and Methods approval will not be required . Please let me know if you have any further questions regarding this. Regards, Phuong Devries, P.E. I Plan Check Engineer City of Cupertino I Community Development 10300 Torre Avenue, Cupertino, CA 95014 408-777-3213 1 phuongd@cupertino.org www.cupertino.org CUPERTINO PURPOSE: CALGREEN NON-RESIDENTIAL CHECKLIST — MANDATORY ITEMS COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL SUBMITTAL U B M I TTAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 L� 1 (408) 777-3228 • FAX (408) 777-3333 • buildingCa.cupertino.org The non-residential provisions of the 2013 CalGreen Code outline planning, design and development methods that include environmentally responsible site selection, building design, building siting and development to protect, restore and enhance the environmental quality of.JbLe r s t me properties; establishes the means of conserving water a ors in aE av ance; outlines means of achieving material conservation and r r e cie linee o redu ng the quantity of air contaminants. Project Name Project Address: Project Description: Apple HS01 Cafe Renovation 18880 Homestead Rd Cafe renovation Instructions: 1. The Owner or the Owner's agent shall employ a licensed professional experienced with the 2013 California Green Building Standards Codes to verify and assure that all required work described herein is properly planned and implemented in the project. 2. The licensed professional, in collaboration with the owner and the design professional shall initial Column 2 of this checklist, sign and date Section 1 - Design Verification at the end of this checklist and have the checklist printed on the approved plans for the project. 3. Prior to final inspection by the Building Department, the licensed professional shall complete Column 3 and sign and date Section 2 - Implementation Verification at the end of this checklist and submit the completed form to the Building Inspector. Column 2 Column 3 MANDATORY FEATURE OR MEASURE Project Verification Reauirements General Requirements The project meets all the requirements of Divisions 5.101 through 5.508. ❑%� ❑ Planning and Design - Site Development 5.106.1 Storm water pollution prevention. For projects of one acre or less, develop a Storm Water Pollution Prevention Plan (SWPPP) that has been designed, specific to its site, conforming to the State Storm water NPDES Construction Permit or local ordinance, whichever is stricter, as is required for ❑ ❑ projects over one acre. The plan should cover prevention of soil loss by storm water run-off and/or wind erosion, of sedimentation and/or of dust/particulate matter air pollution. Page t of 9 CalGreen Non -Res Checklist.doc revised 01/23/14 5.106.4 Bicycle parking. Comply with Sections 5.106.4.1 and 5.106.4.2; or is ❑ ❑ meet local ordinance, whichever stricter. 5.106.4.1.1 Short -Term bicycle parking. If the qualified project is anticipated to generate visitor traffic, provide permanently anchored bicycle racks within 200 feet of the visitors' entrance, readily visible to passers-by, ❑ ❑ for 5 percent of visitor motorized vehicle parking spaces being added, with a minimum of one two -bike capacity rack. 5.106.4.1.2 Long -Term bicycle parking. For qualified buildings with over ❑ ❑ 10 tenant -occupants, provide secure bicycle parking for 5 percent of tenant vehicle parking spaces being added, with a minimum of one space. 5.106.5.2 Designated parking. Provide designated parking for any combination of low -emitting, fuel-efficient and carpool/van pool vehicles as ❑ ❑ shown in Table 5.106.5.2. 5.106.8 Light pollution reduction. Outdoor lighting systems shall be ❑ ❑ designed and installed to comply with the following: 1. The minimum requirements in the California Energy Code for lighting zones El El — 4 as defined in Chapter 10 of the California Administrative Code; and 2. Backlight, Uplight and Glare (BUG) ratings as defined in IES TM -15-11; and ❑ ❑ 3. Allowable BUG rating not exceeding those shown in Table 5.106.8, or ❑ ❑ Comply with a local ordinance lawfully enacted pursuant to Section 101.7, whichever is more stringent. 