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14050044
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10238 COLD HARBOR AVE CONTRACTOR: NICE & RIGHT PERMIT NO: 14050044 CONSTRUCTION INC OWNER'S NAME: SHENG-CHIEN TSENG P O BOX 2285 DATE ISSUED: 08/04/2014 OWNER'S PHONE: 4083680938 CUPERTINO, CA 95015 PHONE NO: (408)861-0928 JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ ❑ LICENSED CONTRACTOR'S DECLARATION CONSTRUCT SECOND STORY ADDITION (1223 SQ FT); Q License Class_ Lic. 4_ Rai 4s- Q INTERIOR REMODEL (820 SQ FT); FRONT PORCH (30 SQ [� FT); PANEL UPGRADE (200 AMP). Contractor,[/l'a�Q�y ate 3 qlLq I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $260000 I have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 36909036.00 Occupancy Type: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is 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 180 DAYS FROM LAST CALLED INSPECTION. upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the G ,1 Date: ' l Issued by: /9/✓ �( granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. RE -ROOFS: Signature at All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 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 this Owner or authorized agent: ` —W - = 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 CONSTRUCTION LENDING AGENCY Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10238 COLD HARBOR AVE CONTRACTOR: NICE & RIGHT PERMIT NO: 14050044 CONSTRUCTION INC OWNER'S NAME: SHENG-CHIEN TSENG P O BOX 2285 DATE ISSUED: 08/04/2014 OWNER'S PHONE: 4083680938 CUPERTINO, CA 95015 PHONE NO: (408)861-0928 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E] CONSTRUCT SECOND STORY ADDITION (1223 SQ FT); License Class Lic. # INTERIOR REMODEL (820 SQ FT); FRONT PORCH (30 SQ FT); PANEL UPGRADE (200 AMP). Contractor Date I hereby affirm that I am licensed under the provisions of Chapter 9 REV#1 - REVISED ROOFING MATERIAL TO LIGHT WEIGHT CONCRETE; (commencing with Section 7000) of Division 3 of the Business & Professions RE -ROOF (E) IST LEVEL MATCHING PROPOSED 2ND LEVEL ROOFING Code and that my license is in full force and effect. MATERIAL (LIGHT WEIGHT CONCRETE) (612 SF) I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $260000 I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this APN Number: 36909036.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Issued by: Date: 1 granting of this permit. Additionally, the applicant understands and will comply&QUA with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. RE -ROOFS: Signature Date All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 this Owner or authorized agent: Date: i I 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 CONSTRUCTION LENDING AGENCY 'Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature_ Date ki CUPERTINO• CCt�STRUCTION PERMIT APPLICATION COMiMUNI 1 Y DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - buildino5cunertino.org ❑ NEW CONSTRUCTION ❑ AMMON ❑ ALTERATION / TI VANISIC) / EEE -D 0"RiCT iA.L PERMIT FF,O;-r.Cr ADDRESS W � A �4ayW i e- I y Oti?vERN/.1� �OYIScs1� (SP S I�u I PH°�g -36g_v � a' ==5� � q.koo �Cew� STREET /;1'r( Hd V �V ` I CITY, STATE, Z O ok J i1 t I FAX C01v71'ACT NAME I PHONE I E•N..SII. STR__r ADDR_8S CITY, STATE, MY ( FAX OV'nER ❑. OWNER -BUILDER ❑ OR^ R AC= v T ❑ Co"!"A-"Cr OR ❑ COT"IRSCTOR P.GT*T ❑ fACz CT ❑ ENC-1-=R13DITLOP^� ❑ i'L Nf hZ CO1v iZh�ORNA}� I LICtTSi NU1r3ER I LICENSE TYPE I BUS. LIC4 COlJ3ANYNfJ� I E•N9II. I FAX STREET f.DDRESS CITY, STAT'_, ZIP I PHONE ARC�TECTriNGTEr NAl✓E Ch(! LICENSE NMI ER c— 2 BLAS. LIC 9 COmPkw. NaJfittv Y�(4-ec \ `^Y J Mh` aNaTI G�yt C4W j Z-LHomc-. lam k FFX 7 STREET A)DRESS CITY, STATE, ZIP Pii°I E p DESCRIPTIONOFhOPIC GI--Qtq•W, tt*\Cr-rt reyi c S- Io dY Y4, D t EMS-IING PROPOSED USE USE CONS T R TYPE A' STORTES USE I TYPE I OCC. SQ.FT. VALUATION (S) EXISTG AEW FLOOR DEA40 TOTAL AREA AREA AR./. Ate• AREA I BATI-P,OOM KTTCIEN OTHER REMODEL AREA REMODEL AREA REMODEL AiREA POR Cd AREA DECK AREA TOTAI.D=_CKTOP.C3f.RaA GAR9GEAREA:DETA0% ❑AT EACH I �DV,ELLING12,i•TS:I 15 A SECOND UNrr ❑YES S£CONDSTORY ❑1.s BEING ADDED? ANO ADDITION? NO PRE-� DPLIC.4TION ❑ 1 rS 71":S, PROVIDE COPY OF Is THE BLDG A.N ❑ 1E5M R " - , I TOTAi. VALU 9TION: PLAZNG.<.PPL-� ❑NO PLANNTLNGAPPROYf.LLEITER EICHLERHOME? ❑NO ;'y !I By my signature below, I certify to each of the following: I am the property oti;ner or authorized Fgent to act on e prope ov.