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13050207CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21740 RAINBOW DR CONTRACTOR: BAY AREA DEVELOPER PEPMT NO:13050207 AND ASSOCIATES OWNER'S NAME: VIRAY PROPERTIES LLC 1671 CANYONVIEW DR DATE ISSUED: 10/10/2013 OWNER'S PHONE: 4082349061 SAN JOSE, CA 95132 PHONE NO: (408) 394-8065 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ / License Class_ Cj � CONSTRUCT (I) MULTI LEVEL SFD WITH 4714 S.F. LIVING AREA, 604 S.F. ATTACHED GARAGE Lic. # tU & 80 S.F. FRONT PORCH AREA & 374 S.F. DECK AREA. (8-25-15) REVISION #1: REVISE Contractor. Vu ate. do `1i0 THE ENGINEER OF RECORD AND PROVIDE NEW SET OF PLANS AND DOCUMENTS ALSO SHOWING AS -BUILT CONDITIONS. I hereby affirm that I am lit'elised under the provisions of Chapter 9 REMOVE GAZEBO FROM THE SCOPE OF WORK. — Issued 10/20/2015 (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: 1. 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: $700000 performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by on -3700 of.the Labor Code, for the performance of the work for which this APN Number: 36603063.00 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 to building construction, and hereby authorize representatives of this city to enter WITHIN 180 DAYS OF PERMIT ISSUANCE OR 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 Citin consequence of the 180 DAYS FROM LAST CALLED INSPJECION. t o/Mlao 15 y granting of this permit. Additionally, the applicant understands and will comply with. Issued b Date: Y� all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature'' -Date i - RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is OWNER -BUILDER DECLARATION installed without first obtaining an inspection, I agree to remove all new materials for inspection. I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: Signature of Applicant: Date: 1. 1, as owner of the property, or my employees with wages as their sole ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 2. 1, 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 I hereby affirm under penalty of perjury one of the following three declarations. California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & �. I have and will maintain a Certificate of Consent to self -insure for Worker's Safety Code, Section 25532(a) should I store or handle hazardous material. Compensation, as provided for by Section 3700 of the Labor Code, for the Additionally, should I use equipment or devices which emit hazardous air performance of the work for which this permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will 2. 1 have and will maintain Worker's Compensation Insurance, as provided for by maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Section 3700 of the Labor Code, for the performance of the work for which this Health & Safety Code, Sections 25505, 25533, and 25534. permit is issued. 3. I certify that in the performance of the work for which this permit is issued, I shall Owner oar authorized agent: j Date: 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, I CONSTRUCTION LENDING AGENCY must forthwith comply with such provisions or this permit shall be deemed I hereby affirm. that there is a construction lending agency for the performance of work's revoked. 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 ARCHITECT'S DECLARATION to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save I understand my plans shall be used as public records. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Licensed Professional 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 Patricia Garcia From Sent: Monday; November 21, 2016 4:12 PM To: Patricia Garcia Subject: 21740 rainbow dr permit renewal Hi pat I'm sending this letter to request a permit renewal as requested for permit card # 13050207 for the address above. The reason it was expired was no inspection within 6 months ------` we were u.i'`o through"two plan »wum+tu,l /o, public works mn/icr/ took several months to be approved by public work. Once approved it then took several weeks to complete work. I've also payed the fee of $148' Please let me know if anything else needed. Thanks! Ouang Nguyen 408-394-8065 Sent from my iPhone CUPIERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT .E3, J!RR I N 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 " (408) 777-3228 • FAX (408) 777-3333 • buildingg-cupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI REVISION / DEFERRED ORIGINAL PERMIT # ! coo PROJECT ADDRESS / APN . OWNERNAME. CIO— I yip I �TD ft�rt `L.I ii`"'< � J' {� �= f is PHONE. -. _ �'! V (Jl('n1 / STREET ADDRESS CITY, STATE, ZIP FAX CONTACT NAME � e1 � tpW y �j j, �I ( ll Y`% `f/ l V 3 PHONE �� 6 4 B f G J °7 E-MAII C(7Q� o � /� C co / STREET ADDRESS 00 Sri n ob10 A -`y - " CITY, STATE, ZIP { 1� 1 �'e c 36 CA GI of FAX Q" � ` f%C%V ❑ OWNER ❑ OWNER-BuaDFR ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER. ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECTIENGINEER NAME LICENSE NUMBER BUS. LIC COMPANYNAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK9 �`�L.�fj Or- i- P.L EXISTING USE. PROPOSED USE CONSTR. TYPE I it STORIES USE TYPE OCC. SQ:FT, VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL. AREA AREA AREA NET AREA. -BATHROOM KITCHEN - OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA- TOTAL DECKJPORCH AREA GARAGE AREA: DETACH _ ❑ ATTACH P DWELLINGUNITS:: IS A SECOND UNIT ❑YES SECOND STORY ❑YES. BEING ADDED? ❑NO ADDITION? r1NO' PRE -APPLICATION [3 YES IF YES, PROVIDE COPY OF IS THE BLDG AN [3 YES RECEIVED BY= ;; _ TOTAL V ION; PLANNINGAPPL# [3NO PLANNING APPROVAL LETTER EICHLERHOME? E]NO a^'" By my signature below, I certify to each of the fol wing: I am the property o er, or authorized agent to act on the property owner's behalf. I have read this application and the information I have provide orrect. I have read the Des iption of Work and verify it is accurate. I agree to comply with all applicable ,local ordinances and state laws relating to buiidi c I authorize rep en es of Cupertino to enter the above-ident' led property or inspection purposes: Signature -ofApplicant/Age ' Date: SUPPLEMENTAL INFORMATION REQUIRED PLANHECKTYPE._ .. RO.7iTING'SLII' 77 ©L OYER THE COUNTER BTiIInINGP irrREY[EEw New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ©` EMPRESS rANNLnIGPLArIREvIEw Commercial Bldgs: Provide a completed Hazardous Materials DisclosureTP TANDARDUBLlcwoxxs _ form if any Hazardous Materials are being used as part of this project. ❑ I.ARGZ+i , [� FIRE DEPT' _ Copy of Planning Approval Letter or Meeting with Planning prior to ��' 1VIATOIL. Q $AT7ITARY SE➢4ERDISTRrcT , submittal of Building Permit application. ±x �' Q,,:ENV7$ONNIENTAI;'iiEALTH ,"rte BldgApp 2011.doc revised 06/21/11 CITY OF CUPERTINO t FF.F. F:CT1fMATnR — RITII.DYNG DIVISION lialADDRESS: 21740 Rainbow Dr leel.'..hro8)2 C /leCF DATE: 08124/2015 REVIEWED BY: Sean APN: .--PERMIT BP#: *VALUATION: $0 TYPE: Building Permit tE?I' J;�f'. L'. Insp- PLAN CHECK TYPE.: Alteration / Repair PRIMARYPENTAMATION SFD or Duplex USE: Plan Check, Hourly 1GENRES PERMIT TYPE: WORK Revision #1: Revise the Engineer of Record and provide new set of plans and documents. SCOPE $0.00 $286.00 1STPLNCK NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, k'ire, Sanatary ee , District, etc.. These ees are based on the preliminar information available and are only an estimate. Contact the Dept for addn'Z info. leel.'..hro8)2 C /leCF i'la:}n;5, htxdtT C'%T•'cFe Elee, M .eib Check ;I'lech. Perms! i ee: Pl 'Zl'. 1'e tit Tee: � tb'C:'. per tit Fee: Other -AN, _.h. flap" - Other N 1F b bisfl.f�i`, tE?I' J;�f'. L'. Insp- Ll'C` h7s.p. Fee: I'l•trnb- Insp. Fee:�',t£",'. �t tt3 �"�i'E'.' Plan Check, Hourly Swr District School NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, k'ire, Sanatary ee , District, etc.. These ees are based on the preliminar information available and are only an estimate. Contact the Dept for addn'Z info. FEE ITEMS (Fee Resolution 11-053 E f 711113) FEE QTY/FEE MISC ITEMS Pian Check Fee: Hourly Only? 0 Yes No $0.00 2 hours Plan Check, Hourly Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 $286.00 1STPLNCK PME Plan Check: $0.00 Permit Fee: $0.00_____F__= - Suppl. Insp. Fee: Reg.=OO:T:�Ohrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 ,4&l7inis1`ratii£ Fee: Work Without Permit? O Yes (F) No $0.00 Advanced. Planning Fee: $0.00 Select a Non -Residential E) Building or Structure 01 7InawerDt"IC:1/xflc'Y°rtdLlon F.zcS $0.00 Select an Administrative Item Strong Motion Fee: Bldg Stds Commission Fee: $0.00 Si7BTOTALS: $0.00 $286.00 IOTA L FSE:: $286 00 Revised: 07/02/2015 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21740 RAINBOW DR CONTRACTOR: TBD --TQ: BE-DE•TERM� ED -PERMIT NO: 13050207 OWNER'S NAME: VIRAY PROPERTIES LLC 'ZVQ DATE ISSUED: 10!10/2013 OWNER'S PHONE: 4082349061 t, , , s PHONE NO: LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT Class Lie. INFO: BLDG ELECT PLUMB -License # rCOMMERCIAL Contraetorj� _�. ---fie C, ( f . MECH RESIDEN'T'IAL I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: CONSTRUCT (N) MULTI LEVEL SFD WITH 4714 S.F. (commencing with Section 7000) of Division 3 of the Business & Professions LIVING AREA, 604 S.F. ATTACHED GARAGE Code and that my license is in full force and effect. & 80 S.F. FRONT PORCH AREA & 374 S.F. DECK AREA. 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. I have and will maintain Worker's Compensation Insurance, as provided for by Sq. Ft Floor Area: Valuation: $700000 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is APN Number: 36603063.00 Occupancy Type: 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, PERMIT EXPIRES IF WORK I5 NOT STARTED costs, and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally, the applicant understands and will comply 180 D S FROM LAST CALLED INSPECTION. with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. ' i . i 6 gnature Date � Issued by: Tw �.�,lW( 5�/'� , Date: I C� OWNER -BUILDER DECLARATION RE -ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed. If a roof is the following two reasons: installed without first obtaining an inspection; I agree to remove all new materials for I, as owner of the property, or my employees with wages as their sole compensation, inspection. will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) Signature of Applicant: Date: I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE Compensation, as provided for by Section 3700 of the Labor Code, for the I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & I have and will maintain Worker's Compensation Insurance, as provided for by Safety Code, Section 25532(a) should I store or ,handle hazardous material. Section 3700 of the Labor Code, for the performance of the work for which this Additionally, should I use equipment or devices which emit hazardous air hermit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued, I shall maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health & Safety Code, Sections 25505, 25533, and 25534. Compensation laws of California If, after making this certificate of exemption, I become subject to the Workers Compensation provisions of the Labor Code, I must caner o orized Date: forthwith comply with such provisions or this permit shall be deemed revoked.' CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct. I agree to comply with all city and county ordinances and state laws relating for which this permit is issued (Sec. 3097, Civ C.) to building construction, and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, Lender's Address costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply ARCHITECT'S DECLARATION with all non -point source regulations per the Cupertino Municipal Code, Section - 9.18. I understand my plans shall be used as public records. Signature Date Licensed Professional N d I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 21740 RAINBOW DR CONTRACTOR: VIRAY PROPERTIES LLC PERMIT NO: 13050207 OWNER'S NAME: VIRAY PROPERTIES LLC 1100 ZAMORA CT DATE ISSUED: 10/10/2013 OWNER'S PHONE: 4082349061 MILPITAS, CA 95035 1 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL0 COMMERCIAL License Class Lic. # Contractor Date 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. 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 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, 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 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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) as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 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 i e tit is issued. ify 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, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 1 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, costs, and expenses which may accrue against said City in consequence of the granting of this permitAAdiLionally, the applicant understands and will comply with all non -,o our ® ino Municipal Code, Section 9.18. Signature CONSTRUCT (1) MULTI LEVEL SFD WITH 4714 S.F. LIVING AREA, 604 S.F. ATTACHED GARAGE & 80 S.F. FRONT PORCH AREA & 374 S.F. DECK AREA. Sq. Ft Floor Area: I Valuation: $700000 APN Number: 36603063.00 I Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS F AST ALLED INSPECTION. Issue Date: RE -ROOFS: 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. 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(x) should I store or handle hazardous material. Additionally, should I use ent or devices which emit hazardous air contaminants as defined ie Ba uality Management District I will maintain compliance th th pet , Chapter 9.12 and the Health & Safety Cod Section 2 34. Owner or authorized agen 5Date-AA2404 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 Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CONSTRUCTION PERMIT APPLICATION v COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE.AVENUE • CUPERTINO, CA 95014-3255 (40.8) 77773228 • FAX (40 8) 777-3333 • buildino(d)cupertino.org \ r-1 i --i r1 ll --i T n r WLM lk rr r iI 91 lJ NEW CONSTRUCTION LJ AUDI IIVIV- PROJECT ADDRESS %J) APN # '` O / / J� ��{, O /F OWNERNAME r i/, PHONE C��y�/ d� ems. !/ C STREET ADDRESS. CITY, STATE, ZIP FAX CONTACT NAME '''/} �y L /may PHONE �J _ �r/ i 4klk S / `La EV� r ��{�L�? CJ Yu C C f STREET ADDRESS iJ /� C TE ✓ d _FAX/7J f ❑ OWNER ❑ OWNER•BUMDER -OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME �tA �� LICgSrU1,1 r _ LICENS YPE BUS. LIC # COMPANY N E L FAX f ela S sa a�-ta�1E STREET ADDiSS ". - "��r�e� C STATE ZIP 9tit .tee PHO l.c_ c ,,� ARCHITECTIENGINEE NAME AA nn �� C LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK .f t EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION (S) -EXISTG AREA NEW FLOOR .AREA DEMO AREA TOTAL NET AREA BATHR M REMODEL AREA KITCHEN / REMODEL AREA OTHER REMODEL AREA PO AREA `. K TOTALD CK/PO CH AREA . G GE ETACH ❑ ATTACH . S, # D BLLING SSS]]]1jITTfS: ' _" / •' IS A -BEGOT UNIT ❑YES BEING ADDED?O SECOND STORY ADDITION? ❑NO PRE•APPLICATION []YES IFYES, PROVIDE COPY OF IS THE BLDG AN ❑ YES VE '' " ''^_ `�^ � TOTLYALUATION: LETTER EICHLERHOME? ❑NO PLANNINGAPPL# F-1 NO PLANNING APPROVAL ,,�+ ,,43.r-"_N�` C////�J [[��//((VV�)) 'end'. By my signature below, I certify to eac =d-esn the propert3wwmer or authorized agent to a property owner's behalf. I have read this application and the information e provided, is co "read th Work and verify I is accurate. I agree to comply with all applicable local or antes and to laws rel Ing to_buildigg cons resentatives f Cupertino to enter the above-identified1. property for inspection purposes. ordinancesK ( `—�_i�- ��9 ` Agent: _....:_ Date: / 7� of A lits P SUPPLEMENTAL INFORMATION _ ,Pia N.CHECK TYrE p r r; z, ROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s) : Demolition permit is required prior to issuance of buildings{ permit for new building. R fl yERTt courvTER � -EXPRESSI—k x °s u LDrgG V w Commercial Bldgs: Provide a completed Hazardous Materials Disclosure i t a IJBI ICwoli "��}, _ To—rm. if any Hazardous Materials are being used as part of this project. Copy Planning Approval Letter or Meeting with Planning prior to a° �EWE,�RDISTRICT° �'�, _ of . ❑ � OR ��I� ANTTAR submittal of Building Permit application.�x _ ;'"❑-ENVJRONMENTALAEALTII?. Bldg,4pp_2011.doc revised 06/21/11 CITY OF CUPERTINO WN FEE ESTIMATOR - BUILDING DIVISION ia* ADDRESS: 21740 RAINBOW DR DATE: 05/30/2013 REVIEWED BY: MELISSA PC FEE ID APN: 366 03 063 BP#: % p��cxQ VALUATION: $700,000 —� xPERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY SFD or Duplex USE: 2nd Unit? Yes • No PENTAMATION 1 R3HIL PERMIT TYPE: A WORK CONSTRUCT N MULTI LEVEL SFD WITH 4714 S.F. LIVING AREA 604 S.F. ATTACHED GARAGE SCOPE I & 80 S.F. FRONT PORCH AREA & 374 S.F. DECK AREA. (N) GAZEBO IN SIDE YARD (144 S.F.) OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Hillside, Custom) II-B,111-B,IV,V-B 5,772 $5,450.78 1R3HPLNCK $4,479.70 1R3HINSP PME Plan Check: $0.00 557 1.£ $1,465.00 Retaining Wall IRETSTN Standard Retaining Wall Permit Fee: Hourly Only? 0 Yes (E) No $4,479.70 Suppl. Insp. Feer Reg. Q OT0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 TOTALS: 5,772 $5,450.78 1 $4,479.70 $641.96 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are based on the nreliminary information available and are onlv an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff: 711,112) htech. Plzen Check Plumb.Plan Check l'lec. Plan Check Ilfech. Pennit Icy,. Plumb. 1' �.. .... Elec. Permit l , Other,Uech. Insp. Other Plumb Indy.Li Vii,her Elec. Insp. Ifc(h h?,!), F l'/urnG 1,,, �, i �zf' 1.(.'c. hrr/ /'roc NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are based on the nreliminary information available and are onlv an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff: 711,112) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes (E) No $5,450.78 0 hours $133.00 Plan Check, Hourly 1STPLNCK Suppl. PC Fee: (j) Reg. Q OT0.0 hrs $0.00 PME Plan Check: $0.00 557 1.£ $1,465.00 Retaining Wall IRETSTN Standard Retaining Wall Permit Fee: Hourly Only? 0 Yes (E) No $4,479.70 Suppl. Insp. Feer Reg. Q OT0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: 1BCONSTAXR 1 # newunits $641.96 Administrative .Fee: G Work Without Permit? 0 Yes No $0.00 Advanced Planning Fee. IPLLONGR $750.36 Select a Non -Residential Building or Structure 0 i Travel Documentation Tees: Stronp, Motion Fee: IBSEISMICR $70.00 2.0 hrs $266.00 Inspections ISTINSP Inspection, Hourly BldgStds Commission Fee: 1BCBSC $28.001 SUBTOTALS: 111,420.801$1,864.001 TOTAL FEE: 1 $13,284.80 �` . Revised: 04/29/2013 CUPERTINO CONTACTOR / WBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: /d PERMIT # S OWNER'S NAME: ( j -p �� ,G C, PHONE # — GENERAL CONTRACTOR: BUSINESS LICENSE # ADDRESS: CITY/ZIPCODE: *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: Signature Please check applicable subcontractors and complete the following information: Date Date 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 Date /2F✓rsia.�/ �� CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 13050207 21740 RAINBOW DR CUPERTINO CA 95014 (366 03 063) Quang Nguyen 1671 CANYONVIEW DR SAN JOSE, CA 95132 OWNER'S NAME: (VIRAY PROPERTIES LLC) DATE ISSUED: 10/10/2013 OWNER'S PHONE: 408-904-8614 PHONE NO: 408-394-8065 I.ICF.NS .D CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class @ Lic. #981296 Contractor Quanq Nguyen Date 07/31/2016 —BLDG —ELECT _PLUMB MECH RESIDENTIAL COMMERCIAL 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. JOB DESCRIPTION: CONSTRUCT (N) MULTI LEVEL SFD WITH 4714 S.F. LIVING AREA, I hereby affirm under penalty of perjury one of the following two declarations: 604 S.F. ATTACHED GARAGE & 80 S.F. FRONT PORCH AREA & 374 1. I have and will maintain a certificate of consent to self -insure for Worker's S.F. DECK AREA. (I) GAZEBO IN SIDE YARD (144 S.F.) Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Revision #2 to 13050207 - Modification of the original plans to include I have and will maintain Worker's Compensation Insurance, as provided for by front house driveway. Issued 6-28-16 Lection 3700 of the Labor Code, for the performance of the work for which this permit is issued. (8-25-15) REVISION #1: REVISE THE ENGINEER OF RECORD AND APPLICANT CERTIFICATION PROVIDE NEW SET OF PLANS AND DOCUMENTS ALSO SHOWING I certify that I have read this application and state that the above AS -BUILT CONDITIONS. REMOVE GAZEBO FROM THE SCOPE OF information is correct. I agree to comply with all city and county ordinances WORK. 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 Sq. Ft Floor Area: Valuation: $700000.00 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. APN Number: Occupancy Type: Signature ��__ ��+� c_�g_16 36603 063 OWNER -BUILDER DECLARATION PERMIT EXPIRES IF WORK IS NOT STARTED I hereby affirm that I am exempt from the Contractor's License Law for one of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR following two reasons: 1. I, as owner of the property, or my employees with wages as their sole 180 DAYS FROM LAST CALLED INSPECTION. compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) Issued by: SEAN HATCH l 2. I, as owner of the property, am exclusively contracting with licensed Date: 10/10/2013 contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: RE -ROOFS: 1. I have and will maintain a Certificate of Consent to self -insure for Worker's All roofs shall be inspected prior to any roofing material being installed. If a roof is Compensation, as provided for by Section 3700 of the Labor Code, for the installed without first obtaining an inspection, I agree to remove all new materials for performance of the work for which this permit is issued. inspection. z. 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 Signature of Applicant: permit is issued. Date: 6-28-16 3. 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 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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, I must forthwith comply with such provisions or this permit shall HAZARDOUS MATERIALS DISCLOSURE be deemed revoked. I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will APPLICANT CERTIFICATION maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the I certify that I have read this application and state that the above information is Health & Safety Code, Section 25532(a) should I store or handle hazardous correct. I agree to comply with all city and county ordinances and state laws material. Additionally, should I use equipment or devices which emit hazardous relating to building construction, and hereby authorize representatives of this city air contaminants as defined by the Bay Area Air Quality Management District I to enter upon the above mentioned property for inspection purposes. (We) agree will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and to save indemnify and keep harmless the City of Cupertino against liabilities, the Health & Safety Code, Sections 25505, 25533, and 25534. judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands 11 Owner or authorized agent:L and will comply with all non -point source regulations per the Cupertino Municipal Date: 62$=16 Code, Section 9.18. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance Signature Date 6-28-16 of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name 2010 CALGREEN RESIDENTIAL CHECKLIST — /3L1)'50e_-'?07 Frvii MANDATORY ITEMS COMMUNITY CUP�O I ALERT SALVADOR, P.E.EC.B.O.PBU DEPARTMENT OBUILDING DIVISION FICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - building(a)cupertino.org SEp PURPOSE: ey 7 2413 The 2010 CalGreen Code applies to all newly constructed hotels, motels, lodging houses, s, dormitories, condominiums, shelters, congregate residences, employee housing, factory -built hous d other types of swellings with sleeping accommodations and new accessory buildings associated with suc 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: New Residence 21740 Rainbow Drive Cupertino, CA 95014 New Residence 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 Column 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 Design - Site Preservation 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 ❑X minimize future adverse effects on the proposed structure. Planning and Design - Site Development 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 OX 13 system will manage all surface water flows. Page I of 1,0 . y U r 1 CalGreen 2010.do(- rrerised ON/?7,111 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. 0 ❑ Water saving fixtures or flow restrictors shall be used per Table 4.303.2. ❑ ElA 20 percent reduction in baseline water use shall be demonstrated per As of 7/01/2011 Table 4.303.1. 