15120036CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: 15120036
7480 ROLLINGDELL DR CUPERTINO CA 95014 (359 31 061)
GRAND - NEST.
CONSTRUCTION
SARATOGA, CA 95070
OWNER'S NAME: CHATTANATHAN GURUVAYURAPPAN AND GUR
DATE ISSUED: 05/05/2016
OWNER'S PHONE: 408-506-6658
PHONE NO: (408) 891-8059
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class B Lic. #26541_9 -
Contractor GRAND - NEST CONSTRUCTION Date 09/30/2017
—BLDG —ELECT —PLUMB
MECH 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 story addition (530 sq ft); Covered Porch (54 sq ft); add (5)
I hereby affirm under penalty of perjury one of the following two declarations:
lights in living room; relocate gas meter; upgrade electrical panel (200
r. I have and will maintain a certificate of consent to self -insure for Worker's
amps).
Compensation, as provided for by Section 3700 of the Labor Code, for the
,performance of the work for which this permit is issued.
2 j ' 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
is issued.
@�� permit
Sq. Ft Floor Area:
Valuation: $90000.00
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above
information is correct. I agree to comply with all city and county ordinances
APN Number:
Occupancy Type:
and state laws relating to building construction, and hereby authorize
359 31 061
representatives of this city to enter upon the above mentioned property for
inspection purposes. (We) agree to save indemnify and keep harmless the
City of Cupertino against liabilities, judgments, costs, and expenses which
PERMIT EXPIRES IF WORK IS NOT STARTED
may accrue against said City in consequence of the granting of this permit.
WITHIN 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.
180 DAYS FROM LAST CALLED INSPECTION.
Signatures 6e Date
Issued by: Abby A e�nde
Date: 05/05/2016QS1OkiWh-
OWNER-BUILDERDECLARATION
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:
1. I, as owner of the property, or my employees with wages 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 (Sce.7044, Business & Professions Code)
z I, as owner of the property, am exclusively contracting with licensed
Signature of Applicant:
contractors to construct the project (Sec.7044, Business & Professions Code).
Date:
I hereby affirm under penalty of perjury one of the following three declarations:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
r. I have and will maintain a Certificate of Consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
HAZARDOUS MATERIALS DISCLOSURE
2. I have and will maintain Worker's Compensation Insurance, as provided for by
I have read the hazardous materials requirements under Chapter 6.95 of the
Section 3700 of the Labor Code, for the performance of the work for which this
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
permit is issued.
3. I certify that in the performance of the work for which this permit is issued, I
Health & Safety Code, Section 25532(a) should I store or handle hazardous
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 of the
the Health & Safety Code, Sections 25505, 25533, and 25534.
Labor Code, I must forthwith comply with such provisions or this permit shall
be deemed revoked.n
Owner or authorized agent:
APPLICANT CERTIFICATION
Date:
CONSTRUCTION LENDING AGENCY
I certify that I have read this application and state that the above information is
I hereby affirm that there is a construction lending agency for the performance
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
of work's for which this permit is issued (Sec. 3097, Civ C.)
to enter upon the above mentioned property for inspection purposes. (We) agree
Lender's Name
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
ARCHITECT'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
Professional
CONSTRUCTION PERMIT APPLICATION
CONiI✓iUNI I Y DcVELO?MENT DEPAR I MEN I • BUILDING DIVISION
10300TORRE AVENUE * CUPERTINO, CA 85014-3255
r' (408) 777-3228 • FAX (408) 777-3333 • buildino(cicuneriino.ora
cvt=ER-rtNo, i
n i,7.w rnl ieTRlirT'in?S I/11 t �nrrn,.r 1-1
Bid.-App_2011.doc revised 06121/11
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STRZETADDRESS L/® CITY,ST4-'= Zip �r� )� ✓ r
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DESCRL'PTIO?,' OF 4JOP.iC
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ee 440e
E aSTmG USE / PROPOSED USE CONST& TYPE � S i ORFS
S !� T��// 1 I �i� I
USE
TYPS OCC. I
SQ.FT.
