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CITY OF
CONTRACTOR INFORMATION:
'
n D nC DIIVIISIONNO PERMIT
BUILDING ADDRESS:
PERMIT NO.
19791 MERRITT DR
01050028
� FRANCES M
qq
A05/T02 /2001
11D
/PHONE,
SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MF.CH
' LICENSED CONTRACTOR'S DECLARATION
I berenr meson mat I am nrm,rn order or Chapter 9 ammmmri "g
Job DesCfl Il ' A' �C
�"v �i
grpvtsiuns
with Section 7(100) of Division 3 of the Business and Professions Code, and my license
380 SQ . FT . ROOM ADDI TPI
L`in full force and effect.
icenseClas.
MAR 1 7 2003
Date Coulon ,
ARCHITECTS DECLARATION
'
1 understand my plans ball be used a, gfbl,, records
BUILDING
Licensed professional
OWNER - BUILDER DECLARATION
1 hereby .(lees that 11. exempt form the Contractor
%Co e: Any Law for the
true,.. (Section 7u31.5. Bueine,e and Professions Code: Any rimy
$36711
gcoame
which b n pem,it or reams any e
whirrs ctmwde, pear. improve, dcmorrit
_... _..._- .._..- - .. _ _n _ _
n statement
sera also requires the applicant for mchperinnon
punt t re
its issuance.
�rq
C p 3 •3111�r'® ®seer+. q ^, t,
Y, S t i 't
Valuation
l
Law
that he licensed Pursuant go of the CommnorsLicense La (Chapter
ce
70(At Division 3 the Business and Profec,on Code)
(comtneuc ng with Smiton pf of
or that he is eacmpt ,heiefmm and mw basis for me alleged eitemption. Any violation
\. 1 • . ��
„
,
- of Seniors 7031.5 by any opplicam for a permit sidnesu me agplicmnno a civil penalty
. of no, .,me than Le hundred dollars S5w1.
101APN NATION
Occupancy Type
°1, as owner of the property, or my employes with wages as their sole compensation.
102 —
PIERS
10 3 -
UFER Required Ins ec[ions -'"
q p
will do the work; and he grv,mry is am intended ,, nrfcrrd' for 'sale (Sm. 7(144.
License Law does to
Business and Professions Cade: The Contractors not apply an
owned of progeny Who Wild, or improves hereon, and who does such work himself
104 -
REBAR
or drough his own employees provided that such improvements are not intended m
oIe¢d rm,ale. ¢ ndwe�er. me wading dr itnp�ommcnm m sula wuhm poe rear or
'105-__'
ANCHOR._BOLTS ... __._... ...._;._ _- . _ ......... ....- -- .. ..
... ..
mnplmro. the ownerbuidder will have the burden of proving that he did not wild or
106
SEWER & WATER
improve Purpose of
-
01a56wnmuiiheprnhrtr. ape. ewaiarranna <tinewithhrmdmntrarwretn
202 -
UNDERFLOOR PLUMBING.._._.__
nnstract the Project (Sec. 704., Business and Prolessfom Code:) The Contractor's
203 -
UNDERFLOOR MECHANICAL
Lirmx law does nor apply w an owner of p,openy who wilds or improves thereon,
.and It _m t.. for such p'ecu. with a controc,or(s) licensed pursaant m the
204 -
UNDERFLOOR. FRAME - - - - - - - -- '
cmrrazto, i< nse Lnw.
❑lam ca p derSec. B &PC for this reason
205 -
UNDERFLOOR INSULATION
Y /Z G�
301 -
ROUGH PLUMBING
oWncr me'
WO KER'SC P SATION DECLARATION
302 -
TUB & OR SHOWER
- Ibetchy afnrm rude rpenalty arp ;aryna,of the following declinaroas:
303 -
ROUGH MECHANICAL
° I base and will maintain a Cenmcme of Consent to self -inane for Worker
3 04 -
ROUGH ELECTRICAL
Compensation, as provided for by section 37W of the Labor Code, tar he
305 -
FRAME
performance of he work for which his Permit is issued.
3 0 6 -
HOLDOWNS
° 1 have and will maintain Worker's Com ensa,ion Insurance, as required by Section
37W of the Inwr Cole, for the performance of the work for which ,his permit is
307 -
INSULATION
issued, My Worker's Compensation Insurance carrier and Policy number are:
'
308 -
'SHEETROCK
carrier l + Policy No.!
CERTIFICATION OP EXEMPTION FROM WORKERS'.'
r l 130'9• `- ''EXTERIOR
,LATH:
COMPENSATION wsuaniycE.
_ ----- 31-0 - ---
INTER -IOR-- LATH-- -- -- -- --.. _.__i ;. -... .... _... _; .._. __.......
" (This'sscrion need nor bbrumpleteJ if the permit in for one hundred dollars
311 -
SCRATCH COAT '
(EI W)mless.l
313 -
ROOF NAIL - - -- ' - -• -- - -
'I'cenify That in the performance of the work for which this permit is issued, I
501 -
FINAL EliECTRI CAL ]'ENERGY
shall no, employ any Person in any manner so to bgome'subjmL to dre Workers
.lo
on law, orcahmmm.Dame
502
Applicant
NOTICETOAPPLICANT. If. after makingthisCenifcateofEscmpim ,yogshould
.-,FINAL
503 -
.PLUMBING _ENERGY.
FINAL MECHANICAL'ENERGY -
become subject to the Workers Compensation Provisions of the Labor Code, you mug
formhwilh comply wall such oi, imsor this permit ,wllbe deemed revoked.
