10100018II.
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 22741 MEDINA LN APT A CONTRACTOR:A PLUS HEATING&A/C PERMIT NO: 10100018
OWNER'S NAME: DIANE&KEITH THOMAS 244 GREAT MALL PKWY DATE. ISSUED: 10/01/2010
OWNER'S PHONE: 4084465248 MILPITAS,CA 92683 PHONE NO:(408)934-0730
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIALE
License Class C- 7.0 Lic.a 763 ISL{ REMOVE AND REPLACE FURNACE AND RELOCATE A/C
IN
Contractor A — 17 I cJ S Date (D/I / j O ATTIC
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000)of Division 3 of the Business&Professions
Code and that my license is in full force and effect.
I 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 - - -
performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$8600
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
APN Number:34230005.A Occupancy Type:
permit is issued- 11XSC-r
APPLICANT CERTIFICATION
1 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 7. --"/OA
G/ A
granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: (r/
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
I RE-ROOFS:
Signature ( Date �O/ l l Q 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.
0 OWNER-BUILDER DECLARATION
Signature of Applicant: Date:
I 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
I,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 Ilealth&Safety Code,Sections 25505,25533,and 25534. I 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: Ilealth&Safety Code,Section 25532(a)should I 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
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 the Ilealth&Safety Code.Sections 25505,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this ��.///'''��� J /10permit is issued. Owner or authorized agent: Date:
I certify that in the performance of the work for which this permit is issued,I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING 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
ri CITY OF
CITY OF CUPERTINO
FURNACE/AC
CUPERTINO PERMIT APPLICATION FORM 1�
! /Q /(i3
APN # Date:
x'-12 ?b Oo s A m-/-1, 6)
Building Address:
22141 McCUna hank- Ap-} A
Owner's Name: Phone#:
Dili k��ih momac ,fig-, - 5;-46
Contractor: Phone #: I -Of3L..-D"i3O
A Puts
Fax #: itu -g A-- 014
Contractor License #: Cupertino Business License #:
1 (403I 51I-
Contact: Phone#:
David D rratia,n ►�°� �g3`� -D"13D
Fax #: 4o@ -g L _ LX7 ,4
Building Permit Info:
ElectE �rt ✓ Plumb Q-' Mech
Residential L7 Commercial U
Job Descri t r„
remove old J-urnace. replace wl rhevv {'inmate and riploca4 +v A-ft? a
Add on A (L ..o ,_, car
For Residential Installations:
Attic D 151 floor 2fr---- 2nd floor ❑
Adhere to minimum setback requirement ❑
For Commercial Installations:
Replacement same weight ❑ Additional weight (structural calcs) ❑
Structural Calculations required for new installation ❑
New installation Planning Approval Required ❑
Cost of Project: Type of Construction (Usage Class):
U
Strapped ❑ On Platform [f-- Bonded
0- New Location ----- Replacement Q
Project Size: Express 3---itandard ❑ Large ❑ Major ❑
Valuation: it-
Green Building: Please-complete relevant portion of the Green Building Checklist& attach it to the
application or if applicable, include in plan set& the sheet index.
Revised 01/07/09
CITY OF CUPERTINO
,.\(,z,,,77, FEE ESTIMATOR— BUILDING DIVISION
J!ie'� ADDRESS: DATE: REVIEWED BY:
,5'",. APN: BP#: 'VALUATION: $8,600
*PERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration /Addition / Repair
PRIMARY TOTAL PENTAMATION
USE: SFD or Duplex FLOOR:IREA: PERMIT TYPE: FURN/AC
C
WORK
SCOPE
APPLIANCE/EQUIP TYPE FEE ID QTY UNITS ' BP FEES
NC Units (<=10K cfm) J 1BREMAIR 1 # $63
Furnace, Forced-Air 1MFR=c100 1 # $126
Heating System 1MRRAA 1 # $63
• TOTALS: $252.00
Mech.Plan Check 10.01 hrs $0.00 l'hunh. flare Check I j /Ire. Min(.!reek I j
Mech. Permit Fee: IMPERMIT Thumb. /'moil Fre: tiler. /'•,noir Fre:
Other Mech. Insp. 0.0 hrs $42.00 Odea'Plumb IrLpi. Odle,'Elec. Tap. I I
,16sh- lei'/) tic: ('brm!, Inv). Fre: lifer. layr herr
NOTE: These fees are based on the prelintinari information available and are onl,an estimate. Contact the Dept for addn'l info.
