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08080079
CITY OF CUPERTINO :*L"'+"'°�T'' BUILDING DIVISION PERMIT " CON'r,"GTQR'�INF,ORMA.TION , c `sr BUILDING ADDRESS: PERMIT NO. 20662 GREENLEAF CT LOT 1 NEXGEN BUILDERS, INC. 08080079 OWNER'S NAME: PERMIT ISSUE DATE CIJPERTTNO GREENLEAF LLC 225 DEMETER ST 08/12/2008 NE: SANITARY NO. CONTROL NO. (650) 322-5800 ARCHITECr/ENGINSER: BUILDING PERMIT INFO BLDG ELECTPWMB MECH I� 0 LICENSED CONTRACIOR'S DECLARATION Job Description m Fp 1 hereby of iren that 1 me IieruN under Provisions of Chapter 9(mmmlcomng P ZW withSection 7M)of Division 3ofdmsummers andprofessions Carlo.and mylicense,is REV SLOPE ON SWER, REV ROUTE OF WATRLINES <<�y ;n full farce and affect ,qz LiameClas& I.k.g ORIG #07020037 Data.Contractor ARCHITECTS DECLARATION NOTE: ONLY 1 REVISION FEE FOR 3 PERMITS BEINGS U1 uwmmand my plan"I be used u public records k0G,- Licensed Professional - 3 OWNER-BUILDER DECLARATION �M i hereby eRrmn that I ata exempt from the Cuntrawars License Law for the C20 fallowing reason.(Section 703 L5,Ba;r¢u tad Profersions Cale:My city or county i which mquims a permit m ammanm,alter,improve,dee dish,ser spa;,any mosemm z`= prior m its issuance.also requires Ne applicant farsuch permit m Em a signed statement �y < Nat he is licensed purams to the,provisions of the Contractor's License Law(Chapter 9 Sq.Ft. Floor Area 15 Valuation �y zFs (aommcneing with Sectfon7000)idDivivan 3 of Ne Bummers and Profarsiaus Cods)or OQ that he is exempt therefrom and the basis far the alleged exampti m Any violation of Section 7031.5 by airy applicant for a permit subjects On applicant to a civil penalty of .1 me.than five hamdreddollars(s5M 32656027 .'Number Occupancy P Y Type I,uowrcr of Ne propwty,wmy emplayces with mg uasNeumlecmnpewtion, will do the work,and the structure is not Intended or offered fu sate(Sac.]ON,Brad. and Pmfasions Code Tim Coauxmis License Law does rcl apply to an owes of Required Inspections Property who builds or im proves Omseam.and who does such wort himselfor dueugh his awn employees,Provided On,such improvements art not intended wuffamd for sale.If. however.are Wilding or;mproval Issald within arc year acompketian,the warms- Wilder MB have Ne burden of proving Our W did an,bud w improve for Failure of ole.). 04-�-an=of Ne property.sm exclusively conuacting with fiamed castor m wutuct tha project(Sec.]DM,Business and Protessians Cade:)The Contractors V- . cense law does not apply to u owner of property who builds or Improves thereon,tad, who contacts;for such projects with a Banc actor(s)licensed pursuant to um Contractors License law. ❑Ism map, der See Bd PC for this reason Ow� , �o C9- I WORKER'S COMPENSATION DECLARATION 1 bmeby affirm under penalty of perjury arc of the fallowing declarations: 1 have std will maintain•Certificate of Causes to self-man,for Warker&Cnmpen- saden.an provided far by Section 3700 of cite Labor Cade,fon On periomance of On work far which Nis permit is issued. ❑1 have end will maintain Workers Compensation Insurance,as mquimd by Serum 37P110 of the labor Cade.for me Wriomaoce of the weak for which Out Permit u issued. My Workers Cwnperesm n Insumme artier and Polity number are: Carver. Polley No.: CERTIFICATE OF HEMP ION FROM WORKERS' COMPENSATION INSURANCE (Dttsacctlon Med not W completed if dm Permit Isfor Ono hundred dmgats(1100) or mss) I certify Out in the performance