504 -
FINAL BUILDING ENERGY
' CONSTRUCTION LENDING AGENCY
505 -
FINAL ELECTRICAL, -
" IherebyaM. In.( mere isa construction leaving agency far the pcdnnmance
'or
506 -
GAS TEST
the %ork for which ,his Permit is issued (Sec. 30)Z co, C.)
Leader's Namr't
507 -
FINAL PLUMBING*
lender's Address
508 -
FINAL MECHANICAL*
I rmtlrr sent 1 owe read tai, agpl {ration and orate two me above mrognation is
k.,, 1 ageseto comply with all city send county ordinances and sane laws re1W ng
509 -
FINAL GRADE
I to Wilding construction, and hereby audhonto represserkedives ofthii City 10 enter slaren
510 -
FINAL PLANNING
the above- mentioned groped, for alpenim Impose,.
(We) agree to rave. indemnify and keep hmmless the City of Cupi,ino against
514 -
FINAL PUBLJC WORKS
1 liabilities, judgments, toss end expenses which may in any way ..me agilng said
City in consequence d me graining of this permit.
r
o APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT
Issued by:
Date
SOURCE REGULATIONS.
Re-roofs
Type of Roof
.... �• � "" -- -
..._ ��
sere of ApplicanUConwism, .' Date
Signature Will the applicant or future wilding occupant store or handle harardous material
` HAZARDOUS MATERIALS DISCLOSURE''
" definand by the Cupenitw Municipal Code. Chapter 9.12, and the Health and Safety
g
3. y'
.. �. n. s.., .,
Code., °Ys . 255320d` No :1 '� ;i, : ,.'rpm
" `� '
r 1.•. . .!"'T y'',.
__..All roofs shall be inspected, prior to any roofing material being.installed.__.,
_'.
Will he applicant m future b ilding occupant use equipment or devices which'
If a roof is installed
without first obtaining an inspectiori,'I agree to remove
emit hatuardirms air contaminants as defined by he Bay Are,, All Ismality M agemet,
' chat
all new materials
for inspection. Applicant understands and will comply with
j 11 Y. ON.
all non -point source regulations.,
1 have read the Woudtwa moadal requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533 and 25534. 1 understand that
ifthe wilding does not currently have a moan. that it is my responsibility to notify the
-
bicultural of the requiremenu which must be met prior to is mace of a Cenilicale of
Signature of Applicant Date
All roof coverings to be Class.. "B" or better'
thvncr m nmhorizeJ agmt ' - Date
:1
• . OFFICE
BU LDING DIVISION PERLY1 T
BUILDINGADDP'ESS1 MERRITT DR
owN "ttbRGE FRANCES M
PHONE:
UNDERFLOOR PLUMBING '
UNDERFLOOR FRAMING VENTS 49M
UNDERFLOOR INSULATION
ROOF SHEATH/DIAPHRAGM —
Z -
A DFSCRIPnON
PLUMBING
Z -
PLANNING 777 -3308
TUBS & SHOWER PAN
❑ SFDWL
x j
MECHANICAL
gZ -
❑ PLUMBING RE -PIPE
ELECTRICAL/POOLBOND
`•��
S
FRAMING /STAIRS /E. EGRESS
— 6 Z
FIRE - CALL (408) 378 -4010
INSULATION/VENTILATION 7—
4c—= t-
S'
EXTERIOR SHEARIHOLD DOWN
INTERIOR SHEARIHOLD DOWN
SHEETROCK/SHEETROCKSHEAR
EXTERIOR LATH/W- SCREED
SHOWER LATH
SCRATCH COAT
SEWERIWATER
TEMPORARY APPROVALS
OCCUPANCY
ZZ -O2. 4 S
IEW
S
O ZO
P ....
A DFSCRIPnON
CALL 777 -3228 MONDAY - FRIDAY 24 HOURS
Z -
PLANNING 777 -3308
BEFORE REQUIRED INSPECTION. JOB ADDRESS
❑ SFDWL
x j
GAS TEST
'ADDITION
❑ PLUMBING RE -PIPE
(.a
GRADE (P.W. 777 -3354)
❑ STRUCTURAL
FIRE - CALL (408) 378 -4010
RESIDENTIAL COMMERCIAL OTHER
❑ INTERIOR
J O
—
U
HANDICAP
ELECTRICAL ' —('7-03
HAZARDOUS FIRE AREA
pW,
PLUMBING
❑ OTHER
J Z
MECHANICAL
I —
T O
ENERGY
VISUAL FINAL ONLY
BUILDING -"
'9A
1ri
n
380 SQ.FT. ROOM ADDITION.
ArIMM-
""'00 10 5 0 0 2 8
127'05/.2001
SANITARY NO. CONTROL NO.
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
TO ARRANGE INSPECTION
A DFSCRIPnON
CALL 777 -3228 MONDAY - FRIDAY 24 HOURS
REM NTI f
BEFORE REQUIRED INSPECTION. JOB ADDRESS
❑ SFDWL
❑ KITCHEN REMODEL
7 AND PERMIT A ARE NEEDED WHEN PHONING.
'ADDITION
❑ PLUMBING RE -PIPE
❑ MULTI -UNIT
❑ STRUCTURAL
MODIFICATION
RESIDENTIAL COMMERCIAL OTHER
❑ INTERIOR
❑ CHIMNEY REPAIR
IMPROVEMENT ❑ SWIMMING POOLS
HAZARDOUS FIRE AREA
❑ BATH REMODEUREPAIR ❑ DEMOLITION
❑ OTHER
❑ YES If yet -1 understand that a Class A roof assembly is required.