5.106.10 Grading and paving. The site shall be planned and developed to keep surface water away from buildings. Construction plans shall indicate how ❑ ❑ site grading or a drainage system will manage all surface water flows. Division 5.2 ENERGY EFFICIENCY Performance Requirements 5.201.1 Scope. The California Energy Commission will continue to adopt ❑ ❑ mandatory building standards. Division 5.3 WATER EFFICIENCY AND CONSERVATION Indoor Water Use 5.303.1 Meters. Separate meters shall be installed for the uses described in Sections 503.1.1 and 503.1.2. 5.303.1.1 New building or additions in excess of 50,000 square feet. ❑ ❑ Separate submeters shall be installed as follows: 1. For each individual leased, rented or other tenant space within the ❑ ❑ building projected to consume more than 100 gal/day. 2. Where separate submeters are unfeasible, for water supplied to the following systems: a. Makeup water for cooling towers where flow through is greater El E]than 500 gpm. b. Makeup water for evaporative coolers greater than 6 gpm. c. Steam and hot-water boilers with energy input > 500,000 Btu/h. Page 2 of 9 CalGreen Non -Res Checklist.doc revised 01123114 5.303.1.2 Excess consumption. A separate submeter shall be provided for any tenant within a new building or within an addition that is projected ❑ ❑ to consume > 1,000 gal/day. 5.303.2 Water reduction. Plumbing fixtures shall meet the maximum flow rate ❑ ❑ values shown in Table 5.303.2.3. Exception: Building that demonstrate 20 -percent overall water use reduction. 5.303.2.1 Areas of addition or alteration. For those occupancies within the authority of the California Building Standards Commission, as specified in Section 103, the provisions of Section 5.303.2 and Section 5.303.3 shall ❑X ❑ apply to new fixtures in additions or areas of alterations to the buildings. 5.303.4 Wastewater reduction. Each building shall reduce by 20 percent wastewater by one of the following methods: 1. The installation of water -conserving fixtures or ❑ ❑ 2. Utilizing non -potable water systems. ❑ ❑ 5.303.6 Standards for plumbing fixtures and fittings. Plumbing fixtures and fittings shall be installed in accordance with the California Plumbing Code ❑ (CPC), and shall meet the applicable standards referenced in CPC Table 1401.1 and CalGreen Chapter 6. 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 or for addition or alteration requiring upgraded water service for landscaped areas of at least ❑ ❑ 1,000 sq.ft. but not more than 5,000 sq.ft., separate submeters or metering devices shall be installed for outdoor potable water use. 5.304.3 Irrigation design. In new nonresidential construction or building addition or alteration with at least 1,000 but not more than 2,500 sq.ft. of cumulative landscaped area, install irrigation controllers and sensors which ❑ ❑ include the following criteria, and meet manufacturer's recommendations. 5.304.3.1 Irrigation controllers. Automatic irrigation system controllers installed at the time of final inspection shall comply with the following: 1. Controllers shall be weather- or soil moisture -based controllers that automatically adjust irrigation in response to changes in plants' needs as ❑ ❑ weather conditions change. 2. Weather -based controllers without integral rain sensors or communication systems that account for local rainfall shall have a separate wired or wireless rain sensor which connects or communicates ❑ ❑ with the controller(s). Soil moisture -based controllers are not required to have rain sensor input. Weather Resistance and Moisture Management 5.407.1 Weather protection. Provide a weather -resistant exterior wall and foundation envelope as required by California Building Code Section 1403.2 ❑ and California Energy Code Section 150, manufacturer's installation instructions or local ordinance, whichever is more stringent.' Page 3 of 9 CalGreen Non -Res Checklist.doc revised 01/23/14 5.407.2 Moisture control. Employ moisture control measures by the following methods; 5.407.2.1 Sprinklers. Prevent irrigation spray on structures. ❑ ❑ 5.407.2.2 Entries and openings. Design exterior entries and/or openings ❑ ❑ to prevent water intrusion into buildings. 5.407.2.2.1 Exterior door protection. Primary exterior entries shall be covered to prevent water intrusion by using nonabsorbent floor and ❑ ❑ wall finishes within at least 2 ft around and perpendicular to such openings plus at least one of the following: 1. An installed awning at least 4 ft in depth. 2. The door is protected by a roof overhang at least 4 ft in depth. 3. The door is recessed at least 4 ft. 4. Other methods which provide equivalent protection. 