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14100153-FI CITY OF CUPERTINO BUILDING PERMIT I 1 BUILDING ADDRESS: 10681 JOHNSON AVE I CONTRA CTI CTOR: GRAND NEST I PERMIT NO: 14100153 OWNER'S NAME: TAN QI AND YU SHIFENG 113428 CHRISTINE DR I DATE ISSUED: 03/09/2015 1 OWNER'S PHONE: 4088326075 SARATOGA, CA 95070 1 PHONE NO: (408) 891 -8059 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL ❑ CONSTRUCT (N) 2 STORY STORY SFD (2117 S.F.), I-nse Class_ Lic. # e/ ATTACHED GARAGE (416 S.F.) & COVERED PORCH (56 / l S.F.) * *SUNNYVALE SANITARY ** Contractor� �OL''�CiPSate V 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: 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. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct, l 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 r `. ❑ OWNER- BUILDER DECLARATION I hereby affirm.that I am exempt from the Contractor's License Law for one of the following two reasons: 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) 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: 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 Sq. Ft Floor Area: I Valuation: $300000 APN'Number: 37531050.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN AYS OF PERMIT ISSUANCE OR 180 DA OM LAST CALLED INSPECTION. Issued by: Date: '11�� 4U,4 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: 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. CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION 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 11afm-I0sS 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 Lender's Address I understand my plans shall be used as public records. Licensed Profess CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 C�7UPERTINO (408) 777 -3228 • FAX (408) 777 -3333 • buildiinng((Dcupertino.org I I INFWCON.CTRITCTTON F AnnTTTON F AT.TFRATTON /TT F-1 RRVT1,T0M /T)FFFRRFn C)RT(;TNAT. PFRTvnT ii PROJECT ADDRESS //L/(i� AV r/ APN # OWNER NAME 8 N PHONE !� 17O��j s E -MAIL STREET ADDRESS CITY, ATE, ZIP y—oy0 FAX v / CONTACT NAME PHONE r /_Oh3 E -MAI ` l STREET ADDRESS �- CITY, ATE, ZIP !!� 07p FAX ❑ OWNER ❑ OWNER- BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT X ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E -MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT EVGINEFjR NA E LICEN E NjJMOB� BUS. LIC # O COMPANY�YN MEE E -MAIL a � Ga ce FAX STREET ADDRESS,�p CITY, STATE, ZIP 2 PHONE DESCRIPTION OF WORK 5 r v (� ry EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES 2 USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FL06i0l . _ _ _)EMO TOTAL AREA ? Z AREA AREA J`% tf NET AREA ( BATHROOM KITCHEN 0 THER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH RATTACH # 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 ❑ _ "," - -- mC " _ °_' LUATION: PLANMNGAPPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO _ = f2OO 2 2100 By my signature below, I certify to each of the following: I am the property owner or authorize agent to act on the e er's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it� ra agree to comply with all applicable local ordinances and state laws relating to building nstruction. I authorize re resentatives of Cupertino to e ove- identified property for inspection purposes. Signature of Applicant/Agent: Date: O �o SUPPLEMENTAL INFORMrlyfo, REQUIRED PLANI�CHECK'TYPE ROUTING SLIP' Q ovER- THF- couNTER BUILDING PLAN REVIEW _ New SFD or Multifamily dwellings: Apdemolit ion permit for existing building(s). Demolition permit is required prior to issuance of building` permit for new building. LJ EXPRESS - - ❑ PLANNING-PLAN REVIEW - Commercial Bldgs: Provide a completed Hazardous Materials Disclosure STANDARD ' i'❑ 'Punuc wORKS. . form if any Hazardous Materials are being used as part of this project. - -- — - - - - -- ...