15090182CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
1140 DERBYSHIRE DR CUPERTINO CA 95014 21 028)
CONTRACTOR:
PERMIT NO: 15090182
(362
C & C VALLEY
CONSTRUCTION CO
INC
SAN JOSE, CA 95148
OWNER'S NAME: GAUTAM HIMANSHU AND KOTHURI DEEPIKA
DATE ISSUED: 03/14/2016
OWNER'S PHONE:
PHONE NO: (408) 640-0921
LICENCED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class PAINTING AND DECORATING Lic. #752ti77
Contractor C & C VALLEY CONSTRU TION CO IN • Date 10/3112017
— BLDG _ ELECT — PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing
— MECH — RESIDENTIAL — COMMERCIAL
with Section 7000) of Division 3 of the Business & Professions Code and that my
license is in full force and effect.
JOB DESCRIPTION:
I hereby affirm under penalty of perjury one of the following two declarations:
CONSTRUCT (I) 1 STORYADDITION(414 S.F.);
r. I have and will maintain a certificate of consent to self-insure for Worker's
PORCH AREA (31 S.F.); WINDOW ADDITION IN
(26 S.F.); REMODEL NOOK AREA (130S.F.); REM
BED#2
ODEL
Compensation, as provided for by Section 3700 of the Labor Code, for the
BATHROOMS (87 S.F.); INSTALL (N) SKYLIGHT
NOOK
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for b y
AREA; INSTALL (N) ATTIC FURNACE; RELOCATE
UNIT.
A/C
Section 3700 of the Labor Code, for the performance of the work for which thisRE
j permit is issued.
VISION #1 - CHANGE LAYOUT OF MASTER I
1ATHROOM AND
BATHROOM #I; ADD CASED OPENING BETWEEN
ENTRY-
APPLICANT CERTIFICATION
HALLWAY AND (E) NOOK -ISSUED 6/24/2016
I certify that I have read this application and state that the above
Sq. Ft Floor Area:
Valuation: $100000.00
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize
representatives of this city to enter upon the above mentioned property for
inspection purposes. (We) agree to save indemnify and keep harmless the
APN Number:
Occupancy Type:
City of Cupertino against liabilities, judgments, costs, and expenses which
362 21 028
may accrue against said City in consequence of the granting of this permit.
Additionally, the applicant understands and will comply with all non-point
source regulations per the Cupertino Municipal Code, Section 9.18.
PERMIT EXPIRES IF WORK IS NOT
STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE
OR
Signature Date
180 DAYS FROM LAST CALLED INSPECTION.
OWNER-BUILDER DECLARATION
Issued by: Leeacv
I hereby affirm that I am exempt from the Contractor's License Law for one of the
Date: 03/14/2016
following two reasons:
1. 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
RE- ROOFS:
All roofs shall be inspected prior to any roofing material bei
ng installed. If a roof is
sale (Sec.7044, Business & Professions Code)
installed without first obtaining an inspection, I agree to remove
all new materials for
2. I, as owner of the property, am exclusively contracting with licensed
inspection.
contractors to construct the project (See.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations:
Signature ofApplicant:
1. I have and will maintain a Certificate of Consent to self-insure for Worker's
Date:
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
ALL ROOF COVERINGS TO BE CLASS "A"
OR BETTER
2. 1 have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
HAZAR S MAT . IALS DISCLOSURE
permit is issued.
3. I certify that in the performance of the work for which this permit is issued, I
I have read the hazardous materials requirements undc
r Chapter 6.95 of the
shall not employ any person in any manner so as to become subject to the
California Health & Safety Code, Sections 25505, 255
maintain compliance with the Cupertino Municipal Cod
3, and 25534. 1 will
, Chapter 9.12 and the
Worker's Compensation laws of California. If, after waking this certificate of
Health & Safety Code, Section 25532(a) should I store
r handle hazardous
exemption, I become subject to the Worker's Compensation provisions of the
material. Additionally, should I use equipment or device
which emit hazardous
Labor Code, I must forthwith comply with such provisions or this permit shall
air contaminants as defined by the Bay Area Air Quality
anagement District I
be deemed revoked.
will maintain compliance with the Cupertino Municipal Code,
Chapter 9.12 and
the Health & Safety Code, Sections 25505, 2553
3, and 25534.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
Owner or authorized agent:
correct. I agree to comply with all city and county ordinances and state laws
Date:
relating to building construction, and hereby authorize representatives of this city
to enter upon the above mentioned property for inspection purposes. (We) agree
to save indemnify and keep harmless the City of Cupertino against liabilities,
I hereby affirm that there is a construction lending agen
q for the performance
judgments, costs, and expenses which may accrue against said City in
of work's for which this permit is :issued (Sec. 3097, Civ
.)
consequence of the granting of this permit. Additionally, the applicant understands
Lender's Name
and will comply with all non-point source regulations per the Cupertino Municipal
Lender's Address
Code, Section 9.18.
Signature Date
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
f
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
UPERTINO (408) 777-3228. • FAX -(408) 777-3333 o building(Qcupertino.org
NEW / CONSTRUCTION [:1 ADDITION ❑ ALTERATION/ TiEd-REVISION/ DEFERRED ORIGINAL PERMIT
PROJECT ADDRESS Ji4 b .)er b $/.SQA I -f e )DY , � Lt be yig1)Q/ CA APN #
V /
OWNER NAME v //p �j
(SIQJ%J PHONE®!e'.�: 1���0 /j E-MAIL I '.
STREET ADDRESS i)40�Yo CITY, STATE, I TFAX
nth 9 0
CONTACT NAME ✓� //_ ,, //� �^ O r/
P G� 41 1 PHONE 7, - I�j� EMAIL)
STREET ADDRESS /�
Y, TAT ZIP FAX
C T
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR v ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME ® u� LICENSE NUMBER LICENSE TYPE BUS. LIC #
COMPANY NAME Ll
E-MAIL FAX
cvg las, car
STREET ADDRESS CI , STATE ZIP P
Ave e CA ffIR 9 7
ARCJIITECT/EJNGINEE/►R�NAME LICENSE NUMBER 611
y1 BUS, LIC #
COMPANY NAME EMAIL FAX
7 h mlec� th'In Q ,L eDr)7
STREET ADDRESS
j JQIJ CIS, STATE, ZIP n PHONE
DESCRIPTION OF WORD � c i
1Aa 40
EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. ALUATION ($)
EXISTG NEW FLOOR DEMO TOTAL - -
AREA AREA AREA NET AREA
BATHROOM _ KITCHEN 1. OTHER
REMODEL AREA REMODEL AREA REMODEL. AREA
PORCHAREA _ DECKAREA I TOTALDECK/PORCH ARRA I (:ARA(3F ARFA n_1e . -
�. rv,.�a•uvv ua�a xa n nni:vrvt� uNr1 U YES SECOND STORY .LYES
BEINGADDED? ❑NO ADDITION? ❑NO -
All V I
PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES REO ' ` ,'. TOTAL VAL ATION:
PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER ROME? ❑ NO '=`% y
By my signature below, I certify to.each of the following: I am the property owner or authorized nt act properly owner's behalf. I haver d this
application and the information I have provided is correct. have read e Description of Work -v hfy it is accurate. I agree to comply with all app icable local
ordinances and state laws relating to building tructi n. I uthorize representatives of Cupertino to enter theabove-identified property for in pectio purposes.
1
Signature of AppiicanUAgent~
: ' Date: r) 622.
SUPPLEMENTAL INFORMATIgN REQUIRED
_New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
permit for new building.
_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
form if any Hazardous Materials are being used as part of this project.
_ Copy of Planning Approval Letter or Meeting with Planning prior to
submittal of Building Permit application.
BIdgApp_2011.doc re{ ised 08/21111
CITY
OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: 15090182
1140 DERBYSHIRE DR CUPERTINO CA 95014 (362 21 028)
C & C VALLEY
CONSTRUCTION CO
INC
SAN JOSE, CA 95148
OWNER'S NAME: GAUTAM HIMANSHU AND KOTHII
Ri DEEPIKA
DATE ISSUED: 03/14/2016
OWNER'S PHONE:V -sl p ryq f
PHONE NO: (408) 640-0921
LI EN D CONTRACTOR'S DECLARATION i
BUILDING PERMIT INFO:
License Class PAINTING AND DECORATING Lie. #752677
Contractor C & C VALLEY CONSTRUCTION CO INC Date 10/31/2017
—BLDG —ELECT _ PLUMB
MECH RESIDENTIAL COMMERCIAL
I hereby affirm that I am licensed under the provisions ofliChapter 9 (commencing
_ _ _
with Section 7000) of Division 3 of the Business &Professions Code and that my
license is in full force and effect.
JOB DESCRIPTION:
CONSTRUCT (N) 1 STORYADDITION(414 S.F.); (T)
I hereby affirm under penalty of perjury one of the following two declarations:
PORCH AREA (31 S.F.); WINDOW ADDITION IN BED#2
1. i have and will maintain a certificate of consent tole self -insure for Worker's
(26 S.F.); REMODEL NOOK AREA (130 S.F.); REMODEL
Compensation, as provided for by Section 3700 of the Labor Code, for the
BATHROOMS (87 S.F.); INSTALL (N) SKYLIGHT IN NOOK
performance of the work for which this permit is issued.
have and will maintain Worker's Compensation as provided for by
AREA; INSTALL (N) ATTIC FURNACE; RELOCATE A/C
UNIT
nI .Insurance,
Section 3700 of the Labor Code, for the performance of the work for which this
5q. Ft Floor Area:
Valuation: $100000.00
permit is issued.
