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B-2017-0876CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NQ8-2017-0876 19191 NALLCO PKWY CUPERTTNO, CA 95014-2525 (316 20 117) S C BUILDERS INC SUNNYVALE, CA 94085 OWNER'S NAME: APPLE INC DATE ISSUED: 06101/2017 OWNER'S PHON& 510-49141424 PHONE NO: (406) 328.0688 LiCFNSi+n CONTRACTOWS DECLARATIQX BUILDING PERMIT INFO: License Class 11 Lin. #767196 Contractor S C BUILDERS INC Date 00/31/2017 2 BLDG —ELECT _PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing 1— MECH _ RESIDENTIAL X COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is In full farce and effect. JOB DESCRIPTION: ?APPLE-T.I. EXPANSION OF EXISTING LAB; DEMO ARCH. I hereby affirm under penalty of perjury one of the following two declarations: f FINISHED; HVAC MODIFICATION; REPLACE 1. 1 have and will maintain a certificate of consent to self -insure for Worker's !BLECTRICAULIGHTING Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued REV fit - REmOVE 4 HALLWAY DUCTS AND WALL GRILL TO mEET EXISTING SITE CONDITIONS - L I have and will maintain Worker's Compensation Insurance, as provided for by s ISSUED 6/12/2M7 i Section 3700 of the Labor Code, fbr the performance of the work for which this Sq. Ft Floor Area: Valuation: $145000.00 (/ perahit is APPLICANT CERTIFICATIONF I certify that I have read this application and state that the above Information is correct. 1 agree to comply with al city and county ordinances APN Number, Occupancy Type: and state laws relating to building construction, and hereby authorize 1316 20117 B (Tenant Improvements) representatives of this city to enter upon the above mentioned property for Inspection purposes. (We) agree to save Indemnify and keep harmless the f 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 w8 comply with al non -point source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature — - -- Date 6/12/2017 Issued by: AHHYgir�3T''� Date:' s OWNER-BUTLDBR DECLAR&U(IN I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: A8 roofs shall be inspected prior to any roofing material being installed, if a roof is 1. 1, as owner of the property, or my employees with wages as theirsole installed without fust obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the *ucture is not intended or offered for inspection. sale (Soo.7044, Business & Professions Code) 2. 1, as owner of the property, am exciusivelycontracting with licensed Signature ofApplicant: contractors to construct the project (See.7044, Business & Professions Code). Date; 4(12/2017 I hereby affirm under penalty of per ju17 one of the following three declarations: ALL ROOF COVERINGS TO IIE 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 HAZAR00US MATE gIALS_pSCLOS RE 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 permit is issued maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the 3. I certify that in the performance ofthe work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous shall not employ any person in any manner so as to became subject to the material. Additionally, should I use equipment or devices which emit hazardous airs contaminants as defined by the Bay Area Air Quality Management District I %brker's Compensation laws of California. It; atter 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. Owner or authorized agent: APPLICANT CERTIF AIMN Date: 6112/20].7 I certify that I have read this application and state that the above Information Is CONSTRUCTION LENDING AGENCY correeL I agree to comply with all city and county ordinances and state Maws I hereby affirm that there is a construction lending agency for the performance relating to building construatior% and hereby authorize representatives of this city of work's for which this permit Is Issued (Sec. 9097, Civ C.) to enter upon the above mentioned property for khspection 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 wi8 comply with all non -point source regulations per the Cupertino Municipal ARCsnTRC 1.9 D . J ARATIQjy Code, Section 9.18. 