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CITY OF CAMPBELL Community Development Department 70 North First Street • Campbell, CA 95008-1423 • TEL (408) 866-2130 FAX (408) 871-5101 E-MAIL [email protected] Revised: 1/20 Page 1 of 3 Residential New Building Plan Submittal Purpose: This handout establishes a procedure for complete plan review submittals when new residential buildings are proposed. According to current code regulations (2019 CRC, 2019 GBSC, 2019 CPC, 2019 CMC, 2019 CEC and 2019 California Energy Code), permits are required when buildings or structures are constructed. Therefore, the following guideline shall be reviewed before commencing any work. Plan Document Submittal Requirements: *PLEASE DO NOT SUBMIT DOUBLE SIDED CALCULATIONS OR PLANS. Complete Application for Building Permit. Six (6) complete sets of plans must be submitted (at least two must be signed by designer and/or “wet-signed” and stamped by a State of California licensed architect or engineer); This is to include scaled site plans, “Blueprint for a Clean Bay”, Elevation drawings and a drainage plan. Upon submittal of plans, these will be distributed to the Building Inspection Division, Planning Division, Public Works Department, Fire Department, and Structural review will be outsourced. Three (3) sets each 8-1/2x11 “wet-signed” and stamped Structural Calculation Reports; & Geotechnical Reports; with a letter of Foundation Design Review. Three (3) sets 8-1/2x11 of Title 24 Energy Reports/Calculations. Three (3) sets 8-1/2x11 of manufactured truss reports; a truss-review letter signed by engineer of record One (1) Tree disclosure form. Two (2) 8-1/2x11 CA Green Building Standard forms. Water-Conserving Plumbing Fixtures & VOC Compliance Certification forms. Initial plan check fee paid based on construction square footage. Applicants shall make separate submittals directly to West Valley Sanitation at 100 E Sunnyoaks Ave, Campbell CA (408) 378-2407. The school Districts collect Developer Fees for new residential construction; the fees are collected by the district prior to permit issuance. Forms will be provided by Building Inspection Division during the plan review process. Please contact your District for current Developer Fees. o Campbell Union High School (408) 371-0960 o Campbell Union Elementary (408) 341-7000 o Cambrian School District (408) 377-2103 o Moreland School District (408) 874-2900 West Valley Sanitation District (WVSD) collects infrastructure, water and sewer fees for new construction. Payment of these fees must be made prior to permit issuance. A WVSD issued permit labeled “Copy for Building Department” should be brought in to Building Inspection Division. Please contact WVSD at (408) 378-2407 for their fee estimate. Santa Clara County Fire Department per CRC2010 R313.2 all new and two story family dwellings will require fire sprinkler systems. Contact SCCFD for submittal requirements at (408) 378-4010. Other Permit Requirements A separate plan/permit is required for items such as, but not limited to: pools/spas, accessory structures, retaining walls, fire sprinkler systems, and demolition of existing buildings. Plan Review Timelines Allow a minimum of 4 to 6 weeks for the first plan review and 2 to 4 weeks for all other subsequence review. Note: the plan review time may be extended depending on the complexity and size of the structure.

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CITY OF CAMPBELL Community Development Department

70 North First Street • Campbell, CA 95008-1423 • TEL (408) 866-2130 • FAX (408) 871-5101 • E-MAIL [email protected]

Revised: 1/20 Page 1 of 3

R e s i d e n t i a l N e w B u i l d i n g P l a n S u b m i t t a l

Purpose: This handout establishes a procedure for complete plan review submittals when new residential buildings are proposed. According to current code regulations (2019 CRC, 2019 GBSC, 2019 CPC, 2019 CMC, 2019 CEC and 2019 California Energy Code), permits are required when buildings or structures are constructed. Therefore, the following guideline shall be reviewed before commencing any work.

Plan Document Submittal Requirements: *PLEASE DO NOT SUBMIT DOUBLE SIDED CALCULATIONS OR PLANS. Complete Application for Building Permit. Six (6) complete sets of plans must be submitted

(at least two must be signed by designer and/or “wet-signed” and stamped by a State of California licensed architect or engineer); This is to include scaled site plans, “Blueprint for a Clean Bay”, Elevation drawings and a drainage plan. Upon submittal of plans, these will be distributed to the Building Inspection Division, Planning Division, Public Works Department, Fire Department, and Structural review will be outsourced.

