12010131CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 21820 MONTE CT
CONTRACTOR: K & M DEVELOPMENT
PERMIT NO: 12010131
INC
OWNER'S NAME: MONTE COURT LLC
PO BOX 2535
DATE ISSUED: 03/30/2012
OWNER'S PHONE: 4083905127
CUPERTINO, CA 95015
PHONE NO: (408)253-9787
❑ LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL 17 COMMERCIAL EI
License Class 1�5 Lie. #�l
CONSTRUCT 2 STORY SFDWL 4,178 SQ FT OF LIVING
3as
SPACE, 266 SQ FT PORCH AREA, 651 SQ FT ATTACHED
Contractor Date
GARAGE
1 hereby affirm that 1 am licens!undethe provi ons Chapter 9
(commencing with Section 7000) of Division 3 of the Business & Professions
Code and that my license is in full force and effect.
1 hereby affirm under penalty of perjury one of the following two declarations:
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
Sq. Ft Floor Area:
Valuation: $800000
performance of the work for which this permit is issued.
1 have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
APN Number: 32619083.00
Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
PERMIT EXPIRES IF WORK IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
180 DAYS FROM LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
j� j��� �� Date:
granting of this permit. Additionally, the applicant understands and will comply
Issued by: _/ f f
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
3 �O
RE -ROOFS:
Sign Date n
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
❑ OWNE - UILDER D ARATION
Signature of Applicant: Date:
1 hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale (Sec.7044,
Business & Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
HAZARDOUS MATERIALS DISCLOSURE
construct the project (Sec.7044, Business & Professions Code).
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will
I hereby affirm under penalty of perjury one of the following three
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations:
Health & Safety Code, Section 25532(a) should 1 store or handle hazardous
I have and will maintain a Certificate of Consent to self -insure for Worker's
material. Additionally, should I use equipment or devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued.
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
the Health & Safety Code, Sections 25505, 25533, and 25534.
Owner or authorized agent: Date:
permit is issued.
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person inany manner so as to become subject to the Worker's
Compensation laws of California. If, after making this certificate of exemption, I
CONSTRUCTIO G AGENCY
become subject to the Worker's Compensation provisions of the Labor Code, I must
I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked.
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
APPLICANT CERTIFICATION
Lender's Address
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 and state laws relating
to building construction, and hereby authorize 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,
ARCHITECT'S DECLARATION
costs, and expenses which may accrue against said City in consequence of the
I understand my plans shall be used as public records.
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
Licensed Professional
9.18.
Signature Date
CUPERTINO
CONTRACTOR / SUBCONTRACTOR LIST
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
JOB ADDRESS: 2%/ 0000 /YO
PERMIT # Z0 I O
OWNER'S NAME: iy% '1 5" G''
PHONE # 46 ff. 3 '?D SJZ
GENERAL CONTRACTOR:
BUSINESS LICENSE #
ADDRESS: Z-OPvty 'z,
CITY/ZIPCODE:
*Our municipal code requires all businesses working in the city to have a City of Cupertillro business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
Signature
Please check applicable subcontractors and complete the following information:
Date
✓
SUBCONTRACTOR
BUSINESS NAME BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
,
Electrical
� r
Excavation
6rVIZ L i �C 24C/C L? C o Z 3,6 - (f
Fencing
Jjl,
Flooring / Carpeting
Linoleum / Wood
7
Glass / Glazing
a
Heating
*2dD,,P 3/�
Insulation
p,��i,✓i �,✓.�U �.J ;' oa /
Landscaping
Lathing
Z:-45�
Masonry
Painting / Wallpaper
-a e/
Paving
Plastering
��p��J 2/Cv (S v
Plumbing
'-7 ""'C*
RoofingX,t,�
/3/C ••/G'' C-4� S�S�
Septic Tank
Sheet Metal
Sheet Rock
/fiLLS c�L fir �yy��G �jr�f
Tile
AIc--4 GC ZC-* 7,41237- -
Signature
<</3
Z-
ate
i
/ V'/
J
,%z
3k'
ov
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 •FAX (408) 777-3333 • building(�cuperbno.org�
CUPERTINO
bdNEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERwr #
PROJECT ADDRESSa/�z o 6-- c,�� AFN # 5 Z 6.0 • og 3
OWNER NAME ON-rE COUK4 LLf- PxoNE E-MAII
STREIiTADD RES�D&.7�J�7 CITY, STATE ZIP luh&40;
u/ FAX
eA
CONTACT NAMEn //1/ PHONES eD/E M t 1 df •
STREET ADDRESS X68 �bL 11 I /�' cr y, STA
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONIRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTORNAMH LICENSENUMBER LICENSE TYPE BUS. LIC#
COMPANY NAME T� �G ��C v f i�v/a,G E-MAIL FAX .
STREET ADDRESS CITY, STATE, ZIP PHONE
ARCHITE /ENG LICENSE ER BUS. LIC #
COMPANY NAME E-MAIL FAX
STREET ADDRESS 8411 S / ti1F- CITY, STATE ffi DP
DESCRIPTION OF WORK
ti�i hnt-.l b) Lam.« d..,y h d Af6") -7. cyfi%&,J
I I cL--- J I V-16 I 2 I USE I TYPE I OCC. I SQ -FT- I VALUATION (S) I
EXISTG NEW FLOOR
AREA AREA *)
I DEMO
AREA
TOTAL
NET AREA
BATHROOM KITCHEN OTHER
REMODEL AREA REMODEL AREA REMODELAREA
PORCH AREA
z& V-.
DECK AREA
TOTAL DECKIPORCH AREA
I
GE AREA: DETACH
jc , ATTACH
# DWELLINGIS A SECOND UMT []YES
SECONDSTORY YES
r:
/ BE1NG ADDED? [-]NO
ADDITION- ❑NO
PRE -APPLICATION YES IF YES, PROVIDE COPY OF
IS THE BLDG AIV ❑ YES
RECEIVED By;TOTAL
V
VALUATION : 0
PLANNING APPL # NO P PPROVAL LETTER
G A
EICHLER HOME? �I NO
L
$ bOO
By my signature below, I certify to each of le fallowing I am the property owner or authorized agent to act on the prpperty 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 con I authorize representatives of Cupertino to enter the above -identified property for inspection purposes.
ordinances and state laws relating to building c-=
Signature of Applicant/Agent
Date: Z�
I Z
SUPPLEMENTAL INFORMA N QUIR.ED
PLAN CHECK TYPE
ROUTJNG SLIP
❑ OVER -Tan+ -COUNTER
4-S 177 i nvG PLAN REVZW
New SFD or Multifamily dwellings: Apply for on permit for
existing building(s). Demolition permit is required prior to issuance of building
permit for new building.
rpt
13 r- ivuvG PIAN REVIEW
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
GZARD
� FUBLICw0wo
form if any Hazardous Materials are being used as part of this project
El LARGE
D
Copy of Planning Approval Letter or Meeting with Planning prior to
❑ MAJOR
�SAPIITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
Bldglpp_2011.doc revised 06121111
UTILITY RELEASE REQUEST FORM
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
CUPERTINO 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building()cupertino.org
PURPOSE
For residential single family or duplex construction, there are cases where gas and electric utilities are
requested to be released prior to the issuance of the certificate of occupancy. Upon approval from the
building inspector. the City of Cupertino is allowing both utilities to be released prior to the final sign -off of
the building.
INSTRUCTIONS
1. Download this format: http://www.cupenino.or5ziindex.aspx?pane=297.
2. Complete the form and obtain signatures from both the owner of the property and the primary contractor.
3. Fax, E -Mail, Mail or hand deliver the original signed form to:
City of Cupertino
Building Division
Attn: Utility Release Request Form 408-777-3228 office
10300 Torre Ave. 408-777-3333 fax
Cupertino, CA 95014 buildine!�kupertino.org
4. Schedule a Gas Meter Release inspection (#403) and/or Electric Meter Release inspection (9404). Please
note, a Gas Test inspection (4506) .is required prior to or at the same time of the Gas Meter Release
inspection.
BUILDING INFORMATION (Please complete the following information):
APN
..3z6-
BLDG PER T #:
DATE:
SITE
ADDRESS: a/ A0ZQ
OWNER'S NAME:
A1/i
PHONE #:�,�d Z
FAX
MAILING ADDRESS (if different from site address):
Z __2>01e .
CONTRACTOR:
PHONE #:
J4�
FAX #:
CONTACT:
PHONE #:
/9 ,.y �Ci�G�
FAX #: d, 2 3 -
I request the City to release my utilities prior to obtaining a final inspection approval for the building. I fully understand the occupants of
the building cannot move into the residence until they receive all of the required final sign -offs and the City has issued a certificate of
occuoancv for the buildinci.
Owner:.............................................,................ ..........' �'J...C......'................ Date:..... .. /..�r....
.
Contractor:....... ...:.........~fit.. --'."............... Print:. ................ Date ---a'l'
Z...
UriliryReleaseForm_2011.doc revised 08109111
j� CITY OF CUPERTINO
F—"7
I� FEE ESTIMATOR — BUILDING DIVISION
OCCUPANCY TYPE:
AigDDRESS: 21820 monte ct.
DATE: 01/20/2012
REVIEWED BY: bobs.
PC FEE ID
APN:
BP#:
"VALUATION: 1$800,000
I PERMIT TYPE: Building Permit
PLAN CHECK TYPE: New Construction
PRIMARY SFD or Duplex
USE:
tad Unit? Yes • No
PENTAMATION 1 R3SFDW
PERMIT TYPE:
WORK
construct new 2 story sfd.
SCOPE
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
s.f.
PC FEES
PC FEE ID
BP FEES
BP FEE ID
R-3 (Custom)
II-B,111-B,IV,V-B
5,095
$3,061.55
IR3PLNCK
$3,792.05
IR3INSP
$0.00
PME Plan Check:
$0.00
Permit Fee:
$3,792.05
Suppl. Insp. Fee.e Reg. Q OT
0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
TOTALS:
L.. 5,095
$3,061.55
Construction Tax: IBCONST
$3,792.05
# new
units
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc.). These fees are bated on the nrelininary information available and are only an estimate_ Contact the Dent for addn'1 info_
FEE ITEMS (Pee.Reso/ution 11-053 L' . 711/11)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$3,061.55
Select a Misc Bldg/Structure
or Element of.a Building
Suppl. PC Fee: 0 Reg. ® OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$3,792.05
Suppl. Insp. Fee.e Reg. Q OT
0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tax: IBCONST
1AXR
# new
units
$583.80
G
Work Without Permit? 0 Yes (F) No
$0.00
Advanced Planning Fee: PLLONGRNGR
$662.35
Select a Non -Residential
Building or Structure
G
0
Strong Motion. Fee: IBSEISMICR
$80.00
1
Select an Administrative Item
1
Bldg Stds Commission Fee: IBCBSC
$32.00
SUBTOTALS:
$8,211.75
$0.001
TOTAL FEE:
F $8,211.75
Revised: 1/19/2012
Building Department
CITY OF CUPERTINO
10300 TORRE AVENUE • CUPERTINO, CA 950"14-3255
TELEPHONE: (408) 777-3228 • FAX: (408) 777-3333
OUTSIDE AGENCY PLAN CHECKING FEES
Date: January 23, 2012
Agency Name: CSG
Permit Number: 12010131
Project Address: 21820 MONTE CT
Plan Check Fees:
Hourly plan check fees: Number of hours
Plan check based:
1St & 2nd plan checks included in initial plan check fee:
$1,990.01 (Agency Fee -65% already calculated)
3rd plus plan checks:
Number of hrs ($260.00 2hr min)
Please attach this form with the number of hours spent on the 3rd plus plan checks and
send with the plan check comments or if plans are approved, with the plans & approval
letter.
Please email the plan check comments to:
Suew@cupertino.or? and Svlviam@cupertino.org.
*Please do not give plan check comments directly to the customer. We don't give out
the comments until we have all of them back from each department.
o
mt
Project:
Sales Rep:
Delivery / Pickup:
Customer.
Terms:
Comments:
martha Monte ct
Jerry
Delivery
Martha Monte ct
1 11
The Los altos Window Company
4029 Cherokee Road
Stockton CA, 95205
408-31.4-3330
www.miigard.com .
