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15050051CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15050051 1102 SCOTLAND DR CUPERTINO CA 95014 (362 27 002) PERFECT HOMES CONSTRUCTION CO 382 LASSENPARK CIR SAN JOSE, CA 95136 OWNER'S NAME: JANAKIRAMAN RAJAGOPALAN AND VELLORE DATE ISSUED: 09/30/2015 OWNER'S PHONE: 4084318991 PHONE NO: 4086008033 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic. #556533 Contractor PERFECT HOMES CONSTRUCTION CO Date 05/31/2016 —BLDG —ELECT —PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing — MECH _ RESIDENTIAL — COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: ADD 788 ST TO ENLARGE (E) BEDROOMS, ADD (N) I hereby affirm under penalty of perjury one of the following two declarations: FAMILY ROOM & N BATHRM & CREATE (I) PORCH (53 i. I have and will maintain a certificate of consent to self -insure for Worker's S.F.). RELOCATE & REMODEL (E) KITCHEN 96 S.F.), Compensation, as provided for by Section 3700 of the Labor Code, for the RECONFIGURE & REMODEL 999 S.F. OTHER AREA. RE -ROOF performance of the work for which this permit is issued. (E) 25 SQ'S TO MATCH, UPGRADE PANEL TO 200AMP, ADD z. I have and will maintain Worker's Compensation Insurance, as provided for by (N)TANKLESS WATER HEATER AND A/C UNIT & REPLACE Section 3700 oftbe Labor Code, for the performance of the work for which this (E) FURNACE permit is issued. REVISION #1: REMODEL KITCHEN AND DINING ROOM (120 APPLICANT CERTIFICATION SQ FT); REVISE EXTERIOR OPENING LOCATIONS. ISSUED I certify that I have read this application and state that the above 11/16/15 information is correct. I agree to comply with all city and county ordinances REVISION_#2 - CHANGE BEDROOM #2 TO STUDY. - ISSUED 2/3/16 and state laws relating to building construction, and hereby authorize REVISION #.3 — ADD 2_BATHROOMS TO SCOPE OF WORK, REVISE representatives of this city to enter upon the above mentioned property for ti BATHROOM LAYOUT, ADD (N)..SKYLIGHT.ATKITCHEN INSTEAD —' inspection purposes. (We) agree to save indemnify and keep harmless the OF SUN TUNNELS, RBYISE LAYOUT OF CRAWLSPAGE ACCESS " City of Cupertino against liabilities, judgments, costs, and expenses which OPENINGS -ISSUED 3%24/2016__% S may accrue against said City in consequence of the granting of this permit. ------ - --- --/ - -- — Sq. Ft Floor Area: Valuation: $250000.00 Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature (_ Date 3/24/2016 1 APN Number: 362 27 002 Occupancy Type: OWNEBUILDER ILD I hereby affirm that I am exempt from the Contractor's License Law for one of the PERMIT EXPIRES IF WORK IS NOT STARTED following two reasons: WITHIN 180 DAYS OF PERMIT ISSUANCE OR 1. I, as owner of the property, or my employees with wages as their sole 180 DAYS FROM LAST '4NSPECTION. compensation, will do the work, and the structure is not intended or offered for ,A �. I+'6 sale (Sec.7044, Business & Professions Code) 2, I, as owner of the property, am exclusively contracting with licensed Issued y: PAUL O'SULL AN contractors to construct the project (Sec.7044, Business & Professions Code). Date: 3/24/2016 I hereby affirm under penalty of perjury one of the following three declarations: 1. I have and will maintain a Certificate of Consent to self -insure for Worker's RE -ROOFS: Compensation, as provided for by Section 3700 of the Labor Code, for the All roofs shall be inspected prior to any roofing material being installed. If a roof is performance of the work for which this permit is issued. installed without first obtaining an inspection, I agree to remove all new materials for 2. I have and will maintain Worker's Compensation Insurance, as provided for by inspection. Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature ofApplicant 3. I certify that in the performance of the work for which this permit is issued, I Date: 3/24/2016 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 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 revolted. I have read,the hazardous materials requirements under Chapter 6.95 of the APPLICANT CERTIFICATION California Health & Safety Code, Sections 25505, 25533, and 25534. I will I certify that I have read this application and state that the above information is maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the correct. I agree to comply with all city and county ordinances and state laws Health & Safety Code, Section 25532(a) should I store or handle hazardous relating to building construction, and hereby authorize representatives of this city material. Additionally, should I use equipment or devices which emit hazardous to enter upon the above mentioned property for inspection purposes. (We) agree air contaminants as defined by the Bay Area Air Quality Management District I to save indemnify and keep harmless the City of Cupertino against liabilities, will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and judgments, costs, and expenses which may accrue against said City in the Health & Safety Code, Sections 25505, 25533, an 25534. consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Owner or authorized agent. Code, Section 9.18. Date: 3/24/2016 CONSTRUCTIO ENDING AGENCY I hereby affirm that there is a construction lending agency for the performance Signature Date 3/24/2016 g of work's forwhich this permit is issued (Sec. 3097, Civ C.) CUPERTINO CONSTRUCTION PERMIT APPL[CAT€bN COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVIREEN,IN 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building (-)cupert! no. org ❑ NEW CONSTRUCTION ❑ADDITION ❑ ALTERATION / TI K REVISION / DEFERRED ORIGINAL PERMIT PROJECT ADDRESS 1)02- 5 s _ rL A- S D DP,- APN r f Z - 217 — 0 0 O' NER NAMEPHONEE-M PHOEL10,8- AILP-A� V-P�P0FLII mL L E- STEETADRSI L - C1 CITY, STATE,ZIP -UP E�4Z FAX I 0 L-11 CONTACT NAME5e b �n � 5 j t� 6`Y � a v i I" 6 PHONE M? � n � � n 3 E-MAIL STREET ADDRESS CITY, STATE, ZIP ,-oG-6 FAX ^O N rzwL-:�- Ave, ° '-"I NU 4-A 2 ❑ OV?jER ❑ OAWtR-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTORAGENT ❑ ARCHITECT 'GINEER ❑ DEVELOPER E3 TENANT CONTRACTOR NA2,4E LICENSE NUMBER LICENSE TYPE BUS. LIC n CON PANY Nkh\M E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGIITEER NAME LICENSE NLIMIBER BUS. LIC COMPANY NAME E -?`FLAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONES DESCRIPTION OF WO(a A7 I 0C? M t&',t0 \j'i � 1 � � � � Ki �1 Gc 1-41 2 N S -:"i -L L, 1 h).S9--e, 6r- spACz,-- Acv- 5 C oCpJ- 1 EXISTING USE PROPOSED USE CONSTR. T}TE = STORIES USE I TYPE OCC: SQ.FT. I \TALUaTION (S) EX-ISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN - OTHER - - REMODEL.AREA REMODEL AREA REMODELAREA I PORCH AREA DECK AREA TOT.A.L DECKTORCH AREA GAP 4GE AREA: - DETACH ATTACH DA%ELLING UNITS: IS A SECOKD UXIT ❑YES SECOND STORY ❑YES BELNGADDED? ❑NO ADDITION' ❑NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES 1D-BY1 TOT1D—BYAL % UATION: PLANNING APDL r ❑ NO PLANNING APPROVAL LETTER EICHLER HOATE? ❑ NO By my signature below, I certify to each of the following: I am the property owner or authoriz d agent to act on the property owner's behalf. I live read this application and the information I have provided is correct. I have read the Description of Work- and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buildin -action. II� auhorize representatives of Cupertino to enter the above -identified p'orrperty, for inspection purposes. Signature of Applicant/Agent: / VV Date: L.� 4 SUPPLEMENTAL �TFORI\1 A TION REQUIRED ri�G I\tew SFD or Multifamily d-wellings: Apply for demolition permit for te x s O\ ER TIDE COULTER ELILDI\GPL.A\ RE\ IE\\ existing building(s). Demolition permit is required prior to issuance of building o a z v a. permit for new building. b ❑ PLA\L\G PLAN RET IEi§ 7E�xEss Bldgs: Provide a completed Hazardous Materials Disclosure ❑ sT9-DARD PusLIC\\oRls _Commercial form if any Hazardous ?Materials are being used as pard of this project. { f ❑_ Copy of Planning Approval Letter or Meeting with Planning prior to x,❑ LARGE,;fxMir:�y�?�nn ��'�.,,. ©MAIOR r F'IRE.DEPT ,� 'h �s � _ submittal of Building Permit application. SA_'�ITARl SEi}ERDISTRICT � _ .. � ;.❑ E\\TRO\i4EiT'AL HE.�LTH � Bldo 4pp_2011.doc revised 06/21/11 rg CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1102 SCOTLAND DR CONTRACTOR: PERFECT HOMES PERMIT NO: 15050051 CONSTRUCTION CORP OWNER'S NAME: JANAKIRAMAN RAJAGOPALAN AND VELLORE 382 LASSENPARK CIR DATE ISSUED: 09/30/2015 OWNER'S PHONE: 4084318991 SAN JOSE, CA 95136 PHONE NO: (408) 600-8033 IT LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ ADD 788 ST TO ENLARGE (E) BEDROOMS, ADD (N) License Class Lic. # FAMILY ROOM & (N) BATHRM & CREATE (N) PORCH (53 S.F.). RELOCATE & REMODEL (E) KITCHEN 96 S.F.), ir Contractor ate 3o . I hereby affirm tha I am licensed under the rovisions 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: Sq. Ft Floor Area: Valuation: $250000 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 APN Number: 36227002.00 Occupancy Type: erformance 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. PERMIT EXPIRES IF WORK IS NOT STARTED APPLICANT CERTIFICATION WITHIN 180 DAYS OF PERMIT ISSUANCE OR 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 180 DPOM LAST CALLED INSPECT ON* to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save �C( // r'144 (� to indemnify and keep harmless the City of Cupertino against liabilities, judgments, Issued by.. U`- n v Date: 1 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�e 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 1. 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIALS DISCLOSURE compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed contractors to I have read the hazardous materials requirements under Chapter 6.95 of the construct the project (Sec.7044, Business & Professions Code). 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 hereby affirm under penalty of perjury one of the following three declarations: Safety Code, Section 25532(a) should I store or handle hazardous material. t. I have and will maintain a Certificate of Consent to self -insure for Worker's Additionally, should I use equipment or devices which emit hazardous air Compensation, as provided for by Section 3700 of the Labor Code, for the contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the performance of the work for which this permit is issued. Health & Safety Code, Sections 25505, 25533, and 25534. 2. 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 Owner o a or' gent:14 permit is issued. Date: "l J a. 