❑ NO Initial I.C.B.O. A
EXISTING ROOF COVERING
Number of existing coverings
To be removed To be retained
` -` -p 2 -,P'-CD
TYPE OF ROOF COVERING
EXISTING:
❑ Built -Up Roof
❑ Asphalt Shingles
❑ Wood Shakes
❑ Wood Shingles
❑ Other (Specify)
COMMERCIAL:
❑ NEW BLDG /ADDITION ❑ DEMOLITION
❑ TENANT ❑ FOOD SERVICE
IMPROVEMENT
❑ OTHER
PROPOSED:
❑ Built -Up Roof
❑ Asphalt Shingles
❑ Wood Shakes
❑ Wood Shingles
_ ❑ Other (Specify)
Provide LC.B.O. Report No
Provide Mfgr. Installation S
INSPECTION SPECIAL INSPECTION REQUIRED ❑
IMPORTANT
Ali T
When a permit has expired, a charge totaling or
the fees to obtain a new permit merit be paid to
reactivate the permit.
11 a permit has been expired for more than one year, a
charge totaling the full fees to obtain a new permit
must be paid to reactivate the permit.
❑ Initials
CERTIFICATE OF OCCUPANCY
DATE I INSP
PRE - INSPECTION: PLYWOOD: IN- PROGRESS:
INSP. DATE INSP. DATE INSP. DATE
TEAR OFF INSPECTION: BATTENS: FINAL:
INSP. DATE INSP. DATE QJSP. DATE
No,rE: OSHA APPROVED ACCESS TO ROOF SHALL ECG PROME® FOR INSPECIMON
CITY OF CUPERTINO
BUILDING DIVISION PEST
BUILDINQA)2Q$F,$$� MERRITT DR
IINE"SGy19b'RGE FRANCES M
PHONE:
ARCHITECTIENGINEER:
PHONE #: '
304 SQ.FT. ROOM ADDITION.
TO ARRANGE INSPECTION
iiISPE CALL 777 -3228 MONDAY - FRIDAY 24 HOURS
BEFORE REQUIRED INSPECTION. JOB ADDRESS
AND PERMIT # ARE NEEDED WHEN PHONING.
UNDERFLOOR PLUMBING
UNDERFLOOR MECHANICAL
UNDERFLOOR ELECTRICAL
UNDERFLOOR FRAMING VENTS
UNDERFLOOR INSULATION • %r f%,
ROOF SHEATH/DIAPHRAGM
F ?3AI S ...
Z -
PLANNING 777 -3308
PLUMBING
GAS TEST
12)
GRADE (P.W. 777 -3354)
TUBS & SHOWER PAN
FIRE- CALL (408) 378 -4010
9454-A
'7—j
MECHANICAL
PLUMBING
J z
MECHANICAL
ELECTRICAUPOOL BOND
ENERGY
VISUAL FINAL ONLY
FRAMING /STAIRS /E. EGRESS
BUILDING
INSULATION/VENTILATION
EXTERIOR SHEAR/HOLD DOWN
INTERIOR SHEAR/HOLD DOWN
SHEETROCK/SHEETROCK SHEAR
EXTERIOR LATH/W- SCREED
SHOWER LATH.
SCRATCH COAT
SEWER/WATER
TEMPORARY APPROVALS
OCCUPANCY
z
F ?3AI S ...
Z -
PLANNING 777 -3308
j
GAS TEST
12)
GRADE (P.W. 777 -3354)
Z) Z
FIRE- CALL (408) 378 -4010
JH
U
HANDICAP
ELECTRICAL
pp,,
PLUMBING
J z
MECHANICAL
❑ BATH REMODELIREPAIR ❑ DEMOLITION
ENERGY
VISUAL FINAL ONLY
BUILDING
RESIDENTIAL COMMERCIAL OTHER-
HAZARDOUS FIRE AREA
[]YES If yes • I understand that a Class A roof assembly is required.
❑ NO Initial I.C.B.0.1t
EXISTING ROOF COVERING
Number of existing coverings .
To be removed To be retained _............
TYPE OF ROOF COVERING
EXISTING:
❑ Built -Up Roof
❑ Asphalt Shingles
❑ Wood Shakes
❑ Wood Shingles
❑ Other(Specify)_
"D1050028 .VeX
PERMIT ISSUE DATE
12/05/2001
SANITARY NO. CONTROL NO.
BUILDING PERMIT INFO
BLDG ELECT PLUMB_ MFCF
COMMERCIAL:
❑ NEW BLDG /ADDITION ❑ DEMOLITION
❑ TENANT ❑ FOOD SERVICE
IMPROVEMENT
❑ OTHER
PROPOSED:
❑ Built -Up Roof
❑ Asphalt Shingles
❑ Wood Shakes
❑ Wood Shingles
_ ❑ Other(Specify)
Provide I.C.B.O. Report No.
Provide Mfgr. Installation Specs.
INSPECTION SPECIAL INSPECTION REQUIRED
— IMPORTANT
When a permit has expired, a charge totaling one -half
the fees to obtain a new permit must be paid to
reactivate the permit.
If a permit has been expired for more than one year, a
charge totaling the full fees to obtain a new permit
must be paid to reactivate the permit.
