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B-2016-1476CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1476 10275 S DE ANZA BLVD CUPERTINO, CA 95014-3026 (359 17 001) (AD ART INC) SAN FRANCISCO, CA 94134 OWNER'S NAME: ALLARIO ROBERT L TRUSTEE ALLARIO DATE ISSUED: 03/07/2016 OWNER'S PHONE: 415-869-6460 PHONE NO: 650-255-9187 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-45 Lic. #826051 Contractor (AD ART INC ) Date 03/07/2016 X BLDG —ELECT _PLUMB — MECH RESIDENTIAL X COMMERCIAL I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing — — — with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: "CRAB LOVER" - INSTALL 1 (N) ILLUMINATED WALL SIGN I hereby affirm under penalty of perjury one of the following two declarations: 1. I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the erformance of the work for which this permit is issued. r 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 Sq. Ft Floor Area: Valuation: $5000.00 this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county Number: Occupancy Type: ordinances and state laws relating to building construction, and hereby 359 17 001 359 authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and PERMIT EXPIRES IF WORK IS NOT STARTED expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal 180 D AST CA ED INSPECTION. Code, Section 9.18. Issued by: M Signatu '`� Date 03/07/2016 Date: 03/07/2016 OWNER -B DECLARATION RE -ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of the All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: installed without first obtaining an inspection, I agree to remove all new materials for 1. I, as owner of the property, or my employees with wages as their sole inspection. compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) Signature of Applicant: 2. I, as owner of the property, am exclusively contracting with licensed Date: 03/07/2016 contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the 2. I have and will maintain Worker's Compensation Insurance, as provided for California Health & Safety Code, Sections 25505, 25533, and 25534. I will by Section 3700 of the Labor Code, for the performance of the work for which maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the this permit is issued. Health & Safety Code, Section 25532(a) should I store or handle hazardous 3. 1 certify that in the performance of the work for which this permit is issued, I material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the 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 Worker's Compensation laws of California. If, after making this certificate of the Health & Safety Code, Sections 25505, 25533, and 25534. 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 Owner or authorized agen be deemed revoked. Date: 03/07/2016 APPLICANT CERTIFICATION CONSTRUC LENDING AGENCY certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant ARCHITECT'S DECLARATION understands and will comply with all non -point source regulations per the I understand my plans shall be used as public records. Cupertino Municipal Code, Section 9.18. Licensed Professional Signature Date 03/07/2016 SIGN PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - building(-)cupertino.org 'J PROJECT ADDRESS J ^ � � � , (� � ^ / ? � J L' V Lam- APN OWNER NAMF, PHONE E-MAIL STREET ADDRESS �i��XlC-�/w1,! CITY, STATE, -1 FAX � CONTACT NAME��V� � �� PHONE lr5-�� 60 E-MAIL STRE V DRESSY 13 CITY, STA ZIP _ �� ei4�Yi3 FAX �� kl ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ,CONTRACTORNTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR N!:J:,L . LICENSE NUMBED LICENSE TYPE BUS. LIC #� 1?J e �J COMPANY NAME 1 ) / E-MAIL FAX STREET ADDRESS /5 �l /-^/ �-��f J l= C - CITY, STAT, Z�P� ^��T �! PHONE 6 7` d/ ARCHITECT/ENGINEER NAME LICENSE NU�ffiE��R BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK / USE OF F] SFD or Duplex ❑ Multi -Family U,LUMINATED SIGN TYPE NO. OF SIGN AREA VALUATION STRUCTURE: Ommercial (Y; N) (CODE) SIGNS (SQ. FT.) (S) SIGN TYPE CODES: 321, B - BANNER SIGN M - MONUMENT (GROUND) SIGN BL - BLADE SIGN P - PROJECTINGSIGN D - DEVELOPMENT ID SIGN SP - SPECIAL EVENT BANNER DI - DIRECTIONAL SIGN T - TEMPORARY E - ELECTRONIC W - WALL SIGN READERBOARD WI - WINDOW SIGN RECE = TOTAL VALUATION: Oe,, dd By my signature below, I certify to each of the following: I am Te -property, owner or authorized a- t to act on the erty owner's behalf. I hav reg application and the information I have provided is correct. I have read the Description of Work verify it is a ate. I agree to comply with all applicable local ordinances and state laws relating to building cwwffTc on. I onze representatives of Cu ino to e e above-identifiedproperty for inspection purposes. Signature ofApplicandAgent: Date: 33 ` 7 ! b SUPPLEMENTAL INFORMATION REQUIRED _ .;,.. or�ICE usE oxL .. �_.