of the wart for which Nis Permit is nutted.I stall not employ anypermn in anymanrc�umbr me subjccim Werten'Camp do. Lases of CzHfam&Dam Appliant Y, GR�a`—:�-- NOTICE TO APPLICA . Mr making Nu Certificate of Exemption.you should became subject to the Workcls Campensstion provisions of tha labor Cade,you most ,J O forthwith comply with such provisions w this Permit&hall W deemed mated. '�`" CONSrRucnON LENDING AGENCY I Wcby affirm Nat them is a construction lending a.)arfor he pMormammc of (Y. thework far which this Permitu sued(Sec.31197,Civ.C.) La S 0 Tendo.Nee z l.cnders Address U C) I ar;fY that I have read tins&application and state that the above information u I,P cmrtent.l agtru m camPIY With all city sew aunty ordinances and tune laws relating to C)U building construction,and hereby athmme mpoesenuuves clubs city to cnwupnn the Crl AWw-mcndoned property for impaction purposes �"LL (We)agree to taw,indemnify tad keep homeless the City of Cupertino a me Vz1 liabilities.judgments,costs end expema which may in any way accroc .am(aid City in U^ of the Swung of this promiL APPLLICANreUNDERSfANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date ':�F— SOUIPREGU TION �'f^O - "a e-roofs Silmim.of AppliaHAZA OU Dam HAZARDOUS MATERIALScupaw"SCLO$URE Type of Roof Will ytapplicant or fume buildingo.Caspsstom2.an die Has,hazardous material! as defined by the Cupertino Municipal Cade.Chapter,9.12 and the HdN and Safety Code,Section 15532(.)] [3 You _ All roofs shall be inspected prior to any roofing material being installed. son thea scam or future Wilding ottv nl trm If a roof is installed without first obtainingan inspection,I agree to remove pP d Pa equipmrnt or devise which Pe District nus air contaminants u d trcd by Or Bay Ama Air Quality Mmagcmca all new materials for inspection. t]Ya No 1 have mal the hutardmumamrials mquimmenu umkr Cbapmr6.95 af,W Califor- nuRWth&Salctycede.Sectance 551T5.25s31 msIM534.Iwtlrnwd that;fthe Wilding docs ret cuncndy have•tenant Our it u my responsibility m notify dm asupem of dm lcgaimFmrmu whmL—W(�mel pnorm;mama an Cenilmam of acapmcy. Signature of Applicant Date owner or authadred agent D � All roof coverings to be Class'n"or better dm,` CITY OF CUPERTINO COF CUPERTINO REVISIONIDEFERRED PERMIT APPLICATION FORM APN #2a / a 7 U! Date: ?j- L (- 0`6 Original Permit#: Building Address: o? vtD10 C enle.aI ( -� Cif / Mailing Address (if different from building address): 2.z5- 17EnktrTeTz_ 6;—% , -GNs-%- e-*\ `1 303 Owner's Name: Phone #: Contractor: Phone: Fax: Contractor License #: Cupertino Business License #: • Contact: Phone: (o J� 9 3 �F/ Fax: Building"Permit Info: Bldg ❑ Elect ❑ Plumb Mech ❑ Residential W Commercial Job Description: JY) - Ka..r.&d Shape. ® ,.. s�co ,r,�.ireS Re.viSGOL rmU+C- Is the project in the Wildland-Urban Interface Fire Area? Yes ❑ No ❑ Type of Construction (Usage Class): * Occupancy Type: 1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV-HT, V-B ©� Valuation (cost of project): A-5-40 o @d Project Size: Express L.