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B-2016-2319CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-2319 10485 PHAR LAP DR CUPERTINO, CA 95014-1117 (326 35 070) DREAM CASTLE CONSTRUCTION SAN FRANCISCO, CA 94114 OWNER'S NAME: ARINDAM CHATTERJEE DATE ISSUED: 12/15/2016 OWNER'S PHONE: 515-419-7384 PHONE NO: (408) 898-0113 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class @ Lie. #927144 Contractor DREAM CASTLE CONSTRUCTION Date 01/31/2017 X BLDG X ELECT _PLUMB MECH X 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: ADD (441 S.F.) - LIVING ROOM; POWDER ROOM; KITCHEN I hereby affirm under penalty of perjury one of the following two declarations: REMODEL (107 S.F.) i. 1 have and will maintain a certificate of consent to self -insure for Worker's REV #1 - UPGRADE PANEL (200 AMP)- SAME LOCATION Compensation, as provided for by Section 3700 of the Labor Code, for the y ' " performance of the work for which this permit is issued. 2. , I have and will maintain Worker's Compensation Insurance, as provided for by YYY Section 3700 of the Labor Code, for the performance of the work for which this Sq. Ft Floor Area: 441 Valuation: $138000.00 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 APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 326 35 070 Deferred Submittal (R -3),R-3 (Custom) 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 M icipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 3/14/2017 Issued by: Abby Ayendg Date: 12/15/2016 OWNER -B 11T D R DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: i. 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 (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: 3/14/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1. I have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2. 1 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. Health & Safety Code, Section 25532(a) should I store or handle hazardous s. I certify that in the performance of the work for which this permit is issued, I material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I 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 44:r71yJ:: be deemed revoked. Owner or authorized agent: 4 * APPLICANT CERTIFICATION Date: 3/14/2017 1 certify that I have read this application and state that the above information is CONSTRUCTION L A N I hereby affirm that there is a construction lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city 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, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Code, Section 9.18. Licensed Signature Date 3/14/2017 professional s GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingP—cupertino.org ❑ PLUMBING F MECHANICAL ,ELECTRICAL I—I MISCELLANEOUS 44 PROJECT ADDRESSIO f J _P/o /, L /9 P D n ' APN # �� (n P G� 35 OWNER NAME L�11 iwiv * /�d�- �.,,,,� PHONE E-MAIL STREET ADDRESS /©(/ O� p / �av K !+ CITY, STATE, ZIP � u ® �� v,y FAX CONTACT NAME EOW4A YL4 1 - D PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMEJ�, , � LICENSE NUMBER 271W LICENSE TYPE BUS. LIC# COMPANY NAMEAF-Am CA S9 C �1� �p� EMAIL G i"- aim FAX STREET ADDRESS r7Q® e? 7! CITY, STATE, ZIP gtiJ�f y PHONE �� _0 l3 ARCHITECT/ENGINEEERoNAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF SFD or DUPLEX ❑ MULTI -FAMILY BUILDING: ❑ COMMERCIAL PROJECT IN WILDLAND ❑ YES URBAN INTERFACE AREA ❑ NOFLOOD PROJECT IN 'LONE ❑ YES ❑ NO IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO DESCRIPTION OF WORK �q ®L M 91 N r,411ei- V® 2-01011*5/ y rT#C-- 94MG 1-02619 ToN TOTAL VALUATION: .� Q� ® RECEIVED BY:: 4 ti' -P-__ By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner'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 is accurate. I agree to comply with all applicable. local ordinances and state laws relating to bui ing construction.. Ila thorize representatives of Cupertino to enter the above -identified property for inspection purposes. ty Signature ofApphcanVAgent: 4 Date: 7 —� SUPPLEMENTAL INFO ATION REQUIRED OMCE USE ONLY W ❑ OVER-THE-COUNTER ❑ EXPRESS ❑ STANDARD U © LARGE F, ❑ MAJOR MEPMiscApp 2011.doc I•evised 06/21/11 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-2319 10485 PHAR LAP DR CUPERTINO; CA 95014-1117 (326 35 070) DREAM CASTLE CONSTRUCTION SAN FRANCISCO, C 94114 OWNER'S NAME: ARINDAM CHATTERJEE DATE ISSUED: 12/15/2016 OWNER'S PHONE: 515-419-7384 PHONE NO: (408) 898-0113 LICENSED CONTRACTOR'S DECLARATION BUILDING PERIV IT INFO: License Class GENERAL" BUILDING CONTRACTOR Lie. #927144 Contractor DREAM CASTLE CONSTRUCTION Date 01/31/2017 X BLDG _ ELEC r _ PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing — MECH X RESIDENTIAL — COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: ADD (441 S.F.) - LIVING ROOM; POWDER ROOM; KITCHEN I hereby affirm under penalty of perjury one of the following two declarations: REMODEL (107 S..) 1. I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. !2. --1 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 Sq. Ft Floor Area: 441 Valuation: $138000.00 '! permit is issued. APPLICANT CERTIFICATION 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 326 35 070 Deferred Submittal (R -3),R-3 (Custom) 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 E3 PIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point WITHIN 18 DAYS OF PERMIT ISSUANCE OR source regulations per the Cupertino Municipal Code, Se ion 9.18. 180 DAYS FROM LAST CALLED INSPECTION. SignatureDate 12/15/2016 Issued by: Abby Aonde Date: 12/15/2016 OWNER -BUILDER DECLARATION ' I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: All roofs shall be ins ected prior to any roofing material being installed. If a roof is 1.. 1, 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 (Sec.7044, Business & Professions Code) 2. 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: 12/15/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROO 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 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 ha2 ardous 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 permit is issued. maintain complianc with the Cupertino Municipal Code, Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued I Health & Safety ode, Section 25532(a) shouldT store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally, air contaminants as should I use equipment or, devices which emit hazardous efined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compli ance 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.L Owner or authorizedagent: APPLICANT CERTIFICATION Date: 12/15/2016 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 ![ 1 hereby affirm that there ONSTRUCTION LENMG AGENCY is a construction lending agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which tl iis permit is issued (Sec. 30'97, 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, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal ARCHITECTIS DECLARATION Code, Section 9,18. 1 understand my plai is shall be used as public records. Licensed Signature Date 12/15/2016 professional CONSTRUCTION PERMIT APPLICA COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO: (408) 777.3228 • FAX (408) 777-3333 • buildiin�cl@cuperiino.c M W..W (-0xRTi2TTf".Trnx-ATYnrTTr)w F-1AT.TVV ATTtSTJ I Tr T I 1 Rmum-in-m 1 r 11T7Tf:TATA7 UT�DtidTT JF PROJECTADDRESS (% Rj A LAP��U� 'j� APN# �] +�6 0,40 1 OWNER -NAME PHONE t N DAR 1f(4 - 7-F J -F .S't E-MAIL_ r STREET ADDRESS i2 P k/L LAP n f 1' CITY, STATE, ZIP f � 1 � -� ! j FA CONTACT NAME STREET ADDRESS 1( CITY, STATE, ZIP l7LLJ4I% t� PAX CONTRACTOR 13CONTRACTOR AGENT 13CHFTECT El ENGINEER I� DEVELOPER 11TENANT 13 owmR ❑ owNER-ButwER I3 OOWNERAGPNNTT /13 CONTRACTORNAME C.DW.0.0 Ilt ��%VA 1Ze-- LICENSE NUMBER / f f LI NSE TYPE BUS. LIC # ' COMiANY NAMEt/T L7r�e e1rltl1/ FAX rI pF^-d yz (71 7Zl(f STREITADDRES3fl ,. CITY, STATE, ZI P� CT��,0 HONE 11-3 ARCHITECTIENOINF.ER NAME tJNA" M609 LICENSE NUMBER /I J � } i-p�CLH%V� BUS. LIC # �J COMPANY NAME �'� P N . MOO SrM (7_012 -A-L_ E-MAIL g17'l Q ti C'1�Y12 FAx l t'4�'� I -7z7 . Na-R/r +� -y/� yf� 1 CrrY, STATE, ZIP , yiT' STREE'TAI)17RESS G f't 1 f �'irL � t%G. J%L - A tm CA mpg PHONE 167c'��71--7273 DESCRIPTION of waRx ��tGl� I .iI%G - _ -. � -/1 Cf111r$lGf�� { dNU {! /NT -0 2 -CAP, -j-�� ' / D A-0 D (W j)ts� v ivt, .to .