10120053I CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 22140 HIBISCUS DR ITAMMANIA ONTRACTOR: SUBHA & SURESH I PERMIT NO: 10120053 I
C"NER'S NAME: SUBHA & SURESH TAMMANA
0-NER'S PHONE: 4087360059
❑ LICENSED CONTRACTOR'S DECLARATION
License Class Lic. #
Contractor
Date
1 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.
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
performance of the work for which this permit is issued.
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
permit is issued.
APPLICANT CERTIFICATION
1 certify that I have read this application and state that the above information is
correct. 1 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,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Signature
Date
OWNER -BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
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)
1, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code). l
I hereby affirm under penalty of perjury one of the following three
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.
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
permit is issued.
1 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
become subject to the Worker's Compensation provisions of the Labor Code, 1 must
forthwith comply with such provisions or this permit shall be deemed revoked -r—
APPLICANT CERTIFICATION
I certify that 1 have read this application and state that the above information is
correct. 1 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
,mnify and keep harmless the City of Cupertino against liabilities, judgments,
s, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Civnatnre XJJCY__ Date 3 I l g l I1
22140 HIBISCUS DR I DATE ISSUED: 03/18/2011
CUPERTINO, CA 95014 1 PHONE NO:
.JOB DESCRIPTION: RESIDENTIAL U COMMERCIAL
ADD(624SQ) MASTER BEDROOM,BATH&CLOSET,1/2
BATH &
PORCH & REPLACE 8 WINDOWS, INSTALL 2
SUNTUNNELS,UPGRADE ELECT TO 200AMP & REMODEL
Sq. Ft Floor Area: I Valuation: $120000
I APN Number: 32602026.00 I Occupancy Type: I
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Date: 3- / 2 J
Issued bv���J .--may
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, 1 agree to remove all new materials for
inspection.
Signature of Applicant
Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California health & Safety Code, Sections 25505, 25533, and 25534. 1 will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(a) should I store or handle hazardous
material. Additionally, should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District 1
will maintain compliancewith the C pertino Municipal Code, Chapter 9.12 and
the Health & Safety Code, Sections 55 , 25533, a d 25534.
Owner or authorized agent: Date: /
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Profess
CUPERTINO
CITY OF CUPERTINO
ADDITION/REMODEL
FEE SCHEDULE
/0 12- vow 5
APN#
32�-v2.-02 6
Date:
�2. PD . ►�
Is a 2nd unit being added? Yes ❑ No ❑ If yes, please fill out the permit application for 2nd unit.
Build1 +6
Mailing Address (if different from building address):
Owner's Name: [
Phone #
8 M
.
Contractor: IPhoneTgtl
#:
Fax #:
Cupertino Business Lice se: State Contractor License #:
Co tact:Phone
Ak
#: 40Q> g 0 S 10 7 $
1 4 0 q G>t�
Fax #: 405 BG 13A+
Landscape Ordinan a Compliance:
Landscape area in sq. ft. (includes all irrigated areas):N Or
If 2,500 sq. ft. or less, compliance with the Landscape Water -Efficiency Checklist is required.
If more than 2,500 sq. ft., a complete Landscape Project Submittal is required.
Compliance ethod: ❑ Plant Type Water Budget
Building P6rmit Info:
Bldg. Elect. Plumb. Mech. Hillside ❑
Job Description:
Addition -What is bein added?(Be Specific):
VkT 1/-,7 Kk-k
G ( I N (/�5 I u�C Z 6& f V NN :; . O P&%2 �,� 6 ECSC
a is ting remode includingg
ed loot aMition . /
If yes list number of squares
Remodel Includes Re -Roof YesVNo'
Remodel Includes Structural: Yes ❑
Do you have the pre -application planning approval? Yes ❑ No 52
If yes, please provide a copy of your planning a nroval letter. Planners name:
Square Footage:
Addition: Porch: Deck: Garage: Detached Attached
Remodel: KitchenQ Bath,0 Other._
Type of Construction (Usage Class):
Occupancy Type: i
1-A, 1-B ❑ IUIII/V-A ❑ II/III B, IV -HT, V -B
Valuation:
Please check this bog if the roject is a
Project Size: Express ❑ Standard Lar e ❑ Major ❑
second -story addition ❑
Please complete relevant portion of the Green Building
Checklist & attach it to the application or if applicable,
Green Building Points Achieved: ��
include in plan set & the sheet index.
