16010036CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 886 E ESTATES DR
CONTRACTOR: A-1 HEATING AND PERMIT NO: 16010036
COOLING
OWNER'S NAME: SINGH KHETHAVATH P AND KHETHAVATH J
476 W TAYLOR ST DATE ISSUED: 01/06/2016
OWNER'S PHONE: 4083400558
SAN JOSE, CA 95110 PHONE NO: (408) 283-9915
LICENSED CONTRACTOR'S DECLARATION
9L
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑
(480'3
REPLACE FURNACE (80 BTUS)
License Class ,- , Li (0
Contractor 1. Date 1 ` (�P 0
I hereby affirm that I am lic under t� provisions of Chapter 9
JkDivisl'on
(commencing with Section 7000) 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: $2915
of the work for which this permit is issued.
ha e and will maintain Worker's Compensation Insurance, as provided for by
io 700 of the Labor Code, for the performance of the work for which this
J
APN Number: 36924006.00
Occupancy Type:
permit issued.
PP
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 Cityof Cupertino against liabilities, judgments,
J
costs, and expenses which may accrue against said City in consequence of the
t / 6 J /
Issued by: i, rU Date: / I O
granting of this permit. Additionally, the applicant understands and will comply
with all non -point sour regulations Cupertino Municipal Code, Section
9.18.
Signature ` Date- ' CP ( &
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed'. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
Q OWNER -BUILDER DECLARATION
Signature of Applicant: c 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)
I, 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(x) 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 BayArea Air uality Management District I
performance of the work for which this permit is issued.
will maintain compliance with the upertino nci al Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, Sectio 2550 , 5 3, ad 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
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
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
GENERAL PERMIT APPLICATIONM E P"
61 VljCOlVMUNITY DEVELOPMiENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
%. 5
(1-08) 777-3228 FAX (408) 777-3333 building5ouoerino.or4
CUP: RTIN0-
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CONTACT KkN.E5 . �j (, ie y CTi ll
PHONE2C-3-996
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STP,: -=T ADDRESS 14-1(p ji
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CITY-STATE ZIP
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LICENSE NU?„EER
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CON1myAA/-
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STREET ADDRESS
CITY, STATE, ZIP
I PHONE
USE OF V2FD or DT PL,: ❑ multi-r:u"ZLY . PRMCT N A'MDLF D ❑ YES PROT-CT IN ❑ Y zS
LS THE BLDG AN YES
BUTT. EVIG: E]CO1,0,F—Pcl. T, I U-RBANL�i�ftf?C=AP17-kT'�0 - FLOOD ZOME O
BIC_z” ERHOMM ti0
DESCRIPTIONT OF WORK
TOTA,V'ALUATIO
.
-------------
By
Byy siQaatue belAw,Ice iry to each of fie ollowing:
amhe .ope., e;; ner or znuorzed 2eent to act on the p-ope y owner's befi -_ I have read th s
aapLcation and he infoa ioa I have provid is .ect
Viz; ezd the esc 7a�en of \F,7akd t e;fj :t is accn zte, I a�Tee to cosply ti;:iu 211 applicable local
ico'
crehznces 2_d smote la;; s relit ng to bviidL, or,,", L
I G>> ori e p eat ii; es of CLuea ao to eBie: the above -ie atified property for mspec ioa pLposes.
Siya reoiApp'_ic�n/-.gent:
Date:
STJ- PL E1\T1T-:N, ,-A,—T L�TFORv-AT�QULRED
a
- OFFS.
s
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5
11/E?1/isc1pp_2011.c roc revised 06/21/11
CITY OF CUPERTINO
Ww FFF. F.CTIMATOR — RITILDING DIVISION
886 E Estates Dr
FEE
DATE: 01106/2016
REVIEWED BY: Phuong
JimADDRESS:
APN: 369 24 006
BP#:
'EVALUATION: 1$2,915 —�
-PERMIT TYPE: Mechanical Permit
PLAN CHECK TYPE: Alteration / Addition / Repair
PRIMARY
SFD or Duplex
USE:
PME Plan Check:
PENTAMATION
FURN/AC
PERMIT TYPE:. �
WORK I
Replace furnace 80 BTUs
SCOPE
,
Mech. Plan Check 10.0 1 hrs $0.00 ;¢r;>, , k = (7he _° IEh.("' .c;. Pla s r
Mech. Permit Fee: IMPERAIIT
<at
Other Mech. Insp. 0.0 hrs $48.00 Owl, # F # FE;,a r
_-
7%rnmj7. ria *;; .tom H„t foot .trip to othor npnartmentc (i.e. Planning. Public Works, Fire, Sanitary Sewer District, School
District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept.jor aaan 'z znjo.
FEE ITEMS (Fee Resolution .11-053 Lf: //1113)
FEE
QTYTFEE
MISC ITEMS
PME Plan Check:
$0.00
Pevrn;l Pee;
;1;1. z a.= d' T71=
PME Unit Fee:
$143.00
PME Permit Fee:
$48.00
F -T
Administrative Fee: IADMIN
$45.00
Work Without Permit? 0 Yes • No
$0.00
s .