£.A •. r lw. Site Plan PLAN_"cgEcx;rYPF ROUTING SLIP: .' _ Elevations tE ❑ EXPRESS r 77,DING PLAN REVIEW _ Sign Details - including UL listing(s) applicable ❑ `STANDARD PLANNING PLAN REVIEW Structural Calculations (if applicable) ❑ LARGE ❑ oTHEii_ _ _ . ; e' Copy of Planning Approval Letter or Meeting with Planning prior to ❑ >I�IAaoR k- ', F 6 �f _ submittal of Building Permit application. W x x{r Si,;nApp_2011.doc revised 03/16/11 COMMUNITY DEVELOPMENT DEPART -HENT BUILDING DIVISION - CUPERTINO APPROVED This set of plans _jr I specifications M1,,'ST be kept at the job site during cc,rstruction. It is uN,j-.'iiful to make any changes or n,terations on sarl,,e. or to deviate therefrom, without approval from the .wilding Official. The Stamping of -hr plan and specify; ahons SHALL NOT be held i,-) ("lit of the violation of an - J D016 1 r . l !f WEST ELEVATION Scale: 1/8" = 1'-0" INTERNALLY ILLUMINATED LETTERS/LOGO �V'�� O�`IC�� =ice. PL�C7T LANS CHECKIL l r DATE PLANNIWDEPI CUPERTINO CUPERT1140 gUildin9 �ePartsn MAR O 1 205 Scale: 1/2"= 1'-0" ;;;a De GOMpt"IANCE LOGO: 2.5 x 3.25 = 8.1 SQ FT AOR CO G Remove and discard existing faces & lighting from both illuminated signs. Reface & retrofit two (2) signs with LED illumination, as shown. Specifications: Description Specification/ Material Finish Color Logo 3" Alum w/ white acrylic face 3M As per customer artwork & digitally printed graphic overlay Letters 3" Alum w/ white acrylic face White Illumination White LEDs Returns to match other tenant letters I LW, --1 k eJ A i S16;Irj C C �� o" �45% '2 51GN C A 1, i t r=44—zs26—( C C:or, C3 _ ADART150 EXECUTIVE PARK BLVD., SUITE 2100 w PROJECT: T 415.869.64601 0, CA 94134 LOCATA E: =311 South 1).Anra Blvd, Cupertino CA = li P'A AS F 415.869.6480 DATE: To SALES: Tent'"Long — CA STATE CONTRACTORS LICENSE #826051 www.adart.com DESIGNER: Aubrey Thu — SCALE: See Calout REV`�V V GD "Deep Letters (Ma).) Rev1eWed BY 3" f=:7 SALES: CUSTOMER: PHOTO OVERLAY - N.T.S. CONCEPTUAL DRAWINGS ONLY: Dimensions are approximate 6 may change due to construction factors or exact field conditions. Colors shown are as close as printing will allow. Always follow written specifications. ALL RIGHTS RESERVED: This design has been created for you in connection with a project being planned for you by AD ART. It may not be shown to anyone outside your organization, and may not be reproduced in any manner without prior consent. 0 *inn m E 5'- 51/2" (Tenant Cabinet) DART 150 EXECUTIVE PARK BLVD., SUITE 2100 " PROJECT: ALOCATION: SAN FRANCISCO, CA 94134 41 10275 South DeAm 8K CuWdrio CA T 415.869.6460 DATE: 2123116 F 415.869.6480 SALES: Terry long CA STATE CONTRACTORS LICENSE #826051 www.adart.com DESIGNER:Aub y SCALE: See Callout actm 1 p1, a �aR p1 p`\PNCE N TENANT VINYL cc G� qT. BEMBO (MATCHES ORIGINAL) REv Ftev\e�ed 6`! n MONUMENT TENANT PANEL SPECIFICATIONS Scale: 3/8"=1'-0" ER:040 n< �\vp\d\�9 peP 2 Remove and discard existing d/f "Florentine Restaurant" vinyl. Manufacture & install two (2) sets of new tenant vinyl, as shown. Specifications: Description Specification/Material Finish Color Copy 1 st surface vinyl on white lexan 3M Black #3630-22 SALES: CUSTOMER: CONCEPTUAL DRAWINGS ONLY: Dimensions are approximate 6 may change due to construction factors or exact field conditions. Colors shown are as close as printing will allow. Always follow written specifications. ALL RIGHTS RESERVED: This design has been created for you in connection with a project being planned for you by AD ART. h may not be shown to anyone outside your 727 organization. and may not be reproduced in any manner without prior