�K Standard ❑ Large ❑ Major Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it to the application or if applicable, include in plan set & the sheet index. Points Achieved: For help, contact Build it Green at www.buildit reen.or Revised 6/16/08 CITY OF CUPERTINO REVISION/DEFERRED (iiTINO CUPE PERMIT APPLICATION FORM • FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft 1REVCOMNEW Revision Commercial New B 1* 1REVCOMTI Revision Tenant Improvement B 1* TI 1REVSFDWL Revision SFDWL B 1R3SFDW 1REVRESADD Revision Addition B 1R3SFDADD 1REVRESREM Revision Remodel B 1R3SFDREM 1DEFINSP Deferred Submittal not R-3 B 1* Inspection • 1DEFPLNCK Deferred Submittal not R-3 Plan B 1* OR Check 1* TI 1DEFR3PLNCK Deferred submittal R-3 Plan Chk B 1R3SFDW 1R3SFDADD 1R3SFDREM • 2 of 3 Green Building Plan Check Index of Green Building Points/Categories A. Category Example of an Index or Table of Green Plan Sheet or Page Points Building Points Categories that must be shown and referenced on the Project Plans See below B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 2 points 11. Permeable Paving, Note L-1 __joints_ C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 points D. Structural 3. Uses Wood IJoist, (See Spec.) S-2 2 points 5. Use Truss with heels, (detail) S-2 2 points 6. B. OSB Sheathing, detail S-2 2 cints E. Ext. Finish 1. Composite Decking, (Note/Spec.) AJ 2 points 4. B. Fiber Cement Siding, (Nato/Spec. Ad 2 oints F. Plumbing 1. Insulate all H.W. pipes, (Note/Spec.) P-1 2 points 5. Tankless W.H., (Note/Spec.) A-2 2 points 11. A 2500 Gal.Tank, (Note/Spec) L-1 10 points G. Electrical 4. E. Ceiling Fans, (Note/Spec.) A-3 4 points H. Appliances 1. Energy Star Dishwasher, (Note/Spec.) A-3 1 point 3. Enerqy Star Refrigerator, (No te/Spec. A-3 1 oint P. Other 1. List Green Features on Plans A-1 1 point TOTAL POINTS 40 paints • Plan Review Protem Work Book Page-12-Revised 3/25/08 • LEED for Core and Shell v2.0 Registered Project Checklist Project Name: Project Address: Y. 7 w Prereq t Construction Activity Pollution Prevention Required Credit Site Selection 1 Credit Development Density&Community Connectivity 1 Credit 3 Brownfield Redevelopment 1 Credit 4.1 Alternative Transportation:Public Transportation Access 1 Credit 4.2 Alternative Transportation:Bicycle Storage&Changing Rooms 1 Credit 4.3 Alternative Transportation:Low-Emitting and Fuel-Efficient Vehicles 1 Credit 4.4 Alternative Transportation:Parking Capacity t . Credit 5.1 Site Development:Protect of Restore Habitat 1 Credit 5.2 Site Development: Maximize Open Space t Credit 6.1 Stormwater Design:Quantity Control 1 Credit 6.2 Stormwater Design:Quality Control 1 Credit 7.1 Heat Island Effect,Non-Roof t Credit 7.2 Heat Island Effect, Roof 1 Credit 6 Light Pollution Reduction 1 Credit 9 Tenant Design&Construction Guidelines 1 Credit 1.1 Water Efficient Landscaping:Reduce by 50% 1 Credit 1.2 Water Efficient Landscaping: No Potable Use or No Irrigation- 1 • Credit Innovative Wastewater Technologies 1 Credit 3.1 Water Use Reduction:20%Reduction 1 Credit 3.2 Water Use Reduction: 30%Reduction 1 Tm 7 N Prereq 1 Fundamental Commissioning of the Building Energy Systems Required Prereq 2 Minimum Energy Performance Required Prereq 3 Fundamental Refrigerant Management Required 'Nob for EAct:All LEED for Care and Shell projects registered after June 261h,2007 are required to adtlew at least ,,d m points under EAc1. ® Credit 1 O timize Energy Performance 1 to a 10.5%New Buildings or 3.5%Existing Building Renovations 1 14%New Buildings or 7%Existing Building Renovations 2 17.5%New Buildings or 10.5%Existing Building Renovations 3 21%New Buildings or 14%Existing Building Renovations 4 24.5%New Buildings or 17.5%Existing Building Renovations 5 28%New Buildings or 21%.Existing Building