15120164CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: 15120164
10216 AVOCADO PL CUPERTINO CA 95014 (369 09 014)
BRIGHTON BUILDERS
PO BOX 3104, LOS
ALTOS, CA 94024
OWNER'S NAME: SESHADRI SRIDHAR AND POORNIMA
DATE ISSUED: 03/16/2016
OWNER'S PHONE: 650-861-9007
PHONE NO: 650-787-6255
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class B Tic. #893522
Contractor BRIGHTON BUILDERS Date
—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 DESCRIP'T'ION:
ADD 248 S.F. TO (E) FRONT, 2ND STORY TO EXTEND (E)
I hereby affirm under penalty of perjury one of the following two declarations:
MASTER BEDROOM AREA & ADD 248 S.F. TO 1 ST FLR,
1. I have and will maintain a certificate of consent to iself-insure for Worker's
SIDE YARD TO CREATE (N) 1/2 BATH & EXTEND (E)
Compensation, as provided for by Section 3700 of the Labor Code, for the
DINING RM
performance of the work for which this permit is issued.
**UPFRONT**
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.
Sq. Ft Floor Area:
Valuation: $115000.00
APPLICANT CERTIFICATION
I ce ify that I 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
369 09 014
representatives of this city to enter upon the above mentioned property for
inspection purposes. (We) agree to save indemnify and keep harmless the
Cityof 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.
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Add, Tonally, the applicant understands and will comply with all non -point
sour a regulations per the Cupertino Municipal Code, Section 9.18.
180 DAYS FROM LAST CALLED INSPECTION.
Date 3/16/16
I her by affirm that I am exempt from the Contractor's License Law for one of the
follo, ving 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
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:
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.
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 Date 3/16/16
Issued by: ABBY AYENDE
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 A.
Date: 3/16/16
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. 1 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 agent'A&,4iar-d
Date. 3/16/16
CONSTRUCTION LENDING AGENCY
I 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'sAddress
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed
Professit
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: 15120164
10216 AVOCADO PL CUPERTINO CA 95014 (369 09 014)
BRIGHTON BUILDERS
PO BOX 3104, LOS
ALTOS, CA 94024
OWNER'S NAME: SESHADRI SRIDHAR AND POORNIMA
DATE ISSUED: 03/16/2016
OWNER'S PHONE: 650-861-9007
PHONE NO: 650-787-6255
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class lI Lic. #893522
Contractor BRIGHTON BUILDERS Date 3/31/2017
—BLDG —ELECT _ PLUMB
MACH RESIDENTIAL COMMERCL4L
I hereby affirm that I aro licensed under the provisions of Chapter 9 (commencing
_ _
with Section 7000) of Division 3 of the Business & Professions Code and that my
license is in full force and effect.
JOB DESCRIPTION:
ADD 248 S.F. TO (E) FRONT, 2ND STORY TO EXTEND (E) MASTER
I hereby affirm under penalty of perjury one of the following two declarations:
BEDROOM AREA & ADD 248 S.F. TO 1 ST FLR, SIDE YARD TO
1. I have and will maintain a certificate of consent to self -insure for Worker's
CREATE (N) 1/2 BATH & EXTEND (E)DINING RM.
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
REVISION #1: REVISE ROOF STRUCTURE ABOVE DINING/FAMILY
ave and will maintain Worker's Compensation Insurance, as provided for by
ROOMS TO VAULTED CEILING; AND ADD COFFERED CEILING TO
ction 3700 of the Labor Code, for the performance of the work for which this
cAtpermit
MASTER BEDROOM. ISSUED 5/10/16
is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above
Sq. Ft Floor Area:
Valuation: $115000.00
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
APN Number:
Occupancy Type:
inspection purposes. (We) agree to save indemnify and keep harmless the
369 09 014
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
PERMIT EXPIRES IF WORK IS NOT STARTED
source regulations per the Cupertino Municipal Code, Section 9.18.
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Signature Date 5/10/2016
OWNER -BUILDER DECLARATION
Issued by: ABBY AYENDE
Date: 43/16/2016
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons:
1. I, as owner of the property, or my employees with wages as their sole
RE -ROOFS:
compensation, will do the work, and the structure is not intended or offered for
All roofs shall be inspected prior to any roofing material being 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 (Sec.7044, Business & Professions Code).
Signature of Applicant:
I hereby affirm under penalty of perjury one of the following three declarations:
Date: 5/10/2016
t. 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
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
performance of the work for which this permit is issued.
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
HAZARDOUS MATERIALS DISCLOSURE
permit is issued.