APPLICANT CERTIFICATION
1 certify that 1 have read this application and state that the above
information is correct. I agree to comply with all city and; county ordinances
APN Number:
Occupancy Type:
and state laws relating to building construction, and hereby authorize
362 21 028
representatives of this city to enter upon the above mentioned property for
inspection purposes. (We) agree to save indemnify and keep harmless the
City of Cupertino against liabilities, judgments, costs, and expenses which
PERMIT EXPIRES IF WORK IS NOT STARTED
may accrue against said City in consequence of the granting of this permit.
Additionally, the applicant understands and will comply with all non -point
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
source regulations per the Cupertino Municipal Code, Section 9.18.
180 DAYS FROM LAST CALLED INSPECTION..
Signature cd& 4ate
Issued by: -1We—
Date:
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of the
RE -ROOFS:
following two reasons:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
i. I, as owner of the property, or my employees with) wages as their sole
installed without first obtaining an inspection, I agree to remove all new materials for
compensation, will do the work, and the structure �s not intended or offered for
inspection.
sale (See.7044, Business & Professions Code)
2. i, as owner of the property, am exclusively contracting with licensed
Signature of Applicant:
contractors to construct the project (See.7044, Business & Professions Code).
Date:
I hereby affirm under penalty of perjury one of the following three declarations:
for
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
1. I have and will maintain a Certificate of Consent to self -insure Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
isissued.
performance of the work for which this permit is r
HAZARDOUS MATERIALS DISCLOSURE
z. I have and will maintain Worker's Compensationmt
Insurance, as provided for by
I have read the hazardous materials requirements under Chapter 6.95 of the
Section 3700 of the Labor Code, for the performance of the work for which this
California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will
permit is issued.
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
s. I certify that in the performance of the work for wich this permit is issued, I
Health & Safety Code, Section 25532(a) should I store or handle hazardous
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
I
laws of California. If, this of
air contaminants as defined by the Bay Area Air Quality Management District I
Worker's Compensation after making certificate
exemption, I become subject to the Worker's Compensation provisions of the
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
the Health & Safety Code, Sections 25505, 25533, and 25534.
or this permit shall
Labor Code, I must forthwith comply with such provisionsdf
% �f%
be deemed revoked.
�
Owner or authorized agent: d!1'�t/
APPLICANT CERTIFICATION <
Date:
I certify that I have read this application and state that the above information is
CONSTRUCTION LENDING AGENCY
correct. I agree to comply with all city and county ordinances and state laws
I hereby affirm that there is a construction lending agency for the performance
relating to building construction, and hereby authorize representatives of this city
of work's for which this permit is issued (Sec. 3097, Civ C.)
to enter upon the above mentioned property for inspection purposes. (We) agree
Lender's Name
to save indemnify and keep harmless the City of Cupertino against' liabilities,
judgments, costs, and expenses which may accrue against said City in
Lender's Address
consequence of the granting of this permit. Additionally, the applicant understands
and will comply with all non -point source regulations per the Cupertino Municipal
ARCHITECT'S DECLARATION
Code, Section 9.18.
i
1 understand my plans shall be used as public records.
Licensed
Signature Date
Professional
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION �/ n
10300 TORRE A�ENUE • CUPERTINO, CA 95014-3255
(40ZADDITION
28 4(5
FAX (408)'777-3333 • buildincuDertino.org
GUPI_RTft+IQ I
NEW CONSTRUCTIONI 0 ALTERATION / TI ❑ REVISION/ DEFERRED ORIGINAL PERMIT N
PROJECT ADDRESS �
APN R
OWNFRNA `ft f� t T �rL4�AC PY1 PHONE 3r10io E-MAIL
STREET ADDRESS A C 4t'o D FP-Of 1 PV—�
CITY, STATE, ZIP FAX
� 1� ^� b �
CONTACT NAME PWLTl r- tGL K �'1 1 �ci PHONE " ( c, i5-5 -�)-793 E-MAIL ATCt+1
V71
STREE ADDRESS I �� � �+� i� c
f
CITY, STATE, ZIP
FAX
is
OWNER El OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT YI�CHITECT El ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTORNAME LICEA'SENUb4BER I LICENSE TYPE
BUS.LIC 9
COMPANY NAI SE
EMAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
ARCHITECTIENGI EFR NAME LICENSE NUMBER f L,
BUS. LIC n
COMPANY NAME M
E-MAIL Pvf,&k L "I T I Y21
FAX
STREET ADDRESS l- * F 4b i � -� (;IVG[ ?,V e
CITY, STATE, ZIP• L� �( Q\1( ,
PHONE 4"6Oe) 4 11�7
a EjE
SVP
DESCRIPTION OF WORK�+A'
;q (��i� q4(j
e��
, rK.✓ �F V l " K IA)I �i 1� V u/�vti� _ ft �' 4 � &�„V ✓ v I/Ca t`-•� _
I
EXIS USE - PROPOSED USE' --
Cols TR. TYPE - # STO S
Ili
USE
TYPE I
OCC.. I SQ.FT.
VALUATION
V
(S)
EXISTG4
NEW FLOOR
DEMO
TOTAL
AREA i
AREA.,. f10
_SKITCHEN
AREA
is
NET AREA
BATHROOM
REMODELAREA
;
REMODEL AREA
OTHER 5
REMODEL AREA J4
-
i.
PORCH AREA
DECK AREA
TOTAL DECK/P RCH
AREA
GARAGE AREA: DETACH
-^
❑ ATTACH
DWELLI; GU'<TIS:
IS A SECOND UNIT ❑YES
SECOND STORY ❑YES.
_
�-
BEING ADDED? WO
ADDITION? �NO
PRE-APPLICATION❑TES IF YES,. PROVIDE COPY OF
IS THE BLDG AN El YES ,_
LL
VLDBY..= _.. TOTALVAUATION:
PLANTING APPL M (ANO PLANNING APPROVAL LETTER
EICHLER HOME? k TO
= - - - A n
By my signature -below, I certify to each of the followina: I am theproperly owner or authoriz d agent to act on the property owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building construction. I authorize representatives'of Cupertino to enter the above -identified property for inspection purposes.
Date: wl 1�€3
Signature of Applicant/Agent:4_6 K
SUPPLEMENTAL INFORMAT, N REQUIRED
—
=I]
New SFD or Multifamily dwellings: Apply for demolition permit for
-
existing building(s). Demolition permit is required prior to issuance of buildingRM
OtiER THF OOUhTER _;
_
BUILDL�GP�,L4t�T.RE�TtEFY^
x
permit for new building.xPxEss
z
PLAIa[HtGELANREsiEw
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
�STAI3DARD -_5.0ruBrCKwolixs
_
form if any hazardous Materials are being used 'as part of this project.=—
Copy of Planning Approval Letter or Meeting with Planning prior to
-"i��,H'fA70R - "�'`
�
_
submittal of Building Permit application.
- � k:.
�.551`[�TT�IRYSER'EI2�IST.'1tIC�•'�
Bldg 4pp_2011. doc revised 06121/11
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
n
191 ADDRESS: 1140 Derbyshire Dr
DATE: 09/28/2015
REVIEWED BY: PAUL
APN: 362 21 028
BP#:
*VALUATION: $100,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Addition
PRIMARY
USE: SFD or Duplex
2nd Unit? Yes !' No
OTC? Yes (E)No
PENTAMATION 1 R3SFDADD
PERMIT TYPE:
WORK
CONSTRUCT N 1 STORY ADDITION 414 S.F.); N PORCH AREA 31 S.F.); WINDOW ADDITION
SCOPE
IN BED#2 (26 S.F.); REMODEL NOOK AREA (130 S.F.); REMODEL BATHROOMS (87 S.F.);
TYPE OF FLR AREA
OCCUPANCY TYPE: i PGFEES\- PC,FEE ID BP FEES BP FEE ID
(Custom) 11-B 471 $1,626.00 �ADDPLCK $1,323.00 4DDINSP
R-3 Custom II -B,111 -B,
ALS: 471 $1,626.00 $1,323.00
Mech. Plan Check 10,0 1 hrs $0.003 st;7,f3, r Ff rr:'/ c:k ; c ;°. 11,14"r-
Mech.
' < r Meeh. Permit Fee: IMPERMfT P' rf ;. '£r e r- - e r ! ;.,..
Other Mech. Insp. OA hrs $48.00 'ig ,e~ f3` n 3 7r< ar .1;z.,,.
�ArYemb, 1> ..b`e'ef; P. r .:, Ins
NOTE. This estimate does not include fees due to other Departments (i. e. Planning, Public Works, Fire, Sanitary Sewer District, School
n-i—*,f ofn 1 Th— fo— —, A—d nia flan m%Iiia9iHnry hifnr"t"dnii availahh, and aro anh7 an P.Qtlinatp- CantaCt the Dent fnr addn'l into.