Contact: Contact:
Address: Address:
Project ID:
199
Quote Date:
06/06/2012
Print Date:
06/06/2012
PO:
Marhta Monte ct
Est. Delivery:
(After Receipt of Order)
Phone: I Phone:
Fax: Fax:
Manufacturer: Milgard
Item: VDI Location: living room
Quantity: 1 Tuscany, 8520T, FC, RO 30"x 72" UF: 0.32, SGC: 0.26, VLT: 0.47
Fin Placement: 1 3/8" Setback; Hinge Side: Left; Exterior Finish: Tan;
Interior Finish: Tan; Glazing: Dual Glazed (Insulated Glass); Outer Glass
Lite Option: SunCoat Low -E; Inner Glass Lite Option: Clear, Glass Thick
1: 1/8"; Glass Thick 2: 1/8"; SpaoerType:.EdgeGard; Screen: Standard;
Clear Opening W: 221/16" H: 6615/16" SQ: 10:26 STC: 31
Line Item Comments: Customer Approval:
Initials
g Jp; 189
9f 19 08108/2412
N
Manufacturer: Milgard
Ifein: 0002 Location: living room
Quantity: 1 Tuscany, 8520T, FC, RO 30"x 72" UF: 0.32, SGC: 0.26, VLT: 0.47
Fin Placement: 13/8" Setback; Hinge Side: Right; Exterior Finish: Tan;
Interior Finish: Tan; Glazing: Dual 'Glazed (Insulated Glass); Outer Glass
.Lite Option: SunCoat Low=E; Inner Glass Lite Option: Clear, Glass Thick
1: 1/8"; Glass Thick 1/8";Spacer Type: :15dgeGard; Screen: Standard;
Clear Opening W: 22 1116" H: 661.5/16" SQ 10:26 STC: 31
Line Item Comments: Customer Approval:
Initials
Manufacturer Milgard
1M1k. :0009 IN*
Quantity: 1 Tuscany, 8520T, FC, RO 30"x 72" UF: 0.32, SGC: 0.26, VLT: 0.47
Fin Placement: 1318" Setback; Hinge Side: Left; F)derior Finish: Tan;
Interior Finish: Tan; Glazing: Dual Glazed (Insulated Glass); Outer Glass
Lite Option: SunCoat Low-E; Inner Glass Lite Option: Clear, Glass Thick
is i/a"; Graaa Thick 2: ww; spacer Typo:.:gdq&Qard: Screen: Standard:
Clear Opening W. 22 1/16" H: 6615/16" SO: 10.26 STC: 31
Line Item Comments: Customer Approve]:
Initials
Manufacturer: Milgard
Item:.OD04 Location: library
Quantity: 1 Tuscany, 8520T, FC, RO 30"x 72" UF: 0.32, SGC: 0.26, VLT: 0.47
Fin Placement: 1318" Setback, Hinge Side: Right; Exterior Finish: Tan;
Interior Finish: Tan; Glazing: Dual Glazed (Insulated Glass); Outer Glass
Lite Option: SunCoat t_o -. E; Inner Glass Lith Option: Clear, Glass Thick
1:118"; Glass Thick 2;1/.8"; Spacer Type:EdgeGard;. Screen: Standard;
Clear Opening W. 221/16" H: 6615/16" SQ: 10.26 STC: 31
Line Item Comments: Customer Approval:
Initials
Q4+9 IP, in 2 Or 9 glirg6/2012
Manufacturer: Milgard
Item: (005 Location: garage
Quantity: 1 Tuscany, 8520T, FC, RO 24" x 48" UR 0.32, _SGC: 0.26, VLT: 0.48
Fin Ploament. 13/r 6etbaok; HinQe,6ide; Left; Extanor Finish: Tan;
Interior Finish-. Tan; Glazing; Dual'Glazed (Insulated Glass): Outer Glass
gtiRn; $ynlo6t t -ow; Inn@t Glass I.Ite�?ptlan: Clear; .Glass Thick
1: 3/32"; Giiss1Thitkk 2: 3132'•; Spacer Type:.bgsbard; Screen:
Standard; Clear;Opening W: '11 13/16" H: 4218/16""$Q: 3.52
Line Item Comments: Custoirner Approval:.
Initials
Manufacturer.. Milgard
Item. 0006 Location: garage
Quantity: 1 Tuscany, 8520T, FC, RO 24" x 48" UR 0.32, SGC: 0.26, VLT: 0.48
Fin Placement 13/8" Setback; Hinge Side: Right; Exterior Finish: Tan;
Interior Finish: Tan; Glazing: Dual'Glazed-(Insulated, Glass); Outer Glass
Lite Option: SunCoat Low -E; Inner Glass;Lte:Option: Clear, Glass Thick
Su Tl' oat
i �nl A'!!�1°'R •! eV1f1n
101"M 43 140" 44- 342
Line Item Comments: Customer Approval:
Initials
Fin Placement: 1,3/8" Setback; Wall Condition: No Jamb; Sliding
Direction: OX; Eidenor Finish: Tan; Interior Finish: Tan; Glazing: Dual
Glazed (Insulated :Glass); Tempered: AII; Outer Glass Lite Option:
0 X SunCoat Low -E.. Inner Glass LitwOption: Clear, Glass Thick 1: 1/8';
Glass Thick 2.:1/8"; Spacer Type EdgeGard Handle Type: SmartTouch;
Screen: SlidingScreen;.ClearOpehing•W: 301/4" H::921/2" SQ: 18.43
STC: 29
Customer Approval:
Line Item Comments:
Initials
ouoRelR ?Plr
94/96ijQ12
Manufacturer Milgard
.Item. 0008 Location: sitting room
Quantity: 1 Tuscany, 8520T, FC, RO 30" x 60" UF: 0.32, S.GC: 0.26, VLT: 0.47
Fin Placement: 13/8" Setback; Hinge Side: Left; Exterior Finish: Tan;
Interior Finish: Tan; Glazing: Dual :Glazed -(insulated Glass); Outer Glass
Lite Option: SunCoat cwV 15; inner Glass' Lite Option: Clear, Glass Thick
1:1/8"; Glass Thick.2:1✓8'; Spacer Type: Edd6Gard;, Screen: Standard;
Clear Opening.W: 221/16" H: 5415/16"'SO: 8.42 STC: 31
Line Item Comments: Customer Approval:
Initials
Manufacturer. Milgard
_ MN 1111 1MIR! Pllm
Tuscany, 8520T, FC, RO 30" x 60" UF: 0.32, SGC: 0.26, VLT: 0.47
Fin Placement: 13/8" Setback; Hinge Side:. Right; Exterior Finish: Tan;
Interior Finish: Tan; Glaiing:'DuW.Glazed.(Ingulated:Glass); Outer Glass
Lite Option: SunCoat LovwE; Inner Glass Lite Qptioif; ;Clear, .Glass Thick
1: 118'; Glass Thick 2:1/8" Spacer Type::Edg6Gard; Screen: Standard;
Clear Opening W: 221/16" H: 54;15/16" SQ 8.42;STC: 31
Line Item Comments:
Customer Approval:
Initials
Manufacturer: Milgard
Item: 0010 Location: bed room #4
Quantity: 1 Tuscany, 8520T, FC, RO 39'x 60" UF: 0.32, SGC: 0.26, VLT: 0.47
Fin Placement: 13/8" Setback; Hinge Side: Left; Exterior Finish: Tan;
Interior Finish: Tan; Glazing: Dual Glazed (insulated. Glass); Outer Glass
Lite Option: SunCoat.Low-E; Inner Glass Lite. Option: Clear, Glass Thick
1: 1/8"; Glass Thick 2:.118'; Spacer Type: EdgeGard; Screen: Standard;
Clear Opening W: 221/16" Hi 54:15/16" SQ: 8.42 STC: 31
Line Item Comments: bed room egress Customer Approval:
Initials
. 4 Pf 19 06/06/2012
9W9.lp: 190
r.
Manufacturer: Milgard
Item: .0011 Location: bed rooni:#4
Quantity; 1 Tus any, 8520T, Fro, RO 301" x 00" UF: .0-32, SGC;, 0,20, VLT; 0.47
Fin Placement: 1 3/8" Setback; Hinge Side: Rightt, Exterior Finish; Tan;
Interior Finish.: Tan; Glazing: Dual .Glazed. (Insulated Glass); Outer Glass
Lite Option: SunCoat Low -E; Inner Glass Lite Option: Clear, Glass Thick
1:1/8"; Glass Thick 2:1/8'; Spacer Type:.EdgeGard; Screen: Standard;
Clear Opening W. 221/16" H: 5415116" SQ 8.42 STC: 31
Line Item Comments: bed room egress Customer Approval:
InWals
Manufacturer: Milgard
"Item: .0012° Location: family room french door
Quantity: 1 Tuscany, 8643T, VOS2P2, RO 72" x 96" UF: 0.37; SGC: 0.22, VLT: 0.40
Passive Handle
Fin Placement: 13/8" Setback; Wali Condition: 4 9/16'; Door Handing:
PA; € derior Finish: Tan; hterior.Finish: Tan; Swing: •Outswing; Number
of Door Panels: Two; Door Hinging: Passive/Active; Glazing::Dual
Glazed (Insulated Glass); Tempered; All; Outer:Glass Lite Option:
SunCoat Low -E; Inner Glass Lite Option: Clear,.,Glass Thick 1: 1/8';
L UZ Glass Thick 2: 1/8'; Spac br Type: EdgeGard;: Hinga.:Finish:.Tan; Interior
Handle Finish: Tan; Exterior Handle finish .Tan, STC: 30
Line Item Comments: need door to be 70" x Customer Approval:
Initials
Manufacturer: Milgard ~
Iterb: 0013 Location: family room french door 4%v*
Quantity: 2 Tuscany, 8320T, PW, RO 30"" UF: 033, SGC: 0.29, VLT: 0.55
118" SunCoat Low -E Tempera and 1/8". Clear Tempered
Fin Placement: 1318" Setback; Exterior Finish: Tan; .Interior:Finish: Tan;
Glazing: Dual Glazed -(Insulated Glass); Tempered: All; Outer Glass Lite
Option: SunCoat_LowE, nhdr.Glass Lite option :Clear, Glass Thick 1:
118"; Glass Thick 2: IIFS ; Spacer Type: EdgeGard; STC: 31
Line Item Comments: need french door to Customer Approval:
match line 13 70" Initials
x 96"
5 Of 19 X012
°tui�nut�pgtr�r: . mnaara
Item: .001+4 Location: family room
tluantity: I Tuscany, 8520T, DC, RO 48"x 72" UF: 0.32; SGC: 0.26, VLT: 0.48
Fin Placement 1 3/8" setback Hinga S.ide:.Left/Rioht: F�dsrior Finish:
Tan; Interior Finish: Tan; Gla2ing fuallazed (Insulated .Glass); Outer
Glass Lite Option: SunCoaMlow-E; Inner -Glass Lite•Optiow Clear, Glass
Thick 1:3/32" Glass ':Thiclr2: 3/32"; Spacer Type: EdgeGard; Screen:
Standard; Clear Opening .W: 12'5/16" ,H: 6615/16" .SQ: 5.72
Line Item .Comments: Customer Approval:
Initials
,Manufacturer. Milgard
..Item: '0015 Location: family room -french door
Quantity: 1 Tuscany, 8643T, VOS2P2, RO 72" x 96" UF: 0.37, SGC: 0.22, VLT. 0.40
Passive Handle
Fin Placement: 13/8" Setback; Wall Condition: 4 9/16'; Door Handing:
PA;.Exterior Finish: Tan; Interior Finish: Tan; Swing: Outswing; Number
Of Door Panels: Two; Door,Hinging: Passive/Active; Glazing: Dual
SunCoat Low -E; Inner Glass Utb Option: Clear;Glass Thick 1: 1/8';
Glass Thick 2: 1/811; Spacer Type '.12dgeGard; Hinge Finish: Tan; Interior
Handle Finish: Tan; Exterior Handle' Flnish: Tan; STC: 30
Line Item Comments: Customer Approval:
Initials
Manutacturer. Milgard
Item:: 0016 Location: family room
Quantity: 1 Tuscany, 8520T, DC, RO 48"x 72" UF: 0.32, SGC: 0.26, VLT: 0.48
Fin Placement 13/8" Setback; Hinge Side: Left/Right, Exterior Finish:
Tan; Interior Finish: Tan;. Glazing: Dual Glazed (insulated Glass); Outer
Glass Lite Option; SunCoatLow.-E; Inner Glass Lite•Option: Clear, Glass
Thick 1: 3132"; Glass Thick 2: 3132"; Spacer Type:.EdgeGard; Screen:
Standard; Clear Opening W: 12 5/16" H: 66 15/16" SQ: 5.72
Line Item Comments: ' Customer Approval:
Initials
¢
Of 19 Q610612012
9upls JR, .18a
(Manufacturer Milgard
lterrr 0017: Location: family room
Quantlty: 1 Tuscany, 8520T,..FC, RO 24!'x 72" UF: 0.32, SGC: 0.26, VLT: 0.48
Fin Placement: 1318" Setback; Hinge Side: Right; Exterior Finish: Tan;
Interior Finish: Tan: Glazing: Dual-GIW.d (Insulated Glass); O:uter:Glass
Lite Option: Sun: Coat Low=E; Inner.Glass,Llte Option: Clear, Glass Thick
1: 3132"; Glass Thick 2: 3/32", Spacer T'ype:: EdgeGard; Screen:
Standard; Clear:Openmg --W: 11 13/16" H: 6615/1'6". SQ: 5.49
Line Item Comments: Customer Approval
Initials
Martnnfer. Milgard
Item .0018 Location: family. room
Quantify: 1 Tuscany. 8520T, FC; RO 24" x 54" UF: 0.32, SGC: 0.26, VLT: 0.48
Fin Placement: 131.8" Setback; -Hinge Side: Left; Exterior Finish: Tan;
Interior Finish: Tan; Glazing! Duai'Glazed (Insulated: Glass); Outer Glass
Lite Option: SunC.oat Low -E; Inner Glass Cite Option: Clear, Glass Thick
1: 3/32"; Glass Thick 2:-3M2"; Spacer Type:.EdgeGard; Screen:
Standard; Clear Opening ;W.11 13/16" H: 4815/16" SQ: 4.01
Line Item Comments: Customer Approval:
Initials
Location: family room
Tuscany, 8320T, PW, -110 24" x 54" UF: 0.33, SGC: 0.30, VLT: 0.55
Fin Placement: 13/8" Setback; Fadedor Finish: Tan; Interior Finish: Tan;
Glazing: Dual Giazed.(Insulated::Glass); Outer Glass Lite Option:
SunCoat Low -E; Inner.Glass Llte Option: Clear, Glass Thick 1: 3/32";
Glass Thick 2: 3132"; Spacer Type:.EdgeGard;
Line Item Comments
Customer Approval:
Initials
Oude ID: 198
Manufaetgrerc Milgard
item 0020 Location: family room
Quantity: 1 Tuscany, 8520T, FC, RO.24" x 54" UF: 0.32, SGC: 0.26, VLT: 0.48
Fin Placement: 1.3/8" Setback; Hinge Side: Right; Exterior Finish: Tan;
Interior Finish: Tan; Glazing: Dual'Glazed (Insulated Glass); Outer Glass
Lite Option:. SunCoat Low-. E; Inner Glass Lite Option: Clear, Glass Thick
1: 3/32"; Glass -Thick 2: 3132"; Spacer Type.- Edge.Gard; Screen:
Standard; Clear Opening.W. 11.13/16" H: 49=15/16" SQ: 4.01
tine Item Comments: Customer Approval:
Initials
Manufacturer: Milgard
Item 0021 Location: dining room
Quantity: 1 Tuscany, 8520T, FC, RO 30"x 72" UF: 0.32, SGC: 0.26, VLT: 0.47
Fin Placement: 13/8" Setback; Hinge Side: Left; Exterior Finish: Tan;
Interior Finish:.Tan; Glazing: Dual Glazed (insulated' Glass); Outer Glass
Lite .Option:SunCoat Low -E, Inner Glass Lite Option: Clear, Glass. Thick
1:1/8"; Glass Thicc.2: 1/8"; Spacer Type: EdgeGard;,Screen: Standard;
Clear Opening W. 221/16".H .6615/1.6" SQ: STC: 31
Line Item Comments: Customer Approval -
Initials
Manufacturer: Milgard
Item: .0022 Location: dining room
Quantity: 1 Tuscany, 8320T; PW, RO30" x 72" UF: 0.33, SGC: 0.29, VLT: 0.55
Fin Placement: 13/8" Setback; Exterior Finish: Tan; Interior Finish: Tan;
Glazing: Dual Glazed (Insulated Glass); Outer Glass1ite Option:
SunCoat Ldt E; Inner Glass.1-ke Option: Clear, Glass Thick 1: 1/8";
Glass Thick 2: 1/8"; Spacer.Typec-EdgeGard; STC:31
Line Item Comments: Customer Approval:
Initials
6 Of 19
06►06W2
Manufacturer. Milgard
.Item: 0023 Location: dining room
Quantity;. 1 Tuscany, 8520T, FC, RO 30" x 72" UF: 0.32, SGC: 0.26, VLT: 0.47
Fin Placement: 13/8" Setback; Hinge Side: Right; Exterior Finish: Tan;
Interior Finish: Tan; Glimr g: Dual Glazed {Insulated.. Glass); Outer Glass
Lite Option: SunCoat Low=E; Inneudlass Lite Option: Clear, Glass Thick
1:1/8"; Glass Thioli:2:1/S"; Spacer Type: Edged Screen: Standard;
Clear Opening W: 22 1116" H. 6615/16" SQ`.'10.26 STC: 31
Line Item Comments: Customer Approval:
Initials
Manufacturer Milgard
Item .:0024 Location: living room
Quantity 1 Tuscany, 8520T, FC, RO 30" x 72" UF: 0.32, SGC: 0..26, VLT: 0.47
Fin Placement: 13/8" Setback; Hinge Side: Left; Exterior Finish: Tan;
Interior Finish: Tan; Glazing:Dual Glazed (Insulated Glass); Outer Glass
Lite Option: Sunt,oat Lowes; annerGlass Lite Option: Clear, Glass Thick
1:1/8"; Glass.Thic k 2:1/8 Spacer Type: EdgeGaid; Screen: Standard;
Clear Opening. W: 221116" H: 6615/16" SO:1016:S'TC: 31
Line Item Comments: Customer Approval:
Initials
Manufacturer. Milgard
item: .0025 Location: living room
Quantity: 1 Tuscany, 8520T, FC, RO 30" x 72" UF: 0.32, SGC: 0.26, VLT: 0.47
Fin Placement: 1 3/8" .Setbadk; Hinge Side:.Right; Exterior Finish: Tan;
Interior Finish: Tan; Glazing: 'Dual Glazed,(Insulated Glass); Outer Glass
Lite Option: SunCoat L0w-E; Inner Glass.Lite Option: Clear, Glass Thick
1: 1/8"; Glass Thidc2: 118"; Spacer:Type.. EdgeGard; Screen: Standard;
Clear Opening W.,22 VW H: 6615//16" SQ: 10.26 -STC: 31
Line Item Comments: Customer Approval:
Initials
l 1 "N
...Manufacturer: Milgard
Item:. 0026 Location: stair well
.Quantity: 1 Tuscany, 8320T,. PW, ,RO 24" x 42" UF: 0.33, SGC: 0.29, VLT: 0.55
1/8" SunCoat LowFE Tempered.and 1/8" Clear Tempered
Fin Placement: 13/8" Setback; Exterior Finish: Tan; Interior Finish: Tan;
Glazing: Dual Glazed (Insulated Glass); Tempered:::All; Outer Glass Lite
Option: SunCoat.Low-E;.1hner Glass Lite Option: Clear, Glass Thick 1:
1/8"; Glass Thick.2:1/8% Spacer Type: EdgeG'ard; :STC: 31
Line Item Comments: Customer Approval:
Initials
Manufacturer: Milgard
Item: 0027 - Location: stairwell
Quantity: 1 Tuscany, 8320T, PW, RO 24" x 42" UR 0.33, SGC: 0.29, VLT: 0.55
1/8" SunCoat,Low-E Tempered and 1/8" Clear Tempered
Fin Placement: 13/8"Setback;. Exterior Finish: Tan; Interior Finish: Tan;
Glazing:;Dual Glazed (insulated Glass); Tempered: All; Outer.Glass L"Ite
Option: SunCoat-Low-E; `Ihner Glass Lite.Option: Clear, Glass Thick 1:
1/8"; Glass Thick -2: 118";. Spacer -.Type: EdgeGard; ZTC: 31
Line Item Comments: Customer Approval
Initials
Manufacturer: Milgard
..Iteim 0028 Location: open above
;Quantity: : 1 Tuscany, 8320T, PW, RO 24"x 36" UF: 0.33, SGC: 0.30, VLT: 0.55
Fin Placement: 1 3/8" Setback; F)derior Finish: Tan; Interior Finish: Tan;
Glazing: Dual Glazed (Dnsulated :Glass); Outer Glass Lite Option:
Sun4 os I.Aw": Innerloss.UU*4ChAk:m:-Char•. Glace Thick 1: 3/32";
Glass Thick 2: 3/32"; SGpacer Type: EdgeGard;
Line Item Comments: Customer Approval
Initials
:Manufacturer: Milgard
Item:.,0029 Location: open above
Quante: 1 Tuscany, 8320T, PW, RO 247. x 36" UF: 0.33, SGC: 0.30, VLM 0.55
Fin Placement: 1 3/8".Setback; Exterior Finish: Tan; Interior. Finish: Tan;
Glazing: Dual Glazed (Insulated Glass); Outer Glass.Lite Option:
SunCoat Low -E; Inner Glass Lite Option: Clear; Glass Thick 1: 3/32";
Glass Thick 2: 3/32"; Spacer Type: EdgeGard;
Line Item Comments: Customer Approval:
Initials
:Manufacturer: Milgard
Item .0030 Location: bed room # 3
Quantity: 1 Tuscany, 8520T, FC, RO 24"x 48" UF: 0.32, SGC: 0.26, VLT: 0.48
Fin Placement: 1 3/8"Setback; Hinge Side: Right; Exterior Finish: Tan;
Interior finish: Tan; Glazing: Dual. -Glazed (Insulated Glass); Outer Glass
Lite Option: SunCoat.Low-E; Inner:Gloss:Lite Option: Clear, Glass Thick
1:3/32"; Glass Thick 2: 332"; Spacer Type: EdgeGard; Screen:
Standard; Clear Opening W: 11 13/16" H:42 15/16" SQ: 3.52
Line Item Comments: bed room egress Customer Approval:
Initials ,.
Manufacturer: Milgard
Item: -0031 Location: bed room # 3
Quantity:. 1 Tuscany, 8520T, FC, RO 30" x 48" UF: 0.32, SGC: 0.26, VLT: 0.47
1/8" SunCoat Low-E.and 1/8" Clear .
Fin
Placement: 1 3/8" Setback; Hinge Side: Left; Exterior Finish: Tan;
Interior. Finish: Tan; Glazing: Dual Glazed: (insulated :Glass); Outer Glass
Lite Option: SunCoat L-ow=E; Inner Glass. Option::Clear, Glass Thick
1: 1/8"; Glass Thidc.2: 1/8"; Spacer Type::EdgeGard; Screen: Standard;
Clear Opening W: 221/16" H: 42 1 s/16" SQ::6:58 STC: 31
Line Item Comments: bed room egress. # 3 Customer Approval:
Initials
Quote ID: '189.._... ' ,
11 Of -1,19 " OBIOBl2Q12
Manufacturer: Milgard
Item`. 0032 Location: bed room # 3
Quantity: 1 Tuscany, 8520T, FC, RO 30"x 48" UR 0.32, SGC: 0.26, VLT: 0.47
1/8" SunCoat Low -E and 1/8" Clear
Fin Placement:1 3/8" Setback; Hinge Wtie light, tenor Finish: Tan;
Interior Finish: Tan; Glazing: Dual Glazed (insulated' Glass); Outer Glass
Lite Option: SunCoat Low -E; Inner GI�Lit 0" tIM Clear, Glass Thick
1:1/8"; Glass Thick 2:1/8"; Spacer T ! g�eWScreen: Standard;
Clear Opening W: 221/16" H: 4215/1.6" SQ: 6.58 STC: 31
Line Item Comments: bed room egress # 3 Customer Apprival:
Initials
Manufacturer: Milgard
Item: 0033 Location: bed room # 3
Quantity: 1 Tuscany, 8520T, FC, RO 24" x 48" UF: 0.32, SGC: 0.26, VLT: 0.48
Fin Placement: 1 3/8" Setback; Hinge. Side: Left; Exterior Finish: Tan;
Interior Finish: Tan; Glazing: Dual Glazed (Insulated Glass); Outer Glass
Lite Option: SunCoat Low -E; Inner Glass Lite Option: Clear, Glass Thick
1: 3/32"; Glass Thick 2: 3/32"; Spacer Type: EdgeGard; Screen:
Standard; Clear Opening W: 11 13/16" H. 4215/16" SQ: 3.52
Line Item Comments: bed rom # 3 egress Customer Approval:
Initials
Manufacturer: Milgard
Item: 0034 Location: bed room # 2
Quantity: 1 Tuscany, 8520T, FC, RO 36" x 48" UF: 0.32, SGC: 0.26, VLT: 0.48
Fin Placement: 13/8" Setback; Hinge Side Left; Exterior Finish: Tan;
Interior Finish: Tan; Glazing: Dual Glazed (Insulated Glass); Outer Glass
Lite Option: SunCoat Low=E; Inner Glass Lite Option: Clear; Glass Thick
1: 3/32"; Glass Thick 2: 3/32"; Spacer Type: EdgeGard; Screen:
Standard; Clear Opening W. 2313/16" H: 42 15/16" SQ: 7.10
Line Item Comments: bed room egress # 2 Customer Approval:
.Initials
�J
Manufacturer: Milgard
Item: 0035 Location: bed room # 2
Quantity: 1. Tuscany, 8520T, FC, RO 36"x 48" .UF: 0.32, SGC: 0.26, VLT: 0.48
Fin Placement: 13/8"Setback; HingeSide: Right;. Exterior Finish: Tan;
Interior Finish: Tan; Glazing: Dual Glazed (Insulated Glass); Outer Glass
Lite Option: SunCoat Lov�E; Inner Glass: Lite .Option° Clear, Glass Thick
1: 3/32"; Glass Thick 3: 3/32"; Spacer Type: EdgeGard; Screen:
Standard; Clear Opening W. 2313/16" H: 4215/16" SQ: 7.10
Line Item Comments: bed room egress 2 CustomerApprovat:
Initials
Manufacturer. Milgard
Item: 0036 Location: bed room # 2
Quantity. 1 Tuscany, 8520T, FC, RO 24"x 42" UF: 0.32, SGC: 0.26, VLT: 0.48
Fin Placement: 11 3/8" Setback; Hinge Side: Left; Exterior Finish: Tan;
Interior Finish: Tan; Glazing: Dual Glazed ;(Insulated Glass); Outer Glass
Lite Option: SunCoat Low -E; Inner Glass Lite Option: Clear, Glass Thick
1: 3/32"; Glass Thick 2: 3/32'; Spacer Type: EdgeGard; Screen:
Standard; Clear Opening' W. 11 13/16" H: 3615/16" SQ: 3.03
ELine Item Comments: bed room egress Customer Approval:
Initials
Manufacturer: Milgard
Item: '0037 Location: be,room #2
Quantity: 1 Tuscany, 8520T, FC, RO 24"x 42" UF: 0.32, SGC: 0.26, VLT: 0.48
Fin Placement: 13/8" Setback; Hinge Side: Right; Exterior Finish: Tan;
Interior Finish: Tan; Glazing: Dual Glazed (Insulated Glass); Outer Glass
Lite Option: SunCoat Low -E; Inner Glass Lite Option. Clear, Glass Thick
1: 3/32"; Glass Thick 2: 3/32"; Spacer Type: EdgeGard; Screen:
Standard; Clear_Opening W: 11 13/16" H: 3615/16" SQ: 3.03
.Line Item Comments: bed room egress # 2 Customer Approval:
Initials
Manufacturer: Milgard
Item:0038 Location: bed room # 1
Quantity: 1 Tuscany, 8520T, FC, RO 30" x 48" UF: 0.32, SGC: 0.26, VLT: 0.48
Fin Placement: 13/8" Setback, Hinge.Side: Left; Exterior Finish: Tan;
Interior Finish: Tan; Glazing: Dual Glazed.(Insulated Glass); Outer Glass
Lite Option: SunCoat LovwE; Inner Glass Lite Option: Clear, Glass Thick
1: 3/32"; Glass Thick 2: 3132"; Spacer Type: EdgeGard; Screen:
St9ndard; Clear Opening W: 221/16" H: 42 15116" SQ: 6.58
Line Item Comments: bed room # 1 egress Customer Approval:
Initials
Manufacturer: Milgard
Item: 0039 Location: beds room # 1
Quantity: 1 Tuscany, 8520T, FC, RO 30" x 48" UF: 0.32, SGC: 0.26, VLT: 0.48
Fin Placement: 13/8" Setback; Hinge Side: Right; Exterior Finish: Tan;
Interior Finish: Tan; Glazing: Dual' Glazed' (Insulated Glass); Outer Glass
Lite Qption: SunCoat Lov*-E; Inner Glass Lite Option: Clear, Glass Thick
1: 3/32"; Glass :Thick 2: 3/32"; Spacer Type: EdgeGard; Screen:
Standard; Clear Opening W. 22.1/16" H: 4215/16" SQ: 6.58
. I.. Z10 Line Item Comments: Customer Approval:
Initials
Manufacturer. Milgard
Item: > 0040. Location: bed room # 1
Quantity: 1 Tuscany, 8520T, FC, RO 30" x 48" UF: 0.32, SGC: 0.26, VLT: 0.48
Fin Placement: 1 3/8". Setback; Hinge Side: Left; Exterior Finish: Tan;
Interior Finish: Tan: Glazing: Dual Glazed (Insulated Glass); Outer Glass
Lite Option: SunCoat Low -E; Inner Glass Lite Option: Clear, Glass Thick
1: 3/32"; Glass Thicik'2: 3132"; Spacer Type: EdgeGard; Screen:
Standard; Clear Opening W. 221/16" H: 4215/16" SQ: 6.58
Line Item Comments: bed room egress # 1 Customer Approval:
Initials
Ll
06KWM12
Manufacturer: Milgard
Item: 0041Location: bed room # 1
Quantity: 1 Tuscany, 8520T, FC, RO 30"x 48" UF: 0.32, SGC: 0.26, VLT: 0.48
Fin Placement: 1318" Setback; Hinge'Side: Right; Exterior Finish: Tan;