I have read the hazardous materials requirements under Chapter 6.95 of the
3. I certify that in the performance of the work for which this permit is issued, I
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
shall not employ any person in any manner so as to become subject to the
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(a) should I store or handle hazardous
Worker's Compensation laws of California. If, after making this certificate of
material. Additionally, should I use equipment or devices which emit hazardous
exemption, I become subject to the Worker's Compensation provisions of the
air contaminants as defined by the Bay Area Air Quality Management District I
Labor Code, I must forthwith comply with such provisions or this permit shall
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
be deemed revoked.
the Health & Safety Code, Se tions 25505, 25533, 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: 5/10/201
relating to building construction, and hereby authorize representatives of this city
CONSTRUCTION LENDING AGENCY
to enter upon the above mentioned property for inspection purposes. (We) agree
I hereby affirm that there is a construction lending agency for the performance
to save indemnify and keep harmless the City of Cupertino against liabilities,
of work's for which this permit is issued (Sec. 3097, Civ C.)
judgments, costs, and expenses which may accrue against said City in
Lender's Name
consequence of the granting of this permit. Additionally, the applicant understands
and will comply with all non -point source regulations per the Cupertino Municipal
Lender's Address
Code, Section 9.18.
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Signature Date 5/10/2016
Licensed
J
CUPERTINO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 JR&V**1
(408) 777-3228 •FAX (408) 777-3333 • building (a.cupertino.org
n 2SEW CONSTRTICTION ❑ ADDITION ❑ ALTER.ATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS APN R
OWNER NAME S I S i I PHONTE
E-MAIL
STREET ADDRESS
CITY, STATE, ZIP I FAX - -
O
U
CONTACT NA -%1E
PHONE E-MAIL
STREET ADDRESS
CITY, STATE, ZIP
FAX
❑ OR'NER ❑ OWT'ER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DE%LLOPER ❑ ?ENANT
CONTRACTOR NAMF� , - �. f L�
LICENSE NUMB S^ /J
i
LICENSE TY?E 1
I BUS. LIC R
COMPA T NA),4E�I E-MAIL
Fax —
STREET ADDRESS /` f, CITY, STATE, ZIP 1 VJkAA0s'
V
( PHONE
LICENSE NUMBER
BUS. LIC R
COMPANY NAME -`� S I O E-NOUL
FAX — --- --
STREET ADDRESS _ , n , CITY, STATE, ZIP ^
PHONE
DESCRIPTION OF WORK
EXISTING USE
PROPOSED USE CONSTR. TYPE 'STORIES
USE I
TYPE
OCC.
SQ.FT.
VALUATION (S)
E)aSTG
NEW FLOOR
DEMO
TOTAL
AREA
AREA
AREA
NET AREA
BATHROOM
KITCHEN
-T
OTHER
REMODEL .AREA
REMODEL AREA
REMODELAREA
PORCH AREA
DECK.ARE.A
TOTAL DECK,`PORCH AREA
GARAGE.AREA: LJDETACH
❑ ATTACH
DwELLTNG UNITS:
IS A SECOND UNIT YES
SECOND STORY ❑ YES
BEING ADDED? ❑ NO
ADDITION? [3"0
PRE-AP?L1CAT]ON ❑ YES IF YES, PROVIDE COPY OF
IS THE BLDG AN [:]PES
RE �' T�� a a
t'
TOTAL VALUATION:
PLANNING .APPL: ❑NO PLANNING APPROVAL LETTER
I
EICHLER HOME? ❑ NO
By my signature below, I certify to each of the following: I am the property owner or auth iz agent t 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 \ ork and verify it is accurate. I agee to comply With all applicable local
ordinances and state laws relatin to wild' g nstruction. I authorize representatives of Cupertino to enter the above -id Iti-ri7roperty. for inspection purposes.
Signature of Applicant/Agent: Date: / o
SUPPLEN4ENTAL INFORN4ATION REQUIRED
PLAN CliFClc TS PE
ROUTING SLIP
{
New SFD or T4ultifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
0\ -R-TEE-COUNT, }R
RLILnING PLA\ RE\7E',
permit for new building.
?^ E>D KE Ss
❑ PLA-NN]Nc PLA -N IZEti ]E '
_ Commercial Bldgs: Provide a completed Hazardous ?`4aterials Disclosure
_ ST-Xn�,-PD
—i PI: F.LlC 60r. --s
form if any Hazardous 1`4aterials are being used as part of this project.
L -RGt
PiI:EDKFI
Copy of Planning Approval Letter or Meeting with Planning prior to
_
submittal of Building Permit application.
V ��JOR
S tiNIT r ` FR
'r+,,, <e�'sY'." rt• -z >"',...'