FEE ITEMS (Fee Resolution 11-053 E . 7/1/13
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$1,626.00
F-1307 s.f.
$431.00
Remodel, Other
1REMRESOTH �!
Suppl. PC Fee: Q Reg. OT
0.0Frs
$0.00
PME Plan Check:
$0.0087
s.f.
$645.00
Remodel, Bath (<=300 sfl
IREMRESBAT
Permit Fee:
$1,323.00
Insp. p Fee:® Reg.
Su F . OT T-0.71,
pp1.
hrs
$0.00
1 # Mechanical
$143.00 IMFR=<1oo Furnace, Forced -Air
PME Unit Fee:
$0.00
PME Permit Fee:
$48.00
0 # Skylight
$431.00 ISKYL<10SF <= 10 s.f
=o ��tr �-ctio� ax:
I
Work Without Permit? O Yes) No
$0.00
Advanced Planning Fee: 1PLiONGR
$65.94
Select a Non -Residential
Building or Structure
E
0
Travel Documentation Fee: 1TRAVDOC
$48.00
Strom Motion Fee: 1BSEISMICR
$13.00
/`
`
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$4.00
SUBTOTALS:
$3,127.94
$1,650.00
TOTAI, FEET.
$4,777.94
Revised: 07/02/2015
CUPERTINO
CONSTRUCTION PERMIT APPLICATION 14
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISIO
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
q 9
(408) 777-3228 • FAX (408) 777-3333 • build ingPcupertino.org
F-1 NFW C0NSTRIJCTw)N F-1 ADDITION
F-1 AI TPR ATION / Tl 5fl REVISION / DFFERRFD ORIGINAL PERMIT # 157010/
SO !0/ O Z
PROJECT ADDRESS S `4 0 IDC{, 9 � S I C 1 C u � RT' N�
APN #
�n0P,
yH jR
OWNER NAME E EP ► Kf�` / < </ _r
PHONE 4 /��j 125 _�yt� r/
('C
J�
/_
E-MAIL d 0 q � +q �@y114W 66 rh
STREET ADDRESS t' Ys
CITY, STATE,, ZIP Eoq TlI N 6/
v
FAX
gC 1 �J
CONTACT NAME .J/ � ? 1 K �t /I � •, aM
n�1��
r��+����
PHONE � � �9�
E-MAIL
STREET ADDRESS J f' ; ,qG I,[�ffi0C
CITY, ST TE, ZIP'` ' qsn j. FAX
Vf/
U❑ `ENGINEER
❑ OWNER ❑ OWNER-BUILDER/C ❑ OWNERAjG'ENTT` ❑ CONTRACTOR ❑ CONTRAICTO`RR AIIGENT ❑ ARCHITECT ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
LICENSE NUMB LICENSE TYPE
BUS. LIC #
r�
COMPANY NAE 1
E-MAIL
FAX
STREET ADDRESS olfz
60 -1 i /'/ V e
CI Y, STAT a 9
PHONE
ARCHIT C/ENG i EER NAME, ..
LICENSE NUMBER /'+ % / / /
BUS. LIC #
COMPANY NAME
ArCA/ f C�(� / 1 '(7M� Tit -to t 1 C�
FAX
_
$ RET DRESS
CITY, STATE, fl
C '966/
PHO 4-fS-2-7� 3
�
DESCRIPTION OF WORK
EXISTING USE
PROPOSED M CONSTR.
TYPE
#S 0 S
USE TYP OCC. SQ.FT.
VALUATION ($)
EXISTG
NEW FLOORDEMO
TOTAL
AREA
AREA
AREA
NET AREA
BATHROOM KITCHEN
OTHER
REMODEL AREA REMODEL AREA
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA
GARAGE AREA: DETACH
❑ ATTACH
# DWELLING UNITS:
ISA SECOND UNIT ❑ YES
SECOND STORY ❑ YES
BEING ADDED? ❑ NO
ADDITION? NO
PRE -APPLICATION El YES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑ Y
RECEIVED B OTAL VALUATION:
PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER
EICHLER HOME?
By my signature below, I certify to each of the following: I am the grope owner or authorized a nt to a e property owner's behalf. I have read this
application and the information I have provide is correct. I have he escription of Work and ven it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building o struction. I authoepr sentatives of Cupertino to enter the above-identified property for inspection purposes.
ka
,
Signature of Applicant/Agent: I AkA A Date: (� r
SUPPLEMENTAL INFORMATION QUI
PLAN CHECK TYPE
ROUTING SLIP
❑, OVER-THE-COUNTER
❑ BUILDING PLAN REVIEW
New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition pernlit is required prior to issuance of building
permit for new building.
❑ EXPRESS
❑ PLANNING PLAN REVIEW
_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
❑ STANDARD
❑ PUBLIC WORKS
form if any Hazardous Materials are being used as part of this project.
❑ LARGE
❑ FIRE DEPT
Copy of Planning Approval Letter or Meeting with Planning prior to
❑ MAJOR
❑ SANITARY SENNER DISTRICT
submittal of Building Permit application.
❑ ENN'IRONMENTAL HEALTH
B1dgApp 2011.doe revised 06/21/11
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15090182
1140 DERBYSHIRE DR CUPERTINO CA 95014 (362 21 028) C & C VALLEY
CONSTRUCTION CO
INC
SAN JOSE, CA 95148
OWNER'S NAME: GAUTAM HIMANSHU AND KOTHURI DEEPIKA
OWNER'S PHONE:
IM(sommip s ; s -, I- KIRA o ut]e1
License Class tj�' 0 Q Lic. #Z52SzZZ
Contractor C & C VALLEY CONSTRUCTION CO INC Date 10/31/2017
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:
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
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
(�ection 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
APPLICANT CERTIFICATION
certify that I have read this application and state that the above
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize
representatives of this city to enter upon the above mentioned property for
inspection purposes. (We) agree to save indemnify and keep harmless the
City of Cupertino against liabilities, judgments, costs, and expenses which
may accrue against said City in consequence of the granting of this permit.
Additionally, the applicant understands and will comply with all non -point
source regulations per the Cupertino Municipal Code, Section 9.18. J
Signatures /� Date Q�, ��"
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons:
m. 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)
2. I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations:
m. 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.
2. I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
3. I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the
Worker's Compensation laws of California. If, after making this certificate of
exemption, I become subject to the Worker's Compensation provisions of the
Labor Code, I must forthwith comply with such provisions or this permit shall
be deemed revoked.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws
relating to building construction, and hereby authorize representatives of this city
to enter upon the above mentioned property for inspection purposes. (We) agree
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments, costs, and expenses which may accrue against said City in
consequence of the granting of this permit. Additionally, the applicant understands
and will comply with all non -point source regulations per the Cupertino Municipal
Code, Section 9.18.
Signature 62 `.7 t--, Date 6?L
DATE ISSUED: 03/14/2016
PHONE NO: (408) 640-0921
PERMIT INFO:
BLDG —ELECT —PLUMB
_ MECH _ RESIDENTIAL _ COMMERCIAL
JOB DESCRIPTION:
CONSTRUCT (I) 1 STORYADDITION(414 S.F.); (1)
PORCH AREA (31 S.F.); WINDOW ADDITION IN BED#2
(26 S.F.); REMODEL NOOK AREA (130 S.F.); REMODEL
BATHROOMS (87 S.F.); INSTALL (I) SKYLIGHT IN NOOK
AREA; INSTALL (I) ATTIC FURNACE; RELOCATE A/C
REV # 2 - CHANGE BOX WINDOW IN LIVING RM TO FLAT
WINDOW - ISSUED 7/28/16
REVISION #1 - CHANGE LAYOUT OF MASTER BATHROOM AND
BATHROOM #1; ADD CASED OPENING BETWEEN ENTRY
HALLWAY AND (E) NOOK - ISSUED 6/24/2016
Sq. Ft Floor Area: Valuation: $100000.00
"N Number: Occupancy Type:
362 21 028
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
by:
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
Signature of
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(a) should I store or handle hazardous
material. Additionally, should I use equipment or devices which emit hazardous
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
the Health & Safety Code, Sections 25505, 25533, and 25534.
Owner or authorized ent:
Date: Q 271
CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance
of work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Address
ARCHITECT'S DECLARATION
BUILDING ENERGY ANALYSIS REPORT I
OFFICE COPY
PROJECT:
Gautam Residence Addition
1140 Derbyshire Drive
Cupertino, CA 95014
Project Designer:
Aditi Mukherjee - Architect
1448 S. Stelling Road
Cupertino, CA SUBMITTAL
(408) 333-9363
##1
Report Prepared by:
Jennifer Ferris
ACCURATE ENERGY
3713 Laguna Way
Sacramento, CA 95864
(916) 483-7313
Job Number:
215196
CTVLD
Date:
'EP 2 8 2015
9/18/2015
^Y '
BY
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 2013 Building Energy Efficiency Standards.
IThis program developed by EnergySoft, LLC — www.energysoft.com. I
Ener Pro 6.7 by Ener Soft User Number: 3119 ID: 215196
2013 Low -Rise Residential Mandatory Measures Summary
NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the
compliance approach used. Exceptions may apply. Review the respective code section for more information.