Three (3) sets each 8-1/2x11 “wet-signed” and stamped Structural Calculation Reports; & Geotechnical Reports; with a letter of Foundation Design Review.

Three (3) sets 8-1/2x11 of Title 24 Energy Reports/Calculations.

Three (3) sets 8-1/2x11 of manufactured truss reports; a truss-review letter signed by engineer of record

One (1) Tree disclosure form. Two (2) 8-1/2x11 CA Green Building Standard

forms. Water-Conserving Plumbing Fixtures & VOC Compliance Certification forms.

Initial plan check fee paid based on construction square footage.

Applicants shall make separate submittals directly to West Valley Sanitation at 100 E Sunnyoaks Ave, Campbell CA (408) 378-2407.

The school Districts collect Developer Fees for new residential construction; the fees are collected by the district prior to permit issuance. Forms will be provided by Building Inspection Division during the plan review process. Please contact your District for current Developer Fees. o Campbell Union High School (408) 371-0960 o Campbell Union Elementary (408) 341-7000 o Cambrian School District (408) 377-2103 o Moreland School District (408) 874-2900

West Valley Sanitation District (WVSD) collects

infrastructure, water and sewer fees for new construction. Payment of these fees must be made prior to permit issuance. A WVSD issued permit labeled “Copy for Building Department” should be brought in to Building Inspection Division. Please contact WVSD at (408) 378-2407 for their fee estimate.

Santa Clara County Fire Department per CRC2010 R313.2 all new and two story family dwellings will require fire sprinkler systems. Contact SCCFD for submittal requirements at (408) 378-4010.

Other Permit Requirements

A separate plan/permit is required for items such as, but not limited to: pools/spas, accessory structures, retaining walls, fire sprinkler systems, and demolition of existing buildings.

Plan Review Timelines Allow a minimum of 4 to 6 weeks for the first plan review and 2 to 4 weeks for all other subsequence review. Note: the plan review time may be extended depending on the complexity and size of the structure.

70 North First Street • Campbell, CA 95008-1423 • TEL (408) 866-2130 • FAX (408) 866-5101 • E-MAIL [email protected]

Page 3 of 3

Light Wood-Frame Construction: Plans for new single family dwellings of light woodframe construction may be prepared by any person, if the structure consists of not more than two stories and basement in height. However, if the structure has unusual design features and deviates from conventional lightframe standards, it shall be designed following engineering standards. Engineered plans shall therefore be prepared by a professional architect or engineer, licensed in the State of California.

Minimum Plan Requirements Minimum 18” x 24” and maximum 24” x 36” plans drawn to scale (i.e., floor plan: ¼” = 1’ – 0”), fully dimensioned, clear and legible. Single line floor plans are unacceptable.

Required Plan Sheets: 1. Cover Sheet:

• Address of Project and Assessor’s Parcel Number (APN);

• Scope (Description) of work; • Zoning District (see Planning Dept.); • Plan Preparer’s Name, Address and

Telephone Number; • Construction type, applicable code(s),

occupancy classification(s); • Date of drawing and date of each

subsequent revision(s); • Vicinity Map - Showing the location of the

site within the City (1/4 mile radius). • "Net" and "Gross" Lot Sizes (as defined in

CMC §21.72.020) • Floor Area / Lot Coverage Table, as shown below:

BUILDING AREA Existing Proposed Total SF %

First Floor

Second Floor

Garage

Accessory Dwelling

Covered Patio(s)

Other (e.g., Shed)

TOTAL

Small Block Diagram of calculated floor area, as shown below:

Paving / Landscape Table, as shown below:

PAVING / LANDSCAPE

AREA Existing Proposed

Total

SF

Front Yard Paving

Water Features

(e.g., pool, fountain)

Live Landscaping

(e.g., turf, plans, trees)

Other Landscaping

(e.g., rocks, bark)

TOTAL

Setback / Wall Height Table of required and proposed setbacks, as shown below:

2. Plot plan - lot dimension and parcel size; building location with all setback distances to property lines and easements; north arrow; fire hydrants and other utilities; street and right-of-way identifications, access roadways; location of gas/electrical/water meters and sewer/water lines; septic/well systems (as applicable).

3. Grading and drainage plan shall be prepared by a registered civil engineer - grade and pad elevations, ground slope drainage and topography; location of retaining walls.