4.303.2 When using the calculation method specified in Section 4.303.1, multiple showerheads shall not exceed maximum flow rates. As of 7/01/2011 4.303.3 Plumbing fixtures (water closets and urinals) and fittings (faucets and showerheads) shall comply with specified performance requirements. As of 7/01/2011 Outdoor Water Use 4.304.1 Automatic irrigation systems installed at the time of final inspection ❑ shall be weather -based. A4.4 MATERIAL• - • RESOURCE 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 Reduction, 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 © ❑ 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 CidGreen 2010.doc revised 08127/11 A4.5 ENVIRONMENTAL QUALITY Fireplaces 4.503.1 Install only a direct-vent sealed-combustion gas or sealed wood- ❑X burning fireplace, or a sealed woodstove. Pollutant Control 4.504.1 Duct openings and other related air distribution component openings a 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 productUzi MIR Limits for ROC and other toxic compounds. -weighted 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. Q 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 (CHPS) 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 OX emission standards. Interior Moisture Control 4.505.2 Vapor retarder and capillary break is installed at slab on grade foundations. 4.505.3 Moisture content of building materials used in wall and floor framing is checked before enclosure. Page 3 of 5 CalGreen 20/0.doc revised 08127111 Indoor Air Quality and Exhaust 4.506.1 Exhaust fans which terminate outside the building are provided in © ❑ every bathroom. Environmental Comfort 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 minimumLai 0 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. 'INSTALLER AND SPECIAL INSPECTOR QUALIFICATIONS 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. Page 4 of -5 CnlGreen 2010.doc revised 0827111 Project Name: Project Address: Project Description: CALGREEN SIGNATURE DECLARATIONS New Residence 21740 Rainbow Drive Cupertino, CA 95014 New Residence 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 et forth in the 2010 California Green Building Standards Code as adopted by tt�e C� Owner's SigpM a Date Desigs ignat Date rIV7 - Design Professional's Name (Please Print) - :& 03/14/2013 Snature o Professional responsible for CalGreen compliance Date Darrel Kelly 408-718-1908 Name of License Professional responsible for CalGreen compliance (Please Print) Phone darrel@builders-energy.net 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 constructed in accordance with this Green Building Checklist and in accordance with the requirements of the 2010 California Green Building Standards Code as adopted by the City of Cupertino. i� 03/14/2013 Si6nature ofiicense Professional responsible for CalGreen compliance Date Darrel Kelly 408-718-1908 Name of License Professional responsible for CalGreen compliance (Please Print) Phone darrel@builders-energy.net Email Address for License Professional responsible for CalGreen compliance Page 5 oC 5 CalGreen _20/O.doc revised Oft%27 1 J 113-NOO15727A-000000000-OOOO.pdf https://www.calcerts.com/files/ProjectFiles/248994/plan_312707/213-N... Electronically Filed by Darrel Eelly and Authenticated at Ca10ERTS.com - 3/14/2013 Electronically Signed at Ca10ERTS.com by Barre Barnes (Vette Investments) 3/14/2013 PERFORMANCE CERTIFICATE: Residential Part 1 of 5) CF -1 R Project Name New Residence Project Address 430 Cordova Road Cupertino Building Type M Single Family ❑ Addition Alone O Multi Family CI Existing+ Addition/Alteration California Energy Climate Zone Total Cond. Floor Area Adcillon CA Climate Zone 04 5,446 n/a Date 3/13/2013 4 of Stories 2 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. ❑ Yes ❑ No Special Features --If Yes, see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special Cavity (ft`) Features (see Part 2 of 5) Status WaIIBG Solid Unit Masonry Walt Wood Framed None 1.620 Depth = 108.000" R-13 3.025 New New Wall Wood Framed R-13 149 New Door Opaque Door None 20 New FloorBG Unheated Slab -on -Grade Root Wood Framed Attic - — -- Deur opaque Door None 1.295 R-38 2 448 Radiant Bander - Norm 48 j 41 14#11 Hoor Wood Framed w/Crawl Space R-19 1,293 FENESTRATION U - Orientation Area(ft) Factor SHGC Overhang Sidefins Shades �Stus Front (Al 9.0 0-350 Front (W) 400 0 350 027 none none Bug Screen 027 none none Bug Screen -Mw New Rear (SE) 180 0.350 0.30 none none Bug Screen New Right (S) 9 0 0.350 0.27 none none Bug Screen New Right (S) 40-0 0.350 0.27 none none Bug Screen New Right (S) 15.0 0.350 J 0.27 none none Bug Screen New Skylight_ 4.0 0.390 0.29 none none None New ' Front (lM 12.0 0.350 0.27 none none Bug Screen New Front (1M 50.0 0.350 0.27 none none Bug Screen New Front (W1 12-0 0-350 0.27 none none Bug Screen New Front (M 20-0 0.350 HVAC SYSTEMS Ot . Heating Min. Eff 027 none none Bug Screen Cooling Min. Eff Thermostat New Status 1 Central Furnace 94% AWL Split Air Conditioner 13 0 SEER Setback New 1 Central Furnace 94% AFUE Split Air Conditioner 13.0 SEER Setback New 1 Central Furnace 94% AFUE Split Air_ Conditioner 13 0 SEF. R_ Setback New HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status Basement Ducted Ducted Basement 6-0 New First Floor Ducted Ducted Crawlspace 6.0 Second Floor Ducted Ducted Attic, Ceiling Ins, vented 6-0 WATER HEATING Ot . Type Gallons Min. Eff Distribution New New Status 2 Instant Gas G 0.84 No Pipe Insulation New EnergyPro 5 1 by EnergySoR User Number: f239 RunCode: 2013.03-13T16:04:33 ID 655 f 1 Pae 1 of 12 Reg 0J" 1J tT 3.0.1 Date%Time: 12�iQe:57 HERS Provider: CalCERTS, Inc 1 of 13 3 Y 3/14/2013 9:30 AM 213-NOOI5727A-000000000-OOOO.pdf https://www.calcerts.com/files/ProjectFiles/248994/plan_312707/213-N... Electronically Filed by Darrel Relly and Authentica::ed at calcERTS.com - 3/14/2013 Electronically Signed at Ca10ERTS.com by Barre Barnes (Vette investments) 3/14/2013 PERFORMANCE CERTIFICATE: Residential Part 1 of 5) CF -1 R Project Name New Residence Building Type M Single Family ❑ Addition Alone o Multi Family 0 Existing+ Addition/Afteration Date 3/1WO13 Project Address 430 Cordova Road Cupertino California Energy Climate Zone CA Climate Zone 04 Total Cond. Floor Area 5,446 Addition n/e # of Stories 2 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes ❑ No HERS Measures --If Yes, A CF -4R must be provided per Part 2 of 5 of this form. ® Yes ❑ No Special Features --If Yes, see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special Cavity (fe) Features (see Part 2 of 5) Status FENESTRATION U- Orientation Area(ft) Factor Exterior SHGC Overhang Sidefins Shades Status Front (141 200 0 350 Front (AW 240 0 350 _ 027 none none Bug Screen 027 none none Bug Screen New New Left (N) 500 0 350 027 none none Bug Screen New Left (N) 15.0 0.350 0.27 none none Bug Screen New Left (N) 120 0.350 0.27 none none Bug Screen New Left (N) 18.0 0.350 0.27 none none Bug Screen � New Left (NE) 6.0 0.350 02/ none none Bug Screen Rear (E) 20.0 0.350 0.27 none none Bug Screen New Rear (E) 175 0.350 0.27 none none Bug Screen New Rear (E) 17.5 0.350 0.27 none none Bug Screen New Rear (SE) 20.0 0.350 0.27 none none Bug Screen Near HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status WATER HEATING Ot . Type Gallons Min. Eff Distribution Status Ener yPro 5 t by EnergySoft User Number: 1239 RunCode: 2013-03-13T16:04:33 !n. 05511 Page 2 of 12 Reg: _13-N0015727A-000000000-0000 Registration Date/Time: 2013/03/14 1::08:51 HERS Provider: CalCERTS, Inc 2 of 13 3/14/2013 9:30 AM 213-N00 j 5727A-000000000-OOOO.pdf littps://www.caleetts.com/fi les/ProjectFiles/248994/plan_312707/213-N... Electronically Filed by Darrel Kelly and Authenticated at calcERTS.com - 3/14/Z013 Electronically Signed at CalCERTS.com by Barre Barnes (Vette Investments) 3/14/2013 PERFORMANCE CERTIFICATE- Residential Part 1 of 5 CF -1 R Project Name ; Building Type 4 Single Family Addition Alone New Residence Multi Family Existing+ Addition/Alteration Date 3/13/2013 Project Address California Energy Climale one 430 Cordova Road Cupertino CA Climate Zone 04 Total Cond Floor Area ;e Addition 5,446 n/a fi of Stories 2 FIELD INSPECTION ENERGY CHECKLIST 4 Yes No HERS Measures -- If Yes, A CF -4R Must be provided per Part 2 of 5 of this form. 4 Yes No Special Features — If Yes, see Part 2 of 5 of this form for details. INSULATION Area Special Construction Type Cavity ft2 Features see Part 2 of 5 Status FENESTRATION U- Exterior Orientation Area ft2 Factor SHGC Overhang Sidefins Shades Status Rear (SE) 20.0 0.350 0.27 none none Bug Screen New Rear (SE) 160 0 350 030 none none Bug Screen New Right (S) 120 0 350 027 none none Bug Screen New Right (S) 40.0 0.350 0.27 none none Bug Screen New Right (S) 20.0 0.350 0.27 none none Bug Screen New Right (S) 30.0 0.350 0.30 none now _ Bug Screen New _ Right (S) 30.0 0_350_ 0.30 none none Bug Screen New Right (S) 21.3 0350 030 none none! Bug Screen New Right (Sw! 20.0 0.350 0.27 none none Bug Screen New Right (SlAq 20.0 a 350 0.27 none none Bug Screen New Skylight 160 0.390 0.29 none none None New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status WATER HEATING Qty. Type Gallons Min. Eff Distribution Status Energ Pro 5 1 by Ener ySoft User Number 1239 RunCode: 2013-03-13TI6:04:33 ID. 05511 Page 3 of 12 Reg: 213-N0015727A-000000000-0000 Registration Date/Time: ^.013/03/14 12_:08:57 HERS Provider: Ca10ERTS, Inc 3 of 13 3/14/2013 9:30 AM 213-NOOJ 5727A-000000000-OOOO.pdf https://www.calcerts.com/tiles/ProjectFiles/248994/plan_312707/213-N... Electronically Filed by Darrel Kelly and Authenticated at CaICERTS.com - 3/14/_013 Electronically Signed at CaICERTS.com by Barre Barnes (Vette Investments) 3/14/2013 PERFORMANCE CERTIFICATE- Residential Part 1 of 5 CF -1 R Project Name I Building Type 4 Single Family Addition Alone New Residence Multi Family Existing+ Addition/Alteration Date 3/1312013 Project Address California Energy Climate Zone 430 Cordova Road Cupertino CA Climate Zone 04 Total Cond Floor Area 5,446 Addition n/a # of Stones 2 FIELD INSPECTION ENERGY CHECKLIST 4 Yes No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. 4 Yes No Special Features — If Yes, see Part 2 of 5 of this form for details. INSULATION Area Special Construction Type Cavity ft2 Features see Part 2 of 5 Status FENESTRATION U- Exterior Orientation Area ft2 Factor SHGC Overhang Sidefins Shades Status Skylight 4.0 0.390 0.29 none none None New Skylight 40 0 390 029 none none None New Skylight 40 0 390 029 none none None New Front (w) 6.0 0.350 030 none none Brig Screen New Front (tM 40-0 0.350 0.30 none none Bug Screen New Front (NIN) 18.0 0.350 0.30 none none Bug Screen _ New Left _ 16.0 0 350 0.30 none none Bug Screen � New _(N) Left (N) 17.8 0.350 030 none none Bug Screen New Left (N) 90 0.350 0.30 none none Bug Screen New Left (NE) 18.0 0.350 0.30 none none Bug Screen New Right (S) 40.0 0.350 0.30 none none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status WATER HEATING Qty. Type Gallons Min. Eff Distribution Status Ener yPro 5 1 by Ener ySoft User Number: 1239 RunCode: 2013-03-13T16:04:33 ID. 05511 Page 4 of 12 Reg: :13-N0015727A-000000000-0000 Registration Date/Time: 2013/03/14 1=:08:57 HERS Provider: CalCERTS, Inc 4 of 13 3/14/2013 9:30 AM 213-NOO 15727A-000000000-OOOO.pdf https://www.calcerts.com/files/ProjectFiles/248994/Plan_312707/213-N... Electronically Filed by Darrel Kelly and Authenticated at calcERTs.com - 3/14/2013 Electronically Signed at CalCERTS.com by Barre Barnes (Vette Investments) 3/14/013 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Building Type 4 Single Family Addition Alone New Residence Multi Family Existing+ Addition/Alteration i Date � 3/13/2013 �T# Project Address California Energy Climate Zone ( Total Cond Fluor Area ? Adddion 430 Cordova Road Cupertino CA Climate Zone 04 5,446 I n/a of Stories 2 FIELD INSPECTION ENERGY CHECKLIST 4 Yes No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. 4 Yes 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 FENESTRATION U- Exterior Orientation Area ft2 Factor SHGC Overhang Sidefins Shades Status Right (S) 16.0 0.350 030 none none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status WATER HEATING Qty. Type Gallons Min. Eff Distribution Status EnergyPro 5 1 by EnergySoR User Number 1239 RunCode: 2013-03-13T16:04:33 ID. 05511 Page 5 of 12 Reg: 213-N00157n7A-000000000-0000 Registration Date/Time: 2013/03/14 1-:03:57 HERS Provider: CalCERTS, Inc 5 of 13 3/14/2013 9:30 AM 213-NOOI5727A-000000000-(1000.pdf https://Nvww.calcerts.cont/tiles/ProjectFiles/249994/pl ui_312707/213-N... Electronicaliy Filen by Darrel felly and Authenticated at Ca10ERTS.Ccin - 3/14/3013 Electronically Signed at Ca;3ERTS.ccm by Sarre Barnes (Vette _nvestments) 3/14/2213 PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R Project Name Building Type 4 Single Family Addition Alone Date New Residence Multi r=amify Existing+ Addition/Alteration j 3/13/2013 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. This budding is modeled with reduced infiltration Consequently the homeowners manual provided by the builder to the homeowner shall include o eratin instructions for the homeowner an how to use mechanical ventilation to achieve ads oats ventilation. esting or reduced infiltration shalla performed as specifiedin 1/9 -0 is istinq shall a so report the target CFM50H require or the blower door test to achieve the modeled SLA and the minimum CFM50H (corresponding to an SLA of 1.51 allowed to avoid backdraft problems HIGH MASS Design - Verify Thermal Mass: 1295 sgft Concrete. Heavyweight Exterior Mass, 3.500" thick at Basement This building is modeled with reduced infiltration. Consequently the homeowners manual provided by the builder to the homeowner shall include operating instructions for the homeowner on how to use mechanical ventilation to achieve adequate ventilation. Testing for reduced infiltration shall be performed as specified in ASTM E 119 03 This listing shall also report the target CFM50H required for the blower door test to achieve the modeled SLA and the minimum CFM50H (corresponding to an SLA of 1 5) allowed to avoid backdraft problems This building is modeled with reduced infiltration Consequently the homeowners manual provided by the builder to the homeowner shall include !�peratinq instructions for the homeowner on how to use mechanical ventilation to achieve adequate ventilation Testingfor reduced infiltration shaft ba performed as spacilied in AS7h� E %%9 03 this listing shalt also report tris targetCFN150H required loi the blower door test to achieve the modeled SLA and the minimum CFM50H (corresponding to an SLA of 1 5 allowed to avoid backdraft problems The Roof R-38 Roof Attic includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in Residential Appendix RA4 2 2p 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. This building has tight construction with reduced infiltration and a target blower door test range between 509 and 118/ CFM at 50 pascals The blower door test must be per(orrned using the ASTM Standard Tesl Method for Determining Air Leakage Rale. WARNING - If this building tests below 509 CFM at 50 pascals, the house must either be provided with a ventilation opening that will increase the infiltration to this level (SLA=1 5) OR mechanical supply ventilation must be provided. Compliance credit for quality installation of insulation has been used HERS field verification is required The HVAC System Basement incorporates HERS veered Duct Leakage HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. This building has tight construction with reduced infiltration and a target blower door test range between 974 and 2273 CFM at 50 pascals. The blowor door test must be performed using the ASTM Standard Test Method for Determining Air Leakage Rate. WARNING - If this building tests below 974 CFM at 50 pascals, the house must either be provided with a ventilation opening that will increase the infiltration to this level (SLA=1.5) OR mechanical supply ventilation must be provided. Compliance credit lot quality installation of insulation has been used HERS field verification is required. The HVAC System First Floor incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria This budding has tight construction with reduced infiltration and a to target blower door test range between 656 and 1531 CFM at 50 pascals. The blower door test must be performed using the ASTM Standard Test Method for Determining Air Leakage Rate WARNING - If this building tests below 656 CFM at 50 pascals, the house must either be provided with a ventilation opening that will increase the infiltration to this level (SLA=1.5) OR mechanical supply ventilation must be provided Compliance credit for quality installation of insulation has been used. HERS field verification is required. The HVAC System Second Floor incorporates HERS verified Duct Leakage HERS field verification and diagnostic testing is required to verify that duct leakage meets the specifted criteria. Ener Pro 5.1 by Ener Soft User Number 1239 RunCode: 2013-03.13T16:04:33 1D. 05511 Pae 6 of 12 Reg: 313-IuC157373i-Gu000v000-4f 7(t Registration Date/Time: 3013/33/14 1--:08:57 HERS Frovider: CalCERTS, Inc 6 of 13 3/14/2013 9:30 AM 313-NOO 1,5727A-000000000-OOOO.pdf https:/hvr-w.calcerts.com/tiles/ProjectFiles/248994/pl<ui_312707/213-N... Electronically Filed by Darrel Kelly and Authenticated at CaiCERTS.com - 3/14/=013 Electronically Signed at Ca'-CERTS.com by Barre Barnes (Vette Investments) 3/14/2013 PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF -1 R Project Name ! Building Type 4 Single Family Addition Alone Date New Residence Multi Family Existing+ Addition/Alteration 3/13/2013 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ft2- r Space Heating 86.91 73.27 13.64 Space Cooling 257 182 076 Fans 1122 1120 0.01 Domestic Hot Water 725 5.51 1.74 Pumps 000 aoo 0.00 Totals 10795 9180 16.15 Percent Better Than Standard: 150% BUILDING COMPLIES - HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (W 290 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (149 1.278 251 Fuel Available at Site: Natural Gas (N) 1,156 162 Raised Floor Area: 1,293 (E) 193 129 Slab on Grade Area: 0 (S) 870 313 Average Ceiling Height: 9.8 Roof 2.480 32 Fenestration Average U -Factor: 035 TOTAL: 887 Average SHGC: 0.28 Fenestration/CFA Ratio. 163% REMARKS Floor area will vary from architectural plans because the Energy Code requires that areas be calculated from outside face of walls to outside face of walls AND count stairs at each floor (i e. double count stairs) while plannmg76ur/ding departments and others count inside "usable areas" sometimes rgnor basements and seldom double count stairs STATEMENT OF COMPLIANCE CE PE R08-01-1680 This certificate of compliance lists the building features and specifications needed r --j to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the CAB -EIC. Efficiency Standards of the California Code of Regulations. NR08-05-3682 The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author D - Builders' Energy Services 1_ I Company '-- -------___ � 3/13/2013 Address 1478 Bird Avenue Name Darrel Kelly CitylSlatelZip San Jose, CA 95124 Phone (408) 718-1908 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 Holiday Drive LLC Address 2175 DeLo Cruz. Unit C Name Barre Barnes City/State/Zip Santa Clara, CA 95050 Phone (406) 234-9061 Date Ener Pro 5 1 by Ener Soft User Number 1239 RunCode: 2013-03-13716:04:33 1D 0'5511 Pae 7 of 12 Reg:=13-N00157=7A-00+0000000-0000 Registration Date/Time: =013/03/14 1":0(;:57 HERS rrovider: CalC.ERTS, Inc 7 of 13 3/14/2013 9:30 AM 213-NO015727A-000000000-OOOO.pdf https://www.calcerts.com/files/ProjectFiles/248994/plaii_312707/213-N... Electronically Filed by Darrel Eelly and Authenticated at CalCERTS.com - 3/14/5013 Electronically Signed at Ca10ERTS.Com by Barre Barnes (Vette Investments) 3/14/2013 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1R Project Name New Residence Building Type 4 Single Family Addition Alone " Date Multi Family Existing+ Addition/Alteration 3/13/2013 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area jFactor cavity xterior I Frame Ilnterior' Frame ! Azm Tilt Status 4 Location/Comments Wal1BG 540 0.620 None 0 90 New 43.6-D5 Basement WallBG 120 0 820 None 0 90 New 4 3 6-D5 Basement Wal18G 360 0.820 None 0 90 New 4.3.6-D5 Basement Wall 49 0.102 R-13 L290 90 New 4.3.1-A3 Basement Wall 149 0.102 R-13 0 90 New 4.3-1-A3 Basement Door 20 0.500 None 0 90 New 4 5 1-A4 Basement Wall 53 04021R-13 110 90 New 4 3 1-A3 Basement Wall 27 0.102 R-13 155 90 New 4 3 1-43 _ Basement v Wall 134 , 0.102 R-13 200 _ 90 New 4.3.1-A3^� ;Basement FloorBG 1,295 0.730 None 0 180 New 4.4.7 -Ai Basement Roo/ 805 0 025 R-38 290 5T -New 4 2 1-A21 First Floor Wall 249 0.102 R-13 290 90 New 4.3 1-A3 First !door Wall 86 0.102 R-13 335 90 New 4.3.1-A3 First Floor Door 48 0.500 None 335 90 New 4-5.1-A4 First Floor Wall 181 0.102 R-13 20 90 New 4.3-1-A3 First Floor Wall I 4b9l 0 102 R-13 65 90 New 43 f -A3 I First Floor FENESTRATION SURFACE DETAILS ID Type Area I U -Factor SHGC Azm Status Glaain Type Location/Comments 1 'Window 4.5 0.350 NFRC 0-27NFRC 290 New Window C - 1630 Fixed Basement 2 Window 40.0 0.350; NFRC 0.27 NFRC 290 New Door 11- 6068 French Door Basement 3 `Window 4.5 0.350 NFRC 0.27 NFRC 290 New Window C - 1630 Fixed Basement _4 �-Win--d.-o-.w--• 18-0 0 350 NFRC 0.30 NFRC 155 New Window A - 3060 - SH Basement 5Wt! ndow 90 0 350 NFRC 0.27 NFRC 200 New Window 8. 3030 SH Basement 6 Window 40.0 0.350 NFRC 0 27 NFRC 200 New Door 1- 6068 Patio Slider Basement 7 - Window -- 15.0 0.350 NFRC -- 0 21 NFRC I 200 New Window Al - 30W SH Basement 8 9 Skyf ht Window 4-0 0 390 NFRC 12.0 0.350 NFRC ---------------- 0.29 NFRC 0.27 NFRC - - - - i 290 New 290 New ----- - Velux Comfort+(74J Lowe2fA Window O - 3040 SH First Floor First Floor 10 Window 50.0 0 350 NFRC 0 27 NFRC _ 290 New _ Window N - 10050 SH First Floor 11 Window 120 0 350 NFRC 0 2 / NFRC 290 New Window L - 2060 Fixed First Floor 12 Window 200 0.350 NFRC 0.27 NFRC 290 New Window E - 4050 SH First Floor 13 Window 20.0 0.350 ; NFRC 0-27 NFRC 290 New Window E-1 4050 Fixed First Floor 14 Window 24.0 0.350)NFRC 0.27 NFRC 335 New Window G-2 - 4060 SH First Floor 15 Window 50-0 0.350 NFRC 0-27 NFRC 201 New Window N - 10050 SH First Floor 16 jwindow 15.0 0.350 NFRC 0 27 NFRC 201 New I Window M - 3050 SH First Floor (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 Exterior Shade Type SHGC Window H t Wd Y Overhand _ _ Left Fin Right Fin Len 1H t ' LExt RExt Dist Len H t Dist Len H t I Bug Screen 076 2 Bug Screen 0.76 _ 3 _Bug Screen 0.76 4 Bug Screen 0.76 5 BL19 Screen 0 76 6 Bug Screen 0.76 7 Bug Screen 016 8 None 1-00 9 Buq Screen 0.76 10 Bug Screen 0.76 11 Bug Screen 016 12 Bug Screen 0.76 13 Bug Screen 0.76 14 Bug Screen 076 15 Buq Screen �Bug 0-76 16 Screen 0.76 Ener Pro 5 1 by Ener Soft User Number 1239 RunCode: 2013-03-13T18:04:33 ID: 05511 Pae 8 of 12 Reg: 513-I30015727A-000000000-0000 Registration Date/Time: 5013/03/14 1-:03:57 HERS Provider: CalCERTS, Inc 8 of 13 3/14/2013 9:30 AM 213-NOO I5727A-000000000-OOOO.pdf https://www.calcerts.com/files/ProjectFiles/248994/plan_312707/213-N... Electronically Filed by Darrel Kelly and Authenticated at CalCERTS.Com - 3/14/2013 Electronically Signed at Ca<CERTS.com by Barre Barnes (Vette Investments) 3/14/2013 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name New Residence ' Building Type J Single Family Addition Alone Date 1 Multi Family Existing+ Addition/Alteration 3/13/2013 OPAQUE SURFACE DETAILS Surface U- Insulation Joint Appendix Type Area '!Factor Cav' ExteriorFrame {Interior Frame Azm Tilt Status 4 Location/Comments wall 133 0.102 R-13 110 90 New 4.3.1-A3 First Floor wall 125 0.102 R-13 155 90 New 4.3 1-A3 First Floor wall 117 0.102 R-13 200 90 New 4.3 1-A3 First Floor wall 19 0.102 R-13 245 90 New 4.3.1-A3 First Floor Floor 1,293 0.037 R-19 0 180 New 4-4.1-A4 First Floor Roof 1,643 0-025 R-38 290 0 New 42.1-A2f Second Floor Wall 307 0.102 R-13 1 290 90 New 4.3.1-A3 Second Floor Way 119 0.102 R-13 335 90 New 4.3 f -A3 Second Floor_ way 237 0.102 R-13 20 90 New 4-3.1-A3 Second Floor Well 1 117 0.102 1 R-13 65 90 New 4.3.1413 Second Floor Well 268 0.1021R-13 t 10 90 New 4 3 1-A3 Second Floor Wall 58 0.102 R-13 155 90 New 4.3.1-A3 Second Hoor Well 227 0.102 R-13 200 90 New 4.3.1-A3 Second Floor Way 60 0.102 R-13 245 90 New 4.3. 