Building Envelope Measures:
§ 110.6(a)1:
Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage.
§ 110.6(a)5:
Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain
Coefficient (SHGC), and infiltration that meets the requirements of § 10-111(a).
§ 110.7:
Exterior doors and windows are weatherstripped; all joints and penetrations are caulked and sealed.
§ 110.8(a):
Insulation specified or installed meets Standards for Insulating Material. Indicate type and include on the CF2R.
§ 110.80):
The thermal emittance and aged solar reflectance values of the cool roofing material meets the requirements of § 110.8(i) when the
installation of a cool roof is specified on the CF1R.
§ 110.80):
A radiant barrier shall have an emittance of 0.05 or less when the installation of a radiant barrier is specified on the CF1R.
Minimum R-30 insulation in wood -frame ceiling; or the weighted average U -factor shall not exceed 0.031. Minimum R-19 in a
§ 150.0(a):
rafter roof alteration. Attic access doors shall have permanently attached insulation using adhesive or mechanical fasteners. The
attic access shall be gasketed to prevent air leakage.
§ 150.0(b):
Loose fill insulation shall conform with manufacturer's installed design labeled R -value.
§150.0(c):
Minimum R-13 insulation in 2x4 inch wood framing wall or have a U -factor of 0.102 or less (R-19 in 2x6 or 0.074 maximum U -
factor).
§ 150.0(d):
Minimum R-19 insulation in raised wood -frame floor or 0.037 maximum U -factor.
In Climate Zones 14 and 16 a Class II vapor retarder shall be installed on the conditioned space side of all insulation in all exterior
§150.0(g)l:
walls, vented attics and unvented attics with air -permeable insulation.
In Climate Zones 1-16 with unvented crawl spaces the earth floor of the crawl space shall be covered with a Class I or Class II
§ 150.0(g)2:
vapor retarder.
In a building having a controlled ventilation crawl space, a Class I or Class II vapor retarder shall be placed over the earth floor of
§ 150.0(g)3:
the crawl space to reduce moisture entry and protect insulation from condensation, as specified in the exception to Section
150.0(d).
§ 150.0(1):
Slab edge insulation shall: have a water absorption rate, for the insulation material alone without facings, no greater than 0.3%;
have water vapor permeance rate is no greater than 2.0 perm/inch, be protected from physical damage and UV light deterioration;
and when installed as part of a heated slab floor meets the requirements of § 110.8( ).
§ 150.0(q):
Fenestration, including skylights, separating conditioned space from unconditioned space or outdoors shall have a maximum U -
factor of 0.58; or the weighted averse U -factor of all fenestration shall not exceed 0.58.
Fireplaces, Decorative Gas Appliances and Gas Log Measures:
§150.0(e)IA:
Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox.
§150.0(e)1B:
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 readily accessible, operable, and tight -fitting damper or a combustion -air control device.
§150.0(e)1C:
Masonry or factory -built fireplaces have a flue damper with a readily accessible control.
§ 150.0(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:
§ 110.0-§ 110.3:
HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified to the Energy Commission.
§ 110.3(c)5:
Water heating recirculation loops serving multiple dwelling units meet the air release valve, backflow prevention, pump isolation
valve, and recirculation loop connection requirements of § 110.3(c)5.
Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appli-
§110.5:
ances without an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool
ands a heaters.
§ 150.0(h)1:
Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA using design conditions specified
in §150.0(h)2.
§ 150.0(h)3A:
Installed air conditioner and heat pump outdoor condensing units shall have a clearance of at least five feet from the outlet of any
dryer vent.
§ 150.0(1):
Heating systems are equipped with thermostats that meet the setback requirements of § 110.2(c).
§150.00)IA:
Storage gas water heaters with an energy factor equal to or less than the federal minimum standards shall be externally wrapped
with insulation having an installed thermal resistance of R-12 or greater.
§150.00)1B:
Unfired hot water tanks, such as storage tanks and backup storage tanks for solar water -heating systems, have R-12 external
insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank.
For domestic hot water system piping, whether buried or unburied: the first 5 feet of hot and cold water pipes from the storage
tank, all piping with a nominal diameter of 3/4 inch or larger, all piping associated with a domestic hot water recirculation system
§150.00)2A:
regardless of the pipe diameter, piping from the heating source to storage tank or between tanks, piping buried below grade, and
all hot water pipes from the heating source to kitchen fixtures must be insulated according to the requirements of TABLE 120.3-
A.
§ 150.00)2B:
All domestic hot water pipes that are buried below grade must be installed in a water proof and non -crushable casing or sleeve
that allows for installation, removal, and replacement of the enclosed pipe and insulation.
2013 Low -Rise Residential Mandatory Measures Summary
Pipe for cooling system lines shall be insulated as specified in § 150.00)2A. Piping insulation for steam and hydronic heating
§ 150.00)2C:
systems or hot waters stems with pressure > 15 psig shall meet the requirements in TABLE 120.3-A.
§ 150.00)3:
Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind.
Insulation exposed to weather shall either be rated for outdoor use or installed with a cover suitable for outdoor service. For
§ 150.00)3A:
example, protected by aluminum, sheet metal, painted canvas, or plastic cover. Cellular foam insulation protected as specified or
painted with coating that is water retardant and provides shielding from solar radiation that degrades the material.
Insulation covering chilled water piping and refrigerant suction piping located outside the conditioned space shall have a Class I
§ I50.00)3B:
or Class II vapor retarding facing, or the insulation shall be installed at the thickness that qualifies as a Class I or Class H vapor
retarder.
Systems using gas or propane water heaters to serve individual dwelling units shall include: a 120V electrical receptacle within 3
feet of the water heater; a Category III or IV vent, or a Type B vent with straight pipe between the outside termination and the
§ 150.0(n)1:
space where the water heater is installed; a condensate drain that is no more than 2 inches higher than the base of the installed
water heater, and allows natural draining without pump assistance; and a gas supply line with a capacity of at least 200,000
Btu/hr.
§ 150.0(n)2:
Recirculating loops serving multiple dwelling units shall meet the requirements of § 110.3(c)5.
§150.0(n)3:
Solar water -heating systems and collectors shall be certified and rated by the Solar Rating and Certification Corporation (SRCC)
or by a testing agency approved by the Executive Director.
Ducts and Fans Measures:
All air -distribution system ducts and plenums installed are sealed and insulated to meet the requirements of CMC §601.0, §602.0.
§603.0, §604.0, §605.0 and ANSI/SMACNA-006-2006 HVAC Duct Construction Standards Metal and Flexible 3rd Edition.
Supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-6.0 (or higher if required by CMC
§605.0) or enclosed entirely in directly conditioned space as confirmed through field verification and diagnostic testing
(RA3.1.4.3.8). Connections of metal ducts and inner core of flexible ducts are mechanically fastened. Openings shall be sealed
§ 150.0(m)1:
with mastic, tape, or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181B or
aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the
combination of mastic and either mesh or tape shall be used. Building cavities, support platforms for air handlers, and plenums
defined or constructed with materials other than sealed sheet metal, duct board or flexible 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.
Factory -Fabricated Duct Systems shall comply with specified requirements for duct construction, connections, and closures; joints
§ 150.0(m)2:
and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is
used in combination with mastic and draw bands.
§150.0(m)3-6:
Field -Fabricated Duct Systems shall comply with requirements for: pressure -sensitive tapes, mastics, sealants, and other
requirements specified for duct construction; duct insulation R -value ratings; duct insulation thickness; and duct labeling.
§ 150.0(m)7:
All fan systems that exchange air between the conditioned space and the outside of the building must have backdraft or automatic
dampers.
§150.0(m)8:
Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers
except combustion inlet and outlet air openings and elevator shaft vents.
Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind but not
§ 150.0(m)9:
limited to the following: insulation exposed to weather shall be suitable for outdoor service. For example, protected by aluminum,
sheet metal, painted canvas, or plastic cover. Cellular foam insulation shall be protected as above or painted with a coating that is
water retardant and provides shielding from solar radiation.
§150.0(m)10:
Flexible ducts cannot have porous inner cores.
When space conditioning systems use forced air duct systems to supply conditioned air to an occupiable space, the ducts shall be
§ 150.0(m)11:
sealed and duct leakage tested, as confirmed through field verification and diagnostic testing, in accordance with Reference
Residential Appendix RA3.
Mechanical systems that supply air to an occupiable space through ductwork exceeding 10 feet in length and through a thermal
§ 150.0(m)12:
conditioning component, except evaporative coolers, shall be provided with air filter devices that meet the requirements of
§ 150.0(m)12.
Space conditioning systems that utilize forced air ducts to supply cooling to an occupiable space shall have a hole for the
placement of a static pressure probe (HSPP), or a permanently installed static pressure probe (PSPP) in the supply plenum. The
§ 150.0(m)13:
space conditioning system must also demonstrate airflow > 350 CFM per ton of nominal cooling capacity through the return
grilles, and an air -handling unit fan efficacy <_ 0.58 W/CFM as confirmed by field verification and diagnostic testing, in
accordance with Reference Residential Appendix RA3.