VALUATION (S)
t
.�''T
AREA �G/
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,
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I AREA D
TOTAL
I "7 -AR: -:.k
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REMODELAREA®
f:TCT.-LF?�T
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or
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I _
'
P
TOT=L$ORC AREA
21TIACi®
-
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IG'.GEP.=A:
I
D}1BL 'G J?diTS:
IS A SECOND UNIT E3 YES -
SECOND STORY ❑Yis
-
I
BEING ADDED? 10N0
I
ADDrrION? ..,10
'-
OM TOTAL VA1 U.4 T ION:
_ ' _
PP.E-?UPLICATMN ❑ }'_5 17 YES, PROTIDE COPY OF
PLf�,?NTNG??P' R' L'-]�,.'0 PLA)\Th"D�GP.PPROVPT LT3 I
IS THE BLDG AH } ES
EICHLERHO?�i y�NO-
�y�/�
zo
By my signature below, I c rift' to each of rhe following: I am tae property ow-ner or authonL dcg t to sct grope,. ou-n er's beh lr I hzv e � his
- ��pp11c«Ion��Dd th..-norma�Ioa-I have:p;ovided is �ct:�I=h�we tl:e=Descrlp�io;r-of-'���ork '_ is
-co, read and=w gat acct!rate I armee=�o`comply�,itti zll ��11cab: zl '"'- `�
Coreirarces and state laws r 1ain+o builcln, co si2cr ?ze representatives to enter the zbow'e-1Ine +I�ed p op ry for inspection. pu.rps
s
_,.._.,.. .
SUPPLE? /LE?�T� L _T0RI "r -MT REQUIRED
-
�_.CHT}'_P;E
-
_?\ew SFD or? ILlaiz ?ily dw� elii �� Apply for demoli`io� a "Iit for
T
Oi�RTCOL�TFR
- — -
Bi71LDL1GPL4tRtt7c Y
exist?n- buiMinE(S). Deli Ol?tion peInit IS r1qui ed priorto '•SSllcnce Of building
permit for new building.
T7
-t- EYI2ESS _
— - -
o
PL�i'C�'L�GELeh,P.D4�F�
Commercial Bldgs: Provide a completed Hazardous lwfaterials DisclosureESTE,
_oma i_ any 1•iaZaroOLa ?Niater:a_s are bein. used as part ofthis project.
-
Copy of Planning Approval Le -tier or Iw/leeting with Planning prior to
- T�L470R
`��-�,TT.�tY-SE'w',ER�I�TRICT
submittal Of Building Permit cppIlCitlGn.-
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_
Bid.-App_2011.doc revised 06121/11
r
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDIN-G DIVISION
ADDRESS: 7480 ROLLINGDELL DR
DATE: 12/04/2015
REVIEWED BY: MELISSA
- APN: 359 31 061
BP#:
*VALUATION: 1$90,006
''PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Addition
PRIMARY SFD or Duplex
USE:
2nd Unit? Yes Q No
OTC. 0 Yes �No
PENTAMATION 1 R3SFDADD
PERMIT TYPE:
WORK
ADD 530 S.F. TO FRONT OF SFD TO CREATE N MASTER BEDROOM & N ENTRY WAY. ADD
SCOPE
(N) 54 S.F. COVERED PORCH & ADD 5 (N) RECESSED LIGHTS IN (E) LIVING RM
TYPE OF FLR AREA
OCCUPANCY TYPE: PC FEES PC FEE ID BP FEES BP FEE ID
CONSTR. (sf.)
R-3 (Custom) II-B,111-B,IV,V-B 584 $2,654.00 IR3PLNCK $1,666.00 IR3INSP
TOTALS: 584 $2,654.00, $1,666.00
A Fc.,;"I ; � � � _.{E:.% Elec. Plan Check 0.0 1 hrs $0.00
Elec. Permit Fee: IEPERMIT
Li L__
Other Elec. Insp. 0.0 hrs $48.00!Hwr,%?T r hap,,,
- ::Ff'f; h. iY=.:s.
NOTE. This estimate does not include fees due to other Departments (i. e. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for adan'l into.
FEE ITEMS (Fee Resolution 11-053 g '. 7/1/13'
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$2,654.00
5 #
$72.00
Electrical
IBREMFLU Fixtures, Lighting
Suppl. PC Fee: O Reg. 0 OT
0,0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$1,666.00
Suppl. Insp. Feer Reg. 0
OTQ
Q
hrs
$0.00
PME Unit Fee:
$0.00
Permit Fee:
$48.00
ggPME
Work Without Permit? 0 Yes ;y No
$0,00
Advanced PlanningFee.