4. Architectural/Designer plans - floor plans identifying room uses, door/window schedules; occupancy separation location and fire-rating details; location of smoke detectors and emergency egress openings; stair/handrail/guardrail/deck location and details; framing details for fireplaces, post and girder intersections, roof eaves, gables, rakes; floor/attic ventilation calculations; all exterior elevations identifying construction materials, colors, wall covering specifications and fire-rating (depending on location), building height.

SETBACKS Wall

Height

Required

Setback

Proposed

Setback

Front of

Structure/Dwelling

Front of

Garage/Carport

Left Side First Floor

Left Side Second

Floor

Right Side First

Floor

Right Side Second

Floor

Rear First Floor

Rear Second Floor

70 North First Street • Campbell, CA 95008-1423 • TEL (408) 866-2130 • FAX (408) 866-5101 • E-MAIL [email protected]

Page 3 of 3

5. Structural plans - foundation plan with footing/ pier/grade or slab details; shear wall schedule and detail reference locations; minimum of two building cross-sections in each direction. Complete floor/roof framing plans with bracing and support details.

6. Prefabricated trusses - roof/floor framing plan with truss I.D. # and manufacturer’s name; truss splice details, connections and plate sizes; gable bracing/bridge; single line truss diagram with all vertical/lateral loads, including bearing points with reference to framing plan.

7. Mechanical, electrical and plumbing plans - electrical plan identifying size and location of main and sub-panels; outlets (required GFCI locations), switches, light fixtures; location of HVAC and A/C equipment; duct layout.

8. Energy requirements – signed and affixed CF-1R and MF-1 energy compliance forms. Fees

Due to the complexity of permit fees for new construction, it is recommended that you visit the Building Inspection Division counter to review all applicable costs such as plan check fees, building fees, etc. Application Forms

An Application for Permit form may be printed on line at www.campbellca.gov under Building Inspection Division or requested at the Building Inspection office located at:

Address: 70 N 1st Street, Campbell CA Phone: (408) 866-2130 Hours: Monday through Friday

8:00 am - 5:00 pm (last application acceptance/permit issuance by 4:30 pm)

WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE

COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 70 N 1

st street • Campbell, CA 95008

(408) 866-2130 • FAX (408) 871-5101 • [email protected]

Owner Name Permit No.

Address

Please refer to the attached California Civil Code Sections 1101.1 – 1101.8 which are part of this Certification form.

1. Is your real property a registered historical site

Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.

Owner’ Signature: Date:

No Go to Question 2.

2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its

plumbing, installation of water-conserving plumbing fixtures is not technically feasible?

Yes Civil Code Sections 1101.1 through 1101.8 do not apply. The licensed plumber’s certification has been provided to the Building Division.

Sign below and skip the rest of the form.

Owner’ Signature: Date:

No Go to Question 3.

3. Is water service permanently disconnected for your building? Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.

Owner’ Signature: Date:

No Go to Question 4.

4. Is your real property built and available for use or occupancy on or before January 1, 1994?

No My real property is built and available for use or occupancy after January 1, 1994.

Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.

Owner’ Signature: Date:

Yes My real property is built and available for use or occupancy on or before January 1, 1994.

Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached.

My property is a single-family residential real property. See Civil Code Section 1101.4.

On and after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing

fixtures to be replaced with water-conserving plumbing fixtures throughout the building. On or before January 1,

2017, all non-compliant plumbing fixtures shall be replaced with water-conserving plumbing fixtures (regardless

of whether property undergoes alterations or improvements).

My property is a multifamily residential real property. See Civil Code Section 1101.5.

On and after January 1, 2014, specified building alterations or improvements shall require non- compliant

plumbing fixtures to be replaced with water-conserving plumbing fixtures.

On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water-

conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or

improvements).

My property is a commercial real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant

plumbing fixtures to be replaced with water-conserving plumbing fixtures.

Permit cannot be finaled until this certificate has been signed and returned to the Building Division

On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving

plumbing fixtures throughout the building (regardless of whether property undergoes alterations or

improvements).

Upon completing and signing this Certificate, please return it to the Building Division in order to final your permit.

