15090097CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 19164 MINER PL
CONTRACTOR:
PERMIT NO: 15090097
OWNER'S NAME: LANGEMAK DAVID AND KATHRYN
r—w)u5ol
DATE ISSUED: 12/14/2015
OWNER'S PHONE: 4085647864
PHONENO*WP4J 8W$
0 LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL ® COMMERCIAL
License Class 2 -_7
CONSTRUCT (N) ATTIC 2ND STORY ADDITION (738 S.F.)
Lic. #
REMODEL 2 (E) BATHROOMS (192 S.F.), KITCHEN
Contractor 's ®/ 15- -&a Date__L— / L/ '` /
REMODEL (117 S.F.), OTHER REMODEL (512 S.F.).
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business & Professions
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
Sq. Ft Floor Area:
Valuation: $165000
erformance of the work for which this permit is issued.
have and will maintain Worker's Compensation Insurance, as provided for by
.Section 3700 of the Labor Code, for the performance of the work for which this
APN Number: 31626076.00
Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
PERMIT EXPIRES IF WORK IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
180 -YS FROM LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
•^
costs, and expenses which may accrue against said City in consequence of the
Issued by: Date:
granting of this permit. -Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
RE -ROOFS:
inspected to material being installed. If a roof is
9.18.
Date /
Signature
All roofs shall be prior any roofing
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
❑ OWNER -BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale (Sec.7044,
Business & Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
HAZARDOUS MATERIALS DISCLOSURE
construct the project (Sec.7044, Business & Professions Code).
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
I hereby affirm under penalty of perjury one of the following three
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations:
Health &Safety Code, Section 25532(a) should I store or handle hazardous
I have and will maintain a Certificate of Consent to self --insure for Worker's
material. Additionally, should I use equipment or devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants as defined by the Bay Area Air Quality Management District I
with the Cupertino Municipal Code, Chapter 9.12 and
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
will maintain compliance
the Health & Safety Code, Sections 25 05, 25533, and 25534.
Section 3700 of the Labor Code, for theerformance of the work for which this
p
Owner or authorized agent: � Date:
permit is issued.
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to the Worker's
CONSTRUCTION LENDING AGENCY
Compensation laws of California. If after making this certificate of exemption, I
Code, I
I hereby affirm that there is a construction lending agency for the performance of
become subject to the Worker's Compensation provisions of the Labor must
work's for which this permit is issued (Sec. 3097, Civ C.)
forthwith comply with such provisions or this permit shall be deemed revoked.
Lender's Name
APPLICANT CERTIFICATION
Lender's Address
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
I understand my plans shall be used as public records.
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code; Section
Licensed Professional
9.18.
Signature Date
CONSTRUCTION PERMIT APPLICATION i
COMMUNITY DEVELOPMENT DEPARTMENT ® BUILDING DIVISION
90300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 FAX (408) 777-3333 • buildingP—cupertino.org
NEW CONSTRUCTION X ADDITION ❑ ALTERATION / Ti ❑ REVISION / DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS , 1 ! Y
R 7 7
--Vb
APN # f..
`
OWNERNAME PHONE
E-MAIL
STREET ADDRESS a t CITY, STATE, ZIP
FAX
to mp
CONTACT NAME
PHO
E-
STREET ADDRE
C ST TE, ZIP FAX
B
13 OWNER ❑ OWNER -BUILDER Q OWNERAGENT ❑. CONTRACTOR ❑ CONTRACTOR AGENT CHITECT. 13 ENGINEER. ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
LICENSE NUMBER
LICENSE TYPE
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
ARCHITECT/E IG ER NAME
LICENSE NUMBER
BUS. LIC
CO ANY AME 9
E-MAIL
FAX
STREET ADD SS s
ZIP
PHONE
eNp
DESCRIPTION OF
XIS ATG SE
ROP D US
F n 1USE
CONSTR.E
# STORIES
TYPE
OCC.
SQ.FT.
VALUATION ($)
EXIST
AREA �
NEW FLOOR
AREA
DEMO a
AREA p
6
TOTAL
NET AREA
BATHROOM
REMODEL AREA ` "'" i 2,
KITCHEN
IREMODEL AREA -
OTHER -
REMODEL AREA
PORCH AREA
-D CK AREA
TOTAL DECK/PORCH AREA
GARA E AREA: DETACH
-
CH
# DWELLING UNITS:
- IS A SECOND UNIT YES
SEC ND STORY []YES
BEING ADDED?
ADDITION? ®NO
'
PRE -APPLICATION ERYES IF YES, PROVIDE COPY OF
PLANNING APPL # NO PLANNING APPROVAL LETTER
IS THE BLDG AN ❑ YES
EICHLER HOME?
-. IVED BY:
C w
TOT VALUATION:
9
By my signature below, I certify to each of the following: I am the property caner or authorized agent to act on the properly owner's behalf. I hav read this
application and the information I have provided is correct. I ve read th escription of Work and verify it is accurate. I agree to comply With all applicable local
ordinances and state laws relating to buil ' true ' . I utho' epresentatives of Cupertino to enter the above -identified prop foction purposes.
Signature of Applicant/Agent: Date:
SUPPLEM„I11T INFORMATION P4QUIRED
PaANCRECKTYPE , _
ROUTING SLIP
rI1E-COU i' R
0 OVER=T`
❑ BUILDING PLAN REVIEW
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.
❑ EXPRESS
❑' PLANNING PLAN REVIEW
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
STANDARD
171 PUBLICWORKS
_
form if any Hazardous Materials are being used as part of this project.
0 LARGE-
C "RzDEFT
_ Copy of Planning Approval Letter or Meeting with Planning prior to
0 MAJOR
❑ :SANITARY SEWERDISTRICT
submittal of Building Permit application.
❑° ENVILUNMENTALHEALTB'
BldgApp 201 Ldoc revised 06121111
CITY OF CUPERTINO b x
FEE ESTIMATOR — BUILDING DIVISION
- ADDRESS: 10164 Miner Place
DATE: 09/15/2015
REVIEWED BY: PAUL
____ _
MISC ITEMS
APN: 316 26 076 BP#:
Plan Check Fee:
*VALUATION: $165,000
PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Addition
PRIMARY
SFD or Duplex
2nd Unit?
%Yes '' No
PENTAMATION
1 R3SFDADD
USE:
$0.00
OTC?
Yes No
PERMIT TYPE:
WORK
Construct N attic 2nd story addition 738 S.Q
Remodel 2 E Bathrooms 192 S.f. Kitchen Remodel
SCOPE
(117 S.f.), Other Remodel (512 S.f.). Upgrade (E) panel to (N) 250 Amp Panel.
OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE EDBP FEES BP FEE ID
CONSTR. s.%
R-3 (Custom) 11-8,111-B,IV,V-B 738 $2,654.00 IR3PLNCK $1,666.00 IR3INSP
TOTALS: 738 $2,654.00 $1'666.001
y
ilecta..l'ltan C'vek f'lronb. I'lar C71tecF Elec. Plan Check 0.0 hrs $0.00
-tech. I'errtil Fee:. f' utnb. Penn tFee: Elec. Permit Fee: IEPERMIT
Otitc r;AJie ch, Jnsp� O'dier 111muib hi "?, Other Elec. Insp. 0.0 hrs $48.00
ilech. hisp Fee: I'hvwb. Imp. Fee: I `ea Imp. f tte.�
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
.....:........t�.....s;,,..........t_Lt • .....i - --i,, not ncamain i-nniart the Dont for addn'l info.
ivrae•au, eia.. a•awe ew ae•e •iuueee vc c•w •......•w..w.
FEE ITEMS (Fee Resolution 11-053 E . 711/13)
...... ......_.... ... _-__�___
FEE
._____ __ _
QTYIFEE
____ _
MISC ITEMS
Plan Check Fee:
$2,654.00
192 s.f.