Interior Finish: Tan;.Glazing: Dual Glazed (insulated. Glass); Outer Glass
Lite Option: SunCoat L'ow.E; Inner Glass Lite Option: Clear, Glass Thick
1: 3/32";: Glass.Thick 2: 3132"; Spacer Type: EdgeGard; Screen:
Standard, Clear Opening W: 221/16" H: 4215116" SQ: 6.58
Line Item Comments: bed room # 1 egress Customer Approval:
.Initials
Manufacturer: Milgard
Item: 0042 Location: closet
Quantity: 1 Tuscany, 8520T, FC, RO 2N'x 24" UF: 0.32, SGC: 0.26, VLT: 0.48
Fin Placement; 13/8" Setback; Hinge Side: Left; Exterior Finish: Tan;
Interior Finish: Tan; Glazing: Dual Glazed (insulated Glass); Outer Glass
Lite Option: SunCoat Low -E; Inner Glass.Ute Option: Clear, Glass Thick
1: 3/32"; Glass Thick 2:2/32"; Spacer Type: EdgeGard; Screen:
Standard; Clear Opening W: 11 13/16" H: 1815/16" SQ: 1.55
Customer Approval:
Una Item Comments: l -
Initials
Manufacturer: Milgard
Item: 0046 Location: master bed room
Quantity: 1 Tuscany, 8520T, FC, RO 30"x 48" UF: 0.32, SGC: 0.26, VLT: 0.48
Fin Placement: 1 3/8" Setback; Hinge tide: Right; Exterior Finish: Tan;
Interior Finish: Tan; Glazing: Dual Glazed (Insulated: Glass); Outer Glass
Lite Option: SunCoat Low -E;. Inner.Giass Lite Option: Clear, Glass Thick
1: 3132"; Glass Thick 2:.3!32"; Spacer Type: EdgeGard; Screen:
Standard; Clear Opening W. 221/16" H: 4215116" SQ: 6.58
Una Item Comments: master bed room Customer Approval:
ti
egg Initials
15 Of 19
06M6M2
U1
Manufacturer. Milgard
Item: 0047 Location: master bed room
Quantity: 1 Tuscany, 8520T, FC, RO 30" x 48" UF: 0.32, SGC: 0.26, VLT: 0.48
Fin Placement: 1 3/8" Setback; Hinge Side: Left; Exterior Finish: Tan:
Interior Finish: Tan; Glazing:.Dual Glazed (Insulated Glass); Outer Glass
Lite Option: SunCoat Low -E; Inner Glass Lite Option: Clear, Glass Thick
1: 3/32"; Glass Thick 2: 3132"; Spacer Type: EdgeGard; Screen:
Standard; Clear Opening W. 221/16" H: 4215116" SQ: 6.58 Customer Approval:
Line Item Comments: master bed room Initials
egress
LK 11
Manufacturer. Milgaro
Item:0049 Location: master bedroom
Quantity: 1 Tuscany, 8520T, FC, RO 30".x 48" UF: 0.32, SGC: 0.26, VLT: 0.48
Fin Placement 1 3/8" Setback; Hinge Side: Left :FJdenor Finish: Tan;
Interior Finish: Tan; Glazing: Dual Glazed (Insulated` Glass); GGlass
Lite Option; SunCoat Low -E; Inner Glass Lite Option: Clear, lass
Thick
Standard; Clear Opening .W:221/ 6" Hacer : 42 Type:/1 en:
V' SQ: 6.58
Customer Approval:
Line item Comments: master bed room Initials
No egress
Manufacturer: Milgard
Item: 0050 Location: master bed room
Quangty: = 1 Tuscany, 8520T, FC, RO 30" x 48" UF: 0.32, SGC: 0.26, VLT: 0.48
Fin Placement: 13/8" Setback Hinge,Side: Left; Exterior- Finish: Tan;
Interior Finish: Tan; Glazing: Dual -Glazed (Insulated Glass); Outer Glass
Lite Option: SunCoat Low -E; Inner Glass Lite Option: Clear, Glass Thick
1: 3/32"; Glass Thick 2: 3/32"t Spacer Type: EdgeGani; Screen:
Standard; Clear Opening W: 221/16" H: 4215/16" SQ: 6.58 CIustomer Approval:
Line item Comments: master bed room Initials
egress
pgMW12
18 Of 19
M.arrufacturer: Milgard
Item: 0051 Location: master bed room
Quantity: 1 Tuscany, 8520T, FC, RO 24" x 24" UR 0.32, SGC: 0.25, VLT: 0.46
1/4" SunCoat.Low-E and 1/8" Clear
looRpAp-
Fin Placement: 1 3/8" Setback; Hinge Side: Left; Eiderior Finish: Tan;
interior Finish: Tan; Glazing:Dual_Glazed.(Insulated Glass); Outer Glass
Lite Option::SunCoat Low -E; Inner Glass Lite Option; Clear, Glass Thick
1: 1/4"; Glass Thick 2: 1/8"; Spacer Type: EdgeGard; Screen: Standard;
Clear Opening W: 11 13/16"`H: 1815/16".SQ: 1.55 STC: 35
Line item Comments:
Customer Approval:
Initials
Manufacturer: Milgard _
Item: 0052 Location: master bed room
Quantity: 1 Tuscany, 8320T, PW, RO 24!'x 24" UF: 0.33, SGC: 0.30, VLT: 0.55
Fin Placement: 13/8" Setback; Exterior Finish: Tan; Interior Finish: Tan;
Glazing: Dual Glazed (insulated Glass); Outer Glass Lite Option:
SunCoat Low -E; Inner Glass Lite Option: Clear, Glass Thick 1: 3/32";
Glass Thick 2: 3/32"; Spacer Type: EdgeGard;
Line Item Comments: Customer Approval:
Initials
Manufacturer: Milgard.
Item: 0053 Location: master bed room
Quantity: 1 Tuscany, 8520T, FC, RO 24"x 24" UF: 0.32, SGC: 0.26, VLT: 0.48
Fin Placement: 1 3/8" Setback; Hinge Side: Right; Exterior Finish: Tan;
Interior Finish: Tan; Glazing: Dual Glazed `(insulated Glass); Outer Glass
Lite Option: SunCoat Low -E; Inner Glass Lite Option: Clear, Glass Thick
1:3/32"; Glass Thick,2: 3/32"; Spacer Type: EdgeGard; Screen:
Standard; Clear Opening W: 11 13/16"H: 1815/16" SQ: 1.55
Line Item Comments: Customer Approval:
Initials
WOOD* 199 17 Of 19 0810612012
Lc�catiign;,...Walk inose. , :..:. •,.::...:;. _.
1 TrisC9*y 8520T,: FC; iO'24" x 2W -1: -1 -UP: 0 32; SGC: 026 VLT: 448
Fin Plac nient °13/8" Setback; nge Sides Right; F�ctenor finish: Tan;
Intaoo-(Eiriish;.T,an;.Qlazing: Dual Glazed (Insulated Glass); Outer Glass
labs Option: SuriCoat Low -E; Inner Glass Lite Option: Clear, Glass Thick
1: 3/32"; Glass Thick 2: 3/32"; Spacer Type: EdgeGard; Screen:
Standard; Clear'Opening W. 11 13/16" H: 1815/16" SQ: 1.55
Line Item Comments:
Customer Approval:
Initials
Manufacturer: Milgard
Item:'"
0055 LorattoT'i..>master.bath. ro.Om
,Quantity: 1 Tv cany24AX.42UF: 0:32; SGC: 0.26; VLT:0:47
1%8w urEtiattovir-ETem0ered`-and1/8'rClear'Tempered`
Fin>Placpment: 1:3/8" Setback; Hinge Side: Left; Exterior Finish: Tan;
Interior Finish: Tan; Glazing: Dual Glazed (Insulated Glass); Tempered:
All; Outer Glass Lite Option: SunCoat Low -E Inner Glass Lite Option:
Clear, Glass Thick 1: 1/8"; Glass Thick 2:1/8"; Spacer Type: EdgeGard;
Screen: Standard; Clear Opening W:11 13/16" H: 3615/16" SQ: 3.03
STC: 31
Line Item Comments: Customer Approval:
Initials
Ntatuiacturer. Milgard
Item:,:,-;OQ56- Location: master bath room
Quantity: 1 Tuscany, 8520T, FC, RO 24" x 42" UF: 0.32, SGC: 0.26, VLT: 0.47
1/8" SunCoat Low -E Tempered and 1/8" Clear Tempered
Fin Placement: 13/8" Setback; Hinge Side: Right; Exterior Finish: Tan;
Interior Finish: Tan; Glazing: Dual, Glazed (Insulated Glass); Tempered:
AN; Outer Glass. Lite. Option: SunCoat Low -E; Inner Glass Lite Option:
Clear, Glass Thick 1: 1/8"; Glass Thick 2:1/8'; Spacer Type: EdgeGard;
Screen: Standard; Clear Opening W: 11 13/16"'H: 3615/16" SQ: 3.03
f Lin Customer App va g1tem:Comments: to I:
Initials
OLKft10: 190 1B Of 19 08/06/2012
Manufacturer: Milgard
Item: 0057 Location: stair well
Quantity: 1 Tuscany, 8320T, PW, RO 24" x 54" UF: 0..33, SGC: 0.29, VLT: 0.55
1/8" SunCoat Low -E Tempered and 1/8" Clear Tempered
Fin Placement: 13/8" Setback; Exterior Finish: Tan; Interior Finish: Tan;
Glazing: Dual Glazed {Insulated Glass); Tempered: All; Outer Glass Lite
Option: SunCoat Low -E, `Inner Glass Lite Option: Clear, Glass Thick 1:
1/8"; Glass Thick Z 1/V';` -Spacer Type: EdgeGard; STC: 31
Line Item Comments: Customer Approval:
Initials
Manufacturer: Milgard
Item: 0058 Location: stair well
r.
Quantity: 1 Tuscany, 8320T, PW, RO 24" x 54" UR 0.33, SGC: 0.29, VLT: 0.55
1/8" SunCoat Low -E Tempered and 1/8" Clear Tempered
Fin Placement: 13/9' Setback; Exterior Finish: Tan; Interior Finish: Tan;
Glazing: Dual Glazed (Insulated Glass); Tempered: All; Outer Glass Lite
Option: SunCoat Low -12; Inner Glass Lite Option: Clear, Glass Thick 1:
1/80; Glass Thick 2: 1/8"; Spacer Type: EdgeGard; STC: 31
Line Item Comments:
Other Charges:
Customer Approval:
Initials
T.�
INSTALLATION CERTIFICATE (Pagel of 12) CF -6R
Site Address Permit Number
Zi 8 zc�o cow Z of of a .l
Installation certificates (CF -6R) are required for each and every dwelling unit. When the installation of measures that require
field verification and diagnostic testing is complete, the builder or the builder's subcontractor shall complete diagnostic
testing and the procedures specified in this section. When the installation is complete, the builder or the builder's
subcontractor shall complete the CF -6R (Installation Certificate), and keep it at the building site for review by the building
department. The builder also shall provide a copy of the Installation Certificate to the HERS rater for any measures requiring
field verification and diagnostic testing, per Section 10-103(a).
WATER HEATING SYSTEMS:
Distribution
CEC Certified Type If # of Rated Input External
Heater Mfr Name & (Std, Point- Recirculation, Identical (kW or Tank volume Efficiency Standby Insulation
Type Model Number of -Use etc) Control Type S stems Btu/hr)1(gallons) (EF, RE)Z Loss %)Z R-value2
C- '000,
4$5A d9
1 For small gas storage (rated input of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water
heaters, list Energy Factor (EF). For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list
Recovery (RE), Thermal Efficiency, Standby Loss and Rated Input. For instantaneous gas water heaters, list Thermal
Efficiency and Rated Input.
2. R-12 external insulation is mandatory for storage water heaters with an energy factor of less than 0.58.
Kitchen Piping:
If indicated on the CF -11;, all hot water piping > 3/4 inches in diameter that runs from the hot water source to the kitchen
fixtures is insulated.
Faucets & Shower Heads:
All faucets and showerheads installed are certified to the Energy Commission, pursuant to Title 24, Part 6, Section 111.
Central Water Heating in Buildings with Multiple Dwelling Units (regi i is ( resccpt ) I�
F I L E -I -A
❑All hot water piping in main circulating loop is insulated to requirements of §1500)
Central hot water systems serving six or fewer dwelling units which have (1) less than 25' of distribution piping
outdoors; (2) zero distribution piping underground; (3) no recirculation pump; and (4) insulation on distribution piping
that meets the requirements of Section 1500)
❑Central hot water systems serving more than 6 dwelling units - presence of either a time control or a time/temperature
control
✓ ❑ I, the undersigned, verify that equipment listed above my signature is: 1) the actual equipment installed; 2)'
equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance
with the Energy Efficiency Standards for residential buildings; and 3) equipment that meets or exceeds the appropriate
requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable.
Installing Subcontractor .(Co. Name) OR General
Contractor (Co. Name) OR Owner's
Signature:
Date: / Z !6/—/Z
Copies to., BUILDING DEPARTMENT, ITERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY
Residential Compliance Forms Seplemher 200:
INSTALLATION CERTIFICATE (Page 2 of 12) CF -6R
Site Address Permit Number
Z1 Sz9D /Z C� / o/ -3
An installation certificate is required to be,,rlbsted at the building site or made available for all appropriate inspections. (The
information provided on this form is required) After completion of final inspection, a copy must be provided to the building
department (upon request) and the building owner at occupancy, per Section 10-103(a).