Zonally controlled central forced air cooling systems shall be capable of simultaneously delivering, in every zonal control mode,
§150.0(m)15:
an airflow from the dwelling, through the air handler fan and delivered to the dwelling, of> 350 CFM per ton of nominal cooling
capacity, and operating at an air -handling unit fan efficacy of < 0.58 W/CFM as confirmed by field verification and diagnostic
testing, in accordance with Reference Residential Appendix RA3.
All dwelling units shall meet the requirements of ASHRAE Standard 62.2. Neither window operation nor continuous operation of
§ 150.0(0):
central forced air system air handlers used in central fan integrated ventilation systems are permissible methods of providing the
Whole Building Ventilation.
§ 150.0(o)lA:
Whole Building Ventilation airflow shall be confirmed through field verification and diagnostic testing, in accordance with
Reference Residential Appendix RA3.
Pool and Spa Heating Systems and Equipment Measures:
Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency
§ 110.4(a):
Regulations; an on-off switch mounted outside of the heater that allows shutting off the heater without adjusting the thermostat
setting; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating.
2013 Low -Rise Residential Mandatory Measures Summary
§ 110.4(b)1:
Any Pool or spa heating equipment shall be installed with at least 36 inches of pipe between filter and heater or dedicated suction
and return lines, or built-up connections for future solar heating.
§ 110.4(b)2:
Outdoor pools or spas that have a heat pump or gas heater shall have a cover.
§ 110.4(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 pro-
grammed to run only during off-peak electric demand periods.
§110.5:
Natural gas pool and spa heaters shall not have a continuous burning pilot light.
§150.0(p):
Residential pool systems or equipment shall meet specified pump sizing, flow rate, piping, filters, and valve requirements.
Lighting Measures:
§ 110.9:
All lighting control devices and systems, ballasts, and luminaires shall meet the applicable requirements of § 110.9.
§150.0(k)IA:
Installed luminaires shall be classified as high -efficacy or low -efficacy for compliance with §150.0(k) in accordance with TABLE
150.0-A or TABLE 150.0-B, as applicable.
§ 150.0(k)IB:
When a high efficacy and low efficacy lighting system are combined in a single luminaire, each system shall separately comply
with the applicable provisions of §150.0(k).
The wattage and classification of permanently installed luminaires in residential kitchens shall be determined in accordance with
§ 150.0(k)1C:
§ 130.0(c). In residential kitchens, the wattage of electrical boxes finished with a blank cover or where no electrical equipment has
been installed, and where the electrical box can be used for a luminaire or a surface mounted ceiling fan, shall be calculated as 180
watts of low ecacy lighting er electrical box.
§ 150.0(k)1D:
Ballasts for fluorescent lamps rated 13 watts or greater shall be electronic and shall have an output frequency no less than 20 kHz.
Permanently installed night lights and night lights integral to installed luminaires or exhaust fans shall be rated to consume no
§150.0(k)IE:
more than 5 watts of power per luminaire or exhaust fan as determined in accordance with § 130.0(c). Night lights do not need to
be controlled by vacancy sensors.
§ 150.0(k)1F:
Lighting integral to exhaust fans (except when installed by the manufacturer in kitchen exhaust hoods) shall meet the applicable
requirements of §150.0(k).
§ 150.0(k)2A:
High efficacy luminaires must be switched separately from low efficacy luminaires.
§ 150.0(k)2B:
Exhaust fans shall be switched separately from lighting systems.
§ 150.0(k)2C:
Luminaires shall be switched with readily accessible controls that permit the luminaires to be manually switched ON and OFF.
§ 150.0(k)2D:
Controls and equipment are installed in accordance with manufacturer's instructions.
§ 150.0(k)2E:
No control shall bypass a dimmer or vacancy sensor function if the control is installed to comply with § 150.0(k).
§ 150.0(k)2F:
Lighting controls comply with applicable requirements of § 110.9.
An Energy Management Control System (EMCS) may be used to comply with dimmer requirements if. it functions as a dimmer
§ 150.0(k)2G:
according to § 110.9; meets Installation Certificate requirements of § 130.4; the EMCS requirements of § 130.5; and all other
requirements in §150.0(k)2.
An Energy Management Control System (EMCS) may be used to comply with vacancy sensor requirements of § 150.0(k) if: it
§ 150.0(k)2H:
functions as a vacancy sensor according to § 110.9; meets Installation Certificate requirements of § 130.4; the EMCS requirements
of § 130.5; and all other requirements in § 150.0(k)2.
§ 150.0(k)2I:
A multiscene programmable controller may be used to comply with dimmer requirements of this section if it provides the
functionality of a dimmer according to § 110.9, and complies with all other applicable requirements in § 150.0(k)2.
§ 150.0(k)3A:
A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy.
Kitchen lighting includes all permanently installed lighting in the kitchen except internal lighting in cabinets that illuminate only
§ 150.0(k)3B:
the inside of the cabinets. Lighting in areas adjacent to the kitchen, including but not limited to dining and nook areas, are
considered kitchen lighting if they are not separately switched from kitchen lighting.
§ 150.0(k)4:
Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated
cabinet.
§ 150.0(k)5:
A minimum of one high efficacy luminaire shall be installed in each bathroom; and all other lighting installed in each bathroom
shall be high efficacy or controlled by vacancy sensors.
§ 150.0(k)6:
Lighting installed in attached and detached garages, laundry rooms, and utility rooms shall be high efficacy luminaires and
controlled by vacancy sensors.
§ 150.0(k)7:
Lighting installed in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, and utility rooms shall be high
efficacy, or shall be controlled by either dimmers or vacancy sensors.
Luminaires recessed into ceilings shall: be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other
nationally recognized testing/rating laboratory; have a label that certifies that the luminaire is airtight with air leakage less than 2.0
CFM at 75 Pascals when tested in accordance with ASTM E283; be sealed with a gasket or caulk between the luminaire housing
§ 150.0(k)8:
and ceiling, and shall have all air leak paths between conditioned and unconditioned spaces sealed with a gasket or caulk; and
allow ballast maintenance and replacement without requiring cutting holes in the ceiling.
For recessed compact fluorescent luminaries with ballasts to qualify as high efficacy for compliance with § 150.0(k), the ballasts
shall be certified to the Energy Commission to comply with the applicable requirements in § 110.9.
For single-family residential buildings, outdoor lighting permanently mounted to a residential building or other buildings on the
same lot shall be high efficacy, or may be low efficacy if it meets all of the following requirements:
i. Controlled by a manual ON and OFF switch that does not override to ON the automatic actions of Items ii or iii below; and
§ 150.0(k)9A:
ii. Controlled by a motion sensor not having an override or bypass switch that disables the motion sensor, or controlled by a
motion sensor having a temporary override switch which temporarily bypasses the motion sensing function and automatically
reactivates the motion sensor within 6 hours; and
iii. Controlled by one of the following methods:
2013 Low -Rise Residential Mandatory Measures Summary
a. Photocontrol not having an override or bypass switch that disables the photocontrol; or
b. Astronomical time clock not having an override or bypass switch that disables the astronomical time clock, and which is
programmed to automatically turn the outdoor lighting OFF during daylight hours; or
c. Energy management control system which meets all of the following requirements: At a minimum provides the functionality of
an astronomical time clock in accordance with § 110.9; meets the Installation Certification requirements in § 130.4; meets the
requirements for an EMCS in § 130.5; does not have an override or bypass switch that allows the luminaire to be always ON; and,
is programmed to automatically turn the outdoor lighting OFF during daylight hours.
For low-rise multifamily residential buildings, outdoor lighting for private patios, entrances, balconies, and porches; and outdoor
lighting for residential parking lots and residential carports with less than eight vehicles per site shall comply with one of the
§150.0(k)9B:
following requirements:
i. Shall comply with § 150.0(k)9A; or
ii. Shall comply with the applicable requirements in § 110.9, § 130.0, § 130.2, § 130.4, § 140.7 and § 141.0.
§ 150.0(k)9C:
For low-rise residential buildings with four or more dwelling units, outdoor lighting not regulated by § 150.0(k)9B or 150.0(k)9D
shall comply with the applicable requirements in § 110.9, § 130.0, § 130.2, § 130.4, § 140.7 and § 141.0.
§ I50.0(k)9D:
Outdoor lighting for residential parking lots and residential carports with a total of eight or more vehicles per site shall comply
with the applicable requirements in § 110.9, § 130.0, § 130.2, § 130.4, § 140.7 and § 141.0.
§150.0(k)10:
Internally illuminated address signs shall comply with § 140.8; or shall consume no more than 5 watts of power as determined
according to § 130.0(c).
§ 150.0(k)11:
Lighting for residential parking garages for eight or more vehicles shall comply with the applicable requirements for
nonresidential garages in § 110.9, § 130.0, § 130. 1, § 130.4, § 140.6, and § 141.0.
In a low-rise multifamily residential building where the total interior common area in a single building equals 20 percent or less of
§ 150.0(k)12A:
the floor area, permanently installed lighting for the interior common areas in that building shall be high efficacy luminaires or
controlled by an occupant sensor.