Revised 05/18/10
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
r
ADDRESS: 22140 Hibiscus Dr
DATE: 12/08/2010
REVIEWED BY: gs
PC FEE ID
APN:
BP#:
"VALUATION: $120,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Addition
PRIMARY SFD or Duplex
USE:
OVER THE
I COUNTER. ® Yes ® No
PENTAMATION 1 R3SFDADD
PERMIT TYPE:
WORK
624 ft addition 20ft bath remodel 420ft remodel other, new 200 am service 8 windows replaced, 156
SCOPE
kitchen remodel
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
624
$2,349.00
IR3PLNCK
$1,474.00
1RNNSP
$0.00
PME Plan Check:
$0.00
470 s.f
$443.00
Remodel, Other
1REMRESOTH
Permit Fee:
$1,474.00
Suppl. Insp. Fee49 Reg.
® OT
0.0
hrs
$0.00
® # Window / Sliding Glass Door
$380.00 I wINREP Replacement
PME Unit Fee:
$0.00
PME Permit Fee:
$42.00
TOTALS:
624
$2,349.00
Construction TaxF-F
$1,474.00
MECH, HOURLY 0 Yes (F) No
PLUMB, HOURLY Q Yes E) No
ELEC, HOURLY ® Yes E) No
Xfech. Plan Check
Plumb. Plan Check
Elec. Plan Check 0.0 1 hrs $0.00
Xkch. Permit Fee:
Plumb "
Elec. Permit Fee: IEPERMIT
Other alech. Imp.LJ
Other Plumb ImpLJ I
Other Elec. Insp. 0.0 hrs $42.00
Adech. Insp. Fee:
Plumb. hisp. Fee.
$0.00
NOTE: These fees are based on the nreliminarv, information available and are onlv an estimate. Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 09-051 E . 7/1./10)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$2,349.00
156 s.f.
$570.00
Remodel, Kitchen (<=300 sf)
1REMRESKIT
Suppl. PC Fee: 0 Reg. O OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
470 s.f
$443.00
Remodel, Other
1REMRESOTH
Permit Fee:
$1,474.00
Suppl. Insp. Fee49 Reg.
® OT
0.0
hrs
$0.00
® # Window / Sliding Glass Door
$380.00 I wINREP Replacement
PME Unit Fee:
$0.00
PME Permit Fee:
$42.00
200 amps
$42.00
Electrical
IERT<200 Temporary Power
Construction TaxF-F
Acoustical Fee:
® Yes (E) No
$0.00
= #
$760.00
Skylight
1SKYL<10SF <= 10 s.f.
Q
0
Work Without Permit? ® Yes 0 No
$0.00
Planning Fee:
PLLONGRNGR
$81.12
Select a Non -Residential
Building or Structure
G
0
i
Travel Documentation Fee: ITRAVDOC
$42.00
Strong Motion Fee:
IBSEISMICR
$12.00
Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC
$5.00
SUBTOTALS:
1 $4,005.121$2,195.00
TOTAL FEE:
$6,200.12
Revised: 12/07/2010
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: Z 2-14 O )4//3 /SC uS O/Z C UAEA7140
PERMIT # d% 2-4U1r
OWNER'S NAME: $u12[S!{ 6 5j9#q 7-4/y/yAA),¢
PHONE # '90-0
GENERAL CONTRACTOR: ow,v £Ar- BviL p"POZ
BUSINESS LICENSE # N
ADDRESS: Z2•/4o k�8/scuS D2 GOACR r'iAU C c_A-
CITY/ZIPCODE: Q,!'O /
*Our municipal code requires all businesses working in the city to have a City of Cupertino 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: 3 lg &
Signature Date
Please check applicable subcontractors and complete the following information:
V
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring / Carpeting
Linoleum / Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner / Contractor Signature
1 I.? -I /I
Date
CUPERTINO
OWNER -BUILDER DISCLOSURE FORM
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 7T7-3333 - buildlnofa)CuDertino.orQ
Dear Property Owner(s):
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified at:
SITE ADDRESS 7A-PNj2BP#,. -
21 !/�/ cus f�fL eUP�2T/�c�
OWNER NAME OWNER ADDRESS
5L; , CS 8 SuN.4 74MiY d 2z/ o 1ScUS PIZ CUPY2Ti,,UC) C,4 7s -o/4,
DESCRIPTION OFF WORK:
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of
your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We
will not issue a building permit until you have read, initialed your understanding of each provision, signed, and
returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless
you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
(DIRECTIONS: Please read and initial each statement below to signify you understand or verify this information.)
r1. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -
Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material
personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by
an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not
provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my
insurance coverage for injuries to workers on my property.