$645.00
Remodel, Bath (<=300 sf)
IRBMRESBAT
Suppl. PC Fee: 0 Reg 0 OT0.0
hrs
$0.00
PME Plan Check:
$0.00117
s1
$645.00
Remodel, Kitchen (<=300 sf)
IREMRESKIT
Permit Fee:
$1,666.00
Suppl. Insp. Fee -IS Reg. 0 OTE
OO
$0.00
512 s.f. Remodel, Other
$503.00 IREMRESOTx
PME Unit Fee:
$0.00
PME Permit Fee:
$48.00
250 amps Electrical
IBELEC1000 Services
$72.00. _
C�cast:struc:lzon 1trx:
j
A(hninisfrafiVe FEC.:
O
Work Without Permit? 0 Yes ) No
$0.00
Advanced Planning Fee:
IPLLONGR
$103.32
Select a Non -Residential
Building or Structure
19
Travel Documentation Fee: ITRA VDOC
$48.00
Strong; Motion Fee:
IBSEISMMICR
$21.45
Select an Administrative Item
Bldg, Stds Commission Fee: IBCBSC
$7.00
BTOALB:
$4,547.77
$1,865.00 TOAI. FES: $6,412.77
r[CVIJCu. V!/VLlLV 1J
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15090097
10164 MINER PL CUPERTINO CA 95014 (316 26 076) BROOKE SHAW
ENTERPRISES OF LOS
ALTOS INC
LOS ALTOS, CA 94023
OWNER'S NAME: DAVE LANGEMAK I JDATE ISSUED: 12/14/2015
OWNER'S PHONE: 650-335-5408 1 I PHONE NO: (650) 941-3223
License Class la Lic. #788224
Contractor BROOKE SHAW ENTERPRISES OF LOS ALTOS INC Date
01/31/2018
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
PERMIT INFO:
BLDG —ELECT _ PLUMB
MECH _ RESIDENTIAL _ COMMERCIAL
JOB DESCRIPTION:
CONSTRUCT (N) ATTIC 2ND STORY ADDITION (738 S.F.)
REMODEL 2 (E) BATHROOMS (192 S.F.), KITCHEN
REMODEL (117 S.F.), OTHER REMODEL (512 S.F.).
UPGRADE (E) PANEL TO (N) 250 AMP PANEL.
REV #1 - REMOVE BEAM TO CREATE 68" CLEARANCE - ISSUED
performance of the work for which this permit is issued.
I have0��and will maintain Worker's Compensation Insurance, as provided for by �57/9/16
Section 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.
Signature ( / C,{� <</ Date 5/9/2016
O R -B TR.DF.R DECTARATION
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
compensation, will do the work, and the structure is not intended or offered for
sale (Sec.7044, Business & Professions Code)
z. I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Sec.7044, Business & Professions Code).
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.
z. 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 5/9/2016
Sq. Ft Floor Area: I Valuation: $165000.00
APN Number: Occupancy Type:
316 26 076
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: ABBY AYENDE
Date: 12/14/2015
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 Applicant:
Date: 5/9/2016
II A 11
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 9.11 and
the Health & Safety Code, Sections 25505, 25533, and 25534.
Owner or authorized agent: 4filz /I �,,_
Date: 5/9/2016
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's Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed
CUPERTINO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(cDcupertino.org
n NF.W CONSTRIICTION r-1 ADDITION
F-1 ALTERATION / TI F-1 REVISION/ DEFERRED ORIGINAL PERMIT # / 5-0 yin/ 2
PROJECT ADDRESS(� / �J /j� / h �� 1/G
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APN #
OWNER NAMEPHON�
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E-MAIL
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STREET ADDRESS
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CONTACT NAME h -
PHONE _
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STREET ADDRESS 9
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CITY, STATE, ZIP
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FAX
❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT ❑ CONTRACTOR XCONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME a�oo� 5 -40/�
LICENSE NUMBER 7dB 2 Z y
LICENSE TYPE /3
BUS. LIC #
c
COMPANY NAME s/ c
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FAX
STREET ADDRESSh
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ARCHITECT/ENGINEER NAME •
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LICENSE NUMBER
BUS. LIC #
COMPANY NAMES at/-
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FAX
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DESCRIPTION OF WORK
l2a✓; t.��,�� 6 fw^-,
EXISTING USE
PROPOSED USE
CONSTR. TYPE
#STORIES
OFFICE USE
ONLY
CC
TYPE
DESCRIPTION
SO.FT.
VALUATION
EXISTG
NEW FLOOR
DEMO
TOTAL
AREA
AREA
AREA
NET AREA
BATHROOM
KITCHEN
OTHER
REMODEL AREA
REMODEL AREA
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA
I GARAGE AREA: ❑ DETACH
❑ ATTACH_
DWELLING UMTS:
IS A SECOND UNIT ❑ YES
SECOND STORY ❑ YES
BEING ADDED? ❑ NO
ADDITION? ❑ NO
PRE -APPLICATION ❑ YES
IF YES, PROVIDE COPY OF
PLANNER'S NAME:
.RECEIVEDBY: TAL VALUATION:
yle(�)
PLANNING APPL # C] NO
PLANNING APPROVAL LETTER
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. l 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 build' n cons ctiol I authorize representatives of Cupertino to enter the above-ide property for inspection purposes.
Ofie
Signature of Applicant/Agent: Date:/
SUPPLEMENTAL INFORMATION REQUIRED
PLAN CHECK TYPE
ROUTING SLIP
❑ OYER -THE -COUNTER
❑ BUILDING PLAN REVIEW
_ 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.
❑ 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 SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
BldgApp_201 1. doc revised 03/16/11
e' u -7 -*J
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: %o t 6 M Ni a Qr P 14 .&
PERMIT # /SSo 9 oo 9 7
OWNER'S NAME: Dw ve. L. a K w•.�is,
PHONE # o 8 Z y L- 9 371
GENERAL CONTRACTOR: =3v-ovke, Bc,; Ida-
BUSINESS LICENSE # 'f'Oo $O
ADDRESS: P 0. 'ZS v)c 15-0(
CITY/ZIPCODE: G c,s V k s c/f yya Z3
*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 #
V
Cabinets & Millwork
W v4J¢v►
=/D 7 6 9
VF
Cement Finishing
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y0 yZ- 7
Electrical
Z 9 Z Z
Excavation
05 C�h s �-*� c �`/a h
yv y Z 7
Fencing
Flooring / Carpeting
32,17(,p:d,
Linoleum / Wood
Glass / Glazing
o S C s C r+,
G `/ Z
f
Heating
A GQV q,, a %gym c
D el
Insulation
:. ;&
y G y -2 7
Landscaping
/
Lathing
-z-
zMasonry
Masonry
Painting/ Wallpaper
s S C�.5
y Z
Paving
Plastering
�a. c t o S C&AI4 f e%o C- Ir
/-/04/2-7
Plumbing
(,t J�'t;ra}� 'PC v:Mbo
/-/073
RoofingL,
�h d goo-Pin
3 9 t I
Septic Tank
Sheet Metal
Sheet Rock
F-cr c� 1 v S Ct, s k, a� oh,
V v Z/ Z 7
Tile
C.csnstiro`'-c o=.
yvYZ7
/ Contractor Signature
L06/ //
Date
/ S
OKE ICARBON MONOXIDALARMS
OW-NERCERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING (DIVISION
10300 TORRE AVENUE • CUPERTI'NO, CA 95014-3255
(408) 777-3228 o FAX (408) 777-3333 ^ building(alcupertino.org
/0/41 Hih&- /,
/ 15—of" 17'7
YERIMyIT C+��q:N+`�+'f�yT BF5 yFINALED AND rC0j.%j j,)EyTF.D [�lyl�j'tTIL This CE
pR�y';yi FICATE,
Asit)
PURPOSE
This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for
inspections are required.
GENERAL INFORMATION
Existing single-family and multi -family dwellings shall be provided with Smoke Alarms:and Carbon
Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds
$1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon
Monoxide Alarms be installed in the following locations:
N
AREA
SMOKE ALARM
CO ALARM
Outside of each separate sleeping area in the immediate vicinity of the
bedroom(s)
X
X
On every level of a dwelling unit including basements
X
X
Within each slee2ing room
X
Carbon Monoxide alarms are not required u-1 dwellings which do not contain fuel-burni�ag appliances and that
do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with
CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal.
Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated.
In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do
not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl
space. Refer: to CRC Section R314 and CBC Sections 907.2.11.4 and 420,6.2. An electrical permit is required for
alarms which must be connected to the building wiring.
As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above las/have been
installed m accor dance with the manufactur. er's instructions and in- comph ance with the California Building,
and Califomia Residential Codes. The alarms have been tested and are operational, as of the date signed
bel(
15 v` p p 411- 5 Vtakv43 i (rte
S -snake and" COfO177L d6c n -wised, 031118%14
CERTIFIWE OF cwPuA-,NcF_
COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISION
'UPERT11"o C
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
,_n_
Owner Name Daut, (408) 777-3228 - FAX (408) 777-3333 - building(@-cuperrino�oro
Z -al-, �kvk
Address -4 10f6,7, /41A,ZA pic,'e-p— P , ennit No. C)
--------------
Your real Property a registered historical site?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
o GO to Question 2.
2. Does your real property have a licensed plumber certifying that, due to the age or configuration of theproperty or its
plumbing, installation of water -conserving plumbing fixtures is not technically feasible?
0 Yes Civil Code Sections 1101.1 through 1101.8 donot apply.
0 The licensed plumber's certification has been provided to the Building Division.
Skip the rest of the form and sign bottom of form.
VNb
G6 to Question 3.