FEE ITEMS!Fee Resolution 09-05/ E/T 7/I/10) FEE QTY/FEE MISC ITEMS
Plan C7az:k Pty..
.Topp/. PC'Fee --- II [
PME Plan Check: $0.00
Permit Fee:
.\'uppl. lIIYp 1.1.e I
J
PME Unit Fee: $252.00
PME Permit Fee: $42.00
Construction hii'
;I I.-rruslu:ul Rei-wit.Jr',::
Work Without Permit? 0 Yes 0 No $0.00
l'hlmlirr; l''ces:
Travel Documentation Fee: /TRAVDOC $42.00 4
Strong Motion Fee: $0.86 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: $337.86 $0.00 TOTAL FEE: $337.86
Revised: 9/29/2010
HEATING. & AIR-CONDITIONING COMPANY
•
' ,CITY OFtUPERTINO:
-iOB ADDRESS:.22741 MEDINA LANE, CUPERTINO, CA 95014
-
-:OW NER:'DIANE& KEITHTHOMAS
i, V
• PHONE:408-446-5248
•
4' JOB;CONTACT: DAVID BARRAGAN
PHONE: 408-813-3583 °C -j�
Y I goo ��
•
c may.
IN ACCORDANCE W THDTHECITV'OF
CUPERTINO CODES AND,ORDINANCES )
DATE ' /OiLita " ''.
cc
SIGNED p _ �,,i�
This set of plans'and tib.
peck tions MUST
be kept on the jobit WI t es and it is
unlawful to make any changes'or'alteiations
on same without writien permis idn from '
the Building DepartmentCiN of Cupeitino.
The stamping of this plan ands f ns `
SHALL NOT be held to PemiiPeri orjo tie i _ (��,:
be an
approval of the violation Of any provisions '
of any City Ordinance or Stale.Law. .
, ' - °Liji-a
/d.
ila)/ rr
244 GREAT MALL PARKWAY • MILPITAS, CA 95035
TEL:::(408) 934-0730 • FAX: (408) 934-0734
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General
Data
L_.,
PRODUCT SPECIRCAT1ONS01-4 TXC-BC- SPLIT SYSTEM HEAT PUMP/COOLING COMFORTiM COILS
CASED UPFLOW/DOWN FLOW/HORIZONTAL
r r-,
4TXCA018BC3HCA 4TXCA024BC3HCA 4TXCB025BC3HCA 4TXCB031 BC3HCA 4TXCB032BC3HCA
INDOOR COIL-Type PLATE FIN PLATE FIN PLATE FIN PLATE FIN PLATE FIN1.
Rows/EP.I. 2/18 2/18 3/14 3/14 3/141
Face Area(sq.ft.) 3.50 4.00 3.50 3.50 5.00-,=-
TubeSize 3/8 3/8 3/8 3/8 3/8 L`
Refrigerant Control (No internal Non-Bleed TXV Non-Bleed TXV Non-Bleed TXV Non-Bleed TXV Non-Bleed_TXV
check valve) =-
Drain Conn.Size(in.) 3/4 NPT 3/4 NPT 3/4 NPT 3/4 NPT 3/4"NPT;
Duct Connections -See Outline Drawings- L=
REFRIGERANT R-410A R-410A R-410A R-410A R-410A 1—
CONNECTIONS BRAZED BRAZED BRAZED BRAZED BRAZED,-..