Fees:
I
Travel Documentation Fee: ITRAVDOC
" $48.00
Strong Motion Fee:. IBSEISMICR
$0.50
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
ITOTALS $285.50 $0.00
$285.50
meviseu. ivrU Ir/ -U l,
CERTIFICATE CIF'C040L,IANCE CF111-ALT 02-E`
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: Radha Rustagi I Date Prepared: 2015-12-22
A. General Information
CFIR-ALT 02 is applicable to multiple sace conditioning.s stems contained within a singlele dwelling unitWhen multiple dwelling units must be documented,:
use one CF1R-ALT 02 document for each dwelling unit.
01
Project Name _
Radha Rustagi
n
02
Date Prepared
2015-12-22
03
Project Location :...
886 E Estates, Dr.-
0,4 :
Building Type :
Single family .
05 `
CA City -`""'x
Cupertino
06
Dwelling Unit'Name`
Radha'Rustagi
07
Zip Code " '
95014
08
Dwelling Unit Conditioned
1248 '
_
Floor Area (ftZ)
Number of space conditioning
�09
Climate zone , :
4'
i.0
;(SC) systems In this`dWelling
1
:,.
unit.
4 :
�,B. Space Conditioning (SC) System1nfo°rmatiom
01
02 `"
03
04
07 '�s,
0$
09
10
„�
:
-Is
the SC °' '""Iri`staliiiig
a7
SC System -'
SC System'
CFA served
,r$ystem a
refrigerant ' a
Installing°new SC
InstaliUng k
lnstallmgf
Installing
identification or
Location orArea
by this SG .
, ,ducted
__ containing
system
more than 40
.entirely no
entirely new,
Name
Served.
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1248
Yes
No
Yes
No
No
No,
Itered space
condition
_
ng system
77 „_ r
C. Extension of Existing Duct Systern, Greater Than 40 Feet (Section1S0.2(b)1Diib) , ;; .
_
o this project-
This section does not apply to .
sec
Registration Numberi 215=A6503953A-000000000-0000
Registration Date/Time: 2015-12-22 14:06:09 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards- 2013 Residential Compliance
Report Version: 2013-1.006 Report Generated: 2015-12-22 14:06:19
Schema Version: 0.555SDD
CERTIFICATE OF'CDMPLIANCE' MR -ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
Q. Altered Space Conditioning System (Sections 150,2(b)IE and F)
01
02
04 - _
05 .. , ..
06 .
07
08 ..
09
10
11
12
Heating.
:.
-Cooling ..
System.,
Heating
,,Altered
Heating, . ,
. Minimum
q;
° ; Altered
Cooling
Minimum
Required
New or
Identification.
..System
Heating.
Efficiency.
:: Efficiency.
_Cooling...
Cooling
Efficiency
Efficiency,
Thermostat
- =:Replaced
New Duct
or Name
Type.:
Components,
Type,
Value=,
System Type
Components
Type
Value
,Type
Duct Length
R -Value
All new
No cooling
This field or
This field 6r`
Less than or
System 1,..:u,
Central gas
... �-
...heating
AFUE
80 ..
No cooling , -:
component
section is not
section is not
Setback
equaLW 40
R 6
furnace ,.
components
-
altered
applicable.
'apPiioabI6
, .
feet'
ReauiredDocumen
MR-MCW01-E Space Conciltioning Systems Ducts'and Fans
-Duct insulation requirement for new plenums: R6.
MR---MCH-20-1-1 & MR -MCH 20-H — Duct Leakage testing required when heating or cooling, components are installed inducted systems; or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: <_ 15%, or S 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H &"CF3R-MCH=25=H Refrigerant`Charge Verification required when refrigerant containing components`are installed or altered (applicable in CZ 2113-15).7
MRMRWMCH 23 &!CFVWCH43 Air Flow Z 3030 CFM/tdn:required when MCH -25 is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH 20 Duct leakage Testing requirement ,,.
Heating -only systems and Air Handler/Furnace changes do not require verification 4 Air Flow MCi�!-23, 4r Refrig4irit Charge Nf GH-25,,
'
-Existingduct�systamsconstructed,insulatedorsealedwith,,asbestosareexemotfom-MCH-20Dukc ageTest�,p sgAuirem
E. Entirelywor G0m lateRe laement Duct #ryem,'"with pr ithoutEquipmentChanSeout,(Sectiops.,15Q.2(i)�Daand150.2(bj�E, F)
w.
v
S c
w- ._,. .,.... _... s This -section does not apply to this project.
"t , -;!°?
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:c.
Gentile, Brad
�P�L
Company:
Signature. Date:
A-1 HEATING AND COOLING INC
2015-12-2214:06:09
Address:
CEA/ HERS Certification Identification (if applicable):
476 W TAYLOR STREET
966809
City/State/Zip:
Phone:
SAN JOSE CA 95110
408-283-9915
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. I am eligible under Division 3'of the 8usine'ss and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
3. That 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 his Certif "cateof Compliance areeongstent witWihe information ,rovided on nth r a licabie°compliance documents, worksheets,
P e pp
to the enforcemen�,agenc fora provai,„with this building perrnrt applicatioYr.
calculations, plans and specifications submitted,V p
S. twill ensure that a registered copy of this Certifrcate of Compliance shall eatn de`aVaila,ble Nur i lite bui(dii g pg fmit(s;� issue for thg,,building, and;rnad'e available;%jhe;, nforcement agency for all applicable
inspections. I understand that a registered copy of this Cerci#irate of Compliance is,regyired to be,,jncluded with the documentation they builfler provides to the building owner at occupancy.