consent. STATE OF CALFORNIA SIGN LIGHTING red icnaNfA ENERGY COMMISS{Oid I* ;EC-NRCC-LTS-0- — - CERTiFICATE OF COMPLIANCE NRCC-LTA-01-E S(Page 1 of S) Sign Lighting D_ 7 �J�f-fes' /—(:,(1�� - J A. General Information Project Address: 4— Location "location of Signa L n -autdoor Sigm 0 Indoor Signs Phase of Sign Construction l'�,�ew Signs0 Alterations Type of Lighting Control 0 New Lighting Controls 0 Replaced Lighting Controls rKjNot Installing lighting Controls This Certificate of Compl-rance includes the folbwin6 components (check all that apply) O Mandatory Measures (Lighting Controls) 0 Ma)dmum Allowed Luting Power ��ecif`ec Lighting Sources 1_ Mandatory Sign lighting Controls NOTES-- 1- OTES_1- The same responsible person may install both the sign lighting power and the sign lighting controls, or a different responsible person may install the sign lighting controls than the responsible person installing the sign lighting power_ 2- The Mandatory Measures (sign lighting controls) are required for compliance with the sign lighting Standards_ if the person responsible for installing the sign righting power is not also responsible for the sign lighting controls, then the owner of the sign, general contractor, or architect shall be responsible to have the sign lighting controls installed- 3- nstalled3_ T more than one person has responsibility for compliance each responsible person shall prepare and sign a Certificate of Compliance and an installation Certificate applicable to the portion of construction for which they are responsible; alternatively, theperson with chief responsibr7ity for construction shall prepare and sign the Certificate of Compliance Declaration Statement for the entire avnshvctfon_ 1a-StaternentSv Ftesponsibir1ty- - -- -- - -- - Any person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01 E shat! complete Partla_ Check Yes or No for all of the fo{{owing statements: -- have responsibility for installing the sign lighting controls Eaere ls �o ousting si n C rti controls and t Will 6e insta{Cng compliant sign �gTihrang cont - - _ — There are no existing sign lighting controls and someone else will be responsible to install compliant sign lighting controls 3 Yes O No There are existing sign lighting controls that do not comply with the applicable provision of §110.9 and §0.3 and I will 13be 4 installing compliant sign lighting controls 0 Yes o There are existing sign lighting controls that do not comply with the applicable provision of §110-9 and §130.3 and someone 5 else will be responsible to install compliant sign lighting ntrols 0 Yes o CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance May 2015 STATE OF CALIFORNIA SIGN LIGHTING 10 CEG-NRCGlTS-01 evesed 05/1 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPl1ANCE NRPage 2 of 5: Sign Lighting (Page 2 of 5; Date Prepare& lb_ Mandatory Sign Lighting Controls If the person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E is responsible for complying with the sign iiighting control requirements, that person shall answer all of the following questions: If there are construction documents, indicate where on the building plans the mandatory measures (sign lighting control) note block can be located: 1 §1W3(a)1_ All indoor sign is controlled with an automatic time -switch control or astronomical time- Y❑ N NA switch control. la- §1303(a)2A. All outdoor sign lighting is controlled with a photocontrol in addition to an automatic time- Y N NA switch control, or an astronomical time -switch control_ 2 EXCEPTION to Section 1303(a)2A-- Outdoor signs in tunnels, and signs in large permanently covered outdoor Y NA areas that are intended to be continuously 1'ct, 24 hours per day and 365 days per year_ 0 §1303(a)2B_ All outdoor sign fighting that is ON both day and night is controlled with a dimmer that provides the ability to automatically reduce sign lighting power by a minimum of 65 percent during nighttime hours_ Y N NA Signs that are illuminated at night and for more than 1 hour during daylight hours shall be considered ON both 0 0 J�/ 3 day and night EXCEPTION to Section 1303(a)ZB: Outdoor signs in tunnels and large covered areas that are intended to be Y NA illuminated both day