1 2. 1 understand building permits are not required to be signed by property owners unless they are responsible for
the construction and are not hiring a licensed Contractor to assume this responsibility.
/�;3. 1 understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may
protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her
name instead of my own.
Aga 4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license
numbers on permits and contracts.
n 5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the
total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be
considered an "employer" under state and federal law. F°
6. 1 understand if I am considered an "employer" under state and federal law, I must register with the state and
federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to
unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject
me to serious financial risk.
&_ 7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family
residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by
licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work
is performed under contract with a licensed general building Contractor.
d D 8. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for
any financial or personal injuries sustained by any subsequent owners) that result from any latent construction
defects in the workmanship or materials.
Owne7BuilderForm 2010.doc remised 04/14/10
A�— 9. 1 understand I may obtain more information regarding my obligations as an "employer" from the Internal
Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments,
and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State
License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed
contractors.
�J— 10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I
am the party legally and financially responsible for proposed construction activity at the site address listed above.
,C11. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide
by all applicable laws and requirements that govern Owner -Builders as well as employers.
>�F 12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the
information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If
you contract with someone who does not have a license, the Contractors' State License Board may be unable to
assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed
Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or
employee of that individual or firm is injured while working on your property, you may be held liable for damages. If
you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not
those Contractors are properly licensed and the status of their workers' compensation insurance coverage.
CONSTRUCTION LENDING AGENCY
(DIRECTIONS: Please complete the following construction lending agency information.)
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued
(Sec 3097 Civ.)
Lender Name:
Lender Address:
Before a building permit can be issued, this form must be completed and signed by the property owner and
returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license,
form notarization, or other verification ac ce tabl to the ci mty ay be required to be presented when the permit is issued
to verifythe roe owner's si nature.
Property Owner's Signature: Date: / 9- Z /I
-------------------------=-------------------------------------------------------------------------------------------------------------------
(NOTE. The following Authorization Form is required to be completed by the property owner only when designating an
agent of the property owner to apply for a construction permit for the Owner -Builder).
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby
authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an
Owner -Builder Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the
above information and certify its accuracy. Note: A copy of the property owner's driver's license, form notarization, or other
verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's
signature.
Property Owner's Signature:
Date:
OmnerBuilderFomi 1010.doc revised 04114/10
4
BUILDING ENERGY, -ANALYSIS REPORT
PROJECT: a-
The Tammana Residence -fir L-
22140 Hibiscus Drive
Cupertino, CA 05014
Project Designer:
Innovative Concepts
2801 Moorpark Ave. #4
San Jose, CA 95128
408-985-1078
Report Prepared by:
Innova 've Concepts
COPY
Job Number:
Date:
11/23/2010
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.
EnergyPro 5.1 by Ener Soft User Number., 7197 RunCode: 2010-11-23708:18:57 ID:
4
TABLE OF CONTENTS
Cover Page
Table of Contents
Form CF -1 R Certificate of Compliance
Form MF -1 R Mandatory Measures Summary
HVAC System Heating and Cooling Loads Summary
EnergyPro 5.1 by EnergySoft Job Number: ID: User Number: 7197
1
2
3
9
12
Elm
ERFORMANCE CERTIFICATE: Residential Part 1 of 5
CF -1 R
Project Name
The Tammana Residence
Building Type 0 Single Family ❑ Addition Alone
❑ Multi Family 0 Existing+Addition/Alteration 11112312010
Date
Project Address
22140 Hibiscus Drive Cupertino
California Energy Climate Zone
CA Climate Zone 04
Total Cond. Floor Area
1,705
Addition
634
# of Stories
1
FIELD INSPECTION ENERGY CHECKLIST
❑ Yes El No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form.
❑ Yes El No Special Features -- If Yes, see Part 2 of 5 of this form for details.