FENESTRATION/GLAZING:
Item
Manufacturer/Brand
Name
(GROUP LIKE
RODUCTS
Product U -factor Product SHGC # of
<' CF- 1R value) z <_CF -1R value 2 Panes
Total
Quantity of Area Exterior
Like Product Square Shading Device Comments/Location/
O tiona Feet or Overhang Special Features
I.
Installing Subcontractor (Co. Name) OR
(if applicable)
2.
OR Window Distributor
3.
Signature Date
Installing Subcontractor (Co. Name) OR
(if applicable)
4.
General Contractor (Co. Name) OR Owner
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
'1 Use values from a fenestration product's NFRC label. For fenestration products without an NFRC label, use the default
values from Section 116 of the Energy Efficiency Standards.
zl Installed U -factor must be less than or equal to values from CF -1R. Installed SHGC must be less than or equal to values
from CF -1R, or a shading device (exterior or overhang) is installed as specified on the CF -1R Alternatively, installed
weighted average U -factors for the total fenestration area are less than or equal to values from CF -1R. If using default table
SHGC values from § 116 identify whether tinted or not.
✓ ❑ I, the undersigned, verify that the fenestration/glazing listed above my signature: 1) is the actual fenestration
product installed; 2) is equivalent to or has a lower U=factor and lower SHGC than that specified in the certificate of
compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and
3) the product meets or exceeds the appropriate requirements for manufactured devices (from Part 6), where applicable.
Item #s
(if applicable)
•
Signature Date .
/ Z
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
OR Window Distributor
Item #s
Signature Date
Installing Subcontractor (Co. Name) OR
(if applicable)
General Contractor (Co. Name) OR Owner
OR Window Distributor
Item #s
Signature Date
Installing Subcontractor (Co. Name) OR
(if applicable)
General Contractor (Co. Name) OR Owner
OR Window Distributor
�l s of HUH&g B901 RI , HEIR N19F (If RMIM19..) 9HIM16 uwuer a} MeuRa
Apri12005
Residential Compliance Forms . >
INSTALLATION
Site Address
Z/R Zo .lye
TE
(Page 3 of 12) CF -6R
Permit Number
/ZCO/a /3 /
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The
information provided on this form is required) After completion of final inspection, a copy must be provided to the building
department (upon request) and the building owner at occupancy, per Section 10-103(a).
HVAC SYSTEMS:
Heating Equipment
Equip Type
CEC Certified Mfr. # of
Efficiency�
(AFUE, etc.)
Duct
Duct or
Heating
Heating
Cooling
Capacity
Name and Model Identical
y°'`
Location
Piping
Load
Capacity
(pkg. heat um
Number Systems
2CF-1R value)
attic etc.
R -value
Btu/hr
Btu/hr
,eod
SRX TM p%
6
/ fjL
e -W41 -741V
510 coo
49 A3
,row
K
9d
I�jG
�o�oco,
Cooling Equipment
Equip Type
(Pkg. heat um
CEC Certified Mfr.
Name and Model
Number
# of
Identical
Systems
Efficiency�
(SEER or EER)
2CF-IRvalue
Duct
Location
attic etc.
Duct
R -value
Cooling
Load
Btu/hr(Btu/hr)
Cooling
Capacity
y°'`
i3
/1Tf�
l To.J
e -W41 -741V
49 A3
1. > symbol reads greater than or equal to what is indicated on the CF -IR value.
Include both SEER and EER if compliance credit for high EER air conditioner is claimed.
✓ LJI I, the undersigned, verify that equipment listed above is; 1) is the actual equipment installed, 2) equivalent to or
more efficient than that specified in the certificate of compliance (Form CF -1R) submitted.,for compliance with the
Energy Efficiency Standards 'for residential buildings, and 3) equipment that meets or exceeds the appropriate
requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable.
Installing Subcontractor (Co. Name) OR General
Contractor (Co. Name)' OR Owner
Signature:
Date: / 2 0 6 Z
INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R
Site Address Permit Number .
Z/4' Za GoJ2
INSTALLER C MPLIAN E STATEMENT FOR DUCT LEAKAGE
INSTALLER COMPLIANCE STATEMENT
The building was: ✓ ❑Tested at Final ✓ ❑ Tested at Rough -in
INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE FOR NEW DUCTS:
❑ Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing
wall are properly sealed.
❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the
air handler and the supply and return plenums to verify that the connection points are properly sealed.
❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used on new ducts.
✓ ❑ DUCT LEAKAGE REDUCTION
Proceduresforfeld verifcadon and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured
Values
1
Enter Tested Leakage Flow in CFM:
2
Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ ❑ Measured
If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 21.7 cfm/(kBtu/hr) x Heating
Capacity in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here:
✓ ✓
3
Pass if Leakage Percentage < 6%o for Final or < 4% at Rough -in without air handle:
100 x Line # 1 / Line # 2)11
❑ Pass ❑ Fail
ALTERATIONS:
Duct System and/or HVAC Equipment Change -Out
Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct
System Alteration and/or Equipment Change -Out.
4
5
Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct
System for Duct System Alteration and/or Equipment Chane-Out.
✓ ✓
6
Enter Reduction in Leakage for Altered Duct System
Line # 4 Minus Line # 5 —(Only if Applicable)
7
Enter Tested Leakage Flow in CFM to Outside (Only if Applicable)
8
Entire New Duct System - Pass if Leakage Percentage < 6% for Final.
r 100 x[_(Line # 5 / Line # 2)11
❑ Pass ❑ Fail
TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change- ✓ ✓
Out Use one of the following four Test or Verification Standards for compliance:
9
Pass if Leakage Percentage < 15% [100 x [ (Line # 5) / (Line # 2)]]
❑ Pass ❑ Fail
10
Pass if Leakage to Outside Percentage < 10% [100 x f — (Line # 7)'/ (Line # 2)]]
❑ Pass ❑ Fail
11
Pass if Leakage Reduction Percentage > 60610 [100 x L_(Line # 6) / (Line # 4)]]
and Verification by Smoke Test and Visual Inspection
❑ Pass ❑ Fail
12
Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Ins ection❑
Pass 13Fail
=
Pass if One of Lines # 9 through # 12 pass
❑ Pass ❑ Fail
✓ ❑I, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance
credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with
Mandatory requirements -specified in Section 150 (m) of the 2005 Building Energy Efficiency standards.
Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner
i
Signature: Date:
Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY
bieci .6
Resideztiaitomplianee Forms
✓ ❑ THERMOSTATIC EXPANSION VALVE (TXV)
Procedures for field verification of thermostatic expansion valves are available in R,4 CM, Appendix RI.
CF -6R
✓ ❑ REFRIGERANT CHARGE MEASUREMENT
Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without
Thrrmnetatirt FYnaneinrn Valvpa
Outdoor Unit Serial #
Location
Outdoor Unit Make
Outdoor Unit Model
Cooling Capacity Btu/hr
Date of Verification
Date of Refrigerant Gauge Calibration (must be checked monthly)
Date of Thermocouple Calibration (must be checked monthly)
Standard Charee Measurement Procedure (outdoor air dry-bulb 55T and above):
Procedures for Determining Refrigerant. Charge using the Standard Method are available in RACM,, Appendix RD2.
Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this
procedure.
Measured Temperatures
Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db)
°F
Access is provided for inspection. The procedure shall
OF
Return (evaporator entering) air wet -bulb temperature (Treturn, wb)
OF
consist of visual verification that the TXV is installed on
OF
✓ 13 Yes
❑ No
the system and installation of the specific equipment
❑ ❑
shall be verified.
Yes is a pass
Pass I Fail
CF -6R
✓ ❑ REFRIGERANT CHARGE MEASUREMENT
Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without
Thrrmnetatirt FYnaneinrn Valvpa
Outdoor Unit Serial #
Location
Outdoor Unit Make
Outdoor Unit Model
Cooling Capacity Btu/hr
Date of Verification
Date of Refrigerant Gauge Calibration (must be checked monthly)
Date of Thermocouple Calibration (must be checked monthly)
Standard Charee Measurement Procedure (outdoor air dry-bulb 55T and above):
Procedures for Determining Refrigerant. Charge using the Standard Method are available in RACM,, Appendix RD2.
Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this
procedure.
Measured Temperatures
Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db)
°F
Return (evaporator entering) air dry-bulb temperature (Treturn, db)
OF
Return (evaporator entering) air wet -bulb temperature (Treturn, wb)
OF
Evaporator saturation temperature (Tevaporator, sat)
OF
Suction line temperature (Tsuction, db)
OF
Condenser (entering) air dry-bulb temperature (Tcondenser, db)
T
lunerheat Charge Method Calculations for Refrigerant Charge
Actual Superheat = Tsuction, db — Tevaporator, sat aF
Target Superheat (from Table RD -2) °F
Actual Superheat — Target Superheat (System passes if between -5 and +5'F)
Temperature Split Method Calculations for Adequate Airflow
4-4— nroiiif io 1n%rarr
Actual Temperature Split = T return, db Tsupply, db
OF
Target Temperature Split (from Table RD3)
OF
Actual Temperature Split Target Temperature Split (System passes if between -
OF
3°F and +3°F or, upon remeasurement if between -3°F and -100°F
Residential Compliance Forms Apxil �41I5
Standard Charge Measurement Summary:
System shall pass both refrigerant charge and adequate airflow calculation criteria from the same
measurements. If corrective actions were taken, both criteria must be remeasured and recalculated.
✓ ❑ Yes O No I System Passes
Alternate Charge Measurement Procedure (outdoor air dry-bulb below 55 °F)
Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer
verification shall be documented on CF -6R before starting this procedure. If outdoor air dry-bulb is 55 OF or above, installer
shall use the Standard Charge Measure Procedure:
Procedures for Determining Refrigerant Charge using the Alternate Method are available in RACM, Appendix RD3,
Weigh -In Chareine Method for Refriserant Charge
Actual liquid line length: ft
Manufacturer's Standard liquid line length: ft
Difference (Actual — Standard): ft
Manufacturer's correction (ounces per foot) x difference in length = ounces
(+ = add) (- = remove)
[easured Airflow Method for Adequate Airflow Verification available in RACM, Appendix RD2.6
Calculated Airflow: Cooling Capacity (Btu/hr) X 0.033 (cfin/Btu-hr) = CFM
Measured Airflow is CFM (Measured airflow must be greater than the calculated airflow).
Alternate Charge Measurement Summary:
System shall pass both refrigerant charge and adequate airflow calculation criteria from the same measurements. If
corrective actions were taken, both criteria must be remeasured and recalculated.
Installing Subcontractor (Co. Name) OR General
Contractor (Co. Name) OR Owner
Signature: Date:
Copiesto: BUILDING DEPARTMENT, IMRS RATER (IF APPLICABLE) BUILDING OWNER AT'OCCUPANCY
INSTALLATION CERTIFICATE (Page 7 of 12) CF -6R
Site Address Permit Number
Z/
MISCELLANEOUS CREDITS
✓ ❑ DIAGNOSTIC SUPPLY DUCT LOCATION, SURFACE AREA AND R -VALUE
Procedures for f eld verification and diagnostic testing for this group compliance credits are available in RACM, Appendix RC, RE & RH.
✓ ❑ LESS THAN 12 LINEAL FEET OF SUPPLY DUCT OUTSIDE OF CONDITIONED SPACE
COMPLIANCE CREDIT
✓ []Yes❑No Less than 12 lineal feet of supply duct outside of conditioned space.
Yes to this compliance credit is a pass ✓ 13 Pass ✓ 13 Fail
✓ 1:1 SUPPLY DUCTS LOCATED IN CONDITIONED SPACE COMPLIANCE CREDIT
✓
T
[I Yes ❑ No Ducts are located within the conditioned volume of building.
Yes to this compliance credit is a pass ✓ [3 Pass _ v"13Fail
ict System Design verification is required for a compliance credit for the following:
1. Supply duct surface area reduction
2. Buried supply ducts on the ceiling
3. Deeply buried supply ducts
✓ ❑ DUCT SYSTEM DESIGN VERIFICATION
✓ El Yes [3 No Adequate airflow verified
✓ ❑ Yes ❑ No The duct system design plan meets the requirements specified in RACIVI; Appendix RE, Section
RE.4.2
✓ ❑ Yes ❑ No The duct system design plan exists on building plans
✓ ❑ Yes ❑ No Duct sizes, duct system layout and locations of supply & return registers match the duct system
designplan ✓ ❑
Yes to all is a ass ✓ ❑ Pass Fail
✓
El SUPPLY DUCTS SURFACE AREA REDUCTION COMPLIANCE CREDIT
R-4.2 R-6.0 R-8.0
Crawl Deeply Duct Surface Surface Surface
Attic Space Basement Covered Covered Other Diameter Area Area Area
❑ ❑ ❑ ❑ ❑ ❑
❑ ❑ ❑ ❑ ❑ ❑
❑ ❑ ❑ ❑ ❑ ❑
❑ ❑ ❑ ❑ ❑ ❑
❑ ❑ ❑ ❑ ❑ ❑
❑ ❑ ❑ ❑ ❑ ❑
C1❑ ❑ 13C311Total Surface Area for Each R -Value =
✓ El Yes ❑ No aches Performance's CF -1R?
Yes to all is a ass ❑ Pass ❑Fail
[3 BURIED DUCTS ON THE CEILING COMPLIANCE CREDIT
11 Yes [3 No Buried Ducts on the Ceiling
❑ Yes [3 No Verified High Insulation Installation Quality ✓ ✓
Yes to ducts stem' design, supply duct surface area reduction and this compliance credit is a ass ❑ Pass 13 Fail
✓ ❑ DEEPLY BURIED DUCTS COMPLIANCE CREDIT
Yes to ducts stem dessu
El SUPPLY DUCTS SURFACE AREA REDUCTION COMPLIANCE CREDIT
R-4.2 R-6.0 R-8.0
Crawl Deeply Duct Surface Surface Surface
Attic Space Basement Covered Covered Other Diameter Area Area Area
❑ ❑ ❑ ❑ ❑ ❑
❑ ❑ ❑ ❑ ❑ ❑
❑ ❑ ❑ ❑ ❑ ❑
❑ ❑ ❑ ❑ ❑ ❑
❑ ❑ ❑ ❑ ❑ ❑
❑ ❑ ❑ ❑ ❑ ❑
C1❑ ❑ 13C311Total Surface Area for Each R -Value =
✓ El Yes ❑ No aches Performance's CF -1R?