EN\-IRON-NIENT I -
Bld&4pp_2011.doc revised 06/_%1/11
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-8 FAX (408) 777-3333 • building(aDcupertno.org1-4
LJ NEW CONSTRUCTION Z ADDITION ❑ ALTERATION / Ti 0 REVISION / DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS r0 C- ® APN #
OWNERNAME `� POro s 9 —Y06 -7E -MAIL
STREET ADDRESS � C Y ` _ � � � CITY, STATE,, ZIP j`� FAX
CONTACT NAME n, PHONEg / AIL z
L " chisl19 �I( � ��A,>y
STREET ADDRESS t) AJ CITY, STATE_ ZIP �( FAXaq
.❑ OWNER ❑ OWNER -BUILDER ❑ OWNER:AGENT ❑CONTRACTOR CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC
15j0'f0*:kA LLA
COMPANY NAME-MAIL� f f_rO 9 l 9U $1-,04 e_S 1-7' Ey P ' L ®% T i t (e FAX
9'
STREET ADDRE CITY, STATE, ZIP P ONE
6C;f L-0�1 Acis_ C - 'f- 797 -G 5
E LICENSE NUMBER BUS. LIC #
CONRANY.NAME E-MAIL FAX
, 0-t fi
STREET�SS CITY, STATE, ZIP PHONE
# DWELLING UNITS:
IS A SECOND UNIT ❑ S
SECOND STORY RYES
DESCRIPTION OF WORK
BEING: ADDED? NO
ADDITION? []NO
y
IS THE BLDG AN
I --i
PLANNING APPL # []NO PLANNING APPROVAL LETTER
EICHLER HOME?
By my signature below, I certify to each of the following: I am the property owner iorize ent to act on the property owner's behalf. I have read '
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate.. I agree to comply with all applicable�Iocaordin
ances and state laws relating buil g construct'on. I authorize representatives of Cupertino to enter the above -identified property for inspection purpo
Date:
Signature ofApplicant/Agent:
1
SUPPLEMENTAL INFORMATION REQUIRED
PT.AI)ICH CK7'. ,e-,
YPE
_ New SFD or Multifamily dwellings: Apply for demolition permit for
fl a ER rHE COUNTS
❑ BUILPING PLANREVIEw
existing building(s). Demolition permit is required prior to issuance of building
pen -nit for new building.
EeR> s
PLAN Rvi� - r ;
EXISTING USE
l] STANbAiiD
PROPOSED USE
-
CONSTR. TYPE I # STORIES
❑
- -' USE '�
TYPE OCC, SQ.FT.
VALUATION ($}
EXISTAREAL' 1 � (y
'. AREA' ®
NEW Lt 8
AREA I®
DEMO
AREA
submittal of Building Permit application.
TOTAL
NET AREA
-
-
BATHROOM
-
KITCHEN
OTHER
-
REMODEL AREA
REMODEL AREA
REMODEL AREA
..
# DWELLING UNITS:
IS A SECOND UNIT ❑ S
SECOND STORY RYES
BEING: ADDED? NO
ADDITION? []NO
PRE -APPLICATION ❑ YES IP YES, PROVIDE COPY OF
IS THE BLDG AN
-.Ej�7,ED. .'r ,_' „ �`;�,-: ' ' --" VALUATION:
PLANNING APPL # []NO PLANNING APPROVAL LETTER
EICHLER HOME?
By my signature below, I certify to each of the following: I am the property owner iorize ent to act on the property owner's behalf. I have read '
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�Iocaordin
ances and state laws relating buil g construct'on. I authorize representatives of Cupertino to enter the above -identified property for inspection purpo
Date:
Signature ofApplicant/Agent:
1
SUPPLEMENTAL INFORMATION REQUIRED
PT.AI)ICH CK7'. ,e-,
YPE
_ New SFD or Multifamily dwellings: Apply for demolition permit for
fl a ER rHE COUNTS
❑ BUILPING PLANREVIEw
existing building(s). Demolition permit is required prior to issuance of building
pen -nit for new building.
EeR> s
PLAN Rvi� - r ;
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
l] STANbAiiD
❑ POSLIC WOR"
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[YIV14sox
ElSANITARY SEVI,MR DISTRICT
submittal of Building Permit application.
BldgApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ialADDRESS: 10216 AVOCADO PL
'DATE: 12/17/2015
REVIEWED BY: MELISSA
APN; 369 09 014
BP#
"VALUATION:
1$115,boo
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Addition
PRIMARY
USE: . SFD or Duplex
2nd Unit? - Yes G No
OTC? 0 Yes (j)No
PENTAMATION
PERMIT TYPE: 1 R3SFDADD'
woRK
ADD 248 S.F. TOE FRONT 2ND STORY TO EXTEND E MASTER BEDROOM AREA & ADD 248
SCOPE
S.F. TO 1ST FLR, SIDE YARD TO CREATE (N) 1/2 BATH & EXTEND (E) DINING RM
OCCUPANCY TYPE: TYPE OF FLR AREA CONSTR. (s.f.) PC FEES PC FEE ID BP FEES BP FEE ID
R-3 (Custom) II-B;III-13JV,V 13 496 $1,626.00 IADDPLCK $1,323.00IADDINSP
TOTALS: 496 $1,626.00 $1,323.00
He,; !P. "I }n (3',it'f;7.; � Ku -.€,,b. 11..w Cheek 1..tec ?il„i c.,17t;.