-ner's behalf. I have read this application and the information I havpr correct. I have read the Description of Work and verify it is actuate. I agree to -comply with all applicable local ordinances and state ]Furs relating to tiiding cons tctionau one representatives of Cupertino to enter the above-identia"ed property for inspection purposes. Signature of Appl icantlAgent: Date: SUPPLEMENT L INFORMATION FQUI 4��a r>= cou�rER s _ New 5FD or 1`?ultifznily d1 lli gs: Apply for dem (tion pe it- existing building(s). Dernolit?on pennrt Is requ_red pno to Issti ce of builetng 1?t permit for new building.LAN , z — _ Commercial Bldgs: Provide a corn feted Hazardous Materials Disclosure P �rA�.Ddx� - - YL c e _ - forD if any Hazardous Materials are being used as part ofthis project Copy of Planning Approval Leer or Meeting with Planning prior to submittal of Building Permit application.EEL w —. _.��n�lhUlx`TYaEN24I.fiEA1.Sri�4"'. Bldg pp_2011.doc revised 06121/11 CITY OF CUPERTINO w� n� 1 F.F. F.CTIMATnR — RITII DING DIVISION iml ADDRESS: 10238 Cold Harbor Ave DATE: 12/23/2015 REVIEWED BY: Phuong APN: 369 09 086 BP#: *VALUATION: $0 —1 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex p 1 hrs PENTAMATION 1 GENRES USE: $0.00 PERMIT TYPE: A WORK REV#1 - Revised roofinq material to light weight concrete; re -roof a 1st level matching proposed 2nd SCOPE level roofing material (light weight concrete) (612 SF) NOTE: This estimate does not include fees due to other Departments (t.e. Flanning, ruatrc worxs, rrre, aantrary newer "Istria, acnum _ ,.» -#:,....i., !'•. t—i d.o nonf fnr nddn't infa- FEE ITEMS (Fee Resolution 11-053 Eff. 7,-1113) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? C) Yes (F) No $0.00 F__27 hours $286.00 Plan Check, Hourly ISTPLNCK Suppl. PC Fee: Q Reg. C) OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 F6127 S. $119.00 Re -roof 1REROOFRES Permit Fee: $0.00 Suppl. Insp. Fee: Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 bn J, E) Work Without Permit? C) Yes No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure E) C) `ces Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $405.00 TOTAL FEE: 1 $405.00 Revised: 10/01/2015 CONSTRUCTION PERMIT APPLICATION 1 COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 nn�� (408) 777-3228 • FAX (408) 777-3333 • building(aD-cupertino.org 1+011 CUPERTINO ❑ NEW CONSTRUCTION M ADDITION ❑ ALTERATION / TI ❑ REVISION/ DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS �- AVE�i(P�IHONE PN O; /„ //I�Q � I G �� E-AL4IL !/ U. 04VNER NAME le,�fu � In 000. C- I,' Iv V(� {�, �( ' STREET ADDRESS , C� 7-rIZ"IfP FAX yD� �q CITY, STATEL2 /L(,7Vd ,C CONTACT NAME � R (G K ��y I /� GI�j(� PHON'E , 5ti t- S E-A4AIL �� , — 0,A STREET ADDRESS �I CITY, STATE, ZIP,, I F V �j V ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT 2f ARCHnECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET .ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER NAME n 1 j I/y� /� LICENSE NUMBER Fs BUS. LIC # COMPANY NAME FLI I•C A , L K t&KOW STREET ADDRESS r I / ( CITY, STATE, ZIP h _ 0 , /,ti PHO � 2IWI)g DESCRIPTION OF WORKW( I IN ka EX19TING USE PROPOSED USE CONST PE 4 STORIES �s t !1 USE TYPE OCC. SQ.FT. VALUATION ($) AREAEXISTL //i�- AREA t 7 ^1` FLOORO AREANEW TOTAL NET ARE)$ /// w L BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREAn 4 REMODEL AREA ©o J PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: LJDETACH ATTACH s k DWELLING UNITS: IS A SECOND UNIT ❑ YES SECON STORI' S BEING ADDED? RNO ADDITION? NO PRE -APPLICATION 'ES IF YES, PROVIDE COPY OF PLANNING APPL k NO PLANNING APPROVAL LETTER IS E B4D�G A YES E QiOprE? '0 RECEIVED BY TO AL VALUATION: By my signature below, I certify to each of the following: I am the r owner or authorized agent to act on the property ow'ner's behalf. I have read this application and the information I have provided orrect. I h re D scription of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buildin na on. I a pr tative Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Aeent: Date: SUPPLEDIENTALII� ORMATION_REQU D rLvc�cxTYPE .- 'RouTINGSLiP -,-..