❑ Initials
CERTIFICATE OF OCCUPANCY
DATE I INSP
PRE - INSPECTION: PLYWOOD: IN- PROGRESS:
INSP. DATE INSP. DATE INSP. DATE
TEAR OFF INSPECTION: BATTENS: FINAL:
INSP. DATE INSP. DATE __.__ INSP. DATE
(VOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION
JOB DESCRIPTION
RESIDENTIAL•
❑ $FDWL
13 KITCHEN REMODEL
ADDITION
❑ PLUMBING RE -PIPE
❑ MULTI -UNIT
❑ STRUCTURAL
MODIFICATION
❑ INTERIOR
❑ CHIMNEY REPAIR
IMPROVEMENT
❑ SWIMMING POOLS
❑ BATH REMODELIREPAIR ❑ DEMOLITION
❑ OTHER
COMMERCIAL:
❑ NEW BLDG /ADDITION ❑ DEMOLITION
❑ TENANT ❑ FOOD SERVICE
IMPROVEMENT
❑ OTHER
PROPOSED:
❑ Built -Up Roof
❑ Asphalt Shingles
❑ Wood Shakes
❑ Wood Shingles
_ ❑ Other(Specify)
Provide I.C.B.O. Report No.
Provide Mfgr. Installation Specs.
INSPECTION SPECIAL INSPECTION REQUIRED
— IMPORTANT
When a permit has expired, a charge totaling one -half
the fees to obtain a new permit must be paid to
reactivate the permit.
If a permit has been expired for more than one year, a
charge totaling the full fees to obtain a new permit
must be paid to reactivate the permit.
❑ Initials
CERTIFICATE OF OCCUPANCY
DATE I INSP
PRE - INSPECTION: PLYWOOD: IN- PROGRESS:
INSP. DATE INSP. DATE INSP. DATE
TEAR OFF INSPECTION: BATTENS: FINAL:
INSP. DATE INSP. DATE __.__ INSP. DATE
(VOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION
u
e
P
B ER EINERGY 1761 BRIDGE CREEK ROAD
COM PUAN1C C SCOTTS VALLEY, CA 95066
PHONE: (831) 335 -4802
STATE of CQLIFORMA TDB E-24
EHERGYCOVAPUAHCE
u
19791 IMiv GRj��G3j�Tppi��1T DRONE, t�MG'C�G31TINO, CAA
NEl/1/HALL-UESPH
i
AUG 2 2 ZOOM c� V ? ''
A:LE of COO TE TS
COVER REPORT
FORM CFA R CERTIFICATE OF COMPLIANCE
FORM I,ViF -'IR MANDATORY MEASURES CHECKLIST
FORM C -2R COMPUTER METHOD SUMMARY
HVAC SYSTEM HEATING AND COOLING LOADS SUWAR
ROOM LOAD SUMMARY
ROOD HEATING PEAK LOADS
ROOM COOLING PEAK LOADS
1
27
6�
10
11
12
13
NrN,
Ad fflocc ffi a, 9220( anug �f
CONSULTING MECHANICAL ENGIINEE
RESIDENTIAL ENERGY COMPLIANCE
RESIDENTIAL ADDITION
Residence ------------------------------------- - - - - ->
Address--------------------------------------------- >
Designer/Architect ------------------------------- >
Submittal Date ------------------------------------ >
Documentation Author--------------------- - - - - ->
I r: h
ZZ
rn
�, a '1
EXP. 12 31 -J�
L �
1
�� fl:il;1!.
Addition to the George Residence
19791 Merritt Drive, Cupertino, CA
Newhall Design
4 -28 -01
Al Nibecker
This compliance study was performed following the requirements of the 1999 edition of the
California Energy Standard as applied to single family dwellings. All elements of the attached
compliance documents must be met for compliance. The basic requirements are summarized as
follows:
DESCRIPTION
FUEL /INPUT
DESIGN REQ'MNT
Floor Area
---- - - - - ->
380 Square Feet
Ceiling Insulation
---- - - - - ->
R -30 Batt
Exterior Wall Insulation
---- - - - - ->
R -13 Batt
Raised Floor Insulation
---- - - - - ->
R -19 Batt
Total Glazing Area
---- - - - - ->
23 Square Feet
Glazing Framing
---- - - - - ->
Vinyl
Glazing Type (single /dual)
---- - - - - ->
Dual
DOMESTIC WATER HEATER
WATER HTR
FUEL /INPUT
FUEL
R -12 EXT.
CIRCULATION SYSTEM
CAP. (GAL)
(BTUH)
BLANKET REQ'D
W/ TIME CONTROL
Existing
Existing
GAS
N/A
NOT APPLICABLE
MECHANICAL SYSTEM
The existing mechanical equipment shall be extended to service the addition. Tho;�.Jjach6 IPPq j
calculations indicate the heating requirement imposed by the addition.
THERMAL MASS REQUIREMENTS —
No credit has been applied for any thermal mass elements of the new construction.
Respectively Submitted,
A. F. Nibecker PE
935 Riverside, Unit 19 - Paso Robles, CA 93446 0 (805) 239 -3666 - FAX (805) 239 -9381 - E -Mail: ana@tcsn.net
Certificate of Com pflance:
G° esWendal1
(Part 1 of 2) CF-11 R
Component
Frame
Assembly
' Addition to the George Residence
Type
4/27/2001
Project Title
Wood
Date
19791 Merritt Drive Cupertino
Wood
0.035
R -13 Wall (W.13.2x4.16)
Project Address
0.081
❑ X❑
Building Permit #
' A.F. Nibecker & Associates, Inc.
(805) 239 -3666
Drapery
Bug Screen
Documentation Author
Telephone
Plan Check Date
d Computer Performance
4
Field Check / Date
Compliance Method (Package or Computer)
Climate Zone
Enforcement Agency Use Only
GENERAL INFORMATION
Total Conditioned Floor Area:
Total Conditioned Slab Area:
Building Type:
(check one or more)
® Single Family Detached (SFD)
❑ Single Family Attached (SFA)
❑ Multi- Family
380 f?