1,43 Second Floor FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC2 Azm Status Glazing Type Location/Comments 17 =Window 12.0 0.350 NFRC 0.27 NFRC 20 New Window L - 2060 Fixed First Floor 18 Window 18.0 0.350 NFRC 0.27 NFRC 20 New Window K - 3060 SH First Floor 19 Window 6.0 0.350 NFRC 0.27 ± NFRC 65 New Window J - 2030 SH First Floor 20 Window 20,0 0,350 NFRC 0.2_7 NFRC 110 New Window G-1 4050 Fixed First Roor 21 Window 17.5 0 350 NFRC 027 NFRC 110 New Window E-2 - 3650 SH First Floor 22 Window 17.5 0.350 NFRC 027 NFRC f f0 New Window E3 - 3650 Fired First Floor 23 Window 20.0 0.350 NFRC 0 27 NFRC 155 New Window b - 4050 SH Hist Floor 24 Window 20.0 0 350 NFRC 0.27 NFRC 155 New Window E-1 4050 Fixed First Floor 25 Window 16-0 0.350 NFRC 0.30 NFRC i 155 New Window P - 4040 SH First Floor 26 Window 12.0 0 350 NFRC 0.21 NFRC 200 New Window H - 3040 SH First Floor 21 ,Window J 200 0 350 NFRC 0.27 NFRC 2001 New Window G_74050 SH First Hoot 28I Window 20.0 0-350 NFRC 027 NFRC 200 New I Window G-1 4050 Fixed First Floor 29 Window 20.0 0.350 NFRC 0.27 NFRC 200 New Window G - 4050 SH First Floor 30 31 Window30.4 Window 0.350 NFRC 30.0 0.350tNFRC� 0.30 NFRC 200 New 0.30 NFRC 200 New Window F - 6050 - SH Window F-1 6050 Fixed First Floor First Floor 32 Ifflndow 213 0.350 NFRC 0 30 NFRC 200 New Window A - 3060 - SH First Floor (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 Exterior Shade Type SHGC Window H t Wd _ Overhand Left Fin Len I H t LExt RExt Dist Len Right Fin H t Dist Len H t 17 Bug Screen 0.76 18 Bug Screen 0.76 19 Bug Screen 0.76 20 Bug Screen 0.76 21 Bug Screen 0.16 22 Bug Screen 0.76 23 Bug Screen 0.76 24 Bug Screen 0-76 25 Bug Screen 0.76 26 Buo Screen 0.76 27 Bug Screen 0.16 28 Bug Screen 0.76 I 29 Bug Screen 0.16 30 Bug Screen 0.76 - 31 Buq Screen 0.76 1 32 Bug Screen 1 0.76 Ener Pro 5.1 by Ener Soft User Number 1239 RunCode: 2013-03-13T16:04.33 0: 05511 Page 9 o7_12 Reg: -^13-N00157_7A-000000000-0000 Registration Date/Time: ^-013/03/14 12:09:57 HERS Provider: CalCERTS, Inc 9 of 13 3/14/2013 9:30 AM 213-N00 ] 5727A-000000000-0000.pdf littps://www.calcerts.com/files/ProjectFiles/248994/Plau_312707/213-N... Electronically Filed by Darrel Kelly and Authenticated at Ca10ERTS.Com - 3/14/2013 Electronically Signed at Ca10ERTS.com by Barre Barnes (Vette Investments) 3/14/2013 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name New Residence Building Type 6 Single Family 1 Multi Family Addition Alone Date Existing+ Addition/Alteration 3/13/2013 OPAQUE SURFACE DETAILS Surface U- Insulation Type Area Factor:Cavity Exterior' Frame Jinteriorl Frame Azm Tilt Status Joint Appendix 4 Location/Comments FENESTRATION SURFACE DETAILS ID I Type Area U -Factor s SHGC-'Azm I Status Glazing Type Location/Comments 49 'Window 20.0 0.350 NFRC 0.30 NFRC 200 New Window Q - 4050 SH Second Floor 50 Window 20.0 0.350 NFRC 0.30 NFRC 200 New Window Q - 4050 SH Second Floor 51 Window 16.0 0.350 NFRC 0.30 NFRC 200 New Window Z - 4040 SH Second Floor (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 ._. _._. _ _ _ Oyerhan - ID Exterior Shade Type SHGC H _ Wd Len H t LExt RExt Left Fin __ RghteFin_ Dist Len H t Dist ' Len r H t 49 Bug Screen 076 50 Bug Screen 0.76 51 Bug Screen 0.76 Ener Pro 5. 1 by Ener Soft User Number 1239 RunCode: 2013-03-13T16:04:33 ID: 05511 Page 11 of 12 Reg: 213-N0015727A-000000000-0000 Registration Date/Time: :013/03/14 1^:09:57 HERS Provider: Ca10ERTS, Inc 11 of 13 3/14/2013 9:30 AM 313-NO015727A-000000000-OOOO.pdf https:/,, www.calcerts.com/ti les/ProjectFiles/248994;plan_312707/213-N... Electronically Filed by Darrel Kelly and Authenticated at Ca10ERTS.Com - 3/14/_013 Electronically Signed a- Ca=CERTS.com �:y Barre Barnes (Vette=nvestments) 3/14/3013 CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R Project Name New Residence Building Type 4 Single Family Addition Alone Date Multi Family Existing+ Addition)Alteration 1311312013 BUILDING ZONE INFORMATION System Name Zone Name Floor Area New Existing Altered Removed Volume 1 Year Bud Basement Basement 1,295i 11.655 i First Floor First Floor 2,480 24,800 Second Floor Second Floor 1,671 16,710 Totals 5,446' 0 01 0 HVAC SYSTEMS System Name Qty. Heating Type Min. Eff. Cooling Type Min. Elf. Thermostat Type Status Basement 1 Central Furnace 94% AFUE Spirt Air Condrtroner 13 0 SEER Setback New First Floor f Central Furnace 94% AFUE Spit Air Conditioner 13 0 SEER Setback New Second Floor 1 Central Furnace 94% AWE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION System Name Heating Duct Ducts Cooling Duct Location R -Value Tested? Status Basement Ducted Ducted Basement 6 0 4 New First Floor Ducted Ducted Crawlspace 6.0 4 New Second Floor Ducted Ducted Attic Ceiling Ins, vented 6.0 4 New WATER HEATING SYSTEMS System Name Qty. _ Type Distribution Rated Input Btuh Tank Cap. al Energy Factor or RE Ext. Standby Tank Loss or !, Insul. R - Pilot Value Status Generic Tankless 2 Instant Gas No Pipe Insulation 185.000 0 0.84 n/a rVa New MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length ft I � Gv U) Q — System Name Pipe Pipe Length Diameter Insul. Thick. cny. HP Plenum Outside Buried Ener Pro 5.1 by Ener Soft User Number. 1239 RunCode: 2013.03.13T16:04:33 ID: 05511 Pae 12 of 12 Reg: -213-N00157_7A-000000000-0000 Registration Date/Time: =013/03/14 1.:08:57 HERS Provider: Cd10ERTS, Inc 12 of 13 3/14/2013 9:30 AM OWNER -BUILDER DISCLOSURE FORM COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 • FAX (408) 777-3333 - building CcDcupertino.org 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 4 ! '-' APN BP 6 it.C.C:fC� OWNER NAME f - NER ADD ESS DESCRIPTION OF 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. Please read and initial each statement below to signify you understand or verify this information.) w 1. 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 iance coverage for injuries to workers on my property. 2. I understand building permits are not required to be signed by property owners unless they are responsible for onstruction 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 na&ev instead of my own. 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license i7n m ers on permits and contracts. 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the Lo?tl4alue of my construction is at least five hundred dollars ($500), including labor and materials, I may be c nsidered an "employer" under state and federal law. 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 e o serious financial risk. K7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residentia structures cannot legally build them with the intent to offer them for sale, unless all work is performed by license ubcontractors and the number of structures does not exceed four within any calendar year, or all of the work is pqzf6rmed under contract with a licensed general building Contractor. 8. I 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 owner(s) that result from any latent construction defects in the workmanship or materials. OwnerBudderForm 1010.(1oc rc,i•ised 04i14/10 • .y C9 I9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal evenue 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 Lice Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb,ca.gov for more information about licensed c tractors. aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I a the party legally and financially responsible for proposed construction activity at the site address listed above. yallplicable ree that, as the party legally and financially responsible for this proposed construction activity, I will abide laws and requirements that govern Owner -Builders as well as employers. ree 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.) N � 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 responsib for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verificatit occeptable to th e required to be presented when the permit is issued to verify the property owner's si Property Owner's Signature: Date: (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): C= Unc '� . I s A Project Location or Address: Name of Authorized Agent: Tel NoA�-_jfoa Address of Authorized Agen I declare under penalty of pe above information and certif, verification acceptable to the signature. Property Owner's Signature: So I out the n, or other !y owner's Ow•ner&nldeffown 010.docreilsed04,1410 CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • B4I��IVI�pN 10300 TORRE AVENUE • CUPERTINO, CA 95014-32 V ry *—"""_s (408) 777-3228 • FAX (408) 777-3333 • building aecupertino.org [:]NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI REVISION / DEFERRED ORIGINAL PERMIT # 1.30&D,D / PROJECT ADDRESS ,� )'74-6 1 ,t , APN # OWNERNAME/� O— I STD ,p � PHONE / / E-MAIL lJ (j 9 _ STREET ADDRESS CITY, STATE, ZIP CONTACT NAME O, AAI /1 CA1 pyl f V PHONE 9) 0- %' E-MAIL fM! O� L ��CM - COm /232 AI STREET ADDRESS D0 Scln �vlQ -Y , CITY, STATE, ZIP �' nelr'ri /,q /j t ^ja FAX DiL - 0300 ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT I�NTRACTOR ❑ CONTRACTOR AGENT` ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK T ✓ f -t .' S L --- EXISTING USE PROPOSED USE CONSTR TYPE I STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXLSTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED! ❑NO ADDITION' []NO PRE -APPLICATION []YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED BY' TOTAL V ION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME' ❑ NO By my signature below, I certify to each of the fo wing: I am the property o er or authorized agent to act on the property owner's behalf. I have read this application and the information I have provide i Ire . I have read the Des Iption of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buildi c I authorize rep en • es of Cupertino to enter the aboveled property or inspection purposes. e--i/dent' Signature ofApplicant/Age Date: ZS SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPI ROUTING SLIP ❑ OVER-THE-COUNTER BUILDING PLAN REVIEW _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ElEXPRESS PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials DisclosureTANDARD PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. iii❑ LARGE ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH B1dgApp_2011.doc revised 06/21/11 6 � 3vl i- s Oul- Z (Ol ZCD� �- '7 -� C4 p � Qv - 5e � � N CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21,740 RAINBOW DR CONTRACTOR: VIRAY PROPERTIES LLC PERMIT NO: 13050207 OW'NER'S NAME: VIRAY PROPERTIES LLC 1100 ZAMORA CT DATE ISSUED: 10/10/2013 OWNER'S PHONE: 4082349061 MILPITAS, CA 95035 PHONE NO: LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL License Class Lie. # CONSTRUCT (N) MULTI LEVEL SFD WITH 4714 S.F. LIVING AREA, 604 S.F. ATTACHED GARAGE Contractor Date && 80 S.F. FRONT PORCH AREA & 374 S.F. DECK AREA. 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 Sq. Ft Floor Area: Valuation: $700000 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. APN Number: 36603063.00 Occupancy Type: 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 to building construction, and hereby authorize representatives of this city to enter WITHIN 180 DAYS OF PERMIT ISSUANCE OR upon the above mentioned property for inspection purposes. (We) agree to save 1NU DAYS F"43a1 S_T .ALLED 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 Issue Date: r ! B 0 3 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. RE -ROOFS: Signature Date 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. 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) , as owner of the property, am exclusively contracting with licensed contractors too HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). R I have read the hazardous materials requirements under Chapter 6.95 of the California Health & 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: Health & 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 us ent or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined he Ba uality Management District I performance of the work for which this permit is issued. , Chapter 9.12 and will maintain compliance rth th uper" ni!rM. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 Labor Code, for the for which this the Health & Safety Cod , Section 2 of the the performance of work Owner or authorized agen Date rmit is issued. i ertify 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 CONSTRUCTION LENDING AGENCY Compensation laws of California. If, after making this certificate of exemption, I 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, 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-poen sour i� 116u�er ino Municipal Code, Section Licensed Professional 9.18. Signature ate CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE.AVENUE • CUPERTINO, CA 95014-3255 (4Q8) .777-3228 • FAX {408) 777-3333 • buildingQcupertino.orp 1 •1 . 1 I 1 i. A T TCD A T fVKT I TT I—I .'P-,7TCTnV I TIFFFRRT-n nRIGTNAL PERMIT S PROJECT ADDRES �j �} CJC LICSFi 71vffiER r LICENS9JYPE AP N # b — 0 ® �i C� �d OWNER NAME 6 r l�Z� Lam•' / PHONE 5— /C�ltSit: E ;��e� PJ i1 J`^-�/ fid? STREET'ADDRESS I- CITY, STATE, ZIP FAX CONTACT NAME '' fj. PHONE � � _ 0 � E i�G �. G r4�1 � C- t . STREET ADDRESS . k'Lf &: ZYL � /t 6404,� r, .,,......,,s.....,., r"1AT2CATTECT 13 ENGINEER 0 DEVELOPER ❑ TENANT `. 2 CONTRACTOR NAME ' . • LICSFi 71vffiER r LICENS9JYPE BUS. LIC n COMPANYH I- FAX STREET ADDIS$C STATE ZIP' g��c J�:� G(�2 ARCHITECT/ENGINENAME LICENSE NUMBER BUS. LIC COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRBTION OF wORIC o EXISTINGUSE PROPOSED USE CONSTR. TYPE USE r ..NEW OR DEMO AREA TOTAL • NET AREA 'O KITCHEN ' f' OTHEREL.AREA REMODEL AREA ,_'� REMODEL AREA - .s TYPE I OCC. I SQ.FT_ ' , VALUATION($). N DWELLING UNL-IS .. ., tea,.. ----- - - • BEING ADDED'.' PTO ADDITION? []NO 1 TO.ALUATiON .PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF . IS THE BLDG AN 11 YES -.g. IVS .-a �,r PLANNING APPL # ONO PLANNING APPROVAL LETTER EICHLER HOME? NO 6✓ .. -.- By my signature below, I certify to each _ tTie property..�mar or authorized agent to a property owner's behalf. I have read this application and the information have provided' is co 4-kax...e read,#_, -_.. '* p . Work and verify I is accurate. I agree to comply with all applicable. local ordinances and state laws rel mg to bulldir d cons etrdrL :alb o resentati f Cupertmo'to enter the above -identified property for inspection purposes i t l Date Signature of Appli ankgent: oxo GtP SUPPLEMENTAL INFORMATION RlQUff P csl cs�Yrlr'�� u ` P �� OYERTHIrCOUN3�R UII,DGLAIREYLEt?�N� New SFD or'Multifamily dwellings: Apply for demolition permit for Y N of existing bu lduig(s):,.Demolition permit is required prior to issuance of bulldm� � g v v 4 permit for new building.; _ 90 Commercial Bldgs: Provide a completed Hazardous Materials Disclosure� G form if any Hazardous Materials are bein used as art of this project. HOPE z 5� g P y L G�� _ FEW Copy of Planning Approval Letter or Meeting with Planning prior to I RM, _AsEwRnrs xIT� 0� . submittal of Building Permit application. y Bldg Opp 2011.doc revised 06721/11 . e CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DI` ADDRESS: 21740 RAINBOW DR DATE: 05/30/2013 APN: 366 03 063 BP#: rPERMIT TYPE: Building Permit PLAN CHECK TYPE: PRIMARY SFD Or Duplex 2nd Unit? Yes hTo USE: P WORK CONSTRUCT N MULTI LEVEL SFD WITH 4714 S.F. LIVING A SCOPE ' REVIEWED BY: MELISSA VALUATION: $700;000 New Construction PENT iRW_ ION 1 R3HILL PERMIT TYPE: , e, 604 S.F. ATTACHED GARAGI= & 80 S.F. FRONT PORCH AREA & 374 S.F. DECK AREA. (N) GAZEBO IN SIDE YARD (144 S.F.). OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.t PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Hillside, Custom) 11-B,III-B,IV,V-B 5,772 $5,450.78 IR3HPLNCK $4,479.70 1R3HI7VSP PME Plan Check: $0.00 = Lf. $1,465.00 Retaining Wall IRETSTN Standard Retaining Wall Permit Fee: Hourly Only? () Yes Q No $4,479.70 Suppl. Insp. Feer Reg. 0 OT 10701hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 TOTALS: 5,772 $5,450.78 `: $4,479.70 $641.96 A'Pech. Plan Check rL1ec,•h. Pct,tni?.f�ee: C)lhen;leech. Insl�. 1lech, Insp. Fee: 1'lrttnb. Plan Cher•/, phfinh. Permit Fee: Other Plumb InsA Plunib. haj). Fee: Elea..Plan Che:cl( Flee.. Permit Fee: 01he€' Dec. Null, Lee. Ingp, Fee: lvvtn: i ms esumare aoes not inctudelees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School .nktri/'t_ Etc ). Thor, foo. - bo..,'l __ #Z.- .,H.,.,. ...0 s:,. 7,_x7,. _ 11 .. _a.. s_ n. . X__ _aa__ n .__r_ PEE ITEMS (Fee Resolution 11-053 E . 711112) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes No : $5,450.78 1 hours ` $133,00 Plan Check, Hourly ISTPLNCK Suppl. PC Feed. Q Reg. 0 OT 0,0 hrs $0.00 PME Plan Check: $0.00 = Lf. $1,465.00 Retaining Wall IRETSTN Standard Retaining Wall Permit Fee: Hourly Only? () Yes Q No $4,479.70 Suppl. Insp. Feer Reg. 0 OT 10701hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: 1BCONSTAxR 1 # new units $641.96 dininistrative fee: Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee: IPLLONGR $750.36 Select a Non -Residential Building or Structure '7-avel D ozonenteltion Fees': Strong Motion Fee: IBSEISMICR $70.00 2.0 hrs $266.00 Inspections ISTINSP Inspection, Hourly Bldg Stds Commission. Fee: 1BCBSC $28.00 SITBTTAL'`. 11,420.80$11,864.00 a T©Ti1F SEE $13,284.80 Revised: 04/29/2013 SAN JOSE 50 West San Fernando Street Los Angeles Suite 1400 New York San Jose, CA 95173-2429 San Francisco Telephone (408) 287-6262 Redwood City Facsimile (408) 918-4501 Boston www.rmkb-com Stephan A, Barber 14081 91 B-4524 August 4, 2015 Via email: AlbertS@cupertino.org Albert Salvador, P.E., C.B.O. Building Official City of Cupertino 10300 Torre Avenue Cupertino, CA 95014 L A W Y E R 5 /\/\ K B ROPERS MAJESKI KOHN BENTLEY s repha n. barberQrm kb. corn Re: My Client/Owner: Christopher Viray, D.D.S. dba Viray Properties LLC Project Address 21740 Rainbow Drive, Cupertino, CA 95014 Dear Salvador: Thank you for meeting with Dr. Christopher Viray and me yesterday afternoon at the Cupertino Building Department. As I explained, the purpose of the meeting was to demonstrate to the City of Cupertino that Dr. Viray owns the drawings for the 21740 Rainbow Drive project, and that Barre Barnes (Vette Investments) does not own those plans. I am writing this letter to provide you with additional information and legal authorities that you can share with the City Counsel when you meet today or tomorrow. Dr. Viray dba Viray Properties LLC purchased the lot and the plans from Holiday Drive LLC in December, 2012. We provided you with a copy of the relevant pages from the contract, as well as an unsigned copy of the deed. The contract specifically states that Dr. Viray is purchasing the plans, specifications, and permits. The seller, Holiday Drive, LLC, gave him all of the conceptual drawings for the house that is being built there. You will note that Barre Barnes is the managing member of Holiday Drive, LLC and signed the documents on behalf of Holiday Drive, LLC. While in escrow, Barre Barnes, a principal in Vette Investments, solicited Dr. Viray to be the construction manager for the project. We provided you with a copy of the Construction Management Contract between Vette Investments and Viray Properties that was signed in December, 2012. This contract specifically states that Vette Investments/Barnes shall function as Viray's "agent." This of course means that anything Vette InvestmentsBarnes did with respect to the project, including obtaining any architectural plans or drawings, was done specifically on behalf of Viray, not Vette/Barnes. Thus, any services or plans which Vette/Barnes may have obtained for the project were obtained on behalf of Dr. Viray, the principal. 4818-8203-3446.1 Albert Salvador August 4, 2015 L A//w\\W//^\Y\ EE RRS ROVERE MAI ES [1 K..X BENTLEY Page 2 You advised us that the plans identify Barre Barnes as the designer. I was not aware of this when I sent you my email last week. I have since learned that the plans were apparently done at least, in part, by Barnes before the sale of the property and the plans to Viray. Therefore, as shown by the documents we gave you, Viray owns the plans that Barnes may have had a hand in preparing because Viray bought those plans from Barnes' limited liability company, Holiday Drive, LLC, in December 2012. We also showed you documents proving that Dr. Viray paid the architect and structural engineer to complete the plans for the project. Even if one assumes that the structural engineer, architect, and/or Vette/Barnes "own" the copyright for the drawings, the law grants Viray a non-exclusive license to use the architectural design plans to build the residence on the Rainbow Drive property. See, e.g. Estate ofHevia v. Portrio Corp, 602 F.3d 44 (1St Cir. 2010). This means he and his contractor have the legal right to use the plans which he paid for to build the house on that particular lot. Obviously, it would not make sense for a property owner to pay designers for plans and then not be able to use them to build the structure that was designed for the owner. Dr. Viray and I are not trying to put the City of Cupertino in the middle. We are simply asking the City of Cupertino to carefully examine the documentation which we have provided showing that Dr. Viray owns the drawings or, at a minimum, has a non-exclusive license to use those plans to complete construction of the residence. As we told you, Dr. Viray has hired a general contractor to complete the job. The permit is now in the name of the general contractor, Quang Nguyen. The general contractor wants to start his work as soon as possible. It is anticipated that the project can be completed in about 30 days once the general contractor starts. I would be happy to talk to you and/or the City Attorney if you have any questions or need additional information. 4618-8203-3446.1 Albert Salvador August 4, 2015 L AWY\ RRS \\J\J !EE ROPERS MAJ ES [1 KONN BENTLEY Page 3 Thank you for your attention. I look forward to hearing from the City regarding release of the stamped, approved plans to Dr. Viray and his general contractor. Yours very truly, jROPERS, MAJESKKI�I, K��OHN & BENTLEY t�—Q, /b-c-,11_�Stepha A. Barber SAB/kem cc: Dr. Viray via email IRS CIRCULAR 230 NOTICE: To ensure compliance with requirements imposed by the Internal Revenue Service, we inform you that any U.S. tax advice contained in this communication (or in any attachment) is not intended or written to be used, and cannot be used, for the purpose of (i) avoiding penalties under the Internal Revenue Code or (ii) promoting, marketing or recommending to another party any transaction or matter addressed in this communication (or in any attachment). 4818-8203-3446,1 1 CUPERTINO, NEW CONSTRUCTION PERMIT APPLICA T ION COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 - buildino(acuDeliino.org AMMON . U ALMZATION / TI Zj REVISION / DEF=M PERIVaT 4 PROjEcr ADDRESS G 17/10 %, \ ZO U) 9F Nt I APN d 306 0 6-9 OW'!viR NA1� N IG 07 16- i(I I Bid.-I-pp_2011.doc revised 05/21/11 KRONE O � � I =. N hIL A69lJ s V I f cqjobq� STREET ADDRFSS I CITY, STAT r., ZIP I FAX CONTACT NAA4E OPALp CAHPOS Pi•IONL 232--o30v � I -NSII. PcQM O5�eO STRna'-T ADDRESS CITY, STATE- MP FAX 0 - 23 2 -0300 ❑ OVTIIt ❑. OW'JLTt-BUII DER ❑ OWNcR ACS-lTr ❑ COVI-FACTOR ❑ COhT? SCTOR,,.rENT ❑ v=. ❑ n;cm. ❑ DE\= OPS ❑ TMNAN-r CON rT ACfOP KAN,E I LICFNSENLUBER I L10Ei.SETY? B I BUS. LIC i 601✓2ANYNAJM I E -W JL FAX STREU ADDRESS CITY, STATa, ZIP I PHONi ARC: CT G�=ERNAI✓E I UCENSEN"JNG_R I BUS. LIC 9 COMPANY N AJIM E-MPJL STRre'T ADDRESS I CRY, STATT, a, ZIP I PHOZ E 1 _ DESCRIPTIGNOFWORK 21 K Tf1 t- Rt -S. -- -------- REVISION # - --- E175TING USE PROPOSED L'SE CONSTR TY?B !STORMS li E TYp= I OCc. I sQ.FT. I VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA I AREA ER=A I N?TAREA I I - BATI-RDOM KrrCI-MN OTIMR REMOD=_L AREA M40DEL AREA REMODEL AREA I I PORCH AREA DECK AREA TOTAL DECKIPOP.0-I Ai.:.A GP.RAGE AREA: D=rAC'i ( I - ❑ ATTACY I DWELLING ANITS: IS A SECOND UNIT ❑ YES SECOND STO KY ❑ 1 _s ---- - I BEINGADDED? ONO ADDITION? nNO I PP.=-�� P'1CAT70N ❑ M IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ 1 S 1r, mss - "t-• L. :) TOTAL. • vATION: —" PLANTTNGAPPLR ANO PLAN'NTIIAGAPPROVALL-TrER ( EICHLERHOAIE? �L"O 2T By my signature below, I certify to each of the following: I ',.e prope , �NTer or authorized agent to act on the proper-ty owner's behalf. I h le read this application and the information I have provided is cor-,ect. have read the Dese iption of \;7ork and verif � it is accurate. I agree to comply �,i`th all applicable local ordinances and state laws relating to building construe ' orize represe l>tiv f Cupertino to enter the above -idea i i- op 7 "y ' r inspection purposes. Signature of Appl icandAgent: Date: SUPPLE-MiENTAL INTFORIMATION REQUIRED c SL New SFD or ? 4ultifarnily dpi elli* gs: Apply for demolition per:7nit for V NTATlnCOL TER .0 L Z� G r existing building s). Demolition permit is required Drior to issuance of building � � �f�-�� , F MT _F - perinit for new building.Er� _ Commercial Bldgs: Provide a completed Hazardous ss-= 4 r 4�, �GPL 12D� IJP cR o�� Materials Disclos,Ire PRIM PK i form if any Hazardous Materials are being used as part of this project. _Copy of Planning Approval Leer or Meeting with Planningprior to i�L470R��. �,*FYi�i�r:SEREn I�TRIL submittal of Building Per. ut application. - Bid.