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's CONSTRUCTION LENDING AGENCY Compensation laws of California. If, after making this certificate of exemption, I I hereby affirm that there is a construction lending agency for the performance of work's become subject to the Worker's Compensation provisions of the Labor Code, I for which this permit is issued (Sec. 3097, Civ C.) must forthwith comply with such provisions or this permit shall be deemed Lender's Name revoked. Lender's Address APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is ARCHITECT'S DECLARATION correct. I agree to comply with all city and county ordinances and state laws relating I understand my plans shall be used as public records. to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save Licensed Professional 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 I — u CONSTRUCTION PERMIT APPLICATION O COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228• FAX (408) 777-3333 • buildingQcupertino.org 0 NEW CONSTRUCTION JK ADDITION n AI.TF.RATTnN/TT n RFVTCTnN/r)T7FFRT17T-' nDTnn.TAT Dcniklry — PROJECT ADDRESS t� �7 4C) f 7 icvru i n APN #�� OWNER NAME RA -.r fi1� E-MAIL l 'JT STREET ADDRESS .� 0 �- D FCLITYHS�, ZIp �v Pte[ 11V p L� FAX CONTACT NAME y _ _4eil ' HOI k',,� J \ 6 Q _� E -MAI ' Sh P� V 1 `z G , Cd 11�.�J STREET ADDRESS CITY, S{T,AATW FAX &KOWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME -T ,2 1 Y LICENSE NUMBER 77 NSETYPE BUS. LIC# COMPANY NAE M E.MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT ENGINEER NAME Sr''� C y-y� �� J C ,v • LICENSE NUMBER �'Z�ZT3 BUS. LIC # COMPANY NAME E-MAIL S1 e)lvyA� `lo/ Jr., Y ` FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK (� �P'T(� iA f �G �y RD yam- _ L ►S LTi -n 6eDr-00 MS U,V L kJ G, 9--,& i-lT CK:E,"N DL N l 1 J 'll 119 b tsov C9 P C --n ER- WaSTI G PROPOSFID USE CONSTR. TYPE r' 4-I STORIES USE TYPE OCC. fU`.o ' rl--`5 1'- SQ.FT. VALUATION (S) EXISTG AREA 1 i Q 1 NEW FLOOR, AREA /� DEMO AREA t' TOTAL NET AREA -. BATHROOM. REMODEL AREArW4gV � KITC-1-' REMODEL AREA ho 07HER REMODEL ARE, fiJ 9 PORCH AREA DECK AREA TOTAL DECKTORCH AREA GARAGE AREA: DETACH j I q_I ATTACH --M—YES # DN LLING UNITS: IS A SECOND UNIT El YES SECOND STORY 1 BEING ADDED? NO ADDITION? NO PRE -APPLICATION ❑ YBS IF YES, PROVIDE COPY OF IS THE BLDG AN VED BY TOTAL VA VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HON F _ r'� ,� ©� By my signature below, I certify to each of the following: I am the property owner or orized agent to actoperty owner's behalf. �/�•�/read this application and the information I have provided is correct. I have read the Description of Work and v Is accurate. I agree to comply with all app le local ordinances and state laws relating to building tion. I authorize representatives of Cupertino to enter the above -identified roperty for inspection purpo es. Signature of Applicant/Agent: V' Date: a SUPPLEMENTAL INFORMATION REQUIRED Q -.-° P.L�I�CHECKTIPE,; IROUTII�GSLIP New SFD or Multifamily d-,vellings: Apply for demolition permit for v " ❑ existing building(s). Demolition permit is required prior to issuance of building OVER THE COUNTER 44.E BUILDING PL�INREVIEW , �t Permit for new building. o 4 ❑ EXPRESS ©PLANI�IIGYLANREVLEW 2 # _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure D sTAxnARD iwx ❑ PUBLIcoRxs� kw form if any Hazardous Materials are being used as part of this project. Copy ofPlanning Approval Lettera orMeeting with Planning prior tosi�ITAl LARGE z� e a ❑ ,FIREDEET' ?; ' -FT, submittal ofBuilding Permit application. pplcatonr NOW ME BIdgApp_2011.doc revised 06/21/11 ��,��.,�� CITY OF CUPERTINO N�Y�ILlI TIFF. F.CTIMATOR — BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 1102 SCOTLAND DR FLR AREA s.f. DATE: 0510812015 REVIEWED BY: MELISSA BP FEES APN: 362 27 002 BP#: 0© `VALUATION: $250,000 nPERMIT TYPE: Building Permit $2,654.00 PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: 2nd Unit? 0 Yes . No OTC. 0 Yes 0 N PENTAMATION 1 R3SFDADD PERMIT TYPE: WORK ADD 807 S.F TO ENLARGE E BEDROOMS ADD N FAMILY ROOM & N BATHRM & CREATE SCOPE (N) PARCH (53 S.F.). RELOCATE & REMODEL (E) KITCHEN 96 S.F.), REMODEL (E) 2 BATHS, p OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,111-B,IV,V-B 860 $2,654.00 IR3PLNCK $1,666.00 IR3INSP $0.00 SBAT PME Plan Check: $0.00 96 s.f. $645.00 Remodel, Kitchen (<=300 sf) 1 IREMRESKIT Permit Fee: $1,666.00 Suppl. Insp. Fee:IE) Reg. Q OT r0,0 T hrs $0.00 DKI s.f. Remodel, Other $647.00 IREMRESOTH PME Unit Fee: $0.00 PME Permit Fee: $48.00 200 amps Electrical $48.00 IBELEC20o Services TOTALS: 860 $2,654.00 $1,666.00 MECH, HOURLY ()Yes O No PLUMB, HOURLY Q Yes (E) No ELEC, HOURLY Q Yes Q No - MISC ITEMS Elec. Plan Check 0.0 1 hrs $0.00 $2,654.00 Elec. Permit Fee: IEPERMIT Other Elec. Insp. ETrs$48.00 NOTE: This estimate does not include fees due to other Departments (i.e. 'Piannmg, 'Punuc works, rare, ,3anuury .3ewer "eairocq �chws L_-4 . #I.nh ;., .r, in fnrs,nfinn availahlo and are anly an estimate. Contact the Dept for addn'l info. Dtstrtet, eLC. . / hese rys Ulu VUJ cu vn use •chs...... FEE ITEMS LFee Resolution 11-053 Eff 7%1%"13) FEE QTY/FEE - MISC ITEMS Plan Check Fee: $2,654.00 Suppl. PC Fee: (j) Reg. Q OT 0.0 I hrs $0.00 SBAT PME Plan Check: $0.00 96 s.f. $645.00 Remodel, Kitchen (<=300 sf) 1 IREMRESKIT Permit Fee: $1,666.00 Suppl. Insp. Fee:IE) Reg. Q OT r0,0 T hrs $0.00 DKI s.f. Remodel, Other $647.00 IREMRESOTH PME Unit Fee: $0.00 PME Permit Fee: $48.00 200 amps Electrical $48.00 IBELEC20o Services 2,500 1 s.f. $425.00 Re -roof IREROOFRES 0 Work Without Permit? © Yes 0 No $0.00 Advanced Planning Fee. IPLLONGR $120.40 Select a Non -Residential Building or Structure 1 E) 0 A Travel Documentation Fee: ITRA VDOC $48.00 Strong Motion Fee: IBSEISMICR $32.50 Select an Administrative Item 6 3 Y3 t' Bld�,lr Stds Commission Fee: IBCBSC $10.00 SUBTOTALS: $4,578.90 $2,410.00 TOTAL FEE: , Revised: 04/01/2015 J CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1102 SCOTLAND DR CONTRACTOR: PERFECT HOMES PERMIT NO: 15050051 CONSTRUCTION CORP OWNER'S NAME: JANAKIRAMAN RAJAGOPALAN AND VELLORE 382 LASSENPARK CIR DATE ISSUED: 09/30/2015 OWNER'S PHONE: 4084318991 SAN JOSE, CA 95136 PHONE NO: (408) 600-8033 r LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class `� s� ADD 788 S.F TO ENLARGE (E) BEDROOMS, ADD N Lie. # FAMILY ROOM & (N) BATHRM & CREATE (N) PORCH (53 Contractor S.F.). RELOCATE & REMODEL (E) KITCHEN 96 S.F.), rte I hereby affirm that I am licensed e'Y 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: $250000 performance of the work for which this permit is issued. 1 have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APN Number: 36227002.00 Occupancy Type: APPLICANT CERTIFICATION 1 certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply Issued by: Date: 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: 1 hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 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 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 use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this1-1 Owner or authorized agent: Date: permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 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 -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date I � zz CUPERTINO CONSTRUCTION PERMIT APPLICATION COMIdiUNITY DEVELOPMENT DEPARTMENT • BUILDINGF&N 10300 TORRE AVENUE • CUPERTINO, CA 55014-3255.' (408) 777-3228 • FAX (408) 777-3333 • buildino(d�cuoertino.org �J ❑?\'EWCONSTRUCTION K ADDITION . n ALTFRAT1nW/TT RFVTc7nNi/T)T:7 RR 77) n�rrnreT'ntor, r, Y"moi B1agApp-2011.doc revised 06/11/11 PROJECT ADORES; ` 2- �C 0 rL-AM > ' /,/�+^r I .hPN OtiNERNAI� ^ C'110 PA -LA -U ?H_l�0 '. � Zl�l7 `"l✓hIL STREET P DRESS CiiY, STATE ZIP I FAX 2- Q. L -J- CONTACT NAIME P' NE - E-M.A M �-q 14 Lo C S; OL ADDRESS CITY STATE, Z3 r L� 0 FAX E3 Ol1'1\cR ❑. OWIM—BMI)ER ❑ OWNERAGENT ❑ CONTRACTOR ❑ CCNTRkCTORAG-EN r ❑ ARCHIFE GLN=cR ❑ DEVELOPER ❑ 7- ANf CONTRAC70RNAWM LICENSE NUMBER LICENSETYPE BUS. LIC tom?A1N-Y N" 1 M E-MAIL FAX S7REET ADDRESS CITY, STATE, E, ZIP PHONE ARGUTECTrNGIN'EER NAME LICENSE NMaER BUS, LIC C01YIPAN-Y N.hME E-MAIL FAX STREET A.DDP FSS CITY, STATE, ZIP I PHONE DESCRIPTION OF WORK kF— W VEL, A«CKetj V < 1 if, E7:IST,NGUSE PROPOSEDL'SE CONS TRTYPE ?STORIES Vo�k i'�S� v I L'SE TYPE OCC. SQ.FT. VALUATION (S) EXIST AREA 6 NEW FLOOR AREA DE1,10 AREA TOTAL N—zT AREA 2-42-1 BATT -GLOOM KITCHEN REMODEL.A,REA REMODEL.SREA REl.40DELAREA PORCH AREA DECK hREA TOTF.L DECKIPOP.CH AREA GARAGE AREA: DETACH ❑ ATTACH 4DWELLING UNTfS: ISASECONI) UNIT ❑YES SECOND STORY ❑YES BEING AD DED? NO ADDITION? ❑NO PRE.k??LICATION E] YES IF YES, PROVIDE COPY OF Is 7HE BLDG A.N' ❑ }ts -RtC�"I\' Bl �. �� =TOTAL VP.LU.hT1ON: PLA.NTTNGAPPL: ❑NO PLANN7AG APPROVAL L=ITER EICHLER HOME? ❑NO1O D By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have pr ovi d is correct. I have read the Description of'Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buiidi g s ction. I autholpze representatives of Cupertino to enter the above-ide tified property for inspection purposes. Signature A ofApplicant/Agent: 9,W -ft/ Date: SUPPLEMENTAL INP'ORNiATION REQUIRED ov G cLiP — - FEMOU'\TER_ 00z- BIIIIDL'\GPLh'v.Rt.}'Ii'Fi'` New SFD or Multifamily dv-ellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. EXPAEsS _ vPL4 \NL\GPL .I\ PES LEFY _ Commercial Eldgs: Provide a completed Hazardous Materials Disclosure cT De�D — Pu ircvvorsS = =, Torn if any Hazardous Materials are being used as part of this project. ' D I,hRG1r - _ :❑ �IREDEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to � � ,�.. submittal of Building Permit application.❑a7oRSA�TPt <sxfii> — _ B1agApp-2011.doc revised 06/11/11 CITY OF CUPERTINO is M-1 FEE ESTIMATOR - BUILDING DIVISION imADDRESS: 1102 Scotland Dr. DATE: 11/09/2015 REVIEWED BY: Sean APN: BP#: `VALUATION: j$10,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: Suppl. PC Fee: Reg. OT PENTAMATION 1 R3SFDREM PERMIT TYPE: WORK Revision #1: Remodel kitchen and dining room 120 sq ft 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 DeDt for addn'l info. FEE ITEMS (Fee Resolution I1-053 Eff. 