❑_LARGE - EIRE.DF=, Copy of Planning Approval Letter or Meeting with Planning prior to 11 MAJOR ❑ SANITARY sEw�R�ISizucT submittal of Building Permit application. ❑' ENVIRONMENTAL HEALTH . B1dgApp_2011.doc revised 06121111 ?�07 FM,_1 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION 1AADDRESS: 10681 JOHNSON AVE DATE: 10/27/2014 REVIEWED BY: MELISSA PC FEES APN: 375 31 050 BP #: C) 5-3 "VALUATION: 1$300,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY SFD or Duplex USE: 2nd Unit? .- Yes E) No PENTAMATION 1 R3SFDW PERMIT TYPE: A WORK CONSTRUCT N 2 STORY STORY SFD (2117 S.F.), ATTACHED GARAGE 416 S.F. & COVERED SCOPE PORCH (56 S.F.) $0.00 OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R -3 (Custom) II- B,III- BINN -B 2,173 $2,901.56 IR3PLNCK $2,552.92 IR3INSP U (Private Gar /Ag Bldg) II- B,111- B,IV,V -B 416 $0.00 I UIPLNCK $1,290.00 I UHNSP Suppl. Insp. Fee: Reg. ® OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: 1BCONSTAXR TOTALS: 2,589 $2,901.56 Ad'ininistrative Fee: $3,842.92 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etn). These fees are based on the nreliminary information available and are only an estimate. Contact the Dent for addn'I info. FEE ITEMS (Fee Resolution 11 -053 Eff.' 711113) A /; c?r, / "car* Z; "he:c k /'lrrnr(i. I'larr (:'l;eck I:?ec'. Plan C. heclr liec , i'ertuit fee: Ph "rnb. Per'nit Fee: lslec_ Permit Fare: Qrher alech. Insp. Other Plumb lrsp. oche; Elec. 11tsp, tdec:h, Ins /). Fee: Nuwb. /asp. 1ee: 11C:c. 1116p. Fee: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etn). These fees are based on the nreliminary information available and are only an estimate. Contact the Dent for addn'I info. FEE ITEMS (Fee Resolution 11 -053 Eff.' 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,901.56 Select a Misc Bldg/Structure or Element of a Building i Suppl. PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $3,842.92 Suppl. Insp. Fee: Reg. ® OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: 1BCONSTAXR 1 # new units $667.63 Ad'ininistrative Fee: Q Work Without Permit? 0 Yes (j) No $0.00 Advanced PlanninL Fee: 1PLLONGR $362.46 Select a Non - Residential Building or Structure Q 0 Travel Doc uirtenlrrtion Fees: - Strong Motion Fee: 1BSEIsMICR -- $39:00 - - - - — - Select an Administr -ative -Item= - - - -- - _ Bldg Stds Commission .Fee: 1BCBSC $12.00 SUBTOTAL °S a $7,825.57 $0.00 TOTAL FEE: $7,825.57 Revised: 08/20/2014 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: PERMIT # D O .f OWNER'S NAME: V PHONE # o U GENERAL CONTRACTOR: y 2 BUSINESS LICENSE # ADDRESS: 171jfp _ , y� S "r° oy �a Yc! lo5;-1 CITY /ZIPCODE: O *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: °1 �- Signature ate Please check applicable subcontractors and complete the following information: Owner / Contractor Signature Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation i Fencing -� Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry - Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner / Contractor Signature Date FILE CERTIFICATE OF VERIFICATION ' i "( CF3R- MCH -20 -H Duct Leakage Diagnostic Test (Pa of 3 ) Project Name: NEST TAN Enforcement Agency: Cupertino Building Department Permit Number: 14100153 Dwelling Address: 10681 JOHNSON #E E City: Zip Code: 95014 A. System Information 01 Space Conditioning System Identification or Name System 1 02 Space Conditioning System Location or Area S&ved WHOLE HOUSE 03 Building Type from CF-111 Single family 04 Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Credit from CF1R? No, credit is not taken 05 Verified Low Leakage Air Handling Unit Credit from CF1R? No, credit is not taken .06 Duct System Compliance Category Replacement MCH -20d - Complete Replacement or Altered Duct System- p y S. Duct Leakage0ignostic Test 01 Condenser Nominal Cooling Capacity (ton) U.S. Energy Raters Association 02 Heating Capacity (kBtu /h) 75 03 Conditioned Floor Area served by this HVAC system (ft2) 2533 04 Duct Leakage Test