0 ft'
U Addition Alone
❑ Existing Building
❑ Existing Plus Addition
Front Orientation: (North) 0 deg
Number of Dwelling Units: 1.00
Plumber of Stories: 1
Floor Construction Type: ❑ Slab Floor
FENESTRATION
® Raised Floor
Location /Comments
(attic, garage, typical, etc.)
Exterior Floor I Over Crawlspace (w /R -6 Credit)
Exterior Roof
Exterior Wall
�� i1nV nnr,t
Shadinca Devices
Type Orientation Area
Labeled Fenestration
Const.
Component
Frame
Assembly
Type
Type
U -Value
R -19 Floor (F.19.2x8.16)
Wood
0.038
R -30 Roof (R.30.2x12.16)
Wood
0.035
R -13 Wall (W.13.2x4.16)
Wood
0.081
FENESTRATION
® Raised Floor
Location /Comments
(attic, garage, typical, etc.)
Exterior Floor I Over Crawlspace (w /R -6 Credit)
Exterior Roof
Exterior Wall
�� i1nV nnr,t
Shadinca Devices
Type Orientation Area
Labeled Fenestration
Interior
Exterior
Overhang Side Fins
SF
U -Value SHGC
roller blind, etc.
shadescreen, etc.
Yes / No
Yes / No
Skylight
8.0
0.68 0.67
None
None
❑ n
❑ X❑
Rear (South)
15.0
0.55 0.65
Drapery
Bug Screen
❑
❑
❑ ❑
❑ ❑
❑ ❑
F1
F1 —
r❑�
❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
Run Initiation Time: 04127101 14:47:11
Run Code: 98.8408031
EnergyPro 2.1 By
EnergySoft
User Number: 3865
Job Number: 481 -BB
Page:2 of 11
C er ificate of C omDl ancee G° es iidentall (Part 2 of 2) C FA R
Addition to the George Residence
Newhall Design
4/27/2001
Project Title
Los Gatos, CA
Date
HVAC SYSTEMS Note: Input Hydronic or Combined Hydronic data under Water Heating Systems, except Design Heating Load.
Lic. #:
Distribution
Heating Equipment Minimum
Type and
Duct or
Type (furnace, heat Efficiency
Location
Piping
Thermostat Location/
pump, etc.) (AFUE /HSPF) (ducts, attic, etc.)
R -Value
Type Comments
Central F Rnace 82% AFUE
Ducts in Attic
42
Setback Existing Residential System
Cooling Equipment Minimum
Duct
Type (air conditioner, Efficiency
Location
Duct
Thermostat Location i
heat pump, evap. cooling) (SEER)
(attic, etc.)
R -Value
Type Comments
No Cooling 10.0 SEER
Ducts in Attic
42
Setback FYisting Residential System
WATER HEATING SYSTEMS
Rated 1
Tank Energy Facts 1 External
Water Heater Water Heater
Distribution # in
Input
Cap. or Recovery Standby Tank Insul.
System Name Type
Type Syst.
Btu /hr
(gal) Efficiency Loss ( %) R -Value
1 For small gas storage (rated inputs of less than or equal to 75,000 Btu /hr), electric resistance and heat pump water heaters, list energy factor.
For large gas storage water heaters (rated input of greater than 75,000 Btulhr), list Rated Input, Recovery Efficiency and Standby Loss.
For instantaneous gas water heaters, list Rated Input and Recovery Efficiency.
REMARKS
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the
California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any
shading feature that is varied is indicated in the Special Features /Remarks section.
Designer or Owner (per Business & Professions Code) Documentation Author
Name
Title /Firm:
Newhall Design
Address:
19465 Madrone Court
Los Gatos, CA
Telephone:
(408) 206 -1090
Lic. #:
Name: A.F. Nibecker PE
Title /Firm: A.F. Nibecker & Associates, Inc.
Address: 935 Riverside Avenue Unit 19
Paso Roble. CA 93446
TeleD,Kone:
(signature) (date)
Enforcement Agency
Name:
Title /Firm:
Address:
Telephone:
Run Initiation Time: 04!27/01 14,47 ft
EneravPro 2.1 By EneravSott User Number, 3865
Job Number: 481 -88
(date)
of 11
IfUlandatoN Measures C hecklusto G°3esWenVai IMF- i] R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used.
Items marked with an asterisk ( *) may be superseded by more stringent compliance requirements listed on the Certificate of
Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties
as binding minimum component specifications.
DESCRIPTION Instructions: Check or initial applicable boxes or enter N/A if not applicable. I DESIGNER jENFORCEM
Building Envelope Measures
X 1150(a): Minimum R -19 ceiling insulation in wood frame assembly, or equivalent U- value.
] §150(b): Loose fill insulation manufacturers labeled R- value.
!J '§ 150(c): Minimum R -13 wall insulation in framed walls or equivalent U -value (does not apply to exterior mass walls).
] *§ 150(d): Minimum R -13 raised floor insulation in wood framed floors.
] § 150(1): Slab edge insulation - water absorption rate < 0.3 %, water vapor transmission rate < 2.0 perm /inch.
§118: Insulation specified or installed meets quality standards. Indicate type and form.
J§116 -17; Fenestration Products, Exterior Doors and Infiltration /Exfiltration Controls
1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
2. Manufactured fenestration products labeled with certified U- value, SHGC, and infiltration certification.
3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
J§150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only.
J§150(f): Special infiltration barrier installed to comply with Section 151 meets Commission quality standards.
§150(e) Installation of Fireplaces, Decorative Gas Appliances and Gas Logs.
1. Masonry and factory-built fireplaces have closable doors, outside air intake with damper and control, and flue
damper and control;
2. No continuous burning gas pilots allowed.
pace Conditioning, !dater Heating and Plumbing System pleasures
] §110 -13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission.