- New SFD or Multifamily dwellings: Apply for demolition permit for TAE COUnTER ❑ BUILDING P) AIQ REI IEW existing building(s). Demolition permit is required prior to issuance of building OVER a ' r permit for new building. t ❑ EIPRESS c, ❑ PLAAI\IIvGPLAh REI IEWs Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ax RIM ❑ siAl.nsRn '+ r x R{ r� m ❑s ruBL>CwoFucs µ _ form if any Hazardous Materials are being used as part of this project. n a Letter Meeting Planning _ Copy of Planning Approval or with prior to mA�oxfi r x ' ❑ SAATPAR SE DisTR CT fa ' submittal of Building Pen -nit application. s a { p x - ` ❑';; ENVIRO1V114ENTAI HEALTH: . BldgApp_201 1. doc revised 06/21/11 CITY OF CUPERTINO I own vu wC-r7MA-Irn]? _ IIITII.IIING DIVISION OCCUPANCY TYPE: 10238 cold harbor ave — DATE: 05/06/2014 REVIEWED BY: MENDEZ ILIADDRESS: APN: BP#: "'VALUATION: 1$260,000 xPERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY USE: SFD or Duplex 2nd Unit? 0 Yes No OTC? 0 Yes No PENTAMATION 1 R3SFDADD PERMIT TYPE: i WORK 1223 sq ft 2nd story addition remodel 820 sq ft through out 30 sq ft front porch, panel upgrade 200 SCOPE I amp 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 1,253 $2,637.09 1R3PLNCK $1,832.25 IR3INSP c:_.. o -:. , . Q.,....,r n.*'4 irf .Qrh""1 $1,832.25 Suppl. Insp. Fee:Q Reg. Q OT 0.0 Itrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $47.00 (,'Onso-1101iOn TOY,, rltd/J21f1'°1 0 Work Without Permit? 0 Yes (F) No $0.00 TOTALS: 1,253 $2,637.09 Travel Documentation Fee: 1TRAVDOC $1,832.25 Strong Motion Fee: IBSEISMICR MECH, HOURLY 0 Yes (j) No PLUMB, HOURLY Q Yes Q No ELEC, HOURLY Q Yes Q No - -- - MISC ITEMS Plan Check Fee: Elec. Plan Check 0.0 hrs $0.00 820 s.£ Remodel, Other $558.00 IREMRESOTH Suppl. PC Fee: (E) Reg. Q OT Elec. Permit Fee: IEPERMIT hrs $0.00 Other Elec. Insp. 0.0 �hrs$47.00 $0.00 = amps Electrical $47.00 IBELEC200 Services c:_.. o -:. , . Q.,....,r n.*'4 irf .Qrh""1 NOTE: This estimate does not include fees due to other Departments (i.e. rianneng, raouc rr of na, a &, c, ---y +�.•. - •�•• --_ _,:___:._ n»a ora n"hy oft P¢timotP_ Contact the Debt for addn 7 into. District, etc.. !nese Lees are based on the reufrruruf FEE ITEMS (Fee Resolution 11-053 Ef ' 7if 1;13) '......,•»•»••»�-� sal—'.... FEE ».• QTY/FEE - -- - MISC ITEMS Plan Check Fee: $2,637.09 820 s.£ Remodel, Other $558.00 IREMRESOTH Suppl. PC Fee: (E) Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 = amps Electrical $47.00 IBELEC200 Services Permit Fee: $1,832.25 Suppl. Insp. Fee:Q Reg. Q OT 0.0 Itrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $47.00 (,'Onso-1101iOn TOY,, rltd/J21f1'°1 0 Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee: IPLLONGR $175.42 Select a Non -Residential Building or Structure 0 A Travel Documentation Fee: 1TRAVDOC $47.00 Strong Motion Fee: IBSEISMICR $26.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $11.00 SUBTOTALS: $4,775.76 $605.00 TOTAL FEE: $5,380.76 Revised: 04/01/2014 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS: PERMIT # 0 SOO OWNER'S NAME:,Nf PHONE # GENERAL CONTRACTOR: BUSINESS LICENSE # ADDRESS: .& - CITY/ZIPCODE: *Our municipal code requires all businesses forking in the city to have a City of Cupertino business licenst. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Please check applicable subcontractors and complete the following information: Date Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Date BUILDING ENERGY ANALYSIS REPORT RECEIVED PROJECT: J;-'. Tseng Addition 10238 Cold Harbor Av CUPERTINO TRBgNi2A,SOCfgTES Cupertino, CA Building Department J U L 2 8 2014 Project Designer, EVIEWED l,:OR GLIDE COMPLIANCE DL Architecture & Planninrgeviewea ;3y_ JAN 616 Ramona Street Ste. 21 Palo Alto, CA 94301 (650) 321-2808 Report Prepared by: Timothy Carstairs, CEA, CEPE Carstairs Energy Calculations P.O. Box 4736 San Luis Obispo, CA 93403 (805) 904-9048 s OFF' �0 P* G� Job Number: 14-042910 Date: 4/29/2014 SUBMITTAL #2 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. IThis program developed by EnergySoft, LLC — www.energysoft.com. EnergyPro 5.1 by EnergySoft User Number: 6249 RunCode: 2014-04-29T17:01:06 ID: 14-042910 I TABLE OF CONTENTS I Cover Page Table of Contents Form CF -1 R Certificate of Compliance Form MF -1 R Mandatory Measures Summary 2 3 10 EnergyPro 5.1 by EnergySoft Job Number: ID: 14-042910 User Number: 6249 1 PERFORMANCE CERTIFICATE: Residential Part 1 of 5 CF -1 R Project Name Tseng Addition Building Type m Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 4/29/2014 Project Address 10238 Cold Harbor Ave. Cupertino California Energy Climate Zone CA Climate Zone 04 Total Cond. Floor Area 2,925 Addition 1,223 # of Stories 2 FIELD INSPECTION ENERGY CHECKLIST ❑ Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form. ❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details. INSULATION Construction Type Area Special Cavity (ft`) Features (see Part 2 of 5) Status Floor Wood Framed w/Crawl Space None 1,702 Existing Wall Wood Framed None 1,278 Existing Door Opaque Door None 84 New Roof Wood Framed Attic R-11 660 Existing Floor Wood Framed w/Crawl Space R-19 181 New Wall Wood Framed R-13 1,581 New Roof Wood Framed Attic R-30 1,223 New FENESTRATION U- Orientation Area(ft`) Factor Exterior SHGC Overhang Sidefins Shades Status Left (N) 63.0 0.340 0.31 none none Bug Screen New Left (N) 33.3 0.530 0.65 none none Bug Screen Existing Rear (E) 117.8 0.340 0.31 none none Bug Screen New Rear (E) 12.0 1.280 0.80 none none Bug Screen Existing Right (S) 36.0 1.280 0.80 none none Bug Screen Existing Front (W) 174.9 0.340 0.31 none none Bug Screen New Right (S) 13.5 0.340 0.31 none none Bug Screen New HVAC SYSTEMS Qty. Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback New 1 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION Location Heating Duct Cooling Duct Location R -Value Status 1st Floor HVAC System Ducted Ducted Garage 4.2 Existing 2nd Floor HVAC System Ducted Ducted Attic, Ceiling Ins, vented 6.0 New WATER HEATING Qty. Type Gallons Min. Eff Distribution Status Ener Pro 5.1 by Ener Soft User Number: 6249 RunCode: 2014-04-29T17:01:06 ID: 14-042910 Pa e —3of 12 PERFORMANCE CERTIFICATE: Residential (Part 2 of 5) CF -1 R Project Name Tseng Addition Building Type ® Single Family ❑ Addition AloneDate ❑ Multi Family m Existing+ Addition/Alteration 4/29/2014 SPECIAL FEATURES INSPECTION CHECKLIST The enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. HERS REQUIRED VERIFICATION Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a completed CF -4R form for each of the measures listed below for final to be given. Ener Pro 5.1 by Ener Soft User Number: 6249 RunCode: 2014-04-29T17:01:06 ID: 14-042910 Pa e 4 of 12 PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF -1 R Project Name Building Type ❑ Single Family ❑ Addition Alone Date Tseng Addition ❑ Multi Family m Existing+ Addition/Alteration 4/29/2014 ANNUAL ENERGY USE SUMMARY Standard Proposed Margin TDV (kBtu/V- r) Space Heating 50.63 45.07 5.56 Space Cooling 13.50 12.42 1.08 Fans 9.34 8.63 0.71 Domestic Hot Water 13.76 13.76 0.00 Pumps 0.00 0.00 0.00 Totals 87.23 79.88 7.35 Percent Better Than Standard: 8.4% BUILDING COMPLIES - NO HERS VERIFICATION REQUIRED Fenestration Building Front Orientation: (tM 270 deg Ext. Walls/Roof Wall Area Area Number of Dwelling Units: 1.00 (w) 828 175 Fuel Available at Site: Natural Gas (N) 869 96 Raised Floor Area: 1,883 (E) 828 130 Slab on Grade Area: 0 (S) 869 50 Average Ceiling Height: 8.9 Roof 1,883 0 Fenestration Average U -Factor: 0.45 TOTAL: 451 Average SHGC: 0.39 Fenestration/CFA Ratio: 15.4% REMARKS STATEMENT OF COMPLIANCE CABEC This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 the Administrative Regulations and Part 6 the California Association LNIQ io lot RDA olNI AC Ener yConsultnnts Efficiency Standards of the California Code of Regulations. Timothy Cantein R08-06-210 The documentation author hereby certifies that the documentation is accurate and complete. Documentation Author Company Carstairs Energy Calculations 4/29/2014 P.O. Box 4736 Timothy Carstairs, CEA, CEPE Address Name y !4� �/ Cit /State/Zi San Luis Obispo, CA 93403 Phone (805) 904-9048 Signe Date The individual with overall design responsibility hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application, and recognizes that compliance using duct design, duct sealing, verification of refrigerant charge, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Company DL Architecture & Planning Address 616 Ramona Street Ste. 21 Name City/State/Zip Palo Alto, CA 94301 Phone (650) 321-2808 Signed Li se # Date Ener Pro 5.1 by Ener Soft User Number: 6249 RunCode: 2014-04-29T17:01:06 ID: 14-042910 Pae 5 of 12 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Tseng Addition Building Type m Single Family ❑ Addition Alone ❑ Multi Family M Existing+ Addition/Alteration Date 1412912014 OPAQUE SURFACE DETAILS Surface Type Area U Insulation Joint Appendix Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Floor 1,702 0.097 None 0 180 Existing 4.4.1-A1 Existing 1st Floor Wall 148 0.356 None 270 90 Existing 4.3.1-A1 1st Floor Door 18 0.500 None 270 90 New 4.5.1-A4 -Existing Existing 1st Floor Wall 377 0.356 None 0 90 1 Existing 4.3.1-A1 Existing 1st Floor Wall 367 0.356 None 1 90 90 Existing 4.3.1-A1 Existin 1st Floor Wall 387 0.356 None 180 90 Existing 4.3.1-A1 Existing 1st Floor Door 18 0.500 None 180 90 New 4.5.1-A4 Existing 1st Floor Roof 660 0.079 R-11 90 18 Existing 4.2.1-A2 Existing 1st Floor Roof 1,042 0.079 R-11 0 0 Remove 4.2.1-A2 Existing 1st Floor Wall 284 0.356 None 270 90 RemoveG 4.3.1-A1 Existing 1st Floor Floor 181 0.037 R-19 0 180 New 4.4.1-A4 1stFloor Addition