Condition Test final 05 Duct Leakage Test Method Total leakage 06 Leakage Factor .06 07 Air Handling Unit Airflow (AHUAirflow) Determination Method Heating system method 08 Measured AHUAirflow 0 09 Calculated Target Allowable Duct Leakage Rate (cfm) 98 10 Actual duct leakage rate from leakage test measurement 63 L(dm) 11 Compliance Statement: System passes leakage test Registration Number: 316- A1020018A- M20008176A -M20A - Registration Date/Time: 2016 -02 -14 14:20:45 HERS Provider: USERA GA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016 -02 -14 14:22:17 2019 Residential Compliance Schema Version: 2013.1.007 J CERTIFICATE OF VERIFICATION CF3R- MCH -20 -H Duct Leakage Diagnostic Test (Page 3 of 3 ) Documentation Author's Declaration Statement I. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Joe Novelo Company: Date Signed: California Air Duct Testers 2016 -02 -14 Address: CEA/ HERS Certification Identification (if applicable): 1630 Oakland Rd, Suite A205 -3 410231432 City/Statemp: Phone: San Jose CA 95131 408 -824 -0740 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided-on this Certificate of Verification is true and correct. 2. lam the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater). 3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported%n applicable sect of ns ofthe CerEiflcate(sJ of Instalfatfon (CF2R) signed and submitted by the per5on(s) responsible for the constructlbnor installation conform? to :the requirements speafied on the Certificat��sj of Compliance (C11R) approved by ttie enforcement agency. 5. 1 will ensure: #hat a registered copy of this,certificate of Verification shall be posted, or made available wk`Nthe building permi't(s) issued for the building and_made availabie'to the enforcement agency for' all app lcable inspections 1 untlerstarid that.a registered cdpy of Certificate of Veriflcatlon is�required to be included wlth`ihe °dd'cumentation the builderprovides tothe building ow`rier at occupancy Builder Or Instalfel }tnforrnation AtiShown O The Certificate Of Installation �.. Company Name (Installing Subcontractor, General Contractor, or Builder var e@` Energir Raters ti California Air Duct Testers Responsible Builder or Installer Name: CSLB License: Joe Novelo 410231432 HERS Provider Data Registry Information Sample Group Number (if applicable): Dwelling Test Status in Sample Group (if applicable) 316 -14459 Tested HERS Rater Information HERS Rater Company Name: California Air Duct Testers Responsible Rater Name: Responsible Rater Signature: Joe Novelo oe Novelo Feb 14 2016 Responsible Rater Certification Number w/ this HERS Provider: Date Signed: 410231432 2016 -02 -14 �- t TM _j "•This digital signature is. provided in order to secure a the content of this registered document, .and in no U S way implies Registration Provider responsibility for -e• U.S. Energy RateMS As3OclatiOn the accuracy of the information." Registration Number: 316- A1020018A- M20008176A -M20A Registration Date/Time: 2016-02 -14 14:20:45 HERS Provider: USERA CA Building Energy Efficiency Standards Report Version: 2013 Rev 1.007 Report Generated: 2016 -02 -14 14:22:17 2013 Residential Compliance Schema Version: 2013.1.007 IF 2, _( Md CALGREEN SIGNATURE DECLARATIONS C Project Name: Q1 TAN 51;tlpely Q `GU A is r oa t7- � Project Address: 10° -J0ffsJscKv &,V, cupezTAo, CA- 9,-o Project Description: 2 -Si Y �r E �G� 12 5'iD1,WC� �'/° 2'� S•f'"� 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 Cu prtino. Owner's Signature _J 1.1�74kll 01 111r, 1 _1_ l��C - Owner's Name (Please 0 Design Professional's Signature. v Design Professional's Name (P ease Print), Sign ure of License Professional responsible for'CalGreen compliance Y�ttzriiL -�4 l� t��U� Name.of License Professional responsible for CalGreen compliance (Please Print) Email Address for License. Professional responsible for CalGreen compliance Date /4 Date lD�d/� of y Date ��-6 Phone 6/f "274-1 2g6- SECTION 2 — IMPLEMENTATION VERIFICATION Complete, sign and submit the compefed checklist, inciuding 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 S dards Code as adopted by the City of Cupertino. I��►6 Signature of License rofessionai responsible for CalGreen compliance Date MAN t�- L. 00 C 2O(TV®l q V9 . W1°V S®. Name of License Professional responsible for CalGreen compliance (Please Print) Phone F"Wr —LOO (R. %(N - 4-0ti® Email Address for License Professional responsible for CalGreen compliance Page 5 of 5' CalGreen 2014.doe revised 01115114 r - - I CALGREEN RESIDENTIAL CHECKLIST -- MANDATOR ■ ITEMS I' 0l I COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION CUPERTINO ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE - CUPERTINO, CA 95014 -3255 (408) 777 -3228 - FAX (408) 777 -3333 • building aOcunerbno.org PURPOSE: The 2013 CalGreen Code applies to all newly constructed hotels, motels, lodging houses, dwellings, dormitories, condominiums, shelters, congregate residences, employee housing, factory -built housing and other types of swellings with sleeping accommodations and new accessory buildings associated with such uses. Existing site and landscaping improvements that are not otherwise disturbed are not subject to the requirements of CALGreen. Project Name: Project Address: Project Description Instructions: Qt TAN 4 SRIFEN6i YO 2G51b8_NCG 10(_991 - AC)t+r�J BoyJ AV6, CUPff,--_PAJ0f GA q so d 4 N -W 2 -SPRY StWC,t_G I=pa -A/Lf IZM1l0 &WCta Cpl � d {-B s;.r" 1. The Owner or the Owner's agent shall employ a licensed professional experienced with the 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 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 U site grading or a drainage system will manage all surface water flows. Stfe&T. `b��Of20 /y Page 1 of 5 CalGreen 2014.doc revised 01115114 1 d General 4.201.1 Low -rise residential buildings shall meet or exceed the minimum ®® standard design required by the California Energy Standards. .1 '2, 6 Jo �1tj A4.3 WATER 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 01115114 lu Outdoor Witer U94 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 GONSERvATION AND RESOURCE.EFFICENCY Enhanced Purab"ility 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 - . El 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 4.406.2 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. ,E$ualding,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. - T. .. RONMENTAL A Fireplaces . 4.503.1 General. Install only a direct-vent sealed- combustion gas or sealed wood - burning fireplace, or a sealed woodstove. Poll Utah t_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- compliantwith- product weighted -MIR limits- for --ROG -and- other - toxic —= - --- — -- ]@- - - - - - -- - compounds. Page 3 of 5 CalGreen 2014.doc revised 01115114 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. 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 K 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 shove 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 ColGreen 2014.doe revised 01115114 Project Name: Project Address: Project Description CALGREEN SIGNATURE DECLARATIONS ® 6 9 .Jo Gt-rysw Rtv F COP67--l"M9, CA- 9"90 I �- iUl 21/7 15.1✓, rcl, c t�� yin s.J 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 /0--,® Owner's Name (Ple a Print) Design Professional's Design Professional's Name (Please Print) of License Professional responsible for CalGreen compliance U Y/lAxWL- - d ivry Name of License Professional responsible for CalGreen compliance (Please Print) Email Address for License Professional responsible for CalGreen compliance SECTION 2 — IMPLEMENTATION VERIFICATION .,L Date Date Phone O 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 Address for License Page 5 of 5 CalGreen 2014.doc revised 01115114