Renovations 6 31.5%New Buildings or 24.5%Existing Building Renovations 7 35%New Buildings or 28% Existing Building Renovations 8 Credit 2 Onsite Renewable Energy 1 Credit Enhanced Commissioning 1 Credit 4 ,Enhanced Refrigerant Management 1 Credit 5.1 Measurement&Verification-Base Building 1 Credit 5.2 Measurement&Verification-Tenant Sub-metering 1 Credit 6 Green Power 1 continued... • Yes i W Prereq 1 Storage&Collection of Recyclables Required • Credit 1.1 Building Reuse: Maintain 25%of Existing Walls,Floors&Roof 1 Credit 1.2 Building Reuse: Maintain 50%of Existing Walls,Floors&Roof 1 Credit 1.3 Building Reuse: Maintain 75%of Interior Non-Structural Elements 1 Credit 2.1 Construction Waste Management: Divert 50%from Disposal 1 Credit 2.2 Construction Waste Management: Divert 75%from Disposal 1 Credit Materials Reuse: 1% t Credit 4.1 Recycled Content: 10%(post-consumer+%pre-consumer) 1 Credit 4.2 Recycled Content:20%(post-consumer+'/2 pre-consumer) 1 Credit 5.1 Regional Materials: 10%Extracted,Processed&Manufactured Regionall 1 Credit 5.2 Regional Materials:20%Extracted,Processed&Manufactured Regionall 1 credits Certified Wood 1 Yu 1 W r. P ;_ Prereq 1 Minimum IAO Performance Required 70 Prereq 2 Environmental Tobacco Smoke(ETS)Control Required Credit 1 Outdoor Air Delivery Monitoring 1 Credit 2 Increased Ventilation 1 Credit 3 Construction IAO Management Plan:During Construction 1 Credit 4.1 Low-Emitting Materials:Adhesives&Sealants 1 Credit 4.2 Low-Emitting Materials: Paints&Coatings 1 Credit 4.3 Low-Emitting Materials: Carpet Systems 1 Credit 4.4 Low-Emitting Materials: Composite Wood&Agrifiber Products 1 Credit 5 Indoor Chemical&Pollutant Source Control 1 Credit s Controllability of Systems:Thermal Comfort 1 Credit 7 Thermal Comfort: Design 1 Credit 8.1 Daylight&Views: Daylight 75%of Spaces 1 Credit 8.2 Daylight&Views:Views for 90%of Spaces 1 Y. i W Credit 1.1 Innovation in Design:Provide Specific Title 1 • Credit 1.2 Innovation in Design:Provide Specific Title 1 Credit 1.3 Innovation in Design:Provide Specific Title 1 Credit 1.4 Innovation in Design:Provide Specific Title. 1 Credit LEED°Accredited ProfessionalMEN Totals(pre-certification estimates) 61 1 Certified: 23 to 27 points. sliver: 28 to 33 points, Gold: 34 to 44 points, Platinum: 45 to 61 points • 0 • LEED for New Construction v2.2 Registered Project Checklist Project Name: .Project Address: Y.. a No Prereq 1 Construction Activity Pollution Prevention Required Credit 1 Site Selection 1 Credit 2 Development Density&Community Connectivity t Credit 3 Brownfield Redevelopment 1 Credit 4.1 Alternative Transportation,Public Transportation Access t Credit 4.2 Alternative Transportation,Bicycle Storage&Changing Rooms 1 Credit 4.3 Alternative Transportation, Low-Emitting&Fuel-Efficient Vehicles 1 Credit 4.4 Alternative Transportation,Parking Capacity 1 Imcredit 5.1 Site Development,Protect or Restore Habitat 1 Credit 5.2 Site Development, Maximize Open Space 1 Credit 6.1 Stormwater Design, Quantity Control t Credit 6.2 Stormwater Design, Quality Control 1 Credit 7.1 Heat Island Effect, Non-Roof 1 . Credit 7.2 Heat Island Effect, Roof 1 Credit 6 Light Pollution Reduction 1 Y. 2 No Credit 1.1 Water Efficient Landscaping, Reduce by 50% t • Credit 1.2 Water Efficient Landscaping, No Potable Use or No Irrigation t Credit 2 Innovative Wastewater Technologies 1 Credit 3.1 Water Use Reduction,20%Reduction 1 