1 understand my plans shall be used as public records. Signature Date 6i12/ U Licensed Professional N CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 P)- 7Aa,D0'o NuMmEkk CUi?ERTfNO (408) 777-3228 • FAX (408) 777-3333 • buildina(acupertino.org •�- 13 2-c"7 i'�-r ��'� El NEW CONSTRUCTION [I ADDITION ❑ ALTERATION/TI REVISIO /DEFERRED ORIGINAL PERMIT ;# PROJECT ADDRESS VALE '.> R — OW:N'ER NAME PHONE 5j v E-MAIL 4 y 4"A4A ^r-316-0 i I Fc Sk G tMfL - STREET ADDRESS CITY, STATE, ZIP FAX / CONTACT NAME PHONE E-MAIL 6 !�-/ v / 64 STREET ADDRESS CITY, STATE, ZIP FAX 1:1ONII.•ER ElOIA'NER-BL-IIDER ❑ OWNERAGENT FCONTRACTOR 1:1CONTRACTORAGENT 11 ARCHITECT ❑ ENGLNEER ❑ DEVELOPER ❑ TENP.NT CONTRACTOR NAME LICENSE N`aIBER LICENSE TYI6 BUS. LIC n ' COb9ANY NAME sc 1 E-)`iAIL FAX S I-REET ADDRESS 6 r �I CITY, STATE, ZIP L� , 1n� f _ PHONE .4RCMTECT/ENGINEER NATOE LICE. TSE N`n BER BUS. LIC ;- 1 �- COMPANY NAME E-?,ZA L FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK �nC�f � o y flCi C,clvlc�la,� EXISTING USE PROPOSED USE CONSTR. TYPE STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODELAREA REMODEL AREA REMODELAREA PORCH AREA DECK AREA TOTAL DECK.POR.CH AREA GARAGE ARL -A: ❑ DETACH ATTACH DWELLING L:\ITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑YES BEING ADDED? ❑ NO .ADDITION? ❑NO PRF-.A.PPLICATION ❑ YES IF YES; PROVIDE COPT OF IS THE BLDG AN ❑ 1'ES -RECEIVED BY: TOTALVALUATION: PLANNLNG .APPL= NO PLANNING APPROVAL- LETTER EICHLER. HOME? ❑ NO (44tI, affi By my signature below, I certify to each of the followine: I am the property owner or authorized agent lo act on e 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 building construction. I authorize representatives of Cupertino to enter the above-iden ified property for inspection purposes. Signature of Applicant/Agent: -- Date: 6 tr 2-v SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE Ro'ITiNc siP -... ❑ o\ ER-TILE-coLNrER-' ❑ BUILDING PLAN REVIEW` New SFD or Multifamily dwellings: Apply for demolition pennit for existing building(s). Demolition pen -nit is required prior to issuance of building pernlit for new building. ❑ EXPRESS ❑PLA_N. ING PLAN REN-IEN\' Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STA DARD ❑ PLBLIC WORKS form 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 to ❑ ALaroR - ❑ S. LNITARYSE\\EI2DISTRICT, submittal of Building Perrnit application. ❑ EN\'IRONI IE\TAL HEALTH:' BldgApp_2011.doc remised 06/21/11 v-1 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMITNO: B-2017-0876 19191 VALLCO PKWY CUPERTINO, CA 95014-2525 (316 20117) S C BUILDERS INC SUNNYVALE, CA 94085 OWNER'S NAME: APPLE INC DATE ISSUED: 0610112017 OWNER'S PROM& 510-491-8424 PHONE NO: (408) 328-0688 I.iCRNBF.D CONTRACTOWS11EMLARMON BUILDING PERMIT INFO: License Class @ Lie #767196 Contractor S C BUILDERS INC Date 0813 x BLDG _ELECT —PLUMB !_ MECH _ RESIDENTIAL X 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 fug farce and effect. jJOB DESCRIPTION: !APPLE-T.I. EXPANSION OF EXISTING LAB; DEMOARCH. i hereby affirm under penalty of perjury one of the following two declarations: !FINISHED; HVAC MODIFICATION; REPLACE r. I have and will maintain a certificate of consent to self -insure for Water's ELECTRICAULIGHTING Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued REV #1- REmOVE 4 HALLWAY DUCTS AND WALL GRILL TO mF-ET EXISTING SITE CONDITIONS - L I have and will maintain Worker's Compensation Insurance, as provided for by ED 6N2/20f7 VISSUt.�Section 3700 of the Labor Code, for the performance of the work for which this !Sq. Ft Floor Area: Valuation: $145000.00 permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above Information Is correct. I agree to comply with all city and county ordinances APN Number: Occupancy Type. and state laws relating to building construction, and hereby authorize 316 20117 B (Tenant Improvements) representatives of this city to enter upon the above mentioned property for Inspection purpose& (We) agree to save Indemnify and keep harmless the Gly of Cupertino against liabilities, judgments, costs, and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City In consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Seclion 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 6/1212011 Ieaued by: OWNER-BUiLDBRDE0 ARATI(& I hereby affirm that I am exempt from tie Contractor's License Law for one of the R&ROOES, following two reasons: Ai roofs shall be inspected prior to any roofing material being installed. if a roof is t. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection, sale (Soc.7044, Business & Professions Code) z. 1, as owner of the property, am exclusivelycontracting with licensed Signature ofApplicant: contractors to construct the project (Seo.7044, Business & Professions Coded Date: 6/12/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "Al' OR BETTER t. I have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued HAZARDQU-S-MATE R1AL$.DLSCL0SURE t 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 ofthe Labor Code, for the performance of the work for which this Californis health & Safety Code, Sections 25505, 25533, and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the s. I certify that in the performance ofthe work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous shall not employ any person in any marina so as to became subject to the material. Additionally, should I use equipment or devices which emit hazardous aur contaminants as defined by the Bay Area Air Quality Management District I Wbrkces Compensation laws of California, lf; 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 tate Health & Safety Code, Sections 25505, 25533, and 25534. Labor Code, I must farthwitb comply with such provisions or this permit shall be deemed rcvokod. Owner or authorized agent: ----y �� APPLICANT CERTIFICATION Date: 6/1 /90J.Z I certify that I have read this application and state that the above Information Is CONSTRUCTION L.FNDING AGENCY_ correct I agree to comply with all city and county ordinances and state laws I hereby affirm that there Is a construction lending agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this permit Is Issued (Sec. 8097, Civ C.) to enter upon the above mentioned properly 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 MunicipalAROinTRC ,881EXI.A-RATION Code, Section 9.18. 1 understand my plans shall be used as public records. Signature Date 6112LM-U Licensed Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CU PERTFNO (408) 777-3228 • FAX (408) 777-3333 • buildino(a1icupert1no.0rq .�- ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERA'TION / TI REVISIO)/DEFERRED ORIGINAL PERMIT #_ PROJECT ADDRESS r4 L Lc - - 7-`> I --�L OWNER NAME PHONE .51 E-A2AIL 241 CITY, STATE, ZIP STREET ADDRESS FAX CONTACT NA3,1E PHONE E-? -AIL /3 v / 1 _ STREET ADDRESS CITY, STATE, ZIP FAX CA ❑ o A,.NER ❑ OH'NER-BUHDER ❑ O' NER AGENT KCONTRACTOR ❑ CONrRACTOR AGENT ❑ ARCHITECT ❑ ENGLNEER ❑ DE\TLOPER ❑ TENANT CONTRACTOR NAME///��� LICENSE NUh BER ^ LICENSE TYI6 (� BUS. LIC n ' COi IPANY NAME SC b,kjt'( E -HAIL FAX SFREETADDRESS l/{ �• �n CITY, STATE: ZIP V( k � PHONE HILICENSE NnTBER ARCTECT/ENGINEER NAME BUS. LIC'. 1 -- -- COMPANY NAME E-MAIL FAX STREET ADDRLSS CITY, STATE, ZIP PHONE DESCRIPTIONOFWORK ;/„rn`AW ( a"i II EXISTING USE PROPOSED USE CONSTR. TYPE FSrORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA YETAREA BATHROOM KITCHEN OTHER REMODELAREA REMODEL.AREA I REMODELARE.A PORCH.ARHA DECK AREA TOTAL DECK.TOR.CA .AREA GARAGE AREA: []DETACH ❑ ATTACH - DV'ELLLNG UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEINGADDED? [3NO ADDITION? I] NO PRE -APPLICATION [I) -ES IF YES. PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED BY: �`, - `` TOTAL VALUATION: PLA-\'NING.APPL- ❑NO PLA.N-\LNGAPPROVAI.I-ETTER EICHLER.HOME? ❑NO - �Q By my signature below, I certify to each of the following: I am the property owner or authorized agent 10 act on 6 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 building construction. I authorize representatives of Cupertino to enter the above-iden 'fied propertyfor inspection proposes. Signature of