INSULATION
Construction Type
Area Special
Cavity ftp Features see Part 2 of 5 Status
Floor Wood Framed w/Crawl Space None 1,071 Existing
Wall Wood Framed None 823 Existing
Door Opaque Door None 38 Existing
Roof Wood Framed Attic R-11 1,069 Existing
Floor Wood Framed w/Crawl Space R-19 634 New
Wall Wood Framed R-13 618 New
Door Opaque Door None 18 New
Roof Wood Framed Attic R-30 634 New
FENESTRATION U- Exterior
Orientation Area(fi2) Factor SHGC Overhang Sidef ins Shades Status
Front (NE) 63.0 1.190 0.83 none none Bug Screen Existing
Front (NE) 53.0 0.550 0.67 none none Bug Screen New
Right (NW) 74.0 1.190 0.83 none none Bug Screen Existing
Right (NW) 93.0 0.550 0.67 none none Bug Screen New
Rear (SW) 52.0 1.190 0.83 none none Bug Screen Existing
Left (SE) 26.5 1.190 0.83 none none Bug Screen Existing
Skylight 2.2 0.550 0.67 none none None New
Rear (SW) 72.0 0.550 0.67 none none Bug Screen New
Left (SE) 68.5 0.550 0.67 none none Bug Screen New
HVAC SYSTEMS
Ot . Heating Min. Eff
Cooling Min. Eff Thermostat Status
1 Central Furnace 78% AFUE
Split Air Conditioner 13.0 SEER Setback Existing
HVAC DISTRIBUTION
Location Heating
Duct
Cooling Duct Location R -Value Status
HVAC System Ducted
Ducted Attic, Ceiling fns, vented 8.0 Existing
WATER HEATING
Ot . Type Gallons Min. Eff Distribution Status
Ener Pro 5.1 by Ener Soft User Number: 7197
RunCode: 2010-11-23T08:18:5 ID:
Page 3 of 12
-PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R
Project Name
The Tammana Residence
Building Type ® Single Family ❑ Addition Alone
❑ Multi Family 0 Existing+ Addition/Alteration
Date
11/23/2010
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 EnergySoft User Number: 7197 RunCode: 2010-11-23T08:18:5 ID: Page 4 of 12
PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF -1 R
Project Name
Building Type 10 Single Family ❑ Addition Alone
Date
The Tammana Residence
❑ Multi Family 53 Existing+ Addition/Alteration
11/23/201
ANNUAL ENERGY USE SUMMARY
Standard Proposed Margin
TDV kBtu/ft? r)
Space Heating 82.31 64.35 17.96
Space Cooling 63.39 61.95 1.44
Fans 25.75 23.63 2.12
Domestic Hot Water 20.97 20.97 0.00
Pumps 0.00 0.00 0.00
Totals 192.42 170.89 21.52
Percent Better Than Standard: 11.2%
BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED
Fenestration
Building Front Orientation: (NE) 45 deg Ext. Walls/Roof Wall Area Area
Number of Dwelling Units: 1.00 (NE) 248 116
Fuel Available at Site: Natural Gas (SE) 739 95
Raised Floor Area: 1,705 (SVV) 464 124
Slab on Grade Area: 0 (NM 547 167
Average Ceiling Height: 8.0 Roof 1,705 2
Fenestration Average U -Factor: 0.82 TOTAL: 504
Average SHGC: 0.74 Fenestration/CFA Ratio: 29.6%
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 d complete.
Documentation Author
Company Innovative Concepts
11/ 3/ 10�
Address Name
Cit /State2i Phone Sign 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 Innovative Concepts
Address 2801 Moorpark Ave. #4 Name Jeff Guinta
City/State/zip San Jose, CA 95128 Phone 408-985-1078 Signed License # Date
EnerqyPro 5.1 bnerqySoft User Number: 7197 RunCode: 2010-11-23T08:18:5 ID: Page 5 of 12
-CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R
Project Name Building Type ® Single Family ❑ Addition Alone Date
The Tammana Residence ❑ Multi Family m Existing+ Addition/Alteration 11/23/201
OPAQUE SURFACE DETAILS
Surface
Type Area
U- Insulation Joint Appendix
Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments
Floor
1,071
0.097 None
0
180 Existing 4.4,1-A1
Zone 1
Wall
100
0.356 None
45
90 Existin 4.3.1-A1
Zone 1
Wall
236
0.356 None
315
90 Existing 4.3.1-A1
Zone 1
Wall
164
0.356 None
225
90 Existing 4.3.1-A1
Zone 1
Wall
3231
0.356 None
135
90 Existing 4.3.1-A1
Zone 1
Door
381
0.500 None
135
90 Existing 4.5.1-A4
Zone 1
Roof
1,069
0.079 R-11
0
0 Existing 4.2.1-A2
Zone 1
Wall
164
0.356 None
225
90 Removec 4.3.1-A 1
Zone 1
Wall
166
0.356 None
135
90 Removec 4.3.1-A1
Zone 1