Fixture Type

Non-Compliant

Plumbing Fixture1

Water-Conserving Plumbing Fixture

(Fixture Complying with Current Code Applicable to New Construction)

Water Usage /Flow Rate

Maximum Water Usage/Flow Rate

2016 CPC Ch. 4 2016 CALGreen Div. 4.3

2016 CPC Ch. 4 2016 CALGreen Div. 4.3

2016 CPC Ch. 4 2016 CALGreen Div. 5.3

Single-Family Residential

Multi-Family Residential

Commercial

Water Closets (Toilets)

Exceed 1.6 Gallons/flush

Single flush toilets: 1.28 gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite,

average flush volume of two reduced flushes and one full flush)

Urinals Exceed 1.0 Gallons/flush

0.5 gallons/flush

Showerheads Exceed 2.5 gallons per minute

2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of U.S. EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower, 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 @ 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time.

Faucets – Lavatory Faucets

Exceed 2.2 gallons per minute

Maximum 1.2 gallons per minute @ 60 psi; minimum 0.8 gallons per minute @ 20 psi

Within units: Maximum 1.2 gallons per minute @ 60 psi; minimum 0.8 gallons per minute @ 20 psi

In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute @ 60 psi

0.5 gallons per minute @ 60 psi

Faucets – Kitchen Faucets

Exceed 2.2 gallons per minute

1.8 gallons per minute @ 60 psi May temporarily increase up to 2.2 gallons per minute @ 60 psi, and must default to maximum 1.8 gallons per minute @ 60 psi Where faucets meeting the above are unavailable, aerators or other means may be used to achieve reduction.

1.8 gallons per minute @ 60 psi May temporarily increase up to 2.2 gallons per minute @ 60 psi, and must default to maximum 1.8 gallons per minute @ 60 psi Where faucets meeting the above are unavailable, aerators or other means may be used to achieve reduction.

1.8 gallons per minute @ 60 psi

1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded.

I/We, the owner(s) of this property, certify under penalty of perjury that non-compliant plumbing fixtures have been replaced

with water-conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current

California Plumbing Code and California Green Building Standards Code, and manufacturer’s installation requirements, and

that the water-conserving plumbing fixtures comply with the requirements as indicated in the table below.

Owner’s (or Owner Agent’s) Signature: Date:

Civil Code

Division 2. Property

CALIFORNIA CIVIL CODE SECTIONS 1101.1–1101.8

Part 4. Acquisition of Property

Title 4. Transfer

Chapter 2. Transfer of Real Property

Article 1.4. Installation of Water Use Efficiency Improvements …….. 1101.1 – 1101.8

The Legislature finds and declares all of the following:

(a) Adequate water supply reliability for all uses is essential to the future economic and environmental health of

California.

(b) Environmentally sound strategies to meet future water supply and wastewater treatment needs are key to

protecting and restoring aquatic resources in California.

(c) There is a pressing need to address water supply reliability issues raised by growing urban areas. (d) Economic analysis by urban water agencies has identified urban water conservation as a cost-effective

approach to addressing water supply needs.

(e) There are many water conservation practices that produce significant energy and other resource savings that

should be encouraged as a matter of state policy.

(f) ) Since the 1991 signing of the "Memorandum of Understanding Regarding Urban Water Conservation in

California," many urban water and wastewater treatment agencies have gained valuable experience that can be

applied to produce significant statewide savings of water, energy, and associated infrastructure costs. This

experience indicates a need to regularly revise and update water conservation methodologies and practices.

(g) ) To address these concerns, it is the intent of the Legislature to require that residential and commercial real

property built and available for use or occupancy on or before January 1, 1994, be equipped with water-conserving

plumbing fixtures.

(h) It is further the intent of the Legislature that retail water suppliers are encouraged to provide incentives,

financing mechanisms, and funding to assist property owners with these retrofit obligations.

Except as provided in Section 1101.7, this article shall apply to residential and commercial real property built

and available for use on or before January 1, 1994.

For the purposes of this article: (a) "Commercial real property" means any real property that is improved with, or consisting of, a building that is

intended for commercial use, including hotels and motels, that is not a single-family residential real property or a

multifamily residential real property.

(b) "Multifamily residential real property" means any real property that is improved with, or consisting of, a

building containing more than one unit that is intended for human habitation, or any mixed residential-commercial

buildings or portions thereof that are intended for human habitation. Multifamily residential real property includes

residential hotels but does not include hotels and motels that are not residential hotels.

(c) "Noncompliant plumbing fixture" means any of the following:

(1) Any toilet manufactured to use more than 1.6 gallons of water per flush.

(2) Any urinal manufactured to use more than one gallon of water per flush.