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 120 s.f. $645.00 Remodel, Kitchen (<=300 sf) IREMRESKIT Suppl. PC Fee: Reg. OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feer Reg. OT0 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Permit? C) Yes (F) No $0.00 Advanced Planning, Fee: $0.00 Select a Non -Residential Building or Structure i . e Strong Motion Fee: IBSEISMICR $1.30 Select an Administrative Item 1 Bldg Stds Commission Fee: IBCBSC 1 $1.001 SUBTOTALS: 1 $2.30 $645.00 TOTAL FEE: $647.30 Revised: 10/01/2015 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15050051 1102 SCOTLAND DR CUPERTINO CA 95014 (362 27 002) PERFECT HOMES CONSTRUCTION CO 382 LASSEN PARK OWNER'S NAME: JANAKIRAMAN RAJAGOPALAN AND VELLORE DATE ISSUED: 09/30/2015 OWNER'S PHONE: PHONE NO: 408-836-8457 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class j3 Lic. #556533 Contractor PERFECT HOMES CONSTRUCTION CO Date 02/03/2016 —BLDG —ELECT —PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing MECH RESIDENTIAL COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: ADD 788 S.F TO ENLARGE (E) BEDROOMS, ADD (N) I hereby affirm under penalty of perjury one of the following two declarations: FAMILY ROOM & (N) BATHRM & CREATE (N) PORCH (53 1. I have and will maintain a certificate of consent to self -insure for Worker's S.F.). RELOCATE & REMODEL (E) KITCHEN 96 S.F.), Compensation, as provided for by Section 3700 of the Labor Code, for the RECONFIGURE & REMODEL 999 S.F. OTHER AREA. RE -ROOF performance of the work for which this permit is issued. (E) 25 SQ'S TO MATCH, UPGRADE PANEL TO 200AMP, ADD 2. I have and will maintain Worker's Compensation Insurance, as provided for a (N)TANKLESS WATER HEATER AND A/C UNIT & REPLACE (� by Section 3700 of the Labor Code, for the performance of the work for which (E) FURNACE this permit is issued. APPLICANT CERTIFICATION REVISION #1: REMODEL KITCHEN AND DINING ROOM (120 1 certify that I have read this application and state that the above SQ FT); REVISE EXTERIOR OPENING LOCATIONS. ISSUED information is correct. I agree to comply with all city and county 11/16/15 ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned REVISION #2 - CHANGE BEDROOM #2 TO STUDY. - ISSUED 2/3/16 property for inspection purposes. (We) agree to save indemnify and keep Sq. Ft Floor Area: Valuation: $250000.00 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 APN Number: Occupancy Type: comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. 362 27 002 Signature Date 02/03/2016 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR OWNER -BUILDER DECLARATION 180 DAYS FROM LAST CALLED INSPECTION. I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. I, as owner of the property, or my employees with wages as their sole Issued by: MELISSA NAMES compensation, will do the work, and the structure is not intended or offered Date: 02/03/2016 for sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is I hereby affirm under penalty of perjury one of the following three declarations: installed without first obtaining an inspection, I agree to remove all new materials for 1. I have and will maintain a Certificate of Consent to self -insure for Worker's inspection. Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Applicant: z. I have and will maintain Worker's Compensation Insurance, as provided for Date: 02/03/2016 by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE Worker's Compensation laws of California. If, after making this certificate of I have read the hazardous materials requirements under Chapter 6.95 of the exemption, I become subject to the Worker's Compensation provisions of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will Labor Code, I must forthwith comply with such provisions or this permit shall maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the be deemed revoked. Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous APPLINT CERTIFICATION I Certify that I have read this application and state that the above information is air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and correct. I agree to comply with all city and county ordinances and state laws the Health & Safety Code, Sections 25505, 533, and 2 534. 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, Owner or authorized agent: judgments, costs, and expenses which may accrue against said City in Date: 02/03/2016 consequence of the granting of this permit. Additionally, the applicant CONSTRUCTI N LE AGENCY understands and will comply with all non -point source regulations per the I hereby affirm that there is a construction lending agency for the performance Cupertino Municipal Code, Section 9.18. of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Signature Date 02/03/2016 Lender's Address CU PERTIhIO CONSTRUCTION PERMIT APPLICATION COMMiiUNI I f DEVELOPIdiEN T DEPAR MiiEN T BUiLDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-325 (408) 777-3226 - FAX (408) 777-3333 - building c %1 t ❑ O taut ❑. O'Aq'R-5U1-,DnL ' ❑ MNMR AMIT ❑ CO"-,?-kCTOR ❑ COI\??.4CTOP A.GE1.T ❑ f12CFu ECT ❑ Dz\_LOzML ❑ CON —NUIC?OR1:AMz1 I LICF2. SE?\ZJIJ�ER I LICMS_TY'r3 I BUS. LIC 9 C CT q0 THUS C 0 NST ' I��II C'�tON rax STREET ADDRESS I C1jY, ST.4in, u? o - 30T A1?C..-SiPC�iiaTGD:EERNAJ's I LICENSEhj'TC-:cR BUS, UC9 C0h2.xY NAI.�c E_t„ c t I ! Ax — STMT AS'D?ESS -- I C -14-Y, J, AI r, ZI? I 9'• - �or D'_SCP�TIOIQ 0r WO?.i: �. LN R N Cit G O V O NL B'EI3 e-0 D W -ro Si u D "-1 EJOST?N'G USE I ?ROPOSZD L'S CONS R T)?= I d' STOATS LISE TYP-- I OCC, SQ.FT. VALUATION ;S1 EYcT0 AIV FLOOR DEMO TOTAL BA7:710OM I I1TC:=H O Z R =._?.IODEL LREA. TLEMOD=L AREA iMMODEL ASZA A--,, T.Akc+--i DV;T_LL:NG u \TIS: 1S A SECOND UNTT ❑ YZS SECOND STORY ❑1.S BEING ADDED? No I ADDITI01:? ❑NO ?%.e 9PLICAT ON ❑ 1.S 1 rS, PRO\ il= COPY OF IS THE BLDG 1.-)q ❑ 1=5�D n� _ __ I TOTF :1? UAT10N: ?L<A9\TNGA?PL: UNO ?LAINFDNGP??:0111.LL2M11 I EICHURr.,omE? (�\.Ollmv, %t — By my Si_A21TC bel0\++, I CGii y t0 each 0I the fCJlO\;'i�:: I am the �rOpe y p\;—,er ora t!1Ofl2ed aeert i0 aCt O l a]e prO?= } OW�ei'S AJC 1Zl{ I .avt read -,h;s EDplica:ion and the iafDTmation I have provided is cor, ect, I have read the Descripiion of v o:k and veritY it is acc..-ate. I armee to comply \;dth all aDplicab' local Ordinpinces and StatC laws rCl atlnC ;O b�_ildlP C ++' S'oi �+ ..� uOA. 14_LhoTl:e reprtsen_ it :e C-Der<In0 t0 enter i-7• - Y.� 7 I`Jr1 \1�`�-��`'� { !� T the abOV C -idents _d Di ope11 fOr !nSYeCtlOil pll,�CStS. S7�11aiL'iCp�. DJJ7CG t�^. Clt: !'�/. 'Dale: SLrPLEI`f--FNTAL NFOR.MATION RJQUTRBD _'\ W Si OTdVrelii:lES: .^_pi'ly r0i etMoli`.i0:1 :OTVin .._,a. ,2' t. +rk§i^•'ti'.` � +c building(s).T` �- i - Ea._i._.� JC,.:OI!tlOi7 y^e, t :S :eC'laied paOr :0 ]CSL�-!Ce Off bLildi-cr ! Dennit fornew bL!ldir.'a. ,�� •�. ... �r�I;4'`'^ .y �,�t � "3 - _ CO_—i-eTC:al Bldes: Provide a C07,.,Dleted aZZ-dOuS l\�aieiia15 �15C1CS1i e rt j � �C Or - i 0 is _7y ] iCLL OO S l\f ateT!Ghs e belng used a5 part Oi t :5 pi0}eCi. _ Copy OT Plana n-jr3a App:Ovcl Letter CI with OTior t0 a` SL'bc-:iital Of BLildL--agPer-nPer-nut,application. �0 B .c� ,�R7_2011, a'oc revised 06/21/11 CITY OF CUPERTINO llli FFF, ESTIMATOR - BUILDING DIVISION IlaADDRESS: 1102 SCOTLAND DR DATE: 08/21/2015 REVIEWED BY: MELISSA Mech. Permit Fee: IMPERMIT APN: 362 27 002 BP#: 15050051 *VALUATION: Iso °PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: Suppl. PC Fee: (F) Reg. Q OT PENTAMATION PRWHEATR I PERMIT TYPE: WORK ADD N TANKLESS WATER HEATER & FURNACE REPLACEMENT TO SCOPE SCOPE NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer'01szricy acauut hese ,, ..L. ., „;;.,,;.,—, ;.,r .., iii., n„n;lnhlo and are nnly an estimate. Contact the Dent for addn'l info. Asirle[, ete. . Ihese eare riuocu vn .nc--- FEE ITEMS (h'ee Resolution 11-053 Ef. 711113) Mech. Plan Check 0.0 1 hrs $0.00 Plumb. Plan Check 0.0 hrs $0.00 MISC ITEMS Mech. Permit Fee: IMPERMIT Plumb. Permit Fee: IPPERMIT Other Mech. Insp. Elhrs $48.00 hrs $48.00 Other Plumb Insp. L2_0J Plumbing IPRWHEATR I Water Heater NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer'01szricy acauut hese ,, ..L. ., „;;.,,;.,—, ;.,r .., iii., n„n;lnhlo and are nnly an estimate. Contact the Dent for addn'l info. Asirle[, ete. . Ihese eare riuocu vn .nc--- FEE ITEMS (h'ee Resolution 11-053 Ef. 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 =# $29.00 Plumbing IPRWHEATR I Water Heater Suppl. PC Fee: (F) Reg. Q OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 1 # $143.00 Mechanical IMFR=<100 Furnace, Forced -Air Permit Fee: $0.00 Suppl. Insp. Fee -.0 Reg. Q OT 0.0 hrs $0.00 1 # Mechanical $72.00 1BREMAIR A/C Units (<=10K cfm) PME Unit Fee: $0.00 PME Permit Fee: $96.00 Administrative Fee: ]ADMIN $45.00 Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 Travel Documentation Fee: - ---- Strong Motion Fee: $0.00 Select an Administrative Item 3�'5 Bldg- Stds Commission Fee: $0.00 SUBTOTALS: $189.00 $244.00 TOTAL FEE:T $4 Revised: 07/02/2015 BUILDING ENERGY ANALYSIS REPORT I OFFICE COPY PROJECT: Rajgopalan Residence 1102 Scotland Drive Cupertino , CA 95014 SUBMITTAL Project Designer: #2 Seema Shenvi, Consulting Engineer 10445 Byrne Ave. Cupertino, CA 408-996-7456 Report Prepared by: Deborah San Luis R08-12-2133 FRI Energy Consultants, LLC 21 N. Harrison Avenue, Suite 210 Campbell, CA 95008 408-866-1620 Job Number: 0150338 RECEIVED Date: 8/19/2015 A� I4 2 r 2Q15 BY The EnergyPro computer program has been used to perform the calculations summarized in this compliance report This program has approval and is authonzed by the Califomia Energy Commission for use with both the Residential and Nonresidential 2013 Building Energy Efficiency Standards IThis program developed by EnergySoft. LLC - www energysoft com I En Pro 6 7 by EnergySoft User Number 1315 ID 0150338 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Building Calculation Date/Time: 14:41, Tue, Aug 18, 2015 Calculation Description: Title 24 Analysis Input File Name: 0150338 Rajgopalan Residence.xmi CF1R-PRF-01-E Page 1 of 8 GENERAL INFORMATION 01 Building Complies with Computer Performance 01 Project Name Residential Building 03 This building incorporates one or mere Special Features shown below 02 Calculation Description Title 24 Analysis 08 Energy Use (kTDV/ft2-yr) 03 Project Location 1102 Scotland Drive Compliance Margin Percent Improvement 04 City Cupertino 05 Standards Version Compliance 2015 06 Zip Code 95014 07 Compliance Manager Version BEMCmpMgr 2013-4 (744) 08 Climate Zone CZ4 09 Software Version EnergyPro 6.6 10 Building Type Single Family 11 Front Orientation (deglCardinal) 225 12 Project Scope Addition and/or Alteration 13 Number of Dwelling Units 1 14 Total Cond. Floor Area (tt) 1978 15 Number of Zones 2 16 Slab Area (W) 0 17 Number of Stories 1 18 Addition Cond. Floor Area 788 19 Natural Gas Available Yes 20 Addition Slab Area (W) 0 21 j Glazing Percentage (%) 15 1% COMPLIANCE RESULTS 01 Building Complies with Computer Performance 02 This building incorporates features that require field testing and/or verification by a certified HERS rater under the supervision of a CEC-approved HERS provider. 