5.407.2.2.2 Flashing. Install flashings integrated with a drainage ❑ ❑ plane. Construction Waste Reduction, Disposal and Recycling 5.408.1 Construction waste management. Recycle and/or salvage for reuse a minimum of 50 percent of the nonhazardous construction and demolition waste in accordance with Section 5.408.1.1, 5.408.1.2, or 5.408.1.3; or meet a ❑X ❑ local construction and demolition waste management ordinance, whichever is more stringent. 5.408.1.1 Construction waste management plan. Submit plan per this ❑ ❑ section to enforcement authority. 5.408.1.2 Waste management company. Utilize a waste management company that can provide verifiable documentation that the percentage of ❑ ❑ construction and demolition waste material diverted from the landfill complies with CalGreen Section 5.408. 5.408.1.3 Waste stream reduction alternative. The combined weight of new construction disposal that does not exceed two pounds per square ❑ ❑ foot of building area may be deemed to meet the 50 percent minimum requirement as approved by the enforcing agency. 5.408.1.4 Documentation. Provide documentation of the waste ❑X ❑ management plan that meets the requirements listed in Section 5.408.1.1 through 5.408.1.3. 5.408.3 Excavated soil and land clearing debris. 100 percent of trees, stumps, rocks and associated vegetation and soils resulting primarily from land ❑ ❑ clearing shall be reused or recycled. Building Maintenance and Operation 5.410.1 Recycling by occupants. Provide readily accessible areas that serve the entire building and are identified for the depositing, storage and collection ❑X ❑ of nonhazardous materials for recycling. 5.410.2 Commissioning. For new buildings 10,000 square feet and over, building commissioning for all building systems covered by T24, Part 6, process systems and renewable energy 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. Page 4 of 9 CalGreen Non -Res Checklist.doc revised 01/23/14 5.410.2.1 Owner's Project Requirements (OPR). Documented before the design phase of the project begins the OPR shall include items listed in ❑ ❑ Section 5.410.4. 5.410.2.2 Basis of Design (BOD). A written explanation of how the design of the building systems meets the OPR shall be completed at the design phase of the building project and updated periodically to cover the systems ❑ ❑ listed in Section 5.410.2.2. 5.410.2.3 Commissioning plan. A commissioning plan describing how the project will be commissioned shall be started during the design phase of ❑ ❑ the building project and shall include items listed in Section 5.410.2.3. 5.410.2.4 Functional performance testing. Functional performance testing shall demonstrate the correct installation and operation of each component, system and system -to -system interface in accordance with the ❑ ❑ approved plans and specifications. 5.410.2.5 Documentation and training. A Systems manual and systems operations training are required. ❑ ❑ 5.410.2.5.1 Systems manual. The systems manual shall be delivered to the building owner or representative and facilities operator and shall ❑ ❑ include the items listed in Section 5.410.2.5.1. 5.410.2.5.2 Systems operations training. The training of the appropriate maintenance staff for each equipment type and/or system ❑ ❑ shall include items listed in Section 5.410.2.5.2. 5.410.2.6 Commissioning report. A complete report of commissioning process activities undertaken through the design, construction and ❑ ❑ reporting recommendations for post -construction phases of the building project shall be completed and provided to the owner or representative. 5.410.4 Testing and adjusting. Testing and adjusting of systems shall be required for buildings less than 10,000 square feet or new systems to serve an addition or alteration subject to Section 303.1. 5.410.4.2 Systems. Develop a written plan of procedures for testing and adjusting systems. Systems to be included for testing and adjusting shall include, as applicable to the project, the systems listed in Section ❑X ❑ 5.410.3.2. 5.410.4.3 Procedures. Perform testing and adjusting procedures in accordance with industry best practices and applicable national standards El ❑ 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 should be balanced in accordance with the procedures defined by Q ❑ national standards listed in Section 5.410.3.3.1. 