IPLLONGR
$81.76
Select a Non -Residential
Building or Structure
Q
Travel Documentation Fee: ITR,4VDOC
$48.00
Strong Motion Fee:
IBSEISMICR
$11.70
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$4.00
sUBTOTALs;
$4,513.46
$72.00 r TOTAL FEE
$4,585.46
Revised: 10/01/2015
CITY OF CUPERTINO BUILDING PERMIT J
7480 ROLLINGDELL DR CUPERTINO CA95014(359 31061)
OWNER'S NAME: CHATTANATHAN GURUVAYURAPPAN AND GUR
OWNER'S PHONE: (408) 506-6658
LICENSED CONTRACTOR'S DECLARATION
License Class GENERAL BUILDING CONTRACTOR Lic. #965419'
Contractor GRANA -NEST CONSTRUCTION Date 09/30/2017
hereby affirm that I am licensed under the provisions of Chapter 9 (commencing
rith Section 7000) of Division 3 of the Business & Professions Code and that my
cense is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
1. 1: have and will maintain a certificate of consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
i performance of the work for which this permit is issued.
(� 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
v 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.
Date 10/512�Z1
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 (Sec.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:
z. 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
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
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.
CONTRACTOR: PERMIT NO: 15120036
GRAND NEST
CONSTRUCTION
SARATOGA, CA 95070
DATE ISSUED: 05/05/2016
RHONE NO: (408) 891-8059
BUILDING PERMIT INFO:
—BLDG —ELECT —PLUMB
_ MECH _ RESIDENTIAL _ COMMERCIAL
JOB DESCRIPTION:
Construct one story addition (530 sq ft); Covered Porch (54 sq ft); add (5)
lights in living room; relocate gas meter; upgrade electrical panel (200
amps).
REV #1 - PROVIDE STRUCTURAL CALCS FOR BAY WINDOW @
MASTER BEDROOM; CHANGE BATHROOM WINDOW
-�rv) lo(sjtu
Sq. Ft Floor Area: I Valuation: $90000.00
I" 3Number: Occupancy Type:
APPLICANT CERTIFICATION i
1 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 haws
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 Date 10/5/2016
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by:
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: 10/5/2016
"A"
HA?ARDOUS 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: 10/512015
CONSTRUCTION LENDING AGENCY
I 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
I understand my plans shall be used as public records.
Licensed
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT •BUILDING DIVISION �.4
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
Mao
(408) 777-3228 • FAX (408) 777-3333 • buildin4(o)cupertino.org
CUPERTINO
❑ NEZ§r CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI REVISIO /DEFERRED ORIGINAL PERMIT;# 1 13) ZZIC
PROJECT ADDRESS "7 ip & 0 R 0 L � % Na t>F LLD P APN n � � � � � � a 06
f "(- F
(¢��QU
ONVNER NAME PHONE
° ° , � �
E-MAIL C4 C tA* --f `i A -J A-1 bra° j
STREETADDRESS l P 0L�_R/4GD2_Li_ Pap_ CITY, STATE, FAX
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67
�1� S�P
CONTACT NAME
PHON �E-NAIL ���
48-9
v�7-
69-7 ZnRE���� cz�•-r
STREET ADDRESS
CITY, STATE, ZIP
FAX
El ow-NER ❑ OWNER-I3T,=ER ❑ OwIdERAGEN'r ❑ CONTRACTOR ❑ CONTRACTORAGEN'T 6irARCHrJECT ❑ ENGINEER 11 DEVELOPER ❑'TENANT
LICENSENTUNME�R I LICENSE TYPE
CONTRACTORNAME
BUS. LIC' f�
3 6
IN
J
COMPANY NAIME
E-h4AIL
FAX
P:P N D r4 r co
Pa L? VF-- CD P'1
'181 6 d 9J
STREET ADDRESS
CITY, STATE, ZIP
PHONE SID
o
A-RCHITECT/E*N-GITIEERN,Ah4E • LICENSEN 16BER
BUS. LIC
Ga1J
COh2ANY NAME
E -I ZAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
I PHONTE
DESCRIPTION OF WORK
t
EXISTING USE PROPOSED USE - CONSTR TYPE - r STORIES
-
USE
TYPE
OCC,
SQ.FT.
VALUATION (S)
EXIST
NEW FLOOR
DEMO -
TOTAL.