Resp
onsible Designer Name:
Responsible Designer Signafbre.
Gen
ff �G
Company:
Date Signed
A-1 HEATING AND COOLING INC
2015-12-22 14:06:09
Address:
License:
476 W TAYLOR STREET
966809
City/State/Zip:
Phone:
SAN JOSE CA 95110
408-283-9915
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A6503353A-000000000-0000 Registration Date/Time; 2015-1.2-22 14:06;09 HERS Provider; CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-22 14:06;19
Schema Version: 0.555SDD
CERTIFICATE OF VERIFICATION
01
Condenser Nominal Cooling Capacity (ton)
CF311-MCH-2071-1
Duct Leakage Diagnostic Test
Heating Capacity (kBtu/h)
64
(Pagel o
Project Name:
Radha Rustagi-
Enforcement Agency: City of
Cupertino
Permit Number:
�160166
Dwelling Address:
886 E Estates Dr
Ci Cupertino
r
Zip Code:
95014
A System Information I.
01 Space Conditioning System Identification or Name System 1 }
02 Space Conditioning System Location or Area Served Location 1 sl
03 Building Type from -CF -1R Single family
L
Verified Low Leakage Ducts in Conditioned Space No, credit is not taken
04 (VLLDCS) Credit from CF1R?
05 Verified Low Leakage Air Handling Unit Credit from No, credit is not taken
CF1R?
06 Duct System Compliance Category Alteration
MCH -20d - Complete Replacemont or Altered DucSystem.
7-7 eLL
B. Duct Leakage Diagnostic Test
01
Condenser Nominal Cooling Capacity (ton)
0
02
Heating Capacity (kBtu/h)
64
03
Conditioned Floor Area served by this HVAC system (ft2)
1248
04
Duct Leakage Test Condition
Test final
05
Duct Leakage Test Method
Total leakage I
06
Leakage Factor
0.15
07
Air Handling Unit Airflow (AHUAirflow) Determination
Method
Heating system method
08
Measured AHUAirflow
This field or section is not applicable
09
Calculated Target Allowable Duct Leakage Rate (cfm)
208
10
Actual duct leakage rate from leakage test measurement
(cfm)
90
i
i
11
Compliance Statement: System passes leakage test
Registration Number: 215-A6503353A-M2000002A-M20A Registration Date/Time: 2016-01-25 1301;04 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013-1.006 Report Generated: 2016-01-25 11:01:00
2013 Residential Compliance Schema'Version: 2013.1:006
CERTIFICATE OF VERIFICATION
Duct Leakage Diagnostic Test
CF3R-MCH-20-H
(Page 3 of 3 )
i
Documentation Author's Declaration Statement
I
1.1 certify that this Certificate of Verification documentation is accurate and complete.
I .
Documentation Author Name:
Documentation Author Signature
Jacob McCardAlcd
CCS'
Company:
Date Signed:
Archon Energy Solutions
2016-01-2513:01:04
Address:
CEA/ HERS Certification Identifica ion (if applicable):
607 Elmira Road #293
City/State/Zip:
Phone:
Vacaville CA 95687
888-600-16141
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California: i
1. The information provided on this Certificate of Verification is true and correct.
2. 1 am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification (responsible rater).
3. The installed features, materials, components, manufactured devices, or system performance diagnostic results that require HERS verification
identified on this Certificate of Verification comply with the applicable requirements in Reference Appendices RA2, RA3, and the requirements
specified on the Certificate of Compliance for the building approved by the enforcement agency.
4. The information reported on applicable sectionszsf#)ie Certificate(s),ofdrtstallaiorr#iF2its�gnedanisrrtittecLbythe persons) responsible for the
construction or installation conforms to thej, Specified rn the Certif cate(s�s f Cotnpliai ce (CFVR) approved by.the e}1#a cemenkagency.
5. 1 will ensure that a registered copy of this Certificate of Verrfication'i�hall be posted, or rA deavailable wil h th&jbvilding permit(sl issued forthe
building, and made ayailabre`10 fbotenforcement ageri�,yfor dll applicable inspections I understand that a regisi- red copy o th =Certificate of
Verification is required to be included with the docu'merltatioh the builder provides to the building owner at occupancy.
o x
A z:
Builder Or Installer information As ShownOn`The Certificatef Installation
Company Name (Installing Subcontractor,. General Contractor, or Builder/Owner):
A-1 HEATING AND COOLING INC
Responsible Builder or Installer Name:
CSLB License;
Brad Gentile
966809
I
HERS Provider Data Registry Information
Sample Group Number (if applicable):
Dwelling Test Status in Sample Group (if applicable)
Tested
I
HERS Rater Information
HERS Rater Company Name:
Archon Energy Solutions
Responsible Rater Name:
Responsible Rater Signature.
Jacob McCard
I ..