03 This building incorporates one or mere Special Features shown below 06 Registration Number: 215-AO11728SC-000000000-0000 Registration Date/Time 2015-08-18 16 31 12 HERS Provider: CaICERTS inc CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-07082015-744 Report Generated at. 2015-08-18 14:41:52 ENERGY USE SUMMARY 04 05 06 07 08 Energy Use (kTDV/ft2-yr) Standard Design Proposed Design Compliance Margin Percent Improvement Space Heating 25.60 1982 5.78 226% Space Cooling 10.69 14.86 -4 17 -39.0% IAQ Ventilation 0.00 0.00 000 0.0% Water Heating 14.03 9.27 4 76 33.9% Photovoltaic Offset --- 000 000 — Compliance Energy Total 50.32 43.95 6.37 12.7% Registration Number: 215-AO11728SC-000000000-0000 Registration Date/Time 2015-08-18 16 31 12 HERS Provider: CaICERTS inc CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-07082015-744 Report Generated at. 2015-08-18 14:41:52 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Building Calculation Description: Title 24 Analysis Calculation Date/Time: 14:41, Tue, Aug 18. 2015 Input File Name: 0150338 Rajgopalan Residence.xml REQUIRED SPECIAL FEATURES The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis. • Cathedral Ceiling • New ductwork added is less than 40 ft. in length HERS FEATURE SUMMARY CF1R-PRF-01-E Page 2 of 8 The following is a summary of the features that must be field -verified by a certified HERS Rater as a condition for meeting the modeled energy performance for this computer analysis. Additional detail is provided in the building components tables below. Building -level Verifications: • -- None — Cooling System Verifications: • Minimum Airflow • Fan Efficacy Watts/CFM HVAC Distribution System Verifications: • -- None — Domestic Hot Water System Verifications: --None — ENERGY DESIGN RATING This is the sum of the annual TDV energy consumption for energy use components included in the performanoe compliance approach for the Standard Design Building (Energy Budget) and the annual TDV energy consumption for lighting and components not regulated by Title 24, Part 6 (such as domestic appliances and consumer electronics) and accounting for the annual TDV energy offset by an on-site renewable energy system Reference Energy Use Energy Design Rating Margin Percent Improvement Total Energy (kTDV/f2-yr)* 100.02 93.65 6.37 6.4% ' includes calculated Appliances and Miscellaneous Energy Use (AMEU) BUILDING - FEATURES INFORMATION 01 02 03 04 05 06 07 Project Name Conditioned Floor Area (ft2) Number of Dwelling Units Number of Bedrooms Number of Zones Number of Ventilation Cooling Systems Number of Water Heating Systems Residential Building 1978 1 4 2 0 1 Registration Number: 215-A0117288C-000000000-0000 Registration Date/Time: 2015-08-18 16 31 12 HERS Provider: CaICERTS inc CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-07082015-744 Report Generated at: 2015-08-18 14:41:52 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Building Calculation Date/Time: 14:41, Tue, Aug 18, 2015 Calculation Description: Title 24 Analysis Input File Name: 0150338 Rajgopalan Residence.xml CF1 R -PRF -01-E Page 3 of 8 ZONE INFORMATION 01 02 03 04 05 06 07 08 09 01 02 03 13 04 05 06 07 Zone Name Zone Type HVAC System Name Framin Zone Floor Area (ft2) Avg. Ceiling Height Water Heating System 1 Water Heating System 2 1ST Floor Conditioned HVAC Systeml Skylight 1190 Roof 9 DHW Sys 1 Roof g Statu 1 ST Floor Addition Conditioned HVAC System n 788 Area (ft2) 9 DHW Sys 1 Tilt(deg) ce Emittance OPAQUE SURFACES s Condifion Roof Altered 1 ST Floor R-30 Roof Atticl specify - 31 3 4 033 01 02 03 04 Altdere 05 06 07 08 specify - 09 10 Name Zone Construction Azimuth Orientation Gross Area (ft2) Window & Door Area (ft2) Tilt (deg) No Status Verified Existing Condition Front Wall 1ST Floor R-0 Wall 225 Front 2066 98.5 90 Existing No Left Wall 1ST Floor R-0 Wall 315 Left 356 50.9 90 Existing No Roof Altered 2 1ST Floor R-30 Roof Attic 1000 Altered NIA Roof 2 1ST Floor R-19 Roof Attic 179 Existing No Raised Floor 1ST Floor R-0 Floor Crawlspace 1190 Existing No Front Wall 2 1ST Floor Addition R-13 Weill :125 Front 11 7 90 New N/A Left Wall 2 1ST Floor Addition R-13 W8111 315 Left 67.5 90 New N/A Rear Wall 1 ST Floor Addition R-13 Wall 45 Back 344 54 90 New N/A Right Wall 1ST Floor Addition R-13 Wall 135 Right 324 85 90 New N/A Roof 3 1ST Floor Addition R-30 Roof Attic 788 New N/A Raised Floor 2 1ST Floor Addition R-19 Floor Crawlspace 807 New N/A OPAQUE SURFACES - Cathedral Ceilings 01 02 03 04 05 06 07 08 09 10 11 12 13 Roof Framin Verified Orientatio Area Skylight Roof Rise Roof Roof Reflectan Roof g Statu Existing Name Zone Type n (ft2) Area (ft2) (x in 12) Pitch Tilt(deg) ce Emittance Factor s Condifion Roof Altered 1 ST Floor R-30 Roof Atticl specify - 31 3 4 033 18 43 01 0.85 0.07 Altdere N%A Roof 1ST Floor R-19 Roof Attic specify - 81 8 4 033 18 43 0 1 0.85 007 Exigstin No Registration Number: 215-A0117288C-000000000-0000 Registration Date/Time: 2015-08-1e 16 31 12 HERS Provider: CaiCERTS tric CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Vernon - CF1R-07082015-744 Report Generated at: 2015-08-18 14:41:52 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Building Calculation Date/Time: 14:41, Tue. Aug 18, 2015 Calculation Description: Title 24 Analysis Input File Name: 0150338 Rajgopalan Residence.xml CF1 R -PRF -01-E Page 4 of 8 ATTIC 01 02 03 04 05 06 07 08 09 10 Name Construction Type Roof Rise Roof Reflectance Roof Emittance Radiant Barrier Cool Roof Statu s Verified Existing Condition Attic 1ST Floor Attic Roof1ST Floor Ventilated 4 0.1 0.85 No No Enigsti No Attic 1ST Floor Addition Attic Roof1ST Floor Addition Ventilated 4 0 1 0.85 No No New No WINDOWS 01 02 03 04 05 06 07 08 09 10 11 Name Surface (Orientation -Azimuth) Width(ft) Muitiplie Height (ft) r Area (ft2) U -factor SHGC Exterior Shading Status Verified Existing Condition French Door New Front Wall (Front -225) ---- ---- 1 400 0.32 029 Insect Screen (default) New NIA Window New Front Wall (Front -225) --- 1 28.5 0.32 0.25 Insect Screen (default) New N/A Window New 2 Front Wall (Front -225) ---- ---- 1 200 0.32 025 Insect Screen (default) New N/A Window New 3 Front Wall (Front -225) ---- ---- 1 100 032 025 Insect Screen (default) New N/A Window Left Wall (Leh -315) -- 1 10 9 055 0.67 Insect Screen (default) Existing No Window New 4 Left Wall (Left -315) - --- 1 20.0 0 32 025 Insect Screen (default) New N/A French Door New 2 Left Wall (Left -315) — 1 200 0 32 029 Insect Screen (default) New N/A Skylight New Roof Altered (- specify —90) ---- 1 3.0 0.32 027 None New N/A Skylight New 2 Roof (- specify --90) ---- ---- 1 8.0 0.32 027 None New NIA Window 2 Rear Wall (Back -45) ---- 11 480 0 32 025 Insect Screen (default) New N/A Window 3 Rear Wall (Back -45) ---- 1 6.0 0.32 0.25 Insect Screen (default) New N/A French Door Right Wall (Right -135) ---- ---- 1 200 0.32 029 Insect Screen (default) New N/A Window 4 Right Wall (Right -135) ---- 1 150 0.32 0.25 Insect Screen (default) New N/A Window 5 Right Wall (Right -135) — 1 10.0 0 32 1 025 Insect Screen (default) I New N/A French Door 2 Right Wall (Right -135) ---- 1 400 0 32 1 0.29 Insect Screen (default) New N/A Registration Number: 215-A0117288C-000000000-0000 Registration Date/Time: 2015-08-18 16 31 12 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-07082015-744 Report Generated at: 2015-08-18 14:41:52 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Building Calculation Date/Time: 14:41, Tue, Aug 18, 2015 Calculation Description: Title 24 Analysis Input File Name: 0150338 Rajgopalan Residence.xml CFI R -PRF -01-E Page 5 of 8 OPAQUE SURFACE CONSTRUCTIONS 01 02 03 04 05 06 07 Total Cavity Winter Design Construction Name Surface Type Construction Type Framing R -value U -value Assembly layers • Cavity / Frame: no insul. / 2x4 Top Chid 2x4 Top Chord of Roof Truss 24 Root Deck: Wood Siding/sheathir;Vdecking Attic Roof ST Floor Attic Roots Wood Framed Ceiling in. O.C. none 0.644 Roofing: Light Root (Asphalt Shingle) • Floor Surface: Carpeted Floors Over Flow Deck: Wood Sidiny/sheathing/decking R-0 Floor Crawlspace Crawlspace Wood Framed Floor 2x12 ® 16 in. O.C. none 0.216 cavity /Frame: no insul. /2x12 • Inside Finish: Gypsum Board • Cavity / Frame: no insul. / 2x4 • Exterior Finish: Wood R-0 Wall Exterior Walls Wood Framed Wall 2x4 @ 16 in. O.C. none 0.302 Siding/sheathing/decking • Inside Finish: Gypsum Board Ceilings (below Cavity / Frame: R-9.1 / 2x4 R-30 Roof Attic attic) Wood Framed Ceiling 2x4 ® 24 in. O.C. R 30 0.032 Over Flow Joists: R-20.9 insul. • Inside Finish: Gypsum Board • Cavity / Frame: R-30 / 2x4 • Roof DeO: Wood Siding/sheathing/decking R-30 Roof Atticl Cathedral Ceilings Wood Framed Ceiling , 2x424 iA O.C. R 30 0.042 Roofing: Light Roof (Asphalt Shingle) • Inside Finish: Gypsum Board Ceilings (below Cavity / Frame. R-9.1 / 2x4 R-19 Roof Attic attic) V%W Framed Ceiling 2x4 @ 24 in. O.C. R 1g 0.049 Over FloJoists: R-9.9 insul. Floor • Inside Finish: Gypsum Board • Cavity / Frame: R-19 / 2x4 • Roof Deck: Wood Siding/sheathing/decking R-19 Roof Atticl Cathedral Ceilings Wood Framed Ceiling 2x4 @ 24 in. O.C. R 19 0.057 Roofing: Light Roof (Asphalt Shingle) • Cavity / Frame: no insul. / 2x4 Top Chid 2x4 Top Chord of Roof Truss 24 Roof Deck: Wood Sidina/sheathing/decking Attic Roof ST Floor Addition Attic Roofs Wood Framed Ceiling in. O.C. none 0.644 Roofing: Light Roof (Asphalt Shingle) • Floor Surface: Carpeted Floors Over Floor Deck: Wood Sid*Wsheathing/daCk ng R-19 Floor Crewlspace Crawlspace Wood Framed Floor 2x6 ® 16 in. O.C. R 19 0.049 Cavity / Frame: R-19 / 2x6 • Inside Finish: Gypsum Board • Cavity / Frame: R-13 / 2x4 • Exterior Finish: Wood R-13 Wall'! Exterior Walls Wood Framed Wall 2x4 ® 16 in. O.C. R 13 0.095 Siding/sheathin0decking Registration Number: 215-A0117288C-0XXXXX0)-0000 Registration Date/Time: 20154)8-1e 16:31:12 HERS Provider: CsICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CFIR-07082015-744 Report Generated at: 2015-08-18 14:41:52 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Building Calculation DateMme: 14:41, Tue, Aug 18, 2015 Calculation Description: Title 24 Analysis Input File Name: 0150338 Rajgopalan Residence.xmi CFI R -PRF -01-E Page 6 of 8 WATER HEATING SYSTEMS 01 02 03 04 05 06 07 08 Name System Type Distribution Type Water Heater Number of Heater Solar Fraction (X) Status Verified Existing Condition DHW Sys 1 DHW Pipe Insulation, All Lines DHW Heater 1 1 Annual Altered No WATER HEATERS 01 02 03 04 05 06 07 08 Name Heater Element Type Tank Type Tank Volume (gal) Energy Factor or Efficiency Input Rating Tank Exterior Insulation R -value Standby Loss (Fraction) DHW Heater 1 Natural Gas Small Instantaneous 0 0.84 EF 185000-Btu/hr 0 0 WATER HEATING - HERS VERIFICATION 01 02 03 04 05 06 07 Name Pipe Insulation Parallel Piping Compact Distribution Point -of Use Recirculation with Manual Control Recirculation with Sensor Control DHW Sys 1 n/a n/a'n a n/a n/a n/a SPACE CONDITIONING SYSTEMS 01 02 03 04 05 06 07 08 09 Heating System Cooling System Distribution Fan Floor Area Verified Existing Name System Type Name Ducted Name Ducted System System Served Status Condition HVAC Systeml Other Heating and Heating Yes Cooling Yes Air Distribution HVAC Fan 1978 Altered No Cooling System Component 1 Component 1 System 1 1 HVAC - HEATING SYSTEMS 01 02 03 Name Type Efficiency Heating Component 1 CntrlFurnace - Fuel -fired central furnace 94 AFUE Registration Number: 215-A0117288C-000000000-0000 Registration Date/Time: 2015-08-18 18:31 12 HERS Provider: CaICERTS int. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CFIR-07082015-744 Report Generated at: 2015-08-18 14:41:52 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Building Calculation Date/Time: 14:41, Tue, Aug 18, 2015 Calculation Description: Title 24 Analysis Input File Name: 0150338 Rajgopalan Residence.xml CFIR-PRF-01-E Page 7 of 8 HVAC - COOLING SYSTEMS 01 02 03 04 05 06 07 Name Verified Airflow Efficiency Verified EER Mufti -speed Verified Refrigerant Change Name System Type EER SEER Zonally Controlled Compressor HERS Verification Cooling Component 1 SplitAirCond - Split air conditioning 10 14 No No Cooling rs Component Existing + New system N/A System 1 specified) HVAC COOLING - HERS VERIFICATION 01 02 03 04 05 06 Name Verified Airflow Airflow Target Verified EER Verified SEER Verified Refrigerant Change Cooling Component 1 -hers -cool Required 350 Not Required Not Required Not Required HVAC - DISTRIBUTION SYSTEMS 01 02 03 04 05 06 07 08 09 10 Insulation Supply Duct Return Duct Verified Existing HERS Name Type Duct Leakage R -value Location Location Bypass Duct Status Condition Verification Air Distribution Ducts located in attic Ming (not 6.0 Attic None Existing + New No N/A System 1 specified) HVAC - FAN SYSTEMS 3 HERS VERIFICATION 01 02 03 04 Name Type Fan Power (Watts/CFM) HERS Verification HVAC Fan 1 Single Speed PSC Furnace Fan 0.58 Required IAQ (Indoor Air Quality) FANS 01 02 03 04 05 Name IAQ CFM UIQ Fan Type IAQ Recovery Effectiveness(%) HERS Verification SFam IAQVentRpt 0 Default 0 Not Required Registration Number: 215-AO11728SC-000000000-0000 Registration Date/Time: 2015-06-16 16:31:12 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-07082015-744 Report Generated at: 2015-08-18 14:41:52 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Residential Building Calculation Description: Title 24 Analysis Calculation DatefTime: 14:41, Tue, Aug 18, 2015 Input File Name: 0150338 Rajgopalan Residence.xml CF1R-PRF-01-E Page 8 of 8 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1 1 certify that this Certificate of Compliance documentation is accurate and complete Documentation Author Name Documentation Author Signature � o �urtarczd �a� Nicholas Bignardi Company Signature Date FRI Energy Consultants, LLC. 2015-08-18 14:49:30 Address CEA/HERS Certification Identification (If applicable). 21 N. Harrison Ave, City/State/Zip Phone Campbell. CA 95008 408-866-1620 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury. under the laws of the State of California 1 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. 2 1 certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations 3. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents. worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application Responsible Designer Name. Responsible Designer Signature' �CC.NG��CKaYi Seema Shenvi Company Date Signed Seema Shenvi 2015-08-18 16.31.12 Address License. 10445 Byrne Ave N/A City/State/Zip: Phone. Cupertino, CA 95014 408-996-7456 Digitally signed by CaICERTS This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information Registration Number: 215-A0117288C-000000000-0000 Registration Date/Time 2015-08-18 16 31 12 HERS Provider: CaICERTS inc CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Vernon - CF1R-07082015-744 Report Generated at: 2015-08-18 14:41:52 RESIDENTIAL MEASURES SUMMARY RMS-1 Project Name Rajgopalan Residence Building Type 0 Single Family ❑ Addition Alone ❑ Multi Family 0 Existing+ Addition/Alterabon Date 8/19/2015 Project Address 1102 Scotland Drive Cupertino California Energy Climate Zone CA Climate Zone 04 I Total Cond. Floor Area 1,978 Addition 788 ! of Units 1 INSULATION Construction Type Area Cavi (ft) Special Features Status Floor VAW Framed wlGrawl Space no insulation 1,190 Existing Wall Wbod Framed - no insulation 413 Existing Roof Wood Framed Attic R 30 1,000 Altered Roof Wood Framed Attic R 19 179 Existing Demising Wood Framed R 13 64 Existing Floor Wbod Framed wiCrawl Space R 19 788 New We// Wood Framed R 13 608 New Roof Wood Framed Attic R 30 788 New FENESTRATION Total Area: 299 Glazing Percen 15 1 % Orientation Area ff U-Fac SHGC Overhang Sidefins New/Altered Average 1.1-Factor 032 Exterior Shades Status Front (SW 40.0 0 320 0.29 none none Bug Screen New Front (SV4 58.5 0.320 0.25 none none Bug Screen New Left (NM 10.9 0.550 0.67 none none Bug Screen Existing Left (MM 20.0 0.320 0.25 none none Bug Screen New Left (NW 20.0 0.320 0.29 none none Bug Screen New Skylight 3.0 0.320 0.27 none none None New Skylight 8.0 0.320 027 none none None New Rear (NE) 54.0 0.320 0.25 none none Bug Screen New )3ght (SE) 60.0 0.320 0.29 none none Bug Screen New Fbght (SE) 250 0.320 0.25 none none Bug Screen Naw HVAC SYSTEMS Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 94% AFUE Split Air Conditioner 14 0 SEER Setback Altered HVAC DISTRIBUTION Location Heating Cooling Duct Location Duct R-Value Status HVAC System Ducted Ducted Attic 60 Altered WATER HEATING Qty. Type Gallons Min. Eff Distribution Status 1 Small Instantaneous Gas 0 0 84 All Pipes Ins Altered EneravPro 6.7 by EneravSoft User Number 1315 RunCode: 2015-OSB-19711:53:42 ID 0150338 Page 3 of 8 2013 Low -Rise Residential Mandatory Measures Summary NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed regardless of the corn /!Once aproucn usru. -r:=..�..�.....� ..... ....._ __� ---•--- -. __. - - Building Fn%elope Nenseres: §I 10.6(a)I : Ikx>rs and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain §I 10.6(a)5: Coefficient SHG" and infiltration that meets the requirements of § 10-111 (a). § 110.7: Exterior doors and windows are weatherstripped; all joints and penetrations are caulked and sealed. §I I0.8(a): Insulation specified or installed meets Standards for Insulating Material. Indicate type and include on the CF2R. The thermal emittance and aged solar reflectance values of the cool roofing material meets the requirements of § 110.8(i) when the § I IO 8(i): installation of a cool roof is specified on the CFI R. § I I0.8(j): A radiant barrier shall have an emittance of 0.05 or less when the installation of a radiant barrier is specified on the CFI R. Minimum R-30 insulation in wood -frame ceiling; or the weighted average U -factor shall not exceed 0.031. Minimum R-19 in a § 150.0(a): rafter roof alteration. Attic access doors shall have permanently attached insulation using adhesive or mechanical fasteners. The attic access shall be gasketed to prevent air leakage. §I30.0(b): Loose fill insulation shall conform with manufacturer's installed design labeled 11 -value. Minimum R-13 insulation in 2x4 inch wood framing wall or have a U -factor of 0.102 or less (R-19 in 2x6 or 0.074 maximum U - § 150.0(c): factor). §I50.0(d): Minimum R-19 insulation in raised woad -frame floor or 0.037 maximum U -factor. In Climate Zones 14 and 16 a Class 11 vapor retarder shall be installed on the conditioned space side of all insulation in all exterior § I50.0(g)1: walls, vented attics and unvented attics with air -permeable insulation. In Climate Zones 1-16 with unvented crawl spaces the earth floor of the crawl space shall he covered with a Class I or Class II § I30.0(g)2: vapor retarder. In a building having a controlled ventilation crawl space, a Class I or Class Il vapor retarder shall be placed over the earth floor of § I30.0(g).3: the crawl space to reduce moisture entry and protect insulation from condensation, as specified in the exception to Section 150.0(d). Slab edge insulation shall: have a water absorption rate, for the insulation material alone without facings, no greater than 0.3%: § 150.0(1). have water vapor permeance rate is no greater than 2.0 perm/inch, be protected from physical damage and UV light deterioration. and when installed as pail of a heated slab floor meets the requirements of § 110. Fenestration, including skylights, separating conditioned space from unconditioned space or outdoors shall have a maximum t - § I50.0(q): factor of 0.58• or the weighted average U -factor of all fenestration shall not exceed 0.58. Fireplaces, Decorative Gas Appliances and Gas Lo` Measures: § I50.0(e)IA: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. Masonry or factory -built fireplaces have a combustion outside air intake. which is at least six square inches in area and is §I500(e)IB: equipped with a readily accessible le and tight -fitting damper or a combustion -air control device. §I50.0(e)IC: Masonry or factory -built fireplaces have a flue damper with a readily accessible control. Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indtxwr air is %en ted to the outside §IS0.0(eu: ofthe building. are prohibited. Space Conditioning, Ni suer Heating and Plumbing System Mewwres: 110,0-§ 110.3: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified to the Energy Commission. Water heating recirculation loops serving multiple dwelling units meet the air release valve, backflow prevention. pump isolation 110.3(c)5: valve, and recirculation loop connection requirements of § 110.3(c)5. Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appli- § 110.5: ances without an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and spa heaters. Heating and/or cooling loads arc calculated in accordance with ASHRAE, SMACNA or ACOA using design conditions specified §150.0(h)]: in § I50. 