Line Size--Gas(in.) 1/2' 5/8' 5/8' 3/4 3/4'
Line Size--Liquid(in.) 1/4 5/16 5/16 - 5/16 3/8'
DIMENSIONS(in.) HXWXD HXWXD HXWXD HXWXD H X W X D
Crated(H x W x D) 15.1/2x17-1/2x26.1/2 18-1/2x17-1/2x26-1/2 16-1/2x20-1/2x26-1/2 16.1/2x20.1/2x26-1/2 22-3/4x20-1/2x26-1/2
Unmated -See Outline Drawings-
WEIGHT(lbs)
Shipping--Net 36 34 36/34 40/38 40/38 48/45
4TXf6BC01G4 4TXCB042B1:OHCA 4TXCW93BQHCA 4TXCC04413C3HCA 4TXCB048BCHCA
INDOOR COIL-Type PLAIT RN RN RATE RN PLATE RN RATE FIN RATE RN
Rom/F.PI. 3/14 3/14 3/14 3/14 3/14 3/14
Face Area(sq.ft.) 5.00 5.00 5.00 5.W 6.00 6.00
Tube Sze 3'8 3/8 348 3'8 3/8
Refrigerant Contra(No internal Non-Bleed TXV $a-a ed TXV Nal-Seed TXV Nal-Bleed TXV Nat-Bleed TXV Non-Seed TXV
Goat valve)
Drain Can.Sze(in.) 3/4 NPT 3/4 NET 3/4 NPT 3/4 NET 3/4 NPT 3'4 NFT
Cul Caremas -See Outline Dr-awirlgs-
FEFF1 RANT R-410A R-410A R-410A R-410A R-410A R-410A
OOMECCIO S BRAZED BRAZE) BR4ZED BRAZE) BRAZED BRAZED
Line Sze-Gas(in.) 3/4' 3'4' 3/4' 3/4' 7/8' 7/8'
Line Sze-Liglid(in.) 3/8 343 3'8 3/88 3/8 311
DINETSIOIS(in.) HXWXD HXWXD HXWXD HXWXD HXWXD HXWXD
Gated(H x W x D) 223/4x30-12.2612 223/4124126-12 22-3/4120-1226-12 22-3/4x24126-12 28-1/4x24.26-12 28-1/4x20121Q6-12
Uncrated -See Outline a.irxy
WEIGHT Qhs)
3ipprg-Nei 49/46 51/48 48/45 51/48 55/5110 E pst649 r)
4TXCC049BC3HCA 4TXCDOSOBC3HCA 4TXCCO60BC3HCA 4TXCD061BC3HCA 4TXCD063BC3HCA- 4TXCD064BC3HCA
INDOOR COIL-Type PLATE FIN PLATE FIN PLATE FIN PLATE FIN PLATE FIN PLATE FIN
Rows/EP.I. 3/14 3/14 3/14 3/14 3718)', _ 3/18
Face Area(sq-ft.) 6.00 6.00 7.00 7.00 3.1X1 ..--_______7.00 _
Tube Size 3/8 3/8 3/8 3/8 3/8 3/8
Refrigerant Control(No Non-Bleed TXV Non-Bleed TXV Non-Bleed TXV Non-Bleed TXV Non-Bleed TXV Non-Bleed TXV
internal check valve)
Drain Conn.Size(in.) 3/4 NPT 3/4 NPT 3/4 NPT 3/4 NPT 3/4 NPT 3/4 NPT
Duct Connections -See Outline Drawings-
REFRIGERANT R-410A R-410A R-410A R-410A R-410A R-410A
CONNECTIONS BRAZED BRAZED BRAZED BRAZED ' BRAZED BRAZED
Line Size-Gas(in.) 7/8' 7/8' 7/8' 7/8' 7/8' 7/8'
Line Size-Liquid(in.) 3/8 3/8 3/8 3/8 3/8 3/8
DIMENSIONS(in.) HXWXD HXWXD HXWXD HXWXD HXWXD HXWXD
Crated(H x W x D) 28-1/4x24x26-1/2 28-1/4x27.1/2126-1/2 31.12x24x26-1/2 31-1/2x27-1/2x26-1/2 31.12x27-1/2x26.1/2 31.1/2x27-1/2x26-1/2
Uncrated -See Outline Drawings-
WEIGHT(lbs)
Shipping-Net 55/51 59/55 69/65 72/68 72/68 72/68
• Reducer supplied with R-410A models
[1]These indoor coils are A.H.R.I.certified with various split system air conditioners and heat pumps (A.HI.R.I. Standard 210/240).
Refer to the Split System Outdoor product information site or www.ahrinet.org 9Pub.No.22-1813-06 7 -'
•. - Mandatory Measures Summary MF-1R
Residential (Page 1 of 3)
Site Address: Enforcement Agency: Dat
2-2-14-1M:Una Lang Ii/ Ila
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-IR,
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-IR Form with plans. _
DESCRIPTION
Building Envelope Measures:
§116(a)I: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage.
§1 16(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.
§I I 8(a): Insulation specified or installed meets Standards for Insulating Material. Indicate type and include on CF-6R Form.
§118(i): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §1 I8(i),when the installation of
a Cool Roof is specified on the CF-IR Form.
*§150(a): Minimum R-19 insulation in wood-frame ceiling or equivalent U-factor. _
§150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R-Value. fl f
*§150(c): Minimum R-13 insulation in wood-frame wall or equivalent U-factor. -1 r
*§150(d): Minimum R-13 insulation in raised wood-frame floor or equivalent 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'Forin.
§150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16.