Responsible Rater Certification Number w/ this HERS Provider:
Date Signed:
CC2006407
2016-01-25 13:01:04
i
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, a din no way implies Registration Provider
responsibility for the accuracy of the information.
i
Registration Number: 215-A6503353A-M2000002A-M20A Registration Date/Time: 2016-01-25 13:01:04 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013-1.006 Report Generated: 2016-01-25 11:01:00
2013 Residential Compliance Schema Version: 2013.1.006
it P;�
CERTIFICATE OF INSTALLATION
L
CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans
02
(Page1 of`
Project Name: Rustagi
Enforcement Agency:
City of Cupertino"
Permit Number:
16010036
Dwelling Address: 886 E Estates Dr
City:
Cupertino
Zip Code:
SC 4
A. General Information
01
Dwelling Unit Name
Radha Ru'stagi
02
Climate Zone
4
- - 05--
--� - 06 _.-...
07
08 , ..
Number of space conditioning (SC)
10
'03
Dwelling Unit Total Conditioned Floor
1248
04
systems being altered in this dwelling
1
- --
Area (ft2)
-
unit.
SC System
05
Certificate of Compliance Type
' Prescriptive alterations (MR -ALT)
06r
Method used to calculate HVAC loads
NotApplicableEquipmentChangeout ;
07
Calculated dwelling unit Sensible
This field or section is not applicable
08
Calculated Dwelling Unit Heating Load
This field! or, section is not applicable
-
Cooling Load (Btuh)
feet of
` 'new duct,
(gtuh )
09Dwelling
Unit Number of Bedrooms
-" y
3
system?
r
components?,
ducts?
system?
Stsystem?
AlteratiomlType
MCH -01b Prescriptive Alterations - Space Coii�ciit� ning Sy temilb Cts and Fans.
.. Iwx� i
ayffi171 t .1A
B. Space Conditioning (SC) System Information
01
02
03
04 -
- - 05--
--� - 06 _.-...
07
08 , ..
09
10
-CFA served
Isthe SE—---installing,a
„---- -'- --, -----
- --
-Installing
-
SCS stem
SC System
bS this System
Sd
refrigerant
Instalsystem w SC
Installing
entirely'
Installing "
Identification or
Area
y temC
ct da
'containing
gt
`
feet of
` 'new duct,
entirely new
Name
Served
(ft2)
system?
component?
components?,
ducts?
system?
Stsystem?
AlteratiomlType
Altered space
System 1
Location 1
1248
; Yes
No _
Yes
No
No .'
No
conditioning
system
Registration Number:215-A6503353A-M0100002A-0000 Registration Date/Time: 2016-01-25 13:04:02
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006
HERS Provider: CaICERTS
Report Generated: 2016-01-25 10:57:55
CERTIFICATE OF INSTALLATION CF2R---MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 3 of 7
G. Installed Duct System information
This section does not apply to this project.
H. Installed Air Filter Device Information
This section does not apply to this project.
1. Air Filter Device Requirements
This section does not apply to this project.
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems,' Ducts, and Fans (Page 5 of 7 )
K. Space Conditioning Systems, Ducts and Fans Mandatory Requirements and Additional Measures
Note: Additional mandatory requirements from Section 150.0 that are not listed here may be applicable to some systems. These requirements may be applicable to only newly installed equipment or portions of the
system that are altered. Existing equipment may be exempt from these requirements.
Heating Equipment
Equipment Efficiency: All heating equipment must meet the minimum efficiency requirements of Section 110.1 and Section 110.2(a) and the Appliance Efficiency
01
Regulations.
Controls: All unitary heating systems, including heat pumps, must be controlled by a setback thermostat. These thermostats must be capable of allowing the occupant
02
to program the temperature set points for at least four different periods in 24 hours. See Sections 150.0(i), 1102(b).
Sizing: Heating load calculations must be done on portions of the building served by new heating systems to prevent inadvertent undersizing or oversizing. See sections
03
150.0(h)1 and 2).
Furnace Temperature Rise: Central forced -air heating furnace installations must beconfigured to operate at or below the furnace manufacturer's maximum
04
Inlet -to -outlet temperature rise specification. -See Section 150.0(h)4; -
05
Standby Losses and Pilot Lights: Fan -type central furnaces};ay not have continuously b'urning`piiot )Ight;ecfon 110 5,and Section 110.2(d).-
4 �
Cooling Equipment ., �t r
r , a k r la
Equipment Efficiency: All cooling equipmentJmust'meetthc >rli0im`t ht effi6 ',� tequirerb- its of:Sectid'11110 � anci Segion 110.2(a); and the Appliance Efficiency
06
Regulations;
Refrigerant Line -Insulation: All refrigerant Eine insulation in split system air conditioners and heat pumps must meet the R -value and protection requirements of Section
150.0(1)2 and 3, and Section 150.0(m)9.
08
Condensing Unit Location: Condensing, units shall not be placed within: five (5) feet of a dryer, vent outlet. See Section 150.0(h)3A.
Sizing: Cooling load calculations must be done on portions of the building served by new cooling systems to prevent inadvertent un.dersizing or oversizing. See Section
09
150.0(h)1 and 2: -:
Air Distribution System Ducts,,Plenums and Fans
Insulation: all aces, unless ducts are enclosed entirely in directly conditiondspce, the minimum duct insulation value is R-6. Note that higher values may be
io :
10
In
requ Y p or erformance requirements. See Section 150.0(m)l.