Yes to all is a ass ❑ Pass ❑Fail
[3 BURIED DUCTS ON THE CEILING COMPLIANCE CREDIT
11 Yes [3 No Buried Ducts on the Ceiling
❑ Yes [3 No Verified High Insulation Installation Quality ✓ ✓
Yes to ducts stem' design, supply duct surface area reduction and this compliance credit is a ass ❑ Pass 13 Fail
✓ ❑ DEEPLY BURIED DUCTS COMPLIANCE CREDIT
Yes to ducts stem dessu
[3 BURIED DUCTS ON THE CEILING COMPLIANCE CREDIT
11 Yes [3 No Buried Ducts on the Ceiling
❑ Yes [3 No Verified High Insulation Installation Quality ✓ ✓
Yes to ducts stem' design, supply duct surface area reduction and this compliance credit is a ass ❑ Pass 13 Fail
✓ ❑ DEEPLY BURIED DUCTS COMPLIANCE CREDIT
✓ ❑ Yes C3 No Deeply -Buried Ducts
✓
13 Yes C] No Verified High Insulation Installation Quality
i 'I duct surface area reduction and this compliance credit is a pass ❑Pass Fail
Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY
Resj*ntlal Compliance Forms Apr1120Q5
Yes to ducts stem dessu
Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY
Resj*ntlal Compliance Forms Apr1120Q5
INSTALLATION CERTIFICATE
Site Address
Z/ 8 ZCD
✓❑ FAN WATT DRAW
Procedures or measuring the air handler watt draw are available in RACM, Appendix
✓ Method For Fan Watt Draw Measurement
❑ 1 RE3.2.1 I Portable Watt Meter Measurement
(Page 8 of 12) CF -6R
Permit Number
/zc::)ioi3
RE3.2,
Measured Fan Watt Draw
Measured Fan Flow enter total cfin from airflow verification
Enter results of Watts/cfin
❑ No Measured airflow is greater than the criteria in Table RE -2 ✓ ✓
✓ ❑ Yes
✓ 13 Yes
Q No
Measured fan watt/cfin draw is equal to or lower than the
fan watt/cfin draw documented in CF -1R ❑
❑
Yes is a pass Pass
Fail
✓ ❑ ADEQUATE AIRFLOW VERIFICATION
Procedures or measuring the air ow are available in RACM, Appendix RE3.1.
✓ Method For Airflow Measurement
❑ RE4.1.1 DiaRnostic Fan Flow Using Flow Capture Hood
❑ RE4.1.2 Diagnostic Fan Flow Using Plenum Pressure Matchin
❑ RE4.1.3 Diagnostic Fan Flow Using Flow Grid Measurement
h VPc r-1 Mn T1nrtt APeian Pxiete nn nlnnc
Measured Airflow:
Rated Tons cfin/ton
❑ No Measured airflow is greater than the criteria in Table RE -2 ✓ ✓
✓ ❑ Yes
Yes is a pass I Pass
Fail
✓ ❑ MAXIMUM COOLING CAPACITY
Proceduresor determinin maximum coolingload capacity are available in RA CM, Appendix RF
1 ✓ ❑ Yes ❑ No Adequate airflow verified (see adequate airflow credit)
2 ✓ ❑ Yes ❑ No Refrigerant charge or TXV
3 V. ❑ Yes ❑ No Duct leakage reduction credit verified
4 ✓ ❑Yes ❑ No Cooling capacities of installed systems are 5 to maximum cooling
5
d RF 3
Watts
cfm
Watts/cfin
Total cfin
cfin/ton
capacity indicated on the Performance s CF -1R an
If the cooling capacities of installed systems are > than maximum ✓ ✓
5 ✓ ❑ Yes ❑ No cooling capacity in the CF -1R, then the electrical input for the
installed systems must be 5 to electrical input in the CF -1R. ❑ ❑
Yes to. l 2 and 3; and Yes to either 4 or 5 is a pass Pass I Fail
✓❑ HIGH EER AIR CONDITIONER
Procedures or veri 7cation are available in RA CM, Appendix R1.
1 ✓ 1 ❑ Yes ❑ No I EER values of installed systems match the CF -1R
2 ✓ ❑Yes ❑ No Fors lits stem, indoor coil is matched to outdoor coil ✓ ✓
3 ✓ ❑Yes ❑ No Time Delay Relay Verified (If Required) ❑ ❑
Yes to 1 and 2; and 3 If Required) is a pass Pass Fail
C
Re.
[nstalling Subcontractor (Co. Name) OR General
Contractor (Co. Name) OR Owner
Signature: Date:
lies for DE
RUED—IN PARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY
&enEial Compliance Forms Apri12QQ5.
(Page 9 of 12) CF -6R
Permit Number
/Z "o/C) /.3
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The
information provided on this form is required) After completion of final inspection, a copy must be provided to the building
department (upon request) and the building owner at occupancy, per Section 10-103(a).
BUILDING ENVELOPE LEAKAGE DIAGNOSTICS
✓ ❑ F.NW..i.0PF. ARATING INFIi.TRATION RMUCTION
Procedures for field ver cation and diagnostic testing of envelope leakage are available in RACM, Appendix RC.
Diagnostic Testin Results
✓
✓
Building Envelope Leakage (CFM @ 50 Pa) as measured by Rater:
❑
❑
Measured envelope leakage less than or equal to the required level from
I
Yes
No
CF -1R?
2.
❑
❑
Is Mechanical Ventilation shown as required on the CF -1R?
Yes
No
❑
❑
If Mechanical Ventilation is required on the CF -1R (`Yes' in line 2), has it
2a
Yes
No
been installed?
❑
❑
Check this box `yes' if mechanical ventilation is required (`Yes' in line 2)
2b.
and ventilation fan watts are no greater than shown on CF -1R.
Yes
No
Measured Wattso =
❑
Check this box "yes" if measured building infiltration (CFM @ 50 Pa) is
3.
greater than the CFM @ 50 values shown for an SLA of 1.5 on CF -1R
Yes
No
f this box is checked no, mechanical ventilation is required.)
Check this box "yes" if measured building infiltration (CFM @ 50 Pa) is
❑
❑
less than the CFM @ 50 values shown for an SLA of 1.5 on CF -1R,
4
Yes
No
mechanical ventilation is installed and house pressure is greater than minus
5 Pascal with all exhaust fans operating.
Pass if:
a. Yes in line 1 and line 3, or
✓
`�
1:1
13c.
b. Yes in line 1 and line2, 2a, and 2b, or
Yes in line 1 and Yes in line 4.
Otherwise fail.
Pass
Fail
✓ ❑ I, the undersigned, verify that the building envelope leakage meets the requirements claimed for building leakage
reduction below default assumptions as used for compliance on the CF -1R. This is to certify that the above diagnostic test
results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit.
(The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or subcontractors
certifying that diagnostic testing and installation meet the requirements for compliance credit.)
Test Performed
Installing Subcontractor (Co. Name) OR General
Contractor (Co. Name) OR Owner
Signature: Date:
Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE), BUILDING OWNER AT OCCUPANCY
Apri1200S
Residential Compliance Forms
INSTALLATION CERTIFICATE (Page 10 of 12) CF -6R
Site Address Permit Number
2/3Zc7 r,0^�' ch7 /Z,::11 o/ 3
Insulation Installation Quality Certificate
❑ Description of Insulation, (CF -6R, formerly IC -1) signed by the installer stating: insulation manufacturer's name,
material identification, installed R -values, and for loose -fill insulation: minimum weight per square foot and minimum
inches
✓ ❑ Installation meets all applicable requirements as specified in the High Quality Insulation Installation Procedures
(ACM, Appendix RH)
✓IELOOR
Ye
❑
No
❑
NA
All floor joist cavity insulation installed to uniformly fit the cavity side-to-side and end-to=end
Ye
❑
No
❑
NA
Insulation in contact with the subfloor or rim joists insulated
Yes
❑
I No
❑
NA
Insulation properly supported to avoid gaps, voids, and compression
✓ WALLS
❑
❑
Wall stud cavities caulked or foamed to provide an air tight envelope
Yes
No
NA
Yes
❑
No
❑
NA
Wall stud cavity insulation uniformly fills the cavity side-to-side, tbp-to-bottom, and front -to -back
Yes
❑
No
❑
NA
No gaps
Ye
❑
No
❑
NA
No voids over 3/4" deep or more than 10% of the batt surface area.
❑
❑
Hard to access wall stud cavities such as; corner channels, wall intersections, and behind'
Ye
No
NA
tub/shower enclosures insulated to eroper R -Value
YeS
❑
No
❑
NA
Small spaces filled
Yes I
❑
No
❑
NA
Rim joists insulated
❑
❑
V
Loose fill wall insulation meets or exceeds manufacturer's minimum weight -per -square -foot
Yes I
No
NA I.requirement
✓ ROOF/CEILING
PREPARATION
Yes
❑
No
NA
All draft stops in place to form a continuous ceiling and wall air barrier
Yes
❑
NorNA
01
A
All drops covered with hard covers
❑
❑
All draft stops and hard covers caulked or foamed to provide an air tight envelope
Yes
No
❑
❑'
All recessed light fixtures IC and air tight (AT) rated and sealed with a gasket or caulk between the
Yes
No I
NA I
housing and the ceiling
❑
❑
Floor cavities on multiple -story buildings have air tight draft stops to all adjoining attics
Yes
No
NA
❑
❑
Er I
Eave vents prepared for blown insulation - maintain net free -ventilation area
Yes
No
NA
❑
❑
EX
Knee walls insulated or prepared for blown insulation
Yes I
No
N
❑
❑
Area under equipment platforms and cat -walks insulated or accessible for blown insulation
Yes
No
NA
❑
❑
Qr
Attic rulers installed
Yes
No
NA
ROOF/CFTT.1NC BATTS
Nr
❑
❑
Date:
Ye
No
NA
No gaps
Ye
No
NA
No voids over 3/4 in. deep or more than 10% of the batt surface area.
Yes
❑
No
❑
NA
Insulation in contact with the air -barrier
Yes
❑
No
❑
NA
Recessed light fixtures covered
❑
❑
Netfree-ventilation area maintained at eave vents
Yes
No
NA
✓ ROOF/CEILING
LOOSE -FILL
Yes
No
N
Insulation uniformly covers the entire ceiling (or roof) area from the outside of all exterior walls.
Yes
No
N6E
Baffles installed at eaves vents or soffit vents - maintain net free -ventilation area of eave vent
❑
❑
19
Yes
No
NA,
Attic access insulated
❑
❑
Er
Yes
No
NA
Recessed light fixtures covered
❑
Yes
❑
No
N
.
Insulation at proper depth — insulation rulers visible and indicating proper depth and R -value .
❑
❑
Loose fill insulation meets or exceeds manufacturer's minimum weight and thickness requirements
Yes
No
NA
for the target R -value. Target R -value . Manufacturer's minimum required
weight for the target R -value (pounds -per -square -foot). Manufacturer's
minimum required thickness at time of installation . Manufacturer's minimum
required settled thickness . Note: To receive compliance credit the HERS rater
shall verify that the manufacturer's minimum weight and thickness has been achieved for the target
R -value. (C&6R only)
DECLARATION
✓ ❑ I hereby certify that the installation meets all applicable requirements as specified in the Insulation Installation
Procedures.
Installing Subcontracior (Co. Name) OR General
Contractor (Co. Name) OR Owner
Signatur •
Date:
Copies to: BUILDING: DEPARTMENT, ITERS RATER (IF APPLICABLE), 'BUILDING OWNER AT OCCUPANCY
Des J.Dtlon of -Installation
ROOF
Material
Thickness (inches)
CPLING
..Batt or Blanket Type EMERGI-ASS
Brand Name
Thermal Resistance (R -Value)
Brand
- 7 =-777'
Loose Fill Type EMPROLASA Brand Name JOHNS MAN3MIR
Contractor's minimum installed weight/W lb. Minimum thickness inches
Manufacturer's installed weight per square foot to achieve ................ Thermal Resistance (R -Value).
EXTERIOR WALL
Material EMERGLASS
Thickness (inches) o.V
RAISED FLOOR
Material FTRFRC .ASC
ll
Thickness (inches) (4
SLAB .FLOOR
Material
Thickness (inches)
Width (inches)
Brand Name JOHNS MA=I.E
Thermal Resistance (R -Value)
ZJ
Brand Name TQHM MANVM JF;
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
FOUNDATION WALL
Material Brand Name
Thickness (inches)' Thermal Resistance (R -Value)
Declaration
I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building* Energy
'Efficiency Stindards.fbr new residential buildings contained in Title,24 of the California Administrative Code.
Generil Coaftwwr (Builder)
signatum And `fide
PonzInI.Insulat-10h, Inc.
Sub-ConftvMr(W"0fl.fiWH
gjre and We
'REVISED JULY.20%
License Number
INSTALLATION CERTIFICATE. (Page 12 of 12) CF -6R
Site Address
Z/0'20 :f ! e- coJrt.
Permit Number
ZC)/ of 3 I
County Subdivision
Lot Number
Description of Insulation (Formerly IC -1 Form)
1. RAISED FLOOR
Material
Thickness (inches)
2. SLAB FLOOR/PERINffiTER
Material
Thickness (inches)
Perimeter Insulation Depth (inches)
3. EXTERIOR WALL
Frame Type
A. Cavity Insulation
Material
Thickness (inches)
B . Exterior Foam Sheathing
Material
Thickness (inches)
4. FOUNDATION WALL
Material
Thickness (inches)
17
CEILING
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R=Value)
Batt or Blanket Type Brand Name
Thickness (inches) Thermal Resistance (R -Value) _
Loose Fill Type Brand
Contractor's min installed weight/ftz lb Minimum thickness inches
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value)
6. ROOF
Material Brand Name
Thickness (inches) Thermal Resistance (R -Value)
Declaration
✓ ❑ I hereby certify that the above insulation was installed in the building at the above location in conformance with the
current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated
on the Certificate of Compliance, where applicable.