-I-pp_2011.doc revised 05/21/11 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ialADDRESS: 21740 Rainbow Dr DATE: 01/08/2016 REVIEWED BY: PAUL 1/i�c1f, P, APN: 366 03 063 BP#: 13050207 *VALUATION: Iso *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY USE: SFD or Duplex IIYS PENTAMATION PERMIT TYPE: 1 GENRE WORK Revision #2 - Modification of the original plans to include front house driveway SCOPE NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are based on the Dreliminary information available and are onlv an estimate. Contact the Dept for addn7 info. FEE ITEMS (Fee Resolution I1-053 Eff. 711113' 13) .'lan ("h eck!Mlb. Pl(m Che(; T -TT' lee, Plan Check FT 1/i�c1f, P, Plan Check Fee: Hourly Only? 0 Yes 1 ble, 1'cc. A.ic'ch. bisp.` tl'Or f'1 !nd" '. other l'l.;.'. h � ;. , Suppl. PC Fee: (D Reg. 0 OT 0.0 IIYS NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are based on the Dreliminary information available and are onlv an estimate. Contact the Dept for addn7 info. FEE ITEMS (Fee Resolution I1-053 Eff. 711113' 13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes (F) No $0.00 2 hours Plan Check, Hourly $286.00 ISTPLIVCK Suppl. PC Fee: (D Reg. 0 OT 0.0 IIYS $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee -0 Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 C.. C}tP<<t1"UCattlit �l£7.�: t ZS'ItC�I�, E< ee: 0 G) Work Without Permit? 0 Yes No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure G) 0 l i'rri>el Dex i'Imentution Fees: Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SU13TOTALS: $0.00 $286.00 TOTAL FEE: $286.00 Revised: 01/01/2016 STATEMENT OF SPECIAL INSPECTIONS, 2010 CBC COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL GUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(cDcupertino.org SITE ADDRESS /7 A /. R l V APN Q ^ D / -0-3 CIA # O� DZeD I 1A ` Owner...... ../..!1.+!�.Y..... .�.. ../. ......h//./` ....................... Contractor......................................(................................................................. Address..... ...... C�...... I ................ I..... Address........................................................................................................... Signature ......, city/St .... N1 ..... P!A.5........... Zip ...........................Phone..................... City/St................................................. Zip ................... Phone .... .................... Applicant... 12...C�................................. Address. /...% 7r.........LG..1��....L't1.tl Engineer/Architect.... �............4c1 OF X422 Gam. ....... .......... .................. 6W—Z. W r—, `17 ' . .. .ltvlS........... / pp..��.... City/St... ......... Zip sz.5&.......h�e.; �.34.7.'C. 0 Address 07 t City/S ^a..`..... ...... .............. ( �. f6- �F. i.....Zi .SQ v. Phone' ./. �. PROJECT DESCRIPTION: � na r ............................ C 1... .................................................... Date:............................ This "STATEMENT OF SPECIAL INSPECTIONS" is submitted in fulfillment of the requirements of CBC Sections 1704 and 1705. This form is structured after and used by permission from the Structural Engineer Association of Northern California's (SEAONC) mode statement of Special Inspections. Also, included with this form is the following: ❑ "LIST OF SPECIAL INSPECTION AGENCIES (page 2). A list of testing agencies and other special inspectors that will be retained to conduct the tests and inspections for this project ❑ "SCHEDULE OF SPECIAL INSPECTION" (page 3 - 6). The Schedule of Special Inspections summarizes the Special Inspections and tests required. Special Inspectors will refer to the approved plans and specifications for detailed special inspection requirements. Any additional tests and inspections required by the approved plans and specifications shall also be performed. M+y/ Special Inspections and Testing will be performed in accordance with the approved plans and specifications, this statement and CBC Sections 1704, 1705, 1706, 1707, and 1708. Interim reportse¢mitted to the Building Official and the Registered Design Professional in Responsible Charge in accordance with CB a in 1#fYY. .2. A Final Report of Special Inspections documenting required SpedIal � the inspections shall be submitted prior to issuance of a Certificate of document: Required special inspections. • Correction of discrepancies noted in inspections. s,s ing , correction of any discrepancies noted in D;illbupa ( *^p tZ04.1.2). The Final Report will The Owner recognizes his or her obligation to ensure that the construction complies with the approved4mit documents and to implement this program of special inspections. In partial fulfillment of these obligations, the Owner will retain and directly pay for the Special Inspections as required in CBC Section 1704.1. This plan has been developed with the understanding that the Building Official will: • Review and approve the qualifications of the Special Inspectors who will perform the inspections. • Monitor special inspection activities on the job site to assure that the Special Inspectors are qualified and are performing their duties as called for in this Statement of Special Inspection. • Review submitted inspection reports. • Perform inspections as required by the local building code. I have read and acre to comply witconditions of this statement Prepared By: G Project ❑ Engineer Architect llyy �. Registered Design Professional in Charge Signature ......, Lic.#...............%4................... Date:..�.�.1..: Owpef Ngme: er'sAu o�tion�Si na r ............................ C 1... .................................................... Date:............................ tor e: Irt ",�-5�lcec (,- f 10 —4v � 5 Si nature .. " .... ....L../.. ..� i�..........Li`c.tl-.................................... Date:..�0 .LQ .... Building Official or)designee: Signature.................................................................................................................... Date:.......................... Specinhv.speelionFonn_2012.doc revised 091061 12 LIST OF SPECIAL INSPECTION AGENCIES APPROVAL OF SPECIAL INSPECTORS: Each special inspection agency, testing facility, and special inspector shall be recognized by the Building Official prior to performing any duties. Special Inspection agency's listed on this form must be pre -approved and listed on Cupertino's approved Special Inspector's list. Special inspectors shall carry approved identification when performing the functions of a special inspector. Identification cards shall follow the criteria set by the California Council of Testing and Inspection Agencies. No personnel changes shall be made without first obtaining the approval of the Building Official. Any unauthorized personnel changes may result in a "Stop Work Order" and possible permit revocation. To be pre- approved by the City of Cupertino, refer to the SPECIAL INSPECTION CRITERIA handout. Please allow two weeks to complete the application process. The followina are the testina and special inspection aaencies that will be retained to conduct tests and inspection on this project: EXPERTISE FIRM I INSPECTOR INFORMATION . 1. Special Inspection (except for Firm........................................................... .......... Addr........................................................................................ . geotechnical) City.......................................................................................................... State .......................Zip _.................- Telephone...................................... Fax............................................ Email......................................................... 2. Material Testing /4r 1N�PC✓ 10/J C Firm.. .. .... h?,S..JrV... �Q.A�?..... City...... :/`J... e C� ...............I.............. ................ / �f ... T e I ppinMe... Z�.�J.✓.6.4.......... Fax ... .2..%/.b.J..O...............Email......................................................... ..State ....... ... .............Zip %q.... _....... .T.S�J&�Gi.. 3. Geote//chnicallnspectio�s L�12ih J7<_,g/c`Sffl�P�{oo Firm.LA42.1 ............V. � .�1 ...... Addr......C�...Y�... City...A............................................... .. Telep .....�5 .�.L (p.Z... Fax.. ram..f.b.7—. 4p .......... ... ..5....... State../ Email......................................................... ...........ZiP.l 4. Other: Firm.....................................................................Addr......................................................................................... City.......................................................................................................... State .......................Zip ...................... Telephone...................................... Fax............................................ Email......................................................... 'All agencies specified on this form must be pre -approved and listed on the City of Cupertino's Approved Special Inspector's List. SEISMIC REQUIREMENTS (Section 1705.3.6) Description of seismic -force -resisting system and designated seismic systems subject to special inspections as per Section 1705.3: The extent of the seismic -force -resisting system is defined in more detail in the construction documents. 1 rua.a.1 Description of main wind -force -resisting system and designated wind resisting components subject to special inspections in accordance with Section 1705.4.2: The extent of the main wind -force -resisting system and wind resisting components is defined in more detail in the construction documents. Specialnspectionl-omi 2012.doc revised 09,00 12 SCHEDULE OF SPECIAL INSPECTION SITE ADDRESS 2/-/Y I/A% L i7 aT '/ Q PROJECT DESCRIPTIO /v ! l 1Cr Notation Used in Table: Column headers: C Indicates continuous inspection is required. P Indicates periodic inspections are required. The notes and/or contract documents should clarify. Box entries: X Is placed in the appropriate column to denote either "C" continuous or "P" periodic inspections. --- Denotes an activity that is either a one-time activity or one whose frequency is defined in some other manner. Additional detail regarding inspections and tests are provided in the project specifications or notes on the drawings. VERIFICATION AND INSPECTIONC P REFERENCED. IBC REFERENCE STANDARD INSPECTION OF FABRICATORS -7 1. ❑ Inspect fabricator's fabrication and quality control 1704.3 procedures. INSPECTION OF STEEL 1. Material verification of high-strength bolts, nuts and washers. ❑ Identification marking to conform to ASTM stds AISC 360, specified in the approved construction documents. --- X Section A3.3 and applicable ASTM material standards ❑ Inspect fabricator's fabrication and quality control -- X -- --- procedures. 2. Inspection of high-strength bolting: ❑ Snug -tight joints. --- X ❑ Pretensioned and slip -critical joints using turn -of -nut with matchmarking, twist -off bolt or direct tension --- X AISC 360, indicator methods of installation. Section M2.5 1704.3.3 ❑ Pretensioned and slip -critical joints using turn -of -nut without matchmarking or calibrated wrench methods X --- of installation. 3. Material verification of structural steel and cold -formed steel deck. ❑ For structural steel, identification markings to conform AISC 360, to AISC 360. X Section M2.5 ❑ For other steel, identification markings to conform to Applicable ASTM ASTM standards specified in the approved -- X material standards construction documents. ❑ Manufacturer's certified test reports. -- X Specinlnapeciionf'or7i?_2012.doe revised 09106112 VERIFICATION AND INSPECTIONC C P REFERENCED I IBC STANDARD PREFERENCE 4. Material verification of weld filler materials: ❑ Identification marking to conform to AWS specification in the approved construction documents. 1. ❑ Welded studs when used for structural diaphragms. X AISC 360, Section A3.5 and applicable AWS A5 documents – ❑ Manufacturer's certificate of compliance required. -- X --- --- 5. Inspection of welding: a. Structural steel and cold -formed steel deck: ❑ Complete and partial joint penetration groove welds. X --- AWS D1.1 1704.3.1 ❑ Multipass fillet welds. X --- ❑ Single -pass fillet welds > 5/16" X --- ❑ Plug and slot welds. X --- ❑ Single -pass fillet welds — 5/16" -- X ❑ Floor and roof deck welds. --- X AWS D1.3 b. Reinforcing steel: ❑ Verification of weldability of reinforcing steel other than ASTM A 706. -- X AWS D1.4 ACI 318: Section 3.5.2 _ ❑ Reinforcing steel resisting flexural and axial forces in intermediate and special moment frames, and boundary elements of special structural walls of concrete and shear reinforcement. X --- ❑ Shear reinforcement. X --- ❑ Other reinforcing steel. -- X 6. Inspection of steel frame joints details for compliance: ❑ Details such as bracing and stiffening. --- X --- 1704.3.2 ❑ Member locations. --- X ❑ Application of joint details at each connection. --- X VERIFICATION AND INSPECTION C P REFERENCED STANDARD IBC REFERENCE INSPECTION OF WELDING 1. ❑ Welded studs when used for structural diaphragms. --- X --- 1704.3 2. ❑ Welding of cold -formed steel framing members. --- X 3. ❑ Welding of stairs and railing systems. --- X Speciah?speciionForm 2012.doc revised 09106112 VERIFICATION AND INSPECTION C P REFERENCED STANDARD IBC REFERENCE INSPECTION OF CONCRETE 1. ❑ Inspection of reinforcing steel, including prestressing --- X ACI 318: 3.5, 7.1-7.7 1913.4 tendons and placement. 2. ❑ Inspection of reinforcing steel welding in accordance AWS DII A ACI 318: with Table 1704.3 Item 5b. _ 3.5.2 _ 3. ❑ Inspection of bolts to be installed in concrete prior to and during placement of concrete where allowable X ACI 318: 8.1.3, 1911.5, 1912.1 loads have been increased or where strength design 21.2.8 is used. 4. ❑ Inspection of anchors installed in hardened concrete. --- X ACI 318: 1912.1 5. OKverifying use of required design mix. 1904.2.2,1913.2, X ACI 318: 1913.3 6. At time fresh concrete is sampled to fabricate ASTM C 172 specimens for strength tests, perform slump and air X --- ASTM C 31 1913.10 content tests and determine the temperature of the concrete. ACI 318: 5.6, 5.8 7. ❑ Inspection of concrete and shotcrete placement for X --- ACI 318: 59 510 5.10 1913.6, 1913.7, proper application techniques. 1913.8 8. ❑ Inspection for maintenance of specified curing X ACI 318: 5.11-5.13 1913.9 temperature and techniques. 9. Inspection of prestressed concrete: ❑ Application of prestressing forces. X --- ACI 318: 18.20 ❑ Grouting of bonded prestressing tendons in the X --- ACI 318: 18.18.4 seismic force -resisting system. 10. ❑ Erection of precast concrete members. --- X ACI 318: Ch. 16 --- 11. ❑ Verification of in-situ concrete strength, prior to stressing of tendons in posttensioned concrete and _-_ X ACI 318: 6.2 --- prior to removal of shores and forms from beams and structural slabs. 12. ❑ Inspect formwork for shape, location, and dimensions -__ X ACI 318: 6.6.1 --- of the concrete member being formed. 13. ❑ Bolts Installed in Existing Masonry or Concrete ❑ Direct tension testing of existing anchors. --- X See ICC ES Reports form special inspection requirements for proprietary ❑ Direct tension testing of new bolts. --- X ❑ Torque testing of new bolts. ___ X products ❑ Prequalification test for bolts and other types of _ X anchors. 14. ❑ Other: SpecinlnspeclionFonn 2012.doc revised 09/06111 SpecralnspeclionFo�7n 3013.doc remised 09/06/13 REFERENCE FOR CRITERIA VERIFICATION AND INSPECTION C P IBC TMS 402/ACI TMS 402/ACI SECTION 530/ASCE 5 530/ASCE 6 INSPECTION OF LEVEL 1 MASONRY 1. ❑ Compliance with required inspection provisions of the construction documents and the approved --- X --- --- Art. 1.5 submittals shall be verified. 2. ❑ Verification of frt, and f',Ac prior to construction --- X --- --- Art. 1.46 except where specifically exempted by this code. 3. ❑ Verification of slump flow and VSI as delivered to X --- --- --- Art. 1.513.1.b.3 the site for self consolidating grout. 4. As masonry construction begins, the following shall be verified to ensure compliance: ❑ Proportions of site -prepared mortar. --- X -- --- Art. 2.6A ❑ Construction of mortar joints. --- X -- --- Art.3.31B ❑ Location of reinforcement, connectors, --- X --- --- Art. 3.4, 3.6A prestressing tendons, and anchorages. ❑ Prestressing technique. --- X -- --- Art. 3.66 ❑ Grade and size of prestressing tendons and --- X --- --- Art. 2.46, 2.4H anchorages. 5. During construction the inspection program shall verify: ❑ Size and location of structural elements. --- X --- --- Art. 3.3F ❑ Type, size, and location of anchors, including Sec. 1.2.2(e), other details of anchorage of masonry to --- X --- 1.16.1 structural members, frames or other construction. ❑ Specified size, grade, and type of reinforcement, anchor bolts, prestressing tendons and --- X -- Sec. 1.15 Art. 2.4, 3.4 anchorages. ❑ Welding of reinforcing bars. X --- --- --- ❑ Preparation, construction and protection of masonry during cold weather (temperature below ___ X Sec. 2104.3, --- Art. 1.8C, 1.8D 40 degrees F) or hot weather (temperature above 2104.4 90 degrees F). ❑ Application and measurement of prestressing X --- -- --- Art. 3.66 force. 6. Prior to grouting the following shall be verified to ensure compliance: ❑ Grout space is clean. --- X --- --- Art. 3.2D ❑ Placement of reinforcement and connectors and --- X --- Sec. 1.3 Art. 3.4 prestressing tendons and anchorages. ❑ Proportions of site -prepared grout and --- X --- --- Art. 2.613 prestressing grout for bonded tendons. ❑ Construction of mortar joints. --- X --- --- Art. 3.36 7. Grout placement: ❑ Grout placement shall be verified ensure X --- -- --- Art. 3.5 compliance. ❑ Observe grouting of prestressing bonded X --- --- --- Art 3.6C tendons. SpecralnspeclionFo�7n 3013.doc remised 09/06/13 Speciahupectionfonn_2012.doc revised 09106112 REFERENCE FOR CRITERIA VERIFICATION AND INSPECTION C P IBC TMS 402/ACI TMS 402/ACI SECTION 530/ASCE 5 530/ASCE 6 8. ❑ Preparation of any required grout specimens, Sec. mortar specimens, and/or prisms shall be --- X 2105.2.2, --- Art. 1.4 observed. 2105.3 INSPECTION OF LEVEL 2 MASONRY 1. ❑ Compliance with required inspection provisions of the construction documents and the approved --- X -- --- Art. 1.5 submittals. 2. ❑ Verification of fm and fAAc prior to construction and for every 5,000 square feet during --- X -- --- Art. 1.413 construction. 3. ❑ Verification of proportions of materials in premixed or preblended mortar and grout as --- X -- --- Art. 1.513 delivered to the site. 4. ❑ Verification of slump flow and VSI as delivered to X --- -- --- Art. 1.513.1.b.3 the site for self consolidatingrout. 5. The following shall be verified to ensure compliance: ❑ Proportions of site -prepared mortar, grout, and --- X -- --- Art. 2.6A prestressing grout for bonded tendons. ❑ Placement of masonry units and construction of X -- --- Art. 3.313 mortar joints. ❑ Placement of reinforcement, connectors and --- X -- Sec. 1.15 Art. 3.4, 3.6A prestressing tendons and anchorages. ❑ Grout space prior to grouting. X --- --- --- Art. 3.2D ❑ Placement of grout. X --- -- --- Art. 3.5 ❑ Placement of prestressing grout. X --- --- --- Art. 3.6C ❑ Size and location of structural elements. --- X --- --- Art. 3.3F ❑ Type, size, and location of anchors, including other details of anchorage of masonry to X --- -- Sec.1.2.2(e) -- structural members, frames and other construction. ❑ Specified size, grade, and type of reinforcement, anchor bolts, prestressing tendons and --- X --- Sec. 1.15 Art. 2.4, 3.4 anchorages. ❑ Welding of reinforcing bars. X --- Sec. 2.1.9.7.2, --- 3.3.3.4 (b) ❑ Preparation, construction, and protection of masonry during cold weather (temperature below ___ X Sec. 2104.3, --- Art. 1.8C, 1.8D 40 degrees F) or hot weather (temperature above 2104.4 90 degrees F). ❑ Application and measurement of prestressing X --- --- --- Art. 3.66 force. 6. ❑ Preparation of any required grout specimens, Sec. mortar specimens, and/or prisms shall be X --- 2105.2.2, --- Art. 1.4 observed. 2105.3 Speciahupectionfonn_2012.doc revised 09106112 VERIFICATION AND INSPECTIONC p REFERENCED STA_NDARD IBC REFERENCE _ INSPECTION OF WOOD 1. ❑ Inspect prefabricated wood structural elements and assemblies in accordance with Section 1704.2. ___ 1704.6 2. ❑ Inspect site built assemblies. --- --- 3. Inspect high -load diaphragms: ❑ Verify grade and thickness of sheathing. --- --- ❑ Verify nominal size of framing members at adjoining panel edges. --- 1704.6.1 ❑ Verify nail or staple diameter and length, --- --- ❑ Verify number of fastener lines, --- 0 Verify spacing between fasteners in each line and at edge margins. ' 4. ❑ Metal -plate -connected wood trusses spanning 60 feet or greater: Verify temporary installation restraint/bracing and the permanent individual truss -- X --- 1704.6.2 member bracing are installed in accordance with the approved truss submittal package. REQUIRED VERIFICATION AND INSPECTION OF SOIL 1. ❑ Verify materials below footings are adequate to — X achieve the desired bearing capacity. 2. [Verify excavations are extended to proper depth and have reached proper material. X 3. CK -Perform classification and testing of compacted fill _ X materials. --- Table 1704.7 4. Verify use of proper materials, densities and lift thicknesses during placement and compaction of X --- compacted fill. 5. Prior to placement of compacted fill, observe subgrade — X and verify that site has been prepared properly. REQUIRED VERIFICATION AND INSPECTION OF DEEP DRIVEN FOUNDATION ELEMENTS 1. Verify element materials, sizes and lengths comply X with the requirements. 2. ❑ Determine capacities of test elements and conduct X additional load tests, as required. 3. ❑ Observe driving operations and maintain complete X and accurate records for each element. 4. ❑ Verify locations of piles and their plumbness, confirm type and size of hammer, record number of blows per --- Table 1704.8 foot of penetration, determine required penetrations to X --- achieve design capacity, record tip and butt elevations and document any damage to foundation element. 5. ❑ For steel elements, perform additional inspections in accordance with Section 1704.3. _ 6. ❑ For concrete elements and concrete filled elements, perform additional inspections in accordance with -- --- Section 1704.4. SpeciahispeclionFonn 2012_doc revised 09/06/12 VERIFICATION AND INSPECTION C P REFERENCED STANDARD IBC REFERENCE 7. ❑ For specialty piles, perform additional inspections as determined by the registered design professional in -- --- --- Table 1704.8 responsible charge. REQUIRED VERIFICATION AND INSPECTION OF CAST -IN-PLACE DEEP FOUNDATION ELEMENTS 1 Observe drilling operations and maintain complete and X accurate records for each element. 2. Verify placement locations and plumbness, confirm element diameters, bell diameters (if applicable), lengths, embedment into bedrock (if applicable), and X --- --- Table 1704.9 adequate end -bearing strata capacity. Record concrete or grout volumes. 3. ❑ For concrete elements, perform additional inspections in accordance with Section 1704.4. _ HELICAL PILE FOUNDATIONS 1. ❑ Record installation equipment used, pile dimensions, X --- --- 1704.10 tip elevations, final depth, final installation torque. SPRAYED FIRE-RESISTANT MATERIALS Physical and visual tests 1. Condition of substrates. ❑ Inspect surface for accordance with the approved fire - resistance design and the approved manufacturer's --- --- written instructions. ❑ Verify minimum ambient temperature before and after — X application. --- 1704.12.1 ❑ Verify ventilation of area during and after application. --- X 2. ❑ Measure average thickness per ASTM E605 and Section 1704.12.4. 3. ❑ Verify density of material for conformance with the approved fire-resistant design and ASTM E605. (Ref. --- --- Section 1704.12.5) 4. ❑ Test cohesive/adhesive bond strength per Section 1704.12.6. -- --- 5. ❑ Condition of finished application. MISCELLANEOUS 1. Mastic and Intumescent Fire -Resistant Coating. --- --- -- 1704.13 2. Exterior Insulation and Finish Systems (EIFS). Water - resistive barrier coating when installed over a sheathing --- --- --- 1704.14 substrate. 3. Special Cases --- --- -- 1704.15 4. Smoke Control System --- -- --- 1704.16 5. Seismic Resistance ❑ Suspended ceiling systems and their anchorage. --- --- --- 1705.3 [4.3] SpeciahispectionFonn 2012.doc revised 09106/12 VERIFICATION AND INSPECTIONC p REFERENCED STANDARD IBC REFERENCE 6. Wind Resistance ❑ Roof cladding and roof framing connections. --- --- --- ❑ Wall connections to roof and floor diaphragms and framing. _ ❑ Roof and floor diaphragm systems, including collectors, drag struts and boundary elements. ❑ Vertical wind -force -resisting systems, including braced frames, moment frames, and shear walls. _ ❑ Wind -force -resisting system connections to the foundation. ❑ Fabrication and installation of systems or components required to meet the impact resistance requirements --- --- --- of Section 1609.1.2. SPECIAL INSPECTION FOR WIND REQUIREMENTS 1. Structural Wood ❑ Inspect field gluing operations of elements of the main X wind -force -resisting system. --- 1706.2 ❑ Inspect nailing, bolting, anchoring, and other fastening of components within the main windforce-resisting _ X system, including wood shear walls, wood diaphragms, drag struts, braces and hold-downs. 