Door
18
0.500 None
135
90 Removec 4.5.1-A4
Zone 1
Floor
634
0.037 R-19
0
180 New 4.4.1-A4
Zone 1
Wall
144
0.102 R-13
315
90 New 4.3.1-A3
Zone 1
Wall
176
0.102 R-13
225
90 New 4.3.1-A3
IZone 1
Wall
284
0.102 R-13
135
90 New 4.3.1-A3
Zone 1
Wall
14
0.102 R-13
45
90 New 4.3.1-A3
Zone 1
Door
18
0.500 None
45
90 New 4.5.1-A4
Zone 1
FENESTRATION SURFACE DETAILS
ID
Type
Area U -Factor
SHGC
Azm Status
Glazing Type
Location/Comments
1
Window
63.0 1.190 Default
0.83 Default
45 Existing
Single Metal Clear
Zone 1
2
Window
63.0 1.190 Default
0.83 Default
45 Removed
Single Metal Clear
Zone 1
3
Window
53.0 0.550 Default
0.67 Default
45 New
Double Non Metal Clear
Zone 1
4
Window
74.0 1.190 Default
0.83 Default
315 Existing
Single Metal Clear
Zone 1
5
lWindow
74.0 1.190 Default
0.83 Default
315 Removed
Single Metal Clear
Zone 1
6
1 Window
77.0 0.550 Default
0.67 Default
315 New
Double Non Metal Clear
Zone 1
7
Window
52.01 1.190 Default
0.83 Default
1 225 Existing
1 Single Metal Clear
Zone 1
8
Window
26.5 1.190 Default
0.83 Default
135 Existing
Single Metal Clear
Zone 1
9
Skylight
2.2 0.550 Default
0.67 Default
0 New
Double Non Metal Clear
Zone 1
10
Window
52.0 1.190 Default
0.83 Default
225 Removed
Single Metal Clear
Zone 1
11
Window
26.5 1.190 Default
0.83 Default
135 Removed
Single Metal Clear
Zone 1
12
Window
16.0 0.550 1 Default
0.67 1 Default
315 New
Double Non Metal Clear
Zone 1
13
Window
72.0 0.550 Default
0.67 Default
225 New
Double Non Metal Clear
Zone 1
14
Window
68.5 0.550 Default
0.67 Default
135 New
Double Non Metal Clear
Zone 1
(1) LI -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
Exterior Shade Type SHGC
Window
H t Wd
Ove hanq Left Fin
Len H t LExt RExt Dist Len
Ri ht Fin
H t Dist Len H t
1
Bug Screen
0.76
2
Bug Screen
0.76
3
Bug Screen
0.76
4
JBug Screen
0.76
5
Bug Screen
0.76
6
Bug Screen
0.76
7
Bug Screen
0.76
8
Bug Screen
0.76
9
None
1.00
10
IBug Screen
0.76
11
JBug Screen
0.76
12
Bug Screen
0.76
13
Bug Screen
0.76
14
Bug Screen
1 0.76
Ene
Pro 5.1 4y EnergySoft User Number.- 7197
RunCode: 2010-11-23T08:18.•5 ID:
Pae 6 of 12
CERTIFICATE OF COMPLIANCE: Residential
(Part 4 of 5) CF -1 R
Project Name
The Tammana Residence
Building Type ® Single Family
0 Multi Family
0 Addition Alone
® Existing+ Addition/Alteration
Date
11/231209
OPAQUE SURFACE DETAILS
Surface U- Insulation
Type Area Factor Cavit Exterior Frame Interior Frame Azm Tilt Status
Joint Appendix
4 Location/Comments
Roof 6341 0.031 R-30 1
0 0 New
4.2.1-A20 Zone 1
FENESTRATION SURFACE DETAILS
ID T e Area U -Factor SHGC
Azm Status Glazing Type Location/Comments
(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
Window
ID Exterior Shade Type SHGC H t Wd
Ove hang
Len H t I LExt RExt
Left Fin Right Fin
Dist I Len I H t Dist Len H t
Ener Pro 5.1 by Ener Soft User Number: 7197
RunCode: 2010-11-23T08:18:5
ID: Page 7 of 12
CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF --I R
Project Name
The Tammana Residence
Building Type ® Single Family ❑ Addition Alone
❑ Multi Family ® Existing+ Addition/Alteration 1
Date
11/23/201
BUILDING ZONE INFORMATION
System Name Zone Name
Floor Area
New Existing Altered Removed Volume Year Built
HVAC System Existing
1,071
8,568 1952
Addition
634
5,072
Totals 6341 1,0711 0 0
HVAC SYSTEMS
System Name Qty. Heating Type
Min. Eff. Cooling Type Min. Eff. Thermostat Type Status
HVAC System 1 Central Furnace
78% AFUE Split Air Conditioner 13.0 SEER Setback
Existing
HVAC DISTRIBUTION
System Name Heating
Duct
Coolin Duct Location R -Value
Ducts
Tested? Status
HVAC System Ducted
Ducted Attic, Ceiling Ins, vented 8.0
❑ Existing
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
Standard Gas 50 gal or Le
1
Small Gas
No Pipe insulation
40,000
50
1 0.58 1
nia
nia
Existing
MULTI -FAMILY WATER
HEATING DETAILS
HYDRONIC
HEATING
SYSTEM
PIPING
Control
EIftl
»=Pipe
L o_
Hot Water Piping Length
o
¢ —
System Name
Length
Pipe
Diameter
Insul.