5.410.4.4 Reporting. After completion of testing, adjusting and balancing, provide a final report of testing signed by the individual responsible for ® ❑ performing these services. 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 inspection ED [:1verifications and reports required by the enforcing agency. Page 5 of 9 CalGreen Non -Res Checklist.doc revised 01/23114 Fireplaces 5.503.1 Install only a direct -vent sealed -combustion gas or sealed wood - burning fireplace or a sealed woodstove and refer to residential requirements ❑ ❑ in the California Energy Code, Title 24, Part 6, Subchapter 7, Section 150. 5.503.1.1 Woodstoves. Woodstoves shall comply with US EPA Phase II emission limits. ❑ ❑ Pollutant Control 5.504.3 Covering of duct openings and protection of mechanical equipment during construction. At the time of rough installation or during storage on the construction site and until final startup of the heating and cooling equipment, all duct and other related air distribution component ❑X ❑ openings shall be covered with tape, plastic, sheet metal or other methods acceptable to the enforcing agency to reduce the amount of dust or debris which may collect in the system. 5.504.4 Finish material pollutant control. Finish materials shall comply with Sections 5.504.4.1 through 5.504.4.4. 5.504.4.1 Adhesives, sealants, caulks. Adhesives and sealants used on the project shall meet the requirements of the following standards. 1. Adhesives, adhesive bonding primers, adhesive primers, sealants, sealant primers and caulks shall comply with local or regional air pollution control or air quality management district rules where applicable or ❑ ❑ SCAQMD Rule 1168 VOC limits, as shown in Tables 5.504.4.1 and 5.504.4.2. 2. Aerosol adhesives and smaller unit sizes of adhesives and sealant or caulking compounds (in units of product, less packaging, which do not weigh more than one pound and do not consist of more than 16 fluid ounces) shall comply with statewide VOC standards and other ❑X ❑ requirements, including prohibitions on use of certain toxic compounds, of California Code of Regulations, Title 17, commencing with Section 94507. 5.504.4.3 Paints and coatings. Architectural paints and coatings shall comply with Table 5.504.4.3 unless more stringent local limits apply. ❑X ❑ 5.504.4.3.1 Aerosol paints and coatings. Aerosol paints and coatings shall meet the Product -Weighted MIR Limits for ROC in Section 94522(a)(3) and other requirements, including prohibitions on use of ❑ ❑ certain toxic compounds and ozone depleting substances (CCR, Title 17, Section 94520 et seq). 5.504.4.3.2 Verification. Verification of compliance with this section shall be provided at the request of the enforcing agency. ❑X ❑ 5.504.4.4 Carpet systems. All carpet installed in the building interior shall meet the testing and product requirements of at least one of the standards ❑ ❑ listed in Section 5.504.4.4. 5.504.4.4.1 Carpet cushion. All carpet cushion installed in the building interior shall meet the requirements of the Carpet and Rug Institute ❑ ❑ Green Label program. 5.504.4.4.2 Carpet adhesive. All carpet adhesive shall meet the requirements of Table 5.504.4.1. ❑X ❑ Page 6 of 9 CalGreen Non -Res Checklist.doc revised 01/23114 5.504.4.5 Composite wood products. Hardwood plywood, particleboard and medium density fiberboard composite wood products used on the ❑ interior or exterior of the building shall meet the requirements for ❑X formaldehyde as specified in Table 5.504.4.5. 5.504.4.5.3 Documentation. Verification of compliance with this section ❑ ❑ shall be provided as requested by the enforcing agency. Documentation shall include at least one of the following standards listed in Section 5.504.5.3. 5.504.4.6 Resilient flooring systems. For 80 percent of floor area receiving resilient flooring, installed resilient flooring shall meet at least one ❑ ❑ of the following standards listed in Section 5.504.4.6. 5.504.5.3 Filters. In mechanically ventilated buildings, provide regularly occupied areas of the building with air filtration media for outside and ® ❑ return air prior to occupancy that provides at least a MERV of 8. 