(3) Any showerhead manufactured to have a flow capacity of more than 2.5 gallons of water per minute.

(4) Any interior faucet that emits more than 2.2 gallons of water per minute.

(d) "Single-family residential real property" means any real property that is improved with, or consisting of, a

building containing not more than one unit that is intended for human habitation.

(e) "Water-conserving plumbing fixture" means any fixture that is in compliance with current building standards

applicable to a newly constructed real property of the same type.

(f) ) "Sale or transfer" means the sale or transfer of an entire real property estate or the fee interest in that

real property estate and does not include the sale or transfer of a partial interest, including a leasehold.

(a) On and after January 1, 2014, for all building alterations or improvements to single-family residential real

property, as a condition for issuance of a certificate of final completion and occupancy or final permit approval by

the local building department, the permit applicant shall replace all noncompliant plumbing fixtures with water-

conserving plumbing fixtures.

(b) On or before January 1, 2017, noncompliant plumbing fixtures in any single-family residential real property

shall be replaced by the property owner with water-conserving plumbing fixtures.

(c) On and after January 1, 2017, a seller or transferor of single-family residential real property shall disclose in

writing to the prospective purchaser or transferee the requirements of subdivision (b) and whether the real property

includes any noncompliant plumbing fixtures.

(a) On or before January 1, 2019, all noncompliant plumbing fixtures in any multifamily residential real

property and in any commercial real property shall be replaced with water-conserving plumbing fixtures.

(b) An owner or the owner's agent may enter the owner's property for the purpose of installing, repairing, testing,

and maintaining water-conserving plumbing fixtures required by this section, consistent with notice requirements of

Section 1954.

(c) On and after January 1, 2019, the water-conserving plumbing fixtures required by this section shall be

operating at the manufacturer's rated water consumption at the time that the tenant takes possession. A tenant shall

be responsible for notifying the owner or owner's agent if the tenant becomes aware that a water-conserving

plumbing fixture within his or her unit is not operating at the manufacturer's rated water consumption. The owner

or owner's agent shall correct an inoperability in a water-conserving plumbing fixture upon notice by the tenant or

if detected by the owner or the owner's agent.

(d) (1) On and after January 1, 2014, all noncompliant plumbing fixtures in any multifamily residential real

property and any commercial real property shall be replaced with water-conserving plumbing fixtures in the

following circumstances:

(A) ) For building additions in which the sum of concurrent building permits by the same permit applicant

would increase the floor area of the space in a building by more than 10 percent, the building permit applicant

shall replace all noncompliant plumbing fixtures in the building.

(B) ) For building alterations or improvements in which the total construction cost estimated in the building

permit is greater than one hundred fifty thousand dollars ($150,000), the building permit applicant shall replace all

noncompliant plumbing fixtures that service the specific area of the improvement.

(C) Notwithstanding subparagraph (A) or (B), for any alterations or improvements to a room in a building that

require a building permit and that room contains any noncompliant plumbing fixtures, the building permit applicant

shall replace all noncompliant plumbing fixtures in that room.

(2) Replacement of all noncompliant plumbing fixtures with water-conserving plumbing fixtures, as described in

paragraph (1), shall be a condition for issuance of a certificate of final completion and occupancy or final permit

approval by the local building department.

(e) On and after January 1, 2019, a seller or transferor of multifamily residential real property or of commercial

real property shall disclose to the prospective purchaser or transferee, in writing, the requirements of subdivision (a)

and whether the property includes any noncompliant plumbing fixtures. This disclosure may be included in other

transactional documents.

The duty of an owner or building permit applicant to comply with the requirements of this article shall be

postponed for one year from the date of issuance of a demolition permit for the building. If the building is

demolished within the one-year postponement, the requirements of this article shall not apply. If the building is not

demolished after the expiration of one year, the provisions of this article shall apply, subject to appeal to the local

building department, even though the demolition permit is still in effect or a new demolition permit has been

issued.

This article shall not apply to any of the following:

(a) Registered historical sites. (b) Real property for which a licensed plumber certifies that, due to the age or configuration of the property or its

plumbing, installation of water-conserving plumbing fixtures is not technically feasible.

(c) A building for which water service is permanently disconnected.

A city, county, or city and county, or a retail water supplier may do either of the following:

(a) Enact local ordinances or establish policies that promote compliance with this article.

(b) Enact local ordinances or establish policies that will result in a greater amount of water savings than those

provided for in this article.