§150(I): 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 2.0 perm/inch and shall be protected from physical damage and UV light deterioration.
Fireplaces,Decorative Gas Appliances and Gas Log Measures:
§150(e)1 A: Masonry or factory-built fireplaces have a closable metal or glass door covering the entire opening of the firebox.
§150(e)IB: 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 burning 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: g-CJtf_-itl VIED
§110-§113: HVAC equipment,water heaters,showerheads,faucets and all other regulated appliances are certified by the Energy Commission.
§1 I 3(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:v.
§115: Continuously burning pilot lights are prohibited for natural gas: fan-type central furnaces,household cooking apphances'(appliances-with an
electrical supply voltage connection with pilot lights that consume less than 150 Btu/fir 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).
§150(j)IA: 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.
§150(j)1B: 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.
§I50(j)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.
§I500)2: Cooling system piping(suction,chilled water,or brine lines),and piping insulated between heating source and indirect hot water tank
shall be insulated to Table 150-B and Equation 150-A.
§150(02: Pipe insulation for steam hydronic heating systems or hot water systems>15 psi,meets the requirements of Standards Table 123-A.
§1500)3A: Insulation is protected from damage,including that due to sunlight,moisture,equipment maintenance,and wind.
§I50(j)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space.
2008 Residential Compliance Forms X2009
Mandatory Measures Summary MF-1R
Residential (Page 2 ot 3)
Site Address: Enforcement Agency: Date:
21-141 Med;ffia, Lane 1o/i /ID
1 §150(04: Solar water-heating systems and/or collectors are certified by the Solar Rating and Certification Corporation.
Ducts and Fans Measures:
§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 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to
seal openings greater than 1/4 ihch,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.
§I50(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 fan 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.
§I50(m)l0: Flexible ducts cannot have porous inner 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 or a pilot light.
§114(b)I: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(6)2: Outdoor pools or.spasethat 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(p): Residential pool systems or equipment meet the pump sizing, flow rate,piping,filters,and valve requirements of§I50(p).
Residential Lighting Measures:
§150(k)I: 1ligh efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in
Table I50-C and is not a low efficacy luminaire as specified by§150(k)2. - _
§150(k)3: The wattage of permanently installed luminaires shall be determined as specified by§130(d). pt - •_
§150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequederno.less-tf_ian 20 kHz.
§150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain on y
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 walls of power as determined by§130(d),and shall not contain a medium
screw-base socket.
§I50(k)6: Lighting integral to exhaust fans, in rooms other than kitchens,shall meet the applicable requirements of§150(k).
§I50(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.
§I50(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.
§150(k)10: Permanently installed luminaires in bathrooms,attached and detached garages,laundry rooms,closets and utility rooms shall be high
efficacy.
2008/te xidenrinl Compliance Forms
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-1R-ALT-HVAC
Climate Zones 1 and 3-7
Site ACdr t4( M�..dina LQn.� Enforcement Agency: Dp(5/ I/'O Permi(ti:
1<'1'1TL Conditioned Duct insulation
Equipment Type' List Minimum Efficiency Floor Area requirement Thermostat
❑ ackaged Unit --//
Furnace b/AFUE�51• ❑coP Over 40 ft of ducts
Indoor Coil 11SEER 'S 0 HSPF
Servedby{bysystem added or replaced in Setback
Condensing Unit ❑ EER ❑Resistance ii✓`�sf a nditioned space ins:a/fed(If not already present mus(Ge
Other `a7 R 6 (CZ I,3-5)
/. Equipment Type:Choose the equipment being installed;if more than one system,use another CF-I R-ALT-HVAC for each system.
2.Minimum Equipment Efficiencies: 13 SEER,78%AFUE,7.7HSPF for typical residential systems.
Contractor(Documentation Author's/Responsible Designer's Declaration Statement)
• I certify that this Certificate of Compliance documentation is accurate and complete.
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this
Certificate of Compliance.
• I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24,Parts I and 6 of the California Code of Regulations.
• The design features identified on this Certifreate of Compliance are consistent with the information documented on other applicable
compliance forms,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with the permit
application.
�arrasignature:uri'
Name: D� dl �atti g
Company: A
pl'`s '(� �/ Date. O
Address,1 C1 ro 60- Mall '( W o License: ^ H V^
City/State/Zlip:: Mil PIt As t M3 '1337 Phone: (tlnp,��(4'I 'J3���—Di 0 \
RECEIVED
By:
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1
2008 Residential Compliance Forms - March 2010