In a low-rise multifamily residential building where the total interior common area in a single building equals more than 20
percent of the floor area, permanently installed lighting in that building shall:
§ 150.0(k)1213:
i. Comply with the applicable requirements in § 110.9, § 130.0, § 130. 1, § 140.6 and § 141.0; and
ii. Lighting installed in corridors and stairwells shall be controlled by occupant sensors that reduce the lighting power in each
space by at least 50 percent. The occupant sensors shall be capable of turning the light fully On and Off from all designed paths of
ingress and egress.
Solar Ready Buildings:
Single family residences located in subdivisions with ten or more single family residences and where the application for a
§ 110.10(a)1:
tentative subdivision map for the residences has been deemed complete, by the enforcement agency, on or after January 1, 2014,
shall comply with the requirements of § 110.10(b) through §1 10.10(e).
§ 110.10(a)2:
Low-rise multi -family buildings shall comply with the requirements of §1 10.10(b) throw h §1 10.10(d).
The solar zone shall have a minimum total area as described below. The solar zone shall comply with access, pathway, smoke
ventilation, and spacing requirements as specified in Title 24, Part 9 or other Parts of Title 24 or in any requirements adopted by a
local jurisdiction. The solar zone total area shall be comprised of areas that have no dimension less than 5 feet and are no less than
80 square feet each for buildings with roof areas less than or equal to 10,000 square feet or no less than 160 square feet each for
§ 110.10(b)l:
buildings with roof areas greater than 10,000 square feet.
For single family residences the solar zone shall be located on the roof or overhang of the building and have a total area no less
than 250 square feet. For low-rise multi -family buildings the solar zone shall be located on the roof or overhang of the building or
on the roof or overhang of another structure located within 250 feet of the building or on covered parking installed with the
building project and have a total area no less than 15 percent of the total roof area of the building excluding any skylight area.
§ 110.10(b)2:
All sections of the solar zone located on steep -sloped roofs shall be oriented between 110 degrees and 270 degrees of true north.
No obstructions, including but not limited to, vents, chimneys, architectural features, and roof mounted equipment, shall be
§ 110.10(b)3A:
located in the solar zone.
Any obstruction, located on the roof or any other part of the building that projects above a solar zone shall be located at least twice
§ 110.10(b)3B:
the distance, measured in the horizontal plane, of the height difference between the highest point of the obstruction and the
horizontal projection of the nearest point of the solar zone, measured in the vertical plane.
§ 110.10(bA
For areas of the roof designated as solar zone, the structural design loads for roof dead load and roof live load shall be clearly
indicated on the construction documents.
The construction documents shall indicate: a location for inverters and metering equipment and a pathway for routing of conduit
§ 110.10(c):
from the solar zone to the point of interconnection with the electrical service (for single family residences the point of
interconnection will be the main service panel); a pathway for routing of plumbing from the solar zone to the water -heating
system.
§110.10(d):
A copy of the construction documents or a comparable document indicating the information from § 110.10(b) through § 110.10(c)
shall be provided to the occupant.
§ 110.10(e)1:
The main electrical service panel shall have a minimum busbar rating of 200 amps.
The main electrical service panel shall have a reserved space to allow for the installation of a double pole circuit breaker for a
§110.10(e)2:
future solar electric installation. The reserved space shall be: positioned at the opposite (load) end from the input feeder location or
main circuit location, and permanently marked as "For Future Solar Electric'.
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
Project Name
Gautam Residence Addition
Date
9/18/2015
System Name
HVAC
Floor Area
1,551
ENGINEERING CHECKS
SYSTEM LOAD
Number of S stems
1
Total Room Loads
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
COIL
CFM
623
0
COOLING
PEAK
COIL HTG.
PEAK
Heating System
Sensible
Latent
CFM
Sensible
Output per System
55,000
13,050
871
269
14,373
Total Output (Btuh)
55,000
0
Output Btuh/s ft
35.5
592
798
Cooling System
0
0
Output per System
0
0
0
0
0
Total Output (Btuh)
0
0
871
0
Total Output (Tons)
0.0
592
798
Total Output (Btuh/s ft)
0.0
Total Output s ft/Ton
0.0
14,234
15,969
Air System
CFM per System
1,000
HVAC EQUIPMENT SELECTION
Airflow cfm
1,000
New Furnace Existing A/C (run as no cooling so no 1 0
0
55,000
Airflow (cfm/s ft)
0.64
Airflow (cfm/Ton)
0.0
Outside Air %
0-0%.
Total Adjusted System Output
(Adjusted for Peak Design conditions)
TIME OF SYSTEM PEAK
0 0
Aug 3 PM
55,000
Jan 1 AM
Outside Air cfm/s ft
0.00
Note: values above given at ARI conditions
HEATING SYSTEM PSYCHROMETRICS
Airstream Temperatures at Time of Heating Peak
28 OF
10
Outside Air
0 cfm
AL
67 OF
67 OF 118 --F
@
Heating Coil Supply Fan
1,000 cfm
I
118 °F
UTFT
118 OF
ROOM
68 OF
COOLING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Cooling Peak)
88/68-F
Outside Air
0 cfm
76 / 62 OF
76/62°F 55/54°F 55/54°F
Cooling Coil Supply Fan 56 / 54 OF
1,000 cfm
46.3% ROOM
75 / 61 OF
EnergyPro 6.7 by EnergySoft
User Number- 3119 RunCode: 2015-09-18T13:01:32 ID: 215196 Page 6 of 6
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Gautam Residence Addition Calculation Date/Time: 13:53, Fri, Sep 18, 2015
Calculation Description: Title 24 Analysis
Input File Name: 215196final.ribd
CF1 R -PRF -01
Page 1 of 10
GENERAL INFORMATION
01
Building Complies with Computer Performance
01
Project Name Gautam Residence Addition
03
This building incorporates one or more Special Features shown below
02
Calculation Description Title 24 Analysis
08
Energy Use (kTDV/ft2-yr)
03
Project Location 1140 Derbyshire Drive
Compliance Margin
Percent Improvement
04
City Cupertino
05
Standards Version Compliance 2015
06
Zip Code 95014
07
Compliance Manager Version BEMCmpMgr 2013-4 (744)
08
Climate Zone CZ4
09
Software Version CBECC-Res 2013-4 (744)
10
Building Type Single Family
11
Front Orientation (deg/Cardinal) 270
12
Project Scope Addition and/or Alteration
13
Number of Dwelling Units 1
14
Total Cond. Floor Area (ft2) 1551.1
15
Number of Zones 2
16
Slab Area (ft2) 0
17
Number of Stories 1 11 1 Mal
18
Addition Cond. Floor Area 439.8
19
Natural Gas Available es
20
Addition Slab Area (ft2) 0
21
Glazing Percentage (%) 21.7%
COMPLIANCE RESULTS
01
Building Complies with Computer Performance
02
This building incorporates features that require field testing and/or verification by a certified HERS rater under the supervision of a CEC-approved HERS provider.
03
This building incorporates one or more Special Features shown below
06
ABy
Registration Number: 215-A6331386A-000000000-0000 Registration Date/Time: 2015-09-21 00:03:46 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2015-09-18 13:54:18
ENERGY USE SUMMARY
04
05
06
07
08
Energy Use (kTDV/ft2-yr)
Standard Design
Proposed Design
Compliance Margin
Percent Improvement
Space Heating
15.44
14.96
0.48
3.1%
Space Cooling
15.33
15.75
-0.42
2.7%
IAQ Ventilation
0.00
0.00
0.00
- A
Water Heating
0.00
0.00
0.00
0.0%
Photovoltaic Offset
----
0.00
0.00
Compliance Energy Total
30.77
30.71
0.06
0.2%
ABy
Registration Number: 215-A6331386A-000000000-0000 Registration Date/Time: 2015-09-21 00:03:46 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2015-09-18 13:54:18
` CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1 R -PRF -01
Project Name: Gautam Residence Addition Calculation Date/Time: 13:53, Fri, Sep 18, 2015 Page 2 of 10
Calculation Description: Title 24 Analysis Input File Name: 215196final.ribd
REQUIRED SPECIAL FEATURES
The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis.
• Cathedral Ceiling
• Window overhangs and/or fins
HERS FEATURE SUMMARY
The following is a summary of the features that must be field -verified by a certified HERS Rater as a condition for meeting the modeled energy performance for this computer analysis. Additional detail is
provided in the building components tables below.
Building -level Verifications:
• --None --
Cooling System Verifications:
• -- None --
HVAC Distribution System Verifications:
• Duct Sealing
Domestic Hot Water System Verifications:
• --None --
ENERGY DESIGN RATING
This is the sum of the annual TDV energy consumption for energy use components included in the performance compliance approach for the Standard Design Building (Energy Budget) and the annual
TDV energy consumption for lighting and components not regulated by Title 24, Part 6 (such as domestic appliances and consumer electronics) and accounting for the annual TDV energy offset by an
on-site renewable energy system.