3. Is water service permanently disconnected for your building?
rr 0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
P: -NO Go to Question 4.
4. Is your real property built and available, for use or occupancy on or before January 1, 1994?
0 No My real property is built and available for use or occupancy after January 1, 1994.
Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
K—Yes My real. property is built and av'ailablt, for use or occupancy on or before January 1, 1994.
Civil Code Sections 1101.I through 1101.8 apply. Check one of the three following statements and sign
bottom of form..
5. ea, check ONE of the 0 c ec
See Civil Code- Section 1101.4.
_M ro ertyg a' single
yp V
On and after Janua improvements shall require, all non-compliant plarnbit1g, factures
n
to replaced with
2017 all non-
com
cothroughout the building. On or bef6re January, I
m lit1)1,1 ribin water -conserving plumbing fixtures (regardless, of whether
an 11
property undergoes alterations or -improvements).
El My property is a multifamily residential real property. See Civil Code Section 1101,5-.
On, and after January 1, 2014*,, specified buildingalterations, or i m-provements, shall require non- compliant
plumbing fixtures to be replaced with water -conserving plumbing fixtures.
On or before January 1, 2049, all non-compliant plainbing fixtures, shall be replaced with water -
conserving plunibing fixtures throughout the building (regardless of whet -her property undergoes alterations or
improvements).
0 My property is, a commercial real, property.S et Civil C 1.
Code Section n, ec w 11 0
On and after January 1, 2014, specified building alterations or improvements shall require non- compliant
plumbing fixtures to be replaced with water -conserving plumbing fixtures.
On or h6bm January 1,, 2019,,all non-compliant plumbing fixturesshall be replaced with water- conserving
plumbing fixtures, throughout the building (regardless of whether property undergoes- alterations or improvements)!
1, asthe -owner or owner's agent of this property,, certify under penalty of perjury that non—compliant P-1
replaced prior to date, specified, abovewith, water -conserving plumbing fixtures in accordance-- with, Civ
through 1101 - 9, the,, current Cahif6rrda, Plumbing Code and California Green Building Standards Code„
installation requirements, and that thew r -conserving plumbing fixtures comply with the requireiner
table err the fallowing page. A /,a
4,
Owner or Owner Agent's,.
Upon completing signing this; Ceitificate, please return it to the Building Division inorder, to final,
fixtures, will be
-Code Sections, 1101.1
A manufacturer's
as, indicated in, the
permit.
SB4072015.do,c revised, 0812'6115
,. 1,�q '-V
CALGREEN RESIDENTIAL CHECKLIST — MANDATORY
ITEMS
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVIPWCE? VED
CUPERTINO ALBERT SALVADOR, P.E., C.B.O., BUILDING OFRCL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3l
(408) 777-3228 • FAX (408) 777-3333 • buildin cuno.or
PURPOSE: k BY
The 2013 CalGreen Code applies to additions or alterations of existing residential buildings where the addition
or alteration increases the building's conditioned area, volume, or size and also applies to all new low-rise
residential buildings, high-rise residential buildings, or both. Existing site and landscaping improvements that
are not otherwise disturbed are not subject to the requirements of CALGreen.
Project Name:
Project Address:
41
Project
Instructions: oficenE
111. The Owner or the Owner's agent shall employ a feli & thPis
A*&
r that all required work desc ed�ltserlGreen Building Standards Codes to verify and assu e t qprop y
planned and implemented in the project.
2. The licensed professional, in collaboration with the owner and the design professional shall initial Column
2 of this checklist, sign and date Section 1 - Design Verification at the end of this checklist and have the
checklist printed on the approved plans for the project.
3. Prior to final inspection by the Building Department, the licensed professional shall complete Column 3
and sign and date Section 2 - Implementation Verification atgf thihe klist and submit the
8Ms completed form to the Building Inspector. M A L
#3
Page 1 of 5 CalGreen_2014.doc revised 11104114
Column 2
Column 3
MANDATORY FEATURE OR MEASURE
Project
Verification
Re uirements
A4.1 PLANNING AND DESIGN
Planning and Design - Site Development
4.106.2 Storm water drainage and retention during construction. A plan is
developed and implemented to manage storm water drainage during
❑
❑
construction.
4.106.3 Grading and paving. The site shall be planned and developed to
keep surface water away from buildings. Construction plans shall indicate how
❑
❑
site grading or a drainage system will manage all surface water flows. dJA
Page 1 of 5 CalGreen_2014.doc revised 11104114
.. .2 ENERGY EFFICIENCY
General
4.201.1 Low-rise residential buildings shall meet or exceed the minimum ❑
standard design required by the California Energy Standards.
A4.3 WATER EFFICIENCY AND CONSERVATION
Indoor Water Use
4.303.1 Water conserving plumbing fixtures and fittings. Plumbing fixtures
(water closets and urinals) and fittings (faucets and showerheads) shall comply
with the following:
4.303.1.3.2 Water Closets. The effective flush volume of all water closets
shall not exceed 1.28 gallons per flush. Tank -type water closets shall be
certified to the performance criteria of the U.S. EPA WaterSense
Specifications for Tank -type Toilets.
❑ 4.303.1.3.2 Urinals. The effective flush volume of urinals shall not
exceed 0.5 gallons per flush. OA
4.303.1.3.1 Single Showerheads. Showerheads shall have a maximum
flow rate of not more than 2.0 gallons per minute at 80 psi. Showerheads
shall be certified to the performance criteria of the U.S. EPA WaterSense
Specification for showerheads.
4.303.1.3.2 Multiple Showerheads serving one shower. When a
shower is served by more than one showerhead, the combined flow rate of
all showerheads and/or other shower outlets controlled by a single valve
shall not exceed 2.0 gallons per minute at 80 psi, or the shower shall be
❑
designed to allow only one shower outlet to be in operation at a time.
4.303.1.4.1 Residential lavatory faucets. The maximum flow rate of
residential lavatory faucets shall not exceed 1.5 gallons per minute at 60
psi. The minimum flow rate of residential lavatory faucets shall not be less
than 0.8 gallons per minute at 20 psi.
❑ 4.303.1.3.2 Lavatory faucets in common and public use areas. The
maximum flow rate of lavatory faucets installed in common and public use
areas (outside of dwellings or sleeping units) in residential buildings shall
not exceed 0.5 gallons per minute at 60 psi.
❑ 4.303.1.4.3 Metering faucets. Metering faucets when installed in
residential buildings shall not deliver more than 0.25 gallons per cycle.
4.303.1.4.4 Kitchen Faucets. The maximum flow rate of kitchen faucets
shall not exceed 1.8 gallons per minute at 60 psi. Kitchen faucets may
temporarily increase the flow above the maximum rate, but not to exceed
2.2 gallons per minute at 60 psi, and must default to a maximum flow rate
of 1.8 gallons per minute at 60 psi.
4.303.2 Standards for plumbing fixtures and fittings. Plumbing fixtures
and fittings shall be installed in accordance with the California Plumbing Code,
❑
and shall meet the applicable standards referenced in Table 1401.1 of the
California Plumbing Code.
Page 2 of 5 ('ulGreen 201 l.doc revised 11 04 14
Outdoor Water Use
4.304.1 Irrigation controllers. Automatic irrigation systems installed at the
time of final inspection shall be weather -based. 0,A,-
❑ 4.304.1.1 Controllers shall be weather- or soil moisture -based controllers
that automatically adjust irrigation in response to changes in plants' needs
as weather conditions change. 1,)A,
❑
❑
❑ 4.304.1.2 Weather -based controllers without integral rain sensors or
communication systems that account for local rainfall shall have a separate
rtl�•
wired or wireless rain sensor which connects or communicated with the
controller(s). Soil moisture -based controllers are not required to have rain
sensor input. (JA
A4.4 • - •RESOURCE EFFICIENCY
Enhanced Durability and Reduced Maintenance
4.406.1 Rodent proofing. Annular spaces around pipes, electric cables,
conduits, or other openings in plates at exterior walls shall be protected
}a
❑
against the passage of rodents by closing such openings with cement mortar,
f�
concrete masonry or similar method acceptable to the enforcing agency.
Construction Waste Reduction, Disposal and Recycling
4.408.2 Construction waste management plan. Where a local jurisdiction
does not have a construction and demolition waste management ordinance, a
❑
construction waste management plan shall be submitted for approval to the
enforcing agency.
Building Maintenance and Operation
4.410.1 Operation and maintenance manual. At the time of final inspection,
an operation and maintenance manual shall be provided to the building ❑
occupant or owner. 0xz-t_Y ,qC-3-9)
A4.5 - • QUALITY
Fireplaces
4.503.1 General. Install only a direct -vent sealed -combustion gas or sealed
❑
❑
wood -burning fireplace, or a sealed woodstove. �jk
Pollutant Control
4.504.1 Covering of duct openings and protection of mechanical
equipment during construction. Duct openings and other related air
❑
distribution component openings shall be covered during construction.