Registration Number: 215-A6503353A-M0100002A-0000 Registration Date/Time: 2016-01-25 13:04:42 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2016-01-25 10:57:55
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and'Fans (Page 7 of 7)
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature: C„
'�J
McCard , Jacob
Company:
Signature Date:,
Archon Energy Solutions,
2016-01-25 12:58:37
Address:
CEA/ HERS Certification Identification (if applicable):
607 Elmira Road #293
City/State/Zip:
Phone:
Vacaville CA 95.687
888-600-1614 1
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 Installation is true and correct.
2, 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction, or installation of features, materials,
components, or manufactured devices for the scope of workidentifiedon this CertificateofInstallation and attest to the declarations in this statement (responsible builder/installer), otherwise f am an
authorized representative of the responsible builder/installer.
3. The constructed or installed features, materials,.components or manufactured ttoliices (thq installation) idgntii ed 66,"this ertifieateof Installatiork coniarm to a(lapplicablegcodes and regulations, and the
x.
installation conforms to the requirements given on the plans and specificatioiistapproyed by the enforcement agency ;.
re`quirernentsfar of or installation identified on this Certificate of
4. I reviewed a, copy of the Certificate of Com liane'e a' praV�ed by the"er�forcefnp'nt; agency thak identifies the'specific the stbpe Construction
i�
pV p a
Installation, and I have ensured that the requirementsth`apply to the constr'uetion or installation have been met
5. I will ensure that a registered copy of this'Certificate of Installation shall be. posted or Khatie a+failable with`the building permrt(s) issued for the buildang end made,'available to the enforcement agency for all
pp p g copy q ired to be included with tie docurrtentation the`'huilder`provides to the building owner,at occupancy.
applicable inspections. I understand that a registered co of'this Certificate of Installation is re "u
Responsible Builder/Installer Name:
Responsible Builder/Installer Signature:
Gentile, Brad
Company Name:-(InstallingSubcontractor or General Contractor or Builder/Owner)
-
Position With Company (Title):
A-1 HEATING AND COOLING INC �
OWNER
Address:
CSLB License:
476 W TAYLOR STREET `'
966809
City/State/Zip:Rhone:
Date Signed:
112016-01-25
SAN JOSE CA 95110
408-283-9915
13,:04:02
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A6503353A-M0100002A-0000 Registration Date/Time: 2016-01-25 13:04:02 HER&Provider: CaICERTS
CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2016-01-25 10:57:55
CERTIFICATE OF INSTALLATION CF2R-MCH-20-H
Duct Leakage Diagnostic Test ;j (Page 2 of 3 )
C. Additional Requirements for Compliance
01
System was tested in its normal operation condition. No to
y p. mporary.taping allowed. !'r>
Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be `aled/taped off during duct leakage
seA
testing. CFI OA ducts that utilize controlled motorized dampers, that open only when O
ventilation is required to meet
02
ASHRAE Standard 62.21 and close when OA ventilation is not required, may be configured to the closed position_ during duct
leakage testing.
03
If a complete replacement; all supply and return register boots were sealed to the -drywall.
04
Building cavities were not used as plenums or platform returns in lieu of. ducts. _
05
If --cloth backed tape was used it was covered with Mastic and draw bands.
06
All connection points between the air handler and the supply and return plenums are completely sealed.
If the system complies using the Smoke Test method, the smoke test was conducted in'accordance with the requirements
07
of Reference Residential Appendix RA3.1.4.3.6. Systems that comply using smoke test shall not be included in sample
groups for HERS verification compliance.
The responsible persons signature on this compliance documerit=affirnis at q,, applicable requirements in, this table have
been met.
CERTIFICATE OF VERIFICATION
Duct Leakage Diagnostic Test
B. Duct Leakage Diagnostic Test
12 Notes:
C. Additional Requirements for Compliance
01
System was tested in its normal operation condition. No temporary taping allowed. :•
Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage
02
testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA:ventilation is required to meet
ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed -position during duct
leakage testing.
03
If a complete replacement, all supply and return register boots were sealed -to the drywall.
04
Building cavities were not used as plenums or platform returns in lieu of ducts. = -
05
If cloth backed tape was used it was covered with Mastic and draw bands.
06
All connection points between the air handler and the "supply and return plenums areLcompletelysealed.
If the system complies using the Smoke Test method_, the smoke test was :eons uctel in accordance w�tli the requirements
07
of Reference Residential Appendix RAI. 14 3 6ystoms that comply using smoke test shall not be included insaiple
for HERS ii
groups verificat c+x pliance.
08
Verification Status r
Pass - all applicatilerequir'emelt"s are -met
09
Correction Notes for this table
The responsible persons signature on this compliance document affirms that all applicable requirements in this table have
been met unless otherwise -noted in the Verification Status and the Corrections Notes in this table.
D. Determination of HERS Verification Compliance
All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order
for this Certificate of Verification as a whole to be determined to be in compliance.
01 Complies: All specified verification protocol requirements on this document are met.
Registration Number: 215-A6503353A-M2000002A-M2.OA Registration Date/Time: 2016-01-25 13:01;04 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013-1.006 Report Generated: 2016-01-25 11:01:00
2013 Residential Compliance Schema Version: 2013.1.006
CERTIFICATEOF INSTALLATION CF2R-MCH-01-E.
Space Conditioning Systems, Ducts, and Fans ('Page 2 of 7 ).