Reference Energy Use Energy Design Rating
Margin
Percent Improvement
Total Energy (kTDV/f2-yr)* 81.30 81.24
0.06
0.1%
* includes calculated Appliances and Miscellaneous Energy Use (AMEU)
BUILDING - FEATURES INFORMATION
01
02
03
04
05
06
07
Project Name
Conditioned Floor Area (ft2)
Number of Dwelling
Units
Number of Bedrooms
Number of Zones
Number of Ventilation
Cooling Systems
Number of Water
Heating Systems
Gautam Residence Addition
1551.1
1
3
2
0
0
ZONE INFORMATION
01
02
03
04
05
06
07
Zone Name
Zone Type
HVAC System Name
Zone Floor Area
(ft2)
Avg. Ceiling
Height
Water Heating System 1
Water Heating System 2
Existing
Conditioned
HVAC1
1111.3
8
DHW Sys 1
Addition
Conditioned
HVAC1
439.8
8
DHW Sys 1
Registration Number: 215-A6331386A-000000000-0000 Registration Date/Time: 2015-09-21 00:03:46 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2015-09-18 13:54:18
` CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Gautam Residence Addition
Calculation Description: Title 24 Analysis
Calculation Date/Time: 13:53, Fri, Sep 18, 2015
Input File Name: 215196final.ribd
CF1 R -PRF -01
Page 3 of 10
OPAQUE SURFACES
01
02
03
04
05
06
07
08
09
10
Name
Zone
Construction
Azimuth
Orientation
Gross Area (ft)
Window & Door
Area (ft)
Tilt
(deg)
Status
Verified
Existing
Condition
Left
Existing
R-13 Wall
0
Left
244.3
32
90
Existing
No
Back
Existing
R-13 Wall
90
Back
210.6
40.02
90
Existing
No
Right
Existing
R-13 Wall
180
Right
211.4
28.7
90
Existing
No
Interior Surface
Existing»_Garage_
R-13 Walll
148.6
17.8
Existing
No
Roof 2
Existing
R-30 Attic
1099.7
Existing
No
Raised Floor
Existing
R-19 Floor Crawlspace
1111.3
Existing
No
Front
Addition
R-13 Wall
270
Front
166
96.4
90
New
N/A
Left 2
Addition
R-13 Wall
0
Left
192
72
90
New
N/A
Back 2
Addition
R-13 Wall
90
Back
104
40
90
New
N/A
Right 2
Addition
R-13 Wall
180
Right
69
16
90
New
N/A
Interior Surface 2
Addition»_Garage_
R-13 Wall'!
153
New
N/A
Roof 3
Addition
R-30 Attic
439.8
New
N/A
Raised Floor 2
Addition
R-19 Floor Crawlspace
439.8
New
N/A
Front 2
_Garage_
Exterior Garage Wall
270
Front
112.1
112
90
Existing
No
Front 3
_Garage_
Exterior Garage Wall
270
Front
36.6
90
Existing
No
Left 3
_Garage_
Exterior Garage Wall
0
Left
37
90
Existing
No
Right 3
_Garage_
Exterior Garage Wall
180
Right
191
17.8
90
Existing
No
Attic
_Garage_
R-0 Roof Attic Garage
443.5
Existing
No
OPAQUE SURFACES — Cathedral Ceilings
01
02
03
04
05
06
07
08
09
10
11
12
13
Name
Zone
Type
Orientatio
n
Area
(ft2)
Skylight
Area (ft2)
Roof Rise
(x in 12)
Roof
Pitch
Roof
Tilt(deg)
Roof
Reflectan
ce
Roof
Emittance
Framin
g
Factor
Status
Verified
Existing
Condifion
Roof
Existing
R-30 Atticl
Left
11.7
5.8
4
0.33
18.43
0.1
0.85
0.07
Existing
No
Registration Number: 215-A6331386A-000000000-0000 Registration Date/Time: 2015-09-21 00:03:46 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2015-09-18 13:54:18
` CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Gautam Residence Addition Calculation Date/Time: 13:53, Fri, Sep 18, 2015
Calculation Description: Title 24 Analysis Input File Name: 215196final.ribd
CF1 R -PRF -01
Page 4 of 10
ATTIC
01
02
03
04
05
06
07
08
09
10
Radiant
Statu
Verified Existing
Name
Construction
Type
Roof Rise
Roof Reflectance
Roof Emittance
Barrier
Cool Roof
s
Condition
Engisti
Attic _Garage_
Attic Garage Roof Cons
Ventilated
4
0.1
0.85
No
No
No
Attic Existing
Attic RoofExisting
Ventilated
4
0.1
0.85
No
No
Enigsti
No
Attic Addition
Attic RoofAddition
Ventilated
4
0.1
0.85
No
No
New
No
�
aICERTS, Inc.
HERS PROVI DER
Registration Number: 215-A6331386A-000000000-0000 Registration Date/Time: 2015-09-21 00:03:46 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - MR -08252015-744 Report Generated at: 2015-09-18 13:54:18
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Gautam Residence Addition
Calculation Description: Title 24 Analysis
Calculation Date/Time: 13:53, Fri, Sep 18, 2015
Input File Name: 215196final.ribd
CF1 R -PRF -01
Page 5 of 10
WINDOWS
01
02
03
04
05
06
Name
Side of Building
Area (ft2)
U -factor
01
02
03
04
05
06
07
08
09
10
11
Name
Surface (Orientation -Azimuth)
Width(ft)
Height (ft)
Multiplie
r
Area (ft)
U -factor
SHGC
Exterior Shading
Status
Verified
Existing
Condition
New W9 30x48 OP
Left (Left -0)
----
----
1
10.0
0.30
0.21
Insect Screen (default)
New
N/A
New W10 30x48 OP
Left (Left -0)
----
----
1
10.0
0.30
0.21
Insect Screen (default)
New
N/A
ALT 46x22 to W11 36x24 OP
Left (Left -0)
----
----
1
6.0
0.30
0.21
Insect Screen (default)
Altered
N/A
ALT 46x22 to W12 36x24 OP
Left (Left -0)
----
----
1
6.0
0.30
0.21
Insect Screen (default)
Altered
N/A
ALT 72x80 to D4 72x80 SGD
Back (Back -90)
6.0
6.7
1
40.0
0.32
0.25
Insect Screen (default)
Altered
N/A
EX 48x36 OP
Right (Right -180)
----
----
1
12.0
0.58
0.65
Insect Screen (default)
Existing
No
EX 40x60 OP
Right (Right -180)
----
----
1
16.7
0.58
0.65
Insect Screen (default)
Existing
No
New S1 22x38 SKY
Roof (Left -0)
----
----
1
5.8
0.43
0.28
None
New
N/A
New S6 22x38 SKY
Roof (Left -0)
----
----
1
5.8
0.43
0.28
None
New
N/A
New D1 72x90 FD
Front (Front -270)
6.0
7.5
1
45.0
0.32
0.25
Insect Screen (default)
New
N/A
New W1 88x60 OP
Front (Front -270)
----
----
1
36.7
0.30
0.21
Insect Screen (default)
New
N/A
New W2 88x24 FX
Front (Front -270)
----
----
1
14.7
0.29
0.22
Insect Screen (default)
New
N/A
New W3 24x60 OP
Left 2 (Left -0)
----
----
1
10.0
0.30
0.21
Insect Screen (default)
New
N/A
New W4 24x24 FX
Left 2 (Left -0)
----
----
1
4.0
0.29
0.22
Insect Screen (default)
New
N/A
New W5 24x60 OP
Left 2 (Left -0)
----
----
1
10.0
0.30
0.21
Insect Screen (default)
New
N/A
New W6 24x24 FX
Left 2 (Left -0)
----
----
1
4.0
0.29
0.22
Insect Screen (default)
New
N/A
New W7 48x60 OP
Left 2 (Left -0)
----
----
1
20.0
0.30
0.21
Insect Screen (default)
New
N/A
New W8 48x24 FX
Left 2 (Left -0)
----
----
1
8.0
0.29
0.22
Insect Screen (default)
New
N/A
New W13 24x48 FX
Left 2 (Left -0)
----
----
1
8.0
0.29
0.22
Insect Screen (default)
New
N/A
New W16 24x48 FX
Left 2 (Left -0)
----
----
1
8.0
0.29
0.22
Insect Screen (default)
New
N/A
New W14 60x48 OP
Back 2 (Back -90)
5.0
4.0
1
20.0
0.30
0.21
Insect Screen (default)
New
N/A
New W17 60x48 OP
Back 2 (Back -90)
5.0
4.0
1
20.0
0.30
0.21
Insect Screen (default)
New
N/A
New W15 24x48 FX
Right 2 (Right -180)
----
----
1
8.0
0.29
0.22
Insect Screen (default)
New
N/A
New W18 24x48 FX
Right 2 (Right -180)
----
----
1
8.0
0.29
0.22
Insect Screen (default)
New
N/A
DOORS
01
02
03
04
05
06
Name
Side of Building
Area (ft2)
U -factor
Status
Verified Existing Condition
EX 2868 DR
Interior Surface
17.8
0.50
Existing
No
Registration Number: 215-A6331386A-000000000-0000 Registration Date/Time: 2015-09-21 00:03:46 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2015-09-18 13:54:18
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Gautam Residence Addition Calculation Date/Time: 13:53, Fri, Sep 18, 2015
Calculation Description: Title 24 Analysis
Input File Name: 215196final.ribd
CF1 R -PRF -01
Page 6 of 10
OVERHANGS AND FINS
01
02
03
04
05
06
07
08
09
10
11
12 13
14
Overhang
Left Fin
Right Fin
Window
Depth
Dist Up
Left
Extent
Right
Extent
Flap Ht.