1..1-.`.'f'. Fee:
Y.Y. O'fhCr '1't<rt b llts'p. 0� fle `
NOTE: This estimate does not include -fees due to other Departments (i. e. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc.). These -fees are based on the preliminary information available and`are only an estimate. uontact theyept.ror aaan't mfo.
FEE ITEMS (Fee Resolution 11-053 E : 211113
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$1,626.00
- Select a Mise Bldg/Structure
or Element of a Building
Suppl. PC Fee: Reg. 0 OT=
hrs
$0.00
PME Plan Check:
$0.00'
Permit Fee:
$1,323.00
Suppl. Insp. Fee.6) Reg. 0 OT
0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Work Without Permit? 0 Yes .) No
$0.00
Advanced Planning Feer IPLLONGR
$69.44
Select a Non -Residential G
Building or Structure 0
Strong Motion Fee: 1BSEISMICR
$14.95
Select an Administrative Item
Bld& Stds Commission Fee: IBCBSC
$5.00
sUSTOTALs .
$3,038.39
$0.00 Ta'TaL FEE:
$3,038.39
Revised: 10/01/201
CUPERTINO
CONTRACTOR / SUBCONTRACTOR LIST
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
JOB ADDRESS: ( 0'2-) bJOG14170 C('
PERMIT # I Q) 6 �/
OWNER'S NAME: rOOPNiMP, -S A,i
PHONE # 65 -0 -79,7 -62 -575 -
50 -7$%"62575 -
GENERAL
GENERAL CONTRACTOR: I I ToN 0IL L)p.
BUSINESS LICENSE # Lf 0l
ADDRESS:2. p , t/ )(Z LOS LT-
CITY/ZIPCODE: f_ (_ os. C 9 (4aZ
*Our municipal code requires all businesses working in thQ nota have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE. P e 0
I am not using any subcontractors:
S' ature Date
Please check applicable subcontractors and complete the following information:
Owner / Contractor Signature
Date
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring / Carpeting
Linoleum / Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner / Contractor Signature
Date
CUPERTINO
CONTRACTOR / SUBCONTRACTOR LIST
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
JOB ADDRESS: 10 � 1 f AYoc-A 9,0 P L
PERMIT # 1 S I? a/ is If
OWNER'S NAME:S'RIpHA4,C 4 foofpiM M SEsyoAR I
PHONE # 5-0 - e% _ K,2 S
GENERAL CONTRACTOR: M 1 G NTo.v
BUSINESS LICENSE # � !
ADDRESS: Z) L,aX 71,01-r to f CA
CITY/ZIPCODE: Lv S q LTo S
*Our municipal code requires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
Signature
Please check applicable subcontractors and complete the following information:
Date
V
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
o.3
Electrical
7) L LD E L C C 7 ►f I C 4 L
Excavation
R cS 8 V!
Fencing
Flooring / Carpeting
litJ E ff 0 USC 0I R ELT
Linoleum / Wood
Glass / Glazing
Heating
i/
Insulation
Landscaping
Lathing
Masonry
Painting / Wallpaper
Paving
Plastering
Plumbing
L
L A 6 PL-
Roofing
Roofing
lQ pS b v 1 L- 1'3 E
Septic Tank
Sheet Metal
Sheet Rock
L-'0 E
S b
Tile
7v /4-1 13 U/ L DL,:�k's
d 3 3
Owner / Contractor Signature
�17
17
17
I
Date
CUPERTINO
CONTRACTOR / SUBCONTRACTOR LIST
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
JOB ADDRESS: 10 Z I 6
JOGA- 0 PLA CC
PERMIT # I 51 Lo) 6 4
OWNER'S NAME:- 0p
A -V-9jkjb4j4P, SoSdAbf)PHONE
# 66-0 - 78 7 -6 Z Sri
GENERAL CONTRACTOR:
1 I TD tv ROILPERS 410-
BUSINESS LICENSE # 0
ADDRESS: 2 MoKA-
- N DK " Li C
CITY/ZIPCODE: L19 q 4 OZ
*Our municipal code requires all businesses w6rking in th# HON1 have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
oPW41�s-12-.3/zor -7
S' ature Date
Please check applicable subcontractors and complete the following information:
Owner / Contractor Signature
Date
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring / Carpeting
Linoleum / Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner / Contractor Signature
Date
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Seshadri Residence Calculation Date/Time: 06:33, Mon, Dec 14, 2015
Calculation Description: Title 24 Analysis
Input File Name: Seshadri RR2801 EA.xml
CF1 R -PRF -01
Page 1 of 11
GENERAL INFORMATION
01 Project Name Seshadn Residence
02 Calculation Description Title 24 Analysis
03 Project Location 10216 Avocado Place
04 City Cupertino
05
Standards Version
Compliance 2015
06 Zip Code 95014
07
Compliance Manager Version
BEMCmpMgr 2013-4 (744)
08 Climate Zone CZ4
09
Software Version
EnergyPro 6.6
10 Building Type Single Family
11
Front Orientation (deg/Cardinal)
330
12 Project Scope Addition and/or Alteration
13
Number of Dwelling Units
1
14 Total Cond. Floor Area (ft2) 2801
15
Number of Zones
4-
16 Slab Area (ft2) 706
17
Number of Stories-
2 70
18 Addition Cond. Floor Area 496
19
Natural Gas Available
Yes "?f
20 Addition Slab Area (ft) 0
21
Glazing Percentage (%)
12.6%
COMPLIANCE RESULTS
01
Building Complies with Computer Performance rig
02
This building DOES NOT require HERS Verification ._ V- G..S r.