California Green Building Code Residential Requirements

The application you have submitted is required to comply with the requirements of the California Green Building Code Mandatory Residential Requirements. (Chapt.4).

The City of Campbell has provided a “Compliance Report” which lists product VOC (Volatile Organic Compound) Limits on products that are commonly used in residential construction. Your project will use many of the products listed with VOC limits.

4.504.5.1 Documentation. Verification of compliance with this section shall be provided as requested by the enforcing agency. Documentations shall include at least one of the following:

1. Product certification and specifications.

2. Chain of custody certifications

3. Product labeled and invoiced as meeting the Composite Wood Products regulation.

4. Exterior grade products marked as meeting the PS-1 or PS-2 standards of the Engineering Wood Association.

5. Other methods acceptable to the enforcing agency.

Campbell Building Division has created a form for you to use to identify the applicable products for your project. You are requested to identify the product by name and manufacturer and list the VOC amounts for the product. The form also provides the ability to identify Plumbing Fixtures to show the GPM to comply with State requirements. Again, you identify the product and manufacturer. Forms not filled out or forms that are incomplete will be unaccepted! To insure your project is approved in the fastest time possible, please make sure your Documents are complete! You are able to make changes to the products by submitting revised forms at any time during construction. Manufacture Websites are good source of VOC information on Product specifications sheets.

City of Campbell

Community Development Services • Building Safety & Inspection

70 N 1st Street • Campbell, California 95008

Phone (408) 866-2130 Fax (408) 871-5101

www.cityofcampbell.com

CALIFORNIA GREEN BUILDING CODE RESIDENTIAL MANDATORY REQUIREMENTS

Chapter 4 Compliance Report

The purpose of this form is to comply with the California Green Building Code residential mandatory requirements. Based on the tables below, please fill out the product information of the materials which will be used for the construction. SPECIFIC INFORMATION IS REQUIRED.

Page 1 of 2

COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 70 N 1st street • Campbell, CA 95008

(408) 866-2130 • FAX (408) 871-5101 • [email protected]

Residential VOC Compliance Certification

Address: Permit No.:

ADHESIVE MANUFACTURER CALGreen Limit 1 ACTUAL VOCs

SEALANT MANUFACTURER CALGreen Limit 1 ACTUAL VOCs

ARCHITECTURAL COATINGS (Paints & Coatings) MANUFACTURER CALGreen Limit

1 ACTUAL VOCs

RESILIANT FLOORING MANUFACTURER CALGreen Limit 1 ACTUAL VOCs

FORMALDEHYDE COMPLIANCE CERTIFICATION

1 See other side of page for VOC limits

2 Thin medium density fiberboard has a maximum thickness of 5/16 inch

PRODUCT MANUFACTURER CURRENT LIMIT ACTUAL

Hardwood plywood veneer core 0.05

Hardwood plywood composite core 0.05

Particleboard 0.09

Medium density fiberboard 0.11

Thin medium density fiberboard 2 0.13

Page 2 of 2

Division 4.3 - Water Efficiency and Conservation

Brand Model GPM

1. Water Closet(s)

2. Shower Head(s)

3. Faucet(s) (NOT KITCHEN)

4. Kitchen Faucet(s)

5. Outdoor Water Use/Irrigation Controllers Brand Model

Weather Based_____

Soil Moisture Based____

Division 4.4 – Material Conservation & Resource Efficiency

This Project Has A Construction Waste Management Plan YES______ NO_____

This Project Requires an Operation & Maintenance Manual (New Homes Only)

Note Book ___________ CD Disc_________ Other ___________________

Division 4.5 Environmental Quality

1. Fireplace is Direct Vent Gas ____________________

2. Fireplace is Wood Burning EPA Phase II __________________

All carpet installed in the building interior meets the testing and product requirements of the following: (check one)

□ Carpet and Rug Institute’s Green Label

□ California Department of Public Health “Standard Method for the Testing of VOCs”

□ NSF/ANSI 140 at the Gold level

□ Scientific Certifications Systems Indoor Advantage TM

Gold

□ No carpet installed on this project

I certify that the information provided on this form is accurate and that the materials used on this project comply with Section 4.504 (Residential) or 5.504 (Non-Residential) of the 2016 California Green Building Standards Code.