� Mrl a( til rc�r M c� 4. . EXISTING USE PROPOSED USE CONSTR. TYPE V STORIES USE TYPi3 OCC. SQ.I'}'. VALUATION ($) ExtsTG AREA NEW FLOOR AREA DEMO' AREA TOTAL NETAREA BATHROOM REMODBLARRA KITCHEN REMODELAREA { o,-+ OTHER REMODELAREA PORCII AREA DECKAREA TOTAL DLCI:/PORCII AREA I GARACEAREA: DETACH ATTACH # DWELLINGUNfTS: - IS A SECOND UNIT ❑ YES - DETNGADDED? NO SF40NO STORY ❑YES ADDITION? ®NO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF ISTHEELDGAN ❑AYES RECEIVED BY. _' T '4'ALV IUATION: "�;h PLANNTNGAPPL# [INO PLANNINOAPPROVAL LETTER F•ICHLFRHOMF? ❑NO ��s/r t 0i57 9 By illy signature below, I certify to each of the following: I am the property owner or authorized agent to act c n the pro pc owner'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 is -ccurate. I agree to comply with all applicable local for inspection purposes. ordinances and state laws relating to buil ' cons ction. I authorize representatives of Cupertino to enter thE above -identified property for Signature of Applicant/Agent_ Date.t� r SUPPLEMENTAL EWORMATION REQUIRED PLANC-RE KTYPE ' ROUTRNGSTAP � OVER.�� U2NTER 0 BUILDING PLAN REVIEW New SFD or Multifamily dwellings:. Apply for demolition permit for _ existing building(s). Demolition permit is required prior to issuance of building permit for new building. 11 EXPRESS 0 PLANNING PIAN REVIEW . Commercial Bldgs: Provide a completed Hazardous Materials Disclosure_[].STANDAR D . 'PUBLIC" wom _ form if any Hazardous Materials are being used as part of this project. Il LARGE El FIRE SEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to 0 KUOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application Q-FNVIRONMSNTALJMALTFI BtdgApp 201.I.doc revised 06121111 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 9501.4-3255 Telephone- 408-777-3228 C lJ P E RT I N O Fax. 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS ld L(g k A LAP AVE PERMIT #B 2.016 - 2,314? OWNER'S NAME AFLIPD/W CRAMIZIft, PHONE # GENERAL CONTRACTOR. m in -e— OBUSINESS LICENSE # � ADDRESS %&0 OAV GRoV E PDj(Sjj40, cA qq5,j1TY/ZlPCODE --vur municipal coae requires an businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors. Signature Date Please check applicable subcontractors and complete the following information: `/ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating j4WVCC1 AA 6- ® 3 C1 � .2 Insulation aaUvCrj041 Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner / Contra r Signature Date r CALGREEN RESIDENTIAL CHECKLIST - MANDATORY ITEMS COMMUNITY DEVELOPMENT DEPARTMENT . BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 1O3OO TORRE AVENUE . CUPERTINO, CA95014-3255 (408)777-3228.FAX(408)777 -3333' buildinq@cupertino.orq PURPOSE: The2013CalGreen Codeapplies toallnewlyconstruc{ed hotels, motels, lodging houses,dwellings' dormitories, condominiums, shelters, congregate residences, employee housing, factory-built housingand othertypesofswellings withsleeping accommodations andnewaccessory buildings associated withsuch uses. 'Existing sitean]dlandscaping improvements thatarenototherwise disturbedarenotsubjectto the reouirements ofCALGreen. CUPERTINO ProjectName: ProjectAddress: Project Description: ChatterjeeResidence 10485 Phar LapDrive Addition andRemodel lnstructions: 1. TheOwner ortheOwner's agentshall employ a licensed professional experienced withtheCalifornia GreenBuilding Standards Codes toverify andassure thatallrequired workdescribed hereinisproperly planned andimplemented intheproject. 2. ihe licensed professional, incollaboration withtheowner andthedesign professional shallinitialColumn 2 ofthischecklist, signanddateSection1 - DesignVerification attheendofthischecklist andhavethe checklist printed ontheapproved plans fortheproject. 3. priorto finalinspection bytheBuilding Department, thelicensed professional shallcomplete Column3 andsignanddateSection2 - lmplementation Verification attheendofthischecklist andsubmitthe completed formtotheBuilding Inspector. CulGreen 20Il.doc revised0l/ I5/I4 Column3Column 2 MANDATORY FEATURE ORMEASURE Requirements PlanningandDesign - SiteDevelopment 4.116.2Storm waterdrainage andretention duringconstruction.A planis developed andimplemented to manage storm water drainageduring construction. 