4.504.2.1 Adhesives, sealants and caulks. Adhesives, sealants and caulks
�
❑
shall be compliant with VOC and other toxic compound limits.
4.504.2.2 Paints and coatings. Paints, stains and other coatings shall be
❑
compliant with VOC limits.
4.504.2.3 Aerosol paints and coatings. Aerosol paints and other coatings
shall be compliant with product weighted MIR Limits for ROC and other toxic
❑
compounds.
Page 3 of 5
CalGreen 2014.docrevised 11104;14
4.504.2.4 Verification. Documentation shall be provided to verify that
compliant VOC limit finish materials have been used.
4.504.3 Carpet Systems. Carpet and carpet systems shall be compliant with
VOC limits.
4.504.4 Resilient flooring systems. Eighty (80) percent of floor area
receiving resilient flooring shall comply with the VOC-emission limits defined in
the Collaborative for High Performance Schools (CHPS) Low -emitting
10-1
Materials List or be certified under the Resilient Floor Covering Institute (RCFI)
FloorScore program.
4.504.5 Composite wood products. Particleboard, medium density
fiberboard (MDF), and hardwood plywood used in interior finish systems shall
['
comply with low formaldehyde emission standards.
Interior Moisture Control
4.505.2 Concrete slab foundation. Required vapor retarders and capillary
breaks are also required to comply with CalGreen Section 4.505.2.1. tj'4�
4.505.3 Moisture content of building materials. Moisture content of building
materials used in wall and floor framing is checked before enclosure.
Indoor Air Quality and Exhaust
4.506.1 Bathroom exhaust fans. Exhaust fans which terminate outside the
building are provided in every bathroom.
Environmental Comfort
4.507.2. Duct systems are sized and designed and equipment is selected
using the following methods:
1. Establish heat loss and heat gain values according to ACCA Manual J or
equivalent.
2. Size duct systems according to ACCA 29-D (Manual D) or equivalent.
3. Select heating and cooling equipment according to ACCA 36-S (Manual S)
or equivalent.
INSTALLER AND SPECIAL INSPECTOR QUALIFICATIONS
Qualifications
702.1 Installer training. HVAC system installers are trained and certified in
rte'
Ux
the proper installation of HVAC systems.
702.2 Special inspection. The Licensed Professional responsible to verify
-4
CALGreen compliance is qualified and able to demonstrate competence in the
❑
discipline they inspect and verify.
Verifications
703.1 Documentation. Verification of compliance with CALGreen may
include construction documents, plans, specifications, builder or installer
certification, inspection reports, or other methods acceptable to the enforcing
R�
agency which show substantial conformance. Implementation verification shall
be submitted to the Building Department after implementation of all required
measures and prior to final inspection approval.
Page 4 of 5
CalGreen_2014.doc revised 11/04 14
Project Name:
Project Address:
Project Description:
CALGREEN SIGNATURE DECLARATIONS
SECTION 1 - DESIGN VERIFICATION
1
Complete all lines of Section 1 — `Design Verification" and submit the completed checklist (Columns 1 and 2) with the
plans and building permit application to the Building Department.
The owner and design professional responsible for compliance with CalGreen Standards have revised the plans and
certify that the items checked above are hereby incorporated into the project plans and will be implemented into the
project in accordance with the requirements set forth in the 2013 California Green Building Standards Code as
adopted by the City of Cupertino.
�--- U (8 2-0{s`
owners Signature Date
yfJ
Owners Name (Please Print)
Design Professional's Name (Please Print)
Signature of License Professional responsible for CalGreen compliance
Name of License Professional responsible for CalGreen compliance (Please Print) Phone
Yww�v� vr3�s� _ U�e-� cif>� -6- 1i - 3W6
Email Address for License Professional responsible for CalGreen compliance
SECTION 2 - IMPLEMENTATION VERIFICATION
Complete, sign and submit the competed checklist, including column 3, together with all original signatures on Section
2 to the Building Department prior to Building Department final inspection.
I have inspected the work and have received sufficient documentation to verify and certify that the project identified
above was constructed in accordance with this Green Building Checklist and in accordance with the requirements of
the 2013 California Green Building Standards Code as adopted by the City of Cupertino.
Signature of License Professional responsible for CalGreen compliance Date
Name of License Professional responsible for CalGreen compliance (Please Print) Phone
Email
responsible for CalGreen compliance
Page 5 or5 CalGreeei 2014.doe revised 11 n444
t
STATEMENT OF SPECIAL INSPECTIONS, 2013 CBC
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
ALBERT SALVADOR, P.E.. C.B.O., BUILDING OFFICIAL
CUPERTINC7
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 ��
j��
(408) 777-3228 • FAX (408) 777-3333 • building(Dcuoertino.orlls !/�
h,
SITE SS lb
ADDREU �%
APN
Project Engineer D Architect
BP# a„y
Owner....%�.�.ti-.Q......... (,A.!l7?/ C,- ............................................. _..
Contractor............................................
..................................... ..............
Address ... (042.9 ... ..I .� Q........e4nL C01 ......................................
Address........................................................
.............
............................VI
y_7
City/St...2'.............. Zip /.�...... Phone...........
City/St........ ............... ...........................
Zip ................... Phone:.;w�........... .
Applicant .. ....... ....................... ......................_.......................
Engineerl� hitectl.' �� i�....
6-V......r .............,
Address ............ ............ .............. ..................................................._............
Address ....... Z..la.... S..c�l.C)......?%
c., �,
............... .
City/St................ ..................... ....... Zip ................. .......... Phone .... .................
Cit /St...X-' .�z).,. ........Zi
/G�
§ - PhoneR-.191ri
PROJECT DESCRIPTION:
This "STATEMENT OF SPECIAL INSPECTIONS" is submitted in fulfillment of the requirements of CBC Sections 1704 and 1705' This
form is structured after and used by permission from the Structural Engineer Association of Northern California's (SEAONC) mode
statement of Special Inspections. Also, included with this form is the following :y
El"LIST OF SPECIAL INSPECTION AGENCIES (page 2). A list of testing agencies and other special inspectors that'VA be
retained to conduct the tests and inspections for this project
❑ "SCHEDULE OF SPECIAL INSPECTION" (page 3 - 6). The Schedule of Special Inspections summarizes the Sped*
Inspections and tests required. Special Inspectors will refer to the approved plans and specifications for detailed special
inspection requirements. Any additional tests and inspections required by the approved plans and specifications shall also
be performed. Cn
Special Inspections and Testing will be performed in accordance with the approved plans and specific, this statement and CBC
Sections 1704, 1705, 1706, 1707, and 1708. Interim reports will be submitted to the Building Official a Registered Design
Professional in Responsible Charge in accordance with CBC Section 1704.1.2. 4� �
A Final Report of Special Inspections documenting required Special Inspections, testing and corteQr&Q4ny discrepancies noted in
the inspections shall be submitted prior to issuance of a Certificate of Use and Occupancy (Section 172). The Final Report will
document:
• Required special inspections.
• Correction of discrepancies noted in inspections.
The Owner recognizes his or her obligation to ensure that the construction complies with the approved permit documents and to
implement this program of special inspections. In partial fulfillment of these obligations, the Owner will retain and directly pay for the
Special Inspections as required in CBC Section 1704.1.
This plan has been developed with the understanding that the Building Official will:
• Review and approve the qualifications of the Special Inspectors who will perform the inspections.
• Monitor special inspection activities on the job site to assure that the Special Inspectors are qualified and are performing their
duties as called for in this Statement of Special Inspection.
• Review submitted inspection reports.
• Perform inspections as required by the local building code.
t have read and agree to comply with the tems and conditions of this statement
Prepared By:
/
Project Engineer D Architect
; �t
-Registered esi n Professional in Charge
Si natur ... ........ ......... ....... ......Lic.# .... ..40....lQ..... Date:..... �,e� ........�.
Own r Name:
[Avip LIWO MAI-
_
Owner's Authorization
)c 2! zo,�
Signature ........... ..... ....................................................................... Date:.....f......../........
In/sp ctio Agency,/ Inspector Name:
C �� t'-
Signature .� .:......... : �--.....Lia# ..J:.. tj..�... .�....... Date:.. ...� ..�
Buikfi6gcial or designee:
Sinature ............. r............................................... ................. .................................. Date:..........................
i
LIST OF SPECIAL INSPECTION AGENCIES
APPROVAL OF SPECIAL INSPECTORS:
Each special inspection agency, testing facility, and special inspector shall be recognized by the Building Official prior to performing any
duties. Special Inspection agency's listed on this form must be pre -approved and listed on Cupertino's approved Special Inspectors list.