C. Space Conditioning (SC) System Alterations Compliance Information
01
02
03
04
05
06
07
08
09
10
11
'12
13
01
02,,
�;
�. 03
04`
05 �:
a 06
07 -
System Identification or
S
Heating Efficiency .Heating t)nit'"
Central Fan
Heating Uni
Heating "flmf"erial
Rated Heating Capacity;
Heating. Efficiency TYa
Vlueq
ae
oiurer
uName
'mmb r.nufactur
Output(BZUH)a-
`Integrated
Heating
Cooling
AFUE
New or,
(CFI)
System
1541215H1G
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
Replaced
New
Ventilation
Identification
Heating
Heating
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Duct
Duct
System
or Name
System Type
Component
Type
Value
System Type
Component
Type
Value
Type
Length
R -Value
Status
This field
"
All new
No cooling
or
System 1
Central as
heating
AFUE
80
No cooling
component
SEER
section is
Setback
LTE40Ft
R6
Not a CFI
furnace
eomponen
altered
not
system
is
applicabl
e
D. Installed Heating Equipment information
„ u
i
01
02,,
�;
�. 03
04`
05 �:
a 06
07 -
System Identification or
S
Heating Efficiency .Heating t)nit'"
Heating Uni
Heating "flmf"erial
Rated Heating Capacity;
Heating. Efficiency TYa
Vlueq
ae
oiurer
uName
'mmb r.nufactur
Output(BZUH)a-
System 1
AFUE
80
TRANS'
TUE1B08OA9361A
1541215H1G
64000
Notes:
E. Installed Cooling Equipment information:,"
This section does not apply to this project.
F. Extension of Existing Duct System, Greater Than 40 -Feet
This section does not apply to this project.
Registration Number: 215-A6503353A-M0100002A-0000
CA 13'�jilding Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-01-25 13:04:02 '` x HERS Provider: CalCERTS
Report Version: 2013-1.006 Report Generated: 2016-01-25 10:57:55
CERTIFICATE OF INSTALLATION CF2R-MCH-01-E
Space Conditioning Systems, Ducts, and Fans (Page 4 of 7 )
J. HERS Verification Requirements
01
02
03
04
05
06
07
08
09
10
MCH2O
MCH21
MCH22
MCH23
MCH25
MCH28
Exemption
from
-
:.;: r
Minimum
Exemption
R -Value for
AHU Fan
AHU
SC System
SC System
From Duct
Duct
Ducts In
Ducts Located
Efficacy
Airflow
Identification or
Location or Area
Leakage
Leakage
Conditioned
in Cond Space
(W per
Rate (cfm
Refrigerant
Return Duct Design
Name
Served
Requirements
Test
Space
Verification
cfm)
per ton)
Charge
Table 150.0-C or D
System 1
Location 1
NO
exemptions
Yes
Not
applicable
No
No
No
No
No
Notes:
Registration Number: 215-A6503353A-M0100002A-0000 Registration Date/Time: 2016-01-25 13:04:02
CA Bbilding Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006
HERS Provider; CaICERTS
Report Generated: 2016-01-25 10:57:55
I
-
:.;: r
Registration Number: 215-A6503353A-M0100002A-0000 Registration Date/Time: 2016-01-25 13:04:02
CA Bbilding Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006
HERS Provider; CaICERTS
Report Generated: 2016-01-25 10:57:55
CERTIFICATE OF INSTALLATION' CF2R-MCH-01-E
Space Conditioning Systems, Ducts,.and Fans (Page 6 of 7 )
K. Space Conditioning Systems; Ducts'and Fans Mandatory Requirements and Additional Measures'
Note: Additional mandatory, requirements from Section 150.0 that are not listed here maybe applicable to some systems. These requirements maybe applicable to only newly installed equipment or portions of the
system that are altered. Existing.equipment may be exempt from these requirements.
Connections and Closures: All installed air=distrib.uti,on system ducts and plenums must be, sealed and insulated to meet the requirements of CMC Sections 601.0,
602.0, 603.0, 604.0, 605.G and ANSI/SMACNA-006-2006: Supply -air and return -air ducts and plenums must be insulated to a minimum installed level of R-6.0 or
11
enclosed entirely in directly conditioned Space as confirmed through field verification and diagnostic testing in accordance with, the requirements of Reference
Residential- Appendix RA3.1.4.3.8,
Heat Pump Thermostat _
12
A thermostat shall be installed that meets the requirements of Section 110.2(b) and Section 110.2(c).
13
The thermostat shall be installed in accordance with the manufacturers published installation specifications
14
First stage of heating shall be assigned to heat pump heating.
15
Second stage -back up heating�shall-be set to come on only when the indoor set temperature -ca nnot be met
The responsible person signature on this compliance -document affirms,that all applicable requ,remnts iri this table have been mets
t
CERTIFICATE OF INSTALLATION
CF211-MCH-20-1-11
Duct Leakage Diagnostic Test '
{Page 1 of 3 )
Project Name: Radha Rustagi
Enforcement Agency:
Cupertino .
City of Permit Number: 16010036
[Dwelling Address: 886 E Estates Dr
City:
Cupertino Zip Code: 95014
A. System Information 5
01
Space Conditioning System Identification or Name
System 1
02
Space Conditioning System Location,or Area Served
Location 1 "
03
Building Type from CF -1R
Single family'
04
Verified Low Leakage Ducts in Conditioned Space
(VLLDCS) Credit from CF1R?