Depth
Top Up
DistL
Bot Up
Depth
Top Up Dist R
Bot Up
ALT 72x80 to D4 72x80 SGD
2
0.25
4
6
0
0
0
0
0
0
0 0
0
New D1 72x90 FD
6
1
2
2
0
0
0
0
0
0
0 0
0
New W14 60x48 OP
1.33
0.25
2
2
0
0
0
00
0
0 0
0
New W17 60x48 OP
1.33
0.25
2
2
0
0
0
0
0
0
0 0
0
CaICERTS, Inc.k
Registration Number: 215-A6331386A-000000000-0000 Registration Date/Time: 2015-09-21 00:03:46 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2015-09-18 13:54:18
` CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Gautam Residence Addition
Calculation Description: Title 24 Analysis
Calculation Date/Time: 13:53, Fri, Sep 18, 2015
Input File Name: 215196final.ribd
CF1 R -PRF -01
Page 7 of 10
OPAQUE SURFACE CONSTRUCTIONS
01
02
03
04
05
06
07
Total Cavity
Winter Design
Construction Name
Surface Type
Construction Type
Framing
R -value
U -value
Assembly Layers
Inside Finish: Gypsum Board
• Cavity/ Frame: no insul. /2x4
• Exterior Finish: Wood
Exterior Garage Wall
Exterior Walls
Wood Framed Wall
2x4 @ 16 in. O.C.
none
0.302
Siding/sheathing/decking
Ceilings (below
• Inside Finish: Gypsum Board
R-0 Roof Attic Garage
attic)
Wood Framed Ceiling
2x4 @ 24 in. O.C.
none
0.481
• Cavity/ Frame: no insul. /2x4
• Cavity/ Frame: no insul. /2x4 Top Chrd
2x4 Top Chord of Roof Truss @ 24
• Roof Deck: Wood Siding/sheathing/decking
Attic Garage Roof Cons
Attic Roofs
Wood Framed Ceiling
in. O.C.
none
0.644
• Roofing: Light Roof (Asphalt Shingle)
• Cavity/ Frame: no insul. /2x4 Top Chrd
2x4 Top Chord of Roof Truss @ 24
• Roof Deck: Wood Siding/sheathing/decking
Attic RoofExisting
Attic Roofs
Wood Framed Ceiling
in. O.C.
none
0.644
• Roofing: Light Roof (Asphalt Shingle)
• Inside Finish: Gypsum Board
• Cavity/Frame: R -13/2x4
• Exterior Finish: Wood
R-13 Wall
Exterior Walls
Wood Framed Wall
2x4 @ 16 in. O.C.
R 13
0.095
Siding/sheathing/decking
• Floor Surface: Carpeted
Floors Over
• Floor Deck: Wood Siding/sheathing/decking
R-19 Floor Crawlspace
Crawlspace
Wood Framed Floor
2x8 @ 16 in. O.C.
R 19
0.047
• Cavity/Frame: R -19/2x8
• Inside Finish: Gypsum Board
Ceilings (below
• Cavity/Frame: R-9.1 /2x4
R-30 Attic
attic)
Wood Framed Ceiling
2x4 @ 24 in. O.C.
R 30
0.032
• Over Floor Joists: R-20.9 insul.
• Inside Finish: Gypsum Board
• Cavity/ Frame: R -30/2x4
• Roof Deck: Wood Siding/sheathing/decking
R-30 Atticl
Cathedral Ceilings
Wood Framed Ceiling
2x4 @ 24 in. O.C.
R 30
0.042
• Roofing: Light Roof (Asphalt Shingle)
• Inside Finish: Gypsum Board
• Cavity/Frame: R -13/2x4
R-13 Wall1
Interior Walls
Wood Framed Wall
2x4 @ 16 in. O.C.
R 13
0.092
• Other Side Finish: Gypsum Board
• Cavity/ Frame: no insul. /2x4 Top Chrd
2x4 Top Chord of Roof Truss @ 24
• Roof Deck: Wood Siding/sheathing/decking
Attic RoofAddition
Attic Roofs
Wood Framed Ceiling
in. O.C.
none
0.644
• Roofing: Light Roof (Asphalt Shingle)
Registration Number: 215-A6331386A-000000000-0000 Registration Date/Time: 2015-09-21 00:03:46 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF111-08252015-744 Report Generated at: 2015-09-18 13:54:18
` CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Gautam Residence Addition
Calculation Description: Title 24 Analysis
Calculation Date/Time: 13:53, Fri, Sep 18, 2015
Input File Name: 215196final.ribd
CF1 R -PRF -01
Page 8 of 10
SPACE CONDITIONING SYSTEMS
01
02
03
04
05
06
07
08
09
Zonally Controlled
Multi -speed
Compressor
Heating System
Cooling System
NoCooling - No cooling equipment
N/A N/A
No
No
--- I ---
Verified Existing
HERS
Name
Type
Distribution
Fan
Floor Area
Location
Verified Existing
Name
System Type
Name Ducted
Name Ducted
System
System
Served
Status
Condition
HVAC1
Other Heating and
Heating
Yes
Cooling
No
Air Distribution
HVAC Fan
1551.1
Altered
No
Altered
Cooling System
Component 1
Component 1
System 1
1
HVAC - HEATING SYSTEMS
01 02 03
Name Type Efficiency
Heating Component 1 CntrlFurnace - Fuel -fired central furnace 92 AFUE
HVAC - COOLING SYSTEMS
01
02
03 04
05
06
07
Name
System Type
Efficiency
EER SEER
Zonally Controlled
Multi -speed
Compressor
HERS Verification
Cooling Component 1
NoCooling - No cooling equipment
N/A N/A
No
No
--- I ---
HVAC - DISTRIBUTION SYSTEMS
01
02
03
04
05
06
07
08
09
10
Duct Leakage
Target (%)
Verified Duct Location
Verified Duct Design
Return Supply
Insulation
Supply Duct
Return Duct
--
--- I ---
Verified Existing
HERS
Name
Type
Duct Leakage
R -value
Location
Location
Bypass Duct
Status
Condition
Verification
Air Distribution
Air Distribution
System 1
Ducts located in attic
Sealed and tested
6.0
Attic
Attic
None
Altered
No
System
1 -hers -dist
HVAC DISTRIBUTION - HERS VERIFICATION
01
02
03
04
05 06
Name
Duct Leakage
Verification
Duct Leakage
Target (%)
Verified Duct Location
Verified Duct Design
Return Supply
Air Distribution System 1 -hers -dist
Required
6.0
--
--- I ---
Registration Number: 215-A6331386A-000000000-0000 Registration Date/Time: 2015-09-21 00:03:46 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2015-09-18 13:54:18
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Gautam Residence Addition
Calculation Description: Title 24 Analysis
Calculation Date/Time: 13:53, Fri, Sep 18, 2015
Input File Name: 215196final.ribd
CF1 R -PRF -01
Page 9 of 10
HVAC - FAN SYSTEMS & HERS VERIFICATION
01
02 03 04
Name
Type Fan Power (Watts/CFM) HERS Verification
HVAC Fan 1
Single Speed PSC Furnace Fan 0.58 ---
IAQ (Indoor Air Quality) FANS
01 02 03 04 05
Name IAQ CFM IAQ Fan Type IAQ Recovery Effectiveness(%) HERS Verification
SFam IAQVentRpt 0 Default 0 Not Required
PROJECT NOTES
Special Note:
Existing + Addition + Alteration Calculations
Existing A/C to Remain. New Furnace and New Duct System. Calculations run as no cooling because only the Furnace component is new and neither software (EP or CBECC) allow for
independant modeling of components. Since existing A/C to remain, Current Standard default SEER/EER modeled when run as no cooling. This allows for no HERS measures on the
existing A/C and provided no credit or penalty for that component.
Registration Number: 215-A6331386A-000000000-0000 Registration Date/Time: 2015-09-21 00:03:46 HERS Provider: CalCERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2015-09-18 13:54:18
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Gautam Residence Addition
Calculation Description: Title 24 Analysis
Calculation Date/Time: 13:53, Fri, Sep 18, 2015
Input File Name: 215196final.ribd
CF1 R -PRF -01
Page 10 of 10
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Jennifer Ferris
�eri�c�rtia
Company:
Signature Date:
Accurate Energy
2015-09-18 14:00:07
CABEC
Address:
CEA/HERS Certification Identification (If applicable):
3713 Laguna Way
R13-15-10062
CwlMruu A.e U[.� nl R., Wuu Ena,gv � cn,uli,nr,
City/State/Zip:
Phone:
Sacramento, CA 95864
916-483-7313
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance.
2. 1 certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of
Regulations.
3. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
Responsible Designer Name:
Responsible Designer Signature:
Aditi Mukherjee
Company:
Date Signed:
Aditi Mukherjee, Architect
2015-09-21 00:03:46
Address:
License:
1448 S. Stelling Rd.
C31611
City/State/Zip:
Phone:
Cupertino, CA 95014
408-455-3793
Digitally signed by Ca10ERTS. 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-A6331386A-000000000-0000 Registration Date/Time: 2015-09-21 00:03:46 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF111-08252015-744 Report Generated at: 2015-09-18 13:54:18