2. Cold -Formed Steel Framing ❑ Welding of elements of the main wind -force -resisting _ X system. ❑ Inspection of screw attachments, bolting, anchoring, and other fastening of components within the main --- 1706.3 wind -force -resisting system including shear walls, -- X braces, diaphragms, collectors (drag struts) and hold- downs. 3. Wind -resisting components ❑ Roof cladding. --- X --- 1706.4 ❑ Wall cladding. --- X SPECIAL INSPECTIONS FOR SEISMIC RESISTANCE 1. ❑ Special inspection for welding in accordance with the X --- 1707.2 quality assurance plan requirements of AISC 341. 2. Structural Wood ❑ Inspect field gluing operations of elements of the X seismic -force -resisting system. ❑ Inspect nailing, bolting, anchoring, and other fastening of components within the seismic -force -resisting 1707.3 system, including wood shear walls, wood --- X diaphragms, drag struts, braces, shear panels and hold-downs. 3. Cold -Formed steel light -frame construction ❑ Welding of elements of the seismic -force -resisting X 1707.4 system. Specialnspeclioi)forn?_ 3013.doc revised 09106,13 ❑ Inspection of screw attachments, bolting, anchoring, and other fastening of components within the seismic- — X force -resisting system including shear walls, braces, diaphragms, collectors (drag struts) and hold-downs. 4. Storage racks and access floors ❑ Anchorage of storage racks 8 feet or greater in height _ X 1707.5 and access floors. 5. Architectural components ❑ Inspect erection and fastening of exterior cladding weighing more than 5 psf and higher than 30 feet --- X above grade or walking surface. ❑ Inspect erection and fastening of veneer weighing more than 5 psf.and higher than 30 feet above grade -- X or walking surface. --- 1707.6 ❑ Inspect erection and fastening of all exterior non- bearing walls higher than 30 feet above grade or --- X walking surface. ❑ Inspect erection and fastening of all interior non- bearing walls weighing more than 15 psf and higher --- X than 30 feet above grade or walking surface. 6. Mechanical and Electrical Components ❑ Inspect anchorage of electrical equipment for — X emergency or stand-by power systems. ❑ Inspect anchorage of non -emergency electrical X equipment. ❑ Inspect installation of piping systems and associated mechanical units carrying flammable, combustible, or --- X --- 1707.7 highly toxic contents. ❑ Inspect installation of HVAC ductwork that contains — X hazardous materials. ❑ Inspect installation of vibration isolation systems X where required by Section 1707.7. 7. ❑ Verify that the equipment label and anchorage or mounting conforms to the certificate of compliance 1707.8 when mechanical and electrical equipment must be seismically qualified. 8. ❑ Seismic isolation system: Inspection of isolation X --- 1707.9 system per ASCE 7 — Section 17.2.4.8 9. ❑ Obtain mill certificates for reinforcing steel, verify compliance with approved construction documents, -- --- --- 1708.2 and verify steel supplied corresponds to certificate. 10. ❑ Structural Steel: Invoke the QAP Quality Assurance 1708.3 requirements in AISC 341. _ -__ --- 11. ❑ Obtain certificate that equipment has been seismically 1708.4 qualified. — ___ --- 12. ❑ Obtain system tests as required by ASCE 7 Section 1708.5 17.8. --- --- ___ Speciahnpeclionf'onn_ 2012.doc revised 09./06112 Electronically Filed by Darrel Kelly and Authenticated at CaICERTS.com - 3/14/2013 Electronically Signed at Ca10ERTS.com by Barre Barnes (Vette :nvestments) 3/14/013 PERFORMANCE CERTIFICATE: Residential (Part 1 of 5) CF -1 R Project Name New Residence Project Addressi 430 Cordova Road Cupertino Building Type ❑ Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration I Date 1311312013 California Energy Climate Zone Total Cond. Floor Area CA Climate Zone 04 r 5,446 Addition n/a # of Stories 2 FIELD INSPECTION ENERGY CHECKLIST ® Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. ❑ Yes ❑ No Special Features -- If Yes. see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special Cavity (fe) Features (see Part 2 of 5) Status Wa11BG Solid Unit Masonry Wall Wood Framed None 1:620 Depth = 108.000" R-13 3,025 New New Wall Wood Framed R-13 149 New Door Opaque Door None 20 New F1oorBG Unheated Slab -on -Grade None 1,295 New Roof Wood Framed Attic R-38 2, 448 Radiant Barrier New Door Opaque Door ry _ _ y None 48 ��--- _ ��-- New Floor Wood Framed w/Crawl Space R-19 1,293 New FENESTRATION U- Exterior Orientation Area(fe) Factor SHGC Overhang Sidefins Shades Status Front (W) 9.0 0.350 Front (149 400 0 350 0.27 none none Bug Screen 027 none none Bug Screen New New Rear (SE) 18-0 0 350 0.30 none none Bug Screen New Right (S) 9.0 0.350 0.27 none none Bug Screen New Right (S) 40.0 0.350 0.27 none none Bug Screen New Right (S) 15.0 0.350 0.27 none noire Bug Screen New Skylight 4.0 0 390 029 none none None New Front (W) 12.0 0.350 0.27 none none Bug Screen New Front (w) 50.0 0.350 027 none none Bug Screen New Front (tM 12.0 0.350 0.27 crone none Bug Screen New Front (w) 20.0 0.350 027 none none Bug Screen New HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 94% AFUE Split Air Conditioner 13 0 SEER Setback New 1 Central Furnace 94% AFUE Split Air Conditioner 13.0 SEER Setback New 1 Central Furnace 94% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status Basement Ducted Ducted Basernent 6.0 New First Floor Ducted Second Floor Ducted Ducted Crawlspace 6.0 Ducted Attic, Ceiling Ins, vented 6.0 New New WATER HEATING Ot . Type Gallons Min. Eff Distribution Status 2 Instant Gas 0 084 No Pipe Insulation New Energ Pro 5 1 by Ener ySo(i User Number 1239 RunCode: 2013-03-13716:04:33 1D 05511 Pae 1 of 12 Reg: 13-NGC'157.7A-OGOiippipn-in[ii Registration Date/Time: 2013/03/14 12:08:57 HERS Provider: CalCERTS, Inc Electronically Filed by Darrel Kelly and Authenticated at Ca10ERTS.com - 3/14/2013 Electronically Signed at Ca10ERTS.com by Barre Barnes (vette Investments) 3/14/013 PERFORMANCE CERTIFICATE: Residential (Part 1 of 5) CF -1 R Project Name Building Type © Single Family ❑ Addition Alone Date New Residence 0 Multi Family O Existing+ Addition/Alteration 3/13/2013 Project Address -- California Energy Climate Zone Total Cond. Floor Area --- Addition # of Stories 430 Cordova Road Cupertino CA Climate Zone 04 5,446 n/a 2 FIELD INSPECTION ENERGY CHECKLIST © Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. El Yes ❑ No Special Features -- If Yes. see Part 2 of 5 of this form for details. INSULATION Area Special Construction Type Cavity (fi`) Features (see Part 2 of 5) Status FENESTRATION Orientation Area(ft Front (w) 1-ront (NIA9 200 240 Left (N) 50.0 Left (N) 15.0 Left (N) i2.0 Left (N) 18,0 Left (NE) 6.0 Rear (E) 20.0 Rear (E) 17.5 Rear (E) 17.5 Rear (SE) HVAC SYSTEMS Qtv. Heatina 20.0 U_ Factor SHGC Overha 0.350 0 350 a 2' 027 none none 0.350 0.27 none 0.350 0.27 none 0.350 0.27 none 0.350 0.27 none 0.350 021 none 0.350 0.27 none 0.350 027 none 0.350 0.27 none 0.350 n 27 none HVAC DISTRIBUTION Location Heati WATER HEATING Exterior Sidefins Shades none Bug Screen Status New none Bug Screen New none Bug Screen New none Bug Screen New none Bug Screen New none Bug Screen New none Bug Screen New none _ Bug Screen New none Bug Screen New none _ Bug Screen New none Bug Screen New Min. Eft Coolinq Min. Eff Coolina Duct Location Gallons Min. Eff Distribution Thermostat Status Duct R -Value Status Status Energ Pro 5 1 by EnergySoR User Number 1239 RunCode: 2013-03-13T16:04:33 1D 05511 Page 2 of 12 Req:Registrati,_,n Date/Time: 2,13/03/14 12:03:57 -ERS Frevider: CalCERTS, Inc Electronically Filed by Darrel Kelly and Authenticated at CalCERTS.com - 3/14/=013 Elsctrcmically Signsd at Ca_CERTS.com by Barre Barnes (VetteInvestments) 3/14/-013 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name New Residence Protect Address 430 Cordova Road Cupertino Building Type Single Family Addition Alone Multi Family Existing+ Addition/Alteration California Energy Climate Zone j Total Con d Floor Area Addlfion CA Climate Zone 04 5,446 n/a Crate 3/13/2013 # of Stories 2 FIELD INSPECTION ENERGY CHECKLIST Yes No HERS Measures -- If Yes; A CF -4R must be provided per Part 2 of 5 of this form. a Yes No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special Cavity (ft`') Features (see Part 2 of 5) Status FENESTRATION U- Orientation Area ft2) Factor Exterior SHGC Overhang Sidefins Shades Status Rear (SE) 20.0 0.350 Rear (SE) 160 0 350 0 27 none none Bug Screen 030 none none Bug Screen Neal New Right (S) 12.0 0.350 0.27 none none Bug Screen New Right (S) 40.0 0.350 0.27 none none Bug Screen New Right (S) 20.0 0.350 0.27 none none Bug Screen New Right (S) 30.0 0.350 0.30 none none Bug Screen New Right (S) 30.0 0.350 030 none none Bug Screen New Right (S) 21.3 0.350 0-30 none none Bug Screen New Right (SK9 20.0 0.350 027 none none Bug Screen New Right (SMq 20.0 0.350 0.27 none none Bug Screen Skylight 18.0 0.390 0.29 none none None HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat New New Status HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status WATER HEATING Qty. Type Gallons Min. Eff Distribution Status EnergyPro 5 1 by Ener ySoft User Number 1239 RunCode: 2013-03-13716:04:33 ID 05511 Page 3 of 12 Req: Regis:ra-._._.- Date -/Time: ^013/03/14 1-:08:57 _ERS Provider: r.,alCERTS, Inc Electronically Filed by Darrel Kelly and Authenticated at CaiCERTS.com - 3/14/2013 Electronically Signed at CaICERTS.com by Barre Barnes (Vette investments) 3/14/3013 PERFORMANCE CERTIFICATE.- Residential Part 1 of 5 CF -1 R Project Name New Residence Building Type 4 Single Family Addition Alone Multi Family Existing+ Addition/Alteration Date 3/13/2013 Project Address 430 Cordova Road Cupertino California Energy Climate Zone I Total Cond Floor Area Addition CA Climate Zone 04 1 5,446 n/a # of Stories 2 FIELD INSPECTION ENERGY CHECKLIST 4 Yes No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. 4 Yes 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 FENESTRATION U- Exterior Orientation Area(ft) Factor SHGC Overhang Sidefins Shades Status Skylight 4.0 0.390 0.29 none none None Skylight 4.0 0 390 029 none none None New New Skylight 4.0 0.390 0.29 none none None New Front (w) 6.0 0.350 030 none none Bug Screen New Front (w) 40.0 x350 030 none none Bug Screen New Front (Nw) 18.0 0.350 0.30 Wane none Bug Screen New Left (N) 16.0 0.350 0.30 none none Screen New _Bug Left (N) 178 0.350 0.30 none none _ Bug Screen New Left (N) 9.0 0.350 030 none none Bug Screen New Left (NE) 18.0 x350 0.30 none none Bug Screen New Right (S)v 40.0 0.350 0.30 none none Bug Screen New _ HVAC SYSTEMS —� Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status WATER HEATING Qty. Type Gallons Min. Eff Distribution Status Ener yPro 5 1 by Ener Soft User Number 1239 RunCode: 2013-03-13Ti6:04:33 ID: 05511 Pa e 4 of 12 Reg: C13-Nu0157C7A-00000i0u0-OGuO Registration Date/Time: =C13/=3/14 _:Ua:S7 HERS Frov:der: --alCERTS, Inc Electronically Filed by Darrel Kelly and Authenticated at CalCERTS.com Electronically Sianed at Ca10ERTS.com by Barre Barnes (Vette Investments) 3/141 PERFORMANCE CERTIFICATE- Residential Part 1 of 5 CF -1 R Project Name Building Type d Single Family Addition Alone New Residence Multi Family Existing+ Addition/Alteration Project Address California Energy Climate Zone 1 otal Cond. Floor Area Addition 430 Cordova Road Cupertino CA Climate Zone 04 5,446 n/a Date 3/13/2013 # of Stories 2 FIELD INSPECTION ENERGY CHECKLIST a Yes No HERS Measures -- If Yes. A CF -4R must be provided per Part 2 of 5 of this form. a Yes 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 FENESTRATION U- Exterior Orientation Area ft) Factor SHGC Overhang Sidefins Shades Status Right (S) 16.0 0 350 0.30 none none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min Eff Thermostat Status HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status WATER HEATINGCity. Type Gallons Min. Eff Distribution Status Energ Pro 5 1 by EnergySoft User Number 1239 RunCode: 2013-03-13T16:04:33 1D 05511 Pa e 5 of 12 Reg: =13 -NG 157_7A-CrGG+?>000-OC DQ Registratl= Date/Time:=�13/Cl;-_-_•--:5? HERS Provider: Ca10ERTS. Inc. Electronically Filed by Darrel Kelly and Authenticated at Ca!CERTS.com - 3/14/2013 Electronically Signed at Ca10ERTS.ocm by Barre Barnes (Vette _nvestments) 3/14/2013 PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R Project Name Building Type 4 Single Family Addition Alone New Residence ( Multi Family Existing+ Addition/Alteration i Date 3/13/2013 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. This building is modeled with reduced infiltration Consequently the homeowner's manual provided by the budder to the homeowner shall include operating2perating instructions for the homeowner on how to use mechanical ventilation to achieve adequate ventilation Testing for reduced infiltration shall be performed as specified in ASTM E 779-03 This listing shall also report the target CFM50H required for the blower door test to achieve the modeled SLA and the minimum CFM50H (corresponding to an SLA of 1.5) allowed to avoid backdraft problems HIGH MASS Design -Verify Thermal Mass 1295 sgft Concrete, Heavyweight Exterior Mass, 3.500" thick at Basement This building is modeled with reduced infiltration. Consequently the homeowner's manual provided by the builder to the homeowner shall include operating instructions for the homeowner on how to use mechanical ventilation to achieve adequate ventilation. Testing for reduced infiltration shall be performed as specified in ASTM E 779-03 This listing shall also report the target CFMSOH required for the blower door test to achieve the modeled SLA and the minimum CFM50H (corresponding to an SLA of 1 5) allowed to avoid backdraft problems This building is modeled with reduced infiltration Consequently the homeowner's manual provided by the budder to the homeowner shall include o atin instructions for the homeowner on how to use mechanical ventilation to achieve adequate ventilation er estinfor reduced infiltration shall be performed as specified in ASTM E 779-03 This listing shall also report the target CFM50H required for the blower door test to achieve the modeled SCA and the minimum CFM50H (corresponding to an SLA of 1 5 allowed to avoid backdraft problems. The Roof R-38 Roof Attic includes credit for a Radiant Barrier that is Continuous meeting ehgibihty and installation criteria as specified in Residential ,�pFandix RA4 2 2 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. This budding has tight construction with reduced infiltration and a target blower door test range between 509 and 118/ CFM at bO pascals The blower door test must be performed using the AS TAA Standard Test Method for Determining Air Leakage Rate. WARNING - If this building tests below 509 CFM at 50 pascals, the house must either be provided with a ventilation opening that will increase the infiltration to this level (SLA=L 5) OR mechanical supply ventilation must be provided. Compliance credit for quality installation of insulation has been used HERS field verification is required The HVAC System Basement incorporates HERS verified Duct Leakage HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. This building has fight construction with reduced infiltration and a target blower door test range between 974 and 2273 CFM at 50 pascals. The blower door test must be performed using the ASTA4 Standard Test Method for Determining Air Leakage Rate. WARNING - If this building tests below 974 CFM at 50 pascals, the house must either be provided with a ventilation opening that will increase the infiltration to this level (SLA=1.5) OR mechanical supply ventilation must be provided. Compliance credit for quality installation of insulation has been used. HERS field verification is required. The HVAC System First Floor incorporates HERS verified Duct Leakage HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. This building has tight construction with reduced infiltration and a target blower door test range between 656 and 1531 CFM at 50 pascals. The blower door test must be performed using the ASTM Standard Test Method for Determining Air Leakage Rate. WARNING - If this building tests below 656 CFA4 at 50 pascals, the house must either be provided with a ventilation opening that will increase the infiltration to this levet (SLA=1.5) OR mechanical supply ventilation must be provided. Compliance credit for quality installation of insulation has been used. HERS field verification is required. The HVAC System Second Floor incorporates HERS verified Duct Leakage HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. Ener Pro 5.1 by Ener Soft User Number- 1239 RunCode: 2013-03-13716:04:33 ID: 05511 Pae 6 of 12 Reg: 213-N0015727A-000000000-0000 Registration Date/Time: 013/03/14 1=:08:57 HERS Provider: CalCERTS, Inc Electronically Filed by Darrel Kelly and Authenticated at Ca10ERTS.com - 3/14/2013 Electronicalry Signed at CaL_ERTS...om ^y Earrs Barnes (Vette --nve.stments) 3/14/013 PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF -1 R Protect Name Building Type a Single Family Addition Alone Date New Residence Multi Family Existing+ Addition/Alteration 3/13/2013 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV (kBtu/ftl-yr) Space Heating 86.91 73.27 13.64 Space Cooling 257 182 076 Fans 1122 11,20 0.01 Domestic Hot Water 725 5.51 1.74 Pumps 000 0.00 0.00 Totals 10795 91.80 16.15 Percent Better Than Standard: 150°i BUILDING COMPLIES -HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (K9 290 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (w) 1.278 251 Fuel Available at Site: Natural Gas (N) 1,156 162 Raised Floor Area. 1.293 (E) 793 129 Slab on Grade Area: 0 (S) 810 313 Average Ceiling Height: 98 Root 2.480 32 Fenestration Average U -Factor 0.35 TOTAL: 887 Average SHGC. 028 Fenestration/CFA Ratio: 163% REMARKS Floor area will vary from architectural plans because the Energy Code requires that areas be calculated from outside face of walls to outside face of walls AND count stairs at each floor (i a double count stairs) while planning/budding departments and others count inside "usable areas", sometimes ignor basements and seldom double count stairs STATEMENT OF COMPLIANCE CEPE ROS -01-1680 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 CABEC Efficiency Standards of the California Code of Regulations. NR08-05-3682 The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Builders' Energy Services!—' , �1 Company r __ JI 3/13/1013 Address 1478 Bird Avenue Name Darrel Kelly City/State/Zip San Jose, CA 95124 Phone (408) 718-1908 Signed tate The individual with overall design responsibility hereby certifies that the proposed building design represented to 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 Holiday Drive LLC Address 2175 DeLa Cruz. Unit C Name Barre Barnes City/State/Zip Santa Clara. CA 95050 Phone (408) 234-9061 Signed Lcense. 1; Date Ener Pro 5.1 by Ener Soft User Number: 1239 RunCode: 2013-03-13T16:04:33 ID 05511 Pa e 7o f 1=2 Req: Registration Date./Time: -013/03/14 1_:08:57 -ERS Pr-.ider: Ca10ERTS, In... Electronically Filed by Darrel Kelly and Authenticated at CalCERTS.com - 3/14/_013 Electronically Signed at CaICERTS.com by Barre Barnes ('tette investments) 3/14/2-013 CERTIFICATE OF COMPLIANCE- Residential (Part 4 of 5) CF -1 R Project Name New Residence ; Building Type 4 Single Family Addition Alone Date Multi Family Existing+ Addition/Alteration 3/13/2013 OPAQUE SURFACE DETAILS Surface i ' U- I Insulation I Joint Appendix Type Area I Factor ;Cavi Exterior Frame f Interior Frame Azm Tilt Status 4 Location/Comments W91IBG 5401 0.820 None 0 90 New 4.3.6-D5 Basement Wa11BG 1201 0.820 None 0 90 New4 3.6-D5 Basement_ Wa11BG 3601 0 620 None 0 90 New — 4 3 6-D5 Basement Wall 491 0.102 R-13 2901 90 New 4 3 1-A3 Basement Wall 149 0.102 R-13 290 90 New 4.3.1-A3 Basement Door 20 0.500 None 290 90 New 4 5.1-A4 Basement Wall 53 0.102 R-13 110 90 New 4 3 1-A3 Basement ------- _ Wall _ 21 _ 0 102 R-13 155 _._._ 90 New 4 3 1-A3 Basement WalF 134 0.102 R-13 200 90 New 4.3.1-A3 Basement FloorBG 1.295 0.130 None 0 180 New 4.4.7-A I Basement Roof 805 0 025 R-38 290 0 New 4 2 1-A21 First Floor Wall 2491 0 1021H-13 290 90 New 4 3 1-A3 First Hoor Wall 86 0.102 1 R-13 3351 90 1 New 4.3.1-A3 First Floor Door 48 0.500 INone 335 90 1 New 4.5.1-A4 First Floor Wall 181 0.102 R -f3 20 90 1 New 4.3.1-A3 First Floor Wall 459 0 102;'R-13 65 90 New !4 3 1-A3 ;Errs! Floor FENESTRATION SURFACE DETAILS ID i Type Area U-Factorl SHGC Azm i Status Glazing Type Location/Comments 1 °Window 4.5 ' 0.350 1 NFRC i 0.27 NFRC 290 New Window C - 1630 Fixed Basement 2 Window 40-0 0-350! NFRC 0.27 NFRC 290 New Door lI - 6068 French Door Basement 3 lWindow 4.5 03 ;NERC 0.27 NFRC 290 New Window C - 1630 Fixed Basement 4 -5Window 1 Window 18.0 0.350 NFRC_ 9,0 0 350"NFRC 0.30 NFRC 027 NFRC 155 New 200 New Window A - 306_0 - SH Window B - 3030 SH Basement Basement 6 Window 40.0 0.350 NFRC 0,27 NFRC 200 New Door I - 6068 Patio Slider Basement / Window 150 0 350 NFRC 021 NFRC 200 New Window A 1 - 3050 SH Basement 8 Skylight 46 6390 NFRC 0,29 NFRC 290 New Velux Comfort+(74) Lowe2lArg First Floor 9 Window 12.0 0.350 NFRC 0.27 NFRC 290 New Window O - 3040 SH M_ First Floor 10 Window 50.0 0 350 NFRC 0.21 NFRC 290 New Window N - 10050 SH First Floor 11 Window 12.0 0 350 NFRC 021 NFRC 290 New I Window L - 2060 Fixed First Hoor 12 Window 20.0 0.350 NFRC 0.27 NFRC 290 New Window E - 4050 SH First Floor 13 Window 20.0. 0.350 NFRC 027 NFRC 290 New Window E-1 4050 Fixed First Floor 14 -'Window +-- 24.0 O. 3501 NFRC 0.27 NFRC 335 New Window G-2 - 4060 SH First Floor 15 Window 50.0 0.350, NFRC i 0.27 NFRC 20 New Window N - 10050 SH First Floor 16 Window 15.01 0 350 i NFRC 027 NFRC 20 New Window M - 3050 SH First Floor (1) U -Factor Type 116-A = Default Table from Standards. NFRC = Labeled Value (2) SHGC Tye 116-B = Default Table from Standards,. NFRC = Labeled Value EXTERIOR SHADING DETAILS ID _- Exterior Shade Type SHGC Window --. _._ - H t Wd Overhan Left Fin Right Fin _-_.. _ en Len H t LExt REA Dist Len H t Dist Len H t 1 Bug Screen 0.76 2 ?Bug Screen 076 3 Bug Screen 076 4 Bug Screen 0.76 4 5 Bug Screen 016 6 Bug Screen 0-76 7 Bug Screen 076 None 1.00 _8 9 Bug Screen 0-76 10 JBug Screen 0.76 11 Bug Screen 016 12 Bug Screen 0.76 13 Buq Screen 016 14 Bu,q Screen 0.76 15 Bug Screen 0.76 16 Bug Screen 076, Ener Pro 5.1 by Ener Soft User Number1239 RunCode: 2013-03-13T16:04:33 ID. 05511 Pae 8 of 12 Reg:-13-N0015727A-000000000-0000 Registration Date/Time: 2013/03/14 1":08:57 HERS Provider: CalCERTS, Inc Electronically Filed by Darrel Kelly and Authenticated at CaiCERTS.com - 3/14/_013 Electronical. y Signed at Cd10ERTS.Com by Barre Barnes (Vette Investments) 3/14/2013 CERTIFICATE OF COMPLIANCE, Residential (Part 4 of 5) CF -1 R Project Name New Residence i Budding Type 4 Single Family Addition Alone Date Multi Family Existing+ Addition/Alteration 3/13/2013 OPAQUE SURFACE DETAILS Surface U- 1 Insulation Joint Appendix T pe Area Factor Cavi Exterior Frameilnterior Frame Azm Tilt Status 4 Location/Comments Wall 133 0.102 R-13 110 90 New 4 3.1-A3 First Floor Wall 125 0.102 R-13 155 90 New 4 3 1 A3 First Floor Wall 117 0 102 R.13 200 90 New 4 3 1-A3 First Floor Wall 19 0 102 R-13 245 90 New 4-3 1-A3 First Floor Floor 1,293 0.037 R-19 0 180 New 4.4.1-A4 First Floor Roof 1.6431 0.025 • R-38 2901 0 New 4 2 1-A21 Second Floor Wall 301 0.102 R-13 1 290 90 New 14 3 i -A3 Second Floor Wall 119 0 102 R-13 335 90 Naw 4 j 1 -A3 Second Floor Wal! 237 0.102 R-13 20 90 New 4.3.1-A3 Second Floor Wall 117 0.102lR-13 65 90 New 4-3.1-A3 Second Floor Wail 268 0.102 R-13 110 90 New 4 3 1-A 3 Second Floor Wall 58 0.102 R-13 155 90 New 4 3 1-A3 Second Hoor wall 227 0.102 R-13 200 90 New 4.3.1-A3Second Floor Wall 60 0.102 R-13 2451 90 New 4.3.1-A3 - Second Floor I FENESTRATION SURFACE DETAILS ID i Type Area i U-Factorl SHGC1 Azm i Status Glazing Type Location/Comments 17 Window 12.011 0.350 g NFRC 0.27 NFRC Window L - 2060 Fixed First Floor 18 Window 18.0 0.350 NFRC 0.27 NFRC New Window K - 3060 SH First Floor 19 Window 60 0.350;NFRC ( 0.27 NFRC ]20New New Window J - 2030 SH First Floor20 21 Window __. ;Window 20 0 0 350 NFRC 0 27 NFRC . 