Applicant/Agent:� Date: 6 a� 2-i,.;, SUPPLEMENTAL INFOR4ATION REQUIRED PLkN CHECK TYPE ROUTING SLIP ❑ -ER ❑ BUILDING PLAN REVIEW New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition pen -nit is required prior to issuance of building O\ -TILE -COUNTER, permit for new building. ❑ E,tiPRESS„." ❑ IPLA NNINGPLAN REVIEW , Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD❑ EL•BLIC NVORKS _ for -In if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPr. _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ A LA"i 0 k 01S, NITARsPt\EitDISTRICT submittal of Building Pennit application. ❑ ENVIRONMENTAL HEALTH.-'.:-:' BldgApp_2011.doc revised 06/211'11 v.� CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0876 19191 VALLCO PKWY CUPERTINO, CA 95014-2525 (316 20 117) S C BUILDERS INC SUNNYVALE, CA 94085 OWNER'S NAME: APPLE INC DATE ISSUED: 06/01/2017 OWNER'S PHONE: 510-491-8424 PHONE NO: (408) 328-0688 LICENSED ONT A TOR'S DECLARATION BUILDING PERMIT INFO: License Class Ja Lic. #767196 Contractor S C BUILDERS INC Date 08/31/2017 X BLDG _ELECT _PLUMB — MECH RESIDENTIAL X 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: APPLE-T.I. EXPANSION OF EXISTING LAB; DEMO ARCH. I hereby affirm under penalty of perjury one of the following two declarations: FINISHED; HVAC MODIFICATION; REPLACE 1. I have and will maintain a certificate of consent to self-insure for Worker's ELECTRICAL/LIGHTING Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2. I have and will maintain Worker's Compensation Insurance, as provided for by r Section 3700 of the Labor Code, for the performance of the work for which this 5q. Ft Floor Area: Valuation: $145000.00 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 316 20 117 B (Tenant Improvements) 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 pert unicipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 06-01-2017 Issued by: Kim Dunbar OWNER-BUILDER DECLARATION Date: 06/01/2017 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 inspected prior to any roofing material being installed. If a roof is 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 (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: 06-01-2017 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. 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 permit is issued. maintain compliance 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 Code, Section 25532(a) should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally, should I use equipment or devices which emit hazardous 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 Cuperti i ' al Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Sec ' ns 55 , 2 53 , and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date: 06-01-2017 certify that I have read this application and state that the above information is CONSTRUCTION correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance 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, 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 Code, Section 9.18. 1 understand my plans shall be used as public records. Signature Date 06-01-2017 Licensed Professional CUPERTINO Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 CONTRACTOR SUBCONTRACTOR LIST JOB ADDRESS: 191 l Ci 1 Vnv-t.,-C u A j-, PERMIT# P101 OWNER'S NAME: t.\ppv_ 7Z,�C. P E GENERAL CONTRACTOR: BUSINESS LICENSE 4 ADDRESS:Lo_5,CITY"'ZIPCODE: vas *Our municipal code requires all businesses ivorking in the city to have a City of Cupertino=ness license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HA`®E OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Please check applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAME Cabinets & Millwork --4 . ..... Cement Finishing Electrical . . .................. . .. . . Excavation Fencing Flooring / Carpeting Linoleum / Wood T2 -j9- LO.Dj� I c Glass / Glazing Cw Nk VH Heating . . . ........ . . .......................... . . Insulation Landscaping Lathing Masonry Painting Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal® ::Sh:ce:t:Rock AC,, �0� vl �--Doe Tile Date BUSINESS LICENSE # on (42 060 :5 259 8 -3 J619 y ner /tractor Signature Date July 12, 2017 WESTERN ALLIED MECHANICAL, INC 1180 O'Brien Drive • Menlo Park, CA 650.326.0750 • www.westernallied.com Licence No.826782 SC Builders 910 Thompson PI �� i �v Sunnyvale, CA ^S Attention: Mr. Greg Burda ��•�� Subject: H.V.A.C. INSTALLATION APPLE INC. VPI —LAB D130 CUPERTINO, CA Dear Greg: Our scope of work for the subject project was limited to removing and relocating a few grilles and their corresponding flex ducts; shifting the location of 3 existing thermostats within the space; routing and hanging daylight pipe for an existing heat pump; and confirming the air balance in the space upon completion of the space. As a part of this scope of work we installed some new materials in the above -ceiling plenum, including: copper pipe, sheetmetal ductwork, and pre -insulated flexible sound ductwork. There was also some existing pipe, ductwork, and pre -insulated flexible ductwork in the above ceiling plenum, which matched the new materials we installed. The pipe installed is Copper Type L, the sheetmetal is G90 Galvanized Steel, and the flexible ductwork is Acosta Acoustical Pipe. The copper and G90 sheetmetal are unquestionably plenum - rated materials. The Acosta flexible ductwork submittal is attached on page 2 for your reference. This flexible ductwork has a Flame Spread of less than 25 feet and a Smoke Spread of less than 50 feet, which meets the requirements listed in CMC 602.2 and 604.1.2. It also meets the requirements of UL 181, NFPA 90A and NFPA 90B. Page 3 includes a photo of the ductwork installed at the project site. It is our professional judgement that the above materials are all plenum -rated, specifically per the 2016 CMC, and also meet the other State and Local Codes having jurisdiction for requirements of plenum -rated materials being installed in an above -ceiling plenum. Should you have any questions, or if I can be of further assistance, please feel free to call. Sincerely, Leon Matthews. P.E., LEED AP Western Allied Mechanical Mechanical E.O.R., Sr. Project Manager 650-444-4718 WAM Job #: 1017104 SCB Job #: 117038-01 Ll Sheet Metal Manufacturing Company Phone (408) 275-6370 Fax (408) 297-0130 "ACOSTA" ACOUSTICAL PIPE (U.M.C. CLASS 1 DUCT) Standard with Universal Collars Physical Properties: Nominal Duct Size: 6", 8", 10", 12", 14", 16", 18" and 20" Standard Length: 6' without Damper (raw collars) or 6' with Damper (clamp drive collars) Maximum Positive Pressure: 2" water gauge (w.g.) Maximum Negative Pressure: 1/2" water gauge (w.g.) Operating Temperature: o*F to 250*F minute (f.p.m.) Flame Spread: Less than 25 feet Smoke Spread: Less than 50 feet 2.5 mil. Helix: Encapsulated, Zinc Coated wire for corrosion resistance Insulation/Thermal Value: R Value= 4.2 R Value=8 With Optional Damper Insulation: Green Guard Certified Insulation (Formaldehyde information and other specifications available upon request) Core: Spirally wound zinc coated wire (helix) encapsulated in a continuous acoustical liner covered with a fiberglass blanket, fiberglass scrim and an exterior vapor barrier. "Acosta" Acoustical Flex has Underwriters Laboratory (U.L.) approval test #181 in file #MH14075 Meets U.L. 181 class 1 and NFPA 90A, NFPA 90B ACOSTA Acoustical Pipe is listed by UNDERWRITERS U` LABORATORIES INC. And bears the mark: F 0 m EM SMcuityBrands Acuity Lighting Group, Inc. One Lithonia Way Conyers, GA 30012-3957 Tel: 770 922 9000 AcuityBrands.com 15 -Jul -11 Subject: Non -Air -Handling Troffers in Air Return Plenums Static non -air -handling troffers bear a UL recessed fixture label which signifies these fixtures are manufactured in accordance to UL 1598. A recessed fixture is defined in UL 1598: "A fixture intended to be installed in a hole in a surface such that all or part of the fixture is behind the mounting wall or ceiling surface". Since these static recessed fixtures comply with UL 1598 paragraph 44.6, no other marking for use in a plenum is required. If, however, these same fixtures were to be air -handling register (A, D or H instead of B or a blank space in the catalog number), they would be the same fixture construction except with appropriate air -handling slots and would have the following marking on the fixture per UL 1598. "If vent openings are uncovered, fixture must be used in plenum of non-combustible construction see NFPA 90A-1981 or with air -handling part that covers openings." The UL definitions indicate that a static recessed fixture as provided with no open holes or vents can be used in a plenum of any construction - combustible or non-combustible. Lithonia Lighting's recessed fixtures, along with those of other manufacturers, are commonly used in ceilings where a return air plenum is part of the building design. The NEC takes a different tack in permitting recessed fixtures in return air ceilings by its definition of "Plenum". NEC 100 "plenum" specifically excludes the space above a suspended ceiling used for environmental air and refers to NEC 300-22(c). NEC 300-22(c) allows electrical equipment with metal enclosures without specific listing to be used in a suspended ceiling used for environmental air. Standard UL recessed fixture label for installation is allowed in all areas except those that must meet additional City of Chicago requirements. Sincerely, Fluorescent Technical Support General Fluorescent Product and Market Development Lithonia Lighting Lithonia Holophane Peerless Hydrel Antique Street Lamps Specbght MetalOptics American Electric Underwriters Laboratories Products Used in Air Handling Spaces An objective in model mechanical and electrical codes and HVAC standards is to protect life and property from fire and smoke resulting from fires.One of the protection methods used to accomplish this objective involves restricting the spread of smoke within a building by minimizing the ignition sources and combustibility of the elements within the air handling systems. Model codes and standards Model codes and standards address combustibility of elements in air handling systems, and define terms such as ducts, plenums and air handling systems in similar ways. While there are slight differences throughout the Codes and Standards on the terminology of ducts, plenums or other spaces used for environmental air, they fundamentally seek to achieve the same end result in the regulation of the construction and materials used in air handling spaces. Depending on whether the ventilation compartment is a duct, plenum, or other defined area, the codes may require materials to be noncombustible or con- structed of specific materials with identified surface burning and smoke characteristics. For example, NFPA 90A Section 4.3.10.2 requires materials exposed to the airflow in ceiling cavity plenums used for supply, return or exhaust air from the occupied area to be noncombustible, limited combustible, or have a flame spread index not exceeding 25 and a smoke -developed index not exceeding 50. Similarly, IMC Section 602.2.1 requires materials exposed within plenums continued F 0 Products Used in Air Handling Spaces (continued) to be noncombustible or to have a flame spread index not more than 25 and a smoke -developed index not more than 50. NFPA 90A, the NEC, the IMC, and the UMC all include specific requirements for various products used within plenums and other air handling spaces, such as wiring, fire sprinkler piping, pneumatic tubing, combustible electrical equipment, light diffusers, optical fibers and raceways, loudspeakers, and/or recessed lighting fixtures. Refer to the code or standard in question for specific requirements. Testing for fire and smoke characteristics Many materials used in plenums are required to have a maximum flame spread index of 25 and a maximum smoke devel- oped index of 50 when tested to UL 723 Test for Surface Burning Characteristics of Building Materials (ASTM E84). Using the Steiner Tunnel test apparatus, test speci- mens measuring a nominal 2 -ft wide by 24 -ft long are subjected to a 4-1/2 foot long flame. The time for flame progression is measured and