2. Installed air conditioner and heat pump outdoor condensing units shall have a clearance of at least five feet from the outlet of any § 150.0(h)3A: dryer vent. § 150.0(i ): Heating systems are equipped with thermostats that meet the setback requirements of § 110.2(c). Storage gas water heaters with an energy factor equal to or less than the federal minimum standards shall be externally wrapped § 150.00)1 A: with insulation having an installed thermal resistance of R-12 or greater. Unfired hot water tanks, such as storage tanks and backup storage tanks for solar water -heating systems, have R-12 external § 150.00)1 B: insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank. For domestic hot water system piping, whether buried or unburied: the first 5 feet of hot and cold water pipes from the storage tank, all piping with a nominal diameter of 3/4 inch or larger, all piping associated with a domestic hot water recirculation system § 150.0(j )2A: regardless of the pipe diameter, piping from the heating source to storage tank or between tanks, piping buried below grade, and all hot water pipes from the heating source to kitchen fixtures must be insulated according to the requirements of TABLE 120.3- A. All domestic hot water pipes that are buried below grade must be installed in a water proof and non -crushable casing or sleeve that allows for installation. removal. and replacement of the enclosed pipe and insulation. 7911 A Unw-Rice Residential Mandatory Measures Summary Pipe for cooling system lines shall be insulated as specified in § I50.0(j)2A. Piping insulation for steam and hydronic heating § 150 0(j)2C: system or hot water systems with pressure > 15 psilt shall meet the requirements in TABLE 120.3-A. §130.0(j).3: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Insulation exposed to weather shall either be rated for outdoor use or installed with a cover suitable for outdoor service. For 1150.0(j)3A: example, protected by aluminum, sheet metal, painted canvas, or plastic cover. Cellular foam insulation protected as specified or painted with coating that is water retardant and provides shielding from solar radiation that degrades the material. Insulation covering chilled water piping and refrigerant suction piping located outside the conditioned space shall have a Class I § 150.0(j)3 B: or Class 11 vapor retarding facing, or the insulation shall be installed at the thickness that qualifies as a Class 1 or Class 11 vapor retarder. Systems using gas or propane water heaters to serve individual dwelling units shall include: a 120V electrical receptacle within 3 feet of the water heater, a Category III or IV vent, or a Type B vent with straight pipe between the outside termination and the § I50.0(n)1: space where the water heater is installed; a condensate drain that is no more than 2 inches higher than the base of the installed water heater, and allows natural draining without pump assistance; and a gas supply line with a capacity of at least 200,000 Btu/hr. § 150.0(n)2: Recirculating loops serving multiple dwelling units shall meet the requirements of § 110.3(c)5. Solar Mater -heating systems and collectors shall be certified and rated by the Solar Rating and Certification Corporation (SRCC ) §150.0(n)3: or by a testing enc roved by the Executive Director. Ducts sed Fan Measures: All air -distribution system duds and plenums installed are sealed and insulated to meet the requirements of CMC §601.0, §602.0, §603.0, §604.0, §605.0 and ANSI/SMACNA-006-2006 HVAC Dud Construction Standards Metal and Flexible 3rd Edition. Supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-6.0 (or higher if required by CMC §605.0) or enclosed entirely in directly conditioned space as confirmed through field verification and diagnostic testing (RA3.1.4.3.8). Connections of metal ducts and inner core of flexible ducts are mechanically fastened. Openings shall be sealed § 150.0(m)1: with mastic, tape, or other duct -closure system that meets the applicable requirements of UL 181, UL 191A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than '/. inch, the combination of mastic and either mesh or tape shall be used. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible dud shall not be used for convey ing conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. Factory -Fabricated Duct Systems shall comply with specified requirements for duct construction, connections, and closures: joints § 150.0(m)2: and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. Field -Fabricated Duct Systems shall comply with requirements for: pressure -sensitive tapes, mastics, sealants, and other § 150.0(m)3-6: requirements specified for duct construction. duct insulation R -value ratings. duct insulation thickness; and duct labeling. All fan systems that exchange air between the conditioned space and the outside of the building must have backdraft or automatic 150.0(M)7: d Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers §150.0(m)8: exoW combustion inlet and outlet air openings and elevator shaft vents. Insulation shall be protected from damage, including that due to sunlight. moisture, equipment maintenance, and wind but not limited to the following: insulation exposed to weather shall be suitable for outdoor service. For example, protected by aluminum. § 150.0(m)9: sheet metal, painted canvas, or plastic cover. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation. § 150.0(m) 10: Flexible duds cannot have porous inner cores. When space conditioning systems use forced air duct systems to supply conditioned air to an occupiable space. the ducts shall be § 150.0(m)11: sealed and dud leakage tested, as confirmed through field verification and diagnostic testing, in accordance with Reference Residential Appendix RA3. Mechanical systems that supply air to an occupiable space through ductwork exceeding 10 feet in length and through a thermal § 150.0(m)12: conditioning component, except evaporative coolers, shall be provided with air filter devices that meet the requirements of 150.0(m) 12. Space conditioning systems that utilize forced air duds to supply cooling to an occupiable space shall have a hole for the placement of a static pressure probe (HSPP), or a permanently installed static pressure probe (PSPP) in the supply plenum. The § 150.0(m)13: space conditioning system must also demonstrate airflow>_ 350 CFM per ton of nominal cooling capacity through the return grilles, and an air -handling unit fan efficacy <_ 0.58 W/CFM as confirmed by field verification and diagnostic testing, in accordance with Reference Residential Appendix RA3. Zonally controlled central forced air cooling systems shall be capable of simultaneously delivering, in every zonal control mode, an airflow from the dwelling, through the air handler fan and delivered to the dwelling, of>_ 350 CFM per ton of nominal cooling § 150.0(m)15: capacity, and operating at an air -handling unit fan efficacy of:S 0.58 W/CFM as confirmed by field verification and diagnostic testing,in accordance with Reference Residential Appendix RA3. All dwelling units shall meet the requirements of ASHRAE Standard 62.2. Neither window operation nor continuous operation of § 150.0(o): central forced air system air handlers used in central fan integrated ventilation systems are permissible methods of providing the Whole Building Ventilation. Whole Building Ventilation airflow shall be confirmed through field verification and diagnostic testing, in accordance with § I50.0(o)I A: Reference Residential Appendix RA3. Pool and Spa Heating Systems and Equipment Measures: Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency § 110.4(a): Regulations; an on-off switch mounted outside of the heater that allows shutting off the heater without adjusting the thermostat setting: a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating. o,n,,% I - . D:-- ManActntr-v Mpsmirp.e Si mmary Any pool or spa heating equipment shall be installed with at least 36 inches of pipe between filter and heater or dedicated suction § t 10.4(b)1: and return lines, or built-up connections for future solar heating. §I 10.4(b)2: Outdoor pools or spas that have a heat pump or gas heater shall have a cover. Pools shall have directional inlets that adequately mix the pool water, and a time switch that %%ill allo%% all pump, to be set or pro- gram§110.4(b)3: med to run only during off-peak electric demand periods. §110.5: Natural gas pool and spa heaters shall not have a continuous burning pilot light. §150,0(p): kesidential pool systems or equipment shall meet specified pump sizing, flow rate, piping, filters, and valve requirements. Lighting Measures: § 110.9: All lighting control devices and systems, ballasts, and luminaires shall meet the applicable requirements of §110.9. Installed luminaires shall be classified as high -efficacy or low -efficacy for compliance with §150.0(k) in accordance with TABLE §150.0(k)IA: 150.0-A or TABLE 150.0-B, as applicable. When a high efficacy and low efficacy lighting system are combined in a single luminaire, each system shall separately comply § 150.0(k)I B: with the applicable provisions of §150.0(k). The wattage and classification of permanently installed luminaires in residential kitchens shall be determined in accordance with § 130.0(c). In residential kitchens, the wattage of electrical boxes finished with a blank cover or where no electrical equipment has §150.0(k)IC: been installed, and where the electrical box can be used for a luminaire or a surface mounted ceiling fan, shall be calculated as 180 watts of low efficacy lighting electrical box. § I50.0(k)I D: Ballasts for fluorescent lamps rated 13 watts or greater shall be electronic and shall have an output frequency no less than 20 kHz Permanently installed night lights and night lights integral to installed luminaires or exhaust fans shall be rated to consume no § I50.0(k)I E: more than 5 watts of power per luminaire or exhaust fan as determined in accordance with § I30.0(c). Night lights do not need to be controlled by vacancy sensors. Lighting integral to exhaust fans (except when installed by the manufacturer in kitchen exhaust hoods) shall meet the applicable §150.0(k)IF: requirements of § 150.0(k). §I50.0(k)2A: High efficacy luminaires must be switched separately from low efficacy luminaires. §150.0(k)2B: Exhaust fans shall be switched separately from lighting systems. §I50.0(k)2C: Luminaires shall be switched with readily accessible controls that permit the luminaires to be manually switched ON and OFF. §150.0(k)2D: Controls and equipment are installed in accordance with manufacturer's instructions. § I50.0(k)2E: No control shall bypass a dimmer or vacancy sensor function if the control is installed to comply with §150.0(k). §150.0(k)2F: Lighting controls comply with applicable requirements of § 110.9. An Energy Management Control System (EMCS) may be used to comply with dimmer requirements if.