03
This building incorporates one or more Special Features shown belowL
e
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744
HERS Provider:
Report Generated at: 2015-12-14 06:36:02
ENERGY USE SUMMARY
04
05
06
07
08
Energy Use (kTDV/ft2-y r)
Standard Design
Proposed Design
Compliance Margin
Percent Improvement
Space Heating
47 81
44.12
3.69
7.7%
Space Cooling
37.78
3889
i9 Pryx;,;r-
-2.9%
IAQ Ventilation
0.00
0.00
0.00 ItZ4
0.0%
Water Heating
11.37
11.37
0.00
0.0%
Photovoltaic Offset
----
0.00
0.00
----
Compliance Energy Total
96.96
94.38
2.58
2.7%
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744
HERS Provider:
Report Generated at: 2015-12-14 06:36:02
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Seshadri Residence Calculation Date/Time: 06:33, Mon, Dec 14, 2015
Calculation Description: Title 24 Analysis Input File Name: Seshadri RR2801 EA.xml
REQUIRED SPECIAL FEATURES
The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis.
• New ductwork added is less than 40 ft. in length
HERS FEATURE SUMMARY
CF1 R -PRF -01
Page 2 of 11
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:
• -- None --
Domestic Hot Water System Verifications:
• -- None --
ENERGY DESIGN RATING
This is the sum of the annual TDV energy consumption for energy use components included in the 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.
02
Reference Energy Use Energy Design Rating
Margin Percent Improvement
Total Energy (kTDV/f2-yr)*
141.06 138.48
2.58 1.8%
* 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
Seshadri Residence
2801
1
4
4
0
1
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CFiR-08252015-744
HERS Provider:
Report Generated at: 2015-12-14 06:36:02
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Seshadri Residence Calculation Date/Time: 06:33, Mon, Dec 14, 2015
Calculation Description: Title 24 Analysis
Input File Name: Seshadri RR2801 EA.xml
CF1 R -PRF -01
Page 3 of 11
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
Main Floor
Conditioned
HVAC Systeml
1445
8
DHW Sys 1
Main Floor Addition
Conditioned
HVAC System
248
8
DHW Sys 1
Upper Floor
Conditioned
HVAC System
860
8
DHW Sys 1
Upper Floor Addition
Conditioned
HVAC System
248
8
DHW Sys 1
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744
HERS Provider:
Report Generated at: 2015-12-14 06:36:02
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Seshadri Residence Calculation Date/Time: 06:33, Mon, Dec 14, 2015
Calculation Description: Title 24 Analysis
Input File Name: Seshadri RR2801 EA.xml
CFI R -PRF -01
Page 4 of 11
OPAQUE SURFACES
01
02
03
04
05
06
07
08
09
10
Name
Zone
Construction
Azimuth
Orientation
Gross Area (ft2)
Window & Door
Area (ft)
Tilt
(deg)
Status
Verified
Existing
Condition
Front Wall
Main Floor
R-0 Wall
330
Front
224
73.3
90
Existing
No
Left Wall
Main Floor
R-0 Wall
60
Left
287
18
90
Existing
No
Rear Wall
Main Floor
R-0 Wall
150
Back
401
102.7
90
Existing
No
Right Wall
Main Floor
R-0 Wall
240
Right
93
9
90
Existing
No
Interior Surface
Main Floon>_Garage_
R-0 Walll
199
16.7
Existing
No
Roof
Main Floor
R-0 Roof Attic
739
Existing
No
Raised Floor 2
Main Floor
R-0 Floor Crawlspace
739
Existing
No
Front Wall 2
Main Floor Addition
R-13 Wall
330
Front
94
90
New
N/A
Rear Wall 2
Main Floor Addition
R-13 Wall
150
Back
94
20
90
New
N/A
Right Wall 2
Main Floor Addition
R-13 Wall
240
Right
226
25
90
New
N/A
Roof 2
Main Floor Addition
R-30 Roof Attic
248
New
N/A
Raised Floor 3
Main Floor Addition
R-19 Floor Crawlspace
248
New
N/A
Left Wall 2
Upper Floor
R-0 Wall
60
Left
305
24.7
90
Existing
No
Rear Wall 3
Upper Floor
R-0 Wall
150
Back
177
36
90
Existing
No
Right Wall 3
Upper Floor
R-0 Wall
240
Right
174
90
Existing