§150(h): Heating and /or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA.
§150(1): Setback thermostat on all applicable heating and /or cooling systems.
§150Q): Pipe and Tank Insulation
1. Storage gas water heaters with less than 0.58 energy factor shall be externally wrapped with R -12.
2. Back -up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R -12 external insulation or R -16
combined internal /external insulation, piping between heat source and tank insulated.
3. Insulation on the first 5' of pipes closest to water heater tank, non - recirculating systems (R -4 or greater), buried or exposed
piping in recirculating sections of hot water systems, cooling system piping below 55 deg F.
- §150(m): Ducts and Fans
1. All ducts and plenums constructed, installed, insulated, fastened, and sealed to comply with the ICBO 1997 UMC sections
601 603; ducts insulated to a minimum installed R -4.2 or ducts enclosed entirely within conditioned space. Openings shall be
sealed with mastic, tape aerosol sealant or other duct closure system that meets the applicable requirements of UL181,
UL181 S, or UL 181 B and other applicable specified test for longevity given in 150(m).
2. Exhaust fans systems have back draft or automatic dampers.
3. Gravity ventilating systems servng conditioned space have either automatic or readily accessible, manually operated
dampers.
§114: Pool and Spa Heating Systems and Equipment
1. Certified with 78% thermal efficiency, on -off switch, weatherproof instructions, no pilot or electric resistance heating.
2. System is installed with at least 36" of pipe between filter and heater, cover for outdoor pools or spas.
3. Pool system has directional inlets and a circulation pump time switch.
§115: Central Furnaces, pool heaters, spa heaters or household cooking appliances have no constant pilot light.
ighting Measures
§150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 lumens/watt or greater for general
lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an
entrance to the kitchen.
150(k)2: Rooms with a shower or bathtub must either have at least one luminaire with lamps with an efficacy of 40 lumens/watt
cr greater switched at the entrance to the room or one of the alternative to this requirement allowed in 150(k)2.; and recessed
ceiling are IC (insulation cover) approved.
EnergyPro 2.1 By EnergySoft User Number: 3865 Job Number: 481 -BB Page:4 of 11 1
Computer Method SSurnma�y
(Part 1 of 3) C -2R
Addition to the GPnrne Residence
4/27/20.1
Project Title
Date
19791 Merritt Drive Cupertino
Project Address
Building Permit #
AF. cker & Assooiatec, Inc
(805) 239 -3666
__Nit)
Documentation Author
Telephone
Plan eneck /Date
_Computer Performance
Compliance Method (Package or Computer)
4 I
Climate one
Field Check/Date
Source Energy Use Standard
Proposed
Compliance
(kBtu /sf -yr) Design
Design
Margin
Space Heating 11.36
4.70
6.66
Space Cooling 17.12
12.93
4.18
Domestic Hot Water 0.00
0.00
0.00
Totals 28.48
17.63
10.84
GENERAL INFORMATION
Conditioned Floor Area: 380 Floor Construction Type: ❑ Slab Floor
Building Type: Single Fam Detached a Raised Floor
Building Front Orientation: (North) 0 deg
Number of Dwelling Units: 1.00 Total Conditioned Volume: 3,040
Number of Stories: 1 Slab Floor Area: 0
BUILDING ZONE INFORMATION # of Thermostat Vent
Zone Name Floor Area Volume Units Zone Type Type Hgt. Area
Existinq Res dentia14ystem 'i8n 304 1 nn rnnditinned S,-thank nh
OPAQUE SURFACES Act
Type Area U -Val. Aam. Tilt
Flnor .S 380 0.038 0 180
Roof 372 0035 0 _ 22.
-(all 88 n 081 0 _�0
Wall 80 0.081 90 90
Wall 289 0.081 --t@Q _ 90
Wall 80 n n81 270 90_
Solar
Gains
YIN Form 3 Reference
C .. win
1 C.• 1
Location / Comments
Addition
Addition
Additinn
Addition
Addition
Additinn
Run Initiation Time: 04/27/01 14:47:11 Run Code: 988408031
EnergyPro 21 By EnergySoft User Number: 3865 Job Number: 481 -BB Page:5 of 11
Computer Method Summary
(Part 2 of 3) C -2R
Addition to the George Residence
4/27/2001
Project Title
Date
FENESTRATION SURFACES
U -Value
Act.
Glazing Type
Location/
.4 Type Area SHGC
Azm.
Tilt
Comments
1 Skylight . Front (North) _ 8.0 0.680. 0.67
- 0
22 Double NonMtl Clear Default
Addition
2 Window Rear (South) 15.0 0.550 0.65
180
90 Double NonMtl Clear Default
Addition
INTERIOR AND EXTERIOR SHADING
Window Overhang
Left Fin Right Fin-
Interior Shade Type SHGC Exterior Type
H_st. wd. yen. Hgt. �Ext. RExt. Dist
_
yen. Hgt. Dist. yen. Hgt.
- _Shade
1 None 1.00 None
_SHGC
1.00
_
2 Drapery 0.68 Bug Screen ._ .
0.76
Run Initiation Time: 04/27/01 14:47:11
Run Code: 988408031
EnergyPro 2.1 By EnergySoft User Number: 3865
Job Number: 481 -BB
Page:6 of 11
0
Computer Method Summ au (Part 3 of 3) C -2R
Addition to the George Residence 4/27/2001
Project Title Date
THERMAL MASS FOR HIGH MASS DESIGN
Area Thick. Heat Inside Location
Type (sf) (in.) Cap. Cond. Form 3 Reference R -Val. Comments
PERIMETER LOSSES
F2 Insulation
Type Length Factor R -Val. Depth Location / Comments
HVAC SYSTEMS
Heating Equipment
Minimum
Distribution Type
Type (furnace, heat
Efficiency
and Location
Duct
Thermostat
Location /
pump, etc.)