- it functions as a dimmer § 150.0(k)2G: according to § 110.9; meets Installation Certificate requirements of § 130.4; the EMCS requirements of § 130.5; and all other requirements in ' 150.0(k)2. An Energy Management Control System (EMCS) may be used to comply with vacancy sensor requirements of §I50.0(k) if'. it § 150.0(k)2H: functions as a vacancy sensor according to 1110.9; meets Installation Certificate requirements of § 130.4; the EMCS requirements of § 130.5. and all other requirements in § 150. 2. A multiscene programmable controller may be used to comply with dimmer requirements of this section if it provides the § 150.0(k)21: functionality of a dimmer according to § 110.9, and complies with all other applicable requirements in § 150.0(k)2. § 150.0(k)3A: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. Kitchen lighting includes all permanently installed lighting in the kitchen except internal lighting in cabinets that illuminate only § 150.0(k)3B: the inside of the cabinets. Lighting in areas adjacent to the kitchen, including but not limited to dining and nook areas, are considered kitchen lighting if they are not separately switched from kitchen lighting. Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated § I50.0(k)4: cabinet. A minimum of one high efficacy luminaire shall be installed in each bathroom; and all other lighting installed in each bathroom § 150.0(k)5: shall be high efficacy or controlled by vacancy sensors. Lighting installed in attached and detached garages, laundry rooms, and utility rooms shall be high efficacy luminaires and 150. §K'' controlled by vacancy sensors. Lighting installed in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, and utility rooms shall be high § 150.0(k)7: efficacy, or shall be controlled by either dimmers or vacancy sensors. Luminaires recessed into ceilings shall: be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other nationally recognized testing/rating laboratory; have a label that certifies that the luminaire is airtight with air leakage less than 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; be sealed with a gasket or caulk between the luminaire housing § 150.0(k)8: and ceiling, and shall have all air leak paths between conditioned and unconditioned spaces sealed with a gasket or caulk; and allow ballast maintenance and replacement without requiring cutting holes in the ceiling. For recessed compact fluorescent luminaries with ballasts to qualify as high efficacy for compliance with § I50.0(k), the ballasts shall be certified to the Energy Commission to comply with the applicable requirements in '110.9. For single-family residential buildings, outdoor lighting permanently mounted to a residential building or other buildings on the same lot shall be high efficacy, or may be low efficacy if it meets all of the following requirements: i. Controlled by a manual ON and OFF switch that does not override to ON the automatic actions of Items ii or iii below. and § I50.0(k)9A: ii. Controlled by a motion sensor not having an override or bypass switch that disables the motion sensor, or controlled by a motion sensor having a temporary override switch which temporarily bypasses the motion sensing function and automatically reactivates the motion sensor within 6 hours; and iii. Controlled by one of the following methods: Will Lnw-Rise Residential Mandatory Measures Summary a. Phot000ntrol not having an override or bypass switch that disables the phot000ntrol; or b. Astronomical time clock not having an override or bypass switch that disables the astronomical time clock, and which is programmed to automatically tum the outdoor lighting OFF during daylight hours; or c. Energy management control system which meets all of the following requirements: At a minitimm provides the functionality of an astronomical time clock in accordance with §110.9; meets the Installation Certification requirements in §130.4; meets the requirements for an FMCS in § 130.5; does not have an override or bypass switch that allows the luminaire to be always ON; and, is prograrnmed to automatically tum the outdoor lighting OFF during daylight hours. For low-rise multifamily residential buildings, outdoor lighting for private patios, entrances, balconies, and porches; and outdoor lighting for residential parking lots and residential carports with less than eight vehicles per site shall comply with one of the § 150.0(k)9B: following requirements: i. Shall comply with § I50.0(k)9A; or ii. Shall comply with the applicable requirements in V10.9, 130.0, 130.2, 130.4, '140.7 and 141.0. For low-rise residential buildings with four or more dwelling units, outdoor lighting not regulated by §150.0(k)9B or 150.0(k)9D § 150.0(k)9C: shall comply with the applicable requirements in § 110.9 § 130.0 ' 130.2 130.4 ' 140.7 and ' 141.0. Outdoor lighting for residential parking lots and residential carports with a total of eight or more vehicles per site shall comply § 150.0(k)9D: with the applicable requirements in ' 110.9 § 130.0 § 130.2 § 130.4, § 140.7 and § 141.0. Internally illuminated address signs shall comply with § 140.8; or shall consume no more than 5 watts of power as determined § 150.0(k)10: according to § 130.0(c). Lighting for residential parking garages for eight or more vehicles shall comply with the applicable requirements for § 150.0(k)1 1: nonresidential gmges in § 110.9, § 130.0, ' 130. 1, § 130.4 § 140.6. and ' 141.0. In a low-rise multifamily residential building where the total interior common area in a single building equals 20 percent or less of § I50.0(k)I2A: the floor area, permanently installed lighting for the interior common areas in that building shall be high efficacy luminaires or controlled by an occupant sensor. In a low-rise multifamily residential building where the total interior common area in a single building equals more than 20 percent of the floor area, permanently installed lighting in that building shall: i. Comply with the applicable requirements in §110.9, §130.0, §130.1, §140.6 and §141.0; and §150.0(k)12B: ii. Lighting installed in corridors and stairwells shall be controlled by occupant sensors that reduce the lighting power in each space by at least 50 percent. The occupant sensors shall be capable of turning the light fully On and Off from all designed paths of ingress and egress. Solar Reade Buildings: Single family residences located in subdivisions with ten or more single family residences and where the application for a § 1 10.10(a)1: tentative subdivision map for the residences has been deemed complete, by the enforcement agency. on or after Januan 1. 2014, shall comply with the requirements of § 110.1 b through 110.1 e . § 110.10(a)2: Low-rise multi -family buildings shall comply with the requirements of § 110.10(b) through § 1 10.10(d). The solar zone shall have a minimum total area as described below. The solar zone shall comply with access, pathway. smoke ventilation, and spacing requirements as specified in Title 24, Part 9 or other Parts of Title 24 or in any requirements adopted by a local jurisdiction. The solar zone total area shall be comprised of areas that have no dimension less than 5 feet and are no less than 80 square feet each for buildings with roof areas less than or equal to 10,000 square feet or no less than 160 square feet each for § 110.1((b)l: buildings with roof areas greater than 10,000 square feet. For single family residences the solar zone shall be located on the roof or overhang of the building and have a total area no less than 250 square feet. For low-rise multi -family buildings the solar zone shall be located on the roof or overhang of the building or on the roof or overhang of another structure located within 250 feet of the building or on covered parking installed with the building project and have a total area no less than 15 percent of the total roof area of the building excluding any skylight area. § 110.10(b)2: All sections of the solar zone located on steep -sloped roofs shall be oriented between 110 degrees and 270 degrees of true north. No obstructions, including but not limited to, vents, chimneys, architectural features, and roof mounted equipment shall be § 110 1 NWA: located in the solar zone. Any obstruction, located on the roof or any other part of the building that projects above a solar zone shall be located at least twice § 110.10(h )3 B: the distance, measured in the horizontal plane, of the height difference between the highest point of the obstruction and the horizontal pmjection of the nearest point of the solar zone, measured in the vertical plane. § 110.10(b)4: For areas of the roof designated as solar zone, the structural design loads for roof dead load and roof live load shall be clearly indicated on the construction documents. The construction documents shall indicate: a location for inverters and metering equipment and a pathway for routing of condu it from the solar zone to the point of interconnection with the electrical service (for single family residences the point of § 110 10(c): interconnection will be the main service panel), a pathway for routing of plumbing from the solar zone to the water -heating system. § 110 10(d): A copy of the construction documents or a comparable document indicating the information from § 110.10(b) through § 110.10(c) shall be provided to the occupant. § 110.10(e)1: The main electrical service panel shall have a minimum busbar rating of 200 amps. The main electrical service panel shall have a reserved space to allow for the installation of a double pole circuit breaker for a § 110.10(e)2: future solar electric installation. The reserved space shall be: positioned at the opposite (load) end from the input feeder location or main circuit location, and permanently marked as "For Future Solar Electric". HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name Rajgopalan Residence