4.106.3 Gradingand paving.Thesiteshallbeplanned anddevelopedto keepsurface witer awayfrombuildings. Construction plans shallindicatehow sitegrading ora drainage system willmanage allsurface water flows. Page I of 5 Phuong Devries 12/14/16 4.201.1Low-rise residential buildings shallmeetorexceed theminimum standard design required bytheCalifornia EnergyStandards' lndoorWaterUse 4.303.1 Waterconseruing plumbingfixturesandfittings. Plumbingfixtures (water closets andurinalsf andfittings (faucets andshowerheads) shallcomply withthefollowing: El +.g09.1.9.2 WaterClosets. Theeffective flush volume ofallwaterclosets shallnotexceed 1.28 gallons perflush.Tank-type water closets shallbe certified totheperformance criteria oftheU.S.EPAWaterSense Specifications forTank-type Toilets. E +.gOS.1.g.Z Urinals.Theeffective flushvolume ofurinals shallnot exceed 0.5gallons Per flush. 8 +.S0S.1.3.1 SingleShowerheads. Showerheads shall have a maximum 1owrateofnotmorethan 2.0gallons perminute at80psi.Showerheads shallbecertified totheperformance criteria oftheU.S.EPAWaterSense Specifi cation forshowerheads. El +.90S.1.3.2 MultipleShowerheads seruingoneshower. Whena shower isserved bymorethanoneshowerhead, thecombined flowrateof allshowerheads and/or othershower outlets controlled bya singlevalve shallnotexceed 2.0gallons perminute atB0psi,ortheshower shallbe designed toallow onlyoneshower outlet tobeinoperation atatime. E +.g0S.1.4.1 Residential lavatory faucets. Themaximum flowrateof residential lavatory faucets shallnotexceed 1.5gallons perminute at60 psi.Theminimum flowrateofresidential lavatory faucets shall notbeless than0.8gallons perminute at20psi. E +.g0g.1.3.2 Lavatory faucetsin commonandpublicuseareas.The maximum flowrateoflavatory faucets installed incommon andpublicuse areas (outside ofdwellings orsleeping units) inresidential buildingsshall notexceed 0.5gallons perminute at60psi. E A.gOg .1.4.3Metering faucets. Metering faucets wheninstalledin residential buildings shall notdeliver more than0.25 gallons percycle. 8 +.g0g.1.4.4 KitchenFaucets.Themaximum flowrateofkitchenfaucets shall notexceed 1.8gallons perminute at60 psi. Kitchen faucetsmay temporarily increase lneflowabove themaximum rate, butnottoexceed 2.2'galloni perminute at60psi,andmustdefault toa maximum flowrate of1.8gallons Per minute at60 Psi. 4.g1g.2Standards for plumbingfixturesandfittings. Plumbingfixtures andfittings shallbeinstalled inaccordance withtheCalifornia PlumbingCode, andshalf meettheapplicable standards referenced inTable1401.1 ofthe California Plumbing Code. Cttl(ireen 2011.doc revised0l/l 5/I4 Page 2 of5 Phuong Devries 12/14/16 4.304.ilrrigationcontrollerc.Automatic irrigation systems installed atthe timeoffinalinspection shallbeweather-based. El A.gOl.t.t Controllers shallbeweather- orsoilmoisture-basedcontrollers thatautomatically adjust irrigation inresponse tochanges inplants'needs asweather conditions change. E A.gOa.1.2 Weather-based controllers without integral rainsensorsor communication systems thataccount forlocal rainfall shallhavea separate wired orwireless rainsensor whichconnects orcommunicated withthe controller(s). Soilmoisture-based controllers arenotrequired tohaverain sensor inPut. EnhancedDurabilityand ReducedMaintenance 4.406.1Rodentproofing.Annular spaces around pipes, electriccables, conduits, orotheiopenings in plates atexterior wallsshallbe protected against thepassage ofrodents byclosing suchopenings withcementmortar, concrete masonry or similar method acceptable totheenforcing agency. ConstructionWasteReduction,Disposaland Recycling 4.&g.Z Construction wastemanagement plan. Where a localjurisdiction doesnothavea construction anddemolition wastemanagement ordinance,a construction wastemanagement planshallbesubmitted forapproval tothe enforcing agency. BuildingMaintenance andOperation 4.410.1Operation andmaintenance manual.Atthetimeoffinalinspection, anoperation andmaintenance manual shallbeprovided tothebuilding occupant orowner. Fireplaces 4.503.1 General.lnstall onlya direct-vent sealed-combustion gasorsealed wood-burning fireplace, ora sealed woodstove. PollutantControl 4.504.'l Coveringof ductopeningsand protection of mechanical equipment duringconstruction.Duct openings andother relatedair Oiitribution component openings shallbecovered during construction. 4.SO4.2.1Adhesives, sealants andcautks.Adhesives, sealants andcaulks shallbecompliant withVOCandother toxiccompound limits. 4.504.2.2 Paintsandcoatings. Paints, stains andother coatings shallbe compliant withVOClimits. 