calculated as a flame spread index. Also smoke obscuration is measured and calculated as a smoke developed index. Due to the test specimen size, this standard could not be used to test small discrete objects, such as fluorescent ballasts and speakers. A family of standards was developed to test for flame spread and smoke density for other products used in air handling spaces such as wire and cable, fire sprinkler pipe, and pneumatic tubing. These methods use the same Steiner Tunnel test apparatus as UL723, but the sample mounting and testing criteria differ. These standards are NFPA 262, Test Method For Fire and Smoke Characteristics of Electrical and Optical - Fiber Cables Used in Air -Handling spaces; UL 1887, Fire Test of Plastic Sprinkler Pipe for Visible Flame and Smoke Characteris- tics; and UL 1820, Fire Test of Pneumatic Tubing for Flame and Smoke Characteris- tics. Materials tested to these standards are required to exhibit a maximum flame spread distance of 5 ft, a maximum peak optical density of 0.5, and a maximum average optical density of 0.15. The Standard used to evaluate fire perfor- mance and smoke -production character- istics of smaller discrete objects is UL 2043, "Fire Test for Heat and Visible Smoke Release for Discrete Products and Their Accessories Installed in Air -Handling Spaces". Products are subjected to a 60 kW ignition source, and all products of combustion are arrested by a calorimeter hood. Heat energy is determined using oxygen consumption techniques and equipment in the air stream determines smoke density. To be acceptable, products are required to exhibit a peak heat release rate of 100 kW or less, a maximum normal- ized peak optical density of 0.5, and an average normalized optical density of 0.15 or less. These standards allow the fire performance and smoke characteristics of these various components to be determined and quanti- fied, and as a result, they have been adopted by reference into IAPMO, ICC, and NFPA model codes. Products certified for use in plenums UL certifies a number of products for use in plenums, ducts and other space used for environmental air. These certifications can be found in the UL Online Certifications Directory at www.ul.com/database% Building materials — Material, such as acoustical panels, pipe insulation and coverings, duct coverings, insulation, vapor retarder facings, adhesives, and ducts have been Classified by UL in accordance with UL 723 for flame spread and smoke developed indices. These products, or their packaging, are marked with the specific indices, or are marked "FHC 25/50". Wiring — Electrical cables and raceways that comply with NFPA 262 are identified with a suffix "P" on the cable designation (such as CMP, CL2P, or FPLP). These cable and raceway categories include DUZX, DVCS, HNIR, QAYK, and QPTZ. Fire sprinkler piping — All UL Listed CPVC sprinkler pipe and fittings (VIWT) comply with UL 1887. These products are not required to be marked for use in plenums. However, Listed support devices for the sprinkler piping (VIXH) and cover systems for the sprinkler piping (VIXO) have not been evaluated to UL 1887, unless specifically marked for plenum use. Pneumatic tubing — UL Classified pneumatic tubing (QNVT) that has been tested and found to comply with UL 1820 is required to be marked "NFPA 90A". (This should be suitable for use in either a NFPA 90A, UMC or IMC application.) . Combustible electrical equipment — Most products tested and found to comply with UL 2043, such as ballasts, loudspeak- ers, recessed luminaires, information technology equipment, wire positioning devices, germicidal lamps, and other air duct accessories, are provided with a marking or installation instruction which states "Suitable for Air Handling Spaces", "Suitable for Use in Other Environmental Air Space in Accordance with Section 300.22(c) of the National Electrical Code," or similar wording. Some recessed air handling luminaires (HYXT) are restricted to certain air handling applications, and include markings that identify the intended application.