credn 3.2 Water Use Reduction,30%Reduction 1 FT Prereq 1 Fundamental Commissioning of the Building Energy Systems Required Prereq 2 Minimum Energy Performance Required Prereq 3 Fundamental Refrigerant Management Required 'Note for EAcl:All LEED for New Construction projects registered after June 26".2007 are required to achene at least two(2)points under EAct. ®credit 1 O tlmize Energy Performance 1 to 10 10.5%New Buildings or 3.5%Existing Building Renovatlons 1 14%New Buildings or 7%Existing Building Renovations 2 17.5% New Buildings or 10.5% Existing Building Renovations 3 21%New Buildings or 14%Existing Building Renovations 4 24.5%New Buildings or 17.5% Existing Building Renovations 5 28%New Buildings or 21%Existing Building Renovations 6 31.5%New Buildings or 24.5% Existing Building Renovations 7 35%New Buildings or 28% Existing Building Renovations 6 38.5%New Buildings or 31.5%Existing Building Renovations e 42%New Buildings or 35%Existing Building Renovations 10 ®Credit 2 Onsite Renewable Energy 1 to 3 - 2.5% Renewable Energy 1 7.5%Renewable Energy 2 12.5% Renewable Energy 3 Credit Enhanced Commissioning 1 Credit 4 Enhanced Refrigerant Management 1 credit 5 Measurement&Verification 1 . Credit Green Power 1 • - continued... Y. i W 4 A Prereq 1 Storage&Collection of Recyclables Required • Credit 1.1 Building Reuse, Maintain 75%of Existing Walls, Floors&Roof 1 Credit 1.2 Building Reuse, Maintain 100%of Existing Walls, Floors&Roof t Credit 1.3 Building Reuse, Maintain 50%of Interior Non-Structural Elements t Credit 2.1 Construction Waste Management, Divert 50%from Disposal t Credit 2.2 Construction Waste Management, Divert 75%from Disposal t Credit 3.1 Materials Reuse,5% t Credit 3.2 Materials Reuse,l0% t Credit 4.1 Recycled Content, 10%(post-consumer+/,pre-consumer) 1 Credit 4.2 Recycled Content,20%(post-consumer+/2 pre-consumer) t Credit 5.1 Regional Materials, 10% Extracted, Processed&Manufactured Regio 1 Credit 5.2 Regional Materials,20%Extracted, Processed&Manufactured Regio t Credit 6 Rapidly Renewable Materials t Credit 7 Certified Wood 1 Y. 7 W a Prereq 1 Minimum IAQ Performance Required +d. Prereq 2 Environmental Tobacco Smoke (ETS)Control Required Credit 1 Outdoor Air Delivery Monitoring t Credit 2 Increased Ventilation 1 Credit 3.1 Construction IAQ Management Plan, During Construction 1 Credit 3.2 Construction IAQ Management Plan, Before Occupancy 1 Credit 4.1 Low-Emitting Materials,Adhesives&Sealants t Credit 4.2 Low-Emitting Materials,Paints&Coatings t Credit 4.3 Low-Emitting Materials,Carpet Systems 1 Credit 4.4 Low-Emitting Materials,Composite Wood&Agrifiber Products 1 Credit 5 Indoor Chemical&Pollutant Source Control 1 Credit 6.1 Controllability of Systems, Lighting 1 credit 6.2 Controllability of Systems,Thermal Comfort 1 • Credit 7.1 Thermal Comfort, Design t Predittl.2 redit 7.2 Thermal Comfort,Verification 1 redit 6.1 Daylight&Views, Daylight 75%of Spaces 1 Daylight&Views,Views for 90%of Spaces 1 Yn l W 5 : r Credit 1.1 Innovation in Design: Provide Specific Title 1 Credit 1.2 Innovation in Design:Provide Specific Title 1 F�pCredit 1.3 Innovation in Design:Provide Specific Title 1 Credit 1.4 Innovation In Design: Provide Specific Title 1 Credit2 LEED®Accredited Professional t Ya 7 No PointsENE Project Totals (pre-certification estimates) 69 Certified: 26-32 points, Silver: 33-38 points, Gold: 39-51 points, Platinum: 52-69 points •