Special inspectors shall carry approved identification when performing the functions of a special inspector. Identification cards shall
follow the criteria set by the California Council of Testing and Inspection Agencies. No personnel changes shall be made without first
obtaining the approval of the Building Official. Any unauthorized personnel changes may result in a "Stop Work Order" and possible
permit revocation. To be pre- approved by the City of Cupertino, refer to the SPECIAL INSPECTION CRITERIA handout. Please allow
two weeks to complete the application process.
Tho follnveiinn are tha tpctinn anti snecial insnertion anencies that will be retained to conduct tests and inspection on this project:
EXPERTISE
FIRM i INSPECTOR INFORMATION'
1. Special Inspection (except for
Firm.....................................................................Addr.........................................................................................
geotechnical)
City..........................................................................................................
State
.......................Zip ......................
Telephone......................................
Fax ............................................ Email .........................................................
2. Material Testing
Firm ..................................................
................... Addr...... .................................................................
..................
City..........................................................................................................
State
.......................Zip ......................
Telephone.......................................Fax............................................
Email.........................................................
3. Geotechnical Inspections
Firm.....................................................................Addr.........................................................................................
City..........................................................................................................
State
.......................Zip ......................
Telephone......................................
Fax ............................................ Email.........................................................
4. Other:
Firm.....................................................................Addr.........................................................................................
City..........................................................................................................
State
.......................Zip ......................
--
Telephone ......................................
Fax............................................ Email.........................................................
'All agencies specified on this form must be pre -approved and listed on the City of Cupertino s Approvea apecial Inspector s List.
A- A Jmw,_ ,
SEISMIC REQUIREMENTS (Section 1705.3.6)
Description of seismic -force -resisting system and designated seismic systems subject to special inspections as per Section 1705.3:
The extent of the seismic -force -resisting system is defined in more detail in the construction documents.
WIND KLUUIKhMLN 15 (Section 7
Description of main wind -force -resisting system and designated wind resisting components subject to special inspections in accordance with Section
1705.4.2:
The extent of the main wind -force -resisting system and wind resisting components is defined in more detail in the construction documents.
SpeeialnspectionForm_2012.doc revised 03/20/12
_1___J Pagel o
404J�
LANDSCAPE WATER -EFFICIENCY CHECKLIST
Community Development Department
10300 Torre Avenue 408.777.3308/ Fax 408.777.3333
Cupertino, CA 95014 planning@cupertino.org
C U P E RT I N O
http://cupertino.org/plannini
Applicant Name: Email:
Project Site Address: 0 (Q Phone: Wek--2_?&-
Total Landscape _ `
Q
Landscape area: All the planti g areas, turf areas, and water
features in a landscape installation. The landscape area does
Area (square feet):
not include footprints of buildings or structures, sidewalks,
driveways, parking lots, decks, patios, gravel or stone walks,
hardscapes,
Turf Area: /�
other pervious or non -pervious and other non-
irrigated areas designated for non -development (e.g., open
spaces and existing wildland vegetation).
Non -Turf Plant Area:
Turf: A ground cover surface consisting of non-native grass
species that is customarily mowed. Annual bluegrass,
fescue,
Kentucky bluegrass, perennial ryegrass, red and tall
Special Landscape Area:
fescue are examples of cool -season turf grasses. Bermuda
grass, kikuyu grass, seashore paspalum, St. Augustine grass,
zoysia grass, and buffalo grass are warm -season turf grasses.
Water Feature Wet Surface Area:
If > 10% of landscaped area, water budget calcu-
lation required with landscape project submittal.
See reverse side for other definitions.
NOTE: If landscape area exceeds 2,500 sq. ft., a landscape project submittal shall be required. If no landscaping is proposed, enter
"0" above and proceed directly to the signature block at the bottom of this form.
Landscape Parameter
Requirements
Project Compliance
Turf
Total turf area shall not exceed 25% of the landscape
es ❑ No
area, or 1,250 square feet, whichever is lesser in area.
[If no, Water budget calculation requirec
with landscape project submittal]
es
All portions of turf areas shall be wider than eight (8) feet.
Turf (if utilized) is limited to slopes not exceeding 15%.
*,Ye -s
Non -Turf
At least 80% of non -turf area shall consist of native or
❑ No
low water use plants.
[lFno, Water budget calculation require
with landscape project submittal]
Hydrozones
Plants with similar water needs shall be grouped within
es ❑ No
hydrozones. Each hydrozone shall be controlled by a
[Plants can be grouped per
separate valve.
Table 14.15.050(C)]
Irrigation System
Systems shall be designed and maintained to minimize
�•�s Ll No
water waste (e.g., runoff, low head drainage, overspray).
�'
Low-volume irrigation shall be utilized in non -turf areas.
Irrigation shall only occur between the hours of 8:00 pm
[If no, Provide explanation on back]
and 10:00 am.
Soil
A minimum of eight (8) inches of non -compacted topsoil
es ❑ No
shall be available in planted areas.
[If no, Provide explanation on back]
Yes ❑ No
Soil amendments, such as compost or fertilizer, shall be
appropriately added according to the soil conditions at
the project site and based on what is appropriate for the
[If no, Provide explanation on back]
selected plants.
Mulch
A minimum two (2) -inch layer of mulch shall be appliedes
LJ No
on all exposed soil surfaces of planting areas, except in
Ilf"no,
areas of direct seeding application (e.g. hydro -seed).
.Provide explanation on back]
I am aware of available informational resources regarding native and low water use plants, irrigation efficiency, and other aspects of
water -efficient landscaping. I certify that the information provided on this checklist is correct, and the installed landscape complies
with the requirements of Chapter 14.15. I also understand that any -changes to the project will necessitate a new checklist.
Si tur roe ner o thorized representative Date
_1___J Pagel o
404J�
This checklist implements the requirements of Chapter 14.15, Landscape Ordinance, of the Cupertino Municipal Code.
The responses provided will be evaluated to determine whether the proposed landscape is generally consistent with the
ordinance's water -efficiency goals.
Applicant Comments
Use additiomi i i ', if necessary
Staff Evaluation Staff Comments
JApproved
JNot Approved
Signature
Select Definitions
Date
Hydrozone: A portion of the landscaped area having plants with similar water needs. A hydrozone may be
irrigated or non -irrigated.
Low-volume irrigation: The application of irrigation water through a system of tubing or lateral lines and
low-volume emitters such as drip and bubblers. Certain rotary emitters designed for highly efficient water
distribution, and situated to irrigate low water use plants, may also be included in this definition at the
discretion of the Planning Office.
Low water use plant: A plant species whose demonstrated water needs are compatible with local climate and
soil conditions such that regular supplemental irrigation is not required to sustain the plant after it has be-
come established. Any species classified as "very low water use" and "low water use' by WUCOLS, having
a regionally adjusted plant factor of 0.0 through 0.3, shall be categorically deemed a low water use plant.
Native plant: A plant indigenous to a specific area of consideration. For the purpose of this division, the term
will refer to plants indigenous to the coastal ranges of Central and Northern California, and more specifical-
ly to such plants that are suited to the ecology of the present or historic natural community of the project's
vicinity.
Special landscape area: An area of the landscape dedicated solely to edible plants, areas irrigated with re-
cycled water, water features using recycled water and areas dedicated to active play such as parks, sports
fields, golf courses, and where turf provides a playing surface.
Turf: A ground cover surface consisting of non-native grass species that is customarily mowed. Annual blue-
grass, Kentucky bluegrass, perennial ryegrass, red fescue, and tall fescue are examples of cool -season turf
grasses. Bermuda grass, kikuyu grass, seashore paspalum, St. Augustine grass, zoysia grass, and buffalo
grass are warm -season turf grasses.
Water feature: A landscape design element where open water performs an aesthetic or recreational function.
Water features include ponds, fountains, waterfalls and artificial streams. Also includes spas and swim-
ming pools that are ancillary to single-family, two-family and multi -family residential uses.
Wet surface area: The surface area of that portion of a water feature that functions to contain water, such as the
water surface of a swimming pool, spa, or garden pond. For a fountain or other feature with flowing water,
wet surface area shall be measured as a two dimensional plane bounded by the perimeter of the area where
water has been designed to flow.
BUILDING ENERGY ANALYSIS REPORT
PROJECT:
Langemak Residence
10164 Miner Place
Cupertino, CA 95014 SUBMITTAt
Project Designer:
DZ Design Associates
17705 Hale Avenue
Morgan Hill, CA 95037
408-778-7005
Report Prepared by:
Yarmila Kennett
Yarmila Kennett & Associates
15231 Perry Lane
Morgan Hill, California 95037
1-408-621-3740
4,
Job Number: 0
Langemak 0
Date: 0
8/12/2015 O
01*111
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.