4.504.2.3 Aerosolpaintsandcoatings. shallbecompliant withproduct weighted compounds. Aerosolpaintsand othercoatings MIR Limitsfor ROC and othertoxic Page 3 of5 CulGreen 201l.doc revised 0l / I 5/ I 4 Phuong Devries 12/14/16 4.S}4.2.4Verification. Documentation shallbeprovided toverifythat compliant VOClimit finish materials havebeenused' 4.504.3 CarpetSystems.Carpet andcarpet systems shall becompliantwith VOClimits. 4.504.4 Resilient flooringsystems. Eighty (80)percent offloorarea receiving resilient flooring shallcomply withtheVOC-emission limits definedin theColliborative forHighPerformance Schools (CHPS)Low-emitting Materials Listorbecertified under theResilient Floor Covering Institute(RCFI) FloorScore program. E tr tr n tr tr 4.504.5 Composite wood products. Particleboard, mediumdensity fiberboard (MDF), andhardwood plywood usedininterior finish systemsshall comply withlowformaldehyde emission standards. tr n lnteriorMoistureControl 4.SOS.2 Concrete slabfoundation.Required vaporretarders andcapillary breaks arealsorequired tocomply withCalGreen Section 4-505.2.1 4.SOS.3 Moisturecontentof buildingmaterials.Moisture content ofbuilding materials usedinwallandfloorframing ischecked before enclosure. tr tr a tr IndoorAir Qualityand Exhaust , 4.506.1 Bathroom exhaust fans.Exhaust fans which terminate outside the I I building areprovided inevery bathroom I tr Environmental Comfort 4.507.2. Ductsystems aresized anddesigned andequipment isselected using thefollowingmethods: 1. Establish heatlossandheatgainvalues according toACCAManual J or equivalent. 2. Sizeductsystems according toACCA29-D(Manual D)orequivalent' 3. Select heating andcooling equipment according toACCA36-5(ManualS) orequivalent. tr tr Qualifications TO2.l tnstaller training.HVAC system installers aretrained andcertifiedin theproper installation ofHVAC systems. tr E ZO2.ZSpecial inspection.TheLicensed Professional responsible toverify CALGreen compliance isqualified andabletodemonstrate competence inthe discipline theyinspect andverify. tr tr Verifications TO3.l Documentation. Verification ofcompliance withCALGreenmay include construction documents, plans, specifications, builder orinstaller certification, inspection reports, orothermethods acceptable totheenforcing agency whichshowsubstantial conformance. lmplementation verificationshall besubmitted totheBuilding Department afterimplementation ofallrequired measures andprior tofinalinspectionapproval' tr tr Page 4 of 5 CulGreen 20l1.doc revised01/l5/ l4 Phuong Devries 12/14/16 CALGREEN SIGNATUREDECLARATIONS ProjectName: Project Address: Project Description: 10485 PharLapDrive Addition andRemodel SECTION 1 - DESIGNVERIFICATION Complete all linesof Section1 - "Design Verification" andsubmitthecompleted checklist (Columns '1 and2)withthe plans andbuilding permit application totheBuilding Department. Theowneranddesignprofessional responsible forcompliance withCalGreenStandards haverevisedthe plansand certifythatthe itemscheckedaboveareherebyincorporated into theprojectplansandwill be implemented intothe projectin accordance withthe requirements setfrcrth inthe2013CaliforniaGreenBuildingStandardsCodeas adopted bytheCityofCupertino. l\lz Owner'sSignature Date l^rD$il, ( .l+A<tELtFC M^/uN L*<*et 11t25t2016 Design Professional'sSignature NataliaAmatuni Date #v MilesHancock (650)804-9064 Name ofLicense Professional responsible forCalGreen compliance (Please Print) Phone energy@pacbell.net Email Address forLicense Professional responsible forCalGreencompliance Owner's Name (PleasePrint) Design Professional's Name (PleasePrint) SECTION 2 - IMPLEMENTATIONVERIFICATION Complete, signandsubmit thecompeted checklist, including column 3,together withalloriginal signatures onSection 2 totheBuilding Department prior toBuilding Department finalinspection. I haveinspected theworkandhavereceivedsufficient documentation to verifyandcertifythatthe projectidentified abovewasconstructed inaccordance withthisGreenBuildingChecklist andinaccordance withtherequirementsof the20'13 California GreenBuilding Standards Codeasadopted bytheCityofCupertino. Signature ofLicense Professional responsible forCalGreen compliance Date Nameof LicenseProfessional responsible for CalGreencompliance (PleasePrint) Phone Email Address forLicense Professional responsible forCalGreencompliance Page 5of5 ('ttlGreen 20I 4.doc revised 0l/ I 5/I 4 Phuong Devries 12/14/16