No, credit is not taken
05
Verified Low Leakage Air Handling Unit (VLLAHU) Credit
from CF1R?
No, credit is not taken .
06
Duct System Compliance Category
Alteration
}
MCH -20d - Complete Replacement or Altered Duct Systern
a
B. Duct Leakage Diagnostic Test
01
Condenser Nominal Cooling Capacity (ton)
0
02
Heating Capacity (kBtu/h)
64
03
Conditioned Floor Area served by this HVAC system (ft2)
1248
04
Duct LeakageTestCondition
Test final'
05
Duct Leakage Test Method
Total leakage
06
Leakage Factor
0.15
07
Air Handling Unit Airflow (AHUAirflow) Determination
Method
Heating system method
08
Measured AHUAirflow
This field or section is not applicable
09
Calculated Target Allowable Duct Leakage (cfm)
10
Actual duct leakageg rate from leakage test measurement
(cfm)
90
11
Compliance Statement
System passes leakage test
Registration Number: 215-A6503353A-M2000002A-0000 Registration Date/Time: 2016-01-25 13.04:02 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013-1.006 Report Generated: 2016-01-25 10:58:52
2013 Residential Compliance Schema Version: 2013.1.006
A
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Installation documentation is accurate -and complete.
Documentation Author Name:
Jacob
Documentation Author Signature:
McCardG
C
Company:
Archon Energy Solutions
Signature Date: 2016 -Ort -25 12:5$:37
Address:
CEA/ HERS Certification Identification (if applicable):
607 Elmira Road #293
_ ..
City/State/Zip:
Phone:
Vacaville CA 95687-1888-600-16141
i,
Responsible Person's Declaration statement
l
certify the following'under penalty of perjury, under the laws of the State of California.-- =
1. The information provided on this Certificate of Installation is true and correct:'
2. I am eligible" under Division 3 of the Business -and Professions Code in the applicable classification to acceptresponsibility for the system design,
construction, or installation of features, materials, components, or manufactured devices for the ,scop e of work identified on this Certificate of
Installation and attest to the declarations in this statement (responsible builder/installer), otherwise I am an authorized representative of the
responsible builder/installer.
3. The constructed or installed features, materials, components or manufactured devices (the installation)identified on this Certificate of installation
conforms to all applicable codes and regulations,. -And the installation conformsto the requirement givi n on _the plans and, specifications approved by
the enforcement agency. tv t
4. 1 understand that HERS eater wilkchecktheinstallation to yerifyc6fInpliance, add thatrif>such checlong id'eri%ifies defects [am requn p tE#fake"
corrective action at my expense.?- [understand that Energy Commission and HERS Provider reptesentatives will perforrrr uality assurance checking,
of installations, including thoseap Loved as partof'eSamplo'group buti�isSsheckod bya HERS'_ater,,and if hose irYSEallations faflto meeYthe '.
requirements of such quality ass rice checking, the required corrective action and additional,checkrrlg%testing ofother installations in that•HERS
sample group will be performed at m� expense:;_ �.' =;
S. I revieweda copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements for the scope of
construction or installation identified on this Certificate of Installation, and shave ensured that the requirements that apply to the construction or
installation have been meta
6. 1 will ensure that a registered copy of this Certificate of Installation shall be posted, or made available with the building,permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand thata registered copy of this Certificate of
Installation is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Builder/Installer Name:
Responsible Builder/Installer Signature:
Brad Gentile
Company Name: (Installing Subcontractor or General Contractor or
Position With Company (Title):
Builder/Owner)
OWNER
A-1 HEATING AND COOLING INC
Address:
CSLB License:
476 W TAYLOR STREET
966809
City/State/Zip:
Phone:
Date Signed:
SAN JOSE CA 95110
408-2.83-9915
2016-01-25 13:04:02
Third Party Quality Control Program (TPQCP) Status:
Name of TPQCP (if applicable):
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-A6503353A-M2000002A-0000 Registration Date/Time: 2016-01-25 13':04:02 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards Report Version: 2013-1.006 Report Generated: 2016-01-25 10:58:52
2013 Residential Compliance Schema Version: 2013.1.006
CUPERTINO
PURPOSE
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • build ing(U-)CUpertino.org
PERMIT CANNOT BE FINALED UNTIL THIS CERTIFICATE HAS BEEN
COMPLETED, SIGNED AND RETURNED TO THE BUILDING DIVISION
JF1
This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2016 CRC Section R314, R315, 2016. CBC Sections 420.6 and 907.2.11.2 where no interior access
for inspections are required.
GENERAL INFORMATION
Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon
Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds
$1000.00, CRC Section R314, R315, and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or
Carbon Monoxide Alarms be installed in the following locations:
AREA
SMOKE ALARM
CO ALARM
Outside of each separate sleeping area in the immediate vicinity of the
bedroom(s) — Smoke alarms shall not be located within 3 feet of bathroom door
X
X
On every level of a dwelling unit including basements and habitable attics
X
X
Within each sleeping room
X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that
do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with
CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal.
Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated.
In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do
not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl
space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for
alarms which must be connected to the building wiring.
As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been
installed in accordance with the manufacturer's instructions and in compliance with the California Building
and California Residential Codes. The alarms specified below have been tested and are operational, as of the
date signed below.