Wall 147 0.102 R-13 270 90 New 4.3.1-A3 1st Floor Addition Door 48 0.500 None 270 90 New 4.5.1-A4 1 st Floor Addition Wall 54 0.102 R-13 0 90 New 4.3.1-A3 1st Floor Addition Wall 54 0.102 R-13 180 90 New 4.3.1-A3 1 st Floor Addition Roof 181 0.031 R-30 1 180 18 1 New 14.2.1-A20 1stFloor Addition FENESTRATION SURFACE DETAILS ID Type Area U -Factor SHGC2 Azm Status Glazing Type Location/Comments 1 Window 24.0 0.340 NFRC 0.31 NFRC 0 New Double Non Metal Clear Existing 1st Floor 2 Window 7.0 0.340 NFRC 0.31 NFRC 0 New Double Non Metal Clear Existing 1st Floor 3 Window 33.3 0.530 Default 0.65 Default 0 Existing French Door Existing 1st Floor 4 Window 19.3 0.340 NFRC 0.31 NFRC 90 New Double Non Metal Clear Existing 1st Floor 5 Window 25.0 0.340 NFRC 0.31 NFRC 90 New Double Non Metal Clear Existing 1st Floor 6 Window 7.0 0.340 NFRC 0.31 NFRC 90 New Double Non Metal Clear Existing 1st Floor 7 Window 10.0 0.340 NFRC 0.31 NFRC 90 New Double Non Metal Clear Existing 1st Floor 8 Window 10.0 0.340 NFRC 0.31 NFRC 90 New Double Non Metal Clear Existing 1st Floor 9 Window 12.0 1.280 Default 0.80 Default 90 Existing Single Metal Clear Existing 1st Floor 10 Window 6.0 1.280 Default 0.80 Default 180 Existing Single Metal Clear Existing 1st Floor 11 Window 6.0 1.280 Default 0.80 Default 180 Existing Single Metal Clear Existing 1st Floor 12 Window 24.0 1.280 Default 0.80 Default 180 Existing Single Metal Clear Existing 1st Floor 13 Window 11.3 0.340 NFRC 0.31 NFRC 270 New Double Non Metal Clear 1st Floor Addition 14 Window 11.3 0.340 NFRC 0.31 NFRC 270 New Double Non Metal Clear 1st FloorAddition 15 Window 30.0 0.340 NFRC 0.31 NFRC 270 New Double Non Metal Clear 1st Floor Addition 16 1 Window 30.0 0.340 NFRC 0.31 NFRC 270 New Double Non Metal Clear 1st Floor Addition (1) U -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value (2) SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window H t Wd Ove hang Left Fin Right Fin Len H t LEA RExt Dist Len H t Dist Len H t 1 Bug Screen 0.76 2 Bug Screen 0.76 3 Bug Screen 0.76 4 Bug Screen 0.76 5 Bug Screen 0.76 6 Bug Screen 0.76 7 Bug Screen 0.76 8 Bug Screen 0.76 9 Bug Screen 0.76 10 Bug Screen 0.76 11 Bug Screen 0.76 12 Bug Screen 0.76 13 Bug Screen 0.76 14 Bug Screen 0.76 15 Bug Screen 0.76 16 JBug Screen 0.76 Ener Pro 5.1 by Ener Soft User Number. 6249 RunCode: 2014-04-29717:01:06 ID: 14-042910 Page 6 of 12 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R Project Name Tseng Addition Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 4/29/2014 OPAQUE SURFACE DETAILS Surface Type Area Ll- Factor Insulation Joint Appendix Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments Wall 292 0.102 R-13 270 90 New 4.3.1-A3 2nd Floor Addition Wall 342 0.102 R-13 0 90 New 4.3.1-A3 2nd Floor Addition Wall 332 0.102 R-13 90 90 New 4.3.1-A3 2nd Floor Addition Wall 361 0.102 R-13 180 90 New 4.3.1-A3 2nd Floor Addition Roof 1 1,042 0.031 R-30 I 1 01 0 New 4.2.1-A20 2nd Floor Addition FENESTRATION SURFACE DETAILS ID Type Area LI -Factor SHGC Azm Status Glazing Type Location/Comments 17 Window 6.0 0.340 NFRC 0.31 NFRC 270 New Double Non Metal Clear 1st Floor Addition 18 Window 10.0 0.340 NFRC 0.31 NFRC 270 New Double Non Metal Clear 2nd Floor Addition 19 Window 10.0 0.340 NFRC 0.31 NFRC 270 New Double Non Metal Clear 2nd Floor Addition 20 Window 20.0 0.340 NFRC 0.31 NFRC 270 New Double Non Metal Clear 2nd Floor Addition 21 Window 10.0 0.340 NFRC 0.31 NFRC 270 New Double Non Metal Clear 2nd Floor Addition 22 Window 10.0 0.340 NFRC 0.31 NFRC 270 New Double Non Metal Clear 2nd Floor Addition 23 Window 20.0 0.340 NFRC 0.31 NFRC 270 New Double Non Metal Clear 2nd Floor Addition 24 Window 6.3 0.340 NFRC 0.31 NFRC 270 New Double Non Metal Clear 2nd Floor Addition 25 Window 16.0 0.340 NFRC 0.31 NFRC 0 New Double Non Metal Clear 2nd Floor Addition 26 Window 4.0 0.340 NFRC 0.31 NFRC 0 New Double Non Metal Clear 2nd Floor Addition 27 Window 6.0 0.340 NFRC 0.31 NFRC 0 New Double Non Metal Clear 2nd Floor Addition 28 Window 6.0 0.340 NFRC 0.31 NFRC 0 New Double Non Metal Clear 2nd Floor Addition 29 Window 25.0 0.340 NFRC 0.31 NFRC 90 New Double Non Metal Clear 2nd Floor Addition 30 Window 8.0 0.340 NFRC 0.31 NFRC 90 New Double Non Metal Clear 2nd Floor Addition 31 Window 1 6.01 0.340 NFRC 0.31 NFRC 90 New Double Non Metal Clear 2nd Floor Addition 32 1 Window 1 7.51 0.340 1 NFRC 0.31 NFRC 90 i New Double Non Metal Clear 2nd Floor Addition (1) 1 -1 -Factor Type: 2 SHGC Type: 116-A = Default Table from Standards, NFRC = Labeled Value 116-B = Default Table from Standards, NFRC = Labeled Value EXTERIOR SHADING DETAILS ID Exterior Shade Type SHGC Window Holt Wd Ove hang Len H t LExt Left Fin Right Fin RExt Dist Len H t Dist Len H t 17 Bug Screen 0.76 18 Bug Screen 0.76 19 Bug Screen 0.76 20 Bug Screen 0.76 21 Bug Screen 0.76 22 Bug Screen 0.76 23 Bug Screen 0.76 24 Bug Screen 0.76 25 Bug Screen 0.76 26 lBug Screen 0.76 27 Bug Screen 0.76 28 Bug Screen 0.76 29 Bug Screen 0.76 30 Bug Screen 0.76 31 Bug Screen 0.76 32 Bug Screen 0.76 Ener Pro 5.1 by Ener Soft User Number: 6249 RunCode: 2014-04-29717:01:06 ID: 14-042910 Page 7 of 12 CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF-1 R Project Name Tseng Addition Building Type ri Single Family 0 Multi Family ■ Addition • - [0 Existing+ Addition/Alteration 0. OPAQUE SURFACE DETAILS 4 Location/Comments FENESTRATION Double Non Metal Clear 2nd Floor Addition Double Non Metal Clear 2nd Floor Addition (1) Ll-Factor Type: 11 6-A = Default Table from Standards, NFRC = Labeled Value (2) SHGC Type: 11 6-B = Default Table from Standards, NFRC = Labeled Value EXTSHADING DETAILS ERIOR CERTIFICATE OF COMPLIANCE: Residential (Part 5 of 5) CF -1 R Project Name Tseng Addition Building Type ❑ Single Family ❑ Addition Alone ❑ Multi Family m Existing+ Addition/Alteration Date 1412912014 BUILDING ZONE INFORMATION System Name Zone Name Floor Area ft New Existing Altered Removed Volume Year Built 1st Floor HVAC System Existing 1st Floor 1,702 15,318 1968 1 st Floor Addition 181 1,448 2nd Floor HVAC System 2nd Floor Addition 1,042 9,378 Totals 1,223 1,702 0 0 HVAC SYSTEMS System Name Qty. Heating Type Min. Eff. Cooling Type Min. Eff. Thermostat Type Status 1st Floor HVAC System 1 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback New 2nd Floor HVAC System 1 Central Furnace 80% AFUE Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION System Name Heating Duct Cooling Duct Location R -Value Ducts Tested? Status 1st Floor HVAC System Ducted Ducted Garage 4.2 ❑ Existing 2nd Floor HVAC System Ducted Ducted Attic, Ceiling Ins, vented 6.0 ❑ New WATER HEATING SYSTEMS S stem Name Qty. Type Distribution Rated Input Btuh Tank Cap. al Energy Factor or RE Standby Loss or Pilot Ext. Tank Insul. R- Value Status Standard Gas 50 gal or Le 1 Small Gas No Pipe Insulation 40,000 50 0.58 n/a n/a Existing MULTI -FAMILY WATER HEATING DETAILS HYDRONIC HEATING SYSTEM PIPING Control Hot Water Piping Length ft a - Q — System Name Pipe Length Pipe Diameter Insul. Thick. Qty. HP Plenum Outside Buried El Ener Pro 5.1 by Ener Soft User Number: 6249 RunCode: 2014-04-29T17:01:06 ID: 14-042910 Page 9 of 12 MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1 R Project Name Tseng Addition Date 4/29/2014 NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF - 1 R -ALT Form) shall supersede the items marked with an asterisk (`) below. This Mandatory Measures Summary shall be incorporated into the permit documents, and the applicable features shall be considered by all parties as minimum component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R Form with plans. Building Envelope Measures: 116(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. §116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified Ll -Factor, certified Solar Heat Gain Coefficient SHGC , and infiltration that meets the requirements of 10-111 (a). 117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed. 118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form. §118(1): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(i) when the installation of a Cool Roof is specified on the CF -1 R Form. 150(a): Minimum R-19 insulation in wood -frame ceiling orequivalent LI -factor. 150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value. *§1 50(c): Minimum R-13 insulation in wood -frame wall orequivalent LI -factor. *§1 50(d): Minimum R-13 insulation in raised wood -frame floor orequivalent LI -factor. 150(f): Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95 2000 when specified on the CF -1 R Form. 150 : Mandatory Vapor barrier installed in Climate Zones 14 or 16. §150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no qreater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration. Fireplaces, Decorative Gas Appliances and Gas Log Measures: 150 e 1 A: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §150(e)1 B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device. §150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the building, are prohibited. Space Conditioning, Water Heating and Plumbing System Measures: §110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy Commission. §113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §113(c)5. §115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and spa heaters. 