No
Interior Surface 3
Upper Floor»Attic Upper Floor
R-0 Walll
90
Existing
No
Roof 3
Upper Floor
R-0 Roof Attic
860
Existing
No
Raised Floor
Upper Floor
R-0 Floor No Crawlspace
67
Existing
No
Interior Surface 5
Upper Floon>_Garage_
R-0 Floor No Crawlspacel
84
Existing
No
Front Wall 3
Upper Floor Addition
R-13 Wall
330
Front
177
54
90
New
N/A
Left Wall 3
Upper Floor Addition
R-13 Wall
60
Left
91
10.7
90
New
N/A
Right Wall 4
Upper Floor Addition
R-13 Wall
240
Right
91
90
New
N/A
Roof 4
Upper Floor Addition
R-30 Roof Attic
248
New
N/A
Interior Surface 7
Upper Floor
Add ition»_Garage_
R-19 Floor No Crawlspace
248
New
N/A
Front Wall 4
_Garage_
R-0 Wall
330
Front
177
112
90
Existing
No
Left Wall 4
_Garage_
R-0 Wall
60
Left
181
17.8
90
Existing
No
Right Wall 5
_Garage_
R-0 Wall
240
Right
160
90
Existing
No
Roof 5
_Garage_
R-0 Roof Attic
133
Existing
No
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744
HERS Provider:
Report Generated at: 2015-12-14 06:36:02
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Seshadri Residence Calculation Date/Time: 06:33, Mon, Dec 14, 2015
Calculation Description: Title 24 Analysis
Input File Name: Seshadri RR2801 EA.xml
CF1 R -PRF -01
Page 5 of 11
ATTIC
01
02
03
04
05
06
07
08
09
10
11
Name
Surface (Orientation -Azimuth)
Width(ft)
Height (ft)
Multiplie
r
Radiant
U -factor
Statu
Verified Existing
Name
Construction
Type
Roof Rise
Roof Reflectance
Roof Emittance
Barrier
Cool Roof
s
Condition
Attic
Attic Garage Roof Cons
Ventilated
0
0.1
0.85
No
No
Exgti
No
_Garage_
Insect Screen (default)
New
N/A
Window 3
Front Wall (Front -330)
----
----
1
13.3
Attic Main Floor
Attic RoofMain Floor
Ventilated
4
0.1
0.85
No
No
Existi
No
18.0
0.55
0.67
Insect Screen (default)
Existing
No
Window 5
Rear Wall (Back -150)
ng
----
Attic Main Floor Addition
Attic RoofMain Floor Addition
Ventilated
4
0.1
0.85
No
No
New
No
Attic Upper Floor
Attic RoofUpper Floor
Ventilated
4
0.1
0.85
No
No
Eng ti
No
----
----
1
9.0
0.55
0.67
Insect Screen (default)
Existing
No
Window 8
Attic Upper Floor Addition
Attic RoofUpper Floor Addition
Ventilated
1 4
1 0.1
0.85
No
No
New
No
WINDOWS
01
02
03
04
05
06
07
08
09
10
11
Name
Surface (Orientation -Azimuth)
Width(ft)
Height (ft)
Multiplie
r
Area (ft2)
U -factor
SHGC
Exterior Shading
Status
Verified
Existing
Condition
Window
Front Wall (Front -330)
----
----
1
32.0
0.34
0.30
Insect Screen (default)
Altered
N/A
Window 2
Front Wall (Front -330)
----
----
1
8.0
0.34
0.30
Insect Screen (default)
New
N/A
Window 3
Front Wall (Front -330)
----
----
1
13.3
0.55
0.67
Insect Screen (default)
Existing
No
Window 4
Left Wall (Left -60)
----
----
1
18.0
0.55
0.67
Insect Screen (default)
Existing
No
Window 5
Rear Wall (Back -150)
----
----
1
90.7
0.55
0.67
Insect Screen (default)
Existing
No
Window 6
Rear Wall (Back -150)
----
----
1
12.0
0.34
0.30
Insect Screen (default)
Altered
N/A
Window 7
Right Wall (Right -240)
----
----
1
9.0
0.55
0.67
Insect Screen (default)
Existing
No
Window 8
Rear Wall 2 (Back -150)
----
----
1
20.0
0.34
0.30
Insect Screen (default)
New
N/A
Window 9
Right Wall 2 (Right -240)
----
----
1
25.0
0.34
0.30
Insect Screen (default)
New
N/A
Window 10
Left Wall 2 (Left -60)
----
----
1
6.0
0.55
0.67
Insect Screen (default)
Existing
No
Window 11
Left Wall 2 (Left -60)
----
----
1
18.7
0.34
0.30
Insect Screen (default)
New
N/A
Window 12
Rear Wall 3 (Back -150)
----
----
1
36.0
0.55
0.67
Insect Screen (default)
Existing
No
Window 13
Front Wall 3 (Front -330)
1
54.0
0.34
0.30
Insect Screen (default)
New
N/A
Window 14
Left Wall 3 (Left -60)
----
1
10.7
0.34
1 0.30
1 Insect Screen (default)
New
N/A
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744
HERS Provider:
Report Generated at: 2015-12-14 06:36:02
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Seshadri Residence Calculation Date/Time: 06:33, Mon, Dec 14, 2015
Calculation Description: Title 24 Analysis
Input File Name: Seshadri RR2801 EA.xml
CF1 R -PRF -01
Page 6 of 11
DOORS
01
02
03
04
05
06
Name
Side of Building
Area (ft2)
U -factor
Status
Verified Existing Condition
Door
Front Wall
20.0
0.50
Existing
No
Door 2
Interior Surface
16.7
0.50
Existing
No
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CFIR-08252015-744
HERS Provider:
Report Generated at: 2015-12-14 06:36:02
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Seshadri Residence Calculation Date/Time: 06:33, Mon, Dec 14, 2015
Calculation Description: Title 24 Analysis
Input File Name: Seshadri RR2801 EA.xml
CF1 R -PRF -01
Page 7 of 11
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
R-0 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
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 RoofMain Floor
Attic Roofs
Wood Framed Ceiling
in. O.C.
none
0.644
Roofing: Light Roof (Asphalt Shingle)
• Floor Surface: Carpeted
Floors Over
Floor Deck: Wood Siding/sheathing/decking
R-0 Floor Crawlspace
Crawlspace
Wood Framed Floor
2x12 @ 16 in. O.C.
none
0.216
Cavity/Frame: no insul. /2x12
• Inside Finish: Gypsum Board
• Cavity/ Frame: no insul. / 2x4
R-0 Walll
Interior Walls
Wood Framed Wall
2x4 @ 16 in. O.C.
none
0.277
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 RoofMain Floor Addition
Attic Roofs
Wood Framed Ceiling
in. O.C.
none
0.644
Roofing: Light Roof (Asphalt Shingle)
• Floor Surface: Carpeted
Floors Over
Floor Deck: Wood Siding/sheathing/decking
R-19 Floor Crawlspace
Crawlspace
Wood Framed Floor
2x6 @ 16 in. O.C.
R19
0.049
Cavity/ Frame: R -19/2x6
• Inside Finish: Gypsum Board
• Cavity / Frame: R-13 / 2x4
• Exterior Finish: Wood
R-13 Wall
Exterior Walls
Wood Framed Wall
2x4 @ 16 in. O.C.
R 13
0.095
Siding/sheathing/decking
• Inside Finish: Gypsum Board
Ceilings (below
Cavity/Frame: R-9.1 /2x4
R-30 Roof Attic
attic)
Wood Framed Ceiling
2x4 @ 24 in. O.C.
R 30
0.032
Over Floor Joists: R-20.9 insul.
• Cavity/ Frame: no insul. / 2x4 Top Chrd
2x4 Top Chord of Roof Truss @ 24
Roof Deck: Wood Siding/sheathing/decking
Attic RoofUpper Floor
Attic Roofs
Wood Framed Ceiling
in. O.C.
none
0.644
Roofing: Light Roof (Asphalt Shingle)
• Floor Surface: Carpeted
• Floor Deck: Wood Siding/sheathing/decking
R-0 Floor No Crawlspace
Exterior Floor=Wood
med Floor
2x12 @ 16 in. O.C.
none
0.240
Cavity/Frame: no insul. /2x12
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744
HERS Provider:
Report Generated at: 2015-12-14 06:36:02
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Seshadri Residence Calculation Date/Time: 06:33, Mon, Dec 14, 2015
Calculation Description: Title 24 Analysis
Input File Name: Seshadri RR2801 EA.xml
CF1 R -PRF -01
Page 8 of 11
SLAB FLOORS
01
02
03
04
05
• Floor Surface: Carpeted
07
08
09
Name
Zone
Area (ft2)
• Floor Deck: Wood Siding/sheathing/decking
Edge Insul. R -value
Carpeted
Fraction
Heated
Status
Verified
Existing
Condition
Slab -on -Grade
• Cavity / Frame: no insul. / 2x 12
R-0 Floor No Crawlspacel
Interior Floors
Wood Framed Floor
2x12 @ 16 in. O.C.
none
0.196
Ceiling Below Finish: Gypsum Board
• Cavity/ Frame: no insul. / 2x4 Top Chrd
2x4 Top Chord of Roof Truss @ 24
Roof Deck: Wood Siding/sheathing/decking
Attic RoofUpper Floor Addition
Attic Roofs
Wood Framed Ceiling
in. O.C.
none
0.644
Roofing: Light Roof (Asphalt Shingle)
• Floor Surface: Carpeted
• Floor Deck: Wood Siding/sheathing/decking
• Cavity/Frame: R -19/2x6
R-19 Floor No Crawlspace
Interior Floors
Wood Framed Floor
2x6 @ 16 in. O.C.