and night 0 §13 1-3(a)3_ Demand Responsive Electronic Message Center Control_ An Electronic Message Center (EMC) Y N N/A having a new connected lighting power load greater than 15 kW has a control installed that is capable of 0 4 reducing the lighting power by a minimum of 30 percent when receiving a demand response signal_ --- ----- -- -- ---- - -- -- -- -- _ - Y EXCEPTION to Section 1303(a)3: Lighting for EMis not permitted Cs that by a health or life safety statute, ordinance or regulation to be reduced by 30 percent - Field Inspector Notes: CA Building Energy Efficiency Standards - 2013 Nonresidential Compiiance i -- CUPERTINO wilding Department MAR 07 2010 EVIcV'JED FOR CODE -COMPLIANCE `reviewed 13y May Z015 I STATE OF CALIFORNIA SiGN LIGHTING STATE OF CALIFORNIA SIGN LIGHTING CEC-NRCC-ITS-OI-E Revised 05115 CALIFORNIA ENERGY COMMISSION CE GNRCC-LTS�'11 Reveled OSJ15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E CERTIFICATE OF COMPLIANCE NRCC-LTS-01 Sign Lighting (Page 3 of 5) Sign Lighting (Page 4 of i Z_ Maximum Allowed Lighting Power Method of Compliance 3_ Specific Lighting Source Method of Compliance Certificate of Compliance and Feld Inspection Energy Checklist Certificate of Compliance and Field Inspection Energy Checklist Complete this part if there are signs using the maximum allowed lighting power metho/�,corn pliance_ (Complete part 3 of Complete this part if there are signs using the Specific lighting source method of compliance_ (Complete part 2 of this CertificatE this Certificate of Compliance if there are signs using the Specific lighting sources me od of compliance) of Compliance if there are signs using the maximum allowed lighting power method of compliance) A B C D E F G H I J A B =_ C D E Fated 0Vn0NAL Specific light source used for Field linspector- Symbol OPTIONAL- Energy Design Complies inspector or Description of the Sign Verified Label (see Allotted Watts Watts Y/N Check that Symbol ENERGY VERIFIED compliance Cfie& that Si Code instructions below} sign complies or Description label Shall include only lighting Code (see instructions technologies listed below below) List all that apply _ o — Y aVTEl LL Y 0 Q3 co C y X O of �r% ❑ + - ra [� 7 H C m X O C - V vt s= W u! Q i"' 0 ❑ F'i / � A Symbol or code used on the plans (when plans are required) and other documents_ ❑ B A narrative description of the sign, or location of sign on the building; and the location of sign on construction documents �/% ❑ C OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory4ristalled ENERGY VERIFIED label, confirming that this sign complies with the Section 140-8 of the California 2013 Title 24, Part 6 Standards, using the Specific Lighting Source Method of Compliance_ The ED only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by Underwriters Laboratories (UL) or % other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards institute in accordance with iSO/IEC -1011_ SunreilFar>Ee-b---credited Certification Body shall be an of �annual-inspection program-carried-ou `D' ❑ in accordance with ISOITEC 27020_ For signs with such an ENERGY VERIFIED label, column is not required to be filled out Note: Using an ❑ ENERGY VERIFIED label is an optional method to validate compliance_ An ENERGY VERIFIED label is not needed for compliance_ ❑ ❑ Specific Light Source Compliance Method_ The sign(s) identified above use only the following fighting technologies: ball, applicable numbers fl througft 9jAha+ appL_ in Ed in=Dabe_vf_-for eadh--rew= -- - -- - - - —__ - ❑ 1 High pressure sodium lamps _ _ - ❑- --- -- _ _ _ - -- - - ❑ _ a #a�r�s-tita� sr- ee�mrc _a _ a-mrmrmsm - -88 Ferre - r= __ ❑ 2 greater_ Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage ❑ ❑ when tested according to ANSI C82-6-2005- A Symbol or code used on the plans (wfieplans are required) and other documents_ Metal halide lamps that are pulse start that are 320 watts or smaller, are not Z50 watt or 175 watt lamps, and are served by B A description of the sign, or location of sign on the building; and the location of sign on construction documents_ 3 a ballast that has a minimum efficiency of 80 percent OPTIONAL - Check this box only if thi sign has a permanent, pre-printed, factory-installed, ENERGY