Date 8/19/2015 System Name HVAC System Floor Area 1,978 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 850 Return Vented Lighting Return Air Ducts Return Fan Ventilation 0 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK i COIL HTG. PEAK Heating System Sensible Latent CFM Sensible Output perSystem 26 522 17,818 1,135 620 23.871 Total Output Stuh 26.522 0 Output Btuh/s ft 13.4 799 1.326 Cooling System 0 0 Output per System 24,000 0 0 0 0 Total Output Stuh 24,E Total Output Tons 2.0 Total Output Btuh/s fl 12.1 0 1,135 0 799 1,326 Total Output (sgtt/Ton) Air System CFM per3 tem 989.0 0 19,214 26,522 HVAC EQUIPMENT SELECTION Airflow (cfm) 0 95%AFUE (14 SEFR) Total Adjusted System Output (Adjusted for Peak Design conditions TIME OF SYSTEM PEAK 22,844 0 26,522 22,844 0 26,522 Aug 3 PM Jan 1 AM Airflow cfrrVs 000 Airflow cfm/Ton 0.0 Outside Air % 0.0% Outside Alr 1cfrrr/s9n) 000 Note values above given at ARI conditions HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 28'F Outside Air AV- o ctm 67 T Heating Cod IJ4 i ROOM]n 68 'F COOLING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Cooling Peak 88 / 68 OF Outside Air 0 CIM 76 / 62 °F 76 / 62 OF 55154 OF Cooling Coil 56 154 °F 466% ROOM __E 75 / 62 °F EnergyPro 6 7 by EnergySoft User Number 1315 RunCode: 2015-08-19T11:53:42 ID 0150338 Page 8 o/ 8 CUPERTINO PURPOSE: CALGREEN RESIDENTIAL CHECKLIST — MANDATORY ITEMS COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(�cupertino orq The 2013 CalGreen Code applies to additions or alterations of existing residential buildings where the addition or alteration increases the building's conditioned area, volume, or size and also applies to all new low-rise residential buildings, high-rise residential buildings, or both. Existing site and landscaping improvements that are not otherwise disturbed are not subject to the requirements of CALGreen. A Project Name: Project Address: Project Descripti Addition and Remodel for The Rajgopalan Residence 1102 Scotland Dr, Cupertino, CA -95014 of 807 sgft of living area and remodel of eki Instructions: >311 7 � 1. The Owner or the Owner's agent shall employ a licensed professional experienced with the 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 ap ,plans for the project. 3. Prior to final inspectio he Aiding Department, the licensed professional shall complete Column 3 and sign and datip Settic.1mplementation Verification at the end of this checklist and submit the completed for theWding Inspector. Column 2 Column 3 MANDATORY FEATURE OR MEASURE Project Verification Reauirements Planning and Design - Site Development 4.106.2 Storm water drainage and retention during construction. A plan is developed and implemented to manage storm water drainage during ® ❑ construction. 4.106.3 Grading and paving. The site shall be planned and developed to keep surface water away from buildings. Construction plans shall indicate how ❑x ❑ site grading or a drainage system will manage all surface water flows. Page 1 of 5 CalGreen_2014.doc revised 11/04/14 A4.2 General 4.201.1 Low-rise residential buildings shall meet or exceed the minimum El standard design required by the California Energy Standards. A4.3 WATER EFFICIENCY AND CONSERVATION Indoor Water Use 4.303.1 Water conserving plumbing fixtures and fittings. Plumbing fixtures (water closets and urinals) and fittings (faucets and showerheads) shall comply with the following: ❑ 4.303.1.3.2 Water Closets. The effective flush volume of all water closets shall not exceed 1.28 gallons per flush. Tank -type water closets shall be certified to the performance criteria of the U.S. EPA WaterSense Specifications for Tank -type Toilets. ❑ 4.303.1.3.2 Urinals. The effective flush volume of urinals shall not exceed 0.5 gallons per flush. ❑ 4.303.1.3.1 Single Showerheads. Showerheads shall have a maximum flow rate of not more than 2.0 gallons per minute at 80 psi. Showerheads shall be certified to the performance criteria of the U.S. EPA WaterSense Specification for showerheads. ❑ 4.303.1.3.2 Multiple Showerheads serving one shower. When a shower is served by more than one showerhead, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute at 80 psi, or the shower shall be © ❑ designed to allow only one shower outlet to be in operation at a time. ❑ 4.303.1.4.1 Residential lavatory faucets. The maximum flow rate of residential lavatory faucets shall not exceed 1.5 gallons per minute at 60 psi. The minimum flow rate of residential lavatory faucets shall not be less than 0.8 gallons per minute at 20 psi. ❑ 4.303.1.3.2 Lavatory faucets in common and public use areas. The maximum flow rate of lavatory faucets installed in common and public use areas (outside of dwellings or sleeping units) in residential buildings shall not exceed 0.5 gallons per minute at 60 psi. ❑ 4.303.1.4.3 Metering faucets. Metering faucets when installed in residential buildings shall not deliver more than 0.25 gallons per cycle. ❑ 4.303.1.4.4 Kitchen Faucets. The maximum flow rate of kitchen faucets shall not exceed 1.8 gallons per minute at 60 psi. Kitchen faucets may temporarily increase the flow above the maximum rate, but not to exceed 2.2 gallons per minute at 60 psi, and must default to a maximum flow rate of 1.8 gallons per minute at 60 psi. 4.303.2 Standards for plumbing fixtures and fittings. Plumbing fixtures and fittings shall be installed in accordance with the California Plumbing Code, and shall meet the applicable standards referenced in Table 1401.1 of the California Plumbing Code. Page 2 of 5 CalGreen 2014.doc revised 11/04114 Outdoor Water Use 4.304.1 Irrigation controllers. Automatic irrigation systems installed at the time of final inspection shall be weather -based. ❑ 4.304.1.1 Controllers shall be weather- or soil moisture -based controllers that automatically adjust irrigation in response to changes in plants' needs as weather conditions change. ❑ ❑ ❑ 4.304.1.2 Weather -based controllers without integral rain sensors or communication systems that account for local rainfall shall have a separate wired or wireless rain sensor which connects or communicated with the controller(s). Soil moisture -based controllers are not required to have rain sensor input. A4.4 MATERIAL CONSERVATIONRESOURCE Enhanced Durability and Reduced Maintenance 4.406.1 Rodent proofing. 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 Construction waste management plan. 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 Operation and maintenance manual. At the time of final inspection, ❑ ❑ an operation and maintenance manual shall be provided to the building occupant or owner. A4.5 ENVIRONMENTALQUALITY Fireplaces 4.503.1 General. Install only a direct -vent sealed -combustion gas or sealed ❑ ❑ wood -burning fireplace, or a sealed woodstove. Pollutant Control 4.504.1 Covering of duct openings and protection of mechanical ❑ equipment during construction. Duct openings and other related air © distribution component openings shall be covered during construction. 4.504.2.1 Adhesives, sealants and caulks. Adhesives, sealants and caulks ® ❑ shall be compliant with VOC and other toxic compound limits. 4.504.2.2 Paints and coatings. Paints, stains and other coatings shall be © ❑ compliant with VOC limits. 4.504.2.3 Aerosol paints and coatings. Aerosol paints and other coatings shall be compliant with product weighted MIR Limits for ROC and other toxic 0 ❑ compounds. Page 3 of 5 CalGreen_1014.doc revised 11'04 14 4.504.2.4 Verification. Documentation shall be provided to verify that x❑ ❑ compliant VOC limit finish materials have been used. 4.504.3 Carpet Systems. Carpet and carpet systems shall be compliant with ❑ ❑ VOC limits. 4.504.4 Resilient flooring systems. Eighty (80) percent of floor area receiving resilient flooring shall comply with the VOC-emission limits defined in Q ❑ 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 Composite wood products. 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 Concrete slab foundation. Required vapor retarders and capillary ® ❑ breaks are also required to comply with CalGreen Section 4.505.2.1. 4.505.3 Moisture content of building materials. Moisture content of building © ❑ materials used in wall and floor framing is checked before enclosure. Indoor Air Quality and Exhaust 4.506.1 Bathroom exhaust fans. Exhaust fans which terminate outside the ® ❑ building are provided in every bathroom. Environmental Comfort 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. x❑ ❑ 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 Installer training. HVAC system installers are trained and certified in ® ❑ the proper installation of HVAC systems. 702.2 Special inspection. 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 Documentation. 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_2014.doc revised 11/04114 Project Name: Project Address: CALGREEN SIGNATURE DECLARATIONS Addition and Remodel for The Rajgoplan Residence 1102 Scotland Dr, Cupertino, CA -95014 Project Description: Addition of 807 sqft of living area and remodel of existing areas 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 2013 California Green Building Standards Code as adopted by the City of Cupertino. y p 7 � P Owner's Signature Date Raji Vellore Owner's Name (Please Print) 4/25/2015 Design Professional's Signature Date Seema Shenvi Q Des Professional's Name (Please Print) _ �11A 4/25/2015 Signature of dense Professional responsible for CalGreen compliance Date Seema Shenvi 408-460-9394 Name of License Professional responsible for CalGreen compliance (Please Print) Phone s_shenvi@yahoo.com Email Address for License Professional responsible for CalGreen compliance SECTION 2 - IMPLEMENTATION VERIFICATION Complete, sign and submit the competed checklist, including column 3, together with all original signatures on Section 2 to the Building Department prior to Building Department final inspection. I have inspected the work and have received sufficient documentation to verify and certify that the project identified above was constructed in accordance with this Green Building Checklist and in accordance with the requirements of the 2013 California Green Building Standards Code as adopted by the City of Cupertino. Signature of License Professional responsible for CalGreen compliance Date Name of License Professional responsible for CalGreen compliance (Please Print) Phone Email Address for License Professional responsible for CalGreen compliance Page 5 of 5 CalGreen_2014.doc revised 11104/14