17 5 Owl NFRC 027 NFRC New 110 New Window G-1 4050 Fixed Window E-2 - 3650 SH First Floor First Floor 22 Window i7.5 0.350 NFRC 027 NFRC F10 New Window E3 - 3650 Fixed First Floor 23 Window 20.0 0 350 NFRC 021 NFRC 155 New Window E - 4050 SH First Floor 24 Window 20.0 0 350 NFRC 0.27 NFRC 155 New Window E-14050 Fixed First Floor w - 25 Window 16.0 0.350 NFRC_ 0.30 NFRC_ 155 New Window P - 4040 SH First Floor 26 Window 12.0 0 350 NFRC 0.27 NFRC 200 New Window H - 3040 SH� First Floor 21 Window 20.0 0 350 NFRC 021 NFRC 200 New Window G - 4050 SH First Floor 28 Window 1 20.0 0.350 NFRC 027 NFRC 200 New Window G-1 4050 Fixed First Floor 29 Window 20.0 0.350 NFRC 0.27 NFRC 200 New Window G - 4050 SH First Floor 30 Window 30.0 0.350 NFRC 0 30 NFRC 200 New Window F - 6050 - SH First Floor 31 Window 30 0 0.350 NFRC 0.30 NFRC 200 New Window F-1 6050 Fixed First Floor 32 Window 213 0 350 NFRC 0 30 NFRC 200 New Window A - 3060 - SH First Floor (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 T e SH H t Wd Overhang Left Fin Len H t ! LExt RExt Dist Len Ri ht Fin H t Dist Len H t 17 'Bug Screen 0.76 18 Bug Screen 076 19 iBug Screen 0.76 20 Bug Screen 0.76 21 Bug Screen 016 22 Bug Screen 0.76 23 Bug Screen 076 _24 Bug Screen 0.76 25 Bug Screen 0.76 26 Bug Screen 0.76 21 jBug Screen 016 28 29 Bug Screen Bug Screen 0.76 016 --- 30 Bug Screen 0.76 31 Bug Screen 0.76 32 Bug Screen 076 Ener Pro 5.1 by Ener Soft User Niiinber 1239 RunGode: 2013-03-13T16:04:33 1D: 05511 Page 9 of 12 Reg: 213-N001S727A-000000000-0000 Registration Date/Time: 2013/03/14 1^:08:57 HERS Provider: CalCERTS, Inc Electronically Filed by Darrel Kelly and Authenticated at CalCERTS.com - 3/14/2013 Electr!,nical.ly Signed at Ca:CERTS.ccm by Barre Barnes (Vette Investments) 3/14/2013 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name New Residence Building Type 4 Single Family Addition Alone Date Multi Family Existing+ Addition/Alteration 1311312013 OPAQUE SURFACE DETAILS Surface U- Insulation T pe Area Factor Cavity Exterior Frame Interior Frame Azm ! Joint Appendix Tilt Status 4 Location/Comments FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC Azm Status Glazing Type Location/Comments 33 Window 20.0 0 3501 NFRC 0.27 NFRC 245 New Window E - 4050 SH First Floor 34 Window 20.0 0.350! NFRC 0.27 NFRC 245 New Window E-1 4050 Fixed First Floor Skylight 16.0 0.390NFRC 0.29 NFRC 290 New Velux Comfort+(74) Lowe2/Arg Second Floor _35 36 37 Skylight4.0 ;Skylight _ 4 0 0.3901 NFRC 0 3901WC--'-0,29 0.29 NFRC NFRC 290 New 290 New Velux Comfort+(74) Lowe2/A_rg _ Velux Comfort+(74) Lowe2/Arg Second Floor Second Floor 38 Skylight 4.0 0.390 NFRC 0,29 NFRC 290 New Velux Comfort+(74) Lowe2/Arg Second Floor 39 Window 1 6.0 0 350 NFRC 0 30 NFRC 290 Now Window Y - 2030 SH Second Floor 40 Window 40.0 0 350 NFRC 0 30 NFRC 2.90 New Window W - 10040 SH Second Floor 4 F -Window 60 0 350 NFRC 0.30 NFRC 335 New - Window- 2030 Fixed Second Floor 42 Window 6.0 0 350 NFRC- 0 30 NFRC 335 _S Window S - 2030 Fixed - Second Floor 43 Window 6.0 0 350 1 NFRC 1 030 NFRC _Newµ 33SNew Window S - 2030 Fixed Second Floor 44 Window 16.0 0.350 1 NFRC 0.30 NFRC 20 New Window U - 4040 SH Second Floor 45 Window 17.8. 0.350 NFRC 0 30 NFRC 20 New Window A - 3060 - SH Second Floor 46 'Window 90 0 350 NFRC 030 NFRC 20 New Window T - 3030 Fixed Second Floor 47 lWindow 9.0 0.350 NFRC 0.30 NFRC 65 New Window R - 3030 SH Second Floor 48 'Window 90 0 350 NFRC 0 30 , NFRC 65 New Window R - 3030 SH Second Floor (1) U -Factor Type (2) SHGC Type' 116-A = Default Table from Standards. NFRC = Labeled Value 116-B = Default Table from Standards. NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window H t Wd Ove hang Left Fin Right Fin Len H t LEA REA Dist Len H t Dist j. Len H t 33 IBug Screen 0.76 34 Bug Screen 0.76 - 35 None 1,00 36 None 1.00 3/ None 100 38 None 1.00 39 'Bug Screen 076 .Bug Screen 0.76 _40 41 eu Screen 0.76 42 Bug Screen 0.76 43 Bug Screen 016 44 Bug Screen 0.76 4b Bu Screen 016 46�18ug Screen 076 47 Bug Screen 0.76 48 Oug Screen 076 Ener Pro 5.1 by Ener Soft User Number 1239 RunCode: 2013-03-13T16:04:33 lD 05511 Pae 10 of 12 Reg: 213-N0015727A-000000000-0000 Registration Date/Time: -013/03/14 1-2:08:57 HERS Provider: CalCERTS, Inc Electronically Filed by Darrel Kelly and Authenticated at CaiCERTS.com - 3/14/2013 Electronically Signed at Ca10ERTS.com by Barre Barnes (Vette investments) 3/14/_013 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Budding Type 4 Single Family New Residence Multi Family Addition Alone Date Existing+ Addition/Alteration 1311312013 OPAQUE SURFACE DETAILS Surface U- Insulation T pe Area Factor . Cavity i Exterior I Frame Interior Frame I Azm Tilt Status Joint Appendix 4 Location/Comments I i FENESTRATION SURFACE DETAILS ID Type Area I U -Factor SHGC-'Azm I Status Glazing Type Location/Comments 49 ;Window 20.0 0.350 j NFRC 0.30 NFRC 200 New Window Q - 4050 SH Second Floor 50 !Window 20.0 0.350E NFRC 0.30 NFRC 2001 New Window Q - 4050 SH Second Floor 51 1 Window 16.0 0.350: NFRC 0.30 NFRC 200 New Window Z - 4040 SH Second Floor (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 OverhangLeft ID Exterior Shade Type SHGC Hot Wd Len H t I LExt RExt Fin Right Fin Dist Len H t Dist Len H t 49 iBug Screen 0.76 50 Bug Screen 0.76 51 Bug Screen 0.76 Ener Pro 5.1 by Ener Solt User Number 1239 RunCode: 2013-03-13T16:04:33 ID 05511 Pae 11 of 12 Reg:=13-N00157=7A-000000000-0000 Registration Date/Time: 2013/03/14 1=:08:57 HERS Provider: Ca10ERTS, Inc Electronically Filed by Darrel Kelly and Authenticated at CaiCERTS.com - 3/14/2013 Electronically Signed at Ca10ERTS.com by Barre Barnes (Vette investments) 3/14/2013 CERTIFICATE OF COMPLIANCE: Residential Part 5 of 5) CF -1 R Project Name New Residence j Building Type 4 Single Family Addition Alone Date Multi Family Existing+ Addition/Alteration 3/13/2013 BUILDING ZONE INFORMATION System Name Zone Name Floor Area New Existinci Altered Removed Volume Year Built Basement Basement 1,295 11,655 First Floor First Floor 2,480 24.800 Second Floor , Second Floor 1,671 16,710 f ---- --- - Totals 514461 0 ------ 01 0, ---- HVAC SYSTEMS System Name Oty. T pe Min. Eff. Cooling Type Min. Eff. Thermostat Type Status _Heating Basement 1 Central Furnace 94% AFUE Split Air Conditioner 13.0 SEER Setback New First Floor 1 Central Furnace 94% AFUE Split Air Conditioner 13.0 SEER Setback New Second Floor 1 Central Furnace 94% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION System Name _ Heating _ _ i Duct Ducts CoolingDuct Location R -Value Tested? Status _ _ Basement Ducted ¢ Ducted Basement 60 4 New First Ftoor Ducted Ducted Crawlspace 6.0 4 New Second Floor - _ Ducted Ducted Attic, Ceiling Ins. vented 6.0 4 New WATER HEATING SYSTEMS _System _Name Q Type Distribution_ Rated Input Tank Cap. (gal) Energy Factor or RE Standby Loss or Pilot Ext, Tank Insui. R - Value_ Status Generic Tankless 2 Instant Gas No Pipe Insulation 185.000 0 0.84 n/a n/a New MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length ft s + o i 1O a < — System Name Pipe Length Pipe Diameter Insui. Thick. City. HP — Plenum i Outside Buried Ener Pro 5.1 by Ener Soft User Number 1239 RunCode: 2013-03-13716:04:33 ID: 05511 Pae 12 of 12 Reg: 213-N0015727A-000000000-0000 Registration Date/Time: 013/03/14 12:08:57 HERS Provider: CalCERTS, Inc �4 2010 CALGREEN RESIDENTIAL CHECKLIST — MANDATORY ITEMS COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION CUPERTINO ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinga-cupertino.org PURPOSE: The 2010 CalGreen Code applies to all newly constructed hotels, motels, lodging houses, dwelliNs, 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: New Residence 21740 Rainbow Drive Cupertino, CA 95014 New Residence 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 Column 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 Requirements A4.1 PLANNING AND DESIGN Planning and Design - Site Preservation 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 minimize future adverse effects on the proposed structure. Planning and Design - Site Development 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 system will manage all surface water flows. Page I of 5 CalGreen_2010.doc revised 08127111 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. 11A 20 percent reduction in baseline water use shall be demonstrated per As of 7/01/2011 Table 4.303.1. 4.303.2 When using the calculation method specified in Section 4.303.1, multiple showerheads shall not exceed maximum flow rates. As of 7/01/2011 4.303.3 Plumbing fixtures (water closets and urinals) and fittings (faucets and showerheads) shall comply with specified performance requirements. As of 7/01/2011 Outdoor Water Use 4.304.1 Automatic irrigation systems installed at the time of final inspection ED shall be weather -based. A4.4 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 Reduction, 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 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 08/27/11 A4.5ENVIRONMENTAL QUALITY 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. ® ❑ 4.504.2.3 Aerosol paints and other coatings shall be compliant with product ® ❑ 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. ® ❑ 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 In ❑ Schools (CHPS) 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 ® ❑ emission standards. Interior Moisture Control 4.505.2 Vapor retarder and capillary break is installed at slab on grade foundations. ® ❑ 4.505.3 Moisture content of building materials used in wall and floor framing is ® ❑ checked before enclosure. Page 3 of 5 CalGreen_2010.doe remised 08127/11 Indoor Air Quality and Exhaust 4.506.1 Exhaust fans which terminate outside the building are provided in every bathroom. Environmental Comfort 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 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. ND SPECIAL INSPECTOR INSTALLER AQUALIFICATIONS 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 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. Page 4 of 5 CalGreen_2010.doc revised 08/27/11 Project Name: Project Address: Project Description: CALGREEN SIGNATURE DECLARATIONS New Residence 21740 Rainbow Drive Cupertino, CA 95014 New Residence 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. Owner's Signature Date Owner's Name (Please Print) Design Professional's Signature Date Design Professional's Name (Please Print) 4c�" 03/14/2013 S' nature o Professional responsible for CalGreen compliance Date Darrel Kelly 408-718-1908 Name of License Professional responsible for CalGreen compliance (Please Print) Phone darrel@builders-energy.net 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 constructed in accordance with this Green Building Checklist and in accordance with the requirements of the 2010 California Green Building Standards Code as adopted by the City of Cupertino. 03/14/2013 Si nature of License Professional responsible for CalGreen compliance Date Darrel Kelly 408-718-1908 Name of License Professional responsible for CalGreen compliance (Please Print) Phone darrel@builders-energy.net Email Address for License Professional responsible for CalGreen compliance Page 5 of 5 CalGreen_2010.doc revised 08127/11 Electronically Filed by Darrel Kelly and Authenticated at CalCERTS.com - 3/14/:013 51ectrcnically Signed at Cd10ERTS.com by Barre Barnes (Vette Investments) 3/14/013 PERFORMANCE CERTIFICATE: Residential (Part 1 of 5) CF -1 R Project Name New Residence Project Address 430 Cordova Road Cupertino Building Type 91 Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration California Energy Climate Zone I Total Cond. Floor Area Addition# ' CA Climate Zone 04 5,446 n/a Date 3/13/2013 of Stories 2 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. ❑ Yes ❑ No Special Features -- If Yes. see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special Cavity (fe) Features (see PcUt 2 of 5) Status Wa1lBG Solid Unit Masonry Wall Wood Framed None 1,620 Depth = 108 000" R-13 3,025 New New Wall Wood Framed IV R-13 149 1w Door Opaque Door None 20 F1oorBG Unheated Slab -on -Grade None 1,295 Ne Roof Wood Framed Attic Door Opaque Door R-38 2,448 Radiant Barrier None 48 New New Floor Wood Framed wlCrawl Space R-19 1293 New FENESTRATION U- Exterior Orientation Area(fe) Factor SHGC Overhang Sidefins Shades Status Front (W) 9.0 0.350 0.27 none none Bug Screen New Front (w) 40.0 0 350 0.27 none none Bug Screen New Rear (SE) 18.0 0.350 0.30 none none Bug Screen New Right (S) 9.0 0.350 027 none none Bug Screen New Right (S) 40.0 0.350 0.27 none none Bug Screen New Right (S) 15.0 0.350 0.27 none none Bug Screen New Skylight 4.0 0 390 0.29 none none None New _ Front (M _ 120 0 350 _ 0.27 none none Bug Screen New Front (W) 50.0 0 350 0.27 none none Bug Screen New Front (wl 12.0 0.350 0.27 none none Bug Screen New Front (Nq 20.0 0.350 0.27 rune none Bug Screen New HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 94% AFUE Split Air Conditioner 13.0 SEER Setback New 1 Central Furnace 94% AFUE Split Air Conditioner 13.0 SEER Setback New 1 Central Furnace 94% AFUE HVAC DISTRIBUTION Location Heating Split Air Conditioner 13 0 SEFR Setback Duct Cooling Duct Location R -Value New Status Basement Ducted Ducted Basement 60 New First Floor Ducted Ducted Crawlspace 6 0 Second Floor Ducted Ducted Attic, Ceiling Ins, vented 60 .. ___ _._ __. __ _.._ ..__ _ _ WATER HEATING Ot . Type Gallons Min. Eff Distribution New New Status 2 Instant Gas 0 084 No Pipe Insulation New r ' Ener yPro 5 1 by Ener Soft User Number 1239 RunCode: 2013-03-13T16:04:33 ID: 05511 Pae 1 of 12 Reg:=13-IvGC157 'A- !O OOG?0-0000 Registration Date/Time: 2113/,:3/15 __:J'_•:57 -ERS Er:vider: aL ERTS, Inc Electronically Filed by Darrel Kelly and Authenticated at CaiCERTS.Com - 3/14/=013 Electronically Signed at Ca'-CERTS.com .'v Barre Barnes (Vette investments) 3/14/2013 PERFORMANCE CERTIFICATE: Residential (Part 1 of 5) CF -1 R Project Name New Residence Project Address 430 Cordova Road Cupertino Building Type EllSingle Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration California Ener Climate Zone Total Cond. Floor Area i Addition Energy CA Climate Zone 04 5,446 1 n/a `, Date 3/13/2013 # of Stories 2 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes ❑ No HERS Measures -- If Yes, A CF -419 must be provided per Part 2 of 5 of this form. ® Yes ❑ No Special Features -- If Yes; see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special Cavity (ft`) Features (see Part 2 of 5) Status FENESTRATION U- Orientation Area(fe) Factor Exterior SHGC Overhang Sidefins Shades Status Front (Ko 20.0 0.350 Front (Nwl 24.0 0 350 0.27 none none Bug Screen 0.27 crone none Bug Screen New New Left (N) 50.0 0 350 0.27 none none Bug Screen New Left (N) 15.0 0.350 027 none none Bug Screen New Left (N) 12.0 0.350 027 none none Bug Screen New Left (N) 18.0 0-350 0.27 none none Bug Screen New Left (NE) 6.0 0 350 0.21 none none Bug Screen New Rear (E) 20.0 0.350 0.27 none none Bug Screen New Rear (E) 17.5 0.350 027 none none Bug Screen New Rear (E) 17.5 0.350 0-27 none none Bug Screen New Rear (SE) 20.0 0.350 0.27 none none Bug Screen New HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status WATER HEATING Ot . Type Gallons Min. Eff Distribution Status Ener yPro 5 1 by Energ Soft User Number 1239 RunCode: 2013-03-13T16:04:33 ID 05511 Page 2 of 12 Reg: 213-NI)f.15727A-0000)01:1 -0!_0 Registration Date/Time:',13/G3/14 1::03:57 HERS Provider: Ca10ERTS, Inc Electronically Filed by Darrel Kelly and Authenticated at Ca10ERTS.com - 3/14/2013 Electronically Signed at Ca10ERTS.com by Barre Barnes (Vette Investments) 3/14/2013 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Building Type 4 Single Family Addition Alone New Residence Multi Family Existing+ Addition/Alteration Date 3/13/2013 Project Address California Energy Climate Zone Total Cond. Floor Area 430 Cordova Road Cupertino CA Climate Zone 04 5,446 Addition n/a # of Stories 2 FIELD INSPECTION ENERGY CHECKLIST 4 Yes No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. 4 Yes No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Area Special Construction Type Cavity (ft2 Features see Part 2 of 5 Status FENESTRATION U- Exterior Orientation Area ft2 Factor SHGC Overhang Sidefins Shades Status Rear (SE) 20.0 0.350 0 27 none none Bug Screen Rear (SE) 16.0 0 350 0.30 none none Bug Screen New New _ Right (S) T 12.0 0.350 0-27 none none Bug Screen New Right (S) 40.0 0.350 0.27 none none Bug Screen New Right (S) 20.0 0.350 a27 none none Bing Screen New. Right (S) 30.0 0.350 0.30 none none Bug Screen New Right (S) 30.0 0 350 0.30 none none Bug Screen New Right (S) 21.3 0.350 0.30 none none Bug Screen New Right (SM 20.0 0.350 0.27 none none Bug Screen New Right (SM 20.0 0.350 0.27 none none Bug Screen New Skylight 16.0 0.390 0.29 none none None New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status WATER HEATING Qty. Type Gallons Min. Eff Distribution Status EnergyPro 5 1 by EnergySoft User Number 1239 RunCoda: 2013-03-13716:04:33 ID 05511 Page 3 of 12 Reg: Registration Date/Time: 013/03/14 1_:08:57 HERS Provider: Ca10ERTS, Inc Electronically Filed by Darrel Kelly and Authenticated at Ca10ERTS.com - 3/14/2013 Electronically Siqned at Cd=CERTS.com by Barre Barnes (vette :nvestments) 3/14/3013 PERFORMANCE CERTIFICATE- Residential Part 1 of 5 CF -1 R Project Name Building Type 4 Single Family Addition AloneDate New Residence Multi Family Existing+ Addition/Alteration Project Address.._ California Energy Climate Zone Total Cond Floor Am-8-T,Addition 430 Cordova Road Cupertino ' CA Climate Zone 04 5,446 n/a 3/13/2013. # of Stories i 2 FIELD INSPECTION ENERGY CHECKLIST 4 Yes No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. 4 Yes No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Area Special Construction Type Cavity ft2 Features see Part 2 of 5 Status FENESTRATION U- Exterior Orientation Area ft2 Factor SHGC Overhang Sidefins Shades Status Skylight 4.0 0.390 0.29 none none Nate Skylight 40 0 390 0.29 none none None New New Skylight 4.0 0.390 029 none none None New Front (w) 6.0 0.350 0.30 none none Bug Screen New Front (w) 40.0 0.350 0.30 none none Bug Screen New Front (Nwl 18.0 0.350 0.30 none none Bug Screen New Left (N) 160 0 350 030 none none Bug Screen New Left (N) 178 0.350 0.30 none none Bug Screen New Left (N) 9.0 0.350 030 none none Bug Screen New Left (NE) 18.0 0.350 0.30 none none Bug Screen New Right (S) 40.0 0.350 0.30 none none Bug Screen New ----- ----- ---- -- -._._.__.._---------- HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status WATER HEATING Qty. Type Gallons Min. Eff Distribution Status ------------ Ener Pro 5 1 by Ener Soft User Number 1239 RunCodct: 2013-03-13T16:04:33 ID 05511 Pa e 4 of 12 Req:_13-hOG157�7A-GG�O��Ou�O-0000 Registrati^n Dat-e/Time: =G13/G3/15 12:08:57 iERS Provider: Ca10ERTS, Inc Electronically Filed by Darrel Kelly and Authenticated at CalCERTS.com - 3/14/2013 Electronically Signed at Ca10ERTS.com by Barre Barnes (Vette Investments) 3/14/013 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name New Residence Project Address 430 Cordova Road Cupertino Building Type 4 Single Family Addition Alone Multi Family Existing+ Addition/Alteration Date 1311312013 California Energy Climate Zone CA Climate Zone 04 Total Cond. Floor Area 5,446 Addition n/a # of Stories 2 FIELD INSPECTION ENERGY CHECKLIST 4 Yes No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. 4 Yes No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Area Special Construction Type Cavity (ft2 Features see Part 2 of 5 Status FENESTRATION U- Exterior Orientation Area(ft) Factor SHGC Overhang Sidefins Shades Status Right (S) 16-0 0.350 0 30 none none Bug Screen New --- --- —--- ------ - HVAC SYSTEMS Qty. Heating Min. Eff cooling Min. Eff Thermostat -- Status HVAC DISTRIBUTION Duct Location Heating Cooling Duct Location R -Value Status WATER HEATING ----- �____ � _-----------------..- Qt . Type Gallons Min. Eff Distribution --- Status EnergyPro 5 1 by Energ Soft User Number 1239 RunCode: 2013-03-13T16:04:33 ID: 05511 Page 5 of 12 Reg: Registration Date/Time: _V13/G3/14 1_:53:57 3ERS Frcvider: Ca10ERTS, Inc Electronically Filed by Darrel Kelly and Authenticated at CaICERTS.Cum - 3/14/=C,3 Electronically Signed a: Ca'-CERTS.com by Barre Barnes (Vette :nvestments) 3/14/2:13 PERFORMANCE CERTIFICATE: Residential Part 2 of 5) CF -1 R Project Name Building Type 4 Single Family Addition Alone New Residence Multi Family Existing+ Addition/Alteration Date 13/93/2013 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. This budding is modeled with reduced infiltration Consequently the homeowner's manual provided by the budder to the homeowner shall include operating9perating instructions for the homeowner on how to use mechanical ventilation to achieve adequate ventilation Testing for reduced infiltration shall be performed as specified in AS TM E 779 03 This listing shall also report the target CFM50H required for the blower door test to achieve the modeled SLA and the minimum CFM50H (corresponding to an SLA of 1 5) allowed to avoid backdraft problems HIGH MASS Design -Verify Thermal Mass 1295 sgft Concrete, Heavyweight Exterior Mass, 3.500" thick at Basement This building is modeled with reduced infiltration. Consequently the homeowner's manual provided by the builder to the homeowner shall include operating instructions for the homeowner on how to use mechanical ventilation to achieve adequate ventilation. Testing for reduced infiltration shall be performed as specified in ASTM E 779-03 This listing shall also report the target CFM50H required for the blower door test to achieve the modeled SLA and the minimum CFM50H (corresponding to an SLA of 1 5) allowed to avoid backdraft problems This building is modeled with reduced infiltration Consequently the homeowner's manual provided by the builder to the homeowner shall include operating instructions for the homeowner on how to use mechanical ventilation to achieve adequate ventilation Tengstifor reduced infiltration shall be performed as specified +n ASTM E 119-03 This listing shall also report the target CFM50H required for the blower door test to achieve the modeled SLA and the minimum CFM50FI (corresponding to an SLA of 1 5 allowed to avoid backdraft problems The Roof R-38 Roof Attic includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in Residential 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. This budding has hght construction with reduced infiltration and a target blower door test range between 509 and 1181 CFM al 50 pascals. The blower door test must be performed using the ASTM Standard Test Method for Determining Air Leakage Rate WARNING - If this building tests below 509 CFM at 50 pascals, the house must either be provided with a ventilation opening that will increase the infiltration to this level (SLA=1.5) OR mechanical supply ventilation must be provided. Compliance credit for quality installation of insulation has been used HERS field verification is required The HVAC System Basement incorporates HERS verified Duct Leakage HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria This building has tight construction with reduced infiltration and a target blower door test range between 974 and 2273 CFM at 50 pascals. The blower door test must be performed using the ASTM Standard Test Method for Determining Air Leakage Rate. WARNING - If this building tests below 974 CFM at 50 pascals, the house must either be provided with a ventilation opening that will increase the infiltration to this level (SLA=1.5) OR mechanical supply ventilation must be provided. Compliance credit for quality installation of insulation has been used. HERS field verification is required The HVAC System First Floor incorporates HERS verified Duct Leakage HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria. This building has tight construction with reduced infiltration and a target blower door test range between 656 and 1531 CFM at 50 pascals. The blower door test must be performed using the ASTM Standard Test Method for Determining Air Leakage Rate WARNING - If this building tests below 656 CFM at 50 pascals, the house must either be provided with a ventilation opening that will increase the infiltration to this level (SLA =1.5) OR mechanical supply ventilation must be provided. Compliance credit for quality installation of insulation has been used HERS field verification is required. The HVAC System Second Floor incorporates HERS verified Duct Leakage HERS field verification and diagnostic testing is required to verify that duct leakage meets the specified criteria Ener Pro 5.1 by Ener Soft User Number 1239 RunCode: 2013-03-13716:04:33 ID: 05511 Pa e 6 of 12 Reg:=13-N00157=7A-000000000-0000 Registration Pate/Time: =013/03/14 1=:08:57 HERS Provider: Ca10ERTS, Inc Electronically Filed by Darrel Kelly and Authenticated at CalCERTS.com - 3/14/2013 Electronically Signed at CaICERTS.com by Barre Barnes (Vette Investments) 3/14/3013 PERFORMANCE CERTIFICATE- Residential (Part 3 of 5) CF -1 R Project Name Budding Type 4 Single Family Addition Alone Date New Residence Multi Family Existing+ Addition/Alteration 3/13/2013 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV kBtu/ftl- r) Space Heating 86.91 73.27 13.64 Space Cooling 257 182 016 Fans 1122 11.20 0.01 Domestic Hot Water 725 5.51 1.74 Pumps 000 0.00 0.00 Totals 10795 91.80 16.15 Percent Better Than Standard: 150% BUILDING COMPLIES -HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (K9 290 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (►M 17278 251 Fuel Available at Site: Natural Gas (N) 1,156 162 Raised Floor Area: 1.293 (E) 793 129 Slab on Grade Area: 0 (S) 810 313 Average Ceiling Height: 9.8 Roof 2,480 32 Fenestration Average U -Factor: 0.35 TOTAL: 887 Average SHGC: 0.28 Fenestration/CFA Ratio: 163% REMARKS Floor area will vary from architectural plans because the Energy Code requires that areas be calculated from outside face of walls to outside face of walls AND count stairs at each floor (i -e. double count stairs) while planninWbuilding departments and others count inside "usable areas", sometimes ignor basements and seldom double count stairs STATEMENT OF COMPLIANCE C PE R08-01-01-1680 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 CA Fj C Efficiency Standards of the California Code of Regulations. NR08-05-3682 The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Builders' Energy Services C �_ �_— Company ! 