-
AREA
AREA
AREA
NET,AREA
BATHROOM -
KITCHEN
OTHER
REN4ODELAREA
REMODELAREA
REMODEL AREA
PORCH ARTA -
--DECK AREA
TOTAL DECI:,'PORCH AREA
�GAZAGE7JEA.�DETACH
❑ ATTACH
D\�'ELLDdG UNITS:
IS A SECOND UNIT ❑ YES
SECOND, STORY ❑ PES
-
BELN•GADDED? NO
ADDITION? ❑NTO
PRE-.4PPLIC.ATION ❑ 1 -ES IF YES; PROVIDE COPY OF
IS THE BLDG AN ❑ YES
RE NED BY .y
�` r �.� -
TOTAL VALUATION:
PLANNLNG APPL= ❑ NO PLAXINING APPROVAL LETTER
EICHLER HOME? ❑ NO
By my signature below, I certify to each of the following: I am the property owner or authorized agent tl act on , e property owner's behalf. I have read this
application and the informationI have provided is correct. I.have read the Description ofWork- and verify it is accurate. I agree to comply with all applicable local
ordinances and`state relating to building construction. I authorize representatives of Cupertino to enter the above -id tified prytpe ;ty for in- �ction purposes.
/ atureofApplicant/Age nt; /�P— CI_ate: ®Q
SUP - _MENTAL INFORMATION REQUIRED
r
, -r PL�N..CA$CIi TI E
New SFD or Multifamil} dwellings: Apply for demolition permit for
�
O\ ER TiIE COLTER
k
❑ BUiLDI_ G PLA RE\TER
existing building(s). Demolition pen -nit is required prior to issuance of building
k
�_
permit for new building.
ELPREss
PI ANSI_ 4vG PLAn
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
I� STA `D4RD
❑ PiBLIc.t\ oRl.s
_
fonn 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 t0
� �
� S4�TTARYSE\iERDISTRICT �
_
submittal of Building Permit application.
\igJOR
kr
X... v. -..,..v-. :`...
..❑- EN\IR0N TENTAI HEALTH
B1dgApp_2011.doc remised 06121111
CUPERTINO
CALGREEN RESIDENTIAL CHECKLIST — MANDATORY
ITEMS � - CUPERTINO
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING I� Building Department
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL '
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
PURPOSE:
(408) 777-3228 • FAX (408) 777-3333 • building aaeupertino.ora I. (")Q CODE COMPLIANCE
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 not otherwise disturbed are not subject to the requirements of CALGreen.
Project Name: ::7y?2n 1201vJt-1c1a* '15
Project Address:
Project Description
Instructions:
7i�kal bio vMVr-��yw
1. The Owner or the n trr
rey a experienced with the California
Green Building S n Ftirlhe
sfy't a urC)Puy
work described herein is properly
planned and impl `�`
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 - Implementati t tatil �tl i�d of this e[ckiis qr ut T), the
completed form to the Building Inspector. 1 �L��,L11 VV C11.J�
#2
ColuMiq 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 El Elconstruction.
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 E] ❑
site grading or a drainage system will manage all surface water flows.
Page 1 of 5
CalGreen 2014.doe remised 11/04/14
A4.2 ENERGY EFFICIENCY
General
4.201.1 Low-rise residential buildings shall meet or exceed the minimum El
design required by the California Energy Standards.
A4.3 WATER EFFICIENCY ANDCONSERVATION
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 CnlCreen_2014.doe revised 11104114
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.
A4.4 MATERIAL CONSERVATIONRESOURCE
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.
A4.5 ENVIRONMENTAL
Fireplaces
4.503.1 General. Install only a direct -vent sealed -combustion gas or sealed
❑ ❑
wood -burning fireplace, or a sealed woodstove.
i
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
6,J
❑
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 11104/14
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
❑ ❑
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
❑
El
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 CalGYeen 2014.doc revised 11/04/14
t'
Project Name:
Project Address:
Project Description:
CALGREEN SIGNATURE DECLARATIONS
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 Cupertino.
Owner's Signature Date
Owner's Name ease Print)
Design Professional's Signature Date
Design Profess al's Name (Pjga-s.---Pr")
Signature of License Professional responsible for CalGreen compliance Ddte
Name of License Professional responsible for CalGreen compliance (Please Print) Phone
Email Address for License Profelfsional 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 5 of 5 CalGreen_2014.doc revised 11/04/14