VERIFIED label, confirming that the Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when tested sign complies with the Section 140_ of the California 2013 Title 24, Fart 6 Standards, using the Maximum Allowed Lighting Power according to ANSI 082.6 2005_ method of compliance_ The only i els that wilt be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 75 percent Underwriters Laboratories (UL) other Product Certification Body accredited to ISO/iEC Guide 65 by the American National Standards D 4 when the transformer or ower supply rated o p ppiy output current is less than 50 niA_ The ratio of the output wattage to the input wattage is at C institute in accordance with /IEC 170'1 Surveillance by the Accredited Certification Body shall be an ongoing annual inspection 100 percent tubing load_ program carried out by a Ty A inspection body in accordance with ISO/IEC 17020_ For signs with such an ENERGY VERIFIED label, Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 68 percent columns `D' through `I' are n t required to be filled out Note: Using an ENERGY VERIFIED label is an optional method to validate 5 when the transformer or power supply rated output current is 50 mA or greater_ The ratio of the output wattage to the input wattage is at compliance- An ENERGY VE IFiED label is not needed for compliance- 100 percent tubing load_ D The sign area in square fegt 6 Fluorescent lighting systems meeting one of the following requirements: A_ Use only lamps with a minimum color rendering index (CRI) of E List `I" if the sign is iriterp ally illuminated_ List "E" if the sign is externally illuminated_ 80; or B. Use only electronic ballasts with a fundamental output frequency not less than ZO kHz_ F Allowed watts per squq e foot_ Enter 12 if the sign is listed as `I- in column E Enter 23 if sign is listed as "E' in column E_ 7 Light emitting diodes (LEDs) with a power supply having an efficiency of 80 percent or greater- G Multiply the square f otage in column D times the allowed Lighting Power Density (LPD = watts) in column F_ Single voltage external power supplies that are designed to convert 120 volt AC input into lower voftage DC or AC output, and have a H Show the total instafled watt; in One sign, as determined ed according tc'd a applicable provisions of §130(c)- $ nameplate output power less than or equal to 250 watts, shall comply with the applicable requirements of the app( anee Efficiency I Enter Y if the num r in column H is less than or equal to the number in column G_ Otherwise, the sign does not comply_ Regulations (Trtle 20)_ ` J This page double¢ as a Meld inspection checklist 9 1 Compact fluorescent lamps that do not contain a medium screw base sockets (E24/E26)_ ep2 Feld Inspector Notes: E This page doubles as a field inspection checklist Field Inspector Notes: t i Avia., 7_01 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance May 2015 • 3uiici =:,ar= - '=cie ai Star:.dar s - : =3 '��'= res=de"Fiat L mpi.iance -� - STATE OF CALIFORNIA SIGN LIGHTING10 CEC-NRCC-LTS-01 Q5J�5 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 5 of 5) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT — --- 1- I certify that this Certificate of Compliance documentation is accurate and complete- Documentation Author Name: ) Documentation A fgr E Cornpargr �! tr Sgrutre Date. L Address= SC)��i�� CEA Certification identification (if apprrcabtel: 775 _5 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1- The information provided on this Certificate of Compliance is true and correct 2- 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer)- 3- The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations- 4- 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- s_ 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the budding, and made available to the enforcement agency for all applicable inspections- I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides t9 #fie building owner at occupancy- Responsibie Designer Name_ r Responsible Des>Bier Sgnature= 1 Company = Date Sgned= Address= r-- License c�r - - - �V�,ERTIND�t 0111 m PL ---�"` 0 E (;OM PL C�� ge\�\eWed CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance May 2015