(AFUE /HSPF)(ducts /attic, etc.)
R -Value
Type
Comments
Central Furnace
821 AFUE
Ducts in Attic
4.2—
Setback
Existing Residential System
Pipe Pipe
Insul.
Hydronic Piping
System Name
Length Diameter
Thick.
Cooling Equipment
Minimum
Duct
Type (air conditioner,
Efficiency
Location
Duct
Thermostat
Location /
heat pump, evap. cooling)
(SEER)
(attic, etc,)
R -Value
Type
Comments
No Cooling
10.O SEER
Ducts in Attic
4.2
Setback
Exisling J3eSiS�e_ntia.l_System
(MATER HEATING SYSTEMS Rated' Tank Energy Fact! 1 Tank Insul.
Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby R -Value
System Name Type Type Est. (Btu /hr ) ((gal) Efficiency Loss ( %) Ext.
1 For small gas storage (rated input — 75000 Btu /hr), electric resistance and heat pump water heaters, list energy factor.
For large gas storage water heaters (rated input > 75000 Btu /hr), list Rated Input, Recovery Efficiency and Standby Loss.
For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency.
2.1
User N
N
481 -BB
e:7 of 11
6
HVAC SYSTEM HEAT G AND COOUNG LOADS SUM MARY
PROJECT NAME DATE
A_ dd_ition to the George Residence 4/27/2001
SYSTEM NAME FLOOR AREA
Existing Residential System 380
ENGINEERING CHECKS ISYSTEM LOAD
Number of Systems_ 1 COIL COOLING PEAK COIL HTG. PEA{
i- leafing System CFM Sensible Latent CFM Sensible
Output per System 15,000 Total Room Loads 159 3,884 95 251 6,025
Total Output (Btuh)
15,000
Return Vented Lighting
0
95
Output (Btuh /sqft)
39.5
Return Air Ducts
194
301
Cooling System
Return Fan
0
0
Output per System
0
Ventilation
0 0 0 0
0
Total Output(Stuh)
0
Supply Fan
0
0
Total Output (Tons)
0.0
Supply Air Ducts
194
301
Total Output (Btuh /sgft)
0.0
TOTAL SYSTEM LOAD
4,272
95
6,627
Total Output (sgft/Ton)
0.0
- - - -- - - - - - -
Air System _. __ ___ _._
_ ._ ..
HVAC EQUIPMENT SELECTION
CFM per System
600
- - -- -
Existing Forced Air System
0
0
15,000
Airflow (cfm)
600
--
Airflow (cfm /sqft)
1.58
Airflow (cfm /Ton)
0.0
- - - -- - - - - - -
-
- -
- -- - -- -- - - -- - -- - -- -
Outside Air ( %)
0.0
Total Adjusted System Output
0
0
15,000
(Adjusted for Peak Design Conditions)
-- .
Outside Air (cfm /sgft) — _
0.00
TIME OF SYSTEM PEAK
Aug 2 pm
Jan 12 am.
Note: values above given at ARI conditions
EATING SYSTEM PSYCHROMETRICS
Airstream Temperatures at Time of Heating
Peak
28.0 OF 69.5 °F 92.7 OF 92.7 OF
Outside Air
0 cfm
Heating Coil
69.5 OF
N
Supply Fan
600 cfm
k Return Air Ducts 4
Supply Air Ducts
92.3 OF
ROOMS
70.0 OF
DOLING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Cooling Peak
87.1 / 67.5 OF
Outside Air
0 cfm
78.3/62.2 °F
78.3/62.20F n 55.0/53.50F
Cooling Coil
55.0 / 53.5 OF
®-� Supply Air Ducts
Supply Fan 55.3 / 53.6 OF
600 cfm 40.6% R.H. ROOMS
78.0 / 62.1 OF
Return Air Ducts
EnergyPro 2.1 By EnergySoft User Number: 3865 Job Number: 481 -BB
Page:8 of 11
7
L OOM LOAD SUMMARY
PROJECT NAME
Addition to the George Residence
DATE .
4/27/2001
SYSTEM NAME
Existing Residential System
FLOOR AREA
380
ROOM LOAD SUMMARY
ZONE !NAME ROOM NAME Mult.
ROOM COOLING PEAK
CFM I SENSIBLE LATENT
p'.—.0, CIL COOLING PEAK
I SENSIBLE; LATENT
COIL HTG. PEAK
CFM SENSIBLE
°
Addition
Conditioned Floor
1
159
3,884
95
1591
3,8841
95 `
251
6,025
I
i
I
' I
I
I
I
I
�
I � I
II
I
i I
II
W'T
I
r;
I
I
I
i
i I
PAGE TOTAL 1591 3,8841 951 251 6,025
TOTAL 1591 3,884 5 251 6,025
EnergyPro 2.1 By EnergySoft User Number: 3865 Job Number: 481 -BB Page:9 of 11
"
� ROOOO HEA ��G F''EAK OOADS
Project Title Date
Addition to the George Residence 4/27/2001
Room Information Design Conditions
Room Blame Conditioned Floor Time of Peak Jan 12 am
Floor Area 380 Outdoor Dry Bulb Temperature 28 of
Indoor Dry Bulb Temperature 70 OF
Conduction
Area
U -Value
pT of
Btu /hr
R -19 Floor (F.19.2x8.16) _
380.0
x
0.0493
x
42.0 =
787
.R -30 Roof (R.30.2x12.16) _
372.0
x
0.0347
x
42.0 =
543
.Double NonMtl Clear Default _ _. .. _. _ _
8.0
x
0.6800
x
42.0 =
228
,R -13 Wall (W.13.2x4.16)
537.0
x
0.0810
x
42.0 =
1,828
'Double NonMtl Clear Default
15.0
x
0.5500
x
42.0 =
346
x
x
=
x
x
=
x
x
=
x
x
=
_
x
x
=
-
x
x
=
x
x
=
- -
x
x
=
_.