Address: Fn cfSTAT�S DR , trUPtr—T1NG1 Cid SSC' 1y permit No. 1 HiQ 1003 (c
Specify Number of Alarms: 7 # Smoke Alarms: F_7 # Carbon Monoxide Detectors:F77
/7
1 have read and agree to compty with the terms and conditions of this statement
Owner (or Owner Agent's) Name:
Signature ..................... .......... ...... DateQ7/10/17
Contractor Name:
Signature...................................................................... Lic.#........................................ Date:...................
Smoke and CO form doc revised 0111012017
CUPERTINO
WATER -CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildina(ZDcuoertino.ora
Owner Name Khethavath Jyothirmai Permit No. 0 DO 3 to
Address 886 E Estates Dr, Cupertino,CA 95014
PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE
HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION
Please refer to the attached California Civil Code Sections 1101.1 — 1101.8 which are part of this Certification form.
1. Is your real property a registered historical site?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature:
W No Go to Question 2.
Date: 07/10/2017
2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its
plumbing, installation of water -conserving plumbing fixtures is not technically feasible?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply.
❑ The licensed plumber's certification has been provided to the Building Division.
Sign below and skip the rest of the form.
Owner' Signature:
6� No Go to Question 3.
Date: 07/10/2017
3. Is water service permanently disconnected for your building?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature:
W No Go to Question 4.
Date: 07/10/2017
4. Is your real property built and available for use or occupancy on or before January 1,1994?
❑ No My real property is built and available for use or occupancy after January 1, 1994.
Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature:6v' Date: 07/10/2017
W Yes My real property is uilt and available for use or occupancy on or before January 1, 1994.
Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached.
W My property is a single-family residential real property. See Civil Code Section 1101.4.
On and after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing
fixtures to be replaced with water -conserving plumbing fixtures throughout the building. On or before January 1,
2017, all non-compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless
of whether property undergoes alterations or improvements).
❑ My property is a multifamily residential real property. See Civil Code Section 1101 S.
On and after January 1, 2014, specified building alterations or improvements shall require non- compliant
plumbing fixtures to be replaced with water -conserving plumbing fixtures.
On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water -
conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or
improvements).
❑ My property is a commercial real property. See Civil Code Section 1101.5.
On and after January 1, 2014, specified building alterations or improvements shall require non- compliant
plumbing fixtures to be replaced with water -conserving plumbing fixtures.
SB407 2014.doc revised 03118114
On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving
plumbing fixtures throughout the building (regardless of whether property undergoes alterations or
improvements).
I/We, the owner(s) of this property, certify under penalty of perjury that non-compliant plumbing fixtures have been replaced
with water -conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current
California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and
that the water -conserving plumbing fixtures comely with the requirements as indicated in the table below.
Owner's (or Owner Agent's) Signature: I1,RAPi1ou Date: 07/10/2017
Upon completing and signing this Certificate, please return it to the Building Division in order to final your permit.
1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded.
SB4072014.doc revised 03/18/14
Non -Compliant
Water -Conserving Plumbing Fixture
Plumbing Fixturel
(Fixture Complying with Current Code Applicable to New Construction)
Maximum Water Usage/Flow Rate
Fixture Type
Water Usage
2013 CPC Ch. 4
2013 CPC Ch. 4
2013 CPC Ch. 4
/Flow Rate
2013 CALGreen Div. 4.3
2013 CALGreen Div. 4.3
2013 CALGreen Div. 5.3
Single -Family
Multi -Family
Commercial
Residential
Residential
Water Closets
Exceed 1.6
Single flush toilets: 1.28 gallons/flush
(Toilets)
Gallons/flush
Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite,
average flush volume of two reduced flushes and one full flush
Urinals
Exceed 1.0
0.5 gallons/flush
Gallons/flush
Showerheads
Exceed 2.5
2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of
gallons per minute
U.S. EPA WaterSense Specification for Showerheads
(A hand-held shower is considered a showerhead.)
For multiple showerheads serving one shower, 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 @ 80 psi, or the shower shall be designed to
allow only one shower outlet to be in operation at a time.
Faucets —
Exceed 2.2 gallons
Maximum 1.5 gallons per
Within units:
0.5 gallons per minute @ 60
Lavatory
per minute
minute @ 60 psi; minimum
Maximum 1.5 gallons
psi
Faucets
0.8 gallons per minute @
per minute @ 60 psi;
20 psi
minimum 0.8 gallons
per minute @ 20 psi
In common and public
use areas: 0.5 gallons
per minute @ 60 psi
1.8 gallons per minute
60 psi
Faucets —
Exceed 2.2 gallons
1.8 gallons per minute @
1.8 gallons per minute
1.8 gallons per minute @ 60
Kitchen
per minute
60 psi
@ 60 psi
psi
Faucets
May temporarily increase
May temporarily
up to 2.2 gallons per
increase up to 2.2
minute @ 60 psi, and must
gallons per minute @
default to maximum
60 psi, and must
1.8 gallons per minute @
default to maximum
60 psi
1.8 gallons per minute
Where faucets meeting
@ 60 psi
the above are unavailable,
Where faucets meeting
aerators or other means
the above are
may be used to achieve
unavailable, aerators or
reduction.
other means may be
used to achieve
reduction.
1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded.
SB4072014.doc revised 03/18/14