Print Name Signature Date

West Valley Collection & Recycling is the EXCLUSIVE roll-off and debris box provider

for the cities of:

• Campbell • Town of Los Gatos

• Monte Sereno • Saratoga

Contact customer service at West Valley Collection & Recycling

to schedule delivery of a debris box in these cities

. 408/283-9250 [email protected]

BIN SIZE DIMENSIONS TONS ALLOWED MATERIALS ACCEPTED 8 Cubic Yard 14' x 8' x 2.5' 8 Tons Concrete and Dirt 20 Cubic Yard 19' x 8' x 4' 3 Tons General Debris 30 Cubic Yard 21' x 7' x 7.5' 4 Tons General Debris 40 Cubic Yard 23' x 8.5' x 8' 5 Tons General Debris

  

CITY OF CAMPBELL Community Development Department

70 North First Street • Campbell, CA 95008‐1423 • TEL (408) 866‐2140 • FAX (408) 866‐5140 • E‐MAIL [email protected] 

   

SINGLE FAMILY RESIDENTIAL   Landscape Information Form  

The City of Campbell has adopted the updated California Model Water Efficient Landscape Ordinance (MWELO) 

as  part  of  the  City’s  Water  Efficient  Landscape  Guidelines.  This  document  is  available  at: 

http://www.cityofcampbell.com/DocumentCenter/View/176 or on the Planning Division’s Zoning and Land Use 

webpage through http://www.cityofcampbell.com/166/Zoning‐and‐Land‐Use.  

STEP 1. Determine Required Landscape Areas 

Building permit plans  shall demonstrate  compliance with Campbell Municipal Code  (CMC)  including but not 

limited to the following requirements:  

Front yards must be landscaped, except for driveway and walkway areas. CMC Section 21.26.030(B) 

Required  landscaping  shall  consist  of  turf,  ground  cover,  shrubs,  trees,  and  boulders  in  a  variety  of 

species and sizes. CMC Section 21.26.030(G) 

Paving shall not exceed 50% of  the  front yard setback area  (20 or 25  feet  from  the  front property  line). 

CMC Section 21.18.070 

Additional  requirements may  apply  if  your  project  required  a  separate development  application  through  the 

Planning Division prior to a building permit application. See the Planning Division for Conditions of Approval 

that may apply.  

STEP 2. Determine Submittal Requirements based on Project Type* 

*As determined by the Building Official. A major remodel/addition project may be designated as a new home. 

For a new home: 

a. If the project landscape area is less than 500 square feet, compliance with CMC Chapter 21.26 is required 

but not the MWELO. 

b. If  the  project  landscape  area  is  between  500  square  feet  and  2,500  square  feet,  compliance with  the 

prescriptive option (Appendix D) per Section 490.1(c) of the MWELO is required.  

For a remodel/addition project: 

c. If the project landscape area is 2,500 square feet or less, compliance with CMC Chapter 21.26 is required 

but not the MWELO.  

STEP 3. Prepare your Building Permit Plans 

Prepare  Planting  and  Irrigation  Plans  demonstrating  compliance  with  the  applicable  requirements.  Submit 

Planting and Irrigation Plans and this completed form with your Building Permit Application. 

PROPERTY INFORMATION 

Project Site Address: _________________________________________________________________________________ 

Square Footage of Project Landscape Area: ____________________________________________________________ 

PROJECT TYPE 

New Construction  Addition/Remodel LANDSCAPE REQUIREMENT 

MWELO Prescriptive Option (Appendix D)  CMC Chapter 21.26 (No MWELO) 

PROJECT  INTAKE  

(City Use Only) 

BLD File No: _____________ 

PLN File No: _____________ 

Planner: _________________ 

  

CITY OF CAMPBELL Community Development Department

70 North First Street • Campbell, CA 95008‐1423 • TEL (408) 866‐2140 • FAX (408) 866‐5140 • E‐MAIL [email protected] 

   

COMMERCIAL, MULTI‐FAMILY RESIDENTIAL, and PLANNED DEVELOPMENT 

Landscape Information Form  

The City of Campbell has adopted the updated California Model Water Efficient Landscape Ordinance (MWELO) 

as  part  of  the  City’s  Water  Efficient  Landscape  Guidelines.  This  document  is  available  at: 

http://www.cityofcampbell.com/DocumentCenter/View/176 or on the Planning Division’s Zoning and Land Use 

webpage through http://www.cityofcampbell.com/166/Zoning‐and‐Land‐Use.  