_ ..
x
x
=
x
— - --
x
=
--
- - -
x
x
=
x
x
=
- - - -- -- .. _
x
x
=
--
x
x
=
—
x
x
--
x
x
=
x
x
=
x
x
=
x
x
=
x
x
=
-
x
x
=
x
x
=
x
x
= .
x
x
=
-
x
x
=
x
x
=
x
x
=
x
x
_
Items shown with an asterisk (') denote conduction through an interior surface to another room.
Page Total:
3,733.
Infiltration: 1_.00 x 1.077 x
_380 x . 8,00 x
1.00 / 60
x
42 =
2,292
` Schedule Air Sensible
Area Ceiling Height
ACH
DT
Fraction
TOTAL HOURLY HEAT LOSS FOR ROOM
s,o25
EnergyPro 2.1 By EnergySoft User Number: 3865 Job Number: 481 -BB Page: 10 of 11
Ji t�
RES11DDENT11ALL ROOM COOLLNG LOAD SUM vi MARY
Addition to the George Residence
Project Title
Sched.
4/27/2001
Date
Page Total
Room Blame
Items shown with an asterisk (') denote conduction through an interior surface to another room.
Frac.
Area
Conditioned Floor
e Design Indoor Dry Bulb Temperature:
Btu /hr
Shaded
1.00 x
Unshaded
780F
Design Outdoor Dry Bulb Temperature:
Area SGF
Area
SGF SC
Btu /hr
880E
Design Temperature Difference:
15 ¢
8.0. x
152) x 0.770 =
936
100F
Conduction
Area
15.0 x
U -Value
DETD 1
Btu/hr
R -19 Floor (F.19.2x8.16)
380.0
x
0.0493
X 0.0 =
0
R -30 Roof (R.30.2x12.16)
372.0_
x
0.0347
X 29.0 =
375
Double NonMtl Clear Default
8.0
x
0.6800
X 10.0 =
54
R -13 Wall (W.13.2x4.16)
537.0.
x _
0.0810
X 8.6 =
374
Double- NonMtl Clear Default
15.0.
x
0.5500
X 10.0 =
82
x
¢
x
)x =
x =
Btu /hr
- x
¢
x
)x =
x =
177
( x
¢
x
)x =
x =
0
Process
1.00 x
x
0.000 Watts /sgft x
x -
0
1. Design Equivalent Temperature Difference (DETD)
Sched.
Page Total
886
Items shown with an asterisk (') denote conduction through an interior surface to another room.
Frac.
Area
Heat Gain
Btu /hr
Shaded
1.00 x
Unshaded
0.200 Watts /sgf4 x
Solar Gain Orientation
Area SGF
Area
SGF SC
Btu /hr
.Skylight- _- - -(Skylight)-
( 0.0. x -_
15 ¢
8.0. x
152) x 0.770 =
936
Window (South)
( 0.0 x
15 ¢
15.0 x
.32)X . 0.684 =
328
0,000 Watts /sgft x
( x
¢
x
)x =
380 x
8.00 x 1.00 / 60
x
¢
x
)x =
Area
Ceiling Height ACH
( x
¢
x
)x =
- -- - - -- -- - - --
- - - -
- -.
ITOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM
3.884
( x
¢
x
)x =
x
¢
x
)x =
Btu /hr
- x
¢
x
)x =
333 sgft/occ. =
177
( x
¢
x
)x =
3.413 Btuh/Watt =
EnergyPro 2.1 By EnergySoft User Number: 3865 Job Number: 481 -66 Page: 11 of 11
Sched.
Page Total
1,265
Internal Gain
Frac.
Area
Heat Gain
Btu /hr
Lights
1.00 x
380 x
0.200 Watts /sgf4 x
3.413 Btuh/Watt =
259
Occupants
1.00 x
380 x
245 Btuh /oCC. / ,i �� °
331'3 Af /'6cc. =
280
Receptacle
1.00 x
380.x
0.500 Watts /sgft x
3.413 Btuh/Watt =
648
Process
1.00 x
380 x
0,000 Watts /sgft x
3.413 Btuh/Watt =
0
Infiltration: 1.00
x 1.077 x
380 x
8.00 x 1.00 / 60
10 =
546
Schedule
Air Sensible
Area
Ceiling Height ACH
T
Fraction
ITOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM
3.884
Sched.
Latent Gain
Frac.
Area
Heat Gain
Btu /hr
Occupants
1.00 x
380 x
155 Btuh /oCC. /
333 sgft/occ. =
177
Receptacle
1.00 x
380 x
0.000 Watts /sgft x
3.413 Btuh/Watt =
0
Process
1.00 x
'.380 x
0.000 Watts /sgft x
3.413 Btuh/Watt =
0
Infiltration: 1.00
x 4,830 x
380 x
8.00 x 1.00 /60
- 0.00033 =
-81
Schedule
Air Latent
Area
Ceiling Height ACH
W
Fraction
°
TOTAL HOURLY LATENT HEAT GAIN FOR ROOM
95
EnergyPro 2.1 By EnergySoft User Number: 3865 Job Number: 481 -66 Page: 11 of 11