This program developed by EnergySoft. LLC - www.energysoft.com.
EnergyPro 6 7 by EnergySoft User Number 9615 ID. Langemak
I TABLE OF CONTENTS I
Cover Page
Table of Contents
Form CF -1 R -PRF -01 -E Certificate of Compliance
Form MF -1 R Mandatory Measures Summary
Form ECON-1 Energy Use and Cost Summary
6.7 by EnergySaft
ID: Langemek User Number: 9615
1
2
3
14
18
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Langemak Residence Calculation DatelTime: 10:56, Wed, Aug 12, 2015
Calculation Description: Title 24 Analysis
Input File Name: Langemak-Existing+Alterations+Addition.xml
CF1 R -PRF -01-E
Page 1 of 11
GENERAL INFORMATION
01
Building Complies with Computer Performance
01
Project Name Langemak Residence
03
This building incorporates one or more Special Features shown below
02
Calculation Description Title 24 Analysis
08
Energy Use (kTDVIft2-yr)
03
Project Location 10164 Miner Place
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 EnergyPro 6.6
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) 2824
15
Number of Zones 2
16
Slab Area (ft) 0
17
Number of Stories 2
18
Addition Cond. Floor Area 738
19
Natural Gas Available Yes
20
Addition Slab Area (ft2) 0
21
Glazing Percentage (%) 11.7%
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
Registration Number: 215-A0224101A-000000000-0000 Registration Date/Time: 2015-08-12 13:42:16 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-07082015-744 Report Generated at: 2015-08-12 10:57:32
ENERGY USE SUMMARY
04
05
06
07
08
Energy Use (kTDVIft2-yr)
Standard Design
Proposed Design
Compliance Margin
Percent Improvement
Space Heating
17.34
13.06
4.28
24.7%
Space Cooling
8.53
12.74
-4.21
-49.4%
IAQ Ventilation
0.00
0.00
0.00
0.0%
Water Heating
9.83
9.83
0.00
0.0%
Photovoltaic Offset
----
0.00
0.00
----
Compliance Energy Total
35.70
35.63
0.07
0.2%
Registration Number: 215-A0224101A-000000000-0000 Registration Date/Time: 2015-08-12 13:42:16 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-07082015-744 Report Generated at: 2015-08-12 10:57:32
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Langemak Residence
Calculation Description: Title 24 Analysis
CF1 R -PRF -01-E
Calculation Date/Time: 10:56, Wed, Aug 12, 2015 Page 2 of 11
Input File Name: Langemak-Existing+Alterations+Addition.xml
REQUIRED SPECIAL FEATURES
The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis.
• Ducts with high level of insulation
• Cathedral Ceiling
• Ceiling has high level of insulation
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:
• Minimum Airflow
• Verified EER
• Fan Efficacy Watts/CFM
HVAC Distribution System Verifications:
• Duct Sealing
• Duct Design -Return
• Duct Design -Supply
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)' 79.84
79.77
0.07
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 (112)
Number of Dwelling
Units
Number of Bedrooms
Number of Zones
Number of Ventilation
Cooling Systems
Number of Water
Heating Systems
Langemak Residence
2824
1
5
2
0
1
Registration Number: 215-A0224101A-000000000-0000 Registration Date/Time: 2015-08-12 13:42:16 HERS Provider: CalCERTS Inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-07082015-744 Report Generated at: 2015-08-12 10:57:32
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Langemak Residence Calculation Date/Time: 10:56, Wed, Aug 12, 2015
Calculation Description: Title 24 Analysis
Input File Name: Langemak-Existing+Alterations+Addition.xml
CF1 R -PRF -01-E
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
1st Level -Existing -Altera
Conditioned
FAU & ACI
2086
8
DHW Sys 1
2nd Floor Add
Conditioned
FAU & AC1
738
8
DHW Sys 1
Registration Number: 215-Ao224101A-000000000-0000 Registration Date/Time: 2015-08-12 13:42:16 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF111-07082015-744 Report Generated at: 2015-08-12 10:57:32
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Langemak Residence Calculation Datefrime: 10:56, Wed, Aug 12, 2015
Calculation Description: Title 24 Analysis
Input File Name: Lange mak-Ex isting+Alteratio ns+Addition. xml
CF1 R -PRF -01-E
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 & boor
Area (ft)
Tilt
(deg)
Status
Verified
Existing
Condition
Front Wall: To Remain
1st Level -Existing -Altera
R-0 Wall
270
Front
144
90
Existing
No
Left Wall: To Remain
1st Level -Existing -Altera
R-0 Wall
0
Left
268
90
Existing
No
Back Walt: To Remain
1st Level -Existing -Altera
R-0 Wall
90
Back
96
90
Existing
No
Right Wall: To Remain
1st Level -Existing -Altera
R-0 Wall
180
Right
228
90
Existing
No
Back Wall1: Altered
1st Level -Existing -Altera
R-13 Wall
90
Back
184
85
90
Altered
N/A
Back Wa112: Altered
1st Level -Existing -Altera
R-13 Wall
45
135
40
12.3
90
Altered
N/A
Front Wall: Altered
1 st Level -Existing -Altera
R-13 Wall
270
Front
40
16
90
Altered
N/A
Left Wall: Altered
1 st Level -Existing -Altera
R-13 Wall
0
Left
204
47.5
90
New
N/A
Back Wa113: Altered
1 st Level -Existing -Altera
R-13 Wall
315
45
40
12.3
90
Altered
NIA
Right Wall: Altered
1 st Level -Existing -Altera
R-13 Wall
180
Right
104
36
90
Altered
N/A
Nall to Garage
1st
Level -Existing-
Altera »_Garage_
R-13 Walll
204
Existing
No
Roofl: Altered 2
1 st Level -Existing -Altera
R-38 Roof Attic
1212.4
New
N/A
Raised Floor To Remain
1 st Level -Existing -Altera
R-19 Floor Crawlspace
2086
Existing
No
Front Wall
2nd Floor Add
R-13 Wall
270
Front
210
90
New
N/A
Left Wall
2nd Floor Add
R-13 Wall
0
Left
176
20
90
New
N/A
Back Wall
2nd Floor Add
R-13 Wall
90
Back
293
90
New
N/A
Right Wall
2nd Floor Add
R-13 Wall
320
50
176
40
90
New
NIA
Roof2
2nd Floor Add
R-30 Roof Attic
198
New
N/A
Front Wall 2
Garage_
R-0 Wall
270
Front
176
112
90
Existing
No
Left Wall 2
Garage_
R-0 Wall
0
Left
160
90
Existing
No
Right Wall 2
_Garage_
R-0 Wall
180
Right
188
90
Existing
No
Roof
_Garage_
R-0 Roof Attic
456
Existing
No
Registration Number: 215-A0224101A-000000000-0000 Registration Date/Time: 2015-08-12 13:42:16 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CFIR-07082015-744 Report Generated at: 2015-08-12 10:57:32
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Langemak Residence Calculation Date/Time: 10:56, Wed, Aug 12, 2015
Calculation Description: Title 24 Analysis
Input File Name: Langemak-Existing+Alterations+Addition.xml
C F 1 R -PRF -01-E
Page 5 of 11
OPAQUE SURFACES — Cathedral Ceilings
01
02
03
04
05
06
06
07
08
09
10
11
12
13
Radiant
Statu
Verified Existing
Name
Construction
Type
Roof
Roof Reflectance
Framin
Barrier
Verified
s
Condition
Orientatio
Area
Skylight
Roof Rise
Roof
Roof
Reflectan
Roof
g
Statu
Existing
Name
Zone
Type
n
(ft2)
Area (ft2)
(x in 12)
Pitch
Tilt(deg)
ce
Emittance
Factor
S
Condifion
Roof 1: Altered
R-38 Roof Atticl
Front
12.7
12.6
5
0.42
22.62
0.1
0.85
0.07
New
N/A
Level -Existing -Altera
Attic 2nd Floor Add
Attic Roof2nd Floor Add
Ventilated
1 5
Roof2: Altered
1st
R-21 Roof
Front
123
0
5
0.42
22.62
0.1
0.85
0.1
New
N/A
Level -Existing -Altera
Cathedral
Rcof1
2nd Floor Add
R-21 Roof
Front
538
48
5
0.42
22.62
0.1
I
0.85
t
0.1
New
N/A
Cathedral
I
I
I
I
-
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
Ex9 ti
Attic
Attic Garage Roof Cons
Ventilated
5
0.1
0.85
No
No
No
_Garage_
Attic 1st Level -Existing -Altera
Attic Rooflst
Ventilated
5
0.1
0.85
Yes
No
New
No
Level -Existing -Altera
Attic 2nd Floor Add
Attic Roof2nd Floor Add
Ventilated
1 5
1 0.1
0.85
Yes
No
New
No
Registration Number: 215-A0224101A-000000000-0000 Registration Date/Time: 2015-08-12 13:42:16 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-07082015-744 Report Generated at: 2015-08-12 10:57:32
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Langemak Residence Calculation Date/Time: 10:56, Wed, Aug 12, 2015
Calculation Description: Title 24 Analysis
Input File Name: Langemak-Existing+Alterations+Addition.xml
CF1 R -PRF -01-E
Page 6 of 11