Thick.
Qt HP
Plenum
Outside
Buried
❑
❑
❑
❑
Ener Pro 5.1 by Ener Soft User Number. • 7197
RunCode: 2010-11-23T08:18:5 ID:
Pa e 8 of 12
-MANDATORY MEASURES SUMMARY: Residential (Page 1 of 3 MF -1 R
Project Name
The Tammana Residence
Date
11/23/2010
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 -
i R -ALT Form) shall supersede the items marked with an asterisk (i) 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(i): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(i) when the
installation of a Cool Roof is specified on the CF -1 R Form.
*§150(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(g): 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 e 1 A: 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 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:
§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.
1 50 i : Heating systems are equipped with thermostats that meet the setback requirements of Section 1 12 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 lines),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 ' 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- 7197 RunCode: 2010-11-23T08:18:57 ID: Page 9 of 12
-MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R
roject Name Date
The Tammana Residence 11112312010
�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 fans stems have back draft or automatic dampers.
§150(m)B: 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 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 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(p): 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 efficacy 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 ft2or 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 EnergySoff User Number: 7197 RunCode: 2010-11-23T08:18:57 /D: Page 10 of 12
MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R
Project Name
The Tammana Residence
Date
11/23/2010
5150(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.
4EXCEPTION 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 Exceptions 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
re uirements 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: 7197 RunCode: 2010-11-23T08:18:57 ID: Page 11 of 12
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
Project Name
The Tammana Residence
Date
11/23/2010
System Name
HVAC System
Floor Area
1,705
]ENGINEERING CHECKS
SYSTEM LOAD
Number of Systems
1
COIL
CFM
Total Room Loads 1,844
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation o
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
COOLING
PEAK
COIL HTG.
PEAK
fleating System
Sensible
Latent
CFM
Sensible
Output perSystem
0
42,131
1,555
1,343
47,746
Total Output (Btuh)
0
0
Output Btuh/ ft
0.0
1,644
2,262
Cooling System
01
0
Output per System
1
0
0
0
0
Total Output Btuh
1
0
1,555
0
Total Output ons
0.0
1,644
2,262
Total Output Btuh/s ft)
0.0
Total Output s ft/Ton
20,460,000.0
1 45,419
52,271
Air System
CFM per System
0
HVAC EQUIPMENT SELECTION
Airflow cfm
0
Furnace - A/C
1
0
0
Airflow (cfm/ ft)
0.00
Airflow cfm/Ton)
0.0
Outside Air °/6
0.0%
Total Adjusted System Output
(Adjusted for Peak Design conditions)
TIME OF SYSTEM PEAK
1
0
0
Outside Air cfm/ ft)
0.00
Note: values above given at ARI conditions
Aug 3 PM
Jan 1 AM
HEATING SYSTEM PSYCHROMETRICS
Airstream Temperatures at Time of Heating Peak
28 OF
Outside Air —
-411r-
0 cfm
68 OF
68 OF 105 OF
M -- - '-- --
Heating Coil
----------------
103 OF
ROOM
70 OF
COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak
88 / 68 OF
Outside Air Ar
0 cfm
80 163 IF
80 / 63 IF 55153 OF
I
Cooling Coil 57 / 54 OF
42.2% ROOM
78 163 OF
T
i
EnergyPro 5.1 by EnergySoft
User Number. 7197 RunCode: 2010-11-23T08:18:57 ID:
Page 12 of 12