STEP 1. Determine Required Landscape Areas 

See Planning Division staff for required landscape areas based on the property’s zoning district and/or current or 

previous planning entitlements.  

STEP 2. Determine Submittal Requirements 

For new construction projects: 

a. If  the  project  landscape  area  is  less  than  500  square  feet,  compliance with Campbell Municipal Code 

(CMC) Chapter 21.26 is required but not the MWELO. 

b. If  the  project  landscape  area  is  between  500  square  feet  and  2,500  square  feet,  compliance with  the 

prescriptive option (Appendix D) per Section 490.1(c) of the MWELO is required.  

c. If the project landscape area is over 2,500 square feet, a landscape documentation package prepared by an 

authorized and licensed professional in compliance with the full MWELO is required.  

For remodel/addition/rehabilitation projects: 

d. If  the  project  landscape  area  is  2,500  square  feet  or  less,  compliance with Campbell Municipal Code 

(CMC) Chapter 21.26 is required but not the MWELO. 

e. If  the  project  landscape  area  is  greater  than  2,500  square  feet,  a  landscape  documentation  package 

prepared by an authorized and licensed professional in compliance with the full MWELO is required.  

STEP 3. Prepare your Building Permit Plans 

Prepare  Planting  and  Irrigation  Plans  demonstrating  compliance  with  the  applicable  requirements.  Submit 

Planting and Irrigation Plans and this completed form with your Building Permit Application. 

PROPERTY INFORMATION 

Project Site Address: _________________________________________________________________________________ 

Square Footage of Project Landscape Area: ____________________________________________________________ 

PROPERTY TYPE 

Commercial/Office/Industrial  Multi‐Family Residential  Planned Development PROJECT TYPE 

New Construction  Addition/Remodel of              Existing Structure 

Rehabilitation of          Existing Site  

LANDSCAPE REQUIREMENT 

Full MWELO Landscape Documentation Package 

MWELO Prescriptive Option    (Appendix D) 

CMC Chapter 21.26        (No MWELO) 

PROJECT  INTAKE  

(City Use Only) 

BLD File No: _____________ 

PLN File No: _____________ 

Planner: _________________ 

City of Campbell, 70 N. First Street, Campbell, CA 95008, (408) 866-2140 TREE DISCLOSURE STATEMENT

(Campbell Municipal Code Chapter _____)

Building _____ Demolition____

Property Address_____________________________________ Permit Application No. _____________

The Municipal Code protects specified trees located on private and public property. Applications for

building permits that include exterior work and all demolition permit applications on private property must

be accompanied by this disclosure statement. Please check the appropriate answers, sign and date the

document.

1. Has this project been reviewed and approved by the Planning Department? If yes, indicate the

development permit number and/or tree removal permit number below and sign the bottom of this form.

If not, then proceed to Item No. 2.

Development Application No. __________ Tree Removal Permit No.__________

2. All properties (Except R-1): Are there any trees 38 inches or greater in circumference when measured

48-inches above natural grade on the property? Are any of the trees designated Heritage Trees?

Yes __________ No__________

Size, Type _________________________________________________________________

If the answer is no (skip Item No. 3) and sign below. If yes, the location and species of all such trees

must be disclosed on the site plans or, if no plans are required for this application then a site plan

indicating existing trees must be provided. Fencing protection for the trees is required per Diagram #__

attached. A signed Tree Disclosure statement stating that the protection is in place must first be received

before a permit can be issued.

3. Single Family Residential Properties Only (including PD’s): Were any trees required to be retained as a

Condition of Approval for your property or development? Are any of these trees proposed for removal?

Yes __________ No__________

If the answer is yes, for those trees (“Protected Trees”) you must also disclose the size of the trunk

diameter and drip line area on the site plans and discuss the application with the Planning Division.

I understand that knowingly or negligently providing false or misleading information in response to this

disclosure requirement constitutes a violation of the Campbell Municipal Code Section ____, which can lead

to criminal and/or civil legal action.

Signature______________________________ Print Name______________________ Date___________ Property Owner or Authorized Agent

If you have any questions about this form or the information required, please contact the City’s Planning

Department for assistance at (408) 866-2140.

FOR OFFICE USE ONLY

_____Permit # _________ Issued Date __________________________ Planning Authorization

_____Waiting for Verification that Tree Protection Plan is in Place

_____Waiting for Diagram of Tree Locations