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
Back Window
Back Wail Altered (Back -90)
----
----
1
85.0
0.28
0.28
Insect Screen (default)
New
N/A
Back Window 2
Back Wa112: Altered (- specify --45)
—
1
12.3
0.28
0.28
Insect Screen (default)
New
N/A
Front Window
Front Wall: Altered (Front -270)
----
----
1
16.0
0.28
0.28
Insect Screen (default)
New
N/A
Left Window
Left Wall: Altered (Left -0)
----
----
1
47.5
0.28
0,28
Insect Screen (default)
New
N/A
Back Window 3
Back Wall3: Altered (- specify
----
----
1
12.3
0.28
0.28
Insect Screen (default)
New
N/A
Right Window
Right Wall: Altered (Right -180)
----
1
36.0
0.71
0.73
Insect Screen (default)
New
N/A
Skylight
Roof 11: Altered (Front -270)
----
----
1
12.6
0.30
0.28
None
New
N/A
Left Window 2
Left Wall (Left -0)
----
----
1
20.0
0.28
0.28
Insect Screen (default)
New
N/A
Right Window 2
Right Wall (- specify --320)
---
1
40.0
0.28
0.28
Insect Screen (default)
New
N/A
Skylight 2
Roofl (Front -270)
----
----
1
48.0
0.30
0.28
None
New
N/A
DOORS
01
02
03
04
05 06
Name
Side of Building
Area (ft)
U -factor
Status Verified Existing Condition
Registration Number: 215-A0224101A-000000000-0000 Registration Date/Time: 2015-08-12 13:42:16 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-07082015-744 Report Generated at: 2015-08-12 10:57:32
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Langemak Residence Calculation Date/Time: 10:56, Wed, Aug 12, 2015
Calculation Description: Title 24 Analysis
Input File Name: Langemak-Existing+Alterations+Addition.xml
CF1 R -PRF -01-E
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. 12x4
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 insui. /2x4 Top Chrd
Attic Roof 1st
2x4 Top Chord of Roof Truss @ 24
Roof Deck: Wood Siding/sheathing/decking
Level -Existing -Altera
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
• Sheathing / Insulation: R5 Sheathing
• Exterior Finish: Wood
R-13 Wall
Exterior Walls
Wood Framed Wall
2x4 @ 16 in. O.C.
R 13
0.061
Siding/sheathing/decking
• Floor Surface: Carpeted
Floors Over
Floor Deck: Wood Siding/sheathing/decking
R-19 Floor Crawlspace
Crawlspace
Wood Framed Floor
2x6 @ 16 in. O.C.
R 19
0.049
Cavity/Frame: R -19/2x6
• Inside Finish: Gypsum Board
• Cavity / Frame: R-13 / 2x4
• Sheathing/ Insulation: R5 Sheathing
R-13 Wall
Interior Walls
Wood Framed Wall
2x4 @ 16 in. O.C.
R 13
0.060
Other Side Finish: Gypsum Board
• Inside Finish: Gypsum Board
Ceilings (below
Cavity/Frame: R-9.1 /2x4
R-38 Roof Attic
attic)
Wood Framed Ceiling
2x4 @ 24 in. O.C.
R 38
0.025
Over Floor Joists: R-28.9 insul.
• Inside Finish: Gypsum Board
• Cavity / Frame: R-38 / 2x4
• Roof Deck., Wood Siding/sheathing/decking
R-38 Roof Atticl
Cathedral Ceilings
Wood Framed Ceiling
2x.4 @ 24 in. O.C.
R 38
0.036
Roofing: Light Roof (Asphalt Shingle)
• Inside Finish: Gypsum Board
• Cavity/Frame: R-21 /2x8
• Roof Deck: Wood Siding/sheathing/decking
R-21 Roof Cathedral
Cathedral Ceilings
Wood Framed Ceiling
2x8 @ 16 in. O.C.
R 21
0.050
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 Roof2nd Floor Add
Attic Roofs
Wood Framed Ceiling
in. O.C.
none
0.644
Roofing: Light Roof (Asphalt Shingle)
Registration Number: 215-A0224101A-000000000-0000 Registration Date/Time: 2015-08-1213:42:16 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-07082015-744 Report Generated at: 2015-08-12 10:57:32
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Langemak Residence Calculation Date/Time: 10:56, Wed, Aug 12, 2015
Calculation Description: Title 24 Analysis
Input File Name: Lang emak- Existing +Alteratio ns+Addition. xml
C F1 R -PRF -01-E
Page 8 of 11
WATER HEATING SYSTEMS
01
02
03
04
05
• Floor Surface: Carpeted
07
08
Name
System Type
Distribution Type
Water Heater
• Floor Deck: Wood Siding/sheathing/decking
Solar
Fraction
M
Status
Verified Existing
Condition
DHW Sys 1
DHW
Standard
• Cavity / Frame: no insul. / 2x12
R-0 Floor No Crawlspace
Interior Floors
Wood Framed Floor
2x12 @ 16 in. O.C.
none
0.196
Ceiling Below Finish: Gypsum Board
Name
System Type
Name Ducted
Name Ducted
System
System
• Inside Finish: Gypsum Board
Status
Ceilings (below
FAU & AC1
Other Heating and
Heating
Yes
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.
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
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
0.65 EF
62500-Btu/hr
0
0
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
nia
nla
SPACE CONDITIONING SYSTEMS
01
02
03
04
05
06
07
08
09
Heating System
Cooling System
Distribution
Fan
Floor Area
Verified Existing
Name
System Type
Name Ducted
Name Ducted
System
System
Served
Status
Condition
FAU & AC1
Other Heating and
Heating
Yes
Cooling
Yes
Air Distribution
HVAC Fan
2824
Altered
No
Cooling System
Component 1
Component 1
System 1
1
Registration Number: 215-A0224101A-000000000-0000 Registration Date/Time: 2015-08-12 13:42:16 HERS Provider: CaICERTS inc.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-07082015-744 Report Generated at: 2015-08-12 10:57:32
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Langemak Residence Calculation Date/Time: 10:56, Wed, Aug 12, 2015
Calculation Description: Title 24 Analysis
Input File Name: Lang emak-Existing+Alterations +Addition.xmI
HVAC - HEATING SYSTEMS
01 02 03
Name Type Efficiency
Heating Component 1 CntrlFurnace - Fuel -fired central furnace 85.5 AFUE
CF 1 R -PRF -01-E
Page 9 of 11
HVAC - COOLING SYSTEMS
01
02
03 04
05
06
07
Name
Verified Airflow
Efficiency
Verified EER
Multi -speed
Verified Refrigerant
Charge
Name
System Type
EER SEER
Zonally Controlled
Compressor
HERS Verification
Cooling Component 1
SplitAirCond - Split air conditioning
12
13
No
No
Cooling Component
Location
system
Status
Condition
Verification
HVAC COOLING - HERS VERIFICATION
01
02
03
04
05
06
Name
Verified Airflow
Airflow Target
Verified EER
Verified SEER
Verified Refrigerant
Charge
Cooling Component 1 -hers -cool
Required
350
Required
Not Required
Not Required
HVAC - DISTRIBUTION SYSTEMS
01
02
03
04
05
06
07
08
09
10
Name
Duct Leakage
Verification
Duct Leakage
Target (%)
Insulation
Supply Duct
Return Duct
Required
6.0
Verified Existing
HERS
Name
Type
Duct Leakage
R -value
Location
Location
Bypass Duct
Status
Condition
Verification
Air Distribution
Air Distribution
Ducts located in attic
Sealed and tested
8.0
Attic
Attic
None
Existing + New
No
System
System 1
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
-
0 ft2 0 ft2
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 Required
Registration Number: 215-A0224101A-000000000-0000 Registration Date/Time: 2015-08-12 13:42:16 HERS Provider: CaICERTS inc
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-07082015-744 Report Generated at: 2015-08-12 10:57:32
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Langemak Residence Calculation Date/Time: 10:56, Wed, Aug 12, 2015
Calculation Description: Title 24 Analysis
Input File Name: Langemak-Existing+Alterations+Addition.xml
CF1R-PRF-01-E
Page 10 of 11
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: 215-A0224101A-000000000-0000 Registration Date/Time: 2015-08-12 13:42:16 HERS Provider: CaICERTS inc,
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-07082015-744 Report Generated at: 2015-08-12 10:57:32
CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD
Project Name: Langemak Residence Calculation Date/Time: 10:56, Wed, Aug 12, 2015
Calculation Description: Title 24 Analysis
Input File Name: Langemak-Existing +Alterations+Addition.xmI
CF1 R -PRF -01-E
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:
Yarmila Kennett
Company:
Signature Date:
Yarmila Vera Kennett & Associates
2015-08-12 11:12:37
ICABEC
Address:
CEA/HERS Certification Identification (If applicable):
15231 Perry Lane
R13-93-10070
:..I A:rm.. Awavu�.+n of F..Jduv 9ve'v(o,nuh:u,i
City/State/Zip:
Phone.