150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA. 150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c). §150(j)1A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater. §150(j)1 B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank. §150(j)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes are insulated per Standards Table 150-B. §150(j)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. §150(j)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A. §150(j)3A: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. §150(j)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space. 150(j)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. EnergyPro 5.1 by EnergySoft User Number: 6249 RunCode: 2014-04-29T17:01:06 ID: 14-042910 Page 10 of 12 MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R Project Name Date Tseng Addition 4/29/2014 §150(m)l : All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R- 4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used §150(m)l : Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. §150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. 150(m)7: Exhaust fans stems have back draft or automatic dampers. §150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. 150 m 10: Flexible ducts cannot have porous inner cores. §150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and Equipment Measures: §114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating ora pilot light. §114(b)l : Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return lines, or built-up connections for future solar heating. 114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover. §114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or programmed to run only during off-peak electric demand periods. 150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150 Residential Lighting Measures: §150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in Table 150-C and is not a low efficacy luminaire asspecified by §150(k)2. §150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d). §150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. §150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line - voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a medium screw -base socket. 150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k). §150(k)7: All switching devices and controls shall meet the requirements of §150(k)7. §150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a manual -on occupant sensor. §150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated cabinet. EnergyPro 5.1 by EnergySoft User Number: 6249 RunCode: 2014-04-29T17:01:06 ID: 14-042910 Page 11 of 12 MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R Project Name Date Tseng Addition 4/29/2014 §150(k)10: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms shall be high efficacy. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on occupant sensor certified to comply with the applicable requirements of §119. EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a manual -on occupancy sensor. §150(k)l 1: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual - on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less than 1000 square feet located on a residential site is not required to comply with §150 k 11. §150(k)12: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between the luminaire housing and ceiling. §150(k)l3: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor, and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor luminaires used to comply with Exceptionl to §150(k)l3 may be controlled by a temporary override switch which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not be high efficacy luminaires. §150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five watts of power as determined according to §130(d). §150(k)l5: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable requirements of Sections 130, 131, 134, and 146. §150(k)16: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119. EnergyPro 5.1 by EnergySoft User Number: 6249 RunCode: 2014-04-29T17:01:06 ID: 14-042910 Page 12 of 12 r" i - SSU sJ CUPERTINO OWNER -BUILDER DISCLOSURE FORM COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingancupertino.org Dear Property Owner(s): An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at: SITE ADDRESS : _ ....APN... BPS OWNERNA � OWNER ADDRE S 02 Gi/1� Y ,N�t C' DESCRIPTION OF V 6' We are providing you with an Ownet-Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION (DIRECTIONS: Please read and initial each statement below to signify you understand or verify this information.) __� _1. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner - Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injcrries to workers on my property. 2. 1 understand. building permits are not required to be signed by property owners unless they are responsible for t e construction and are not hiring a licensed Contractor to assume this responsibility. 3. 1 understand as an "Owner -Builder" I am the responsible party of record on the permit. 1 understand that I may r tect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. T 5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the totbl value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. 6. 1 understand if I am considered an "employer" under state and federal law, I must register with the state and e ral government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. 7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family res dential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for ` financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. OwnerBuilderForm 2010.doc revised 04/14/10 77 9. I understand I may obtain more information regarding my obligations as an 'employer" from the Internal TFenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors. 10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the site address listed above. 11. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by II applicable laws and requirements that govern Owner -Builders as well as employers. 412. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the in otmation 1 -have -provided on this form. Licensed contractors are regulated by-laws designed to protect .the.. public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a. result of a complaint—Your only remedy against unlicensed Contractors may, be in civil court. Itis also important for you -to understand that if an unlicensed Contractor or employee of that individual or firm is injured .while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors- are properly licensed and the status of their workers' compensation insurance coverage. CONSTRUCTION LENDING AGENCY (DIRECTIONS: Please complete the following construction lending agency information.) I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Lender Name: Lender Address: Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verlficatio table to the city may be required to be presented when the permit is issued to verif v the property owners sigrmture. n / , ---------------------------------------------------------------------- --- - - - - - - `w_ - - - - -a- - - (NOTE: The following Authorization Form is required fo be o lefed by the property owner only hen designating n agent of the property owner to apply for a construction per or the Owner -Builder). AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER`S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the properly owner's drivers license, form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: OwnerBuilderForm 2010.doc revised 04/14/10 Project Name Project Address: Project Description CALGREEN SIGNATURE DECLARATIONS l q05- m v 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 Califomia Green Building Standards Code as adopted by Pie City of Cupertino Zler eN Owner's Design - cif—ITSEN�' Pria*t Signature N Professional ponsibie for CalGreen compliance Name of License Professional responsible for CalGreen compliance (Please Print) Email Address for License Professional responsible for CalGreen compliance SECTION 2 - IMPLEMENTATION VERIFICATION Date Date Phone Complete, sign and submit the competed checklist, including column 3. together with all or(rjinal signatures on Section 2 to the Building Department prior to Building Department final inspection j`` I have inspected the work and have received sufficient documentation to verify and certify that the project identified above was con rutted in accorda the 2013 Ca)ince with this Green Building Checklist and in accordance with the requirements of O' O Grepl mg Standards Code as adopted by the City of Cupertino for CalGreen compliance to Name of License Professional responsible for CalGreen compliance (Please Print) Email Address for License Professional responsible for Galureen C Date' 15L Phone �q "b D CalGreen 2014.doe revised 01,115114