Item #s
(if applicable)
Signature Date
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
OR Window Distributor
Item #s
Signature Date
Installing Subcontractor (Co. Name) OR
(if applicable)
General Contractor (Co. Name) OR Owner
OR Window Distributor
Item #s
Signature Date
Installing Subcontractor (Co. Name) OR
(if applicable)
General Contractor (Co. Name) OR Owner
OR Window Distributor
,Resin
Forms
Apri12005
CUPERTINO
PURPOSE:
2010 CALGREEN CHECKLIST - MANDATORY ITEMS
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 /
(408) 777-3228 - FAX (408) 777-3333 - building(ugertino.org
a,) M FILE
The 2010 CalGreen Code applies to all newly constructed hotels, motels, lodging houses, dwellings,
dormitories, condominiums, shelters, congregate residences, employee housing, factory -built housing and
other types of swellings with sleeping accommodations and new accessory buildings associated with such
uses. Existing site and landscaping improvements that are not otherwise disturbed are not subject to the
requirements of CALGreen.
Project Name:
Project Address:
Project Description:
Instructions:
21820 Monte Court
New Single Family Dwelling
1. The Owner or the Owner's agent shall employ a licensed professional experienced with the 2010 California
Green Building Standards Codes to verify and assure that all required work described herein is properly
planned and implemented in the project.
2. The licensed professional, in collaboration with the owner and the design professional shall initial Cplumn
2 of this checklist, sign and date Section 1 - Design Verification at the end of this checklist and have the
checklist printed on the approved plans for the project.
3. Prior to final inspection by the Building Department, the licensed professional shall complete Column 3
and sign and date Section 2 - Implementation Verification at the end of this checklist and submit the
completed form to the Building Inspector.
Column 2 Column 3
MANDATORY FEATURE OR MEASURE Project Verification
Re uirements
.. .1 PLANNING AND DESIGN
Planning and Designitd ILires®rvation
4.104.1 A site plan and inventory of the site is developed and used to minimize
site disturbance in order preserve desirable existing natural resources and
FLI
minimize future adverse effects on the proposed structure.
Planning and Design Site, De�Qlopment
4.106.2 A plan is developed and implemented to manage storm water
drainage during construction.
4.106.3 The site shall be planned and developed to keep surface water away
from buildings. Construction plans shall indicate how site grading or a drainage
QX
system will manage all surface water flows.
Page 1 of 5 CalGreen 2010.doc revised 02114/11
A4.2
General
4.201.1 Low-rise residential buildings shall meet or exceed the minimum
standard design required by the California Energy Standards.
A4.3 WATER EFFICIENCY AND CONSERVATION
indoor Water Use `
4.303.1 Indoor water use shall be reduced by at least 20 percent using one of
the follow methods.
® Water saving fixtures or flow restrictors shall be used per Table 4.303.2.
❑ A 20 percent reduction in baseline water use shall be demonstrated per
7/01/2011
Table 4.303.1.
4.303.2 When using the calculation method specified in Section 4.303.1,
El
multiple showerheads shall not exceed maximum flow rates.
7/01/2011
4.303.3 Plumbing fixtures (water closets and urinals) and fittings (faucets and
showerheads) shall comply with specified performance requirements.
7/01/2011
Outdoor Water Use=
4.304.1 Automatic irrigation systems installed at the time of final inspection
El
shall be weather-based.
.. .4 MATERIAL CONSERVATION AND RESOURCE EFFICIENCY
Enhanced Durability and Reduced Maintenance
4.406.1 Joints and openings. Annular spaces around pipes, electric cables,
conduits, or other openings in plates at exterior walls shall be protected
against the passage of rodents by closing such openings with cement mortar,
concrete masonry or similar method acceptable to the enforcing agency.
Construction Waste�Rddpetion,. Disposal-and Recycling
4.408.2 Where a local jurisdiction does not have a construction and demolition
waste management ordinance, a construction waste management plan shall
QX
be submitted for approval to the enforcing agency.
Building Maintenance and<-Operation
4.410.1 An operation and maintenance manual shall be provided to the
building occupant or owner.
Page 2 of 5 CalGreen 2010. doe revised 02/14/11
♦ I ENVIRONMENTAL
Fireplaces -
4.503.1 Install only a direct -vent sealed -combustion gas or sealed wood -
burning fireplace, or a sealed woodstove.
Pollutant Control
4.504.1 Duct openings and other related air distribution component openings
shall be covered during construction.
4.504.2.1 Adhesives, sealants and caulks shall be compliant with VOC and
other toxic compound limits.
4.504.2.2 Paints, stains and other coatings shall be compliant with VOC limits.
QX
4.504.2.3 Aerosol paints and other coatings shall be compliant with product
QX
weighted MIR Limits for ROC and other toxic compounds.
4.504.2.4 Documentation shall be provided to verify that compliant VOC limit
finish materials have been used.
4.504.3 Carpet and carpet systems shall be compliant with VOC limits.
QX
4.504.4 Fifty (50) percent of floor area receiving resilient flooring shall comply
with the VOC-emission limits defined in the Collaborative for High Performance
Schools (CHIPS) Low -emitting Materials List or be certified under the Resilient
Floor Covering Institute (RCFI) FloorScore program.
4.504.5 Particleboard, medium density fiberboard (MDF), and hardwood
plywood used in interior finish systems shall comply with low formaldehyde
QX
emission standards.
Interior Moisture Control
4.505.2 Vapor retarder and capillary break is installed at slab on grade
foundations.
Q
4.505.3 Moisture content of building materials used in wall and floor framing is
checked before enclosure.
Page 3 of 5 CalGreen 2010.doc revised 02114111
Indoor Air Quality,alridaus>,
4.506.1 Exhaust fans which terminate outside the building are provided in
every bathroom.
Environmental Comfoat ;
4.507.1 Whole house exhaust fans shall have insulated louvers or covers
which close when the fan is off. Covers or louvers shall have a minimum ❑X
insulation value of R-4.2.
4.507.2. Duct systems are sized and designed and equipment is selected
using the following methods:
1. Establish heat loss and heat gain values_ according to ACCA Manual J or
equivalent.
2. Size duct systems according to ACCA 29-D (Manual D) or equivalent.
3. Select heating and cooling equipment according to ACCA 36-S (Manual S)
or equivalent.
Qualifications
702.1 HVAC system installers are trained and certified in the proper installation
of HVAC systems.
702.2 The Licensed Professional responsible to verify CALGreen compliance
is qualified and able to demonstrate competence in the discipline they inspect QX
and verify.
Verifications
703.1 Verification of compliance with CALGreen may include construction
documents, plans, specifications builder or installer certification, inspection
reports, or other methods acceptable to the enforcing agency which show
substantial conformance. Implementation verification shall be submitted to the
Building Department after implementation of all required measures and prior to
final inspection approval.
L
A
7
V
A
M
Page 4 of 5 CalGreen 2010.doc revised 02/14/11
Project Name:
Project Address:
Project Description:
CALGREEN SIGNATURE DECLARATIONS
21820 Monte Court
New Single Family Dwelling
SECTION 1 - DESIGN VERIFICATION
Complete all lines of Section 1 — "Design Verification" and submit the completed checklist (Columns 1 and 2) with the
plans and building permit application to the Building Department.
The owner and design professional responsible for compliance with CalGreen Standards have revised the plans and
certify that the items checked above are hereby incorporated into the project plans and will be implemented into the
project in accordance with the requirements set forth in the 2010 California Green Building Standards Code as
adopted by the City of Cupertino.
Signature '
Owner's Name (Please Print)
Design Professional's Signature Date
2/13/2012
Signature of License Professional responsible for CalGreen compliance Date
Michael Chau - CEPE. GreenPoint Rater, LEED AP 650-799-7100
Name of License Professional responsible for CalGreen compliance (Please Print) Phone
michael @msiconstruction.com
Email Address for License Professional responsible for CalGreen compliance
SECTION 2 - IMPLEMENTATION VERIFICATION
Complete, sign and submit the competed checklist, including column 3, together with all original signatures on Section
2 to the Building Department prior to Building Department final inspection.
I have inspected the work and have received sufficient documentation to verify and certify that the project identified
above was constru ed i cc rdance with this Green Building Checklist and in accordance with the requirements of
the 2010 Califor a e di g Standards Code as adopted by the City of Cupertino.
11/21/2012
Signature of License Professional responsible for CalGreen compliance Date
Michael Chau 650-799-7100
I Name of License Professional responsible for CalGreen compliance (Please Print)
michael @msjconstruction.com
Email
reen compliance
Phone
Page 5 of 5 CalGreen 2010.doc revised 02/14/11
211,855 Woodbury Drive, Cupertino, CA Project No. 2976 4 July 2005
a°i
o
c
o
o a
�
Description
,°�
o
Y
Remarks
n
d)�
� �
oM
Z•a
N
o� �
oU?
1
Light Brown Silty Clayey W/Gravel
2
Brown Clayey Gravely with Sand, moist,
1-1
GC
15
123.5
8.5
2.5
Atterberg Limit Test
3
Medium dense to loose,
L.L = 26%
P. L=18.5%
4
P.1= 7.5
5
6
7
Dark yellowish brown clayey, graveley W/Sand
1-2
GC
24
128.5
9.7
3.5
Sieve Analysis
8
moist, Dense
Gravel=48%
Sand=25%
9
Flnes=27%
10
Same As Above
11
12
13-
314151617
14-
15-
16-
17—
SanTe As Above
18-
81920
19-
20
Terminated of Boring at depth of 20 feet
21
No groundwater encountered during boring
22
23
24
25
BORING LOG NO. 1
Figure No. 3
CAPEX ENGINEERING INC.
Date Drilled: June 24, 2005 By: G.H
Project No. 2976
]p
ICE
C,01 P „
BUILDING ENERGY AN15 L
PROJECT:
Kang Residence
21820 Monte Court
Cupertino, CA 95014
Project Designer:
Fang Design
868 S. Blaney Ave.
Cupertino, CA 95014
Report Prepared by:
J N B Associates
0
CSG Consultants, Inc.
Job Number: These documents have been reviewed
2011-31 by CSG and are part of the permit package.
By
Date: 5)�2
12/28/2011 Date
The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is
authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards.
This program developed by EnergySoft, LLC — www.energysoft.com.
Ener Pro 5.1 by Ener Soft User Number: 4066 RunCode: 2011-12-28T11:14:24 ID: 2011-31
PERFORMANCE CERTIFICATE: Residential Part 1 of 5
CF -1 R
Project Name
Kang Residence
Building Type ® Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
12128/2011
Project Address
21820 Monte Court Cupertino
California Energy Climate Zone
CA Climate Zone 04
Total Cond. Floor Area
4,178
Addition
n/a
tt of Stories
2
FIELD INSPECTION ENERGY CHECKLIST
❑ Yes IZI No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form.
❑ Yes IZI No Special Features -- If Yes, see Part 2 of 5 of this form for details.
INSULATION Area Special
Construction Type Cavity (ft) Features (see Part 2 of 5) Status
Roof Wood Framed Attic R-30 2,675 New
Wall Wood Framed R-21 3,663 New
Door Opaque Door None 28 New
Floor Wood Framed w/Crawl Space R-19 2,556 New
FENESTRATION U- Exterior
Orientation Area Factor SHGC Overhang Sidefins Shades Status
Front (N) 137.0 0.390 0.37 none none Bug Screen New
Leff (E) 192.0 0.390 0.37 none none Bug Screen New
Rear (S) 196.0 0.390 0.37 none none Bug Screen New
Right (W) 144.0 0.390 G.37 none none LSA Sunscreen New
Right (W) 70.0 0.390 0.37 none none Bug Screen New
Skylight 23.0 0.710 0.73 none none None New
HVAC SYS"T"EMS
Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status
2 Central Furnace 92% AFUE Split Air Conditioner 13.0 SEER Setback
New
HVAC DISTRIBUTION Duct
Location Heating Cooling Duct Location R -Value Status
Res HVAC Ducted Ducted Attic, Ceiling Ins, vented 8.0
New
WATER HEATING
Qty. Type Gallons Min. Eff Distribution Status
1 Instant Gas 0 0.93 Kitchen Pipe Ins New
Ener Pro 5.1 by Ener Soft User Number: 4066 Runcode: 20 1 1-12-2 8 711:14:24 ID: 2011-31
Pa e 3 of 11
PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R
Project Name
Kang Residence
Building Type ® Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
11212812011
SPECIAL FEATURES INSPECTION CHECKLIST
The enforcement agency should pay special attention to the items specified in this checklist. These items require special written
justification and documentation, and special verification to be used with the performance approach. The enforcement agency
determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of
the special justification and documentation submitted.
HERS REQUIRED VERIFICATION
Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a
completed CF -4R form for each of the measures listed below for final to be given.
Ener Pro 5.1 by EnerqySoft User Number: 4066 RunCode: 2011-12-28T11:14:24 /D: 2011-31 Page 4 0(11
PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF-1 R
Project Name
Building Type m Single Family ❑ Addition Alone
Date
Kang Residence
❑ Multi Family ❑ Existing+ Addition/Alteration
12/28/201
ANNUAL ENERGY USE SUMMARY
Standard Proposed Margin
TDV kgtu/ft2- r
Space Heating 20.36 17.22 3.14
Space Cooling 7.97 7.57 0.40
Fans 4.81 4.70 0.10
Domestic Hot Water 9.46 6.31 3.14
Pumps 0.00 0.00 0.00
Totals 42.59 35.80 6.79
Percent Better Than Standard: 15.9%
BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED
Fenestration
Building Front Orientation: (N) 0 deg Ext. Walls/Roof Wall Area Area
Number of Dwelling Units: 1.00 (M 1,029 137
Fuel Available at Site: Natural Gas (E) 1,186 192
Raised Floor Area: 2,556 (S) 1,029 196
Slab on Grade Area: 0 (W 1,186 214
Average Ceiling Height: 9.3 Roof 2,698 23
Fenestration Average U-Factor: 0.39 TOTAL: 762
Average SHGC: 0.37 Fenestration/CFA Ratio: 18.2%
REMARKS
STATEMENT OF COMPLIANCE
This certificate of compliance lists the building features and specifications needed
to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the
Efficiency Standards of the California Code of Regulations.