Morgan Hill, CA 95037
408-621-3740
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 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:
Scott Zazueta
--�--
Company:
Date Signed.
D&Z Design Associates, Inc.
2015-08-12 13:42:16
Address,
License:
17705 Hale Ave, Ste H4
NA
City/State/Zip:
Phone:
Morgan Hill, CA 95037
408-778-7005
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the
information.
Registration Number: 215-A0224101A-000000000-0000 Registration Date/Time: 2015-08-12 13:42:16 HERS Provider: CaICERTS inc
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-07082015-744 Report Generated at: 2015-08-12 10:57:32
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
rmUta annrno Ar viced F.rcentinn.c maw annly 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.
Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain
§ 110.6(a)5:
Coefficient SHGC , and infiltration that meets the requirements of § 10-11 1 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.
The thermal emittance and aged solar reflectance values of the cool roofing material meets the requirements of § 110.8(i) when the
§ 110.8(i):
installation of a cool roof is specified on the CF 1R.
§ 110.8(j):
A radiant barrier shall have an emittance of 0.05 or less when the installation of a radiant barrier is specified on the CF 1 R.
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 leak
§ 150.0(b):
Loose fill insulation shall conform with manufacturer's installed design labeled R -value.
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 -
§I50.0(c):
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)1:
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
§ I50.0(g)3:
the crawl space to reduce moisture entry and protect insulation from condensation, as specified in the exception to Section
150.0(d).
Slab edge insulation shall: have a water absorption rate, for the insulation material alone without facings, no greater than 0.3%;
§ 150.0(1):
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 therequirements of § 110.8 .
Fenestration, including skylights, separating conditioned space from unconditioned space or outdoors shall have a maximum U -
§ 150.0(q):
factor of 0.58: or the weighted average 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.
Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is
§ 150.0(e)1 B:
equipped with a readily accessible, operable, and tight-fiffing tight-fittingdamper 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.
Water heating recirculation loops serving multiple dwelling units meet the air release valve, backflow prevention, pump isolation
§ 110.3(c)5:
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.
Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA using design conditions specified
§I50.0(h)1:
in §150.0(h)2.
Installed air conditioner and heat pump outdoor condensing units shall have a clearance of at least five feet from the outlet of any
§ I50.0(h)3A:
dryer vent.
§ 150.0(i):
Heating systems are equipped with thermostats that meet the setback requirements of § l 10.2(c).
Storage gas water heaters with an energy factor equal to or less than the federal minimum standards shall be externally wrapped
§150.0(j)IA:
with insulation having an installed thermal resistance of R-12 or greater.
§ 150.0(j)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
§ 150.0(j)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 1203-
A.
All domestic hot water pipes that are buried below grade must be installed in a water proof and non -crushable casing or sleeve
§ 150.0(j)2B:
that allows for installation, removal, and replacement of the enclosed pipe and insulation.
2013 Low -Rise Residential Mandatory Measures Summary
§ 150.0(j)2C:
Pipe for cooling system lines shall be insulated as specified in § 150.00)2A. Piping insulation for steam and hydronic heating
systems or hot water systems with pressure > 15 psig shall meet therequirements in TABLE 120.3-A.
§150.0(j)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
§ 150.0(j)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
§ 150.00)3B:
or Class II vapor retarding facing, or the insulation shall be installed at the thickness that qualifies as a Class I or Class II 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.
§ I50.0(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 agencyroved 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 ANSUSMACNA-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'/. 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 constriction; 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
dam
§ 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
§ I50.0(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:5 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 5 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(o):
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) I A:
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-
med 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)1 A:
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)1B:
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)IC:
§ 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 efficacy lighting r electrical box.
§ 150.0(k)ID:
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 §I30.0(c). Night lights do not need to
be controlled by vacancy sensors.
§150.0(k)IF:
Lighting integral to exhaust fans (except when installed by the manufacturer in kitchen exhaust hoods) shall meet the applicable
requirements of § I50.0(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 (FMCS) 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)21:
A multiscene programmable controller may be used to comply with dimmer requirements of this section if it provides the
hinctionality 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)<l:
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.
§ I50.0(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
150.0t 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 tum 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.
§ 150.0(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.
Internally illuminated address signs shall comply with § 140.8; or shall consume no more than 5 watts of power as determined
§150.0(k)10•
according to § 130.0(c).
Lighting for residential parking garages for eight or more vehicles shall comply with the applicable requirements for
§ 150.0(k)11:
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:
i. Comply with the applicable requirements in §110.9, §130.0, §130.1, §140.6 and §141.0; and
§ I50.0(k)12B:
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 through 110.10(e).
§110.10(a)2:
Low-rise multi -family buildings shall comply with the requirements of §110.10(b) through §110.10(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)1:
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.
§ 110.10(b)3A:
No obstructions, including but not limited to, vents, chimneys, architectural features, and roof mounted equipment, shall be
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(b)4:
For areas of the roof designated as solar zone, the suvctural 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.
A copy of the construction documents or a comparable document indicating the information from § 110.10(b) through § 110.10(c)
§ 110.10(d):
shall be provided to the occupant.
§ 110.10(e)l:
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".
ENERGY USE AND COST SUMMARY
ECON-1
Project Name
Langemak Residence
Date
8/12/2015
Rate:
STANDARD
PROPOSED
Fuel Type: Electricity
MARGIN
Energy
Use
kWh
Peak
Demand Cost
kW $
Energy
Use
kWh
Peak
Demand
kW
Cost
$
Energy
Use
kWh
Peak
Demand Cost
k $
Jan 575
1.4
567
1.4
8
0.0
Feb 479
1.3
473
1.3
61
0.0
Mar 480
1.2
474
1.2
6
.0A
0.0-
r 428
Apr
1.1
426
1.6
3
-0.4
May 430
2.8
458
3.0
-28
-0.2
Jun 400
2.8
439
2.9
-39
-0.1
Jul 473
2.8 1
547
2.9
-74
-0.1
Aug467
2.8
525
3.0
-58
-0.2
Sep 604
3.0
626
3.1
-22
-0.1
Oct 477
1.2
477
1.2
0
0.0
Nov 524
1.4
519
1.4
5
0.0
Dec 581
1.4
574
1.4
7
0.0
Year 5,919
3.0
6,104
3.1
-185
-0.1
CO2
I lbs/yr
Ibs/ r
lbs/yr
Rate:
Fuel T e: Natural Gas
STANDARD
PROPOSED
MARGIN
Energy
Use
therms
Peak
Demand Cost
kBtu/hr $
Energy
Use
therms
Peak
Demand
kBtu/hr
Cost
$
Energy
Use
therms
Peak
Demand Cost
kBtu/hr $
Jan 84
78.1
70
61.4
14
16.7
Feb 61
73.7
51
58.2
10
15.4
Mar 48
73.3
39
58.2
8
15.1
Apr 42
60.3
33
46.5
8
13.8
May 22
34.4
20
19.3
2
15.1
Jun 18
5.5
18
5.5
0
0.0
Jul 18
5.3
18
5.3
0
0.0
Aug18
5.1
18
5.1
0
0.0
Sep 18
5.1
18
5.1
0
0.0
Oct 20
38.1
20
28.2
0
9.9
Nov 55
77.6
46
60.6
9
17.0
Dec 82
75.4
69
59.5
13
15.9
Year 484
78.1
420
61.4
64
16.7
CO2
lbs/yr
lbs/yr
lbs/yr
Annual Totals
Energy
Demand
Cost
CosUs ft
Virtual Rate
Electricity
6,104 kWh
3 kW
$
0 $
0.00 lg
$ 0.00 /kWh
Natural Gas
420 therms
61 kBtu/hr
$
0 $
0.00 /g
$ 0.00 /therm
Total
$ 0 $ 0.00 /scIft
Avoided CO2 Emissions:
0 lbs/yr
EnergyPfo 6.7 by EnergySoft User Number. 9615
RunCode: 2015-08-12T10:56:1
ID. Langemak
Page 18 Of 16