R 19
0.048
Ceiling Below Finish: Gypsum Board
SLAB FLOORS
01
02
03
04
05
06
07
08
09
Name
Zone
Area (ft2)
Perimeter
(ft)
Edge Insul. R -value
Carpeted
Fraction
Heated
Status
Verified
Existing
Condition
Slab -on -Grade
Main Floor
706
52
None
0.8
No
Existing
No
BUILDING ENVELOPE - HERS VERIFICATION
01 02 03 04
Quality Insulation Installation (QII) Quality Installation of Spray Foam Insulation Building Envelope Air Leakage CFM50
Not Required Not Required Not Required ---
WATER HEATING SYSTEMS
01
02
03
04
05
06
07
08
Name
System Type
Distribution Type
Water Heater
Number of
Heaters
Solar
Fraction
M
Status
Verified Existing
Condition
DHW Sys 1
DHW
Standard
DHW Heater 1
1
Annual
Existing
I No
WATER HEATERS
01
02
03
04
05
06
07
08
Name
Heater Element Type
Tank Type
Tank Volume
(gal)
Energy Factor or
Efficiency
Input Rating
Tank Exterior
Insulation R -value
Standby Loss
(Fraction)
DHW Heater 1
Natural Gas
Small Storage
50
0.575 EF
40000-Btu/hr
0
0
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744
HERS Provider:
Report Generated at: 2015-12-14 06:36:02
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Seshadri Residence Calculation Date/Time: 06:33, Mon, Dec 14, 2015
Calculation Description: Title 24 Analysis
Input File Name: Seshadri RR2801EA.xml
CF1R-PRF-01
Page 9 of 11
WATER HEATING - HERS VERIFICATION
01
02
03
04
05
06
07
Name
Pipe Insulation
Parallel Piping
Compact Distribution
Point -of Use
Recirculation with
Manual Control
Recirculation with
Sensor Control
DHW Sys 1
n/a
n/a
n/a
n/a
n/a
n/a
SPACE CONDITIONING SYSTEMS
01
02
03
04
05
06
07
08
09
Zonally Controlled
Multi -speed
Compressor
Heating System
Cooling System
NoCooling - No cooling equipment
N/A N/A
No
No
N/A
Verified Existing
HERS
Name
Type
Distribution
Fan
Floor Area
Location
Verified Existing
Name
System Type
Name Ducted
Name Ducted
System
System
Served
Status
Condition
HVAC SystemlOther
Heating and
Heating
Yes
Cooling
No
Air Distribution
HVAC Fan
2801
Existing
No
Cooling System
Component 1
Component 1
System 1
1
HVAC - HEATING SYSTEMS
01 02 03
Name Type Efficiency
Heating Component 1 CntrlFurnace - Fuel -fired central furnace 80 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
N/A
HVAC - DISTRIBUTION SYSTEMS
01
02
03
04
05
06
07
08
09
10
Insulation
Supply Duct
Return Duct
Verified Existing
HERS
Name
Type
Duct Leakage
R -value
Location
Location
Bypass Duct
Status
Condition
Verification
Air Distribution
Ducts located in attic
Existing (not
6.0
Attic
Attic
None
Existing + New
No
N/A
System 1
specified)
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
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744
HERS Provider:
Report Generated at: 2015-12-14 06:36:02
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Seshadri Residence Calculation Date/Time: 06:33, Mon, Dec 14, 2015
Calculation Description: Title 24 Analysis
Registration Number:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Input File Name: Seshadri RR2801 EA.xml
Registration Date/Time:
Report Version - CF1R-08252015-744
CF1 R -PRF -01
Page 10 of 11
HERS Provider:
Report Generated at: 2015-12-14 06:36:02
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Seshadri Residence
Calculation Description: Title 24 Analysis
Calculation Date/Time: 06:33, Mon, Dec 14, 2015
Input File Name: Seshadri RR2801EA.xml
CF1R-PRF-01
Page 11 of 11
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Miles Hancock
41 &aLv �-14�- C
Company:
Signature Date:
Energy Design Group
12/14/2015
Address:
CEA/HERS Certification Identification (If applicable):
2149 Dartmouth Street
R13-14-10047
City/State ip:
Palo Alto, CA 94306
Phone:
(650) 804-9063
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:
Rick Reynolds
Company:
Date Signed:
Rick Reynolds
Address:
License:
City/State/Zip:
Phone:
Boulder Creek, CA 95006
(408) 320-3616
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CFiR-08252015-744
HERS Provider:
Report Generated at: 2015-12-14 06:36:02