5.504.7 Environmental tobacco smoke (ETS) control. Prohibit smoking within 25 feet of building entries, outdoor air intakes and operable windows where outdoor areas are provided for smoking and in buildings; or as enforced ❑ by ordinances, regulations or policies of any city, county, city and county, California Community College, campus of the California State University or campus of the University of California, whichever are more stringent. Indoor Moisture and Radon Control 5.505.1 Indoor moisture control. Buildings shall meet or exceed the provisions of California Building Code, CCR, Title 24, Part 2, Sections 1203 © ❑ and Chapter 14.1. 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 K_71 ❑ Energy Code, CCR, Title 24, Part 6 and Chapter 4 of CCR, Title 8 or the applicable local code, whichever is more stringent.' 5.506.2 Carbon dioxide (CO2) monitoring. For buildings equipped with demand control ventilation, CO2 sensors and ventilation controls shall be ❑ ❑ specified and installed in accordance with the requirements of the latest edition of the California Energy Code, CCR, Title 24, Part 6, Section 121(c).' Environmental Comfort 5.507.4 Acoustical control. Employ building assemblies and components ❑X ❑ with STC values determined in accordance with ASTM E 90 and ASTM E 413. 5.507.4.1 Exterior noise transmission. Wall and floor -ceiling assemblies making up the building envelope shall have an STC of at least 50 and exterior windows shall have a minimum STC of 30 for any of the building Q ❑ locations listed in Items 1 through 3 in Section 5.507.5.1. 5.507.4.2 Interior sound. Wall and floor -ceiling assemblies separating tenant spaces and tenant spaces and public places shall have an STC of M\/ ❑ at least 40. Page 7 of 9 CalGreen Non -Res Checklist.doe revised 01/23/14 Outdoor Air Quality 5.508.1 Ozone depletion and greenhouse gas reductions. Installations of HVAC, refrigeration and fire suppression equipment shall comply with Sections 5.508.1.1 and 5.508.1.2. 5.508.1.1 Chlorofluorocarbons (CFCs). Install HVAC and refrigeration equipment that does not contain CFCs. 5.508.1.2 Halons. Install fire suppression equipment that does not contain ❑ Halons. Page 8 of 9 CalGreen Non -Res Checklist.doc revised 01123114 Project Name: Project Address: Project Description: CALGREEN SIGNATURE DECLARATIONS Apple HS01 Cafe Renovation 18880 Homestead Rd Cafe renovation 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 Qy of Cupertino. DEC 23, 2015 Owner's Signatur Date Victoria Ng Owner's Name(P se Print) DEC 23, 2015 Design Professional's Signature Date Candice Lui Desi n rofessional's Name (Please Print) DEC 23, 2015 Signature YLicense ofessional responsible for CalGreen compliance Date Chi -Wing Wong 650-364-6453 Name of License Professional responsible for CalGreen compliance (Please Print) Phone cwwong@des-ae.com Email Address for License Professional responsible for CalGreen compliance SECTION 2 — IMPLEMENTATION VERIFICATION 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 9 of 9 CalGreen Non -Res Checklistdoc revised 01/23114 CUPERTINO PURPOSE HAZARDOUS MATERIALS CHECKLIST �w -JB M I TTAL 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 cupertino.orA OFFICE COPY To minimize possible delays that would result for the Fire Department plan review, please complete the following checklist to determine if an additional level of Hazardous Materials plan review vill be required. RECEIVED MARK `YES' IF THE PROPOSED SCOPE OF WORK INCLUDE ANY OF THE FOLLOI VINGPEC 2 3 2015 PLEASE MARK YOUR ANSWER WITH AN `X' IN THE YES OR NO BOX ON THE SID BELOW. 1. Use, dispensing, mixing or storage of flammable or combustible liquids or gases, hazardous materials, etc. X 2. Battery back-up rooms or racks. X 3. Propane tanks. X 4. Gasoline stations with underground tanks. X 5. Installation or replacement above ground or underground storage of liquid petroleum products, liquefied petroleum gases, compressed natural gas, explosives or other regulated hazardous materials. ^� X 6. Gas rooms for dentist, doctors or veterinarians. 7. Generators with back-up diesel or other fuels. r X 8. Large refrigeration systems. X 9. Fuel cell systems. X 10. Commercial pool systems. X 11. Chemical Storage areas. X 12. Flammable liquid storage. X 13. Compressed Gases. X 14. Dry cleaners. X 15. Print Shops. X 16. Auto Repair and Auto Body Shops. X 17. Research and Development. X For any additional information regarding this checklist, please contact Hazardous Materials Specialist, Santa Clara County Fire Department, at (408) 378-4010. HasMat 201 ].doe revised 03/07/11