The documentation author hereby certifies that the documentation is accurate and c mplete.
Documentation Author
Company JNB Associates
12/28/2011
Address Name
City/State/ZipCity/State/Zip Phone Signed Date
The individual with overall design responsibility hereby certifies that the proposed building design represented in this set
of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and
with any other calculations submitted with this permit application, and recognizes that compliance using duct design,
duct sealing, verification of refrigerant charge, insulation installation quality, and building envelope sealing require
installer testing and certification and field verification by an approved HERS rater.
Designer or Owner (per Business & Professions Code)
Company Fang Design
Address 868 S. Blaney Ave. Name Fang Design
City/State/Zip Cupertino, CA 95014 Phone Signed License # Date
Ener Pro 5.1 by Ener Soft User Number: 4066 RunCode: 2011-12-28711:14:24 ID: 2011-31 Page 5 of 11
%Z
CERTIFICATE OF COMPLIANCE:
Residential
(Part 4 of 5) CF -'1 R
Project Name
Kang Residence
Building Type m Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
2/28/2011
OPAQUE SURFACE DETAILS
Surface U Insulation Joint Appendix
Type Area Factor I Cavity Exterior Frame Interior Frame Azm I Tilt Status 4 Location/Comments
Roof
875 0.032 R-30
0
22 New 4.2.1-A8
1st Floor Zone
Wall
537 0.069 R-21
0
90 New 4.3.1-A6
1st Floor Zone
Door
28 0.500 None
0
90 New 4.5.1-A4
1st Floor Zone
Wall
505 0.069 R-21
90
90 New 4.3.1-A6
1st Floor Zone
Wall
479 0.069 R-21
180
90 New 4.3.1-A6
1st Floor Zone
Wall
481 0.069 R-21
270
90 New 4.3.1-A6
1st Floor Zone
Floor
2,355 0.037 R-19
01
180 New 4.4.1-A4
1st Floor Zone
Wall
327 0.069 R-21
90 New 4.3.1-A6
2nd Floor Zone
Wall
489 0.069 R-21
90 New 4.3.1-A6
2nd Floor Zone
Wall
354 0.069 R-21
90 New 4.3.1-A6
2nd Floor Zone
Wall
491 0.069 R-21
90New 4.3.1-A6
2nd Floor Zone
Roof
1,800 0.032 R-30
1270
22 New 4.2.1-A8
2nd Floor Zone
Floor
201 0.037 R-19
180 New 4.4.1-A4
2nd Floor Zone
FENESTRATION SURFACE DETAILS
ID
Type Area U -Factor SHGC2
Azm Status
Glazing Type
Location/Comments
1
Window 60.0 0.390 NFRC 0.37 NFRC
0 New
Milgard Classic Low -E Vinyl
1st Floor Zone
2
Window 120.0 0.390 NFRC 0.37 NFRC
90 New
Milgard Classic Low -E Vinyl
1st Floor Zone
3
Window 146.0 0.390 NFRC 0.37 NFRC
180 New
Milgard Classic Low -E Vinyl
1st Floor Zone
4
Window 144.0 0.390 NFRC 0.37 NFRC
270 New
Milgard Classic Low -E Vinyl
1st Floor Zone
5
Window 77.0 0.390 NFRC 0.37 NFRC
0 New
Milgard Classic Low -E Vinyl
2nd Floor Zone
6
Window 72.0 0.390 NFRC 0.37 NFRC
90 New
Milgard Classic Low -E Vinyl
2nd Floor Zone
7
Window 50.0 0.390 NFRC 0.37 NFRC
180 New
Milgard Classic Low -E Vinyl
2nd Floor Zone
8
Window 70.0 0.390 NFRC 0.37 NFRC
270 New
Milgard Classic Low -E Vinyl
2nd Floor Zone
9
Skylight 23.0 0.710 Default 0.73 Default
0 New
Double Metal Clear
2nd Floor Zone
(1) U -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value
2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value
EXTERIOR SHADING DETAILS
ID
Window
Exterior Shade Type SHGC H t Wd
Ove hang Left Fin
Len H t LExt RExt Dist Len
Right Fin
H t Dist Len H t
1
Bug Screen 0.76
2
Bug Screen 0.76
3
Bug Screen 0.76
4
LSA Sunscreen 0.13
5
Bug Screen 0.76
6
Bug Screen 0.76
7
Bug Screen 0.76
8
Bug Screen 0.76
9
None 1.00
Ener,gyPro
5.1 by Ener Soft User Number., 4066 RunCode: 2011-12-28T11:14:24 /D: 2011-31
Page 6 of 11
CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5)
CF-1 R
Project Name
Kang Residence
Building Type 10 Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
11212812011
BUILDING ZONE INFORMATION
System Name
Floor Area
Zone Name New Existing Altered Removed Volume Year Built
Res HVAC 1st Floor 2,355
23,550
2nd Floor 1,823
15,496
Totals 1 4,1781 01 01 01
1
HVAC SYSTEMS
System Name Qty. Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status
Res HVAC
2 Central Furnace 92% AFUE Split Air Conditioner 13.o SEER Setback
New
HVAC DISTRIBUTION
System Name
Duct
Heating Cooling Duct Location R-Value
Ducts
Tested? Status
Res HVAC Ducted Ducted Attic, Ceiling Ins, vented 8.0
❑ New
WATER HEATING SYSTEMS
S stem Name
Qty.
Type
Distribution
Rated
Input
Btuh
Tank
Cap.
al
Energy
Factor
or RE
Standby
Loss or
Pilot
Ext.
Tank
Insul. R-
Value
Status
Takagi T-H2-DV
1
Instant Gas
Kitchen Pipe Ins
199,000
0
0.93
n/a
n/a
New
MULTI-FAMILY WATER
HEATING
DETAILS
HYDRONIC
HEATING SYSTEM
PIPING
Control
Hot Water Piping Length
ft
o
�m
n
¢ c
System Name
Pipe
Length
Pipe
Diameter
Insul.
Thick.
Oty. HP
Plenum Outside Buried
EnergyPro 5.1 by Ener Soft
User Number: 4066 RunCode: 2011-12-28T11:14:24 ID: 2011-31
Pae 7 of 11
MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R
Project Name
Kang Residence
Date
12/28/2011
NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of
the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF -
1 R -ALT Form) shall supersede the items marked with an asterisk (*) below. This Mandatory Measures Summary shall be incorporated
into the permit documents, and the applicable features shall be considered by all parties as minimum component performance
specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R
Form with plans.
Building Envelope Measures:
116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage.
§116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain
Coefficient SHGC , and infiltration that meets the requirements of 10-111 (a).
117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed.
118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form.
§118(1): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(1) when the
installation of a Cool Roof is specified on the CF -1 R Form.
*§1 50 a : Minimum R-19 insulation in wood -frame ceiling orequivalent U -factor.
150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value.
*§150(c): Minimum R-13 insulation in wood -frame wall orequivalent U -factor.
*§150(d): Minimum R-13 insulation in raised wood -frame floor orequivalent U -factor.
§150(f): Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95 2000 when specified on the CF -1 R Form.
150 : Mandatory Vapor barrier installed in Climate Zones 14 or 16.
§150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance
rate is no greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration.
Fireplaces, Decorative Gas Appliances and Gas Log Measures:
150 a 1A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox.
§150(e)1 B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is
equipped with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device.
§150(e)2: Continuous buming pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the
outside of the building, are prohibited.
Space Conditioning, Water Heating and Plumbing System Measures:
§110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy
Commission.
§113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release
valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §113(c)5.
§115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances
(appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and
spa heaters.
150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA.
150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c).
§1500)1 A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped
with insulation having an installed thermal resistance of R-12 or greater.
§1500)1 B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water
tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the
tank.
§1500)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of
recirculating sections of hot water pipes are insulated per Standards Table 150-B.
§1500)2: Cooling system piping (suction, chilled water, or brine Iines),and piping insulated between heating source and indirect hot
water tank shall be insulated to Table 150-B and Equation 150-A.
§1500)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table
123-A.
150(j)3A: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind.
§150(j)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in
conditioned space.
150(j)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation.
EnergyPro 5.1 by EnergySoft User Number: 4066 RunCode: 2011-12-28711:14:24 ID: 2011-31 Page 8 of 11
MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R
Project Name
Date
Kang Residence
12/28/2011
§150(m)1: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections
601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-
4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the
applicable requirements of UL 181, UL 181A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is
used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used
§150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed
sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may
contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area
of the ducts.
§150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes
unless such tape is used in combination with mastic and draw bands.
150(m)7: Exhaust ran systems have back draft or automatic dampers.
§150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated
dampers.
§150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind.
Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar
radiation that can cause degradation of the material.
150 m 10: Flexible ducts cannot have porousinner cores.
§150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air
Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation
required in Section 4 of that Standard.
Pool and Spa Heating Systems and Equipment Measures:
§114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency
Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and
shall not use electric resistance heating ora pilot light.
§114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction
and return lines, or built-up connections for future solar heating.
114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover.
§114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or
programmed to run only during off-peak electric demand periods.
150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of 150
Residential Lighting Measures:
§150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies
contained in Table 150-C and is not a low eff icacy luminaire asspecified by §150(k)2.
150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d).
§150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than
20 kHz.
§150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain
only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line -
voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a
medium screw -base socket.
150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k).
150(k)7: All switching devices and controls shall meet the requirements of §150(k)7.
§150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy.
EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be
exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant
sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed
luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a
manual -on occupant sensor.
§150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of
illuminated cabinet.
EnergyPro 5.1 by EnergySo(( User Number: 4066 RunCode: 2011-12-28T11:14:24 ID: 2011-31 Page 9 0(11
MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R
Project Name
Date
Kang Residence
12128/2011
§150(k)10: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms
shall be high efficacy.
EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on
occupant sensor certified to comply with the applicable requirements of §119.
EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a
manual -on occupancy sensor.
§150(k)11: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms,
closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be
allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual -
on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less
than 1000 square feet located on a residential site is not required to comply with §150 k 11.
§150(k)12: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters
Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air
leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between
the luminaire housing and ceiling.
§150(k)13: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more
dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the
same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that
they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor,
and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an
astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management
control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor
luminaires used to comply with Exceptionl to §150(k)13 may be controlled by a temporary override switch which bypasses the motion
sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed
luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not
be high efficacy luminaires.
§150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no
more than five watts of power as determined according to §130(d).
§150(k)15: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable
requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable
requirements of Sections 130, 131, 134, and 146.
§150(k)16: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more
dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided
that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119.
EnergyPro 5.1 by EnergySoft User Number: 4066 RunCode: 2011-12-28T11:14:24 ID: 2011-31 Page 10 0/ 11
ENERGY USE AND COST SUMMARY
ECON-1
Project Name
Kang Residence
Date
12/28/2011
Rate: Electric Alameda H
Fuel Type:
Electricity
STANDARD
PROPOSED
MARGIN
Energy
Use
kWh
Peak
Demand
k
Cost
$
Energy
Use
kWh
Peak
Demand Cost
k $
Energy
Use
kWh
Peak
Demand Cost
k $
Jan
198
2
25
198
2
25
0
0
0
Feb
139
6
19
128
5
18
12
1
1
Mar
109
5
16
106
5 1
16
3
0
0
Apr
159
7
21
163
8
22
-3
-1
0
May
90
10
14
76
11
13
14
-1
1
Jun
287
12
35
262
13
32
25
0
3
Jul
342
10
41
340
12
40
2
-1
0
Aug413
12
49
407
13
48
5
-1
1
Sep
214
14
27
178
151
23
36
-1
4
Oct
105
9
16
84
10
14
21
-1
2
Nov
127
3
18
123
1
18
4
1
0
Dec
197
2
25
198
2
25
-1
0
0
Year
2,379
14
307
2,264
15
294
116
-1
12
CO2
1,915
lbs/yr
1,822
lbs/yr
93
lbs/yr
Rate: Gas PG&E P
Fuel T e: Natural Gas
STANDARD
PROPOSED
MARGIN
Energy
Use
therms
Peak
Demand
kBtu/hr
Cost
$
Energy
Use
therms
Peak
Demand Cost
kBtu/hr) $
Energy
Use
(therms)
Peak
Demand Cost
(kBtu/hr $
Jan
157
125
217
129
109
176
28
16
41
Feb
101
106
134
82
94
107
19
13
28
Mar
80
101
104
63
88
79
17
12
25
Apr
65
87
82
51
77
64
14
10
18
May
26
72
35
18
63
24
8
9
11
Jun
22
45
29
15
29
18
7
16
11
Jul
22
6
29
14
5
18
8
1
11
Aug22
6
28
14
5
17
8
1
11
Sep
21
8
27
14
5
17
7
3
10
Oct
33
78
44
24
70
31
9
8
13
Nov
102
110
136
81
97
106
20
13
30
Dec
156
128
216
129
112
176
27
16
40
Year
807
128
1,082
635
112
832
172
16
250
CO2
9,439
lbs/yr
7,427
lbs/yr
I 2,012
IbS/yr
Annual Totals
Energy
Demand
Cost
Costs ft
Virtual Rate
Electricity
2,264 kWh
15 kW
$ 294 $
0.07 /s ft
$ 0.13 /kWh
Natural Gas
635 therms
112 kBtu/hr
$ 832 $
0.20 / ft
$ 1.31 /therm
Total
$ 1,127 $ 0.27 /sgft
Avoided CO2 Emissions:
2,105 lbs/yr
EnergyPro 5.1 by EnergySoft
User Number: 4066
RunCode: 2011-12-28T11:14:2
ID: 2011-31
Page 11 of 11