3/131013 1478 Bird Avenue Darrel Kelly Address Name City/State/Zip San Jose. CA 95124 Phone (408) 718-1908 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 Holiday Drive LLC Address 2175 DeLa Cruz, Unit C Name Barre Barnes City/State/Zip Santa Clara, CA 95050 Phone (408) 234-9061 Signed License # Date Ener Pro 5.1 by Ener Soft User Number. 1239 RunCode: 2013-03-13T16:04:33 ID 05511 Pae 7 of 12 Reg: 13-NOG1573'A-uiO: GO- !-1 G00 Registratim Pate./Time: 13/!-3115 1-_:•:,7:5 HERS E-, eider: CaLJERTS, Inc Electronically Filed by Darrel Kelly and Authenticated at Ca10ERTS.Com - 3/14/=Ci3 Electronically Signed at CaICERTS.com by Barre Barnes (Vette Investments) 3/14/:?13 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name New Residence Budding Type A Single Family Multi Family Addition Alone Date Existing+ Addition/Alteration 3/13/2013 OPAQUE SURFACE DETAILS Surface : U- j Insulation I Type Area FactorCavi Exterior Frame Interior Frame i Azm Tilt Status Joint Appendix 4 Location/Comments WaIIBG 540 0.820 None 01 90 New 4.3.6-D5 Basement Wa11BG 120 0.820 None 0 90 New 4 3.6-D5 Basement _ Wa11BG 360 0 820 None 0 90 New 4 3 6-D5 Basement Wall 49 0.102 R-13 290 90 New 43, I -A3 Basement Wall 1491 0.102 R-13 290 90 New 4.3.1-A3 Basement Door 20 0.500 None 290 90 New 4 5 1-A4 Basement Wall b3 0.102 R-13 110 90 New 4 3 1 A3 Basement Wall 27 0 102 I R-13 155 _ 90 New 4 3 f -A3 Basement Wall 134 0.102R 13 200 90 New 4.3 1-A3 Basement FloorBG 1,295 0.730 ! None 0 180 New 4 4.7-A.1 Basement Roof 805 0 025 R-38 290 0 New 4 2 1-A21 First Floor Watt 249 0 102 R-13 290 90 New 4 3 1-A3 Hrst Hoor Wall 86 0.102 R-13 335 90 New 4.3.1-A3 First Floor Door 48 0.500 None 335 90 New 4.5.1-A4 First Floor Wall 1811 0.102 1 R-13 20 90 New 4.3. i -A3 First Floor Wall 459 ; 0 102 R 13 65 90 , New 4 3 1-A3 First Floor FENESTRATION SURFACE DETAILS ID . Type 1 Area i U -Factor SHGC Azm Status Glazing Type Location/Comments 1 Window 4.5 0.350 1 NFRC 0-27 NFRC 2901 New Window C - 1630 Fixed Basement 2 Window 40.0 0.350 i NFRC 0.27 NFRC 290 New Door II - 6068 French Door Basement 3 Window 4 5 0.350 ;NFRC 0.27 NFRC 290 New Window C - 1630 Fixed Basement 4 Window 18.0 0 350 NFRC 0.30 NFRC _155 New Window_A - 3060 - SH Basement 5 Window 90 0 350 NFRC 027 NFRC 200 New Window B - 3030 SH Basement 6 Window 1 40.0 0.350 NFRC 0.27 NFRC 200 New Door I - 6068 Patio Slider Basement 7 Window 150 0 350 NFRC 0 21 NFRC 200 New Window A 1 - 3050 SH Basement 8 Skylight 40 0 390 NFRC 029 NFRC 290 New Velux Comfort+(74) Lowe2/Arg First Floor _ 9 Window 12.0 0.350 NFRC 0-27 NFRC 290 New Window O - 3040 SH First Floor 10 Window 500 0 350 NFRC 0.27 NFRC 290 New Window N - 10050 SH First Floor 11 Window 12.0 0 350 NFRC 021 NFRC 290 New Window L - 2060 Fixed First Floor 12 Window 20.0 0-350 NFRC 0.27 NFRC 290 New Window E - 4050 SH First Floor 13 Window 20.0 0. 350 , NFRC 027 NFRC 290 New Window E-1 4050 Fixed First Floor 14 Window 240 0.350 NFRC 0.27 NFRC 335 New Window G-2 - 4060 SH First Floor _ —15 Window 50.0 0.350 NFRC 0.27 NFRC 20 New Window N - 10050 SH First Floor 16 Window 150 0 350 = NFRC 0 27 NFRC 20 New Window M - 3050 SH First Floor (1) U -Factor Type 116-A = Default Table from Standards. NFRC = Labeled Value (2) SHGC Type'. t 16-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window H t t Wd Overhang Len H t LExt RExt Left Fin Right Fin Dist Len H t Dist Len H t I Bug Screen 076 2 Bug Screen 076 3 Birg Screen 0.76 4 Bug Screen 0.76 5 Bug Screen 0 76 6 Buq Screen 0.76 7 Bug Screen 076 8 None 1-00 _ 9 18ug Screen 0.76 10 Bug Screen 0.76 11 Bug Screen 016 12 Bug Screen 13 Bug Screen 14 !Bug Screen 0.76 016 076 15 18ug Screen 0.76 16 `Bug Screen I 0.76 Ener Pro 5 1 by Ener Soft User Number 1239 RunCode: 2013-03-13716:04:33 ID 05511 Page 8 of 12 Reg: :13-NO015727A-000000000-0000 Registration Date/Time: 013/03/14 1=:08:57 HERS Provider: CalCERTS, Inc Electronically Filed by Darrel Kelly and Authenticated at CaICERTS.Com - 3/14/_u13 Electronically Signed at Ca10ERTS.com by Barre Barnes (Vette Investments) 3/14/2'-13 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name New Residence Building Type 4 Single Family Addition Alone Date Multi Family Existing+ Addition/Alteration 3/13/2013 OPAQUE SURFACE DETAILS Surface U- Insulation k' Joint Appendix T e Area I Factor Cavi !Exterior Frame' Interior Frame ; Azm Tilt Status 4 LocatioNComments Wall 1331 0 102 R-13 1101 90 New 4.3.1-A3 First Floor Wall 125 1 0 102 R-13 155 90 New 4 3 1-A3 First Floor _ Wall 1171 0 102 R-13 200 90 New 4 3 f -A3 First Floor Wall 19 0.102 R-13 245 90 New 43 f -A3 First Floor Floor 1,293 0.037 R-19 0 180 New 4.4.1-A4 First Floor Roof 1.643 0.025 1 R-38 290 0 New 4 2 f -A21 Second Floor Wall 301 0.102 R-13 290 90 New 4 3 1-A3 Second Floor Wall 119 0 102 R-13 335 90 New 4 3 1-A3 Second Floor Watl 2371 0.102 R-13 20 90 New 4.3.1-A3 Second Floor Wall 1171 0.102 R-13 651 90 1 New 4 3 1-A3 Second Floor Wall 268 0 102 R-13 110 90 New 4 3 1-A3 Second Floor Wall 58 0 102 R-13 155 90 New 4 3 1-A3 Second Floor Wall 227 0.102 R-13 200 90 New 14 3.1-A3 Second Floor Wall 60 0.102 1 R-13 245 90 New 4.3.1-A3 Second Floor i FENESTRATION SURFACE DETAILS ID Type I Area '1 U -Factor SHGC` I Azm ' Status Glazing Type Location/Comments 17 Window 12.0 0.350 NFRC 0.27 NFRC 20 New Window L - 2060 Fixed First Floor 18 Window 18.0 0.350 NFRC 0.27 NFRC 20 New Window K - 3060 SH First Floor 19 Window 6.0 0.350 ; NFRC 0.27 NFRC 65 New Window J - 2030 SH First Floor 20 Window 20.0 0.350 1 NFRC 0.27 NFRC 110 New Window G-1 4050 Fixed First Floor 21 Window 175 0 350 ) NFRC 027 NFRC 110 New Window E-2 - 3650 SH First Floor 22 Window 17.5 0.350 NFRC 0.27 NFRC 110 New Window E3 - 3650 Fixed First Floor 23 Window 20.0 0 350 NFRC 021 NFRC 155 New Window E - 4050 SH First Floor 24 Window 20.0 0 350 NFRC 0.27 NFRC 155 New Window E.14050 Fixed First Floor 25 Window 16.0 0.350 NFRC 0.30 NFRC _ 155 New Window P - 4040 SH First Floor 26 Window 120 0 350 NFRC 027 NFRC 200 New Window H - 3040 SH First Floor 21 Window 200, 0.350 NFRC 021 NFRC 200 New Window G - 4050 SH _ First Floor 28 Window 20.0 0.350 NFRC 0.27 NFRC 200 New Window G-1 4050 Fixed First Floor 29 Window 20.0 0.350 ; NFRC 027 NFRC 200 New Window G - 4050 SH First Floor _ 30 Window 30.0 0 350 I NFRC 0.30 NFRC 200 New Window F - 6050 - SH First Floor 31 Window 30.0 0.350 NERC 0.30 NFRC 200 New Window F-1 6050 Fixed First Floor 32 Window 2131 0 350! NFRC 0 30 NFRC 200 New Window A - 3060 - SH First Floor (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 10 Exterior Shade Type SHGC Window H t iNd Overhang Left Fin Len H t 'Ext RE Dist Len Right Fin H t Dist Len H t 17 Bug Screen 0.76 18 Bug Screen 0.76 19 Bug Screen 0.76 20 Bug Screen 0.76 21 Bug Screen 016 22 Bug Screen 0.76 23 JBug Screen 076 24 JBug, Screen 0.76 25 Bug Screen 0.76 26 Bug Screen 0.76 21 Bug Screen 016 28 Bug Screen 0.76 29 8ug,Screen 016 30 Bug Screen 076 31 Bug Screen 0.76 32 Bug Screen 0.76 Ener Pro 5 1 by Ener Soft User Number 1239 RunCode: 2013-03-13716:04:33 ID 05511 Pae 9 of 12 Reg: Registration Date/Time: 2013/03/14 1=:09:57 HERS Provider: CalCERTS, Inc Electronically Filed by Darrel Kelly and Authenticated at CaiCERTS.com - 3/14/2013 Electronically Signed at CaICERTS.com by Barre Barnes (Vette Investments) 3/14/2013 CERTIFICATE OF COMPLIANCE- Residential (Part 4 of 5) CF -1 R Project Name New Residence i Budding Type 4 Single Family Addition Alone Date Multi Family Existing+ Addition/Alteration 3/13/2013 OPAQUE SURFACE DETAILS Surface U- I Type Area Factor 1 Insulation i Joint Appendix Cavity Exterior Frame ! Interiorl Frame I Azm Tilt Status 4 Location/Comments FENESTRATION SURFACE DETAILS ID , Type 1 Area U -Factor SHGC i Azm ' Status I Glazing Type Location/Comments 33 `Window ; 20.0 0.350 1 NFRC 0.27 NFRC 245 New Window E - 4050 SH First Floor 34 Window 20.0 0.350 NFRC 0.27 NFRC 245 New Window E-1 4050 Fixed First Floor 35 ISkylight 16.0 0.390 ! NFRC 0.29 NFRC 290 New Velux Comfort+(74) Lowe2/Ar Second Floor 36 Skylight 4.0 ? NFRC 0.29 NFRC 2_90 New Velux Comfort+(74) Lowe2/Arg Second Floor 37 __L390 Skylight 40 0 390NFRC 0 29 NFRC R�290 New Velux Comfort+(74) Lowe?/Arg Second Floor 38 Skylight 4.0 0.390 NFRC 0.29 1 NFRC 290 New Velux Comfort+(74) Lowe2/Arg Second Floor 39 Window 60 0 350 NFRC 0 30 NFRC 290 New Window Y - 2030 SH Second Floor 40 Window 40.0 0 350 NFRC 0 30 NFRC 290 New Window W - 10040 SH Second Floor 41 Window 6 0 0.350 NFRC 0.30 NFRC 335 New Window S - 2030 Fixed Second Floor 42 'Window 60 0 350 NFRC 0 30 NFRC 335 New Window S - 2030 Fixed Second Floor _ 43 Window 6.0 0.350 NFRC 0.30 NFRC 335 New Window S - 2030 Fixed Second Floor 44 Window 16.0 0.350 NFRC 0.30 NFRC 20 New Window U - 4040 SH Second Floor 45 Window 17.8 0.350 NFRC 0.30 NFRC 20 New Window A - 3060 - SH Second Floor 46 Window 1 90 0 350 NFRC 0.30 NFRC 20 New Window T - 3030 Fixed Second Floor 47 Window 9.0 0.350 NFRC 0.30 NFRC 65 New Window R - 3030 SH Second Floor 48i Window 9.0 0 350 NFRC 0 30 NFRC 65 New Window R - 3030 SH Second Floor (1) U -Factor Type (2) SHGC Type' 116-A = Default Table from Standards. NFRC = Labeled Value 116-B = Default Table from Standards. NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade T e SHGC Window H t Wd -. Overhang Len H t LExt _ Left Fin Right Fin . ._ ..--- - .. _ . RExt Dist Len H t Dist i Len H t 33 Bug Screen 0.76 34 Bug Screen 076 None �T 100 _35 36N one 100 _ 3/ None 100 38 None 1.00 39 Bug Screen 076 40 I Bug Screen 0.76 41 _ Bug Screen 0.76 42 Bug Screen 0.76 43 Bug Screen 016 44 Bug Screen 0.76 45 Bug Screen 016 46 Bug Screen 076 47 Bug Screen 0.76 48 Bug Screen 1 0.76 Ener Pro 5.1 by Ener Soft User Number 1239 RunCode: 2013-03-13T16:04:33 ID 05511 Pae 10 of 12 Reg: 213-NV0157_7A-000000000-0000 Registration Date/Time: 2013/03/14 12:0$:57 HERS Provider: CalCERTS, Inc Electronically Filed by Darrel Kelly and Authenticated at CaICERTS.com - 3/14/Z013 Electronically Signed at CaICERTS.com by Barre Barnes (Vette Investments) 3/14/2013 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Building Type 4 Single Family Addition Alone Date New Residence Multi Family Existing+ Addition/Alteration 3/13/2093 OPAQUE SURFACE DETAILS Surface U- t Insulation Joint Appendix Type Area Factor Cavity Exterior Frame E Interiorl Frame Azm 1 Tilt Status 4 Location/Comments i I FENESTRATION SURFACE DETAILS ID Type ` Area I U -Factor SHGC-'Azm + Status Glazing Type Location/Comments 49`Window ( 20.0 0.350NFRC 0.30 NFRC 200 New Window Q - 4050 SH Second Floor 50 iWindow 20.0 0.350 € NFRC 0.30 NFRC 200 New Window 0 - 4050 SH Second Floor 51 Window 16.0 ' 0.350 NFRC 0.30 NFRC 200 New Window Z - 4040 SH Second Floor (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 Overhang Left Fin Right Fin ID Exterior Shade Type SHGC H t Wd Len H t LExt FREA Dist Len H t Dist Len H t 49 Bug Screen 0.76 50 lBug Screen 0.76 51 Bug Screen 0 76— EnergyPro 5.1 by Ener Soft User Number: 1239 Runcode: 2013-03-13T16:04:33 1D 05511 Pae i i of 12 Reg: 313-N'015727A-440000000-0440 Registration Date/Time: 3013/43/14 1=:08:57 HERS Provider: CalCERTS, Inc Electronically Filed by Darrel Kelly and Authenticated at CalCERTS.com - 3/14/2013 Electronically Signed at CalCERTS.com by Barre Barnes (vette Investments) 3/14/013 CERTIFICATE OF COMPLIANCE= Residential (Part 5 of 5) CF -1 R Prosect Name New Residence Budding Type 4 Single Family Addition Alone Date Multi Family Existing+ Addition/Alteration 3/13/2013 BUILDING ZONE INFORMATION System Name Zone Name _ Floor Area New Existing Altered Rem_eov d Volume Burn Basement Basement 1,295 _Year 11,6551 _ First Floor _ First Floor i� _ _ 2,480 24 800 Second Floor Second Floor 1,671 16,710i Totals 5,4461 01 01 0 HVAC SYSTEMS System Name Qty. Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status Basement 1 Central Furnace 94% AFUE Split Air Conditioner 13.0 SEER Setback New First Floor i Central Furnace 94% AFUE Split Air Conditioner 13.0 SEER Setback New Second Floor 1 Central Furnace 94% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION System Name Heating coolips Duct Location Duct Ducts R -Value Tested? Status _ Basement Ducted Ducted Basement 60 4 New First Floor Ducted Ducted Crawlspace 6-01 4 New Second Floor Ducted Ducted Attic, Ceiling Ins, vented 6.0 4 New f i WATER HEATING SYSTEMS S stem Name City. Type Distribution Rated Input Btuh Tank Cap. al Energy Factor or RE Standby Loss or Pilot Ext, Tank Insul. R- Value Status_ Generic Tankless 2 instant Gas No Pipe Insulation 185,000 0 0.84 n/a n/a New MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING ControlHP Hot Water Piping Length � c 0 a Q c System Name Pipe Length Pipe Diameter Insul. Thick. Plenum Outside Buried Ener Pro 5.1 by Ener Solt User Number 1239 RunCode: 2013-03.13T16:04:33 ID: 05511 Pae 12 of 12 Reg: 213-N0015727A-000000000-0000 Registration Date/Time: 013/03/14 1^:08:57 HERS Provider: CalCERTS, Inc CUPERTINO PURPOSE UTILITY RELEASE REQUEST FORM COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P E, C B O. BUILDING OFFICIAL 10300 TORRE AVENUE - CUPERTINO. CA 55014.3255 (408) 777-3228 • FAX (408) 777.3333•build'+na cut arlln -912 For residential single family, or duplex construction, there are cases where gas and electric utilities arc 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 f. Dnp:nlr+ad this roml at:c��t.lt?.41o�uhjv'`:i!, 'q-121 2. Complete the f(,rm and obtain signatures from boil, the of plcr of the property and the primary contractor. 3. Fax, E -Mail. Mail or hand deliver the original signed farm to: Cit>, of Cupertino Building Division 408-777-3228 office Attn: Utility Relcase Request Cotm 408.777-3333 fax 10300 Toric Ave. h Cupertino, CA 95014 uildi rtino�.or 4. Schedule a Gas Meter Release inspection (#403) and/or l lcctric Meter Release inspection (#404). Please note, a Gas Test inspection (9506) is required prior to or at the sante time of the Gas Meter Release inspection. BUILDING INFORMATION (Please complete the following information): t 30 .-U a, D Z I DATE ?j t L, C %�'- SITE ADDRESS OWNER'S NAME • /.r V(tf p -4 LLC- Pt o�LeS; PHONE # FAX* deft ent from ress) [CONTRACTOR,gPHONE Lj1t0�_ &>t�5 # FAX 4Z ` 3 -T-4 CONTACT FAX #E #'k�,g I request iiia City to release my utilities pnor to obtaining a final inspection approval fth_Oe building I fully understand the occupants of the building cannot move into the residence until they receive all of the required Fina and the City has issued a certificate of occupancy for the building,( r j contractor x^�-'"_"t.nPnnt, `' 'cam, Date l l b< < <• ('uh( RetewePorm 1101 / dor rewsed 08 09.11 C A L I FORNIA ASSOCIATION SHORT SALE ADDENDUM OF I1 E A L T O R S® (C.A.R. Form SSA, Revised 4/12) This is an addendum to the O Califomia Residential Purchase Agreement, O Counter Offer, ® Other Vacant Land (`Agreement"), dated on property known as 2174.0 Rainbow Dr., Cupertino, Ca ("Property"), between Christopher Ciray ("Buyer") and Holiday Drive LLC, Barre Barnes ("Seller"). -- 1. SHORT SALE APPROVAL: A. This Agreement is contingent upon Seller's receipt of and delivery to Buyer of written consent ("Short Sale Lenders' Consent") to the Agreement from all existing secured lenders and lienholders ("Short Sale Lenders"), by 5:00 P.M. no later than 45 (or ❑ _5 ) Days After Acceptance (or p on (date) ("Short Sale Contingency Date"). If Buyer or Seller cancels this Agreement prior to the Short Sale Contingency Date, that party may be in breach of the Agreement unless the cancellation is made pursuant to some other paragraph in this addendum or in the Agreement, whether or not time periods in the Agreement have commenced. B. Short Sale Lenders' Consent means that all Short Sale Lenders shall collectively agree to reduce their respective loan balances by an amount sufficient to permit the proceeds from the sale of the Property to pay the existing balances on loans secured by the Property, real property taxes, brokerage commissions, closing costs, and other monetary obligations the Agreement requires Seller to pay at Close Of Escrow (including, but not limited to, escrow charges, title charges, documentary transfer taxes, prorations, retrofit costs, Homeowners Association Fees and Repairs) without requiring Seller to place any funds into escrow or have any continuing obligation to Short Sale Lenders. C. (i) Seller shall Deliver to Buyer a copy of Short Sale Lenders' Consent or term sheet(s) within 3 (or O ) Days After receipt by Seller. (ii) Seller's presentation to Buyer of Short Sale Lender's Consent satisfying 1 B removes the contingency in 1 A. D. If by the Short Sale Contingency Date, (i) Seller has not received Short Sale Lenders' Consent satisfying 1B, Seller may in writing cancel this Agreement, or (ii) Buyer has not received a copy of Short Sale Lenders' Consent satisfying 1 B, Buyer may cancel this Agreement in writing. In either case, Buyer shall be entitled to return of any remaining deposit delivered to escrow. E. Seller shall reasonably cooperate with existing Short Sale Lenders in the short sale process, but neither Seller nor Buyer is obligated to change the terms of their Agreement to satisfy Short Sale Lenders, consent or term sheet(s). F. If Short Sale Lenders' written consent or term sheet(s) provided to Seller require changes to the Agreement. in order to satisfy the terms of 113, (1) neither Buyer nor Seller shall be obligated to continue negotiations to satisfy any of the requirements of the term sheet(s) (ii) either party may in writing cancel this Agreement and (iii) Seller is advised to seek legal, accounting and tax advice before agreeing to any such changes. If the Agreement is cancelled pursuant to this paragraph, Buyer shall be entitled to return of any remaining deposit delivered to escrow. 2. TIME PERIODS. Time periods in the Agreement for inspections, contingencies, covenants, and other obligations: (i) shall begin the Day After Seller delivers to Buyer Short Sale Lenders' Consent satisfying 1 B. However, time periods for providing pre-approval/pre-qualification letters and verification of down- payment and closing costs shall nonetheless begin as otherwise specified in the Agreement; or (ii) (if checked) ❑ shall begin as specified in the Agreement. Buyers Initials () ( ) Seller's Initials ( ) ( ) The copyright laws of thein/ -,td States (TITLE 17 U.S. Code) forbid the unauthorized reproduction of this form by any means, including fagsi or computerized formats, Copyright 0 2007-2012, CALIFORNIA ASSOCIATION OF REALTORS®. ALL RIGHTS RESERVED. THIS FORM HAS BEEN APPROVED BY THE CALIFORNIA ASSOCIATION OF REALTORS® (C.A.R.). NO REPRESENTATION IS MADE AS TO HE LEGAL VALIDITY OR ADEQUACY OF ANY PROVISION IN ANY SPECIFIC TRANSACTION. A REAL ESTATE BROKER IS THE PERSON QUALIFIED TO ADVISE ON REAL ESTATE TRANSACTIONS. IF YOU DESIRE LEGAL OR TAX ADVICE, CONSULT AN APPROPRIATE PROFESSIONAL. This forth is available for use by the entire real estate industry. it is not intended to identify the user as a REALTOR& REALTOR® is a registered collective membership mark which may be used only by members of the NATIONAL ASSOCIATION OF REALTORS® who subscribe to its Code of Ethics. Published and Distributed by: REAL ESTATE BUSINESS SERVICES, INC. a subsidiary of the California Association OF REALTORS® 525 South Virgil Avenue, Los Angeles, California 90020 Reviewed by Date L=j_ SSA REVISED 4/12 (PAGE 1 OF 2) SHORT SALE ADDENDUM (SSA PAGE 1 OF 2)V rgynrt[: w„ rC„ y Phone: 408.656.1898 Fax: 408.354.5991 Prepared using zipForm® software Broker: Coldwell Banker 410 N. Santa Cruz Ave. Los Gatos, CA 95030 21740 Rainbow Dr. Address: CuRertino, Ca Date: f 3. BUYER'S DEPOSIT CHECK. Buyer's deposit check shall be delivered to escrow within: (i) 3 business Days After Seller delivers to Buyer Short Sale Lenders' Consent satisfying 1 B, or (ii) (if checked) p as specified in the Agreement. 4. NO ASSURANCE OF LENDER APPROVAL. Buyer and Seller understand that Short Sale Lenders: (i) are not obligated to give consent to a short sale; (ii) may require Seller to forward any other offer received; and (iii) may give consent to other offers. Additionally, Short Sale Lenders may require that, in order to obtain their approval for a short sale, some terms of the Agreement, such as the Close of Escrow, be amended or that Seller sign a personal note or some other obligation for all or a portion of the amount of the secured debt reduction. Buyer and Seller do not have to agree to any of Short Sale Lenders' proposed terms. Buyer, Seller and Brokers do not have control over whether Short Sale Lenders will consent to a short sale, or control over any act, omission, or decision by any Short Sale Lender in the short sale process. 5. BUYER AND SELLER COSTS. Buyer and Seller acknowledge that each of them may incur costs in connection with rights or obligations under the Agreement. These costs may include, but are not limited to, payments for loan applications, inspections, appraisals, and other reports. Such costs will be the sole responsibility of the party incurring them if Short Sale Lenders do not consent to the transaction or either party cancels the transaction pursuant to the Agreement. 6. OTHER OFFERS. Unless otherwise agreed in writing, after Buyer's offer has been accepted by Seller, (i) Seller has the right to continue to market the Property for back-up offers; (ii) Seller has the right to accept back-up offers (C.A.R. Form PAA, Paragraph 1), and subject to Short Sale Lender(s) requirements present to Short Sale Lender(s) any accepted back-up offers that are received; and (iii) Seller shall notify buyer when any accepted back-up offers, are presented to Short Sale Lender(s). 7. CREDIT, LEGAL AND TAX ADVICE. Seller is informed that a short sale may have credit or legal consequences and may result in taxable income to Seller. Seller is advised to seek advice from an attorney, certified public accountant or other expert regarding such potential consequences of a short sale. By signing below, B received a c 7.1 ti Date 2 Buyer (' iristoph r Buyer :r and Seller each acknowledge that they have read, understand, accept and have Short Sale Addendum. C1 ay Date Seller Seller r' Sarre'�ar�s r THIS FORM HAS BEEN APPROVED BY THE CALIFORNIA ASSOCIATION OF REALTORS® (C.A.R.). NO REPRESENTATION IS MADE AS TO THE LEGAL VALIDITY OR ADEQUACY OF ANY PROVISION IN ANY SPECIFIC TRANSACTION. A REAL ESTATE BROKER IS THE PERSON QUALIFIED TO ADVISE ON REAL ESTATE TRANSACTIONS. IF YOU DESIRE LEGAL OR TAX ADVICE, CONSULT AN APPROPRIATE PROFESSIONAL. This form is available for use by the entire real estate industry. It Is not intended to identify the user as a REALTOR& REALTOR® is a registered collective membership mark which may be used only by members of the NATIONAL ASSOCIATION OF REALTORS® who subscribe to its Code of Ethics. Published and Distributed by: M REAL ESTATE BUSINESS SERVICES, INC. B subsidiary of the Cafifomia Association of REAL TORSO ` . 525 South Virgil Avenue, Los Angeles, Califomia 90020 I Reviewed by Date SSA REVISED 4/12 (PAGE 2 OF 2) SHORT SALE ADDENDUM (SSA PAGE 2 OF 2) C A L I F O R N I A DISCLOSURE REGARDING = ASSOCIATION REAL ESTATE AGENCY RELATIONSHIP (Selling Firm to Buyer) W� O F R E A L T O R S (As required by the Civil Code) (C.A.R. Form AD, Revised 11/12) ❑ (If checked) This form is being provided in connection with a transaction for a leaseholder interest in a dwelling exceeding one year as per Civil Code section 2079.130) and (1). When you enter into a discussion with a real estate agent regarding a real estate transaction, you should from the outset understand what type of agency relationship or representation you wish to have with the agent in the transaction. SELLER'S AGENT A Seller's agent under a listing agreement with the Seller acts as the agent for the Seller only. A Seller's agent or a subagent of that agent has the following affirmative obligations: To the Seller: A Fiduciary duty of utmost care, integrity, honesty and loyalty in dealings with the Seller. To the Buyer and the Seller: (a) Diligent exercise of reasonable skill and care in performance of the agent's duties. (b) A duty of honest and fair dealing and good faith. (c) A duty to disclose all facts known to the agent materially affecting the value or desirability of the property that are not known to, or within the diligent attention and observation of, the parties. An agent is not obligated to reveal to either party any confidential information obtained from the other party that does not involve the affirmative duties set forth above. BUYER'S AGENT A selling agent can, with a Buyer's consent, agree to act as agent for the Buyer only. In these situations, the agent is not the Seller's agent, even if by agreement the agent may receive compensation for services rendered, either in full or in part from the Seller. An agent acting only for a Buyer has the following affirmative obligations: To the Buyer: A fiduciary duty of utmost care, integrity, honesty and loyalty in dealings with the Buyer. To the Buyer and the Seller: (a) Diligent exercise of reasonable skill and care in performance of the agent's duties. (b) A duty of honest and fair dealing and good faith. (c) A duty to disclose all facts known to the agent materially affecting the value or desirability of the property that are not known to, or within the diligent attention and observation of, the parties. An agent is not obligated to reveal to either party any confidential information obtained from the other party that does not involve the affirmative duties set forth above. AGENT REPRESENTING BOTH SELLER AND BUYER A real estate agent, either acting directly or through one or more associate licensees, can legally be the agent of both the Seller and the Buyer in a transaction, but only with the knowledge and consent of both the Seller and the Buyer. In a dual agency situation, the agent has the following affirmative obligations to both the Seller and the Buyer: (a) A fiduciary duty of utmost care, integrity, honesty and loyalty in the dealings with either the Seller or the Buyer. (b) Other duties to the Seller and the Buyer as stated above in their respective sections. In representing both Seller and Buyer, the agent may not, without the express permission of the respective party, disclose to the other party that the Seller will accept a price less than the listing price or that the Buyer will pay a price greater than the price offered. The above duties of the agent in a real estate transaction do not relieve a Seller or Buyer from the responsibility to protect his or her own interests. You should carefully read all agreements to assure that they adequately expre your understanding of the transaction. A real estate agent is a person qualified to advise about real estate. If legal or tax advice is desired, consult competent professional. Throughout your real property transaction you may receive more than a disclosure form, depending upon the number of agents assisting in the transaction. The law requires each agent with whom you have more tha g casual relationship to present you with this disclosure form. You should read its contents each time it is presented to you, considering the relatio ip be ween you and the real estate agent in your specific transaction. This disclosure form includes the provisions of Sections 2079.13 to 20 9. nclusive, of the Civil Code set forth on page 2. Read it carefully. I/WE ACKNOWLEDGE RECEIPT OF A COPY QF THIS DISCL ' URE ND THE PORTIONS OF THE CIVIL CODE PRINTED ON THE BACK (OR A SEPARATE PAGE). ❑ Buyer ❑ Seller ❑ Landlord ❑ Tenant Date c2 L Christopher Ci ay ❑ Buyer ❑ Seller ❑ Landlord ❑ Tenant Date Agent Coldwell eal Estate E DRE Lic. # 01908304 By DRE Lic. # 00613226 Date (Salesperson or Broker -Associate) -Don Perry Agency Disclosure Compliance (Civil Code §2079.14): • When the listing brokerage company also represents Buyer/Tenant: The Listing Agent shall have one AD form signed by Seller/Landlord and a different AD form signed by Buyer/Tenant. • When Seller/Landlord and Buyer/Tenant are represented by different brokerage companies: (i) the Listing Agent shall have one AD form signed by Seller/Landlord and (ii) the Buyer's/Tenant's Agent shall have one AD form signed by Buyer77enant and either that same or a different AD form presented to Seller/Landlord for signature prior to presentation of the offer. If the same form is used, Seller may sign here: Seller/Landlord ateeller/Landlord Holiday Drive LLC Date Barre Barnes The copyright laws of the United States (Title 17 U.S. Code) forbid the unauthorized reproduction of this form, or any portion thereof, by photocopy machine or any other means, including facsimile or computerized formats. Copyright © 1991-2010, CALIFORNIA ASSOCIATION OF REALTORS®, INC. ALL RIGHTS RESERVED. Reviewed by _Date AD REVISED 11/12 (PAGE 1 OF 2) [DUM NOUfWO DISCLOSURE REGARDING REAL ESTATE AGENCY RELATIONSHIP (AD PAGE 1 OF 2) OPPORTUNITY Agent: Don Perr I Phone: 408.656.1898 Fax: 408.354.5991 Broker: Coldwell Banker 410 N. Santa Cruz Ave. Los Gatos, CA 95030 Prepared using zipForm® software Property' 22740 Rainbow Dr. Date: December 2, 2022 B. CONDOMINIUM/PLANNED UNIT DEVELOPMENT DISCLOSURES: A. SELLER HAS: 7 (or O ) Days After Acceptance to disclose to Buyer whether the Property is a condominium, or is located in a planned development or other common interest subdivision (C.A.R. Form VLQ). B. If the Property is a condominium, or located in a planned unit development or other common interest subdivision, Seller hag (or) Days After Acceptance to request from the HOA (C.A.R. Form HOA): (i) Copies of any documents required by Law; (ii) disclosure of any pending or anticipated claim or litigation by or against the HOA; (iii) a statement containing the location and number of designated parking and storage spaces; (iv) Copies of the most recent 12 months of HOA minutes for regular and special meetings; and (v) the names and contact information of all HOAs governing the Property (collectively, "Cl Disclosures") and (vi) the following if Seller has actual knowledge: (a) any material defects in the condition of common area (such as pools, tennis courts, walkways or other areas co -owned in undivided interest with other); and (b) possible lack of compliance with HOA requirements. Seller shall itemize and Deliver to Buyer all Cl Disclosures received from the HOA and any Cl Disclosures in Seller's possession. Buyer's approval of Cl Disclosures is a contingency of this Agreement as specified in paragraph 14B(3). 9. SUBSEQUENT DISCLOSURES: In the event Seller, prior to Close Of Escrow, becomes aware of adverse conditions materially affecting the Property, or any material inaccuracy in disclosures, information or representations previously provided to Buyer of which Buyer is otherwise unaware, Seller shall promptly provide a subsequent or amended disclosure or notice, in writing, covering those items. However, a subsequent or amended disclosure shall not be required for conditions and material inaccuracies disclosed in reports ordered and paid for by Buyer. 10. CHANGES DURING ESCROW: A. Prior to Close Of Escrow, Seller may engage in the following acts, ("Proposed Changes"), subject to Buyer's rights in paragraph 19: (1) rent or lease any part of the premises; (ii) alter, modify or extend any existing rental or lease agreement; (iii) enter into, alter, modify or extend any service contract(s); or (iv) change the status of the condition of the Property. B. At least 7 (or C] ) Days prior to any Proposed Changes, Seller shall give written notice to Buyer of such Proposed Changes. 11. ITEMS INCLUDED AND EXCLUDED: A. NOTE TO BUYER AND SELLER: Items listed as included or excluded in the MLS, flyers or marketing materials are not included in the purchase price or excluded from the sale unless specified in 11 B or C. B. ITEMS INCLUDED IN SALE: (1) All EXISTING fixtures and fittings that are attached to the Property; (2) The following items: All Reports, Plans, Studies, Architectural Drawings associated with the property and assignment of such including permits or aplications (3) Seller represents that all items included in the purchase price, unless otherwise specified, are owned by Seller. (4) All items included shall be transferred free of liens and without Seller warranty. C. ITEMS EXCLUDED FROM SALE: 12. CONDITION OF PROPERTY: Unless otherwise agreed: (i) the Property is sold (a) in its PRESENT physical ("as -is") condition as of the date of Acceptance and (b) subject to Buyer Investigation rights; (ii) the Property is to be maintained in substantially the same condition as of the date of Acceptance and (iii) [3 (If checked) All debris and personal property not included in the sale shall be removed by Seller by Close Of Escrow. A. SELLER SHALL, within the time specified in paragraph 19, DISCLOSE KNOWN MATERIAL FACTS AND DEFECTS AFFECTING THE PROPERTY AND MAKE ALL OTHER DISCLOSURES REQUIRED BY LAW. B. Buyer has the right to inspect the Property and, as specified in paragraph 198, based upon information discovered in those inspections: (i) cancel this Agreement; or (ii) request that Seller make Repairs or take other action. C. Buyer is strongly advised to conduct investigations of the entire Property in order to determine its present condition. Seller may not be aware of all defects affecting the Property or other factors that Buyer considers important. Property improvements may not be built according to code, in compliance with current Law, or have had permits issued. 13. BUYER'S INVESTIGATION OF PROPERTY AND MATTERS AFFECTING PROPERTY: A. Buyer's acceptance of the condition of, and any other matter affecting the Property, is a contingency of this Agreement as specified in this paragraph and paragraph 19B. Within the time specified in paragraph 19B(1), Buyer shall have the right, at Buyer's expense unless otherwise agreed, to conduct inspections, investigations, tests, surveys and other studies ("Buyer Investigations"), including, but not limited to, the right to: (i) inspect for lead-based paint and other lead-based paint hazards; (ii) inspect for wood destroying pests and organisms; (iii) review the registered sex offender database; (iv) confirm the insurability of Buyer and the Property; and (v) satisfy Buyer as to any matter specified in the attached Buyer's Inspection Advisory (C.A.R. Form BIA). Without Seller's prior written consent, Buyer shall neither make nor cause to be made: (i) invasive or destructive Buyer Investigations; or (ii) inspections by any governmental building or zoning inspector or government employee. unless required by Law. B. Seller shall make the Property available for all Buyer Investigations. Buyer shall (i) as specified in paragraph 19B, complete Buyer Investigations and, either remove the contingency or cancel this Agreement, and (ii) give Seller, at no cost, complete Copies of all Investigation reports obtained by Buyer, which obligation shall survive the termination of this Agreement. C. Buyer indemnity and Seller protection for entry upon property: Buyer shall: (i) keep the Property free and clear of liens; (ii) repair all damage arising from Buyer Investigations; and (iii) indemnify and hold Seller harmless from all resulting liability, claims, demands, damages and costs of Buyer's Investigations. Buyer shall carry, or Buyer shall require anyone acting on Buyer's behalf to carry, policies of liability, workers' compensation and other applicable insurance, defending and protecting Seller from liability for any injuries to persons or property occurring during any Buyer Investigations or work done on the Property at Buyer's direction prior to Close Of Escrow. Seller is advised that certain protections may be afforded Seller by recording a "Notice of Non -responsibility" (C.A.R. Form NNR) for Buyer Investigations and work done on the Property at Buyer's direction. Buyer's obligations under this paragraph shall survive the termination or cancellation of this Agreement and Close Of Escrow. Buyer's Initials Seller's Initials ( jAr NL Copyright O 1956-2010, CALIFORNIA ASSOCIATION OF REALTORS®, INC. Reviewed b Date [DUALNOUSwc VLPA REVISED 4/10 (PAGE 4 OF 10) y OPPORTUNITY VACANT LAND PURCHASE AGREEMENT (VLPA PAGE 4 OF 10) 21740 Rainbo\k Vette fnvestrr ants Ft Property Barre Barnes President 2175 De l_.a Cruz Blvd. Unit "C" Santa Clara, CA. 95050 408-827-4251 ph. 408-827-4252 fax. 408-234-9061 cell barrebarnes@mac.com Construction Management Contract This Agreement, Made as of December 28, in the Year of 2012, Between the Owner: ViRAY PROPERTIES LLC CHRISTOPHER VIRAY, MANAGING MEMBER 1140 ZAMORA COURT MILPITAS, CA. 95435 And the Construction Manager: VETTE INVESTMENTS & PROPERTY MANAGEMENT BARRE BARNES, PRESIDENT 2175 DE LA CRUZ BLVD. UNIT' "C:e SANTA CLARA, CA. 9505E For the Project: RAINBOW DRIVE 21740 RAINBOW DRIVE CUPERTINO, CA. 95014 Article 1. Contract Documents 1.1. The contract documents consist of this agreement, general provisions, construction documents, specifications, allowances, finish schedules, construction draw schedule, change orders or modifications issued and agreed to by both parties. Plans dated October 25, 2011. Article 2. Scope of Work 2.1. Vette iy fes' ref t ; H r rtv Pa Y � - ': agrees to function as an agent of . `�ro;per`ies, U -C. Vette Investments & Property Management will perform Management and Supervision services to construct the above mentioned structure and fixtures attached thereto in Cupertino, Ca. according to the construction documents, allowances, finish schedules, all addenda, change orders, as submitted. Article 3. Time of Completion 3.1. The approximate commencement date of the project shall be on January 2,2013. The approximate completion date of the project shall be January 1, 2014, however any change orders and/or unusual weather might delay or otherwise affect the completion date. Article 4. Management Fees 4.1. The fees for construction management and supervision services shall be a fixed amount of "eventy Eight Thousand Dollars, (78,000.00). to be included in total construction cost. 4.2. Pre -construction costs and coordination are Fifty Thousand Collars, ($54,000.00), these fees are also included in the total construction cost. The Owner andthe-Manager acknowledge that the Owner will pay a sum of "I"hirnty Thousand Dolla 6, $30,400.0 upon signing of this contract and before construction management and supervision egins as a deposit and part of the total fees of this contract. At completion of the working drawings as per the City of Cupertino Building Department and ready for submittal for review the owner will pay to the Construction Manager another Twenty Thousand dollars ($20,000.00). Article 5. Construction & Progress Payments 5.1. The Owner will make payments, as per the ; ONSTRUCTION COST BREAKDOWN, DATED 'NOVEMBER -i , 20.12, (EXIBI T AI, to the construction manager every two weeks as a percentage of progress per line item. Owner shall make payments to the manager within Five Days after requested. The total sum of the Construction Contract to be Eight Hundred Eighty Eight Thousand Dollars ($888,000.00) as per Exhibit A. Article 6. Duties of the Construction Manager 6.1. All construction shall be in accordance to the provisions of the plans and specifications, as agreed upon. 6.2. All construction shall be completed in a workman like manner, and shall comply with all applicable national, state and local building codes and laws. 6.3. All construction shall be performed by appropriately licensed individuals to perform their said work, as outlined by law. 6.4. Construction Manager shall apply for and obtain all permits necessary for the work to be completed as an agent of the owner. Article 7. Change Orders and Finish Schedules 7.1. A Change Order is any change to the original plans and/or specifications. All change orders need to be agreed upon in writing, including cost, additional time considerations, approximate dates when the work will begin and completed. jcroWn,D,_Se,casi:4s,window trim,door trim?, door-, windo,K :;. cabinets, appliances, lighting fixtures, marble, granite and flooring to be Equal to that that is being used in the construction of 22755 San Juan road, Cupertino. Article 8. Insurance 8.1. The Owner will keep in force a Builder's Risk Insurance Policy on the said property to protect both owner's and contractor's interests until construction is completed. 8.2. The Owner will purchase and maintain property insurance to the full and insurable value of the project, in case of a fire, vandalism, malicious mischief or other instances that may occur. Article 9. General Provisions 9.1. If conditions are encountered at the construction site which are subsurface or otherwise concealed physical conditions or unknown physical conditions of an unusual nature, which differ naturally from those ordinarily found to exist and generally recognized as inherent in construction activities, the Owner will promptly investigate such conditions and, if they differ materially and cause an increase or decrease in the Managers cost of, and/or time required for, performance of any part of the work, will negotiate with the Manager an equitable adjustment in the contract sum, contract time or both. Article 10. Arbitration of Disputes 10.1. Any controversy or claim arising out of or relating to this contract, or the breach thereof, shall be settled by arbitration administered by the American Arbitration Association under its Construction Industry Arbitration Rules, and judgment on the award rendered by the arbitrator(s) may be entered in any court having jurisdiction thereof. Article 11. Termination of the Contract 11.1. Should the Owner or Manager fail to carry out this contract, with all of its provisions, the following options and stipulations shall apply: 11.1.1. If the Owner or the Manager shall default on the contract, the non -defaulting party may declare the contract is in default and proceed against the defaulting party for the recovery of all damages incurred as a result of said breach of contract, including a reasonable attorney's fee. In the case of a defaulting Owner, the Earnest money herein mentioned shall be applied to the legally ascertained damages. 11.1.2. In the event of a default by the Owner or Manager, the non -defaulting party may state his intention to comply with the contract and proceed for specific performance. 11.1.3. In the case of a defaulting Owner, the Manager may accept, at his option the earnest money as shown herein as liquidated damages, should earnest money not cover the expenses to date, the Manager may make claim to the Owner for all work executed and for proven loss with respect to equipment, materials, tools, construction equipment and machinery, including reasonable overhead, profit and damages applicable to the property less the earnest money. Article 12. Attorney Fees 12.1. In the event of any arbitration or litigation relating to the project, project performance or this contract, the prevailing party shall be entitled to reasonable attorney fees, costs and expenses. Article 13. Acceptance and Occupancy 13.1. Upon completion, the project shall be inspected by the Owner and the Manager, and any repairs necessary to comply with the contract documents shall be made by the Manager. 13.2. The Owner shall not occupy the property until final payment has been received by the Management Company and a Certificate of Occupancy has been obtained. 13.3. Occupancy of the project by the Owner in violation of Article 15.2, shall constitute unconditional acceptance of the project and a waiver of any defects or uncompleted work. i')_ J . Date Vette Investments & Property Management Date Barre Barnes _�f / �--. Unconditional Waiver and Release Upon Progress Payment Pew 1 The undersigned has been paid and has received a progress payment in the sum of $30,000.00 for labor, services, equipment or material furnished on the job of VIRAY PROPERTIES LLC located at 21740 RAINBOW DRIVE, CUPERTINO,CA and does hereby release any mechanic's lien, stop notice or bond right that the undersigned has on the above referenced job to the following extent. This release covers a progress payment for labor, services, equipment or materials furnished to VIRAY PROPERTIES LLC through JANUARY 30, 2013 only and does not cover any retentions retained -before- or after the_ release_ date; -extras furnished_ before:the:release= date for which.payment has not been received; extras or items furnished after the release date. Rights based upon work performed or items furnished under a written change order which has, been fully executed by the parties prior to the release date are covered by this release unless specifically reserved by the claimant in this release. This release of any mechanic's lien, stop notice, or bond right shall not otherwise affect the contract rights, including rights between parties to the contract based upon a rescission, abandonment, or breach of the contract, or the right of the undersigned to recover compensation for furnished labor, services, equipment, or material covered by this release if that furnished labor, services, equipment, or materials was not compensated by the progress payment. Executed on this 26 day of _January , 20 13 VETTE INVESTMENTS & PROPERTY MANAGEMENT, INC. 2175 De La Cruz Blvd. Unit "C" Santa Clara, Ca. 95050 408-234-9061 By Barre Barnes Signature -- Title PRESIDENT NOTE: This document waives rights unconditionally and states that you have been paid for giving up those rights. This document is enforceable against you if you sign it, even if you have not been paid. If you have not been paid, use conditional release form. NOTE: This form is to be used to the extent that a progress payment has actually been received by the releasing party. CZP-� j i 15 -Nov -12 DRAW #1 21740 RAINBOW DRIVE EXIBIT "A„ CUPERTINO CA. CONSTRUCTION BREAKDOWN S UARE FOOTAGE BASEMENT LEVEL 840 sq ft ENTRY LEVEL 216 sq ft MAIN LEVEL 2815 sq ft SECOND FLOOR 843 sq ft GARAGE 604 sq ft TOTALSQUARE FOOTAGE 5318 Sq Ft COST COMPLETE PLANS FOR BALANCE IN AND SUBMIT FOR BUILDING ACCOUNT PLAN CHECK PERMIT 1 SITE PREP/GRADING $ 20 000.00 $ "" 20 000.00 2 P. G & E. Service Chane $ 8,000.00 $ 8,000.00 3 WATER METER ' $ 2,000.00 $ 2,000.00 4 SEWER $ 5,000.00 $ 5,000.00 5 1 TREE REMOVAL & ARBORST REPORT $ 10 000.00 $ 10 000.00 6 LOT SURVEY & MAP $ 4,500.00 $ 4,500.00 7 SITE FILL AREAS $ 10 000.00 $ 10 000.00 8 SEWER FEE $ 6,000.00 $ 6,000.00 9 UTILITEY CONNECTION $ 6,500.00 $ 6,500.00 10 STRUCTURAL ENGINEERING $ 7,500.00 $ 4,500.00 $ 3,000.00 11 GEO. INSPECTIONS $ 4,000.00 $ 4,000.00 12 DRIVEWAY $ 9,000.00 $ 9,000.00 13 RETAINING WALLS $ 20 000.00 $ 20 000.00 14 SOILS INSPECTIONS $ 5,000.00 $ 5,000.00 15 ENERGY CAULKS $ 4,500.00 $ 2,700.00 $ 1,800.00 16 ARCHITECTURE FEES - PLANS $ 12 000.00 $ 7,200;00 $ 4,800.00 17 CITY BUILDING PERMITS $ 28,000.00 $ 3,000.00 $ 25 000.00 18 SCHOOL TAXES $ 14 000.00 $ 14 000.00 19 GRADING PLAN $ 5,000.00 $ 3,000.00 $ 2,000.00 20 PARK FEE $ 15 000.00 $ 15 000.00 BUILDING EXPENCES $ - 21 ROUGH CARPENTRY $ 67 000.00 $ 67 000.00 22 ROUGH LUMBER $ 57 500.00 $ 57 500.00 23 FINISH CARPENTRY $ 10 000.00 $ 10 000.00 24 FINISH LUMBER $ 10 000.00 $ 10 000.00 25 PLUMBING - ROUGH $ 22,000.00 $ 22,000.00 26 PLUMBING - FINISH 27 ELECTRICAL - ROUGH $ $ 14,000.00 18,000.00 $ $ 14,000.00 18 000.00 28 ELICTRICAL - FINISH $ 9,000.00 $ 9,000.00 29 ROOFING $ 24,000.00 $ 24,000.00 30 INSULATION $ 8,000.00 $ 8,000.00 31 SHEETROCK $ 23,000.00 $ 23,000.00 32 FOUNDATION $ 85,000.00 $ 85 000.00 33 CONCRETE FLAT WORK $ 9,000.00 $ 9,000.00 34 WATER PROFING $ 9,000.00 $ 9,000.00 35 STUCCO - SIDING-- SHEAR $ 18,000.00 $ 18,000.00 36 PAINTING $ 15,000.00 1 $ 15 000.00 CZP-� j ' f GARAGE DOORS 39 BRICK FACING 40 HEATING - SHEETMETAL WINDOWS INTERIOR TRIM MATERIAL F42HARDWARE -FINISH 44 CABINETS 45 TUB &SHOWER DOORS &MIRRORS 46 FIREPLACES 47 APPLIANCES 49 SUPERVISION -12 mon @ $6500.00 51 LITE FIXTURES 52 MASONARY LABOR 53 TILE AND MARBLE - MATERIAL 54 HARDWOOD FLOORING 55 CARPETING 56 TILE AND MARBLE - LABOR 57 SWIMMING POOL 58 CLEAN UP & DUMPSTERS 61 LANDSCAPING & DRAINAGE $ $ $ $ $ $ $ $6 $ $ $ $ $ $ $ $ $ r uuu.vu 6,000.00, 10 000.00 31 000.00 10 000.00 12 00000 3 000.00 24 000.00 500.00 9,000.00- 19,000.00- 78,000.00- $ 5,000.00 10 000.00 19 000.00 22 000.00 8 000.00 14 000.00 $ 7 800.00$ 1.800.00 $ $ $ $ $ $ $ $ $ $ $ $ $ - $ $ $ $ $ $ $ 7 000.00 6,000.00 10 000.00 31 000.00 10 000.00 12 000.00 -3,000.00 24 000.00 6 500.00 9,000.00 19 000.00 70 200.00 5,000.00 10 000.00 19 000.00 " 22 000.00 8,000.00 12 200.00 ON SITE AND SOFT COST $ 196 000.00 CONSTRUCTION HARD COST $ 692 000.00 TOTAL @ 163 Ft $ 888 000.00 $ 30 000.00 $ - $ 858 000.00 MrnwnmiS tcoSTREAKDOWN FOR THE AT 2174P,. A CUPERTINO CA. 95014 :� 04-1